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探索加護病房護理人員照護重症病患之靈性照顧經驗

Exploring Spiritual Care Experiences of ICU Nurses Toward Critical Care Patients

作者:李瑞慈
畢業學校:輔英科技大學
出版單位:輔英科技大學
核准日期:2013-01-25
類型:Electronic Thesis or Dissertation
權限:Copyright information available at source archive--Fooyin University....

中文摘要

本研究目的在探索加護病房護理人員對重症病患的靈性照護經驗,採現象學研究法,以11位加護病房護理人員為對象,利用半結構式訪談指引進行資料收集。研究對象均為女性、平均年齡35歲、未婚、大學畢業、和道教信仰者佔多數、護理年資平均15年,加護病房年資平均12年,護理人員自覺本身目前靈性狀況平均5分(範圍3至7分),護理人員自覺本身目前靈性照護能力平均5分(範圍2至8分)。加護病房護理人員對重症患者靈性照護的經驗本質結構包含3個主軸,護理人員的靈性、護理人員的靈性照護、影響護理人員提供靈性照護的因素。主軸一包括4個次主軸,護理人員的靈性定義、價值信念與人生目標(4個主題包括工作使命、求生存、平穩平淡、生活的壓力挫折和因應)、與他人的互動(3個主題包括親子情愛、護病關係、同事情誼)、與至高者連結(2個主題包括為求神問卜、習俗儀式)。主軸二包括3個次主軸,護理人員靈性照護的定義、病患靈性需求評估(分意識清醒病患,包括非語言表達和臨床觀察,及意識不清醒病患,包括家屬詮釋)、護理人員的靈性照護內容包括一般靈性照護(9個主題包括照護技巧、生理需求、自主性、另類療法、促進互動、宗教信仰、文化照護、心願完成、哀傷緩解與臨終照護)、意識清醒及意識不清醒病患靈性照護。主軸三影響護理人員提供靈性照護的因素,3個次主軸包括環境、時間、醫療團隊缺乏靈性在職教育。根據以上的研究成果,期待未來可發展出一套重症患者的靈性照護指引,以提供護理人員照護重症患者靈性需求之參考。

英文摘要

The purpose of this research was to explore the spiritual status of intensive care unit (ICU) nurses and their spiritual care experiences for the critical patients. By phenomenological method, we interviewed 11 ICU nurses with semi-structure guideline in depth to collect the data. The participants in this research were all single female at the age of 35 on average with bachelor degrees and most of them were Taoist. Their working experiences were 15 years as nurses as well as 12 years in ICU on average. The sense of their spirituality conditions were five points on average (range from three to seven points) and those of spiritual care abilities were also 5 points on average (range from two to eight points).
Spiritual care experiences of ICU nurses toward critical care patients contains three main aspects: the spirituality status of intensive care unit (ICU) nurses, the spiritual care of the nurses and the reasons of affecting the spiritual care providing. The first aspect contains four dimensions, which including the definition of the spirituality, value beliefs, life goals (4 topics are missions in life, existence, stability, pressure and frustration in life and its solution ), interaction with others (3 topics are the love between family members, the relationship between patients and the care giver and the relationship between their colleagues), and the connection of the lord (4 topics are worship, divination, custom and ceremony). The second aspects contains three dimensions, which including the definition of the spiritual care for nurses, the evaluation of patients spiritual needs (non-verbal expression and clinical observation for conscious clear patients and the interpretations from unconscious patients family), and spiritual care of the nurses, which contains general spiritual care (9 topics are nursing care skills, physical needs, autonomy, alternative therapies, promoting interaction, religion, cultural caring, dying wish achieving, distress easing, and dying care) and spiritual care for conscious clear and unconscious patients. The third aspect was the reasons which affect the nurses to provide the spiritual care. It includes there dimensions: the environment, the time, and the lack of spirituality in-service education for the medical team. According to our results, we hope to develop the spiritual care guidelines as a reference for the care-giving nurses to care critically ill patients who have spiritual needs in the future.


指導教授 - 陳淑銘

委員 - 顧雅利

召集委員 - 周傳姜


 

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