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Spiritual Nursing

Spiritual Nursing. Definition . Spirituality is defined as the experience and expressions of one’s spirit in a unique and dynamic process reflecting faith in God or supreme being, connectedness with oneself, with others, universe, or God and integration of the dimension, mind, body and spirit

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Spiritual Nursing

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  1. Spiritual Nursing

  2. Definition • Spirituality is defined as the experience and expressions of one’s spirit in a unique and dynamic process reflecting faith in God or supreme being, connectedness with oneself, with others, universe, or God and integration of the dimension, mind, body and spirit • Spirituality is the quality or essence that pervades, integrates and transcends one’s bio psychosocial nature.

  3. Religion is a belief system, including dogma, rituals, and traditions or it is a social institution in which people participate together rather than an individual searching alone for the meaning of life • The word spirituality is derived from the latin word ‘spiritus’ means ‘breath of wind’

  4. Monotheism – is the belief in the existence of one God who created and who rules the universe • Polytheism – is the belief in more than one God • Atheism – is the uncertainty about the existence of God or supreme being

  5. Spiritual dimensions • A sense of personal contentment • A sense of peace with the self and the world • A sense of fulfillment in life and interaction with self and others • The ability to discover and articulate a basic purpose in life • The ability to experience love, joy, peace and contentment • The ability to live in wholeness consistent with the values of community and self.

  6. Spiritual health includes • A concern for others and self • A sense of meaning and enjoyment in life • A commitment to purpose rather than self • A sense of relatedness • A means for moving through debilitating guilt, anger or anxiety • Life affirming relationship or harmonious interconnectness with deity, self, community and environment.

  7. Characteristics of spirituality • A sense of wholeness and harmony within oneself • A sense of wholeness and harmony with others • A sense of wholeness and harmony with God or supreme power • A sense of wholeness and harmony with the ecosystem.

  8. Spirituality and health • Health is defined as a state of well being resulting from harmonious interaction of body, mind, spirit and the environment. • A person’s health depends on a balance of physical, psychological, sociological, developmental and spiritual factors • Spirituality is considered as one of the important factors that helps to achieve the balance needed to maintain health and well being and to cope with illness

  9. Holistic health model

  10. Spiritual care in nursing • It is an essential component of comprehensive nursing care • It can decrease suffering and aid in physical and mental healing • Nurse should have skill in developing trusting relationship with clients • Nurse should communicate with sensitivity and empathy to have a good understanding of the patient’s values • Should understand the wider concepts of spirituality • Should respect all the religion and belief of clients

  11. Characteristics of Spiritual health/ well being • Sense of inner peace • Compassion for life • Reverence for life • Gratitude • Appreciation of both unity and diversity • Humor • Wisdom • Generosity • Ability to transcend the self • Capacity for unconditional love

  12. Spiritual needs • Need for love • Need for hope • Need for trust • Need for forgiveness • Need for to be respected and valued • Need for dignity • Need for meaning to the fullness of life • Need for values • Need for creativity • Need to be connected with God or supreme power • Need to belong to a community • Sense of purpose

  13. Factors that affect spiritual health • Culture • Gender • Previous experience • Crisis and change • Separation from spiritual ties • Factors across life span • Physiological factors • Moral issues regarding therapy

  14. Spiritual distress • It refers to a challenge to the spiritual well being or to the belief system that provides strength, hope and meaning to life. Spiritual distress incorporates five spiritual needs and they are; • Forgiveness • Love • Hope • Trust • Meaning and purpose in life

  15. Characteristics of spiritual distress • Showing maladaptive behavior • Showing discomfort with self awareness • Expressing ambivalent feeling about God • Lacking love relationship with God • Having value conflicts • Unable to accept God • Behaving self destructively. • Fearing death/ life after death • Refusing to cooperate with health regimen • Being bitter/ angry with God • Lacking commitment • Fearing therapy • Feeling of worthlessness about life • Having unattainable goals • Expressing lack of hope

  16. Goals of spiritual care • Help the client fulfill religious obligations • Help the client draw on and use inner resources more effectively to meet the present situation • Help the client maintain or establish a dynamic, personal relationship with a supreme being in the face of unpleasant circumstances • Help the client find meaning of existence and present situation • Promote a sense of hope

  17. Assessment • Assess concept of God and deity • Source of hope and strength • Religious practices and rituals • Relationship between spiritual beliefs and state of health

  18. Nursing diagnosis • Spiritual distress related to loss of child/sense of guilt/ conflict about belief/ sexual abuse/ crisis of illness • Potential for enhanced spiritual well being • Risk for spiritual distress • Ineffective coping related to loss of loved one/ psychiatric disorder/ alcoholism

  19. Readiness to enhanced spiritual well being related to terminal illness • Dysfunctional grieving related to multiple losses/ loss of employment/ career/ lack of physical independence

  20. Planning • Help client create, maintain or renew relationships • Help to meet the need for love expressed through relationship and seen in words and acts of kindness • Help the client to search for meaning • Create a need of hope in the person

  21. Interventions • Communicating about spiritual needs • Nurse must use herself/ himself therapeutically • Accompany client • Promoting therapeutic environment • Providing access to spiritual advisors • Helping client maintain relationships

  22. Support client’s religious practices • Create a trusting relationship with him • Do not discuss personal spiritual beliefs with clients unless the client requests • Allow time and privacy and provide comfort measures prior to private worship, prayer or meditation • Respect and ensure safety of client’s religious articles

  23. Help client explore meaning of life • Encourage hope • Help client to interpret crisis as spiritual growth • Help client to cope with suffering

  24. ?

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