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Journal of Religion and Health

, Volume 57, Issue 2, pp 636–648 | Cite as

Religious Affiliation, Religiosity, and Spirituality in Pediatric Residents: Effects on Communication and Self-Efficacy with Adolescents in a Clinical Setting

  • Jennifer L. Woods
  • Devon J. Hensel
Original Paper

Abstract

Religion and spirituality are known influences on medical providers’ care of patients, but no studies have assessed resident beliefs related to patient perception of clinical care. The main objective of our study was to assess resident religious affiliation, religiosity, and spirituality in relation to self-efficacy and communication with patients during adolescent clinic visits. We found that religious affiliation and religiosity appear to affect patient perception of communication with residents during adolescent visits; spirituality had little noted effect. Further research is warranted, especially regarding resident and patient gender correlations and differences in religious affiliation effects on patient perception of care.

Keywords

Religiosity Religious affiliation Spirituality Communication 

Notes

Acknowledgements

Mr. Justin Bates and Frank M. Biro, MD, both of Cincinnati Children’s Hospital.

Funding

This research was funded by the Adolescent Medicine Research and Education Dollars (AMRED) at Cincinnati Children’s Hospital.

Compliance with Ethical Standards

Conflict of interest

Jennifer L. Woods and Devon J. Hensel have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all participants.

