The impact of the hospice environment on patient spiritual expression

To understand how hospital inpatients express their spirituality and to investigate the impact of hospice environment on this expression.

Qualitative.

Two metropolitan hospice centers in southern Australia.

12 inpatients (7 males, 5 females) who were residents for at least four days.

Influenced by Heidegger's Phenomenological Hermeneutics, semistructured interviews were conducted. Interview transcripts and field notes were analyzed to reduce data into codes and themes. Data were coded by extracting verbatim phrases used to describe spiritual expression and the impact of hospice environment on it.

The nature of spiritual expression and the impact of the hospice environment on the spiritual expression of hospice inpatients.

Participants were comfortable discussing their spiritual expression within the context of four main themes: Relationships, That Which Uplifts, Spiritual Practice, and Having Hope. Finding meaning was a common link among these themes. The impact of the hospice environment was variable. Most believed that it facilitated their spiritual expression to some degree.

Spiritual expression is important but is facilitated by individualized spiritual care. Nurses play an important role in the provision of spiritual care within a hospice setting.

Nurses are significant in assisting in patients' spiritual expression. Nurses' needs for training in listening skills, confidence in discussing spiritual issues, and time to provide individualized spiritual care should be assessed to ensure optimal patient expression.