Spiritual Dimensions of Nurse Practitioner Consultations in Family Practice

Abstract

Purpose of Study: To explore the spiritual dimensions of nurse practitioner consultations in primary care through the lens of availability and vulnerability. Design of Study and Methods Used: A hermeneutic phenomenological enquiry exploring the spiritual dimensions of primary care consultations consisting of two interviews per participant over an 18-month period was conducted with nurse practitioners in the United Kingdom. A purposive sample of eight nurse practitioners were recruited and interviewed. Interviews were fully transcribed and analyzed thematically. Findings: Participants identified that spirituality can be difficult to conceptualize and operationalize in practice. Participants articulated the meaning of spirituality and gave examples of when they had witnessed a spiritual dimension in practice. Key themes included how nurse practitioners conceptualize spirituality, the context for spirituality to be integrated into care, and the importance of spirituality as an aspect of holistic care. The concepts of Availability and Vulnerability were used intentionally as a lens in the study to explore whether these concepts and approaches to practice could enhance integration of spirituality into practice. Conclusion: Knowledge and understanding regarding spirituality in nurse practitioners consultations in primary care has been uncovered. A framework for operationalizing spirituality has been developed.

Keywords

spirituality nurses (advanced practice)nurses (basic)

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References

American Holistic Nursing Association. (2018). What is holistic nursing? Retrieved from http://www.ahna.org/About-Us/What-is-Holistic-Nursing

American Nurses Association. (2015). Code of ethics for nurses. Silver Spring, MD: Author.

Beres

(2017). Practicing spirituality: Reflections on mean-making in personal and professional contexts. London, England: Palgrave Macmillan.

Bradbury-Jones

(2007). Enhancing rigor in qualitative health research: Exploring subjectivity through Peshkins I’s. Journal of Advanced Nursing, 59, 290-298. doi:10.1111/j.1365-2648.2007.04306.x

Burkhardt

(2007). Commentary on spirituality in nursing and health-related literature: A concept analysis. Journal of Holistic Nursing, 25, 263-264. doi:10.1177/0898010107308452

Carron

Cumbie

(2011). Development of a conceptual nursing model for the implementation of spiritual care in adult primary healthcare settings by nurse practitioners. Journal of the American Academy of Nurse Practitioners, 23, 552-560. doi:10.1111/j.1745-7599.2011.00633.x

Clarke

(2013). Spiritual care in everyday nursing practice: A new approach. Hampshire, England: Palgrave.

Cook

(2004). Addiction and spirituality. Addiction, 99, 539-551. doi:10.1111/j.1360-0443.2004.00715.x

Cook

(2011). Recommendations for psychiatrists on spirituality and religion. London, England: Royal College of Psychiatrists.

10.

Crotty

(1996) Phenomenology and Nursing Research. Melbourne: Churchill Livingstone.

11.

D’Souza

(2007). The importance of spirituality in medicine and its application to clinical practice. Medical Journal of Australia, 186(10), S57-S59.

12.

Fleming

Gaidys

Robb

(2003). Hermeneutic research in nursing: Developing a Gadamerian-based research method. Nursing Inquiry, 10, 113-120. doi:10.1046/j.1440-1800.2003.00163.x

13.

Gadamer

H. G.

(2006). Truth and method (2nd ed., Weinsheimer

Marshall

, Trans.). New York, NY: Continuum.

14.

Helming

M. A.

(2009). Integrating spirituality into nurse practitioner practice: The importance of finding the time. Journal for Nurse Practitioners, 5, 598-605.

15.

Houser

(2015). Nursing research: Reading, using and creating evidence (3rd ed.). Burlington, MA: Jones & Bartlett.

16.

Hubbell

Woodard

Barksdale-Brown

Parker

(2006). Spiritual care practices of nurse practitioners in federally designated nonmetropolitan areas of North Carolina. Journal of the American Academy of Nurse Practitioners, 18, 379-385. doi:10.1177/0898010114544302

17.

International Council of Nurses. (2012). The ICN code of ethics for nurses. Geneva, Switzerland: Author.

18.

Klebanoff

(2013). Holistic nursing: Focusing on the whole person. American Nurse Today, 8(10). Retrieved from https://www.americannursetoday.com/holistic-nursing-focusing-on-the-whole-person/

19.

Koenig

King

Carlson

(2012). Handbook of religion and health (2nd ed.). Oxford, England: Oxford University Press.

20.

Laverty

(2003). Hermeneutic phenomenology and phenomenology: A comparison of historical and methodological considerations. International Journal of Qualitative Methods, 2(3), 21-35. doi:10.1177/160940690300200303

21.

Lindström

Nyström

Zetterlund

(2014). Theory of caritative caring. In Alligood

(Ed.), Nursing theorists and their work (8th ed., pp. 171-203). Maryland Heights, MO: Elsevier.

22.

Martins

Romeiro

Caldeira

(2017). Spirituality in nursing: An overview of research methods. Religions, 8, 226. doi:10.3390/re100226

23.

Martinsen

(2006). Care and vulnerability. Oslo, Norway: Akribe.

24.

McGrath

(1999). Christian spirituality. London, England: Blackwell.

25.

McSherry

(2006). Making sense of spirituality in nursing and healthcare practice: An integrative approach (2nd ed.). London, England: Kingsley.

26.

McSherry

(2007). The meaning of spirituality and spiritual care within nursing and health care practice. London, England: Quay Books.

27.

McSherry

Jamieson

(2013). The qualitative findings from an online survey investigating nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 22, 3170-3182. doi:10.1111/jocn.12411

28.

Miller

(2014). A place of complete surrender. Retrieved from https://www.northumbriacommunity.org/articles/place-complete-surrender/

29.

