Higher Levels Of Spiritual Well-being Research Articles

The Relationship Between Preparedness for Caregiving and Spiritual Well-Being in the Carers of Stroke Patients: A Case Study in Türkiye.

This study was conducted to determine the relationship between preparedness for caregiving and spiritual well-being in the carers of stroke patients. This descriptive and cross-sectional study was conducted with 130 primary carers of patients hospitalized with the diagnosis of stroke at the neurology clinic of a hospital. It was determined that the participants had moderate levels of preparedness for caregiving, they had high levels of spiritual well-being, and there was a positive significant relationship between these two variables. According to the regression analysis results, the spiritual well-being level of the participants was a predictor of their preparedness for caregiving (B: 0.144, p < 0.001). The results of this study demonstrated that the spiritual well-being of the carers of stroke patients is important in increasing preparedness for caregiving. In this context, to ensure that the carers of all stroke patients feel prepared for the caregiving process, it is recommended to evaluate their preparedness levels, support them in their preparation for their caregiving roles, and identify their spiritual needs.

Quality of Life in Patients With Well-Differentiated Thyroid Carcinoma After Total Thyroidectomy in Greece.

Well-differentiated thyroid cancer is among the most common types of endocrine cancer. Despite its increasing prevalence, the prognosis of thyroid cancer is rather good, with a five-year survival rate ranging between 80% and 90%, depending on the histological type. Not only the post-treatment complications and the side effects of the lifelong medicationbut also the possibility of a recurrence may have a negative impact on the patient's quality of life (QoL). The aim of this study is to investigate the impact of total thyroidectomy on the QoL of patients with well-differentiated thyroid carcinoma. A prospective study was performed in patients who underwent total thyroidectomy due to well-differentiated thyroid carcinoma in the Otolaryngology-Head and Neck Surgery Department at the University Hospital of Larissa, Greece. The QoL was evaluated based on the "Quality of Life (Thyroid Version)" questionnaire. One hundred patients participated in the study, with a mean age of 51.24±15.33 years. Of these, 63 (63%) were females and 37 (37%) were males. Social concerns, physical well-being, and psychological well-being presented a gradual positive alteration during the first 12 months after the surgery, with psychological well-being reporting the most significant progress of 15.3%. However, spiritual well-being appeared to decline over time. The younger patients progressively improved their physical, psychological, and mental well-being; however, the older patients showed an amelioration of their social skills. Female patients reported higher levels of spiritual well-being, whereas males developed better social skills. In the long term, total thyroidectomy can ameliorate patients' physical status, psychological well-being, and social concerns. However, it might have a negative effect on their mental health during the first 12 months postoperatively. In addition, QoL is directly influenced by demographic characteristics such as age and gender.

EVALUATION OF THE RELATIONSHIP BETWEEN SPIRITUAL WELL-BEING AND SURGICAL FEAR IN LIVER TRANSPLANT CANDIDATES

This study was conducted to evaluate the relationship between spiritual well-being and surgical fear in liver transplant candidates. This study is a cross-sectional study conducted with 124 liver transplant candidate patients admitted to a university liver transplant center. Personal Information Form, Spiritual Well-Being Scale (SWBS) and Surgical Fear Scale (SFS) were used to collect data. It was determined that the patients’ spiritual well-being was 24,59 ± 9,20 and their surgical fear was 40,11 ± 10,94. In the study, it was determined that there was a statistically negative correlation between the patients’ spiritual well-being and surgical fear (r=-0.248, p˂0.05). This study proved that liver transplant candidates with high levels of spiritual well-being have lower levels of surgical fear. For this reason, awareness of spiritual well-being should be developed in healthcare professionals and it is recommended that they provide healthcare services that provide moral and social support to patients.

Investigation of the Relationship Between Spiritual Well-Being, Prenatal Stress and Attachment Level of Turkish Women Conceiving Spontaneously or with Assisted Reproductive Techniques.

The aim of the study is to examine the relationship between spiritual well-being, prenatal stress and attachment level of Turkish women conceiving spontaneously or with assisted reproductive techniques (ART). The comparative descriptive study type was conducted between November 2021 and June 2022 with 202 pregnant women, including 87 women conceiving with ART and 115 women conceiving spontaneously, who applied for routine prenatal care checkup in a state hospital in the west of Turkey. Both groups have a high level of spiritual well-being. Pregnant women in the ART group experience higher prenatal distress (9.6% for spontaneous, 12.6% for ART, p = 0.487) and low level of attachment (69.72 ± 7.98 for spontaneous, 66.24 ± 8.88 for ART, p = 0.006) compared to the other group. Additionally, as insufficient partner involvement in the prenatal process increases in pregnant women in both groups, prenatal attachment decreases. It is extremely important that midwives and nurses evaluate the spiritual well-being of pregnant women and provide holistic care in line with their spiritual needs.

