Abstract
Purpose: The purpose of this study was to explore Advanced Practice Nurses’ (APN) perceptions of spirituality globally, in both clinical practice and in everyday life, and to evaluate the usefulness of Spiritually Competent Practice as a relevant framework for holistic APN care.
Design/Methods: A cross-sectional survey design was used. Respondents were recruited via convenience (snowballing) sampling. Spirituality in Everyday Life (SEDL) and Spirituality in Practice (SIP) were measured, as well as the importance of spiritual care competencies and Spiritually Competent Practice. Data was analyzed using Multiple Regression Analysis and Univariate Screening Analysis.
Findings: A total of n = 641 APNs from 55 countries participated in the study. Participant responses yielded mean SEDL, SIP, and CONCEPT scores above the mid-point of the associated range for each measure, representing an overall positive perception of SEDL and SIP, and a similar positive perception of personal experience of Spiritually Competent Practice. This study offers further insight into perceptions and use of spirituality to ensure holistic care by APNs’ globally and how APNs’ view spirituality both within and outside of their work.
Conclusion: Spirituality is pivotal in advanced practice and holistic nursing, fostering comprehensive and whole-person care and providing patients and practitioners with a sense of hope, meaning, and purpose. The results from this study highlight the need to ensure spirituality is fully understood by APNs’ and how APN education and continuing professional development should consider how best to integrate spirituality into holistic practice.
Design/Methods: A cross-sectional survey design was used. Respondents were recruited via convenience (snowballing) sampling. Spirituality in Everyday Life (SEDL) and Spirituality in Practice (SIP) were measured, as well as the importance of spiritual care competencies and Spiritually Competent Practice. Data was analyzed using Multiple Regression Analysis and Univariate Screening Analysis.
Findings: A total of n = 641 APNs from 55 countries participated in the study. Participant responses yielded mean SEDL, SIP, and CONCEPT scores above the mid-point of the associated range for each measure, representing an overall positive perception of SEDL and SIP, and a similar positive perception of personal experience of Spiritually Competent Practice. This study offers further insight into perceptions and use of spirituality to ensure holistic care by APNs’ globally and how APNs’ view spirituality both within and outside of their work.
Conclusion: Spirituality is pivotal in advanced practice and holistic nursing, fostering comprehensive and whole-person care and providing patients and practitioners with a sense of hope, meaning, and purpose. The results from this study highlight the need to ensure spirituality is fully understood by APNs’ and how APN education and continuing professional development should consider how best to integrate spirituality into holistic practice.
| Original language | English |
|---|---|
| Number of pages | 13 |
| Journal | Journal of Holistic Nursing |
| Early online date | 28 Oct 2025 |
| DOIs | |
| Publication status | E-pub ahead of print - 28 Oct 2025 |
