# “What Is Essential Is Invisible to the Eyes”: A Short Italian Version of the Spirit at Work Scale in Healthcare

**Authors:** Laura Dal Corso, Sebastiano Rapisarda, Lucia Ronconi, Damiano Girardi, Alessandra Falco

PMC · DOI: 10.3389/ijph.2025.1607734 · International Journal of Public Health · 2025-04-02

## TL;DR

This paper develops a shortened Italian version of a work spirit scale for healthcare workers and explores its connection to personal values and work outcomes.

## Contribution

The novel contribution is the creation and validation of a short Italian version of the Spirit at Work Scale (I-SAWS-9) in healthcare settings.

## Key findings

- A three-factor model of I-SAWS-9 was confirmed with good validity and reliability.
- Some dimensions of the Spirit at Work mediate between self-transcendence and outcomes like compassion satisfaction.
- The relationship between the Spirit at Work and workaholism remains unclear.

## Abstract

We carried out two studies to contribute to the development of a shortened Italian version of the Spirit at Work Scale (I-SAWS) in healthcare and to explore SAW’s mediating role between personal values (i.e., self-transcendence and self-enhancement) and both compassion satisfaction and workaholism.

Study 1 involved 180 healthcare workers (HCWs) who completed I-SAWS. In this study, an exploratory factor analysis was performed. Study 2 involved 191 HCWs who completed the short version of I-SAWS (I-SAWS-9) and the Italian version of the Portrait Values Questionnaire, Professional Quality of Life Scale, and Dutch Work Addiction Scale. In this study, a confirmatory factor analysis and a structural equation model with observed variables were carried out.

Study 1 identified three factors, named higher mission, optimal functioning, and joint meaning. Study 2 confirmed a three-factor model with a second-order factor, supporting the validity and reliability of I-SAWS-9. Furthermore, results confirmed the mediating role of some SAW dimensions between self-transcendence and outcomes.

While SAW’s association with compassion satisfaction is established, its relationship with workaholism remains ambiguous. Limitations and practical implications are discussed.

## Full-text entities

- **Diseases:** inflammatory (MESH:D007249), depression (MESH:D003866), SAW (MESH:D000073397), SAWS (MESH:C538175), burnout (MESH:D002055), addicted (MESH:D019966)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

63 references — full list in the complete paper: https://tomesphere.com/paper/PMC11999818/full.md

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Source: https://tomesphere.com/paper/PMC11999818