Differences in the Spiritual Welfare Levels of the Elderly Who Have Spouses and Without Spouses

Introduction: Most of the elderly who have spouses have a high level of spiritual well-being, but some also have moderate and low levels of spiritual well-being. This is also experienced by the elderly who do not have a life partner, some have moderate and low levels of spiritual well-being, but some also have high levels of high spiritual well-being. Purpose: this study aims to determine the difference in the spiritual well-being of the elderly who have a spouse and without a spouse. Place of Research: Rejosari Health Center Working Area. Methods: This study used a quantitative design using a comparative study method. The approach used was cross sectional. Results: There is no difference in the level of spiritual well-being of the elderly who have a spouse and without a spouse (Sig. (2-tailed) = 0.228, 0.05). Conclusion: There is no difference in the level of spiritual well-being of the elderly who have spouses and those without spouses. Suggestion: Future researchers can examine the factors that affect the spiritual well-being of the elderly with or without a spouse.

The effect of spiritual well-being on compassion fatigue among intensive care nurses: A descriptive study

ObjectivesThis study aimed to determine the effect of spiritual well-being of intensive care nurses on compassion fatigue. MethodsIt is a descriptive study. The sample of the study was composed of 167 nurses who were working in the intensive care units of the hospitals in Turkey. Data were collected by using “Personal Information Form”, “The Spiritual Well-Being Scale” and “The Compassion Fatigue-Short Scale” between July and October 2022. Descriptive statistics, t-tests, correlation, and simple regression analysis were used to analyse data. Findings35% (n = 59) of the participants were between 22 and 27 years old; 73% (n = 122) were females; 67% (n = 112) had an undergraduate degree; 57% (n = 96) had an experience of 1 to 5 years in the intensive care. It was determined that intensive care nurses had a moderate level of compassion fatigue and a high level of spiritual well-being. Although especially the educational levels of the nurses contributed to their level of spiritual well-being, a younger age and being single and less experienced in the nursing profession and intensive care were identified as significant factors in determining compassion fatigue. Nurses' Spiritual Well-Being Scale mean score was 113.89 ± 15.50. The mean score of the Compassion Fatigue Scale was 60.15 ± 29.24. A positive correlation was found between the Spiritual Well-Being and the Compassion Fatigue Scales (ß = 0.358, p = 0.000). ConclusionsAlthough intensive care nurses have a high level of spiritual well-being in general, they experience a moderate level of compassion fatigue. Younger and less experienced nurses should get more attention in intensive care units against compassion fatigue. Implications for clinical practiceManagement of feelings of compassion can be a protective factor for compassion fatigue and can be used as a prevention strategy in the context of improving mental well-being among intensive care nurses. Awareness and knowledge of nurses on spiritual needs should be enhanced.

The Role of Spirituality and Social Support in Iranian Elderly Happiness: A Cross-sectional Study

Background: Spiritual well-being and social support are important factors in reducing loneliness and depression, improving the quality of life, and successful aging in elderly people. This study aimed to investigate the relationship between spiritual well-being, social support, and happiness among elderly people. Methods: This cross-sectional research was performed on 434 elderly people recruited from the health centers of Saveh University of Medical Sciences in Iran. Eligible participants who matched the selection criteria were selected through a multi-stage random sampling method. Socio-demographic information, the Spiritual Well-Being Scale, social support, and the Oxford Happiness Scale were used as tools for data collection. Finally, all data were analyzed by SPSS, and a multiple linear regression analysis was employed to determine factors associated with happiness. Results: The mean scores of happiness, spiritual well-being, and social support were 64.0±13.2, 96.4±18.6, and 42.8±10.9, respectively. Overall, 211 (48.6%) elderly people had high levels of spiritual well-being. The findings indicated that 43% (R2=0.43) of the variance of change in happiness could be attributed to spiritual health, social support, and socio-demographic variables, including membership in non-governmental organizations, age, underlying disease status, marital status, and physical activity. Conclusion: Spiritual well-being and social support play an important role in elderly happiness. The results of the current study might be considered a basis for planning health promotion programs among the elderly. It is recommended that authorities assist in meeting the social and spiritual needs of the elderly to increase their overall happiness.

