Tools Used to Evaluate Spirituality in Nursing Practice

Promoting spiritual assessment and providing spiritual therapies in regular healthcare environments need robust clinical research and evidence-based practice. According to Querrey (2020), the availability of credible spiritual assessments acceptable for therapeutic contexts is the cornerstone of the spiritual evidence-based assessment.

Tools Used to Evaluate Spirituality in Nursing Practice

Spiritual assessment in health care setting attempts are hampered by the assertion that no description of spirituality is widely accepted, and no agreement exists on the elements of spirituality in medical research. Therefore, several conceptual frameworks of spirituality have arisen, making understanding the various constructions and goals of instruments that evaluate spirituality complex (Querrey, 2020).

It is critical to explain the measurements used to assess spiritual care by nursing health professionals and to investigate what the literature based on the instruments informs us about how to improve the spiritual care of patients.

There are several tools available to aid nurses in doing a spiritual assessment. The FICA Spiritual History Tool guides nurses through a sequence of questionnaires aimed to elicit patient spirituality and its potential influence on healthcare delivery using an acronym (Puchalski, 2021). Beginning with questions on (F) faith and belief, it moves on to questions about their (I) importance to the client, the patient’s faith (C) community, and how the patient wants the nurse to (A) address spirituality in their treatment (Puchalski, 2021).

A nurse can utilize the following particular questions to address spirituality in the FICA model: F: What do you trust in that gives your life purpose? I: How have your values affected your conduct during your sickness, and what function do they play in your recovery? C: Is there someone you adore? A: How do you want me, your nurse, to handle these concerns in your care?

Another tool is the HOPE questions. These questions guide the nurse from broad concepts to specific applications by inquiring about patients’ HOPE) sources of hope and purpose, (O) their affiliation with organized religion, (P) their spirituality and habits, and the (E) the effect their spirituality could have on medical treatment and end-of-life choices (Estupiñan & Kibble, 2018).

Question samples for the HOPE methodology to Spiritual Assessment that the nurse can use: H: Where do you find hope, strength, comfort, and peace? O: Do you consider yourself a member of a religious doctrine, and if so, how significant is this to you? P: Do you have personal spiritual beliefs separate from established religion? What exactly are they? What components of your spirituality or spiritual practices have proven to be the most beneficial to you personally? E: Has being unwell interfered with your capacity to perform the activities that normally aid you spiritually? Is there anything special I should be aware of when delivering your medical care?

The Open Invite is a patient-centered technique to encourage spiritual discourse. As Mathew-Geevarughese et al. (2019) note, it is designed to allow spiritual patients to talk more freely while also allowing those who are not spiritual to opt out easily. It reminds nurses that their responsibility is to open the door to communication and invite (rather than require) patients to address their needs (Mathew-Geevarughese et al., 2019).

The tool includes questions that allow the nurse to bring up the subject of spirituality. Questions might be similar to or different from those in the FICA and HOPE mnemonics. The nurse may inquire about the patient’s religious background and spiritual or religious preference. The nurse should use invite questions designed to urge patients to express their requirements as soon as they feel comfortable doing so. For example, asking patients if their Does your spirituality influences their health decisions and if there is a way the nurse can account for the patient’s spirituality and their health care. The key to this strategy is to ask normal, conversational inquiries that are courteous.


Tools Used to Evaluate Spirituality in Nursing Practice Instructions

The use of spirituality in nursing practice is not new. However, it is more studied and utilized in a more structured format in nursing. Identify and discuss tools used to evaluate spirituality.