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Spiritual Care Practices of Nurses in Private Hospitals in Baliwag, Bulacan
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CHAPTER I
THE PROBLEM AND ITS BACKGROUND
Introduction
According to Madeleine Leininger spirituality is a relationship with a supreme
being that directs one’s beliefs and practices. And with the diverse spirituality or religion
of the millions of people, there are situations where a person expects to receive mutual
respect on their different religious beliefs, and this also applies to the nursing practices.
Nagai-Jacobson and Burkhardt proposed spirituality as a cornerstone of holistic
nursing suggested that questions appropriate to exploring a patient’s spirituality might
include how the individual understands God and what things give joy and meaning.
According to royal college of nursing in 2011 Spirituality in nursing care is one of
the aspect that was often we forget sometimes nurses just focus on delivering the
physical, mental, social needs of the patient. Spiritual care is also important because it
was like serving yourself as a whole person. Giving a chance to patient to share their
thoughts and problems, providing therapeutic touch or communication that may lessen or
ease the heaviness of what they feel. Cure is not possible for many illnesses, but there is
always a room for hope for healing. Healing can be experienced as acceptance of illness
and peace with yourself.
Spiritual care is one of the core being taught in school, how nurses provide
spiritual care to different religion. The way they view spirituality and religion.
Let’s all together see how nurses provide spiritual care and the way they
implement it, do they even implement it. Five private hospitals in Baliwag, Bulacan are
the target host.
Statement of the problem
This study is conducted to give answer on how nurses implement spiritual nursing
practice.
Specifically the study aims to answer the following question:
1. What are the perceptions of nurses about spirituality?
2. What are the different spiritual care practices mostly perform by nurses?
3. What are the different spiritual care practices least perform by nurses?
4. How nurses perform spiritual care needs of the client?
Significance of the Study
This study determined the presence of spirituality in every nurses, how nurses can
improved way of giving care to patient adding spirituality on it.
Scope and Delimitation
This study focused on nurses of private hospitals, in Baliwag.

All private hospital within Baliwag vicinity are part of the study. This include the
following Castro Maternity Hospital and Medical Center, Marcelo Hospital, Rugay
General Hospital and Sagrada Familia Hospital.
Purpose of the Study
The purpose of the study are:
1. Determine their way of respecting patient spiritualty
2. Determine if nurses think that spirituality is one of the vital aspect needed in
implementing care to the client.
3. Distinguish different way of how nurses apply spirituality on their plan of care
Assumption of the Study
1. Nurses have different point of view when it comes to spirituality.
2. Nurses, being unique individual have their own different way of respecting
patient spirituality.
3. Nurses think that spirituality is vital in giving care.

Definition of Terms:
Merriam-Webster 2018
 Belief.an acceptance that a statement is true or that something exists.
 Care. a disquieted state of mixed uncertainty, apprehension, and responsibility.
Caring. Is showing concern and looking for those people who are not able to look
for themselves.
 Connection. The act of connecting: the state of being connected.
 Dimension. A level of existence or consciousness.
 Holistic. Relating to or concerned with wholes or with complete systems rather than
with the analysis of, treatment of, or dissection into parts.
 Holy. Exalted or worthy of complete devotion as one perfect in goodness and
righteousness.
 Implement. To use in the performance of a task.
 Influence. The power or capacity of causing an effect in indirect or intangible ways.
 Practice. To do or perform often, customarily, or habitually.
 Religion. A personal set or institutionalized system of religious attitudes, beliefs,
and practices.
 Spiritual. Of, relating to, consisting of, or affecting the spirit. (Merriam-
Webster,2018)
 Spirituality. Something that in ecclesiastical law belongs to the church or to a
cleric as such.
 Surrogate. To put in the place of another.
O’Brien 2014
 Faith. Something that is believed especially with strong conviction involves.
 Spirituality and Nursing Practice. Spirituality and beliefs related to transcendence
or to nonmaterial forces of life and nature. Religious practice or religiosity relates
to a person’s beliefs and behaviors associated with a specific religious tradition or
dissemination.
 Spiritual Care. The aspect of health care that attends to spiritual and religious
needs brought on by an illness or injury. (Medical-Dictionary,2015)
 Private Hospital. Is a hospital owned by a for-profit company or a non-profit
company and privately funded through payment for medical services by patients
themselves, by insurers, governments through national health insurance programs,
or by foreign embassies. (Wikipedia, 2015)

CHAPTER II
REVIEW OF RELATED LITERATURE AND STUDIES
The researchers reviewed different literature and studies from sources or materials
such as books, journals, magazines and current issues from the internet were in it includes
learning factors that find the different aspect of how nurses implement spirituality.
Related Literature
In the Old Testament God reminded Moses that when he stood before the
Lord, He is on the holy ground. As a nursing student, nurse, clinical instructor, and every
nurses must all know that before we go to our clients and every staff in the hospital
settings we consider the hospital as a holy ground because this is where we serve our
client not just in physical aspect but on spiritual aspects as well, just like Moses before
God’s presence because taking off his sandals expressed an inward reverence through an
outward behavior in his worship. Just like when we go to other peoples house we took off
our sandals to show respect. In nursing profession nurses put themselves in other people’s
shoes. Nurses empathized with patients, pray for them, look out for their needs and we do
our best not just to heal them physically but they do their best to heal them in all aspects
especially in spiritual aspect. We considered hospital as a holy ground Nurses as God’s
surrogate and the extension of his healing hands even though nurses experienced personal
struggles, hardships, pain, language barriers and emotional burdens even though they feel
burn out in life. God is our healer as nurses heal others and when they feel that they are
not enough. God makes them feel that they are more than enough. Caring for clients is
considered holistic because nurses helps clients in every aspect. They are with them from
womb to tomb. Our Nurses role is to touch every little aspect in the patient lives as they
ask for God’s guidance and healing hands. (O’Brien, 2014).
In order to provide proper spiritual nursing care, the nurse should have enough
knowledge on it because it has a big impact on the patient. It influenced the health of
patient in connection to the effect of their spiritual belief. The interaction between the
nurse and the patient was affected by their opinion or their belief, having the same
opinion about it will help the nurse to gain the cooperation of the patient for them to
implement the practices or management that will help them to easily recover. (O’Brien,
2014).
Spirituality is believing in something whether you can see it or not, feel it or not.
It is the way or action that we do in accordance to our belief in our religion. It is faith that
you have or the one you praise whether it is a statue, Buddha, Monument, Rocks, Shrine,
Deities, Allah, or God. Showing your expression of gratitude to the one you worship
applying the command, pulse, principle on your daily life. Relating spirituality in nursing
care is a big scope aspect. Regardless of religion, nurses inside their soul the sense of
spirituality, apply in their care the wisdom, thought, worship of words, learnings, and
teachings. Applying spirituality in nursing care is also giving respect to your patient’s
spirituality and religion. Adapting to them and ensuring that no bounds will be build
regarding your belief in spirituality and religion. (O’Brien, 2014).

