Abstract
The aim of the present study was to examine the effect of nurses’ personality, spirituality, and spiritual care in nurses’ caring behaviors. A descriptive, cross-sectional study was conducted in two hospitals, located in Athens, Greece. Data were collected by a four-part self-reported questionnaire. The results showed that work experience seems to play an important and positive role on nurses’ caring behaviors, and all personality traits, except neuroticism. Also, spirituality and spiritual climate are significant factors predicting nurses' caring behaviors. Moreover, a hospitals’ spiritual climate can positively influence all domains of nursing care (p < 0.001). Nurses spirituality (faith) and hospital spiritual climate can also positively influence nursing care.
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References
Albaqawi, H. M., Alquwez, N., Almazan, J. U., Alharbi, S. M., Catimbang, C. C., Rivera, P. P., & Cruz, J. P. (2019). Workplace spiritual climate and its influence on nurses’ provision of spiritual care in multicultural hospitals. Religions, 10(2), 118. https://doi.org/10.3390/rel10020118
Alshehri, A., Almazan, J., & Alquwez, N. (2020). Influence of religiosity on the Saudi nursing students’ attitudes toward older people and perceptions on elderly care. Journal of Religion and Health. https://doi.org/10.1007/s10943-019-00857-z
Atashzadeh-Shoorideh, F., Abdoljabbari, M., Karamkhani, M., Khubestani, M. S., & Pishgooie, S. A. (2017). The relationship between nurses’ spiritual health and their caring behaviors. Journal of Research on Religion & Health, 3(1), 5–17.
Aupia, A., Lee, T.-T., Liu, C.-Y., Wu, S.-F.V., & Mills, M. E. (2018). Caring behavior perceived by nurses, patients and nursing students in Indonesia. Journal of Professional Nursing, 34(4), 314–319. https://doi.org/10.1016/j.profnurs.2017.11.013
Azarsa, T., Davoodi, A., Khorami Markani, A., Gahramanian, A., & Vargaeei, A. (2015). Spiritual wellbeing, attitude toward spiritual care and its relationship with spiritual care competence among critical care nurses. Journal of Caring Sciences, 4(4), 309–320. https://doi.org/10.15171/jcs.2015.031
Bakar, A., Nursalam, N., Adriani, M., Kusnanto, K., Qomariah, S. N., Hidayati, L., Pratiwi, I. N., & Ni’mah, L. (2017). Nurses’ spirituality improves caring behavior. International Journal of Evaluation and Research in Education, 6(1), 23–30. https://doi.org/10.11591/ijere.v6i1.6343
Barrick, M. R., & Mount, M. K. (1991). The Big Five personality dimensions and job performance: A meta-analysis. Personnel Psychology, 44(1), 1–26. https://doi.org/10.1111/j.1744-6570.1991.tb00688.x
Bar-Sela, G., Schultz, M. J., Elshamy, K., Rassouli, M., Ben-Arye, E., Doumit, M., Gafer, N., Albashayreh, A., Ghrayeb, I., Turker, I., Ozalp, G., Kav, S., Fahmi, R., Nestoros, S., Ghali, H., Mula-Hussain, L., Shazar, I., Obeidat, R., Punjwani, R., & Silbermann, M. (2019). Training for awareness of one’s own spirituality: A key factor in overcoming barriers to the provision of spiritual care to advanced cancer patients by doctors and nurses. Palliative & Supportive Care, 17(3), 345–352. https://doi.org/10.1017/S147895151800055X
Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A., Silberman, M., Yellen, S. B., Winicour, P., & Brannon, J. (1993). The functional assessment of cancer therapy scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570–579. https://doi.org/10.1200/JCO.1993.11.3.570
Chattopadhyay, D., & Khan, S. (2016). Spiritual motivation in management: A case study on how spirituality in management can be used by a health-care provider. Globsyn Management Journal, 10, 1.
