Pandya Samta P
a Tata Institute of Social Sciences , Mumbai , India.
Soc Work Public Health. 2016 Nov-Dec;31(7):700-710. doi: 10.1080/19371918.2016.1188740. Epub 2016 Jul 1.
This article is based on a study of 1,389 medical social workers in 108 hospitals across 12 countries, on their views on spirituality and spiritually sensitive interventions in hospital settings. Results of the logistic regression analyses and structural equation models showed that medical social workers from European countries, United States of America, Canada, and Australia, those had undergone spiritual training, and those who had higher self-reported spiritual experiences scale scores were more likely to have the view that spirituality in hospital settings is for facilitating integral healing and wellness of patients and were more likely to prefer spiritual packages of New Age movements as the form of spiritual program, understand spiritual assessment as assessing the patients' spiritual starting point, to then build on further interventions and were likely to attest the understanding of spiritual techniques as mindfulness techniques. Finally they were also likely to understand the spiritual goals of intervention in a holistic way, that is, as that of integral healing, growth of consciousness and promoting overall well-being of patients vis-à-vis only coping and coming to terms with health adversities. Results of the structural equation models also showed covariances between religion, spirituality training, and scores on the self-reported spiritual experiences scale, having thus a set of compounding effects on social workers' views on spiritual interventions in hospitals. The implications of the results for health care social work practice and curriculum are discussed.
本文基于对12个国家108家医院的1389名医务社会工作者的研究,内容涉及他们对医院环境中灵性及灵性敏感干预措施的看法。逻辑回归分析和结构方程模型的结果表明,来自欧洲国家、美国、加拿大和澳大利亚的医务社会工作者,那些接受过灵性培训的人,以及那些自我报告的灵性体验量表得分较高的人,更有可能认为医院环境中的灵性有助于促进患者的整体康复和健康,并且更倾向于将新时代运动的灵性套餐作为灵性项目的形式,将灵性评估理解为评估患者的灵性起点,在此基础上进行进一步干预,并且可能将灵性技巧理解为正念技巧。最后,他们也可能以整体的方式理解干预的灵性目标,即相对于仅仅应对和接受健康困境而言,是实现整体康复、意识成长以及促进患者的整体福祉。结构方程模型的结果还显示了宗教、灵性培训和自我报告的灵性体验量表得分之间的协方差,因此对社会工作者对医院灵性干预措施的看法产生了一系列复合影响。文中讨论了研究结果对医疗保健社会工作实践和课程设置的启示。