Why Is Spiritual Care Infrequent at the End of Life? Spiritual Care Perceptions Among Patients, Nurses, and Physicians and the Role of Training
Open accessAbstract
Purpose: To determine factors contributing to the infrequent provision of spiritual care (SC) by nurses and physicians caring for patients at the end of life (EOL). Patients and Methods: This is a survey-based, multisite study conducted from March 2006 through January 2009. All eligible patients with advanced cancer receiving palliative radiation therapy and oncology physician and nurses at four Boston academic centers were approached for study participation; 75 patients (response rate = 73%) and 339 nurses and physicians (response rate = 63%) participated. The survey assessed practical and operational dimensions of SC, including eight SC examples. Outcomes assessed five factors hypothesized to contribute to SC infrequency. Results: Most patients with advanced cancer had never received any form of spiritual care from their oncology nurses or physicians (87% and 94%, respectively; P for difference = .043). Majorities of patients indicated that SC is an important component of cancer care from nurses and physicians (86% and 87%, respectively; P = .1). Most nurses and physicians thought that SC should at least occasionally be provided (87% and 80%, respectively; P = .16). Majorities of patients, nurses, and physicians endorsed the appropriateness of eight examples of SC (averages, 78%, 93%, and 87%, respectively; P = .01). In adjusted analyses, the strongest predictor of SC provision by nurses and physicians was reception of SC training (odds ratio [OR] = 11.20, 95% CI, 1.24 to 101; and OR = 7.22, 95% CI, 1.91 to 27.30, respectively). Most nurses and physicians had not received SC training (88% and 86%, respectively; P = .83). Conclusion: Patients, nurses, and physicians view SC as an important, appropriate, and beneficial component of EOL care. SC infrequency may be primarily due to lack of training, suggesting that SC training is critical to meeting national EOL care guidelines.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Previous studies have highlighted that psychological problems in end-stage patients were not adequately dealt with in the healthcare system.
“Previous studies have highlighted that psychological problems in end-stage patients were not adequately dealt with in the healthcare system.18–21”
From Psychological adjustment to death anxiety: a qualitative study of Chinese patients with advanced cancer (2024) · cites this paper as [21]
The Introduction (page unavailable) says patients with advanced illness report that medical caregivers infrequently provide spiritual care. That supports an unmet aspect of end-of-life care, but the paper does not establish that psychological problems generally were inadequately addressed across the healthcare system. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Pfeiffer, E. A. (1975) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1975.tb00927.x · Cited by 5,320 · see citing works
Steinhauser, K. E. (2000) · JAMA · doi:10.1001/jama.284.19.2476 · Cited by 2,518 · 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
Balboni, 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
Self-citationEffect of spiritual well-being on end-of-life despair in terminally-ill cancer patients
McClain, C. S., Rosenfeld, B., & Breitbart, W. (2003) · The Lancet · doi:10.1016/s0140-6736(03)13310-7 · Cited by 812 · see citing works
Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.15.1803 · Cited by 503 · see citing works
Phelps, A. C. (2009) · JAMA · doi:10.1001/jama.2009.341 · Cited by 465 · see citing works
Self-citationBalboni, T., Paulk, M. E., Balboni, M., Phelps, A., Loggers, E., Wright, A., Block, S., Lewis, E., Peteet, J., & Prigerson, H. (2010) · Journal of Clinical Oncology · doi:10.1200/jco.2009.24.8005 · Cited by 442 · see citing works
Self-citationPhysicians and Patient Spirituality: Professional Boundaries, Competency, and Ethics
Post, S. G., Puchalski, C. M., & Larson, D. B. (2000) · Annals of Internal Medicine · doi:10.7326/0003-4819-132-7-200004040-00010 · Cited by 417 · see citing works
Should Physicians Prescribe Religious Activities?
