Wilding Clare, Muir-Cochrane Eimear, May Esther
Charles Sturt University, Albury, New South Wales, Australia.
Int J Ment Health Nurs. 2006 Jun;15(2):144-52. doi: 10.1111/j.1447-0349.2006.00414.x.
Spirituality has been recognized as an important part of nursing practice since its early beginnings. However, debate continues about whether and how nurses and other mental health professionals should include spirituality within their daily work. This paper aims to contribute to the discussion of spirituality within mental health nursing, through considering findings from a Heideggerian phenomenological study conducted with six people with mental illness living in regional Australia. This study aimed to provide a greater understanding of the phenomenon of spirituality by answering a primary research question, 'What does spirituality mean for people with a mental illness?' Participants were interviewed and data analysed using an iterative approach. Findings emerged through multiple readings and meanings were gradually constructed from the data into themes. The themes describe that spirituality is experienced uniquely for the participants, and that spirituality became vitally important to them when they became mentally unwell. In addition, issues of interest to mental health nurses were raised but not completely addressed by the study. The issues relate to potential interactions about spirituality between nurses and their patients. Although participants wanted to discuss their experiences of spirituality with others, they raised concerns about whether their mental health care providers would be accepting of their beliefs. Spirituality was deemed to be a highly individual phenomenon; it could be experienced as a journey and it was life-sustaining. For these reasons, it is proposed that mental health professionals must be prepared to discuss patients' spiritual needs in the context of their health concerns.
自护理行业早期开始，精神性就已被视为护理实践的重要组成部分。然而，对于护士及其他心理健康专业人员是否应将精神性纳入日常工作以及如何纳入，仍存在争议。本文旨在通过考量一项针对居住在澳大利亚地区的六名精神疾病患者开展的海德格尔现象学研究的结果，为心理健康护理领域中精神性的讨论做出贡献。该研究旨在通过回答一个主要研究问题“精神性对精神疾病患者意味着什么？”来更深入地理解精神性现象。采用迭代方法对参与者进行访谈并分析数据。通过多次阅读得出研究结果，并从数据中逐步构建出意义形成主题。这些主题表明，参与者对精神性有着独特的体验，并且当他们精神状态不佳时，精神性对他们变得至关重要。此外，还提出了心理健康护士感兴趣的问题，但该研究并未完全解决这些问题。这些问题涉及护士与患者之间关于精神性的潜在互动。尽管参与者希望与他人讨论他们的精神性体验，但他们对自己的精神健康护理提供者是否会接受他们的信仰表示担忧。精神性被认为是一种高度个体化的现象；它可以被体验为一段旅程，并且具有维持生命的作用。基于这些原因，建议心理健康专业人员必须准备好在关注患者健康的背景下讨论患者的精神需求。
