scholarly journals An exploration of how spiritual nursing care is applied in clinical nursing practice

2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Lydia V. Monareng

Spiritual nursing care is a significant concept for nurses as they are expected to provide holistic care to patients. Many nurses have difficulty to understand and integrate it into practice and consequently neglect this aspect of care. The study was conducted to explore and describe how professional nurses provide spiritual care to patients. A generic qualitative, explorative and descriptive study was conducted based on Symbolic Interactionism as the philosophical base. The population comprised professional nurses from a public hospital. Participants were recruited through purposive and snowball sampling methods. Data were collected through the use of individual, focus group interviews and observation. Data analysis methods utilised included the NUD*IST computer program, coding, constant comparison method and Tesch’s guidelines on data analysis. Findings revealed that nurses struggled to conceptualise spiritual nursing care and to differentiate it from emotional, social or psychological care. However, prayer with or for patients and singing spiritual songs had the highest count of interventions perceived to be effective. Recommendations suggest that the scope of practice and curriculum of training of nurses be reviewed to consider how spiritual nursing care can be evidenced and realised both in the classroom and in the clinical setting. Spiritual nursing care is still a neglected and seemingly complex component of patient care. However, the scientific worldview practices, beliefs and insufficient statutory endorsement of such care hamper its realisation in practice.Geestelike verpleegsorg is ’n belangrike konsep omdat van verpleegkundiges verwag word om pasiënte holisties te versorg. Baie verpleegkundiges vind dié begrip en die integrering daarvan problematies en verwaardeloos gevolglik hierdie aspek van sorg. Die studie ondersoek en beskryf die mate waartoe verpleegkundiges geestelike sorg aan pasiënte verleen. ’n Basiese kwalitatiewe, ekploratiewe, beskrywende studie is uitgevoer met Simboliese Interaksionisme as die filosofiese basis. Professionele verpleegkundiges in ’n openbare hospitaal is vir die studie gebruik. Deelnemers is deur doelgerigte sneeubal-selekteringsmetodes gewerf. Data is deur individuele-, fokusgroeponderhoude en waarneming ingesamel. Metodes vir data-analise het die NUD*IST-rekenaarprogram, kodering, konstante vergelykingsmetode en Tesch se riglyne vir data-analise ingesluit. Resultate toon verpleegkundiges vind dit moeilik om geestelike verpleegsorg te konseptualiseer en van emosionele, sosiale of sielkundige sorg te onderskei. Nietemin het gebed met of vir pasiënte en die sing van geestelike liedere die hoogste telling wat as effektiewe intervensie beskou kan word. Aanbevelings suggereer die hersiening van die bestek van praktyk asook die kurrikulum vir die opleiding van verpleegkundiges ten einde sorg te dra dat geestelike verpleegsorg in die klaskamer sowel as in die kliniese praktyk sigbaar en verwesenlik word. Geestelike verpleegsorg is steeds ‘n verwaarloosde en oënskynlik ’n komplekse komponent van pasiëntsorg. Desondanks word die praktykverwesenliking daarvan belemmer deur die wetenskaplike wêreldbeskouing, oortuigings en onvoldoende statutêre onderskrywing.  

2009 ◽  
Vol 17 (4) ◽  
pp. 495-500 ◽  
Author(s):  
Cristiana Araújo Guiller ◽  
Giselle Dupas ◽  
Myriam Aparecida Mandetta Pettengill

This study aimed to understand the experience of caring for a child with a congenital anomaly from the family's perspective. Symbolic Interactionism and Grounded Theory were the theoretical and methodological references, respectively. Data collection was carried out with eight families with children having congenital anomalies through semi-structured interviews and participating observation. Data analysis reached axial coding. Results revealed two phenomena in the experience of families in delivering care to children with congenital anomalies - Facing an initially difficult experience and suffering eases over time. We concluded that the understanding of this experience supports the need to reconsider the nursing care provided to families in the care of children with congenital anomalies.


