The demand for competencies in spiritual care in nursing and midwifery education: a literature review

Authors

  • Josephine Attard MSc, assistant lecturer, Faculty of Health Sciences, University of Malta, Ph.D. student, University of South Wales, Pontypridd, Wales - UK
  • Donia Baldacchino Ph.D., associate professor, Faculty of Health Sciences, University of Malta, visiting professor, University of South Wales, adjunct faculty member, Johns Hopkins University, Baltimore, Maryland – USA

DOI:

https://doi.org/10.7213/revistapistispraxis.06.002.dv02

Keywords:

Competences, Spiritual care, Nursing and midwifery education.

Abstract

Spirituality is embedded in nursing and midwifery practice and within the role of nurses and midwives. As a result, spirituality is an important element in nursing and midwifery education and practice, an area which has largely been ignored, in spite of the constant call of Professional Bodies for spiritual care competence in the provision of holistic care. This review aimed to analyze the existing literature and research to define competency and identify the key issues around the demand for competencies and education in spiritual care in nursing and midwifery. A search for articles in English was carried out using various search engines, using keywords: ‘competence, competency, definition, nursing, midwifery practice’. The findings showed that consensus on the definition of competency is still inconsistent. The majority of literature acknowledges the dimensions of knowledge, skills and attitudes which support the three components in Bloom’s Taxonomy namely, the cognitive, affective and psychomotor domains. Competence in spiritual care is guided by Benner’s theory: From novice to expert. Key issues were identified explaining the demand for competence in spiritual care such as, the complexity of spirituality and spiritual care which requires formal integration of spiritual care within the curricula by incorporating both the ‘taught’ and ‘caught’ perspectives of teaching and learning. Assessment of competence in nursing/midwifery education demands the formulation of generic and specific competencies oriented towards knowledge, skills and attitudes towards spiritual care. Thus, further research is suggested to develop a framework of competencies to be achieved by undergraduate and postgraduate students.

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References

BALDACCHINO, D. Nursing competencies for spiritual care. Journal of Clinical Nursing, v. 15, n. 7, p. 885-896, 2006.

BALDACCHINO, D. Spiritual care: is it the nurse’s role? Spirituality and Health International, v. 9, n. 4, p. 270-284. 2009.

BALDACCHINO, D. Spirituality in illness and care. Malta: Preca Library, 2003.

BALDACCHINO, D. Teaching on spiritual care: The perceived impact on qualified nurses. Nurse Education in Practice, v. 11, n. 1, p. 47-53, 2011.

BALDACCHINO, D. Teaching on the spiritual dimension in care to undergraduate nursing students: the content and teaching methods. Nursing Education Today, v. 28, n. 5, p. 550-562, 2008a.

BALDACCHINO, D. Teaching on the spiritual dimension in care: the perceived impact on undergraduate nursing students. Nursing Education Today, v. 28, n. 4, p. 501-512, 2008b.

BENNER, P. From novice to expert. American Journal of Nursing, v. 82, n. 3, p. 402-407, 1982.

BENNER, P. From novice to expert: excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley, 1984.

BLOOM, B. S. Taxonomy of educational objectives. Boston: Allyn & Bacon, 1956.

BRADLEY, D.; HYDE, A. Certificate-trained staff nurses’ perceptions of the changes in nursing education in Ireland from certificate to diploma level. Journal of Continuing Education in Nursing, v. 33, n. 5, p. 231-237, 2002.

BRADSHAW, A. Teaching spiritual care to nurses: an alternative approach. International Journal of Palliative Nursing, v. 3, n. 1, p. 51-57, 1997.

CALLISTER, L.C. et al. Threading spirituality throughout nursing education.

Holistic Nursing Practice, v. 18, n. 3, p. 160-166, 2004.

COBB, M. The dying soul: spiritual care at the end of life. Buckingham: Open University Press, 2001.

CONE, P. H.; GISKE, T. Teaching spiritual care: A grounded theory study among undergraduate nursing educators. Journal of Clinical Nursing v.22, n.13-14, 1951-1960. 2013.

COWAN, D. T.; NORMAN, I. J.; COOPAMAH, V. P. Competence in nursing practice: a controversial concept – a focused review of literature. Nurse Education Today, v. 25, n. 1, p. 355-362, 2005.

