Skip to main content

Advertisement

Log in

Spiritual Health: A Concept Analysis

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Spiritual health has attracted a lot of attention in health-related and nursing sciences and numerous researches. Yet, this concept has remained complex and ambiguous, and there is no consensus in this regard. This ambiguity can be challenging for holistic nursing; therefore, clarification of the concept is required for development of nursing knowledge. The present study aimed to explore the concept of spiritual health in health-related and nursing literature. Walker and Avant (Strategies for theory construction in nursing, Appleton & Lange, Norwalk, 1995) concept analysis method was used in this study. The results were categorized as antecedents, attributes, and outcomes of spiritual health. The critical attributes extracted for spiritual health included transcendence, purposefulness and meaningfulness, faithfulness, harmonious interconnectedness, integrative power, multidimensionality, and holistic being. Besides, the antecedents of spiritual health included capability and potentiality for transcendence, and spiritual awareness. Finally, well-being and moral development were the outcomes of spiritual health. Spiritual health is one of the basic aspects of health and providing a clear theoretical definition can result in a common understanding of this concept for nurses. Clarifying this concept would also be useful for provision of spiritual care interventions and development of nursing theories.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Albaugh, J. (2003). Spirituality and life-threatening illness: A phenomenologic study. Oncology Nursing Forum, 30, 593–598.

    Article  PubMed  Google Scholar 

  • Anandarajah, G., & Hight, E. (2001). Spirituality and medical practice. American Family Physician, 63, 81–88.

    CAS  PubMed  Google Scholar 

  • Anderson, S. R. (2010). The feminine face of God: The unfolding of the sacred in women. New York: Bantam.

    Google Scholar 

  • Astedt-Kurki, P. (1995). Religiosity as a dimension of well-being a challenge for professional nursing. Clinical Nursing Research, 4, 387–396.

    Article  CAS  PubMed  Google Scholar 

  • Bailey, M., Moran, S., & Graham, M. (2009). Creating a spiritual tapestry: Nurses’ experiences of delivering spiritual care, to patients in an Irish hospice. International Journal of Palliative Nursing, 15, 42–48.

    Article  PubMed  Google Scholar 

  • Banks, R. (1980). Health and the spiritual dimension: Relationships and implications for professional preparation programs. Journal of School Health, 50, 195–202.

    Article  CAS  PubMed  Google Scholar 

  • Banks, R. L., Poehler, D. L., & Russell, R. D. (1984). Spirit and human-spiritual interaction as a factor in health and in health education. Health Education, 15, 16–19.

    Article  CAS  PubMed  Google Scholar 

  • Banks-Wallace, J., & Parks, L. (2004). It’s all sacred: African American women’s perspectives on spirituality. Issues in Mental Health Nursing, 25, 25–45.

    Article  PubMed  Google Scholar 

  • Barker, E. (1989). Spiritual well-being in appalachian women. Austin: University of Texas.

    Google Scholar 

  • Barker, S. L., & Floersch, J. E. (2010). Practitioners’ understandings of spirituality: Implications for social work education. Journal of Social Work Education, 46, 357–370.

    Article  Google Scholar 

  • Barney, R. J., & Buckingham, S. L. (2012). HIV/AIDS and spirituality in a South African township: A qualitative study. Journal of Religion & Spirituality in Social Work: Social Thought, 31, 51–66.

    Article  Google Scholar 

  • Benjamin, P., & Looby, F. (1998). Defining the nature of spirituality in the context of Maslow’s and Rodger’s theories. Couns Values, 49, 92–100.

    Article  Google Scholar 

  • Bensley, R. J. (1991). Defining spiritual health: A review of the literature. Journal of Health Education, 22, 287–290.

    Article  Google Scholar 

  • Benzein, E., Norberg, A., & Saveman, B. (1998). Hope: Future imagined reality. The meaning of hope as described by a group of healthy pentecostalists. Journal of Advanced Nursing, 28, 1063–1070.

    Article  CAS  PubMed  Google Scholar 

  • Bjarnason, D. (2007). Concept analysis of religiosity. Home Health Care Management & Practice, 19, 350–355.

    Article  Google Scholar 

  • Bloomfield, H., & Kory, R. (1978). The holistic way to health and happiness. New York: Simon and Schuster.

    Google Scholar 

  • Boswell, G. H., Kahana, E., & Dilworth-Anderson, P. (2006). Spirituality and healthy lifestyle behaviors: Stress counter-balancing effects on the well-being of older adults. Journal of Religion and Health, 45, 587–602.

    Article  Google Scholar 

  • Bradley, C. (2011). Women in AA: “Sharing experience, strength and hope” the relational nature of spirituality. Journal of Religion & Spirituality in Social Work: Social Thought, 30, 89–112.

    Article  Google Scholar 

  • Bradshaw, A. (1994). Lighting the lamp: The spiritual dimension of nursing care. London: Scutari Press.

    Google Scholar 

  • Buck, H. G. (2006). Spirituality: concept analysis and model development. Holistic Nursing Practice, 20, 288–292.

    Article  PubMed  Google Scholar 

  • Buck, H. G., & Meghani, S. H. (2012). Spiritual expressions of African Americans and Whites in cancer pain. Journal of Holistic Nursing, 30, 107–116.

    Article  PubMed  Google Scholar 

  • Burkhardt, M. A. (1989). Spirituality: An analysis of the concept. Holistic Nursing Practice, 3, 69–77.

    Article  CAS  PubMed  Google Scholar 

  • Burkhardt, M. (1994). Becoming and connecting: elements of spirituality for women. Holistic Nursing Practice, 8, 12–21.

