scholarly journals The development of Spiritual Nursing Care Theory using deductive axiomatic approach

2021 ◽  
Author(s):  
Ashley A. Bangcola
Keyword(s):  
Nursing Care ◽  
External Environment ◽  
Well Being ◽  
Axiomatic Approach ◽  
The Philippines ◽  
Spiritual Needs ◽  
Holistic Nursing ◽  
Care Theory ◽  
External Variables ◽  
Spiritual Well Being

The concepts of spirituality and spiritual well-being are not novel ideas as they have been subjects of scrutiny in several studies. However, there has yet to be a formalized framework of spiritual nursing in the Philippines despite its importance. Developing such a framework is significant, especially since holistic nursing believes in the relationships among body, mind, and spirit. Thus, the Spiritual Nursing Care theory was conceptualized, which states that every person has holistic needs, including spiritual needs that must be satisfied to attain spiritual well-being. It forwards that for the patient’s spiritual needs to be met, what is required is the triumvirate interconnection among the nurse, the external environment, and the spiritual nursing care which may be provided by the nurse as a healthcare provider and the significant others or family as part of the external environment. The theory has two propositions that were subjected to validation studies that either strengthened or repudiated the propositions presented: (1) the meaning of spirituality differs from person to person, and (2) the patient’s spiritual well-being is influenced by the nurse’s spiritual care competence, as well as the patient’s internal and external variables.

scholarly journals Looking back to the future: The current relevance of Maria Montessori’s ideas about the spiritual well-being of young children

2009 ◽  
Vol 2 (2) ◽  
pp. 1 ◽  
Author(s):  
Virginia Anne Tregenza
Keyword(s):  
Young Children ◽  
Well Being ◽  
Spiritual Needs ◽  
Current Debate ◽  
Spiritual Wellbeing ◽  
Maria Montessori ◽  
Current Thinking ◽  
Spiritual Well Being ◽  
Individual Consciousness ◽  
Educational Thinking

Maria Montessori (1870-1952) was an Italian educator whose ideas and principles have validity in informing, understanding and responding to the challenges faced by contemporary educators . Many of her foundational principles are at the forefront of current educational thinking but are unacknowledged or unknown in mainstream education. It is argued that her ideas and principles about the spiritual wellbeing of young children have validity in the current debate. Montessori saw spirituality as innate in young children, the primary force driving their development and central to their capacity for joyful and deep engagement with their environment. She saw children’s capacity and ability to concentrate deeply as a spiritual pathway to a new level of individual consciousness and connection to the environment. These principles can inform our current thinking, understanding and response to young children’s spirituality. The conditions to bring about, support and protect what Montessori calls ‘concentration’ should be considered in pedagogical responses to the spiritual needs of young children

Learning to Respect a Patient’s Spiritual Needs Concerning an Unknown Infectious Disease

2006 ◽  
Vol 13 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Huey-Ming Tzeng ◽  
Chang-Yi Yin
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
Infectious Diseases ◽  
Nursing Care ◽  
Psychological Impact ◽  
Spiritual Needs ◽  
Religious Activities ◽  
Spiritual Beliefs ◽  
Holistic Nursing

This article aims to help readers to learn about health care related cultural and religious beliefs and spiritual needs in Chinese communities. The recall diary of a severe acute respiratory syndrome (SARS)-infected intern working in Hoping Hospital in Taiwan during the 2003 SARS epidemic is presented and used to assist in understanding one patient’s spiritual activities when personally confronted with this newly emerging infectious disease. The article also gives an overview of the 2003 SARS epidemic in Taiwan, and discusses people’s general perceptions towards infectious diseases, their coping strategies concerning disease, and their spiritual beliefs, the psychological impact of the 2003 SARS outbreak in Chinese communities, Chinese myths about infectious disease, and the religious activities of a SARS-infected intern in Taiwan. Recommendations are given on how to achieve quality holistic nursing care.

scholarly journals The impact of workplace spirituality on work-based learners

2019 ◽  
Vol 11 (1) ◽  
pp. 63-75 ◽  
Author(s):  
Scott Foster ◽  
Anna Foster
Keyword(s):  
Ethnically Diverse ◽  
Well Being ◽  
Spiritual Needs ◽  
Content Type ◽  
Retail Chain ◽  
Trust Relationships ◽  
Policies And Procedures ◽  
Spiritual Well Being ◽  
The Uk ◽  
The Impact

