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护士的宗教信仰与允许患者控制临终关怀谈话意愿之间的关系。

The relationship between nurses' religiosity and willingness to let patients control the conversation about end-of-life care.

机构信息

Medical College of Wisconsin, Milwaukee, WI 53226, USA.

出版信息

Patient Educ Couns. 2010 Feb;78(2):250-5. doi: 10.1016/j.pec.2009.05.018. Epub 2009 Jul 1.

Abstract

OBJECTIVE

The study attempts to examine the relationship between nurses' religious beliefs and how nurses communicate with patients.

METHOD

An online census survey was administered to graduate students in the School of Nursing at a Midwestern university. The survey was designed to measure: relational control, as measured by the subscales of dominance and task orientation in Burgoon and Hale's scale of relational communication; clinician empathy, as measured by the Jefferson scale of clinician empathy; and intrinsic and extrinsic religiosity, whether religious views are held for deep personal reasons or social reasons, as measured by the Maltby and Lewis scale. Data were analyzed using multiple regressions and one-way ANOVAs.

RESULTS

Intrinsic religiosity and empathy were both associated with the willingness to relinquish relational control in certain, specific contexts, such as end-of-life care.

CONCLUSION

Nurses who scored higher on a scale of intrinsic religious beliefs were more willing to let patients take control of conversations about end-of-life care.

PRACTICE IMPLICATIONS

A nurse's religious beliefs can enhance the clinical experience without the nurse trying to impose his or her beliefs on the patient, as the nurse works to make sure the patient's religious beliefs are upheld.

摘要

目的

本研究试图探讨护士的宗教信仰与护士与患者沟通的方式之间的关系。

方法

在中西部一所大学的护理学院,对研究生进行了在线普查。该调查旨在衡量:布尔贡和黑尔的关系沟通量表中的支配和任务导向子量表衡量的关系控制;杰斐逊临床医生同理心量表衡量的临床医生同理心;以及内在和外在的宗教信仰,即宗教观点是出于个人的深层原因还是出于社会原因,由马尔特比和刘易斯量表衡量。使用多元回归和单向方差分析对数据进行了分析。

结果

内在的宗教信仰和同理心都与在某些特定情况下(例如临终关怀)愿意放弃关系控制的意愿有关。

结论

在临终关怀等特定情况下,内在宗教信仰评分较高的护士更愿意让患者控制有关临终关怀的对话。

实践意义

护士的宗教信仰可以增强临床经验,而不会让护士试图将自己的信仰强加给患者,因为护士会努力确保患者的宗教信仰得到维护。

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