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Evolutionary Concept Analysis of Spirituality

Journal of Korean Academy of Nursing 2017³â 47±Ç 2È£ p.242 ~ 256
KMID : 0806120170470020242
°íÀϼ± ( Ko Il-Sun ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ

ÃÖ¼Ò¿µ ( Choi So-Young ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ
±èÁø¼÷ ( Kim Jin-Sook ) - ¿¬¼¼´ëÇб³ ´ëÇпø °£È£Çаú

Abstract

Purpose: This study was done to clarify attributes, antecedents, and consequences of spirituality.

Methods: Rodgers¡¯s evolutionary concept analysis was 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 and purpose in life¡¯, ¡®self-integration¡¯, and ¡®self-creativity¡¯ in relationship with self, ¡®connectedness¡¯ and ¡®trust¡¯ in relationship with others¡¤neighbors¡¤nature. Antecedents of spirituality were socio-demographic, religious, psychological, and health related characteristics. Consequences of 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 neighbors and the world¡¯ in relationship with others¡¤neighbors¡¤nature. Being negative was defined as having ¡®guilt¡¯, ¡®inner conflict¡¯, ¡®loneliness¡¯, and ¡®spiritual distress¡¯. Facilitators of spirituality were stressful life events and experiences.

Conclusion: Spirituality is a ultidimensional concept. Unchangeable attributes of spirituality are ¡®connectedness with God¡¯, ¡®self-transcendence¡¯, ¡®meaning of life¡¯ and ¡®connectedness with others¡¤nature¡¯. Unchangeable consequences of spirituality are ¡®joy¡¯ and ¡®hope¡¯. The findings suggest that the dimensional framework of spirituality can be used to assess
the current spiritual state of patients. Based on these results, the development of a Korean version of the scale measuring spirituality is recommended.
KeyWords
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Spirituality, Analysis
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