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Developing the Content Structure of the Spiritual History Form for Adolescents with Life-Threatening Illnesses in Nursing Care
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Saeideh Hamledari *   , Ahmad Fazeli , Rohollah Mousavizadeh |
| Department of Islamic Studies, Faculty of Theology, University of Qom, Qom, Iran & Department of Islamic Studies, Faculty of Theology , hamledari20@gmail.com |
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Abstract: (31 Views) |
Background and Aim: Adolescents with life-threatening illnesses face profound spiritual challenges and conflicts in addition to physical suffering, making attention to these issues essential in comprehensive nursing care. This study aimed to design the content structure of a spiritual history form for the systematic assessment of these needs in adolescents.
Methods: This qualitative, development-oriented study was conducted in five stages: 1) a systematic review of scientific resources and extraction of key concepts, 2) development of a preliminary form structure based on inductive content analysis, 3) content validation and structural refinement via a two-round Delphi process with a panel of 15 experts in nursing, psychology, medical ethics, and spiritual care, 4) final revision based on panel feedback, and 5) analysis and stabilization of the final structure.
Results: The final structure of the form was organized into 7 main sections and 29 sub-components: 1) Demographic Information (5 sub-components), 2) Spiritual History (4 sub-components), 3) Spiritual Screening with 20 key indicators of spiritual distress, 4) Spiritual Parenting (6 sub-components), 5) Spiritual Challenges across 6 domains (physical, emotional, social, academic, identity, treatment side effects), 6) Spiritual Conflicts (5 types of conflicts), and 7) Spiritual Needs within the four relational domains (God/Higher Power, Self, Others, Nature).
Conclusion: This study led to the development of a comprehensive framework for spiritual assessment in adolescents with life-threatening illnesses. The developed structure, by integrating current state assessment and risk factor identification, enables a shift toward preventive and personalized spiritual care, providing an effective clinical tool to reduce spiritual distress and enhance resilience in this vulnerable population. |
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| Keywords: Spiritual Assessment, Adolescent, Life-Threatening Illness, Spiritual Distress, Palliative Care |
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Type of Study: Original Research |
Subject:
Spiritual Health
Received: 2025/07/17 | Accepted: 2025/09/9 | Published: 2025/09/21
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