Spiritual Assessment of Patients With Cancer: The Moral Authority, Vocational, Aesthetic, Social, and Transcendent Model

Karen A. Skalla

J. Patrick McCoy

ONF 2006, 33(4), 745-751. DOI: 10.1188/06.ONF.745-751

Purpose/Objectives: To explore the nature of spiritual care in patients with cancer and discuss the Moral Authority, Vocational, Aesthetic, Social, and Transcendent (Mor-VAST) Model, a new theoretical model for assessment.

Data Sources: Published articles, online references.

Data Synthesis: Discussions regarding spirituality often do not occur for a variety of reasons but may affect physical and spiritual health of an individual.

Conclusions: Assessment of spirituality should be an integral part of cancer care. The Mor-VAST model can assist clinicians in discussing spirituality.

Implications for Nursing: Nurses should be aware of resources for referral to chaplaincy, but they can be a part of the process of spiritual support. Educational opportunities are available for nurses who wish to address their own spirituality so they can address spirituality comfortably and confidently with their patients.

Jump to a section

    References

    Allbrook, D. (2000). A metamorphosis: Doctor to chaplain. Medical Journal of Australia, 172, 390-391.

    Anandarajah, G., & Hight, E. (2001). Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. American Family Physician, 63, 81-89.

    Bailey, S.S. (1997). The arts in spiritual care. Seminars in Oncology Nursing, 13, 242-247.

    Bartel, M. (2004). What is spiritual? What is spiritual suffering? Journal of Pastoral Care and Counseling, 58, 187-201.

    Bates, J. (2005). Art for health's sake. Nursing Standard, 19(31), 28-29.

    Beery, T.A., Baas, L.S., Fowler, C., & Allen, G. (2002). Spirituality in persons with heart failure. Journal of Holistic Nursing, 20, 5-25.

    Bregman, J. (2004). Defining spirituality: Multiple uses and murky meanings of an incredibly popular term [Editorial]. Journal of Pastoral Care and Counseling, 58, 157-167.

    Bub, B. (2004). The patient's lament: Hidden key to effective communication: How to recognise and transform. Medical Humanities, 30, 63-69.

    Burhansstipanov, L., & Hollow, W. (2001). Native American cultural aspects of oncology nursing care. Seminars in Oncology Nursing, 17, 206-219.

    Burton, R. (2003). Spiritual pain: A brief overview and an initial response within the Christian tradition. Journal of Pastoral Care and Counseling, 57, 437-446.

    Dann, N.J., & Mertenes, W.C. (2004). Taking a "leap of faith": Acceptance and value of a cancer program-sponsored spiritual event. Cancer Nursing, 27, 134-141.

    Fackre, G. (1990). Presence. In R.J. Hunter (Ed.), Dictionary of pastoral care and counseling (p. 950). Nashville, TN: Abingdon Press.

    Fiske, A.P. (1992). The four elementary forms of sociality: Framework for a unified theory of social relations. Psychological Review, 99, 689-723.

    Fitchett, G. (2002). The 7x7 Model for Spiritual Assessment. In Assessing spiritual needs: A guide for caregivers (pp. 39-51). Lima, OH: Academic Renewal Press.

    Flannely, K.J., Weaver, A.J., & Costa, K.G. (2004). A systematic review of religion and spirituality in three palliative care journals, 1990-1999. Journal of Palliative Care, 20, 50-56.

    Friedman, D.A. (2001). Hitlavut ruchanit: Spiritual accompanying. In D.A. Friedman (Ed.), Jewish pastoral care (pp. ix-xiii). Woodstock, VT: Jewish Lights.

    Galek, K., Flannelly, K.J., Vane, A., & Galek, R.M. (2005). Assessing a patient's spiritual needs: A comprehensive instrument. Holistic Nursing Practice, 19(2), 62-69.

    Glannon, W. (2004). Transcendence and healing. Medical Humanities, 30, 70-73.

    Gordon, T., & Mitchell, D. (2004). A competency model for the assessment and delivery of spiritual care. Palliative Medicine, 18, 646-651.

    Highfield, M.E. (2000). Providing spiritual care to patients with cancer. Clinical Journal of Oncology Nursing, 4, 115-120.

