The Effect of Social Support to Spiritual Well-Being with Attitude towards Nursing Profession as Mediating Variable
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Abstract
This research intended to: (1) develop and monitor the consistency of the causal model of social support influencing spiritual well-being and attitude regarding the nursing profession as a mediating variable; and (2) analyze direct and indirect influences of social support and the direct influence of attitudes about the nursing profession on their well-being spiritually. Research samples obtained through stratified sampling are 150 third- and fourth- year nursing students at a nursing college under the Ministry of Defense. Research tools include spiritual well-being measurement tool, social support measurement tool, and an attitude measurement tool. The data is analyzed by LISREL’s structural equation model.
The findings can be summarized as follows:
1.The causal model of social support influencing spiritual well-being and attitude regarding the nursing profession as a mediating variable is consistent with empirical data (χ 2 (df = 36) = 45.61, p = 0.13, CFI = 1.00, RMSEA = 0.04, SRMR = 0.03)
2. Social support and attitudes towards the nursing profession have a direct influence on spiritual well-being measured with 0.67 and 0.26 respectively. The two variables can predict 76 percent of the variability of spiritual well-being (= 0.76)
3. Social support indirectly influences spiritual well-being, equal to 0.18.
Recommendations for the implementation of the research’s findings: Nursing students should be encouraged to have good spiritual well-being. Activities should be held that promote social support and strengthen positive attitudes toward nursing. These activities are supposed for developing the potential of nursing students to become good professional nurses, ready to provide spiritual care for patients.
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References
Abid, S., Bajwa, R. S., & Ajmal, A. (2020). Social support, spiritual well-being and life satisfaction of cancer patients. Journal of Pakistan Psychiatric Society, 17(3), 24-27.
Alorani, O. I., & Alradaydeh, M. T. F. (2018). Spiritual well-being, perceived social support, and life satisfaction among university students. International Journal of Adolescence and Youth, 23(3), 291-298.
Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51(6), 843-857.
Boontong, T. (1990). Nurses and personality development. Bangkok: Pisuj-aksorn. [in Thai]
Chen, Y. H., Lin, L. C., Chuang, L. L., & Chen, M. L. (2017). The relationship of physiopsychosocial factors and spiritual well-being in elderly residents: Implications for evidence-based practice. Worldviews on Evidence-Based Nursing, 14(6), 484-491.
Chupradit, P. (2013). Spiritual health of nursing students in nursing colleges under the Jurisdiction of Praboromarajchanok Institute the Ministry of Public Health (Doctoral dissertation). Maejo University, Chiang Mai. [in Thai]
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357.
Cruess, R. L., Cruess, S. R., & Steinert, Y. (2016). Amending Miller’s pyramid to include professional identity formation. Academic Medicine, 91(2), 180-185.
Fabbris, J. L., Mesquita, A. C., Caldeira, S., Carvalho, A. M. P., & Carvalho, E. C. D. (2017). Anxiety and spiritual well-being in nursing students: A cross-sectional study. Journal of Holistic Nursing, 35(3), 261-270.
Far, M. S., Khah, H. Z. H., Moradbeigi, K., Hatefi-Moadab, N., Ghassemi, M., Cheraghian, B., & Elhami, S. (2017). Clinical instructor social support and nursing student stress in clinical environments. International Journal of Advanced Biotechnology and Research, 8(1), 182-188.
Farooq, M. S., Salam, M., ur Rehman, S., Fayolle, A., Jaafar, N., & Ayupp, K. (2018). Impact of support from social network on entrepreneurial intention of fresh business graduates: A structural equation modelling approach. Education + Training, 60(4), 335-353.
Fisher, J. (2010). Development and application of a spiritual well-being questionnaire called SHALOM. Religions, 1(1), 105-121.
Godfrey, N., & Crigger, N. (2017). Professional Identity. In J. Giddens (Ed.), Concepts of nursing practice (2nd ed., pp. 379-386). Beijing: Elsevier.
Gottlieb, B. H., & Bergen, A. E. (2010). Social support concepts and measures. Journal of Psychosomatic Research, 69(5), 511-520.
Hungelmann, J., 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: Assessment of spiritual well-being is essential to the health of individuals. Geriatric Nursing, 17(6), 262-266.
Jahandideh, S., Zare, A., Kendall, E., & Jahandideh, M. (2018). Nurses’ spiritual wellbeing and patients’ spiritual care in Iran. COJ Nurse Healthcare, 1(3), 1-5.
Jantaveemuang, W., & Thongmeekhwan, T. (2016). Nursing students and spiritual health. The Southern College Network Journal of Nursing and Public Health, 3(3), 208-219. [in Thai]
Karaca, A., Yildirim, N., Cangur, S., Acikgoz, F., & Akkus, D. (2019). Relationship between mental health of nursing students and coping, self-esteem and social support. Nurse Education Today, 76, 44-50.
