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 Spirituality and Cultural Diversity

Reasons to address spirituality and religious heritage as part of cultural diversity:

Religious beliefs are common

One survey of 150 outpatients demonstrated that over 90 percent believed in God, 85 percent used prayer, and 74 percent felt close to God. A survey of inpatients at two hospitals revealed that 98 percent believed in God and that 93 percent were very strong or somewhat strong in their beliefs. Seventy-three percent prayed daily or more often

Impact on health-related decisions and behaviors Sixty-one percent of Americans state that their religion is the most important influence in their daily lives (Gallup, 1990). Patients undergoing inpatient or outpatient medical treatment express strong religious and spiritual orientations (Maugans, 1991, King, 1994).
Spirituality is important to patients Ninety-four percent of people admitted to the hospital agree that spiritual health is as important as physical health. Spiritual concerns are almost universal among hospitalized patients.
Recognized standard of care The Joint Council for Accreditation of Healthcare Organizations (JCAHO) has recognized the influence of spirituality on hospitalized patients by requiring a hospital chaplain or access to pastoral services in the standards for accreditation of all hospitals (JCAHO, 1999). According to the JCAHO, a spiritual assessment should be performed on every patient, identifying, "at a minimum," the patient's denomination, beliefs, and spiritual practices.
Better care for patients

Clinicians should be aware of the more common health beliefs of religious groups in their practice, so that they will be able to better counsel and care for their patients. Health beliefs vary according to culture, education, and experience. Religious beliefs can be very strong and can be the deciding factor in medical decisions like abortion or withdrawal of life support.

While individuals' beliefs do not always coincide with the principles of a specific religious code, health professionals should be aware of the major moral and religious norms that guide the medical decision-making of many patients. Physicians should be especially mindful of potentially strong religion-based health beliefs when discussing life and death issues, contraception, abortion, and euthanasia.

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