Spiritual needs assessments and measurements
Abstract
PURPOSE OF REVIEW: This review discusses the developments in spiritual needs assessments and measurements in end-of-life care. The review considers spiritual needs assessments from the perspective of palliative care patients, their families and caregivers, and healthcare professionals. RECENT FINDINGS: Spiritual needs assessments vary significantly along the dimensions of content and domains. These needs assessments have the potential to deepen our insight and to identify those who are most at risk for spiritual distress, but few are practical and simple enough to use in everyday clinical practice, and for the research, few are cross-culturally validated. Spirituality is a complex construct, although 'relatedness' was recognized as a core dimension of spirituality in addition to existential beliefs and values related to meaning and purpose. Little is known about the spiritual needs in elderly patients, in the cognitively impaired, and during the dying process. The spiritual needs of family caregivers need more support and attention. SUMMARY: Spirituality is considered to be one of the patient's vital signs and should be routinely screened and assessed. Research in spiritual care should be ongoing for all palliative care patients as well as for those with specific needs such as mental, neurological, or cognitive impairment. There is also a knowledge gap concerning how spiritual needs change during the progression of the disease trajectory. More work must be done on the spiritual concerns of family caregivers.
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Spirituality can be analyzed through multiple dimensions, and identifying these dimensions may clarify how individuals interact with their spirituality and which aspects have greater impact on health and treatment.
“Spirituality can be analyzed through multiple dimensions, which identification may clarify how individuals interact with their spirituality, and which aspects greater impact more on health and treatment (Lunder et al., 2011; MacDonald et al., 2015).”
From Defining spirituality in healthcare: a systematic review and conceptual framework. (2021) · cites this paper as Lunder et al., 2011
Cites
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
Stajduhar, K., Funk, L. M., Toye, C. M., Grande, G., Aoun, S. M., & Todd, C. J. (2010) · Palliative Medicine · doi:10.1177/0269216310371412 · Cited by 410 · see citing works
Existential Suffering in the Palliative Care Setting: An Integrated Literature Review
Boston, P., Bruce, A., & Schreiber, R. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.05.010 · Cited by 405 · see citing works
Edwards, A., Pang, N., Shiu, V., & Chan, C. (2010) · Palliative Medicine · doi:10.1177/0269216310375860 · Cited by 397 · see citing works
Evaluation of the FICA Tool for Spiritual Assessment
Borneman, T. R., FERRELL, B. R., & Puchalski, C. M. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.12.019 · Cited by 346 · see citing works
Funk, L. M., Stajduhar, K., Toye, C. M., Aoun, S. M., Grande, G., & Todd, C. J. (2010) · Palliative Medicine · doi:10.1177/0269216310371411 · Cited by 296 · see citing works
Henoch, I., & Danielson, E. (2009) · Psycho-Oncology · doi:10.1002/pon.1424 · Cited by 217 · see citing works
Needs assessment of family caregivers of cancer survivors: three cohorts comparison
Kim, Y., Kashy, D. A., Spillers, R. L., & Evans, T. V. (2009) · Psycho-Oncology · doi:10.1002/pon.1597 · Cited by 190 · see citing works
The Quality of Dying and Death Questionnaire (QODD): Empirical Domains and Theoretical Perspectives
Downey, L., Curtis, J. R., Lafferty, W. E., Herting, J. R., & Engelberg, R. A. (2009) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.05.012 · Cited by 181 · see citing works
The Landscape of Distress in the Terminally Ill
