灵性与灵性照护：缓和医疗与急症照护环境下护士的观点与实务。

Spirituality and spiritual caring: nurses' perspectives and practice in palliative and acute care environments.

机构信息

Sydney Nursing School, The University of Sydney, Camperdown, NSW, Australia.

出版信息

J Clin Nurs. 2012 Aug;21(15-16):2126-35. doi: 10.1111/j.1365-2702.2012.04180.x.

DOI:10.1111/j.1365-2702.2012.04180.x

PMID:22788554

Abstract

AIMS AND OBJECTIVES

Identify and compare spiritual caring practice by palliative care and acute care registered nurses (RNs), determine any correlation between nurses' spiritual perspective and their spiritual caring, and to investigate perceived barriers to spiritual caring.

BACKGROUND

Over the past decade there has been growing interest in spiritual caring in nursing. Professional nursing bodies have proposed spirituality and spiritual caring as an integral component of holistic nursing.

DESIGN

Cross sectional study.

METHODS

Palliative care RNs (n = 42) from one community palliative care service and three hospices, and acute care RNs (n = 50) from three major acute care hospitals all in metropolitan Sydney, Australia completed a research questionnaire. Two validated tools and a demographic survey were used to collect data. These tools measured spiritual perspectives including saliency of personal spirituality, spiritual views and engagement in spiritually-related activities; and spiritual practice including assessment, interventions and barriers to spiritual caring. Data were collected over a six-month period and interpreted with both descriptive and analytical statistics.

RESULTS

Significant differences were seen between the two RN groups. Palliative care RNs' spiritual caring practice was more advanced and their spiritual perspective stronger; this relationship was positive. Both RN groups identified 'insufficient time' as the most common barrier to spiritual caring practice; 'patient privacy' was also common for acute care RNs.

CONCLUSIONS

Palliative care RNs' spiritual perspectives influenced their spiritual caring. These nurses were older and more career-advanced than the acute care RNs, which may explain the differences observed. Acute care RNs may benefit from additional support for their spiritual caring and to address perceived barriers.

RELEVANCE TO CLINICAL PRACTICE

The development of nurses' spiritual perspective early in their preparation for practice, and the articulation and documentation of spiritual caring may enhance their spiritual caring practice. Further research on barriers to spiritual caring in acute care nursing environments is recommended.

摘要

目的与目标

识别和比较姑息治疗和急性护理注册护士（RN）的精神关怀实践，确定护士的精神观点与其精神关怀之间的任何相关性，并调查对精神关怀的感知障碍。

背景

在过去的十年中，护理中的精神关怀越来越受到关注。专业护理机构已经提出将灵性和精神关怀作为整体护理的一个组成部分。

设计

横断面研究。

方法

来自澳大利亚大都市悉尼的一家社区姑息治疗服务机构和三家临终关怀机构的姑息治疗 RN（n=42），以及来自三家主要急性护理医院的急性护理 RN（n=50）完成了研究问卷。使用了两种经过验证的工具和一项人口统计学调查来收集数据。这些工具衡量了精神观点，包括个人精神的突出性、精神观点和参与与精神相关的活动；以及精神实践，包括评估、干预和精神关怀的障碍。数据在六个月内收集，并使用描述性和分析性统计进行解释。