Read verses 12-18 for context.
Footnote from NIV Application Bible (v.12-18):
James aligns with the teaching of the OT that false swearing and the giving of oaths is forbidden (e.g. Lev. 9:12).
The true theme of the passage is prayer (v.16). James here deals with the prayer of the individual (v.13), the prayer of the elders (vv. 14-15), the prayers of friends and companions for one another (v.16), and finally the prayer of the righteous prophet Elijah (vv. 17-18)
The first issue raised is that of suffering (v.13a). In such times, James advocates prayer. It allows us to be active and positive and keeps us in communion with God. Then James discusses the case of those who are happy (v.13b). God desires our prayers in both difficult and pleasant times.
The sick person is to be "pray[ed] over" (v.14). It is obvious that the basis for this action is the firm belief that God is the source of healing. James clearly teaches here that sickness can be alleviated through public confession and prayer.
Our world places a great premium on eliminating discomfort. In the face of this potent cultural value, evangelicals need to go against the grain and adopt a biblical understanding of adversity. God uses adversity for spiritual preparation. Prayer in adversity also urges us to renounce the pride that is associated with the world's materialism and self-centeredness. This has been a constant theme in James.
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