Discussion of spiritual care and nursing ethical issues in China

doi:10.3877/cma.j.issn.2095-3224.2021.01.019

Abstract

Abstract:

Based on the current situation of lack of spiritual care education in mainland China, this paper has tried to clarify the definition of spirituality, spiritual care, and their relationship to health and spiritual wellbeing. Meanwhile, the essential position of spiritual care within nursing was carefully examined from the perspective of nursing theories. By comparing practical spiritual care and the relevant ethical principles in different countries, the paper further explores the ethical dilemmas, which Chinese nurses has to face due to the deficient knowledge of spiritual care. It adds new perspective of nursing ethics in the lens of spiritual care.

Key words: Ethics, Spirituality, Health, Spiritual care, Nursing theory

Junhong Zhu, Honghua Wu, Yingchun Zeng, Jing Xiao. Discussion of spiritual care and nursing ethical issues in China[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(01): 108-112.

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References 48

1	National Consensus Project. Clinical practice guidelines for quality palliative care [M]. 2nd. Pittsburgh National Consensus Project, 2013.
2	World Health Organization. Quality of Life Spirituality, Religiousness and Personal Beliefs Group (WHOQOL SRPB Group). (2005). A cross-cultural study of spirituality, religion, and personal beliefs as components of quality of life [J]. Social Science and Medicine, 2006, 62(6): 1486-1497.
3	National Institute for Clinical Excellence. Improving supportive and palliative care for adults with cancer [M]. London: NICE, 2004.
4	Lin CP, Cheng SY, Mori M, et al. Taipei declaration on advance care planning: a cultural adaptation of End-of-Life Care discussion[J]. Journal of Palliative Medicine, Letter to the Editor, 2019, 22(10): 1175-1177.
5	国家卫生计生委办公厅. 国家卫生计生委办公厅关于印发安宁疗护实践指南(试行)的通知国卫办医发〔2017〕5号[EB/OL]. (2017-01-25) [2020.11.20]. URL
6	Cao YL, Kunaviktikul W, Petrini M. A proposed conceptual framework of spiritual care competence for Chinese nurses [J]. Nursing Health Science, 2020, 22(3): 498-506.
7	付海艳, 罗煜, 李红娟, 等. 灵性关怀多维度困境和解决思路-以期肝癌为例 [J]. 医学与哲学, 2020, 41(3):21-25.
8	Wright S. The heart and soul of nursing [J]. Nursing Standard, 2011, 25(30): 18-19.
9	Wright. World Health Organization Quality of Life Spirituality, Religiousness and Personal Beliefs Group [WHOQOL SRPB Group][M]. Switzerland, Geneva, 2005.
10	EAPC. 10th world research congress of the European Association for Palliative Care [J]. Palliative Medicine, 2018, 32(1_suppl): 3-330.
11	WHO. Planning and Implementing Palliative Care Services: a Guide for Programme Managers[M]. Switzerland, Geneva, 2016.
12	Fisher J. The four domains model: connecting spirituality, health and well-being[J]. Religions, 2011, 2: 17-28.
13	O'Brien ME. The need for spiritual integrity [M]//Yura H, Walsh M. Human needs and the nursing process (Vol.2, pp.85-115). Norwalk, CT: Appleton Century Crofts, 1982.
14	陈清惠,吴丽芬. 灵性护理临床运用[J]. 护福, 2009, 182(3): 3-7.
15	Ellison C. Spiritual well-being: Conceptualization and measurement [J]. J Psychol Theol, 1983, 11: 330-340.
16	Chao CC, Chen CH, Yen M. The essence of spirituality of terminally ill patients[J]. Journal of Nursing Research, 2002, 10(4): 237-245.
17	Henderson V. The nature of nursing[M]. New York: Macmillan, 1966.
18	Travelbee J. Interpersonal aspects of nursing[M]. 2nd ed. Philadephia, PA: F.A, 1971.
19	Davis Neuman B. The Neuman systems model [M]. 3rd ed. Norwalk, CT: Appleton & Lange, 1995.
