Cone Pamela, Giske Tove
School of Nursing, Azusa Pacific University, Greater Los Angeles, CA, United States.
Faculty of Health Studies, VID Specialized University, Bergen, Norway.
Front Psychol. 2022 Feb 18;12:794165. doi: 10.3389/fpsyg.2021.794165. eCollection 2021.
Spirituality and spiritual care have long been kept separate from patient care in mental health, primarily because it has been associated with psycho-pathology. Nursing has provided limited spiritual care competency training for staff in mental health due to fears that psychoses may be activated or exacerbated if religion and spirituality are addressed. However, spirituality is broader than simply religion, including more existential issues such as providing non-judgmental presence, attentive listening, respect, and kindness (International Council of Nursing [ICN], 2012). Unfortunately, healthcare personnel working in mental health institutions are not well prepared to address spiritual concerns or resources of their patients (Cone and Giske, 2018). Therefore, a mixed-method pilot study was conducted using a self-assessment survey tool to examine spiritual care competencies of mental health staff in Norway and to understand the perspectives of mental health staff in the Scandinavian context (Stockman, 2018). Five questions and comments related to survey items provided rich qualitative data. While only a small pilot with 24 participants, this study revealed a need for spiritual care educational materials targeted specifically for those who work in mental health, materials that address the approach of improving attitudes, enhancing skills, and increasing knowledge related to spirituality and spiritual care of patients.
在心理健康领域,灵性与灵性关怀长期以来一直与患者护理相分离,主要是因为它与精神病理学相关联。由于担心如果涉及宗教和灵性,可能会引发或加剧精神病症状,护理行业为心理健康领域的工作人员提供的灵性关怀能力培训有限。然而,灵性的范畴比单纯的宗教更为广泛,还包括更多诸如提供无偏见陪伴、专注倾听、尊重和友善等存在主义问题(国际护士理事会[ICN],2012年)。不幸的是,在心理健康机构工作的医护人员并未充分准备好应对患者的灵性问题或资源(科恩和吉斯克,2018年)。因此,开展了一项混合方法的试点研究,使用自我评估调查工具来考察挪威心理健康工作人员的灵性关怀能力,并了解斯堪的纳维亚背景下心理健康工作人员的观点(斯托克曼,2018年)。与调查项目相关的五个问题和评论提供了丰富的定性数据。尽管该研究只是一个仅有24名参与者的小型试点,但它揭示了一种需求,即需要专门针对心理健康工作者的灵性关怀教育材料,这些材料要涉及改善态度、提升技能以及增加与患者灵性和灵性关怀相关知识的方法。