{"title":"Proposing religiously informed, relationally skillful chaplaincy theory.","authors":"Judith R Ragsdale, Cate Michelle Desjardins","doi":"10.1080/08854726.2020.1861533","DOIUrl":"https://doi.org/10.1080/08854726.2020.1861533","url":null,"abstract":"<p><p>Research on the multiple uses of religion/spirituality (R/S) in healthcare and on the practices of healthcare chaplaincy support creation of a middle-range, prescriptive theory for chaplaincy for patients who use R/S in their healthcare experiences. Religiously Informed, Relationally Skillful Chaplaincy Theory (RIRSCT) seeks to integrate research into practice in order to improve spiritual care and allow for testing RIRSCT. The components of RIRSCT are: patients whose religion is a significant part of their worldview often use R/S in healthcare to make meaning, to cope, and to make medical decisions; chaplains should be the members of the healthcare team to assess and address R/S; healthcare teams could provide more personalized treatment by integrating patients' R/S into the treatment plan, which could improve patient experience. This article describes the components of RIRSCT and provides examples of chaplaincy guided by RIRSCT. Selected research articles supporting theory components are reviewed.</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/10.1080/08854726.2020.1861533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38757740","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}
Nicholas S Stewart, Joanne L S Henley, Leah S Smith, Jonna R Garvin
{"title":"A quality improvement project to standardize chaplain documentation in the electronic medical record.","authors":"Nicholas S Stewart, Joanne L S Henley, Leah S Smith, Jonna R Garvin","doi":"10.1080/08854726.2020.1861534","DOIUrl":"https://doi.org/10.1080/08854726.2020.1861534","url":null,"abstract":"<p><p>Medical record documentation by hospital chaplains is an under-researched and under-published field. Because documentation serves both as a register of chaplain interventions and as a collaborative tool for interdisciplinary communication, it should be written in a way that is clear, concise, and consistent. As chaplains continue to integrate with other medical professions in interdisciplinary care, careful attention should be given to the way in which communication of the chaplain role, functioning, and patient information obtained is conveyed. This quality improvement project standardized chaplain documentation in one health system of 15 medical centers, provides insights and resources devised from the project, and offers considerations for other systems contemplating future changes toward standardizing documentation.</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/10.1080/08854726.2020.1861534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38757743","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 survey of the use of music by hospice chaplains: a call for collaboration.","authors":"Claire M Klein","doi":"10.1080/08854726.2020.1861532","DOIUrl":"https://doi.org/10.1080/08854726.2020.1861532","url":null,"abstract":"<p><p>Music is an integral tool in creating sacred space, and research indicates the potential for music to advance spiritual goals. However, little evidence exists on the use of music by hospice chaplains. In an online survey, 313 hospice chaplains were asked about their work including their use of music and perception of the effectiveness of music in meeting spiritual goals. Most respondents named supporting those actively dying and providing compassionate presence as a top reason for referral. Many used prayer and life review to meet spiritual goals. Participants reported playing recorded religious music (66.54%) or singing religious music (61.54%) with their patients and only 8.08% never use music. Collaboration with board-certified music therapists to use music to support actively dying patients and prompt life review is encouraged. Seminary and CPE educators are urged to incorporate the use of music into their curricula.</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/10.1080/08854726.2020.1861532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38757741","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}
George Handzo, Brian Hughes, Jill Bowden, Brian Kelly, Jacqueline Lynch, Michael Mercier, Clio Pavlantos, Harry Rothstein, Margaret Tuttle
{"title":"Chaplaincy in the outpatient setting-getting from here to there.","authors":"George Handzo, Brian Hughes, Jill Bowden, Brian Kelly, Jacqueline Lynch, Michael Mercier, Clio Pavlantos, Harry Rothstein, Margaret Tuttle","doi":"10.1080/08854726.2020.1818359","DOIUrl":"https://doi.org/10.1080/08854726.2020.1818359","url":null,"abstract":"<p><p>One of the most evident trends in US health care and health care generally in the developed world is that more and more care is shifting to outpatient settings. This change opens up substantial opportunities, and in many cases, expectations for chaplains to extend the breadth of the care they provide in any health system. However, it also brings many challenges. This paper describes the journey of four very different inpatient chaplaincy services into the outpatient setting. These four examples focus on settings that would historically be thought of as outpatient-those that see patients within the brick and mortar of the health system.</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/10.1080/08854726.2020.1818359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38423585","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}
David W Fleenor, Paul Cummins, Jo Hirschmann, Vansh Sharma
{"title":"Ethics education in clinical pastoral education: prevalence and types.","authors":"David W Fleenor, Paul Cummins, Jo Hirschmann, Vansh Sharma","doi":"10.1080/08854726.2021.1916335","DOIUrl":"https://doi.org/10.1080/08854726.2021.1916335","url":null,"abstract":"<p><p>Chaplains frequently serve on ethics committees, as ethics consultants, and as Institutional Review Board (IRB) members in hospitals. However, little is known about how Clinical Pastoral Education (CPE) residents are trained in ethics and whether this training is appropriate or adequate for chaplains' subsequent work in health care settings. We created a survey to canvas 222 CPE residency programs in the United States accredited by the ACPE: The Standard for Spiritual Care (ACPE) to inquire about the prevalence of ethics curricula within residency programs, the educational structure of ethics curricula, and challenges associated with teaching ethics within CPE. We received a total of 84 responses for a 38% response rate. Of these, three-quarters of the programs had a required ethics curriculum, another 10% were in the process of developing one, and 18% had none. There was a great deal of variability in the ethics curricula among the different programs. Developing guidelines for a standardized ethics curriculum could help healthcare chaplains provide more effective service on ethics committees, as ethics consultants, and as IRB members.</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/10.1080/08854726.2021.1916335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38836896","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}
