The Roles of Spirituality in People Living with HIV/AIDS: A Qualitative Meta-synthesis
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This qualitative research synthesis was conducted to explore the roles of spirituality in people living with HIV/AIDS (PLWHA) by using a systematic literature review and a meta-ethnographic method. CINAHL, PubMed, Science Direct, Clinical Key, Wiley Library Online, Thai LIS and Thai Jo databases were searched for articles published from 2000 to 2018. Eleven studies involving 310 participants were included. According to the findings, the following positive roles of spirituality for PLWHA were identified: 1) enhancing peace and happiness; 2) cultivating inner strength; 3) illness understanding and self-acceptance; 4) improving self-healthcare; 5) developing a sense of compassion; 6) finding purpose in life; 7) maintaining hope; and 8) creating relationships and a sense of connection. Nevertheless, a negative role of spirituality for PLWHA, internalized conflict, was also identified. Evidence from this study can provide in-depth understanding for healthcare providers to create spiritual care for PLWHA.
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2. UNAIDS. Country factsheets Thailand 2017 HIV and AIDSestimates. (Accessed August 22, 2018, at from http://www.unaids.org/en/regionscountries/countries/thailand).
3. Foster ML, Arnold E, Rebchook G et al. ‘It’s my innerstrength’: spirituality, religion and HIV in the lives of youngAfrican American men who have sex with men. Cult HealthSex 2011;13(9):1103-17.
4. Chaiyasit Y, Chanbunwat K, Soboon S et al. Spiritual distresshealing for people living with HIV/AIDS: The Nursing roles.JNHC 2017;35(5):31-8.
5. Khatoon F. Identify spiritual coping strategies in personsliving with HIV/AIDS. IJHW 2016;7(10);1004-7.
6. Rivero-Mendez M, Portillo C, Solis-Baez S et al. Symptomsand Quality of Life for People Living with HIV Infection inPuerto Rico. P R Health Sci J 2009; 28(1):54-9.
7. Mbetbo JN. Internalized conflicts in the practice of religionamong Kwandengue Living with HIV in Douala, Cameroun.Cult Health Sex 2013;15(S1):S76-S87.
8. Siegel K, Schrimshaw EW. The perceived benefits of religiousand spiritual coping among older adults living with HIV/AIDS. JSSR 2002;41(1):91-102.
9. Balthip Q, Petchruschatachart U, Piriyakoontorn S. et al.Achieving peace and hormony in life: Thai Buddhists livingwith HIV/AIDS. IJNP 2013;19(suppl. 2):7-14.
10. Balthip Q, Purnell MJ. Pursuing meaning and purpose in lifeamong Thai adolescents living with HIV: a grounded theorystudy. JANAC 2014;25(4):27-38.
11. Balthip K, McSherry W, Nilmanat K. Spirituality and dignityof Thai adolescent living with HIV. Religious 2017;8:257.
12. Ironson G, Stuetzle R, Fletcher MA. An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slowerdisease progression over 4 years in peoples with HIV. JGIM2006;21(5):S62-S68.
13. Ironson G, Kremer H, Lucette A. Relationship betweenspiritual coping and survival in patients with HIV. J GenIntern Med 2016;31(9):1068-76.
14. Black DS, Slavice GM. Mindfulness meditation and the immunesystem: a systematicreview of randomized controlledtrials. Ann N Y Acad Sci 2016; 1373(1): 13-24.
15. Dalmida SG, Holstad MM, Dilorio C et al. Spiritualwell-being and health-related quality of life among African-American woman with HIV/AIDS. Appl Res Qual Life 2011;62(2):139-57.
16. Cruz DSM da, Cordeiro RS, Marques DKA et al. Experienceof patients with HIV/AIDS and the influence of religiosity/spirituality when coping the disease. J Nurs UFPE On Line.,Recife 2017;11(Suppl. 10):4089-95.
17. Tunsrirattanawong A. Spiritual healing in Buddhist personwith HIV infection. Bangkok: Mahidol University. 1998.
18. Noimontree W. Spirituality and spiritual needs based onasymptomatic HIV experiences. Bangkok: ChulalongkornUniversity. 2004.
