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Kemp E, Porter M, Cromartie JS, Williams KM. The role of stigma and spirituality on mental health help-Seeking behavior: an experimental approach. JOURNAL OF COMMUNICATION IN HEALTHCARE 2023; 16:197-204. [PMID: 37401884 DOI: 10.1080/17538068.2022.2105109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/05/2023]
Abstract
BACKGROUND The purpose of this research is to examine how social marketing messages can be developed to reduce the stigma associated with seeking help for mental health conditions. It also explores the role that spirituality plays in an individual's propensity to pursue help for mental health challenges. METHODS A two-factor between-subjects experiment (ad message: destigmatizing and control × spirituality: high and low) between-subjects design was conducted with 275 participants from the millennial generational cohort in the United States. Responses were collected using an online consumer panel. RESULTS Findings indicate that when presented with an advertisement that reduces the stigma associated with mental illness, individuals have a more favorable emotional reaction toward seeking help for a mental health condition. In addition, spirituality moderates the effect of advertising on mental health help-seeking behavior. Individuals with more intrinsic spirituality are more likely to seek care for a mental health issue, whereas those who report less intrinsic spirituality may need the help of destigmatizing messages. Specifically, individuals who report less intrinsic spirituality have more favorable attitudes toward an advertisement that destigmatizes mental illness, and as a result express greater intentions to seek care for a mental health condition. CONCLUSIONS This research contributes to discussions centered on better understanding how to break down barriers to seeking aid for mental illness. Messaging which destigmatizes mental illness might start by targeting those who are less inclined to believe in transcendence. Moreover, since spirituality also includes a search for meaning, connectedness, and growth, such messaging might also be beneficial to those who are less likely to engage in activities which link the mind, body and spirit, such as meditation, mindfulness and yoga.
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Affiliation(s)
- Elyria Kemp
- College of Business Administration, University of New Orleans, New Orleans
| | - McDowell Porter
- Craig School of Business, California State University, Fresno
| | - Jane S Cromartie
- College of Business Administration, University of New Orleans, New Orleans
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2
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Gad I, Tan XWC, Williams S, Itawi S, Dahbour L, Rotter Z, Mitro G, Rusch C, Perkins S, Ali I. The Religious and Spiritual Needs of Patients in the Hospital Setting Do Not Depend on Patient Level of Religious/Spiritual Observance and Should be Initiated by Healthcare Providers. JOURNAL OF RELIGION AND HEALTH 2022; 61:1120-1138. [PMID: 33128222 DOI: 10.1007/s10943-020-01103-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/29/2020] [Indexed: 05/23/2023]
Abstract
According to many studies, addressing the religious and spiritual (R/S) needs of patient's increase patient satisfaction. One area of interest is how patient self-perceived level of religiosity and spirituality (R/S) influences hospital needs. In this cross-sectional study, 195 inpatients at a non-faith-based academic hospital in Toledo, OH, USA completed surveys examining self-perceived R/S levels, as well as how those R/S levels impacted preferred services, conversations, and experiences in the hospital. Patients with no religious identity (self-identified as atheist, agnostic, or no religion) were less likely to report discussions about R/S needs than religious respondents (16.7% vs. 47.3%, p = 0.039). Nevertheless, such patients were just as likely to want a R/S conversation started by their healthcare provider (75% vs. 56%, p = 0.241). Those with no R/S identity were more likely to report presumed negative assumptions by hospital staff (25% vs. 0%, p < 0.001). Our data suggests that even for a nonreligious population, it is important to consider R/S needs.
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Affiliation(s)
- Ibtissam Gad
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA.
| | - Xiao-Wei Cherie Tan
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Sarah Williams
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Sally Itawi
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Layth Dahbour
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Zachary Rotter
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Graham Mitro
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Courtney Rusch
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Sara Perkins
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
| | - Imran Ali
- Department of Medical Education, University of Toledo College of Medicine, Toledo, OH, 43614, USA
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3
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Palmer JA, Hilgeman M, Balboni T, Paasche-Orlow S, Sullivan JL. The spiritual experience of dementia from the health care provider perspective: Implications for intervention. THE GERONTOLOGIST 2021; 62:556-567. [PMID: 34498084 DOI: 10.1093/geront/gnab134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Spiritual care aims to counter negative outcomes from spiritual distress and is beneficial to persons living with dementia. Such care needs dementia-appropriate customization. We explored the salient spiritual needs in dementia to inform future intervention development. Health care providers are well-situated to observe the nature of spiritual needs across and within medical conditions. RESEARCH DESIGN AND METHODS We conducted semi-structured qualitative interviews with providers. We sampled purposively by discipline (chaplains, nursing staff, social workers, activities professionals) and religious tradition (for chaplains). Our interview guide inquired about, e.g., the nature of spiritual needs in dementia and stakeholders' roles in addressing them. Inductive / deductive thematic analysis was employed. RESULTS Twenty-four providers participated. The thematic structure consisted of two themes: 1) spiritual experience in dementia differs from that in other medical conditions (sub-themes: fear, profound loss of self, progressive and incurable nature, and impacted ability to access faith); and 2) the need for spiritual intervention at the mild stage of dementia (sub-themes: awareness in mild dementia and its influence on spiritual distress, and a window of opportunity). DISCUSSION AND IMPLICATIONS We learned about the potential "what" of spiritual needs and "who" and "when" of implementing spiritual care. Implications included the imperative for dementia-specific spiritual assessment tools, interventions targeting fear and loss of self early in symptom progression, and stakeholder training. Researchers should study additionally the "how" of dementia-appropriate spiritual care. Conjointly, these efforts could promote spiritual well-being in persons living with dementia worldwide.
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Affiliation(s)
- Jennifer A Palmer
- Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA USA.,Section of General Internal Medicine, Boston University School of Medicine, Boston, MA USA
| | - Michelle Hilgeman
- Research and Development Service, Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, AL USA.,Department of Psychology & Alabama Research Institute on Aging, The University of Alabama, Tuscaloosa, AL USA
| | - Tracy Balboni
- Department of Radiation Oncology, Brigham and Women's Hospital/Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA USA
| | | | - Jennifer L Sullivan
- Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA USA.,Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA USA
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4
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Burkhart L, Coglianese M, Kaelin J, Moorhead S, Joyce C. Communicating Spiritual Care in the Electronic Health Record. Comput Inform Nurs 2021; 39:538-546. [PMID: 34623338 DOI: 10.1097/cin.0000000000000707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Chaplains must document their ministry of care in electronic health records that primarily focus on the physical dimension of care. Creating chaplain documentation that reflects the spiritual dimension of care requires chaplains to participate in the screen design. This article describes how chaplain documentation was designed and refined using psychometric methods. The resulting system successfully supported chaplain workflow, provided an ability to aggregate chaplain workload, and integrated the chaplain into the interprofessional team by structuring, linking, and sharing both the chaplain and nursing assessment of spiritual distress in the electronic health record. Documentation used 5-point Likert scales to measure different dimensions of patient spirituality. Reliability and validity were further evaluated as part of a workshop at an Association of Professional Chaplains annual meeting. Findings supported interrater reliability and the ability to predict and discriminate change pre and post encounter. Documentation screen content is presented.
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Affiliation(s)
- Lisa Burkhart
- Author Affiliations : Marcella Niehoff School of Nursing, Loyola University Chicago (Dr Burkhart); Parkinson School of Health Sciences and Public Health, Loyola University Chicago (Dr Joyce); Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital (Dr Burkhart); and Loyola University Medical Center, Maywood (Ms Coglianese and Mr Kaelin), IL; and College of Nursing, University of Iowa (Dr Moorhead)
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5
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Muehlhausen BL, Foster T, Smith AH, Fitchett G. Patients' and Loved Ones' Expectations of Chaplain Services. J Health Care Chaplain 2021; 28:350-364. [PMID: 33882787 DOI: 10.1080/08854726.2021.1903734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
A study assessing the expectations patients and loved ones have of hospital chaplains was conducted at Ascension St. Vincent Indiana hospitals. In-person interviews were conducted with 452 patients and loved ones during an inpatient stay. The survey instrument was a modified version of a survey developed by Dr. Katherine Piderman of the Mayo Clinic. Participants answered questions regarding demographics, awareness of availability, expectations of visits, reasons for wanting to see a chaplain and gave feedback regarding visits if they had seen a chaplain. Results showed that patients and loved ones value chaplains with 93% saying they wanted a chaplain visit. This study was unique in seeking feedback from loved ones as well as patients. It may be equally important to reach out to loved ones during times of crisis when patients themselves are in surgery or sedated and loved ones are experiencing heightened anxiety.
