Iran Journal of Nursing
نشریه پرستاری ایران
IJN
Medical Sciences
http://ijn.iums.ac.ir
108
journal108
2008-5931
2008-5931
10.52547/ijn
fa
jalali
1399
3
1
gregorian
2020
6
1
33
124
online
1
fulltext
fa
شایستگی مراقبت معنوی پرستاران شاغل در بیمارستانهای آموزشی وابسته به دانشگاه علوم پزشکی البرز
The Spiritual Care Competency of the Nurses of the Teaching Hospitals Affiliated to Alborz University of Medical Sciences, Iran
پرستاری
nursing
پژوهشي
Research
<div style="text-align: justify;"><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زمینه و هدف:</span></span></strong> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">توجه به مهارت شایستگی مراقبت معنوی پرستاران، میتواند ارزشمند باشد زیرا به نظر میرسد پرستاران با بهرهگیری از این مهارت در محیط پیچیده بالین، قادر میگردند که مراقبتهای بهتری به بیماران خود ارائه دهند. واقع امر آن است که </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شایستگی مراقبت معنوی، یکی از مفاهیم مطرح در خلق مراقبتهای پرستاری استاندارد برای بیماران است. </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بر این اساس، </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">هدف مطالعه حاضر، تعیین شایستگی مراقبت معنوی پرستاران شاغل در بیمارستانهای آموزشی وابسته به دانشگاه علوم پزشکی البرز بود.</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">روش بررسی: </span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">در این پژوهش توصیفی- مقطعی، 200 پرستار شاغل در بیمارستانهای آموزشی وابسته به دانشگاه علوم پزشکی البرز شامل بیمارستانهای </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">کمالی، شریعتی، امام حسین، مدنی و رجایی</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> در سال 1398</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> طی چهار ماه </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">به شیوه نمونهگیری در دسترس، مشارکت نمودند. ابزار گردآوری دادهها، ابزار روا و پایا شده شایستگی مراقبت معنوی بود. دادهها با استفاده از </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">آزمونهای آماری تی مستقل و آنالیز واریانس</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> تحت نرم افزار </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> نسخه 16، تحلیل شدند.</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یافتهها:</span></span></strong> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتایج مطالعه حاضر گویای آن بود که</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> نمره کلی شایستگی مراقبت معنوی پرستاران 69/14 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">±</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> 21/54 میباشد که با توجه به میانه ابزار یعنی 81، این یافته نشان میدهد که نمره کلی شایستگی مراقبت معنوی پرستاران از میانه ابزار کمتر شده است. سایر یافتههای پژوهش، حاکی از آن بود که از میان مشخصات فردی پرستاران، </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شایستگی مراقبت معنوی با سمت سازمانی (005/0</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-size:10.0pt;">=</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">) و سابقه کار پرستاری (003/0</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">P</span></span></span><span dir="LTR"><span style="font-size:10.0pt;">=</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">) ارتباط معنیدار آماری داشت. به طوری که شایستگی مراقبت معنوی پرستاران به طور معنیداری بهتر از سرپرستاران بود. افزون بر آن، شایستگی مراقبت معنوی پرستاران دارای سابقه کار پرستاری با محدوده 1-5 سال، نسبت به سایرین در وضعیت بهتری بود. </span></span><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span></strong><br>
<strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتیجهگیری کلی: </span></span></span></strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">با توجه به این که طبق یافتههای مطالعه حاضر، </span></span></span><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">شایستگی مراقبت معنوی پرستاران در وضعیت مطلوبی قرار نداشت، باید فرصتی فراهم نمود تا دانش آنان در این زمینه ارتقاء یابد. در واقع، </span></span></span><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتایج حاصل از این مطالعه میتواند اطلاعات پایهای جهت انجام مطالعات بعدی و همچنین</span></span></span> <span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">جهت</span></span></span><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> انجام مطالعات مداخلهای را در این زمینه فراهم سازد.</span></span></span></div>
<div style="text-align: justify;"><strong>Background & Aims:</strong> Spiritual care is to help the individuals with challenged beliefs, values, purpose, and meaning of life, which occurs when patients are faced with severe diseases. Under such circumstances, nursing care is focused on the provision of spiritual care. Accordingly, spiritual care has been emphasized and acknowledged in the nursing profession, so that the provision such care could reduce physical pain, induce mental relief, reduce depression and anxiety, accelerate recovery, increase hope, and enhance the communication of the patient and nurse. From a deeper perspective, the provision of spiritual care by nurses to patients promotes the personal growth of the nurses. Meanwhile, attention to the spiritual care competency skills of nurses could be valuable as it seems that nurses are able to provide better care to patients by using these skills in the complex clinical setting. In fact, the competence in spiritual care is a concept involved in creating standard nursing care for patients, which encompasses a set of skills used in the nursing profession with a special status in the nursing process, as well as components such as the communication between the nurse and patient, availability to the patient, active listening, showing empathy and sympathy to value the life of the patients and give hope to the patient, facilitating spiritual skills for the patients with special beliefs, helping patients to create a calm atmosphere, and referring patients to specialists in spirituality. Although some studies have been focused on the phenomenon under study in some regions of the country, the emergence of this phenomenon in the field of nursing ethics requires these studies to highlight the need for further research regarding this concept in order to bridge the gap in the nursing knowledge in the other regions of the country, so that the obtained results could be compared. The present study aimed to evaluate the spiritual care competency of the nurses employed at the teaching hospitals affiliated to Alborz University of Medical Sciences, Iran.<br>
