Capturing religious identity during hospital admission: a valid practice in our increasingly secular society?David Glenister A B and Martin Prewer A
A Royal Melbourne Hospital, Parkville, Vic. 3050, Australia. Email: firstname.lastname@example.org
B Corresponding author. Email: David.email@example.com
Australian Health Review - https://doi.org/10.1071/AH16139
Submitted: 6 July 2016 Accepted: 13 September 2016 Published online: 21 October 2016
Objective Most major Victorian hospitals include religious identity in routine admission demographic questions. However, approximately 20% of admissions do not have their religious identity recorded. At the Royal Melbourne Hospital this missing 20% was surveyed throughout 2014–15 for two reasons: (1) to enable patient care; and (2) to provide an insight into the significance of religious identity for patients. There is scarce literature on this subject, so the present mixed-methods study, including a qualitative component, will start to bridge the gap.
Methods Mixed methods, cross-sectional survey.
Results The quantitative component of the study found that religious identity was important for a significant proportion of our diverse population and that, in general, demographics were congruent with Australian Bureau of Statistics (ABS) census figures. The qualitative component also revealed significant complexity behind religious identity labels, which the census is unable to capture, providing an insight into the requirements of our growing multicultural population.
Conclusions This study illustrates that religious identity is important for a majority of Royal Melbourne’s culturally diverse inpatients. This data would seem to give the practice of collecting religious identity data on admission new credence, especially as our culturally and linguistically diverse populations increase. In order to understand these nuances and provide appropriate care, skilled spiritual screening and assessment would appear to be not optional, but rather necessary in our increasingly complex healthcare future.
What is known about the topic? A search of the literature using related terms (religious, religion, spiritual identity, care) revealed that there is scarce literature on the subject of religious identity and its importance and meaning to patients.
What does this paper add? This mixed methods study approaches the issue of the importance of religious identity from the patient perspective via a spiritual screening survey that included a qualitative component, so will begin to bridge a gap in knowledge.
What are the implications for practitioners? Improved understanding of the complexity of the spiritual needs of our Victorian multicultural population and commensurate emphasis on the need for individual spiritual screening and assessment.
References Balboni TA, Balboni MJ, Fitchett G. Religion, spirituality, and the intensive care unit: the sound of silence. JAMA Intern Med 2015; 175 1669–70.
| Religion, spirituality, and the intensive care unit: the sound of silence.CrossRef | 26323044PubMed |
 Epstein-Peterson Z, Sullivan A, Enzinger A, Trevino K, Zollfrank A, Balboni M, VanderWeele T, Balboni T. Examining forms of spiritual care provided in the advanced cancer setting. Am J Hospice & Pall Med 2015; 32 750–7.
 Galek K, Flannelly K, Ellison CG, Silton N, Jankowski K. Religion, meaning and purpose, and mental health. Psychol Relig Spiritual 2015; 7 1–12.
| Religion, meaning and purpose, and mental health.CrossRef |
 Mowat H, Swinton J, Guess C, Grant L. What do chaplains do? The role of the chaplain in meeting the spiritual needs of patients. Report No. CSHD/MR001 Edition 2. Aberdeen: University of Aberdeen, Centre for Spirituality, Health and Disability; 2007.
 Haynes A, Hilbers J, Kivikko J, Ratnavyuha D. Spirituality and Religion in Health Care Practice: a person-centred resource for staff at the Prince of Wales Hospital. Sydney: SESIAHS; 2007.
 Australian Bureau of Statistics. Losing my religion? Available at: http://www.abs.gov.au/ausstats/abs@.nsf/Lookup/4102.0Main+Features30Nov+2013 [verified 4 May 2016].
 Cutright K, Erdem T, Fitzsimons G, Shachar R. Finding brands and losing your religion? J Exp Psychol Gen 2014; 143 2209–22.
| Finding brands and losing your religion?CrossRef | 25222262PubMed |
 Clark K, Collier A, Currow DC. Dying in Australian hospitals: will a separate national clinical standard improve the delivery of quality care? Aust Health Rev 2015; 39 202–4.
| Dying in Australian hospitals: will a separate national clinical standard improve the delivery of quality care?CrossRef | 25513880PubMed |
 Johnson J, Engleberg R, Nielson E, Kross E, Smith N, Hanada J, Doll S, Curtis R. The Association of Spiritual Care Providers activities with family members satisfaction with care after a death in the ICU. Crit Care Med 2014; 42 1991–2000.
| The Association of Spiritual Care Providers activities with family members satisfaction with care after a death in the ICU.CrossRef | 24797373PubMed |
 Johnson CE, Singer R, Masson M, Sellars M, Silvester W. Palliative care health professionals’ experience of caring for patients with advance care directives. Aust Health Rev 2015; 39 154–9.
| Palliative care health professionals’ experience of caring for patients with advance care directives.CrossRef | 25607507PubMed |
 Glombicki JS, Jeuland J. Exploring the importance of chaplain visits in a palliative care clinic for patients and companions. J Palliat Med 2014; 17 131–2.
| Exploring the importance of chaplain visits in a palliative care clinic for patients and companions.CrossRef | 24392953PubMed |
 Van Tongeren D, Davis D, Hook J, Johnson K. Security versus growth: existential tradeoffs of various religious perspectives. Psychol Relig Spiritual 2016; 8 77–88.
| Security versus growth: existential tradeoffs of various religious perspectives.CrossRef |
 Massey K, Barnes M, Villnes D, Goldstein J, Pierson A, Scherer C, Vander Lann B, Summerfelt W. What do I do? Developing taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care. BMC Palliat Care 2015; 14 10
| What do I do? Developing taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care.CrossRef | 25878558PubMed |
 Smith-Stoner M. End-of-life preferences for atheists. J Palliat Med 2007; 10 923–8.
| End-of-life preferences for atheists.CrossRef | 17803415PubMed |
 Kune S, Kune GA, Watson L. The Melbourne Colorectal Cancer Study: incidence findings by age, sex, site, migrants and religion. Int J Epidemiol 1986; 15 483–93.
| The Melbourne Colorectal Cancer Study: incidence findings by age, sex, site, migrants and religion.CrossRef | 1:STN:280:DyaL2s7js1emtQ%3D%3D&md5=e638e11b20197cf369a6fdd09cd31ac0CAS | 3818155PubMed |