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Journal of Health Care Chaplaincy最新文献

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Improving access to palliative care clinical pastoral education. 改善临终关怀临床教牧教育的可及性。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-05-15 DOI: 10.1080/08854726.2023.2209464
Allison Kestenbaum, Kathryn D Winters, Ayelet Ruppin-Pham, Matthew J Valdez, Candis Cammon, Kathryn Hamelin, Kyle P Edmonds
{"title":"Improving access to palliative care clinical pastoral education.","authors":"Allison Kestenbaum, Kathryn D Winters, Ayelet Ruppin-Pham, Matthew J Valdez, Candis Cammon, Kathryn Hamelin, Kyle P Edmonds","doi":"10.1080/08854726.2023.2209464","DOIUrl":"10.1080/08854726.2023.2209464","url":null,"abstract":"<p><p>Palliative care is interprofessional care for seriously ill people. Many clergy, religious leaders, and hospice and palliative care chaplains of color and minority religious backgrounds desire clinical palliative care education. This manuscript presents findings from a three-year quality improvement project which included the development of a palliative care specialty ACPE: The Standard for Spiritual Care and Education (ACPE) accredited program at an academic medical center. The program was designed to improve spiritual care provision in palliative care at the institution and to facilitate the participation of clergy and spiritual leaders of color and minority religious groups. Forty-six students participated in 53 400-h clinical pastoral education units. Strategies from medical education literature were employed to address obstacles to CPE participation including a racially and religiously diverse CPE advisory group, financial assistance, flexible learning (e.g. hybrid, asynchronous), and clinical placement agreements at places of employment. Upon completion of the program students provided written feedback, participated in a structured exit interview and completed a survey. Data were reviewed for common themes and results report student perceptions about the strategies utilized.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"320-335"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040108","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
Racial burdens in the work experiences of state-supported Black chaplains. 国家支持的黑人牧师工作经历中的种族负担。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-05-10 DOI: 10.1080/08854726.2023.2210027
Wendy Cadge
{"title":"Racial burdens in the work experiences of state-supported Black chaplains.","authors":"Wendy Cadge","doi":"10.1080/08854726.2023.2210027","DOIUrl":"10.1080/08854726.2023.2210027","url":null,"abstract":"<p><p>To understand and improve the experiences of Black chaplains, it is essential to consider how they experience and are integrated into their workplaces. This article draws from interviews with ten Black chaplains in the military and prisons. In light of historic, state-sanctioned, discrimination in these institutions, we ask how these chaplains experience their workplaces racially. All experience racial burdens in the workplace as part of being the first or only Black chaplain or in response to overt racial discrimination. They identify few to no formal workplace efforts to support them as Black chaplains and spoke of resistance to informal efforts that have been tried over the years. State and federal workplaces must recognize the racial burdens Black chaplains' experiences and take action to respond to and support these systemic workplace issues.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"269-278"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9686664","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 care department leaders' response to racial reckoning in 2020 and 2021. 精神关怀部门领导对2020年和2021年种族清算的回应。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-02-07 DOI: 10.1080/08854726.2023.2167416
Beth L Muehlhausen, Cate Michelle Desjardins, Beba Shensi Tata-Mbeng, Christa Chappelle, Allison DeLaney, Antonina Olszewski, Csaba Szilagyi, George Fitchett
{"title":"Spiritual care department leaders' response to racial reckoning in 2020 and 2021.","authors":"Beth L Muehlhausen, Cate Michelle Desjardins, Beba Shensi Tata-Mbeng, Christa Chappelle, Allison DeLaney, Antonina Olszewski, Csaba Szilagyi, George Fitchett","doi":"10.1080/08854726.2023.2167416","DOIUrl":"10.1080/08854726.2023.2167416","url":null,"abstract":"<p><p>Ascension, one of the largest Roman Catholic healthcare systems, and Transforming Chaplaincy (TC) collaborated on a research project \"Managing Spiritual Care (SC) Departments During the COVID-19 Pandemic: A Qualitative Study.\" Research participants included 22 leaders from Ascension and TC contacts. Four rounds of individual interviews were conducted from April, 2020 to February, 2021. After issues of race and racial reckoning following George Floyd's murder were brought up spontaneously in interviews, questions on how leaders responded to racial reckoning were added to the subsequent interviews. A secondary analysis examined responses from participants on racial reckoning from interviews 2-4. The objective of this study was to better understand how SC leaders understand their role in issues concerning justice, equity, and inclusion. This study utilized hermeneutic phenomenology methodology. Four phenomenological patterns emerged including: World of Racial Reckoning, Lack of Safety, Creating Safety, and Movement Toward Justice.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"292-306"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
American health care chaplains' narrative experiences serving during the COVID-19 pandemic: a phenomenological hermeneutical study. COVID-19大流行期间美国医疗保健牧师的叙事经历:现象学解释学研究。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-04-01 DOI: 10.1080/08854726.2022.2087964
Cate Michelle Desjardins, Beth L Muehlhausen, Paul Galchutt, Beba Shensi Tata-Mbeng, George Fitchett