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Affiliation(s)
| | - Todd Foster
- Graduate Medical Education, Indianapolis, IN, USA
| | - Aaron H Smith
- Indiana University School of Medicine, Indianapolis, IN, USA
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA
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6
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Kirchoff RW, Tata B, McHugh J, Kingsley T, Burton MC, Manning D, Lapid M, Chaudhary R. Spiritual Care of Inpatients Focusing on Outcomes and the Role of Chaplaincy Services: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2021; 60:1406-1422. [PMID: 33575891 DOI: 10.1007/s10943-021-01191-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/19/2021] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To identify demographic trends associated with patient utilization and healthcare provider request for spiritual care services and to describe the impact of spiritual care on the quality of life (QoL), spiritual well-being (SWB) and level of satisfaction (SAT) of hospitalized patients. PATIENTS AND METHODS A systematic search of Ovid MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scopus, was combined with review of relevant bibliographies. A total of 464 titles and abstracts were reviewed. Data were independently extracted by reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data on the effects of spiritual interventions on QoL, SWB and SAT were extracted, along with demographic data reflecting chaplain services. The results of the studies are presented narratively and in a qualitative manner. RESULTS Observational or experimental studies investigating chaplain utilization demographics (n = 12), patient satisfaction (n = 9) and QoL/SWB (n = 3) were included. Perceived severity of illness, average length of stay and older age were consistently found to be predictors of higher need for spiritual care. Receipt of spiritual care was correlated with increased patient and family satisfaction, independent of clinical outcome. Chaplain interventions were associated with improvement in perceived QoL and SWB. In spite of this, healthcare workers rarely attempt to explore the patient's or family's need for spiritual care, with the majority of chaplaincy consults occurring in the final day of the patient's life, potentially leading to a failure to meet the spiritual needs of non-terminal patients who have spiritual trauma related to their resolving illnesses. CONCLUSION Attention to the spiritual needs of hospitalized patients is an essential yet often overlooked aspect of patient care. Chaplains serve as spiritual care specialists whose services can enhance the hospital experience, improve patient satisfaction and help to bridge potential gaps between the patient and medical providers.
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Affiliation(s)
| | - Beba Tata
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
| | - Jack McHugh
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
| | | | | | | | - Maria Lapid
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
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7
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Damen A, Murphy P, Fullam F, Mylod D, Shah RC, Fitchett G. Examining the Association Between Chaplain Care and Patient Experience. J Patient Exp 2021; 7:1174-1180. [PMID: 33457562 PMCID: PMC7786773 DOI: 10.1177/2374373520918723] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients’ electronic medical record. Our analyses included 11 741 patients, 26.5% of whom had received any chaplain care. Patients with lower self-rated health were more likely to have received chaplain care (P < .001). In bivariate analyses, chaplain care was associated with lower likelihood of reporting the highest score for 4 patient experience items (P < .001). In multi-variable models that adjusted for patient self-rated health and other factors, the association between chaplain care and the 4 patient experience items was nonsignificant. There was no effect modification for patient religious affiliation, self-rated health, or other demographic factors. The chaplain care-patient experience association may be more complex than has initially appeared, and further research is needed to help us better understand it.
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Affiliation(s)
- Annelieke Damen
- PhD student Outcomes of Chaplaincy, University of Humanistic Studies, Utrecht, the Netherlands
| | - Patricia Murphy
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
| | - Francis Fullam
- Health Systems Management, Rush University Medical Center, Chicago, IL, USA
| | - Deirdre Mylod
- Institute for Innovation, SVP Research & Analytics, Press Ganey Associates, South Bend, IN, USA
| | - Raj C Shah
- Family Medicine and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA
| | - George Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
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8
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Mascaro JS, Florian MP, Ash MJ, Palmer PK, Frazier T, Condon P, Raison C. Ways of Knowing Compassion: How Do We Come to Know, Understand, and Measure Compassion When We See It? Front Psychol 2020; 11:547241. [PMID: 33132956 PMCID: PMC7561712 DOI: 10.3389/fpsyg.2020.547241] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 08/28/2020] [Indexed: 12/30/2022] Open
Abstract
Over the last decade, empirical research on compassion has burgeoned in the biomedical, clinical, translational, and foundational sciences. Increasingly sophisticated understandings and measures of compassion continue to emerge from the abundance of multidisciplinary and cross-disciplinary studies. Naturally, the diversity of research methods and theoretical frameworks employed presents a significant challenge to consensus and synthesis of this knowledge. To bring the empirical findings of separate and sometimes siloed disciplines into conversation with one another requires an examination of their disparate assumptions about what compassion is and how it can be known. Here, we present an integrated theoretical review of methodologies used in the empirical study of compassion. Our goal is to highlight the distinguishing features of each of these ways of knowing compassion, as well as the strengths and limitations of applying them to specific research questions. We hope this will provide useful tools for selecting methods that are tailored to explicit objectives (methods matching), taking advantage of methodological complementarity across disciplines (methods mixing), and incorporating the empirical study of compassion into fields in which it may be missing.
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Affiliation(s)
- Jennifer S. Mascaro
- Department of Family and Preventive Medicine, Emory University School of Medicine, Atlanta, GA, United States
| | | | - Marcia J. Ash
- Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States
| | - Patricia K. Palmer
- Department of Spiritual Health, Woodruff Health Sciences Center, Emory University, Atlanta, GA, United States
| | - Tyralynn Frazier
- Center for Contemplative Science and Compassion-Based Ethics, Emory University, Atlanta, GA, United States
| | - Paul Condon
- Department of Psychology, Southern Oregon University, Ashland, OR, United States
| | - Charles Raison
- School of Human Ecology, University of Wisconsin–Madison, Madison, WI, United States
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9
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Cao Y, Kunaviktikul W, Petrini M, Sripusanapan A. Proposing a conceptual framework of spiritual care competence for Chinese nurses. Nurs Health Sci 2020; 22:498-506. [DOI: 10.1111/nhs.12692] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Revised: 02/10/2020] [Accepted: 02/16/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Yuling Cao
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- School of Nursing Fudan University Shanghai China
| | | | - Marcia Petrini
- Faculty of Nursing Chiang Mai University Chiang Mai Thailand
- HOPE School of Nursing Wuhan University Wuhan China
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10
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Gafaar TO, Pesambili M, Henke O, Vissoci JRN, Mmbaga BT, Staton C. Good death: An exploratory study on perceptions and attitudes of patients, relatives, and healthcare providers, in northern Tanzania. PLoS One 2020; 15:e0233494. [PMID: 32649715 PMCID: PMC7351142 DOI: 10.1371/journal.pone.0233494] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Accepted: 05/06/2020] [Indexed: 12/03/2022] Open
Abstract
IMPORTANCE In the Kilimanjaro region of Tanzania, there are no advance care planning (ACP) protocols being used to document patient preferences for end-of-life (EoL) care. There is a general avoidance of the topic and contemplating ACP in healthcare-limited regions can be an ethically complex subject. Nonetheless, evidence from similar settings indicate that an appropriate quality of life is valued, even as one is dying. What differs amongst cultures is the definition of a 'good death'. OBJECTIVE Evaluate perceptions of quality of death and advance EoL preparation in Moshi, Tanzania. DESIGN 13 focus group discussions (FGDs) were conducted in Swahili using a semi-structured guide. These discussions were audio-recorded, transcribed, translated, and coded using an inductive approach. SETTING Kilimanjaro Christian Medical Centre (KCMC), referral hospital for northern Tanzania. PARTICIPANTS A total of 122 participants, including patients with life-threatening illnesses (34), their relatives/friends (29), healthcare professionals (29; HCPs; doctors and nurses), and allied HCPs (30; community health workers, religious leaders, and social workers) from KCMC, or nearby within Moshi, participated in this study. FINDINGS In characterizing Good Death, 7 first-order themes emerged, and, of these themes, Religious & Spiritual Wellness, Family & Interpersonal Wellness, Grief Coping & Emotional Wellness, and Optimal Timing comprised the second-order theme, EoL Preparation and Life Completion. The other first-order themes for Good Death were Minimal Suffering & Burden, Quality of Care by Formal Caregivers, and Quality of Care by Informal Caregivers. INTERPRETATION The results of this study provide a robust thematic description of Good Death in northern Tanzania and they lay the groundwork for future clinical and research endeavors to improve the quality of EoL care at KCMC.
