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Correction: The Relationship between Religious Text, Religious Tolerance, and Mental Health in different Religious Groups of Pakistan: An Exploratory Mixed Methods Study. 更正:巴基斯坦不同宗教群体的宗教文本、宗教宽容和心理健康之间的关系:一项探索性混合方法研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 DOI: 10.1007/s10943-026-02569-7
Sara Rizvi Jafree, Gloria Calib, Syeda Khadija Burhan, Tehniyat Fatima
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引用次数: 0
A Journey of Necessity: Moral Injury in Light of the Divine Comedy. 必要之旅:神曲视角下的道德伤害。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-26 DOI: 10.1007/s10943-026-02568-8
Jeannine M Suurmond

This article presents a parallel analysis of Dante Alighieri's Divine Comedy and contemporary literature on moral injury to explore how Dante's journey towards enlightenment can inform the path to healing from moral injury. Described as a soul wound by those affected, moral injury is a severe psychological and spiritual trauma resulting from ethical transgressions such as abuse, betrayal, war and tyranny. Although moral injury is arguably as old as human conflict itself, its scientific study is comparatively new. The Divine Comedy is widely regarded as one of the greatest works in world literature. In this poem, moral suffering appears as a disordering of the soul: the will estranged from responsibility, love misdirected towards evil rather than good and the intellect dimmed of its light, unable to perceive truth. By comparing Dante's allegorical journey through Hell, Purgatory and Paradise with contemporary moral injury discussions and the broader literature, and by tracing connections from individual suffering to wider social and political contexts, this comprehensive narrative review uncovers underexplored dimensions of this multifaceted condition. The analysis addresses key moral injury themes, highlights routes and barriers to healing, identifies gaps in current scholarship and offers practical recommendations relevant in both peacetime and war. Dante's insights provide a symbolic framework for recognising and healing moral injury, potentially offering consolation for the affected and those who care for them, while showing how enduring cycles of violence can be interrupted through an ethic of just peace.

本文将但丁的《神曲》与当代关于道德创伤的文学作平行分析,探讨但丁的启蒙之旅如何为从道德创伤中治愈提供线索。道德创伤是指因虐待、背叛、战争、暴政等违反道德的行为而造成的严重的心理和精神创伤,被受害者描述为心灵创伤。尽管道德伤害可以说和人类冲突本身一样古老,但对它的科学研究相对较新。《神曲》被广泛认为是世界文学中最伟大的作品之一。在这首诗中,道德上的痛苦表现为灵魂的混乱:意志与责任疏远,爱被误导为恶而不是善,智慧的光芒暗淡,无法感知真理。通过将但丁的地狱、炼狱和天堂的寓言之旅与当代道德伤害讨论和更广泛的文学作品进行比较,并通过追踪个人痛苦与更广泛的社会和政治背景之间的联系,这一全面的叙事回顾揭示了这种多面性条件中未被探索的维度。该分析阐述了关键的道德伤害主题,强调了治愈的途径和障碍,指出了当前学术研究的差距,并提供了与和平时期和战争时期相关的实用建议。但丁的见解为认识和治愈道德创伤提供了一个象征性的框架,潜在地为受影响的人和关心他们的人提供安慰,同时展示了如何通过公正的和平伦理来中断持久的暴力循环。
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引用次数: 0
Strings of Divinity: The Role of the Violin in Religious Music, Spirituality and Emotional Well-being across Cultures. 神的弦:小提琴在宗教音乐中的作用,跨文化的灵性和情感健康。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-25 DOI: 10.1007/s10943-026-02566-w
Wenjun Li

