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Correlations among spiritual care competence, spiritual care perceptions and spiritual health of Chinese nurses: A cross-sectional correlational study

Published online by Cambridge University Press:  26 January 2022

Zhangyi Wang Open the ORCID record for Zhangyi Wang [Opens in a new window] ,
Haomei Zhao ,
Siai Zhang ,
Yue Wang ,
Yajun Zhang ,
Zhao Wang ,
Xuechun Li ,
Luwei Xiao ,
Yue Zhu  and
Guanghong Han
...Show all authors
Zhangyi Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Haomei Zhao
Affiliation:
Graduate School, Hebei University of Chinese Medicine, Shijiazhuang, HeBei, China
Siai Zhang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yue Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yajun Zhang
Affiliation:
Operating Room, The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
Zhao Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Xuechun Li
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Luwei Xiao
Affiliation:
School of Nursing, University of South China, Hengyang, Hunan, China
Yue Zhu
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Guanghong Han
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yishan Yan
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Jing Wang
Affiliation:
Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, China
Yujing Zhang
Affiliation:
University of Health, Tianjin College, University of Science and Technology Beijing, Tianjin, China
Xiaoli Pang*
Affiliation:
School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China
*
Author for correspondence: Xiaoli Pang, School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China. E-mail: [email protected]
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Abstract

Background

The significance of spiritual care competence among nurses has been emphasized across countries and cultures in many studies. However, there were few studies on correlations among spiritual care competence, spiritual care perceptions, and spiritual health of nurses in China.

Objective

To investigate spiritual care competence, spiritual care perceptions, and spiritual health, and examine the correlations among spiritual care competence, spiritual care perceptions and spiritual health, and the mediating role of spiritual health between other two variables of Chinese nurses.

Methods

A cross-sectional and correlational design was implemented, and the STROBE Checklist was used to report the study. A convenience sample of 2,181 nurses were selected from 17 hospitals in 3 provinces, China. Participants provided data on sociodemographic by completing the Chinese Version of the Spiritual Care Competence Scale, the Chinese Version of the Spiritual Care-Giving Scale, and the Spiritual Health Scale Short Form. Descriptive statistics, univariate, multiple linear regression, and Pearson correlation analysis were used to analyze data.

Results

The total scores of spiritual care competence, spiritual care perceptions, and spiritual health were 58.25 ± 16.21, 144.49 ± 16.87, and 84.88 ± 10.57, respectively, which both were moderate. Spiritual care competence was positively correlated with spiritual care perceptions (r = 0.653, p < 0.01) and spiritual health (r = 0.587, p < 0.01). And spiritual health played a mediating role between the other two variables (accounting for 35.6%).

Significance of results

The spiritual care competence, spiritual care perceptions, and spiritual health of Chinese nurses need to be improved. It is recommended that nursing managers should pay attention to spiritual care education of nurses, and improve spiritual care perceptions and spiritual health in multiple ways, so as to improve their spiritual care competence and to maximize the satisfy spiritual care needs of patients in China.

Keywords

Chinese nursesCorrelational studySpiritual care competenceSpiritual care perceptionsSpiritual health
Type
Original Article
Information
Palliative & Supportive Care , Volume 20 , Issue 2 , April 2022 , pp. 243 - 254
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Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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References

