Screening for spiritual distress in the oncology inpatient: a quality improvement pilot project between nurses and chaplains
Article first published online: 5 NOV 2012
© 2012 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Perspectives on spirituality - opportunities and challenges for nurse managers and leaders Issue editors: Fiona Timmins and Wilf McSherry
Volume 20, Issue 8, pages 1076–1084, December 2012
How to Cite
2012) Journal of Nursing Management 20, 1076–1084 Screening for spiritual distress in the oncology inpatient: a quality improvement pilot project between nurses and chaplains., & (
- Issue published online: 14 NOV 2012
- Article first published online: 5 NOV 2012
- Manuscript Accepted: 5 OCT 2012
- oncology patients;
- spiritual struggle
A quality improvement initiative of nursing/chaplain collaboration on the early identification and referral of oncology patients at risk of spiritual distress.
Research shows that spiritual distress may compromise patient health outcomes. These patients are often under-identified, and chaplaincy staffing is not sufficient to assess every patient. The current nursing admission form with a question of ‘Any spiritual practices that may affect your care?’ is ineffective in screening for spiritual distress.
Ten nurses on the oncology unit were recruited and trained in a two-question screening tool to be utilized upon admission.
Six nurses made referrals; a total of 14 patients. Four (28%) were at risk of spiritual distress and were assessed by the chaplains.
Nurses are interested in the spiritual well-being of their patients and observe spiritual distress. They appreciate terminology/procedures by which they can assess more productively the spiritual needs of their patients and make appropriate chaplain referrals.
Implications for nursing management
The use of a brief spiritual screening protocol can improve nursing referrals to chaplains. The better utilization of chaplains that this enables can improve patient trust and satisfaction with their overall care and potentially reduce the harmful effects of spiritual distress.