Nurses’ Perception About Spirituality and Providing Spiritual Care in Nursing
DOI:
https://doi.org/10.37886/ruo.2024.005Keywords:
religiosity, holistic approach, religious beliefs, cultural sensitivity, spiritual needsAbstract
Research Question (RQ): How do nurses perceive spirituality and their ability to provide spiritual care in nursing? Are there statistically significant differences between nurses' demographic characteristics and their perceptions of spirituality and spiritual care? How can nursing organisations improve nurses' perceptions and delivery of spiritual care?
Purpose: The purpose of this study is to highlight the importance of spirituality and spiritual care in nursing staff with the aim of examining nurses' perceptions of spirituality and the provision of spiritual care in nursing.
Method: A quantitative descriptive non-experimental method using a survey technique was used.
Results: Respondents consider patients' spiritual needs important to their health and well-being. However, nurses face several obstacles in meeting these needs. Formal training of nurses does not provide them with the skills to provide spiritual care. This underscores the need for greater emphasis on spirituality and spiritual care in nursing education to remove barriers to competent care.
Organization: Recognising the importance of spirituality in patient care can encourage health care organisations to develop policies and programmes that integrate spiritual care into clinical practise. Integrating spiritual care into nursing practise leads to better patient outcomes and higher quality of nursing care and increases nurses' job satisfaction and fulfilment. It also promotes a more holistic and patient-centred approach and a positive reputation for healthcare organisations.
Society: Focusing on the spiritual needs of patients can emphasise social responsibility and promote individual and community awareness of their impact on the environment. Recognising and respecting the spiritual beliefs of people from different cultural backgrounds promotes diversity and inclusion and contributes to an accepting and understanding society. We suggest providing additional training on spirituality for health professionals, which would have a positive impact on more appropriate integration of patients from other cultures into health care.
Originality: We did not find much research on spirituality in nursing in the Slovenian literature. Limitations/Future Research: The weaknesses of our survey are related to the low internal consistency of the subcategories and the small sample size. Further psychometric validation of the scale on a larger sample would be needed.
References
Baldacchino, D. (2017). Spirituality in the Healthcare Workplace. Religions, 8(12), 260. doi: 10.3390/rel8120260
Bolarinwa, F. I., Esan, D. T., & Bolarinwa, O. A. (2023). Assessment of Spiritual Care Practices Among Nurses Caring for Cancer Patients in a Tertiary Hospital in Nigeria. SAGE Open Nursing, 9, 1-8. doi: 10.1177/23779608221150600.
Bożek, A., Nowak, P. F., & Blukacz, M. (2020). The Relationship Between Spirituality, Health-Related Behavior, and Psychological Well-Being. Frontiers in Psychology, 11, 1-13. doi: 10.3389/fpsyg.2020.01997
Burkhart, L., Bretschneider, A., Gerc, S., & Desmond, M. E. (2019). Spiritual Care in Nursing Practice in Veteran Health Care. Global Qualitative Nursing Research, 6, 1-9. doi:10.1177/2333393619843110
Celano, T., Harris, S., Sawyer, A. T., & Hamilton, T. (2022). Promoting Spiritual Well-Being Among Nurses. Nurse Leader, 20(2), 188–192. doi: 10.1016/j.mnl.2021.08.002
