Spirituality And Spiritual Care Rating Scale Research Articles

Confirmatory Factor Analysis of the Spirituality and Spiritual Care Rating Scale: A Cross-Sectional Study in Eight US Nursing Homes.

The aim of this study was to test a modified Spirituality and Spiritual Care Rating Scale (SSCRS) and report initial findings, based on a cross-sectional descriptive survey from eight nursing homes in the USA. This study examined the psychometric properties of a modified version of the SSCRS for assessing the perceptions of staff (i.e. nurses, rehabilitation staff, food and nutrition service staff, activities staff, social workers, and administrative staff) who work in nursing homes. The modified version of the SSCRS is measuring respondents' perceptions of spirituality, spiritual care, religiosity, and personalized care. Confirmatory factor analysis showed satisfactory goodness of fit for the original four-factor structure of the SSCRS. The modified version demonstrated good internal consistency and reliability (Cronbach's alpha ranging from 0.71 to 0.90). Initial findings showed statistically significant differences across all four sub-scales. Further research is needed to psychometrically test the modified tool.

Validation Study of the Revised Spirituality and Spiritual Care Rating Scale (SSCRS): A Cross-Sectional Survey in Poland.

The use of a validated scale, Spirituality and Spiritual Care Rating Scale (SSCRS) to measure nurses' perceptions of spirituality and spiritual care. The purpose of this study was to analyse selected psychometric properties of the Polish version of the SSCRS, among them the applicability of the dimensions of spiritual care in nursing, ie, spirituality, spiritual care, religiosity and personalized care, to Polish conditions. Poland-wide multicentre study with a cross-sectional validation design. The study was conducted between March and June 2019. Seven Polish Nursing Faculties accepted the invitation to participate in the study. A representative sample of 853 nurses enrolled in MSc (postgraduate) programs in nursing participated. After translation and cultural adaption of the SSCRS, the instrument underwent a full psychometric evaluation of its construct validity using (exploratory and confirmatory factor analysis), internal consistency (Cronbach's alpha and correlation analysis), reliability (test-retest analysis), known-group validity (Student's t-test) analysis. The exploratory and confirmatory factor analysis demonstrated that the Polish version of the SSCRS was a three-factor model with "Activity-centred spiritual care" (9 items), "Emotional support-centred spiritual care" (5 items) and "Religiosity" (3 items) domains. The Cronbach's alpha coefficient for the whole scale was 0.902, and the alpha values for the individual domains were 0.898, 0.873 and 0.563, respectively. The three domains mentioned above seemed to provide a comprehensive understanding of spiritual care perceived subjectively by Polish MSc in nursing students. This study demonstrated a substantial degree of similarity in the selected psychometric characteristics of the Polish version of SSCRS and the original scale.

Attributional styles and self-concept as predictors of group spiritual care in group of alcoholics anonymous (AA)

BackgroundOne of the most common types of addiction after narcotic or stimulant materials is the alcohol addiction. This study investigated the relationship between self-concept and attributional styles with group spiritual care in the Alcoholics anonymous (AA) group in Mashhad city. MethodsThis correlation study was conducted on 300 persons of AA of Mashhad which were selected by the simple random sampling method. The data collection tools were Attributional Styles Questionnaire (ASQ) of Seligman & Singh, Self-concept Questionnaire (SCQ) of Raj Kumar Saraswat and Spirituality and Spiritual Care Rating Scale (SSCRS) Questionnaire. The data were analyzed using SPSS software (version 22) and Pearson's correlation statistic tests and multivariate regression analysis. ResultsThe results of regression variance analysis of attributional style and self-concept components with group spiritual care in the studied persons showed that the attributional styles and the self-concept components can explain together about 27 % of the group spiritual care in the studied persons, which was statistically significant (P <0.001 and 20/15 = F).Also, there is a positive and significant relationship between the attributional style and the self-concept component with group spiritual care in the studied persons. ConclusionsAccording to the results, it is suggested that the members of AA Association should be aware of the attributional styles, the self-concept components, and group spiritual care in order to discover their own suitable attributional styles and self-concept components and benefit from them to strengthen the group spiritual care.

