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Quality of Life and the Predictive Roles of Religiosity and Spiritual Coping Among Nursing Students: A Multi-country Study

Journal of Religion and Health volume 58, pages 1573–1591 (2019)Cite this article

Abstract

There has been high interest in religious and spirituality practices among college students due to positive benefits to university life. However, no studies have been conducted examining nursing students’ religiosity and use of spiritual coping and its impact on their QOL. This cross-sectional, descriptive study measured the QOL and examined the predictive roles of religiosity and spiritual coping among nursing students from four countries. Nursing students reported high overall QOL and health. Significant differences were revealed on the religiosity and spiritual coping of students in terms of demographic characteristics. Findings show frequent attendance to organized and non-organized religious activities lead to better physical and environmental domains, and using non-organized religious activities frequently lead to improved psychological health. More frequent use of non-religious coping strategies was associated with better physical, psychological, and environmental health, and improved social relationships.

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References

  • Abasimi, E., Atindanbila, S., Gai, X., & Mahamah, M. M. (2015). Analysis of stress coping strategies among diploma nursing Students in Ghana. International Journal of Applied Psychology, 5(2), 26–32.

    Google Scholar 

  • Abu-Raiya, H., & Pargament, K. I. (2015). Religious coping among diverse religions: Commonalities and divergences. Psychology of Religion and Spirituality, 7(1), 24–33. https://doi.org/10.1037/a0037652.

    Article  Google Scholar 

  • Al-Dabal, B. K., Koura, M. R., Rasheed, P., Al-Sowielem, L., & Makki, S. M. (2010). A comparative study of perceived stress among female medical and non-medical university students in Dammam, Saudi Arabia. Sultan Qaboos University Medical Journal, 10(2), 231.

    PubMed  PubMed Central  Google Scholar 

  • Allen, J., Balfour, R., Bell, R., & Marmot, M. (2014). Social determinants of mental health. International Review of Psychiatry, 26(4), 392–407.

    Article  PubMed  Google Scholar 

  • Alzayyat, A., & Al-Gamal, E. (2014). A review of the literature regarding stress among nursing students during their clinical education. International Nursing Review, 61(3), 406–415.

    CAS  Article  PubMed  Google Scholar 

  • Argue, A., Johnson, D. R., & White, L. K. (2000). Age and religiosity: Evidence from a three-wave panel analysis. Journal for the Scientific Study of Religion, 38(3), 423–435.

    Article  Google Scholar 

  • Astin, A. W., Astin, H. S., & Lindholm, J. A. (2010). Cultivating the spirit: How college can enhance students’ inner lives. San Francisco: Jossey-Bass.

    Google Scholar 

  • Baldacchino, D. R., & Buhagiar, A. (2003). Psychometric evaluation of the Spiritual Coping Strategies scale in English, Maltese, back-translation and bilingual versions. Journal of Advanced Nursing, 42(6), 558–570.

    Article  PubMed  Google Scholar 

  • Braveman, P. A., Cubbin, C., Egerter, S., Williams, D. R., & Pamuk, E. (2010). Socioeconomic disparities in health in the United States: What the patterns tell us. American Journal of Public Health, 100(S1), S186–S196.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brennan, D. S., & Spencer, A. J. (2014). Health-related quality of life and income-related social mobility in young adults. Health and Quality of Life Outcomes, 12, 52. https://doi.org/10.1186/1477-7525-12-52.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cheah, C. S. L., Trinder, K. M., & Gokavi, T. N. (2010). Urban/rural and gender differences among Canadian emerging adults. International Journal of Behavioral Development, 34(4), 339–344.

    Article  Google Scholar 

  • Cruz, J. P., Alquwez, N., Alqubeilat, H., & Colet, P. C. (2017a). Psychometric evaluation of the Spiritual Coping Strategies Scale Arabic version for Saudi nursing students. Journal of Holistic Nursing, 35(2), 198–207.

