Relation Between Nurses’ Critical Thinking With The Islamic Caring

Behavior And Islamic Spiritual Care Perspective At The Adult Inpatients

Of RumahSakitMuhammadiyah Bandung

Nurul Anisa1, Dewi Mustikaningsih2, and Nandang Jamiat3

Stikes Aisyiyah Bandung
Email : ndgjem@yahoo.com

ABSTRACT
Introduction:An Islamic-based hospital provides a highquality nursing care
by implementing an Islamic spiritual care.Therefore, muslim nurses must be
able to develop an Islamic caring behavior and Islamic spiritual care
perspective by incorporating critical thinking in patient care. Objective: This
study is aimed to determine the correlation between nurses’ critical thinking
with the Islamic caring behavior and Islamic spiritual perspective in the adult
inpatients of RumahSakitMuhammadiyah Bandung. Method: This study used
a correlation quantitative descriptive design with a cross-sectional approach.
A total of 58 samples were obtained through purposive sampling. Results:
The study showed results through Spearman Rank test that nurses’ critical
thinking (p=0.007) are correlated with Islamic caring behavior, but not
correlated with the Islamic spiritual care perspective (p=0.559). Conclusion:
It is suggested that the nursing departement of RumahSakitMuhammadiyah
Bandung to create a specific rule regarding spiritual care by implementing a
nursing operational standard.

Keywords: Critical thinking, Islamic Caring Behavior, Islamic Spiritual Care

Perspective, Nurses
contributions in Islam-based
INTRODUCTION hospital. Practically, nursing
There has not been an services require critical thinking in
accomplished establishment for clinical reasoning.
the issue of health care in an The objective of critical thinking is
Islam-based hospital (Lamsudin, to determine patient's problems in
2002). Islam-based hospital must muslim spiritual aspects. Nurses
have a superior value in provided have to think quickly and precisely
services that must embody Islamic in a variety of workplace
holistic services. Nursing situations in each infirmary unit in
profession gives great muslim spiritual services. To
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produce quality nursing services
by applying islamic values, the
nurses are demanded to be more
competent and professional.
Muslim nurses show critical
thinking by holding the good
moral principles in showing good
care in muslim spiritual aspects.
According to Abu-Ras (2010),
many muslim patients consider
that the spiritual aspects play an
important role in life. Nurses in
Islam-based hospital must
understand the perspective of
patients’ spiritual needs. The
nurses must understand religious
beliefs, cultures, values and views
in patients’ islamic spiritual
values.
Spiritual need fulfillment of
patients varies. Patients who
embrace Islam pray five times a
day and certainly, to perform
ablution, the patients who lay on a
bed need assistance and guidance
to perform ablution. Duties of
nurses facing patients in a critical
condition or palliative care who
are likely close to the death, is to
perform mentalqin and recite holy
verses of the Koran as the form of
islamic nursing care. The objective
is for dying patients to achieve
khusnul khotimah.
Nurses should be able to think
critically by applying islamic care
to patient in recovery and patient
facing death. Critical thinking is
required to understand the
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perspective of muslim spiritual
care.
The results of interviews with the
nursing field showed that Rumah
Sakit Muhammadiyah Bandung is
developing Muslim Spiritual
Nursing Care(Asuhan Keperawatan
Spiritual Muslim, AKSM). However,
Rumah Sakit Muhammadiyah
Bandung have not implemented a
Standard Operating Procedure of
AKSM
The main activities in muslim
spiritual nursing care are: praying
in a state of pain, additional
worship, guidance worship (e.g.
facing terminal patients),
counseling, praying worship, and
spiritual service aspects. One of
developments for nurses
conducted twice was the training
of caring and spiritual care.
The nurses have not fully applied
spiritual services aspects because
there is no reference of SOP
(Standard Operating Procedures)
of AKSM yet. However, based on
observations and interviews with
senior nurses at RSMB (Rumah
Sakit Muhammadiyah Bandung),
they said that the application of
muslim nursing services is
performed only by awareness and
initiatives of the nurses.
One of the applications is
reminding or guiding patients to
pray. Aspects related to the AKSM
development have not been fully
applied. There are a number of
caring or spiritual training
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activities, but not all are
performed by nurses. For instance,
there are some nurses who still
show a less friendly attitude and
lack of communication to patients,
despite being equipped with
training.
Based on the description above,
researchers are interested in
conducting a study of the
correlation between nurses’
critical thinking and islamic caring
behavior and perspective of
muslim spiritual care at the adult
inpatients of RSMB?
This study aimed to determine the
correlation of nurses’ critical
thinking on nurses’ islamic caring
behavior and muslim spiritual care
perspective at adult inpatients of
Rumah Sakit Muhammadiyah
Bandung.
METHODS
Study design was conducted using
cross-sectional approach with
purposive sampling technique
based on inclusion and exclusion
criteria. The populations in this
study were nurses; both female
and male who worked at adult
inpatients of RSMB with total 84
nurses.
The sample of the study consisted
of 58 nurses. The inclusion criteria
including nurses as full-time
employees working at adult
inpatient units were Multazam 2,
Multazam 3, Multazan 4, Dewi
Sartika, Raudhah 3, and Raudhah
5; nurses with Diploma and
Bachelor of Nursing/ Nurse, and
nurses as employees who had
work experience <10 years and
≥10 years.
Exclusion criteria were nurses
who were ill and on leave and
nurses who refused informed
consent. The data processing was
conducted with the help of
computer program and statistical
software. Data analysis was
divided into two univariate and
bivariate analysis.
Univariate analysis used the Mean,
Median, Standard Deviation,
minimum and maximum value
95% CI (confidence interval). The
data were numeric and categoric
using the frequency distribution,
which was percentage. Bivariate
analysis used Pearson correlation
test if the data were normally
distributed, or Spearman test if the
data were not normally
distributed.

