SciELO - Scientific Electronic Library Online

 
vol.35 issue1Response to national policy imperatives for nursing education: A Western Cape case study author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • On index processSimilars in Google

Share


Curationis

On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.35 n.1 Pretoria Jan. 2012

 

ORIGINAL RESEARCH

 

Spiritual nursing care: A concept analysis

 

 

Lydia V. Monareng

Department of Health Studies, University of South Africa, South Africa

Correspondence

 

 


ABSTRACT

Although the concept 'spiritual nursing care' has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech's eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result 'caring presence' was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.


 

 

“Full text available only in PDF format”

 

 

References

Alvin, R., Berg, K., Idvall, E. & Nilson, U., 2007, 'Postoperative recovery: A concept analysis', Journal of Advanced Nursing 57(5), 552-558. http://dx.doi.org/10.1111/j.1365-2648.2006.04156.x, PMid:17284272        [ Links ]

Armstrong, K., 2008, What is transcendence? viewed 29 June 2008, from http://www.selftranscendence.org/self_transcendance/what_is self_transcendence/        [ Links ]

Chinn, P.L. & Kramer, M.K., 2008, Theory and nursing: Integrated knowledge development, 7th edn., Mosby Year Book, St Louis.         [ Links ]

Collins English Dictionary and Thesaurus, 1995, 3rd edn., Harper Collins, New York.         [ Links ]

Coyle, J., 2001, 'Spirituality and health: Towards a framework for exploring the relationship between spirituality and health', Journal of Advanced Nursing 37(6), 589-597. http://dx.doi.org/10.1046/j.1365-2648.2002.02133.x, PMid:11879423        [ Links ]

Dossey, B.M., Keegan, L. & Guzzella, C.E., 2000, Holistic nursing: A handbook for practice, 4th edn., Aspen, New York.         [ Links ]

Draper, P. & McSherry, W., 2002, 'A critical view of spirituality and spiritual assessment', Journal of Advanced Nursing 39(1), 1-2. http://dx.doi.org/10.1046/j.13652648.2002.02285.x, PMid:12074745        [ Links ]

Frankl, V.E., 2004, Man's search for meaning, 2nd edn., Rider, Johannesburg.         [ Links ]

Govier, I., 2000, 'Spiritual care in nursing: A systematic approach', Nursing Standard 12(14), 32-36.         [ Links ]

Hegarty, M., 2007, 'Care of the spirit that transcends, religious, ideological and philosophical boundaries', Indian Journal of Palliative Care 13(2), 4247. http://dx.doi.org/10.4103/0973-1075.38898        [ Links ]

Kliewer, S., 2004, 'Allowing spirituality into the healing process', The Journal of Family Practice 53(8), 616-624. PMid:15298831        [ Links ]

Koenig, H.G., McCullough, M.E. & Larson, D.B., 2001, Handbook of religion and health, London, Oxford University Press. http://dx.doi.org/10.1093/acprof:o/9780195118667.001.0001        [ Links ]

Kozier, B., Erb, G., Berman, A. & Snyder, S., 2004, Fundamentals of nursing: Concepts, process and practice, 7th edn., Prentice Hall, Sydney.         [ Links ]

Krefting, L., 1991, 'Rigor in qualitative research: The assessment of trustworthiness', American Journal of Occupational Therapy 45(3), 214-222.         [ Links ]

McBrien, B., 2006, 'A concept analysis of spirituality', British Journal of Nursing 15(1), 42-45. PMid:16415748        [ Links ]

McEwan, W., 2004, 'Spirituality in nursing', Orthopaedic Nursing 23(5), 321-326. http://dx.doi.org/10.1097/00006416-200409000-00008, PMid:15554469        [ Links ]

McSherry, W. & Ross, L., 2002, 'Dilemmas of spiritual assessment: Considerations for nursing practice', Journal of Advanced Nursing 38(5), 479-488. http://dx.doi.org/10.1046/j.1365-2648.2002.02209.x, PMid:12028281        [ Links ]

McSherry, W., Cash, K. & Ross, L., 2004, 'Meaning of spirituality: Implications for nursing practice', Journal of Clinical Nursing 13, 934-941. http://dx.doi.org/10.1111/j.1365-2702.2004.01006.x, PMid:15533099        [ Links ]

McSherry, W. & Draper, P., 1998, 'The debates emerging from the literature surrounding the concept of spirituality as applied to nursing', Journal of Advanced Nursing 27(4), 683-692. http://dx.doi.org/10.1046/j.1365-2648.1998.00585.x, PMid:9578196        [ Links ]

McSherry, W. & Ross, L., 2002, 'Dilemmas of spiritual assessment: Consideration or nursing practice', Journal of Advanced Nursing 38(5), 479-488. http://dx.doi.org/10.1046/j.1365-2648.2002.02209.x, PMid:12028281        [ Links ]