DEPARTMENT OF HEALTH. Coronary heart disease: national service. London: Department of Health, 2000.

DEPARTMENT OF HEALTH. National Service Framework for Mental Health: modern standards and service models. London: The Stationary Office, 1999.

DEPARTMENT OF HEALTH. National Service Framework for Older People: modern standards and service models. London: The Stationary Office, 2001a.

NT OF HEALTH. Religion or belief: a practical guide for the NHS. London: The Stationery Office, 2009.

DEPARTMENT OF HEALTH. Your guide to the NHS. London: Department of Health, 2001b.

ERAUT, M. Developing professional knowledge and competence. London: Falmer Press, 1994.

ERAUT, M.; DUBOLAY, B. Developing the attributes of medical professional judgement and competence. London: Department of Health, 1999.

EUROPEAN QUALIFICATIONS FRAMEWORK – EQF. The European Qualifications Framework for Lifelong Learning. Belgium: European Commission, 2008.

GIBBS, G. Learning by doing: a guide to teaching and learning methods.

Oxford: Further Education Unit; Oxford Polytechnic, 1988.

GIROT, E. A. Assessing competence in clinical practice. Journal of Advanced Nursing, v. 18, n. 1, p. 114-119, 1993a.

GIROT, E.A. Assessment of competence in clinical practice: a review of the literature. Nurse Education Today, v. 13, n. 2, p. 83-90, 1993b.

GISKE, T. How undergraduate nursing students learn to care for patients spiritually in clinical studies: a review of literature. Journal of Nursing Management, v. 20, n. 8, p. 1049-1057, 2012.

GREENSTREET, W. Teaching spirituality in nursing: a literature review. Nurse Education Today, v. 19, n. 8, p. 649-658, 1999.

GUILBERT, P. A competence based education framework for nurses, midwives and genomics. 2002. Available at: . Accessed in: 2013, Sept. 25th.

HALL, J. Midwifery, mind and spirit: emerging issues of care. Oxford : Books for Midwives, 2005.

HALL, J. Teaching spirituality to student midwives: a creative approach. Nurse Education in Practice, v. 7, n. 6, p. 416-424, 2007.

HODGE, D.R. Developing cultural competence with Evangelical Christians. Families in Societies. v. 85, n. 2, 251-260. 2004.

HOOVER, J. The personal and professional impact of undertaking an educational module on human caring. Journal of Advanced Nursing, v. 37, n. 1, p. 79-86, 2002.

HUBBELL,S. L. et al. Spiritual care practices of nurse practitioners in federally designated nonmetropolitan areas of North Carolina. Journal of the American Academy of Nurse Practitioners, v. 18, n. 8, p. 379-385, 2006.

INTERNATIONAL COUNCIL OF NURSES – ICN. Code of ethics for nurses. Geneva: International Council of Nurses, 2006. Available at: <http://www.icn. ch/images/stories/documents/about/icncode_english.pdf>. Accessed in: 2013, May 31st.

INTERNATIONAL COUNCIL OF NURSES – ICN. Framework of competencies for nurse specialist. Geneva: International Council of Nurses, 2003.

JESSE, D. E.; REED, P. Effects of spirituality and psychosocial well-being on health risk behaviors in Appalachian pregnant women. Journal Gynecologic and Neonatal Nurses, v. 33, n. 6, p. 739-747, 2004.

JESSE, D. E.; SCHONEBOOM, C.; BLANCHARD, A. The effects of faith or spirituality in pregnancy: a content analysis. Journal of Holistic Nursing, v. 25, n. 3, p. 151-158, 2007.

JOHNSTON TAYLOR, E. What is spiritual care in nursing? Findings from an exercise in content validity. Holistic Nursing Practice, v. 22, n. 3, p. 154-159, 2008.

KIRK, M. et al. Fit for practice in the Genetics Era: defining what nurses, midwives and health visitors should know and be able to do in relation to genetics. Pontypridd: University of South Wales, 2003.

KOENIG, H. G.; KING, D. E.; CARSON, V. B. Handbook of religion and health. New York: Oxford University Press, 2012.

