1. Best Practice In Spiritual Care Education; Finding A Way Forward
Coming together from across Europe to shape the future of spiritual care education and to enhance compassionate care
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2. What do we mean by competence in spiritual care
What do we mean by competence in spiritual care? Developing the Spiritual Care Competence Scale (SCCS)
René van Leeuwen
Lectorate Healthcare & Spirituality
Viaa Christian University of Applied Sciences
Zwolle - Netherlands
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Outline
Competence
Spiritual Care Competence Profile
Spiritual Care Competence Scale (SCCS)
SCCS: Developments
Discussion
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Competence
Integrated learning
Dominant approach in today’s nursing education
Foundation of spiritual care education
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Domains of Spiritual Care Competence Profile van Leeuwen & Cusveller, Journal of Advanced Nursing 2004
Assurance and quality of expertise
Spiritual dimensions of the nursing process
Awareness and use of self
Perspective
Practice
Person
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Domain: Awareness and Use of Self van Leeuwen &Cusveller, Journal of Advanced Nursing 2004
The nurse handles her/his own values, convictions and feelings in their professional relationships with patients of different beliefs and religions (4 indicators)
The nurse addresses the subject of spirituality with patients from different cultures in a caring manner (3 indicators)
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Domain: Spiritual Dimensions of the Nursing Process van Leeuwen &Cusveller, Journal of Advanced Nursing 2004
The nurse collects information about the patient’s spirituality and identifies the patient’s needs (4 indicators)
The nurse discusses with patients and team members how spiritual care is provided, planned and reported (5 indicators)
The nurse provides spiritual care and evaluates it with the patient and team members (9 indicators)
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Domain: Assurance and Quality of Expertise van Leeuwen &Cusveller, Journal of Advanced Nursing 2004
The nurse contributes to quality assurance and improving expertise in spiritual care in the organisation (3 indicators)
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9. Spiritual Care Competence Scale (SCCS)
Based Spiritual Care Competence Profile (van Leeuwen & Cusveller, 2004)
28 indicators split in 35 items
Tested and validated among nursing students; psychometric quality satisfactory (Journal of Clinical Nursing, van Leeuwen et al., 2008/2009)
Factor analysis: 6 factors remained – 27 items
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Person
Attitude towards the patient’s spirituality (4 items)
Communication (2 items)
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Practice
Assessment and implementation of spiritual care (6 items)
Personal support and patient counselling (6 items)
Referral (3 items)
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Perspective
Professionalization and improving the quality of spiritual care (6 items)
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SCCS: developments
International follow-up research in different groups (students/nurses)
Psychometrics satisfactory
Translation and validation in different countries in progress
I CAN is predictor for I DO
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14. Attitude/communication: high Quality assurance: low
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Discussion
Competence approach
Self assessment
Stepped skills ?
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Competence approach
Critics: atomistic, technical, non-relational
Alternative:narrative approach
Narrative part of competence??
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Assessment
Limitations: subjective, real practice?
Alternatives: research real practice
video observations
participant observations
competence assessment internship
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Stepped skills?
Basic competence: person, practice, perspective
Stepped skills: innovator, coach
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