{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:09:11Z","timestamp":1790186951482,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"9-10","license":[{"start":{"date-parts":[[2020,2,27]],"date-time":"2020-02-27T00:00:00Z","timestamp":1582761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine factors associated with nurses\u2019 spiritual care competencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Holistic nursing care includes biopsychosocial and spiritual care. However, nurses are limited by a lack of knowledge, time constraints and apprehension of assessing spiritual issues, which leaves them unable to assess and meet patients\u2019 spiritual needs. Thus, when patients experience spiritual distress, clinical nurses lose the opportunity to support spiritual growth and self\u2010actualisation. In Taiwan, spiritual care, religion and culture are unique compared to those in other countries. Overall, factors associated with Taiwanese nurses\u2019 spiritual care competencies lack comprehensive exploration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study adopted a descriptive correlational design using cross\u2010sectional survey (see Appendix<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#jocn15141-sup-0001\">S1<\/jats:ext-link>). Cluster sampling was used to select clinical nurses from fourteen units of a medical centre and a regional hospital. Data were collected from January\u2013June 2018 with a 97.03% response rate. Clinical nurses completed a background questionnaire, spiritual care practice questionnaire, spirituality and spiritual care\u2010related scales. Data were analysed using descriptive and linear regression. This report followed the STROBE checklist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Spiritual care competence ranged from 44\u2013123 (mean 84.67\u00a0\u00b1\u00a012.88; range 27\u2013135). The majority of clinical nurses rated their spiritual care competence as moderate (64\u201398). The significant factors associated with nurses\u2019 spiritual care competence were education, religion, interest in spiritual care, having role models, past life events, barriers to providing spiritual care of the spiritual care practice score, and spiritual attitude and involvement score. The overall model was significant (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a0.001) and accounted for 55.0% of variance (adjusted<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a0.488).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most clinical nurses have moderate spiritual care competence. Objective factors identified affect clinical nurses\u2019 spiritual care competencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>To improve nurses\u2019 spiritual care competencies, objective factors that affect clinical nurses\u2019 spiritual care competencies must be emphasised. Multiple strategies for enhancing nurses\u2019 own spiritual well\u2010being can be provided via employee health promotion projects and activities, and promoting nurses\u2019 spirituality and spiritual care competencies can be explored in clinical settings through bedside teaching, situational simulation, objective structured clinical examinations and self\u2010reflection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15141","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T16:25:49Z","timestamp":1576772749000},"page":"1599-1613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Factors associated with spiritual care competencies in Taiwan\u2019s clinical nurses: A descriptive correlational study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8061-1674","authenticated-orcid":false,"given":"Suh\u2010Ing","family":"Hsieh","sequence":"first","affiliation":[{"name":"Department of Nursing Chang Gung University of Science and Technology and Associate Researcher of the Nursing Department at Taoyuan Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1663-8976","authenticated-orcid":false,"given":"Li\u2010Ling","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Nursing Ching Kuo Institute of Management and Health Keelung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen\u2010Yi","family":"Kao","sequence":"additional","affiliation":[{"name":"Hospice Care Ward Nursing Home Taoyuan Chang Gung Memorial Hospital Chang Gung Medical Foundation Taoyuan 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