Nur Hidayah
Program Studi Magister Keperawatan Universitas Islam Negeri Alauddin Makassar

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Roles and collaboration of nurses and chaplains in spiritual care: A scoping review Kamriani Kamriani; Nur Hidayah; Syamsiah Rauf
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 4 (2026): Volume 9 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i4.3687

Abstract

Background: Spiritual care is an essential component of holistic healthcare, with equal importance to physical, psychological, and social care. Nurses have the primary responsibility for assessing and addressing patients' spiritual needs, while chaplains or spiritual care providers serve as professional partners who complement spiritual care services, particularly for patients in critical, palliative, and end-of-life settings. However, the implementation of collaborative spiritual care between nurses and chaplains continues to face various challenges. Purpose: This scoping review aimed to map the existing evidence on the roles of nurses and chaplains in providing spiritual care, identify key concepts related to spiritual care competencies, interprofessional collaboration, and barriers to implementation, and explore evidence gaps in the literature, particularly within Indonesia and other Muslim-majority countries. Method: A scoping review was conducted following the Arksey and O'Malley framework, as refined by the Joanna Briggs Institute (JBI). Literature searches were performed in PubMed, CINAHL, Scopus, Google Scholar, and Garuda Portal for studies published between 2021 and 2025. The article selection process followed the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines, resulting in 40 studies that met the inclusion criteria. Results: Three major themes emerged from the synthesis: (1) the roles of nurses, including spiritual assessment, spiritual interventions, patient advocacy, and documentation; (2) the roles of chaplains or spiritual care providers, including spiritual counseling, end-of-life support, mediation among patients, families, and healthcare teams, and education for healthcare professionals; and (3) interprofessional collaboration, demonstrating that integrated spiritual care models contribute to improved patient satisfaction, enhanced quality of care, and reduced spiritual distress. Conclusions: Nurses and chaplains play complementary and indispensable roles in addressing patients' spiritual needs. Strengthening nurses' spiritual care competencies, standardizing chaplain competencies within hospital settings, and developing integrated interprofessional collaboration models are essential strategies for improving the quality of patient-centered spiritual care.
Spiritual care integration in palliative nursing: A scoping review of barriers, intervention characteristics, and implications for Islamic healthcare contexts Syur Hasriati Jufri; Muh. Anwar Hafid; Ilhamsyah Ilhamsyah; Nur Hidayah; Andi Mappanganro
MIN Vol. 9 No. 7 (2026): Volume 9 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/min.v9i7.3995

Abstract

Background: Spiritual care is internationally recognised as a core dimension of palliative nursing, yet its integration into routine clinical practice remains inconsistent, particularly in Muslim-majority and non-Western settings where culturally responsive frameworks are lacking. Purpose: To systematically map evidence on spiritual care integration in palliative nursing, focusing on multi-level barriers, intervention characteristics across cultural contexts, and implications for Islamic healthcare settings. Method: A scoping review was conducted using the Arksey and O'Malley framework, the JBI methodology, and the PRISMA-ScR guidelines. Four databases, PubMed, Scopus, DOAJ, and Europe PMC, were searched in May 2026 for studies published between January 2015 and May 2026 in English or Indonesian. Results: Thirty‑seven studies were included. Barriers to integrating spiritual care emerged at individual, organizational, and system levels, with inadequate documentation, unclear role definitions, and limited institutional support as the most persistent challenges. While universal principles of spiritual care were consistently reflected, effective interventions varied across religious, cultural, and healthcare contexts. The synthesis highlights contextual adaptation as essential for translating universal principles into meaningful practice, particularly within Muslim‑majority healthcare settings. Conclusions: Integrating spiritual care into palliative nursing requires not only individual competence but also organizational readiness, interdisciplinary collaboration, and sensitivity to patients’ religious and cultural contexts. This review introduces a conceptual framework that situates contextual adaptation as the link between universal principles of spiritual care and their clinical application, thereby supporting culturally responsive practice and guiding future model development.