Susceptible to diminished commitment of oneself to faith-based beliefs, principles and activities

• Anxiety
• Cultural barrier to practicing religion
• Depressive symptoms
• Fear of death
• Inadequate social support
• Inadequate sociocultural interaction
• Inadequate transportation
• Ineffective caregiving
• Ineffective use of coping strategies
• Insecurity
• Pain
• Spiritual distress
• Unaddressed environmental constraints

• Depressive disorder
• Impaired health status

• Age, gender
• Religious affiliation, beliefs, practices; importance of religion in daily life
• Environmental assessment of present living circumstances
• Support systems (family, clergy)

• Patient will articulate those religious practices that are of deep personal importance.
• Patient will decide what changes to patient's practices are realistic and acceptable.
• Patient will cope with the limitations imposed by current circumstances.
• Patient will make use of the available spiritual resources.
• Patient will express satisfaction with ability to practice patient's religion.

Suggested NOC Outcomes

• Perform a thorough spiritual assessment to develop a holistic care plan.
• Help patient list the religious practices that carry the most personal meaning and importance to determine what's possible to provide for the patient.
• If patient desires, acquire simple-to-obtain items, such as a Bible, to comfort patient while planning more complex support.
• Help patient explore modifications to patient's activities without compromising spiritual comfort. Decision-making promotes feelings of independence and control.
• Explain available resources to prepare for developing a realistic plan.
• Have patient list options for participation in religious activities to promote optimism or acceptance in present situation.
• Check daily, then weekly, to assess patient's level of satisfaction with the plan.
• Work with family, friends, or clergy to provide appropriate spiritual support.

Suggested NIC Interventions

• Patient expresses satisfaction with the religious activities that are provided.
• Patient participates in practicing those religious activities that are available.
• Patient asks to modify plan as needed.
• Family and clergy visit and support.
• Patient expresses feelings of health and wholeness.

• Thorough spiritual assessment
• Religious practices that are meaningful to patient
• Religious practices that can be provided in the present situation
• Patient's satisfaction with options
• Patient's participation in religious and other kinds of activities
• Evaluations for expected outcomes

• Ames, D., Erickson, Z., Youssef, N. A., Arnold, I., Adamson, C. S., Sones, A. C., … Koenig, H. G. (2019). Moral injury, religiosity, and suicide risk in U.S. veterans and active duty military with PTSD symptoms. Military Medicine, 184(3/4), e271-e278. doi:10.1093/milmed/usy148
• Martin, N., Baralt, L., & Garrido-Ortega, C. (2018). What's religion got to do with it? Exploring college students' sexual and reproductive health knowledge and awareness of sexual and reproductive health services in relation to their gender and religiosity. Journal of Religion & Health, 57(5), 1856-1875. doi:10.1007/s10943-017-0432-y
• Stevens, J. M., Arzoumanian, M. A., Greenbaum, B., Schwab, B. M., & Dalenberg, C. J. (2019). Relationship of abuse by religious authorities to depression, religiosity, and child physical abuse history in a college sample. Psychological Trauma: Theory, Research, Practice & Policy, 11(3), 292-299. doi:10.1037/tra0000421