Treffer: Developing and Implementing a Spiritual Self-Care Program for Hospice Team Members.
Title:
Developing and Implementing a Spiritual Self-Care Program for Hospice Team Members.
Authors:
Jang S; Sunhee Jang, PhD, is associate professfor, Nursing Science, Changshin University, Changwon-si, Gyeongsangnam-do, Korea., Yeo H; Hyeongnam Yeo, PhD, is associate professfor, Nursing Science, Changshin University, Changwon-si, Gyeongsangnam-do, Korea., Kim M; Minyeong Kim, PhD candidate, is visiting professfor, Nursing Science, Changshin University, Changwon-si, Gyeongsangnam-do, Korea., Je N; Namjoo Je, PhD, is professor, Nursing Science, Changshin University, Changwon-si, Gyeongsangnam-do, Korea., Bang M; Misung Bang, PhD , is assistant professor, Nursing Science, Changshin University, Changwon-si, Gyeongsangnam-do, Korea.
Source:
Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association [J Hosp Palliat Nurs] 2026 Apr 01; Vol. 28 (2), pp. E68-E75. Date of Electronic Publication: 2025 Dec 05.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Nursecom, Inc Country of Publication: United States NLM ID: 100887419 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1539-0705 (Electronic) Linking ISSN: 15222179 NLM ISO Abbreviation: J Hosp Palliat Nurs Subsets: MEDLINE
Imprint Name(s):
Original Publication: Philadelphia, PA : Nursecom, Inc., c1999-
MeSH Terms:
References:
Kang KA, Kim DB, Koh SJ, et al. Spiritual care guide in hospice palliative care. J Hosp Palliat Care. 2023;26:149–159.
Han SK, Eo YG. Patients’ dying process from the point of view of family and hospice team: a qualitative exploration of family member and hospice team experiences with hospice in Korea. OMEGA. 2020;86:533–552.
Coats H, Doyon K, Isaacson MJ, et al. The 2023-2026 Hospice and Palliative Nurses Association research agenda. J Hosp Palliat Nurs. 2023;25:55–74.
National Law Information Center. Act on hospice and palliative care and decisions on life-sustaining treatment for patients in hospice and palliative care or the end-of-life, Article 2, Clause 6. 2017. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%97%B0%EB%AA%85%EC%9D%98%EB%A3%8C%EA%B2%B0%EC%A0%95%EB%B2%95#undefined . Accessed December 10, 2023.
National Hospice Center. 2025 hospice and palliative care project guide. https://hospice.go.kr:8444/index.html?menuno=22 . Accessed December 10, 2023.
Ng WR, Hamizah N, Chen X, Yeo ZZ, Soh KC, Chong PH. Burnout prevalence and associated factors among palliative and hospice care professionals during the COVID-19 endemic: an exploratory survey. Am J Hosp Palliat Med. 2025;42:365–371.
Blom C, Reis A, Lencastre L. Caregiver quality of life: satisfaction and burnout. Int J Environ Res Public Health. 2023;20:6577.
Papworth A, Ziegler L, Beresford B, et al. Psychological well-being of hospice staff: systematic review. BMJ Supp Palliat Care. 2023;13:e597–e611.
Horn DJ, Johnston CB. Burnout and self care for palliative care practitioners. Med Clin North Am. 2020;104:561–572.
Fan S, Wei-Chu L. The relationships between self-efficacy, self-care ability, and burnout and compassion satisfaction among hospice staff in Taiwan. Support Care Cancer. 2022;30:5491–5497.
Ratcliff M. Social workers, burnout, and self-care: a public health issue. Delaware J Pub Health. 2024;10:26–29.
Jang SH, Lee SJ, Kim MY. A concept analysis of spiritual self-care in hospice team members by hybrid model. J Korean Acad Psychiat Mental Health Nurs. 2023;32:501–513.
Tavares A, Martins H, Pinto S, Caldeira S, Pontfice P, Rodgers B. Spiritual comfort, spiritual support, and spiritual care: a simultaneous concept analysis. Nurs Forum. 2022;57:1559–1566.
Cho EJ, Cho HH. Factors influencing compassion fatigue among hospice and palliative care unit nurses. J Hosp Palliat Care. 2021;24:13–25.
Ausar K, Lekhak N, Candela L. Nurse spiritual self-care: a scoping review. Nurs Outlook. 2021;69:660–671.
Garcia AC, Silva BD, Da Silva LC, Mills J. Self-compassion in hospice and palliative care: a systematic integrative review. J Hosp Palliat Nurs. 2021;23:145–154.
