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Understanding and Addressing Morally Injurious Events of Healthcare Chaplains in Texas: Insights for Health and Well-Being. 理解和处理德克萨斯州医疗保健牧师的道德伤害事件:对健康和福祉的见解。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-30 DOI: 10.1007/s10943-024-02228-9
Sophia Fantus, Rebecca Cole, Timothy J Usset, Lataya Hawkins

Healthcare chaplains may be at heightened risk of encountering potentially morally injurious events. The purpose of the current study was to explore potentially morally injurious events for healthcare chaplains and to identify strategies to enhance health and well-being. Semi-structured interviews were conducted with healthcare chaplains (n = 26) across Texas. Participants were recruited across social media, professional listservs, and word of mouth. Textual data were coded and analyzed in conjunction with directed content analysis. Findings suggest that healthcare chaplains encounter morally injurious events that are rooted in acts of omission and commission, witnessing moral transgressions, and betrayal in the workplace. Interventions include dialog with colleagues and supervisors, collaborative and transparent communication, education, and empowerment and advocacy. The study's findings have implications for interdisciplinary care teams, hospital leadership, and professional associations.

医疗保健牧师可能面临更高的风险,遇到潜在的道德伤害事件。本研究的目的是探讨医疗保健牧师潜在的道德伤害事件,并确定提高健康和福祉的策略。对德克萨斯州的医疗保健牧师(n = 26)进行了半结构化访谈。参与者是通过社交媒体、专业名单服务和口口相传招募的。对文本数据进行编码,并结合定向内容分析进行分析。研究结果表明,医疗保健牧师遇到的道德伤害事件源于工作场所的疏忽和委托行为,目睹道德违规和背叛。干预措施包括与同事和主管对话、协作和透明的沟通、教育、赋权和宣传。该研究的发现对跨学科护理团队、医院领导和专业协会具有启示意义。
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引用次数: 0
Why Study Religion and Spirituality in Bioethics? Results of a Survey of Courses in Graduate Bioethics Programs in the USA. 为什么要在生命伦理学中研究宗教和灵性?美国研究生生物伦理学课程调查结果。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-30 DOI: 10.1007/s10943-024-02201-6
Daniel T Kim, Tyler J Ostrowski, Cindy M A Geppert

The critical relevance and importance of considering religion and spirituality (R/S) in academic and public discourse on bioethical issues and in the illness experiences of patients and families is difficult to deny. Yet, little is known about the nature and scope of R/S education in graduate bioethics training. We therefore conducted a literature review and survey of bioethics programs in the USA and a content analysis of relevant syllabi of courses. In this article, we identify the core didactic components of existing offerings, characterize their curricular trends, and consider the implications of our findings. We propose a new critical humanist approach to the study of R/S in bioethics to both expand and enhance more established pedagogies.

在关于生物伦理问题的学术和公共话语以及患者和家属的疾病经历中,考虑宗教和灵性(R/S)的关键相关性和重要性是难以否认的。然而,人们对研究生生物伦理学培训中R/S教育的性质和范围知之甚少。因此,我们对美国的生物伦理学课程进行了文献回顾和调查,并对相关课程大纲进行了内容分析。在本文中,我们确定了现有课程的核心教学组成部分,描述了它们的课程趋势,并考虑了我们研究结果的含义。我们提出了一种新的批判性人文主义方法来研究生命伦理学中的R/S,以扩展和增强更成熟的教学法。
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引用次数: 0
The Relationship of Religious Coping with Psychological Well-being, Psychological Resilience, and Grief Severity in Women Who Had Experienced Perinatal Loss in Türkiye. 宗教应对与围产期丧失妇女心理健康、心理弹性和悲伤程度的关系
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-30 DOI: 10.1007/s10943-024-02240-z
Kevser Altuner, Seyhan Çankaya

The objective of this study was to investigate the relationship between religious coping strategies and three key variables: psychological well-being, psychological resilience, and grief intensity, in a sample of women who had experienced perinatal loss. The study was designed as a descriptive and correlational study. The study was completed by reaching 208 (approximately 68.1%) of the 305 women who experienced perinatal loss. Data were collected using the Personal Information Form, the Religious Coping Scale, the Psychological Well-Being Scale, the Psychological Resilience Scale, and the Perinatal Grief Scale. Bivariate analysis revealed a positive relationship of positive religious coping with psychological well-being and psychological resilience. Conversely, a negative relationship was found with perinatal grief and its sub-dimensions (p < 0.001). Furthermore, while there was negative correlation between women's negative religious coping and psychological well-being (p < 0.001), there was positive correlation between the total scale score of perinatal grief (p = 0.034) and its subscale, difficulty in coping (p = 0.003). Concurrently, the regression analysis revealed that positive religious coping was a significant predictor of enhanced psychological well-being and resilience in women, while concurrently mitigating perinatal grief (F = 281.515, p < 0.001). The study revealed that religious coping strategies employed by women who had experienced perinatal loss led to an enhancement in their psychological well-being and resilience, as well as a favorable impact on their ability to cope with perinatal grief.

