Journal of Religion and Health

, Volume 58, Issue 1, pp 14–27 | Cite as

Psychometric Evaluation of the Turkish Form of the Spiritual Care Competence Scale

  • Safak Daghan
  • Asli KalkimEmail author
  • Tulay Sağkal Midilli
Original Paper


The methodological study was aimed to assess the psychometric properties of the Turkish version of the Spiritual Care Competence Scale (SCCS-T). The research was conducted on final-year Turkish nursing students (n = 297) in the faculties of nursing and health science in two cities in the western part of Turkey. Exploratory factor analysis revealed that three factors accounted for 75.18% of the explained variance. The Cronbach’s alpha coefficient for the SCCS-T was .97. The three-factor model of the SCCS-T was found to be a reliable and valid scale for evaluating spiritual care competencies of Turkish nursing students and nurses.


Competence Nursing Reliability Spiritual care Validity 



The authors received no financial support for the study. The authors would like to thank all students who took part in the study and van R. Leeuwen et al. who are developers of the SCCS.

Compliance with Ethical Standards

Conflict of interest

The authors declare they have no potential conflict of interest.

Ethical Standards

All procedures in this research were performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Ethical approval to conduct this study was obtained from the administration faculties where the study was to be performed and the Ethics Committee of the University Medical Faculty (Approval No: 20478486-123). Permission to adapt the SCCS to Turkish and to use it was received by e-mail from van Rene Leeuwen.

Informed Consent

It was obtained orally from the students taking part in the research.


