La formación en religiosidad y espiritualidad en los estudios de Grado en Enfermería

Rocío de Diego Cordero; Cristina Suero Castillo; Juan Vega Escaño

Rocío de Diego Cordero PhD, BSc, OHN, RN. Departamento de Enfermería. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla
Cristina Suero Castillo RN. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla
Juan Vega Escaño PhD student, MSN, OHN, RN. Centro Universitario de Enfermería Cruz Roja adscrito a la Universidad de Sevilla

Palabras clave: Espiritualidad, religiosidad, estudiantes de enfermería, educación, formación

Key-words: Spirituality, religiosity, nursing students, education, training

Palavras chave: Espiritualidade, religiosidade, estudantes de enfermagem, educação, treinamento

Resumen

El objetivo de esta investigación ha sido indagar la conveniencia de incluir materia de religiosidad/espiritualidad en los planes de estudio del grado en enfermería. Para ello se ha llevado a cabo una revisión de la literatura científica de los últimos 5 años (2012-2017) en las bases de datos internacionales Cinalh, Scopus, Pubmed y Web Of Science (WOS). Los descriptores usados fueron “religión”, “espiritualidad”, “estudiante”, “enfermería” y “educación”. Los resultados apuntan que las necesidades de formación de los estudiantes de enfermería varían según la población estudiada. También se evidencian barreras en la adquisición de estas competencias en la práctica con la existencia de una enfermería materialista, centrada en lo biológico y/o el temor a ser malinterpretados. La bibliografía evidencia que incluir la materia de religiosidad/espiritualidad en los planes de estudio de enfermería obtiene resultados positivos en los cuidados de enfermería y en la esfera personal del propio alumnado. Según lo analizado, se considera conveniente incluir la materia de religiosidad/espiritualidad en los estudios de grado en enfermería debido a la brecha de conocimientos existente acerca de este tema y los beneficios asociados al tratamiento de estas cuestiones

Abstract

The objective of this investigation has been to investigate the convenience of including religiosity/spirituality in the study plans of the nursing degree. To this end, a review of the scientific literature of the last 5 years (2012-17) has been carried out in the Cinalh, Scopus, Pubmed and Web Of Science (WOS) international databases. The descriptors used were "religion", "spirituality", "student", "nursing" and "education". The results suggest that the training needs of nursing students vary according to the population studied. There are also barriers in the acquisition of these skills in practice with the existence of a materialistic nursing, focused on the biological and/or the fear of being misinterpreted. The bibliography evidences that including the subject of religiosity / spirituality in the nursing study plans obtains positive results in nursing care and in the personal sphere of the students themselves. As analyzed, it is considered convenient to include the subject of religiosity/spirituality in nursing degree studies due to the existing knowledge gap on this subject and the benefits associated with the treatment of these issues

Resumo

O objetivo desta investigação foi investigar a conveniência de incluir religiosidade/espiritualidade nos planos de estudo do grau de enfermagem. Para este fim, uma revisão da literatura científica dos últimos 5 anos (2012-17) foi realizada nos bancos de dados Cinahl, Scopus, Pubmed e Web of Science (WOS). Os descritores usados foram "religião", "espiritualidade", "aluno", "enfermagem" e "educação". Os resultados sugerem que as necessidades de treinamento de estudantes de enfermagem variam de acordo com a população estudada. Há também barreiras na aquisição dessas habilidades na prática com a existência de uma enfermagem materialista, focada no biológico e/ou medo de ser mal interpretada. A bibliografia evidencia que a inclusão do tema da religiosidade/espiritualidade nos planos de estudo em enfermagem obtém resultados positivos no cuidado de enfermagem e na esfera pessoal dos próprios estudantes. Conforme analisado, é considerado conveniente incluir o tema da religiosidade/espiritualidade em estudos de graduação de enfermagem devido à lacuna de conhecimento existente sobre este assunto e aos benefícios associados ao tratamento dessas questões

