Abstract 253: The Importance of Spiritual Authorities in Critical Care Field: An International Survey Analysis
Notice bibliographique
Résumé
Purpose: Belief is a major aspect of every human being, especially in critical situations. We aimed to investigate if physicians think that religion should be implemented in the communication and/or management of the critical patient. We assessed their opinion about the need to have spiritual figures among the healthcare team in the Intensive Care Unit (ICU). Methods: An anonymous 30-question survey was conducted over a period of 7 months among health care providers in 174 different institutions around 40 different countries. The Questionnaire addressed religion and how it may affect the management and/or interaction with patients. Specifically, we inquired if the presence of a religious figure (e.g. Rabbi, Priest/Pastor, Imam, etc.) would enhance the communication and/or management of the patients. Results: Of the 10,106 surveys that were submitted, 30.6% (n=3092) were physicians, 22.4% (n=2262) were nurses, and the rest were medical students and other health care providers. The opinions on the impact on managing patients and communicating with them and their families in the presence of a spiritual authority, such as a Pastor, Priest, Rabbi, Imam or any other religious figure, as part of the ICU team, revealed that 47.9% (n=1480) of physicians thought it could be beneficial, 14% (n=433) said that it could be harmful, and 36.6% (n=1131) affirmed no impact. Regarding nurses, 51.4% (n=1163) indicated that it is beneficial, 10.1% (n=228) indicated that it is harmful, and 35.6% (n=806) think there is no impact. Of the physicians, 20.3% (n=628) of practicing members of a religion, 16.7% (n=519) of those who are believers but not practicing, 7.8% (n=242) of those spiritual but not religious, 2.1% (n=65) of those who do not believe in god or gods, consider that religious figures incorporated in the ICU team can improve patient outcome. While 26.0% (n=557) of nurses who are practicing members, 20.3% (n=435) of those who are believers but not practicing, and only 1% (n=116) of the other two categories (the spiritual but not religious and the non-believers) share the same opinion, p <0.001. Conclusions: One in every two physicians/nurses in this study considered spiritual authorities, as part of the ICU team, beneficial in managing the patients and communicating with them and their families. We also found a correlation between the religious practice of the physicians/nurses and their opinion about its impact on the care of the patients. Physicians who are committed to a religious practice, tend to state that this could be beneficial; while nurses who are spiritual but not religious indicated no impact on the management.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».