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Journal of Holistic Nursing
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Spirituality, Chronic Illness, and Rural Life

Carol Craig, PhD, FNP-C, RN

Oregon Health & Science University

Clarann Weinert, SC, PhD, RN, FAAN

Montana State University

Joni Walton, PhD, APRN, BC

Carroll College

Barbara Derwinski-robinson, MSN, RN

Montana State University

Purpose:The purpose of this article is to report the findings of an exploration of the associations among spirituality, hope, depression, social support, and well-being in rural dwelling people who have one or more chronic conditions. Method:A mail survey was completed by 111 rural-dwelling people with chronic illness in two rural western states. Findings:Spirituality, hope, depression, and social support had overlapping influence on well-being, although spiritualitywas not shown to have an independent effect. Participants reported unexpectedly high levels of hope and lowlevels of depression despite living with chronic illness. Conclusions:Although spirituality did not have an independent effect, the group as a whole had active spiritual and religious lives, possibly influencing the high levels of hope and low levels of depression found. Implications:The positive picture of rural people with chronic illness needs further investigation for possible mitigating effects of spirituality on problems associated with chronic illness.

Key Words: spirituality • chronic illness • rural dwellers

Journal of Holistic Nursing, Vol. 24, No. 1, 27-35 (2006)
DOI: 10.1177/0898010105282526
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Commentary on "Spirituality, Chronic Illness, and Rural Life"
J Holist Nurs, March 1, 2006; 24(1): 36 - 37.
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