UNIVERSITY OF SOUTHERN PHILIPPINES FOUNDATION

Salinas Drive, Lahug, Cebu City

Spirituality Awareness and Spiritual Nursing Care Practices

Of Staff Nurses in Eversley Childs Sanitarium

A Research Proposal Presented to

Mrs. Merlyn A. Ouano, R.N., M.N.
In Partial Fulfilment of the Requirements
in Nursing Science 3B (Nursing Research 2)

Researchers:
Bitoon, Jeszel Imee
Masayon, July
March 2015
Page | 1

ACKNOWLEDGEMENT

First and foremost, we would like to thank God Almighty for our
good health and for giving us the knowledge, strength, and the
courage to face each challenges with a smile on our faces. We also
thank Him for the guidance and blessings that we have received
throughout the years.
Words are not enough to thank all the people behind this hard
work. We sincerely appreciate their efforts in making this research
paper work. The following individuals deserve a special mention:
To our family and loved ones; we heartily thank them for
showing their endless love and undying support, for giving us
motivation and encouragement throughout this endeavour.
To our beloved adviser and Dean of the College of Nursing, Mrs.
Merlyn A. Ouano; for her guidance and for encouraging us to establish
a research study that will be helpful in our chosen profession. Thanks
to her unselfish time and effort and sharing her knowledge and
expertise in the Nursing Research, we would not have completed this
study without her.
To Mr. Juanito Galos; for his efforts and inputs in this study and
sharing his skills and knowledge, especially on the computations of this
research study.

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TABLE OF CONTENTS
Title

Page

Title Page

Acknowledgement

Table of Contents

List of Tables and Figures

5
CHAPTER 1

THE PROBLEM AND ITS SCOPE

INTRODUCTION
Background of the study
Theoretical Framework

6-8
9-15

Theoretical Schema

16

Conceptual Framework

17

THE PROBLEM
Statement of the Problem
Significance of the study

18
20-21

SCOPE AND LIMITATION

22

Research Design

23

Research Environment

23

Sampling Technique

23

Research Instrumentation
Data Gathering
Statistical Tool
DEFINITION OF TERMS

24-25
26
27-28
29

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CHAPTER 2

30

PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA

CHAPTER 3
SUMMARY, FINDINGS, CONCLUSIONS, AND
RECOMMENDATIONS
Summary

42

Findings

43

Conclusions

44

Recommendations

45-46

Proposed Action Plan

47-48

Bibliography

49
APPENDICES

Appendix A

50-51

Appendix B

52-63

Appendix C

64-66

Curriculum Vitae

67-70

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List of Figures
Theoretical Schema

15

Conceptual Framework

16

List of Tables
Table 1.1 Profile of Staff Nurses in terms of Age

31

Table 1.2 Profile of Staff Nurses in terms of Gender

33

Table 1.3 Profile of Staff Nurses in terms of Religious Heritage

35

Table 2 The Level of Spirituality Awareness of the Staff Nurses

37

Table 3 The extent of Spiritual Care Practices rendered to

39

Patients
Table 4 The Relationship between Spirituality Awareness

41

and Spiritual Care Practices of Staff Nurses

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CHAPTER 1
THE PROBLEM AND ITS SCOPE

Background of the Study

Holistic nursing is care of the whole person, which addresses
physical, mental, emotional, spiritual, and relational aspects of health.
Historically, nursing has always integrated these aspects into providing
care.

Nursing

developed

out

of

religious

orders

and

was

predominantly a way to serve God by serving the poor and the sick.
Florence Nightingale believed that nursing was her calling from God
and her faith and spirituality influenced every aspect of her care.
Nurses today are often fearful of addressing the spiritual needs of their
patients, despite research that demonstrates the importance of
providing care in these areas. Nurses can use interventions such as
prayer, Scripture, active listening and presence, as well as referral to
meet the spiritual needs of their patients.

Spiritual care is acknowledged as an important part of being

human and also healing, but in actual practice, the spiritual dimension
of health care tends to be forgotten. Regardless of how a nurse defines
spiritual care, an important element of spiritual care is what nurses
bring of themselves to the patient encounter. Findings from several

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studies have shown a positive relationship between a nurses spiritual

perspective and spiritual nursing care practices. According to a survey,
4,000

nurses

identified those

meeting patients' spiritual needs

extremely important and improve overall quality of nursing care.

However, only 5% felt that they have achieved the goal itself (Funning,
2012). Nurses should always be prepared to provide care for
individuals, families, groups, and communities that have varying views
and beliefs of spirituality. But, spiritual care in nursing practice
depends much on nurses own spirituality and beliefs (Monareng,
2009). It is demonstrated by showing caring presence, respect and
concern for meeting the needs not only of the body and mind of
patients, but also their spiritual needs.

Historically, the theory of approaching individuals as biopsychosocial and spiritual beings has been recognized within the
nursing profession, but even then, a discrepancy exists between the
provision of spiritual care and the theoretical commitment of nurses to
offer such care. Spirituality is about meaning in life, and relationships
to others (including a God or Gods) and can be expressed in many
ways. While spiritual nursing care practice is a compassionate
presence; it consists of activities that facilitate a healthy balance
between the bio-physical and spiritual aspects of the person, thus

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promoting a sense of wholeness and well-being. Spiritual care does not

promote religion or spiritual practices or enforces beliefs on patients,
rather, it provides opportunities for patients to express their values and
needs and empowers them to deal or cope with their illness (D'Souza
& Winslow, 2007).

With all that said, it is a noted fact that technological and

scientific advances in medicine and technology have increased the
quality and effectiveness of care in health care settings. However, the
focus on science and technology has increasingly overshadowed the
concerns for spiritual needs, and this increases the risk of depersonalizing ill individuals. That is why the researchers are very
interested to conduct this study in order to evaluate the relationship
between spiritual awareness of the nurses and their spiritual nursing
care practice. This study will further enhance the spiritual nursing care
practice and will be used in any health care facilities to increase the
patient's overall health and satisfaction. If the level of spirituality
awareness of the staff nurses does affect the spiritual nursing care
practice rendered to the patients, an action plan will be proposed to
improve and develop a spiritual care plan for all patients.

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Theoretical Framework

Jean Watsons theory focuses on the spiritual aspect of a person.

According to Nicoll (1997), she is the only nursing theorist to explicitly
support the concept of soul and emphasize the spiritual dimension of
human existence. She believes the person has one basic striving: to
actualize the real self, thereby developing the spiritual essence of the
self, and in the highest sense. In addition, each person seeks a sense
of harmony within the mind, body, and soul and thereby further
integrates, enhances, and actualized the real self. The more one is able
to experience ones real self, the more harmony there will be within
the mind, body, and soul, and a higher degree of health will exist
(Watson, 1985). For Watson, spirituality is the end point, the goal
toward which each person strives (Barnum, 1996). She believes
nursing embraces a spiritual, even a metaphysical dimension of the
caring process it is concerned with preserving human dignity and
restoring and preserving humanity in the fragmented, technological,
medical, cure dominated systems (1985). She sees the potential for
growth in both the patient and the nurse as they engage in
transpersonal caring relationships (Fawcett, 1993). It is through
transpersonal caring relationships and the integration of her 10
carative factors, that the goal of nursing can be met. This goal is to

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help the person gain a higher degree of harmony within the mind,
body and spirit. This ultimately leads to healing in the person (Watson,
1985). Watson and Neuman, as well as other authors in the literature,
agree that the nurse cannot assess and address the spiritual needs of
the client until his or her own spiritual journey is evaluated (Stuart et.
al, 1989; Burkhardt et. al, 1994; Rew, 1898; Goddard, 1995;
Burkhardt, 1989; Nagai-Jacobson, 1989).

