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Ohne Pflege keine Implementierung von Spiritual Care

  • Christoph von Dach ORCID logo EMAIL logo and Maya Zumstein-Shaha

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Published/Copyright: October 10, 2022
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Spiritual Care
From the journal Spiritual Care Volume 11 Issue 3

Zusammenfassung

Hintergrund: Pflegefachpersonen kümmern sich rund um die Uhr um Patientinnen und Patienten. Daher sind Pflegefachpersonen oft als erste mit spirituellen Fragen und Bedürfnissen konfrontiert. Somit ist die Integration der spirituellen Betreuung für sie ein wichtiges Anliegen. Allerdings fühlen sich die Pflegefachpersonen oft unsicher und überfordert. Es fehlt an gezielten Aus- und Weiterbildungen. Gleichzeitig fehlt den Pflegefachpersonen die nötige Unterstützung durch die Institution.

Forschungsfrage: Welche Bedeutung hat die Pflege bei der Umsetzung der spirituellen Betreuung von Menschen mit onkologischen Erkrankungen? Untersucht werden die Bedürfnisse und Anliegen der Patientinnen und Patienten sowie die Bedeutung und der Umgang mit der eigenen Spiritualität der Pflegefachpersonen.

Methode: Zu diesem Zweck wurde ein Scoping Review in PubMed und Google Scholar durchgeführt. Die Erkenntnisse wurden mit den Ergebnissen einer Sekundäranalyse einer qualitativen Online-Umfrage unter Schweizer und US-amerikanischen Nurse Practitioner-Studierenden und Nurse Practitioners zusammengeführt. Es wurden insgesamt vier Themen identifiziert.

Schlussfolgerung: Spiritual Care kann nicht ohne Pflege umgesetzt werden. Denn sie gestalten die wesentlichen Voraussetzungen im klinischen Alltag. Es braucht jedoch strukturierte Dokumentation im Pflegeprozess und formale Austauschforen in interdisziplinären Meetings. Dazu muss eine Kultur aufgebaut werden, die spirituelle Pflege ermöglicht und von der Leitung unterstützt wird. Weitere Forschung zu diesem Thema ist notwendig.

Abstract

Background: Nurses care for patients 24/7. Therefore, nurses are the first to be confronted with spiritual questions and needs. Hence, the integration of spiritual care is a major concern for them. However, nurses sometimes feel insecure and overwhelmed. There is a lack of targeted training and further education. At the same time, nurses lack the necessary support of the institution.

Research question: What is the importance of nursing in the implementation of spiritual care for persons with oncological diseases? The needs and concerns of patients and the importance and handling of the nurse’s own spirituality are examined.

Method: For this purpose, a scoping review was conducted in PubMed and Google Scholar. These findings were integrated with results from a secondary analysis of an online qualitative survey among Swiss and US nurse practitioner students and nurse practitioners. A total of four themes were identified.

Conclusion: Spiritual care cannot be implemented without nursing. They create the crucial preconditions in the clinical setting. However, structured documentation in the care process and formal exchange forums in interdisciplinary meetings are required. For this purpose, a culture facilitating spiritual care needs to be built, which is supported by management. Further research into this topic is necessary.

Schlüsselworte: Spiritual Care; Implementierung; Pflege; Krebs
Keywords: Spiritual care; implementation; nursing; cancer

About the author

Prof. Dr. Maya Zumstein-Shaha

Gesundheit

  1. Author contributions: The authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  2. Research funding: None declared.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: The research related to human use complied with all the relevant national regulations, institutional policies, is in accordance the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee

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Published Online: 2022-10-10
Published in Print: 2022-10-06

