Journal of Health Care Chaplaincy最新文献

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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
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
Becoming chaplains: How and why chaplains enter the field, factors involved and implications. 成为牧师:牧师如何及为何进入这一领域、相关因素及影响。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-04-01 Epub Date: 2022-12-14 DOI: 10.1080/08854726.2022.2154108
Robert Klitzman, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi, Gabrielle Di Sapia Natarelli
{"title":"Becoming chaplains: How and why chaplains enter the field, factors involved and implications.","authors":"Robert Klitzman, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi, Gabrielle Di Sapia Natarelli","doi":"10.1080/08854726.2022.2154108","DOIUrl":"10.1080/08854726.2022.2154108","url":null,"abstract":"<p><p>Many questions arise concerning how and why chaplains enter the field. Interviews of ∼1 one hour each were conducted with 23 U.S. chaplains. Chaplains vary widely in professional and personal backgrounds and experiences, which they often draw on in their work. Personal experiences can lead them to enter the field, enhance their empathy and strengthen their commitment. They have frequently faced significant trauma (e.g., parent's death) or helped family and/or friends with end-of-life challenges. Chaplains often entered other fields first (e.g., clergy, business or healthcare), but they often had incomplete or incorrect prior knowledge about the field. Prior experiences can also affect their work (e.g., in recognizing the power of silence). A sense of personal \"calling\" frequently leads chaplains to find their work deeply rewarding and sustaining. These data, the first to explore how and why chaplains enter the field, have critical implications for future practice, education and research.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"75-88"},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10705426","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
"Reading" the room: healthcare chaplains' challenges, insights and variations in entering rooms and engaging with patients and families. "阅读 "病房:医疗牧师在进入病房与病人和家属接触时遇到的挑战、见解和变化。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-04-01 Epub Date: 2023-05-13 DOI: 10.1080/08854726.2023.2210029
Robert Klitzman, Gabrielle Di Sapia Natarelli, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi
{"title":"\"Reading\" the room: healthcare chaplains' challenges, insights and variations in entering rooms and engaging with patients and families.","authors":"Robert Klitzman, Gabrielle Di Sapia Natarelli, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi","doi":"10.1080/08854726.2023.2210029","DOIUrl":"10.1080/08854726.2023.2210029","url":null,"abstract":"<p><p>Recent research has described broad types of healthcare chaplains' activities, but many questions remain about <i>how</i> these professionals perform these tasks, whether variations occur, and if so, in what ways. Twenty-three chaplains were interviewed in-depth. Chaplains described engaging in highly dynamic processes, involving both verbal and non-verbal interactions. They face challenges and vary in ways of starting interactions, using verbal and non-verbal cues, and communicating through physical appearance. In these processes, when entering patients' rooms, they seek to \"read the room,\" follow patients' leads, look for cues, match the energy/mood in the room, and adjust their body language appropriately, while maintaining open-ended stances. They face choices of what, if anything, to communicate through clothing (e.g., wearing clerical collars or crosses) and can confront additional challenges with members of groups different than their own, at times requiring further sensitivity. These data, the first to examine challenges chaplains confront entering patients' rooms and engaging in non-verbal communication, can enhance understandings of these issues, and help chaplains and other healthcare professionals provide more sensitive and astute context-based care. These findings thus have critical implications for education, practice, and research concerning chaplains and other providers.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"122-136"},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9824006","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
Healthcare chaplains' conflicting and ambivalent positions regarding meaning in life and worldview. 医护牧师对人生意义和世界观的矛盾和冲突立场。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-04-01 Epub Date: 2023-05-10 DOI: 10.1080/08854726.2023.2210026
Gaby Jacobs, Carmen Schuhmann, Iris Wierstra
