Psychospiritual care: a concept analysis
https://doi.org/10.4081/hls.2024.12261
Accepted: 24 March 2024
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Psychospiritual care has taken many forms and approaches. In the clinical setting, the meaning, variations, and inconsistencies in the delivery of psychospiritual and its related terms persist. The purpose of the study is to identify the meaning and attributes of psychospiritual care and enhance collaborative practice by presenting a concept analysis. This review used Walker and Avant's eight-step approach to concept analysis. Psychospiritual is a broad, dynamic, and unique concept that integrates psychological and spiritual methods. In this analysis, the defining attributes of psychospiritual care are intuitive self-awareness, therapeutic use of psychological and spiritual perspective, and cultivation of psychological and spiritual environment. Providing psychospiritual care promotes positive consequences, such as therapeutic effects for patients and promoting psychospiritual awareness among psychospiritual interventionists. A comprehensive definition of psychospiritual care has been developed. The findings contribute to science by creating a platform for developing practice standards, research, and theory. Implementing psychospiritual care may improve overall occupational health and well-being, thereby improving patient care delivery.
Gleig A. Psychospiritual - Encyclopedia of psychology and religion. Available from: https://link.springer.com/referenceworkentry/10.1007/978-1-4614-6086-2_544
Caparros E. The advantages of psychospiritual psychotherapy. In: Innovative collaborative practice and reflection in patient education. Medical Information Science Reference; Hershey, USA; 2015. DOI: https://doi.org/10.4018/978-1-4666-7524-7.ch012
Sessanna L. Teaching holistic child health promotion using Watson's theory of human science and human care. J Ped Nurs 2003;18:64-8. DOI: https://doi.org/10.1053/jpdn.2003.1
Chen Y, Xiao HM, Zheng JW, et al. Effects of a mind map-based life review programme on psychospiritual well-being in cancer patients undergoing chemotherapy: a randomised controlled trial. Eur J Cancer Care 2020;29:e13221. DOI: https://doi.org/10.1111/ecc.13221
Hashemipour MA, Nosrati S, Eskandarizadeh A, et al. Anxiety in patients and its relation with patients' psychospiritual behaviors. J Oral Health Oral Epidemiol 2021;10:150-9.
Pransky J, Kelley TM. Three principles for realizing mental health: a new psychospiritual view. J Creativity Mental Health 2014;9:53-68. DOI: https://doi.org/10.1080/15401383.2013.875864
Schreiber JA. Image of God: effect on coping and psychospiritual outcomes in early breast cancer survivors. Oncol Nursing Forum 2011;38:293-301. DOI: https://doi.org/10.1188/11.ONF.293-301
Jasemi M, Valizadeh L, Zamanzadeh V, Keogh B. A concept analysis of holistic care by hybrid model. Indian J Palliat Care 2017;23:71-80. DOI: https://doi.org/10.4103/0973-1075.197960
Baetz M, Toews J, Baetz M, Toews J. Clinical implications of research on religion, spirituality, and mental health. Canadian J Psychiat 2009;54:292-301. DOI: https://doi.org/10.1177/070674370905400503
Bakar A, Adriani M, Qomariah SN, Efendi F. The development of Islamic caring model to improve psychospiritual comfort of coronary disease patients. Indian J Public Health Res Devel 2018;9:312-7. DOI: https://doi.org/10.5958/0976-5506.2018.01362.1
Dos Santos FC, Macieira TGR, Yao Y, et al. Spiritual interventions delivered by nurses to address patients' needs in hospitals or long-term care facilities: a systematic review. J Pall Med 2022;25:662-77. DOI: https://doi.org/10.1089/jpm.2021.0578
Endang NH, Nursalam, Mei Chan C, et al. Change of stress and cortisol levels in patients with breast cancer given psychospiritual care. Int J Caring Sci 2019;12:1796-805.
