Onkoloji Hastalarının Manevi Bakım Gereksinimleri ile Onkoloji Hemşirelerinin Manevi Bakım Yeterliliklerinin İncelenmesi

Yıl 2023, Cilt: 8 Sayı: 3, 917 - 923, 08.10.2023

Gizem Acar , Tülay Sağkal Midilli

https://doi.org/10.61399/ikcusbfd.1134673

Öz

Amaç: Bu araştırma onkoloji hastaların manevi bakım gereksinimlerini ve onkoloji hemşirelerinin manevi bakım yeterliliklerini incelemeyi amaçladı.
Gereç ve Yöntem: Araştırma tanımlayıcı ve kesitsel bir tasarımdadır. Bu araştırma ülkemizin İzmir ilinde bir hastanenin onkoloji biriminde tedavi alan onkoloji hastaları (n=324) ve hastalara bakım veren onkoloji hemşireleri (n=17) ile yapıldı. Araştırmanın verileri hastalar için Manevi Gereksinimler Ölçeği ve hemşireler için Manevi Bakım Yeterlilik Ölçeği kullanılarak toplandı. İstatistiksel analizde, sayı, yüzdelik, puan ortalaması ve standart sapma kullanıldı. İstatistiksel anlamlılık düzeylerini hesaplamada p<0.05 alınmıştır.
Bulgular: Onkoloji hastalarının yaş ortalaması 57,60±11,41 yıldır. Hastaların yarısından fazlası (%61), en azından nadiren de olsa manevi bakıma gereksinimi duyduğunu belirtti. Onkoloji hemşirelerinin yaş ortalaması 37,11±1,13 yıldır. Hemşirelerin Manevi Bakım Yeterlilik Ölçeği madde puan ortalaması 3,77±0,45 (min=3,26, maks=4,73)’dir. Hemşirelerin Manevi Bakım Yeterlilik Ölçeğin alt boyutlarının madde puan ortalamaları sırasıyla Manevi Bakımın Değerlendirilmesi ve Uygulanması için 3,34±0,58, Manevi Bakımda Profesyonellik ve Hasta Danışmanlığı alt boyutu için 3,44±0,66 ve Hastanın Maneviyatına Karşı Tutumu ve İletişimi alt boyutu için 4,52±0,60’dır.
Sonuç: Onkoloji hastalarının yarıdan fazlasının manevi bakım gereksinimi vardır. Onkoloji hastalarına bakım veren onkoloji hemşirelerinin manevi bakım yeterlilikleri orta düzeydedir.

Anahtar Kelimeler

Maneviyat, manevi bakım, onkoloji hemşireliği

Proje Numarası

YOK

Examination of Spiritual Care Needs of Oncology Patients and Spiritual Care Competencies of Oncology Nurses

Öz

Objective: The study aimed to investigate the spiritual needs of oncology patients and spiritual care competencies of oncology nurses caring for the oncology patients.
Material and Method: The study has a descriptive and cross-sectional design. The study was carried out with oncology patients (n=324) and oncology nurses (n=17) who were caring for them in oncology unit of a hospital in the city of İzmir, Turkey. The study data were collected using the Spiritual Needs Scale for the patients and the Spiritual Care Competency Scale-T for the nurses. In statistical analysis, number, percentile, mean score, and standard deviation were used. In the calculations, the level of statistical significance was taken as p<0.05.
Results: The mean age of the oncology patients was 57.60±11.41 years. More than half of the patients (61%) indicated at least rarely a need for spiritual care. The mean age of the oncology nurses was 37.11±1.13 years. The nurses’ item mean score on the Spiritual Care Competency Scale-T was 3.77±0.45. The nurses’ item mean scores on the SSCS-T subscales were 3.34±0.58, 3.44±0.66 and 4.52±0.60 for Assessment and Implementation of Spiritual Care, Professionalization and Patient Counselling in Spiritual Care, and Attitude toward the Patient’s Spirituality and Communication, respectively.
Conclusion: More than half of the oncology patients need spiritual care. The spiritual care competencies of the oncology nurses providing care to those patients was at a moderate level.

