Document Type : Original Article

Authors

Abstract

Introduction: How to train nurses to provide spiritual care, as one of the basic competencies
of nursing, based on patient’s perception and culture has been considered highly important.
Although nurses’ training is recommended in this area, few researches have studied the format
of such programs. This study is conducted with the aim of introducing the training course of
spiritual care and determining its effectiveness on nursing students’ self‑efficacy in providing
spiritual care. Materials and Methods: The method of this study was of a pre‑post interventional
research. Senior students (n = 30) of the Shahrekord University of Medical Sciences, passing
the training course in the field, were chosen as the studied sample. Study intervention was the
implementation of the designed curriculum based on nursing books, focusing on providing the
spiritual care for patients. The dependent variable of the study was the students’ self‑efficacy
feeling in providing spiritual care to the patients. A researcher‑made questionnaire, as well as
the pre‑post interventional tests, was used, then, to assess this variable. By means of Statistical
Package for the Social Sciences software, data were analyzed, and the level of significance was
considered at P < 0.05. Findings: The findings of the study showed that self‑efficacy mean score
of nursing students in providing spiritual care in the pretest was 13.74, showing the average level of
perceived self‑efficacy. The students’ self‑efficacy mean, after participating in the training spiritual
care programs, however, changed to 21.1, indicating the increased level of self‑efficacy. Results
of paired t‑test, also, showed that self‑efficacy mean score of the study samples has significantly
increased in the posttest, compared with the pretest. Discussion and Conclusion: According
to these findings, it can be concluded that based on this designated curriculum, students have a
chance of getting acquaintance with some concepts as: Spirituality and spiritual care, identifying the
spiritual needs of patients, and designing a care plan to meet these requirements. These factors,
therefore, have a great impact on students’ effectiveness in providing spiritual care for patients.

