Explanatory Sequential Mixed Methods Design Research Articles

FACE AND POLITENESS IN JAVANESE MULTILINGUAL INTERACTION

Javanese culture is unique since its orientation is to group togetherness, but the language displays the social distance between the conversers. Using a sociolinguistic perspective, this study investigated how Javanese people manage their concerns about self-other and positive-negative face. Linguistic data from a Javanese culture webinar held by Yogyakarta Palace were analysed using the explanatory sequential mixed-method design. The results show that from the most frequent to the least frequent, Javanese people are concerned about enhancing other-positive face (44.34%), other-negative face (39.15%), self-negative face (11.32%), and self-positive face (5.19%). Complimenting, greeting, showing sympathy, and expressing gratitude are their ways to show their concern for the other-positive face. Meanwhile, employing indirect requests and honorifics in Javanese Krama are strategies to enhance the other-negative face. People’s tendency to please others, show respect, and avoid conflict is the underlying reason for their great concern for others’ positive and negative faces. Their reluctance to enhance their self-face is due to their inclination to shame and guilt. Such face management is highly influenced by the cultural norms and values upheld by society. In a forum delivered in Bahasa Indonesia, their strong Javanese identity is represented by the insertion of Javanese honorifics showing deference.

Exploring how Teachers’ Gender Biases and Students’ Self-Efficacy Beliefs Impact Mathematics Instruction

The issue of gender biases among mathematics teachers and the self-efficacy beliefs of students is an intriguing subject. This study sought to explore how teachers' gender biases and students' self-efficacy beliefs impact mathematics instruction in the Adenta Municipality of the Greater Accra Region of Ghana. A sequential explanatory mixed method design was utilized in collecting data from 100 Basic school mathematics teachers and four hundred (400) Junior High School students through a closed-ended questionnaire and semi-structured interview guide. The study discovered that gender-related stereotypes and biases among teachers perpetuated gender-based misconceptions, affecting the self-efficacy of female students who were perceived to be weaker in mathematics. The study recommended comprehensive teacher training and awareness programs to help address gender-related stereotypes and biases in mathematics instruction.

Preventive Practices of Hantavirus in a Rural Community in Panama: An Explanatory Sequential Mixed Methods Study.

Preventive care practices are a challenge in community care. This study examined hantavirus preventive practices and their relationship with personal and social factors, lifestyle, and cultural beliefs. An explanatory sequential mixed methods design, guided by Leininger's Theory of Culture Care Diversity and Universality, was used in two phases: (a) a cross-sectional relational design (n = 109) and (b) ethnonursing research (n = 30), in an endemic community in Panama. Univariate and bivariate analyses were used to analyze the quantitative data, whereas the Leininger's analysis model was used to analyze the qualitative data. In the quantitative phase, the most frequent preventive practice was household hygiene, and the least frequent was vector control. Two of the eight preventive practices were associated with personal factors and two were associated with social factors. In the qualitative phase, lifestyle, beliefs, and context were found to influence the adoption of hantavirus preventive practices and help explain the quantitative findings. Knowledge and understanding of the social and cultural contexts are essential for hantavirus prevention.

Stress-related experiences and intentions to quit studies among female married postgraduate distance education students in Ghana

BackgroundAlthough postgraduate studies have been shown to be associated with stressful experiences, students reading programmes through the distance and e-learning mode experience greater levels of stress due to several reasons. These stressful encounters might be heightened in female married postgraduates on distance education programmes due to other family-work-related engagements. This study investigated the stress-related experiences and intentions to quit studies among female married students on a distance education programme in Ghana.MethodsUsing a sequential explanatory mixed-methods design, 164 married postgraduate distance education students were sampled to participate by responding to a questionnaire. Follow-up interviews were conducted with 10 participants to offer insight into the quantitative findings. Quantitative data were analysed using descriptive statistics, including frequency and percentages, while the qualitative data were thematically analysed.ResultsStress was prevalent among the female married distance education students, with the majority having intentions of quitting their studies. The stressors identified ranged from personal (i.e., work and family demands) to institutional ones (i.e., academic load, unresolved complaints and high financial demands from the programme).ConclusionsKey findings suggest that female married postgraduate distance education students perform multiple roles as full-time employees with family and academic demands that can negatively impact their health and academic work. Implications and recommendations of the findings are discussed.

