Spiritual Care Competence Scale Research Articles

Association between attitude towards death and spiritual care competence of Chinese oncology nurses: a cross-sectional study

BackgroundsAn understanding of the oncology nurse spiritual care competence would help nurse managers recognize weakness in spiritual practice and improve the quality of spiritual care. But the relationship between attitude towards death and spiritual care competence is unknown.MethodsWe recruited 326 nurses from hospitals in Guangzhou, China. The nurses completed the Chinese Spiritual Care Competence Scale and the Chinese Death Attitude Profile-Revised questionnaires.ResultsThe total score of spiritual care competence was 61.62 ± 16.10. And the lowest score of attitude towards death was for escape acceptance, 2.64 ± 0.82. Factors associated with nurse spiritual care competence were work department, whether trained in spiritual care, approaching acceptance, and escaping acceptance of attitude towards death.ConclusionNurses need to perfect their spiritual care competence and establish positive attitudes towards death.

Nursing Students' Professional Competence in Providing Spiritual Care in Iran.

Providing spiritual care as a dimension of holistic nursing care is a task that requires competent caregivers. The present study seeks to examine the relationship of personal characteristics with perceived competence in Iranian nursing students and their professional competence in providing spiritual care. This cross-sectional study was conducted on all the nursing students at Semnan University of Medical Sciences, Semnan, Iran, using the census method (n = 224). The research sample consisted of 179 students who met the eligibility criteria. Data were collected using the Spiritual Care Competence Scale (SCCS). The mean SCCS score for respondents was 3.66. Using the cutoff point of >3.5, approximately three quarters of respondents (72.1%) perceived themselves to be competent in delivering spiritual care. The scores of competence and its domains were not significantly different in terms of history of participation in ethics training workshops, gender and marital status (P > 0.05). The scores were also not significantly correlated with age, semester and work experience. Although more than 70% of the nursing students perceived themselves competent in providing spiritual care, nursing curriculum planners should seek to promote the spiritual capacity and competence of nursing students in providing spiritual care through education and training.

The relationship between psychiatric nurses' spiritual care practices, perceptions and their competency

PurposeThe research aimed to examine the relationship between psychiatric nurses' spiritual care practices, perceptions and competencies. MethodsThis study was conducted as a descriptive -correlational study. The population of the study consisted of the nurses working at Manisa Mental Health Hospital (N =134). It was intended to contact the whole of the population, and so there was no selection process. Thus, the study sample consisted of 128 nurses, who accepted to participate in the research. Spirituality Spiritual Care Rating Scale used to determine nurses’ perceptions spirituality and spiritual care. Spiritual Care Competence Scale was used to evaluate the nurses’ spiritual care competence. ResultsSpirituality and Spiritual Care Rating Scale of psychiatric nurses item score mean was 3.93 ± 0.49, the Spiritual Care Competence Scale of psychiatric nurses item score mean was 3.54 ± 0.63. There was no significant relationship between two scales (p > 0.05). As a result of multiple regression analysis, psychiatric nurses' which accounts for only 20.1% of spirituality and spiritual care perceptions of feel incompetent about spiritual care. ConclusionPsychiatric nurses' perceptions of spiritual and spiritual care were high, but their competence was at a moderete level. There was no a correlation between nurses' perceptions and competencies of spiritual care.

The relationship between nurses' perceptions and competency about spiritual care and influencing factors.

This study aims to investigate the relationship between nurses' perceptions and their competences in spiritual care and influencing factors. This correlational study was conducted with 700 nurses. The Spirituality and Spiritual Care Rating Scale (SSCRS) was used to determine nurses' spirituality perceptions. The Spiritual Care Competence Scale (SCCS) was used to evaluate the nurses' spiritual care competence. The study results show a significant relationship between the mean item scores of the SSCRS and the SCCS (r = 0.264, p < 0.01). The nurses' perceptions were high, but their competency in spiritual care was at a medium level.

