Spiritual Assessment Interview Essay

Spiritual Assessment Interview Essay
Spiritual Assessment Interview Essay
Spiritual Assessment Tool
In every country, there is opportunity to improve the quality and performance of the health-care system. In order for medical providers to deliver holistic care, thorough spiritual assessment should be examined during their care. Despite growing professional awareness of the importance of religion and spirituality in health, patients’ religious backgrounds and spirituality may be overlooked by physicians, nurses, psychologists, and other health care professionals (The Joint Commission, 2005). In this case, The Joint Commission requires health organizations to include a spiritual assessment to maintain accreditation so that medical providers will make an effort to seek spiritual impressions and insights about patients and their problems and how to assist them. The Joint Commission suggests some guidelines for creating spiritual assessment tools for evaluating the spiritual needs of patients. Ultimately, after using different resources I created my own tool for assessing the spiritual needs of patients while asking 5 questions that were answered by my observation.
Spiritual Assessment Tool
For many people spirituality and religion are two important dimensions of their existence and can be powerful resources in helping them achieve well-being and deal with life’s challenges. In this case, out of the six different spiritual assessment tool possibilities I decided to research the assessment F.A.C.T. I searched for a spiritual assessment tool that focused on remaining short and easy, versatile, and focused. Additionally, F.A.C.T is a great assessment tool as it allows me to obtain information on a person’s spiritual life, history, and practices and on how these affect their ability to cope with their present healthcare crisis (LaRocca-Pitts, 2012). In this case, many people use their faith or spirituality to help them cope with a health crisis. I picked FACT because it mentions a person’s faith or spiritual practice and how it affects their medical outcomes which are important in restoring spirituality back into American healthcare.
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                                                            Interview
I decided to choose a lady I interviewed recently about the affordable health care act. Her name is Anita Blackwell and she is a private consultant for ADHD and pediatric nurse Practitioner with a masters in counseling and education.  I chose Ms. Blackwell because she has tons of experience in health care and has been a administrator before. I wanted to interview her and get her perspective of her views on the spiritual assessment of FACT as she dealt with a medical issue that she is currently healing from.
 
Question #1 Spiritual Assessment Interview Essay
What is your Faith or belief? Do you consider yourself a person of Faith
or a spiritual person? What things do you believe that give your life meaning and purpose?
 

“My belief is Christianity and I consider myself a women of God. I believe in the life of Jesus and the bible. As those things show me direction in life, my family and friends is what gives me my meaning and purpose of life”

 
Question #2   Spiritual Assessment Interview Essay
Active (or Available, Accessible, Applicable): Are you currently Active in your faith
community? Are you part of a religious or spiritual community? Is support for your faith
Available to you? Do you have Access to what you need to Apply your faith (or your
beliefs)? Is there a person or a group whose presence and support you value at a time like
this?

“I am very active in my faith community and I am familiar with a religious community. My friend, family and church are there for support regarding my faith. The bible is something that gives me access to what I need definitely. I am apart of several groups who support and value my needs. Bible studies and prayer partners are who I value as support”

Question #3   Spiritual Assessment Interview Essay
Coping (or Comfort); Conflicts (or Concerns): How are you Coping with your medical
situation? Is your faith (your beliefs) helping you Cope? How is your faith (your beliefs)
providing Comfort in light of your diagnosis? Do any of your religious beliefs or spiritual
practices Conflict with medical treatment? Are there any particular Concerns you have for
us as your medical team?
 

“ I am coping with my medical situation by remaining hopeful and continuing my life. Staying active in the church and maintaining my daily routine is really what motivates me to do better. My faith gives me hope which is helping me cope. My faith provides me comfort because it lets me put my hope in something greater than myself. Actually no beliefs conflict with my medical treatment and I currently have no concerns about getting better or anything”

Question #4 Spiritual Assessment Interview Essay
Do you think your treatment is responsible for your 100 percent recovery?

“I think treatment and the medication has a lot to do with recovery but I also think without my faith I wouldn’t be able to make it. My faith gives me hope which motivates me to be stronger and do better. My health was a huge concern but I know god works in mysterious ways and I am getting better”

 
Question #5   Spiritual Assessment Interview Essay
If your medical provider wishes to use other methods in assisting with your treatment do you think your faith/religion will come in the way of that?
 

“I don’t think my religion will come in the way of anything. Currently I am on the right path to recovery. I don’t think there would be any reasons for me to question whether or not the doctor’s treatments are appropriate. I trust my physicians as well as my faith. I know god will lead me into the right paths. Good things will follow. Spiritual Assessment Interview Essay.

