| Type | Journal Article |
|---|---|
| Author | Laurie B Agrimson |
| Author | Lois B Taft |
| Abstract | AIM: This paper is a report of an analysis of the concept of spiritual crisis. BACKGROUND: The term spiritual crisis has been used ambiguously in the literature, resulting in lack of clarity. A holistic approach includes spirituality in nursing care of the whole person. DATA SOURCES: Papers available online between 1998 and 2007 in the CINAHL, Medline and PsycInfo databases were retrieved for analysis. The search engine Google was also used to examine additional references to 'spiritual crisis'. REVIEW METHODS: Spiritual crisis, spiritual emergency and life crisis were the terms initially used to search each database. The search was expanded to include spirituality to draw more literature into the review. FINDINGS: Using Walker and Avant's method of concept analysis, a definition of spiritual crisis was identified. Spiritual crisis can be described as a unique form of grieving or loss, marked by a profound questioning of or lack of meaning in life, in which an individual or community reaches a turning point, leading to a significant alteration in the way life is viewed. Possible antecedents include sudden acute illness and loss of important relationships. Potential consequences may include physical and emotional responses. CONCLUSION: People with terminal illness, depression, and those who are grieving losses may be at special risk of spiritual crisis. The literature suggests an interdisciplinary approach, nurses' self-exploration of spirituality, and refraining from defining spirituality by religious affiliation as part of improving practice. |
| Publication | Journal of Advanced Nursing |
| Volume | 65 |
| Issue | 2 |
| Pages | 454-461 |
| Date | Feb 2009 |
| Journal Abbr | J Adv Nurs |
| DOI | 10.1111/j.1365-2648.2008.04869.x |
| ISSN | 1365-2648 |
| Short Title | Spiritual crisis |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/19040691 |
| Accessed | Fri Nov 13 19:39:18 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19040691 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
This paper is a report of an analysis of the concept of spiritual crisis. People with terminal illness, depression, and those who are grieving losses may be at special risk of spiritual crisis. The literature suggests an interdisciplinary approach, nurses’ self-exploration of spirituality, and refraining from defining spirituality by religious affiliation as part of improving practice.
| Type | Journal Article |
|---|---|
| Author | Henri-Jean Aubin |
| Publication | International Journal of Palliative Nursing |
| Volume | 15 |
| Issue | 7 |
| Pages | 318; author reply 318 |
| Date | Jul 2009 |
| Journal Abbr | Int J Palliat Nurs |
| ISSN | 1357-6321 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/19648845 |
| Accessed | Fri Nov 13 20:10:26 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19648845 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | Marilyn Baetz |
| Author | John Toews |
| Abstract | The relation between religion and (or) spirituality (RS), and mental health has shown generally positive associations; however, it is a complex and often emotion-laden field of study. We attempt to examine potential mechanisms that have been proposed as mediators for the RS and mental health relation. We also examine more philosophical areas including patient and physician opinions about inclusion of RS in patient care, and ethical issues that may arise. We review suggested guidelines for sensitive patient inquiry, and opportunities and challenges for education of psychiatrists and trainees. We also study practical ways to incorporate psychospiritual interventions into patient treatment, with specific reference to more common spiritual issues such as forgiveness, gratitude, and altruism. |
| Publication | Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie |
| Volume | 54 |
| Issue | 5 |
| Pages | 292-301 |
| Date | May 2009 |
| Journal Abbr | Can J Psychiatry |
| ISSN | 0706-7437 |
| Accessed | Tue Feb 22 18:58:31 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19497161 |
| Date Added | Thu Sep 29 09:07:00 2011 |
| Modified | Thu Sep 29 09:07:00 2011 |
| Type | Journal Article |
|---|---|
| Author | D Baldacchino |
| Author | P Draper |
| Abstract | AIMS OF THE PAPER: This paper reviews some of the limited nursing research-based literature, orientated towards the use of spiritual coping strategies in illness. This review aims at identifying those spiritual coping strategies used by the believers and nonbelievers followed by implications for holistic nursing care. LITERATURE SEARCH: The CINAHL and MEDLINE CD Rom databases were searched, identifying literature published from 1975 onwards which amounted to 187 articles. The majority of the literature traced were found anecdotal with only few studies investigating directly spiritual coping strategies. Following scrutiny of the available articles, only five research studies explored directly the spiritual coping strategies used in various illness, four of which were conducted in USA and one in UK. Because of the small scale research studies, generalization of the findings of this review is limited to the samples used. THEORETICAL BACKGROUND: Research suggests that spiritual coping strategies, involving relationship with self, others, Ultimate other/God or nature were found to help individuals to cope with their ailments. This may be because of finding meaning, purpose and hope, which may nurture individuals in their suffering. Spirituality is oftenly referred by literature as being synonymous with religiosity. Thus the use of spiritual coping strategies is restricted to individuals who hold religious beliefs. However, the definition of spirituality indicates that this concept is broader than religiosity. The theories on stress-coping (Folkman & Lazarus 1984) and the numinous experience (Otto 1950) outline the rationale for the use of these strategies which are applicable to both the believers and nonbelievers. IMPLICATIONS: This review suggests that the onset of illness may render the individual, being a believer or nonbeliever to realize the lack of control over his/her life. However the use of spiritual coping strategies may enhance self-empowerment, leading to finding meaning and purpose in illness. This implies that holistic care incorporates facilitation of various spiritual coping strategies to safeguard the wholeness and integrity of the patients. |
| Publication | Journal of Advanced Nursing |
| Volume | 34 |
| Issue | 6 |
| Pages | 833-841 |
| Date | Jun 2001 |
| Journal Abbr | J Adv Nurs |
| ISSN | 0309-2402 |
| Short Title | Spiritual coping strategies |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11422554 |
| Accessed | Thu Nov 12 21:02:30 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11422554 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
This paper reviews some of the limited nursing research-based literature, orientated towards the use of spiritual coping strategies in illness. This review aims at identifying those spiritual coping strategies used by the believers and nonbelievers followed by implications for holistic nursing care. This review suggests that the onset of illness may render the individual, being a believer or nonbeliever to realize the lack of control over his/her life. However, the use of spiritual coping strategies may enhance self-empowerment, leading to finding meaning and purpose in illness.
| Type | Journal Article |
|---|---|
| Author | Paul S Bay |
| Author | Steven S Ivy |
| Author | Colin L Terry |
| Abstract | This study tested whether two 1-day retreats focused on spiritual self-care would positively change nurse participants' spirituality. A total of 199 critical care nurses were accepted into this study; 87 were randomized to receive the retreat intervention. All 199 nurses were tested preretreat, 1 month and 6 months postretreat. Retreat participants demonstrated increased spirituality. |
| Publication | Holistic Nursing Practice |
| Volume | 24 |
| Issue | 3 |
| Pages | 125-133 |
| Date | 2010 May-Jun |
| Journal Abbr | Holist Nurs Pract |
| DOI | 10.1097/HNP.0b013e3181dd47dd |
| ISSN | 1550-5138 |
| Short Title | The effect of spiritual retreat on nurses' spirituality |
| Accessed | Fri May 7 14:43:56 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20421752 |
| Date Added | Thu Sep 29 09:04:35 2011 |
| Modified | Thu Sep 29 09:04:35 2011 |
| Type | Journal Article |
|---|---|
| Author | M A Burkhardt |
| Abstract | Learning to listen for indications of significant relationships and experience of connection is an important skill for the nurse. The nurse needs to be aware of the variety of expressions of spiriting, recognizing that it is often not expressed in traditional religious language. Dealing effectively with spiriting with clients requires an investment of the self, which is an intentional way of being with the client and can be a part of every nurse-client relationship. |
| Publication | Holistic Nursing Practice |
| Volume | 3 |
| Issue | 3 |
| Pages | 69-77 |
| Date | May 1989 |
| Journal Abbr | Holist Nurs Pract |
| ISSN | 0887-9311 |
| Short Title | Spirituality |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/2670980 |
| Accessed | Thu Nov 12 17:07:56 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 2670980 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Learning to listen for indications of significant relationships and experience of connection is an important skill for the nurse. The nurse needs to be aware of the variety of expressions of spiriting, recognizing that it is often not expressed in traditional religious language. Dealing effectively with spiriting with clients requires an investment of the self, which is an intentional way of being with the client and can be a part of every nurse-client relationship.
