The brief serenity scale: a psychometric analysis of a measure of spirituality and well-being

J Holist Nurs. 2009 Mar;27(1):7-16. doi: 10.1177/0898010108327212. Epub 2009 Jan 28.


Purpose: This article describes a factor analysis of a 22-item version of the Serenity Scale, a tool that measures spirituality and well-being.

Method: A sample of 87 participants, enrolled in a National Institutes of Health-funded clinical trial examining the impact of mindfulness-based stress reduction on symptom management post-solid organ transplantation, completed the abbreviated instrument.

Findings: Exploratory factor analysis yielded three subscales: acceptance, inner haven, and trust. The Serenity Scale was positively associated with positive affect and mindful awareness and inversely related to negative affect, anxiety, depression, health distress and transplant-related stress.

Conclusions: Serenity, a dimension of spirituality that is secular and distinct from religious orientation or religiosity, shows promise as a tool that could be used to measure outcomes of nursing interventions that improve health and well-being.

Implications: Spirituality is recognized as being an essential component of holistic nursing practice. As nurses expand their use of spiritual interventions, it is important to document outcomes related to nursing care. The Serenity Scale appears to capture a dimension of spirituality, a state of acceptance, inner haven and trust that is distinct from other spirituality instruments.

Publication types

  • Evaluation Study

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Attitude to Health
  • Female
  • Holistic Health*
  • Holistic Nursing / methods
  • Humans
  • Male
  • Middle Aged
  • Mind-Body Relations, Metaphysical*
  • Nursing Methodology Research
  • Personality Assessment
  • Psychometrics / instrumentation*
  • Quality of Life / psychology*
  • Spirituality*
  • United States