Improving the spiritual dimension of whole person care: reaching national and international consensus
Open accessAbstract
Two conferences, Creating More Compassionate Systems of Care (November 2012) and On Improving the Spiritual Dimension of Whole Person Care: The Transformational Role of Compassion, Love and Forgiveness in Health Care (January 2013), were convened with the goals of reaching consensus on approaches to the integration of spirituality into health care structures at all levels and development of strategies to create more compassionate systems of care. The conferences built on the work of a 2009 consensus conference, Improving the Quality of Spiritual Care as a Dimension of Palliative Care. Conference organizers in 2012 and 2013 aimed to identify consensus-derived care standards and recommendations for implementing them by building and expanding on the 2009 conference model of interprofessional spiritual care and its recommendations for palliative care. The 2013 conference built on the 2012 conference to produce a set of standards and recommended strategies for integrating spiritual care across the entire health care continuum, not just palliative care. Deliberations were based on evidence that spiritual care is a fundamental component of high-quality compassionate health care and it is most effective when it is recognized and reflected in the attitudes and actions of both patients and health care providers.
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Other concepts, such as those from Koenig et al. (2001) and Puchalski et al. (2014), also highlight 'meaning' as an important aspect of spirituality.
“Other concepts, such as those from Koenig et al. (2001) and Puchalski et al. (2014), also highlight “meaning” as an important aspect of spirituality.”
From Defining spirituality in healthcare: a systematic review and conceptual framework. (2021) · cites this paper as Puchalski et al., 2014
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Cites
The fifth discipline, the art and practice of the learning organization
Senge, P. M. (1991) · Performance + Instruction · doi:10.1002/pfi.4170300510 · Cited by 20,060 · see citing works
FRANKL, V. E. (1946) · Cited by 3,910 · see citing works
Handbook of Religion and Health
Koenig, H. G., McCullough, M. E., & Larson, D. B. (2004) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200405000-00015 · Cited by 3,262 · see citing works
Handbook of Religion and Health
Koenig, H., McCullough, M., & Larson, D. (2001) · doi:10.1093/acprof:oso/9780195118667.001.0001 · Cited by 2,581 · see citing works
Patterns of Positive and Negative Religious Coping with Major Life Stressors
Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (1998) · Journal for the Scientific Study of Religion · doi:10.2307/1388152 · Cited by 2,425 · see citing works
The fifth discipline: the art and practice of the learning organization
(2007) · Choice Reviews Online · doi:10.5860/choice.44-2797 · Cited by 2,245 · see citing works
Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., Chochinov, H., Handzo, G., Nelson-Becker, H., Prince-Paul, M., et al. (2009) · Journal of Palliative Medicine · doi:10.1089/jpm.2009.0142 · Cited by 1,566 · see citing works
Self-citationBalboni, T. A., Vanderwerker, L. C., Block, S. D., Paulk, M. E., Lathan, C. S., Peteet, J. R., & Prigerson, H. G. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.07.9046 · Cited by 959 · see citing works
Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004) · Journal of Health Psychology · doi:10.1177/1359105304045366 · Cited by 912 · see citing works
A Biopsychosocial-Spiritual Model for the Care of Patients at the End of Life
Sulmasy, D. P. (2002) · The Gerontologist · doi:10.1093/geront/42.suppl_3.24 · Cited by 862 · see citing works
Cohen, S. R., Mount, B. M., Strobel, M. G., & Bui, F. (1995) · Palliative Medicine · doi:10.1177/026921639500900306 · Cited by 737 · see citing works
Heyland, D. K. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.050626 · Cited by 686 · see citing works
Turoff, M. (1970) · Technological Forecasting and Social Change · doi:10.1016/0040-1625(70)90161-7 · Cited by 623 · see citing works
Phelps, A. C. (2009) · JAMA · doi:10.1001/jama.2009.341 · Cited by 465 · see citing works
Beliefs and attitudes of hospital inpatients about faith healing and prayer.
