The prevalence of mental illness is well documented with 450 million people suffering with a mental illness worldwide. Nurses are integral to the delivery of mental health services and can influence the provision of individually focused, evidence-based, and culturally competent care. Spiritual care has been shown to enhance coping, improve well-being, and increase satisfaction with care for those in mental health recovery. Three manuscripts presented in this dissertation portfolio explored and addressed the concepts spirituality and spiritual care for those in mental health and substance use recovery. The Recovery Practice Model was examined and how spiritual care can be integrated into each component of the model was explained. The second manuscript developed the concept of spiritual care in recovery from a holistic nursing perspective. Both of these manuscripts explored spiritual care in various specialties of nursing and the benefits and barriers of providing spiritual care in mental health professions such as psychology, social work, and chaplaincy. It became clear that scant current research existed identifying if and how psychiatric mental health nurses are providing spiritual care to mental health clients. Based on Watson’s Theory of Caring and the Recovery Practice Model, the third manuscript describes the relationships between the spiritual perspectives, frequency of spiritual care, and knowledge about recovery-oriented practice in psychiatric mental health nurses. In completing this dissertation, the researcher contributed to the knowledge of holistic mental health nursing care and provided a foundation for future research to better understand spiritual care and recovery.

Date of publication

Spring 4-27-2018

Document Type




Persistent identifier


Committee members

Dr. Susan yarbrough, Dr. Elizabeth Johnston Taylor, Dr. Zhaomin He, Dr. Belinda Deal


Doctor of Philosophy in Nursing