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Affiliation(s)
- Temitope O. Gafaar
- Duke University School of Medicine, Duke University, Durham, NC, United States of America
| | - Msafiri Pesambili
- Duke University Research Collaboration, Kilimanjaro Christian Medical Center, Moshi, Tanzania
| | - Oliver Henke
- Cancer Care Center, Kilimanjaro Christian Medical Center, Moshi, Tanzania
| | - Joao Ricardo Nickenig Vissoci
- Duke Global Health Institute, Duke University, Durham, NC, United States of America
- Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America
| | - Blandina Theophil Mmbaga
- Cancer Care Center, Kilimanjaro Christian Medical Center, Moshi, Tanzania
- Kilimanjaro Clinical Research Institute, Moshi, Tanzania
| | - Catherine Staton
- Duke Global Health Institute, Duke University, Durham, NC, United States of America
- Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States of America
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11
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Wang Y, Wu H, Xia C, Lu N. Impact of the Price of Gifts From Patients on Physicians' Service Quality in Online Consultations: Empirical Study Based on Social Exchange Theory. J Med Internet Res 2020; 22:e15685. [PMID: 32369028 PMCID: PMC7238091 DOI: 10.2196/15685] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Revised: 10/15/2019] [Accepted: 12/21/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Gift giving from patients to physicians, which is prohibited in traditional clinical settings in China, has been found to occur in online health communities. However, there is debate on the validity of online gifts since physicians gain an economic benefit. Moreover, the potential impact of these gifts, particularly with respect to the financial value of the gift, on the online consultation service quality remains unexplored. OBJECTIVE The aim of this study was to explore the impact of gift price on the quality of physicians' online consultation service. Insight into this impact is expected to help resolve existing debate on the appropriateness of the gift-giving practice in online consultations. METHODS A dataset of 141 physicians and 4249 physician-patient interactions was collected from the Good Physician Online website, which is the largest online consultation platform in China. Based on social exchange theory, we investigated how gift price affects the quality of physicians' online consultation service and how this impact changes according to the physician's service price and number of all gifts received. Manual annotation was used to identify the information support paragraphs and emotional support paragraphs in the answers of physicians. The quality of the information support paragraphs, rather than the complete answer, was used to test the robustness of our model. RESULTS Gift price had a positive impact on the quality of physicians' online consultation service (β=4.941, P<.01). This impact was negatively mediated by both the physician's service price (β=-9.245, P<.001) and the total number of gifts they received (β=-5.080, P<.001). CONCLUSIONS Gift price has a positive impact on physicians' online behavior, although the impact varies among physicians.
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Affiliation(s)
- Yanan Wang
- Huazhong University of Science and Technology, Wuhan, China
| | - Hong Wu
- Huazhong University of Science and Technology, Wuhan, China
| | - Chenxi Xia
- Jiangxi Engineering Laboratory on Radioactive Geoscience and Big Data Technology, East China University of Technology, Nanchang, Jiangxi, China
| | - Naiji Lu
- Huazhong University of Science and Technology, Wuhan, China
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12
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Kørup AK, Søndergaard J, Christensen RD, Nielsen CT, Lucchetti G, Ramakrishnan P, Baumann K, Lee E, Frick E, Büssing A, Alyousefi NA, Karimah A, Schouten E, Schulze A, Wermuth I, Hvidt NC. Religious Values in Clinical Practice are Here to Stay. JOURNAL OF RELIGION AND HEALTH 2020; 59:188-194. [PMID: 30328542 PMCID: PMC6976554 DOI: 10.1007/s10943-018-0715-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Research to date has shown that health professionals often practice according to personal values, including values based on faith, and that these values impact medicine in multiple ways. While some influence of personal values are inevitable, awareness of values is important so as to sustain beneficial practice without conflicting with the values of the patient. Detecting when own personal values, whether based on a theistic or atheistic worldview, are at work, is a daily challenge in clinical practice. Simultaneously ethical guidelines of tone-setting medical associations like American Medical Association, the British General Medical Council and Australian Medical Association have been updated to encompass physicians' right to practice medicine in accord with deeply held beliefs. Framed by this context, we discuss the concept of value-neutrality and value-based medical practice of physicians from both a cultural and ethical perspective, and reach the conclusion that the concept of a completely value-neutral physician, free from influence of personal values and filtering out value-laden information when talking to patients, is simply an unrealistic ideal in light of existing evidence. Still we have no reason to suspect that personal values, whether religious, spiritual, atheistic or agnostic, should hinder physicians from delivering professional and patient-centered care.
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Affiliation(s)
- Alex Kappel Kørup
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, 5000 Denmark
- Department of Mental Health Service, University of Southern Denmark, Vejle, Denmark
| | - Jens Søndergaard
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, 5000 Denmark
| | - René dePont Christensen
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, 5000 Denmark
| | | | - Giancarlo Lucchetti
- Department of Medicine, Federal University of Juiz de Fora, Avenida Eugênio de Nascimento s/n-Aeroporto, Juiz de Fora, 36038330 MG Brazil
| | - Parameshwaran Ramakrishnan
- Graduate Theological, Union-University of California, 2400 Ridge Rd, Berkeley, CA 94709 USA
- AdiBhat Foundation, New Delhi, 110048 India
| | - Klaus Baumann
- Caritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University, 79085 Freiburg, Germany
| | - Eunmi Lee
- Caritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University, 79085 Freiburg, Germany
| | - Eckhard Frick
- Research Centre Spiritual Care, Department of Psychosomatic Medicine and Psychotherapy, The University Hospital Klinikum rechts der Isar, Langerstr. 3, Munich, 81675 Germany
- Munich School of Philosophy, Kaulbachstr. 31, Munich, 80539 Germany
| | - Arndt Büssing
- Institute of Integrative Medicine, Faculty of Medicine, Witten/Herdecke University, Gerhard-Kienle-Weg 4, Herdecke, 58313 Germany
| | - Nada A. Alyousefi
- College of Medicine, King Saud University (KSU), Riyadh, 11461 Saudi Arabia
| | - Azimatul Karimah
- Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, East Java, Indonesia
| | - Esther Schouten
- Department of Neonatology, University Hospital Munich, Marchioninistrasse 15, 80366 Munich, Germany
| | - Andreas Schulze
- Department of Neonatology, University Hospital Munich, Marchioninistrasse 15, 80366 Munich, Germany
| | - Inga Wermuth
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich, Germany
| | - Niels Christian Hvidt
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense, 5000 Denmark
- Academy of Geriatric Cancer Research (AgeCare), Odense University Hospital, 5000 Odense, Denmark
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13
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Theys L, Krystallidou D, Salaets H, Wermuth C, Pype P. Emotion work in interpreter-mediated consultations: A systematic literature review. PATIENT EDUCATION AND COUNSELING 2020; 103:33-43. [PMID: 31431309 DOI: 10.1016/j.pec.2019.08.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 07/10/2019] [Accepted: 08/04/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To identify the ways in which physicians, patients and interpreters express emotions, react to emotional expressions and/or coordinate the emotional interaction in interpreter-mediated consultations (IMCs). METHODS We systematically searched four databases and screened 10 307 articles. The following inclusion criteria were applied: 1) participants are patients with limited proficiency in the host language, physicians and professional interpreters, 2) analysis of patient-physician-interpreter interaction, 3) focus on emotions, 4) in vivo spoken language interpretation, and 5) authentic primary data. RESULTS The results of 7 included studies suggest that physicians, patients and interpreters work together and verbally and paraverbally contribute to the co-construction of emotional communication (EC) in IMCs. However, a decrease in EC might still compromise the patient's quality of care in IMCs. CONCLUSION There is a dearth of scientific evidence of EC as an interactional process between participants in IMCs. More research on under investigated modes of communication and emotions is needed to advance our understanding. For now, EC seems to be subject to the successful interaction between participants in IMCs. PRACTICE IMPLICATIONS Evidence-based curricula of interprofessional education between physicians and interpreters on EC in IMCs could be beneficial to the effective co-construction of EC in IMCS.
