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The contribution of silence to spiritual care at the end of life: a phenomenological exploration from the experience of palliative care chaplains

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The contribution of silence to spiritual care at the end of life : a phenomenological exploration from the experience of palliative care chaplains. / Bassett, Lynn; Bingley, Amanda Faith; Brearley, Sarah Grace.

In: Journal for the Study of Spirituality, Vol. 8, No. 1, 01.03.2018, p. 34-48.

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@article{b80bb656e22b4bcd99347e5e3d7d22a3,
title = "The contribution of silence to spiritual care at the end of life: a phenomenological exploration from the experience of palliative care chaplains",
abstract = "At the end of life, silence often takes increasing prominence in caregiving encounters. Valued in spiritual and religious traditions, silence lends itself to the spiritual and existential dimensions of healthcare but lack of familiarity with the phenomenon can lead to anxiety or avoidance. Greater understanding of the contribution of silence to care may support professional caregiving practice. This paper reports research that explored the nature, meaning and value of silence in palliative spiritual care. In a two-phase phenomenological approach, data were gathered through self-inquiry and unstructured interviews with 15 palliative care chaplains. A descriptive and hermeneutic analysis facilitated explication of the lived experience to produce an interpretation of essential qualities of silence in this context. {\textquoteleft}Spiritual caregiving silence{\textquoteright} emerged as a person-centred phenomenon that supports patients and their relatives. It is described as a way of being with another person, complementary to speech and non-verbal communication, which evokes a sense of companionship and connection. The caregiver takes both active and participative roles in the silence to create an accompanied space that allows the other person in the relationship to be with her or himself in a way that may not be possible when alone. This demands engagement and commitment. Silence provides a means of, and a medium for, communication that is beyond the capacity of words and has the potential to enable change. This insight into the specialist experience of chaplains may resonate with the experience of other professional caregivers to stimulate reflection and discussion, and to benefit patient care.",
keywords = "Silence, spiritual care, palliative care, end of life, caregiver",
author = "Lynn Bassett and Bingley, {Amanda Faith} and Brearley, {Sarah Grace}",
note = "This is an Accepted Manuscript of an article published by Taylor & Francis in Journal for the Study of Spirituality on 25/02/2018, available online: http://www.tandfonline.com/10.1080/20440243.2018.1431034",
year = "2018",
month = mar,
day = "1",
doi = "10.1080/20440243.2018.1431034",
language = "English",
volume = "8",
pages = "34--48",
journal = "Journal for the Study of Spirituality",
number = "1",

}

RIS

TY - JOUR

T1 - The contribution of silence to spiritual care at the end of life

T2 - a phenomenological exploration from the experience of palliative care chaplains

AU - Bassett, Lynn

AU - Bingley, Amanda Faith

AU - Brearley, Sarah Grace

N1 - This is an Accepted Manuscript of an article published by Taylor & Francis in Journal for the Study of Spirituality on 25/02/2018, available online: http://www.tandfonline.com/10.1080/20440243.2018.1431034

PY - 2018/3/1

Y1 - 2018/3/1

N2 - At the end of life, silence often takes increasing prominence in caregiving encounters. Valued in spiritual and religious traditions, silence lends itself to the spiritual and existential dimensions of healthcare but lack of familiarity with the phenomenon can lead to anxiety or avoidance. Greater understanding of the contribution of silence to care may support professional caregiving practice. This paper reports research that explored the nature, meaning and value of silence in palliative spiritual care. In a two-phase phenomenological approach, data were gathered through self-inquiry and unstructured interviews with 15 palliative care chaplains. A descriptive and hermeneutic analysis facilitated explication of the lived experience to produce an interpretation of essential qualities of silence in this context. ‘Spiritual caregiving silence’ emerged as a person-centred phenomenon that supports patients and their relatives. It is described as a way of being with another person, complementary to speech and non-verbal communication, which evokes a sense of companionship and connection. The caregiver takes both active and participative roles in the silence to create an accompanied space that allows the other person in the relationship to be with her or himself in a way that may not be possible when alone. This demands engagement and commitment. Silence provides a means of, and a medium for, communication that is beyond the capacity of words and has the potential to enable change. This insight into the specialist experience of chaplains may resonate with the experience of other professional caregivers to stimulate reflection and discussion, and to benefit patient care.

AB - At the end of life, silence often takes increasing prominence in caregiving encounters. Valued in spiritual and religious traditions, silence lends itself to the spiritual and existential dimensions of healthcare but lack of familiarity with the phenomenon can lead to anxiety or avoidance. Greater understanding of the contribution of silence to care may support professional caregiving practice. This paper reports research that explored the nature, meaning and value of silence in palliative spiritual care. In a two-phase phenomenological approach, data were gathered through self-inquiry and unstructured interviews with 15 palliative care chaplains. A descriptive and hermeneutic analysis facilitated explication of the lived experience to produce an interpretation of essential qualities of silence in this context. ‘Spiritual caregiving silence’ emerged as a person-centred phenomenon that supports patients and their relatives. It is described as a way of being with another person, complementary to speech and non-verbal communication, which evokes a sense of companionship and connection. The caregiver takes both active and participative roles in the silence to create an accompanied space that allows the other person in the relationship to be with her or himself in a way that may not be possible when alone. This demands engagement and commitment. Silence provides a means of, and a medium for, communication that is beyond the capacity of words and has the potential to enable change. This insight into the specialist experience of chaplains may resonate with the experience of other professional caregivers to stimulate reflection and discussion, and to benefit patient care.

KW - Silence

KW - spiritual care

KW - palliative care

KW - end of life

KW - caregiver

U2 - 10.1080/20440243.2018.1431034

DO - 10.1080/20440243.2018.1431034

M3 - Journal article

VL - 8

SP - 34

EP - 48

JO - Journal for the Study of Spirituality

JF - Journal for the Study of Spirituality

IS - 1

ER -