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支持以患者为中心的关怀中的多样性:医疗神职人员的作用。

Supporting diversity in person-centred care: The role of healthcare chaplains.

机构信息

214057Trinity College Dublin, Ireland.

63881Bon Secours Hospital, Ireland.

出版信息

Nurs Ethics. 2021 Sep;28(6):935-950. doi: 10.1177/0969733020981746. Epub 2021 Feb 1.

DOI:10.1177/0969733020981746
PMID:33522415
Abstract

AIM

To explore healthcare chaplains' experience of providing spiritual support to individuals and families from minority religious and non-religious faiths and to identify key elements of the role.

BACKGROUND

Currently, there is limited research uncovering the essential elements of healthcare chaplaincy, specifically with reference to religious and/or spiritual diversity, and as interprofessional collaborators with nurses and midwives in healthcare.

RESEARCH DESIGN AND PARTICIPANTS

Using phenomenology, we interviewed eight healthcare chaplains from a variety of healthcare settings in the Republic of Ireland. Data were analysed using a seven-step framework comprising Moustakas' (1994) modification of the Van Kaam method of data analysis.

ETHICAL CONSIDERATIONS

Ethical approval was granted by the university and the principles of informed consent applied.

FINDINGS

Three main themes emerged: what the chaplain brings; components of ritual, minority faith or no faith; and practising chaplaincy. Subthemes included 'offering', 'awareness and insight', 'acceptance and empathy', 'skilled companionship', 'presence', 'a confidant and holder of hope' and 'a vital resource'.

DISCUSSION AND CONCLUSIONS

The healthcare chaplain is a key collaborator in facilitating holistic person-centred care and in supporting healthcare professionals. Chaplaincy services are an essential but largely unrecognised and potentially cost-effective component of interprofessional team working.

RELEVANCE TO CLINICAL PRACTICE

This study has illuminated key aspects of the healthcare chaplain's role as interprofessional collaborator in person-centred care, in navigating diversity and ensuring respect and dignity for the person irrespective of religious or spiritual care needs.

摘要

目的

探索医疗神职人员为少数民族宗教和非宗教信仰的个人和家庭提供精神支持的经验,并确定该角色的关键要素。

背景

目前,对于医疗圣职人员的基本要素,特别是在宗教和/或精神多样性方面,以及作为医疗保健中与护士和助产士的跨专业合作方面,研究有限。

研究设计和参与者

使用现象学,我们采访了来自爱尔兰共和国各种医疗环境的八名医疗神职人员。使用包括 Moustakas(1994 年)对数据分析 Van Kaam 方法的修改的七步框架对数据进行分析。

伦理考虑因素

大学批准了伦理,并应用了知情同意原则。

结果

出现了三个主要主题:神职人员带来了什么;仪式、少数民族信仰或无信仰的组成部分;以及实践圣职。子主题包括“提供”、“意识和洞察力”、“接受和同理心”、“熟练的陪伴”、“存在”、“知己和希望的捍卫者”和“重要资源”。

讨论和结论

医疗神职人员是促进整体以人为主导的护理和支持医疗保健专业人员的关键合作者。神职人员服务是跨专业团队合作中不可或缺但在很大程度上未被认识到且具有潜在成本效益的组成部分。

与临床实践的相关性

这项研究阐明了医疗神职人员作为以人为主导的护理中的跨专业合作者的角色的关键方面,即在多样性中进行导航,并确保无论宗教或精神护理需求如何,都尊重和维护人的尊严。

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