Anahtar Kelimeler

Spirituality, spiritual care, oncology nursing

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

The authors would like to thank all the patients and the nurses who participated in this study.

Kaynakça

• Akerdi M, Hassanzadeh PA, Ahadi AD, Naderi F. Effects of cognitive-behavioral group therapy on increased life expectancy of male patients with gastric cancer. BUMS. 2016;18(6):42-46. https://doi.org/10.22088/ jbums.18.6.42
• Akram G, Abdollah Khorrami M, Arefeh D, Ahad B. Spiritual needs of patients with cancer referred to Alinasab and Shahid Ghazi Tabatabaie Hospitals of Tabriz, Iran. Asian Pac. J. Cancer Prev. 2016;17(7):3105-3109. https://doi.org/10.14456/apjcp.2016.61/APJCP.2016.17.7.3105
• Abuatiq A. Spiritual care for critical care patients. IJNCP. 2015;128(2):2- 4. http://dx.doi.org/10.15344/2394-4978/2015/128
• Demirbag BC, Ozkan CG. Interventions by hospital nurses for the spiritual needs of patients in the eastern black sea region of Turkey. Niger J Clin Pract. 2018;21(5):624-631. https://doi.org/10.4103/njcp. njcp_62_17
• Catania G, Bagnasco A, Zanini M, Aleo G, Sasso L. Spiritual assessment within clinical interventions focused on quality of life assessment in palliative care: a secondary analysis of a systematic review. Religions. 2016;7(3):1-9. http://doi.org/10.3390/rel7030025
• Çınar F, Toker Şirin T. Investigation of spiritual well-being palliative care of patients. IJMHS. 2019;9(7):496-513. https://doi.org/10.15520/ijmhs. v9i7.2643
• Younas A. Spiritual care and the role of advanced practice nurses. Nurs Midwifery Stud. 2017;6(1):1-7. https://doi.org/10.5812/nmsjournal.40072
• O’Brien MR, Kinloch K, Groves KE, Jack BA. Meeting patients’ spiritual needs during end-of-life care: A qualitative study of nurses’ and healthcare professionals’ perceptions of spiritual care training. J Clin Nurs. 2019;28(1-2):182-189. https://doi.org/10.1111/jocn.14648
• Zumstein-Shaha M, Ferrell B, Economou D. Nurses' response to spiritual needs of cancer patients. Eur J Oncol Nurs. 2020;48:101792. https://doi.org/10.1016/j.ejon.2020.101792
• Folami FF, Onanuga KA. Perception of spirituality, spiritual care, and barriers to the provision of spiritual care among undergraduate nurses in the University of Lagos, Nigeria. J Clin Sci. 2018;15(1):8-12. https://doi. org/10.4103/jcls.jcls_66_17
• Dedeli Ö, Yıldız E, Yüksel Ş. Assessing the spiritual needs and practices of oncology patients in turkey. Holist Nurs Pract. 2015;29(2):103-113. https://doi.org/10.1097/HNP.0000000000000070
• Balboni AT, Vanderwerker LC, Block SD, Paulk ME, Lathan CS, Prigerson, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007;25(5):555- 560. https://doi.org/10.1200/JCO.2006.07.9046
• Küçük L, Çömez T. Onkoloji Hastalarında Palyatif Bakım: Spiritualite. Kocaman Yıldırım N, editör. Psikoonkoloji. Ankara: Türkiye Klinikleri; 2018. p.56-62.
• Timmins F, Naughton MT, Plakas S, Pesut B. Supporting patients’ and families’ religious and spiritual needs in ICU – Can we do more? Nurs Crit Care. 2015;20(3):115-117. https://doi.org/10.1111/nicc.12177
• Sümbüloğlu V, Sümbüloğlu K. Sağlık bilimlerinde araştırma yöntemleri. Ankara: Hatipoğlu Publishing; 2013. s.45.