Chochinov, H. M., Hassard, T. H., McClement, S., Hack, T. F., Kristjanson, L. J., Harlos, M., Sinclair, S., & Murray, A. (2009) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.04.021 · Cited by 168 · see citing works
Murray, S. A., Kendall, M., Boyd, K. J., Grant, L., Highet, G., & Sheikh, A. (2010) · BMJ · doi:10.1136/bmj.c2581 · Cited by 149 · see citing works
Sinclair, S. (2011) · Canadian Medical Association Journal · doi:10.1503/cmaj.100511 · Cited by 143 · 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 meaning of spirituality and spiritual care among the Hong Kong Chinese terminally ill
Mok, E., Wong, F. K. Y., & Wong, D. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05193.x · Cited by 124 · see citing works
Fillion, L., Duval, S., Dumont, S., Gagnon, P. R., Tremblay, I., Bairati, I., & BREITBART, W. S. (2009) · Psycho-Oncology · doi:10.1002/pon.1513 · Cited by 120 · see citing works
Existential and Supportive Care Needs Among Patients with Chronic Kidney Disease
Davison, S. N., & Jhangri, G. S. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.03.015 · Cited by 100 · see citing works
The spiritual needs of neuro‐oncology patients from patients’ perspective
Nixon, A., & Narayanasamy, A. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.03112.x · Cited by 96 · see citing works
The spiritual dimension of cancer care
Surbone, A., & Baider, L. (2009) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2009.03.011 · Cited by 93 · see citing works
Arnold, B. L. (2011) · BMC Palliative Care · doi:10.1186/1472-684x-10-1 · Cited by 71 · see citing works
Albers, G., Echteld, M. A., de Vet, H. C. W., Onwuteaka-Philipsen, B. D., van der Linden, M. H. M., & Deliëns, L. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.12.012 · Cited by 69 · see citing works
Bekelman, D. B., Parry, C., Curlin, F. A., Yamashita, T. E., Fairclough, D. L., & Wamboldt, F. S. (2010) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2009.08.005 · Cited by 62 · see citing works
Yardley, S. J., Walshe, C., & Parr, A. (2009) · Palliative Medicine · doi:10.1177/0269216309105726 · Cited by 60 · see citing works
the LCP Randomised Italian Cluster Trial Study Group, Costantini, M., Ottonelli, S., Canavacci, L., Pellegrini, F., & Beccaro, M. (2011) · BMC Health Services Research · doi:10.1186/1472-6963-11-13 · Cited by 57 · see citing works
Neonatal End-of-Life Spiritual Support Care
Rosenbaum, J. L., Smith, J. R., & Zollfrank, R. (2011) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0b013e318209e1d2 · Cited by 50 · see citing works
Feasibility and Effectiveness of the NEST13+ as a Screening Tool for Advanced Illness Care Needs
Scandrett, K. G., Reitschuler-Cross, E. B., Nelson, L., Sanger, J. A., Feigon, M., Boyd, E., Chang, C., Paice, J. A., Hauser, J. M., Chamkin, A., et al. (2009) · Journal of Palliative Medicine · doi:10.1089/jpm.2009.0170 · Cited by 47 · see citing works
The body as existential midpoint—the aging and dying body of nursing home residents
Whitaker, A. (2009) · Journal of Aging Studies · doi:10.1016/j.jaging.2008.10.005 · Cited by 45 · see citing works
Johnsen, A. T., Petersen, M. A., Pedersen, L., & Grøenvold, M. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.08.013 · Cited by 44 · see citing works
Psychological Distress and Rumination in Palliative Care Patients and their Caregivers
Galfin, J. M., Watkins, E. R., & Harlow, T. (2010) · Journal of Palliative Medicine · doi:10.1089/jpm.2010.0139 · Cited by 42 · see citing works
Henoch, I., Axelsson, B., & Bergman, B. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9623-7 · Cited by 30 · see citing works
Heyland, D. K., Frank, C., Tranmer, J. E., Paul, N., Pichora, D., Jiang, X., & Day, A. G. (2009) · Journal of Palliative Care · doi:10.1177/082585970902500402 · Cited by 26 · see citing works