Spirituality and Spiritual Care in Nursing: Validity of the Spirituality and Spiritual Care Rating Scale in an Indian Context.

This study was undertaken to test the validity of the Spirituality and Spiritual Care Rating Scale (SSCRS) by McSherry et al. (IJNS 39:723-734, 2002) in an Indian context. The study was conducted in a tertiary care teaching hospital with a convenience sample of 200 nurses. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were completedto assess the reliability and validity of the tool. The results of the present study were similar to but differed from the McSherry et al's(IJNS 39:723-734, 2002) study which identified 17 items on the scale. Only 15 items loaded on three factors.

Determining the relationship between spirituality and perceptions of care in nursing students: A cross-sectional study.

Caring is a core value in nursing education and many of its features can be measured as specific behaviors. It is not clear how nurses' spirituality affects their caring behavior. The aim of this study was to investigate the relationship between spirituality and spiritual care and nursing students' perceptions of care. This was a descriptive cross-sectional study. The study sample consisted of 467 students in the nursing department of a university in Northeastern Anatolia. Data were collected using a descriptive information form, the Care Assessment Report Evaluation Q-sort (CARE-Q), and the Spirituality and Spiritual Care Rating Scale (SSCRS). Data were analyzed using frequency, percentage, mean, t-test, analysis of variance, and Kruskal-Wallis H, Mann-Whitney U, correlation, and regression tests. The mean age of the participants was 21.14 ± 1.97 years, 55.0% were women, and 63.0% said that nursing was their preferred profession. Most of the students rated their knowledge of spirituality and spiritual care as adequate (17.6%) or partially adequate (48.0%). CARE-Q and SSCRS scores were significantly higher among female students who chose a career in nursing to help people, want to obtain their master's degree, and agreed that providing care is nurses' primary duty (p < 0.05). There was a weak positive correlation between CARE-Q and SSCRS scores (p < 0.001; r = 0.369). There was a significant relationship between CARE-Q and SSCRS scores (p < 0.05). To promote holistic care, nursing students should be provided training on spirituality and spiritual care, with emphasis on the role of nurses in care.

Nurse's spiritual care perception in Ethiopia: A multicenter cross-sectional study.

Objectives:Spirituality and spiritual care are the critical components of patient care. In recent years, spirituality has been indicated as a crucial but often overlooked component of patient health. Despite their benefits, several factors prevent nurses from providing spiritual care. Hence, the purpose of this study was to evaluate the current state of spiritual care perception of nurses in Southwest Ethiopia as well as the factors influencing it.Methods:From 1 August to 2 September 2021, an institution-based cross-sectional study was performed on nurses at five government hospitals in Southwest Ethiopia. Study participants were selected using a simple random sampling method. Data were collected using the Spirituality and Spiritual Care Rating Scale (SSCRS). The collected data were recorded into EpiData 4.1 and SPSS version 25. Simple and multivariable linear regression analyses were used to identify factors associated with spiritual care perception. Statistical significance was set at p < 0.05.Results:A total of 390 nurses were enrolled in the study, yielding a response rate of 96.8%. The mean score for nurses’ perception of spiritual care for patients was moderate, that is, 3.11 ± 0.78. Age (p < 0.05), clinical experience (p < 0.05), educational status (p < 0.05), and religion (p < 0.05) were significantly associated with spiritual care perceptions.Conclusion:Nurses’ perception of spiritual care was moderate. It is affected by nurses’ age, clinical experience, educational level, and religion. This expanding body of data should be used to notify nurse managers and nursing management personnel to provide spiritual care training, planning, and services.

Perceiving the Role of Communication Skills as a Bridge between the Perception of Spiritual Care and Acceptance of Evidence-Based Nursing Practice-Empirical Model.

