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Australian perspectives on spiritual care training in healthcare: A Delphi study

Published online by Cambridge University Press:  13 July 2021

Kate F. Jones Open the ORCID record for Kate F. Jones [Opens in a new window] ,
Jennifer Washington ,
Matthew Kearney ,
David Kissane Open the ORCID record for David Kissane [Opens in a new window]  and
Megan C. Best Open the ORCID record for Megan C. Best [Opens in a new window]
Kate F. Jones*
Affiliation:
Institute for Ethics and Society, University of Notre Dame Australia, Broadway, Australia St Vincent's Hospital, Sydney, Australia
Jennifer Washington
Affiliation:
St Vincent's Hospital, Sydney, Australia
Matthew Kearney
Affiliation:
St Vincent's Hospital, Sydney, Australia
David Kissane
Affiliation:
St Vincent's Hospital, Sydney, Australia School of Medicine, University of Notre Dame Australia, Sydney, Australia
Megan C. Best
Affiliation:
Institute for Ethics and Society, University of Notre Dame Australia, Broadway, Australia St Vincent's Hospital, Sydney, Australia
*
Author for correspondence: Kate F. Jones, Institute for Ethics and Society, University of Notre Dame, PO Box 944, Broadway NSW 2007, Australia. E-mail: kate.jones1@nd.edu.au
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Abstract

Objective

The aim was to to establish core components of spiritual care training for healthcare professionals in Australia.

Methods

This study used the Delphi technique to undertake a consensus exercise with spiritual care experts in the field of healthcare. Participant opinion was sought on (i) the most important components of spiritual care training; (ii) preferred teaching methods; (iii) clinical scenarios to address in spiritual care training; and (iv) current spiritual assessment and referral procedures.

Results

Of the 107 participants who responded in the first round, 67 (62.6%) were female, 55 (51.4%) worked in pastoral care, and 84 (78.5%) selected Christian as their religious affiliation. The most highly ranked components of spiritual care training were “relationship between health and spirituality,” followed by “definitions of spirituality and spiritual care.” Consensus was not achieved on the item “comparative religions study/alternative spiritual beliefs.” Preferred teaching methods include case studies, group discussion, role-plays and/or simulated learning, videos of personal stories, and self-directed learning. The most highly ranked clinical scenario to be addressed in spiritual care training was “screening for spiritual concerns for any patient or resident.” When asked who should conduct an initial spiritual review with patients, consensus was achieved regarding all members of the healthcare team, with most nominating a chaplain or “whoever the patient feels comfortable with.” It was considered important for spiritual care training to address one's own spirituality and self-care. Consensus was not achieved on which spiritual care assessment tools to incorporate in training.

Significance of results

This Delphi study revealed that spiritual care training for Australian healthcare professionals should emphasize the understanding of the role of spirituality and spiritual care in healthcare, include a range of delivery methods, and focus upon the incorporation of spiritual screening. Further work is required to identify how spiritual care screening should be conducted within an Australian healthcare setting.

Keywords

DelphiHealthcare professionalsSpiritual careSpiritualityTraining
Type
Original Article
Information
Palliative & Supportive Care , Volume 19 , Issue 6 , December 2021 , pp. 686 - 693
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Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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