Healing Presence:Healing Presence:
Creating a Culture thatCreating a Culture that
Promotes Spiritual CarePromotes Spiritua...
Presented at
Recovering Our Traditions II—
Journey toJourney to
ExcellenceExcellence
A Catholic Health Care Perspective
On...
Sponsored by
SSupportiveupportive CCareare CCoalitionoalition
Pursuing Excellence in Palliative CarePursuing Excellence in...
OBJECTIVESOBJECTIVES
At the conclusion of this session participants will be able to:At the conclusion of this session part...
Holistic Health, Healing andHolistic Health, Healing and
Healing PresenceHealing Presence
Holistic Health: The Theory Prac...
Spiritual Care is notSpiritual Care is not
OPTIONAL!OPTIONAL!
Promoting Excellence: SevenPromoting Excellence: Seven
End-of-Life Care DomainsEnd-of-Life Care Domains
• Domain 1 - Patie...
• These domains, quality indicators andThese domains, quality indicators and
interventions or behaviors were generated in ...
National Consensus Project for QualityNational Consensus Project for Quality
Palliative CarePalliative Care (2004).(2004)....
The difference between “The difference between “healinghealing” and “” and “curingcuring””
CuringCuring:: the alleviation ...
Healing TestimoniesHealing Testimonies
• Seven years ago I was faced with threeSeven years ago I was faced with three
life...
Healing is:Healing is:
• Becoming whole, a life-long journey of becomingBecoming whole, a life-long journey of becoming
fu...
• Reconnecting lost aspects of ourselves, payingReconnecting lost aspects of ourselves, paying
attention to buried feeling...
• Facing our fears and refusing to be injured orFacing our fears and refusing to be injured or
wounded; changing our belie...
• Being empowered by the Divine; discovering meaning inBeing empowered by the Divine; discovering meaning in
our defects, ...
• Finding inner peace, contentment, andFinding inner peace, contentment, and
tranquility amid the realities of daily life,...
• Feeling connected to one another, a sense ofFeeling connected to one another, a sense of
interdependence; knowing we are...
Healing PresenceHealing Presence
Healing presence is the condition of beingHealing presence is the condition of being
cons...
Healing PresenceHealing Presence
• You cannotYou cannot dodo healing presence—you becomehealing presence—you become
healin...
Why Healing Presence MattersWhy Healing Presence Matters
• When one is truly present to another there is:When one is truly...
Developing Healing PresenceDeveloping Healing Presence
• Steps for Being a Healing Presence:Steps for Being a Healing Pres...
The Healer’s Personal SpiritualThe Healer’s Personal Spiritual
CareCare
• Hold spiritual beliefs that meet needsHold spiri...
• Demonstrate in interactions with others peace,Demonstrate in interactions with others peace,
inner strength, warmth, joy...
• PISCES ScalePISCES Scale
(Physical, Intellectual, Spiritual, Emotional, Social)(Physical, Intellectual, Spiritual, Emoti...
Questions for reflection:Questions for reflection:
1.1. To what degree do recent recipients of myTo what degree do recent ...
Questions for corporate reflection:Questions for corporate reflection:
1.1. Are the patients, families and staff better (m...
Spiritual CareSpiritual Care
SpiritualitySpirituality
• Spirituality is recognized as a factor thatSpirituality is recogni...
• Puchalski’s meaning with a capitalPuchalski’s meaning with a capital
and small “m”and small “m”
– ““M”eaning: Values, be...
Spiritual NeedsSpiritual Needs
• According to Fish and Shelly (1978)According to Fish and Shelly (1978)
there are three sp...
Spiritual CareSpiritual Care
Care that enables individuals to meetCare that enables individuals to meet
basic spiritual ne...
Spiritual Care and the HealerSpiritual Care and the Healer
• Offering Supportive PresenceOffering Supportive Presence
When...
Spiritual Care and the HealerSpiritual Care and the Healer
• Praying With OthersPraying With Others
• Responding to Human ...
Creating a Culture thatCreating a Culture that
Promotes Spiritual CarePromotes Spiritual Care
An institutional culture tha...
• Holds employees responsible for holistic self-Holds employees responsible for holistic self-
care:care:
– Physical, inte...