| Type | Journal Article |
|---|---|
| Author | Lisa Astalos Chism |
| Author | Morris A Magnan |
| Abstract | Guided by Chism's Middle-Range Theory of Spiritual Empathy, the overarching purpose of this study was to determine the extent to which nursing students' spiritual care perspectives account for their expressions of spiritual empathy. In this descriptive correlational study, spiritual care perspectives accounted for 8.6% of the variance in nursing students' (N = 223) expressions of spiritual empathy after controlling for relevant demographic and spirituality variables. Findings of the study suggest that the provision of spiritual care in nursing practice depends, in part, on nurses clarifying their own spiritual care perspectives. |
| Publication | The Journal of Nursing Education |
| Volume | 48 |
| Issue | 11 |
| Pages | 597-605 |
| Date | Jul 30, 2009 |
| Journal Abbr | J Nurs Educ |
| DOI | 10.3928/01484834-20090716-05 |
| ISSN | 0148-4834 |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19650610 |
| Accessed | Sat Sep 26 16:10:32 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19650610 |
| Date Added | Thu Sep 29 09:05:21 2011 |
| Modified | Thu Sep 29 09:05:21 2011 |
| Type | Journal Article |
|---|---|
| Author | Sallie Stoltz Denner |
| Abstract | The topic of energy therapies is prompted by the increasing attention of healthcare practitioners and consumers to Eastern philosophies and ancient healing practices. This article includes a conceptual framework of quantum physics principles providing the basis of interpretation of energetic phenomena, along with the exploration of theoretical concepts involving energy as a communicational network. An overview of the contemplative tradition of meditation indicates its necessity as a requisite element of energy therapies, the practice combining a knowledge base of the core scientific precepts with the experience of restorative strategies. The relevance of energy therapies as a path to self-transcendence along with the application of a specific touch technique, Zero Balancing, is highlighted. |
| Publication | Holistic Nursing Practice |
| Volume | 23 |
| Issue | 6 |
| Pages | 315-334 |
| Date | 2009 Nov-Dec |
| Journal Abbr | Holist Nurs Pract |
| DOI | 10.1097/HNP.0b013e3181bf3784 |
| ISSN | 1550-5138 |
| Short Title | The science of energy therapies and contemplative practice |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19901607 |
| Accessed | Mon Nov 23 19:49:09 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19901607 |
| Date Added | Thu Sep 29 09:05:21 2011 |
| Modified | Thu Sep 29 09:05:21 2011 |
| Type | Journal Article |
|---|---|
| Author | Corita Dickinson |
| Publication | The American Journal of Nursing |
| Volume | 75 |
| Issue | 10 |
| Pages | 1789-1794 |
| Date | Oct., 1975 |
| ISSN | 0002936X |
| URL | http://www.jstor.org.ezproxy.bu.edu/stable/3423567 |
| Accessed | Sun Nov 8 23:22:45 2009 |
| Library Catalog | JSTOR |
| Extra | ArticleType: primary_article / Issue Title: 75th Anniversary Issue / Full publication date: Oct., 1975 / Copyright © 1975 Wolters Kluwer Health, Inc. |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | Hannah Kate Ellis |
| Author | Aru Narayanasamy |
| Abstract | This article examines spirituality in nursing in terms of a critical literature review. The literature suggests that there is an increasing demand for holistic care within the NHS. Holistic care is based on the idea that there should be a balance between body, mind and spirit, however, clinical experience suggests that the spiritual dimension of nursing is rarely considered as there is a focus on what is perceived as scientific professionalism. The aim of this article is to explore the nature of spiritual care, discuss whether there is a need for it in nursing and explore ways in which nurses can provide it. This article is based on a critical review of the literature and empirical data on spirituality in nursing and identifies contrasting opinions around the definition of spiritual nursing care. Nurses can provide spiritual care by being conscious of their own spirituality as well as that of patients. |
| Publication | British Journal of Nursing |
| Volume | 18 |
| Issue | 14 |
| Pages | 886-890 |
| Date | July 2009 |
| Journal Abbr | Br J Nurs |
| ISSN | 0966-0461 |
| Accessed | Fri Sep 18 18:31:56 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19633601 |
| Date Added | Thu Sep 29 09:06:02 2011 |
| Modified | Thu Sep 29 09:06:02 2011 |
| Type | Journal Article |
|---|---|
| Author | Kevin J Flannelly |
| Author | Andrew J Weaver |
| Author | Karen G Costa |
| Publication | Journal of Palliative Care |
| Volume | 20 |
| Issue | 1 |
| Pages | 50-56 |
| Date | 2004 |
| Journal Abbr | J Palliat Care |
| ISSN | 0825-8597 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/15132077 |
| Accessed | Fri Nov 13 12:51:13 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 15132077 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | Marsha D Fowler |
| Abstract | The preface to an issue of Nursing Ethics on religion and nursing. |
| Publication | Nursing Ethics |
| Volume | 16 |
| Issue | 4 |
| Pages | 391-392 |
| Date | Jul 2009 |
| Journal Abbr | Nurs Ethics |
| DOI | 10.1177/0969733009104603 |
| ISSN | 0969-7330 |
| Short Title | Preface to thematic section |
| Accessed | Sat Sep 26 16:20:04 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19528096 |
| Date Added | Thu Sep 29 09:06:02 2011 |
| Modified | Thu Sep 29 09:06:02 2011 |
| Type | Journal Article |
|---|---|
| Author | Joris Gielen |
| Author | Stef van den Branden |
| Author | Bert Broeckaert |
| Abstract | In this review of empirical studies we aimed to assess the influence of religion and world view on nurses' attitudes towards euthanasia and physician assisted suicide. We searched PubMed for articles published before August 2008 using combinations of search terms. Most identified studies showed a clear relationship between religion or world view and nurses' attitudes towards euthanasia or physician assisted suicide. Differences in attitude were found to be influenced by religious or ideological affiliation, observance of religious practices, religious doctrines, and personal importance attributed to religion or world view. Nevertheless, a coherent comparative interpretation of the results of the identified studies was difficult. We concluded that no study has so far exhaustively investigated the relationship between religion or world view and nurses' attitudes towards euthanasia or physician assisted suicide and that further research is required. |
| Publication | Nursing Ethics |
| Volume | 16 |
| Issue | 3 |
| Pages | 303-318 |
| Date | May 2009 |
| Journal Abbr | Nurs Ethics |
| DOI | 10.1177/0969733009102692 |
| ISSN | 0969-7330 |
| Accessed | Tue Feb 22 19:18:59 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19372125 |
| Date Added | Thu Sep 29 09:07:00 2011 |
| Modified | Thu Sep 29 09:07:00 2011 |
| Type | Journal Article |
|---|---|
| Author | Joris Gielen |
| Author | Stef Van den Branden |
| Author | Bert Broeckaert |
| Abstract | Most quantitative studies that survey nurses' attitudes toward euthanasia and/or assisted suicide, also attempt to assess the influence of religion on these attitudes. We wanted to evaluate the operationalisation of religion and world view in these surveys. In the Pubmed database we searched for relevant articles published before August 2008 using combinations of search terms. Twenty-eight relevant articles were found. In five surveys nurses were directly asked whether religious beliefs, religious practices and/or ideological convictions influenced their attitudes, or the respondents were requested to mention the decisional basis for their answers on questions concerning end-of-life issues. In other surveys the influence of religion and world view was assessed indirectly through a comparison of the attitudes of different types of believers and/or non-believers toward euthanasia or assisted suicide. In these surveys we find subjective religious or ideological questions (questions inquiring about the perceived importance of religion or world view in life, influence of religion or world view on life in general, or how religious the respondents consider themselves) and objective questions (questions inquiring about religious practice, acceptance of religious dogmas, and religious or ideological affiliation). Religious or ideological affiliation is the most frequently used operationalisation of religion and world view. In 16 surveys only one religious or ideological question was asked. In most articles the operationalisation of religion and world view is very limited and does not reflect the diversity and complexity of religion and world view in contemporary society. Future research should pay more attention to the different dimensions of religion and world view, the religious plurality of Western society and the particularities of religion in non-Western contexts. |
| Publication | Medicine, Health Care, and Philosophy |
| Date | Jul 21, 2009 |
| Journal Abbr | Med Health Care Philos |
| DOI | 10.1007/s11019-009-9217-8 |
| ISSN | 1572-8633 |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19629746 |
| Accessed | Mon Nov 9 00:48:07 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19629746 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Most quantitative studies that survey nurses’ attitudes toward euthanasia and/or assisted suicide also attempt to assess the influence of religion on these attitudes. We wanted to evaluate the operationalisation of religion and world view in these surveys. In most articles the operationalisation of religion and world view is very limited and does not reflect the diversity and complexity of religion and world view in contemporary society.