Sloan, R. P., Bagiella, E., VandeCreek, L., Hover, M., Casalone, C., Hirsch, T. J., Hasan, Y., Kreger, R., & Poulos, P. (2000) · New England Journal of Medicine · doi:10.1056/nejm200006223422513 · Cited by 333 · see citing works
Balboni, T., Balboni, M., Paulk, M. E., Phelps, A., Wright, A., Peteet, J., Block, S., Lathan, C., VanderWeele, T., & Prigerson, H. (2011) · Cancer · doi:10.1002/cncr.26221 · Cited by 330 · see citing works
Self-citationWilliams, J. A., Meltzer, D., Arora, V., Chung, G., & Curlin, F. A. (2011) · Journal of General Internal Medicine · doi:10.1007/s11606-011-1781-y · Cited by 310 · see citing works
Astrow, A. B., Wexler, A., Texeira, K., He, M. K., & Sulmasy, D. P. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2007.12.4362 · Cited by 303 · see citing works
Phelps, A. C., Lauderdale, K., Alcorn, S. R., Dillinger, J., Balboni, M. J., Wert, M. J. V., VanderWeele, T. J., & Balboni, T. A. (2012) · Journal of Clinical Oncology · doi:10.1200/jco.2011.40.3766 · Cited by 272 · see citing works
Self-citationPatient preference for physician discussion and practice of spirituality
MacLean, C. D., Susi, B., Phifer, N., Schultz, L., Bynum, D., Franco, M., Klioze, A. M., Monroe, M. H., Garrett, J. M., & Cykert, S. (2003) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2003.20403.x · Cited by 258 · see citing works
Religious characteristics of U.S. physicians: A national survey
Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.0119.x · Cited by 242 · see citing works
Alcorn, S. R., Balboni, M. J., Prigerson, H. G., Reynolds, A., Phelps, A. C., Wright, A. A., Block, S. D., Peteet, J. R., Kachnic, L. A., & Balboni, T. A. (2010) · Journal of Palliative Medicine · doi:10.1089/jpm.2009.0343 · Cited by 217 · see citing works
Self-citationCurlin, F. A., Lawrence, R. E., Odell, S., Chin, M. H., Lantos, J. D., Koenig, H. G., & Meador, K. G. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.06122088 · Cited by 213 · 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
True, G., Phipps, E., Braitman, L. E., Harralson, T. L., Harris, D., & Tester, W. J. (2005) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm3002_10 · Cited by 202 · see citing works
Spiritual issues in the care of dying patients: ". . . it's okay between me and god".
Sulmasy, D. (2006) · Journal of the American Medical Association (JAMA) · doi:10.1001/jama.296.11.1385 · Cited by 194 · see citing works
Re-creating your life: a spiritual/psychotherapeutic intervention for people diagnosed with cancer
Cole, B. S., & Pargäment, K. I. (1999) · Psycho-Oncology · doi:10.1002/(sici)1099-1611(199909/10)8:5 · Cited by 160 · see citing works
Winkelman, W. D., Lauderdale, K., Balboni, M. J., Phelps, A. C., Peteet, J. R., Block, S. D., Kachnic, L. A., VanderWeele, T. J., & Balboni, T. A. (2011) · Journal of Palliative Medicine · doi:10.1089/jpm.2010.0536 · Cited by 159 · see citing works
Self-citationPrimary Care Physician Preferences Regarding Spiritual Behavior in Medical Practice
Monroe, M. H., Bynum, D., Susi, B., Phifer, N., Schultz, L., Franco, M., MacLean, C. D., Cykert, S., & Garrett, J. M. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.22.2751 · Cited by 151 · see citing works
Spirituality and End-of-Life Care: A Time for Listening and Caring
Puchalski, C. M. (2002) · Journal of Palliative Medicine · doi:10.1089/109662102753641287 · Cited by 144 · see citing works
An Exploratory Study of Spiritual Care at the End of Life
Daaleman, T. P., Usher, B. M., Williams, S. W., Rawlings, J., & Hanson, L. C. (2008) · The Annals of Family Medicine · doi:10.1370/afm.883 · Cited by 136 · see citing works
An assessment of US physicians’ training in religion, spirituality, and medicine
Rasinski, K. A., Kalad, Y. G., Yoon, J. D., & Curlin, F. A. (2011) · Medical Teacher · doi:10.3109/0142159x.2011.588976 · Cited by 99 · see citing works
Balboni, M. J., Babar, A., Dillinger, J., Phelps, A. C., George, E. R., Block, S. D., Kachnic, L. A., Hunt, J., Peteet, J. R., Prigerson, H. G., et al. (2011) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2010.07.008 · Cited by 64 · see citing works
Self-citationLo, B., Kates, L. W., Ruston, D. C., Arnold, R. M., Cohen, C. B., Puchalski, C. M., Pantilat, S. Z., Rabow, M. W., Schreiber, R. S., & Tulsky, J. A. (2003) · Journal of Palliative Medicine · doi:10.1089/109662103322144727 · Cited by 53 · see citing works
The witches’ brew of spirituality and medicine
Lawrence, R. J. (2002) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2401_09 · Cited by 44 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [17]The Joint Commission. In 3.7.0.0 E-dition, 2011:PC.02.13. [Google Scholar]
- [26]Fetzer Institute/ National Institute on Aging. Kalamazoo, MI: Fetzer Institute/National Institute on Aging; 2003. Multidimensional measurement of religiousness/spirituality for use in health research: A report of the Fetzer Institute/ National Institute on Aging Working Group. [Google Scholar]
