Chair of Euro Committee

The chair of Euro Committee

Friday April 24th 2009
Spiritual Care – does it matter to me?
Kristine Hjellen, student Haraldsplass Deaconess University College,

Presentation and material from the Workshop

This presentation will focus on the need for reflections about spiritual care.

Learning outcome:
To give the listeners some thoughts about the importance of being aware of our definition of spiritual care, and what it means to us

Courage – a moving force in mortality and creativity
Paul Otto Brunstad, Dr.theol./ researcher, Norwegian Defense

Even when we know exactly what we ought to do, it can still be difficult to do it. Since courage seems to be a necessary and moving force not only within morality, but also in all creativity and innovation, it is interesting to scrutinize the virtue of courage in the context of modern health care.

Learning outcomes:
The participant will come to know more about the nature of courage, and the meaning of courage in one’s own life and profession.

How to grow spiritually
Grete Schärfe, RN, staffworker DKS, hospice nurse, KamillianerGaardens Hospice, Aalborg, Denmark.

Presentation and material from the workshop 2
Presentation and material from the workshop 3

  • What does it mean – and what does it not mean – to grow spiritually?
  • What can hinder – and what can further – spiritual growth?
  • What can I do in order to grow spiritually?

Learning outcomes:
That participants will have a desire to grow spiritually, and be ready to take personal steps in their spiritual growth.

What can happen when nurses ' and patients' view of life are different?
Linda Ross, BA, RGN, PhD, University of Glamorgan, South Wales

Wilfred McSherry, Professor in Dignity of Care for Older People, PhD, MPhil, BSc. Centre for Practice and Service Improvement, Faculty of health, Staffordshire University Shrewsbury and Telford Hospitals NHS Trust, UK

Concurrent workshops 13.00 – 14.15:

A. Spiritual Care Giving by Norwegian Nurses and Nursing Students
Pamela H. Cone, PhD, RN, CNS
Azusa Pacific University, CA, USA

Presentration and material from the workshop

Nursing in Norway identifies four domains of the person as physical, psychological, social, and spiritual. How nurses recognize spiritual needs as well as knowing how to provide appropriate spiritual care is an important concern; how one learns to give spiritual care that is sensitive, non-invasive, but supportive to the patient is also important. A Fulbright Research project conducted in Bergen in Fall 2008 will be discussed. Findings indicate that Norwegian culture, nursing education history, and nurses’ personal and educational background affect a nurse's perspective and ability to give spiritual care. In this session, ways of recognizing patient needs that are spiritual in nature will be identified and strategies for providing spiritual care to patients given. Norwegian findings will be compared to US findings from a similar study conducted at Azusa Pacific University in 1994. Dialogue with attendees will promote an increased understanding of spiritual care, and mutual learning is anticipated.

Learning outcomes of the workshop:
  • Define spiritual care in Norway and discuss similarities and differences with the US.
  • Identify several spiritual needs and the cues that patients give to demonstrate those needs.
  • Name at least three spiritual care strategies to use with patients who have spiritual needs.

B. What value has Christian prayer in today’s health-profession?
Kristina Berg Torskenæs, RN, Ass. Professor
Diakoniva University College, Norway

Presentation and material from the workshop

For a Christian prayer is like breathing, something necessary for living has someone said. By prayer you can have a relationship with God the almighty, the creator of all universe. God himself wants to have fellowship with his creation.
American research (Harris,1999) show us that prayer make a difference in patient outcome such as, shorter hospital sty, less use of painkillers and a decrease of complications after surgery. In Scandinavia we can se an increase of spiritual themes in research. We know for example that spirituality influences a person’s quality of life.
Jesus taught his disciples that prayer was important by his own example. As health worker our personal beliefs will always influence our patients. We have to respect and care for our patient’s spiritual live as well as their physical and psychological. When we practice prayer for and with our patients it should always be done on the premises of the patient.  

Learning outcomes of the workshop:
Increased knowledge and shared experiences about prayer in today’s health profession.

C. Spiritual Care in South Africa: HIV/AIDS Home-based Care
Laurel Bishop, Student nurse, BSN at Azusa Pacific University
Azusa, California, USA

Presentation and material from the workshop

This presentation will describe spiritual care giving by nurses and community health workers in an HIV positive population in South Africa. Through a nursing “study abroad” program, the presenter participated in and observed the spiritual care focus of a HIV/AIDS home-based care program, which utilizes lay community health workers (CHWs). In South Africa, 5.7 million people live with HIV/AIDS. The home-based care program focuses on providing compassionate spiritual care within the cultural context of the population. This approach transcends the stigma of the disease, encourages the patients’ faith, and empowers the patients. As a student nurse, this experience expanded understandings of the AIDS crisis in Africa and the role of a nurse in global health. In the face of despair and death, nurses have the opportunity to create a place of hope and acceptance by providing holistic care. The principles of spiritual care provided in this setting can be utilized in nursing practice around the world.  

