| Descriptives | Spiritual care at the end of life†| Association with the provision of spiritual care; OR (95% CI) | |
---|---|---|---|---|
Provided | Not provided | Significant associations are italicized and bolded | ||
Facility level * | ||||
Small-scale living, % (at resident level) | 18.0 | 14.3 | 18.9 | 0.78 (0.27; 2.3) |
Strong religious affiliation,% | 9.2 | 30.2 | 3.7 | 9.9 (1.6; 62) |
Physician level | ||||
Any specific religious background physician, % | 61.3 | 74.4 | 57.8 | 1.9 (0.73; 5.0) |
Importance of faith or spirituality physician, % | Â | Â | Â | Â |
  - Not at all important | 13.4 | 10.3 | 14.3 | 2.7 (1.1; 7.0) (very important versus other) |
  - Somewhat important | 48.4 | 38.5 | 51.0 | |
  - very important | 31.2 | 48.7 | 26.5 | |
  - Don’t know | 7.0 | 2.6 | 8.2 | |
Frequency of attending religious services physician | Â | Â | Â | Â |
  - Mean 0–5 scale (SD) | 1.2 (1.6) | 2.2 (1.9) | 0.9 (1.4) | 1.6 (1.2; 2.1) (per 1-point increment) |
  - Percentage |  |  |  | |
   - Never | 53.2 | 30.8 | 59.2 | |
   - Once or twice a year | 14.5 | 15.4 | 14.3 | |
   - Once a month or so | 11.3 | 12.8 | 10.9 | |
   - Two or three times a month | 7.5 | 5.1 | 8.2 | |
   - Every week | 8.6 | 20.5 | 5.4 | |
   - More than once a week | 4.8 | 15.4 | 2.0 | |
Resident level | ||||
Any specific religious background resident, % | 76.9 | 97.4 | 72.0 | 13 (1.6; 103) |
Any specific religious background, % | Â | Â | Â | Â |
  - Both resident and physician | 49.1 | 74.3 | 42.9 | 17 (2.1; 131) |
  - Resident only | 25.7 | 22.9 | 26.4 | 8.6 (0.92;80) |
  - Physician only | 12.6 | 0 | 15.7 | Reference |
  - Neither | 12.6 | 2.9 | 15.0 | Reference‡ |
Importance of faith or spirituality resident, % | Â | Â | Â | Â |
  - Not at all important | 34.9 | 5.3 | 42.0 | 12 (5.1; 28) (very important versus other) |
  - Somewhat important | 30.8 | 18.4 | 33.8 | |
  - Very important | 31.3 | 76.3 | 20.4 | |
  - Don’t know | 3.1 | 0 | 3.8 | |
Faith or spirituality very important, % | Â | Â | Â | Â |
  - Both resident and physician | 14.3 | 40.0 | 7.9 | 21 (6.1; 74) ¶ |
  - Resident only | 16.0 | 37.1 | 10.7 | 15 (5.2; 44) ¶ |
  - Physician only | 17.1 | 8.6 | 19.3 | 2.0 (0.44; 9.1) |
  - Neither | 52.6 | 14.3 | 62.1 | Reference |
Frequency of attending religious services resident | Â | Â | Â | Â |
  - Mean 0–5 scale, SD | 2.0 (2.0) | 3.6 (1.6) | 1.6 (1.8) | 1.8 (1.4; 2.2)/1-point increment |
  - Percentage |  |  |  | |
   - Never | 37.9 | 5.3 | 45.9 | |
   - Once or twice a year | 14.4 | 15.8 | 14.0 | |
   - Once a month or so | 2.6 | 0 | 3.2 | |
   - Two or three times a month | 9.2 | 7.9 | 9.6 | |
   - Every week | 23.1 | 34.2 | 20.4 | |
   - More than once a week | 12.3 | 36.8 | 6.4 | |
   - Don’t know | 0.5 | 0 | 0.6 | |
Any specific religious background family, % | 63.9 | 89.5 | 57.7 | 5.5 (2.2; 14) |
Importance of faith or spirituality family, % | Â | Â | Â | Â |
  - Not at all important | 36.1 | 7.9 | 42.9 | 4.5 (2.1; 9.9) (very important versus other) |
  - Somewhat important | 39.2 | 44.7 | 37.8 |  |
  - Very important | 21.6 | 47.4 | 15.4 | |
  - Don’t know | 3.1 | 0 | 3.8 | |
Frequency of attending religious services family | Â | Â | Â | Â |
  - Mean 0–5 scale, SD | 1.1 (1.6) | 2.6 (1.9) | 0.79 (1.2) | 1.9 (1.5; 2.3)/1-point increment |
  - Percentage |  |  |  | |
   - Never | 50.3 | 18.4 | 58.1 | |
   - Once or twice a year | 24.4 | 23.7 | 24.5 | |
   - Once a month or so | 5.7 | 7.9 | 5.2 | |
   - Two or three times a month | 6.7 | 10.5 | 5.8 | |
   - Every week | 6.7 | 13.2 | 5.2 | |
   - More than once a week | 6.2 | 26.3 | 1.3 | |
   - Don’t know | 0 | 0 | 0 | |
Family trust in physician | Â | Â | Â | Â |
  - Mean 1–5 scale (SD) | 4.04 (0.61) | 4.12 (0.54) | 4.01 (0.62) | 1.3 (0.67; 2.3)/1-point increment |
  - Percentage |  |  |  | |
   - Very little | 0 | 0 | 0 | |
   - Little | 0.6 | 0 | 0.7 |  |
   - Somewhat | 14.7 | 8.8 | 16.2 | |
   - A great deal (large amount) | 65.3 | 70.6 | 64.0 | |
   - A very large amount | 19.4 | 20.6 | 19.1 |