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Development and Validity and Reliability of an Instrument to Assess Patient's Spiritual Well-Being
Chun-Kai Fang1,2,3,4, Sung-Yuan Cheng5, Shih-Hsuan Pi6,7
1Hospice and Palliative Care Center, MacKay Memorial Hospital, New Taipei, Taiwan.
This study developed the Patient's Spiritual Well-Being Scale (PtSpWBS) to assess spiritual well-being in patients. The validated questionnaire provides a reliable tool for healthcare providers to evaluate spiritual health.
Area of Science:
- Healthcare
- Psychology
- Spiritual Care
Background:
- Spiritual well-being is integral to holistic patient care, extending beyond palliative or end-of-life contexts.
- Multidisciplinary healthcare systems must address patients' spiritual needs.
- A validated tool is needed for assessing spiritual well-being in clinical settings.
Purpose of the Study:
- To construct and validate the Patient's Spiritual Well-Being Scale (PtSpWBS).
- To provide spiritual care providers and chaplains with a tool to assess patient spiritual well-being.
Main Methods:
- Combined qualitative (interviews, focus groups) and quantitative (661 patients) research.
- Qualitative data analyzed using Colaizzi analysis to identify themes.
- Developed the 15-item PtSpWBS based on identified themes and conducted reliability and validity analyses.
Main Results:
- Qualitative findings revealed two domains: spiritual awareness and spiritual dynamics.
- The PtSpWBS demonstrated high reliability (Cronbach's alpha = 0.899) and validity (KMO = 0.900, p<0.0001).
- Factor analysis identified three components: spiritual health, religious connection, and spiritual awareness. A score ≤ 41 indicates poor spiritual well-being.
Conclusions:
- The Patient's Spiritual Well-Being Scale (PtSpWBS) is a reliable and valid instrument for assessing patient spiritual well-being.
- The PtSpWBS is suitable for use in medical institutions specializing in spiritual care.
- This tool supports comprehensive patient care by enabling systematic spiritual well-being assessments.
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