Instrument Development for Measuring Spiritual Intelligence of Muslim Nurses: A Conceptual Framework

Mohd Arif Atarhim, Jamiah Manap, Khairul Anwar Mastor, Mostafa Kamal Mokhtar, Ahmad Fakhrurrazi Mohammed Zabidi


This article proposes a conceptual framework for measuring the spiritual intelligence of Muslim nurses in a pioneer of ibadah friendly hospital in Malaysia. This paper describes relevant theories and models of spiritual intelligence. It also explains the spiritual intelligence in nursing and spiritual intelligence measurement. The instrument development process consists of three phases; i) Planning Phase; ii) Development Phase; iii) Validation Phase. The Spiritual Intelligence Model for Human Excellence (SIMHE) is used as the basis for the development of the instrument. Psychometric properties will be analyzed and evaluated using Rasch's measurement model in terms of objectivity, validity, reliability and usability of the scale. The development of this instrument will contribute to a new discovery in the personal and the professional development of nursing especially in the spiritual intelligence of Muslim Nurses to improve the practice and competence of spiritual care for patients.  

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Ahimsa, R. (2005). Quranic Quotient for a Lasting Success—Panduan Menggunakan Kecerdasan al-Quran Untuk Kesuksesan Dunia Akhirat. Bandung: Pustaka Iiman.

Amram, Y. (2007). What is Spiritual Intelligence? An Ecumenical, Grounded Theory. Retrieved from

Amram, Y., & Dryer, D. C. (2008). The Integrated Spiritual Intelligence Scale (ISIS): Development and Preliminary Validation. In 116th Annual Conference of the American Psychological Association.

Arumugam, T. (2016). Hospitals should be more worship-friendly, says Health DG. New Straits Times. Retrieved from

Atarhim, M. A., Lee, S., & Copnell, B. (2018). An Exploratory Study of Spirituality and Spiritual Care Among Malaysian Nurses. Journal of Religion and Health, 1–15.

Baldacchino, D. R. (2011). Teaching on spiritual care: The perceived impact on qualified nurses. Nurse Education in Practice, 11, 47–53.

Biro, A. L. (2012). Creating conditions for good nursing by attending to the spiritual. Journal of Nursing Management, 20(8), no-no.

Burkhardt, M., & Nagai-Jacobson, M. (2013). Spirituality and Health. In Dossey & I. Keegan (Ed.), Holistic Nursing: A Handbook for Practice (Edisi ke-6, pp. 721–749). Burlington, MA: Jones & Bartlett.

Burkhart, L., & Hogan, N. (2020). Spiritual care in nursing practice (SCiNP) . In Peterson, S. J., & Bredow, T. S. (Eds) Middle range theories: application to nursing research and practice. (pp. 116-124) Philadelphia: Wolters Kluwer.

Burkhart, L., & Hogan, N. (2008). An Experiential Theory of Spiritual Care in Nursing Practice. Qualitative Health Research, 18(7), 928–938.

Bush, T., & Bruni, N. (2008). Ensuring the rigour of the study. International Journal of Palliative Nursing, 14(11). Retrieved from

Carroll, B. (2001). A phenomenological exploration of the nature of spirituality and spiritual care. Mortality, 6(1), 81–98.

Carson, V. B., & Stoll, R. (2008). Defining the Indefinable and Reviewing Its Place in Nursing. In H. G. Carson, V. B. & Koenig (Ed.), Spiritual Dimension of Nursing Practice (pp. 3–32). West Conshohocken, Pennsylvania: Templeton Foundation Press.

Cavendish, R., Kraynyak, B., Russo, L. D., Mitzeliotis, C., Bauer, M., Ann, M., … Medefindt, J. (2004). Spiritual Perspectives of Nurses in the United States Relevant for Education and Practice. Western Journal of Nursing Research, 26(262), 196–212.

Chan, M. F. (2010). Factors affecting nursing staff in practising spiritual care. Journal of Clinical Nursing, 19(15‐16), 2128–2136.

Chan, W. Y. A. (2016). Developing and Validating the Chinese Spiritual Intelligence Scale with a Sample of Higher Education Students in Hong Kong. PQDT - Global.

Chung, L. Y. F., Wong, F. K. Y., & Chan, M. F. (2007). Relationship of nurses? spirituality to their understanding and practice of spiritual care. Journal of Advanced Nursing, 58(2), 158–170.

Deal, B. (2010). A pilot study of nurses’ experience of giving spiritual care. The Qualitative Report, 15(4), 852–864.

Elmi, B., & Zainab, I. (2014). Definisi dan konsep kecerdasan ruhaniah menurut perspektif sarjana Islam. Jurnal Penyelidikan Islam JAKIM, (26), 49–61.

Emmons, R. A. (2000a). Is spirituality an intelligence? Motivation, cognition, and the psychology of ultimate concern. International Journal for the Psychology of Religion, 10(1), 3–26.

