NURSING: SPIRITUAL CARE OF THE ONCOLOGY PATIENT, FROM AN INTEGRATIVE REVIEW

Authors

DOI:

https://doi.org/10.18471/rbe.v38.55341

Keywords:

Nursing care., Palliative care., Spirituality., Oncology institutions.

Abstract

Objective: The purpose of this study was to describe the evidence available in the scientific literature regarding the spiritual care provided by nurses to oncology patients, analyzed from a palliative care perspective. Methods: An integrative review of the literature was carried out using six databases: Redalyc, ScienceDirect, BVS, Scielo, PubMed and Google Scholar, published in the period 2018-2022. The data were collected during the months of August to November 2022, following the guidelines established by the PRISMA method. Results: 14 publications were considered, whose textual analysis allowed the construction of four main themes: Spiritual/religious needs, Concretizations of Spiritual Nursing Care, Reflections on Spiritual Care and Barriers or gaps to implement spiritual care. Conclusion: The study verified the relevance of the spiritual dimension during the care of oncology patients and the need to promote the inclusion of the spiritual approach in care practices.

Downloads

Download data is not yet available.

References

Trujillo SZ, Paz RF, Corona T, Sánchez GMA. Investigación sobre cuidados paliativos en Mé-xico. Revisión sistemática exploratoria. Revista Mexicana Neurociencia [Internet]. 2018 [ci-tado 2022 Agt 10];19(2):74-85. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78785

Mendoza GO; Huerta-Baltazar MI; Montoya-Ramírez GE; Cira-Huape JL; Correa-Vieyra G. Cuidados paliativos como intervención de enfermería en los últimos días de vida: revisión sis-temática. SANUS. [Internet]. 2022 [citado 2022 Agt 10]; 7(1): e289. DOI: https://doi.org/10.36789/revsanus.vi1.289

Sung H; Ferlay J; Siegel RL; Laversanne M; Soerjomataram I; Jemal A; Bray F. Global Can-cer Statistics 2020: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin [Internet]. 2021 [cited 22 Aug de 2022];71(3):209-49. DOI: https://doi.org/10.3322/caac.21660

MINSA. Situación del cáncer en el Perú [Internet]. 2021[citado 2022 Agt 10]. Disponible en: http://www.dge.gob.pe/portal/docs/tools/teleconferencia/2021/SE252021/03.pdf

Souza MOLSD, Troadio IFDM, Sales AS, Costa REARD, Carvalho DDNRD, Holanda GSLS et al. Reflexiones de profesionales de enfermería sobre cuidados paliativos. Revista Bioética [Internet]. 2022 [citado 2022 Agt 10]; 30, 162-171. Disponible en: https://www.scielo.br/j/bioet/a/M8PwcV7ZPSRcFVrKCRhnhYB/?format=pdf&lang=es

Organización Panamericana de la Salud (OPS). Cuidados Paliativos-Guía para el manejo clí-nico [Internet]. 2022 [citado 2022 Agt 10]. Disponible en: https://www3.paho.org/hq/index.php?option=com_content&view=article&id=12587:palliative-care&Itemid=42139&lang=es.

Organización Mundial de la salud (OMS). Cuidados paliativos. Datos y cifras [Internet]. 2020 [citado 2022 Agt 10]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/palliative-care.

Radbruch L; De Lima L; Knaul F; Wenk R; Ali Z; Bhatnaghar S; et al. Redefining palliative care—A new consensus-based definition. J Pain Symptom Manage [Internet]. 2020 [cited 2022 Aug 10];60(4):754–64. DOI: https://doi.org/10.1016/j.jpainsymman.2020.04.027

Campos VF; Silva JM; Silva JJ. Comunicação em cuidados paliativos: equipe, paciente e família. Rev. bioét. (Impr.) [Internet]. 2019 [cited 2022 Aug 22];27(4):711-8. DOI: https://doi.org/10.1590/1983-80422019274354

Matos JC; Borges MS. A família como integrante da assistência em cuidado paliativo. Rev Enferm UFPE [Internet]. 2018 [cited 2022 Aug 22];12(9):2399-406. DOI: https://doi.org/10.5205/1981-8963-v12i9a234575p2399-2406-2018