Davis A, Repar P, Wilson M, De Luca E, Doutrich D, Thanasilp S. Transforming nurse self-care through integration of spirituality: lessons from an international collaboration in palliative care. J Transcult Nurs. 2023;34:91–99.
Kim CD, Kim EH, Kim HS, Shin EJ, Lee SH, Choi HN. Development and Evaluation of Counseling and Psychoeducation Programs. 2nd ed.: Hakjisa; 1–480.
Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.
Park NS, Song SM. The influence of childcare teacher’s self-care on teacher-child interaction: the mediating effect of psychological burnout. Early Childhood Educ Res Rev. 2019;23:105–124.
Jang SH, Kim MY, Bang MS, Yeo HN. Development of a measurement tool for hospice team members’ spiritual self-care. Unpublished manuscript (forthcoming).
Maslach C, Jackson SE. MBI–Human Services Survey. Consulting Psychologists Press; 1981.
Choi HY, Chung NW. Perfectionism tendency, social support, and burnout among counselors. Korean J Health Psychol. 2003;8:279–300.
Lee HS. Analysis of Emotional Labor and Burnout Among Nurses: A Structural Equation Model Based on the Conservation of Resources Theory [dissertation]. Seoul, Korea: Chung‑Ang University; 2017.
Depner R, Cook-Cottone C, Kim S. Structural relationship between mindful self-care, meaning made, and palliative worker’s quality of life. Inter J Stress Manag. 2021;28:74.
Mendes BV, Donato SC, Silva TL, Penha RM, Jaman-Mewes P, Salvetti MD. Spiritual well-being, symptoms and performance of patients under palliative care. Rev Bras Enferm. 2023;76:e20220007.
Tanzi S, Artioli G, Bertocchi E, et al. Experiential training course on spirituality for multidisciplinary palliative care teams in a hospital setting: a feasibility study. BMC Palliat Care. 2024;23:38.
Al-Osaimi DN, Al-Onazi AK, Al-Khammash NMS, et al. Spiritual well-being and burnout among Saudi nurses in intensive care units. Open Nurs J. 2023;17:2303270.
Michael K, Schujovitzky D, Karnieli-Miller O. The association between resilience, self-care, and burnout among medical students. PLoS One. 2024;19:e0309994.
Yang SH, Tsan YT, Hsu W, et al. Association between self-efficacy, spiritual well-being and the willingness to provide spiritual care among nursing staff in Taiwan: a cross-sectional study. BMC Nurs. 2024;23:299.
Han SK, Eo YG. Patients’ dying process from the point of view of family and hospice team: a qualitative exploration of family member and hospice team experiences with hospice in Korea. OMEGA. 2020;86:533–552.
Coats H, Doyon K, Isaacson MJ, et al. The 2023-2026 Hospice and Palliative Nurses Association research agenda. J Hosp Palliat Nurs. 2023;25:55–74.
National Law Information Center. Act on hospice and palliative care and decisions on life-sustaining treatment for patients in hospice and palliative care or the end-of-life, Article 2, Clause 6. 2017. https://www.law.go.kr/lsSc.do?section=&menuId=1&subMenuId=15&tabMenuId=81&eventGubun=060101&query=%EC%97%B0%EB%AA%85%EC%9D%98%EB%A3%8C%EA%B2%B0%EC%A0%95%EB%B2%95#undefined . Accessed December 10, 2023.
National Hospice Center. 2025 hospice and palliative care project guide. https://hospice.go.kr:8444/index.html?menuno=22 . Accessed December 10, 2023.
Ng WR, Hamizah N, Chen X, Yeo ZZ, Soh KC, Chong PH. Burnout prevalence and associated factors among palliative and hospice care professionals during the COVID-19 endemic: an exploratory survey. Am J Hosp Palliat Med. 2025;42:365–371.
Blom C, Reis A, Lencastre L. Caregiver quality of life: satisfaction and burnout. Int J Environ Res Public Health. 2023;20:6577.
Papworth A, Ziegler L, Beresford B, et al. Psychological well-being of hospice staff: systematic review. BMJ Supp Palliat Care. 2023;13:e597–e611.
Horn DJ, Johnston CB. Burnout and self care for palliative care practitioners. Med Clin North Am. 2020;104:561–572.
Fan S, Wei-Chu L. The relationships between self-efficacy, self-care ability, and burnout and compassion satisfaction among hospice staff in Taiwan. Support Care Cancer. 2022;30:5491–5497.
Ratcliff M. Social workers, burnout, and self-care: a public health issue. Delaware J Pub Health. 2024;10:26–29.
Jang SH, Lee SJ, Kim MY. A concept analysis of spiritual self-care in hospice team members by hybrid model. J Korean Acad Psychiat Mental Health Nurs. 2023;32:501–513.
