Spiritual care practices of oncology nurses.

Spiritual care practices of oncology nurses.
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肿瘤科护士的精神关怀实践。

DOI：
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发表时间：
1995
期刊：
Oncology Nursing Forum
影响因子：
1.9
通讯作者：
M. Highfield
M. Highfield
中科院分区：
医学4区
文献类型：
--
作者：
E. Taylor;M. Amenta;M. Highfield

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目的/目标 确定肿瘤科护士使用什么样的精神护理实践。 设计 描述性、横断面调查。 设置 来自美国所有地区的各种肿瘤学临床环境。 样品 对自认为是临床医生的肿瘤护理学会成员进行分层随机抽样; 700名成员中有181人完成了调查问卷;受访者通常是基督徒、白人、女性、成人住院肿瘤科护士。 方法 肿瘤护士精神护理观点调查和人口统计表通过邮寄方式发送和返回;问卷需要长达两个小时的时间完成;受访者有一个月的时间完成问卷。 主要研究变量 灵性护理实践/干预（类型和频率）和灵性需求指标。 结果 经常的做法包括与病人一起祈祷，将他们介绍给牧师或神职人员，为他们提供宗教材料，作为治疗的存在，并倾听和交谈。传统精神护理实践的频率因变量而异，如自我报告的灵性，宗教服务出席率，种族和教育。确定的精神需求指标包括焦虑，抑郁，病人的要求，死亡问题，绝望和退缩。 结论 肿瘤科护士以各种方式提供精神护理，这些方式往往是个人的和私人的，但他们很少这样做，而且有些不适。研究精神护理的做法和人口变量之间的关系是必要的。 对医疗实践的影响 需要为临床医生提供精神护理教育和资源。数据提供了精神需求干预措施和指标的实例。
PURPOSE/OBJECTIVES To determine what spiritual care practices oncology nurses use. DESIGN Descriptive, cross-sectional survey. SETTING Variety of oncology clinical settings from all regions of the United States. SAMPLE Stratified, random sampling of Oncology Nursing Society members who identified themselves as clinicians; 181 out of 700 completed the questionnaires; respondents typically were Christian, caucasian, female, adult inpatient oncology staff nurses. METHODS Oncology Nurse Spiritual Care Perspectives Survey and a demographic form were delivered and returned through mailing; questionnaires required up to two hours for completion; respondents were given one month to complete the questionnaires. MAIN RESEARCH VARIABLES Spiritual care practices/interventions (types and frequency) and indicators of spiritual need. FINDINGS Frequent practices included praying with patients, referring them to chaplains or clergy, providing them with religious materials, serving as a therapeutic presence, and listening and talking to them. Frequency of traditional spiritual care practices differed by variables such as self-reported spirituality, religious service attendance, ethnicity, and education. Identified indicators of spiritual need included anxiety, depression, patient requests, death issues, hopelessness, and withdrawal. CONCLUSIONS Oncology nurses provide spiritual care in a variety of ways that often are personal and private, yet they do so infrequently and with some discomfort. Research examining relationships between spiritual care practices and demographic variables is needed. IMPLICATIONS FOR NURSING PRACTICE Spiritual care education and resources for clinicians are needed. Data provide examples of interventions for and indicators of spiritual need.