Warapornmongkholkul A; Howteerakul N; Suwannapong, N; Soparattanapaisarn, N. Self-efficacy, social support, and quality of life among primary family-member caregivers of pati-ents with cancer in Thailand. Journal of Health Research [Internet]. 2018 [cited 2022 Aug 22]; 32(2), 111-122. DOI: https://doi: 10.1108/JHR-01-2018-012

Turkel MC; Watson J; Giovannoni J. Caring science or science of caring. Nursing Science Quarterly [Internet]. 2018 [cited 2022 Aug 22];31(1), 66-71. DOI: https://doi.org/10.1177/0894318417741116

Dornfeld RL; Gonçalves JRL. Desafios do cuidado de enfermagem frente à morte: reflexões sobre espiritualidade. Revista Família, Ciclos de Vida e Saúde no Contexto Social [Internet]. 2021 [cited 2022 Aug 16]; 9, 281-291. ISSN: 2318-8413. DOI: https://doi.org/10.18554/refacs.v9i0.3967

Prado E; Sales CA; Girardon-Perlini NMO; Matsuda LM; Benedetti GMS; Marcon SS. Vivência de pessoas com câncer em estágio avançado ante a impossibilidade de cura: análise fenomenológica. Esc Anna Nery [Internet]. 2020 [cited 2022 Aug 22]; 24(2): e20190113. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0113

Evangelista CB; Lopes MEL; Costa SFGD; Batista PSDS; Duarte MCS; Morais GSDN et al. Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring. Revista Brasileira de Enfermagem [Internet]. 2022 [cited 2022 Aug 22]; 75. DOI: https://doi.org/10.1590/0034-7167-2021-0029

Copello LE, Pereira ADA, Ferreira CLL. Espiritualidade e religiosidade: importância para o cuidado de enfermagem de paciente em processo de adoecimento. Discipl Scientia Saúde [Internet]. 2018 [cited 2022 Aug 23]; 19(2):183-99. Available from: https://periodicos.ufn.edu.br/index.php/disciplinarumS/article/view/2504/2166

Balboni TA; Fitchett G; Handzo GF; Johnson KS; Koenig HG; Pargament KI et al. State of the science of spirituality and palliative care research part II: screening, assessment, and interventions. Journal of pain and symptom management [Internet]. 2017 [cited 2022 Aug 10]; 54 (3), 441-453. DOI: https://doi.org/10.1016/j.jpainsymman.2017.07.029

Ferrell BR, Twaddle ML, Melnick A, Meier DE. National consensus project clinical practice guidelines for quality palliative care guidelines. Journal of palliative medicine [Internet]. 2018 [cited 2022 Aug 18]; 21(12), 1684-1689. Available from: https://www.liebertpub.com/doi/full/10.1089/jpm.2018.0431

Taylor EJ. Spiritual screening, history, and assessment. In Ferrell B, Paice JA. Oxford textbook of palliative nursing [Internet]. 2019 [cited 2022 Aug 14]; 5ta Ed., 432-446. DOI: https://doi.org/10.1093/med/9780190862374.003.0034

Ferrell B; Paice JA. Oxford Textbook of Palliative Nursing. 5ta Ed., Oxford University Press, Nueva York, NY. [Internet]. 2019 [cited 2022 Aug 18]. DOI: https://doi.org/10.1093/med/9780190862374.001.0001

Moosavi S; Rohani C; Borhani F; Akbari ME. Factors affecting spiritual care practices of oncology nurses: a qualitative study. Support Care Cancer [Internet]. 2019 [cited 2022 Aug 14]; 27, 901–909. DOI: https://doi.org/10.1007/s00520-018-4378-8

García-Navarro EB; Medina-Ortega A; García Navarro S. Spirituality in Patients at the End of Life—Is It Necessary? A Qualitative Approach to the Protagonists. International Journal of Environmental Research and Public Health [Internet]. 2021 [cited 2022 Aug 14]; 19(1), 227. DOI: https://doi.org/10.3390/ijerph19010227

Lukovsky J; McGrath E; Sun C; Frankl D; Beauchesne MA. A survey of hospice and palliative care nurses' and holistic nurses' perceptions of spirituality and spiritual care. Journal of Hospice & Palliative Nursing [Internet]. 2021 [cited 2022 Aug 14]; 23(1), 28-37. DOI: https://doi.org/10.1097/NJH.0000000000000711

