Evidence map›Paper›PMID 40135973›Full record

ArticleJournal of advanced nursing2026

Difficulties Associated With Spiritual Care According to the Nursing Staff at an Oncology Clinic: A 20-Year Longitudinal Mixed Method Case Study.

Mikael Lundmark

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

  1. Article
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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

1 author.

Mikael LundmarkDepartment of Historical, Philosophical and Religious Studies, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0001-6635-6075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM(S): To replicate a study conducted twenty years ago regarding difficulties associated with spiritual care at an oncology clinic. Compare the results against societal changes, educational changes and changes at the clinic.

designMixed-method, longitudinal, descriptive and comparative design.

methodsA questionnaire-based replication-study conducted in 2003 and 2023 with comparative and categorical content analyses. The questionnaire was handed out to all nursing staff at duty at the investigate oncology clinic during the data collection periods.

resultsThe difficulties associated with spiritual care in 2003 and 2023 are very similar and include (i) a lack of knowledge and education; (ii) the nurses' own approaches to spiritual care can be perceived as having a negative impact, and (iii) practical or structural difficulties, including a lack of time, experiences of stress, a lack of suitable locations for individual conversations.

conclusionThe difficulties identified in the 2023 study mirror previous research to a high degree. These difficulties have not, in any substantial way, changed between 2003 and 2023. This conclusion indicates that difficulties associated with spiritual care might not be sensitive to societal changes regarding spirituallity, organisational changes at the clinic, or educational changes regarding the nurses' formal education in spirituality and healthcare. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study is informative with regard to identifying actions that can obviate difficulties associated with spiritual care. REPORTING

methodWhen applicable: SRQR. PATIENT OR PUBLIC CONTRIBUTION: None.

Indexed as

NeoplasmsNursing Staff, HospitalOncology NursingSpiritualityAdultAttitude of Health PersonnelFemaleHumansLongitudinal StudiesMaleMiddle AgedSurveys and Questionnairescaregivingcase study researchholistic carespirituality

Identifiers

PMID40135973
PMCPMC12721940

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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.