The application of transpersonal and spiritual care for older adults receiving palliative care

Abstract Objective : To identify the perception of nurses regarding spiritual care for older patients undergoing palliative care. Methods : A descriptive study with a qualitative approach was carried out with 27 care nurses at the Hospital Universitário de Brasília, Brazil, in 2018. The interviews were conducted through a semi-structured script and submitted to content analysis. The discourse structuring for the collective subject technique was applied. Results : Five discourses of the collective subject were constructed and grouped into two categories entitled Spiritual Care Provided By Nurses, and Favorable and Unfavorable Factors For the Provision of Spiritual Care For Older Patients. From the central nuclei contained in the reports, the respondents considered spiritual care and family participation in palliative care important. However, they mainly attributed the role of intervening in spirituality to religious volunteers and the family. Conclusion : The study shows that despite the difficulties in providing spiritual care, family support, moments of listening and the carrying out of activities that motivate inner peace are significant for an improved response to the spirituality of older patients.

【摘要】
目的：明确护士对接受姑息治疗（palliative care）的老年患者实施灵性照护（spiritual care）的认知现状。
方法：本研究采用质性描述性研究设计，于2018年在巴西巴西利亚大学医院（Hospital Universitário de Brasília）纳入27名临床护士开展研究。访谈采用半结构化访谈提纲实施，通过内容分析法对访谈资料进行编码分析，并应用集体主体话语建构技术（collective subject technique）进行话语结构化处理。
结果：最终构建5项集体主体话语，并归纳为两大类别，分别为「护士提供的灵性照护」与「老年患者姑息治疗灵性照护实施的有利及不利因素」。从受访者报告的核心主题来看，研究对象认为灵性照护与家属参与姑息治疗均具有重要价值，但受访者主要将满足患者灵性需求的干预职责归因于宗教志愿者与患者家属。
结论：本研究显示，尽管灵性照护的实施存在诸多困难，但家庭支持、倾听患者的沟通时机以及开展有助于营造内心宁静的活动，对于改善老年患者的灵性需求响应效果具有显著意义。