| Type | Journal Article |
|---|---|
| Author | P Greasley |
| Author | L F Chiu |
| Author | M Gartland |
| Abstract | AIM: In this paper we aim to clarify the issue of spiritual care in the context of mental health nursing. BACKGROUND: The concept of spirituality in nursing has received a great deal of attention in recent years. However, despite many articles addressed to the issue, spiritual care remains poorly understood amongst nursing professionals and, as a result, spiritual needs are often neglected within the context of health care. METHODS: A series of focus groups was conducted to obtain the views of service users, carers and mental health nursing professionals about the concept of spirituality and the provision of spiritual care in mental health nursing. RESULTS: According to the views expressed in our focus groups, spiritual care relates to the acknowledgement of a person's sense of meaning and purpose to life which may, or may not, be expressed through formal religious beliefs and practices. The concept of spiritual care was also associated with the quality of interpersonal care in terms of the expression of love and compassion towards patients. Concerns were expressed that the ethos of mental health nursing and the atmosphere of care provision were becoming less personal, with increasing emphasis on the 'mechanics of nursing'. CONCLUSIONS: The perceived failure of service providers to attend adequately to this component of care may be symptomatic of a medical culture in which the more readily observable and measurable elements in care practice have assumed a prominence over the more subjective, deeply personal components. In order for staff to acknowledge these issues it is argued that a more holistic approach to care should be adopted, which would entail multidisciplinary education in spiritual care. |
| Publication | Journal of Advanced Nursing |
| Volume | 33 |
| Issue | 5 |
| Pages | 629-637 |
| Date | Mar 2001 |
| Journal Abbr | J Adv Nurs |
| ISSN | 0309-2402 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11298199 |
| Accessed | Thu Nov 12 20:55:06 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11298199 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
A series of focus groups was conducted to obtain the views of service users, carers and mental health nursing professionals about the concept of spirituality and the provision of spiritual care in mental health nursing. According to the views expressed in our focus groups, spiritual care relates to the acknowledgement of a person’s sense of meaning and purpose to life which may, or may not, be expressed through formal religious beliefs and practices.
| Type | Journal Article |
|---|---|
| Author | Claire Hollywell |
| Author | Jan Walker |
| Abstract | AIM This critical review seeks to identify if there is evidence that private (personal) prayer is capable of improving wellbeing for adult patients in hospital. BACKGROUND The review was conducted in the belief that the spiritual needs of hospitalised patients may be enhanced by encouragement and support to engage in prayer. DESIGN Systematic review. METHOD A systematic approach was used to gather evidence from published studies. In the absence of experimental research involving this type of population, evidence from qualitative and correlational studies was critically reviewed. Results. The findings indicate that private prayer, when measured by frequency, is usually associated with lower levels of depression and anxiety. Most of the studies that show positive associations between prayer and wellbeing were located in areas that have strong Christian traditions and samples reported a relatively high level of religiosity, church attendance and use of prayer. Church attenders, older people, women, those who are poor, less well educated and have chronic health problems appear to make more frequent use of prayer. Prayer appears to be a coping action that mediates between religious faith and wellbeing and can take different forms. Devotional prayers involving an intimate dialogue with a supportive God appear to be associated with improved optimism, wellbeing and function. In contrast, prayers that involve pleas for help may, in the absence of a pre-existing faith, be associated with increased distress and possibly poorer function. CONCLUSION Future research needs to differentiate the effects of different types of prayer. RELEVANCE TO CLINICAL PRACTICE Encouragement to engage in prayer should be offered only following assessment of the patient's faith and likely content and form of prayer to be used. Hospitalised patients who lack faith and whose prayers involve desperate pleas for help are likely to need additional support from competent nursing and chaplaincy staff. |
| Publication | Journal of Clinical Nursing |
| Volume | 18 |
| Issue | 5 |
| Pages | 637-651 |
| Date | Mar 2009 |
| Journal Abbr | J Clin Nurs |
| DOI | 10.1111/j.1365-2702.2008.02510.x |
| ISSN | 1365-2702 |
| Short Title | Private prayer as a suitable intervention for hospitalised patients |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/19077024 |
| Accessed | Mon Mar 28 18:18:24 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19077024 |
| Date Added | Thu Sep 29 09:07:00 2011 |
| Modified | Thu Sep 29 09:07:00 2011 |
| Type | Journal Article |
|---|---|
| Author | Trevor Hussey |
| Abstract | Those matters that are judged to be spiritual are seen as especially valuable and important. For this reason it is claimed that nurses need to be able to offer spiritual care when appropriate and, to aid them in this, nurse theorists have discussed the nature of spirituality. In a recent debate John Paley has argued that nurses should adopt a naturalistic stance which would enable them to employ the insights of modern science. Barbara Pesut has criticized this thesis, especially as it is applied to palliative care. This paper re-examines this debate with particular attention to the meaning of 'spirituality' and the justification for accepting spiritual and religious theories. It is argued that when we take into consideration the great diversity among religious and spiritual ideas, the lack of rational means of deciding between them when they conflict, and the practicalities of nursing, we find that a spiritual viewpoint is less useful than a naturalistic one, when offering palliative care. |
| Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
| Volume | 10 |
| Issue | 2 |
| Pages | 71-80 |
| Date | Apr 2009 |
| Journal Abbr | Nurs Philos |
| DOI | 10.1111/j.1466-769X.2008.00387.x |
| ISSN | 1466-769X |
| Accessed | Tue Feb 22 19:35:05 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19291195 |
| Date Added | Thu Sep 29 09:07:00 2011 |
| Modified | Thu Sep 29 09:07:00 2011 |
| Type | Journal Article |
|---|---|
| Author | Karen Iseminger |
| Author | Francesca Levitt |
| Author | Lisa Kirk |
| Abstract | This article addresses nursing presence, a phenomenon essential to holistic nursing care. The concept is introduced and explained, supporting background information is reviewed, barriers are identified, and successful applications are illustrated in different clinical settings. Avowing that metaphysical knowledge is the underpinning to the art of nursing presence, a Transformative Nursing Presence Model is offered as a distinctive framework for nurses and organizations interested in fostering enhanced nursing presence. |
| Publication | The Nursing Clinics of North America |
| Volume | 44 |
| Issue | 4 |
| Pages | 447-459 |
| Date | Dec 2009 |
| Journal Abbr | Nurs. Clin. North Am |
| DOI | 10.1016/j.cnur.2009.07.001 |
| ISSN | 1558-1357 |
| Short Title | Healing during existential moments |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19850181 |
| Accessed | Mon Dec 28 12:14:52 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19850181 |
| Date Added | Thu Sep 29 09:05:21 2011 |
| Modified | Thu Sep 29 09:05:21 2011 |
| Type | Journal Article |
|---|---|
| Author | Christine Jonas-Simpson |
| Abstract | Space consciousness is emerging as significant and necessary for the evolution of humanity according to spiritual teacher, Eckhart Tolle. Through space consciousness people become aware that we are timeless transcendent presence. This awareness is pronounced when with those who are living dying and their close others who are deeply grieving. Space consciousness and transcendent timeless presence in the context of living dying and deeply grieving are explored using nurse theorists' works in dialogue with Tolle's teachings. |
| Publication | Nursing Science Quarterly |
| Volume | 23 |
| Issue | 3 |
| Pages | 195-200 |
| Date | Jul 2010 |
| Journal Abbr | Nurs Sci Q |
| DOI | 10.1177/0894318410371848 |
| ISSN | 1552-7409 |
| Accessed | Wed Jul 7 09:51:00 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20558643 |
| Date Added | Thu Sep 29 09:03:48 2011 |
| Modified | Thu Sep 29 09:03:48 2011 |
| Type | Journal Article |