<strong>Materials & Methods: </strong>This descriptive, cross-sectional study was conducted on 200 nurses employed at the teaching hospitals affiliated to Alborz University of Medical Sciences (Kamali, Shariati, Imam Hossein, Madani, and Rajaei hospitals) in 2019 during four months. The subjects were selected via convenience sampling. Data were collected using demographic questionnaires containing data on the age, gender, marital status, education level, work experience, average working hours per month, ward of employment, employment status, work shifts, and organizational position. In addition, the valid and reliable tool of spiritual care competency was used for data collection. To assess the content validity, the tool was provided to five faculty members of the School of Nursing and Midwifery of Iran University of Medical Sciences, and their corrective comments were applied to the tools. The reliability was also evaluated using the retest method. For this purpose, the instruments were provided to 15 individuals, who were identical to the research samples but not included in the sample population, at two-week intervals twice, and the Pearson's correlation-coefficient obtained from the two tests was calculated to be 0.86. Data analysis was performed in SPSS version 16 using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent t-test and analysis of variance). To comply with ethical considerations, the researcher obtained the ethics code from Iran University of Medical Sciences, followed by the letter of recommendation, and made the required arrangements with the management of the selected hospitals. In addition, informed consent was obtained from the participants for enrollment, and they were justified about the research procedures, while also ensured that participation in the study was completely voluntary. In addition, the participants were assured of the confidentiality and anonymity of the data.<br>
<strong>Results: </strong>The majority of the nurses were aged 20-30 years (57%), female (81%), and married (70%). In addition, the majority of the participants were nurse (96%), had a BSc (94.5%), and worked in rotational shifts (89%). The total mean score of the spiritual care competency of the nurses was 54.21±14.69; considering the median of the instrument (=81), this finding indicated that the total score of spiritual care competency of the nurses was lower than the median. Among the demographic characteristics of the nurses, spiritual care competency was significantly correlated with the organizational position (P=0.005) and nursing work experience (P=0.003), and the spiritual care competency of the nurses was significantly higher compared to the head nurses. In addition, the spiritual care competency of the nurses with the work experience of 1-5 years was higher compared to the others. <span dir="RTL"></span><br>
<strong>Conclusion:</strong> According to the results, the spiritual care competency of the nurses did not have a favorable status. Therefore, proper opportunities should be provided to promote their knowledge in this regard. In fact, the results of this study could lay the groundwork for further investigations and interventional studies in this regard. In other words, the recognition of the spiritual care competency of nurses in general and in terms of various dimensions in particular is an important step toward its promotion, resulting in the expansion of the views of nurses toward this concept. It seems that through spiritual care competency, nurses will be able to provide more comprehensive nursing care to patients. As such, nursing managers must take the necessary measures to enhance the spiritual care competency of nurses, among the most important of which are the implementation of educational workshops based on the concepts of spirituality and spiritual care for nurses, so that they could achieve spiritual care competency more efficiently in their profession. One of the limitations of this study was the emotional state of the sample while completing the research instruments, which could not be controlled by the researcher. Furthermore, the subjects were selected via convenience sampling, and the non-probability of the sampling method may restrict the generalizability of the findings.</div>
شایستگی مراقبت معنوی, پرستار, مراقبت پرستاری
Spiritual Care Competency, Nurse, Nursing Care
58
69
http://ijn.iums.ac.ir/browse.php?a_code=A-10-764-15&slc_lang=fa&sid=1
M
Mardani Hamooleh
مرجان
مردانی حموله
10800319475328460024384
10800319475328460024384
No
Nursing Care Research Center, Department of Psychiatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
مرکز تحقیقات مراقبتهای پرستاری، گروه روانپرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران
N
Seyedfatemi
نعیمه
سیدفاطمی
10800319475328460024385
10800319475328460024385
No
Nursing Care Research Center, Department of Psychiatric Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
مرکز تحقیقات مراقبتهای پرستاری، گروه روانپرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایران، تهران، ایران
A
Eslami
آمنه
اسلامی
10800319475328460024386
10800319475328460024386
Yes
Psychiatric Nursing, Shariati Hospital, Alborz University of Medical Sciences, Karaj, Iran (Corresponding author) Tel: 09124638286 Email: ameslami@yahoo.com
روانپرستار، بیمارستان دکتر شریعتی، دانشگاه علوم پرشکی البرز، کرج، ایران (نویسنده مسئول) شماره تماس:09124638286 Email:ameslami@yahoo.com
SH
Haghani
شیما
حقانی
10800319475328460024387
10800319475328460024387
No
Biostatistics, Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran
آمار زیستی، مرکز تحقیقات مراقبتهای پرستاری، دانشگاه علوم پزشکی و خدمات بهداشتی درمانی ایران، تهران، ایران