Heliker D
Clinical Faculty, Loyola University, Chicago, IL.
Nurs Forum. 1992 Oct-Dec;27(4):15-20. doi: 10.1111/j.1744-6198.1992.tb00914.x.
The purpose of this paper is to reevaluate the nursing diagnosis of spiritual distress in relation to Marjory Gordon's criteria of discriminatory power, generality, flexibility, usefulness, and inclusiveness. The author suggests that nursing's perspective of the spiritual dimension and spiritual distress is both narrow and inadequate in today's multicultural, multidimensional healthcare setting. Views of spirituality from multiple disciplines are discussed to illustrate the diversity of the phenomenon and contrast views that primarily emphasize religiosity and psychosocial factors. Reevaluation of spiritual distress and spirituality must come in the form of holistic and humanistic approaches in nursing education and research, integration of the spiritual dimension within nursing curricula, and recognition of multidisciplinary, global perspectives of the spiritual phenomenon. The author stresses the importance of the spiritual dimension and its impact upon a person as a multidimensional being.
本文的目的是根据玛乔丽·戈登的判别力、普遍性、灵活性、实用性和包容性标准，重新评估精神困扰的护理诊断。作者认为，在当今多元文化、多维度的医疗环境中，护理对精神维度和精神困扰的看法既狭隘又不充分。本文讨论了多个学科的精神性观点，以说明该现象的多样性，并对比主要强调宗教性和心理社会因素的观点。对精神困扰和精神性的重新评估必须采取以下形式：护理教育和研究中的整体和人文方法、将精神维度纳入护理课程，以及认识到精神现象的多学科、全球视角。作者强调了精神维度的重要性及其对作为多维度存在的人的影响。
