Spiritual Diversity, Spiritual Assessment, and Māori End-of-Life Perspectives: Attaining ka ea,

Holly Nelson-Becker, Tess Moeke-Maxwell

Research output: Contribution to journalArticlepeer-review

Abstract

<p> The contemporary world is endowed with increasingly diverse spiritual and cultural perspectives, yet little is known about the spiritual concerns and spiritual resilience of M&amacr;ori from Aotearoa New Zealand at the end of life. A context is provided for the value of spiritual assessment and identification of spiritual needs or concerns. Spiritual concerns and the desire to attain a state of ka ea (fulfillment, gratitude, or peace) may point to interventions, helping activities, or referrals that guide treatment. We reflect on qualitative findings from the 2017&ndash;2020 Pae Herenga study of 61 caregiving families, their helping professionals, and religious/spiritual leaders. We explore essential spiritual values and practices that support kaum&amacr;tua (older tribal people) who have a life-limiting illness in achieving a sense of satisfaction and fulfilment at the end of life. Three themes emerged: the relational is spiritual, the need to live into the future, and value of spiritual end-of-life care. While some scholars have lamented the lack of culturally appropriate rapid assessment instruments, we suggest that a more open-ended assessment guide is better suited to understand key elements of spiritual diversity and spiritual concerns, particularly the spiritual strengths and resources that lead to well-being and even thriving at life&rsquo;s end. Finally, learning about spiritual diversity can assist others to reconnect to lost meanings and regain a more holistic and centred view of life.</p>
Original languageAmerican English
JournalSocial Work: School of Social Work Faculty Publications and Other Works
Volume11
Issue number10
DOIs
StatePublished - Oct 20 2020

Keywords

  • spirituality
  • religion
  • spiritual assessment
  • Māori
  • spiritual strengths
  • spiritual concerns
  • cultural
  • palliative care
  • end of life

Disciplines

  • Social Work
  • Psychology
  • Ethics and Political Philosophy

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