安宁疗护护士职业悲伤、感知医院伦理氛围对灵性照顾能力的影响

Effects of occupational sadness and perceived hospital ethical atmosphere on spiritual care ability of hospice nurses

目的调查安宁疗护护士灵性照顾能力、职业悲伤及感知医院伦理现状,分析护士职业悲伤、感知医院伦理对护士灵性照顾能力的影响。方法2021年3—6月采用一般资料调查表、灵性照顾能力量表、悲伤体验量表、医院伦理氛围量表对青岛市第八人民医院、青岛市市立医院和青岛市中心医院(青岛市肿瘤医院)230名安宁疗护护士进行调查研究。结果230名安宁疗护护士灵性照顾能力、职业悲伤及感知医院伦理氛围得分分别为(70.59±13.35)、(37.31±6.67)、(100.88±21.49)分。回归分析显示,接受灵性教育(β=0.26,P<0.05)、职业悲伤(β=-0.08,P<0.05)、医院伦理氛围(β=0.63,P<0.05)是影响安宁疗护护士灵性照顾能力的因素。结论安宁疗护护士灵性照顾能力处于中等水平,加大灵性教育,采取措施减少职业悲伤,创建和谐的工作氛围能在一定程度上提高护士灵性照顾能力,以提高安宁疗护质量。

Objective To investigate the current situation of spiritual care ability,occupational sadness,perceived hospital ethics of hospice nurses,and to analyze the impact of nurses'occupational sadness and perceived hospital ethics on nurses'spiritual care ability.Methods A total of 230 hospice nurses in Qingdao Eighth People's Hospital,Qingdao Municipal Hospital and Qingdao Central Hospital(Qingdao Cancer Hospital)from March to June,2021 were investigated by general information questionnaire,Spiritual Care Ability Scale,Sadness Experience Scale and Hospital Ethical Atmosphere Scale.Results The scores of spiritual care ability,professional sadness and perceived hospital ethics of 230 hospice nurses were(70.59±13.35),(37.31±6.67)and(100.88±21.49)points,respectively.The results of regression analysis showed that receiving spiritual education(β=0.26,P<0.05),professional sadness(β=-0.08,P<0.05)and perceiving hospital ethical atmosphere(β=0.63,P<0.05)entered the regression equation.Conclusions The spiritual care ability of hospice nurses is at the medium level.Increasing spiritual education,taking measures to reduce occupational sadness and create a harmonious working atmosphere can improve the spiritual care ability of nurses to a certain extent and improve the quality of hospice care.