This section includes City of Hope publications and other resources relating to spirituality in health care including articles relating to cross-cultural topics. There is a listing of tools for assessing spirituality and spiritual concerns, links to organizational position statements relating to spirituality, and recommended publications.
City of Hope Publications
Ellington, L., Reblin, M., Ferrel, B., Puchalski, C., Otis-Green, S., Handzo, G., Doyon, K. & Clayton, M. F. (in press). The religion of ‘I don’t know’: Naturalistic observation of spiritual conversations occurring during cancer home hospice nurse visits. Omega: Journal of Death and Dying.
Skalla, K., Ferrell, B. (2015) Challenges in assessing spiritual distress in survivors of cancer. Clinical Journal of Oncology Nursing, 19(1): 99-104
Wittenberg, E., Ferrell, B., Goldsmith, J., & Buller, H. (2015). Provider Difficulties With Spiritual and Forgiveness Communication at the End of Life. American Journal of Hospice and PalliativeMedicine, 1-6. DOI:
Puchalski, C. Ferrell, B., Otis-Green, S., Handzo, G. (2014) Overview of spirituality in palliative care. UpToDate.
Ferrell, B., Otis-Green, S., Baird, P., & Garcia, A., (2014). Nurses’ responses to requests for forgiveness at the end of life. Journal of Pain and Symptom Management, 46(2), 631-641. DOI: 10.1016/j.painsymman.2013.05.009
Ferrell, B., Otis-Green, S., & Economou, D. (2013). Spirituality in cancer care at the end of life. The Cancer Journal: The Journal of Principles and Practice of Oncology, 19(5), 431-437. DOI: 10.1097/PPO.0b013e3182a5baa5.
Borneman, T., Bluman, O., Klein, L., Thomas, J., Ferrell, B. (2013) Spiritual care for Jewish patients facing a life threatening illness. Journal of Palliative Care, 29(1) 58-62
Ferrell, B. R., & Munevar. C. (2012). Domain
of spiritual care. Progress
in Palliative Care, 20(2), 66-71.
Ferrell, B., & Baird, P. (2012). Deriving meaning and faith in caregiving. Seminars in Oncology Nursing, 28(4), 256-261. DOI: 10.1016/j.soncn.2012.09.008.
Otis-Green, S., Ferrell, B. R.,
Borneman, T., Puchalski, C., Uman, G., & Garcia, A. (2012). Integrating
spiritual care within palliative care: An overview of nine
demonstration projects. Journal
of Palliative Medicine, 15(2), 154-163.
, Fransisco, L., Togawa, K., Bosworth, A., Golzales, M., Hanby, C., Sabado, M., Grant, M., Forman, S. J., & Bhatia, S., (2010). Long-term recovery after hematopoietic cell transplantation: Predictors of quality-of-life concerns. Blood, 115(12), 2508-2519. DOI: 10.1182/blood-2009-06-225631.
Spirituality in Healthcare
- Cobb, M. R., Puchalski, C. M., & Rumbold. B. R. (2012). NY: Oxford University Press. ISBN: 978-0199571390.
Principles and Practice of
Palliative Care and Supportive Oncology, 4th Edition,
esp. Section II: #54 Spirituality
- Berger, A. M., Shuster Jr., J. L., Von Roenn, J. H. (2012). MA: Lippincott Williams & Wilkins. ISBN: 978-1451121278.
Selman, L., Siegert, R., Harding, R., Harding, R., Gysels, M.,
Speck, P., & Higginson, I. J. (2011). A
evaluation of measures of spirituality validated in culturally diverse palliative care populations. Journal of Pain and
Symptom Management, 42(4), 604-622. DOI: 10.1016/j.jpainsymman.2011.01.015.
Oxford American Handbook of
Hospice and Palliative Medicine, esp. Chapter 21:
Spiritual Issues in Palliative Care
- Bruera, E. & Yennarajalingam, S. (Eds). (2011). Oxford University Press. ISBN: 978-0195380156.
Making Health Care Whole:
Integrating Spirituality into Patient Care
- Puchalski, C, M., & Ferrell, B. R. (2010). PA: Templeton Press. ISBN: 9781599473505.
