Designing and Validation Islamic Evidence-Based Spiritual Care Guidelines of Sound Heart Model in the Dying Patients

Due to the severity of the patient's illness and high probability of death, in ICUs patients, it is necessary to point out the concept of death for the patients and families’ spiritual needs, for the implementation of the spiritual care at the end of life. The purpose of this study is designing and validating Islamic evidence-based spiritual care guidelines of the Sound Heart Model in dying patients.
This is a “developmental research” with an Islamic evidence-based as well as sound heart model approach, which was done on ICU patients of Baqiyatallah in 2016. Instructions were designed based on the Settler model in 4 phases: preparation, accreditation, comparative study, and application. The content validity of the instructions was assessed through the Delphi method by obtaining the opinions of 10 faculty members of different Universities. Applicability was assessed through focused group discussions with the comments of 10 experienced nurses in ICUs. The quality of the new guidelines was evaluated desirable, by Agree and Glia Tools.
Lack of preparation for death, fear of death, risk for quicken hard, and risk for grave horror were 4 nursing diagnoses of the dying patients. Four spiritual care instructions were designed and validated. Love to God and faith in God’s love for His servants, destroys the fear of death. For the owners of sound heart, death is a continuation of the soul's life and entering to a better world. They prepare for dying with a relaxed and confident soul as well as a hopeful and satisfied heart since they are going to meet God.
Negligence of nurses to spiritual care needs in dying patients can cause fear of death in patients and encounters their spiritual health with crisis. Therefore, it is recommended to apply these designed spiritual care instructions for dying patients that are muslim.