[Spiritual care competences of healthcare workers in emergency and intensive care-a prospective questionnaire study].

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2024-10-23 DOI:10.1007/s00063-024-01185-1

J Schwartz, T Tenge, K Lanhenke, S Meier, M Schallenburger, Y-N Batzler, T Roser, D Wetzchewald, M Neukirchen

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Abstract

Background: In intensive and emergency care, patients and their relatives are confronted with potentially existential crises. Spiritual care can be an additional resource to address related psychosocial and physical symptoms and to support patients and their relatives. Accordingly, healthcare workers need spiritual skills to recognize and respond to these needs.

Objectives: What spiritual competencies do healthcare workers in intensive and emergency care have? Are there differences between professions and genders? What factors influence spiritual competencies?

Materials and methods: The prospective questionnaire study included physicians participating in intensive care and emergency medicine courses and nurses who were training or working in intensive and emergency care. Self-reported spiritual competencies were assessed using the Spiritual Care Competence Questionnaire (SCCQ), which captures the following areas: perceptual competence, team-spirit, documentation competence, self-awareness and proactive opening, knowledge about other religions, competence in conversation techniques and proactive empowerment-competence.

Results: We included 465 physicians (50% female, years in profession: mean = 4.0, standard deviation [SD] = 3.5) and 86 nurses (80% female, years in profession: mean = 12.7, SD = 10.7). The average SCC was 2.3 (SD 0.4) out of a maximum of 4 points, with higher spiritual competences among spiritual and religious respondents. There were differences in specific competencies between the professions and genders. Women indicated a higher level of competence in the area of perception and conversation skills, physicians in documentation skills.

Conclusions: Overall, there is a clear need to train healthcare staff in the field of intensive care and emergency medicine.

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[急诊和重症监护室医护人员的精神关怀能力--一项前瞻性问卷调查研究]。

背景：在重症和急诊护理中，病人及其亲属面临着潜在的生存危机。精神护理可以成为解决相关社会心理和身体症状以及支持病人及其亲属的额外资源。因此，医护人员需要灵性技能来识别和应对这些需求：重症监护和急诊护理中的医护人员具备哪些灵性能力？不同职业和性别之间是否存在差异？影响精神能力的因素有哪些？这项前瞻性问卷调查包括参加重症监护和急诊医学课程的医生，以及在重症监护和急诊医学领域接受培训或工作的护士。该问卷包括以下几个方面：感知能力、团队精神、记录能力、自我意识和主动开放、对其他宗教的了解、谈话技巧能力和主动授权能力：调查对象包括 465 名医生（50% 为女性，从业年限：平均值 = 4.0，标准差 [SD] = 3.5）和 86 名护士（80% 为女性，从业年限：平均值 = 12.7，标准差 = 10.7）。SCC 的平均值为 2.3（标准差 0.4），满分为 4 分，精神和宗教受访者的精神能力较高。不同职业和性别的受访者在具体能力方面存在差异。女性在感知和谈话技能方面的能力水平较高，而医生则在记录技能方面的能力水平较高：总之，在重症监护和急诊医学领域显然需要对医护人员进行培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.