Journal of Health Care Chaplaincy最新文献

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Mapping spiritual care in small and critical access hospitals in a faith-based US Health system. 绘制以信仰为基础的美国医疗系统中小型医院和重症医院的灵性关怀图。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI: 10.1080/08854726.2024.2354006
Kristen Schenk, Tyler Whipkey, George Fitchett
{"title":"Mapping spiritual care in small and critical access hospitals in a faith-based US Health system.","authors":"Kristen Schenk, Tyler Whipkey, George Fitchett","doi":"10.1080/08854726.2024.2354006","DOIUrl":"10.1080/08854726.2024.2354006","url":null,"abstract":"<p><p>Little is known about spiritual care in small hospitals and critical access hospitals (CAHs), essential sources of health care in rural areas of the US. Using interview-administered surveys with spiritual care providers, we examined spiritual care services in 19 facilities, including seven small hospitals, nine CAHs, and three freestanding emergency departments, in one religiously-owned healthcare system. We identified four groups of facilities based on intensity/frequency of chaplain availability. A central finding was the variation in spiritual care services provided in these diverse facilities. Of the 16 hospitals in the sample, 11 of them (69%) offered spiritual care from professional chaplains at least three days per week. Support for staff was an important priority in all the facilities. Needs identified include virtual training and support for the spiritual care providers in these settings. Future research should replicate this study in a representative sample of hospitals that serve the rural US population.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"255-277"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437662","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
Chaplaincy and outpatient cancer care in a faith-based health system: lessons learned when imbedding two full time chaplain positions in a cancer institute with a faith-based heritage. 以信仰为基础的医疗系统中的牧师和癌症门诊护理:在一家具有信仰传统的癌症研究所中设置两个全职牧师职位的经验教训。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-10-01 Epub Date: 2024-05-27 DOI: 10.1080/08854726.2024.2354000
Thomas Payne
{"title":"Chaplaincy and outpatient cancer care in a faith-based health system: lessons learned when imbedding two full time chaplain positions in a cancer institute with a faith-based heritage.","authors":"Thomas Payne","doi":"10.1080/08854726.2024.2354000","DOIUrl":"10.1080/08854726.2024.2354000","url":null,"abstract":"<p><p>There is interest in chaplains devoted to outpatient cancer care, informed by a growing body of research as well as recommendations of accreditors. Simultaneously, a growing share of U.S. healthcare is faith-based and possesses a foundational interest in religious/spiritual (R/S) care due to institutional culture. In that milieu, few articles describe how religious organizational cultures influence the creation and implementation of FTEs intended to meet the evidence-based recommendations of accreditors. This is a lacuna, given that board certified chaplains are measured on their ability to integrate spiritual care into the life and service of their institutions. In response, this article describes the creation and implementation of two chaplain positions devoted to a group of outpatient cancer clinics in a large Catholic healthcare system. This includes lessons learned when navigating R/S aspects of organizational cultures while implementing and executing chaplain practice to meet accreditor recommendations.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"245-254"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157738","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
Pediatric chaplains iterative process to address religious & spiritual struggle: a qualitative study. 儿科牧师解决宗教和精神斗争的迭代过程:一项定性研究。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-10-01 Epub Date: 2024-06-03 DOI: 10.1080/08854726.2024.2354004
Salvador Leavitt-Alcántara, Angela R Meeks, Logan J Miller, Barbara K Giambra
{"title":"Pediatric chaplains iterative process to address religious & spiritual struggle: a qualitative study.","authors":"Salvador Leavitt-Alcántara, Angela R Meeks, Logan J Miller, Barbara K Giambra","doi":"10.1080/08854726.2024.2354004","DOIUrl":"10.1080/08854726.2024.2354004","url":null,"abstract":"<p><p>The growing body of literature on religious and spiritual (R/S) struggles consistently highlights its association with various health outcomes in Pediatrics. Chaplains or spiritual care providers, as members of interdisciplinary teams, frequently offer spiritual care to patients and families grappling with R/S struggles. However, there is a paucity of literature demonstrating how chaplains address R/S struggle in their practice. This study aimed to construct a theory describing the process by which pediatric chaplains conceptualize and address it. Employing a constructivist Grounded Theory study design, we sought to comprehend the approaches pediatric chaplains utilize in addressing R/S struggles. Following a semi-structured interview guide, we interviewed twelve Board Certified or Board Certification-eligible chaplains. Findings reveal that chaplains use an iterative three-phase process to address R/S struggles. Thirteen categories emerged, which were further organized into four major themes: Assessing, Processing, Intervening, and Navigating Limitations. A model depicting this iterative process was constructed.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"278-293"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200769","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
