Effect of a spiritual care training program for staff on patient outcomes
Physicians and nurses do not assess spirituality routinely, even though spiritual care is a vital part of palliative care for patients with an advanced serious illness. The aim of our study was to determine whether a training program for healthcare professionals on spirituality and the taking of a s...
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| Veröffentlicht in: | Palliative & supportive care 2017-08, Vol.15 (4), p.434-443 |
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| creator | Yang, Grace Meijuan Tan, Yung Ying Cheung, Yin Bun Lye, Weng Kit Lim, Sock Hui Amy Ng, Wan Ru Puchalski, Christina Neo, Patricia Soek Hui |
| description | Physicians and nurses do not assess spirituality routinely, even though spiritual care is a vital part of palliative care for patients with an advanced serious illness. The aim of our study was to determine whether a training program for healthcare professionals on spirituality and the taking of a spiritual history would result in improved patient quality of life (QoL) and spiritual well-being.
This was a cluster-controlled trial of a spiritual care training program for palliative care doctors and nurses. Three of seven clinical teams (clusters) received the intervention, while the other four served as controls. Included patients were newly referred to the palliative care service, had an estimated survival of more than one month, and were aware of their diagnosis and prognosis. The primary outcome measure was the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) patient-reported questionnaire, which patients completed at two timepoints. Total FACIT-Sp score includes the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, which measures overall quality of life, as well as a spiritual well-being score.
Some 144 patients completed the FACIT-Sp at both timepoints-74 in the control group and 70 in the intervention group. The change in overall quality of life, measured by change in FACT-G scores, was 3.89 points (95% confidence interval [CI 95%] = -0.42 to 8.19, p = 0.076) higher in the intervention group than in the control group. The difference between the intervention and control groups in terms of change in spiritual well-being was 0.32 (CI 95% = -2.23 to 2.88, p = 0.804).
A brief spiritual care training program can possibly help bring about enhanced improvement of global patient QoL, but the effect on patients' spiritual well-being was not as evident in our participants. Further study with larger sample sizes is needed to allow for more definite conclusions to be drawn. |
| doi_str_mv | 10.1017/S1478951516000894 |
| format | Article |
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This was a cluster-controlled trial of a spiritual care training program for palliative care doctors and nurses. Three of seven clinical teams (clusters) received the intervention, while the other four served as controls. Included patients were newly referred to the palliative care service, had an estimated survival of more than one month, and were aware of their diagnosis and prognosis. The primary outcome measure was the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) patient-reported questionnaire, which patients completed at two timepoints. Total FACIT-Sp score includes the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, which measures overall quality of life, as well as a spiritual well-being score.
Some 144 patients completed the FACIT-Sp at both timepoints-74 in the control group and 70 in the intervention group. The change in overall quality of life, measured by change in FACT-G scores, was 3.89 points (95% confidence interval [CI 95%] = -0.42 to 8.19, p = 0.076) higher in the intervention group than in the control group. The difference between the intervention and control groups in terms of change in spiritual well-being was 0.32 (CI 95% = -2.23 to 2.88, p = 0.804).
A brief spiritual care training program can possibly help bring about enhanced improvement of global patient QoL, but the effect on patients' spiritual well-being was not as evident in our participants. Further study with larger sample sizes is needed to allow for more definite conclusions to be drawn.</description><identifier>ISSN: 1478-9515</identifier><identifier>EISSN: 1478-9523</identifier><identifier>DOI: 10.1017/S1478951516000894</identifier><identifier>PMID: 27894377</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Aged ; Cancer therapies ; Clinical outcomes ; Continuing education ; Female ; Health Personnel - education ; Home Care Agencies - organization & administration ; Home Care Agencies - trends ; Hospice care ; Humans ; Intervention ; Male ; Middle Aged ; Nurses ; Oncology ; Original Articles ; Palliative care ; Palliative Care - methods ; Palliative Care - trends ; Patients ; Physicians ; Psychometrics - instrumentation ; Psychometrics - methods ; Quality of care ; Quality of Life - psychology ; Singapore ; Spirituality ; Surveys and Questionnaires ; Teaching - standards ; Teaching - trends</subject><ispartof>Palliative & supportive care, 2017-08, Vol.15 (4), p.434-443</ispartof><rights>Copyright © Cambridge University Press 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-d030d957651b6879bb6eb4b100babda04e0e281050d7dd522e8b89e65ae1fc243</citedby><cites>FETCH-LOGICAL-c439t-d030d957651b6879bb6eb4b100babda04e0e281050d7dd522e8b89e65ae1fc243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1478951516000894/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27924,27925,55628</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27894377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Grace Meijuan</creatorcontrib><creatorcontrib>Tan, Yung Ying</creatorcontrib><creatorcontrib>Cheung, Yin Bun</creatorcontrib><creatorcontrib>Lye, Weng Kit</creatorcontrib><creatorcontrib>Lim, Sock Hui Amy</creatorcontrib><creatorcontrib>Ng, Wan Ru</creatorcontrib><creatorcontrib>Puchalski, Christina</creatorcontrib><creatorcontrib>Neo, Patricia Soek Hui</creatorcontrib><title>Effect of a spiritual care training program for staff on patient outcomes</title><title>Palliative & supportive care</title><addtitle>Pall Supp Care</addtitle><description>Physicians and nurses do not assess spirituality routinely, even though spiritual care is a vital part of palliative care for patients with an advanced serious illness. The aim of our study was to determine whether a training program for healthcare professionals on spirituality and the taking of a spiritual history would result in improved patient quality of life (QoL) and spiritual well-being.
