Spiritual Dimensions (spiritual + dimension)

Distribution by Scientific Domains


Selected Abstracts


The principal components model: a model for advancing spirituality and spiritual care within nursing and health care practice

JOURNAL OF CLINICAL NURSING, Issue 7 2006
MPhil, McSherry Wilfred BSc
Aim., The aim of this study was to generate a deeper understanding of the factors and forces that may inhibit or advance the concepts of spirituality and spiritual care within both nursing and health care. Background., This manuscript presents a model that emerged from a qualitative study using grounded theory. Implementation and use of this model may assist all health care practitioners and organizations to advance the concepts of spirituality and spiritual care within their own sphere of practice. The model has been termed the principal components model because participants identified six components as being crucial to the advancement of spiritual health care. Design., Grounded theory was used meaning that there was concurrent data collection and analysis. Theoretical sampling was used to develop the emerging theory. These processes, along with data analysis, open, axial and theoretical coding led to the identification of a core category and the construction of the principal components model. Methods., Fifty-three participants (24 men and 29 women) were recruited and all consented to be interviewed. The sample included nurses (n = 24), chaplains (n = 7), a social worker (n = 1), an occupational therapist (n = 1), physiotherapists (n = 2), patients (n = 14) and the public (n = 4). The investigation was conducted in three phases to substantiate the emerging theory and the development of the model. Results., The principal components model contained six components: individuality, inclusivity, integrated, inter/intra-disciplinary, innate and institution. Conclusion., A great deal has been written on the concepts of spirituality and spiritual care. However, rhetoric alone will not remove some of the intrinsic and extrinsic barriers that are inhibiting the advancement of the spiritual dimension in terms of theory and practice. Relevance to clinical practice., An awareness of and adherence to the principal components model may assist nurses and health care professionals to engage with and overcome some of the structural, organizational, political and social variables that are impacting upon spiritual care. [source]


The challenge of spiritual care in a multi-faith society experienced as a Christian nurse

JOURNAL OF CLINICAL NURSING, Issue 2 2004
ILTHE, Tonks N. Fawcett BSc
Background., Understanding the spiritual dimension of holistic nursing care is arguably regaining its centrality in the assessment of patient well being in whatever area of care. However it is argued that we are still far from having a universal agreement as to what is meant by the concept of spirituality. Aims and objectives., This paper aims to explore some of the definitions and models of spirituality and determine what is meant by spiritual needs. Taking the perspective of a Christian nurse, the potential tension between the nature of spiritual care and evidence-based professionalism is explored. Conclusion., The exploration reveals the challenges faced by a nurse who wishes to administer this spiritual care and holds a personal commitment to the Christian faith. Relevance to clinical practice., Acknowledging and debating the challenge of spiritual care is arguably the first step towards meeting optimally this need in our patients. The dilemma that may need to be further explored within the context of nursing care is how a nurse, holding and operating within one particular belief (e.g. Christianity) can offer the ideal of spiritual care to patients who hold other, quite different beliefs. [source]


Continuing Professional Education: A Spiritually Based Program

NEW DIRECTIONS FOR ADULT & CONTINUING EDUCATION, Issue 85 2000
Lynda W. Miller
Parish nursing education is an example of continuing professional education that intentionally addresses the spiritual dimension of learning as it relates to the adult learner, both personally and professionally. The continuing professional education course described here is based on a spirited epistemology, a learner-centered approach. [source]


The spiritual dimensions of psychopolitical validity: the case of the clergy sexual abuse crisis

JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 2 2008
Diana L. Jones
In this article, the authors explore the spiritual dimensions of psychopolitical validity and use it as a lens to analyze clergy sexual abuse. The psychopolitical approach suggests a comprehensive human science methodology that invites exploration of phenomena such as spirituality and religious experience and the use of methods from a wide variety of disciplines, including philosophy and theology. They report an analysis showing the clergy sexual abuse crisis to be a system with interrelated personal, relational, and social/collective aspects, many of which are in the spiritual domain. The analysis shows how the abuse of power permeates the clergy sexual abuse system and suggests that two interrelated levels of reform must occur: (a) the church must transformatively change its structures to liberate its members to develop spiritually as mature persons,a political task, and (b) consciousness raising is required to help empower people to assume their rightful role in church decision making,a psychological task. © 2008 Wiley Periodicals, Inc. [source]


