Multidisciplinary oncology clinicians’ experiences delivering spiritual care to patients with cancer and their care partners Journal Article


Authors: McDarby, M.; Miller, M.; Rosa, W. E.; Buller, H.; Ferrell, B. R.
Article Title: Multidisciplinary oncology clinicians’ experiences delivering spiritual care to patients with cancer and their care partners
Abstract: Purpose: To understand multidisciplinary healthcare clinicians’ meaningful and challenging experiences providing spiritual care to patients with cancer and their care partners. Methods: Multidisciplinary clinicians who participated in a communication training program supported by the National Cancer Institute or a palliative care training for nurses (N = 257) responded to two, open-ended questions about meaningful and challenging experiences of providing spiritual care. A thematic analysis of responses using an iterative, inductive approach was conducted until saturation was reached. Results: Participants from nursing (68%), social work (22%), and chaplaincy (10%) responded to open-ended survey questions. Three themes related to meaningful experiences of providing spiritual care emerged: building authentic interpersonal connection with patients and care partners; creating intentional space for patients and care partners to inform spiritual care; and actively supporting patients and care partners in their processes with spirituality. Three themes related to challenging experiences of providing spiritual care emerged: contextual factors and clinical circumstances complicate provision of spiritual care; facing barriers to providing high-quality, patient-centered care; and navigating ethical and logistical issues that affect spiritual and other care. Conclusion: Clinicians derive meaning from a range of experiences throughout their provision of spiritual care to patients with cancer. However, they also face many challenges in delivering person-centered spiritual care in cancer settings, with some challenges reflecting significant gaps in spiritual care knowledge and training. Findings can guide future training and educational endeavors for multidisciplinary clinicians in the domain of spiritual care. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.
Keywords: adult; clinical article; controlled study; middle aged; neoplasm; neoplasms; palliative care; palliative therapy; evidence based practice; psychology; oncology; intensive care; questionnaire; training; patient-centered care; medical oncology; health care personnel; communication skill; attitude of health personnel; interpersonal communication; caregiver; decision making; religion; spirituality; qualitative research; health personnel; therapy; health personnel attitude; germany; national health organization; spiritual care; cancer communication; caregivers; thematic analysis; social worker; end-of-life communication; procedures; clinician; serious illness; humans; human; male; female; article; surveys and questionnaires; malignant neoplasm; person-centered care; person centered care; religion and spirituality
Journal Title: Supportive Care in Cancer
Volume: 32
Issue: 9
ISSN: 0941-4355
Publisher: Springer Verlag  
Date Published: 2024-09-01
Start Page: 586
Language: English
DOI: 10.1007/s00520-024-08773-z
PUBMED: 39136780
PROVIDER: scopus
PMCID: PMC11382597
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Meghan McDarby -- Erratum issued, see DOI: 10.1007/s00520-024-08897-2 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. William   Rosa
    202 Rosa
  2. Meghan Mcdarby
    29 Mcdarby