1
|
Fradelos EC, Alikari V, Artemi S, Missouridou E, Mangoulia P, Kyranou M, Saridi M, Toska A, Tsaras K, Tzavella F. A Mixed-Method Study on the Assessment of Factors Influencing Nurses' Provision of Spiritual Care. Healthcare (Basel) 2024; 12:854. [PMID: 38667616 PMCID: PMC11050414 DOI: 10.3390/healthcare12080854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Revised: 04/11/2024] [Accepted: 04/16/2024] [Indexed: 04/28/2024] Open
Abstract
The purpose of this study was to explore factors that influence nurses' beliefs about offering spiritual care. STUDY DESIGN A mixed-method study design, incorporating both quantitative (questionnaire) and qualitative research, was used for this study (focus group discussion). METHODS The questionnaires were completed by a convenience sample of nurses and their assistants working in two public hospitals. These questionnaires included the Greek versions of the FACIT-Sp-12, SCIPS, NEO-FFI, and the Spiritual Climate Scale, as well as a specially designed questionnaire to gather demographic, socioeconomic, and professional information about the study population (SCS). Three nurses and two nursing assistants who worked in public hospitals and were chosen through purposive sampling made up the sample for the qualitative study. In utilizing inductive content analysis methodology, a qualitative analysis was carried out. RESULTS Greek nurses frequently offer spiritual care to their patients, primarily existential spiritual care. It was discovered that the spiritual climate, the nurses' positive coherence, and their educational level all exert a favorable effect on total spiritual care. Three categories and seven subcategories were used to describe the participants' prior experiences with spiritual care. CONCLUSIONS Greek nurses frequently offer spiritual care to their patients, and both internal and external factors influence their attitudes in this regard.
Collapse
Affiliation(s)
- Evangelos C. Fradelos
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Victoria Alikari
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Evdokia Missouridou
- Department of Nursing, University of West Attica, 12244 Egaleo, Greece; (V.A.); (E.M.)
| | | | - Maria Kyranou
- Department of Nursing, Cyprus University of Technology, Limassol 3036, Cyprus;
| | - Maria Saridi
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | - Aikaterini Toska
- Laboratory of Clinical Nursing, Department of Nursing, University of Thessaly, 41500 Larissa, Greece; (M.S.); (A.T.)
| | | | - Foteini Tzavella
- Department of Nursing, University of Peloponnese, 22131 Tripoli, Greece;
| |
Collapse
|
2
|
Cone PH, Lassche‐Scheffer J, Bø B, Kuven BM, McSherry W, Owusu B, Ross L, Schep‐Akkerman A, Ueland V, Giske T. Strengths and challenges with spiritual care: Student feedback from the EPICC Spiritual Care Self-Assessment Tool. Nurs Open 2023; 10:6923-6934. [PMID: 37475149 PMCID: PMC10495739 DOI: 10.1002/nop2.1946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 06/10/2023] [Accepted: 07/07/2023] [Indexed: 07/22/2023] Open
Abstract
AIM To explore qualitative data from students' self-reported competencies in spiritual care gathered during testing of a student self-assessment tool based on the EPICC Spiritual Care Education Standard. DESIGN Reflexive thematic analysis of qualitative data from a multinational study on validating a new self-assessment tool. METHODS The EPICC Spiritual Care Education Standard for competency in spiritual care was developed to enhance nurses' and midwives' ability to provide spiritual care by creating a baccalaureate education standard for spiritual care competencies. Spiritual care researchers then developed a self-assessment tool to raise student awareness of spirituality and track personal and professional growth in spiritual care competency. The EPICC Spiritual Care Competency Self-Assessment Tool, tested at eight universities in five countries, provided many opportunities for student comments, resulting in rich qualitative data presented here. RESULTS Themes related to strengths, weaknesses and areas for improvement. Identified strengths were similar across countries: caring attitudes, general knowledge of caring and compassion and good communication skills. Weaknesses/challenges touched on spirituality as overlooked in some cultures but part of life for others, complex questions were hard to understand, and self-assessment tools are common for some and rare for others. Areas for improvement included need for knowledge of religious and other deeply held beliefs and for greater spiritual assessment skills. Similarities across countries related to basic training in communication and compassionate care for nurses globally. Differences lay in the challenges and/or barriers for spiritual care and may relate to cultures within countries and/or university test sites. RELEVANCE TO CLINICAL PRACTICE The Tool raises awareness of spirituality among students and working nurses, providing an accessible way to self-check personal and professional growth in spiritual care competencies, which increases student and nurse capacity to become more knowledgeable and skilled in facilitating spiritual care, thus be role models for students at the intersection of spirituality and health.
