[NP-Clinical] Clinical Spirituality- it really is a lot moreimportant than you "believe" !

Fri Aug 17 16:28:06 PDT 2007

OK thanks, Dena. My apologies to everyone. After sending this I decided I was going to start using the delete button on this subject anyway, so have lots of fun with it, everyone.

Stephanie

----- Original Message -----
From: Dena 
Date: Friday, August 17, 2007 10:59 am
Subject: RE: [NP-Clinical] Clinical Spirituality- it really is a lot moreimportant than you "believe" !
To: 'NP Clinical' 

> Ooops, Stephanie, you need to be on your toes! The current 
> thread titled
> "Clinical Spirituality." is a different thread than the one 
> titled something
> about "Prayer" that discussed personal religious and political
> relationships. The NEW thread DOES deal with provider-patient 
> relationship. 
> 
> Dena Galler
> 
> 
> 
> _____ 
> 
> From: np-clinical-bounces at nurse.net [mailto:np-clinical-
> bounces at nurse.net]On Behalf Of stephanie2u at optonline.net
> Sent: Friday, August 17, 2007 6:23 AM
> To: NP Clinical
> Subject: Re: [NP-Clinical] Clinical Spirituality- it really is a lot
> moreimportant than you "believe" !
> 
> 
> 
> Nobody has said it is not important. You are talking about something
> completely different from the thread you are commenting on. All the
> discussion has to do with bringing up politics or religion on this
> listserve, not the provider-patient relationship. 
> 
> 
> 
> Stephanie 
> 
> ----- Original Message -----
> From: np at c-zone.net
> Date: Friday, August 17, 2007 1:31 am
> Subject: Re: [NP-Clinical] Clinical Spirituality- it really is a 
> lot more
> important than you "believe" !
> To: NP Clinical 
> 
> > The spiritual needs and orientation of patients' is very much 
> an 
> > importantissue of provider-patient dynamics. To ignore what 
> > motivates a patient to
> > respect and follow your guidance for health care is 
> neglectful. 
> > Whetherthe clinician has a spiritual side or not, doesn't it 
> > still make sense to
> > respect that part of the patient as a component of their 
> psychological> wellbeing? If spirituality is "the opiate of the 
> people" could a
> > clinician keep it in the drug samples drawer, to be dispensed when
> > requested/needed?
> > 
> > Take a look at:
> > 
> > J Fam Pract. 2002 Mar;51(3):249-54. Links
> > What do family physicians think about spirituality in clinical
> > practice?Ellis MR, Campbell JD, Detwiler-Breidenbach A, 
> Hubbard DK.
> > Cox Health Systems, Family Practice Residency Program, 
> > Springfield, MO
> > 65802, USA. mellis at coxnet.org
> > 
> > OBJECTIVES: To describe the context in which physicians 
> address 
> > patients'spiritual concerns, including their attitudes toward 
> > this task, cues to
> > discussion, practice patterns, and barriers and facilitators. STUDY
> > DESIGN: This was a qualitative study using semistructured 
> > interviews of 13
> > family physicians. POPULATION: We selected board-certified 
> > Missouri family
> > physicians in a nonrandom fashion to represent a range of 
> demographic> factors (age, sex, religious background), practice types
> > (academic/community practice; urban/rural), and opinions and 
> practice> regarding physicians' roles in addressing patients' 
> spiritual issues.
> > OUTCOMES MEASURED: We coded and evaluated transcribed 
> interviews for
> > themes. RESULTS: Physicians who reported regularly addressing 
> > spiritualissues do so because of the primacy of spirituality 
> in 
> > their lives and
> > because of the scientific evidence associating spirituality 
> with 
> > health.Respondents noted that patients' spiritual questions 
> > arise from their
> > unique responses to chronic illness, terminal illness, and 
> life 
> > stressors.Physicians reported varying approaches to spiritual 
> > assessment; affirmed
> > that spiritual discussions should be approached with 
> sensitivity and
> > integrity; and reported physician, patient, mutual physician-
> > patient, and
> > situational barriers. Facilitators of spiritual discussions included
> > physicians' modeling a life that includes a spiritual focus. 
> > CONCLUSIONS:These physicians differ in their comfort and 
> > practice of addressing
> > spiritual issues with patients but affirm a role for family 
> > physicians in
> > responding to patients' spiritual concerns. Factors that form 
> a 
> > contextfor discussions of spiritual issues with patients 
> include 
> > perceivedbarriers, physicians' role definition, familiarity 
> with 
> > factors likely to
> > prompt spiritual questions, and recognition of principles guiding
> > spiritual discussions.
> > 
> > PMID: 11978236 [PubMed - indexed for MEDLINE]
> > 
> > - - - AND - - - also see....
> > 
> > Child Adolesc Psychiatr Clin N Am. 2004 Jan;13(1):71-84.Links
> > Formulation and treatment: integrating religion and 
> spirituality in
> > clinical practice.Josephson AM.
> > Division of Child and Adolescent Psychiatry, Department of 
> > Psychiatry and
> > Behavioral Sciences, University of Louisville School of Medicine,
> > Louisville, KY 40292, USA. Allan.josephson at louisville.edu
> > 
> > Developing scientifically sound and clinically meaningful case
> > formulations is so challenging that it may verge on becoming a 
> > "lost art."
> > Pressures (scientific, economic, and cultural) remain that 
> > prevent child
> > and adolescent psychiatrists from getting a complete 
> > understanding of the
> > patient and family. Including a strong consideration of data 
> > related to
> > religion, spirituality, and worldview may seem only to 
> > complicate an
> > already arduous task. The clinician who includes these factors in
> > treatment is faced with decisions of when to discuss these 
> > issues, how to
> > discuss them and in what depth, and finally, when to refer to a
> > religious/spiritual professional. Nonetheless, the importance 
> of these
> > factors in the lives of many children and families leaves no 
> > option but to
> > address them as directly as possible. It is well worth the 
> > effort and, in
> > many cases, will open new areas for clinical improvement in 
> patients.> 
> > PMID: 14723301 [PubMed - indexed for MEDLINE]
> > 
> > 
> > > This is not clinical content! Send to NP-Info
> > > Ted Scott, NP-C
> > 
> > 
> > _______________________________________________
> > NP-Clinical mailing list
> > NP-Clinical at nurse.net
> > http://lists.nurse.net/mailman/listinfo/np-clinical
> > 
> > 
> 
> 
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