Journal of Spiritual Health
Year:2023 | Volume:2 | Issue:3|Papers Count:8

Letter to Editor

Background and Aim: Implementing holistic health, the development of spirituality, and Islamic morality in society requires theory-based spiritual health services. The health system needs to provide spiritual health care in the spectrum of health and disease, at all levels of prevention and throughout life. This study aimed to explain the pathology of Iranian spiritual health services to design targeted measures to shape a desirable future. Methods: This Islamic futurology was conducted in 18 months based on the Manteghi et al. model in three stages: 1) Analytical phase:non-systematic review of evidence with PRISMA protocol by searching for religious and scientific evidences during the last three decades in scientific databases and analysis of 32 articles based on Walker and Avant conceptual analysis model; 2) Interpretive stage: based on the personality theory and pathology theory of the Sound Heart model; 3) Intuitive phase: by content analysis of data obtained from interviews with 25 national experts. To check the strength, accuracy, completeness, and possibility of logical understanding of the findings, in addition to Morse et al.'s suggestions, two specialized panels were conducted in the Spiritual Health Department of the Academy of Medical Sciences. Results: The challenges were listed in three sections: 1) Research field: lack of jurisprudential supervision of research, lack of use of religious evidence by academics, preparation of religiosity assessment questionnaires, lack of theorizing; 2) Educational field: lack of spiritual health education in the university, lack of training of spiritual mentor professors, lack of spiritual health textbooks; 3) Clinical services field: lack of standards for spiritual health services, lack of assessment of competence of spiritual caregivers, neglect of spiritual needs of people, neglect of spiritual self-care, lack of implementation of theory-based spiritual care. Conclusion: To design the ideal future of spiritual health, it is recommended to prepare clinical standards, -to train mentor professors, to implement competency-based longitudinal training, and provide theory-based spiritual health services by a qualified and licensed treatment team.

Background and Aim: The concept of spirituality in heart attack patients needs more clarification and indexing. This study was conducted to analyze the concept of spirituality in patients with myocardial infarction. Methods: In this study, the evolutionary approach of Rogers concept analysis was used. In this borrowed method, the approach is inductive and detailed analysis, and the focus of the study is based on the collection and analysis of raw data, and the goal is to clarify the concept, its common uses, and to reveal its characteristics for further development and evolution of the concept. Results: Communication with God, life after death, strengthening of faith, and meaningful transformation were extracted in the dimensions of characteristics of the concept of spirituality in patients. Also, the antecedents and consequences of the concept of spirituality were discussed, and then related concepts and examples were mentioned. Conclusion: Spirituality in heart attack patients was determined under the headings of communication with God, life after death, strengthening of faith, and meaningful transformation. The antecedents were considered under the two general headings of factors with a positive effect and factors with a negative effect on the concept of spirituality, and finally, it was found that the concept of spirituality in heart attack patients is associated with very important consequences such as creating hope, peace, and comfort. These things together can improve the health of these patients even more, and the familiarity and understanding of it can play an important role in creating the correct attitude of nurses towards these patients.

Background and Aim: increasing the regulation of emotions leads to the progress and growth of people. Islamic ontology therapy plays an important role in their mental and physical health. The purpose of this study was to investigate the effectiveness of life review therapy based on Islamic ontology on the difficulty of regulating emotions in adolescent girls (12-17 years old) in Shahrbabak city. Methods: The research method was semi-experimental and pre-test, post-test with a control group. The statistical population of this research included all adolescent girls (12-17 years old) who referred to counseling centers in Shahrbabak in 2020 with difficulty in regulating emotions, 30 of them (15 in the experimental group and 15 in the control group) Available options were selected. Data collection tool was Gertz and Rome (2004) emotion regulation difficulty questionnaire. The intervention of life review therapy based on Islamic ontology was implemented during 8 sessions of 90 minutes twice a week in the experimental group and the control group did not receive any training. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis using SPSS version 24 software. A P-value less than 0.05 was considered significant. Results: The results of the multivariate covariance analysis test showed that Islamic ontology therapy is effective on the difficulty of regulating the emotions of adolescents (12-17 years old) in Shahrbabak city at a significance level of P<0.001. The mean and standard deviation of the emotion regulation difficulty variable decreased from 106.21 ± 15.43 in the pre-test phase to 79.41 ± 22.09. Conclusion: Islamic ontology helps to regulate people's emotions by expanding their ontological view of their actions, goals, and behaviors. Considering the effectiveness of Islamic ontology therapy on the difficulty of regulating emotions, this treatment can be used to reduce the psychological problems of adolescent girls.

