Toward Evidence-Based Standards for Spiritual Care in Chronic Illness: A Comprehensive Literature Review
DOI:
https://doi.org/10.56988/chiprof.v4i3.107Keywords:
Chronic Illness, Evidence-Based Practice, Holistic Nursing, Spiritual Care, StandardizationAbstract
Spiritual care is a vital component of holistic nursing, particularly for patients with
chronic and life-limiting illnesses. It addresses existential suffering and supports
emotional, psychological, and spiritual well-being. This review aims to identify and
synthesize evidence-based standards for spiritual nursing care in patients with chronic
illnesses, particularly those in palliative care settings. A comprehensive literature
review was conducted using six databases PubMed, ProQuest, DOAJ, ScienceDirect,
Garuda, and Google Scholar focusing on peer-reviewed articles published between
2018 and 2024. Articles were selected based on predefined inclusion and exclusion
criteria to ensure relevance and quality. The findings highlight several key standards
in spiritual nursing care: acknowledging and respecting patients' spiritual beliefs,
offering compassionate emotional and psychological support, and fostering meaning
and hope at the end of life. The literature consistently emphasizes the need for an
individualized, culturally sensitive, and holistic approach. Integrating spiritual care
into routine palliative nursing practice has been shown to improve coping, reduce
distress, and enhance overall quality of life for chronically ill patients. Addressing the
spiritual needs of patients with chronic illness is essential for delivering
comprehensive, patient-centered care. Developing evidence-based spiritual care
standards can enhance the effectiveness of palliative care and support patients in
achieving peace, meaning, and well-being.
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References
Nuridah and Yodang, “Existence of Islamic Spiritual Care Learning In Nursing As The Application of
Spiritual Nursing Care,” Media Ilmu Kesehat., vol. 9, no. 3, pp. 200–209, 2021, doi:
https://doi.org/10.30989/mik.v9i2.344.
C. M. Puchalski, “Making Healthcare Whole: Integrating Spirituality into Patient care,” 2021.
A. C. Wisuda, T. bin Sansuwito, C. Suraya, and Rusmarita, “Satisfaction Level Spiritual Care of Coronary
Heart Disease Patients Using Spiritual Assessment Tool,” Int. J. Sci. Prof., vol. 2, no. 3, pp. 187–191,
, doi: 10.56988/chiprof.v2i3.39.
M. Rababa and S. Al-Sabbah, “The use of islamic spiritual care practices among critically ill adult patients:
A systematic review,” Heliyon, vol. 9, no. 3, p. e13862, 2023, doi: 10.1016/j.heliyon.2023.e13862.
A. C. Wisuda, T. bin Sansuwito, and C. Suraya, “Impact of the ARIS Module (Anxiety and Depression
Reduction through Islamic Spiritual Care) on Patients with Coronary Heart Disease.,” J. Nurs. Sci. Res.,
vol. 1, pp. 56–66, 2024, doi: https://doi.org/10.33862/jnsr.v1i2.503.
B. Jakob, Spirituality, Mental Health, and Social Support; A Community Approach, First. De Gruyter,
doi:
https://www.google.co.id/books/edition/Spirituality_Mental_Health_and_Social_Su/U4pnEAAAQBAJ?
hl=id&gbpv=1&dq=spiritual+nursing+care&printsec=frontcover.
P. Cone and T. Giske, The Nurse’s Handbook Of Spiritual Care, First. Haboken, USA: 2022 John Wiley
& Sons Ltd, 2022.
M. Balboni, Spirituality and Religion Within the Culture of Medicine; From Evidence to Practice, Fifth.
United States of America: Oxford University Press, 2017.
A. Amiruddin and M. Murniati, “Application of Spirituality Aspects by Fulfilling Spiritual Needs in
Patients,” J. Ilm. Kesehat. Sandi Husada, vol. 9, 2020, doi: 10.35816/jiskh.v10i2.444.
M. Rogers, Spiritual Dimensions Of Advanced Practice Nursing ; Stories Of Hope, Third. Switzerland:
Advanced Practice In Nursing, 2021. doi: http://doi.org/10.1007/978-3-030-71464-2.
E. Husna, “Application of Islamic Spiritual Nursing Care to Patients in Hospitals,” Dunia Keperawatan J.
Keperawatan dan Kesehat., vol. 7, no. 1, pp. 21–27, 2019, doi: 10.20527/dk.v7i1.5614.
N. Azizah, M. Purnomo, and A. Wigati, “Application of Islamic Values Through Caring for Fulfilling
Spiritual Needs of Inpatient Prayers,” J. Ilmu Keperawatan dan Kebidanan, vol. 12, no. 1, p. 109, 2021,
doi: 10.26751/jikk.v12i1.886.