Purpose The purpose of this paper is to contribute to the emerging spirituality debate with the aim of generating and sustaining tolerance for spirituality in the workplace, with a specific focus upon the impact this can have upon work-based learners. “Spirituality” is gaining impetus worldwide as a growing number of organisations are proactively accommodating their multi-ethnic and multi-faith workforce by adapting their policies to meet employees’ spiritual needs. As yet in the UK, the majority of organisations fail to recognise neither the basic spiritual well-being of their employees nor the impact this can have upon work-based learning processes. Design/methodology/approach This study adopts a quantitative approach with questionnaires distributed to a multi-national retail UK-based organisation with an ethnically diverse national workforce. The study was tested by collecting data from managers and employees of this large, multi-million pound retail chain organisation in the UK, consisting of 55 stores and 1,249 employees, in order to gather employees’ perceptions on spirituality within their place of work regarding policies, communication and perceived source of conflict. Findings The results revealed that the majority of employees deemed spirituality was not something they felt comfortable discussing or appropriate to practice within the workplace and there were no clear policies and procedures in place to support either management or employees. Research limitations/implications This paper highlights areas for further research in the broad professional areas of spirituality in relation to organisational approaches to work-based learning. The research is from one organisation and utilising one method – qualitative research would add depth to the knowledge. Practical implications This paper highlights areas for further research in the broad professional areas of spirituality in relation to organisational approaches to work-based learning. Originality/value Employee spiritual well-being is under-researched and overlooked by organisations. Changing the current spiritual intransigence is long overdue as employees’ spiritual fulfilment leads to high-trust relationships in the workplace and can further support those engaged in work-based learning.

Barriers to the Provision of Spiritual Care by Nurses for Hospitalized Patients in Jordan

2019 ◽  
Vol 33 (4) ◽  
pp. 392-409
Author(s):  
Ahmad Salem Musa ◽  
Mohammad Ibrahim Al Qadire ◽  
Ma'en Aljezawi ◽  
Loai I. Tawalbeh ◽  
Sami Aloush ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Spiritual Care ◽  
Well Being ◽  
Perceived Barriers ◽  
Spiritual Needs ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Spiritual Well Being ◽  
Insufficient Time ◽  
Jordanian Nurses

Background and PurposeSpiritual care is an essential part of holistic patient care but is provided infrequently in practice. There is a paucity of research investigating the barriers to the provision of spiritual care among Jordanian nurses. The main purpose of this cross-sectional, correlational study was to identify these barriers and to explore the associations with nurses' personal and professional characteristics. A secondary purpose was to examine the psychometric properties of a newlydeveloped spiritual care barriers instrument.MethodsWe surveyed a convenience sample of Jordanian nurses (N = 282). Participants completed both the Spiritual Well-Being Scale (SWBS) and the Spiritual Care Barriers Scale (SCBS). We conducted an exploratory factor analysis to examine the internal structure of the SCBS, and internal consistency was assessed by Cronbach's alpha.ResultsThe most common perceived barriers were lack of private places (82.3%), absence of an imam (79.8%), insufficient time (78.8%), inadequate skills and competencies (73.7%), lack ofreligious and spiritual facilities and resources in the hospital (71.3%), and insufficient knowledge (71.3%). Nurses' personal spiritual and existential well-being were negatively associated with spiritual care barriers. Head nurses and supervisors reported lower mean scores on perceived barriers than did associate nurses. The SCBS exhibited acceptable evidence of internal consistency and validity.Implications for PracticeThe findings help Jordanian nurse decision makers in practice and education to overcome barriers to the provision of spiritual care to better meet the spiritual needs of Muslim patients.

scholarly journals The Multiple Mediating Effects of Perceived Social Support and Spiritual Well-being on the Relationship Between Spiritual Needs and Quality of Life Among Patients With Advanced Cancer

2021 ◽  
Author(s):  
Quying Wen ◽  
Miaorui Jiao ◽  
Huailin Wang ◽  
Yanli Hu
Keyword(s):  
Social Support ◽  
Cancer Patients ◽  
Indirect Effect ◽  
Perceived Social Support ◽  
Well Being ◽  
Spiritual Needs ◽  
Mediating Effects ◽  
Spiritual Well Being ◽  
The Relationship

