through my eyes: one nurse's view on the power of faith during illness
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Stephanie Scully, RN BSN New Castle Presbytery Health Ministry Chair/ Editor Christiana Care Cardiac Surgery Nurse. Through my eyes: one nurse's View on the power of Faith During Illness. Why Present this Topic to Church Leaders. The Book of Order Services for Wholeness - PowerPoint PPT PresentationTRANSCRIPT
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THROUGH MY EYES:ONE NURSE'S VIEW ON THE POWER OF FAITH
DURING ILLNESS
Stephanie Scully, RN BSNNew Castle Presbytery Health Ministry Chair/ Editor
Christiana Care Cardiac Surgery Nurse
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Why Present this Topic to Church Leaders The Book of Order
Services for Wholeness “Healing was an integral part of the
ministry of Jesus which the church has been called to continue as one dimension of its concern for the wholeness of people. Through services for wholeness, the church enacts in worship its ministry as a healing community.”
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Objectives To display the importance of trust and meaning while caring
for ill patients To describe the spiritual roots of nursing To define spiritual health, spirituality, and faith in the context
of science To understand the concepts of holism and holistic health in
relation to a person’s well-being To explain the manifestations, causes, and ways to manage
spiritual distress in the hospital setting To identify ways in which religious leaders can most
effectively promote spiritual health in the hospital and home setting
To recognize the importance of addressing spiritual care needs in the community after hospitalization
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The Roots of Nursing: A Religious
Background Revealed
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Roots of Nursing Florence Nightingale
1820-1910The mother of nursingProtestant training
○ A Call from GodSpirituality
○ Entailed the development of courage, compassion inner peace, creative insight, and other “God-like qualities”
○ Endorsement of contemplative prayer
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Roots of Nursing Other connections to religion
Betty Neuman and Jean Watson○ Spirituality impacts development○ Define holistic health
Watson○ Nurses should respect and
appreciate the spiritual meaning in a person’s life
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Roots of Nursing Early 1980s- the turning point
Trend away from religion and spirituality focus in nursing ○ Providing holistic care
1978- NANDA Nursing diagnosis
○ Spiritual Distress
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SPIRITUAL HEALTH
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Spiritual Health Holistic nursing perspective
Biopsychosocial beingSpiritual coreComponents of the self
○ All integral to and influences the others:
Physical Mental SocialSpiritual
○ Spiritual aspects contribute to individuality and create meaning in people’s lives.
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Spiritual Health What is Spirituality?
The quality or essence that pervades, integrates, and transcends one’s biopsychosocial
natureAn experience for connection to life, a way
of interpreting life events; a source of hope, joy, comfort and guidance on life’s journey
Includes all behaviors that give meaning to life and provide strength to the individual
Provides balance
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Spiritual Health Characteristics of Spirituality
Holism○ Sense of wholeness and harmony
Spiritual Need○ Seeking meaning
Spiritual Quest○ A higher level of consciousness
Spiritual Well-Being○ Positive affirmations, celebrate wholeness
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Spiritual Health Faith
More than a set of beliefsWay you act out your beliefsMaking meaning– central ideaWhat needs do faith and spirituality fulfill?
○ Meaning to life○ Sense of security○ Guide daily life○ Acceptance vs rejection○ Support○ Strength
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Spiritual Health Why is understanding spirituality of an
individual important?A person’s inner strength comes from
different sources○ Navajo
Harmony○ Christians
God○ Tailor your care
Caring for patients (hospitalized or not) means caring for families and friends as well
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Spiritual Health Statistics
Of the major religions in the world…
○ 33% are Christian○ 21% are Islamic○ 16% are Atheist, Agnostic, or nonreligious○ 14% are Hindu
In the United States…○ 76.5% are Christians○ 13.2% are Nonreligious/ secular○ 2.3% are Jewish○ 0.5% each are Hindu, Islamic, Agnostic, and
Buddhist
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Spiritual Health Relation to Nursing
Crisis and change○ Transitions are times of anxiety and
vulnerability○ Front row seat○ Comforting patients
**EXAMPLE: PRAYER SHAWL , DEATH/DYING RITUALS I HAVE SEEN
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Spiritual Health Why should healthcare providers assess
spirituality in the healthcare setting?Greater well-beingCoping mechanismsPhysical manifestations
○ Lower levels of mortality○ Less heart disease○ Lower blood pressure○ Less depression○ Lower stress levels○ Less alcohol and tobacco abuse○ Greater well-being and optimism○ Positive health habits
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How Religious/ Spiritual Beliefs
Affect Individuals and Their Health
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Impact on Patient Care Why does spiritual distress occur?
