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“护士作为把关人”:奥地利护士对原发性恶性脑肿瘤患者精神需求的回应——一项定性情景研究的分析

'Nurses as Gatekeepers': Nurses' Responses to Spiritual Needs of Patients with Primary Malignant Brain Tumors in Austria-Analysis of a Qualitative Vignette Study.

作者信息

Grabenweger Reinhard, Völz Daniela, Bumes Elisabeth, Best Megan, Paal Piret

机构信息

Institute of Nursing Science and Practice, Paracelsus Medical University, Strubergasse 21, Salzburg, 5020, Austria.

Department of Neurology and Wilhelm Sander - NeuroOncology Unit, Regensburg University Hospital, Regensburg, Germany.

出版信息

J Relig Health. 2025 Apr;64(2):732-753. doi: 10.1007/s10943-025-02278-7. Epub 2025 Feb 21.

Abstract

This paper investigates the nurses' gatekeeping role for spiritual care in multi-disciplinary teams as a way of responding to the spiritual needs of patients with brain tumors in Austria. Using a validated vignette in an online survey, qualitative data from 56 neurosurgical nurses (30.4% response rate) were analyzed via reflexive thematic analysis. One key theme, Nurses as Gatekeepers - Referral and Working with other Health Care Professionals, highlights nurses' critical role in spiritual care. Effective referrals depend on nurses' awareness of spiritual care specialists' roles, emphasizing their importance in ensuring comprehensive, team-based care for neuro-oncological patients with complex spiritual needs.

摘要

本文探讨了护士在多学科团队中对精神关怀的把关作用,以此作为回应奥地利脑肿瘤患者精神需求的一种方式。通过在在线调查中使用经过验证的案例,对56名神经外科护士的定性数据(回复率30.4%)进行了反思性主题分析。一个关键主题“作为把关者的护士——转诊与与其他医疗保健专业人员合作”突出了护士在精神关怀中的关键作用。有效的转诊取决于护士对精神关怀专家角色的认识,强调了他们在确保为有复杂精神需求的神经肿瘤患者提供全面的团队护理方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/9924c1e0f7aa/10943_2025_2278_Fig1_HTML.jpg

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