In order to justify the importance of spiritual awareness in

nursing, one must first have an understanding of what spirituality is.
Several definitions have been provided in the literature. Some basic
concepts emerge. For example, spirituality is a broader concept than
religion. It involves a personal quest for meaning and purpose in life. It
is a sense of harmonious interconnectedness with self, others, nature,
and an Ultimate other. It is the integrating factor of the human person
and is an integral aspect of life, health, and well-being (Anderson &
Hopkins, 1991; Barker, 1989; Burkhardt, 1989; Howden, 1992; NagaiJacobson & Burkhardt, 1989). Spirituality has to do with our life at its
deepest and what matters to us most. It has to do with the way one
thinks, acts, and feels in every circumstance (Anderson & Hopkins,
1991; Barker, 1989). It is proposed that meeting the spiritual needs of
patients is a fundamental part of providing holistic nursing care, but

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that the assessment and meeting of those needs is impeded by

inadequate definitions and conceptual frameworks. It should not be
assumed that spirituality is either synonymous, or coterminous with
religion, and it is suggested that to adopt this restrictive view, is
unhelpful in the provision of individualized care. Reflection on the
literature reveals that the self, others and God provide the key
elements of spirituality, and that other emerging themes namely
meaning, hope, relatedness/connectedness, beliefs/belief systems and
expressions of spirituality, can be articulated in the context of those
three key elements. In particular it is proposed that the nature of
God may take many forms and, essentially, is whatever an individual
takes to be of highest value in his/her life. It is suggested that the
themes emerging from the literature can be utilized as a framework to
give practitioners and us, researchers a direction for future exploration
of the concept of spirituality.

Even until today, little attention has been given to spiritual

dimensions in the nursing literature. With this recognition have come
numerous calls for more integration of and research on, spirituality as
it

intersects

the

helping

milieu

(Carroll,

1997;

Cowley, 1993;

Derezotes, 1995; Hodge, 1998; Miller, 1998; ORourke, 1997; Poole,

1998). Helping clients meet their needs and achieve optimal health is

Page | 11

one justification for including spiritual nursing care practice. Another

equally, if not more important reason for addressing spirituality in
nursing, is the impact optimal spiritual awareness has on the nurse. By
achieving spiritual awareness, the nurse can find greater fulfillment in
self, others, work, and leisure and ultimately more fulfillment in life
(Seidl, 1995; Dossey et. al, 1995; Anderson & Hopkins, 1991; Barker,
1989; Cohen, 1993; Howden, 1992; Nagai-Jacobson & Burkhardt,
1989).

DEFINING SPIRITUALITY
As Canda (1997) has noted, defining spirituality is a difficult task
and current definitions suffer from a number of deficiencies. For the
purpose of this paper, spirituality is defined as a relationship with a
Transcendent Being (or whatever is considered Ultimate), informed by
a certain spiritual tradition, which fosters a sense of meaning, purpose,
and mission in life. In turn, this relationship produces fruit, such as
altruism, love, forgiveness, etc., which has a discernible effect upon
ones relationship to creation, self, others, and the Ultimate (Carroll,
1997; Musick, Koenig, Larson & Matthews, 1998; Sermabeikian, 1994;
Spero, 1990). This definition acknowledges the reality that all
constructs including spirituality exist within, and are informed by, a

Page | 12

particular social network. This is accomplished by giving a more

specific meaning to the term spiritual tradition. While religion,
defined as an institutionalized set of beliefs and practices (Canda,
1997; Carroll, 1997), is one manifestation of a spiritual tradition, other
less formalized spiritual traditions are common. For example, the new
age movement informs its adherents spirituality through certain
widely accepted, non institutionalized, beliefs and practices. Thus, the
designation spiritual tradition is a broader, more inclusive term than
religion. Additionally, this definition implies that ones spirituality and
ones spiritual tradition are interwoven, a perspective that is congruent
with consumers reality (Joanides, 1997). It also implies that measures
of activities specific to a certain spiritual tradition (prayer, scripture
reading, confession, etc.) can be thought of as indicators of spirituality
(Levin, 1994; Musick et al., 1998).

THE SALIENCE OF SPIRITUALITY

As of 1998 over several hundred empirical studies on spirituality
and religion have been conducted, covering a broad range of outcomes
(Ellison & Levin, 1998). As McFadden and Levin (1996) noted, the
results of these studies have been remarkably consistent. Largely
positive effects have been found across populations, regardless of
gender, race, ethnicity, age, national origin, study design, and religious

Page | 13

affiliation. Additionally, the salience of spirituality has been especially

notable. For example, Donahue and Benson (Donahue & Benson,
1995) found that self-reported measures of religiosity were frequently
better predictors of attitudes and behaviors among adolescents than
such widely regarded predictors as gender and single parent status. In
the purview of psychological well-being, it has been widely assumed
that ones health is the best predictor of well-being. Yet Levin (1995)
has found that religiosity is at least equal to health itself in terms of
predicting well-being and may in fact be a better predictor. A similar
salience has been found in the purview of physical health (Kark et al.,
1996; Oxman, Freeman & Manheimer, 1995). While a full review is
beyond the scope of this paper, the diversity of the beneficial
relationships spirituality engenders is extensive. For example, various
measures

of

spirituality

have

been

positively

associated

with:

successful aging (Kimble, McFadden, Ellor & Seeber, 1995), satisfying

marriages

(Kaslow

&

Robison,

1996),

interpersonal

friendliness

(Ellison, 1992), resiliency (Haight, 1998), coping (Pargament, 1997),

and minority leadership (Robinson, 1996). It has also been associated
with decreased rates of substance abuse (Benson, 1992), mortality
(Strawbridge, Cohen, Shema & Kaplan, 1997) and morbidity (Levin,
1994), and recovery from divorce (Nathanson, 1995), homelessness
(Montgomery, 1994), and sexual assault (Kennedy, Davis & Talyor,

Page | 14

1998). Mental health provides a good example of the breadth of the

relationships involved within a single construct. Allport and Rosss
(1967) intrinsic religious motivation scale correlates with spirituality
scales (Kennedy et al., 1998) and has been used as a measure of
spirituality (Knox, Langehough, Walters & Rowley, 1998). It has been
positively associated with life satisfaction, psychological adjustment,
self-control, personality functioning, self-esteem, internal locus of
control, purpose in life, and adjustment and morale in the elderly
(Wulff, 1997). It has been negatively associated with death anxiety,
general anxiety, depression, impulsively, neuroticism, and maladaptive
narcissism (Wulff, 1997).

