What Is Spirituality? A “ j o urn e y ” t h a t t a k es pl a c e o v er ti m e a nd involves the accumulation of life experiences a n d u nd e r s t a n d i n g . A n a t t em p t t o f i nd me a ni n g , v a l u e , a nd p u r p o s e i n l i f e .
Spirituality and Everyday Living Spiritual beliefs and practices are associated with all aspects of a person’s life, including health and illness.
C o r e I s s u e s o f S pir i tu a l i ty Faith H o p e Love
Faith Faith generally refers to a confident belief in something for which there is no proof or material evidence. It can involve a person, idea, or thing, and it is usually followed by action related to the ideals or values of that belief. For example, if one have faith in one’s doctor, nurse he/she is more likely to adhere to a prescribed regimen/plan of care and to experience benefits
Hope Unique to each person It is the ingredient in life responsible for a positive outlook in even life’s bleakest moments. It enables an individual both to consider a future and to work to actively bring that future into being. Originates in imagination but must become a valued and realistic possibility in order to energize action. It has the capacity to embrace the reality of the individual’s suffering without escaping from it (false hope) or being suffocated by it (despair, helplessness, hopelessness).
Love People express and experience spirituality in and through connectedness with other people. “To love another person is to see the face of God.” Love develops from the basic human need to love and be loved, and we cannot be spiritually whole, spiritually healthy, unless this need is met.
FACTORS AFFECTING SPIRITUALITY Developmental considerations Family Ethnic background Formal religion Life events
Developmental considerations As the child matures, life experiences usually influence and mature his or her spiritual beliefs. With advancing years, the tendency to think about life after death prompts some individuals to re-examine and reaffirm their spiritual beliefs.
Family A child’s parents play a key role in the development of the child’s spirituality. What is important is not so much what parents teach a child about spirituality and religion, but rather what the child learns about spirituality, life, and self from the parents’ behaviour
Ethnic background Religious traditions differ among ethnic groups. There are clear distinctions between Eastern and Western spiritual traditions as well as among those of individual ethnic groups. A person’s culture and formal religion have much to do with whether the basic approach to religion is doing something, being someone, or continually striving for harmony.
Formal religion Each of the major religious groups has several characteristics in common: • Basis of authority or source of power • Scripture or sacred word • An ethical code that defines right and wrong • A psychology and identity, so that its adherents fit into a group and the world is defined by the religion • Aspirations or expectations • Some ideas about what follows death
Life events Both positive and negative life experiences can influence spirituality. Similarly, a chain of successful life experiences (marriage, promotion) may cause one person to assume success experience no need for God, whereas for another it occasions deep gratitude and rejoicing.
R e l a tion s h i p B e t w e e n R e li g i o n and spirituality S e p a r a t e a nd d i s ti n c t c o nc e p t s C o m p l e t e l y enm e s h e d c o n c e p t s Re l i g i o n : a n a s p ec t o f s p i r i t u a l i t y V a g ue o r und e f i n ed c o n c e p t s
Spi r i tu al B e li e fs a nd H e a l th Some research suggests religion has a positive i nf l u e nc e o v er p h y s i c a l a nd me n t a l h e a l t h. Other studies find that some religious values impede p o s i t i v e h e a l t h o u t c o m e s . Research does not always answer how or why religion a f f e c t s hea l t h.
conceptual model of spiritual well-being in illness
What Every Nurse Should Know Gain self-knowledge B e o p e n W e lc o m e c h a l l e n g e s T a k e t i m e t o r e fle ct Spiritual care demands nonjudgmental attitudes and open thinking.
B a r r i e r s to S pir itu a l C a r e L a c k o f a w a r e n e ss o f s pi r i t u a l i t y i n g e n e r a l L a c k o f a w a r e n e ss o f y o u r o w n s p i r it u a l beli ef s y s t em D i f f e r e nc es i n s p i r it u a l i t y b e t w e e n n urs e a n d c l i e nt Fear that your knowledge base is insufficient F e a r o f w h e r e s p i r i t u a l d i s c u ss i o ns m a y l e a d
Assessment of Spiritual Needs and Practices Tools J A R E L S p i r i t u a l W e l l - B e i ng S c a le SPIRIT model HOPE L e v e l s o f s p i r it u a l a ss e ss ment
Assessment of Spiritual Needs and Practices S o u r c es o f i n f o rm a t i o n a b o u t s p i r it u a l i t y Cl i e nt and f a m i l y i n t e r v i e w s Client environment Client questions Nonverbal communication
NANDA Diagnoses Related to Spirituality Moral distress S pi r i t u a l d i s t r e ss R i s k f o r s p i r i t u a l d i s t r es s Re ad i n e ss f o r e n h a nc ed s p i r i t u a l w el l - bei ng
NANDA Diagnoses Related to Spirituality I m p a i r ed R e l i g i o s i t y R i s k f o r I m p a i r e d R e l i g i o s i t y Re ad i n e ss f o r E nh a n c ed R e l i g i o s i t y S pi r i t u a l P a i n ( n o n - N A N D A )
P l a nning O ut c o m e s a nd Inte r v e nti o ns N O C s t a nd a r d i z ed o u t c o mes N IC s t a nd a r d i z ed i n te r v e n ti o n s Spiritual interventions used to treat and prevent spiritual p r o bl e m s r el a t ed t o c l ien t ’ s i l l ne s s M a y n e ed t o ma k e r e f e r ra l s