Alcorn, S. R., Balboni, M. J., Prigerson, H. G., Reynolds, A.,
Phelps, A. C., Wright, A. A., et al., (2010). If
God wanted me yesterday, I wouldn’t be here today: Religious and
spiritual themes in patients’ experiences of advanced cancer.
Journal of Palliative Medicine, 13(5), 581-588. DOI: 10.1089/jpm.2009.0343.
Patterson, M. (2010). Prayer
shawls: A blessing in every stitch. Health
Progress, 91(3), 49-51.
Psychology, Religion, and
- Nelson, J. M. (2009). NY: Springer. ISBN: 978-0-387-87572-9 (Print) 978-0-387-87573-6 (E-book).
Edmondson, D., Park, C. L., Chaudoir, S. R., & Wortmann, J. H. (2008). Death without God: Religious struggle, death concerns, and depression in the terminally ill. Psychological Science, 19(8), 754-758. DOI: 10.1111/j.14679280.2008.02152.x
Daaleman, T. P., Usher, B. M.,
Williams, S. W., Rawlings, J., & Hanson, L. C. (2008). An
exploratory study of spiritual
care at the end of life. Annals of Family Medicine, 6(5), 406-411. DOI: 10.1370/afm.883.
Timmins, F., & Kelly, J., (2008). Spiritual assessment in intensive and cardiac care nursing. Nursing in Critical Care, 13(3), 124-131. DOI: 10.1111/j.1478-5153.2008.00276.x.
(2008). Measures of spiritual issues for palliative care patients: A literature review. Palliative Medicine, (0269-2163), 22 (7), 859. A literature review of 29 tools for measuring spirituality. DOI: 10.1177/0269216308095990.
Vachon, M. L. (2008). Meaning, spirituality, and wellness in cancer survivors. Seminars in Oncology Nursing, 24(3), 218-225. DOI: 10.1016/j.soncn.2008.05.010.
Carpenter, K., Girvin, L., Kitner, W., & Ruth-Sahd, L. A., (2008). Spirituality: A dimension of holistic critical care nursing. Dimensions of Critical Care Nursing, 27(1), 16-20. DOI: 10.1097/01.DCC.0000304668.99121.b2.
What Do I Say? Talking with
Patients about Spirituality (Book
- Taylor-Johnston, E. (2007). PA: Templeton
Press. ISBN#: 1599471175.
Goldstein, E. D., (2007). Sacred
moments: Implications on well-being and stress. Journal
of Clinical Psychology, 63(10),
Smith-Stoner, M. (2007). End-of-life preferences for atheists. Journal of Palliative Medicine, 10(4), 923-928. DOI: 10.1089/jpm.2006.0197.
Chaturvedi, S. K. (2007). Spiritual issues at end of life. Indian Journal of Palliative Care, 13(2), 48. DOI: 10.4103/0973-1075.38899.
(2006). Prevalence and associated factors of spiritual needs among patients with cancer and family caregivers. Oncology Nursing Forum, 33(4), 729-735. DOI: 10.1188/06.ONF.729-735.
Measuring spiritual belief:
Development and standardization of a beliefs and values scale. Psychological
(0033-2917), 36 (3), 417.
Development of a 20-item questionnaire that measures
spirituality from both a religious
and non-religious perspectives. DOI: 10.1017/S003329170500629X.
(2006). Vulnerable populations: Cultural and spiritual direction. Emergency Medicine Clinics of North America, 24(3), 687-702. DOI: 10.1016/j.emc.2006.05.010.
(2006). The physician's role in the assessment and treatment of spiritual distress at the end of life. Palliative & Supportive Care, 4(1), 81-86. DOI: 10.10170S1478951506060093.
Hills, J., Paice, J. A., Cameron, J. R., & Shott, S., (2005). Spirituality and distress in palliative care consultation. Journal of Palliative Medicine (1096-6218), 8 (4), 782. Pilot study measuring facets of spirituality with several scales including RCOPE, FACIT-Sp, FICA, and POMS-SF. DOI: 10.1089/jpm.2005.8.782.
Baggini, J., & Pym, M. (2005). End-of-life:
The humanist view. The
Lancet, 366(9492), 1235-1237.
