Craigie F C, Hobbs R F
Maine-Dartmouth Family Practice Residency, Augusta, USA.
Fam Med. 1999 Sep;31(8):578-85.
Among a growing number of articles about spirituality and medicine, there are no open-ended empirical inquiries about family physicians' understanding of spirituality and what it might mean to incorporate spirituality into family practice. We used a qualitative methodology to investigate family physicians' perceptions of spirituality in clinical care, the roles of their own personal spirituality, and implications for medical education.
We used qualitative content analysis on transcripts of semi-structured interviews that had been conducted with 12 family physicians, in three regions of the country, with an expressed interest in spirituality.
This group of physicians reported 1) taking a vital clinical role as encouragers of patients' spiritual resources, 2) a vital role of their personal spirituality as an underpinning of the vocation and practice of family medicine, and 3) the key roles of respectful dialogue and mentoring in medical education about spirituality.
Results affirm the significance of spirituality in clinical family practice for the subjects interviewed and support a tripartite model that embraces clinical approaches to the spirituality of patients and families, the spirituality of caregivers, and the qualities of spirituality in health care organizations.
在越来越多关于灵性与医学的文章中,尚无关于家庭医生对灵性的理解以及将灵性融入家庭医疗实践可能意味着什么的开放式实证研究。我们采用定性研究方法,调查家庭医生在临床护理中对灵性的看法、他们个人灵性的作用以及对医学教育的影响。
我们对与12名家庭医生进行的半结构化访谈记录进行了定性内容分析,这些医生来自该国三个地区,均表示对灵性感兴趣。
这群医生报告称:1)作为患者精神资源的鼓励者发挥着至关重要的临床作用;2)他们个人的灵性作为家庭医学职业和实践的基础发挥着至关重要的作用;3)尊重对话和指导在灵性医学教育中发挥着关键作用。
研究结果证实了灵性在受访对象的临床家庭医疗实践中的重要性,并支持一个三方模型,该模型涵盖针对患者和家庭灵性的临床方法、护理人员的灵性以及医疗保健组织中的灵性特质。