Spiritual Care in Advanced Dementia from the Perspective of Health Providers: A Qualitative Systematic Review.

The review reports health professionals' perceptions, not patient outcomes or tested effects of spiritual care, so it cannot show that an approach works. Only studies in English or Spanish were included, which may limit transferability to other settings. Not all included studies reported how severe the residents' dementia was, so the group may not be uniformly advanced dementia. Quality appraisal showed uneven reporting: one study covered five items on one checklist, and two studies covered fewer items on another checklist than the rest. Only two included studies involved occupational therapists, so the review may not capture occupational therapy-specific practice.

Do not read staff reports of smiling or eye contact during music, prayer, or Namaste Care as proof these approaches improve outcomes. The review synthesizes provider perceptions, not patient outcomes or tested interventions.