Barriers to the Provision of Spiritual Care by Nurses for Hospitalized Patients in Jordan

2019 ◽  
Vol 33 (4) ◽  
pp. 392-409
Author(s):  
Ahmad Salem Musa ◽  
Mohammad Ibrahim Al Qadire ◽  
Ma'en Aljezawi ◽  
Loai I. Tawalbeh ◽  
Sami Aloush ◽  
...  

Background and PurposeSpiritual care is an essential part of holistic patient care but is provided infrequently in practice. There is a paucity of research investigating the barriers to the provision of spiritual care among Jordanian nurses. The main purpose of this cross-sectional, correlational study was to identify these barriers and to explore the associations with nurses' personal and professional characteristics. A secondary purpose was to examine the psychometric properties of a newlydeveloped spiritual care barriers instrument.MethodsWe surveyed a convenience sample of Jordanian nurses (N = 282). Participants completed both the Spiritual Well-Being Scale (SWBS) and the Spiritual Care Barriers Scale (SCBS). We conducted an exploratory factor analysis to examine the internal structure of the SCBS, and internal consistency was assessed by Cronbach's alpha.ResultsThe most common perceived barriers were lack of private places (82.3%), absence of an imam (79.8%), insufficient time (78.8%), inadequate skills and competencies (73.7%), lack ofreligious and spiritual facilities and resources in the hospital (71.3%), and insufficient knowledge (71.3%). Nurses' personal spiritual and existential well-being were negatively associated with spiritual care barriers. Head nurses and supervisors reported lower mean scores on perceived barriers than did associate nurses. The SCBS exhibited acceptable evidence of internal consistency and validity.Implications for PracticeThe findings help Jordanian nurse decision makers in practice and education to overcome barriers to the provision of spiritual care to better meet the spiritual needs of Muslim patients.

2019 ◽  
Vol 26 (4) ◽  
pp. 364-372
Author(s):  
Melissa Neathery ◽  
Zhaomin He ◽  
Elizabeth Johnston Taylor ◽  
Belinda Deal

BACKGROUND: Promoting spiritual well-being aids the mental health recovery process. Furthermore, nursing governance bodies and national mental health care regulators support spiritual care as a mental health–promoting approach. Although spiritual well-being is integral to quality of life in people with mental illness, little is known about the psychiatric mental health (PMH) nurses’ provision of spiritual care. AIMS: Spiritual perspectives, frequency of spiritual care, and knowledge of recovery-oriented practice were measured. Variables were explored to identify a model of spiritual care. METHOD: A descriptive correlational cross-sectional design was employed. Analyses of data using descriptive statistics, correlations, and hierarchical multiple regression were conducted with a convenience sample of 171 PMH nurses. RESULTS: Participants scored high on measurement of spiritual perspectives, moderate on measurement of knowledge about recovery-oriented practice, and indicated a moderate degree of frequency of provision of spiritual care. Nurses who viewed themselves as “spiritual and religious” provided more frequent spiritual care and had higher levels of spiritual perspectives than those who viewed themselves as “spiritual but not religious.” Significant contributors to spiritual care were spiritual perspectives and years of experience as a PMH nurse. Knowledge of recovery-oriented practice, however, did not contribute to a model of spiritual care. CONCLUSIONS: Nurses’ spiritual perspectives, religiosity, and years of experience are factors that may explain nurse-provided spiritual care. Findings imply that spiritual and/or religious development may support PMH nurses to provide spiritual care.


2016 ◽  
Vol 35 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Ahmad S. Musa

This study explored the frequency of providing aspects of spiritual care intervention and its association with nurses’ own spiritual well-being in a convenience sample of 355 Jordanian Arab Muslim nurses. The nurses were recruited from different hospitals, representing both public and private health care sectors in northern and central Jordan. A cross-sectional descriptive and correlational design was used. Results indicated that Jordanian Muslim nurses provided religious aspects of spiritual care intervention to their Muslim patients infrequently and that their own spiritual well-being was positively associated with the frequency of provision of spiritual care interventions. The study concluded that Jordanian Muslim nurses most frequently provided spiritual care interventions that were existential, not overtly religious, were commonly used, were more traditional, and did not require direct nurse involvement. Moreover, the findings revealed that spiritual well-being was important to those nurses, which has implications for improving the provision of spiritual care intervention. The study provides information that enables nurses, nursing managers, and nursing educators to evaluate the nurses’ provision of various aspects of spiritual care to their Muslim patients, and to identify aspects of spiritual care intervention where nurses might receive training to become competent in providing this care.


