Not me! a qualitative, vignette-based study of nurses' and physicians' reactions to spiritual distress on neuro-oncological units

Voelz, Daniela and Grabenweger, Reinhard and Best, Megan C. and Hau, Peter and Jones, Kate F. and Linker, Ralf and Paal, Piret and Bumes, Elisabeth (2024) Not me! a qualitative, vignette-based study of nurses' and physicians' reactions to spiritual distress on neuro-oncological units. SUPPORTIVE CARE IN CANCER, 32 (8): 499. ISSN 0941-4355, 1433-7339

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Abstract

PurposePeople with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. Consequently, neuro-oncological healthcare workers can be affected emotionally in a negative way. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients.MethodsNeurospirit-DE is a qualitative vignette-based, multicenter, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive thematic analysis was used for data analysis.ResultsA total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted, and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection.ConclusionsMost neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient's spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement and training.

Item Type: Article
Uncontrolled Keywords: PALLIATIVE CARE; OF-LIFE; END; CAREGIVERS; SUPPORT; CANCER; GLIOMA; Spiritual distress; Brain tumor; Attitude; Spiritual care; Neuro-oncology
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Jul 2025 12:43
Last Modified: 22 Jul 2025 12:43
URI: https://pred.uni-regensburg.de/id/eprint/63697

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