Deriving Meaning and Faith in Caregiving

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Objectives

To review assessment of spiritual needs of family caregivers and four core interventions by nurses in addressing spirituality: presence, deep listening, bearing witness and compassion in action.

Data Sources

Literature review.

Conclusion

Spirituality is increasingly recognized as a key domain of quality of life and essential to quality cancer care. In addition to the needs of patients, family caregivers also experience enormous spiritual needs throughout cancer diagnosis and treatment. Nurses can provide valuable spiritual assessment of family caregivers and support them as they seek support services to address spiritual needs.

Implications for Nursing Practice

Family caregiving can be a time of growth and meaning when support is provided by nurses and their colleagues.

Section snippets

Research and Evidence Supporting Spiritual Care for Family Caregivers

Numerous studies have described the psychological experiences of family caregiving and common issues of depression, anxiety, living with uncertainty, and the anticipatory grief of family caregivers.4, 5, 6, 7 This body of literature has provided the evidence for development of care for family caregivers, including support groups, Web sites, written materials, peer support, and counseling services. Beyond these emotional needs, there are also profound spiritual needs as caregivers wrestle with

Assessment of Spiritual Needs of Family Caregivers

Chaplains are the spiritual care experts and an invaluable support to oncology nurses. Chaplains offer skilled spiritual assessment and screening, spiritual care intervention, bereavement support, rituals, and many other forms of care for patients and families. However, in most cancer settings, there may be only one chaplain position or even less than a full-time chaplain devoted to an entire oncology service. This is also often limited to the inpatient area and for a limited number of hours

Clinical Application of Spiritual Care

Given that in most medical settings chaplains are few in number, it is all the more important that oncology nurses have, at the very least, a strong, basic understanding of spiritual care. Nurses are often called upon and expected to provide such care in the absence of trained chaplains. It is easy to understand how oncology nurses might feel uncomfortable or even inadequate in providing spiritual care, especially if it is defined only in religious terms. While religious care is most definitely

Foundation of Spiritual Care

As previously stated, many spiritual issues must certainly be addressed by trained chaplains who have experience and expertise in the area. There are four core interventions that form the foundation of spiritual care: presence, deep listening, bearing witness and compassion in action.14 These essential interventions can be provided by anyone with willingness, practice, and self–awareness.

Conclusion

The impact of cancer affects more than just the person whose body it inhabits; it affects the whole family. From the time of diagnosis and the beginning of treatment there is a great deal of focus on the patient's physical, mental, emotional, and spiritual needs. The needs and adjustments of the caregiver, whose life has also been radically altered with the diagnosis, are greatly increased as well.22, 23, 24, 25 Spiritual intervention can make a positive difference in a caregiver's life and

Betty R. Ferrell, RN, PhD, MA, FAAN: Research Scientist, Department of Nursing Research and Education, City of Hope National Medical Center, Duarte, CA.

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    Betty R. Ferrell, RN, PhD, MA, FAAN: Research Scientist, Department of Nursing Research and Education, City of Hope National Medical Center, Duarte, CA.

    Reverend Pamela Baird, AS: End-of-Life Practitioner, Seasons of Life, Arcadia, CA.

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