Institutional, Nurses’ and Patients’ Spiritual Imaginaries Compared
Sociological Notes from the Field
DOI:
https://doi.org/10.1558/firn.25878Keywords:
spiritual imaginaries, health and salvation, religion in hospital, governance of religious diversityAbstract
In this article we seek to compare institutional, professional (largely nurses’) and patients’ perspectives on spirituality with the aim of contributing to two different, albeit potentially overlapping, strands of research, namely, the study of the governance of religious diversity and the inclusion of spiritual interventions in hospital settings, using data collected in the research project RESPIRO (breath) (2019–2022). Importantly, in this article we rely on the toolkit of the sociological trade to explore what we can learn about religion and spirituality by studying hospitals, building on the working hypothesis that the practical and discursive universe of ‘health’ and ‘salvation’, the two most valued symbolic resources of the medical and the religious/spiritual fields respectively, are inherently interrelated. In so doing, we reconstruct the “spiritual imaginaries” surrounding institutional, nurses’ and patients’ perspectives on spirituality in hospital, a previously unexplored subject. These three spiritual imaginaries are the expression of hospital management’s, nurses’ and patients’ respective positioning in the broader field of religion and spirituality in healthcare; that is, they voice different instances of what is considered the legitimate representation of religion and spirituality within healthcare institutions and care practices.
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References
Anandarajah, Gowri, and Ellen Hight 2001 Spirituality and Medical Practice: Using the HOPE Questions as a Practical Tool for Spiritual Assessment. American Family Physician 63(1): 81–88.
Attard, Josephine, Doria R. Baldacchino and Liberato Camilleri 2014 Nurses’ and Midwives’ Acquisition of Competency in Spiritual Care: A Focus on Education. Nurse Education Today 34(12): 1460–66. https://doi.org/10.1016/j.nedt.2014.04.015
Balboni, Michael J., and John R. Peteet 2017 Spirituality and Religion within the Culture of Medicine. New York: Oxford University Press.
Batstone, Elizabeth, Cara Bailey and Nutmeg Hallett 2020 Spiritual Care Provision to End-of-Life Patients: A Systematic Literature Review. Journal of Clinical Nursing 29(19–20): 3609–624. https://doi.org/10.1111/jocn.15411
Becci, Irene, Marian Burchardt and Maria Chiara Giorda 2017 Religious Super-Diversity and Spatial Strategies in Two European Cities. Current Sociology 65(1): 73–91. https://doi.org/10.1177/0011392116632030
Berger, Peter 1967 The Sacred Canopy: Elements of a Sociological Theory of Religion. Garden City, NY: Doubleday.
Berger, Peter 1999 The Desecularization of the World. Grand Rapids, MI: Eerdmans.
Blumer, Herbert 1954 What is Wrong with Social Theory? American Sociological Review 19(1): 3–10. https://doi.org/10.2307/2088165
Borneman, Tami, Betty Ferrell and Christina M. Puchalski 2010 Evaluation of the FICA Tool for Spiritual Assessment. Journal of Pain and Symptom Management 40(2): 163–73. https://doi.org/10.1016/j.jpainsymman.2009.12.019
Bourdieu, Pierre 1996 The Rules of Art: Genesis and Structure of the Literary Field. Stanford, CA: Stanford University Press.
Brady, Vivienne, Fiona Timmins, Silvia Caldeira, Margarete Theresa Naughton, Anne McCarthy and Barbara Pesut 2021 Supporting Diversity in Person-centred Care: The Role of Healthcare Chaplains. Nursing Ethics 28(6): 935–50. https://doi.org/10.1177/0969733020981746
Breskaya, Olga, Roger Finke and Giuseppe Giordan 2021 Religious Freedom: Social-Scientific Approaches. Leiden: Brill.
Brosnan, Caragh, Pia Vuolanto and Jenny-Ann Brodin Danell 2018 Complementary and Alternative Medicine: Knowledge Production and Social Transformation. London: Palgrave Macmillan.
Bruce, Steven 2002 God is Dead: Secularization in the West. London: Wiley-Blackwell.
Bruce, Steven 2011 Secularization: In Defence of an Unfashionable Theory. Oxford: Oxford University Press.
Brusco, Angelo 1993 L’accompagnamento spirituale del morente. In Cure palliative. Approccio multidisciplinare alle malattie inguaribili, edited by Giorgio Di Mola, 274–79. Milan: Masson.
