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1.The integration of spirituality in healthcare provision has gained popularity today more than ever. This improves patient outcomes by ensuring that patients receive holistic care. There are various tools available for assessing and evaluating spirituality. One of these tools is FICA Spiritual Assessment Tool. It is widely utilized in healthcare to address the spiritual needs of patients. FICA, which stands for faith, meaning or belief, the importance of spirituality on an individual’s life, the spiritual community, and practices, aims to identify patients’ beliefs, practices, and values and their impact on health and healing (Puchalski, 2021). It promotes non-judgmental and open-ended dialogue between patients and their providers.
The other tool is HOPE questions which provide a framework where nurses can explore and understand patients’ source of hope and personal spirituality (Puchalski, 2021). It emphasizes the provision of patient-centred and integrated care. Another widely used tool is the Spiritual Wellbeing Scale (SWBS). SWBS consists of existential and religious well-being. Religious well-being is concerned with the individual’s religious beliefs. Existential well-being addresses factors like the individual’s purpose in life. This tool facilitates the provision of patient-centred care to help meet the individual’s unique spiritual needs.
Nurses can use the Edmonton Symptom Assessment System (ESAS). ESAS tool for spiritual well-being assesses the spiritual well-being of patients with serious illnesses (Alvarenga et al., 2022). The tool assists in evaluating aspects such as tiredness, pain, shortness of breath, drowsiness, nausea, appetite, anxiety, and depression. Patients rate their spirituality on a scale of 0 to 10, with lower scores indicating a low sense of well-being. Nurses can also use the Functional Assessment of Chronic Illness Therapy – Spiritual Wellbeing tool. FACIT-Sp is designed explicitly for assessing patients with chronic diseases (Alvarenga et al., 2022). It provides information on how spirituality influences their quality of life. It evaluates various aspects of spirituality, including peace, meaning, relationship with God, and faith.
In conclusion, integrating spirituality in nursing care is essential to ensure comprehensive care that meets the needs of patients. Assessment of spirituality ensures that nurses provide holistic care. It ensures that nurses embrace the importance of spiritual wellbeing. Spiritual wellbeing is vital in ensuring that the patient develops emotional resilience (Alvarenga et al., 2022). This contributes to the overall health and quality of life. In addition, spiritual assessment strengthens the relationship between the patient and the nurse. It increases patients’ trust in the provider because it makes them feel valued and supported, which improves collaboration and communication.
2.As nursing professionals, some of the tools that we can use to assess spirituality are, first of all, conducting a spiritual interview. Through this interview, as an evaluation tool in which a structured conversation with the patient is carried out, we will evaluate her spirituality. We will investigate and evaluate aspects such as religious beliefs, religious practice, the meaning of life and faith, as well as the impact of the disease on the spirituality of the patient. In turn, we can apply the Jarel Spirituality Scale, which as mentioned (Serna, 2020) is an evaluation tool consisting of 12 items that evaluate the spiritual dimension of the patient’s life. Items include belief in God or a higher power, religious practice, relationship with religious community, meaning of life, and inner peace.
It is also feasible to use the WHOQOL Spiritual Well-Being Scale (World Health Organization Spiritual Well-Being Scale). This assessment tool measures the spiritual dimension of the patient’s quality of life (Nervi, 2020). It consists of 3 items that evaluate satisfaction with spiritual life, connection with something bigger than oneself, and the search for meaning and meaning. We can also apply questionnaires to obtain and evaluate the patient’s spirituality, such as the Paloutzian and Ellison Spiritual Well-being Questionnaire (Serna, 2020). This Paloutzian and Ellison Spiritual Well-Being Questionnaire is an assessment tool that assesses four dimensions of spirituality: personal experience of the sacred, sense of community and relationship with others, attitude toward life, and religious practice.
It is important that we consider that the choice of the spirituality assessment tool will depend on the clinical situation and the needs of the patient. In general, it is important that nurses routinely assess a patient’s spirituality and use appropriate tools to accurately assess it (Nervi, 2020). This topic has marked relevance, since carrying out a correct evaluation of the patient’s spirituality allows the care provided to improve. And it is that this allows us nurses to understand the unique perspective of the patient on his health and her well-being. By considering the patient’s spirituality as an important aspect of her care, the nurse can provide more comprehensive and personalized care. Clinical experience, as mentioned by (Rousseau, 2020) supports that spirituality guides the behavior of people in relation to the experience of their illness and decision-making in health, both in physical and psychological care.