Development and application of a risk nomogram for the prediction of risk of carbapenem-resistant Acinetobacter baumannii infections in neuro-intensive care unit: a mixed method study

ObjectiveThis study aimed to develop and apply a nomogram with good accuracy to predict the risk of CRAB infections in neuro-critically ill patients. In addition, the difficulties and expectations of application such a tool in clinical practice was investigated.MethodsA mixed methods sequential explanatory study design was utilized. We first conducted a retrospective study to identify the risk factors for the development of CRAB infections in neuro-critically ill patients; and further develop and validate a nomogram predictive model. Then, based on the developed predictive tool, medical staff in the neuro-ICU were received an in-depth interview to investigate their opinions and barriers in using the prediction tool during clinical practice. The model development and validation is carried out by R. The transcripts of the interviews were analyzed by Maxqda.ResultsIn our cohort, the occurrence of CRAB infections was 8.63% (47/544). Multivariate regression analysis showed that the length of neuro-ICU stay, male, diabetes, low red blood cell (RBC) count, high levels of procalcitonin (PCT), and number of antibiotics ≥ 2 were independent risk factors for CRAB infections in neuro-ICU patients. Our nomogram model demonstrated a good calibration and discrimination in both training and validation sets, with AUC values of 0.816 and 0.875. Additionally, the model demonstrated good clinical utility. The significant barriers identified in the interview include “skepticism about the accuracy of the model”, “delay in early prediction by the indicator of length of neuro-ICU stay”, and “lack of a proper protocol for clinical application”.ConclusionsWe established and validated a nomogram incorporating six easily accessed indicators during clinical practice (the length of neuro-ICU stay, male, diabetes, RBC, PCT level, and the number of antibiotics used) to predict the risk of CRAB infections in neuro-ICU patients. Medical staff are generally interested in using the tool to predict the risk of CRAB, however delivering clinical prediction tools in routine clinical practice remains challenging.

Why don't all victims tell teachers about being bullied? A mixed methods study on how direct and indirect bullying and student-teacher relationship quality are linked with bullying disclosure

The study aimed to explore bullying disclosures to teachers from the victims’ point of view, with a special focus on the influence of direct and indirect bullying and student-teacher relationship quality. A sequential explanatory mixed methods design was adopted. First, 190 students with bullying experience completed a questionnaire. Second, 20 students were interviewed. One of several of the findings revealed that students were more inclined to tell a teacher about victimization when bullying was indirect. Bullying and how teachers managed it had an impact on the quality of the student-teacher relationship, but not solely dependent on whether the bullying ended.

Achieving sufficient milk supply supports mothers to cope with premature birth.

To explore whether and how expressing breast milk is perceived as helpful in coping with negative emotions due to premature birth by mothers of very low birth weight (VLBW) infants. Qualitative interviews and a retrospective cross-sectional questionnaire with mothers of VLBW infants were conducted and analysed using an exploratory sequential mixed-method design. Hypotheses were built using qualitative content analysis and quantitatively tested using multivariate regression analysis. Interviews with 12 mothers and questionnaires of 518 mothers were analysed. Coping with prematurity by expressing milk was seen as a way to maintain the caregiving role for the mothers, where three relevant factors arouse: making up for what happened, providing the best for their infant and fear of low milk supply. Quantitative analysis showed that mothers with a high milk supply (Coef. = 1.1, p < 0.000) and more feelings of guilt due to premature birth (Coef. = -0.1; p = 0.015) perceived expressing breast milk significantly more as a resource for coping. This study adds knowledge on how expressing breast milk for their VLBW infant may support mothers in coping with premature birth, by revealing the association with milk supply and feelings of guilt due to premature birth.

Intimate partner violence after childbirth: an explanatory sequential mixed-methods study protocol

BackgroundIntimate partner violence (IPV) is the most common form of violence against women. Postpartum IPV refers to any type of IPV that occurs up to one year after childbirth and has many adverse impacts on mothers and their children. Considering the lack of sufficient information on the prevalence and factors related to IPV after childbirth in Iran, this study aimed to evaluate the frequency and severity of IPV, its different forms, and psychosocial factors related to IPV, as well as to explore how IPV is perceived among mothers one year after childbirth.MethodsAn explanatory sequential mixed-methods design was used to conduct this study in two phases. The first phase is a cross-sectional study that will be performed on postpartum mothers who have a one-year-old child referred to health care centers in the southern region of Tehran, Iran, with the aim of determining the prevalence of IPV and its related factors. The second phase is a qualitative conventional content analysis study with the purpose of exploring women’s experiences and perceptions of IPV and its preventive or protective factors. Purposive sampling will be used. Based on the results of the quantitative phase, mothers who are at the two ends of the IPV spectrum (based on their total Conflict Tactics Scale (CTS-2) scores) will be selected, and in-depth and semistructured interviews will be conducted with them. Finally, the researchers will provide an interpretation of the quantitative results using qualitative data.DiscussionThis is the first study that uses a mixed methods approach to explain different dimensions of IPV, its related factors, and mothers' perceptions of it. By providing a better understanding of this phenomenon, it is hoped that the results of this research will be used by policymakers and officials of educational and cultural systems to plan and provide effective interventions, enact laws, and present educational and cultural programs to prevent IPV after childbirth.Ethical codeIR.TUMS.FNM.REC1400.200.