|---|---|
| Author | Tiburtius Koslander |
| Author | Barbro Arvidsson |
| Abstract | AIM: This paper reports a study to describe patients' conceptions of how the spiritual dimension is addressed in mental health care. BACKGROUND: Spirituality is a broad concept, and is highly subjective, multidimensional and difficult to define. Spirituality and religiousness are two separate concepts but have several common features. In mental health care, it is essential that nursing care be built on a holistic view, and the spiritual dimension has an important function in nursing care. The notion of spirituality is full of nuances, and in a multi-cultural society patients express their spirituality in different ways. METHOD: Data were collected by interviewing 12 strategically selected patients in mental health care and analysed according to a qualitative method inspired by the phenomenographic approach. The data were collected in 2003 in Sweden. FINDINGS: Three descriptive categories emerged: patients wish to have their spiritual needs addressed; patients must see to it that their spiritual needs are addressed; patients lack confidence in nurses with regard to discussing spirituality. The findings show that patients actively sought the assistance of nurses to meet their spiritual needs. They turned their thoughts inwards and found community with other patients, while nurses often avoided addressing the spiritual dimension. CONCLUSION: Nurses should work actively to seek new knowledge about how they can address patients' spiritual needs. It is also important that there be scope for discussing and reflecting on spiritual questions at the workplace. Additional research is needed to explore how knowledge about spirituality should be implemented in mental health care and nursing education. |
| Publication | Journal of Advanced Nursing |
| Volume | 57 |
| Issue | 6 |
| Pages | 597-604 |
| Date | Mar 2007 |
| Journal Abbr | J Adv Nurs |
| DOI | 10.1111/j.1365-2648.2006.04190.x |
| ISSN | 0309-2402 |
| Short Title | Patients' conceptions of how the spiritual dimension is addressed in mental health care |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/17346318 |
| Accessed | Fri Nov 13 17:27:02 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 17346318 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
This paper reports a study to describe patients’ conceptions of how the spiritual dimension is addressed in mental health care. Nurses should work actively to seek new knowledge about how they can address patients’ spiritual needs. It is also important that there be scope for discussing and reflecting on spiritual questions at the workplace.
| Type | Journal Article |
|---|---|
| Author | A Long |
| Abstract | This article explores and examines the fundamental need for nurses to include the promotion of the spiritual dimension of the health of human beings as well as the physical, mental and social facets if they truly wish to engage in holistic care. The author attempts to define the phenomenon of spirituality, aware of the dilemma that many individuals face when thinking and reflecting on this very personal and intangible issue. To be spiritual is to become fully human, the article argues, and the reverse is also true. Spirituality in health is inextricable in each person's search for the discovery of the truth about self and the meaning and purpose of life. Healthy communities are the product of healthy individuals who sow spiritual seeds such as unconditional positive regard, acceptance, respect and dignity for the benefit and advancement of individuals and humankind as a whole. The global nature of the phenomenon of spirituality is also shown by using examples of people who demonstrate compassion and communion with other human beings, in other countries in times of suffering, war and disaster. Compassion and empathy is expressed and experienced for victims of earthquakes that happen miles from home and far removed from personal or religious beliefs. Yet at such times we are all connected in the tapestry of life by our own human spirituality and earthiness. Abstract themes like compassion and justice are treated in the text within the context of spirituality. The author argues that being just and fair means that all patients have the right to achieve spiritual healing regardless of their belief systems, culture or creed. The works of some spiritual philosophers are used to reflect on this integral aspect of human caregiving. Historical symbols of spirituality are examined. The need for nurses to explore and reflect on the paradoxical concepts involved in their own spirituality is highlighted. Nurses are the essential providers of care and, therefore, the paper argues, guardians of that essential humanity that ensures that patients never become less than full human beings, whatever their condition, faith, culture or belief, or whoever they may be. The author contends that this responsibility is uniquely essential to being a nurse. |
| Publication | Nursing Ethics |
| Volume | 4 |
| Issue | 6 |
| Pages | 496-510 |
| Date | Nov 1997 |
| Journal Abbr | Nurs Ethics |
| ISSN | 0969-7330 |
| Short Title | Nursing |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/9416108 |
| Accessed | Thu Nov 12 17:38:22 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 9416108 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
This article explores and examines the fundamental need for nurses to include the promotion of the spiritual dimension of the health of human beings as well as the physical, mental and social facets if they truly wish to engage in holistic care. Nurses are the essential providers of care and, therefore, the paper argues, guardians of that essential humanity that ensures that patients never become less than full human beings, whatever their condition, faith, culture or belief, or whoever they may be. The author contends that this responsibility is uniquely essential to being a nurse.
| Type | Journal Article |
|---|---|
| Author | Barry McBrien |
| Abstract | Background: The researcher's interest in spiritual care arose during clinical experience in an emergency department. Over a 10-year period, I have observed, that in midst of a busy and increasingly overcrowded setting, nurses find time to provide spiritual care. Although this dimension of nursing practice is not explicitly labelled as spiritual care, it is apparent that interventions such as active listening, touch and ultimately connecting with the patient has, on most occasions, positive effects on the patient's spiritual dimension. Subsequently, this has provided the momentum to carry out a study on how nurses provide spiritual care, in an emergency setting. The findings revealed that participants regarded spiritual care to be an integral component of their role. In addition, participants reported that they derived positive personal outcomes from providing this aspect of nursing care. Nevertheless, although most participants would argue that spiritual care is central to nursing practice, concerns were expressed with regard to its provision, in the emergency setting. |
| Publication | International Emergency Nursing |
| Volume | 18 |
| Issue | 3 |
| Pages | 119-126 |
| Date | Jul 2010 |
| Journal Abbr | Int Emerg Nurs |
| DOI | 10.1016/j.ienj.2009.09.004 |
| ISSN | 1878-013X |
| Accessed | Tue Jul 27 12:18:28 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20542237 |
| Date Added | Thu Sep 29 09:03:48 2011 |
| Modified | Thu Sep 29 09:03:48 2011 |
| Type | Journal Article |
|---|---|
| Author | M A Miller |
| Abstract | A review of the literature on culture, health/women's health, and spirituality/religion reveals that the purported relationships among these variables may be tenuous. Nevertheless, there is a need for health care professionals to be aware of existing cultural/religious beliefs that may affect women's health behavior if provision of holistic health care is a goal. Implications for practice and research can be drawn from the existing evidence in the literature. |
| Publication | Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN / NAACOG |
| Volume | 24 |
| Issue | 3 |
| Pages | 257-263 |
| Date | 1995 Mar-Apr |
| Journal Abbr | J Obstet Gynecol Neonatal Nurs |
| ISSN | 0884-2175 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/7782959 |
| Accessed | Thu Nov 12 17:24:06 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 7782959 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
A review of the literature on culture, health/women’s health, and spirituality/religion reveals that the purported relationships among these variables may be tenuous. Nevertheless, there is a need for health care professionals to be aware of existing cultural/religious beliefs that may affect women’s health behavior if provision of holistic health care is a goal. Implications for practice and research can be drawn from the existing evidence in the literature.
