69 靈性護理之臨床應用 林沄萱劉淑惠陳清惠 * 護理所關注的是全人, 包含生理 心理 社會及靈性各層面, 其目標在於滿足病患各層面的 需求, 使其最終能肯定生命的意義, 達到身 心 靈的和諧 醫療團隊中, 護理人員與病患接 觸最為密切, 為可提供靈性照護的重要醫療專業 人員, 但病患此部份的需求經常被忽略, 導因於 護理人員對靈性需求認知不足, 及缺乏臨床可依 循的具體靈性照護模式 故本文將彙整文獻查證 資料, 統合靈性的定義與本質, 建構靈性照護模 式, 藉由與自己 他人 天 與大自然四重關 係的評估與介入, 引導臨床護理人員提供靈性照 護 靈性需求 靈性護理 靈性照護模式 1997 2000 2004 1998 Nightingale 1973 NANDA North American Nursing Diagnosis Association 20 Cusveller, 1998; Oldnall, 1996 Golberg, 1998; Govier, 2000; Ruth, 2006 2003 Golberg, 1998 Piles, 1990 1989 1975spirit spiritus breath Price, Stevens, & LaBarre, 1995 2004 1996 2004 spirituality 2004 Golberg, 1998; Govier, 2000 * 96 7 3 97 1 11 70101 06 2353535 5834
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74 Spiritual Nursing Spiritual Care in Nursing Practice Yun-Hsuan Lin Shu-Hui Liou Ching-Huey Chen * Abstract: Holistic nursing, which emphasizes the care of the physical, psychological, social, and spiritual aspects of the person, is always the core of nursing practice. The goal of nursing care is not only to fulfill needs in relation to each of these dimensions but also to restore the harmony of the patient s life. Among the members of a health care team, it is nurses who spend the most time with the patients. It is therefore they who are in the best position to provide spiritual care. Usually, however, the spiritual needs of the patient are neglected by nurses. Part of the reason for this is that the majority of clinical nurses have not had enough training and practical guidance to conduct spiritual care. On the basis of a literature review, this paper suggests a model involving the relationships with the self, others, higher beings, and nature, to assist nurses in assessing spiritual needs and delivering spiritual care. Key Words: spiritual needs, spiritual nursing, spiritual care model. RN, Graduate Student, Department of Nursing, National Cheng Kung University; *RN, PhD, Associate Professor, Department of Nursing. Received: July 3, 2007 Revised: August 8, 2007 Accepted: January 11, 2008 Address correspondence to: Ching-Huey Chen, No. 1, Ta-Hsueh Rd., Tainan 70101, Taiwan, ROC. Tel: +886 (6) 235-3535 ext. 5834; E-mail: sugar@mail.ncku.edu.tw