Music and religion have a long and interwoven relationship, with music being a tool for worship a way for spiritual experiences, and a method to express faith. The role of music, especially the use of the violin, in the context of religions, emotional, psychological and spiritual well-being in different cultures, is rarely studied. This study examines the spiritual, emotional, and cultural aspects of the violin in religious platforms through varied colors of religious traditions Christianity, Jews, Hindu, Muslims, Chinese Buddhism, and indigenous practices people. Such studies are the testaments to the consistency of the music-violin in the cross-cultural endurance and appeal at the spiritual level. The qualitative, historic and ethnomusicological methodologies in research are used to examine the roles of the violin in the religious context using secondary literature and sources of musicological reports, ethnography, historical reports and performances in music that were recorded. The article considers the role of the instrument in connection with its ability to bring about transcendent feeling, mediation of emotional outpouring, spiritual well-being and correlation of representation of divine association within religious ritual processes and ceremonies. It establishes common and divergent uses of the violin through a comparative model across various cultures. The subsequent discussion touches upon the history of the way the violin was used religiously and how globalization, modernization, and cultural hybridity changed its importance in religious music nowadays. The documented studies demonstrate how the instrument was adopted into Christian sacred concertos, Jewish Klezmer and synagogue traditions, Hindu traditions of bhajan performances, Islamic Sufi rituals and Chinese religious traditions of ensembles. The paper is able to show this through its analysis of these contexts, to present the violin as a special transcultural sacred instrument that serves to mark a line between individual and societal worshipping. Finally, the study gives credence to the continued usefulness and significance of the violin in the soundscape of religious manifestations across the world.

音乐与宗教有着悠久而交织的关系,音乐是一种崇拜的工具,一种精神体验的方式,一种表达信仰的方法。音乐的作用,特别是小提琴的使用,在不同文化的宗教,情感,心理和精神健康的背景下,很少被研究。本研究通过不同色彩的宗教传统——基督教、犹太教、印度教、穆斯林、中国佛教和土著实践——来考察小提琴在宗教平台上的精神、情感和文化方面。这些研究证明了音乐小提琴在精神层面上的跨文化承受力和吸引力的一致性。研究中的定性,历史和民族音乐学方法用于研究小提琴在宗教背景下的作用,使用二手文献和音乐学报告,民族志,历史报告和记录的音乐表演的来源。本文认为乐器的作用与它带来超验感觉的能力有关,情感流露的调解,精神健康以及宗教仪式过程和仪式中神圣协会的表现。它通过不同文化的比较模型建立了小提琴的共同和不同的用途。接下来的讨论涉及小提琴在宗教上的使用方式的历史,以及全球化、现代化和文化混合如何改变了小提琴在当今宗教音乐中的重要性。记录在案的研究表明,这种乐器是如何被基督教的神圣协奏曲、犹太教的克莱兹默和犹太教堂的传统、印度教的巴扬表演传统、伊斯兰教的苏菲仪式和中国宗教的合奏传统所采用的。本文能够通过对这些背景的分析来展示这一点,将小提琴作为一种特殊的跨文化神圣乐器,用于标记个人和社会崇拜之间的界限。最后,该研究证实了小提琴在世界各地宗教表现的音景中仍然有用和重要。
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引用次数: 0
Barriers and Facilitators to Integrating Spirituality in Childbirth Among Primary Healthcare Workers in Nigeria: An Exploratory Qualitative Study. 障碍和促进整合精神在尼日利亚初级卫生保健工作者分娩:一项探索性质的研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-24 DOI: 10.1007/s10943-026-02570-0
Adetunmise Oluseyi Olajide, Adeboye Ahmad Olanrewaju, Yetunde Omolola Oyedeji, Esther Oluwatoyin Famutimi, Olubunmi Adeduntan Lawal, Ebenezer Oluniyi Oyedeji

