Articlegold2022

Discussing spiritual health in primary care and the HOPE tool—A mixed methods survey of GP views

Ishbel Orla Whitehead · Carol Jagger · Barbara Hanratty

12 citations0/0 files storedPLoS ONE

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Religion, Spirituality, and Psychology Patient-Provider Communication in Healthcare Workplace Spirituality and Leadership

Abstract

BACKGROUND: In the UK, the General Medical Council (GMC) and Royal College of General Practitioners (RCGP) require doctors to consider spiritual health in their consultations. There are documented barriers to discussion of spiritual health, and suggested tools to help overcome them. AIM: To investigate how comfortable general practitioners (GPs) feel about discussing spiritual health in the consultation, and whether a structured tool (the HOPE tool) would be helpful. DESIGN AND SETTING: A mixed-methods online survey completed by GPs in England. METHOD: A mixed methods online survey of practicing GPs in England asked about current comfort with the topic of spiritual health and use of spiritual history-taking tools. The acceptability of the HOPE tool was investigated using patient vignettes drawn from clinical practice. RESULTS: 177 GPs responded. 88 (49.71%) reported that they were comfortable asking patients about spiritual health. GPs felt most comfortable raising the topic after a patient cue (mean difference between pre and post cue 26%). The HOPE tool was viewed as acceptable to use with patients by 65% of participants, although its limitations were acknowledged. Qualitative data showed concerns about regulator (the GMC) and peer disapproval were major barriers to discussions, especially in the case of discordance between patient and doctor background. CONCLUSION: Only half of GPs are comfortable discussing spiritual health. Dedicated training, using a structured approach, with regulatory approval, may help overcome barriers to GPs discussing spiritual health. Further research into the benefits, and risks, of discussion of spiritual health in the GP consultation is recommended.

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2012Applied Thematic Analysis 2001Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment 2015Do patients want doctors to talk about spirituality? A systematic literature review 2015Doctors discussing religion and spirituality: A systematic literature review 2011Spirituality in general practice: a qualitative evidence synthesis 2016Why do We Find It so Hard to Discuss Spirituality? A Qualitative Exploration of Attitudinal Barriers 2015Integrating Spirituality as a Key Component of Patient Care 2005Concordant Spiritual Orientations as a Factor in Physician--Patient Spiritual Discussions: A Qualitative Study

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