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做对:肿瘤护理人员对灵性的理解。

Getting it right: oncology nurses' understanding of spirituality.

作者信息

Noble Agnes, Jones Colin

机构信息

Clatterbridge Centre for Oncology, Bebington, Wirral, United Kingdom.

出版信息

Int J Palliat Nurs. 2010 Nov;16(11):565-9. doi: 10.12968/ijpn.2010.16.11.80022.

Abstract

AIM

To explore oncology nurses' understanding of spirituality in order to shed some light on this complex area.

METHOD

The study used a qualitative cross-sectional design, inspired by a grounded theory approach. A non-probability sample of seven nurses took part in a focus group and individual semi-structured interviews. Inspired by the framework analysis technique, the data were displayed and reduced to underlying themes.

FINDINGS

Five major themes were identified: understanding of spirituality, the nurses' own spirituality, skills required, constraints and barriers to providing spiritual care, and education and support needs. The study found diverse definitions of spirituality, which was viewed as a vague and ambiguous concept, with some participants finding it difficult to differentiate between spirituality and religion. The impact of nurses' own spirituality was also uncovered, with unique findings of guilt, inadequacy, and stress in attempting to address patients' spiritual needs. Lack of time was seen as the main barrier to addressing spiritual needs, along with the emotional demands on the nurse, and a lack of training and education.

CONCLUSION

The study finds a need for improved education in spirituality and spiritual care.

摘要

目的

探讨肿瘤护理人员对灵性的理解,以便为这一复杂领域提供一些启示。

方法

本研究采用定性横断面设计,受扎根理论方法启发。七名护士的非概率样本参与了焦点小组和个人半结构化访谈。受框架分析技术启发,对数据进行展示并归纳为潜在主题。

结果

确定了五个主要主题:对灵性的理解、护士自身的灵性、所需技能、提供灵性护理的限制和障碍以及教育与支持需求。研究发现对灵性有多种定义,这被视为一个模糊且含混的概念,一些参与者发现难以区分灵性与宗教。还揭示了护士自身灵性的影响,在试图满足患者灵性需求时存在内疚、不足和压力等独特发现。时间不足被视为满足灵性需求的主要障碍,同时还有护士面临的情感需求以及缺乏培训和教育。

结论

该研究发现需要改进灵性和灵性护理方面的教育。

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