R. A. Alemoush, G. Al-Dweik, and M. E. AbuRuz, “The Effect of Persistent Anxiety and
Depressive Symptoms on Quality of Life Among Patients With Heart Failure,” Appl. Nurs. Res., vol. 62,
no. August, p. 151503, 2021, doi: 10.1016/j.apnr.2021.151503.
K. Sadiq, A. Wahid, and I. Hafifah, “Description of the Implementation of Holistic Nursing Assessment,”
Dunia Keperawatan, vol. 7, no. 2, p. 82, 2019, doi: 10.20527/dk.v7i2.4396.
M. Sajadi, N. Niazi, S. Khosravi, A. Yaghobi, M. Rezaei, and H. G. Koenig, “Effect of spiritual counseling
on spiritual well-being in Iranian women with cancer: A randomized clinical trial,” Complement. Ther.
Clin. Pract., vol. 30, no. February, pp. 79–84, 2018, doi: 10.1016/j.ctcp.2017.12.011.
N. Keivan, R. Daryabeigi, and N. Alimohammadi, “The Effect of Listening to the Voice of the Quran on
Anxiety before Cardiac Catheterization on coronary heart disease.,” Burns, vol. 45, no. 7, pp. 1605–1613,
, doi: 10.1016/j.burns.2019.07.001.
H. Husaeni and A. Haris, “Aspects of Spirituality in Fulfilling the Spiritual Needs of Patients with Heart
Problems,” J. Ilm. Kesehat. Sandi Husada, vol. 12, no. 2, pp. 960–965, 2020, doi:
35816/jiskh.v12i2.445.
J. L. Mehta and Paulette, “Effects Of Spirituality In Nursing and Outcome in Chronic Heart Diseases,”
JACC Hear. Fail., vol. 10, no. 7, pp. 528–529, 2022, doi: 10.1016/j.jchf.2022.04.010.
R. S. Tobin et al., “Spirituality in Patients With Heart Coronary Disease,” JACC Hear. Fail., vol. 10, no.
, pp. 217–226, 2022, doi: 10.1016/j.jchf.2022.01.014.
S. N. Elham Zafarian Moghaddam, Hamidreza Behnam, Tayebeh Reihani, “Spiritual Support on
Caregiver’s Stress Patients Hospitalized in Doctor Sheikh Hospital in Mashhad,” Futur. Med. Educ. J.,
vol. 2, no. January, pp. 119–123, 2022, doi: 10.4314/ajcem.v12i3.
K. Rupeng, K. A. Erika, and A. M. Irwan, “Effects of Nursing Spiritual Needs Treatment in Reducing
Anxiety and Depression in Acute Coronary Syndrome (ACS) Patients,” J. Keperawatan, vol. 15, pp. 263–
, 2023.
A. C. Wisuda, T. Bin Sansuwito, and C. Suraya, “Islamic Spiritual Care with Murottal for Reducing
Anxiety and Depression in Coronary Heart Disease Patients: A Comprehensive Systematic Review,”
Public Heal. Indones., vol. 10, no. 1, pp. 61–72, 2024, doi: 10.36685/phi.v10i1.776.
Arndt, Spiritual Need in Research and Practice; The Spiritual Needs Questionnaire as a Global Resource
for Health and Social Care. Germany: Springer-Nature Switzerland AG, 2021. doi:
http://doi.org/10.1007/978-3-030-70139-0.
R. Kruizinga, M. Scherer-Rath, J. B. A. M. Schilderman, C. M. Puchalski, and H. W. M. van Laarhoven,
“Towards a fully-fledged integration of spiritual care and medical care,” J. Pain Symptom Manage., Nov.
, doi: 10.1016/J.JPAINSYMMAN.2017.11.015.
D. Mustikaningsih, “The Effectiveness of the Implementation of Islamic Spiritual Nursing on the Quality
of Nurses’ Work,” J. Kepemimp. dan Manaj. Keperawatan, vol. 4, no. 2, pp. 143–159, 2021, doi:
32584/jkmk.v4i2.1008.
Brian P. Hughes, “Spiritual Care and Nursing : A Nurse ’ s Contribution and Practice,” no. March, 2017.
A. Yusuf, Spiritual Needs; Concepts and Applications in Nursing Care, 1st ed., no. December 2016.
Jakarta, Indonesia: Mitra Wacana Media, 2017.
Murtiningsih, Spiritual Nursing Module in Islam, 1st ed. Indonesia: Deepublish CV Budi Utama, 2022.
doi:
https://www.google.co.id/books/edition/Keperawatan_Spriritual_Islam/B3mAEAAAQBAJ?hl=id&gbpv
=0.
M. Borji and S. R. Mousavimoghadam, “The Impact of Spiritual Care with Murrotal on Anxiety in Family
Caregivers of Patients with Heart Failure,” Proc. Inst. Mech. Eng. Part J J. Eng. Tribol., vol. 224, no. 11,
pp. 122–130, 2019.
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