Do patients want doctors to talk about spirituality? A systematic literature review
Abstract
Objective The aim of this systematic literature review was to ascertain the patient perspective regarding the role of the doctor in the discussion of spirituality.Methods We conducted a systematic search in ten databases from inception to January 2015. Eligible papers reported on original research including patient reports of discussion of spirituality in a medical consultation. Papers were separated into qualitative and quantitative for the purposes of analysis and quality appraisal with QualSyst. Papers were merged for the final synthesis.Results 54 studies comprising 12,327 patients were included. In the majority of studies over half the sample thought it was appropriate for the doctor to enquire about spiritual needs in at least some circumstances (range 2.1-100%, median 70.5%), but patient preferences were not straightforward.Conclusion While a majority of patients express interest in discussion of religion and spirituality in medical consultations, there is a mismatch in perception between patients and doctors regarding what constitutes this discussion and therefore whether it has taken place.Practice implications This review demonstrated that many patients have a strong interest in discussing spirituality in the medical consultation. Doctors should endeavor to identify which patients would welcome such conversations.
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Several barriers limit addressing R/S, including the lack of training by health professionals and the lack of clear defined concepts.
“several barriers limit addressing R/S, including the lack of training by health professionals and the lack of clear defined concepts (Best et al., 2015; Menegatti-Chequini et al., 2019).”
From Defining spirituality in healthcare: a systematic review and conceptual framework. (2021) · cites this paper as Best et al., 2015
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- Authors
- Best, M., Butow, P., & Olver, I.
- Affiliations
- The University of Sydney (AU)
- University of South Australia (AU)
- Corresponding author
- Best, Megan
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 98
- Issue
- 11
- Pages
- 1320-1328
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2108787934
- Cited by
- 279
- References
- 75
- Citations by year
- 2026: 17 · 2025: 26 · 2024: 27 · 2023: 28 · 2022: 33 · 2021: 35 · 2020: 41 · 2019: 19 · 2018: 21 · 2017: 15 · 2016: 13 · 2015: 4
- FWCI
- 3.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- spirituality, patient preferences, physician-patient communication, medical consultation, spiritual needs, patient perspectives
- MeSH terms
- Humans, Physician's Role, Referral and Consultation, Spirituality, Patient Preference
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