Skip to main content

Teaching and Learning About Spirituality in Healthcare Practice Settings

  • Chapter
  • First Online:
Spirituality in Healthcare: Perspectives for Innovative Practice

Abstract

This chapter considers the importance of contemporary teaching and learning approaches to spirituality within healthcare practice drawing on international evidence. The chapter integrates recent systematic literature challenges and issues that relate to its integration. Spirituality is recognised as a standard for good practice; attention is drawn to research that outlines guidance arising from international standards, guidelines, professional codes of practice and competency frameworks and key competency skills across healthcare. A consensus definition of spirituality is offered to understand spirituality within healthcare practice. Spiritual awareness, meaning making and respecting patient’s worldviews are recognised as core spiritual care competencies. Spiritual care needs, undertaking a spiritual history, formal and informal spiritual assessment methods, spiritual distress and timely referral are established as core spiritual care competencies. It is acknowledged that humanistic compassionate person-centred approaches grounded in connection are warranted to transform the educational process for the patient, student and practitioner experiences in healthcare.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

ACP - ASIM:

American College of Physicians and American Society of Internal Medicine

CSI Memo Spiritual History:

Comfort Stress Influence Mem (Member) Other spiritual needs

ETHNICS:

Explanation Treatment Healers Negotiate Intervention Collaborate Spirituality

FICA Spiritual History:

Faith, Importance and Influence, Community and Address

FAITH:

F Faith A Application I Influence/importance T Talk/terminal events planning H Help

HCN:

Healthcare Chaplaincy Network

HOPE:

H Sources of Hope, meaning comfort, strength, peace love and connection O Organised religion P Personal Spirituality and Practices E Effects on medical care and end of life issues

NANDA:

North American Nursing Diagnostic Association

SHALOM:

Spiritual Health and Life - Orientation Measure

SPIRITual History:

Spiritual Belief System Personal Spirituality Integration with a spiritual community Integration with a spiritual community Ritualised Practice’s and Restrictions Implications for Medical Care Terminal Event Planning

RCN:

Royal College of Nursing

2Q-SAM:

2Two Qquestion Spiritual Assessment Model

References

  1. Steinhauser K, Balboni T. State of the science of spirituality and palliative care research: research landscape and future directions. J Pain Symptom Manage. 2017;54:426–7.

    Article  PubMed  Google Scholar 

  2. Steinhauser KE, Fitchett G, Handzo GF, Johnson KS, Koenig HG, Pargament KI, Puchalski C, Sinclair S, Taylor EJ, Balboni TA. State of the science of spirituality and palliative care research. Part 1: definitions, measurement and outcomes. J Pain Symptom Manage. 2017;54:428–40.

    Article  PubMed  Google Scholar 

  3. Balboni TA, Fitchett G, Handzo GF, Johnson KS, Koenig HG, Pargament KI, Puchalski CM, Sinclair S, Taylor EJ, Steinhauser KE. State of the science of spirituality and palliative care research part I: definitions, measurement, and outcomes. J Pain Symptom Manage. 2017;54:441–53.

    Article  PubMed  Google Scholar 

  4. Pesut B, Taylor EJ, Reimer Kirkham S, Sawatzky R. Conceptualising spirituality and religion for healthcare. J Clin Nurs. 2007;17:2803–10.

    Article  Google Scholar 

  5. Timmins F, Egan R, Flanagan B, Muldowney Y, OBoyle C, Brady V, Whelan J, Neenan K, McSherry W. Special issue “international conference of spirituality in healthcare. Nurturing the spirit”—Trinity College Dublin 2016. Religions. 2017;8:204. https://doi.org/10.3390/rel8100204.

    Article  Google Scholar 

  6. Attard J, Baldacchino DR, Camilleri L. Nurses’ and midwives’ acquisition of competency in spiritual care: a focus on education. Nurse Educ Today. 2014;34:1460–6.

    Article  PubMed  Google Scholar 

  7. Ross L, Van Leeuwen R, Baldacchino D, Giske T, McSherry W, Narayanasamy A, Downes C, Jarvis P, Schep-Akkerman A. Student nurses perceptions of spirituality and competence in delivering spiritual care: a European pilot study. Nurse Educ Today. 2014;34:697–702.

    Article  PubMed  Google Scholar 

  8. Lucchetti G, Lamas A, Lucchetti G, Puchalski CM. Spirituality in medical education: global reality? J Relig Health. 2012;51:3–19.

    Article  PubMed  Google Scholar 

  9. Puchalski CM, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, Chochinov H, Handzo G, Nelson-Becker H, Prince-Paul M, Pugliese K, Sulmasy D. Improving the quality of spiritual care as a dimension of palliative care: the report of the Consensus Conference. J Palliat Med. 2009;12:885–904.

    Article  PubMed  Google Scholar 

  10. Ross L. Why the increasing interest in spirituality within healthcare? In: McSherry W, Ross L, editors. Spiritual assessment in healthcare practice. Cumbria: M & K Publishing; 2014. reprint pp. 5–17.

    Google Scholar 

  11. World Health Organisation. The world health report 1998 - life in the 21st century: a vision for all. Geneva: WHO; 1998.

    Google Scholar 

  12. Health Information and Quality Authority (HIQA). Standards for safer better healthcare in the Irish healthcare system. Dublin: Health Information and Quality Authority; 2012.

    Google Scholar 

  13. Koenig HG. Spirituality in patient care why, how, when, and what. 3rd ed. West Conshohocken: Templeton Press; 2013.

    Google Scholar 

  14. Ellis MR, Campbell JD. Patients’ views about discussing spiritual issues with primary care physicians. South Med J. 2004;97:1158–64.

    Article  PubMed  Google Scholar 

  15. Burkhardt L, Hogan W. Measuring effectiveness of spiritual care pedagogy in nursing education. J Prof Nurs. 2012;28:315–21.