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Affiliation(s)
- Laura Theys
- KU Leuven, Faculty of Arts (Antwerp Campus), Sint-Andriesstraat 2, B-2000 Antwerp, Belgium; Ghent University, Department of Public Health and Primary Care, Corneel Heymanslaan 10, B-9000 Ghent, Belgium.
| | - Demi Krystallidou
- KU Leuven, Faculty of Arts (Antwerp Campus), Sint-Andriesstraat 2, B-2000 Antwerp, Belgium.
| | - Heidi Salaets
- KU Leuven, Faculty of Arts (Antwerp Campus), Sint-Andriesstraat 2, B-2000 Antwerp, Belgium.
| | - Cornelia Wermuth
- KU Leuven, Faculty of Arts (Antwerp Campus), Sint-Andriesstraat 2, B-2000 Antwerp, Belgium.
| | - Peter Pype
- Ghent University, Department of Public Health and Primary Care, Corneel Heymanslaan 10, B-9000 Ghent, Belgium.
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Kørup AK, Søndergaard J, Lucchetti G, Ramakrishnan P, Baumann K, Lee E, Frick E, Büssing A, Alyousefi NA, Karimah A, Schouten E, Wermuth I, Hvidt NC. Religious values of physicians affect their clinical practice: A meta-analysis of individual participant data from 7 countries. Medicine (Baltimore) 2019; 98:e17265. [PMID: 31568003 PMCID: PMC6756708 DOI: 10.1097/md.0000000000017265] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 06/14/2019] [Accepted: 08/27/2019] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Observational studies indicate that religious values of physicians influence clinical practice. The aim of this study was to test prior hypotheses of prevalence of this influence using a meta-analysis design. METHODS Based on a systematic literature search we performed individual participant data meta-analysis (IPDMA) on data based on 2 preselected questionnaires. Ten samples from 7 countries remained after exclusion (n = 3342). IPDMA was performed using a random-effects model with 2 summary measures: the mean value of the scale "Religiosity of Health Professionals"; and a dichotomized value of the question "My religious beliefs influence my practice of medicine." Also, a sensitivity analysis was performed using a mixed-models design controlling for confounders. RESULTS Mean score of religiosity (95% confidence interval [CI]) was significantly lower in the European subgroup (8.46 [6.96-9.96]) compared with the Asian samples India (10.46 [9.82-10.21]) and Indonesia (12.52 [12.19-12.84]), whereas Brazil (9.76 [9.54-9.99]) and USA (10.02 [9.82-10.21]) were placed in between. The proportion of the European physicians who agreed to the statement "My religious beliefs influence my practice of medicine" (95% CI) was 42% (26%-59%) compared with Brazil (36% [29%-43%]), USA (57% [54%-60%]), India (58% [52%-63%]), and Indonesia (91% [84%-95%]). CONCLUSIONS Although large cross-cultural variations existed in the samples, 50% of physicians reported to be influenced by their religious beliefs. Religiosity and influence of religious beliefs were most pronounced in India, Indonesia, and a European faith-based hospital. Education regimes of current and future physicians should encompass this influence, and help physicians learn how their personal values influence their clinical practice.
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Affiliation(s)
- Alex Kappel Kørup
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C
- Department of Mental Health Service, Vejle, Region of Southern Denmark, Denmark
| | - Jens Søndergaard
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C
| | - Giancarlo Lucchetti
- Department of Medicine, Federal University of Juiz de Fora, Avenida Eugênio de Nascimento s/n-Aeroporto, Juiz de Fora, MG, Brazil
| | | | - Klaus Baumann
- Caritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University D-79085, Freiburg, Baden-Württemberg
| | - Eunmi Lee
- Caritas Science and Christian Social Work, Faculty of Theology, Albert-Ludwig-University D-79085, Freiburg, Baden-Württemberg
| | - Eckhard Frick
- Research Centre Spiritual Care, Department of Psychosomatic Medicine and Psychotherapy, The University Hospital Klinikum rechts der Isar, Langerstr
- Munich School of Philosophy, Kaulbachstr., Munich
| | - Arndt Büssing
- Institute of Integrative Medicine, Faculty of Medicine, Witten/Herdecke University, Gerhard-Kienle-Weg 4, Herdecke, Germany
| | - Nada A. Alyousefi
- College of Medicine, King Saud University (KSU), Riyadh, Saudi Arabia
| | - Azimatul Karimah
- Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia
| | - Esther Schouten
- Department of Neonatology, University Hospital Munich, Marchioninistrasse 15
| | - Inga Wermuth
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Munich, Munich
| | - Niels Christian Hvidt
- Research Unit of General Practice, Institute of Public Health, University of Southern Denmark, Odense C
- Academy of Geriatric Cancer Research (AgeCare), Odense University Hospital, Odense C, Denmark
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15
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Sharma V, Marin DB, Zhong X, Mazumdar M, Keogh M, Costello Z, Jandorf L. Using the Taxonomy: A Standard Vocabulary of Chaplain Activities. J Health Care Chaplain 2019; 27:43-64. [PMID: 31448706 DOI: 10.1080/08854726.2019.1653636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
At present, the field of chaplaincy does not have a standardized vocabulary for the activities that chaplains conduct in different institutions and settings. This is a hindrance when making comparisons among various chaplain activities across institutions and drawing conclusions from the data reported. Recently a standardized vocabulary, the Advocate Taxonomy, was developed by a group of chaplains and there was consensus agreement that the taxonomy represented the gamut of chaplain activities. However, to date, no data with adults has been presented to support the conclusions reached by the taxonomy development team. This article is the first effort to examine which taxonomy items are most commonly used in the acute care setting. It further explores the differences in the use of the taxonomy items in different settings (ICU vs. Non-ICU), the type of chaplain visit (Initial vs. Follow-up) and the patient's discharge status (Expired vs. discharged alive).
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Affiliation(s)
- Vanshdeep Sharma
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Deborah B Marin
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Xiaobo Zhong
- Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Madhu Mazumdar
- Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Maggie Keogh
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Zorina Costello
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Lina Jandorf
- Center for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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16
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Hall E, Hughes B, Handzo G. Time to follow the evidence – Spiritual care in health care. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.jemep.2019.04.011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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17
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Choi PJ, Chow V, Curlin FA, Cox CE. Intensive Care Clinicians' Views on the Role of Chaplains. J Health Care Chaplain 2018; 25:89-98. [PMID: 30518314 DOI: 10.1080/08854726.2018.1538438] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
There is evidence that addressing the religious and spiritual needs of patients has positive effects on patient satisfaction and health care utilization. However, in the intensive care unit (ICU), chaplains are often consulted only at the very end of life, thereby leaving patients' spiritual needs unmet. This study looked at the views of 219 ICU clinicians on the role of chaplains. We found that all clinicians find chaplains helpful when a patient is dying or when the chaplain brings up religious or spiritual topics. Physicians find chaplains less helpful in other clinical scenarios such as challenging family meetings or when patients are recovering. Nurses are more likely to consult chaplains for a difficult family meeting or when patients are recovering from critical illness. Communication between clinicians and chaplains, both directly and indirectly through electronic health record notes, remains infrequent, highlighting the need for interventions aimed at improving multidisciplinary spiritual care.
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Affiliation(s)
- Philip J Choi
- a Duke University Hospital, Duke University Medical Center , Durham , North Carolina
| | - Vinca Chow
- a Duke University Hospital, Duke University Medical Center , Durham , North Carolina
| | - Farr A Curlin
- a Duke University Hospital, Duke University Medical Center , Durham , North Carolina
| | - Christopher E Cox
- a Duke University Hospital, Duke University Medical Center , Durham , North Carolina
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18
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Shah S, Frey R, Shipman K, Gardiner F, Milne H. A survey to explore health care staff perceptions of spirituality and spiritual care working in a single district health area in New Zealand. Eur J Integr Med 2018. [DOI: 10.1016/j.eujim.2018.07.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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19
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Kincheloe DD, Stallings Welden LM, White A. A Spiritual Care Toolkit: An evidence-based solution to meet spiritual needs. J Clin Nurs 2018; 27:1612-1620. [PMID: 29315996 DOI: 10.1111/jocn.14265] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2018] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To determine differences between baseline spiritual perspectives of nurses, patients and their families and examine the effectiveness of a spiritual care (SC) toolkit as an intervention to facilitate meeting spiritual needs of hospitalised patients and families. BACKGROUND Provision of SC by nurses in the acute care environment is an issue of high priority for patients. Nurses report lack of time, comfort, training, cultural knowledge and mobilisation of resources as obstacles to SC delivery. Evidence points to positive patient outcomes and patient satisfaction, yet few studies include interventions to help nurses meet spiritual needs of patients and families. DESIGN Descriptive and quasi-experimental design. METHODS Patients, family members (n = 132) and nurses (n = 54) were administered SC surveys while hospitalised on two acute care units of a Midwest hospital system in the United States. Population represented patients suffering acute, chronic and terminal illness. Data collected over a 13-week period examined relationships between the groups spiritual perspectives and the effectiveness of a SC toolkit intervention. RESULTS Significant differences between nurse-patient and nurse-family groups were found, whereas no significant differences existed between patient-family groups. A pretest-posttest revealed the SC toolkit aided in overcoming obstacles to nurses' SC delivery. Patients and their family members found the SC toolkit helpful. CONCLUSIONS Findings suggest an evidence-based SC toolkit has the propensity to help nurses meet spiritual needs of hospitalised patients and families. However, successful implementation and sustainability require organisational support, funding for resources and SC training for staff. RELEVANCE TO CLINICAL PRACTICE A SC toolkit supplied with culturally sensitive faith resources supporting what patients and families value, believe and practice can be easily customised and implemented by any healthcare organisation in the world. Further investigation of SC toolkit effectiveness using multiple sites is recommended.
