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5 results

  • Validity and reliability of the Spiritual Health Scale-Short Form for Turkish nursing students

  • Asiye Kartal, Gülbahar Korkmaz Aslan, Eda Kılınç
  • Journal:
    Palliative & Supportive Care / Volume 21 / Issue 2 / April 2023
    Published online by Cambridge University Press:
    10 May 2022, pp. 292-300
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  • Objective

    This study aimed at assessing the validity and reliability of the Turkish version of the Spiritual Health Scale-Short Form (SHS-SF).

    Methods

    The methodological research was conducted with Turkish nursing students (n = 310). The sociodemographic question form and the SHS-SF were used as data collection instruments. The Content Validity Index, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analyses (CFA) were used for the validity of the scale, and Internal Consistency and Cronbach's Alpha reliability coefficient for its reliability.

    Results

    The EFA revealed that five factors accounted for 66.49% of the variance. According to the CFA, the factor loadings for the 24-item scale ranged from 0.40 to 0.91. Goodness-of-fit indices were as follows: χ2/df = 2.39, RMSEA = 0.06, CFI = 0.92, TLI = 0.91, IFI = 0.92. The item-total correlation for the scale items ranged from 0.37 to 0.65. The alpha coefficient for the scale was 0.91.

    Significance of results

    It is important to identify the level of spiritual health of nurses and nursing students with a valid and reliable scale. The SHS-SF was found to be a reliable and valid scale for use in the Turkish language and culture. The scale can be used for evaluating spiritual health levels among Turkish nurses and nursing students. This will provide an opportunity for planning appropriate interventions to improve the spiritual health level of nurses and nursing students.

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

  • Zhangyi Wang, Haomei Zhao, Siai Zhang, Yue Wang, Yajun Zhang, Zhao Wang, Xuechun Li, Luwei Xiao, Yue Zhu, Guanghong Han, Yishan Yan, Jing Wang, Yujing Zhang, Xiaoli Pang
  • Journal:
    Palliative & Supportive Care / Volume 20 / Issue 2 / April 2022
    Published online by Cambridge University Press:
    26 January 2022, pp. 243-254
  • 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.

  • 6 - Building Community, Balancing Public Health and Order

  • Janna Coomans, Universiteit van Amsterdam
  • Book:
    Community, Urban Health and Environment in the Late Medieval Low Countries
    Published online:
    17 August 2021
    Print publication:
    26 August 2021, pp 252-291

  • Summary

    delves more deeply into the role of biopolitics in community formation by studying, via criminal court records, how policy makers in practice connected or associated physical health threats to those to morality and social order. The convergence is particularly clear for three themes: poverty, leprosy and sexuality. These topics convey social groups who were each affected by a vision of a healthy, orderly and prosperous community. Policing the common good through targeting these groups was in many ways the same as performing community: it helped constituting civic conduct and moral leadership. Besides accentuating public health as a factor, the aim of this chapter is to show that the same system of reasoning and perception of community shaped attitudes toward each of these groups or issues. This reasoning was for the most part based on a medical, Galenic worldview, which is best summarised by the notion of dynamic balance. Balance can be understood as a tool in biopolitics, and it worked on two levels: the practical and the metaphorical. Analysing these two levels demonstrates how urban authorities integrated the eradication of sin as a part of their program to protect communal health.

  • 5 - Plague in Urban Healthscapes

  • Janna Coomans, Universiteit van Amsterdam
  • Book:
    Community, Urban Health and Environment in the Late Medieval Low Countries
    Published online:
    17 August 2021
    Print publication:
    26 August 2021, pp 216-251

  • Summary

    uses the biopolitical and socio-environmental perspectives on health constructed in the previous chapters to reinterpret municipal responses to plague. This chapter argues that when Netherlandish cities took action against epidemic spread, they applied pre-existing health policies. It challenges two scholarly biases, namely of crisis and of government. First, actions to prevent spread of the plague are often interpreted as radical innovations, yet many subjects targeted in plague ordinances were usual suspects and recurring problems; already regulated outside the context of plague because they were perceived as posing a (combined) threat to physical and moral communal well-being. Cities employed various strategies, from quarantine and street sanitation to spiritual measures and culling dogs. Secondly, there is a clear need to move beyond a top-down perspective and complicate the playing field of daily dealings with an epidemic through networks of plague care, which are discussed here by focusing on the role of hospitals, medical officials and confraternal caregivers, especially the Cellites.

  • Perspectives on spirituality at the end of life: A meta-summary

  • ANNA-LEILA WILLIAMS
  • Journal:
    Palliative & Supportive Care / Volume 4 / Issue 4 / December 2006
    Published online by Cambridge University Press:
    25 October 2006, pp. 407-417

  • Objective: A meta-summary of the qualitative literature on spiritual perspectives of adults who are at the end of life was undertaken to summarily analyze the research to date and identify areas for future research on the relationship of spirituality with physical, functional, and psychosocial outcomes in the health care setting.

    Methods: Included were all English language reports from 1966 to the present catalogued in PubMed, Medline, PsycInfo, and CINAHL, identifiable as qualitative investigations of the spiritual perspectives of adults at the end of life. The final sample includes 11 articles, collectively representing data from 217 adults.

    Results: The preponderance of participants had a diagnosis of cancer; those with HIV/AIDS, cardiovascular disease, and ALS were also represented. Approximately half the studies were conducted in the United States; others were performed in Australia, Finland, Scotland, and Taiwan. Following a process of theme extraction and abstraction, thematic patterns emerged and effect sizes were calculated. A spectrum of spirituality at the end of life encompassing spiritual despair (alienation, loss of self, dissonance), spiritual work (forgiveness, self-exploration, search for balance), and spiritual well-being (connection, self-actualization, consonance) emerged.

    Significance: The findings from this meta-summary confirm the fundamental importance of spirituality at the end of life and highlight the shifts in spiritual health that are possible when a terminally ill person is able to do the necessary spiritual work. Existing end-of-life frameworks neglect spiritual work and consequently may be deficient in guiding research. The area of spiritual work is fertile ground for further investigation, especially interventions aimed at improving spiritual health and general quality of life among the dying.