    Article  Google Scholar 

  16. D’Souza R. The importance of spirituality in medicine and its application to clinical practice. Med J Aust. 2007;186(Suppl 10):57–9.

    Google Scholar 

  17. Cohen AB, Koening HG. Religion, religiosity and spirituality in the biopsychosocial model of health and ageing. Ageing Int. 2003;28:215–41.

    Article  Google Scholar 

  18. Koenig HG, Larson DB, Larson SS. Religion and coping with serious illness. Ann Pharmacother. 2001;35:352–9.

    Article  CAS  PubMed  Google Scholar 

  19. Fitchett G, Murphy PE, Kim J, Gibbons JL, Cameron JR, Davis JA. Religious struggle: prevalence, correlates and mental health risks in diabetic, congestive heart failure, and oncology patients. Int J Psychiatry Med. 2004;4:179–96.

    Article  Google Scholar 

  20. Balboni TAL, Vanderwerker LC, Block SD, Paulik ME, Lathan CS, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clini Oncol. 2007;25:555–60.

    Article  Google Scholar 

  21. Balboni TA, Nilsson M, Macjejewski PK, Phelps AC, Schrag D, Trice E, Paul E, Wright AA, Prigerson HG, Block SD, Peteet JR. Religious coping and use of intensive life prolonging care near death in patients with advanced cancer. JAMA. 2009;341:1147–0.

    Google Scholar 

  22. Murray SA, Kendall M, Boyd K, Worth A, Benton TF. Exploring the spiritual needs of people dying of lung cancer or heart failure: a prospective qualitative interview study of patients and their carers. Palliat Med. 2004;18(1):39–45.

    Article  PubMed  Google Scholar 

  23. Ross L. Spiritual care in nursing: an overview of the research to date. J Clin Nurs. 2006;157:852–62.

    Article  Google Scholar 

  24. Cockell N, McSherry W. Spiritual care in nursing: an overview of published international research. J Nurs Manag. 2012;20:958–69.

    PubMed  Google Scholar 

  25. Ross L, Austin J. Spiritual needs and spiritual support preferences of people with end stage heart failure and their carers: implications for nurse managers. J Nurs Manag. 2013;23:87–95.

    Article  PubMed  Google Scholar 

  26. Astrow AB, Wexler A, Texeira K, He MK, Sulmasy DP. Is failure to meet spiritual needs associated with cancer patients perceptions of quality of care and their satisfaction 2007. J Clin Oncol. 2007;25:5753–7.

    Article  PubMed  Google Scholar 

  27. Puchalski CM, et al. Improving the spiritual dimension of whole person care: reaching national and international consensus. J Palliat Med. 2014;17:642–56.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Paal P, Helo Y, Frick E. Spiritual care training provided to healthcare professionals: a systematic review. J Pastoral Care Counsel. 2015;20:1757–67.

    Google Scholar 

  29. Stranahan S. Spiritual perception, attitudes about spiritual care, and spiritual care practices among nurse practitioners. West J Nurs Res. 2001;23(1):90–104.

    Article  CAS  PubMed  Google Scholar 

  30. McSherry W. The principles components model: a model for advancing spirituality and spiritual care within nursing and health practice. J Clin Nurs. 2006;15:905–17.

    Article  PubMed  Google Scholar 

  31. Ross L. Why the increasing interest in spirituality within healthcare? In: Mcsherry W, Ross L, editors. Spiritual assessment in healthcare practice. Cumbria: M & K Publishing; 2013.

    Google Scholar 

  32. McSherry W, Jamieson S. An online survey of nurse’s perceptions of spirituality and spiritual care. J Clin Nurs. 2011;20:1757–67.

    Article  PubMed  Google Scholar 

  33. Paley J. Spirituality and secularization: nursing and the sociology of religion. J Clin Nurs. 2008;17:175–86.

    PubMed  Google Scholar 

  34. Carroll B. A phenomenological enquiry of the nature of spirituality and spiritual care. Mortality. 2001;6:81–98.

    Article  Google Scholar 

  35. Koenig HG. Religion, spirituality and health: the research and clinical implications. ISRN Psychiatry. 2012;2012:278730. https://doi.org/10.5402/2012/278730.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Seager M, Bush M. Supporting the practitioner. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. London: CRC Press; 2017. p. 99–114.

    Google Scholar 

  37. Willis P. Quality with compassion: the future of nursing education. Report of the Willis Commission on Nursing Education 2012. London: Royal College of Nursing; 2012.

    Google Scholar 

  38. Francis R. Report on the Mid Staffordshire NHS Foundation Trust public inquiry. London: The Stationary Office; 2013.

    Google Scholar 

  39. Wattis J, Curran S, Rogers M. What does spirituality mean for patients, practitioners and health care organisations. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. 99-1141-7.

    Chapter  Google Scholar 

  40. Narayansamy A. Learning spiritual dimensions of care from a historical perspective. Nurs Educ Today. 1999;19:386–95.

    Article  Google Scholar 

  41. Cooper K, Chang E, Sheehan A, Johnson A. The impact of spiritual education upon preparing undergraduate nursing learners to provide spiritual care. Nurs Educ Today. 2013;33:1057–61.

    Article  Google Scholar 

  42. Mthembu TG, et al. Teaching spirituality and spiritual care in health sciences education: a systematic review. Afr J Phys Act Health Sci. 2016;22:1036–57.

    Google Scholar 

  43. Best M, Butow P, Olver I. Do patients want doctors to talk about spirituality: a systematic review. Patient Educ Couns. 2015;98:1320–8.

    Article  PubMed  Google Scholar 

  44. Schonfeld T, Schmid K, Boucher-Payne D. Incorporating spirituality into health sciences education. J Relig Health. 2016;55:85–96.

