TY - JOUR
T1 - Intensivists' Religiosity and Perceived Conflict During a Simulated ICU Family Meeting
AU - Moale, Amanda
AU - Teply, Melissa L.
AU - Liu, Tiange
AU - Singh, Arun L.
AU - Basyal, Pragyashree Sharma
AU - Turnbull, Alison E.
N1 - Publisher Copyright:
© 2019
PY - 2020/3
Y1 - 2020/3
N2 - Context: Conflict is frequently reported by both clinicians and surrogate decision makers for adult patients in intensive care units. Because religious clinicians view religion as an important dimension of end-of-life care, we hypothesized that religious critical care attendings (intensivists) would be more comfortable and perceive less conflict when discussing a patient's critical illness with a religious surrogate. Objectives: The objective of this study was to assess if religious intensivists are more or less likely to perceive conflict during a simulated family meeting than secular colleagues. Methods: Intensivists were recruited to participate in a standardized, simulated family meeting with an actor portraying a family member of a critically ill patient. Intensivists provided demographic information including their current religion and the importance of religion in their lives. After the simulation, intensivists rated the amount of conflict they perceived during the simulation. The association between intensivist's self-reported religiosity and perceived conflict was estimated using both univariate analysis and multivariable logistic regression. Results: Among 112 participating intensivists, 43 (38%) perceived conflict during the simulation. Among intensivists who perceived conflict, 49% were religious, and among those who did not perceive conflict, 35% were religious. After adjusting for physician race, gender, years in practice, intensive care unit weeks worked per year and actor, physician religiosity was associated with greater odds of perceiving conflict during the simulated family meeting (adjusted prevalence ratio = 2.77, [95% CI 1.12–7.16], P = 0.03). Conclusion: Religious intensivists were more likely to perceive conflict during a simulated family meeting.
AB - Context: Conflict is frequently reported by both clinicians and surrogate decision makers for adult patients in intensive care units. Because religious clinicians view religion as an important dimension of end-of-life care, we hypothesized that religious critical care attendings (intensivists) would be more comfortable and perceive less conflict when discussing a patient's critical illness with a religious surrogate. Objectives: The objective of this study was to assess if religious intensivists are more or less likely to perceive conflict during a simulated family meeting than secular colleagues. Methods: Intensivists were recruited to participate in a standardized, simulated family meeting with an actor portraying a family member of a critically ill patient. Intensivists provided demographic information including their current religion and the importance of religion in their lives. After the simulation, intensivists rated the amount of conflict they perceived during the simulation. The association between intensivist's self-reported religiosity and perceived conflict was estimated using both univariate analysis and multivariable logistic regression. Results: Among 112 participating intensivists, 43 (38%) perceived conflict during the simulation. Among intensivists who perceived conflict, 49% were religious, and among those who did not perceive conflict, 35% were religious. After adjusting for physician race, gender, years in practice, intensive care unit weeks worked per year and actor, physician religiosity was associated with greater odds of perceiving conflict during the simulated family meeting (adjusted prevalence ratio = 2.77, [95% CI 1.12–7.16], P = 0.03). Conclusion: Religious intensivists were more likely to perceive conflict during a simulated family meeting.
KW - Intensivists' religiosity
KW - conflict
KW - family meetings
KW - religion
UR - http://www.scopus.com/inward/record.url?scp=85075869677&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075869677&partnerID=8YFLogxK
U2 - 10.1016/j.jpainsymman.2019.10.020
DO - 10.1016/j.jpainsymman.2019.10.020
M3 - Article
C2 - 31678463
AN - SCOPUS:85075869677
SN - 0885-3924
VL - 59
SP - 687-693.e1
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 3
ER -