Chew, B. W., Tiew, L. H., & Creedy, D. K. (2016). Acute care nurses’ perceptions of spirituality and spiritual care: An exploratory study in Singapore. Journal of Clinical Nursing, 25(17–18), 2520–2527. doi: 10.1111/jocn.13290
Chow, S. K., Francis, B., Ng, Y. H., Naim, N., Beh, H. C., Ariffin, M. A. A., Yusuf, M. H. M., Lee, J. W., & Sulaiman, A. H. (2021). Religious Coping, Depression and Anxiety among Healthcare Workers during the COVID-19 Pandemic: A Malaysian Perspective. Healthcare, 9(1), 1-15. doi: 10.3390/healthcare9010079
de Brito Sena, M. A., Damiano, R. F., Lucchetti, G., & Peres, M. F. P. (2021). Defining Spirituality in Healthcare: A Systematic Review and Conceptual Framework. Frontiers in Psychology, 12, 1—11. doi: 10.3389/fpsyg.2021.756080
De Diego-Cordero, R., Iglesias-Romo, M., Badanta, B., Lucchetti, G., & Vega-Escaño, J. (2022). Burnout and spirituality among nurses: A scoping review. EXPLORE, 18(5), 612–620. doi: 10.1016/j.explore.2021.08.001
Devendhiran, S., & Wesley, J. R. (2017). Spirituality at work: Enhancing levels of employee engagement. Development and Learning in Organizations: An International Journal, 31(5), 9–13. doi: 10.1108/DLO-08-2016-0070
Eginli, A. T. (2017). Spirituality in the Workplace: What Does It Mean? A Literature Review. Advances in Social Sciences Research Journal, 4(23), 82-97. doi: 10.14738/assrj.423.3928
Ferrell, B. R. (2017). Spiritual Care in Hospice and Palliative Care. The Korean Journal of Hospice and Palliative Care, 20(4), 215–220. doi: 10.14475/kjhpc.2017.20.4.215
Fitch, M. I., & Bartlett, R. (2019). Patient Perspectives about Spirituality and Spiritual Care. Asia-Pacific Journal of Oncology Nursing, 6(2), 111–121. doi: 10.4103/apjon.apjon_62_18
Foster, S., & Foster, A. (2019). The impact of workplace spirituality on work-based learners: Individual and organisational level perspectives. Journal of Work-Applied Management, 11(1), 63–75. doi: 10.1108/JWAM-06-2019-0015
Gramc, B. (2022). Povezava med duhovnsotjo na delovnem mestu in zavzetostjo zaposlenih [Magistrsko delo]. Ljubljana: Univerza v Ljubljani, Ekonomska fakulteta
Harrad, R., Cosention, C., Keasley, R., & Sulla, F. (2019). Spiritual care in nursing: An overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Bio Medica : Atenei Parmensis, 90(4), 44–55. doi: 10.23750/abm.v90i4-S.8300
Hawthorne, D. M., & Gordon, S. C. (2020). The Invisibility of Spiritual Nursing Care in Clinical Practice. Journal of Holistic Nursing, 38(1), 147–155. doi: 10.1177/0898010119889704
Hodge, D. R. (2006). A Template for Spiritual Assessment: A Review of the JCAHO Requirements and Guidelines for Implementation. Social Work, 51, 317–326. doi: 10.1093/sw/51.4.317
Houghton, J., Neck, C., & Krishnakumar, S. (2016). The what, why, and how of spirituality in the workplace revisited: A 14-year update and extension. Journal of Management Spirituality & Religion, 13(3), 177-205. doi: 10.1080/14766086.2016.1185292
Hu, Y., Jiao, M., & Li, F. (2019). Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses. BMC Palliative Care, 18(1), 104. doi: 10.1186/s12904-019-0489-3
Kaddourah, B., Abu-Shaheen, A., & Al-Tannir, M. (2018). Nurses’ Perceptions of Spirituality and Spiritual Care at Five Tertiary Care Hospitals in Riyadh, Saudi Arabia: A Cross-Sectional Study. Oman Medical Journal, 33(2), 154–158. doi: 10.5001/omj.2018.28
Kang, K.-A., Chun, J., Kim, H. Y., & Kim, H.-Y. (2021). Hospice palliative care nurses’ perceptions of spiritual care and their spiritual care competence: A mixed-methods study. Journal of Clinical Nursing, 30(7–8), 961–974. doi: 10.1111/jocn.15638
