Abstract
Spirituality and its role in nurses’ performance has gained much attention from the nursing researchers. But there is still some ambiguity about its role in improving the nurses’ empathetic behaviors and factors that mediate this relation. To fill these research gaps, a sample of 247 Muslim nurses in a hospital at Shiraz, Iran, were selected and studied. Data were gathered by distributing the standard questionnaires among all of the nurses. Also, structural equation modeling and ANOVA test were used to analyze the data. It was found that nurses’ spiritual orientation has a positive effect on their psychological capital and empathetic behaviors. Also, it was found that their work engagement has been affected by their level of psychological capital. Moreover, there was a significant difference between the spirituality of single and married nurses, in a way that married nurses were more spiritual. As a conclusion, it can be said that nurses’ empathetic behaviors are a reflection of their spiritual orientation and marriage status.
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Abdelhadi, N., & Drach-Z, A. (2011). Promoting patient care: work engagement as a mediator between ward service climate and patient-centred care. Journal of Advanced Nursing, 68(6), 1276–1287. https://doi.org/10.1111/j.1365-2648.2011.05834.x.
Adawiyah, W. R., & Pramuka, B. A. (2017). Scaling the notion of Islamic spirituality in the workplace. Journal of Management Development, 36(7), 877–898. https://doi.org/10.1108/JMD-11-2014-0153.
Adegbola, M. (2011). Spirituality, self-efficacy, and quality of life among adults with sickle cell disease. Southern Online Journal of Nursing Research, 11(1), 5.
Al-dalahmeh, M., Khalaf, R., & Obeidat, B. (2018). The effect of employee engagement on organizational performance via the mediating role of job satisfaction: The case of IT employees in Jordanian banking sector. Modern Applied Science, 6, 12. https://doi.org/10.5539/mas.v12n6p17.
Allahyari Bouzanjani, A. (2016). Nurses’ empathy with patient: The effect of perceived social supports and ethical responsibility to patient. Quarterly Journal of Nursing Management, 5(1), 29–39. (In Persian).
Ançel, G. (2006). Developing empathy in nurses: An inservice training program. Archives of Psychiatric Nursing, 20(6), 249–257. https://doi.org/10.1016/j.apnu.2006.05.002.
Ashforth, B. E., & Humphrey, R. H. (1995). Emotion in the Workplace: A Reappraisal. Human Relations, 48(2), 97–125. https://doi.org/10.1177/001872679504800201.
Bandalos, D. L. (2014). Relative performance of categorical diagonally weighted least squares and robust maximum likelihood estimation. Structural Equation Modeling: a multidisciplinary journal., 21(1), 102–116. https://doi.org/10.1080/10705511.2014.859510.
Bardi, A., & Schwartz, Sh H. (2003). Values and behavior: Strength and structure of relations. Personality and Social Psychology Bulletin, 29(10), 1207–1220. https://doi.org/10.1177/0146167203254602.
Baumruk, R. (2004). The missing link: The role of employee engagement in business success. Workspan, 47, 48–52.
Bedoe, A., & Murphy, S. O. (2004). Does mindfulness decrease stress and foster empathy among nursing students? Journal of Nursing Education, 43(7), 305–312. https://doi.org/10.3928/01484834-20040701-07.
Berg, K., Blatt, B., Lopreiato, J., Jung, J., Schaeffer, A., Heil, D., et al. (2015). Standardized patient assessment of medical student empathy: ethnicity and gender effects in a multi-institutional study. Academic Medicine, 90(1), 105–111. https://doi.org/10.1097/ACM.0000000000000529.
Bergheim, K., et al. (2015). The relationship between psychological capital, job satisfaction, and safety perceptions in the maritime industry. Safety Science, 74, 27–36. https://doi.org/10.1016/j.ssci.2014.11.024.
Boamah, S. H., & Laschinger, H. (2014a). Engaging new nurses: the role of psychological capital and workplace empowerment. Journal of Research in Nursing. https://doi.org/10.1177/1744987114527302.
