Education and Ethics In Nursing ISSN: 2322-5300

The Role of Nurses in Promoting Patients' Spiritual Health: A Qualitative Content Analysis

https://doi.org/10.22034/ethic.2025.2053329.1159
Volume 14, 1-2
April 2025
Pages 85-98
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Ghodratollah Momeni 1
Zeinab Hemati 2
Maryam Hashemi 3

1 Assistant Professor, Department of Islamic Education / Developing Interdisciplinary Research of Islamic Teaching and Health Sciences Research Center, Isfahan University of Medical Sciences , Isfahan, Iran

2 Assistant Professor, Department of Pediatric and Neonatal Nursing / Nursing and Midwifery Care Research Center, , Isfahan University of Medical Sciences , Isfahan, Iran

3 Corresponding author. Assistant Professor, Department of Critical Care / Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Introduction: Spiritual health has an impact on the health, well-being, and quality of life of patients. Helping to meet patients' spiritual health needs is known to be an essential element of nursing care. The aim of the present study was to explain strategies for promoting patients' spiritual health from the perspective of nurses.
Methods & Materials: The present study was conducted qualitatively and with a content analysis approach during the period from 18th April 2024 to 19th January 2025. The participants included 30 nurses working in general and intensive care wards of teaching hospitals in Isfahan, who were included in the study through purposive sampling with maximum diversity method. The data collection method included individual semi-structured interviews. After recording and implementing, all data were analyzed through qualitative content analysis using the Granheim method and using Max Quda software, version 2020.
Results: In order to extract "solutions to improve patients' spiritual health from the perspective of nurses", by analyzing the data, 740 primary codes, 14 subcategories and 6 main categories emerged: improving psychological support for patients, improving social support for patients, reforming the structure of nursing education, effective management of human resources, strengthening inter-professional collaboration, and providing a spiritual environment in health-treatment centers.
Conclusion: According to the results extracted in the present study, managers should adopt strategies in the operational plan of health centers to improve the quality of spiritual care, to improve psychological and social support for patients, reform the structure of nursing education, train health team members in spiritual care, improve human resource indicators, improve nurses' job motivation, meritocracy, improve inter-professional collaboration, and provide a spiritual environment in hospitals.