19. Magsrithonkam B. Meta-ethnography synthesis: Techniqueof meta synthesis. Journal of Nursing Division 2009;36(2):77-85.
20. Britten N, Campbell R, Pope C et al. Using meta ethnographyto synthesis qualitative research: a worked example. J HealthServ Res Policy 2002;7(4):201-15.
21. Atkins S, Lewin S, Smith H. Conducting a meta-ethnographyof qualitative literature : Lessons learnt. BMC Med ResMethodol 2008; 8 (21); doi:10.1186/1471-2288-8-21
22. Da. Silva FQB, Cruz SSJO, Gouveia TB. Using metaethnographyto synthesize research: A worked example of therelations between personality on software team processes.ACM/IEEE International Symposium on Empirical SoftwareEngineering and Measurement 2013; 153-162. doi:10.1109/ESEM.2013.11
23. Wikberg A, Bondas T. A patient perspective in research onintercultural caring in maternity care: A meta-ethnography.Int J Qual Stud Health Well-being 2010; 5: 4648. doi: 10.3402/qhw.v5i1.4648.
24. Toye F, Seers K, Allcock N et al. Meta-ethnography 25 yearson: challenges and insights for synthesizing a large numberof qualitative studies. BMC Med Educ 2015; 15: 214 http://bmcmededuc.biomedcentral.com/articles/ doi:10.1186/s12909-015-0491-2
25. Tong A, Sainsbury P, Craig J. Consolidated criteria for reportingqualitative research (COREQ): a 32-item checklist forinterviews and focus groups. Int J Qual Health Care2007;19:349-57.
26. Seegers DL. Spiritual and religious experiences of gay menwith HIV illness. JANAC 2007; 18(3):5-12.
27. Tawaisab R. Spiritual well-being among persons with HIV/AIDS. Chiang Mai: Chiang Mai University. 2011.
28. Caixeta CR, Nascimento LC, Pedro IC et al. Spiritual supportfor people living with HIV/AIDS: a Brazilian explorative,descriptive study. Nurs Health Sci 2012;14(4):514-9.
29. Dalmida SG, Holstad MM, Dilorio C el al. The meaning anduse of Spirituality among African American woman livingwith HIV/AIDS. West J Nurs Res 2012;34(6):736-65.
30. Arrey AE, Bilsen J, Lacor P et al. Spirituality/religiosity: acultural and psychological resource among Sub-SaharanAfrican migrant women with HIV/AIDS in Belgium. PLoSOne 2016;11(7):e0159488. doi: 10.1371/journal.pone.0159488.
31. Emlet CA, Harris L, Pierpaoli CM et al. “The journey I havebeen through”: the role of religion and spirituality in agingwell among HIV-positive older adults. Res Aging 2017;40(3):257-280.
32. O’Brien ME. Spirituality in nursing: Standing on holy ground.Sudbury: Mass.; Jones & Bartlett Learning. 2011.
33. Simoni JM, Martone MG, Kerwin JF. Spirituality and psychologicaladaptation among women with HIV/AIDS: Implicationsfor counseling. JCP 2002;49(2):139-47.
34. Fisher J. The four domains model: Connecting spirituality,health and well-being. Religious 2011;2:17-28.
35. Carolyn CM, Wagner LJ, Wallston KA. Finding meaning inlife while living with HIV: validation of a novel HIV meaningfulnessscale among HIV-infected participants living inTennessee. BMC Psychology 2015;3(15):1-8.
36. Highfield M, Cason C. Spiritual needs of patients: are theyrecognised?. Cancer Nursing 1983; 6(3): 187-92.
37. Carson VB. Spiritual Dimensions of Nursing Practice.Philadelphia: W.B. Saunders. Company. 1989.
38. Hungelmann J, Kenkel-Rossi E, Klassen L, et al. Developmentof the JAREL spiritual well-being scale. In Carrol-JohnsonRM, editor. Classification of Nursing Diagnosis : proceedingsof eight conference, North American Diagnosis Association.Philadelphia : JB Lippincott. 1989: 393-8.