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Addressing religion and spirituality in the intensive care unit: A survey of clinicians

Published online by Cambridge University Press:  30 April 2018

Philip J. Choi ,
Farr A. Curlin  and
Christopher E. Cox
Philip J. Choi*
Affiliation:
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University Hospital, Duke University Medical Center, Durham, NC
Farr A. Curlin
Affiliation:
Division of Palliative Care Medicine, Department of Medicine, Duke University Hospital, Trent Center for Bioethics, Humanities, and History of Medicine, Duke University Medical Center, Durham, NC
Christopher E. Cox
Affiliation:
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Duke University Hospital, Duke University Medical Center, Durham, NC
*
Author for correspondence: Philip Choi, Division of Pulmonary and Critical Care Medicine, DUMC Box 102355, Durham, NC 27710. E-mail: [email protected]
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Abstract

Objective

Studies have shown that when religious and spiritual concerns are addressed by the medical team, patients are more satisfied with their care and have lower healthcare costs. However, little is known about how intensive care unit (ICU) clinicians address these concerns. The objective of this study was to determine how ICU clinicians address the religious and spiritual needs of patients and families.

Method

We performed a cross-sectional survey study of ICU physicians, nurses, and advance practice providers (APPs) to understand their attitudes and beliefs about addressing the religious and spiritual needs of ICU patients and families. Each question was designed on a 4- to 5-point Likert scale. A total of 219 surveys were collected over a 4-month period.

Result

A majority of clinicians agreed that it is their responsibility to address the religious/spiritual needs of patients. A total of 79% of attendings, 74% of fellows, 89% of nurses, and 83% of APPs agreed with this statement. ICU clinicians also feel comfortable talking to patients about their religious/spiritual concerns. In practice, few clinicians frequently address religious/spiritual concerns. Only 14% of attendings, 3% of fellows, 26% of nurses, and 17% of APPs say they frequently ask patients about their religious/spiritual needs.

Significance of results

This study shows that ICU clinicians see it as their role to address the religious and spiritual needs of their patients, and report feeling comfortable talking about these issues. Despite this, a minority of clinicians regularly address religious and spiritual needs in clinical practice. This highlights a potential deficit in comprehensive critical care as outlined by many national guidelines.

Keywords

Religionspiritualitycritical carespiritual careend of life care
Type
Original Article
Information
Palliative & Supportive Care , Volume 17 , Issue 2 , April 2019 , pp. 159 - 164
Copyright
Copyright © Cambridge University Press 2018 

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