King, D. E., & Bushwick, B. (1994) · PubMed · Cited by 425 · see citing works
Discussing Spirituality With Patients: A Rational and Ethical Approach
McCord, G. (2004) · The Annals of Family Medicine · doi:10.1370/afm.71 · Cited by 289 · see citing works
Developing curricula in spirituality and medicine
Puchalski, C. M., & Larson, D. B. (1998) · Academic Medicine · doi:10.1097/00001888-199809000-00015 · Cited by 277 · see citing works
Self-citationReligion, spirituality, and health care: social, ethical, and practical considerations
Astrow, A. B., Puchalski, C. M., & Sulmasy, D. P. (2001) · The American Journal of Medicine · doi:10.1016/s0002-9343(00)00708-7 · Cited by 253 · see citing works
Self-citationFitchett, G. A., Murphy, P. E., Kim, J., Gibbons, J. L., Cameron, J. R., & Davis, J. A. (2004) · The International Journal of Psychiatry in Medicine · doi:10.2190/ucj9-dp4m-9c0x-835m · Cited by 246 · see citing works
Importance of Faith on Medical Decisions Regarding Cancer Care
Silvestri, G. A., Knittig, S., Zoller, J. S., & Nietert, P. J. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.08.036 · Cited by 212 · see citing works
Puchalski, C. M., Blatt, B. C., Kogan, M., & Butler, A. (2013) · Academic Medicine · doi:10.1097/acm.0000000000000083 · Cited by 195 · see citing works
Self-citationSpiritual care in palliative care : Working towards an EAPC task force
Nolan, S., Saltmarsh, P., & Leget, C. J. W. (2011) · Research portal (Tilburg University) · Cited by 187 · see citing works
Factors influencing views of patients with gynecologic cancer about end-of-life decisions
Roberts, J. A., Brown, D., Elkins, T. E., & Larson, D. B. (1997) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(97)80030-0 · Cited by 148 · see citing works
Selman, L. E., Harding, R., Gysels, M., Speck, P. W., & Higginson, I. J. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.06.023 · Cited by 141 · see citing works
The Will To Live among HIV-Infected Patients
Tsevat, J., Sherman, S. N., McElwee, J. A., Mandell, K. L., Simbartl, L. A., Sonnenberg, F. A., & Fowler, F. J. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-131-3-199908030-00006 · Cited by 121 · see citing works
Spirituality, religion, and healing in palliative care
Puchalski, C. M., Dorff, E. N., & Hendi, I. Y. (2004) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2004.07.004 · Cited by 120 · see citing works
Self-citationSelman, L. E., Young, T., Vermandere, M., Stirling, I., & Leget, C. J. W. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.10.020 · Cited by 105 · see citing works
Benito, E., Oliver, A., Galiana, L., Barreto, P., Pascual, A., Bofill, C. G., & Barbero, J. (2013) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.06.018 · Cited by 92 · see citing works
What is spirituality? Evidence from a New Zealand hospice study
Egan, R., MacLeod, R., Jaye, C., McGee, R. O., Baxter, J., & Herbison, P. (2011) · Mortality · doi:10.1080/13576275.2011.613267 · Cited by 81 · see citing works
Is medicine a spiritual practice?
Sulmasy, D. P. (1999) · Academic Medicine · doi:10.1097/00001888-199909000-00012 · Cited by 76 · see citing works
Selman, L. E., Speck, P. W., Gysels, M., Agupio, G., Dinat, N., Downing, J. D., Gwyther, L., Mashao, T., Mmoledi, K. C., Moll, T., et al. (2013) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-11-94 · Cited by 51 · see citing works
Burgener, S. C. (1999) · Journal of Pastoral Care · doi:10.1177/002234099905300406 · Cited by 36 · see citing works
Integrating Spiritual Care within Palliative Care: An Overview of Nine Demonstration Projects
Otis‐Green, S., FERRELL, B. R., Borneman, T. R., et al. (2012) · Journal of Palliative Medicine · doi:10.1089/jpm.2011.0211 · Cited by 32 · see citing works
Spirituality in palliative home care: a framework for the clinician
Vermandere, M., Lepeleire, J. D., Mechelen, W. V., Warmenhoven, F. C., Thoonsen, B., & Aertgeerts, B. (2012) · Supportive Care in Cancer · doi:10.1007/s00520-012-1626-1 · Cited by 23 · see citing works
The role of spiritual care in hospice
O’Connor, P. (1988) · American Journal of Hospice Care · doi:10.1177/104990918800500411 · Cited by 22 · see citing works
Ethnicity and cure rates of Texas children with acute lymphoid leukemia
Hord, M. H., Smith, T. L., Culbert, S. J., Frankel, L. S., & Pinkel, D. P. (1996) · Cancer · doi:10.1002/(sici)1097-0142(19960201)77:3 · Cited by 14 · see citing works
Safe passage : a global spiritual sourcebook for care at the end of life
Lazenby, M., McCorkle, R. C., & Sulmasy, D. P. (2014) · Cited by 13 · see citing works
Outcome Measures of Spiritual Care in Palliative Home Care
Vermandere, M., Lepeleire, J. D., Mechelen, W. V., et al. (2012) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909112454563 · Cited by 11 · see citing works
