This descriptive, feasibility study was designed to determine how weight management patients defined spirituality and its connection with weight management. Relationships among spirituality assessment, spiritual well-being, selfesteem, and quality of life were explored. This study arose from clinical observations of possible relationships among patients' weight management failures, negative beliefs about self, and spiritual distress. Participants were 34 of 104 adult potential participants from a holistic weight management clinical practice. Survey data were analyzed using qualitative content analysis and quantitative linear regression analyses. Participants readily defined spirituality; significant linear relationships were found: Total spiritual well-being explained approximately 47% of the variance for self-esteem and existential spiritual well-being accounted for approximately 68% of the variance for self-esteem. Similarly, existential spiritual well-being explained approximately 35% of the variance of quality of life. For this convenience sample, spiritual well-being was significantly related to self-esteem and quality of life.
Alcoholics Anonymous (2001). The twelve step program. New York: Alcoholics Anonymous World Services.
2.
Baldacchino, D., & Draper, P. (2001). Spiritual coping strategies: A review of the nursing research literature. Journal of Advanced Nursing, 34, 833-845.
3.
Barnum, B. J. (1987). Holistic nursing and nursing process. Holistic Nursing Practice, 1, 27-35.
4.
Beattie, M. (1990). The language of letting go. New York: HarperCollins.
5.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: Harper & Row.
6.
Bevoni, L. (2003). Management of adult obesity. Clinician Reviews, 13, 55-63.
7.
Burkhardt, M. A. (1989). Spirituality: Analysis of the concept. Holistic Nursing Practice, 3, 69-77.
8.
Burkhardt, M. A. (1994). Becoming and connecting: Elements of spirituality for women. Holistic Nursing Practice, 8, 12-21.
9.
Burkhardt, M. A., & Nagai-Jacobson, M. G. (2001). Nurturing and caring for self. Holistic Nursing Care, 36, 23-31.
10.
Centers for Disease Control and Prevention. (2003). Overweight prevalence. Retrieved January 29, 2003, from http://www.cdc.gov/nchs/fastats/overwt.htm
11.
Centers for Disease Control Media Relations (1999). Obesity epidemic increases dramatically in the United States. Retrieved October 26, 1999, from http://www.cdc.gov/od/oc/media/pressrel/r991026.htm
12.
Chinn, P., & Kramer, M. (1995). Theory and nursing: Integrated knowledge development. New York: C. V. Mosby.
13.
Coyle, J. (2001). Spirituality and health: Towards a framework for exploring the relationship between spirituality and health. Journal of Advanced Nursing, 37, 589-597.
14.
Crocker, J., & Wolfe, C. T. (2001). Contingencies of self-worth. Psychological Review, 108, 593-623.
15.
Dossey, B. M. (2001). Holistic nursing: Taking your practice to the next level. Nursing Clinics of North America, 36, 1-22.
16.
Dossey, B. M., Keegan, L., & Guzzetta, C. E. (Eds.). (2005). Holistic nursing: A handbook for practice(4th ed.). Sudbury, MA: Jones and Bartlett.
17.
Flegal, K. M., Carroll, M. D., Ogden, C. L., & Johnson, C. L. (2002). Prevalence and trends in obesity among U.S. adults, 1999-2000. Journal of the American Medical Association, 288, 1723-1727.
18.
Goldberg, B. (1998). Connection: An exploration of spirituality in nursing care. Journal of Advanced Nursing, 27, 836-842.
19.
Howden, J. W. (1992). Development and psychometric characteristics of the Spirituality Assessment Scale. Unpublished doctoral dissertation, Texas Woman's University, Denton,.
20.
Kramer, K., Luder, M., & Popkess-Vawter, S. (2004). Mailed patient surveys as a source of evidence-based data for nurse practitioner practice. Nurse Practitioner World News, 9, 9-11.
21.
National Heart, Lung, and Blood Institute. (2004). Overweight statistics related to overweight and obesity. Retrieved August 17, 2004, from http://www.niddk.nih.gov/health/nutrit/pubs/statobes.htm%23econ
22.
National Heart, Lung, and Blood Institute. (2000). The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults(NIH Publication No. 00-4084). Bethesda, MD: Author.
23.
Neuman, B. (1995). The Neuman system model. East Norwalk, CT: Appleton and Lange.
24.
O'Connor, C. I. (2001). Characteristics of spirituality, assessment, and prayer in holistic nursing. Holistic Nursing Care, 36, 33-46.
25.
Paloutzian, R., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and the quality of life. In A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research, and therapy(pp. 224-237). New York: JohnWiley.
26.
Pedhazur, E. J. (1997). Multiple regression in behavioral research(3rd ed.) Fort Worth, TX: Harcourt Brace College Publishers.
27.
Popkess-Vawter, S. (2005). Weight management counseling. In B. M. Dossey, L. Keegan, & C. E. Guzzetta (Eds.), Holistic nursing: A handbook for practice (pp. 721-755). Sudbury, MA: Jones and Bartlett.
28.
Popkess-Vawter, S., Brandau, C., & Straub, J. (1998). Triggers of overeating and related intervention strategies for women who weight cycle. Applied Nursing Research, 11, 69-76.
29.
Popkess-Vawter, S., Gerkovich, M. M., & Wendel, S. (2000). Development of the Overeating Tension Scale. Journal of Nursing Measurement, 8, 145-160.
30.
Popkess-Vawter, S., & Turner, J. (2001). Beyond calories and fat grams: Am I deserving of successful weight loss?Nutrition, 17, 362-363.
31.
Popkess-Vawter S., Wendel S., Schmoll S., & O'Connell, K. (1998). Reversal theory and overeating: A new paradigm to study weight control. Western Journal of Nursing Research, 20, 67-83.
32.
Reed, P. (1992). An emerging paradigm for the investigation of spirituality in nursing. Research in Nursing and Health, 15, 349-357.
33.
Robison, J. I. (1999). Weight, health and culture: Shifting the paradigm for alternative health care. Alternative Health Practitioner, 5, 45-66.
34.
Robison, J. I., & Carrier, K. (1999). Reinventing health promotion: Moving from biomedical, risk-factor control to holistic health and healing. Wellness Management, 15, 8-10.
35.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University.
36.
Rosenberg, M., Schooler, C., Schoenbach, C., & Rosenberg, F. (1995). Global self-esteem and specific self-esteem: Different concepts, different outcomes. American Sociological Review, 60, 141-156.
37.
Statistical Package for the Social Sciences (SPSS). (2003). SPSS version 11.0. Chicago: Author.
38.
Turner, J., Knosby, K., & Popkess-Vawter, S. (2002). Nurse practitioner and client partnerships in long-term holistic weight management. American Journal of Nurse Practitioners, 6, 9-18.
39.
Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item Short-FormHealth Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220-233.
