2. How is your Spirit right now? 1 2 3 4 5 6 7 8 9 10

3.  Why this topic?  Reflecting on Your Spirituality  The 7 th Vital Sign  Clinical Trial at St Mary’s  Conclusion

4. Press Ganey feedback tells us there is room to grow to hit our goals for patient satisfaction on this question: “Staff addressed your spiritual needs.”

5. Why prioritize spiritual needs scores? Studies show if people’s spiritual needs are met they will recover better and faster physically.

6. “Patients who are spiritual may utilize their beliefs in coping with illness, pain, and life stresses. Some studies indicate that those who are spiritual tend to have a more positive outlook and a better quality of life. For example, patients with advanced cancer who found comfort from their religious and spiritual beliefs were more satisfied with their lives, were happier, and had less pain.” Yates JW, Chalmer BJ, St James P, Follansbee M, McKegney FP. Religion in patients with advanced cancer. Med Pediatr Oncol. 1981;9:121–128

7. JACHO requires hospitals to address spiritual needs of patients.

8. Definition of Spirituality: Way we make meaning, sense, purpose of life  Relationship to self  Relationship to others  Relationship to physical world  Relationship to the Holy/Transcendent

9. Spirit does the "Heavy Lifting“ in healthy self. HEAL -THY- SELF

10. Florence Nightingale: "the deepest and most potent source for healing"

11.  Spirit vital to life  Gives, sustains, and creates life  Is a vital sign  Enters the ranks of health care purview, measure, and treatment/facilitation  JCAHO

12. Measured and recorded daily  Every shift  Every patient  Ask the patient 1-10 or smiley face scale

13. November 2015: Meetings with nursing unit directors, nursing unit council leaders, nursing stafff December 2015: Data collected. In 4 week period 12 “low spirit” referrals on one unit and 20 on another

14. Data collection and tracking Keeping the conversation going Training new RN’s each month Checking in with RN’s: “How is YOUR spirit doing today?”

15. Spiritual Health  Sense of meaning and purpose  Sense of connectedness with self and others  One's acceptance of a greater purpose or reality (Bellingham et all, 1989)

16. Victor Frankle – Man's Search for Meaning "Don't pray for less stress but pray for more meaning."

17. Function of Spirit "He who has a WHY to live can put up with almost any HOW." Nietsche

18. How do I recognize spirit in my daily life?  Thomas Moore "Care of the Soul" (1992)  Activities of Spirit – Everyday occupations – Expressive arts – Reading – Walking in and retreating to nature – Meditation – Gardening  Kabat-Zinn (1994) "Any occupation can be spiritual if attention is given to its style and context"

19. Questions