Journal of Health Care Chaplaincy最新文献

{"title":"The development of an outcome oriented and research informed spiritual care assessment and documentation form for the electronic health record in an adult hospital setting.","authors":"Frank Woggon,&nbsp;Matthew Arlyck,&nbsp;Stephenie Maddox Hill,&nbsp;Leslie Small Stokes","doi":"10.1080/08854726.2021.1916333","DOIUrl":"https://doi.org/10.1080/08854726.2021.1916333","url":null,"abstract":"<p><p>Standards for professional chaplaincy expect chaplains to document their work in patients' medical records, but no agreed upon standard for the content or format of such documentation exists. With the adoption of Electronic Health Records (EHRs) in many hospitals, chaplains may utilize a provided electronic form or one that can be customized from a basic format to departmental specifications. Ideally, the documentation form supports and reflects the work of chaplains in their specific clinical context. Outcome oriented models of chaplaincy and an increasing focus on a research informed practice of spiritual care should determine the format and content of chaplains' documentation in the EHR. This article describes how a chaplaincy department in an adult academic Level I trauma center designed and implemented a spiritual care documentation form for the EHR. The documentation template is informed by clinical expertise and by research about patients' meaning-making activities and patients' experience of connectedness in the context of illness. It integrates a consensus-based assessment form with narrative documentation options, searchable selections, and an outcome-oriented plan of care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 3","pages":"400-414"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1916333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38908177","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":"Online clinical pastoral education needs more research.","authors":"David W Fleenor","doi":"10.1080/08854726.2021.1894533","DOIUrl":"https://doi.org/10.1080/08854726.2021.1894533","url":null,"abstract":"<p><p>In 2020, the COVID-19 pandemic forced many Clinical Pastoral Education (CPE) programs to cancel or move online. There is no research about online CPE, and it is unknown how effective it is compared with in-person CPE. Researchers in other related fields have studied online clinical supervision, specifically how technology-assisted supervision affects the supervisory relationship, the development of supervisees' competence and confidence, supervisees' satisfaction, and the overall quality of clinical supervision. This paper presents a review of the scientific evidence about online clinical supervision. It is generally agreed that online clinical supervision is a viable alternative to in-person supervision. More research about online CPE is needed to develop best practices and new accreditation standards that enable CPE supervisors to practice online CPE at the highest level, whether in a pandemic or not.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 3","pages":"342-349"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1894533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25480699","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":"A spiritual care intervention for chaplains in home-based palliative care: design of a mixed-methods study investigating effects on patients' spiritual wellbeing.","authors":"Anke I Liefbroer,&nbsp;Iris R Wierstra,&nbsp;Daisy J A Janssen,&nbsp;Renske Kruizinga,&nbsp;Ineke Nagel,&nbsp;Erik Olsman,&nbsp;Jacques W G Körver","doi":"10.1080/08854726.2021.1894532","DOIUrl":"https://doi.org/10.1080/08854726.2021.1894532","url":null,"abstract":"<p><p>Recently, the call for chaplains to become 'research literate' has been recognized by various scholars as well as by practitioners in the field. However, papers that present and discuss the study design and provide guidance on the methodology of chaplaincy research are scarce. The aim of this study is to present the design of a mixed-methods study that investigates the impact of a spiritual care intervention on patients' spiritual wellbeing in palliative, home-based care. It reports on the steps needed to conduct such a study in chaplaincy care, and describes and discusses the study's research design, intervention, participants, sampling strategy, patient and public involvement, procedure, ethical considerations, data collection, and analysis. Presenting and discussing such a design is not only useful for researchers before conducting their study, in order to create transparency, but also for chaplains to improve their knowledge on research methodology and research literacy.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 3","pages":"328-341"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1894532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25521972","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":"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":"28 3","pages":"365-377"},"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":"Patients' and Loved Ones' Expectations of Chaplain Services.","authors":"Beth L Muehlhausen,&nbsp;Todd Foster,&nbsp;Aaron H Smith,&nbsp;George Fitchett","doi":"10.1080/08854726.2021.1903734","DOIUrl":"https://doi.org/10.1080/08854726.2021.1903734","url":null,"abstract":"<p><p>A study assessing the expectations patients and loved ones have of hospital chaplains was conducted at Ascension St. Vincent Indiana hospitals. In-person interviews were conducted with 452 patients and loved ones during an inpatient stay. The survey instrument was a modified version of a survey developed by Dr. Katherine Piderman of the Mayo Clinic. Participants answered questions regarding demographics, awareness of availability, expectations of visits, reasons for wanting to see a chaplain and gave feedback regarding visits if they had seen a chaplain. Results showed that patients and loved ones value chaplains with 93% saying they wanted a chaplain visit. This study was unique in seeking feedback from loved ones as well as patients. It may be equally important to reach out to loved ones during times of crisis when patients themselves are in surgery or sedated and loved ones are experiencing heightened anxiety.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":"28 3","pages":"350-364"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2021.1903734","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38816841","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":"28 3","pages":"295-309"},"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":"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":"28 3","pages":"378-399"},"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":"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":"28 3","pages":"431-442"},"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":"28 3","pages":"310-327"},"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":"28 2","pages":"179-193"},"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}