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Alumni Chapel 07

... integration, liberal arts education, professional preparation, technological ... integration, liberal arts education, professional preparation, technological ...

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Alumni Chapel 07

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    Slide 1:Spirituality and Religiosity: Influence on Quality of Life and Confidence in the Patients Physical Recovery among Patients and Spouses following a First-Time Cardiac Event

    Joan F. Miller RN CRNP PhD Bloomsburg University

    Slide 2:Background Spirituality Defined

    Belief in a higher being Quest for meaning in life (ref. 1)

    Slide 3:Religiosity Defined

    System of beliefs or practices May include: internal forms of religious activity external form of religious activity

    Slide 4:Recovery following a Cardiac Event: The Influence of Religious Coping

    Higher levels of quality of life (ref. 2) Greater sense purpose and meaning (ref. 3) Lower rates of morbidity and mortality (ref. 4)

    Slide 5:Religious Coping among Family or Spouse Caregivers

    Less hopelessness (ref. 5) Fewer depressive symptoms (ref.6) Greater adjustment to caregiver role (ref. 7) Greater sense of meaning (ref.8)

    Slide 6:Religious Coping

    Positive religious coping Negative religious coping

    Slide 7:Study Design

    Non-experimental repeated measures Convenient sample - 44 dyads Patients enrolled in 12-week cardiac rehabilitation program

    Slide 8:Measures

    Spiritual and Religious Concerns Religiosity Religious Coping Quality of Life Self-Efficacy

    Slide 9:Results

    Discontent coping related to lower levels of quality of life among spouses at Test 1 Discontent coping related to lower levels of self-efficacy among patients at Test 2

    Slide 10:Correlations between Spouses and Patients

    Spouses had higher scores for: Ritual religiosity Consequential religiosity Spiritually based religious coping Patients had higher scores for discontent religious coping

    Slide 11:Time Effects

    Quality of life increased more for patients Overall perception of physical self-efficacy increased more for patients

    Slide 12:Implications for Practice

    Spiritual assessment Psychosocial assessment Interdisciplinary care

    Slide 13:Spiritual Care Attitudes and Practices of Nurse Practitioners

    Early research (ref. 9) NPs rarely or never provide spiritual care Lack of education perceived as a reason Recommendation: Integrate spiritual care content into educational programs Define concepts related to spirituality

    Slide 14:Spiritual Care Practices of Nurse Practitioners in Rural North Carolina

    Most NPs feel spiritual care in important Few routinely provide spiritual care Most stated education related to spiritual care was inadequate for what is needed in practice (ref. 10 )

    Slide 15:Getting Started: A Brief Spiritual Assessment

    Is faith (religion, spirituality) important to you? Has faith (religion, spirituality) been important to you at other times in your life? Do you have someone to talk to about religious matters? Would you like to explore religious matters with someone?

    Slide 16:Conclusion

    Spiritual distress increases risk for adverse health outcomes. Both patients and family caregivers benefit from spiritual care. Nurse practitioners are in a unique position to conduct spiritual assessment. NPs need better educational offerings to meet NONPF core competencies.

    Slide 17:References

    Miller. (200). Journal of Religion and Health, 46, 299-313. Mueller, Plevak, & Rummans. (2001). Mayo Clinic Proceedings, 76, 1225-1235. Walton. (2002). Dimensions of Critical Care Nursing. 21. 36-43. Oxman, Freeman, & Manheimer. (1995). Psychosomatic Medicine, 57, 5-15. Borneman, Stahl, Ferrel, & Smith. (2002). Journal of Hospice and Palliative Nursing 4, 21-33. Chang, Noonan, & Tennstedt. (1998). The Gerontologist, 38, 463-470. Rabins, Fitting, Easthman, & Fetting. (1990). Psychosomatics, 31, 331-336. Theis, Biordi, Coeling, Nalepka, & Miller. (2003). Holistic Nursing Practice, 17, 48-55. Stranahan. (2001). Western Journal of Nursing Research, 23, 90-104. Hubbell, Woodard, Barksdale-Brown, & Parker. (2006). Journal of the american Academy of Nurse Practitioners, 18, 379-385.

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