References

  1. Ambresin, A. E., Bennett, K., Patton, G. C., Sanci, L. A., & Sawyer, S. M. (2013). Assessment of youth-friendly health care: A systematic review of indicators drawn from young people’s perspectives. Journal of Adolescent Health, 52(6), 670–681.CrossRefPubMedGoogle Scholar
  2. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.Google Scholar
  3. Berg, G. M., Crowe, R. E., Budke, G., Norman, J., Swick, V., Nyberg, S., et al. (2013). Kansas physician assistants’ attitudes and beliefs regarding spirituality and religiosity in patient care. Journal of Religion and Health, 52(3), 864–876.CrossRefPubMedGoogle Scholar
  4. Bjarnason, D. (2012). Nurse religiosity and end-of-life care. Journal of Research in Nursing, 17(1), 78–91.CrossRefGoogle Scholar
  5. Brown, J. D., & Wissow, L. S. (2009). Discussion of sensitive health topics with youth during primary care visits: Relationship to youth perceptions of care. Journal of Adolescent Health, 44(1), 48–54.CrossRefPubMedGoogle Scholar
  6. Buckelew, S. M., et al. (2008). Increasing clinician self-efficacy for screening and counseling adolescents for risky health behaviors: Results of an intervention. Journal of Adolescent Health, 43, 198–200.CrossRefPubMedGoogle Scholar
  7. Catlin, E. A., et al. (2008). The spiritual and religious identities, beliefs, and practices of academic pediatricians in the United States. Academic Medicine, 83(12), 1146–1152.CrossRefPubMedGoogle Scholar
  8. Curlin, F. A., Lantos, J. D., Roach, C. J., Sellergen, S. A., & Chin, M. H. (2005). Religious characteristics of U.S. physicians: A national survey. Journal of General Internal Medicine, 20, 629–634.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Curlin, F. A., Lawrence, R. E., Chin, M. H., & Lantos, J. D. (2007). Religion, conscience, and controversial clinical practices. New England Journal of Medicine, 356(6), 593–600.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Donohue, P. K., Boss, R. D., Aucott, S. W., Keene, E. A., & Teague, P. (2010). The impact of neonatologists’ religiosity and spirituality on health care delivery for high-risk neonates. Journal of Palliative Medicine, 13(10), 1219–1224.CrossRefPubMedGoogle Scholar
  11. Ecklund, E. H., et al. (2007). The religious and spiritual beliefs and practices of academic pediatric oncologists in the United States. Journal of Pediatric Hematology/Oncology, 29(11), 736–742.CrossRefPubMedGoogle Scholar
  12. Flocke, S. A., & Gilchrist, V. (2005). Physician and patient gender concordance and the delivery of comprehensive clinical preventive services. Medical Care, 43(5), 486–492.CrossRefPubMedGoogle Scholar
  13. Fox, H. B., McManus, M. A., Klein, J. D., Diaz, A., Elster, A. B., Felice, M. E., et al. (2010). Adolescent medicine training in pediatric residency programs. Pediatrics, 125(1), 165–172.CrossRefPubMedGoogle Scholar
  14. Fox, H. B., et al. (2008). Advancing medical education training in adolescent health. Pediatrics, 121(5), 1043–1045.CrossRefPubMedGoogle Scholar
  15. Grossoehme, D. H., et al. (2009). Spirituality’s role in chronic disease self-management: Sanctification of the body in families dealing with cystic fibrosis. Journal of Health Care Chaplaincy, 15, 1–10.CrossRefGoogle Scholar
  16. Ivtzan, I., et al. (2013). Linking religion and spirituality with psychological well-being: Examining self-actualisation, meaning in life, and personal growth initiative. Journal of Religion and Health, 52(3), 915–929.CrossRefPubMedGoogle Scholar
  17. Jahng, K. H., Martin, L. R., Golin, C. E., & DiMatteo, M. R. (2005). Preferences for medical collaboration: Patient–physician congruence and patient outcomes. Patient Education and Counseling, 57(3), 308–314.CrossRefPubMedGoogle Scholar
  18. Kaul, P., Gong, J., Guiton, G., Rosenberg, A., & Barley, G. (2014). Measuring pediatric resident competencies in adolescent medicine. Journal of Adolescent Health, 55(2), 301–303.CrossRefPubMedGoogle Scholar
  19. Kershnar, R., Hooper, C., Gold, M., Norwitz, E. R., & Illuzzi, J. L. (2009). Adolescent medicine: Attitudes, training and experience of pediatric, family medicine and obstetric-gynecology residents. The Yale Journal of Biology and Medicine, 82(4), 129–141.Google Scholar
  20. Koenig, H. G., & Bussing, A. (2010). The Duke University Religion Index (DUREL): A five-item measure for use in epidemiological studies. Religions, 1, 78–85.CrossRefGoogle Scholar
  21. Lawrence, R. E., Rasinski, K. A., Yoon, J. D., & Curlin, F. A. (2013). Religion and anxiety treatments in primary care patients. Anxiety Stress and Coping, 26(5), 526–538.CrossRefGoogle Scholar
  22. Lindberg, C., Lewis-Spruill, C., & Crownover, R. (2009). Barriers to sexual and reproductive health care: Urban male adolescents speak out. Issues in Comprehensive Pediatric Nursing, 29(2), 73–88.CrossRefGoogle Scholar
  23. Luckhaupt, S. E., et al. (2005). Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients: A study at a Midwestern U.S. teaching institution. Academic Medicine, 80(6), 560–570.CrossRefPubMedGoogle Scholar
  24. Ozer, E. M., et al. (2004). Provider self-efficacy and the screening of adolescent for risky health behaviors. Journal of Adolescent Health, 35, 101–107.CrossRefPubMedGoogle Scholar
  25. Purow, B., et al. (2011). Spirituality and pediatric cancer. Southern Medical Journal, 104(4), 299–302.CrossRefPubMedGoogle Scholar
  26. Schmittdiel, J., Grumbach, K., Selby, J. V., & Quesenberry, C. P. (2000). Effect of physician and patient gender concordance on patient satisfaction and preventive care practices. Journal of General Internal Medicine, 15(11), 761–769.CrossRefPubMedPubMedCentralGoogle Scholar
  27. Street, R. L., O’Malley, K. J., Cooper, L. A., & Haidet, P. (2008). Understanding concordance in patient-physician relationships: Personal and ethnic dimensions of shared identity. The Annals of Family Medicine, 6(3), 198–205.CrossRefPubMedGoogle Scholar
  28. Voltmer, E., Büssing, A., Koenig, H. G., & Al Zaben, F. (2014). Religiosity/spirituality of German doctors in private practice and likelihood of addressing R/S issues with patients. Journal of Religion and Health, 53(6), 1741–1752.CrossRefPubMedGoogle Scholar
  29. Wimberly, Y. H., et al. (2006). Sexual history-taking among primary care physicians. Journal of the National Medical Association, 98(12), 1924–1929.PubMedPubMedCentralGoogle Scholar
  30. Woods, J. L. et al. (2012). Adolescent medicine and the trainee: Evaluating self-efficacy, knowledge and communication through the utilization of standardized patient simulations. MedEdPORTAL; 2012. Available: www.mededportal.org/publication/9137.

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Section of Adolescent Medicine, Department of PediatricsChildren’s Hospital ColoradoAuroraUSA
  2. 2.Section of Adolescent MedicineIndiana University School of MedicineIndianapolisUSA

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