Journal of Health Care Chaplaincy最新文献_第10页

Acceptance and forgiveness therapy for veterans with moral injury: spiritual and psychological collaboration in group treatment. 退伍军人道德创伤的接纳与宽恕治疗:团体治疗中的精神与心理合作。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2022-01-01 Epub Date: 2022-02-08 DOI: 10.1080/08854726.2022.2032982

Patricia U Pernicano, Jennifer Wortmann, Kerry Haynes

{"title":"Acceptance and forgiveness therapy for veterans with moral injury: spiritual and psychological collaboration in group treatment.","authors":"Patricia U Pernicano, Jennifer Wortmann, Kerry Haynes","doi":"10.1080/08854726.2022.2032982","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032982","url":null,"abstract":"The authors developed Acceptance and Forgiveness Therapy (AFT), a psychospiritual group intervention that guides veterans with moral injury experientially from a trauma-focused (damaged, broken, guilty, unforgivable, hopeless, unacceptable) to restorative (worthy, connected, hopeful, forgiven, responsible) view of self. A mental health (MH)-trained chaplain and MH provider, as co-leaders, provide psychoeducation, facilitate therapeutic interaction, and encourage home practice. The curriculum includes evidence-driven psychological interventions, spiritually oriented practices, and metaphor, story, and art to illustrate concepts and facilitate self-expression. Scores on the Brief Symptom Inventory-18 and Acceptance and Action Questionnaire-2 showed decreased distress and increased flexibility. Post-group drawings reflect renewed purpose, greater self-acceptance, and meaningful engagement with others. Retention rate across seven group administrations ranged from 50% to 100%. Outcomes suggest AFT is a promising practice for veteran moral injury meriting further study and implementation.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 sup1","pages":"S57-S78"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39900251","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: 6

Contemplative practice, acceptance, and healing in moral injury. 沉思的练习，接受和治疗道德创伤。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2022-01-01 Epub Date: 2022-02-03 DOI: 10.1080/08854726.2022.2032977

Sara Jo Emmerich

{"title":"Contemplative practice, acceptance, and healing in moral injury.","authors":"Sara Jo Emmerich","doi":"10.1080/08854726.2022.2032977","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032977","url":null,"abstract":"Moral injury is a soul struggle for many veterans. It includes a deep sense of regret, shame, and division within themselves due to morally injurious events. Spiritual practices like Centering Prayer are complementary disciplines that help veterans heal from moral injury and process embedded trauma, guilt, and shame. Contemplative practices can help with acceptance of difficult emotions and thoughts connected to past moral injury and help veterans refocus on values that are part of their community, faith, and social backgrounds. At the Loveland VA, a group of veterans are following the guidelines outlined by Contemplative Outreach for a Centering Prayer practice. The guidelines and the intended outcomes are outlined in this paper and include previously researched benefits of mindfulness and meditation-based practices for PTSD, which often co-occurs with moral injury. Veterans' feedback from both in-person and online versions of the Centering Prayer group are included in the paper. While encouraged as an individual discipline, veterans are also encouraged to practice Centering Prayer within groups at the VA or in the community for deeper inter-relational healing and trust. Veteran peer supports provide links to Contemplative Prayer outreach groups as well as AA groups in the community. As a mindfulness-based spiritual practice with Judeo-Christian roots, Centering Prayer is a powerful addition to a chaplaincy program that promotes whole health healing and growth.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 sup1","pages":"S25-S31"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746464","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

Let's Get "REAL": A Collaborative Group Therapy for Moral Injury. 让我们变得“真实”:道德伤害的合作团体治疗。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2022-01-01 Epub Date: 2022-02-03 DOI: 10.1080/08854726.2022.2032978

Melissa A Smigelsky, Jesse Malott, Ryan Parker, Carter Check, Brad Rappaport, Steffanie Ward

引用次数: 2

The role of religion and spirituality in caregiver decision-making about tracheostomy for children with medical complexity. 宗教和精神在照顾者对患有复杂疾病的儿童气管切开术决策中的作用。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2022-01-01 DOI: 10.1080/08854726.2020.1755812