The Effects of the Spiritual Well-Being Levelsof Surgical Nurses on Care Satisfaction in Liver Transplant Recipients After Transplantation: The Case of a Turkish Sample.

This study examined the effects of the spiritual well-being levels of surgical nurses on care satisfaction in liver transplant recipients after transplantation. The sample in this cross-sectional study consisted of 69 surgical nurses working in the organ transplant centre of a research and training hospital in Turkey and 79 liver transplant recipients. The data of this study were collected between 1 August 2020 and 30 August 2021. The "Three-Factor Spiritual Well-being Scale" and the "Newcastle Satisfaction with Nursing Scale" were used for data collection. A statistically significant relationship was found between the spiritual well-being levels of the surgical nurses and the care satisfaction levels of the transplant recipients. Surgical nurses should be capable of treating patients holistically and be knowledgeable enough to support the mental health of patients. High levels of spiritual well-being in surgical nurses contribute to increased satisfaction with care among organ transplant recipients.

The mediating role of psychological capital in relations between spiritual well-being and mental health among nursing students

BackgroundNursing students face mental and emotional issues due to the nature of their profession. The role of protective factors such as psychological capital and spiritual well-being is vital in improving mental health. This study investigated the mediating role of psychological capital as a mediator in the relationships between spiritual well-being and mental health in Iran.MethodsThe present study was descriptive, cross-sectional research conducted on 426 undergraduate nursing students within a four-year educational program in Iran from July to December 2021. The participants were selected via convenience sampling. This research used psychological capital scale, spiritual well-being, and general health questionnaire. The collected data were then analyzed using descriptive tests, Pearson correlation, and a structural equation model.ResultsSpiritual well-being positively affects mental health and psychological capital. Psychological capital also is positively related to mental health. Psychological capital partially mediated the effect of spiritual well-being on mental health.ConclusionAccording to the results, High level of spiritual well-being can improve nursing students' mental health and the relationship is partially mediated Psychological capital. Therefore, psychological capital is an important factor in improving nursing students’ mental health.

Mindfulness in Patients with Cancer is Predictive of Their Partners’ Lowered Cancer-Related Distress: An Actor-Partner Interdependence Model of Spirituality and Mindfulness in Dyads Facing Cancer

The present study draws attention to the significance of considering mindfulness and spiritual well-being on cancer-related distress through the bidirectional framework among couples with cancer. We analyzed dyadic data collected from 80 couples (N = 160) with cancer using the actor-partner interdependence model (APIM) to examine the within-person (actor effects) and between-partner (partner effects) associations among links between mindfulness, spiritual well-being, and dyadic cancer-related distress. APIM allowed us to identify differences in the dyadic associations of spirituality and mindfulness in patients with cancer and their partners, such that spirituality only displayed an actor effect for the patient whereas patients’ own mindfulness showed both actor and partner effects in relation to cancer-related distress. In other words, spirituality seemed to only play an important role in patients’ own cancer-related distress, with higher levels of spiritual well-being predicting lower levels of distress in patients. On the other hand, patients’ own mindfulness was not only significantly related to their own cancer-related distress, but also significantly associated with their partners’. Findings underscore the need to adopt dyadic approaches while analyzing distress in couples, especially in couples who are dealing with cancer and are uniquely codependent in that partners also act as caregivers for patients with cancer.

The Relationship Between Psychache and Suicide Risk With Spiritual Well-Being Levels of Patients Diagnosed With Depression.

BACKGROUND: Depression has long been accepted as a serious disability and burden globally, while suicide is a misunderstood and complex cause of death. Psychache is the psychological variable most strongly associated with suicidality. Spirituality is considered an important buffer against stressful events and may help people overcome distress and difficulties. AIMS: This study aims to determine how psychache and suicide risk are related to levels of spiritual well-being in patients with depression. METHODS: Data were collected using the Suicide Probability Scale, the Psychache Scale, and the Spiritual Well-Being Scale. The sample study consisted of 150 Turkish patients diagnosed with depression and receiving psychiatric care. RESULTS: It was found that higher level of spiritual well-being led to decreased risk of suicide and lower level of psychache. Suicide risk increased in parallel to the increasing levels of psychache (p < .001). CONCLUSIONS: It was observed that higher levels of spiritual well-being may promote a significantly lower risk of suicide and lower levels of psychache. Likewise, increasing levels of psychache may lead to an increase in suicide risk.