Bibliografía

Abbasi M, Farahani-Nia M, Mehrdad N, Givari A, Haghani H. Nursing students’ spiritual well-being, spirituality and spiritual care. Iran J Nurs Midwifery Res [Internet]. 2014 May [cited 2018 Feb 18];19(3):242–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24949061
Baldacchino D. Spiritual Care Education of Health Care Professionals. Religions [Internet]. 2015;6(2):594–613. Available from: http://www.mdpi.com/2077-1444/6/2/594
Burkhart L, Schmidt W. Measuring Effectiveness of a Spiritual Care Pedagogy in Nursing Education. J Prof Nurs [Internet]. 2012 Sep 1 [cited 2018 Feb 18];28(5):315–21. Available from: https://www.sciencedirect.com/science/article/pii/S8755722312000518
Caldeira S, Simões Figueiredo A, da Conceição A, Ermel C, Mendes J, Chaves E, et al. Spirituality in the Undergraduate Curricula of Nursing Schools in Portugal and São Paulo-Brazil. Religions [Internet]. 2016 Nov 8 [cited 2018 Feb 18];7(12):134. Available from: http://www.mdpi.com/2077-1444/7/11/134
Cone PH, Giske T. Teaching spiritual care - a grounded theory study among undergraduate nursing educators. J Clin Nurs [Internet]. 2013 Jul [cited 2018 Feb 18];22(13–14):1951–60. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22905999
Connors J, Good P, Gollery T. Using Innovative Teaching Strategies to Improve Nursing Student Competence and Confidence in Providing Spiritual Care. Nurse Educ [Internet]. 2017 [cited 2018 Feb 18];42(2):62–4. Available from: http://insights.ovid.com/crossref?an=00006223-201703000-00004
Cooper KL, Chang E, Sheehan A, Johnson A. The impact of spiritual care education upon preparing undergraduate nursing students to provide spiritual care. Nurse Educ Today [Internet]. 2013 Sep 1 [cited 2018 Feb 18];33(9):1057–61. Available from: https://www.sciencedirect.com/science/article/pii/S0260691712001104
Cooper KL, Chang E. Undergraduate nurse students’ perspectives of spiritual care education in an Australian context. Nurse Educ Today [Internet]. 2016 Sep 1 [cited 2018 Feb 18];44:74–8. Available from: https://www.sciencedirect.com/science/article/pii/S0260691716300788
Coscrato G, Villela Bueno SM. Spirituality and humanization according to nursing undergraduates: an action research. Investig y Educ en Enferm [Internet]. 2015 [cited 2018 Feb 18];33(1):73–82. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26148158
Costello M, Atinaja-Faller J, Hedberg M. The Use of Simulation to Instruct Students on the Provision of Spiritual Care. J Holist Nurs [Internet]. 2012 Dec 24 [cited 2018 Feb 18];30(4):277–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22828949
Cruz JP, Alshammari F, Alotaibi KA, Colet PC. Spirituality and spiritual care perspectives among baccalaureate nursing students in Saudi Arabia: A cross-sectional study. Nurse Educ Today [Internet]. 2017 Feb 1 [cited 2018 Feb 18]; 49:156–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27974281
Culatto A, Summerton CB. Spirituality and Health Education: A National Survey of Academic Leaders UK. J Relig Health [Internet]. 2015 Dec 26 [cited 2018 Feb 18];54(6):2269–75. Available from: http://link.springer.com/10.1007/s10943-014-9974-4
Curlin FA, Chin MH, Sellergren SA, Roach CJ, Lantos JD. The Association of Physicians??? Religious Characteristics with Their Attitudes and Self-Reported Behaviors Regarding Religion and Spirituality in the Clinical Encounter. Med Care [Internet]. 2006 May [cited 2018 Feb 18];44(5):446–53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16641663
de Diego Cordero R, Suáres Villegas; Juan Carlos. La práctica religiosa y los procesos migratorios: el caso del mormonismo en España. Rev Int Estud Migr [Internet]. 2016 [cited 2018 Feb 4];6(2):292–309. Available from: http://www.riem.es/espanol/ContadorArticulo.php?idart=68