Boamah, Sh, & Laschinger, H. (2014b). Engaging new nurses: the role of psychological capital and workplace empowerment. Journal of Research in Nursing. https://doi.org/10.1177/1744987114527302.
Boeve-de Pauw, J., & Van Petegem, P. (2013). A cross-cultural study of environmental values and their effect on the environmental behavior of children. Environment and Behavior, 45(5), 551–583. https://doi.org/10.1177/0013916511429819.
Brown, J., et al. (2014). Spirituality and optimism: a holistic approach to component-based, self-management treatment for HIV. Journal of Religion and Health, 53(5), 1317–1328. https://doi.org/10.1007/s10943-013-9722-1.
Cheng, T.-M., Hong, C.-Y., & Yang, B.-C. H. (2018). Examining the moderating effects of service climate on psychological capital, work engagement, and service behavior among flight attendants. Journal of Air Transport Management, 67, 94–102. https://doi.org/10.1016/j.jairtraman.2017.11.009.
Chiang, Y.-C., et al. (2016). The impact of nurses’ spiritual health on their attitudes toward spiritual care, professional commitment, and caring. Nursing Outlook, 64(3), 215–224. https://doi.org/10.1016/j.outlook.2015.11.012.
Cunico, L., et al. (2012). Developing empathy in nursing students: a cohort longitudinal study. Journal of Clinical Nursing, 21(13–14), 2016–2025. https://doi.org/10.1111/j.1365-2702.2012.04105.x.
Dasti, R., & Sitwat, A. (2014). Development of a multidimensional measure of islamic spirituality (MMS). Journal of Muslim Mental Health, 8(2), 47–67. https://doi.org/10.3998/jmmh.10381607.0008.204.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126. https://doi.org/10.1037/0022-3514.44.1.113.
Dehghani, A., Mosalanejad, L., & Dehghan-Nayeri, N. (2015). Factors affecting professional ethics in nursing practice in Iran: a qualitative study. BMC Medical Ethics, 16(1), 1–7. https://doi.org/10.1186/s12910-015-0048-2.
Duarte, J., & Pinto-Gouveia, J. (2017). Empathy and feelings of guilt experienced by nurses: A cross-sectional study of their role in burnout and compassion fatigue symptoms. Applied Nursing Research, 35, 42–47. https://doi.org/10.1016/j.apnr.2017.02.006.
Eldor, L., & Harpaz, I. (2016). A process model of employee engagement: The learning climate and its relationship with extra-role performance behaviors. Journal of Organizational Behavior, 37, 213–235. https://doi.org/10.1002/job.
England, G. W. (1967). Personal value systems of American managers. Academy of Management Journal, 10(1), 53–68. https://doi.org/10.5465/255244.
Forero, C. G., Maydeu-Olivares, A., & Gallardo-Pujol, D. (2009). Factor analysis with ordinal indicators: A Monte Carlo study comparing DWLS and ULS estimation. Structural Equation Modeling, 16(4), 625–641. https://doi.org/10.1080/10705510903203573.
Foroughi, S., Alhani, F., Kazemnejad, A., & Zareiyan, A. (2016). The ethichal values in professional nursing ethics: A thematic analysis. yafteh, 18(1), 56–64. (In Persian).
Frank, F. D., Finnegan, R. P., & Taylor, C. R. (2004). The race for talent: retaining and engaging workers in the 21st century. People and Strategy, 27(3), 12.
Gholipour, A. (2007). Organizational behavior management (individual behavior). Tehran: Samt. (In Persian).
Gladstein, G. A. (1983). Understanding empathy: Integrating counseling, developmental, and social psychology perspectives. Journal of Counseling Psychology, 30(4), 467. https://doi.org/10.1037/0022-0167.30.4.467.
Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a silver bullet. Journal of Marketing theory and Practice, 19(2), 139–152. https://doi.org/10.2753/MTP1069-6679190202.
Haley, B., Blatt, B., Heo, S., Wright, S., Barone, C., Rettiganti, M., et al. (2017). Relationships among active listening, self-awareness, empathy, and patient-centered care in associate and baccalaureate degree nursing students. Nursing Plus Open, 3, 11–16. https://doi.org/10.1016/j.npls.2017.05.001.
