Hambatan Perawat dalam Penerapan Spiritual Care pada Pasien Kanker: Integrative Review

Authors

  • Suparman Suparman Universitas Hasanuddin
  • Ariyanti Saleh Universitas Hasanuddin
  • Rini Rachmawaty Universitas Hasanuddin

Keywords:

cancer patient, nurse barrier, spiritual care

Abstract

Kanker di seluruh dunia dilaporkan cukup tinggi. Pasien yang telah terdiagnosa kanker tidak semua bisa disembuhkan dan salah satu dampak yang serius yaitu pada psikologis. Penderita membutuhkan perawatan khusus termasuk praktik spiritual care. Perawat sebagai tenaga kesehatan yang paling lama berada di dekat pasien memiliki kewajiban untuk membantu terpenuhinya spiritual care tersebut. Hasil penelitian menunjukkan masih banyak hambatan-hambatan yang di dapatkan dalam melakukan praktik spiritual care, namun perlu adanya tinjauan mengenai hambatan-hambatan yang oleh perawat. Tinjauan integrative review ini bertujuan untuk mengidentifikasi hambatan-hambatan perawat dalam penerapan pemenuhan spiritual care pada pasien kanker. Pencarian artikel menggunakan database PubMed, Wiley, ProQuest, Science Direct dan google scholar. Integrative review ini menerapkan lima tahap kerja yaitu identifikasi masalah, pencarian literatur, evaluasi data, analisis data penyajian. Pencarian literatur menggunakan kata kunci, kualitas artikel di nilai menggunakan instrument CASP (Critical Appraisal Skill Program). Terdapat sebelas artikel yang memenuhi kriteria inklusi. Usia rata-rata sampel pada artikel yang didapatkan berkisaran 18 hingga 66 tahun. Metode yang digunakan Descriptive study, Qualitative Study, Cross-sectional survey, Ethnographic study with participant observation dan Middle east cancer consortium (MECC). Hambatan yang ditemukan yaitu hambatan dalam pengetahuan dan pelatihan, hambatan dalam waktu dan administrasi, hambatan dalam fasilitas pendukung, hambatan dalam motivasi dan hambatan dalam privasi dan keberagaman pasien.

References

Abu Khait, A., & Lazenby, M. (2021). Psychosocial-spiritual interventions among Muslims undergoing treatment for cancer: an integrative review. BMC Palliative Care, 20(1), 1–23. https://doi.org/10.1186/s12904-021-00746-x

Adib-Hajbaghery, M., Zehtabchi, S., & Fini, I. A. (2017). Iranian nurses’ professional competence in spiritual care in 2014. Nursing Ethics, 24(4), 462–473. https://doi.org/10.1177/0969733015600910

Akechi, T. (2012). Psychotherapy for depression among patients with advanced cancer. Japanese Journal of Clinical Oncology, 42(12), 1113–1119. https://doi.org/10.1093/jjco/hys152

Bandeali, S., des Ordons, A. R., & Sinnarajah, A. (2020). Comparing the physical, psychological, social, and spiritual needs of patients with non-cancer and cancer diagnoses in a tertiary palliative care setting. Palliative & Supportive Care, 18(5), 513–518. https://doi.org/10.1017/S1478951519001020

Bar-Sela, G., Schultz, M. J., Elshamy, K., Rassouli, M., Ben-Arye, E., Doumit, M., Gafer, N., Albashayreh, A., Ghrayeb, I., Turker, I., Ozalp, G., Kav, S., Fahmi, R., Nestoros, S., Ghali, H., Mula-Hussain, L., Shazar, I., Obeidat, R., Punjwani, R., … Silbermann, M. (2019). Training for awareness of one’s own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses. Palliative and Supportive Care, 17(3), 345–352. https://doi.org/10.1017/S147895151800055X

Beauvais, A., Stewart, J. G., & DeNisco, S. (2014). Emotional intelligence and spiritual well-being: implications for spiritual care. Journal of Christian Nursing : A Quarterly Publication of Nurses Christian Fellowship, 31(3), 166–171. https://doi.org/10.1097/CNJ.0000000000000074

Bowling, A. (2002). Research Methods In Health. Investigating Health and Health Services (Second Edi).

