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Journal of Religion and Health

Erschienen in:

01.12.2013 | Original Paper

The Spiritual Needs and Resources of Hospitalized Primary Care Patients

verfasst von: Mark R. Ellis, Paul Thomlinson, Clay Gemmill, William Harris

Erschienen in: Journal of Religion and Health | Ausgabe 4/2013

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Abstract

Previous studies have recognized the importance of hospitalized primary care patients’ spiritual issues and needs. The sources patients consult to address these spiritual issues, including the role of their attending physician, have been largely unstudied. We sought to study patients’ internal and external resources for addressing spiritual questions, while also exploring the physician’s role in providing spiritual care. Our multicenter observational study evaluated 326 inpatients admitted to primary care physicians in four midwestern hospitals. We assessed how frequently these patients identified spiritual concerns during their hospitalization, the manner in which spiritual questions were addressed, patients’ desires for spiritual interaction, and patient outcome measures associated with spiritual care. Nearly 30% of respondents (referred to as “R/S respondents”) reported religious struggle or spiritual issues associated specifically with their hospitalization. Eight-three percent utilized internal religious coping for dealing with spiritual issues. Chaplains, clergy, or church members visited 54% of R/S respondents; 94% found those visits helpful. Family provided spiritual support to 45% of R/S respondents. Eight percent of R/S respondents desired, but only one patient actually received, spiritual interaction with their physician, even though 64% of these patients’ physicians agreed that doctors should address spiritual issues with their patients. We conclude that inpatients quite commonly utilize internal resources and quite rarely utilize physicians for addressing their spiritual issues. Spiritual caregiving is well received and is primarily accomplished by professionals, dedicated laypersons, or family members. A significantly higher percentage of R/S patients desire spiritual interaction with their physician than those who actually receive it.

Brady, M. J., Peterman, A. H., Fitchett, G., Mo, M., & Cella, D. (1999). A case for including spirituality in quality of life measurement in oncology. Psychooncology, 8(5), 417–428.PubMedCrossRef

Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergren, S. A., & Chin, M. H. (2005). Religious characteristics of US physicians: A national survey. Journal of General Internal Medicine, 20(7), 629–634.PubMedCrossRef

Ehman, J. W., Ott, B. B., Short, T. H., Ciampa, R. C., & Hansen-Flaschen, J. (1999). Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Archives of Internal Medicine, 159(15), 1803–1806.PubMedCrossRef

Ellis, M. R., & Campbell, J. D. (2004). Patients’ views about discussing spiritual issues with primary care physicians. Southern Medical Journal, 97(12), 1158–1163.PubMedCrossRef

Ellis, M. R., & Campbell, J. D. (2005). Concordant spiritual orientations as a factor in physician-patient spiritual discussions: A qualitative study. Journal of Religion and Health, 44(1), 39–53.PubMedCrossRef

Ellis, M. R., Campbell, J. D., Detwiler-Briedenbach, A., & Hubbard, D. K. (2002). What do family physicians think about spirituality in clinical practice? The Journal of Family Practice, 51(3), 249–254.PubMed

Ellis, J. M., McManus, C., & Newton, B. A. (1995). How patients perceive the role of hospital chaplains: A preliminary exploration. Quality in Health Care, 4(3), 174–177.PubMedCrossRef

Ellis, M. R., Vinson, D. C., & Ewigman, B. E. (1999). Addressing spiritual concerns of patients: Family physicians’ attitudes and practices. The Journal of Family Practice, 48(2), 105–109.PubMed

Fitchett, G. (1993). Spiritual assessment in pastoral care: A guide to selected resources. Chattanooga, TN: Journal of Pastoral Care Publications.

