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Guo W, Liu X, Zhang Y, Chen R, Qi W, Deng J, Cui J. Competence and perceptions of spiritual care among clinical nurses: A multicentre cross-sectional study. J Clin Nurs 2024; 33:1432-1443. [PMID: 37994280 DOI: 10.1111/jocn.16932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Revised: 10/16/2023] [Accepted: 11/01/2023] [Indexed: 11/24/2023]
Abstract
AIMS To identify latent profiles of competence and perceptions of spiritual care among clinical nurses and explore the possible influencing factors. BACKGROUND Understanding nurses' level of spiritual care competence and their perceptions and acceptance of such care is important, which could help devise nurse training programmes to address such competence in clinical nurses. However, research addressing interindividual variability in competence and perceptions among Chinese nurses is lacking. DESIGN Multicentre cross-sectional study. METHODS Nurses working in departments with critically ill patients from 12 community, 5 secondary and 10 tertiary hospitals in Shanghai completed a demographic information questionnaire and the Chinese versions of the Spiritual Care Competence Scale, Spiritual Care-Giving Scale and Spiritual Perspectives Scale. The data were analysed using IBM SPSS v26.0 and Mplus version 8.3. Latent profile analysis identified subgroups with different levels of spiritual care competence. RESULTS In total, 1277 Chinese nurses were recruited. Four profiles of competence and perceptions of spiritual care were revealed: Low ability (23.8%), High ability (6.4%), High acceptance (34.9%) and Moderate (34.9%). The level of job position, spiritual care-related education, hospital grade and nurses' perceptions and perspectives of spiritual care predicted the probability of profile memberships in their competence. CONCLUSIONS There was heterogeneity in the characteristics of spiritual care competence. Nursing managers can implement individualised interventions, including relevant training, according to the influencing factors of different competence profiles to improve the level of such competence among nurses. RELEVANCE TO CLINICAL PRACTICE The results provide a new and expanded view of improving nurses' spiritual care competence. Interprofessional collaboration with clinicians, administrators, educators and spiritual leaders can contribute to the development of related education and training. REPORTING METHOD EQUATOR guidelines, STROBE checklist: cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION All participants were clinical nurses. Participants were informed they could withdraw from the study at any time.
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Affiliation(s)
- Wei Guo
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Xue Liu
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Yi Zhang
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Runan Chen
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Wenqian Qi
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Jiajia Deng
- Department of Nursing, Naval Medical University, Shanghai, China
| | - Jing Cui
- Department of Nursing, Naval Medical University, Shanghai, China
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Özcan T, Çilingir D, Candas Altinbas B. The Knowledge, Practices, and Perceptions of Surgical Nurses Concerning Spirituality and Spiritual Care. J Perianesth Nurs 2023; 38:732-737. [PMID: 37191598 DOI: 10.1016/j.jopan.2022.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 11/29/2022] [Accepted: 12/12/2022] [Indexed: 05/17/2023]
Abstract
PURPOSE The purpose of this descriptive study was to describe the knowledge, practices and perceptions of nurses concerning spirituality and spiritual care. DESIGN A descriptive study. METHODS The study was performed with 142 surgical nurses working in three public hospitals in a city in Turkey. A "Personal Information Form" and the "Spirituality and Spiritual Care Grading Scale" were used for data collection. The data were analysed on SPSS 25.0 software. FINDINGS While 77.5% of the nurses reported having heard about the concepts of spirituality and spiritual care, 17.6% reported having received instruction concerning spirituality and spiritual care during their initial nursing education and 19.0% after graduation. In addition, 78.2% provided spiritual care in the clinics where they worked, 40.5% reported that patients were given religious support and 37.8% stated that patients were given the opportunity to be involved in their own care. The nurses' total mean spirituality and spiritual care grading scale score was 57.6±5.6. A statistically significant difference was determined in mean scale scores between nurses who had and had not heard about the concepts of spirituality and spiritual care (P=0.049) and between those who practiced and did not practice spiritual care in the clinics where they worked (P=0.018). CONCLUSIONS The majority of surgical nurses had heard about the concepts of spirituality and spiritual care but had not been exposed to them during their initial nursing education. However, the majority practiced spiritual care in their clinics, and their perception levels were above average.
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Affiliation(s)
- Tugba Özcan
- Faculty of Health Sciences, Department of Surgical Disease Nursing, Karadeniz Technical University, Trabzon, Turkey; Institute of Health Sciences, Department of Surgical Disease Nursing Master Programme, Karadeniz Technical University, Trabzon, Turkey.
| | - Dilek Çilingir
- Faculty of Health Sciences, Department of Surgical Disease Nursing, Karadeniz Technical University, Trabzon, Turkey
| | - Bahar Candas Altinbas
- Faculty of Health Sciences, Department of Surgical Disease Nursing, Karadeniz Technical University, Trabzon, Turkey
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Kızılca Çakaloz D, Demir R, Çoban A, Taşpınar A. Evaluation of Midwives' Perceptions of Spirituality and Spiritual Care in Aydın, Turkey. JOURNAL OF RELIGION AND HEALTH 2023; 62:3285-3300. [PMID: 34855099 DOI: 10.1007/s10943-021-01457-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/28/2021] [Indexed: 06/13/2023]
Abstract
Spirituality is an integral part of holistic care, but studies have revealed that the spiritual dimension of care is largely neglected in healthcare settings. This study evaluated midwives' perceptions of spirituality and spiritual care. The study is a cross-sectional design and was conducted from April 1 to June 30, 2018 in Aydın, Turkey. The research sample of the study contacted 101 midwives. The Spirituality and Spiritual Care Rating Scale were used to collect data. It was found that the midwives' perceptions of spirituality and spiritual care were affected by age, having children, family type, and working unit (p < 0.05).
