Vogel Annemieke, Schep-Akkerman Annemiek E
Nursing Education and Knowledge Center of Spirituality and Health Care, Christian University of Applied Sciences, Zwolle, the Netherlands.
Scand J Caring Sci. 2018 Dec;32(4):1314-1321. doi: 10.1111/scs.12575. Epub 2018 Apr 25.
Spiritual care to patients is important for their well-being, and nurses do have a crucial role in it. Previous research focused on self-assessed competence in providing spiritual care, but little is known about the actual provision. The aims of this study were as follows: (i) to evaluate how often nurses provide spiritual care, (ii) if or which association there is between self-assessed competency and provision of spiritual care, and (iii) to study which factors do have influence on delivering spiritual care.
A quantitative study was designed. Nurses were asked to complete a questionnaire. Self-assessment of spiritual care competence and actions was evaluated with the Spiritual Care Competence Scale New: a 27 items questionnaire on competence (SCCS-can) and frequency (SCCS-do) of providing spiritual care, measured with a five-point Likert scale. Mean competence score and frequency of provision were calculated, next to the correlation between those two. Several factors (mean SCCS-can, gender, age, education level, experience, life view, personal spirituality (measured on a 1-10 scale)) were included in regression analysis to study factors of influence on actual provision of spiritual care (measured with SCCS-do).
A total of 104 completed questionnaires have been analysed. Mean score on the SCCS-can was 3.9, and on the SCCS-do 3.2. This means that nurses state they are highly competent in delivering spiritual care and provide this monthly. The Pearson correlation between SCCS-can and SCCS-do was 0.50, which means the higher the score on SCCS-can, the higher the score on SCCS-do. Regression analysis shows that the self-assessed competence of spiritual care (SCCS-can) and the personal spirituality are significant predictors of the outcome SCCS-do.
The better the nurses think they can provide spiritual care, the more they say they practise it. Regression analysis supports this: the factors of influence on provision of spiritual care are self-assessed competence and personal spirituality.
对患者提供精神关怀对其幸福感很重要，护士在其中起着关键作用。以往研究聚焦于自我评估的精神关怀能力，但对实际提供情况了解甚少。本研究的目的如下：（i）评估护士提供精神关怀的频率；（ii）自我评估能力与精神关怀提供之间是否存在关联或存在何种关联；（iii）研究哪些因素对提供精神关怀有影响。
设计了一项定量研究。要求护士填写问卷。使用新的精神关怀能力量表评估精神关怀能力和行为的自我评估：一份关于提供精神关怀能力（SCCS - can）和频率（SCCS - do）的27项问卷，采用五点李克特量表进行测量。计算平均能力得分和提供频率，以及两者之间的相关性。回归分析纳入了几个因素（平均SCCS - can、性别、年龄、教育水平、经验、生活观、个人灵性（以1 - 10分制测量）），以研究对实际精神关怀提供情况（以SCCS - do测量）的影响因素。
共分析了104份完整问卷。SCCS - can的平均得分是3.9，SCCS - do的平均得分是3.2。这意味着护士表示他们在提供精神关怀方面能力很强且每月都会提供。SCCS - can与SCCS - do之间的皮尔逊相关性为0.50，这意味着SCCS - can得分越高，SCCS - do得分越高。回归分析表明，精神关怀的自我评估能力（SCCS - can）和个人灵性是SCCS - do结果的显著预测因素。
护士认为自己提供精神关怀的能力越强，他们实际践行的就越多。回归分析支持这一点：对精神关怀提供情况有影响的因素是自我评估能力和个人灵性。
