School of Human and Health Science, University of Huddersfield, Huddersfield, UK.
Manchester Centre for Health Psychology, Division of Psychology and Mental Health, University of Manchester, Manchester, UK.
J Psychiatr Ment Health Nurs. 2020 Apr;27(2):162-171. doi: 10.1111/jpm.12560. Epub 2019 Sep 16.
WHAT IS KNOWN ON THE SUBJECT?: Addressing spiritual issues to maintain a sense of hope, meaning and purpose can be an important aspect of mental health care which goes beyond simply providing facilities for religious observance. Expressions of spiritual need from service users can potentially be confused with symptoms of mental ill health. Little is known about how mental health nurses understand or provide this aspect of care for service users. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: An understanding from the mental health nurse perspective of how mental health nurses understand and care for service users' spiritual needs, and what influences their practice in this area. Ideas about how education and opportunities for good practice in this area might be advanced. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nurses need more education and guidance as well as supportive team and management cultures so that they feel comfortable and able to deliver this important aspect of care. Abstract Introduction Mental health nurses have a professional obligation to attend to service users' spiritual needs, but little is known about specific issues related to provision of care for spiritual need faced by mental health nurses or how nurses understand this aspect of care and deliver it in practice. Aim/Question To explore mental health nurses' ́understandings of spiritual need and their experiences of delivering this care for service users. Method A qualitative study was conducted in one NHS mental health service. Interviews were undertaken with seventeen mental health nurses practising in a variety of areas. Results Four themes were generated from thematic analysis of data in the template style: Expressing personal perspectives on spirituality; Expressing perspectives on spirituality as a nursing professional; Nursing spiritually; and Permeating anxiety (integrative). Discussion Participants had complex understandings of spiritual need and evident anxieties in relation to this area of care. Two different approaches to nursing spiritually are characterised as (a) pragmatic (concerned with procedural aspects of care) and (b) spiritually empathetic. Mental health nurses were uncertain about the acceptability of attention to spiritual issues as part of care and anxious about distinguishing between symptoms of mental ill health and spiritual needs. Implications for practice Educational experiences need to emphasise both pragmatic and empathetic approaches, and work needs to be organised to support good practice.
关注精神问题以保持希望、意义和目的感可能是精神保健的一个重要方面，它不仅仅是为宗教活动提供场所。服务使用者表达的精神需求可能与心理健康问题的症状相混淆。对于心理健康护士如何理解或为服务使用者提供这方面的护理，知之甚少。
从心理健康护士的角度理解心理健康护士如何理解和照顾服务使用者的精神需求，以及哪些因素影响他们在这方面的实践。关于如何在这一领域推进教育和良好实践机会的想法。
护士需要更多的教育和指导，以及支持性的团队和管理文化，使他们感到舒适和能够提供这一重要的护理方面。
摘要 介绍 精神科护士有专业义务照顾服务使用者的精神需求，但对于精神科护士在提供精神需求护理方面面临的具体问题，以及护士如何理解这方面的护理并在实践中提供护理，知之甚少。
目的/问题 探讨精神科护士对精神需求的理解以及为服务使用者提供护理的经验。
方法 在一个 NHS 心理健康服务机构中进行了一项定性研究。对在各种领域工作的 17 名精神科护士进行了访谈。
结果 通过对模板风格的数据进行主题分析，生成了四个主题：表达个人对灵性的看法；作为护理专业人员表达对灵性的看法；护理灵性；和弥漫的焦虑（综合）。
讨论 参与者对精神需求有复杂的理解，并且对这一护理领域存在明显的焦虑。护理精神有两种不同的方法，一种是实用主义（关注护理的程序方面），另一种是精神同理心。精神科护士不确定关注精神问题作为护理的一部分是否可以接受，并且对区分心理健康问题的症状和精神需求感到焦虑。
实践意义 教育经验需要强调实用主义和同理心方法，并且需要组织工作来支持良好的实践。
