RESUMO
This phenomenological study was aimed at understanding how women with end stage renal disease undergoing hemodialysis want nurses to address their spirituality. Interviews were conducted with 16 women from outpatient hemodialysis centers in a large Midwestern city. Eighty-three significant statements yielded meanings representing four theme clusters, highlighting how these women prefer nurses to incorporate spirituality into their care: (a) displaying genuine caring, (b) building relationships and connectedness, (c) initiating spiritual dialogue, and (d) mobilizing spiritual resources. Participants expressed that nephrology nurses are uniquely positioned to understand their individualized spiritual needs and implement spiritual care.
Assuntos
Atitude Frente a Saúde , Papel do Profissional de Enfermagem , Diálise Renal/psicologia , Espiritualidade , Mulheres/psicologia , Adulto , Idoso , Comunicação , Empatia , Feminino , Necessidades e Demandas de Serviços de Saúde , Comportamento de Ajuda , Saúde Holística , Humanos , Falência Renal Crônica/psicologia , Falência Renal Crônica/terapia , Pessoa de Meia-Idade , Meio-Oeste dos Estados Unidos , Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Pesquisa Metodológica em Enfermagem , Planejamento de Assistência ao Paciente/normas , Pesquisa Qualitativa , Religião e Psicologia , Diálise Renal/enfermagem , Inquéritos e QuestionáriosRESUMO
This article discusses the historical background and traditional beliefs of the Hmong. Cultural conflict occurs when traditional Hmong beliefs and Western health care ideologies are misunderstood. A specific case study focuses on care of a Hmong woman and her husband after a precipitous birth, hemorrhage, and surgical intervention. Nursing insights are identified from "in-between" the cultures. Establishing cultural awareness is an essential first step toward cultural competence.
