College of Nursing, Anschutz Medical Campus, University of Colorado, Denver, Colorado, USA.
J Clin Nurs. 2022 Aug;31(15-16):2354-2364. doi: 10.1111/jocn.16055. Epub 2021 Oct 3.
To examine the characteristics of spirituality as expressed by persons of colour living with serious illness.
Spiritual, Religious and Existential Care, as specified in the National Consensus Project (NCP) Guidelines, is a core domain of palliative nursing.
A constructionist approach to narrative analysis was used for this study and reported in accordance with the COREQ guideline.
In-depth narrative interviews were conducted with 20 participants. These participants included persons of colour living with serious illness who were admitted to an acute-care hospital. Through a deductive coding approach, a codebook was created based on a broad definition of spirituality including: religion, self, family, community, nature and art/music/literature.
The major themes expressed were religion, self and family. Subthemes of religion included increased faith, support of the church community and God's intervention in patients' lives. Subthemes of self included increased self-worth, self-awareness of one's place in the world and individualised transition to new meaning in life. Subthemes of family included family adding meaning and purpose to their lives, family as an important source of strength and support, wanting to regain their health to go back to caring for their families, and believing that their illness had brought their family closer together.
The thematic analysis revealed a broader existential aspect of what brought value, meaning and purpose into their lives, despite their progressive physical illness. More research is needed to understand spiritual, religious or existential needs of persons of colour living with serious illness and how nurses can best support these needs. By understanding the components of spirituality, nurses can learn to recognise the signs of spiritual distress. This awareness also helps to know when a spiritual specialist is needed-either the patient's own spiritual guide(s) or the hospital chaplain. Nurses can also use spiritual assessment tools when performing a general assessment on the patient.
By understanding the components of spirituality, nurses can learn to recognise the signs of spiritual distress. This awareness also helps to know when a spiritual specialist is needed-either the patient's own spiritual guide(s) or the hospital chaplain. Nurses can also use spiritual assessment tools when performing a general assessment on the patient.
研究有色人种患有严重疾病者所表达的灵性特征。
精神、宗教和存在关怀是缓和护理的核心领域，这在国家共识项目（NCP）指南中有明确规定。
本研究采用建构主义叙事分析方法，并按照 COREQ 指南进行报告。
对 20 名参与者进行了深入的叙事访谈。这些参与者包括患有严重疾病并入住急性护理医院的有色人种。通过演绎编码方法，根据灵性的广义定义（包括宗教、自我、家庭、社区、自然和艺术/音乐/文学）创建了一个代码本。
表达的主要主题是宗教、自我和家庭。宗教的子主题包括增强的信仰、教会社区的支持以及上帝干预患者生活。自我的子主题包括自我价值感的提高、对自己在世界上的位置的自我意识以及个体向新的生活意义的转变。家庭的子主题包括家庭为他们的生活赋予意义和目的、家庭是重要的力量和支持来源、希望恢复健康以回去照顾家人，以及相信他们的疾病使家人更加亲近。
主题分析揭示了尽管他们患有进行性身体疾病，但他们生活中带来价值、意义和目的的更广泛的存在方面。需要进一步研究以了解患有严重疾病的有色人种的精神、宗教或存在需求以及护士如何最好地满足这些需求。通过了解灵性的组成部分，护士可以学会识别灵性困扰的迹象。这种意识还有助于了解何时需要精神专家——患者自己的精神指导者或医院牧师。护士还可以在对患者进行一般评估时使用精神评估工具。
通过了解灵性的组成部分，护士可以学会识别灵性困扰的迹象。这种意识还有助于了解何时需要精神专家——患者自己的精神指导者或医院牧师。护士还可以在对患者进行一般评估时使用精神评估工具。
