A critical analysis of scales to measure the attitude of nurses toward spiritual care and the frequency of spiritual nursing care activities

Quantitative studies have assessed nurses’ attitudes toward and frequency of spiritual care [SC] and which factors are of influence on this attitude and frequency. However, we had doubts about the construct validity of the scales used in these studies. Our objective was to evaluate scales measuring nursing SC. Articles about the development and psychometric evaluation of SC scales have been identified, using, Web of Science, and CINAHL, and evaluated with respect to the psychometric properties and item content of the scales. Item content was evaluated by each of the five authors with respect to the following questions: Does the item (1) reflect a general opinion about SC instead of a personal willingness to offer SC; (2) reflect general psychosocial care instead of specific SC; (3) focus solely on religious care; (4) contain the words ‘spiritual’ (care/needs/health/strengths, etc.); and (5) contain multiple propositions, or have an unclear meaning? We found eight scales. Psychometric analysis of these scales was often meager and the items of all but one scale suffered from two or more of the five problems described above. This leads us to conclude that many quantitative results in this area are based on findings with questionable scales. Suggestions for improvements are provided.     

Investigation and analysis of the caring attitude and behaviour of nurses in Shanghai,China

The aim of this study was to investigate and analyse the caring attitude and behaviour of clinical nurses in terms of importance, competency and feasibility. The study used a survey design. Data were collected between January and June 2010. Two hundred and sixty clinical nurses were recruited. The caring attitude and behaviour of the nurses were assessed by using a translated version of the original Caring Nurse–Patient Interaction Scale—Short Scale. The subjects considered operative caring behaviour to be more important than expressive caring behaviour. The nurses felt more competent to practise operative caring behaviour in the clinic, and reported that such care was more feasible. The competency scores were positively correlated with age and work seniority. The feasibility scores for the clinical care dimension were positively correlated with age and work seniority. Nurses with a higher positional title had higher competency and feasibility scores. The results suggest that a rich life experience, accumulation of work experience and better competency might promote caring behaviour in nurses.