scholarly journals Spiritual Care in Nursing Practice in Veteran Health Care

2019 ◽  
Vol 6 ◽  
pp. 233339361984311 ◽  
Author(s):  
Lisa Burkhart ◽  
Anna Bretschneider ◽  
Sharon Gerc ◽  
Mary E. Desmond
Keyword(s):  
Health Care ◽  
Spiritual Care ◽  
Nursing Practice ◽  
Well Being ◽  
The United States ◽  
Veteran Health ◽  
Individual Interviews ◽  
Spiritual Well Being ◽  
Organization Policy ◽  
Veteran Health Care

Spiritual care is important in nursing practice, and spiritual well-being and spiritual care are associated with better health. Military veterans, a unique patient population, want spiritual care to cope with chronic conditions. It is unclear whether spiritual care is provided in veteran health care in the United States. This study used a qualitative descriptive method, guided by the Spiritual Care in Nursing Practice (SCNiP) theory, to describe spiritual care in nursing practice and facilitators/barriers in veteran health care. Individual interviews were conducted with 39 registered nurses (RNs) at a U.S. veteran health system. Findings were consistent with the SCNiP theory but revealed additional categorical attributes and processes as it applied to veteran health care. Facilitators that promoted spiritual care include nurse professionalism, collegial support, and available spiritual resources. Barriers included lack of time, task-oriented culture, unclear knowledge of accessing resources, and unclear organization policy in providing spiritual care. Findings further refined the theory.

Spirituality and spiritual well-being among nursing students

2021 ◽  
pp. 458-460
Author(s):  
Jisha Joseph ◽  
Betcy George ◽  
Jose K Benny ◽  
Alfy George ◽  
Ammu Kuriachan ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Spiritual Care ◽  
Well Being ◽  
Assessment Scale ◽  
World Health ◽  
Holistic Care ◽  
Strong Positive Correlation ◽  
Spiritual Wellbeing ◽  
Spiritual Well Being

Aim: A descriptive study was conducted to assess the spirituality and spiritual among nursing students in a selected college of nursing in Ernakulum District, Kerala. Background: Spirituality and spiritual care are of great importance as fundamental principles in health care. With the introduction of important changes in the health care system, nurses use the concept of holism in patient care and the spiritual aspect of health care is steadily gaining importance. The World Health Organization (WHO) announced that the health needs should include spiritual well-being in addition to physical, mental, and social domains .Spirituality is a positive dimension of the human being and care and might help patients reframe their experiences and condition of illness as well as find meaning in life and in that circumstance.Spiritual well being is one of a core human component that provides driving force to give person stability, meaning, and fulfillment in life, faith in self. The purpose of this study is to assess the spirituality, spiritual wellbeing and perception towards spiritual care among nursing students. Methods: A Descriptive analytical study was conducted among 129 BSc Nursing students studying in a Nursing College attached to a Medical College Hospital of South India during the month of December 2020.Convenience sampling technique was adopted for the study. Spirituality assessment scale and spiritual well being assessment scale were used to collect the data.Pilot study was conducted and the study was found to be feasible. Permission from the authorities was obtained and data collection was done. The data analysis was done using descriptive and inferential statistics and R software used for the analysis. Results: The result revealed the mean score of spirituality and spiritual wellbeing as 84.40(SD+_8.45) and 65.81(SD+_6.09) respectively and a statistically significant strong positive correlation was found between spirituality and spiritual wellbeing with correlation coefficient ( r ) 0.806 at p value < 0.0001. Conclusion: Spirituality is a significant concept for the discipline of nursing with profound consequences for caring patients. Spirituality is an important aspect of holistic care This study identified that there is a strong relationship between spirituality and spiritual wellbeing.So this study convey the significance of spirituality and spiritual well being in holistic care.

scholarly journals Assessment of Spiritual Health and Well-Being of Psychiaric Nurses in a Mental Health Hospital

2020 ◽  
Vol 8 (3) ◽  
pp. 279
Author(s):  
Maria Frani Ayu Andari Dias
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Spiritual Care ◽  
Sampling Method ◽  
Well Being ◽  
Spiritual Health ◽  
Mental Health Nurses ◽  
Mental Hospitals ◽  
Spiritual Well Being

The practice of mental health care performed by nurses in mental hospitals requires nurses to also provide spiritual care. Nurses who have a healthy spiritual state can certainly provide good spiritual care to their patient. Unfortunately, nurses admit that in practice, this spiritual element is often overlooked and not considered important in practice. This study aims to examine the health and spiritual well-being of mental health nurses working in mental health care facilities (hospital based). This research was a pilot study using Mix Method (MM), the design of this study was a sequential research design (Qual-Quant) between quantitative and qualitative study. Data collection was carried out using a self-administered survey and using the SHALOM (Spiritual Health and life orientation measure) instrument from Fisher which had a total of 22 questions. Quantitative data analysis was performed using descriptive statistics, while qualitatively, the data were analyzed using the thematic analysis method. A total of 22 mental health nurses participated in this research project. This number represents the nurses who work in all wards in mental hospitals. Researchers used the cluster sampling method to select participants who were given questionnaires and the snowball sampling method to find suitable informants to be interviewed. This research shows nurses expressing worship of the Creator (Mean = 4.54, SD = 0.59) as the most important thing in the ideal standard of health and spiritual well-being. Likewise, with daily life and practice (Mean = 3.81, SD = 1.68). Nurses assess their health and spiritual well-being were more determined by the transcendental domain, especially with religious rituals. This study concluded that nurses have a well-distributed state of health and spiritual well-being ranging from the personal domain to transcendence, with dominance in the transcendence domain.

