Spiritual care is stagnating in general practice

Abstract

training in clinical reasoning, patient safety, human factors, critical thinking, managing uncertainty, cognitive heuristics and biases, test limitations, probability concepts, reliability science and systems thinking. Training focused on the causes and impact of diagnostic error might help providers become more competent in error prevention. Simulations and feedback can be a helpful way to learn.' 3 Communication skills teaching is a core subject in undergraduate medical education, whereas teaching future doctors about the need to adopt a patient safetyfocused approach to the clinical assessment, diagnosis, and management of patients receives surprisingly little attention. Consultation skills teaching should include not only communication skills but also the principles of practices of safer consulting, including risk assessment in clinical decision making, managing diagnostic uncertainty, and safety-netting skills. 4,5 An online educational programme that covered diagnostic reasoning and how to reduce the risk of diagnostic errors, along with methods of managing diagnostic uncertainty safely, could be developed by the RCGP/SAPC to support both GP teachers and students on their primary care attachments, and has the potential to deliver safer doctors to the workplace.

Spiritual Support During COVID-19 in England: A Scoping Study of Online Sources

“…Yet, it would also prepare all professionals across the system (Bornet et al, 2019 ), to cater for the spiritual support needs of patients, relatives, and themselves, in a time of severe spiritual suffering, and ethical challenges, around difficult treatment choices (Wakam et al, 2020 ). In fact, despite the increasingly recognised and inclusive role of chaplains within NHS England (Macdonald, 2019 ; Swift et al, 2015 ), frontline nurses continue to be key providers of spiritual support in emergency situations. According to Carey and Cohen ( 2015 ), in 2002, the WHO issued the Pastoral Intervention Codings (PICs) to record and account for the religious, pastoral and/or spiritual interventions of chaplains and volunteers providing care to patients.…”

Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

“…Thus, medical facilities, medical practices, hospitals, nursing homes, facilities for the disabled, or rehabilitation clinics should explore patients’ spirituality and provide support in this area. It is generally assumed that GPs are well suited to integrate older adults’ living circumstances and biographical influences into their health care [ 6 , 7 , 8 , 9 ]. This is because they are usually the first contact person for all health issues and often accompany their patients for years.…”