Spiritual Care Competence among Malaysian Staff Nurses

Background: Perceptions and levels of understanding of spiritual care vary among nurses, which may affect their competency to meet the patient’s spiritual needs. Therefore, determining nurses' perception of spiritual care is the first important step in addressing the spiritual needs of patients, and may also help nursing management in developing spiritual care education and training programs.Purpose: This study aimed to assess the competence of Malaysian nurses toward providing spiritual care and identify the relationship between nurses’ spiritual care competence and their sociodemographic factors. Methods: This study employed a cross-sectional design to assess nurses' competence in spiritual care by using a simple random sampling method which involved 271 staff nurses from a public hospital in Northeast of Peninsular Malaysia. Spiritual care competence scale in Bahasa Malaysia version was used for data collection. Data analysis was performed using descriptive (frequency, percent, mean, standard deviation) and inferential (Chi-square and Pearson’s correlation test) statistics.Results: This study showed that 69.7% of staff nurses had an average level of competence toward providing spiritual care for the patients (M=95.44, SD=4.34). The highest mean difference among the domains was personal support and patients counseling (MD=5.789), while the lowest mean difference was assessment and implementation of spiritual care (MD=1.258). Furthermore, there was no significant relationship between spiritual care competence and sociodemographic factors (gender, age, marital status, educational level, nurses' experience, race, religion, and previous participation in training spiritual care programs).Conclusion: The majority of nurses have an average level of competence toward providing spiritual care. There is no significant relationship between nurses’ spiritual care competence and sociodemographic factors.

Competence in providing spiritual care and its relationship with spiritual well-being among Iranian nurses.

BACKGROUND:Competence in providing spiritual care to patients has become an increasingly important aspect of nursing care delivery. However, studies on nurses’ competence in spiritual care delivery and the factors affecting it are very limited. The present study was conducted to evaluate Iranian nurses’ competence in providing spiritual care and its relationship with their Spiritual Well-Being.MATERIALS AND METHODS:The present study is descriptive-analytical research conducted in Bam in the south of Iran between 2016 and 2017. All nurses working in the teaching hospitals affiliated with Bam University of Medical Sciences were invited to participate in the study. For data collection, the Spiritual Care Competence Scale (SCCS) and the Spiritual Well-Being Scale (SWBS) were used. Collected data were then analyzed using descriptive statistics (mean and standard deviation), Pearson correlation coefficient, independent t-test, and one-way ANOVA with SPSS software.RESULTS:In this study, 158 nurses were participated. The result showed that the mean score SCCS and SWBS were 101 ± 12.6, 76.92 ± 13.4, respectively. Pearson correlation test showed a significant and direct relationship between the mean score of SCCS and SWBS (P = 0.001, r = 0.264). The results of this test also showed a significant relationship between all the dimensions of SCCS and SWBS (P < 0.05).CONCLUSIONS:In this study, the nurses had a relatively appropriate competence in providing spiritual care to patients. There was also a significant relationship between the nurses’ spiritual care competency and their spiritual well-being. Given the lack of adequate studies in spiritual care delivery competencies, it is recommended that similar studies are conducted among nurses in other parts of the country and worldwide.

Spiritual care competence and its relationship with self-efficacy: An online survey among nurses in mainland China.

To explore the spiritual care competence among nurses in mainland China and determine its relationships with their self-efficacy and personal characteristics. Nurses' perception of competence in spiritual care has critical effects on their own practice. Having a view of the nurses' spiritual care competence would help nurse managers recognize the weakness of spiritual practice. A descriptive cross-sectional study using online survey methods was carried out in 2,970 Chinese nurses. Spiritual care competence scale and General Self-Efficacy Scale were used to collect the data. The total score of spiritual care competence scale was 58.5 (16.05). The highest score on competence was for communication (3.48 (0.97)), and the lowest was referral to professionals (2.25 (0.93)). Positive correlation was found between spiritual care competence and self-efficacy (r=.490, p<.01). Results of multiple linear regression analysis showed that self-efficacy, whether or not trained, experience of caring terminal illness patients, working experiences and first degree were the five factors associated with spiritual care competence (F=217.425, p<.001, R2 =26.7%). Nurses showed different levels of competence in various dimensions of spiritual care. Their spiritual care competence was related to self-efficacy, whether or not received training, experience of caring terminal illness patients, working experiences and first degree of nursing education. Nurse managers have to realize that it is imperative to enhance the nurses' competence to address the spiritual care needs of patients. Appropriate ways to enhance the nurses' spiritual care competence are needed so as to improve spiritual practices.

