Medical Oncology, Academic Medical Center, Amsterdam, The Netherlands.
Faculty of Philosophy, Theology and Religious Studies, Radboud University Nijmegen, Nijmegen, The Netherlands, The Netherlands.
J Pain Symptom Manage. 2018 Mar;55(3):1035-1040. doi: 10.1016/j.jpainsymman.2017.11.015. Epub 2017 Nov 21.
In this article, we aimed to set out current problems that hinder a fully fledged integration of spiritual and medical care, which address these obstacles. We discuss the following five statements: 1) spiritual care requires a clear and inclusive definition of spirituality; 2) empirical evidence for spiritual care interventions should be improved; 3) understanding patients' experiences of contingency is paramount to deliver effective spiritual care; 4) attention to spiritual needs of patients is a task for every health care practitioner; 5) courses on spirituality and spiritual care should be mandatory in the medical curriculum. Current problems might be overcome by speaking each other's language, which is crucial in interdisciplinary research and in good interdisciplinary collaboration. Using a clear and inclusive definition of spirituality and substantiating spiritual care using medical standards of evidence-based practice is a way to speak each other's language and to increase mutual understanding. Furthermore, including spirituality in the medical curriculum would raise awareness of medical practitioners for their task of attending to patients' spiritual needs and, subsequently, to better and more appropriate referral for spiritual care.
在本文中,我们旨在阐述当前阻碍精神与医疗全面融合的问题,并提出解决这些障碍的方法。我们讨论了以下五个观点:1)精神关怀需要对灵性有明确且包容的定义;2)应改善精神关怀干预的实证证据;3)理解患者对偶然性的体验是提供有效精神关怀的关键;4)关注患者的精神需求是每个医疗保健从业者的任务;5)灵性与精神关怀课程应成为医学课程的必修课。通过使用清晰且包容的灵性定义,并使用基于医学证据实践的医疗标准来证实精神关怀,可以促进跨学科研究和良好的跨学科合作,从而克服当前的问题。此外,在医学课程中纳入灵性知识将提高医疗从业者对其关注患者精神需求任务的认识,从而能够更好地、更恰当地为精神关怀转介。