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Affiliation(s)
- Damla Kızılca Çakaloz
- Department of Midwifery, Faculty of Health Sciences, Aydin Adnan Menderes University, Kepez Mevkii, Adnan Menderes Üniversitesi Merkez Kampüsü, Efeler, Aydın, Turkey.
| | - Rukiye Demir
- Ministry of Health, Tekirdağ State Hospital, Maternity Ward, Tekirdag, Turkey
| | - Ayden Çoban
- Department of Midwifery, Faculty of Health Sciences, Aydin Adnan Menderes University, Kepez Mevkii, Adnan Menderes Üniversitesi Merkez Kampüsü, Efeler, Aydın, Turkey
| | - Ayten Taşpınar
- Department of Midwifery, Faculty of Health Sciences, Aydin Adnan Menderes University, Kepez Mevkii, Adnan Menderes Üniversitesi Merkez Kampüsü, Efeler, Aydın, Turkey
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Cooper KL, Chang E. Implementing a Spiritual Care Subject for Holistic Nursing Practice: A Mixed Method Study. J Holist Nurs 2023; 41:233-245. [PMID: 35392699 DOI: 10.1177/08980101221088081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Aim: The aims of this sequential explanatory mixed method study were twofold 1. Firstly, to evaluate the implementation of a spiritual care subject in a nursing program. 2. Secondly, to examine undergraduate nursing students' perceptions of providing spiritual care within their holistic care practice. Background: Studies conducted internationally indicate many nurses feel inadequately prepared to provide holistic care inclusive of spiritual care due to insufficient spiritual care education. Design: Two phase, sequential explanatory mixed method design which comprised of a quantitative study followed by a qualitative study. Methods: The setting was an Australian faith-based university. Participants comprised of undergraduate nursing students who were enrolled in a spiritual care subject. Findings: Two study findings emerged: 1. Participants' knowledge and practice of spiritual care were transformed by the spiritual care subject, and 2. The spiritual care subject broadened perceptions of spiritual care so participants viewed themselves more equipped to provide spiritual care in their holistic care provision. Conclusion: The spiritual care subject had an affirmative influence on participants' perceptions of providing spiritual care within holistic care practice. The findings have implications for nurse educators to consider how spiritual care content can be included within undergraduate nursing curricula.
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Nuraeni A, Suryani S, Trisyani Y, Anna A. Islamic Spiritual Care, Depression, and Quality of Life Among Patients With Heart Disease: A Systematic Review. J Holist Nurs 2023:8980101231180514. [PMID: 37354563 DOI: 10.1177/08980101231180514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/26/2023]
Abstract
Objectives: This study sought to identify the potential effect of Islamic-Spiritual care and how it is delivered in treating depression and improving the quality of life (QoL) of patients with heart disease. Methods: This systematic review is reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. We searched using relevant keywords through PubMed, CINAHL, Scopus, Springer Link, and Academic Search Complete. Articles with an experimental or cohort design were included, without date restrictions. The quality of evidence was assessed using the Joanna Briggs Institute critical appraisal checklist, and data synthesis used thematic analysis. Results: The analysis included 6 of the 47 identified studies. All studies were conducted in Iran, and a small number had a low risk of bias. The intervention was given through an Islamic teaching strategy, indicating the potential to reduce depression and improve QoL. Moreover, the learning core consists of belief and surrender in God's providence, strengthened meaning and life's purposes, worship, and skills to overcome obstacles. Conclusions: The interventions had the potential to treat depression and improve the QoL. However, a further study considering the risks of bias and involving a larger patient population with other Muslim backgrounds is necessary.
