Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
J Clin Nurs. 2010 Aug;19(15-16):2128-36. doi: 10.1111/j.1365-2702.2008.02690.x. Epub 2009 Jul 8.
Aim. To examine nurses' attitudes to practising spiritual care and determine factors associated with nurses' attitudes to practising spiritual care. Background. Today, health is no longer viewed as a passive state of being, but as a dynamic process of achieving higher levels of wellness. In practices, nurse has increasingly focused on treating the whole person, including the four domains: physical, mental, social and spiritual. Of these four domains, the spiritual domain is the most neglected in daily nursing practice. Design. This is retrospective study. Methods. A convenience sampling was used and 110 nurses completed a structured questionnaire at a public hospital in September 2006. Outcome measures. Nurses' demographic data and perceptions and practices scores on spiritual care. Results. The results showed that nurses who more likely had religious beliefs (p = 0.028), were more likely to be married (p = 0.01), had past hospitalisation experiences (p = 0.009), worked in the obstetrics and gynaecology department (p < 0.001) and had higher perception levels towards spiritual care (p < 0.001) were significantly more likely to be practising spiritual care. Conclusion. As nurses are with patients all day, they are in a position to safeguard the wholeness and integrity of the patient. As mentioned in the results, there is a positive correlation between spiritual care perceptions and spiritual care practice among nurses, which means that the greater the nurse's spiritual care perceptions, the more frequently spiritual care is included in that nurse's practice. This correlation is vital and meaningful; it can drive hospitals to promote nurses' awareness of spiritual care to improve the quality of their spiritual care practice. Relevant to clinical practices. To facilitate collaboration between nurses and clergy, it might be beneficial for nurses to communicate more with the clergy, include clergy in patient profile discussions and treat clergy as members of the health care team. Given the influence of the spiritual dimension on the physical realm, it would be more economically viable in the long term to ensure that adequate staffing levels are maintained so that staff has enough time to spend with patients to attend to their spiritual needs.
目的。探讨护士对实践灵性关怀的态度，并确定与护士对实践灵性关怀态度相关的因素。背景。如今，健康不再被视为一种被动的状态，而是一种实现更高健康水平的动态过程。在实践中，护士越来越关注治疗整个人，包括身体、心理、社会和精神四个领域。在这四个领域中，灵性领域在日常护理实践中最被忽视。设计。这是一项回顾性研究。方法。采用便利抽样法，于 2006 年 9 月在一家公立医院对 110 名护士进行了一项结构性问卷调查。结果测量。护士的人口统计学数据以及对灵性关怀的认知和实践评分。结果。结果表明，更有可能具有宗教信仰的护士（p=0.028）、已婚的护士（p=0.01）、有住院经历的护士（p=0.009）、在妇产科工作的护士（p<0.001）和对灵性关怀认知水平较高的护士（p<0.001），更有可能实践灵性关怀。结论。由于护士整天与患者在一起，他们能够维护患者的整体完整性。正如结果所述，护士对灵性关怀的认知与灵性关怀实践之间存在正相关关系，这意味着护士对灵性关怀的认知越高，灵性关怀就越频繁地包含在该护士的实践中。这种相关性至关重要且具有意义；它可以促使医院提高护士对灵性关怀的意识，提高其灵性关怀实践的质量。与临床实践相关。为了促进护士与神职人员之间的合作，护士与神职人员进行更多的沟通、将神职人员纳入患者档案讨论以及将神职人员视为医疗保健团队的成员，可能会有所帮助。鉴于精神维度对身体领域的影响，从长远来看，确保维持足够的人员配备水平以确保员工有足够的时间与患者在一起满足他们的精神需求，在经济上更为可行。
