title: Catalysts to Spiritual Care Delivery: A Content Analysis.
abstract: BACKGROUND
  Despite the paramount importance and direct relationship of spirituality and spiritual care with health and well-being, they are relatively neglected aspects of nursing care.
  
  
  OBJECTIVE
  The aim of this study is to explore Iranian nurses' perceptions and experiences of the facilitators of spiritual care delivery.
  
  
  METHODS
  For this qualitative content analysis study, a purposive maximum-variation sample of 17 nurses was recruited from teaching and private hospitals in Tehran, Iran. Data were collected from 19 individual, unstructured interviews. The conventional content-analysis approach was applied in data analysis.
  
  
  RESULTS
  The facilitators of spiritual care delivery fall into two main themes: living to achieve cognizance of divinity and adherence to professional ethics. These two main themes are further divided into eight categories: spiritual self-care, active learning, professional belonging, personal and professional competencies, gradual evolution under divine guidance, awareness of the spiritual dimension of human beings, occurrence of awakening flashes and incidents during life, and congruence between patients' and healthcare providers' religious beliefs.
  
  
  CONCLUSIONS
  The study findings suggest that the facilitators of spiritual care delivery are more personal than organizational. Accordingly, strategies to improve the likelihood and quality of spiritual care delivery should be developed and implemented primarily at the personal level.
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Monir
authors.initials: M
authors.lastname: Ramezani
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Fazlollah
authors.initials: F
authors.lastname: Ahmadi
authors.affiliation: Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Eesa
authors.initials: E
authors.lastname: Mohammadi
authors.affiliation: Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran.
authors.forename: Anoshirvan
authors.initials: A
authors.lastname: Kazemnejad
keywords: Nursing Care; Professional Ethics; Qualitative Research; Spirituality