574 A Nurse Educational Program to Promote Spiritual Care Delivery: Development and Pilot Testing

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S138-S139
Author(s):  
Tammy L Henderson ◽  
Miriam Bender ◽  
Victor C Joe ◽  
Patrick E Thompson ◽  
Mini Thomas
Keyword(s):  
Spiritual Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Essential Element ◽  
Assessment Tools ◽  
Holistic Care ◽  
Care Practice ◽  
Advanced Nursing Practice ◽  
Spiritual Assessment ◽  
Care Assessment

Abstract Introduction Spiritual Care (SC) is crucial for the holistic care of patients. Findings from a needs assessment conducted on an 8-bed burn Intensive Care Unit (ICU) (n=34, 88% response rate) revealed 90.3% of nurses believed SC was important for the overall care of their patient, but only 13% felt confident to provide the religious care. Of the respondents, 77% had come across a time when they were unable to obtain SC for their patients. The survey revealed 39% were interested in obtaining education to enhance their provision of holistic care. Based on this data, we developed and pilot tested an innovative SC educational course to examine feasibility, learning, and preliminary outcomes. Methods The IRB-approved study involved a two-hour evidence-informed class developed by a burn nurse and chaplain. The course was offered on a voluntary basis for all nurses in the critical care division (5 units overall). The class consisted of PowerPoint presentation, case studies and practice utilizing spiritual care assessment tools. Data was collected before and after the class at one- and two-months post class completion. Results Participants (n=12) were mostly female (82%), Bachelors prepared (82%), affiliated as Christian (73%) and had not had spiritual education in the past (73%). Nurses also agreed the spiritual assessment tools were useful and they were confident using them. Mean total score for Nurses’ Spiritual Care Practice increased 14% over time. Practices with the largest increases included reading/offering spiritual writings to patients (67/57%) and documentation of meeting spiritual needs (40%). The Spiritual Care Perspective scale increased 7% overall with changes in the beliefs of SC being a significant part of Advanced Nursing Practice (ANP) (10% increase), the domain of APN includes SC (15% increase) and nurses should assist a patient in using his/her spiritual resources to cope with illness (9% increase). At 2-months post training, participants felt comfortable (4.25/5.0 and confident (4.0/5.0) providing SC. Conclusions SC is an essential element of holistic nursing practice that has become even more relevant in this pandemic year. Our 2-hour educational class was considered well organized, provided relevant education and tools for use, and increased nurses confidence, comfort, and documentation of providing SC to their patients.

scholarly journals Australian perspectives on spiritual care training in healthcare: A Delphi study

2021 ◽  
pp. 1-8
Author(s):  
Kate F. Jones ◽  
Jennifer Washington ◽  
Matthew Kearney ◽  
David Kissane ◽  
Megan C. Best
Keyword(s):  
Teaching Methods ◽  
Spiritual Care ◽  
Delphi Study ◽  
Healthcare Professionals ◽  
Assessment Tools ◽  
Healthcare Team ◽  
Spiritual Assessment ◽  
Clinical Scenarios ◽  
Care Assessment ◽  
Care Training

Abstract Objective The aim was to to establish core components of spiritual care training for healthcare professionals in Australia. Methods This study used the Delphi technique to undertake a consensus exercise with spiritual care experts in the field of healthcare. Participant opinion was sought on (i) the most important components of spiritual care training; (ii) preferred teaching methods; (iii) clinical scenarios to address in spiritual care training; and (iv) current spiritual assessment and referral procedures. Results Of the 107 participants who responded in the first round, 67 (62.6%) were female, 55 (51.4%) worked in pastoral care, and 84 (78.5%) selected Christian as their religious affiliation. The most highly ranked components of spiritual care training were “relationship between health and spirituality,” followed by “definitions of spirituality and spiritual care.” Consensus was not achieved on the item “comparative religions study/alternative spiritual beliefs.” Preferred teaching methods include case studies, group discussion, role-plays and/or simulated learning, videos of personal stories, and self-directed learning. The most highly ranked clinical scenario to be addressed in spiritual care training was “screening for spiritual concerns for any patient or resident.” When asked who should conduct an initial spiritual review with patients, consensus was achieved regarding all members of the healthcare team, with most nominating a chaplain or “whoever the patient feels comfortable with.” It was considered important for spiritual care training to address one's own spirituality and self-care. Consensus was not achieved on which spiritual care assessment tools to incorporate in training. Significance of results This Delphi study revealed that spiritual care training for Australian healthcare professionals should emphasize the understanding of the role of spirituality and spiritual care in healthcare, include a range of delivery methods, and focus upon the incorporation of spiritual screening. Further work is required to identify how spiritual care screening should be conducted within an Australian healthcare setting.

