• Julian Raffay.
• Sheffield Health and Social Care NHS Foundation Trust, Sheffield, UK.
• J Nurs Manag. 2014 Oct 1; 22 (7): 940-50.

AimTo explore how our understanding of care practice is shaped by the extent of our engagement with staff and patient experience.BackgroundIn spite of the fact that service users desire good spiritual care and that government guidelines recognize its importance, frontline staff in psychiatric settings often find current spiritual assessment tools hard to use and the concept of spirituality difficult to comprehend.MethodA database search was conducted, the grey literature analysed, spirituality assessment tools were explored, and an approach based on user experience was considered.Key IssuesEach of these four perspectives resulted in different perceptions of care.ConclusionsBy engaging patient and staff experience, we begin to see spiritual care very differently. There may be rich opportunities for research into the lived experience of the support systems that service users create for each other on wards when they experience staff as inaccessible.Implications For Nursing ManagementDeeper engagement with patients and staff and their concerns is likely to result in breakthroughs in both the understanding and the practice of spiritual care as well as potentially other areas of nursing care.© 2013 John Wiley & Sons Ltd.

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