RESULT
Characteristics of respondents were based on nurses’ critical thinking.
Table 1. Distribution of Average Rate of Characteristics of Nurses’ Critical
Thinking at Adults Inpatients of Rumah Sakit Muhammadiyah Bandung.
June 2016 (n = 58)
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No. Variable Median Minimum Maximum 95% CI
Value Value
1. Nurses’ critical 65 47 71 62.23-
thinking 64.87
According to the table 1, it shows a results of nurses’ critical thinking
median value of 65 with the lowest aspects, they were in the range of
rate of 47 and the highest rate of 95% CI; thus, concluded that
71. From the interval estimation, it nurses’ critical thinking at the
was concluded that 95% believed adult inpatients of RSMB was quite
that the average rate of nurses’ good.
critical thinking was between
62.23 up to 65. Based on the

Characteristics of Islamic Caring Behavior

Table 2. Distribution of Average Rate of Characteristics of Nurses’ Islamic
Caring Behavior at Adult Inpatients of Rumah Sakit Muhammadiyah Bandung
June 2016 (n=58)
No. Variable Median Minimum Maximum 95% CI
Value Value
1. Islamic caring 33 24 39 32.40-
behavior 33.69
According to the table 2, it shows a the range of 95%; thus, concluded
median value of 33.05 with a that nurses’ islamic caring
standard deviation of 2.45. Based behavior at adult inpatients of
on interval estimation, it was RSMB was quite good.
concluded that 95% believed the
average rate of nurses’ islamic
caring behavior was between
32.40 up to 33.69.
Based on the results of the
intercept, aspects of nurses’
islamic caring behavior were in

Characteristics of Muslim Spiritual Care Perspective

Table 3. Distribution of Average Rate of Characteristics of Nurses’ Muslim
Spiritual Care Perspective at Adult Inpatients of Rumah Sakit Muhammadiyah
Bandung
June 2016 (n=58)
No. Variable Mean SD 95% CI

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1. Muslim spiritual
care perspective
According to table 3, it shows a
mean value of 36.05 with a
standard deviation of 4.36. Based
on interval estimation, it was
concluded that 95% believed that
the average rate of nurses’ muslim
spiritual care perspective was
between 34.9 up to 37.1.
3605 4.36 34.90-37.19
Based on the results of the
intercept, aspects of nurses’
muslim spiritual care perspective
were in the range of 95%; thus,
concluded that nurses’ muslim
spiritual care perspective at the
adult inpatient of RSMB was quite
good.

