Nurse Education Today

BASS

Books & Reports

Past News

Nursing and midwifery students’ perceptions of spirituality, spiritual care, and spiritual care competency

by Linda Ross; Wilfred McSherry; Tove Giske; Renévan Leeuwen; Annemiek Schep-Akkerman; Tiburtius Koslander; Jenny Hall; Vibeke Østergaard Steenfeldt; Paul Jarvis
Nurse Education Today, Volume 67, August 2018, pp. 64-71

NEW PAPER ABOUT SPIRITUAL CARE COMPETENCY!

This new paper, based on a large international sample, provides new evidence on how student nurses and midwives develop spiritual care competency and the factors that contribute to that.

For the next 50 days (until 30 June) you can download the paper free. Just click here.

ABSTRACT
Background
Nurses and midwives care for people at some of the most vulnerable moments of their lives, so it is essential that they have the skills to give care which is compassionate, dignified, holistic and person-centred. Holistic care includes spiritual care which is concerned with helping people whose beliefs, values and sense of meaning, purpose and connection is challenged by birth, illness or death. Spiritual care is expected of nurses/midwives but they feel least prepared for this part of their role. How nursing and midwifery students can be prepared for spiritual care is the focus of this study.

Objectives
1. To describe undergraduate nursing and midwifery student’s perceptions of spirituality/spiritual care, their perceived competence in giving spiritual care and how these perceptions change over time. 2. To explore factors contributing to development of spiritual care competency.

Methods
Prospective, longitudinal, multinational, correlational survey design. A convenience sample of 2193 undergraduate nursing and midwifery students (69% response rate, dropping to 33%) enrolled at 21 universities in eight countries completed questionnaires capturing demographic data (purpose designed questionnaire) and measuring perception of spirituality/spiritual care (SSCRS), spiritual care competency (SCCS), spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) on 4 occasions (start of course n = 2193, year 2 n = 1182, year 3 n = 736, end of course n = 595) between 2011 and 2015. Data were analysed using descriptive, bivariate and multivariate analyses as appropriate.

Results
Perceived competency increased significantly over the course of students’ study which they attributed to caring for patients, events in their own lives and teaching/discussion in university. Two factors were significantly correlated with perceived spiritual care competency: perception of spirituality/spiritual care, where a broad view was preferable, and personal spirituality, where high spiritual wellbeing (JAREL) and spiritual attitude and involvement (SAIL) scores were preferable.

Conclusions
We have provided the first international evidence that perceived spiritual care competence is developed in undergraduate nursing and midwifery students and that students’ perceptions of spirituality and personal spirituality contribute to that development. Implications for teaching and learning and student selection are discussed. The study is limited by attrition which is common in longitudinal research.