In kritischer Auseinandersetzung mit Michael und Tracy Balbonis Buch Hostility to Hospitality vermittelt der Beitrag einen Überblick über das Forschungs-, Praxis- und Ausbildungsgebiet ‚Spiritual ...Care‘ und diskutiert mögliche Entwicklungsperspektiven. Die Darstellung geht von einer doppelten Unterscheidung aus. Sie differenziert zum einen zwischen seelsorglicher und gesundheitsberuflicher Spiritual Care, zum anderen zwischen klinischen, sozialen und holistischen Modellen. Vor diesem Hintergrund werden zwei Leitgedanken entwickelt. Erstens wird aufgezeigt, dass auch eine professionelle Spiritual Care von einem transprofessionellen Moment zehrt und sich in einem bewussten Umgang mit diesem Moment bewährt. Zweitens wird argumentiert, dass die Professionalisierung seelsorglicher Spiritual Care nicht deren säkulare Neutralisierung bedeutet, sondern vielmehr zu einer internen Differenzierung der professionellen Rolle nötigt. In säkularen Kontexten repräsentieren Klinikseelsorgende einerseits konkrete Glaubensgemeinschaften und bringen eine damit verbundene Expertise ein. Andererseits fungieren sie als personale Zugangspunkte für all das, was Menschen mit dem Thema Spiritualität und Religion verbinden.
Nurses and midwives care for people at some of the most vulnerable moments of their lives, so it is essential that they have the skills to give care which is compassionate, dignified, holistic and ...person-centred. Holistic care includes spiritual care which is concerned with helping people whose beliefs, values and sense of meaning, purpose and connection is challenged by birth, illness or death. Spiritual care is expected of nurses/midwives but they feel least prepared for this part of their role. How nursing and midwifery students can be prepared for spiritual care is the focus of this study.
1. To describe undergraduate nursing and midwifery student's perceptions of spirituality/spiritual care, their perceived competence in giving spiritual care and how these perceptions change over time. 2. To explore factors contributing to development of spiritual care competency.
Prospective, longitudinal, multinational, correlational survey design. A convenience sample of 2193 undergraduate nursing and midwifery students (69% response rate, dropping to 33%) enrolled at 21 universities in eight countries completed questionnaires capturing demographic data (purpose designed questionnaire) and measuring perception of spirituality/spiritual care (SSCRS), spiritual care competency (SCCS), spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) on 4 occasions (start of course n = 2193, year 2 n = 1182, year 3 n = 736, end of course n = 595) between 2011 and 2015. Data were analysed using descriptive, bivariate and multivariate analyses as appropriate.
Perceived competency increased significantly over the course of students' study which they attributed to caring for patients, events in their own lives and teaching/discussion in university. Two factors were significantly correlated with perceived spiritual care competency: perception of spirituality/spiritual care, where a broad view was preferable, and personal spirituality, where high spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) scores were preferable.
We have provided the first international evidence that perceived spiritual care competence is developed in undergraduate nursing and midwifery students and that students' perceptions of spirituality and personal spirituality contribute to that development. Implications for teaching and learning and student selection are discussed. The study is limited by attrition which is common in longitudinal research.
