{"title":"Board certification of professional chaplains: a qualitative study of stakeholder perspectives.","authors":"Kelsey B White, Ryan M Combs, Hallie R Decker","doi":"10.1080/08854726.2021.1916334","DOIUrl":"https://doi.org/10.1080/08854726.2021.1916334","url":null,"abstract":"Abstract Many professional chaplaincy organizations in the United States have board certified healthcare chaplains since the 1920s and documented how they have adapted their process as the profession has grown. In 2019, the Association of Professional Chaplains and the National Association of Catholic Chaplains sought the perspectives of key stakeholders about professional chaplaincy board certification. This study reports the results from 50 semi-structured interviews with certification candidates, certification committee members, and chaplaincy managers in the United States. Participants discussed the preparation of the certification application, the certification interview, the ease and difficulty of certification competencies, and the evolving workforce. This study demonstrated divergent views on many aspects of board certification, but participants predominately respected and valued the process. Chaplains with varying levels of experience discussed how board certification strengthens multidisciplinary respect and collaboration. Participants reported difficulties with competencies that required translating between theory and practice.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"443-466"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1916334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38959350","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}
Hannah Case, Tyler Benning, Zachary Lovig, Jeramy Girard, Megan Thorvilson, Philip R Fischer, Jason Homme
{"title":"Inpatient pediatric chaplain service utilization among children with chronic, non-cancer diseases.","authors":"Hannah Case, Tyler Benning, Zachary Lovig, Jeramy Girard, Megan Thorvilson, Philip R Fischer, Jason Homme","doi":"10.1080/08854726.2021.2015054","DOIUrl":"https://doi.org/10.1080/08854726.2021.2015054","url":null,"abstract":"<p><p>Despite the broad importance of pediatric spiritual care, most research focuses on oncologic and palliative care contexts. We aim to describe the utilization of pediatric chaplain services by children hospitalized for non-cancer chronic illnesses and to identify factors that predict utilization of chaplain services. Among 629 patients with 915 admissions, we found chaplain services were utilized in 5.0% of admissions. Utilization was similar between religiously affiliated patients (7.5%, 95%CI [5.3-10.6%]) and un-affiliated patients (6.4%, [3.6-11.0%]). Christian patients (7.3% [5.1-10.5%]) demonstrated similar utilization as non-Christian patients (7.0% [4.3-11.2%]). Utilization was significantly higher among patients with LOS >2 days (10.8% [7.9-14.6%]), compared to LOS ≤2 (1.7% [0.9-3.1%]). These results may represent an addressable gap in spiritual care, and they highlight an opportunity for pediatric chaplains to play a larger role in the holistic care of hospitalized children with chronic diseases, regardless of religious affiliation.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"578-590"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39614911","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}
{"title":"Professional development for spiritual care practitioners: a program review.","authors":"Heather Tan, Cheryl Holmes","doi":"10.1080/08854726.2021.1916337","DOIUrl":"https://doi.org/10.1080/08854726.2021.1916337","url":null,"abstract":"<p><p>Professional development is a crucial aspect for further successful progression of an individual's skills and effective function in their role. It is also a compulsory part of registration for most professionals in the health care sector. This article reports on the evaluation of a monthly professional development program, specifically for spiritual care practitioners, offered over the period 2017-2019 by Spiritual Health Association (Victoria, Australia) and its partners. Many common themes such as motivation, culture, purpose and areas for improvement have been identified and are further examined. Recommendations such as greater emphasis on the professionalism in the sector, broader inclusions of sessions across culture and ethnicity and the development of cross disciplinary communication skills are made for the future of this program.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"467-481"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1916337","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39065796","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}
Annette Callis, Marysol Cacciata, Mary Wickman, Joseph Choi
