Attitudes of stakeholders and policymakers in the healthcare system towards the provision of spiritual care in Israel

Bentur, Netta; Resnitzky, Shirli; Sterne, Abram

doi:10.1016/j.healthpol.2009.12.006

Cited by 16 publications

(13 citation statements)

References 21 publications

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“…This suggests the importance of education and awareness in determining public interest in the service – the more patients understood what the service has to offer, the greater their interest in receiving the service. That result parallels the finding that lack of knowledge and understanding are key factors in institutions not including spiritual care [22]. The results for patient interest may be expected to change as levels of awareness grow.…”

Section: Discussionsupporting

confidence: 77%

“…But in Israel, our profession has been very concerned to distinguish between the two, following the broader definition of spirituality that has increasingly become accepted in the field in the West [11]. One qualitative study examining key Israeli stakeholders' attitudes towards spiritual care highlights the tension among Jews in Israel, "where the religious and secular publics are polarized and the secular shy away from anything that may be interpreted as religious coercion" [22]. As one nursing institution director said, " 'I don't want it to appear as if the spiritual support provider has anything to do with things such as organ donations or religion.'…”

Section: Introductionmentioning

confidence: 99%

“…However, it may not be possible to infer interest levels from a country with an established spiritual care service, like the US, to one where spiritual care is new and not well-known [22], like Israel.…”

Section: Introductionmentioning

confidence: 99%

“…There have been qualitative studies examining the challenges and accomplishments in introducing professional spiritual care in Israel over the past decade [22,23,34]. However, there have not been any quantitative studies in Israel nor studies of any kind of the question of patient interest in spiritual care prior to the present study.…”

Section: Introductionmentioning

confidence: 99%

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Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care

2014

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BackgroundAs professional spiritual care (chaplaincy) is introduced to new cultures worldwide, it bears examining which elements of screening and care are universal and, for those elements showing cultural difference, to study them in each culture. No quantitative spiritual care patient study had previously been done in Israel. Our objectives were twofold: 1) to examine who wants spiritual care in Israel, including demographic and clinical variables, and to compare against other results worldwide to further develop universal screening protocols 2) to see what patients want from spiritual care specifically in the Israeli setting.MethodsSelf-administered patient questionnaire examining spirituality/religiosity, interest in spiritual care (subdivided by type of care), and key demographic, social, and clinical data. The study setting was an Israeli oncology center at which spiritual care had been recently introduced.ResultsData from 364 oncology patient questionnaires found 41% interest in spiritual care, as compared to 35%-54% in American studies. Having previously been visited by a spiritual caregiver predicted patient interest in further spiritual care (AOR 2.4, 95% CI 1.2-4.6), suggesting that the new service is being well-received. Multivariate stepwise logistic regression analysis identified additional predictors of openness to receiving spiritual care: self-describing as somewhat/very spiritual vs. not spiritual (adjusted odds ratio [AOR] 3.9 and 6.3, 95% CI 1.8-8.6 and 2.6-15.1) or traditional/religious vs. secular (AOR 2.2 and 2.1, 95% CI 1.3-3.6 and 1.1-4.0); and receiving one visit a week or less from family and friends (AOR 5.6, 95% CI 2.1-15.1). These findings are in line with previous American studies, suggesting universality across cultures that could be utilized in screening. Differences in demographic data and medical condition were not significant predictors of patient interest, suggesting a cultural difference, where age and education were predictors in the American context. Levels of interest in explicitly religious or spiritual support such as prayer or addressing religious/spiritual questions were much lower than in other cultures.ConclusionsResults illustrate the demand for and satisfaction with the new Israeli service. The cross-cultural comparison found both culture-dependent and possibly universal predictors of patient interest, and found lower interest in Israel for explicitly religious/spiritual types of support.

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care

2014

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“…39,40 Stakeholders and decision-makers in the Israeli healthcare system recommended several steps to help spiritual-care providers overcome the problems of finding work and integrating into the system. 41 Firstly, spiritual care should get official credentialing as a new health profession. Secondly, decision-makers should be given a full and detailed introduction to the new profession, thereby raising its profile.…”

Section: Discussionmentioning

confidence: 99%

Challenges and achievements in the development of spiritual-care training and implementation in Israel

Bentur

Resnizky

2010

Palliat Med

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In recent years, pioneering spiritual-care training programs and services have been developed in Israel. This paper examines the implementation of the training programs and the challenge of integrating program graduates in the healthcare services. The information was collected through in-depth interviews with 12 students and graduates and the directors of the three training programs. All the interviews were transcribed in full and analyzed using qualitative study methods. The interviewees emphasized the importance of practical experience, although many of them encountered some degree of antagonism during their training or placement. Continuation of personal counseling and supervision after the conclusion of the program is also essential. Some were worried that they would not find work or were concerned about negotiations with potential employers. Evidently, the implementation of spiritual-care education must continue apace and careful consideration be given to optimizing its acceptance by the establishment.

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A hybrid health service accreditation program model incorporating mandated standards and continuous improvement: interview study of multiple stakeholders in Australian health care

Greenfield

Hinchcliff

Hogden

et al. 2015

Health Planning & Management

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The study aim was to investigate the understandings and concerns of stakeholders regarding the evolution of health service accreditation programs in Australia. Stakeholder representatives from programs in the primary, acute and aged care sectors participated in semi-structured interviews. Across 2011-12 there were 47 group and individual interviews involving 258 participants. Interviews lasted, on average, 1 h, and were digitally recorded and transcribed. Transcriptions were analysed using textual referencing software. Four significant issues were considered to have directed the evolution of accreditation programs: altering underlying program philosophies; shifting of program content focus and details; different surveying expectations and experiences and the influence of external contextual factors upon accreditation programs. Three accreditation program models were noted by participants: regulatory compliance; continuous quality improvement and a hybrid model, incorporating elements of these two. Respondents noted the compatibility or incommensurability of the first two models. Participation in a program was reportedly experienced as ranging on a survey continuum from "malicious compliance" to "performance audits" to "quality improvement journeys". Wider contextual factors, in particular, political and community expectations, and associated media reporting, were considered significant influences on the operation and evolution of programs. A hybrid accreditation model was noted to have evolved. The hybrid model promotes minimum standards and continuous quality improvement, through examining the structure and processes of organisations and the outcomes of care. The hybrid model appears to be directing organisational and professional attention to enhance their safety cultures. Copyright © 2015 John Wiley & Sons, Ltd.

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Attitudes of stakeholders and policymakers in the healthcare system towards the provision of spiritual care in Israel

Cited by 16 publications

References 21 publications

Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care

Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care

Challenges and achievements in the development of spiritual-care training and implementation in Israel

A hybrid health service accreditation program model incorporating mandated standards and continuous improvement: interview study of multiple stakeholders in Australian health care

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