دورية أكاديمية

How can existential or spiritual strengths be fostered in palliative care? An interpretative synthesis of recent literature.

التفاصيل البيبلوغرافية
العنوان: How can existential or spiritual strengths be fostered in palliative care? An interpretative synthesis of recent literature.
المؤلفون: Haufe M; Department of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands M.Haufe@uvh.nl., Leget C; Department of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands., Potma M; Department of Care Ethics, University of Humanistic Studies, Utrecht, The Netherlands., Teunissen S; Department of General Practice, Center of Expertise Palliative Care Utrecht, Julius Center for Healthcare Sciences and Primary Care, Universitair Medisch Centrum Utrecht, Utrecht, The Netherlands.
المصدر: BMJ supportive & palliative care [BMJ Support Palliat Care] 2024 Aug 19; Vol. 14 (3), pp. 279-289. Date of Electronic Publication: 2024 Aug 19.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101565123 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-4368 (Electronic) Linking ISSN: 2045435X NLM ISO Abbreviation: BMJ Support Palliat Care Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Publishing Group
مواضيع طبية MeSH: Palliative Care*/psychology , Spirituality* , Existentialism*, Humans
مستخلص: Background: Patients receiving palliative care may benefit greatly when their existential or spiritual strengths are fostered. To date however, there has not been a comprehensive literature review of patient and care professional approaches that are available.
Aims: To describe and synthesise existential or spiritual strength-based approaches within the context of palliative care.
Methods: Literature search of 2436 articles between January 1999 and March 2019 in Scopus, Web of Science, CINAHL and PsycINFO. Articles were included if they deal with a palliative care situation, focus on the patient, specific existential/spiritual strength, discernible strength approach and an analysis of the workings of that approach. The interpretative synthesis consisted of a thematic analysis of the included articles and an integration of themes.
Results: In the 14 included articles, 5 different strengths were found to be fostered by 16 approaches: (1) Meaning was fostered by: maintaining normalcy, experiencing sanctuaries, reassessing importance and reconstructing positive self; (2) Connection by: opening up, giving/receiving care and envisioning continuation; (3) Agency by: maintaining control, refocusing goals and continuous adaptation; (4) Hope through: setting special targets, imagining alternate outcomes, building a collection and extending wishes; (5) Faith through: living the tradition and relating to a benevolent force. Strengths and approaches are visualised in an overarching analytical framework: 'the Propeller'.
Conclusions: The constructed Propeller framework can be used to become aware of, apply and further develop approaches to foster existential or spiritual strengths among patients receiving palliative care.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: end of life care; spiritual care
تواريخ الأحداث: Date Created: 20200915 Date Completed: 20240820 Latest Revision: 20240829
رمز التحديث: 20240830
مُعرف محوري في PubMed: PMC11347204
DOI: 10.1136/bmjspcare-2020-002379
PMID: 32928785
قاعدة البيانات: MEDLINE
الوصف
تدمد:2045-4368
DOI:10.1136/bmjspcare-2020-002379