Costa, P. T., & McCrae, R. R. (1992). Normal personality assessment in clinical practice: The NEO personality inventory. Psychological Assessment, 4(1), 5. https://doi.org/10.1037/1040-3590.4.1.5
Costello, M. (2017). Nurses’ self-identified characteristics and behaviors contributing to patients’ positive perceptions of their nursing care: A qualitative study. Journal of Holistic Nursing, 35(1), 62–66. https://doi.org/10.1177/0898010116643835
Doram, K., Chadwick, W., Bokovoy, J., Profit, J., Sexton, J. D., & Sexton, J. B. (2017). Got spirit? The spiritual climate scale, psychometric properties, benchmarking data and future directions. BMC Health Services Research, 17(1), 1–7. https://doi.org/10.1186/s12913-017-2050-5
Drach-Zahavy, A., & Srulovici, E. (2019). The personality profile of the accountable nurse and missed nursing care. Journal of Advanced Nursing, 75(2), 368–379. https://doi.org/10.1111/jan.13849
Duchon, D., & Plowman, D. A. (2005). Nurturing the spirit at work: Impact on work unit performance. The Leadership Quarterly, 16(5), 807–833. https://doi.org/10.1016/j.leaqua.2005.07.008
Ellershaw, J., Fullarton, C., Rodwell, J., & Mcwilliams, J. (2016). Conscientiousness, openness to experience and extraversion as predictors of nursing work performance: A facet-level analysis. Journal of Nursing Management, 24(2), 244–252. https://doi.org/10.1111/jonm.12306
Esmaiel Hajinezhad, M., & Azodi, P. (2014). Nurse caring behaviors from patients’ and nurses’ perspective: A comparative study. European Online Journal of Natural and Social Sciences, 3(4), 1010–1017.
Fradelos, E. C., Kapsiocha, E., Tzavella, F., Kastanidou, S., Tsaras, K., Papagiannis, D., & Papathanasiou, I. V. (2019). Factors associated with psychological distress in university students and the relation to emotional intelligent and spirituality: A cross-sectional study. Materia Socio-Medica, 31(4), 262–267. https://doi.org/10.5455/msm.2019.31.262-267
Fradelos, E. C., & Tzavella, F. (2020). Spiritual climate as is perceived by Greek clinical nurses. A validation study. Materia Socio-Medica, 32(1), 66. https://doi.org/10.5455/msm.2020.32.66-70
Fradelos, E. C., Tzavella, F., Koukia, E., Tsaras, K., Papathanasiou, I. V., Aroni, A., Alikari, V., Ralli, M., Bredle, J., & Zyga, S. (2016). The translation, validation and cultural adaptation of functional assessment of chronic illness therapy-spiritual well-being 12 (facit-sp12) scale in Greek language. Materia Socio-Medica, 28(3), 229. https://doi.org/10.5455/msm.2016.28.229-234
Garg, N. (2017). Workplace spirituality and employee well-being: An empirical exploration. Journal of Human Values, 23(2), 129–147. https://doi.org/10.1177/0971685816689741
Giacalone, R. A., & Jurkiewicz, C. L. (2003). Handbook of workplace spirituality and organizational performance. M. E. Sharpe.
Goethals, G. R., Sorenson, G. J., & Burns, J. M. (2004). Encyclopedia of leadership. Sage Publications.
Harrad, R., Cosentino, C., Keasley, R., & Sulla, F. (2019). Spiritual care in nursing: An overview of the measures used to assess spiritual care provision and related factors amongst nurses. Acta Bio-Medica, 90(4-S), 44–55. https://doi.org/10.23750/abm.v90i4-S.8300
Harris, S., & Tao, H. (2021). The impact of US nurses’ personal religious and spiritual beliefs on their mental well-being and burnout: A path analysis. Journal of Religion and Health. https://doi.org/10.1007/s10943-021-01203-y
Javanmard, H. (2012). The impact of spirituality on work performance. Indian Journal of Science and Technology, 5(1), 1961–1966. https://doi.org/10.17485/ijst/2012/v5i1.31
Jiang, L. L., Ruan, H., Xiang, X. J., & Jia, Q. (2015). Investigation and analysis of the caring attitude and behaviour of nurses in Shanghai, China. International Journal of Nursing Practice, 21(4), 426–432. https://doi.org/10.1111/ijn.12287
Khouri, R. (2011). Impact of an educational program on nursing students’ caring and self-perception in intensive clinical training in Jordan. Advances in Medical Education and Practice, 2, 173–185. https://doi.org/10.2147/amep.s21201
Lee, L.-C., Chen, C.-H., & Yang, Y.-O. (2010). The effect of gender on caregiving: A study of male nurses. Hu Li Za Zhi, 57(1), 77–81.