Reducing the potential for suffering in older adults with advanced cancer
Thompson, G. N., & Chochinov, H. M. (2010) · Palliative & Supportive Care · doi:10.1017/s1478951509990745 · Cited by 24 · see citing works
Milberg, A., Appelquist, G., Hagelin, E., Jakobsson, M., Olsson, E.-C., Olsson, M., & Friedrichsen, M. (2009) · Supportive Care in Cancer · doi:10.1007/s00520-009-0786-0 · Cited by 12 · see citing works
Palliative care: a case study and reflections on some spiritual issues
Ireland, J. (2010) · British Journal of Nursing · doi:10.12968/bjon.2010.19.4.46786 · Cited by 11 · see citing works
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Clinical implications of spirituality to mental health: review of evidence and practical guidelines
Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014) · Revista Brasileira de Psiquiatria · doi:10.1590/1516-4446-2013-1255 · Cited by 261 · 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
Delgado-Guay, M. O., Chisholm, G. B., Williams, J. L., Frisbee‐Hume, S. E., Ferguson, A. O., & Bruera, E. D. (2015) · Palliative & Supportive Care · doi:10.1017/s147895151500108x · Cited by 124 · see citing works
Spirituality and religiosity in supportive and palliative care
Delgado-Guay, M. O. (2014) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000079 · Cited by 92 · see citing works
Delgado-Guay, M. O., Palma, A., Duarte, E. R., Grez, M., Tupper, L., Liu, D. D., & Bruera, E. D. (2021) · Journal of Palliative Medicine · doi:10.1089/jpm.2020.0776 · Cited by 91 · see citing works
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Fitch, M., & Bartlett, R. (2019) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_62_18 · Cited by 71 · see citing works
Koper, I., Pasman, H. R. W., Schweitzer, B. P. M., Kuin, A., & Onwuteaka-Philipsen, B. D. (2019) · BMC Palliative Care · doi:10.1186/s12904-019-0484-8 · Cited by 70 · see citing works
Kalish, N. (2012) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0b013e328353811c · Cited by 53 · see citing works
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Singh, D. K. M., & Ajinkya, S. (2012) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.108234 · Cited by 47 · see citing works
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Nissen, R. D., Falkø, E., Viftrup, D. T., Hvidt, E. A., Søndergaard, J., Büssing, A., Wallin, J. A., & Hvidt, N. C. (2020) · Religions · doi:10.3390/rel11050252 · Cited by 41 · see citing works
Selby, D., Seccaraccia, D., Huth, J., Kurrpa, K., & Fitch, M. I. (2016) · Journal of Palliative Medicine · doi:10.1089/jpm.2016.0135 · Cited by 34 · see citing works
The Spiritual Needs of Patients and the Procedure to Measure Them: A Literature Review
Seddigh, R., Keshavarz‐Akhlaghi, A., & Azarnik, S. (2016) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.17795/ijpbs-4011 · Cited by 29 · see citing works
Walker, H., & Waterworth, S. (2017) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2017.23.1.18 · Cited by 27 · see citing works
Paal, P., Lex, K., Brandstötter, C., Weck, C., & Lorenzl, S. (2020) · Annals of Palliative Medicine · doi:10.21037/apm.2020.03.37 · Cited by 24 · see citing works
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Taylor, E. J. (2019) · doi:10.1093/med/9780190862374.003.0034 · Cited by 23 · see citing works
Hudson, P., Collins, A., Bostanci, A., Willenberg, L., Stephanov, N., & Phillip, J. (2015) · Palliative & Supportive Care · doi:10.1017/s1478951515000565 · Cited by 21 · see citing works
Screening Patient Spirituality and Spiritual Needs in Oncology Nursing
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McIlfatrick, S., & Hasson, F. (2013) · Journal of Clinical Nursing · doi:10.1111/jocn.12320 · Cited by 20 · see citing works
