Malignant Neoplasm
Conditions
Brief summary
This clinical trial studies spiritual care in improving quality of life of patients, caregivers, and hospital staff. Spiritual care may help understand the impact cancer and its treatment has on patients, caregivers and hospital staff.
Detailed description
OBJECTIVES: I. To improve the quality of spiritual care provided by palliative care teams. II. To measure the effectiveness of integrating spiritual care recommendations in palliative care at City of Hope (COH) and the impact it has on cancer patients, families, and hospital staff. OUTLINE: The expanded psychosocial/spiritual assessment administered by social workers includes a spiritual history and a spiritual needs screening. Social worker knowledge and competence is surveyed at baseline, immediately after the course, and after a bedside chaplain-mentoring process. Inpatient cancer patients' and their caregivers' perceptions about spiritual care is surveyed at baseline prior to the social work curriculum and after the course has been completed and the new psychosocial/spiritual assessment has been implemented. Data collected from patients, family members, and staff includes number of unduplicated palliative care patients screened for spiritual concerns, spiritual history, number and type of spiritual issues, number of referrals to the chaplain, number seen by the chaplain, number of unduplicated palliative care patients with documented spiritual care plan, number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice.
Interventions
PROCEDUREspiritual therapy
Undergo palliative spiritual care
OTHERquestionnaire administration
Ancillary studies
OTHERsurvey administration
Ancillary studies
OTHERcounseling intervention
Undergo palliative spiritual care
Undergo palliative spiritual care
PROCEDUREpsychosocial assessment and care
Undergo palliative spiritual care
Sponsors
National Cancer Institute (NCI)
City of Hope Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Admitted during the study quarter * Admitted \>= 5 days * English speaking * Alert and able to answer questions
Exclusion criteria
* Non-cancer diagnosis * Previously accrued to study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history | At baseline and quarterly for one year | Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results. |
| Change over time in number and type of spiritual issues | At baseline and quarterly for one year | Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results. |
| Change over time in number of referrals to the chaplain and number seen by the chaplain | At baseline and quarterly for one year | Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results. |
| Change over time in number of unduplicated palliative care patients with documented spiritual care plan | At baseline and quarterly for one year | Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results. |
| Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice | At baseline and quarterly for one year | Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results. |
| Identification of common themes and patterns that answer the key evaluation questions | At baseline and quarterly for one year | Analyzed using Atlas.ti. coding and analysis. Qualitative data, e.g., open ended questions, included narrative responses by staff summarized for reporting purposes. |
Countries
United States
Outcome results
None listed