The perspectives of rehabilitation medical professionals of an Indian apex tertiary care hospital
DOI:
https://doi.org/10.18203/2320-6012.ijrms20213417Keywords:
Spirituality, Health care, Perspectives, Rehabilitation, ProfessionalsAbstract
Background: Spiritual care has been considered one of the components of rehabilitation. But its study and applicability is considerably lacking amongst the rehabilitation professionals. The purpose of this study was to identify the barriers in addressing spiritual issues of patients and understanding the perceptions of rehabilitation professionals in order to inculcate a bio-psycho-socio-spiritual model of care.
Methods: In this cross sectional survey, 35 rehabilitation medical professionals at our institute completed a questionnaire assessing their opinion about religion, and spirituality with its inclusion in clinical practice & medical education. The individual domains were analyzed through descriptive statistics.
Results: The findings suggested that most rehabilitation professionals understand the importance of addressing spiritual issues of patients but lack its feasibility in clinical practice due to multiple barriers, mainly due to lack of time, training, knowledge, fear of imposing religious beliefs and failing to differentiate between religion and spirituality.
Conclusions: The lacuna in various dimensions imposes restrictions in imparting spiritual care to patients. It may affect the total care and thus quality of life of such patients. This can be addressed by proper training and sensitization of medical professionals during medical education as well as during clinical practice.
Metrics
References
Balboni TA, Vanderwerker LC, Block SD, Paulk ME, Lathan CS, Peteet JR, Prigerson HG. Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007;25:555-60
Counted V, Possamai A, Meade T. Relational spirituality and quality of life 2007 to 2017: an integrative research review. Health Qual Life Outcomes. 2018;16:75.
Pargament KI, Smith BW, Koenig HG, Perez L. Patterns of positive and negative religious coping with major life stressors. J Scientific Study Rel. 1998;27:710-24.
Kilpatrick SD, McCullough ME. Religion and Spirituality in Rehabilitation Psychology. Rehabilitation Psychology. 1999;44(4):388-402.
Puchalski CM, Vitillo R, Hull SK, Reller N. Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus. J Palliat Med. 2014;17(6): 642-56.
Puchalski, C. Spirituality and Health: The art of compassion medicine. Hosp Physic. 2001;37(3):30-6.
Mariotti L, Lucchetti G, Dantas M, Banin V, Fumelli F, Padula N. Spirituality and medicine: views and opinions of teachers in a Brazilian medical school. Med Teach. 2011;33:339-40.
Balboni MJ, Sullivan A, Amobi A, Phelps AC, Gorman DP, Zollfrank A, et al. Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses and physicians and the role of training. J Clin Oncol 2013;31(4): 461-7.
Tomasso CS, Beltrame IL, Lucchetti G. Knowledge and attitudes of nursing professors and students concerning the interface between spirituality, religiosity and health. Rev Lat Am Enfermagem. 2011;19:1205-13.
Vermandere M, Lepeliere D, Smeets L, Hannes K, Van Mechelen W, Warmenhoven F. Spirituality in general practice: A qualitative evidence synthesis. Br J Gen Pract. 2011;61:749-60.
Monroe MH, Bynum D, Susi B, Phifer N, Schultz L, Franco M, et al. Primary care physician preferences regarding spiritual behavior in medical practice. Arch Intern med. 2003;163:2751-6.
Grant E, Murry SA, Kendall M, Body K, Tilley S, Ryan D. Spiritual issues and needs: Perspectives from patients with advanced cancer and non malignant disease: A qualitative study. Palliat Support Care. 2004;2(4):371-8.
Selman LE, Brighton LJ, Sinclair S, Karvinen I, Egan R, Speck P, et al. Patients’ and caregivers’ needs, experiences, preferences and research priorities in spiritual care: A focus group study across nine countries. Palliat Med. 2017;32:216-30.
Zimmer Z, Jagger C, Chiu CT, Ofstedal MB, Rojo F. Spirituality, religiosity, aging and health in global perspective: A review. SSM Pop Health. 2016;2:373-81.
Hill PC, Pargament KI, Hood RW, McCullough ME, Swyers JP, Larson DB, et al. Conceptualizing religion and spirituality: points of commonality, points of departure. J Theory Social Behav. 2000;30: 51-77.
Otis-Green S, Ferell B, Borneman T, Puchalski C, Uman G, Garcia A. Integrating spiritual care within palliative care: An overview of nine demonstration projects. J Palliat Care. 2011;15:1-9.
Puchalski CM, Ferell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. J Plliat Med. 2009;12:885-904.
Koenig HG, Hooten HG, Lindsay-Calkins E, Meador KG. Spirituality in medical school curricula: findings from a national survey. Int J Psychiatry Med. 2010; 40:391-8.
Luchetti G, Romani de Olievera L, Koenig HG, Leite JR, Luchetti A. Medical students, spirituality and religiosity-results from the multicenter study SBRAME. BMC Med Edu. 2013;13:162.
Rahnama M, Khoshknab MF, Maddah, SSB, Ahmadi F. Iranian cancer patients’ perception of spirituality: a qualitative content analysis study. BMC Nurs. 2012;11:19.
Banin LB, Suzart NB, Banin VB, Mariotti LGL, Guimaraes FAG, Lucchetti G. Spirituality: Do teachers, students hold the same opinion?. Clin Teach. 2013;10(1):3-8.
Jones KF, Dorsett P, Briggs L, Simpson GK. The role of spirituality in spinal cord injury (SCI) rehabilitation exploring health professional perspectives. Spinal Cord Ser Cases. 2018;4:54.
Oakley E, Sauer K, Dent B, Millar L. Physical therapists perception of spirituality and patient care: Beliefs, practices and perceived barriers. J Physic Ther Edu. 2010;24(2):45-52.