25 Nov For this journal entry: 1.? Communication is the heart of nursing. What does that mean to you? 2.? What does your own image of caring look like?? 3. What types of items would you expect to see at
For this journal entry:
1. Communication is the heart of nursing. What does that mean to you?
2. What does your own image of caring look like?
3. What types of items would you expect to see at a patients bedside that would alert you to a patients spirituality?
4. Do nurses have a responsibility to initiate a conversation in spirituality?
Chapter 15
Embracing the Spiritual Journey of Health caring: Meaning Making Overview
Copyright © 2020 by Elsevier, Inc. All rights reserved.
Themes of Spirituality
Broader concept than religion
Involves a personal quest for meaning and purpose in life
Relates to the inner essence of a person
Sense of harmonious interconnectedness with self, others, nature, and an ultimate other
Integrating factor of the human person
(Nagai-Jacobson & Burkhardt, 1989)
Copyright © 2020 by Elsevier, Inc. All rights reserved.
2
FICA Tool for Taking a Spiritual History
F—Faith and belief
I—Importance
C—Community
A—Address in care
Copyright © 2020 by Elsevier, Inc. All rights reserved.
3
Strategies to Nurture the Spirit (1 of 2)
Live artfully
Cares for the soul and spirit
Pause
Stop, reflect, savor the moment, experience wonder at the things around you, be still
Take time for self, people, relationships
Be mindful of what is happening all around you
Recognize the need to stop and focus on this moment rather than thinking about the past or the future
Copyright © 2020 by Elsevier, Inc. All rights reserved.
4
Strategies to Nurture the Spirit (2 of 2)
Focus on the moment
Renew spirit
Practice mindfulness and other spiritual self-care processes
Meditation, time in nature, yoga, and music
Keep a “gratitude journal” for things you are thankful for
Mnemonic for when you are afraid and in spiritual distress
F—Forgetting
E—that Everything
A—is All
R—Right
Copyright © 2020 by Elsevier, Inc. All rights reserved.
5
Meeting Spiritual Needs of the Client and Family
Being fully present
Offering prayer
Being silent
Use of encouraging or questioning sounds to encourage the client to continue talking
“Oh … ,” “Hmm … ,” or “Really?” followed by silence
Copyright © 2020 by Elsevier, Inc. All rights reserved.
6
Adopting a Hopeful Perspective and Offering Hope (1 of 3)
Hope
Belief that one can have a life in the midst of trauma and suffering
(Hampton, 1998)
To bring hope you must have hope
Within every problem there is a lesson
Embrace the lesson and release the problem
Tapping resources
Clergy/spiritual assistance
Copyright © 2020 by Elsevier, Inc. All rights reserved.
7
Adopting a Hopeful Perspective and Offering Hope (2 of 3)
Nearing death
Touch, silence, prayer
Helping in life review or life repair
Finding peace
Copyright © 2020 by Elsevier, Inc. All rights reserved.
8
Adopting a Hopeful Perspective and Offering Hope (3 of 3)
Instill hope
Show it in your face
Positive words
Truly face someone—look into the eyes
Presence rather than avoidance
Presence in the face of suffering
Openness to hear hopeless words
Offered prayer
Copyright © 2020 by Elsevier, Inc. All rights reserved.
9
Spiritual Assessment Tool (1 of 4)
Meaning and purpose
What gives your life meaning?
Do you have a sense of purpose in life?
Does your illness interfere with your life goals?
Why do you want to get well?
How hopeful are you about obtaining a better degree of health?
Copyright © 2020 by Elsevier, Inc. All rights reserved.
10
Spiritual Assessment Tool (2 of 4)
Do you feel that you have a responsibility in maintaining your health?
Will you be able to make changes in your life to maintain your health?
Are you motivated to get well?
What is the most important or powerful thing in your life?
Copyright © 2020 by Elsevier, Inc. All rights reserved.
11
Spiritual Assessment Tool (3 of 4)
Inner strengths
What brings you joy and peace in your life?
What can you do to feel alive and full of spirit?
What traits do you like about yourself?
What are your personal strengths?
What choices are available to you to enhance your healing?
What life goals have you set for yourself?
Copyright © 2020 by Elsevier, Inc. All rights reserved.
12
Spiritual Assessment Tool (4 of 4)
Do you think that stress in any way caused your illness?
How aware were you of your body before you became sick?
What do you believe in?
Is faith important in your life?
How has your illness influenced your faith?
Does faith play a role in recognizing your health?
Copyright © 2020 by Elsevier, Inc. All rights reserved.
13
Helping the Client Find Meaning in Illness
Finding meaning
What has he or she learned in suffering
Finding God in the busyness
Nurturing the sacred in your own life
Copyright © 2020 by Elsevier, Inc. All rights reserved.
14
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Chapter 16
Requesting Support Overview
Copyright © 2020 by Elsevier, Inc. All rights reserved.
Social Support and Health
Positive relationship exists between the presence of social support and health and coping with illness
Social support effects
The ability to cope with stress, crisis, or serious illness
The experiencing of contentment or depression and loneliness
The functioning of the immune system (Hall, 2002)
Copyright © 2020 by Elsevier, Inc. All rights reserved.
2
Support System Assessment
Determine the support you need at work or school
Cognitive support (supports your thinking)
Affective support (acknowledgment of work we do)
Physical support (materials, staff)
Request the support you need at work or school
Identify needs for support
Decide if you wish to pursue acquiring support
Copyright © 2020 by Elsevier, Inc. All rights reserved.
3
Requests for Support (1 of 3)
Assertive
Outline the situation
Indicate what is the problem
Respectfully offer a possible solution
Copyright © 2020 by Elsevier, Inc. All rights reserved.
4
Requests for Support (2 of 3)
Nonassertive
Unsure, undecided, and without confidence
Gives the message that we do not expect to receive what we are seeking
Puts doubts about our requests in the minds of potential providers
Conveys that we do not have much faith in ourselves or our ideas
Involves little advance preparation and little visualization of positive outcomes
Looks unsure and sounds hesitant
Copyright © 2020 by Elsevier, Inc. All rights reserved.
5
Requests for Support (3 of 3)
Aggressive
Go after what we want in a way that is upsetting, disrespectful, or threatening to others
Attack other people in our endeavors to get what we want
Create bad feelings that take considerable energy and time to overcome
Out of control and do not present our arguments in a logical, clear way
Copyright © 2020 by Elsevier, Inc. All rights reserved.
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