Chapter 11 Spirituality Objectives Define spirituality Explain how
Chapter 11 Spirituality
Objectives • Define spirituality. • Explain how spirituality impacted the development of nursing. • Discuss the relationship of spirituality to current nursing practice. • Discuss spiritual needs of patients and of self. • Assess spiritual needs. • Describe interventions for providing spiritual care. • Explain the importance of spiritual health for the care giver.
Key Terms • • Interpersonal connectedness Intrapersonal connectedness Religion Religiosity Secularism Spiritual dimension Spiritual needs
Key Terms • • • Spiritual well-being Spirituality Theism Transpersonal connectedness Vocation Wholeness
Spirituality • A cornerstone of holistic care • As a profession nursing has been strongly influenced by the religious community. • Technology and science temporarily lead nurses away from spiritual-based care.
Characteristics of Spirituality • • • Spiritual dimension Spiritual well-being Spiritual needs Connectedness – Intrapersonal – Interpersonal – Transpersonal • Theism
Spirituality Versus Religiosity • Spirituality – – A way of life Denotes limitlessness Fluid Does not require connectedness to an institution or formal doctrine – Concerned with the individual’s personal interpretation of life – Spirituality is manifested in a variety of ways, some include religious practices. • Religiosity – – – Being devout Devotion to a religion Denotes boundaries Solid Defines reality and provides a sense of significance and connected through an institution or formal doctrine – Offers external, formal system of support
Manifestations of Individuals • Biological – Five senses – World-consciousness • Psychosocial – Intellect, emotion, will, and moral sense – Encompasses the soul, self-consciousness, and self identity • Spiritual – The core of the individual
Historical Developments • Priests were healers in ancient times. • Religious communities influenced: – Development of hospitals – Organized nursing • Profession • Vocation – Nursing education • Technology and science lead health care in the direction of secularism. • Contemporary health care providers recognize the importance of science, technology, and spirituality.
Contemporary Views of Spirituality • Western perspective • Eastern perspective
Expressions of Spirituality • Relationship with God (a divine being) or connectedness • Need for meaning and purpose • Values and forgiveness • Love, belonging, and hope
Spiritual Well-Being • Spiritual well-being is dependent upon one’s ability to fulfill spiritual needs. • Factors influencing spiritual well-being – Developmental age – Culture
Offering Spiritual Care • Begin with a spiritual assessment. – A challenge in the busy world of health care • Timing; priorities must be established • Rapport – Data collection • Observation • Clinical history • Formal spiritual assessment tool
Recognizing Spiritual Concerns • Response – Spiritual distress – Risk for spiritual distress • Etiology – Feelings of hopelessness or helplessness – Separation from religious practices
Offering Spiritual Care • • • Therapeutic use of self Listening Taking time to get to know the patient Therapeutic communication Recognize personal values that may interfere with providing appropriate spiritual care. • Avoid stereotyping. • Use culturally sensitive terminology when providing spiritual care. • Include the family and significant others.
Enhancing Spiritual Well-Being • • Empathy and touch Prayer and scripture Interdisciplinary support Anticipatory guidance and emotional support
Expected Outcomes • Expressions of hope, faith, meaning/purpose, and love • Spiritual well-being • Participation in spiritual rites, meditation, prayer, and spiritual readings • Spiritual health does not require physical health.
Spiritual Health of the Nurse • The nurse’s spiritual and physical health impact care provided. • Health requires refreshment and renewal. • Spiritual health is best maintained through conscious, goal directed activities and a commitment to care for oneself.
- Slides: 18