What is known about the spirituality in older adults living in residential care facilities? An Integrative review

Aim To synthesize evidence regarding the spiritual needs and care of older adults living in residential care facilities from the perspectives of older adults and nurses or caregivers. Design Integrative review of literature. Data sources Literature search was conducted using CINAHL Plus with Full Te...

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Bibliographic Details
Published in:International journal of older people nursing 2019-06, Vol.14 (2), p.e12228-n/a
Main Authors: Gautam, Sital, Neville, Stephen, Montayre, Jed
Format: Article
Language:English
Subjects:
Aged
ageing
Caregivers
Counseling
End of life decisions
Geriatric Nursing
Humans
Information gathering
integrative literature review
Literature reviews
Long-Term Care - psychology
Needs assessment
Nurses
Nursing
older adults
Older people
Practical aspects
Religion
Residential care
spiritual care
spiritual needs
Spirituality
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Summary:Aim To synthesize evidence regarding the spiritual needs and care of older adults living in residential care facilities from the perspectives of older adults and nurses or caregivers. Design Integrative review of literature. Data sources Literature search was conducted using CINAHL Plus with Full Text via EBSCO, Scopus, PubMed, PsychInfo, Web of Science, and ProQuest Social Science Databases from March to December 2017. Review methods This integrative review utilised the Whittemore and Knafl framework and PRISMA in the selection of eligible articles. Quality of the articles was evaluated using the Mixed Method Appraisal Tool. Results Seven articles were reviewed and analysed. There is limited evidence \and no agreed definition of spiritual needs and care of older adults living in residential care facilities. Spiritual needs of older adults in residential care facilities is a psycho‐social, religious and existential construct. Spiritual care in residential care facilities is linked to information gathering, religious guidance, maintaining family connections, providing companionship, discussing end of life issues, and providing counseling. Older adults highly value the role of nurses and caregivers in fulfilling their spiritual needs and providing spiritual care. However, nurses and caregivers perceived arranging a referral to a religious advisor as the main aspect of spiritual care. Therefore, nurses’, caregivers’, and older adults’ views on spiritual care differed to some extent. Conclusion The practical aspects of spiritual needs assessment and spiritual care provision requires further investigation, which is essential to improve the effectiveness of service delivery in residential care facilities.
ISSN:1748-3735
1748-3743
DOI:10.1111/opn.12228