The role of religiosity as a coping resource for relatives of critically ill patients in Greece
Sotirios Plakas
Nursing B' Department, Technological Educational Institution of Athens, Athens, Greece
Markella Boudioni
Institute of Leadership and Service Improvement, Faculty of Health and Social Care, London South Bank University, London, United Kingdom
Georgia Fouka
Nursing B' Department, Technological Educational Institution of Athens, Athens, Greece
Ann Taket
School of Health and Social Development, Faculty of Health, Centre for Health through Action on Social Exclusion, Deakin University, Burwood VIC
PP: 095 - 105
Abstract
Critical care hospitalisation is emotionally overwhelming for the relatives of patients. Research has shown that religiosity is an effective coping resource for people with health related problems and has been correlated with better health outcomes. However the processes by which religiosity is utilized and its effects on relatives of critically ill patients have not been adequately explored.
This article presents relatives' experiences and processes of religiosity; it is part of a wider grounded theory study on the experiences of critically ill patients' relatives in Greece. Twenty-five relatives of patients in the intensive care units of three public general district hospitals in Athens, Greece, participated in 19 interviews.
Religiosity was found to be the main source of hope, strength and courage for relatives and was expressed with church/monastery attendance, belief in God, praying, and performing religious rituals. Health care professionals should pay attention and understand these aspects of coping.
Keywords
experiences; distress; families; coping; religiosity; intensive care unit
References
Agard, S. A., & Harder, I. (2007). Relatives' experiences in intensive care - Finding a place in a world of uncertainty. Intensive and Critical Care Nursing, 23, 170-177.
Arslanian-Enrogen, C., & Scott, L. D. (2003). The lived experience of survivors of prolonged mechanical ventilation: A phenomenological study. Heart & Lung, 32(5), 328-334.
Baldachino, D., & Draper, P. (2001). Spiritual coping strategies: A review of the nursing literature. Journal of Advanced Nursing, 34, 833-841.
Bjarnason, D. (2007) Concept analysis of religiosity. Home Health Care Management & Practice, 19(5), 350-355.
Burkhart, L., & Hogan, N. (2008). An experiential theory of spiritual care in nursing practice. Qualitative Health Research, 18(7), 928-938.
Casarini, K., Gorayeb, R., & Filho, A. (2009) Coping by relatives of critical care patients. Heart & Lung, 38(3), 217-227.
Chan, K. S., & Twinn, S. (2007). An analysis of the stressors and coping strategies of Chinese adults with a partner admitted to an intensive care unit in Hong Kong: An exploratory study. Journal of Clinical Nursing, 16, 185-193.
Charmaz, K. (1990). Discovering chronic illness: Using grounded theory. Social Science & Medicine, 30(11), 1161-1172.
Charmaz, K. (2000) Grounded theory: Objectivist and constructivist methods. In K. N. Denzin & S. Y. Lincoln (Eds.), Handbook of Qualitative Research, 2nd ed. (pp. 509-535) Thousand Oaks: Sage.
Choumanova, I., Wanat, S., Barrett, R., & Koopman, C. (2006). Religion and spirituality in coping with breast cancer: Perspectives of Chilean women. The Breast Journal, 12(4), 349-352.
Coulter, M. A. (1989). The needs of family members of patients in intensive care units. Intensive Care Nursing, 5(1), 4-10.
Hawley, G. (1998). Facing uncertainty and possible death: The Christian patients' experience. Journal of Clinical Nursing, 7(5), 467-478.
Hughes, F., Bryan, K., & Robbins, I. (2005) Relatives' experiences of critical care. Nursing in Critical Care, 10, 23-30.
Jamerson, P. A., Scheibmeir, M., Bott, M. J., Crighton, F., Hinton, H., & Cobb, A. K. (1996) The experiences of families with a relative in the intensive care unit. Heart & Lung, 25, 467-474.