Curationis ◽  
2019 ◽  
Vol 42 (1) ◽  
Author(s):  
Mosehle S. Matlala ◽  
Thanyani G. Lumadi

Background: Midwifery is the backbone of women and child healthcare. The shortage of staff in maternity units is a crisis faced by many countries worldwide, including South Africa.Objectives: This study aims to explore the perceptions of midwives on the shortage and retention of staff at a public institution.Method: The study was conducted at one of the tertiary hospitals in Tshwane District, Gauteng Province. A total of 11 midwives were interviewed through face-to-face and focus group interviews. An explorative, descriptive generic qualitative design method was followed, and a non-probability, purposive sampling technique was used. Thematic coding analysis was followed for analysing data.Results: The impact of shortage of midwives was reported to be directly related to poor provision of quality care as a result of increased workload, leading to low morale and burnout. The compromised autonomy of midwives in the high obstetrics dependency units devalues the status of midwives.Conclusion: Midwives are passionate about their job, despite the hurdles related to their day-to-day work environment. They are demoralised by chronic shortage of staff and feel overworked. Staff involvement in decision-making processes is a motivational factor for midwives to stay in the profession. The midwives need to be in the centre of the decision-making processes related to their profession. The revision of the scope of practice and classification of midwifery profession away from general nursing complex by the South African Nursing Council (SANC) could place midwifery in its rightful status.


Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.


Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Sindiwe James ◽  
Thenjiwe M. Miza

Background: The South African health care delivery system has shifted focus to primary health care since 1994. For this purpose the Batho Pele principles were introduced. Nurses claim, however, that since the introduction of these principles patients and their families have been making unnecessary and sometimes impossible demands of nursing staff. This article presents the perceptions of the professional nurses regarding the introduction of the Batho Pele principles in their workplace.Objectives: To describe the perceptions of professional nurses regarding introduction of the Batho Pele principles and to recommend guidelines to facilitate measures to realise the objects of these principles.Method: A qualitative, exploratory, descriptive and contexual research design was used. Six audio-taped focus group discussions and field notes were used to collect data from purposively sampled participants who have worked in the outpatient departments of hospitals in thePort Elizabeth Hospital Complex. Guba’s model of trustworthiness was used to confirm integrity of the study, whilst the participants were kept anonymous, protected from harm and participated voluntarily. Data analysis was done using Tesch’s data analysis spiral and with the involvement of an independent-coder.Results: Three themes emerged, revealing that the professional nurses perceived the objectives of the Batho Pele principles as difficult to uphold due to the inadequate planning prior to their implementation. Inadequacy of human and material resources aggravated this perception.Conclusion: Professional nurses are not happy with how things are in terms of introduction of the Batho Pele principles, but are optimistic of a positive change in the near future.


Author(s):  
Anne-S. Helvik

AbstractThe population of older adults (≥60 years) is currently growing. Thus, in the years to come it is expected that a high proportion of patients hospitalized will be in the older age range. In western countries, the proportion of older inpatients is about 40% in the medical and surgical hospitals units. Older people with illness is vulnerable to both physical and cognitive impairments as well as depression. Therefore, a health-promoting perspective and approach are highly warranted in clinical nursing care of older adults in medical hospitals. This chapter focuses on health promotion related to depressive symptoms, impairment in activities of daily living, and cognitive impairment in older hospitalized adults.


2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Adnairdes Cabral de Sena ◽  
Angela Maria Alvarez ◽  
Simony Fabíola Lopes Nunes ◽  
Nadia Pinheiro da Costa

ABSTRACT Objective: to identify scientific productions on nursing care related to fall risk prevention among hospitalized elderly people. Methods: an integrative literature review from 2015 to 2019 in the PubMed/MEDLINE, Scopus, Web of Science, LILACS, BDENF, SciELO and CINAHL databases, in Portuguese, English and Spanish. The keywords were elderly, hospitalization, accidents due to falls, nursing care. Results: thirty-three publications were analyzed. The synthesis of the studies resulted in the categories: Clinical nursing assessments to prevent falls among hospitalized elderly people; Fall risk factors for elderly people; Fall risk prevention strategies for elderly people. Final considerations: it was found that the scientific knowledge produced on nursing care related to fall risk prevention for hospitalized elderly people evidences the clinical assessment, risk factors and strategies such as nursing care, contributing to foster self-care behavior and promotion security for elderly people.