Jason A. Nieuwsma, Melissa A. Smigelsky, D. Grossoehme
{"title":"Introduction to the special issue “Moral injury care: Practices and collaboration”","authors":"Jason A. Nieuwsma, Melissa A. Smigelsky, D. Grossoehme","doi":"10.1080/08854726.2022.2047564","DOIUrl":"https://doi.org/10.1080/08854726.2022.2047564","url":null,"abstract":"Abstract Since moral injury was introduced in the psychological literature little more than a decade ago, it has received substantial attention from mental health professionals as well as chaplains. This special issue features ways that chaplains are and can be engaged in addressing moral injury within health care contexts, especially the Department of Veterans Affairs. The efforts highlighted in this special issue provide building blocks for advancing moral injury care practices, research agendas, and interdisciplinary collaborations into the future.","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45431981","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}
Amanda L Roze des Ordons, Henry T Stelfox, Tasnim Sinuff, Kathleen Grindrod-Millar, Shane Sinclair
{"title":"Exploring spiritual health practitioners' roles and activities in critical care contexts.","authors":"Amanda L Roze des Ordons, Henry T Stelfox, Tasnim Sinuff, Kathleen Grindrod-Millar, Shane Sinclair","doi":"10.1080/08854726.2020.1734371","DOIUrl":"https://doi.org/10.1080/08854726.2020.1734371","url":null,"abstract":"<p><p>Family members of patients admitted to the intensive care unit (ICU) experience multidimensional distress. Many clinicians lack an understanding of spiritual health practitioners' role and approaches to providing spiritual support. Through semi-structured interviews and focus groups with 10 spiritual health practitioners, we explored how spiritual health practitioners support families of patients in the ICU to better understand their scope of practice and role within an interdisciplinary critical care team. Spiritual health practitioners' work was described through clinical roles (family support, clinician support, bridging family members and clinicians), activities (companioning, counseling, facilitating difficult conversations, addressing individual needs), tensions (within and between roles and activities, navigating between hope and anticipated clinical trajectory, balancing supportive care and workload) and foundational principles (holistic perspective, resilience). A more comprehensive understanding of these roles and skills may enable clinicians to better integrate spiritual health practitioners into the fabric of care for patients, families, and clinicians themselves.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1734371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37727088","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 role of military chaplaincy in addressing service member help avoidance: A critical review with treatment implications.","authors":"Michael Prazak, Dellas Oliver Herbel","doi":"10.1080/08854726.2020.1793094","DOIUrl":"https://doi.org/10.1080/08854726.2020.1793094","url":null,"abstract":"<p><p>The problem of suicide and mental health difficulties generally among military service members has a prominent and central role at present. Notoriously, suicides have long represented more military deaths than actual combat. However, despite attempts to address this and related difficulties, the problem continues to rise, rather than subsist. The present review begins with an exploration of the severity and prevalence of mental health difficulties in the military, with a focus on suicide and trauma in particular. It then identifies and expands upon the three key barriers to help-seeking within a military context, and applies the aforementioned discussion to the valuable but understudied and underutilized role of healthcare chaplaincy in a military setting. Discussion of the steps that may be taken to better communicate the value and function of healthcare chaplaincy across the service from leadership to service members follows.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1793094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38177946","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}
Lauren M Borges, Sean M Barnes, Jacob K Farnsworth, Wyatt R Evans, Zachary Moon, Kent D Drescher, Robyn D Walser
{"title":"Cultivating psychological flexibility to address religious and spiritual suffering in moral injury.","authors":"Lauren M Borges, Sean M Barnes, Jacob K Farnsworth, Wyatt R Evans, Zachary Moon, Kent D Drescher, Robyn D Walser","doi":"10.1080/08854726.2022.2031467","DOIUrl":"https://doi.org/10.1080/08854726.2022.2031467","url":null,"abstract":"<p><p>In the current paper, we aim to expand the dialogue about applying psychological flexibility processes to moral injury-related spiritual suffering using Acceptance and Commitment Therapy (ACT). Psychological flexibility is the process of practicing present moment awareness and openness to experiences of emotions and thoughts, while also choosing to engage in actions that are consistent with one's values. This open, aware, and engaged approach to life fits well with spiritual endeavors. We provide a framework and a case example illustrating how spiritual care providers and Chaplains can use psychological flexibility processes to target spiritual suffering in the context of moral injury.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39880872","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":"Witnesses of hope in times of despair: chaplains in palliative care. A qualitative study.","authors":"Erik Olsman","doi":"10.1080/08854726.2020.1727602","DOIUrl":"https://doi.org/10.1080/08854726.2020.1727602","url":null,"abstract":"<p><p>Hope is an important topic in spiritual care in palliative care but the experiences of chaplains with hope have hardly been explored. The objective of this study was to explore Dutch chaplains' experiences with hope in palliative care. Semi-structured interviews were conducted, which were thematically analyzed. The 10 chaplains had a variety of ordinations: Muslim, Protestant, Roman Catholic, Humanistic, or otherwise. Participants spoke about changes in patients' hope, often implying despair and surrender, in which patients' self-reflection was pivotal. Participants felt witnesses of hope, not by offering hope, but by acknowledging patients' hope and despair while being with their patients. They criticized other professionals who, not bearing witness to these experiences, tried to offer hope to patients. We conclude that chaplains may become witnesses of hope in times of despair, which includes the (ideological) critical function of spiritual care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1727602","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37670510","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}