Questions about meaningProblems copingAnger Sleep disturbancesSeparation from religious practicesTreatments challenging beliefs
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Impact on Patient Care Challenges hospitalized patients face
End of life decisions○ Family members’ beliefs
Blood transfusionsMedications Minor surgeries
**EXAMPLE: Blood refusal form, discussions about heart valves
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Impact on Patient Care Manifestations of Altered Spiritual
FunctionVerbalization of distressAltered behavior
○ Nervous○ Introspective○ Emotion response○ Seek information○ Denial of situation○ Signs of guilt, fear, depression, or anxiety
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Impact on Patient Care Nurturing the Spirit
Assessing spiritual status- questions○ What is strength for you? Where can you get it?○ Who gives you strength?○ How can you increase your inner strength?○ What does peace mean to you? Where do you feel at
peace?○ Who makes you feel more peaceful?○ What situations increase your sense of peace? ○ When do you feel most secure? ○ Where do you get your security from? Does someone
make you feel more secure? ○ How can you increase your security?
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Impact on Patient Care Barriers
A persistent barrier to the incorporation of spirituality into clinical practice is the fear of imposing particular religious beliefs and values on others
Remain openLet the client guide the discussion
and tell you what THEY need
**EXAMPLE: COWORKER’S STORY
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The Gaps I See: Nursing and Spiritual
Assessment, Is it a Reality?
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The Gaps I See Spiritual Assessments
Questions nurses ask○ **EXAMPLE: CHRISTIANA’S ASSESSMENT
Reality vs. Practice○ Shift from vocation to profession
Justifying a nurse’s “VALUE”○ Increase in economic orientation
Where YOU can help○ Filling the gaps○ My sacrifice ○ My suggestion
Increase awareness of spiritual health Increase the population’s spiritual well-being
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Importance of Follow-up With Individuals
After Hospitalization
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Importance of Follow-Up “Hustle-Bustle Nursing”
NANDA diagnosis for “Spiritual Distress”○ What can nurses do NOW?
Rapid turnover of patients- What is actually done?
- Consult pastoral care- Consult psych- Suggest calling a religious leader
No followup post-dischargeAcknowledge spiritual painBe there, now
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Importance of Follow-up Spiritual care
Ongoing processRelationships over timeCommunity based care– leadership
initiatives○ Not just “religious based”
Development of a sensitive spiritual relationship○ Parish nursing
Health promotion in faith communities○ Missionary nursing
Promoting holistic health globally
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How You Can Help- A Guide for Church
Leaders
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How You Can Help Key: A warm and trusting relationship
Sharing valuesOffering compassion, kindness, gentle
words, and a supportive presence can be life changing for someone in need
Spiritual CareA mutual potentially healing or integrating
process in which an individual’s spiritual needs are met
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How You Can Help Spiritual Health Promotion
Use of Self○ Availability
Spiritual Support○ Diverse audience
Support of Spiritual Practices○ Special religious
considerations○ Privacy
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How You Can Help Spiritual Health Interventions
Respecting and encouraging a person’s spiritual and religious interest and concerns enhances the healing process○ Listen and Support
Empathy and sensitivity○ Refer
To others as necessary○ Tailor your Care
Infants and parentsAge-appropriate
○ Presence
**EXAMPLE: HOLDING HANDS, PRAYER BEFORE INDUCTION
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How You Can Help Caring and spirituality are central among
faith-based organizationsCIRCLE Model of Spiritual CareCaringIntuitionRespect for religious beliefs and practicesCautionListeningEmotional support
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How You Can Help Alternative therapies-
Spiritual ConnectionPrayer and MeditationImagery
○ Especially while hospitalized
Relaxation exercisesQuiet focusControlled breathingTherapeutic touch
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PROGRESSIVE RELAXATION EXERCISE
https://www.youtube.com/watch?v=h9sM24jdZ1w
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How You Can Help Physical effects of relaxation techniques
over time:Lower blood pressureDecrease chronic painIncrease white blood cell production ->
decreased illnessDecreased dysmenorrhea
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REVIEW OF HANDOUTS 109+ Ways to say, “I Care”
Thoughtful giftsWords that can helpOffering special services (i.e. babysitting)Outings (take me somewhere)Special Spirit Lifters
Hospital VisitationA guide to what you can offer
Visiting Someone in the HospitalTips and ideas for visiting someone
Major World Religions and Common Health BeliefsHow to address individuals of other religious within the
healthcare setting
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QUESTIONS?
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Philadelphia: Author. Catalano, J. T. (2006). Nursing now!: Today’s issues, tomorrow’s trends (5th edition).
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edition). Upper Saddle River, New Jersey: Pearson Prentice Hall. Cole Jr., A. J. (2008). Visiting someone in the hospital. The Presbyterian Leader, p. 1-4. Cole Jr., A. J. (2009). Hospital visitation. The Presbyterian Leader, p. 1-2. Craven, R. F. & Hirnle, C. J. (2009). Fundamentals of nursing: Human health and
function (6th edition). Philadelphia: Lippincott Williams & Wilkins. Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C. & Hansen-Flaschen, J. (1999, Aug.
9/23). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Arch Intern Med, 159, 1803-1806.
Mulder, K. & Jurries, G. (2002). 109+ways to say, “I care”. The Compassionate Congregation, p. 1-11.
Purnell, L.D. & Paulanka, B. J. (2008). Transcultural health care: A culturally competent approach (3rd edition). Philadelphia: F. A. Davis Company.
Weber, J. & Kelley, J. H. (2007). Health assessment in nursing (3rd edition). Philadelphia: Lippincott Williams & Wilkins.