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Affiliation(s)
- Donna D Kincheloe
- Medical-Telemetry-Renal Unit, Deaconess Gateway Hospital, Deaconess Gateway Campus, Newburgh, IN, USA
| | | | - Ann White
- The University Southern Indiana College of Nursing and Health Professions, Evansville, IN, USA
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20
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Holmes C. Stakeholder views on the role of spiritual care in Australian hospitals: An exploratory study. Health Policy 2018; 122:389-395. [PMID: 29478877 DOI: 10.1016/j.healthpol.2018.02.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Revised: 02/04/2018] [Accepted: 02/09/2018] [Indexed: 12/15/2022]
Abstract
Research increasingly demonstrates the contribution of spiritual care to patient experience, wellbeing and health outcomes. Responsiveness to spiritual needs is recognised as a legitimate component of quality health care. Yet there is no consistent approach to the models and governance of spiritual care across hospitals in Australia. This is consistent with the situation in other developed countries where there is increased attention to identifying best practice models for spiritual care in health. This study explores the views of stakeholders in Australian hospitals to the role of spiritual care in hospitals. A self-completion questionnaire comprising open and closed questions was distributed using a snowball sampling process. Analysis of 477 complete questionnaires indicated high levels of agreement with ten policy statements and six policy objectives. Perceived barriers to spiritual care related to: terminology and roles, education and training, resources, and models of care. Responses identified the issues to inform a national policy agenda including attention to governance and policy structures and clear delineation of roles and scope of practice with aligned education and training models. The inclusion of spiritual care as a significant pathway for the provision of patient-centred care is noted. Further exploration of the contribution of spiritual care to wellbeing, health outcomes and patient experience is invited.
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Affiliation(s)
- Cheryl Holmes
- Spiritual Health Victoria, 3/25 Gipps St, Collingwood, 3067, Victoria, Australia.
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21
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Purvis TE, Crowe TY, Wright SM, Teague P. Patient Appreciation of Student Chaplain Visits During Their Hospitalization. JOURNAL OF RELIGION AND HEALTH 2018; 57:240-248. [PMID: 29189983 DOI: 10.1007/s10943-017-0530-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Spiritual care is associated with improved health outcomes and higher patient satisfaction. However, chaplains often cover many hospital units and thus may not be able to serve all patients. Involving student chaplains in patient spiritual care may allow for more patients to experience the support of spiritual care. In this study, we surveyed 93 patients hospitalized on general medical units at a tertiary care center who were visited by nine student chaplain summer interns. The results indicated that the majority of patients appreciated student chaplain visits and these encounters may have positively influenced their overall hospital experience. Thus, student chaplains could be a way to extend valuable spiritual care in settings where chaplaincy staff shortages preclude access.
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Affiliation(s)
- Taylor E Purvis
- Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, Baltimore, MD, USA.
| | - Thomas Y Crowe
- Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, Baltimore, MD, USA
| | - Scott M Wright
- Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Paula Teague
- Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, Baltimore, MD, USA
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22
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How is Chaplaincy Marginalised—By Our Faith Communities and by Our Institutions and Can We Change It? RELIGIONS 2018. [DOI: 10.3390/rel9010024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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23
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24
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Donohue PK, Norvell M, Boss RD, Shepard J, Frank K, Patron C, Crowe TY. Hospital Chaplains: Through the Eyes of Parents of Hospitalized Children. J Palliat Med 2017. [DOI: 10.1089/jpm.2016.0547] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Pamela K. Donohue
- Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland
- Department of Population Family and Reproductive Health, Johns Hopkins School of Public Health, Baltimore, Maryland
| | - Matt Norvell
- Department of Spiritual Care and Chaplaincy, Johns Hopkins Hospital, Baltimore, Maryland
| | - Renee D. Boss
- Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland
- Berman Institute of Bioethics, Baltimore, Maryland
| | - Jennifer Shepard
- Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Karen Frank
- Department of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, Maryland
| | - Christina Patron
- Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Thomas Y. Crowe
- Department of Spiritual Care and Chaplaincy, Johns Hopkins Hospital, Baltimore, Maryland
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25
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The Religious and Spiritual Beliefs and Practices among Practitioners across Five Helping Professions. RELIGIONS 2017. [DOI: 10.3390/rel8110237] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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26
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Zainuddin ZI. Aligning Islamic Spirituality to Medical Imaging. JOURNAL OF RELIGION AND HEALTH 2017; 56:1605-1619. [PMID: 26058599 DOI: 10.1007/s10943-015-0074-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This paper attempts to conceptualize Islamic spirituality in medical imaging that deals with the humanistic and technical dimensions. It begins with establishing an understanding concerning spirituality, an area that now accepted as part of patient-centred care. This is followed by discussions pertaining to Islamic spirituality, related to the practitioner, patient care and the practice. Possible avenues towards applying Islamic spirituality in medical imaging are proposed. It is hoped that the resultant harmonization between Islamic spirituality and the practice will trigger awareness and interests pertaining to the role of a Muslim practitioner in advocating and enhancing Islamic spirituality.
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Affiliation(s)
- Zainul Ibrahim Zainuddin
- Health Sciences (Medical Radiation Sciences), Sydney, Australia.
- Department of Diagnostic Imaging and Radiotherapy, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, Kuantan Campus, 25200, Kuantan Pahang, Malaysia.
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27
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Christians’ Perceptions of Receiving Spiritual Care in the Bible Belt of the United States: A Qualitative Study of Care Provided in the Healthcare Setting. RELIGIONS 2017. [DOI: 10.3390/rel8070127] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The need to include the spiritual dimension when assessing clients and planning their healthcare is evident from numerous studies conducted by various disciplines. Practitioners of holistic care agree that spiritual care must be included to address fully the needs of clients. The aim of this qualitative research was to explore and document the stories of clients regarding the role healthcare professionals provide in spiritual care. A hermeneutical phenomenological approach was used to interview, document, and analyze the stories of 15 participants (n = 15) regarding their perceptions of spiritual care received or given during times of illness. Initially, only one participant mentioned the role of doctors and nurses in providing spiritual care. After specifically asking about spiritual care, half of the participants shared that they had received spiritual care. Prayer as a mode of spiritual care emerged as a prominent theme. Lack of spiritual care received was documented. The hesitancy to provide spiritual care was evident in participants who were also healthcare providers. More research is needed to further define spiritual care. Education regarding spiritual assessments and spiritual care strategies is needed for both patients and healthcare providers.
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28
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Ho JQ, Nguyen CD, Lopes R, Ezeji-Okoye SC, Kuschner WG. Spiritual Care in the Intensive Care Unit: A Narrative Review. J Intensive Care Med 2017; 33:279-287. [PMID: 28604159 DOI: 10.1177/0885066617712677] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Spiritual care is an important component of high-quality health care, especially for critically ill patients and their families. Despite evidence of benefits from spiritual care, physicians and other health-care providers commonly fail to assess and address their patients' spiritual care needs in the intensive care unit (ICU). In addition, it is common that spiritual care resources that can improve both patient outcomes and family member experiences are underutilized. In this review, we provide an overview of spiritual care and its role in the ICU. We review evidence demonstrating the benefits of, and persistent unmet needs for, spiritual care services, as well as the current state of spiritual care delivery in the ICU setting. Furthermore, we outline tools and strategies intensivists and other critical care medicine health-care professionals can employ to support the spiritual well-being of patients and families, with a special focus on chaplaincy services.
