The Importance of Spirituality, Religion, and Health5
Negative Effects of Religious Involvement and Spirituality8
Objectives of te Study9
Chapter210
Literature Review10
CHALLENGES AND OPPORTUNITIES10
CONCEPTS RELATED TO SPIRITUALITY10
Spirituality, Religion, and Faith11
Spirituality11
Religion12
Characteristics of Spirituality13
Faith14
Reflect on…14
Spiritual Development14
Prayer and Meditation18
Reflect on…19
Types of Prayer19
Selected Spiritual And Religious Beliefs Influencing Nursing Care20
Holy Days20
Sacred Writings and Symbols21
Dress24
Health Beliefs and Practices24
Reflect on…25
Dietary Beliefs26
Pain and Its Spiritual Meaning27
Childbirth and Perinatal Care27
Death and Dying28
Reflect on…30
Spiritual Distress30
Providing Spiritually Competent Care31
Spiritual Assessment31
Diagnosing, Planning, and Implementing Spiritually Competent Care32
SPIRIT Model for Assessing Spirituality32
Assessing Spiritual Needs35
ENVIRONMENT35
BEHAVIOR36
INTERPERSONAL RELATIONSHIPS36
Critical Thinking Exercise37
Providing Presence37
Supporting Religious Practices37
Assisting Clients with Prayer38
Supporting Religious Practices38
Referring Clients for Spiritual Counseling40
Summary Of The Literature Review41
Chapter 343
Methodology43
REFERENCES47
Chapter 1
Introduction
In viewing people holistically, nurses must consider the spiritual and religious beliefs of clients when providing care. The United States and Canada have a diversity of spiritual and religious beliefs; therefore, nurses must be informed about and sensitive to the spiritual and religious influences on the beliefs and practices related to health and illness (Table 22-1). Nurses should understand how individuals' spiritual beliefs influence their health decision making, providing strength during illness and times of adversity, and how spiritual and faith communities can provide support for health, healing, and dying.
Table 22-1 United States Religious Diversity 1995/2002
Religion
1995 (%)
2002 (%)
Protestant
56
53
Catholic
27
25
Jewish
2
2
Orthodox
1
1
Mormon
1
2
Other*
5
8
None
8
9
* Other includes Muslim, Buddhist, Unitarian, Hindu, Bahai, Taoist, Rastafarian, Sikh, Santeria, and others, each with less than 1%.
Source: Statistical Abstracts of the United States, 2002.
Nurses must also understand how their own spiritual beliefs affect their ability to relate to people whose beliefs are different from their own. Health care professionals are not expected to know and understand all spiritual and religious belief systems of the world. It is possible, however, for health care professionals to develop an awareness of those spiritual and religious belief systems that are prevalent in the community where they practice.
The Importance of Spirituality, Religion, and Health
Because many people do not distinguish between the concepts of spirituality and religion, most research linking spirituality to health has measured religious beliefs or practices. Research on spirituality as manifested by a faith in a higher power, however, recently has experienced a surge of interest, and spirituality measures are being developed that may assist in future research
Religion provides many patients with social support as well as a clinically effective cognitive schema that enhance well-being and lower distress. Religious involvement predicts successful coping with physical illness. High intrinsic religiousness predicts more rapid remission of depression, an association that is particularly strong in patients whose physical function is not improving .(O'Connell,2005)
An estimated 350 studies have examined religious involvement and health. Most of these have found that religious people are physically healthier, lead healthier lifestyles, and require fewer health services than those who are not religious. During the past three decades, at least 18 carefully controlled prospective studies have shown that religiously involved people live longer and that highly religious people had 29% higher odds of survival compared with less religious people.More than 850 studies examined the relationship between religious involvement and various aspects of mental ...