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  1. 1. Healing Presence:Healing Presence: Creating a Culture thatCreating a Culture that Promotes Spiritual CarePromotes Spiritual Care Carol Taylor, CSFN, RN, PhDCarol Taylor, CSFN, RN, PhD Georgetown University Medical CenterGeorgetown University Medical Center
  2. 2. Presented at Recovering Our Traditions II— Journey toJourney to ExcellenceExcellence A Catholic Health Care Perspective On End-of-Life Care January 26-28, 2006 San Antonio, Texas
  3. 3. Sponsored by SSupportiveupportive CCareare CCoalitionoalition Pursuing Excellence in Palliative CarePursuing Excellence in Palliative Care Catholic Health AssociationCatholic Health Association of the United Statesof the United States The George WashingtonThe George Washington Institute for Spirituality and HealthInstitute for Spirituality and Health
  4. 4. OBJECTIVESOBJECTIVES At the conclusion of this session participants will be able to:At the conclusion of this session participants will be able to: • Identify three universal spiritual needsIdentify three universal spiritual needs.. • Define spirituality, healing, healing presence, andDefine spirituality, healing, healing presence, and spiritual carespiritual care • Describe spiritual care and related professionalDescribe spiritual care and related professional responsibilities.responsibilities. • Value self as a healing presence and recommit to theValue self as a healing presence and recommit to the ministry of presence.ministry of presence. • Critique institutional cultures in light of their capacity toCritique institutional cultures in light of their capacity to promote spiritual carepromote spiritual care
  5. 5. Holistic Health, Healing andHolistic Health, Healing and Healing PresenceHealing Presence Holistic Health: The Theory Practice GapHolistic Health: The Theory Practice Gap and the Limits of the Bio-Psycho-Socialand the Limits of the Bio-Psycho-Social Model of HealthModel of Health
  6. 6. Spiritual Care is notSpiritual Care is not OPTIONAL!OPTIONAL!
  7. 7. Promoting Excellence: SevenPromoting Excellence: Seven End-of-Life Care DomainsEnd-of-Life Care Domains • Domain 1 - Patient and Family Centered Decision MDomain 1 - Patient and Family Centered Decision M • Domain 2 - Communication within the Team & PatienDomain 2 - Communication within the Team & Patien • Domain 3 - Continuity of CareDomain 3 - Continuity of Care • Domain 4 – Emotional & Practical Support for PatienDomain 4 – Emotional & Practical Support for Patien • Domain 5 – Symptom Management & Comfort CareDomain 5 – Symptom Management & Comfort Care • Domain 6 – Spiritual Support for Patients/FamiliesDomain 6 – Spiritual Support for Patients/Families • Domain 7 – Emotional & Organizational Support forDomain 7 – Emotional & Organizational Support for
  8. 8. • These domains, quality indicators andThese domains, quality indicators and interventions or behaviors were generated in ainterventions or behaviors were generated in a modified Delphi approach as described in themodified Delphi approach as described in the following article: Clarke EB, Curtis JR, Luce JM,following article: Clarke EB, Curtis JR, Luce JM, Levy M, Nelson J, Solomon MZ, for The RobertLevy M, Nelson J, Solomon MZ, for The Robert Wood Johnson Foundation Critical Care End-of-Wood Johnson Foundation Critical Care End-of- Life Peer Workgroup Members. (2003). QualityLife Peer Workgroup Members. (2003). Quality indicators for end-of-life care in the intensiveindicators for end-of-life care in the intensive care unit.care unit. Critical Care MedicineCritical Care Medicine, 31(9), 2255-, 31(9), 2255- 2262.2262.
  9. 9. National Consensus Project for QualityNational Consensus Project for Quality Palliative CarePalliative Care (2004).(2004). Clinical practice Clinical practice guide-lines for quality palliative careguide-lines for quality palliative care • Domain 5: Spiritual, Religious andDomain 5: Spiritual, Religious and Existential Aspects of CareExistential Aspects of Care (102, 103)(102, 103) • Guideline 5.1 Spiritual and existentialGuideline 5.1 Spiritual and existential dimensions are assessed and respondeddimensions are assessed and responded to based upon the best availableto based upon the best available evidence, which is skillfully andevidence, which is skillfully and systematically applied.systematically applied. (32, 104)(32, 104) • http: ://www.http: ://www.nationalconsensusprojectnationalconsensusproject.org.org
  10. 10. The difference between “The difference between “healinghealing” and “” and “curingcuring”” CuringCuring:: the alleviation of symptoms or the termination orthe alleviation of symptoms or the termination or suppression of a disease process through surgical,suppression of a disease process through surgical, chemical or mechanical interventionchemical or mechanical intervention HealingHealing:: may be spontaneous but more often it’s amay be spontaneous but more often it’s a gradual awakening to a deeper sense of self (and ofgradual awakening to a deeper sense of self (and of the self in relation to others) in a way that effectsthe self in relation to others) in a way that effects profound change. Healing comes from within and isprofound change. Healing comes from within and is consistent with a person's own readiness to grown andconsistent with a person's own readiness to grown and to change.to change. Healing is the integration of self. People move from aHealing is the integration of self. People move from a sense of brokenness to a sense of wholeness.sense of brokenness to a sense of wholeness. C. PuchalskiC. Puchalski
  11. 11. Healing TestimoniesHealing Testimonies • Seven years ago I was faced with threeSeven years ago I was faced with three life-threatening events in a period of threelife-threatening events in a period of three years. Those life-threatening experiencesyears. Those life-threatening experiences taught me that it is possible to “heal” andtaught me that it is possible to “heal” and to live fully even when we are in the abyssto live fully even when we are in the abyss of suffering. I believe everyone wouldof suffering. I believe everyone would benefit if we redefined “healing.” Here arebenefit if we redefined “healing.” Here are elements I now include in my definition.elements I now include in my definition.
