Abusafia, Ali H. A.
(2020)
An effectiveness of spiritual care educational program on nurses competence in Hospital USM: randomized control trial study.
Masters thesis, Universiti Sains Malaysia.
Abstract
Spiritual care competence refers to a set of skills that are used in the nursing
processes. These skills include therapeutic relationships between the nurse and patients.
The main purpose of this study was to develop, validate and evaluate the effectiveness of
the nursing spiritual care educational program on nurse’s competence in Hospital USM.
This study was carried out in two phases. Phase I: development and validation of the
spiritual care competence scale and nursing spiritual care module. For Phase I, a crosssectional
study was conducted among 270 nurses from different wards and units in HUSM.
The Forward-Backward method was used to translate the instrument of spiritual care
competence scale from English to the Malay language. Face validity and confirmatory
factor analysis (CFA), and reliability was conducted. Phase II: evaluating the effectiveness
of the nursing spiritual care education module. A randomized control study was utilized
among 58 and 60 nurses in the intervention and control group, respectively. The
intervention group was given the nursing spiritual care education module. The control
group received stander information from the hospital. Data collected by using the spiritual
care competence scale Malay version. Data were analyzed using the SPSS version 24.0 for
Windows. Two-way repeated measure ANOVA, and One-Way ANCOVA tests used. The
result of phase I, revealed that the CFA results recommended some modifications. These
modifications resulted in acceptable fit indices for the 6-factor model (RMSEA= 0.050,
CFI= 0.900, TLI= 0.885, SRMR= 0.065). The Cronbach’s alpha value for SCCS-M was
0.926. The result of phase II revealed that; in the pre-test, the level of spiritual care
competence in the intervention group was 70.7% (M=100.328 with SD= 8.480), and the
level of spiritual care competence in the control group was 63.3% (M=100.067 with SD=
8.754). Meanwhile, in the post-test, the level of spiritual care competence in the
intervention group was 84.5% (M=105.897 with SD =7.462) and the control group was
70% (M=101.183 with SD= 7.172). Also, there was a significant difference between the
intervention and control groups within time (p = 0.001), between-group (p=0.037) and
time*group interaction (P=0.001). Besides that, there is no significant mean differences of
the sociodemographic factors (gender, marital status, education level and attendance
spiritual care previous workshop) on the spiritual care competence among nurses in
HUSM, when the age and experience years were controlled. The study concludes that
results showed the nursing spiritual care module was effective in improving the
competence of nurses in HUSM.
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