The effect on group reflection on nursing students' spiritual well-being and attitude toward spiritual care: A randomized controlled trial


  • Marzieh Momennasab B.Sc, M.Sc, Ph.D. Associate professor, Nursing department, Shiraz University of Medical Sciences, Shiraz, Iran. email:
  • Zahra Shadfard B.Sc, M.Sc. student. Student research committee, Shiraz University of Medical Sciences, Shiraz, Iran. email:
  • Azita Jaberi B.Sc, Ph.D. School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. email:
  • Seyed Saeed Najafi B.Sc, M.Sc. Instructor. Nursing department, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran email: Corresponding author.
  • Fakhrozaman Naeemi Hosseini Assistant professor. PhD of distance education, Center of Excellence for Electronic Learning in Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. email:



Students, nursing, spirituality, attitude, control groups, nursing.


Objective. To investigate how group reflection about spiritual care affects nursing students' spiritual well-being and attitude toward spirituality and spiritual care.

Methods. This was a randomized controlled trial conducted on 63 second-year nursing students who were studying at Nursing and Midwifery Colleges in Shiraz and Jahrom, both located in south of Iran. The students were randomly divided into an intervention (n=30) and a control (n=33) group. The study data were collected using the Spiritual Well-Being Scale and Spirituality and Spiritual Care Rating Scale before and after the intervention. The intervention consisted in four sessions of group reflection based on the scenarios related to spiritual care. The control group was given a related lecture in one session.

Results. A significant difference was found between the two groups' means in spiritual well-being scores after the intervention compared to before that. Likewise, a significant difference was observed in the intervention group students' total scores of attitude before and after the intervention.

Conclusion. Group reflection improved the nursing students' spiritual well-being and their attitude toward spirituality and spiritual care compared with control group.


How to cite this article: Momennasab M, Shadfard Z, Jaberi A, Najafi SS, Hosseini FN. The Effect of Group Reflection on Nursing Students' Spiritual Well-being and Attitude Toward Spiritual Care: a randomized controlled trial. Invest. Educ. Enferm. 2019; 37(1):e09.

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How to Cite

Momennasab, M., Shadfard, Z., Jaberi, A., Najafi, S. S., & Hosseini, F. N. (2019). The effect on group reflection on nursing students’ spiritual well-being and attitude toward spiritual care: A randomized controlled trial. Investigación Y Educación En Enfermería, 37(1).




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