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According to Hodge (2016), spiritual competence can be understood as a form of cultural competence that deals with spirituality and religion, specifically the patient's individually constructed spiritual worldview. Spiritual competence is needed for the provision of spiritual care, and requires a specific set of knowledge, skills and therapeutic relationships leveraged alongside clinical care. More specifically, spiritual competence can be described as a dynamic process characterized by three, interrelated dimensions: 1. An awareness of one’s personal value-informed worldview along with its associated assumptions, limitations, and biases; 2. An empathic, strengths-based understanding of the patient's spiritual worldview, and 3. The ability to design and implement intervention strategies that are appropriate, relevant, and sensitive to the patient's spiritual worldview. To help develop the concept of spiritual competency for health care professionals, the Association for Spiritual, Ethical and Religious Values in Counseling (ASERVIC) first developed the Spiritual Competency Scale (SCS) in 1995 as a set of nine professional competencies mandated by the American Counseling Association for religious and spiritual counseling. The ASERVIC SCS was later updated to 13 competencies in 2009, and this SCS has been validated by other research studies since then. So, we can understand spiritual competence of a health care professional to be your ability to: · Put aside and not impose your own religious or spiritual beliefs on your patients as you care for them. · Leverage your patients' religious or spiritual beliefs and practices, to help you provide high quality clinical and spiritual care to them. · Know how to manage and stage interventions for patients presenting symptoms of religious or spiritual distress. · Manage yourself and have positive coping strategies when faced with challenging health care situations, such as when your patients present religious or spiritual distress.