{"doi":"10.1007/s40615-024-02258-9","title":"Exploring Spiritual Concerns, Needs, and Resources in Outpatient Healthcare Facilities Serving Under-Resourced Black Patients: A Qualitative Study","abstract":"BACKGROUND: Acknowledging patients' spiritual concerns can enhance well-being and is essential to patient-centered chronic illness care. However, unmet spiritual care needs remain a major area of suffering, particularly among under-resourced populations. Limited research exists on how spiritual concerns are acknowledged and integrated into the care of chronically ill older Black patients in these settings. PURPOSE: This study aimed to explore the spiritual concerns and needs of chronically ill older Black patients from under-resourced areas and to identify available spiritual support resources for patients seeking healthcare through a community safety net health service. METHODS: Using a qualitative descriptive design, we interviewed 13 chronically ill, older Black patients and key clinicians (physicians, nurse practitioners, allied health, and clergy). The interview focused on patients' illness-related spiritual concerns, sources of distress, and desired spiritual support resources. Participants also reviewed the Spiritual Care and Assessment Intervention (SCAI), a spiritual care intervention, and provided feedback on its content, format, and delivery. RESULTS: Five themes emerged from qualitative interviews: (1) spirituality is integral to seriously ill Southern patients; (2) clinicians should strive to address spiritual health in encounters; (3) socioeconomic barriers and competing demands impact priority of accessing spiritual care services; (4) spiritual care interventions should be patient-driven, compassionate, and fully integrated into medical care as a comprehensive service; and (5) participants thought SCAI was appropriate for use but should be shortened and provided in-person to increase accessibility. DISCUSSION: Findings will inform the development and piloting of small-scale culturally responsive spiritual care intervention tailored for seriously ill older Black adults in an ambulatory care setting.","journal":"Journal of Racial and Ethnic Health Disparities","year":2024,"id":462837,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9522,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1293189,"name":"Kwaku Duah Oppong","orcid":null,"position":1,"is_corresponding":false},{"id":1086429,"name":"Emily Burke","orcid":"0000-0002-5813-7785","position":2,"is_corresponding":false},{"id":1120357,"name":"Tamara Nix‐Parker","orcid":null,"position":3,"is_corresponding":false},{"id":379065,"name":"Alexia M. Torke","orcid":"0000-0001-9609-714X","position":4,"is_corresponding":false},{"id":1293190,"name":"Shelley Varner Perez","orcid":null,"position":5,"is_corresponding":false},{"id":665409,"name":"George Fitchett","orcid":"0000-0002-5054-8459","position":6,"is_corresponding":false},{"id":278694,"name":"Raegan W. Durant","orcid":"0000-0001-5341-3288","position":7,"is_corresponding":false},{"id":278690,"name":"Rachel Wells","orcid":"0000-0003-4447-012X","position":8,"is_corresponding":false},{"id":278699,"name":"Marie Bakitas","orcid":"0000-0002-2913-2053","position":9,"is_corresponding":false},{"id":278689,"name":"Deborah Ejem","orcid":"0000-0003-4617-2433","position":10,"is_corresponding":false},{"id":709142,"name":"Shena Gazaway","orcid":"0000-0003-3674-6288","position":0,"is_corresponding":true}],"reference_count":56,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:04:24.680035Z","pmid":"39661302","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}