Abstract
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 a department of nursing (n = 1250), and involved a sample size of 420 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.
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References
Barber, J. R. (2008). Nursing students' perception of spiritual awareness after participating in a spirituality project. PhD Thesis. College of Saint Mary, Omaha, Nebraska, USA.
Bediako, S., Lattimer, L., Haywood, C. J., Ratanawongsa, N., & Beach, M. (2011). Religious coping and hospital admissions among adults with sickle cell disease. Journal of Behavioral Medicine, 34, 120–127. https://doi.org/10.1007/s10865-010-9290-8
Boztilki, M., & Ardıc, E. (2017). Maneviyat ve Sağlık/Spirituality and health. JAREN Hemşirelik Akademik Araştırma Dergisi, 3, 39–45. https://doi.org/10.5222/jaren.2017.1008 (Turkish).
Bulut, H. K., & Meral, B. (2019). Öğrenci hemşirelerin maneviyat ve manevi bakımı algılama düzeyleri ve etkileyen bazı faktörlerin belirlenmesi/Evaluation of perceptions of spiritual and spiritual care of student nurses. Gümüşhane University Journal of Health Sciences, 8(4), 353–362 (Turkish).
Celik, S. I., & Utas, L. A. (2016). Öğrenci hemşirelerin maneviyat ve manevi bakıma ilişkin algıları/Nursing Students’ Perceptions about Spirituality and Spiritual Care. Hemşirelikte Eğitim ve Araştırma Dergisi, 13(3), 202–208. https://doi.org/10.5222/HEAD.2016.202 (Turkish).
Chan, M. F. (2010). Factors affecting nursing staff in practicing spiritual care. Journal of Clinical Nursing, 19(15–16), 2128–2136. https://doi.org/10.1111/j.1365-2702.2008.02690.x
Chan, M. F., Chung, L. Y. F., Lee, A. S. C., Wong, W. K., Lee, G. S. C., Lau, C. Y., Lau, W. Z., Hung, T. T., Liu, M. L., & Ng, J. W. S. (2006). Investigating spiritual care perceptions and practice patterns in Hong Kong nurses: Results of a cluster analysis. Nurse Education Today, 26(2), 139–150. https://doi.org/10.1016/j.nedt.2005.08.006
Coleman, M., & Ganong, L. H. (1985). Love and sex-role stereotypes: Do ‘macho’ men and ‘feminine’ women make better lovers? Journal of Personality Social Psychology, 49, 170–176. https://doi.org/10.1037/0022-3514.49.1.170
European Commission (EC). (2010). Europe 2020: A strategy for smart, sustainable and inclusive growth. Working paper {COM (2010) 2020}. https://www.eea.europa.eu/policy-documents/com-2010-2020-europe-2020 Accessed on August 30, 2020.
Cooper, K. L., Chang, E., Sheehan, A., & Johnson, A. (2013). The impact of spiritual care education upon preparing undergraduate nursing students to provide spiritual care. Nurse education today, 33(9), 1057–1061. https://doi.org/10.1016/j.nedt.2012.04.005
Daghan, S. (2018). Nursing students’ perceptions of spirituality and spiritual care; An example of Turkey. Journal of Religion and Health, 57, 420–430. https://doi.org/10.1007/s10943-017-0416-y
Daştan, N.B., & Buzlu, S. (2010). Meme kanseri hastalarında maneviyatın etkileri ve manevi bakım/The effects of spirituality in breast cancer patients and spiritual care. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi. 3(1),73–78. https://hdl.handle.net/20.500.12415/5407 (Turkish)
Ercan, F., Körpe, G., & Demir, S. (2018). Bir Üniversite Hastanesinde Yataklı Servislerde Çalışan Hemşirelerin Maneviyat ve Manevi Bakıma İlişkin Algıları/Spirituality and spiritual care related perceptions of nurses working at the ınpatient services of a university hospital. Gazi Medical Journal, 29, 17–22. https://doi.org/10.12996/gmj.2018.05 (Turkish).
Erenoğlu, R., & Can, R. (2019). Hemşirelik Bölümü Öğrencilerinin Manevi Destek Algıları ve Etkileyen Faktörler/ Spiritual support perceptions and the affecting factors of students among nursing school. Journal of Academic Research in Nursing, 5(1), 23. https://doi.org/10.5222/jaren.2019.77699 (Turkish).
