The Spiritual Needs Assessment Tool
Grand Canyon University
Spirituality in Health Care
September 06, 2011
The Spiritual Needs Assessment Tool
For health care providers to deliver the best holistic care that patients deserve, a thorough spiritual assessment must be included during their care. With more research showing a relationship between supporting a patient’s spirituality with their health and ability to cope with illness, it is now a requirement of organizations to include a spiritual assessment to maintain accreditation with The Joint Commission. The minimum required of a spiritual assessment by The Joint Commission is to determine the patient’s religion and if they have any spiritual practices that are important to them (The Joint Commission, 2005). When I first began my research for this assignment, I believed that was all my facility included in our spiritual assessment done upon admission; just the minimum. There is a very small section in the admission database titled “Spirituality.” In this section there are two questions: “Do you have a religious preference” and “do you have any religious or cultural beliefs that may affect your care during your stay?” When I came across more material and all that should be included in a thorough spiritual assessment, I found that my facility’s admission database included a very comprehensive spiritual assessment placed throughout the admission database. Therefore, my facilities admission database served as a great reference in creating a spiritual assessment tool and serve as great way to ease into such a personal conversation. Many of my questions were created from the three empirical referents of spiritual well-being (personal faith, spiritual contentment and religious practice) and from intervening variables (severity of illness, social support and stressful life events) of the middle-range theory of spiritual well-being in illness (O’Brien, 2011, pg. 98). Assessment Tool Created
1. Do you have a particular religion, faith or belief system that may be useful for me to know so that I may incorporate them into the care I give you? (Religious Practice)
2. Is there anything that I can do to facilitate any religious practices/needs during your hospital stay or restrictions that I should be aware of?
Friend: “There aren’t any I can think of at the moment.” Me: “Let me know if you think of anything and I will do my best to facilitate those for you.” 3. What or who provides comfort, hope, strength or peace to you during stressful or difficult times in your life? (Social Support)
Friend: “My family, friends, neighbors.”
Me: “Do you have any activities or hobbies that you like to do that we may be able to continue during your hospital stay?” Friend: “I like to read and spend time with family and friends.” Me: “Don’t be afraid to ask for quiet reading time or time to visit with your family and friends.” 4. Do you have any practices or beliefs that provide you with strength, happiness, or hope (e.g. meditation, prayer, music, scripture study, religious practices)? (Personal Faith)
Friend: “Prayer and scripture study.”
Me: “I can provide you with a bible, if you would like. Again, don’t hesitate to ask for quiet time to pray. Would you like for me to request a Chaplin visit so that she may come and pray with you or for you?” Friend: “Not at the moment.”
5. Does your religious or spiritual faith provide a source of strength and/or positive feelings in your life? (Spiritual Contentment)
6. Do you foresee your current illness affecting your ability to participate in any of the activities you described? How so? Offer possible solutions to maintaining their practice in these activities. Friend: “Well, I guess that would depend on how long I have to stay. I attend church every Sunday with my family.” Me: “We do have a chapel located in our front...