安寧療護實習護生靈性伴行歷程之探討

Exploring Student Nurses' Transitions on Spiritual Accompanying in Practicing Hospice Care

10.6537/TJHPC.2013.18(1).4

陳瑞娥 (Jui-O Chen)；楊均典(Chun-Tien Yang)

靈性伴行 ； 安寧療護 ； 護生 ； spiritual accompanying ； hospice care ； student nurses

安寧療護雜誌

18卷1期（2013 / 03 / 01）

39 - 50

繁體中文

研究目的：旨在探討護生在安寧療護中之靈性伴行展現的歷程。材料與方法：以選修安寧療護課程並有安寧病房實習的二技護生為研究對象，進行半結構式訪談。訪談資料以Ritchie及Spencer（1994）的五階段主題分析為架構並以Nvivo 9質性電腦軟體輔助資料歸納。結果：護生體認靈性伴行中的困境包含：過急於想做些什麼、溝通反應不靈敏、臨床經驗不足、宗教不同及自我設限。促進靈性照護的因素，護生自覺有：環境場域的氣氛刺激、良好的學習典範、自我護理態度的省思及同儕間的相輔相成。而自我靈性轉變的部分包括：把握當下、愛和孝順要及時、愛自己並勇敢面對生命、學會感恩及寬恕、死亡與護理價值的重新體認。結論：本研究呈現護生於安寧病房實習過程中，靈性伴行的反思及自我靈性的覺醒，研究結果將作為生命教育、靈性及安寧療護課程及實習安排之參考。

Purpose: This study was to explore student nurses' transitions of spirituality and applying spiritual nursing care in practicing hospice care. Material and Method: Twoyear baccalaureate nursing programs students, who had chosen the course of hospice nursing care and participated for hospice clinical practice, were interviewed. Ritchie and Spencer's (1994) framework of thematic analysis with software Nvivo 9 was used to analyze the interview data. Results: The difficulties of spiritual care realized by student nurses included: hurrying to do something, insensitivity in communication, lack of clinical experiences, religious factors and self-limitation. The factors to promote spiritual care by self-awareness of student nurses were: ambient stimulation, good learning models, the self-reflection of nursing attitude and complement each other in peers. In transitions of spirituality for student nurses included: living in the real moments, love and devotion for parents in time, self-respect and having courage to face life, learning thanksgiving and forgiveness, re-awareness of death and nursing value. Conclusions: This study displayed the reflection of spiritual care and self-awareness of spirituality for student nurses in palliative clinical practice. It will provide the guideline of life education, spiritual, and hospice nursing care and clinical practice.