  12. 12. Healing is:Healing is: • Becoming whole, a life-long journey of becomingBecoming whole, a life-long journey of becoming fully human, involving the totality of our being:fully human, involving the totality of our being: body, mind, emotion, spirit, social and politicalbody, mind, emotion, spirit, social and political context, as well as our relationships with otherscontext, as well as our relationships with others and with the Divine. Healing does notand with the Divine. Healing does not necessarily mean being happy or getting whatnecessarily mean being happy or getting what we think we want out of life; it means growth,we think we want out of life; it means growth, often with pain.often with pain. • Becoming our authentic self, releasing old unrealBecoming our authentic self, releasing old unreal self-images, discovering who we really are, notself-images, discovering who we really are, not what we think we should be, knowing why wewhat we think we should be, knowing why we are here and what we really value, restoring ourare here and what we really value, restoring our ability to heed our aspirations.ability to heed our aspirations.
  13. 13. • Reconnecting lost aspects of ourselves, payingReconnecting lost aspects of ourselves, paying attention to buried feelings and places inside usattention to buried feelings and places inside us that are distressed or sick, enabling us tothat are distressed or sick, enabling us to express our self in fullness, both the light andexpress our self in fullness, both the light and shadow sides.shadow sides. • Being open to change and new possibilities;Being open to change and new possibilities; responding to problems by changing the picture;responding to problems by changing the picture; being willing to let in more life, to open up tobeing willing to let in more life, to open up to what may have been previously closed orwhat may have been previously closed or destroyed for us and that which holds promise ofdestroyed for us and that which holds promise of giving us new life and fulfillment.giving us new life and fulfillment.
  14. 14. • Facing our fears and refusing to be injured orFacing our fears and refusing to be injured or wounded; changing our belief systems; breakingwounded; changing our belief systems; breaking unnecessary taboos; letting go of what isunnecessary taboos; letting go of what is familiar, and stepping into the unknown.familiar, and stepping into the unknown. • Accepting that problems, pain, and suffering areAccepting that problems, pain, and suffering are part of life and inseparable from us – not apart of life and inseparable from us – not a peripheral relationship, not something isolatedperipheral relationship, not something isolated and avoidable – enabling us to enter intoand avoidable – enabling us to enter into problems and use suffering, pain, and life-problems and use suffering, pain, and life- threatening events to enrich our lives.threatening events to enrich our lives.
  15. 15. • Being empowered by the Divine; discovering meaning inBeing empowered by the Divine; discovering meaning in our defects, disorders, problems, and disease;our defects, disorders, problems, and disease; experiencing new degrees of creativity and life forcesexperiencing new degrees of creativity and life forces that we might never have imagined before our difficulty;that we might never have imagined before our difficulty; finding that our pains and fears are transformed intofinding that our pains and fears are transformed into relief and confidence.relief and confidence. • Recognizing the value and preciousness of life, knowingRecognizing the value and preciousness of life, knowing that every moment is unique and significant, whichthat every moment is unique and significant, which usually leads to greater appreciation of the wonder of ourusually leads to greater appreciation of the wonder of our minds, bodies, and spirits and of the Divine.minds, bodies, and spirits and of the Divine. • Having faith and hope – important preconditions forHaving faith and hope – important preconditions for mental and physical health; having a belief in the Divine,mental and physical health; having a belief in the Divine, the meaning of human life, and the universe; helping usthe meaning of human life, and the universe; helping us to claim our capacity to create and make something new.to claim our capacity to create and make something new.
