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Spiritual care is a key component of holistic palliative care, particularly within Muslim communities where faith plays an important role in shaping illness experiences. This study aimed to explore the perspectives of Muslim family caregivers on spiritual care in palliative settings.
Methods
A qualitative descriptive study was conducted among 12 Muslim family caregivers of patients receiving palliative care in Kuantan, Malaysia. Participants were recruited using purposive and snowball sampling. Data were collected through semi-structured interviews and analyzed using thematic analysis to explore patterns and meanings related to spiritual caregiving.
Results
Three major themes emerged: (1) understanding spiritual care as maintaining connection with God through religious practices, (2) caregivers’ roles in providing holistic support, facilitating spiritual engagement, and offering emotional reassurance, and (3) challenges in delivering spiritual care, including patients’ health limitations, practical constraints, and emotional burden. Spiritual care was perceived to enhance patients’ sense of peace, acceptance, and coping.
Significance of results
Findings highlight the central role of family caregivers in sustaining spiritual well-being in palliative care. In the Malaysian context, integrating culturally informed spiritual care into nursing practice and supporting caregivers as partners in care may strengthen holistic and patient-centered outcomes.
This chapter discusses studies in psychological anthropology of the thoughts, feelings, and experiences of people dealing with material hardship. It provides an overview of several themes: conflicting cultural models of causes of poverty; how low-income people selectively incorporate some models into their self-understandings while rejecting others; ecocultural and biocultural studies of coping with material hardship; how material hardship can shape experiences for mothers caring for infants and children; homelessness and mental illness; and the subjective effects of downward mobility, which may be more disruptive of one’s sense of self and social relationships than chronic economic insecurity. Despite theoretical and methodological differences, these studies reject both Othering attributions of a “culture of poverty” and a-cultural accounts of people as economic maximizers.Cultural meanings matter not because people dealing with economic adversity have a “culture of poverty” but because they matter to everyone. Newer accounts of cultural meaning recognize cultural dynamism, diversity, noncoherence, and individual variation.
For the past two decades, the cowboy who inhabits country music narratives has appeared with increasing frequency in a seaside setting or beach environment that appears to contradict the well-established conventions of place and space in the genre. Where rural farms and ranches, for instance, evoked codes of white, male working-class sustenance, physical labor, and pride in forging a symbiotic relationship with the land, the new beach imagery offered a different catalog of associative meaning: leisure, escape, travel away from one’s home and roots, and a sense of unbounded freedom. This chapter traces the rise of beach imagery as a setting and reference point in country music, both in song narratives and music videos, since the 1990s. Ultimately, this chapter suggests that, in spite of their ubiquity, these beach settings are only comprehensible to their audience because the underlying cultural meaning of country music has fundamentally changed.
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