Spiritual Care at the End of Life (Systematic Review)

Mahmoud Abbasi, Ehsan Shamsi Gooshki, Hedieh Movahedi, Saba Saffari



Human always tries for life and this issue appears more in facing with death. Facing with death is always accompanied with anxiety and panic; in particular, this issue becomes worse that the person is aware of his imminent death and he is placed in the process of End of life.

 According to this issue that in present era, by using the improvements in medical science, the life process becomes longer and often, the person spend this stage of life in isolation and anxiety. Thinking about strategies and measures become so important to address these issues, in the end.

Among the affecting factors in relieving mental and emotional suffering due to the lapse of the death process, especially within the hospital, is the spiritual care and strengthen the spiritual dimension of patients, leads to strengthening their spiritual health.

According to the importance of spiritual care in the end of life and its requirement with the spiritual sense, in this study we intend, by using the studies in this areas, to investigate the importance of providing these services and the type of mechanism and its effect on spiritual health of patient and by using the strengths and weakness points, we want to conclude the way of appropriate spiritual in Iran due to the cultural and religious backgrounds. 


Spiritual Care; Spiritual Health; End of Life

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كريمي، مرتضی،(1385) «جامعه شناسي مرگ: نگاهي كوتاه به مسائل و مشكلات محتضران»، روزنامه شرق، شماره 777، 17/3/1385: صفحه 18 (انديشه).


Carven RF, Himle CJ. (2003) Fundamental of Nursing Human Heart and Function. 4thed. Philadelphia: Liooincot: 1383, 1392

Swinton, J. (2006) ‘Identity and Resistance: Why Spiritual Care Needs 'Enemies'’, Journal of Clinical Nursing, 15:7, 918-928.

Lo B, Ruston D, (2002)”Discussing Religious and Spiritual Issues at the End of Life: a Practical Guide for Physicians”, JAMA. 2002 Feb 13; 287(6):749-54.

Holloway- Margaret (2009)”Spiritual Care at the End of Life: a Systematic Review of the Literature” Researvh Project By Un Iversities Of Hull, Staffordshire and Aberdeen.

Stirling, I. (2007) ‘The Provision of Spiritual Care in a Hospice: Moving Towards a Multidisciplinary Perspective’, Scottish Journal of Healthcare Chaplaincy, 10: 2, 21-6.(1)

Pugh EJ et al,(2010) “Offering Spiritual Support to Dying Patients and Their Families Through a Chaplaincy Service”,Nursing Times, Vol 106 No 28:18-20.

Lindberg, D.A. (2005) “Integrative Review of Research Related to Meditation, Spirituality and the Elderly”, Geriatric Nursing, 26: 6, 372-377.

Kongsuwan W, Touhy T,(2009)” Promoting Peaceful Death for Thai Buddhists Implications for Holistic End-of-Life Care” Holist Nurs Pract,2009 Sep-Oct;23(5):289-96.

Johnson M, (2001)”A Randomized Study of A Novel Zen Dialogue Method for Producing Spiritual and Well-Being Enhancement: Implications for End-Of-Life Care” J Holist Nurs, 2011 Sep;29(3):201-10.

El Nawawi NM, Balboni MJ, Balboni TA,(2012)”Palliative Care and Spiritual Care: the Crucial Role of Spiritual Care in the care of patients with advanced illness” Curr Opin Support Palliat Care. 2012 Jun;6(2):269-74

Yardley, S.J., Walshe, C.E. & Parr, A. (2009) ‘Improving Training in Spiritual Care: a Qualitative study Exploring Patient Perceptions of Professional Education Requirements’, Palliative Medicine, 23, 601-607.

Swinton, J. (2002) Rediscovering Mystery and Wonder: Towards a Narrative,Based Perspective on Chaplaincy’, in L. Vandecreek (ed) Professional Chaplaincy and Clinical Education Should Become More Scientific: Yes and No, New York: Haworth Press.(Book)

Marr, L., Billings, J.A. & Weissman, D.E. (2007) ‘Spirituality Training for Palliative Care Fellows’,Journal of Palliative Medicine, 10: 1, 169-177.


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