KSDS-Nursing Interventions: Outcome Indicators of Spiritual Care by Structure Equation Model

Monday, 7 July 2008
Ya Lie Ku, MSN , College of Nursing, Fooyin University, Kaohsiung Hsien, Taiwan
Shih-Ming Kuo, MS , Environment Engineering, Fooyin University, Kaohsiung Hsien, Taiwan
Ming-Chu Chiang, MSN , Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
Ching-Yi Yao, BA , Cancer and Hospice Units, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung County, Taiwan
Feng-Ping Lee , Department of Nursing, Fooyin University, Kaohsiung, Taiwan

Learning Objective 1: Learner can understand the process of building spiritual care protocol for cancer patients.

Learning Objective 2: Learner can understand the function of Structure Equation Model for evaluating developed spiritual care model.

Cancer is the leading number one cause of mortality in Taiwan. A literature review indicates that the majority of cancer patients explore the spiritual needs. However, health care professionals cannot provide spiritual care due to their insufficient skills of assessing spirituality for cancer patients, as well as lack of spiritual care interventions in the clinics. Overall, health care professionals do need a spiritual care model as a protocol for guiding the process of spiritual care for cancer patients. The researcher has developed a theoretical framework of spiritual care model for cancer patients during 2003. The spiritual care model included four domains of cancer patients' relationship with self, relationship with others, relationship with God, and the process of facing death, including the psychological, interpersonal, religious, and hospice aspects based on the evidences by simple factorial ANOVA statistics. Based on the four domains, Ku's spiritual distress scale (KSDS) with 30 items, 25 nursing interventions, and 22 outcomes indicators were generated for the spiritual care of cancer patients. The content validity of KSDS, nursing intervention, and outcomes indicators ranged from .83 to .96 was estimated by four experts. Besides, the Cronbach of three scales ranged from .87 to .95 was evaluated by 85 cancer patients and 48 health care professionals. Additionally, the explained abilities of three scales ranged from 64.8% to 68.4% with the acceptable levels following the factor analysis. Nevertheless, endogenous and exogenous variables could be existed in the four domains of spiritual care model. Therefore, the purpose of this study is to test KSDS-nursing intervention-outcomes indicators by structure equation model to further evaluate this psychological, interpersonal, religious, and hospice aspects based model. This ongoing study is to develop a spiritual care model as a protocol for health care professionals to care the spirituality of cancer patients.