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March 14, 2026International Journal of Africa Nursing Sciences0 citationsOpen Access

The impact of a spiritual care charter-based educational intervention on the frequency of the spiritual care provision by nurses working in the nursing home

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SSShahin SalarvandLorestan University of Medical SciencesMHMorteza HeidariQom University of Medical Science and Health ServicesMAMohammad AghaaliQom University of Medical Science and Health Services

Key Points

  • This study aims to assess how an educational intervention based on a Spiritual Care Charter influences nurses' frequency of providing spiritual care in nursing homes.
  • Conducted a quasi-experimental, single-group pre-test–post-test design.
  • Involved 32 nurses participating in four sessions of face-to-face training.
  • Measured frequency of spiritual care before, one week after, and one month after the intervention using the Nurse Spiritual Care Therapeutics Scale.
  • Analyzed data using repeated-measures ANOVA and post hoc tests.
  • Mean scores for spiritual care provision rose significantly after the intervention: pre-intervention 25.31, one-week post 54.75, one-month post 71.5 (p < 0.001).
  • Post-hoc analysis confirmed significant differences between all measured phases.
  • No significant correlation was found between demographic factors and changes in spiritual care frequency.

Abstract

Elders living in nursing homes often face psychological challenges. Providing of spiritual care is vital for this population. Due to a lack of appropriate knowledge and skill among nurses, it may be under-provided. This study aimed to evaluate the impact of an educational intervention based on the Spiritual Care Charter on the frequency of providing spiritual care by nurses working in nursing homes. A quasi-experimental study with a single-group pre-test–post-test design was conducted in the nursing home in Khorramabad. Thirty-two nurses were included and participated in a four-session, face-to-face training based on the Charter of Spiritual Care (CSC). The intervention focused on key dimensions of spiritual care, including finding meaning, meaningful communication, active listening, and instilling hope. The frequency of spiritual care provided by participants was measured using the validated Nurse Spiritual Care Therapeutics Scale (NSCTS) at three times: before, one week after, and one month after the intervention. Data were analysed using repeated-measures ANOVA and post hoc tests. The mean scores for spiritual care provision significantly increased after the intervention. The frequency of providing spiritual care was in pre-intervention, 25.31; one-week post-intervention, 54.75; one-month post-intervention, 71.5 (p < 0.001). Post-hoc analysis confirmed that each phase was significantly different from the others. Additionally, no significant correlation was observed between demographic factors and changes in spiritual care frequency. The findings on the role of spiritual care education in increasing the frequency of spiritual care provision indicate that structured, context-specific spiritual care training can empower nurses to incorporate spiritual support into routine care.

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Cite This Study

Salarvand et al. (2026) studied this question.

synapsesocial.com/papers/69b4fc6ab39f7826a300d4dfhttps://doi.org/10.1016/j.ijans.2026.101040
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