Johansson, I., Hildingh, C., & Fridlund, B. (2002). Coping strategies when an adult next-of-kin/ close friend is in critical care: A grounded theory analysis. Intensive and Critical Care Nursing, 18, 96-108.
Kloosterhouse, V., & Ames, D.B. (2002). Families' use of religion/spirituality as a psychosocial resource. Holistic Nursing Practice, 17(1), 61-76.
Koffman, J., Morgan, M., Edmonds, P., Speck, P., & Higginson, J. (2008). 'I know he controls cancer': The meanings of religion among Black Caribbean and White British patients with advanced cancer. Social Science & Medicine, 67, 780-789.
Koller, P. A. (1991). Family needs and coping strategies during illness crisis. Clinical Issues in Critical Care Nursing, 2(2), 338-345.
Krebs, K. (2001). The spiritual aspect of caring - An integral part of health and healing. Nursing Administration Quarterly, 25(3), 55-60.
Kutash, M., & Northrop, L. (2007). Family members' experiences of the intensive care unit waiting room. Journal of Advanced Nursing, 60, 384-388.
Lee, Y. B., & Newberg, B. A. (2005). Religion and health: A review and critical analysis. Zygon Journal of Religion and Science, 40(2), 443-468.
Levin, J. S. (1994). Religion and health: Is there an association, is it valid, and is it causal? Social Science & Medicine, 38(11), 1475-1482.
McSherry, W., & Jamieson, S. (2011). An online survey of nurses' perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 20, doi: 10.1111/j.1365-2702.2010.03547.x
Ntaliani, M. (1998). The bomb won the medicine. Doctors: 'It was as they brought us someone injured in war'. TA·NEA (newspaper in Greek), 10-10-1998. Accessed 04/01/05 Available at: http://tanea.dolnet.gr/
Papadopoulos, I. (1999). Health and illness beliefs of Greek Cypriots living in London. Journal of Advanced Nursing, 29(5), 1097-1104.
Paparrigopoulos, T., Melissaki, A., Efthymiou, A., Tsekou, H., Vadala, C., Kribeni, G., et al. (2006). Short-term psychological impact on family members of intensive care unit patients. Journal of Psychosomatic Research, 61(5), 719-722.
Patel-Chua, T. C. (1996). Hope - inspiring strategies of spouses of critically ill adults. Journal of Holistic Nursing, 14(1), 46-65.
Plakas, S., Cant, B., & Taket, A. (2009). The experiences of families of critically ill patients in Greece: A social constructionist grounded theory study. Intensive and Critical Care Nursing, 25, 10-20.
Roberts, L., Ahmed, I., & Hall, S. (2007). Intercessory prayer for the alleviation of ill health. Cochrane Database of Systematic Reviews, 1, Art. No: CD000368. doi: 10.1002/14651858.CDooo368.pub2
Rosenbaum, N. J. (1991). The health meanings and practices of older Greek-Canadian widows. Journal of Advanced Nursing, 16, 1320-1327.
Strauss, A., & Corbin, J. (1998). Basics of Qualitative research, 2nd edn. Thousand Oaks: Sage.
Taleghani, F., Parsa Yekta, Z., & Nasrabadi, N. A. (2006). Coping with breast cancer in newly diagnosed Iranian women. Journal of Advanced Nursing, 54(3), 265-273.
Treloar, L. L. (2002). Disability, spiritual beliefs and the church: The experiences of adults with disabilities and family members. Journal of Advanced Nursing, 40(5), 594-603.
Voice of the People. (2005). Voice of the people 2005: Religiosity around the world. Accessed April 16, 2011, from http://www.gallup.co.kr/gallupdb/reportdownload.asp?seqno=96
Yick, A. G. (2008). A metasynthesis of qualitative findings on the role of spirituality and religiosity among culturally diverse domestic violence survivors. Qualitative Health Research, 18(9), 1289-1306.

eContent Home




