Evidence map›Paper›PMID 38163394›Full record

ArticleInternational journal of medical informatics2024

The impact of spiritual care delivered by nurses on patients' comfort: A propensity score matched cohort utilizing electronic health record data.

Fabiana Cristina Dos Santos, Tamara G R Macieira, Yingwei Yao, Monika Ardelt, Gail M Keenan

Open access · greenAbstract read
In one paragraph

Article in International journal of medical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Shamanism as a Clinical Intervention: A Scoping Review.Journal of restorative medicine · 2025
    Article
  3. Article
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

5 authors at 2 institutions in 1 country.

Fabiana Cristina Dos SantosColumbia University, School of Nursing, New York, NY, United States. Electronic address: fcd2114@cumc.columbia.edu.
Tamara G R MacieiraDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, United States.
Yingwei YaoDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FL, United States.
Monika ArdeltDepartment of Sociology and Criminology & Law, University of Florida, Gainesville, FL, United States.
Gail M KeenanDepartment of Family, Community, and Health Systems Science, College of Nursing, University of Florida, Gainesville, FL, United States.
University of Florida · USColumbia University Irving Medical Center · US

Funding

Tailored Clinical Decision Support Formats Designed to Improve Palliative Care for Cancer and Chronically Ill Patients: A Pre-Clinical TestR01NR018416 · NINR · UNIVERSITY OF FLORIDA · PI DUNN LOPEZ, KAREN, KEENAN, GAIL M · 2019 to 2021
$1.7M
NINR NIH HHS R01 NR018416
6 · The paper itself

Abstract

backgroundSpiritual care has been associated with better health outcomes. Despite increasing evidence of the benefits of spiritual care for older patients coping with illness and aggressive treatment, the role of spirituality is not well understood and implemented. Nurses, as frontline holistic healthcare providers, are in a position to address patients' spiritual needs and support them in finding meaning in life. This study aimed to identify spiritual care by analyzing nursing data and to compare the psychological and physical comfort between older chronically ill patients who received spiritual care versus those who did not receive spiritual care. MATERIAL AND

methodsA propensity score matched cohort utilizing nursing care plan data was used to construct balanced groups based on patient characteristics at admission. 45 older patients (≥65 years) with chronic illnesses received spiritual care with measured psychological or physical comfort and 90 matched controls. To ensure the robustness of our results, two sensitivity analyses were performed. Group comparisons were performed to assess the average treatment effect of spiritual care on psychological and physical comfort outcomes.

resultsThe mean psychological comfort was 4.3 (SD = 0.5) for spiritual care receivers and 3.9 (SD = 0.9) for non-receivers. Regression analysis showed that spiritual care was associated with better psychological comfort (estimate = 0.479, std. error = 0.225, p = 0.041). While its effect on physical comfort was not statistically significant (estimate = -0.265, std. error = 0.234, p = 0.261). This study provides suggestive evidence of the positive impact of nurses' spiritual care in improving psychological comfort for older patients with chronic illnesses.

conclusionUsing interoperable nursing data, our findings suggest that spiritual care improves psychological comfort in older patients facing illness. This finding suggests that nurses may integrate spiritual care into their usual care to support patients experiencing distress.

Indexed as

SpiritualitySpiritual TherapiesAgedAttitude of Health PersonnelChronic DiseaseElectronic Health RecordsHumansPropensity ScoreElectronic health recordNursingOlder adultsPatient comfortPropensity scoreSpiritual therapies

Identifiers

PMID38163394
PMCPMC11165318
OpenAlexW4390064742

What OpenQuestion holds

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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.