Spiritual and religious needs and communication in palliative care
Abstract
Introduction: Spiritual and religious needs are increasingly taken into account in sociosanitary field, due to the rise of the model of integrality in care and Comprehensive Person-Centered Care. Objective: To describe the use in the scientific literature of variables related to spiritual and religious needs of patients, dependent and/or elderly people and their relatives in health and social-health centres. Methodology: Narrative review in databases: Psycinfo, Psicodoc, Dialnet, Scopus and Pubmed. Results: 72 documents were selected. The evolution of researchers and health professionals is shown towards the acceptance of spiritual/religious needs and their positive effects; the need to address them; the demand and emergence of training, techniques and communication tools, and their evaluation; and the demand of more complete research. Conclusions: The positive effects and clinical usefulness of the spiritual/religious dimension in health field and the need for training in communication skills are progressively recognized.
Downloads
References
Abu, H. O., Ulbricht, C., Ding, E., Allison, J. J., Salmoirago-Blotcher, E., Goldberg, R. J., y Kiefe, C. I. (2018). Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation, 27(11), 2777- 2797. https://doi.org/10.1007/s11136-018-1906-4
Appleby, A., Wilson, P., y Swinton, J. (2018). Spiritual Care in General Practice: Rushing in or Fearing to Tread? An Integrative Review of Qualitative Literature. Journal of religion and health, 57(3), 1108-1124. https://doi.org/10.1007/s10943-018-0581-7
Arenas-Massa, Á., Nocetti-de la Barra, A., y Fraile-Ducviq, C. G. (2020). Espiritualidad en el contexto de cuidados paliativos oncológicos dirigidos a personas mayores. Persona y Bioética, 24(2), 136-150. https://doi.org/10.5294/pebi.2020.24.2.2
Ascencio Huertas, L. (2020). Análisis situacional de los psicólogos de cuidados paliativos. Psicooncología, 17(2), 357- 373. https://doi.org/10.5209/psic.71362
Balboni, T. A., Fitchett, G., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargament, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J., y Steinhauser, K. E. (2017). State of the Science of Spirituality and Palliative Care Research Part II: Screening, Assessment, and Interventions. Journal of pain and symptom management, 54(3), 441-453. https://doi.org/10.1016/j.jpainsymman.2017.07.029
Balboni, T. A., Vanderwerker, L. C., Block, S. D., Paulk, M. E., Lathan, C. S., Peteet, J. R., y Prigerson, H. G. (2007). Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 25(5), 555-560. https://doi.org/10.1200/JCO.2006.07.9046
Barboza, J. M. (2013). Inteligencia espiritual y respuesta inmunológica. Avances en Biomedicina, Supl 1: 53. https://dialnet.unirioja.es/servlet/articulo?codigo=4796932
Batstone, E., Bailey, C., y Hallett, N. (2020). Spiritual care provision to end-of-life patients: A systematic literature review. Journal of clinical nursing, 29(19-20), 3609-3624. https://doi.org/10.1111/jocn.15411
Best, M., Butow, P., y Olver, I. (2016). Why do We Find It so Hard to Discuss Spirituality? A Qualitative Exploration of Attitudinal Barriers. Journal of clinical medicine, 5(9), 77. https://doi.org/10.3390/jcm5090077
Braam, A. W. (2017). Towards a multidisciplinary guideline religiousness, spirituality, and psychiatry: what do we need? Mental Health, Religion & Culture, 20(6), 579-588. https://doi.org/10.1080/13674676.2017.1377949