Emmons, R. A. (2000b). Spirituality and intelligence: Problems and prospects. International Journal of Phytoremediation.

Fallah, V., Khosroabadi, S., & Usefi, H. (2015). Development of emotional quotient and spiritual quotient: the strategy of ethics development. International Letters of Social and Humanistic Sciences.

Farahani, S. D., Sohrabi, F., & Azarbayejani, M. (2016). Development and Validation of Islamic Questionnaire of Spiritual Intelligence. Original Article Health, Spirituality and Medical Ethics., 3(3), 4–11.

Feng, M., Xiong, X. yuan, & Li, J. jing. (2017). Spiritual intelligence scale--chinese form: Construction and initial validation. Current Psychology, 1–10.

Gant, A. (n.d.). Educating Nurses About Spirituality’ s Effects on Quality of Life With Chronic Illness. Retrieved from

Gardner, H. (2000). A case against spiritual intelligence. International Journal of Phytoremediation.

Handzo, G. F. (2006). Best Practices in Professional Pastoral Care. Southern Medical Journal, 99(6), 663–664.

Hanefar, S. B., & Zarrina, C. (2016). A synthesis of spiritual intelligence themes from islamic. Journal of Religion and Health, 55(6), 2069–2085.

Hanefar, S. B., Siraj, S., & Sa’ari, C. Z. (2015). The application of content analysis toward the development of spiritual intelligence model for human excellence (SIMHE). Procedia - Social and Behavioral Sciences, 172, 603–610.

Hensel, D. (n.d.). Relationships among nurses’ professional self-concept, health, and lifestyles. Western Journal of Nursing Research, 33(1), 45–62.

Hodge, D. R. (2006). A template for spiritual assessment: a review of the JCAHO requirements and guidelines for implementation. Social Work, 51(4), 317–326. Retrieved from

Hussain, M. (2014). 7 Steps to Spiritual Intelligence. Leicestershire: Kube Publishing Ltd.

International Council of Nurses. (2012). The ICN code of ethics for nurses. Retrieved June 27, 2018, from

Ishak, M. (2017). Hospital Mesra Ibadah. Malaysia: Hospital Pakar Al-Islam. Retrieved from

Jonas, W. B., & Crawford, C. C. (2003). Healing, Intention and Energy Medicine: Science, Research Methods and Clinical Implications. London: Churchill Livingstone.

Kaur, D., Sambasivan, M., & Kumar, N. (2013). Effect of spiritual intelligence, emotional intelligence, psychological ownership and burnout on caring behaviour of nurses: A cross-sectional study. Journal of Clinical Nursing, 22(21–22), 3192–3202.

Kaur, D., Sambasivan, M., & Kumar, N. (2015). Impact of emotional intelligence and spiritual intelligence on the caring behavior of nurses: A dimension-level exploratory study among public hospitals in Malaysia. Applied Nursing Research, 28(4), 293–298.

King, David B, & Decicco, T. L. (2009). A viable model and self-report measure of spiritual intelligence. International Journal of Transpersonal Studies, 28(1), 68–85.

King, David Brian. (2008). Rethinking claims of spiritual intelligence: a definition, model, and measure. Trent University, Canada.

Kociszewski, C. (2003). A phenomenological pilot study of the nurses’ experience providing spiritual care. Article Journal of Holistic Nursing.

Kumar, V. V., & Mehta, M. (2011). Scale for spiritual intelligence. PsycTESTS, 281–301.

Lundberg, P. C., & Kerdonfag, P. (2010). Spiritual care provided by Thai nurses in intensive care units. Journal of Clinical Nursing, 19(7–8), 1121–1128.

MacLaren, J. (2004). A kaleidoscope of understandings: spiritual nursing in a multi-faith society. Journal of Advanced Nursing, 45(5), 457–462.

Manghrani, N. (2011). Spiritual Quotient (S.Q.): An assessment tool. Journal of Psychosocial Research, 6(1), 41–51.

Mayer, J. D. (2000). Spiritual intelligence or spiritual consciousness? International Journal for the Psychology of Religion, 10(1), 47–56.

Miller, L. A., Lovler, R. L., & McIntire, S. A. (2013). Foundations of Psychological Testing: A Practical Approach (ke-4). California: SAGE Publications.

Ministry of Health Malaysia. (2011). Kerjaya Jururawat.

Ministry of Health Malaysia. (2015). Pelan Transformasi Perkhidmatan Kesihatan. Kementerian Kesihatan Malaysia. Putrajaya: Bahagian Perancangan, Kementerian Kesihatan Malaysia.

Ministry of Health Malaysia. (2017). Garis Panduan Pelaksanaan Program Hospital Mesra Ibadah (Perspektif Islam ) (Vol. 2, p. 20). Putrajaya, Malaysia: Bahagian Perkembangan Perubatan Kementerian Kesihatan Malaysia.