Lips-Wiersma, M., & Mills, C. (2002). Coming out of the closet: Negotiating spiritual expression in the workplace. Journal of Managerial Psychology, 17(3), 183–202. https://doi.org/10.1108/02683940210423097
Liu, C. H., & Robertson, P. J. (2011). Spirituality in the workplace: Theory and measurement. Journal of Management Inquiry, 20(1), 35–50. https://doi.org/10.1177/1056492610374648
Maleki, M. R., Jafari, H., Safari, H., & Khodayari Zarnaq, R. (2012). The relationship between spiritual leadership and quality of work life in an Iranian educational-medical hospital. Health Information Management, 8(8), 525–532.
Markani, A. K., & Yaghmaei, F. (2018). Relationship between oncology nurses’ spiritual wellbeing with their attitudes towards spiritual care providing based on Neuman system model: Evidences from Iran. Journal of Caring Sciences, 7(2), 113–118. https://doi.org/10.15171/jcs.2018.018
Masmouei, B., Bazvand, H., Harorani, M., Bazrafshan, M.-R., Karami, Z., & Jokar, M. (2020). Relationship between personality traits and nursing professionalism. Journal of Client-Centered Nursing Care, 6(3), 157–162. https://doi.org/10.32598/JCCNC.6.3.267.2
McDonnell-Naughton, M., Gaffney, L., & Fagan, A. (2020). Spirituality and caring for the older person: A discussion paper. Journal of Religion and Health, 59, 2775–2793. https://doi.org/10.1007/s10943-020-01027-2
Milliman, J., Czaplewski, A., & Ferguson, J. (2003). Workplace spirituality and employee work attitudes: An exploratory empirical assessment. An exploratory empirical assessment. Journal of Organizational Change Management, 16, 426–447. https://doi.org/10.1108/09534810310484172
Murphy, F., Jones, S., Edwards, M., James, J., & Mayer, A. (2009). The impact of nurse education on the caring behaviours of nursing students. Nurse Education Today, 29(2), 254–264. https://doi.org/10.1016/j.nedt.2008.08.016
Neal, J. (2013). Faith and spirituality in the workplace: Emerging research and practice. Handbook of faith and spirituality in the workplace (pp. 3–18). Springer.
Oluma, A., & Abadiga, M. (2020). Caring behavior and associated factors among nurses working in Jimma University specialized hospital, Oromia, Southwest Ethiopia, 2019. BMC Nursing, 19(1), 1–20. https://doi.org/10.1186/s12912-020-0407-2
Panayiotou, G., Kokkinos, C. M., & Spanoudis, G. (2004). Searching for the “Big Five” in a Greek context: The NEO-FFI under the microscope. Personality and Individual Differences, 36(8), 1841–1854. https://doi.org/10.1016/j.paid.2003.07.005
Papageorgiou, D. E., Mpolioudaki, I., Papala, E., Stamataki, P., & Kagialari, M. (2011). Investigation of factors that influence the development of emotional intelligence in nurses. Nosileftiki, 50(2), 185–193.
Papastavrou, E., Karlou, C., Tsangari, H., Efstathiou, G., Sousa, V. D., Merkouris, A., & Patiraki, E. (2011). Cross-cultural validation and psychometric properties of the Greek version of the caring behaviors inventory: A methodological study. Journal of Evaluation in Clinical Practice, 17(3), 435–443. https://doi.org/10.1111/j.1365-2753.2010.01445.x
Pfeffer, J. (2010). Business and the spirit: Management practices that sustain values. Handbook of workplace spirituality and organizational performance (pp. 43–59). Routledge.