- [30]American Association for Colleges of Nursing. Washington, DC: American Association for Colleges of Nursing; 1998. Essentials of Baccalaureate Education for Professional Nursing Practice. [Google Scholar]
- [35]Pew Forum on Religious and Public Life. U.S. Religions Landscape Survey. 2008 http://religions.pewforum.org/maps. [Google Scholar]
Cited by
Sorted by citations
Handbook of Religion and Health
Koenig, H. G., VanderWeele, T. J., & Peteet, J. R. (2023) · doi:10.1093/oso/9780190088859.001.0001 · Cited by 1,150 · see citing works
Self-citationDelivering High-Quality Cancer Care: Charting a New Course for a System in Crisis
Levit, L. A., Balogh, E. P., Nass, S. J., & Ganz, P. A. (2014) · Cited by 956 · see citing works
Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology
Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., Buchmann, L. O., Clark, M. M., Collins, M., Corbett, C., et al. (2019) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2019.0048 · Cited by 871 · see citing works
Integration of oncology and palliative care: a Lancet Oncology Commission
Kaasa, S., Loge, J. H., Aapro, M., Albreht, T., Anderson, R., Bruera, E. D., Brunelli, C., Caraceni, A. T., Cervantes, A. M. R., Currow, D. C., et al. (2018) · The Lancet Oncology · doi:10.1016/s1470-2045(18)30415-7 · Cited by 834 · see citing works
Religion, spirituality, and physical health in cancer patients: A meta‐analysis
Jim, H. S. L., Pustejovsky, J. E., Park, C. L., Danhauer, S. C., Sherman, A. C., Fitchett, G., Merluzzi, T. V., Munoz, A. R., George, L., Snyder, M. A., et al. (2015) · Cancer · doi:10.1002/cncr.29353 · Cited by 373 · see citing works
Balboni, T. A., Balboni, M. J., Enzinger, A. C., Gallivan, K., Paulk, M. E., Wright, A. A., Steinhauser, K. E., VanderWeele, T. J., & Prigerson, H. G. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.903 · Cited by 361 · see citing works
Self-citationNurse and Physician Barriers to Spiritual Care Provision at the End of Life
Balboni, M. J., Sullivan, A., Enzinger, A. C., Epstein-Peterson, Z. D., Tseng, Y. D., MITCHELL, C. M., Niska, J. R., Zollfrank, A. A., VanderWeele, T. J., & Balboni, T. A. (2014) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2013.09.020 · Cited by 333 · see citing works
Self-citationDo patients want doctors to talk about spirituality? A systematic literature review
Best, M., Butow, P., & Olver, I. (2015) · Patient Education and Counseling · doi:10.1016/j.pec.2015.04.017 · Cited by 279 · see citing works
Selman, L. E., Brighton, L. J., Sinclair, S., Karvinen, I., Egan, R., Speck, P. W., Powell, R. A., Deskur-Śmielecka, E., Glajchen, M., Adler, S. R., et al. (2017) · Palliative Medicine · doi:10.1177/0269216317734954 · Cited by 285 · see citing works
Steinhauser, K. E., Fitchett, G. A., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargäment, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J., & Balboni, T. A. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.028 · Cited by 282 · see citing works
Self-citationSpirituality and religion in oncology
Peteet, J. R., & Balboni, M. (2013) · Ca · doi:10.3322/caac.21187 · Cited by 239 · see citing works
Self-citationSpiritual Care in Palliative Care: A Systematic Review of the Recent European Literature
Gijsberts, M.-J. H. E., Liefbroer, A. I., Otten, R. H. J., & Olsman, E. (2019) · Medical Sciences · doi:10.3390/medsci7020025 · Cited by 278 · see citing works
VanderWeele, T. J., Balboni, T. A., & Koh, H. K. (2017) · JAMA · doi:10.1001/jama.2017.8136 · Cited by 212 · see citing works
Self-citationBalboni, T., Fitchett, G., Handzo, G., Johnson, K. S., Koenig, H., Pargament, K., Puchalski, C., Sinclair, S., Taylor, E., & Steinhauser, K. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.07.029 · Cited by 166 · see citing works
Self-citationFitchett, G. A., Emanuel, L. L., Handzo, G. F., Boyken, L., & Wilkie, D. J. (2015) · BMC Palliative Care · doi:10.1186/s12904-015-0007-1 · Cited by 191 · see citing works
Ernecoff, N. C., Curlin, F. A., Buddadhumaruk, P., & White, D. B. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.4124 · Cited by 182 · see citing works
Doctors discussing religion and spirituality: A systematic literature review
Best, M., Butow, P., & Olver, I. (2016) · Palliative Medicine · doi:10.1177/0269216315600912 · Cited by 216 · see citing works
Harrad, R., Cosentino, C., Keasley, R., & Sulla, F. (2019) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v90i4-s.8300 · Cited by 161 · see citing works
Spiritual Care Education of Health Care Professionals
Baldacchino, D. (2015) · Religions · doi:10.3390/rel6020594 · Cited by 149 · see citing works
Spiritual care provision to end‐of‐life patients: A systematic literature review
Batstone, E., Bailey, C., & Hallett, N. (2020) · Journal of Clinical Nursing · doi:10.1111/jocn.15411 · Cited by 146 · see citing works
Nilsén, P., Wallerstedt, B., Behm, L., & Ahlström, G. (2018) · Implementation Science · doi:10.1186/s13012-017-0699-0 · Cited by 145 · see citing works
Religion and health: A synthesis.
