Executive Instruction for Establishment of Spiritual Health Services in Iranian Hospitals
akhlāq-i pizishkī i.e., Medical Ethics,
Vol. 14 No. 45 (1399),
30 March 2020
,
Page 1-12
https://doi.org/10.22037/mej.v14i45.26723
Abstract
Background and Aim: Spiritual care can alleviate physical pain and improve mental well-being, but has not been addressed in the hospital. This study was conducted to design an executive instruction for establishment of spiritual health services in Iranian hospitals.
Materials and Methods: A descriptive-analytic study was conducted in the form of designing a system in three main stages of review study, qualitative study and designing a placement style sheet. Data were collected using internal and external databases and six focused group discussions. Stakeholder analysis was carried out and the principles of design were formulated and were agreed. Based on the five main components of a system, style sheet of establishing spiritual services was designed in a hospital.
Findings: Principles of Executive instruction includes designing a comprehensive spiritual health services and integrating it into the current system, continuing care in mental and social dimensions, participating senior hospital and physician and nursing managers, evidence-based executive guidelines and emphasizing Spiritual Health Services as an organizational value. The expected goals of this instruction are to increase patient satisfaction, facilitate the recovery of acute illnesses and increase resilience to malignant diseases, reduce patient referrals, improve spiritual and religious status and enhance spiritual skills and promote healthy behaviors. The main process of spiritual health services consists of three main components of the evaluation of spiritual health by a physician, the implementation of spiritual health counseling by an elected counselor, support services including hospital facilities at the time of patient hospitalization and patient education at discharge and post-discharge support.
Ethical Considerations: The objectives and content of the study were explained to all participants and after obtaining informed consent, the interviews were recorded. Participants were assured that information will be confidential.
Conclusion: Implementation of the designed executive introduction requires the establishment of political support structures, structural and operational dimensions, clinical skills and promotion of people behavior and culture. To establish the introduction, managers must capture the financial, human, equipment and information resources needed and pay attention to the feasibility results of the study.
- Spiritual Health; Establishment; Executive Instruction; Hospital
How to Cite
References
Bagherpour M, Abdollahzadeh H, Salamati Z. The Impact of Spiritual Care Skills Instruction on Nursing Students’ Achievement Motivation and Styles of Communication with Patient. Iranian Journal of Medical Education 2016; 16(57): 516-524.
Beigi A, Habibi S, Rezaei Hesar H, Niasty R, Shams Ali Z, Ashoori J, et al. Effect of spiritual training on decreased anxiety and increased quality of life of women with gestational diabetesin the assement of nursing and modern care. J Diabetes Nurs 2016; 4(3): 19-29.
Moeini M, Taleghani F, Mehrabi T, Musarezaie A. Effect of a spiritual care program on levels of anxiety in patients with leukemia. Iranian Journal of Nursing and Midwifery Research 2014; 19(1): 88-93.
Azarnik S, Seddigh R, Keshavarz-Akhlaghi A, Memaryan N. Educational Resources of Psychiatry Residency about Spirituality in Iran: A Qualitative Study. IJPCP 2015; 21(2): 175-186.
Damari B, Hajebi A, Bolhari J, Heidari A. Developing a training course for spiritual counselors in health care: Evidence from Iran. Indian J Palliat Care 2018; 24(2): 145-149.
Heidari A, Hajebi A, Bolhari J, Damari B. A plan for spiritual health services in Iranian hospitals. Journal of Medicine and Cultivation 2018; 27(1): 56-66.
Ravari A, Mirzaei T, Salamizadeh A, Askari Majdabadi H. Effect of the spiritual care training on anxiety reduction in home caregivers of the elderly with Alzheimer disease. Koomesh 2017; 19(2): 467-474.
Adib-Hajbaghery M, Zehtabchi S. Assessment of nurses’ professional competence in spiritual care in Kashan’s hospitals in 2014. Sci J Hamadan Nurs Midwifery Fac 2014; 22(4): 23-32.
Kachoie A, Ahmari Tehran H, Dehghani F, Abbasi M, Parizad A. Physicians' Attitudes towards Spirituality and Pastoral Care. J Mazandaran Univ Med Sci 2016; 26(138): 151-160.
Yousefi H, Abedi HA. Spiritual care in hospitalized patients. Iranian Journal of Nursing and Midwifery Research 2011; 16(1): 125-132.