 
Analysis
What went well?
There were a lot of great outcomes of this interview. After speaking with Ms. Blackwell I discovered that this assessment wasn’t just questions toward healing but it can be used as a plan to help assist the patient. In this case, it is important to remember that when conducting spiritual assessment is not an end in itself. It is the first step in creating a Spiritual Care Plan (Galek et al 2005). Overall, she seemed comfortable discussing these personal questions about her religion. What made the interview go so well was to see how much her faith means to her and how she applies it to her everyday life.
What to do differently in the future
In the future if I ever have to do another assessment I think I would try and focus more on the patients experiences rather than their view on religion. I will make sure I answer the questions according to FACT but I think I would add additional questions regarding their experiences just so I can get a better understanding of what their faith means to them.
Barriers and Challenges
Time constraints were a challenge. Also, asking such personal questions about faith can be a challenge as the patient isn’t always comfortable talking about those concepts. Overall, a barrier in this assessment was myself. I am currently growing in my faith so it was difficult asking Ms. Blackwell questions I had no idea myself. I think its important to make sure on is familiar with the questions he/she is asking as well.
How to address challenges and changes that are necessary
            In the future, I can address these challenges by continuing to utilize my resources and gain knowledge in my faith that way when it comes down to interviewing a patient or whomever I will be able to feel comfortable asking those questions. Also, making sure I have enough time and not conducting a last minute interview. Time constraints and be a challenge because the it doesn’t give the person who is being interviewed enough time to prepare.
Spiritual experiences
I remember going to church as a kid with Ms. Blackwell and praying every night before bed. She would say things like “your faith is what gives you hope” (Blackwell, personal communication, September 20, 2014). These experiences allowed me and her to feel more comfortable when conducting this interview.
Tools ability to meet needs of the patient
I think this was a successful tool because it provides a quick and accurate determination of whether or not a person’s current health crisis is affecting their spiritual well-being and then based on that determination. Ultimately this assessment suggest a treatment plan which could better the patients health.
                                                   
Conclusion
Any properly trained healthcare provider can use the FACT Spiritual Assessment Tool as it includes a short history with three questions that involve faith, availability and coping plus an outcome for treatment if needed. Though it is important that the person administering spiritual assessments is professional, the faith, availability and treatment is to be addressed enough to support that individual in their medical illnesses. Using different resources I was able to come up with questions that addressed Ms. Blackwell’s beliefs and how they are implemented throughout her life. These assessments improve quality in healthcare as it allows medical providers to become more familiar with their patients beliefs.  Restoring holistic care back into American health care has become big business. However, there is always an opportunity to improve the quality and performance of a health-care system and  in order for medical providers to deliver holistic care, these thorough spiritual assessment have be examined during patient care.
 
References
Galek, K., Flannelly, K.J., Vane, A., Galek, R.M. (2005) Assessing a patient’s spiritual needs: A
comprehensive instrument. Holistic Nursing Practitioner, 19(2), 62-69.
Implicit Spiritual Assessment: An Alternative Approach for Assessing Client Spirituality. (2013). Social Work, 58(3), 223-230. doi:10.1093/sw/swt019
LaRocca-Pitts, M. (2012). FACT, A Chaplain’s Tool for Assessing Spiritual Needs in an Acute Care Setting. Chaplaincy Today, 28(1), 25-32.
The Joint Commission. (2005). Evaluating your spiritualassessment process. Retrieved September 21, 2014, from   http://www.professionalchaplains.org/files/resources/reading_room/evaluating_your_spiritual_assessment_process.pdf
Spiritual Assessment Interview Essay
 Benchmark Assignment – Spiritual Needs Assessment and Reflection – rubric

