Project

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Spiritual Care in Chronic Pain. Interdisciplinary Research for Interprofessional Practice in Medicine and Nursing

English title Spiritual Care in Chronic Pain. Interdisciplinary Research for Interprofessional Practice in Medicine and Nursing
Applicant Peng-Keller Simon
Number 167507
Funding scheme NRP 74 Smarter Health Care
Research institution Theologische Fakultät Universität Zürich
Institution of higher education University of Zurich - ZH
Main discipline Religious studies, Theology
Start/End 01.10.2017 - 31.12.2021
Approved amount 330'710.00
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All Disciplines (2)

Discipline
Religious studies, Theology
Public Health and Health Services

Keywords (7)

spiritual assessment; multimodal pain therapy; health communication; Spiritual Care; DocCom.Deutsch; chronic pain; health care education

Lay Summary (German)

Lead
Die Berücksichtigung der spirituellen Dimension in der interprofessionellen Behandlung soll einen Beitrag zur Linderung von chronischen Schmerzen leisten. Die Studie schafft dafür Grundlagen sowie Instrumente für die klinische Praxis und die professionelle Ausbildung.
Lay summary

Chronische Schmerzen haben oft gravierende physische, psychische und soziale Folgen für Betroffene. Eine Integration der spirituellen Dimension in die interprofessionelle Behandlung, wie sie von der Weltgesundheitsorganisation gefordert wird, könnte einen Beitrag zur Schmerzverringerung leisten. Es fehlen jedoch bislang geeignete Instrumente, um spirituelle Bedürfnisse der Betroffenen im klinischen Alltag zu erfassen und Fachpersonen für diese Aspekte der Schmerzbehandlung auszubilden und zu unterstützen.

Die Studie verfolgt eine doppelte Zielsetzung: Zum einen untersucht sie die therapeutische Bedeutung dessen, was die WHO als die „spirituelle Dimension“ der Gesundheitsversorgung beschreibt, für die medizinische und pflegerische Unterstützung von chronischen Schmerzpatienten. Im Hinblick darauf, dass der Einbezug spiritueller Aspekte bislang wenig selbstverständlich ist und zusätzliche Kompetenzen erfordert, wird zum anderen ein videobasiertes Lerninstrument entwickelt und auf seine Wirksamkeit hin überprüft.

Basierend auf einer Analyse bereits vorhandenen Daten wird unter Einbezug von Schmerzpatient/-innen und Fachpersonen ein Erhebungsinstrument entwickelt und getestet. Dieses soll ermöglichen, die spirituellen Bedürfnisse und Ressourcen von Schmerzpatienten systematisch in die Schmerztherapie einzubeziehen. Zudem wird ein e-Learning-Tool für die Kommunikation zwischen Fachpersonen und Patient/-innen mit Fokus auf Schmerz und Spiritualität entwickelt und evaluiert.  

Die Studie liefert einen Beitrag zum Einbezug der spirituellen Dimension in die medizinische und pflegerische Behandlung von chronischem Schmerz. Durch die Vernetzung zwischen wichtigen Bildungsinstitutionen und Kliniken der Schweiz wird der Einbezug der spirituellen Dimension im Bereich chronischer Erkrankung gefördert.
Direct link to Lay Summary Last update: 17.12.2016

Responsible applicant and co-applicants

Employees

Project partner

Publications

Publication
SpiritualPain. Annäherunganeinen Schlüsselbegriff interprofessioneller Spiritual Care
Peng-Keller Simon (2017), SpiritualPain. Annäherunganeinen Schlüsselbegriff interprofessioneller Spiritual Care, in Spiritual Care, 6(3), 295-302.

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Spiritual Care im Kontext Chronischer Erankungen und Schmerzen Talk given at a conference Verschiedene Vorträge zum Tagungsthema 26.10.2017 Zürich, Switzerland Guttormsen Schär Sissel; Bischoff Alexander; Peng-Keller Simon; Sandra Adami; Rettke Horst; Streeck Nina; Biller-Andorno Nikola;


Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
BrainFair Universität Zürich Talk 15.03.2018 Zürich, Switzerland Peng-Keller Simon;


Abstract

Background: The goal of the interdisciplinary project is to improve health care for chronic pain patients through the integration of interprofessional spiritual care in practice and education. The project addresses a threefold set of problems: the undertreatment of chronic pain; the communicational challenges in attending spiritual needs of patients with chronic pain; the lack of appropriate clinical and educational tools for spiritual care in the field of chronic pain care and in chronic disease care in general. Aims: The project has two main aims with specific, but interlaced research objectives: (1.) It investigates the significance of the spiritual dimension in caring for chronic pain patients and develops a screening tool for its integration in regular health care. (2.) Based on the outcome from research related to the first aim, the development of an evidence-based teaching-learning instrument, which can be used for the formation and advanced interprofessional health education training, shall be pursued. Structure: The project includes three subprojects: Subproject A aims to establish a phenomenology of chronic pain under special consideration of the spiritual dimension and a conceptual framework for subprojects B and C. By integrating medical, psychological, nursing and theological aspects into the spiritual care horizon, a solid interdisciplinary basis is to be laid for the overall project. Furthermore, the interdisciplinary reflection shall also supervise the development of subprojects B and C, and contribute to the conceptual clarity as well as to the subsequent communication of the perspectives involved in the research process. In a subsequent phase, Subproject B aims to develop and validate a context-sensitive screening tool for clinical practice that enables health care professionals to identify patients’ spiritual concerns and resources. Our work will be informed by literature on spiritual care assessment instruments and based on focus group interviews with health care professionals and chronic pain patients in various health care centres. The screening instrument will be subsequently tested for reliability and validity in the target population. Subproject C is based on our previous research on medical education and the eLearning tool DocCom.Deutsch. It aims at applying the knowledge gained from subproject A and B in order to develop an empirically based eLearning tool for health provider-communication with particular emphasis on chronic pain and spiritual care. As proof of concept the effectiveness of the learning tool shall be evaluated by means of a scientifically implemented multi-centre field study. In the end, the eLearning tool shall prove to be suitable for early interprofessional communication skills-training as preparation for further training with standardised patients and finally with patients, in a scaffolding manner: from conceptual training, to safe training with simulation-patients to practice in real-life situations.Methods: Methodologically the project espouses an interdisciplinary approach situated in the international research field of spiritual care, health communication research, and research on chronic pain. Institutionally the research project is attached to the professorship for spiritual care at the University of Zurich and contributes to promoting this new field of research and teaching. Scientific significance: By complementing the biopsychosocial paradigm of contemporary pain research and therapy through insights drawn from recent research in spiritual care and health care communication, the project performs interdisciplinary integration and promotes pain therapy which systematically integrates the spiritual concerns of patients into treatment plans. The project submitted is the first spiritual care related research project in Switzerland conducted in the area of chronic pain. It thus contributes to the development of a new field of clinical research. As to educational research, it represents a joint research project involving various education and research institutions, it initiates academic and scientific exchange that is likely to continue beyond the scope of the project submitted.The clinical relevance of the project lies in the intended improvement of quality in care for chronic pain patients in Switzerland by an evidence-based and context-sensitive screening tool for interprofessional practice. With a specific focus on chronic pain, the project develops the necessary conditions for raising awareness among healthcare professionals in Switzerland of spiritual issues that impact on the delivery of care. By targeting chronic pain care, the project expands the focus of spiritual care in Switzerland from palliative end-of-life care to the broader field of healthcare for people with severe chronic diseases.
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