Spiritual care competence and its associated factors in oncology clinical nurses of tertiary hospitals
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摘要: 目的 通过对三甲医院肿瘤科护士灵性照顾能力的调查,分析其灵性照顾能力的影响因素,以期能为护理管理者提高肿瘤科护士的灵性照顾能力提供一定的参考。 方法 使用方便抽样,于2017年12月-2018年1月间选取316例西安市2所三甲医院肿瘤相关科室护士作为研究对象。使用一般资料调查表、灵性照顾能力量表和中国大五人格调查问卷简版进行调查。使用Pearson相关分析、单因素方差分析和Kruskal-Wallis H秩和检验进行单因素分析。使用分层逐步回归分析研究对象灵性照顾能力的影响因素。 结果 研究对象灵性照顾能力总分为(69.48±12.32)分。各维度得分最高的为"对患者灵性的态度",最低的为"专业发展和质量改进能力"。大五格特征得分为(163.16±22.04)分。各维度得分最高的为"宜人性",最低的为"开放性"。分层逐步回归分析结果显示,年龄、是否参加灵性照顾培训、宜人性和严谨性可影响研究对象的灵性照顾能力,且可解释总变异的53.4%。 结论 护理管理者应根据护士的人格特质,合理安排灵性照顾工作岗位,可定期邀请高年资护士进行灵性照顾的讲座或讨论,并为肿瘤科护士创造更多的机会参与灵性照顾培训,以提高科室整体灵性照顾水平。Abstract: Objective To investigate the spiritual care competence of oncology clinical nurses, to analyze related influencing factors, and to provide reference for nursing managers to improve the spiritual care competence of oncology clinical nurses. Methods There were 316 participants recruited from 2 tertiary hospitals in Xi'an by convenience sampling from December, 2017 to January, 2018. Basic data questionnaire, spiritual care competence scale and Chinese big five personality inventory-brief version were used to collect data. Pearson correlation analysis, univariate ANOVA and Kruskal-Wallis H rank-sum test were used for univariate analysis. Stepwise regression analysis was used to analyze the influencing factors of spiritual care competence. Results The score of spiritual care competency was 69.48±12.32 with the highest score in subscale of "spiritual attitude towards patients" and the lowest score in subscale of "ability of professional development and quality improvement". The score of Big Five Personality was 163.16±22.04 with the highest score in subscale of "pleasant" and lowest score in subscale of "open". After hierarchical stepwise regression analysis, age, spiritual care training experience, agreeableness and seriousness were associated with the spiritual care competency, which could explain 53.4% of the total variation. Conclusion Nursing managers should arrange spiritual care work according to the personality, invite senior nurses to discuss or give a speech on spiritual care on a regular basis, create more opportunities for oncology nurses to participate in spiritual care training and improve the overall level of spiritual care in the department.
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