Journal of Health Care Chaplaincy最新文献

{"title":"Coordinating assessment of spiritual needs: a cross-walk of narrative and psychometric assessment tools used in palliative care.","authors":"Kathleen R Perry,&nbsp;Heather A King,&nbsp;Ryan Parker,&nbsp;Karen E Steinhauser","doi":"10.1080/08854726.2021.1904653","DOIUrl":"https://doi.org/10.1080/08854726.2021.1904653","url":null,"abstract":"<p><p>Addressing spiritual needs of patients in healthcare settings improves patient experiences and clinical outcomes; however, non-chaplain providers typically assess spiritual needs differently (quantitative psychometric) than healthcare chaplains (long form narrative) and thus there is little shared language or cross-disciplinary evaluation frameworks across disciplines. This discrepancy impedes the provision of both team-based and patient-centered care. This paper used scoping review methodology to illustrate the overlap between narrative and psychometric assessment tools, comparing four narrative tools against eight psychometric tools. The SpNQ-120 and Brief RCOPE demonstrated consistent domain coverage across the four chaplain narrative tools. This work provides preliminary resources to aid clinicians and researchers in choosing an appropriate tool. Additionally, for those who do not work closely with chaplains, it provides a sense of what domains chaplains prioritize, from their professional and lived experience, in assessing the spiritual life of the patient. This improves interdisciplinary communication, and therefore, patient care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1904653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38849726","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":"Teaching spirituality to medical students: a systematic review.","authors":"Dena Crozier,&nbsp;Amy Greene,&nbsp;Mary Schleicher,&nbsp;Johanna Goldfarb","doi":"10.1080/08854726.2021.1916332","DOIUrl":"https://doi.org/10.1080/08854726.2021.1916332","url":null,"abstract":"<p><strong>Purpose: </strong>Though it has become increasingly clear that religion and spirituality are important aspects of whole patient care, little is known about how this topic is taught to medical students. This systematic review examined the structure of courses teaching spirituality to medical students and assessed their impact on reported student outcomes.</p><p><strong>Methods: </strong>In October 2020, the authors conducted a systematic review of the literature from 1926 to 2020 to identify published articles describing medical school spirituality curricula. Included studies were English-language articles that described spirituality courses predominantly designed for medical students, specified a curricular structure, and evaluated outcomes of the course. The authors used the Medical Education Research Study Quality Instrument (MERSQI) to assess the quality of the included studies and summarized course structures, curricular content, and study outcomes.</p><p><strong>Results: </strong>Nineteen publications of the 1889 reviewed met the inclusion criteria. These studies were of moderate quality (mean MERSQI = 9.9). The majority of curricula were taught in United States medical schools. Courses were evenly split between mandatory versus elective classes, with mandatory courses having a shorter duration and higher total student participation. Most studies with clear student outcome evaluation had a pre- and post-test design. Common themes throughout the curricula included teaching how to take a spiritual history, delineating differences between spirituality and religion, and experience shadowing chaplains interacting with patients.</p><p><strong>Conclusions: </strong>This broad systematic review of the literature revealed a small but growing number of studies describing specific course structure and curricula for teaching spirituality at the medical student level. For the most concise approach, one short, mandatory didactic session followed by application with standardized or hospital patients can be an effective method of introducing students to the importance of spirituality. Important topics to address include the differences between religion and spirituality, recognizing spiritual distress, how to take a spiritual history, and the relevance of spirituality to student well-being. Measured student outcomes should encompass behavioral changes during patient care in addition to changes in knowledge and attitudes. Suggested methods of evaluation include reflective writing and adding a standardized patient case in which the patient is in spiritual distress in an Objective Structured Clinical Examination (OSCE).</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1916332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39241220","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":"Responding to the \"unknown assailant\": A qualitative exploration with Australian health and aged care chaplains on the impact of COVID-19.","authors":"Kate Fiona Jones,&nbsp;Jennifer Washington,&nbsp;Matthew Kearney,&nbsp;Megan C Best","doi":"10.1080/08854726.2020.1861536","DOIUrl":"https://doi.org/10.1080/08854726.2020.1861536","url":null,"abstract":"<p><p>The global coronavirus pandemic (COVID-19) has brought about physical, psychological and spiritual challenges within health and aged care services across Australia. The aim of this study was to consider the impact of COVID-19 from the perspective of Australian chaplains. Semi-structured interviews were conducted with 17 chaplains. A grounded theory analysis identified three overarching themes: (1) a changing healthcare environment; (2) the impact of the virus; and (3) chaplains responding to the crisis. Increased healthcare restrictions in response to COVID-19 raised levels of fear and anxiety among patients, residents, family members and staff, and generated feelings of isolation and disconnection. Chaplains responded by providing a calm presence, being available, holding out hope, introducing creative ways to provide spiritual care and seeking spiritual nourishment themselves. The value of chaplaincy in health and aged care services is discussed in light of these findings.