Blaber Michael, Jone June, Willis Derek
Specialty Registrar, Palliative Medicine West Midlands Deanery, Compton Hospice.
Senior Lecturer Biomedical Ethics, University of Birmingham.
Int J Palliat Nurs. 2015 Sep;21(9):430-8. doi: 10.12968/ijpn.2015.21.9.430.
Although it is widely acknowledged that spiritual care is an important component of good palliative care, there remains a lack of confidence about it among healthcare providers. This paper analyses the benefits and drawbacks of using spiritual history-taking tools to address the problem, considering four of the most widely used tools-FICA, FAITH, SPIRITual and HOPE.
The authors conducted a literature review to establish the main themes identified as important to spirituality at the end of life. They then applied these findings to the spiritual history-taking tools to determine the extent to which they may be of assistance in identifying the spiritual needs of patients receiving palliative care.
The authors conclude that spiritual history-taking tools do have an important role in identifying the spiritual needs of patients at the end of life, with the 'HOPE' tool most comprehensively addressing the spirituality themes identified as important within the healthcare literature.
尽管人们普遍认为精神关怀是优质姑息治疗的重要组成部分，但医疗服务提供者对此仍缺乏信心。本文分析了使用精神病史采集工具来解决这一问题的利弊，考量了四种使用最广泛的工具——FICA、FAITH、SPIRITual和HOPE。
作者进行了文献综述，以确定在生命末期被视为对精神性重要的主要主题。然后，他们将这些发现应用于精神病史采集工具，以确定这些工具在多大程度上有助于识别接受姑息治疗患者的精神需求。
作者得出结论，精神病史采集工具在识别生命末期患者的精神需求方面确实具有重要作用，其中“HOPE”工具最全面地涵盖了医疗文献中被视为重要的精神性主题。