MELANSIA: PEMBERDAYAAN LANSIA ANTI-STRES DI PANTI WERDHA DENGAN METODE BERKEBUN TANAMAN HERBAL

Health care for elderly must be aimed for maintaining a productive and healty life. Unfortunately, most of the activities carried out by the nursing home are restricted, it's causing the elderly being less activities. Planting is one of the activites that can be overcome the issue. Planting activities can be used as an intervention technique and connection to nature that is used as a therapy and rehabilitation program. The aimed of this program is to empower the elderly for stay healthy and productive through the planting of herbal plants. This program was carried out at the Tresna Werdha Social Home, Budi Mulia 3, South Jakarta which was held from June to September 2021 by blended (offline : online = 60 : 40). This program includes 10 series of activities that is consist of planting herbal plants, education, and nutrition consultation. This program was followed by 16 participant which is 13 female and 3 male elderly and including nursing home staff. Based on the results of the activity, there was a significant increase in the proportion of the elderly with a high level of spiritual well-being up to 88%. It can be concluded that Melansia is a solution in anti-stress training for elderly during the pandemic through farming herbal plant activities that are proven to reduce stress levels in the elderly, and can increase the level of spiritual well-being and physical activity of the elderly.

Spiritual Well-Being among Medical and Nonmedical Science Students.

Spiritual well-being is one dimension of health that provides a person with stability, meaning, fulfillment in life, and self-belief. This study aimed to compare the spiritual well-being among students of Kerman University of Medical Sciences and the Shahid Bahonar University of Kerman. With the demographic questionnaire and 20-item spiritual well-being scale of the “Paloutzian and Ellison” questionnaire, a cross-sectional study was conducted on 626 students of the universities of medical and nonmedical sciences by the quota sampling method in Kerman in 2017-2018. The scores of spiritual well-being and its two components were significantly higher in nonmedical science students (89.83 ± 16.79) than in the medical science students (81.61 ± 15.21) (p < 0.05). In addition, one percent of the nonmedical science students had a low level, 67.7% had a moderate level, and 31.3% had a high level of spiritual well-being. 0.3% of the medical science students had a low level, 84% had a moderate level, and 15.7% had a high level of spiritual well-being. Since spirituality is important for the profession of medical science students, it may be necessary to expand this component in their curriculum.

Loneliness, Death Perception, and Spiritual Well-Being in Adult Oncology Patients.

Holistic nursing care requires taking into consideration the spiritual and emotional dimensions of the patient. The aim of this study was to determine the relationships among loneliness, death perception, and spiritual well-being in adult oncology patients. This cross-sectional, descriptive-correlational study was conducted between March 20, 2018, and September 20, 2018. A total of 347 oncology inpatients participated in this study. Data were collected using the UCLA Loneliness Scale (UCLA-LS), the Personal Meanings of Death Scale, and the Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp). A significant negative relationship was found between UCLA-LS total scores and FACIT-Sp total scores (r = -0.217, P < .01). Positive significant relationships between FACIT-Sp total scores and the Afterlife (r = 0.425, P < .01), Motivation/Legacy (r = 0.468, P < .01), and Extinction (r = 0.337, P < .01) subdimension scores of the Personal Meanings of Death Scale were also found. Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale total scores were affected by age (B = -0.158), having graduated from a university (B = -7.859), living in the city center (B = -5.607), current diagnosis (B = -0.416), surgical treatment (B = -5.291), and receiving chemotherapy (B = 5.304). The UCLA-LS scores were unrelated to the sociodemographic and clinical characteristics of the patients (P > .05). Oncology patients experience moderate levels of loneliness, which decrease as their spiritual well-being levels increase. Patients with higher levels of spiritual well-being were found to attribute more positive meanings to death. Spiritual well-being, loneliness, and death perception should be periodically evaluated in oncology patients, and appropriate nursing interventions should be planned.

Associations of religiosity and spiritual well-being with appearance concerns after head and neck cancer surgery.

