The role and meaning of spirituality in older people living with dementia: A systematic review of qualitative studies

Abstract

Background: Spiritual care can improve the cognitive ability and the associated activities, and help raise self-esteem and self-sufficiency in older people with dementia. It creates hope, helps find purpose and inner peace, and improve their sense of satisfaction with life. Thus, spirituality is a crucial element in providing nursing care for older people. This chapter aims to present the role and meaning of spirituality for people with dementia. Methods: Systematic review of qualitative studies was performed. CINAHL, PubMed, Science Direct, EBSCO host databases, and reference lists were searched for studies published until April 2021. The Qualitative Assessment and Review Instrument was used to assess the quality of studies. Data was synthesized using thematic analysis. Results: Ten studies were included. Two main themes: (1) spirituality as an inner source of power; and (2) spirituality as connectedness, described the role and meaning of spirituality. Discussion: Spirituality is an inner source that gives people with dementia the strength to face dementia. It highlights the role and meaning of connectedness with the self and with others. Relationships with family and the community are essential reflections of spiritual life, and represent a source of incentive and joy for older people with dementia.