Prompahakul, C., & Nilmanat, K. (2011). Factors relating to nurses’ caring behaviors for dying patients. Nurse Media Journal of Nursing, 1(1), 15–27. https://doi.org/10.14710/nmjn.v1i1.744
Rakoczy, S. (2018). Florence nightingale: Discernment as trusting experience. HTS Theological Studies, 74(3), 1–8. https://doi.org/10.4102/hts.v74i3.5043
Rego, A., & Pina e Cunha, M. (2008). Workplace spirituality and organizational commitment: An empirical study. Journal of Organizational Change Management, 21(1), 53–75. https://doi.org/10.1108/09534810810847039
Shalaby, S. A., Janbi, N. F., Mohammed, K. K., & Al-harthi, K. M. (2018). Assessing the caring behaviors of critical care nurses. Journal of Nursing Education and Practice, 8(10), 77–85. https://doi.org/10.5430/jnep.v8n10p77
Spiers, J. A., & Wood, A. (2010). Building a therapeutic alliance in brief therapy: The experience of community mental health nurses. Archives of Psychiatric Nursing, 24(6), 373–386. https://doi.org/10.1016/j.apnu.2010.03.001
Teng, C.-I., Hsu, K.-H., Chien, R.-C., & Chang, H.-Y. (2007). Influence of personality on care quality of hospital nurses. Journal of Nursing Care Quality, 22(4), 358–364. https://doi.org/10.1097/01.NCQ.0000290418.35016.0c
Vandenhouten, C., Kubsch, S., Peterson, M., Murdock, J., & Lehrer, L. (2012). Watson’s theory of transpersonal caring: Factors impacting nurses professional caring. Holistic Nursing Practice, 26(6), 326–334. https://doi.org/10.1097/HNP.0b013e31826ed0e8
Vasconcelos, A. F. (2011). Pursuing organizational spirituality: Some lessons from a financial services corporation. Management & Marketing, 6(3), 365–392.
Vujanić, J., Prlić, N., & Lovrić, R. (2020). Nurses’ self-assessment of caring behaviors in nurse–patient interactions: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(14), 5255. https://doi.org/10.3390/ijerph17145255
Wan, Q., Jiang, L., Zeng, Y., & Wu, X. (2019). A big-five personality model-based study of empathy behaviors in clinical nurses. Nurse Education in Practice, 38, 66–71. https://doi.org/10.1016/j.nepr.2019.06.005
Watson, J. (1985). Nursing: Human science and human care. A theory of nursing. Appleton-century-crofts. Nursing Science Quarterly, 2, 149–154.
Wibowo, U. D. A., & Andriyanto, E. S. (2018). The big five personalities as antecedents of nurse performance. In: 2018 3rd International Conference on Education, Sports, Arts and Management Engineering (ICESAME 2018). pp. 300–303. https://doi.org/10.2991/amca-18.2018.82
Wu, X., Hayter, M., Lee, A. J., Yuan, Y., Li, S., Bi, Y., Zhang, L., Cao, C., Gong, W., & Zhang, Y. (2020). Positive spiritual climate supports transformational leadership as means to reduce nursing burnout and intent to leave. Journal of Nursing Management, 28(4), 804–813. https://doi.org/10.1111/jonm.12994
Yazdanian, A., Alavi, M., Irajpour, A., & Keshvari, M. (2016). Association between nurses’ personality characteristics and their attitude toward the older adults. Iranian Journal of Nursing and Midwifery Research, 21(1), 9. https://doi.org/10.4103/1735-9066.174758
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Fradelos, E., Alexandropoulou, CA., Kontopoulou, L. et al. Factors Affecting Greek Nurses’ Caring Behaviors: The Role of Nurses’ Spirituality and the Spiritual Climate of Hospitals. J Relig Health 61, 1816–1830 (2022). https://doi.org/10.1007/s10943-022-01503-x
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DOI: https://doi.org/10.1007/s10943-022-01503-x