Touhy Theris A, Brown Cynthia, Smith Carol J
Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, USA.
J Gerontol Nurs. 2005 Sep;31(9):27-35. doi: 10.3928/0098-9134-20050901-07.
The purpose of this qualitative study was to explore spiritual care for dying nursing home residents from the perspectives of registered nurses, practical nurses, certified nursing assistants, advanced practice nurses, and physicians. Five major themes emerged: honoring the person's dignity, intimate knowing in the nursing home environment, wishing we could do more, personal knowing of self as caregiver, and struggling with end-of-life treatment decisions. Spiritual caring was described within the context of deep personal relationships, holistic care, and support for residents. Spiritual care responses and similarities and differences in the experiences of participants are presented. Education and research about how to assist residents and families as they struggle with difficult end-of-life decisions, adequate time and staff to provide the kind of care they "wished they could," and development of models that honor the close connection and attachment of staff to residents could enhance end-of-life care in this setting.
这项定性研究的目的是从注册护士、执业护士、认证护理助理、高级执业护士和医生的角度，探讨为临终养老院居民提供的精神关怀。出现了五个主要主题：尊重人的尊严、在养老院环境中的深入了解、希望我们能做得更多、作为照顾者的自我认知以及在临终治疗决策上的挣扎。精神关怀是在深厚的人际关系、整体护理和对居民的支持背景下进行描述的。呈现了参与者的精神关怀反应以及他们经历中的异同。关于如何在居民和家庭艰难做出临终决策时提供帮助的教育和研究、有足够的时间和工作人员来提供他们“希望能做到”的那种护理，以及开发尊重工作人员与居民紧密联系和情感纽带的模式，都可以改善这种环境下的临终护理。
