Influence of spirituality on moral distress and resilience in critical care staff: A scoping review

Kubitza, Jenny; Grosse, G.; Schütte‐Nütgen, Katharina; Frick, Eckhard

doi:10.1016/j.iccn.2022.103377

Cited by 10 publications

(3 citation statements)

References 51 publications

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“…Balmer et al (2022) describe such room blessings as offering meaning‐making and ritual to support nurses in the substantial death and dying responsibilities they carry, particularly with the societal secularization of death and dying. Supporting spiritual wellbeing in the workplace was appreciated by the nurses in this study, and is increasingly referred to in the literature as a route to resilience and worker retention (Baber et al, 2023; Hildebrand et al, 2023; Kubitza et al, 2022). There is, however, a caution to an individualizing approach, where the nurse's resilience is seen as an area of personal growth for a nurse, rather than the impetus for organizational change to create healthier workplaces (International Council of Nurses, 2023).…”

Section: Discussionmentioning

confidence: 79%

The social relations of prayer in healthcare: Adding to nursing's equity‐oriented professional practice and disciplinary knowledge

Reimer‐Kirkham,

Sharma

2023

Nursing Inquiry

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Although spiritual practices such as prayer are engaged by many to support well‐being and coping, little research has addressed nurses and prayer, whether for themselves or facilitating patients' use of prayer. We conducted a qualitative study to explore how prayer (as a proxy for spirituality and religion) is manifest—whether embraced, tolerated, or resisted—in healthcare, and how institutional and social contexts shape how prayer is understood and enacted. This paper analyzes interviews with 21 nurses in Vancouver and London as a subset of the larger study. Findings show that nurses' kindness can buffer the loneliness and exclusion of ill health and in this way support the “spirit” of those in their care. Spiritual support for patients rarely incorporated prayer, in part because of ambiguities about permission and professional boundaries. Nurses' engagement with prayer and spiritual support could become a politicized site of religious accommodation, where imposition, religious illiteracy, and racism could derail person‐centered care and consequently enact social exclusion. Spiritual support (including prayer) sustained nurses themselves. We propose that nursing's equity‐oriented knowledge encompass spirituality and religion as sites of exclusion and inclusion. Nurses must be supported to move past religious illiteracy to provide culturally and spiritually sensitive care with clarity about professional boundaries and collaborative models of spiritual care.

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Section: Discussionmentioning

confidence: 79%

The social relations of prayer in healthcare: Adding to nursing's equity‐oriented professional practice and disciplinary knowledge

Reimer‐Kirkham,

Sharma

2023

Nursing Inquiry

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“…A systematic empirical review of the research on religion and COVID-19 conducted in the first year of the pandemic ( 24 ) supports the aforementioned conclusions. Other findings from the scoping review show that religiosity did not automatically aid ICU staff members in coping with moral distress or strengthen their resilience ( 25 ). Spirituality, on the other hand, described as a type of self-care ( 26 ), was mentioned as a resource for reducing moral distress ( 27 , 28 ).…”

Section: Introductionmentioning

confidence: 99%

The relationship between the strength of religious faith and spirituality in relation to post-traumatic growth among nurses caring for COVID-19 patients in eastern Poland: a cross-sectional study

