Volume 12, Issue 2 (June 2025)                   Health Spiritual Med Ethics 2025, 12(2): 85-94 | Back to browse issues page

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Ghasemloo R, Abedini Z, Shojaei S, Safari Mofrad F, Khoramirad A. Effect of Spiritual Care Training on Moral Sensitivity and Professional Competence in Emergency Nurses. Health Spiritual Med Ethics 2025; 12 (2) :85-94
URL: http://jhsme.muq.ac.ir/article-1-615-en.html
Effect of Spiritual Care Training on Moral Sensitivity and Professional Competence in Emergency Nurses
Roya Ghasemloo1 , Zahra Abedini2 , Sarallah Shojaei3 , Faezeh Safari Mofrad3 , Ashraf Khoramirad *4
1- Student Research Committee, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran., Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
2- Department of Health Education and Health Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran. & Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran, Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
3- Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. & Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran, Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran
4- Department of Nursing, Spiritual Health Research Center, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran. & Department of Nursing, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran, Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran , paesian_ins_kh@yahoo.com
Abstract:   (530 Views)
Background and Objectives: Educating nurses on the principles and values of spiritual care contributes to a deeper understanding of moral issues. This study aimed to determine the effect of training emergency nurses in spiritual care on their moral sensitivity and professional competence.
Methods: This was a quasi-experimental study with a control group that was conducted in 2023 on 53 nurses who worked in the emergency departments of two hospitals in Qom, Iran. Spiritual education was provided to the experimental group through a four-hour workshop conducted over two days, as well as a virtual educational module presented over a period of two weeks. Questionnaires on moral sensitivity and professional competence in spiritual care were completed before, immediately after, and two months after the intervention. Data were analyzed through the chi-square test, independent samples t-test, and the repeated measures analysis of variance using SPSS software version 16. 
Results: Baseline characteristics were similar in both groups. The moral sensitivity scores of the intervention group were significantly higher than the control group after the intervention and at the follow-up time (P<0.0001). At the post-intervention (P<0.0001) and follow-up time (P=0.010), the mean score of professional competence in the intervention group was significantly higher than that in the control group.
Conclusion: Providing spiritual care training to emergency nurses can enhance their spiritual care competence and moral performance. 
Keywords: Professional competence, Morals, Spirituality, Emergency nursing
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Type of Study: Original Article | Subject: General
Received: 2025/02/26 | Accepted: 2025/04/8 | Published: 2025/05/31
References
1. Jansen TL, Hanssen I. Patient participation: Causing moral stress in psychiatric nursing? Scand J Caring Sci. 2017; 31(2):388-94. [DOI:10.1111/scs.12358] [PMID] [DOI:10.1111/scs.12358]
2. Akca NK, Simsek N, Arslan DE, Senturk S, Akca D. Moral sensitivity among senior nursing students in Turkey. Int J Caring Sci. 2017; 10(2):1031-9. [Link]
3. Schallenberger CD, Tomaschewski-Barlem JG, Barlem ELD, Rocha LP, Dalmolin GL, Pereira LA. Moral sensitivity components identified among nurses from Intensive Care Units. Rev Bras Enferm. 2019; 72(suppl 1):2-8. [DOI:10.1590/0034-7167-2017-0202] [PMID] [DOI:10.1590/0034-7167-2017-0202]
4. Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: A discussion paper. Int J Nurs Stud. 2006; 43(3):367-76. [DOI:10.1016/j.ijnurstu.2005.04.010] [PMID] [DOI:10.1016/j.ijnurstu.2005.04.010]
5. Ferasatkish R, Shokrollahi N, Zahednezhad H. [Critical care nurses'moral sensitivity in Shahid Rajaee Heart Center Hospital (Persian)]. Cardiovasc Nurs J. 2015; 4(3):1-20. [Link]
6. Izadi A, Imani H, Noughabi F, Hajizadeh N, Naghizadeh F. [Moral sensitivity of critical care nurses in clinical decision making and its correlation with their caring behavior in teaching hospitals of Bandar Abbas in 2012 (Persian)]. Iran J Med Ethics Hist Med. 2013; 6(2):43-56. [Link]
7. Kim YS, Park JW, You MA, Seo YS, Han SS. Sensitivity to ethical issues confronted by Korean hospital staff nurses. Nurs Ethics. 2005; 12(6):595-605. [DOI:10.1191/0969733005ne829oa] [PMID] [DOI:10.1191/0969733005ne829oa]
8. Baghaei R, Moradi Y, Aminolshareh S, Zareh H. [The ethical sensitivity of nurses in decision making in Ayatollah Taleghani Hospital, 1391 (Persian)]. Nurs Midwifery J. 2014; 11(11):900-6. [Link]
9. Zirak M, Moghaddsiyan S, Abdollahzadeh F, Rahmani A. [Moral development of nursing students of Tabriz University of Medical Sciences (Persian)]. Iran J Med Ethics Hist Med. 2011; 4(4):45-55. [Link]
