Abstract
Background: Physicians who are more religious or spiritual may report more positive perceptions regarding the link between religious beliefs/practices and patients’ psychological well-being. Methods: We conducted a secondary data analysis of a 2010 national survey of US physicians from various specialties (n = 1156). Respondents answered whether the following patient behaviors had a positive or negative effect on the psychological well-being of patients at the end of life: (1) praying frequently, (2) believing in divine judgment, and (3) expecting a miraculous healing. We also asked respondents how comfortable they are talking with patients about death. Results: Eighty-five percent of physicians believed that patients’ prayer has a positive psychological impact, 51% thought that patients’ belief in divine judgment has a positive psychological impact, and only 17% of physicians thought the same with patients’ expectation of a miraculous healing. Opinions varied based on physicians’ religious and spiritual characteristics. Furthermore, 52% of US physicians appear to feel very comfortable discussing death with patients, although end-of-life specialists, Hindu physicians, and spiritual physicians were more likely to report feeling very comfortable discussing death (adjusted odds ratio range: 1.82-3.00). Conclusion: US physicians hold divided perceptions of the psychological impact of patients’ religious beliefs/practices at the end of life, although they more are likely to believe that frequent prayer has a positive psychological impact for patients. Formal training in spiritual care may significantly improve the number of religion/spirituality conversations with patients at the end of life and help doctors understand and engage patients’ religious practices and beliefs.
Original language | English (US) |
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Pages (from-to) | 116-122 |
Number of pages | 7 |
Journal | American Journal of Hospice and Palliative Medicine |
Volume | 36 |
Issue number | 2 |
DOIs | |
State | Published - Feb 1 2019 |
Keywords
- end of life
- national survey
- psychological well-being
- religion
- spirituality
ASJC Scopus subject areas
- General Medicine