Opening up the black box of chaplaincy: a qualitative study into the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home.

This study investigated the reported workings of a narrative and interfaith spiritual care intervention in palliative care at home called "In dialogue with your life story." It was developed to address clients' spiritual needs in the religious plural context of the Netherlands. Thus far, how the intervention impacted clients' spiritual well-being remained a black box. A thematic analysis of semi-structured interviews with and workbooks of clients (N = 75) and chaplains (N = 33) indicated seven intervention elements that promoted clients' spiritual well-being in four ways: (1) they offered new insights and a better overview, (2) provided a place to connect and share experiences, (3) helped to reach deeper layers of meaning, and (4) brought out feelings of calmness and gratitude. The findings shed light on the intervention's black box and encourage further exploration of associations between chaplaincy goals, processes, and outcomes.