title: The impact of nurses' spiritual health on their attitudes toward spiritual care, professional commitment, and caring.
abstract: The personal spiritual health of nurses may play an important role in improving their attitudes toward spiritual care and their professional commitment and caring capabilities.
  
  
  
  The purpose of this study was to explore the impact of nurses' personal spiritual health on their attitudes toward spiritual care, professional commitment, and caring.
  
  
  
  A total of 619 clinical nurses were included in this cross-sectional survey. The measurements included the spiritual health scale-short form, the spiritual care attitude scale, the nurses' professional commitment scale, and the caring behaviors scale. Structural equation modeling was used to establish associations between the main research variables.
  
  
  
  The hypothetical model provided a good fit with the data. Nurses' spiritual health had a positive effect on nurses' professional commitment and caring. Nurses' attitudes toward spiritual care could therefore mediate their personal spiritual health, professional commitment, and caring.
  
  
  
  The findings indicated that nurses' personal spiritual health is an important value and belief system and can influence their attitudes toward spiritual care, professional commitment, and caring.
authors.affiliation: Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
authors.forename: Yi-Chien
authors.initials: YC
authors.lastname: Chiang
authors.affiliation: Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
authors.forename: Hsiang-Chun
authors.initials: HC
authors.lastname: Lee
authors.affiliation: Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taiwan, ROC.
authors.forename: Tsung-Lan
authors.initials: TL
authors.lastname: Chu
authors.affiliation: Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC.
authors.forename: Chin-Yen
authors.initials: CY
authors.lastname: Han
authors.affiliation: Department of Nursing, Chang Gung University of Science and Technology, Taiwan, ROC. Electronic address: yjshiao@gw.cgust.edu.tw.
authors.forename: Ya-Chu
authors.initials: YC
authors.lastname: Hsiao
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004645:Empathy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D029181:Spirituality; D013624:Taiwan; D013727:Terminal Care / Q000523:psychology*
keywords: Caring; Nurse; Professional commitment; Spiritual care; Spiritual health