1

Unsatisfactory

0.00%                                                 2

Less Than Satisfactory

65.00%                                                 3

Satisfactory

75.00%                                                 4

Good

85.00%                                                 5

Excellent

100.00%                         70.0 %Content 40.0 % Tool for Assessing the Spiritual Needs of Patients          CONHCP: 5.2                                                Tool for assessing the spiritual needs of patients show little to no relevance to the experiences of patients. A transcript of the interview is either missing or not relevant.                                                Tool for assessing the spiritual needs of patients is present but lacks focus on experiences of patients. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patient. The tool uses reliable methods for gathering data. A clear transcript of the interview is provided.                                                Tool for assessing the spiritual needs of patients is present and focuses on experiences of patients. The tool uses effective methods for gathering data that produces the results intended. A clear transcript of the interview is provided.30.0 % Analysis of Interview Experience                                                An analysis of the interview experience shows little to no relevance to the assignment instructions. Spiritual Assessment Interview Essay                                               An analysis of the interview experience is included but addresses a few of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses most of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses all of the points included in the assignment instructions.                                                An analysis of the interview experience is included and addresses all of the points included in the assignment instructions. The analysis shows a deep understanding of the connections.20.0 %Organization and Effectiveness 7.0 % Thesis Development and Purpose                                                Paper lacks any discernible overall purpose or organizing claim.                                                Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.                                                Thesis and/or main claim are apparent and appropriate to purpose.                                                Thesis and/or main claim are clear and forecast the development of the paper. They are descriptive and reflective of the arguments and appropriate to the purpose.                                                Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.8.0 % Argument Logic and Construction                                                Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.                                                Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.                                                Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.                                                Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.                                                Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.5.0 % Mechanics of Writing  (includes spelling, punctuation, grammar, language use)                                                Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.                                                Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) and/or word choice are present. Sentence structure is correct but not varied. Spiritual Assessment Interview Essay                                              Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.                                                Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.                                                Writer is clearly in command of standard, written, academic English.10.0 %Format 5.0 % Paper Format  (use of appropriate style for the major and assignment)                                                Template is not used appropriately, or documentation format is rarely followed correctly.                                                Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.                                                Appropriate template is used. Formatting is correct, although some minor errors may be present.                                                Appropriate template is fully used. There are virtually no errors in formatting style.                                                All format elements are correct.5.0 % Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)                                                Sources are not documented.                                                Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.                                                Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.                                                Sources are documented, as appropriate to assignment and style, and format is mostly correct.                                                Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 % Total Weightage
Spiritual Assessment Interview Essay


Sample community health project population focused healthcare essay paper

Sample community health project population focused healthcare essay paper
Sample community health project population focused healthcare essay paper
Week Four Community Project
Community assessment provides a deeper understanding of the needs within the community and data collection is a critical part of the process. The primary goal of data collection is to get usable information about the community and its health (Stanhope & Lancaster, 2010, p. 223). There are several ways to obtain the data of a community. The next several paragraphs will examine data collected through existing research using data points and development of a health survey of an aggregate population with asthma. Data collected from the literature and survey will help identify areas will support the planning for a community educational program.
Current Data
Once the target audience is identified a literary search was conducted in relation to childhood asthma and  current statistics within the state. Current statistics in relation to childhood asthma allows for the identification of specific and unique needs within the targeted community.  The purpose of the study was to understand particular patterns, problems, and possible strengths within the community.
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Data Points
According to Healthy People 2020 (n.d.), the presence of asthma in children continues to climb at alarming rates. The Centers for Disease Control (CDC) report that 9.4% of children under the age of 18 have asthma nationally. The current state statistics remain shockingly higher further supporting the need for greater community-based education. The table below compares national, state, and regional statistics broken down by sex and ethnicity.

Connecticut Asthma Data
National Asthma Data
Regional Asthma Data

13.2%  =  K-12
9.4%  =  K-12
9.0%  =  K-12

14.5%  =  Male
7.0%  =  Male
10.0%  =  Male

11.6%  =  Female
9.9%  =  Female
7.0%  =  Female

10.6%  =  White (non-Hispanic)
8.1%  =  White (non-Hispanic)
11.5%  =  White (non-Hispanic)

14.8%  =  Black
12.1%  =  Black
9.9%  =  Black

16.9%  =  Hispanic
7.3%  =  Hispanic
12%  =  Hispanic

Table 1. Current Asthma statistics from CDC 2010
After comparing existing data at the state and national levels, I decided to examine the current statistics in my community on a regional level. Ironically, the regional statistics were more closely related to the national rates reporting at approximately 9.0% in ages K-12.  However, on a state level the percentages remain higher overall. The first three questions in the survey tool will identify the age, sex, ethnicity, and the number of children with asthma in each home. The data will be compared with the current data points of the table above.
Aligning with the goals of Healthy People 2020(n.d), spreading awareness of a national asthma action plan initiatives remains the highest priority. To achieve the objectives and strategic alignment at a regional level more education needs to occur in schools, daycares, and throughout the community with parents and children. At the state level, only three out of four students have an asthma diagnosis on the health form with the nurse; only one in three have medications on file and only one of 20 children have an asthma action plan (Centers for disease Control and Prevention [CDC], 2011). Under the asthma history assessment section, several questions will explore the data points related to diagnosis, discussions and health information with the school nurse, and asthma action plans on file with the school nurse. Information at a regional level related to these specific state data points from the CDC was not available. This lack of information may indicate a data gap.
The Need for Additional Data
Based on the goals of my community education project I believe that a regional school wide survey would generate additional data and create awareness with parents in the community at the same time. The survey will be distributed in each school within the regional district.  Every student will receive a survey to bring home to parents. The purpose of the survey questions is  to identify students with asthma, assess current educational needs either strengths or weaknesses, explore the number of children who have missed school and needed emergent medical care and identify if they have ever received education from their provider about triggers or prevention. Some of the questions are specifically related to the objectives of Healthy People 2020 for example; “has a school nurse or health professional (doctor or otherwise) spoke to you about an asthma action plan?” and “has a doctor or health professional provided you with education about asthma triggers?” Additional questions were added to explore personal curiosity about allergy related triggers and genetic predisposition. National data reported by the Asthma and Allergy Foundation of America (n.d.), reports that if a parent has asthma there will be a 30% chance the child will have asthma and the percentage jumps to 70% if both parents have asthma. The data collected from the survey answers will be shared with the regional health department for further comparison.
Conclusion
The information gathered from the surveys and the literature will be analyzed to set the goals and objectives for the community asthma program agenda. A future plan will focus on describing the aggregate information collected, identifying problems, and examining the needs for changes. Conducting a literature search is an excellent resource. Additionally, surveys may provide secondary analysis of reported data that can be used for a program to provide services that offer relevant education needs to the community.
 
