Spiritual Well-Being and Spiritual Care Competence: The Mediating Role of Resilience and Decision Fatigue.

Purpose: This study aimed to examine the role of resilience and decision fatigue in mediating the relationship between spiritual well-being and spiritual care competence among nurses. Methods: A cross-sectional design was utilized. The study recruited 538 registered nurses from four referral hospitals in Jordan. Data were analyzed using descriptive statistics, Pearson's correlation, and Hayes Macro PROCESS model 6. Results: The average age of the 538 nurses was 35.75 years; 62.1% were female, and 96.6% were married. Bivariate correlations showed moderate correlations among all study variables. Decision fatigue negatively correlated with spiritual care competence, spiritual well-being, and resilience. The regression model indicated that spiritual well-being, resilience, and decision fatigue significantly predicted spiritual care competence, explaining about half of its variance. The bootstrapping analysis revealed that resilience significantly mediated the relationship between spiritual well-being and spiritual care competence, while the mediation role of decision fatigue was not significant. Conclusion: The study underscores the importance of spiritual well-being and resilience in enhancing nurses' spiritual care competence, aligning with the overarching goals of holistic nursing in creating a healing environment for both patients and caregivers. Nurse managers and educators should implement interventions to improve nurses' spiritual well-being and resilience, enhancing holistic care delivery.