Spiritual Care: Nursing Theory Research and Practice > 간호연구

"Appropriate for courses addressing issues and trends spirituality and health or psychosocial approaches to care.
This text provides practical guidance on many aspects of spiritual caregiving. It addresses many relevant topics
including spiritual assessment planning care documentation ethical concerns of sharing personal spiritual
beliefs and numerous approaches to nurturing the spirit."

"Preface xiiiAcknowledgments xvii
Reviewers xix
PART 1 EXPLORING SPIRITUALITY
IN NURSING 1
CHAPTER 1 WHAT IS SPIRITUALITY? 3
Defining Spirituality 4
Related Concepts: Distinctions and Connections 10
Religion 10
Psychological Dimension 11
Culture 12
Morality and Ethics 13
Manifestations of Spirituality 16
Spiritual Development 21
Spiritual Care: Nursing Implications 24
Key Points 27
Look Within to Learn 28
References 29
CHAPTER 2 FOUNDATIONS FOR SPIRITUAL
CAREGIVING 32
Historical Overview of Spirituality in Nursing 33
Theoretical Foundations for Spiritual Care 38
Whole Person Care as the Essence of Nursing Care 38
Spiritual Component of Nursing 38
Supportive Theories in Other Disciplines 41
Professional Mandates for Spiritual Care 42
JCAHO Standards 42
Nursing Mandates 43
Empirical Support for Spiritual Care 43
Spiritual Coping Strategies 44
Spirituality and Quality of Life 45
Economic Advantages 45
Client Expectations with Regard to Spiritual Care 46
Implications for Nursing Practice 49
Key Points 53
Look Within to Learn 55
References 55
CHAPTER 3 SPIRITUAL SELF-AWARENESS
AND CLIENT CARE 58
Spiritual Self-AWARENESS: Theory Research and Practice 59
Theory 59
Empirical Research 62
Guidelines for Promoting Self-Awareness 63
Nursing Implications 66
Sharing Spiritual Beliefs 66
Risk Factors 68
""Nurse What Do You Believe?"" 69
Guidelines for Self-Disclosure 71
Key Points 75
Look Within to Learn 76
References 76
PART 2 NURSING THE SPIRIT:
APPLICATION TO PRACTICE 79
CHAPTER 4 COMMUNICATING SUPPORT
FOR SPIRITUAL HEALTH 81
Forms of Communication 82
Verbal Communication: Listening and Speaking 82
Nonverbal Communication 85
Responding to Client Messages 89
Presencing 90
Dimensions of Presencing 92
Outcomes of Presencing 94
Guidelines for Presencing 94
Nursing Implications 96
Communication Presence 96
Effects of a Caring Attitude 97
Time Constraints 98
Key Points 100
Look Within to Learn 101
References 101
CHAPTER 5 SPIRITUAL ASSESSMENT 103
Models for Spiritual Assessment 104
Nursing Models 105
Other Models 107
Summary of Spiritual Assessment Models 114
Research on Spiritual Assessment 116
Conducting a Spiritual Assessment 117
Guidelines for Spiritual Assessment 118
Focused Spiritual Assessment 119
Assessment Strategies 119
Family/Community Assessment 129
Age-Appropriate Assessment Strategies 130
Communication Challenges 131
Overcoming Barriers to Spiritual Assessment 131
Key Points 134
Look Within to Learn 135
References 135
CHAPTER 6 NURSING CARE FOR SPIRITUAL NEEDS 137
Diagnosing Spiritual Needs 138
Spiritual Distress 138
Potential for Enhanced Spiritual Well-Being 141
Risk for Spiritual Distress 142
Research Implications 144
Planning Spiritual Care 146
Nursing Interventions for Spiritual Caregiving 148
Evaluating Effectiveness of Spiritual Care 150
Documenting Spiritual Care 151
Key Points 155
Look Within to Learn 156
References 157
CHAPTER 7 SPIRITUAL SUPPORT FOR CLIENTS
SEARCHING FOR MEANING 158
Defining Suffering 159
Searching for Meaning Through Questioning 160
Process of Searching for Meaning 160
Types of Questions 161
Barriers to Client Disclosure 162
Approaches to Making Meaning 163
Cognitive and Behavioral Approaches 163
Religious Approaches 167
Nursing Implications 169
Being Present 169
Encouraging Resiliency 169
Encouraging Client Disclosure 170
Responding Appropriately 171
Strategies to Facilitate Making Meaning 171
Psychological Adaptation to Suffering 173
Key Points 175
Look Within to Learn 176
References 177
CHAPTER 8 THE ROLE OF THE NURSE IN COLLABORATING
WITH SPIRITUAL CARE PROFESSIONALS 179
Nurses as Spiritual Care Generalists 180
Specialists in Spiritual Care 181
Chaplains 181
Clergy 183
Parish Nurses 184
Spiritual Mentors 188
Folk Healers 189
Friends and Family 190
Nursing Implications 190
Collaborating with Spiritual Care Professionals 190
Criteria for Initiating Referral 191
Guidelines for Enhancing the Collaborative Process 192
Key Points 196
Look Within to Learn 197
References 198
PART 3 PROMOTING SPIRITUAL HEALTH 199
CHAPTER 9 SUPPORTING SPIRITUAL HEALTH
THROUGH RITUAL 201
Components of Ritual 202
Functions of Ritual 202
The Ritual of Prayer 204
Types of Prayer 205
Effects of Prayer 206
Meditation 209
Nursing Implications 210
Supporting Client Rituals 210
Creating Rituals 211
Praying with Clients 215
Facilitating Meditation 218
Using Imagery to Enhance Ritual 219
Key Points 223
Look Within to Learn 224
References 225
CHAPTER 10 FACILITATING RELIGIOUS PRACTICES 228
Health Benefits of Religious Practice 229
Religious Challenges to Health Care 231
Review of Selected Religious Beliefs and Practices 232
Buddhism 233
Christianity 235
Hinduism 236
Islam 237
Judaism 238
Native American Religiosity 239
Syncretistic Religions 240
Spirituality of the Nonreligious 242
Dietary Practices 242
Observing Holy Days 244
Religious Objects 244
Religious Practices Related to Birthing 245
Religious Practices Related to Healing 246
Religious Practices Related to Dying and Bereavement 247
Worship Practices 248
Nursing Implications 255
Key Points 259
Look Within to Learn 260
References 261
CHAPTER 11 NURTURING SPIRITUALITY 262
Nature: Engaging the Spirit 262
Storytelling: Listening to the Spirit 268
Journal Writing: Reflecting the Spirit 272
The Arts: Expressing the Spirit 275
Dream Work: Windows to the Spirit 278
Nursing Considerations 283
Key Points 284
Look Within to Learn 286
References 286
INDEX 289

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