Deal PJ, Bukowski M. Bridging spirituality/religiousness and ecotherapy: four psychospiritual themes to guide conceptualization and practice. Ecopsychology 2021;13:165-73. DOI: https://doi.org/10.1089/eco.2020.0048.db
Howard CJ. Psychospiritual resiliency: enhancing mental health and ecclesiastical collaboration in caring for those experiencing dissociative phenomena. J Religion Health 2017;56:258-68. DOI: https://doi.org/10.1007/s10943-016-0279-7
World Health Organization (WHO). Research for universal health coverage: world health report 2013. 2013. Available from: https://www.who.int/publications/i/item/9789240690837
Liu H, Kong L, Sun Q, Ma X. The effects of mindfulness‐based interventions on nurses' anxiety and depression: a meta‐analysis. Nursing Open 2023;10:3622-34. DOI: https://doi.org/10.1002/nop2.1610
Maex E. The Buddhist roots of mindfulness training: a practitioners view. Contemporary Buddhism 2011;12:165-75. DOI: https://doi.org/10.1080/14639947.2011.564835
Gibbel MR. Toward a well-integrated psychology of religion and spirituality: a tribute to Kenneth I. Pargament. Spirituality Clinical Pract 2022;9:7-12. DOI: https://doi.org/10.1037/scp0000276
Nolan S. Psychospiritual care: new content for old concepts - towards a new paradigm for non-religious spiritual care. J Study Spiritual 2011;1:50-64. DOI: https://doi.org/10.1558/jss.v1i1.50
Sulistyawati W, Susmiati S. The implementation of 3S (SDKI, SIKI, SLKI) to the quality of nursing care documentation in hospital’s inpatient rooms. STRADA Jurnal Ilmiah Kesehatan 2020;9:1323-8. DOI: https://doi.org/10.30994/sjik.v9i2.468
Walker LO, Avant KC. Strategies for theory construction in nursing (6th ed). Pearson Education; London, UK; 2018.
Bittencourt GKG, Beserra PJF, da Nóbrega MML. Nursing care for a patient with lupus erythematosus systemic using ICNP. Revista Gaucha de Enfermagem 2008;29:26-32.
Benoff-Nadel P. Hypnosis within a psychospiritual approach in the case of a woman diagnosed with dystonia. Explore-the J Sci Healing 2011;7:326-8. DOI: https://doi.org/10.1016/j.explore.2011.06.009
Quendan RG, Lingad RB, Gozum IEA. Psychospiritual care for parents during the COVID-19 pandemic. J Public Health 2021;43:E352-E3. DOI: https://doi.org/10.1093/pubmed/fdab064
Donica DK. Spirituality and occupational therapy: the application of the psychospiritual integration frame of reference. Physical Occupat Ther Geriatr 2008;27:107-21. DOI: https://doi.org/10.1080/02703180802206082
Crosby RG, Ritt B, Slunaker J. Motives for religious sacrifice: classification, measurement, an longitudinal association with psychospiritual well-being. Psychol Religion Spiritual 2020;12:1-12. DOI: https://doi.org/10.1037/rel0000162
Long J, Briggs M, Long A, Astin F. 'Starting where i am': exploring mindfulness as a facilitator of transition in chronic pain and other long -term conditions. Br J Pain 2017;11:70.
Leininger MM, McFarland MR. Transcultural nursing: concepts, theories, research and practice. McGraw-Hill Education/Medical; New York, USA; 2002.
Konietzny C, Anderson B. Comfort conversations in complex continuing care: assessing patients' and families' palliative care needs. Perspectives J Gerontolog Nursing Assoc 2017;39:14-22.
Lee YP, Wu CH, Chiu TY, et al. The relationship between pain management and psychospiritual distress in patients with advanced cancer following admission to a palliative care unit. BMC Palliative Care 2015;14:69. DOI: https://doi.org/10.1186/s12904-015-0067-2
Clavo-Hall JA, Bender M, Harvath TA. Roles enacted by clinical nurse leaders across the healthcare spectrum: a systematic literature review. J Professional Nurs 2018;34:259-68. DOI: https://doi.org/10.1016/j.profnurs.2017.11.007
Grace PJ. Nursing ethics and professional responsibility in advanced practice. Jones & Bartlett Learning; Burlington, USA; 2017.
Potter PJ, Frisch N. Holistic assessment and care: presence in the process. Nurs Clin North Am 2007;42:213-28. DOI: https://doi.org/10.1016/j.cnur.2007.03.005
Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative: Lippincott Williams & Wilkins; Philadelphia, USA; 2011.
Harris JI, Thornton S, Engdahl B. The psychospiritual impact of disaster an overview. Routledge; Abingdon on Thames, UK; 2010.