    Article  PubMed  Google Scholar 

  45. Benner P, Sutphen M, Leonard V, Day L. Educating nurses: a call for radical transformation. Chichester: Jossey-Bass/Carnegie Foundation for the Advancement of Teaching; 2010.

    Google Scholar 

  46. Barss K. Building bridges an interpretive phenomenological analysis of nurse educators clinical experience of building the Trust model of inclusive spiritual care. Int J Nurs Educ Scholarsh. 2012;9:1–15.

    Google Scholar 

  47. Prentis S, Rogers M, Wattis J, Jones J, Stephenson J. Healthcare lecturers perceptions of spirituality in education. Nurs Stand. 2014;29:44–52.

    Article  PubMed  Google Scholar 

  48. Yilmaz M, Gurler H. The efficacy of integrating spirituality into undergraduate nursing curricula. Nurs Ethics. 2014;21:929–45.

    Article  PubMed  Google Scholar 

  49. Ali G, Wattis J, Snowden M. Why are spiritual aspects so hard to address in nursing education? A literature revie (1993-2015). Int J Multidiscip Comp Stud. 2015;2:7–31.

    Google Scholar 

  50. McSherry W, Draper P. The spiritual dimension why the absences within nursing curricula. Nurs Educ Today. 1997;17:413–7.

    Article  CAS  Google Scholar 

  51. McSherry W. Making sense of spirituality in nursing and healthcare practice. 2nd ed. London: Jessica Kingsley; 2006.

    Google Scholar 

  52. Lucchetti G, Lucchetti AL, Puchalski CM. Spirituality in medical education: global reality? J Relig Health. 2012a;51(1):3–19.

    Article  PubMed  Google Scholar 

  53. Monareng LV. An exploration of how spiritual care is applied in nursing practice. Health SA Gesondheid. 2013;18:a635. https://doi.org/10.4102/hsag.v18i1.635.

    Article  Google Scholar 

  54. Paal P, Helo Y, Frick E. Spiritual care training provided to healthcare professionals systematic review. J Pastoral Care Counsel. 2015;20:1757–67.

    Google Scholar 

  55. Nursing and Midwifery Council. NMC competence domain; 2009. tinyurl.com/px5luaj.

  56. Nursing and Midwifery Council. NMC standards for preregistration nursing education. London: NMC; 2010.

    Google Scholar 

  57. Nursing and Midwifery Council. The code: professional standards of practice and behaviour for nurses and midwives; 2015. www.nmc.org.uk/standards/code.

  58. International Council of Nurses. The ICN code of ethics for nurses. Geneva: ICN; 2012.

    Google Scholar 

  59. Nursing and Midwifery Board of Ireland. Code of professional conduct and ethics for nurses and midwives. Dublin: NMBI; 2014.

    Google Scholar 

  60. Jones J, Smith J, McSherry W. Spiritually competent practice in health care: what is it and what does it look like? In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. p35–52.

    Chapter  Google Scholar 

  61. The Royal College of Nursing (UK). RCN spiritual survey. London: RCN; 2011.

    Google Scholar 

  62. The Royal College of Nursing (UK). Spirituality in nursing care: a pocket guide. London: RCN; 2012.

    Google Scholar 

  63. Healthcare Chaplaincy Network. Spiritual care and nursing: a nurses’s contribution and practice (White Paper); 2017.

    Google Scholar 

  64. Jones J, Topping A, Wattis J, Smith J. A concept analysis of spirituality in occupational therapy practice. J Study Spirituality. 2016;6:38–57.

    Article  Google Scholar 

  65. Carey LB, Mathison BA. Spiritual care for allied health practice. London: Jessica Kingsley; 2018.

    Google Scholar 

  66. Hodge DR, Bushfield S. Developing spiritual competence in practice. J Ethn Cult Divers Soc Work. 2007;15:101–27.

    Article  Google Scholar 

  67. Furman LD, Benson PW, Canda ER, Grimwood C. Comparative international analysis of religion and spirituality in social work: a survey of UK and US social workers. Soc Work Educ. 2005;8:101–24.

    Google Scholar 

  68. Hodge D. Spirituality and religion among the general public: implications for social work discourse. Social Work. 2015;60(3):219–27.

    Article  PubMed  Google Scholar 

  69. Timmins F, Neill F, Murphy MA, Begley T, Sheaf G. Spiritual care competence for contemporary nursing practice: a quantitative exploration of the guidance provided by fundamental nursing textbooks. Nurse Educ Pract. 2015;15:485–91.

    Article  PubMed  Google Scholar 

  70. Caldeira S, Carvalho E, Vieira M. Spiritual distress: proposing a new definition of defining characteristics. Int J Nurs Knowl. 2013;24:77–84.

    Article  PubMed  Google Scholar 

  71. Baldacchino D. Spiritual care education of health care professionals. Religions. 2015;6:594–613.

    Article  Google Scholar 

  72. American Nurses Association. Code of ethics with interpretative statements. Silver Spring, MD: American Nurses Association; 2015. http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses/Code-of-Ethics-For-Nurses.html.

  73. Nursing and Midwifery Council. NMC standards for preregistration nursing education. London: NMC; 2009.

    Google Scholar 

  74. Malta code of ethics for nurses and midwives. https://deputyprimeminister.gov.mt/en/phc/pdu/Documents/maltese_code_of_ethics_nurses.pdf.

  75. The American Association of Medical Colleges (AAMC). Learning objectives for medical student education guidelines for medical schools: report 1 of the Medical School Objectives Project. Acad Med. 1999;74:13–8.

