Unani Tibb students’ and educators’ perceptions of spirituality and spiritual care in education in South Africa: A mixed-methods study
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Abstract
Background. Unani Tibb promotes holistic patient care, yet spirituality and spiritual care seem to be neglected in education. This theory-practice gap was previously highlighted in studies on Unani Tibb practitioners. The role of spirituality and spiritual care in Unani Tibb education in South Africa (SA) remains unclear.
Objectives. To explore Unani Tibb students’ and educators’ perceptions and attitudes of spirituality and spiritual care in SA.
Methods. A two-stage sequential explanatory mixed-method study was conducted. Quantitative data from stage 1 was obtained using a cross-sectional descriptive study followed by in-depth interviews for the qualitative study in stage 2. Stage 1 guided the interview questions in stage 2. Descriptive data analysis was performed for the quantitative study, followed by thematic analysis for the qualitative data.
Results. A total of 18 (90%) participants took part in the quantitative study followed by 10 participants (50%) in the qualitative study. Three study findings emerged: i) a heightened level of spiritual awareness was recorded for this cohort despite the lack of spirituality and spiritual care content in the curriculum, ii) participants viewed spiritual care as integral to Unani Tibb philosophy, education and practice and iii) formal integration of spirituality and spiritual care concepts in Unani Tibb education was identified as a necessity to ensure the integrity of the holistic approach required by the profession.
Conclusion. This study has implications across the health education sector and more specifically for Unani Tibb educators to consider the inclusion of spiritual care content in education programmes.
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References
World Health Organization. WHO traditional medicine strategy: 2014–2023. Geneva: WHO, 2013. http:// www. who.int/ medicines/ publications/ traditional/ trm_strategy14_ 23/en/ (accessed 8 May 2022).
Hoosen M, Roman NV, Mthembu TG. The role of spirituality and spiritual care in complementary and alternative medicine: A scoping review. Bangladesh J Med Sci 2020;20(4):714-724. https://doi.org/10.3329/bjms.v20i4. 54125 3. GrantA.Spirituality,healthandthecomplementarymedicinepractitioner.JAuTrad-MedSoc2017;13(4):207-209.
Ramakrishnan P, Dias A, Rane A, et al. Perspectives of Indian traditional and allopathic professionals on religion/ spirituality and its role in medicine: Basis for developing an integrative medicine program. J Relig Health 2014;53(4):1161-1175. https://doi.org/10.1007/ s10943- 013- 9721-2
Hoosen M, Roman NV, Mthembu TG. The development of guidelines for the inclusion of spirituality and spiritual care in Unani Tibb practice in South Africa: A study protocol. J Relig Health 2020;61(2):1261-1281. https://doi.org/ 10.1007/ s10943- 020- 01105-5
World Health Organization. WHO Benchmarks for the Practice of Unani Medicine. Geneva: WHO, 2022. https:// www.who.int/publications/i/item/ 9789240042698 (accessed 26 June 2022).
World Health Organization. WHO Benchmarks for the Training of Unani Medicine. Geneva: WHO, 2022. https://www.who. int/publications/i/item/ 9789240042735 (accessed 26 June 2022).
Peltzer K. Utilisation and practice of traditional/complementary/alternative medicine (TM/CAM) in South Africa. Afr J Trad Med 2009;6(2):175-185.
Hoosen M, Roman NV, Mthembu TG, Naseer M. Unani Tibb practitioners’ perceptions and attitudes towards spirituality and spiritual care in Unani Tibb practice in South Africa. BMC Complement Med Ther 2023;23(1):189. https://doi.org/10.1186/s12906-023-04002-y
Koenig HG. Religion, spirituality and health: The research and clinical implications (Review Article). ISRN 2012;14(1):1-33. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3671693/
McSherry W, Cash K, Ross L. Meaning of spirituality: Implications for nursing practice. J Clin Nurs 2004;13(8):934- 941. https://doi.org/10.1111/j.1365-2702.2004.01006.x
Meredith P, Murray J, Wilson T, Mitchell G, Hutch R. Can spirituality be taught to health care professionals? J Relig Health 2012;51(3):789-889. https://doi.org/10.1007/s10943-010-9399-7
Mthembu TG, Roman NV, Wegner L. A cross-sectional descriptive study of occupational therapy students’ perceptions and attitudes towards spirituality and spiritual care in occupational therapy education. J Relig Health 2016;55(5):1529-1545. https://doi.org/10.10.1007/s1094-015-0125-3
Mthembu TG, Wegner L, Roman NV. Teaching spirituality and spiritual care in health sciences education: A systematic review. Afr J Phys Act Health Sci 2016;22(4:1):1036-1057. http://hdl/handle.net/10520/EJC200068
Morris DN. Perceptions of spirituality and spiritual care in occupational therapy practice. Occup Ther Ment
Health 2013;29:60-77. https://doi.org/10.1080/0164212X.2013.761109
Ahmad A. Exploring the relationship between spiritual personality and emotional empathy among medical and
Unani students. Int J Indian Psychol 2015;2(3):152-169. https://doi.org/10.25215/0203.090
The South African Tibb Association. Tibb training in South Africa- UWC South Africa: SATA.www.satibb.co.za
(accessed 20 April 2022).
The Allied Health Professions Council of South Africa. South Africa: AHPCSA www.ahpcsa.co.za (accessed 20
April 2022).
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3(2):77-101. https://doi.
org/10.1191/1478088706qp063oa
National University of Singapore. Tiew LH. Nursing students’ perceptions and attitudes about spirituality and spiritual care in practice. Ph.D. thesis. Singapore: 2011.https://core.ac.uk/download/pdf/48646 025.pdf (accessed 30 April 2020). 21. McSherry W, Draper P, Kendrick D. Construct validity of a rating scale designed to assess spirituality and spiritual
care. Int J Nurs Stud 2002;39(7):723-734. https://doi.org/10.1016/s0020-7489(02)00014-7
Tiew LH, Creedy DK, Chan MF. Student nurses’ perspectives of spirituality and spiritual care. Nurs Educ Today 2013;33(6):574-579. https://doi.org/10. 1016/j.nedt.2012.06.007 Mthembu TG, Ahmed F, Nkuna T, Yaca K. Occupational therapy students’ perceptions of spirituality in training. J Relig Health 2015;54:2178-2197. https://
doi.org/10.1007/s10943-014-9955-7
Linda NS, Phetlhu DR, Klopper HC. Nurse educators’ understanding of spirituality and spiritual care in nursing: A South African perspective (part 1). Int J Afr Nurs Sci 2020;12:100187. https://doi.org/10.1016/j.ijans.2019.100187 24. University of the Western Cape. BCM Complementary Medicine: Unani Tibb (8354) Academic Program. South Africa; 2018. https://ap.uwc.ac.za/ViewProgrammeModules.aspx?year=2018&faculty=CHS&programme=8354
&costtyp=L (accessed 20 July 2021).