Altamira-Camacho R, García-Campos ML, Beltrán-Campos V & Ortega-Jiménez MC. Cuida-do de enfermería en el sufrimiento espiritual: una revisión integrativa de la literatura. Revista Iberoamericana de Educación e Investigación en Enfermería [Internet]. 2021 [citado 2022 Agt 14]; 11(3):29-39. Disponible en:

https://www.enfermeria21.com/revistas/aladefe/articulo/361/cuidado-de-enfermeria-en-el-sufrimiento-espiritual-una-revision-integrativa-de-la-literatura/

Loza J. Perception of nursing professionals on the satisfaction of spiritual needs of cancer pa-tients. Revista Científica de Salud UNITEPC [Internet]. 2022 [cited 2022 Nov 14]; 9(1): 39-47. DOI: https://doi.org/10.36716/unitepc.v9i1.103.

Zumstein-Shaha M; Ferrell B; Economou D. Nurses’ response to spiritual needs of cancer pa-tients. European journal of oncology nursing [Internet]. 2020 [cited 2022 Aug 14]; 48, 101792. DOI: https://doi.org/10.1016/j.ejon.2020.101792

Nehmé MS; Desbiens JF; Gagnon J. Nursing practice in palliative care with terminally ill cancer patients in an interdisciplinary team: A case study in Lebanon. Recherche en soins in-firmiers [Internet]. 2020 [cited 2022 Aug 14]; 141(2), 60-69. DOI: https://doi.org/10.3917/rsi.141.0060

Ratshikana-Moloko M; Ayeni O; Tsitsi JM; Wong ML; Jacobson JS; Neugut AI et al. Spiritual care, pain reduction, and preferred place of death among advanced cancer patients in Soweto, South Africa. Journal of pain and symptom management [Internet]. 2020 [cited 2022 Nov 14]; 60(1), 37-47. DOI: https://doi.org/10.1016/j.jpainsymman.2020.01.019

Vega MT; Díaz RJ; Cervera MF; Rodríguez LD; Tejada S; Guerrero SE. Amabilidad, confort y espiritualidad en los cuidados paliativos oncológicos: Aporte para la humanización en salud. Revista de Enfermería y Humanidades: Cultura de los Cuidados [Internet]. 2020 [citado 2022 Nov 14]. DOI: https://doi.org/10.14198/cuid.2020.58.05

Bar-Sela G, Schultz MJ, Elshamy K, Rassouli M, Ben-Arye E, Doumit M et al. Training for awareness of one's own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses. Palliat Support Care [Inter-net].2019 [cited 2022 Nov 16];17(3):345-352. Available from: https://pubmed.ncbi.nlm.nih.gov/30187841/

Siler S; Mamier I; Winslow BW; Ferrell BR. Interprofessional Perspectives on Providing Spiritual Care for Patients With Lung Cancer in Outpatient Settings. Oncology Nursing Forum [Internet]. 2019 [cited 2022 Nov 16]; 46(1):49-58. DOI: https://doi.org/10.1188/19.ONF.49-58

Fitch MI; Bartlett R. Patient perspectives about spirituality and spiritual care. Asia-Pacific Journal of Oncology Nursing [Internet]. 2019 [cited 2022 Nov 16]; 6(2), 111-121. DOI: https://doi.org/10.4103/apjon.apjon_62_18

dos Santos Silva L, Poiares IR, Machado CAM, Lenhani BE, Guimarães PRB, Kalinke LP. Religião/espiritualidade e apoio social na melhoria da qualidade de vida da pessoa com cancro avançado. Revista de Enfermagem Referência [Internet]. 2019 [cited 2022 Nov 16]; 4(23), 111-120. Available from: https://scielo.pt/scielo.php?script=sci_arttext&pid=S0874-02832019000400012?script=sci_arttext&pid=S0874-02832019000400012

Ichihara K; Ouchi S; Okayama S; Kinoshita F; Miyashita M, Morita T et al. Effectiveness of spiritual care using spiritual pain assessment sheet for advanced cancer patients: A pilot non-randomized controlled trial. Palliative & supportive care [Internet]. 2019 [cited 2022 Nov 16]; 17(1), 46-53. DOI: https://doi.org/10.1017/S1478951518000901

Maciel AMSB; Alexandre ACS; Ferreira DMB; Silva FC. The condition of spirituality in oncological nursing care. Journal of Nursing UFPE/Revista de Enfermagem UFPE [Internet]. 2018 [cited 2022 Aug 14]; 12(11). DOI: https://doi.org/10.5205/1981-8963-v12i11a234609p3024-3029-2018