Decision making using evidence-based practice (EBP) is generally universally accepted by nurses. Such acceptance may affect the personnel’s behaviour towards patients, which is also demonstrated by taking into consideration the patient’s preferences, including the patient’s spiritual needs, in the care plan. The provision of such care requires the development of an attitude of approval and an adequate level of communicative competence, which will enable the actual implementation of the EBP. The purpose of our study was to assess the perception of spirituality and the nurse’s role in providing spiritual care, as well as the perception of the significance of communication skills in the approval of EBP in professional practice. A multi-centre cross-section study was conducted on a population of 1176 participants (459 undergraduate (bachelor’s programme, BP) and 717 postgraduate students (master’s programme, MP)) from 10 medical universities in Poland. Three tools were used in the study to evaluate the participants’ approach: Evidence-Based Practice Competence Questionnaire (EBP-COQ), The Spirituality and Spiritual Care Rating Scale (SSCRS), and Communication Skills Attitude Scale (CSAS). Structural equation modelling was used for the analysis. An analysis of structural equations revealed the presence of positive relationships of the attitude to spiritual care and the role of communicative competences with the approach to EBP regardless of the cohort. A significant difference was found related to the influence of age on the attitude towards learning communicative competences. The approval in this respect was observed to decrease with age in the MP group. Increasing approval of EBP requires strengthening the approach to activity-centred spiritual care, with the simultaneous development of a positive attitude towards learning communicative competences. The model reveals the need to integrate a humanistic approach with EBP, which can be achieved by planning different interventions in different groups of recipients: nurses, academic teachers and students.

The Relationship between the Perceptions of Nursing Students on Spirituality and Spiritual Care and Their Professional Values in the Process of the COVID-19 Pandemic

Purpose: This study was conducted for the purpose of investigating the correlation between the perceptions of nursing students on spirituality and spiritual care and their professional values in the process of the COVID-19 pandemic. Material and Methods: The study was carried out with nursing students at the School of Health at a state university in the Mediterranean Region of Turkey between 1 and 14 July 2020. The sample consisted of 279 students. The question forms for the data were prepared on Google Forms, and the data were collected by connection addresses sent to the students. In data collection, a“Personal Information Form”, the “Spirituality and Spiritual Care Rating Scale (SSCRS)” and the “Nurses Professional Values ScaleRevised (NPVS-R)” were used. Results: The students’ mean total score in the “NPVS-R” was 102.22±24.34, while their mean total score in the “SSCRS” was 3.79±0.61. There was a significant, positive and weak correlation between the total score and subscale scores of the “NPVS-R” and the score of the “SSCRS”. Conclusion: This study concluded that the perceptions of the nursing students regarding spirituality and spiritual care and their professional values in the COVID-19 pandemic process were on a good level, and as their professional values increased, their spirituality and spiritual care perceptions increased.

The spirituality and spiritual care of clinical nurses in Indonesia

This study aimed to investigate associated factors of spirituality and spiritual care in clinical nurses in Indonesia. Cross-sectional descriptive and correlational research designs were used in this study. Purposive sampling was applied among 204 participants in private hospitals, Medan and Bandung, Indonesia. The questionnaires consisted of demographic and characteristics information and the spirituality and spiritual care rating scale (SSCRS). Mann Whitney test was used to investigate associated factors of spirituality and spiritual care in clinical nurses in Indonesia. This study found that there was statistically significant between department with spirituality (p=0.017), receiving spiritual care lessons during nurse training with spiritual care (p=0.032), and receiving spiritual care lessons during nurse training (p=0.013) and educational background with nurses’ perception of spirituality and spiritual care (p=0.040). Receiving spiritual care lessons during nurse training, and educational background were statistically significant with spirituality and spiritual care in clinical nurses in Indonesia. The findings of this study provide information for clinical nurses and generally of nurses to understand the perception of spirituality and spiritual care in hospital for care patient in a hospital in Indonesia. It is also suggested that appropriate strategies to improve knowledge and perception of spirituality and spiritual care should be developed shortly.