{"title":"American health care chaplains' narrative experiences serving during the COVID-19 pandemic: a phenomenological hermeneutical study.","authors":"Cate Michelle Desjardins,&nbsp;Beth L Muehlhausen,&nbsp;Paul Galchutt,&nbsp;Beba Shensi Tata-Mbeng,&nbsp;George Fitchett","doi":"10.1080/08854726.2022.2087964","DOIUrl":"https://doi.org/10.1080/08854726.2022.2087964","url":null,"abstract":"<p><p>The COVID-19 pandemic significantly impacted North American health care chaplains' modes of work and emotions. To capture the experiences of health care chaplains across the United States, 30 Board Certified (or eligible) chaplains were asked to keep a weekly narrative journal of their experiences and emotions during the pandemic from April of 2020 through June of 2020. Twenty-one chaplains submitted their journals for qualitative analysis, amounting to over 90,000 words of chaplain reflection containing rich, descriptive, and often personal stories of health care chaplains. Journals were analyzed using hermeneutic phenomenological methodology. The overarching patterns identified included: The World of Chaplaincy, Policies/Procedures/Visitation, Staff Care, Rituals, Chaplain Emotional Responses, Coping, and Racism. A significant finding was the resiliency and creativity of chaplains despite the rapid changes, uncertainty, and fear brought on by the pandemic. The results further suggest that journaling is a feasible and acceptable method in chaplaincy research.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 2","pages":"229-244"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038636","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
Preferences for healthcare chaplaincy services among U.S. adults: differences by inpatient and outpatient settings. 美国成年人对医疗保健牧师服务的偏好:住院和门诊设置的差异。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-04-01 DOI: 10.1080/08854726.2022.2064125
Geila Rajaee, Minal R Patel
{"title":"Preferences for healthcare chaplaincy services among U.S. adults: differences by inpatient and outpatient settings.","authors":"Geila Rajaee,&nbsp;Minal R Patel","doi":"10.1080/08854726.2022.2064125","DOIUrl":"https://doi.org/10.1080/08854726.2022.2064125","url":null,"abstract":"<p><p>We examined preferences around spiritual support services delivered by chaplains among U.S. adults in outpatient and inpatient healthcare settings using a cross-sectional national survey of U.S. adults (<i>n</i> = 1,020). For outpatient settings, 5% reported interest in chaplain services, whereas 16% reported interest in inpatient settings. In both settings, a higher perceived value of chaplain services (<i>p</i> < 01) and previous experience with a chaplain (<i>p</i> < .01) were associated with a greater interest in a chaplain consult when adjusting for demographic factors. In both settings, the most desired services were to explore what was most important in the event of a serious illness or injury (46-47%), values related to treatment decisions (43-46%), and connecting to resources for personal strength and resilience (36-39%), whereas exploring more religious concerns was less desirable. There is a need to identify the role of chaplains within the context of healthcare to meet patients' desire for specific services.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 2","pages":"161-175"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9668392","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
Spiritual support of transgender individuals: a literature review. 跨性别者的精神支持：文献综述。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-04-01 Epub Date: 2022-07-01 DOI: 10.1080/08854726.2022.2080965
Seth A Sonneville
{"title":"Spiritual support of transgender individuals: a literature review.","authors":"Seth A Sonneville","doi":"10.1080/08854726.2022.2080965","DOIUrl":"10.1080/08854726.2022.2080965","url":null,"abstract":"<p><p>Spiritual support has been a staple of healthcare before hospitals in western civilizations were established by communities of faith. Research has demonstrated that wellbeing is associated with balanced care for the body, mind, and spirit. Healthcare disparities are being identified as disproportionally impacting transgender and gender nonconforming (TGNC) individuals. The root cause of this disparity is being studied as are medical and wellbeing interventions, including the benefit of spiritual support. This author's objective was two-fold. First, to identify opportunities for extending spiritual support to TGNC individuals in healthcare by chaplains. Secondly, to identify evidence of current spiritual support advocacy initiatives and interventions for TGNC patients in healthcare by chaplains.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 2","pages":"196-210"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663075","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 Work in Primary Care. 牧师在初级保健方面的工作。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-04-01 DOI: 10.1080/08854726.2022.2077555
Austyn Snowden, Iain Telfer, Anne Vandenhoeck, Joost Verhoef, Alan Gibbon
{"title":"Chaplains Work in Primary Care.","authors":"Austyn Snowden,&nbsp;Iain Telfer,&nbsp;Anne Vandenhoeck,&nbsp;Joost Verhoef,&nbsp;Alan Gibbon","doi":"10.1080/08854726.2022.2077555","DOIUrl":"https://doi.org/10.1080/08854726.2022.2077555","url":null,"abstract":"<p><p>Health is holistic, but health services are often not. Primary care is the first point of contact for patients in the UK, and at least two in every three present with complex bio-psycho-socio-economic issues. In Scotland, the Community Chaplaincy Listening (CCL) service was created to see if chaplains could help. CCL involves specially trained chaplains listening to patients referred to them by general practitioners (GP) for spiritual support. Between 2018 and 2019, 143 people used CCL and completed baseline and post-discharge outcome measures. Mean Scottish PROM scores rose from 7.94 (± 3.4) at baseline to 12 (± 3.5) post discharge, a statistically and clinically significant rise of 4.06 (95% CI, 3-5.12), <i>t</i>(50) = 7.7, <i>p</i> < 0.0001, <i>d</i> = 1.08. The improvement was seen whether patients self-described as religious, spiritual, both, or neither. Health-related quality of life outcomes were mixed but patients referred to the service scored some of the lowest baseline EQ-5D-3L scores ever seen in the literature. Together these results suggest that CCL worked in primary care, especially for patients historically considered \"difficult to treat.\" Limitations of the study are considered alongside implications for commissioners and service developers.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 2","pages":"211-228"},"PeriodicalIF":1.9,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10038629","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