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Affiliation(s)
- Aan Nuraeni
- Universitas Padjadjaran, Sumedang, Indonesia
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Zhang Z, Zhang X, Fei Y, Zong X, Wang H, Xu C, Yang L, Jiang S. Emotional intelligence as a mediator between spiritual care-giving competency and core competencies in Chinese nursing interns: a cross-sectional study. Support Care Cancer 2023; 31:367. [PMID: 37261653 DOI: 10.1007/s00520-023-07839-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 05/24/2023] [Indexed: 06/02/2023]
Abstract
BACKGROUND The development of nursing interns' fundamental competencies should be a top focus because they represent an essential reserve for nursing professionals. The objective of this study is to investigate the relationship between spiritual care-giving competency (SCG) and nursing core competencies (NCC) among Chinese nursing interns, adopting a competency-based education (CBE) perspective, additionally, the study aims to examine how emotional intelligence (EI) serves as a mediator in this relationship. METHODS A nationwide online survey was completed by 1811 Chinese nursing interns at vocational colleges between June and July 2022 as part of a multi-site, cross-sectional, web-based study. Participants completed a demographic questionnaire and competencies inventory for the registered nurse questionnaire (CIRN), the Chinese version of the spiritual care-giving scale questionnaire (C-SCGS), and the Chinese version of the Wong and Law EI scale questionnaire (WLEIS-C). Means, standard deviations, t-tests, one-way ANOVA analysis, and Pearson's production correlation coefficients were calculated using IBM SPSS25.0 software. Mediated effect tests and studies utilizing the process plug-in SPSS developed by Hayes. RESULTS The NCCs of college nursing interns were related to whether working as student leaders, whether have a better self-learning evaluation level, whether a college nursing intern with good interpersonal relationship, and whether they intend to engage in the nursing profession in the future. The scores of NCC, EI, and SCG were (156.43±23.14), (61.55±9.10), and (167.64±20.52) respectively. There were positive correlations among SCG (r = 0.402), EI (r = 0.506), and NCC. The partial mediating effect of EI between SCG and NCC was 0.127, accounting for 36.29% of the total results. CONCLUSION The average levels of Chinese college nursing interns' NCC and SCG were at a moderate level. EI is mediating between SCG and NCC in Chinese nursing interns. This new perspective shows that developing and improving SCG and EI may improve NCC. We suggest modifying the nurse curriculum and instruction to strengthen NCC and integrating SCG and EI management into the nursing curriculum.
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Affiliation(s)
- Zhenshuang Zhang
- Nursing Faulty of Heilongjiang Nursing College, No. 209, Xuefu Road, Nangang District, Harbin, 150086, Heilongjiang, China
| | - Xiaojie Zhang
- Nursing Faulty of Heilongjiang Nursing College, No. 209, Xuefu Road, Nangang District, Harbin, 150086, Heilongjiang, China.
| | - Yang Fei
- School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 434030, Hubei, China
| | - Xiao Zong
- Nursing Faulty of Heilongjiang Nursing College, No. 209, Xuefu Road, Nangang District, Harbin, 150086, Heilongjiang, China
| | - Huiying Wang
- Nursing Branch of Heilongjiang Agricultural Reclamation Vocational College, Harbin, 150025, Heilongjiang, China
| | - Chunmiao Xu
- Nursing School, Qiqihar Medical University, Qiqihar, 161006, Heilongjiang, China
| | - Lin Yang
- Nursing Faculty of Daqing Medical College, Daqing, 163000, Heilongjiang, China
| | - Shi Jiang
- Nursing Faculty of Tianjin Medical College, Tianjin, 300222, Heilongjiang, China
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Taylor EJ, Pariñas S, Mamier I, Atarhim MA, Angeles L, Aslan H, Aktürk Ü, Ercİ B, Soriano G, Sinaga J, Chen YH, Merati-Fashi F, Odonel G, Neathery M, Permatasari W, Ricci-Allegra P, Foith J, Caldeira S, Dehom S. Frequency of nurse-provided spiritual care: An international comparison. J Clin Nurs 2023; 32:597-609. [PMID: 36039033 PMCID: PMC10087347 DOI: 10.1111/jocn.16497] [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: 05/12/2022] [Revised: 08/01/2022] [Accepted: 08/08/2022] [Indexed: 01/17/2023]
Abstract
AIMS AND OBJECTIVES To compare the frequency of nurse-provided spiritual care across diverse cultures. BACKGROUND Given an ethical imperative to respect patient spirituality and religiosity, nurses are increasingly taught and expected to provide spiritual care. Although nurses report positive attitudes toward spiritual care, they typically self-report providing it infrequently. Evidence about the reported frequency of spiritual care is constrained by substantial variation in its measurement. DESIGN This cross-sectional, descriptive study involved secondary analysis of data collected in multiple sites globally using one quantitative instrument. METHODS Data were collected from practicing nurses using the Nurse Spiritual Care Therapeutics Scale and analysed using descriptive statistics and a meta-analysis procedure with random-effect modelling. Datasets from 16 studies completed in Indonesia, Iran, Malaysia, Philippines, Portugal, Taiwan, Turkey and the United States contributed to a pooled sample (n = 4062). STROBE guidelines for cross-sectional observational studies were observed. RESULTS Spiritual care varied between countries and within countries. It was slightly more frequent within Islamic cultures compared with predominantly Christian cultures. Likewise, frequency of spiritual care differed between nurses in palliative care, predominantly hospital/inpatient settings, and skilled nursing homes. Overall, "Remaining present…" was the most frequent therapeutic, whereas documenting spiritual care and making arrangements for the patient's clergy or a chaplain to visit were among the most infrequent therapeutics. CONCLUSIONS In widely varying degrees of frequency, nurses around the world provide care that is cognisant of the spiritual and religious responses to living with health challenges. Future research should be designed to adjust for the multiple factors that may contribute to nurses providing spiritual care. RELEVANCE TO CLINICAL PRACTICE Findings offer a benchmark and begin to inform nurse leaders about what may be normative in practice. They also encourage nurses providing direct patient care that they are not alone and inform educators about what instruction future nurses require.
