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精神性与健康教育:英国学术领袖全国调查

Spirituality and Health Education: A National Survey of Academic Leaders UK.

作者信息

Culatto A, Summerton C B

机构信息

Postgraduate Medical Education Centre, Central Manchester Foundation Trust, Oxford Road, Manchester, M13 9WL, UK.

Central Manchester University Hospitals NHS Foundation Trust (Trafford Division), Trafford General Hospital, Moorside Road, Davyhulme, Manchester, M41 5SL, UK.

出版信息

J Relig Health. 2015 Dec;54(6):2269-75. doi: 10.1007/s10943-014-9974-4.

Abstract

Whole person care is deemed important within UK medical practice and is therefore fundamental in education. However, spirituality is an aspect of this often neglected. Confusion and discomfort exists regarding how care relating to issues of spirituality and health (S&H) should be delivered. Different interpretations have even led to disciplinary action with professionals seeking to address these needs [ http://www.telegraph.co.uk/health/healthnews/4409168/Nurse-suspended-for-offering-to-prayfor-patients-recovery.html ]. Previous research shows 45% of patients want spiritual needs to be addressed within their care (Jackson and Summerton 2008). Two-thirds of healthcare professionals want to do this. However, lack of knowledge is a significant barrier (Moynihan 2008). Little is known regarding how Medical schools address S&H, only one limited study exists in the literature (Koenig et al. in Int J Psychiat Med 40: 391-8, 2010). Thirty-two UK educational institutions were surveyed. The chosen survey was compiled by Koenig and Meador (Spirituality and Health in Education and Researc. Duke University, Durham, 2008). Fifty-nine academics were contacted across UK medical schools, and the response rate was 57.6%. Statistical analysis was performed using SPSS 16.0. 5.6% institutions provide required and dedicated S&H teaching, 63.4% provided it as an integrated component. Nearly 40% felt staff were not adequately trained to teach S&H but welcomed opportunities for training. S&H is given value in undergraduate education but with little evidence of formal teaching. Institutions feel that this area is addressed within other topic delivery, although previous studies have shown integrating S&H with PBL leads to poor clinical performance (Musick et al. in Acad Psychiatry 27(2):67-73, 2003). Seminars or lectures are students' preferred methods of learning (Guck and Kavan in Med Teach 28(8):702-707, 2006). Further consideration should be given towards S&H delivery and training for practice.

摘要

全人护理在英国医疗实践中被视为重要内容,因此在医学教育中也至关重要。然而,灵性是全人护理中一个常常被忽视的方面。在如何提供与灵性和健康问题相关的护理方面,存在困惑和不适。不同的解读甚至导致了专业人员因试图满足这些需求而受到纪律处分[http://www.telegraph.co.uk/health/healthnews/4409168/Nurse-suspended-for-offering-to-prayfor-patients-recovery.html]。先前的研究表明,45%的患者希望在其护理过程中,灵性需求能得到满足(杰克逊和萨默顿,2008年)。三分之二的医疗保健专业人员希望做到这一点。然而,知识的匮乏是一个重大障碍(莫伊尼汉,2008年)。关于医学院如何处理灵性与健康问题,人们知之甚少,文献中仅有一项有限的研究(凯尼格等人,《国际精神病学医学杂志》,40: 391 - 398,2010年)。对32所英国教育机构进行了调查。所选用的调查问卷由凯尼格和米多尔编制(《教育与研究中的灵性与健康》。杜克大学,达勒姆,2008年)。联系了英国各医学院的59位学者,回复率为57.6%。使用SPSS 16.0进行统计分析。5.6%的机构提供了所需的专门的灵性与健康教学,63.4%将其作为综合组成部分。近40%的人认为工作人员没有接受足够的培训来教授灵性与健康,但欢迎培训机会。灵性与健康在本科教育中受到重视,但几乎没有正式教学的证据。各机构认为这个领域在其他主题教学中得到了涉及,尽管先前的研究表明将灵性与健康和基于问题的学习相结合会导致临床成绩不佳(马斯基克等人,《学术精神病学》,27(2):67 - 73,2003年)。研讨会或讲座是学生偏爱的学习方式(古克和卡万,《医学教育》,28(8):702 - 707,2006年)。应进一步考虑灵性与健康教学的实施以及实践培训。

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