The Spiritual Care Competence Scale: A Confirmatory Study of the Malay Language Version

Background: Nursing competency is an integral part of providing patients with spiritual care. The aim ofthis study was to validate the translation of the spiritual care competence (SCC) scale to the Malay languageversion.Methods: The cross-section study design applicable to the SCCS-M self-report questionnaire. Data werecollected from staff nurses at the hospital Universiti Sains Malaysia. A total of 270 nurses participated inthis study. Spiritual care competence was assessed with the 27-item SCC-M. Standard forward–backwardtranslation was performed to translate the English version of the SCC into the Malay version (SCC-M). Allthe participants completed the SCC-M.Results: The initial measurement models tested (6-factor models) did not result in a good fit to the data.Subsequent investigation of the confirmatory factor analysis (CFA) results recommended some modifications,including adding correlations between the item residuals within the same latent variable. These modificationsresulted in acceptable fit indices for the 6-factor model: root mean square error of approximation (RMSEA)= .050, comparative fit index (CFI) = .900, Tucker–Lewis index (TLI) = .885, and standardized root meansquare residual (SRMR) = .065. The final measurement models comprised all 27 SCC-M items, which hadsignificant factor loadings of more than .40. The composite reliability was .696-.853 for 6-factors model.Conclusions: These results suggest that the subscales in 6-factor SCC-M model are unique, the factors donot overlap much, and each factor explains different variance than the other factors. Therefore, the translatedversion of the SCC-M was valid and reliable for assessing the level of spiritual care competence amonghospital nurses in Malaysia.

Factors influencing the self-perceived competencies in spiritual care of nurses in the long-term care facilities.

To identify key factors influencing institutional nurses' self-perceived competencies in spiritual care. In the past decade, interest in spiritual care has been increasing; however, in long-term care facilities, limited knowledge is available about nurses' competencies in spiritual care. The cross-sectional study was conducted with 202 nurses in 11 long-term care facilities. Data were collected in a survey using the Spirituality and Spiritual Care Rating Scale, the Nurse Spiritual Care Therapeutics Scale, the Spiritual Care Competence Scale and demographic questions. Data were analysed using stepwise linear regression. Study findings revealed that nurses' perceptions of spirituality and spiritual care, frequency of spiritual care provision and self-satisfaction with the spiritual care given all significantly predicted overall spiritual care competence, which together explain 58% of the total variance. Improving nurses' perceptions of spirituality and spiritual care and encouraging the performance of spiritual care may be an effective pathway to enhance the spiritual care competence of institutional nurses. Additional continuing education on spiritual care topics and the establishment of clear guidance and support from institutional administrators are required to enable nurses to deal with spiritual issues as they arise and improve the quality of holistic care.

Becoming a Spiritual Care Generalist: Spirituality Training for Palliative Care Fellows (QI640)

•Describe a systematic approach to spiritual care training for palliative care physician fellows.•Describe the integration of the systematic approach to spiritual care training into the palliative care fellowship. Despite palliative care's commitment to include spiritual care in patient care, research is lacking regarding competencies or methods for teaching spirituality to palliative care fellows. We developed a chaplain-led rotation to improve our training of palliative care fellows in the spiritual dimensions of care. To pilot a spirituality training program based on clinical pastoral education (CPE) as part of a palliative care fellowship and determine whether educational goals, content, and methods were relevant to learners and to generate hypotheses for future research. Palliative care fellowship at Northwestern Feinberg School of Medicine and Northwestern Memorial Hospital (NMH), the site of an ACGME-accredited palliative care fellowship that trains four fellows per year. The authors designed and implemented a required 9-month spirituality training program. The program used multiple educational strategies including: beginning and ending week-long intensives, monthly 2-hour interdisciplinary discussions, and experiential experiences such as clinical joint visits with chaplains, and interfaith site visits/discussions. Learners completed 3 pre- and postprogram surveys: 1) Spiritual Care Competency Scale (Van Leeuwen, et al 2009), 2) seven Likert-rated statements, 3) narrative responses to report the most useful part of the curriculum and their remaining questions. Four fellows participated and all of them completed all three surveys. Fellows reported increased agreement regarding the appropriateness of inquiring about spiritual and religious beliefs in the clinical encounter, their perceived competence in taking a spiritual history, and their perceived knowledge of available spiritual care resources. Fellows also had an increase in their perceived comfort in working with hospital chaplains, addressing miracles and addressing spiritual-existential distress with patients/surrogates. This pilot spirituality training improved the attitudes and perceived competence in spiritual care of the palliative care fellows. It suggests that a modified CPE program can be an effective approach for training palliative care fellows in spiritual care thereby strengthening comprehensive patient-centered care.