    Article  PubMed  Google Scholar 

  • Cruz, J. P., Alshammari, F., & Colet, P. C. (2017b). Psychometric properties of the Spiritual Care-Giving Scale-Arabic version in Saudi nursing students. Journal of Holistic Nursing, 35(2), 175–184.

    Article  PubMed  Google Scholar 

  • Cruz, J. P., Colet, P. C., Alquwez, N., Inocian, E. P., Al-Otaibi, R. S., & Islam, S. M. S. (2017c). Influence of religiosity and spiritual coping on health-related quality of life in Saudi haemodialysis patients. Hemodialysis International, 21(1), 125–132.

    Article  PubMed  Google Scholar 

  • Cruz, J. P., Reyes, R. W. P., Colet, P. C., Estacio, J. C., Caldeira, S., Vitorino, L. M., et al. (2017d). Psychometric evaluation of the Filipino versions of the Duke University Religion Index and the Spiritual Coping Strategies Scale in Filipino hemodialysis patients. Journal of Religion and Health, 56(4), 1381–1396.

    Article  PubMed  Google Scholar 

  • Dillon, M. (1996). The persistence of religious identity among College Catholics. Journal for the Scientific Study of Religion, 35(2), 165–170.

    Article  Google Scholar 

  • Eurich, R. B., & Kluthcovsky, A. C. G. (2008). Evaluation of quality of life of undergraduate nursing students from first and fourth years: The influence of sociodemographic variables. Revista de Psiquiatria do Rio Grande do Sul, 30(3), 211–220.

    Article  Google Scholar 

  • Fradelos, E., Tzavella, F., Koukia, E., Papathansiou, I. V., Alikari, V., Stathoulis, J., et al. (2015). Integrating chronic kidney disease patient’s spirituality in their care: Health benefits and research perspectives. Mater Socio Medica, 27(5), 345–358.

    Google Scholar 

  • Gehrke, S. J. (2008). Leadership through meaning-making: An empirical exploration of spirituality and leadership in college students. Journal of College Student Development, 49(4), 351–359.

    Article  Google Scholar 

  • Gholami, A., Jahromi, L. M., Zarei, E., & Dehghan, A. (2013). Application of WHOQOL-BREF in measuring quality of life in health-care staff. International Journal of Preventive Medicine, 4(7), 809.

    PubMed  PubMed Central  Google Scholar 

  • Goldin, S. B., Wahi, M. M., Farooq, O. S., Borgman, H. A., Carpenter, H. L., Wiegand, L. R., et al. (2007). Student quality-of-life declines during third year surgical clerkship. Journal of Surgical Research, 143(1), 151–157.

    Article  PubMed  Google Scholar 

  • Gomathi, K. G., Ahmed, S., & Sreedharan, J. (2012). Psychological health of first-year health professional students in a medical university in the United Arab Emirates. Sultan Qaboos University Medical Journal, 12(2), 206.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gyima, S. O., Kodzi, I., Emina, J., Adjei, J., & Ezeh, A. (2012). Adolescent sexual risk-taking in the informal settlements of Nairobi, Kenya: Understanding the contributions of religion. Journal of Religion and Health, 53, 13–26.

    Article  Google Scholar 

  • Hill, P. C., & Pargament, K. I. (2006). Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. American Psychologist, 58(1), 64–74.

    Article  Google Scholar 

  • Kahneman, D., & Deaton, A. (2010). High income improves evaluation of life but not emotional well-being. Proceedings of the National Academy of Sciences, 107(38), 16489–16493.

    CAS  Article  Google Scholar 

  • Kirkpatrick, S. I., Dodd, K. W., Reedy, J., & Krebs-Smith, S. M. (2012). Income and race/ethnicity are associated with adherence to food-based dietary guidance among US adults and children. Journal of the Academy of Nutrition and Dietetics, 112(5), 624–635.e6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kleiveland, B., Natvig, G. K., & Jepsen, R. (2015). Stress, sense of coherence and quality of life among Norwegian nurse students after a period of clinical practice. PeerJ, 3, e1286. https://doi.org/10.7717/peerj.1286.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koenig, H. G. (2012). Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry. https://doi.org/10.5402/2012/278730.

