ICU Nurses’ Perceptions and Practice of Spiritual Care at the End of Life: Implications for Policy Change

Nurses strive to provide holistic care, including spiritual care, for all patients. However, in busy critical care environments, nurses often feel driven to focus on patients’ physical care, possibly at the expense of emotional and spiritual care. This study examined how Palestinian nurses working in intensive care units (ICUs) understand spirituality and the provision of spiritual care at the end of life. In this article, the author presents background studies, encouraging an increased emphasis on spiritual care, and describes the qualitative method used to study 13 ICU Gaza Strip nurses’ understanding of spiritual care. Findings identified the following themes: meaning of spirituality and spiritual care; identifying spiritual needs; and taking actions to meet spiritual needs. The author discusses the difficulty nurses had in differentiating spiritual and religious needs, notes the study limitations, and concludes by recommending increased emphasis on the provision of spiritual care for all patients.