Spirituality in nursing practice is not just for the patients, but it is also for the
nurses because we all know that it is one of the aspect that can help nurses to provide
proper health needs, hopes for themselves ones how hard their work is and also for the
patients to cope up with their illnesses. That when people got illnesses they tend to
question our Creator, they are starting to lose hope and faith in God, and they are starting
to think that God is punishing them for any reasons. Sometimes they are asking why
them? That life is so unfair that does why the most important that nurses tend to do is
help them to regain their trust in God, help them not to deprive their spiritual needs.
Helping patients to think positive on life is one of the things that nurses can do, because it
will be the start to gain their spirituality and to establish again a tough faith on God,
helping them to realize that just because they have that illness is God punishing them and
help them to realize that all the things that they did before that leads them to their
condition. Sometimes having illness makes them realize and discover the people that
values them and make them feel that they are important. (Wattis, & Rogers, 2015).
Spirituality and religion has a big impact in Nursing Care that were providing on
patients, it is important on nursing care because it may help the patient to cope with their
illnesses. It may also improve the quality of nursing care because it may influence the
relationship of nurse to patient. Using spirituality in some other patient is important an
important thing or people in their lives, those who will help them and accept them even
they have that condition. It also makes the patient realized or learned on what reason that
cause them to have those illnesses, for them to change their way of thinking and accept
what state they have right now. Having hope in life helps the patient to recover or reduce
the factors that may worsen their condition. (Willemse, Smeets, Leeuwen, Janssen, &
Foudraine, 2017).
As we all know spirituality and spiritual care is one of the holistic nursing care
that is still overlooked because nurses tend to attend more on the physical needs of a
client. Spiritual care is the most important goal in nursing practice because it promotes
health, and reduces stress and anxiety, It also helps the mental health state of the client to
have a positive outlook in life. It helps the nurse to have a healthy state of mind,
strengthens faith, provides a quality of care to the patient not only on the physical aspect
but also in the spiritual aspect and I believe that spiritual care improves the client but
most importantly it improves the humanity and psychological needs of a nurse.
(Kharameh, Asayesh, Sharififard, &Alinoori, 2016).
Nursing is not only touching the concept of patient spiritual nature, but it also
relates vocation as well. Nursing is not just an art but it is a combination of art and pure
science. Nursing is a devotion that concerns in helping the patient not just physically,
emotionally, mentally but also spiritually. Nurses do holistic nursing care, because it
touched all the aspects not just only heals the physical body but it also heals the patient
heart and minds. (O’Brien, 2014)
In giving holistic nursing nurses need the body, mind, and spirit connection. The
body is a physical substance of a person where they perceived the spiritual care
interventions in the nursing practice, the mind is how they conceptualizes all the
dimension where they experienced reality and the spiritual connection is where we
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connect with the highest being God. Holistic nursing is not complete without spiritual
connection because spiritual connection makes an individual to be truly healthy in all
aspects. When the nurse interacts with patients on a holistic level where they can care,
support, understand, love, empathized, consider and to rise above the limits the nurse is
standing on holy ground. (O’Brien, 2014)
As nurse stands on the holy ground on helping ill patients, God’s healing is the
most important thing. The nurses stand as God’s surrogate and the extension of his
healing hands nurses are healers because, they help restore the body of a patient not just
by giving them medications but also try to heal their faith and try to help the patient to
restore the body, mind and spirit the whole holistic being. Jesus is a healer he had healed
people just by touch and using physical materials to heal them. Being there for the patient
is a form of healing them and makes them feel that someone is there to listen and just by
giving his presence heals the patient. The nurses love and compassion for the people and
recognize the ability as a healer regardless of the social strata, background,
nonjudgmental attitude to the patient and being a compassionate healer just like Jesus.
(O’Brien, 2014)
Dimensions of Caring
In practicing spiritual caring there are three concepts in carrying out the
theological mandate in caring for the ill. Being with, listening and touching the patient. In
this act it can help the nurse to perform the spiritual care interventions in the nursing
practice.
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Being
The notion of “being” means the nurse stayed with the patient who experienced
physical and spiritual pain, the experience of suffering, and other problems and support
them, makes them feel your presence in the time of crisis.
Listening
The notion of “listening” to their verbalization of anxieties and hardships of the
illness condition of the patient and making them feel that there is someone to listen and
listening provides spiritual care.
Touching
The notion of “Touching” nurses are the extension of God’s healing hands where the
nurse touches the patient not only physically but also touches the hearts and lives of the
patients by praying with them touches the spiritual relationship with God. (O’Brien,
2014)
According to the article authored by McBrien, “The importance of listening,
allowing the patient to speak and the provision of therapeutic touch are strategies
identified for honoring the spiritual needs of patients.” In this article it simply said
listening to the client and building rapport will help the client open up to you, because
giving spiritual care to the client who is uncooperative and no rapport, means that he/she
will not apply the spiritual nursing care to themselves and disregard everything that you
said and teach. They will not cooperate on improving their spiritual life and may not
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addressed their spiritual needs. In order to gain the client’s trust and rapport we need to
give and take, give means we teach our teachings and take means accepting their beliefs,
respect their opinions and point of view. (Minton, Isaacson, Varilek, Stadick, &Persaud,
2017)
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Conceptual Framework
Nurses
Spiritual Practices
Spiritual care to Patient

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Textual Explanation
Nurses having the innate spirituality in themselves must know the other spiritual
care, according to -- there are different nurses role in giving spiritual care namely one’s
should know their own spirituality for them to know if others spiritual needs are being met.
Giving solution or resolving together one’s spiritual concerns, listening wholeheartedly, as
a nurse you should know your own limitation, knowing your patients spiritual resources
and expressed needs. Offering pray in times of need, being aware and showing respect to
patient’s culture, social and spiritual preferences, and recognizing the role played by their
religious leader, you can ask for their assistance in giving spiritual care.
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CHAPTER III
RESEARCH METHODOLOGY AND DESIGN
This chapter presents the research design used in the study, respondents of the
study, research instrument, data gathering procedures and statistical treatment applied on
the study of the Spiritual Care Practices of Nurses in Private Hospitals in Baliwag,
Bulacan.
Research Design
The researchers used non-experimental descriptive designs which questionnaires
will be given to find answer and determine the prevailing conditions.
Research Environment and Respondents
The study was conducted at Castro Maternity Hospital & Medical Center, Rugay
Hospital, Marcelo Hospital and Sagrada Familia Hospital among the Nurses. The
researchers decided to include all of the nurses on those hospitals. Questionnaire is made
in a Likert’s scale type in order to determine the Spiritual care practices of Nurses in
Private Hospitals.
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The breakdown of respondents as follows:
Name of Hospital Number of Respondents
Castro Maternity Hospital & Medical Center 28
Rugay Hospital 10
Marcelo Hospital 5
Sagrada Familia Hospital 12
TOTAL 55
Research Instruments
The instrument used for data collection in this research study is a researchers’
made questionnaire. It has 37 questions which are composed of closed ended. The
questions are designed by the researchers to help identify the Spiritual Care Practices of
Nurses in Private Hospitals in Baliwag, Bulacan.
The questionnaires composed of four (4) parts. The first part reflected the profile
of respondents as to; Name (optional), Gender, Age, Religion, Hospital, Year Graduated
on Nursing, Years working in the hospital, School Graduated and Current Shift
Assignment. The second, third and fourth part consisted of statements in Likerts Scale
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about Spiritual Index of Well Being Statement based from Daaleman, T. P. & Frey, B. B.
(2004), Spiritual Assessment Items based on Spiritual Assessment Scale by Jones and
Bartlett and Vincensi Spiritual Care Interventions Tool (VSCIT)
The following scales were utilized to represent their answer.
The following tables represent the interpretation of computed weighted mean as
cited in:
Part II. Spiritual Index of Well Being Statement [Daaleman, T. P. & Frey, B.
B. (2004)]
Numerical Value Descriptive Value Interpretation
5 Strongly Agree The respondents accept the
reason given in Spiritual
Care Practices of Nurses in
Private Hospitals.
4 Agree The respondents accept that
the reason somewhat
influences the given