Chun-Kai Fang,1– 4 Sung-Yuan Cheng,5 Shih-Hsuan Pi,6,7 Ya-Li Wu,5 Keng-Chen Lin,5,8 Ruei-Yi Pan5 1Hospice and Palliative Care Center, MacKay Memorial Hospital, New Taipei, Taiwan; 2Department of ...Thanatology and Health Counseling, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan; 3Department of Death Care Service, MacKay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; 4Institute of Long-Term Care, MacKay Medical College, New Taipei, Taiwan; 5Department of Pastoral Care, MacKay Memorial Hospital, Taipei, Taiwan; 6Department of Medical Research, MacKay Memorial Hospital, Taipei, Taiwan; 7Department of Crime Prevention and Corrections, Central Police University, Taoyuan, Taiwan; 8Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, TaiwanCorrespondence: Chun-Kai Fang, Hospice and Palliative Care Center, MacKay Memorial Hospital, New Taipei, Taiwan, Email chunkai.fang0415@gmail.comBackground: Spiritual care is not limited to palliative care or end-of-life care. The spiritual well-being of patients also needs to be taken into account in the multidisciplinary healthcare system of whole person care. For medical institutions providing spiritual care, it is necessary to develop a tool for clinical spiritual care providers to assess patient’s spiritual well-being of.Aim: The purpose of this study was to construct a questionnaire that would allow spiritual care providers or pastors to assess the spiritual well-being of patients.Methods: The study combined qualitative and quantitative research methods. Qualitative research used in-depth interviews or focus groups with patients and family members to obtain textual data. The text was analyzed by Colaizzi analysis. The researchers constructed the Patient’s Spiritual Well-Being Scale (PtSpWBS) from the themes obtained through qualitative analysis. Through the participation of 661 patients, quantitative research was conducted to analyze the reliability, validity and component analysis of the PtSpWBS.Results: Through qualitative research, it was found the spiritual needs of patients had two domains, namely spiritual awareness and spiritual dynamics. Based on this result, a 15-question PtSpWBS was designed. Cronbach’s alpha was used to check the reliability of the PtSpWBS, and the internal consistency was calculated with a Cronbach’s alpha value of 0.899. The Bartlett’s Test of Sphericity of the PtSpWBS reached a significant difference (p< 0.0001), and the KMO value of sampling appropriateness was 0.900. The three components were spiritual health, religion connection, and spiritual awareness. A PtSpWBS score ≦ 41 indicated the patient had poor spiritual well-being.Conclusion: The study constructed the PtSpWBS for clinical spiritual care providers to evaluate spiritual well-being of patients; this questionnaire has good reliability and validity. The PtSpWBS can be truly used by departments that specialize in providing spiritual care in medical institutions to conduct spiritual well-being assessment.Keywords: spiritual well-being, spiritual care, patient, clinical spiritual care provider, pastor
Parents of children with life-threatening conditions may have to balance their personal, family, and professional lives in the anticipation of child loss and the demands of providing medical care for ...their child. The challenges these parents are confronted with may lead to specific care needs. In this paper we explore the spiritual dimension of caring for a child with a life-threatening condition from the parents perspective.
We held an exploratory qualitative study with in-depth interviews with parents of children (0–21) with life-threatening conditions. Interviews were transcribed and subsequently thematically analyzed.
Twenty-four parents of 21 children participated in the interviews. The spiritual dimension is an important, although not always visible, aspect of the experience of parents dealing with their child's illness. The main domains with regard to spirituality were: 1) identity; 2) parenthood; 3) connectedness; 4) loss or adjustment of goals; 5) agency; 6) navigating beliefs and uncertainties; and 7) decision-making. Parents also reflected on their spiritual care needs.
The spiritual dimension plays a central role in the experiences of parents who care for children with life-threatening conditions, but they receive little support in this dimension, and care needs often go unnoticed. If we want to provide high-quality pediatric palliative care including adequate spiritual support for parents, we should focus on the wide range of their spiritual experiences, and provide support that focuses both on loss of meaning as well as on where parents find growth, joy or meaning.
As an important part of the holistic care, spiritual care is considered an indicator of care quality. This study aims to identify and characterize nursing spiritual care interventions. In order to ...identify and select resources, an integrative review was done. The search was conducted in national and international databases such as Google Scholar, Scopus, INML, Iran Medex, Iran Doc, Web of Science, Wiley, SID, ProQuest, Ovid, Science Direct, PubMed, ebrary, Sage, CINAHL, and Magiran from 1994 to 2018. As a result, 1625 articles were detected, 59 of which were included in synthesis. Data extraction and analysis presented eight categories of spiritual care interventions in the field of nursing including (1) the exploration of spiritual perspective, (2) healing presence, (3) the therapeutic use of self, (4) intuitive sense, (5) patient-centeredness, (6) meaning-centered therapeutic interventions, (7) the creation of a spiritually nurturing environment, and (8) the documentation and evaluation of spiritual care.