To investigate whether religiosity and spiritual well-being are associated with appearance concerns among people with visible sequelae due to cancer surgery in the head and neck region. A cross-sectional study was carried in 202 adult patients in a referral hospital for cancer treatment in Midwest Brazil. Data on sociodemographic, psychosocial and clinical aspects and cancer-related behaviours were collected through interviews, clinical examination and medical records. The outcome was the patients' appearance concerns (Derriford Appearance Scale-DAS24). The independent explanatory variables were religiosity (Duke University Religiousness Index-DUREL) and spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale-FACIT-Sp12). Data were analysed using Pearson's chi-square and Poisson regression. Most of the participants were male (76.2%), and mean age was 58.6years (SD=11.6). The scores of appearance concerns (DAS24) ranged from 21 to 75 (median=33.0). In the bivariate analysis, appearance concerns were associated with spiritual well-being (FACIT-Sp12), degree of disfigurement and treatment with radiotherapy/chemotherapy. Religiosity (DUREL) was not associated with the outcome. In the adjusted regression model, a lower prevalence of appearance concerns was found among patients with higher levels of spiritual well-being (PR=0.86; CI=0.79-0.94), males (PR=0.87; CI=0.79-0.95), those with lower degrees of disfigurement (PR=0.89; CI=0.82-0.98) and those who had no treatment with radiotherapy/chemotherapy (PR=0.83; CI=0.72-0.94). High spiritual well-being was independently associated with lower levels of appearance concerns in people with visible sequelae due to cancer surgery in the head and neck region. Understanding the role of this psychosocial determinant may help in the coping process.

Spiritual Well-Being and Its Association with Coronary Artery Disease.

Cardiovascular diseases are the main cause of mortality in the world, generating important socioeconomic and cultural impacts. Spirituality has been associated with the main risk factors for acute myocardial infarction, influencing lifestyle, and drug treatment compliance. Estimate the level of spiritual well-being and its association with coronary artery disease. We conducted a case-control study with 88 adults (42 cases and 46 controls) individually interviewed. Using a spiritual well-being scale and collecting socioeconomic and demographic information. We compared groups by Chi-square and Mann-Whitney tests. Friedman's analysis of variance was used to evaluate the differences between the values assigned to the scale items in each group. Statistically, there was no significant difference between categories and levels of spiritual well-being in any of the groups. Both had high rates, driven by the high level of religious well-being. There was no difference between the rates attributed to the items on the subscale of religious well-being, in the case or control groups (p = 0.959 and p = 0.817). However, the existential well-being subscale revealed variability between the scores attributed to each item in both groups (p < 0.001). The results revealed a high level of spiritual well-being in the analyzed sample. There was no correlation between the levels of spiritual, religious, and existential well-being with coronary artery disease, possibly due to the reduced ability of the religious well-being subscale to discriminate between groups.

Psychological Symptoms in Patients on Dialysis and Their Relationship with Spiritual Well-Being.

AIMThis study was examined the prevalence of psychological symptoms in patients on dialysis and their relationship with spiritual well-being.METHODThis descriptive study was conducted in Iran, and the sample consisted of 150 patients on hemodialysis. The data were collected using a checklist for demographic variables; Depression, Anxiety and Stress Scales 21; and Palutzian & Ellison Spiritual Well-being Scale.RESULTSAmong the 150 participants in this study, 57.3% were female, and the others were male. The mean age of the participants was 44.6 years. The mean scores of depression, anxiety, and stress in the studied patients were 17.3, 17.6, and 19.3, respectively. The mean of the total score of spiritual well-being was 75.02±9.1. The results showed that there was a reverse and significant correlation between the total score of spiritual well-being and the levels of stress (r= −0.265, p<0.001), anxiety (r= −0.243, p<0.003), and depression (r −0.281, p<0.001).CONCLUSIONDepression, anxiety, and stress were highly prevalent in patients undergoing hemodialysis; all three had a strong relationship with the patients’ level of spiritual well-being. In other words, patients with higher levels of spiritual well-being showed lower psychological symptoms.

The Relationship of Mother's Spiritual Well-being and Forgiveness with Mother-to-infant Attachment in Women Referring to Maternity Hospital Affiliated to Shiraz University of Medical Sciences