Collapse
Affiliation(s)
- Pamela H. Cone
- School of NursingAzusa Pacific UniversityGreater Los AngelesCaliforniaUSA
- VID Specialized UniversityBergenNorway
| | - Joanne Lassche‐Scheffer
- Nursing Academy of Health CareViaa Christian University of Applied SciencesZwolleThe Netherlands
| | - Bodil Bø
- Faculty of Health SciencesUniversity of StavangerStavangerNorway
| | - Britt Moene Kuven
- Western Norway University of Applied SciencesBergenNorway
- Faculty of Health Studies, VID Specialized UniversityBergenNorway
| | - Wilfred McSherry
- VID Specialized UniversityBergenNorway
- Department of Nursing, School of Health, Science and Wellbeing, Staffordshire University Stoke‐on‐TrentUniversity Hospitals of North Midlands NHS TrustStoke‐on‐Trent/StaffordUK
- Faculty of Health StudiesVID Specialized UniversityOsloNorway
| | - Benson Owusu
- School of Public Health, College of Health SciencesUniversity of GhanaAccraGhana
| | - Linda Ross
- School of Care Sciences, Faculty of Life Sciences & EducationUniversity of South WalesNewportUK
| | | | - Venke Ueland
- Faculty of Health SciencesUniversity of StavangerStavangerNorway
| | - Tove Giske
- Faculty of Health Studies, VID Specialized UniversityBergenNorway
| |
Collapse
|
3
|
Kabakci EN, Çelik N. Adaptation into Turkish and evaluation of the psychometric properties of the Spiritual Care Competence Scale. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2022. [DOI: 10.15452/cejnm.2022.13.0001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
|
4
|
Merati-Fashi F, Khaledi-Paveh B, Mosafer H, Ebadi A. Validity and reliability of the Persian version of the nurse spiritual care therapeutics scale (NSCTS). BMC Palliat Care 2021; 20:56. [PMID: 33845815 PMCID: PMC8041019 DOI: 10.1186/s12904-021-00750-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Accepted: 03/31/2021] [Indexed: 11/18/2022] Open
Abstract
Background Dealing with the spiritual needs of patients has been recognized as one of the principles of holistic care in nursing. Therefore, it is necessary for nurses to deal with the spiritual issues of patients. Also, a valid and reliable scale is needed to measure nurse-provided spiritual care. So the purpose of this study was to determine the validity and reliability of the Persian version of the “Nurse Spiritual Care Therapeutics Scale” in Iranian nurses. Method In a methodological study, English version of the Nurse Spiritual Care Therapeutics Scale was translated into Persian by forward–backward translation procedure. Face validity was assessed by cognitive interview, and content validity was assessed by a panel of experts. In addition, construct validity was assessed by exploratory factor analysis. The participants were 188 nurses working in different adult wards. Reliability was measured using the Cronbach’s alpha and stability reliability was assessed using the internal correlation coefficient (ICC). Results In assessing the construct validity, two factors with eigenvalues greater than 1 were identified, which explained 58.47% of the total variance. Cronbach’s alpha value was 0.932, and ICC was 0.892. Conclusion As a result, the Persian version of the Nurse Spiritual Care Therapeutics Scale shows a good validity and reliability. Therefore, this scale can be used to evaluate spiritual care at the bedside in Iran.
Collapse
Affiliation(s)
- Fatemeh Merati-Fashi
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Behnam Khaledi-Paveh
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.,Department of Psychiatric Nursing, Scholl of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Hadis Mosafer
- Nursing Department, Student Research Committee, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Abbas Ebadi
- Behavioral Sciences Research Center, Life style institute, Baqiyatallah University of Medical Sciences, Tehran, IR, Iran. .,Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR, Iran.
| |
Collapse
|
5
|
Fradelos EC, Papathanasiou IV, Tzavella F. Translation and Validation of the Spiritual Care Intervention-Provision Scale in the Greek Language. SCIENTIFICA 2020; 2020:8568043. [PMID: 33083094 PMCID: PMC7563059 DOI: 10.1155/2020/8568043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 09/02/2020] [Accepted: 09/18/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION Spiritual care is defined as activities and interventions that promote spiritual health and the spiritual dimension of quality of life. Empirical data indicate the importance that spiritual care provision has on nursing practice. The spiritual care intervention-provision (SCIP) scale was developed to assess the frequency of spiritual care intervention implemented by nurses. Currently, there are no validated scales for assessing spiritual care in the Greek language. OBJECTIVE To adapt and validate the spiritual care intervention-provision scale in the Greek language. METHODS A descriptive cross-sectional study was employed, in which 275 nurses working in two public hospitals participated. The SCIP scale underwent the process of cross-cultural adaptation and was evaluated by assessing its reliability and validity. RESULTS The process resulted in a valid Greek version of the SCIPS, the internal consistency (Cronbach's α 0.887), reliability testing-retesting (r = 0.997, p < 0.001, and t = 0.387, p > 0.05), construct, and convergent validities were evaluated. CONCLUSION The Greek version of the spiritual care intervention-provision scale is a validated scale that can be used to examine spiritual care provision in Greek health services.
