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Peer-reviewedCC BYBMC medical education

Development and validation of the IneRISE-Iman model: a spiritual care learning framework for undergraduate nursing students.

7 affiliations
  1. 1Doctoral Study Program in Medical Science, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia. [email protected].
  2. 2Department of Nursing, Faculty of Health Sciences, Universitas' Aisyiyah, Bandung, West Java, Indonesia. [email protected].
  3. 3Department of Community Nursing, Faculty of Nursing, Padjadjaran University, Bandung, West Java, Indonesia.
  4. 4Department of Basic Nursing, Faculty of Nursing, Padjadjaran University, Bandung, West Java, Indonesia.
  5. 5Department of Medical-Surgical Nursing, Faculty of Nursing, Padjadjaran University, Bandung, West Java, Indonesia.
  6. 6Department of Public Health, Padjadjaran University, Bandung, West Java, Indonesia.
  7. 7Centre for Nursing Studies, Universiti Teknologi Mara, Puncak Alam, Selangor, Malaysia.

Abstract

Background

Integrating spiritual care into undergraduate nursing curricula remains inconsistent, particularly in Muslim-majority contexts. Existing models are predominantly grounded in Western or secular frameworks and fail to adequately address the theological and cultural dimensions of Islamic spiritual care. A validated, culturally responsive pedagogical framework is therefore needed.Aim

To develop and establish the content validity of the IneRISE-IMAN (Islamic Nurturing Experience through Reflective-Islamic values embedded, Simulated and Engaged Learning for Internalization, Meaningful, Active Communication, and Nurturing) model for undergraduate nursing education.Methods

A two-round electronic Delphi (e-Delphi) study was conducted with 22 purposively selected experts representing nursing education, clinical practice, Islamic chaplaincy, and nursing students. Content validity was assessed using I-CVI, S-CVI/Ave, and S-CVI/UA. Inter-rater agreement was examined using Fleiss' Kappa.Results

Round 1 demonstrated excellent content validity (S-CVI/Ave = 0.94; S-CVI/UA = 79%). Following targeted revision of six sub-elements, full universal agreement was achieved in Round 2 (S-CVI/UA = 1.00), with 100% panel retention across both rounds. Fleiss' Kappa indicated moderate inter-rater agreement (κ = 0.44), acceptable for an interdisciplinary panel.Conclusion

The IneRISE-IMAN model shows strong content validity as a theoretically grounded framework that integrates Islamic philosophical anthropology, constructivist learning theory, and person-centered nursing for Islamic spiritual care education in undergraduate nursing. Future research should explore construct validity, implementation feasibility, and the impact on students' clinical skills.

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BibTeX
@article{dewi2026development,
  title = {{Development and validation of the IneRISE-Iman model: a spiritual care learning framework for undergraduate nursing students.}},
  author = {Inggriane Puspita Dewi and Hartiah Haroen and Hana Rizmadewi Agustina and Tuti Pahria and Nita Arisanti and Sharifah Shafinaz Sh Abdullah},
  journal = {BMC medical education},
  year = {2026},
  month = aug,
  doi = {10.1186/s12909-026-10079-z},
  url = {https://europepmc.org/article/MED/42972538},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Development and validation of the IneRISE-Iman model: a spiritual care learning framework for undergraduate nursing students.
AU  - Inggriane Puspita Dewi
AU  - Hartiah Haroen
AU  - Hana Rizmadewi Agustina
AU  - Tuti Pahria
AU  - Nita Arisanti
AU  - Sharifah Shafinaz Sh Abdullah
PY  - 2026
DA  - 2026/08/05
JO  - BMC medical education
DO  - 10.1186/s12909-026-10079-z
UR  - https://europepmc.org/article/MED/42972538
AB  - Background  Integrating spiritual care into undergraduate nursing curricula remains inconsistent, particularly in Muslim-majority contexts. Existing models are predominantly grounded in Western or secular frameworks and fail to adequately address the theological and cultural dimensions of Islamic spiritual care. A validated, culturally responsive pedagogical framework is therefore needed.Aim  To develop and establish the content validity of the IneRISE-IMAN (Islamic Nurturing Experience through Reflective-Islamic values embedded, Simulated and Engaged Learning for Internalization, Meaningful, Active Communication, and Nurturing) model for undergraduate nursing education.Methods  A two-round electronic Delphi (e-Delphi) study was conducted with 22 purposively selected experts representing nursing education, clinical practice, Islamic chaplaincy, and nursing students. Content validity was assessed using I-CVI, S-CVI/Ave, and S-CVI/UA. Inter-rater agreement was examined using Fleiss' Kappa.Results  Round 1 demonstrated excellent content validity (S-CVI/Ave = 0.94; S-CVI/UA = 79%). Following targeted revision of six sub-elements, full universal agreement was achieved in Round 2 (S-CVI/UA = 1.00), with 100% panel retention across both rounds. Fleiss' Kappa indicated moderate inter-rater agreement (κ = 0.44), acceptable for an interdisciplinary panel.Conclusion  The IneRISE-IMAN model shows strong content validity as a theoretically grounded framework that integrates Islamic philosophical anthropology, constructivist learning theory, and person-centered nursing for Islamic spiritual care education in undergraduate nursing. Future research should explore construct validity, implementation feasibility, and the impact on students' clinical skills.
SN  - 1472-6920
ER  -