Vithana K V G S G, Asurakkody T A, Warnakulasuriya S S P
National Hospital, Galle, Sri Lanka.
Faculty of Nursing, University of Colombo, Colombo, Sri Lanka.
BMC Palliat Care. 2025 Apr 22;24(1):111. doi: 10.1186/s12904-025-01750-1.
Spiritual care in nursing involves addressing the spiritual needs of patients as part of their overall healthcare. It acknowledges that health is not just physical but also includes emotional, mental, and spiritual dimensions. Spiritual care can be particularly important during times of illness, suffering, or near the end of life when patients may seek comfort, meaning, and connection to their beliefs or faith. Integrating spiritual care in nursing and measuring spirituality and the level of spiritual care in nursing are important strategies to enhance spiritual care among nursing professionals. Nurses who have a better orientation to the concept of spiritual care would be a great resource for clients who are seeking to fulfill their own spiritual care needs. The aim of this review was to identify and synthesize the domains of standard spiritual care instruments that have been developed to measure the spiritual care provided by nurses and nursing students.
A review of the literature was carried out to examine the scales available online related to nurses and nursing students on spiritual care nursing. A total of 20 scales were encountered from the reported evidence related to spiritual care nursing and its domains. These scales are discussed under three themes. The scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance for Scoping Reviews (PRISMA-ScR) checklist.
Three major themes emerged from the identified studies that contained information related to scales of spiritual care nursing presented as intra-personal domains (spirituality nature, spirituality, religiosity, beliefs, values, knowledge, attitudes, and perspectives), interpersonal domains (spiritual care activities, spiritual support, personalized care practices, attributes of care, competencies, nurses' role and training context), and extra-personal domains (environmental factors, supportive measures, education, barriers. All three domains contained a number of important metrics that need to measure spiritual care in nursing practice.
Overall, spiritual care instruments evaluate major domains with relevant factors under three domains related to spiritual care in nursing. All scales have some different changes due to the variety of religions, cultures, and countries. Therefore, all instruments have different values and important metrics that are related to evaluating the concept of spiritual care in nursing.
护理中的精神关怀涉及满足患者的精神需求，将其作为整体医疗保健的一部分。它认识到健康不仅仅是身体方面的，还包括情感、心理和精神层面。在患病、遭受痛苦或接近生命尽头时，精神关怀可能尤为重要，此时患者可能会寻求安慰、意义以及与他们的信仰或信念的联系。将精神关怀融入护理工作并衡量护理中的精神性及精神关怀水平，是加强护理专业人员精神关怀的重要策略。对精神关怀概念有更好理解的护士，将成为寻求满足自身精神关怀需求的患者的重要资源。本综述的目的是识别并综合已开发的用于衡量护士和护生所提供精神关怀的标准精神关怀工具的领域。
对文献进行综述，以检查在线可得的与护士和护生精神关怀护理相关的量表。从与精神关怀护理及其领域相关的报告证据中，共找到20个量表。这些量表在三个主题下进行讨论。范围综述是按照系统评价和Meta分析扩展版报告条目（PRISMA-ScR）清单进行的。
已识别的研究中出现了三个主要主题，其中包含与精神关怀护理量表相关的信息，这些量表分为个人内领域（精神性本质、精神性、宗教信仰、信念、价值观、知识、态度和观点）、人际领域（精神关怀活动、精神支持、个性化护理实践、护理属性、能力、护士角色和培训背景）和个人外领域（环境因素、支持措施、教育、障碍）。所有这三个领域都包含一些在护理实践中衡量精神关怀所需的重要指标。
总体而言，精神关怀工具评估了与护理中精神关怀相关的三个领域内的主要领域及相关因素。由于宗教、文化和国家的多样性，所有量表都有一些不同的变化。因此，所有工具都有不同的价值和重要指标，这些与评估护理中精神关怀的概念相关。
