Spirituality and Work-Related Outcomes Among Nurses During the COVID Pandemic: An Observational Study
Foroozan Atashzadeh-Shoorideh1, Elizabeth Johnston Taylor2, Fataneh Ghadirian1
1Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Journal of Clinical Nursing
|December 18, 2024
Summary
Nurses experienced significant moral injury and moderate burnout during the COVID-19 pandemic but reported low religious/spiritual struggles and some spiritual growth, suggesting spirituality can improve nurse outcomes.
Area of Science:
- Nursing Research
- Psychology
- Public Health
Background:
- The COVID-19 pandemic placed immense spiritual and psychological burdens on frontline healthcare workers.
- Understanding nurses' spiritual responses is crucial for supporting their well-being and professional fulfillment.
Purpose of the Study:
- To identify spiritual responses among nurses during the COVID-19 pandemic.
- To examine the association between religious/spiritual struggles and nurse outcomes.
Main Methods:
- Quantitative, cross-sectional observational study adhering to STROBE guidelines.
- 364 registered nurses in Iran completed self-report questionnaires on moral injury, spiritual struggles, posttraumatic growth, burnout, job satisfaction, and turnover intention.
- Data collected between January 24 and March 12, 2022.
Main Results:
- Nurses reported high moral injury (43.79±15.20) and moderate burnout (64.31±100.00).
- Religious/spiritual struggles were generally low, with ultimate meaning struggles being highest (1.54±0.99).
- Moderate posttraumatic spiritual growth (26.17±4.73), low intention to leave (8.84±3.92), and moderate job satisfaction (3.67±1.75) were observed.
Conclusions:
- Nurses experienced both positive and negative spiritual responses during the pandemic.
- Despite high moral injury, nurses showed resilience through spiritual growth and low spiritual struggles.
- Integrating spirituality into nursing practice may enhance professional fulfillment and improve nurse outcomes.
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