Fitchett, G., Burton, L. A., & Sivan, A. B. (1997). The religious needs and resources of psychiatric inpatients. The Journal of Nervous and Mental Disease, 185(5), 320–326.PubMedCrossRef

Fitchett, G., Murphy, P. E., Kim, J., Gibbons, J. L., Cameron, J. R., & Davis, J. A. (2004). Religious struggle: Prevalence, correlates, and mental health risks in diabetic, congestive heart failure and oncology patients. International Journal of Psychiatry in Medicine, 34(2), 179–196.PubMedCrossRef

Fitchett, G., Rybarczyk, B. D., Demarco, G. A., & Nicholas, J. J. (1999). The role of religion in medical rehabilitation outcomes: A longitudinal study. Rehabilitation Psychology, 44(4), 333–353.CrossRef

Harrison, J. P., & Lee, A. (2006). The role of E-health in the changing health care environment. Nursing Economics, 24(6), 283–288.PubMed

Hart, A., Kohlwes, R. J., Devo, R., Rhodes, L. A., & Bowen, D. J. (2003). Hospice patients’ attitudes regarding spiritual discussions with their doctors. American Journal of Hospice and Palliative Care, 20(2), 135–139.PubMedCrossRef

Hebert, R. S., Jenckes, M. W., Ford, D. E., O’Connor, D. R., & Cooper, L. A. (2001). Patient perspectives on spirituality and the patient-physician relationship. Journal of General Internal Medicine, 16(10), 685–692.PubMedCrossRef

Kass, J. D., Friedman, R., Leserman, J., Zuttermeister, P. C., & Benson, H. (1991). Health outcomes and a new index of spiritual experience. Journal for the Scientific Study of Religion, 30(2), 203–211.CrossRef

King, D. E., & Bushwick, B. (1994). Beliefs and attitudes of hospital patients about faith healing and prayer. Journal of Family Practice, 39(4), 349–352.PubMed

Koenig, H. G. (1998). Religious attitudes and practices of hospitalized medically ill older adults. International Journal of Geriatric Psychiatry, 13(4), 213–224.PubMedCrossRef

Koenig, H. G., Bearon, L. B., Hover, M., & Travis, J. L. (1991). Religious perspectives of doctors, nurses, patients, and families. Journal of Pastoral Care, 45(3), 254–267.PubMed

Koenig, H. G., Pargament, K. I., & Nielsen, J. (1998). Religious coping and health status in medically ill hospitalized older adults. The Journal of Nervous and Mental Disease, 186(9), 513–521.PubMedCrossRef

Koenig, H., Parkerson, G. R., & Meador, K. G. (1997a). Religion index for psychiatric research. The American Journal of Psychiatry, 154(6), 885–886.PubMed

Koenig, H. G., Weiner, D. K., Peterson, B. L., Meador, K. G., & Keefe, F. J. (1997b). Religious coping in the nursing home: A biopsychosocial model. International Journal of Psychiatry in Medicine, 27(4), 365–376.PubMedCrossRef

Kristeller, J. L., Zumbrun, C. S., & Schilling, R. F. (1999). I would if I could: How oncologists and oncology nurses address spiritual distress in cancer patients. Psycho-Oncology, 8(5), 451–458.PubMedCrossRef

Krumholz, H. M., Hernandez, A. F., & Lambert, L. (2010). Shorter hospital stays may hinder heart failure patients. Health Day. Retrieved June 30, 2010 from http://www.nlm.nih.gov/medlineplus/news/fullstory_99446.html.

Kuhn, C. C. (1988). A spiritual inventory of the medically ill patient. Psychiatric Medicine, 6(2), 87–100.PubMed

Kuuppelomäki, M. (2001). Spiritual support for terminally ill patients: Nursing staff assessments. Journal of Clinical Nursing, 10(5), 660–670.PubMedCrossRef

MacLean, C. D., Susi, B., Phifer, N., Schultz, L., Bynum, D., Franco, M., et al. (2003). Patient Preference for physician discussion and practice of spirituality: Results from a multicenter patient survey. Journal of General Internal Medicine, 18(1), 38–43.PubMedCrossRef

Mann, J. R., McKay, S., Daniels, D., Lamar, C. S., Witherspoon, P. W., Stanek, M. K., et al. (2005). Physician offered prayer and patient satisfaction. International Journal of Psychiatry in Medicine, 35(2), 161–170.PubMedCrossRef