    Article  CAS  PubMed  Google Scholar 

  • Burkhart, L., Schmidt, L., & Hogan, N. (2011). Development and psychometric testing of the Spiritual Care Inventory instrument. Journal of Advanced Nursing, 67, 2463–2472.

    Article  PubMed  Google Scholar 

  • Bush, T., & Bruni, N. (2008). Spiritual care as a dimension of holistic care: A relational interpretation. International Journal of Palliative Nursing, 14, 539–545.

    Article  PubMed  Google Scholar 

  • Campbell, C. (1984). Nursing diagnosis and intervention in nursing practice. New York, NY: Delmar.

    Google Scholar 

  • Carr, E. W., & Morris, T. (1996). Spirituality and patients with advanced cancer: A social work response. Journal of Psychosocial Oncology, 14, 71–81.

    Article  Google Scholar 

  • Carroll, B. (2001). A phenomenological exploration of the nature of spirituality and spiritual care. Mortality, 6, 81–98.

    Article  Google Scholar 

  • Carson, V. B., & Koenig, H. G. (1989). Spiritual dimensions of nursing practice. Philadelphia, PA: Saunders.

    Google Scholar 

  • Chambers. (Ed.). (2014). The chambers-dictionary. Quercus.

  • Chapman, L. S. (1986). Spiritual health: A component missing from health promotion. American Journal of Health Promotion, 1, 38–41.

    Article  CAS  PubMed  Google Scholar 

  • Chapman, L. (1987). Developing a useful perspectine on spiritual health: Wellbeing, spiritual potential and the search for meaning. American Journal for Health Promotion, 1, 31–39.

    Article  CAS  Google Scholar 

  • Chinn, P. L., & Kramer, M. K. (1999). Theory and nursing: Integrated knowledge development. St. Louis: Mosby.

    Google Scholar 

  • Chiu, L., Clark, M. B., & Daroszewski, E. B. (2000). Lived experience of spirituality in Taiwanese women with breast cancer. Western Journal of Nursing Research, 22, 29–53.

    Article  Google Scholar 

  • Chiu, L., Emblen, J. D., van Hofwegen, L., Sawatzky, R., & Meyerhoff, H. (2004). An integrative review of the concept of spirituality in the health sciences. Western Journal of Nursing Research, 26, 405–428.

    Article  PubMed  Google Scholar 

  • Chung, L. Y. F., Wong, F. K. Y., & Chan, M. F. (2007). Relationship of nurses’ spirituality to their understanding and practice of spiritual care. Journal of Advanced Nursing, 58, 158–170.

    Article  PubMed  Google Scholar 

  • Como, J. M. (2007). Spiritual practice: A literature review related to spiritual health and health outcomes. Holistic Nursing Practice, 21, 224–236.

    Article  PubMed  Google Scholar 

  • Cotton, S., Tsevat, J., Szaflarski, M., Kudel, I., Sherman, S. N., Feinberg, J., et al. (2006). Changes in religiousness and spirituality attributed to HIV/AIDS: Are there sex and race differences? Journal of General Internal Medicine, 21, S14–S20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Coughlin, S. (2008). Surviving cancer or other serious illness: A review of individual and community resources. CA: A Cancer Journal for Clinicians, 58, 60–64.

    Google Scholar 

  • Coyle, J. (2002). Spirituality and health: Towards a framework for exploring the relationship between spirituality and health. Journal of Advanced Nursing, 37, 589–597.

    Article  PubMed  Google Scholar 

  • Crossley, J. P., & Salter, D. P. (2005). A question of finding harmony: A grounded theory study of clinical psychologists’ experience of addressing spiritual beliefs in therapy. Psychology and Psychotherapy: Theory, Research and Practice, 78, 295–313.

    Article  Google Scholar 

  • Daaleman, T. P., Cobb, A. K., & Frey, B. B. (2001). Spirituality and well-being: An exploratory study of the patient perspective. Social Science and Medicine, 53, 1503–1511.

    Article  CAS  PubMed  Google Scholar 

  • Daly, C. (2005). Definition of terms: Spirituality versus religiousness. Southern Medical Journal, 98, 1238–1239.

    Article  PubMed  Google Scholar 

  • Delgado, C. (2005). A discussion of the concept of spirituality. Nursing Science Quarterly, 18, 157–162.

    Article  PubMed  Google Scholar 

  • Diaz, D. P. (1993). Foundations for spirituality: Establishing the viability of spirituality within the health discipline. Journal ofHealth Education, 24, 324–326.

    Article  Google Scholar 

  • Draper, P., & Mcsherry, W. (2002). A critical review of spirituality and spiritual assessment. Journal of Advanced Nursing, 39, 1–2.

    Article  PubMed  Google Scholar 

  • Dunn, K. (2008). Development and psychometric testing of a new geriatric spiritual well-being scale. International Journal of Older People Nursing, 3, 161–169.

    Article  PubMed  Google Scholar 

  • Edwards, A., Pang, N., Shiu, V. & Chan, C. (2010). The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: A meta-study of qualitative research. Palliative Medicine, 24(8), 753–770. doi:10.1177/0269216310375860.

    Article  CAS  PubMed  Google Scholar 

  • Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Archives of Internal Medicine, 159, 1803–1806.

    Article  CAS  PubMed  Google Scholar 

  • Elham, H., Hazrati, M., Momennasab, M., & Sareh, K. (2015). The effect of need-based spiritual/religious intervention on spiritual well-being and anxiety of elderly people. Holistic Nursing Practice, 29, 136–143.

    Article  PubMed  Google Scholar 

  • Ellison, C. W. (1983). Spiritual well-being: Conceptualization and measurement. Journal of Psychology and Theology, 11, 330–340.

