Spiritual Self-Care for Health Care Providers: An Integrative Literature Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/308556
Category:
Abstract
Type:
Presentation
Title:
Spiritual Self-Care for Health Care Providers: An Integrative Literature Review
Author(s):
Koren, Mary Elaine; Purohit, Sonal
Lead Author STTI Affiliation:
Non-member
Author Details:
Mary Elaine Koren, RN, PhD, mkoren@niu.edu; Sonal Purohit, MBBS, DCH, MS
Abstract:

Session presented on: Saturday, November 16, 2013

The work of health care providers ranks among the most stressful jobs in America (Brinson, 2013). The causes of this job stress are multi-faceted with no easy solutions. Self-care measures that emphasize spiritual development maybe one approach to alleviate job stress; however, there is a paucity of empirical research on spiritual interventions for health care providers. We implemented an integrative review methodology (Whittemore & Knafl, 2005) to describe research that addresses the spiritual self-care of health care providers. Using the keywords “spirituality” and “health-care providers” the following databases were reviewed: Cumulative Index of Nursing and Allied Health Literature, EBSCO, Medline, PsycInfo, and Google Scholar. When the initial keywords yielded few results, the following keywords were used: “mindfulness-based stress reduction,” “yoga,”  “meditation,” “imagery,” “tai chi,” and “reiki.” Only refereed journal studies that tested spiritual interventions published within the past ten years were reviewed. Ten quantitative studies and five qualitative studies met the review criteria. The outcome variables most often measured included: burn-out, stress, anxiety, mindfulness, depression, compassion, quality of care, personal self-efficacy, and caring. All reported psychological outcome measures were significantly related to the interventions. Nearly half of the outcome measures represented negative health conditions. Only one study used a physiological measure (salivary cortisol levels) and found no significant changes following the intervention. The majority of studies used some form of Easwaran’s 8-point program of mindfulness. Most participants were female with over ten years of clinical experience. Sample sizes were small. We concluded that sustainability of the interventions is questionable, since few studies examined the effects of interventions beyond three months. Recommendations include more precise outcome measures, more diverse participants, and use of longitudinal data. Future studies framed by theory will provide a foundation for the design of a legacy of nursing practice that incorporates the most effective spiritual self-care interventions.
Keywords:
health care providers; spirituality; spiritual self-care
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSpiritual Self-Care for Health Care Providers: An Integrative Literature Reviewen_GB
dc.contributor.authorKoren, Mary Elaineen_GB
dc.contributor.authorPurohit, Sonalen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsMary Elaine Koren, RN, PhD, mkoren@niu.edu; Sonal Purohit, MBBS, DCH, MSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308556-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p>The work of health care providers ranks among the most stressful jobs in America (Brinson, 2013). The causes of this job stress are multi-faceted with no easy solutions. Self-care measures that emphasize spiritual development maybe one approach to alleviate job stress; however, there is a paucity of empirical research on spiritual interventions for health care providers. We implemented an integrative review methodology (Whittemore & Knafl, 2005) to describe research that addresses the spiritual self-care of health care providers. Using the keywords “spirituality” and “health-care providers” the following databases were reviewed: Cumulative Index of Nursing and Allied Health Literature, EBSCO, Medline, PsycInfo, and Google Scholar. When the initial keywords yielded few results, the following keywords were used: “mindfulness-based stress reduction,” “yoga,”  “meditation,” “imagery,” “tai chi,” and “reiki.” Only refereed journal studies that tested spiritual interventions published within the past ten years were reviewed. Ten quantitative studies and five qualitative studies met the review criteria. The outcome variables most often measured included: burn-out, stress, anxiety, mindfulness, depression, compassion, quality of care, personal self-efficacy, and caring. All reported psychological outcome measures were significantly related to the interventions. Nearly half of the outcome measures represented negative health conditions. Only one study used a physiological measure (salivary cortisol levels) and found no significant changes following the intervention. The majority of studies used some form of Easwaran’s 8-point program of mindfulness. Most participants were female with over ten years of clinical experience. Sample sizes were small. We concluded that sustainability of the interventions is questionable, since few studies examined the effects of interventions beyond three months. Recommendations include more precise outcome measures, more diverse participants, and use of longitudinal data. Future studies framed by theory will provide a foundation for the design of a legacy of nursing practice that incorporates the most effective spiritual self-care interventions.en_GB
dc.subjecthealth care providersen_GB
dc.subjectspiritualityen_GB
dc.subjectspiritual self-careen_GB
dc.date.available2013-12-19T17:32:52Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:52Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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