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Journal of Health Care Chaplaincy最新文献

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Proof of concept, feasibility, and acceptability of spiritual care assessment and intervention-pediatric with caregivers of children receiving home mechanical ventilation. 对接受家庭机械通气的儿童护理人员进行精神护理评估和干预（儿科）的概念、可行性和可接受性验证。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-04-01 Epub Date: 2024-10-10 DOI: 10.1080/08854726.2024.2413812
Daniel H Grossoehme, Shelley E Varner-Perez, Patrick Baxter-Andrews, Miraides Brown, Sean Drummond, Rachel Jenkins, Sarah Friebert, Alexia M Torke
{"title":"Proof of concept, feasibility, and acceptability of spiritual care assessment and intervention-pediatric with caregivers of children receiving home mechanical ventilation.","authors":"Daniel H Grossoehme, Shelley E Varner-Perez, Patrick Baxter-Andrews, Miraides Brown, Sean Drummond, Rachel Jenkins, Sarah Friebert, Alexia M Torke","doi":"10.1080/08854726.2024.2413812","DOIUrl":"10.1080/08854726.2024.2413812","url":null,"abstract":"<p><p>Caregivers of children with medical complexity face daily tasks comparable to pediatric critical care nursing with multiple stressors. This may result in emotional and spiritual distress. Caregivers may also rely on their religion and spirituality to cope. Chaplains have the potential to support caregivers in this setting, beginning with spiritual assessment. This study's purpose was to verify the feasibility and acceptability of the Spiritual Care Assessment and Intervention framework adapted for home-based chaplaincy with caregivers of children receiving home mechanical ventilation (SCAI-Peds). A quasi-experimental, proof-of-concept trial with N = 6 caregivers and two board certified chaplains was carried out. SCAI-Peds was acceptable and feasible to caregivers, delivered with high fidelity, and was also acceptable to the chaplains. Home-based intervention delivery may provide more room for reflection and reframing than acute care settings. The results warrant advancing SCAI-Peds beyond the pilot stage.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"147-160"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing spiritual needs of Veterans post-incarceration: a needs assessment. 满足监禁后退伍军人的精神需求：需求评估。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-04-01 Epub Date: 2024-11-08 DOI: 10.1080/08854726.2024.2422270
Jennifer A Palmer, Ryann L Engle, Justeen Hyde, Beth Ann Petrakis, D Keith McInnes
{"title":"Addressing spiritual needs of Veterans post-incarceration: a needs assessment.","authors":"Jennifer A Palmer, Ryann L Engle, Justeen Hyde, Beth Ann Petrakis, D Keith McInnes","doi":"10.1080/08854726.2024.2422270","DOIUrl":"10.1080/08854726.2024.2422270","url":null,"abstract":"<p><p>The Veterans Health Administration (VHA) offers spiritual supports to Veterans nationally through its Chaplaincy Service and its Whole Health initiative. There are no systematic efforts to extend spiritual supports to Veterans re-entering community post-incarceration, however. Thus, the full potential of spiritual supports in bolstering well-being and minimizing recidivism during re-entry may not be fully realized. To explore this potential and ways to optimize it for re-entry Veterans, we conducted an exploratory needs assessment. We interviewed six re-entry Veterans and six staff members who work in re-entry to explore perceived spiritual needs in re-entry and ways to address such needs; we analyzed interview data thematically. Several themes emerged: 1) Spirituality as pluralistic; 2) Positive impacts of spirituality; 3) Tensions around the immediacy of spiritual needs; 4) Current spiritual supports and their limitations; and 5) Suggested improvements. We propose initiatives which VHA might pursue to verify and support re-entry Veterans' spiritual needs.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"97-110"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of the ONC-5: A quantifiable assessment of spiritual concerns for adult oncology patients.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-04-01 Epub Date: 2024-09-17 DOI: 10.1080/08854726.2024.2399992
Dirk Labuschagne, Patricia Palmer, Allison DeLaney, Kristen Schenk, George Fitchett
{"title":"Development of the ONC-5: A quantifiable assessment of spiritual concerns for adult oncology patients.","authors":"Dirk Labuschagne, Patricia Palmer, Allison DeLaney, Kristen Schenk, George Fitchett","doi":"10.1080/08854726.2024.2399992","DOIUrl":"10.1080/08854726.2024.2399992","url":null,"abstract":"<p><p>Religious and spiritual (R/S) beliefs are crucial coping resources for cancer patients, yet there's no standard spiritual assessment approach. We developed the ONC-5, an evidence-based model to quantify patients' spiritual concerns in adult oncology. Seventy-one patients with diverse cancer diagnoses completed a survey and a semi-structured ONC-5 interview with a chaplain. Measures included the distress thermometer, PHQ-2, R/S struggle, and spiritual well-being. Thirty interviews were reviewed for inter-rater reliability. Spearman correlations assessed validity, and the concordance correlation coefficient (CCC) was calculated for inter-rater reliability. Results showed 20% of patients had moderate or severe spiritual concerns. ONC-5 scores correlated with R/S struggle (r = .247; <i>p</i> = .038) and spiritual well-being (r = -.247; <i>p</i> = .038). The CCC of 0.4411 indicated moderate agreement. The ONC-5 helps chaplains identify spiritual concerns, prioritize care, and measure improvements. More research is needed to test its validity and reliability in diverse populations.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"111-126"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chaplains' reports of integration in community health initiatives: a qualitative study. 牧师对融入社区健康计划的报告：一项定性研究。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-04-01 Epub Date: 2024-09-18 DOI: 10.1080/08854726.2024.2401742
