Chung Loretta Yuet Foon, Wong Frances Kam Yuet, Chan Moon Fai
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
J Adv Nurs. 2007 Apr;58(2):158-70. doi: 10.1111/j.1365-2648.2007.04225.x.
This paper reports a study to examine the relationship of nurses' spirituality to their understanding and practice of spiritual care.
Continued debate surrounds the concept, practice and teaching of spirituality, highlighting the complexity and importance of understanding spirituality and the delivery of spiritual care. Spirituality is defined in this study as the relationship with the self and a dimension beyond the self.
A convenience sample of 61 nurses from a part-time Bachelor of Science degree programme in nursing in Hong Kong, more than half of whom reported their religious affiliations, completed a newly developed, 27-item five-point Likert scale questionnaire. The data were collected in 2002. Descriptive statistics were calculated. Correlations were used to determine relationships among self, understanding and practices of spiritual care. The Mann-Whitney U and Kruskal-Wallis tests were used to examine differences between demographic variables and spirituality, understanding and practices of spiritual care. Multiple linear regression was used to determine factors contributing to understanding and practices of spiritual care.
A positive statistically significant correlation was found between self and the following three variables: dimension beyond self (r=0.35, P<0.001), understanding of spiritual care (r=0 x 57, P<0 x 001), and practice of spiritual care (r=0 x 26, P<0 x 05). The relative contributions of self to understanding (beta=1 x 06, |t|=10 x 74, P<0.001) and practice of spiritual care (beta=0 x 68, |t| = 3 x 62, P=0 x 001) were statistically significant. There was no statistically significance difference between any of the demographic variables and understanding and practice of spiritual care, except for a negative relationship between religious affiliations and the dimension beyond self (P<0 x 001).
Through continuously seeking self-awareness and connecting to a dimension beyond the self for inner resource, the contented whole self will be able to provide spiritual care.
本文报告一项研究,以探讨护士的灵性与其对灵性照护的理解及实践之间的关系。
围绕灵性的概念、实践和教学一直存在争议,凸显了理解灵性及提供灵性照护的复杂性和重要性。本研究将灵性定义为与自我以及超越自我的一个维度的关系。
从香港一个护理专业理学学士学位兼职课程中选取61名护士作为便利样本,其中半数以上报告了其宗教信仰,他们完成了一份新编制的、包含27个项目的五点李克特量表问卷。数据于2002年收集。计算描述性统计量。采用相关性分析来确定自我、对灵性照护的理解及实践之间的关系。使用曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验来考察人口统计学变量与灵性、对灵性照护的理解及实践之间的差异。采用多元线性回归来确定影响对灵性照护的理解及实践的因素。
自我与以下三个变量之间存在统计学上的显著正相关:超越自我的维度(r = 0.35,P < 0.001)、对灵性照护的理解(r = 0.57,P < 0.001)以及灵性照护的实践(r = 0.26,P < 0.05)。自我对灵性照护理解(β = 1.06,|t| = 10.74,P < 0.001)和实践(β = 0.68,|t| = 3.62,P = 0.001)的相对贡献具有统计学意义。除宗教信仰与超越自我的维度之间存在负相关(P < 0.001)外,任何人口统计学变量与对灵性照护的理解及实践之间均无统计学显著差异。
通过不断寻求自我认知并与超越自我的维度相连接以获取内在资源,内心充实的完整自我将能够提供灵性照护。