I am Afraid. Please Pray for Me.

What would your reaction be if your patient asked you to pray with them? Would you feel uncomfortable? Would you be able to grant his/her request? When is it OK to pray with a patient? How should we pray? What can you do as a nurse to support the spiritual needs of your patient. Nurses Spirituality Article

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Many of us view the healthcare setting as a place of employment where we we are comfortable. To patients, however, this medical setting is a maze with frightening and uncertain twists and turns, ups and downs into which they have entered, usually not by choice. They do not know the language, and quite often do not get adequate interpretation to fully understand their condition. This is especially frightening when they are called upon to make monumental decisions that can have life-changing consequences.

As nurses, we become part of their hospital experience. We have the opportunity to walk beside patients and their families as they travel down the complicated healthcare pathway. They grow to trust the nurses who care for them looking to them for information and support.

Many times they are seeking spiritual support during these stressful times. When faced with serious or life-threatening medical conditions, patients and their family members are more likely to turn to their faith to cope with the associated anxieties. Sometimes they seek the help of the healthcare team to meet their spiritual needs.

In my job as a Parish Nurse, I encounter requests for prayer quite frequently from patients, families, and other healthcare staff. One of my main roles as a parish nurse is to address and meet the spiritual needs of the patient, both in and out of the hospital setting. I have been very blessed and privileged to to have the opportunity to walk alongside individuals and families as they face difficult decisions regarding healthcare.

Many times this happens when trying to decide appropriate treatment in crisis situations. At times requests come to pray with family members when they are trying to decide whether or not to terminate treatment when the prognosis looks grim

At these times I will talk with them and listen to their concerns and questions. I cannot always give them the answers they are searching for, but I can try to be a calming presence with a shoulder to lean on, a listening ear, or a gentle touch. And I can certainly pray with them upon their request or with their permission.

What would your reaction be if your patient or the patient's family asked you to pray with them?

Many nurses will feel comfortable and confident enough to pray with patients as well as to listen to their spiritual concerns. Others may be willing to pray but are uncomfortable. Still others would be more comfortable seeking the services of the hospital chaplain.

Following are some things nurses need to remember when praying with patients.

  • It is not appropriate to pray aloud with/for every patient without patient request. If the patient requests prayer, talk with them to determine how they would prefer to pray. Some may want to pray silently, others will want to pray out loud in the nurse's presence. Others will want to nurse to lead the prayer, while others may ask the nurse to keep remember them in their prayers. "Would you like a spoken or unspoken prayer?"
  • In order to provide respectful care, it is necessary to refrain from using the clinical setting or professional authority to promote any type of religion or particular spiritual practices. Be attuned to the patient's spiritual beliefs and use that as a guideline. Do not use this as an opportunity to proselytize.
  • Clarify with the patient what will be most helpful. Don't assume you know what they need or want. Ask the patient what they would like for you to pray for or about. "For what would you like me to pray?"

Whether or not nurses should pray with patients has been the topic of much controversy. Meeting the spiritual needs of patients is definitely part of the nurse's responsibilities as she/he attempts to provide holistic care. These needs may be fulfilled directly by the nurse or via referral to the chaplain or clergy of the patient's choice.

When praying with the patient, always be respectful of their beliefs, don't assume you know what they want or need, and certainly do not impose your beliefs upon them. Always examine your motives for praying and ask yourself....."Whose needs am I trying to meet?"

To read more articles, such as When Nurses Cry, go to my AN blog: Body, Mind, and Soul

Specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.
I do not believe it is the 'nurse's' responsibility to 'pray' with the patient. It depends on the relationship she/he has with the patient. The hospital might not be fond of nurses praying with patients. Know the policy of the hospital.

This is one time I would actually be brazen enough to buck policy and risk termination if the patient requested, I would be on my knees in an instant with or by them, "fond" or not. Thank-God for a Bill of Rights that Supersede the hospital's policy.

I bet they are not "fond" of being on a National News story either. Censoring a Patient's Rights is a slippery slope. "This just in, Nurse terminated for a patient requested prayer." -would be an honor.

I choose to be a patient advocate in this important matter. I'm not trying to be divisive or rude- but if I couldn't meet a reasonable demand such as this, I've got pastors that volunteer, inpatient Chaplains, or Volunteer Layman/Deacons (male/female of each).

Meeting the spiritual needs is the responsibility of the nurse......either directly or indirectly. The following is an excerpt from another article I wrote a couple of years ago, The Nurse's Role in Providing Spiritual Care - Is It OK to Pray?

"In the United States, Joint Commission on Accreditation of Healthcare Organizations (JCAHP) requires that a spiritual assessment be completed on every patient. Because nurses work closely with the sick and dying, they often find themselves called upon to address a patient's spiritual needs. At the same time, they may be concerned about the appropriateness of such activities, as well as have questions on how to proceed. Although not all nurses feel comfortable providing spiritual care in all situations, they should be sensitive to the spiritual needs of their patients."

You might find some of the responses very interesting.

I am quite fortunate in that my hospital is totally in favor of prayer and spiritual support, according to the patient's wishes. And, it is totally within my scope of practice to pray with patients.

Specializes in A myriad of specialties.

I believe that nurses should remember that spiritual needs are very important aspects of the patient's total healthcare. If a nurse is NOT of the same belief system as his/her patient, then get the designated "leader" of that belief system in for consult in order to meet that pt's spiritual need. I am a Christian and will most definitely pray with Christian patients if asked.

Specializes in Adult/Ped Emergency and Trauma.

Very Much Enjoyed the Link, tnbutterfly, and printed it for my Scrapbook. Thanks for taking the time to be such a wonderful host to this thread, I won't forget it- or it's important message.

Specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

I'm glad you liked the other article, Boston. :) Thank you for all of your kind comments in this thread.