    Article  Google Scholar 

  • Ellison, C. G., & Fan, D. (2008). Daily spiritual experiences and psychological well-being among US adults. Social Indicators Research, 88, 247–271.

    Article  Google Scholar 

  • Emblen, J. D. (1992). Religion and spirituality defined according to current use in nursing literature. Journal of Professional Nursing, 8, 41–47.

    Article  CAS  PubMed  Google Scholar 

  • Emmons, R. A., & Crumpler, C. A. (1999). Religion and spirituality? The roles of sanctification and the concept of God. The International Journal for the Psychology of Religion, 9, 17–24.

    Article  Google Scholar 

  • Fehring, R., Miller, M. J., & Shaw, C. (1997). Spiritual well-being, religiosity, hope, depression and other mood states in elderly people coping with cancer. Oncology Nursing Forum, 24, 663–671.

    CAS  PubMed  Google Scholar 

  • Fernsler, J. I., Klemm, P., & Miller, M. A. (1999). Spiritual well-being and demands of illness in people with colorectal cancer. Cancer Nursing, 22, 134–140.

    Article  CAS  PubMed  Google Scholar 

  • Fisher, J. (1998). Spiritual Health: Its nature and place in the school curriculum. PhD, The University of Melbourne.

  • Fisher, J. (2009). Understanding and assessing spiritual health. In M. Desouza & E. Al (Eds.), International handbook of education for spirituality, care and well-being. Dordrecht: Springer.

    Google Scholar 

  • Fisher, J. (2010). Development and application of a spiritual well-being questionnaire called SHALOM. Religions, 1, 105–121.

    Article  Google Scholar 

  • Fisher, J. (2011). The four domains model: connecting spirituality, health and well-being. Religions, 2, 17–28.

    Article  Google Scholar 

  • Fisher, J. W., Francis, L. J., & Johnson, P. (2000). Assessing spiritual health via four domains of spiritual wellbeing: The SH4DI. Pastoral Psychology, 49, 133–145.

    Article  Google Scholar 

  • Frankl, V. (1959). Man’s search for meaning: An Introduction to logotheraphy. New York: Washington Square Press.

    Google Scholar 

  • Frankl, V. (1969). The will to meaning. New York: New American Library.

    Google Scholar 

  • Frey, B. B., Daaleman, T. P., & Peyton, V. (2005). Measuring a dimension of spirituality for health research validity of the spirituality index of well-being. Research on Aging, 27, 556–577.

    Article  Google Scholar 

  • Fry, A. (1998). Spirituality, communication and mental health nursing: The tacit interdiction. Australian and New Zealand Journal of Mental Health Nursing, 7, 25–32.

    CAS  PubMed  Google Scholar 

  • Fryback, P. (1993). Health for people with a terminal diagnosis. Nursing Science Quarterly, 6, 147–159.

    Article  CAS  PubMed  Google Scholar 

  • Gall, Tl, Malette, J., & Guirguis-Younger, M. (2011). Spirituality and religiousness: A diversity of definitions. Journal of Spirituality in Mental Health, 13, 158–181.

    Article  Google Scholar 

  • Goddard, N. C. (1995). ‘Spirituality as integrative energy’: A philosophical analysis as requisite precursor to holistic nursing practice. Journal of Advanced Nursing, 22, 808–815.

    Article  CAS  PubMed  Google Scholar 

  • Gomez, A. R., & Fisher, J. W. (2003). Domains of spiritual well-being and development and validation of the spiritual well-being questionnaire. Personality and Individual Differences, 35, 1975–1991.

    Article  Google Scholar 

  • Goodloe, N. R., & Arreola, P. M. (1992). Spiritual health: Out of the closet. Journal of Health Education, 23, 221–226.

    Article  Google Scholar 

  • Gove, P. B. (Ed.). (1961). Webster's third new international dictionary. Cambridge, MA: Riverside Press.

  • Gray, E. D. (1988). Sacred dimensions of women’s experience. Wellesley, MA: Roundtable Press.

    Google Scholar 

  • Greasley, P., Chiu, L. F., & Gartland, R. M. (2001). The concept of spiritual care in mental health nursing. Journal of Advanced Nursing, 33, 629–637.

    Article  CAS  PubMed  Google Scholar 

  • Griffith, J., Caron, C. D., Desrosiers, J., & Thibeault, R. (2007). Defining spirituality and giving meaning to occupation: The perspective of community-dwelling older adults with autonomy loss. Canadian Journal of Occupational Therapy, 74, 78–90.

    Article  Google Scholar 

  • Haase, J. E., Britt, T., Coward, D. D., Leidy, N. K., & Penn, P. E. (1992). Simultaneous Concept analysis of spiritual perspective, hope, acceptance and self-transcendence. Image: The Journal of Nursing Scholarship, 24, 141–147.

    CAS  Google Scholar 

  • Harvey, I. S., & Silverman, M. (2007). The role of spirituality in the self-management of chronic illness among older African and whites. Journal of Cross Cultural Gerontology, 22, 205–220.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hawks, S. R., Hull, M. L., Thalman, R. L., & Richins, P. M. (1995). Review of spiritual health: Definition, role, and intervention strategies in health promotion. American Journal of Health Promotion, 9, 371–378.

    Article  CAS  PubMed  Google Scholar 

  • Heyse-Moore, L. (1996). On spiritual pain in the dying. Mortality, 1, 297–319.

    Article  Google Scholar 

  • Hiatt, J. F. (1986). Spirituality, medicine, and healing. Southern Medical Journal, 79, 736–743.