Büssing, A., Recchia, D. R., Koenig, H., Baumann, K., & Frick, E. (2018). Factor structure of the spiritual needs questionnaire (SpNQ) in persons with chronic diseases, elderly and healthy individuals. Religions, 9(1). https://doi.org/10.3390/rel9010013

Cheng, Q., Xu, X., Liu, X., Mao, T., & Chen, Y. (2018). Spiritual needs and their associated factors among cancer patients in China: a cross-sectional study. Supportive Care in Cancer, 26(10), 3405–3412. https://doi.org/10.1007/s00520-018-4119-z

Chew, B. W., Tiew, L. H., & Creedy, D. K. (2016). Acute care nurses’ perceptions of spirituality and spiritual care: an exploratory study in Singapore. Journal of Clinical Nursing, 25(17–18), 2520–2527. https://doi.org/10.1111/jocn.13290

Connors, J., Good, P., & Gollery, T. (2017). Using innovative teaching strategies to improve nursing student competence and confidence in providing spiritual care. Nurse Educator, 42(2), 62–64. https://doi.org/10.1097/NNE.0000000000000301

Cordero, R. de D., Romero, B. B., de Matos, F. A., Costa, E., Espinha, D. C. M., Tomasso, C. de S., Lucchetti, A. L. G., & Lucchetti, G. (2018). Opinions and attitudes on the relationship between spirituality, religiosity and health: A comparison between nursing students from Brazil and Portugal. Journal of Clinical Nursing, 27(13–14), 2804–2813. https://doi.org/10.1111/jocn.14340

de la Torre-Luque, A., Gambara, H., López, E., & Cruzado, J. A. (2016). Psychological treatments to improve quality of life in cancer contexts: A meta-analysis. International Journal of Clinical and Health Psychology, 16(2), 211–219. https://doi.org/10.1016/j.ijchp.2015.07.005

Evans, D. (2007). Overview of Methods. In Reviewing Research Evidence for Nursing Practice. Blackwell.

Farahani, A. S., Rassouli, M., Salmani, N., Mojen, L. K., Sajjadi, M., Heidarzadeh, M., Masoudifar, Z., & Khademi, F. (2019). Evaluation of Health-Care Providers’ Perception of Spiritual Care and the Obstacles to Its Implementation. Asia-Pacific Journal of Oncology Nursing, 6(2), 122–129. https://doi.org/10.4103/apjon.apjon-69-18

Ganz, O., Curry, L. E., Jones, P., Mead, K. H., & Turner, M. M. (2018). Barriers to Mental Health Treatment Utilization in Wards 7 and 8 in Washington, DC: A Qualitative Pilot Study. Health Equity, 2(1), 216–222. https://doi.org/10.1089/heq.2017.0051

Green, A., Kim-Godwin, Y. S., & Jones, C. W. (2020). Perceptions of Spiritual Care Education, Competence, and Barriers in Providing Spiritual Care Among Registered Nurses. Journal of Holistic Nursing, 38(1), 41–51. https://doi.org/10.1177/0898010119885266

Gurdogan, E. P., Kurt, D., Aksoy, B., Kınıcı, E., & Şen, A. (2017). Nurses’ perceptions of spiritual care and attitudes toward the principles of dying with dignity: A sample from Turkey. Death Studies, 41(3), 180–187. https://doi.org/10.1080/07481187.2016.1231242

Hassan, S. M., Leavey, C., Rooney, J. S., & Puthussery, S. (2020). A qualitative study of healthcare professionals’ experiences of providing maternity care for Muslim women in the UK. BMC Pregnancy and Childbirth, 20(1), 1–10. https://doi.org/10.1186/s12884-020-03096-3

Hopia, H., Latvala, E., & Liimatainen, L. (2016). Reviewing the methodology of an integrative review. Scandinavian Journal of Caring Sciences, 30(4), 662–669. https://doi.org/10.1111/scs.12327

Kementerian Kesehatan RI. (2018). Profil Kesehatan Kemenkes RI. In Profil Kesehatan Kemenkes RI. file:///C:/Users/HP/Downloads/PROFIL_KESEHATAN_2018.pdf

Kiaei, M. Z., Salehi, A., Nasrabadi, A. M., Whitehead, D., Azmal, M., Kalhor, R., & Bahrami, E. S. (2015). Spirituality and spiritual care in Iran : nurses ’ perceptions and barriers. Clinical Practice Research, 584–592.