Correlation betwen Nurses’ Critical Thinking and Islamic Caring

Behavior
Table 4. Analysis of Correlation between Nurses’ Critical Thinking and Islamic
Caring Behavior at Adult Inpatients of RSMB
June 2016 (n=58)
Independent Variable Correlation Coefficient P Value

Islamic caring behavior 0.348 0.007

there was a correlation between
Dependent Variable: Nurses’ nurses’ critical thinking and
critical thinking Islamic caring behavior at adult
The results of the analysis to inpatients of RMSB.
determine the correlation between
nurses’ critical thinking and
islamic caring behavior obtained r
= 0.348 with p value = 0.007 which
was smaller than the value of
alpha (0.05) and the value of r = -
0.348; interval was between 0:20
<KK≤0.399 and low correlation
coefficient. The conclusion was

Correlation between Nurses’ Critical Thinking and Muslim Spiritual Care

Perspective
Table 5. Analysis of Correlation between Nurses’ Critical Thinking and
Muslim Spiritual Care Perspective at Adult Inpatient of RSMB
June 2016 (n=58)
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Independent Variable
Perspektif Spiritual Care Muslim 0.078
The results of the analysis to
determine the correlation between
nurses’ critical thinking and muslim
spiritual care perspective obtained
value r = 0.078, p value = 0.559
greater than the value of alpha (0.05)
and the value of r = 0.078 which was
between the range of 0.00 <KK≤0.99
with a very low correlation
coefficient. The conclusion was there
was no correlation between nurses’
critical thinking and muslim spiritual
care perspective at the adult
inpatients of RMSB.
DISCUSSION
The results showed that overview of
nurses’ critical thinking at the adult
inpatients (Multazam 2, Multazam 3,
Multazam 4, Raudhah 3, Raudhah 5,
and Dewi Sartika) of RSMB in both
categories was good. According to
Kozier et al., (2011: 345), nurses
need to be aware of the way and
critical thinking skills through self-
assessment, such as expanding
curiosity, being a humble nurse,
having courage and perseverance.
These aspects are done by doing a
critical thinking approach to the
innovativeness, by expanding a new
knowledge, know a new challenge,
and trying to expand the nursing
literature by conducting research,
also the ability to ask and read
(Mulyaningsih, 2011: 88).
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Correlation Coefficient p value
0.559
According to Kozier et al., (2011:
345), nurses need to make planned
efforts to look for situation that
supports opened rating on all issues,
review evaluation of the ideas. This
can be conducted with a cognitive
maturity approach. Good cognitive
maturity makes nurses tend to be
good at making decisions and solving
problems (Mulyaningsih, 2011: 88).
Kozier et al., (2011: 345) said that
nurses can develop or maintain
critical thinking attitude by realizing
thought atmosphere that a leader
does. This is done by making these
opinion differences into an idea and a
fair choice.
Nurses can accept differences of age,
religion, culture, and socioeconomic
perspective on each individual
(Kozier et al., 2011: 346). This is
done through engagement approach
(involvement), so that can anticipate
any situation with a good rational, in
order to be a good communicator.
The nurses are expected to be able to
have a good communication and
confidence (Mulyaningsih, 2011: 87).
Based on the observation of
researchers, so far, the development
of nurses’ critical thinking at RSMB
had never been performed in a
particular program. However,
according to the study results
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obtained from the nursing
management, regular evaluation of
nurses was always performed.
The evaluation results showed that
the performances of nurse are mostly
good, both in action or decision
making and problem solving in
nursing care given to patients. It is
proven in the assessment of the
patients’ perspective that services
provided by nurses are good enough,
through questionnaire assessed by
patients regarding the performance
of nurses..
The results showed a description of
islamic caring behavior at adult
inpatients (Multazam 2, Multazam 3,
Multazam 4, Raudhah 3, Raudhah 5
and Dewi Sartika) of RSMB in both
categories.
Caring in islamic way and everything
about caring refer to the Koran as the
constitution and the Sunnah of
Prophet to explain the constitution
and make something explicit. In
Islamic philosophy, the concept of
goodness comes from the source of
the Koran. These themes are
considered as the basic ethics of
humanity.
Generosity and kindness refer to the
nature of the "Womb" and "Rahman"
which are "the most compassion" or
"the most loving". In accordance with