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Affiliation(s)
| | - Sabina Pariñas
- Nursing Department, Mariano Marcos State University, Batac, Philippines
| | - Iris Mamier
- School of Nursing, Loma Linda University, Loma Linda, California, USA
| | - Mohd Arif Atarhim
- Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Leonardo Angeles
- Department of Nursing, School of Nursing and Allied Medical Sciences, Holy Angel University, Angeles City, Philippines
| | - Hakime Aslan
- Faculty of Nursing, İnönü University, Malatya, Turkey
| | | | - Behice Ercİ
- Faculty of Nursing, İnönü University, Malatya, Turkey
| | - Gil Soriano
- Department of Nursing, College of Allied Health, National University, Manila, Philippines
| | | | - Yi-Heng Chen
- College of Nursing, Department of Nursing, Mackay Medical College, New Taipei, Taiwan
| | - Fatemeh Merati-Fashi
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Girlie Odonel
- College of Nursing, Pharmacy and Allied Health Sciences, Negros Oriental State University, Dumaguete, Philippines
| | - Melissa Neathery
- Louise Herrington School of Nursing, Baylor University Eta Gamma Chapter, Waco, Texas, USA
| | - Winda Permatasari
- Faculty of Medicine, Lambung Mangkurat University, Banjarbaru, Indonesia
| | | | - Joanne Foith
- Aultman Hospital Internal Medicine Group, Malone University School of Nursing & Health Sciences, Canton, Ohio, USA
| | - Silvia Caldeira
- Institute of Health Sciences, Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Salem Dehom
- School of Nursing, Loma Linda University, Loma Linda, California, USA
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Zhang X, Ba L, Xu J, Xie S, Tu J, Yang X, Liu H. Analysis of the current status of community nurses' spiritual care competencies and the factors: A descriptive cross-sectional analysis. Nurs Open 2023; 10:3356-3366. [PMID: 36682049 PMCID: PMC10077363 DOI: 10.1002/nop2.1589] [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: 07/20/2022] [Revised: 11/18/2022] [Accepted: 12/19/2022] [Indexed: 01/23/2023] Open
Abstract
AIM To examine and analyze the level of spiritual care competency among community nurses. DESIGN The study employed a cross-sectional design. METHODS From May to July 2022, 442 nurses from community health clinics were chosen as survey respondents using the convenience sample method. The General Information Questionnaire, the version in Chinese of the Nurses' Spiritual Caregiving Awareness Scale and the Chinese version of the Spiritual Caregiving Competence Scale were used in the survey. There were 442 questionnaires distributed, 422 were collected, and the response rate was 95.4%. RESULTS The amount of spiritual care competencies of community nurses was positively correlated with the level of spiritual awareness. Simultaneously, their level of education, religious beliefs, marital status and the degree of knowledge of spirituality were all influenced.
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Affiliation(s)
- XuanYue Zhang
- Shenzhen Bao'an Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Li Ba
- Shenzhen Bao'an Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China
| | - JiaLi Xu
- Fujian University of Traditional Chinese Medicine, Shenzhen, China
| | - SuMei Xie
- Fujian University of Traditional Chinese Medicine, Shenzhen, China
| | - Jin Tu
- Shenzhen Bao'an Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Xin Yang
- Shenzhen Bao'an Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Hanjiao Liu
- Shenzhen Bao'an Chinese Medicine Hospital, Guangzhou University of Chinese Medicine, Shenzhen, China
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Murgia C, Notarnicola I, Caruso R, De Maria M, Rocco G, Stievano A. Spirituality and Religious Diversity in Nursing: A Scoping Review. Healthcare (Basel) 2022; 10:healthcare10091661. [PMID: 36141273 PMCID: PMC9498726 DOI: 10.3390/healthcare10091661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 08/20/2022] [Accepted: 08/26/2022] [Indexed: 11/16/2022] Open
Abstract
Spirituality is a common theme in the field of healthcare research. This study aimed to examine nurses’ perceptions of spirituality in the context of the religious diversity of patients in pluri-religious settings. We performed a scoping review following the methodology on studies conducted between 2010 and 2020. We searched the following databases: CINAHL Plus, PubMed, and PsycINFO. For the identification of grey literature, the OpenGrey database was used. In total, 789 articles were reviewed. Of these, 16 met predetermined inclusion criteria. Two main overarching themes emerged from our inductive analysis: (a) the intertwining of spirituality and spiritual care in diverse religious landscapes and (b) obstacles impeding the inclusion of spiritual care in pluri-religious settings. According to our results, nurses consider that spirituality is interconnected with spiritual care for individuals from different religious backgrounds. Interpretations of spirituality in nursing practice vary widely, with spirituality and religiosity often shaped and influenced by culture and the experience of the professionals. Nurses attribute various meanings to spiritual care, most of which center on respecting personal, interpersonal, and relational aspects of religious and cultural beliefs and practices. Lack of education and specific skills, insufficient time, role ambiguity, and different religious beliefs were identified as hurdles to spiritual care. A poor work environment, a lack of patient privacy, including personal space, and a lack of compassion were also reported as deterrents to spiritual healing. More knowledge and training on different religions and spirituality are required to meet patients’ spiritual needs to better overcome these hurdles.