Savithri Nageswaran, Quincy Banks, Shannon L Golden, W Adam Gower, Nancy M P King

{"title":"The role of religion and spirituality in caregiver decision-making about tracheostomy for children with medical complexity.","authors":"Savithri Nageswaran, Quincy Banks, Shannon L Golden, W Adam Gower, Nancy M P King","doi":"10.1080/08854726.2020.1755812","DOIUrl":"https://doi.org/10.1080/08854726.2020.1755812","url":null,"abstract":"Children with medical complexity (CMC) receive life-sustaining treatments such as tracheostomy. The objective of this paper is to explore the roles of religion and spirituality (R&S) of caregivers of children with medical complexity (CMC) in their decision to pursue tracheostomy for their children. We conducted 41 in-depth interviews of caregivers of CMC who had received tracheostomies in the prior 5 years. Four themes emerged: (1) Caregivers believed R&S to be powerful for their children's healing, and helped them cope with their children's illnesses; (2) Spirituality was an important factor for caregivers in the decision to pursue tracheostomy for their children; (3) Many caregivers did not discuss their spirituality with clinicians for a variety of reasons; (4) Clergy and hospital chaplains played a major supportive role overall; however, they did not play a significant role in the decision-making process. Our study shows the importance of R&S, and the roles of clergy and chaplains in pediatric tracheostomy decision-making.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 1","pages":"95-107"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1755812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10460630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Collaborative spiritual care for moral injury in the veterans Affairs Healthcare System (VA): Results from a national survey of VA chaplains. 退伍军人事务医疗保健系统(VA)中道德伤害的协作精神护理:来自VA牧师的全国调查结果。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2022-01-01 Epub Date: 2021-11-26 DOI: 10.1080/08854726.2021.2004847

Jennifer H Wortmann, Jason A Nieuwsma, Heather A King, Paola Fernandez, George L Jackson, Melissa A Smigelsky, William Cantrell, Keith G Meador

{"title":"Collaborative spiritual care for moral injury in the veterans Affairs Healthcare System (VA): Results from a national survey of VA chaplains.","authors":"Jennifer H Wortmann, Jason A Nieuwsma, Heather A King, Paola Fernandez, George L Jackson, Melissa A Smigelsky, William Cantrell, Keith G Meador","doi":"10.1080/08854726.2021.2004847","DOIUrl":"https://doi.org/10.1080/08854726.2021.2004847","url":null,"abstract":"The psychospiritual nature of moral injury invites consideration regarding how chaplains understand the construct and provide care. To identify how chaplains in the VA Healthcare System conceptualize moral injury, we conducted an anonymous online survey (N = 361; 45% response rate). Chaplains responded to a battery of items and provided free-text definitions of moral injury that generally aligned with key elements in the existing literature, though with different emphases. Over 90% of chaplain respondents indicated that they encounter moral injury in their chaplaincy care, and a similar proportion agreed that chaplains and mental health professionals should collaborate in providing care for moral injury. Over one-third of chaplain respondents reported offering or planning to offer a moral injury group. Separately, nearly one-quarter indicated present or planned collaboration with mental health to provide groups that in some manner address moral injury. Previous training in evidence-based and collaborative care approaches appears to contribute to the likelihood of providing integrated psychosocial-spiritual care. Results and future directions are discussed, including a description of moral injury that may be helpful to understand present areas of emphasis in VA chaplains' care for moral injury.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 sup1","pages":"S9-S24"},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39749734","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: 3

Humanist chaplaincy according to Northwestern European humanist chaplains: towards a framework for understanding chaplaincy in secular societies. 从西北欧人文主义牧师看人文主义牧师制度:走向一个理解世俗社会牧师制度的框架。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2021-10-01 Epub Date: 2020-02-04 DOI: 10.1080/08854726.2020.1723190