Nowicki,

Schneider-Matyka,

Godlewska

et al. 2024

Front. Psychiatry

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IntroductionThe COVID-19 pandemic had forced intensive care unit (ICU) nurses to adapt to extreme conditions in a short period of time. This resulted in them experiencing extremely stressful situations. The aim of this study was to assess the relationship between post-traumatic growth (PTG) and religiosity and spirituality (R/S) among nurses caring for COVID-19 patients in intensive care during the pandemic.Materials and methods120 nurses working in Lublin, eastern Poland, participated in the cross-sectional study. The questionnaire was made up of three standardised tools: The Post-Traumatic Growth Inventory, The Santa Clara Strength of Religious Faith Questionnaire, The Spiritual Attitude and Involvement List.ResultsIn terms of spirituality, the study group of nurses achieved the highest score in the Connectedness with Nature subscale (4.37 ± 1.07), while the strength of religious beliefs had a positive correlation with post-traumatic growth only in the Spiritual changes subscale (r = 0.422, p < 0.001). The following dimensions of spirituality were significantly correlated with post-traumatic growth in the multi-factor model that included religiosity and spirituality: Transcendent experiences, Spiritual activities, Meaningfulness, Acceptance, and Trust. We saw that increase in the assessment of the Transcendent experiences, Meaningfulness and Trust subscales significantly mirrors increase in post-traumatic growth, while increase in the assessment of the Spiritual activities and Acceptance subscales significantly mirrors decrease in post-traumatic growth. The above variables explained up to 44% of the dependent variable.ConclusionBoth religiosity and spirituality were significantly associated with post-traumatic growth in the group of ICU nurses, but spirituality appears to have played a larger role. Our findings support the value and significance of the development of spiritual and religious identity as a means of enhancing positive psychological changes in the face of traumatic events.

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“…Conversely, spirituality or a person's faith (be it religious or not) may buffer MD perception [6][7][8]. A recent scoping review on CCPs' MD and existential, religious, and spiritual resources [9] reported 162 eligible studies between 2020 and February 2022, but of these only 13 thoroughly examined the complex construct spirituality.…”

Section: Introductionmentioning

confidence: 99%

Critical Care Providers’ Moral Distress: Frequency, Burden, and Potential Resources

Hinzmann

Schütte‐Nütgen

Büssing

et al. 2022

IJERPH

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Background: Critical Care Providers (CCPs) experience situations that challenge their ethics and professional standards and may entail moral distress (MD). Aim: To analyze MD perceived by CCPs in intensive care units (ICUs) or emergency departments (EDs) and further clarify whether CCPs who rely on spiritual resources differ in their perception of MD from those who do not utilize these resources. Methods: A cross-sectional anonymous survey was administered using a modified version of the German language version of the Moral Distress Scale (MDS) with 2 × 12 items to assess the frequency and the respective perceived burden of specific situations by applying a 5-point Likert scale. Explorative factor analysis was performed and the sub-constructs of the respective items regarding MD frequency and burden were identified. Job burden and professional satisfaction were measured using visual analogue scales (VAS) and a four-point Likert scale, respectively. The 15-item SpREUK questionnaire was applied to measure spiritual attitudes and behaviours and to differentiate between religious and spiritual persons. Data from 385 German-speaking CCPs were included (55% physicians, 45% nurses). Results: Conflict situations are similar for physicians and nurses although they are perceived as more burdensome by nurses. Among physicians, the MDS factor Looking away/Resignation scores highest for assistant physician residents, whereas distress caused by looking away is more often perceived by specialist physicians without a managerial position. Work satisfaction is inversely associated with MD and emotional exhaustion is positively associated with it. Participants’ spirituality is marginally associated with MD. The best predictors of both MD frequency and burden are emotional exhaustion with further influences of work satisfaction, being a nurse, and being a non-believer on the frequency of MD perception. Being a nurse, participants’ experience in ICU/ED, and being of the male gender are further predictors of MD burden. Conclusions: MD is experienced differently by different groups of CCPs depending on their place in the hierarchy of responsibility. As MD perception is best predicted by emotional exhaustion, these situations should be avoided. Although some CCPs may rely on spiritual resources, all need individual and team support to cope with MD.

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Influence of spirituality on moral distress and resilience in critical care staff: A scoping review

Cited by 10 publications

References 51 publications

The social relations of prayer in healthcare: Adding to nursing's equity‐oriented professional practice and disciplinary knowledge

The social relations of prayer in healthcare: Adding to nursing's equity‐oriented professional practice and disciplinary knowledge

The relationship between the strength of religious faith and spirituality in relation to post-traumatic growth among nurses caring for COVID-19 patients in eastern Poland: a cross-sectional study

Critical Care Providers’ Moral Distress: Frequency, Burden, and Potential Resources

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