    Article  Google Scholar 

  76. Institute of Medicine and Royal College of Psychiatrists Position Statement (PS03/2011).

    Google Scholar 

  77. Joint Commission on Accreditation of Health Care Organisations. Spiritual assessment standards CAHO; 2008. https://www.jointcommission.org/standards_information/jcfaq.aspx?ProgramId=0&ChapterId=0&IsFeatured=False&IsNew=False&Keyword=spiritual%20assessment&print=y

  78. The Royal College of Nursing (UK). RCN spiritual survey; 2011. London: RCN.

    Google Scholar 

  79. The Royal College of Nursing (UK). Spirituality in nursing care: a pocket guide; 2012. London: RCN.

    Google Scholar 

  80. Hughes BP, et al. Spiritual care and nursing: a nurses contribution and practice. New York: Healthcare Chaplaincy Network; 2017.

    Google Scholar 

  81. Neely D, Minford EJ. Current status of teaching spirituality in UK medical schools. Med Educ. 2008;42(2):176–82.

    Article  PubMed  Google Scholar 

  82. Ross L. Spiritual care in nursing : an overview of the research to date. J Clin Nurs. 2006;15:852–62.

    Article  PubMed  Google Scholar 

  83. Lovanio K, Wallace M. Promoting spiritual knowledge and attitudes: a student nurse education project. Holist Nurs Pract. 2007;21:42–7.

    Article  PubMed  Google Scholar 

  84. Van Leeuwen R, Tiesinga LJ, Middel B, Post D, Jochensen H. The effectiveness of an educational programme for nursing students on developing competence in the provision of spiritual care. J Clin Nurs. 2008;17:2768–81.

    Article  PubMed  Google Scholar 

  85. Pulchaiski CM, Cobb M, Rumbold B. Curriculum development courses, and CPE. Part 1: curriculum development in spirituality and health in the health professions. In: Cobb M, Pulchaiski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 417–27.

    Google Scholar 

  86. McSherry W. Making sense of spirituality in nursing practice : an interactive approach. London: Churchill Livingstone; 2000.

    Google Scholar 

  87. Monareng LV. An exploration of how spiritual care is applied in nursing practice. Health SA Gesondheid. 2013;18:1–11.

    Article  Google Scholar 

  88. Snowden M, Ali G. How can spirituality be integrated into in undergraduate and post graduate education. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. 71–5.

    Chapter  Google Scholar 

  89. Pesut B, Fowler M, Taylor EJ, Reimer-Kirkham S. Spirituality and spiritual care in nursing fundamentals textbooks. J Nurs Educ. 2008;47:167–73.

    Article  PubMed  Google Scholar 

  90. Timmins F, Murphy M, Neill F, Begley T, Sheaf G. An exploration of the extent of inclusion of spirituality and spiritual care concepts in core nursing textbooks. Nurs Educ Today. 2015;35:277–82.

    Article  Google Scholar 

  91. Pesut B. Developing spirituality in the curriculum: worldviews, intrapersonal connectedness, interpersonal connectedness. Nurs Educ Perspect. 2003;6:290–4.

    Google Scholar 

  92. McSherry W. Making sense of spirituality in nursing and health care practice: an interactive approach. 2nd ed. London: Jessica Kingsley; 2006.

    Google Scholar 

  93. Ross L, van Leewen R, Baldacchion D, Giske T, McSherry W, Narayanasamy A, Downes C, Jarvis P, Schep-Akkermann A. Student nurses perceptions of spirituality and competence in delivering spiritual care. A European pilot study. Nurs Educ Today. 2014;34:697–702.

    Article  Google Scholar 

  94. Dall’Alba G, Barnacle R. An ontological turn for higher education. Stud High Educ. 2007;32:679–91.

    Article  Google Scholar 

  95. Dall’Alba G. Learning professional ways of being: ambiguities of becoming. Educ Philos Theory. 2009;41:34–45.

    Article  Google Scholar 

  96. Barnett R, Coates K. Engaging the curriculum in higher education. Buckinghamshire: SRHE and Open University Press; 2005.

    Google Scholar 

  97. Lennon-Dearing RL, Florence JA, Halvorson H, Pollard JP. An interprofessional educational approach to teaching spiritual assessment journal of healthcare chaplaincy 2012. J Healthc Chaplain. 2012;18:121–32.

    Article  Google Scholar 

  98. Swinton J. Spirituality in healthcare: just because it may be ‘made up’ does not mean that it is not real and does not matter (Keynote 5). J Study Spirituality. 2014;4:162–73.

    Article  Google Scholar 

  99. Kelly E. Competences in spiritual care education and training. In: Cobb M, Pulchaiski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 435–42.

    Google Scholar 

  100. Gordon T, Mitchell D. Competency model for the assessment and delivery of spiritual care. Palliat Med. 2004;18:646–51.

    Article  PubMed  Google Scholar 

  101. Neely D, Minford EJ. Current status of teaching on spirituality in UK medical schools. Med Educ. 2008;42:176–82.

    Article  PubMed  Google Scholar 

  102. Wattis J, Curran S, Rogers M. What does spirituality mean for patients, practitioners and health care organisations. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. 3.

    Chapter  Google Scholar 

  103. The Marie Curie Cancer Care Framework. Spiritual and religious care competencies for specialist palliative care. London: Marie Curie Cancer Care; 2003.

    Google Scholar 

  104. McSherry W. The principle components model: a model for advancing spirituality and spiritual care within nursing and health care practice. J Clin Nursing. 2006;15(7):905–17.

    Article  Google Scholar 

  105. Van Leeuwen R, Cusveller’s B. Nursing competencies for spiritual care in undergraduate nursing programmes. J Adv Nurs. 2004;48:234–46.

    Article  PubMed  Google Scholar 

  106. Timmins F, Caldeira S, Murphy MA, Pujol N, Sheaf G, Weathers E, Whelan J, Healthcare Chaplaincy. An exploration of current in hospital spiritual care resources in the republic of Ireland and review of international chaplaincy standards (report). Trinity College Dublin, The University of Dublin.

