1 Spiritual leadership and spiritual care in neonatology SI ´ LVIA CALDEIRA RN, MSc 1 and JENNY HALL EdD, MSc, RM, ADM, PGDipHE 2 1 PhD Student, Institute of Health Sciences, The Catholic University of Portugal, Lisbon, Portugal and 2 Senior Midwifery Lecturer, University of the West of England, Bristol, UK Correspondence Jenny Hall Faculty of Health and Life Sciences University of the West of England Glenside Blackberry Hill Stapleton Bristol BS16 1DD UK E-mail: [email protected]CALDEIRA S& HALL J (2012) Journal of Nursing Management Spiritual leadership and spiritual care in neonatology Aim This article aims to explore spiritual care in the neonatal care environment in addition highlighting the importance of spiritual leadership of a health team in that context. Background Neonatal care is an ethically demanding and stressful area of practice. Babies and families require spiritual needs to be recognized in the context of holistic care. Literature around spiritual leadership is explored to nurture workplace spirituality. Evaluation Analysis of a range of sources provides a theoretical reflection on spiritual leadership and spiritual care in neonatal care settings. Key issues The literature identifies that the carers should consider carefully on how care given may affect the infant and family. Themes relating to the baby’s and family’s spiritual needs and those of the staff in this area are identified. Spiritual leadership by the manager will provide support to the staff and help spiritual need to be met in this area of practice. Conclusion Spiritual needs should be acknowledged within neonatal care whether these are of babies, families or the team itself. Implications for nursing management Managers have responsibility to ensure that spiritual care is carried out for babies and their families and to care for the team as spiritual leaders. Keywords: neonates, 3 nursing management, spiritual care Accepted for publication: XXX Introduction The neonatal care unit is an intensive and demanding environment where newborn infants are constantly bordering on life and death. It is an area that provides challenges to those working within it or being a par- ent or relative visiting an ill or small neonate. Stress and anxiety levels may be high, requiring sensitive and specialist care. Ethically difficult choices are constantly being faced by both parents and carers (Stutts & Schloemann 2002a, Stutts & Schloemann 2002b, Challinor & Mifflin 2003, Carter 2004). Neonatal care is often focused on the physical needs of the infant alongside the emotional and psychological needs of the families. However for nurses and mid- wives there is an expectation that spiritual care will also be given in a holistic context (International Coun- cil of Nurses 2006, World Health Organization 2007, Nursing & Midwifery Council 2009, 2010) and that nursing leaders are also responsible for care for the staff (Caldeira et al. 2011). It has been discussed else- where that the spiritual nature of unborn babies should be recognized during pregnancy (Hall 2006). It is therefore appropriate to consider the newborn 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 DOI: 10.1111/jonm.12034 ª 2012 Blackwell Publishing Ltd 1 Journal of Nursing Management, 2012 J O N M 1 2 0 3 4 B Dispatch: 12.10.12 Journal: JONM CE: Nivedha Journal Name Manuscript No. Author Received: No. of pages: 7 PE: Devipriya
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1 Spiritual leadership and spiritual care in neonatology
SILVIA CALDEIRA RN , M S c1 and JENNY HALL E d D , M S c , RM , A DM , P GD i p H E
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1PhD Student, Institute of Health Sciences, The Catholic University of Portugal, Lisbon, Portugal and 2SeniorMidwifery Lecturer, University of the West of England, Bristol, UK
Rumbold B. (2007) Mental health and spirituality in later life.
Australasian Journal on Ageing 26 (3), 149–150.
Schenk L.K. & Kelley J.H. (2010) Mothering an extremely low
birth-weight infant: a phenomenological study. Advances in
Neonatal Care 10 (2), 88–97.
Smith J. &McSherry W. (2004) Spirituality and child development:
a concept analysis. Journal of AdvancedNursing 45 (3), 307–315. 17
Stutts A. & Schloemann J. (2002a) Life-sustaining support: ethi-
cal, cultural and spiritual conflicts Part 1: family support – a
neonatal case study. Neonatal Network 21 (3), 23–29.
