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Spiritual Care

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Sarah Jennison

on 16 March 2016

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Transcript of Spiritual Care

Spiritual Care
Sarah Trouborst
What are some barriers to providing spiritual care?
Why is spiritual care important?
Benefits to Patient Health
Needs Not Being Met
Medical Ethics
Spiritual Health History
HOPE Framework
Nursing Interventions
Defining it.
Is that even legal?
Your Lens
What is
spiritual care?
Important to understand your own perspective when approaching spiritual care
Everyone worships something
Often difficult to measure, but the general consensus in research is that spiritual care has a positive effect on health outcomes
No clear definition of spiritual care
Spirituality is “humanity’s means of seeking and expressing meaning and purpose” (Krikorian, Limonero, & Maté, 2011).
Concepts include: prayer, listening, organizing clergy visits, reading scripture, conveying compassion, touching, smiling, validating client's feelings and thoughts, instilling hope (Chan, 2009)
The Regulated Health Professions Act allows for the treatment of “a person by prayer or spiritual means in accordance with the tenets of the religion of the person giving the treatment” (1991).
In the CNO Competencies for entry-level RN practice (2008) nurses are to have a specialized body of knowledge which includes spirituality, engage clients in assessment of spiritual needs, and provide nursing care which meets spiritual needs.
What are some methods to incorporating spiritual care?
“88% of advanced cancer patients said religion was at least somewhat important in their coping”
“only one-half of the 41% of patients who wanted to discuss their religious or spiritual concerns with their caregivers had such a discussion"
70% of cancer patients said that their spiritual needs “were minimally or not at all supported by the medical system”
(Handzo, 2009).
Spiritual care is ethical when we respect and allow the patient to dictate what kind of spiritual care they would like.This requires being thoughtful, sensitive, asking permission and not having an ‘agenda’ or preconceived idea of what spiritual care will look like for a patient
Lack of definition of spirituality and spiritual care
Individual spirituality of nurses
Lack of education concerning spiritual care
No professional group having specific ownership for spiritual care
Lack of quality research on the topic
Example questions:
How long have you been in the hospital? How has it been for you? With this illness (or past illness) what keeps you going? What is your source of strength? Has any part of your illness been scary for you? How has this illness affected the way you see yourself? What gives you hope? How would you describe your support system?
Do you have a spiritual back ground? How has this illness affected you spiritually? Would you appreciate a visit from spiritual care? Would it be beneficial for you if I prayed for you? Would it be beneficial for you if I shared what gives me hope?
Encourage relationships, encourage new connections, encourage hope, use music, use touch and massage, with or without aromatherapy, encourage forgiveness/reconciliation, refer to palliative/hospice care, refer for psychotherapy (Meroviglia, Sutter & Gaskamp, 2006, p.2-3)
H - sources of Hope, strength, comfort, meaning, peace, love and connection.
O - the role of Organized religion for the patient.
P - Personal spirituality and practices.
E - Effects on medical care and end of life decisions.
(Milligan, 2008)
1. Do you think spiritual care is important?
2. What is the lens through which you see spiritual care?How does spirituality influence your life?
3. What are some practical ways you could incorporate spiritual care into your practice?
4. Have you had any experiences with spiritual care?
David, a 48 year-old man with
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