2017 ◽  
Vol 13 (2) ◽  
pp. 269 ◽  
Author(s):  
Omar Ismail Alorani ◽  
Mu’taz Fuad Alradaydeh

Background: University students have increased levels of depression and its complications. Aggression is a serious problem among the university students in Jordan, while spiritual well-being is associated with many psychosocial issues. The purpose of this study was to identify the relationship between depression, aggression, and spiritual well-being among the university students. Methods: A quantitative approach using cross-sectional descriptive-correlation design was used to carry out on convenience sample of 919 students at the University of Jordan. Results:  Almost 55.7% of the university students exhibited some degrees of depression. 51.3% of the students reported high aggression, while 48.7% of the students reported low aggression. The Pearson correlation coefficient test showed positive correlation between depression and aggression (r= .364, p< 0.001), and negative correlation between spiritual well-being and both of depression and aggression (r=-.533, r=-.288, p<0.001) respectively. Conclusions: Depression, aggression, and spiritual well-being were significantly correlated. Psychological counselors, social workers, and teachers at the universities should provide continuous psychological assessment and interventions for the students who reported high levels of aggression and depression. Spiritual well-being should be included in their interventions through various form of community services to enhance the sense of meaning of life, peace, and faith among university students.


Author(s):  
Elizabeth Johnston Taylor

Spiritual care is integral to palliative care. Palliative care patients and their family members often use spiritual coping strategies, and spiritual well-being is a commonly high-ranked pursuit for those at the end of life. Appropriate spiritual care, however, must reflect the spiritual needs and preferences of the care recipient. Thus, numerous approaches to spiritual screening, history-taking, and assessment exist. Whereas the spiritual screening is proposed as a skill and expectation that nurses and others can be trained to complete, the spiritual assessment is the domain of the spiritual care expert—typically, a skilled chaplain. These diverse approaches are described here along with some additional observations that can guide the process.


2019 ◽  
Vol 37 (4) ◽  
pp. 305-313 ◽  
Author(s):  
Clare O’Callaghan ◽  
Davinia Seah ◽  
Josephine M. Clayton ◽  
Martina Welz ◽  
David Kissane ◽  
...  

Background: Spiritual care is integral to palliative care. It engenders a sense of purpose, meaning, and connectedness to the sacred or important and may support caregiver well-being. Aim: To examine caregivers’ spirituality, religiosity, spiritual well-being, and views on spiritual/religious support. Design: A mixed-methods study across 4 Australian sites, recruiting caregivers of patients with a life expectancy of under 12 months. The anonymous semistructured questionnaire used included research team developed and adapted questions examining religion/spirituality’s role and support and views on hospitals supporting spiritual/religious requirements. It additionally included the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12). Results: One hundred nine caregivers participated (47.4% responded). Median spiritual well-being was 30.5 on FACIT-Sp-12. Religious affiliation was associated with higher Faith subscores ( P < .001). Spirituality was very important to 24.5%, religiosity to 28.2%, and unimportant to 31.4% and 35.9%, respectively. Caregivers prayed ( P = .005) and meditated ( P = .006) more following patients’ diagnoses, gaining comfort, guidance, and strength. Caregivers whose spiritual/religious needs were met to moderate/full extent by external religious/faith communities (23.8%) reported greater spiritual well-being ( P < .001). Hospitals supported moderate/full caregiver spiritual needs in 19.3%. Pastoral care visits comforted 84.4% of those who received them (n = 32) but elicited discomfort in 15.6%. Caregivers also emphasized the importance of humane staff and organizational tone in supporting spiritual care. Conclusions: Hospital-based spiritual care providers should seek to identify those who seek pastoral or religiously orientated care. Genuine hospitality of showing concern for the other ensures the varied yet inevitably humanist requirements of the caregiver community are met.


2018 ◽  
Vol 16 (2) ◽  
pp. 350-368
Author(s):  
Henie Kurniawati ◽  
Sofia Retnowati ◽  
Bagus Riyono ◽  
Widyawati Widyawati

This article aims to literature review regarding spiritual care in Islamic culture perspective. Systematic review is done to support knowledge regarding spiritual care. Literature studies from 2007 to 2017 are identified narratively and reviewed critically in Islamic cultural perspectives. The method for literature analysis is using eight steps from Walker and Avant. The findings of this review stated that spiritual care is a dynamic activity to integrate physical, psychological, social, and spiritual aspects. Spiritual care takes the form of spiritual service that is done dynamically and integratively based on divine and human values especially Islamic cultural values. The main services include caring for the sick, identifying spiritual needs, and increasing spiritual well-being. The implications of the findings are to help building policies in nursing and to help nurses in developing positive attitude in applying spiritual care. The conclusion of this literature review produces a comprehensive definition regarding spiritual care and supports spiritual care competency in health in Islamic cultural perspective.


2021 ◽  
pp. 089801012110343
Author(s):  
Shannon O’Connell-Persaud ◽  
Mary J. Isaacson

Study purpose: This study's purpose was to explore nursing students’ spirituality and perceived ability to provide spiritual care. Design and methods: A convergent mixed method, cross-sectional design was used. A convenience sample included traditional nursing students in their second quarter ( n = 53) and final quarter ( n = 43) attending a faith-based university and accelerated final quarter nursing students ( n = 45) attending a private secular university from two accredited nursing programs. Quantitative data were analyzed using a pairwise Spearman rank correlation and multivariate analysis of variance. Open-ended questions were analyzed using content analysis. Results: Quantitatively, as a student's spirituality increases, their perceived ability to provide spiritual care decreases. Qualitative findings revealed three categories: guidance to recognize spiritual needs, empathy and openness, and intertwined with religion. Conclusion: Quantitatively, nursing students reported their spirituality did not influence their perceived ability to provide spiritual care. Yet, qualitatively, students reported their spirituality assisted in their ability to provide spiritual care. However, students were unable to differentiate between spirituality and religion. Colleges of nursing need to ensure students learn the art of holistic nursing, which includes spirituality and religion along with opportunities to apply and reflect on their spirituality and perceived ability to provide spiritual care.


