Aim: The aims of this sequential explanatory mixed method study were twofold 1. Firstly, to evaluate the implementation of a spiritual care subject in a nursing program. 2. Secondly, to examine undergraduate nursing students’ perceptions of providing spiritual care within their holistic care practice. Background: Studies conducted internationally indicate many nurses feel inadequately prepared to provide holistic care inclusive of spiritual care due to insufficient spiritual care education. Design: Two phase, sequential explanatory mixed method design which comprised of a quantitative study followed by a qualitative study. Methods: The setting was an Australian faith-based university. Participants comprised of undergraduate nursing students who were enrolled in a spiritual care subject. Findings: Two study findings emerged: 1. Participants’ knowledge and practice of spiritual care were transformed by the spiritual care subject, and 2. The spiritual care subject broadened perceptions of spiritual care so participants viewed themselves more equipped to provide spiritual care in their holistic care provision. Conclusion: The spiritual care subject had an affirmative influence on participants’ perceptions of providing spiritual care within holistic care practice. The findings have implications for nurse educators to consider how spiritual care content can be included within undergraduate nursing curricula.
AliG.WattisJ.SnowdenM. (2015). Why are spiritual aspects of care so hard to address in nursing education?’ A literature review (1993–2015). International Journal of Multidisciplinary Comparative Studies, 2(1), 7-31.
3.
AttardJ.RossL.WeeksK. (2019). Developing a spiritual care competency framework for pre-registration nurses and midwives. Nurse Education in Practice, 40, 1-8. https://doi.org/10.1016/j.nepr.2019.07.010
4.
BaldacchinoD. (2015). Spiritual care education of health care professionals. Religions, 6(2), 594-613. https://doi.org/10.3390/rel6020594
5.
BatstoneE. (2020). Spiritual care provision to end-of-life patients: a systematic literature review. Journal of Clinical Nursing, 29(19–20), 3609–3624
6.
BatstoneE. (2020). Spiritual care provision to end-of-life patients: a systematic literature review. Journal of Clinical Nursing, 29(19–20), 3609–3624
7.
BirksM.BagleyT.ParkT.BurkotC.MillsJ. (2017). The impact of clinical placement model on learning in nursing: A descriptive exploratory study. Australian Journal of Advanced Nursing, 34(3), 16-23.
8.
BoothL.KaylorS. (2018). Teaching spiritual care within nursing education: A holistic approach. Holistic Nursing Practice, 32(4), 177–118. https://doi.org/10.1097/HNP.0000000000000271
BurkhartL.SchmidtW. (2012). Measuring effectiveness of a spiritual care pedagogy in nursing education. Journal of Professional Nursing, 28(5), 315-321. https://doi.org/10.1016/j.profnurs.2012.03.003
11.
ByrneL.HappellB.WelchA.MoxhamL. (2013). Reflecting on holistic nursing: The contribution of an academic with lived experience of mental health service use. Issues in Mental Health Nursing, 34(4), 265-272. https://doi.org/10.3109/01612840.2012.745038
12.
ChandramohanS.BhagwanR. (2015). Spirituality and spiritual care in in the context of nursing education in South Africa : Original research. Curationis, 38(1), 1-15. https://doi.org/10.4102/curationis.v38i2.1471
13.
ChewB. W.TiewL. H.CreedyD. K. (2016). Acute care nurses’ perceptions of spirituality and spiritual care: An exploratory study in Singapore. Journal of Clinical Nursing, 25(17–18), 2520-2527. https://doi.org/10.1111/jocn.13290
14.
ChiangY.LeeH.ChuT.HanC.HsiaoY. (2020). Exploration of the association between religious affiliation and attitude toward spiritual care in clinical nurses. The Journal of Nursing Research, 28(2), 77. https://doi.org/10.1097/JNR.0000000000000352
15.
ChinnP.KramerM. (2018). Knowledge development in nursing: theory and process (10th ed.). Elsevier Inc.
16.
ClendonJ. (2011). Enhancing preparation of undergraduate students for practice in older adult settings. Contemporary Nurse, 38(1–2), 94-105. https://doi.org/10.5172/conu.2011.38.1-2.94
17.
ColaizziP. (1978). Psychological research as a phenomenologist views it. In ValleR.KingM. (Eds.), Existential-phenomenological alternatives for psychology (pp. 48–71). Oxford University Press.
18.
ConeP.GiskeT. (2012). Teaching spiritual care – a grounded theory study among undergraduate nursing educators. Journal of Clinical Nursing, 22(13-14), 1951–1960. https://doi.org/10.1111/j.1365-2702.2012.04203.x
19.