Perceptions of Spiritual Care Education, Competence, and Barriers in Providing Spiritual Care Among Registered Nurses.

Purpose: The purpose of the study was to explore registered nurses' (RNs) perceptions of their spiritual care competence (SCC), preparedness, and barriers to providing spiritual care and frequency of provision of spiritual care. Additionally, the study aimed to examine associations between spiritual care education, preparedness, competence, and frequency. Method: A descriptive, cross-sectional study included demographic questions, the Spiritual Care Competency scale, the Nurses' Spiritual Care Therapeutics scale, the Spiritual Care Practice questionnaire subscale II, and three open-ended questions. Findings: This online survey was completed by 391 RNs enrolled in postlicensure programs at a public state university in southeastern United States. A majority of participants reported not feeling prepared to provide spiritual care. There were strong associations between receiving spiritual care education in prelicensure programs or at work, and self-reported feelings of preparedness, as well as overall SCC. The level of SCC was positively correlated with spiritual care frequency and number of years working as an RN. Conclusions: The results of this study highlight the need for spiritual care education in prelicensure programs as well as on the job training for RNs.

Psychometric properties of the Chinese version of the spiritual care competency scale in nursing practice: a methodological study

ObjectivesTo determine the validity and reliability of the Spiritual Care Competency Scale (SCCS) among nurses in China.DesignMethodological research.MethodsAfter the SCCS was translated into Chinese, the validity and reliability of the...

Validation of a Korean Version of the Spiritual Care Competence Scale: Focused on the Hospice and Palliative Care Setting.

This study aimed to examine the reliability and validity of a scale to assess the competence of Korean nurses who provide spiritual care for patients with terminal illnesses. The reliability and validity were examined using Cronbach α, item analysis, and exploratory factor analysis. The participants were 248 hospice nurses working at 40 hospices and palliative hospitals in South Korea. The results showed that the reliability was high, as indicated by a Cronbach α of .942. The exploratory factor analysis revealed 6 dimensions (assessment and implementation of spiritual care, professionalization and improvement of the quality of spiritual care, personal support and patient counseling, referral to professionals, attitude toward the patient's spirituality, and communication) with 27 items. The 6 factors explained 68.20% of the variance in the Korean version of the Spiritual Care Competence Scale. From the results, the Korean version of the Spiritual Care Competence Scale may serve as an appropriate measure for provision of spiritual care for patients with terminal illness. In addition, it may be useful in assessing hospice and palliative nurses' ability for spiritual care.

Spirituality in the continuing education of healthcare professionals: An approach to palliative care.

A major barrier to the adoption of an approach that integrates spirituality into palliative care is the lack of preparation/education of healthcare professionals on the topic. This study aimed to evaluate the effectiveness of a continuing education activity for healthcare professionals addressing spirituality and spiritual care provision to patients and families within palliative care. We conducted an intervention study using a quantitative pre- and posttest design in a convenience sample of 52 healthcare professionals. Participants completed the Brazilian version of the Spiritual Care Competence Scale before and after attending a four-hour continuing education activity. Significant differences were observed between pre- and postintervention scores in the following dimensions: assessment and implementation of spiritual care, professionalization and improving the quality of spiritual care, personal support, and patient counseling (p < 0.001), and referral (p = 0.003). The results of this study provide preliminary evidence of a positive effect of this educational intervention on the development of the competences needed by healthcare professionals to deliver a comprehensive approach centered on the patient/family, which includes attention to spirituality and spiritual care in the decision-making process.

Psychometric properties of the Chinese mainland version of the Palliative Care Spiritual Care Competency Scale (PCSCCS-M) in nursing: a cross-sectional study