C M Schuhmann, J Wojtkowiak, R van Lierop, F Pitstra

{"title":"Humanist chaplaincy according to Northwestern European humanist chaplains: towards a framework for understanding chaplaincy in secular societies.","authors":"C M Schuhmann, J Wojtkowiak, R van Lierop, F Pitstra","doi":"10.1080/08854726.2020.1723190","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723190","url":null,"abstract":"In this article, views on humanist chaplaincy of Northwestern European humanist chaplains are explored with a view to the question of how to understand chaplaincy in secular societies. Seventeen questionnaires were analyzed, filled in by humanist chaplains from Belgium, the UK, Ireland, and Denmark, who attended an international conference on humanist chaplaincy organized in 2015 in the Netherlands. In the Netherlands, humanist chaplaincy has a history of several decades and is meanwhile firmly integrated in public institutions; a brief overview over this history is presented. Using thematic analysis, respondents' understandings of 'humanist' in humanist chaplaincy were explored, yielding 4 key themes: humanist chaplaincy as a calling, caring for all fellow human beings, belief in (inter)personal potential, and struggling with a non-supportive environment. On the basis of these themes, building blocks are proposed for a future-oriented perspective on chaplaincy that allows for open dialogue between all chaplains and identification of common ground.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"27 4","pages":"207-221"},"PeriodicalIF":1.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723190","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37606309","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: 7

Education for professional chaplaincy in the US: mapping current practice in Clinical Pastoral Education (CPE). 美国专业牧师教育:临床教牧教育(CPE)当前实践的映射。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2021-10-01 Epub Date: 2020-02-07 DOI: 10.1080/08854726.2020.1723191

Casey Clevenger, Wendy Cadge, Irene Elizabeth Stroud, Patricia K Palmer, Trace Haythorn, George Fitchett

{"title":"Education for professional chaplaincy in the US: mapping current practice in Clinical Pastoral Education (CPE).","authors":"Casey Clevenger, Wendy Cadge, Irene Elizabeth Stroud, Patricia K Palmer, Trace Haythorn, George Fitchett","doi":"10.1080/08854726.2020.1723191","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723191","url":null,"abstract":"In light of questions that have been raised about education for professional healthcare chaplaincy, we examined the skills and knowledge Clinical Pastoral Educators believe students need to perform the essential tasks and responsibilities of a chaplain. At 19 recently re-accredited ACPE centers across the country, we asked educators about the knowledge chaplains need to be effective, the specific content areas they teach, and how didactic education is planned and organized within their programs. Beyond a focus on religious diversity, we found little consensus among educators regarding a core knowledge base that should be taught during CPE. While most respondents in our study recognize the importance of didactic education in preparing students to become chaplains, there is a lack of consistency in didactic curricula across programs. Our findings suggest the need for broader conversation and collaboration among educators, national chaplaincy organizations, and theological schools regarding the goals, priorities, and outcomes of CPE.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"27 4","pages":"222-237"},"PeriodicalIF":1.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37620009","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: 7

Compassion Meditation Training for Hospital Chaplain Residents: A Pilot Study. 医院住校牧师的慈悲禅修训练:一项初步研究。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2021-10-01 Epub Date: 2020-02-13 DOI: 10.1080/08854726.2020.1723189

Marcia J Ash, Elizabeth Reisinger Walker, Ralph J DiClemente, Marianne P Florian, Patricia K Palmer, Kathryn Wehrmeyer, Lobsang Tenzin Negi, George H Grant, Charles L Raison, Jennifer S Mascaro