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Spiritual Care Practices of
Nurses in Private Hospitals.
3 Uncertain The respondents is not sure
about the given Spiritual
Care Practices of Nurses
in Private Hospitals.
2 Disagree The respondents disagree
that the given Spiritual
Care Practices of Nurses
in Private Hospitals.
1 Strongly disagree The respondents accept that
the reason never influences
the given Spiritual Care
Practices of Nurses in
Private Hospitals.
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Part III. Spiritual Assessment Items(Spiritual Assessment Scale by Jones and Bartlett)
5 Strongly Agree The respondents all the
time agree with the
spiritual concepts cited.
4 Agree The respondents most of
the time agree with the
spiritual concepts cited.
3 Uncertain The respondents is not sure
about the whether she
agree or not with the
spiritual
concepts cited.
2 Disagree The respondents most of
the time does not agree
with the spiritual concept
cited
1 Strongly Disagree The respondents never
agree with the spiritual
concepts cited
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Part IV. Spiritual Assessment Items(Vincensi Spiritual Care Interventions Tool
(VSCIT))
3 Always perform The respondents most of
the time perform the given
spiritual care practices.
2 Seldomly perform The respondents sometimes
perform the given spiritual
care practices.
1 Never Perform The respondents did not
perform the given spiritual
care practices.
Data Collection Procedure
A letter of seeking the approval of the conduct of the study was submitted to the
office of the Dean of the College of Nursing. After the dean has approved the letter,
another set of letter where distributed among the Chief Nurses of the Hospitals. After the
letter has been approved by Chief Nurses the researchers personally facilitated the
distribution of the questionnaires accompanied by a cover letter which explains the
purpose and objectives of the study, what will be done to the gathered information and
the confidentiality of the results. The researchers asked them to participate, distributed
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the questionnaires and once the questionnaires were already filled up by the target
respondents. The researchers gathered the data and proceeded with the analysis.
Statistical Treatment of Data
Target hospitals for the approval for the conduct of the research.
The overall results of the questionnaires were presented using Tabular form.
Weighted mean and percentage were primarily used and describe the different activities
by the researchers and answer by the respondents. The formula of percentage includes:
%= f/N*100
Where: % = percentage
f= frequency
N= total of respondents
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Numerical Value Interpretation Descriptive Interpretation
1 – 1.8 Strongly disagree The respondent never
agreed with the spiritual
concept cited.
1.9 – 2.6 Disagree The respondent most of the
time do not agree with the
spiritual concept cited
2.7 – 3.4 Uncertain The respondent is not sure
whether he/she agreed or
disagreed with the spiritual
concept cited
3.5 – 4.2 Agree The respondent most of the
time agreed with all the
spiritual concept cited.
4.3 - 5 Strongly agree The respondents all the
time agreed with the
spiritual concept cited.

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Numerical value Interpretation Descriptive interpretation
1 – 1.66 Never performed The respondents never
performed the cited
1.67 – 2.33 Seldomly performed The respondents
sometimes performed the
cited spiritual care
practices.
2.34 - 3 Always performed The respondents most the
time performed the cited

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CHAPTER IV
PRESENTATION, ANALYSIS, AND INTERPRETATION OF DATA
This study identified the Spiritual Care Practices of Nurses in Private Hospital in
Baliwag, Bulacan. The proper identification of this study will help to know how the
Nurses perform spiritual care in their clients. The study will provide important
information on the spiritual practices that still implement by the Nurses on their clients,
which is also one of the aspects of Nurses that they need to perform.
With this study, we will able to identify if the Nurses are still giving importance
in performing Spiritual Care.
The study is conducted primarily to: determine their way of respecting patient
spirituality, determine if nurses think that spirituality is one of the vital aspect needed in
implementing care to the client, and to distinguish different way of how nurses apply
spirituality on their plan of care.
The Part I of the table is composed of the personal information of the nurses, the
comparison on how many male nurses and female nurses works on four different private
hospitals, there age, years they had worked for their hospitals, their religion, and shift
assigned to them on current time.

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Table 1
Profile of the nurses in terms of

Gender
Frequency Percentage
Male 11 20
Female 44 80
Total 55 100
As shown on table 1 there are more female nurses working in four different
private hospitals in Baliwag, Bulacan than male nurses. With female nurses of 80% out of
20% male nurses.
Table 2.
Profile of the nurses in terms of Age
Age Frequency Percentage
20-30 33 60
31-40 20 36.36
41-50 1 1.82
51-60 1 1.82
As shown on Table 2 there are more nurses aged 20 years old to 30 years old
having a 60% and 36.36% of nurses aged 31 to 40, while there are only 1.82% on both
nurses aged 41 to 50 and 51 to 60.

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Table 3.
Profile of the nurses in terms of Number of years working in the
hospital
Years of working Frequency Percentage
Less than a year 9 16.36
1 – 3 years 27 49.09
3 – 5 years 10 18.18
5 – 10 years 6 10.91
More than 10 years 3 5.45
As shown on Table 3, nurses on four different hospitals had stayed from there for
almost 1 – 3 years having 49.09% which is 27 out of fifty 55 respondent comparing to
5.45% which is only 3 out of 55 respondent have stayed in for more than 10 years.
Followed by 10.91% which is 6 out of 55 respondent stayed for 5 – 10 years, 18.18%
which is 10 out of 55 respondent styed for 3 – 5 years and 16.36% which is 9 out of the
55 respondent stayed for less than a year in there hospital.
Table 4.
Profile of the nurses in terms of the Types of Religion
Religion Frequency Percentage
Roman Catholic 48 87.27
Iglesia ni Cristo 5 9.09
Jehovah’s Witness 0 0
Iglesia ng Dios 0 0
Christian 2 3.64
As shown on Table 4, there are no Jehovah’s Witness and Iglesia ni Cristo among
the respondent. There are 3.64% or 2 among the participants are Christian and the rest
which is 87.27% or 48 of the respondents are Roman Catholic.

