Spiritually Competent Practice in Health Care
What Does Spirituality Mean for Patients, Practitioners and Health Care Organisations?Spiritual Care CompetenciesSpiritually Competent PracticeDefinitions of Spirituality and Religion and Their LimitationsSpiritualityReligionSecular Society, Religion and SpiritualitySpirituality and Different WorldviewsThe Culture (Spirit) of OrganisationsDifferent Ways of KnowingNomothetic KnowledgeIdiographic KnowledgeHow One Kind of Knowledge Can Lead to AnotherPreparing for Spiritually Competent PracticeImportance of the Personal Connection in EducationConclusionReferencesSpirituality in Western Multicultural SocietiesCultureCulture and SpiritualitySpirituality and Personal MeaningTraditional and Western SocietiesSpirituality and BehaviourSpirituality in the Western WorldHealth CareGrowth and HappinessMoving Forward: Cultural and Spiritual Competence in Health CareSummaryConclusionReferencesSpiritually Competent Practice in Health Care: What Is It and What Does It Look Like?BackgroundSpiritually Competent PracticeCultural CompetencyComponents of Spiritually Competent PracticeOccupational Therapy PracticePatients' Experiences of Spiritually Competent CareFrameworks for Spiritually Competent Practice and EducationThe Principle Components Model for Advancing SpiritualityEmbedding Spirituality: A Framework for Occupational Therapy PracticeCompetency Model for the Assessment and Delivery of Spiritual CareDeveloping Spiritual Competency in PracticeDeveloping a Personal Understanding of SpiritualityAcceptance of the Individual as UniqueAbility to Relate to Patients and Develop Therapeutic RelationshipsCultural CompetencyEducationReflective PracticeConclusionReferencesHow Two Practitioners Conceptualise Spiritually Competent PracticeNarrative PracticesHospitalityAvailability and VulnerabilityRogers' Availability and Vulnerability Framework for Spiritually Competent CareAvailability to ourselvesAvailability to Others through WelcomeAvailability to Others through CaringAvailability to Develop PracticeAvailability SummaryEmbracing Vulnerability by Being TeachableWillingness to Be Accountable to OthersBeing Willing to Be Vulnerable by Advocating for PatientsVulnerability and AuthenticityVulnerability and Openness to ChallengeVulnerability SummaryAvailability (Including Hospitality)VulnerabilityConclusionReferencesHow Can Spirituality Be Integrated in Undergraduate and Postgraduate Education?Why Should Spirituality Be Part of a Curriculum?Approaching SpiritualityWhy Is Spirituality Lacking in the Curriuculum?Developing Capability and Self-Determined Learning: A Solution?Solution-Focused Teaching and LearningMentoring and HeutagogyConclusionReferencesSupporting the PractitionerMind-Blindness: Bad Science And Worse PhilosophyCare, Science and the Human SpiritThe Psychological and Spiritual Needs of the Care ProviderThe 'Carer Care' or ABC ModelWhat sustains and what depletes the spirit and morale of care workers?Mike's Story - A Personal Illustration of a Broken CarerPractical Ways of Sustaining the Spiritual Energy Required for CareConclusionReferencesSpirituality in Acute Health Care SettingsContextOrganisational IssuesSpiritual Care in the Acute Hospital WardImproving the Resilience and Experience of Staff to Address SpiritualityPatient and Professional PerspectivesSpirituality and the Acute Ward CultureEthical Considerations for Acute CareKey Messages for Embedding Spirituality in Acute CareConclusionReferencesSpirituality and Mental HealthWhat Are Mental Health Problems and How Common Are They?What's Special about Mental Health Problems?The Overlap between Spiritual and Psychotic ExperiencesSpiritual ExperiencesPsychotic ExperiencesThe 'Dark Night of The Soul'Deciding What Is WhatWhat Matters in PracticeThe Special Issues Around DementiaPsychological Approaches in Relation to Spirituality and ReligionSpecific Religious/Spiritually-Based ApproachesAlcoholics Anonymous and Narcotics Anonymous 12-step Approach to Alcohol Misuse or AddictionLogotherapyTherapeutic Approaches with Religious or Spiritual Roots That Have Been 'Secularised'Secular Therapies That Have Been Adapted for Particular Religious GroupsGeneral or Focused Support from Faith GroupsSummary and ConclusionReferencesSpirituality in the Primary Care SettingTowards a Bio-Psycho-Social-Spiritual Model of CareSpirituality in Primary Care - Evidence BaseSpirituality and EducationSpiritual CompetenceIntelligent KindnessAvailability and VulnerabilityHuman-to-Human ConnectionPatient ExpectationsChaplaincy in Primary CareConclusionReferencesSpiritual Teamwork within End of Life CareSeamus WritesJonathan WritesDefining SpiritualitySpiritual TeamworkExploring the Concept of the 'Image' of the Human BeingWhat Is a Person-Centred Image of the Human Being?Being on 'the Receiving End'Caring and Concern = Compassion = Spiritual CareSpiritual CareContext and DeliverySpiritual Teamwork is Spiritual Journeying and AccompanimentRole of Chaplain/Spiritual Care CoordinatorVignettesThank You CardsLeaning Over the EdgeMemories in Future TenseOne More Lovely ThingSummary of Spiritual TeamworkingConclusion: Characterising Spiritual Teamwork as a Spiritual, Ethical and Political StanceReferencesCreative Organisations: Spirituality and Creativity in a Health SettingCase Study 1: Spirit in MindCase Study 2: Creative MindsRealising the ValueSome of the BenefitsConclusionReferencesUsing Social Role Valorisation to Make Services Sensitive to Spiritual NeedSocial Role ValorisationUs and ThemDesigning and Providing New Models of ServiceKey ConceptsSome Real-Life ExamplesNAViGOValued RolesHuman Factors in Unit DesignOlder People's 'Home from Home'The Future of SRV-Based ModellingReferencesA Vision for the FutureA Joy and an InspirationThe Dominant Worldview in the WestOrganisational Obstacles to Spiritually Competent Care in Western CultureMaking it RealBeing Fully HumanOrganisational and Cultural FacilitatorsEducational and Developmental Facilitators of Spiritually Competent PracticeResearch and DevelopmentConclusionReferences