the (Ragan, Ferrell, and Wittenberg,
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2016) the content of the Koran
affirms that Allah is pleased with
those who do well and provide
benefits when an individual in
distress (Serigala et al 2008 in
Oubeidat 2008).
Islam directs to the orientation
habluminallah and habluminannas.
Meaning of concern is the
relationship between humans and
Allah Subhanu Wa Ta'ala and based
on the teachings of Islam as
habluminallah relationship.
Providing service to patients is solely
an intention of worship for Allah to
expect a reward from Allah
(Lovering, 2012: 172).
Religion and caring cannot be
separated because the value of caring
and compassion have been defined in
the Koran injunctions and teachings
of the Prophet Muhammad. Good
muslim nurses can be reflected from
the point of view, the attitude, the
habits of acting in serving patients by
caring based on islamic values.
Habluminannas relationship is
reflected in the character of the
prophet as a model for his people to
become a benchmark and reflection
that need to be applied by nurses on
each other and patients; for example
truthful, trustworthy, deliver, and
smart. Character identity that needs
to be owned include patient and
sincere, mutual help, reformer,
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tolerant, balanced, also trustworthy
responsibile and trustworthy.
These characteristics are reflected in
the professional work ethic of
muslim nurse (Anggraini, 2013).
According to researchers’ opinion,
the implementation of islamic caring
behavior at RSMB will last and
continue to be realized if nursing
staff line management and all nurses
apply islamic cultural behavior.
Spiritual activities can also be
scheduled as extracurricular
activities include the teaching of
aqidah, syariah and manner that then
are prescribed by SOPs both formal
and non-formal.
It is in line with the study of
Greenfield, Vaillant, and Marks
(2007) in Pringgayuda (Pringgayuda
2012) (2012: 61) that said (Dimyati
& Riyadi, 2015) the more the and
frequent formal or non-formal
spiritual activities attended, the more
individual spirituality increases in
daily life.
Individual psychology in having
relationships with others will be
better along with the applied islamic
cultural practices. According to this
belief, nurses’ islamic caring
behavior will be better if applying a
close positive relationship to others
that is used as a form of social
support.
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The results showed the description
of muslim spiritual care perspective
at adult inpatients (Multazam 2,
Multazam 3, Multazam 4, Raudhah 3,
Raudhah 5 and Dewi Sartika) of
RSMB that was quite well in spiritual
attitude to patients, communication,
referral, support, and counseling for
patients and professionalism, also
level of spiritual caring quality.
Related to the aspects of assessment
and implementation of muslim
spiritual care were still relatively
lacking. Considering this
phenomenon, aspects of the
assessment and implementation of
muslim spiritual care were still
lacking although the average of
assessment was overall good.
Based on the assessment of the
researchers, RSMB had applied
nursing services to the extent of
development related to the muslim
spiritual nursing care, but SOPs for
AKSM had not been determined.
However, through the nursing field,
RSMB had been implemented
spiritual care training 1 and 2.
So, the study results showed only
the aspects of assessment and
implementation of muslim spiritual
who were still lacking. However, the
aspects of spiritual attitude towards
patients, communication, referral,
support, and counseling for patients,
professionalism, also level of of
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spiritual care quality were good
enough.
The assessment and implementation
will run if clear SOPs regarding
AKSM are already determined, so
that nurses have a clear direction to
provide a spiritual care for patients
in AKSM. Although without any clear
SOPs, with the provision of spiritual
care training, nurses are be able to
consider through the process that the
spiritual care perspective is
important for them to show good
results.
The results of the study are not
consistent with study by Wittenberg
et al., (2014) that showed the
perspective of nurses regarding the
good spiritual need fulfillment.
Wittenberg et al., (2014) conducted a
study involving 193 nurses. It was
found that only 23% of them who
often worry and discuss about their
concerns on patients’ spiritual and
77% reported that religion and
spirituality are important for
patient’s life. Although it was good
