Implementation of the first consensus based guideline on spiritual care in the Netherlands, published in 2010, developing it to a practices based or evidence based level. Keywords: palliative care, spiritual care, education primary caregivers, effect
Conditions
Interventions
Pilot training spiritual care (1 or 2 lessons of 90-120 minutes) to primary caregivers in teaching hospitals, based on requirements formulated by 33 experts in the field of palliative and spiritual ca
Sponsors
MCL Academy, Medical Centre Leeuwarden,
Comprehensive Cancer Centre The Netherlands (IKNL),
Agora, National Centre for Palliative Care,
National Associaton of Healthcare Chaplains (VGVZ)
Eligibility
Inclusion criteria
Inclusion criteria: Teaching hospitals are admitted to the trial when: - the teaching hospitals (not university hospitals) is member of the Stichting Topklinische Ziekenhuizen - it has an active policy to develop palliative care intramural, using specialist teams of trained nurses and physicians and quality tools (e.g. carepathway for the dying phase) - the chaplaincy team is committed to the palliative care improvement programme - the chaplaincy team sees it as its responsibility to develop spiritual care within that process - at least one of the chaplains is trained to develop spiritual care (followed Masterclass Spirituality in Palliative Care) - multdisciplinary teams of primary caregivers that treat and care for palliative patients in hospital setting - palliative patients that meet the OPZIS criteria (translation of Supportive or Palliative Care Indicator Tool, Edinburough)
Exclusion criteria
Exclusion criteria: - university hospitals - non-teaching hospitals - no active improvement programme on palliative care - untrained chaplaincy staff
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For patients: - better understanding of their spiritual attitudes and interests (SAIL), spiritual needs and problems, better support, higher quality of care For caregivers: - lower values ​​with respect to barriers to spiritual care - higher values ​​with regard to spiritual care competencies (Spiritual Care Competence Scale) For chaplaincy teams: - knowledge of the needs and problems (barriers) of primary caregivers with the implementation of the guideline on spiritual care - quality standards for spiritual care training programmes for hospital staff | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients: - physical, psychosocial and spiritual profile of in hospital palliative patients Caregivers: - religious, philosophical, spiritual profile (spiritual attitude and interests) - dominant learning styles (Kolb) Hospital chaplains: - knowledge of possibilities to integrate spiritual care in multidisciplinary working process | — |
Contacts
Public ContactJ.P. Prins
Director MCL-Academy, Medical Centre Leeuwarden PO Box 888
Outcome results
None listed