Effectiveness of a Nurse-Led Spiritual Intelligence Program on Self-Efficacy and Anxiety Among Women with Infertility: A Quasi-Experimental Study in Egypt.

Abstract

Background/Objectives: Spiritual intelligence interventions enhance psychological resilience, yet evidence from nurse-led programs in the Egyptian context is limited. This study evaluated the effectiveness of a nurse-led spiritual intelligence training program on self-efficacy and anxiety among women with infertility. Methods: A quasi-experimental design with repeated measures was conducted on 118 women attending infertility clinics in Egypt. Participants were divided into intervention (n=59) or control (n=59) groups. The intervention group received a 6-session nurse-led spiritual intelligence program over four weeks. Self-efficacy, anxiety, and spiritual intelligence were measured at baseline, immediately post-intervention, and at three-month follow-up using validated tools. Repeated measures ANOVA and effect sizes were used to assess changes over time. Results: The intervention group demonstrated a significant increase in self-efficacy (Cohen’s d=0.78, p<0.001) and spiritual intelligence (d=0.85, p<0.001), and a significant reduction in anxiety (d=0.71, p<0.001) compared to controls post-intervention. Improvements were maintained at the three-month follow-up. Positive correlations were observed between spiritual intelligence and self-efficacy, and inverse correlations with anxiety. Conclusions: The nurse-led spiritual intelligence program effectively enhanced self-efficacy and reduced anxiety in women with infertility. Integrating spiritual intelligence interventions into routine infertility care may improve women’s psychological well-being, support resilience, and enhance coping with infertility-related stress. This intervention offers a culturally sensitive, nurse-led approach to enhance coping and mental well-being in women with infertility