Azarsa, T, Davoodi, A, Khorami, MA, et al. (2015) Spiritual well-being, attitude toward spiritual care and its relationship with spiritual care competence among critical care nurses. Journal of Caring Sciences 4(4), 309–320. doi:10.15171/jcs.2015.031CrossRefGoogle ScholarPubMed
Baldacchino, DR (2011) Teaching on spiritual care: The perceived impact on qualified nurses. Nurse Education in Practice 11(1), 47–53. doi:10.1016/j.nepr.2010.06.008CrossRefGoogle ScholarPubMed
Balducci, L (2019) Geriatric oncology, spirituality, and palliative care. Journal of Pain and Symptom Management 57(1), 171–175. doi:10.1016/j.jpainsymman.2018.05.009CrossRefGoogle ScholarPubMed
Caldeira, S, Timmins, F, de Carvalho, EC, et al. (2016) Nursing diagnosis of “spiritual distress” in women with breast cancer: Prevalence and major defining characteristics. Cancer Nursing 39(4), 321–327. doi:10.1097/NCC.0000000000000310CrossRefGoogle ScholarPubMed
Cao, Y, Kunaviktikul, W, Petrini, M, et al. (2020) Proposing a conceptual framework of spiritual care competence for Chinese nurses. Nursing & Health Sciences 22(3), 498–506. doi:10.1111/nhs.12692CrossRefGoogle ScholarPubMed
Chen, CS, Chan, SW, Chan, MF, et al. (2017) Nurses’ perceptions of psychosocial care and barriers to its provision: A qualitative study. Journal of Nursing Research 25(6), 411–418. doi:10.1097/JNR.0000000000000185CrossRefGoogle ScholarPubMed
Chen, YJ, Lan, J, Dai, L, et al. (2019) Spiritual care competence of nurses and its associated factors. Journal of Nursing Science 34(6), 62–64. doi:10.3870/j.issn.1001-4152.2019.06.062Google Scholar
Cooper, KL, Chang, E, Sheehan, A, et al. (2013) The impact of spiritual care education upon preparing undergraduate nursing students to provide spiritual care. Nurse Education Today 33(9), 1057–1061. doi:10.1016/j.nedt.2012.04.005CrossRefGoogle ScholarPubMed
Deluga, A, Dobrowolska, B, Jurek, K, et al. (2020) Nurses’ spiritual attitudes and involvement-validation of the Polish version of the spiritual attitude and involvement list. PLoS One 15(9), e239068. doi:10.1371/journal.pone.0239068CrossRefGoogle ScholarPubMed
Dhar, N, Chaturvedi, S and Nandan, D (2011) Spiritual health scale 2011: Defining and measuring 4 dimension of health. Indian Journal of Community Medicine 36(4), 275–282. doi:10.4103/0970-0218.91329CrossRefGoogle ScholarPubMed
Dy, SM, Kiley, KB, Ast, K, et al. (2015) Measuring what matters: Top-ranked quality indicators for hospice and palliative care from the American academy of hospice and palliative medicine and hospice and palliative nurses association. Journal of Pain and Symptom Management 49(4), 773–781. doi:10.1016/j.jpainsymman.2015.01.012CrossRefGoogle Scholar
Green, A, Kim-Godwin, YS and Jones, CW (2020) Perceptions of spiritual care education, competence, and barriers in providing spiritual care among registered nurses. Journal of Holistic Nursing 38(1), 41–51. doi:10.1177/0898010119885266CrossRefGoogle ScholarPubMed
Harrad, R, Cosentino, C, Keasley, R, et al. (2019) Spiritual care in nursing: An overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Bio-Medica 90(4-S), 44–55. doi:10.23750/abm.v90i4-S.8300Google ScholarPubMed
Hellman, AN, Williams, WE and Hurley, S (2015) Meeting spiritual needs: A study using the spiritual care competence scale. Journal of Christian Nursing 32(4), 236–241. doi:10.1097/CNJ.0000000000000207CrossRefGoogle Scholar
Hsiao, YC, Chiang, YC, Lee, HC, et al. (2013) Psychometric testing of the properties of the spiritual health scale short form. Journal of Clinical Nursing 22(21–22), 2981–2990. doi:10.1111/jocn.12410CrossRefGoogle ScholarPubMed
Hu, Y, Tiew, LH and Li, F (2019) Psychometric properties of the Chinese version of the spiritual care-giving scale (C-SCGS) in nursing practice. BMC Medical Research Methodology 19(1), 21. doi:10.1186/s12874-019-0662-7CrossRefGoogle ScholarPubMed
Jiao, MR, Hu, YL, Zhang, L, et al. (2020) Effects of spiritual care training on improving nurses’ spiritual well-being and perceptions of spiritual care. Chinese Journal of Modern Nursing 26(4), 435–441. doi:10.3760/cma.j.issn.1674-2907.2020.04.003Google Scholar
Kang, KA, Chun, J, Kim, HY, et al. (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.15638CrossRefGoogle ScholarPubMed