VanderWeele, T. J. (2017) · Cited by 143 · see citing works
Self-citationInterprofessional spiritual care in oncology: a literature review
Puchalski, C. M., Sbrana, A., FERRELL, B. R., Jafari, N., King, S. H., Balboni, T. A., Miccinesi, G., Vandenhoeck, A., Silbermann, M., Balducci, L., et al. (2019) · ESMO Open · doi:10.1136/esmoopen-2018-000465 · Cited by 145 · see citing works
Self-citationIntensive care nurses’ experiences of end-of-life care
Kisorio, L. C., & Langley, G. (2016) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2015.11.002 · Cited by 128 · see citing works
Relationship Between Chaplain Visits and Patient Satisfaction
Marin, D. B., Sharma, V., Sosunov, E. A., Egorova, N., Goldstein, R., & Handzo, G. F. (2015) · Journal of Health Care Chaplaincy · doi:10.1080/08854726.2014.981417 · Cited by 118 · see citing works
Nurses’ response to spiritual needs of cancer patients
Shaha, M., FERRELL, B. R., & Economou, D. R. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101792 · Cited by 111 · see citing works
Spiritual care in the intensive care unit: An integrative literature research
Willemse, S., Smeets, W., van Leeuwen, E., Nielen-Rosier, T., Janssen, L., & Foudraine, N. A. (2020) · Journal of Critical Care · doi:10.1016/j.jcrc.2020.01.026 · Cited by 102 · see citing works
Spiritual Care in the Intensive Care Unit: A Narrative Review
Ho, J. Q., Nguyen, C. D., Lopes, R., Ezeji-Okoye, S. C., & Kuschner, W. G. (2017) · Journal of Intensive Care Medicine · doi:10.1177/0885066617712677 · Cited by 94 · see citing works
Riahi, S., Goudarzi, F., Hasanvand, S., Abdollahzadeh, H., Ebrahimzadeh, F., & Dadvari, Z. (2018) · Journal of Medicine and Life · doi:10.25122/jml-2018-0056 · Cited by 68 · see citing works
Austin, P., Macdonald, J., & MacLeod, R. (2018) · Religions · doi:10.3390/rel9030070 · Cited by 86 · see citing works
Rodin, D. L., Balboni, M. J., MITCHELL, C. M., Smith, P. T., VanderWeele, T. J., & Balboni, T. A. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2611-2 · Cited by 81 · see citing works
Self-citationBar‐Sela, G., Schultz, M., Elshamy, K., Rassouli, M., Ben‐Arye, E., Doumit, M. A. A., Gafer, N., Albashayreh, A., Ghrayeb, I. M., Türker, İ., et al. (2018) · Palliative & Supportive Care · doi:10.1017/s147895151800055x · Cited by 80 · see citing works
Rabow, M. W., & Knish, S. J. (2014) · Supportive Care in Cancer · doi:10.1007/s00520-014-2428-4 · Cited by 79 · see citing works
Spiritual care in cancer patients: a need or an option?