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Table 5.
Profile of nurses in terms of shift assignment
Shift Frequency Percentage
7 – 3 AM 27 49.09
3 – 11 PM 16 29.09
11 – 7 PM 6 10.91
7AM – 7 PM 6 10.91
As shown on Table 5 there are more respondents shifting from 7 – 3AM with
result of 49.09% or 27 out of 55 respondents, 29.09% or 16 out of the 55 respondent shift
from 3 – 11PM, and 10.91% or 6 out of the 55 respondents both shift from 11 – 7PM and
7AM – 7PM.
Part II answered the question in chapter one what are the nurse’s perception about
spirituality.
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Table 2.1
Nurses perception about spirituality in terms of the questioner part II how do you
perceived your spiritual quality of life?
Spiritual index of well-
being statement 5 W 4 WM 3 WM 2 WM 1 W Total Interpretation
(F) M (f) (F) (F) (F) M
1. I am overwhelmed
when I have personal 2 0.1 5 0.36 11 0.6 24 0.87 13 0.24 2.25 disagreed
difficulties and 8
problems.
2. I can’t begin to
understand my 1 0.0 0 0 9 0.49 26 0.94 19 0.34 1.86 Disagreed
problems. 9
3. I haven’t found my life Strongly
purpose yet 1 0.0 0 0 12 0.65 19 0.69 23 0.42 1.85 disagreed
9
4. Often, there is no way I Strongly
can complete what I 0 0 1 0.07 7 0.38 29 1.05 18 0.33 1.83 disagreed
have started.
5. I don’t know how to Strongly
begin to solve my 0 0 1 0.07 7 0.38 2 0.94 21 0.38 1.77 disagreed
problems. 6
6. There is not much I can Strongly
do to make a difference 0 0 1 0.07 7 0.38 24 0.87 23 0.42 1.74 disagreed
in my life.
7. There is not much I can Strongly
do to help myself 1 0.0 0 0 7 0.38 18 0.65 29 0.53 1.65 disagreed
9
8. There is a great void in Strongly
my life at this time. 0 0 3 0.22 3 0.16 21 0.76 28 0.51 1.65 disagreed
9. In this world, I don’t Strongly
know where I fit in. 0 0 1 0.07 4 0.22 24 0.87 26 0.47 1.63 disagreed
10. I have a lack of purpose Strongly

in my life 0 0 1 0.07 6 0.33 19 0.69 29 0.53 1.62 disagreed
11. I am far from Strongly
understanding the 0 0 2 0.14 2 0.11 21 0.76 30 0.54 1.55 disagreed
meaning of life.
Strongly
12. I don’t know who I am, 0 0 1 0.07 1 0.05 24 0.87 29 0.53 1.52 disagreed
where I came from, or
where Iam going.
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As shown on Table 2.1 in terms of having weighted mean of 2.25, nurses
disagreed that they are being overwhelmed when they are item number 1 having
difficulties or problems. Item number 2 having weighted mean of 1.86, tells that nurses
strongly disagreed that they can’t understand their own problems. Item number 3 with
weighted mean of 1.85 which means strongly disagreed therefore nurses have found their
purpose in life. Item number 4, according to the nurses, they always complete what they
have started for they strongly disagreed they don’t having this item a total weighted mean
of 1.83. Item number 5 with total weighted mean of 1.77 shows that nurses know how to
start solving their own problems in life. Item number 6 with total weighted mean of 1.74
entails that nurses can do more to make difference in their life. Item number 7 with total
weighted mean of 1.65, nurses strongly disagreed that they can’t do more to help their
selves. Item number 8 with total weighted mean of 1.65, tells that at this moment there is
no void in nurses life. Item number 9 having weighted mean of 1.63, shows that nurses
know where they fit in, in this world we live in. item number 10 having weighted mean
of 1.62, entails that nurses know their full essence of purpose in life. Item number 11
with total weighted mean of 1.55, nurses understand the meaning of life for they strongly
disagreed that they are far from understanding it. Item number 12 with total weighted
mean of 1.52, nurses from four different private hospital know to their selves who they
are, where they came from, and where they are going in life, for they strongly disagreed
they don’t
Table 2.2 31
Nurses perception about spirituality in terms of the questioner part III how do you describe your spiritual activities as an
individual.
Spiritual Assessment Items 5(F) WM 4(F) WM 3(F) WM 2(F) WM 1(F) WM Total Descriptive
WM analysis
1. There is a supreme being, or God, who created
humankind and who cares for all creature. 48 4.36 6 0.44 1 0.05 0 0 0 0 4.85 Strongly
agreed
2. I am at peace with God. Strongly

45 4.09 9 0.65 1 0.05 0 0 0 0 4.79 agreed
3. I feel confident that God is watching over me. Strongly
45 4.09 9 0.65 1 0.05 0 0 0 0 4.79 agreed
4. I receive strength and comfort from my spiritual Strongly
beliefs. 45 4.09 8 0.58 1 0.05 1 0.04 0 0 4.76 agreed
5. My spiritual beliefs support a positive image of Strongly

myself and of others, as members of Gods family. 41 3.73 14 1.02 0 0 0 0 0 0 4.75 agreed
6. I trust that God will take care of the future. Strongly
43 3.91 10 0.73 1 0.05 0 0 1 0.02 4.71 agreed
7. I believe that God is interested in all the activities of Strongly
my life. 42 3.82 9 0.65 3 0.16 1 0.04 0 0 4.67 agreed
8. My relationship with God is strengthened by Strongly
personal prayer. 37 3.36 16 1.16 2 0.11 0 0 0 0 4.63 agreed
9. Religious practices of nurses. Strongly
35 3.18 16 1.16 4 0.22 0 0 0 0 4.56 agreed
10. I am supported by relationships with friends or Strongly
family members who share my religious beliefs. 32 2.91 21 1.53 2 0.11 0 0 0 0 4.55 agreed
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Spiritual Assessment Items 5(F) WM 4(F) WM 3(F) WM 2(F) WM 1(F) WM Total

