University of Texas at Tyler Scholar Works at UT Tyler Nursing Theses and Dissertations School of Nursing Spring 4-27-2018 Spiritual Perspectives, Spiritual Care, and Recovery- Oriented Practice in Psychiatric Mental Health Nurses Melissa Neathery University of Texas at Tyler Follow this and additional works at: https://scholarworks.uttyler.edu/nursing_grad Part of the Psychiatric and Mental Health Nursing Commons Recommended Citation Neathery, Melissa, "Spiritual Perspectives, Spiritual Care, and Recovery-Oriented Practice in Psychiatric Mental Health Nurses" (2018). Nursing Theses and Dissertations. Paper 82. http://hdl.handle.net/10950/846 This Dissertation is brought to you for free and open access by the School of Nursing at Scholar Works at UT Tyler. It has been accepted for inclusion in Nursing Theses and Dissertations by an authorized administrator of Scholar Works at UT Tyler. For more information, please contact [email protected]. SPIRITUAL PERSPECTIVES, SPIRITUAL CARE, AND RECOVERY-ORIENTED PRACTICE IN PSYCHIATRIC MENTAL HEALTH NURSES by MELISSA NEATHERY A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy School of Nursing Susan Yarbrough, PhD., R.N., Committee Chair College of Nursing and Health Sciences The University of Texas at Tyler April 9, 2018 The University of Texas at Tyler, Tyler, Texas This is to certify that the Doctoral Dissertation of MELISSA NEATHERY has been approved for the dissertation requirement on April 9, 2018 for the Doctor of Philosophy in Nursing degree Approvals: ____________________________________ Dissertation Chair: Susan Yarbrough, Ph.D. ____________________________________ Member: Zhaomin, He, Ph.D. ____________________________________ Member: Belinda Deal, Ph.D. ____________________________________ Member: Elizabeth Johnston Taylor, Ph.D. ____________________________________ Barbara K. Haas, Ph.D. Executive Director, School of Nursing ____________________________________ Yong Tai Wang, Ph.D. Dean, College of Nursing & Health Sciences © Copyright 2018 by Melissa Neathery All rights reserved Acknowledgements I sincerely thank the faculty, administration, and my cohort of UT Tyler’s nursing PhD program for making this process exciting and rewarding. Every class has been enlightening and contributed to the development of my researcher. My committee is my “first round draft pick”. I appreciated all of Dr. Yarbrough’s encouragement, support, and direction; Dr. He’s insightfulness and knowledge that helped me to overcome my fear of statistics and allowed me to savor the “a-ha” moments; Dr. Taylor’s and Dr. Deal’s expertise and vast experience with spiritual care that encouraged me and affirmed my focus of scholarship; Dr. Hermann’s guidance in formulating a plan. Thank you to my family for their encouragement and patience; my husband, Jim, for providing mentoring, insightfulness and cheerleading throughout the entire process; my sons for giving me examples how to learn; my parents for instilling the importance of education. It was God’s provision and strength that made this possible. I have developed a deeper understanding of Romans 8:28 “And we know that in all things God works for the good of those who love him, who have been called according to his purposes.” Table of Contents List of Tables ..................................................................................................................... iv List of Figures ......................................................................................................................v Abstract .............................................................................................................................. vi Chapter 1 Overview of the Dissertation Research Focus ....................................................1 Introduction of Manuscripts .................................................................................................2 Chapter 2 Recovery-Oriented Treatment in Mental Illness: Recovery as a Journey, Not a Destination ........................................................................................................4 Abstract ................................................................................................................................4 Recovery Movement ............................................................................................................5 Components of Recovery .....................................................................................................6 Renewing Hope and Commitment ..........................................................................7 Redefining Self ........................................................................................................8 Incorporating Illness ................................................................................................8 Involvement in Meaningful Activities .....................................................................9 Overcoming Stigma .................................................................................................9 Assuming Control and Becoming Empowered .....................................................10 Managing Symptoms .............................................................................................10 Being Supported by Others ....................................................................................11 Nursing’s Role ...................................................................................................................11 Spirituality/Religion in Recovery ......................................................................................12 Spirituality in Recovery: The Nursing Process ..................................................................14 Assessment ............................................................................................................14 Treatment Planning and Analysis ..........................................................................14 Intervention ............................................................................................................15 Evaluation ..............................................................................................................16 Conclusion .........................................................................................................................17 References ..........................................................................................................................20 Chapter 3 Recovery-Oriented Model of Care for People with Serious Mental Illness: A Holistic Approach .................................................................................................25 Abstract ..............................................................................................................................25 Recovery-Oriented Practice Model of Care .....................................................................266 Holistic Approach to the Recovery-Oriented Process .......................................................28 Biological ...............................................................................................................28 Psychological .........................................................................................................30 Social. ......………………………………………………………………………..32 Spiritual .................................................................................................................33 Environmental .......................................................................................................35 Conclusion .........................................................................................................................36 References ..........................................................................................................................38 i Chapter 4 Spiritual Perspectives, Spiritual Care, and Recovery-oriented Practice in Psychiatric Mental Health Nurses.............................................................................48 Abstract ..............................................................................................................................48 Review of Literature ..........................................................................................................52 Spirituality and Religiosity ....................................................................................52 Spiritual Care and Spiritual Perspectives ..............................................................53 Recovery-Oriented Practice ...................................................................................57 Spiritual Care in Recovery-Oriented Practice .......................................................59 Theoretical Framework ......................................................................................................60 Conceptual and Operational Definitions ............................................................................62 Research Questions ............................................................................................................63 Design ...............................................................................................................................65 Methods..............................................................................................................................66 Sample/ Setting ......................................................................................................66