    Article  CAS  PubMed  Google Scholar 

  • Hill, P. C. & Pargament, K. I. (2008). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. Psychology of Religion and Spirituality, S(1), 3–17.

  • Hodge, D. R., & Mcgrew, C. C. (2006). Spirituality, religion, and the interrelationship: A nationally representative study. Journal of Social Work Education, 42, 637–654.

    Article  Google Scholar 

  • Hungelmann, J., Kenkel-Rossi, E., Klassen, L., & Stollenwerk, R. M. (1985). Spiritual well-being in older adults: Harmonious interconnectedness. Journal of Religion and Health, 24, 147–153.

    Article  CAS  PubMed  Google Scholar 

  • Hungelmann, J., Kenkel-Rossi, E., Klassen, L., & Stollenwerk, R. (1996). Focus on spiritual well-being: Harmonious interconnectedness of mind-body-spirit—Use of the JAREL spiritual well-being scale: Assessment of spiritual well-being is essential to the health of individuals. Geriatric Nursing, 17, 262–266.

    Article  CAS  PubMed  Google Scholar 

  • Johnson, B. (2008). A tale of two religious effects: Evidence for the protective and prosocial impact of organic religion. In K. K. Kline (Ed.), Authoritative communities: The scientific case for nurturing the whole child. New York: Springer.

    Google Scholar 

  • Joint Commission on Accreditation of Health Care Organizations. (2005). Spiritual assessment [Online]. Available: http://www.jcaho.org.

  • Kahn, D., & Steeves, R. (1993). Spiritual well-being: A review of the research literature. Quality of Life: A Nursing Challenge, 2, 60–64.

    Google Scholar 

  • Karren, K. J., Hafen, B. Q., Smith, N. L., & Frandsen, K. J. (2002). Mind/body health: The effects of attitudes, emotions, and relationships. San Francisco: Benjamin Cummings.

    Google Scholar 

  • Killoran, M., Schlitz, M. J., & Lewis, N. (2002). Unremarkable recoveries: Normalizing adversity and cancer survival. Qualitative Health Research, 12, 208–222.

    Article  PubMed  Google Scholar 

  • Kim, M. J., Mcfarland, G. K., & Mclane, A. M. (1987). Pocket guide to nursing diagnosis. St. Louis: Mosby.

    Google Scholar 

  • Klaas, D. (1998). Testing two elements of spirituality in depressed and nondepressed elders. International Journal of Psychiatric Nursing Research, 4, 452–462.

    CAS  PubMed  Google Scholar 

  • Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care, clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88, 251–258.

    Article  CAS  PubMed  Google Scholar 

  • Kociszewski, C. (2003). A Phenomenological pilot study of the nurses’ experience providing spiritual care. Journal of Holistic Nursing, 21, 131–148.

    Article  PubMed  Google Scholar 

  • Koenig, H. G., George, L. K., & Titus, P. (2004). Religion, spirituality, and health in medically ill hospitalized older patients. Journal of the American Geriatrics Society, 52, 554–562.

    Article  PubMed  Google Scholar 

  • Koenig, H., King, D., & Carson, V. B. (2012). Handbook of religion and health. New York: Oxford University Press.

    Google Scholar 

  • Koopsen, C. & Young, C. (2009). Health and human spirit. In C. Koopsen & C. Young (Eds.) Integrative health: A holistic approach for health professionals. Saudbury: Jones & Bartlett Learning.

  • Labun, E. (1988). Spiritual care: An element in nursing care planning. Journal of Advanced Nursing, 13, 314–320.

    Article  CAS  PubMed  Google Scholar 

  • Lane, J. (1987). The care of the human spirit. Journal of Professional Nursing, 3, 332–337.

    Article  CAS  PubMed  Google Scholar 

  • Larson, D. B., Koenig, H. G., Kaplan, B. H., Greenberg, R. S., Logue, E., & Tyroler, H. A. (1989). The impact of religion on men’s blood pressure. Journal of Religious Health, 28, 265–278.

    Article  CAS  Google Scholar 

  • Lazenby, J. M. (2010). On “spirituality”,“religion”, and “religions”: A concept analysis. Palliative and Supportive Care, 8, 469–476.

    Article  PubMed  Google Scholar 

  • Lazenby, M., Khatib, J., Al-Khair, F., & Neamat, M. (2011). Psychometric properties of the Functional Assessment of Chronic Illness Therapy—SpiritualWell-being (FACIT-Sp) in an Arabic-speaking, predominantly Muslim population. Psycho-Oncology, 22, 220–227.

    Article  PubMed  Google Scholar 

  • Lee, L., Connor, K., & Davidson, J. (2008). Eastern and western spiritual beliefs and violent trauma: A US national community survey. Traumatology, 14, 68–76.

    Article  Google Scholar 

  • Levin, J. S., & Vanderpool, H. Y. (1989). Is religion therapeutically significant for hypertension? Social Science and Medicine, 29, 69–78.

    Article  CAS  PubMed  Google Scholar 

  • Lim, J., & Yi, J. (2009). The effects of religiosity, spirituality, and social support on quality of life: A comparison between Korean American and Korean breast and gynecologic cancer survivors. Oncology Nursing Forum, 36, 699–708.

    Article  PubMed  Google Scholar 

  • Lowry, L. (2012). A qualitative descriptive study of spirituality guided by the Neuman systems model. Nursing Science Quarterly, 25, 356–361.

    Article  PubMed  Google Scholar 

  • Macquarrie, J. (1992). Paths in spirituality. Harrisburg, PA: Morehouse.

    Google Scholar 

  • Mahlungulu, S., & Uys, L. (2004). Spirituality in nursing: an analysis of the concept. Curationis, 27, 15–26.

