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Am J Hosp Palliat Care. 2019 Feb;36(2):116-122. doi: 10.1177/1049909118792871. Epub 2018 Aug 5.

Physicians' Religious Characteristics and Their Perceptions of the Psychological Impact of Patient Prayer and Beliefs at the End of Life: A National Survey.

Author information

1
1 Pritzker School of Medicine, The University of Chicago, Chicago, IL, USA.
2
2 Department of Health Services Research and Administration, University of Nebraska Medical Center, Omaha, NE, USA.
3
3 Department of Medicine, Mercy Hospital & Medical Center, Chicago, IL, USA.
4
4 Department of Sociology, Duke University, Durham, NC, USA.
5
5 MacLean Center for Clinical Medical Ethics, Department of Medicine, The University of Chicago, Chicago, IL, USA.

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.

KEYWORDS:

end of life; national survey; psychological well-being; religion; spirituality

PMID:
30079746
DOI:
10.1177/1049909118792871
[Indexed for MEDLINE]

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