Selman, L. E., Young, T. E., Vermandere, M., et al. (2014) · Cited by 7 · see citing works
The spiritual care of patients and families at the end of life
Puchalski, C. M. (2014) · Cited by 2 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 7
- [16]Burgener SC: Predicting quality of life in caregivers of Alzheimer's patients: The role of support from and involvement with the religious community. J Pastoral Care Counsel 1999; 53:433–446 [DOI] [PubMed] [Google Scholar]
- [17]Cohen SR, Mount BM, Strobel MG, Bui F: The McGill quality of life questionnaire: A measure of quality of life appropriate for people with advanced disease: A preliminary study of validity and acceptability. Palliat Med 1995;9:207–219 [DOI] [PubMed] [Google Scholar]
- [18]Cohen SR, Mount BM, Tomas JJ, Mount LF: Existential wellbeing is an important determinant of quality of life: Evidence from the McGill quality of life questionnaire. Cancer 1996;77:576–586 [DOI] [PubMed] [Google Scholar]
- [29]National Consensus Project for Quality Palliative Care: Clinical Practice Guidelines for Quality Palliative Care, 2nd ed. National Consensus Project for Quality Palliative Care, 2009. Available at http://www.nationalcancersusproject.org [Google Scholar]
- [33]Puchalski C, Lunsford B: The Relationship of Spirituality and Compassion in Health Care. Fetzer Institute, Kalamazoo, MI, 2008 [Google Scholar]
- [41]WHO: Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, June19–22, 1946; entered into force April 7, 1948 [Google Scholar]
- [42]Fetzer Institute: Health Professions Advisory Council Call Statement: Becoming Aware. Assisi, Italy: Fetzer Institute, 2012, p. 16 [Google Scholar]
Cited by
Sorted by citations
Compassion: a scoping review of the healthcare literature
Sinclair, S., Norris, J. M., McConnell, S. J., Chochinov, H. M., Hack, T. F., Hagen, N. A., McClement, S., & Bouchal, S. R. (2016) · BMC Palliative Care · doi:10.1186/s12904-016-0080-0 · Cited by 507 · see citing works
Defining spirituality in healthcare: a systematic review and conceptual framework.
de Brito Sena, M. A., Damiano, R. F., Lucchetti, G., & Peres, M. F. P. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.756080 · Cited by 238 · see citing works
Lucchetti, G., Ramakrishnan, P., Karimah, A., Oliveira, G. R., Dias, A., Rane, A., Shukla, A., Lakshmi, S., Ansari, B. K., Ramaswamy, R. S., et al. (2016) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9491-1 · Cited by 71 · see citing works
The integrated process model of loss and grief: An interprofessional understanding
Guldin, M.-B., & Leget, C. (2024) · Death Studies · doi:10.1080/07481187.2023.2272960 · Cited by 70 · see citing works
Nurse education and willingness to provide spiritual care
Wu, L.-F., Tseng, H.-C., & Liao, Y.-C. (2016) · Nurse Education Today · doi:10.1016/j.nedt.2016.01.001 · Cited by 65 · see citing works
Best, M., McArdle, M. B., Huang, Y.-J., Clayton, J., & Butow, P. (2019) · Patient Education and Counseling · doi:10.1016/j.pec.2019.06.016 · Cited by 25 · see citing works
Beaussant, Y., Tarbi, E., Nigam, K., Miner, S., Sager, Z., Sanders, J. J., Ljuslin, M., Guérin, B., Thambi, P., Tulsky, J. A., et al. (2024) · Cancer · doi:10.1002/cncr.35024 · Cited by 25 · see citing works
Volunteerism and Cultural Competence: A Qualitative Study of Tzu Chi’s Immigrant Healthcare Model
Chen, I.-C., & Phanumartwiwath, A. (2025) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-025-01741-7 · Cited by 2 · see citing works
- Authors
- Puchalski, C. M., Vitillo, R., Hull, S. K., & Reller, N.
- Affiliations
- George Washington University (US)
- United Nations (US)
- Duke University (US)
- Sojourn Communications, McLean, Virginia.
- Corresponding author
- Puchalski, Christina M.
- Venue
- Journal of Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2014-06
- Volume
- 17
- Issue
- 6
- Pages
- 642-656
- ISSN
- 1096-6218 (ISSN-L)
- 1557-7740
- PMC
- PMC4038982
- OpenAlex
- W2047362844
- Cited by
- 1,108
- References
- 40
- Citations by year
- 2026: 155 · 2025: 144 · 2024: 115 · 2023: 103 · 2022: 110 · 2021: 121 · 2020: 132 · 2019: 64 · 2018: 49 · 2017: 46 · 2016: 33 · 2015: 21 · 2014: 5
- FWCI
- 44.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Palliative Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Arthur Vining Davis Foundations
- Fetzer Institute
- Archstone Foundation
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- spiritual care, holistic care, palliative care, forgiveness, love, healthcare quality standards, consensus recommendations, patient-provider relationship
- MeSH terms
- Consensus Statements as Topic, Empathy, Humans, Interprofessional Relations, Models, Psychological, Palliative Care, Quality of Health Care, Terminal Care, United States, Spirituality, Standard of Care, Culturally Competent Care
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