  16. 16. • Finding inner peace, contentment, andFinding inner peace, contentment, and tranquility amid the realities of daily life,tranquility amid the realities of daily life, including its problems, changes, andincluding its problems, changes, and chaos; experiencing a sense of fullnesschaos; experiencing a sense of fullness that makes the burdens of pain or illnessthat makes the burdens of pain or illness lighter.lighter. • Being forgiving of ourselves and othersBeing forgiving of ourselves and others and being forgiven; giving ourselves andand being forgiven; giving ourselves and others the freedom to let go of rivalry,others the freedom to let go of rivalry, strife, anger, hated, fear and limitations.strife, anger, hated, fear and limitations.
  17. 17. • Feeling connected to one another, a sense ofFeeling connected to one another, a sense of interdependence; knowing we are not isolated orinterdependence; knowing we are not isolated or autonomous, giving up the illusions ofautonomous, giving up the illusions of boundaries in life; taking responsibility, actingboundaries in life; taking responsibility, acting justly, and accepting that we share ourjustly, and accepting that we share our humanity.humanity. • Being loving and loved; loving one’s self andBeing loving and loved; loving one’s self and wanting to love and serve others, as well aswanting to love and serve others, as well as being capable of receiving love; having an abilitybeing capable of receiving love; having an ability to trust, a feeling of aliveness, and a sense ofto trust, a feeling of aliveness, and a sense of greater participation in life.greater participation in life.
  18. 18. Healing PresenceHealing Presence Healing presence is the condition of beingHealing presence is the condition of being consciously and compassionately in theconsciously and compassionately in the present moment with another or withpresent moment with another or with others, believing in and affirming theirothers, believing in and affirming their potential for wholeness, wherever theypotential for wholeness, wherever they are in life.are in life.
  19. 19. Healing PresenceHealing Presence • You cannotYou cannot dodo healing presence—you becomehealing presence—you become healing presence, expressing it gently yet firmly inhealing presence, expressing it gently yet firmly in various ways:various ways: – Listening, holding, talking, being silent, being still, being inListening, holding, talking, being silent, being still, being in your body, coming home to yourself, being receptive…your body, coming home to yourself, being receptive… • You can deepen your healing presence by:You can deepen your healing presence by: – slowing down, doing only one thing at a time, remindingslowing down, doing only one thing at a time, reminding yourself regularly to come back to the present momentyourself regularly to come back to the present moment • You can encourage healing presence by being:You can encourage healing presence by being: – appreciative, forgiving, humble, kind.appreciative, forgiving, humble, kind. Miller, EJ and Cutshall, SC. 2001.Miller, EJ and Cutshall, SC. 2001. The art of being a healing presence. A guide forThe art of being a healing presence. A guide for those in caring relationships.those in caring relationships. Willogreen Publishing.Willogreen Publishing.
  20. 20. Why Healing Presence MattersWhy Healing Presence Matters • When one is truly present to another there is:When one is truly present to another there is: – An alleviation of lonelinessAn alleviation of loneliness – An affirmation of one’s authentic self and invitation toAn affirmation of one’s authentic self and invitation to wholenesswholeness – Potential for spiritual bondingPotential for spiritual bonding – A deeper sense of our common humanityA deeper sense of our common humanity – A recognition and acknowledgement of the other asA recognition and acknowledgement of the other as personperson – An invitation to self-transcendenceAn invitation to self-transcendence – Possibility for greater self reflection & self revelationPossibility for greater self reflection & self revelation – Sharing on a deeper level, spiritual level [Butler]Sharing on a deeper level, spiritual level [Butler]
  21. 21. Developing Healing PresenceDeveloping Healing Presence • Steps for Being a Healing Presence:Steps for Being a Healing Presence: Miller, EJ and Cutshall, SC. 2001.Miller, EJ and Cutshall, SC. 2001. The art of being a healing presence. A guide forThe art of being a healing presence. A guide for those in caring relationships.those in caring relationships. Willogreen Publishing.Willogreen Publishing. 1.1. Open YourselfOpen Yourself 2.2. Intend to Be a Healing PresenceIntend to Be a Healing Presence 3.3. Prepare a Space for Healing Presence to Take PlacePrepare a Space for Healing Presence to Take Place 4.4. Honor the One in Your CareHonor the One in Your Care 5.5. Offer What You Have to GiveOffer What You Have to Give 6.6. Receive Gifts that ComeReceive Gifts that Come 7.7. Live a Life of Wholeness and BalanceLive a Life of Wholeness and Balance **** We cannot give what we don’t have. Unless our own needs are metWe cannot give what we don’t have. Unless our own needs are met we will never be able to be truly present to another. Thus the art ofwe will never be able to be truly present to another. Thus the art of being a healing presence requires a lifestyle that supports this.being a healing presence requires a lifestyle that supports this.
