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Nurses’ attitude toward spiritual care – a scoping review

Die Haltung von Pflegefachpersonen zu Spiritualität – ein Scoping Review

  • Maya Zumstein-Shaha

    Prof. Dr., als Dozentin der Pflegewissenschaft ist sie Expertin für Advanced Nursing Practice und Wissenschaftsphilosophie. Sie ist stellvertretende Studiengangleiterin des Master of Science in Pflege der BFH. Ihre Forschung fokussiert auf die Implementierung und Evaluation von Advanced Practice Nurses in der hausärztlichen Grundversorgung, der Weiterentwicklung der „Omnipräsenz von Krebs“ und psychosozialen Aspekten in Bezug auf Krebs, spezifisch Spiritualität und Spiritual Care, sowie berufsethischen Herausforderungen.

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From the journal Spiritual Care

Abstract

In this paper, the nurses’ attitude toward spirituality and spiritual care is explored. Spirituality constitutes a widely discussed topic in nursing and several guidelines have emerged. However, spirituality remains contentious and spiritual care is rarely provided on a regular basis. Inquiring into nurses’ attitudes toward spirituality and spiritual care can be illuminating to improve the current situation. A scoping review according to Whittemore & Knafl (2005) was conducted in the databases Medline/PubMed and Google Scholar, as well as a hand search. A total of 42 publications from between 2000 and 2019 were identified, and critically appraised using reporting guidelines. For nurses, spirituality is necessary. Spirituality is inherent in nursing. Fears and apprehensions exist about addressing spirituality in nursing practice and providing spiritual care for patients. Ambiguous attitudes toward spirituality, lack of education and adequate language to address spirituality, limited recognition and lack of adequate structures are all contributing factors to these fears. Although spirituality is considered an important aspect of nursing, several impeding factors prevent addressing it in practice. Reflective practice, education and supporting structures promoting recognition are needed to improve the situation.

Zusammenfassung

In diesem Artikel wird die Haltung von Pflegefachpersonen zu Spiritualität und Spiritual Care untersucht. Spiritualität ist ein breit diskutiertes Thema in der Pflege und es existieren verschiedene Guidelines. Jedoch bleibt Spiritualität ein umstrittenes Thema und Spiritual Care wird selten regelmäßig angeboten. Das Untersuchen der Haltung der Pflegefachpersonen zu Spiritualität und Spiritual Care kann erhellend sein und zur Verbesserung der aktuellen Situation führen. Es wurde eine „Scoping Review“ gemäß Whittemore & Knafl (2005) vorgenommen. Dazu wurden die Datenbanken Medline/PubMed und Google Scholar genutzt, sowie eine Handsuche durchgeführt. Insgesamt wurden 42 Publikationen zwischen 2000 und 2019 identifiziert und gemäß der Publikationsguidelines von „Equator Network“ kritisch begutachtet. Pflegefachpersonen betrachten Spiritualität als wichtigen und inhärenten Teil der Pflege. Es gibt Ängste und Vorbehalte bezüglich der Thematisierung von Spiritualität in der Pflegepraxis und der Implementierung von adäquaten Angeboten. Uneindeutige Haltung der Pflegefachpersonen zu Spiritualität, Mangel an Ausbildung und angemessener Sprache, um Spiritualität zu thematisieren, begrenzte Anerkennung sowie der Mangel an adäquaten Strukturen sind Faktoren, die zu diesen Ängsten beitragen. All dies verhindert, dass Spiritualität in der Pflegepraxis angesprochen wird, obwohl sie ein wichtiger Teil der Pflege ist. Reflexive Praxis, Ausbildung sowie Anerkennung fördernde Strukturen müssen in der Praxis umgesetzt werden, um die Situation zu verbessern.

About the author

Prof. Dr. Maya Zumstein-Shaha , MScN, RN

Prof. Dr., als Dozentin der Pflegewissenschaft ist sie Expertin für Advanced Nursing Practice und Wissenschaftsphilosophie. Sie ist stellvertretende Studiengangleiterin des Master of Science in Pflege der BFH. Ihre Forschung fokussiert auf die Implementierung und Evaluation von Advanced Practice Nurses in der hausärztlichen Grundversorgung, der Weiterentwicklung der „Omnipräsenz von Krebs“ und psychosozialen Aspekten in Bezug auf Krebs, spezifisch Spiritualität und Spiritual Care, sowie berufsethischen Herausforderungen.

Author contributions

The author accepts responsibility for the entire content of this submitted manuscript.

Research funding

None declared.

Competing interests

Authors state no potential conflict of interest.

Ethical approval

The conducted research is not related to human use.

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Published Online: 2020-12-18
Published in Print: 2021-01-18

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