{"title":"An effective in-hospital chaplaincy-led care program for nurses: Tea for the soul a qualitative investigation.","authors":"Annette Callis, Marysol Cacciata, Mary Wickman, Joseph Choi","doi":"10.1080/08854726.2021.1932134","DOIUrl":"https://doi.org/10.1080/08854726.2021.1932134","url":null,"abstract":"<p><p>Tea for the Soul (TFS) is an understudied care model, addressing bereavement and other emotional needs of nurses related to impactful patient care experiences. Nurses are at high risk for compassion fatigue, moral distress, and burnout. Facilitated by a Chaplain, the TFS program provides participants a venue to express their feelings and explore ways of adapting effectively with the death of a patient, and other traumatic workplace experiences. In this qualitative grounded theory study, hospital nurses (<i>N</i> = 7) who participated in TFS were interviewed. IRB approval was obtained. Questions were constructed within the context of the medical center research council and asked if TFS: (a) was personally beneficial, (b) helped nurses feel better about their work, and (c) affected job satisfaction. Four core themes emerged: (a) Nurses' Self-Care, (b) Professional Practice, (c) Community, and (d) Improved Patient Care Outcomes. The Roy Adaptation Model, Group Identity Mode was applied to the content analysis. Overarching themes were Compassionate Service, Ministry of Presence, Reflective Practice, and Sacred Encounters. Nurses reported that TFS facilitated a spiritual respite and a sense of enhanced community and was a source of strength and coping, thus may aid in the promotion of nurse well-being and the amelioration of moral distress, compassion fatigue, and burnout.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"526-539"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1932134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39101170","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}
Elizabeth Higgins, Hannah L Coyne, Catherine K Mahrer Rogers, James Infanzon, Nicholas Velez, Patrick Coyne
{"title":"The CASH assessment tool: A window into existential suffering.","authors":"Elizabeth Higgins, Hannah L Coyne, Catherine K Mahrer Rogers, James Infanzon, Nicholas Velez, Patrick Coyne","doi":"10.1080/08854726.2021.1922980","DOIUrl":"https://doi.org/10.1080/08854726.2021.1922980","url":null,"abstract":"<p><p>Spiritual beliefs and practices have long served as a critical component of treating or managing serious illness. There is evidence to suggest that patients would like healthcare professionals to address their existential and spiritual needs. The CASH Assessment Tool focuses on four key areas of spiritual concern: Care, Assistance/Help, Stress, and Hopes/Fears. In this QI Project, a palliative care team within an urban, safety net, tertiary-care, and academic healthcare setting sought to elicit themes from the CASH assessment used by chaplains caring for patients with serious illnesses. Thirty patients were included in the pilot. Themes identified included knowing the patient as a person, concern about loved ones, concern about pain, and fear of death. We found that the CASH Assessment Tool was able to demonstrate the existential concerns of patients and serve as a framework for discussion about concerns and hopes of patients with serious illness.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"482-496"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1922980","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38928736","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}
{"title":"Spiritual Resources of Family Members of Patients in Palliative Care in Brazil.","authors":"Hartmut August, Mary Rute G Esperandio","doi":"10.1080/08854726.2021.1993120","DOIUrl":"https://doi.org/10.1080/08854726.2021.1993120","url":null,"abstract":"<p><p>Although religiosity is a strong feature of Brazilian people, the integration of spirituality in palliative care (PC) has been a challenge for health care professionals. In order to evaluate the spiritual resources used by family members of patients in PC, this work presents the results of the research carried out with 50 family members. The Satisfaction with Life Scale, Centrality of Religiosity Scale, Spiritual/Religious Coping Scale, Religious and Spiritual Struggles Scale, and Attachment to God Inventory were applied. The prevalence of positive spiritual/religious coping was very high (76%) or high (6%). There was a strong correlation between positive spiritual/religious coping and centrality of religiosity (<i>r</i> = 0.805; SD = 0.87). There was a moderate negative correlation between the avoidant attachment to God and centrality of religiosity (<i>r</i> = -0.611; SD = 1.24) and positive spiritual/religious coping (<i>r</i> = -0.575; SD = 1.37). There was a moderate positive correlation between the anxious attachment to God and spiritual struggles (<i>r</i> = 0.515; SD = 0.76) and negative spiritual/religious coping (<i>r</i> = 0.555; SD = 0.616). These results suggest that spiritual/religious resources are present in family members of patients in PC. These resources have been mostly ignored by the multidisciplinary team. Findings provide an evidence base for training health care professionals to better integrate spirituality in PC settings.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"555-565"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39566036","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}