Espinha DCM, Camargo SM de, Silva SPZ, Pavelqueires S, Lucchetti G. OpiniÃpoundso dos estudantes de enfermagem sobre saÃtextordmasculinede, espiritualidade e religiosidade. Rev GaÃtextordmasculinecha Enferm [Internet]. 2013;34:98–106. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472013000400013&nrm=iso
Favero L, Meier MJ, Ribeiro Lacerda M, de Azevedo Mazza V, Canestraro Kalinowski L. Aplicación de la Teoría del Cuidado Transpersonal de Jean Watson: una década de producción brasileña. Acta Paul Enfem [Internet]. 2009 [cited 2018 Feb 18];22(2):213–8. Available from: http://www.scielo.br/pdf/ape/v22n2/en_a16v22n2.pdf
García Tarancón B. Proceso de atención de enfermería a través del modelo de sol naciente [Internet]. Universidad de la Rioja; 2015. p. 54. Available from: https://biblioteca.unirioja.es/tfe_e/TFE001097.pdf
Giske T. How undergraduate nursing students learn to care for patients spiritually in clinical studies - a review of literature. J Nurs Manag [Internet]. 2012 Oct [cited 2018 Feb 18];20(8):n/a-n/a. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23151107
Giske T, Cone PH. Opening up to learning spiritual care of patients: a grounded theory study of nursing students. J Clin Nurs [Internet]. 2012 Jul [cited 2018 Feb 18];21(13–14):2006–15. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22568656
Hsiao Y-C, Chiang H-Y, Lee H-C, Chen S-H. The Effects of a Spiritual Learning Program on Improving Spiritual Health and Clinical Practice Stress Among Nursing Students. J Nurs Res [Internet]. 2012 Dec [cited 2018 Feb 18];20(4):281–90. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23154439
Hwa Tiew L, Drury V. Singapore Nursing Students’ Perceptions and Attitudes About Spirituality and Spiritual Care in Practice: A Qualitative Study. J Holist Nurs. 2012;30:160–9.
Izquierdo Machín E. Revista cubana de enfermería. Rev Cubana Enferm [Internet]. 2015 Dec 16 [cited 2018 Feb 18];31(3). Available from: http://www.revenfermeria.sld.cu/index.php/enf/article/view/686/131
Kalkim A, Midilli T, Baysal E. An Investigation of the Perceptions and Practices of Nursing Students Regarding Spirituality and Spiritual Care. Religions [Internet]. 2016 Aug 11 [cited 2018 Feb 18];7(12):101. Available from: http://www.mdpi.com/2077-1444/7/8/101
Kathol N, Sgoutas-Emch S. Alcohol Use in College: The Relationship Between Religion, Spirituality, and Proscriptive Attitudes Toward Alcohol. J Relig Health [Internet]. 2017 Apr 1 [cited 2018 Feb 18];56(2):437–49. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26932553
Leno Gonzñalez D. Buscando un modelo de cuidados de enfermería para un entorno multicultural. Gaz Antropol [Internet]. 2006 [cited 2018 Feb 18];22(32). Available from: http://www.ugr.es/~pwlac/G22_32Daniel_Leno_Gonzalez.html
Lewinson LP, McSherry W, Kevern P. Spirituality in pre-registration nurse education and practice: A review of the literature. Nurse Educ Today [Internet]. 2015 Jun 1 [cited 2018 Feb 18];35(6):806–14. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25707759
Lucchetti G, de Oliveira LR, Koenig HG, Leite JR, Lucchetti ALG. Medical students, spirituality and religiosity-results from the multicenter study SBRAME. BMC Med Educ [Internet]. 2013 Dec 7;13:162. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029451/
Lucchetti G, Ramakrishnan P, Karimah A, Oliveira GR, Dias A, Rane A, et al. Spirituality, Religiosity, and Health: a Comparison of Physicians’ Attitudes in Brazil, India, and Indonesia. Int J Behav Med [Internet]. 2016 Feb [cited 2018 Feb 18];23(1):63–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26025629
Lundmark M. Attitudes to spiritual care among nursing staff in a Swedish oncology clinic. J Clin Nurs [Internet]. 2006 Jul [cited 2018 Feb 18];15(7):863–74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16879379
