Shih F J, Gau M L, Mao H C, Chen C H
National Taiwan University, College of Medicine, School of Nursing, Taipei, Taiwan.
Intensive Crit Care Nurs. 1999 Apr;15(2):83-94. doi: 10.1016/s0964-3397(99)80004-4.
The purpose of this study is to develop a lecture on spiritual care for adult critical care trainees, and to evaluate the trainees' appraisal of the effectiveness of this lecture in preparing them to provide spiritual care for their clients in a critical care setting. A between-method triangulation research design encompassing a questionnaire and descriptive qualitative content analysis was used. A convenience sample consisting of 64 registered nurses who attended an adult critical care nurse training programme in a leading medical centre in northern Taiwan were invited to participate in this study. A total of 64 female participants completed the questionnaire. Ninety-two per cent (59) of the subjects considered the lecture on spiritual care to be helpful in assisting them to provide holistic care for critically ill patients in the Intensive Care Unit (ICU). Three types of help were identified by the subjects: (1) help in clarifying the abstract concepts related to spiritual care (86%); (2) help in self-disclosing the nurses' personal beliefs and values regarding life goals, nursing, and spiritual needs (67%); (3) help in learning how to provide spiritual care to patients in a critical care setting (34%). Twenty per cent of the subjects thought that inclusion of the following content in the lecture would have been helpful to provide a more comprehensive picture of spiritual care: religious practices and rituals (11%); the culturally bonded nursing care plan (9%); the development of human spirituality (3%); patients' families' spiritual needs in the ICU (3%); and resources for nurses in providing spiritual care (2%). Thirteen per cent of the subjects suggested that the instructor might employ the following strategies to improve the quality of teaching: providing more empirical examples (5%); discussion with the students in classes of smaller size following the lecture or extending the instruction time (5%); and providing a syllabus with detailed information (3%).
本研究旨在为成年重症护理学员开展一场关于精神关怀的讲座，并评估学员对该讲座有效性的评价，该讲座旨在帮助他们在重症护理环境中为患者提供精神关怀。本研究采用了一种包含问卷调查和描述性定性内容分析的跨方法三角研究设计。我们邀请了64名注册护士组成的便利样本参与本研究，这些护士参加了台湾北部一家领先医疗中心的成人重症护理护士培训项目。共有64名女性参与者完成了问卷调查。92%（59名）的受试者认为精神关怀讲座有助于他们在重症监护病房（ICU）为重症患者提供整体护理。受试者确定了三种帮助类型：（1）有助于澄清与精神关怀相关的抽象概念（86%）；（2）有助于自我披露护士关于生活目标、护理和精神需求的个人信念和价值观（67%）；（3）有助于学习如何在重症护理环境中为患者提供精神关怀（34%）。20%的受试者认为，在讲座中纳入以下内容将有助于更全面地了解精神关怀：宗教实践和仪式（11%）；文化关联护理计划（9%）；人类灵性的发展（3%）；ICU中患者家属的精神需求（3%）；以及护士提供精神关怀的资源（2%）。13%的受试者建议教师可以采用以下策略来提高教学质量：提供更多实证例子（5%）；讲座后在小班课堂上与学生讨论或延长教学时间（5%）；以及提供包含详细信息的教学大纲（3%）。