    Google Scholar 

  107. NHS Education for Scotland. Standards for NHS Chaplaincy services. Edinburgh: NHS Education for Scotland; 2007.

    Google Scholar 

  108. NHS Education for Scotland. Spiritual and religious care capabilities and competencies for healthcare chaplains. Edinburgh: NHS Education for Scotland; 2008.

    Google Scholar 

  109. Standards of practice for chaplaincy in acute settings. 2011. http://www.professionalchaplains.org/files/professional_standards/standards_of_practice/standards_practice_professional_chaplains_acute_care.pdf.

  110. Standards of practice for chaplaincy in long term care. http://www.professionalchaplains.org/files/professional_standards/standards_of_practice/sop_longtermcare.pdf.

  111. Vieten C, et al. Spiritual and religious competencies for psychologists. Psychol Relig Spiritual. 2013;5:129–44.

    Article  Google Scholar 

  112. Baldacchino D. Nursing competencies for spiritual care. J Adv Nurs. 2006;15:885–96.

    Google Scholar 

  113. Attard J, Baldacchino DR, Camilleri L. Nurses’ and midwives’ acquisition of competency in spiritual care: a focus on education. Nurs Educ Today. 2014;34:1460–6.

    Article  Google Scholar 

  114. Van Leeuwen R, Cusveller V. Nursing competencies for spiritual care. J Adv Nurs. 2004;48:234–96.

    Article  PubMed  Google Scholar 

  115. Biro AL. Creating conditions for good nursing by attending to the spiritual. J Nurs Manag. 2012;20:47–53.

    Google Scholar 

  116. Rankin EA, DeLashmutt MB. Finding spirituality and nursing presence: the students challenge. J Holist Nurs. 2006;24:282–8.

    Article  PubMed  Google Scholar 

  117. Mthembu TG, Wegner L, Roman NV. Teaching spirituality and spiritual care in health sciences education: a systematic review. Afr J Phys Act Health Sci. 2016;22:1036–57.

    Google Scholar 

  118. Wattis J. What does spirituality mean for patients, practitioners and health care organisations. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care; 2017. p. 1–18.

    Chapter  Google Scholar 

  119. Swinton J. The meanings of spirituality a multi – perspective approach to ‘the spiritual’. In: McSherry W, Ross L, editors. Spiritual assessment in healthcare practice. Keswick: M&K Update; 2013. p. 17–36.

    Google Scholar 

  120. Narayanasamy A. Spiritual care: a practical guide for nurses and healthcare practitioners. London: Quay Books; 2001.

    Google Scholar 

  121. McSherry W, Cash K. The language of spirituality: an emerging taxonomy. Int J Nurs Stud. 2004;41:151–61.

    Article  PubMed  Google Scholar 

  122. Hill PC, Pargament K. Advances in the conceptualisation and measurement of religion: implications for physical and mental research. Psychol Relig Spiritual. 2008;S(1):3–17.

    Article  Google Scholar 

  123. Baldacchino DR, Borg J, Muscat C. Psychology and theology meet: illness appraisal and spiritual coping. West J Nurs Res. 2012;34:818–47.

    Article  PubMed  Google Scholar 

  124. Swinton J, Pattison S. Moving beyond clarity: towards a thin, vague, and useful understanding of spirituality in nursing care. Nurs Philos. 2010;11:226–37.

    Article  PubMed  Google Scholar 

  125. Pike J. Spirituality in nursing: a systematic review of the literature from 2006-2010. Br J Nurs. 2011;20:743. https://doi.org/10.12968/bjon.2011.20.12.743.

    Article  PubMed  Google Scholar 

  126. Reinert K, Koenig H. Re-examining definitions of spirituality in nursing research. J Adv Nurs. 2013;69:2622–34.

    Article  PubMed  Google Scholar 

  127. McSherry W. What we know about spirituality. In: The meaning of spirituality and spiritual care within nursing and health care practice. London: Quay Books; 2013. p. 19–94.

    Google Scholar 

  128. Miller WR, Thoresen CE. Spirituality, religion, and health. An emerging research field. Am Psychol. 2003;58:24–35.

    Article  PubMed  Google Scholar 

  129. McSherry W, Smith J. Spiritual care. In: McSherry W, Mcsherry R, Watson R, editors. Care in nursing principles, values and skills. Oxford: Oxford University Press; 2012. p. 117–28.

    Google Scholar 

  130. Nolan S, Saltmarsh P, Leget C. Spiritual care in palliative care. Eur J Palliat Care. 2011;18:86–9.

    Google Scholar 

  131. Weathers E, McCarthy G, Coffey A. Concept analysis of spirituality: an evolutionary approach. Nurs Forum. 2015;51:79–96.

    Article  PubMed  Google Scholar 

  132. McSherry W, Cash W, Ross L. Meaning of spirituality: implications for nursing practice. J Clin Nurs. 2004;13:934–41.

    Article  PubMed  Google Scholar 

  133. Sharpiro J, Coulehan J, Wear D, Montello M. Medical humanities and their discontents: definitions, critiques and implications. Acad Med. 2009;84:192–8.

    Article  Google Scholar 

  134. Ferrell B, Del Ferraro C. Suffering. In: Cobb M, Pulchaiski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 158–68.

    Google Scholar 

  135. Vlasblom JP, van der Steen J, Jochamsen H. Effects of a spiritual care training for nurses. Nurse Educ Today. 2011;31(8):790–6.

