Journal of Health Care Chaplaincy最新文献

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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":null,"pages":null},"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
Chaplain staffing and scope of service: benchmarking spiritual care departments. 牧师的人员配备和服务范围:灵性关怀部门的基准。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-01-01 Epub Date: 2022-09-14 DOI: 10.1080/08854726.2022.2121579
Alexander Tartaglia, Tyler Corson, Kelsey B White, Ann Charlescraft, Elizabeth Jackson-Jordan, Tricia Johnson, George Fitchett
{"title":"Chaplain staffing and scope of service: benchmarking spiritual care departments.","authors":"Alexander Tartaglia, Tyler Corson, Kelsey B White, Ann Charlescraft, Elizabeth Jackson-Jordan, Tricia Johnson, George Fitchett","doi":"10.1080/08854726.2022.2121579","DOIUrl":"10.1080/08854726.2022.2121579","url":null,"abstract":"<p><p>The functions of hospital chaplains and the corresponding staffing of spiritual care departments remain persistent and parallel questions within the profession. No consensus exists on services provided by spiritual care departments nor the staffing patterns to meet those expectations. This study describes the key activities and staffing at the 20 <i>U.S. News and World Report Best Hospitals 2020-2021</i> as well as the connections between services, staffing, and select hospital characteristics such as average daily census. Information about each hospital's chaplaincy department was gathered via a Zoom/telephone assisted survey with its spiritual care manager. Findings reveal that while spiritual care departments are structurally integrated into their organizations and chaplains respond consistently to requests for care, involvement in established organizational protocols varies. Study findings support the notion that staffing levels are a function of chaplain integration into an organization and the activities organizations expect chaplains to fulfill.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40357703","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
Supporting staff: The role of health care chaplains. 支持工作人员:医护牧师的作用。
IF 1.9
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":null,"pages":null},"PeriodicalIF":1.9,"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
Increasing chaplain support for veterans at high risk for suicide through targeted outreach: A quality improvement initiative. 通过有针对性的外展活动,增加牧师对高自杀风险退伍军人的支持:一项质量改进举措。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-01-01 Epub Date: 2022-10-26 DOI: 10.1080/08854726.2022.2136466
Melissa A Smigelsky, Justin L Maynard, C Graham Ford, Ryan Parker, Jennifer H Wortmann, Keith G Meador, Anna Fink, Jason A Nieuwsma
{"title":"Increasing chaplain support for veterans at high risk for suicide through targeted outreach: A quality improvement initiative.","authors":"Melissa A Smigelsky, Justin L Maynard, C Graham Ford, Ryan Parker, Jennifer H Wortmann, Keith G Meador, Anna Fink, Jason A Nieuwsma","doi":"10.1080/08854726.2022.2136466","DOIUrl":"10.1080/08854726.2022.2136466","url":null,"abstract":"<p><p>The Department of Veterans Affairs (VA) has prioritized improving the identification of veterans at risk for suicide and ensuring adequate staffing of personnel to assist veterans in need. It is imperative that suicide prevention efforts make use of the full range of available resources, including diverse professionals with distinctive skillsets. Chaplains are engaged in suicide prevention efforts in VA, but the literature lacks examples of chaplain-involved suicide prevention efforts that clearly describe how chaplains are engaged, the training and/or qualifications chaplains possess in the area of suicide prevention, and the reach and impact of such efforts. The purpose of this report is to describe the development and implementation of a novel, innovative, and ongoing chaplain-led suicide prevention outreach initiative for veterans at high risk for suicide. Results indicated the program was feasible and supported at the systems level, and chaplains were able to collaboratively sustain outreach efforts over the course of a year. Chaplain suicide prevention outreach was found to be acceptable to veterans, who overwhelmingly indicated openness to and appreciation for outreach. Chaplains can address the spiritual crisis underlying suicidality, bolster spiritual protective factors, and are a part of holistic care. Considerations for implementation and future investigation are discussed.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46552793","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
When and why patients and families reject chaplains: challenges, strategies and solutions. 病人和家属拒绝牧师的时间和原因:挑战、策略和解决方案。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-01-01 Epub Date: 2022-11-26 DOI: 10.1080/08854726.2022.2150026
Robert Klitzman, Gabrielle Di Sapia Natarelli, Elizaveta Garbuzova, Stephanie Sinnappan, Jay Al-Hashimi