The Relationship Between Turkish Nursing Students' Perceptions of Spiritual Care and their Attitudes Towards Death.

This study aimed to examine the relationship between nursing students' perception of spiritual care and their attitudes towards death. This cross-sectional study was conducted in Turkey between March and April 2021 with 601 nursing students using the Google Forms questionnaire. The "Spirituality and Spiritual Care Rating Scale (SSCRS)" and "Attitude towards Death Scale (ATDS)" were utilised to assist with data collection and analysis. While there was no relationship between the students' total SSCRS and total ATDS scores, there was a positive relationship between the total SSCRS and the Neutral Acceptance-Approach Acceptance Subscale (r = 0.129, p = 0.002), and a negative relationship between SSCRS and the Fear of Death and Avoidance of Death Subscale (r = - 0.097, p = 0.017). Providing support in terms of spiritual care and viewing spiritual care as related to nursing were related to the total SSCRS score. Alcohol use, viewing spiritual care as related to nursing, self-perceptions of spirituality, and fear of death were associated with the total ATDS score (p < 0.05). It is recommended that spiritual care and death perceptions be addressed more comprehensively in the educational curriculum of nursing students.

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.

Nursing Students' Perception Levels of Spirituality and Spiritual Care in Turkey.

The present study was conducted to determine nursing students' perception levels of spirituality and spiritual care and the factors affecting these levels. The study was carried out in the nursing faculty of a university located in eastern Turkey between April and June 2019. The study population was made up of students studying within adepartment of nursing (n = 1250), and involved asample size of420 students, determined by power analysis. Data were obtained from an 'Introductory Information Form' that included students' sociodemographic characteristics and questions related to spiritual care and the Spirituality and Spiritual Care Rating Scale (SSCRS). Students scored, on average, 59.8 ± 9.7 on the SSCRS. Gender, year of undergraduate education, father's education level, knowledge of spiritual care, beliefs on the relationship between spiritual care and nursing care, and the ability to meet patients' spiritual needs were variables with an impact on the total SSCRS scores (p < 0.05). The findings show that spiritual care perception levels of nursing students were high.

The effects of therapeutic touch on spiritual care and sleep quality in patients receiving palliative care.

This study was conducted to investigate the effect of therapeutic touch (TT) on spiritual care and sleep quality in patients receiving palliative care. The research was conducted on 73 inpatients receiving palliative care in a training and research hospital. Data were collected with Socio-Demographic Status Questionnaire, Spirituality and Spiritual Care Rating Scale (SSCRS), Pittsburgh Sleep Quality Index (PSQI). As a result of this study, a statistically significant difference was found between the intervention and control group SSCRS (Z = -7.356 p = 0.000) and PSQI (Z = -7.292 p = 0.000) in post-test data after 4 weeks of TT application. The results revealed that TT application has a positive impact on spiritual care and sleep quality of the patients.

Professional quality of life and perceptions of spirituality and spiritual care among nurses: Relationship and affecting factors.

