Naya Ernawati, Nursalam, Ahsan, Fitriana Kurniasari Solikhah
Introduction: Nurses face escalating psychological demands, necessitating robust resilience mechanisms. Spirituality has emerged as a potential protective factor, yet its role remains under-synthesized across global contexts. Methods: This systematic literature review followed PRISMA 2020 guidelines and FAIR principles. Six databases (PubMed, Scopus, Web of Science, CINAHL, PsycINFO, Embase) were searched for studies published between 2000 and 2025. Twelve studies involving nursing professionals were included after screening 1,265 records. Data were synthesized narratively, with thematic analysis of spirituality’s impact on resilience, mental health, and professional outcomes. Results: Spirituality consistently predicted higher resilience, with correlations ranging from r = 0.348 to r = 0.58. Nurses with strong spiritual beliefs showed 2–6 times lower odds of poor mental health and nearly threefold reduced depression risk. Spiritual intelligence, religious orientation, and faith-based coping were key contributors. Higher spirituality also correlated with compassionate care (r = 0.47) and reduced burnout. Conclusion: Spirituality is a significant, multidimensional enhancer of resilience in nurses, particularly in high-stress environments. Integrating spiritual well-being into nursing education and workplace support is recommended. © 2026, National Academy of Medicine. All rights reserved.
Doctoral Program of Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Department of Nursing, Poltekkes Kemenkes Malang, Malang, Indonesia; Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Department of Nursing, Faculty of Health Science, Brawijaya University, Malang, Indonesia