Toward a community-oriented action research framework for spirituality: Community psychological and theological perspectives

JOURNAL OF COMMUNITY PSYCHOLOGY, Issue 5 2001
Paul R. Dokecki
Spirituality, once an old and honorable religious term for the "exploration into what is involved in becoming human" (McFague, 1997, p. 10), is ubiquitous in contemporary culture, albeit highly diverse and ambiguous in its usage. In our active interchange involving two community psychologists and a theologian,carried on in the spirit of Lewinian action research and pastoral theology's method of congregational studies, we have returned to that earlier tradition. We are developing a framework for spirituality encompassing human development and community development as two sides of the same coin. The framework provides a community-oriented theoretical account of the dynamics of spirituality and a foundation for action research on the interrelationship of spirituality and community. We begin by describing the context for the development of the framework,the St. Robert project, a participant,observer action research and consultation project ongoing for more than ten years in a Roman Catholic parish. We then present the framework's elements and conclude by outlining an ongoing empirical inquiry at St. Robert into the nature of spirituality, which has implications for the field's address to the spiritual dimensions of personal and community experience, especially psychological sense of community. © 2001 John Wiley & Sons, Inc. [source]


The experiences and perceived changes of Chinese ex-mental patients attending a holistic psychiatric rehabilitation programme: a qualitative study

JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2008
A. L. LUK
The paper reports a study on the subjective experiences and perceived personal changes of Chinese ex-mental patients attending a psychiatric holistic rehabilitation programme. The programme adopted a self-help group approach in which holistic aspects of physical, psycho-social and spiritual needs are emphasized. There are different rehabilitation programmes for chronic mental patients. However, spiritual element is not consciously included in most of these programmes. Furthermore, few studies document the changes of participants attending psychiatric rehabilitation adopting self-help and holistic care principles. A qualitative approach using an in-depth interview was adopted. A total of 20 members from the programme, which was about one-sixth of all the regular group members were recruited. All interviews were audiotaped and transcribed. Data were coded, categorized and developed to different themes using content analysis. Totally, there were 52 themes developed from the data. However, only 13 themes on experiences in the group and nine themes on the perceived personal changes were reported. By attending the programme, participants had positive feelings and gained many positive learning opportunities when interacting with peers. Interacting with group counsellors was also very beneficial to them. Though there were only some improvements physically, there were clear perceived positive changes in the psychological, social and spiritual dimensions. These findings are consistent with those found in the quantitative measures reported previously. The subjective experiences of the participants were positive and they perceived positive personal changes after joining the group. The findings support the effectiveness of the long-term nature of self-help group. Furthermore, the holistic programme helps members rediscover meaning and purpose of life and the religious practices in the group can be regarded to be a protective factor to stress not only to those believers but also to the non-believers. [source]


Beyond polarities of knowledge: the pragmatics of faith

NURSING PHILOSOPHY, Issue 1 2002
Gweneth A. Hartrick RN
Abstract The dissociation between the domains of knowledge continues to perpetuate the fragmentation of people's health and healing experiences. Of particular significance are the polarities that have been created between the objective, subjective and spiritual dimensions of knowledge and human experience. This paper offers a consideration of how faith might serve as a pragmatic avenue towards assuaging the polarities between knowledges and enhancing nurses' ability to attend to the complex and mulitdimensional nature of health and healing processes. [source]


The tidal model: the lived-experience in person-centred mental health nursing care

NURSING PHILOSOPHY, Issue 3 2001
Phil Barker PhD RN FRCN
Abstract Nursing theories and nursing models have a low profile within psychiatric and mental health nursing within the United Kingdom. This paper considers some of the historical, policy and rhetorical issues that may have framed nursing's relative dependency on the medical paradigm, and briefly considers some of the ethical challenges, which proposed ,extensions' of the nurse's role might have for a ,caring' discipline. The paper describes the philosophical background of the Tidal Model, which emerged from a series of studies of the ,need for psychiatric nursing'. The Tidal Model extends and develops some of the traditional assumptions concerning the centrality of interpersonal relations within nursing practice, emphasizing in particular the importance of perceived meanings within the lived-experience of the person-in-care and the role of the narrative in the development of person-centred care plans. The model also integrates discrete processes for re-empowering the person who is in mental distress, and provides a practical template for the exploration of the spiritual dimensions of the person's lived-experience, if appropriate. [source]