진화론적 방법을 활용한 영성 개념분석 = Evolutionary Concept Analysis of Spirituality

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to clarify attributes, antecedents, and consequences of spirituality. Methods: Rodgers’s evolutionary concept analysiswas used to analyze fifty seven studies from the literature related to spirituality as it appears in systematic literature reviews of theology, medicine,counseling & psychology, social welfare, and nursing. Results: Spirituality was found to consist of two dimensions and eight attributes: 1)vertical dimension: ‘intimacy and connectedness with God’ and ‘holy life and belief’, 2) horizontal dimension: ‘self-transcendence’, ‘meaning andpurpose in life’, ‘self-integration’, and ‘self-creativity’ in relationship with self, ‘connectedness’ and ‘trust’ in relationship withothers·neighbors·nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequencesof spirituality were positive and negative. Being positive included ‘life centered on God’ in vertical dimension, and among horizontal dimension‘joy’, ‘hope’, ‘wellness’, ‘inner peace’, and ‘self-actualization’ in relationship with self, ‘doing in love’ and ‘extended life toward neighborsand the world’ in relationship with others·neighbors·nature. Being negative was defined as having ‘guilt’, ‘inner conflict’, ‘loneliness’, and ‘spiritualdistress’. Facilitators of spirituality were stressful life events and experiences. Conclusion: Spirituality is a multidimensional concept. Unchangeableattributes of spirituality are ‘connectedness with God’, ‘self-transcendence’, ‘meaning of life’ and ‘connectedness with others·nature’. Unchangeableconsequences of spirituality are ‘joy’ and ‘hope’. The findings suggest that the dimensional framework of spirituality can be used to assessthe current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.

참고문헌 (Reference)

1 김근향, "정신건강 분야에 영성을 적용하기 위한 제언" 한국심리학회 32 (32): 213-230, 2013

2 강성례, "영적간호의 개념분석" 한국간호과학회 36 (36): 803-812, 2006

3 Ruth A. Tanyi, "Towards clarification of the meaning of spirituality" Wiley 39 (39): 500-509, 2002

4 Brown AE, "The physician’s role in the assessment and treatment of spiritual distress at the end of life" 4 (4): 81-86, 2006

5 Religious Dictionary Composition Committee, "The great encyclopedia of religious science"

6 Kim KM, "The conceptual analysis of spirituality" 10 (10): 460-468, 1998

7 Loralee Sessanna, "Spirituality in Nursing and Health-Related Literature" SAGE Publications 25 (25): 252-262, 2016

8 Reed PG, "Spirituality and well-being in terminally ill hospitalized adults" 10 (10): 335-344, 1987

9 Therese Connell Meehan, "Spirituality and spiritual care from a Careful Nursing perspective" Wiley 20 (20): 990-1001, 2012

10 Terry Lynn Gall, "Spirituality and Religiousness: A Diversity of Definitions" Informa UK Limited 13 (13): 158-181, 2011

11 Alfons Marcoen, "Spirituality and Personal Well-Being in Old Age" Cambridge University Press (CUP) 14 (14): 521-536, 1994

12 Oh PJ, "Spirituality : Concept analysis" 30 (30): 1145-1155, 2000

13 Burkhardt MA, "Spirituality : An analysis of the concept" 3 (3): 69-77, 1989

14 Tagie Azarsa, "Spiritual wellbeing, Attitude toward Spiritual Care and its Relationship with Spiritual Care Competence among Critical Care Nurses" International Society for Phytocosmetic Sciences 4 (4): 309-320, 2015

15 Keel HS, "Spiritual traditions east and west in today’s world" 21 : 271-300, 2007

16 Hermann CP, "Spiritual needs of dying patients : A qualitative study" 28 (28): 67-72, 2001

17 Villagomeza LR, "Spiritual distress in adult cancer patients:Toward conceptual clarity" 19 (19): 285-294, 2005

18 Sílvia Caldeira, "Spiritual Distress-Proposing a New Definition and Defining Characteristics" Wiley 24 (24): 77-84, 2013

19 Kim SG, "Religion, spirituality and health" 15 : 45-79, 2010

20 Katia Garcia Reinert, "Re-examining definitions of spirituality in nursing research" Wiley 69 (69): 2622-2634, 2013

21 Highfield ME, "Providing spiritual care to patients with cancer" 4 (4): 115-120, 2000

22 Nightingale F, "Nursing the sick" McGraw-Hill 24-43, 1893

23 Elizabeth Johnston Taylor, "Nurses Caring for the Spirit: Patients With Cancer and Family Caregiver Expectations" Oncology Nursing Society (ONS) 30 (30): 585-590, 2003

24 Stéfanie Monod, "Instruments Measuring Spirituality in Clinical Research: A Systematic Review" Springer Nature 26 (26): 1345-1357, 2011

25 Howden J, "Development and psychometric characteristics of the spirituality assessment scale" Texas Woman’s University 1992

26 NANDA International, "Definitions and classification" Wiley-Blackwell 375-, 2014

27 Rodgers B, "Concept development in nursing: Foundations, techniques and applications" W. B. Saunders 77-102, 2000

28 Min SY, "Concept analysis of the spirituality" 13 (13): 59-67, 2001

29 Elizabeth Weathers, "Concept Analysis of Spirituality: An Evolutionary Approach" Wiley 51 (51): 79-96, 2016

30 Reed PG, "An emerging paradigm for the investigation of spirituality in nursing" 15 (15): 349-357, 1992