Evidence map›Paper›PMID 18779544›Full record

ArticleAnnals of family medicine

An exploratory study of spiritual care at the end of life.

Timothy P Daaleman, Barbara M Usher, Sharon W Williams, Jim Rawlings, Laura C Hanson

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 128 citations in OpenAlex.

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  7. Pharmacy students' perceived barriers to spiritual care: A qualitative study.Exploratory research in clinical and social pharmacy · 2023
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  16. Spirituality in palliative home care: a framework for the clinician.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Article
  17. Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses, and physicians and the role of training.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2013
    Article
  18. A health services framework of spiritual care.Journal of nursing management · 2012
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Timothy P DaalemanDepartment of Family Medicine, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7595, USA. tim_daaleman@med.unc.edu
Barbara M Usher
Sharon W Williams
Jim Rawlings
Laura C Hanson
University of North Carolina at Chapel Hill · USUniversity of Health and Allied Sciences · GHUniversity of North Carolina Hospitals · USUniversity of Pittsburgh · US

Funding

Challenging Life Events in Older PersonsK23AG001033 · NIA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI DAALEMAN, TIMOTHY P · 2001 to 2005
$629k
NIA NIH HHS K23 AG001033
6 · The paper itself

Abstract

purposeAlthough spiritual care is a core element of palliative care, it remains unclear how this care is perceived and delivered at the end of life. We explored how clinicians and other health care workers understand and view spiritual care provided to dying patients and their family members.

methodsOur study was based on qualitative research using key informant interviews and editing analysis with 12 clinicians and other health care workers nominated as spiritual caregivers by dying patients and their family members.

resultsBeing present was a predominant theme, marked by physical proximity and intentionality, or the deliberate ideation and purposeful action of providing care that went beyond medical treatment. Opening eyes was the process by which caregivers became aware of their patient's life course and the individualized experience of their patient's current illness. Participants also described another course of action, which we termed cocreating, that was a mutual and fluid activity between patients, family members, and caregivers. Cocreating began with an affirmation of the patient's life experience and led to the generation of a wholistic care plan that focused on maintaining the patient's humanity and dignity. Time was both a facilitator and inhibitor of effective spiritual care.

conclusionsClinicians and other health care workers consider spiritual care at the end of life as a series of highly fluid interpersonal processes in the context of mutually recognized human values and experiences, rather than a set of prescribed and proscribed roles.

Indexed as

SpiritualityAdultAttitude to DeathCaregiversFemaleHumansMaleMiddle AgedPalliative CarePastoral CareProfessional-Family RelationsProfessional-Patient RelationsTerminal CareTerminally Ill

Identifiers

PMID18779544
PMCPMC2532767
OpenAlexW2126514441

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.