Noome Marijke, Beneken Genaamd Kolmer Deirdre M, van Leeuwen Evert, Dijkstra Boukje M, Vloet Lilian C M
Bachelor of Nursing, The Hague University of Applied Sciences, The Hague, The Netherlands.
Research Department of Emergency and Critical Care, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Scand J Caring Sci. 2017 Sep;31(3):569-578. doi: 10.1111/scs.12371. Epub 2016 Nov 14.
The aim of this study was to examine the role and responsibilities of intensive care unit (ICU) nurses regarding the spiritual aspects of end-of-life care in the ICU, from the chaplains' perspectives.
An explorative study including inductive thematic analysis was used. Two focus group interviews with in total eleven chaplains working in several Dutch ICUs were performed.
The focus group interviews resulted in five themes: (i) awareness of ICU nurses, (ii) communication, (iii) nursing interventions, (iv) multidisciplinary care and (v) education. In total, twenty recommendations were formulated.
This explorative study provides an overview of the perspectives of chaplains about the role of ICU nurses during end-of-life care, specified to spiritual care. Chaplains mentioned different roles, responsibilities and competences which are needed for ICU nurses to give spiritual care. These roles, responsibilities and competences included giving spiritual care to patients and families as standard care. Chaplains agreed that ICU nurses should start and maintain a dialogue with patient and families, but that it is also important to be aware of one's own spiritual background. However, education about spiritual care is needed to establish this. It could be recommended to educate ICU nurses during their ICU training or retraining about spiritual care and reflection.
本研究旨在从牧师的视角审视重症监护病房（ICU）护士在ICU临终关怀精神层面的作用和职责。
采用包括归纳主题分析的探索性研究。对在多家荷兰ICU工作的总共11名牧师进行了两次焦点小组访谈。
焦点小组访谈产生了五个主题：（i）ICU护士的意识，（ii）沟通，（iii）护理干预，（iv）多学科护理和（v）教育。总共制定了20条建议。
这项探索性研究概述了牧师对ICU护士在临终关怀期间作用的看法，具体涉及精神关怀。牧师提到了ICU护士提供精神关怀所需的不同作用、职责和能力。这些作用、职责和能力包括将为患者及其家属提供精神关怀作为标准护理。牧师一致认为，ICU护士应与患者及其家属开始并保持对话，但意识到自己的精神背景也很重要。然而，需要进行精神关怀教育来实现这一点。建议在ICU护士的ICU培训或再培训期间对其进行精神关怀和反思方面的教育。