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Affiliation(s)
- Jim Q Ho
- 1 Middlebury College, Middlebury, VT, USA.,2 Pulmonary Section, Medical Service, VA Palo Alto Health Care System, Palo Alto, CA, USA
| | - Christopher D Nguyen
- 2 Pulmonary Section, Medical Service, VA Palo Alto Health Care System, Palo Alto, CA, USA.,3 Division of Pulmonary and Critical Care Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Richard Lopes
- 4 Chaplain Service, VA Palo Alto Health Care System, Palo Alto, CA, USA
| | - Stephen C Ezeji-Okoye
- 5 Division of General Medical Disciplines, Stanford University, Stanford, CA, USA.,6 Director's Office, VA Palo Alto Health Care System, Palo Alto, CA, USA
| | - Ware G Kuschner
- 2 Pulmonary Section, Medical Service, VA Palo Alto Health Care System, Palo Alto, CA, USA.,3 Division of Pulmonary and Critical Care Medicine, School of Medicine, Stanford University, Stanford, CA, USA
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29
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Younas A. Spiritual Care and the Role of Advanced Practice Nurses. Nurs Midwifery Stud 2016. [DOI: 10.17795/nmsjournal40072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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31
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Reiman A. Medical Cannabis Patients: Patient Profiles and Health Care Utilization Patterns. ACTA ACUST UNITED AC 2016. [DOI: 10.1177/1533210107301834] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The possible medicinal uses of cannabis are growing, yet research on how patients use medical cannabis facility services remains scarce. This article reports on the Cannabis Care Study, in which 130 medical cannabis patients at seven facilities in the San Francisco Bay Area were surveyed to gather information about demographics, personal health practices, health outcomes, service use, and satisfaction with medical cannabis facilities. The study was modeled after Andersen's Behavioral Model of Health Services Use. Results show that patients tend to be males older than 35, identify with multiple ethnicities, and report variable symptom duration and current health status. Nearly half the sample reported substituting cannabis for alcohol and illegal drugs; 74% reported substituting it for prescription drugs. Satisfaction did not differ across study sites and was significantly higher than nationally reported satisfaction with health care. Implications for the medical cannabis community and the greater system of health and social care are discussed.
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Affiliation(s)
- Amanda Reiman
- School of Social Welfare, University of California,
Berkeley
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32
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Saad M, de Medeiros R. Programs of religious/spiritual support in hospitals - five "Whies" and five "Hows". Philos Ethics Humanit Med 2016; 11:5. [PMID: 27550215 PMCID: PMC4994237 DOI: 10.1186/s13010-016-0039-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2016] [Accepted: 08/11/2016] [Indexed: 06/06/2023] Open
Abstract
A contemporary orientation of the hospital experience model must encompass the clients' religious-spiritual dimension. The objective of this paper is to share a previous experience, highlighting at least five reasons hospitals should invest in this direction, and an equal number of steps required to achieve it. In the first part, the text discourses about five reasons to invest in religious-spiritual support programs: 1. Religious-spiritual wellbeing is related to better health; 2. Religious-spiritual appreciation is a standard for hospital accreditation; 3. To undo religious-spiritual misunderstandings that can affect treatment; 4. Patients demand a religious-spiritual outlook from the institution; and 5. Costs may be reduced with religious-spiritual support. In the second part, the text suggests five steps to implement religious-spiritual support programs: 1. Deep institutional involvement; 2. Formal staff training; 3. Infrastructure and resources; 4. Adjustment of institutional politics; and 5. Agreement with religious-spiritual leaders. The authors hope the information compiled here can inspire hospitals to adopt actions toward optimization of the healing experience.
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Affiliation(s)
- Marcelo Saad
- Universidade de Santo Amaro, Rua Montesquieu 371, CEP 04116-190 São Paulo, SP Brazil
| | - Roberta de Medeiros
- Centro Universitário São Camilo, Rua Montesquieu 371, CEP 04116-190 São Paulo, SP Brazil
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33
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Labrague LJ, McEnroe-Petitte DM, Achaso RH, Cachero GS, Mohammad MRA. Filipino Nurses’ Spirituality and Provision of Spiritual Nursing Care. Clin Nurs Res 2016; 25:607-625. [DOI: 10.1177/1054773815590966] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This study was to explore the perceptions of Filipino nurses’ spirituality and the provision of spiritual nursing care. A descriptive, cross-sectional, and quantitative study was adopted for this study. The study was conducted in the Philippines utilizing a convenience sample of 245 nurses. Nurses’ Spirituality and Delivery of Spiritual Care (NSDSC) was used as the main instrument. The items on NSDSC with higher mean scores related to nurses’ perception of spirituality were Item 7, “I believe that God loves me and cares for me,” and Item 8, “Prayer is an important part of my life,” with mean scores of 4.87 ( SD = 1.36) and 4.88 ( SD = 1.34), respectively. Items on NSDSC with higher mean scores related to the practice of spiritual care were Item 26, “I usually comfort clients spiritually (e.g., reading books, prayers, music, etc.),” and Item 25, “I refer the client to his/her spiritual counselor (e.g., hospital chaplain) if needed,” with mean scores of 3.16 ( SD = 1.54) and 2.92 ( SD = 1.59). Nurse’s spirituality correlated significantly with their understanding of spiritual nursing care ( r = .3376, p ≤ .05) and delivery of spiritual nursing care ( r = .3980, p ≤ .05). Positive significant correlations were found between understanding of spiritual nursing care and delivery of spiritual nursing care ( r = .3289, p ≤ .05). For nurses to better provide spiritual nursing care, they must care for themselves through self-awareness, self-reflection, and developing a sense of satisfaction and contentment.
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Exploratory Psychometric Properties of the Farsi and English Versions of the Spiritual Needs Questionnaire (SpNQ). RELIGIONS 2016. [DOI: 10.3390/rel7070084] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Ramezani M, Ahmadi F, Mohammadi E, Kazemnejad A. Catalysts to Spiritual Care Delivery: A Content Analysis. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e22420. [PMID: 27247787 PMCID: PMC4884212 DOI: 10.5812/ircmj.22420] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Revised: 09/07/2014] [Accepted: 09/28/2014] [Indexed: 11/16/2022]
Abstract
Background: Despite the paramount importance and direct relationship of spirituality and spiritual care with health and well-being, they are relatively neglected aspects of nursing care. Objectives: The aim of this study is to explore Iranian nurses’ perceptions and experiences of the facilitators of spiritual care delivery. Materials and Methods: For this qualitative content analysis study, a purposive maximum-variation sample of 17 nurses was recruited from teaching and private hospitals in Tehran, Iran. Data were collected from 19 individual, unstructured interviews. The conventional content-analysis approach was applied in data analysis. Results: The facilitators of spiritual care delivery fall into two main themes: living to achieve cognizance of divinity and adherence to professional ethics. These two main themes are further divided into eight categories: spiritual self-care, active learning, professional belonging, personal and professional competencies, gradual evolution under divine guidance, awareness of the spiritual dimension of human beings, occurrence of awakening flashes and incidents during life, and congruence between patients’ and healthcare providers’ religious beliefs. Conclusions: The study findings suggest that the facilitators of spiritual care delivery are more personal than organizational. Accordingly, strategies to improve the likelihood and quality of spiritual care delivery should be developed and implemented primarily at the personal level.
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Affiliation(s)
- Monir Ramezani
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Fazlollah Ahmadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
- Corresponding Author: Fazlollah Ahmadi, Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran. Tel: +98-2182883585, +98-9121592824, Fax: +98 21 82884555, E-mail:
| | - Eesa Mohammadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
| | - Anoshirvan Kazemnejad
- Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, IR Iran
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Sharma V, Marin DB, Sosunov E, Ozbay F, Goldstein R, Handzo GF. The Differential Effects of Chaplain Interventions on Patient Satisfaction. J Health Care Chaplain 2016; 22:85-101. [DOI: 10.1080/08854726.2015.1133203] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Abstract
BACKGROUND Discussion of religion and/or spirituality in the medical consultation is desired by patients and known to be beneficial. However, it is infrequent. We aimed to identify why this is so. AIM We set out to answer the following research questions: Do doctors report that they ask their patients about religion and/or spirituality and how do they do it? According to doctors, how often do patients raise the issue of religion and/or spirituality in consultation and how do doctors respond when they do? What are the known facilitators and barriers to doctors asking their patients about religion and/or spirituality? DESIGN A mixed qualitative/quantitative review was conducted to identify studies exploring the physician's perspective on discussion of religion and/or spirituality in the medical consultation. DATA SOURCES We searched nine databases from inception to January 2015 for original research papers reporting doctors' views on discussion of religion and/or spirituality in medical consultations. Papers were assessed for quality using QualSyst and results were reported using a measurement tool to assess systematic review guidelines. RESULTS Overall, 61 eligible papers were identified, comprising over 20,044 physician reports. Religion and spirituality are discussed infrequently by physicians although frequency increases with terminal illness. Many physicians prefer chaplain referral to discussing religion and/or spirituality with patients themselves. Such discussions are facilitated by prior training and increased physician religiosity and spirituality. Insufficient time and training were the most frequently reported barriers. CONCLUSION This review found that physician enquiry into the religion and/or spirituality of patients is inconsistent in frequency and nature and that in order to meet patient needs, barriers to discussion need to be overcome.
