Spiritual Dimensions of Advanced Practice Nursing: Stories of Hope (Advanced Practice in Nursing)

This book recognises the challenges associated with the concept of spirituality. An awareness of this concept is integral to the provision of person-centred holistic care. However, APNs ability to provide spiritual care is often impeded by time pressures and the prioritisation of clinical tasks. Confusion about the meaning of spiritually and its relationship to religion compound the challenges involved in providing spiritual care leaving APNs feeling ill-equipped to address this area of care. Indeed many APNs view spirituality as synonymous with religion. This book provides clarity with the assumption that spirituality is innate to all of our patients and is related to what gives them hope, meaning and purpose. Fundamentally it is about being human. APNs ability to practice with kindness, compassion and empathy will naturally resonate with spiritually competent practice. It begins with an outline of the definitions of spirituality in addition to the concept of spiritually competent practice. An emphasis on the importance of personal development follows. Case studies from countries across the globe illustrate the benefit of integrating spirituality and provide evidence of the importance and relevance of integrating spirituality into practice. These include discussion and presentations of the related concepts of availability and vulnerability which will give APNs more confidence and competence to integrate spirituality into practice. This book is relevant for APNs, students, educators and researchers. Foreword Preface Acknowledgements Contents 1: Introduction to Spirituality 1.1 Introduction 1.2 Context 1.3 Spirituality 1.4 Defining Spirituality in Healthcare 1.5 Religion 1.6 Religion and Spirituality in Health Research 1.7 Rationale and Challenges for Spirituality 1.8 Barriers to Integrating Spirituality 1.9 Spiritual Care in Practice 1.10 Ethical Issues in Operationalising Spiritual Care 1.11 Conclusion References 2: Spiritually Competent Practice and Cultural Aspects of Spirituality 2.1 Why Spiritually Competent Practice? 2.1.1 The Core: Helping People Sustain a Sense of Meaning and Purpose 2.1.2 Relationship: Compassionate Engagement with the Whole Person 2.1.3 Context: Maintaining or Restoring Connection with Family and Community 2.1.4 Purpose: Addressing Suffering and Promoting Wellbeing 2.1.5 Respect: For the Person’s Beliefs and Values 2.2 What Is Needed for Spiritually Competent Practice? 2.2.1 Spiritual Care Competencies 2.2.2 Personal (Ontological) Qualities 2.2.3 Opportunities in the Working Environment 2.2.4 Case Study of Spiritually Competent Practice by an Advanced Practice Nurse 2.3 Cultural Aspects of Spirituality and Spiritually Competent Practice 2.3.1 Cultural Narratives and Worldviews 2.3.2 Cultural Competence 2.3.3 A Word of Caution (the Ecological Fallacy) 2.3.4 Spirituality and Trans-Cultural Nursing Care Perspectives 2.4 Conclusion References 3: Spiritual Care Competencies for Advanced Practice Nurses 3.1 Introduction 3.2 Spiritual Care Competencies 3.2.1 The Art and Science of Advanced Nursing Practice 3.2.2 Holistic and Person-Centred Care 3.2.3 The Importance of Language 3.2.4 The Gaps in Practice 3.2.5 The EPICC Project 3.2.6 Towards a Shared Understanding of ‘Spirituality’ and ‘Spiritual Care’ 3.2.7 What Spiritual Care Competencies Looks Like 3.2.8 Preparing APNs for Spiritual Care 3.2.8.1 The Right Ingredients 3.2.8.2 A Toolkit 3.2.8.3 A Network 3.2.9 Advanced Practice Nurse Praxis and Spiritual Care Competencies 3.3 Developing APN Spiritual Care Competencies 3.4 Intrapersonal and Interpersonal Competencies 3.5 Presence, Connectedness and Attachment 3.6 Love and Trust 3.6.1 Spiritual Care: Assessment and Planning 3.7 Conclusion References 4: Personal Spirituality and Self-Compassion in Advanced Practice Nursing 4.1 Introduction 4.2 Personal Spirituality 4.2.1 Illustrative Example, Jane 4.3 Self-Compassion 4.3.1 How to Nurture Self-Compassion 4.3.2 Illustrative Example, Jamal 4.4 Organisational Factors in Personal Spirituality and Self-Compassion 4.4.1 Illustrative Example, Maria 4.5 Conclusion References 5: Introduction to Rogers’ Availability and Vulnerability Framework for Operationalising Spirituality 5.1 Introduction 5.2 Availability (Fig. 5.1) 5.2.1 Physical Availability 5.2.2 Emotional Availability 5.2.3 Vocational Availability 5.3 Vulnerability (Fig. 5.2) 5.3.1 Physical Vulnerability 5.3.2 Patient Vulnerability 5.3.3 Professional Vulnerability 5.3.4 Emotional Vulnerability 5.4 Conclusion References 6: Global APN Case Studies in