本研究之目的在探討安寧病房護理人員對靈性照顧的認知及經驗。以立意取樣，選擇中部某醫院安寧病房，已取得執照並實際從事安寧療護臨床工作三個月以上之護理人員為對象。透過一對一，面對面的深度訪談法，研究者針對所關心的主題設計出「半結構式的訪談指引」來蒐集資料，訪談內容以錄音帶忠實記錄，轉為文本後，再依據Burns和Grove（1997）五個步驟來進行資料的分析。 本研究經由文本內容中找出意義單元，反覆閱讀文本，進行資料的編碼；再將所找出的意義單元，分類歸納以建立主題單元，最後將主題單元歸納為類目。其結果呈現如下：一、靈性照顧範疇；二、靈性照顧方法；三、投注時的心境；四、個人困頓；五、醫療體制僵化的考驗；六、正向照顧經驗的回饋；七、自我的轉化；八、支持的力量。 本研究針對研究結果提出下列的建議：一、對未來研究之建議：首先對於靈性經驗與認知資料的收集，除了深入訪談外，應參與田野的觀察。其次希望有不同背景的研究者，以不同的觀點來進行研究，以提供靈性照顧更為寬廣的視野。最後則建議未來研究者，可以針對如何提升安寧病房護理人員的靈性狀態，增強其靈性照顧的能力，做更深入的探討。二、對護理教育之建議：建議各校應該將安寧療護列為必修課程，以因應未來之所需。三、對臨床實務之建議：建議招募安寧護理人員時，最好能夠選擇有興趣且有些資歷的工作人員，才能更為勝任安寧療護的工作。其次是建議安寧病房靈性照顧之讀書會應該持續的進行，希望藉由相關書籍的閱讀與討論，配合臨床工作所遇到的難處，經由不斷地彼此心得分享和經驗交流中，以提升護理人員靈性照顧的能力。 本研究之結果可提供相關人員作為有關靈性照顧的理解基礎與靈性護理照顧訓練之參考。 The main theme of this study was to explore the experience and cognition of delivering spiritual care of 15 hospice nurses. This objective was to be achieved by the application of Burns and Grove（1997）five analytic steps. In one hospice ward, the 15 nurses with hospice experience over three months were recruited to participate in this research. An in-depth interview was conducted to explore the participants’ definition, experiences, and felt difficulties of spiritual care. The tape-recorded interview was translated into written format for subsequent analyses. Findings were categorized, interpreted and reinterpreted into the following 8 main issues. It was showed that:1.The definitions of spiritual care.2.Multiple approaches ranging from physical, psychosocial care and religious were used to practice spiritual care.3.Initial encounter serves as anchor for future practice.4.Major challenges of delivering spiritual care.5.The medical-system was rigid.6. Sharing of positive experience was very important.7.Self- reflections of the researcher and the bases for re-interpretation.8.The support resource of hospice nurses. I propose that the present study and the results provide very important reference to hospice- nursing education and spiritual care.
