A phenomenological approach was used to uncover the meaning of spirituality for 11 nonreligious participants with a chronic illness. Spirituality for these participants was revealed through the themes of beliefs, spiritual awakening, and spiritual enhancement. This study supports each person as uniquely spiritual with spiritual needs that could be enhanced.

The focus of this research study was the exploration of the phenomenon of stigmatization of obese persons by nurses. The philosophical tradition of Phenomenology based on Heidegger's view of the person guided the researchers in uncovering the meaning of stigmatization for eight chronically ill individuals with a body mass index greater than 30. Stigmatization by nurses for this group of medically obese women meant being exposed to unintentional harm, presuppositions, and reluctant care. Perceptions of stigma were manifested in shame, marginalization, and anxiety in seeking health care. Nursing care could advance positive outcomes when including non-discriminatory care related to weight in the total care needs identified for obese patients.

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Changes in health care have created a variety of new roles and opportunities for nurses in advanced practice. One of these changes is the increasing number of advanced practice nurses carrying out independent consultation. Differences in goals between business and health care may create ethical dilemmas for nurse consultants. The purpose of this article is to describe possible ethical pitfalls that nurse consultants may encounter and strategies to prevent or solve these dilemmas. Three themes related to nursing codes of ethics will be discussed: the duty to uphold human rights, the duty to fulfill commitments, and the duty to practice the profession competently.

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