Abstract：
BACKGROUND: Spiritual care is a core component of high-quality palliative care, yet gaps exist in spiritual care provision. Understanding clinicians\' levels of confidence around spiritual care and their perceptions of necessary knowledge/skills to enhance their ability to provide spiritual care is foundational for improving delivery of spiritual care in practice.
OBJECTIVE: To understand confidence levels with providing spiritual care and perceived needs in relation to the provision of spiritual care among palliative clinicians (nurses, social workers, chaplains).
METHODS: N = 260 clinicians participating in interprofessional communication and end-of-life care training programs completed a structured survey.
METHODS: Clinicians responded to 42 closed-ended questions assessing their confidence in engaging in spiritual care across 6 dimensions, and one open-ended question: \"What areas of knowledge or skill would best help to improve your ability to provide spiritual care across diverse populations?\"
RESULTS: Findings reveal varied levels of confidence with spiritual care across dimensions. Chaplains reported the highest levels of confidence compared with nurses and social workers. Key areas of knowledge/skills to improve spiritual care provision were: (1) Training and support for clinicians in spiritual care; (2) Strategies for providing spiritual care to patients from diverse cultural and/or religious backgrounds; (3) Better understanding of specific populations and contexts that may affect spiritual care provision; and (4) Clinicians\' personal growth & practices to improve spiritual care.
CONCLUSIONS: Additional support with spiritual care provision is needed, especially among spiritual care generalists. A focus on culturally attuned care is needed, honoring unique patient contexts and centering patient and family priorities.
OBJECTIVE: To understand confidence levels with providing spiritual care and perceived needs in relation to the provision of spiritual care among palliative clinicians (nurses, social workers, chaplains).
METHODS: N = 260 clinicians participating in interprofessional communication and end-of-life care training programs completed a structured survey.
METHODS: Clinicians responded to 42 closed-ended questions assessing their confidence in engaging in spiritual care across 6 dimensions, and one open-ended question: \"What areas of knowledge or skill would best help to improve your ability to provide spiritual care across diverse populations?\"
RESULTS: Findings reveal varied levels of confidence with spiritual care across dimensions. Chaplains reported the highest levels of confidence compared with nurses and social workers. Key areas of knowledge/skills to improve spiritual care provision were: (1) Training and support for clinicians in spiritual care; (2) Strategies for providing spiritual care to patients from diverse cultural and/or religious backgrounds; (3) Better understanding of specific populations and contexts that may affect spiritual care provision; and (4) Clinicians\' personal growth & practices to improve spiritual care.
CONCLUSIONS: Additional support with spiritual care provision is needed, especially among spiritual care generalists. A focus on culturally attuned care is needed, honoring unique patient contexts and centering patient and family priorities.
摘要：
背景：精神护理是高质量姑息治疗的核心组成部分，然而，在精神护理提供方面存在差距。了解临床医生对精神护理的信心水平以及他们对必要知识/技能的看法，以增强他们提供精神护理的能力，是在实践中改善精神护理交付的基础。
目的：了解提供精神护理的信心水平和与姑息临床医生提供精神护理有关的感知需求（护士，社会工作者,牧师）。
方法：N=260名参与跨专业交流和临终护理培训计划的临床医生完成了一项结构化调查。
方法：临床医生回答了42个封闭式问题，评估了他们在6个维度上从事精神护理的信心。还有一个开放式问题：“哪些知识或技能领域最有助于提高你在不同人群中提供精神护理的能力？”
结果：研究结果揭示了不同维度对精神护理的不同程度的信心。与护士和社会工作者相比，牧师报告的信心水平最高。改善精神护理提供的知识/技能的关键领域是：（1）对临床医生进行精神护理的培训和支持；（2）向来自不同文化和/或宗教背景的患者提供精神护理的策略；（3）更好地了解可能影响精神护理提供的特定人群和环境；（4）临床医生的个人成长和实践，以改善精神护理。
结论：需要提供精神护理的额外支持，尤其是精神护理通才。需要关注文化协调的护理，尊重独特的患者环境，并以患者和家庭优先事项为中心。
目的：了解提供精神护理的信心水平和与姑息临床医生提供精神护理有关的感知需求（护士，社会工作者,牧师）。
方法：N=260名参与跨专业交流和临终护理培训计划的临床医生完成了一项结构化调查。
方法：临床医生回答了42个封闭式问题，评估了他们在6个维度上从事精神护理的信心。还有一个开放式问题：“哪些知识或技能领域最有助于提高你在不同人群中提供精神护理的能力？”
结果：研究结果揭示了不同维度对精神护理的不同程度的信心。与护士和社会工作者相比，牧师报告的信心水平最高。改善精神护理提供的知识/技能的关键领域是：（1）对临床医生进行精神护理的培训和支持；（2）向来自不同文化和/或宗教背景的患者提供精神护理的策略；（3）更好地了解可能影响精神护理提供的特定人群和环境；（4）临床医生的个人成长和实践，以改善精神护理。
结论：需要提供精神护理的额外支持，尤其是精神护理通才。需要关注文化协调的护理，尊重独特的患者环境，并以患者和家庭优先事项为中心。
