Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 Medicine and Religious Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

10.34172/jqr.2024.30

Abstract

Background: Spiritual self-care (SSC) is a multidimensional construct encompassing spirituality-based activities to promote health. It is an up-to-date approach that individuals engage in to promote ongoing personal development and well-being in health and illness. Existential spirituality, which is a key aspect of the broader concept of SSC, pertains to the way individuals find meaning and purpose in their lives, particularly during an existential crisis when a previously held worldview loses its legitimacy. In the context of cancer management, understanding the dimensions of SSC is crucial for achieving holistic health and well-being, as it addresses the spiritual and existential needs of individuals facing illness and suffering.
Methods: This qualitative study aimed to explore health-promoting SSC activities among people with cancer in Iran. The study was conducted using the conventional content analysis approach guided by White’s Theory of Spirituality and Spiritual Self-Care (WTSSSC). Participants were 12 people with cancer registered with Yas Charity Support Association for Cancer Patients in Kerman, who were selected using purposive sampling. Data were collected through in-depth semi-structured face-to-face interviews with the participants. The interviews were recorded, transcribed, and analyzed using Graneheim and Lundman’s qualitative content analysis.
Results: The qualitative analysis of the experiences of individuals with cancer engaging in health-promoting SSC activities revealed four themes (each with subthemes) including Representation of Artistic-Aesthetic Activities (Harmonizing with Nature and Music), Semantic Recovery (Semantic Recovery of Relationships and Embracing Novel Experiences), Hope Orientation (Promoting Hope), and Embodied Movement Mindfulness (Embodied Mindfulness).
Conclusion: This study provides valuable insights into the dimensions of SCC activities in people with cancer, highlighting the importance of integrating these activities with conventional cancer treatments to promote health and well-being. Successful implementation of this holistic approach requires active support from healthcare providers.

Keywords

  1. Orem DE, Taylor SG, Renpenning KM. Nursing: Concepts of Practice. 5th ed. St Louis, US: Library of Congress; 1995.
  2. White ML, Peters R, Schim SM. Spirituality and spiritual self-care: expanding self-care deficit nursing theory. Nurs Sci Q. 2011;24(1):48-56. doi: 10.1177/0894318410389059.
  3. White ML, Schim SM. Development of a spiritual self-care practice scale. J Nurs Meas. 2013;21(3):450-62. doi: 10.1891/1061-3749.21.3.450.
  4. Weissert ME. A Heuristic Inquiry: Engaging with Spirituality as Self-Care [dissertation]. Columbia College Chicago; 2018.
  5. Peltzer J, Leenerts MH. Spirituality as a component of holistic self-care practices in human immunodeficiency virus-positive women with histories of abuse. Holist Nurs Pract. 2007;21(3):105-12. doi: 10.1097/01. HNP.0000269146.35237.2e.
  6. Salimi T, Tavangar H, Shokripour S, Ashrafi H. The effect of spiritual self-care group therapy on life expectancy in patients with coronary artery disease: an educational trial. J Rafsanjan Univ Med Sci. 2017;15(10):917-28. [Persian].
  7. Salmany Azar N, Radfar M, Baghaei R. Spiritual self-care in stroke survivors: a qualitative study. J Relig Health. 2022;61(1):493-506. doi: 10.1007/s10943-020-01030-7.
  8. Mosalanejad L, Dastpak M, Abdollahifard S, Pendar R. Spiritual self-care in Iranian people: a qualitative study using a phenomenological approach. J Clin Diagn Res. 2018;12(1):5- 8. doi: 10.7860/jcdr/2018/25106.11141.
  9. Hekmatipour N, Mahmoodi G, Ebadi A, Benampour N. Self-spiritual experiences in adolescents: a qualitative study. J Pediatr Nurs. 2021;7(4):52-64. [Persian].
  10. Khalili S, Memarian R, Ahmadi F. The effect of activity and spiritual health based self-care program on hypertension among the Kahrizak elderly people in the Alborz province. J Gerontol. 2018;3(2):27-34. doi: 10.29252/joge.3.1.27. [Persian].
  11. Asadzandi M, Eskandari AR, Khademolhosseini SM, Ebadi A. Religious evidence-based spiritual self-care guidelines in anger management. J Health Educ Res Dev. 2018;6(2):255. doi: 10.4172/2380-5439.1000255.
  12. Pratiwi IN, Kusnanto K, Putri MK. Spirituality level, family support, and spiritual self-care behavior among patient with diabetic ulcers. Babali Nurs Res. 2020;1(2):58-67. doi: 10.37363/bnr.2020.1226.
  13. White ML. Spirituality self-care practices as a mediator between quality of life and depression. Religions. 2016;7(5):54. doi: 10.3390/rel7050054.
  14. Iri Z, Hojjati H, Akhoondzadah G. The impact of spiritual self- care education on self- efficacy in adolescents with thalassemia in children’s hospital Taleghani Gonbadkavoos Golestan 2017-18. Iran J Nurs Res. 2019;14(1):8-13. [Persian].
  15. Smid P. Spiritual Self-Care: An Exploration of How Spirituality Shapes Holistic Self-Care Practice [dissertation]. St Stephen’s College; 2020. doi: 10.7939/r3-e934-z923.
  16. Roshandel G, Ferlay J, Ghanbari-Motlagh A, Partovipour E, Salavati F, Aryan K, et al. Cancer in Iran 2008 to 2025: recent incidence trends and short-term predictions of the future burden. Int J Cancer. 2021;149(3):594-605. doi: 10.1002/ ijc.33574.
  17. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105- 12. doi: 10.1016/j.nedt.2003.10.001.
  18. Coppola I, Rania N, Parisi R, Lagomarsino F. Spiritual well-being and mental health during the COVID-19 pandemic in Italy. Front Psychiatry. 2021;12:626944. doi: 10.3389/ fpsyt.2021.626944.
  19. Dennett D. Daniel Dennett Discusses Secular Spirituality. Big Think; 2015.
  20. Di Santo D, Baldner C, Aiello A, Kruglanski AW, Pierro A. The hopeful dimension of locomotion orientation: Implications for psychological well-being. J Soc Psychol. 2021;161(2):233-44. doi: 10.1080/00224545.2020.1803786.
  21. Butler LD, Mercer KA, McClain-Meeder K, Horne DM, Dudley M. Six domains of self-care: Attending to the whole person. J Hum Behav Soc Environ. 2019;29(1):107-24. doi: 10.1080/10911359.2018.1482483.
  22. Sakuta A. Embodied Consciousness During Meditation in Movement: Neurocognitive Theories. London, UK: MOCO: Movement and Computing, University of Surrey; 2017.
  23. Schmalzl L, Crane-Godreau MA, Payne P. Movement-based embodied contemplative practices: definitions and paradigms. Front Hum Neurosci. 2014;8:205. doi: 10.3389/ fnhum.2014.00205