Kim, H. S., & Yeom, H. A. (2018). The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study. Intensive and Critical Care Nursing, 46, 92-97.
Kline, R. B. (2016). Principles and practice of structural equation modeling (4th ed.). New York: Guilford.
Lakey, B., & Cohen, S. (2015). Social support theory and measurement. In S. Cohen, L. G. Underwood, & B. H. Gottlieb (Eds.), Social support measurement and intervention: A guide for health and social scientists (pp. 29-52). Oxford: Oxford University Press.
Limanun, J. (2007). Factors related to nurse practitioner’s role performance (basic medical care) of professional nurses in primary care units, the 19th public health region (Master’s thesis). Burapha University, Chonburi. [in Thai]
Mathad, M. D., Rajesh, S. K., & Pradhan, B. (2019). Spiritual well-being and its relationship with mindfulness, self-compassion and satisfaction with life in baccalaureate nursing students: A correlation study. Journal of religion and health, 58(2), 554-565.
Musa, A. S. (2017). Spiritual care intervention and spiritual well-being: Jordanian Muslim nurses’ perspectives. Journal of Holistic Nursing, 35(1), 53-61.
Nardi, D., & Rooda, L. (2011). Spiritual-based nursing practice by nursing students: An exploratory study. Professional Nursing, 27(4), 255-263.
Onsri, P. (2017). The attitude toward nursing profession among the generation Z population: The secondary school case study. Journal of The Royal Thai Army Nurses, 18(3), 170-179. [in Thai]
Paloutzian, R. F., & Ellison, C. W. (1982). Loneliness, spiritual well-being, and quality of life. In L. A. Peplau & D. Perlman (Eds.), Loneliness: A sourcebook of current theory, research and therapy (pp. 224-236). New York: John Wiley & Sons.
Praptiwi, A. (2014). Nurses’ spiritual well-being and attitudes towards care of dying patients (Doctoral dissertation). Monash University, Melbourne.
Rice, L., Barth, J. M., Guadagno, R. E., Smith, G. P., & McCallum, D. M. (2013). The role of social support in students’ perceived abilities and attitudes toward math and science. Journal of Youth and Adolescence, 42(7), 1028-1040.
Saiyod, L., & Saiyod, A. (2000). Research methods in education (3rd ed.). Bangkok: Suweeriyasan. [in Thai]
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705-714.
Soleimani, M. A., Sharif, S. P., Yaghoobzadeh, A., Sheikhi, M. R., Panarello, B., & Win, M. T. M. (2019). Spiritual well-being and moral distress among Iranian nurses. Nursing Ethics, 26(4), 1101-1113.
Soltani, M. A. T., Karaminia, R., & Hashemian, S. A. (2014). Prediction of war veteran’s mental health based on spiritual well-being, social support and self-efficacy variables: The mediating role of life satisfaction. Journal of Education and Health Promotion, 3, 35-40.
Soper, D. S. (2020). A-priori sample size calculator for structural equation models. Retrieved from http://www.danielsoper.com/statcalc
Suddee, L., & Aungsuroch, Y. (2012). Relationships between work motivation, social support, organizational commitment, and work happiness of staff nurses, general hospitals, central region. Kuakarun Journal of Nursing, 19(2), 42-59. [in Thai]
Suphamongkhon, N. (2004). Anxiety, social support, and coping strategies of university students (Master’s thesis). Chulalongkorn University, Bangkok. [in Thai]
Tang, J. H., Chen, M. C., Yang, C. Y., Chung, T. Y., & Lee, Y. A. (2016). Personality traits, interpersonal relationships, online social support, and facebook addiction. Telematics and Informatics, 33(1), 102-108.
Tardy, C. H. (1985). Social support measurement. American Journal of Community Psychology, 13(2), 187-202.
Thamlikitkul, S., & Sinudompol, S. (2019). Factors predicting quality of life of undergraduate nursing students at Kuakarun Faculty of Nursing in Navamindradhiraj University. Kuakarun Journal of Nursing, 26(1), 55-75. [in Thai]
Trepte, S., Dienlin, T., & Reinecke, L. (2015). Influence of social support received in online and offline contexts on satisfaction with social support and satisfaction with life: A longitudinal study. Media Psychology, 18(1), 74-105.
Warshawski, S., Itzhaki, M., & Barnoy, S. (2018). The associations between peer caring behaviors and social support to nurse students’ caring perceptions. Nurse Education in Practice, 31, 88-94.
Weston, R., & Gore Jr, P. A. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34(5), 719-751.