Abstract Aims: The purpose of this study was to test the associations between spiritual needs, perceived social support, spiritual well-being, and quality of life (QoL) and examine the multiple mediating effects of perceived social support and spiritual well-being on the relationship between spiritual needs and QoL among patients with advanced cancer.Methods: Spiritual needs, perceived social support, spiritual well-being and QoL were assessed using self-report questionnaires among 286 cancer patients in a tertiary oncology hospital. The mediation model was analysed using the SPSS PROCESS procedure, and indirect effects were evaluated with bootstrapping.Results: QoL was positively correlated with spiritual needs (r=0.315, p<0.01), perceived social support (r=0.451, p<0.01) and spiritual well-being (r=0.636, p<0.01). The relationship between spiritual needs and QoL was mediated by perceived social support (indirect effect: 0.063, confidence interval (CI) (0.018, 0.118)) and spiritual well-being (indirect effect: 0.068, CI (0.001, 0.155)) and serially mediated by spiritual needs and QoL (indirect effect: 0.072, CI (0.041, 0.113)).Conclusions: The results emphasize the importance of spiritual well-being and social support for cancer patients, especially those with more spiritual needs. They suggest that healthcare providers should develop strategies to enhance perceived social support and spiritual well-being when caring for cancer patients to improve patients’ QoL.

Spiritual Care in Holistic Nursing Education: A Spirituality and Health Elective Rooted in T.R.U.S.T. and Contemplative Education

2019 ◽  
Vol 38 (1) ◽  
pp. 122-130 ◽  
Author(s):  
Karen Scott Barss
Keyword(s):  
Nursing Education ◽  
Spiritual Care ◽  
Critical Mass ◽  
Well Being ◽  
Spiritual Needs ◽  
Self Awareness ◽  
Patient Centered ◽  
Holistic Nursing ◽  
Contemplative Education ◽  
Spirituality And Health

Research to date demonstrates that spiritual care as an integral part of holistic nursing can be hampered if nurses experience insufficient preparation or organizational cultures that fail to prioritize spiritual well-being. In response, the author has developed a three-credit spirituality and health elective in an undergraduate nursing program to help participants address spiritual needs and mobilize spiritual strengths within themselves, patients, and workplaces. Using the T.R.U.S.T. Model for Inclusive Spiritual Care as its framework, the six-unit course draws on contemplative education practices in hopes of preparing a critical mass of nurses with the ability and confidence to foster safe, relevant spiritual care and promote a holistic, patient-centered health care culture. Course participants regularly demonstrate and report deeper self-awareness, skills development, and confidence in relation to spiritual care; the course also has been positively evaluated and fully subscribed over its seven offerings to date, validating its effectiveness in relation to short-term outcomes. Research is needed to evaluate its long-term effectiveness in helping alumni integrate spiritual care into their holistic practice and workplace culture.

Unmet spiritual needs in palliative care: psychometrics of a screening checklist

2020 ◽  
pp. bmjspcare-2020-002636
Author(s):  
Natasha G Michael ◽  
Irene Bobevski ◽  
Ekavi Georgousopoulou ◽  
Clare C O'Callaghan ◽  
Josephine M Clayton ◽  
...  
Keyword(s):  
Palliative Care ◽  
Concurrent Validity ◽  
Screening Tool ◽  
Reliability And Validity ◽  
Well Being ◽  
Spiritual Needs ◽  
Care Services ◽  
Chronic Illness Therapy ◽  
Spiritual Well Being ◽  
Palliative Care Services

BackgroundWhile studies in palliative care use measures of spirituality and religious belief, there have been few validation studies of a screening tool that identifies unmet spiritual needs.MethodsA multidisciplinary research team developed and examined the usefulness, reliability and validity of a 17-item Spiritual Concerns Checklist (SCC) as a screening tool for unmet spiritual needs. A cohort of patients recruited from three palliative care services in Sydney and Melbourne, Australia completed anonymous questionnaires. Factor structure and item response theory were used to examine its properties; concurrent validity employed the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being Scale (FACIT-Sp-12).ResultsAmong 261 patients, while only 15% directly sought spiritual care, nearly 62% identified at least one spiritual concern. Existential needs (fear of the dying process 32%; loss of control 31%), regret (20%), need for forgiveness (17%), guilt (13%), loss of hope (13%) and meaning (15%) were prominent concerns. Eleven concerns were present for more than 10% of the participants and 25% of religiously orientated participants expressed >4 concerns. The 17-item SCC was unidimensional, with satisfactory reliability. Concurrent validity was evident in the reduced sense of meaning and peace on the FACIT-Sp-12.ConclusionThis preliminary Rasch analysis of the newly developed SCC has demonstrated its usefulness, reliability and validity. Our findings encourage refinement and ongoing development of the SCC with further investigation of its psychometric properties in varying populations.