Cardoso, Y. E., Castro, I. C., Burbano, D. C. y Vernaza-Pinzón, P. (2014). Espiritualidad de las personas/pacientes atendidos en una unidad renal de mediana complejidad en el Departamento del Cauca-Colombia. Revista Facultad Ciencias de la Salud: Universidad del Cauca, 16(1), 9-16. https://revistas.unicauca.edu.co/index.php/rfcs/article/view/33 127
Carrero Planes V., Camacho López H., Serrano Font M., Arrué J., Hidalgo F., Hernández M., Sabio P. y Navarro Sanz R. (2015). Sentido vital en la enfermedad avanzada: desarrollo de una herramienta para guiar la atención psicosocial y espiritual en el paciente y familia. Psicooncología, 12(2-3), 335-354. https://doi.org/10.5209/rev_PSIC.2015.v12.n2-3.51013
Chahrour, W.H., Hvidt, N.C., Hvidt, E.A. y Viftrup, D.T. (2021). Learning to care for the spirit of dying patients: the impact of spiritual care training in a hospice-setting. BMC Palliative Care, 20(15). https://doi.org/10.1186/s12904- 021-00804-4
Chen, X., Zhang, Y., Arber, A., Huo, X., Liu, J., Sun, C., Yuan, L., Wang, X., Wang, D., Wu, J., y Du, J. (2022). The training effects of a continuing education program on nurses’ knowledge and attitudes to palliative care: a cross sectional study. BMC Palliative Care, 21(1), 56. https://doi.org/10.1186/s12904-022-00953-0
Chow, H. H. E., Chew, Q. H., y Sim, K. (2021). Spirituality and religion in residents and inter-relationships with clinical practice and residency training: a scoping review. BMJ open, 11(5), e044321. https://doi.org/10.1136/bmjopen-2020-044321
Cone, P., y Giske, T. (2022). Mental Health Staff Perspectives on Spiritual Care Competencies in Norway: A Pilot Study. Frontiers in psychology, 12, 794165. https://doi.org/10.3389/fpsyg.2021.794165
Connolly, M., y Timmins, F. (2021). Spiritual Care for Individuals with Cancer: The Importance of Life Review as a Tool for Promoting Spiritual Well-Being. Seminars in oncology nursing, 37(5), 151209. https://doi.org/10.1016/j.soncn.2021.151209
Curlin, F.A., Lawrence, R.E., Odell, S. et al. (2007). Religion, spirituality, and medicine: psychiatrists’ and other physicians’ differing observations, interpretations, and clinical approaches. American Journal of Psychiatry, 164(12), 1825-1831. https://doi.org/10.1176/appi.ajp.2007.06122088
Damsma-Bakker, A., y van Leeuwen, R. (2021). An Online Competency-Based Spiritual Care Education Tool for Oncology Nurses. Seminars in oncology nursing, 37(5), 151210. https://doi.org/10.1016/j.soncn.2021.151210
Dein, S. (2018). Against the Stream: Religion and mental health – the case for the inclusion of religion and spirituality into psychiatric care. BJPsych Bulletin, 42(3), 127-129. https://doi.org/10.1192/bjb.2017.13
de Diego-Cordero, R., Ávila-Mantilla, A., Vega-Escaño, J., Lucchetti, G., y Badanta, B. (2022). The Role of Spirituality and Religiosity in Healthcare During the COVID-19 Pandemic: An Integrative Review of the Scientific Literature. Journal of religion and health, 61(3), 2168–2197. https://doi.org/10.1007/s10943-022-01549-x
Esperandio, M. y Leget, C. (2020). Espiritualidade nos cuidados paliativos: questão de saúde pública? Revista Bioética, 28(3), 543-53. https://doi.org/10.1590/1983-80422020283419
Estévez, C., Moraga, M.J. y Carrillo, A. (2020). Intervención al final de la vida. En Rodríguez, J. y Sitges, E. (Coord.) Perspectivas de estudio en gerontología y salud en el siglo XXI. Tirant humanidades.