• Dağhan S, Kalkim A, Sağkal Midilli T. Psychometric evaluation of the Turkish form of the spiritual care competence scale. J Relig Health. 2019;58(1):14-27. https://doi.org/10.1007/s10943-018-0594-2
• Mesquita AC, Chaves Érika CL, de Barros Moreira GA. Spiritual needs of patients with cancer in palliative care: an integrative review. Curr Opin Support Palliat Care. 2017;11(4):334-340. https://doi.org/10.1097/ SPC.0000000000000308
• Otuzoglu M, Talas MS. Development of a scale to ıdentify spiritual care needs of oncology patients. Int J Med Res Health Sci. 2019;8(4): 39- 53.
• Hatamipour K, Rassouli M, Yaghmaie F, Zendedel K, Majd HA. Spiritual needs of cancer patients: a qualitative study. Indian J Palliat Care. 2015;21(1):61–67. https://doi:10.4103/0973-1075.150190
• Devi KM, Fong KCK. Spiritual experiences of women with breast cancer in Singapore: a qualitative study. Asia Pac J Oncol Nurs. 2019;6(2):145-150. https://doi.org/10.4103/apjon.apjon_77_18
• Haußmann A, Schäffeler N, Hautzinger M, Weyel B, Eigentler T, Zipfel S, Teufel M. Religious/spiritual needs and psychosocial burden of melanoma patients. Psychother Psychosom Med Psychol. 2017;67(9- 10):413-419. https://doi.org/10.1055/s-0043-101373
• Hsiao SM, Gau ML, Ingleton C, Ryan T, Shih FJ. An exploration of spiritual needs of Taiwanese patients with advanced cancer during the therapeutic processes. J Clin Nurs. 2011;20(7):950-959. https://doi. org/10.1111/j.1365-2702.2010.03278.x
• Balboni AT, Balboni MJ, Fitchett G. Religion, spirituality, and the intensive care unit the sound of silence. JAMA Inter Med. 2015;175(10):1669-1670. https://doi.org/10.1001/ jamainternmed.2015.4471
• Finocchiaro DN. Supporting the patient’s spiritual needs at the end of life. Nursing. 2016;46(5):56-59. https://doi.org/10.1097/01. NURSE.0000482263.86390.b9
• Jaberi A, Momennasab M, Yektatalab S, Ebadi A, Cheraghi MA. Spiritual health: A concept analysis. J Relig Health. 2019;58(5):1537- 1560. https://doi.org/10.1007/s10943-017-0379-z
• Irmak H, Sagkal Midilli T. The relationship between psychiatric nurses' spiritual care practices, perceptions and their competency. Arch Psychiatr Nurs. 2021;35(5):511–518.https://doi:10.1016/j. apnu.2021.07.006
• Ebrahimi H, Areshtanab HN, Jafarabad MA, Khanmiri SG. Health care providers' perception of their competence in providing spiritual care for patients. Indian J Palliat Care. 2017;23(1):57-61. https://doi. org/10.4103/0973-1075.197957
• Riahi S, Goudarzi F, Hasanvand S, Abdollahzadeh H, Ebrahimzadeh F, Dadvari Z. Assessing the effect of spiritual intelligence training on spiritual care competency in critical care nurses. J Med Life. 2018;11(4):346–354. https://doi.org/10.25122/jml-2018-0056
• Vogel A, Schep-Akkerman AE. Competence and frequency of provision of spiritual care by nurses in the Netherlands. Scand J Caring Sci. 2018;32:1314–1321. https://doi.org/10.1111/scs.12575
• Abell CH, Garrett-Wright DH, Abell CE. Nurses’ perceptions of competence in providing spiritual care. J Holist Nurs. 2018;36(1):33-37. https://doi.org/10.1177/0898010116684960
• Kalkım A, Dağhan Ş, Sağkal Midilli T. Hemşire Akademisyenlerin Maneviyat/Manevi Bakım Algıları ve Manevi Bakım Yeterlilikleri. HSP. 2019;6(2):380-389.https://doi.org/10.17681/hsp.454678