Spirituality-Stories of Hope from Africa 6.1 Introduction 6.2 The Role of the Advanced Practice Nurse in Africa 6.3 How Spirituality in Health and Social Care is Viewed in Sub-Saharan Africa 6.4 Integration of Spiritual Aspect of Care into APN Consultation/Interaction 6.4.1 Ghana 6.4.1.1 The Experience of a Ghanaian APN with Mr. Abdul, a Patient with Advanced Hepatitis 6.4.1.2 Putting Abdul’s Case in Context: Perception of Spirituality in the Setting 6.4.2 South Africa 6.4.2.1 The Experience of a South African APN in the Case of a 32-Year Old Lady B 6.4.2.2 Perception of Spirituality within the Context of Lady B Case 6.4.3 Kingdom of Eswatini 6.4.3.1 The Experience of an APN in Eswatini in the Case of Hlengiwe, a 50-Year Old with HIV and Tuberculosis 6.4.3.2 Perception of Spirituality within the Context 6.5 Discussion 6.5.1 Availability 6.5.2 Vulnerability 6.5.3 Ethical Considerations 6.6 Conclusion References 7: Global APN Case Studies in Spirituality-Stories of Hope from Israel 7.1 Introduction 7.2 Advanced Practice Nursing in Israel 7.3 Israel’s Religious Culture 7.4 Spirituality in Israeli Health Care Culture 7.5 Applying Rogers’ Framework to Spiritual Care in Israel 7.6 Case Study # 1: APN Spiritual Care Education 7.7 Case Study #2: Advanced Practice Midwifery—Spiritual Care at a Stillbirth 7.8 Discussion 7.9 Ethical Considerations 7.10 Summary References 8: Global APN Case Study in Spirituality-Stories of Hope from United States of America 8.1 Current State of Advanced Practice in the United States 8.2 Educational Preparation of NPs 8.3 Obstacles for Nurse Practitioners in the U.S. 8.4 Spirituality in U.S. Health Care 8.5 Background for Case Study 8.6 Case Study 8.7 Discussion 8.8 Ethical Considerations 8.9 Final Thoughts References 9: Global APN Case Study in Spirituality: Stories of Hope from the Republic of Ireland 9.1 Advanced Practice Nursing in Ireland 9.2 Introduction to Spirituality in Healthcare in Ireland 9.3 APN Case Study 9.3.1 Introduction 9.3.2 My Patient 9.3.3 Integrating Availability and Vulnerability into June’s Care 9.4 Conclusion References 10: Global Case Study in Spirituality: Stories of Hope from Canada 10.1 Introduction 10.2 The APN Role in Canada 10.3 Spirituality in Canadian Healthcare 10.4 Case Study 10.5 Conclusion References 11: Global Case Study in Spirituality: Stories of Hope from China 11.1 Advanced Nursing Practice in Mainland China 11.1.1 Service Needs 11.1.2 Education Development 11.1.3 Policy Support 11.1.4 Conclusion 11.2 Spiritual Care in China 11.2.1 Spirituality and Spiritual Care as a Sensitive Topic in Mainland China 11.2.2 Spiritual Care as an Anticipated Aspect of Holistic Care in China 11.2.3 The Challenges Chinese Nurses Face in Practising Spiritual Care 11.3 The Case Study in China 11.3.1 Introduction: My Role as a Nurse Consultant Supporting Nurses 11.3.2 Consultation with Ping, an APN as Spiritual Care Specialist in Oncology 11.4 Personal Reflection on the Availability and Vulnerability Framework as Applied to My Own Journey and Work as an APN References 12: Global APN Case Study in Spirituality: Stories of Hope from Pakistan 12.1 Nursing Practice in Pakistan 12.2 Spirituality in Healthcare and Healing from a Muslim Context 12.3 APN and Spiritual Care: A Case Study from Pakistan 12.4 Discussion 12.5 Way Forward: Transforming Nursing Practice and APN Roles in Pakistan 12.6 Conclusion References 13: Global APN Case Studies in Spirituality: Stories of Hope from the United Kingdom 13.1 Introduction 13.2 Spirituality in Healthcare in the United Kingdom 13.3 Case Studies: Availability and Vulnerability in Practice (All Names Changed to Maintain Anonymity) 13.4 Discussion 13.5 Conclusion References 14: Global APN Case Study in Spirituality-Stories of Hope from Australia 14.1 Australia 14.2 Introduction to the Advanced Practice Nurse Role 14.3 Educational Level and Regulation 14.4 Spirituality in Australian Health Care 14.5 Introduction to My Role/Practice Area and the Case Study 14.6 Case Study 14.6.1 Barriers to Integrating Spirituality 14.6.2 Facilitators to Integrating Spirituality in this Case Study 14.7 Conclusion References 15: Global Case Studies in Spirituality: Stories of Hope from Chile 15.1 Introduction to the Advanced Practice Nurse Role in Chile 15.2 Introduction to Spirituality in Healthcare in Latin American Countries and Chile 15.3 Case Studies: Integrating Spirituality Within a Palliative Care Unit 15.3.1 First Moment: “Nursing Care in the Last Days” 15.3.2 Second Moment: “Role of the Nurse in Alleviating the Agony” 15.3.3 Third Moment: “Health Team Connection” 15.4 Conclusion References 16: Conclusion « This book recognises the challenges associated with the concept of spirituality. An awareness of this concept is integral to the provision of person-centred holistic care. However, APNs ability to provide spiritual care is often impeded by time pressures and the prioritisation of clinical tasks. Confusion about the meaning of spiritually and its relationship to religion compound the challenges involved in providing spiritual care leaving APNs feeling ill-equipped to address this area of care. Many APNs view spirituality as synonymous with religion. This book will provide clarity with the assumption that spirituality is innate to all of our patients and is related to what gives them hope, meaning and purpose. Fundamentally it is about being human. APNs ability to practice with kindness, compassion and empathy will naturally resonate with spiritually competent practice. It begins with an outline of the definitions of spirituality in addition to the concept of spiritually competent practice. An emphasis on the importance of personal development follows. Case studies from countries across the globe illustrate the benefit of integrating spirituality and provide evidence of the importance and relevance of integrating spirituality into practice. These include discussion and presentations of the related concepts of availability and vulnerability which will give APNs more confidence and competence to integrate spirituality into practice. This book is relevant for APNs, students, educators and researchers. »-- Quatrième de couverture "This book recognises the challenges associated with the concept of spirituality. An awareness of this concept is integral to the provision of person-centred holistic care. However, APNs ability to provide spiritual care is often impeded by time pressures and the prioritisation of clinical tasks. Confusion about the meaning of spiritually and its relationship to religion compound the challenges involved in providing spiritual care leaving APNs feeling ill-equipped to address this area of care. Many APNs view spirituality as synonymous with religion. This book will provide clarity with the assumption that spirituality is innate to all of our patients and is related to what gives them hope, meaning and purpose. Fundamentally it is about being human. APNs ability to practice with kindness, compassion and empathy will naturally resonate with spiritually competent practice. It begins with an outline of the definitions of spirituality in addition to the concept of spiritually competent practice. An emphasis on the importance of personal development follows. Case studies from countries across the globe illustrate the benefit of integrating spirituality and provide evidence of the importance and relevance of integrating spirituality into practice. These include discussion and presentations of the related concepts of availability and vulnerability which will give APNs more confidence and competence to integrate spirituality into practice. This book is relevant for APNs, students, educators and researchers"--Publisher's description This book recognises the challenges associated with the concept of spirituality. An awareness of this concept is integral to the provision of person-centred holistic care. However, APNs ability to provide spiritual care is often impeded by time pressures and the prioritisation of clinical tasks. Confusion about the meaning of spiritually and its relationship to religion compound the challenges involved in providing spiritual care leaving APNs feeling ill-equipped to address this area of care. Many APNs view spirituality as synonymous with religion. This book will provide clarity with the assumption that spirituality is innate to all of our patients and is related to what gives them hope, meaning and purpose. Fundamentally it is about being human. APNs ability to practice with kindness, compassion and empathy will naturally resonate with spiritually competent practice. It begins with an outline of the definitions of spirituality in addition to the concept of spiritually competent practice. An emphasis on the importance of personal development follows. Case studies from countries across the globe illustrate the benefit of integrating spirituality and provide evidence of the importance and relevance of integrating spirituality into practice. These include discussion and presentations of the related concepts of availability and vulnerability which will give APNs more confidence and competence to integrate spirituality into practice. This book is relevant for APNs, students, educators and researchers. -- Provided by publisher