{"title":"When and why patients and families reject chaplains: challenges, strategies and solutions.","authors":"Robert Klitzman, Gabrielle Di Sapia Natarelli, Elizaveta Garbuzova, Stephanie Sinnappan, Jay Al-Hashimi","doi":"10.1080/08854726.2022.2150026","DOIUrl":"10.1080/08854726.2022.2150026","url":null,"abstract":"<p><p>Hospital chaplains perform important activities, but critical questions arise about the challenges they may face in working with patients, and how these professionals respond. Thirty-three telephone interviews of approximately 1 hour and were conducted with 21 board-certified chaplains. When asked about their biggest challenges and most rewarding interactions, several chaplains described rejections by patients or families. Patients and families at times rejected chaplains, and did so for six broad types of reasons - not wanting to discuss the disease due to conflicted feelings, including anger or frustration at the patient, the cosmos or God; or wanting to minimize it; wanting a chaplain of their own faith; or of a particular gender or other characteristic; being atheist or wary of religion; or misunderstanding what chaplains do. Patients at times also disagreed with family members about whether to reject a chaplain. Chaplains responded variously: feeling transitory hurt (which generally decreases with experience); respecting patients' autonomy and leaving; exploring reasons for rejection; and revisiting later and often then making helpful connections. These data have important implications for future practice, education and research regarding chaplains and other providers - suggesting, for example, how patients' families and the public might benefit from increased understanding about the field.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10379679","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
The perceived impact of being a chaplain-researcher on professional practice. 作为牧师研究员对专业实践的影响。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2024-01-01 Epub Date: 2022-10-20 DOI: 10.1080/08854726.2022.2132036
Niels den Toom, Anja Visser, Jacques Körver, Martin N Walton
{"title":"The perceived impact of being a chaplain-researcher on professional practice.","authors":"Niels den Toom, Anja Visser, Jacques Körver, Martin N Walton","doi":"10.1080/08854726.2022.2132036","DOIUrl":"10.1080/08854726.2022.2132036","url":null,"abstract":"<p><p>As research has become part of chaplaincy, many chaplains become involved in research, often in the double-role of chaplain-researcher. Despite the increase of involvement in research, how conducting research benefits chaplains' professional care for clients has not been studied. The present study aimed to describe how chaplains perceive the impact of participation in the Dutch Case Studies Project (CSP) on their professional expertise and positioning in the institution. A survey was distributed among participants of the CSP (N = 50) and was completed by 48 participants. We found that participation in research contributed to the <i>expertise</i> of chaplains (e.g., its goal-orientation, the use of theory and method) and their <i>positioning</i> as they try to legitimate their profession. This study thus substantiates the presumption that chaplains' engaging in research as chaplain-researcher contributes to the perceived improvement of the quality of chaplaincy care and its legitimation.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40560807","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: 1
I see you: a Chaplain case study on existential distress and transdisciplinary support. 我看到你了:一个关于生存困境和跨学科支持的牧师案例研究。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-10-01 Epub Date: 2022-07-27 DOI: 10.1080/08854726.2022.2097780
Peter J Heikkinen, Benjamin Roberts
{"title":"I see you: a Chaplain case study on existential distress and transdisciplinary support.","authors":"Peter J Heikkinen,&nbsp;Benjamin Roberts","doi":"10.1080/08854726.2022.2097780","DOIUrl":"10.1080/08854726.2022.2097780","url":null,"abstract":"<p><p>In the setting of major disease progression coupled with active pain, hospitalized patients may become disconnected from their metanarratives and personal grounding. Transdisciplinary palliative care teams are poised to foster patients' connection with their metanarratives by collaborating across areas of expertise to establish goals of care and manage total pain. This case study demonstrates: (1) the unique value of the palliative Chaplain in journeying with the patient through existential distress towards self-discovery, and (2) the role of the palliative chaplain in encouraging a transdisciplinary approach to total pain within a palliative care team.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40635480","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: 1
Chaplains as mediators in conflicts concerning method of patients' medical care-study of the situation in Poland. 牧师在关于病人医疗护理方法的冲突中充当调解人波兰情况研究。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-10-01 Epub Date: 2022-07-29 DOI: 10.1080/08854726.2022.2104566
Waldemar Głusiec, Magdalena Suchodolska
