Spirituality in Nursing

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l Spirituality in Nursing T FOR SALE Standing on Holy Ground 6TH EDITION T FOR SALE T FOR SALE.

l T FOR SALE T FOR SALE T FOR SALE.

l Spirituality in Nursing T FOR SALE Standing on Holy Ground 6TH EDITION Edited by Author Name, Credentials Affiliations Author Name, Credentials T FOR SALE Affiliations Author Name, Credentials Affiliations T FOR SALE.

l World Headquarters Jones & Bartlett Learning 5 Wall Street Burlington, MA 01803 978-443-5000 info@jblearning.com www.jblearning.com T FOR SALE Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning directly, call 800-832-0034, fax 978-443-8000, or visit our website, www. jblearning.com. Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via the above contact information or send an email to specialsales@jblearning.com. Copyright 2017 by J, an Ascend Learning Company All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic Jones or mechanical, & including Bartlett photocopying, Learning, recording, or LLC by any information storage and retrieval system, without written permission from the copyright owner. The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of J. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by J and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. [Title, Edition] is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the T FOR SALE trademarks or service marks referenced in this product. There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes only. Production Credits VP, Executive Publisher: David D. Cella Executive Editor: Amanda Martin Acquisitions Editor: Teresa Reilly Associate Acquisitions Editor: Rebecca Myrick Editorial Assistant: Lauren Vaughn Editorial Assistant: Danielle Bessette Production Manager: Carolyn Rogers Pershouse Senior Production Editor: Amanda Clerkin Production Editor: Vanessa Richards Production Assistant: Juna Abrams FPO To order this product, use ISBN: 978-1-284-xxxxx-x Production Assistant: Rebecca Humphrey Director of Marketing: Andrea DeFronzo Senior Marketing Manager: Brian Rooney Cover Design: Kristin E. Parker Associate Director of Rights & Media: Joanna Lundeen Rights & Media Specialist: Jamey O Quinn Cover Image: Printing and Binding: Edwards Brothers Malloy Cover Printing: Edwards Brothers Malloy Library of Congress Cataloging-in-Publication Data <insert CIP data> 6048 T FOR SALE Printed in the United States of America 20 19 18 17 16 10 9 8 7 6 5 4 3 2 1.

l T FOR SALE NOT Dedication FOR SALE This book is dedicated to the many patients, family members, and caregivers, including nurses, physicians, chaplains, firefighters, ett and police Learning, officers, who LLC so generously shared OR their beliefs DISTRIBUTION and experiences in the hope of clarifying the importance of spirituality in nursing. Some have crossed over to a new life; others continue to live courageously, ones & Bartlett Learning, finding LLC meaning and hope in the experience T FOR SALE of illness or in ministering to those who are ill. Their words, quoted extensively in the following pages, are their legacy. I am privileged to be the storyteller. T FOR SALE.

l God called to Moses out of the bush: Remove the sandals from your feet, for the place on which you are standing is holy ground. Exodus 3:4 5 The nurse s smile warmly embraces the cancer patient arriving for a chemotherapy treatment. This is holy ground. ones & Bartlett The nurse Learning, watches solicitously LLC over the pre-op child who tearfully Jones & Bartlett Learning, T FOR SALE whispers, I m scared. This is holy ground. The nurse gently diffuses the anxieties of the ventilator-dependent patient ett Learning, the LLC ICU. This is holy ground. The nurse tenderly takes the hand of the frail elder struggling to accept life in the nursing home. This is holy ground. NOT The FOR nursesale reverently touches and is touched by the patient s heart, the dwelling place of the living God. This is spirituality in nursing, T FOR SALE this is the ground of the practice of nursing, this is holy ground! T FOR SALE.