    Article  CAS  PubMed  Google Scholar 

  • Makins, M. (Ed.). (1991). Collins English dictionary. HarperCollins.

  • Markani, A. K., Yaghmaei, F., & Fard, M. K. (2012). Spirituality as experienced by Muslim oncology nurses in Iran. British Journal of Nursing, 21, S20–S25.

    Article  Google Scholar 

  • Martsolf, D. S., & Mickley, J. R. (1998). The concept of spirituality in nursing theories: Differing world-views and extent of focus. Journal of Advanced Nursing, 27, 294–303.

    Article  CAS  PubMed  Google Scholar 

  • Mathews, D. A., Mccullough, M. E., Larson, D. B., Koenig, H. G., Sawyers, J. P., & Milano, J. P. (1998). Religious commitment and health status: A review of research and implications for family practice. Archives of Family Medicine, 7, 118–124.

    Article  Google Scholar 

  • May, R. (1981). Freedom and destiny. New York: Delta.

    Google Scholar 

  • McBrien, B. (2006). A concept analysis of spirituality. British Journal of Nursing, 15, 42–45.

    Article  PubMed  Google Scholar 

  • McClain, C. S., Rosenfeld, B., & Breitbart, W. (2003). Effect of spiritual well-being on end-of-life despair in terminally-ill cancer patients. The Lancet, 361, 1603–1607.

    Article  Google Scholar 

  • McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19, 211.

    Article  CAS  PubMed  Google Scholar 

  • McEven, M., & WILLS, E. M. (2011). Theoretical basis for nursing. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • McSherry, W. (2006). Making sense of spirituality in nursing and health care practice: An interactive approach. London: Jessica Kingsley Publishers.

    Google Scholar 

  • McSherry, W., & Cash, K. (2004). The language of spirituality: An emerging taxonomy. International Journal of Nursing Studies, 41, 151–161.

    Article  PubMed  Google Scholar 

  • McSherry, W., & Jamieson, S. (2013). The qualitative findings from an online survey investigating nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 22, 3170–3182.

    Article  PubMed  Google Scholar 

  • Meleis, A. I. (2005). Theoretical nursing. Philadelephia: JB Lippincott.

    Google Scholar 

  • Meleis, A. I. (2007). Theoretical nursing: Development and progress. Philladelphia: Lippincot Williams & Wilkins.

    Google Scholar 

  • Meleis, A. I. (2012). Theoretical nursing: Development & progress. Philadelphia: Lippincott Williams & Wilkins.

    Google Scholar 

  • Meraviglia, M. (1999). Critical analysis of spirituality and its empirical indicators: Prayer and meaning in life. Journal of Holistic Nursing, 17, 18–33.

    Article  CAS  PubMed  Google Scholar 

  • Meraviglia, M. (2004). The effects of spirituality on wellbeing of people with lung cancer. Oncology Nursing Forum, 31, 89–94.

    Article  PubMed  Google Scholar 

  • Merriam-Webster. (2016). The merriam-webster dictionary. G. & C. Merriam Company Collection.

  • Micozzi, M. S. (2006). Fundamentals of complementary and integrative medicine. Philadelphia, PA: Elsevier.

    Google Scholar 

  • Micozzi, M. S. (2014). Fundamentals of complementary and alternative medicine. St. Louis: Elsevier Health Sciences.

    Google Scholar 

  • Miller, J. (1987). Wellness programs through the church: Available alternative for health education. Health Values, 11, 3–6.

    Google Scholar 

  • Miller, M. (1995). Culture, spirituality, and women’s health. Journal of Obstet Gynecology Neonatal Nursing, 24, 257–263.

    Article  CAS  Google Scholar 

  • Miller, W. R., & Thoresen, C. E. (2003). Spirituality, religion, and health: An emerging research field. American Psychologist, 58, 24–35.

    Article  PubMed  Google Scholar 

  • Miner-Williams, D. (2006). Putting a puzzle together: Making spirituality meaningful for nursing using an evolving theoretical framework. Journal of Clinical Nursing and Health Sciences, 15, 811–821.

    Google Scholar 

  • Moberg, D. O. (1971). Spiritual well-being; background [and] issues. White house conference on aging, Washington, D.C.

  • Moberg, D. O. (1984). Subjective measures of spiritual well-being. Review of Religious Research, 25, 351–364.

    Article  Google Scholar 

  • Moberg, D. O., & Brusek, P. M. (1978). Spiritual well-being: A neglected subject in quality of life research. Social Indicators Research, 5, 303–323.

    Article  Google Scholar 

  • Molzahn, A., Sheilds, L., Bruce, A., Stajduhar, K., Makaroff, K. S., Beuthin, R., et al. (2012). People living with serious illness: Stories of spirituality. Journal of Clinical Nursing, 2, 2347–2356.

    Article  Google Scholar 

  • Momennasab, M., Moattari, M., Abbaszade, A., & Shamshiri, B. (2012). Spirituality in survivors of myocardial infarction. Iranian Journal of Nursing and Midwifery Research, 17, 343–351.

    PubMed  PubMed Central  Google Scholar 

  • Monod, S., Brennan, M., Rochat, E., Martin, E., Rochat, S., & Büla, J. C. (2011). Instruments measuring spirituality in clinical research: A systematic review. Journal of General Internal Medicine, 26, 1345–1357.

    Article  PubMed  PubMed Central  Google Scholar 

  • Morrison-Orton, D. (2004). How rehabilitation professionals define the concepts of spirituality and religion when working with individuals with disabilities. Journal of Social Work in Disability & Rehabilitation, 3, 37–55.

