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Does Spiritual Care improve outcomes for patients with chronic illness? Audrey Munn Nurs 317 Overview Spiritual Care is becoming more prevalent to nursing and improved patient outcomes Current research is developing the importance of Spiritual Care in health care Holistic nursing care ensures patients are receiving the care needed Spiritual Care Spirituality is very important to my career and personal life I believe there are many benefits to being spiritual Spirituality is individual Chronic Illness Chronic illness can have a toll on a person Erikson’s stages of psychosocial development Spirituality with illness Literature Review Bovero, A., Leombruni, P., Miniotti, M., Rocca, G., & Torta, R. (2015). Spirituality, quality of life, psychological adjustment in terminal cancer patients in hospice. European Journal of Cancer Care. doi: 10.1111/ecc.12360 This first article was related to terminal illness with cancer patients in a hospice setting. 115 participants Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Functional Assessment of Cancer Therapy Scale, Hospital Anxiety and Depression Scale, Brief Coping Orientation to Problem Experienced, and KPS Scale Article 1 review Many factors contribute to providing appropriate individualized patient care. Marital status, coping mechanisms, anxiety, and spirituality can contribute to positive and/or negative outcomes for patients Literature Review Cont. Brown, A.J., Sun, C.C., Urbauer, D.L., Bodurka, D.C., Thaker, P.H., & Ramondetta, L.M. (2015). Feeling powerless: Locus of control as a potential target for supportive care interventions to increase quality of life and decrease anxiety in ovarian cancer patients. Gynecologic Oncology, 138(2), 388-393. doi: 10.1016/j.ygyno.2015.05.005 o Ovarian Cancer Patients o 104 female participants o Locus of Control Scale, Functional Assessment of Chronic Illness Therapy-Ovarian, Functional Assessment of Chronic Illness Therapy-Spiritual, Edmonton Symptom Assessment score, Hospital Anxiety Depression Scale, Templer’s Death Anxiety Scale, and Herth Hope Index Article 2 review Quality of life was improved for women with more life additions. More control over their life, higher quality of life. Early identification of powerless will lead to improved patient outcomes. Literature Review Cont. Richardson, P. (2014). Spirituality, religion and palliative care. Annals of Palliative Medicine, 3(3). doi: 10.3978/j.issn.2224-5820.2014.07.05 This article focuses on palliative care and how religion and spirituality improve outcomes. No data collection or data analysis Qualitative research rather than quantitative. Critique of 3 Articles Article 1- Minimal issues or concerns about this article Article 2- Limited research and study participants. Most participants were white and catholic, and I would have appreciated more diversity. Spiritual care is individual and it is important we address all types of spirituality. Article 3- Minimal issues or concerns about this article, no research or data analysis needed. Relation to nursing practice Spiritual care is very important to my nursing practice. I deal with many comfort care patients, gift of life patients, and chronically ill patients. It is important that I understand ways to address and utilize spiritual care into my individualized patient care plan. We strive to improve outcomes and provide a healing and open environment to express their wishes and desires. Conclusion Spiritual care has proven both quantitatively and qualitatively to improve patient care outcomes and reduce other aspects of chronic illness. We should continue to find research to promote individualized spiritual care and promote a healing environment. Holistic approach to nursing is how we are advancing our practice and reducing hospital days, improving patient outcomes, and providing efficient and effective care to all individuals. References Bovero, A., Leombruni, P., Miniotti, M., Rocca, G., & Torta, R. (2015). Spirituality, quality of life, psychological adjustment in terminal cancer patients in hospice. European Journal of Cancer Care. doi: 10.1111/ecc.12360 Brown, A.J., Sun, C.C., Urbauer, D.L., Bodurka, D.C., Thaker, P.H., & Ramondetta, L.M. (2015). Feeling powerless: Locus of control as a potential target for supportive care interventions to increase quality of life and decrease anxiety in ovarian cancer patients. Gynecologic Oncology, 138(2), 388-393. doi: 10.1016/j.ygyno.2015.05.005 Puchalski, C. M. (2001). The role of spirituality in health care. Proceedings (Baylor University. Medical Center), 14(4), 352–357. Richardson, P. (2014). Spirituality, religion and palliative care. Annals of Palliative Medicine, 3(3). doi: 10.3978/j.issn.2224-5820.2014.07.05