Ripamonti, C., Giuntoli, F., Gonella, S., & Miccinesi, G. (2018) · Current Opinion in Oncology · doi:10.1097/cco.0000000000000454 · Cited by 58 · see citing works
Interconnections: Spirituality, Spiritual Care, and Patient-Centered Care
Vincensi, B. B. (2019) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_48_18 · Cited by 77 · see citing works
Patient Perspectives about Spirituality and Spiritual Care
Fitch, M., & Bartlett, R. (2019) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_62_18 · Cited by 71 · see citing works
Experiences and Expressions of Spirituality at the End of Life in the Intensive Care Unit
Swinton, M. E., Giacomini, M. K., Toledo, F., Rose, T., Hand-Breckenridge, T., Boyle, A., Woods, A., Clarke, F. J., Shears, M., Sheppard, R., et al. (2016) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201606-1102oc · Cited by 72 · 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
Tornøe, K. A., Danbolt, L. J., Kvigne, K. J., & Sørlie, V. M. (2015) · BMC Nursing · doi:10.1186/s12912-015-0114-6 · Cited by 70 · see citing works
Why do We Find It so Hard to Discuss Spirituality? A Qualitative Exploration of Attitudinal Barriers
Best, M., Butow, P., & Olver, I. (2016) · Journal of Clinical Medicine · doi:10.3390/jcm5090077 · Cited by 65 · see citing works
Hodge, D. R., Salas‐Wright, C. P., & Wolosin, R. J. (2014) · Journal of Applied Gerontology · doi:10.1177/0733464813515090 · Cited by 64 · see citing works
The influence of spirituality and religion on critical care nursing: An integrative review
Badanta, B., Rivilla‐García, E., Lucchetti, G., & de Diego‐Cordero, R. (2021) · Nursing in Critical Care · doi:10.1111/nicc.12645 · Cited by 64 · see citing works
Francoeur, R. B., Burke, N., & Wilson, A. M. (2016) · Social Work in Public Health · doi:10.1080/19371918.2016.1146199 · Cited by 62 · see citing works
Teaching Health Care Providers To Provide Spiritual Care: A Pilot Study
Zollfrank, A. A., Trevino, K., Cadge, W., Balboni, M., Thiel, M., Fitchett, G., Gallivan, K., VanderWeele, T., & Balboni, T. (2015) · Journal of Palliative Medicine · doi:10.1089/jpm.2014.0306 · Cited by 59 · see citing works
Self-citationExamining Forms of Spiritual Care Provided in the Advanced Cancer Setting
Epstein-Peterson, Z., Sullivan, A., Enzinger, A. C., Trevino, K., Zollfrank, A. A., Balboni, M., VanderWeele, T., & Balboni, T. (2014) · The American journal of hospice & palliative care · doi:10.1177/1049909114540318 · Cited by 57 · see citing works
Self-citationIntegrating Palliative Care in Oncology
Rangachari, D., & Smith, T. J. (2013) · The Cancer Journal · doi:10.1097/ppo.0b013e3182a76b9c · Cited by 61 · see citing works
A willingness to go there: Nurses and spiritual care
Minton, M. E., Isaacson, M. J., Varilek, B. M., Stadick, J. L., & O'Connell‐Persaud, S. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13867 · Cited by 61 · see citing works
Validierung einer deutschsprachigen Spiritual Care-Kompetenz-Skala
Frick, E., Theiss, M., Recchia, D. R., & Büssing, A. (2019) · Spiritual Care · doi:10.1515/spircare-2018-0066 · Cited by 48 · see citing works
Toward a Fully Fledged Integration of Spiritual Care and Medical Care
Kruizinga, R., Scherer‐Rath, M., Schilderman, H., Puchalski, C. M., & van Laarhoven, H. W. M. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.11.015 · Cited by 60 · see citing works
Spiritual Care in Palliative Care
Best, M., Vivat, B., & Gijsberts, M. (2023) · Religions · doi:10.3390/rel14030320 · Cited by 34 · see citing works
Farahani, A. S., Rassouli, M., Salmani, N., Mojen, L. K., Sajjadi, M., Heidarzadeh, M., Masoudifar, Z., & Khademi, F. (2019) · Asia-Pacific Journal of Oncology Nursing · doi:10.4103/apjon.apjon_69_18 · Cited by 53 · see citing works
Spiritual concerns in Hindu cancer patients undergoing palliative care: A qualitative study
Simha, S., Noble, S., & Chaturvedi, S. K. (2013) · Indian Journal of Palliative Care · doi:10.4103/0973-1075.116716 · Cited by 51 · see citing works
Spiritual care: which is the best assessment tool for palliative settings?