Kelsey B White, Paul Galchutt, Khanya Collier, Csaba Szilagyi, George Fitchett
{"title":"Chaplains' reports of integration in community health initiatives: a qualitative study.","authors":"Kelsey B White, Paul Galchutt, Khanya Collier, Csaba Szilagyi, George Fitchett","doi":"10.1080/08854726.2024.2401742","DOIUrl":"10.1080/08854726.2024.2401742","url":null,"abstract":"<p><p>Health care and religious organizations have a long history with one another. Chaplains' investments in the health and wellbeing of their local communities have extended beyond the hospital walls for longer than many chaplains may recognize. However, the published evidence suggests these efforts have been limited. Given the history of health care evolution in the United States, the small evidence of cases highlighting chaplains' leadership within community health initiatives, and the pressure for health systems to address the social determinants of health, we sought to explore chaplains' integration in community health and wellness initiatives. This paper presents the results of a qualitative analysis of interviews with chaplains working to promote community health and wellness (n = 10). The identified themes highlight factors at the individual chaplain level, such as how chaplains got involved, characteristics of the chaplains' contexts, and the impact of chaplains' involvement.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"127-146"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measuring the impact of a pastoral care intervention to increase referrals and improve the quality of chaplain documentation in patient records. 衡量牧师护理干预的影响，以增加转诊和改善病人记录中牧师文件的质量。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-04-01 Epub Date: 2024-12-03 DOI: 10.1080/08854726.2024.2431471
Megan C Best, Jenny Washington, Kate Jones, Maggie Brunker, Matthew Kearney
{"title":"Measuring the impact of a pastoral care intervention to increase referrals and improve the quality of chaplain documentation in patient records.","authors":"Megan C Best, Jenny Washington, Kate Jones, Maggie Brunker, Matthew Kearney","doi":"10.1080/08854726.2024.2431471","DOIUrl":"10.1080/08854726.2024.2431471","url":null,"abstract":"<p><p>The complexity of patient care demands that health care teams collaborate effectively. This means that when pastoral care staff engage with patients, they need to communicate their findings to other members of the multidisciplinary team to maximize patient benefits. In 2016, an Australian hospital found that pastoral care staff were able to visit only 30% of admitted patients, and that documentation of pastoral care visits was minimal. This paper describes and measures the impact of a quality improvement education program for pastoral care workers by auditing patient medical records pre- and post-intervention. The intervention did not significantly increase the number of pastoral care visits or referrals. Documentation of pastoral care visits was significantly improved in terms of the detail provided. More work is required to standardize indications for pastoral care referral and templates for pastoral documentation in patient medical records.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"161-174"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
American Indian smudging in hospital settings: a qualitative case study.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-03-24 DOI: 10.1080/08854726.2025.2481815
Karen K Heistand, Maureen J Cleverley, Valerie DeCora Guimaraes, Samantha Nichols, Jacek T Soroka, Mary M Triplet, Morris D Wakeley
{"title":"American Indian smudging in hospital settings: a qualitative case study.","authors":"Karen K Heistand, Maureen J Cleverley, Valerie DeCora Guimaraes, Samantha Nichols, Jacek T Soroka, Mary M Triplet, Morris D Wakeley","doi":"10.1080/08854726.2025.2481815","DOIUrl":"https://doi.org/10.1080/08854726.2025.2481815","url":null,"abstract":"<p><p>Smudging is a spiritual custom extensively practiced by American Indians, yet little is known about smudging in hospital settings. To better understand the spiritual needs of hospitalized American Indian patients, we performed a qualitative, exploratory, and cross-sectional study, consisting of semistructured interviews with nine hospitalized American Indian patients. We identified four major themes: accessibility, role of chaplains/staff, experiences of the ritual, and cultural connection. Smudging is an important component of holistic health care, contributing to patient well-being and satisfaction. .</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The value of chaplains to healthcare systems: a qualitative study of the perspectives of executives, nurses, patients, and family members.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-03-23 DOI: 10.1080/08854726.2025.2481816
Stephanie L Harris, Martin Shaw