Heidke, P., Howie, V., & Ferdous, T. (2018). Use of healthcare consumer voices to increase empathy in nursing students. Nurse Education in Practice, 29, 30–34. https://doi.org/10.1016/j.nepr.2017.11.007.
Inceoglu, I., & Warr, P. (2011). Personality and job engagement. Journal of Personnel Psychology, 10(4), 177–181. https://doi.org/10.1027/1866-5888/a000045.
Irandoost, M. H. (2018). The quiddity of spirituality and the evolution of it’s meaning in West. Philosophy of Religion, 15(2), 527–548. https://doi.org/10.22059/JPHT.2018.226973.1005442.
Jackson, D. L. (2003). Revisiting sample size and number of parameter estimates: Some support for the N: q hypothesis. Structural Equation Modeling, 10(1), 128–141. https://doi.org/10.1207/S15328007SEM1001_6.
Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692–724. https://doi.org/10.5465/256287.
Kamil, N. M., Al-Kahtani, A. H., & Sulaiman, M. (2011). The components of spirituality in the business organizational context: The case of Malaysia. Asian Journal of Business and Management Sciences, 1(2), 166–180.
Khademian, Z., & Vizeshfar, F. (2008). Nursing students’ perceptions of the importance of caring behaviours. Journal of Advanced Nursing, 61(4), 456–462. https://doi.org/10.1111/j.1365-2648.2007.04509.x.
Kim, J. (2018). Factors influencing nursing students’ empathy. Korean Journal of Medical Education, 30(3), 229–236. https://doi.org/10.3946/kjme.2018.97.
Lucette, A., et al. (2016). Spirituality and religiousness are associated with fewer depressive symptoms in individuals with medical conditions. Psychosomatics, 57(5), 505–513. https://doi.org/10.1016/j.psym.2016.03.005.
Luthans, F. (2002). The need for and meaning of positive organizational behavior. Journal of Organizational Behavior, 22(23), 695–706. https://doi.org/10.1002/job.165.
Luthans, F., & Youssef, C. M. (2004). Human, social, and now positive psychological capital management: investing in people for competitive advantage. Organizational Dynamics, 33(2), 143–160. https://doi.org/10.1016/j.orgdyn.2004.01.003.
Luthans, F., & Youssef, C. M. (2007). Emerging positive organizational behavior. Journal of Management, 33(3), 321–349. https://doi.org/10.1177/0149206307300814.
Luthans, F., Youssef, C. M., & Avolio, B. J. (2007). Psychological capital developing the human competitive edge. New York: Oxford University Press.
Meglino, B. M., & Ravlin, E. C. (1998). Individual values in organizations: Concepts, controversies, and research. Journal of Management, 24(3), 351–389. https://doi.org/10.1177/014920639802400304.
Melhem, G. A., et al. (2016). Nurses perceptions of spirituality and spiritual care giving: A comparison study among all health care sectors in Jordan. Indian Journal of Palliative Care, 22(1), 42–49. https://doi.org/10.4103/0973-1075.173949.
Moreira, C. N. O., et al. (2016). Health locus of control, spirituality and hope for healing in individuals with intestinal stoma. Journal of Coloproctology (Rio de Janeiro), 36(4), 208–215. https://doi.org/10.1016/j.jcol.2016.04.013.
Osborne, S., & Hammoud, M. S. (2017). Effective employee engagement in the workplace. International Journal of Applied Management and Technology, 1(16), 50–67. https://doi.org/10.5590/IJAMT.2017.16.1.04.
Othman, N., & Nasurdin, A. (2011). Work engagement of Malaysian Nurses: Exploring the impact of hope and resilience. International Journal of Economics and Management Engineering, 5(12), 1990–1994.
Ouweneel, E., Le Blanc, P., & Schaufeli, W. (2013). Do-it-yourself. An online positive psychology intervention to promote positive emotions, self-efficacy, and engagement at work. Career Development International, 2(18), 173–195.