Melguizo Herrera E, Alate Posada ML. Creencias y prácticas en el cuidado de la salud. Av en Enfermería [Internet]. 2008 [cited 2018 Feb 4];26(1):112–23. Available from: http://www.scielo.org.co/pdf/aven/v26n1/v26n1a12.pdf
Melguizo Herrera E, Alzate Posada M lucía. Creencias y prácticas en el cuidado de la salud. Av en Enfermería [Internet]. 2008 Jan 1 [cited 2018 Feb 18];26(1):112–23. Available from: https://revistas.unal.edu.co/index.php/avenferm/article/view/12891
Ministerio de Sanidad. Guía de gestión de la diversidad religiosa en los centros hospitalarios [Internet]. 2011. 65 p. Available from: https://www.msssi.gob.es/profesionales/saludPublica/prevPromocion/promocion/desigualdadSalud/docs/Guia_gestion_diversidad_religiosa.pdf
Murphy MM, Begley T, Timmins F, Neill F, Sheaf G. Spirituality and spiritual care – missing concepts from core undergraduate children’s nursing textbooks. Int J Child Spiritual [Internet]. 2015;20(2):114–28. Available from: https://doi.org/10.1080/1364436X.2015.1055458
Nascimento LC, de Oliveira FCS, Moreira Santos T de F, Pan R, Flória-Santos M, Alvarenga WA, et al. Atenção às necessidades espirituais na prática clínica de enfermeiros. Aquichan [Internet]. 2016 Jun 1 [cited 2018 Feb 4];16(2):179–92. Available from: http://aquichan.unisabana.edu.co/index.php/aquichan/article/view/4404/pdf
Neil Cope C, Azofeifa Ugalde E, Calderón Montero L. The nursing profesional´s intervention with the religious needs of the hospitaliced person. Enfermería en Costa Rica [Internet]. 2012;2:58–65. Available from: https://dialnet.unirioja.es/servlet/articulo?codigo=4741621&info=resumen&idioma=ENG
Olivé Ferrer MC, Isla Pera MP. El modelo Watson para un cambio de paradigma en los cuidados enfermeros. Rev ROL Enfermería [Internet]. 2015 [cited 2018 Feb 18];38(2):123–8. Available from: http://diposit.ub.edu/dspace/bitstream/2445/65766/1/647485.pdf
Oliveira AM de M, Lopes MEL, Evangelista CB, Gouveia EM de L, Costa SFG da, Alves AMP de M. The spiritual dimension of care in nursing practice: student’s opinion. J Nurs UFPE line [Internet]. 2012 Aug 5 [cited 2018 Feb 18];6(9):2037–44. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/7306
Organización Mundial de la Salud. Constitución de la Organización Mundial de la salud. Documentos Básicos [Internet]. 48a. 2014. 224 p. Available from: http://apps.who.int/gb/bd/PDF/bd48/basic-documents-48th-edition-sp.pdf?ua=1#page=7
Rodrigues dos santos M, Szylit Bousso R, Vendramim P, Freire Baliza M, Geguer Misko M, Silva L. The practice of nurses caring for families of pediatric inpatients in light of Jean Watson. Rev Esc Enferm USP [Internet]. 2014 [cited 2018 Feb 18];48:80–6. Available from: www.ee.usp.br/reeusp/
Ross L, Giske T, van Leeuwen R, Baldacchino D, McSherry W, Narayanasamy A, et al. Factors contributing to student nurses’/midwives’ perceived competency in spiritual care. Nurse Educ Today [Internet]. 2016 Jan 1 [cited 2018 Feb 18];36:445–51. Available from: https://www.sciencedirect.com/science/article/pii/S0260691715004116
Sampaio CVS, Lima MG, Ladeia AM. Meditation, Health and Scientific Investigations: Review of the Literature. J Relig Health [Internet]. 2017 Apr 25 [cited 2018 Feb 18];56(2):411–27. Available from: http://link.springer.com/10.1007/s10943-016-0211-1
Sanabria Triana L, Otero Ceballos M, Urbina Laza O. Los paradigmas como base del pensamiento actual en la profesión de enfermería. [Internet]. Escuela Nacional de Salud Pública. 2002 [cited 2018 Feb 18]. Available from: http://www.bvs.sld.cu/revistas/ems/vol16_4_02/ems07402.htm
