Authors

1 Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran

2 Center for Econometric Optimization in the Nursing Workforce, Seoul, Korea

Abstract

A spiritual well‑being‑based nursing intervention may boost older adults’ resilience‑based recovery. Its
potential contribution may have positive knock‑on effects: controlling skyrocketing healthcare costs;
reducing the productive population’s social burden of supporting the older adults; and alleviating a
generational conflict. However, healthcare policy‑makers are still skeptical about investing in those
healthcare resources which would develop and implement a spiritual well‑being‑based nursing
intervention for older adults. It is time for nurse scientists, as front‑line gatekeepers for patients’
omnidirectional well‑being, to escape from thinking within the box by actively addressing first the
feasibility, then the direct and indirect effectiveness on actual patient outcomes, and finally the cost
efficiency of a spiritual well‑being‑based nursing intervention for the added benefit of easing the
decision‑making of healthcare policy‑makers.

Keywords

1. Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N.
Age‑related decrease in physical activity and functional fitness
among elderly men and women. Clin Interv Aging 2013;8:549‑56.
2. Knight J, Nigam Y. Exploring the anatomy and physiology
of ageing. Part 1 – The cardiovascular system. Nurs Times
2008;104:26‑7.
3. MacLeod S, Musich S, Hawkins K, Armstrong DG. The growing
need for resources to help older adults manage their financial and
healthcare choices. BMC Geriatr 2017;17:84.
4. Daly S, Allen J. Inequalities in Mental Health, Cognitive
Impairment and Dementia among Older People. University
College London, London, U.K.: The UCL Institute of Health Equity;
2016. Available from: http://www.instituteofhealthequity.org/resources‑reports/inequalities‑in‑mental‑health‑cog
nitive‑impairment-and‑dementia‑among‑older‑people/
inequalities‑in‑mental‑health‑cognitive‑impairementand‑dementia‑among‑older‑people.pdf. [Last accessed on 2018
Dec 31].
5. World Health Organization. Global Strategy and Action Plan
on Ageing and Health. Geneva, Switzerland: World Health
Organization; 2017. Available from: https://www.who.int/
ageing/WHO‑GSAP‑2017.pdf?ua=1. [Last accessed on 2018 Dec
31].
6. Park CS. Optimizing staffing, quality, and cost in home healthcare
nursing: Theory synthesis. J Adv Nurs 2017;73:1838‑47.
7. Park CS. Challenging rules, creating values: Park’s sweet spot
theory‑driven central‑’optimum nurse staffing zone’. J Adv Nurs
2018;74:1231‑2.
8. Ní Mhaoláin AM, Fan CW, Romero‑Ortuno R, Cogan L,
Cunningham C, Kenny RA, et al. Frailty, depression, and anxiety
in later life. Int Psychogeriatr 2012;24:1265‑74.
9. Aghakhani N, Vahabzadeh D, Niroomand S, Asgarlou Z,
Zaravar F. The relationship between spiritual wellbeing,
anxiety and depression in old adults: A cross sectional study
of Shiraz Clinics, Iran. World Fam Med Middle East J Fam Med
2018;16:69‑72.
10. Elham H, Hazrati M, Momennasab M, Sareh K. The effect
of need‑based spiritual/religious intervention on spiritual
well‑being and anxiety of elderly people. Holist Nurs Pract
2015;29:136‑43.
11. Breitbart W. Spirituality and meaning in supportive care:
Spirituality‑ and meaning‑centered group psychotherapy
interventions in advanced cancer. Support Care Cancer
2002;10:272‑80.
12. Levin JS. How religion influences morbidity and health:
Reflections on natural history, salutogenesis and host resistance.
Soc Sci Med 1996;43:849‑64.
13. Thuné‑Boyle IC, Stygall JA, Keshtgar MR, Newman SP. Do
religious/spiritual coping strategies affect illness adjustment in
patients with cancer? A systematic review of the literature. Soc
Sci Med 2006;63:151‑64.
14. Dezutter J, Casalin S, Wachholtz A, Luyckx K, Hekking J,
Vandewiele W, et al. Meaning in life: An important factor for
the psychological well‑being of chronically ill patients? Rehabil
Psychol 2013;58:334‑41.
15. Ellison CG, Fang Q, Flannelly KJ, Steckler RA. Spiritual struggles
and mental health, exploring the moderating effects of religious
identity. Int J Psychol Religion 2013;23:214‑29.
16. Evenblij K, Widdershoven GA, Onwuteaka‑Philipsen BD,
de Kam H, Pasman HR. Palliative care in mental health facilities
from the perspective of nurses: A mixed‑methods study.
J Psychiatr Ment Health Nurs 2016;23:409‑18.
17. Park CS. Thinking outside the box. J Adv Nurs 2018;74:237‑8.
18. KaiserJF. Richard Hamming’s ‘You and Your Research.’ Transcription
of the Bell Communications Research Colloquium Seminar;
1986. Available from: http://www.cs.virginia.edu/~robins/
YouAndYourResearch.pdf. [Last accessed on 2018 Dec 31].