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"Background: Currently in nursing practice, the standards require a holistic approach to nursing care, and this includes caring for the physical, psychosocial and spiritual components of the patient (American Nurses Association [ANA], 2010). Addressing a patient\u2019s spirituality, which is defined as an individual\u2019s search for meaning and purpose in life and death, is a fundamental component of holistic care but it is likely the least comprehended aspect of holistic nursing care. Even though nurses understand that addressing a patient\u2019s spiritual needs can provide comfort and healing, many nurses report feeling uneasy and unprepared in addressing this component of holistic nursing care. Purpose: The purpose of this qualitative grounded theory study is to generate a substantive theory explicating the nurses\u2019 role in providing spiritual care. Philosophical Underpinnings: The grounded theory is based within the constructivist paradigm and has philosophical underpinnings of symbolic interactionism and pragmatism. Methods: The research approach was qualitative using grounded theory to discover a substantive theory to understand the critical factors that affect attitudes, perceptions and behaviors of holistic nurses providing spiritual care in their practice. Design: The study utilized an adapted approach of Strauss and Corbin\u2019s grounded theory methodology. Sampling conducted was purposive, theoretical, and snowball. Semi-structured interviews with individual participants and an expert group were conducted. Data analysis and collection occurred simultaneously, and data was coded, categorized, and compared through open, axial, and selective coding. Main categories emerged from the data and were conceptualized, linking the categories into a substantive theory. Results: The main categories of becoming aware, caring for the spirit, and embodying praxis emerged from the voices of the participants. Relational statements and intersection of categories and subcategories supported the core category, revealing the basic social process of living spiritual care praxis. Living spiritual care praxis identified and explained the meaning ascribed by holistic nurses providing spiritual care in their nursing practice. Conclusions: The theoretical framework developed from this study provides needed information about spiritual care in nursing practice. This theoretical framework can be used to guide nursing education, research, and practice, thereby strengthening the profession\u0027s ability to provide holistic care and include spiritual care in nursing practice."
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"Includes bibliographical references (leaves 168-182)."
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"xiv, 205 leaves ; 28 cm"
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"Nursing -- Religious aspects",
"Medical care -- Religious aspects",
"Holistic care"
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