| Type | Journal Article |
|---|---|
| Author | Joan Myers |
| Abstract | The idea that patients' spiritual needs should be incorporated into nursing care is supported by literature and policy. |
| Publication | Nursing Standard (Royal College of Nursing (Great Britain): 1987) |
| Volume | 23 |
| Issue | 40 |
| Pages | 22 |
| Date | 2009 Jun 10-16 |
| Journal Abbr | Nurs Stand |
| ISSN | 0029-6570 |
| Accessed | Tue Feb 22 18:47:29 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19579370 |
| Date Added | Thu Sep 29 09:07:00 2011 |
| Modified | Thu Sep 29 09:07:00 2011 |
| Type | Journal Article |
|---|---|
| Author | M G Nagai-Jacobson |
| Author | M A Burkhardt |
| Abstract | Practitioners of holistic nursing seek to be part of an environment that is healing, recognizing that healing occurs on many levels. Suffering and pain are viewed as part of larger life experience and may be sources of growth and transformation. Understanding that spirituality has to do with all of life and is expressed in a variety of ways, the practitioner of holistic nursing is open to the spirituality of self and others, as manifested in the ordinary as well as the dramatic, and in gentle ways encourages its experience and expression. |
| Publication | Holistic Nursing Practice |
| Volume | 3 |
| Issue | 3 |
| Pages | 18-26 |
| Date | May 1989 |
| Journal Abbr | Holist Nurs Pract |
| ISSN | 0887-9311 |
| Short Title | Spirituality |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/2768352 |
| Accessed | Thu Nov 12 17:07:03 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 2768352 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Practitioners of holistic nursing seek to be part of an environment that is healing, recognizing that healing occurs on many levels. Suffering and pain are viewed as part of larger life experience and may be sources of growth and transformation.
| Type | Journal Article |
|---|---|
| Author | Aru Narayanasamy |
| Abstract | AIMS AND OBJECTIVES: The aim of this paper is to share reflectively how my empirical studies on spirituality and culture have had an impact upon nurse education. BACKGROUND: Spirituality and cultural dimensions of care are considered to be integral to holistic care. The healing potentials of spiritual and cultural care are well documented. The commitment to the research programme came due to the concern within early literature on nursing that the provision of spiritual care for patients is inadequate. METHODS: The research programme used action research comprising largely qualitative approaches. As the holistic and multiperspective nature of spirituality and culture requires a multidisciplinary approach and flexibility of methodology, various research techniques were used. RESULTS: The findings from the research programme led to the development of theories, models and conceptual literature on spiritual and cultural care. In particular, two models evolved from the studies: the ASSET for spiritual cares education and training and the ACCESS for transcultural care practice. The critical incident studies provide insights into nurses' roles in spiritual care interventions. The phenomenological study highlights that chronically ill patients use spiritual strategies in coping with their illness. CONCLUSION: Overall, the paper offers a body of evidence that has an impact upon curriculum development in nurse education and nursing practice. RELEVANCE TO CLINICAL PRACTICE: The ASSET model offers a framework for spiritual care education. The ACCESS model offers a framework for transcultural care practice. The critical incident studies map out nurses' roles in spiritual and cultural care with scope for development of care intervention models for the future. The coping mechanisms study highlights how patients use spiritual coping strategies such as prayer and other resources to cope with their chronic illnesses. |
| Publication | Journal of Clinical Nursing |
| Volume | 15 |
| Issue | 7 |
| Pages | 840-851 |
| Date | Jul 2006 |
| Journal Abbr | J Clin Nurs |
| DOI | 10.1111/j.1365-2702.2006.01616.x |
| ISSN | 0962-1067 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/16879377 |
| Accessed | Fri Nov 13 16:45:55 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 16879377 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
In spite of an unjustified negative portrayal of Islam, it continues to grow at what is sometimes perceived as an unprecedented rate, having, it is estimated, one billion followers, i.e. one-fifth of the world’s population. This signals the need for nurse education to take on board curriculum measures to incorporate spiritual and cultural dimensions in the care of Muslim patients. Therefore, curriculum strategies are identified for putting into action educational programmes that address the needs of Muslims.
| Type | Journal Article |
|---|---|
| Author | Gloria B Nussbaum |
| Abstract | Creating an environment of compassion where patients feel that their emotional and spiritual needs are met is at the heart of holistic care. Patient satisfaction surveys address this powerful aspect of care and nurses find themselves in the position of making an impact. The nurse is at the bedside when crisis occurs, both physical and spiritual. Superficial attention to matters of spirituality is no longer acceptable. Nurses need to examine spirituality within themselves and be available when the patients give the invitation to join them in the struggle for peace. The critical care unit is most vulnerable because the intensity of illness is so great. Conscious or unconscious, the patient needs human touch and consolation, which transcends technology. Indifference to this is all but negligence on the part of the nurse. Addressing this through careful care planning and joining the "fellowship of pain" brings the nurse into the healing process. "Burnout" decreases as care increases, and nurses experience the healing process themselves as well. |
| Publication | Critical Care Nursing Quarterly |
| Volume | 26 |
| Issue | 3 |
| Pages | 214-220 |
| Date | 2003 Jul-Sep |
| Journal Abbr | Crit Care Nurs Q |
| ISSN | 0887-9303 |
| Short Title | Spirituality in critical care |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/12930036 |
| Accessed | Thu Nov 12 23:22:49 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 12930036 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Creating an environment of compassion where patients feel that their emotional and spiritual needs are met is at the heart of holistic care. Patient satisfaction surveys address this powerful aspect of care and nurses find themselves in the position of making an impact. The nurse is at the bedside when crisis occurs, both physical and spiritual. Superficial attention to matters of spirituality is no longer acceptable.
| Type | Book |
|---|---|
| Author | Mary O'Brien |
| Place | Sudbury, Mass. |
| Publisher | Jones and Bartlett Publishers |
| Date | Jan 2010 |
| ISBN | 9780763774851 |
| Date Added | Thu Sep 29 09:04:35 2011 |
| Modified | Thu Sep 29 09:04:35 2011 |
| Type | Book |
|---|---|
| Author | Bonnie Blair O'Connor |
| Series | Studies in health, illness, and caregiving |
| Place | Philadelphia |
| Publisher | University of Pennsylvania Press |
| Date | 1995 |
| ISBN | 0812231848 |
| Short Title | Healing Traditions |
| Library Catalog | library.bu.edu Library Catalog |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | A S Oldnall |
| Publication | Journal of Advanced Nursing |
| Volume | 21 |
| Issue | 3 |
| Pages | 417-418 |
| Date | Mar 1995 |
| Journal Abbr | J Adv Nurs |
| ISSN | 0309-2402 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/7745192 |
| Accessed | Thu Nov 12 17:24:25 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 7745192 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | Barbara Pesut |
| Abstract | North American society has undergone a period of sacralization where ideas of spirituality have increasingly been infused into the public domain. This sacralization is particularly evident in the nursing discourse where it is common to find claims about the nature of persons as inherently spiritual, about what a spiritually healthy person looks like and about the environment as spiritually energetic and interconnected. Nursing theoretical thinking has also used claims about the nature of persons, health, and the environment to attempt to establish a unified ontology for the discipline. However, despite this common ground, there has been little discussion about the intersections between nursing philosophic thinking and the spirituality in nursing discourse, or about the challenges of adopting a common view of these claims within a spiritually pluralist society. The purpose of this paper is to discuss the call for ontological unity within nursing philosophic thinking in the context of the sacralization of a diverse society. I will begin with a discussion of secularization and sacralization, illustrating the diversity of beliefs and experiences that characterize the current trend towards sacralization. I will then discuss the challenges of a unified ontological perspective, or closed world view, for this diversity, using examples from both a naturalistic and a unitary perspective. I will conclude by arguing for a unified approach within nursing ethics rather than nursing ontology. |
