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Hammer, S.M., Squires, K.E., Hughes, M.D., Grimes, J. M., Demeter, L.M., Currier, J.M., Eron, J.J. Jr., Feinberg, J.E., Balfour, H.H., Deyton, L.R., Chodakewitz, J.A., Fischl, M.A., Phair, J.P., Spreen, W., Pedneaulx, L., Nguyen, B.-Y. and Cook, J.C. (1997) A controlled trial of two nucleoside analogues plus indinavir in persons with human immunodeficiency virus infection and CD4 cell counts of 200 per cubic millimeter or less. New England Journal of Medicine, 337, 725-733.

has been cited by the following article:

• TITLE: HIV clinic caregivers’ spiritual and religious attitudes and behaviors

  AUTHORS: Elizabeth A. Catlin, Jeanne H. Guillemin, Julie M. Freedman, Mary Martha Thiel

  KEYWORDS: Spirituality; Religion; Caregivers;Caregiver Burden

  JOURNAL NAME: Health, Vol.2 No.7, July 23, 2010

  ABSTRACT: Based on prior research, we hypothesized that staff in an outpatient clinic caring for an HIV patient population might rely on religious and spiritual frameworks to cope with the strains of their work and that their responses to a spiritual and religious survey might reflect work-related spiritual distress. Surveys were completed by 78.7% of staff (n = 59). All respondents scored in the moderate range for religious and spiritual well-being as well as existential satisfaction with living. The large majority agreed that the religious and spiritual concerns of patients have a place in patient care. Nurses, (88.2% of nurse respondents) viewed assessing the spiritual needs of patients as their responsibility, (p = 0.03). While 82% of HIV clinic respondents privately prayed for patients always, often or sometimes, this did not include physicians. Physicians in this clinic setting appeared to be less spiritual and religious, based on their survey responses, than coworkers and than US physicians in general. The majority of clinic physicians (78%) believed that God does not suffer with the suffering patients, in contrast to the majority of support staff (69%) and nearly half of the nurses, who believed that God does suffer with them, (p = 0.018). Contrary to our expectation, respondents did not report work-related spiritual distress, which may be related to improved therapies that can prolong and improve patients’ lives. Survey data revealed, however, a surprising level of engagement in and reliance on spiritual and religious frameworks among nurses and support staff. Whether the absence of measured spiritual distress is linked, in a causal rather than random manner, to spiritual and religious reliance by certain of these health care providers, is unknown.