{"title":"Compassion Meditation Training for Hospital Chaplain Residents: A Pilot Study.","authors":"Marcia J Ash, Elizabeth Reisinger Walker, Ralph J DiClemente, Marianne P Florian, Patricia K Palmer, Kathryn Wehrmeyer, Lobsang Tenzin Negi, George H Grant, Charles L Raison, Jennifer S Mascaro","doi":"10.1080/08854726.2020.1723189","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723189","url":null,"abstract":"This study examines the effectiveness of incorporating compassion meditation training into a clinical pastoral education (CPE) curriculum to enhance compassion satisfaction and reduce burnout among hospital chaplain residents. Specifically, a longitudinal, quasi-experimental design was used to examine the impact of Cognitively-Based Compassion Training (CBCT), a group-delivered compassion meditation intervention. Hospital chaplain residents (n = 15) were assigned to participate in a CBCT intervention or a waitlist comparison group. Chaplains assigned to CBCT reported significant decreases in burnout and anxiety compared to the waitlist group; effects were not maintained at 4-month follow-up. Other outcomes, including compassion satisfaction, did not differ significantly but were trending in the expected direction. Findings suggest that compassion meditation training incorporated into CPE promotes chaplain wellbeing, although it may be necessary to extend CBCT throughout residency to sustain effects.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"27 4","pages":"191-206"},"PeriodicalIF":1.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37640019","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: 9

Mapping the healthcare chaplaincy workforce: a baseline description. 绘制医疗保健牧师队伍:基线描述。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2021-10-01 Epub Date: 2020-02-13 DOI: 10.1080/08854726.2020.1723192

Kelsey B White, Marilyn J D Barnes, Wendy Cadge, George Fitchett

{"title":"Mapping the healthcare chaplaincy workforce: a baseline description.","authors":"Kelsey B White, Marilyn J D Barnes, Wendy Cadge, George Fitchett","doi":"10.1080/08854726.2020.1723192","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723192","url":null,"abstract":"Changing U.S. demographics and the growing emphasis on diversity in the healthcare workforce requires professional healthcare chaplains to examine the characteristics of its own workforce. Previous research suggested that chaplains were mainly Caucasian/White and Mainline Protestant. To explore further, this paper presents a baseline sketch of the workforce and identifies important differences among board-certified chaplains (BCCs), certified educators, certified educator candidates (CECs), and clinical pastoral education (CPE) students. Although missing data quickly became the central story of the analysis and thus requires caution in comparison, the preliminary results suggest BCCs and Certified Educators are older and Whiter/more Caucasian than CECs and CPE students. At least one-third of chaplains and Certified Educators identify as Mainline Protestant, but students and CECs reported greater variation in religious affiliation. Chaplains may be similar to users of healthcare and hospitalized persons in terms of gender and race/ethnicity. Recommendations include suggestions for improving the data infrastructure of professional chaplaincy organizations.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"27 4","pages":"238-258"},"PeriodicalIF":1.9,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37640023","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: 17

A beacon in the storm: competencies of healthcare chaplains in the accident and emergency department. 风暴中的灯塔:事故和急诊科保健牧师的能力。

IF 1.9

Journal of Health Care Chaplaincy Pub Date : 2021-07-01 Epub Date: 2020-02-07 DOI: 10.1080/08854726.2020.1723188

Robin Pater, Anja Visser, Wim Smeets

{"title":"A beacon in the storm: competencies of healthcare chaplains in the accident and emergency department.","authors":"Robin Pater, Anja Visser, Wim Smeets","doi":"10.1080/08854726.2020.1723188","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723188","url":null,"abstract":"Introduction: In several Dutch hospitals, healthcare chaplains provide care to accompanying persons at the accident and emergency (A&E) department, even though they have not been trained for such a dynamic, high-intensity environment. We therefore examined the competencies they feel they need in this setting.Methods: Interviews were conducted with 14 healthcare chaplains from nine hospitals, and with five A&E nurses from two hospitals.Results: All respondents considered healthcare chaplaincy essential in the A&E department. Our findings support the need for psychosocial and communicative skills, knowledge of mourning processes, flexibility, sensitivity, and reflexivity. Additional competencies included sensitivity to existential concerns, practicing presence, a person-centered approach, medical knowledge, and letting go of a solution-oriented approach.Discussion: The chaplains questioned the sufficiency of their leadership skills, pragmatism, and medical knowledge. To ensure their sustained availability for people in crisis, more systematic efforts are needed with regard to aftercare, evaluation, and self-care on the part of healthcare chaplains.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"27 3","pages":"172-189"},"PeriodicalIF":1.9,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37620056","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: 4