2019 ◽  
Vol 38 (1) ◽  
pp. 68-77 ◽  
Author(s):  
Helga Martins ◽  
Tiago Dias Domingues ◽  
Sílvia Caldeira

Purpose: To assess the spiritual well-being (SWB) of cancer patients undergoing chemotherapy in an outpatient setting. Method: Quantitative, cross-sectional, and descriptive study. A convenience sample of 150 participants was obtained. Data collection instrument was a self-reported questionnaire that included the SWB Questionnaire (SWBQ), whose scores range from 20 to 100. SPSS software, version 21, was used in data analysis. The study was approved by the institutional ethics committee. Results: Patients’ ages ranged between 35 and 83 years; most were female (64.7%), married (68.0%), Catholic (86.7%), and with breast cancer (35.3%) and colorectal cancer (25.3%). The average SWBQ total score was 65.91 ( SD = 12.177). The highest score of the SWBQ was obtained in females, widows and singles, Evangelic and Catholic, and with lower educational level and professional occupation. The Cronbach α was 0.89, and the subscales αs ranged between 0.78 and 0.94. Conclusion: The SWBQ scores were reasonable. These results can guide nurses’ clinical reasoning, as the assessment of SWB may precede the diagnosis of risk for spiritual distress, readiness for enhanced SWB, or spiritual distress. Thus, the use of this instrument may facilitate spirituality being effectively implemented in clinical practice, favoring holistic health care.


2020 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Khrisna Wisnusakti ◽  
Aat Sriati

ABSTRAKTujuan: Penelitian ini bertujuan mengetahui hubungan antara Aspek eksistensial dengan depresi pada lansia. Metode: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan pendekatan korelasional dilakukan secara potong lintang. Populasi pada penelitian ini adalah lansia di Balai Perlindungan Sosial Tresna Werdha (BPTSW) Ciparay Teknik pengambilan sampel dengan total sampling. Jumlah sampel pada penelitian ini 129 responden. Kuesioner untuk mengukur aspek eksistensial menggunakan spiritual well being scale (SWBS), dan untuk mengukur depresi menggunakan Geriatric Depression Scale15 (GDS-15). Uji Korelasi menggunakan Uji Spearman. Hasil: dari 129 responden yang diteliti, tidak depresi 40,3%, depresi ringan 42,6%, depresi sedang 16,3%, dan depresi berat 0,8%. Sedangkan aspek eksistensial 59,7% tinggi, 31,0% sedang, dan 9,3% rendah. Dari hasil uji korelasi terdapat hubungan yang signifikan antara aspek religius dengan derajat depresi pada lansia (p<0,001) dengan korelasi sedang (-0,533). Kesimpulan: semakin tinggi kesejahteraan spiritual lansia maka semakin rendah tingkat depresi lansia tersebut. Diharapkan pihak panti mampu mempertahankan dan lebih meningkatkan kegiatan keagamaan bagi para lansia untuk memenuhi kebutuhan spiritualnya. Lansia harus sering diberi bimbingan dan pengetahuan terutama dalam hal keagamaan. Sehingga lansia diharapkan mampu untuk mengatasi masalah yang dihadapi serta terhindar dari depresi.Kata kunci: Eksistensial, depresi, lansiaThe Relationship Between Spiritual Welfare and Depression in Elderly Citizens in Bptsw East Java ProvinceABSTRACTObjective: The research investigates the relationship between spiritual welfare and depression in elderly citizens. Methods: The study applied the quantitative method by focusing on correlational approaches applied in cross-sectional manner. A total of 129 respondents from the BPTSW Ciparay senior residents took part in this study with the total sampling process. Questionnaires to measure welfare levels using a spiritual well being scale (SWBS) and for measuring depression using Geriatric Depression Scale 15 (GDS-15). Data was analysed with Spearman correlation test. Results: Results showed that from 129 respondents 40,3% respondents were not experiencing depression 42,6% respondents were experiencing mild depression, 16,3% respondents were experiencing medium depression, and 0,8% respondent was with a heavy depression. Regarding their spiritual levels, 59,7% respondents indicated that they were at high level, 31,0% respondents at medium level, and 9,3% respondents at low level. The correlation test showed a relationship between the spiritual level and the level of depression in elderly residents (p<0.001) with a moderate correlation (-0.533). Conclusion: It can be concluded that the spiritual level reciprocates depression levels in elderly citizens. Thus, the results should be a consideration in increasing spiritual activities to fulfill their spiritual needs. So the elderly are expected to overcome the problems encountered and avoid depression.Keywords: eksisitencia, depression, elderly residents


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