Kannan, S and Gowri, S (2020) Spiritual care: Define and redefine self. Journal of Religion and Health 59(1), 470–483. doi:10.1007/s10943-016-0269-9CrossRefGoogle ScholarPubMed
Kendall, M (1975) Multivaraiate Analysis. London: Charles Griffin & Company limited.Google ScholarPubMed
Lee, YH (2019) Spiritual care for cancer patients. Asia-Pacific Journal of Oncology Nursing 6(2), 101–103. doi:10.4103/apjon.apjon_65_18CrossRefGoogle ScholarPubMed
Li, N, Tian, BJ, Zhao, D, et al. (2017) The current status and research progress in nursing spiritual care education. Chinese Nursing Management 17(2), 188–192. doi:10.3969/j.issn.1672-1756.2017.02.011Google Scholar
Liang, S, Cheng, QQ, Chen, YY, et al. (2016) Research progress in spiritual care education. Journal of Nursing Science 31(3), 94–97. doi:10.3870/j.issn.1001-4152.2016.03.094Google Scholar
Liu, Y, Xu, HT, Hu, Y, et al. (2019) Clinical nurses’ spiritual care competence and its influencing factors. Chinese Journal of Modern Nursing (3), 309–312. doi:10.3760/cma.j.issn.1674-2907.2019.03.012Google Scholar
Liu, Y, Zhang, Y and Zhou, YJ (2020) Spiritual care competence of nurses and its associated factors in aged care facilities. Chinese Nursing Management 20(8), 1220–1224. doi:10.3969/j.issn.1672-1756.2020.08.021Google Scholar
Liu, S, Zhu, LL, Wang, XY, et al. (2020) Spiritual care for patients with chronic heart failure: A literature review. Modern Clinical Nursing 19(2), 55–60. doi:10.3969/j.issn.1671-8283.2020.02.011Google Scholar
Mamier, I, Taylor, EJ and Winslow, BW (2019) Nurse spiritual care: Prevalence and correlates. Western Journal of Nursing Research 41(4), 537–554. doi:10.1177/0193945918776328CrossRefGoogle ScholarPubMed
Markani, AK, Yaghmaei, F and Khodayari, FM (2018) Relationship between oncology nurses’ spiritual well-being with their attitudes towards spiritual care providing based on Neuman system model: Evidences from IRAN. Journal of Caring Science 7(2), 113–118. doi:10.15171/jcs.2018.018CrossRefGoogle Scholar
McSherry, W (2006) Making Sense of Spirituality in Nursing and Health Care Practice: An Interactive Approach. London: Jessica Kingsley Publishers.Google Scholar
Mthembu, TG, Roman, NV and Wegner, L (2016) A cross-sectional descriptive study of occupational therapy students’ perceptions and attitudes towards spirituality and spiritual care in occupational therapy education. Journal of Religion and Health 55(5), 1529–1545. doi:10.1007/s10943-015-0125-3CrossRefGoogle ScholarPubMed
Murgia, C, Notarnicola, I, Rocco, G, et al. (2020) Spirituality in nursing: A concept analysis. Nursing Ethics 27(5), 1327–1343. doi:10.1177/0969733020909534CrossRefGoogle Scholar
Musa, AS (2020) Attitudes toward spiritual care and the provision of spiritual care interventions among Jordanian baccalaureate nursing students: Prevalence and correlates. Nursing Education Perspectives 41(6), 349–354. doi:10.1097/01.NEP.0000000000000637CrossRefGoogle ScholarPubMed
Nolan, TS, Browning, K, Vo, JB, et al. (2020) CE: Assessing and managing spiritual distress in cancer survivorship. American Journal of Nursing 120(1), 40–47. doi:10.1097/01.NAJ.0000652032.51780.56CrossRefGoogle ScholarPubMed
Paal, P, Helo, Y and Frick, E (2015) Spiritual care training provided to healthcare professionals: A systematic review. Journal of Pastoral Care & Counseling 69(1), 19–30. doi:10.1177/1542305015572955CrossRefGoogle ScholarPubMed
Petersen, CL, Callahan, MF, McCarthy, DO, et al. (2017) An online educational program improves pediatric oncology nurses’ knowledge, attitudes, and spiritual care competence. Journal of Pediatric Oncology Nursing 34(2), 130–139. doi:10.1177/1043454216646542CrossRefGoogle ScholarPubMed
Qi, MY, Yan, J, Mao, P, et al. (2019) The current status of spiritual care ability of nursing interns and improvement countermeasures. Chinese Nursing Management 19(4), 563–568. doi:10.3969/j.issn.1672-1756.2019.04.017Google Scholar
Ross, L and Miles, J (2020) Spirituality in heart failure: A review of the literature from 2014 to 2019 to identify spiritual care needs and spiritual interventions. Current Opinion in Supportive and Palliative Care 14(1), 9–18. doi:10.1097/SPC.0000000000000475CrossRefGoogle ScholarPubMed
