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How Christian nurses converse with patients about spirituality
Jane Bacon Pfeiffer1, Carla Gober, Elizabeth Johnston Taylor
1School of Nursing, Azusa Pacific University, San Bernardino, CA, USA.
Exemplary Christian nurses use specific strategies like assessing connection and allowing patients to speak when providing spiritual care. Gentle approaches and ethical considerations guide these sensitive conversations.
Area of Science:
- Nursing
- Spirituality
- Qualitative Research
Background:
- Verbal communication is key in spiritual care, yet empirical evidence is limited.
- Nurses often experience discomfort discussing spirituality with patients.
Purpose of the Study:
- To describe exemplary Christian nurses' goals and strategies for spiritual care conversations.
- To understand how nurses approach patient spirituality discussions.
Main Methods:
- Qualitative, descriptive study using phenomenology.
- Semi-structured interviews with 14 registered nurses in various clinical settings.
- Thematic analysis of coded interview data.
Main Results:
- Key themes included assessing connection, introducing spirituality, finding commonality, self-disclosure, encouragement, advice, and prayer.
- Crucially, nurses prioritized 'allowing patients to talk'.
- Nurses approached spiritual discourse gently, assessing for resistance and proceeding cautiously.
Conclusions:
- Findings highlight compassionate nursing strategies for spiritual care conversations.
- Raises ethical questions regarding the influence of nurses' religious beliefs.
- Introduces the 'Invitation, Connection, Attentive care, Reciprocity' (ICAR) mnemonic for spiritual care communication.
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