Blaber, M., Jone, J., & Willis, D. (2015) · International Journal of Palliative Nursing · doi:10.12968/ijpn.2015.21.9.430 · Cited by 51 · see citing works
Spiritual distress and spiritual care in advanced heart failure
Gillilan, R. E., Qawi, S., Weymiller, A., & Puchalski, C. M. (2017) · Heart Failure Reviews · doi:10.1007/s10741-017-9635-2 · Cited by 51 · see citing works
Franzen, A. B. (2016) · Journal for the Scientific Study of Religion · doi:10.1111/jssr.12289 · Cited by 47 · see citing works
Respecting the Spiritual Side of Advanced Cancer Care: a Systematic Review
Piderman, K. M., Kung, S., Jenkins, S. M., Euerle, T. T., Yoder, T. J., Kwete, G. M., & Lapid, M. I. (2015) · Current Oncology Reports · doi:10.1007/s11912-014-0429-6 · Cited by 47 · see citing works
Austin, P., MacLeod, R., Siddall, P. J., McSherry, W., & Egan, R. (2017) · Journal for the Study of Spirituality · doi:10.1080/20440243.2017.1290031 · Cited by 47 · see citing works
Vivat, B., Young, T., Winstanley, J. B., Arrarás, J. I., Black, K., Boyle, F. M., Brédart, A., Costantini, A., Guo, J., Irarrázaval, M. E., et al. (2017) · European Journal of Cancer Care · doi:10.1111/ecc.12697 · Cited by 50 · see citing works
Training Community Clergy in Serious Illness: Balancing Faith and Medicine
Koss, S. E., Weissman, R., Chow, V. W. K., Smith, P. T., Slack, B., Voytenko, V. L., Balboni, T. A., & Balboni, M. J. (2018) · Journal of Religion and Health · doi:10.1007/s10943-018-0645-8 · Cited by 46 · see citing works
Self-citationNurses’ Attitudes Towards Death and Their Effects on Spirituality and Spiritual Care
Kudubeş, A. A., Akıl, Z. K., Bektaş, M., & Bektaş, İ. (2019) · Journal of Religion and Health · doi:10.1007/s10943-019-00927-2 · Cited by 43 · see citing works
Spirituality in the continuing education of healthcare professionals: An approach to palliative care
Dezorzi, L. W., Raymundo, M. M., Goldim, J., & de Oliveira, C. A. V. (2019) · Palliative & Supportive Care · doi:10.1017/s1478951519000117 · Cited by 24 · see citing works
Colenda, C., & Blazer, D. (2021) · The American journal of geriatric psychiatry · doi:10.1016/j.jagp.2021.11.014 · Cited by 21 · see citing works
Spiritual Care in the ICU: Perspectives of Dutch Intensivists, ICU Nurses, and Spiritual Caregivers
Willemse, S., Smeets, W., van Leeuwen, E., Janssen, L., & Foudraine, N. A. (2017) · Journal of Religion and Health · doi:10.1007/s10943-017-0457-2 · Cited by 42 · see citing works
Franzen, A. B. (2016) · doi:10.31235/osf.io/ufmz4 · Cited by 41 · see citing works
Spiritual quality of life in advanced cancer patients receiving radiation therapy
Piderman, K. M., Johnson, M. E., Frost, M. H., Atherton, P. J., Satele, D., Clark, M. M., Lapid, M. I., Sloan, J. A., & Rummans, T. A. (2013) · Psycho-Oncology · doi:10.1002/pon.3390 · Cited by 40 · see citing works
Kittelson, S. M., Scarton, L. J., Barker, P. C., Hauser, J. M., O’Mahony, S., Rabow, M. W., Delgado-Guay, M. O., Quest, T. E., Emanuel, L. L., Fitchett, G. A., et al. (2018) · JMIR Research Protocols · doi:10.2196/12213 · Cited by 40 · see citing works
The Differential Effects of Chaplain Interventions on Patient Satisfaction
Sharma, V., Marin, D. B., Sosunov, E. A., Özbay, F., Goldstein, R., & Handzo, G. F. (2016) · Journal of Health Care Chaplaincy · doi:10.1080/08854726.2015.1133203 · Cited by 39 · see citing works
Supporting Muslim Patients During Advanced Illness
Boucher, N. A., Siddiqui, E. A., & Koenig, H. G. (2017) · The Permanente Journal · doi:10.7812/tpp/16-190 · Cited by 39 · see citing works
A Survey on the Integration of Spiritual Care in Medical Schools from the German-Speaking Faculties
Taverna, M., Berberat, P. O., Sattel, H. C., & Frick, E. (2019) · Advances in Medical Education and Practice · doi:10.2147/amep.s224679 · Cited by 40 · see citing works
Zafar, W., Hafeez, H., Jamshed, A., Shah, M. A., Quader, A. U., & Yusuf, M. A. (2016) · Palliative Medicine · doi:10.1177/0269216315625810 · Cited by 38 · see citing works
Registered nurses and undergraduate nursing students' attitudes to performing end-of-life care
Fristedt, S., Grynne, A., Melin‐Johansson, C., Henoch, I., Hagelin, C. L., & Browall, M. (2021) · Nurse Education Today · doi:10.1016/j.nedt.2021.104772 · Cited by 38 · see citing works
