Losing my religion

Ah, the lively religious debate. As nurses, we all take care of a multitude of patients, all with specific, and sometimes not so specific, emotional/spiritual needs. And unless one works within a religious entity, here's my take on why a nurse's own religion needs to stay in the nurse's personal life. Nurses Spirituality Article

Ah, the lively religious debate. As nurses, we all take care of a multitude of patients, all with specific, and sometimes not so specific, emotional/spiritual needs. And unless one works within a religious entity, here's my take on why a nurse's own religion needs to stay in the nurse's personal life.

1. Patients do not come to a facility seeking religious conversion. So a nurse should never take advantage of the fact that patients can be fragile, they may be in the bargaining portion of their grief process, and they do not give medals for saved souls.

2. Patients in general have their own set of religious values, beliefs, circumstances therefore, do not come into a facility to be converted into a nurse's own. If you are somehow "appalled" at someone's religious traditions, know your resources, and how to contact them to assist the patient.

3. If faced with a patient that is life or death, they have stressors that the nurse can empathize with, but we really have not a clue the unique circumstance that a patient is feeling. Act ethically as a nurse, not the time to push religious agendas.

4. We are required to meet the spiritual needs of a patient. Not ourselves.

5. Patient have the right to change their mind. When faced with a life and death there are and will be patients who decide to drop their religious restrictions. It is their right to do so. Please do not try and then convince them otherwise.

6. There are multitudes of people in the facility, the community, who know a heck of a lot more about one's particular religion than perhaps the nurse does. Use them.

7. It is interesting to know and understand someone else's religious beliefs. So take note for future reference. There are multitudes of religious and variations thereof in the world, so it can only help next time if a nurse has a general idea.

8. It is a huge grey area to participate in a religious act while someone's nurse. A nurse can pray for someone privately at home if you are so inclined.

9. There are certifications for nurses to become religiously affiliated should that be your forte.

10. Be respectful, but set limits to your participation, to your thought process in religion, and always have a plan "b".

If you are not comfortable with providing certain care due to your own belief system, then what? Always have a plan of action if this is the case. Remember, you may have a patient who is not religious at all. That requires just as much respect and support as the devoutly religious.

Compassion and empathy are not exclusive to any particular religion dogma, or no religion, nor will a nurse particularly "go to Hell" if they are providing ethical care to a patient. Patients have choices, and if a prudent nurse is acting in the best interest of what a patient wants for treatment at any particular point in time, all the better for it.

I didn't say your care was substandard. I have never had someone refuse to treat a pt based on religious beliefs. Some religious beliefs confuse me like: Jehovah witnesses can't take blood transfusions but organs are ok. But I have never refused to take care of them. If someone does then they should be fired and replaced.

Same thing for prisoners. I don't know what they did nor do I want to know what they did.

Politics is the same thing. I had a pt press me about Obama and didn't like that I didn't believe he was the greatest person who ever lived.

There are nurses who decline to start a blood transfusion. There are nurses who refuse to be involved in any reproductive care. Those are two off the top of my head that are the most usual.

I leave the spiritual tending to the chaplains (if requested) or the patient's family, friends, and spiritual leaders.

I focus on the things for which I am qualified and spiritual guidance isn't one of them (my personal beliefs notwithstanding).

Specializes in NICU, Infection Control.

Again, this is my opinion: the bottom line---it is NOT ABOUT YOU or your beliefs, it IS about the patient.

I am a nurse who observes appropriate professional boundaries and cultural sensitivity in my practice. If a catholic, hindu, muslim or whatever asks me to pray with them I will try to do so to the best of my ability. It is my job to validate the patient.

If I am in the hospital and my nurse attempts to talk to me about Jesus, I will ask to speak to her supervisor and demand a nurse who is capable of behaving professionally. My country (The USA) is a pluralistic society. I will not allow your Jesus into my Jewish hospital room. You may think you are doing me a favor by spreading your "Good news." I don't appreciate it and I will not tolerate it.

Do I share my beliefs with patients who want to talk about spiritual matters? You bet I do. Do I pray with patients who want to pray? Yes. Do I pray my patients will come to see the truth about Jesus? Yes I do because I believe it is true. When I see posts like this I feel people are trying to bully those who take their spiritual beliefs seriously into staying silent. I can either listen to you or Jesus who said go and tell the good news to everyone.

To the OP - Thanks for writing a great article on this topic. I am a Christian myself but we get all types in the hospital where I work. You have to respect their beliefs and spirituality, or even non-spirituality. Plus I never consider it my job to "convert" people anywhere - even away from the hospital. Let your own words and actions speak for themselves I alway say. Don't ever try to push anything on to patients. If they do indicate that they may have some spiritual need, that's what the hospital chaplains are for. I may at some later date try to get some sort of official certification along those lines, but until then, easy does it....

