Document Type : Original Article
Authors
Department of Laboratory Sciences, Faculty of Paramedical Sciences, Aja University of Medical Sciences, Tehran, Iran
Abstract
INTRODUCTION: Spiritual health is considered one of the important dimensions of health and has
been given serious attention by the scientific community, World Health Organization, health discourse,
and medical education. However, despite these considerations, there is a controversy in defining
the nature of this category and its dimensions and indicators. The purpose of this study is to identify
the indicators and dimensions of spiritual health for medical students.
MATERIALS AND METHODS: This qualitative study with exploratory approach utilized conventional
content analysis and individual in‑depth interviews with experts in the area of spiritual health and
spirituality in medical sciences selected through purposeful sampling. The study was conducted at
Aja University of Medical Sciences in Tehran in 2018. The semi‑structured interview was a tool used
to achieve data saturation, that interviewed with 19 experts. Member check, credibility, and reliability
were measured to increase the validity and reliability of the results. Inductive content analysis was
used for the analysis of data in three main phases: preparation, organization, and categories and
creating categories.
RESULTS: Based on the findings of the interviews, 52 indicators were identified.Then, the indicators
of spiritual health were identified in the following four categories) relationship with God, relationship
with himself, relationship with others, relation with the environment (and these categories were divided
inthree dimentions (cognitive, attitudes and emotions, behavioral)
CONCLUSION: The findings of the present study showed that in order to have spiritual health, it is
important to pay attention to one’s relationship with God and one’s relationship with oneself, one’s
relationship with others, and one’s relationship with the environment, and it is necessary to pay
attention to it in medical science curricula.
Keywords
Akbari Laleh M. Conceptual definition and practicing spiritual
health: Amethodological study. Med Ethics Quarterly 2012;6:11‑44.
2. Azizi F. Spiritual Health; what, how and why. Tehran: Legal Publishing; 2014.
3. Clements WM, Koenig HG. Aging and God: Spiritual Pathways
to Mental Health in Midlife and Later Years. Published by
Routledge: 2014.
4. Azizi F. Explanation of the spiritual health care at different levels
of prevention. Med History J 2017;8:165‑83.
5. Adib‑Hajbaghery M, Faraji M. Comparison of happiness and
spiritual well‑being among the community dwelling elderly and
those who lived in sanitariums. Int J Community Based Nurs
Midwifery 2015;3:216‑26.
6. Hematti S, Baradaran‑Ghahfarokhi M, Khajooei‑Fard R,
Mohammadi‑Bertiani Z. Spiritual well‑being for increasing
life expectancy in palliative radiotherapy patients:
A questionnaire‑based study. J Relig Health 2015;54:1563‑72.
7. Weathers E, McCarthy G, Coffey A. Concept analysis of
spirituality: An evolutionary approach. Nurs Forum 2016;51:79‑96.
8. Larsen JL. Analysis of the Concept of Spirituality. Dissertation for
the Degree of Doctor of Philosophy in nursing: The University of
Wisconsin‑Milwaukee; 2012.
9. Azizi, F. Spiritual health and medical care. Med History J
2015;6:7‑14.
10. Strauss A, Corbin J. Basics of Qualitative Research. Techniques
and Procedures for Developing Grounded Theory. 2th ed. Sage:
Newbury Park; 1998.
11. Monareng LV. Spiritual nursing care: A concept analysis.
Curationis 2012;35:1‑9.
12. Baljani E, Khashabi J, Amanpour E, Azimi N. Relationship
between spiritual well‑being, religion and hope among patients
with cancer. J Hayat 2011;17:27‑37.
13. Rahimi N, Nouhi E, Nakhaee N. Spiritual health among nursing
and midwifery students at Kerman university of medical sciences.
J Hayat 2013;19:74‑81.
14. Yseminejad P, Golmohammadian M, Yosefi N. Study the
relationship of spiritual health and job Involvement in academic
staff. Quarterly J Career Org Counseling 2011;3:110‑25.
15. Fisher J. Development and application of a spiritual well‑being
questionnaire called SHALOM. Religions 2010;1:105‑21.
16. Chiang YC, Lee HC, Chu TL, Han CY, Hsiao YC. The impact
of nurses’ spiritual health on their attitudes toward spiritual
care, professional commitment, and caring. Nurs Outlook
2016;64:215‑24.
17. Nolan S, Saltmarsh P, Leget C. Spiritual care in palliative care:
Working towards an EAPC task force. Europ J Palliative Care
2011;18:86‑9.
18. Abulghasemi MJ, Abbasi M, Shamsi Gooshki E, Azizi F.
Introduction on Spiritual Health. editors. Tehran: Legal
Publication; 2014.
19. MesbahM, MahkalamR, MoslehiJ, Jahangirzadeh QomiMR. Spiritual
Health from the Perspective of Islam (Concepts, Indicators, Principles).
Tehran; Legal Publication; 2013.
20. Mozafarinia F, Shokravi A, Hydarnia A. Relationship between
spiritual health and happiness among students. Iran J Health
Educ Health Promotion 2014;2:97‑108.
21. Marzband R, Zakavi AA. Indicators of spiritual health based on
Quran perspective. J Med Ethics 2012;6:69‑99.
22. Amiri P, Abbasi M, Gharibzadeh S, Asghari Jafarabadi M,
Hamzavi Zarghani N, Azizi F. Designation and psychometric
assessment of a comprehensive spiritual health questionnaire for
Iranian populations. Med Ethics J 2015;9:25‑56.
23. Hsiao YC, Chien LY, Wu LY, Chiang CM, Huang SY. Spiritual
health, clinical practice stress, depressive tendency and
health-promoting behaviours among nursing students. J Adv
Nurs 2010;66:1612.
24. Tavan H, KhalfzadehA, JamshidbeygiY, Shojaee S, KokhazadehT.
Spiritual health nurses working in hospitals and critical
care departments of Ilam city in 2015. J Res Religion Health
2016;2:46‑53.
25. BonelliRM, Koenig HG. Mental disorders, religion and spirituality
1990 to 2010: A systematic evidence‑based review. J Relig Health
2013;52:657‑73.
26. Rogers DL, Skidmore ST, Montgomery GT, Reidhead MA,
Reidhead VA. Spiritual integration predicts self‑reported mental
and physical health. J Relig Health 2012;51:1188‑201.
27. Ramezani M, Ahmadi F, Mohammadi E. Spirituality in
contemporary paradigms: An integrative review. Evid Based
Care 2016;6:7.