Spirituality in a Doctor’s Practice: What Are the Issues?

Introduction: It is becoming increasingly important to address the spiritual dimension in the integral care of the people in order to adequately assist them in the processes of their illness and healing. Considering the spiritual dimension has an ethical basis because it attends to the values and sp...

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Authors: López Tarrida, Ángela del Carmen, Diego Cordero, Rocío de, Lima Rodríguez, Joaquín Salvador
Format: article
Status:Published version
Publication Date:2021
Country:España
Institution:Universidad de Sevilla (US)
Repository:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/139636
Online Access:https://hdl.handle.net/11441/139636
https://doi.org/10.3390/jcm10235612
Access Level:Open access
Keyword:spirituality
religiosity
spiritual care
physician
doctors
health professionals
comprehensive care
holistic
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spelling Spirituality in a Doctor’s Practice: What Are the Issues?López Tarrida, Ángela del CarmenDiego Cordero, Rocío deLima Rodríguez, Joaquín Salvadorspiritualityreligiosityspiritual carephysiciandoctorshealth professionalscomprehensive careholisticIntroduction: It is becoming increasingly important to address the spiritual dimension in the integral care of the people in order to adequately assist them in the processes of their illness and healing. Considering the spiritual dimension has an ethical basis because it attends to the values and spiritual needs of the person in clinical decision-making, as well as helping them cope with their illness. Doctors, although sensitive to this fact, approach spiritual care in clinical practice with little rigour due to certain facts, factors, and boundaries that are assessed in this review. Objective: To find out how doctors approach the spiritual dimension, describing its characteristics, the factors that influence it, and the limitations they encounter. Methodology: We conducted a review of the scientific literature to date in the PubMed, Scopus, and CINAHL databases of randomised and non-randomised controlled trials, observational studies, and qualitative studies written in Spanish, English, and Portuguese on the spiritual approach adopted by doctors in clinical practice. This review consisted of several phases: (i) the exclusion of duplicate records; (ii) the reading of titles and abstracts; (iii) the assessment of full articles and their methodological quality using the guidelines of the international Equator Network. Results: A total of 1414 publications were identified in the search, 373 of which were excluded for being off-topic or repeated in databases. Of the remaining 1041, 962 were excluded because they did not meet the inclusion criteria. After initial screening, 79 articles were selected, from which 17 were collected after reading the full text. A total of 8 studies were eligible for inclusion. There were three qualitative studies and five cross-sectional observational studies with sufficient methodological quality. The results showed the perspectives and principal characteristics identified by doctors in their approach to the spiritual dimension, with lack of training, a lack of time, and fear in addressing this dimension in the clinic the main findings. Conclusions: Although more and more scientific research is demonstrating the benefits of spiritual care in clinical practice and physicians are aware of it, efforts are needed to achieve true holistic care in which specific training in spiritual care plays a key role.MDPIEnfermería2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/139636https://doi.org/10.3390/jcm10235612reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Clinical Medicine (JCM), 10 (23), 5612.https://www.mdpi.com/2077-0383/10/23/5612info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1396362026-06-17T12:51:07Z
dc.title.none.fl_str_mv Spirituality in a Doctor’s Practice: What Are the Issues?
title Spirituality in a Doctor’s Practice: What Are the Issues?
spellingShingle Spirituality in a Doctor’s Practice: What Are the Issues?
López Tarrida, Ángela del Carmen
spirituality
religiosity
spiritual care
physician
doctors
health professionals
comprehensive care
holistic
title_short Spirituality in a Doctor’s Practice: What Are the Issues?
title_full Spirituality in a Doctor’s Practice: What Are the Issues?
title_fullStr Spirituality in a Doctor’s Practice: What Are the Issues?
title_full_unstemmed Spirituality in a Doctor’s Practice: What Are the Issues?
title_sort Spirituality in a Doctor’s Practice: What Are the Issues?
dc.creator.none.fl_str_mv López Tarrida, Ángela del Carmen
Diego Cordero, Rocío de
Lima Rodríguez, Joaquín Salvador
author López Tarrida, Ángela del Carmen
author_facet López Tarrida, Ángela del Carmen
Diego Cordero, Rocío de
Lima Rodríguez, Joaquín Salvador
author_role author
author2 Diego Cordero, Rocío de
Lima Rodríguez, Joaquín Salvador
author2_role author
author
dc.contributor.none.fl_str_mv Enfermería
dc.subject.none.fl_str_mv spirituality
religiosity
spiritual care
physician
doctors
health professionals
comprehensive care
holistic
topic spirituality
religiosity
spiritual care
physician
doctors
health professionals
comprehensive care
holistic
description Introduction: It is becoming increasingly important to address the spiritual dimension in the integral care of the people in order to adequately assist them in the processes of their illness and healing. Considering the spiritual dimension has an ethical basis because it attends to the values and spiritual needs of the person in clinical decision-making, as well as helping them cope with their illness. Doctors, although sensitive to this fact, approach spiritual care in clinical practice with little rigour due to certain facts, factors, and boundaries that are assessed in this review. Objective: To find out how doctors approach the spiritual dimension, describing its characteristics, the factors that influence it, and the limitations they encounter. Methodology: We conducted a review of the scientific literature to date in the PubMed, Scopus, and CINAHL databases of randomised and non-randomised controlled trials, observational studies, and qualitative studies written in Spanish, English, and Portuguese on the spiritual approach adopted by doctors in clinical practice. This review consisted of several phases: (i) the exclusion of duplicate records; (ii) the reading of titles and abstracts; (iii) the assessment of full articles and their methodological quality using the guidelines of the international Equator Network. Results: A total of 1414 publications were identified in the search, 373 of which were excluded for being off-topic or repeated in databases. Of the remaining 1041, 962 were excluded because they did not meet the inclusion criteria. After initial screening, 79 articles were selected, from which 17 were collected after reading the full text. A total of 8 studies were eligible for inclusion. There were three qualitative studies and five cross-sectional observational studies with sufficient methodological quality. The results showed the perspectives and principal characteristics identified by doctors in their approach to the spiritual dimension, with lack of training, a lack of time, and fear in addressing this dimension in the clinic the main findings. Conclusions: Although more and more scientific research is demonstrating the benefits of spiritual care in clinical practice and physicians are aware of it, efforts are needed to achieve true holistic care in which specific training in spiritual care plays a key role.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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format article
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dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/139636
https://doi.org/10.3390/jcm10235612
url https://hdl.handle.net/11441/139636
https://doi.org/10.3390/jcm10235612
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine (JCM), 10 (23), 5612.
https://www.mdpi.com/2077-0383/10/23/5612
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv MDPI
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