This study aims to determine the relationship of nurses' perception of spirituality and spiritual care to the dimensions of professional quality of life, namely, nurses' compassion fatigue, burnout and compassion satisfaction, and identify the influencing factors, respectively. The population consisted of 316 nurses (response rate: 91.32%) working in various clinics of a Training and Research Hospital (gynecology, pediatrics, surgery, internal medicine and emergency service) between December 2018 and May 2019. Data was collected through the Socio-Demographic Form, The Professional Quality of Life Scale (ProQOL), and Spirituality and Spiritual Care Rating Scale (SSCRS). A meaningful relationship between SSCRS and ProQOL's "burnout" and "compassion fatigue" subscales was granted (p < 0.001). In particular, the comparison of ProQOL subscales to SSCRS's "spirituality/spiritual care" and "religiosity" subscales revealed a negative and strong relationship (p < 0.01) while SSCRS's "personalized care" subscale yielded a very strong positive relationship (p < 0.001). The nurses' professional quality of life was affected by variables such as "monthly number of shifts,""manner of work," and"average weekly working hours." It was determined that burnout was experienced at a higher level, whereas compassion fatigue at a moderate level. In terms of spirituality and spiritual care, the subscale mean scores for "spirituality/spiritual care,""personalized care," and "religiosity" were low. In light of the research findings, the charge nurses and nursing managers should oversee variables such as monthly income, monthly number of shifts, average weekly working hours at all times in the context of spiritual care and professional quality of life. Institution managers need to be competent in the prioritization of employee requests, planning the number of employees taking into account the ratio of nurse/patient/clinic capacity. Institution managers should familiarize themselves with notions such as compassion fatigue, burnout, and compassion satisfaction and spiritual care to plan and sustain the activities of the institution while overwatching the needs of her/his employees along the way. Nurses could also benefit from counseling services and in-service training programs contemplating sociodemographic and profession related variables that affect spiritual care and professional quality of life.

Investigation of Nursing Students’ Attitudes Towards Death and Their Perceptions of Spirituality and Spiritual Care

Nurses are responsible for meeting the care needs of dying patients and their families, including their physical, psychological, emotional and spiritual assessment and care. The aim of this descriptive study was to investigate nursing students' attitudes towards death and their perceptions of spirituality and spiritual care. The study sample consisted of 237 second-, third- and fourth-grade nursing students. Data were collected using a "Personal Information Form", the "Spirituality and Spiritual Care Rating Scale (SSCRS)" and "Death Attitude Profile-Revised (DAP-R)". Number, percentage, mean, standard deviation and Spearman's correlation analysis were used for analysis. Participants stated that they had witnessed death before (73.8%), that spiritual care of dying patients and their families should be given special importance (93.7%) and that they feel incompetent in providing spiritual care (86.1%). Participants had a mean SSCRS score of 3.45 ± 0.43. They had the highest and lowest scores on the DAP-R subscales of "fear of death" (4.48 ± 0.83) and neutral acceptance (3.71 ± 1.21), respectively, indicating that they have a high fear of death and above average perceptions of spirituality and spiritual care. It is recommended that different teaching methods be integrated into the curriculum to help nursing students develop more positive attitudes towards death and improve their perceptions of spiritual care.

Effect of an Educational Intervention Delivered to Senior Nursing Students to Strengthen Spiritual Care for People with Chronic Illness.

This is an experimental, quantitative, parallel design study (control and experimental groups) with pre- and post-intervention assessment without blinding, which aimed to determine the effect of an educational intervention delivered to ninety Colombian senior nursing students to strengthen perceptions of spirituality and spiritual care for people with chronic illness. The Spirituality and Spiritual Care Rating Scale (SSCRS) was used as the instrument of measurement. The Wilcoxon test was used for comparisons between two groups, and the Kruskal-Wallis test for the comparison of global scale scores between the intervention group and the control group. To determine the effect of the intervention, Cohen's d statistic was used. The intervention modified the perceptions of spirituality and spiritual care in the experimental group (median = 80.2, SD = 10.2) compared with their initial perceptions (median = 70, SD = 11.2), p ≤ 0.001. The effect size (ES) of the intervention was 0.63, with a power of 0.80, indicating a moderate and acceptable effect size.

Spiritual Care Perceptions of Baccalaureate Nursing Students.