    Highfield, M.E., Taylor, E.J., & Amenta, M.O. (2000). Preparation to care: The spiritual care education of oncology and hospice nurses. Journal of Hospice and Palliative Care Nursing, 2(2), 53-63.

    Hodge, D.R. (2001). Spiritual assessment: A review of major qualitative methods and a new framework for assessing spirituality. Social Work, 46, 203-214.

    Hogan, B.E. (2003). Soul music in the twilight years: Music therapy and the dying process. Topics in Geriatric Rehabilitation, 19, 275-281.

    Kestenbaum, I. (2001). The gift of healing relationships: A theology of Jewish pastoral care. In D.A. Friedman (Ed.), Jewish pastoral care (pp. 5-11). Woodstock, VT: Jewish Lights.

    Koenig, H.G. (2002). Spirituality in patient care. Philadelphia: Templeton Foundation.

    Lo, B., Ruston, D., Kates, L.W., Arnold, R.M., Cohen, C.B., Faber-Langendoen, K., et al. (2002). Discussing religious and spiritual issues at the end of life: A practical guide for physicians. JAMA, 287, 749-754.

    Maddox, M. (2001). Teaching spirituality to nurse practitioner students: The importance of the interconnection of mind, body, and spirit. Journal of the American Academy of Nurse Practitioners, 13, 134-139.

    Mazanec, P., & Tyler, M.K. (2003). Cultural considerations in end-of-life care: How ethnicity, age, and spirituality affect decisions when death is imminent. American Journal of Nursing, 103, 50-58.

    McEwen, M. (2004). Analysis of spirituality content in nursing textbooks. Journal of Nursing Education, 43, 20-30.

    McSherry, W. (2000). Education issues surrounding the teaching of spirituality. Nursing Standard, 14(42), 40-43.

    Meraviglia, M. (2006). Effects of spirituality in breast cancer survivors [Online exclusive]. Oncology Nursing Forum, 33, E1-E7. Retrieved May 19, 2006, from http://www.ons.org/publications/journals/ONF/Volume33/Issue1/pdf/330137.pdf

    National Cancer Institute. (2006). Spirituality. Retrieved May 19, 2006, from http://www.cancer.gov/Templates/db_alpha.aspx?CdrID=441265

    Nouwen, H. (1979). The wounded healer. Garden City, NY: Image Books.

    Puchalski, C., & Romer, A.L. (2000). Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine, 3, 129-138.

    Puchalski, C.M., Dorff, R.E., & Hendi, I.Y. (2004). Spirituality, religion, and healing in palliative care. Clinics in Geriatric Medicine, 20, 689-714.

    Ramondetta, L.M., & Sills, D. (2004). Spirituality in gynecological oncology: A review. International Journal of Gynecological Cancer, 14, 183-201.

    Rumbold, B. (2003). Caring for the spirit: Lessons from working with the dying. Medical Journal of Australia, 179(6, Suppl.), S11-S13.

    Skitka, L.J., Bauman, C.W., & Sargis, E.G. (2005). Moral conviction: Another contributor to attitude strength or something more? Journal of Personality and Social Psychology, 88, 895-917.

    Stefanek, M., McDonald, P.G., & Hess, S.A. (2005). Religion, spirituality and cancer: Current status and methodological challenges. Psycho-Oncology, 14, 450-463.

    Tarumi, Y., Taube, A., & Watanbe, S. (2003). Clinical pastoral education: A physician's experience and reflection on the meaning of spiritual care in palliative care. Journal of Pastoral Care and Counseling, 57, 27-31.

    Taylor, E.J., Highfield, M.F., & Amenta, M. (1999). Predictors of oncology and hospice nurses' spiritual care perspectives and practices. Applied Nursing Research, 12, 30-37.

    Unruh, A.M., Smith, N., & Scammell, C. (2000). The occupation of gardening in life-threatening illness: A qualitative pilot project. Canadian Journal of Occupational Therapy, 67, 70-77.

    Walter, T. (2002). Spirituality in palliative care: Opportunity or burden? Palliative Medicine, 16, 133-139.

    White, G. (2000). An inquiry into the concepts of spirituality and spiritual care. International Journal of Palliative Nursing, 6, 479-484.

    Wright, M.C. (2002). The essence of spiritual care: A phenomenological enquiry. Palliative Medicine, 16, 125-132.