Objective: Currently, spiritual health is the most important dimension related to adaptation in chronic diseases.The aim of the present study is review of the role of spiritual health in patients ...with type II diabetes mellitus.Improvement of spiritual health leads to better adaptation, increasing psychological well-being, decreasing mood symptoms and improvement of life quality in patients with type 2 diabetes mellitus .Therefore, it is suggested that the treatment of diabetes must include spiritual care and interventions.
Background & Aims Nurses are the largest group of healthcare providers, especially during the COVID-19 pandemic. Patients with COVID-19 are in dire need of spiritual care due to being alone in ...quarantine, away from their families. The present study aims to assess the spiritual care competence of nurses in the special care units for COVID-19 in teaching hospitals in Arak, Iran Materials & Methods This is a descriptive cross-sectional study. Participants were 142 nurses working in the special care units for COVID-19 in hospitals affiliated to Arak University of Medical Sciences in 2022, who were selected by a census method. The data collection tool was the spiritual care competence scale. The data were analyzed in SPSS software, version 16. Results The mean total score of spiritual care competence was 100.71±14.45, which was higher than the median score of 81. The spiritual care competence had a significant relationship with marital status (P=0.044), willingness to work overtime (P<0.001), age (P=0.011), total work experience (P=0.03), and work experience in the special care unit (P=0.025), such that spiritual care competence was higher in older married nurses with a willingness to work overtime and a higher work experience. Conclusion The spiritual care competence of nurses in the study hospitals is at a favorable level. The results of this study can help future studies in improving the quality of nursing care and the competence of nurses in spiritual care.
Giriş: Profesyonel benlik, kişinin mesleğe özgü bilgi, beceri, tutum, değer ve inançlarını içselleştirmesidir. Sağlık bakım profesyoneli olan hemşireler, bakım verdikleri bireylerde manevi bakım ...gereksinimleriyle karşılaşmaktadırlar. Hemşirelikte profesyonel benlik kavramı ile manevi bakım algıları arasındaki ilişkiyi inceleyen araştırmalara ve bu ilişki hakkında yanıtlanması gereken sorulara ihtiyaç bulunduğu düşünülmektedir.
Amaç: Bu araştırmada klinik hemşirelerin profesyonel benlik kavramı ile manevi bakım algıları arasındaki
ilişkinin incelenmesi amaçlanmıştır.
Yöntem: Araştırma tanımlayıcı tipte olup, Eylül 2017-Mart 2018 tarihleri arasında bir kamu üniversitesi hastanesinde çalışan 142 hemşire ile gerçekleştirilmiştir. Araştırmada veri toplama aracı olarak sosyo-demografik veri formu, Profesyonel Benlik Kavramı Ölçeği, Maneviyat ve Manevi Bakımı Algılama Ölçeği kullanılmıştır. Verilerin istatistiksel değerlendirmesinde tanımlayıcı istatistikler, bağımsız gruplarda t testi,
tek yönlü varyans analizi (ANOVA), pearson korelasyon testi ve Tukey Post Hoc testi kullanılmıştır.
Bulgular: Çalışmaya katılan hemşirelerin yaş ortalamalarının 33.34±8.25, %85’inin kadın, %64’ünün evli, %73’ünün lisans mezunu ve %39’unundahili servislerde çalışmakta oldukları belirlenmiştir. Katılımcıların çalışma yılı ortalamasının 11.85±8.22 yıl olduğu ve %58’indinçalışma şeklinin gündüz ve nöbet şeklinde olduğu, %48’inin atanma olasılığı diğer mesleklere göre daha fazla olduğu için hemşirelik mesleğini seçtikleri belirlenmiştir. Katılımcıların Profesyonel Benlik Kavramı Ölçeği puan ortalamaları 111.24±0.32 olarak belirlenmiştir. Maneviyat ve Manevi Bakımı Algılama Ölçeği puan ortalamaları ise 64.09±0.42 iken, toplam puan madde ortalamaları 3.77±0.42olarak bulunmuştur. Araştırmada hemşirelerin profesyonel benlik kavramı ile maneviyat ve manevi bakımı algılama arasında istatistiksel olarak pozitif yönde orta düzey bir ilişki (r= .42, p= .001) belirlenmiştir.Sonuç: Klinik hemşirelerin profesyonel benlik düzeyi arttıkça maneviyat ve manevi bakım algılarının arttığı sonucuna ulaşılmıştır. Hemşirelik eğitiminde ve hizmet içi eğitimlerde, profesyonel benlik kavramını geliştiren eğitim uygulamalarının içine manevi bakıma ilişkin öğelerin yerleştirilmesi önerilebilir.
