Factors influencing views of patients with gynecologic cancer about end-of-life decisions

Roberts, James A.; Brown, Douglas L.; Elkins, Thomas E.; Larson, David B.

doi:10.1016/s0002-9378(97)80030-0

Cited by 121 publications

(57 citation statements)

References 27 publications

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“…Beliefs, values, traditions, and practices have been shown to impact health and health care decisions. 13,15,20 After a robust and dynamic discussion with several rounds of voting, agreement was reached on the following definition of spirituality:…”

Section: International Consensus Definition Of Spiritualitymentioning

confidence: 99%

“…[7][8][9] Data indicate that a focus on spirituality improves patients' health outcomes, including quality of life. [10][11][12][13][14][15][16][17][18][19][20][21][22] Conversely, negative spiritual and religious beliefs can cause distress and increase the burdens of illness. 23,24 Given that global health outcomes are influenced by health care access, and considering increases in patient dissatisfaction and clinician burnout, addressing spirituality is both relevant and timely.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus

Puchalski

Vitillo²,

Hull

et al. 2014

Journal of Palliative Medicine

672

444

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conference built on the 2012 conference to produce a set of standards and recommended strategies for integrating spiritual care across the entire health care continuum, not just palliative care. Deliberations were based on evidence that spiritual care is a fundamental component of high-quality compassionate health care and it is most effective when it is recognized and reflected in the attitudes and actions of both patients and health care providers.

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Section: International Consensus Definition Of Spiritualitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus

Puchalski

Vitillo²,

Hull

et al. 2014

Journal of Palliative Medicine

672

444

View full text Add to dashboard Cite

show abstract

“…It is already known that religiosity permits one to cope better with the disease [1][2][3][4][5][6] and may influence its progression. 5 This study shows that religiosity is associated with prolongation of lifespan, regardless of the cause of death.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Surprisingly, increased spirituality/religiosity has positive effects on the progression of the disease. As a matter of fact, greater preservation of CD4 cells and better control of viral loads have been documented in patients showing an increase in religiosity after the diagnosis of human immunodeficiency virus.…”

mentioning

confidence: 99%

Religiosity associated with prolonged survival in liver transplant recipients

et al. 2010

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We tested the hypothesis that religiosity (ie, seeking God's help, having faith in God, trusting in God, and trying to perceive God's will in the disease) is associated with improved survival in patients with end-stage liver disease who have undergone orthotopic liver transplantation. We studied a group of 179 candidates for liver transplantation who responded to a questionnaire on religiosity during the pretransplant psychological evaluation and underwent transplantation between 2004 and 2007. The demographic data, educational level, employment status, clinical data, and results of the questionnaire were compared with the survival of patients during follow-up, regardless of the cause of any deaths. Factorial analysis of responses to the questionnaire revealed 3 main factors: searching for God (active), waiting for God (passive), and fatalism. 2 ¼ 8.506, P ¼ 0.035) were independently associated with survival, even after adjustments for the waiting for God factor, fatalism, age, sex, marital status, employment, educational level, viral etiology, Child-Pugh score, serum creatinine level, time from the questionnaire to transplantation, donor age, and intraoperative bleeding. Patients who did not present the searching for God factor were younger than those who did, but they had shorter survival times (P ¼ 0.037) and a 3-fold increased relative risk of dying (HR ¼ 3.01, 95% CI ¼ 1. 07-8.45). In conclusion, religiosity is associated with prolonged survival in patients undergoing liver transplantation.

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“…It is supposed to add meaning and purpose to life, and facilitate the connection with the moment, self expression, and attitude towards other human beings, nature and the sacred (3). Spirituality and religious beliefs have been shown to have an enormous impact on how people can cope with serious illness and life threatening stresses (4,5). Spirituality if often claimed to give people a certain feeling of wellbeing, improve the quality of life, and provide social support through spiritual social activities (6,7).…”

Section: Introductionmentioning

confidence: 99%

The implementation of the Sharia Law in medical practice: a balance between medical ethics and patients rights

Dargahi

2012

Br Dent J

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As medical ethics indisputably needs to consider patients' religious beliefs and spiritual ideas, one can suggest that hospitals are responsible for not only patients' rights and dignity, but also for her/his religious concerns and expectations. The current study is designed shed some light on the patients' view of the implementation of religious law in Iranian hospitals, specifically, the right of patients to be visited and delivered health services by professionals from the same sex. This protocol is proposed by the Ministry of Health and Medical Education of the Islamic Republic of Iran as a response to the increasing demand for implementation of the religious law by Iranian patients. This research is a cross-sectional study which was conducted at four teaching general hospitals in Tehran, Iran. The data was collected by the means of a questionnaire distributed to 120 women who were admitted to different wards of the hospitals. These women were asked to express their opinion of the implementation the Same Sex Health Care Delivery (SSHCD) system in Iranian hospitals. All analyses were performed with the use of SPSS software, version 16.0. The results indicate that half of the hospitalized women believed that being visited by a physician from the same gender is necessary who advocated the implementation of SSHCD in a clinical setting; and most of their husbands preferred their wives to be visited exclusively by female physicians. This study highlights the view of the Iranian patients towards the issue and urges the Ministry of Health and Medical Education of the Islamic Republic of Iran to accelerate the implementation of this law. SSHCD is what the majority of Iranian patients prefer, and, considering patients' rights and the medical ethics, it should be implemented by Iranian policy makers.

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Factors influencing views of patients with gynecologic cancer about end-of-life decisions

Cited by 121 publications

References 27 publications

Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus

Improving the Spiritual Dimension of Whole Person Care: Reaching National and International Consensus

Religiosity associated with prolonged survival in liver transplant recipients

The implementation of the Sharia Law in medical practice: a balance between medical ethics and patients rights

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