Spiritual Care in PICUs: A U.S. Survey of 245 Training Fellows 2020–2021
Paige E. Stevens, Caroline E. Rassbach, FeiFei Qin, Kevin W. Kuo- Critical Care and Intensive Care Medicine
- Pediatrics, Perinatology and Child Health
Objectives:
To understand the perspectives of pediatric fellows training in critical care subspecialties about providing spiritual care.
Design:
Cross-sectional survey of United States National Residency Matching Program pediatric fellows training in critical care specialties.
Setting:
Online survey open from April to May 2021.
Subjects:
A total of 720 fellows (165 cardiology, 259 critical care, and 296 neonatology) were contacted, with a response rate of 245 of 720 (34%).
Interventions:
None.
Measurements and Main Results:
We assessed fellows’ survey responses about spiritual care in neonatal and pediatric critical care units. Categorical data were compared using chi-square test or Fisher exact tests. The Wilcoxon rank-sum test was used to compare the percentage correct on ten multiple-choice questions about world religions. Free-text responses were independently coded by two research investigators. A total of 203 of 245 (83%) responding fellows had never received training about spiritual care and 176 of 245 (72%) indicated that they would be likely to incorporate spiritual care into their practice if they received training. Prior training was associated with increased familiarity with a framework for taking a spiritual history (
Conclusions:
Providing spiritual care for families is important in critical care settings. In 2020–2021, in the United States, 245 pediatric critical care fellows responded to a survey about spiritual care in their practice and reported that they lacked training in this subject. An opportunity exists to implement spiritual care curricula into pediatric fellowship training.