Spiritual care is a fundamental aspect of caring and compassionate nursing/midwifery practice. However, nurses/midwives consistently report feeling unprepared to provide spiritual care for various reasons. A key reason appears to be the lack of structured spiritual care education in undergraduate nursing/midwifery curricula. Between 2016 and 2019, the three-year, European EPICC project ('Enhancing nurses' and midwives' competence in Providing spiritual care through Innovative education and 'Compassionate Care') sought to address gaps in nursing/midwifery competence in spiritual care. A key project output, and the focus of this paper, is the EPICC Gold Standard Matrix for Spiritual Care Education ('EPICC Matrix'), which depicts the complex array of factors hindering/facilitating the development of nursing/midwifery spiritual care competency. The EPICC project followed two major studies that identified factors contributing to nursing/midwifery spiritual care competency development. This evidence, along with the mixed methods focus of the EPICC project to enable co-projection of its outputs informed the development of the EPICC Matrix. The EPICC Matrix was considered to represent 'the cultural, social and political environment in which spiritual care competency develops' in student nurses/midwives. The EPICC Matrix illustrates spiritual care educational considerations during the process of selecting suitable nursing/midwifery students; through the specific aspects of the teaching and learning environment, the student as a person, and the clinical environment in which spiritual care competency develops; and finally, how the student is assessed as competent in providing spiritual care. Recent research supports the use of the EPICC Matrix in undergraduate nursing/midwifery curricula and strengthens the case for support of the other EPICC project outputs, including: the EPICC Spiritual Care Education Standard, EPICC Adoption Toolkit, and the continuation of the EPICC Network. Further testing of the EPICC Matrix to determine its relevance in different cultural/professional contexts within and outside of Europe would be welcomed.

Poor health often motivates people to engage in religious and spiritual approaches to healing. However, there is limited research on such experiences from a northern European perspective. This article investigates healing experiences related to Christian faith and practices in Norway by thematic analysis of 25 semi-structured interviews with individuals who have experienced healing of different ailments. In so doing, healing events across diverse contexts are characterised, and the results show that such experiences not only feature practices in which other people are present in prayer, preaching, and the laying on of hands, but also spontaneous extraordinary encounters with a divine being through visions and voices. The healing events are further described as experiences of transformational, powerful touch. In light of the lived body theory, these transformational experiences can be understood as re-inscriptions of health that are manifested in the intertwined bio–psycho–social–spiritual aspects of the body.

This study provides an account of leaving a context of perceived spiritual abuse within some Pentecostal fellowships in Norway. We discuss how our 16 informants discovered the need for change and sought support to navigate challenging departure processes characterized by emotional strain. Three empirical themes emerged: (1) God’s will, as conveyed by leaders, evoked shame, (2) there were various sources of help in leaving a context of perceived spiritual abuse, and (3) the acknowledgment of vulnerability provided space for new images of God. Throughout the leaving process, many informants underwent a profound shift in their perceptions of God, marked by a heightened awareness of their vulnerability. This transformation encompassed a deep-seated desire to embrace their humanity and to accept the relevance of their thoughts and feelings. Acknowledging their own vulnerability allowed them to have more humanized images of God. Our analysis employs Kenneth Pargament’s notion of orienting systems and his theory of religious coping to elucidate how their images of God changed. The process led to a perceived sense of freedom from spiritual abuse. We understand the informants’ experiences of leaving the church and affiliated organizations as instances of deconversion through what empirically emerged as “deprogramming” processes in our material. Deprogramming involves disentangling individuals from what they perceived was conveyed and thus “programmed” by spiritual leaders. Deprogramming processes emerged as a new exploration of images of God, shame, power, and human vulnerability.