This whole post stinks of an argument against religion. Baiting people to argue with the OP. There was no article to read, just a personal opinion piece. Trolling is another word that comes to mind. Should you preach to your PTs? No I do not believe so. Can you pray for your PTs? Yes. Do you have to pray for them at home? No. Not all prayers are spoken out loud. I pray for PTs everyday. Pray that they make it through surgery and that I do no harm. Surgeons I work with ask their PTs if they can pray with them before surgery and all of them have said yes when I have worked with him.

The only thing this post "stinks" of is a call to professionalism. Perhaps you and your surgeon work in an area where people are flexible enough to not report you for asking to pray with them, but many people do not. Hell, I live in the extremely conservative religious deep South, and were I going in for surgery and the surgeon asked if he could pray with me, I'd be annoyed and decline.

You seem to believe that either truth is relative (if you believe something it will be real) or that all religion is false so it does not matter what one believes. I believe there is a spiritual truth that governs this world for everyone whether they believe it or not and I want everyone to find that truth. I believe that truth is found in Christianity. Do I walk into every patient's room and tell them my spiritual beliefs?, no. Do I share my beliefs with patients who want to talk about spiritual matters? You bet I do. Do I pray with patients who want to pray? Yes. Do I pray my patients will come to see the truth about Jesus? Yes I do because I believe it is true. When I see posts like this I feel people are trying to bully those who take their spiritual beliefs seriously into staying silent. I can either listen to you or Jesus who said go and tell the good news to everyone.

Believing that truth is relative isn't at all the same thing as believing that if I believe something, that makes it real. There are certain things that are absolute facts. Science encompasses many of those things. Nursing is both an art and a science. There is room for spirituality in nursing care just as there is room for absolute scientific facts. However, people who get preachy cross the line. You wouldn't force medicine on a patient who was not interested, so why on earth would you think it's okay to shove your religion down someone's throat when they have not consented to that?

Point blank, I do not want nor do I need your patronizing prayers that I will come to see "the truth" about Jesus. It'd be just as messed up as if I sat at work sending out positive mental vibes in hopes that religious people would see how unfounded and destructive religious beliefs tend to be. There's nothing wrong with asking a patient if s/he has any spiritual needs that you can help attend to. There IS something wrong with pushing a specific belief on the patient without any consent, and that's all this article is trying to convey. If you feel bullied by putting your patient's rights and comfort first, you probably didn't pick the right profession.

The only thing this post "stinks" of is a call to professionalism. Perhaps you and your surgeon work in an area where people are flexible enough to not report you for asking to pray with them but many people do not. Hell, I live in the extremely conservative religious deep South, and were I going in for surgery and the surgeon asked if he could pray with me, I'd be annoyed and decline. Believing that truth is relative isn't at all the same thing as believing that if I believe something, that makes it real. There are certain things that are absolute facts. Science encompasses many of those things. Nursing is both an art and a science. There is room for spirituality in nursing care just as there is room for absolute scientific facts. However, people who get preachy cross the line. You wouldn't force medicine on a patient who was not interested, so why on earth would you think it's okay to shove your religion down someone's throat when they have not consented to that? Point blank, I do not want nor do I need your patronizing prayers that I will come to see "the truth" about Jesus. It'd be just as messed up as if I sat at work sending out positive mental vibes in hopes that religious people would see how unfounded and destructive religious beliefs tend to be. There's nothing wrong with asking a patient if s/he has any spiritual needs that you can help attend to. There IS something wrong with pushing a specific belief on the patient without any consent, and that's all this article is trying to convey. If you feel bullied by putting your patient's rights and comfort first, you probably didn't pick the right profession.[/quote']

You said it way better than I could have. It's 2013, you should never assume anything about a patient, especially something as divisive as religion. It's incredibly unprofessional to being your personal beliefs into anything. If you wish to pray for your patient, do so, but the line is absolutely crossed when you feel the need to tell them you'll be praying for them. What purpose does it serve that a simple secular wish would not? Ego? I would be very offended if a nurse said something like that to me.

Specializes in critcal care, CRNA.

The only thing this post "stinks" of is a call to professionalism. Perhaps you and your surgeon work in an area where people are flexible enough to not report you for asking to pray with them, but many people do not. Hell, I live in the extremely conservative religious deep South, and were I going in for surgery and the surgeon asked if he could pray with me, I'd be annoyed and decline.

Believing that truth is relative isn't at all the same thing as believing that if I believe something, that makes it real. There are certain things that are absolute facts. Science encompasses many of those things. Nursing is both an art and a science. There is room for spirituality in nursing care just as there is room for absolute scientific facts. However, people who get preachy cross the line. You wouldn't force medicine on a patient who was not interested, so why on earth would you think it's okay to shove your religion down someone's throat when they have not consented to that?

