Frick Eckhard, Ziemer Philip, Heres Stephan, Ableidinger Karl, Pfitzer Franz, Büssing Arndt
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.
kbo-Isar-Amper-Klinikum gGmbH, Akademisches Lehrkrankenhaus der LMU München, Vockestraße 72, 85540, Haar bei München, Deutschland.
Nervenarzt. 2021 May;92(5):479-486. doi: 10.1007/s00115-020-00975-0.
Just as the World Psychiatric Association (WPA) and other national psychiatric societies, the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) has published a position statement about religiosity and spirituality in psychiatry and psychotherapy, in which it demands patient orientation and spiritual competency in psychiatric professions. Previous research has shown that lack of competency is the major barrier against implementing spiritual care into clinical practice.
The aim of this study was to examine spiritual care in psychiatry and psychotherapy. An evaluation of how health professionals in psychiatry gauge the spiritual care competency of their professional group and which variables influence this judgement.
A total of 391 psychiatric nursing personnel, 75 psychiatrists, 119 therapists from diverse professions and 62 others, i.e. 647 working in German and Austrian hospitals completed the German version of the spiritual care competency questionnaire (SCCQ).
Nursing personnel, older and spiritually more experienced persons gauged the spiritual competency of their own professional group comparatively higher and judged less frequently that they have no responsibility in this field. Nursing personnel reported the lack of suitable rooms as a barrier against implementation of spiritual care more often than other professional groups. Judging the spiritual competency of one's own professional group higher is associated with higher values in the SCCQ factors self-experience and proactive opening up, team spirit, perception and documentation competency.
The responsibility of healthcare professions for spiritual care in psychiatry and psychotherapy is still a controversial issue among German-speaking psychiatric professional groups. This is partially due to a lack of competency in this domain.
正如世界精神病学协会（WPA）和其他国家精神病学协会一样，德国精神病学、心理治疗与身心医学协会（DGPPN）发表了一份关于精神病学和心理治疗中宗教信仰与精神性的立场声明，其中要求在精神病学专业中以患者为导向并具备精神性能力。先前的研究表明，能力不足是将精神关怀纳入临床实践的主要障碍。
本研究旨在考察精神病学和心理治疗中的精神关怀。评估精神病学领域的健康专业人员如何衡量其专业群体的精神关怀能力，以及哪些变量会影响这一判断。
共有391名精神科护理人员、75名精神科医生、119名来自不同专业的治疗师以及62名其他人员，即647名在德国和奥地利医院工作的人员完成了德语版的精神关怀能力问卷（SCCQ）。
护理人员、年龄较大且精神体验更丰富的人员对其自身专业群体的精神能力评价相对较高，且较少认为他们在该领域没有责任。与其他专业群体相比，护理人员更常报告缺乏合适的空间是实施精神关怀的障碍。对自身专业群体的精神能力评价较高与SCCQ因素中的自我体验、积极开放、团队精神、感知和记录能力的较高得分相关。
在德语区的精神病学专业群体中，医疗保健专业人员对精神病学和心理治疗中精神关怀的责任仍是一个有争议的问题。部分原因是该领域缺乏能力。