{"title":"Chaplains as mediators in conflicts concerning method of patients' medical care-study of the situation in Poland.","authors":"Waldemar Głusiec,&nbsp;Magdalena Suchodolska","doi":"10.1080/08854726.2022.2104566","DOIUrl":"10.1080/08854726.2022.2104566","url":null,"abstract":"<p><strong>Background and aims: </strong>Health Care Chaplains, whose primary role is to provide spiritual care to patients, their families, and medical staff, are sometimes asked for help in making difficult decisions and resolving conflicts. Their help is justified especially when religious beliefs and values constitute the root of the problem. The study aims to analyze the phenomenon of asking hospital and hospice chaplains in Poland to take on the role of mediators in conflicts concerning methods of patients' medical care.</p><p><strong>Methods: </strong>A survey was conducted among 108 Catholic chaplains, i.e. at least 10% of all chaplains currently working in Polish hospitals and hospices. The survey was conducted using the electronic questionnaire through an intermediary with no follow-up and so self-selecting. The findings obtained were subjected to statistical analysis.</p><p><strong>Results: </strong>Of all the respondents, 31% admitted having received requests to mediate in a conflict over patient care. Such requests were not conditional upon the type of medical facility, its location, or the chaplain's years of experience. 30% of chaplains receive requests to mediate between patients and doctors. Solving disputes between family members and members of the medical teams are less frequent (25 and 19%, respectively). The majority of the respondents (73%) accept the role of the mediator, although 46% reserve the right to refuse in certain situations.</p><p><strong>Conclusions: </strong>Asking health care chaplains to become mediators in conflicts over patients' medical care confirms the need to include mediation skills in the course of their education and gaining professional experience.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40645371","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
Interprofessional communication training to address spiritual aspects of cancer care. 跨专业沟通培训,以解决癌症护理的精神方面。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-10-01 Epub Date: 2022-07-19 DOI: 10.1080/08854726.2022.2097781
Betty R Ferrell, Haley Buller, Judith A Paice, Myra Glajchen, Trace Haythorn
{"title":"Interprofessional communication training to address spiritual aspects of cancer care.","authors":"Betty R Ferrell,&nbsp;Haley Buller,&nbsp;Judith A Paice,&nbsp;Myra Glajchen,&nbsp;Trace Haythorn","doi":"10.1080/08854726.2022.2097781","DOIUrl":"10.1080/08854726.2022.2097781","url":null,"abstract":"<p><p>Effective communication is essential for palliative care clinicians to provide quality spiritual care to cancer patients. Despite attention to spiritual needs having the potential to positively impact a patient's quality of life, clinicians continue to report a lack of confidence in addressing a patient's spiritual distress. This article addresses the development of a 3-day train-the-trainer communication cancer education program (ICC: Interprofessional Communication Curriculum) organized by the 8 domains of the National Consensus Project for Quality Palliative Care. The main objectives of ICC are to train adult oncology clinicians (nurses, social workers, and chaplains) in communication skills across all aspects of palliative care and to help prepare them to provide communication skills training to their colleagues at their home institutions. ICC participants attend in dyads consisting of differing disciplines and create 3 goals for implementing institutional change. To date, 126 participants (69 teams) have attended an ICC training. Pre-course survey results identified spiritual care as participants' least effective area of communication. Immediate post-course evaluation data revealed the spiritual care module and its subsequent lab session as the most useful sessions to participant's practice. Data from the 6-and-12-months post-course follow-up revealed participant's quality improvement projects focused heavily on improving spiritual care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10550964","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: 1
What is the role of spiritual care specialists in teaching generalist spiritual care? The perspectives of pastoral care staff in a large Catholic health and aged care organisation. 精神护理专家在教授通才精神护理方面的作用是什么?大型天主教健康和老年护理组织中牧师护理人员的观点。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-10-01 Epub Date: 2022-07-05 DOI: 10.1080/08854726.2022.2095779
Kate Fiona Jones, Jennifer Washington, Matthew Kearney, Megan C Best
{"title":"What is the role of spiritual care specialists in teaching generalist spiritual care? The perspectives of pastoral care staff in a large Catholic health and aged care organisation.","authors":"Kate Fiona Jones,&nbsp;Jennifer Washington,&nbsp;Matthew Kearney,&nbsp;Megan C Best","doi":"10.1080/08854726.2022.2095779","DOIUrl":"10.1080/08854726.2022.2095779","url":null,"abstract":"<p><p>The value of spiritual care training for all staff working in health and aged care has been demonstrated. This study investigated how spiritual care specialists (SCSs) perceive their role in delivering spiritual care education to other staff. Fourteen SCSs participated in three online focus groups. Two key themes were identified: First, SCSs build upon existing capacity of staff by: (i) recognising existing strengths and capabilities; (ii) using relevant stories; (iii) using language which makes spiritual care accessible; (iv) making training relevant and practical; (v) tapping into staff vocation or calling; and (vi) building awareness of one's own spirituality. Second, SCSs assist staff to draw upon SCS expertise by establishing a trusting relationship and developing staff awareness of the SCS role. The SCS's role in delivering spiritual care education is an important one, and further consideration regarding how to support them in this role is warranted.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40472240","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: 2
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