    Article  PubMed  Google Scholar 

  136. Wagner AL, Seymour MA. A model of caring mentorship. J Nurses Prof Dev. 2007;23(5):201–11.

    Article  Google Scholar 

  137. Baillie L, Black S. Professional values in nursing. New York: CRC Press; 2015.

    Google Scholar 

  138. Keith P, Rogers R. Spirituality in the primary care setting. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care; 2017. p. 129–44.

    Chapter  Google Scholar 

  139. Mitchell DL, Bennett MJ, Manfrin-Ledet L. Spiritual development of nursing students: developing competence to provide spiritual care to patients at the end of life. J Nurs Educ. 2006;45:365–70.

    PubMed  Google Scholar 

  140. Bennett V, Thompson ML. Teaching spirituality to student nurses. J Nurs Educ Pract. 2015;5. https://doi.org/10.5430/jnep.v5n2p26.

  141. Jones J. Spirituality in acute health care settings. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. London: CRC Press; 2017. p. 99–114.

    Chapter  Google Scholar 

  142. Taylor EJ. Let’s begin. In: What do I say? Talking with patients about spirituality. Philadelphia: Templeton Press; 2007. p. 1–8.

    Google Scholar 

  143. Taylor EJ. Verbal responses to spiritual pain. In: What do I say? Talking with patients about spirituality. Philadelphia, PA: Templeton Press; 2007. p. 53–100.

    Google Scholar 

  144. Taylor EJ. Preparing the healer. In: What do I say? Talking with patients about spirituality. Philadelphia, PA: Templeton Press; 2007. p. 9–24.

    Google Scholar 

  145. Stairs J. Listening for the soul pastoral care and spiritual direction. Minneapolis: Fortess; 2000.

    Google Scholar 

  146. Kearney M, Weininger R. Care of the soul. In: Cobb M, Pulchaiski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 274–8.

    Google Scholar 

  147. Sitzman K, Watson J. Caring science, mindful practice implementing Watsons human caring theory. New York: Springer; 2016.

    Google Scholar 

  148. Bach S, Grant A. Communication and interpersonal skills in nursing. London: Sage; 2011.

    Google Scholar 

  149. Papadoupoulos I. The Papadoupoulos Tilki and Taylor model of developing cultural competence. In: Papadopoulos I, editor. Transcultural health and social care: development of culturally competent practitioners. London: Churchill Livingstone, Elsevier; 2006. p. 7–24.

    Google Scholar 

  150. Baughan J, Smith P. Compassion, caring and communication skills for nursing practice. 2nd ed. London: Routledge; 2011.

    Google Scholar 

  151. Giske T, Cone P. Opening up to learning spiritual care of patients: a grounded theory study of nursing students. J Clin Nurs. 2012;21:2006–15.

    Article  PubMed  Google Scholar 

  152. Cone T, Giske P. Teaching spiritual care – a grounded theory study among undergraduate nursing educators. J Clin Nurs. 2013;22:1951–60.

    Article  PubMed  Google Scholar 

  153. Baldacchino D. Teaching on spiritual care: the perceived impact on qualified nurses. Nurs Educ Pract. 2011;11:47–53.

    Article  Google Scholar 

  154. Langle A. The search for meaning in life and the existential fundamental motivations. Int J Existent Psychol Psychother. 2007;1:1708–696.

    Google Scholar 

  155. Udo C. The concept and relevance of existential issues in nursing. Eur J Oncol Nurs. 2014;18:347–54.

    Article  PubMed  Google Scholar 

  156. La Cour P, Hvidt NG. Research on meaning-making and health in secular society: secular, spiritual and religious existential orientations. Soc Sci Med. 2010;71:1292–9.

    Article  PubMed  Google Scholar 

  157. Henoch I, Danielson E. Existential concerns among patient with cancer and interventions to meet them: an integrative review. Psycho-Oncology. 2008;18:225–36.

    Article  Google Scholar 

  158. Browall M, Danielson E, Henoch I. Health care staff’s opinions about existential issues among patients with cancer. Palliat Support Care. 2010;8:5968.

    Article  Google Scholar 

  159. Sessana L, Finnell D, Jezewski MA. Spirituality in nursing and health related literature: a concept analysis. J Holist Nurs. 2007;25:252–62.

    Article  Google Scholar 

  160. Frankl V. Psychotherapy and existentialism: selected papers on logotherapy. New York: Simon & Schuster; 1967. p. 3.

    Google Scholar 

  161. Frankl VE. Man’s search for meaning an introduction to logotherapy. London: Hodder & Stoughton; 1987.

    Google Scholar 

  162. Strang S, Henoch I, Danieson E, Browall M, Melin-Johansson C. Communication about existential issues with patients close to death – nurses reflections on content, process and meaning. Psycho-Oncology. 2014;23(5):562–8.

    Article  PubMed  Google Scholar 

  163. Le May K, Wilson KG. Treatment of existential distress in life threatening illness: a review of interventions. Clin Psychol Rev. 2008;28:472–93.

    Article  Google Scholar 

  164. Ekmann P. What scientists who study emotion agree about. Perspect Psychol Sci. 2016;11:31–4.

    Article  Google Scholar 

  165. Burkhart L, Schmidt W. Measuring effectiveness of a spiritual care pedagogy in nursing education. J Prof Nurs. 2012;28:315–21.

    Article  PubMed  Google Scholar 

  166. Taylor EJ. Making sense of what you hear. In: What do I say? Talking with patients about spirituality. Philadelphia, PA: Templeton Press; 2007. p. 41–52.

    Google Scholar 

  167. Clinebell HJ. Basic types of pastoral counselling. Nashville: Abington; 1966.

    Google Scholar 

  168. Taylor EJ. Listening – beginning the healing response. In: What do I say? Talking with patients about spirituality. Philadelphia, PA: Templeton Press; 2007. p. 25–39.

