Evidence map›Paper›PMID 31678463›Full record

ArticleJournal of pain and symptom management2020

Intensivists' Religiosity and Perceived Conflict During a Simulated ICU Family Meeting.

Amanda Moale, Melissa L Teply, Tiange Liu, Arun L Singh, Pragyashree Sharma Basyal, Alison E Turnbull

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Article in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Amanda MoaleDepartment of Internal Medicine, Johns Hopkins Hospital, Baltimore, Maryland, USA. Electronic address: amoale1@jhmi.edu.
Melissa L TeplyDivision of Geriatrics, Gerontology, and Palliative Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Tiange LiuDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Arun L SinghDivision of Pediatric Palliative Care, Department of Pediatrics, Prisma Health Children's Hospital-Upstate, Greenville, South Carolina, USA.
Pragyashree Sharma BasyalOutcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, Maryland, USA; Division of Geriatric Medicine and Gerontology, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Alison E TurnbullDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA; Outcomes After Critical Illness and Surgery (OACIS) Group, Johns Hopkins University, Baltimore, Maryland, USA; Division of Pulmonary and Critical Care Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

Funding

Understanding Response Shift in Acute Respiratory Distress Syndrome (ARDS) survivorsK01HL141637 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TURNBULL, ALISON · 2018 to 2022
$853k
NHLBI NIH HHS K01 HL141637NHLBI NIH HHS L30 HL129364
6 · The paper itself

Abstract

contextConflict is frequently reported by both clinicians and surrogate decision makers for adult patients in intensive care units. Because religious clinicians view religion as an important dimension of end-of-life care, we hypothesized that religious critical care attendings (intensivists) would be more comfortable and perceive less conflict when discussing a patient's critical illness with a religious surrogate.

objectivesThe objective of this study was to assess if religious intensivists are more or less likely to perceive conflict during a simulated family meeting than secular colleagues.

methodsIntensivists were recruited to participate in a standardized, simulated family meeting with an actor portraying a family member of a critically ill patient. Intensivists provided demographic information including their current religion and the importance of religion in their lives. After the simulation, intensivists rated the amount of conflict they perceived during the simulation. The association between intensivist's self-reported religiosity and perceived conflict was estimated using both univariate analysis and multivariable logistic regression.

resultsAmong 112 participating intensivists, 43 (38%) perceived conflict during the simulation. Among intensivists who perceived conflict, 49% were religious, and among those who did not perceive conflict, 35% were religious. After adjusting for physician race, gender, years in practice, intensive care unit weeks worked per year and actor, physician religiosity was associated with greater odds of perceiving conflict during the simulated family meeting (adjusted prevalence ratio = 2.77, [95% CI 1.12-7.16], P = 0.03).

conclusionReligious intensivists were more likely to perceive conflict during a simulated family meeting.

Indexed as

Critical CareIntensive Care UnitsAdultCritical IllnessHumansProfessional-Family RelationsReligionconflictfamily meetingsIntensivists' religiosityreligion

Identifiers

PMID31678463
PMCPMC7024641

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.