Original ArticleI Am Not Alone: Spirituality of Chronically III Rural DwellersWalton, Joni PhD APRN BCa; Craig, Carol PhD FNPa; Derwinski-Robinson, Barbara MSN RNCa; Weinert, Clarann PhD RN SC FAANbAuthor Information aAssistant Professor bProfessor and Director Address correspondence to Joni Walton 715 Getchell Street, Helena, MT 59601, or send e-mail email@example.com. Joni Walton is an assistant professor at Carroll College, Helena, MT. Carol Craig is associate professor, Oregon Health & Science University, Portland, OR. Barbara Derwinski-Robinson is associate professor, Montana State Univeristy-Bozeman. Clarann Weinert is professor and director of the Center for Research on Chronic Health Conditions in Rural Dwellers, Montana State Univeristy-Bozeman. Rehabilitation Nursing Journal: September-October 2004 - Volume 29 - Issue 5 - p 164-168 doi: 10.1002/j.2048-7940.2004.tb00339.x Buy SDC Metrics Abstract Spirituality plays a vital role in adjusting to chronic illness and rehabilitation nurses strive to gain understanding of their patients' spirituality in order to improve patient care and outcomes. The purpose of this qualitative study was to explore the nature of spirituality in chronically ill rural dwellers and how it relates to their illness. As a part of this pilot project, 10 women with chronic illness volunteered to participate in a phone interview to discuss their spirituality. Content analysis was used to analyze the data. The theme Means the World to Me described what spirituality meant to participants. The following themes described how spirituality related to chronic illness: I Am Not Alone, Putting on a Happy Face, Others Are Worse Off, Transcending Despair and Letting Go. Participants were able to use spiritual coping measures to transcend despair. Results from this study provide rehabilitation nurses with insight into the spirituality needs of chronically ill rural-dwelling women. © 2004 Association of Rehabilitation Nurses.