I do not spout Bible verses or push my beliefs on others and would pray with a patient if they asked me to. I am not good at praying out loud off the cuff and have found that a general plea to the Almighty for support and help for the patient and the family in the situation consistent with God's plan suffices and covers almost all bases and most religions. I sometimes offer to pray for someone off the clock when they have some generic faith or ask if I believe but are not looking for a prayer. That kind of question can lead down Kubler-Ross Road, a real problem if you work on a busy "unit". I am greatful that in Home Care we have time to spend with individual patients and I remain alert for patients dealing with grief, death & dying issues, use therapeutic communication & make referrals where I can. I might add that I sure appreciated a prayer request from my surgeon prior to my CABG.

I do not feel comfortable praying with a Wiccan or a Satan worshipper unless they wanted to ask for forgiveness from God but I would pray FOR them off the clock and include a fervent hope that they come to their senses. I would not express any judgement of them or their beliefs as that would be too much like an Atheist Nurse telling a patient "get over it." Praying to their "higher-power" seems like participating in devil worship. Can't do it. Maybe I'd call the Hospital Chaplain service instead. They are pros; let them figure it out...

Specializes in General.

Great article. Helping me gainning more insight. Many nurses in my section have been in little conflict when in rush hours any patient or family ask for prayer companion. Not easily saying yes or even no.

Great article about a touchy subject. Thank you for pointing out that a nurse should ONLY bring up religion/prayers if the pt initiates it. I've seen nurses without any provocation just start praying or saying things like "Jesus will save you". Unless the pt directs the conversation down that line, you should keep all that noise bottled up. Many sick people would simply be terrified by a nurse bringing up Jesus and the eternal soul and all that.

On the other hand, I've seen scared, dying pts ask a nurse if they believe in God and the nurserespond "I'm an atheist." How is that supposed to help? A little white lie in this situation isn't going to hurt anyone. What we (nurses) believe isn't really the point. It's about the patient, not us.

I'm a "non believer" and I've had the rare patient who seemed to just be dying to know about my religion. If someone says, "pray for me" or something like that then I just reply with, "I will." Like you said, a white lie never hurt anyone. However, it can get awkward when they flat out want to know your religion.

I am an atheist.

I have not read the 4 pages of comments prior to posting this comment of my own. I have not even read the immediate comments above my comment, to know if i am inserting my comment into some hotbed of discussion, sorry, no idea, just posting after reading the OP remark.

Having worked critical care areas, and hospice, where patients often turn to prayer, i have often been asked to pray with, or for, a patient. If a patient asks me, (an atheist, but not "out" at my WORK place) to pray with them, i will hug them (if we have that level of bond) while they pray. I am silent.

I can hold their hands while they pray. I am silent, but, supportive of their wish to self-comfort in this manner. I myself, always find a polite way to get out of prayer circles around the bed, ("oh, i have to go check on someone." or something)

but, if the patient is all alone, and asking me to pray with him/her, i will hold their hands while they pray, but, i am silent. I often offer to summon a chaplain, too.

Sometimes, when i'd go to say goodbye to my patients, at the end of each shift, one or another might say to me, "Pray for me tonight?" and i almost always reply, often with a hug, "Oh, you WILL be so on my mind tonight. I will burn a candle for you tonight, and will be thinking of you tonight, and hoping so much, that you are comfortable tonight."

stuff like that. In many decades, not one patient has ever seemed to realize, i didn't quite agree to pray for the patient.

(RE: the candle, i love rituals, even though i'm atheist, i do love rituals.

and i do own a special candle holder, which i light whenever someone i know is in trouble. Has nothing to do with gods or magic or spirits, nope. It's just a ritual, and alerts my family that someone is in trouble, keeps that person's needs forefront in our thoughts as we pass by that candle, and sometimes, having the person brought to mind so many times by my candle, i think up practical things i CAN do to help, like go over and walk their dog, or bring over a pot of soup, or shovel their sidewalk, or something therapeutic i can say to them when i see them next, etc)

i really do light the candle, anyway.

Specializes in Med Surg - Renal.
On the other hand, I've seen scared, dying pts ask a nurse if they believe in God and the nurserespond "I'm an atheist." How is that supposed to help? A little white lie in this situation isn't going to hurt anyone. What we (nurses) believe isn't really the point. It's about the patient, not us.

And if the scared, dying patient is an atheist? Which white lie do you tell?

And if the scared, dying patient is an atheist? Which white lie do you tell?

I am an atheist, and reply #2 is how i learned to handle that oft-asked question in critical care areas, "Nurse, do you believe in god?"

https://allnurses.com/nursing-and-spirituality/do-you-have-799254.html

I float, and when you work in non-critical care areas, the "Nurse, do you believe in god?" thing does not come up nearly so often,

as it does when the patient is facing death.

Guess everyone has to find their own way to respond, but, reply#2 there, is how i learned to answer that question.

Turns out, the patient doesn't reeeeally care if YOU believe in god, it's really a springboard for the patient to discuss THEIR belief in god, or, lack thereof, or whatever is on the patient's mind. That moment is not really about YOU, it's about the patient, imo. He just wants to talk out whatever god-thoughts are on HIS mind, and wants someone to listen while he does, and probably wants support, too. I usually end such conversations with an offer to summon the chaplain, too.

Specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

That moment is not really about YOU, it's about the patient, imo. He just wants to talk out whatever god-thoughts are on HIS mind, and wants someone to listen while he does, and probably wants support, too. I usually end such conversations with an offer to summon the chaplain, too.

Exactly!!! It is about the patient and his/her spiritual needs. You do what you can to meet those needs.

In a like manner, when your patient has a physical pain, you do not stand there and talk about your headache. You do what you can to ease his/her pain.