000			01801nam a22002177a 4500
005			20231026111752.0
008			231026b ph ||||| |||| 00| 0 eng d
022			_a0279-3695c
040			_cOCT
100			_aStrange, Karina
240			_aJournal of Psychological Nursing and mental health services / _hMay 2023
245			_aInfluence of spiritual engagement on appalachian older adults' health: _bA systematic review / _cKarina Strange, Meredith Troutman-Jordan, and Sandra J. Mixer
260			_aThorofare, NJ _bSlack Inc. _c2023
300			_avol. 61(5): pages 45-52
500			_aAbstract: Appalachia leads the country in mortality related to chronic comorbidities, such as heart disease, cancer, depression, and suicide. Appalachian older adults experience disproportionate risk for poor health outcomes. Spirituality is integral to appalachian culture, and many older adults use spiritual engagement (SE) to cope with health challenges. Despite these connections, there is limited evidence about SE and well-being in this population. Therefore, the current systematic review addresses the literature gap of how SE influences health of appalachian older adults. Using thematic synthesis, we analyzed 11 qualitative and three mixed methods studies. Major findings indicate that SE positively impacts holistic health through adaptive coping, guided partnership with God, decreased loneliness, and enhanced sense of purpose. Future studies could examine SE practices among diverse populations, SE virtual experiences, and SE nursing assessments. Understanding how SE influences health of appalachian older adults for this vulnerable population.
653			_aAppalachian
653			_aSpiritual engagement
700			_aJordan, Meredith
700			_aMixer, Sandra
942			_2ddc _cCR _n0
999			_c9296 _d9296