Attention to Inpatients’ Religious and Spiritual Concerns: Predictors and Association with Patient Satisfaction
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Little is known about how often patients desire and experience discussions with hospital personnel regarding R/S (religion and spirituality) or what effects such discussions have on patient satisfaction.
Objective, Design and Participants
We examined data from the University of Chicago Hospitalist Study, which gathers sociodemographic and clinical information from all consenting general internal medicine patients at the University of Chicago Medical Center.
Primary outcomes were whether or not patients desired to have their religious or spiritual concerns addressed while hospitalized, whether or not anyone talked to them about religious and spiritual issues, and which member of the health care team spoke with them about these issues. Primary predictors were patients’ ratings of their religious attendance, their efforts to carry their religious beliefs over into other dealings in life, and their spirituality.
Forty-one percent of inpatients desired a discussion of R/S concerns while hospitalized, but only half of those reported having such a discussion. Overall, 32% of inpatients reported having a discussion of their R/S concerns. Religious patients and those experiencing more severe pain were more likely both to desire and to have discussions of spiritual concerns. Patients who had discussions of R/S concerns were more likely to rate their care at the highest level on four different measures of patient satisfaction, regardless of whether or not they said they had desired such a discussion (odds ratios 1.4–2.2, 95% confidence intervals 1.1–3.0).
These data suggest that many more inpatients desire conversations about R/S than have them. Health care professionals might improve patients’ overall experience with being hospitalized and patient satisfaction by addressing this unmet patient need.
- Curlin FA, Lantos JD, Roach CJ, Sellergren SA, Chin MH. Religious characteristics of US physicians: A national survey. J Gen Intern Med. 2005;20(7): 629–34. CrossRef
- Update: Americans and religion. [Gallup Poll web site]. December 23, 2004. Available at: http://www.gallup.com/poll/14446/update-americans-religion.aspx Accessed June 11, 2011.
- MacLean CD, Susi B, Phifer N, Schultz L, Bynum D, Franco M, et al. Patient preference for physician discussion and practice of spirituality. J Gen Intern Med. 2003 Jan;18(1):38–43. CrossRef
- Ellis MR, Campbell JD. Patients’ views about discussing spiritual issues with primary care physicians. South Med J. 2004 Dec;97(12):1158–64. CrossRef
- Daaleman, TP, Frey B. Prevalence and patterns of physician referral to clergy and pastoral care providers. Arch Fam Med. 1998 Nov-Dec;(7):548–553
- Balboni TA, Vanderwerker LC, Block SD, Block SD, Paulk ME, Lathan CS, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Onco. 2007 Feb 10;25(5):555–60. CrossRef
- Contemporary issues in medicine: Communication in medicine. Medical school objectives project, Report III. [Association of American Medical Colleges web site]. 1999. Available at: https://members.aamc.org/eweb/DynamicPage.aspx?Action=Add&ObjectKeyFrom=1A83491A-9853-4C87-86A4F7D95601C2E2&WebCode=PubDetailAdd&DoNotSave=yes&ParentObject=CentralizedOrderEntry&ParentDataObject=InvoiceDetail&ivd_formkey=69202792-63d7-4ba2-bf4e-a0da41270555&ivd_prc_prd_key=7A646605-335A-474C-99DD-5F1AD10D96BC Accessed June 11, 2011.
- Joint Commission: The Source February 2005, Volume 3. [Professional Chaplains web site] Available at: http://www.professionalchaplains.org/uploadedFiles/pdf/JCAHO-evaluating-your-spiritual-assessment-process.pdf Accessed June 11, 2011.
- Ehman JW, Ott BB, Short TH, Ciampa RC, Hansen-Flaschen J. Do patients want physicians to inquire about their spiritual or religious beliefs if they become gravely ill? Arch Intern Med. 1999 Aug 9–23;159(15):1803–6. CrossRef
- Maugans TA, Wadland WC. Religion and family medicine: A survey of physicians and patients. J Fam Pract. 1991 Feb;32(2):210–3.
- Cohen CB, Wheeler SE, Scott DA. Anglican Working Group in Bioethics. Walking a fine line. Physician inquiries into patients’ religious and spiritual beliefs. Hastings Cent Rep. 2001 Sep-Oct;31(5):29–39. CrossRef
- Balboni T, Balboni M, Paulk E, Phelps A, Wright A, Peteet J, Block S, Lathan C, VanderWeele T, Prigerson H. Support of cancer patients’ spiritual needs and associations with medical care costs at the end of life. Cancer. 2011 May 11. doi: 10.1002/cncr.26221.