    Article  Google Scholar 

  • Koenig, H. G., & Büssing, A. (2010). The Duke University Religion Index (DUREL): A five-item measure for use in epidemiological studies. Religions, 1(1), 78–85.

    Article  Google Scholar 

  • Krauss, S. E., Hamzah, A. H., Suandi, T., Noah, S. M., Juhari, R., Manap, J. H., et al. (2006). Exploring regional differences in religiosity among Muslim youth in Malaysia. Review of Religious Research, 47(3), 238–252.

    Google Scholar 

  • Kuh George, D., & Gonyea Robert, M. (2006). Spirituality, liberal learning, and college engagement. Liberal Education, 92, 40–47.

    Google Scholar 

  • Kumar, N. R., & Nancy, O. (2011). Stress and coping strategies among nursing students. Nursing and Midwifery Research Journal, 7(4), 141–151.

    Google Scholar 

  • Lemos, C. F., Rodrigues, M. P., & Veiga, J. R. P. (2015). Family income is associated with quality of life in patients with chronic kidney disease in the pre-dialysis phase: A cross-sectional study. Health and Quality of Life Outcomes, 13, 202. https://doi.org/10.1186/s12955-015-0390-6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lopez, V., Fischer, I., Leigh, M. C., Larkin, D., & Webster, S. (2014). Spirituality, religiosity, and personal beliefs of Australian undergraduate nursing students. Journal of Transcultural Nursing, 25(4), 395–402.

    Article  PubMed  Google Scholar 

  • Mooney, M. (2010). Religion, college grades, and satisfaction among students at elite colleges and universities. Sociology of Religion, 71(2), 197–215.

    Article  Google Scholar 

  • Mueller, P. S., Plevak, D. J., & Rummans, T. A. (2001). Religious involvement, spirituality, and medicine: Implications for clinical practice. Mayo Clinic Proceedings, 76(12), 1225–1235.

    CAS  Article  PubMed  Google Scholar 

  • Puffer, E. S., Watt, M. H., Sikkema, K. J., Ogwang-Odhiambo, R. A., & Broverman, S. A. (2012). The protective role of religious coping in adolescents’ response to poverty and sexual decision-making in rural Kenya. Journal of Research on Adolescence, 22(1), 1–7.

    Article  PubMed  Google Scholar 

  • Putnam, R., & Campbell, D. (2010). American grace: How religion divides and unites us. New York: Simon & Schuster.

    Google Scholar 

  • Rainer, T. S., & Rainer, J. (2011). The millennial: Connecting to America’s largest generation. Nashville, TN: B&H Publishing Group.

    Google Scholar 

  • Robert Wood Johnson Foundation. (2008). Where we live matters for our health: Neighborhoods and health. Commission to build a healthier America. Retrieved May 26, 2017 from http://www.commissiononhealth.org/PDF/888f4a18-eb90-45be-a2f8-159e84a55a4c/Issue%20Brief%203%20Sept%2008%20-%20Neighborhoods%20and%20Health.pdf

  • Schnabel, L. (2015). How religious are American men and women? Gender differences and similarities. Journal for the Scientific Study of Religion, 54(3), 616–622.

    Article  Google Scholar 

  • Seiter, L. N., & Nelson, L. J. (2010). An examination of emerging adulthood in college students and nonstudents in India. Journal of Adolescent Research, 26(4), 506–536.

    Article  Google Scholar 

  • Sharifirad, G., Marjani, A., Charkazi, A., Qorbani, M., & Shahnazi, H. (2012). Stress among Isfahan medical sciences students. Journal of Research in Medical Sciences, 17(4), 402–406.

    PubMed  PubMed Central  Google Scholar 

  • Suchday, S., Santoro, A. F., Ramanayake, N., Lewin, H., & Almeida, M. (2018). Religion, spirituality, globalization reflected in life beliefs among urban Asian Indian youth. Psychology of Religion and Spirituality, 10(2), 146–156. https://doi.org/10.1037/rel0000161.

