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The spiritual history in outpatient practice: attitudes and practices of health professionals in the Adventist Health System

机译：门诊实践中的精神病史：复临信徒卫生系统中医护人员的态度和做法

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Background A screening spiritual history (SSH) is how health professionals (HP) identify patients’ spiritual values, beliefs and preferences (VBPs) in the outpatient setting. We report on attitudes and practices of HPs in the largest Protestant health system in the U.S., the Adventist Health System (AHS). Method Physicians or mid-level practitioners ( N =?1082) in AHS-affiliated practices were approached and 513 (47%) agreed?to participate. Participants were asked to identify a “spiritual care coordinator” (nurse/staff) and complete a questionnaire that assessed demographics, practice characteristics, religious involvement, and attitudes/practices concerning the SSH. Prevalence and predictors of attitudes/practices were identified. Results Questionnaires were completed by 427 physicians, 86 mid-level practitioners, and 224 nurses/staff (i.e., spiritual care coordinators). Among physicians, 45% agreed that HPs should take a SSH; of mid-level practitioners, 56% agreed; and of nurses/staff, 54% agreed. A significant proportion (range 31–54%) agreed that physicians should take the SSH. Participants indicated a SSH is appropriate for all outpatients (46–57%), well-visit exams (50–60%), the chronically ill (71–75%) and terminally ill (79–82%). A majority agreed the SSH should be documented in the medical record (67–80%). Few (11–17%) currently took a SSH, although most were at least sometimes willing to take a SSH (87–94%) or review the results?thereof (86–98%). Self-rated importance of religion was the strongest predictor of SSH attitudes/practices. Conclusions Many in the AHS say a SSH should be done, are willing to do it, and are willing to review the results, although few currently do?so. Education, training, and support may help HPs identify and address?patients' spiritual VBPs.
机译：背景精神病史筛查（SSH）是卫生专业人员（HP）如何在门诊环境中识别患者的精神价值观，信仰和偏爱（VBP）。我们报告了美国最大的新教徒卫生系统，基督复临安息日会制度（AHS）中HP的态度和做法。方法与AHS相关实践的内科医生或中级从业者（N =？1082）取得了联系，并同意513位（47％）参加。要求参与者确定“精神保健协调员”（护士/工作人员），并填写一份调查表，以评估有关SSH的人口统计学，实践特征，宗教参与以及态度/做法。确定了态度/做法的患病率和预测因素。结果问卷由427位医生，86位中级从业人员和224位护士/工作人员（即精神护理协调员）完成。在医生中，有45％的人同意HP应该使用SSH;中级从业者中，有56％同意;护士/职员中，有54％同意。很大一部分人（范围在31％到54％之间）同意医生应该使用SSH。参与者指出，SSH适用于所有门诊患者（46–57％），定期检查（50–60％），慢性病（71–75％）和绝症（79–82％）。多数同意SSH应该记录在病历中（67–80％）。目前很少有（11–17％）使用SSH，尽管大多数人至少有时愿意采用SSH（87–94％）或查看结果（86–98％）。自我评价宗教的重要性是SSH态度/做法的最强预测指标。结论AHS中的许多人都说应该进行SSH，愿意这样做，并愿意审查结果，尽管目前很少这样做。教育，培训和支持可以帮助HP识别并解决患者的精神VBP。

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