Spirituality in Cancer Care at the End of Life
FERRELL, B. R., Otis‐Green, S., & Economou, D. R. (2013) · The Cancer Journal · doi:10.1097/ppo.0b013e3182a5baa5 · Cited by 38 · see citing works
de Camargos, M. G., Paiva, C., Barroso, E., Carneseca, E., & Paiva, B. (2015) · Medicine · doi:10.1097/md.0000000000002145 · Cited by 32 · see citing works
Effect of a spiritual care training program for staff on patient outcomes
Yang, G. M., Tan, Y. Y., Cheung, Y. B., Lye, W. K., Lim, S. H. A., Ng, W. R., Puchalski, C. M., & Neo, P. S. H. (2016) · Palliative & Supportive Care · doi:10.1017/s1478951516000894 · Cited by 38 · see citing works
VanderWeele, T. J., Balboni, T. A., & Koh, H. K. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwab134 · Cited by 40 · see citing works
Self-citationTornøe, K. A., Danbolt, L. J., Kvigne, K. J., & Sørlie, V. M. (2015) · BMC Palliative Care · doi:10.1186/s12904-015-0042-y · Cited by 35 · see citing works
Reporting spiritual needs of older adults living in Bavarian residential and nursing homes
Ging, C. I. M., Uslucan, J. Ö., Fegg, M. J., Frick, E., & Büssing, A. (2015) · Mental Health Religion & Culture · doi:10.1080/13674676.2015.1100159 · Cited by 35 · see citing works
Krakauer, E. L., Kane, K., Kwete, X. J., Afshan, G., Bazzett‐Matabele, L., Bien-Aimé, D. D. R., Borges, L. F., Byrne-Martelli, S. E., Connor, S. R., Correa, R., et al. (2021) · JCO Global Oncology · doi:10.1200/go.21.00026 · Cited by 34 · see citing works
Efficacy of Training Interprofessional Spiritual Care Generalists
Robinson, M. R., Thiel, M. M., Shirkey, K. C., Zurakowski, D., & Meyer, E. C. (2016) · Journal of Palliative Medicine · doi:10.1089/jpm.2015.0373 · Cited by 34 · see citing works
Death doulas as supportive companions in end-of-life care: A scoping review
Yoong, S. Q., Goh, H. S., & Zhang, H. (2022) · Palliative Medicine · doi:10.1177/02692163221080659 · Cited by 33 · see citing works
The Day Two Talk: Early Integration of Palliative Care Principles in Pediatric Oncology
Waldman, E. D., & Levine, J. M. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2016.69.3739 · Cited by 33 · see citing works
Physicians' Opinions on Engaging Patients' Religious and Spiritual Concerns: A National Survey.
Smyre, C. L., Tak, H., Dang, A. P., Curlin, F., & Yoon, J. D. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2017.10.015 · Cited by 28 · see citing works
Anandarajah, G., Roseman, J., Lee, D.-Y., & Dhandhania, N. (2016) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.06.006 · Cited by 31 · see citing works
The role of geriatric palliative care in hospitalized older adults
Santivasi, W. L., Partain, D. K., & Whitford, K. J. (2019) · Hospital Practice · doi:10.1080/21548331.2019.1703707 · Cited by 32 · see citing works
Spiritual Aspects of Care for Adolescents with Cancer
Proserpio, T., Ferrari, A., Veneroni, L., Giacon, B., Massimino, M., & Clerici, C. A. (2014) · Tumori Journal · doi:10.1177/1636.17926 · Cited by 32 · see citing works
Spiritual care for people with intellectual and developmental disability: An exploratory study
Sango, P. N., & Forrester‐Jones, R. (2017) · Journal of Intellectual & Developmental Disability · doi:10.3109/13668250.2017.1350834 · Cited by 31 · see citing works
Pediatric Palliative Care in the Multicultural Context: Findings From a Workshop Conference.
Rosenberg, A., Bona, K., Coker, T., Feudtner, C., Houston, K. A., Ibrahim, A., Macauley, R. C., Wolfe, J., & Hays, R. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.01.005 · Cited by 27 · see citing works
Expert Discussion on Taking a Spiritual History
Paal, P., Frick, E., Roser, T., & Jobin, G. (2017) · Journal of Palliative Care · doi:10.1177/0825859717710888 · Cited by 23 · see citing works
MITCHELL, C. M., Epstein-Peterson, Z. D., Bandini, J. I., Amobi, A., Cahill, J. F. X., Enzinger, A. C., Noveroske, S., Peteet, J. R., Balboni, T. A., & Balboni, M. J. (2016) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.05.018 · Cited by 30 · see citing works
Self-citationThe Physician’s Role in Responding to Existential Suffering: What Does It Mean to Comfort Always?