Pan, X., et al. (2017). Psychological capital mediates the association between nurses practice environment and work engagement among Chinese male nurses. International Journal of Nursing Sciences, 4, 378–383. https://doi.org/10.1016/j.ijnss.2017.09.009.
Petscher, Y. M., Schatschneider, C., & Compton, D. L. (2013). Applied Quantitative Analysis in Education and the Social Sciences. Abingdon: Routledge.
Rulindo, R., & Mardhatillah, A. (2011). Spirituality, Religiosity and Economic Performances of Muslim Micro-Entrepreneurs. In 8th International Conference on Islamic Economics and Finance. Center for Islamic Economics and Finance, Qatar Faculty of Islamic Studies, Qatar Foundation.
Şahin, D. R., Çubuk, D., & Uslu, T. (2014). The effect of organizational support, transformational leadership, personnel empowerment, work engagement, performance and demographical variables on the factors of psychological capital. EMAJ Emerging Markets Journal, 3(3), 1–17. https://doi.org/10.5195/emaj.2014.49.
Salanova, M., Agut, S., & Peiro, J. M. (2005). Linking organizational resources and work engagement to employee performance and customer loyalty: The mediation of service climate. Journal of Applied Psychology, 90(6), 1217–1227. https://doi.org/10.1037/0021-9010.90.6.1217.
Saucier, G., & Skrzypińska, K. (2006). Spiritual but not religious? Evidence for two independent dispositions. Journal of Personality, 74(5), 1257–1292. https://doi.org/10.1111/j.1467-6494.2006.00409.x.
Schaufeli, W. B., Bakker, A. B., & Salanova, M. (2006). The measurement of work engagement with a short questionnaire: A cross-national study. Educational and Psychological Measurement, 66(4), 701–716. https://doi.org/10.1177/0013164405282471.
Simbula, S., Guglielmi, D., & Schaufeli, W. B. (2011). A three-wave study of job resources, self-efficacy, and work engagement among Italian schoolteachers. European Journal of Work and Organizational Psychology, 20(3), 285–304.
Stebnicki, M. A. (2007). Empathy fatigue: healing the mind, body, and spirit of professional counselors. American Journal of Psychiatric Rehabilitation, 10, 317–338. https://doi.org/10.1080/15487760701680570.
Waaijman, C. J. (2000). Spiritualiteit-vormen, grondslagen, methoden. Kampen/Gent: Kok/Carmelitana. http://hdl.handle.net/2066/114160.
Winseman, J., & Morison, J. (2009). Students’ views on factors affecting empathy in medical education. Academic Psychiatry, 33(6), 484–491. https://doi.org/10.1176/appi.ap.33.6.484.
Wong, K. F., Lee, L. Y., & Lee, J. K. (2008). Hong Kong enrolled nurses’ perceptions of spirituality and spiritual care. International Nursing Review, 55(3), 333–340. https://doi.org/10.1111/j.1466-7657.2008.00619.x.
Wright, D. S. (1971). The psychology of moral behaviour. UK Penguin: Harmondsworth.
Acknowledgements
This paper has been adapted from an independent research. We thank the nursing manager and hospital administration that helped us to distribute the questionnaires. Also, we are very thankful to the nurses who completed the questionnaires.
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In order to ensure the meet of ethical standards, the hospital board of directors has reviewed the research questionnaire before approval was given to conduct the research. They were made aware that the researchers have excluded nurses’ names and any personal details of them on the research questionnaire. Also, they were made aware that respondents can stop responding the questionnaire at any time if they felt did not want to continue for whatever reason. Given the above, the hospital board of directors gave permission to conduct the research, under the letter No. 96/1685516.
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Allahyari Bouzanjani, A., Bahadori, P. & Nikoonam, P. Nurses’ Empathetic Behaviors: The Direct and Indirect Effect of Their Spiritual Orientation. J Relig Health 60, 134–152 (2021). https://doi.org/10.1007/s10943-019-00966-9
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DOI: https://doi.org/10.1007/s10943-019-00966-9