This paper provides a theoretical model of spiritual needs in palliative care based on a review of the palliative care literature. Three sources of transcendence, the building blocks of spiritual meaning, are identified: the situational, the moral and biographical, and the religious. After these areas of transcendence are described and explained, implications for future theory, research and practice are identified.
International Working Group on Death, Dying and Bereavement. Assumptions and principles of spiritual care. Death Studies1990; 14: 75–81.
2.
Doka KJ, Morgan JD. Death and spirituality. Amityville, NY: Baywood, 1993.
3.
Barnard D. Love and death: existential dimensions of physicians' difficulties with moral problems. J Med Philos1988; 13: 393–409.
4.
McGrath P. Exploring spirituality through research: an important but challenging task. Progr Palliat Care1999; 7: 310.
5.
Heyse-Moore LH. On spiritual pain in the dying. Mortality1: 297–315.
6.
McSherry W, Draper P. The debates emerging from the literature surrounding the concept of spirituality as applied to nursing. J Adv Nursing1998; 27: 683–691.
7.
Martsolf DS, Mickley JR. The concept of spirituality in nursing theories: differing world views and extent of focus. J Adv Nursing1998; 27: 294–303.
8.
Walter T. The ideology and organization of spiritual care: three approaches. Palliat Med1997; 11: 21–30.
9.
Morgan JD. The existential quest for meaning. In: Doka KJ, Morgan JD eds. Death and spirituality. Amityville, NY: Baywood, 1993: 3–9.
10.
Paton L. The sacred circle: a conceptual framework for spiritual care in hospice. Am J Hospice Palliat Care1996; March/April: 52–56.
11.
Wainwright G. Types of spirituality. In: Jones C, Wainwright G, Yarnold E eds. The study of spirituality. London: SPCK, 1986: 592–605.
12.
Rumbold BD. Spiritual dimensions in palliative care. In: Hodder P, Turley A eds. The creative option of palliative care: a handbook for health professionals. Melbourne: Melbourne City Mission, 1989: 110–127.
13.
Hamilton DG. Believing in patients' beliefs: physician attunement to the spiritual dimension as a positive factor in patient healing and health. Am J Hospice Palliat Care1998; September/October: 276–279.
14.
Millison MB, Dudley JR. The importance of spirituality in hospice work: a study of hospice professionals. The Hospice Journal1990; 6: 63–77.
15.
O'Connor TSJ, Meakes E, McCarroll-Butler P, Gadowsky S, O'Neill K. Making the most and making sense: ethnography research on spirituality in palliative care. J Pastoral Care1997; 51: 25–36.
16.
Wendler K. Ministry to patients with acquired immunodeficiency syndrome: a spiritual challenge. J Pastoral Care1987; 41: 4–16.
17.
Hay MW. Principles in building spiritual assessment tools. Am J Hospice Care1989; September/October: 25–31.
18.
Emblen JD, Halstead L. Spiritual needs and interventions: comparing the views of patients, nurses, and chaplins. Clin Nurse Specialist1993; 7: 175–182.
19.
Oliver SL. Painting pictures we cannot see. Am J Hospice Palliat Care1996; September/October: 39–40.
20.
Harvey T. Who is the chaplain anyway? Philosophy and integration of hospice chaplaincy. Am J Hospice Palliat Care1996; September/October: 41–43.
21.
Baumrucker SJ. The therapeutic baptism: a case of missed cultural clues in a terminal setting. Am J Hospice Palliat Care1996; September/October: 36–37.
22.
Kellehear A. Dying of cancer: the final year of life. London: Harwood, 1990.