Impaired religiosity

Impaired religiosity

Domain 10. Life principles
Class 3. Value-belief-action congruence
Diagnostic Code: 00169
Nanda label: Impaired religiosity
Diagnostic focus: Religiosity

Introduction to Nursing Diagnosis Impaired Religiosity

Nursing is an integral part of the medical profession, with its core focus being on providing care and support to individuals who are ill or injured. As part of holistic health care, nurses must be aware of their patient’s psychological and spiritual wellbeing. One key area of nursing care which falls into this category is impaired religiosity, which refers to when a person’s faith and belief in spiritual matters is negatively affected due to life circumstances. This article will explore what nursing diagnosis impaired religiosity is, how it can be diagnosed, as well as techniques for addressing the issue with proper care and support.

NANDA Nursing Diagnosis Definition

The National Alliance of Nurses for Diagnostic Excellence (NANDE) has published standards of care for nursing diagnosis impaired religiosity. NANDE defines nursing diagnosis impaired religiosity as “a pattern of decreased belief or participation in spiritual practices, personal and organizational rituals, and/or meanings derived from faith systems.” The NANDE definition for this diagnosis also extends to the behaviors associated with lowered religiosity or spiritual practices, such as prayer and religious activities.

Defining Characteristics

Subjective characteristics of impaired religiosity will depend on the individual’s faith system, beliefs and lifestyle; however, some common signs of this condition include:

  • Feeling disconnected from faith or believing that spiritual principles are no longer relevant.
  • Decrease in participation in rites, rituals or religious ceremonies.
  • Feeling that practices and beliefs are no longer consistent with the individual’s current worldview or lifestyle.

Objective indicators for this diagnosis might include:

  • Verbal statements expressing feelings of disconnection from faith/spiritual practices.
  • Rejection or avoidance of traditional ritualistic practices.
  • Lack of interest in pastoral counseling or guidance.

Related Factors

The list of factors that might contribute to impaired religiosity is extensive. However, some of the more frequently cited contributors include health issues, such as cognitive impairment or physical disabilities, depression, stress, trauma and substance abuse. Changes in one’s life circumstances, such as death, divorce or relocation can also lead to a lowered sense of spiritual wellbeing.

At Risk Population

People from all backgrounds and faiths can experience lowered religiosity, but some populations experience it more frequently than others. People with chronic illnesses, elderly adults and those living in poverty are all at an increased risk for impaired religiosity. Additionally, people experiencing social isolation, or those with little or no spiritual supports in their lives may be particularly vulnerable to any changes in their spiritual lives.

Associated Conditions

People with impaired religiosity are often struggling with other related issues, such as a lack of purpose or direction in life, depression, anxiety and substance abuse. Other common associated conditions include difficulties with communication and interpersonal relationships, low self-esteem and motivation, as well as difficulty concentrating and completing tasks. Poor physical health can also be indicative of impaired religiosity, as spiritual challenges can manifest in physiological symptoms, such as fatigue, chronic pain and sleep disturbances.

Suggestions for Use

When working with clients who have impaired religiosity, it is important for nurses to provide them with the opportunity to express themselves in a safe and non-judgmental environment. Working collaboratively with the person to identify their challenges and goals can help nurses plan appropriate interventions to facilitate personal growth and healthy spiritual development. It can also be useful to incorporate traditional religious or spiritual practices with evidence-based interventions, such as mindfulness meditation, art or music therapy, or journaling.

Suggested Alternative NANDA Nursing Diagnoses

Although nursing diagnosis impaired religiosity is the primary diagnosis for this condition, nurses may consider other NANDA diagnoses when assessing their patient. These could include but are not limited to spiritual distress, risk for spiritual distress, risk for spiritual crisis, powerlessness, and hopelessness.

Usage Tips

When building a care plan to address nursing diagnosis impaired religiosity, it is wise to listen to the patient’s experiences and opinions, and use them as a starting point to craft a treatment plan that speaks to their individual needs. It is also essential to involve the patient’s family and other members of their spiritual community to ensure they have access to traditional practices and support. Finally, nurses should be mindful to provide a safe space for different beliefs and perspectives, without allowing any form of discrimination or prejudice.

NOC Outcomes

Nursing Outcomes Classification (NOC) can serve as a framework for assessing improvement or deterioration in a patient’s state of wellbeing. The NOC list for impaired religiosity includes, but is not limited to, spiritual wellness, orientation to spiritual beliefs, personal resilience, emotional coping, emotional comfort, and psychological well-being.

Evaluation Objectives and Criteria

When evaluating the effectiveness of a nursing diagnosis impaired religiosity care plan, nurses should keep in mind the NOC outcomes and look for measurable improvement in each area. Additionally, nurses should look for a decrease in the defining characteristics outlined earlier, such as reduced prayer, religious activities and spiritual practices.

NIC Interventions

Interventions provided by nurses to address nursing diagnosis impaired religiosity should be tailored to the patient’s individual situation. However, some common interventions in this field include psychosocial analysis, assistance in accessing spiritual resources, support for spiritual exercises and practices, communication training, psychological counseling, and pastoral care.

Nursing Activities

When providing care for clients suffering from impaired religiosity, nurses must focus on providing safety, support and understanding. This includes listening without judgment, allowing these individuals the freedom to express their feelings and experiences, and assisting them in exploring spiritual issues. Additionally, nurses should provide education on the importance of spirituality, encouraging patients to engage in activities that will foster spiritual growth, and teaching them strategies for coping with life’s stressors.

Conclusion

Nursing diagnosis impaired religiosity is a complex condition that requires a tailored approach to care. Following the appropriate NANDA nursing diagnosis definition, nurses can assess patients’ needs appropriately and use evidence-based interventions to promote spiritual development, while also supporting their physical, emotional and mental health.

5 FAQs

  • What is nursing diagnosis impaired religiosity?
    Nursing diagnosis impaired religiosity is a pattern of decreased belief or participation in spiritual practices, personal or organizational rituals, or meanings derived from faith systems.
  • What are the defining characteristics of nursing diagnosis impaired religiosity?
    Subjective characteristics associated with this diagnosis include feeling disconnected from faith, decreased participation in ritualistic activities, and feeling that spiritual practices/beliefs are no longer applicable. Objective indicators may include verbal statements expressing feelings of disconnection, rejection of traditional practices, and lack of interest in spiritual guidance.
  • What factors can contribute to nursing diagnosis impaired religiosity?
    Health issues, depression, stress, trauma and substance abuse can all contribute to lowered religiosity. Life changes, such as death, divorce or relocation, can also lead to an altered sense of spiritual wellbeing.
  • What populations are at risk for impaired religiosity?
    People with chronic illnesses, elderly adults and those living in poverty are all at an increased risk for impaired religiosity. Additionally, people who are socially isolated or with no spiritual supports are particularly vulnerable to changes in spiritual health.
  • What strategies should nurses employ to care for individuals with impaired religiosity?
    When working with clients who have impaired religiosity, it is important for nurses to provide them with a safe environment to express themselves. Nurses should also incorporate both traditional and evidence-based interventions to promote healthy spiritual development, as well as provide education on the importance of spirituality and strategies for coping.

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