Spiritual Health Relationship with Educational and Well-Being Components in Master Nursing Students of Intensive Care: An Iranian Nationwide Cross-Sectional Study

The ability of nurses to provide spiritual care relies heavily on their own spirituality and spiritual health. This study aimed to determine the pattern of relationship between educational and well-being components with spiritual health among nursing students of intensive care.

This study consisted of two phases: a three-step Delphi approach and a cross-sectional study. The second phase utilized a quantitative design to examine the draft of the final Delphi design. Master's nursing students in critical care were evaluated for their spiritual health and its relationship with educational components (satisfaction with education, educational self-efficacy, educational motivation) and well-being components (psychological well-being, thoughtful practice, and cultural intelligence).

A total of 220 nursing students from 11 schools of nursing and midwifery at various universities of medical science in 7 provinces of Iran participated in the study. Structural Equation Modeling (SEM) revealed two fit models. Model 1 showed a significant direct effect of educational components on civil behavior (β = 0.76, P < 0.001) and well-being components on lifelong learning (β = 0.81, P < 0.001). These variables predicted 0.08 of the changes in spiritual health. Model 2 demonstrated a significant indirect effect of spiritual health through mediating educational and well-being components on civil behavior (β = 0.205, P < 0.05) and lifelong learning (β = 0.259, P < 0.05).

The relationship between educational and well-being components with spiritual health in nursing students should be considered by the educational system to maintain and enhance the spiritual health of students which is one of the most important prerequisites to provide holistic care.