Archstone Spiritual Care Demonstration Project: Outcomes for Patients, Families, and Staff
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Malignant Neoplasm
- Sponsor
- City of Hope Medical Center
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
This clinical trial studies spiritual care in improving quality of life of patients, caregivers, and hospital staff. Spiritual care may help understand the impact cancer and its treatment has on patients, caregivers and hospital staff.
Detailed Description
OBJECTIVES: I. To improve the quality of spiritual care provided by palliative care teams. II. To measure the effectiveness of integrating spiritual care recommendations in palliative care at City of Hope (COH) and the impact it has on cancer patients, families, and hospital staff. OUTLINE: The expanded psychosocial/spiritual assessment administered by social workers includes a spiritual history and a spiritual needs screening. Social worker knowledge and competence is surveyed at baseline, immediately after the course, and after a bedside chaplain-mentoring process. Inpatient cancer patients' and their caregivers' perceptions about spiritual care is surveyed at baseline prior to the social work curriculum and after the course has been completed and the new psychosocial/spiritual assessment has been implemented. Data collected from patients, family members, and staff includes number of unduplicated palliative care patients screened for spiritual concerns, spiritual history, number and type of spiritual issues, number of referrals to the chaplain, number seen by the chaplain, number of unduplicated palliative care patients with documented spiritual care plan, number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Admitted during the study quarter
- •Admitted \>= 5 days
- •English speaking
- •Alert and able to answer questions
Exclusion Criteria
- •Non-cancer diagnosis
- •Previously accrued to study
Outcomes
Primary Outcomes
Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history
Time Frame: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number and type of spiritual issues
Time Frame: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of referrals to the chaplain and number seen by the chaplain
Time Frame: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of unduplicated palliative care patients with documented spiritual care plan
Time Frame: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice
Time Frame: At baseline and quarterly for one year
Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.
Identification of common themes and patterns that answer the key evaluation questions
Time Frame: At baseline and quarterly for one year
Analyzed using Atlas.ti. coding and analysis. Qualitative data, e.g., open ended questions, included narrative responses by staff summarized for reporting purposes.