Rykkje Linda, Morland Marianne, Ferstad Kristin, Kuven Britt Moene
Institute of Health, Faculty of Health Studies, Bergen, Norway.
Institute of Nursing, Faculty of Health Studies, Bergen, Norway.
J Clin Nurs. 2023 Nov;32(21-22):7846-7859. doi: 10.1111/jocn.16855. Epub 2023 Aug 13.
To explore and gain a broader understanding of residents' viewpoints and experiences of spiritual care when living in a nursing home.
A qualitative hermeneutical interview study inspired by Gadamer's philosophical hermeneutics.
Thirty-eight individual interviews of 14 male and 24 female residents; of these, 24 had a dementia diagnosis. The setting was one large Norwegian nursing home providing long-term care. FACIT-Sp-12 was used as a guide for the interview, in addition to two open-ended questions about thriving and spiritual care.
The older residents' voices portray a broad and diverse understanding of spiritual care, and four themes emerged: (1) Spiritual at-homeness, (2) Spiritual awareness, (3) Philosophy of life and (4) Interconnectedness.
Accepting one's life situation in a nursing home can foster a feeling of belonging, leading to feeling more at-home. Spiritual well-being, including finding purpose, spiritual awareness and beliefs, was found to be interconnected with spiritual at-homeness in the nursing home.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study provides insights into older nursing home residents' viewpoints on spiritual care, including persons living with dementia.
The study addressed the limited evidence regarding how older residents themselves experience and express spiritual care. Listening to older nursing home residents' voices provides a unique contribution to the research field. As several individuals with dementia contributed to the findings, this study mirrors the current population of residents in nursing homes. The findings may inform healthcare provision and policymakers and impact upon spiritual care in the field of older people nursing and dementia care services.
The COREQ guideline.
Participation through interviews of nursing home residents.
探讨并更广泛地了解养老院居民在接受精神关怀方面的观点和经历。
一项受伽达默尔哲学诠释学启发的质性诠释学访谈研究。
对14名男性和24名女性居民进行了38次个人访谈；其中24人被诊断患有痴呆症。研究地点是一家提供长期护理服务的大型挪威养老院。除了两个关于茁壮成长和精神关怀的开放式问题外，还使用了FACIT-Sp-12作为访谈指南。
老年居民的声音描绘了对精神关怀广泛而多样的理解，并出现了四个主题：（1）精神归属感，（2）精神意识，（3）生活哲学，（4）相互联系。
接受养老院中的生活状况可以培养归属感，让人感觉更像在家中一样。人们发现，精神幸福感，包括找到生活目的、精神意识和信仰，与养老院中的精神归属感相互关联。
对专业和/或患者护理的启示：本研究深入了解了老年养老院居民对精神关怀的观点，包括痴呆症患者。
该研究解决了关于老年居民自身如何体验和表达精神关怀的证据有限的问题。倾听老年养老院居民的声音为研究领域做出了独特贡献。由于有几位痴呆症患者参与了研究结果的得出，本研究反映了当前养老院居民的总体情况。研究结果可能为医疗保健服务提供和政策制定者提供参考，并对老年人护理和痴呆症护理服务领域的精神关怀产生影响。
采用COREQ指南。
通过对养老院居民进行访谈参与研究。