Stutts A. & Schloemann J. (2002b) Life-sustaining support: ethi-
cal, cultural and spiritual conflicts Part II: staff support – a
neonatal case study. Neonatal network 21 (4), 27–33.
Verny T. & Kelly J. (1982) The Secret Life of the Unborn
Child. Sphere, London.
Weathley M. (2003) Leadership in turbulent times is spiritual.
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West M., Dawson J., Admasachew L. & Topakas A. (2011)
NHS Staff Management and Health Service Quality: Results
from the NHS Staff Survey and Related Data. Department of
Health, London.
ª 2012 Blackwell Publishing Ltd
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Catlin E., Guillemin J., Thiel M., Hammond S., Wang M. and O’Donnell J. (2001) Spiritual and religious components of patient care in neonatal intensive care unit: sacred themes in a secular setting. Journal of Perinatology 21, 426-430.
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Rego A., Pina e Cunha M. & Oliveira M.
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Wolf E. (2004) Spiritual leadership: a new model. Healthcare
Executive ???, 22–25.18
Wong C.A. & Cummings G.G. (2007) The relationship between
nursing leadership and patient outcomes: a systematic review.
Journal of Nursing Management 15, 508–521.
World Health Organization (2007) People-centred Health-
care: a Policy Framework. Available at: http://www.wpro.
who.int/NR/rdonlyres/55CBA47E-9B93–4EFB-A64E-
21667D95D30E/0/PEOPLECENTREDHEATLHCAREPoli-
cyFramework.pdf accessed 6 March 2012.
ª 2012 Blackwell Publishing Ltd
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Author Query Form
Journal: JONM
Article: 12034
Dear Author,During the copy-editing of your paper, the following queries arose. Please respond to these by marking up yourproofs with the necessary changes/additions. Please write your answers on the query sheet if there is insufficientspace on the page proofs. Please write clearly and follow the conventions shown on the attached correctionssheet. If returning the proof by fax do not write too close to the paper’s edge. Please remember that illegiblemark-ups may delay publication.
Many thanks for your assistance.
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2 AUTHOR: is the running head OK?
3 WILEY-BLACKWELL: Please supply date of acceptance.
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ence List, please supply full publication details.
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match ref list
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2010 so that this citation matches the Reference List. Please confirm that
this is correct.
8 AUTHOR: Is the text OK now: Being a nurse means being committed to
patient welfare
9 AUTHOR: Is the text OK now: The neonatal care environment has spe-
cial significance because it is a place where life is just at its start.
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The moment most dreamed for and as a potential for joy for parents is at
that place a moment of suffering?.
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O n c e y o u h a v e A c r o b a t R e a d e r o p e n o n y o u r c o m p u t e r , c l i c k o n t h e C o m m e n t t a b a t t h e r i g h t o f t h e t o o l b a r :
S t r i k e s a l i n e t h r o u g h t e x t a n d o p e n s u p a t e x tb o x w h e r e r e p l a c e m e n t t e x t c a n b e e n t e r e d .‚ H i g h l i g h t a w o r d o r s e n t e n c e .‚ C l i c k o n t h e R e p l a c e ( I n s ) i c o n i n t h e A n n o t a t i o n ss e c t i o n .‚ T y p e t h e r e p l a c e m e n t t e x t i n t o t h e b l u e b o x t h a ta p p e a r s .
T h i s w i l l o p e n u p a p a n e l d o w n t h e r i g h t s i d e o f t h e d o c u m e n t . T h e m a j o r i t y o ft o o l s y o u w i l l u s e f o r a n n o t a t i n g y o u r p r o o f w i l l b e i n t h e A n n o t a t i o n s s e c t i o n ,p i c t u r e d o p p o s i t e . W e ’ v e p i c k e d o u t s o m e o f t h e s e t o o l s b e l o w :S t r i k e s a r e d l i n e t h r o u g h t e x t t h a t i s t o b ed e l e t e d .