The Noteworthiness of Constructive Feedback and Student-Reflection to Approach Competence-Based Curriculum: An Explanatory Study of Medical Schools in Indonesia

Background: Competence-based medical curriculum requires the acquisition of complex abilities that should be assessed longitudinally. The programmatic assessment model can facilitate a complete picture of students' competencies. The five components of learning, assessment, supporting activities; and intermediate to final evaluation provide holistic learning experiences for students and mentors to participate in the learning strategies. We aim to assess the application of longitudinal components of the programmatic assessment model to the current assessment system based on student perceptions.Methods: This study used a cross-sectional mixed-method sequential explanatory design at six medical schools in Surabaya, East Java of Indonesia. The instrument was 43 items of validated questionnaire based on the five components and the focus group discussions. Results: This study obtained 442 respondents. The results reflected high reliability with a Cronbach alpha value of 0.969, and the validity test showed R arithmetic &gt; R table (R table 0.128 for n 442). The current assessment system was perceived as ‘good’, with 3.9 on 5 points Likert scale; but the ‘supporting activities’ where reflection and feedback lied; was at the lowest score although insignificant. Students underlined the lack of formative aspects (reflection, feedback, mentorship, and middle evaluation).Conclusion: The overall assessment system is well-perceived by the students; however, the 'supportive activities' component has been minimally applied. So the 'assessment of previous learning' is still prominent in the current assessment system.

THE USE OF TECHNOLOGY IN ENGLISH CLASSESS AT SMA NEGERI 1 GIANYAR: STUDENTS’ AND TEACHER’ PERCEPTION

The purpose of the study was to find out how instructors and students felt about using technology in English classes. A mixed method sequential exploratory design was used in the investigation. The subjects were 228 students in the tenth grade at SMA Negeri 1 Gianyar and one English teacher. The interview guide and questionnaire were used to gather respondents' perceptions in order to meet the research goal. A combination of quantitative and qualitative analysis was used to analyze the data. The results showed that: (1) English teachers saw the use of technology in language instruction favorably because it had a number of positive effects; and (2) students believed that using technology in the language learning process could improve their knowledge and proficiency in the language. It showed that incorporating technology into the English language learning process has several positive effects on EFL students as well as English teachers.

Transfer of training and learner attitude: a mixed-methods study on learner experience in an authentic learning program

ABSTRACT To understand the longstanding issue of low training transfer rates, in this study we explore the understudied role of trainee attitude in an authentic educational training programme comprising participants with diverse international backgrounds. We employed a sequential explanatory mixed-methods design and conceptualised attitude as a multi-dimensional construct (affective, cognitive, behavioural). The multiple regression analysis highlights the significant predictive role of learner attitude, when considering all three dimensions. Spearman’s Rank Correlation analysis underscores the significance of each attitudinal dimension, with varying significance across dimensions. Qualitatively, the cognitive-transfer link was confirmed while behavioural and affective domains had weaker links with transfer according to participants. Additionally, we identified constructs related to individual attitudes and transfer, including motivation, cultural diversity, and multiple situational conditions. Our findings have implications for international audiences and provide recommendations for designing effective training programmes to enhance transfer.

