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The Ars Moriendi Model for Spiritual Assessment: A Mixed-Methods Evaluation
Mieke Vermandere1, Franca Warmenhoven1, Evie Van Severen1
1KU Leuven in Belgium.
Nurses and physicians found the ars moriendi model (AMM) valuable for spiritual assessment in palliative care. The AMM strengthened patient-provider relationships and facilitated person-centered end-of-life care.
Area of Science:
- Palliative Care
- Spiritual Care
- End-of-Life Care
Background:
- Spiritual assessment is crucial in palliative care.
- The ars moriendi model (AMM) offers a framework for spiritual assessment.
- Understanding healthcare providers' experiences with the AMM is essential for its effective implementation.
Purpose of the Study:
- To explore nurses' and physicians' experiences with the ars moriendi model (AMM) for spiritual assessment.
- To evaluate the perceived value and impact of the AMM on patient-provider relationships in palliative home care.
Main Methods:
- Convergent, parallel, mixed-methods design.
- Quantitative survey assessing first impressions and feasibility.
- Qualitative semistructured interviews exploring in-depth experiences with the AMM.
- Study conducted in palliative home care settings in Belgium.
Main Results:
- The AMM was perceived as valuable by healthcare providers (HCPs).
- Many patients shared end-of-life wishes and expectations during assessments.
- The AMM strengthened the patient-provider relationship for most HCPs.
- Assessments often revealed new issues, though spiritual topics were sometimes discussed informally prior.
Conclusions:
- HCPs consider the AMM a useful tool for spiritual assessment.
- The AMM aids in gathering information about patients' context, life story, and connections.
- The model facilitates person-centered care by enhancing insight into patient spirituality.
- The AMM is important for establishing person-centered end-of-life care.
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