    Google Scholar 

  169. Finfgeld-Connett D. Metasynthesis of presence in nursing. J Adv Nurs. 2006;55:708–14.

    Article  PubMed  Google Scholar 

  170. Gordon J, Watts C. Applying skills and knowledge: principle of nursing practice F. Nurs Stand. 2011;25:35–7.

    Article  PubMed  Google Scholar 

  171. Harbinson MT, Bell D. How should teaching on whole person medicine including spiritual issues be delivered in the undergraduate medical curriculum in the United Kingdom? BMC Med Educ. 2015;15:96.

    Article  PubMed  PubMed Central  Google Scholar 

  172. McSherry W, Ross L. A spiritual shortfall? Nurs Stand. 2015;29:22.

    Article  Google Scholar 

  173. NHS Scotland. Spiritual care matters: an introductory resource for all NHS Scotland Staff. Edinburgh: NHS Education for Scotland; 2009. p. 6.

    Google Scholar 

  174. McSherry W, Ross L. Nursing. In: Cobb M, Pulchaiski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 213.

    Google Scholar 

  175. Puchalski CM, Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. J Palliat Med. 2000;3:129–37.

    Article  CAS  PubMed  Google Scholar 

  176. Sharp J, Nash S. Spiritual teamwork within end of life care. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. 145–60.

    Chapter  Google Scholar 

  177. Rogers M, Beres L. How two practitioners conceptualise spiritually competent practice. In: Wattis J, Curran S, Rogers M, editors. Spiritually competent practice in health care. New York: CRC Press; 2017. p. 52–69.

    Google Scholar 

  178. Sawatzky R, Pesut B. Attributes of spiritual care in nursing practice. J Holist Nurs. 2005;23:19–33.

    Article  PubMed  Google Scholar 

  179. McSherry W, Jamieson S. The qualitative findings from an online survey investigating nurses’ perceptions of spirituality and spiritual. J Clin Nurs. 2013;22(21-22):3170–82.

    Article  PubMed  Google Scholar 

  180. Costello M, Atinaja-Faller J, Hedberg M. The use of simulation to instruct students on the provision of spiritual care: a pilot study. J Holist Nurs. 2012;30:277–81.

    Article  PubMed  Google Scholar 

  181. King DE, Crisp MD. Spirituality and health care education in family medicine residency programs. Fam Med. 2005;37:399–40.

    PubMed  Google Scholar 

  182. Lemmer C. Reflections on teaching “spirituality in the healthcare environment”. J Holist Nurs. 2010;28(2):145–9.

    Article  PubMed  Google Scholar 

  183. Watson J. Human caring science: a theory of nursing. 2nd ed. Sudbury: Jones & Bartlett Learning; 2012.

    Google Scholar 

  184. Ousager J, Johannessen H. Humanities in undergraduate education: a literature review. Acad Med. 2010;85:988–98.

    Article  PubMed  Google Scholar 

  185. Gordon JJ. Medical humanities: state of the art. Med Educ. 2008;43:333–7.

    Article  Google Scholar 

  186. Balboni TAL, Vanderwerker LC, Block SD, Paulik ME, Lathan CS, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007;25:555–60.

    Article  PubMed  Google Scholar 

  187. Astrow AB, Wexler A, Texeira K, He MK, Sulmasy DP. Is failure to meet spiritual needs associated with cancer patients perceptions of quality of care and their satisfaction. J Clin Oncol. 2007;25:5753–7.

    Article  PubMed  Google Scholar 

  188. Ross L, Austin J. Spiritual needs and spiritual support preferences of people with end-stage heart failure and their carers: implications for nurse managers. J Nurs Manag. 2015;23:87–95.

    Article  PubMed  Google Scholar 

  189. Balboni MJ. The relationship between medicine, spirituality and religion: three models for integration. J Relig Health. 2014;53:1586–98.

    Article  PubMed  Google Scholar 

  190. Caldeira S, Timmins F. Time as presence and opportunity: the key to spiritual care in contemporary nursing practice. J Clin Nurs. 2015;24(17-18):2355.

    Article  PubMed  Google Scholar 

  191. Selman L, Brighton LJ, Sinclair S, et al. Patients’ and caregivers needs, experiences, preferences and research priorities in spiritual care. A focus group study across nine countries. Palliat Med. 2018;32:216.

    Article  PubMed  Google Scholar 

  192. Lin HR, Bauer-Wu SM. Psycho-spiritual well-being in patients with advanced cancer: an integrative review of the literature. J Adv Nurs. 2003;44:69–80.

    Article  PubMed  Google Scholar 

  193. Bussing A, Koenig HG. Spiritual needs of patients with chronic diseases. Religions. 2010;1:18–27.

    Article  Google Scholar 

  194. Hodge DR, Horvath VE. Spiritual needs in health care settings: a qualitative meta-synthesis of clients perspectives. Soc Work. 2011;56:4.

    Google Scholar 

  195. Ellman MS, Schulman-Green D, Blatt L, Asher S, Viveiros D, Clark J, Bia M. Using online learning and interactive stimulation to teach spiritual and cultural aspects of palliative care to interprofessional students. J Palliat Care. 2012;15:1240–7.

    Google Scholar 

  196. Timmins F, Caldeira S. Assessing the spiritual needs of patients. Nurs Stand. 2017;31:47–53.

    Article  PubMed  Google Scholar 

  197. Swinton J. Spirituality in mental health care: rediscovering the forgotten dimension. London: Jessica Kingsley; 2001.

    Google Scholar 

  198. McSherry W. What we know about spirituality. In: The meaning of spirituality and spiritual care within nursing and health care practice. London: Quay Books; 2007. p. 19–94.

    Google Scholar 

  199. Narayanansamy A. Recognising spiritual needs. In: McSherry W, Ross L, editors. Spiritual assessment in healthcare practice. Keswick: M&K Update; 2013. p. 57–78.

