Recommendations for spiritual care in cancer patients: a clinical practice guideline for oncology nurses in Iran
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ORIGINAL ARTICLE
Recommendations for spiritual care in cancer patients: a clinical practice guideline for oncology nurses in Iran Soolmaz Moosavi 1
&
Fariba Borhani 2
&
Mohammad Esmaeel Akbari 3
&
Nadia Sanee 4
&
Camelia Rohani 5
Received: 6 November 2019 / Accepted: 27 February 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Background In spite of the necessity of implementing spiritual care practices for cancer patients, there is no clear process in this regard in palliative care programs of the health system of countries. The present study was designed with the aim of developing a clinical practice guideline of spiritual care in cancer patients for oncology nurses in the current context. Methods This is a multi-method study which was conducted in five stages within the framework of the National Institute for Health and Care Excellence (NICE) guideline. A research committee consisting of four focal and 16 secondary members was formed. The stages included determining the scope of the study, developing guideline (a qualitative study and a systematic review, triangulation of the data, and producing a preliminary draft), consultation stage (validation of the guideline in three rounds of the Delphi study), as well as revision and publication stages. Results The clinical guideline of spiritual care with 84 evidence-based recommendations was developed in three main areas, including the human resources, care settings, and the process of spiritual care. Conclusions We are hoping by applying this clinical guideline in oncology settings to move towards an integrated spiritual care plan for cancer patients in the context of our health system. Healthcare organizations should support to form spiritual care teams under supervision of the oncology nurses with qualified healthcare providers and a trained clergy. Through holistic care, they can constantly examine the spiritual needs of cancer patients alongside their other needs by focusing on the phases of the nursing process. Keywords Cancer patient . Clinical guideline . Oncology nurse . Nursing process . Spiritual care
Background Standard care for patients with cancer requires a holistic view regarding the needs of patients by the healthcare team members [1]. Having cancer regardless of being religious or * Camelia Rohani [email protected]; [email protected] Soolmaz Moosavi [email protected] Fariba Borhani [email protected]
nonreligious highlights the spiritual needs of the patient [2, 3]. Paying attention to the spiritual needs and providing spiritual care constitutes an important aspect of palliative care in cancer patients [2]. According to NANDA (formerly the North American Nursing Diagnosis Association), spiritual 2
Medical-Surgical Department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4
Medical Information and Management School, Iran University of Medical Sciences,
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