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How Should Clinicians Respond to Requests from Patients to Participate in Prayer?
April R Christensen1, Tara E Cook1, Robert M Arnold2
1a second-year palliative care fellow and clinical instructor of medicine in the Section of Palliative Care and Medical Ethics in the Division of General Internal Medicine in the Department of Medicine at the University of Pittsburgh Medical Center.
Physicians now view patient prayer requests with nuanced understanding, recognizing diverse patient needs and clinician boundaries. Responding effectively requires physicians to discern the underlying reasons for the request before acting.
Area of Science:
- Medical Ethics
- Psychology of Healthcare
Background:
- Historically, patient prayer requests were often seen as crossing professional boundaries.
- Contemporary medical practice is evolving towards a more nuanced approach to such requests.
Purpose of the Study:
- To explore the evolving physician perspective on patient prayer requests.
- To understand the diverse needs underlying a patient's request for prayer.
- To examine the skills required for physicians to respond appropriately.
Main Methods:
- Qualitative analysis of a clinical scenario involving a patient's request for prayer.
- Exploration of the physician's internal and external boundary considerations.
Main Results:
- Patient prayer requests can signify religious distress, anxiety, or a desire for physician connection.
- Effective physician response necessitates understanding the request's root cause.
- Physician emotional regulation and discernment skills are crucial for appropriate responses.
Conclusions:
- The interpretation of patient prayer requests has shifted towards patient-centered care.
- Physicians need specific skills to navigate these requests ethically and effectively.
- Understanding the patient's underlying needs is paramount before formulating a response.
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