  22. 22. The Healer’s Personal SpiritualThe Healer’s Personal Spiritual CareCare • Hold spiritual beliefs that meet needsHold spiritual beliefs that meet needs for meaning and purpose, love andfor meaning and purpose, love and relatedness, and forgivenessrelatedness, and forgiveness • Derive from these beliefs strength forDerive from these beliefs strength for everyday living, especially wheneveryday living, especially when confronting pain, suffering, and deathconfronting pain, suffering, and death in his or her professional practicein his or her professional practice • Set aside regular periods to nurture hisSet aside regular periods to nurture his or her spiritual selfor her spiritual self
  23. 23. • Demonstrate in interactions with others peace,Demonstrate in interactions with others peace, inner strength, warmth, joy, caring, and creativityinner strength, warmth, joy, caring, and creativity • Respect the spiritual beliefs and practices ofRespect the spiritual beliefs and practices of others even when they are different from theothers even when they are different from the HEALER's ownHEALER's own • Increase knowledge of how the spiritual beliefs ofIncrease knowledge of how the spiritual beliefs of others influence their lifestyles, responses toothers influence their lifestyles, responses to illness, healthcare choices, and treatment optionsillness, healthcare choices, and treatment options • Demonstrate sensitivity to the spiritual needs ofDemonstrate sensitivity to the spiritual needs of patients and their family caregiverspatients and their family caregivers • Develop successful strategies to assist patientsDevelop successful strategies to assist patients and their caregivers experiencing spiritual distressand their caregivers experiencing spiritual distress
  24. 24. • PISCES ScalePISCES Scale (Physical, Intellectual, Spiritual, Emotional, Social)(Physical, Intellectual, Spiritual, Emotional, Social) I do nothing forI do nothing for I do all I can forI do all I can for my physical self my physical selfmy physical self my physical self __________________________________________________________ Examples:Examples: One action I will take for my physical self:One action I will take for my physical self: __________________________________________________________________________________
  25. 25. Questions for reflection:Questions for reflection: 1.1. To what degree do recent recipients of myTo what degree do recent recipients of my care experience me as a healing presence?care experience me as a healing presence? 2.2. What kind of person must I be to be a “healingWhat kind of person must I be to be a “healing presence”?presence”? 3.3. When I am exhausted and “running on empty”When I am exhausted and “running on empty” how do I renew my spirit and ability to care?how do I renew my spirit and ability to care? What is lifegiving in my life?What is lifegiving in my life? 4.4. In what ways might my lifestyle need toIn what ways might my lifestyle need to change for me to become a better healingchange for me to become a better healing presence?presence? 5.5. What kind of institutional culture, ethos,What kind of institutional culture, ethos, promotes our being a healing presence for onepromotes our being a healing presence for one another?another?
  26. 26. Questions for corporate reflection:Questions for corporate reflection: 1.1. Are the patients, families and staff better (moreAre the patients, families and staff better (more “integrated” or “whole”) at the end of the day as a“integrated” or “whole”) at the end of the day as a result of experiencing our institutional culture.result of experiencing our institutional culture. 2.2. What specific elements in our culture promote orWhat specific elements in our culture promote or constrain healing? What should we celebrate andconstrain healing? What should we celebrate and what do we need to change?what do we need to change? 3.3. Who is responsible for healing and spiritual care?Who is responsible for healing and spiritual care? Who establishes performance standards, developsWho establishes performance standards, develops requisite competencies, monitors our performance andrequisite competencies, monitors our performance and holds us accountable?holds us accountable? 4.4. Budgets reveal corporate values. What do theBudgets reveal corporate values. What do the institutional resources we commit to healing andinstitutional resources we commit to healing and spiritual care reveal about the value we attach tospiritual care reveal about the value we attach to promoting a healing culture?promoting a healing culture?
  27. 27. Spiritual CareSpiritual Care SpiritualitySpirituality • Spirituality is recognized as a factor thatSpirituality is recognized as a factor that contributes to health in many persons.contributes to health in many persons. • It is expressed in an individual’s search forIt is expressed in an individual’s search for ultimate meaning through participation inultimate meaning through participation in religion and/or belief in God, family, naturalism,religion and/or belief in God, family, naturalism, rationalism, humanism and the arts.rationalism, humanism and the arts. MSOP Report III:MSOP Report III: Association of American Medical Colleges, 1999.Association of American Medical Colleges, 1999.
