title: Acute care nurses' perceptions of spirituality and spiritual care: an exploratory study in Singapore.
abstract: OBJECTIVE
  To investigate acute care nurses' perceptions of spirituality and spiritual care and relationships with nurses' personal and professional characteristics.
  
  
  BACKGROUND
  Spirituality and spiritual care are often neglected or absent in daily nursing practice. Nurses' perceptions of spirituality can be influenced by personal, professional and social factors and affect the provision of spiritual care.
  
  
  METHODS
  A cross-sectional, exploratory, nonexperimental design was used.
  
  
  METHODS
  All nursing staff (n = 1008) from a large acute care hospital in Singapore were invited to participate. Participants completed a demographic form and the Spiritual Care-Giving Scale. Completed surveys were received from 767 staff yielding a response rate of 76%. Descriptive statistics and General Linear Modelling were used to analyse data.
  
  
  RESULTS
  Acute care nurses reported positive perceptions of spirituality and spiritual care. Religion, area of clinical practice and view of self as spiritual were associated with nurses' reported perspectives of spirituality and spiritual care.
  
  
  CONCLUSIONS
  Nurses working in this acute care hospital in Singapore reported positive perceptions of spirituality and spiritual care. Respondents tended to equate religion with spirituality and were often unclear about what constituted spiritual care. They reported a sense of readiness to apply an interprofessional approach to spiritual care. However, positive perceptions of spirituality may not necessarily translate into practice.
  
  
  CONCLUSIONS
  Spiritual care can improve health outcomes. Nurses' understanding of spirituality is essential for best practice. Interprofessional collaboration with clinicians, administrators, educators, chaplains, clergy and spiritual leaders can contribute to the development of practice guidelines and foster spiritual care by nurses. Further research is needed on the practical applications of spiritual care in nursing.
authors.affiliation: Accident & Emergency, Changi General Hospital, Singapore City, Singapore. brendanchew28@gmail.com.
authors.forename: Brendan Wk
authors.initials: BW
authors.lastname: Chew
authors.affiliation: Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore City, Singapore.
authors.forename: Lay Hwa
authors.initials: LH
authors.lastname: Tiew
authors.affiliation: Centre for Health Practice Innovation, Menzies Health Institute Queensland, School of Nursing and Midwifery, Griffith University, Brisbane, Qld, Australia.
authors.forename: Debra K
authors.initials: DK
authors.lastname: Creedy
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D024802:Nurse's Role; D009741:Nursing Staff, Hospital / Q000523:psychology*; D012846:Singapore; D029181:Spirituality; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: acute care; attitudes; nurses; spiritual care; spirituality; survey