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Affiliation(s)
- Megan Best
- The University of Sydney, Sydney, NSW, Australia
| | | | - Ian Olver
- University of South Australia, Adelaide, SA, Australia
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Hemming P, Teague PJ, Crowe T, Levine R. Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns. JOURNAL OF RELIGION AND HEALTH 2016; 55:560-71. [PMID: 26578510 DOI: 10.1007/s10943-015-0158-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Improved collaboration between physicians and chaplains has the potential to improve patient experiences. To better understand the benefits and challenges of learning together, the authors conducted several focus groups with participants in an interprofessional curriculum that partnered internal medicine residents with chaplain interns in the clinical setting. The authors derived four major qualitative themes from the transcripts: (1) physician learners became aware of effective communication skills for addressing spirituality. (2) Chaplain interns enhanced the delivery of team-based patient-centered care. (3) Chaplains were seen as a source of emotional support to the medical team. (4) The partnership has three keys to success: adequate introductions for team members, clear expectations for participants, and opportunities for feedback. The themes presented indicate several benefits of pairing physicians and chaplains in the setting of direct patient care and suggest that this is an effective approach to incorporating spirituality in medical training.
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Affiliation(s)
- Patrick Hemming
- Division of General Internal Medicine, Duke University School of Medicine, 4220 N Roxboro Rd, Durham, NC, 27704, USA.
| | - Paula J Teague
- Department of Spiritual Care and Chaplaincy, Johns Hopkins Health System, Baltimore, MD, USA
| | - Thomas Crowe
- Department of Spiritual Care and Chaplaincy, Johns Hopkins Health System, Baltimore, MD, USA
| | - Rachel Levine
- Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
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Seddigh R, Keshavarz-Akhlaghi AA, Azarnik S. Questionnaires Measuring Patients' Spiritual Needs: A Narrative Literature Review. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES 2016; 10:e4011. [PMID: 27284281 PMCID: PMC4898751 DOI: 10.17795/ijpbs-4011] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/04/2014] [Revised: 01/13/2016] [Accepted: 03/15/2016] [Indexed: 11/25/2022]
Abstract
CONTEXT The objective of the present review was to collect published spiritual needs questionnaires and to present a clear image of the research condition of this domain. EVIDENCE ACQUISITION First, an electronic search was conducted with no limits on time span (until June 2015) or language in the following databases: PubMed, Scopus, Ovid, ProQuest and Google Scholar. All derivations of the keywords religion and spiritual alongside need and its synonyms were included in the search. Researches that introduced new tools was then selected and included in the study. Due to the limited quantity of questionnaires in this domain and with no consideration given to the existence or lack of exact standardization information, all of the questionnaires were included in the final report. RESULTS Eight questionnaires were found: patients spiritual needs assessment scale (PSNAS), spiritual needs inventory (SNI), spiritual interests related to illness tool (SpIRIT), spiritual needs questionnaire (SpNQ), spiritual needs assessment for patients (SNAP), spiritual needs scale (SNS), spiritual care needs inventory (SCNI), and spiritual needs questionnaire for palliative care. CONCLUSIONS These questionnaires have been designed from a limited medical perspective and often involve cultural concepts which complicate their cross-cultural applicability.
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Affiliation(s)
- Ruohollah Seddigh
- Mental Health Research Center, Iran University of Medical Sciences, Tehran, IR Iran
| | | | - Somayeh Azarnik
- Shahid Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
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Azarsa T, Davoodi A, Khorami Markani A, Gahramanian A, Vargaeei A. Spiritual wellbeing, Attitude toward Spiritual Care and its Relationship with Spiritual Care Competence among Critical Care Nurses. J Caring Sci 2015; 4:309-20. [PMID: 26744730 PMCID: PMC4699504 DOI: 10.15171/jcs.2015.031] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 08/27/2015] [Indexed: 11/09/2022] Open
Abstract
Introduction: Nurses’ spiritual wellbeing and their attitude
toward spirituality and competence of nurses in providing of spiritual care can affect the
quality of care in nursing. The aim of this study was to evaluate spiritual wellbeing,
attitude toward spiritual care and its relationship with the spiritual care competence
among nurses. Methods: This was a correlational descriptive study
conducted on 109 nurses working in the Intensive Care Units of Imam Reza and Madani
hospitals in 2015, Tabriz, Iran. Data collection tools were a demographic data form and
three standard questionnaires including Spiritual Wellbeing Scale, Spirituality and
Spiritual Results: The mean score of the spiritual wellbeing was 94.45
(14.84), the spiritual care perspective was 58.77 (8.67), and the spiritual care
competence was 98.51 (15.44). The linear regression model showed 0.42 variance between the
spiritual care competence scores which were explained by the two aspects of spiritual
wellbeing (religious health, existential health) and three aspects of spiritual care
perspective (spirituality, spiritual care, personalized care). The spiritual care
competence had a positive relationship with spiritual wellbeing and spiritual care
perspective. Conclusion: Because of the nature of nursing and importance
of close interaction of nurses with patients in ICUs, the higher nurses’ SW and the more
their positive attitude toward spiritual care, the more they can provide spiritual care to
their patients.
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Affiliation(s)
- Tagie Azarsa
- Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Arefeh Davoodi
- Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Abdolah Khorami Markani
- Department of Nursing, Khoy Nursing and Health Faculty, Urmia University of Medical Sciences, Khoy, Iran
| | - Akram Gahramanian
- Department of Medical Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Afkham Vargaeei
- Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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How similar are the changes in neural activity resulting from mindfulness practice in contrast to spiritual practice? Conscious Cogn 2015; 36:219-32. [DOI: 10.1016/j.concog.2015.07.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Revised: 06/24/2015] [Accepted: 07/06/2015] [Indexed: 11/18/2022]
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Wordingham SE, Swetz KM. Overview of palliative care and hospice services. Clin Liver Dis (Hoboken) 2015; 6:30-32. [PMID: 31040982 PMCID: PMC6490640 DOI: 10.1002/cld.486] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 04/26/2015] [Indexed: 02/04/2023] Open
Affiliation(s)
- Sara E. Wordingham
- Department of Medicine, Division of Hematology/Oncology, Palliative MedicineMayo ClinicPhoenixAZ
| | - Keith M. Swetz
- Department of Medicine, Division of General Internal Medicine, Section of Palliative MedicineMayo ClinicRochesterMN
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Marin DB, Sharma V, Sosunov E, Egorova N, Goldstein R, Handzo GF. Relationship between chaplain visits and patient satisfaction. J Health Care Chaplain 2015; 21:14-24. [PMID: 25569779 DOI: 10.1080/08854726.2014.981417] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This prospective study investigated the relationship between chaplain visits and patient satisfaction, as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Press Ganey surveys from 8,978 patients who had been discharged from a tertiary care hospital. Controlling for patients' age, gender, race, ethnicity, language, education, faith, general health status, and medical conditions, chaplain visits increased the willingness of patients to recommend the hospital, as measured by both the HCAHPS survey (regression coefficient = 0.07, p < .05) and the Press Ganey survey (0.11, p < .01). On the Press Ganey survey, patients visited by chaplains were also more likely to endorse that staff met their spiritual needs (0.27, p < .001) and their emotional needs (0.10, p < .05). In terms of overall patient satisfaction, patients visited by a chaplain were more satisfied on both the Press Ganey survey (0.11, p < .01) and on the HCAHPS survey (0.17, p < .05). Chaplains' integration into the healthcare team improves patients' satisfaction with their hospital stay.