- Clark PA, Drain M, Malone MP. Addressing patients’ emotional and spiritual needs. Jt Comm J Qual Saf. 2003 Dec;29(12):659–70.
- Ross L. Spiritual care in nursing: An overview of the research to date. J Clin Nurs. 2006 Jul;15(7):852–62. CrossRef
- Curlin FA, Chin MH, Sellergren SA, Roach CJ, Lantos JD. The association of physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Med Care. 2006 May;44(5):446–53. CrossRef
- Koenig HG. Religion, spirituality, and medicine: research findings and implications for clinical practice. South Med J. 2004 Dec;97(12):1194–200. CrossRef
- Lo B, Ruston D, Kates LW, Arnold RM, Cohen CB, Faber-Langendoen K, et al. Discussing religious and spiritual issues at the end of life: A practical guide for physicians. JAMA. 2002 Feb 13;287(6):749–54. CrossRef
- Ellis MR, Vinson DC, Ewigman B. Addressing spiritual concerns of patients: Family physicians’ attitudes and practices. J Fam Pract. 1999 Feb;48(2):105–9.
- Sloan RP, Bagiella E, VandeCreek L, Hover M, Casalone C, Jinpu Hirsch T, et al. Should physicians prescribe religious activities? N Engl J Med. 2000 Jun 22;342(25):1913–6. CrossRef
- Cadge W, Freese J, Christakis NA. The provision of hospital chaplaincy in the United States: A national overview. South Med J. 2008 Jun;101(6):626–30. CrossRef
- Meltzer D, Manning WG, Morrison J, Shah MN, Jin L, Guth T, et al. Effects of physician experience on costs and outcomes on an academic general medicine service: Results of a trial of hospitalists. Ann Intern Med. 2002 Dec 3;137(11):866–74.
- Koenig H, Parkerson GR,Jr, Meador KG. Religion index for psychiatric research. Am J Psychiatry. 1997 Jun;154(6):885–6.
- Multidimensional Measurement of Religiousness/Spirituality for Use in Health Research. A Report of the Fetzer Institute/National Institute on Aging Working Group. Kalamazoo: Fetzer Institute; 1999.
- Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987;40(5):373–83. CrossRef
- Gertis M, Edgman-Levitan S, Daley J, Delbanco T. Through the Patients Eyes: Understanding and Promoting Patient Centered Care. Hoboken, NJ: Jossey-Bass; 1993.
- Cleary PD, Edgman-Levitan S, Roberts M, Moloney TW, McMullen W, Walker JD, et al. Patients evaluate their hospital care: a national survey. Health Aff (Milwood). 1991;(10):254–67.
- King DE, Bushwick B. Beliefs and attitudes of hospital inpatients about faith healing and prayer. J Fam Pract. 1994 Oct;39(4):349–52.
- Johnson KS, Elbert-Avila KI, Tulsky JA. The influence of spiritual beliefs and practices on the treatment preferences of African Americans: A review of the literature. J Am Geriatr Soc. 2005 Apr;53(4):711–9. CrossRef
- Moadel A, Morgan C, Fatone A, Grennan J, Carter J, Laruffa G, et al. Seeking meaning and hope: Self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology. 1999 Sep-Oct;8(5):378–85.
- Monroe MH, Bynum D, Susi B, Phifer N, Schultz L, Franco M, et al. Primary care physician preferences regarding spiritual behavior in medical practice. Arch Intern Med. 2003 Dec 8–22;163(22):2751–6 CrossRef
- Wachholtz AB, Pearce MJ, Koenig H. Exploring the relationship between spirituality, coping, and pain. J Behav Med. 2007;30(4):311–8. CrossRef
- Attention to Inpatients’ Religious and Spiritual Concerns: Predictors and Association with Patient Satisfaction
Journal of General Internal Medicine
Volume 26, Issue 11 , pp 1265-1271
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- patient satisfaction
- physician/patient communication
- quality of care
- Industry Sectors
- Author Affiliations
- 1. Pritzker School of Medicine, University of Chicago-Pritzker School of Medicine, 924 East 57th Street, Chicago, IL, 60637, USA
- 2. Section of Hospital Medicine, Department of Medicine, University of Chicago-Pritzker School of Medicine, Chicago, IL, 60637, USA
- 3. Section of General Internal Medicine, Department of Medicine, University of Chicago-Pritzker School of Medicine, Chicago, IL, 60637, USA