دورية أكاديمية
How can existential or spiritual strengths be fostered in palliative care? An interpretative synthesis of recent literature.
العنوان: | How can existential or spiritual strengths be fostered in palliative care? An interpretative synthesis of recent literature. |
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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 |
تدمد: | 2045-4368 |
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DOI: | 10.1136/bmjspcare-2020-002379 |