Farokhzadian Jamileh, Sabzi Amirreza, Farmitani Zakieh
Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Reproductive Health, Family and Population Research Center, Kerman University of Medical Sciences, Kerman, Iran.
BMC Health Serv Res. 2025 Mar 27;25(1):447. doi: 10.1186/s12913-025-12613-z.
There is a need of research to evaluate and compare the competencies of nurses in integrating patients' religion and spirituality into nursing practice in various settings, including general and psychiatric hospitals. By understanding the competencies of nurses working in different environments, tailored spiritual care training programs can be developed to meet their specific needs. This study aimed to evaluate and compare the competencies of nurses in integrating patients' religion/spirituality into nursing practice in both a general and a psychiatric hospital.
This cross-sectional descriptive-analytical study was conducted in two hospitals affiliated with Kerman University of Medical Sciences in southeastern Iran. Quota sampling was used to select 200 nurses (100 nurses from each hospital) in 2023. The Religious/Spiritually Integrated Practice Assessment Scale (RSIPAS) was used to evaluate and compare nurses' competencies in integrating the religion/spirituality of patients into their nursing practice.
The study revealed that nurses' competencies in integrating patients' religion/spirituality into nursing practice were moderate in both general (122.39 ± 19.40) and psychiatric hospitals (110.82 ± 25.63). Nurses in the general hospital had significantly higher competency scores compared to those in the psychiatric hospital (t = 3.59, p = 0.001). The type of hospital, work experience, and the involvement of professionals in providing religion/spirituality care were significant predictors of nurses' competencies in integrating patients' religion/spirituality into clinical practice.
The moderate levels of competencies among nurses highlight the need for further education and training to effectively integrate patients' religion/spirituality into nursing across various healthcare settings. The type of hospital also influenced their competencies. Therefore, it is crucial for nurses, particularly those working in psychiatric hospitals, to receive training that is tailored to the specific needs, culture, and context of their respective healthcare environments. It is essential to conduct a baseline assessment of nurses' readiness and competencies before implementing appropriate training programs.
有必要开展研究，以评估和比较护士在包括综合医院和精神病医院在内的各种环境中将患者的宗教信仰和精神需求融入护理实践的能力。通过了解在不同环境中工作的护士的能力，可以制定量身定制的精神护理培训计划，以满足他们的特定需求。本研究旨在评估和比较综合医院和精神病医院护士在将患者的宗教信仰/精神需求融入护理实践方面的能力。
本横断面描述性分析研究在伊朗东南部克尔曼医科大学附属的两家医院进行。2023年采用配额抽样法选取200名护士（每家医院100名）。使用宗教/精神综合实践评估量表（RSIPAS）来评估和比较护士将患者的宗教信仰/精神需求融入护理实践的能力。
研究表明，综合医院（122.39±19.40）和精神病医院（110.82±25.63）的护士在将患者的宗教信仰/精神需求融入护理实践方面的能力均处于中等水平。综合医院护士的能力得分显著高于精神病医院护士（t = 3.59，p = 0.001）。医院类型、工作经验以及专业人员参与提供宗教/精神护理是护士将患者的宗教信仰/精神需求融入临床实践能力的重要预测因素。
护士能力处于中等水平，这凸显了进一步开展教育和培训的必要性，以便在各种医疗环境中有效地将患者的宗教信仰/精神需求融入护理工作。医院类型也影响了他们的能力。因此，对于护士，尤其是在精神病医院工作的护士来说，接受针对其各自医疗环境的特定需求、文化和背景的培训至关重要。在实施适当的培训计划之前，对护士的准备情况和能力进行基线评估至关重要。
