Physicians' Observations and Interpretations of the Influence of Religion and Spirituality on Health

Curlin, Farr A.; Sellergren, Sarah A.; Lantos, John D.; Chin, Marshall H.

doi:10.1001/archinte.167.7.649

Cited by 103 publications

(73 citation statements)

References 22 publications

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“…The literature has clearly supported the benefits of religion on human wellbeing, while an extensive number of studies have revealed that religion has a valuable or protective effect on a variety of health outcomes (Chatters, 2000;Curlin et al, 2007;Ellison and Levin, 1998;Hall and Mdi, 2006;Jarvis and Northcott, 1987;Jones, 2004;Musick et al, 2000;Schnall et al, 2008). The predominant place of religion in health and illness was a constant theme in these studies and patients' views were strongly influenced by their religious convictions.…”

Section: Discussionmentioning

confidence: 93%

The Experience of Overseas Nurses Caring for Muslim Patients in Kingdom of Saudi Arabia and Uae: A Qualitative Study

AlYateem¹,

Al‐Yateem²

2014

International Journal of Research in Nursing

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Cultural competence in nursing care has always been emphasized and recommended as a quality indicator and a core knowledge requirement for all nurses. However, the provision of such culturally competent care can only be achieved when patients' cultural values and systems are known to the nurses and used appropriately to inform their practices. This study will help to reveal the different components of nurses' experiences while caring for patients from Islamic culture. This will inform the practice of service planners, managers and educators in designing interventions that address the needs of these nurses, hopefully making the nursing service more satisfying for both the nurses and the patients. A qualitative exploratory research design utilizing written narratives was used within this study. The study revealed three themes and five subthemes. The main themes were: (1) Right to practice Vs impact on care: A matter of balance; (2) Islamic principles: Nurses' knowledge; and (3) Broken lines of contact with social systems and patients. Most of participants have demonstrated insufficient knowledge and experience of Islamic principles which cannot aid them in providing culturally competent nursing care. It has also revealed that nurses should further recognize religion as an important part of the healing process and not as a factor that negatively impacts their role and hinders patient care.

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Section: Discussionmentioning

confidence: 93%

The Experience of Overseas Nurses Caring for Muslim Patients in Kingdom of Saudi Arabia and Uae: A Qualitative Study

AlYateem¹,

Al‐Yateem²

2014

International Journal of Research in Nursing

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“…The seventh article centered on "Physicians' observations and interpretations of the influence of religion and spirituality on health" and how such interpretations depend on physician's own R/S [7]. Sixty-three percent believed R/S influenced health of patients, 76% believed it could help patients cope with disease, give them a peaceful state of mind (75%) and provide emotional and practical help via the religious community (55%).…”

Section: Chronological Overview Of Existing Studies Using the Originamentioning

confidence: 99%

“…This article describes the development, contents, and first cross national comparisons based on an international research tool, first developed in 2002 and executed in 2003 with subsequent publications [1][2][3][4][5][6][7][8][9][10], translated into seven languages [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] and optimized in 2013. The data document the impact of Health Professionals' (HPs') religious and secular beliefs and values on the clinical encounter.…”

Section: Introductionmentioning

confidence: 99%

The NERSH International Collaboration on Values, Spirituality and Religion in Medicine: Development of Questionnaire, Description of Data Pool, and Overview of Pool Publications

et al. 2016

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Abstract:Modern healthcare research has only in recent years investigated the impact of health care workers' religious and other moral values on medical practice, interaction with patients, and ethically complex decision-making. Thus far, no international data exist on the way such values vary across representatives of several national research groups came together and worked at optimizing the survey instrument for future use on the basis of the existing datasets. Research groups were identified through personal contacts with researchers requesting to use the instrument, as well as through two literature searches. Data were assembled in Stata and synchronized for their comparability using a matched intersection design based on the items in the original questionnaire. With a few optimizations and added modules appropriate for cultures more secular than that of the United States, the survey instrument holds promise as a tool for future comparative analyses. The pool at this stage consists of data from eleven studies conducted by research teams in nine different countries over six continents with responses from more than 6000 health professionals. Inspection of data between groups suggests large differences in religious and other moral values across nations and cultures, and that these values account for differences in health professional's clinical practices.

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“…In our study, physicians who consider religion most important were twice as likely to recommend full medical treatment and rated patient quality of life 30% higher; this was of similar magnitude to the effect of pain. This may be related to beliefs about the sanctity of life (36), the possibility of miracles (37), or deference to a higher power. We hypothesized that religious physicians would be less affected by cognitive deficits because of commitments regarding the sanctity of life, but the data indicate that religious and nonreligious physicians were similarly affected by the cognitive deficits variable.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Recommendations for Further Care*

Putman

Tak

Curlin

et al. 2016

Critical Care Medicine

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1Objectives: Physician recommendations for further medical treatment or palliative treatment only at the end of life may influence patient decisions. Little is known about the patient characteristics that affect physician-assessed quality of life or how such assessments are related to subsequent recommendations. Design, Setting, and Subjects: A 2010 mailed survey of practicing U.S. physicians (1,156/1,878 or 62% of eligible physicians responded). Measurements and Main Results:Measures included an end of life vignette with five experimentally varied patient characteristics: setting, alimentation, pain, cognition, and communication. Physicians rated vignette patient quality of life on a scale from 0 to 100 and indicated whether they would recommend continuing full medical treatment or palliative treatment only. Cognitive deficits and alimentation had the greatest impacts on recommendations for further care, but pain and communication were also significant (all p < 0.001). Physicians who recommended continuing full medical treatment rated quality of life three times higher than those recommending palliative treatment only (40.41 vs 12.19; p < 0.01). Religious physicians were more likely to assess quality of life higher and to recommend full medical treatment. Conclusions: Physician judgments about quality of life are highly correlated with recommendations for further care. Patients and family members might consider these biases when negotiating medical decisions. (Crit Care Med 2016; XX:00-00) Key Words: critical care; end-of-life care; medical decision-making; physician recommendations; quality of Life; withdrawal of care P atient quality of life may play an important role in physician recommendations for further life sustaining treatments at the end of life. The limited efficacy of such treatments (1, 2) and an emphasis on quality of life together have led to greater use of palliative care resources and more frequent decisions to limit care (3-7). Physician recommendations often play an integral role in such choices, as patients require information about prognosis, treatment efficacy, and quality of life to make informed decisions (8, 9). How physicians perceive and make judgments about patient quality of life may impact the recommendations physicians offer, but few studies have investigated this at a national level.Prior studies have observed significant associations between patient quality of life and do-not-resuscitate (DNR) orders (10-13), but this may be due to patient-as opposed to physician-preference. Some studies of DNR orders neglected to consider patient quality of life (14, 15), whereas others were small (15-18) or in foreign countries (11,17). In a small Swiss study, physicians explicitly considered quality of life when implementing DNR orders in as many as 71% of cases (17). In the United States, single-center and regional studies have observed associations between physician assessment of quality of life and physician treatment preferences for patients (16,18). Yet no nationally representative study...

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Physicians' Observations and Interpretations of the Influence of Religion and Spirituality on Health

Cited by 103 publications

References 22 publications

The Experience of Overseas Nurses Caring for Muslim Patients in Kingdom of Saudi Arabia and Uae: A Qualitative Study

The Experience of Overseas Nurses Caring for Muslim Patients in Kingdom of Saudi Arabia and Uae: A Qualitative Study

The NERSH International Collaboration on Values, Spirituality and Religion in Medicine: Development of Questionnaire, Description of Data Pool, and Overview of Pool Publications

Quality of Life and Recommendations for Further Care*

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