Evangelista, C. B., Lopes, M. E., Costa, S. F., Batista, P. S., Batista, J. B., y Oliveira, A. M. (2016). Palliative care and spirituality: an integrative literature review. Cuidados paliativos e espiritualidade: revisao integrativa da literatura. Revista brasileira de enfermagem, 69(3), 591–601. https://doi.org/10.1590/0034-7167.2016690324i
Evans Webb, M., Murray, E., Younger, Z.W., Goodfellow, H. y Ross, J. (2021). The Supportive Care Needs of Cancer Patients: a Systematic Review. Journal of Cancer Education, 36, 899-908. https://doi.org/10.1007/s13187-020- 01941-9
Fitchett, G., Burton, L.A. y Sivan, A.B. (1997). The religious needs and resources of psychiatric inpatients. Journal of Nervous and Mental Disease, 185(5), 320-326. Fonseca Canteros, M. (2016). Importancia de los aspectos espirituales y religiosos en la atención de pacientes quirúrgicos. Revista chilena de cirugía, 68(3), 258-264. https://dx.doi.org/10.1016/j.rchic.2016.03.011
Fonseca Canteros, M. (2022). Atención de las necesidades espirituales y religiosas de pacientes por personal de salud. Un modelo basado en el acompañamiento espiritual. Revista de Cirugía, 74(3). 318-324. https://dx.doi.org/10.35687/s2452-454920220031351
Fopka-Kowalczyk, M., Groves, R., Larkin, P. y Krajnik, M. (2022). A training programme for medical students in providing spiritual care to people with advanced diseases and their loved ones: A case study from the Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland. Frontiers in Cardiovascular Medicine, 9:909959. https://doi.org/10.3389/fcvm.2022.909959
Frankl V. (1993). El hombre en busca de sentido. Herder. *Gallardo-Peralta, L. P., Cuadra-Peralta, A., y Veloso-Besio, C. (2018). Validación de un Índice Breve de Religiosidad y Espiritualidad en personas mayores. Revista de Psicología, 27(1), 1-13. https://doi.org/10.5354/0719-0581.2018.50736
Gallardo Peralta, L., y Sánchez Moreno, E. (2020). Espiritualidad, religiosidad y síntomas depresivos en personas mayores del norte de Chile. Terapia psicológica, 38(2), 169-187. https://dx.doi.org/10.4067/S0718-48082020000200169
Gallardo Vergara, R., Silva Maragaño, P., y Castro Aburto, Y. (2022). Los efectos negativos de la religiosidad-espiritualidad en la salud mental: una revisión bibliográfica. Revista Costarricense de Psicología, 41(1), 43-66. https://doi.org/10.22544/rcps.v41i01.03
Gobatto, C. A., y Araujo, T. C. C. F. de. (2013). Religiosidade e espiritualidade em oncologia: concepções de profissionais da saúde. Psicologia USP, 24(1), 11-34. https://doi.org/10.1590/S0103-65642013000100002
Gonçalves, J. P. B., Lucchetti, G., Menezes, P. R., y Vallada, H. (2017). Complementary religious and spiritual interventions in physical health and quality of life: A systematic review of randomized controlled clinical trials. PloS One, 12(10), e0186539. https://doi.org/10.1371/journal.pone.0186539
Harhara, T., Abdul Hay, D., Almansoori, D. S. e Ibrahim H. (2022). Internal medicine residents’ perceptions and experiences in palliative care: a qualitative study in the United Arab Emirates. BMC Palliative Care, 21(15). https://doi.org/10.1186/s12904-022-00908-5
Harrad, R., Cosentino, C., Keasley, R., y Sulla, F. (2019). Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta bio-medica Atenei Parmensis, 90(4-S), 44-55. https://doi.org/10.23750/abm.v90i4-S.8300 *Harris, J. I., y Klee, A. (2023). Who owns spiritual care, and why does it matter? Psychological Services, 20(1), 1-5. https://doi.org/10.1037/ser0000739
Henderson, V. (1991). The Nature of Nursing: A Definition and Its Implications for Practice, Research, and Education: Reflections After 25 Years. National League for Nursing Press.
