Strategies for providing spiritual care in the neonatal intensive care unit: Systematic review and meta-analysis

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Sri Intan Rahayuningsih, Yeni Rustina, Yati Afiyanti, Dessie Wanda, Tris Eryando

2025 Journal of Neonatal Nursing Vol. 31 Issue 1 Review Cited by 3 SDG 3SDG 17 Quartile

Abstract

Background: Spiritual care in the neonatal intensive care unit (NICU) is needed to prevent the adverse effects of this crisis. This systematic review aims to identify spiritual care strategies in the NICU. Method: A literature search was conducted on international databases namely Embase, Medline, Proquest, SAGE, Science Direct, Scopus, and SpringerLink, from 2013 to 2023. The risk of bias was assessed using RoB2 and ROBIN I tools. Results: Nine studies were included. The meta-analysis revealed spiritual care reduce mother stress (SMD = −0.89 [-1.15, −0.63], p < 0.05, I2 = 80%) and reduce mother anxiety (SMD = −0.84 [-1.25, −0.42], p > 0.05, I2 = 0%) compared to the control group. Conclusion: This review presents the latest scientific evidence on spiritual care strategies in the NICU. However, the limited number of studies and high heterogeneity among outcomes should be of concern to nurses who will implement them. in the NICU. © 2024 Neonatal Nurses Association

Affiliations

Doctoral Program, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia; Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Indonesia; Faculty of Nursing, Universitas Indonesia, Depok, Indonesia; Faculty of Public Health, Universitas Indonesia, Depok, Indonesia

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