Illness is a bio-psycho-social-spiritual process. Physicians focus primarily on the physical level; but attention to the other levels — including the religious/spiritual level — is recommended. Research, predominantly conducted in the USA , indicates that the worldview of physicians determines their attentiveness to their patient’s religiosity/spirituality. This study investigates medical specialists in academic hospitals in the Netherlands. The study participants were 664 medical specialists from five Dutch academic hospitals. In the more secularised Netherlands, attention to the spiritual level also includes attention to meaningfulness, and related questions of meaning. Our research attempted to show the influence of the worldview of these specialists on their attention to the religiosity/spirituality of and questions of meaning raised by very ill patients. Religiosity/spirituality was operationalised in religious/spiritual coping activities. Meaning questions were measured by a self-constructed instrument. We found four clusters of relevant meaning questions: ‘end of life’, ‘God’, ‘attributions’ and ‘relationship with significant others’. Attentiveness to religious/spiritual coping was influenced by the salience of a worldview in the life of the medical specialists. No such influence was detected with regard to questions of meaning.

中文翻译：

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关注患者的宗教/精神应对和意义问题

疾病是一个生物-心理-社会-精神过程。医生主要关注身体层面；但建议关注其他层面——包括宗教/精神层面。主要在美国进行的研究表明，医生的世界观决定了他们对患者的宗教信仰/灵性的关注程度。本研究调查了荷兰学术医院的医学专家。研究参与者是来自五家荷兰学术医院的 664 名医学专家。在更加世俗化的荷兰，对精神层面的关注还包括对意义和相关意义问题的关注。我们的研究试图展示这些专家的世界观对他们对重病患者的宗教信仰/灵性和意义问题的关注的影响。宗教/灵性在宗教/灵性应对活动中得以实施。意义问题由自建工具测量。我们发现了四组相关的意义问题：“生命终结”、“上帝”、“归因”和“与重要他人的关系”。对宗教/精神应对的关注受到医学专家生活中世界观的显着影响。在意义问题方面没有发现这种影响。我们发现了四组相关的意义问题：“生命终结”、“上帝”、“归因”和“与重要他人的关系”。对宗教/精神应对的关注受到医学专家生活中世界观的显着影响。在意义问题方面没有发现这种影响。我们发现了四组相关的意义问题：“生命终结”、“上帝”、“归因”和“与重要他人的关系”。对宗教/精神应对的关注受到医学专家生活中世界观的显着影响。在意义问题方面没有发现这种影响。