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THEORETICAL SCHEMA
THEORY OF HUMAN CARING BY JEAN
WATSON

NURSE

SPIRITUAL
AWARENESS

ENHANCES

ASSISTING WITH
BASIC NEEDS

Transpersonal Caring
Relationship

PROMOTING
SELF CARE

PATIENT

HARMONY OF
MIND, BODY, AND
SPIRIT

Optimum level
of Wellness

Page | 16

Conceptual Framework
The figure presents the conceptual framework of the study.
Specifically, the framework shows the direction of the study. According
to the figure, the study follows the input, process, and output model.
The input of the study are the specific questions that includes the staff
nurse's profile, the level of spirituality of the nurses, the level of
spiritual care rendered by nurses to the patients, and the relationship
between the spirituality of the staff nurses and the level of spiritual
nursing care practice rendered by nurses to the patients in Eversley
Childs Sanitarium, B. Rodriguez street, Cebu. The process contains the
design of the study, instrument, and statistical tool. The output of the
study is the proposed action plan for the improvement of spiritual
nursing care practice in the health care settings.
INPUT
1.What is the profile of staff nurses of Eversley
Childs Sanitarium in terms of:
1.1Age
1.2Gender
1.3Religious heritage
2.What is the level of spirituality awareness
among staff nurses?
3.What is the level of spiritual nursing care
practices delivered towards their patients?
4.Is there a significant relationship between
the spirituality awareness of the staff nurses
and the spiritual nursing care practices
being rendered?

PROCESS
Descriptive
Correlational
Design
1.Standardized
Questionnaire
2. Statistical
Computation
2.1 Simple
Percentage
2.2 Weighted
mean
2.3 Pearson r
2.4 T Test

OUTPUT
Propose
Action Plan
For the
Improvement
or
Enhancement
of
Spiritual
Nursing Care
Practices in
health
Care settings

5.Based on the findings, what action plan can

be proposed?
Page | 17

Statement of the problem

The researchers' aim is to determine if there is a relationship
between the spirituality awareness and the extent of spiritual nursing
care practice rendered towards the patients in Eversley Childs
Sanitarium. Specifically, it sought to answer the following questions:

1. What is the profile of staff nurses of Eversley Childs Sanitarium

in terms of:
1.1

Age

1.2

Gender

1.3

Religious heritage

2. What is the level of spirituality awareness among staff nurses in

Eversley Childs Sanitarium?

3. To what extent do they render spiritual care to their patients?

4. Is there a significant relationship between the spirituality

awareness of the staff nurses and the spiritual nursing care
practices rendered to their patients?

5. Based on the findings, what action plan can be proposed?

Page | 18

Hypothesis
H0: There is no significant relationship between the spirituality
awareness of the staff nurses and the spiritual nursing care practice
rendered to the patients.

Page | 19

Significance of the study

This

study

would

evaluate

the

relationship

between

the

spirituality awareness of the nurses and the spiritual nursing care

practice being rendered by the staff nurses. This would eventually
benefit the following:

Nursing Students
The result of the study would contribute to the awareness of the
importance of rendering spiritual nursing care practice in the health
care facilities. It would help them build a stronger rapport between the
patients and the health care givers so that they will be able to provide
a more holistic care.

Nursing Faculty
The faculty would be able to integrate teaching strategies to
enhance their spiritual awareness and how to implement spiritual
nursing care practices into nursing lectures at all levels of the nursing
curriculum. They would also prepare students to think critically to
facilitate conceptual understanding regarding holistic care, specifically
spiritual care, and then implementing it in health care facilities.

Page | 20

Nursing Service Administrators

The nursing service administrators would be able to implement
academic programs that would work with the faculty of the nursing
department to ensure that teaching efforts are mainly directed towards
improvement of holistic care, specifically the spirituality aspect, to
improve the competency of future nurses that are being produced in
the nursing program.

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SCOPE AND LIMITATIONS

SCOPE
This study is focused on the relationship between the level of
spiritual awareness of nurses and the spiritual nursing care practice
that is being rendered to patients. This study will be conducted at the
most promising Eversley Childs Sanitarium,

LIMITATIONS
The total success of this study is dependent on the time
allotment to collect data, approval of the advisers and the chairman of
Eversley Childs Sanitarium to conduct the study in their respective
time, and availability of the staff nurses and the patients. There is also
the financial resource of the researchers, the availability of the
respondents and their honesty and cooperation in answering the
standardized questionnaires.

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RESEARCH METHODOLOGY

RESEARCH DESIGN
The descriptive correlation design is used in the study to
determine the relationship between the level of spirituality awareness
of nurses and the extent of spiritual nursing care practice being
rendered by the nurses at Eversley Childs Sanitarium.

RESEARCH ENVIRONMENT
The research locale of study will be at Eversley Childs
Sanitarium, Jagobiao, Mandaue City. The study will be conducted in
different wards including special areas of the health care facility.

SAMPLING TECHNIQUE
The researchers will use simple random sampling technique
which is proportional. The respondents will consist of fifty-two
registered staff nurses in Eversley Childs Sanitarium.

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INSTRUMENTATION
The researchers will use Spirituality Awareness tool by Dr. Robert
Cloninger, a psychiatrist from Washington University, to measure the
level

of

spirituality

awareness

by

quantifying

the

participants

perceptions of the extent to which they hold certain spiritual views.

The tool is composed of twenty items rated by true or false. In
general, higher scores indicate a higher level of spiritual awareness.
The results would then be categorized as highly spiritual, spiritually
aware, spiritually average, lacking self-transcendence, and highly
skeptical.

PARAMETRIC LIMIT
Points
14 and above
12-13
8-11
6-7
1-5

Corresponding Remark
Highly spiritual
Spiritually aware
Spiritually average
Lacking self-transcendence
Highly skeptical

The second tool that will be used in this study is a standardized

questionnaire by Sofia Magdalena N. Robles, PhDNEd, RN from the
Philippine Journal of Nursing, which evaluates the level of spiritual
Page | 24

nursing care practices in hospitals. The tool revolves around seven

elements: general manifestation in rendering spiritual care, specific
manifestations in rendering spiritual care, recipients of spiritual care,
appropriate time in rendering spiritual care, venue for rendering
spiritual care, relevance/meaning of spiritual care, and institutional
support.

PARAMETRIC LIMIT
Likert
Scale
4

Range

Verbal

Description

3.26-4.0

Interpretation
Strongly Agree

Practice/concur with the

opinion on spiritual care

2.51-3.25

Agree

at all times
Practice/concur with the
opinion on spiritual care

1.76-2.50

Disagree

most of the time

Hardly ever
practice/concur with the

1.0-1.75

Strongly

opinion of spiritual care

Never practice/concur

Disagree

with the opinion on

spiritual care

DATA GATHERING
In order to obtain the valuable data, the researchers will send a
letter to the authors of the standardized questionnaires that will be
used in the study. Once approved, the researchers will then send a
Page | 25

letter addressed to the Nursing Service Director of Eversley Childs

Sanitarium seeking for approval to conduct the study. Once the
researchers are given the permission to do so, the questionnaires will
be distributed to the respondents, which are the staff nurses of the
hospital. Before starting the collection of data, the purpose of the
study will be explained thoroughly to the respondents. Data collection
will be done using the standardized questionnaires. The researchers
will guide the respondents in answering the questionnaires. All
necessary data will be collected, tabulated, and tallied accordingly with
the appropriate tables.

STATISTICAL TOOL
The data collected will be analyzed statistically using the
following statistical tool.
The profile of the respondents in terms of age and gender will be

Page | 26

analyzed through the use of simple percentage.

Formula:

Where:
P = the percentage
f = the frequency
n = the number of respondents
100 is constant

The level of spiritual awareness among nurses and the extent of

spiritual nursing care practice will be analyzed through the use of the
mean.
Formula:

Where:
= the mean
Xi = the summation of the frequency distribution
n

= total number cases

In correlating the two variables the researchers will use the Pearson
r.