Ross, L, Giske, T, van Leeuwen, R, et al. (2016) Factors contributing to student nurses'/midwives’ perceived competency in spiritual care. Nurse Education Today 36, 445–451. doi:10.1016/j.nedt.2015.10.005CrossRefGoogle ScholarPubMed
Schultz, M, Meged-Book, T, Mashiach, T, et al. (2017) Distinguishing between spiritual distress, general distress, spiritual well-being, and spiritual pain among cancer patients during oncology treatment. Journal of Pain and Symptom Management 54(1), 66–73. doi:10.1016/j.jpainsymman.2017.03.018CrossRefGoogle ScholarPubMed
Sessanna, L, Finnell, DS, Underhill, M, et al. (2011) Measures assessing spirituality as more than religiosity: A methodological review of nursing and health-related literature. Journal of Advanced Nursing 67(8), 1677–1694. doi:10.1111/j.1365-2648.2010.05596.xCrossRefGoogle ScholarPubMed
Shi, Y, Zhao, YT, Hu, YL, et al. (2020) Correlation between spiritual care competence and spiritual care-giving in oncology nurses. Medicine & Philosophy 41(7), 55–58. doi:10.12014/j.issn.1002-0772.2020.07.14Google Scholar
Silva, G, Reis, D, Miranda, T, et al. (2019) Religious/spiritual coping and spiritual distress in people with cancer. Revista Brasileira de Enfermagem 72(6), 1534–1540. doi:10.1590/0034-7167-2018-0585CrossRefGoogle ScholarPubMed
Tan, JY, Lim, HA, Kuek, NM, et al. (2015) Caring for the caregiver while caring for the patient: Exploring the dyadic relationship between patient spirituality and caregiver quality of life. Supportive Care in Cancer 23(12), 3403–3406. doi:10.1007/s00520-015-2920-5CrossRefGoogle ScholarPubMed
Taylor, EJ, Highfield, MF and Amenta, M (1999) Predictors of oncology and hospice nurses’ spiritual care perspectives and practices. Applied Nursing Research 12(1), 30–37. doi:10.1016/s0897-1897(99)80156-6CrossRefGoogle ScholarPubMed
Tiew, LH and Creedy, DK (2012) Development and preliminary validation of a composite spiritual care-giving scale. International Journal of Nursing Studies 49(6), 682–690. doi:10.1016/j.ijnurstu.2011.11.014CrossRefGoogle ScholarPubMed
van Leeuwen, R, Tiesinga, LJ, Middel, B, et al. (2009) The validity and reliability of an instrument to assess nursing competencies in spiritual care. Journal of Clinical Nursing 18(20), 2857–2869. doi:10.1111/j.1365-2702.2008.02594.xCrossRefGoogle ScholarPubMed
van Nieuw, AJ, Schaap-Jonker, H, Westerbroek, G, et al. (2020) Conversations and beyond: Religious/spiritual care needs among clinical mental health patients in the Netherlands. Journal of Nervous and Mental Disease 208(7), 524–532. doi:10.1097/NMD.0000000000001150CrossRefGoogle Scholar
Veloza-Gomez, M, Munoz, DRL, Guevara-Armenta, C, et al. (2017) The importance of spiritual care in nursing practice. Journal of Holistic Nursing 35(2), 118–131. doi:10.1177/0898010115626777CrossRefGoogle ScholarPubMed
Wang, L, Luo, H, Wen, HG, et al. (2020) The current status and its influencing factors of spiritual care competence of nurses in reproductive center. Chinese Journal of Practical Nursing 36(20), 1560–1564. doi:10.3760/cma.j.cn211501-20190716-01993Google Scholar
Wang, ZY, Pang, XL, Wang, Z, et al. (2021) CiteSpace-based visualization analysis of researches on domestic spiritual care for patients with chronic diseases. Chinese Journal of Practical Nursing 37(17), 1288–1295. doi:10.3760/cma.j.cn211501-20200930-04064Google Scholar
Wei, YY (2021) The impact of spiritual care on the quality of life of advanced cancer patients. Psy 16(18), 157–158. doi:10.19738/j.cnki.psy.2021.18.075Google Scholar
Wei, D, Liu, XY, Chen, YY, et al. (2017) Reliability and validity of Chinese version of spiritual care competence scale. Chinese Nursing Management 17(12), 1610–1615. doi:10.3969/j.issn.1672-1756.2017.12.008Google Scholar
Wu, JJ, Rong, X, Lin, Q, et al. (2020) The status of clinical decision-making consciousness and its influencing factors of nursing nurses in hospice therapy. Guangxi Medical Journal 42(18), 2455–2459. doi:10.11675/j.issn.0253-4304.2020.18.30Google Scholar
Yang, QC, Zhang, H, Hao, N, et al. (2018) Spiritual care competence and its associated factors in oncology clinical nurses of tertiary hospitals. Chinese Journal of General Practice 16(12), 2111–2114. doi:10.16766/j.cnki.issn.1674-4152.000575Google Scholar
Zhao, KS (1997) Understanding of the significance of end-stage cancer patients in Taiwan province. Hospice Care 5, 51–61.Google Scholar