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There are four dimensions of hauora: taha tinana (physical well-being – health), taha hinengaro (mental and emotional well-being – self-confidence), taha whanau (social well-being – self-esteem) and taha wairua (spiritual well-being – personal beliefs).
The Introduction states the book is responding to "a growing body of literature.... indicat[ing] that various dimensions of religiousness and spirituality may enhance subjective states of well-being... lower levels of depression and psychological distress... and reduce morbidity and mortality.... elicit[ing] considerable attention from medical ...
However, in 1983, twenty-two WHO member countries from the Eastern Mediterranean Region proposed a draft resolution to this preamble to include reference to spiritual health, such that it would redefine health as a state of "physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity". [63]
Spiritual wellbeing has been associated with positive physical health outcomes in research. [1] [2] [5] Spirituality reduces the likelihood of illness and is strongly related to increased longevity. [5] For example, it lowers the rate of heart disease, cirrhosis, emphysema, stroke, kidney failure, cancer mortality, overall mortality. [1]
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The nursing diagnosis readiness for enhanced spiritual well-being is defined as an "ability to experience and integrate meaning and purpose in life through a person's connectedness with self, others, art, music, literature, nature, or a power greater than oneself." (Anonymous, 2002, p.
The meaning of spirituality has developed and expanded over time, and various meanings can be found alongside each other. [1] [2] [3] [note 1] Traditionally, spirituality is referred to a religious process of re-formation which "aims to recover the original shape of man", [note 2] oriented at "the image of God" [4] [5] as exemplified by the founders and sacred texts of the religions of the world.
However, complete mental health is a combination of high emotional well-being, high psychological well-being, and high social well-being, along with low mental illness. [ 128 ] Although health is part of well-being, some people are able to maintain satisfactory wellbeing despite the presence of psychological symptoms.