Facilitating Spiritual Care for Patient

Facilitating Spiritual Care for Patient

My greatest weakness when it comes to facilitating spiritual care to care is lack of experience in providing culturally competent spiritual care. I feel lacking the competence necessary to provide spiritual care.  I fear that I might stir and mess things up that I will not know how to handle should they spiral out of control. Lack of clear definition of spirituality is the greatest barrier to giving adequate care. According to Hoehner (2020), “nurses feel underequipped to provide spiritual care and often struggle to articulate actionable definition of spirituality.” They are uncertain about “what constitutes spiritual care” (Hoehner, 2020). Furthermore, spiritual care is not documented on the charts of patients and thus feel it is time wasting.

My strength is that I have a strong understanding of the value of holistic care and how providing spiritual care is important to patient care. I feel comfortable in engaging in spiritual care activities like sharing scriptural reading and praying with patients. I am also confident in counseling and listening to a patient about spiritual issues. I am aware that all humans are spiritual in their own way and that the care of the spirit is important and integral to healing process and wholeness. Nevertheless, I feel inadequate.

Spiritual care entails serving the whole person, which is the spiritual, emotional, social and physical. It comprises of the activities of care, which bring wellbeing, function and quality of life to the patient (Shelly, & Miller, 2006). Because spirituality affects every facet of the patient’s life, all healthcare providers should focus on providing spiritual care support.  In order to provide spiritual care, one must first understand how the patient’s worldview relates to their personal concept of spirituality. It is by understanding the patient’s worldview that a nurse can administer interventions that help in relieving spiritual distress and concerns.

As a patient, I would like to play an active role in medical decision-making process. My spirituality affects my understanding of illness and healthcare decisions. Depending on the individual patient, one may view his current illness as a punishment from God and another view it as caused by pathogens.  The former may not respond to treatment because of the underlying b beliefs. The healthcare should consider the life story of the patient in order to understand how the sickness and treatment fits in. it is for this reason that I would like to have a final say in many critical clinical decisions. I possess the autonomy to decide to choose the kind of treatment or intervention I wish to receive.  In case am disposed, I would love to appoint my family to be a surrogate decision make in the event I cannot speak or make informed decision. I would like my family involved and consulted at every step of the process on my behalf. The family would be in the best position to know my wishes, beliefs and values.

Patients are often encouraged to make advance care planning in advance to avoid doubts and misunderstanding in case the patient loses competence. Advance directives allow patients to share their treatment wishes and preference in the event hey are unable to make independent decisions (Hoehner,2020). Living will is another important document through I can express my desires about treatment in the event I lose decision making capacity.

References

Shelly, J.A., & Miller, A.G. (2006). Called to Care: A Christian Worldview for Nursing (2nd ed.). Downers Grove, IL: IVP Academics

Hoehner, P. J. (2020). Biomedical Ethics in the Christian Narrative. In GCU, “Practicing Dignity: An Introduction to Christian Values and Decision-Making in Health Care.” Retrieved on March 21, 2021 from https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/5

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