{"title":"The value of chaplains to healthcare systems: a qualitative study of the perspectives of executives, nurses, patients, and family members.","authors":"Stephanie L Harris, Martin Shaw","doi":"10.1080/08854726.2025.2481816","DOIUrl":"https://doi.org/10.1080/08854726.2025.2481816","url":null,"abstract":"<p><p>Research to measure the value of chaplains is a burgeoning area of interest, as staffing decisions may be contingent on demonstrating a return on investment. Healthcare executives are often faced with difficult staffing decisions that require weighing the support of organizational mission with practical financial implications. This qualitative study utilized thematic analysis to present the perceptions of C-suite executives and two key constituencies - nurses and patients/family members - on the value of chaplains. Results indicate that all three groups value chaplains for their roles in providing support and comfort. Healthcare executives recognize the alignment of chaplains with organizational mission within a faith-based setting but also desire metrics that tie staffing to measurable outcomes. Other organizations exploring chaplain staffing and return on investment may benefit from using mixed-methods research to inform their decision-making.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opening up the black box of chaplaincy: a qualitative study into the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-03-12 DOI: 10.1080/08854726.2025.2471739
Annemarie Foppen, Iris R Wierstra, Anke I Liefbroer, Lenneke Post, Erik Olsman
{"title":"Opening up the black box of chaplaincy: a qualitative study into the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home.","authors":"Annemarie Foppen, Iris R Wierstra, Anke I Liefbroer, Lenneke Post, Erik Olsman","doi":"10.1080/08854726.2025.2471739","DOIUrl":"https://doi.org/10.1080/08854726.2025.2471739","url":null,"abstract":"<p><p>This study investigated the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home called \"In dialogue with your life story.\" It was developed to address clients' spiritual needs in the religious plural context of the Netherlands. Thus far, how the intervention impacted clients' spiritual well-being remained a black box. A thematic analysis of semi-structured interviews with and workbooks of clients (<i>N</i> = 75) and chaplains (<i>N</i> = 33) indicated seven intervention elements that promoted clients' spiritual well-being in four ways: (1) they offered new insights and a better overview, (2) provided a place to connect and share experiences, (3) helped to reach deeper layers of meaning, and (4) brought out feelings of calmness and gratitude. The findings shed light on the intervention's black box and encourage further exploration of associations between chaplaincy goals, processes, and outcomes.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of pluralisms in the positions and functions of chaplains in Dutch outpatient, community or primary care settings: secondary analysis of a multi-method comparative case study project.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-03-07 DOI: 10.1080/08854726.2025.2471741
Anja Visser, Hetty Zock
{"title":"The role of pluralisms in the positions and functions of chaplains in Dutch outpatient, community or primary care settings: secondary analysis of a multi-method comparative case study project.","authors":"Anja Visser, Hetty Zock","doi":"10.1080/08854726.2025.2471741","DOIUrl":"https://doi.org/10.1080/08854726.2025.2471741","url":null,"abstract":"<p><p>The transition from inpatient spiritual care to spiritual care in outpatient, community or primary care settings presents various challenges to chaplains. We have examined how chaplaincy organizations navigate different types of pluralism to find their function and position in these settings. Secondary analysis was performed on 37 thick descriptions of chaplaincy organizations, focus group discussions with three of these organizations, and 24 client questionnaires. The results show that the organizations have to navigate religious pluralism, pluralism in health care professions, and pluralism in patient populations with their associated variety in financial arrangements. Therefore, the chaplains adjust their activities to the care landscape present in their region. They also adjust their communication style to the understanding of spirituality and the communication style of the care profession and financers they are in contact with. Through showing themselves and their work, they slowly build trust, durable working relationships, and a broader profile.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing spirituality-related moral challenges in palliative care: perspectives of spiritual counselors.
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2025-03-03 DOI: 10.1080/08854726.2025.2471740
Shanti Bolt, Suzanne Metselaar, Tonke Versteeg, Charlotte Kröger
{"title":"Addressing spirituality-related moral challenges in palliative care: perspectives of spiritual counselors.","authors":"Shanti Bolt, Suzanne Metselaar, Tonke Versteeg, Charlotte Kröger","doi":"10.1080/08854726.2025.2471740","DOIUrl":"https://doi.org/10.1080/08854726.2025.2471740","url":null,"abstract":"<p><p>Spiritual beliefs are increasingly important toward the end-of-life as they shape perspectives on good care, life, and death. However, in pluralistic societies, the spiritual beliefs of patients and care providers may differ. Care providers can find it difficult to be responsive to spiritual diversity and to how different belief systems of patients and their families may influence perspectives on care and dying. This can lead to moral challenges. Dialogical clinical ethics support (CES) helps care providers to jointly reflect on and deal with moral challenges. However, while spirituality shapes perspectives on good care, it is rarely addressed explicitly in CES sessions. We interviewed ten spiritual counselors of different denominations in The Netherlands to explore spirituality-related moral challenges in the delivery of palliative care, and to gain insight into their perspectives on what is needed to make both dialogues with patients and family and dialogical CES more responsive to spiritual diversity.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"1-21"},"PeriodicalIF":1.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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