{"title":"深情的支持：探索重症护理护士对临终情景的精神关怀。","authors":"Ayman Mohamed El-Ashry, Sameh Eltyebani, Shimmaa Mohamed Elsayed, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed, Mohamed Adel Ghoneam, Haitham Mokhtar Mohamed Abdallah","doi":"10.1111/nicc.70026","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Critical care nursing often involves providing care in environments where mortality is prevalent. Nurses' attitudes towards death significantly influence their approach to spiritual caregiving, which addresses patients' emotional, psychological and spiritual needs. Understanding this relationship is crucial for improving holistic care and patient outcomes.</p><p><strong>Aim: </strong>Investigates how spiritual caregiving affects critical care nurses' attitudes towards death.</p><p><strong>Study design: </strong>A descriptive correlational research design was used. The study included a convenient sample of 931 critical care nurses from four hospitals. Data were collected using the death attitude profile and the Arabic version of the Spiritual Caregiving Scale.</p><p><strong>Results: </strong>Nurses showed a positive attitude towards spiritual caregiving, with mean scores ranging from 3.89 to 4.24 across spiritual subscales. However, high levels of fear (mean = 4.48, SD = 1.32) and death avoidance (mean = 4.66, SD = 1.29) were prevalent, particularly among younger, male and urban nurses. A significant positive correlation was found between spiritual caregiving and acceptance of death (r = 0.266, p < 0.001, 95% CI [0.198, 0.334]), while a negative correlation was observed with fear of death (r = -0.109, p < 0.001, 95% CI [-0.182, -0.036]) and death avoidance (r = -0.010, p = 0.755, 95% CI [-0.083, 0.063]). Multivariate regression indicated that deeper engagement in spiritual caregiving predicted more positive or neutral attitudes towards death (B = -0.390, p < 0.001, 95% CI [-0.467, -0.313], R<sup>2</sup> = 0.117).</p><p><strong>Conclusion: </strong>Spiritual caregiving was associated with more positive death attitudes among critical care nurses, indicating its potential to enhance holistic care in critical settings.</p><p><strong>Relevance to clinical practice: </strong>Integrating spiritual caregiving into clinical practice enhances holistic care by addressing patients' emotional, psychological and spiritual needs while helping nurses manage their fear and avoidance of death. This approach promotes emotional resilience, job satisfaction and compassionate care, ultimately improving patient outcomes and supporting critical care nurses in delivering high-quality care in demanding, mortality-prevalent environments.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70026"},"PeriodicalIF":3.0000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Soulful support: Exploring critical care nurses' spiritual caregiving towards end-of-life scenario.\",\"authors\":\"Ayman Mohamed El-Ashry, Sameh Eltyebani, Shimmaa Mohamed Elsayed, Mahmoud Abdelwahab Khedr, Mona Metwally El-Sayed, Mohamed Adel Ghoneam, Haitham Mokhtar Mohamed Abdallah\",\"doi\":\"10.1111/nicc.70026\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Critical care nursing often involves providing care in environments where mortality is prevalent. Nurses' attitudes towards death significantly influence their approach to spiritual caregiving, which addresses patients' emotional, psychological and spiritual needs. Understanding this relationship is crucial for improving holistic care and patient outcomes.</p><p><strong>Aim: </strong>Investigates how spiritual caregiving affects critical care nurses' attitudes towards death.</p><p><strong>Study design: </strong>A descriptive correlational research design was used. The study included a convenient sample of 931 critical care nurses from four hospitals. Data were collected using the death attitude profile and the Arabic version of the Spiritual Caregiving Scale.</p><p><strong>Results: </strong>Nurses showed a positive attitude towards spiritual caregiving, with mean scores ranging from 3.89 to 4.24 across spiritual subscales. However, high levels of fear (mean = 4.48, SD = 1.32) and death avoidance (mean = 4.66, SD = 1.29) were prevalent, particularly among younger, male and urban nurses. A significant positive correlation was found between spiritual caregiving and acceptance of death (r = 0.266, p < 0.001, 95% CI [0.198, 0.334]), while a negative correlation was observed with fear of death (r = -0.109, p < 0.001, 95% CI [-0.182, -0.036]) and death avoidance (r = -0.010, p = 0.755, 95% CI [-0.083, 0.063]). Multivariate regression indicated that deeper engagement in spiritual caregiving predicted more positive or neutral attitudes towards death (B = -0.390, p < 0.001, 95% CI [-0.467, -0.313], R<sup>2</sup> = 0.117).</p><p><strong>Conclusion: </strong>Spiritual caregiving was associated with more positive death attitudes among critical care nurses, indicating its potential to enhance holistic care in critical settings.</p><p><strong>Relevance to clinical practice: </strong>Integrating spiritual caregiving into clinical practice enhances holistic care by addressing patients' emotional, psychological and spiritual needs while helping nurses manage their fear and avoidance of death. This approach promotes emotional resilience, job satisfaction and compassionate care, ultimately improving patient outcomes and supporting critical care nurses in delivering high-quality care in demanding, mortality-prevalent environments.</p>\",\"PeriodicalId\":51264,\"journal\":{\"name\":\"Nursing in Critical Care\",\"volume\":\"30 3\",\"pages\":\"e70026\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing in Critical Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/nicc.70026\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing in Critical Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/nicc.70026","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Soulful support: Exploring critical care nurses' spiritual caregiving towards end-of-life scenario.
Background: Critical care nursing often involves providing care in environments where mortality is prevalent. Nurses' attitudes towards death significantly influence their approach to spiritual caregiving, which addresses patients' emotional, psychological and spiritual needs. Understanding this relationship is crucial for improving holistic care and patient outcomes.
Aim: Investigates how spiritual caregiving affects critical care nurses' attitudes towards death.
Study design: A descriptive correlational research design was used. The study included a convenient sample of 931 critical care nurses from four hospitals. Data were collected using the death attitude profile and the Arabic version of the Spiritual Caregiving Scale.
Results: Nurses showed a positive attitude towards spiritual caregiving, with mean scores ranging from 3.89 to 4.24 across spiritual subscales. However, high levels of fear (mean = 4.48, SD = 1.32) and death avoidance (mean = 4.66, SD = 1.29) were prevalent, particularly among younger, male and urban nurses. A significant positive correlation was found between spiritual caregiving and acceptance of death (r = 0.266, p < 0.001, 95% CI [0.198, 0.334]), while a negative correlation was observed with fear of death (r = -0.109, p < 0.001, 95% CI [-0.182, -0.036]) and death avoidance (r = -0.010, p = 0.755, 95% CI [-0.083, 0.063]). Multivariate regression indicated that deeper engagement in spiritual caregiving predicted more positive or neutral attitudes towards death (B = -0.390, p < 0.001, 95% CI [-0.467, -0.313], R2 = 0.117).
Conclusion: Spiritual caregiving was associated with more positive death attitudes among critical care nurses, indicating its potential to enhance holistic care in critical settings.
Relevance to clinical practice: Integrating spiritual caregiving into clinical practice enhances holistic care by addressing patients' emotional, psychological and spiritual needs while helping nurses manage their fear and avoidance of death. This approach promotes emotional resilience, job satisfaction and compassionate care, ultimately improving patient outcomes and supporting critical care nurses in delivering high-quality care in demanding, mortality-prevalent environments.
期刊介绍：
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice
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