l Design Credits: Place header image credit here. Contents Preface...xi T FOR SALE Acknowledgments... xv Text Credits... xvii ett Learning, Chapter LLC 1 Spirituality in Nursing: Jones Nursing & Bartlett Diagnoses: Alterations Learning, LLC Standing on Holy Spiritual Integrity... 56 Ground... 1 The Spiritual Ministry of Nursing: A Historical Perspective...2 Spirituality and Nursing Practice...4 The Nurse s Spiritual Posture: Standing on Holy Ground...7 Holistic Nursing: The Body, Mind and Spirit Connection....7 The Nurse as Healer....8 A Nursing Theology of Caring... 10 Dimensions of Caring.... 12 Nursing as a Vocation: Called to Serve.... 15 References... 16 Chapter 2 A Spiritual History Chapter 5 The Nurse Patient of Nursing... 21 Relationship: A Caring ett Ministry Learning,... LLC 73 Nursing In the Pre-Christian Era.... NOT 22 FOR SALE Biblical Roots of Nursing... 24 Christianity and Care of the Sick.... 25 Post-Reformation Nursing: The Catholic and Protestant Nursing Orders.... 35 References... 42 Chapter 3 Nursing Assessment of Spiritual Needs... 45 Nursing Assessment... 45 The Joint Commission Mandate on Assessment of Spiritual Needs.... 47 HIPAA Regulations and Spiritual Assessment.... 47 Nursing Assessment of Spiritual Needs... 49 Personal Faith............................ 52 Spirituality and Nursing Research... 57 References... 59 Chapter 4 A Middle-Range Theory of Spiritual Well-Being in Illness.... NOT FOR 63 SALE T FOR SALE T FOR SALE A Brief History of Theory Development in Nursing... 64 A Middle-Range Theory of Spiritual Well-Being in Illness... 66 Development of the Theory of Spiritual Well-Being in Illness... 66 References... 71 The Nurse Patient Relationship... 73 Spirituality and the Nurse... 74 The Nurse: The Anonymous Minister.... 76 The Mysticism of Everyday Nursing.... 95 References... 96 Chapter 6 Spiritual Care: The Nurse s Role... 99 The Nurse s Role in Spiritual Care... 100 Spiritual Care and Religious Tradition... 102 vii.

l viii Contents Chapter 9 Spiritual Needs of Children and Families... 179 Nursing Theory and Spiritual Care... 106 Nursing Intervention: The Practice of Spiritual Care... 108 Nursing Intervention in Spiritual Distress.... 109 Spiritual and Religious Resources.... 113 References... 120 T FOR SALE Chapter OR 7 Spiritual DISTRIBUTION Needs of the Patient with an Acute Illness... 127 The Case of Acute Illness.... 128 Spiritual Needs in Acute Illness.... 129 Spiritual Health in Acute Illness... 131 Spiritual Needs of the Perioperative Patient.... 132 Spiritual Needs of the ICU Patient.... 134 Spiritual Needs of the Emergency Room Patient.... 141 Spiritual Needs of the Patient in Pain.... 143 References... 145 ones & Chapter Bartlett 8 Spiritual Learning, Needs LLC T FOR SALE OR of DISTRIBUTION the Chronically Ill Person.... 151 The Case of Chronic Illness... 152 Spiritual Care of the Chronically Ill Patient... 153 Spiritual Needs in Chronic Illness... 154 Spiritual Needs of the Cancer Patient.... 158 Spiritual Needs of the Hiv-Infected Person.... 159 Spiritual Needs of the Chronic Renal Failure Patient.... 161 Spiritual Needs of the Mentally Challenged... 162 Spiritual Needs in Physical Disability and Rehabilitation.... 167 Spiritual Needs of the Client in the Community... 170 References... 171 T FOR SALE Spiritual Needs of the Child... 179 Spiritual Needs of the Dying Child... 186 Spiritual Needs of the Family... 189 References... 195 Chapter 10 Spiritual Needs of the Older Adult.... 201 The Older Adult.........................202 The Spirituality of Aging... 203 Spirituality and Religious Practice in Older Adults.... 205 Spirituality and Physical Diminishment.... 207 Spirituality and Cognitive Diminishment.... 207 Spiritual Concerns of the Older Adult.... 208 Spiritual Needs of the Older Adult.... 210 Spiritual Needs in Long-Term Care... 212 Spirituality and Quality of Later Life... 220 References... 221 Chapter 11 Spiritual Well-Being Jones & and Bartlett Quality Learning, LLC of Life at OR the DISTRIBUTION End of Life... 227 Spirituality at the End of Life.... 229 Spiritual Well-Being at the End of Life: An Experiment in Parish Nursing... 232 Meeting Spiritual Needs of Elders Near the End of Life... 235 Spiritual Well-Being and Quality of Life in Older Adults at the End of Life.... 236 Conclusion... 245 References... 245.

