Religiosity and spirituality of intensive care physicians, nurses, and nursing technicians facing the challenges of professional practice
Religiosity; Spirituality; Intensive Care Units; Care; Health Professionals
Religious and spiritual beliefs and practices are often heightened in adverse situations as individuals search for meaning in life and finitude through their relationship with the sacred and transcendent. This qualitative study aimed to investigate, from a phenomenological-existential perspective, the perceptions and experiences of intensive care professionals regarding religiosity/spirituality in the face of stressors related to the daily routine of intensive care units and intensive care units. Data collection was conducted through in-person semi-structured interviews based on a previously prepared script. Twenty healthcare professionals, six physicians, six nurses, and eight nursing technicians, worked in ICUs of public or private hospitals in a municipality in southern Rio de Janeiro state, including for at least one year during the COVID-19 pandemic. Participants also completed a self-administered questionnaire to collect sociodemographic and professional data. The reports were audio-recorded, fully transcribed, and analyzed using Amedeo Giorgi's Descriptive Phenomenological Method, focusing on understanding the general structure of the experience. The participants' reports were organized and analyzed based on four thematic axes, in which religiosity and spirituality were considered (1) on a personal level, seeking aspects related to the religious and/or spiritual experience of the interviewees; (2) in professional practice, focusing on professionals' perceptions and reactions to the religious and spiritual manifestations of patients/family members; (3) in professional practice, considering the experience of professionals' religiosity/spirituality in the workplace, including during the pandemic; and (4) in academic training. seeking to understand the preparation and contact with the topic during academic training and in-service training. Within each thematic axis, core meanings emerged from the analyses, and the corresponding units of meaning were named, described, and illustrated with participants' verbalizations. The data obtained showed that, in hospital practice, especially in the ICU, attention and acceptance of religious and spiritual expressions by healthcare professionals not only helps minimize the suffering of patients and families but also allows them to reflect on and make sense of the fragilities and vicissitudes that permeate human existence, including those related to life itself.