دورية أكاديمية
Spiritual Care in PICUs: A U.S. Survey of 245 Training Fellows 2020-2021.
العنوان: | Spiritual Care in PICUs: A U.S. Survey of 245 Training Fellows 2020-2021. |
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المؤلفون: | Stevens PE; Department of Pediatrics, Division of Pediatric Critical Care Medicine, Loma Linda University Children's Hospital, Loma Linda, CA., Rassbach CE; Department of Pediatrics, Division of Hospital Medicine, Stanford University School of Medicine, Stanford, CA., Qin F; Quantitative Sciences Unit, Department of Medicine, Stanford University, Stanford, CA., Kuo KW; Department of Pediatrics, Division of Pediatric Critical Care Medicine, Stanford University School of Medicine, Stanford, CA. |
المصدر: | Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [Pediatr Crit Care Med] 2024 May 01; Vol. 25 (5), pp. 396-406. Date of Electronic Publication: 2023 Dec 13. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100954653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-7535 (Print) Linking ISSN: 15297535 NLM ISO Abbreviation: Pediatr Crit Care Med Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Baltimore, MD : Lippincott Williams & Wilkins, c2000- |
مواضيع طبية MeSH: | Spiritual Therapies*, United States ; Humans ; Infant, Newborn ; Health Care Surveys |
مستخلص: | Objectives: To understand the perspectives of pediatric fellows training in critical care subspecialties about providing spiritual care. Design: Cross-sectional survey of United States National Residency Matching Program pediatric fellows training in critical care specialties. Setting: Online survey open from April to May 2021. Subjects: A total of 720 fellows (165 cardiology, 259 critical care, and 296 neonatology) were contacted, with a response rate of 245 of 720 (34%). Interventions: None. Measurements and Main Results: We assessed fellows' survey responses about spiritual care in neonatal and pediatric critical care units. Categorical data were compared using chi-square test or Fisher exact tests. The Wilcoxon rank-sum test was used to compare the percentage correct on ten multiple-choice questions about world religions. Free-text responses were independently coded by two research investigators. A total of 203 of 245 (83%) responding fellows had never received training about spiritual care and 176 of 245 (72%) indicated that they would be likely to incorporate spiritual care into their practice if they received training. Prior training was associated with increased familiarity with a framework for taking a spiritual history ( p < 0.001) and increased knowledge of spiritual practices that could influence medical care ( p = 0.03). Prior training was also associated with increased self-reported frequency of taking a spiritual history ( p < 0.001) and comfort in referring families to spiritual care resources ( p = 0.02). Lack of time and training were the most reported barriers to providing spiritual care. Conclusions: Providing spiritual care for families is important in critical care settings. In 2020-2021, in the United States, 245 pediatric critical care fellows responded to a survey about spiritual care in their practice and reported that they lacked training in this subject. An opportunity exists to implement spiritual care curricula into pediatric fellowship training. Competing Interests: The authors have disclosed that they do not have any potential conflicts of interest. (Copyright © 2023 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.) |