Amonoo, H. L., Harris, J. H., Murphy, W. S., Abrahm, J. L., & Peteet, J. R. (2019) · Journal of Palliative Care · doi:10.1177/0825859719839332 · Cited by 29 · see citing works
Self-citationEvaluating the Use of Standardized Patients in Teaching Spiritual Care at the End of Life
Fink, M., Linnard-Palmer, L., Ganley, B. J., Catolico, O., & Phillips, W. (2014) · Clinical Simulation in Nursing · doi:10.1016/j.ecns.2014.09.003 · Cited by 29 · see citing works
Canfield, C. M., Taylor, D., Nagy, K., Strauser, C., VanKerkhove, K., Wills, S., Sawicki, P., & Sorrell, J. M. (2016) · American Journal of Critical Care · doi:10.4037/ajcc2016276 · Cited by 28 · see citing works
Palliative care in mental health facilities from the perspective of nurses: a mixed‐methods study
Evenblij, K., Widdershoven, G. A. M., Onwuteaka-Philipsen, B. D., de Kam, H., & Pasman, H. R. W. (2016) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12320 · Cited by 28 · see citing works
Signs of spiritual distress and its implications for practice in Indian Palliative Care
Gielen, J., Bhatnagar, S., Satija, A., Singh, S., Noble, S., & Chaturvedi, S. K. (2017) · Indian Journal of Palliative Care · doi:10.4103/ijpc.ijpc_24_17 · Cited by 28 · see citing works
Kelly, J. A., May, C. S., & Maurer, S. H. (2016) · Journal of Palliative Medicine · doi:10.1089/jpm.2015.0509 · Cited by 28 · see citing works
The doctor’s role in helping dying patients with cancer achieve peace: A qualitative study
Best, M. C., Butow, P. N., & Olver, I. (2014) · Palliative Medicine · doi:10.1177/0269216314536455 · Cited by 28 · see citing works
Alch, C. K., Wright, C. L., Collier, K. M., & Choi, P. J. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120970903 · Cited by 27 · see citing works
Chow, H., Chew, Q., & Sim, K. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-044321 · Cited by 24 · see citing works
Gaignard, M., Pautex, S., & Hurst, S. (2023) · PLoS ONE · doi:10.1371/journal.pone.0284698 · Cited by 28 · see citing works
Developments in spiritual care education in German - speaking countries
Paal, P., Roser, T., & Frick, E. (2014) · BMC Medical Education · doi:10.1186/1472-6920-14-112 · Cited by 27 · see citing works
- Authors
- Balboni, M. J., Sullivan, A., Amobi, A., Phelps, A. C., Gorman, D. P., Zollfrank, A., Peteet, J. R., Prigerson, H. G., VanderWeele, T. J., & Balboni, T. A.
- Affiliations
- Brigham and Women's Hospital (US)
- Corresponding author
- Balboni, Michael J.
- ORCID
- Venue
- Journal of Clinical Oncology
- Published
- 2013-02-01
- Volume
- 31
- Issue
- 4
- Pages
- 461-467
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- PMC
- PMC4878036
- OpenAlex
- W2169196864
- Cited by
- 457
- References
- 30
- Citations by year
- 2026: 22 · 2025: 14 · 2024: 26 · 2023: 64 · 2022: 28 · 2021: 31 · 2020: 81 · 2019: 35 · 2018: 28 · 2017: 32 · 2016: 37 · 2015: 30 · 2014: 19 · 2013: 10
- FWCI
- 18.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Oncology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- John Templeton Foundation
- National Cancer Institute (T32CA009172)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- spiritual care, end-of-life care, palliative care, advanced cancer, spiritual care education, nurses, physicians, patient perspectives, oncology nursing, palliative radiotherapy
- MeSH terms
- Adult, Aged, Analysis of Variance, Attitude of Health Personnel, Boston, Female, Humans, Male, Middle Aged, Neoplasms, Nurses, Oncology Nursing, Palliative Care, Pastoral Care, Physicians, Quality of Health Care, Surveys and Questionnaires, Religion and Medicine, Social Perception, Terminal Care, Linear Models, Logistic Models, Terminally Ill, Spirituality
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
