Tanyi Ruth A, McKenzie Monica, Chapek Cynthia
Prevention & Wellness Services, Loma Linda, California 92354, USA.
J Am Acad Nurse Pract. 2009 Dec;21(12):690-7. doi: 10.1111/j.1745-7599.2009.00459.x.
To investigate how primary care family practice providers incorporate spirituality into their practices in spite of documented barriers.
A phenomenological qualitative design was used. Semi-structured interviews were conducted with three physicians, five nurse practitioners, and two physician assistants.
Five major theme clusters emerged: (1) discerning instances for overt spiritual assessment; (2) displaying a genuine and caring attitude; (3) encouraging the use of existing spiritual practices; (4) documenting spiritual care for continuity of care; (5) managing perceived barriers to spiritual care.
Findings support that patients' spiritual needs can be addressed in spite of documented barriers. Techniques to assist providers in providing spiritual care are discussed and directions for future research are suggested.
探讨基层医疗家庭医生如何在存在记录在案的障碍的情况下将灵性融入其医疗实践中。
采用现象学质性设计。对三名医生、五名执业护士和两名医师助理进行了半结构化访谈。
出现了五个主要主题组:(1)识别进行公开灵性评估的情况;(2)展现真诚和关怀的态度;(3)鼓励使用现有的灵性实践;(4)记录灵性护理以确保护理的连续性;(5)应对感知到的灵性护理障碍。
研究结果支持,尽管存在记录在案的障碍,但患者的灵性需求仍可得到满足。讨论了协助医疗服务提供者提供灵性护理的技巧,并提出了未来研究的方向。