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Affiliation(s)
- Carla Murgia
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
| | | | - Rosario Caruso
- Health Professions Research and Development Unit, IRCCS Policlinico San Donato, 20097 Milano, Italy
- Department of Biomedical Sciences for Health, University of Milan, 20122 Milan, Italy
| | - Maddalena De Maria
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
| | - Gennaro Rocco
- Centre of Excellence for Nursing Scholarship, OPI, 00133 Rome, Italy
| | - Alessandro Stievano
- Department of Experimental and Clinical Medicine, University of Messina, 98125 Messina, Italy
- Correspondence:
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Dündar M, Aslan H. Association Between Nurses' Spirituality and Frequency of Spiritual Therapeutic Care in Turkey. JOURNAL OF RELIGION AND HEALTH 2022; 61:1922-1935. [PMID: 35044589 DOI: 10.1007/s10943-022-01499-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/06/2022] [Indexed: 06/14/2023]
Abstract
This study evaluated the association between nurse spirituality and frequency of spiritual care among 560 nurses working at Dicle University Hospital in Turkey. The Spirituality Scale and the Nurse Spiritual Care Therapeutic Scale were administered. Results indicated that scores on the Spirituality Scale were positively correlated with frequency of provision of spiritual care (Nurse Spiritual Care Therapeutic Scale). It was found that the spirituality levels of the nurses had a positive effect (R2 = 0.245, B = 0.391, p < 0.0001) on the frequency of providing spiritual curative care. It was determined that the frequency of providing spiritual care of nurses with high spirituality level increased. No significant associations were found between Nurse Spiritual Care Therapeutic Scale means of point and gender, marital status, education level, unit work, or duration of professional experience.
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Affiliation(s)
- Mehmet Dündar
- Department of Fundamentals of Nursing, Faculty of Nursing, Inonu University, 44280, Malatya, Turkey
| | - Hakime Aslan
- Department of Fundamentals of Nursing, Faculty of Nursing, Inonu University, 44280, Malatya, Turkey.
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Türkben Polat H, Özdemir AA. Relationship between Compassion and Spiritual Care among Nurses in Turkey. JOURNAL OF RELIGION AND HEALTH 2022; 61:1894-1905. [PMID: 34032974 PMCID: PMC8144689 DOI: 10.1007/s10943-021-01287-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/10/2021] [Indexed: 06/12/2023]
Abstract
The aim of this study was to determine the effect of the compassion level of nurses on the frequency of their provision of spiritual care therapeutics to patients. The research was conducted as a correlational descriptive study and included 253 nurses working in a university hospital in Turkey between October and December 2020. The data were collected via an online survey using psychometrically valid scales to assess the nurses' compassion and provision of spiritual care therapeutics. The nurses had a high compassion level and a medium level of spiritual care therapeutics. Compassion level explained 31% of the frequency of spiritual care therapeutics. As nurses' compassion levels increased, the frequency of their provision of spiritual care therapeutics to patients also increased.
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Fawares F, Ibdah R, Ammar K, Alkhoulli L, Khader H, Muhareb H, Habaseh M, Abu-Shanab S. Spiritual Beliefs of Jordanian Adult Patients Receiving Palliative Care. JOURNAL OF RELIGION AND HEALTH 2021; 60:2849-2861. [PMID: 32556888 DOI: 10.1007/s10943-020-01054-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This study aimed to explore spiritual beliefs held by Jordanian patients receiving palliative care. In order to accomplish this aim, three objectives were specified: 1) identify the spiritual beliefs of adult patients receiving palliative care, 2) to develop an Arabic version of the beliefs and values scale, and 3) to identify the perception of spirituality of adult patients receiving palliative care. Cross-sectional descriptive research design was used to describe the spiritual beliefs. The response rate was 70%; non-probability convenience sampling method was used for (N = 119) adult palliative patients who are receiving care at specialized oncology Center in Jordan. The findings revealed that the spirituality religious beliefs aspect total mean score (3.38 ± .33) was higher than the spirituality non-religious beliefs aspect total mean score (2.49 ± .50). There was a significant impact on enhancing spirituality score with patient who had attended a course about spirituality (p = .007) or had been visited by religious adviser (p = .022). Statistically significant differences were found between the religious beliefs score and age (p = .014), educational level (p = .015), and the patient who had attended a course about spirituality (p = .27). The conceptualizations of spirituality highly cultural are marked, and it differs from populations to others; it appears that spirituality among Middle East population is different than Western populations.
