Purpose:The purpose of this study was to develop, refine, and evaluate the psychometric characteristics of the Spirituality Scale (SS). The SS is a holistic instrument that attempts to measure the beliefs, intuitions, lifestyle choices, practices, and rituals representative of the human spiritual dimension and is designed to guide spiritual interventions.Method:A researcher-developed instrument was designed to assess spirituality from a holistic perspective. Items were generated to measure four conceptualized domains of spirituality. The SS was completed by 240 adults with chronic illness.Findings:Psychometric analysis of the SS provided strong evidence of the reliability and validity of the instrument. Three factors of spirituality that supported the theoretical framework were identified: Self-Discovery, Relationships, and Eco-Awareness.Implications:These findings can assist in facilitating the inclusion of spirituality in health care and have the potential to provide a transforming vision for nursing care and a vehicle to evoking optimal patient outcomes.
American Nurses Association. (1985). Code for nurses. Kansas City, MO: Author.
2.
Berry, T. (1993). Into the future. In F. Hall (Ed.), Earth and spirit: The spiritual dimension of the environmental crisis. New York: Continuum.
3.
Brush, B. L., & Daly, P. R. (2000). Assessing spirituality in primarycare: Is there time?Clinical Excellence in Nursing Practice, 4(2), 67-71.
4.
Burkhardt, M. A., & Nagai-Jacobson, M.G. (2002). Spirituality: Living our connectedness. Albany, NY: Delmar.
5.
Burkhardt, M. A., & Nagai-Jacobson, M.G. (2005). Spirituality and health. In B. Dossey, L. Keegan, & C. Guzzetta (Eds.), Holistic nursing: A handbook for practice (pp. 137-168). Boston: Jones & Bartlett.
6.
Caleb, R. (2003). What is spirituality? Retrieved October 12, 2003, from http://www.gcar.org/pdfs/Spirituality-SD.pdf
7.
Capra, F. (1996). The web of life. New York: Bantam Books.
8.
Carson, V. (1989). Spiritual dimension in nursing practice. Philadelphia: W. B. Saunders.
9.
Cattell, R. B. (1966). The meaning and strategic use of factor analysis. In R. B. Cattell (Ed.), Handbook of multivariate experimental psychology (pp. 174-243). Chicago: Rand-McNally.
10.
Centers for Disease Control and Prevention. (2002). Retrieved on November 28, 2002, from http://www.cdc.gov/nccdphp/overview.htm
11.
Chief Seattle. (2000). Chief Seattle’s speech. Bedford, MA: Applewood Books. (Original work published 1853)
12.
Clark, P. A., Drain, M., & Malone, M. (2003). Addressing patients’ emotional and spiritual needs. Joint Commission Journal of Quality Satisfaction, 29, 659-670.
13.
Crocker, L., & Algina, J. (1986). Introduction to classical and modern test theory. New York: Holt, Rinehart & Winston.
14.
Cronbach, L. J. (1988). Five perspectives on validity argument. In H. L. Wainer & H. L. Braun (Eds.), Test validity (pp. 3-17). Hillsdale, NJ: Laurence Erlbaum.
15.
Delaney, C. (2003). Spirituality: Development, refinement, and psychometric testing of an instrument to assess the human spiritual dimension. Unpublished doctoral dissertation, University of Connecticut, Storrs.
16.
DeVellis, R. F. (2003). Scale development: Theory and applications. Thousand Oaks, CA: Sage.
17.
Dyson, J., Cobb, M., & Forman, D. (1997). The meaning of spirituality: A literature review. Journal of Advanced Nursing, 26, 1183-1188.
18.
Ferketich, S. L., & Muller, M. (1990). Factor analysis revisited. Nursing Research, 39, 59-62.
19.
Frankl, V. E. (2000). Man’s search for meaning. Boston: Beacon. (Original work published 1959)
20.
Fulton, R. A., & Carson, V. (1995). The spiritual variable. In B. Neuman (Ed.), The Neuman systems model (pp. 77-91). East Norwalk, CT: Appleton & Lange.
21.
George, D., & Mallery, P. (2001). SPSS for Windows: Step by step. Boston: Allyn & Bacon.
22.
Grant, J. S., & Davis, L. L. (1997). Focus on quantitative methods: Selection and use of content experts for instrument development. Research in Nursing and Health, 20, 269-274.
23.
Hatch, R., Burg, M. A., Naberhaus, D., & Hellnich, L. (1998). The Spiritual Involvement and Beliefs Scale. Journal of Family Practice, 46, 476-486.
24.
Howden, J. (1992). Development and psychometric characteristics of the Spirituality Assessment Scale. Unpublished doctoral dissertation, Texas Woman’s University, Denton.