Creswell JD. Mindfulness interventions. Ann Rev Psychol 2017;68:491-516. DOI: https://doi.org/10.1146/annurev-psych-042716-051139
Wang M, Liao W, Chen X. Effects of a short-term mindfulness-based intervention on comfort of stroke survivors undergoing inpatient rehabilitation. Rehabil Nurs 2019;44:78-86. DOI: https://doi.org/10.1097/rnj.0000000000000098
Culliford L. The limits of psychiatry - Psychospirituality will benefit heathcare staff. Br Med J 2002;324:1523-4. DOI: https://doi.org/10.1136/bmj.324.7352.1523
Kang C. A psychospiritual integration frame of reference for occupational therapy. Part 2 - Transformative occupations and the change process. Hong Kong J Occupat Ther 2017;29:55-64. DOI: https://doi.org/10.1016/j.hkjot.2017.05.003
Rolim Nascimento MN, de Carvalho Félix ND, Soares Damasceno S, et al. Psychospiritual nursing diagnoses for people with metabolic syndrome. Journal of Nursing UFPE/Revista de Enfermagem UFPE. 2018;12. DOI: https://doi.org/10.5205/1981-8963-v12i12a238081p3181-3189-2018
Seidu S, Cos X, Topsever P. Self-rated knowledge and competence regarding the management of chronic kidney disease in primary care: a cross-sectional European survey of primary care professionals. Primary Care Diabet 2023;17:19-26. DOI: https://doi.org/10.1016/j.pcd.2022.11.013
Ding H, Chen Y, Yu M, et al. The effects of chronic disease management in primary healthcare: evidence from rural China. J Health Econ 2021;80:102539. DOI: https://doi.org/10.1016/j.jhealeco.2021.102539
Devenish-Meares RP. The ‘tapestry’of bricolage: extending interdisciplinary approaches to psycho-spiritual self-care research. Methodological Innovations. 2020;13:2059799119898410. DOI: https://doi.org/10.1177/2059799119898410
Apóstolo J, Mendes A, Bath-Hextall F, et al. The use of non-pharmacological nursing interventions on the comfort of cancer patients: a comprehensive systematic review protocol. JBI Database Syst Rev Implementation Rep 2013;11:372-88. DOI: https://doi.org/10.11124/01938924-201311020-00008
Vallis M, Lee-Baggley D, Sampalli T, et al. Integrating behaviour change counselling into chronic disease management: a square peg in a round hole? A system-level exploration in primary healthcare. Public Health 2019;175:43-53. DOI: https://doi.org/10.1016/j.puhe.2019.06.009
DeJesus RS, Vickers KS, Howell LA, Stroebel RJ. Qualities of care managers in chronic disease management: patients and providers’ expectations. Primary Care Diabetes 2012;6:235-9. DOI: https://doi.org/10.1016/j.pcd.2012.03.003
Knowles S, Swan L, Salzberg M, et al. Exploring the relationships between health status, illness perceptions, coping strategies and psychological morbidity in a chronic kidney disease cohort. Am J Med Sci 2014;348:271-6. DOI: https://doi.org/10.1097/MAJ.0000000000000242
Benasi G, Gostoli S, Zhu B, et al. Well-being therapy and lifestyle intervention in type 2 diabetes: a pilot randomized controlled trial. Psychosom Med 2022;84:1041-9. DOI: https://doi.org/10.1097/PSY.0000000000001115
Teo SH, Fong KN, Chen Z, Chung RC. Cognitive and psychological interventions for the reduction of post-concussion symptoms in patients with mild traumatic brain injury: a systematic review. Brain Injury 2020;34:1305-21. DOI: https://doi.org/10.1080/02699052.2020.1802668
Saragih ID, Tonapa SI, Saragih IS, et al. Global prevalence of mental health problems among healthcare workers during the Covid-19 pandemic: a systematic review and meta-analysis. Int J Nurs Studies 2021;121:104002. DOI: https://doi.org/10.1016/j.ijnurstu.2021.104002
Nihayati HE, Nurhanifah L, Krisnana I. The effect of psychoeducation on self-efficacy and motivation for taking treatment in breast cancer patients (Ca Mammae). Jurnal Ners 2021;16:96-100. DOI: https://doi.org/10.20473/jn.v16i1.22560
Ramon S. The psychospiritual clinician's handbook: alternative methods for understanding and treating mental disorders. Br J Social Work 2006;36:354-5. DOI: https://doi.org/10.1093/bjsw/bch433
Hawthorne DM, Gordon SC. The invisibility of spiritual nursing care in clinical practice. J Holistic Nurs 2020;38:147-55. DOI: https://doi.org/10.1177/0898010119889704
Hvidt NC, Nielsen KT, Kørup AK, et al. What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping. BMJ Open 2020;10:e042142. DOI: https://doi.org/10.1136/bmjopen-2020-042142
Freeth R, Garman G, Clarke I, et al. Psycho-spiritual care in healthcare practice. Jessica Kingsley Publishers; London, UK; 2017.