Ergül, Ş. (2010). The concepts of spirituality and spiritual care in nursing education where? When? How? Journal of Ege University School of Nursing, 26(1), 65–75
Ergül, Ş, & Bayık, A. (2004). Hemşirelik ve manevi bakim/Nursıng and Spırıtual Care. Cumhuriyet Üniv. Hemşirelik Yüksek okulu Dergisi, 8(1), 37–45
Ergül, Ş, & Temel, A. B. (2007). Validity and reliability of “Spirituality and Spiritual Care Rating Scale” Turkish version. Journal of Ege University School of Nursing, 23, 75–87
Erisen, M., & Sivrikaya, S. K. (2017). Manevi Bakım ve Hemşirelik/Spiritual care and nursing. Gümüşhane University Journal of HealthSciences, 6(3), 184–190
Genç, Y., & Durğun, A. (2018). Manevi bakımın gerekliliği ve bakım hizmeti veren meslek elemanlarının manevi bakıma ilişkin düşünceleri/The necessıty of spırıtual care and the thoughts of professıonals that gıve spırıtual care. Electronic Turkish Studies, 13(9), 45–66. https://doi.org/10.7827/TurkishStudies.13478
Giske, T., & Cone, P. H. (2015). Discerning the healing path—how nurses assist patient spirituality in diverse health care settings. Journal of Clinical Nursing, 24(19–20), 2926–2935. https://doi.org/10.1111/jocn.12907
Hall, J. (2006). Spirituality at the beginning of life. Journal of Clinical Nursing, 15, 804–810. https://doi.org/10.1111/j.1365-2702.2006.01650.x
Jim, H. S., Pustejovsky, J. E., Park, C. L., Danhauer, S. C., Sherman, A. C., Fitchett, G., Merluzzi, T. V., Munoz, A. R., George, L., Snyder, M. A., & Salsman, J. M. (2015). Religion, spirituality, and physical health in cancer patients: A meta-analysis. Cancer, 121(21), 3760–3768. https://doi.org/10.1002/cncr.29353
Kalkim, A., Midilli, T. S., & Baysal, E. (2016). An investigation of the perceptions and practices of nursing students regarding spirituality and spiritual care. Religions, 7(8), 101. https://doi.org/10.3390/rel7080101
Kazer, M. W., Campbell, S. H., Grossman, S., Shea, J. M., Lange, J. W., & Quell, T. T. (2008). Integrating spirituality into undergraduate nursing curricula. International Journal of Nursing Education Scholarship, 5(1), 1–13. https://doi.org/10.2202/1548-923x.1443
Koenig, H. (2012). Religion, spirituality, and health: The research and clinical implications. International Scholarly Research Network ISRN Psychiatry, 33, 1–33. https://doi.org/10.5402/2012/278730
Kostak, A. M., Çelikkalp, Ü., & Demir, M. (2010). Hemşire Ve Ebelerin Maneviyat Ve Manevi Bakıma İlişkin Düşünceleri /The opinions of nurses and midwifes about spirituality and spiritual care. (pp. 218–225). Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi.
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(6), 806–814. https://doi.org/10.1016/j.nedt.2015.01.011
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(1), 10–15
Lovanio, K., & Wallace, M. (2007). Promoting spiritual knowledge and attitudes: A student nurse education project. Holistic Nursing Practice, 21(1), 42–47. https://doi.org/10.1097/00004650-200701000-00008
Lundmark, M. (2006). Attitudes to spiritual care among nursing staff in a Swedish oncology clinic. Journal of Clinical Nursing, 15, 863–874. https://doi.org/10.1111/j.1365-2702.2006.01189.x
Macit, M., & Karaman, M. (2019). Hemşirelerde manevi destek algısının incelenmesi/Examination of perceptions of spiritual support in nurses. Suleyman Demirel University the Journal of Health Science, 10(3), 293–302. https://doi.org/10.22312/sdusbed.568134 (Turkish).
