Professional Nurses: Spiritual Care as a Necessary Component of Holistic Care 
 During Every Day Practice as a Nurse
Spiritual care is a necessary component of primary health care because it creates a holistic approach in practice, for professional nurses, by supplementing standards of practice and code of ethics. In nursing spirituality is not easily defined, however recognition of spirituality is important for professional competent and holistic nursing practice. Understanding the client’t and own spiritual needs enables nurses to expand their views and enriches them personally and professionally. Personal spirituality enforces this by obliging nurses to look deep into their soul, and reflect upon themselves.

As a result nurses realize their self biases and discriminations and consequently can set these aside and avoid any kind of impositions. Along with this comes interconnectedness because everyone shares spirituality despite the dynamics of different worldviews. In other words, nurses and clients alike are all humanistic. Overall it will be demonstrated that the practice of spirituality supports professional and client relationships, and leadership by entailing compassionate, competent, ethical and holistic care. Literature Reviewn & Discussion

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Spiritual well-being importance in patients and nurses
There needs to be an awareness of the importance of spiritually in order for it to be assessed in the nursing process (Ellis & Narayanasamy, 2009, p. 887). Without including spirituality or being aware of one’s own consciousness there is a lack of holistic care and this creates a risk for neglect of the person as a whole (Ellis & Narayanasamy, 2009, p. 887). For the purpose of this review spirituality is not being precisely defined, rather it will be indefinitely open for interpretation, because it is always evolving and very complex. For now it will suffice


That nurses provide spiritual care by being conscious of spiritually within themselves and their clients.
 Nurses’ knowledge and skill (characteristics) that coincide with spirituality
 A lot of the characteristics and skills that arise from spiritually elicit indicators from the Standards of Practice for Registered Nurses (2012) and ethical responsibilities from the Code of Ethics for Registered Nurses (2008). Spiritual worksraises appreciation to self awareness, interconnectedness, innate compassion and knowledge based practice. These characteristics when successful promote leadership. The previous is further elaborated. 
 Self awareness. Consequently spirituality requires one to acquire full consciousness of self awareness.

Page 2 Nursing and Spirituality Essay

Spiritual nurses identify what their personal beliefs, values, prejudices and assumptions are.During the process of understanding these components of one self as a whole, inevitably self bias’ are eliminated. This reveals an ethical principle of autonomy. Spirituality iterates autonomy because when nurses set aside their own personal bias, achieved by selfawareness, they can more proficiently assess and meet patient’ spiritual needs from the client’s perspective (Casarez & Engebretson, 2012, p. 2101). Accordingly, nurses adopt a patient centred approach to spiritual care with less emphasis on the nurses’ agenda. This self awareness through spirituality is liberating and raises understanding of our true nature; the nature of innate compassion (Wright & Neuberger, 2012, p. 20).

Innate compassion. Spirituality can be idealized as a basic caring science because it insists on openness and respect for client’s and nurse’s own opinions, beliefs, values, views, and emotions (Rykkje, Eriksson, & Råholm, 2011, p. 41). The most basic denominator of care is love, which is understood universally. Rykkje, Eriksson, and Råholm (2011) portray Lewis,


Hankin, Reynolds, and Ogedegbe’s (2007) thought of spirituality as “love in action” (p. 45). Love is connectedness which is motivated by spiritual thought, which provides the presence of transcendent love (Rykkje, Eriksson, & Råholm, 2011, p. 44). Aside from their qualitative metasynthesis of spirituality, studies have shown that continuing education spiritual training programs lead to enhancement of individual virtues, such as compassion and empathy (Yong, Kim, Park, Seo, & Swinton, 2011, p. 292). Yong’s et al. (2011) program showed such beneficial effects on spiritual well being on the participant nurses that it could be inferred that the spirituality training program could be utilized in a continuing education program. This confers that there needs to be an appreciation of the body of knowledge behind spirituality because perhaps not all nurses have the skills to provide spiritual care without the use of terminology and assessment tools.

Knowledge based practice. Hopefully by now it is understood that spirituality elevates a heightened understanding of what it is to be, in simple terms, humanistic. Spirituality lends itself to knowledge and resources that nurses can draw upon to serve themselves and in unison to others (Wright & Neuberger, 2012, p. 21). These resources and knowledge are not as obvious for some as others but are still as applicable, if not more valuable, to client centre care as having the skills and mechanics to do the job (Wright & Neuberger, 2012, p. 21). Spirituality teaches nurses to constantly evaluate their own language and actions in order to constitute a caring and competent atmosphere. Spirituality better equips someone, through knowledge, self awareness and interconnectedness, to find meaning in life and seize opportunities in which sculpts leaders. 
 Promoted leadership practice. It is very evident that practiced spirituality can lead to beneficial outcomes, a few which have already been discussed. These outcomes are so


efficacious that professionals become the best person they can become, and this is a facet of leadership. In fact, there is empirical evidence by Yong et al. (2011) showing the participants of the spiritual experimental group that showed greater scores in spiritual well being also showed higher scores in leadership practice (p. 285). Spirituality is a virtue that requires good communication skills to better understand a patient’s beliefs, values and own individual spirituality. This virtue creates a sense of purpose and mission in which motivates nurses to change into leaders because leadership is the the pursuance of mobilizing others to want to be the best they can be (Yong et al., 2011, p. 281).

As noted by Ellis and Narayanasamy (2009), there is controversial belief in health care professions that spirituality is “unimportant or irrelevant to patents” (Callahan, 2002) despite literature suggesting that there is an increasing demand for holistic care (p. 888). This sounds like an oxymoron as holistic care entails a balance between the body, mind and spirit, and spirituality can not be disregarded. The role of spirituality in practice has phenomenal effects in the professional of nursing by promoting self awareness, interconnectedness, innate compassion and an advanced body of knowledge.

From these characteristics there is an indication that more spiritually oriented nurses demonstrate excellent performance in leadership roles. This overall wellbeing of nurses and client, deemed through spirituality, contributes to the creation of a holistic and caring environment in all areas across the nursing profession. In the profession of nursing, through a strong sense of spirituality, there can be morals learned about broadening the view of holistic care within the realm of diversity. With this said, it could be universally agreed that it would be beneficial to introduce a spirituality continuing education program into all

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