do Nascimento Filipe Rodrigues Vargas, de Goulart Bárbara Niegia Garcia
Graduate Studies in Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Ramiro Barcelos, 2600, Porto Alegre, RS, 90035-003, Brazil.
J Relig Health. 2024 Dec 16. doi: 10.1007/s10943-024-02208-z.
This study aimed to estimate the proportion of Brazilian nurses, doctors, and psychologists who approach spirituality and religiosity (S/R) issues in professional practice. The study also explored these health professionals' willingness to interact with patients on issues related to S/R in their clinical practice using item response theory (IRT). From a nationwide cross-sectional web survey, demographic data and the opinions of doctors, nurses, and psychologists were collected regarding aspects related to S/R. For this study, the willingness of physicians to interact with patients regarding the S/R issues scale, developed by the Network for Research Spirituality and Health and translated into Brazilian Portuguese, was used. Information was adjusted according to the IRT. Of the 1095 participants, 335 (30.6%) were nurses, 433 (39.5%), doctors, and 327 (29.9%) were psychologists. The areas of activity with the most significant representation were primary healthcare (n = 292, 26.7%) and mental health (n = 296, 27.0%). A total of 76 (22.7%) nurses, 152 (35.1%) doctors, and 112 (34.3%) psychologists often or always asked about S/R in professional practice. There was a significant difference in the frequency of approach by nurses compared to doctors (p < 0.001) and psychologists (p = 0.001). Doctors were more willing to approach S/R, with a statistically significant difference between nurses (DM - 0.72, 95% CI BCa [- 1.38 to - 0.11]) and psychologists (DM 1.44, 95% CI BCa (0.76-2.11)]. This study should encourage a more comprehensive approach to human beings, contributing to more profound research in Brazil and worldwide.
本研究旨在估算在专业实践中涉及灵性与宗教信仰（S/R）问题的巴西护士、医生和心理学家的比例。该研究还运用项目反应理论（IRT），探究这些医疗专业人员在临床实践中就与S/R相关问题与患者互动的意愿。通过一项全国性的横断面网络调查，收集了医生、护士和心理学家的人口统计学数据以及与S/R相关方面的意见。本研究使用了由灵性与健康研究网络开发并翻译成巴西葡萄牙语的医生就S/R问题与患者互动意愿量表。信息根据IRT进行了调整。在1095名参与者中，335人（30.6%）是护士，433人（39.5%）是医生，327人（29.9%）是心理学家。活动领域中占比最高的是初级医疗保健（n = 292，26.7%）和心理健康（n = 296，27.0%）。共有76名（22.7%）护士、152名（35.1%）医生和112名（34.3%）心理学家在专业实践中经常或总是询问与S/R相关的问题。护士与医生（p < 0.001）和心理学家（p = 0.001）相比，询问频率存在显著差异。医生更愿意探讨S/R，与护士（差异均值 -0.72，95% 偏差校正自助法置信区间 [-1.38至 -0.11]）和心理学家（差异均值1.44，95% 偏差校正自助法置信区间 [0.76 - 2.11]）之间存在统计学显著差异。本研究应鼓励采用更全面的人类研究方法，为巴西乃至全球更深入的研究做出贡献。
