title: The Spirituality Scale: development and psychometric testing of a holistic instrument to assess the human spiritual dimension.
abstract: OBJECTIVE
  The purpose of this study was to develop, refine, and evaluate the psychometric characteristics of the Spirituality Scale (SS). The SS is a holistic instrument that attempts to measure the beliefs, intuitions, lifestyle choices, practices, and rituals representative of the human spiritual dimension and is designed to guide spiritual interventions.
  
  
  METHODS
  A researcher-developed instrument was designed to assess spirituality from a holistic perspective. Items were generated to measure four conceptualized domains of spirituality. The SS was completed by 240 adults with chronic illness.
  
  
  RESULTS
  Psychometric analysis of the SS provided strong evidence of the reliability and validity of the instrument. Three factors of spirituality that supported the theoretical framework were identified: Self-Discovery, Relationships, and Eco-Awareness.
  
  
  CONCLUSIONS
  These findings can assist in facilitating the inclusion of spirituality in health care and have the potential to provide a transforming vision for nursing care and a vehicle to evoking optimal patient outcomes.
authors.affiliation: Western Connecticut State University, Danburry, USA.
authors.forename: Colleen
authors.initials: C
authors.lastname: Delaney
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002908:Chronic Disease / Q000451:nursing / Q000523:psychology; D005260:Female; D006694:Holistic Health; D018939:Holistic Nursing / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D015402:Nursing Education Research; D011594:Psychometrics / Q000295:instrumentation; D036301:Qualitative Research; D011788:Quality of Life; D015203:Reproducibility of Results; D029181:Spirituality; D011795:Surveys and Questionnaires / Q000592:standards*; D014481:United States