Tavares A, Martins H, Pinto S, Caldeira S, Pontfice P, Rodgers B. Spiritual comfort, spiritual support, and spiritual care: a simultaneous concept analysis. Nurs Forum. 2022;57:1559–1566.
Cho EJ, Cho HH. Factors influencing compassion fatigue among hospice and palliative care unit nurses. J Hosp Palliat Care. 2021;24:13–25.
Ausar K, Lekhak N, Candela L. Nurse spiritual self-care: a scoping review. Nurs Outlook. 2021;69:660–671.
Garcia AC, Silva BD, Da Silva LC, Mills J. Self-compassion in hospice and palliative care: a systematic integrative review. J Hosp Palliat Nurs. 2021;23:145–154.
Davis A, Repar P, Wilson M, De Luca E, Doutrich D, Thanasilp S. Transforming nurse self-care through integration of spirituality: lessons from an international collaboration in palliative care. J Transcult Nurs. 2023;34:91–99.
Kim CD, Kim EH, Kim HS, Shin EJ, Lee SH, Choi HN. Development and Evaluation of Counseling and Psychoeducation Programs. 2nd ed.: Hakjisa; 1–480.
Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.
Park NS, Song SM. The influence of childcare teacher’s self-care on teacher-child interaction: the mediating effect of psychological burnout. Early Childhood Educ Res Rev. 2019;23:105–124.
Jang SH, Kim MY, Bang MS, Yeo HN. Development of a measurement tool for hospice team members’ spiritual self-care. Unpublished manuscript (forthcoming).
Maslach C, Jackson SE. MBI–Human Services Survey. Consulting Psychologists Press; 1981.
Choi HY, Chung NW. Perfectionism tendency, social support, and burnout among counselors. Korean J Health Psychol. 2003;8:279–300.
Lee HS. Analysis of Emotional Labor and Burnout Among Nurses: A Structural Equation Model Based on the Conservation of Resources Theory [dissertation]. Seoul, Korea: Chung‑Ang University; 2017.
Depner R, Cook-Cottone C, Kim S. Structural relationship between mindful self-care, meaning made, and palliative worker’s quality of life. Inter J Stress Manag. 2021;28:74.
Mendes BV, Donato SC, Silva TL, Penha RM, Jaman-Mewes P, Salvetti MD. Spiritual well-being, symptoms and performance of patients under palliative care. Rev Bras Enferm. 2023;76:e20220007.
Tanzi S, Artioli G, Bertocchi E, et al. Experiential training course on spirituality for multidisciplinary palliative care teams in a hospital setting: a feasibility study. BMC Palliat Care. 2024;23:38.
Al-Osaimi DN, Al-Onazi AK, Al-Khammash NMS, et al. Spiritual well-being and burnout among Saudi nurses in intensive care units. Open Nurs J. 2023;17:2303270.
Michael K, Schujovitzky D, Karnieli-Miller O. The association between resilience, self-care, and burnout among medical students. PLoS One. 2024;19:e0309994.
Yang SH, Tsan YT, Hsu W, et al. Association between self-efficacy, spiritual well-being and the willingness to provide spiritual care among nursing staff in Taiwan: a cross-sectional study. BMC Nurs. 2024;23:299.
Contributed Indexing:
Keywords: burnout; palliative care; psychological stress; self-care; spirituality
Entry Date(s):
Date Created: 20251209 Date Completed: 20260307 Latest Revision: 20260307
Update Code:
20260308
DOI:
10.1097/NJH.0000000000001184
PMID:
41364084
Database:
MEDLINE
Weitere Informationen
The purpose of this study was to develop a spiritual self-care program for hospice team members and to evaluate its effects on stress management, spiritual self-care, and burnout. The research method was a quasi-experimental study with a nonequivalent control group pre-post design, and the participants were hospice team members working in a hospice care organization, with 20 participants in the experimental group and 19 participants in the control group. The experimental group completed a spiritual self-care program over 7 sessions, which included topics such as self-awareness, finding meaning in life, and mindfulness. Stress management, spiritual self-care, and burnout were assessed before the program and immediately after the program ended. The results showed that stress management and spiritual self-care scores significantly increased in the experimental group compared with the control group. Burnout scores also decreased significantly in the experimental group. The spiritual self-care program for hospice team was found to be effective in improving stress management and reducing burnout. This study emphasizes the necessity for developing self-care programs aimed at supporting the emotional and psychological health of hospice team and suggests providing educational programs on a regular basis with the establishment of an organizational-level support system.
(Copyright © 2025 by The Hospice and Palliative Nurses Association. All rights reserved.)
The authors have no conflicts of interest to disclose.