November 25, 2022

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

Nursing

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

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)

FICA Tool for Taking a Spiritual History

F—Faith and belief

I—Importance

C—Community

A—Address in care

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

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

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

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

Adopting a Hopeful Perspective and Offering Hope (2 of 3)

Nearing death

Touch, silence, prayer

Helping in life review or life repair

Finding peace

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

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?

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?

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?

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?

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

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Chapter 16

Requesting Support Overview

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)

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

Requests for Support (1 of 3)

Assertive

Outline the situation

Indicate what is the problem

Respectfully offer a possible solution

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

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

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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

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