Page | 27

Formula:

Where:
x = the observed data for independent variable/level of
spiritual awareness
y = the observed data for dependent variable/spirituality
nursing care practice
n = total number of respondents

In testing the strength of the significance between the two variables,

the researchers will use the T-test.
Formula:

Where:

t = T-Value
N = total number of respondents
R = value of Pearson r
DEFINITION OF TERMS
In

order

to

better

comprehend

the

research

and

avoid

misconceptions, the researchers defined the following terms as they

were used in context of the study.
Spirituality It is defined as a unique experience of an individual,
Page | 28

their philosophy, values, and understanding of the meaning of life

while feeling whole and having a sense of harmony towards self and
others.
Spiritual Nursing Care Practice It is humane care or activities
demonstrated by showing caring presence, respect and concern for
meeting the needs of the client holistically, thus increasing the quality
of life and well-being; it foster nurses own spirituality and spiritual
awareness.
Level of Spiritual Awareness It is the level of self-awareness,
having heightened consciousness, and having a sense of wholeness
and peace.
Nurses A person who takes care of other people, physically,
emotionally and spiritually; a person trained to provide care for the
sick.
Patients A person who receives treatment from a doctor or another
health care provider; someone that is need of care, physically,
emotionally, and spiritually in a health care environment.
CHAPTER II
PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA
This chapter presents results of the data on the profile of the staff
nurses

of

Eversley

Childs

Sanitarium,

the

level

of

spirituality

awareness among the staff nurses, the extent of spiritual care they

Page | 29

render, and also the significant relationship between spirituality

awareness and spiritual nursing care practices.
Profile of the Staff Nurses
Table 1.1, 1.2, and 1.3 showed the age, gender, and religious heritage
of the staff nurses in Eversley Childs Sanitarium.
Table 1.1 Profile of the staff nurses in terms of their age.
Table

1.1

revealed

the

age

profile

distribution

of

the

respondents. Based on the table below, 34 or 65.38% belongs to age

bracket of 20-29, 15 or 28.85% belongs to age bracket of 30-39, and
lastly 3 or 5.77% belongs to the age bracket of 40-49. Most of the
respondents fall on the age bracket of 20-29 which is 65.38% of the
whole distribution.
This means that most of the staff nurses in Eversley Childs
Sanitarium are recent or fresh graduates from the nursing course and
also belonging in the young adults range (18-35 years). This could be
because fresh graduates are looking for opportunities to have more
experiences.
Table 1.1
The Age Distribution of Staff Nurses
N=52
Age
20-29
30-39

Frequency
34
15

Percentage (%)
65.38
28.85
Page | 30

40-49
Total

3
52

5.77
100

Table 1.2 Profile of the staff nurses in terms of gender

Furthermore, table 1.2 showed the gender distribution profile of

the staff nurses. The female staff nurses slightly outnumbered the
male staff nurses in the institution, which consisted of 28 or 53.85% of
the population, while the male staff nurses consisted of 24 or 46.15%
of the population. This revealed that there are slightly more female

Page | 31

staff nurses in Eversley Childs Sanitarium, which then reveals that

more females are attracted to the nursing course than men.

Table 1.2
The Gender Distribution of the Staff Nurses
N=52
Gender

Frequency

Percentage

Male

24

46.15%

Female

28

53.85%

Total

52

100%

Page | 32

Table 1.3 Profile of the Staff Nurses in terms of Religious

Heritage

Additionally, table 1.3 showed the religious heritage of the staff

nurses in Eversley Childs Sanitarium. From the table below, it revealed
that 52 or 100% of the staff nurses are Roman Catholic. This is mainly
because our country, the Philippines, consists of roughly 86% of
Roman Catholics. Therefore, the staff nurses of the institution would

Page | 33

be mostly Roman Catholics with the little chance of practicing a

different religion.

Table 1.3 The Religious Heritage of the Staff Nurses

N=52
Religious Heritage
Roman Catholic
Others
Total

Frequency
52
0
52

Percentage (%)
100
0
100

Page | 34

The level of Spirituality Awareness of the Staff Nurses

One of the main variables in the study was the level of

spirituality awareness. The level of Spirituality Awareness of the Staff
Nurses was measured by the use of a standardized questionnaire.
Table 2 below revealed 35 or 67.30% of the staff nurses were
considered as highly spiritual, 5 or 9.61% were considered as

Page | 35

spiritually aware, 10 or 19.24% were considered spiritually average,

and lastly, 2 or 3.85% were considered as lacking self-transcendence.
This means that majority of the staff nurses in Eversley Childs
Sanitarium considered themselves as highly spiritual.

Table 2
The Level of Spirituality Awareness of the Staff Nurses
N= 52

Page | 36

Points
14+
12-13
8-11
6-7
1-5
Total:

Frequency
35
5
10
2
0
52

Percentage

Corresponding

67.30
9.61
19.24
3.85

Remark
Highly Spiritual
Spiritually Aware
Spiritually Average
Lacking self-

0
100

transcendence
Highly Skeptical
-

The Extent of Spiritual Care Practices rendered to patients

The other main variable in this study was the extent of spiritual
care practices rendered to patients. Table three below revealed that 30
or 57.69% staff nurses would practice/concur with the opinion on
spiritual care at all times, 22 or 42.31% would practice/concur with
the opinion on spiritual care most of the time. From the table below, it
is

then

summarized

that

majority

of

the

staff

nurses
Page | 37

practiced/concurred with the opinion on spiritual care at all times in

the institution.

Table 3
The Extent of Spiritual Care Practices rendered to patients
N = 52
Likert
Scale
4

Range

Frequency

Percentage

Description

3.2-4.0

30

57.69

2.513.25

22

42.31

Practice/concur
with the opinion
on spiritual care
at all times
Practice/concur with
the opinion on
Page | 38

1.762.50

1.0-1.75

52

100

Total:

spiritual care most

of the time
Hardly ever
practice/concur with
the opinion of
spiritual care
Never
practice/concur with
the opinion on
spiritual care
-

Relationship between Spirituality Awareness and Spiritual Care

Practices

After acquiring the data for both variables, the spirituality

awareness and spiritual practices, both datas were then correlated or
cross-tabulated to see the relationship between the two. The table four
below revealed that the degree of relationship between the two
Page | 39

variables is 0.70 which is a high correlation. There is a strong

relationship between the spirituality awareness of the staff nurses and
the spirituality care practices rendered to patients in Eversley Childs
Sanitarium.

Table 4
The relationship between Spirituality Awareness and Spiritual
Care Practices of Staff Nurses in Eversley Childs Sanitarium

Page | 40

Statistical Pearson
Degree of
Computed
Variables
r
Relationship
t value
0.70

Spirituality

High

6.93

C.V
at
0.05
1.671

correlation;

Awareness

marked

and

Decision

Reject the

There is

null

significa

hypothesis

relations

relationship

Spiritual

Interpreta

betwee

Care

Spiritual

Practices

Awareness

Spiritual C

Practices

staff nurse

Eversley Ch

Sanitariu
Guilfords suggested interpretations for values of r
r value
Less than .20
.20-.40
.40-.70
.70-.90
.90-1.00

Suggested interpretation
Slight; almost negligible relationship
Low correlation; define but small relationship
Moderate correlation; substantial relationship
High correlation; marked relationship
Very high correlation; very dependable relationship

CHAPTER III
SUMMARY, FINDINGS, CONCLUSIONS, AND
RECOMMENDATIONS
This chapter presents the summary, findings, and conclusions,
and recommendations which may serve as guide for nursing students,
nursing faculty, and the nursing service administrators.
Page | 41

SUMMARY
It was the aim of the researchers to determine the relationship
between the level of spirituality awareness and the extent of spiritual
nursing care practice rendered towards the patients in Eversley Childs
Sanitarium. The study used the descriptive correlation design is used
in the study to determine the relationship between the level of
spirituality awareness of nurses and the extent of spiritual nursing care
practice

being

rendered

by

the

nurses.

