Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study
Abstract Background Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for s...
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Palliative Care |
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| Online Access: | https://doi.org/10.1186/s12904-024-01377-8 |
| _version_ | 1797272846320271360 |
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| author | Zhangyi Wang Xiaochun Tang Liping Li Huifang Zhou Yue Zhu Lamei Chen Tao Su Mengru Liu Xiaoli Pang Xiaoke Yi Li Liu Jingjing Liu Mengsu Liu |
| author_facet | Zhangyi Wang Xiaochun Tang Liping Li Huifang Zhou Yue Zhu Lamei Chen Tao Su Mengru Liu Xiaoli Pang Xiaoke Yi Li Liu Jingjing Liu Mengsu Liu |
| author_sort | Zhangyi Wang |
| collection | DOAJ |
| description | Abstract Background Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model. Methods A descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data. Results The overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, “create a good atmosphere” (3.16 ± 0.95), and the lowest average scores, “help religious practice” (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III. Conclusion The Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And “create a good atmosphere” and “share self-perception” were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of “share self-perception” and “help thinking” were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient’s characteristics and unique personality traits. |
| first_indexed | 2024-03-07T14:35:17Z |
| format | Article |
| id | doaj.art-ae3bb9ce99544365816fb82ab8b21697 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-03-07T14:35:17Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-ae3bb9ce99544365816fb82ab8b216972024-03-05T20:42:33ZengBMCBMC Palliative Care1472-684X2024-02-0123111210.1186/s12904-024-01377-8Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional studyZhangyi Wang0Xiaochun Tang1Liping Li2Huifang Zhou3Yue Zhu4Lamei Chen5Tao Su6Mengru Liu7Xiaoli Pang8Xiaoke Yi9Li Liu10Jingjing Liu11Mengsu Liu12Nursing Department, Central Hospital of HengyangNursing Department, Central Hospital of HengyangNursing Department, Central Hospital of HengyangNursing Department, Central Hospital of HengyangSchool of Nursing, Tianjin University of Traditional Chinese MedicineNursing Department, Central Hospital of HengyangSchool of Nursing, Tianjin University of Traditional Chinese MedicineKidney Transplantation Department, Shandong Provincial Hospital, Shandong First Medical UniversitySchool of Nursing, Tianjin University of Traditional Chinese MedicineNursing Department, Central Hospital of HengyangBlood Purification Center, The Second Affiliated Hospital of University of South ChinaNursing Department, Central Hospital of HengyangNursing Department, Central Hospital of HengyangAbstract Background Numerous previous research have established the need for spiritual care among patients with cancer globally. Nevertheless, there was limited research, primarily qualitative, on the spiritual care needs of Chinese inpatients with advanced breast cancer. Furthermore, the need for spiritual care was rarely explored using the Kano model. To better understand the spiritual care needs and attributes characteristics of inpatients with advanced breast cancer, this study examined the Kano model. Methods A descriptive cross-sectional design study was conducted in the oncology departments of three tertiary grade-A hospitals in China from October 2022 to May 2023. To guarantee high-quality reporting of the study, the Strengthening the Reporting of Observational Studies in Epidemiology Checklist was used. Data on the demographic characteristics questionnaire, the Nurse Spiritual Therapeutics Scale (NSTS), and the Kano model-based Nurse Spiritual Therapeutics Attributes Scale (K-NSTAs) were collected through convenience sampling. The Kano model, descriptive statistics, two independent samples t-tests, and one-way analysis of variance were used to analyze the data. Results The overall score for spiritual care needs was 31.16 ± 7.85. The two dimensions with the highest average scores, “create a good atmosphere” (3.16 ± 0.95), and the lowest average scores, “help religious practice” (1.72 ± 0.73). The 12 items were distributed as follows: three attractive attributes were located in Reserving Area IV; five one-dimensional attributes were distributed as follows: three one-dimensional attributes were located in Predominance Area I, and two were found in Improving Area II; two must-be attributes were located in Improving Area II; and two indifference attributes were located in Secondary Improving Area III. Conclusion The Chinese inpatients with advanced breast cancer had a middle level of spiritual care needs, which need to be further improved. Spiritual care needs attributes were defined, sorted, categorized, and optimized accurately and perfectly by the Kano model. And “create a good atmosphere” and “share self-perception” were primarily one-dimensional and must-be attributes. In contrast, the items in the dimensions of “share self-perception” and “help thinking” were principally attractive attributes. Nursing administrators are advised to optimize attractive attributes and transform indifference attributes by consolidating must-be and one-dimensional attributes, which will enable them to take targeted spiritual care measures based on each patient’s characteristics and unique personality traits.https://doi.org/10.1186/s12904-024-01377-8Spiritual care needsAttributesAdvanced breast cancerInpatientsKano model |
| spellingShingle | Zhangyi Wang Xiaochun Tang Liping Li Huifang Zhou Yue Zhu Lamei Chen Tao Su Mengru Liu Xiaoli Pang Xiaoke Yi Li Liu Jingjing Liu Mengsu Liu Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study BMC Palliative Care Spiritual care needs Attributes Advanced breast cancer Inpatients Kano model |
| title | Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study |
| title_full | Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study |
| title_fullStr | Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study |
| title_full_unstemmed | Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study |
| title_short | Spiritual care needs and their attributes among Chinese inpatients with advanced breast cancer based on the Kano model: a descriptive cross-sectional study |
| title_sort | spiritual care needs and their attributes among chinese inpatients with advanced breast cancer based on the kano model a descriptive cross sectional study |
| topic | Spiritual care needs Attributes Advanced breast cancer Inpatients Kano model |
| url | https://doi.org/10.1186/s12904-024-01377-8 |
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