Deconstructing spiritual care: Discursive underpinnings within palliative care research

Author:

Lundberg Emma1ORCID,Öhlén Joakim123ORCID,Dellenborg Lisen1ORCID,Ozanne Anneli14ORCID,Enstedt Daniel5ORCID

Affiliation:

1. Institute of Health and Care Sciences, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

2. Centre for Person‐Centred Care (GPCC) University of Gothenburg Gothenburg Sweden

3. Palliative Centre Sahlgrenska University Hospital Region Västra Götaland Gothenburg Sweden

4. Department of Neurology Sahlgrenska University Hospital Göteborg Sweden

5. Department of Literature, History of Ideas, and Religion University of Gothenburg Gothenburg Sweden

Abstract

AbstractReligion and spirituality are integral to the philosophy of palliative care, shaping its approach to spiritual care. This article aims to examine the discourses within palliative care research to illuminate prevailing assumptions regarding spiritual care. Eighteen original articles were analyzed to examine how spiritual care is understood within palliative care. The analysis, informed by Foucault, aimed to identify recurring discourses. The finding reveals that, in palliative care research, spirituality is viewed as enigmatic yet inherently human and natural, assuming that every individual has a spiritual dimension. The analysis points to healthcare professionals being expected to hold certain qualities to put spiritual care into practice. The analysis also reveals that in the analyzed articles, the concept of spiritual care is rooted in a Christian context, with the belief that all individuals possess inherent spirituality or religiosity, a concept often associated with Christian theology. The included articles often utilize theological terms and emphasize a monotheistic viewpoint. Spirituality is articulated as a complex, distinct concept, challenging clear definitions and professional responsibilities. Further, a moral formation of healthcare professionals is described, interpelling and ascribing qualities that healthcare professionals need to provide spiritual care.

Publisher

Wiley

Subject

General Nursing

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