▁" Why ▁is ▁this ▁happening ▁to ▁me ?" ▁or ▁" Is ▁there ▁a ▁God ?" ▁ ▁Self - care ▁ ▁Li ▁and ▁Sh un ▁( 2 0 1 6 ) ▁focused ▁on ▁self ▁care ▁cop ing ▁styles ▁in ▁patients ▁with ▁chron ic ▁heart ▁failure ▁found ▁that ▁spiritual ▁and ▁religious ▁support ▁affect s ▁heart ▁failure ▁patients ▁cop ing ▁with ▁both ▁physical ▁and ▁psych ological ▁self - care . ▁ ▁App lications ▁in ▁health ▁care ▁ ▁Third - party ▁professional ▁aid ▁Ill ▁individuals ▁and ▁their ▁families ▁may ▁request ▁refer r als ▁for ▁services ▁such ▁as ▁a ▁chap lain , ▁psych ologist , ▁or ▁social ▁worker ▁who ▁can ▁address ▁their ▁spiritual ▁concerns . ▁Pro viders ▁who ▁are ▁un com fort able ▁accommod ating ▁an ▁integr ative ▁approach ▁to ▁care ▁should ▁consult ▁with ▁other ▁pract ition ers ▁sk illed ▁in ▁providing ▁spiritual ▁care , ▁so ▁that ▁patients ▁can ▁integrate ▁spiritual ▁support ▁into ▁their ▁own ▁self - care . ▁The ▁results ▁showed ▁that ▁spiritual ▁intelligence ▁training ▁had ▁a ▁positive ▁effect ▁on ▁n urs es ’ ▁compet ence ▁in ▁spiritual ▁care . ▁Also , ▁ 8 9 % ▁of ▁the ▁n urs es ▁who ▁participated ▁in ▁the ▁study ▁had ▁not ▁been ▁given ▁any ▁prior ▁education ▁regarding ▁spiritual ▁care . ▁N urs es ▁considered ▁bar riers ▁to ▁spiritual ▁care ▁including ▁in ade qu ate ▁staff , ▁cultural ▁differences , ▁high ▁work load ▁and ▁lack ▁of ▁education ▁on ▁this ▁subject . The ▁development ▁of ▁spiritual ▁care ▁provided ▁by ▁n urs es ▁can ▁result ▁in ▁various ▁out comes ▁such ▁as ▁increased ▁satisfaction