Spiritual assessment models for palliative care chaplains: a narrative review. 姑息关怀牧师的精神评估模式:叙述性综述。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1080/08854726.2024.2368999
Paul K Galchutt
{"title":"Spiritual assessment models for palliative care chaplains: a narrative review.","authors":"Paul K Galchutt","doi":"10.1080/08854726.2024.2368999","DOIUrl":"10.1080/08854726.2024.2368999","url":null,"abstract":"<p><p>Palliative care chaplains conduct spiritual assessments for those within their care. This narrative review examined the literature concerning existing spiritual assessment models developed or designated for palliative care chaplain use. The literature review was performed using four databases, including a hand search of references due to the variability of keywords used within the spiritual care literature. Five spiritual assessment models were identified. The analysis of the models focused on three areas: (1) Foundational basis, (2) Spiritual needs, and (3) Structural frameworks. Published spiritual assessment models for palliative care chaplain use are variable in how each one was formed, how each tool describes and structures spiritual care needs, and how the models are implemented within their respective contexts. The PC-7 advances the field, especially through its mixed methods approach. Future validation and reliability research is needed as well as investigations concerning which models are taught by chaplain educators and used by palliative care chaplains.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"329-345"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433030","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 : 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":"https://doi.org/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":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2024-09-18","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
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 : 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":"https://doi.org/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":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2024-09-17","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
Providing spiritual care to cancer patients in the outpatient context: a pilot study. 在门诊环境中为癌症患者提供精神护理:一项试点研究。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-07-01 Epub Date: 2023-10-09 DOI: 10.1080/08854726.2023.2266303
Beth L Muehlhausen, Christa Chappelle, Allison DeLaney, David Peacock, R Greg Stratton, George Fitchett
{"title":"Providing spiritual care to cancer patients in the outpatient context: a pilot study.","authors":"Beth L Muehlhausen, Christa Chappelle, Allison DeLaney, David Peacock, R Greg Stratton, George Fitchett","doi":"10.1080/08854726.2023.2266303","DOIUrl":"10.1080/08854726.2023.2266303","url":null,"abstract":"<p><p>The aim of this pilot study was to test an effort to provide spiritual care (SC) to oncology outpatients in the Ascension healthcare system. Medical providers referred patients who would benefit from spiritual and emotional support. Twenty-seven cancer outpatients from 5 states were enrolled in the project. Based on the chaplain assessment, 45% of the patients had moderate or severe spiritual concerns. On average patients had 4 sessions with a chaplain (range 2-9). Of the 136 chaplain sessions, 56% were in-person in the clinic and 35% were by phone. The most common chaplain activities were active listening (87% of the sessions) and demonstrate caring and concern (55%). For the 20 patients who provided follow-up data, there were decreases in all measures of religious/spiritual distress, though statistically insignificant, and a marginally significant increase (<i>p</i> < .054) in well-being. The study adds to the emerging literature that describes the importance of SC in the outpatient context.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"153-166"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139540","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
Navigating challenges in telechaplaincy: A thematic analysis of an international conference. 驾驭远程超灵的挑战:对一次国际会议的专题分析。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-07-01 Epub Date: 2023-12-19 DOI: 10.1080/08854726.2023.2294680
Fabian Winiger, Petra Sprik