The

researchers

used

standardized questionnaires to determine the level of spirituality

awareness, which was developed by Dr. Robert Cloninger, and another
standardized questionnaire by Magdalena N. Robles, PhDNEd, RN, to
determine the extent of spiritual nursing care practices. A total of fiftytwo staff nurses in Eversley Childs Sanitarium, which is located in
Jagobiao, Mandaue City, was included in our study by simple random
technique. Frequency distribution of the group data were used on the
following: age, gender, religious heritage, weighted mean for the level
of spirituality awareness and extent of spiritual care practices. The
questionnaires were distributed among the staff nurses in the
institution and were then collected, calculated, and tabulated by the
researchers. Then after, the Pearson r was used to test the significance
and correlation values and t-test was used to measure the strength of

Page | 42

significance.
enhancement

A
of

proposed
spiritual

action

plan

awareness

for
and

the

improvement

spiritual

nursing

or

care

practices of staff nurses was then presented after the tabulation.

FINDINGS
The following are the significant findings of the study: the profile
of the respondents revealed that majority belonged to the age bracket
of 20-29 years old, majority of the respondents were female, and also
they were all Roman Catholics.
The level of spirituality awareness among staff nurses in Eversley
Childs Sanitarium were highly spiritual with the percentage of
67.30%, which is more than half of the population of staff nurses in
the institution. While the other variable, the spiritual care practices of
staff nurses showed that spiritual care are implemented all the time in
the institution. It revealed that more than half, 57.69% to be precise,
agree to the idea of spiritual care and also implement spiritual care
practices during their care to their patients.
Furthermore, the variables were correlated and cross-tabulated
to test the relationship between spirituality awareness and spiritual
care practices of staff nurses in Eversley Childs Sanitarium. The test
then revealed a Pearson r value of .70 and a 6.93 on a t test, which
then means that the two variables showed a strong and significant

Page | 43

relationship.

CONCLUSIONS
Based on the findings, the computed t value of 6.93 was greater
than the critical value of 1.671. This result rejected the null
hypothesis; therefore, the researchers concluded that there was
significant relationship between spirituality awareness and spirituality
care practices in staff nurses of Eversley Childs Sanitarium. This
implicated that the staff nurses with a higher level of spirituality
awareness are able to concur and practice spiritual care. The staff
nurses are able to implement spiritual care practices and able to care
for their patients holistically. Staff nurses with lower level of spirituality
awareness may disagree with implementing spiritual care practices and
are unable to care for their patients in a holistic way.

RECOMMENDATIONS
Based on the conclusion of the study, the following are
recommended:

1. Develop and document a plan based on assessment of religious,

spiritual and existential concerns using a structured instrument

Page | 44

and integrate the information obtained from the assessment into

the care.

2. Provide information about the availability of spiritual care

services and make spiritual care available either through
organizational spiritual counseling or through the patients own
clergy relationships.

3. Specialized spiritual nursing care and health care teams should

include spiritual care professionals appropriately trained and
certified in spiritual nursing care.

4. Specialized

health

care

teams

and

spiritual

nursing

care

professional should build partnerships with community clergy

and provide education and counseling related to end-of-life care.

5. Further studies with wider scope should be done with more

respondents in relation to spirituality awareness and spiritual
care practices.

6. It is recommended that the other researchers would make the

Page | 45

same research using the standardized questionnaire (GMAT) and

to use all of the items in the questionnaire, to further validate
the findings and to prevent further short comings that had arise.

PROPOSED ACTION PLAN

Goal: This Action plan aims to enhance spirituality care practices
among nursing students of the University of Southern Philippines
Foundation and the staff nurses of the Eversley Childs Sanitarium
Hospital.

Page | 46

General Objective: During the last week of March 2016, the nursing
students of the University of Southern Philippines and also the nursing
staff of Eversley Childs Sanitarium will be able to enhance their
spiritual care practices in order to improve holistic nursing care.

Area of
Concern
-Learning
styles
preferred
by
the
nursing
students

Specific
Objectives
-to able to
give
the
appropriate
instructional
methods to
enhance
spiritual care

Activities

Resources

-staff nurses will be -Spiritual

given mnemonic tools Care
for use in making a Checklist
spiritual assessment

Locus of
Time
Responsibility Frame
-Brochures and 15
instructional
minute
speaker
s

- the health care

team
should
encourage
the
-to be able patient/family
to
to
enhance display
their
own
their spiritual religious/spiritual
or
nursing care
cultural symbols
Referrals
to
professionals
with
specialized knowledge
or skills in spiritual
and existential issues
are
made
when
appropriate

Determini
ng
their
Holistic
care

-to be able
to motivate
staff
members in
planning,
carrying out,
and
evaluating
spiritual care
management
to
the
patient.

-regular assessment -Spiritual

of
spiritual
and Care
existential concerns is Checklist
documented
-standardized
instrument should be
use to assess to
identify religious or
spiritual/
existential
background,
preferences,
and
related
beliefs.
Rituals, and practices

-Brochures and 15
instructional
minute
speaker
s

Page | 47

of the staff nurses

Bibliography
BOOKS:
McSherry, W. (2006). Making Sense of Spirituality in Nursing and
Health Care Practice (2nd ed.). London, NI: Jessica Kingsley.
Schnorr, M. A. (1988). Spiritual nursing care: Theory and
curriculum development.
White, L. (2001). Foundations of nursing: Caring for the whole
person. Albany: Delmar/Thomson Learning.
Mauk, K. L., & Schmidt, N. A. (2004). Spiritual Care In Nursing
Practice. Philadelphia, PA: Lippincott Williams & Wilkins.
Page | 48

 Taylor, E. J. (2002). Spiritual Care: Nursing Theory, Research,

and Practice. Prentice-Hall.
INTERNET:
What Is Spiritual Care?. Retrieved November 16, 2015, from
http://umm.edu/patients/pastoral/what-is-spiritual-care
Spirituality in Nursing. Retrieved November 18, 2015, from
http://allnurses.com/nursing-and-spirituality/spirituality-innursing-646693.html
Faith, Religion, & Spirituality. Retrieved November 18, 2015,
from
http://www.nursingworld.org/MainMenuCategories/ThePracticeof
ProfessionalNursing/Improving-Your-Practice/DiversityAwareness/Religion-Faith
UNPUBLISHED MATERIAL:
Ricci-Allegra, Patricia, "Spiritual Perspective, Mindfulness, and
Spiritual Care Practices of Hospice and Palliative Care Nurses"
(2015). Seton Hall University Dissertations and Theses
(ETDs).Paper 2035.
NHS Education for Scotland (2009) Spiritual care matters: an
introductory resource for all NHS Scotland staff, Edinburgh: NES.
Yeung, K. Spiritual care in nursing practice.
Macfadyen, J. S. (2013). Holistic Nursing. Holistic Nursing
Practice, 27(1), 4-5.
McSherry, W. & Jamieson, S. (2011). An online survey of nurses'
perceptions of spirituality and spiritual care. Journal of Clinical
Nursing, 20, 1757-1767.

