Palliative oncology care and spiritual care for women in the hospital context: scoping review
DOI:
https://doi.org/10.33448/rsd-v11i13.34767Keywords:
Spirituality; Palliative Care; Women; Neoplasms; Patient care teams.Abstract
Objectives: The identification of studies that show an approach to spirituality in palliative care in women with cancer, carried out by multidisciplinary and/or interdisciplinary teams in a hospital context. Method: Scoping Review based on the Joanna Briggs Institute’s recommendations and reported by the PRISMA-ScR Extension for Scoping Review. Searches were carried out in six databases, considering the descriptors: women, neoplasms, spirituality, palliative care, patient care, and tertiary health care; there were no restrictions of language or publication year. Results: Of the 801 articles analyzed 4 were included, published from 2014 to 2020. The total number of participants was 1,532, with 733 females and 433 males. Only one study has 366 caregivers/family members as participants, where 62% are female and 38% male. The minimum age ranged from 18 to 21 years. Conclusions: The results indicate that the focus of Spiritual Care (SC) interventions in hospital palliative care was direct attention to the patient and their caregivers/family members, using the following tools: assessment of care needs; care proposal/plan; symptom management/treatment adjustments; health education focused on Spiritual Well-Being (SWB); preparation for death and dignified death. Faced with the complexity of the approach, palliative health professionals need to deepen the discussion about their spirituality in the work environment. It would facilitate understanding of the transcultural nature of religious/spiritual experiences with safety and quality of SC, promoting SWB in cancer patients and their caregivers/family members.
References
Academia Nacional de Cuidados Paliativos. (2018). Análise situacional e recomendações para estruturação de programas de Cuidados Paliativos no Brasil. ANCP, 2–29.
Almeida, C. S. L., Marcon, S. S., Matsuda, L. M., Kantorski, L. P., Paiva, B. S. R, & Sales, C. A. (2019). Atuação de um serviço de cuidados paliativo hospitalar: avaliação de quarta geração. Revista Brasileira de Enfermagem, 72(2), 383–90. http://dx.doi.org/10.1590/0034-7167-2017-0848.
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a Methodological Framework. International Journal of Social Research Methodology, 8(1), 19–32. doi: 10.1080/1364557032000119616.
Arrieira, I. C. O., Thofehrn, M. B., Porto, A. R., Moura, P. M. M., Martins, C. L., & Jacondino, M. B. (2017). Espiritualidade nos cuidados paliativos: experiência vivida de uma equipe interdisciplinar. Revista da escola de enfermagem da USP, 52, 1–8. http://dx.doi.org/10.1590/S1980-220X2017007403312.
Bakitas, M., Tosteson, T. D., Li, Z., Lyons, K. D., Hull, J. G., Li, Z., Dionne-Odom, J. N.,Frost, J., Dragnev, K. H., Hegel, M. T., Azuero, A., & Ahles, T. A. (2015). Early Versus Delayed Initiation of Concurrent Palliative Oncology Care: Patient Outcomes in the ENABLE III Randomized Controlled Trial. Journal of clinical oncology, 33(13), 1438–1445.
Balboni, T. A., Fitchett, G., Handzo, G. F., Johnson, K. S., Koenig, H. G., Pargament, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J., & Steinhauser, K. E. (2017).. State of the Science of Spirituality and Palliative Care Research Part II: screening, assessment, and interventions. Journal of Pain and Symptom Management, 54(3), 441–453.
Borneman, T., Sun, V., Williams, A. C., Fujinami, R., Ferraro, C. D., Burhenn, P. S., Irish, T., Zachariah, F., van Zyl, C., & Buga, S. (2015). Support for Patients and Family Caregivers in Lung Cancer: Educational Components of an Interdisciplinary Palliative Care Intervention. Journal of Hospice and Palliative Nursing, 17(4), 309–318. https://doi.org/10.1097/NJH.0000000000000165.
Cardoso, D. H., Muniz, R. M., Schwartz, E., & Arrieira, I. C. O. (2013). Hospice care in a hospital setting: the experience of a multidisciplinary team. Texto Contexto Enfermagem, Out-Dez 22(4),1134-41.
Carvalho, R. T. (2012). Manual de Cuidados Paliativos ANCP. Ampliado e Atualizado (2a ed.). ANCP, 11–585.
Cloyes, K. G., Rosenkranz, S. J., Berry, P. H., Supiano, K. P., Routt, M., Shannon-Dorcy, K., & Llanque, S. M. (2016). Essential elements of an effective and sustainable prison hospice program. American journal of hospice and palliative care, May 33(4), 390–402. doi:10.1177/1049909115574491.