Spirituality is deeply embedded in childbirth experiences among Nigerian women; yet, its integration into maternity care remains limited, especially at the primary health care (PHC) level. This study explored the barriers and facilitators to integrating spirituality in childbirth among PHC workers in Ogbomoso, Nigeria. An exploratory qualitative research design was used, involving semi-structured interviews with ten purposively selected female PHC workers from selected health centers. Participants were mostly aged 41-50 years, predominantly Christian, and had 11-20 years of professional experience. Thematic analysis generated six themes as barriers to integrating spirituality: safety concerns related to harmful or unsterile spiritual items; concerns about disturbance from loud prayers disrupting the ward environment; heavy workload limiting attention to non-clinical needs; lack of training on spiritual care beyond prayer; time constraints, particularly during emergencies; and personal beliefs of health workers which sometimes conflicted with patients' spiritual preferences. Facilitators to integrating spirituality generate four themes: strong rapport between patients and caregivers, a calm and organized clinical environment, allowing access to personal spiritual items like scriptures or prayer beads, and supportive management policies that enabled flexibility without compromising care. The findings suggest that while spirituality is valued, systemic, institutional, and individual-level factors influence its implementation. Integrating spiritual care into PHC will require targeted training, staffing improvements, clear policies, and culturally sensitive guidelines to ensure holistic and respectful maternal care.

灵性深深植根于尼日利亚妇女的分娩经历中;然而,将其纳入产妇保健仍然有限,特别是在初级保健一级。本研究探讨了尼日利亚Ogbomoso的初级保健工作者在分娩过程中融入灵性的障碍和促进因素。采用探索性质的研究设计,对从选定的卫生中心有意选择的10名女性初级保健工作者进行半结构化访谈。参与者大多年龄在41-50岁之间,主要是基督徒,有11-20年的专业经验。专题分析产生了六个主题作为整合灵性的障碍:与有害或未经消毒的精神物品有关的安全问题;担心大声祈祷会扰乱病房环境;繁重的工作量限制了对非临床需求的关注;缺乏祷告以外的属灵关怀的训练;时间限制,特别是在紧急情况下;卫生工作者的个人信仰有时与病人的精神偏好相冲突。整合灵性的推动者产生了四个主题:患者和护理人员之间的牢固关系,平静和有组织的临床环境,允许访问个人精神物品,如经文或念珠,以及支持管理政策,在不影响护理的情况下实现灵活性。研究结果表明,虽然灵性受到重视,但系统性、制度性和个人层面的因素会影响其实施。将精神护理纳入初级保健需要有针对性的培训、人员配备的改进、明确的政策和具有文化敏感性的指导方针,以确保全面和尊重的孕产妇护理。
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引用次数: 0
Spiritual Resilience in Disasters: A Systematic Review of Indicators. 灾害中的精神复原力:指标的系统回顾。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-24 DOI: 10.1007/s10943-025-02554-6
Mohammad Zarei, Abbas Ostadtaghizadeh, Armin Zareiyan, Kiyoumars Allahbakhshi, Ahmad Ali Noorbala, Mahdi Ebrahimi

This study was conducted with the aim of identifying indicators of spiritual resilience in disasters and emergencies. In this systematic review, English and Persian-language documents were searched in databases and 32 articles were included in the study. The extracted indicators in the field of spiritual resilience in disasters and emergencies were categorized into three domains: adherence to rituals, personal growth, and a sense of social responsibility. Based on the findings of this study and subsequent complementary research, it is possible to develop an assessment tool for measuring spiritual resilience in disasters and emergencies.

本研究的目的是确定灾害和紧急情况下的精神复原力指标。在本系统综述中,检索了数据库中的英文和波斯语文献,并将32篇文章纳入研究。从灾难和紧急情况中提取的精神恢复力指标分为三个领域:对仪式的遵守、个人成长和社会责任感。基于本研究和后续补充研究的结果,有可能开发一种评估工具来衡量灾害和紧急情况下的精神复原力。
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引用次数: 0
Beyond Good Intentions: A Justice-Based Critique of Short-Term Medical Missions. 超越善意:短期医疗任务的正义批判。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-23 DOI: 10.1007/s10943-025-02544-8
Carlos Gomez-Virseda, Rodrigo Lopez Barreda