Liberman, T., Kozikowski, A., Carney, M., Kline, M., Axelrud, A., Ofer, A., Rossetti, M., & Pekmezaris, R. (2020). Knowledge, Attitudes, and Interactions with Chaplains and Nursing Staff Outcomes: A Survey Study. Journal of Religion and Health, 59(5), 2308–2322. https://doi.org/10.1007/s10943-020-01037-0

Moosavi, S., Rohani, C., Borhani, F., & Akbari, M. E. (2019). Factors affecting spiritual care practices of oncology nurses: a qualitative study. Supportive Care in Cancer, 27(3), 901–909. https://doi.org/10.1007/s00520-018-4378-8

Musa, A. S. (2016). Spiritual Care Intervention and Spiritual Well-Being. Jounal Holistik Care, 20(10), 1–9. https://doi.org/10.1177/0898010116644388

Musa, A. S. (2017). Spiritual Care Intervention and Spiritual Well-Being. Journal of Holistic Nursing, 35(1), 53–61. https://doi.org/10.1177/0898010116644388

Nuraeni, A., Nurhidayah, I., Hidayati, N., Windani Mambang Sari, C., & Mirwanti, R. (2015). Kebutuhan Spiritual pada Pasien Kanker. Jurnal Keperawatan Padjadjaran, v3(n2), 57–66. https://doi.org/10.24198/jkp.v3n2.1

Palmer Kelly, E., Hyer, M., Tsilimigras, D., & Pawlik, T. M. (2021). Healthcare provider self-reported observations and behaviors regarding their role in the spiritual care of cancer patients. Supportive Care in Cancer, 29(8), 4405–4412. https://doi.org/10.1007/s00520-020-05957-1

Pangribowo, S. (2019). Beban Kanker di Indonesia. Pusat Data Dan Informasi Kesehatan Kementerian Kesehatan RI, 1–16.

Rassouli, M., Zamanzadeh, V., Ghahramanian, A., Abbaszadeh, A., Alavi-majd, H., & Nikanfar, A. (2015). Experiences of patients with cancer and their nurses on the conditions of spiritual care and spiritual intervention in oncology units. Iranian Jurnal of Nursing and Midwifery Research, 20(1), 539–547.

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660

Swinton, J., & Pattison, S. (2010). Moving beyond clarity: Towards a thin, vague, and useful understanding of spirituality in nursing care. Nursing Philosophy, 11(4), 226–237. https://doi.org/10.1111/j.1466-769X.2010.00450.x

Van Meurs, J., Smeets, W., Vissers, K. C. P., Groot, M., & Engels, Y. (2018). Nurses Exploring the Spirituality of Their Patients with Cancer: Participant Observation on a Medical Oncology Ward. Cancer Nursing, 41(4), E39–E45. https://doi.org/10.1097/NCC.0000000000000526

Victoria, A., Goodwina, Allana, L., Bethela, A., Cowleyb, A., Jane, L., Crossc, Jo, D., Drummondd, A., Abi, J., Halla, Howarda, M., Morleya, N., Coona, J. T., Sarah, E., & Lamba. (2020). Critical Skills Appraisal Programme, Available from: CASP Checklists. https://casp-uk.net/casp-tools-checklists/.

Whittemore, R. (2007). Rigour in Integrative Reviews. In Reviewing Research Evidence for Nursing Practice. Blackwell.

WHO. (2020). Cancer report. 3(2017), 54–67.

Wittenberg, E., Ragan, S. L., & Ferrell, B. (2017). Exploring Nurse Communication About Spirituality. American Journal of Hospice and Palliative Medicine, 34(6), 566–571. https://doi.org/10.1177/1049909116641630

Downloads

Published

12/28/2022

How to Cite

Suparman, S., Saleh, A., & Rachmawaty, R. (2022). Hambatan Perawat dalam Penerapan Spiritual Care pada Pasien Kanker: Integrative Review. Jurnal Keperawatan, 14(4), 1101–1110. Retrieved from https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/764