Keywords

Strategies
Spiritual Health
Nurses
Qualitative Study
Subjects
  1. Ghorbani M, Mohammadi E, Aghabozorgi R, Ramezani M. Spiritual care interventions in nursing: an integrative literature review. Supportive Care in Cancer. 2021;29:1165-81.
  2. Lukovsky J, McGrath E, Sun C, Frankl D, Beauchesne MA. A survey of hospice and palliative care nurses' and holistic nurses' perceptions of spirituality and spiritual care. Journal of Hospice & Palliative Nursing. 2021;23(1):28-37.
  3. Ghorbani M, Mohammadi E, Ramezani M. Developing a spiritual care model for clinical nurses: A theory synthesis. Holistic Nursing Practice. 2025;39(2):96-106.
  4. Johnson R, & Brown, L.. The Impact of Holistic Nursing on Patient Outcomes: A Systematic Review. BMC Health Services Research. 2023;23(1):1-14.
  5. Lee SY, & Kim, H.S.. Consequences of Spiritual Neglect in Healthcare: A Qualitative Study.. Journal of Clinical Nursing. 2024;33(2):301-12.
  6. Garcia ME, et al.Barriers to Spiritual Care in Modern Healthcare Systems.. Health Affairs. 2023;42(5):789-97.
  7. Momeni G, Hashemi MS, Hemati Z. Barriers to providing spiritual care from a nurses' perspective: A content analysis study. Iranian Journal of Nursing and Midwifery Research. 2022;27(6):575-80.
  8. Zakaria Kiaei M, Salehi A, Moosazadeh Nasrabadi A, Whitehead D, Azmal M, Kalhor R, et al. Spirituality and spiritual care in I ran: nurses' perceptions and barriers. International Nursing Review. 2015;62(4):584-92.
  9. Hamooleh MM, Seyedfatemi N, Eslami A, Haghani S. The spiritual care competency of the nurses of the teaching hospitals affiliated to Alborz University of Medical Sciences, Iran. Nursing. 2020;33(124):58-69.
  10. Rykkje L, Søvik MB, Ross L, McSherry W, Cone P, Giske T. Educational interventions and strategies for spiritual care in nursing and healthcare students and staff: A scoping review. Journal of Clinical Nursing. 2022;31(11-12):1440-64.
  11. McGee M, Nagel L, Moore MK. A study of university classroom strategies aimed at increasing spiritual health. College Student Journal. 2003;37(4):583-95.
  12. Hsiao Y-C, Chiang H-Y, Lee H-C, Chen S-H. The effects of a spiritual learning program on improving spiritual health and clinical practice stress among nursing students. Journal of nursing research. 2012;20(4):281-90.
  13. Patel R, & Williams, T. Qualitative Approaches to Spiritual Care in Nursing: A Methodological Review. Qualitative Health Research. 2024;34(1):45-60.
  14. Chen L, & Wang, Y. Strategies for Integrating Spiritual Care into Nursing Practice: A Delphi Study. International Journal of Nursing Studies,. 2023;145:, 104567.
  15. CohenMiller A, Saban GA, Bayeta R. Rigor in Qualitative Research. The SAGE Handbook of Qualitative Research in the Asian Context Los Angeles, London, New Delhi, Singapore, Washington DC, Melbourne: SAGE Publications. 2022:327-43.
  16. LaDonna KA, Artino Jr AR, Balmer DF. Beyond the guise of saturation: rigor and qualitative interview data. The Accreditation Council for Graduate Medical Education; 2021. p. 607-11.
  17. Smith J BA. Holistic care models in contemporary healthcare: A review of Parsons' contributions. Journal of Integrative Medicine. 2024;12(3):145-52.
  18. Chung BY, Xu Y. Developing a rehabilitation model of breast cancer patients through literature review and hospital rehabilitation programs Asian Nurs Res (Korean Soc Nurs Sci). 2008;2:55-67.
  19. McSherry W. The principal components model: a model for advancing spirituality and spiritual care within nursing and health care practice. J Clin Nurs. 2006;15:905-17.
  20. Merlo G. Spirituality and Professionalism. Medical Professionalism: Theory, Education, and Practice. 2024:263.
  21. Amiri H, Farokhzadian J, Tirgari B. Empowerment of nurses for integrating clients’ religion/spirituality into clinical practice: outcomes of an online training program. BMC nursing. 2021;20:1-10.
  22. Harorani M, Jadidi A, Zand S, Khoshkhoutabar T, Rafiei F, Beheshti SZ. Spiritual care in hospitalized patients in Iran: An action research study. Journal of Religion and Health. 2022;61(5):3822-39.
  23. Johnson L WK. Spiritual care frameworks in nursing: An update on Paulson and Smith's model. Journal of Clinical Nursing 2023;32(8):789-96.
  24. Nolan S. Rethinking Spiritual Assessment: Spiritual Assessment Interpretive Framework (SAIF)--Four Minimally Directive Questions. Health & Social Care Chaplaincy. 2024;12(1).
  25. Farshadnia E, Koochakzaei M, Borji M, Khorrami Z, Memaryan N. Spiritual health as a predictor of social and general health in university students? A study in Iran. Pastoral Psychology. 2018;67:493-504.
  26. Puchalski C. Spiritual care in health care: Guideline, models, spiritual assessment and the use of the© FICA Spiritual History Tool. Spiritual Needs in Research and Practice: The Spiritual Needs Questionnaire as a Global Resource for Health and Social Care: Springer; 2021. p. 27-45.
  27. Fitch C, Schmidt U, Fliegel D, Dietzen D, Myers T. “FICA Refocused: Finding Insights to Care for All (Including the Non-Religious)”(VT107). Journal of Pain and Symptom Management. 2022;63(5):839.
  28. Krause N, Pargament KI, Ironson G. Assessing the relationships among spiritual social support, stress, and anxiety: Does extraversion also play a role in the coping process? Current Psychology. 2020;39:307-14.
  29. Rahnama M, Khoshknab MF, Madah SSB, Ahmadi F. Cancer patients’ perception of spiritual care. Medical Ethics and History of Medicine. 2012;5:64-80.
  30. Daaleman TP, Usher BM, Williams SW, Rawlings J, Hanson LC. An exploratory study of spiritual care at the end of life. Ann Fam Med. 2008;6:406-11.
  31. Markani AK, Amiri E, Vahidi M. Spiritual Care of End of Life Patients in Iran:: A Neglected Nursing Practice Nurs Midwifery J. 2020;17:767-70.
  32. Schubert M, Ausserhofer D, Desmedt M, Schwendimann R, Lesaffre E, Li B. Levels and correlates of implicit rationing of nursing care in Swiss acute care hospitals - A cross sectional study. Int J Nurs Stud. 2013;50:230‑9.
  33. Farahani AS, Rassouli M, Salmani N, Mojen LK, Sajjadi M, Heidarzadeh M, et al. Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation. Asia Pac J Oncol Nurs. 2019;6:122-9.
  34. Zamanzadeh V, Rassouli M, Abbaszadeh A, Nikanfar AR, Alavi-Majd H, Mirza-Ahmadi F. Spirituality in cancer care: a qualitative study. J Qualitative Res Health Sci. 2014;2:366-78.
  35. O'Brien ME GT. The SPIRIT model in modern spiritual care: A 2023 update. Journal of Holistic Nursing 2023;41(4):301-8.
  36. Kang K-A. Models for spiritual care in hospice and palliative care. Journal of Hospice and Palliative Care. 2018;21(2):41-50.
  37. Balboni MJ, Sullivan A, Enzinger AC, Peterson ZDE-, Tseng YD, Mitchell C. Nurse and physician barriers to spiritual care provision at the end of life. J Pain Symptom Manage. 2014;48:400-10.
  38. Adib-Hajbaghery M, Saeadnejad Z. Barriers to Provide Patients Admitted to Hospitals in Kashan with Spiritual Care: Nurses’ Viewpoints. Med Ethics J. 2016;10:49-59.


         

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