Short-Term Medical Missions (STMMs) are healthcare initiatives that serve underserved populations in low- and middle-income countries, typically lasting from one to four weeks. Often driven by altruistic aims-including religious and humanitarian motivations-these missions raise significant ethical concerns related to effectiveness, sustainability, and the potential to unintentionally harm vulnerable communities. This article offers an interdisciplinary contribution by bridging clinical experience with theories of justice and Christian spirituality. Using a theoretical-normative methodology, it applies four ethical frameworks-Utilitarianism, Contractualism, Cosmopolitanism, and Catholic Social Teaching-to the ethical examination of STMMs. The analysis unfolds in two stages: first, a comprehensive review of key academic literature and foundational texts; second, the application of each framework to a composite case study drawn from the author's academic and professional experience. While each framework offers valuable insights, all reveal important limitations when confronted with complex real-world dilemmas. To navigate such ethical ambiguity, the article proposes Ignatian discernment as a complementary approach-not a competing framework, but a structured practice already used in decision-making under uncertainty. Applied to STMMs, discernment draws on the strengths of the four frameworks to help practitioners weigh competing values, engage local partners, and make context-sensitive decisions in settings marked by asymmetry, urgency, and cultural difference.

短期医疗任务(stmm)是为低收入和中等收入国家服务不足的人口提供服务的保健举措,通常持续一至四周。这些任务通常是由无私的目标驱动的——包括宗教和人道主义动机——这些任务引起了与有效性、可持续性和无意中伤害弱势社区的可能性相关的重大伦理问题。这篇文章提供了一个跨学科的贡献,将临床经验与正义理论和基督教灵性联系起来。使用理论-规范方法论,它将四个伦理框架——功利主义、契约主义、世界主义和天主教社会教育——应用于stmm的伦理审查。分析分两个阶段展开:第一阶段,对关键学术文献和基础文本进行全面回顾;其次,从作者的学术和专业经验中,将每个框架应用到一个复合案例研究中。虽然每个框架都提供了有价值的见解,但在面对复杂的现实困境时,它们都揭示了重要的局限性。为了驾驭这种道德上的模糊性,文章提出依纳爵辨析作为一种补充方法——不是一种竞争的框架,而是一种已经在不确定性下的决策中使用的结构化实践。应用于stmm时,辨明利用这四个框架的优势,帮助从业者权衡相互竞争的价值观,与当地合作伙伴合作,并在不对称、紧迫和文化差异的环境中做出情境敏感的决策。
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引用次数: 0
Spirituality as a Means of Adaptation to Life and Illness for Oncology Patients: A Scoping Review of Quantitative Studies between 2019 and 2025. 精神作为肿瘤患者适应生活和疾病的手段:2019年至2025年定量研究的范围审查。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-23 DOI: 10.1007/s10943-025-02550-w
Daiga Katrīna Bitēna, Ieva Salmane-Kuļikovska, Jana Duhovska, Inga Znotiņa, Sandra Lejniece, Kristīne Mārtinsone

This scoping review examines the role of spirituality in helping oncology patients adapt to illness and life. An analysis of 49 quantitative studies from 2019 to 2025 revealed that positive manifestations of spirituality are linked to better mental health and improved adjustment to cancer and treatment. However, negative manifestations of spirituality are associated with poorer health outcomes and lower levels of adjustment. The lack of consensus regarding the definition and measurement of spirituality in oncology presents challenges. This study highlights the need to integrate structured spiritual care into cancer treatment.

这范围审查审查的作用,精神在帮助肿瘤患者适应疾病和生活。一项对2019年至2025年49项定量研究的分析显示,精神的积极表现与更好的心理健康以及更好地适应癌症和治疗有关。然而,灵性的消极表现与较差的健康结果和较低的调整水平有关。关于肿瘤学灵性的定义和测量缺乏共识提出了挑战。这项研究强调了将结构化的精神护理整合到癌症治疗中的必要性。
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引用次数: 0
Spirituality and Cardiovascular Disease: A Bibliometric Analysis of Scopus (1999-2024). 精神与心血管疾病:Scopus的文献计量学分析(1999-2024)。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-22 DOI: 10.1007/s10943-025-02557-3
Jesús Guerrero-Alcedo, Rosario Leonor Calle-Gonzales, Erika Yessenia Rodríguez-Lara, Paul Roger Brocca-Alvarado, Ieshua Enmanuel Huerta-Dextre