{"title":"Navigating challenges in telechaplaincy: A thematic analysis of an international conference.","authors":"Fabian Winiger, Petra Sprik","doi":"10.1080/08854726.2023.2294680","DOIUrl":"10.1080/08854726.2023.2294680","url":null,"abstract":"<p><p>Telehealth-based care models are being widely adopted by primary care providers and large healthcare institutions. Drawing on data collected at an international conference on the theory and practice of telechaplaincy, this article identifies and discusses how chaplains navigate various telechaplaincy-related challenges. A thematic analysis identified 49 codes and 11 themes at the individual-, organizational- and population levels. Presenters reported facing novel and qualitatively distinct challenges spanning an array of telechaplains' professional activities, including the structure of work routines, the types of interventions used, the ways provider-patient connections are established and experienced, the strategic positioning of chaplains, their role in the model of care, and ultimately, the populations served. It is argued that, though telechaplaincy has gained prominence since the Covid-19 pandemic, the maintenance of professional standards in digital care settings is a systemic challenge related to long-term trends towards outpatient care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"186-201"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811825","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
Work-related perceptions and coping strategies of acute care chaplains: a qualitative analysis. 急性护理牧师的工作相关认知和应对策略:定性分析。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-07-01 Epub Date: 2023-10-19 DOI: 10.1080/08854726.2023.2270395
Stephanie L Harris, Amanda K Bailey
{"title":"Work-related perceptions and coping strategies of acute care chaplains: a qualitative analysis.","authors":"Stephanie L Harris, Amanda K Bailey","doi":"10.1080/08854726.2023.2270395","DOIUrl":"10.1080/08854726.2023.2270395","url":null,"abstract":"<p><p>Hospital-based chaplains provide crucial spiritual and emotional care to patients, families, and staff during times of intense life changes and crises. Chaplains are regularly exposed to suffering and their work may result in personal mental and emotional health challenges. To understand chaplains' perceptions of the impact of their work and methods to cope, a secondary analysis of a mixed-methods study on chaplain well-being was undertaken. Qualitative interviews were conducted with nine hospital-based chaplains and data were coded and analyzed using thematic analysis. Results revealed that participants perceive their work as offering both trials and rewards, and their efforts to cope with trials include interpersonal support, intrapersonal resources, and spiritual resilience. Personal insights into chaplains' experiences may help inform organizational interventions to support these essential members of the care team.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"167-185"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683447","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
"Genuine and fundamentally human": a qualitative study into Dutch humanist chaplains' conceptualizations of empathy. "真正的、基本的人类":对荷兰人文主义牧师的同理心概念的定性研究。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-04-01 Epub Date: 2023-01-27 DOI: 10.1080/08854726.2023.2169535
Jolanda van Dijke, Joachim Duyndam, Inge van Nistelrooij, Pien Bos
{"title":"\"Genuine and fundamentally human\": a qualitative study into Dutch humanist chaplains' conceptualizations of empathy.","authors":"Jolanda van Dijke, Joachim Duyndam, Inge van Nistelrooij, Pien Bos","doi":"10.1080/08854726.2023.2169535","DOIUrl":"10.1080/08854726.2023.2169535","url":null,"abstract":"<p><p>Empathy has been highlighted as a key concept in chaplaincy care, but its meaning has hardly been explored in depth within this field. This study aims to help develop stronger conceptual clarity by investigating humanist chaplains' conceptualizations of empathy. Data were collected through semi-structured interviews with twenty humanist chaplains working in health care, military, and prisons. A qualitative design was employed to clarify which components and features constitute empathy in humanist chaplaincy care. Empathy emerges as a multidimensional concept that is \"fundamentally human.\" Chaplains distinguish between true and pseudo empathy based on different features including authenticity and concern. This article provides a conceptual model that combines the different components and features of empathy in humanist chaplaincy care and the relationship between them in light of empathy's humanizing quality. It may be used for educational purposes and could function as a conceptual framework for future research efforts.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"89-106"},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10678121","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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