WM
11. I am helped to communicate with God by reading or Strongly

thinking about religious or spiritual things. 34 3.09 17 1.24 3 0.16 0 0 1 0.02 4.51 agreed
Strongly
12. Belonging to a church or faith group is an important 36 3.27 13 0.94 5 0.27 0 0 1 0.02 4.5 agreed
part of my life.
13. I receive comfort and support from a spiritual Strongly
companion, for example, a co-nurses, colleagues. 29 2.64 21 1.53 5 0.27 0 0 0 0 4.44 agreed
14. I find satisfaction in religiously motivated activities Strongly
other than attending worship services, for example, 30 2.73 20 1.45 4 0.22 1 0.04 0 0 4.44 agreed
volunteer work or being kind to others.
15. I am strengthened by participation in religious Strongly

worship services. 28 2.54 21 1.53 5 0.27 1 0.04 0 0 4.38 agreed
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As shown on Table 2.2, nurses from four different private hospital strongly agreed
there is Supreme Being or God, having this item number 1, 4.85 the highest total
weighted mean among the rest of the item. Nurses strongly agreed they are at peace with
God, having this item number 2 a total weighted mean of 4.79. They also strongly agreed
that God is watching over them, and feel confident about this item number 3 have a total
weighted mean of 4.79. Item number 4 with total weighted mean of 4.76 entails that
through their spiritual beliefs they receive strength and comfort. Item number 5 with total
weighted mean of 4.75 nurses strongly agreed that their spiritual beliefs gave them a
positive image by being one of God family. Item number 6 with total weighted mean of
4.71 in terms of trusting God, nurses strongly agreed that God take care of our future. In
all of our activities in life, nurses strongly agreed that God have interest on it, having this
item number 7 total weighted mean of 4.67. nurses strongly agreed that thru personal
prayer their relationship with God strengthened more, this item number 8 have total
weighted mean of 4.63. Item number 9 is a new category of question which is religious
practices of nurses. Nurses strongly agreed that they get support from colleagues, friends
and family members who share religious beliefs , item number 10 with total weighted
mean of 4.55. thru the use of reading books or bible/scriptures and thinking about
religious or spiritual things nurses strongly agreed that this helped them communicate
with God. This item number 11 have a total weighted mean of 4.51. item number 12, with
total weighted mean of 4.5 tells that nurses strongly agreed that attending church or being
on a faith group or group of people whom you have the same religion, is important part of
their life. Item number 13 with total weighted mean of 4.44, entails that nurses strongly
35
agreed they received comfort and support from their spiritual companion. Item number
14 with total weighted mean of 4.44 tells that nurses strongly agreed that other than
attending worship services they also find satisfaction on other religious activities. Item
number 15 with total weighted mean of 4.38 shows that nurses strongly agreed that thru
participating on religious activities or worship services it gave them more strengths