Kavosi, A., Taghiabadi, M., Mohammadi, G., Yazdi, K., Shirdelzadeh, S., Nasiri, H., Roohi, G., Shariati, A., Rahmani, H., Mollaei, E., & Aryaeefar, M. (2018). Nursing managers attitude toward spirituality and spiritual care in Khorasan Razavi Province hospitals in 2016. Electronic Physician, 10(3), 6571–6576. doi: 10.19082/6571
Kostak, M. A., & Celikkalp, U. (2016). Nurses and Midwives Opinions about Spirituality and Spiritual Care. International Journal of Caring Sciences, 9(3), 975–984. Pridobljeno na http://www.internationaljournalofcaringsciences.org/docs/26_1-kostak_originial_9_3.pdf
Krishnakumar, S., & Neck, C. P. (2002). The “what”, “why” and“how” of spirituality in the workplace. Journal of Managerial Psychology, 17(3), 153–164. doi: 10.1108/02683940210423060
Linda, N. S., Phetlhu, D. R., & Klopper, H. C. (2021). Clinical supervisors’ understanding of spirituality and spiritual care in nursing: A South African perspective (part 2). International Journal of Africa Nursing Sciences, 14, 1-9. doi: 10.1016/j.ijans.2020.100254
Mansurifard, F., Ghaljaei, F., & Navidian, A. (2019). The Effect of Spiritual Care on the Spiritual Health of Adolescents with Cancer: A Pre-Experimental Study. Medical - Surgical Nursing Journal, 8(4), 1-6. doi: 10.5812/msnj.100567
Melhem, G. A. B., Zeilani, R. S., Zaqqout, O. A., Aljwad, A. I., Shawagfeh, M. Q., & Al-Rahim, M. A. (2016). Nurses’ Perceptions of Spirituality and Spiritual Care Giving: A Comparison Study Among All Health Care Sectors in Jordan. Indian Journal of Palliative Care, 22(1), 42–49. doi: 10.4103/0973-1075.173949
Miller, C. (2016). “Spiritual But Not Religious”: Rethinking the Legal Definition of Religion. Virginia Law Review, 102(3), 833–894. Pridobljeno na https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2780109
Miller, M., Addicott, K., & Rosa, W. E. (2023). Spiritual Care as a Core Component of Palliative Nursing. AJN The American Journal of Nursing, 123(2), 54-59. doi: 10.1097/01.NAJ.0000919748.95749.e5
Momeni, G., Hashemi, M. S., & Hemati, Z. (2022). Barriers to Providing Spiritual Care from a Nurses’ Perspective: A Content Analysis Study. Iranian Journal of Nursing and Midwifery Research, 27(6), 575–580. doi: 10.4103/ijnmr.ijnmr_422_21
Mousa, A. (2020). The Impact of Workplace Spirituality on Employee Performance: Evidence from Abu Dhabi University. International Business Research, 13(5), 79-94. doi: 10.5539/ibr.v13n5p79
Murgia, C., Notarnicola, I., Rocco, G., & Stievano, A. (2020). Spirituality in nursing: A concept analysis. Nursing Ethics, 27(5), 1327–1343. doi: 10.1177/0969733020909534
Nascimento, L. C., Alvarenga, W. A., Caldeira, S., Mica, T. M., Oliveira, F. C. S., Pan, R., Santos, T. F. M., Carvalho, E. C., & Vieira, M. (2016). Spiritual Care: The Nurses’ Experiences in the Pediatric Intensive Care Unit. Religions, 7(3), 1-11. doi: 10.3390/rel7030027
Roof, R. A. (2015). The Association of Individual Spirituality on Employee Engagement: The Spirit at Work. Journal of Business Ethics, 130(3), 585–599. doi: 10.1007/s10551-014-2246-0
Ruder, S. (2013). Spirituality in nursing: Nurses’ perceptions about providing spiritual care. Home Healthcare Nurse, 31(7), 356–367. doi: 10.1097/NHH.0b013e3182976135
Saad, M., Medeiros, R. de, Saad, M., & Medeiros, R. de. (2012). Spiritual-Religious Coping – Health Services Empowering Patients’ Resources. In Complementary Therapies for the Contemporary Healthcare. London: IntechOpen.