CooperK. L.ChangE. (2016). Undergraduate nurse students’ perspectives of spiritual care education in an Australian context. Nurse Education Today, 44, 74-78. https://doi.org/10.1016/j.nedt.2016.05.020
20.
CooperK. L.ChangE.LuckL.DixonK. (2020). How nurses understand spirituality and spiritual care: A critical synthesis. Journal of Holistic Nursing, 38(1), 114-121. https://doi.org/10.1177/0898010119882153
DoneskyD.SpragueE.JosephD. (2020). A new perspective on spiritual care: Collaborative chaplaincy and nursing practice. Advances in Nursing Science, 43(2), 147-158. https://doi.org/10.1097/ANS.0000000000000298
23.
DosseyB. M.KeeganL. (2013). Holistic nursing: A handbook for practice (6th ed.). Jones and Bartlett Learning.
24.
EganP.LlewellynR.CoxB.MacleodR.McSherryW.AustinP. (2017). New Zealand Nurses’ perceptions of spirituality and spiritual care: Qualitative findings from a national survey. Nursing Religions, 8(5), 79. https://doi.org/10.3390/rel8050079
25.
EnnisJ.EverolM.KazerM. (2013). The role of spiritual nursing interventions on improved outcomes in older adults with dementia. Holistic Nursing Practice, 27(2), 106-113. https://doi.org/10.1097/HNP.0b013e318280f7f9
26.
Fernández-PascualM.Reig-FerrerA.Santos-RuizA. (2020). Effectiveness of an educational intervention to teach spiritual care to spanish nursing students. Religions, 11(596), 596. https://doi.org/10.3390/rel11110596
27.
GarnerL.McGuireA.SnowD. M.GrayJ.WrightK. (2002). Spirituality among baccalaureate nursing students at a private christian university and a public state university. Christian Higher Education, 1(4), 371-384. https://doi.org/10.1080/15363750214577
28.
GiskeT.ConeP. H. (2012). Opening up to learning spiritual care of patient: A grounded theory study of nursing students. Journal of Clinical Nursing, 21(13/14), 2006-2015. https://doi.org/10.1111/j.1365-2702.2011.04054.x
29.
HarradR.CosentinoC.KeasleyR.SullaF. (2019). Spiritual care in nursing: An overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Biomedica, 90(4), 44-55. https://doi.org/10.23750/abm.v90i4-S.8300
KeastK.LeskovarC.BrohmR. (2010). A systematic review of spirituality and dementia in long term care. Annals of Long-Term Care: Clinical Care and Aging, 18(10), 41-47.
33.
KinchenE. (2015). Development of a quantitative measure of holistic nursing care. Journal of Holistic Nursing, 33(3), 238-246. https://doi.org/10.1177/0898010114563312
34.
KremerH.IronsonG.PorrM. (2009). Spiritual and mind-body beliefs as barriers and motivators to HIV-treatment decision-making and medication adherence? A qualitative study. AIDS Patient Care and STDs, 23(2), 127-134. https://doi.org/10.1089/apc.2008.0131
35.
LoBiondo-WoodG.HaberJ. (2018). Nursing research: Methods and critical appraisal for evidence-based practice (9th ed.). Elsevier.
36.
MandalL.SeethalakshmiA.RajendrababuA. (2019). Rationing of nursing care, a deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), 12257. https://doi.org/10.1111/nup.12257
37.
MarianoC. (2007). Holistic nursing as a specialty: holistic nursing-scope and standards of practice. Nursing Clinics of North America, 42(2), 165–188.
McSherryW.JamiesonS. (2013). Qualitative findings from an online survey investigating nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 22(21–22), 3170-3182. https://doi.org/10.1111/jocn.12411
40.
McSherryW.RossL.AttardJ.Van LeeuwenR.GiskeT.KlievenT.BougheyA. (2020). Preparing undergraduate nurses and midwives for spiritual care: Some developments in European education over the last decade. Journal for the Study of Spirituality, 10(1), 55-71. https://doi.org/10.1080/20440243.2020.1726053
41.
MelhemG. A. B.ZeilaniR. S.ZaggoutO. A.AljwadA. I.ShawagfehM. Q.Al-RahimM. A. (2016). Nurses’ perceptions of spirituality and spiritual care: A comparison study among all health care sectors in Jordan. Journal of Palliative Care, 22(1), 42-49. https://doi.org/ 10.4103/0973-1075.173949
42.