APPENDIX A
TRANSMITTAL LETTER
December 23, 2015
Dr. Lope Ma Carabaa, MD, MHA, CSEE
Chief of Medical Center
Eversley Childs Sanitarium
Jagobiao, Mandaue, Cebu City,
Philippines, 6000

Page | 49

Dear Dr. Carabaa:

Greetings! We, the level IV students from the University of Southern
Philippines Foundation, College of Nursing, would like to ask permission from your
kind office to conduct a research study entitled, Spiritual Awareness and Spiritual
Nursing Care Practices of Staff Nurses in Eversley Childs Sanitarium as part of our
requirement in Nursing Research 2.
Our study aims to measure, understand, and correlate the spiritual awareness
of the nurses and the extent of spiritual nursing care practices that are being
rendered to their patients. Furthermore, the results will also be our basis to develop
and promote spiritual nursing care practice throughout our future clinical exposures.
This study will also be proposed to the lower levels in the College of Nursing of the
University of Southern Philippines Foundation.
In relation to this, we would like to ask for your kind approval for us to
include fifty registered staff nurses in your promising hospital, as our respondents for
our study. We will be giving standardized questionnaires, which will approximately
take 20-30 minutes to answer, to measure their spirituality awareness and also the
spiritual nursing care practices that are being rendered to the patients in the
hospital.
Attached to this letter, we have attached an abstract of our study. We are
hoping for your kind approval to conduct this study in your promising hospital and
thank you for giving us a portion of your time. God speed!
Respectfully yours,
Bitoon, Jeszel Imee
Masayon, Merjuly
Noted By:

Mrs. Merlyn A. Ouano

Nursing Science 3B-Nursing
Research Advisor

Approved By:

Dr. Lope Ma Carabaa, MD, MHA, CSEE

Chief of Medical Center
Eversley Childs Sanitarium

TRANSMITTAL LETTER
January 04, 2016
Dear Respondents:
Greetings! We, the level IV students from the University of
Southern Philippines Foundation, College of Nursing, would like to ask
permission from you to include you as one of our respondents in our
Page | 50

research study entitled, Spirituality Awareness and Spiritual Nursing

Care Practices of Staff Nurses Eversley Childs Sanitarium as part of
our requirement in Nursing Research 2.
Our study aims to measure, understand, and correlate the
spiritual awareness of the staff nurses and the extent of spiritual
nursing care practices that are being rendered to the patients.
Furthermore, the results will also be our basis to develop and promote
spiritual nursing care practice throughout our future clinical exposures.
This study will also be proposed to the lower levels in the College of
Nursing of the University of Southern Philippines Foundation.
In relation to this, we would like to ask for your time to please
answer the following standardized questionnaires honestly. Rest
assured that the answers will be taken with the strictest confidence.
We will be giving standardized questionnaires, which will
approximately take 20-30 minutes to answer, to measure the
spirituality awareness and the extent of spiritual nursing care practices
that are rendered to the patients in the hospital.
Your answers will be a great help for us in fulfilling this study. We
are hoping for your cooperation and thank you for giving us a portion
of your time. God speed!

Respectfully yours,
Bitoon, Jeszel Imee
Masayon, Merjuly

APPENDIX B
SAMPLE INSTRUMENT
Spirituality Awareness
Adapted from Robert Cloninger, a psychiatrist from Washington University to measure the
level of spirituality awareness by quantifying the participants perceptions of the extent to
which they hold certain spiritual views.

Initials:____ Age:____Gender:_____Religious Heritage:__________

Questions
True
False

Page | 51

1. I often feel so connected to the people

around me that it is like there is no
separation between us.
2. I often do things to help protect animals
and plants from extinction.
3. I am fascinated by the many things in life
that cannot be scientifically explained.
4. Often I have unexpected flashes of insight
or understanding while relaxing.
5. I sometimes feel so connected to nature
that everything seems to be part of one
living organism.
6. I seem to have a sixth sense that
sometimes allows me to know what is
going to happen.
7. Sometimes I have felt like I was part of
something with no limits or boundaries in
time and space.
8. I am often called absent minded because
I get so wrapped up in what I am doing
that I lose track of everything else.
9. I often feel a strong sense of unity with all
of the things around me.
10.
Even after thinking about something
for a long time, I have learned to trust my
feelings more than my logical reasons.
11.
I often feel a strong spiritual or
emotional connection with all the people
around me.
12.
Often, when I am concentrating on
something, I lose awareness of the
passage of time.
13.
I have many real personal sacrifices
in order to make the world a better place,
like trying to prevent war, poverty, and
injustice.
14.
I have had experiences that made
my role in life so clear to me that I felt
very happy and excited.
15.
I believe that I have experienced
extra sensory perception.

Page | 52

16.
I have had moments of great joy in
which I suddenly had a clear, deep feeling
of oneness with all that exists.
17.
Often when I look at an ordinary
thing, something wonderful happens. I get
the feeling that I am seeing it fresh for the
first time.
18.
I love the blooming of flowers in the
spring as much as seeing an old friend
again.
19.
It often seems to other people like I
am in another world because I am so
completely unaware of things going on
around me.
20.
I believe that miracles happen.

Spirituality Care Tool

Adapted from Sofia Magdalena N. Robles, PhDNEd, RN, from the Philippine Journal of
Nursing, which evaluates the level of spiritual nursing care practices in hospitals. The
tool revolves around seven elements: general manifestation in rendering spiritual
care, specific manifestations in rendering spiritual care, recipients of spiritual care,
appropriate time in rendering spiritual care, venue for rendering spiritual care,
relevance/meaning of spiritual care, and institutional support.

Legend:
Page | 53

SA = Strongly Agree
A = Agree
D = Disagree
SD = Strongly Disagree
Initials:___ Age:__Gender:______ Religious Heritage:__________
General Manifestation in Rendering
SA
A
D
SD
Spiritual Care
1. During admission, I ask my patients
religious practices.
2. I observe the presence of religious items of
my patients such as rosary beads, Buddha
beads, bible, etc.
3. I utilize the Checklist/Assessment tool
related to spiritual needs.
4. I render spiritual care as an expression of
the mission and vision of the hospital.
Specific manifestation in Rendering
Spiritual Care
5. I respond promptly to spiritual matters,
e.g. Priests/pastors/counselors services
(anointing, receiving, communion,
blessings).
6. I offer silent prayers when at home
especially to those terminally ill.
7. I utilize therapeutic-communication
questions, e.g. what would you like to talk
about? ; Whats bothering you?
8. I provide privacy to giving space for
patients and relative for their prayer.
9. I respect dietary preferences based on
ones faith e.g. as a Muslim, Jehovah,
Adventist.
10.
Part of spiritual care is empathizing
with the patient.
11.
I maintain an open mind and heart
for individuals religious practices.
12.
I listen attentively to my patients
stories.
13.
I anticipate the need for spiritual
intervention e.g., anointing, communion,
blessing, pray-over.