Learning outcomes of the workshop:
  • Describe spiritual care giving by nurses and community health workers in South Africa
  • Gain understanding of spiritual care in context of AIDS crisis in South Africa
  • Identify cultural factors which influence spiritual care
  • Describe principles of spiritual care used in HIV/AIDS home-based care setting
  • Describe outcomes of a nursing study abroad program from a student perspective

D. Exploring spiritual meaning through creativity
Jenny Hall, MSc (Reproduction & health) RN RM ADM PG (Dip)HE
University of the West of England, Bristol, UK & Editor, The Practising Midwife journal

It is rare in the busyness of being a student, nurse, midwife or lecturer that you have real opportunity to reflect what this means to you. This workshop, therefore, is that opportunity with space to give yourself that time and to be creative.
I use these methods in educational settings, parenting classes, church groups and research, to facilitate personal reflection and development, and enable discussion about spiritual issues.
Come along and be willing to play.

Learning outcomes of the workshop:
•    To have space for personal reflection
•    To have more awareness of the personal meaning of your current role
•    To consider how you may use this new awareness in your role

Friday April 24th 2009
Concurrent workshops 14.30 – 15.45:

A. Dealing with patients’ spirituality: experiences from healthcare workers perspective
René van Leeuwen, RN, PhD
Lectorate Healthcare and spirituality, Reformed University of Applied Sciences, Zwolle Netherlands

Presentation and material from the workshop

In this workshop experiences with the ‘spiritual side’ of the patient will be shared and explored.  Participants get the opportunity to tell their own ‘spiritual patient stories’.  
Questions to prepare for this workshop are:
-    can you give an example of how the patients spirituality was working out in your health care practice?
-    what was your reaction in that situation?
-    how do you reflect on that situation afterwards?
The first part of the workshop will focus on telling each other our ‘spiritual stories’ according to the above mentioned questions.
In the second half of the workshop participants will try to summarize our experiences in a framework of spiritual needs. The framework of spiritual needs of Fitchett will be applied and the use of it in health care settings will be discussed.

Learning outcomes of the workshop:
  • Able to reflect on personal experiences of patients spirituality
  • Develop one’s own awareness of the spiritual dimension in healthcare
  • Gain insight in the model of spiritual needs of Fitchett and be able to discuss the use of  it in one’s own health care practice
B. The art of loving- the expression of love in nursing
Marte Bygstad-Landro, RN,
Solli Psychiatric Hospital, Norway

Presentation and material

During educational work experience and part time work in different healthcare institutions, I have sometimes experienced lack of ability in showing care for the patients. Some patients seem harder for me to love hich represents a great challenge for me as a nurse. I do believe that good quality of nursing requires that one has to be able to show love. I will  share some reflections around:
-what is love?
-what can motivate us to give love in our profession?
-and by reflecting around theory and experiences from my work, I’ll try to illustrate how love can be expressed in different situations.

Learning outcomes of the workshop:
How a nurse can communicate love and care also towards patients who seem difficult to love.

C. Spiritual and emotional support for the labouring woman in Brazil:
Lessons from traditional midwives for nursing students
Leah Butts, Student nurse,  BSN at Azusa Pacific University
Azusa, California, USA

Presentation and material from the workshop

In Northeast Brazil for decades past, traditional midwives have provided much-needed support to mothers in labor due to a lack of access to medical care and barriers created by poverty. Although accessibility to medical care has improved, the birth process has become a highly-medicalized procedure in Brazilian hospitals. As a result, obstetric nurses detach themselves from patients, neglecting the need to provide emotional and spiritual care to the laboring woman. Traditional midwives, on the other hand, continue to view birth as a deeply spiritual experience, during which they believe they should often pray and encourage the mother to be strong. Traditional midwives practice according to their relationships with mothers, demonstrate commitment to the woman in birth, and verbalize surrender to a higher power during labor. Nurses may learn to provide more holistic care to women in labor through examination of the practices of traditional midwives.

Learning outcomes of the workshop:
  • Acknowledge and explore spiritual needs of patients which nurses are uniquely placed to address.
  • Challenge nurse’s philosophy of care to integrate concepts of relationship, commitment, and surrender in order to provide holistic care for patients.
  • Consider how nurses integrate a sense of purpose, calling, or vocation into the spiritual support and care they provide for patients.
D. A methodology to successfully identify and address the spiritual care needs of your patients
Steve Fouch, MSc. BSc. (Hons) RGN,
CMF, 6Marshalsea Road, London, SE1 1HL, UK

Presentation and material from the workshop

Why Spiritual Care matters.
The presenters will make a case for how skillful patient spiritual care strengthens the “healthcare excellence quotient” in patient care delivery:
  • Highlights of scientific research findings related to positive patient health outcomes and personal faith,
  • Research findings regarding patient receptivity to spiritual care provided in clinical settings,
  • A Biblical model and call for Christian healthcare professionals,
  • The need for proper training to ensure spiritual excellence, and to strengthen care provider confidence.
It is a healthcare professional-specific training and mentoring process consisting of:
  • An interactive one-day educational session built around five critical questions,
  • Mentoring relationships to encourage graduates in their personal faith and the integration of their faith into their clinical practice,
  • On-going interaction and follow-up via personal coaching contacts and an interactive website,
  • Available up-to-date resources for graduates.

Learning outcomes of the workshop:
  • Recognition that scientific research indicates a correlation between spirituality and positive patient health outcomes
Awareness of the Biblical call for integrating personal faith with excellence of healthcare practices