This is a cross-sectional survey to explore the effect of spiritual well-being and spiritual care competence on performing of spiritual nursing by nurses caring for cancer patients.

The participants were 214 nurses with experience of caring for cancer patients for more than one year. The data were collected by an online survey using the spiritual well-being scale, spiritual care competence scale, and spiritual nursing scale.

The factors influencing the performing of spiritual nursing were communication (β=0.36, p<.001), satisfaction from spiritual nursing (β=0.21, p=.001), importance of religion (β=0.18, p=.013), existential well-being (β=0.18, p=.010), and knowledge acquisition of spiritual nursing (β=0.14, p=.033). The explanatory power of these variables on performing of spiritual nursing was 41.1%. When spiritual nursing was not carried out, 42.6% of nurses felt sorry and pitiful towards the patient; and 46.4% pointed out the difficulties in working environment that posed an obstacle.

We should develop an integrated program on spiritual nursing improvement, focusing on these key factors, to enhance the performance of spiritual nursing for cancer patients and to verify its effectiveness.

Purpose of this study was to investigate effect of religious & existential spirituality on death anxiety and difference of death anxiety according to sex and presence of spouse. Also we studied the moderating effect of sex in the process of religious & existential l spirituality affecting death anxiety.

A total of 424 subjects were enrolled and the mean age was 38.14 years (SD=11.69).

First, Effect of religious & existential l spirituality on total score of death anxiety was not significant. But, there was differences in sub death anxiety. The higher religious spirituality, the lower fear of dying early and the higher existential spirituality, the lower fear of dying process and the higher fear of loss of important persons. Second, death anxiety of woman higher than man. Furtherrmore, death anxiety of woman with spouse higher then woman without spouse and man. Third, main effect of & existential spirituality and sex on fear of dying process and loss of important person was significant, Interaction effect of spirituality and sex was not significant. Also, main effect of & religious spirituality on fear of dying early was not significant and interaction effect of existential spirituality and sex was significant. There was no gender difference in the low existential spiritual group, but death anxiety of man was lower than woman in the high group.

It is necessary to distinguish multiple aspects of death anxiety, to search and verify effects of spirituality on various death anxiety.