McSherry, W., Draper, P., & Kendrick, D. (2002). The Construct validity of a rating scale designed to assess spirituality and spiritual care. International Journal of Nursing Studies, 39, 723–734. https://doi.org/10.1016/S0020-7489(02)00014-7
Mermer, G., Akyüz, M. D., & Can, H. O. (2019). Midwifery students’ perceptions of spirituality and spiritual care: An example from Western Turkey. Journal of religion and health, 58(2), 666–676. https://doi.org/10.1007/s10943-018-0685-0
Meyer, C. L. (2003). How effectively are nurse educators preparing students to provide spiritual care? Nurse educator, 28(4), 185–190
Moadel, A., Morgan, C., Fatone, A., Grennan, J., Carter, J., Laruffa, G., Skummy, A., & Dutcher, J. (2000). Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psycho-Oncology, 8(5), 378–385. https://doi.org/10.1002/(SICI)1099-1611(199909/10)8:5%3c378::AIDPON406%3e3.0.CO;2-A
Narayanasamy, A. (2014). The challenges of teaching and learning spirituality in nursing. Journal of Nursing and Care, 3(189), 2167–1168. https://doi.org/10.4172/2167-1168.1000189
Nas İ., Çoban G.İ. Hemşirelerin maneviyat ve manevi bakım algıları ile mesleğe yönelik tutumları arasındaki ilişki/The Relationship perceptions of spirituality and spiritual care on nurses’ attitudes towards nursing profession. Atatürk University, Master thesis. 2018.
Oldnall, A. (1996). A critical analysis of nursing: Meeting the spiritual needs of patients. Journal of Advanced Nursing, 23, 138–144. https://doi.org/10.1111/j.1365-2648.1996.tb03145.x
Ozbasaran, F., Ergul, S., Temel, A. B., Gurol Aslan, G., & Coban, A. (2011). Turkish nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 20(21–22), 3102–3110. https://doi.org/10.1111/j.1365-2702.2011.03778.x
Pour, H. A., & Ozvurmaz, S. (2017). Hemşirelik ve ebelik intörn öğrencilerinde manevi bakıma yönelik algı ve uygulama modelinin değerlendirilmesi/Evaluation of perception and practice model of spiritual care in intern nursing and midwifery students. J Contemp Med, 7(3), 225–233. https://doi.org/10.16899/gopctd.349937 (Turkish).
Ramezani, M., Ahmadi, F., Mohammadi, E., & Kazemnejad, A. (2014). Spiritual care in nursing: A concept analysis. International Nursing Review, 61(2), 211–219. https://doi.org/10.1111/inr.12099
Shores, C. I. (2010). Spiritual perspectives of nursing students. Nursing Education Perspectives, 31(1), 8–11
Taylor, E. J. (2008). What is spiritual care in nursing? Findings from an exercise in content validity. Holistic Nursing Practice, 22, 154–159. https://doi.org/10.1097/01.HNP.0000318024.60775.46
Taylor, E. J., Mamier, I., Bahjri, K., Anton, T., & Petersen, F. (2009). Efficacy of a self-study programme to teach spiritual care. Journal of Clinical Nursing, 18(8), 1131–1140. https://doi.org/10.1111/j.1365-2702.2008.02526.x
Uğurlu, E. S. (2014). Hemşirelikte manevi bakımın uygulanması/The application of spiritual care in nursing. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 5, 187–191
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(20), 2768–2781. https://doi.org/10.1111/j.1365-2702.2008.02366.x
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
World Health Organization (WHO). (2017). International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10-AM). World Health Organization.
Wu, L. F., & Lin, L. Y. (2011). Exploration of clinical nurses’ perceptions of spirituality and spiritual care. Journal of Nursing Research, 19(4), 250–256. https://doi.org/10.1097/JNR.0b013e318236cf78
Yılmaz, M., & Okyay, N. (2009). Nurses’ views concerning spiritual care and spirituality. Journal of Research and Development in Nursing, 3, 41–52
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Aslan, H., Unsal, A. Nursing Students’ Perception Levels of Spirituality and Spiritual Care in Turkey. J Relig Health 60, 4316–4330 (2021). https://doi.org/10.1007/s10943-021-01262-1
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DOI: https://doi.org/10.1007/s10943-021-01262-1