Concept Analysis on Spirituality
“A concept is an element used in the development of a theory” (Miller-Keane, 1997, p.362). Concepts are abstract which derived from particular attributes such as hope, love, desire (McEwen & Wills, 2007, p.52). Concept analysis is used to describe and examine a word and its usage in language and nursing literature, clarification in defining attributes, antecedents and provides new tools for theory and research development. Concept analysis can be used to formulate and evaluate nursing diagnosis. ( Tanyi,2002). . Spirituality in health care and nursing has greatly increased. Joint Commission on Accreditation of Health Care Organizations (JACHO) has mandated health care providers to attend and address a patient’s spiritual needs (Tanyi, 2002) JACHO (2005) stated that “ Spiritual assessment should, at a minimum, determine the patient’s denomination, beliefs, and what spiritual practices are important to the patient. This information would assist in determining the impact of spirituality, if any, on the care/services being provided and will identify if any further assessment is needed. The standards require organization’s to define the content and scope of spiritual and other assessments and the qualifications of the individual (s) performing the assessment”. Spirituality is an important concept in the health science. Many individuals are dissatisfied with medical treatment. In times of life threatening illness such as AIDS, Cancer, heart conditions individuals may experience frustration, anger and loss of hope. In order to meet the demand of illness many individuals used different coping strategies such as meditation, prayer and other spiritual practices..
Aims or Purposes
Spirituality is an abstract concept and has many definitions because of its intangible and subjective nature. The aim of concept analysis is to clarify the concept of spirituality in health care and nursing and to influence how nurses and patients might incorporate this concept into practice. The conceptual analysis strategy offered by Walker and Avant (2005) is used as the conceptual framework. The steps in the Walker and Avant model are: select a concept, determine the aims or purposes of analysis, identify all the uses of the concept possible, determine the defining attributes, identify model case, identify borderline, related, contrary, invented, and illegitimate cases, identify antecedents and consequences and to define empirical referents. The reason I chose this model is that it has eight steps. It facilitates an in-depth analysis of the concept. This model can yield precise operational definitions, provide new tools for theory and research development, and clinically improve nursing practice. .Uses of Concepts
Spirituality has many and varied definitions. Funk and Wagnall Standard Desk Dictionary page 649 definition is Spirituality is “Affecting the immaterial nature or soul of man. Of or pertaining to God, holy. Sacred or religious” ("Spirituality," 1876). “Spirituality is a relationship with the Supreme Being God” (Musgrave et al, 2002). A literature review was conducted by Tanyi Ruth and she stated that many nursing authors such as Burkhardt, Reed, Emblem, Dorsey and many more has included elements such as transcendence , unfolding mystery connectedness, meaning and purpose in life, higher power and relationships in their definitions of spirituality. According to Tanyi, spirituality is described as a way of being, an energizing force that propels individuals to reach their optimal potential, a meaningful and extensive way of knowing the world and is expressed through several personal mechanisms such as meditation and music. Spirituality may be related to religion for certain individuals, for others it may not be. For example an atheist or an agnostic may be centered on a...