Hvidt, E.A., Søndergaard, J., Ammentorp, J., Bjerrum, L., Gilså Hansen, D., Olesen, F., Pedersen, S. S., Timm, H., Timmermann, C., y Hvidt, N. C. (2016). The existential dimension in general practice: identifying understandings and experiences of general practitioners in Denmark. Scandinavian journal of primary health care, 34(4), 385-393. https://doi.org/10.1080/02813432.2016.1249064
Hvidt, N. C., Nielsen, K. T., Kørup, A. K., Prinds, C., Hansen, D. G., Viftrup, D. T., Hvidt, E.A., Hammer, E. R., Falkø, E., Locher, F., Boelsbjerg, H. B., Wallin, J. A., Thomsen, K. F., Schrøder, K., Moestrup, L., Nissen, R. D., Stewart-Ferrer, S., Stripp, T. K., Steenfeldt, V. Ø., Søndergaard, J., y Wæhrens, E. E. (2020). What is spiritual care? Professional perspectives on the concept of spiritual care identified through group concept mapping. BMJ open, 10(12), e042142. https://doi.org/10.1136/bmjopen-2020-042142 129
Idler, E. L., Musick, M. A., Ellison, C. G., George, L. K., Krause, N., Ory, M. G., Pargament, K. I., Powell, L. H., Underwood, L. G. y Williams, D.R. (2003). Measuring multiple dimensions of religion and spirituality for health research: Conceptual background and findings from the 1998 General Social Survey. Research on Aging, 25(4), 327-35. https://doi.org/10.1177/0164027503025004001
Koenig, H.G. (1998). Religious beliefs and practices of hospitalized medically ill older adults, International Journal of Geriatric Psychiatry, 13, 213–224. Koenig, H.G (2012). Religion, Spirituality, and Health: The Research and Clinical Implications International Scholarly Research Network, 1-34. https://doi.org/10.5402/2012/278730
Koenig, H.G., McCullough, M.E., and Larson, D.B. (2001). Handbook of Religion and Health, (1st edition). Oxford University Press. Koenig, H.G., King, D.E. and Carson, V.B. (2012). A history of religion, medicine, and healthcare. Handbook of Religion and Health, 15-34. https://doi.org/10.5402%2F2012%2F278730
Koenig, H.G., King, D.E. and Carson, V.B. (2012b). Handbook of Religion and Health. (2nd ed.). Oxford University Press.
Kowalczyk, O., Roszkowski, K., Pawliszak, W., Rypel, A., Roszkowski, S., Kowalska, J., Tylkowski, B. y Bajek, A. (2022). Religion and Spirituality in Oncology: An Exploratory Study of the Communication Experiences of Clinicians in Poland. Journal of Religion and Health, 61, 1366-1375. https://doi.org/10.1007/s10943-021-01343-1
Lavorato Neto, G., Rodrigues, L., Silva, D. A. R. D., Turato, E. R., y Campos, C. J. G. (2018). Spirituality review on mental health and psychiatric nursing. Revista brasileira de enfermagem, 71(suppl 5), 2323-2333. https://doi.org/10.1590/0034-7167-2016-0429
Lorenzo, D. (2018). La espiritualidad en la humanización de la asistencia sanitaria. Revista Iberoamericana de Bioética, (8), 1-11. https://doi.org/10.14422/rib.i08.y2018.007
López-Tarrida, Á.d.C., de Diego-Cordero, R. y Lima-Rodríguez, J.S. (2021). Spirituality in a Doctor’s Practice: What Are the Issues? Journal of Clinical Medicine 10(23), 5612. https://doi.org/10.3390/jcm10235612
López-Tarrida, Á. C., Ruiz-Romero, V., y González-Martín, T. (2020). Cuidando con sentido: la atención de lo espiritual en la práctica clínica desde la perspectiva del profesional. Revista Española de Salud Pública, 94, 202001002. https://doi.org/10.4321/s1135-57272020000100024
Lou, V. W., Cheng, C. Y., Ng, D. K., Chan, F. H., Mo, S. S., Kung, E. K., y Luk, J. K. (2022). A mHealth-Supported Volunteer-Assisted Spiritual Well-Being Intervention for Discharged Older Patients: A Tripartite Collaboration. Journal of gerontological social work, 66(2), 189-207. https://doi.org/10.1080/01634372.2022.2068722
Marabel, J. (2014). Lugares de culto como manifestación del derecho de asistencia religiosa en el ámbito público sanitario. Revista de Derecho UNED (RDUNER), 15, 321-342. https://doi.org/10.5944/rduned.15.2014.14139
Martínez Rodríguez, T. (2013). Avanzar en atención gerontológica centrada en la persona. Marco y fases para liderar un cambio de modelo. Disponible en: www.acpgerontologia.net.
