Spirituality for holistic nursing is defined after a critical analysis of the literature. Spirituality is defined as the experiences and expressions of one’s spirit in a unique and dynamic process reflecting faith in God or a supreme being; a connectedness with oneself, others, nature or God; and an integration of all human dimensions. Prayer and meaning in life are described as empirical indicators for appraising spirituality. Prayer is an indicator of the defining attribute of connectedness with God, and meaning in life is an outcome of spirituality.
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References
1.
Bearon, L. B.
, & Koenig, H. G. (1990). Religious cognitions and use of prayer in health and illness. The Gerontologist, 30, 249-253.
2.
Byrd, R. C.
(1988). Positive therapeutic effects of intercessory prayer in a coronary care unit population. Southern Medical Journal, 81, 826-830.
3.
Carlson, C. R.
, Bacaseta, P. E., & Simanton, D. A. (1988). A controlled evaluation of devotional meditations and progressive relaxation. Journal of Psychology & Theology, 16, 362-368.
4.
Carson, V. B.
(1989). Spiritual development across the life span. In V. B. Carson (Ed.), Spiritual dimensions of nursing practice (pp. 24-51). Philadelphia: W. B. Saunders.
5.
Carson, V. B.
(1993). Prayer, meditation, exercise, and special diets: Behaviors of the person with HIV/AIDS. Journal of the Association of Nurses in AIDS Care, 4(3), 18-28.
6.
Carson, V. B.
, Soeken, K. L., & Grimm, P. M. (1988). Hope and its relationship to spiritual well-being. Journal of Psychology & Theology, 16, 159-167.
7.
Clark, C. C.
, Cross, J. R., Deane, D. M., & Lowry, L. W. (1991). Spirituality: Integral to quality care. Holistic Nursing Practice, 5(3), 67-76.
8.
Copp, L.
, & Copp, J. (1993). Illness and the human spirit. Quality of Life—A Nursing Challenge, 2, 50-55.
9.
Coward, D. D.
(1991). Self-transcendence and emotional well-being in women with advanced breast cancer. Oncology Nursing Forum, 18, 857-863.
10.
Crumbaugh, J. C.
, & Maholick, L. T. (1981). Manual of instructions for the purpose in life test. Saratoga, CA: Viktor Frankl Institute of Logotherapy.
11.
Dawson, P. J.
(1997). A reply to Goddard’s “spirituality as integrative energy.”Journal of Advanced Nursing, 25, 282-289.
12.
Dombeck, M.
, & Karl, J. (1987). Spiritual issues in mental health care. Journal of Religion & Health, 26, 183-197.
13.
Duckro, P. N.
, & Magaletta, P. R. (1994). The effect of prayer on physical health: Experimental evidence. Journal of Religion and Health, 33, 211-219.
14.
Dufton, B. D.
, & Perlman, D. (1986). The association between religiosity and the purpose in life test: Does it reflect purpose or satisfaction?Journal of Psychology & Theology, 14, 42-48.
Emblen, J.
(1992). Religion & spirituality defined according to current use in nursing literature. Journal of Professional Nursing, 8, 41-47.
17.
Emblen, J. D.
, & Halstead, L. (1993). Spiritual needs and interventions: Comparing the views of patients, nurses, and chaplains. Clinical Nurse Specialist, 7, 175-182.
18.
Farran, C.
, Fitchett, G., Quiring-Emblen, J., & Burck, R. (1989). Development of a model for spiritual assessment & intervention. Journal of Religion & Health, 28, 185-194.
19.
Finney, J. R.
, & Malony, H. N. (1985). Empirical studies of Christian prayer: A review of the literature. Journal of Psychology and Theology, 13, 104-115.
20.
Fish, S.
, & Shelly, J. (1978). Spiritual care: The nurse’s role. Downer’s Grove, IL: Intervarsity Press.
21.
Flaskerud, J. H.
, & Rush, C. E. (1989). AIDS and traditional health beliefs and practices of black women. Nursing Research, 38, 210-215.
22.
Fowler, J. W.
(1981). Stages of faith: The psychology of human development and the quest for meaning. San Francisco: Harper & Row.
23.
Frankl, V. E.
(1963). Man’s search for meaning. New York: Pocket Books.
24.
Frankl, V. E.
(1988). The will to meaning: foundations and applications of logotherapy. New York: Meridian.
25.
Geary, P. A.
, Formella, L. A., & Tringali, R. (1994). Significance of the insignificant. Critical Care Nursing Quarterly, 17(3), 51-59.