    Article  Google Scholar 

  • Murray, R. B., & Zentner, J. B. (1989). Nursing concepts for health promotion. London: Prentice Hall.

    Google Scholar 

  • Nagai-Jacobson., M. G., & Burkhardt, M. A. (1989). Spirituality: Cornerstone of holistic nursing practice. Holistic Nursing Practice, 3, 18–26.

    Article  CAS  PubMed  Google Scholar 

  • National Interfaith Coalition on Aging. (1975). Spiritual wellbeing: A definition. Athens, GA: National Interfaith Coalition on Aging (NICA).

    Google Scholar 

  • Newlin, K., Knafl, K., & Melkus, G. D. E. (2002). African-American spirituality: A concept analysis. Advances in Nursing Science, 25, 57–70.

    Article  PubMed  Google Scholar 

  • North American Nursing Diagnosis Association, International. (2005). Nursing diagnoses: Definitions and classification. Irvine: Nursecom.

    Google Scholar 

  • North American Nursing Diagnosis Association, International. (2009). Readiness for enhanced spiritual well-being. Oxford: Wiley-Blackwell.

    Google Scholar 

  • O’brien, M. (1982). The need for spiritual integrity. In H. Yura & M. B. Walsh (Eds.), Human needs and the nursing process. Norwalk, CT: Appleton-Century-Crofts.

    Google Scholar 

  • O’Brien, M. (2008). A middle range theory of spiritual well-being in illness. Spirituality in nursing: Standing on holy ground. Sudbury, MA: Jones & Bartlett Learning.

    Google Scholar 

  • Oh, P. J., & Kang, K. A. (2005). Spirituality: Concept analysis based on hybrid model. Taehan Kanho Hakhoe chi, 35, 709–720.

    PubMed  Google Scholar 

  • Oser, F. K., Scarlett, W. G., & Bucher, A. (2006). Religious and spiritual development throughout the life span. In W. Damon & R. M. Lerner (Eds.), Handbook of child psychology: Theoretical models of human development. Hoboken, NJ: Wiley.

    Google Scholar 

  • Osman, J., & Russel, R. (1979). The spiritual aspect of health. Journal of School Health, 49, 359.

    Article  CAS  PubMed  Google Scholar 

  • Paley, J. (2008). Spirituality and secularization: Nursing and the sociology of religion. Journal of Clinical Nursing, 17, 175–186.

    PubMed  Google Scholar 

  • Pargament, K. (1997). The psychology of religion and coping: Theory, research, practice. New York: The Guilford Press.

    Google Scholar 

  • Pargament, K. I. (2001). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.

    Google Scholar 

  • Parsian, N., & Dunning, T. (2009). Developing and validating a questionnaire to measure spirituality: A psychometric process. Global Journal of Health Science, 1, 2–11.

    Article  Google Scholar 

  • Penman, J., Oliver, M., & Harrington, A. (2013). The relational model of spiritual engagement depicted by palliative care clients and caregivers. International Journal of Nursing Practice, 19, 39–46.

    Article  PubMed  Google Scholar 

  • Pesut, B. (2006). Fundamental or foundational obligation? Problematizing the ethical call to spiritual care in nursing. Advances in Nursing Science Quarterly, 29, 125–133.

    Article  Google Scholar 

  • Pesut, B. (2008). Spirituality and spiritual care in nursing fundamentals textbooks. Journal of Nursing Education, 47, 167–173.

    Article  PubMed  Google Scholar 

  • Pesut, B., Fowler, M., Taylor, E. J., Reimer-Kirkham, S., & Sawatzky, R. (2008). Conceptualising spirituality and religion for healthcare. Journal of Clinical Nursing, 17, 2803–2810.

    Article  PubMed  Google Scholar 

  • Pesut, B., & Thorne, S. (2007). From private to public: Negotiating professional and personal identities in spiritual care. Journal of Advanced Nursing, 58, 396–403.

    Article  PubMed  Google Scholar 

  • Powell, L. H., Shahabi, L., & Thoresen, C. E. (2003). Religion and spirituality: Linkages to physical health. American Psychologist, 58, 36.

    Article  PubMed  Google Scholar 

  • Puchalski, C. M. (2009). Ethical concerns and boundaries in spirituality and health. AMA Journal of Ethics, 11, 804–815.

    Article  Google Scholar 

  • Puchalski, C. M., Vitillo, R., Hull, S. K., & Reller, N. (2014). Improving the spiritual dimension of whole person care: Reaching national and international consensus. Journal of Palliative Medicine, 17, 642–656.

    Article  PubMed  PubMed Central  Google Scholar 

  • Reed, P. G. (1987). Spirituality and well-being in terminally ill hospitalized adults. Research in Nursing & Health, 10, 335–344.

    Article  CAS  Google Scholar 

  • Reed, P. G. (1991). Toward a nursing theory of selftranscendence: Deductive reformulation using developmental theories. Advances in Nursing Science, 13, 64–77.

    Article  CAS  PubMed  Google Scholar 

  • Reed, P. G. (1992). An emerging paradigm for the investigation of spirituality in nursing. Research in Nursing & Health, 15, 349–357.

    Article  CAS  Google Scholar 

  • Rican, P. (2004). Spirituality: The story of a concept in the psychology of religion. Archive for the Psychology of Religion (Archiv für Religionspychologie), 26, 135–156.

    Article  Google Scholar 

  • Rich, Y., & Cinamon, R. G. (2007). Conceptions of spirituality among Israeli Arab and Jewish late adolescents. Journal of Humanistic Psychology, 47, 7–29.

