{"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":"28 2","pages":"162-178"},"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}
Heather Tan, Bruce Rumbold, Fiona Gardner, Austyn Snowden, David Glenister, Annie Forest, Craig Bossie, Lynda Wyles
{"title":"Understanding the outcomes of spiritual care as experienced by patients.","authors":"Heather Tan, Bruce Rumbold, Fiona Gardner, Austyn Snowden, David Glenister, Annie Forest, Craig Bossie, 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":"28 2","pages":"147-161"},"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}
Aja Antoine, George Fitchett, Deborah Marin, Vanshdeep Sharma, Andrew Garman, Trace Haythorn, Kelsey White, Amy Greene, Wendy Cadge
{"title":"What organizational and business models underlie the provision of spiritual care in healthcare organizations? An initial description and analysis.","authors":"Aja Antoine, George Fitchett, Deborah Marin, Vanshdeep Sharma, Andrew Garman, Trace Haythorn, Kelsey White, Amy Greene, 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":"28 2","pages":"272-284"},"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}
Wendy Cadge, Taylor Paige Winfield, Michael Skaggs
{"title":"The social significance of chaplains: evidence from a national survey.","authors":"Wendy Cadge, Taylor Paige Winfield, 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":"28 2","pages":"208-217"},"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}
{"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":"28 2","pages":"239-254"},"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":"28 2","pages":"255-271"},"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}
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":"28 2","pages":"285-294"},"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}
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":"28 2","pages":"194-207"},"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}
{"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":"28 2","pages":"218-238"},"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}
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":"28 1","pages":"S3 - S8"},"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}