26.
Germino, B. B.
, Fife, B. L., & Funk, S. G. (1995). Cancer and the partner relationship: What is its meaning?Seminars in Oncology Nursing, 11, 43-50.
27.
Goddard, N.
(1995). “Spirituality as integrative energy,” a philosophical analysis as requisite precursor to holistic nursing practice. Journal of Advanced Nursing, 22, 808-815.
28.
Haase, J.
, Britt, T., Coward, D., Leidy, N., & Penn, P. (1992). Simultaneous concept analysis of spiritual perspective, hope, acceptance & self-transcendence. Image: Journal of Nursing Scholarship, 24, 141-147.
29.
Hall, B. A.
(1997). Spirituality in terminal illness: An alternative view of theory. Journal of Holistic Nursing, 15, 82-96.
30.
Hall, B. A.
(in press). Patterns of spirituality in persons with advanced stage HIV disease. Research in Nursing and Health.
31.
Hardy, A.
(1979). The spiritual nature of man. Oxford, England: Clarendon.
32.
Helminiak, D. A.
(1996). The human core of spirituality; mind as psyche and spirit. Albany, NY: State University of New York Press.
33.
Hiatt, J.
(1986). Spirituality, medicine & healing. Southern Medical Journal, 79, 736-743.
34.
Highfield, M.
(1992). Spiritual health of oncology patients. Cancer Nursing, 15, 1-8.
35.
Hungelmann, J.
, Kendel-Rossi, E., Klassen, L., & Stollenwerk, R. (1985). Spiritual well-being in older adults: Harmonious interconnectedness. Journal of Religion & Health, 24, 147-153.
36.
Hunter, R.
, Malony, H., Mills, L., & Patton, J. (Eds.). (1990). Dictionary of pastoral care and counseling (pp. 1221-1225). Nashville, TN: A bingdon.
37.
Jones, C.
, Wainwright, G., & Yarnold, E. (Eds.). (1986). The study of spirituality. New York: Oxford University Press.
38.
Kaczorowski, J. M.
(1989). Spiritual well-being and anxiety in adults with cancer. The Hospice Journal, 5(3/4), 105-116.
39.
King, D. G.
(1990). Religion and health relationships: A review. Journal of Religion & Health, 29, 101-112.
40.
Kirschling, J. M.
, & Pittman, J. F. (1989). Measurement of spiritual well-being: A hospice caregiver sample. The Hospice Journal, 5(2), 1-11.
41.
Labun, E.
(1988). Spiritual care: An element in nursing care planning. Journal of Advanced Nursing, 13, 314-320.
42.
Landis, B. J.
(1996). Uncertainty, spiritual well-being, and psychosocial adjustment to chronic illness. Issues in Mental Health, 17, 439-455.
43.
Lewis, F. M.
(1989). Attributions of control, experienced meaning, and psychosocial well-being in patients with advanced cancer. Journal of Psychosocial Oncology, 7, 105-119.
44.
Lexicon Webster’s Dictionary. (1993). (Vol. 2, p. 958). New York: Lexicon.
45.
MacQuarrie, J.
(1992). Paths in spirituality (2nd ed.). Harrisburg, PA: More house.
46.
Mansen, T.
(1993). The spiritual dimension of individuals: Conceptual development. Nursing Diagnosis, 4(4), 140-147.
47.
McCullough, M. E.
(1995). Prayer and health: Conceptual issues, research review, and research agenda. Journal of Psychology and Theology, 23, 15-29.
48.
Mickley, J. R.
, Soeken, K., & Belcher, A. (1992). Spiritual well-being, religiousness and hope among women with breast cancer. Image: Journal of Nursing Scholarship, 24, 267-272.
49.
Moberg, D.
(1974). Spiritual well-being in late life. In J. Gubrium (Ed.), Late life communities and environmental policy (pp. 256-279). Springfield, IL: Charles C Thomas.
50.
Muldoon, M.
, & King, J. (1991). A spirituality for the long haul: Response to chronic illness. Journal of Religion & Health, 30, 99-107.
51.
Mull, C. S.
, Cox, C. L., & Sullivan, J. A. (1987). Religion’s role in the health and well-being of well elders. Public Health Nursing, 4(3), 151-159.
52.
Oldnall, A.
(1996). A critical analysis of nursing: Meeting the spiritual needs of patients. Journal of Advanced Nursing, 23, 138-144.
53.