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Loetz, C., Müller, J. J., Frick, E., Petersen, Y., Hvidt, N. C., & Mauer, C. (2013) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2013/740291 · Cited by 17 · see citing works
HALL, S. L., & Beatty, S. (2014) · Quality of Life Research · doi:10.1007/s11136-014-0627-6 · Cited by 16 · see citing works
Moosavi, S., Borhani, F., Akbari, M. E., Sanee, N., & Rohani, C. (2020) · Supportive Care in Cancer · doi:10.1007/s00520-020-05390-4 · Cited by 14 · see citing works
The assessment of spirituality between cancer and chronic inpatients: a cross-sectional study
Liu, Y., Xue, H., Li, Y., Xia, Y., & Wang, Y. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-06847-4 · Cited by 11 · see citing works
La spiritualité en soins palliatifs adultes en Europe : une recherche de littérature
Meuli, V., & Zulian, G. B. (2015) · Revue internationale de soins palliatifs · doi:10.3917/inka.144.0113 · Cited by 9 · see citing works
Palliative Care Nurse Specialists’ Perspectives on Spiritual Care at End of Life—A Scoping Review
Dunning, B., Connolly, M., & Timmins, F. (2025) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0000000000001114 · Cited by 5 · see citing works
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Matamoros, F. A. S., Pedraza, R. S., & Antequera, C. I. I. (2013) · Revista Colombiana de Cancerología · doi:10.1016/s0123-9015(13)70162-8 · Cited by 5 · see citing works
Wang, W., Yang, J., Bai, D., He, J., Cai, M., Gong, X., Lu, X., Hou, C., & Gao, J. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16888 · Cited by 5 · see citing works
The Role of the Advanced Practice Registered Nurse in Spiritual Care
FERRELL, B. R. (2016) · doi:10.1093/med/9780190204747.003.0044 · Cited by 4 · see citing works
Desarrollo de una Intervención en Espiritualidad en Pacientes con Cáncer
Pedraza, R. S., Matamoros, F. A. S., & Urrego, S. C. S. C. (2014) · Universitas Psychologica · doi:10.11144/javeriana.upsy14-1.dice · Cited by 4 · see citing works
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Pierucci, P., & Carlucci, A. (2016) · European Respiratory Society eBooks · doi:10.1183/2312508x.10012415 · Cited by 3 · see citing works
Braghetta, C. C. (2017) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/d.5.2017.tde-05102017-112819 · Cited by 4 · see citing works
Desarrollo de una intervención centrada en espiritualidad en pacientes con cáncer
Urrego, S. C. S. C., Matamoros, F. A. S., & Sánchez, R. (2015) · Redalyc (Universidad Autónoma del Estado de México) · doi:10.11144/javeriana.upsy13-5.dice · Cited by 2 · see citing works
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Niu, Q., Zhang, C., Zhao, Y., & Zhang, S. (2021) · Research Square · doi:10.21203/rs.3.rs-405412/v1
Milhaud, D. (1916)
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- Authors
- Lunder, U., Furlan, M., & Simonič, A.
- Affiliations
- University Clinic of Pulmonary and Allergic Diseases Golnik (SI)
- University of Ljubljana (SI)
- Corresponding author
- Lunder, Urška
- Venue
- Current Opinion in Supportive & Palliative Care
- Published
- 2011-09
- Volume
- 5
- Issue
- 3
- Pages
- 273-278
- ISSN
- 1751-4258 (ISSN-L)
- OpenAlex
- W1983061436
- Cited by
- 37
- References
- 33
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 4 · 2013: 5 · 2012: 2
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Supportive and Palliative Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- spiritual needs assessment, spiritual distress, end-of-life care, palliative care, spirituality, relatedness, existential beliefs, meaning and purpose, family caregivers, spiritual care, elderly patients, cognitive impairment, dying, cross-cultural validation, screening
- MeSH terms
- Attitude to Death, Health Services Needs and Demand, Humans, Neoplasms, Palliative Care, Psychometrics, Quality of Life, Caregivers, Needs Assessment, Spirituality
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