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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.

DOI:10.1007/s10943-025-02278-7
PMID:39984792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11950041/
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/1107/11950041/1d592c52d03d/10943_2025_2278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/9924c1e0f7aa/10943_2025_2278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/a9928f61e63a/10943_2025_2278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/1d592c52d03d/10943_2025_2278_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/9924c1e0f7aa/10943_2025_2278_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/a9928f61e63a/10943_2025_2278_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1107/11950041/1d592c52d03d/10943_2025_2278_Fig3_HTML.jpg

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本文引用的文献

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"Not me!" a qualitative, vignette-based study of nurses' and physicians' reactions to spiritual distress on neuro-oncological units.“不是我!”一项基于案例的定性研究,探讨了神经肿瘤病房护士和医生对精神困扰的反应。
Support Care Cancer. 2024 Jul 10;32(8):499. doi: 10.1007/s00520-024-08704-y.
2
Supporting best practice in reflexive thematic analysis reporting in : A review of published research and introduction to the (RTARG).支持反思性主题分析报告的最佳实践:已发表研究的回顾及 (RTARG)介绍。
Palliat Med. 2024 Jun;38(6):608-616. doi: 10.1177/02692163241234800. Epub 2024 Mar 12.
3
How palliative care professionals develop coping competence through their career: A grounded theory.
姑息治疗专业人员如何通过职业生涯发展应对能力:扎根理论。
Palliat Med. 2024 Mar;38(3):284-296. doi: 10.1177/02692163241229961. Epub 2024 Feb 21.
4
Vignettes as a novel research tool in spiritual care: A methods paper.小故事作为精神关怀中的一种新型研究工具:一篇方法学论文。
J Adv Nurs. 2024 Mar;80(3):1232-1240. doi: 10.1111/jan.15908. Epub 2023 Oct 20.
5
European Cancer Organisation Essential Requirements for Quality Cancer Care: Adult glioma.欧洲癌症组织癌症护理质量基本要求:成人脑胶质瘤。
J Cancer Policy. 2023 Dec;38:100438. doi: 10.1016/j.jcpo.2023.100438. Epub 2023 Aug 25.
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Spirituality is "sometimes just a hug": A conceptual analysis from the perspective of nursing students.灵性“有时只是一个拥抱”:一项基于护生视角的概念分析
Palliat Support Care. 2023 Jul 12:1-8. doi: 10.1017/S1478951523000974.
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Glioblastoma and Other Primary Brain Malignancies in Adults: A Review.成人脑胶质瘤和其他原发性脑恶性肿瘤:综述。
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