Bowman Marjorie, St Cyr Sarah, Stolf I Adrienne
1 Departments of Family Medicine and Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA.
2 Boonshoft School of Medicine, Wright State University, Dayton, OH, USA.
Am J Hosp Palliat Care. 2018 Dec;35(12):1565-1571. doi: 10.1177/1049909118785891. Epub 2018 Jul 4.
: To understand how health-care providers' (HCPs) religious preferences influence their willingness to undertake advance care planning (ACP) with patients and their acceptance of other HCP's involvement.
: Online anonymous survey distributed to HCPs in hospital, ambulatory offices, and hospice settings in Dayton, Ohio. We evaluated the associations of HCP religion with their personal ACP, willingness to facilitate ACP, and acceptance of other HCPs' ACP participation.
: 704 respondents: nurses (66.2%), physicians (18.8%), other HCPs (15.0%), white (88.9%), and primarily Catholic (23.3%) or Protestant (32.0%). "No religion" was marked by 13.9%. Respondents were favorable to ACP with patients. Religious respondents were more likely to have a living will ( P = .035) and health-care power of attorney ( P = .007) and more accepting of clergy as ACP decision coaches ( P = .030). HCP's religion was not associated with willingness to facilitate ACP discussions. There were minor differences between Catholics and Protestants.
: Personal religious preference is associated with HCP's own ACP but had little relationship with their willingness to facilitate ACP conversations with patients or acceptance of other professional types of HCPs involvement in ACP conversations. Regardless of religious affiliation, HCPs have interest in undertaking ACP and endorse other HCPs ACP involvement. As results of this study suggest that personal religious affiliation is not a barrier for HCPs engaging in ACP with patients, attempts to overcome barriers to increasing ACP should be directed to other factors.
了解医疗服务提供者（HCPs）的宗教偏好如何影响他们与患者进行预先护理计划（ACP）的意愿以及他们对其他HCP参与的接受程度。
对俄亥俄州代顿市医院、门诊办公室和临终关怀机构的HCPs进行在线匿名调查。我们评估了HCP宗教信仰与其个人ACP、促进ACP的意愿以及对其他HCP参与ACP的接受程度之间的关联。
704名受访者：护士（66.2%）、医生（18.8%）、其他HCP（15.0%）、白人（88.9%），主要为天主教徒（23.3%）或新教徒（32.0%）。13.9%的人选择“无宗教信仰”。受访者对与患者进行ACP持支持态度。有宗教信仰的受访者更有可能拥有生前预嘱（P = .035）和医疗保健委托书（P = .007），并且更接受神职人员作为ACP决策指导者（P = .030）。HCP的宗教信仰与促进ACP讨论的意愿无关。天主教徒和新教徒之间存在细微差异。
个人宗教偏好与HCP自身的ACP相关，但与他们促进与患者进行ACP对话的意愿或接受其他专业类型的HCP参与ACP对话的程度关系不大。无论宗教信仰如何，HCPs都有兴趣进行ACP并认可其他HCP参与ACP。由于本研究结果表明个人宗教信仰不是HCP与患者进行ACP的障碍，因此克服增加ACP障碍的努力应指向其他因素。
