Skip to main content

Table 2 Attitudes concerning the “screening” spiritual history

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

  Physicians Mid-level Practitioners Nurses, Other Health Professionals & Staff
(n = 427) (n = 93) (n = 217)
% (n) % (n) % (n)
Should health professionals do a screening spiritual history (SH)?2
 Not at all/slight/some 27.7 (117) 22.6 (21) 18.3 (39) **
 Moderate 27.2 (115) 24.7 (23) 26.3 (56)
 Quite a bit/very much 45.2 (191) 52.7 (49) 55.4 (118)
Which health professional should do it?3
 Physician 41.8 (175) 29.4 (27) 55.1 (118) ****
 Nurse or med assistant 33.9 (142) 31.5 (29) 17.8 (38)
 Other (staff) 24.3 (102) 39.1 (36) 27.1 (58)
How many questions should screening SH consist of? 2
 One or two 27.5 (115) 22.6 (21) 14.30 (31) ***
 Three 49.9 (209) 49.5 (46) 56.2 (122)
 Four, five or six 22.7 (95) 28.0 (26) 29.5 (64)
Patients most often respond to screening SH with: 2
 Resistance 1.7 (7) 2.2 (2) 4.4 (9) ****
 Puzzlement/indifference 25.5 (103) 28.9 (26) 39.8 (82)
 Acceptance/appreciation 72.8 (294) 68.9 (62) 55.8 (115)
On what kinds of patients should SH be done? (% yes)1, 3
 All outpatients (OP) 46.0 (193) 52.8 (47) 59.0 (125) **
 OP during well-visit 57.6 (240) 69.7 (62) 50.0 (106) **
 OP with chronic illness 76.0 (317) 73.0 (65) 75.0 (159)
 OP with terminal illness 80.1 (334) 82.0 (73) 82.6 (175)
 All inpatients (IP) admitted 66.0 (275) 71.9 (64) 67.0 (142)
 IP with chronic illness 71.9 (300) 74.2 (66) 72.6 (154)
 IP with acute serious illness 72.9 (304) 75.3 (67) 74.5 (158)
 IP with terminal illness 79.1 (330) 79.8 (71) 79.7 (169)
What should health professional do with spiritual history? (% yes)1, 3
 Document in medical record 69.3 (293) 76.3 (71) 68.2 (146)
 Be aware of, not document 23.4 (99) 17.2 (16) 22.4 (48)
 Refer to chaplain 82.3 (349) 90.3 (84) 91.2 (196) **
 Contact patient’s clergy 35.7 (151) 39.8 (37) 30.8 (66)
 Contact social worker 39.4 (167) 46.2 (43) 30.2 (65)*
 Address spiritual needs 50.4 (213) 44.1 (41) 41.1 (88)
  1. 1Assuming that response to items not indicating “yes” were “no”
  2. 2Mantel-Haenszel χ2; 3chi-square = χ2
  3. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.001