Use of spirituality in nursing

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Use of Spirituality in Nursing

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Illness affects both spiritual, mental, and the physical well-being and health of individuals. Spiritual care positively impacts the person’ stress responses and there spiritual well-being, i.e., the ability to balance the physical, psycho-social, and spiritual elements of life. It also involves a sense of integrity, excellence, and interpersonal relationships. During nursing care, spiritual assessment plays an essential role since it makes it easier to determine whether any belief could impact the patient’s health (J. Flowers Health Institute, 2022). Various formal spiritual evaluation tools help healthcare providers identify the spiritual needs of patients.

The first tool is the HOPE evaluation tool which assists in the identification of the personal sources of hope and meaning. It also helps in finding out about spirituality and practices. The tool assesses hope, strength, comfort, and how the clients deal with challenging times. It helps in finding out whether the client is part of the religious community and how it is helping; it reveals the person’s spiritual beliefs, the practices to determine what is most helpful, and the available spiritual resources.

The other tool is the spiritual distress assessment tool (SDAT). Distress is a common impact of illness and it also occurs when there is the presence of unmet needs that results in disturbances in the individual’s spiritual conditions. The tool helps uncover unmet spiritual needs and the possibility of the existing spiritual distress that affects the spiritual well-being of an individual (Puchalski, 2021). The outcome that shows a high degree of unmet spiritual needs indicates the greater level of disturbances in the spiritual state and spiritual distress the client encounters.

The next tool is the FICA spirituality history tool. The word FICA is an abbreviation used to present the Faith and belief, the importance, community, and addressing in care. Faith together with the belief involve determining the client’s spiritual beliefs and what they consider to be bringing the meaning of life to them. The importance involves the analysis or finding out the application of the spiritual beliefs are utilized in coping with the disease. The community involves learning how the clients participate in the spiritual or religious community (J. Flowers Health Institute, 2022). The address in care is the process of asking the client how they prefer their spiritual issues to be addressed by the healthcare providers during delivery of healthcare services.

The FICA tool is utilized for the clinical evaluation of spirituality. It is used to guide the spiritual history and this is achieved through framing the questions instead of depending on the checklist. The FICA tool helps guide the conversation between providers and clients. The tool offers the best healthcare to a client (D’Souza & Astrow, 2020). The information collected from the assessment is vital in directing the treatment and the recovery process.


D’Souza, K., & Astrow, A. B. (2020). Patient spirituality as a component of supportive care: Assessment and intervention. 
Current Treatment Options in Oncology
21(2), 1-10.

J. Flowers Health Institute. (2022). Spiritual Assessment and Counsel in Healthcare. Retrieved from

Puchalski, C. (2021). Spiritual care in health care: Guideline, models, spiritual assessment and the use of the© FICA Spiritual History Tool. In 
Spiritual needs in research and practice (pp. 27-45). Palgrave Macmillan, Cham.

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