摘要本研究旨在探讨宗教应对策略与围产期死亡妇女心理健康、心理弹性和悲伤强度的关系。本研究设计为描述性和相关性研究。305名经历围产期流产的妇女中有208名(约68.1%)完成了这项研究。采用《个人信息表》、《宗教应对量表》、《心理健康量表》、《心理弹性量表》和《围产期悲伤量表》进行数据收集。双变量分析显示,积极宗教应对与心理健康和心理弹性呈正相关。相反,围产期悲伤及其子维度呈负相关(p
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引用次数: 0
The Mediating Role of Meaning and Purpose in Life in the Relationship Between Spiritual Well-Being and Depressive Symptoms Among Older Adults in Türkiye. 图尔基耶老年人的精神幸福与抑郁症状之间的关系中生活意义和目的的中介作用。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-29 DOI: 10.1007/s10943-024-02231-0
Yasemin Çekiç, Tuba Yılmaz Bulut, Mesiya Aydın

This study aimed to examine the relationship between depressive symptoms and spiritual well-being in older adults, with a particular focus on the mediating role of meaning and purpose of life in this relationship. This research used a correlational and cross-sectional design and was conducted with 148 older adults between May and August 2023. Data were collected face-to-face using a personal information form, the Geriatric Depression Scale-15 (short form), the Spiritual Well-Being Scale, and the Meaning and Purpose of Life Scale. The mean age of the participants in the study was 75.69 years. Initial analysis revealed that the transcendence, anomie, and harmony with nature sub-factors of the Spiritual Well-being Scale explained depressive symptoms at a rate of 50.4%. However, when meaning and purpose in life were included in the model as a mediator variable, the explained variance ratio increased to 63.0%. In the SEM testing, it was found that meaning and purpose in life fully mediated the correlation between the anomie, the sub-factor of the Spiritual Well-Being Scale, and depressive symptoms. These findings suggest that healthcare providers should incorporate interventions aimed at reducing anomie, improving harmony with nature, and fostering a sense of meaning and purpose in life, as part of early intervention and preventive measures to mitigate depressive symptoms and promote mental health in this population.

本研究旨在探讨老年人抑郁症状与精神健康之间的关系,特别关注生活意义和目的在这种关系中的中介作用。这项研究采用了相关和横断面设计,并在2023年5月至8月期间对148名老年人进行了调查。数据是通过个人信息表、老年抑郁症量表-15(简短形式)、精神健康量表和生活意义和目的量表面对面收集的。研究参与者的平均年龄为75.69岁。初步分析显示,精神幸福量表的超越性、失范和与自然和谐子因素解释抑郁症状的比率为50.4%。然而,当生活中的意义和目的作为中介变量纳入模型时,解释方差比增加到63.0%。在扫描电镜(SEM)测试中发现,生活意义和目标完全中介了精神幸福感量表子因子失范与抑郁症状之间的相关性。这些研究结果表明,医疗保健提供者应该采取干预措施,旨在减少失当,改善与自然的和谐,培养生活的意义和目的感,作为早期干预和预防措施的一部分,减轻抑郁症状,促进这一人群的心理健康。
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引用次数: 0
"You Think We are in the Stone Age, but We Have Already Made Progress-Where are You?": A Qualitative Study of Ultra-orthodox Women's Telemedicine Service Usage in Israel. "你们认为我们还在石器时代,但我们已经取得了进步--你们在哪里?以色列极端正统派妇女使用远程医疗服务的定性研究》。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-29 DOI: 10.1007/s10943-024-02212-3
Irit Chudner, Anat Drach-Zahavy, Batya Madjar, Leah Gelman, Sonia Habib

This study explores Ultra-Orthodox Jewish women's attitudes toward video-consultation usage in Israeli primary care settings. In-depth interviews were conducted with twenty-two women from diverse Ultra-Orthodox communities in Israel, using interpretative phenomenological analysis. Despite traditionally limited digital tool usage, participants showed readiness for video-consultations' adoption through dedicated 'kosher' medical devices. Key motivations included after-hours accessibility, convenience, and privacy, while barriers involved cultural stigma and technology concerns. Healthcare organizations should develop dedicated telemedicine devices aligned with religious values, offering insights for implementing culturally sensitive services for religious minority groups.

