title: Death the great leveller? Towards a transcultural spirituality of dying and bereavement.
abstract: OBJECTIVE
  This paper aims to provide a critical engagement with the subject of transcultural spirituality and nursing practice in the context of dying and bereavement.
  
  
  BACKGROUND
  There has been considerable interest in the subject of spirituality over the past decade, and a particular association between the study of death and the study of spirituality. The nursing literature has been at the forefront of these developments amongst health and social care professionals. Some of this literature has begun to address the issues raised for culturally competent practice and the significance of patients' belief systems in the diverse cultural contexts with which nurses must engage in contemporary health care. However, the author argues that understanding of the range of contemporary spiritualities and transcultural practice is at an early stage.
  
  
  METHODS
  Transcultural spirituality is explored through a critical review of the literature, including the author's own published research on spiritual and philosophical issues in death, dying and bereavement.
  
  
  CONCLUSIONS
  The conclusion is drawn that some common themes and approaches can be found which offer a framework to guide nursing practice with the individual patient and family.
  
  
  CONCLUSIONS
  In the absence of guidance, nurses struggle with implementing spiritual care in the fluid and complex context of contemporary spiritualities and frequently resort to broad categorizations. This paper opens up a way of connecting with the unique spiritual position of each patient.
authors.affiliation: Department of Social Work, University of Hull, Hull, UK. m.l.holloway@hull.ac.uk
authors.forename: Margaret
authors.initials: M
authors.lastname: Holloway
mesh_terms: D001293:Attitude to Death; D001601:Bereavement; D002562:Ceremonial Behavior; D018864:Cultural Diversity; D005086:Existentialism; D005655:Funeral Rites / Q000523:psychology; D006694:Holistic Health; D018939:Holistic Nursing; D006801:Humans; D016294:Models, Nursing; D008960:Models, Psychological; D009013:Morale; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D010687:Philosophy, Nursing; D012069:Religion and Psychology; D029181:Spirituality; D013727:Terminal Care / Q000458:organization & administration / Q000523:psychology; D016746:Transcultural Nursing / Q000458:organization & administration