 
 

CT Asthma Survey Tool
In an effort to collect the most accurate data on your children, please take care to answer each question. If a question does not apply use N/A in the space provided.  Please return this survey to school with your child as soon as possible. The school nurse will be collecting them over the next two weeks for review. Thank you for your time.

 
 

1.      How many children live in your home?
 

2.      What are the ages of the children living in your home?
 

3.      Please circle the sex of the children living in your home
   Male             Female

4.      What cultural ethnicity are you and your children?
    (W) = White (Non   
                Hispanic)  
     (B) = Black
     (H) = Hispanic                   
     (A)  = Asian
    (AI) = American   
                Indian  
     (X) = Other

5.      Do you or your children in your home have asthma? (If so, please list the individual’s name, gender and their relation to the family unit).
           Yes =      _________
                           _________
                           _________
           No   

6.      Does anyone in your home have environmental or food allergies? (If so please list what allergies).

Asthma History Assessment
Please complete the remainder of the survey if you have a child in your home with asthma.
* If you do not have a child in your home with asthma you may stop here.
                                                                

1.      Has your child or children ever been formally diagnosed with asthma by a physician? If so, at what age was the diagnosis made? (Please specify who has the diagnosis).
 

Sample community health project population focused healthcare essay paper

2.      How long has it been since you last talked to a doctor or other health professional about asthma?  This could have been in a doctor’s office, the hospital, emergency room, urgent care center or clinic.
 In the last month  ______         
 1-3 months           ______           
> than a year         ______

       3.   How would you describe your child or children’s asthma?
 
  Mild                    ______                                
  Moderate            ______                              
  Severe                 ______

4.       If your child or children take medication how frequently is
medication taken? (Please specify)
 
  Daily                   ______                    
  As needed           ______                           
   Other                 ______                                 

       5.   Has your child or children had an asthma attack?
 
   Yes                    ______                                     
   No                     ______ 

6.   Has your child or children ever had an asthma attack at school
or daycare?
   Yes                    ______                                              
    No                     ______ 

7.      Have you ever spoken to your school nurse or daycare provider
about your child’s asthma?
    Yes                   ______                                    
    No                    ______ 

8.      Does your child or children have an asthma plan at school or
daycare?
    Yes                   ______                                        
    No                     ______ 

9.      Has a school nurse or health professional (doctor or otherwise)  spoke to you about an asthma plan?
    Yes                   ______                                     
    No                     ______
    Unsure              ______

10.  Has your child or children missed school or daycare because of
their asthma?
    Yes                   ______                                      
     No                    ______ 

11.   Has your child or children needed to go to the ER or urgent
care center for their asthma?
 
    Yes                   ______                                      
     No                    ______ 

       12.   Has your child or children ever needed to be hospitalized for their
asthma?
    Yes                   ______                                      
     No                    ______ 

13.   Does your child or children see a doctor for regular checkups
for their asthma?
    Yes                   ______                                      
     No                    ______ 

14.  Has a doctor or health professional spoken to you about how to   prevent asthma attacks?
    Yes                   ______                                     
    No                     ______
    Unsure             ______

15.  Has a doctor or health professional provided you with education about asthma triggers?
    Yes                   ______                                     
    No                     ______
    Unsure             ______

16.  Have you ever asked a health professional about how to prevent asthma attacks?
    Yes                   ______                                       
     No                    ______ 

Sample community health project population focused healthcare essay paper
 
 
 
References
Asthma and Allergy Foundations of America. (n.d.). Asthma Facts and Figures. Retrieved May 2, 2014  from: www.aafa.org.
Centers for disease Control and Prevention. (2011). Vital Signs: Asthma Prevalence, Disease Characteristics, and Self-Management Education — United States, 2001—2010. Retrieved May 2, 2014 from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6017a4.htm
Stanhope, M., & Lancaster, J. (2010). Foundations of Nursing in the Community: Community-oriented Practice. (3rd ed.). St. Louis, MO: Mosby/Elsevier.
Sample community health project population focused healthcare essay paper


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