LEININGER, M. M. (Ed.). Cultural care diversity and universality: a theory of nursing. Boston: Jones and Bartlett Publishers, 2001.

LEMMER, C. Teaching the spiritual dimension of nursing care: a survey of U.S. baccalaureate nursing programs. Journal of Nursing Education, v. 41, n. 11, p. 482-490, 2002.

MANOLEAS, P. An outcome approach to assessing the cultural competence of MSW students. Journal of Multicultural Social Work, v. 3, n. 1, p. 43-57, 1994.

MCCONNEL, J.W. The relationship between participation in student affairs sponsored episodic programs and psychosocial development. 2000.

Thesis (PhD) — University of Virginia, Charlottesville, 2000.

MCMULLAN, M. et al. Portfolios and assessment of competence: a review of the literature. Journal of Advanced Nursing, v. 41, n. 3, p. 283-294, 2003.

MCSHERRY, W. Education issues surrounding the teaching of spirituality. Nursing Standards, v. 14, n. 42, p. 40-43, 2000.

MCSHERRY, W. Making sense of spirituality in nursing and healthcare practice. 2nd ed. London: Jessica Kingsley, 2006.

MCSHERRY, W. The meaning of spirituality and spiritual care within nursing and health care practice. London: Quay Books, 2007.

MILLIGAN, S. Perceptions of spiritual care among nurses undertaking post registration education. International Journal of Palliative Nursing, v. 10, n. 4, p. 162-171, 2004.

MITCHELL, D. L.; BENNETT, M. J.; MANFRIN-LEDER, L. Spiritual development of nursing students: developing competence to provide spiritual care to patients at the end of life. Journal of Nursing Education, v. 45, n. 9, p. 365-370, 2006.

MUSTARD, L. W. Caring and competency. JONA’s Healthcare Law, Ethics, and Regulation, v. 4, n. 2, p. 36-43, 2002.

NARAYANASAMY, A. ASSET: a model for actioning spirituality and spiritual care education and training in nursing. Nurse Education Today, v. 19, n. 4, p. 274-285, 1999.

NARAYANASAMY, A. Spiritual care: a practical guide for nurses and health care professionals. 2nd ed. London: Quay Books, 2001.

NARAYANASAMY, A. The puzzle of spirituality for nursing: a guide to practical assessment. British Journal of Nursing, v. 13, n. 19, p. 1140-1144, 2004.

NASH, M.; STEWART, B. Spirituality and social care contributing to personal and community well-being. London: Jessica Kingsley Publishers, 2002.

NATIONAL HEALTH SERVICE WALES. Standards for Spiritual Care in the NHS in Wales. 2010. Available at: <http://wales.gov.uk/docs/dhss/publications /100525supportingguidanceen.pdf>. Accessed in: 2011, Dec. 20th.

NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE – NICE. Improving supportive and palliative care for adults with cancer. London: NICE, 2004.

NEUMAN, B.; FAWCETT, J. The Neuman Systems Model. 5th ed. New York: Pearson, 2010.

NEWMAN, M. A. Health as expanding consciousness. Toronto: The CV Mosby Company, 1986.

NURSING AND MIDWIFERY COUNCIL – NMC. Requirements for pre-registration Nursing programme. London: NMC, 2002.

NURSING AND MIDWIFERY COUNCIL – NMC. Standards for proficiency for pre-registration Nursing education. London: NMC, 2010.

PAPADOPOULOS, I.; COPP, G. Nurse lecturers’ perception and teaching of spirituality. London: Equinox Publishing, 2005.

PUCHALSCHI, C. M.; DORFF, R. E.; HENDI, I. Y. Spirituality, religion, and healing in palliative care. Clinical Geriatric Medicine, v. 20, n. 4, p. 689-714, 2004.

QUALITY ASSURANCE AGENCY FOR HIGHER EDUCATION – QAAHE.

Benchmark statement: health care programmes. Gloucester: QAAHE, 2001.

ROPER, N.; LOGAN, W. W.; TIERNEY, A. J. The Roper-Logan-Tierney Model of nursing. Edinburgh: Churchill Livingstone, 2000.

ROYAL COLLEGE OF NURSING. Care must address more than physical symptoms. London: RCN, 2010.

SCHON, D. The reflective practitioner. 2nd ed. San Francisco: Jossey Bass, 1991.