31
Table 2.3
Different care practices mostly and least performed by nurses
Descriptive
Spiritual Assessment Items 3(f) % 2(f) % 1(f) % Total analysis
WM
1. I have stayed with client for quite a time Always
who are experiencing pain, suffering and 30 1.64 23 0.84 2 0.04 2.54 performed
other problems.
2. I have listened to the verbalization of Always
anxieties and hardship of the illness 30 1.64 21 0.76 4 0.07 2.47 performed
condition.
3. In the primary care settings, I have Seldomly
discussed with clients potential spiritual 17 0.93 33 1.2 5 0.09 2.22 performed
resources in the community to help meet
their spiritual care needs.
4. I have offered to pray with clients. 20 1.09 27 0.98 8 0.14 2.21 Seldomly
performed
5. I have allowed listening to worship songs. 20 1.09 25 0.90 10 0.18 2.17 Seldomly
performed
6. I have provided support for client’s Seldomly
spiritual practices such as allowing to 17 0.93 28 1.02 10 0.18 2.13 performed
attend mass at the hospital chapel.
7. I have encouraged clients to cop using Seldomly
spiritual devotional pictures (image of 14 0.76 33 1.2 8 0.14 2.1 performed
Christ/virgin Mary, etc.), item (rosary,
crucifix, handkerchief, etc.)
8. I have facilitated the receiving of Seldomly
sacramental practices like communion, 14 0.76 23 0.84 18 0.33 1.93 performed
anointing, etc.
9. I have shared inspirational writings or Seldomly
words from the bible. 10 0.54 30 1.09 15 0.27 1.9 performed
10. I have arranged for a visit or made a Seldomly
referral to client’s clergy or spiritual 7 0.38 23 0.84 25 0.45 1.67 performed
mentors or priest.
As shown on Table 2.3 item number 1 is the most performed among the rest
having weighted mean of 2.54, this means nurses always stay for quite some time with
patient experiencing pain, suffering and other problems. Item number 2 having a
37
weighted mean of 2.47 shows that nurses always listened to their client anxieties and
hardship undergoing. Item number 3 with weighted mean of 2.22 tells that nurse’s
seldomly discussed with their client spiritual resources around the community to help in
their spiritual care needs. Item number 4 with weighted mean of 2.21 entails that nurse’s
seldomly offer or pray with the clients. Item number 5 having a weighted mean of 2.17
means that nurse’s seldomly allow client to listen to a worship songs while admitted.
Item number 6 with weighted mean of 2.13 just shows that nurse’s seldomly provide
support in clients spiritual practices. Item number 7 with weighted mean of 2.1 tells that
nurse’s seldomly encouraged clients to use spiritual scripture, images, or rituals to help in
clients coping. Item number 8 having weighted mean of 1.93 means that nurses seldomly
facilitate sacramental practices such as communion or anointing. Item number 9 with
weighted mean of 1.9 tells that nurses seldomly share inspirational writings or words
from bible. Item number 10 having a weighted mean of 1.67 shows that nurses seldomly
arrange visit or referral to spiritual mentors or priest to help client in their spiritual needs.
38
CHAPTER 5
SUMMARY, CONCLUSION, AND RECOMMENDATION
This chapter presents the summary of findings of the study, conclusion, and
recommendations as suggested by the researchers.
Summary
To summarize this the researchers made used of the questionnaires were
gathered and presented in the tabular form with their corresponding interpretation. From
the presentation it was revealed that there are more female nurses working in four
different private hospitals in Baliwag, Bulacan than male nurses. With female nurses
having 80% compare to male having 20%. The majority of the respondents belong to age
group of aged twenty years old to thirty years old having a 60% and 36.36% of nurses
aged thirty-one to forty, while there are only 1.82% on both nurses aged forty-one to fifty
and fifty-one to sixty. Nurses on four different hospitals had stayed from there for almost
1 – 3 years having 49.09% which is twenty-seven out of fifty-five respondent comparing
to 5.45% which is only three out of fifty-five respondents have stayed in for more than 10
years. Followed by 10.91% which is six out of fifty-five respondent stayed for 5 – 10
years, 18.18% which is ten out of fifty-five respondent stayed for 3 – 5 years and 16.36%
which is 9 out of the fifty-five respondent stayed for less than a year in their hospital.
There are no Jehovah’s Witness and Iglesia ni Cristo among the respondent. There are
39
3.64% or 2 among the participants are Christian and the rest which is 87.27% or 48 of the
respondents are Roman Catholic. there are more respondents shifting from 7 – 3AM with
result of 49.09% or twenty-seven out of fifty-five participants, 29.09% or sixteen out of
the fifty-five respondent shift from 3 – 11PM, and 10.91% or six out of the fifty-five
respondents both shift from 11 – 7PM and 7AM – 7PM.
As to their perception about spirituality on how they perceived your spiritual
quality of life the results revealed that having weighted mean of 2.25, nurses disagreed
that they are being overwhelmed when they are item number 1 having difficulties or
problems. Item number 2 having weighted mean of 1.86, tells that nurses strongly
disagreed that they can’t understand their own problems. Item number 3 with weighted
mean of 1.85 which means strongly disagreed therefore nurses have found their purpose
in life. Item number 4, according to the nurses, they always complete what they have
started for they strongly disagreed they don’t having this item a total weighted mean of
1.83. Item number 5 with total weighted mean of 1.77 shows that nurses know how to
start solving their own problems in life. Item number 6 with total weighted mean of 1.74
entails that nurses can do more to make difference in their life. Item number 7 with total
weighted mean of 1.65, nurses strongly disagreed that they can’t do more to help their
selves. Item number 8 with total weighted mean of 1.65, tells that at this moment there is
no void in nurses life. Item number 9 having weighted mean of 1.63, shows that nurses
know where they fit in, in this world we live in. item number 10 having weighted mean
of 1.62, entails that nurses know their full essence of purpose in life. Item number 11
with total weighted mean of 1.55, nurses understand the meaning of life for they strongly
40
disagreed that they are far from understanding it. Item number 12 with total weighted
mean of 1.52, nurses from four different private hospital know to their selves who they
are, where they came from, and where they are going in life, for they strongly disagreed
they don’t.
In their perception about spirituality on how describe their spiritual
activities as an individual the results revealed that, nurses from four different private
hospital strongly agreed there is Supreme Being or God, having this item number 1, 4.85
the highest total weighted mean among the rest of the item. Nurses strongly agreed they
are at peace with God, having this item number 2 a total weighted mean of 4.79. They
also strongly agreed that God is watching over them, and feel confident about this item
number 3 have a total weighted mean of 4.79. Item number 4 with total weighted mean
of 4.76 entails that through their spiritual beliefs they receive strength and comfort. Item
number 5 with total weighted mean of 4.75 nurses strongly agreed that their spiritual
beliefs gave them a positive image by being one of God family. Item number 6 with total
weighted mean of 4.71 in terms of trusting God, nurses strongly agreed that God take
care of our future. In all of our activities in life, nurses strongly agreed that God have
interest on it, having this item number 7 total weighted mean of 4.67. nurses strongly
agreed that thru personal prayer their relationship with God strengthened more, this item
number 8 have total weighted mean of 4.63. Item number 9 is a new category of question
which is religious practices of nurses. Nurses strongly agreed that they get support from
colleagues, friends and family members who share religious beliefs , item number 10
with total weighted mean of 4.55. thru the use of reading books or bible/scriptures and
41
thinking about religious or spiritual things nurses strongly agreed that this helped them
communicate with God. This item number 11 have a total weighted mean of 4.51. item
number 12, with total weighted mean of 4.5 tells that nurses strongly agreed that
attending church or being on a faith group or group of people whom you have the same
religion, is important part of their life. Item number 13 with total weighted mean of 4.44,
entails that nurses strongly agreed they received comfort and support from their spiritual
companion. Item number 14 with total weighted mean of 4.44 tells that nurses strongly
agreed that other than attending worship services they also find satisfaction on other
religious activities. Item number 15 with total weighted mean of 4.38 shows that nurses
strongly agreed that thru participating on religious activities or worship services it gave
them more strengths.
In the Different care practices mostly and least performed by nurses the results
revealed that item number 1 is the most performed among the rest having weighted mean
of 2.54, this means nurses always stay for quite some time with patient experiencing pain,
suffering and other problems. Item number 2 having a weighted mean of 2.47 shows that
nurses always listened to their client anxieties and hardship undergoing. Item number 3
with weighted mean of 2.22 tells that nurse’s seldom discussed with their client spiritual
resources around the community to help in their spiritual care needs. Item number 4 with
weighted mean of 2.21 entails that nurse’s seldom offer or pray with the clients. Item
number 5 having a weighted mean of 2.17 means that nurse’s seldom allow client to
listen to a worship songs while admitted. Item number 6 with weighted mean of 2.13 just
shows that nurse’s seldomly provide support in clients spiritual practices. Item number 7
42
with weighted mean of 2.1 tells that nurse’s seldom encouraged clients to use spiritual
scripture, images, or rituals to help in clients coping. Item number 8 having weighted
mean of 1.93 means that nurses seldomly facilitate sacramental practices such as
communion or anointing. Item number 9 with weighted mean of 1.9 tells that nurses
seldom share inspirational writings or words from bible. Item number 10 having a
weighted mean of 1.67 shows that nurses seldom arrange visit or referral to spiritual
mentors or priest to help client in their spiritual needs.
Conclusion:
The researchers concluded that nurses from four different hospitals have the same
point of view regarding spirituality.
Most of the respondents have the same way of showing respect to patient’s
spirituality and they think that spirituality is vital in giving care.
Nurses know their spiritual aspect within themselves, and they know the worth of
patient’s religion and spirituality however, these are the spiritual practices that is seldom
done by the nurse’s. This is because of work overload, long duty hours and lack of staff.
In terms of how the nurses performed the spiritual care needs of the clients nurses
always stay for quite some time with patient experiencing pain, suffering and other
problems, and shows that nurses always listened to their client anxieties and hardship
undergoing all of this practices shows that the nurses perform the spiritual care needs of
the client.
43
The majority of the respondents are female, 20-30 years old, 20-30 years old, 1-3
years of working experience in the hospital, religion is roman catholic, and in 7-3 pm
shift.
The respondents strongly disagreed with the questions regarding on how they
perceived quality of life therefore they know how their perceptions regarding spirituality.
The respondents strongly agreed on the spiritual activities as an individual. They
also agreed that their There is a Supreme Being, I am at peace with God and I feel
confident that God is watching over me. the nurses showed that they implement their
spiritual activities.
The most performed spiritual care intervention of the client. The nurses always
stay for quite some time with patient experiencing pain, suffering and other problems,
and shows that nurses always listened to their client anxieties and hardship undergoing.
This shows that the nurses perform the spiritual care needs of the client and other
spiritual practices was seldomly performed by the nurses like discussing spiritual
resources around the community, offering prayer to clients, sharing inspirational writing
or words from bible and arranging visit or referral to spiritual mentors or priest.
Recommendations:
Based on the survey made the researchers would like to recommend that the nurse
must discussed with their client spiritual resources around the community to help in their
44
spiritual care needs, offer or pray with the clients, allow client to listen to a worship songs
while admitted, provide support in clients spiritual practices, encouraged clients to use
spiritual scripture, images, or rituals to help in clients coping, and.facilitate sacramental
practices such as communion or anointing, share inspirational writings or words from
bible, seldomly arrange visit or referral to spiritual mentors or priest to help client in their
spiritual needs.
References
A.Books
O’Brien, Mary Elizabeth. (2014). Spirituality in nursing. STANDING ON HOLY
GROUND. Burlington. Jones and Barlett.
B.Others
45
Wattis, J.P., & Rogers, M. (2015). Spirituality in nursing practice. Retrieved from
https://www.researchgate.net/publication/277412258.
Willemse, Smeets, Leeuwen, Janssen, & Foudraine, (2017). Spiritual Care in the ICU:
Perspectives of Dutch Intensivists, ICU Nurses, and Spiritual Caregivers. Retrieved from
https://link.springer.com/article/10.1007/s10943-017-0457-2.
Kharameh, Asayesh, Sharififard, &Alinoori, (2016). Attitude toward Spirituality,
Spiritual Care, and its Relationship with Mental Health among Intensive Care Nurses.
Retrieved from
http://jhsme.muq.ac.ir/article-1-119-fa.pdf.
Minton, Isaacson, Varilek, Stadick, &Persaud, (2017). The Role of Nurses in Providing
Spiritual Care to Patients. Retrieved from
https://www.asrn.org/journal-nursing/1781-the-role-of-nurses-in-providing-
spiritual-care-to-patients-an-overview.html.
46
APPENDICES
47
Dean Elizabeth R. Roxas, MSN, RN

