Operationalizing the Measuring What Matters Spirituality Quality Metric in a Population of Hospitalized, Critically Ill Patients and Their Family Members

Rebecca A. Aslakson, Josephine Kweku, Malonnie Kinnison, Sarabdeep Singh, Thomas Y. Crowe, Rebecca A. Aslakson, Katherine Ast, Ronit Elk, Kimberly K. Garner, Robert Gramling, Corita Grudzen, Arif H. Kamal, Sangeeta Lamba, Thomas W. LeBlanc, Ramona L. Rhodes, Eric Roeland, Dena Schulman-Green, Kathleen T. Unroe, AAHPM Writing Group

Research output: Contribution to journalArticle

Abstract

Context Measuring What Matters (MWM) quality indicators support measurement of the percentage of patients who have spiritual discussions, if desired. Objectives The objective of this study was to 1) determine the ease of, and barriers to, prospectively collecting MWM spirituality quality measure data and 2) further explore the importance of spirituality in a seriously ill, hospitalized population of critically ill patients and their family members. Methods Electronic medical record (EMR) review and cross-sectional survey of intensive care unit (ICU) patients and their family members from October to December 2015. Participants were in four adult ICUs totaling 68 beds at a single academic, urban, tertiary care center which has ICU-assigned chaplains and an in-house, 24-hour, on-call chaplain. Results All patients had a “Spiritual Risk Screen” which included two questions identifying patient religion and whether a chaplain visit was desired. Approximately 2/3 of ICU patients were eligible, and there were 144 respondents (50% female; 57% patient and 43% family member), with the majority being Caucasian or African American (68% and 21%, respectively). Common religious identifications were Christian or no faith tradition (76% and 11%, respectively). Approximately half of patients had an EMR chaplain note although it did not document presence of a “spiritual discussion.” No study patients received palliative care consultation. A majority (85%) noted that spirituality was “important to them” and that prevalence remained high across respondent age, race, faith tradition, or admitting ICU. Conclusion Operationalizing the MWM spirituality quality indicator was challenging as elements of a “spiritual screening” or documentation of a “spiritual discussion” were not clearly documented in the EMR. The high prevalence of spirituality among respondents validates the importance of spirituality as a potential quality metric.

Original languageEnglish (US)
Pages (from-to)650-655
Number of pages6
JournalJournal of Pain and Symptom Management
Volume53
Issue number3
DOIs
StatePublished - Mar 1 2017

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Spirituality
Critical Illness
Clergy
Population
Intensive Care Units
Electronic Health Records
Religion
Palliative Care
Tertiary Care Centers
Documentation
African Americans
Referral and Consultation
Cross-Sectional Studies

Keywords

  • chaplaincy
  • intensive care units
  • Measuring What Matters quality indicators
  • spiritual care

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Operationalizing the Measuring What Matters Spirituality Quality Metric in a Population of Hospitalized, Critically Ill Patients and Their Family Members. / Aslakson, Rebecca A.; Kweku, Josephine; Kinnison, Malonnie; Singh, Sarabdeep; Crowe, Thomas Y.; Aslakson, Rebecca A.; Ast, Katherine; Elk, Ronit; Garner, Kimberly K.; Gramling, Robert; Grudzen, Corita; Kamal, Arif H.; Lamba, Sangeeta; LeBlanc, Thomas W.; Rhodes, Ramona L.; Roeland, Eric; Schulman-Green, Dena; Unroe, Kathleen T.; AAHPM Writing Group.

In: Journal of Pain and Symptom Management, Vol. 53, No. 3, 01.03.2017, p. 650-655.

Research output: Contribution to journalArticle

Aslakson, RA, Kweku, J, Kinnison, M, Singh, S, Crowe, TY, Aslakson, RA, Ast, K, Elk, R, Garner, KK, Gramling, R, Grudzen, C, Kamal, AH, Lamba, S, LeBlanc, TW, Rhodes, RL, Roeland, E, Schulman-Green, D, Unroe, KT & AAHPM Writing Group 2017, 'Operationalizing the Measuring What Matters Spirituality Quality Metric in a Population of Hospitalized, Critically Ill Patients and Their Family Members', Journal of Pain and Symptom Management, vol. 53, no. 3, pp. 650-655. https://doi.org/10.1016/j.jpainsymman.2016.12.323
Aslakson, Rebecca A. ; Kweku, Josephine ; Kinnison, Malonnie ; Singh, Sarabdeep ; Crowe, Thomas Y. ; Aslakson, Rebecca A. ; Ast, Katherine ; Elk, Ronit ; Garner, Kimberly K. ; Gramling, Robert ; Grudzen, Corita ; Kamal, Arif H. ; Lamba, Sangeeta ; LeBlanc, Thomas W. ; Rhodes, Ramona L. ; Roeland, Eric ; Schulman-Green, Dena ; Unroe, Kathleen T. ; AAHPM Writing Group. / Operationalizing the Measuring What Matters Spirituality Quality Metric in a Population of Hospitalized, Critically Ill Patients and Their Family Members. In: Journal of Pain and Symptom Management. 2017 ; Vol. 53, No. 3. pp. 650-655.
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