Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

Smyre, Chris L.; Yoon, John D.; Rasinski, Kenneth A.; Curlin, Farr A.

doi:10.1016/j.jpainsymman.2014.06.016

Cited by 18 publications

(19 citation statements)

References 21 publications

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“…Moreover, it has been shown that religious beliefs impact the concrete practice of various fields of medicine such as general practice [43], psychiatry [44, 45], gynaecology [46], and end-of-life-care [47]. This research documents how such beliefs may have significant impact on the practice of medicine, including ODT.…”

Section: Discussionmentioning

confidence: 82%

For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

Hvidt

Mayr

Paal³

et al. 2016

Journal of Transplantation

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Background. Significant facilitators and barriers to organ donation and transplantation remain in the general public and even in health professionals. Negative attitudes of HPs have been identified as the most significant barrier to actual ODT. The purpose of this paper was hence to investigate to what extent HPs (physicians and nurses) experience such facilitators and barriers in ODT and to what extent they are intercorrelated. We thus combined single causes to circumscribed factors of respective barriers and facilitators and analyzed them for differences regarding profession, gender, spiritual/religious self-categorization, and self-estimated knowledge of ODT and their mutual interaction. Methods. By the use of questionnaires we investigated intricate facilitators and barriers to organ donation experienced by HPs (n = 175; 73% nurses, 27% physicians) in around ten wards at the University Hospital of Munich. Results. Our study confirms a general high agreement with the importance of ODT. Nevertheless, we identified both facilitators and barriers in the following fields: (1) knowledge of ODT and willingness to donate own organs, (2) ethical delicacies in ODT, (3) stressors to handle ODT in the hospital, and (4) individual beliefs and self-estimated religion/spirituality. Conclusion. Attention to the intricacy of stressors and barriers in HPs continues to be a high priority focus for the availability of donor organs.

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Section: Discussionmentioning

confidence: 82%

For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

Hvidt

Mayr

Paal³

et al. 2016

Journal of Transplantation

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“…Positive attitudes towards PS-ES varied widely, with the following percentage of the physicians showing positive attitudes: 6.8%,29 22%,30 31%,25 26 42.1%,31 37%–61%28 and 68% positive attitudes 27. The range of negative attitudes varied widely also, with the following percentage of physicians showing negative attitudes: 14.3%,29 17.1%,31 34%,25 26 23%–43%28 and 64% negative attitudes 30. The percentages of participants having neutral or undecided attitudes were 14%,30 16%–20%,28 29.6%31 and 47% 29.…”

Section: Resultsmentioning

confidence: 98%

“…A total of 1955 papers was screened (figure 1), but only 17 met our inclusion criteria. Seven studies were reports of quantitative studies,25–31 seven were reports of qualitative studies32–38 and three39–41 were reports of mixed-methods studies. The included articles were published between 2002 and 2017.…”

Section: Resultsmentioning

confidence: 99%

“…The studies were conducted in USA (n=4); Canada (n=3); Switzerland (n=2); the Netherlands (n=2); Belgium (n=1); Germany (n=1); Japan (n=1); and in some cases, multiple countries (n=3). Two articles used data from the same quantitative study 25 26. One mixed-methods study39 compared the results of two other studies 40 41.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (n=13) focused exclusively on physicians’ perceptions, but some additionally included perceptions of nurses (32), pharmacists,41 or professionals in several fields (eg, philosophy, theology, ethics, sociology, law) 28 34. One qualitative study35 and three quantitative studies26 29 30 focused exclusively on PS-ES, while other studies had wider foci related to PS.…”

Section: Resultsmentioning

confidence: 99%

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Physicians’ perceptions of palliative sedation for existential suffering: a systematic review

Rodrigues

Menten

Gastmans

2019

BMJ Support Palliat Care

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BackgroundPalliative sedation for existential suffering (PS-ES) is a controversial clinical intervention. Empirical studies about physicians’ perceptions do not converge in a clear position and current clinical practice guidelines do not agree either regarding this kind of intervention.AimTo gain deeper insight into physicians’ perceptions of PS-ES, the factors influencing it, the conditions for implementing it and the alternatives to it.DesignSystematic review of qualitative, quantitative and mixed-methods studies following the Peer Review Electronic Search Strategies and Preferred Reporting Items for Systematic Reviews and Meta-analyses protocols; quality appraisal and thematic synthesis methodology.Data sourcesSeven electronic databases (PubMed, CINAHL, Embase, Scopus, Web of Science, PsycINFO, PsycARTICLES) were exhaustively searched from inception through March 2019. Two reviewers screened paper titles, abstracts and full texts. We included only peer-reviewed journal articles published in English, French, German, Dutch, Spanish, Italian or Portuguese that focused on physicians’ perceptions of PS-ES.ResultsThe search yielded 17 publications published between 2002 and 2017. Physicians do not hold clear views or agree if and when PS-ES is appropriate. Case-related and individual-related factors that influenced physicians’ perceptions were identified. There is still no consensus regarding criteria to distinguish between necessary and sufficient conditions for invoking PS-ES. Some alternatives to PS-ES were identified.ConclusionsTo date, there is still no consensus on physicians’ perceptions of PS-ES. Further research is necessary to understand factors that influence physicians’ perceptions and philosophical-ethical presuppositions underlying this perceptions.

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Catholic Health Care and Models for Advancing Excellence in Palliative Care

Picchi¹

2019

Philosophy and Medicine

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Limits and Responsibilities of Physicians Addressing Spiritual Suffering in Terminally Ill Patients

Abstract: Most physicians believe that spiritual suffering tends to intensify physical pain and that physicians should seek to relieve such suffering. Physicians who believe they should address spiritual suffering just as much as physical pain report more success in relieving patient's suffering.

Cited by 18 publications

References 21 publications

For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

For and against Organ Donation and Transplantation: Intricate Facilitators and Barriers in Organ Donation Perceived by German Nurses and Doctors

Physicians’ perceptions of palliative sedation for existential suffering: a systematic review

Catholic Health Care and Models for Advancing Excellence in Palliative Care

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