American Indians and Spiritual Needs During Hospitalization: Developing a Model of Spiritual Care
American Indians and Spiritual Needs During Hospitalization: Developing a Model of Spiritual Care
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DOI：
10.1093/geront/gnt042
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发表时间：
2014-08-01
期刊：
影响因子：
5.7
通讯作者：
Wolosin, Robert J.
中科院分区：
文献类型：
--
作者：
Hodge, David R.;Wolosin, Robert J.
目的：虽然灵性通常与土著文化中的健康交织在一起，但很少有研究探讨美洲印第安人的精神需求与住院期间服务提供的总体满意度之间的关系。本研究探讨了这种关系，与8个潜在的调解人的影响，开发一个模型的精神护理老年住院的美国印第安人。设计和方法：使用结构方程模型与美国印第安人（N = 860），年龄50岁及以上，谁是连续从美国各地的医院出院超过12个月的时间。结果：正如所假设的，解决精神需求与提供服务的总体满意度呈正相关。精神需求和满意度之间的关系是完全介导的4个变量：护理人员，出院过程中，医生和游客。含义：作为第一个研究开发和测试精神护理模式的老年住院美洲印第安人，这项研究提供从业者的信息，提供更有效的，文化相关的服务，老年美洲印第安人。
Purpose: Although spirituality is typically intertwined with health in Native cultures, little research has examined the relationship between American Indians' spiritual needs and overall satisfaction with service provision during hospitalization. This study examined this relationship, in tandem with the effects of 8 potential mediators, to develop a model of spiritual care for older hospitalized American Indians. Design and Methods: Structural equation modeling was used with a sample of American Indians (N = 860), aged 50 and older, who were consecutively discharged from hospitals across the United States over a 12-month period. Results: As posited, addressing spiritual needs was positively associated with overall satisfaction with service provision. The relationship between spiritual needs and satisfaction was fully mediated by 4 variables: nursing staff, the discharge process, physicians, and visitors. Implications: As the first study to develop and test a model of spiritual care for older hospitalized American Indians, this study provides practitioners with the information to provide more effective, culturally relevant services to older American Indians.