Inforcing Spiritual Care: Enhancing Well-Being and Competency in Psychiatric Nurses

Spiritual Care Competence

The scale was used to evaluate spiritual care competencies. The scale was created and validated in English by Van Leeuwen, Tiesinga, Middel, Post, and Jochemsen (2009). It consists of 27 items total, with six subscales. The scale assesses the following six spiritual-care competencies: communication (2 items), professionalization and improving the quality of care (6 items), personal support and counselling of patients (6 items), referral to other professionals (3 items), attitudes towards patients' spirituality (4 items), and assessment and implementation of SC (6 items). There are five points ratings on the Likert scale: strongly disagree, disagree, neutral, agree, and strongly agree. Higher scores indicate higher levels of competence; the total score goes from 27 to 135. The subscales demonstrated good homogeneity with average inter-item correlations \>0·25 and strong test-retest reliability. Cronbach's α values for the subdimensions of SC assessment and implementation, professiona

Spiritual Well-Being

The Spiritual Well-Being Scale (SWBS) used to measure self-perceived spiritual health. The scale was developed by Ellison and Paloutzian in 1982. The 20-item scale was split into two subscales: existential well-being (EWB), which focused on life satisfaction without necessarily being connected to religion, and had 10 items. Religious well-being (RWB), which reflected a sense of fulfilment and connection with God or a higher power and had 10 items. The scale is a 6-point Likert scale with 9 negatively worded items to reduce response biases, ranging from Strongly Disagree to Strongly Agree. Higher scores indicate better spiritual well-being; the scale's total scores range from 20 to 120. Three levels have been established for the SWBS scores: low (20 to 40), moderate (41 to 99), and high (100 to 120). High levels of test-retest reliability and internal consistency were demonstrated by the scale. Cronbach's alpha α = 0.87, 0.78, and 0.89 for the RWB, EWB, and SWBS, respectively, indicat