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Affiliation(s)
- Deborah B Marin
- a Department of Psychiatry , Icahn School of Medicine at Mount Sinai , New York , New York , USA
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Stecz P, Kocur J. Religiousness, religious coping with illness, and psychological function among Polish elderly patients with osteoarthritis undergoing arthroplasty. JOURNAL OF RELIGION AND HEALTH 2015; 54:554-570. [PMID: 24563370 DOI: 10.1007/s10943-014-9842-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
To determine the influence of religious coping and religiousness on the psychological functioning of Polish patients before and after arthroplasty, a prospective study was performed. Out of a pool of 102 potential participants, a total of 61 (34 females, 27 males) completed a purposely created survey, Brief-COPE followed by preoperative and postoperative Perceived Stress Scale, State Trait Anxiety Inventory and Satisfaction with Life Scale. Religious coping was not associated with: (1) perceived stress before or after surgery; (2) preoperative or postoperative anxiety; (3) life satisfaction. A two-factor ANOVA has shown that religious coping controlled by religiousness was related to better psychological functioning. Between- and within-subjects effects were observed for improvement in life satisfaction measured by split-plot ANOVA, which suggests (p < 0.05) that such improvement was greater among subjects of higher religious orientation. We concluded that religious strategies in dealing with stress measured by Brief-COPE were least likely to benefit patients of low-religious orientation. The study demonstrated the importance of core religious beliefs in predicting benefits derived from religiousness in the face of a crisis. This study showed that regardless of its effectiveness, turning to religion is common among Polish patients about to undergo surgery for osteoarthritis of the hip.
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Affiliation(s)
- Patryk Stecz
- Psychosocial Rehabilitation Unit, Medical University of Lodz, Pl. Hallera 1, bud. VII, p. 106, 90-647, Lodz, Poland,
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McCormick SC, Hildebrand AA. A Qualitative Study of Patient and Family Perceptions of Chaplain Presence During Post-Trauma Care. J Health Care Chaplain 2015; 21:60-75. [DOI: 10.1080/08854726.2015.1016317] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Anand V, Jones J, Gill PS. The relationship between spirituality, health and life satisfaction of undergraduate students in the UK: an online questionnaire study. JOURNAL OF RELIGION AND HEALTH 2015; 54:160-172. [PMID: 25723042 DOI: 10.1007/s10943-013-9792-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
US students with higher spirituality scores report better health and life satisfaction.This is the first UK study to explore the relationship between spirituality, health and life satisfaction of undergraduate students. Over 500 undergraduates completed an online questionnaire. Significant differences in spirituality score were present across college,ethnicity and religious belief. There appears to be a desire for spirituality amongst many students. Universities have a role to play in supporting students' search for meaning and purpose. Additional research is warranted to further understand the role of spirituality in the health and well-being of undergraduates.
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Woodruffe S, Neubeck L, Clark RA, Gray K, Ferry C, Finan J, Sanderson S, Briffa TG. Australian Cardiovascular Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014. Heart Lung Circ 2015; 24:430-41. [PMID: 25637253 DOI: 10.1016/j.hlc.2014.12.008] [Citation(s) in RCA: 172] [Impact Index Per Article: 19.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2014] [Revised: 12/04/2014] [Accepted: 12/08/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Research on Australian cardiovascular disease secondary prevention and cardiac rehabilitation to guide practice needs updating to reflect current context of practice. It is timely therefore to review the core components that underpin effective services that deliver maximum benefits for participants. METHODS The Australian Cardiovascular Health and Rehabilitation Association (ACRA) convened an inter-agency, multidisciplinary, nationally representative expert panel of Australia's leading cardiac rehabilitation clinicians, researchers and health advocates who reviewed the research evidence. RESULTS Five core components for quality delivery and outcomes of services were identified and are recommended: 1) Equity and access to services, 2) Assessment and short-term monitoring, 3) Recovery and longer term maintenance, 4) Lifestyle/behavioural modification and medication adherence, and 5) Evaluation and quality improvement. CONCLUSIONS ACRA seeks to provide guidance on the latest evidence in cardiovascular disease secondary prevention and cardiac rehabilitation. Clinicians should use these core components to guide effective service delivery and promote high quality evidence based care. Directors of hospitals and health services should use these core components to aid decision-making about the development and maintenance of these services.
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Affiliation(s)
- Stephen Woodruffe
- Ipswich Cardiac Rehabilitation Service, West Moreton Hospital and Health Service, Ipswich QLD 4305.
| | - Lis Neubeck
- Sydney Nursing School, Charles Perkins Centre, University of Sydney, Camperdown, NSW 2006; The George Institute for Global Health, Camperdown, NSW 2050
| | - Robyn A Clark
- School of Nursing and Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, SA 5000
| | - Kim Gray
- Physiotherapy Department, Austin Health, Melbourne, Vic. 3084
| | - Cate Ferry
- National Heart Foundation of Australia (NSW Division), Sydney NSW 2012
| | - Jenny Finan
- Calvary Health Care Adelaide, Calvary Rehabilitation Hospital, Walkerville, SA 5081
| | - Sue Sanderson
- Cardiology, Royal Hobart Hospital, Hobart, Tas., Australia
| | - Tom G Briffa
- School of Population Health, The University of Western Australia, Perth, WA
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Hodge DR, Wolosin RJ. Failure to address African Americans' spiritual needs during hospitalization: identifying predictors of dissatisfaction across the arc of service provision. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2015; 58:190-205. [PMID: 25204394 DOI: 10.1080/01634372.2014.958886] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Using a national sample of recently hospitalized older African Americans (N = 2,227), this study identified predictors of dissatisfaction with the manner in which clients' spiritual needs were addressed during hospitalization. Of 8 major areas of service provision examined, 3 were significant predictors of dissatisfaction: nurses, physicians, and the discharge process. The findings underscore the importance of collaborative efforts to address elderly Black clients' spiritual needs. Social workers, who frequently oversee the discharge process, can play an important role in addressing African Americans' spiritual needs by developing discharge plans that incorporate clients' spiritual strengths and resources into the planning process.
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Affiliation(s)
- David R Hodge
- a School of Social Work , Arizona State University , Phoenix , Arizona , USA
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Hodge DR, Wolosin RJ. Addressing the spiritual needs of American Indians: predictors of satisfaction. SOCIAL WORK IN HEALTH CARE 2015; 54:118-33. [PMID: 25674725 DOI: 10.1080/00981389.2014.971213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
Spirituality is instrumental to health and wellness in many American Indian (AI) cultures. Although the Joint Commission requires spiritual assessments to identify and address clients' spiritual needs during hospitalization, little is known about the operationalization of this process for American Indians (AIs). To address this gap in the literature, the present study employed a national sample of AIs (N = 1,281) to identify predictors of satisfaction with the manner in which their spiritual needs were addressed. The results suggest the discharge process, physicians, room quality, and nurses play important roles in satisfactorily addressing AIs' spiritual needs. Of these, the discharge process had the largest effect on satisfaction, underscoring the salience of social workers in addressing the spiritual needs of hospitalized AIs.
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Affiliation(s)
- David R Hodge
- a School of Social Work , Arizona State University , Phoenix , Arizona , USA
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Ravishankar N, Bernstein M. Religion benefiting brain tumour patients: a qualitative study. JOURNAL OF RELIGION AND HEALTH 2014; 53:1898-1906. [PMID: 24906899 DOI: 10.1007/s10943-014-9895-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
As the focus on modern neurosurgery has shifted to the realm of technological advancement, some patients and their loved ones still hold a strong faith in their religion to guide them through the process. This study aimed to determine whether religion as a coping mechanism was beneficial for patients before, during and after craniotomy. Qualitative case study methodology was used. Interviews were conducted with randomly selected 36 adult patients who underwent surgery for a benign or malignant brain tumour. Interviews were audio recorded and transcribed, and the data subjected to thematic analysis. Four overarching themes emerged from the data: (1) religion significantly benefited neurosurgical patients; (2) neurosurgical patients did not require a dedicated religious room in the hospital; (3) neurosurgical patients required religious resources such as leaders and/or groups; and (4) patients were not in favour of their physician engaging in the religious ritual. Most patients found religion to be an effective coping mechanism, offering them strength, comfort, and hope through the surgery. The findings from this study emphasize the need for including a "religious time-out" before and after surgery and the inclusion of religious leaders/groups for those in favour to ensure quality care and patient satisfaction.
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Affiliation(s)
- Nidhi Ravishankar
- Division of Neurosurgery, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, 4 West Wing, Toronto, ON, M5T 2S8, Canada,
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