    Article  Google Scholar 

  • Richardson, G. E., & Noland, M. P. (1983). Treating the spiritual dimension through educational imagery. Health Values, 8, 25–30.

    Google Scholar 

  • Riley, B. B., Perna, R., Tate, D. G., Forchheimer, M., Anderson, C., & Luera, G. (1998). Types of spiritual well-being among persons with chronic illness: Their relation to various forms of quality of life. Archives of Physical Medicine and Rehabilitation, 79, 258–264.

    Article  CAS  PubMed  Google Scholar 

  • Rodgers, B. (2006). Concepts, analysis and the development of nursing knowledge: The evolutionary cycle. Journal of Advanced Nursing, 14, 330–335.

    Article  Google Scholar 

  • Rodgers, B. L., & Knafl, K. A. (2000). Concept development in nursing. Philadelphia: W.B. Saunders Company.

    Google Scholar 

  • Roehlkepartain, E. C., Benson, P. L., King, P. E. & Wagener, L. M. (2006). Religion, spirituality, and children’s physical health. In D. Oman & C. E. Thoresen (Eds.) The handbook of spiritual development in childhood and adolescence. Thousand Oaks: Sage Publications.

  • Roland, N. J., & Rogers, S. N. (2012). Exercise interventions on health-related quality of life for cancer survivors. Clinical Otolaryngology, 37, 393–394.

    Article  CAS  PubMed  Google Scholar 

  • Ross, L. A. (1994). Spiritual aspects of nursing. Journal of Advanced Nursing, 19, 439–447.

    Article  CAS  PubMed  Google Scholar 

  • Ross, L. (1995). The spiritual dimension: Its importance to patients’ health, well-being and quality of life and its implications for nursing practice. International Journal of Nursing Studies, 32, 457–468.

    Article  CAS  PubMed  Google Scholar 

  • Rowe, M. M., & Allen, R. G. (2003). Spirituality as a means of coping with chronic illness. American Journal of Health Studies, 19, 62–66.

    Google Scholar 

  • Sawatzky, R., & Pesut, B. (2005). Attributes of spiritual care in nursing practice. Journal of Holistic Nursing, 23, 19–33.

    Article  PubMed  Google Scholar 

  • Seaward, B. (2000). Stress and human spirituality 2000: At the cross roads of physics and metaphysics. Applied Psychophysiology and Biofeedback, 25, 241–246.

    Article  CAS  PubMed  Google Scholar 

  • Sessanna, L., Finnell, D., & Jezewski, M. A. (2007). Spirituality in nursing and health-related literature a concept analysis. Journal of Holistic Nursing, 25, 252–262.

    Article  PubMed  Google Scholar 

  • Sheldon, L. (1996). An analysis of the concept of humour and its application to one aspect of children’s nursing. Journal of Advance Nursing, 24, 1175–1183.

    Article  CAS  Google Scholar 

  • Sherman, D. (1996). Nurses’willingness to care for AIDS patients and spirituality, social support, and death anxiety. Image: The Journal of Nursing Scholarship, 28, 205–213.

    CAS  Google Scholar 

  • Sherwood, G. (2000). The power of nurse-client encounters: Interpreting spiritual themes. Journal of Holistic Nursing, 18, 159–175.

    Article  CAS  PubMed  Google Scholar 

  • Smith, D. (1995). Power and spirituality in polio survivors: A study based on Rogers’ science. Nursing Science Quarterly, 8, 133–139.

    Article  CAS  PubMed  Google Scholar 

  • Smith, J., & McSherry, W. (2004). Spirituality and child development: A concept analysis. Journal of Advanced Nursing, 45, 307–315.

    Article  PubMed  Google Scholar 

  • Snyder, M., & Lindquist, R. (2006). Complementary/alternative therapies in nursing. New York: Springer.

    Google Scholar 

  • Soeken, K., & Carson, V. (1987). Responding to the spiritual needs of the chronically ill. Nursing Clinics of North America, 22, 603–611.

    CAS  PubMed  Google Scholar 

  • Stevenson, A. (2010). Oxford Dictionary of English. New York: Oxford University Press.

  • Stoll, R., & Stoll, I. (1989). The essence of spirituality in spiritual dimensions of nursing practice. Philadelphia: W.B. Saunders.

    Google Scholar 

  • Strawbridge, W. J., Shema, S. J., Cohen, R. D., & Kaplan, G. A. (2001). Religious attendance increases survival by improving and maintaining good health behaviors, mental health, and social relationships. Annals of Behavioral Medicine, 23, 68–74.

    Article  CAS  PubMed  Google Scholar 

  • Tanyi, R. A. (2002). Towards clarification of the meaning of spirituality. Journal of Advanced Nursing, 39, 500–509.

    Article  PubMed  Google Scholar 

  • Tarakeshwar, N., Stanton, J., & Pargament, K. (2003). Religion: An overlooked dimension in cross-cultural psychology. Journal of Cross-Cultural Psychology, 34, 377–394.

    Article  Google Scholar 

  • Taylor, E. J., Amenta, M., & Highfield, M. (1995). Spiritual care practices of oncology nurses. Oncology Nursing Forum, 22, 31–39.

    CAS  PubMed  Google Scholar 

  • Tvorogova, N. (2011). Spiritual well-being. Psychology in Russia: State of the Art, 4, 193–203.

    Google Scholar 

  • Underwood, L. (2006). Ordinary spiritual experience: Qualitative research, interpretive guidelines, and population distribution for the daily spiritual experiences scale. Archive for the Psychology of Religion/Archiv fur Religion Psychologie, 28, 181–218.

    Article  Google Scholar 

  • Underwood, L. G. (2011). The daily spiritual experience scale: Overview and results. Religions, 2, 29–50.

