深情支持：探索重症护理护士在临终场景中的精神关怀

Soulful support: Exploring critical care nurses' spiritual caregiving towards end-of-life scenario.

作者信息

El-Ashry Ayman Mohamed, Eltyebani Sameh, Elsayed Shimmaa Mohamed, Khedr Mahmoud Abdelwahab, El-Sayed Mona Metwally, Ghoneam Mohamed Adel, Abdallah Haitham Mokhtar Mohamed

机构信息

Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

Psychiatric and Mental Health Nursing, Department of Nursing, College of Applied Medical Sciences, Jouf University, Al-Qurayyat, Saudi Arabia.

出版信息

Nurs Crit Care. 2025 May;30(3):e70026. doi: 10.1111/nicc.70026.

DOI:10.1111/nicc.70026

PMID:40207429

Abstract

BACKGROUND

Critical care nursing often involves providing care in environments where mortality is prevalent. Nurses' attitudes towards death significantly influence their approach to spiritual caregiving, which addresses patients' emotional, psychological and spiritual needs. Understanding this relationship is crucial for improving holistic care and patient outcomes.

AIM

Investigates how spiritual caregiving affects critical care nurses' attitudes towards death.

STUDY DESIGN

A descriptive correlational research design was used. The study included a convenient sample of 931 critical care nurses from four hospitals. Data were collected using the death attitude profile and the Arabic version of the Spiritual Caregiving Scale.

RESULTS

Nurses showed a positive attitude towards spiritual caregiving, with mean scores ranging from 3.89 to 4.24 across spiritual subscales. However, high levels of fear (mean = 4.48, SD = 1.32) and death avoidance (mean = 4.66, SD = 1.29) were prevalent, particularly among younger, male and urban nurses. A significant positive correlation was found between spiritual caregiving and acceptance of death (r = 0.266, p < 0.001, 95% CI [0.198, 0.334]), while a negative correlation was observed with fear of death (r = -0.109, p < 0.001, 95% CI [-0.182, -0.036]) and death avoidance (r = -0.010, p = 0.755, 95% CI [-0.083, 0.063]). Multivariate regression indicated that deeper engagement in spiritual caregiving predicted more positive or neutral attitudes towards death (B = -0.390, p < 0.001, 95% CI [-0.467, -0.313], R = 0.117).

CONCLUSION

Spiritual caregiving was associated with more positive death attitudes among critical care nurses, indicating its potential to enhance holistic care in critical settings.

RELEVANCE TO CLINICAL PRACTICE

Integrating spiritual caregiving into clinical practice enhances holistic care by addressing patients' emotional, psychological and spiritual needs while helping nurses manage their fear and avoidance of death. This approach promotes emotional resilience, job satisfaction and compassionate care, ultimately improving patient outcomes and supporting critical care nurses in delivering high-quality care in demanding, mortality-prevalent environments.

摘要

背景

重症护理通常涉及在死亡率普遍较高的环境中提供护理。护士对死亡的态度会显著影响其精神护理方式，而精神护理旨在满足患者的情感、心理和精神需求。理解这种关系对于改善整体护理和患者结局至关重要。

目的

调查精神护理如何影响重症护理护士对死亡的态度。

研究设计

采用描述性相关性研究设计。该研究纳入了来自四家医院的931名重症护理护士的便利样本。使用死亡态度量表和阿拉伯语版精神护理量表收集数据。

结果

护士对精神护理持积极态度，各精神子量表的平均得分在3.89至4.24之间。然而，恐惧（平均分为4.48，标准差为1.32）和逃避死亡（平均分为4.66，标准差为1.29）的程度较高，在年轻、男性和城市护士中尤为明显。精神护理与对死亡的接受度之间存在显著正相关（r = 0.266，p < 0.001，95%置信区间[0.198, 0.334]），而与对死亡的恐惧（r = -0.109，p < 0.001，95%置信区间[-0.182, -0.036]）和逃避死亡（r = -0.010，p = 0.755，95%置信区间[-0.083, 0.063]）呈负相关。多变量回归表明，更深入地参与精神护理预示着对死亡有更积极或中立的态度（B = -0.390，p < 0.001，95%置信区间[-0.467, -0.313]，R = 0.117）。