Markwell, H. (2005). End-of-life: A Catholic view. The Lancet, 366(9491), 1132-1135. DOI: 10.1016/S0140-6736(05)67425-9.
Engelhardt, H. T., & Iltis, A.
S., (2005). End-of-life:
The traditional Christian view. The Lancet, 366(9490),
Keown, D. (2005). End-of-life: The Buddhist view. The Lancet, 366(9489), 952-955. DOI: 10.1016/S0140-6736(05)67323-0.
Dorff, E. N. (2005). End-of-life: Jewish perspectives. The Lancet, 366(9488), 862-865. DOI: 10.1016/S0140-6736(05)67219-4.
Sachedina, A. (2005). End-of-life: The Islamic view. The Lancet, 366(9487), 774-779. DOI: 10.1016/S0140-6736(05)67183-8.
Firth, S. (2005). End-of-life: A Hindu view. The Lancet, 366(9486), 682-685. DOI: 10.1016/S0140-6736(05)67141-3.
Puchalski, C., & Romer, A. L., (2000). Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine (1096-6218), 3 (1), 129. FICA tool.
Completing a Life: A
Resource for Taking Charge, Finding Comfort, Reaching Closure
- An interactive CD inviting patients and families to learn about the practical, emotional, spiritual, and medical issues faced by those dealing with advanced illness. The CD is available through the Instructional Media Center at Michigan State University.
Core Curriculum for
Holistic Nursing -
American Holistic Nurses Association
- Nurses are increasingly aware of the need to blend technology, mind, and spirit in creating optimal circumstances for healing. Barbara Dossey, a pioneer and leader in the field, has created a core curriculum that will provide a blueprint for what it means to be a holistic nurse. Order online at.
- Functional Assessment of Chronic Illness Therapy, (FACIT), manages questionnaires that measure health-related quality of life for people with chronic illnesses. The first questionnaire, The Functional Assessment of Cancer Therapy-General (FACT-G), was developed and validated over 10 years ago, and has been used in hundreds of studies worldwide. Since then over 40 questionnaires have been developed and selected questionnaires translated into over 45 different languages. There are three questionnaires relating to spirituality: the FACIT-Sp (Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being), FACIT-Sp-12 (12-item Spiritual Well- Being Scale), FACIT-Sp-Ex (Spiritual Well-Being, Expanded version).
Interfaith Care for the Ill –
- This app is for healthcare professionals looking for the right words of spiritual comfort in difficult circumstances relating to death or illness. It offers overviews of central beliefs, traditional prayers, and descriptions of common practices relating to illness and end-of-life care for Buddhism, Christianity, Hinduism, Islam, and Judaism.
GWish SOERCE: Educational
and clinical resources in spirituality, religion, and health
- An amazing array of resources on spirituality, religion, and health. Supported by a grant from The JohnTempleton Foundation, GWish created SORECE to build the online infrastructure to support medical educators and other health professionals in their quest to teach about spirituality and health by providing educational materials and resources. SOERCE covers an array of topics including spiritual assessment, end of life care, palliative care, spiritual distress management and interventions, articles on major faith traditions, educational modules, presentations, and videos.
Marie Curie Cancer Care -
London: Marie Curie Cancer Care
- Spiritual & religious care competencies assessment tools for specialists in palliative care.
Care Fast Facts: 5-Minute Clinical Inservice - UW Health,
University of Wisconsin Hospital & Clinics, Madison, WI
- Pain, Suffering and Spiritual Assessment
Passport to Comfort:
Reducing Barriers to Pain & Fatigue Management, #17
– City of Hope, Duarte, CA
This model addresses patient, professional and system barriers to the relief of pain and fatigue and is based on established guidelines developed by the National Comprehensive Cancer Network (NCCN). An NCI supported program. Most available
in English and Spanish.
- Patient Spiritual Care Card
- Spirituality Card
The Clinical Social Work
Spiritual Care Lecture Series –
City of Hope, Duarte, CA
- Lecture series designed with the overall goal of
providing training to clinical oncology social
workers to develop their skills in identifying and
responding to various spiritual care concerns in
the cancer and palliative care population.
Other Organizational Links
Chaplaincy Network - Helps