Dimens Crit Care Nurs. 2023;42(2):83-94. doi: 10.1097/DCC.0000000000000570.
BACKGROUND/OBJECTIVE: To gain insight into both patients' and relatives' experiences with spiritual care (SC) in the intensive care unit (ICU).
Method used was qualitative interviewing. This was a thematic, topic-centered, biographical, and narrative approach, using semistructured interviews with thematic analysis. A purposive sampling method was used to select a sample of ICU patients and ICU patients' relatives. An interview guide facilitated individual, semistructured interviews. The interview data were recorded by means of note-taking and audio-recording. Verbatim transcripts were compiled for analysis and interpretation.
All 12 participants-7 ICU patients and 5 family members of 5 other ICU patients-experienced ICU admission as an existential crisis. Participants would appreciate the signaling of their spiritual needs by ICU health care professionals (HCPs) at an early stage of ICU admission and subsequent SC provision by a spiritual caregiver. They regarded the spiritual caregiver as the preferred professional to address spiritual needs, navigate during their search for meaning and understanding, and provide SC training in signaling spiritual needs to ICU HCPs.
Early detection of existential crisis signals with ICU patients and relatives contributes to the mapping of spiritual and religious needs. Spiritual care training of ICU HCPs in signaling spiritual needs by ICU patients and relatives is recommended. Effective SC contributes to creating room for processing emotions, spiritual well-being, and satisfaction with integrated SC as part of daily ICU care.
背景/目的：深入了解患者和家属在重症监护病房（ICU）中对精神关怀（SC）的体验。
采用定性访谈法。这是一种主题式、以主题为中心的、传记式和叙述式的方法，使用半结构化访谈和主题分析。采用目的抽样法选择 ICU 患者和 ICU 患者家属作为样本。访谈指南促进了个体的半结构化访谈。访谈数据通过笔记和录音记录。逐字记录编制用于分析和解释。
所有 12 名参与者（7 名 ICU 患者和 5 名其他 5 名 ICU 患者的家属）都将 ICU 入院视为生存危机。参与者希望 ICU 医护人员在 ICU 入院早期能注意到他们的精神需求，并在随后由精神护理人员提供 SC。他们认为精神护理人员是解决精神需求、在寻找意义和理解时提供指导、并对 ICU 医护人员进行精神需求信号培训的首选专业人员。
早期检测 ICU 患者和家属的生存危机信号有助于映射精神和宗教需求。建议对 ICU 医护人员进行 SC 培训，以识别 ICU 患者和家属的精神需求信号。有效的 SC 有助于为处理情绪、精神健康和对作为日常 ICU 护理一部分的综合 SC 的满意度创造空间。
