Comprehensive Cancer Center, The Ohio State University , Columbus, OH, USA.
Department of Internal Medicine, The Ohio State University Wexner Medical Center , Columbus, OH, USA.
J Interprof Care. 2020 Jul-Aug;34(4):520-527. doi: 10.1080/13561820.2019.1709426. Epub 2020 Jan 13.
The objective of the current study was to assess the religious and spiritual (R&S) beliefs and practices among healthcare providers, compare R&S among provider types, as well as examine the potential relationship between organized/nonorganized religious activities and intrinsic religiosity with the incorporation of R&S into clinical practice. A cross-sectional descriptive online survey methodology was used. There were 387 participants with an average age of 45.5 years. Providers included primary care providers (26.9%), nurses (27.1%), allied health (23.5%), and mental health professionals (22.5%). Most participants reported being "religious and spiritual" (42.9%) or "spiritual and not religious" (36.6%). There was a difference in R&S among provider types (x2(6) = 12.6, = .05) with mental health providers more often identifying as spiritual, but not religious (46.6%) compared with other providers. No mental health professional indicated almost always/often/sometimes praying with patients versus 9.5% of primary providers, 14.8% of allied providers, and 18.1% of nurses. Results from structural equation modeling showed that intrinsic religiosity was most strongly associated with how a provider interacted with patients around R&S (β = .644, < .001) followed by non-organized religious activities (β = .228, < .001) and organized religious activities (β = .092, = .037). Understanding the role of R&S beliefs and behaviors of healthcare providers is important to patient-centered care.
本研究旨在评估医疗保健提供者的宗教和精神信仰和实践,比较不同类型提供者之间的宗教和精神信仰,以及考察组织/非组织宗教活动与内在宗教性与将宗教和精神信仰融入临床实践之间的潜在关系。采用了横断面描述性在线调查方法。共有 387 名参与者,平均年龄为 45.5 岁。提供者包括初级保健提供者(26.9%)、护士(27.1%)、联合健康提供者(23.5%)和心理健康专业人员(22.5%)。大多数参与者报告自己是“宗教和精神”(42.9%)或“精神上的,但不信教”(36.6%)。不同类型的提供者之间的宗教和精神信仰存在差异(x2(6) = 12.6, p =.05),心理健康提供者更常被认定为精神上的,但不信教(46.6%),而其他提供者则不然。没有心理健康专业人员表示经常/有时/有时会与患者一起祈祷,而 9.5%的初级保健提供者、14.8%的联合保健提供者和 18.1%的护士表示会这样做。结构方程模型的结果表明,内在宗教性与提供者如何与患者围绕宗教和精神信仰进行互动的相关性最强(β =.644,p <.001),其次是非组织宗教活动(β =.228,p <.001)和组织宗教活动(β =.092,p =.037)。了解医疗保健提供者的宗教和精神信仰和行为的作用对于以患者为中心的护理非常重要。