BackgroundSpiritual care competencies are among the primary professional skills that enable best practices in nursing. Assessing these competencies and identifying those that are insufficient are important tasks. The traditional Chinese version of the Palliative Care Spiritual Care Competency Scale (PCSCCS) used in Taiwan is a well-validated tool to measure palliative caregivers’ competencies in providing spiritual care. However, whether this scale is valid and reliable for use with nurses in other health-care contexts is unknown. The purpose of this study is to determine this version’s validity and reliability for use with nurses in mainland China.MethodsThe PCSCCS was first converted into a simplified Chinese version (PCSCCS-M) from the traditional Chinese version used in Taiwan such that mainland nurses could read and understand it easily. Then, the validity and reliability of the PCSCCS-M was evaluated with 400 Chinese nurses recruited using convenience sampling from three university-affiliated comprehensive hospitals, two cancer hospitals, one psychiatric hospital, two traditional Chinese medicine hospitals, one marital and child service care center, and one community health service center. Concurrent validity was assessed using Pearson’s correlation coefficients of the PCSCCS-M and the Chinese version of the Spiritual Care-Giving Scale (C-SCGS). Exploratory factor analysis (EFA) was performed to determine the construct validity. Confirmatory factor analysis (CFA) was conducted using another sample of 351 nurses to verify the quality of the factor structures of the PCSCCS-M. An internal consistency test based on Cronbach’s alpha coefficient and a stability test based on the Guttman split-half coefficient were also conducted.ResultsUseful data were obtained from 356 participants (response rate: 89%). EFA confirmed a three-dimensional structure of the scale after one item was deleted, and the three factors explained 63.839% of the total variance. Cronbach’s alpha coefficients of the three subscales were 0.811, 0.889 and 0.896, and the Guttman split-half coefficient for the PCSCCS-M was 0.862. Modified CFA indicated a well-fitting model. The correlation between the PCSCCS-M and C-SCGS was 0.340 (p < 0.01).ConclusionsThe PCSCCS-M is a brief, easy-to-understand, and psychometrically sound measurement tool to evaluate spiritual care competencies in nurses from mainland China.

Psychometric properties of the Chinese version of the spiritual care-giving scale (C-SCGS) in nursing practice

BackgroundSpiritual care is defined as recognizing and responding to the needs of the human spirit when the individual is facing trauma, illness, or sadness. Providing spiritual care is one of the core aspects of holistic care, as it is significantly associated with patients’ quality of life. The provision of optimal spiritual care requires good understanding by the nurses. Therefore, it is important to assess this understanding by using a proven, well-validated instrument. The Spiritual Care-Giving Scale (SCGS) is designed to measure nurses’ perceptions of spirituality and spiritual care in Singapore. However, it is unknown whether this scale is valid and reliable for use with nurses in the context of Chinese culture. The purpose of this study is to determine this version’s validity and reliability for use with nurses in China.MethodsIn this quantitative, descriptive, cross-sectional study, after translating the English version of the SCGS into Chinese and making adjustments for culture and values, we assessed the performance of this instrument by administering the C-SCGS to a convenience sample of 400 nurses. The participants also completed the Chinese version of the Spiritual Care Competency Scale (C-SCCS) to assess the concurrent validity of the C-SCGS. The internal consistency and homogeneity of the C-SCGS were also tested, and a factorial analysis was performed.ResultsCompleted questionnaires were obtained from 355 participants (response rate: 88.75%). Four factors were confirmed by an exploratory factor analysis (EFA) using Promax with the Kaiser normalization rotation method after the 35-item SCGS was reduced to 34 items, and these factors explained 53.116% of the total variance. The adjusted item–total correlation ranged from 0.527 to 0.760. The Cronbach’s alpha of the factors ranged from 0.836 to 0.941, and the Guttman split-half coefficient was between 0.759 and 0.902. The concurrent validity of the C-SCGS and C-SCCS (r = 0.534, p < 0.01) showed a significant correlation. Nurses’ education showed a significant association with the scores of the C-SCGS.ConclusionThe C-SCGS was found to be a psychometrically sound measurement to evaluate Chinese-speaking nurses’ perceptions of spirituality and spiritual care.

Spirituality and Spiritual Care Competence among Expatriate Nurses Working in Saudi Arabia

Background: In Saudi Arabia, where the majority of the nursing workforce are foreigners, little is known about perceptions of spirituality and spiritual caregiving among foreign nurses who provide nursing care to patients with varied spiritual and religious beliefs. Therefore, this study was conducted to investigate the spirituality and spiritual care competence and its predictors among expatriate Christian nurses in Saudi Arabia, who provide care for Muslim patients. Methods: A convenience sample of 302 nurses was surveyed in this descriptive cross-sectional study using the Spirituality and Spiritual Care Rating Scale and the Spiritual Care Competence Scale. Results: Results revealed high values on three domains, namely, spiritual care, personal care, and existential spirituality. The majority of the respondents reported competence in all six subscales of spiritual care. The participants’ age, educational level, perception of existential spirituality, and personal care were found to be relevant predictors of their spiritual care competence. Conclusions: The findings suggest that existential spirituality and personal care dimensions of Christian nurses’ spirituality and spiritual care perceptions play critical roles in the provision of competent spiritual care to Muslim patients.