Maslow, A.H. (1991). Motivación y personalidad. Díaz Santos. * Melo, C. de F., Sampaio, I. S., Souza, D. L. de A., & Pinto, N. dos S (2015). Correlação entre religiosidade, espiritualidade e qualidade de vida: uma revisão de literatura. Estudos e Pesquisas em Psicologia, 15(2), 447- 464. https://doi.org/10.12957/epp.2015.17650
Miquel Diego, P., Ciccorossi, M., y Ferrer Svoboda, I. (2022). El desarrollo de la competencia espiritual en clínica: Estudio de una experiencia formativa en profesionales de pediatría. Revista Iberoamericana de Bioética, (18), 1-13.https://doi.org/10.14422/rib.i18.y2022.005
Miqueletto, M., Silva, L., Figueira, C. B., Santos, M. R. dos, Szylit, R., y Ichikawa, C. R. de F. (2017). Espiritualidade de famílias com um ente querido em situação de final de vida. Revista Cuidarte, 8(2), 1616-1627. https://doi.org/10.15649/cuidarte.v8i2.391
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group, T. (2014). Ítems de referencia para publicar Revisiones Sistemáticas y Metaanálisis: La Declaración PRISMA. Revista Española De Nutrición Humana y Dietética, 18(3), 172–181. https://doi.org/10.14306/renhyd.18.3.114
Moghimian, M. y Irajpour, A. (2022). The Process of Providing Spiritual Care to Muslim Cancer Patients. Journal of Muslim Mental Health, 16(2), 4. https://doi.org/10.3998/jmmh.1446
Moreira Almeida, A., Koenig, H. G., y Lucchetti, G. (2014). Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Revista brasileira de psiquiatria, 36(2), 176-182. https://doi.org/10.1590/1516- 4446-2013-1255
Nissen, R. D., Viftrup, D. T., y Hvidt, N. C. (2021). The Process of Spiritual Care. Frontiers in psychology, 12, 674453. https://doi.org/10.3389/fpsyg.2021.674453
de Oliveira e Oliveira, F. H. A., Peteet, J. R., y Moreira-Almeida, A. (2021). Religiosity and spirituality in psychiatry residency programs: why, what, and how to teach? Revista brasileira de psiquiatria (Sao Paulo, Brazil: 1999), 43(4), 424-429. https://doi.org/10.1590/1516-4446-2020-1106
Panczyk, M., Iwanow, L., Musik, S., Wawrzuta, D., Gotlib, J., Jaworski, M. (2021). Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice— Empirical Model. International Journal of Environmental Research and Public Health, 18(23):12591. https://doi.org/10.3390/ijerph182312591
Pérez-García, E. (2016). Enfermería y necesidades espirituales en el paciente con enfermedad en etapa terminal. Enfermería: Cuidados Humanizados, 5(2), 41-45. https://doi.org/10.22235/ech.v5i2.1286
Queiroga, S. (2018). A assistência espiritual e religiosa: contributo para a humanização dos cuidados. Revista Iberoamericana de Bioética, (8), 1-15. https://doi.org/10.14422/rib.i08.y2018.008
Quinn, B. y Connolly, M. (2023). Spirituality in palliative care. BMC Palliative Care, 22(1). https://doi.org/10.1186/ s12904-022-01116-x
Raddatz, J. S., Motta, R. F., & Alminhana, L. O. (2019). Religiosidade/Espiritualidade na Prática Clínica: Círculo Vicioso entre Demanda e Ausência de Treinamento. Psico-USF, 24(4), 699-709. https://doi.org/10.1590/1413- 82712019240408
Rassoulian, A., Seidman, C., y Löffler-Stastka, H. (2016). Transcendence, religion and spirituality in medicine: Medical students’ point of view. Medicine, 95(38), e4953. https://doi.org/10.1097/MD.0000000000004953
Rodríguez-Yunta, E. (2016). Determinantes sociales de la salud mental. Rol de la religiosidad. Persona y Bioética, 20(2), 192-204. https://doi.org/10.5294/PEBI.2016.20.2.6
Rogers, C.R. (1986). Psicoterapia centrada en el cliente. Edic. Paidós, 1986.