Sawatzky R, Pesut B. Attributes of spiritual care in nursing practice. J Holistic Nurs 2005;23:19-33. DOI: https://doi.org/10.1177/0898010104272010
Buju S. Clinical approach of spiritual illnesses: eastern christian spirituality and cognitive behavioral therapy. Pastoral Psychol 2019;68:361-78. DOI: https://doi.org/10.1007/s11089-019-00874-5
Pernicano PU, Wortmann J, Haynes K. Acceptance and forgiveness therapy for veterans with moral injury: spiritual and psychological collaboration in group treatment. J Healthcare Chaplaincy 2022;28:S57-78. DOI: https://doi.org/10.1080/08854726.2022.2032982
Kolcaba KY. A theory of holistic comfort for nursing. J Adv Nurs 1994;19:1178-84. DOI: https://doi.org/10.1111/j.1365-2648.1994.tb01202.x
Augsburg JB, Dar MI, Wood K, et al. A systematic literature review of the effect of mind-body interventions on mental health among patients with atrial fibrillation. Mental Health & Prevention 2022;28:200245. DOI: https://doi.org/10.1016/j.mhp.2022.200245
Jeyasugiththan J, Dissanayake DMTPB, Kohombakadawala IMCWB, Satharasinghe DM. Assessment of the awareness of radiation protection and related concepts among nursing staff mainly working in diagnostic imaging units, cath-labs and operation theatres in Sri Lanka: A survey-based study. Radiography 2023;29:319-26. DOI: https://doi.org/10.1016/j.radi.2023.01.002
Ottewell N. Stigma against mental illness: perspectives of mental health service users. Mental Health & Prevention 2016;4:115-23. DOI: https://doi.org/10.1016/j.mhp.2016.10.001
Pargament KI, Exline JJ. The psychology of spiritual struggle. 2021. Available from: https://www.templeton.org/wp-content/uploads/2021/10/Spiritual-Struggle-Whitepaper_FINAL-10.5.pdf
Hasina SN, Shodiq M, Ikwan M, et al. Reducing blood glucose levels in the elderly with diabetes mellitus using ergonomic exercise based on spiritual care. Int J Health Sci 2022;6:6650-8. DOI: https://doi.org/10.53730/ijhs.v6nS4.11248
Hatch RL, Burg MA, Naberhaus DS, Hellmich LK. The spiritual involvement and beliefs scale. J Family Pract 1998;46:476-86. DOI: https://doi.org/10.1037/t06493-000
Krägeloh CU, Chai PPM, Shepherd D, Billington R. How religious coping is used relative to other coping strategies depends on the individual’s level of religiosity and spirituality. J Rel Health 2012;51:1137-51. DOI: https://doi.org/10.1007/s10943-010-9416-x
Gall TL, Guirguis-Younger M. Religious and spiritual coping: current theory and research. 2013. Available from: https://psycnet.apa.org/doiLanding?doi=10.1037%2F14045-019
White FE, Arpr, Arpr, editors. The lived experience of psychospiritual integration: a qualitative study with exemplary psychotherapists who actively integrate spirituality into their practice of psychotherapy. 28th Annual Conference of the Academy-of-Religion-and-Psychical-Research; 2003 Jul 20-22; Philadelphia, USA.
Verrier MM. A psychospiritual exploration of the transpersonal self as the ground of healing. Religions 2021;12:725. DOI: https://doi.org/10.3390/rel12090725
Eshleman SFO, Perez SEV. “I don't do religion”: using nature photographs to engage patients in spiritual reflection. J Pain Symptom Manag 2022;64:e305-9. DOI: https://doi.org/10.1016/j.jpainsymman.2021.07.034
Lavin MF. On spiritualist workers: healing and divining through tarot and the metaphysical. J Contemporary Ethnogr 2021;50:317-40. DOI: https://doi.org/10.1177/0891241620964951
Viftrup DT, Hvidt NC, Buus N. Spiritually and religiously integrated group psychotherapy: a systematic literature review. Evidence - Based Complementary and Alternative Medicine. 2013;2013:12. DOI: https://doi.org/10.1155/2013/274625
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