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Spirituality

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Spirituality in Nursing

- A broad concept that encompasses values, meaning and purpose; one turns inward to the
human traits of honesty, love, caring, wisdom, imagination and compassion
- existence of a quality of a higher authority, guiding spirit or transcendence that is mystical
- a flowing dynamic balance that allows and creates healing of body-mind spirit and may or may
not involve religion

Religion

- institutionalization of life values, beliefs, and lifestyle amongst a shared group of people

Holistic Nursing

- supported by and alternately supports the intimate connection of body, mind, and spirit
- Three components;
1. Body: physical substance of a person that can be perceived an empirical reality
2. Mind: that dimension of an individual that conceptualizes
3. Spirit : life principle that is shared with humanity and body

What do patients WANT?

- Research shows that 2/3 of patients would welcome questions regarding their spirituality during
their health history
- Research also shown that when a patient’s spiritual needs are met they experience a greater
quality of life

The Nurse as a HEALER

- The nurse truly is well situated to be an instrument of hearing


- The concept of the nurse as healer incorporates the characteristics of all three definitions: that
is the nurse must LISTEN to the voice of God; DESIRE to restore health either of body or of spirit;
ATTEMPT TO ASSIST the patient in achieving integrity of body, mind and spirit

Spiritual Assessment

- “Standards Clarification” on spiritual assessment states: “spiritual assessment should at a


minimum determine the patient’s denomination, beliefs, and what spiritual practice are
important to the patient

Three Elements of DATA GATHERING

1. Basic spiritual assessment should include faith-based data on the patient’s relationship with
institutional religious organizations (or alternative spiritually based groups eg. 12 step program)
2. Assessment should also include a description of the patient’s belief system
3. Assessment needs to identify significant practices that may impact care

Assessment of Data

- It is not enough to enumerate the patient’s faith, beliefs and practices


- Spiritual assessment should also assess impact of faith, belief and practice on the patient’s
understanding of wellness, or illness. Further, the assessment should indicate if other
assessment is needed (eg. Assessment of spiritual pain, spiritual injury)

Treatment Planning

- Third element of spiritual assessment is the development of a plan of care that includes
provision for caring

Spirituality: An Intervention

- Include spiritual assessment at the beginning of care, a continual assessment of spirituality


throughout a plan of care and participating with a patient in their spiritual care as personally
needed
- Example: participation in prayer with a patient

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