A scoping review of spirituality and religiosity in people who have had a kidney transplant.
Amanda L Mckie, Fellon Gaida
PMID 35670228WHAT IT FOUND
In four studies of kidney transplant recipients, stronger spirituality or religiosity was associated with medication adherence, coping, and renal function in some studies, but not all.
This maps links, not proof.
Key findings
01Only four studies were included, and they identified two key areas: clinical outcomes and well-being outcomes.
02Medication adherence was correlated with intrinsic religiosity in an included study, while an included study did not observe a correlation between spirituality and adherence.
03Creatinine clearance was 61.5% in the spiritualised group and 34.5% in the less-spiritualised group at 12 months.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only four studies were included, so the map is thin. The review did not quality appraise the included studies, so weak methods may have been counted alongside stronger methods. The included studies were cross-sectional or descriptive-correlational, so they show association rather than cause. Medication adherence findings were inconsistent across the included studies. The search was limited to English-language publications from January 2000 to May 2020, so relevant studies may have been missed. Some included studies were from countries with high levels of spiritual and religious engagement, so the findings may not transfer to other settings.
Declared interests
No conflict of interest was declared by the authors.
The easy way to misread this
Do not conclude that spirituality or religiosity improves kidney transplant outcomes. The review found associations from four non-experimental studies, some results were null, and it did not test whether nurses addressing spirituality changes patient outcomes.