The relationship between spirituality and cardiovascular health has been the subject of growing interest in scientific literature; however, the evidence available still presents important gaps and a lack of clarity in relation to scope and impact. Currently, no study has explored bibliometric indicators of production, trend, collaboration and impact of this topic. Thus, we performed a bibliometric review in the Scopus database covering the period from 1999 to 2024. Taking into account the recommendations of the BIBLIO guide, 116 studies addressing this topic were identified. The annual growth rate was 4.66%, with the United States, the "Iran University of Medical Sciences", the "Journal of Religion and Health" and the author Ai Amy Lee leading the scientific production. Most of the documents reviewed were articles (76.72%), and the predominant language was English (96.55%). Likewise, the keyword co-occurrence network and co-authorship networks highlight the thematic interconnection in studies on spirituality, religiosity, cardiovascular diseases, heart failure and quality of life. The co-authorship network highlights the predominant collaboration between authors and countries, with Ai, Amy Lee, and the United States being of note. These findings contribute to mapping the current state of research on this topic, providing a solid foundation for future research, guiding investigators toward promising areas, as well as encouraging a more holistic, preventive, fair, and collaborative approach.

灵性与心血管健康之间的关系一直是科学文献中越来越感兴趣的主题;然而,现有证据在范围和影响方面仍然存在重大差距和缺乏明确性。目前,还没有研究对该课题的产出、趋势、合作和影响的文献计量指标进行探讨。因此,我们在Scopus数据库中进行了1999年至2024年的文献计量学回顾。考虑到书目指南的建议,确定了116项关于这一主题的研究。年增长率为4.66%,由美国《伊朗医学科学大学》、《宗教与健康杂志》和作者艾美·李领衔科研产出。文献以文章为主(76.72%),主要语言为英语(96.55%)。同样,关键词共现网络和合著网络突出了灵性、宗教信仰、心血管疾病、心力衰竭和生活质量研究中的主题互联。共同作者网络突出了作者和国家之间的主要合作,艾、艾米·李和美国是值得注意的。这些发现有助于绘制该主题的研究现状,为未来的研究提供坚实的基础,指导研究人员走向有前途的领域,并鼓励采用更全面,预防性,公平和协作的方法。
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引用次数: 0
Effects of the Spiritual and Architectural Environment of Ulu Mosque Square in Diyarbakir, Turkey, on Individuals' Peace of Mind and Identity Construction: An Exploratory Multidisciplinary Qualitative Study. 土耳其迪亚巴克尔乌鲁清真寺广场的精神和建筑环境对个体心灵安宁和身份建构的影响:一项探索性的多学科定性研究。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-22 DOI: 10.1007/s10943-026-02567-9
Kübra Gülırmak Güler, Dilan Kakdaş Ateş

Diyarbakir is recognized as the cradle of civilizations due to its rich historical background and cultural heritage. With the inclusion of the Diyarbakir Castle and Hevsel Gardens Cultural Landscape on the UNESCO World Heritage List in 2015, it has gained international significance. At the center of this cultural landscape lies Ulu Mosque Square, a spiritual public space influences individuals' sense of peace, identity construction, and sense of belonging. This study aims to examine the effects of the spiritual and architectural environment of Ulu Mosque Square on individuals' inner experiences within the framework of architectural space perception. Designed as a qualitative study with a phenomenological approach, the research was conducted through semi-structured interviews with 15 participants aged between 18 and 65 years from diverse socio-cultural backgrounds in Diyarbakir, Turkey. The data were analyzed using Colaizzi's phenomenological analysis method. The analysis revealed five main themes and 20 cluster themes: the bodily experience of calm through architectural language, connection with roots and place-based belonging, communal selfhood shaped by shared rituals, the reconstruction of personal and professional identity, and the role of spirituality in guiding life purpose and values. The findings indicate that the architectural integrity, historical continuity, tranquil atmosphere, and collective memory of Ulu Mosque Square contribute to spiritual relaxation, mental focus, and a strengthened sense of cultural belonging. Furthermore, a meaningful relationship was identified between the physical characteristics of the space and individuals' inner and identity-related experiences. By addressing the psychological and identity-related effects of historical and spiritual public spaces from an interdisciplinary perspective, this study contributes to the intersection of architecture, mental health, environmental psychology, and identity studies.