enough, only 16% of health care
providers who take into
consideration.
Obstacles of health care providers
are lack of time and privacy to talk to
their family, also differences of
sensibility or feeling of nurses to
patients’ spiritual understanding. So
far, the view of the spiritual was
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studied and understood by
researchers hazily.
Although the NCP (Nursing Care
Plan) already exists, there is no
clarity regarding utilization of health
care providers of its efforts to
provide care to patients or families
waiting for patients.
According to study of Hafizi et al.,
(2013), there are a lot of evidences of
spiritual attitude playing a positive
role towards the physical and mental
aspects of healing patients. The
nurses have a more important role in
implementing the spiritual attitude
towards patients.
The study results showed that the
nurses’ perspective in spiritual
attitude tends to be more religious
than other medical personnels
because the nurses have a proximity
to the patients (Christopher 2010 in
Hafizi et al., 2013). The nurses’
perspective leads to the concern of
beliefs between patients’ religious
belief conflict and patients
themselves that may affect their
healing and treatment.
According to Sherry (2006) in
Sianturi (2015), the factors that
influence nurses in giving spiritual
care are divided into two: the
intrinsic factors consist of the nurses’
inability to communicate, ambiguous,
lack of knowledge about spiritual,
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something personal, and afraid to
make mistakes; extrinsic factors
consist of organization and
management, economic barriers such
as the shortage of nurses, lack of
time, the problem of nurses’
education.
Bivariate
The results of bivariate analysis
showed that there was a correlation
between the nurses’ critical thinking
and Islamic caring behavior with p
value of 0.007 which is smaller than
the value of alpha (0.05) which is
applied by the nurses.
There has not been a study
conducted on the correlation
between critical thinking and islamic
caring behavior. However, this study
was aimed at correlation between
nurses’ critical thinking and caring
behavior in general that showed the
same result that there was a
correlation between the two.
Islamic caring behavior in the
concept is related to spiritual and
religious concepts in the context of
Islam. Although it does not have
many differences with western
concept in caring behavior view, in
Islamic, it has similar values that
tend to the applications of muslim
spiritual nursing care.
According to Oubeidat (2008),
related to critical thinking with
islamic caring behavior, caring
concepts in Islam are divided into
three different levels, which are
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intention, thought and action.
Intention and thought are expressed
in the understanding of what and
how to take care. Meanwhile, the
action is reflected in responsibility
and accountability from the concern.
The Koran gives general guidance
and direction to the responsibility
towards patients and it is done
sincerely due to a sacred duty as a
nurse. In Islamic way, caring
behavior appears who believes in
Allah Subhanahu Wa Ta'ala, so
sincere nurses help patients who
need care. It is because muslim
patients are aware that health or
sickness is a part of life and as a test
from Allah Subhanahu Wa Ta'ala.
Previous study showed the same
results, which is islamic caring
behavior is influenced by one of
factors, the way of thinking. Besides
influenced by nurses’ critical
thinking, a stronger relationship is
the belief of religious understanding
and cultural situation.
Belief of religious understanding and
cultural situation have an available
framework in a comprehensive way
and concern in a holistic way that
significantly contribute to the
emotion, social, and psychology of
patients’ welfare.
Islam caring behavior arises
naturally from a sense of caring
intended for Allah and reflected in
spiritual practices, and affection from
each individual in purifying himself
by applying caring behavior.
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Therefore, Islam understands an
applied islamic caring behavior that
allows professional nurses to
understand and respond more
effectively and patitently to the
patient’s caring needs.
That understanding will provide a
major influence in giving health care
benefits that are more competent
(Halligan in Oubeidat, 2008).
Watson (2008) in Abboud (2008)
considered a nurses’ caring is a
healing environment for patients. It
reflects the interaction of nurses to
the patients in a dynamic symphony