Ravangard R, Keshtkaran V, Niknam S, Yusefi AR, Heidari AR. The Decision-Making Styles of Managers of Public and Private Hospitals in Shiraz. JHOSP 2013; 12(3): 39-45.
Yusefi A, Jabbari A, Koushki J, Heidari A. The relationship between personality type and leadership style of managers in educational hospitals of Shiraz University of Medical Sciences. Health Develop J 2014; 3(1): 84-93.
Saad M, De Medeiros R. Programs of religious/ spiritual support in hospitals - five "Whies" and five "Hows". Philos Ethics Humanit Med 2016; 11(1): 1-5.
Chan MF, Chung LYF, Lee ASC, Wong WK, EE GSC, Lau CY, et al. Investigating spiritual care perceptions and practice patterns in Hong Kong nurses: Results of a cluster analysis. Nurse Education Today 2006; 26(2): 139-150.
Tiew LH, Creedy DK, Chan MF. Student nurses' perspectives of spirituality and spiritual care. Nurse Education Today 2013; 33(6): 574-579.
Eri M, Jafari N, Kabir MJ, Mahmoodishan G, Moghassemi MJ, Tahanian M, et al. Concept and Challenges of Delivering Preventive and Care Services in Prehospital Emergency Medical Service: A Qualitative Study. J Mazandaran Univ Med Sci 2015; 25(126): 42-57.
Puchalski CM, Blatt B, Kogan M, Butler A. Spirituality and health: The development of a field. Acad Med 2014; 89(1): 10-16.
Kociszewski C. Spiritual care: a phenomenological study of critical care nurses. Heart Lung 2004; 33(6): 401-411.
Smith AR. Using the Synergy Model to Provide Spiritual Nursing Care in Critical Care Settings. Crit Care Nurse 2006; 26(4): 41-47.
Kinnersley P, Stott N, Peters TJ, Harvey I. The patient-centredness of consultations and outcome in primary care. Br J Gen Pract 1999; 49(446): 711-716.
D'Souza RF, Rodrigo A. Spiritually augmented cognitive behavioural therapy. Australas Psychiatry 2004; 12(2): 148-152.
Sajadi M, Niazi N, Khosravi S, Yaghobi A, Rezaei M. Effect of spiritual counseling on spiritual well-being in Iranian women with cancer: A randomized clinical trial. J Complement Therap Clin Pract 2017; 30: 79-84.
Safara M, Khanbabaee M, Khanbabaee M. Effectiveness of Spiritual Group Counseling on the Psychological Well-Being of Girls from Divorced Families. Health Spiritual Med Ethics 2019; 6(1): 18-24.
Martinez JS, Smith TB, Barlow SH. Spiritual interventions in psychotherapy: Evaluations by highly religious clients. J ClinPsychol 2007; 63(10): 943-960.
Hawks SR, Hull ML, Thalman RL, Richins PM. Review of spiritual health: Definition, role and intervention strategies in health promotion. American Journal of Health Promotion: AJHP 1995; 9(5): 371-378.
Ghahari SH, Fallah R, Bolhari J, Moosavi M, Razaghi Z, Akbari M. Effectiveness of Cognitive-behavioral and Spiritual-religious Interventions on Reducing Anxiety and Depression of Women with Breast Cancer. Knowl Res Appl Psychol 2013; 13(50): 33-40.
Aghajani M, Afaze M, Morasai F. The Effect of Spirituality Counseling on Anxiety and Depression in Hemodialysis Patients. Evidence Based Care Journal 2013; 3(9): 19-28.
Khorami Marekani A, Naseri O, Radfar M, Khalkhali H. Evaluating the effect of spiritual counseling on spiritual well-being of cancer patients undergoing chemotherapy in omid research-treatment hospital in Urmia, in 2014. J Urmia Nurs Midwifery Fac 2016; 14(7): 592-600.
Sulman J, Kanee M, Stewart P, Savage D. Does difference matter? Diversity and human rights in a hospital workplace. Social Work in Health Care 2007; 44(3): 145-159.
Polley D, Jay V, Subba N. Paying the devil his due: Limits and liabilities of workplace spirituality. International Journal of Organizational Analysis 2005; 13(1): 50-62.
- Abstract Viewed: 484 times