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13
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O'Connell-Persaud S, Isaacson MJ. Undergraduate Nursing Students' Spirituality and Perceived Ability to Provide Spiritual Care: A Mixed-Method Study. J Holist Nurs 2021; 40:36-45. [PMID: 34319188 DOI: 10.1177/08980101211034336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Study purpose: This study's purpose was to explore nursing students' spirituality and perceived ability to provide spiritual care. Design and methods: A convergent mixed method, cross-sectional design was used. A convenience sample included traditional nursing students in their second quarter (n = 53) and final quarter (n = 43) attending a faith-based university and accelerated final quarter nursing students (n = 45) attending a private secular university from two accredited nursing programs. Quantitative data were analyzed using a pairwise Spearman rank correlation and multivariate analysis of variance. Open-ended questions were analyzed using content analysis. Results: Quantitatively, as a student's spirituality increases, their perceived ability to provide spiritual care decreases. Qualitative findings revealed three categories: guidance to recognize spiritual needs, empathy and openness, and intertwined with religion. Conclusion: Quantitatively, nursing students reported their spirituality did not influence their perceived ability to provide spiritual care. Yet, qualitatively, students reported their spirituality assisted in their ability to provide spiritual care. However, students were unable to differentiate between spirituality and religion. Colleges of nursing need to ensure students learn the art of holistic nursing, which includes spirituality and religion along with opportunities to apply and reflect on their spirituality and perceived ability to provide spiritual care.
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14
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Louise Cooper K, Luck L, Chang E, Dixon K. What is the practice of spiritual care? A critical discourse analysis of registered nurses' understanding of spirituality. Nurs Inq 2020; 28:e12385. [PMID: 33017505 DOI: 10.1111/nin.12385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2020] [Revised: 09/14/2020] [Accepted: 09/14/2020] [Indexed: 11/28/2022]
Abstract
Spirituality has been a part of nursing for many centuries and represents an essential value for people, including nurses and patients. Cumulative evidence points to the positive contribution of spiritually on health and wellbeing. However, there is little clarity about what spirituality means. The literature reveals that nurses have ascribed a diversity of interpretations to spirituality. However, no studies have investigated how registered nurses construct their understanding of spirituality using a critical discourse analysis approach. Therefore, the aim of this study was to uncover how registered nurses construct their understanding of spirituality using a critical discourse analysis approach. Twenty registered nurses from a non-denominational public hospital and a faith-based private hospital were interviewed about their understanding of spirituality and practice of spiritual care. A critical discourse analysis approach was used in the examination of the interview texts to uncover underlying social and power features. Links were made between the linguistic features the registered nurses used in their interviews and the broader social context of the study. Three discourses emerged from the interview texts. These include constructing spirituality through personal religious beliefs discourse, holistic discourse and empathetic care discourse. The findings of this study have implications for nurse education and policy makers.
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Affiliation(s)
| | - Lauretta Luck
- School of Nursing and Midwifery, Western Sydney University, Parramatta, NSW, Australia
| | - Esther Chang
- School of Nursing and Midwifery, Western Sydney University, Parramatta, NSW, Australia
| | - Kathleen Dixon
- School of Nursing and Midwifery, Western Sydney University, Parramatta, NSW, Australia
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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.
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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
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16
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Cooper KL, Chang E, Luck L, Dixon K. How Nurses Understand Spirituality and Spiritual Care: A Critical Synthesis. J Holist Nurs 2019; 38:114-121. [PMID: 31596165 DOI: 10.1177/0898010119882153] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Aims: To discover how nurses understand spirituality and spiritual care and what affects nurses' understanding of these terms. Method: A literature search was conducted in CINAHL Plus, MEDLINE, and Google Scholar for research articles dated between 2010 and 2018 that were published in English. Using the Critical Appraisal Skills Program checklist for systematic reviews, nine articles met the inclusion criteria for this review. Most of these articles reported quantitative studies. Results: Although nurses recognize the importance of spirituality and spiritual care in nursing and have ascribed a diversity of meanings, there remains some confusion about what these terms mean. Several influences have been identified as shaping nurses understanding of spirituality and spiritual care, including education, nurses' own spirituality or religious beliefs, age, years of clinical experience, and place of employment. Conclusions: This review identifies the need for further studies using qualitative approaches to investigate how nurses' construct their understanding of spirituality and spiritual care and the dominant discourses nurses draw from to inform their understanding using qualitative approaches. Relevance to Clinical Practice: The insights gained by this review may be of value to nurse educators, managers, and policy makers in nursing education and the development of policies and practice guidelines.
