RESUMEN
Medical practice is always embedded in time and space, whatever its scientific and technical progress could claim as universal truths. The postulate of sincerity is one those contextual elements but it has become so pervasive that a gloss of evidence surrounds it. This situation is at risk of loosing its depth, as much as its limits. By bringing closer together sincerity with more usual notions (transparency, confidence, uncertainty), one could get more insight into these matters of concern in medical practice.
La pratique médicale est toujours ancrée dans un temps et un lieu, quelles que soient les avancées scientifiques et techniques auxquelles elle a contribué et qui peuvent prétendre à une reconnaissance universelle. Le postulat de sincérité fait partie de ces déterminants contextuels, mais son statut contemporain « d'évidence ¼ risque de faire oublier sa profondeur, tout comme ses limites. En rapprochant la sincérité d'autres notions plus couramment évoquées (transparence, confiance, incertitude), nous verrons dans quelle mesure elle permet de les questionner à nouveaux frais.
Asunto(s)
Revelación de la Verdad , IncertidumbreRESUMEN
Access to spiritual support appears to be important in the hospital setting. The offer of spiritual support can be done by different providers such as doctors, nurses or chaplains. Who should initiate or coordinate this spiritual care. This study addresses the following questions: 1) How many patients accept spiritual proposition? 2) What is the better mode of proposition? The study's objectives are the assessment and comparison of the rates of acceptance to an offer of spiritual support made by nurses and chaplains. Two hundred twenty-three consecutive hospitalized patients hospitalized received a proposal of spiritual support and were randomly assigned to one of two conditions. Results revealed that 85.8% of patients accepted the offer in the chaplains' group and 38.5% in the nurses' group. Acceptance of the offer of spiritual support was positively associated with the proposal being made by the chaplains by the frequency of meditation and age, and negatively related to physical well-being.