Direct Primary Care: A Successful Financial Model for the Clinical Practice of Lifestyle Medicine

2021 ◽  
pp. 155982762110066
Author(s):  
Amy R. Mechley
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Health Care Systems ◽  
Well Being ◽  
The United States ◽  
Fee For Service ◽  
Financial Model ◽  
Lifestyle Medicine ◽  
Direct Primary

Primary care has been shown to significantly decrease the overall cost of a population’s health care while improving the quality of each person’s well-being. Lifestyle medicine (LM) is ideally positioned to be delivered via primary care and has been shown to improve short- and long-term health outcomes of patients and populations. Direct primary care (DPC) represents a viable alternative to the fee-for-service reimbursement model. It has been shown to be economically and financially sustainable. Furthermore, it has the potential to fulfill the Quadruple Aim of health care in the United States. LM practiced in a DPC model has the potential to transform health care delivery. This article will discuss the need for health care systems change, provide an overview of the DPC model, demonstrate a basic understanding of the benefits, and review the steps needed to de-risk the investment of time, money, and resources for our future DPC providers.

An Exploratory Study of Spiritual Dimensions Among Nursing Students

2010 ◽  
Vol 7 (1) ◽  
Author(s):  
Mary A Wehmer ◽  
Mary T Quinn Griffin ◽  
Ann H. White ◽  
Joyce J. Fitzpatrick
Keyword(s):  
Nursing Students ◽  
Spiritual Care ◽  
Well Being ◽  
Spiritual Practices ◽  
Religion And Spirituality ◽  
Spiritual Experiences ◽  
Daily Spiritual Experiences ◽  
Before And After ◽  
Spiritual Well Being ◽  
The Relationship

This exploratory descriptive study of spiritual experiences, well-being, and practices was conducted among 126 nursing students. Participants reported a higher level of spiritual well-being and life scheme than self-efficacy for well-being and life-scheme. Thus, students appeared to view the world and their role in it slightly more positively than their ability to affect their lives and make decisions. The students reported the most frequent spiritual experiences as being thankful for blessings; the next most frequent spiritual experiences having a desire to be close to God, feeling a selfless caring for others, and finding comfort in one’s religion and spirituality. Students used both conventional and unconventional spiritual practices. Further study is necessary to study the relationship among spiritual practices, daily spiritual experiences, and spiritual well-being among nursing students and to evaluate these before and after implementation of specific educational offerings focused on spirituality and spiritual care in nursing.

Caring for Gravely Ill Children

PEDIATRICS ◽  
1994 ◽  
Vol 94 (4) ◽  
pp. 433-439 ◽  
Author(s):  
Alan R. Fleischman ◽  
Kathleen Nolan ◽  
Nancy N. Dubler ◽  
Michael F. Epstein ◽  
Mary Ann Gerben ◽  
...  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Treatment Plan ◽  
Ethics Committees ◽  
Well Being ◽  
Pediatric Health Care ◽  
Spiritual Well Being ◽  
Primary Focus

Background. Much has been written about the care of the hopelessly ill adult, but there is little guidance for pediatric health care professionals in the management of children who are critically or terminally ill. Methods. Through a 3-day meeting in Tarrytown, NY, attended by a group of pediatricians and others directly involved in these issues, a principled approach was developed for the treatment of, and health care decision-making for, children who are gravely ill. Results. The group agreed that the needs and interests of the child must be the central focus of any treatment plan and that the child should be involved to as great extent possible, consistent with developmental maturity, in the decision-making process. Quality of future life should be viewed as being relevant in all decisions. Parents are believed to be the natural guardians of children and ought to have great latitude in making decisions for them. However, parental discretion is not absolute and professionals must maintain an independent obligation to protect the child's interests. Conclusions. Decision-making should be collaborative among patient, parents, and professionals. When conflict arises, consultation and ethics committees may assist in resolution. When cure or restoration of function is no longer possible, or reasonable, promotion of comfort becomes the primary goal of management. Optimal use of pain medication and compassionate concern for the physical, psychological, and spiritual well-being of the child and family should be the primary focus of the professionals caring for the dying child.