with care through nursing practice
every time. Interactive
communication becomes receptive
and expressive, so that patients can
appreciate their experience and
satisfaction with the provided
services.
When nurses combine caring and
healing as the essence of nursing
practice, then the results of main task
of nursing profession will be
achieved in the holistic way.
According to Watson (2003) in
Potter & Parry (2009:
170)statement, the caring
relationship is built along with the
bond of nurses and patients by giving
the patients hope, to interpret the
meaning of disease, the symptoms
felt by the patients to the acceptance
of the disease; helping the patients to
use social, emotional, and spiritual
resources.
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It appears if nurses are able to
develop critical thinking through
knowledge, behavior, survey, new
idea or creativity, and how to think.
To think critically, it needs to have a
confidence, think independently,
apply justice of responsibility, be
ready to take risks, discipline,
persistent, creative, have curiosity,
have integrity and humility. To make
an attitude of critical thinking with
caring behavior, the nurses certainly
need to have a care and consider the
importance of the critical attitude
which is then applied in clinical
practice.
In accordance with the application of
islamic caring behavior at adult
inpatients of RSMB, nurses in
Multazam 2, Multazam 3, Multazam 4
Raudhah 3, Raudhah 5, and Dewi
Sartika faced a variety of adult
patient conditions. Environmental
condition at the hospital had
implemented an islamic service,
although operationally, an unclear
reference to be implemented by
nurses was only development.
Critical thinking is very important for
the implementation of nurses’ caring
behaviors by developing and
understanding the knowledge and
skills in applying a caring behavior.
Critical thinking is used to expand a
caring basic knowledge that must be
owned.
Nurses need to change their
paradigm with a new approach to
train them changing their knowledge.
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It is needed to open a new
exploration gate on the view, the
difference, and diversity of every
individual through continuous
interaction with patients, colleagues
of health profession, and workplace.
Results of bivariate analysis showed
that there was no correlation
between nurses’ critical thinking and
the muslim spiritual care perspective
with a p value of 0.559 which was
greater than the value of alpha (0.05)
which was applied by nurses.
The results of the study are not
consistent with the study by Tiew
(2014) concerning spiritual nursing
perspective which showed that
nurses who ignore the spiritual
aspect of nursing may have a poor
understanding about the nurses
themselves regarding the spiritual
aspect or vice versa. The results of
this study showed that the majority
of the nurses had a positive spiritual
attitude. The nurses acknowledged
that they combined attitude they got
from religious scholar and health
expert in order to meet the patients’
spiritual needs.
In line with the results of the study,
there was not only a factor of critical
thinking related to the nurses’
perspectives on spiritual nursing
care. According to Evvans & Hallet
(2007) in Tiew (2014), perspective
of nurses’ action to fulfill the
patients’ spiritual needs at inpatients
said that there are inhibitor factors of
spiritual need fulfillment; which are
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nurses having shorter time to serve
the patients’ spiritual needs, the
lacking of numbers of labors, the
lacking of of commitment and
responsibility of nurses.
Besides, there is a role conflict
between profession with discomfort
of different understanding of religion
and belief system owned by by
patients and nurses, to acknowledge
that they lack of knowledge in
thinking about the spiritual care on
the patients (Carrol & Carell, 2001,
2005 in Tiew, 2014).
Tiew (2014) stated that patients who
begin communicating about the
spiritual will be responded positively
by nurses in implementing the
nurses’ concern for patients. In this
study, the nurses had bit training on
the spiritual. The nurses only rely on
their own spiritual background and
understanding from patient demand.
The patients’ condition has a diverse
spiritual that triggers the nurses to
handle patients’ spiritual conditio.
The nurses should not feel the time is
taken up when facing the patients’
responses, such as anger, fear, and
despair. Nurses need to understand
non-verbal communication to be
involved in patients’ spiritual
relationship. Spiritual perspective is
only understood to the extent of
