Factors affecting spiritual care competency of mental health nurses: a questionnaire-based cross-sectional study

Kuei-Hsiang Han1, Kuo‐Chuan Hung2, Yu‐Shian Cheng1, Wen‐Hsin Chung1, Cheuk‐Kwan Sun3, Chia‐Chan Kao4
1Department of Psychiatry, Tsyr-Huey Mental Hospital, Kaohsiung Jen-Ai’s Home, Taiwan
2Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan
3Department of Emergency Medicine, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan
4Department of Post Baccalaureate Nursing and Department of Nursing, I-Shou University, Medical Campus, No. 8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan

Tóm tắt

Abstract Background

Although providing spiritual care is an important part of holistic nursing care for psychiatric patients, factors associated with spiritual care competency in mental health nurses remain unclear. The aim of our study was to explore a possible association of personal and external factors with spiritual care competency in mental health nurses.

Methods

This prospective questionnaire-based cross-sectional study was conducted by inviting mental health nurses from mental health hospitals and tertiary referral centers. Personality traits and spiritual care competency were assessed by using [1] “big-five Mini-Markers” questionnaire, and [2] spiritual care competency scale, respectively. From the 250 mental health nurses being invited, 239 valid questionnaires were valid for final analysis. Statistical analyses including descriptive statistics, ANOVAs, t-tests, and hierarchical multiple regression models were used to investigate the associations between personal/external factors and their spiritual care competency in mental health nurses.

Results

The mean age of the 239 participants was 35.96 ± 8.11 and the mean years of working experience was 9.41 ± 7.06. Over 90% of them had no experience of providing spiritual care. There were significant positive correlations of spiritual care competency with the experience of delivering spiritual care (p < 0.001), previous participation in spiritual care education programs (p = 0.045), a longer working experience (p = 0.014), and a higher education level (postgraduate vs. college, p = 0.006), as well as the personality components of “Conscientiousness” (p < 0.001), “Agreeableness” (p < 0.001), “Extraversion” (p = 0.03), and “Openness/Intellect” (p < 0.001).

Conclusions

Both personal and external factors may be related to the self-perception of spiritual care competency among mental health nurses. These findings may help mental health nurses understand the possible positive and negative associations of their personality components with their spiritual care abilities. Moreover, our identification of the positive impacts of educational programs and previous experience of spiritual care on spiritual care competency may underscore the importance of tailoring appropriate training programs to cater for the individual needs of mental health nurses.

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