Sankhe A, Dalal K, Agarwal V, Sarve P. Spiritual Care Therapy on Quality of Life in Cancer Patients and Their Caregivers: A Prospective Non-randomized Single-Cohort Study. J Relig Health [Internet]. 2017 Apr [cited 2018 Feb 18];56(2):725–31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27853982
Seylani K, Karlsson S, Hallberg I, Mohammadi E, Negarandeh R. Spirituality Among Iranian Nursing Students During Undergraduate Study. Vol. In press, Nursing and Midwifery Studies. 2016.
Tiew LH, Creedy DK, Chan MF. Student nurses’ perspectives of spirituality and spiritual care. Nurse Educ Today [Internet]. 2013 Jun [cited 2018 Feb 18];33(6):574–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22789873
Timmins F, Neill F. Teaching nursing students about spiritual care – A review of the literature. Nurse Educ Pract [Internet]. 2013 Nov 1 [cited 2018 Feb 18];13(6):499–505. Available from: https://www.sciencedirect.com/science/article/pii/S1471595313000231
Tirgari B, Iranmanesh S, Ali Cheraghi M, Arefi A. Meaning of Spiritual Care. Holist Nurs Pract [Internet]. 2013 [cited 2018 Feb 18];27(4):199–206. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23774719
Tomasso C de S, Beltrame IL, Lucchetti G. Knowledge and attitudes of nursing professors and students concerning the interface between spirituality, religiosity and health. Rev Lat Am Enfermagem [Internet]. 2011;19:1205–13. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000500019&nrm=iso
Urra E, Jana A, García M. Algunos aspectos esenciales del pensamiento de Jean Watson y su teoría de cuidados transpersonales. Cienc Y Enferm [Internet]. 2011 [cited 2018 Feb 18];XVII(3):11–22. Available from: https://scielo.conicyt.cl/pdf/cienf/v17n3/art02.pdf
Williams MG, Voss A, Vahle B, Capp S. Clinical Nursing Education: Using the FICA Spiritual History Tool to Assess Patients’ Spirituality. Nurse Educ [Internet]. 2016 [cited 2018 Feb 18];41(4):E6–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27166591
Wu L-F, Liao Y-C, Yeh D-C. Nursing Student Perceptions of Spirituality and Spiritual Care. J Nurs Res [Internet]. 2012 Sep [cited 2018 Feb 18];20(3):219–27. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22902981
Yadav R, Khanna A, Singh D. Exploration of Relationship Between Stress and Spirituality Characteristics of Male and Female Engineering Students: A Comprehensive Study. J Relig Health [Internet]. 2017 Apr 18 [cited 2018 Feb 18];56(2):388–99. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26781672
Yilmaz M, Gurler H. The efficacy of integrating spirituality into undergraduate nursing curricula. Nurs Ethics [Internet]. 2014 Dec 18 [cited 2018 Feb 18];21(8):929–45. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24644252
Zakaria Kiaei M, Salehi A, Moosazadeh Nasrabadi A, Whitehead D, Azmal M, Kalhor R, et al. Spirituality and spiritual care in Iran: nurses’ perceptions and barriers. Int Nurs Rev [Internet]. 2015 Dec [cited 2018 Feb 18];62(4):584–92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26572823
Zavala-Pérez IC, Hernández-Corrales MD, Viridiana C, Érrez O-G, Ofelia Valle-Solís M, Coahtepetzin I, et al. Cuidado de enfermería transpersonal con base en la teoría del caring a una mujer con cáncer de mama Palabras clave: Neoplasias de la mama Proceso de enfermería Espiritualidad Empa a. Rev Enferm Inst Mex Seguro Soc [Internet]. 2014 [cited 2018 Feb 18];22(3):135–43. Available from: http://www.medigraphic.com/pdfs/enfermeriaimss/eim-2014/eim143d.pdf

La formación en religiosidad y espiritualidad en los estudios de Grado en Enfermería

The formation in religiosity and spirituality in the studies of Degree in Nursing

A formação em religiosidade e espiritualidade nos estudos de Graduação em Enfermagem

Resumen

Abstract

Resumo

Bibliografía

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