Spiritual Needs of Patients with End-stage Cancer; an Exploratory Description through Nurses’ Lens

Spiritual Needs of Patients with End-stage Cancer; an Exploratory Description through Nurses’ Lens

Authors

  • Daizi Jafer Department of Rawal College of Nursing, Rawal Institute of Health Sciences, Islamabad
  • Shireen Arif Department of College of Nursing, Ziauddin University, Karachi, Pakistan
  • Farhan Ahmed Department of Rawal College of Nursing, Rawal Institute of Health Sciences, Islamabad
  • Gideon Victor Department of Shifa College of Nursing, Tameer-e-Millat University, Islamabad, Pakistan

DOI:

https://doi.org/10.21649/akemu.v30i2.5322

Keywords:

Spirituality, end stage cancer, patients, nurse, competence

Abstract

Background: Cancer diagnosis can lead to an emotional state of distress, hopelessness, and fear which can cause uncertainty. Subsequently, both self-esteem and spiritual belief may be threatened and personal relations are lessened leading to spiritual needs. In oncology, evaluating spiritual needs is essential for fostering a value of life throughout severe illness. For some patients, the most dependable way to manage their illness is through their spirituality.

Objective: To explore the lived experiences of oncology nurses regarding the need for spirituality among patients with end-stage cancer.

Method: This was a qualitative descriptive exploratory study. This includes the Pakistan Institute of Medical Sciences, Rawalpindi's Combined Military Hospital (CMH), and Shifa International Hospital. The time frame for the study was April 2021–September 2021. The data was collected through structured questionnaire in-depth interviews. The study's rigor was assessed using trustworthy standards and qualitative thematic analysis approach was employed for data analysis.

Results: A total of 15 nurses participated in the study through purposive sampling from three different oncology facilities. Four themes and 11 categories emerged from the data itself namely; need to address spiritual suffering, need for spiritual coping, and religious path to spirituality, and need for holistic care.

Conclusion: This study deliberates spiritual care needs of patients hospitalized in the oncology department and their experiences of nursing care practices. Oncology patients require a holistic care plan to meet their spiritual needs. Spiritual training of nurse is recommended for their spiritual well-being and spiritual care competencies

References

World Health Organization. Global cancer burden growing amidst mounting need for services [Internet]. Geneva: World Health Organization; 2024 [cited 2024 May 15]. Available from: https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services

Masood A, Masood K, Hussain M, Ali W, Riaz M, Alauddin Z, et al. Thirty years cancer incidence data for Lahore, Pakistan: trends and patterns 1984-2014. Asian Pacific J cancer Prev APJCP. 2018;19(3):709.

Jafar D, Pesnani F, Arif S, Nasir A. Self-Esteem of Patients Receiving Chemotherapy Treatment in a Tertiary Care Hospital Karachi, Pakistan. Pakistan J Med Dent. 2020;9(3):60-64.

Ali A, Manzoor MF, Ahmad N, Aadil RM, Qin H, Siddique R, et al. The burden of cancer, government strategic policies, and challenges in Pakistan: A comprehensive review. Front. Nutr. 2022;9(1):940514.

Hatamipour K, Rassouli M, Yaghmaie F, Zendedel K, Majd HA. Spiritual needs of cancer patients: A qualitative study. Indian J Palliat Care. 2015;21(1):61.

Wisesrith W, Sukcharoen P, Sripinkaew K. Spiritual Care Needs of Terminal Ill Cancer Patients. Asian Pac J Cancer Prev. 2021;22(12):3773-3779. doi: 10.31557/APJCP.2021.22.12.3773.

Shi X, Wang F, Xue L, Gan Z, Wang Y, Wang Q, et al. Current status and influencing factors of spiritual needs of patients with advanced cancer: a cross-sectional study. BMC nurs. 2023 ;22(1):1-2.

Maiko S, Johns SA, Helft PR, Slaven JE, Cottingham AH, Torke AM. Spiritual Experiences of Adults With Advanced Cancer in Outpatient Clinical Settings. J Pain Symptom Manage. 2019;57(3):576-586.e1. doi:10.1016/j.jpainsymman.2018.11.026.

Klop HT, Koper I, Schweitzer BPM, Jongen E, Onwuteaka-Philipsen BD. Strengthening the spiritual domain in palliative care through a listening consultation service by spiritual caregivers in Dutch PaTz-groups: an evaluation study. BMC Palliat Care. 2020;19(1):92. doi:10.1186/s12904-020-00595-0.

Harvard Gazette. Health Archives [Internet]. 2022 [cited 2024 Jul 25]. Available from: https://news.harvard.edu/gazette/section/health/

Hunter D, McCallum J, Howes D. Defining exploratory-descriptive qualitative (EDQ) research and considering its application to healthcare. JNH. 2019;4(1):65-72.

Moser A, Korstjens I. Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. Eur J Gen Pract. 2018;24(1):9-18.

Wirihana L, Welch A, Williamson M, Christensen M, Bakon S, Craft J. Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Res. 2018;25(4):30.

Sundler AJ, Lindberg E, Nilsson C, Palmér L. Qualitative thematic analysis based on descriptive phenomenology. Nurs Open. 2018;6(1):733–739.

Stahl NA, King JR. Expanding approaches for research: Understanding and using trustworthiness in qualitative research. J. Dev. Educ. 2020;44(1):26-8.

Taylor EJ. New Zealand hospice nurses’ self-rated comfort in conducting spiritual assessment. Int J Palliat Nurs. 2013;19(4):178-185.

McCaffrey N, Bradley S, Ratcliffe J, Currow DC. What aspects of quality of life are important from palliative care patients’ perspectives? A systematic review of qualitative research. J Pain Sympt Manage. 2016; 52(1): 318-28.

Mah K, Chow B, Swami N, Pope A, Rydall A, Earle C, et al. Early palliative care and quality of dying and death in patients with advanced cancer. BMJ Support. Palliat. Care. 2023;13(e1):e74-7.

Lee GL, Ramaswamy A. Physical, psychological, social, and spiritual aspects of end-of-life trajectory among patients with advanced cancer: A phenomenological inquiry. Death studies. 2020;44(5):292-302.

O’brien ME. Spirituality in Nursing: Standing on Holy Ground. USA: Jones & Bartlett Learning; 2022 (7th ed). Pg 130-145.

Chan RJ, Gordon LG, Tan CJ, Chan A, Bradford NK, Yates P, et al. Relationships Between Financial Toxicity and Symptom Burden in Cancer Survivors: A Systematic Review. J Pain Symptom Manage. 2019;57(3):646-660.e1. doi:https://doi.org/10.1016/j.jpainsymman.2018.12.003

Harbali SM, Koç Z. Psychosocial problems in relation to spiritual orientation and religious coping among oncology Muslim patients. Cancer nurs. 2022;45(2):120-131.

Jim HS, Pustejovsky JE, Park CL, Danhauer SC, Sherman AC, Fitchett G, et al. Religion, spirituality, and physical health in cancer patients: A meta-analysis. Cancer. 2015;121(21):3760-3768. doi:https://doi.org/10.1002/cncr.29353

Sherman AC, Merluzzi TV, Pustejovsky JE, Park CL, George L, Fitchett G, et al. A meta-analytic review of religious or spiritual involvement and social health among cancer patients. Cancer. 2015;121(21):3779-3788. doi:https://doi.org/10.1002/cncr.29352.

Anisa NR, Erika KA, Rachmawaty R. Nurse’s spiritual care competencies to patient with end stage breast cancer. Int J Public Heal Sci. 2018;7(4):268-76.

Meneguin S, Pollo CF, Benichel CR, Cunha LK, Miot HA. Comfort and religious-spiritual coping of intensive care patients’ relatives. Intensive Crit care Nurs. 2020;58(1):102805. doi:10.1016/j.iccn.2020.102805.

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Published

06/29/2024

How to Cite

Jafer, D., Arif, S., Ahmed, F., & Victor, G. (2024). Spiritual Needs of Patients with End-stage Cancer; an Exploratory Description through Nurses’ Lens. Annals of King Edward Medical University, 30(2), 136–144. https://doi.org/10.21649/akemu.v30i2.5322

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Research Articles

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