Rosas-Cervantes, E., Valenzuela-Suazo, S. y Jiménez-González, M. (2020). Trascendencia espiritual, oportunidad de cuidadores informales de personas mayores: revisión integrativa desde la filosofía de Watson. Enfermería: Cuidados Humanizados, 9(2), 149-159. https://doi.org/10.22235/ech.v9i2.1968
Rudilla, D., Oliver, A., Galiana, L., y Barreto, P. (2015). Espiritualidad en atención paliativa: evidencias sobre la intervención con counselling. Psychosocial Intervention, 24(2), 79-82. https://doi.org/10.1016/j.psi.2015.06.002
Sandoval Guzmán P. E., Rangel Domínguez N. E., Allende Pérez S. R. y Ascencio Huertas L. (2014). Concepto de espiritualidad del equipo multidisciplinario de una unidad de cuidados paliativos: un estudio descriptivo. Psicooncología, 11(2-3), 333-344. https://doi.org/10.5209/rev_PSIC.2014.v11.n2-3.47392 131
Saunders, C., Baines, M. and Dunlop, R. (1995). Living with Dying: A Guide to Palliative Care. Oxford Medical Publications. *Seid, K., y Eneyew, M. (2022). Nurse’s spiritual care perception in Ethiopia: A multicenter cross-sectional study. SAGE open medicine, 10. https://doi.org/10.1177/20503121221104436
Shamsi, M., Khoshnood, Z., y Farokhzadian, J. (2022). Improving psychiatric nurses’ competencies in spiritual care and integration of clients’ religion/spirituality into mental healthcare: outcomes of an online spiritual care training program. BMC psychiatry, 22(1), 645. https://doi.org/10.1186/s12888-022-04280-9
Silva, D. A. da. (2020). O paciente com câncer e a espiritualidade: revisão integrativa. Revista Cuidarte, 11(3). https://doi.org/10.15649/cuidarte.1107
van der Steen, J. T., Gijsberts, M. J., Hertogh, C. M., y Deliens, L. (2014). Predictors of spiritual care provision for patients with dementia at the end of life as perceived by physicians: a prospective study. BMC Palliative Care, 13(1), 61. https://doi.org/10.1186/1472-684X-13-61
Steinhauser, K. E., Fitchett, G., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargament, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J., y Balboni, T. A. (2017). State of the Science of Spirituality and Palliative Care Research Part I: Definitions, Measurement, and Outcomes. Journal of pain and symptom management, 54(3), 428-440. https://doi.org/10.1016/j.jpainsymman.2017.07.028
Steinhorn, D. M., Din, J., y Johnson, A. (2017). Healing, spirituality and integrative medicine. Annals of palliative medicine, 6(3), 237-247. https://doi.org/10.21037/apm.2017.05.01
Thiengo, P., Gomes, A., das Mercês, M., Couto, P., França, L., y da Silva, A. (2019). Espiritualidade e religiosidade no cuidado em saúde: Revisão integrativa. Cogitare Enfermagem, 24. e58692. http://dx.doi.org/10.5380/ce.v24i0.58692
Tirado, R. Y. (2018). Implantación de un modelo de atención centrada en la persona en el ámbito de la gerontología. Trabajo social hoy, 84, 45-62. http://dx.doi.org/10.12960/TSH.2018.0009
Torres Furtado de Mendonça A.R., Omena Cabral R., de Padua Walfrido J.A., Gorayeb de Carvalho Ferreira A. & Fernandes Barbosa L. N. (2020). Religiosidad, espiritualidad y calidad de vida en familiares de pacientes de oncología pediátrica en un hospital de referencia en el noreste de Brasil. Psicooncología, 17(2), 273-291. https://doi.org/10.5209/psic.69778
