Jamahneh Oraib M, Al-Hammouri Mohammed Munther, Rababah Jehad, Hseinat Rola, Alshurmman Naheel K, Alshorman Alanoud, Ta'an Wafa'a, Saifan Feras
Jordan University of Science and Technology.
The Hashemite University.
J Holist Nurs. 2025 Mar 25:8980101251325285. doi: 10.1177/08980101251325285.
This study aimed to examine the role of resilience and decision fatigue in mediating the relationship between spiritual well-being and spiritual care competence among nurses. A cross-sectional design was utilized. The study recruited 538 registered nurses from four referral hospitals in Jordan. Data were analyzed using descriptive statistics, Pearson's correlation, and Hayes Macro PROCESS model 6. The average age of the 538 nurses was 35.75 years; 62.1% were female, and 96.6% were married. Bivariate correlations showed moderate correlations among all study variables. Decision fatigue negatively correlated with spiritual care competence, spiritual well-being, and resilience. The regression model indicated that spiritual well-being, resilience, and decision fatigue significantly predicted spiritual care competence, explaining about half of its variance. The bootstrapping analysis revealed that resilience significantly mediated the relationship between spiritual well-being and spiritual care competence, while the mediation role of decision fatigue was not significant. The study underscores the importance of spiritual well-being and resilience in enhancing nurses' spiritual care competence, aligning with the overarching goals of holistic nursing in creating a healing environment for both patients and caregivers. Nurse managers and educators should implement interventions to improve nurses' spiritual well-being and resilience, enhancing holistic care delivery.
本研究旨在探讨心理弹性和决策疲劳在护士精神幸福感与精神护理能力关系中的中介作用。采用横断面设计。该研究从约旦的四家转诊医院招募了538名注册护士。数据采用描述性统计、皮尔逊相关性分析和海耶斯宏程序模型6进行分析。538名护士的平均年龄为35.75岁；62.1%为女性，96.6%已婚。双变量相关性分析显示，所有研究变量之间均存在中度相关性。决策疲劳与精神护理能力、精神幸福感和心理弹性呈负相关。回归模型表明，精神幸福感、心理弹性和决策疲劳显著预测了精神护理能力，解释了其约一半的方差。自抽样分析显示，心理弹性显著中介了精神幸福感与精神护理能力之间的关系，而决策疲劳的中介作用不显著。该研究强调了精神幸福感和心理弹性在提高护士精神护理能力方面的重要性，这与整体护理为患者和护理人员创造康复环境的总体目标相一致。护士管理者和教育工作者应实施干预措施，以提高护士的精神幸福感和心理弹性，加强整体护理服务。
