安寧護理人員的靈性照顧認知－以中部某醫學中心安寧病房為例之研究

A Qualitative Exploration of the Recognition of Spiritual Care Carried out by Hospice Nurses

10.6145/jme.200603_10(1).0008

張利中(Li-Jung Chang)；王萱萁(Hsuan-Chi Wang)；陳郁分(Yu-Fen Chen)

靈性照顧 ； 安寧療護 ； 生命意義 ； 共在 ； 護理人員 ； spiritual care ； hospice ； life meaning ； presence ； nurses

Journal of Medical Education

10卷1期（2006 / 03 / 01）

62 - 69

繁體中文

本研究之目的為透過有靈性照顧實際經驗之安寧護理人員的眼光，來檢視其對於靈性照顧的認知，以作為運思本土化教育與實施之參考。研究發現受訪者以「天、人、物、我」及「身、心、宗教信仰」的架構來看待靈性照顧。在工作方法上則是以身體照護與接觸來作為起點。以心理上的同理、傾聽、關愛與尊重來提升愛與希望的感受；透過引介宗教信仰，來增強病人超越性的信念。進階工作為應用生命回顧來與臨終者一起探尋其生命的意義，來看見與認識病人。最後則是與病人的「共在」，放下「一定要做些什麼」的心態與壓力，與病人一起向生命的臨終學習。「共在」的過程與經驗使得護理人員得以對內關照自己的靈性狀態，也提升了個人對於靈性照顧的認知與體驗。

Spiritual care is currently an important issue within hospice and palliative care. There is a need to explore the indigenous nature of spiritual care in Taiwan. There is also an ongoing discussion on whether spiritual care should be a scientific process or artistic process. The purpose of this study was to explore the recognition of spiritual care among a group of hospice nurses. A qualitative approach using in-depth interviews was used to collect the data. It was found that the overall guideline for spiritual care is an increase in harmony among self, others, the environment, and with God. Under this framework, spiritual care was divided into the physical, psycho-social and religious endeavors. In addition, through the application of life reviews, the work of hospice nurses with patients was explored to obtain their life meanings. The most important aspect of spiritual care is the presence of the nurses' deep involvement with patients who are engaged in the dying process. The nurses learn to release their medical expertise and mind-set. They also take up a new role as the peer disciple of the patient. Together they learn from the dying and the death. It was this ”presence” experience that most facilitates the recognition of nurses and their experience in spiritual care.

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