    Article  Google Scholar 

  • Suleiman, K., Alghabeesh, S., Jassem, H., Shahroor, L., & Ali, R. (2013). Quality of life (QOL) among university students in Jordan: A descriptive study. Journal of Education and Practice, 4(11), 161–167.

    Google Scholar 

  • Tiew, L. H., Creedy, D. K., & Chan, M. F. (2013). Student nurses’ perspectives of spirituality and spiritual care. Nurse Education Today, 33(6), 574–579.

    Article  PubMed  Google Scholar 

  • UCLA Higher Education Research Institute. (2005). The spiritual life of college students: A national study of college students’ search for meaning and purpose. Los Angeles: University of California, Los Angeles. Retrieved May 26, 2017 from http://spirituality.ucla.edu/docs/reports/Spiritual_Life_College_Students_Full_Report.pdf

  • Van Dierendonck, D. (2012). Spirituality as an essential determinant for the good life, its importance relative to self-determinant psychological needs. Journal of Happiness Studies, 13(4), 685–700.

    Article  Google Scholar 

  • Wachholtz, A., & Sambamoorthi, U. (2011). National trends in prayer use as a coping mechanism for health concerns: Changes from 2002 to 2007. Psychology of Religion and Spirituality, 3(2), 67.

    Article  Google Scholar 

  • World Health Organization. (1998). WHOQOL User Manual. Geneva: World Health Organization Program on Mental Health.

    Google Scholar 

  • Wyshak, G. (2016). Income and subjective well-being: New insights from relatively healthy American women, ages 49–79. PLoS ONE, 11(2), e0146303. https://doi.org/10.1371/journal.pone.0146303.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  • Yildirim, Y., Kilic, S. P., & Akyol, A. D. (2013). Relationship between life satisfaction and quality of life in Turkish nursing school students. Nursing & Health Sciences, 15(4), 415–422.

    Article  Google Scholar 

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Affiliations

  1. School of Nursing and Dental Hygiene, University of Hawaii at Manoa, Honolulu, HI, 96822, USA

    Rhea Faye D. Felicilda-Reynaldo

  2. Nursing Department, College of Applied Medical Sciences, Shaqra University, Al Dawadmi, Saudi Arabia

    Jonas Preposi Cruz

  3. Nursing Department, University of Thessaly, Larissa, Thessaly, Greece

    Ionna V. Papathanasiou

  4. Medical and Surgical Department, Mohamed Sathak A.J. College of Nursing, The Tamilnadu Dr. M.G.R. Medical University, Chennai, India

    John C. Helen Shaji

  5. Nursing Department, University of Kabianga, Kericho, Kenya

    Simon M. Kamau

  6. School of Nursing, Missouri State University, Springfield, MO, USA

    Kathryn A. Adams

  7. Oman College of Health Sciences - Dhofar, Salalah City, Dhofar, Sultanate of Oman

    Glenn Ford D. Valdez

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  1. Rhea Faye D. Felicilda-Reynaldo
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  2. Jonas Preposi Cruz
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  3. Ionna V. Papathanasiou
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  4. John C. Helen Shaji
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  5. Simon M. Kamau
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  7. Glenn Ford D. Valdez
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Correspondence to Rhea Faye D. Felicilda-Reynaldo.

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Felicilda-Reynaldo, R.D., Cruz, J.P., Papathanasiou, I.V. et al. Quality of Life and the Predictive Roles of Religiosity and Spiritual Coping Among Nursing Students: A Multi-country Study. J Relig Health 58, 1573–1591 (2019). https://doi.org/10.1007/s10943-019-00771-4

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  • DOI: https://doi.org/10.1007/s10943-019-00771-4

Keywords

  • Religiosity
  • Spirituality
  • Quality of life
  • Nursing students
  • Spiritual coping