25.
Hunglemann, E., Kenkel-Rossi, E., Klassen, L., & Stollenwerk, R. (1996). Focus on spiritual well-being: Harmonious interconnectedness of mind-body-spirit: Use of the JAREL Spiritual Well-Being Scale. Geriatric Nursing, 17, 262-266.
26.
Joint Commission on Accreditation for Healthcare Organizations. (2000). Hospital accreditation standards. Oakbrook, IL: Author.
27.
Kaku, M. (1995). Hyperspace: A scientific odyssey through parallel universe, time warps, and the tenth dimension. Wilmington, NC: Anchor Books.
28.
Kass, J., Freidman, R., Lererman, J., Zuttermeister, P. C., & Benson, H. (1991). Health outcomes and a new index of spiritual experience. Journal for the Scientific Study of Religion, 30, 203-211.
29.
Koenig, H. (2003, July/August). Meeting the spiritual needs of patients. The Satisfaction Monitor. Retrieved from http://www.pressganey.com
30.
Lauterbach, S. S., & Becker, P. H. (1996). Caring for self: Becoming a self-reflective nurse. Holistic Nursing Practice, 10(2), 57-68.
31.
Lovelock, J. (2000). Gaia: Anew look at life on earth. Oxford, UK: Oxford University Press.
32.
MacGillis, M. (1994, Summer). Spirituality and ecology. Pax Christi USA, pp. 9-11.
33.
Mauk, K. L., & Schmidt, N. K. (2004). Spiritual care in nursing practice. New York: Lippincott Williams & Wilkins.
34.
McSherry, W., & Draper, P. (1998). The debates emerging from the literature surrounding the concept of spirituality as applied to nursing. Journal of Advanced Nursing, 27, 683-691.
35.
Narayanasamy, A. (1999). A review of spirituality as applied to nursing. International Journal of Nursing Studies, 36, 117-125.
36.
Newman, M. (1998). Health as expanding consciousness. Lincoln, NE: iUniverse.
37.
Newman, M. A., Sime, A. M., & Corcoran-Perry, S. A. (1991). The focus of the discipline of nursing. Advances in Nursing Science, 14(1), 1-6.
38.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York: McGraw-Hill.
39.
O’Brien, M. (1982). The need for spiritual integrity. In H. Yura & M. Walsh (Eds.), Human needs and the nursing process (pp. 23-27). Norwalk, CT: Appleton & Lange.
40.
Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and quality of life. In L. A. Peplau & D. Pearlman (Eds.), Loneliness: A sourcebook for practice (pp. 358-364). New York: Wiley Interscience.
41.
Pargament, K. (1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford.
42.
Polit, D. F., & Beck, C. T. (2004). Essentials of nursing research: Methods, appraisals, and utilization. Philadelphia: J.B. Lippincott.
43.
Quinn, J. F. (1992). Holding sacred space: The nurse as healing environment. Holistic Nursing Practice, 6(4), 26-36.
44.
Ray, M. A. (1994). Complex caring dynamics: A unifying model of nursing inquiry. Complexity and Chaos in Nursing, 1(1), 23-32.
45.
Reed, P. G. (1987). Spirituality and well-being in terminally ill hospitalized adults. Research in Nursing & Health, 10, 335-344.
46.
Rogers, M. (1991). An introduction to the theoretical basis of nursing. Newbury Park, CA: Sage.
47.
Scott, E. L., & Agresti, A. A. (1998). Factor analysis of the Spiritual Well-Being Scale and its clinical utility with psychiatric patients. Journal for the Scientific Study of Religion, 37(2), 314-322.
48.
Tabachnick, B., & Fidell, L. (1996). Using multivariate statistics. Northridge, CA: HarperCollins College.
49.
Taylor, E. J. (2002). Spiritual care: Nursing theory, research, and practice. Upper Saddle River, NJ: Prentice Hall.
50.
Thurstone, L. L. (1989). Psychophysical analysis. American Journal of Psychology, 100(3), 587-609.
51.
Timmreck, T. (1986). Dictionary of health services management (2nd ed.). Owings Mills, MD: National Health Publishers.
52.
Tinsley, H. E. A., & Tinsley, D. J. (1987). Use of factor analysis in counseling psychology research. Journal of Counseling Psychology, 34, 414-424.
53.
Van Dover, L. J., & Bacon, J. M. (2001). Spiritual care in nursing practice: A close-up view. Nursing Forum, 36(3), 18-30.
54.
Watson, J. (1985). Nursing: Human science and human care: A theory of nursing. Norwalk, Ct: Appleton & Lange.
