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Cited by 457Palliative and Oncologic CareReligion, Spirituality, and PsychologyPalliative Care and End-of-Life Issues

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Why Is Spiritual Care Infrequent at the End of Life? Spiritual Care Perceptions Among Patients, Nurses, and Physicians and the Role of Training

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Balboni, Michael J., Sullivan, Adam, Amobi, Adaugo, Phelps, Andrea C., Gorman, Daniel P., Zollfrank, Angelika, Peteet, John R., Prigerson, Holly G., VanderWeele, Tyler J., Balboni, Tracy A.·2013·Journal of Clinical Oncology
DOI 10.1200/jco.2012.44.6443PMC PMC4878036
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Abstract

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.

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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
Publisher
American Society of Clinical Oncology (ASCO)
Published
2013-02-01
Volume
31
Issue
4
Pages
461-467
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
DOI
10.1200/jco.2012.44.6443
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
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

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