Burchardt, Marian 2020 Regulating Difference: Religious Diversity and Nationhood in the Secular West. New Brunswick, NJ: Rutgers University Press.
Cadge, Wendy 2012 Paging God: Religion in the Halls of Medicine. Chicago: University of Chicago Press.
Charmaz, Kathy 2008 Grounded Theory as an Emergent Method. In Handbook of Emergent Methods, edited by Sharlene Nagy Hesse-Biber and Patricia Leavy, 55–170. New York: The Guilford Press.
Charon, Rita 2013 Narrative Medicine in the International Education of Physicians. Presse Medicale 42(1): 3–5. https://doi.org/10.1016/j.lpm.2012.10.015
Clot-Garrell, Anna, and Mar Griera 2019 Beyond Narcissism: Towards an Analysis of the Public, Political and Collective Forms of Contemporary Spirituality. Religions 10(10): 579–94. https://doi.org/10.3390/rel10100579
Crompton, Andrew 2013 The Architecture of Multifaith Spaces: God Leaves the Building. Journal of Architecture 18(4): 474–96. https://doi.org/10.1080/13602365.2013.821149
Davie, Grace 2000 Religion in Modern Europe: A Memory Mutates. Oxford: Oxford University Press.
Davie, Grace 2015 Religion in Britain: A Persistent Paradox. New York: Wiley.
Di Placido, Matteo 2020 Blending Martial Arts and Yoga for Health: From the Last Samurai to the First Odaka Yoga Warrior. Frontiers in Sociology: Medical Sociology 5: 1–16. https://doi.org/10.3389/fsoc.2020.597845
Di Placido, Matteo 2022a The ‘Satsang Dispositif’: Mooji’s Teachings, Power, Authority and Self-Transformation. Journal of Contemporary Religion 37(3). https://doi.org/10.1080/13537903.2022.2081311
Di Placido, Matteo 2022b Focus, Flexibility, and Performativity: The Yogic Habitus and the Neoliberal Order. Etnografia e Ricerca Qualitativa 2(2): 219–39.
Di Placido, Matteo, and Lorenzo Pedrini 2022 Exploring Engaged Spirituality through Martial Arts: Pedagogies of Engagement in Boxe Popolare and Odaka Yoga. Fieldwork in Religion 17(2): 1–21. https://doi.org/10.1558/firn.23097
Di Placido, Matteo, and Stefania Palmisano 2022 Health and Salvation: A Genealogy of Spirituality within Healthcare Practices. ESA-RN34 Sociology of Religion Conference, Religion in an Unstable World: Challenges, Transformations and Future Prospects. Groningen: University of Groningen.
Di Placido, Matteo, Anna Strhan and Stefania Palmisano 2023 Modern Postural Yoga and the Health-Spirituality-Neoliberalism Nexus. Fieldwork in Religion 18(1): 1–19.
Di Placido, Matteo, Martina Vanzo and Stefania Palmisano forthcoming Diversità religiosa, governance e cura. Primi risultati di ricerca. In Pluralismo confessionale e dinamiche interculturali: le best practices per una società inclusive, edited by Paolo Palumbo. Rome: Istituto di Studi Politici S. Pio V.
Foucault, Michel 1973 The Birth of the Clinic: An Archaeology of Medical Perception. London: Tavistock.
Fuller, Robert C. 2001 Spiritual, but Not Religious: Understanding Unchurched America. Oxford: Oxford University Press.
Garelli, Franco 2020 Gente di poca fede. Il sentimento religioso nell’Italia incerta di Dio. Bologna: Il Mulino.
Gijsberts, Marie-José, Anke I. Liefbroer, René Otten and Erik Olsman 2019 Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature. Medical Sciences 7(2): 1–21. https://doi.org/10.3390/medsci7020025
Gilliat-Ray, Sophie 2005 From ‘Chapel’ to ‘Prayer Room’: The Production, Use, and Politics of Sacred Space in Public Institutions. Culture and Religion 6(2): 287–308. https://doi.org/10.1080/01438300500226448
Giorda, Maria Chiara, and Anna Mastromarino 2020 Maggioranze e minoranze: andare oltre? Le mense degli ospedali come laboratorio di analisi. Diversità culturale come cura, cura della diversità culturale, edited by Beatrice Bertarini and Caterina Drigo, 95–122. Torino: Giappichelli Editore.
