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Spirituality and spiritual care in I ran: nurses' perceptions and barriers
Author(s) -
Zakaria Kiaei M.,
Salehi A.,
Moosazadeh Nasrabadi A.,
Whitehead D.,
Azmal M.,
Kalhor R.,
Shah Bahrami E.
Publication year - 2015
Publication title -
international nursing review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.84
H-Index - 51
eISSN - 1466-7657
pISSN - 0020-8132
DOI - 10.1111/inr.12222
Subject(s) - spirituality , ran , nursing , perception , spiritual care , psychology , medicine , chemistry , alternative medicine , biochemistry , pathology , neuroscience
Aim This study aimed to explore the perception of Iranian nurses concerning spiritual care and to reveal any confronted barriers. Background Although the context of spiritual care is a substantial aspect of holistic care, the delivery of spiritual care has been problematic due to lack of nurses' understanding of this concept. Introduction Nurses' perceptions of spirituality and spiritual care directly influence their performance as well as their relationships with patients. Methods This cross‐sectional survey was conducted in 2013 with 259 nurses working in hospitals affiliated with Q azvin U niversity of M edical S ciences, I ran. Data were collected using the Spirituality and Spiritual Care Rating Scale alongside qualitative open‐ended questions. Descriptive and inferential statistics were used for the quantitative data and content analysis for the qualitative data. Results The overall average for spirituality and spiritual care was 2.84 (score range: 1–4), indicating a moderate mean score. A significant relationship was found between education level and spiritual care. The majority of participants believed that they did not receive enough training in this aspect of care. The main obstacles regarding delivering spiritual care included busy working schedules, insufficient knowledge regarding spiritual care, low motivation, diversity of patients' spiritual needs and feeling ‘unqualified’ to provide spiritual cares.Discussion Consistent with the previous studies, this study has demonstrated that nurses had low confidence to meet the spiritual needs of patients due to lack of knowledge and training in this regard. Conclusion Iranian nurses' perception of spirituality and spiritual care is moderate, reflecting that they do not receive sufficient training regarding spiritual care. Implications for nursing and/or health policy Despite the attention focused on spiritual care in clinical settings in I ran, there remains a significant gap in terms of meeting the spiritual needs of patients in nursing practice. This finding assists nursing clinicians, educators and policy makers to more effectively approach spiritual care as a beneficial component of holistic care. It is proposed that more emphasis is placed on integrating spirituality content into educational programmes to enable more effective clinical delivery. In addition, it would be beneficial to implement more widespread cultural assessment in order to further benefit spiritual care practices.