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Hospice Nurses’ Perspectives Of Spirituality | 38520
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Aim: To explore Singapore hospice nurses’ perspectives of spirituality and spiritual care.
Design: A descriptive, cross sectional design was used.
Background: Spiritual care is integral to providing quality end-of-life (EOL) care. However, patients often report that this aspect
of care is lacking. Previous studies suggest that nurses’ neglect of this aspect of care could be attributed to poor understanding of
what spirituality is and what such care entails.
Method: A convenience sample of hospice nurses was recruited from eight hospices in Singapore. The survey comprised two parts:
the Participant Demographic Details and the Spirituality Care Giving Scale (SCGS). This 35-item validated instrument measures
participants’ perspectives about spirituality and spiritual care.
Results: Sixty-six nurses participated (response rate of 65%). Overall, participants agreed with items in the Spiritual Care Giving
Scale related to attributes of spiritual care; spiritual perspectives; spiritual care attitudes and spiritual care values. Results from
General Linear Model analysis showed statistically significant main effects between race, spiritual affiliation and type of hospice
setting with the total SCGS score and four factor scores.
Conclusions: Spirituality was perceived to be universal, holistic and existential in nature. Spiritual care was perceived to be
relational, and centered on respecting patients’ differing faiths and beliefs. Participants highly regarded the importance of spiritual
care in the care of patients at EOL. Factors that significantly affected participants’ perspectives of spirituality and spiritual care
included race, spiritual affiliation and hospice type.
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