Machul Michał, van Leeuwen René, Ozga Dorota, Jurek Krzysztof, Boczkowska Sylwia, Dobrowolska Beata
Department of Holistic Care and Management in Nursing , Faculty of Health Sciences, Medical University of Lublin, Staszica Str. 4-6, Lublin, Poland.
Faculty of Health Care, Viaa University of Applied Sciences Zwolle, Zwolle, Netherlands.
BMC Nurs. 2022 May 6;21(1):106. doi: 10.1186/s12912-022-00889-z.
Providing effective spiritual nursing care requires development of professional competence which, when regularly evaluated, allows one to direct undergraduate and postgraduate nursing education in order to develop knowledge, skills and attitudes of nurses in the scope of spiritual care.
The aim of this study was to analyse the level of spiritual competence of professionally active nurses in Poland and, additionally, to analyse the psychometric properties of the Spiritual Care Competence Scale (SCCS).
A cross-sectional study among Polish nurses (n = 343) was performed in accordance with the STrengthening the Reporting of OBservational studies in Epidemiology guidelines.
An exploratory factor analysis identified five factors with 27 items explaining a total variance of 64.75%. Cronbach's alpha coefficient for the subscales ranged from 0.70 for 'Attitude toward the patient's spirituality' to 0.92 for 'Professionalisation and improving the quality of spiritual care'. Nurses reported a high level of spiritual competence (104.39 points) with better results in 'Attitude toward the patient's spirituality' and 'Communication, personal support and patient counselling' than in the 'Assessment and implementation of spiritual care', 'Professionalisation and improving the quality of spiritual care', and 'Referral, consultation and spiritual care'. Significant correlation was found between nurses' age, job seniority and spiritual competence, and between religiosity and spiritual competence.
The study showed satisfactory psychometric properties of the Polish version of the Spiritual Care Competence Scale, confirming its potential to measure the level of spiritual competence of nurses, both in education and research processes. SCCS-PL revealed five-factor structure with good internal consistency. The findings highlight the importance of providing professional education in respect of spiritual nursing care, especially in its practical dimension regarding skills development in which nurses obtained lower scores.
提供有效的精神护理需要培养专业能力，定期评估这种能力有助于指导本科和研究生护理教育，以培养护士在精神护理方面的知识、技能和态度。
本研究旨在分析波兰在职护士的精神护理能力水平，并分析精神护理能力量表（SCCS）的心理测量特性。
按照加强流行病学观察性研究报告规范，对波兰护士（n = 343）进行了横断面研究。
探索性因素分析确定了五个因素，共27个项目，解释总方差为64.75%。分量表的克朗巴哈α系数范围从“对患者精神性的态度”的0.70到“精神护理的专业化与质量提升”的0.92。护士报告的精神护理能力水平较高（104.39分），在“对患者精神性的态度”和“沟通、个人支持与患者咨询”方面的表现优于“精神护理的评估与实施”“精神护理的专业化与质量提升”以及“转诊、咨询与精神护理”。发现护士的年龄、工作年限与精神护理能力之间，以及宗教信仰与精神护理能力之间存在显著相关性。
该研究表明波兰版精神护理能力量表具有令人满意的心理测量特性，证实了其在教育和研究过程中测量护士精神护理能力水平的潜力。SCCS - PL显示出具有良好内部一致性的五因素结构。研究结果凸显了提供精神护理专业教育的重要性，尤其是在护士得分较低的技能发展实际层面。