Evaluation of Internal Quality Assurance System in Defence Services Medical Academy: Moving Toward Quality Culture

The escalating number of higher education institutions globally has heightened the demand for credible education policies and quality assurance mechanisms. The establishment of organizations for quality assurance providers and accreditors has become widespread to meet this demand. The Myanmar Medical Council Accreditation Committee (MMCAC) was established in 2016 to ensure the quality and standard of medical practice in Myanmar. Defence Services Medical Academy (DSMA), one of Myanmar’s medical universities, transitioned to an outcome-based integrated program in line with the World Federation for Medical Education (WFME) Basic Medical Education Standards. To evaluate the effectiveness of DSMA’s internal quality assurance system and its progression towards a quality culture, this study explores faculty perceptions and practices regarding the internal quality assurance process. An explanatory sequential mixed method design was adopted, comprising quantitative surveys followed by qualitative in-depth interviews. Pre- and post-test surveys were administered to DSMA faculty members before and after an IQA training workshop. The surveys assessed knowledge, attitudes, and practices related to the internal quality assurance system. Qualitative data was collected through in-depth interviews with selected faculty members to delve deeper into their experiences and perceptions regarding the IQA process. Quantitative analysis revealed an improvement in faculty awareness and attitudes towards the IQA system post-training. However, challenges such as confusion about the functional place of the QA unit and concerns about disturbing academic freedom persisted. Qualitative findings highlighted varying levels of experience and awareness among faculty members, with unanimous recognition of the need to strengthen the IQA framework by adhering to international guidelines and fostering a culture of continuous improvement. Faculty attitudes towards the IQA process varied, with some viewing it as an extra burden and others recognizing its necessity for document organization and quality control. Faculty involvement in the IQA process varied, with departmental leadership playing a crucial role in promoting participation. While progress has been made in raising awareness and improving attitudes towards the IQA system at DSMA, challenges remain, indicating the need for ongoing efforts in awareness-building and perception management. Structural improvements, regular training programs, and ongoing evaluation are essential to strengthening the IQA framework and fostering a quality culture at DSMA. The successful implementation of quality assurance program depends on teamwork amongst leadership, academics, and all stakeholders.

The Development of PJBL-STEAM Learning Design to Improve the Student Creativity in Handling Waste: Utilizing Used Cardboard in Making Simple Miniature ATMs

Students’ creativity in handling waste is important to help them solve mathematical and SBdP concepts, especially operational problems such as building simple miniature ATMs and reusing waste. Therefore, this research is motivated to develop a learning design that increases students’ creativity in handling waste, using the PJBL-STEAM approach as an effective method. The aim of this research is to increase students’ creativity in handling waste. Phase portraits are given using PJBL-STEAM learning. This research uses a sequential exploratory mixed method design, which is characterized by qualitative data collection and data analysis first, and the next stage is quantitative data collection and second data analysis. The research subjects were 28 experimental elementary school students and 26 control students. According to research by Smith and Jones (2018), the project-based learning approach is effective in increasing student engagement and problem-solving skills. They emphasized the importance of combining this approach with aspects of STEAM (Science, Technology, Engineering, Arts, and Mathematics) to increase students’ creativity in solving environmental problems, including waste management. The research method used in the research is the research and development method. This method will be used to develop and test the effectiveness of PJBL-STEAM learning designs that encourage student creativity in handling waste. The evaluation was carried out by observing student performance, evaluating simple miniature ATM products in the form of coins and paper made from used cardboard, and surveying student reactions to learning. The evaluation results will be used to measure the effectiveness of this learning design in increasing student creativity in waste management and recycling used cardboard. It is hoped that the development of the PJBL-STEAM learning design can help students improve their creative abilities in waste disposal and recycling used cardboard. It is hoped that the results of this research can become a reference for educators in the field of innovative learning which aims to develop 21st century skills.

Needs analysis of family caregivers of people living with dementia in Sleman Regency, Yogyakarta.

Without appropriate support, taking care of people living with dementia may become a burden for family caregivers. Identifying the needs for caregivers can help them minimise the burden of caring and meet quality care for people living with dementia. In the first phase, a content validity test was conducted on the Carers' Needs Assessment of Dementia (CNA-D) in the Indonesian version. The second phase, a sequential explanatory mixed-methods design, was conducted on 65 family caregivers in two stages. The first stage was a cross-sectional study. A correlation test between caregiver problems and caregiver burden was conducted. The caregiver problems that were statistically significant were analyzed to reveal the unmet needs. A needs analysis was also conducted on problems experienced by more than half of the caregivers. In the second stage, we conducted a semi-structured individual interview, and thematic analysis was used to analyze the data. The result of the validity test of the CNA-D instrument, Indonesian version, obtained a high value for content validity. The main problem of caregivers is a lack of information about dementia; however, it does not have a significant correlation with caregiver burden. The caregiver problem with the highest correlation to caregiver burden is burnout due to caring. More than 50% of caregivers' needs in Sleman Regency were not met in this research. The most essential needs that were not met were counselling and psychotherapy (83.3%-92%). The personal understanding of dementia, spiritual values in caring, cultural values in caring, barriers to accessing healthcare services, and self-care strategies should be considered in fulfilling family caregiver needs. Most of the needs of family caregivers of people living with dementia in Sleman Regency, Yogyakarta, have not been met. Therefore, it requires collaboration with multi-professionals and all stakeholders to fulfil these needs.