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Han E, Shiraz F, Haldane V, Koh JJK, Quek RYC, Ozdemir S, Finkelstein EA, Jafar TH, Choong HL, Gan S, Lim LWW, Legido-Quigley H. Biopsychosocial experiences and coping strategies of elderly ESRD patients: a qualitative study to inform the development of more holistic and person-centred health services in Singapore. BMC Public Health 2019; 19:1107. [PMID: 31412824 PMCID: PMC6694659 DOI: 10.1186/s12889-019-7433-6] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Accepted: 08/01/2019] [Indexed: 12/02/2022] Open
Abstract
Background As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of treated ESRD worldwide, with the upward trend of ESRD being most apparent among those aged 70 years and older. Although it is well-documented that ESRD patients suffer an impaired quality of life compared to the general population, there is limited research focusing on the unique experiences and needs of elderly ESRD patients in Asian populations. To address the knowledge gap, this study seeks to explore the impact of ESRD and dialysis on the quality of life of elderly (≥70 years old) ESRD patients in Singapore and examine the coping strategies utilised by these patients. Methods This qualitative study involved semi-structured, in-depth interviews with 7 peritoneal dialysis patients, 5 haemodialysis patients, 4 patients on non-dialysis supportive care and 7 caregivers in Singapore. Interviews were conducted in English, Chinese, and Malay and fully transcribed. QSR NVivo 11 software was used for analysis. Results Participants reported that ESRD and dialysis had an impact on three highly interconnected areas of their quality of life: (a) biological/physical (general symptoms, neuromuscular problems, skin problems and poor sleep quality); (b) psychological (depressive symptoms, anxiety and fears, stress and negative self-perceptions); and (c) social (increased dependence on family and loss of social life). There were four key strategies that participants used to cope with these biopsychosocial challenges: (a) family support (financial, practical and emotional support); (b) religious/spiritual support (experiencing gratitude/contentment, the power of prayer and belonging to a faith community); (c) avoidance (cognitive avoidance and distraction techniques); and (d) acceptance (positive thinking and problem solving). Conclusions This study has provided insights into the biopsychosocial impact of ESRD and dialysis, as well as cultural and religious factors that shape the experiences and coping mechanisms of elderly ESRD patients and caregivers in Singapore, which can be used to further the development and implementation of more holistic and person-centred services to help each patient achieve a better quality of life. Electronic supplementary material The online version of this article (10.1186/s12889-019-7433-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Emeline Han
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Farah Shiraz
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore.
| | - Victoria Haldane
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Joel Jun Kai Koh
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Rina Yu Chin Quek
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
| | - Semra Ozdemir
- Duke NUS Medical School, 8 College Road, Singapore, 169857, Singapore
| | | | | | - Hui-Lin Choong
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Sheryl Gan
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Lydia W W Lim
- Department of Renal Medicine, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore
| | - Helena Legido-Quigley
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-03H, Tahir Foundation Building, Singapore, 117549, Singapore
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Sivertsen N, Harrington A, Hamiduzzaman M. Exploring Aboriginal aged care residents' cultural and spiritual needs in South Australia. BMC Health Serv Res 2019; 19:477. [PMID: 31299950 PMCID: PMC6624992 DOI: 10.1186/s12913-019-4322-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Accepted: 07/03/2019] [Indexed: 11/10/2022] Open
Abstract
Background Attention to culture and its impact on health care can improve the quality of care given, add to our understanding of health care among culturally diverse populations, and encourage a more holistic approach to health care within general care. Connection to culture is important to Aboriginal peoples, and integrating Aboriginal culture into general care in residential aged care facilities may contribute to improving care delivery and outcomes for residents. The literature to date revealed a lack of understanding of the capacity of residential aged care and the health practices of carers in relation to providing cultural care for Aboriginal people. This study aimed to explore how cultural care needs are maintained for Aboriginal residents from their own and their carers’ perspectives. Methods Applying an Aboriginal centered research method, an Interpretive Descriptive Approach was used as a theoretical framework to explore data in this study. Semi structured audio-recorded interviews were conducted. An additional file provides a complete description of the interview questions used as a guide for the study [see Additional file 1]. Three Residential Aged Care Centres, in South Australia were used i.e., two rural from centres and one urban metropolitan centre. Seven Aboriginal residents and 19 carers participated in interviews. Data was transcribed and an interpretive analysis was employed to code the transcribed data for themes and sub-themes. The study was guided by an Aboriginal community advisory group with an aim to work under the principle of reciprocity; giving back to the communities, participants and those where the research results may have been relevant. Results Three themes emerged from the views of the residents and carers: (i) lack of resources and funding; (ii) care practice; and (iii) marginalisation of Aboriginal culture within aged care facilities. Conclusion The findings suggest that carers and residents believe cultural inclusion in general care practices may enrich Aboriginal residents’ daily life, health and well-being in residential aged care facilities. This study may provide carers, aged care centre managers and policy makers with information on the need of resources, funding, organised care plan and management, and cultural competency of carers to be considered to improve Aboriginal aged care protocols for integrating cultural care into practice. Electronic supplementary material The online version of this article (10.1186/s12913-019-4322-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Nina Sivertsen
- College of Nursing and Health Sciences, Flinders University, GPO BOX 2100, Adelaide, South Australia, 5001, Australia.