Background: The mental health of the mother has a great influence on the health of her fetus. Objective: The aim of this study was to investigate the relationship between the mother's spiritual well-being and forgiveness with maternal-fetal attachment (MFA). Methods: This is a descriptive-analytic cross-sectional study. A sample of 200 female participants was selected by applying a simple sampling method among the mothers hospitalized in 3 clinics during the period of 2017-2018. The Paloutzian and Ellison Spiritual Health and Pollard &amp; Anderson Forgiveness Questionnaires were used toassess the correlation between the spiritual health and forgiveness of the mother with MFA. Results: The relationship between attachment parameters including sentimental and emotional behaviors (r = 0.365, p = 0.0001), near-proximity-keeping behaviors (r = 0.261, p = 0.002), care behaviors (r = 0.339, p = 0.0001), mother’s attention to baby (r = 0.19, p = 0.026), versus all attachment behaviors (r = 0.349, p = 0.0001) and high level of spiritual well-being was significant, whereas the relationship between the mother’s forgiveness score and all the attachment components was not meaningful. However, the high level of forgiveness score was significant with all of the attachment components (p&lt;0.0001). Conclusion: There was a significant relationship between the mother’s mental health and forgiveness and the attachment versus its components. It is recommended that in order to reduce the stress level and promotion of MFA, training courses for spiritual programs and mechanisms for the creation of forgiveness should be scheduled in the pregnancy plans.

The Relationship between Resilience Quotient, Social Support and Spiritual Well-Being of Caregivers of Patients with Hemiplegia

Objective: There are three main objectives of this study. The first is to study the levels of resilience quotient, social support and spiritual well-being of caregivers of patients with hemiplegia. The second is to study the relationship between resilience quotient and spiritual well-being of caregivers to patients with hemiplegia. The third objective is to study the relationship between social support and spiritual well-being of caregivers of patients with hemiplegia.Methods: The sample of this study is composed of 170 caregivers of patients with hemiplegia who received treatment at the Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital. Data for this study were collected using a psychological questionnaire, and then by adopting analytical statistics, which are percentage, mean, standard deviation and Pearson’s Product Moment Correlation Coefficient.Results: After data collection and analysis, caregivers of patients with hemiplegia were found to have relatively high levels of resilience quotient and social support. Moreover, they have a high level of spiritual well-being. Taken together, these results suggest that there is a positive correlation between resilience quotient and the spiritual well-being of caregivers of patients with hemiplegia, with statistical significance at the .01 level. There is also a positive correlation between social support and the spiritual well-being of caregivers of patients with hemiplegia, with a statistical significance at the .01 level.Conclusion: This research results can be used as a guideline for efforts to enhance the resilient quotient, social support and spiritual well-being of caregivers by providing knowledge, information and caregiving equipment to them. Moreover, caregivers should be encouraged to enjoy their free time by engaging in creative activities and religious activities, which are believed to help increase mental peace.

The influence of spirituality on decision-making in palliative care outpatients: a cross-sectional study

BackgroundDecision-making in palliative care can be complex due to the uncertain prognosis and general fear surrounding decisions. Decision-making in palliative care may be influenced by spiritual and cultural beliefs or values. Determinants of the decision-making process are not completely understood, and spirituality is essential for coping with illness. Thus, this study aims to explore the influence of spirituality on the perception of healthcare decision-making in palliative care outpatients.MethodsA cross-sectional study was developed. A battery of tests was administered to 95 palliative outpatients, namely: sociodemographic questionnaire (SQ), Decisional Conflict Scale (DCS), Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-Sp), and a semi-structured interview (SSI) to study one’s perception of spirituality and autonomy in decision-making. Statistical analyses involved descriptive statistics for SQ and SSI. The Mann-Whitney test was used to compare scale scores between groups and correlations were used for all scales and subscales. The analysis of patients’ definitions of spirituality was based on the interpretative phenomenological process.ResultsSpiritual wellbeing significantly correlated with greater levels of physical, emotional and functional wellbeing and a better quality of life. Greater spiritual wellbeing was associated with less decisional conflict, decreased uncertainty, a feeling of being more informed and supported and greater satisfaction with one’s decision. Most patients successfully implemented their decision and identified themselves as capable of early decision-making. Patients who were able to implement their decision presented lower decisional conflict and higher levels of spiritual wellbeing and quality of life. Within the 16 themes identified, spirituality was mostly described through family. Patients who had received spiritual care displayed better scores of spiritual wellbeing, quality of life and exhibited less decisional conflict. Patients considered spirituality during illness important and believed that the need to receive spiritual support and specialised care could enable decision-making when taking into consideration ones’ values and beliefs.ConclusionThe impact of spiritual wellbeing on decision-making is evident. Spirituality is a key component of overall wellbeing and it assumes multidimensional and unique functions. Individualised care that promotes engagement in decision-making and considers patients’ spiritual needs is essential for promoting patient empowerment, autonomy and dignity.