Goals of chaplaincy care: a scoping review of Dutch literature. 牧师关怀的目标：荷兰文献的范围回顾。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-04-01 Epub Date: 2022-06-19 DOI: 10.1080/08854726.2022.2080964
Anja Visser, Annelieke Damen, Carmen Schuhmann
{"title":"Goals of chaplaincy care: a scoping review of Dutch literature.","authors":"Anja Visser, Annelieke Damen, Carmen Schuhmann","doi":"10.1080/08854726.2022.2080964","DOIUrl":"10.1080/08854726.2022.2080964","url":null,"abstract":"<p><p>A substantial number of (mostly health care) chaplaincy articles have emphasized the need for chaplaincy outcome research. In this study, we contribute to formulating intrinsic chaplaincy outcomes by first identifying chaplaincy goals. To this end, we have performed a scoping review of Dutch chaplaincy literature. We have focused on articles, books, and dissertations published between 2014 and 2019. Six distinct goals of chaplaincy were identified, using 86 fragments found in 33 sources: worldview vitality and plausibility, processing life events, deepening spirituality, relational affirmation, well-being, and exercising freedom of religion. Several of these main goals could be subdivided into more specific goals. Future research is needed to examine whether the found goals apply equally within the different types of chaplaincy and to examine their interrelations. In addition, future research should examine how these goals are pursued in practice and how they relate to client needs.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 2","pages":"176-195"},"PeriodicalIF":1.1,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10020645","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
Transformational education: exploring the lasting impact of students' clinical pastoral education experiences. 转型教育:探索学生临床教牧经历的持久影响。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-01-01 DOI: 10.1080/08854726.2022.2040892
Heather Vanderstelt, Alida van Dijk, Simon Lasair
{"title":"Transformational education: exploring the lasting impact of students' clinical pastoral education experiences.","authors":"Heather Vanderstelt,&nbsp;Alida van Dijk,&nbsp;Simon Lasair","doi":"10.1080/08854726.2022.2040892","DOIUrl":"https://doi.org/10.1080/08854726.2022.2040892","url":null,"abstract":"Abstract “Thank you for that experience and for the ways it continues to shape who I am and how I interact in all of my life.” (S20). There has been limited research validating Clinical Pastoral Education (CPE) as a learning approach to date, however, the anecdotal evidence supporting the transformative value of CPE is abundant, as demonstrated by this student response. This quality improvement project engages a thematic cross-sectional analysis of 34 students’ self-evaluative responses reporting the lasting impact of their CPE training. From the survey responses a thematic map was developed highlighting six themes of lasting impact: Spirituality, Psychotherapy, Agency, Self-Inter, Self-Intra, and Story/Narrative. These six themes overlap and intersect to provide a point of what we call “SPE alchemy”–the perfect conditions for lasting impact and transformation.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 1","pages":"89-104"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609039","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
The future of chaplaincy in a secularized society: a mixed-methods survey from the Netherlands. 世俗化社会中牧师的未来:一项来自荷兰的混合方法调查。
IF 1.9
Journal of Health Care Chaplaincy Pub Date : 2023-01-01 DOI: 10.1080/08854726.2022.2040894
Tina Glasner, Carmen Schuhmann, Renske Kruizinga
{"title":"The future of chaplaincy in a secularized society: a mixed-methods survey from the Netherlands.","authors":"Tina Glasner,&nbsp;Carmen Schuhmann,&nbsp;Renske Kruizinga","doi":"10.1080/08854726.2022.2040894","DOIUrl":"https://doi.org/10.1080/08854726.2022.2040894","url":null,"abstract":"<p><p>The spiritual care profession in the Netherlands is going through significant changes, including an increasing demand for secular and multi-faith spiritual care, a move towards professionalization and formulating 'best practices', as well as a broadening of the scope of chaplains' activities.In October 2019, 405 Dutch healthcare chaplains completed an online mixed methods survey with open and closed-ended questions about their work situation and professional identity. Quantitative analyses showed that most respondents evaluated current developments in chaplaincy in a positive way. Qualitative findings showed trends towards interconfessional and secular spiritual care, outpatient spiritual care and the emergence of evidence-based chaplaincy. Participants who responded most negatively to those developments criticized evidence-based approaches for measuring the effects of chaplaincy, unstable financing structures, and the encroachment of other professions upon the domain of spiritual care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 1","pages":"132-144"},"PeriodicalIF":1.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609033","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
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