Moberg, D. O. (2002). Assessing and measuring spirituality: Confronting dilemmas of universal and particular evaluative criteria. Journal of Adult Development, 9(1), 47–60.

Molzahn, A. E., & Sheilds, L. (2008). Why is it so hard to talk about spirituality? The Canadian Nurse, 104(1), 25–29. Retrieved from

Mokhtar, M. K. (2003). Pembangunan rohani menurut tasawuf dan psikologi moden. Islamiyyat, 24, 21–35.

Muhammad, D. S. (2004). SQ Membentuk Kecerdasan daripada Quran. Jakarta: Hikmah.

Narayanasamy, a, & Owens, J. (2001). A critical incident study of nurses’ responses to the spiritual needs of their patients. Journal of Advanced Nursing, 33(4), 446–455.

Nasel, D. D. (2004). Spiritual orientation in relation to spiritual intelligence: A consideration of traditional Christianity and New Age/individualistic spirituality. Unpublished Doctoral Dissertation, University of South Australia.

Pinto, S., March, P. D., & Pravikoff, D. (2008). Spiritual Needs of Hospitalized Patients. Retrieved June 27, 2018, from Library/The Spiritual Needs of Hospitalized Patients.pdf

Plotnikoff, G. (2007). Integrating Spiritual Assessment and Care. In D. Rakel (Ed.), Integrative medicine (pp. 1171–1175). Toronto, Ontario: Canada Saunders.

Rahman, Z. A., & Shah, I. M. (2015). Measuring Islamic Spiritual Intelligence. Procedia Economics and Finance, 31(15), 134–139.

Rani, A. (2014). Influence of Spiritual Intelligence, Age And Tenure on Work Performance of Nurses in Selected Hospitals, Peninsular Malaysia. UPM.

Rani, A. A., Abidin, I., Rashid, M., & Hamid, A. (2013). The macrotheme review a multidisciplinary journal of global macro trends the impact of spiritual intelligence on work performance: case studies in government hospitals of east coast of Malaysia. The Macrotheme Review, 2(3).

Rassool, G. H. (2000). The crescent and Islam: Healing, nursing and the spiritual dimension. Some considerations towards an understanding of the Islamic perspectives on caring. Journal of Advanced Nursing.

Ruder, S. (2013). Spirituality in nursing Nurses’: perceptions about providing spiritual care. Retrieved from

Shamsudin, N. (2002). The Malaysian nursing context ? International Journal of Nursing Practice, 99–105.

Smith, A. R. (2006). Using the synergy model to provide spiritual nursing care in critical care settings. Critical Care Nurse, 26(4), 41–47. Retrieved from

Speck, P., Higginson, I., & Addington-Hall, J. (2004). Spiritual needs in health care. BMJ, 329(7458), 123–124.

Tajulashikin, Jumahata Bensaid, B., Mohamad Sahari, Nordin Ainol Madziah, Z., Azam, O., & Ahmad, F. (2015). Preliminary Exploration of Islamic Spiritual Intelligence Measure (ISIM) With Special Reference to Islamic Worldview And Asmaul Husna (Divine Names) Mr. In International Conference on the Applicationnof Asmaul Husna in Innovation (ICAH) 2015 2 – 4 November 2015, Islamic Studies Academy, Universiti Malaya, Malaysia Preliminary (pp. 155–165).

Tjale, A. A., & Bruce, J. (2007). A concept analysis of holistic nursing care in paediatric nursing. Curationis, 30(4), 45–52. Retrieved from

van Leeuwen, R., & Cusveller, B. (2004). Nursing competencies for spiritual care. Journal of Advanced Nursing, 48(3), 234–246.

van Leeuwen, R., Tiesinga, L. J., Post, D., & Jochemsen, H. (2006). Spiritual care: implications for nurses’ professional responsibility. Journal of Clinical Nursing, 15(7), 875–884.

Ventegodt, S., Kandel, I., Ervin, D. A., & Merrick, J. (2016). Concepts of Holistic Care. In Health Care for People with Intellectual and Developmental Disabilities across the Lifespan (pp. 1935–1941). Cham: Springer International Publishing.

Walters, G., & Fisher, S. (2014). The development and audit of a spiritual care policy used across three hospices in England. International Journal of Palliative Nursing.

Yang, K.-P., & Mao, X.-Y. (2007). A study of nurses’ spiritual intelligence: A cross-sectional questionnaire survey. International Journal of Nursing Studies, 44(6), 999–1010.

Yang, K.-P., & Wu, X.-J. (2009). Spiritual intelligence of nurses in two chinese social systems. Journal of Nursing Research, 17(3), 189–198.

Zamanzadeh, V., Jasemi, M., Valizadeh, L., Keogh, B., & Taleghani, F. (2015). Effective factors in providing holistic care: a qualitative study. Indian Journal of Palliative Care, 21(2), 214–224.

Zohar, D., & Marshall, I. (2000). SQ: Spiritual Intelligence : the Ultimate Intelligence. Bloomsbury.


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