Meraviglia, M., 1999, 'Critical analysis of spirituality and its empirical indicators: Prayer and meaning in life', Journal of Holistic Nursing 17, 18-33. http://dx.doi.org/10.1177/089801019901700103, PMid:10373840        [ Links ]

Morse, J.M., 1996, Nursing research - The application of qualitative approaches, 2nd edn., London, Chapman & Hall.         [ Links ]

Narayanasamy, A. & Owens, J., 2001, 'A critical incident study of nurses' responses to the spiritual needs of their patients', Journal of Advanced Nursing 33(4), 446-455. http://dx.doi.org/10.1046/j.1365-2648.2001.01690.x, PMid:11251732        [ Links ]

Narayanasamy, A., 2004, 'The puzzle of spirituality for nursing: A guide to practical assessment', British Journal of Nursing 13(19), 1140-1145, PMid:15573007        [ Links ]

O'Brien, M.E., 2002, Spirituality in nursing: Standing on holy ground, 2nd edn., Jones & Bartlett, Boston.         [ Links ]

Polit, D.F. & Beck, C.T., 2008, Nursing research: Generating and assessing evidence for nursing practice, 8th edn., Lippincott Williams & Wilkins, Philadelphia.         [ Links ]

Reed, P.G., 1992, 'An emerging paradigm for the investigation of spirituality in nursing', Research in Nursing and Health 15, 349-357. http://dx.doi.org/10.1002/nur.4770150505        [ Links ]

Sawatzky, R. & Pesut, B., 2005, 'Attributes of spiritual care in nursing practice', Journal of Holistic Nursing 23(1), 19-33. http://dx.doi.org/10.1177/0898010104272010, PMid:15665264        [ Links ]

Skalla, K.A., 2006, 'Spiritual assessment of patients with cancer: The moral authority, vocational, aesthetic, social and transcendent model', Oncology Nursing Forum 33(4), 745-751. http://dx.doi.org/10.1188/06.ONF.745-751, PMid:16858455        [ Links ]

Stranahan, S., 2001, 'Spiritual perception, attitudes about spiritual care and spiritual care practices among nurse practitioners', Western Journal of Nursing Research 23(1), 90-104. http://dx.doi.org/10.1177/01939450122044970, PMid:11216028        [ Links ]

Streubert-Speziale, H.J. & Carpenter, D.R., 2003, Qualitative research in nursing -Advancing the humanistic perspective, 3rd edn., Lippincott, Williams & Wilkins.         [ Links ]

Tanyi, R.A., Recine, A.C.G., Werner, J.S. & Sperstad, R.A., 2006, 'Perceptions of incorporating spirituality into their care: A phenomenologist study of female patients of haemodialysis', Nephrology Nursing Journal 33(5), 532-538. PMid: 17044437        [ Links ]

Taylor, E.J., 2002, Spiritual care: Nursing theory, research and practice, Prentice Hall, Upper Saddle River, New Jersey.         [ Links ]

The Concise Oxford Dictionary, 1983, Clarendon Press, Oxford.         [ Links ]

Touhy, T.A., Brown, C. & Smith, C.J., 2005, 'Spiritual caring: end of life in a nursing home', Journal of Gerontological Nursing 27-35. PMid:16190010        [ Links ]

Treloar, L.L., 2001, 'Spiritual care: safe, appropriate, ethical', Journal of Christian Nursing 18(2), 16-20.         [ Links ]

Van Dover, L. & Bacon, J.M., 2001, 'Spiritual care in nursing practice: A close-up view', Nursing Forum 36(3), 18-30. http://dx.doi.org/10.1111/j.1744-6198.2001.tb00245.x        [ Links ]

Villagomeza, L.R., 2005, 'Spiritual distress in adult cancer patients: Toward conceptual clarity', Holistic Nursing Practice 19(6), 285-294. PMid:16269948        [ Links ]

Walker, L.O. & Avant, K.C., 2005, Strategies for theory construction in nursing, 4th edn., Upper Saddle River, New Jersey, Pearson/Prentice Hall.         [ Links ]

Zisberg, A., Young, H.M., Schepp, K. & Zysberg, L., 2007, 'A concept analysis of routine: Relevance to nursing', Journal of Advanced Nursing 57(4), 442-453. http://dx.doi.org/10.1111/j.1365-2648.2007.04103.x, PMid:17291208        [ Links ]

 

 

Correspondence:
Lydia Monareng
PO Box 392, UNISA 0003
South Africa
Email: monarlv@unisa.ac.za

Received: 28 July 2011
Accepted: 15 June 2012
Published: 08 Oct. 2012

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License