Daudt Helena, d'Archangelo Margo, Duquette Dominique
Victoria Hospice, Education and Research, Victoria, BC, Canada.
University of Victoria, School of Nursing, Victoria, BC, Canada.
Palliat Support Care. 2019 Apr;17(2):129-137. doi: 10.1017/S1478951517001134. Epub 2018 Jan 23.
Spiritual care has formed an integral part of palliative care since its inception. People with advanced illnesses, however, frequently report that their spiritual needs are not attended to by their medical care team. The present study examines and describes the impact of a spiritual care training program on practice and cultural change in our Canadian hospice.
A qualitative case study approach was adopted to gather feedback from hospice staff and volunteers using purposive sampling. In-depth interviews were conducted, transcribed, and analyzed using thematic (semantic and latent) analysis.
Our data suggest that the program had a profound personal impact on attendees and contributed to a slight shift in practice patterns in our organization. Using a program not specifically tailored to our local and organizational cultural contexts resulted in some unanticipated challenges such as the range of tensions between personal and cultural boundaries. Although some people criticized parts of the program or questioned the program's value, a general agreement suggests that the program had a positive impact and meaningfully benefited our hospice. "What will happen next?" was the question most frequently voiced by interviewees.
Although the program may not have been a perfect fit for our organization, its use instigated a process of cultural change that unfolds today. The present study suggests that a systematic approach to spiritual care training that includes the concepts of workplace spirituality and sensitive practice offer useful frameworks for the development and implementation of spiritual care training in other institutions.
自姑息治疗诞生以来，精神关怀就一直是其不可或缺的一部分。然而，晚期疾病患者经常报告称，他们的医疗团队没有关注到他们的精神需求。本研究考察并描述了一项精神关怀培训计划对我们加拿大临终关怀机构的实践和文化变革的影响。
采用定性案例研究方法，通过目的抽样从临终关怀机构的工作人员和志愿者那里收集反馈。进行了深入访谈，对访谈内容进行了转录，并使用主题（语义和潜在）分析进行了分析。
我们的数据表明，该计划对参与者产生了深远的个人影响，并促使我们机构的实践模式发生了轻微转变。使用一个没有专门针对我们当地和机构文化背景量身定制的计划导致了一些意想不到的挑战，比如个人与文化界限之间的一系列紧张关系。尽管有些人批评了该计划的某些部分或质疑该计划的价值，但普遍的共识表明该计划产生了积极影响，并切实使我们的临终关怀机构受益。“接下来会发生什么？”是受访者最常提出的问题。
尽管该计划可能并不完全适合我们的机构，但它的使用引发了一个至今仍在展开的文化变革过程。本研究表明，一种系统的精神关怀培训方法，包括职场精神和敏感实践的概念，为其他机构开展和实施精神关怀培训提供了有用的框架。
