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The need to take the spiritual experience during illness into account is part of a broader trend in Western societies—a fascination with the practical uses of spirituality and its contribution to individual wellbeing, whether through a religious or a humanist tradition. This understanding of spirituality differs from traditional views embedded in religious traditions. This book takes a critical point of view at the biomedical representation of the function of spirituality in care. Medicine reorders notions such as life, death, health, sickness, and spirituality. This process is called here “sapientialization”, i.e. the spiritual experience is expressed and understood under the auspices of and in terms of wisdom. This view tends to identify spirituality and ethics. I propose an alternate understanding of spirituality, grounded on its subversive power. Inspired by the work of the theologian John D. Caputo, it is critical of some problems that are associated with the sapientialization of spirituality in biomedicine, such as the medicalization of spiritual experiences or the instrumentalization of spirituality. It provides an understanding of spirituality that honours both the medical interest in it and its capacity to resist to instrumentalization.

Spiritual care (Medical care) --- Critical Studies. --- Spiritual Care. --- Spirituality in Healthcare.

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Introduction : 
Suite à un changement de paradigme, conduisant à une prise en soin holistique (corps, esprit, âme) du patient, et malgré une littérature croissante, la spiritualité, trop souvent réduite à la religion, reste un sujet tabou dans les milieux de soins. L’hospitalisation dans les unités de soins intensifs (USI), lieux stressants, extrêmement médicalisés et techniques, peut induire des besoins spirituels, rarement mesurés, chez les patients. Les infirmiers, quant à eux, ne perçoivent pas avoir de compétences en spiritual care. Le but de l’étude est de démontrer une correspondance entre les besoins spirituels des patients et les compétences des infirmiers en spiritual care dans les USI.
Matériel et méthode : 
L’étude sera multicentrique, prospective non interventionnelle, basée sur un échantillonnage de commodité. Les populations étudiées sont d’une part, les patients, hospitalisés aux USI, non sédatés et non confus, dont les besoins spirituels seront déterminés par le « Spiritual Needs Questionnaire » (SpNQ), et d’autre part, les infirmiers des USI qui répondront au « Spiritual Care Competence Questionnaire » (SCCQ). Une analyse multivariée réalisée sur chacune des populations, prises séparément, pourra démontrer une correspondance à l’échelle du groupe, entre besoins spirituels des patients et compétences en spiritual care des infirmiers. Des corrélations pourraient être mises en évidence par une analyse canonique régularisée sur les populations liées lors de la collecte des données.
Analyse critique, intérêts scientifiques et perspectives :
Le « Synergy Model », par l’inclusion du spirituel, considère le patient dans son entièreté et guide l’infirmier dans la pratique du spiritual care dans les milieux critiques. Lorsque les besoins spirituels des patients et les compétences en spiritual care des infirmiers correspondent, les résultats de santé pourraient être optimaux. Cependant, l’étude soulève des biais qui peuvent être un frein aux analyses statistiques et interprétations des résultats. Le spiritual care nécessite des formations, élément crucial, pour le développement des compétences des infirmiers. Cette approche méthodologique est une préparation à l’étude multicentrique d’une correspondance entre les compétences des infirmiers et les besoins spirituels des patients hospitalisés aux USI. Les perspectives sont, entre autres, une extension aux autres professionnels de santé et aux proches des patients ; l’influence de la temporalité sur le spiritual care et l’approfondissement de l’étude par une démarche qualitative.

Spiritual Care --- Synergy Model --- Spiritual needs --- Competencies --- nurse --- besoins spirituels --- compétences --- infirmier --- Sciences de la santé humaine > Santé publique, services médicaux & soins de santé

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This open access volume is the first academic book on the controversial issue of including spiritual care in integrated electronic medical records (EMR). Based on an international study group comprising researchers from Europe (The Netherlands, Belgium and Switzerland), the United States, Canada, and Australia, this edited collection provides an overview of different charting practices and experiences in various countries and healthcare contexts. Encompassing case studies and analyses of theological, ethical, legal, healthcare policy, and practical issues, the volume is a groundbreaking reference for future discussion, research, and strategic planning for inter- or multi-faith healthcare chaplains and other spiritual care providers involved in the new field of documenting spiritual care in EMR. Topics explored among the chapters include: Spiritual Care Charting/Documenting/Recording/Assessment Charting Spiritual Care: Psychiatric and Psychotherapeutic Aspects Palliative Chaplain Spiritual Assessment Progress Notes Charting Spiritual Care: Ethical Perspectives Charting Spiritual Care in Digital Health: Analyses and Perspectives Charting Spiritual Care: The Emerging Role of Chaplaincy Records in Global Health Care is an essential resource for researchers in interprofessional spiritual care and healthcare chaplaincy, healthcare chaplains and other spiritual caregivers (nurses, physicians, psychologists, etc.), practical theologians and health ethicists, and church and denominational representatives.

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