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Table Of Contents

Prologue
An interest in spiritual care
Chapter 1 Introduction
1.1 Introduction
1.2 Contextual issues
1.2.1 A confusing paradox
1.2.2 Spirituality and Ageing in contemporary society
1.2.3 Modern religion and postmodern spirituality
1.3 The spiritual dimension of care in contemporary society
1.3.1 Policies and codes of conduct
1.3.2 A medical model
1.3.3 A community health model of care
1.4 Aim of this thesis
1.4.1 Research question
1.5 Significance of the study
1.6 Participation
1.6.1 Ethical considerations
1.7 Limitations and boundaries
1.7.1 A focus on secular spiritual care
1.7.2 Divergent views
1.7.3 A small sample
1.8 Structure of the thesis
1.9 Conclusion
Chapter 2 Literature review
2.1 Introduction
2.2 Locating the field of spirituality
2.2.1 Definitional elusiveness
2.3 Religion and spirituality; what is the difference?
2.3.1 Religion
2.3.2 Spirituality
2.3.3 Differences and Similarities
2.4 Universal qualities
2.4.1 Spirituality as meaning-making or purpose
2.4.2 Spirituality as relationship or connection
2.4.3 Spirituality as generativity or vital life force
2.4.4 Bringing it all together
2.5 Different approaches to understanding spirituality
2.5.1 Locating the spiritual
2.6 Pastoral, spiritual or holistic care?
2.6.1 Being of service
2.7.1 Palliative care
2.7.2 Spiritual care in nursing
2.7.3 Spiritual care in social work
2.8 Spiritual practices, assessments and interventions
2.8.1 Spiritual assessment
2.8.2 Spiritual interventions
2.8.3 Mutuality in spiritual care
2.9 Impediments to spiritual care
2.9.1 The research question and the key elements of spiritual care
2.10 Conclusion
Chapter 3 Methodology
3.1 Introduction
3.2 Theoretical framework
3.2.1 Aim of the research
3.2.2 Qualitative research
3.2.3 Social constructionism
3.2.4 Radical and weak social constructionism
3.2.5 Rationale for choosing social constructionism
3.3 Data-gathering methods
3.3.1 Focus groups
3.3.2 In-depth interviews
3.3.3 Methods of Strategic questioning and Appreciative inquiry
3.3.4 Initial questions in the focus groups and interviews
3.3.5 Time, recording and member checks
3.4 Participant selection and sources of information
3.4.1 Participation
3.4.2 Selection of focus group participants
3.4.3 Selection of in-depth interview participants
3.4.4 Documents
3.4.5 Research journal
3.4.6 Locating the research participants
3.5 Analysing the data: A grounded theory approach
3.5.1 The coding of the data
3.5.2 Keeping track of the process
3.5.3 Open coding
3.5.4 Axial coding
3.5.5 Selective coding
3.6 Rigour and trustworthiness
3.6.1 Constructive procedures: Analytic rigour
3.6.1.i Triangulation
3.6.1.ii The role of the researcher
3.6.4.iv Faithfulness
3.7 Organisation and representation of the research
3.8 Ethical issues
3.8.1 Confidentiality and anonymity
3.9 Limits and boundaries of the research
3.9.1 Focus on the elderly and dying
3.9.2 Religion
3.9.3 Direction of the research
3.9.4 Representation of the data
3.9.5 Generalising the findings
3.10 Conclusion
Chapter 4: Conceptualising spirituality
4.1 Introduction
4.2 What is spirituality?
4.2.1 Setting the scene
4.3 Connection
4.3.1 Reaching out
4.3.2 Being present
4.4 Meaning-making
4.4.1 An existential search
4.4.2 A belief in God
4.4.3 Spirituality and religion
4.5 The essence of being human
4.5.1 Vital principle
4.5.2 A way of living
4.5.3 Developing spiritual maturity
4.6 The common ground
4.7 Conclusion
5.3.1 The need for companionship
5.4 The need for meaning-making
5.4.1 The need to make sense of a life lived
5.4.2 The need to make sense of dying
5.4.3 The need for a transcendental belief
5.4.4 The need for forgiveness
5.5 Religious needs
5.5.1 The need for religious rituals
5.5.2 The need for pastoral care
5.6 Are spiritual needs universal?
5.7 Conclusion
Chapter 6 Spiritual care: A Way of Being
6.1 Introduction
6.2 Appreciating what is already there
6.2.1 Spiritual care involves reminiscing
6.2.2 Spiritual care and poetry
6.2.3 Spiritual care and music
6.2.4 Spiritual care and touch
6.2.5 What spiritual care is not
6.3.1 ‘Non-doing’
6.3.2 Witnessing pain and suffering
6.4 Conclusion
Chapter 7: Factors that influence spiritual care
7.1 Introduction
7.2 Time pressures and lack of human resources
7.2.1 A lack of institutional support
7.3 Lack of appropriate training
7.3.1 A missing piece of the puzzle
7.3.2 Lack of appropriate skills, personal attitudes and qualities
7. 4 Spiritual caring as self-support
7.4.1 Maintaining a positive attitude
7.4.3 Preventing burn-out
7.5 Conclusion
Chapter 8 Reflections and concluding remarks
8.1 Introduction
8.2 Dominant narratives in this research
8.2.1 Blurring the boundaries of the different religions
8.2.3 Appreciating what is already there
8.2.3 Different models of spiritual care
8.2.3.i A medical mode of spiritual care
8.2.3.ii A wellness model of spiritual care
8.2.3.iii Reciprocity and self-support
8.3 The Yin and Yang of spiritual care
8.4.1 Common ground
8.4 Discovering a language for experience:
8.4.1 Helping you to help myself
8.5 Further research opportunities
8.6 On a personal note
8.7 Conclusion
ATTACHMENT A (on university letterhead)
ATTACHMENT B (on university letterhead)
ATTACHMENT C (on university letterhead)
ATTACHMENT D (on university letterhead)
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The role of spirituality in aged and palliative care

The role of spirituality in aged and palliative care

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Published by Emkhei Gonzales

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Published by: Emkhei Gonzales on Mar 07, 2011
Copyright:Attribution Non-commercial

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08/16/2013

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