Collapse
Affiliation(s)
- Evangelos C. Fradelos
- Nursing Department, University of Peloponnese, Tripoli, Greece
- Nursing Department, University of Thessaly, Larissa, Greece
| | | | | |
Collapse
|
6
|
Ghorbani M, Mohammadi E, Aghabozorgi R, Ramezani M. Spiritual care interventions in nursing: an integrative literature review. Support Care Cancer 2020; 29:1165-1181. [PMID: 32929533 DOI: 10.1007/s00520-020-05747-9] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 09/04/2020] [Indexed: 11/27/2022]
Abstract
As an important part of the holistic care, spiritual care is considered an indicator of care quality. This study aims to identify and characterize nursing spiritual care interventions. In order to identify and select resources, an integrative review was done. The search was conducted in national and international databases such as Google Scholar, Scopus, INML, Iran Medex, Iran Doc, Web of Science, Wiley, SID, ProQuest, Ovid, Science Direct, PubMed, ebrary, Sage, CINAHL, and Magiran from 1994 to 2018. As a result, 1625 articles were detected, 59 of which were included in synthesis. Data extraction and analysis presented eight categories of spiritual care interventions in the field of nursing including (1) the exploration of spiritual perspective, (2) healing presence, (3) the therapeutic use of self, (4) intuitive sense, (5) patient-centeredness, (6) meaning-centered therapeutic interventions, (7) the creation of a spiritually nurturing environment, and (8) the documentation and evaluation of spiritual care.
Collapse
Affiliation(s)
- Mojtaba Ghorbani
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Eesa Mohammadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
| | - Reza Aghabozorgi
- Khansari Hospital and Department of Internal Medicine, School of Medicine, Arak University of Medical Sciences, Arak, Iran
| | - Monir Ramezani
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| |
Collapse
|
7
|
Workplace Spiritual Climate and Its Influence on Nurses’ Provision of Spiritual Care in Multicultural Hospitals. RELIGIONS 2019. [DOI: 10.3390/rel10020118] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background: Spiritual care is a growing field of interest in the healthcare industry in Saudi Arabia, one that is largely defined by the religious and cultural context of the country that has a rich and strong backdrop. Workplace spiritual climate may have a significant impact on nurses’ ability and willingness to provide spiritual care. This study aims to examine the influence of workplace spiritual climate on nurses’ provision of spiritual care. Methods: A convenience sample of 918 nurses employed in seven public hospitals in Saudi Arabia was surveyed in this cross-sectional study using the Spiritual Climate Scale (SCS) and the Spiritual Care Intervention-Provision Scale (SCIPS). Results: The overall mean in the SCS was 64.58 (SD = 24.60), whereas the overall mean in the SCIPS was 56.83 (SD = 9.46). Nurses with Saudi nationality, with Islamic faith, with administrative functions, and with higher years of experience as a nurse reported better perceptions of workplace spirituality. Hospital, position, years of experience in the present hospital, and the hospital’s spiritual climate were identified as significant predictors of the nurses’ spiritual care interventions provision. Conclusions: The results of the study support the importance of having good workplace spiritual climate as it impacts the nurses’ provision of spiritual care interventions.
Collapse
|
8
|
Abstract
This study explored the frequency of providing aspects of spiritual care intervention and its association with nurses’ own spiritual well-being in a convenience sample of 355 Jordanian Arab Muslim nurses. The nurses were recruited from different hospitals, representing both public and private health care sectors in northern and central Jordan. A cross-sectional descriptive and correlational design was used. Results indicated that Jordanian Muslim nurses provided religious aspects of spiritual care intervention to their Muslim patients infrequently and that their own spiritual well-being was positively associated with the frequency of provision of spiritual care interventions. The study concluded that Jordanian Muslim nurses most frequently provided spiritual care interventions that were existential, not overtly religious, were commonly used, were more traditional, and did not require direct nurse involvement. Moreover, the findings revealed that spiritual well-being was important to those nurses, which has implications for improving the provision of spiritual care intervention. The study provides information that enables nurses, nursing managers, and nursing educators to evaluate the nurses’ provision of various aspects of spiritual care to their Muslim patients, and to identify aspects of spiritual care intervention where nurses might receive training to become competent in providing this care.
Collapse
|