Journal of religion and health
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This study aims to develop and assess the psychometric properties of a measure of moral injury (MI) symptoms for identifying clinically significant MI in health professionals (HPs), one that might be useful in the current COVID-19 pandemic and beyond. A total of 181 HPs (71% physicians) were recruited from Duke University Health Systems in Durham, North Carolina. Internal reliability of the Moral Injury Symptom Scale-Healthcare Professionals version (MISS-HP) was examined, along with factor analytic, discriminant, and convergent validity. ⋯ Discriminant validity was demonstrated by modest correlations (r's = 0.25-0.37) with low religiosity, depression, and anxiety symptoms, whereas convergent validity was evident by strong correlations with clinician burnout (r = 0.57) and with another multi-item measure of MI symptoms (r = 0.65). ROC characteristics indicated that a score of 36 or higher was 84% sensitive and 93% specific for identifying MI symptoms causing moderate to extreme problems with family, social, and occupational functioning. The MISS-HP is a reliable and valid measure of moral injury symptoms in health professionals that can be used in clinical practice to screen for MI and monitor response to treatment, as well as when conducting research that evaluates interventions to treat MI in HPs.
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The 2019/2020 COVID outbreak has surfaced as a global pandemic. The news has carried stories of the heroic efforts of medical and other health practitioners, with public health officials charting the course of spread. In an urban center like Detroit, the generosity of everyday citizens and church organizations has also played an important role. This inspection of the pandemic from the view of Detroit will examine the epidemiology of the coronavirus, translation of professional practice into people's awareness of the chronic disease risk factors which are prevalent in Detroit, moral and ethical views on the distribution of resources, and three major ways that religious faith has helped to sustain people's health and welfare in the midst of the broad social challenges posed by this novel coronavirus.
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When people are praying, they are not only communicating with God (upward prayer), but also they are exploring their relationships with themselves (inward prayer) and with other people (outward prayer). Internal dialogical activity includes areas which correspond to upward, inward, and outward prayer. ⋯ We used: the Prayer Thoughts Scale, the Internal Dialogical Activity Scale, and the Psychological Well-Being Scale. The results showed that internal dialogue served as a mediator of the relationship between upward, inward, and outward prayer and well-being.
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Comparative Study
Comparison of Newly Graduated Nurses' and Doctors' Opinions About Spiritual Care and Their Emotional Intelligence Levels.
The study has been conducted to compare newly graduated nurses' and doctors' opinions about spiritual care and their emotional intelligence levels. Descriptive study's sample consisted of 50 nurses and 50 doctors who graduated from a university's medical faculty and health faculty recently. ⋯ Emotional intelligence (t = 3.42, p = 0.001) and spirituality and spiritual care detection levels (t = 3.63, p = 0.000) of nurses were found to be higher than those of doctors, and the difference between them was statistically significant. 84% of nurses and 50% of doctors stated that the spiritual care is necessary. While most of the nurses reported that they got training on spiritual care, only 32% of doctors said they did get.
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Recent approaches to spirituality in health care suggest spirituality and meaning making are intimately connected. However, not much has been done to explore the hermeneutic and existential implications of this perspective. ⋯ This leads to a systematic description of spirituality, which is both defined and described herein. This article ends with a reflection on the clinical implications of this model, drawing upon both practical literature and impressions from the author's own spiritual care clinical practice.