Crizel LB, Noguez PT, Oliveira SG, Bezerra BCDC. Espiritualidade no cuidado de enfermagem ao paciente oncológico em cuidados paliativos. Rev Salusvita [Internet]. 2018 [cited 2022 Aug 14]; 37(3), 577-97. Available from: https://pesquisa.bvsalud.org/portal/resource/es/biblio-1050673

van Meurs J, Smeets W, Vissers KC, Groot M, Engels Y. Enfermeras explorando la espirituali-dad de sus pacientes con cáncer: Observación participante en una sala de oncología médi-ca. Cancer nursing [Internet]. 2018 [citado 2022 Agt 14]; 41 (4), E39. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039377/

Arrieira ICDO; Thofehrn MB; Porto AR; Moura PMM; Martins CL; Jacondino MB. Spirituality in palliative care: experiences of an interdisciplinary team. Revista da Escola de Enfermagem da USP [Internet]. 2018 [cited 2022 Aug 14]; 52. DOI: https://doi.org/10.1590/S1980-220X2017007403312

Puchalski C; Jafari N; Buller H; Haythorn T; Jacobs C; Ferrell B. Interprofessional spiritual care education curriculum: A milestone toward the provision of spiritual care. Journal of Pal-liative Medicine [Internet]. 2020 [cited 2022 Aug 15]; 23(6), 777-784. DOI: https://doi.org/10.1089/jpm.2019.0375

Zenevicz LT; Bitencourt JVDOV; Léo MMFD; Madureira VSF; Thofehrn MB; Conceição VMD. Permission for departing: spiritual nursing care in human finitude. Revista Brasileira de Enfermagem [Internet]. 2020 [cited 2022 Aug 14]; 73. DOI: https://doi.org/10.1590/0034-7167-2018-0622

Mendes KDL, Silveira RCCP, Galvão CM. Revisión integrativa de la literatura: un método de investigación para incorporar evidencias en salud y cuidados de enfermería [Internet]. 2008 [citado 2022 Agt 15]. Disponible en: http://www.scielo.br/pdf/tce/v17n4/18.pdf

Valencia-Contrera MA. Actualización metodológica de revisiones integrativas: un énfasis en la calidad de los resultados. Salud, Ciencia y Tecnología [Internet]. 2022 [citado 2022 Agt 15]; 2:171. Disponible en: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/171

Edwards A; Pang N; Shiu V; Chan C. The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: a meta-study of qualitative rese-arch. Palliative medicine [Internet]. 2010 [cited 2022 Aug 14]; 24(8), 753-770. DOI: https://doi.org/10.1177/0269216310375860

Sánchez CT. Abordaje aconfesional de la espiritualidad en cuidados paliativos. FMC: Forma-ción Médica Continuada en Atención Primaria [Internet]. 2012 [citado 2022 Agt 15]; 19(6), 331-338. Disponible en: http://www.fmc.es/es/abordaje-aconfesional-espiritualidad-cuidados-paliativos/articulo/90142224/

Gomes R. Espiritualidade e Cuidados Paliativos: Alguns pontos para reflexão. ESPAÇOS - Revista De Teologia E Cultura [Internet]. 2019 [cited 2022 Aug 14]; 18(2), 187–196. Disponi-ble en: https://espacos.itespteologia.com.br/espacos/article/view/109

Puchalski C; Ferrell B; Virani; Otis-Green S; Baird P; Bull J et al. La mejora de la calidad de los cuidados espirituales como una dimensión de los cuidados paliativos: el informe de la Conferencia de Consenso. Med Paliat [Internet]. 2011 [citado 2022 Agt 15]; 18(1):20-40. DOI: https://doi.org/10.1016/S1134-248X(11)70006-4

Puchalski CM; Vitillo R; Hull SK; Reller N. Improving the spiritual dimension of whole per-son care: reaching national and international consensus. J Palliat Med [Internet]. 2014 [cited 2022 Aug 22];17(6):642-56. p. 646. Tradução livre. DOI: https://doi.org/10.1089/jpm.2014.9427

Puchalski CM; Sbrana A; Ferrell B; Jafari N; King S; Balboni T; et al. Interprofessional spiri-tual care in oncology: a literature review. ESMO Open [Internet]. 2019 [cited 2022 Aug 18];4(1): e000465. DOI: 10.1136/esmoopen-2018-000465

O'Brien MR; Kinloch K; Groves KE; Jack BA. Meeting patients’ spiritual needs during end‐of‐life care: A qualitative study of nurses’ and healthcare professionals’ perceptions of spi-ritual care training. Journal of Clinical Nursing [Internet]. 2019 [cited 2022 Aug 15]; 28(1-2), 182-189. DOI: https://doi.org/10.1111/jocn.14648.