Connor, S., Morris, C., & Brennen, F. (2020). Introduction. In S. R. Connor (Ed.), Global Atlas of Palliative Care, (2nd ed., 12–16). Worldwide Hospice Palliative Care Alliance. http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care.
Delgado-Guay, M. O. (2014). Spirituality and religiosity in supportive and palliative care. Curr Opin Support Palliat Care. Current opinion in supportive and palliative care, 8(3), 308–313. https://doi.org/10.1097/SPC.0000000000000079.
Estorniolo, J., Filho. (2018). EndNote basic: guia de uso. [Slides de PowerPoint]. Biblioteca. Centro de Informação e Referência. Faculdade de Saúde Pública. Universidade de São Paulo. USP. http://www.biblioteca.fsp.usp.br/wp-content/uploads/2018/03/EndNote_basic_12.pdf.
Ferrell, B., Chung, V., Koczywas, M., Borneman, T., Irish, T. L., Ruel, N. H., Azad, N. S., Cooper, R. S., & Smith, T. J. (2020). Spirituality in cancer patients on phase 1 clinical trials. Psycho-oncology, 29(6), 1077–1083. https://doi.org/10.1002/pon.5380.
Grudzen, C. R., Richardson, L. D., Johnson, P. N., Hu, M., Wang, B., Ortiz, J. M., Kistler, E. A., Chen, A., & Morrison, S. (2016). Emergency Department-Initiated Palliative Care in Advanced Cancer: A Randomized Clinical Trial. JAMA oncology, 2(5), 591–598. https://doi.org/10.1001/jamaoncol.2015.5252.
Kao, C. Y., Hu, W. Y., Chiu, T. Y., & Chen, C. Y. (2014).Effects of the hospital-based palliative care team on the care for cancer patients: an evaluation study. International journal of nursing studies, 51(2), 226–235. https://doi.org/10.1016/j.ijnurstu.2013.05.008.
Kavalieratos, D., Corbelli, J., Zhang, D., Dionne-Odom, J. N., Ernecoff, N. C., Hanmer, J., Hoydich, Z. P., Ikejiani, D. Z., Klein-Fedyshin, M., Zimmermann, C., Morton, S. C., Arnold, R. M., Heller, L., &Schenker, Y. (2016). Association Between Palliative Care and Patient and Caregiver Outcomes: A Systematic Review and Meta-analysis. JAMA, 316(20), 2104–2114. https://doi.org/10.1001/jama.2016.16840.
Knaul, F., Radbruch, L., Connor, S., de Lima, L., Arreola-Ornelas, H., Carniado, O. M., Kwete, X. J., Bhadelia, A., Downing, J., & Krakauer, E. L. (2020). How many adults and children are in need of palliative care Worldwide? In S. R. Connor (Ed.), Global Atlas of Palliative Care, (2nd ed., pp. 17–32). Worldwide Hospice Palliative Care Alliance. http://www.thewhpca.org/resources/global-atlas-on-end-of-life-care.
Koenig, H. G. (2005). Espiritualidade no cuidado com o paciente. Por quê, como, quando e o quê. FE. ISBN: 9788586899386.
Lucchese, F. A., & Koenig, H. G. (2013). Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil. Revista brasileira de cirurgia cardiovascular, 28(1), 103-28. https://doi.org/10.5935/1678-9741.20130015.
McClain, C. S., Rosenfeld, B., & Breitbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. Lancet, 361(9369), 1603–7. doi: 10.1016/S0140-6736(03)13310-7.
Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014). Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Brazilian journal of psychiatry, 36(2), 176–82. doi: 10.1590/1516-4446-2013-1255.
Organização Pan-Americana da Saúde. (2021). Novas recomendações de rastreio e tratamento para prevenir o câncer do colo do útero. https://www.paho.org/pt/noticias/6-7-2021-novas-recomendacoes-rastreio-e-tratamento-para-prevenir-cancer-do-colo-do-utero.
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan - a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 1–10. doi: 10.1186/s13643-016-0384-4.
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372(71). http://dx.doi.org/10.1136/bmj.n71.
Pan American Health Organization. (2022). World Cancer Day 2022: Close the care gap. https://www.paho.org/en/campaigns/world-cancer-day-2022-close-care-gap.
Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C. & Khalil, H. (2020 version). Chapter 11: Scoping Reviews. In Aromataris, E., & Munn, Z. (Eds). Joanna Briggs Institute Reviewer's Manual, JBI. https://synthesismanual.jbi.global.