10. Hajbaghery MA, Safa A, Aminolroayaee-Yamini E. Nurses' knowledge of ethical and legal issues in elderly care. Med Ethics J. 2015; 9(31):169-91. [Link]
11. O'Neale M, Kurtz S. Certification: perspectives on competency assurance. Semin Perioper Nurs. 2001; 10(2):88-92. [PMID]
12. Meretoja R, Leino-Kilpi H. Comparison of competence assessments made by nurse managers and practising nurses. J Nurs Manag. 2003; 11(6):404-9. [DOI:10.1046/j.1365-2834.2003.00413.x] [PMID] [DOI:10.1046/j.1365-2834.2003.00413.x]
13. Ross L, McSherry W, Giske T, van Leeuwen R, Schep-Akkerman A, Koslander T, et al. Nursing and midwifery students' perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study. Nurse Educ Today. 2018; 67:64-71. [DOI:10.1016/j.nedt.2018.05.002] [PMID] [DOI:10.1016/j.nedt.2018.05.002]
14. Rosa WE, Hope S, Matzo M. Palliative nursing and sacred medicine: A holistic stance on entheogens, healing, and spiritual care. J Holist Nurs. 2019; 37(1):100-6. [DOI:10.1177/0898010118770302] [PMID] [DOI:10.1177/0898010118770302]
15. Grace PJ. Nursing ethics and professional responsibility in advanced practice. Sudbury: Jones & Bartlett Publishers; 2013. [Link]
16. Adib-Hajbaghery M, Zehtabchi S. Developing and validating an instrument to assess the nurses' professional competence in spiritual care. J Nurs Meas. 2016; 24(1):15-27. [DOI:10.1891/1061-3749.24.1.15] [PMID] [DOI:10.1891/1061-3749.24.1.15]
17. Alshehry AS. Spirituality and spiritual care competence among expatriate nurses working in Saudi Arabia. Religions. 2018; 9(12):384. [DOI:10.3390/rel9120384] [DOI:10.3390/rel9120384]
18. Ruder S. Spirituality in nursing: nurses' perceptions about providing spiritual care. Home Healthc Nurse. 2013; 31(7):356-67. [DOI:10.1097/NHH.0b013e3182976135] [PMID] [DOI:10.1097/NHH.0b013e3182976135]
19. Adib-Hajbaghery M, Zehtabchi S. Assessment of nurses' professional competence in spiritual care in Kashan's hospitals in 2014. Avicenna J Nurs Midwifery Care. 2014; 22(4):23-32. [Link] [DOI:10.1177/0969733015600910]
20. Cerezo PG, Juvé-Udina ME, Delgado-Hito P. Concepts and measures of patient empowerment: A comprehensive review. Rev Esc Enferm USP. 2016; 50(4):667-74. [DOI:10.1590/S0080-623420160000500018] [PMID] [DOI:10.1590/S0080-623420160000500018]
21. Ebrahimi H, Hosseinzadeh R, Zaghari Tefreshi M, Hosseinzadeh S, Asghari Jafarabadi M. [Clinical competency and psychological empowerment of nurses and their correlation with demographic characteristics (Persian)]. J Health Promot Manage. 2013; 2(4):30-8. [Link]
22. Azizi A, Sasanpour M. [Effectiveness of nursing ethics training on nurses' moral sensitivity in 2014 (Persian)]. J Clin Nurs Midwifery. 2018; 4(3):1-8. [Link]
23. Bagherzadeh M, Jafari H, Charati JY, Shafipour V. The effect of an empowerment program on the moral sensitivity and caring behaviors of emergency nurses in Iran. Nurse Educ Pract. 2021; 57:103243. [DOI:10.1016/j.nepr.2021.103243] [PMID] [DOI:10.1016/j.nepr.2021.103243]
24. Yeom HA, Ahn SH, Kim SJ. Effects of ethics education on moral sensitivity of nursing students. Nurs Ethics. 2017; 24(6):644-52. [DOI:10.1177/0969733015622060] [PMID] [DOI:10.1177/0969733015622060]
25. Rezaei R. [Nursing in sensitivity moral on training care spiritual of effect the students (Persian)]. J Nurs Educ. 2021; 10(1):1-15. [Link]
26. KHoramirad A, Khalajinia Z, Shojaei S, Yoosefee S. Educational needs assessment of spiritual care in nurses in Iran in 2021: Using Delphi technique. Health Spirit Med Ethics. 2021; 8(4):201-8. [Link]
27. Lützén K, Evertzon M, Nordin C. Moral sensitivity in psychiatric practice. Nurs Ethics. 1997; 4(6):472-82. [DOI:10.1177/096973309700400604] [PMID] [DOI:10.1177/096973309700400604]
28. Hassanpoor M, Hosseini M, Fallahi Khoshknab M, Abbaszadeh A. [Evaluation of the impact of teaching nursing ethics on nurses' decision making in Kerman social welfare hospitals in 1389 (Persian)]. Iran J Med Ethics Hist Med. 2011; 4(5):58-64. [Link]
29. Jalili F, Saeidnejad Z, Aghajani M. Effects of spirituality training on the moral sensitivity of nursing students: A clinical randomized controlled trial. Clin Ethics. 2020; 15(1):1-10. [DOI:10.1177/1477750919898346] [DOI:10.1177/1477750919898346]
30. Kang ES, Kim YH, Lee KR. The effect of holistic health program on spiritual well-being and mental health in nursing students. J Korea Acad Indust Cooperation Soc. 2011; 12(5):2172-9. [DOI:10.5762/KAIS.2011.12.5.2172] [DOI:10.5762/KAIS.2011.12.5.2172]
31. Shafaat A, Alimohammadi N, Shahriari M. The effects of an ethical empowerment program on nurses' ability of ethical care delivery to patients with decreased level of consciousness in intensive care unit. Nurs Midwifery Stud. 2021; 10(3):151-7. [Link]
32. Chiang YC, Lee HC, Chu TL, Han CY, Hsiao YC. A spiritual education course to enhance nursing students' spiritual competencies. Nurse Educ Pract. 2020; 49:102907. [DOI:10.1016/j.nepr.2020.102907] [PMID] [DOI:10.1016/j.nepr.2020.102907]
33. Yong J, Kim J, Park J, Seo I, Swinton J. Effects of a spirituality training program on the spiritual and psychosocial well-being of hospital middle manager nurses in Korea. J Contin Educ Nurs. 2011; 42(6):280-8. [DOI:10.3928/00220124-20101201-04] [PMID] [DOI:10.3928/00220124-20101201-04]
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