20	Roy Sr C. . The roy adaptation model[M]. 3rd ed. Upper Saddle River, NJ: Pearson, 2009.
21	Watson J. Nursing: Human science and human care :a theory of nursing[M] . Sudbury, MA: Jones and Bartlett, 1985.
22	Swanson KM. Empirical development of a middle range theory of caring[J]. Nursing Research, 1991, 40(3): 161-166.
23	Rogers M. The science of unitary human beings: Current perspectives[J]. Nursing Science Quarterly, 1994,7(1): 33-35.
24	Mariano C. Holistic nursing as a specialty: holistic nursing-scope and standards of practice[J]. Nursing Clinics of North America, 2007, 42(2): 165-188.
25	Erickson HL. Philosophy and theory of holism[J]. Nursing Clinics of North America, 2007, 42(2): 139-163.
26	National Consensus Project. Clinical practice guidelines for quality palliative care[M]. 2nd. Pittsburgh, PA: National Consensus Project, 2013.
27	Ministry of Health, Labour and Welfare. Press release data on what follows after the proposal to revise the 'definition of health' in the WHO Charter—Results of 52nd WHO General Meeting [2010.12.21]. [S/OL].Online Available: URL
28	WHO. WHOQOL-SRPB Field-Test Instrument (WHO/MSD/MER/02.5) [S/OL]. Switzerland: Geneva, 2002.
29	International Council of Nurses. International council of nurses' code of nursing [M]. Switzerland: Geneva, 2005.
30	Grant E, Murray SA, Kendall M, et al. Spiritual issues and needs: perspectives from patients with advanced cancer and nonmalignant disease. A Qualitative study[J]. BMJ Supportive & Palliative Care, 2004, 2(4): 371-378.
31	Ross L, McSherry W, Giske T, et al. Nursing and midwifery students' perceptions of spirituality, spiritual care, and spiritual care competency: A prospective, longitudinal, correlational European study[J]. Nurse Education Today, 2018, 67: 64-71.
32	Cooper KL, Chang E. Undergraduate nurse students' perspectives of spiritual care education in an Australian context[J]. Nurse Education Today, 2016, 44: 74-78.
33	Canada Nurses Association. Spirituality, health and nursing practice-position statement[M]. CAN, 2010.
34	Fowler M. Faith and ethics, covenant and code, the 2015 revision of the ANA Code of Ethics for nurses with interpretative statements[J]. Journal of Christian Nursing, 2017, 34(4): 216-224.
35	American Nurse Association. Code of ethics for nurses, with interpretive statements[M]. Maryland: Silver Spring, 2015.
36	张新庆. 护理伦理学——理论构建与应用[M]. 北京: 学苑出版社,2014: 338-342.
37	Yang KP. The spiritual intelligence of nurses in Taiwan[J]. Journal of Nursing Research, 2006, 14(1): 24-35.
38	Lou VWQ. Spiritual well-being of Chinese older adults conceptualization, measurement and intervention [M]. New York: Springer, 2015.
39	Edwards A, Pang N, Shiu V, et al. The understanding of spirituality and the potential role of spiritual care in end-of-life and palliative care: a meta-study of qualitative research[J]. Palliative Medicine, 2010, 24(8): 753-770.
40	李梦奇, 王颖, 谢海燕, 等. 癌症患者灵性护理需求的现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(8): 930-934.
41	张雪, 王梅, 陈晓欢, 等. 急性白血病患儿的灵性需求及干预[J]. 护理学杂志, 2018, 33(3): 5-8.
42	韦迪, 刘翔宇, 谌永毅, 等. 灵性照顾能力量表的研究进展[J]. 护理学报, 2017, 24(20): 22-24.
43	李宁, 田冰洁, 赵丹, 等. 护理人员灵性照护教育研究进展[J]. 中国护理管理, 2017, 7(2): 188-192.
44	陈俊娥, 郑美春. 结肠造口患者心理社会需要的研究[J]. 齐鲁护理杂志, 2010, 16(22): 21-22.
45	国仁秀, 杨红. 1例终末期结肠癌伴恶性腹水患者的安宁疗护[J].护理学报, 2019, 26(17): 65-67.
46	梁赛, 成琴琴, 谌永毅, 等. 灵性照护教育的研究现状[J].护理学报,2016, 31(3): 94-97.
47	Cher.天价培训费用,竟一无所获而终--致全国老年护理同胞书[EB/OL]. [2019.3.14][2019.7.10] URL
48	吕方芳, 王丰硕. 佛教与生命关怀的实践——"生死学与生命关怀"国际学术论坛成果综述[J]. 法音, 2019, 413(1): 78-81.

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