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1861536","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38757739","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":"Implementing quality improvement efforts in spiritual care: outcomes from the interprofessional spiritual care education curriculum.","authors":"Christina Puchalski,&nbsp;Betty R Ferrell,&nbsp;Tami Borneman,&nbsp;Christy DiFrances Remein,&nbsp;Trace Haythorn,&nbsp;Carolyn Jacobs","doi":"10.1080/08854726.2021.1917168","DOIUrl":"https://doi.org/10.1080/08854726.2021.1917168","url":null,"abstract":"<p><p>The Interprofessional Spiritual Care Curriculum (ISPEC) was created to train interdisciplinary health care teams to recognize and address the spiritual needs of seriously or chronically ill patients. The curriculum, in a train-the-trainer format, employs didactic presentations, discussions, lab sessions, skill demonstrations, and video clips. In course applications, participants were required to submit goals to achieve and demonstrate institutional support. For the first ISPEC course, in July 2018, 48 clinician-chaplain teams attended. Following the 2½ day course, participants had access to online training modules for 1-year, ISPEC faculty mentoring support, and regular conference calls on goal implementation progress. Participants reported recognizing the importance of providing spiritual care and a new understanding of how collaborating as interprofessional teams enabled them to integrate this care into their home institution settings. In a mixed-methods evaluation survey completed 12 months after the ISPEC course, participants reported on the percentage of their goals completed, number and types of professionals they had educated in spiritual care, and personal confidence regarding spiritual care leadership skills. This data can serve as a model to guide other organizations striving to improve spiritual care, practiced collaboratively by clinicians and chaplains, as an essential aspect of overall QI efforts in palliative care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39317122","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":"I-position as a tool to advance the understanding of pastors and deacons who navigate contrasting identities as chaplains: a narrative analysis.","authors":"Jan Grimell","doi":"10.1080/08854726.2021.1886741","DOIUrl":"https://doi.org/10.1080/08854726.2021.1886741","url":null,"abstract":"<p><p>Chaplaincy services form a vital complement for secular societal institutions which must accommodate spiritual needs, including but not limited to, hospitals, armed forces, and prisons. Yet cultures within societal institutions and churches or faith organizations are fundamentally different. The purpose of this article is to present a conceptual, methodological and occupational discussion around Swedish pastors and deacons serving as specialised chaplains in societal contexts. A narrative analysis coupled with the concept of an I-position (from the framework of Dialogical Self Theory) are presented as a useful methodology for advancing the understanding of pastors and deacons who navigate culturally contrasting identities as chaplains. The article draws from two recent studies and illustrates the methodology through case study examples of both hospital and military chaplains. This approach may be relevant to any chaplain who traverses culturally contrasting terrain and may encounter identity change or challenge. Future research is recommended regarding gender aspects related to male/female dominated socital institutions and representatives from other faith traditions involved in chaplaincy services.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1886741","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25417120","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":"'This ward has no ears': Role of the pastoral care practitioner in the hospital ward.","authors":"Megan Best,&nbsp;Jennifer Washington,&nbsp;Maria Condello,&nbsp;Matthew Kearney","doi":"10.1080/08854726.2020.1814089","DOIUrl":"https://doi.org/10.1080/08854726.2020.1814089","url":null,"abstract":"<p><p>National Guidelines for Spiritual Care in Australia recommend incorporation of spiritual care in multidisciplinary patient care planning, however it is not known how consistently this is done. A qualitative interview study was designed to explore the practices of pastoral care practitioners in two city hospitals in Australia. Fourteen pastoral care practitioners participated (100% response rate). Interviews were taped and transcribed verbatim. Transcripts were analysed according to thematic analysis. Six themes were identified in the data. These were: (1) a vocation, (2) the role of pastoral care, (3) documentation, (4) communication with other ward staff, (5) barriers to communication, and (6) official recognition of pastoral care workers. While pastoral care workers are convinced of the importance of their work, they experience challenges in expressing this to their colleagues, which may reduce their impact on patient care. Ongoing professionalization of pastoral care will help to reduce this discrepancy.