Cross-cultural validation of the Brazilian version of the spiritual care competence scale.

This study describes the cross-cultural validation and psychometric evaluation of the Spiritual Care Competence Scale - Brazilian Portuguese version. This reliable and valid instrument is recommended in the literature to measure the outcomes of the education process in the development of spiritual care competences. This is a cross-sectional validation study following the stages proposed by Beaton et al.: translation into Portuguese, back translation into English, expert committee review for semantic equivalence, assessment of the clarity of the pre-final version, and evaluation of the psychometric properties of the final version in Portuguese. Health professionals working at a public hospital in South Brazil participated in the different stages of this study.ResultRegarding internal consistency, total Cronbach's alpha was 0.92 and the mean inter-item correlation was 0.29. The test-retest procedure showed no statistically significant differences in the six subscales. The intraclass correlation coefficient ranged from 0.67 to 0.84, demonstrating the stability of the scale.Significance of resultsThe results support the psychometric quality of the scale and indicate that the adapted instrument is a valid and reliable scale with good internal consistency for measuring spiritual care competencies of health professionals in Brazilian healthcare settings.

Nursing Students' Perceptions of Spirituality and Spiritual Care and Their Spiritual Care Competencies: A Correlational Research Study.

This research aimed to describe nursing students' perceptions of spirituality and spiritual care and their spiritual care competencies and to investigate the relationship between these variables. The sample of this descriptive and correlational study consisted of 325 nursing students. The questionnaires used in the study were the Student Nurse Information Form, the Spirituality and Spiritual Care Rating Scale, and the Spiritual Care Competency Scale. The mean scores of the Turkish versions of Spirituality and Spiritual Care Rating Scale and Spiritual Care Competency Scale were 3.90 ± 0.45 and 3.69 ± 0.68. Importance to giving spiritual care to the patients in nursing care, willingness to receive training in spiritual care, and listening to patients to meet their spiritual requirements accounted for 17% of the spirituality and spiritual care perceptions of the students (F = 16.118, P = .001, R = 0.17). The participants' spirituality and spiritual care perception levels accounted for 14% of their spiritual care competences (F = 16.851, P = .001, R = 0.14). It was determined that the students' perceptions of spiritual care competence were not at the desired level and that they should be improved. Therefore, it is recommended that changes should be made in the curricula and that training programs should be improved in order to strengthen students' spiritual care competency.

Competence and frequency of provision of spiritual care by nurses in the Netherlands.

Spiritual care to patients is important for their well-being, and nurses do have a crucial role in it. Previous research focused on self-assessed competence in providing spiritual care, but little is known about the actual provision. The aims of this study were as follows: (i) to evaluate how often nurses provide spiritual care, (ii) if or which association there is between self-assessed competency and provision of spiritual care, and (iii) to study which factors do have influence on delivering spiritual care. A quantitative study was designed. Nurses were asked to complete a questionnaire. Self-assessment of spiritual care competence and actions was evaluated with the Spiritual Care Competence Scale New: a 27 items questionnaire on competence (SCCS-can) and frequency (SCCS-do) of providing spiritual care, measured with a five-point Likert scale. Mean competence score and frequency of provision were calculated, next to the correlation between those two. Several factors (mean SCCS-can, gender, age, education level, experience, life view, personal spirituality (measured on a 1-10 scale)) were included in regression analysis to study factors of influence on actual provision of spiritual care (measured with SCCS-do). A total of 104 completed questionnaires have been analysed. Mean score on the SCCS-can was 3.9, and on the SCCS-do 3.2. This means that nurses state they are highly competent in delivering spiritual care and provide this monthly. The Pearson correlation between SCCS-can and SCCS-do was 0.50, which means the higher the score on SCCS-can, the higher the score on SCCS-do. Regression analysis shows that the self-assessed competence of spiritual care (SCCS-can) and the personal spirituality are significant predictors of the outcome SCCS-do. The better the nurses think they can provide spiritual care, the more they say they practise it. Regression analysis supports this: the factors of influence on provision of spiritual care are self-assessed competence and personal spirituality.