Spiritual care

2019 ◽  
pp. 657-672
Keyword(s):  
Spiritual Care ◽  
Holistic Care ◽  
Religion And Spirituality ◽  
Spiritual Assessment ◽  
Faith Practices ◽  
Life Force ◽  
The Relationship ◽  
Spiritual Healers ◽  
Beauty Products

This chapter includes discussion on the nature of spirituality in a secular and multicultural world. It describes the relationship between religion and spirituality and the role of faith practices, religion, and spiritual assessment. It also outlines the nature of spiritual pain, and its importance in holistic care. The word ‘spirit’ is widely used in our culture. Politicians speak about the ‘spirit’ of their party, veterans talk about the wartime ‘spirit’; religious people discuss the ‘spirit’ as that part of human being that survives death, whereas humanists might regard the human ‘spirit’ as an individual’s essential, but non-religious, life force. Related words are equally common and diverse: footballers describe their team as a spiritual home; spiritual music and spiritual art are fashionable; and there are spiritual healers, spiritual life coaches, spiritual directors, and even spiritually revitalizing beauty products. Spiritual care, particularly of those facing their own death, demands the response of a wise and compassionate ‘spiritual friend’. Not every member of the multidisciplinary team will want to or be equipped to offer this level of spiritual care. But each can contribute to enabling a patient to find a ‘way of being’ that will help them to go through the experience of dying in the way appropriate to them.

Becoming a Channel of God: How Faith Community Nurses Develop Their Spiritual Practice

2020 ◽  
pp. 089801012097732
Author(s):  
Denise LeBlanc-Kwaw ◽  
Kathryn Weaver ◽  
Joanne Olson
Keyword(s):  
Spiritual Care ◽  
Nursing Practice ◽  
Faith Community ◽  
Holistic Care ◽  
Spiritual Needs ◽  
Social Psychological ◽  
Beliefs And Values ◽  
Care Practices ◽  
Expert Theory ◽  
Glaserian Grounded Theory

Purpose: This study explored the underlying process faith community nurses (FCNs) experience in developing their spiritual nursing practice. Design: A qualitative, exploratory design was used. Method: Data from interviews with six FCNs were generated and analyzed using Glaserian grounded theory. Findings: The basic social psychological process, cultivating the soul to become a channel of God, explains the steps these nurses take to achieve stages of presence. Going through these stages of presence, FCNs develop a foundation of God-related beliefs and values, presence with self, presence with God, presence with others, presence with God and others, and become a channel of God. Conclusions: Developing spiritual care competence in assessing and meeting clients’ spiritual needs is necessary to enhance person-centered practice, a vital aspect of holistic care. The model of presence can inform the development of spiritual care competencies and link to other nursing theories including Watson’s theory of caring and Benner’s novice to expert theory. Workplace support is needed for nurses to refine spiritual nursing care practices and integrate spiritual care into practice. Further research regarding the stages of presence could foster deeper understanding of how foundations of God-related values develop.

scholarly journals Nurses’ Perception of Spiritual Care Practices Among Hospitalized Patients: A Basis for a Program

2019 ◽  
Vol 7 (1) ◽  
pp. 207-217
Author(s):  
FISKVIK BOAHEMAA ANTWI ◽  
Vivian Ofosu Asiama
Keyword(s):  
Registered Nurses ◽  
Spiritual Care ◽  
Sampling Technique ◽  
Hospitalized Patients ◽  
Care Practice ◽  
Spiritual Support ◽  
Spiritual Assessment ◽  
Significant Difference ◽  
Care Practices ◽  
Spiritual Communication

Abstract Introduction: Throughout hospitalization, patients place emphasis on health professionals to meet their spiritual and emotional needs. Since 1998, the National Inpatient Priority Index ranked emotional and spiritual needs as the patient's second priority. With evidence that shows the importance of spirituality in patient’s health, nurses have a pivotal role in providing spiritual care. The purpose of this study was to examine the perception of nurses of spiritual care practice among hospitalized patients. Methodology: The study used a descriptive research design to examine nurses’ perception of spiritual care practices among hospitalized patients. The study was conducted among registered nurses (RN) working in Ghana. Convenient sampling technique was used to select 180 registered nurses. The study adopted and modified Nurse Spiritual Care Therapeutic Scale developed by Mamier and Taylor (2015). Results: The respondents sometimes practice spiritual (m = 3.12, SD = 0.85). They often practice spiritual communication (m = 3.55, SD = 0.69). They sometimes render spiritual support (m = 2.67, SD = 0.88). Discussion: It can be concluded that spiritual care in terms of spiritual assessment and spiritual support was inadequate. Nurses provided adequate spiritual communication with the patients by actively listening to the patient’s illness story. A program under the theme Beyond the Physical was developed to address the problem of spiritual care among nurses. It is therefore recommended that further studies be done to examine whether the personal profile has a significant difference in the use of spiritual care.