This was a cluster-controlled trial of a spiritual care training program for palliative care doctors and nurses. Three of seven clinical teams (clusters) received the intervention, while the other four served as controls. Included patients were newly referred to the palliative care service, had an estimated survival of more than one month, and were aware of their diagnosis and prognosis. The primary outcome measure was the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) patient-reported questionnaire, which patients completed at two timepoints. Total FACIT-Sp score includes the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, which measures overall quality of life, as well as a spiritual well-being score.
Some 144 patients completed the FACIT-Sp at both timepoints-74 in the control group and 70 in the intervention group. The change in overall quality of life, measured by change in FACT-G scores, was 3.89 points (95% confidence interval [CI 95%] = -0.42 to 8.19, p = 0.076) higher in the intervention group than in the control group. The difference between the intervention and control groups in terms of change in spiritual well-being was 0.32 (CI 95% = -2.23 to 2.88, p = 0.804).
A brief spiritual care training program can possibly help bring about enhanced improvement of global patient QoL, but the effect on patients' spiritual well-being was not as evident in our participants. Further study with larger sample sizes is needed to allow for more definite conclusions to be drawn.</description><subject>Aged</subject><subject>Cancer therapies</subject><subject>Clinical outcomes</subject><subject>Continuing education</subject><subject>Female</subject><subject>Health Personnel - education</subject><subject>Home Care Agencies - organization & administration</subject><subject>Home Care Agencies - trends</subject><subject>Hospice care</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Oncology</subject><subject>Original Articles</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - trends</subject><subject>Patients</subject><subject>Physicians</subject><subject>Psychometrics - instrumentation</subject><subject>Psychometrics - methods</subject><subject>Quality of care</subject><subject>Quality of Life - psychology</subject><subject>Singapore</subject><subject>Spirituality</subject><subject>Surveys and Questionnaires</subject><subject>Teaching - standards</subject><subject>Teaching - trends</subject><issn>1478-9515</issn><issn>1478-9523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE9Lw0AQxRdRbK1-AC-y4MVLdSbZP9mjlKqFggf1HHaT2ZLSJHU3OfjtTWkVUTzNMPzem8dj7BLhFgH13QsKnRmJEhUAZEYcsfHuNDUySY-_d5QjdhbjGiBJUtCnbJQMMpFqPWaLufdUdLz13PK4rULV9XbDCxuId8FWTdWs-Da0q2Br7tvAY2e9523Dt7arqBmUfVe0NcVzduLtJtLFYU7Y28P8dfY0XT4_Lmb3y2khUtNNS0ihNFIriU5l2jinyAmHAM660oIgoCRDkFDqspRJQpnLDClpCX2RiHTCbva-Q6r3nmKX11UsaLOxDbV9zDETQoHKFA7o9S903fahGdLlaFBrFKjMQOGeKkIbYyCfb0NV2_CRI-S7nvM_PQ-aq4Nz72oqvxVfxQ5AejC1tQtVuaIfv_-1_QR1lYY0</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Yang, Grace Meijuan</creator><creator>Tan, Yung Ying</creator><creator>Cheung, Yin Bun</creator><creator>Lye, Weng Kit</creator><creator>Lim, Sock Hui Amy</creator><creator>Ng, Wan Ru</creator><creator>Puchalski, Christina</creator><creator>Neo, Patricia Soek Hui</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Effect of a spiritual care training program for staff on patient outcomes</title><author>Yang, Grace Meijuan ; 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The aim of our study was to determine whether a training program for healthcare professionals on spirituality and the taking of a spiritual history would result in improved patient quality of life (QoL) and spiritual well-being.
This was a cluster-controlled trial of a spiritual care training program for palliative care doctors and nurses. Three of seven clinical teams (clusters) received the intervention, while the other four served as controls. Included patients were newly referred to the palliative care service, had an estimated survival of more than one month, and were aware of their diagnosis and prognosis. The primary outcome measure was the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp) patient-reported questionnaire, which patients completed at two timepoints. Total FACIT-Sp score includes the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, which measures overall quality of life, as well as a spiritual well-being score.
Some 144 patients completed the FACIT-Sp at both timepoints-74 in the control group and 70 in the intervention group. The change in overall quality of life, measured by change in FACT-G scores, was 3.89 points (95% confidence interval [CI 95%] = -0.42 to 8.19, p = 0.076) higher in the intervention group than in the control group. The difference between the intervention and control groups in terms of change in spiritual well-being was 0.32 (CI 95% = -2.23 to 2.88, p = 0.804).
A brief spiritual care training program can possibly help bring about enhanced improvement of global patient QoL, but the effect on patients' spiritual well-being was not as evident in our participants. Further study with larger sample sizes is needed to allow for more definite conclusions to be drawn.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>27894377</pmid><doi>10.1017/S1478951516000894</doi><tpages>10</tpages></addata></record> |
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| subjects | Aged Cancer therapies Clinical outcomes Continuing education Female Health Personnel - education Home Care Agencies - organization & administration Home Care Agencies - trends Hospice care Humans Intervention Male Middle Aged Nurses Oncology Original Articles Palliative care Palliative Care - methods Palliative Care - trends Patients Physicians Psychometrics - instrumentation Psychometrics - methods Quality of care Quality of Life - psychology Singapore Spirituality Surveys and Questionnaires Teaching - standards Teaching - trends |
| title | Effect of a spiritual care training program for staff on patient outcomes |
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