Schreiber, C., Verrall, C., & Whitehead, D. (2022). Spiritual care in Australian general practice nursing: An interpretive descriptive study. Nursing & Health Sciences, 24(3), 670–678. doi: 10.1111/nhs.12961
Schrepp, M. (2020). On the Usage of Cronbach’s Alpha to Measure Reliability of UX Scales. Journal of Usability Studies, 15(4), 247–258. Pridobljeno na https://uxpajournal.org/wp-content/uploads/sites/7/pdf/JUS_Schrepp_Aug2020.pdf
Shamsi, M., Khoshnood, Z., & Farokhzadian, J. (2022). Improving psychiatric nurses’ competencies in spiritual care and integration of clients’ religion/spirituality into mental healthcare: Outcomes of an online spiritual care training program. BMC Psychiatry, 22(1), 1-12. doi: 10.1186/s12888-022-04280-9-
Shi, X., Wang, F., Xue, L., Gan, Z., Wang, Y., Wang, Q., & Luan, X. (2023). Current status and influencing factors of spiritual needs of patients with advanced cancer: A cross-sectional study. BMC Nursing, 22(1), 1-12. doi: 10.1186/s12912-023-01306-9
Sinha, A. K., & Kumar, S. (2014). Integrating spirituality into patient care: An essential element of modern healthcare system. Indian Heart Journal, 66(3), 395–396. doi: 10.1016/j.ihj.2014.03.023
Timmins, F., Connolly, M., Palmisano, S., Burgos, D., Juárez, L. M., Gusman, A., Soriano, V., Jewdokimow, M., Sadłoń, W., Serrano, A. L., Caballero, D. C., Campagna, S., & García-Peñuela, J. M. V. (2022). Providing Spiritual Care to In-Hospital Patients During COVID-19: A Preliminary European Fact-Finding Study. Journal of Religion and Health, 61(3), 2212–2232. doi: 10.1007/s10943-022-01553-1
Tomažin Dakič, T. (2016). Pomen duhovnega kapitala pri reševanju problemov v organizaciji: akcijsko raziskovanje [Magistrsko delo]. Ljubljana: Univerza v Ljubljani, Ekonomska fakulteta.
Turner, P. (2020). Why Is Employee Engagement Important? In P. Turner (Ed.), Employee Engagement in Contemporary Organizations: Maintaining High Productivity and Sustained Competitiveness (pp. 57–84). Springer International Publishing. doi: 10.1007/978-3-030-36387-1_3
Wu, L.-F., Tseng, H.-C., & Liao, Y.-C. (2016). Nurse education and willingness to provide spiritual care. Nurse Education Today, 38, 36-41. doi: 10.1016/j.nedt.2016.01.001
Yin, E., & Mahrous, A. (2022). Covid-19 global pandemic, workplace spirituality and the rise of spirituality-driven organisations in the post-digital era. Journal of Humanities and Applied Social Sciences, 4(2), 79–93. doi: 10.1108/JHASS-11-2021-0177
Zakaria Kiaei, M., Salehi, A., Moosazadeh Nasrabadi, A., Whitehead, D., Azmal, M., Kalhor, R., & Shah Bahrami, E. (2015). Spirituality and spiritual care in Iran: Nurses’ perceptions and barriers. International Nursing Review, 62(4), 584–592. doi: 10.1111/inr.12222
Zakaria Kiaei, M., Salehi, A., Moosazadeh Nasrabadi, A., Whitehead, D., Azmal, M., Kalhor, R., & Shah Bahrami, E. (2015). Spirituality and spiritual care in Iran: Nurses’ perceptions and barriers. International Nursing Review, 62(4), 584–592. doi: 10.1111/inr.12222