Giordan, Giuseppe 2014 Introduction: Pluralism as Legitimization of Diversity. In Religious Pluralism: Framing Religious Diversity in the Contemporary World, edited by Giuseppe Giordan and Enzo Pace, 1–12. Cham: Springer.
Giordan, Giuseppe, and Enzo Pace 2014 Religious Pluralism: Framing Religious Diversity in the Contemporary World. Cham: Springer.
Giorgi, Alberta, Maria Chiara Giorda and Stefania Palmisano 2022 The Puzzle of Italian Religious Freedoms: Local Experiments and Complex Interactions. Religions 13(7): 1–14. https://doi.org/10.3390/rel13070626
Griera, Mar, and Anna Clot-Garrell 2021 Turning Spirituality into a Public Event: The Popularization of Collective Meditations and Mindfulness Marches in the Urban Space. In Urban Religious Events: Public Spirituality in Contested Spaces, edited by Paul Bramadat, Mar Griera, Marian Burchardt and Julia Martinez-Ariño, 159–76. London: Bloomsbury.
Griera, Mar, Julia Martínez-Ariño and Anna Clot-Garrell 2021 Banal Catholicism, Morality Policies and the Politics of Belonging in Spain. Religions 12(5): 293. https://doi.org/10.3390/rel12050293
Griera, Mar, and Alexander-Kenneth Nagel 2018 Introduction: Relations interreligieuses et gouvernance de la religion en Europe. Social Compass 65(3): 1–11. https://doi.org/10.1177/003776861878723
Gusman, Alessandro 2016 La famille face à la maladie en phase terminale. Ethnographie dans une maison de soins palliatifs au Piémont (Italie). Anthropologie & Santé 12. https://doi.org/10.4000/anthropologiesante.2019
Harrad, Rachel, Chiara Cosentino, Robert Keasley and Francesco Sulla 2019 Spiritual Care in Nursing: An Overview of the Measures Used to Assess Spiritual Care Provision and Related Factors amongst Nurses. Acta Biomedica for Health Professions 90(4): 44–55. https://doi.org/10.23750/abm.v90i4-S.8300
Hawthorne, Dawn M., and Shirley Gordon 2020 The Invisibility of Spiritual Nursing Care in Clinical Practice. Journal of Holistic Nursing 38(1): 147–55. https://doi.org/10.1177/0898010119889704
Heelas, Paul, and Linda Woodhead 2005 The Spiritual Revolution: Why Religion is Giving Way to Spirituality. Oxford: Blackwell.
Jain, Andrea 2020 Peace Love Yoga: The Politics of Global Spirituality. New York: Oxford University Press.
Lucia, Amanda 2020 White Utopias: The Religious Exoticism of Transformational Festivals. Berkeley, CA: University of California Press.
Martínez-Ariño, Julia 2019 Governing Religious Diversity in Cities: Critical Perspectives. Religion, State & Society 47(4–5): 364–73. https://doi.org/10.1080/09637494.2019.1683404
Martínez-Ariño, Julia 2020 Governing Religious Diversity in Cities: Critical Perspectives. London: Routledge.
Martínez-Ariño, Julia 2021 Urban Secularism: Negotiating Religious Diversity in Europe. Abingdon and New York: Routledge.
Martínez-Ariño, Julia, and Mar Griera 2018 Catholic Chaplains in Public Institutions: Contextual Opportunities and Institutional Inertia in Spanish Hospitals and Prisons. Journal of Religion in Europe 11(2–3): 138–60. https://doi.org/10.1163/18748929-01102004
McSherry, Wilfred, Adam Boughey and Josephine Attard 2021 Enhancing Nurses’ and Midwives’ Competence in Providing Spiritual Care through Innovative Education and Compassionate Care. Cham: Springer.
McSherry, Wilfred, Linda Ross, Josephine Attard, René van Leeuwen, Tove Giske, Tormod Kleiven, Adam Boughey and The EPICC Network 2020 Preparing Undergraduate Nurses and Midwives for Spiritual Care: Some Development in European Education over the Last Decade. Journal for the Study of Spirituality 10(1): 55–71. https://doi.org/10.1080/20440243.2020.1726053
Mercadante, Linda A. 2014 Belief without Borders: Inside the Minds of the Spiritual but Not Religious. Oxford: Oxford University Press.
