<![CDATA[Background: Hemodialysis can challenge meaning, hope, relationships, and religious practice, making spiritual assessment relevant to holistic nursing. Purpose: To describe psychosocial, spiritual, and religious needs among adults receiving hemodialysis using the Spiritual Needs Assessment for Patients. Methods: A descriptive cross-sectional study used the 23-item Spiritual Needs Assessment for Patients (SNAP). Available-case frequencies and percentages were reported because denominators differed across demographic variables and SNAP domains in the retained dataset. Results: Psychosocial needs were high in 33 of 60 participants (55.0%). Spiritual needs were high in 33 of 67 valid responses (49.3%), while religious needs were most often moderate (30/62; 48.4%). Sex, education, and age variables also had different valid denominators. Conclusion: Participants reported substantial psychosocial, spiritual, and religious needs. The inconsistent denominators require raw-data verification, but the pattern supports routine spiritual assessment and individualized nursing care that respects each patient's beliefs and preferences. ]]>
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