Literature DB >> 15335136

Discussing spirituality with patients: a rational and ethical approach.

Gary McCord1, Valerie J Gilchrist, Steven D Grossman, Bridget D King, Kenelm E McCormick, Allison M Oprandi, Susan Labuda Schrop, Brian A Selius, D O William D Smucker, David L Weldy, Melissa Amorn, Melissa A Carter, Andrew J Deak, Hebah Hefzy, Mohit Srivastava.   

Abstract

BACKGROUND: This study was undertaken to determine when patients feel that physician inquiry about spirituality or religious beliefs is appropriate, reasons why they want their physicians to know about their spiritual beliefs, and what they want physicians to do with this information.
METHODS: Trained research assistants administered a questionnaire to a convenience sample of consenting patients and accompanying adults in the waiting rooms of 4 family practice residency training sites and 1 private group practice in northeastern Ohio. Demographic information, the SF-12 Health Survey, and participant ratings of appropriate situations, reasons, and expectations for physician discussions of spirituality or religious beliefs were obtained.
RESULTS: Of 1,413 adults who were asked to respond, 921 completed questionnaires, and 492 refused (response rate = 65%). Eighty-three percent of respondents wanted physicians to ask about spiritual beliefs in at least some circumstances. The most acceptable scenarios for spiritual discussion were life-threatening illnesses (77%), serious medical conditions (74%) and loss of loved ones (70%). Among those who wanted to discuss spirituality, the most important reason for discussion was desire for physician-patient understanding (87%). Patients believed that information concerning their spiritual beliefs would affect physicians' ability to encourage realistic hope (67%), give medical advice (66%), and change medical treatment (62%).
CONCLUSIONS: This study helps clarify the nature of patient preferences for spiritual discussion with physicians.

Entities:  

Keywords:  Empirical Approach; Professional Patient Relationship

Mesh:

Year:  2004        PMID: 15335136      PMCID: PMC1466687          DOI: 10.1370/afm.71

Source DB:  PubMed          Journal:  Ann Fam Med        ISSN: 1544-1709            Impact factor:   5.166


  31 in total

1.  Should physicians prescribe religious activities?

Authors:  R P Sloan; E Bagiella; L VandeCreek; M Hover; C Casalone; T Jinpu Hirsch; Y Hasan; R Kreger; P Poulos
Journal:  N Engl J Med       Date:  2000-06-22       Impact factor: 91.245

2.  Religion, spirituality, and health care: social, ethical, and practical considerations.

Authors:  A B Astrow; C M Puchalski; D P Sulmasy
Journal:  Am J Med       Date:  2001-03       Impact factor: 4.965

3.  MSJAMA: religion, spirituality, and medicine: application to clinical practice.

Authors:  H G Koenig
Journal:  JAMA       Date:  2000-10-04       Impact factor: 56.272

4.  Taking a spiritual history allows clinicians to understand patients more fully.

Authors:  C Puchalski; A L Romer
Journal:  J Palliat Med       Date:  2000       Impact factor: 2.947

5.  Religion and family medicine: a survey of physicians and patients.

Authors:  T A Maugans; W C Wadland
Journal:  J Fam Pract       Date:  1991-02       Impact factor: 0.493

6.  Psychosocial predictors of mortality among the elderly poor. The role of religion, well-being, and social contacts.

Authors:  D M Zuckerman; S V Kasl; A M Ostfeld
Journal:  Am J Epidemiol       Date:  1984-03       Impact factor: 4.897

Review 7.  Religious commitment and health status: a review of the research and implications for family medicine.

Authors:  D A Matthews; M E McCullough; D B Larson; H G Koenig; J P Swyers; M G Milano
Journal:  Arch Fam Med       Date:  1998 Mar-Apr

8.  Beliefs and attitudes of hospital inpatients about faith healing and prayer.

Authors:  D E King; B Bushwick
Journal:  J Fam Pract       Date:  1994-10       Impact factor: 0.493

9.  Reconsidering spirituality and medicine.

Authors:  Neil Scheurich
Journal:  Acad Med       Date:  2003-04       Impact factor: 6.893

10.  Religious beliefs and practices in family medicine.

Authors:  O Oyama; H G Koenig
Journal:  Arch Fam Med       Date:  1998 Sep-Oct
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  64 in total

1.  Spirituality and religiosity in urban adolescents with asthma.

Authors:  Sian Cotton; Jerren C Weekes; Meghan E McGrady; Susan L Rosenthal; Michael S Yi; Kenneth Pargament; Paul Succop; Yvonne Humenay Roberts; Joel Tsevat
Journal:  J Relig Health       Date:  2012-03

2.  "It depends": viewpoints of patients, physicians, and nurses on patient-practitioner prayer in the setting of advanced cancer.

Authors:  Michael J Balboni; Amenah Babar; Jennifer Dillinger; Andrea C Phelps; Emily George; Susan D Block; Lisa Kachnic; Jessica Hunt; John Peteet; Holly G Prigerson; Tyler J VanderWeele; Tracy A Balboni
Journal:  J Pain Symptom Manage       Date:  2011-01-28       Impact factor: 3.612

3.  Religion in primary care: let's talk about it.

Authors:  John Guilfoyle; Natalie St Pierre-Hansen
Journal:  Can Fam Physician       Date:  2012-03       Impact factor: 3.275

4.  Teaching health care providers to provide spiritual care: a pilot study.

Authors:  Angelika A Zollfrank; Kelly M Trevino; Wendy Cadge; Michael J Balboni; Mary Martha Thiel; George Fitchett; Kathleen Gallivan; Tyler VanderWeele; Tracy A Balboni
Journal:  J Palliat Med       Date:  2015-04-14       Impact factor: 2.947

5.  Religious coping is associated with the quality of life of patients with advanced cancer.

Authors:  Nalini Tarakeshwar; Lauren C Vanderwerker; Elizabeth Paulk; Michelle J Pearce; Stanislav V Kasl; Holly G Prigerson
Journal:  J Palliat Med       Date:  2006-06       Impact factor: 2.947

Review 6.  Does spirituality as a coping mechanism help or hinder coping with chronic pain?

Authors:  Amy B Wachholtz; Michelle J Pearce
Journal:  Curr Pain Headache Rep       Date:  2009-04

7.  Benefits of religious beliefs for cancer patients: a response to Dawkins and Hitchens.

Authors:  Maurie Markman
Journal:  Curr Oncol Rep       Date:  2008-05       Impact factor: 5.075

Review 8.  Why health expectations and hopes are different: the development of a conceptual model.

Authors:  Karen K Leung; James L Silvius; Nicholas Pimlott; William Dalziel; Neil Drummond
Journal:  Health Expect       Date:  2009-08-18       Impact factor: 3.377

9.  Religious beliefs or physicians' behavior: what makes a patient more prone to accept a physician to address his/her spiritual issues?

Authors:  Luciana Burgugi Banin; Nadielle Brandani Suzart; Fernando Augusto Garcia Guimarães; Alessandra L G Lucchetti; Marcos Antonio Santos de Jesus; Giancarlo Lucchetti
Journal:  J Relig Health       Date:  2014-06

10.  Asking patients about their religious and spiritual beliefs: Cross-sectional study of family physicians.

Authors:  Michael Lee-Poy; Moira Stewart; Bridget L Ryan; Judith Belle Brown
Journal:  Can Fam Physician       Date:  2016-09       Impact factor: 3.275

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