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首页> 外文期刊>Journal of Religion and Health >Spiritual Beliefs and Barriers Among Managed Care Practitioners
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Spiritual Beliefs and Barriers Among Managed Care Practitioners

机译：管理式护理从业者中的精神信仰和障碍

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Purpose: Ninety percent of American adults believe in God and 82% pray weekly. A majority wants their physicians to address spirituality during their health care visit. However, clinicians incorporate spiritual discussion in less than 20% of visits. Our objectives were to measure clinician beliefs and identify perceived barriers to integrating spirituality into patient care in a statewide, primary care, managed care group. Methods: Practitioners completed a 30-item survey including demographics and religious involvement (DUREL), spirituality in patient care (SPC), and barriers (BAR). We analyzed data using frequencies, means, standard deviations, and ANOVA. Findings: Clinicians had a range of religious denominations (67% Christian, 14% Jewish, 11% Muslim, Hindu or Buddhist, 8% agnostic), were 57% female and 24% had training in spirituality. Sixty-six percent reported experiencing the divine. Ninety-five percent felt that a patients spiritual outlook was important to handling health difficulties and 68% percent agreed that addressing spirituality was part of the physicians role. Ninety-five percent of our managed care group noted 8lack of time as an important barrier, lack of training was indicated by 69%, and 21% cited fear of response from administration. Conclusions: Managed care practitioners in a time constrained setting were spiritual themselves and believed this to be important to patients. Respondents indicated barriers of time and training to implementing these beliefs. Comparing responses from our group to those in other published surveys on clinician spirituality, we find similar concerns. Clinician education may overcome these barriers and improve ability to more fully meet their patients expressed needs regarding spirituality and beliefs.
机译：目的：百分之九十的美国成年人信仰上帝，百分之八十二的人每周祈祷。大多数人希望他们的医生在进行保健访问时解决灵性问题。但是，临床医生在不到20％的就诊次数中进行了精神讨论。我们的目标是衡量临床医生的信念，并确定在州范围内的初级保健，管理型护理小组中将灵性纳入患者护理的感知障碍。方法：从业人员完成了一项包括人口统计学和宗教信仰（DUREL），病人护理中的灵性（SPC）和障碍（BAR）在内的30项调查。我们使用频率，均值，标准差和ANOVA分析数据。调查结果：临床医生具有多种宗教信仰（67％的基督徒，14％的犹太人，11％的穆斯林，印度教徒或佛教徒，8％不可知论者），57％的女性和24％的人接受过灵性训练。百分之六十六报告称经历了神圣。 95％的人认为患者的精神面貌对解决健康困难很重要，而68％的人同意解决精神问题是医生角色的一部分。在我们的管理式护理小组中，有95％的人指出8个时间不足是一个重要障碍，69％的人表示缺乏培训，还有21％的人表示害怕对管理的反应。结论：在时间有限的环境中，有管理的护理从业人员本身就是精神上的，并且认为这对患者很重要。受访者指出了实施这些信念的时间和培训障碍。将我们小组与其他已发表的有关临床医生精神研究的调查结果进行比较，我们发现了类似的问题。临床医生教育可以克服这些障碍，并提高其能力，以更充分地满足患者对精神和信仰的需求。

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