SA

SD

Page | 54

14.
Spiritual care is part of the nurses
daily care.
15.
I am sensitive to non-verbal cues,
e.g., silence, facial grimaces.
16.
I pray before any diagnostic and
therapeutic procedure.
17.
I am sincere about my patients
concern e.g. request for confession before
operation.
18.
I document at the nurses notes the
spiritual care I administered.
Recipients of spiritual Care
19.
Patients who are psychologically ill,
e.g. depressed, suicidal, confused, needs
spiritual attention.
20.
The critically ill and dying are those
who most frequently need spiritual care.
21.
Palliative care and hospice patients
need spiritual care.
22.
Patient for OR (operating room)/
undergoing surgery needs spiritual
attention.
23.
Patients who received bad laboratory
results, e.g. malignant for cancer needs
spiritual care.
24.
Patients in pain need spiritual
attention.
25.
All patients including well patients
need spiritual care.
26.
Patients who are losing hope e.g.
HIV victims, cancer patient need spiritual
care.
27.
Patients who are happy and grateful,
e.g. patient for discharge need spiritual
care.
28.
Abused patients, e.g., battered
wife/child need spiritual attention.

SA

SD

Venue for Rendering Spiritual Care

29.
Spiritual care can be given anywhere
as long as there is privacy.

SA

SD

Page | 55

30.
A silent and peaceful environment for
meditation and prayer is a place for
spiritual care.
31.
Spiritual care can be rendered in a
patients room.
32.
Spiritual care is preferably done in
the chapel/ prayer room of the institution.
Appropriate time in rendering spiritual care
33.
Spiritual care is rendered when the
patients request for it, e.g. to receive
anointing.
34.
Spiritual care is appropriately done
when the patient are calm and willing to
listen.
35.
Spiritual care is given to patients
who are in their lowest moment.
36.
Spiritual care is given every time
nurses interact with the patients.
37.
Spiritual care is given when an
emergency is to be done with unknown
outcomes.
38.
Spiritual care is best given in the
morning as part of the daily routine.

SA

SD

Relevance/ meaning of spiritual care

39.
Spiritual care is based on the
patients religion, beliefs, and faith.
40.
Spiritual care is done through
counseling and using therapeutic
communication.
41.
Spiritual care is allowing the patients
to practice their faith/ beliefs.
42.
Spiritual care is a priority aspect of
holistic nursing care.
43.
Spiritual care prepares patients to
accept their illness/ condition.
44.
Spiritual care is compassion.
45.
Spiritual care is respecting patients
as human beings with heartedness.
46.
Spiritual care is assured when
patients have a positive attitude towards
their present illness.

SA

SD

Page | 56

47.
Integrating spirituality, like saying
prayers, is a daily routine of healing in
nursing.
48.
Taking care of patients with empathy
is spiritual care.
Institutional support
49.
The availability of the chapel/prayer
room as a place of worship is necessary for
spiritual care.
50.
Provision of institutional assessment
tool is integrated in spiritual care.
51.
Daily blessing of patients from
religious sisters/priests is a component of
spiritual care.
52.
A built in speaker place in each room
for accessibility of hearing daily mass, is
essential for spiritual care.
53.
Stipulation of Spiritual Care in FDAR
(Focus Data Action Response)
documentation is part of spiritual care.
54.
Spiritual impaired to all nursing staff
though integration in culture and
sensitivity seminar given by the HR is
crucial in spiritual care.
55.
A checklist is utilized in assessing
spiritual needs upon admission.
56.
The provision of religious leaflets,
given to patients, augments spiritual care.
57.
Providing spiritual care through
visitations and offering of Christian songs
helps patients.
58.
A chaplain is available to give needs
such as anointing the sick, blessing, giving
communion, etc.

SA

SD

SAMPLE INSTRUMENT
Spirituality Awareness
Adapted from Robert Cloninger, a psychiatrist from Washington University to measure the
level of spirituality awareness by quantifying the participants perceptions of the extent to
which they hold certain spiritual views.

Page | 57

Initials:____ Age:____Gender:_____Religious Heritage:__________

Questions
True
False
1. I often feel so connected to the people
around me that it is like there is no
separation between us.
2. I often do things to help protect animals
and plants from extinction.
3. I am fascinated by the many things in life
that cannot be scientifically explained.
4. Often I have unexpected flashes of insight
or understanding while relaxing.
5. I sometimes feel so connected to nature
that everything seems to be part of one
living organism.
6. I seem to have a sixth sense that
sometimes allows me to know what is
going to happen.
7. Sometimes I have felt like I was part of
something with no limits or boundaries in
time and space.
8. I am often called absent minded because
I get so wrapped up in what I am doing
that I lose track of everything else.
9. I often feel a strong sense of unity with all
of the things around me.
10.
Even after thinking about something
for a long time, I have learned to trust my
feelings more than my logical reasons.
11.
I often feel a strong spiritual or
emotional connection with all the people
around me.
12.
Often, when I am concentrating on
something, I lose awareness of the
passage of time.
13.
I have many real personal sacrifices
in order to make the world a better place,
like trying to prevent war, poverty, and
injustice.
14.
I have had experiences that made
my role in life so clear to me that I felt
very happy and excited.
15.
I believe that I have experienced
extra sensory perception.
Page | 58

16.
I have had moments of great joy in
which I suddenly had a clear, deep feeling
of oneness with all that exists.
17.
Often when I look at an ordinary
thing, something wonderful happens. I get
the feeling that I am seeing it fresh for the
first time.
18.
I love the blooming of flowers in the
spring as much as seeing an old friend
again.
19.
It often seems to other people like I
am in another world because I am so
completely unaware of things going on
around me.
20.
I believe that miracles happen.

Spirituality Care Tool

Adapted from Sofia Magdalena N. Robles, PhDNEd, RN, from the Philippine Journal of
Nursing, which evaluates the level of spiritual nursing care practices in hospitals. The
tool revolves around seven elements: general manifestation in rendering spiritual
Page | 59

care, specific manifestations in rendering spiritual care, recipients of spiritual care,

appropriate time in rendering spiritual care, venue for rendering spiritual care,
relevance/meaning of spiritual care, and institutional support.

Legend:
SA = Strongly Agree
A = Agree
D = Disagree
SD = Strongly Disagree

Initials:___ Age:__Gender:______ Religious Heritage:__________

General Manifestation in Rendering
SA
A
D
SD
Spiritual Care
1. During admission, I ask my patients
religious practices.
2. I observe the presence of religious items of
my patients such as rosary beads, Buddha
beads, bible, etc.
3. I utilize the Checklist/Assessment tool
related to spiritual needs.
4. I render spiritual care as an expression of
the mission and vision of the hospital.
Specific manifestation in Rendering
Spiritual Care
5. I respond promptly to spiritual matters,
e.g. Priests/pastors/counselors services
(anointing, receiving, communion,
blessings).
6. I offer silent prayers when at home
especially to those terminally ill.
7. I utilize therapeutic-communication
questions, e.g. what would you like to talk
about? ; Whats bothering you?
8. I provide privacy to giving space for
patients and relative for their prayer.
9. I respect dietary preferences based on
ones faith e.g. as a Muslim, Jehovah,
Adventist.
10.
Part of spiritual care is empathizing
with the patient.
11.
I maintain an open mind and heart
for individuals religious practices.
12.
I listen attentively to my patients
stories.

