A Cross-Sectional Study Conducted in the USA Examining Associations Between Religious Engagement and Inpatient Hospital Experience and 30-Day Readmission

TL;DR

This study explores how religious engagement affects hospital experiences and readmission rates in the USA.

Contribution

The study identifies specific associations between religious engagement and patient care perceptions in inpatient settings.

Findings

Higher DUREL scores correlate with greater confidence in care plans and increased chaplain requests.

Attendance and intrinsic religiosity subscales are linked to requesting chaplain services.

No significant association was found between religious engagement and 30-day readmission rates.

Abstract

Associations between the Duke University Religion Index (DUREL) and patients’ perceptions of care, requesting to see a chaplain, and 30-day readmissions were examined in this cross-sectional study. Participants were recruited from an inpatient setting in Memphis, TN and asked the DUREL, three patient experience questions, and if they would like to see a chaplain. The electronic medical record was monitored for readmissions within 30 days of discharge. Logistic regression models included age, length of stay, sex, race, insurance status, and rating of overall health. Two models examining requests to see a chaplain were run. One model included if a chaplain had previously been seen. Associations with DUREL subscale scores (attendance, non-organized activities, intrinsic religiosity) were examined if associations with the total score were statistically significant. Participants (n = 482) were on average 62 years old and most identified as female and Black. Higher total DUREL scores were associated with greater confidence in enacting care plans, with attendance and intrinsic religiosity scores driving the association. Participants with higher total DUREL scores and longer hospital stays were more likely to request a chaplain. Higher attendance and non-organized activity subscale scores were associated with making a request. No statistically significant association was identified for 30-day readmission. Findings add to our understanding of the role religious engagement plays within inpatient settings and to the literature emphasizing the role of religious and spiritual discussions during discharge. More research is needed to see if confidence translates into better health post-hospital stay.