Religion, Spirituality, or Existentiality in Bad News Interactions: The Perspectives and Practices of Physicians in India
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A qualitative study was conducted to identify the role of religion, spirituality, or existentiality in clinical interactions. Grounded theory design was used to generate narrative data from 27 physicians working in four teaching hospitals in Karnataka, India, using a semi-structured interview schedule. Physicians reported that they explored religious, spiritual, and existential beliefs and practices of patients, along with other psychosocial and disease aspects, to assess their tolerance to bad news, to make decisions about delivering it, and to address the distress that might emerge from receiving bad news. They also reported taking recourse to religious or spiritual practices to cope with their own stress and feelings of failure.
KeywordsPhysicians in India Breaking bad news Truth telling Life-limiting disease Religion Spirituality Palliative care
This study was funded by the Shastri Indo-Canadian Institute under the doctoral fellowship program 2010–2011.
Conflict of interest
We declare that there is no conflict of interest that might bias the outcomes of our study or of this paper.
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