College of Nursing
Baliuag University
Dear Dean Roxas:
Greetings in the name of the Lord!
We, the members of from BSN Level III- Group would like to submit this proposal
and seek the approval of your good office to please allow us to conduct our research entitled
“Spiritual Care Practices of Nurses in Private Hospitals” in partial fulfillment of the
requirements for research 401. This study aims to find the different aspect of how nurses
implement nursing practice, spirituality aspect that are being neglected. And in turn to
regain the vibe of spirituality in every nurses, and how we can improve nurses way of
giving care to critical patient adding spirituality on it.
The target respondent in this part lar study will be all the nurses that are present at
the day of the gathering of data at the following hospitals , Castro Maternity Hospital&
Medical Center, Marcelo Hospital, Sagrada Familia Hospital and Rugay Hospital. We will
distribute the questionnaires during the 1st to 2nd week of February 2019 to our
respondents. We have attached a copy of the questionnaire for your perusal.
We are hoping for your affirmative response regarding this matter.
Respectfully yours,
Leslie Manalastas
Romelyn Cudia
Angelica Marie Gibson
Noted by:
Maria Lourdes C. Policarpio, MSN, RN

Research 401a Professor
Approved by:
DEAN ELIZABETH R. ROXAS, MSN, RN

(original signed)
Dear Respondents:
48
We, the BSN Level III students of Baliuag University are currently conducting a research
study and is intended to identify the different spiritual care practices of staff nurses in selected
private hospital in Baliwag, Bulacan. The information you will provide in this research study will
be kept strictly in confidential.
Your cooperation in this research activity is greatly appreciated. Thank you!
The
Researchers
---------------------------------------------------------------------------------------------------------------------
-------------------
Part I- Personal Information:
Name (Optional): ____________________________________ Gender:  Female 

Male
Name of Hospital:  Rugay General Hospital Age: ______________

 Castro Maternity Hospital & Medical Center
 Sagrada Familia Hospital
Marcelo Hospital Year Graduated (BSN):
_______
Number of years working in the hospital School Graduated for

BSN degree:
 less than 1 year  5 – 10 years  Baliuag University
 1 year to 3 years  More than 10 years  St. Mary’s College of
Baliwag
 3 year to 5 years  Bulacan State
University
 Others; Specify :
_____________
Types of Religion:
 Roman Catholic  Jehovah’s Witness  Christian
 Iglesia ni Cristo  Iglesia ng Dios  Others;
specify : _________
Current Shift Assignment:  7-3 AM shift  3-11 PM shift  11-7 PM

Shift
Part II- How do you perceived your spiritual quality of life?

Instruction: Which best response best describes how you feel about each statement?
Spiritual Index of Well Being Strongly Agree Agree Uncertain Disagree Strongly
Statement* Disagree
1. There is not much I can do to 5 4 3 2 1
help myself.
2. Often, there is no way I can
complete what I have started 5 4 3 2 1
49
3. I can’t begin to understand 5 4 3 2 1

my problems.
4. I am overwhelmed when I
have personal 5 4 3 2 1
difficulties and problems.
5. I don’t know how to begin to 5 4 3 2 1
solve my problems.
6. There is not much I can do to
make a difference in my life. 5 4 3 2 1
7. I haven’t found my life’s 5 4 3 2 1
purpose yet
8. I don’t know who I am,
where I came from, or where I 5 4 3 2 1
am going
9. I have a lack of purpose in 5 4 3 2 1
my life.
10. In this world, I don’t know 5 4 3 2 1
where I fit in.
11. I am far from understanding 5 4 3 2 1
the meaning of life.
12. There is a great void in my 5 4 3 2 1
life at this time
* based from Daaleman, T. P. & Frey, B. B. (2004). The Spirituality Index of Well-Being
Part III- How do you describe your spiritual activities as an individual. Please check the response
category that best identifies your answer
5 - Strongly Agree - The respondents all the time agree with the spiritual
concepts cited.
4 - Agree - The respondents most of the time agree with the spiritual concepts
cited
3 - Uncertain - The respondents is not sure about the whether she agree or not
with the spiritual
concepts cited.
2 - Disagree - The respondents most of the time does not agree with the spiritual
concept cited
1- Strongly Disagree - The respondents never agree with the spiritual concepts
cited.
Instruction: Which best response best describes how you feel about each statement describing
your personal spiritual concepts?
50
*Spiritual Assessment Items Strongly Agree Agree Uncertain Disagree Strongly Disagree
1.There is a Supreme Being, 5 4 3 2 1
or God, Who created
humankind and who cares for
all creatures.
2. I am at peace with God. 5 4 3 2 1
3.I feel confident that God is 5 4 3 2 1
watching over me.
4.I receive strength and 5 4 3 2 1
comfort from my spiritual
beliefs.
5.I believe that God is 5 4 3 2 1
interested in all the activities
of my life.
6.I trust that God will take 5 4 3 2 1
care of the future.
7.My spiritual beliefs support 5 4 3 2 1
a positive image of myself and
of others, as members of Gods
family.
8.Religious Practice of Nurses 5 4 3 2 1
9.Belonging to a church or 5 4 3 2 1
faith group is an important
part of my life.
10.I am strengthened by 5 4 3 2 1
participation in religious
worship services.
11.I find satisfaction in 5 4 3 2 1
religiously motivated activities
other than attending worship
services, for example,
volunteer work or being kind
to others.
12.I am supported by 5 4 3 2 1
relationships with friends or
family members who share my
religious beliefs.
13.I receive comfort and 5 4 3 2 1
support from a spiritual
companion, for example, a co-
nurses, colleagues
14.My relationship with God 5 4 3 2 1
is strengthened by personal
player.
51
15.I am helped to 5 4 3 2 1
communicate with God by
reading or thinking about
religious or spiritual things.
*based on the Spiritual Assessment Scale by Jones and Bartlett with some modification
Part IV- How frequently do you perform the following spiritual care interventions in your nursing
practice?
Instruction: Please check the response category that best identifies your answer
3- Always perform - The respondents most of the time perform the given spiritual care
practices
2- Seldomly perform - The respondents sometimes perform the given spiritual care
practices
1- Never Perform - The respondents did not perform the given spiritual care practices
*Spiritual Assessment Items Always Perform Seldom Perform Never Perform

