PDF(Pubmed)
Abstract：
OBJECTIVE: People with primary malignant brain tumors experience serious health-related suffering caused by limited prognosis and high symptom burden. Consequently, neuro-oncological healthcare workers can be affected emotionally in a negative way. The aim of this study was to analyze the attitudes and behavior of nurses and physicians when confronted with spiritual distress in these patients.
METHODS: Neurospirit-DE is a qualitative vignette-based, multicenter, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive thematic analysis was used for data analysis.
RESULTS: A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted, and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection.
CONCLUSIONS: Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient\'s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients\' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement and training.
METHODS: Neurospirit-DE is a qualitative vignette-based, multicenter, cross-sectional online survey that was conducted in Bavaria, Germany. Reflexive thematic analysis was used for data analysis.
RESULTS: A total of 143 nurses and physicians working in neurological and neurosurgical wards in 46 hospitals participated in the survey. The participants questioned if the ability to provide spiritual care can be learned or is a natural skill. Spiritual care as a responsibility of the whole team was highlighted, and the staff reflected on the appropriate way of involving spiritual care experts. The main limitations to spiritual care were a lack of time and not viewing spiritual engagement as part of the professional role. Some were able to personally benefit from spiritual conversations with patients, but many participants criticized the perceived emotional burden while expressing the imminent need for specific training and team reflection.
CONCLUSIONS: Most neuro-oncological nurses and physicians perceive spiritual care as part of their duty and know how to alleviate the patient\'s spiritual distress. Nonetheless, validation of spiritual assessment tools for neuro-oncology and standardized documentation of patients\' distress, shared interprofessional training, and reflection on the professional and personal challenges faced when confronted with spiritual care in neuro-oncology require further improvement and training.
摘要：
目的：原发性恶性脑肿瘤患者由于预后有限和症状负担较高而经历严重的健康相关痛苦。因此,神经肿瘤医护人员可能会受到负面情绪影响。这项研究的目的是分析护士和医生在面对这些患者的精神困扰时的态度和行为。
方法：Neurospirit-DE是一种基于定性的小插图，多中心，在巴伐利亚进行的横断面在线调查，德国。数据分析采用自反性主题分析。
结果：共有143名护士和医生在46家医院的神经和神经外科病房工作参与了调查。参与者质疑提供精神护理的能力是否可以学习或是一种自然技能。强调了精神关怀作为整个团队的责任，工作人员反映了让精神护理专家参与的适当方式。精神关怀的主要限制是缺乏时间，并且没有将精神参与视为专业角色的一部分。有些人能够从与患者的精神对话中受益，但是许多参与者批评了感知到的情感负担，同时表达了对特定培训和团队反思的迫切需求。
结论：大多数神经肿瘤科护士和医生将精神关怀视为其职责的一部分，并知道如何减轻患者的精神困扰。尽管如此，神经肿瘤学精神评估工具的验证和患者痛苦的标准化文件，共享的跨专业培训，在面对神经肿瘤学的精神护理时，对专业和个人挑战的反思需要进一步改进和培训。
方法：Neurospirit-DE是一种基于定性的小插图，多中心，在巴伐利亚进行的横断面在线调查，德国。数据分析采用自反性主题分析。
结果：共有143名护士和医生在46家医院的神经和神经外科病房工作参与了调查。参与者质疑提供精神护理的能力是否可以学习或是一种自然技能。强调了精神关怀作为整个团队的责任，工作人员反映了让精神护理专家参与的适当方式。精神关怀的主要限制是缺乏时间，并且没有将精神参与视为专业角色的一部分。有些人能够从与患者的精神对话中受益，但是许多参与者批评了感知到的情感负担，同时表达了对特定培训和团队反思的迫切需求。
结论：大多数神经肿瘤科护士和医生将精神关怀视为其职责的一部分，并知道如何减轻患者的精神困扰。尽管如此，神经肿瘤学精神评估工具的验证和患者痛苦的标准化文件，共享的跨专业培训，在面对神经肿瘤学的精神护理时，对专业和个人挑战的反思需要进一步改进和培训。