References: | Davidson JE, Powers K, Hedayat KM, et al.: American College of Critical Care Medicine Task Force 2004-2005, Society of Critical Care Medicine: Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005. Crit Care Med. 2007; 35:605–622. Gordon BS, Keogh M, Davidson Z, et al.: Addressing spirituality during critical illness: A review of current literature. J Crit Care. 2018; 45:76–81. Madrigal VN, Carroll KW, Faerber JA, et al.: Parental sources of support and guidance when making difficult decisions in the pediatric intensive care unit. J Pediatr. 2016; 169:221–6.e4. Nascimento LC, Alvarenga WA, Caldeira S, et al.: Spiritual care: The nurses’ experiences in the pediatric intensive care unit. Religions. 2016; 7:27. Arutyunyan T, Odetola F, Swieringa R, et al.: Religion and spiritual care in pediatric intensive care unit: Parental attitudes regarding physician spiritual and religious inquiry. Am J Hosp Palliat Care. 2018; 35:28–33. NRMP Program Results 2016-2020 Specialties Matching Service®. 2020. Available at: https://www.nrmp.org/match-data-analytics/fellowship-data-reports/ . Accessed August 23, 2021. FREIDA TM AMA Residency & Fellowship Programs Database. 2021. Available at: https://freida.ama-assn.org/ . Accessed August 23, 2021. Curlin FA, Chin MH, Sellergren SA, et al.: The Association of Physicians’ religious characteristics with their attitudes and self-reported behaviors regarding religion and spirituality in the clinical encounter. Med Care. 2006; 44:446–453. Anandarajah G, Stumpff J: Integrating spirituality into medical practice: A survey of FM clerkship students. Fam Med. 2004; 36:160–161. Armbruster CA, Chibnall JT, Legett S: Pediatrician beliefs about spirituality and religion in medicine: Associations with clinical practice. Pediatrics. 2003; 111:e227–e235. Catlin EA, Cadge W, Ecklund EH, et al.: The spiritual and religious identities, beliefs, and practices of academic pediatricians in the United States. Acad Med. 2008; 83:1146–1152. Grossoehme DH, Ragsdale JR, McHenry CL, et al.: Pediatrician characteristics associated with attention to spirituality and religion in clinical practice. Pediatrics. 2007; 119:e117–e123. Siegel B, Tenenbaum AJ, Jamanka A, et al.: Faculty and resident attitudes about spirituality and religion in the provision of pediatric health care. Ambul Pediatr. 2002; 2:5–10. Luckhaupt SE, Yi MS, Mueller CV, et al.: Beliefs of primary care residents regarding spirituality and religion in clinical encounters with patients: A study at a midwestern US teaching institution. Acad Med. 2005; 80:560–570. Wintz SK, Handzo G: Handbook Patient’s Spiritual and Cultural Values for Healthcare Professionals. HealthCare Chaplaincy Network, 2014. Puchalski CM, Vitillo R, Hull SK, et al.: Improving the spiritual dimension of whole person care: Reaching National and International Consensus. J Palliat Med. 2014; 17:642–656. Puchalski C, Ferrell B, Virani R, et al.: improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. J Palliat Med. 2009; 12:885–904. Puchalski CM: The role of spirituality in health care. Proc (Bayl Univ Med Cent). 2001; 14:352–357. Boyatzis RE. Transforming Qualitative Information: Thematic Analysis and Code Development. SAGE; 1998. Berger R: Now I see it, now I don’t: Researcher’s position and reflexivity in qualitative research. Qual Res. 2015; 15:219–234. Smyre CL, Tak HJ, Dang AP, et al.: Physicians’ opinions on engaging patients’ religious and spiritual concerns: A National Survey. J Pain Symptom Manage. 2018; 55:897–905. Best M, Butow P, Olver I: Doctors discussing religion and spirituality: A systematic literature review. Palliat Med. 2016; 30:327–337. Vasconcelos APSL, Lucchetti ALG, Cavalcanti APR, et al.: Religiosity and spirituality of resident physicians and implications for clinical practice—the SBRAMER multicenter study. J Gen Intern Med. 2020; 35:3613–3619. Wenham J, Best M, Kissane DW: Systematic review of medical education on spirituality. Intern Med J. 2021; 51:1781–1790. Balboni TA, VanderWeele TJ, Doan-Soares SD, et al.: Spirituality in serious illness and health. JAMA. 2022; 328:184–197. |
تواريخ الأحداث: | Date Created: 20231213 Date Completed: 20240502 Latest Revision: 20240618 |
رمز التحديث: | 20240619 |
DOI: | 10.1097/PCC.0000000000003429 |
PMID: | 38088772 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1529-7535 |
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DOI: | 10.1097/PCC.0000000000003429 |