Exploration of patients' spiritual/religious beliefs and resuscitation decisions
View File(s)
- Author(s)
- Details
-
Elizabeth A. Freitas, PhD, MS, RN, ONS, ACHPN
- Sigma Affiliation
- Gamma Psi at-Large
The resuscitation decision, which has the potential to reverse a premature death or prolong the dying process, is complex and can be associated with spiritual/religious beliefs, values, and quality of life. The consequences of the resuscitation decision make it imperative that healthcare providers have an understanding of patients’ spiritual/religious beliefs and how those beliefs are associated with their resuscitation decisions. The objective of this study was to determine the associations between hospitalized patients’ spiritual/religious beliefs and their resuscitation decisions.
A single-site, descriptive, correlational study was conducted with a convenience sample of 84 hospitalized patients who were enrolled between November 20, 2015 and January 16, 2016. The Spiritual Involvement and Beliefs Scale-Revised (SIBS-R) and Beliefs and Values Scale (BVS) were used to assess spiritual/religious beliefs. Two questions (If your heart were to stop would you want someone to try to restart it? If you were to stop breathing would you want a breathing tube and machine?) were used to determine resuscitation decision.
No associations were found between the demographic characteristics of this patient population and their resuscitation decisions. However, participants’ SIBS-R Total and External/Ritual scores and BVS Total and Factor 1 scores varied significantly according to primary spiritual/religious beliefs (traditional theistic and non-theistic) and ethnicity (Asian, Caucasian, and Native Hawai‘ian/Pacific Islanders).
This study found no associations between resuscitation decisions and spiritual/religious beliefs in the sample of hospitalized patients, thus in the clinical setting assumptions about spiritual/religious beliefs and resuscitation decisions should not be made. Further research shouldaddress the complexity of the resuscitation decision, including individual factors such as patient understanding of medical interventions and anticipated prognosis, and influencing factors regarding cultural collectivist decision-making and acculturation.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10587373; ProQuest document ID: 1884284503. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
| Type | Dissertation |
| Acquisition | Proxy-submission |
| Review Type | None: Degree-based Submission |
| Format | Text-based Document |
| Evidence Level | Descriptive/Correlational |
| Research Approach | Quantitative Research |
| Keywords | Quality of Life; Spiritual/Religious Care; End-of-Life Decisions; Life-Supportive Care; Holistic Nursing Care |
| Grantor | University of Hawai'i at Mānoa |
| Advisor | LeVasseur, Sandra A.; Tam, Elizabeth; Tse, Alice; Zhang, Guangxiang; Kataoka-Yahiro, Merle R. |
| Level | PhD |
| Year | 2016 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Exploring nursing students' resilience and spirituality in an end-of-life care simulation
End-of-life care requires nurses to be resilient and embrace spirituality. However, the literature is deficient in examining the relationship between resilience and spirituality in undergraduate nursing students, including ... -
Nurses' attitudes toward assisting patients/families with end-of-life decision-making
Nurses often feel unable to help with decision-making near the end of life. The purpose of this study was to develop an instrument to measure medical-surgical nurses' attitudes toward assisting patients and families with ... -
Nursing students' perceptions of learning needs toward end-of-life care: A focus group exploration
(2017-09-28)A series of focus groups were conducted with undergraduate baccalaureate nursing students to explore their perceptions of their learning needs in regards to providing palliative and end of life care to patients and families. -
Audit of end-of-life nursing care in Ghana
Nursing responsibility in end-of-life care include performing activities that leads to a peaceful death. The study seeks to determine the End-of-Life nursing care rendered to clients who died whilst on admission in the ... -
A qualitative descriptive study of novice and advanced beginner nurse's experiences caring for patients and their families at the end-of-life
Nurses are the primary healthcare professionals that spend the most time caring for seriously ill patients. Nurses have a responsibility to care for patients at the end of their lives, to relieve pain, and promote dignity ...