| Publication | Nursing Philosophy: An International Journal for Healthcare Professionals |
| Volume | 11 |
| Issue | 1 |
| Pages | 15-23 |
| Date | Jan 2010 |
| Journal Abbr | Nurs Philos |
| DOI | 10.1111/j.1466-769X.2009.00420.x |
| ISSN | 1466-769X |
| Short Title | Ontologies of nursing in an age of spiritual pluralism |
| Accessed | Sun Jan 24 17:17:29 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20017879 |
| Date Added | Thu Sep 29 09:04:35 2011 |
| Modified | Thu Sep 29 09:04:35 2011 |
| Type | Journal Article |
|---|---|
| Author | Barbara Pesut |
| Author | Sheryl Reimer-Kirkham |
| Abstract | BACKGROUND: Despite increasingly diverse, globalized societies, little attention has been paid to the influence of religious and spiritual diversity on clinical encounters within healthcare. OBJECTIVES: The purpose of the study was to analyze the negotiation of religious and spiritual plurality in clinical encounters, and the social, gendered, cultural, historical, economic and political contexts that shape that negotiation. DESIGN: Qualitative: critical ethnography. SETTINGS: The study was conducted in Western Canada between 2006 and 2009. Data collection occurred on palliative, hospice, medical and renal in-patient units at two tertiary level hospitals and seven community hospitals. PARTICIPANTS: Participants were recruited through purposive sampling and snowball technique. Twenty healthcare professionals, seventeen spiritual care providers, sixteen patients and families and twelve administrators, representing diverse ethnicities and religious affiliations, took part in the study. METHODS: Data collection included 65 in-depth interviews and over 150h of participant observation. RESULTS: Clinical encounters between care providers and recipients were shaped by how individual identities in relation to religion and spirituality were constructed. Importantly, these identities did not occur in isolation from other lines of social classification such as gender, race, and class. Negotiating difference was a process of seeing spirituality as a point of connection, eliciting the meaning systems of patients and creating safe spaces for the expression of that meaning. CONCLUSIONS: The complexity of religious and spiritual identity construction and negotiation raises important questions about language and about professional competence and boundaries in clinical encounters where religion and spirituality are relevant concerns. |
| Publication | International Journal of Nursing Studies |
| Volume | 47 |
| Issue | 7 |
| Pages | 815-825 |
| Date | Jul 2010 |
| Journal Abbr | Int J Nurs Stud |
| DOI | 10.1016/j.ijnurstu.2009.11.014 |
| ISSN | 1873-491X |
| Short Title | Situated clinical encounters in the negotiation of religious and spiritual plurality |
| Accessed | Tue Jul 27 12:18:49 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20022006 |
| Date Added | Thu Sep 29 09:03:48 2011 |
| Modified | Thu Sep 29 09:03:48 2011 |
| Type | Journal Article |
|---|---|
| Author | Barbara Pesut |
| Author | Marsha Fowler |
| Author | Sheryl Reimer-Kirkham |
| Author | Elizabeth Johnston Taylor |
| Author | Rick Sawatzky |
| Abstract | The tremendous growth in nursing literature about spirituality has garnered proportionately little critique. Part of the reason may be that the broad generalizing claims typical of this literature have not been sufficiently explicated so that their particular implications for a practice discipline could be evaluated. Further, conceptualizations that attempt to encompass all possible views are difficult to challenge outside of a particular location. However, once one assumes a particular location in relation to spirituality, then the question becomes how one resolves the tension between what are essentially theological or philosophical commitments and professional commitments. In this study, we discuss the tension between these perspectives using the idea of a responsible nursing response to spiritual pluralism. We then problematize three claims about spirituality in nursing discourse based upon our location as scholars influenced by Christian theological understandings: (i) the claim that all individuals are spiritual; (ii) the claim that human spirituality can be assessed and evaluated; and (iii) the claim that spirituality is a proper domain of nursing's concern and intervention. We conclude by suggesting that the widely shared values of social justice, compassion and human dignity may well serve as a grounding for the critique of spiritual discourses in nursing across particularized positions. |
| Publication | Nursing Inquiry |
| Volume | 16 |
| Issue | 4 |
| Pages | 337-346 |
| Date | Dec 2009 |
| Journal Abbr | Nurs Inq |
| DOI | 10.1111/j.1440-1800.2009.00462.x |
| ISSN | 1440-1800 |
| Short Title | Particularizing spirituality in points of tension |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19906284 |
| Accessed | Mon Dec 28 14:58:59 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19906284 |
| Date Added | Thu Sep 29 09:05:21 2011 |
| Modified | Thu Sep 29 09:05:21 2011 |
| Type | Journal Article |
|---|---|
| Author | Joanne Pike |
| Abstract | Spirituality in nursing care has been discussed for many years in the nursing press. There has been no literature review that explores only UK literature, and this article updates a literature review carried out in 2006 (Ross, 2006). Aim: The review was designed to investigate the current nursing evidence underpinning the concept of spirituality and its application. Method: A systematic review of the literature was undertaken and a thematic analysis performed following a search for literature using defined dates, databases and search terms. Results: Four major themes emerged from the literature: concept clarification; spiritual care-giving; religion and spirituality; and nurse education. Conclusion: Definitions of spiritual care vary, and the concept of spirituality in nursing is still under development. However, until a common language of spirituality is developed, models of spiritual care developed through research involving mainly nursing staff will be difficult for nurses to apply. |
| Publication | British Journal of Nursing (Mark Allen Publishing) |
| Volume | 20 |
| Issue | 12 |
| Pages | 743-749 |
| Date | 2011 Jun 24-Jul 7 |
| Journal Abbr | Br J Nurs |
| ISSN | 0966-0461 |
| Short Title | Spirituality in nursing |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/21727836 |
| Accessed | Wed Jul 13 18:06:24 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 21727836 |
| Date Added | Thu Sep 29 08:53:56 2011 |
| Modified | Thu Sep 29 08:53:56 2011 |
| Type | Journal Article |
|---|---|
| Author | Linda Ross |
| Abstract | AIMS: The paper gives an overview of nursing research papers published on spiritual care between 1983 and October 2005. It also provides pointers for the future direction of research in this emerging field. BACKGROUND: Spiritual care of patients/clients is expected of nurses and is reflected in nursing codes of ethics, nurse education guidelines, policy documents and nursing guidance. Recent years have seen a proliferation in nursing research in this area, particularly in the UK and North America, and now in other European countries. It seemed timely, therefore, to review this published research. METHOD: Included in the review were 47 original published nursing research papers identified from a CINAHL search and from a collection held by the author since 1983. Papers were sorted into five categories, a template to aid reviewing was produced and a short summary and critique of each paper was written. CONCLUSIONS: Research on spirituality and health needs to move forward in a systematic and co-ordinated way. RELEVANCE TO CLINICAL PRACTICE: Hopefully, the research summarized in this paper will be useful to clinicians and nurse educators as they strive to incorporate spiritual care within their practice. In turn patients/clients and their families should benefit from care which is more holistic and addresses their deepest concerns and needs. |
| Publication | Journal of Clinical Nursing |
| Volume | 15 |
| Issue | 7 |
| Pages | 852-862 |
| Date | Jul 2006 |
| Journal Abbr | J Clin Nurs |
| DOI | 10.1111/j.1365-2702.2006.01617.x |
| ISSN | 0962-1067 |
| Short Title | Spiritual care in nursing |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/16879378 |
| Accessed | Fri Nov 13 16:46:21 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 16879378 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
The paper gives an overview of nursing research papers published on spiritual care between 1983 and October 2005. It also provides pointers for the future direction of research in this emerging field.