© 2022 Walter de Gruyter GmbH, Berlin/Boston

Articles in the same Issue

  1. Titelseiten
  2. Editorial
  3. Spiritual Care implementieren
  4. Spiritueller Impuls
  5. Was Spiritual Care ausmacht
  6. Originalia
  7. Exploring aspects of New Work: Spirituality at Work in agile organizations
  8. Die Kluft zwischen Training und Patientenversorgung: Maßnahmen und Möglichkeiten für eine nachhaltige Veränderung – ein Regenschirm Review
  9. Ohne Pflege keine Implementierung von Spiritual Care
  10. Care-Labore als organisationale Heterotopien. Reflexionen über Spiritualität und Transferlernen in Sorgeorganisationen
  11. Spiritualität am Arbeitsplatz aus Sicht von Führungskräften – Ergebnisse einer Fokusgruppendiskussion
  12. Religiöse Voraussetzungen für Spiritual Care? Eine semiotische Verhältnisbestimmung
  13. Indikationenset für Seelsorge: Entwicklung eines Instruments für interprofessionelles Spiritual Care nach der Delphi-Methodik
  14. Erfahrungsbericht
  15. Elemente christlicher Spiritualität, für Mitarbeitende spürbar gemacht
  16. Erfassung existenzieller und spiritueller Bedürfnisse in der palliativen Betreuung – Erste Erkenntnisse zur Implementierung des Spiritual Needs Screeners
  17. Essay
  18. Der Wunsch nach beschleunigtem Tod: Ernstfall für die Implementierung von Spiritual Care?
  19. Kasuistik
  20. Seelsorgende als ‚Vertikalisten‘ im Krankenhaus
  21. Tagungsbericht
  22. Spiritualität – eine Ressource für Pflegende?
  23. Assistierter Suizid – ein ambivalentes Thema
  24. Rezension
  25. Charles C. Camosy (2021) Losing our dignity: How secularized medicine is undermining fundamental human equality. Hyde Park (NY): New City Press. ISBN: 1565484711; 224 Seiten; Preis: 22,67 € Personenzentrierte Versorgung oder Versorgung für das menschliche Wesen?
  26. Das Stichwort
  27. System, systemisch
  28. Klinikseelsorge
  29. Implementieren
  30. Institution
  31. Interview
  32. Die Welt ist unser Kloster: Eckhard Frick im Gespräch mit Schwester Magda Marie Knipping OCist
  33. Mitteilungen
  34. Mitteilungen
https://doi.org/10.1515/spircare-2022-0040
Keywords for this article
Spiritual care; implementation; nursing; cancer

Articles in the same Issue

  1. Titelseiten
  2. Editorial
  3. Spiritual Care implementieren
  4. Spiritueller Impuls
  5. Was Spiritual Care ausmacht
  6. Originalia
  7. Exploring aspects of New Work: Spirituality at Work in agile organizations
  8. Die Kluft zwischen Training und Patientenversorgung: Maßnahmen und Möglichkeiten für eine nachhaltige Veränderung – ein Regenschirm Review
  9. Ohne Pflege keine Implementierung von Spiritual Care
  10. Care-Labore als organisationale Heterotopien. Reflexionen über Spiritualität und Transferlernen in Sorgeorganisationen
  11. Spiritualität am Arbeitsplatz aus Sicht von Führungskräften – Ergebnisse einer Fokusgruppendiskussion
  12. Religiöse Voraussetzungen für Spiritual Care? Eine semiotische Verhältnisbestimmung
  13. Indikationenset für Seelsorge: Entwicklung eines Instruments für interprofessionelles Spiritual Care nach der Delphi-Methodik
  14. Erfahrungsbericht
  15. Elemente christlicher Spiritualität, für Mitarbeitende spürbar gemacht
  16. Erfassung existenzieller und spiritueller Bedürfnisse in der palliativen Betreuung – Erste Erkenntnisse zur Implementierung des Spiritual Needs Screeners
  17. Essay
  18. Der Wunsch nach beschleunigtem Tod: Ernstfall für die Implementierung von Spiritual Care?
  19. Kasuistik
  20. Seelsorgende als ‚Vertikalisten‘ im Krankenhaus
  21. Tagungsbericht
  22. Spiritualität – eine Ressource für Pflegende?
  23. Assistierter Suizid – ein ambivalentes Thema
  24. Rezension
  25. Charles C. Camosy (2021) Losing our dignity: How secularized medicine is undermining fundamental human equality. Hyde Park (NY): New City Press. ISBN: 1565484711; 224 Seiten; Preis: 22,67 € Personenzentrierte Versorgung oder Versorgung für das menschliche Wesen?
  26. Das Stichwort
  27. System, systemisch
  28. Klinikseelsorge
  29. Implementieren
  30. Institution
  31. Interview
  32. Die Welt ist unser Kloster: Eckhard Frick im Gespräch mit Schwester Magda Marie Knipping OCist
  33. Mitteilungen
  34. Mitteilungen
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