The beliefs of cancer care providers regarding the role of religion and spirituality within the clinical encounter.

Szczegóły
Abstrakt

Tytuł:: The beliefs of cancer care providers regarding the role of religion and spirituality within the clinical encounter.
Autorzy:: Palmer Kelly E; Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Paredes AZ; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Hyer M; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Tsilimigras DI; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Pawlik TM; Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA. .
Źródło:: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [Support Care Cancer] 2021 Feb; Vol. 29 (2), pp. 909-915. Date of Electronic Publication: 2020 Jun 13.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Berlin : Springer International, c1993-
MeSH Terms:: Religion and Medicine*
Spirituality*
Health Personnel/*psychology
Neoplasms/*psychology
Adult ; Attitude of Health Personnel ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Neoplasms/therapy ; Nurses/psychology ; Physicians/psychology
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Contributed Indexing:: Keywords: Cancer care; Patient-centered care; Religion and spirituality; Spiritual care
Entry Date(s):: Date Created: 20200615 Date Completed: 20210222 Latest Revision: 20210222
Update Code:: 20240105
DOI:: 10.1007/s00520-020-05562-2
PMID:: 32535677
: Czasopismo naukowe

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Purpose: To characterize cancer care provider perceptions of the role of religion and spirituality (R&S) within the clinical encounter.
Methods: A cross-sectional survey was administered to healthcare professionals (defined as someone who is authorized to diagnose and/or treat physical or mental health disorders) currently employed at The Ohio State University Comprehensive Cancer Center. Beliefs around the role of R&S within the clinical encounter were assessed using four adapted subscales/dimensions (D1-D4) from the Religion and Spirituality in Medicine: Physicians' Perspectives measure: God actively intervenes in patient health (D1), R&S is beneficial for patient mental health (D2), provider inquires about (D3) and discusses (D4) R&S in the clinical encounter. Logistic (D1) and linear (D2-D4) regression were performed using SAS v9.4 to determine the relationship between provider type and each subscale while controlling for gender, race, relationship status, education, and R&S identity.
Results: Among 340 participants, most participants were female (82.1%) or Caucasian (82.6%) and the median age was 35 years (IQR 31-48). Providers included physicians (17.9%), nurses (64.7%), and "other" (17.4%). Most participants identified as religious (57.5%), followed by spiritual (30.2%) and neither religious nor spiritual (12.3%). Nurses and other providers were more likely than physicians to believe that God intervenes in patient health (physician 41.7% vs. nurse 61.8% vs. other 60.3%; p = 0.02). All providers were equally as likely to believe that R&S is beneficial for patient mental health and to discuss R&S with patients within the clinical encounter (both p > 0.05). In contrast, nurses more frequently reported inquiring about R&S (median 1.7; IQR 0.9-2.0) compared with physicians (median 1.0; IQR 0.9-2.0) or other providers (median 1.4; IQR 1.0-2.1) (p < 0.001).
Conclusions: There were differences between providers in beliefs regarding the role of R&S in the clinical cancer encounter. Of note, nurses and other provider types were more likely than physicians to inquire about R&S with patients. Understanding variations in these beliefs will help determine how to best incorporate R&S support for patients during their cancer care.

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