    Google Scholar 

  200. Holloway M, Adamson S, McSherry W, Swinton J. Spiritual care at the end of life: a systematic review of the literature. London: Department of Health; 2009.

    Google Scholar 

  201. Selman L, Young T. Research priorities in spiritual care: an international survey of palliative care researchers and clinicians. J Pain Symptom Manage. 2014;48:518–31.

    Article  PubMed  Google Scholar 

  202. Monod S, Rochat E, Bula C, Spencer B. The spiritual needs model: spirituality as assessment in the geriatric hospital setting. J Relig Spiritual Aging. 2010;22:271–82.

    Article  Google Scholar 

  203. Selman L, Siegert R, Harding R, Gysels M, Speck P, Irene MA, Higginson J. A psychometric evaluation of measures of spirituality validated in culturally diverse palliative care populations. J Pain Symptom Manage. 2011;28:315–21.

    Google Scholar 

  204. Puchalski CM, Lunsford B, Harris M, Miller RT. Interdisciplinary spiritual care for seriously ill and dying patients palliative and supportive care: a collaborative model. Cancer J. 2006;12:398–416.

    Article  PubMed  Google Scholar 

  205. Kernohens WG, Waldron M, McAfee C, Cochrane B, Hasson F. An evidence base for a palliative care chaplaincy service in Northern Ireland. Palliat Med. 2007;21(6):510.

    Google Scholar 

  206. Puchalski CM, Lunsford B, Miller T. Interdisciplinary spiritual care for seriously ill and dying patients: a collaborative model. Cancer J. 2006;12:398–413.

    Article  PubMed  Google Scholar 

  207. Ross L. Spiritual aspects of nursing. J Adv Nurs. 1994;15:439–47.

    Article  Google Scholar 

  208. Bonevski R, Sanson-Fisher A, Girgis L, Burton P, Cook A. Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer. 2000;88:217–25.

    Article  CAS  PubMed  Google Scholar 

  209. Draper P. An integrative review of spiritual assessment: implications for nursing management. J Nurs Manag. 2012;20:970–80.

    PubMed  Google Scholar 

  210. Fitchett G, Risk JL. Screening for spiritual struggle. J Pastoral Care Counsel. 2009;63(1-2):1–12.

    Article  Google Scholar 

  211. McSherry W. Spiritual assessment definition, categorisation and features. In: McSherry W, Ross L, editors. Spiritual assessment in healthcare practice. Keswick: M&K Update; 2013. p. 57–78.

    Google Scholar 

  212. Healthcare Chaplaincy Network. Spiritual care and nursing: a nurse’s contribution and practice; 2017. https://spiritualcareassociation.org/docs/resources/nurses_spiritual_care_white_paper.

  213. Puchalski CM. Restorative medicine. In: Cobb M, Puchalski CM, Rumbold B, editors. Oxford textbook of spirituality in healthcare. New York: Oxford University Press; 2014. p. 197–210.

    Google Scholar 

  214. Timmins F, Caldeira S, Pujol N, Weathers E, Whelan J, Flanagan B. The role of the healthcare chaplain. J Health Care Chaplain. 2018;24:87–106.

    Article  PubMed  Google Scholar 

  215. Luchetti G, et al. Taking a spiritual history in clinical practice: a systematic review of instruments. Explore. 2013;9:159–70.

    Article  Google Scholar 

  216. Healthcare Chaplaincy Network. Spiritual care and nursing: a nurses’s contribution and practice (White Paper); 2017. https://spiritualcareassociation.org/docs/resources/nurses_spiritual_care_white_paper.

  217. Tanyi RA. Spirituality and family nursing assessment spiritual assessment and interventions for families. J Adv Nurs. 2006;53:287–94.

    Article  PubMed  Google Scholar 

  218. JCAHO. http://www.uphs.upenn.edu/pastoral/resed/jcahorefs.html.

  219. Ross L, McSherry W. Two questions that ensure person centred spiritual care. Nursing Standard [Internet]. 2018. Available from: https://rcni.com/nursing-standard/features/two-questionsensure-person-centred-spiritual-care-137261.

  220. Watson J. Nursing: the philosophy and science of caring. In: Smith MC, Turkel MC, Wolf ZR, editors. Caring in nursing classics: an essential resource. New York: Springer; 2013. p. 143–53.

    Google Scholar 

  221. Whelan J. The caring imperative: a hallmark in nursing education. In: Lee SM, Palmeiri PA, Watson J, editors. Global advances in human caring literacy. New York: Springer; Watson Science Caring Institute; 2017. p. 33–42.

    Google Scholar 

  222. Caldeira S, Timmins F. Implementing spiritual care interventions. Nurs Stand. 2017;31:54–60.

    Article  Google Scholar 

  223. Morse J. Negotiating commitment and involvement in the nurse-patient relationship. J Adv Nurs. 1991;16:455–68.

    Article  CAS  PubMed  Google Scholar 

  224. Pulchaski CM, Lunsford B. The relationship of spirituality and compassion in health care (White Paper). Kalamazoo: Fetzer Institute; 2008.

    Google Scholar 

  225. Bradshaw A. Teaching spiritual care to nurses: an alternative approach. Int J Palliat Nurs. 1997;3:51–7.

    Article  PubMed  Google Scholar 

  226. Watson J. Caring science as sacred science. Philadelphia PA: F. A. Davis; 2005.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jacqueline Whelan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Whelan, J. (2019). Teaching and Learning About Spirituality in Healthcare Practice Settings. In: Timmins, F., Caldeira, S. (eds) Spirituality in Healthcare: Perspectives for Innovative Practice. Springer, Cham. https://doi.org/10.1007/978-3-030-04420-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-04420-6_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04419-0

  • Online ISBN: 978-3-030-04420-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics