Review Article

Spiritual Care in Advanced Dementia from the Perspective of Health Providers: A Qualitative Systematic Review

Table 2

Characteristics of studies included.

ReferencePurposeDesignSampling strategySampleData collection methodsData analysis

Bray et al., 2019
(UK)
[23]
To determine an intervention based on the principles of Namaste Care, learning from the experience of others who are implementing this in nursing homesMixed methods: sequential investigationNot specifiedSurvey: 100 participants
Interview: 13 participants (6 managers, 1 assistant nurse, 1 nurse, 1 consultant, 1 dementia care specialist, 1 occupational therapist, 3 trainers)
Survey/in-depth interviewsQuantitative study: not specified
Qualitative study: thematic
Chang et al., 2019
(Wales, UK)
[4]
To provide comprehensive and sustainable care, honoring and respecting the personA qualitative study from a larger mixed-method researchPurposive sampling20 (12 nurses, 8 assistants in nursing)Focus groups (semistructured interview schedule)Thematic
Gijsberts et al., 2013
(Dutch)
[9]
To explore both the needs as well as the approach of spirituality, including dementia and the contribution of caregivers in the spiritual needs of residentsEthnographicNot specified8 (4 nurses, 3 physicians, 1 spiritual counsellor)Formal interviewsInductive thematic
Keenan & Kirwan, 2018
(Ireland)
[14]
To explore the perception of spirituality of nurses in older people living with dementiaA qualitative descriptive research approachPurposive sampling8 nursesInterviews (interview schedule informed)Thematic
Kupeli et al., 2016 (London, UK)
[3]
To identify the factors, as well as their influence on the results on end of life care in advanced dementiaQualitative study (realist approach)Purposive sampling14 (4 nurses, 3 health care assistants, 3 managers, 2 joint commissionings, 1 occupational therapist, 1 mental health professional)Interactive interviewsThematic
Livingston et al., 2012 (London, UK)
[39]
To examine barriers and facilitators for the nursing home staff, to improve the approach for end of life in people with dementiaQualitative methodologyNot specified58 (30 care workers, 20 nurses, 8 senior careers)Interviews (interview guide)Broadly thematic content-analytic approach
Moore et al., 2019 (London, UK)
[40]
To explore the practice and the role played by the services for helping to prepare end of life careMixed methods: cross-sectional survey and interview studyNot specifiedQuantitative study: 45 survey participants (39 nurses, 2 occupational therapists, 2 social workers, 1 doctor, 1 psychologist)
Qualitative study: 12 participants (1 team leader, 3 consultant psychiatrists, 5 nurses, 1 care coordinator, 1 occupational therapist, 1 support worker)
Survey/semistructured interviews (interview guide)Quantitative study: standard descriptive statistics
Qualitative study: inductive analysis
Powers & Watson, 2011 (New York, US)
[41]
To understand spirituality; examine the perception of health professionals as well as the family members on the spiritual approach; to analyze the resources for an assessment and intervention of the spiritual needsMixed methodsQuantitative study: random stratified sample
Qualitative study: purposefully selected
Quantitative study: a survey of a 21% sample of staff. A 38% reply rate was accomplished
Qualitative study: 66 nursing home staff (nurses and nursing assistants, social workers, recreation and physical therapists)
Quantitative data collection: surveys
Qualitative data collection: semistructured interviews
Quantitative study: descriptive statistics
Qualitative study: thematic
Schmidt et al., 2018 (Germany)
[6]
To identify the needs of advanced dementia in the final phase and to explore the relevant aspects which must be coveredGrounded theoryConvenience sampling42 (33 caregivers, 3 physicians, 3 housekeepers, 2 others, 1 physician)Semistructured group discussion/interview individualComparative method analysis
Stacpoole et al., 2017
(UK)
[25]
To establish whether the Namaste Care program can be implemented in nursing homes in the United Kingdom and what effect this has on the quality of life of residents with advanced dementia and their family membersA qualitative study (organizational action research) from a larger mixed-method researchNot specifiedFocus group preimplementation: 40 (9 nurses, 28 care workers, 3 activities coordinators)
Focus group post: 31 (7 nurses, 22 care workers, 2 activity coordinators)
5 managers interviewed
Focus groups/semistructured interviewsGrounded theory analysis
Toivonen et al., 2018 (Finland)
[12]
To describe the experiences of nurses in their approach on spirituality of older people living with dementiaHeideggerian hermeneutic phenomenologyPurposive sampling17 female nurses; (9 registered nurses, 8 assistant nurses)Unstructured interviewsInductive content
van der Steen et al., 2017 (Netherlands, UK, US, Belgium, Israel)
[7]
To understand the needs in the development of PC needs in terminal stages of dementiaQualitative methodologyNot specified11 physicians, 10 nurses, 1 social worker, 3 project leadersFocus groups/interviews (interview guide)Thematic