According to Neuman’s theory, a human being is a total person as a client system and the person is a layered, multidimensional being. Each layer consists of a five-person variable or subsystem: (1) physiological, (2) psychological, (3) sociocultural, (4) developmental, and (5) spiritual. Considering the ‘spiritual’ variable- Do you feel this variable exists at all? Does it have as wide-ranging results as Neuman claims? Is it appropriate for an APRN to participate in or work with the patient’s spiritual dimension?

Neuman’s theory suggests that a human being is a total person, comprising various dimensions or variables. One such variable is the spiritual dimension. However, the existence and impact of the spiritual variable are subjects of debate in the field of healthcare. In this discussion, we will examine the concept of the spiritual variable, its potential effects, and the appropriateness of Advanced Practice Registered Nurses (APRNs) engaging with the patient’s spiritual dimension.

Firstly, it is essential to define what the spiritual variable entails in Neuman’s theory. The spiritual dimension refers to an individual’s beliefs, values, and sense of purpose or meaning in life. It encompasses their relationship with a higher power or spiritual realm, as well as their connection to others and the universe. Neuman argues that this dimension significantly influences a person’s overall well-being and should be considered in the context of healthcare.

The existence of the spiritual variable is a matter of personal belief and subjective experience. While many individuals recognize and embrace their spiritual dimension, others may not place significant importance on it or have different interpretations of spirituality. Therefore, it is crucial to respect the diverse beliefs and perspectives individuals hold regarding spirituality.

Neuman asserts that the spiritual dimension has wide-ranging results on an individual’s health and functioning. It can provide a source of strength, hope, and resilience during times of illness or distress. Moreover, spirituality may contribute to a sense of meaning and purpose in life, which can positively impact overall well-being. However, it is important to note that the effects of spirituality on health outcomes are complex, multifaceted, and context-dependent. Further research is needed to fully understand the mechanisms through which spirituality influences well-being and health outcomes.

The appropriateness of APRNs engaging with a patient’s spiritual dimension is an area of ongoing discussion within healthcare. As healthcare professionals, APRNs provide holistic care that encompasses the physical, psychological, and social aspects of a patient’s well-being. Recognizing the significance of spirituality to some individuals, it may be appropriate for APRNs to address the spiritual dimension. However, it is essential to approach this aspect with sensitivity, respect, and cultural competence.

APRNs should be aware of their own beliefs and biases to ensure that they do not impose their personal values onto patients or neglect the diverse spiritual beliefs held by individuals. It is important for healthcare providers to create a safe and inclusive environment where patients feel comfortable discussing spirituality if they choose to do so. APRNs can play a supportive role by actively listening, showing empathy, and facilitating discussions around spirituality, if appropriate and desired by the patient.

It is worth noting that engaging with the spiritual dimension does not necessarily mean promoting or endorsing specific religious or spiritual practices. Instead, APRNs can focus on exploring the patient’s values, beliefs, and sources of meaning. This approach allows for a patient-centered and holistic perspective that acknowledges the importance of spirituality in their overall well-being.

Overall, the concept of the spiritual variable, as proposed by Neuman’s theory, recognizes the potential influence of spirituality on an individual’s health and well-being. However, the existence and impact of the spiritual dimension are subjective and vary among individuals. For APRNs, it is crucial to approach the spiritual dimension with sensitivity, respect, and cultural competence, while ensuring patient-centered care. By recognizing and addressing the patient’s spiritual beliefs and values, APRNs can contribute to a holistic approach that considers all dimensions of a person’s well-being.