Paloutzian, R. D.
, & Ellison, C. W. (1982). Loneliness, spiritual well-being, and the quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research, and therapy. New York: John Wiley.
54.
Pargament, K. I.
(1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford.
55.
Poloma, M. M.
, & Pendleton, B. F. (1991). The effects of prayer and prayer experiences on measures of general well-being. Journal of Psychology and Theology, 19, 71-83.
56.
Reed, P.
(1987). Spirituality & well-being in terminally ill hospitalized adults. Research in Nursing & Health, 10, 335-344.
57.
Reed, P.
(1991a). Self-transcendence & mental health in oldest old adults. Nursing Research, 40, 5-11.
58.
Reed, P.
(1991b). Towards a nursing theory of self transcendence. Advances in Nursing Science, 13, 64-77.
59.
Reed, P.
(1992). An emerging paradigm for the investigation of spirtuality in nursing. Research in Nursing & Health, 15, 349-357.
60.
Reker, G. T.
(1992). Life attitude profile-revised. Peterborough, Ont., Canada: Student Psychologists.
61.
Reker, G. T.
, & Butler, B. (1990, October). Personal meaning, stress and health in older adults. Paper presented at the Canadian Association on Gerontology, Victoria, B.C., Canada.
62.
Reker, G. T.
, Peacock, E. J., & Wong, P. T. (1987). Meaning and purpose in life and well-being: A life span perspective. Journal of Gerontology, 42, 44-49.
63.
Richards, D.
(1991). The phenomenology and psychological correlates of verbal prayer. Journal of Psychology & Theology, 19, 354-363.
64.
Russell, A.
(1986). Sociology & the study of spirituality. In C. Jones, G. Wainwright, & E. Yarnold (Eds.), The study of spirituality (pp. 33-38). New York: Oxford University Press.
65.
Skinn, B.
(1994). The relationship of belief in control and purpose in life to adult lung cancer patient’s information to use unproven cancer therapies. Canadian Oncology Nursing Journal, 4(2), 66-71.
66.
Smith, E. D.
, Stefanek, M. E., Joseph, M. V., Verdieck, M. J., Zabora, J. R., & Fetting, J. H. (1993). Spiritual awareness, personal perspective on death, and psychosocial distress among cancer patients: An initial investigation. Journal of Psychosocial Oncology, 11(3), 89-103.
67.
Sodestrom, K. E.
, & Martinson, I. M. (1987). Patients’ spiritual coping strategies: A study of nurse and patient perspectives. Oncology Nursing Forum, 14, 41-46.
68.
Soeken, K.
, & Carson, V. (1987). Responding to the spiritual needs of the chronically ill. Nursing Clinics of North America, 22, 603-611.
69.
Stoll, R.
(1989). The essence of spirituality. In V. B. Carson (Ed.), Spiritual dimensions of nursing practice (pp. 4-23). Philadelphia: W. B. Saunders.
70.
Stuart, E. M.
, Deckro, J. P., & Mandle, C. L. (1989). Spirituality in health and healing: A clinical program. Holistic Nursing Practice, 3(3), 35-46.
71.
Swenson, C. H.
, Fuller, S., & Clements, R. (1993). Stages of religious faith and reactions to terminal cancer. Journal of Psychology & Theology, 21, 238-245.
72.
Taylor, E. J.
(1993). Factors associated with meaning in life among people with recurrent cancer. Oncology Nursing Forum, 9, 1399-1405.
73.
Taylor, E. J.
, Amenta, M., & Highfield, M. (1995). Spiritual care practices of oncology nurses. Oncology Nursing Forum, 22, 31-39.
74.
Taylor, P. B.
, & Ferszt, G. G. (1990). Spiritual healing. Holistic Nursing Practice, 4(4), 32-38.
75.
Thomas, S. A.
(1989). Spirituality: An essential dimension in the treatment of hypertension. Holistic Nursing Practice, 3, 47-55.
76.
Thompson, S. C.
, & Pitts, J. (1993). Factors relating to a person’s ability to find meaning after a diagnosis of cancer. Journal of Psychosocial Oncology, 11(3), 1-21.
77.
Turner, J. A.
, & Clancy, S. (1986). Strategies for coping with chronic low back pain: Relationship to pain and disability. Pain, 24, 355-364.
78.
Walker, L. O.
, & Avant, K. C. (1995). Strategies for theory construction in nursing (3rd ed.). Norwalk, CT: Appleton & Lange.
