Concept of Spiritual Wellbeing in End-of-Life Patients in Emergency Settings: A Literature Review

Weny Murni; Christina Nur Widayati; Karyanti Karyanti; Dyah Winarni; Sukasmi Sukasmi; Satriya Pranata; Siti Aisah; Aric Vranada

doi:10.47650/pjphsr.v5i1.1682

Weny Murni Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Christina Nur Widayati Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Karyanti Karyanti Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Dyah Winarni Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Sukasmi Sukasmi Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Satriya Pranata Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Siti Aisah Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia
Aric Vranada Faculty of Nursing, Muhammadiyah University of Semarang, Indonesia

DOI: https://doi.org/10.47650/pjphsr.v5i1.1682

Keywords: Wellbeing concept, Patient End of Life, Emergency

Abstract

Spiritual Wellbeing (SWB) is essential in palliative care for end-of-life (EoL) patients. However, its implementation in emergency settings is often overlooked despite the significant spiritual needs of patients at the end of life. This study aims to describe and explain the concept of SWB in EoL patients in the Emergency Setting. The study used a qualitative approach based on concept analysis of the literature. Data were collected from 18 relevant articles purposively selected from international databases (2020-2024). The analysis focused on the attributes, antecedents, and consequences of SWB through thematic evaluation and cross-referencing. The results showed that four main attributes of SWB were identified: relationship with higher power, inner peace, meaning of life, and active role of family and health workers. Antecedents of SWB included clergy and family support, while consequences included improved patient quality of life and reduced anxiety. These findings demonstrate the importance of integrating spiritual care into emergency setting practice. Holistic collaboration between patients, families and healthcare professionals is key to improving the spiritual wellbeing of EoL patients.

References

Abuatiq, A. (2015) ‘Spiritual Care for Critical Care Patients’, International Journal of Nursing & Clinical Practices, 2(1). Available at: https://doi.org/10.15344/2394-4978/2015/128.

Bailey, C.J., Murphy, R. and Porock, D. (2011) ‘Dying cases in emergency places: Caring for the dying in emergency departments’, Social Science & Medicine, 73(9), pp. 1371–1377. Available at: https://doi.org/10.1016/j.socscimed.2011.07.036.

Dang, V.N. (2022) ‘Evidence Translating Ability: A Walker and Avant Concept Analysis’, Florence Nightingale Journal of Nursing [Preprint]. Available at: https://doi.org/10.5152/FNJN.2022.22177.

Ekşi, H. and Kardaş, S. (2017) ‘Spiritual Well-Being: Scale Development and Validation’, Spiritual Psychology and Counseling, 2(1). Available at: https://doi.org/10.12738/spc.2017.1.0022.

George, L.S. et al. (2022) ‘Interventions to Improve Prognostic Understanding in Advanced Stages of Life-Limiting Illness: A Systematic Review’, Journal of Pain and Symptom Management, 63(2), pp. e212–e223. Available at: https://doi.org/10.1016/j.jpainsymman.2021.09.002.

Ghazalsaflou, mehdi (2023) ‘The Role of Spirituality in Coping with Chronic Illness’, Journal of Personality and Psychosomatic Research, 1(4), pp. 38–45. Available at: https://doi.org/10.61838/kman.jppr.1.4.6.

Harrad, R. et al. (2019) ‘Spiritual care in nursing: an overview of the measures used to assess spiritual care provision and related factors amongst nurses’, Acta Biomedica Atenei Parmensis, 90(4-S), pp. 44–55. Available at: https://doi.org/10.23750/abm.v90i4-S.8300.

Ho, J.Q. et al. (2018) ‘Spiritual Care in the Intensive Care Unit: A Narrative Review’, Journal of Intensive Care Medicine, 33(5), pp. 279–287. Available at: https://doi.org/10.1177/0885066617712677.

Koenig, H.G. (2012) ‘Religion, Spirituality, and Health: The Research and Clinical Implications’, ISRN Psychiatry, 2012, pp. 1–33. Available at: https://doi.org/10.5402/2012/278730.

Michel, C. et al. (2023) ‘Key aspects of psychosocial needs in palliative care - a qualitative analysis within the setting of a palliative care unit in comparison with specialised palliative home care’, BMC Palliative Care, 22(1), p. 100. Available at: https://doi.org/10.1186/s12904-023-01227-z.

Muehlhausen, B.L. et al. (2022) ‘Patients’ and Loved Ones’ Expectations of Chaplain Services’, Journal of Health Care Chaplaincy, 28(3), pp. 350–364. Available at: https://doi.org/10.1080/08854726.2021.1903734.

Musa, A.S. (2017) ‘Spiritual Care Intervention and Spiritual Well-Being’, Journal of Holistic Nursing, 35(1), pp. 53–61. Available at: https://doi.org/10.1177/0898010116644388.

Nacak, U.A. and Erden, Y. (2022) ‘End-of-Life Care and Nurse’s Roles.’, The Eurasian journal of medicine, 54(Suppl1), pp. 141–144. Available at: https://doi.org/10.5152/eurasianjmed.2022.22324.

Porter, J.E., Cooper, S.J. and Sellick, K. (2014) ‘Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice’, International Emergency Nursing, 22(2), pp. 69–74. Available at: https://doi.org/10.1016/j.ienj.2013.07.001.

Puchalski, C. et al. (2009) ‘Improving the Quality of Spiritual Care as a Dimension of Palliative Care: The Report of the Consensus Conference’, Journal of Palliative Medicine, 12(10), pp. 885–904. Available at: https://doi.org/10.1089/jpm.2009.0142.

Riahi, S. et al. (2018) ‘Assessing the Effect of Spiritual Intelligence Training on Spiritual Care Competency in Critical Care Nurses’, Journal of Medicine and Life, 11(4), pp. 346–354. Available at: https://doi.org/10.25122/jml-2018-0056.

Sari, Y. and Sidabutar, R.R. (2022) ‘Hubungan Pengetahuan dan Sikap Perawat dengan Kemampuan Pemenuhan Kebutuhan Spritual terhadap Pasien Cemas di Ruang ICU RSU Sundari Medan’, Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 4(1), p. 45. Available at: https://doi.org/10.30829/contagion.v4i1.11657.

Sriwiyanti, S. and Saefudin, W. (2022) ‘Spiritual Well-being, Self-efficacy, and Student Engagement of Muslim Juveniles during an Educational Program in Prison’, Muslim Education Review, 1(1), pp. 106–130. Available at: https://doi.org/10.56529/mer.v1i1.7.

Suhartini, S., Pasole, F.Y. and Sobirin, M.A. (2023) ‘Perawatan Spiritual Pasien Di Ruang Intensive Care Unit: Narrative Review’, Care: Jurnal Ilmiah Ilmu Kesehatan, 11(3), pp. 438–449. Available at: https://doi.org/10.33366/jc.v11i3.4287.

WHO (2023) Palliative care, World Health Organization.