Maugans, T. A., & Wadland, W. C. (1991). Religion and family medicine: A survey of physicians and patients. The Journal of Family Practice, 32(2), 210–213.PubMed

McCullough, M. E., Hoyt, W. T., Larson, D. B., Koenig, H. G., & Thoresen, C. (2000). Religious involvement and mortality: A meta-analytic review. Health Psychology, 19(3), 211–222.PubMedCrossRef

McHorney, C. A., Ware, J. E., & Raczek, A. B. (1993). The MOS 36-item short-form health survey (SF-36): Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263.PubMedCrossRef

McHorney, C. A., Ware, J. E., Lu, J. F. R., & Sherbourne, C. D. (1994). The MOS 36-item health survey (SF-36): Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care, 32(1), 40–46.PubMedCrossRef

O’Brien, M. E. (1982). Religious faith and adjustment to long-term hemodialysis. Journal of Religion and Health, 21(1), 68–80.CrossRef

Oxyman, T. E., Freeman, D. H., & Manheimer, E. D. (1995). Lack of social participation or religious strength or comfort as risk factor for death after cardiac surgery in elderly. Psychosomatic Medicine, 57(1), 5–15.

Pargament, K. I., Ensing, D. S., Falgout, K., Olsen, H., Reilly, B., Van Haitsma, K., et al. (1990). God help me: Religious coping efforts as predictors of the outcomes to significant negative life events. American Journal of Community Psychology, 18(6), 793–823.CrossRef

Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2001). Religious struggle as a predictor of mortality among medically ill elderly patients. Archives of Internal Medicine, 161(15), 1881–1885.PubMedCrossRef

Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37(4), 710–724.CrossRef

Phelps, A. C., Maciejewski, P. K., Nilsson, M., Balboni, T. A., Wright, A. A., Paulk, M. E., et al. (2009). Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. The Journal of the American Medical Association, 301(11), 1140–1147.CrossRef

Piderman, K. M., Marek, D. V., Jenkins, S. M., Johnson, M. E., Buryska, F. J., & Meuller, P. S. (2008). Patients’ expectations of hospital chaplains. Mayo Clinic Proceedings, 83(1), 58–65.PubMedCrossRef

Pressman, P., Lyons, J. S., Larson, D. B., & Strain, J. J. (1990). Religious belief, depression, and ambulation status in elderly women with broken hips. The American Journal of Psychiatry, 147(6), 758–760.PubMed

VandeCreek, L., Ayres, S., & Bassham, M. (1995). Using INSPIRIT to conduct spiritual assessments. The Journal of Pastoral Care, 49(1), 83–89.

VandeCreek, L., & Gibson, S. (1997). Religious support from parish clergy for hospitalized parishioners: Availability, evaluation, implications. Journal of Pastoral Care, 51(4), 403–414.PubMed

VandeCreek, L., Thomas, J., Jessen, A., Gibbons, J., & Strasser, S. (1991). Patient and family perceptions of hospital chaplains. Hospital and Health Services Administration, 36(3), 455–467.PubMed

Waite, L. J., Laumann, E. O., Levinson, W., Lindau, S. T., McClintock, M. K., O’Muircheartaigh, C. A., et al. (2008). National Social Life, Health, and Aging Project (NSHAP). Ann Arbor, Michigan Consortium for Political and Social Research. Retrieved May 20, 2010 from http://dx.doi.org/10.3886/ICPSR20541.

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF 36): Conceptual framework and item selection. Medical Care, 30(6), 473–483.PubMedCrossRef

Zuckerman, D. M., Kasl, S. V., & Ostfeld, A. M. (1984). Psychosocial predictors of mortality among the elderly poor: The role of religion, well-being, and social contacts. American Journal of Epidemiology, 119(3), 410–423.PubMed

Titel: The Spiritual Needs and Resources of Hospitalized Primary Care Patients
verfasst von: Mark R. Ellis
Paul Thomlinson
Clay Gemmill
William Harris
Publikationsdatum: 01.12.2013
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 4/2013
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-012-9575-z

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