Allison Kestenbaum, Kelly A McEniry, Sarah Friedman, Jennifer Kent, Joseph D Ma, Eric J Roeland
{"title":"Spiritual AIM: assessment and documentation of spiritual needs in patients with cancer.","authors":"Allison Kestenbaum, Kelly A McEniry, Sarah Friedman, Jennifer Kent, Joseph D Ma, Eric J Roeland","doi":"10.1080/08854726.2021.2008170","DOIUrl":"https://doi.org/10.1080/08854726.2021.2008170","url":null,"abstract":"<p><p>The chaplain is an essential member of the palliative care (PC) team, yet, standard methods to document chaplain assessments are lacking. The study team performed a retrospective analysis of chaplaincy documentation in an outpatient PC clinic at an academic medical center over 6 months (April 2017 to October 2017). The study team identified unique adult patients with cancer, then manually extracted variables from the electronic medical record. The primary objective was to assess the number of spiritual assessments documented by the chaplain. Secondary objectives included descriptive analysis of identified spiritual needs. Out of the 376 total patient encounters, 292 (77.8%) included documentation of a chaplain's spiritual assessment. The most frequent spiritual need was self-worth/community (<i>n</i> = 163, 55.8%).This study demonstrates that chaplains can effectively document Spiritual AIM-based screening and assessment. Moreover, this may be an effective documentation method across institutions to facilitate chaplain-based data.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"566-577"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39806337","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}
Margaret Thompson, Stacey Rabusch, Mary Vining Radomski, Valerie Marquardt, Kristina Kath, Robert Kreiger, Kelsey Squires
{"title":"Grace Notes: feasibility of a manualized intervention to advance spiritual well-being for clients with acquired brain injury.","authors":"Margaret Thompson, Stacey Rabusch, Mary Vining Radomski, Valerie Marquardt, Kristina Kath, Robert Kreiger, Kelsey Squires","doi":"10.1080/08854726.2021.1929764","DOIUrl":"https://doi.org/10.1080/08854726.2021.1929764","url":null,"abstract":"<p><p>Spiritual well-being appears to contribute to mental health and adaptation in adults with acquired brain injury (ABI). ABI-related interventions, including those associated with spirituality, must be specifically designed with learning-related impairments in mind. We conducted a feasibility study of a manualized intervention to support spiritual well-being after ABI called Grace Notes. The goal is to provide clients with time tested, easily accessible spiritual practices that help them experience deeper feelings of being in relationship with their Higher Power as they understand it. Findings suggest that Grace Notes can be implemented by both its developer with the context of an interdisciplinary outpatient rehabilitation program and a rehabilitation clinician as a stand-alone group. People with ABI appear to be interested in a spiritually intervention that draws from a variety of spiritual practices and traditions. Further study related to the efficacy of spiritual well-being intervention after ABI is warranted.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"497-509"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1929764","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39010333","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}
{"title":"Elements of chaplaincy in Danish intensive care units: key-informant interviews with hospital chaplains.","authors":"Ingrid Egerod, Gudrun Kaldan","doi":"10.1080/08854726.2021.1949174","DOIUrl":"https://doi.org/10.1080/08854726.2021.1949174","url":null,"abstract":"<p><p>Critically ill patients often require spiritual counseling. In Denmark, most hospital chaplains are provided by the State Church. More knowledge is needed regarding health care chaplaincy in this semi-agnostic non-secular welfare society. Our study aimed to explore how hospital chaplains describe their role and elements of chaplaincy in relation to patient, family and healthcare professionals in Danish intensive care units. Using a multicenter qualitative design, we performed semi-structured key-informant interviews with ten hospital chaplains. Content analysis exposed elements of chaplaincy based on spirituality, rituality, neutrality, confidentiality, advocacy, and equality. Most elements are similar in other countries; the main differences are related to educational requirements, institutional integration, research activity, and documentation practice. Chaplains fill an ambiguous role, negotiating values of church and hospital. Modern chaplaincy is propelled toward professionalism, quantification, certification and evaluation. We discuss the contemporary role of hospital chaplains and the consequences of categorizing them as part of the ICU team.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 4","pages":"540-554"},"PeriodicalIF":1.9,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1949174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39202014","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}