Background: Professional self is the internalization of knowledge, skills, attitudes, values and belief sspecific to the profession. Nurses, who are healthcare professionals, can encounter spiritual care needs in everyenvironment they are with individuals. However, it is thought that there is a need for studies examining the relationship between professional self-concept and spiritual care perceptions in nursing and questions to be answered about this relationship.
Objectives: In this study, it was aimed to examine the relationship between clinical nurses’ professional self-conceptand their perceptions of spiritual care.
Methods: The research is descriptive and was conducted with 142 nurses working at Ondokuz Mayıs University Health Application and Research Center (OMÜSUVAM) between September 2017 and March 2018. Sociodemographic data form, Professional Self-Concept Scale, Spirituality and Spiritual Care Perception Scale were used as data collection tools in the study. Descriptive statistics, t-test for in dependent groups, one-wayan alysis of variance (ANOVA), pearson correlation test and Tukey Post Hoc test were used in the statistical evaluation of the data.
Results: The meanage of the nurses participating in the study was 33.34±8.25 years, 85% were women, 64% were married, 73% were under graduates, and 39% were working in internal services. The average working year was 11.85±8.22 years, 58% of them stated that they worked during the ayand on duty, 48% of them stated that they chose the nursing profession because the appointment criteria were easier than other professions. Professional Self-Concept Scale meanscore of the participants was 111.24±0.32, Spirituality and Spiritual care Perception Scale means core was 64.09±0.42, and total item mean score was 3.77±0.42. In the study, a statistically positivem oderate relationship (r= .42, p= .001) was determined between nurses’ professional self-concepts and their perception of spirituality and spiritual care.
Conclusion: It was concluded that as the professional self level of clinical nurses increased, their perceptions of spirituality and spiritual care increased. In nursing education and in-service training, it may be suggested to place elements of spiritual care into educational practices that develop professional self-concept.
Spirituality as an integral part of human life has a significant impact on the understanding of disease, reactions associated with it, and decisions made in the treatment process. Therefore, it is ...important for effective therapeutic and care management. Spiritual care consti-tutes an important element of holistic nursing care focused on the needs of patients with dementia in cooperation with the therapeutic team, and it prevents depersonalisation of the patients, taking into account their psychosocial needs. Progressive dementia affects human functioning in terms of basic everyday activities and the possibility of self-care. If the care is focused solely on satisfying the patient’s biological needs, it often becomes task-oriented care and depersonalises the patient’s individuality, whose psychosocial needs are not taken into account. The knowledge of spiritual aspects of the patient’s functioning allows these issues to be included in the care and treatment plan, thus enhancing the effectiveness of the therapeutic process. Spiritual care is a valuable and integral element of holistic care, emphasising the broader aspect of humanity, and the recognition of spiritual needs alongside physical, social, and emotional needs involves the commitment and cooperation of all care providers. The aim of this paper was to present selected issues of spiritual care provided to patients suffering from dementia disorders. Selected issues were presented on the basis of available literature analysis. The approach to the individual needs of patients emphasises the holistic dimension of care. Spiritual care should be provided by the therapeu-tic team at every stage of contact with the patient.
This volume contributes to an emerging field that could be referred to as "plural spiritual care and chaplaincy". It's innovative approach brings together contributions from a broad range of contexts ...and religious traditions and includes empirical work and conceptual explorations. It helps to fill the gap between practices and developments related to plural spiritual care and chaplaincy in the scholarly discourse.
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