| Type | Journal Article |
|---|---|
| Author | Penny Sartori |
| Abstract | Despite spirituality being an important aspect of patient care, few nurses feel they meet patients' needs in this area. This first in a two part series examines definitions of spirituality and the difference between this concept and religion. It also discusses spirituality at certain points in t hepatient pathway, such as at the end of life, and finding meaning in illness. |
| Publication | Nursing Times |
| Volume | 106 |
| Issue | 28 |
| Pages | 14-17 |
| Date | 2010 Jul 20-26 |
| Journal Abbr | Nurs Times |
| ISSN | 0954-7762 |
| Short Title | Spirituality 1 |
| Accessed | Mon Aug 30 16:56:06 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20715648 |
| Date Added | Thu Sep 29 09:03:07 2011 |
| Modified | Thu Sep 29 09:03:07 2011 |
| Type | Journal Article |
|---|---|
| Author | Penny Sartori |
| Abstract | Although meeting patients' spiritual needs is important, many nurses are uncertain about what spiritual care involves and lack confidence in this area. This second article in a two part series on spirituality considers ways of addressing spiritual needs and provides an overview of the principles of assessment and implementation. Part 1 explored definitions of spirituality, the difference between religion and spirituality, and finding meaning in illness. |
| Publication | Nursing Times |
| Volume | 106 |
| Issue | 29 |
| Pages | 23-25 |
| Date | 2010 Jul 27-Aug 2 |
| Journal Abbr | Nurs Times |
| ISSN | 0954-7762 |
| Short Title | Spirituality. 2 |
| Accessed | Mon Aug 30 16:56:04 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20718373 |
| Date Added | Thu Sep 29 09:03:07 2011 |
| Modified | Thu Sep 29 09:03:07 2011 |
| Type | Journal Article |
|---|---|
| Author | Amy Rex Smith |
| Publication | Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship |
| Volume | 26 |
| Issue | 4 |
| Pages | 216-222 |
| Date | 2009 Oct-Dec |
| Journal Abbr | J Christ Nurs |
| ISSN | 0743-2550 |
| Short Title | Nursing and spirituality |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/19824578 |
| Accessed | Fri Nov 13 20:12:56 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19824578 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
| Type | Journal Article |
|---|---|
| Author | Cecily Wellelr Stang |
| Abstract | Is the use of intercessory prayer (IP) in modern nursing a valid practice? As discussed in current healthcare literature, IP is controversial, with authors offering support for and against the efficacy of the practice. This article reviews IP literature and research, concluding IP is a valid intervention for Christian nurses. |
| Publication | Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship |
| Volume | 28 |
| Issue | 2 |
| Pages | 92-95 |
| Date | 2011 Apr-Jun |
| Journal Abbr | J Christ Nurs |
| ISSN | 0743-2550 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/21473193 |
| Accessed | Mon May 9 19:04:27 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 21473193 |
| Date Added | Thu Sep 29 08:55:49 2011 |
| Modified | Thu Sep 29 08:55:49 2011 |
| Type | Journal Article |
|---|---|
| Author | S Stranahan |
| Abstract | The purpose of the nonexperimental study was to examine the relationships among spiritual perception, attitudes about spiritual care, and spiritual care practices in nurse practitioners. Attitudes about providing spiritual care and spiritual care practices have been studied among nurse generalists, but little research has been conducted on nurses in advanced practice. All nurse practitioners registered by the state of Indiana were sent Reed's Spiritual Perspective Scale (SPS) and a modified version of the Nurses' Spiritual Care Perspectives Scale developed by Taylor, Highfield, and Amenta. Pearson correlation techniques were used to test for significant relationships. Statistically positive relationships were between perception of personal spirituality and 9 of the 12 spiritual care practices. Eight of the 13 items describing attitude toward providing spiritual care were statistically significant with the SPS. Implications of the findings are discussed. |
| Publication | Western Journal of Nursing Research |
| Volume | 23 |
| Issue | 1 |
| Pages | 90-104 |
| Date | Feb 2001 |
| Journal Abbr | West J Nurs Res |
| ISSN | 0193-9459 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11216028 |
| Accessed | Thu Nov 12 20:47:12 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11216028 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
The purpose of the nonexperimental study was to examine the relationships among spiritual perception, attitudes about spiritual care, and spiritual care practices in nurse practitioners. Attitudes about providing spiritual care and spiritual care practices have been studied among nurse generalists, but little research has been conducted on nurses in advanced practice.
| Type | Journal Article |
|---|---|
| Author | John Swinton |
| Abstract | AIMS: This paper explores certain key critiques of spirituality-in-nursing as they have been offered by people outside of the discipline. It argues that nurses have not taken seriously enough the recent criticism of the nature and role of spirituality in nursing. Not to listen to the 'enemies' of spirituality-in-nursing is to risk stagnation and a drift into obscurity. BACKGROUND: The area of spirituality has become a growing field of interest for nurses and has produced a burgeoning body of research literature. Yet, whilst much has been written about the positive aspects of spirituality, nurses have offered almost no critique of the ways in which spirituality and spiritual care are understood, despite the fact that there are clearly certain key issues that require robust critique and thoughtful reflection. Almost all of the major criticisms of spirituality-in-nursing have come from people outside of the discipline of nursing. The paper argues that nurses need to listen carefully to the criticisms of spirituality and spiritual care offered by the 'enemies' of spiritual care in nursing. When listened to constructively, they highlight issues that are vital for the development and forward movement of this important area of nursing practice. METHODS: Literature review and critical reflection on current critiques of spirituality in nursing practice. CONCLUSIONS: The paper concludes that nurses need to begin to develop spirituality as a specific field of enquiry with its own bodies of knowledge, methodologies, assumptions and core disciplines. RELEVANCE TO CLINICAL PRACTICE: In listening to and taking seriously its 'enemies', nursing has the opportunity to establish spirituality as an important, creative and vibrant aspect of nursing practice that has the capacity to grow and respond constructively to its 'enemies', in ways that make whole-person-care a real possibility. |
| Publication | Journal of Clinical Nursing |
| Volume | 15 |
| Issue | 7 |
| Pages | 918-928 |
| Date | Jul 2006 |
| Journal Abbr | J Clin Nurs |
| DOI | 10.1111/j.1365-2702.2006.01651.x |
| ISSN | 0962-1067 |
| Short Title | Identity and resistance |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/16879384 |
| Accessed | Fri Nov 13 16:46:49 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 16879384 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
This paper explores certain key critiques of spirituality-in-nursing as they have been offered by people outside of the discipline. It argues that nurses have not taken seriously enough the recent criticism of the nature and role of spirituality in nursing. Not to listen to the ‘enemies’ of spirituality-in-nursing is to risk stagnation and a drift into obscurity.
| Type | Journal Article |
|---|---|
| Author | E J Taylor |
| Abstract | OBJECTIVES: To briefly discuss the nature and function of stories that patients tell, and offer practical tips on how to listen and make sense of these stories. DATA SOURCES: Books and articles from disciplines in the humanities and health care professions. CONCLUSION: Stories are a medium for assessment and intervention in areas that essentially reflect an individual's spirituality. IMPLICATIONS FOR NURSING PRACTICE: Encouraging storytelling is an intervention nurses can use to promote spiritual health. Suggestions for eliciting and analyzing stories are offered. |
| Publication | Seminars in Oncology Nursing |
| Volume | 13 |
| Issue | 4 |
| Pages | 252-254 |
| Date | Nov 1997 |
| Journal Abbr | Semin Oncol Nurs |
| ISSN | 0749-2081 |
| Short Title | The story behind the story |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/9392032 |
| Accessed | Thu Nov 12 17:39:26 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 9392032 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Objectives To briefly discuss the nature and function of stories that patients tell, and offer practical tips on how to listen and make sense of these stories. Conclusion: Stories are a medium for assessment and intervention in areas that essentially reflect an individual’s spirituality.
| Type | Journal Article |
|---|---|
| Author | L L Treloar |
| Abstract | Although conceptualizations of mind, body, and spirit are ancient, spiritual aspects have not been readily integrated into health care. Western medicine's mechanistic model, with its "fix-broken-parts" paradigm, focuses on the physical body, with occasional consideration given to emotional and mental aspects. One's view of self in relation to a Supreme Being, and one's existence and purpose for life is central to health at all levels, e.g., spiritual, physical, emotional, and cognitive. The purpose of this article is to describe the role that nurse practitioners can and should take with patients and their families in integrating spirituality into health care practice. |
| Publication | Journal of the American Academy of Nurse Practitioners |
| Volume | 12 |
| Issue | 7 |
| Pages | 280-285 |
| Date | Jul 2000 |
| Journal Abbr | J Am Acad Nurse Pract |
| ISSN | 1041-2972 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/11930467 |
| Accessed | Thu Nov 12 21:22:54 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 11930467 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Western medicine’s mechanistic model, with its “fix-broken-parts” paradigm, focuses on the physical body, with occasional consideration given to emotional and mental aspects. One’s view of self in relation to a Supreme Being, and one’s existence and purpose for life is central to health at all levels, e.g., spiritual, physical, emotional, and cognitive. The purpose of this article is to describe the role that nurse practitioners can and should take with patients and their families in integrating spirituality into health care practice.
