Spirituality in nursing professionals working in critical health care settings: Systematic review and meta-analysis.

چکیده اصلی

INTRODUCTION: Spirituality, recognized as an essential aspect of nursing care, contributes to well-being and resilience in critical care settings. Its integration into practice strengthens the meaning and sense of meaning and purpose in the lives of nursing professionals. OBJECTIVE: To systematically review the evidence on spirituality among nursing professionals working in critical healthcare settings. METHODOLOGY: A systematic review and meta-analysis were conducted following the PRISMA guidelines. The protocol was registered in PROSPERO (CRD42023371984). Searches were performed from inception to april 2024 in the following databases: Medline/PubMed, Embase, Lilacs, Cochrane CENTRAL, and Web of Science. The meta-analysis of individual means was performed using a random-effects model. Untransformed means (MRAW) were used to estimate the 95% confidence intervals of individual studies, while the I2 and tau2 statistics assessed heterogeneity. RESULTS: A total of 1175 studies were identified, 34 of which were included in the systematic review and 4 in the meta-analysis. A prevalence of 58,8% was observed in non-experimental quantitative studies, with "spirituality education and meeting spiritual needs" being the main theme. Meta-analyses were conducted on studies using scales to assess spirituality levels, particularly the Spiritual Care Competence Scale (SCCS), which showed the best performance with an MRAW of 98,56 (IC 95%: 97,86; 99,25; I2: 0,0%), indicating a moderate level of competence in spiritual care. CONCLUSIONS: The findings highlight the importance of spirituality in professional performance in critical care settings, emerging as a key component for promoting well-being by strengthening resilience in the face of caregiving challenges.

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