SCHROETER, K. Competence Literature review. 2008. Available at: . Accessed in: 2013, Sept. 25th.

SCOTT TILLEY, D. D. Competency in nursing: a concept analysis. Journal of Continuing Education in Nursing, v. 39, n. 2, p. 58-64, 2008.

SCOTTISH EXECUTIVE HEALTH DEPARTMENT. Guidelines on chaplaincy and spiritual care in the NHS in Scotland. 2002. Available at: . Accessed in: 2013, Sept. 25th.

SCOTTISH GOVERNMENT. Spiritual care and chaplaincy. Edinburgh: The Stationary Office, 2009.

STRANAHAN, S. Spiritual perception, attitudes about spiritual care, and spiritual care practices among nurse practitioners. Western Journal of Nursing Research, v. 23, n. 1, p. 90-104, 2001.

SWINTON, J. Spirituality and mental health care: rediscovering a ‘forgotten’ dimension. London: Jessica Kingsley Publishers, 2001.

TAYLOR, E. J. et al. Efficacy of a self-study programme to teach spiritual care. Journal of Clinical Nursing, v. 18, n. 8, p. 1131-1140, 2008.

TUNING PROJECT. Approaches to teaching, learning and assessment in competence based degree programmes. In: GONZALES, J.; WAGENAAR, R. (Ed.). Tuning educational structures in Europe: Universities’ contribution to the Bologna Precess. Bilbao: Universidad de Deusto, 2005. v. 2. p. 202-226.

TUNING PROJECT. Descriptors of learning outcomes and competences in higher education. 2006. Available at: <http://www.unizg.hr/bopro/activities/ Presentation_Wagennar%20.pdf>. Accessed in: 2006, Jan. 22nd.

UNITED KINGDOM. Human Rights Act. 2000. Available at: <http://www.direct.gov.uk/prod_consum_dg/groups/dg_digitalassets/@dg/documents/digitalasset/dg_070456.pdf>. Accessed in: 2013, Oct 12th.

VALLOZE, J. Competence: a concept analysis. Teaching and Learning in Nursing, v. 4, n. 4, p. 115-118, 2009.

VAN LEEUWEN, R. et al. The effectiveness of an educational programme for nursing students on developing competence in the provision of spiritual care. Journal of Clinical Nursing, v. 17, n. 20, p. 2768-2781, 2008.

WALLACE, M. et al. Integrating spirituality into undergraduate nursing curricula. International Journal of Nursing Education Scholarship, v. 5, n. 1, p. 1-13, 2008.

WALLACE, M. et al. Integration of end-of-life care content in undergraduate nursing curricula: student knowledge and perception. Journal of Professional Nursing, v. 25, n. 1, p. 50-56, 2009.

WARD, E. C. Examining differential treatment effects for depression in racial and ethnic minority women: a qualitative systematic review. Journal of The National Medical Association, v. 99, n. 3, p. 265-274, 2007.

WATSON, R. Is there a role for higher education in preparing nurses? Nurse Education Today, v. 26, n. 8, p. 622-626, 2006.

WATSON, R.; STIMPSON, A.; POROCK, D. Clinical competence assessment in nursing: a systematic review of the literature. Journal of Advanced Nursing, v. 39, n. 5, p. 421-431, 2002.

WILLOWS, D.; SWINTON, J. Spiritual dimensions of pastoral care: practical theology in a multidisciplinary context. London: Jessica Kingsley Publishers, 2000.

WORLD HEALTH ORGANIZATION – WHO. Department Of Mental Health. WHOQOL and Spirituality, Religiousness and Personal Beliefs (SRPB). Geneva: World Health Organisation, 1998. 23 p. Report.

WORLD HEALTH ORGANIZATION – WHO. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Social Science & Medicine, v. 41, n. 10, p. 1403-1409, 1995.

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Published

2014-09-13

How to Cite

Attard, J., & Baldacchino, D. (2014). The demand for competencies in spiritual care in nursing and midwifery education: a literature review. Pistis Praxis, 6(2), 671–691. https://doi.org/10.7213/revistapistispraxis.06.002.dv02

Issue

Vol. 6 No. 2 (2014): Ensino Religioso

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Articles

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