Quality of Life of Family Caregivers of Patients With Cancer in Korçe, Albania

2018 ◽  
Vol 34 (2) ◽  
pp. 118-125 ◽  
Author(s):  
Jonathon Judkins ◽  
Irena Laska ◽  
Judith Paice ◽  
Priya Kumthekar
Keyword(s):  
Quality Of Life ◽  
Well Being ◽  
Risk Groups ◽  
The United States ◽  
Primary Objective ◽  
Care Clinic ◽  
Demographic Groups ◽  
Spiritual Well Being ◽  
The Impact

Purpose: The primary objective of this study was to quantify cancer family caregiver (FCG) quality of life (QOL) in a Southern Albanian population and to determine whether differences exist between 4 domains of QOL (physical, psychological, social, and spiritual). This study also sought to compare QOL in our cohort to QOL in historical studies that used the same survey instrument, and to examine correlations between demographic characteristics and QOL to identify any high-risk groups. Methods: A sample of 40 FCGs was recruited at the Mary Potter Palliative Care Clinic in Korçe, Albania. Each participant completed the City of Hope Quality of Life (Family Version), a validated 37-question instrument that measures caregiver well-being in 4 domains: physical, psychological, social, and spiritual well-being. Results: There were no significant differences between the composite scores of the 4 QOL domains in our study. However, there were differences when comparing self-reported QOL between domains (“Rate your overall physical/psychological/social/spiritual well-being”). The QOL measured in our study was significantly lower than in 3 studies from the United States that used the same questionnaire. There were no significant correlations between demographic groups and QOL. Conclusions: This study examines the impact that the paucity of palliative services has on the QOL of Albanian cancer FCGs. Although there were no domains of QOL or demographic groups identified in our study that were faring significantly worse than others, the poor overall QOL provides further evidence to support the continued development of palliative services for both patients and family members in Albania.

scholarly journals Individual-Level Determinants of Employee Shirking

2005 ◽  
Vol 51 (3) ◽  
pp. 468-487 ◽  
Author(s):  
Timothy A. Judge ◽  
Timothy D. Chandler
Keyword(s):  
United States ◽  
Job Satisfaction ◽  
Health Care ◽  
Work Group ◽  
Well Being ◽  
The United States ◽  
Subjective Well Being ◽  
Negative Effects ◽  
Individual Level ◽  
Organization Level

Employee shirking, where workers give less than full effort on the job, has typically been investigated as a construct subject to organization-level influences. Neglected are individual differences that could explain why employees in the same organization or work-group might shirk. Using a sample of workers from the health care profession in the United States, the present study sought to address these limitations by investigating subjective well-being (a dispositional construct), job satisfaction, as well as other indiuidual-level determinants of shirking. Results indicate that whites shirk significantly more than nonwhites, and that subjective well-being, job satisfaction, and age have significant, negative effects on shirking. The implications of these results are discussed.

scholarly journals Graduate Medical Education on the Frontlines during the COVID-19 Pandemic in New York City- A Response to Promote Well-being

2021 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Education ◽  
Graduate Medical Education ◽  
Health Program ◽  
Mental Health Program ◽  
Well Being ◽  
The United States ◽  
Personal Factors ◽  
Graduate Medical

Introduction: The COVID-19 pandemic has driven many health care institutions in the United States beyond their capacity. Physicians-in-training in graduate medical education programs have suffered the strain of providing patient care during this unprecedented time of crisis. The significant prevalence of pre-existing resident and fellow burnout and depression makes the need for action by institutions to support the well-being of residents and fellows even more urgent. We aim to describe innovative adaptations our Office of Graduate Medical Education implemented with the support of institutional leadership as responses to promote the well-being of residents and fellows on the frontlines during the COVID-19 pandemic. Methods: The Office of Graduate Medical Education (GME), in collaboration with the Office of Well-being and Resilience, developed a set of resources and interventions to support trainees during the pandemic based on four major categories: workplace culture, personal factors and health, mental health support, and workplace efficiency and function. Examination of the capacity of existing services and gaps that needed to be filled in the rapidly evolving early days of the COVID pandemic led to a robust growth in resources. For example, the already established Student and Trainee Mental Health program was able to expand and adapt its role to serve trainee needs more effectively. Results: We expanded resources to target trainee well-being across a broad array of domains within a short time frame. With investment in access to the Student and Trainee Mental Health program, utilization increased by 25.7%, with 1,231 more visits in 2020 compared to the number of visits in 2019, prior to the COVID-19 pandemic. The creation of Recharge Rooms had a positive impact on the well-being of health care workers. After a single fifteen-minute experience in the Recharge Room, an average 59.6% reduction in self-reported stress levels was noted by users. Other interventions were noted to be helpful in regular town hall meetings with trainees. Conclusion: Addressing trainee well-being is an essential aspect of a crisis response. The Mount Sinai Health System was able to care for the physical, mental, psychosocial, and safety needs of our trainees thanks to the collaborative effort of a pre-existing institutional well-being program and the GME Office. The ability to implement such a response was enabled by our well-being foundation, which allowed leadership at the highest institutional level and the Office of GME to provide support in response to this unprecedented crisis.

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