scholarly journals Oral Care Practices in Stroke: Findings from the UK and Australia

2020 ◽  
Author(s):  
Munirah Bangee ◽  
Cintia Martinez-Garduno ◽  
Marian Brady ◽  
Dominique Cadilhac ◽  
Simeon Dale ◽  
...  
Keyword(s):  
Oral Care ◽  
Stroke Care ◽  
Assessment Tools ◽  
Care Practice ◽  
Factors Affecting ◽  
Post Stroke ◽  
Care Protocol ◽  
Care Assessment ◽  
Care Practices ◽  
The Uk

Abstract AimsTo examine current practice, perceptions of healthcare professionals and factors affecting provision for oral care post-stroke in the UK and Australia.BackgroundPoor oral care has negative health consequences for people post-stroke. Little is known about oral care practice in hospital for people post-stroke and factors affecting provision in different countries.DesignA cross-sectional survey.MethodsQuestionnaires were mailed to stroke specialist nurses in UK and Australian hospitals providing inpatient acute or rehabilitation care post-stroke. The survey was conducted between April and November 2019. Non-respondents were contacted up to five times.ResultsCompleted questionnaires were received from 150/174 (86%) hospitals in the UK, and 120/162 (74%) in Australia. A total of 52% of UK hospitals and 30% of Australian hospitals reported having a general oral care protocol, with 53% of UK and only 13% of Australian hospitals reporting using oral care assessment tools. Of those using oral care assessment tools, 50% of UK and 38% of Australian hospitals used local hospital-specific tools. Oral care assessments were undertaken on admission in 73% of UK and 57% of Australian hospitals. Staff had received oral care training in the last year in 55% of UK and 30% of Australian hospitals. Inadequate training and education on oral care for pre-registration nurses were reported by 63% of UK and 53% of Australian respondents.ConclusionUnacceptable variability exists in oral care practices in hospital stroke care settings. Oral care could be improved by increasing training, performing individual assessments on admission, and using standardised assessment tools and protocols to guide high quality care. The study highlights the need for incorporating staff training and the use of oral care standardised assessments and protocols in stroke care in order to improve patient outcomes.

scholarly journals The spiritual experience of dementia from the health care provider perspective: Implications for intervention

2021 ◽  
Author(s):  
Jennifer A Palmer ◽  
Michelle Hilgeman ◽  
Tracy Balboni ◽  
Sara Paasche-Orlow ◽  
Jennifer L Sullivan
Keyword(s):  
Health Care ◽  
Spiritual Care ◽  
Spiritual Experience ◽  
Assessment Tools ◽  
Spiritual Needs ◽  
Medical Conditions ◽  
Care Providers ◽  
Spiritual Assessment ◽  
Spiritual Distress ◽  
Loss Of Self

Abstract Background and Objectives Spiritual care aims to counter negative outcomes from spiritual distress and is beneficial to persons living with dementia. Such care needs dementia-appropriate customization. We explored the salient spiritual needs in dementia to inform future intervention development. Health care providers are well-situated to observe the nature of spiritual needs across and within medical conditions. Research Design and Methods We conducted semi-structured qualitative interviews with providers. We sampled purposively by discipline (chaplains, nursing staff, social workers, activities professionals) and religious tradition (for chaplains). Our interview guide inquired about, e.g., the nature of spiritual needs in dementia and stakeholders’ roles in addressing them. Inductive / deductive thematic analysis was employed. Results Twenty-four providers participated. The thematic structure consisted of two themes: 1) spiritual experience in dementia differs from that in other medical conditions (sub-themes: fear, profound loss of self, progressive and incurable nature, and impacted ability to access faith); and 2) the need for spiritual intervention at the mild stage of dementia (sub-themes: awareness in mild dementia and its influence on spiritual distress, and a window of opportunity). Discussion and Implications We learned about the potential “what” of spiritual needs and “who” and “when” of implementing spiritual care. Implications included the imperative for dementia-specific spiritual assessment tools, interventions targeting fear and loss of self early in symptom progression, and stakeholder training. Researchers should study additionally the “how” of dementia-appropriate spiritual care. Conjointly, these efforts could promote spiritual well-being in persons living with dementia worldwide.