Morello, Gustavo, SJ 2021 Lived Religion in Latin America: An Enchanted Modernity. New York: Oxford University Press.
Otis?Green, Shirley 2015 Integrating Spirituality into Care at the End of Life: Providing Person-Centered Quality Care. Death Studies 39(3): 185–87. https://doi.org/10.1080/07481187.2014.899425
Pace, Enzo 2021 Diversità e pluralismo religioso. Villa Verrucchio: Pazzini Editore.
Palmisano, Stefania, and Nicola Pannofino 2021 Contemporary Spiritualities: Enchanted Worlds of Nature, Wellbeing and Mystery in Italy. London: Routledge.
Palmisano, Stefania, and Nicola Pannofino 2022 Le vie della spiritualità. I nuovi immaginari del sacro nell’Italia contemporanea. Imago: A Journal of Social Imaginary 19: 139–58.
Pannofino, Nicola 2022 Report attività di ricerca. Le religioni in ospedale. Integrare spiritualità e medicina nelle pratiche di cura. Torino: Università degli studi di Torino.
Partridge, Christopher 2005 The Re-Enchantment of the West: Volume 1 Alternative Spiritualities, Sacralization, Popular Culture and Occulture. London: A&C Black.
Pesut, Barbara, Marsha Fowler, Elisabeth J. Taylor, Sheryl Reimer-Kirkham and Richard Sawatzky 2008 Conceptualising Spirituality and Religion for Healthcare. Journal of Clinical Nursing 17(21): 2803–10. https://doi.org/10.1111/j.1365-2702.2008.02344.x
Puchalski, Christina 2014 The FICA Spiritual History Tool. Journal of Palliative Medicine 17(1): 105–106. https://doi.org/10.1089/jpm.2013.9458
Puchalski, Christina, Najmeh Jafari, Heley Buller, Trace Haythorn, Carolyn Jacobs and Betty Ferrell 2020 Interprofessional Spiritual Care Education Curriculum: A Milestone toward the Provision of Spiritual Care. Journal of Palliative Medicine 23(6): 777–84. https://doi.org/10.1089/jpm.2019.0375
Puchalski, Christina Maria, Robert J. Vitillo, Sharon K. Hull and Nancy Reller 2014 Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus. Journal of Palliative Medicine 17(6): 642–56. https://doi.org/10.1089/jpm.2014.9427
Reaves, Dylan 2012 Peter Berger and the Rise and Fall of the Theory of Secularization. Denison Journal of Religion 11(3): 11–19. https://digitalcommons.denison.edu/religion/vol11/iss1/3
Reimer-Kirkham, Sheryl 2009 Lived Religion: Implications for Nursing Ethics. Nursing Ethics 16(4): 406–17. https://doi.org/10.1177/0969733009104605
Rogers, Melanie 2021 Spiritual Dimensions of Advanced Practice Nursing: Stories of Hope. Cham: Springer.
Siler, Shaunna, Kelly Arora , Katherine Doyon and Stacy M. Fischer 2021 Spirituality and the Illness Experience: Perspectives of African American Older Adults. American Journal of Hospice & Palliative Care 38(6): 618–25. https://doi.org/10.1177/1049909120988280
Taylor, Charles 2004 Modern Social Imaginaries. Durham, NC: Duke University Press.
Timmins, Fiona, and Silvia Caldeira 2017 Understanding Spirituality and Spiritual Care in Nursing. Nursing Standards 31(22): 50–57. https://doi.org/10.7748/ns.2017.e10311
Timmins, Fiona, and Silvia Caldeira 2019 Spirituality in Healthcare: Perspectives for Innovative Practice. Cham: Springer.
Triandafyllidou, Anna, and Tina Magazzini 2021 Routledge Handbook on the Governance of Religious Diversity. London: Routledge.
Villa, Julie 2012 Catholic Orders’ Influence on Nursing: 1900–1920. Journal of Christian Nursing: A Quarterly Publication of Nurses Christian Fellowship 29(2): 90–95. https://doi.org/10.1097/cnj.0b013e3182479761
Voas, David, and Mark Chaves 2016 Is the United States a Counterexample to the Secularization Thesis? American Journal of Sociology 121(5): 1518–56. https://doi.org/10.1086/684202
Walter, Tony 2002 Spirituality in Palliative Care: Opportunity or Burden? Palliative Medicine 16(2): 133–39. https://doi.org/10.1191/0269216302pm516oa