{"title":"Healthcare chaplains' conflicting and ambivalent positions regarding meaning in life and worldview.","authors":"Gaby Jacobs, Carmen Schuhmann, Iris Wierstra","doi":"10.1080/08854726.2023.2210026","DOIUrl":"10.1080/08854726.2023.2210026","url":null,"abstract":"<p><p>Western society is increasingly a spiritual society, but not so much a society that draws on clearly delineated religious or worldview pillars anymore. Within healthcare, there's a growing attention to the spiritual dimension of health and the collaborative spiritual care that is needed for person-centered care. This changing religious/worldview and healthcare landscape is influencing healthcare chaplaincy. In this case study in-depth interviews were conducted with a chaplaincy team within a large healthcare organization in The Netherlands. Dialogical Self Theory was used as the theoretical framework in the narrative analysis of these stories. This provided insights into how these chaplains negotiate their professional identity within a changing healthcare landscape. It is concluded that there are multiple and often contradictory and conflicting positions within and between chaplains and that it is a challenge for healthcare chaplains to integrate the \"old\" and \"new\" representations of chaplaincy.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"107-121"},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9440642","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
How does the American public interact with chaplains? Evidence from a national survey. 美国公众如何与牧师互动?一项全国性调查提供的证据。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-04-01 Epub Date: 2023-07-24 DOI: 10.1080/08854726.2023.2239109
Amy Lawton, Wendy Cadge, Jessica Hamar Martinez
{"title":"How does the American public interact with chaplains? Evidence from a national survey.","authors":"Amy Lawton, Wendy Cadge, Jessica Hamar Martinez","doi":"10.1080/08854726.2023.2239109","DOIUrl":"10.1080/08854726.2023.2239109","url":null,"abstract":"<p><p>How does the American public understand the term chaplain? What fraction interact with chaplains and in what settings? What is the content of those interactions and do care recipients find them valuable? We answer these questions with data from a nationally representative survey (<i>N</i> = 1096) conducted in March 2022 and interviews with a subset (<i>N</i> = 50) of survey recipients who interacted with chaplains. We find that people in the United States do not have a consistent understanding of the term chaplain. Based on our definition, at least 18% of Americans have interacted with a chaplain. Among those who interacted with a chaplain as defined in the survey, the majority did so through healthcare organizations. Care recipients include people who were ill and their visitors/caregivers. The most common types of support received were prayer, listening and comfort. Overall, survey respondents found chaplains to be moderately or very valuable.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"137-151"},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9858537","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
Supporting staff: The role of health care chaplains. 支持工作人员:医护牧师的作用。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2024-01-01 Epub Date: 2022-12-15 DOI: 10.1080/08854726.2022.2154107
Alexander Tartaglia, Kelsey B White, Tyler Corson, Ann Charlescraft, Tricia Johnson, Elizabeth Jackson-Jordan, George Fitchett
{"title":"Supporting staff: The role of health care chaplains.","authors":"Alexander Tartaglia, Kelsey B White, Tyler Corson, Ann Charlescraft, Tricia Johnson, Elizabeth Jackson-Jordan, George Fitchett","doi":"10.1080/08854726.2022.2154107","DOIUrl":"10.1080/08854726.2022.2154107","url":null,"abstract":"<p><p>The aim of this study was to describe the range of spiritual care activities in support of clinical colleagues at a subset of U.S. hospitals. A descriptive cross-sectional design using a 76-item Zoom/telephone guided survey containing a subset of staff care questions was employed. Data were provided by directors/managers responsible for spiritual care services at the 2020-2021 <i>U.S. News & World Report</i> top hospitals. Results identified staff support as an important chaplaincy function at both organizational and spiritual care department levels. Staff chaplains at over half of the hospitals spend an estimated 10-30% of their time on staff care, with chaplains in five hospitals spending greater than 30%. The most frequently reported activities were religiously associated, such as blessings and rituals for hospital events. Additionally, chaplains actively support staff during critical events such as patient deaths and through organizational protocols such as code lavender and critical incident debriefings. Chaplain support for staff most commonly grew out of personal relationships or referrals from clinical managers. Future research opportunities in this area include systematic data collection for chaplains' specific staff support activities as well as efforts to investigate the impact of those activities on patient experience.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":" ","pages":"60-73"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10344885","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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