ArticleBMC palliative care2019
Spiritual care at the end of life in the primary care setting: experiences from spiritual caregivers - a mixed methods study.
Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- Barriers and enablers of implementing spiritual care at the end of life: a mixed-methods systematic review using the theoretical domains framework.BMC palliative care · 2026Pooled it
- What has been used to improve patients' spiritual health in primary care: A realist review.The European journal of general practice · 2026Review
- Factors that Facilitate or Hamper Oncology Nurse's Delivery of Spiritual Care in China: A Qualitative Study.Journal of religion and health · 2026Article
- Development and validation of the questionnaire "Spiritual Needs in Palliative Care" in Finnish.Palliative & supportive care · 2026Article
- "We need time, a great know-how and security for patients to always be there in time": a qualitative study on factors distinguishing General from Specialized Palliative Home Care.BMC health services research · 2025Article
- Future directions of spiritual care where spiritual care providers do not exist: a qualitative study.BMC palliative care · 2025Article
- The Involvement of Caregivers in the End-of-life Care of an Older Adult Living in a Long-term Care Home: A Qualitative Case Study with Nurses and Relatives.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024Article
- Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study.BMC palliative care · 2024Observational
- Spiritual Care through the Lens of Portuguese Palliative Care Professionals: A Qualitative Thematic Analysis.Behavioral sciences (Basel, Switzerland) · 2024Article
- Understanding students' motivations for participating in a mindfulness course: a qualitative analysis of medical students' views.BMC complementary medicine and therapies · 2023Article
- SPACEE Protocol: "Spiritual Care Competence" in PAlliative Care Education and PracticE: Mixed-Methods Research in the Development of Iberian Guidelines.International journal of environmental research and public health · 2023Article
- Role-Perceptions of Dutch Spiritual Caregivers in Implementing Multidisciplinary Spiritual Care: A National Survey.International journal of environmental research and public health · 2023Article
- Article
- Healthcare professionals' perceived barriers in providing palliative care in primary care and nursing homes: a survey study.Palliative care and social practice · 2023Article
- The GP's perceived role and use of language concerning the existential dimension of palliative patients: a Dutch interview study.BMC primary care · 2022Article
- "I Need Presence and a Listening Ear": Perspectives of Spirituality and Spiritual Care Among Healthcare Providers in a Hospice Setting in Pakistan.Journal of religion and health · 2021Article
- Spiritual Care: Motivations and Experiences through the Lenses and Voices of a Cohort of Spiritual Care Workers at an Established Hospice in Cape Town, South Africa.Journal of religion and health · 2021Article
- Exploring the Ethics of Implementation of Epigenomics Technologies in Cancer Screening: A Focus Group Study.Epigenetics insights · 2021Article
- Strengthening the spiritual domain in palliative care through a listening consultation service by spiritual caregivers in Dutch PaTz-groups: an evaluation study.BMC palliative care · 2020Article
- Unmet Spiritual Needs: A Study among Patients with Chronic Illness.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundSpiritual care is an important aspect of palliative care. In the Netherlands, general practitioners and district nurses play a leading role in palliative care in the primary care setting. When they are unable to provide adequate spiritual care to their patient, they can refer to spiritual caregivers. This study aimed to provide an overview of the practice of spiritual caregivers in the primary care setting, and to investigate, from their own perspective, the reasons why spiritual caregivers are infrequently involved in palliative care and what is needed to improve this.
methodSequential mixed methods consisting of an online questionnaire with structured and open questions completed by 31 spiritual caregivers, followed by an online focus group with 9 spiritual caregivers, analysed through open coding.
resultsSpiritual caregivers provide care for existential, relational and religious issues, and the emotions related to these issues. Aspects of spiritual care in practice include helping patients find meaning, acceptance or reconciliation, paying attention to the spiritual issues of relatives of the patient, and helping them all to say farewell. Besides spiritual issues, spiritual caregivers also discuss topics related to medical care with patients and relatives, such as treatment wishes and options. Spiritual caregivers also mentioned barriers and facilitators for the provision of spiritual care, such as communication with other healthcare providers, having a relationship of trust and structural funding.. In the online focus group, local multidisciplinary meetings were suggested as ideal opportunities to familiarize other healthcare providers with spirituality and promote spiritual caregivers' services. Also, structural funding for spiritual caregivers in the primary care setting should be organized.
conclusionSpiritual caregivers provide broad spiritual care at the end of life, and discuss many different topics beside spiritual issues with patients in the palliative phase, supporting them when making medical end-of-life decisions. Spiritual care in the primary care setting may be improved by better cooperation between spiritual caregiver and other healthcare providers, through improved education in spiritual care and better promotion of spiritual caregivers' services.
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Registered trials
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.