Author(s):  
Dessy Putri Wahyuningtyas

The purpose of this research is to see the influence of the level of breastfeeding in the cognitive orientation of children4 – 6 years old in Malang. This study uses analytical research methods using a descriptive cross sectional approach or in other words the study uses the type of correlational research. The sampling techniques on this study were taken with random sampling cluster techniques. While sample data sources are selected purposive and snowball sampling. Data collection instruments to assess the rate of feeding is the feeding questionnaire and the biodata of parents and children. To assess the level of intelligence conducted IQ test with WPPSI test instrument (Wechsler Preschool and Primary Scale of Intelligence) conducted by a psychologist. Data analysis on this research is quantitative and qualitative data. Quantitative data analysis was conducted to see the level of cognitive feeding for children aged 4 – 6 years. It will be described through descriptive statistics presented in the form of tables and graphs. From the study of the rate of breast feeding in the orientation of Islamic children 4 – 6 years old in Malang, only 54% of the proportion of mothers give exclusive breast milk to more than 4 months. Infants with an exclusive rate of breastfeeding of no more than 4 months have a risk of 7.325 times greater to develop a distorted development compared to a child who is given more than 4 months of breastfeeding. Children with long lactation ≥ 6 months have higher cognitive function than children with long lactation < 6 months. Based on the objectives and results of synthesis analysis can be obtained several conclusions that there is relevance between the perspective of the Qur'an about the delivery of breast milk with the results of research.


2019 ◽  
Vol 5 (2) ◽  
pp. 50-54
Author(s):  
Elsa Kumala Safitri ◽  
Miftahul Mualimah ◽  
Herliana Riska

Hemoglobin is a protein-rich substance bezi, Have affinity (power team) against oxygen and with oxygen it forms a oxihemoglobin in red blood cells. The goal in this research is to know the influence of banana fruit mas to increased hemoglobin on pregnant women trimester III in BPM Ny "B" Ngasem Regency Kediri Year 2017. In this research method using alphabets experiment and approach Pre alphabets experiment with Purposive Sampling. This research was conducted in BPM Ny "B" Ngasem Regency Kediri Year 2017. Instruments in use are sheets of observation, data analysis with the iji Wlcoxon Signed Rank. Results of research of banana fruit mas on pregnant women this trimester III that the magnitude of the value of ρ is less than the value of 0.000 α = 0.05 (0.000 < 0.05) so that H0 is rejected and the H1 is accepted means there is influence of hemoglobin levels before and after the given bananas mas against peningktan the levels of haemoglobin in pregnant women Trimester III in BPM Ny. " B “ Ngasem Regency Kediri year 2017. With this expected to consume fruit banana mas on pregnant women may help lower III trimester anemia with practical.


2020 ◽  
Vol 4 (2) ◽  
pp. 137-145
Author(s):  
Faizal Chan ◽  
Agung Rimba Kurniawan ◽  
Lia Gusti Melinda ◽  
Rattu Priantini ◽  
Zubaiedah Zubaedah ◽  
...  

This study aims to determine and describe the implementation of discipline character education for students in elementary schools. Discipline character is one of the character values that are in the core competencies of social attitudes that must be developed in both students. This study uses a qualitative research approach. This type of research is descriptive research. This research was carried out in Teratai Muara Bulian Elementary School 187/1. This research was conducted in a period of two months (August - September). Data and data sources used are primary data and secondary data. Data sources taken in this study are 1) observation data, 2) school principal data, 3) teacher data, 4) student data. The technique of sample collection in this study was purposive sampling. Data collection techniques, namely 1) observation, observation used is non-participant observation. 2) interview, the interview used is a structured interview. Interviews were conducted with the school principal and class teacher. Data analysis using military and Huberman analysis techniques. Activities in data analysis, namely data reduction, data display (data presentation), and data conslusion (drawing conclusions). This research instrument is based on two sources, according to the Ministry of National Education (2010: 26) indicators of the value of discipline are: "1) getting used to being present on time; 2) getting used to obey the rules; and 3) using clothes in accordance with the provisions "and according to Syafrudin (Muhammad Khafid and Suroso, 2007: 91) are:" 1) observance of study time; 2) observance of lesson assignments; 3) obedience using the time of coming and going home ". The results showed that the implementation of discipline character education in SD N 187/1 Lotus lotus estuary was carried out adequately. The results obtained are related to the discipline value indicator.


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