scholarly journals Spiritual Experience in Dementia From the Health Care Provider Perspective: Implications for Intervention

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 465-465
Author(s):  
Jennifer Palmer ◽  
Michelle Hilgeman ◽  
Tracy Balboni ◽  
Sara Paasche-Orlow ◽  
Jennifer Sullivan
Keyword(s):  
Spiritual Care ◽  
Qualitative Interviews ◽  
Well Being ◽  
Spiritual Experience ◽  
Assessment Tools ◽  
Spiritual Needs ◽  
Care Needs ◽  
Spiritual Assessment ◽  
Spiritual Distress ◽  
Linguistic Challenges

Abstract Spiritual care seeks to counter negative outcomes from spiritual distress and is notably needed in dementia. Such care needs disease-appropriate customization. Employing “cognitive apprenticeship” theory’s focus on learning from contrast, we explored spiritual needs salient within dementia as related to other disease states; we aimed to inform future dementia-focused spiritual care design. Accordingly, we conducted semi-structured qualitative interviews with 24 providers who serve older adults inclusive of persons with dementia. We sampled participants purposively by discipline (chaplains, nursing staff, social workers, activities professionals) and religious tradition (for chaplains). Our interview guide inquired about the nature of spiritual needs in dementia and stakeholders’ roles in addressing them. Hybrid inductive/deductive thematic analysis was employed. A thematic structure emerged with two themes: 1) spiritual experience in dementia compared to other medical conditions (sub-themes: the salience of (a) fear; (b) loss of self; (c) dementia’s progressive and incurable nature; (d) dementia’s impact on accessing faith); and 2) the need for spiritual intervention at the mild stage of dementia (sub-themes: (a) awareness in mild dementia and its influence on spiritual distress; (b) a window of opportunity). These findings pointed to possibilities for the “what” of spiritual needs and the “who” and “when” of implementing spiritual care. Implications included the imperative for dementia-specific spiritual assessment tools, interventions targeting fear and loss early in the disease, and stakeholder training. Researchers should study the “how” of dementia-appropriate spiritual care given recipients’ cognitive and linguistic challenges. Conjointly, these efforts could promote the spiritual well-being of persons with dementia worldwide.

Nurse Spiritual Care: Prevalence and Correlates

2018 ◽  
Vol 41 (4) ◽  
pp. 537-554 ◽  
Author(s):  
Iris Mamier ◽  
Elizabeth Johnston Taylor ◽  
Betty Wehtje Winslow
Keyword(s):  
Acute Care ◽  
Spiritual Care ◽  
Tertiary Care ◽  
Study Data ◽  
Holistic Care ◽  
Work Setting ◽  
Care Provision ◽  
Cross Sectional ◽  
Nurse Perception ◽  
Spiritual Assessment

Many nurses embrace spiritual care as integral to holistic care. Evidence documenting the frequency of spiritual care provided in acute care settings, however, is sparse and weak. For this cross-sectional, correlational study, data were collected from N = 554 tertiary care nurses using the Nurse Spiritual Care Therapeutics Scale (NSCTS) measuring their self-reported spiritual care with patients/family members over the last 72 to 80 hours at work. While the most frequently endorsed practices centered on presence, listening, and spiritual assessment, the overall NSCTS score remained modest ( M = 37; SD = 12; possible range = 17-85). Several associations were found; 32.4% of the variance in frequency of spiritual care provision was explained by nurse perception that spiritual issues come up often in the work setting, high nurse spirituality score, not working in pediatrics, and having received education about spiritual care. Findings allow for benchmarking of nursing practices that have often been invisible.

scholarly journals Studi Literatur : Pengkajian Spiritual di Intensive Care Unit (ICU)

2020 ◽  
Vol 10 (1) ◽  
pp. 35-47
Author(s):  
Ahmad Muzaki ◽  
Fitri Arofiati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critical Illness ◽  
Spiritual Care ◽  
Assessment Tool ◽  
Review Literature ◽  
Assessment Tools ◽  
Spiritual Needs ◽  
Medical Systems ◽  
Spiritual Assessment