MilliganS. (2004). Perceptions of spiritual care among nurses undertaking postregistration education. International Journal of Palliative Nursing, 10(4), 162-171. https://doi.org/10.12968/ijpn.2004.10.4.12792
O’CathainA.MurphyE.NichollJ. (2010). Three techniques for integrating data in mixed methods studies. BMJ, 341(7783), 4587. https://doi.org/10.1136/bmj.c4587
45.
OzbasaranF.ErgulS.TemelA.AslanG.CobanA. (2011). Turkish nurses’ perceptions of spirituality and spiritual care. Journal of Clinical Nursing, 20(21–22), 3102-3110. https://doi.org/10.1111/j.1365-2702.2011.03778.x
46.
PlowfieldL.RaymondJ.HayesE. (2006). An educational framework to support gerontological nursing education at the baccalaureate level. Journal of Professional Nursing, 22(2), 103-106. https://doi.org/10.1016/j.profnurs.2006.01.014
47.
PolitD. F.Tatano BeckC. (2018). Essentials of nursing research: Appraising evidence for nursing practice (9th ed.). Wolters Kluwer Health.
Ruth-SahdL. A.BeckJ.McCallC. (2010). Transformative learning during a nursing externship program: The reflections of senior nursing students. Nursing Education Perspectives, 31(2), 78-83.
50.
Scott BarssK. (2020). Spiritual care in holistic nursing education: A spirituality and health elective rooted in T.R.U.S.T. And contemplative education. Journal of Holistic Nursing, 38(1), 122-130. https://doi.org/10.1177/0898010119889703
51.
Selman, L.E., Brighton, L.J., Sinclair, S., Karvinen, I., Egan, R., Speck, P., Powell, R.A., Deskur-Smielecka, E., Glajchen, M., Adler, S., Puchalski, C., Hunter, J., Gikaara, N. & Hope, J. (2018). Patients’ and caregivers’ needs, experiences, preferences and research priorities in spiritual care: A focus group study across nine countries. Palliative Medicine, 32(1), 216-230. https://doi.org/10.1177/0269216317734954
TaylorE.MamierI.BahjriK.AntonT.PetersenF. (2009). Efficacy of a self-study programme to teach spiritual care. Journal of Clinical Nursing, 18(8), 1131-1140. https://doi.org/10.1111/j.1365-2702.2008.02526.x
54.
TaylorE.TestermanN.HartD. (2014). Teaching spiritual care to nursing students:An integrated model. Journal of Christian Nursing, 31(2), 94-99. https://doi.org/10.1097/CNJ.0000000000000058
55.
TembyB. (2020). Baccalaureate nursing Students’ experiences applying spiritual care education to clinical nursing practice. International Journal of Christianity & Education, 24(3), 284-295. https://doi.org/10.1177/2056997119891192
56.
TimminsF.NeillF. (2013). Teaching nursing students about spiritual care – A review of the literature. Nurse Education in Practice, 13(6), 499-505. https://doi.org/10.1016/j.nepr.2013.01.011
57.
van LeeuwenR.AttardJ.RossL.BougheyA.GiskeT.KleivenT.McSherryW. (2021). The development of a consensus-based spiritual care education standard for undergraduate nursing and midwifery students: An educational mixed methods study. Journal of Advanced Nursing, 77(2), 973-986. https://doi.org/10.1111/jan.14613
van LeeuwenR.TiesingaL. J.MiddelB.JochemsenH.PostD. (2008). The effectiveness of an education programme for nursing students on developing competence in the provision of spiritual care. Journal of Clinical Nursing, 17(20), 2768-2781. https://doi.org/10.1111/j.1365-2702.2008.02366.x
60.
VlasblomJ. P.van der SteenJ. T.KnolD. L.JochemsenH. (2011). Effects of a spiritual care training for nurses. Nurse Education Today, 31(8), 790-796. https://doi.org/10.1016/j.nedt.2010.11.010
61.
WallaceM.CampbellS.GrossmanS. C.SheaJ. M.LangeJ. W.QuellT. T. (2008). Integrating spirituality into undergraduate nursing curricula. International Journal of Nursing Education Scholarship, 5(1), 1-13. https://doi.org/10.2202/1548-923X.1443
62.
WeathersE.McCarthyG.CoffeyA. (2015). Concept analysis of spirituality: An evolutionary approach. Nursing Forum, 51(2), 79-96. https://doi.org/10.1111/nuf.12128
63.
WhiteD.HandM. (2017). Spiritual nursing care education an integrated strategy for teaching students. Journal of Christian Nursing, 34(3), 170-175. https://doi.org/10.1097/CNJ.0000000000000395