Point blank, I do not want nor do I need your patronizing prayers that I will come to see "the truth" about Jesus. It'd be just as messed up as if I sat at work sending out positive mental vibes in hopes that religious people would see how unfounded and destructive religious beliefs tend to be. There's nothing wrong with asking a patient if s/he has any spiritual needs that you can help attend to. There IS something wrong with pushing a specific belief on the patient without any consent, and that's all this article is trying to convey. If you feel bullied by putting your patient's rights and comfort first, you probably didn't pick the right profession.

Funny thing is that I live in the south as well and I do not seem be in the same Deep South as you are. It seems more acceptable here to pray and if someone told the surgeon they would rather not then he wouldn't. Not all prayers are said out loud. I can pray all day long for you and you not know. Don't assume someone who prays for their pt is forcing them to hear something they don't want to.

I went to a football game in Alabama over the weekend (probably not the Deep South either) and they prayed before the game for the safety o the players. How dare they pray for the safety o the players. Someone should march on them. Sadly they probably won't be able to do this in the next couple of years. The prayer was student led because religious leaders are not allowed to perform this act anymore.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I've been kind of worried about this lately. Some of the NCLEX questions I've been studying have to do with a nursing diagnosis of something to the effect of "impaired religiosity". My problem is that as an atheist I wouldn't diagnose someone as having their religiosity "impaired" when they are questioning it. I would consider that normal and not something that requires my intervention. If it is something that requires my intervention, what intervention would that be? Is this something that is a good NCLEX question, but not really something that you deal with commonly? I have no problem listening to patients work through their issues, I just feel like I would have very little input on the subject. Is saying nothing the wrong thing to do?

Again this is not about you...it's about the patient. If their questioning of their faith is hindering their progress or placing them in distress...then it is a problem....for them....about them. No one said in nursing interventions that you counsel them on their religion but you can contact their clergy. No one said that you have to share your personal opinions about religion in order to comfort a patient. Passive listening is just as effective and as corny as it sounds...how does that make you feel? is a perfectly reasonable answer to give. Calling social cervices to talk with the patient is an intervention.

The nursing board could care less if you are atheist....they care about what will you do for this patient. If you believe being SOB in heart failure is a bunch of make believe...does that mean you shouldn't treat the SOB?

It is NOT about whether or not YOU feel their religiosity is impaired it's whether THEY perceive THEIR religiosity is impaired. It has NOTHING, what so ever, to do with what you feel is normal it's what THEY feel is normal.

I have allowed patients to practice their religion, or the lack thereof, as they see fit. I have witnessed everything from voodoo rituals to pagan ceremonies and everything in between. Who are we as temporary care givers to interfere in a patients belief system or lack thereof?

I grow tired of everyone postulating their own beliefs when it is about the PATIENT.

I have been a nurse for over 35 years and I have allowed many personal beliefs comfort my patient and I have sat and listened to many patients question their faith or lack there of...my job is to listen and comfort and when asked what I think.... I make it clear....it's not about me....it's about you and when asked to bow my head in prayer, supply water for a ritual I bow my head or give the water....or candles for which I reply they need to be flameless candles...fire code you know?.

Of course our personal beliefs influence who were are as nurses...however it is not our place to postulate with our patients

Specializes in Gerontology RN-BC and FNP MSN student.

I dont think any religion was lost here.......just sayin.

Specializes in Gerontology RN-BC and FNP MSN student.
Specializes in Critical Care.
The OPs post does not sound anything like the "Old Soviet Union." If it does, please indicate how so, and be prepared to defend your claims.

You said, "There is no wrong in sharing what you believe and why."

There is a massive amount of wrong in your statement! If I have a dying patient whose family is praying it would be incredibly wrong for me as a secular humanist/atheist to "share what I believe and why" with that family. Can you even imagine how much trouble an atheist would be in for doing something so cataclysmically stupid?

Same goes for if a Christian does the same thing. It isn't oppressive and it isn't unfair to expect the same consideration from Christians as you would from an atheist.

It does sound like an old Soviet Union in the way that every mention of religion was prohibited in the public square. And those who did talk about it were jailed and tortured. Wikipedia is not a very reliable sourse but it seems to describe it well :

Persecution of Christians in the Soviet Union - Wikipedia, the free encyclopedia

I do agree with your statement: "If I have a dying patient whose family is praying it would be incredibly wrong for me as a secular humanist/atheist to "share what I believe and why" with that family".

I don't know about you, but I would use common sense in situations like that, and if I know that a dying patient does not want to hear anything about God or my beliefs I will not go there. In my 10 plus year of working in the medical field I have yet to see one patient or family member who were offended.

To me Christianity is a worldview and a lifestyle, I'm first a Christian before I'm anything else. Like I said before If a patient or a family member is interested in where I'm from, what I believe in and why then I will share with them.