本研究探讨了极端正统犹太妇女对以色列初级保健机构使用视频咨询的态度。采用解释性现象学分析,对来自以色列不同极端正统派社区的22名妇女进行了深入访谈。尽管传统上数字工具的使用有限,但与会者表示愿意通过专用的“犹太”医疗设备采用视频咨询。主要动机包括下班后的便利性、便利性和隐私性,而障碍则涉及文化耻辱和技术问题。医疗保健组织应开发符合宗教价值观的专用远程医疗设备,为为宗教少数群体实施具有文化敏感性的服务提供见解。
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引用次数: 0
Spirituality in Managing Perceived Stress and Promoting Self-Care: A Descriptive Study on Nursing Students in Spain. 精神在管理感知压力和促进自我照顾:对西班牙护理学生的描述性研究。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-27 DOI: 10.1007/s10943-024-02232-z
M Dolores Fernández-Pascual, Abilio Reig-Ferrer, Ana M Santos-Ruiz, Laura Martínez-Rodríguez

The relationship between spirituality, perceived stress, and self-care was examined in a sample of 515 nursing students in Spain. Using the perceived stress scale (PSS), the professional self-care scale (PSCS), and the spirituality questionnaire (MiLS-sp/sf), the findings indicated that higher spirituality, particularly through inner peace and faith, was linked to reduced stress and enhanced self-care across physical, inner, and social dimensions. However, the inner self-care dimension was the least developed, suggesting that essential emotional, spiritual, and psychological needs were neglected. This result highlights the necessity for a comprehensive self-care model that empowers students to create personalised strategies to enhance their inner and spiritual self-care. It is essential that these findings give rise to practical applications in order to promote the well-being and professional effectiveness of nursing students.

在西班牙515名护理专业学生的样本中,研究了灵性、感知压力和自我照顾之间的关系。运用感知压力量表(PSS)、专业自我照顾量表(PSCS)和灵性问卷(mls -sp/sf),研究结果表明,更高的灵性,特别是通过内心平静和信仰,与减轻压力和增强身体、内心和社会维度的自我照顾有关。然而,内在的自我照顾维度是最不发达的,这表明基本的情感、精神和心理需求被忽视了。这一结果突出了一个全面的自我保健模式的必要性,使学生能够创造个性化的策略来增强他们的内在和精神自我保健。至关重要的是,这些发现提出了实际应用,以促进福祉和专业护理学生的有效性。
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引用次数: 0
Religion, Religiosity, and Smoking Among Older Adults: Results from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), 2019-2021. 宗教、宗教信仰和老年人吸烟:2019-2021年巴西老龄化纵向研究(ELSI-Brazil)的结果
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-27 DOI: 10.1007/s10943-024-02225-y
Claudio Santiago Dias, Antônio Ignácio de Loyola Filho

Religion and religiosity have long been associated with various health outcomes and behaviors. This study explored the relationship between religion/religiosity and smoking among 8,703 participants enrolled in The Brazilian Longitudinal Study of Aging (ELSI-Brazil). The logistic regression model was used to test this association, which was then adjusted for sociodemographic factors, health indicators, and alcohol consumption. The results evidenced a negative association between smoking and religious affiliation, as well as the frequency of religious attendance. These results suggest that incorporating religious and spiritual considerations into health care strategies could be beneficial in reducing smoking rates among the elderly population, potentially improving overall health outcomes within this group.

长期以来,宗教和宗教信仰一直与各种健康结果和行为有关。本研究在巴西老龄化纵向研究(ELSI-Brazil)的8703名参与者中探讨了宗教/宗教虔诚与吸烟之间的关系。使用逻辑回归模型来检验这种关联,然后根据社会人口因素、健康指标和酒精消费进行调整。研究结果证明,吸烟与宗教信仰以及参加宗教活动的频率之间存在负相关关系。这些结果表明,将宗教和精神因素纳入医疗保健策略可能有利于降低老年人的吸烟率,潜在地改善这一群体的整体健康状况。
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引用次数: 0
Human Dignity and Artificial Intelligence in Healthcare: A Basis for a Catholic Ethics on AI. 医疗保健中的人类尊严和人工智能:天主教人工智能伦理的基础。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-27 DOI: 10.1007/s10943-024-02206-1
Ivan Efreaim A Gozum, Chastene Christopher D Flake

The rise of artificial intelligence (AI) has caught the attention of the world as it challenges the status quo on human operations. As AI has dramatically impacted education, healthcare, industry, and economics, a Catholic ethical study of human dignity in the context of AI in healthcare is presented in this article. The debates regarding whether AI will usher well or doom the dignity of humankind are occasioned by increasing developments of technology in patient care and medical decision-making. This paper draws from Catholic ethics, especially the concepts of inherent human dignity, the sanctity of human life, and morality in the medical field. It talks about using AI to upgrade healthcare outcomes without losing the essential humanity of human dignity in medical practice. It also touches on the most likely ethical issues: the morality of AI-related decisions and the depersonalization of health care. Finally, it provides a framework that brings AI development in tandem with a Catholic vision of human dignity and supports a healthcare system that caters to the common good but correctly respects the irreplaceable value of the human person and highlights moral responsibility.

