The Effects of a Spiritual Learning Program on Improving Spiritual Health and Clinical Practice Stress among Nursing Students

靈性學習方案對提升護理學生靈性健康與實習壓力之成效

蕭雅竹(Ya-Chu Hsiao) ； 江惠英(Hui-Ying Chiang) ； 李香君(Hsiang-Chun Lee) ； 陳素惠(Su-Hui Chen)

《The Journal of Nursing Research》 20卷4期 (2012/12) Pp. 281-290

https://doi.org/10.1097/JNR.0b013e318273642f

摘要

背景　已有許多研究發現靈性與健康結果有關，但以靈性介入探討提升靈性健康與降低壓力之研究較為罕見。目的　本研究旨在探討靈性學習方案對護理學生靈性健康與護理實習壓力之影響。方法　採類實驗設計，方便取樣選取某護理學校學生為母群體，再以簡單隨機抽樣分派實驗組（39人）與對照組（46人）。學習方案介入後，以靈性健康量表、實習壓力量表與實習成績探討兩組得分差異。前測資料（T1）收集後，實驗組參加八周、每次50分鐘的課程介入，接續收集後測（T2）資料；後測（T3）資料於兩組完成4周臨床實習後完成。結果　所有研究對象皆為女性、平均19.4歲（標準差1.3歲）。以一般估計模式（GEE）統計方法評估實驗介入成效，實驗組靈性健康提升、實習壓力降低，比對照組顯著（p＜.01, p＜.05）；同時，實習成績也高於對照組（t＝3.771, p＜.001）。結論／實務應用　8周的靈性學習方案以講述、討論、反思與靈性活動練習，有助於研究對象將壓力事件與個人生命目的做聯結並賦予意義，進而增進護理學生靈性健康與降低實習壓力。本研究結果可以做為降低護理學生實習壓力輔導，以及規劃靈性相關課程之參考。

關鍵字

靈性健康 ； 實習壓力 ； 護理學生 ； 靈性學習方案

並列摘要

Background: Numerous studies have indicated an association between spirituality and health outcomes. However, little information is available about interventions that have been shown to enhance spiritual health and decrease stress.Purpose: This study examined the effects of a spiritual learning program (SLP) on nursing student-perceived spiritual health and clinical practice stress.Method: A convenience sample of nursing students currently enrolled at a nursing school in northern Taiwan were recruited to participate in this quasiexperimental study as participants to experimental and control groups via simple random sampling. Results from a spiritual health scale and a perceived clinical practice stress scale, together with the score for clinical nursing practice, were compared between the groups. Baseline data were collected from all participants. The experimental group participated in 8 weeks of 50-minute per week SLP, which included lectures, discussion, reflection, and spiritual practices. A second data set was collected from all participants after the intervention. A third data set was collected after all participants had performed 4 weeks of nursing clinical practice.Results: Participants were all women. Average age was 19.4 years (SD=1.3 years). Generalized estimating equation analysis showed SLP to have a significant short-term effect on improving the total score for spiritual health (p＜.01). Significantly greater improvement in clinical practice stress scores was also seen in the experimental group as compared with the control group (all p＜.05). The experimental group obtained a higher score of the final clinical practice than the control group (t=3.771, p＜.001).Conclusion: The SLP may encourage participants to see stressors as meaningful events that are connected to individual life purposes. The program developed in this study may be used to improve spiritual health and reduce stress in nursing students' clinical practice. This SLP may be referenced when designing similar spirituality-related courses and applied to nursing student counseling.

並列關鍵字

spiritual health ； clinical practice stress ； nursing student ； spiritual learning program

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