This paper presents a literature review in relation to the meaning of
spirituality. It is proposed that meeting the spiritual needs of patie
nts is a fundamental part of providing holistic nursing care, but that
the assessment and meeting of those needs is impeded by inadequate de
finitions and conceptual frameworks. It should not be assumed that spi
rituality is either synonymous, or coterminous, with religion, and it
is suggested that to adopt this restrictive view is unhelpful in the p
rovision of individualized care. Reflection on the literature reveals
that the self, others and 'God' provide the key elements within a defi
nition of spirituality, and that other emerging themes namely meaning,
hope, relatedness/connectedness, beliefs/belief systems and expressio
ns of spirituality, can be articulated in the context of those three k
ey elements. In particular, it is proposed that the nature of 'God' ma
y take many forms and, essentially, is whatever an individual takes to
be of highest value in his/her life, It is suggested that the themes
emerging from the literature can be utilized as a framework to give pr
actitioners and researchers a direction for future exploration of the
concept of spirituality.