De Luca Enrico, Sena Barbara, Butcher Kate, de Wal Lindsay Jane
Department of Nursing and Midwifery, College of Medicine and Health, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
Department of Health and Care Professions, University of Exeter, Exeter, United Kingdom.
Front Sociol. 2025 Jul 21;10:1523685. doi: 10.3389/fsoc.2025.1523685. eCollection 2025.
In recent years, healthcare organizations and scholars, particularly in Western societies, have increasingly recognized the importance of the spiritual dimension in patient care. However, this aspect still needs to be fully integrated into everyday practices. Palliative care has begun to emphasize spirituality, addressing patients' psychological and existential needs through a holistic approach beyond the traditional biomedical paradigm. This concept analysis will first explore healthcare and medical professionals' challenges in implementing shared and patient-centered spiritual practices. It will then draw on experiences integrating spirituality in palliative care from Thailand and Italy and introduce two conceptual models for spiritual care and needs assessment from the UK. The discussion will encourage the implementation of integrated models of spiritual needs assessment and care in adult end-of-life and palliative care settings (that address any life-limiting illness). This approach will enable health professionals to effectively address patients' spiritual needs, fostering authentic conversations that are pivotal in integrating models and transforming the care experience into an empowering and meaningful one for staff and patients.
近年来，医疗保健机构和学者，尤其是在西方社会，越来越认识到精神层面在患者护理中的重要性。然而，这一方面仍需充分融入日常实践。姑息治疗已开始强调灵性，通过超越传统生物医学范式的整体方法来满足患者的心理和生存需求。本概念分析将首先探讨医疗保健和医学专业人员在实施共享的、以患者为中心的精神实践方面所面临的挑战。然后，它将借鉴泰国和意大利在姑息治疗中融入灵性的经验，并介绍英国的两种精神护理和需求评估概念模型。讨论将鼓励在成人临终关怀和姑息治疗环境（针对任何危及生命的疾病）中实施精神需求评估和护理的综合模型。这种方法将使卫生专业人员能够有效满足患者的精神需求，促进真实的对话，而这些对话对于整合模型以及将护理体验转变为对工作人员和患者而言具有赋权意义的体验至关重要。
