BackgroundVarious facets of spirituality are associated with wellbeing. Given the current urgency to promote nurse wellbeing, nurse spirituality merits exploration. PurposeTo investigate how spiritual distress and growth (i.e., spiritual/religious struggle, moral injury, post-traumatic growth) contributed to nurse outcomes (i.e., burnout, job satisfaction, intent to leave). MethodsRNs providing direct patient care in three Southern California hospitals completed an online survey that included psychometrically robust measures. Hierarchical multiple regression analyses were used to test spiritual variables as predictors of nurse outcomes after accounting for demographic and work-related factors. FindingsIn this sample of 531 demographically diverse RNs, spiritual struggle contributed to burnout and turnover intention; posttraumatic growth and employer respect for nurse wellbeing contributed to all three nurse outcomes. DiscussionSpiritual distress and growth are understudied but potentially important influences on job outcomes for nurses. Results here suggest that continued development of interventions to address spiritual health is worth investment.
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