    Article  Google Scholar 

  • Unterrainer, H.-F., Ladenhauf, K. H., Wallner-Liebmann, S. J., & Fink, A. (2011). Different types of religious/spiritual well-being in relation to personality and subjective well-being. The International Journal for the Psychology of Religion, 21, 115–126.

    Article  Google Scholar 

  • Vachon, M., Fillion, L., & Achille, M. (2009). A conceptual analysis of spirituality at the end of life. Journal of Palliative Medicine, 12, 53–59.

    Article  PubMed  Google Scholar 

  • Vader, J. (2006). Spiritual health: The next frontier. European Journal of Public Health, 16, 457.

    Article  PubMed  Google Scholar 

  • van Dierendonck, D. (2004). The construct validity of Ryff’s scales of psychological well-being and its extension with spiritual well-being. Personality and Individual Differences, 36, 629–643.

    Article  Google Scholar 

  • Vandover, L., & Pfeiffer, J. (2012). Patients of parish nurses experience renewed spiritual identity: A grounded theory study. Journal of Advanced Nursing, 68, 1824–1833.

    Article  Google Scholar 

  • Waite, P. J., Hawks, S. R., & Gast, J. A. (1999). The correlation between spiritual well-being and health behaviors. American Journal of Health Promotion, 13, 159–162.

    Article  CAS  PubMed  Google Scholar 

  • Walker, L. O., & Avant, K. C. (1995). Strategies for theory construction in nursing. Norwalk, CT: Appleton & Lange.

    Google Scholar 

  • Walker, L. O., & Avant, K. C. (2005). Strategies for theory construction ni nursing. Upper Saddle River, NJ: Prentice Hall.

    Google Scholar 

  • Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River: Prentice Hall.

    Google Scholar 

  • Walton, J. (1996). Spiritual relationships a concept analysis. Journal of Holistic Nursing, 14, 237–250.

    Article  CAS  PubMed  Google Scholar 

  • Walton, J. (1999). Spirituality of patients recovering from an acute myocardial infarction a grounded theory study. Journal of Holistic Nursing, 17, 34–53.

    Article  CAS  PubMed  Google Scholar 

  • Walton, J. (2002). Finding a balance: A grounded theory study of spirituality in hemodialysis patients. Nephrology Nursing Journal: Journal of the American Nephrology Nurses’ Association, 29, 447–456.

    Google Scholar 

  • Walton, J., & Sullivan, N. (2004). Men of prayer: Spirituality of men with prostate cancer a grounded theory study. Journal of Holistic Nursing, 22, 133–151.

    Article  PubMed  Google Scholar 

  • Weathers, E., Mccarthy, G. & Coffey, A. (2015). Concept analysis of spirituality: An evolutionary approach. Nursing Forum, 51(2), 79–96. doi:10.1111/nuf.12128.

    Article  PubMed  Google Scholar 

  • WHOQOL-SRPB-GROUP. (2006). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life. Social Science and Medicine, 62, 1486–1497.

    Article  Google Scholar 

  • Williams, B. (2008). An exploratory study of older adults perspectives’ of spirituality. Occupational Therapy in Health Care, 22, 3–19.

    Article  PubMed  Google Scholar 

  • Wilner, J. (2014). Five reasons to develop and grow your spirituality [Online]. Psychcentral. Available: http://blogs.psychcentral.com/best-self/2014/11/five-reasons-to-develop-and-grow-your-spirituality/2015.

  • Woodgate, R. L., & Degner, L. F. (2003). A substantive theory of keeping the spirit alive: The spirit within children with cancer and their families. Journal of Pediatric Oncology Nursing, 20, 103–119.

    Article  PubMed  Google Scholar 

  • Wright, M. (2004). Hospice care and models of spirituality. European Journal of Palliative Care, 11, 75–78.

    Google Scholar 

  • Yalom, I. (1982). The “terrestrial” meanings of life. International Forum for Logotherapy, 5, 92–102.

    Google Scholar 

  • Yang, K., & Wu, X. (2009). Spiritual intelligence of nurses in two Chinese social systems: A cross-sectional comparison study. Journal of Nursing Research, 17, 189–198.

    Article  PubMed  Google Scholar 

  • Young, E. (1984). Spiritual health—an essential element in optimum health. Journal of American College Health, 32, 273–276.

    Article  CAS  PubMed  Google Scholar 

  • Zinnbauer, B. J., Pargament, K. I., & Scott, A. B. (1999). The emerging meanings of religiousness and spirituality: Problems and prospects. Journal of Personality, 67, 889–919.

    Article  Google Scholar 

Download references

Acknowledgement

This manuscript was a part of the Ph.D. dissertation written by Azita Jaberi and financially supported by the Vice-Chancellor for Research Affairs of Shiraz University of Medical Sciences (No. 93-7216). Hereby, the authors would like to thank Ms. A. Keivanshekouh at the Research Improvement Center of Shiraz University of Medical Sciences for improving the use of English in the manuscript.

Funding

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support was received from the Vice-Chancellor for Research Affairs of Shiraz University of Medical Sciences, Iran.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marzieh Momennasab.

Ethics declarations

Conflict of interest

Author Dr. Momennasab has received research grants from Vice-Chancellor for Research Affairs of Shiraz University of Medical Sciences. Author Azita Jaberi is a member of Student Research Committee. The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jaberi, A., Momennasab, M., Yektatalab, S. et al. Spiritual Health: A Concept Analysis. J Relig Health 58, 1537–1560 (2019). https://doi.org/10.1007/s10943-017-0379-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-017-0379-z

Keywords

Navigation