Citation for published version (APA): Leeuwen, R. R. V. (2008). Towards nursing competencies in spiritual care s.n.

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1 University of Groningen Towards nursing competencies in spiritual care van Leeuwen, Renatus IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2008 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Leeuwen, R. R. V. (2008). Towards nursing competencies in spiritual care s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date:

2 René van Leeuwen Towards nursing competencies in spiritual care

3 Van Leeuwen, René Towards nursing competencies in spiritual care Thesis University of Groningen, The Netherlands - With references - With summary in Dutch. ISBN The study presented in this thesis was carried out at SHARE, the Graduate School for Health Research of the University of Groningen and the Lectorate Ethics of Care of the Ede Christian University. Cover design and lay out: In Zicht Grafisch Ontwerp, Arnhem Photography: Ellis van den Berg Printed by: Ipskamp Printpartners, Enschede Copyright R. van Leeuwen, 2008 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronically, mechanically, by photocopying, recording, or otherwise, without the prior written permission of the author.

4 RIJKSUNIVERSITEIT GRONINGEN Towards nursing competencies in spiritual care Proefschrift ter verkrijging van het doctoraat in de Medische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. F. Zwarts, in het openbaar te verdedigen op woensdag 13 februari 2008 om uur door Renatus Ronaldus van Leeuwen geboren op 23 september 1956 te Aalten

5 Promotores: Prof. dr. D. Post Prof. dr. H. Jochemsen Copromotor: Dr. L.J. Tiesinga Beoordelingscommissie: Prof. dr. M. Highfield Prof. dr. C.J. Waaijman Prof. dr. R.P. Zwierstra

6 Paranimfen: Auke Bos Gert Westrik

7

8

9 General introduction and outline 11 The connection between spirituality and health in physical healthcare: 29 an analysis of medical and nursing-related studies Aspects of spirituality concerning illness 55 Nursing competencies for spiritual care 77 Spiritual care: implications for nurses professional responsibility 105 An Instrument to measure Nursing Competencies in Spiritual Care: 131 validity and reliability of the Spiritual Care Competence Scale (SCCS) The effectiveness of an educational programme for nursing students 153 on developing competence in the provision of spiritual care Learning effects of thematic peer review: a qualitative analysis of 181 reflective journals on spiritual care General discussion 199 Summary 224 Samenvatting 232 Dankwoord 240 Curriculum vitae 246

10

11 "Mitch. Can I tell you something?" Of course, I said. "You might not like it." Why not?" "Well, the truth is, if you really listen to that bird on your shoulder, if you accept that you can die at any time - then you might not be as ambitious as you are." "You might have to make room for some more spiritual things." Spiritual things? "You hate that word, don't you? 'Spiritual.' You think it's touchy-feely stuff." Well, I said. "Mitch," he said, laughing along, "even I don't know what 'spiritual development' really means. But I do know we're deficient in some way. We are too involved in materialistic things, and they don't satisfy us. The loving relationships we have, the universe around us, we take these things for granted." He nodded toward the window. "You see that?" You can go out there, outside, anytime. I can't do that. I can't go out. I can't run. I can't be out here without fear of getting sick. But you know what? I appreciate that window more than you do." Appreciate it? "Yes, I look out that window every day. I notice the change in the trees, how strong the wind is blowing. It's as if I can see time actually passing through that windowpane. Because I know my time is almost done, I am drawn to nature like I'm seeing it for the first time. Mitch Albom, Tuesdays with Morrie, 1997

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