Calvani CEB. Espiritualidades não religiosas: desafios conceituais. HORIZONTE-Revista de Estudos de Teologia e Ciências da Religião [Internet]. 2014 [cited 2022 Aug 18]; 658-687. DOI: https://doi.org/10.5752/P.2175-5841.2014v12n35p658

Wu HL; Volker DL. Humanistic Nursing Theory: application to hospice and palliative care. Journal of advanced nursing. In Internet]. 2012 [cited 2022 Aug 18]; 68: 471-479. DOI: https://doi.org/10.1111/j.1365-2648.2011.05770.

França JRFDS; Costa SFGD; Lopes MEL; Nóbrega MMLD; França ISXD. The importance of communication in pediatric oncology palliative care: focus on Humanistic Nursing Theory. Rev. Latino-Am. Enfermagem [Internet]. 2013 [cited 2022 Aug 18]; 21 :780-786. DOI: https://doi.org/10.1590/S0104-11692013000300018

de Sá França JRF; Lopes MEL; Duarte MCS; da Nóbrega Morais GS; da Silva EC; Zaccara AAL et al. Importance of Palliative Care in Pediatric Oncology. International Archives of Me-dicine [Internet]. 2016 [cited 2022 Aug 18]; 9. DOI: https://doi.org/10.3823/1906

Rosa W. Spiritual care Intervention. In Ferrell B, Paice JA. Oxford textbook of palliative nur-sing [Internet]. 2019 [cited 2022 Aug 18]; 5ta Ed. 447-455. DOI: https://doi.org/10.1093/med/9780190862374.003.0035

Ronaldson S; Hayes L; Aggar C; Green J; Carey M. Palliative care nurses’ spiritual caring interventions: A conceptual understanding. International Journal of Palliative Nursing [Inter-net]. 2017 [cited 2022 Aug 18]; 23(4). DOI: https://doi.org/10.12968/ijpn.2017.23.4.194

World Health Organization. Global Atlas on Palliative Care At the End of Life. 2da Ed. [Inter-net]. 2020 [cited 2022 Aug 18]. Disponible en: http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care

Word Health Organization. Palliative Care. Key facts [Internet]. 2020 [cited 2022 Aug 18]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/palliative-care

O'berle K, Davies B. Support and caring: exploring the concepts. In Oncology Nursing Forum [Internet]. 1992 [cited 2022 Aug 18]; Vol. 19, No. 5, pp. 763-767. Disponible en: https://pubmed.ncbi.nlm.nih.gov/1608840/. PMID: 1608840.

Bornem T. Palliative Care Nursing. Current problems in cancer [Internet]. 2011[cited 2022 Aug 18]; 35, 351-356. DOI: https://doi.org/10.1016/j.currproblcancer.2011.10.009

De Arco-Canoles O; Suarez ZK. Rol de los profesionales de enfermería en el sistema de salud colombiano. Univ. Salud [Internet]. 2018 [citado 2022 Agt 15]; 20(2), 171-182. DOI: http://dx.doi.org/10.22267/rus.182002.121

Hagan TL. Nursing's role in leading palliative care: A call to action. Nurs Educ Today [Internet]. 2018 [cited 2022 Aug 18];61, 216-219. DOI: https://doi.org/10.1016/j.nedt.2017.11.037

Published

2024-11-25

How to Cite

1.
Castañeda-León K, Gómez-Luján M del P, Bulnes AMM, Vargas-Escobar LM. NURSING: SPIRITUAL CARE OF THE ONCOLOGY PATIENT, FROM AN INTEGRATIVE REVIEW. Rev. baiana enferm. [Internet]. 2024Nov.25 [cited 2025Sep.26];38(.). Available from: https://revbaianaenferm.ufba.br/index.php/enfermagem/article/view/55341

Issue

Section

Review