Health research evidence: its current usage in health planning, determinants and readiness to use knowledge translation tools among health planning teams in Tanzania—an exploratory mixed-methods study protocol

IntroductionAchieving universal health coverage requires using research evidence to inform decision-making. However, little information is available on the use of research evidence in planning in lower middle-income countries, including Tanzania....

The use of household items to support online surgical knot-tying skills training: a mixed methods study

BackgroundThis study investigated the perceptions and performance of medical students regarding their engagement and learning of a knot-tying skill presented in an online demonstration format due to the emergency remote measures that accompanied COVID-19 restrictions.MethodsFinal-year undergraduate medical students were invited to view an online demonstration of a one-handed knot-tying skill and practice the skill using common household items. They recorded their attempts and uploaded them onto the Flipgrid application. Completed attempts were scored using an adapted Objective Structured Assessment of Technical Skill (OSATS) validated tool. We used a mixed-methods sequential explanatory design; data regarding students’ engagement was gathered via a short questionnaire, and a Focus Group Discussion (FGD) was conducted to understand their learning experiences better. Descriptive statistics such as proportions and percentages were used to summarize categorical variables and median for continuous variables. Each video attempt was scored independently by two surgeons; reliability was determined using intraclass correlation; statistical tests were conducted at a 5% level of significance. Responses to open-ended survey questions and qualitative data from the FGDs were analysed using thematic analysis.ResultsSeventy-one students participated in the exercise. Most students (91.5%) expressed confidence in their ability to perform the skill and were able to follow the steps in the video demonstration (83.1%). Median number of times needed to practice before video submission was 7.0 (Interquartile range [IQR] 5.0–10.0). Using the adapted OSATS tool; median scores on student attempts were 19.0 out of 21 (IQR: 17.0–20.0) for Assessor 1 and 18.0 out of 21 (IQR: 17.0–20.0) for Assessor 2, and overall scores showed good reliability between assessors based on intraclass correlation (0.86, 95% CI 0.79–0.90, p < 0.001). Qualitative insights from the students’ experiences in learning the skill were generally positive; it was a practical, experiential learning process and they valued the social aspects of learning via Flipgrid. Challenges expressed related to the need for in-person training and formal feedback on how to improve their technique. Suggestions to improve their learning included a request for an interactive session with immediate feedback on attempts, and being able to practice with a friend who would assist with videoing.ConclusionBasic knot-tying can be taught with acceptable efficiency and student satisfaction using online methods with items available at home.

Feedback-based learning from viewpoints of surgical nursing students: A mixed-method study.

Feedback-based learning (FBL) focuses on guiding the learning process according to educational objectives and the student's needs. This study aimed to investigate surgical nursing students' perceptions and explore their experiences of FBL. The present study used a mixed-methods sequential explanatory design that was conducted in the quantitative and qualitative phases. Surgical nursing students participated in the quantitative phase (n = 105). In the first phase, students completed two questionnaires about FBL and clinical feedback. Semi-structured face-to-face interviews were used to collect qualitative data in the second phase. Graneheim and Lundman's inductive approaches were used to analyse the qualitative data. The mean (SD) score for students' perception of FBL was 3.99 ± 0.70. The qualitative results were explored in two themes, "motivational support for improvement" and "unpleasant learning". In this study, the positive and negative aspects of FBL were explained. FBL is perceived as a motivational support mechanism to improve students' capabilities during their academic courses and also prepare them for future careers. Conversely, FBL may experience unpleasant learning due to negative feedback and negative emotions.