Milligan

(2011). Addressing the spiritual care needs of people near end of life. Nursing Standard, 26(4), 47-56. doi:10.7748/ns2011.09.26.4.47.c8730

30.

Miner-Williams

(2005). Putting a puzzle together—Making spirituality meaningful for nursing using an evolving theoretical framework. Journal of Clinical Nursing, 15, 811-821. doi:10.1111/j.1365-2702.2006.01351.x

31.

Moule

Goodman

(2009). Nursing research: An introduction (1st ed.). London, England: Sage.

32.

Munhall

(2012). Nursing research: A qualitative perspective (5th ed.). Sudbury, MA: Jones & Bartlett.

33.

NHS Scotland. (2009). Spiritual care matters. An introduction resource for all NHS Staff. Edinburgh, Scotland: Author.

34.

Nursing and Midwifery Council. (2009). NMC competence domain. London, England: Author.

35.

Nursing and Midwifery Council. (2014). The code: Standards of conduct performance and ethics for nurses and midwives (Draft Revised Version). London, England: Author.

36.

O’Brien

(2008). Spirituality in nursing: Standing on holy ground. Sudbury, MA: Jones & Bartlett.

37.

Paley

(1997). Husserl, phenomenology and nursing. Journal of Advanced Nursing, 26, 187-193.

38.

Penman

(2018). Finding paradise within: How spirituality protects palliative care client and caregivers from depression. Journal of Holistic Nursing, 36, 243-254. doi:10.1177/0898010117714665

39.

Pesut

Fowler

Taylor

E. J.

Reimer-Kirkham

Sawatzky

(2008). Conceptualising spirituality and religion for healthcare. Journal of Clinical Nursing, 17, 2803-2810. doi:10.1111/j.1365-2702.2008.02344.x

40.

Pesut

Reimer-Kirkham

(2009). Situated clinical encounters in the negotiation of religious and spiritual plurality. A critical ethnography. International Journal of Nursing Studies, 47, 815-825. doi:10.1016/j.ijnurstu.2009.11.014

41.

Pfeiffer

Gober

Johnson-Taylor

(2014). How Christian nurses converse with patients about spirituality. Journal of Clinical Nursing, 23, 2886-2895.

42.

Reinert

Koenig

(2013). Re-examining definitions of spirituality in nursing research. Journal of Advanced Nursing, 69, 2622-2634. doi:10.1111/jan.12152

43.

Rogers

(2016). Spiritual dimensions of nurse practitioner consultations in primary care through the lens of availability and vulnerability. A hermeneutic enquiry (Unpublished doctoral thesis). University of Huddersfield, England.

44.

Rogers

(2017). Utilizing availability and vulnerability to operationalize spirituality. In Beres

(Ed.), Practising spirituality: Reflections on mean-making in personal and professional contexts (pp. 145-164). London, England: Palgrave Macmillan.

45.

Rogers

Wattis

(2015). Spirituality in nursing. Nursing Standard, 29(39), 51-57. doi:10.7748/ns.29.39.51.e9726

46.

Ross

McSherry

Giske

van Leeuwen

Schep-Akkerman

Koslander

. . . Jarvis

(2018). Nursing and midwifery students’ perceptions of spirituality, spiritual care and spiritual care competency: A prospective longitudinal, correlational European study. Nurse Education Today, 67, 64-71. doi:10.1016/j.nedt.2018.05.02

47.

Sessana

Finnell

Jezewski

(2007). Spirituality in nursing—A concept analysis. Journal of Holistic Nursing, 25, 252-262. doi:10.1177/0898010107303890

48.

Sharkey

(2001) Hermeneutic Phenomenology: In Barnacle

(Ed) Phenomenology. Melbourne: RMIT.

49.

Sherwood

(2000). The powers of nurse-client encounters: Interpreting spiritual themes. Journal of Holistic Nursing, 18, 159-175. doi:10.1177/089801010001800207

50.

Shuler

Davis

(1993). The Shuler nurse practitioner practice model: A theoretical model for nurse practitioner clinicians, educators and researchers. Journal of the American Academy of Nurse Practitioners, 5(1), 11-18.

51.

Slevin

Sines

(2000). Enhancing the truthfulness, consistency and transferability of a qualitative study: Utilising a manifold of approaches. Nurse Researcher, 7(2), 79-84. doi:10.7748/nr2000.01.7.2.79.c6113

52.

Stevens Barnum

. (2011). Spirituality in nursing: The challenges of complexity (3rd ed.). New York, NY: Springer.

53.

Stranahan

(2001). Spiritual perception, attitudes about spiritual care, and spiritual care practices among nurse practitioners. Western Journal of Nursing Research, 23, 90-104. doi:10.177/01939450122044970

54.

Treloar

(2000). Integration of spirituality into health care practice by nurse practitioners. Journal of the American Academy of Nurse Practitioners, 12, 280-283. doi:10.1111/j.1745-7599.2000.tb00305.x

55.

Vessey

(2009). Gadamer and the fusion of horizons. International Journal of Philosophical Studies, 17, 531-542. doi:10.1080/09672550903164459

56.

Wattis

Curran

Rogers

(2017). Spiritually competent practice in health care. London, England: CRC Press.

57.

White

(2006). Talking about spirituality in health care practice: A resource for the multi professional health care team. London, England: Kingsley.

58.

Witt

Ploeg

(2006) Critical Appraisal of Rigour in Interpretive Phenomenological Nursing Research. Journal of Advanced Nursing 55 (2), 215-229.

59.

Yardley

(2000). Dilemmas in qualitative health research. Psychology & Health, 15, 215-228. doi:10.1080/08870440008400302

60.

Young

Koopsen

(2011). Spirituality, health and healing: An integrated approach. Sudbury, MA: Jones & Bartlett.