| | - Ann Harrington
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Mohammad Hamiduzzaman
- Flinders Rural Health SA, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia
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Hu Y, Tiew LH, Li F. Psychometric properties of the Chinese version of the spiritual care-giving scale (C-SCGS) in nursing practice. BMC Med Res Methodol 2019; 19:21. [PMID: 30674280 PMCID: PMC6343288 DOI: 10.1186/s12874-019-0662-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 01/09/2019] [Indexed: 11/30/2022] Open
Abstract
Background Spiritual care is defined as recognizing and responding to the needs of the human spirit when the individual is facing trauma, illness, or sadness. Providing spiritual care is one of the core aspects of holistic care, as it is significantly associated with patients’ quality of life. The provision of optimal spiritual care requires good understanding by the nurses. Therefore, it is important to assess this understanding by using a proven, well-validated instrument. The Spiritual Care-Giving Scale (SCGS) is designed to measure nurses’ perceptions of spirituality and spiritual care in Singapore. However, it is unknown whether this scale is valid and reliable for use with nurses in the context of Chinese culture. The purpose of this study is to determine this version’s validity and reliability for use with nurses in China. Methods In this quantitative, descriptive, cross-sectional study, after translating the English version of the SCGS into Chinese and making adjustments for culture and values, we assessed the performance of this instrument by administering the C-SCGS to a convenience sample of 400 nurses. The participants also completed the Chinese version of the Spiritual Care Competency Scale (C-SCCS) to assess the concurrent validity of the C-SCGS. The internal consistency and homogeneity of the C-SCGS were also tested, and a factorial analysis was performed. Results Completed questionnaires were obtained from 355 participants (response rate: 88.75%). Four factors were confirmed by an exploratory factor analysis (EFA) using Promax with the Kaiser normalization rotation method after the 35-item SCGS was reduced to 34 items, and these factors explained 53.116% of the total variance. The adjusted item–total correlation ranged from 0.527 to 0.760. The Cronbach’s alpha of the factors ranged from 0.836 to 0.941, and the Guttman split-half coefficient was between 0.759 and 0.902. The concurrent validity of the C-SCGS and C-SCCS (r = 0.534, p < 0.01) showed a significant correlation. Nurses’ education showed a significant association with the scores of the C-SCGS. Conclusion The C-SCGS was found to be a psychometrically sound measurement to evaluate Chinese-speaking nurses’ perceptions of spirituality and spiritual care. Electronic supplementary material The online version of this article (10.1186/s12874-019-0662-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yanli Hu
- School of Nursing, Jilin University, Changchun, China
| | - Lay Hwa Tiew
- National University Hospital, Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
| | - Fan Li
- School of Nursing, Jilin University, Changchun, China. .,Department of Pathogenobiology, The Key Laboratory of Zoonosis research, Chinese Ministry of Education, College of Basic Medicine, Jilin University, No.126 Xinmin Street, Changchun, China. .,The Key Laboratory for Bionics Engineering, Ministry of Education, Jilin University, Changchun, China. .,State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Urumqi, China.
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Abstract
Little is known about how nurses' personal spirituality and religious (S/R) beliefs impact their spiritual care of patients. An online survey was used to collect data from 445 nurses, assessing facets of religiosity, their opinions about introducing S/R during patient care, demographic, and work-related variables. Findings indicated that even in a sample of Christian nurses who scored high on religiousness measures, spiritual care is infrequent. Nurses' opinions about whether it was appropriate to initiate S/R conversation, self-disclosure, and prayer were associated with aspects of nurse religiosity. Nurses working in a faith-based organization were more likely to believe they could initiate S/R conversation and offer prayer.
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Kim HS, Yeom HA. The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study. Intensive Crit Care Nurs 2018; 46:92-97. [PMID: 29625870 DOI: 10.1016/j.iccn.2017.11.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 11/15/2017] [Accepted: 11/26/2017] [Indexed: 10/17/2022]
Abstract
OBJECTIVES To describe the spiritual well-being and burnout of intensive care unit nurses and examine the relationship between these factors. RESEARCH METHODOLOGY This was a cross-sectional descriptive study. The participants were 318 intensive care unit recruited from three university hospitals in South Korea. The survey questionnaire included demographic information, work-related characteristics and end-of-life care experience, along with the Spiritual Well-Being Scale and Burnout Questionnaire. The data were analysed using descriptive statistics, t-tests, ANOVA with Scheffé test and a multiple regression analysis. RESULTS The burnout level among intensive care unit nurses was 3.15 out of 5. A higher level of burnout was significantly associated with younger age, lower education level, single marital status, having no religion, less work experience and previous end-of-life care experience. Higher levels of spiritual well-being were associated with lower levels of burnout, even after controlling for the general characteristics in the regression model. CONCLUSION Intensive care unit nurses experience a high level of burnout in general. Increased spiritual well-being might reduce burnout among intensive care unit nurses. Younger and less experienced nurses should receive more attention as a vulnerable group with lower spirituality and greater burnout in intensive care unit settings.
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Affiliation(s)
- Hyun Sook Kim
- Department of Nursing, Yonsei University Health System, Yonsei Cancer Center, South Korea
| | - Hye-Ah Yeom
- The Catholic University of Korea College of Nursing, 222 Banpo-Daero, Seocho-Gu, Seoul 06591, South Korea.
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Taylor EJ, Mamier I, Ricci-Allegra P, Foith J. Self-reported frequency of nurse-provided spiritual care. Appl Nurs Res 2017; 35:30-35. [DOI: 10.1016/j.apnr.2017.02.019] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 02/05/2017] [Accepted: 02/05/2017] [Indexed: 11/16/2022]
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