| Type | Journal Article |
|---|---|
| Author | René van Leeuwen |
| Author | Lucas J Tiesinga |
| Author | Berrie Middel |
| Author | Doeke Post |
| Author | Henk Jochemsen |
| Abstract | AIM: This study contributes to the development of a valid and reliable instrument, the spiritual care competence scale, as an instrument to assess nurses' competencies in providing spiritual care. BACKGROUND: Measuring these competencies and their development is important and the construction of a reliable and valid instrument is recommended in the literature. DESIGN: Survey. METHOD: The participants were students from Bachelor-level nursing schools in the Netherlands (n = 197) participating in a cross-sectional study. The items in the instrument were hypothesised from a competency profile regarding spiritual care. Construct validity was evaluated by factor analysis and internal consistency was estimated with Cronbach's alpha and the average inter-item correlation. In addition, the test-retest reliability of the instrument was determined at a two-week interval between baseline and follow-up (n = 109). RESULTS: The spiritual care competence scale comprises six spiritual-care-related nursing competencies. These domains were labelled: 1 assessment and implementation of spiritual care (Cronbach's alpha 0.82) 2 professionalisation and improving the quality of spiritual care (Cronbach's alpha 0.82) 3 personal support and patient counseling (Cronbach's alpha 0.81) 4 referral to professionals (Cronbach's alpha 0.79) 5 attitude towards the patient's spirituality (Cronbach's alpha 0.56) 6 communication (Cronbach's alpha 0.71). These subscales showed good homogeneity with average inter-item correlations >0.25 and a good test-retest reliability. CONCLUSION: This study conducted in a nursing-student population demonstrated valid and reliable scales for measuring spiritual care competencies. The psychometric quality of the instrument proved satisfactory. This study does have some methodological limitations that should be taken into account in any further development of the spiritual care competence scale. RELEVANCE TO CLINICAL PRACTICE: The spiritual care competence scale can be used to assess the areas in which nurses need to receive training in spiritual care and can be used to assess whether nurses have developed competencies in providing spiritual care. |
| Publication | Journal of Clinical Nursing |
| Volume | 18 |
| Issue | 20 |
| Pages | 2857-2869 |
| Date | Oct 2009 |
| Journal Abbr | J Clin Nurs |
| DOI | 10.1111/j.1365-2702.2008.02594.x |
| ISSN | 1365-2702 |
| URL | http://www.ncbi.nlm.nih.gov.ezproxy.bu.edu/pubmed/19220618 |
| Accessed | Mon Oct 19 20:09:32 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 19220618 |
| Date Added | Thu Sep 29 09:05:21 2011 |
| Modified | Thu Sep 29 09:05:21 2011 |
| Type | Journal Article |
|---|---|
| Author | A J Weaver |
| Author | L T Flannelly |
| Author | K J Flannelly |
| Author | H G Koenig |
| Author | D B Larson |
| Abstract | A review of quantitative research studies published between 1991 and 1995 in 3 major mental health nursing journals revealed that approximately 10% (31 of 311) included a measure of religion or spirituality. This percentage (10%) is 3 to 8 times higher than that found in previous reviews of empirical research in psychological and psychiatric journals, suggesting that mental health nursing research is more sensitive to the role of religious-spiritual factors on mental health than research in related disciplines. The results are discussed in the context of the history and philosophy of nursing and in comparison to related disciplines. Methodological aspects of the research, especially the importance of multiple measures, are discussed, as are other salient findings. |
| Publication | Issues in Mental Health Nursing |
| Volume | 19 |
| Issue | 3 |
| Pages | 263-276 |
| Date | 1998 May-Jun |
| Journal Abbr | Issues Ment Health Nurs |
| ISSN | 0161-2840 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/9661377 |
| Accessed | Thu Nov 12 17:42:57 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 9661377 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
A review of quantitative research studies published between 1991 and 1995 in 3 major mental health nursing journals revealed that approximately 10% (31 of 311) included a measure of religion or spirituality. This percentage (10%) is 3 to 8 times higher than that found in previous reviews of empirical research in psychological and psychiatric journals, suggesting that mental health nursing research is more sensitive to the role of religious-spiritual factors on mental health than research in related disciplines.
| Type | Journal Article |
|---|---|
| Author | Sarah L Weinberger-Litman |
| Author | Margaret A Muncie |
| Author | Laura T Flannelly |
| Author | Kevin J Flannelly |
| Abstract | Nursing has historically realized the importance of spirituality in patient care, and more than other healthcare staff, they also have recognized the integral role of chaplains in meeting the spiritual needs of patients. The present study examines specific patient and family issues for which nurses make referrals to chaplains. A previously piloted questionnaire asking how often nurses and allied staff refer patients to chaplains was distributed to 133 staff members at a New York area hospital, the majority of whom were registered nurses (RNs). ANOVA revealed significant differences with respect to the kinds of issues that nurses are likely to refer to chaplains, with referrals being most likely for family issues and least likely for treatment-related issues. A significant interaction between staff type (nurses vs allied staff) and issues was also found. The results are discussed in relation to the nurses' desire to meet patients' spiritual needs and how this can be achieved. |
| Publication | Holistic Nursing Practice |
| Volume | 24 |
| Issue | 1 |
| Pages | 44-48 |
| Date | 2010 Jan-Feb |
| Journal Abbr | Holist Nurs Pract |
| DOI | 10.1097/HNP.0b013e3181c8e491 |
| ISSN | 1550-5138 |
| Accessed | Sun Jan 24 17:16:45 2010 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 20023523 |
| Date Added | Thu Sep 29 09:04:35 2011 |
| Modified | Thu Sep 29 09:04:35 2011 |
| Type | Journal Article |
|---|---|
| Author | Mary L White |
| Author | Rosalind Peters |
| Author | Stephanie Myers Schim |
| Abstract | The authors propose an integration of the concepts of spirituality and spiritual self-care within Orem's self-care deficit nursing theory as a critical step in theory development. Theoretical clarity is needed to understand the contributions of spirituality to health and well-being. Spirituality is the beliefs persons hold related to their subjective sense of existential connectedness including beliefs that reflect relationships with others, acknowledge a higher power, recognize an individual's place in the world, and lead to spiritual practices. Spiritual self-care is the set of spiritually-based practices in which people engage to promote continued personal development and well-being in health and illness. |
| Publication | Nursing Science Quarterly |
| Volume | 24 |
| Issue | 1 |
| Pages | 48-56 |
| Date | Jan 2011 |
| Journal Abbr | Nurs Sci Q |
| DOI | 10.1177/0894318410389059 |
| ISSN | 1552-7409 |
| Short Title | Spirituality and spiritual self-care |
| Accessed | Sun Feb 13 10:35:27 2011 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 21220576 |
| Date Added | Thu Sep 29 08:57:52 2011 |
| Modified | Thu Sep 29 08:57:52 2011 |
| Type | Journal Article |
|---|---|
| Author | Alison S Witte |
| Author | Dirk M van der Wal |
| Author | H Chrissie Steyn |
| Abstract | Eighteen participants in a rural Appalachian community were interviewed to learn about their mystical experiences in the context of health care. Semistructured interviews addressed factors initiating mystical experience and essential qualities of mystical experience. Nursing process and the nurse's response were examined. Data were analyzed using the immersion/crystallization method and concept mapping. Mystical experience was conceptualized as a process incorporating initiation, occurrence, maturation, and integration of mystical experience. Essential qualities included sensory-motor perception, interaction with the supernatural, interaction with family members, conviction of reality, cognition, dynamic tension and emotional intensity. Nursing interventions included listening and support. Subjective nursing responses included tension, intimacy and empathy, sense of awe, autonomic responses, and appreciation of the mystical in everyday life. Various stressors are associated with mystical experience. Patients having mystical experiences may benefit from nursing support. |
| Publication | Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association |
| Volume | 26 |
| Issue | 2 |
| Pages | 84-92 |
| Date | Jun 2008 |
| Journal Abbr | J Holist Nurs |
| DOI | 10.1177/0898010107310617 |
| ISSN | 0898-0101 |
| URL | http://www.ncbi.nlm.nih.gov/pubmed/18539874 |
| Accessed | Fri Nov 13 18:59:57 2009 |
| Library Catalog | NCBI PubMed |
| Extra | PMID: 18539874 |
| Date Added | Sat Oct 1 15:42:17 2011 |
| Modified | Sat Oct 1 15:42:17 2011 |
Eighteen participants in a rural Appalachian community were interviewed to learn about their mystical experiences in the context of health care. Semistructured interviews addressed factors initiating mystical experience and essential qualities of mystical experience. Nursing process and the nurse’s response were examined.