l Contents ix Chapter 12 Spiritual Needs Spirituality and International Terrorism.. 316 ett in Death and Learning, LLCReferences... Jones 320 & Bartl Bereavement... 249 Chapter 15 The Spirituality of The Spirituality of Death and Dying.... 250 Servant Leadership Spiritual Needs in the Dying Process.... 251 in Nursing... 325 Spiritual Support in Death and Dying... 252 Religious Practices Associated with Death and Dying.....................257 Spirituality and the Rite of Burial... 261 T FOR SALE Spirituality and the Bereavement Experience... 261 Spiritual Care in Bereavement: The Healing Process.... 265 References... 266 Chapter 13 Parish/Faith Community Chapter 16 Prayer in Nursing: Nursing: Caregiving The Spirituality ett within the Learning, Church LLC of Contemplative Community... 271 Parish Nursing/Faith Community Nursing... 272 Parish Nursing Defined... 274 A Brief History Of Parish Nursing... 276 Early Models Of Parish Nursing.... 278 The Spirituality Of Parish Nursing... 279 Parish Nursing Research... 282 References... 285 T FOR SALE Disaster Nursing... 290 Psychosocial Impact of Mass Casualty Trauma... 293 Spiritual Needs in the Aftermath of a Disaster.... 295 The Disaster Nurse s Role in Spiritual Care... 297 The September 11, 2001, Terrorist Attack On America: Spiritual Needs And Spiritual Care... 299 Spiritual Needs of Post 9/11 Survivors and Witnesses... 315 Servant Leadership: A Sacred Calling... 327 Servant Leadership in Nursing... 329 Research on Servant Leadership in Nursing... 333 The Study: Servant Leadership in Nursing... 334 A Model of Servant Leadership in Nursing... 342 References... 346 Caregiving... NOT 351 FOR SALE Reclaiming Our Spiritual Heritage: A History of Prayer in Nursing... 353 Prayer and Contemporary Nursing: Why Should We Pray?... 354 The Use of Scripture for Prayer in Nursing... 355 Finding Time For Prayer in Nursing... 356 Prayer and Nursing Practice: A Nurse s Sabbath.... 358 Chapter 14 Spiritual Needs in The Ethics of Praying with Patients... 359 Mass Casualty References... 360 Disasters... 289 Chapter 17 The Spirituality of Caring: A Sacred Covenant Model for T FOR SALE Nursing Practice Jones... 363 & Bartl The Spirituality of Caring in Nursing... 364 Nurses Caring as a Sacred Covenant... 369 The Spiritual History of Covenantal Caring in Nursing.... 373 Spiritual Concepts in Nursing Theories of Caring... 376.

l x Contents A Sacred Covenant Model of Caring for Nursing Practice.... 379 The Sacred Covenant Model of Caring For Nursing Practice.... 386 References... 388 Chapter 18 A Lived Experience ones & Bartlett Learning, of Caring Nursing LLC T FOR SALE OR Practice: DISTRIBUTION the Ministry of Catherine of Siena... 395 Catherine of Siena: Patroness of Nursing.... 396 Catherine s Covenantal Ministry.... 397 Sacred Covenant Attributes... 397 Sacred Covenant Behaviors... 400 References... 406 Index.... 000 T FOR SALE T FOR SALE.

l Design Credits: Place header image credit here. Preface T FOR SALE In this third millennium, our society is looking more and more to its spiritual traditions and philosophies for understanding, guidance, and comfort. This is witnessed by the fact that the concept of spirituality, encompassing numerous definitions, is being widely explored in such media as books, newsmagazines, websites, and television documentaries. The nursing community, also, has experienced a resurgence of interest in spirituality, especially in relation to the spiritual needs of those who are ill. The purpose of this text is to explore the relationship between spirituality and the practice of nursing from a number of perspectives, including nursing assessment of patients spiritual needs, the nurse s role in the provision of spiritual care, the spiritual nature of the nurse patient relationship, the spiritual history of the nursing profession, and the contemporary interest in spirituality within the nursing profession. The work is undergirded by the author s research in spirituality and nursing over the past three decades. The text s subtitle and theme, Standing on Holy Ground, which describes the nurse s posture in providing spiritual care, was derived from nursing studies of the spiritual needs of chronically and acutely ill adults and children experiencing the sequelae of such conditions as cancer (including leukemia and lymphoma), cardiovascular disease, diabetes, depression, arthritis, Alzheimer s disease, chronic renal failure, and HIV infection and AIDS. The research included both formal and informal interviewing and observing of patients at home as well as in hospital and long-term care settings. The spiritual needs of fragile patient populations the poor, the elderly, and ventilator-dependent patients in the intensive care unit were also explored. Data on the spiritual needs and concerns of patients family members were obtained through interaction with significant others. In order to expand the database of patient spiritual needs appropriate to nursing intervention, qualitative interviews were conducted with a cadre of contemporary nurses from a variety of clinical backgrounds, including medical surgical nursing, perioperative nursing, critical care nursing, emergency nursing, community health nursing, psychiatric mental health nursing, pediatric nursing, gerontological nursing, and parish nursing; the group included nurse clinicians, nurse educators, nurse administrators, and nurse researchers. In addition to providing data on patient spiritual needs, numerous reports of spiritual care provided by practicing nurses were documented. The data derived from patient, family, and nurse interviews are supplemented by materials excerpted from the author s journal maintained both during the research and while serving as a chaplain intern in a research-oriented medical center. Pseudonyms are used in all instances where naming of study respondents is warranted. The text presents study findings and implications for care in chapters on nurse patient interaction, the nurse s role in spiritual care, the spiritual needs of acute and chronically ill persons, the spiritual needs of ill children and the families of those T FOR SALE T FOR SALE xi.