Communication Strategies to Promote Spiritual Well-Being among People with Dementia

2005 ◽  
Vol 59 (1-2) ◽  
pp. 43-55 ◽  
Author(s):  
Ellen B. Ryan ◽  
Lori Schindel Martin ◽  
Amanda Beaman
Keyword(s):  
Older Adults ◽  
Communication Skills ◽  
Life Stories ◽  
Sense Of Self ◽  
Communication Strategies ◽  
Religious Life ◽  
Well Being ◽  
Spiritual Needs ◽  
People With Dementia ◽  
Spiritual Well Being

Declining communication skills in dementia threaten a person's sense of self. Building on enduring capabilities, pastoral visitors can significantly enhance spiritual well-being through the use of individualized, person-centered strategies. This article outlines the primary spiritual needs of older adults with dementia and some general strategies to improve communication based on enduring abilities. Detailed examples illustrate how these personhood-centered strategies can meet spiritual needs by connecting with individuals with dementia through life stories and through helping them to participate in religious life.

Spiritual Screening, History, and Assessment

2019 ◽  
pp. 432-446 ◽  
Author(s):  
Elizabeth Johnston Taylor
Keyword(s):  
Palliative Care ◽  
Spiritual Care ◽  
Well Being ◽  
Care Recipient ◽  
Spiritual Needs ◽  
History Taking ◽  
Spiritual Assessment ◽  
Spiritual Well Being ◽  
Spiritual Screening ◽  
Screening History

Spiritual care is integral to palliative care. Palliative care patients and their family members often use spiritual coping strategies, and spiritual well-being is a commonly high-ranked pursuit for those at the end of life. Appropriate spiritual care, however, must reflect the spiritual needs and preferences of the care recipient. Thus, numerous approaches to spiritual screening, history-taking, and assessment exist. Whereas the spiritual screening is proposed as a skill and expectation that nurses and others can be trained to complete, the spiritual assessment is the domain of the spiritual care expert—typically, a skilled chaplain. These diverse approaches are described here along with some additional observations that can guide the process.

Palliative Caregivers’ Spirituality, Views About Spiritual Care, and Associations With Spiritual Well-Being: A Mixed Methods Study

2019 ◽  
Vol 37 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Clare O’Callaghan ◽  
Davinia Seah ◽  
Josephine M. Clayton ◽  
Martina Welz ◽  
David Kissane ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Spiritual Care ◽  
Religious Affiliation ◽  
Religious Faith ◽  
Well Being ◽  
Mixed Methods Study ◽  
Spiritual Needs ◽  
Religious Support ◽  
Care Providers ◽  
Spiritual Well Being

Background: Spiritual care is integral to palliative care. It engenders a sense of purpose, meaning, and connectedness to the sacred or important and may support caregiver well-being. Aim: To examine caregivers’ spirituality, religiosity, spiritual well-being, and views on spiritual/religious support. Design: A mixed-methods study across 4 Australian sites, recruiting caregivers of patients with a life expectancy of under 12 months. The anonymous semistructured questionnaire used included research team developed and adapted questions examining religion/spirituality’s role and support and views on hospitals supporting spiritual/religious requirements. It additionally included the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12). Results: One hundred nine caregivers participated (47.4% responded). Median spiritual well-being was 30.5 on FACIT-Sp-12. Religious affiliation was associated with higher Faith subscores ( P < .001). Spirituality was very important to 24.5%, religiosity to 28.2%, and unimportant to 31.4% and 35.9%, respectively. Caregivers prayed ( P = .005) and meditated ( P = .006) more following patients’ diagnoses, gaining comfort, guidance, and strength. Caregivers whose spiritual/religious needs were met to moderate/full extent by external religious/faith communities (23.8%) reported greater spiritual well-being ( P < .001). Hospitals supported moderate/full caregiver spiritual needs in 19.3%. Pastoral care visits comforted 84.4% of those who received them (n = 32) but elicited discomfort in 15.6%. Caregivers also emphasized the importance of humane staff and organizational tone in supporting spiritual care. Conclusions: Hospital-based spiritual care providers should seek to identify those who seek pastoral or religiously orientated care. Genuine hospitality of showing concern for the other ensures the varied yet inevitably humanist requirements of the caregiver community are met.

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