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肿瘤诊所护理人员眼中的精神护理相关困难:一项为期20年的纵向混合方法案例研究。

Difficulties Associated With Spiritual Care According to the Nursing Staff at an Oncology Clinic: A 20-Year Longitudinal Mixed Method Case Study.

作者信息

Lundmark Mikael

机构信息

Department of Historical, Philosophical and Religious Studies, Umeå University, Umeå, Sweden.

出版信息

J Adv Nurs. 2025 Mar 26. doi: 10.1111/jan.16929.

Abstract

AIM(S): To replicate a study conducted twenty years ago regarding difficulties associated with spiritual care at an oncology clinic. Compare the results against societal changes, educational changes and changes at the clinic.

DESIGN

Mixed-method, longitudinal, descriptive and comparative design.

METHODS

A questionnaire-based replication-study conducted in 2003 and 2023 with comparative and categorical content analyses. The questionnaire was handed out to all nursing staff at duty at the investigate oncology clinic during the data collection periods.

RESULTS

The difficulties associated with spiritual care in 2003 and 2023 are very similar and include (i) a lack of knowledge and education; (ii) the nurses' own approaches to spiritual care can be perceived as having a negative impact, and (iii) practical or structural difficulties, including a lack of time, experiences of stress, a lack of suitable locations for individual conversations.

CONCLUSION

The difficulties identified in the 2023 study mirror previous research to a high degree. These difficulties have not, in any substantial way, changed between 2003 and 2023. This conclusion indicates that difficulties associated with spiritual care might not be sensitive to societal changes regarding spirituallity, organisational changes at the clinic, or educational changes regarding the nurses' formal education in spirituality and healthcare.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study is informative with regard to identifying actions that can obviate difficulties associated with spiritual care.

REPORTING METHOD

When applicable: SRQR.

PATIENT OR PUBLIC CONTRIBUTION

None.

摘要

目的

重复一项20年前进行的关于肿瘤诊所精神护理相关困难的研究。将结果与社会变化、教育变化以及诊所的变化进行比较。

设计

混合方法、纵向、描述性和比较性设计。

方法

在2003年和2023年进行了一项基于问卷的重复研究,并进行了比较和分类内容分析。在数据收集期间,问卷分发给了被调查肿瘤诊所所有值班的护理人员。

结果

2003年和2023年与精神护理相关的困难非常相似,包括:(i)知识和教育的缺乏;(ii)护士自身的精神护理方法可能被认为有负面影响;(iii)实际或结构上的困难,包括时间不足、压力体验、缺乏适合个别谈话的场所。

结论

2023年研究中确定的困难在很大程度上反映了先前的研究。这些困难在2003年至2023年期间没有任何实质性变化。这一结论表明,与精神护理相关的困难可能对社会在灵性方面的变化、诊所的组织变化或护士在灵性与医疗保健方面的正规教育变化不敏感。

对该专业和/或患者护理的启示:本研究对于确定可以消除与精神护理相关困难的行动具有参考价值。

报告方法

适用时:SRQR。

患者或公众贡献

无。

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