  28. 28. • Puchalski’s meaning with a capitalPuchalski’s meaning with a capital and small “m”and small “m” – ““M”eaning: Values, beliefs, practices,M”eaning: Values, beliefs, practices, relationships, experiences, that lead you torelationships, experiences, that lead you to the awareness of God/divine/transcendencethe awareness of God/divine/transcendence and a sense of ultimate value and purpose inand a sense of ultimate value and purpose in life.life. – ““m”eaning: Activities, relationships, valuesm”eaning: Activities, relationships, values that are meaningful to you but don’t define thethat are meaningful to you but don’t define the ultimate purpose of your life.ultimate purpose of your life.
  29. 29. Spiritual NeedsSpiritual Needs • According to Fish and Shelly (1978)According to Fish and Shelly (1978) there are three spiritual needs underlyingthere are three spiritual needs underlying all religious traditions and common to allall religious traditions and common to all people:people: 1.1. Need for meaning and purposeNeed for meaning and purpose 2.2. Need for love and relatednessNeed for love and relatedness 3.3. Need for forgivenessNeed for forgiveness
  30. 30. Spiritual CareSpiritual Care Care that enables individuals to meetCare that enables individuals to meet basic spiritual needs: (1) need forbasic spiritual needs: (1) need for meaning and purpose, (2) need for lovemeaning and purpose, (2) need for love and relatedness, and (3) need forand relatedness, and (3) need for forgivenessforgiveness
  31. 31. Spiritual Care and the HealerSpiritual Care and the Healer • Offering Supportive PresenceOffering Supportive Presence When you made a cross on my forehead withWhen you made a cross on my forehead with your thumb, it felt very foreign to me. No oneyour thumb, it felt very foreign to me. No one has ever done that before. It felt unfamiliar–buthas ever done that before. It felt unfamiliar–but perfect. Like a blessing with no conditions–noperfect. Like a blessing with no conditions–no strings. How liberating. Affirming. Loving.strings. How liberating. Affirming. Loving. And to think you did it with just your thumb. AndAnd to think you did it with just your thumb. And your heart. Thank you.your heart. Thank you. Human Caring Facilitates Healing. We careHuman Caring Facilitates Healing. We care first and primarily by being present to others infirst and primarily by being present to others in a manner that is compassionate, affirming, anda manner that is compassionate, affirming, and healing.healing. • Facilitating the Practice of ReligionFacilitating the Practice of Religion • Nurturing SpiritualityNurturing Spirituality
  32. 32. Spiritual Care and the HealerSpiritual Care and the Healer • Praying With OthersPraying With Others • Responding to Human Suffering andResponding to Human Suffering and Engendering HopeEngendering Hope • Counseling the Patient SpirituallyCounseling the Patient Spiritually • Contacting a Spiritual CounselorContacting a Spiritual Counselor • Resolving Conflicts Between SpiritualResolving Conflicts Between Spiritual Beliefs and TreatmentsBeliefs and Treatments
  33. 33. Creating a Culture thatCreating a Culture that Promotes Spiritual CarePromotes Spiritual Care An institutional culture that values spiritual care:An institutional culture that values spiritual care: • Clearly articulates in its mission a commitment toClearly articulates in its mission a commitment to identifying and meeting spiritual needsidentifying and meeting spiritual needs • Includes identifying and meeting spiritual needs inIncludes identifying and meeting spiritual needs in the job descriptions and core competencies for allthe job descriptions and core competencies for all cliniciansclinicians • Uses ritual to “call forth” and empower healing giftsUses ritual to “call forth” and empower healing gifts • Uses identifying and meeting spiritual needs as aUses identifying and meeting spiritual needs as a core element in performance reviewscore element in performance reviews
  34. 34. • Holds employees responsible for holistic self-Holds employees responsible for holistic self- care:care: – Physical, intellectual, spiritual, emotional and socialPhysical, intellectual, spiritual, emotional and social • Is characterized by respectful and lovingIs characterized by respectful and loving relationships among all partiesrelationships among all parties • Holds leadership accountable for creating aHolds leadership accountable for creating a culture that promotes spiritual care;culture that promotes spiritual care; responsibilities of governance and managementresponsibilities of governance and management are identifiedare identified

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