由于其丰富的历史背景和文化遗产,迪亚巴克尔被公认为文明的摇篮。2015年,迪亚巴克尔城堡和赫夫塞尔花园文化景观被列入联合国教科文组织世界遗产名录,具有国际意义。在这个文化景观的中心是乌鲁清真寺广场,一个精神公共空间影响着个人的和平感、身份建构和归属感。本研究旨在探讨在建筑空间感知的框架下,乌鲁清真寺广场的精神和建筑环境对个人内心体验的影响。本研究采用现象学方法进行定性研究,通过半结构化访谈对15名来自土耳其迪亚巴克尔不同社会文化背景、年龄在18至65岁之间的参与者进行访谈。采用Colaizzi现象学分析方法对数据进行分析。分析揭示了五个主要主题和20个集群主题:通过建筑语言获得平静的身体体验,与根和基于地点的归属感的联系,由共同仪式塑造的公共自我,个人和职业身份的重建,以及精神在指导生活目标和价值观中的作用。研究结果表明,乌鲁清真寺广场的建筑完整性、历史延续性、宁静的氛围和集体记忆有助于精神放松、精神集中和加强文化归属感。此外,空间的物理特征与个体的内在和身份相关体验之间存在有意义的关系。通过从跨学科的角度探讨历史和精神公共空间的心理和身份相关影响,本研究有助于建筑、心理健康、环境心理学和身份研究的交叉。
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引用次数: 0
Sacred Care in Context: Phenomenological Insights into Spiritual Care Practices Among Oncology Nurses in Saudi Arabia. 背景下的神圣护理:现象学洞察精神护理实践中肿瘤护士在沙特阿拉伯。
IF 2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-21 DOI: 10.1007/s10943-026-02564-y
Waleed M Alshehri, Asrar S Almutairi, Rayhanah R Almutairi, Abdulaziz M Alodhailah, Wjdan A Almutairi, Ashwaq A Almutairi, Thurayya Eid

This study explores the lived experiences of oncology nurses providing spiritual care within Saudi Arabia's Islamic cultural context. Guided by a descriptive phenomenological design and Colaizzi's method of analysis, in-depth interviews were conducted with 22 registered oncology nurses working in three cancer centers in Riyadh. Findings reveal that nurses conceptualize spiritual care not as discrete religious practices, but as an integrated, relational dimension of everyday nursing, grounded in Islamic moral and spiritual values. Spiritual care was understood as compassionate presence, ethical mediation, family facilitation, and meaning-centered communication, often experienced as a form of worship (ibādah). Five themes emerged: spiritual care through an Islamic lens; the sacred dimensions of nursing practice; navigating professional and religious boundaries; family-centered spiritual support; and nurses' personal spiritual resources and challenges. The study highlights the need for culturally responsive spiritual care education and institutional frameworks that recognize spiritual care as a core professional nursing competency within Islamic healthcare settings.

本研究探讨了肿瘤护士在沙特阿拉伯伊斯兰文化背景下提供精神护理的生活经历。在描述性现象学设计和Colaizzi分析方法的指导下,对利雅得三家癌症中心的22名注册肿瘤学护士进行了深入访谈。研究结果表明,护士将精神护理概念化,而不是将其视为离散的宗教实践,而是将其视为基于伊斯兰道德和精神价值观的日常护理的综合关系维度。精神关怀被理解为富有同情心的存在,伦理调解,家庭促进和以意义为中心的沟通,通常作为一种崇拜形式(ibādah)。出现了五个主题:伊斯兰视角下的精神关怀;护理实践的神圣维度;跨越职业和宗教的界限;以家庭为中心的精神支持;以及护士个人的精神资源与挑战。该研究强调需要文化响应精神护理教育和制度框架,承认精神护理是伊斯兰医疗保健环境中的核心专业护理能力。
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引用次数: 0
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