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Journal of Health Care Chaplaincy最新文献

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Exploring racism and racialization in the work of healthcare chaplains: a case for a critical multifaith approach. 探索种族主义和种族化在医疗保健牧师的工作：一个关键的多信仰方法的案例。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-05-15 DOI: 10.1080/08854726.2023.2209462
Sonya Sharma, Sheryl Reimer-Kirkham
{"title":"Exploring racism and racialization in the work of healthcare chaplains: a case for a critical multifaith approach.","authors":"Sonya Sharma, Sheryl Reimer-Kirkham","doi":"10.1080/08854726.2023.2209462","DOIUrl":"10.1080/08854726.2023.2209462","url":null,"abstract":"<p><p>The global COVID-19 pandemic has revealed healthcare settings as sites of much-needed scrutiny as to the workings of racism and racialization in shaping healthcare encounters, health outcomes, and workplace conditions. Little research has focused on how healthcare chaplains experience and respond to social processes of racism and racialization. We apply a critical race lens to understand racism and racialization in healthcare chaplaincy, and inspired by Patricia Hill Collins, propose a \"critical multifaith approach.\" Drawing on research in healthcare in Canada and England, we generated four composite narratives to analyze racialization's variability and resistances employed by Indigenous, Arab, Black, and White chaplains. The composites disclose complex intersecting histories of colonialism, religion, race, and gender. Developing a critical multifaith perspective on healthcare delivery is an essential competency for chaplains wanting to impact the systems in which they serve in the direction of more equitable human flourishing.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"307-319"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040104","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
"I need my granddaughter to know who I am!" A case study of a 67-year-old African American man and his spiritual legacy. “我需要我的孙女知道我是谁！”一位67岁的非裔美国人及其精神遗产的个案研究。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-05-10 DOI: 10.1080/08854726.2023.2209463
Christina Shu
{"title":"\"I need my granddaughter to know who I am!\" A case study of a 67-year-old African American man and his spiritual legacy.","authors":"Christina Shu","doi":"10.1080/08854726.2023.2209463","DOIUrl":"10.1080/08854726.2023.2209463","url":null,"abstract":"<p><p>This case study describes the spiritual care relationship between an African American man receiving palliative care for metastatic cancer and a Chinese American woman chaplain over the period of multiple hospitalizations. It illustrates legacy making as a key spiritual need, one that is complicated by discrimination, structural racism, estranged family relationships, and the patient's own mortality. Included are verbatim conversations that address the impact of racism in the US context and express the complex identities of both patient and chaplain in a dynamic and collaborative intercultural relationship. This case posits the importance of voices of chaplains of color and encourages all chaplains to develop caregiving capacities that address patients' needs for racial justice, meaning, and spiritual legacy.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"256-268"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10073249","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 of Color: Histories and Practices. 有色人种牧师：历史与实践。
IF 1.1
Journal of Health Care Chaplaincy Pub Date : 2023-07-01 Epub Date: 2023-05-11 DOI: 10.1080/08854726.2023.2210028
Wendy Cadge, Barbara Savage, Marilyn J D Barnes
{"title":"Chaplains of Color: Histories and Practices.","authors":"Wendy Cadge, Barbara Savage, Marilyn J D Barnes","doi":"10.1080/08854726.2023.2210028","DOIUrl":"10.1080/08854726.2023.2210028","url":null,"abstract":"<p><p>From the gallows and fields of war to the street and bedside, chaplains of color have been present and instrumental in providing spiritual and emotional support in public and private settings across the United States. Their histories and experiences are not well documented and integrated into the field of spiritual care and chaplaincy, a field often understood as predominantly White, male, and Christian. This article introduces this special issue by offering historical context-particularly for Black chaplains-and naming the key themes that weave through the articles included. Naming the experiences of chaplains of color is a central step in responding to historically grounded racial inequities in the work of chaplaincy and spiritual care in the United States.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"29 3","pages":"245-255"},"PeriodicalIF":1.1,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9682720","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
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
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