SA

SD

Page | 60

13.
I anticipate the need for spiritual
intervention e.g., anointing, communion,
blessing, pray-over.
14.
Spiritual care is part of the nurses
daily care.
15.
I am sensitive to non-verbal cues,
e.g., silence, facial grimaces.
16.
I pray before any diagnostic and
therapeutic procedure.
17.
I am sincere about my patients
concern e.g. request for confession before
operation.
18.
I document at the nurses notes the
spiritual care I administered.
Recipients of spiritual Care
19.
Patients who are psychologically ill,
e.g. depressed, suicidal, confused, needs
spiritual attention.
20.
The critically ill and dying are those
who most frequently need spiritual care.
21.
Palliative care and hospice patients
need spiritual care.
22.
Patient for OR (operating room)/
undergoing surgery needs spiritual
attention.
23.
Patients who received bad laboratory
results, e.g. malignant for cancer needs
spiritual care.
24.
Patients in pain need spiritual
attention.
25.
All patients including well patients
need spiritual care.
26.
Patients who are losing hope e.g.
HIV victims, cancer patient need spiritual
care.
27.
Patients who are happy and grateful,
e.g. patient for discharge need spiritual
care.
28.
Abused patients, e.g., battered
wife/child need spiritual attention.

SA

SD

Venue for Rendering Spiritual Care

SA

SD

Page | 61

29.
Spiritual care can be given anywhere
as long as there is privacy.
30.
A silent and peaceful environment for
meditation and prayer is a place for
spiritual care.
31.
Spiritual care can be rendered in a
patients room.
32.
Spiritual care is preferably done in
the chapel/ prayer room of the institution.
Appropriate time in rendering spiritual care
33.
Spiritual care is rendered when the
patients request for it, e.g. to receive
anointing.
34.
Spiritual care is appropriately done
when the patient are calm and willing to
listen.
35.
Spiritual care is given to patients
who are in their lowest moment.
36.
Spiritual care is given every time
nurses interact with the patients.
37.
Spiritual care is given when an
emergency is to be done with unknown
outcomes.
38.
Spiritual care is best given in the
morning as part of the daily routine.

SA

SD

Relevance/ meaning of spiritual care

39.
Spiritual care is based on the
patients religion, beliefs, and faith.
40.
Spiritual care is done through
counseling and using therapeutic
communication.
41.
Spiritual care is allowing the patients
to practice their faith/ beliefs.
42.
Spiritual care is a priority aspect of
holistic nursing care.
43.
Spiritual care prepares patients to
accept their illness/ condition.
44.
Spiritual care is compassion.
45.
Spiritual care is respecting patients
as human beings with heartedness.

SA

SD

Page | 62

46.
Spiritual care is assured when
patients have a positive attitude towards
their present illness.
47.
Integrating spirituality, like saying
prayers, is a daily routine of healing in
nursing.
48.
Taking care of patients with empathy
is spiritual care.
Institutional support
49.
The availability of the chapel/prayer
room as a place of worship is necessary for
spiritual care.
50.
Provision of institutional assessment
tool is integrated in spiritual care.
51.
Daily blessing of patients from
religious sisters/priests is a component of
spiritual care.
52.
A built in speaker place in each room
for accessibility of hearing daily mass, is
essential for spiritual care.
53.
Stipulation of Spiritual Care in FDAR
(Focus Data Action Response)
documentation is part of spiritual care.
54.
Spiritual impaired to all nursing staff
though integration in culture and
sensitivity seminar given by the HR is
crucial in spiritual care.
55.
A checklist is utilized in assessing
spiritual needs upon admission.
56.
The provision of religious leaflets,
given to patients, augments spiritual care.
57.
Providing spiritual care through
visitations and offering of Christian songs
helps patients.
58.
A chaplain is available to give needs
such as anointing the sick, blessing, giving
communion, etc.

SA

SD

APPENDIX C

Page | 63

STATISTICAL COMPUTATION
SIMPLE PERCENTAGE COMPUTATION FOR AGE:
P = the percentage
n = the number of respondents
f = frequency
100 = constant

34/52 = .65.38 x 100 = 65.38% (Ages 20-29)

15/52 = .2885 x 100 = 28.85% (Ages 30-39)

3/52

= .577

x 100 = 5.77% (Ages 40-49)

SIMPLE PERCENTAGE COMPUTATION FOR GENDER:

-

24/52 = .4615 x 100 = 46.15% (Male)

28/52 = .5385 x 100 = 53.85% (Females)

SIMPLE

PERCENTAGE

COMPUTATION

FOR

RELIGIOUS

Page | 64

HERITAGE:
-

52/52 = 1 x 100 = 100% (Roman Catholic)

LEVEL OF SPIRITUALITY AWARENESS

-

35/52 = .6730 x 100 = 67.30% (Highly Spiritual)

5/52 = .961 x 100

10/52 = .1924 x 100 = 19.24 (Spiritually Average)

2/52 = .385

= 9.61% (Spiritually Aware)

x 100 = 3.85 (Lacking self-transcendence)

EXTENT OF SPIRITUAL CARE PRACTICES

-

30/52 = .5769 x 100 = 57.69% (Practice/Concur with the

opinion on spiritual care at all times)

22/52 = .4231 x 100 = 42.31% (Practice/Concur with the

opinion on spiritual care MOST of the time)

Pearson r

Page | 65

*Done in excel automatically

R = 0.70 (High correlation; marked relationship)

t Test

CURRICULUM VITAE
Page | 66

BITOON, JESZEL IMEE C.

Mabolo, Cebu, Philippines
I.

Personal Information

Gender: Female
Civil Status: Single
Date of Birth: April 29, 1994
Religion: Roman Catholic

II.

Family Background

Father: Jeszaldy Bitoon

Occupation: Supplies Management at HUP
Mother: Elaine Cabatingan
Occupation: Nurse
Siblings: Lyelaine Bacalla, Keith Brian Bacalla

III. Contact Information

E-mail address: jeszelbitoon@yahoo.com
Mobile number: 09331760801
Mailing Address: 1965 B. MJ Cuenco ave., Mabolo, Cebu City

IV.

Educational Background

Page | 67

PRIMARY
School: San Roque Child Development School
Inclusive dates: 2001-2004
School: Stonehurst Elementary School
Inclusive dates:2004-2006

SECONDARY
School: Edward Thompson Richardson Junior High School
Inclusive dates:2006-2008
School: Springfield High School
Inclusive dates: 2008-2010
School: Father Urios High School
Inclusive dates:2010-2011

TERTIARY
School: Velez College
Inclusive dates: 2011-2013
School: University of Southern Philippines
Inclusive dates: 2014-2015

CURRICULUM VITAE

Page | 68

MASAYON, MERJULY M.
Amparo, Makrohon, Southern Leyte, Philippines
I.

Personal Information

Gender: Female
Civil Status: Single
Date of Birth: July 3, 1993
Religion: Roman Catholic

II.

Family Background

Father: Elmer S. Masayon

Occupation: Farmer
Mother: Emily M. Masayon
Occupation: House Wife
Siblings: Elmer M. Masayon Jr., Elmera M. Masayon, Merjulyn M.
Masayon

III. Contact Information

E-mail address: ylujrem03@yahoo.com
Mobile number: 09179338545/09326031979
Mailing Address: Amparo, Macrohon Southern Leyte

IV.

Educational Background

Page | 69

PRIMARY
School: Amparo Elementary School
Inclusive dates: 2001-2006

SECONDARY
School: Macrohon Institute
Inclusive dates: 2006-2010

TERTIARY
School: College of Maasin
Inclusive dates: 2010-2013
School: University of Visayas
Inclusive dates: 2013-2014
School: University of Southern Philippines Foundation
Inclusive dates: 2014-2016

Page | 70