Abstract
One of the many roles a physician provides to their patients is compassion and comfort, which includes tending to any psychological, spiritual, and religious needs the patient has. The goal of this pilot study was to explore whether religious or spiritual values of physicians at an urban academic hospital affect how physicians care for and communicate with their patients, especially when dealing with death, dying, and end-of-life matters. After surveying 111 inpatient physicians at an academic hospital, we found that 92% of physicians are extremely or somewhat comfortable having end-of-life discussions. We also found that physician religiosity and spirituality are not necessarily required for discussing death and dying and that the religious and spiritual values of the physician do not correlate with their ability to have end-of-life conversations with the patient. We found no difference between years in practice and comfort discussing religion and spirituality, though we did find that, of the physicians who believe they are comfortable talking to patients about religion or belief systems, most of them had more than five end-of-life patients in the past 12 months. Lastly, referrals to Palliative Care or pastoral services were not impacted by the physician’s religious or spiritual beliefs. Future studies can explore how religious beliefs may more subtly influence physicians’ interactions with patients, patient satisfaction, and physician well-being and resilience.
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References
Alkureishi, M. A., Lee, W. W., Lyons, M., Press, V. G., Imam, S., Nkansah-Amankra, A., et al. (2016). Impact of electronic medical record use on the patient-doctor relationship and communication: A systematic review. Journal of General Internal Medicine, 31(5), 548–560. https://doi.org/10.1007/s11606-015-3582-1
Arutyunyan, T., Odetola, F., Swieringa, R., & Niedner, M. (2018). Religion and spiritual care in pediatric intensive care unit: parental attitudes regarding physician spiritual and religious inquiry. The American Journal of Hospice & Palliative Care, 35(1), 28–33. https://doi.org/10.1177/1049909116682016
Bateman, L. B., & Clair, J. M. (2015). Physician religion and end-of-life pediatric care: A qualitative examination of physicians’ perspectives. Narrative Inquiry in Bioethics, Baltimore, 5(3), 251–269.
Bernacki, R. E., Block, S. D., & American College of Physicians High Value Care Task Force. (2014). Communication about serious illness care goals: A review and synthesis of best practices. JAMA Internal Medicine, 174(12), 1994–2003. https://doi.org/10.1001/jamainternmed.2014.5271
Bernstein, K., D’Angelo, L. J., & Lyon, M. E. (2013). An exploratory study of HIV+ adolescents’ spirituality: Will you pray with me? Journal of Religion and Health, 52(4), 1253–1266. https://doi.org/10.1007/s10943-012-9565-1
Best, M., Butow, P., & Olver, I. (2016). Creating a safe space: A qualitative inquiry into the way doctors discuss spirituality. Palliative & Supportive Care, 14(5), 519–531. https://doi.org/10.1017/S1478951515001236
Best, M., Butow, P., & Olver, I. (2014). The doctor’s role in helping dying patients with cancer achieve peace: A qualitative study. Palliative Medicine London, 28(9), 1139–1145. https://doi.org/10.1177/0269216314536455
Camacho, F., Anderson, R., Safrit, A., Jones, A. S., & Hoffmann, P. (2006). The relationship between patient’s perceived waiting time and office-based practice satisfaction. North Carolina medical journal, 67(6), 409–413.
Cotton, S., Grossoehme, D. H., Bignall, W. R., & Weekes-Kanu, J. C. (2014). Should my provider pray with me? perspectives of urban adolescents with asthma on addressing religious and spiritual issues in hypothetical clinical settings. Journal of Religion and Health, 53(2), 604–613. https://doi.org/10.1007/s10943-013-9790-2
Groebe, B., Rietz, C., Voltz, R., & Strupp, J. (2019). How to talk about attitudes toward the end of life: A qualitative study. American Journal of Hospice and Palliative Medicine, 36(8), 697–704. https://doi.org/10.1177/1049909119836238.
Kripalani, S. (2019). Death and dying. Veritas: Villanova Research Journal, 1, 45–76.
“Nonreligious Belief.” Accessed June 5, 2019. https://www.ucl.ac.uk/non-religious-belief.
Religion in America: U.S. Religious Data, Demographics and Statistics. (2014). Retrieved December 31, 2019, from Pew Research Center’s Religion & Public Life Project website: https://www.pewforum.org/religious-landscape-study/
Rouf, E., Whittle, J., Lu, N., & Schwartz, M. D. (2007). Computers in the exam room: Differences in physician-patient interaction may be due to physician experience. Journal of General Internal Medicine, 22(1), 43–48. https://doi.org/10.1007/s11606-007-0112-9
Sulmasy, D. P. (2013). Ethos, mythos, and thanatos: Spirituality and ethics at the end of life. Journal of Pain and Symptom Management, 46(3), 447–451. https://doi.org/10.1016/j.jpainsymman.2013.03.016
Thomas, C. L., Cuceu, M., Tak, H. J., Nikolic, M., Jain, S., Christou, T., & Yoon, J. D. (2019). Predictors of Empathic Compassion: Do Spirituality, Religion, and Calling Matter. Southern Medical Journal, 112(6), 320–324. https://doi.org/10.14423/SMJ.0000000000000983
Trzeciak, Stephen, and Anthony Mazzarelli. “Perspective | For Patients, a Caregiver’s Compassion Is Essential.” Washington Post, May 12, 2019, sec. Health & Science Perspective Perspective Discussion of news topics with a point of view, including narratives by individuals regarding their own experiences. https://www.washingtonpost.com/national/health-science/for-patients-a-caregivers-compassion-is-essential/2019/05/10/6aa513ce-6b58-11e9-8f44-e8d8bb1df986_story.html.
Uhas, A. A., Camacho, F. T., Feldman, S. R., & Balkrishnan, R. (2008). The relationship between physician friendliness and caring, and patient satisfaction: Findings from an internet-based survey. The Patient, 1(2), 91–96.
Understanding Unbelief. “Understanding Unbelief.” Accessed June 5, 2019. https://research.kent.ac.uk/understandingunbelief/.
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Kripalani, S., Gaughan, J.P. & Cerceo, E. The Role of Religion in Physician Outlook on Death, Dying, and End of Life Care. J Relig Health 60, 2109–2124 (2021). https://doi.org/10.1007/s10943-020-01126-0
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DOI: https://doi.org/10.1007/s10943-020-01126-0