spiritual discussion in a phase of
diagnosis, treatment, and condition
of the patients who survive until the
end of their life. Supposedly, if nurses
are given spiritual training, the
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nurses should also be given an
understanding of the spiritual
assessment and how to communicate
about the spiritual with the patients
or their family.
The results of the study are not
consistent with the assessment study
of Florianopolis (2013) which
examined the results of study on the
spiritual perspective with different
view from another study. The study
showed that the spiritual and
religioss concepts are the two
different views from the nurses’
perspective in a nursing care
assessment. The nurses do not
understand exactly what religiosity
and spirituality that directly affect
nursing care.
The results of the study are not
consistent with the results of
research Pratiwi in Saputra (2014)
reported that 70% of nurses rarely
serve the spiritual needs only to
focus on the physical needs. Nurses
mempespektifkan that This results of
the study are not in line with the
study by Pratiwi in Saputra (2014)
that reported that 70% of nurses
rarely give spiritual care services.
They only focus on physical need
fulfillment. The nurses have
perspective that spiritual services
are the duty and responsibility of
religious leaders rather than nurses.
According to opinion of researchers,
assessment results of nurses’ care
spiritual perspective at the inpatients
of RSMB are already good.
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Awareness and strong belief to have
a religious and spiritual value in the
nurses themselves become major
factors that are most important to
muslim spiritual care perspective.
In addition, patient's response to
whether the spiritual needs are
important or not become an
incentive for nurses to give an
assessment of muslim care spiritual
perspective, so that the nurses will
show a better attitude, assessment,
communication, spiritual support,
until the implementation of muslim
spiritual nursing care.
A good perspective on muslim
spiritual care cannot be seen in the
aspect of understanding or ability to
think critically on the concept of
muslim spiritual care, which is
owned by a nurse. However, it is
much better if the nurses’ behavior
and attitude are emphasized on
perception, motivation, and self-
confidence directly showed in
practice. Although nurses have a
good critical thinking, problem of
muslim spiritual perspective is
greater than religious and spiritual
beliefs themselves.
CONCLUSION AND
RECOMENDATION
Identification results on the nurses’
critical thinking at adult inpatients of
RSMB were evenly good.
The identification results of the
islamic caring behaviors at adult
inpatients of RSMB were evenly
good.
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Surabaya, December 6 -8 , 2016
Identification results of the muslim
spiritual care perspective at adult
inpatients of RSMB were evenly
good.
Respondent characteristics include
the average age of 30-32 years, who
mostly were female (70.7%), mostly
were educated with Diploma of
Nursing (89.7%), mostly had a
service life of <10 years (63.8%),
rarely attended caring training
(39.7%), and mostly attended
spiritual care training (72.4%).
1. There was a correlation between
nurses’ critical thinking and Islamic
caring behavior at adult inpatients of
RSMB.
2. No correlation existed between
nurses’ critical thinking from the
muslim spiritual care perspective at
adult inpatients ofRSMB.
1. Recommendation
All leaders and staffs in caring
services adopt islamic caring culture
with an indicator of the achievement
of patient satisfaction.
Determine SOPs through a decision
of director related to service with
Islamic way; not only for nurses, but
also for the entire fields in RSMB that
is corresponding with roles and
situations in the job fields.
Accentuate the hallmark of Islam in
daily activities and enhance the
Islamic activities.
Improve the employee performance
through a variety of training
14 INTERNATIONAL NURSING WORKSHOP AND CONFERENCE
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activities such as excellent service
and in house training.
IMPLICATION OF STUDY ON
NURSING FIELD AT RSMB.
a. Nursing Management
It needs to design SOPs for AKSM
determined through the decision of
director.
Adapting services with islamic
culture, although it is still in the
development stage.
The field of nursing needs to
rereview the development of AKSM,
how far the system progresses on
muslim spiritual nursing services in
every room to be applied by nurses.
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