Evidence map›Paper›PMID 26614623›Full record

ArticleBMJ open2015

Patient and healthcare perspectives on the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic: a qualitative study.

Shane Sinclair, Shelagh McConnell, Shelley Raffin Bouchal, Naree Ager, Reanne Booker, Bert Enns, Tak Fung

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shane SinclairFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Shelagh McConnellFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Shelley Raffin BouchalFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
Naree AgerAlberta Health Services, Cancer Control, Tom Baker Cancer Centre, Calgary, Alberta, Canada.
Reanne BookerAlberta Health Services, Cancer Control, Tom Baker Cancer Centre, Calgary, Alberta, Canada.
Bert EnnsAlberta Health Services, Cancer Control, Tom Baker Cancer Centre, Calgary, Alberta, Canada.
Tak FungResearch Consulting Services, Information Technologies, University of Calgary, Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to use a qualitative approach to better understand the importance and efficacy of addressing spiritual issues within an interdisciplinary bone marrow transplant clinic from the perspectives of patients and healthcare providers.

settingParticipants were recruited from the bone marrow transplant clinic of a large urban outpatient cancer care centre in western Canada.

participantsFocus groups were conducted with patients (n=7) and healthcare providers (n=9) to explore the importance of addressing spiritual issues across the treatment trajectory and to identify factors associated with effectively addressing these needs.

resultsData were analysed using the qualitative approach of latent content analysis. Addressing spiritual issues was understood by patients and healthcare providers, as a core, yet under addressed, component of comprehensive care. Both sets of participants felt that addressing basic spiritual issues was the responsibility of all members of the interdisciplinary team, while recognising the need for specialised and embedded support from a spiritual care professional. While healthcare providers felt that the impact of the illness and treatment had a negative effect on patients' spiritual well-being, patients felt the opposite. Skills, challenges, key time points and clinical indicators associated with addressing spiritual issues were identified.

conclusionsDespite a number of conceptual and clinical challenges associated with addressing spiritual issues patients and their healthcare providers emphasised the importance of an integrated approach whereby basic spiritual issues are addressed by members of the interdisciplinary team and by an embedded spiritual care professional, who in addition also provides specialised support. The identification of clinical issues associated with addressing spiritual needs provides healthcare providers with clinical guidance on how to better integrate this aspect of care into their clinical practice, while also identifying acute incidences when a more targeted and specialised approach may be of benefit.

Indexed as

Attitude of Health PersonnelAttitude to HealthBone Marrow TransplantationComprehensive Health CareDelivery of Health CareNeoplasmsSpiritualityAdultAgedCanadaFemaleFocus GroupsHumansMaleMiddle AgedPatient Care Teambone marrow transplantcancerpsychosocialqualitativespiritual carespirituality

Identifiers

PMID26614623
PMCPMC4663399

What OpenQuestion holds

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Registered trials

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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.