人工智能(AI)的兴起挑战了人类运作的现状,引起了全世界的关注。由于人工智能对教育、医疗保健、工业和经济产生了巨大影响,本文介绍了人工智能在医疗保健领域背景下对人类尊严的天主教伦理研究。关于人工智能将带来福祉还是毁灭人类尊严的争论,是随着患者护理和医疗决策技术的不断发展而引起的。本文借鉴天主教伦理,特别是人的固有尊严、生命的神圣性和医疗领域的道德观念。它谈到了在医疗实践中使用人工智能来提升医疗结果,同时又不失去人类尊严的基本人性。它还触及了最可能出现的伦理问题:人工智能相关决策的道德问题,以及医疗保健的去人格化问题。最后,它提供了一个框架,将人工智能的发展与天主教对人类尊严的看法结合起来,并支持一个既能满足共同利益,又能正确尊重人类不可替代的价值并强调道德责任的医疗保健系统。
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引用次数: 0
Spirituality and Factors Relevant to Spiritual Nursing-Care Needs Among Chinese Patients with Cancer. 中国癌症患者精神护理需求及其相关因素
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-27 DOI: 10.1007/s10943-024-02236-9
Dongyan Zeng, Michiyo Mizuno, Hong Li

This study aimed to identify the factors associated with the spiritual nursing-care needs of adult Chinese cancer patients. A questionnaire survey was conducted and the 158 respondents in the total sample were classified into two groups based on the presence or absence of spiritual nursing-care needs. The group requiring spiritual nursing-care exhibited lower scores on the Meaning and Peace scales and higher scores on the Faith scale compared to the other group. The between-group difference was significant only in the case of Peace. The results indicated that the Peace score was the sole significant predictor of spiritual nursing-care needs (OR 0.83, 95% CI [0.74, 0.94]). These findings suggest that nurses should provide spiritual care to help foster Chinese patients' peace of mind.

本研究旨在探讨影响中国成年癌症患者精神护理需求的相关因素。采用问卷调查法,将158名受访者按精神护理需求的存在与否分为两组。与另一组相比,需要精神护理的组在“意义与和平”量表上得分较低,在“信仰”量表上得分较高。只有在Peace的情况下,组间差异才显着。结果表明,和平评分是精神护理需求的唯一显著预测因子(OR 0.83, 95% CI[0.74, 0.94])。这些发现提示护士应提供精神关怀,以帮助培养中国患者的安心。
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引用次数: 0
A systematic Review of Spirituality Tools Based on Psychometric Qualities and Recommendations for Future Research. 基于心理测量质量的灵性工具的系统回顾及对未来研究的建议。
IF 2.2 1区 哲学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-26 DOI: 10.1007/s10943-024-02220-3
Kiran Bhagwandas, Gyanprakash Kumar, Latha Satish, Narayan Behera, Soubhagyalaxmi Mohanty, Jayaraman Mahadevan

Spiritual lifestyles positively impact physical and mental health, which can be addressed by effective spiritual tools. This review systematically evaluates general spirituality instruments retrieved from various databases. Among the top four validated tools with strong psychometric properties, each exhibited a limitation-such as contamination, absence of subscales, or lack of confirmatory factor analysis-which impacts their broader applicability. Furthermore, these tools don't adequately address the widespread mental health issues in society. Therefore, spirituality scales incorporating domains such as meditation, surrender, and detached action with connection to transcendence awareness are proposed. Linking to neural imaging of brain functions, these tools can scientifically address mental health challenges across diverse cultural contexts.

精神生活方式对身心健康有积极影响,这可以通过有效的精神工具来解决。本综述系统地评估了从各种数据库中检索到的一般灵性工具。在具有强大心理测量特性的前四种经过验证的工具中,每种工具都表现出局限性,例如污染、缺少子量表或缺乏验证性因素分析,这影响了它们更广泛的适用性。此外,这些工具不能充分解决社会中普遍存在的心理健康问题。因此,灵性尺度结合领域,如冥想,投降,超然的行动连接到超越意识被提出。这些工具与大脑功能的神经成像相结合,可以科学地解决不同文化背景下的心理健康挑战。
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引用次数: 0
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Journal of Religion & Health
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