  1. Aksayan, S., & Gözüm, S. A. (2002). Guide for transcultural adaptation of the scale II: Psychometric characteristics and cross cultural comparison. Hemşirelikte Araştırma Geliştirme Dergisi, 4, 9–14. (In Turkish).Google Scholar
  2. Balci, A. (2011). Research methods, techniques, and principles in social sciences (9th ed.). Pegem Akademi: Ankara. (In Turkish).Google Scholar
  3. Bedel, G., & Scherler, H. N. (2009). The validity and reliability study of the Turkish version of the spirituality scale. İstanbul: İstanbul Bilgi Üniversitesi Sosyal Bilimler Enstitüsü Psikoloji Yüksek Lisans Programı, Istanbul. (In Turkish).Google Scholar
  4. Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and generation of evidence (6th ed.). Philadelphia, PA: W. B. Saunders.Google Scholar
  5. Buyukozturk, Ş. (2012). Data analysis for the social sciences handbook (16th ed.). Ankara: Pegem Akademi. (In Turkish).Google Scholar
  6. Çetinkaya, B., Azak, A., & Altundağ, D. S. (2013). Nurses’ perceptions of spirituality and spiritual care. Australian Journal of Advanced Nursing, 31, 5–10.Google Scholar
  7. Chung, M. J., & Eun, Y. (2011). Development and effectiveness of a spiritual care education program for nursing students—Based on the ASSET model. Journal of Korean Academic Nursing, 41, 673–683.CrossRefGoogle Scholar
  8. Çoban, İ. G., Şirin, M., & Yurttaş, A. (2015). Reliability and validity of the spiritual care-giving scale in a Turkish population. Journal of Religions and Health, 21.Google Scholar
  9. DeVellis, R. F. (2012). Scale development: Theory and applications (3a ed.). California: Sage Publication.Google Scholar
  10. Eğlence, R., & Şimşek, N. (2014). To determine the knowledge level about spiritual care and spirituality of nurses. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 5, 48–53. (In Turkish).Google Scholar
  11. Ergül, Ş., & Temel, A. B. (2007). Validity and reliability of “the spirituality and spiritual care rating scale” Turkish version. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 23, 75–87. (In Turkish).Google Scholar
  12. Hayran, M., & Hayran, M. (2011). Basic statistic for health research. Ankara: Art. Ofset Maatbacılık Yayıncılık. (In Turkish).Google Scholar
  13. Hoffert, D., Henshaw, C., & Mvududu, N. (2007). Enhancing the ability of nursing students to perform a spiritual assessment. Nurse Education Today, 32, 66–72.CrossRefGoogle Scholar
  14. Hsiao, Y. C., Chiang, H. Y., & Chien, L. Y. (2010). An exploration of the status of spiritual health among nursing students in Taiwan. Nurse Education Today, 30, 386–392.CrossRefGoogle Scholar
  15. Jonhson, R. B., & Christensen, L. B. (2014). Educational research: Quantitative, qualitative, and mixed approaches. Thousand Oaks, CA: SAGE.Google Scholar
  16. Kasapoğlu, F. (2015). Development of spiritual orientation scale: The study of validity and reliability. İnönü University Journal of the Faculty of Education, 16, 51–68. In Turkish.Google Scholar
  17. Kavak, F., Mankan, T., Polat, H., Sarıtaş, S. C., & Sarıtaş, S. (2014). Nurses comments on the maintenance of spiritual care. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 3, 21–24. (In Turkish).Google Scholar
  18. Kavas, E., & Kavas, N. (2014). Spiritual support perception (MDA) scale: Development, validity and reliability. International Periodical for the Languages, Literature and History of Turkish or Turkic, 9, 905–915. (In Turkish).Google Scholar
  19. Kline, R. B. (2011). Principles and practice of structural equation modeling. New York: The Guilford Press.Google Scholar
  20. Kostak, M. A., Çelikkalp, Ü., & Demir, M. (2010). The opinions of nurses and midwifes about spirituality and spiritual care. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, Sempozyum Özel Sayısı, 218-225. In Turkish.Google Scholar
  21. Lepherd, L. (2015). Spirituality: Everyone has it, but what is it? International Journal of Nursing Practice, 21, 566–574.CrossRefGoogle Scholar
  22. Lewinson, L. P., McSherry, W., & Kevern, P. (2015). Spirituality in pre-registration nurse education and practice: A review of the literature. Nurse Education Today, 35, 806–814.CrossRefGoogle Scholar
  23. Lopez, V., Leigh, M. C., Fischer, I., Larkin, D., & Webster, S. (2015). Perceptions of spirituality in Australian undergraduate nursing students: A pre- and post-test study. Nursing Practice Today, 2, 10–15.Google Scholar
  24. Lovanio, K., & Wallace, M. (2007). Promoting spiritual knowledge and attitudes a student nurse education project. Holistic Nursing Practice, January/February, 42–47.CrossRefGoogle Scholar
  25. McMullan, M., Endacott, R., Gray, M. A., Jasper, M., Miller, C. M., Scholes, J., et al. (2003). Portfolios and assessment of competence: A review of the literature. Journal of Advanced Nursing, 41, 283–294.CrossRefGoogle Scholar
  26. Milligan, S. (2004). Perceptions of spiritual care among nurses undertaking post registration education. International Journal of Palliative Nursing, 10, 162–171.CrossRefGoogle Scholar
  27. Miner-Williams, D. (2006). Putting a puzzle together: making spirituality meaningful for nursing using an evolving theoretical framework. Journal of Clinical Nursing, 15, 811–821.CrossRefGoogle Scholar
  28. Narayanasamy, A. (2006). The impact of empirical studies of spirituality and culture on nurse education. Journal of Clinical Nursing, 15, 840–851.CrossRefGoogle Scholar
  29. Ozbasaran, F., Ergul, S., Temel, A. B., Aslan, G. G., & Coban, A. (2011). Turkish nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 20, 3102–3110.CrossRefGoogle Scholar
  30. Pagano, R. R. (2011). Understanding statistics in the behavioral sciences (10th ed.). Stamford, CT: Cengage Learning.Google Scholar
  31. Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. RINAH, 29, 489–497.Google Scholar
  32. Polit, D. F., & Beck, C. T. (2010). Essentials of nursing research: Appraising evidence for nursing practice (7th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.Google Scholar
  33. Ross, L., Giske, T., van Leeuwen, R., Baldacchino, D., McSherry, W., Narayanasamy, A., et al. (2016). Factors contributing to student nurses’/midwives’ perceived competency in spiritual care. Nurse Education Today, 36, 445–451.CrossRefGoogle Scholar
  34. Ross, L., van Leeuwen, R., Baldacchino, D., Giske, T., McSherry, W., Narayanasamy, et al. (2014). Student nurses perceptions of spirituality and competence in delivering spiritual care: A European pilot study. Nurse Education Today, 34, 697–702.CrossRefGoogle Scholar
  35. Sencan, H. (2005). Reliability and validity in the social and behavioral measures (2nd ed.). Ankara: Seçkin Yayıncılık. (In Turkish).Google Scholar
  36. Sessanna, L., Finnell, D., & Jezewski, M. A. (2007). Spirituality in nursing and health-related literature: A concept analysis. Journal of Holistic Nursing, 25, 252–262.CrossRefGoogle Scholar
  37. Taylor, E. J. (2002). Spiritual care: Nursing theory, research, and practice. Upper Saddle River: Prentice Hall.Google Scholar
  38. Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60, 34–42.CrossRefGoogle Scholar
  39. Tiew, L. H., Creedy, D. K., & Chan, M. F. (2013). Student nurses’ perspectives of spirituality and spiritual care. Nurse Education Today, 33, 574–579.CrossRefGoogle Scholar
  40. Van Leeuwen, R., & Cusveller, B. (2004). Nursing competencies for spiritual care. Journal of Advanced Nursing, 48, 234–246.CrossRefGoogle Scholar
  41. Van Leeuwen, R., Tiesinga, L. J., Middel, B., Post, D., & Jochemsen, H. (2008). The effectiveness of an educational programme for nursing students on developing competence in the provision of spiritual care. Journal of Clinical Nursing, 17, 2768–2781.CrossRefGoogle Scholar
  42. Van Leeuwen, R., Tiesinga, L. J., Middel, B., Post, D., & Jochemsen, H. (2009). The validity and reliability of an instrument to assess nursing competencies in spiritual care. Journal of Clinical Nursing, 18, 2857–2869.CrossRefGoogle Scholar
  43. Vieira, A. I. (2011). Interactive LISREL in practice: Getting started with a SIMPLIS approach. New York: Springer Science & Business Media.CrossRefGoogle Scholar
  44. Yılmaz, M., & Okyay, N. (2009). Views related to spiritual care and spirituality of nurses. Hemşirelikte Araştırma Geliştirme Dergisi, 3, 41–52. (In Turkish).Google Scholar
  45. Yurdugul, H. (2005). In scale development of study, using content validity index for content validity. Denizli: Ulusal Eğitim Bilimleri Kongresi. (In Turkish).Google Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Safak Daghan
    • 1
  • Asli Kalkim
    • 1
    Email author
  • Tulay Sağkal Midilli
    • 2
  1. 1.Department of Public Health NursingEge University Faculty of NursingIzmirTurkey
  2. 2.Department of NursingCelal Bayar University Faculty of Health SciencesManisaTurkey

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