1. In the primary care setting, I have
discussed with clients potential spiritual 3 2 1
resources in the community to help
meet their spiritual care needs
2. I have provided support for clients’
spiritual practices such as allowing to 3 2 1
attend mass at the hospital chapel.
3. I have arranged for a visit or made a
referral to clients clergy or spiritual 3 2 1
mentors or priest
4. I have offered to pray with clients 3 2 1
5. I have encouraged clients to cope

using spiritual
devotional pictures (image of 3 2 1
Christ/Virgin
Mary, etc), items (rosary, crucifix,
handkerchief,
etc)
6. I have shared inspirational writings or
words 3 2 1
from the bible.
52
7. I have facilitated the receiving of

sacramental 3 2 1
practices like communion, anointing,
etc.
8. I have allowed listening to worship 3 2 1

songs
9. I have listened to the verbalization of

anxieties 3 2 1
and hardship of the illness condition.
10. I have stayed with client for quite a

time who 3 2 1
are experiencing pain, suffering and
other
problems
* based on Vincensi Spiritual Care Interventions Tool (VSCIT) with some modification
Thank you very much!

53
CURRICULUM VITAE
54
Leslie M . Manalastas
267 Sitio Cardenas Brgy. Tagulod, Candaba, Pampanga
(+63) 9166650967
lieman6104@gmail.com
BIOGRAPHICAL DATA
Age : 19 years old

Birth date : May 23, 1999
Birth place : Candaba Pampangga
Height : 4 feet, 11 inches
Weight : 45 kilos
Civil Status : Single
Citizenship : Filipino
Religion : Roman Catholic
Mother : Miguela M. Manalastas
EDUCATIONAL BACKGROUND
 Tertiary: BALIUAG UNIVERSITY ▪ 2015 – 2020

Gil Carlos Street, Baliwag Bulacan 3006
Bachelor of Science in Nursing
 Secondary: Tagulod High School ▪ 2014 – 2015
Tagulod, Candaba, Pampanga
 Primary: Tagulod Elementary School 2011 – 2012
Tagulod, Candaba, Pampanga
55
Romelyn J. Cudia
Banga 1 s t Plaridel, Bulacan
(+63) 997 301 4159
romelyncudia@gmail.com
BIOGRAPHICAL DATA
Age : 21 years old

Birth date : March 31, 1997
Birth place : Plaridel, Bulacan
Height : 5 feet, 1 inch
Weight : 42 kilos
Mother : Lilian J. Cudia

 Secondary: BALIUAG UNIVERSITY ▪ 2009 – 2013
 Primary: MAKINABANG ELEMENTARY SCHOOL. 2003 – 2008
Makinabang, Baliwag, Bulacan
56
ANG ELICA MARIE DC. GIBSO N
9070 Tutukan Guiguinto, Bulacan 3015

(+63) 942 461 4523
angelicagibsondecastro@gmail.com
BIOGRAPHICAL DATA
Age : 21 years old

Birth date : January 26, 1998
Birth place : Mexico Pampangga
Height : 5 feet, 4 inches
Weight : 72 kilos
Mother : Nida DC. Gibson

 Secondary: GUIGUINTO VOCATIONAL HIGH SCHOOL ▪ 2014 – 2015
Guiguinto, Bulacan
 Primary: TUKTUKAN ELEMENTARY SCHOOL. 2011 – 2012
MacArthur Highway, Guiguinto, Bulacan

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Spiritual Care Practices of Nurses in Private Hospitals in Baliwag, Bulacan

THE PROBLEM AND ITS BACKGROUND

According to Madeleine Leininger spirituality is a relationship with a supreme

Nagai-Jacobson and Burkhardt proposed spirituality as a cornerstone of holistic

nursing suggested that questions appropriate to exploring a patient’s spirituality might

According to royal college of nursing in 2011 Spirituality in nursing care is one of

and peace with yourself.

the target host.

Statement of the problem

Specifically the study aims to answer the following question:

1. What are the perceptions of nurses about spirituality?

4. How nurses perform spiritual care needs of the client?

Significance of the Study

improved way of giving care to patient adding spirituality on it.

Scope and Delimitation

This study focused on nurses of private hospitals, in Baliwag.

General Hospital and Sagrada Familia Hospital.

Purpose of the Study

The purpose of the study are:

1. Determine their way of respecting patient spiritualty

implementing care to the client.

Assumption of the Study

1. Nurses have different point of view when it comes to spirituality.

3. Nurses think that spirituality is vital in giving care.

 Belief.an acceptance that a statement is true or that something exists.

 Care. a disquieted state of mixed uncertainty, apprehension, and responsibility.

 Connection. The act of connecting: the state of being connected.

 Dimension. A level of existence or consciousness.

with the analysis of, treatment of, or dissection into parts.

 Holy. Exalted or worthy of complete devotion as one perfect in goodness and

 Implement. To use in the performance of a task.

 Influence. The power or capacity of causing an effect in indirect or intangible ways.

 Practice. To do or perform often, customarily, or habitually.

 Religion. A personal set or institutionalized system of religious attitudes, beliefs,

 Spirituality. Something that in ecclesiastical law belongs to the church or to a

 Surrogate. To put in the place of another.

 Faith. Something that is believed especially with strong conviction involves.

 Spirituality and Nursing Practice. Spirituality and beliefs related to transcendence

or to nonmaterial forces of life and nature. Religious practice or religiosity relates

to a person’s beliefs and behaviors associated with a specific religious tradition or

needs brought on by an illness or injury. (Medical-Dictionary,2015)

 Private Hospital. Is a hospital owned by a for-profit company or a non-profit

themselves, by insurers, governments through national health insurance programs,

or by foreign embassies. (Wikipedia, 2015)

REVIEW OF RELATED LITERATURE AND STUDIES

especially in spiritual aspect. We considered hospital as a holy ground Nurses as God’s

ask for God’s guidance and healing hands. (O’Brien, 2014).

regarding your belief in spirituality and religion. (O’Brien, 2014).

relationship of nurse to patient. Using spirituality in some other patient is important an

most importantly it improves the humanity and psychological needs of a nurse.

(Kharameh, Asayesh, Sharififard, &Alinoori, 2016).

heart and minds. (O’Brien, 2014)

connection because spiritual connection makes an individual to be truly healthy in all

standing on holy ground. (O’Brien, 2014)

recognize the ability as a healer regardless of the social strata, background,

them, makes them feel your presence in the time of crisis.

The notion of “listening” to their verbalization of anxieties and hardships of the

listening provides spiritual care.

According to the article authored by McBrien, “The importance of listening,

Spiritual care to Patient

Giving solution or resolving together one’s spiritual concerns, listening wholeheartedly, as

RESEARCH METHODOLOGY AND DESIGN

The researchers used non-experimental descriptive designs which questionnaires