Keywords

1. Crisp J, Taylor C, Potter P.A, Perry A.G. Potter and Perry’s
fundamental of nursing. Philadelphia: St Louis; 2005.
2. Sheehan NM. Spirituality and the care of people with life‑threatening
illnesses. Tech Reg Anesth Pain Manage 2005;9:109‑13.
3. Davison SN, Jhangri GS. Existential and supportive care needs
among patients with chronic kidney disease. J Pain Symptom
Manage 2010;40:838‑43.
4. Vachon LS. Meaning, spirituality and wellness in cancer survivors.
Semin Oncol Nurs 2008;24:218‑25.
5. Delgado‑Guay MO, Hui D, Parsons HA, Govan K, De la Cruz M,
Thorney S, et al. Spirituality, religiosity, and spiritual pain in
advanced cancer patients. J Pain Symptom Manage 2011;41:986‑94.
6. Hill PC, Pargament KI. Advances in the conceptualization and
measurement of religion and spirituality. Implications for physical
and mental health research. Am Psychol 2003;58:64‑74.
7. Balboni TA, Vanderwerker LC, Block SD, Paulk ME, Lathan CS,
Peteet JR, et al. Religiousness and spiritual support among
advanced cancer patients and associations with end‑of‑life treatment
preferences and quality of life. J Clin Oncol 2007;25:555‑60.
8. Astrow AB, Wexler A, Texeira K, He MK, Sulmasy DP. Is failure to
meet spiritual needs associated with cancer patients’ perceptions
of quality of care and their satisfaction with care? J Clin Oncol
2007;25:5753‑7.9. Phelps AC, Maciejewski PK, Nilsson M, Balboni TA, Wright AA,
Paulk ME, et al. Religious coping and use of intensive life‑prolonging
care near death in patients with advanced cancer. JAMA
2009;301:1140‑7.
10. Carmody J, Reed G, Kristeller J, Merriam P. Mindfulness, spirituality,
and health‑related symptoms. J Psychosom Res 2008;64:393‑403.
11. Powell LH, Shahabi L, Thoresen CE. Religion and spirituality.
Linkages to physical health. Am Psychol 2003;58:36‑52.
12. Coleman CL, Holzemer WL. Spirituality, psychological well‑being,
and HIV symptoms for African Americans living with HIV disease.
J Assoc Nurses AIDS Care 1999;10:42‑50.
13. Chang BH, Casey A, Dusek JA, Benson H. Relaxation response and
spirituality: Pathways to improve psychological outcomes in cardiac
rehabilitation. J Psychosom Res 2010;69:93‑100.
14. Hubbell SL, Woodard EK, Barksdale‑Brown DJ, Parker JS. Spiritual
care practices of nurse practitioners in federally designated
nonmetropolitan areas of North Carolina. J Am Acad Nurse Pract
2006;18:379‑85.
15. Milligan S. Perceptions of spiritual care among nurses undertaking
postregistration education. Int J Palliat Nurs 2004;10:162‑71.
16. Taylor EJ. What is spiritual care in nursing? Findings from an
exercise in content validity. Holist Nurs Pract 2008;22:154‑9.
17. Baldacchino DR. Teaching on the spiritual dimension in care: The
perceived impact on undergraduate nursing students. Nurse Educ
Today 2008;28:501‑12.
18. McSherry W, Gretton M, Draper P, Watson R. The ethical basis of
teaching spirituality and spiritual care: A survey of student nurses
perceptions. Nurse Educ Today 2008;28:1002‑8.
19. Cavendish R, Luise BK, Russo D, Mitzeliotis C, Bauer M, McPartlan
Bajo MA, et al. Spiritual perspectives of nurses in the United
States relevant for education and practice. West J Nurs Res
2004;26:196‑212.
20. Ross L. Spiritual care in nursing: An overview of the research to
date. J Clin Nurs 2006;15:852‑62.
21. Tiew LH, Creedy DK, Chan MF. Student nurses’ perspectives of
spirituality and spiritual care. Nurse Educ Today 2013;33:574‑9.
22. Sandor MK, Sierpina VS, Vanderpool HV, Owen SV. Spirituality
and clinical care: Exploring developmental changes in nursing and
medical students. Explore (NY) 2006;2:37‑42.
23. Nardi D, Rooda L. Spirituality‑based nursing practice by nursing
students: An exploratory study. J Prof Nurs 2011;27:255‑63.
24. van Leeuwen R, Tiesinga LJ, Middel B, Post D, Jochemsen H. The
effectiveness of an educational programme for nursing students
on developing competence in the provision of spiritual care. J Clin
Nurs 2008;17:2768‑81.
25. Vlasblom JP, van der Steen JT, Knol DL, Jochemsen H. Effects of a
spiritual care training for nurses. Nurse Educ Today 2011;31:790‑6.
26. Raica DA. Effect of action‑oriented communication training
on nurses’ communication self‑efficacy. Medsurg Nurs
2009;18:343‑6, 60.
27. Mullan BA, Kothe EJ. Evaluating a nursing communication skills
training course: The relationship between self‑rated ability,
satisfaction and actual performance. Nurs Educ Pract 2010;10:374‑8.
28. Larsen R, Reif L. Effectiveness of cultural immersion and culture
classes for enhancing nursing students’ transcultural self‑efficacy.
J Nurs Educ 2011;50:350‑4.
29. Jordan K, Church T. A clinical learning experience: Enhancing
baccalaureate nursing students’ self‑efficacy in meeting the psychosocial
needs of clients with dementia. J Nurs Educ 2013;52:171‑4.
30. Mendes IA, Trevizan MA, Ferraz CA, Fávero N. The re‑humanization
of the executive nurse’s job: A focus on the spiritual dimension.
Rev Lat Am Enfermagem 2002;10:401‑7.
31. Louis M, Alpert P. Spirituality for nurses and their practice. Nurs
Leadersh Forum 2000;5:43‑9.