The interviews were analyzed iteratively using the constant comparison method within a grounded theory approach.
Nine Principles for organizational support for spiritual care emerged from the interviews.
Historically, conceptual and institutional developments in modern medicine have been premised on the exclusion of religious (or spiritual) attitudes, ideas, and practices.
During the same period, health care has become almost exclusively the provenance of the modern western state, which, like modern medicine, defined itself in part by excluding religion and spirituality from its business .
Three Principles identify where and how spiritual care fits with the other aspects of palliative care; three Principles guide the organizational approach to spiritual care, including considerations of assessment and of sacred places; and three Principles support the spiritual practice of care providers within the organizations.
Organizational practices that illustrate each of the principles were provided by interviewees.
Hospice care, Saunders understood, includes much more than the management of physical pain.
Saunders speaks of ‘total pain,’ consisting of physical, psychological, emotional, and spiritual dimensions .
Grounded theory is a qualitative research method that allows a situation or phenomenon to be examined in order to understand how key players manage their roles and then, through inductive reasoning, develops a theory or framework in order to convey an understanding about the situation or phenomenon.
In this study, data collection and analysis follow the grounded theory constant comparative approach [18, 19], viewing data collection and analysis as a single concurrent process in which the method is fluid and evolves as the understanding unfolds from the data.