Purpose: The purpose of this study was to examine baccalaureate nursing (BSN) students' perception of spirituality and spiritual care as a component of holistic nursing practice. Aim: The specific aim of this study was to determine the perception levels of spiritual care, religiosity, and spirituality in first- and last-semester BSN students. Method: This descriptive cross-sectional study used a convenience sample of BSN students. Participants (n = 150) completed demographics with self-reflected levels of religiosity and spirituality, the Spiritual Care-Giving Scale (SCGS), and the Spirituality and Spiritual Care Rating Scale (SSCRS). Findings: First-semester and last-semester BSN students were predominately single, female, Caucasian, and Christian. First-semester BSN students completed the SCGS and SSCRS upon entrance and exit in the first semester of the nursing program with no significant differences found. However, the last-semester BSN students scored significantly higher than the first-semester BSN students on the SCGS and the SSCRS. Conclusion: Over the course of the nursing program, the last-semester BSN students gained insight into spiritual care placing a higher emphasis on spirituality and less on religiosity. This supports the threading of spiritual nursing care throughout the nursing curriculum. Further study validation is needed.

A survey to explore health care staff perceptions of spirituality and spiritual care working in a single district health area in New Zealand

IntroductionThere is increasing literature suggestive of the positive benefits of 'spirituality' and their links to health and wellbeing. We wished to explore staff’s perceptions of spirituality and spiritual care working in a single district health area in New Zealand. MethodA staff survey was undertaken using a questionnaire incorporating the validated 17-item Spirituality and Spiritual Care Rating Scale (SSCRS) and a new 4-item Spiritual Care Confidence Scale (SCCS). Results635 participants completed the survey (48.4% nurses, 10.7% physicians, 36.6% allied health professionals and administration staff). Participants identifying a religious belief had a higher mean score for spiritual care confidence than staff reporting no religion, t(608) = −3.69, p = .000. Nurses recorded a statistically significant higher SSCRS mean score (x¯ = 66.36, 95% CI [65.68, 67.05]) compared to allied health professionals (x¯ = 64.44, 95% CI [63.58, 65.69]) p = .012. Nurses, midwives or physicians had a significantly higher mean score for spiritual care confidence (x¯ = 15.4.7, SD = 2.2) than allied health professionals (x¯ = 14.3, SD = 3.1), t(307) = −4.42, p = .000. Formal training (62.7%) and guidance on spirituality and spiritual care (60.5%), communication skills (56.3%) and inclusion on staff induction programs (51.1%) was requested to help staff meet patients’ spiritual care needs. ConclusionThis multi-professional survey suggests differences in perceptions of spirituality and confidence in providing spiritual care dependent on religious beliefs and professional role. Results should be used to shape design and delivery of spiritual care education across clinical settings.

Nurses' Perceptions of Spirituality and Spiritual Care at Five Tertiary Care Hospitals in Riyadh, Saudi Arabia: A Cross-Sectional Study.

To identify the perceptions towards spirituality and spiritual care among nurses at tertiary care hospitals in Riyadh, Saudi Arabia. A cross-sectional study was conducted on nurses at five tertiary care hospitals in Riyadh. The data were collected using the Spirituality and Spiritual Care Rating Scale (SSCRS). We recruited 978 nurses, of which 896 (91.6%) were female. The mean SSCRS score was 3.8±0.5 (the spirituality and spiritual care statements fell within the 'agree' category). A statistically significant difference was found only between perceptions of spirituality and spiritual care among nurses and their nursing experience duration. The findings of this study revealed that nurses were oriented to spirituality, and respected the importance of providing spiritual care to their patients. The nurses believed that spirituality exists in all religions and spiritual care means showing concern while treating the patients by focusing on respecting patients' religious beliefs.

Perception of Spirituality and Spiritual Care among Muslim Nurses in Indonesia.

This cross-sectional study was conducted to examine 256 Muslim nurses' perception of spirituality and spiritual care in Indonesia. The Spirituality and Spiritual Care Rating Scale (SSCRS) was translated and culturally adapted. Moderately high degrees in five domains and total SSCRS were found. Specialty, education level, clinical seniority, having spiritual training, and previous spiritual caring experience could impact on the SSCRS. Most nurses have cared for patients with spiritual needs, but denied having any formal training in providing spiritual care. Providing adequate curriculum and on-job training to equip nurses' knowledge and competence of spiritual care is urgent in Muslim healthcare environment.