‚ H i g h l i g h t a w o r d o r s e n t e n c e .‚ C l i c k o n t h e S t r i k e t h r o u g h ( D e l ) i c o n i n t h eA n n o t a t i o n s s e c t i o n .
H i g h l i g h t s t e x t i n y e l l o w a n d o p e n s u p a t e x tb o x w h e r e c o m m e n t s c a n b e e n t e r e d .‚ H i g h l i g h t t h e r e l e v a n t s e c t i o n o f t e x t .‚ C l i c k o n t h e A d d n o t e t o t e x t i c o n i n t h eA n n o t a t i o n s s e c t i o n .‚ T y p e i n s t r u c t i o n o n w h a t s h o u l d b e c h a n g e dr e g a r d i n g t h e t e x t i n t o t h e y e l l o w b o x t h a ta p p e a r s .
M a r k s a p o i n t i n t h e p r o o f w h e r e a c o m m e n tn e e d s t o b e h i g h l i g h t e d .‚ C l i c k o n t h e A d d s t i c k y n o t e i c o n i n t h eA n n o t a t i o n s s e c t i o n .‚ C l i c k a t t h e p o i n t i n t h e p r o o f w h e r e t h e c o m m e n ts h o u l d b e i n s e r t e d .‚ T y p e t h e c o m m e n t i n t o t h e y e l l o w b o x t h a ta p p e a r s .
I n s e r t s a n i c o n l i n k i n g t o t h e a t t a c h e d f i l e i n t h ea p p r o p r i a t e p a c e i n t h e t e x t .‚ C l i c k o n t h e A t t a c h F i l e i c o n i n t h e A n n o t a t i o n ss e c t i o n .‚ C l i c k o n t h e p r o o f t o w h e r e y o u ’ d l i k e t h e a t t a c h e df i l e t o b e l i n k e d .‚ S e l e c t t h e f i l e t o b e a t t a c h e d f r o m y o u r c o m p u t e ro r n e t w o r k .‚ S e l e c t t h e c o l o u r a n d t y p e o f i c o n t h a t w i l l a p p e a ri n t h e p r o o f . C l i c k O K .
I n s e r t s a s e l e c t e d s t a m p o n t o a n a p p r o p r i a t ep l a c e i n t h e p r o o f .‚ C l i c k o n t h e A d d s t a m p i c o n i n t h e A n n o t a t i o n ss e c t i o n .‚ S e l e c t t h e s t a m p y o u w a n t t o u s e . ( T h e A p p r o v e ds t a m p i s u s u a l l y a v a i l a b l e d i r e c t l y i n t h e m e n u t h a ta p p e a r s ) .‚ C l i c k o n t h e p r o o f w h e r e y o u ’ d l i k e t h e s t a m p t oa p p e a r . ( W h e r e a p r o o f i s t o b e a p p r o v e d a s i t i s ,t h i s w o u l d n o r m a l l y b e o n t h e f i r s t p a g e ) .
A l l o w s s h a p e s , l i n e s a n d f r e e f o r m a n n o t a t i o n s t o b e d r a w n o n p r o o f s a n d f o rc o m m e n t t o b e m a d e o n t h e s e m a r k s . .‚ C l i c k o n o n e o f t h e s h a p e s i n t h e D r a w i n gM a r k u p s s e c t i o n .‚ C l i c k o n t h e p r o o f a t t h e r e l e v a n t p o i n t a n dd r a w t h e s e l e c t e d s h a p e w i t h t h e c u r s o r .‚
T o a d d a c o m m e n t t o t h e d r a w n s h a p e ,m o v e t h e c u r s o r o v e r t h e s h a p e u n t i l a na r r o w h e a d a p p e a r s .‚
D o u b l e c l i c k o n t h e s h a p e a n d t y p e a n yt e x t i n t h e r e d b o x t h a t a p p e a r s .