Piderman, K. M., Kung, S., Jenkins, S. M., Euerle, T. T., Yoder, T. J., Kwete, G.M., & Lapid, M. I. (2015). Respecting the spiritual side of advanced cancer care: a systematic review. Current oncology reports, 17(2), 6. https://doi.org/10.1007/s11912-014-0429-6.
Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., Chochinov, H., Handzo, G., Nelson-Becker, H., Prince-Paul, M., Pugliese, K., & Sulmasy, D. (2009). Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. Journal of palliative medicine, 12(10), 885-904. https://doi.org/10.1089/jpm.2009.0142.
Qureshi, D., Tanuseputro, P., Perez, R., Pond, G. R., & Seow, H-Y. (2019). Early initiation of palliative care is associated with reduced late-life acute-hospital use: A population-based retrospective cohort study. Palliative medicine, 33(2), 150–159. https://doi.org/10.1177/0269216318815794.
Ratshikana-Moloko, M., Ayeni, O., Tsitsi, J. M., Wong, M. L., Jacobson, J. S., Neugut, A. I., Sobekwa, M., Joffe, M., Mmoledi, K., Blanchard, C. L., Mapanga, W., Ruff, P., Cubasch, H., O'Neil, D. S., Balboni, T. A., & Prigerson, H. G. (2020). Spiritual Care, Pain Reduction, and Preferred Place of Death Among Advanced Cancer Patients in Soweto, South Africa. Journal of pain and symptom management, 60(1), 37–47. https://doi.org/10.1016/j.jpainsymman.2020.01.019.
Santos, F. S. (2009). Espiritualidade & Saúde Mental. Espiritualidade na prática clínica. Zen Review, 4, 1–7. http://www.espiritualidades.com.br/Artigos/S_autores/SANTOS_Franklin_tit_Espiritualidade_e_Saude_Mental.pdf.
Saporetti, L. A., Andrade, L., Sachs, M. F. A., & Guimarães, T. V. V. (2012). Diagnóstico e abordagem do sofrimento humano. In Carvalho, R. T., & Parsons, H. A. (Orgs.). Manual de Cuidados Paliativos ANCP - Ampliado e Atualizado. (2a ed., pp. 42-53). http://biblioteca.cofen.gov.br/wp-content/uploads/2017/05/Manual-de-cuidados-paliativos-ANCP.pdf.
Sleeman, K. E., De Brito, M., Etkind, S., Nkhoma, K., Guo, P., Higginson, I., Gomes, B., & Harding, R. (2019). The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. The lancet global health, 7(7), e883–92. https://doi.org/10.1016/S2214-109X(19)30172-X.
Steinhauser, K. E., Fitchett, G., Handzo, G. F,, Johnson, K. S., Koenig, H. G., Pargament, K. I., Puchalski, C. M., Sinclair, S., Taylor, E. J.,& Balboni, M. D. (2017). State of the Science of Spirituality and Palliative Care Research Part I: Definitions, Measurement, and Outcomes. Journal of pain and symptom management, 54(3), 428-440. https://doi.org/10.1016/j.jpainsymman.2017.07.028.
Sun, V., Kim, J. Y., Irish, T. L., Borneman, T., Sidhu, R. K., Klein, L., . Palliative care and spiritual well-being in lung cancer patients and family caregivers. Psycho-oncology, 25(12), 1448–1455. https://doi.org/10.1002/pon.3987.
Toniol, R. (2019). Atas do espírito: a Organização Mundial da Saúde e suas formas de instituir a espiritualidade. Anuário Antropológico, 42(2):267–299. https://journals.openedition.org/aa/2330.
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., … Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of internal medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850.
World Health Organization. (2020). Palliative Care. https://www.who.int/health-topics/palliative-care.
World Health Organization. (2020). Palliative care. Key Facts. https://www.who.int/news-room/fact-sheets/detail/palliative-care.
World Health Organization. (2022). World Cancer Day: close the care gap. https://www.who.int/news/item/03-02-2022-world-cancer-day-closing-the-care-gap.
Zoccoli, T. L. V., Ribeiro, M. G., Fonseca, F. N., & Ferrer, V.C. (Orgs.). (2019). Desmistificando Cuidados Paliativos – Um Olhar Multidisciplinar. Oxigênio, 6–356. https://drive.google.com/file/d/1pr_6xzlWR4ELDro_TvVqQPNe1A41MUOY/view.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Verônica Carneiro Ferrer; Claudia Cardoso Gomes da Silva; Aline Mizusaki Imoto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