Background and Aim: The necessity and need of the medical community for spiritual aspects in the country's medical education system and how to deal with it is being created. In this study, a spiritual health education program based on the Islamic approach has been designed to compile educational topics for the medical community of the University of Medical Sciences. Methods: In this study, from 2020 to 2022, with a review of sources and research related to spiritual skills and spirituality in health, holistic and systematic approaches to human beings, steps were taken to develop educational topics according to needs assessment, and the aims and educational strategies were developed based on the headings. The method of approving educational content was approved in 5 dedicated panels with the presence of 13 experts in the field of spiritual health, education, and planning. Results: The educational strategy of health and spiritual care was determined in the form of 5 axes. Familiarity with the importance, why and necessity of health and spiritual care in clinical work, conceptualization and basics of spiritual health with Islamic approach, clinical guide in health and spiritual care, necessary skills in spiritual health, familiarity with types of spiritual care, from It is the sentence of these axes. Conclusion: Medical education in Iran, while having excellent features, has important weaknesses and shortcomings. It includes health education and spiritual care during training in medical universities. The present article, which is based on the scientific research and clinical experiences of expert professors with an Islamic approach in the direction of increasing educational knowledge and acquiring the necessary skills following the spiritual needs of the medical community, is a step in solving this deficiency.

Background and Aim: In the medical education literature, spiritual health is considered an intrinsic essence and an essential element of culture, and it appears uniquely in every society. Dealing with spiritual health in educational and therapeutic systems depends on proper planning. Therefore, this study aims to explain the necessary infrastructure for the introduction of spiritual health issues into medical education from the perspective of Shiraz University of Medical Sciences students. Methods: This qualitative study was conducted using the content analysis method. The data were collected via face-to-face and semi-structured interviews with 15 students of Shiraz University of Medical Sciences who were selected by purposive sampling and analyzed using the coding method. Results: The results obtained from the analysis of research interviews led to the identification of 4 main categories of planning, implementation, content, and professors. The planning category included 5 concepts of foundation, proper timing, holding a workshop, being included in the chart of elective courses, and holding a fellowship course. The implementation category included 4 concepts face-to-face training, non-assignment-oriented, interactive training and classes, and reasoning-based training. The content category included 4 operational and practical concepts of the presented content, based on existing scientific references, content with research support, a combination of current topics in the field of spiritual health, and localized studies based on the cultural-religious context of the country. The category of professors included 4 concepts: behavioral characteristics of professors, gender diversity, interdisciplinary nature of professors, and having expertise in different fields of medicine. Conclusion: According to the findings, for the inclusion of spiritual health issues in a practical way in the medical education system, it is necessary to think about the necessary measures in terms of planning, proper timing, implementation method, and teaching professors so that it becomes a professional and systematic education considering the religious values of the country and the cultural and social variables.

Background and Aim: Islamic spiritual health is a state in which a person leads to divine, excellence, in the shadow of insight and reasoning, revelation and mission, by making proper optional behaviors in personal and social fields. The spiritual health of couples, founders of societies, affects their efficiency. Therefore, in this descriptive-library study, the antecedents of the spiritual health of Muslim couples are investigated. Methods: To collect data, Google Scholar, Normags, Magiran, and SID databases were searched with the keywords of "spiritual health", "spirituality", "couples", and "spouses", and their English equivalents in 1980-2020. After reviewing 36 documents, the antecedents of the spiritual health of couples in Islamic texts were extracted by the conventional content analysis method. Results: The resulting 139 codes were classified into six subcategories (affecting family management, sexual, spiritual, behavioral, emotional, and cognitive relationships). In this article, the data related to the antecedents of spiritual health affecting the two subclasses of "emotional relations" and "cognitive" of couples were presented. The first subcategory includes seven items expressing love, forgiveness and apology, respect and appreciation, honesty, happiness, peace and relief, and observing the limits of emotional belonging. The second subcategory includes five items conflict resolution, mutual understanding and rapport, optimism and trust, contentment and expectation adjustment, fairness and justice. Conclusion: Improving interpersonal communication skills and attitudinal-emotional characteristics by creating an emotional relationship; spending enough time to choose a partner and getting to know him/her, being frank in expressing expectations, and developing personality traits by creating a cognitive relationship has a positive effect on couples’ spiritual health.

Background and Aim: Nurses, a major part of the health system, have been affected by the corona crisis more than other people working in the health system. To prepare to deal with crises and improve the state of the health system, nurses must have a level of physical and mental health and proper job self-efficacy. The purpose of this study is to determine the relationship between the lifestyle that promotes health and spiritual well-being with the job self-efficacy of nurses in Corona wards. Methods: The current research method was a correlational description. The statistical population was all the nurses working in the corona wards of Baqiyatallah Hospital in 2021. The statistical sample consisted of 82 nurses of wards admitting COVID-19 patients, who were selected by the available sampling method. The data were collected using three health-enhancing lifestyle questionnaires by Walker (1987), the spiritual well-being questionnaire by Dehshiri et al. (2013), and the standard Job self-efficacy questionnaire by Bandura (1977) and using descriptive and inferential statistical methods (correlation and regression) was analyzed. Results: The findings of the research showed that there is a relationship between the health-promoting lifestyle variables and spiritual well-being with the Job self-efficacy of nurses in Corona wards. Overall, the components of the health-promoting lifestyle and spiritual well-being explain 43.5% of nurses' Job self-efficacy. Spiritual growth component (β=0.544) and self-relation component (β=0.545) have a significant relationship with nurses' Job self-efficacy. Conclusion: The results of the research show that the nurses' Job self-efficacy can be predicted based on the lifestyle that promotes their health and well-being. Therefore, it is necessary to consider appropriate educational programs to improve the lifestyle and spiritual well-being of nurses.