Department of Nursing, National Taichung Nursing College.
J Nurs Res. 2011 Dec;19(4):250-6. doi: 10.1097/JNR.0b013e318236cf78.
Florence Nightingale emphasized the need for nurses to honor the psychological and spiritual aspects of patients to promote patients' health. Whereas study of a public hospital in Singapore presented similar findings, few studies have explored clinical nurses' perceptions of spirituality.
The purpose of this study was to investigate the role of specific nurse demographic characteristics in predicting perception differences with regard to spirituality and spiritual care.
The Chinese version of the Spirituality and Spiritual Care Rating Scale was developed using a translate and back-translate process, achieving a content validity index of .98. This study used a cross-sectional descriptive survey with 350 clinical nurses as the study sample. Three hundred forty-nine valid questionnaires were returned (response rate, 99.71%). The institutional review board of the hospital approved this study.
Most participants were women, ranging in age from 23 to 64 years. Participants' clinical experience ranged from less than 1 year to 40 years, with a mean experience value of 13.42 years. Participants were distributed among all clinical specialties. Slightly less than half (41.83%) professed no religious belief, and most were not involved in religious activities (55.01%, n = 192). A little over half (53.58%, n = 187) had received spiritual care lessons during nurse training, and more than half (58.74%, n = 205) had received spiritual care continuous education after graduation. This survey found perception of spirituality positively related to holding a master's degree, 11 to 19 years of clinical experience, specialty in palliative nursing, and having received spiritual care lessons during nursing training or continuing education. Clinical nurses who held a master's degree or received spiritual care lessons during continuing education had higher levels of spiritual care perception.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This study found education to have a positive impact on participants' perception of spirituality and spiritual care. A higher education level and more spiritual care lessons or training courses were found to increase perception level. Study findings provide preliminary insights into nurses' perceptions of spirituality and spiritual care in Taiwan. Findings demonstrate an urgent need for additional education programs or training in spiritual care to improve the ability of nurses in catering to the spiritual needs of patients and guide clinical nurses when conducting spiritual care.
弗洛伦斯·南丁格尔强调护士需要尊重患者的心理和精神方面，以促进患者的健康。而新加坡一家公立医院的研究也得出了类似的发现，但很少有研究探讨临床护士对灵性的看法。
本研究旨在探讨特定护士人口统计学特征在预测灵性和灵性关怀感知差异方面的作用。
使用翻译和回译过程开发了中文版的灵性和灵性关怀评分量表，其内容效度指数为.98。本研究采用横断面描述性调查，以 350 名临床护士为研究样本。共收回 349 份有效问卷（应答率为 99.71%）。医院的机构审查委员会批准了这项研究。
大多数参与者为女性，年龄在 23 至 64 岁之间。参与者的临床经验从不到 1 年到 40 年不等，平均经验值为 13.42 年。参与者分布在所有临床科室。略低于一半（41.83%）表示没有宗教信仰，大多数人不参加宗教活动（55.01%，n=192）。略多于一半（53.58%，n=187）在护士培训期间接受过灵性关怀课程，超过一半（58.74%，n=205）毕业后接受过灵性关怀继续教育。这项调查发现，对灵性的感知与持有硕士学位、11 至 19 年的临床经验、姑息护理专业以及在护理培训或继续教育期间接受过灵性关怀课程正相关。持有硕士学位或在继续教育期间接受过灵性关怀课程的临床护士对灵性关怀的感知度更高。
结论/对实践的启示：本研究发现教育对参与者对灵性和灵性关怀的感知有积极影响。更高的教育水平和更多的灵性关怀课程或培训被发现可以提高感知水平。研究结果为台湾护士对灵性和灵性关怀的看法提供了初步的见解。研究结果表明，迫切需要开展更多的灵性关怀教育计划或培训，以提高护士满足患者精神需求的能力，并指导临床护士在进行灵性关怀时提供帮助。