Latar Belakang: Spiritual menjadi hal yang sangat penting pada pasien kritis di Ruang ICU karena satu-satunya sumber penyembuhan bagi pasien dengan penyakit kiritis adalah spiritualitas mereka. Salah satu tantangan besar perawat saat ini adalah mengintegrasikan konsep dari teknologi body, mind and spirit ke dalam praktek keperawatan. Pemenuhan kebutuhan spiritual pada pasien tidak hanya bermanfaat bagi pasien saja tetapi dapat berdampak terhadap profesionalisme kerja perawat.Tujuan: Literatur review ini bertujuan untuk mengeksplorasi berbagai pendekatan penilaian spiritual dan alat pengkajian spiritual di Ruang ICU.Metode: Studi ini diperoleh dari 2 database yaitu Google Shcolar dan PubMed dengan menggunakan kriteria inklusi dan eksklusi. Kata kunci yang digunakan dalam pencarian literatur ini antara lain: “spiritual assesment and ICU”, “spiritual care + intensive care unit”, “spiritual care and critical illness”, dan “spiritual assesment tools and ICU”.Hasil: Terdapat 5 variabel dalam pengkajian spiritual antara lain : sistem medis dalam perawatan spiritual, komunitas keagamaan yang mendukung spiritualitas hubungan pasien dan dokter, perawatan di akhir kehidupan dan kualitas hidup pada pasien yang mendekati kematian.Kesimpulan: Belum ada Spiritual Assesment Tools yang signifikan untuk mengkaji tingkat spiritual pasien di ICU/ICCU. Kata Kunci: Pengkajian, Spiritual, Intensive Care Unit (ICU)Abstract Background: Spirituality is very important in critical patients in the ICU because the only source of healing for patients with critical illness is their spirituality. One of the big challenges of nurses today is integrating the concepts of body, mind and spirit technology into nursing practice. Meeting the spiritual needs of patients is not only beneficial for patients but can affect the professionalism of nurses' work.Purpose: This review literature aims to explore various approaches to spiritual assessment and spiritual assessment tools in the ICU Room.Method: This study was obtained from 2 databases namely Google Sholar and PubMed using inclusion and exclusion criteria. Keywords used in this literature search include: "spiritual assessment and ICU", "spiritual care + intensive care unit", "spiritual care and critical illness", and "spiritual assessment tools and ICU".Results: There were 5 variables in spiritual assessment including: medical systems in spiritual care, religious communities that support the spirituality of patient and doctor relationships, care at the end of life and quality of life in patients who are near death.Conclusion: There is no significant Spiritual Assessment Tool to assess the spiritual level of patients in ICU / ICCU. Keywords: Assessment, Spiritual, Intensive Care Unit (ICU)

Oral care practices in stroke: findings from the UK and Australia

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Munirah Bangee ◽  
Cintia Mayel Martinez-Garduno ◽  
Marian C. Brady ◽  
Dominique A. Cadilhac ◽  
Simeon Dale ◽  
...  
Keyword(s):  
Oral Care ◽  
Stroke Care ◽  
Assessment Tools ◽  
Care Practice ◽  
Factors Affecting ◽  
Post Stroke ◽  
Care Protocol ◽  
Care Assessment ◽  
Care Practices ◽  
The Uk

Abstract Aims To examine current practice, perceptions of healthcare professionals and factors affecting provision for oral care post-stroke in the UK and Australia. Background Poor oral care has negative health consequences for people post-stroke. Little is known about oral care practice in hospital for people post-stroke and factors affecting provision in different countries. Design A cross-sectional survey. Methods Questionnaires were mailed to stroke specialist nurses in UK and Australian hospitals providing inpatient acute or rehabilitation care post-stroke. The survey was conducted between April and November 2019. Non-respondents were contacted up to five times. Results Completed questionnaires were received from 150/174 (86%) hospitals in the UK, and 120/162 (74%) in Australia. A total of 52% of UK hospitals and 30% of Australian hospitals reported having a general oral care protocol, with 53% of UK and only 13% of Australian hospitals reporting using oral care assessment tools. Of those using oral care assessment tools, 50% of UK and 38% of Australian hospitals used local hospital-specific tools. Oral care assessments were undertaken on admission in 73% of UK and 57% of Australian hospitals. Staff had received oral care training in the last year in 55% of UK and 30% of Australian hospitals. Inadequate training and education on oral care for pre-registration nurses were reported by 63% of UK and 53% of Australian respondents. Conclusion Unacceptable variability exists in oral care practices in hospital stroke care settings. Oral care could be improved by increasing training, performing individual assessments on admission, and using standardised assessment tools and protocols to guide high quality care. The study highlights the need for incorporating staff training and the use of oral care standardised assessments and protocols in stroke care in order to improve patient outcomes.

Sign in / Sign up

Export Citation Format

Share Document