l xii Preface who are ill, the spiritual needs of the frail older adult, spiritual needs in mass casualty disasters, Jones the spirituality & Bartlett of parish Learning, nursing, spiritual LLCneeds at the end of life, spiritual needs NOT in death FOR and SALE bereavement, the spirituality of servant leadership in nursing, the importance of prayer in nursing, and the spirituality of nurses caring behaviors. In this sixth edition of Spirituality in Nursing: Standing on Holy Ground, a new chapter has been added. Chapter 18 presents a lived experience of the spirituality of caring employing the ministry of Catherine of Siena, patroness of nursing, as exemplar. In this chapter, Catherine s tender compassion for the ill and infirm is documented through numerous case study examples of her care for the poor and the marginalized, especially those suffering from such diseases as leprosy and the plague. The relevance of Catherine s nursing ministry for contemporary caregivers is explained. Chapter 1, Spirituality In Nursing, includes a new discussion of Nursing as a Vocation: The Call to Serve, and in Chapter 2, The Spiritual History of Nursing, both Old and New Testament Biblical roots of nursing are now explored, as well as the role of Jesus, as healer; also described are additional nursing role models in terms of both individuals and nursing communities. These include Florence Nightingale, Catherine of Siena, Patroness of Nursing, Veronica of Jerusalem, the Alexian Brothers Nursing Community, and Mary Breckinridge and the Frontier Nursing Service, among others. The chapter is grounded in the nursing and theological literature, documenting the historical role of the nurse in the provision of spiritual care. Chapter Jones 3, Nursing & Bartlett Assessment Learning, of Spiritual Needs, LLC contains a Spiritual Assessment Scale NOT with FOR established SALE validity OR and DISTRIBUTION reliability, which can be used by nurses in both practice and research. Also included is identification of nursing diagnoses related to alterations in spiritual integrity. Chapter 3 also contains a subsection discussing the impact of contemporary HIPAA (Health Insurance Portability and Accountability Act) regulations on patients spiritual and pastoral needs. In Chapter 4 there is a discussion of the construction of spirituality in nursing theory as well as commentary on the contemporary relevance of nursing theory in practice, research, and education and, in Chapter 6 myriad new literature citations document the value of the nurse s role in spiritual care as well as placing emphasis on this role in undergraduate nursing education. Chapter 8 provides new information on the spiritual needs of the mentally challenged person. Chapter 10 incorporates information describing the long-term care setting of the continuing care retirement community (CCRC), as well as the spiritual needs of CCRC residents. In Chapter 13, Parish/Faith Community Nursing a discussion of the recent title change (for some practitioners) from parish nursing to faith community nursing is explained. Chapter 13 contains information on the latest edition (2012, second edition) of the Scope and Standards of Faith Community Nursing, published by the American Nurses Association (ANA) in collaboration with the Health Ministries Association (HMA). Also included Jones are & criteria Bartlett for certification Learning, Faith LLC Community Nursing as identified by the NOT ANA FOR and HMA SALE (2014). Chapter 14 contains descriptions of recent research on the spiritual needs of post-9/11 survivors and witnesses. A new section on spirituality and international terrorism has been added focusing on three recent events: the Boston Marathon Bombings, the Paris Terrorist Attacks, and the Brussels Multisite Explosions. Chapter 15 includes current nursing research on the concept of servant leadership in nursing and health care. Chapter 16 explores the concept of prayer in nursing. Prayer is described T FOR SALE T FOR SALE T FOR SALE.

l Preface xiii as the catalyst for contemplative nursing; among the topics included are a history of prayer in nursing, finding time for prayer in nursing, and the ethics of praying with patients. Chapter 17 presents a newly developed Sacred Covenant Model of Caring for Nursing Practice ; the spirituality of caring is explored both broadly and in terms of theory development for nursing practice. New material and references have been added in all chapters in order to update the concepts in terms of current thinking on spirituality in nursing. Each chapter opens with a quote from a contemporary practicing nurse expressing his or her perceptions and/or experiences related to the spirituality of the nursing profession and the chapter topic. It is understood that a text dealing with spiritual issues must, to a large degree, be influenced by the personal spiritual and religious élan of the writer. Thus, it is important to acknowledge that the author s Christian philosophy of life inspired, guided, and supported the writing of Spirituality in Nursing. Although an effort has been made to include examples of patient spiritual needs, supported by both data and literature, relative to other religious affiliations, the overall orientation of the work is derived primarily from the Judeo-Christian tradition. It is believed, nonetheless, that nurse readers whose spirituality is guided by another religious ethic will find meaning and inspiration in the poignant nursing examples of spiritual care and compassion as well as in the case examples of patients spiritual needs. T FOR SALE T FOR SALE T FOR SALE.