Mixed-methods approach to investigating the diffusion of FinTech services: enriching the applicability of TOE and UTAUT models

PurposeThe rapid global use of Financial Technology (FinTech), an innovative and advanced technology, is leading to the replacement of traditional financial services. Despite this, consumers in the United Arab Emirates are still not accepting FinTech services as anticipated. This study aims to investigate the barriers preventing consumers from using FinTech services in the banking industry based on the technology-organisation-environment (TOE) framework and anchored by the unified theory of acceptance and use of technology (UTAUT).Design/methodology/approachThe current study used an exploratory sequential mixed-method design. A purposive sample was used to conduct preliminary semi-structured interviews with ten banking practitioners. These interviews aimed to explore the obstacles that hinder consumers from adopting FinTech services. To provide further empirical validation, the conceptual model has been systematically examined through a quantitative cross-sectional online survey encompassing a sample of 332 bank customers.FindingsThe qualitative investigation highlighted six new barriers to the usage of FinTech based on TOE’s model attributes. Through quantitative data analysis, the preliminary qualitative findings were primarily verified. It was discovered that self-efficacy, electronic word-of-mouth, system quality and bank image substantially influence consumers to use FinTech services, in addition to performance expectancy and facilitating conditions. Meanwhile, IT features and governmental support were found to have insignificant effects. Yet, government support was found to have a positive moderating role in strengthening social influence and system quality towards customer use of FinTech. Thus, the research supports the UTAUT and TOE models’ fitness for explaining FinTech usage with high predictive relevance.Originality/valueThis study is the authors’ pioneering effort to propose a comprehensive research framework that integrates the UTAUT and TOE models to tackle the limited adoption of FinTech services among consumers. Moreover, the study specifically examined the moderating influence of government support to propose an integrated model. Remarkably, this study is one of the initial attempts to investigate the adoption of FinTech using a mixed-methodology approach by incorporating quantitative and qualitative methods within a single inquiry to yield more comprehensive and insightful findings than research that relies on a single method.

Enablers and inhibitors of digitalization as part of continuous improvement

Purpose To deal with an increasingly competitive environment, organizations are combining continuous improvement (CI) practices with digitalization to accrue their benefits on operational performance and achieve operational excellence. The purpose of this study was to identify the enablers and inhibitors of digitalization as part of CI projects. Design/methodology/approach A mixed-methods sequential explanatory research design consisting of an online survey and semi-structured interviews was used to examine how digitalization technologies have been incorporated by organizations in their CI projects. Findings Key enablers of digitalization were found to be leadership capabilities, strategic direction, stakeholder involvement, system compatibility, data quality and giving employees room to experiment. Knowledge of digitalization was found to affect all these enablers. Research limitations/implications The empirical findings are based on a nonprobability sample of Dutch CI practitioners, limiting their generalizability. Practical implications The empirical findings highlight the need for organizations to adopt a structured approach to implementing digitalization as part of their CI projects, starting by ensuring that the necessary knowledge and skills are either present or accessible to the organization. Originality/value The empirical findings show that enablers of digitalization in the context of CI are strongly interlinked, and thus require a holistic approach.

Exploring the Relationship between Spiritual Well-being and Psychological Well-being among Novice Clergy and Senior Priests in Myanmar: A Basis of Development and Implementation of a Psycho-Spiritual Intervention Program

The study explored the in-depth experiences of spiritual well-being and its role on psychological well-being among clergy towards development and implementation of a Psycho-Spiritual Intervention Program. In particular, the study looked into the lived-experiences of spiritual well-being through the quality of relationship that one has within each component of spiritual well-being and its role on psychological well-being among novice clergy and senior priests because novice clergy and senior priests are the most important stages in priestly life. There is a big difference between these two groups in terms of number of years in priestly life, year of ordination, age and occupation. In order to achieve breadth and depth in the understanding of this phenomenon, the researcher employed the explanatory sequential mixed-method design. A total of 271 clergy (135 novice clergy and 136 senior priests) completed questionnaires about spiritual well-being and psychological well-being, 10 novice clergy and 10 senior priests were then selected for in-depth interviews. The results of regression analyses showed that overall spiritual well-being is a significant predictor of psychological well-being among the clergy. Personal component of spiritual well-being alone and environmental component of spiritual well-being alone were significant predictors of psychological well-being among novice clergy and senior priests respectively. The interviews substantiated these results. It further revealed that transcendental and communal component of spiritual well-being still appear in the picture of the relationship between spiritual well-being and psychological well-being among the clergy. These components, however, were manifested in different ways among the novice clergy and the senior priests. The findings specifically showed that the experience of spiritual well-being within the personal component benefits personal growth, environmental control, self-acceptance, purpose in life and emotional stability among the novice clergy. The experience of spiritual well-being in environmental component, on the other hand, benefits peace of mind, self-acceptance and others-acceptance, increased ability of problem-solving skills, increased happiness and a better physical health among senior priests. The implications of the study for clergy, for counseling practice and for future research have discussed.