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应对复杂性:瑞典姑息治疗专业人员的精神关怀话语

Navigating Complexity: Spiritual Care Discourses Among Swedish Palliative Care Professionals.

作者信息

Lundberg Emma, Ozanne Anneli, Dellenborg Lisen, Öhlén Joakim, Enstedt Daniel

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, P.O. Box 457, 413 46, Gothenburg, Sweden.

Department of Neurology, Sahlgrenska University Hospital, Blå Stråket 7, 413 46, Göteborg, Sweden.

出版信息

J Relig Health. 2025 Jun;64(3):2337-2361. doi: 10.1007/s10943-024-02106-4. Epub 2024 Aug 20.

DOI:10.1007/s10943-024-02106-4
PMID:39162774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12133967/
Abstract

Through discourse analysis of focus groups, this study investigates how palliative care professionals in Sweden engage with "spiritual care," "religion" and "spirituality." Our results reveal a common assumption that religion is "visible," but at the same time private. Furthermore, we observed a secular and nonreligious positioning, marked by frequent "us versus them" rhetoric, especially in discussions about truth telling. The findings illustrate a view of belonging to a secular society in which a discourse of static understanding of religion dominated, indicating a vague religious literacy. This study indicates a need among healthcare professionals to discern, understand and relate to non-visible forms of religion.

摘要

通过对焦点小组的话语分析,本研究调查了瑞典姑息治疗专业人员如何参与“精神关怀”、“宗教”和“灵性”。我们的研究结果揭示了一个共同的假设,即宗教是“可见的”,但同时又是私密的。此外,我们观察到一种世俗和非宗教的立场,其特点是频繁出现“我们与他们”的言辞,尤其是在关于告知真相的讨论中。研究结果表明,人们认为自己属于一个世俗社会,在这个社会中,对宗教的静态理解话语占主导地位,这表明宗教素养模糊。这项研究表明,医疗保健专业人员需要辨别、理解并与无形的宗教形式建立联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22a7/12133967/e1d3894512c0/10943_2024_2106_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22a7/12133967/e1d3894512c0/10943_2024_2106_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22a7/12133967/e1d3894512c0/10943_2024_2106_Fig1_HTML.jpg

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本文引用的文献

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Sweden: Health System Review.瑞典:卫生体系综述。
Health Syst Transit. 2023 Sep;25(4):1-236.
2
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Nurs Inq. 2024 Jul;31(3):e12622. doi: 10.1111/nin.12622. Epub 2024 Jan 4.
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Balancing hope at the end of life organisational conditions for spiritual care in palliative homecare in Sweden.在生命尽头保持平衡:瑞典姑息治疗居家护理中的组织条件与精神关怀。
Soc Sci Med. 2023 Aug;331:116078. doi: 10.1016/j.socscimed.2023.116078. Epub 2023 Jul 6.
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Near-death experiences and the change of worldview in survivors of sudden cardiac arrest: A phenomenological and hermeneutical study.心脏骤停幸存者的濒死体验与世界观转变:一项现象学与诠释学研究
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Meanings of "the existential" in a Secular Country: A Survey Study.世俗国家中“存在”的意义:一项调查研究。
J Relig Health. 2022 Aug;61(4):3276-3301. doi: 10.1007/s10943-021-01253-2. Epub 2021 Apr 18.
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J Relig Health. 2019 Dec;58(6):2036-2046. doi: 10.1007/s10943-019-00792-z.
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National Consensus Project Clinical Practice Guidelines for Quality Palliative Care Guidelines, 4th Edition.国家共识项目临床实践指南:优质姑息治疗指南,第 4 版。
J Palliat Med. 2018 Dec;21(12):1684-1689. doi: 10.1089/jpm.2018.0431. Epub 2018 Sep 4.
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