Vargas-Escobar, L. M., Guarnizo-Tole, M., Tovar-Pardo, M. F., y Rojas-Pérez, C. M. (2019). Tendencias de investigación en torno al cuidado espiritual de enfermería: Revisión de la literatura. Revista Investigación en Salud Universidad de Boyacá, 6(1), 145-169. https://doi.org/10.24267/23897325.304
Vega Ayasta, M. T., Díaz Manchay, R. J., Cervera Vallejos, M. F., Rodríguez Cruz, L. D., Tejada Muñoz, S., y Guerrero Quiroz, S. E. (2020). Amabilidad, confort y espiritualidad en los cuidados paliativos oncológicos: Aporte para la humanización en salud. Cultura de los Cuidados, (58), 44-55. https://doi.org/10.14198/cuid.2020.58.05
Voetmann, S.S., Hvidt, N.C. y Viftrup, D.T. (2022). Verbalizing spiritual needs in palliative care: a qualitative interview study on verbal and non-verbal communication in two Danish hospices. BMC Palliative Care, 21(3) https://doi.org/10.1186/s12904-021-00886-0
de Voogd, X., Oosterveld-Vlug, M. G., Torensma, M., Onwuteaka-Philipsen, B. D., Willems, D. L., y Suurmond, J. L. (2020). A dignified last phase of life for patients with a migration background: A qualitative study. Palliative Medicine, 34(10), 1385-1392. https://doi.org/10.1177/0269216320948708
de Vries, S., Lormans, T., de Graaf, E., Leget, C., y Teunissen, S. (2021). The Content Validity of the Items Related to the Social and Spiritual Dimensions of the Utrecht Symptom Diary-4 Dimensional From a Patient’s Perspective: A Qualitative Study. Journal of pain and symptom management, 61(2), 287-294. https://doi.org/10.1016/j.jpainsymman.2020.07.036
Weber, S. R., Lomax, J. W., y Pargament, K. I. (2017). Healthcare Engagement as a Potential Source of Psychological Distress among People without Religious Beliefs: A Systematic Review. Healthcare, 5(2), 19. https://doi. org/10.3390/healthcare5020019
Willemse, S., Smeets, W., van Leeuwen, E., Nielen-Rosier, T., Janssen, L., y Foudraine, N. (2020). Spiritual care in the intensive care unit: An integrative literature research. Journal of critical care, 57, 55-78. https://doi.org/10.1016/j.jcrc.2020.01.026
World Health Organization. Definition of palliative care. Recuperado de: https://www.who.int/health-topics/palliative-care
All articles published in this journal –unless otherwise stated- are distributed under the terms of the Creative Commons Attribution-NoDerives (CC-BY-ND 3.0 ES) Spain 3.0 License, which allows others to copy, distribute and transmit in a public way as long as they credit the author(s), journal and institution that publish these articles, and provided that they are not altered or modified. The complete license can be consulted in: https://creativecommons.org/licenses/by/3.0/es/deed/.es
The copyright belongs to the manuscript’s author just on the basis of creating this work:
- Moral rights are undeniable and inalienable.
- Economic or exploitation rights can be transferred to third parties, as it occurs when articles are published and authors partially or totally transfer their exploitation rights to publishers
Authors can archive their own articles in an institutional repository as long as their publications are cited in this journal.