Integrating Spirituality and Culture with End-of-Life Care in Medical Education

被引:13
作者
Feldstein, Bruce D. [1 ]
Grudzen, Marita [1 ]
Johnson, Art [1 ]
LeBaron, Samuel [1 ]
机构
[1] Stanford Univ, Med Ctr, Sch Med, Stanford, CA 94305 USA
关键词
Spirituality; culture; end-of-life care; medical education;
D O I
10.1080/07317110801947185
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
To provide high-quality care that is responsive to spiritual concerns within a multicultural context, student physicians and other health care professionals must develop skills in spiritual care and be able to do so with patients from different cultures and different spiritual and religious backgrounds, particularly at the end of life. This article describes the experience of successfully introducing a curriculum on spirituality and multicultural literacy into the required Family Medicine Clerkship at Stanford University School of Medicine. Rather than a program of separate classes on spirituality, culture, and end-of-life care, an effective curriculum includes a matrix of learning activities that address: 1) a cross-cultural approach to spiritual needs, 2) spirituality at the end of life, 3) the impact of cultural values at the end of life, 4) the ways in which cultural and spiritual needs interact at the end of life, and 5) the interface between medical culture and a patient's culture. Integrating spirituality and culture with end-of-life care into the fabric of the medical school curriculum is an essential step toward serving our increasingly multicultural and multireligious society.
引用
收藏
页码:71 / 82
页数:12
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