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1814089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38372948","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":"An interview study of experiences from pastors providing military spiritual care within the Swedish Armed Forces.","authors":"Jan Grimell","doi":"10.1080/08854726.2020.1796077","DOIUrl":"https://doi.org/10.1080/08854726.2020.1796077","url":null,"abstract":"<p><p>This article presents a recently completed research project on pastors providing spiritual care within the Swedish Armed Forces. This descriptive study provides unique contextual insights of experiences from military chaplains. The purpose of the study was to describe experiences and lessons learned (wisdom) from pastors providing military spiritual care within the Swedish Armed Forces. Twelve military chaplains, ordained and employed by the Church of Sweden, were individually interviewed on different locations during the early winter of 2020. The interview data were analyzed with an inductive approach. The content was initially coded by many codes, which were subsequently organized in meaningful ways to develop overarching clusters which could serve to host the codes. The hermeneutical principle for the development of these clusters was that the codes could be understood in reference to the clusters and vice versa. The cultivation of the clusters was followed by the development of a pastoral theological model for military spiritual care within a Swedish context.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1796077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38197152","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":"Understanding the outcomes of spiritual care as experienced by patients.","authors":"Heather Tan,&nbsp;Bruce Rumbold,&nbsp;Fiona Gardner,&nbsp;Austyn Snowden,&nbsp;David Glenister,&nbsp;Annie Forest,&nbsp;Craig Bossie,&nbsp;Lynda Wyles","doi":"10.1080/08854726.2020.1793095","DOIUrl":"https://doi.org/10.1080/08854726.2020.1793095","url":null,"abstract":"<p><p>In moving toward professionalising spiritual care in the healthcare system, as an equal partner in whole person care, it has become increasingly important to develop an evidence base for spiritual care interventions, their value and longer-term outcomes for those receiving this care. This study utilised hard copy questionnaires across five Australian general hospitals to investigate patient reported outcomes of in-patient spiritual care. The survey included the Scottish Patient Reported Outcomes Measure (PROM), measures of patient experience and an open-ended question about experience of care. Data indicated a positive correlation between positive experience of spiritual care and a high score on PROM. Qualitative data elaborated on if and how the spiritual care received met patients' needs, the qualities they valued in the provider of this care and impacts of the care they experienced. Further development of the PROM in a variety of situations is however recommended.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1793095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38198429","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":"What organizational and business models underlie the provision of spiritual care in healthcare organizations? An initial description and analysis.","authors":"Aja Antoine,&nbsp;George Fitchett,&nbsp;Deborah Marin,&nbsp;Vanshdeep Sharma,&nbsp;Andrew Garman,&nbsp;Trace Haythorn,&nbsp;Kelsey White,&nbsp;Amy Greene,&nbsp;Wendy Cadge","doi":"10.1080/08854726.2020.1861535","DOIUrl":"https://doi.org/10.1080/08854726.2020.1861535","url":null,"abstract":"<p><p>Two-thirds of American hospitals have chaplains. This article explores the organizational and business models that underlie how chaplains are integrated into hospitals. Based on interviews with 14 chaplain managers and the 11 healthcare executives to whom they report at 18 hospitals in 9 systems, we identify three central findings. First, there is significant variation in how spiritual care programs are staffed and integrated into their hospitals. Second, executives and chaplain managers see the value of chaplains in terms of their quality of care, reliability and responsivity to emergent patient and staff needs, and clinical training and experience working within a complex environment. Third, few departments rely on empirical data when making decisions about staffing, tending instead to default to the budgetary status quo. These findings provide the basis for a larger more systematic study.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1861535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38757169","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":"The social significance of chaplains: evidence from a national survey.","authors":"Wendy Cadge,&nbsp;Taylor Paige Winfield,&nbsp;Michael Skaggs","doi":"10.1080/08854726.2020.1822081","DOIUrl":"https://doi.org/10.1080/08854726.2020.1822081","url":null,"abstract":"<p><p>How often do people have contact with chaplains? How valuable do they find that contact? We answer these questions with data from a 2019 NORC AmeriSpeaks survey. Twenty-one percent of respondents had contact with a chaplain in the past two-years, 57% in a healthcare setting. The majority find that contact moderately or very valuable. Christians were more likely than non-Christians and respondents with no religion to have contact with chaplains. People of color who were not Christians or had no religion were more likely than their white counterparts to have contact with a chaplain. Those living in the southern and western United States were also more likely than those living in the northeast to have contact with a chaplain. When contact with a chaplain did take place, Christians were more likely than those of no religion to find the contact moderately or very valuable. Respondents from the midwest, south, and west, those who were more educated, and those who were older were also more likely to find contact with a chaplain valuable.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1822081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38503751","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}