Perspectives on spiritual care at Hospice Africa Uganda

To examine how spiritual care is perceived in an African context by recording the lived experiences of palliative care workers at Hospice Africa Uganda (HAU).

Fifteen palliative care workers with experience in providing spiritual care were interviewed and their responses were thematically analyzed.

The participants rarely saw a distinction between religion and spirituality. Although many were comfortable dealing with religious issues emanating from the major religious traditions, including those different from their own, they were less comfortable in handling issues arising from native Ugandan traditions and culture. Beliefs such as witchcraft and cursing in particular were considered harmful and not spiritual, and several participants reported feeling uncomfortable when providing spiritual care to patients with these beliefs. The interviewees also cited difficulties such as the lack of time, resources, and available religious leaders in the community, as well as language barriers.

Although the palliative care workers at HAU have views on spirituality and spiritual care that have much in common with the palliative care literature from North America and Europe, they also face more specific challenges. These include providing spiritual care in a resource-poor setting to patients undergoing severe economic hardship, and providing spiritual care to those with traditional African religious beliefs.