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l Design Credits: Place header image credit here. Acknowledgments T FOR SALE The author s loving thanks is extended to the many patients and caregivers, both professional and family, who graciously and generously shared their thoughts and experiences, included in the text, in the hope of helping others who may one day tread a similar path. Much appreciation must also be expressed to the editorial and production staff of Jones & Bartlett Learning, who have continued to support the work of preparing the revised and updated editions of Spirituality in Nursing: Standing on Holy Ground. And, finally, my deepest and most abiding gratitude is to God, the source of my strength and the center of my life; to the Father who provides me with the courage and energy to write, to His Divine Son, Jesus Christ, whose care for the ill and infirm provides the model for ministry to the sick and to the Holy Spirit, without whose inspiration and guidance these pages would never have been completed. T FOR SALE T FOR SALE xv.

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l Design Credits: Place header image credit here. Text Credits T FOR SALE The Scripture quotations contained herein are from The New Revised Standard Version Bible: Catholic Edition, copyright 1993 and 1989 by the Division of Christian Education of the National Council of the Churches of Christ in the U.S.A. Used by permission. All rights reserved. Chapter 2 contains material from pages 32, 33 34, 52 54; and nursing quotes at the beginning of all chapters are taken from pages 102 103, 143, 148, 159, 162 163, 201, 205, 224 225, 237, 242, 253, 263, 278, 299, 302 303, and 308 of Servant Leadership in Nursing: Spirituality and Practice in Contemporary Health Care. Burlington, MA: Jones & Bartlett Learning, 2011. Used with permission of the publisher. Chapter 3, pages 66 67; Chapter 6, page 128; and Chapter 7, page 155, quotes from M. E. O Brien (1982), The need for spiritual integrity. In H. Yura and M. Walsh (Eds.), Human needs and the nursing process, vol. 2. Norwalk, CT: Appleton- Century- Crofts. Used with permission of the editors. One section of Chapter 3, Nursing Assessment of Spiritual Needs, describing the patient spiritual assessment and care mandated by The Joint Commission, has been reprinted from A Nurse s Handbook of Spiritual Care: Standing on Holy Ground, p. 15, Jones & Bartlett Learning, 2004, used with permission of the publisher. Major sections of Chapter 4, A Middle-Range Theory of Spiritual Well-Being in Illness, have been taken from Chapter 5, Conceptual Models of Parish Nursing Practice: A Middle-Range Theory of Spiritual Well-Being in Illness, in Parish Nursing: Healthcare Ministry Within the Church, Jones & Bartlett Learning, 2003, used with permission of the publisher. Major sections of Chapter 15, The Spirituality of Servant Leadership in Nursing, have been taken from Chapters 1, 4, 5, and 8 in Servant Leadership in Nursing: Spirituality and Practice in Contemporary Health Care. Jones & Bartlett Learning, 2011. Used with permission of the publisher. Major sections of Chapter 16, Prayer in Nursing, were taken from portions of Chapters 1, 3, 4, and 5 in Prayer in Nursing: The Spirituality of Compassionate Caregiving, Jones & Bartlett Learning, 2003, as well as one passage in Chapter 17, The Spirituality of Caring, taken from pp. 83 84, in Prayer in Nursing: The Spirituality of Compassionate Caregiving. Used with permission of the publisher. Major sections of Chapter 18, A Lived Experience of Caring in Nursing Practice: The Ministry of Catherine of Siena have been taken from pages 162 188 in Catherine of Siena: A Sacred Covenant of Caring for the Sick, New Priory Press, 2015. Used with permission of the publisher. T FOR SALE T FOR SALE xvii.

l xviii Text Credits Other Jones & Bartlett learning titles By Mary Elizabeth O Brien A Nurse s Handbook of Spiritual Care: Standing on Holy Ground Parish Nursing: Healthcare Ministry within the Church Prayer in Nursing: The Spirituality of Compassionate Caregiving A Sacred Covenant: The Spiritual Ministry of Nursing Servant Leadership in Nursing: Spirituality and Practice in Contemporary Health Care T FOR SALE T FOR SALE T FOR SALE.