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Journal of Health Care Chaplaincy

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https://www.readbyqxmd.com/read/28632083/patient-reported-outcome-measure-of-spiritual-care-as-delivered-by-chaplains
#1
Austyn Snowden, Iain Telfer
Chaplains are employed by health organizations around the world to support patients in recognizing and addressing their spiritual needs. There is currently no generalizable measure of the impact of these interventions and so the clinical and strategic worth of chaplaincy is difficult to articulate. This article introduces the Scottish PROM, an original five-item patient reported outcome measure constructed specifically to address this gap. It describes the validation process from its conceptual grounding in the spiritual care literature through face and content validity cycles...
October 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28426335/chaplaincy-encounters-following-a-suicide-attempt
#2
Marek S Kopacz, Cathleen P Kane, Wilfred R Pigeon, Jason A Nieuwsma
This descriptive study examines the provision of chaplaincy services to veterans who sought health care at a Department of Veterans Affairs (VA) Medical Center following a suicide attempt. A system-wide VA database of suicidal behavior was used to identify a cohort of n = 22,701 veterans who survived a suicide attempt. Next, an electronic review of VA clinical records found that n = 7,447 (32.8%) received chaplaincy services in the 30 days following their attempt. Of this group, the overwhelming majority of first chaplaincy encounters took place in in-patient settings: n = 6890 (92...
October 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28394726/chaplaincy-visitation-and-spiritual-care-after-intracerebral-hemorrhage
#3
Melissa L Howell, Kristin Schwab, Alison M Ayres, Dean Shapley, Christopher D Anderson, M Edip Gurol, Anand Viswanathan, Steven M Greenberg, Jonathan Rosand, Joshua N Goldstein
To better understand factors influencing spiritual care during critical illness, we examined the use of spiritual care in patients hospitalized with intracerebral hemorrhage (ICH), a frequently disabling and fatal disease. Specifically, the study was designed to examine which demographic and clinical characteristics were associated with chaplain visits to critically ill patients. The charts of consecutive adults (>18) with spontaneous ICH presenting to a single academic medical center between January 2014 and September 2015 were reviewed...
October 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28368718/examining-the-validity-of-the-rush-protocol-to-screen-for-religious-spiritual-struggle
#4
George Fitchett, Patricia Murphy, Stephen D W King
Effective deployment of limited spiritual care resources requires valid and reliable methods of screening that can be used by nonchaplain health care professionals to identify and refer patients with potential religious/spiritual (R/S) need. Research regarding the validity of existing approaches to R/S screening is limited. In a sample of 1,399 hematopoietic stem cell transplant survivors, we tested the validity of the Rush Protocol and two alternative versions of it. The negative religious coping subscale of the Brief RCOPE provided the reference standard...
July 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28358243/professional-quality-of-life-and-changes-in-spirituality-among-vha-chaplains-a-mixed-methods-investigation
#5
Wesley H McCormick, Timothy D Carroll, Brett A Slagel, Kent D Drescher, Jason A Nieuwsma, Joseph M Currier
A mixed method design was implemented to examine the spirituality and emotional well-being of Veterans Health Administration (VHA) chaplains and how potential changes in spirituality and emotional well-being may affect their professional quality of life. Four distinct categories of changes emerged from the narrative statements of a nationally representative sample of 267 VHA chaplains: (1) positive changes (e.g., increased empathy), (2) negative changes (e.g., dysthymic mood, questioning religious beliefs), (3) combination of positive and negative changes, and (4) no change (e...
July 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27880088/lectio-divina-a-preliminary-evaluation-of-a-chaplaincy-program
#6
Marek S Kopacz, Mary S Adams, Robert F Searle
This participant outcome evaluation serves as a preliminary investigation into the effects of lectio divina, a chaplaincy service representing a form of focused Scripture reading. A sample of n = 19 patients who participated in this service at a Department of Veterans Affairs Medical Center in upstate New York was screened at baseline and 30-days follow-up using the Duke University Religion Index, Berg Spiritual Injury Scale, and a screening question for thoughts of harming self or others. These measures were used to assess the intended outcomes of enhanced religiosity, ameliorated spiritual injury, and decreased thoughts of violence...
July 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28636455/the-role-of-the-healthcare-chaplain-a-literature-review
#7
Fiona Timmins, Sílvia Caldeira, Maryanne Murphy, Nicolas Pujol, Greg Sheaf, Elizabeth Weathers, Jacqueline Whelan, Bernadette Flanagan
Healthcare chaplains operate in many healthcare sites internationally and yet their contribution is not always clearly understood by medical and healthcare staff. This review aims to explore the chaplains' role in healthcare, with a view to informing best practice in future healthcare chaplaincy. Overall the extent of the provision and staffing of chaplaincy service internationally is unclear. From this review, several key spiritual and pastoral roles in healthcare emerge including a potential contribution to ethical decision making at the end of life...
June 21, 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28622103/the-t-test-an-influential-inferential-tool-in-chaplaincy-and-other-healthcare-research
#8
Katherine R B Jankowski, Kevin J Flannelly, Laura T Flannelly
The t-test developed by William S. Gosset (also known as Student's t-test and the two-sample t-test) is commonly used to compare one sample mean on a measure with another sample mean on the same measure. The outcome of the t-test is used to draw inferences about how different the samples are from each other. It is probably one of the most frequently relied upon statistics in inferential research. It is easy to use: a researcher can calculate the statistic with three simple tools: paper, pen, and a calculator...
June 16, 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28535117/evaluation-of-a-chaplain-residency-program-and-its-partnership-with-an-in-patient-palliative-care-team
#9
Elizabeth Jackson-Jordan, Cynthia Stafford, Sara V Stratton, TeresaMarie T Vilagos, Angela Janssen Keenan, Greg Hathaway
In 2009 a Consensus Conference of experts in the field of spiritual care and palliative care recommended the inclusion of Board-certified professional chaplains with at least 1,600 hours of clinical pastoral education as members of palliative care teams. This study evaluates a clinical pastoral education residency program's effectiveness in preparing persons to provide spiritual care for those with serious illness and in increasing the palliative care team members' understanding of the chaplain as part of the palliative care team...
May 23, 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28441099/the-comprehensive-female-soldier-support-model
#10
Daniel L Roberts, Joann Kovacich, Melvin J Rivers
Women represent a small minority in the U.S. military and an even smaller minority in the military chaplaincy. Prior to this study, the U.S. Army chaplaincy did not have a gender-specific model for providing support to women soldiers. In this Delphi research project, wounded women soldiers and female military chaplains provided expert opinions to develop the comprehensive female soldier support model (CFS2). Ten military women and 11 female chaplains who had been deployed overseas contributed to the body of knowledge related to the understanding of the emotional and spiritual support needs of wounded female soldiers...
April 25, 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/28001912/air-force-chaplains-perceived-effectiveness-on-service-member-s-resilience-and-satisfaction
#11
Bryan Cafferky, Aaron Norton, Wendy J Travis
This study examined how 3,777 active duty male United States Air Force service members' (SMs) rank and residence location moderated the associations between perceived chaplain effectiveness, SMs' resilience, family coping, marital satisfaction, and satisfaction with the Air Force (AF). A multiple-sample structural equation model was conducted with four subgroups of SMs who had received chaplain support: enlisted members living on base, enlisted members living off base, officers living on base, and officers living off base...
April 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27869567/use-of-the-daily-phone-diary-to-study-religiosity-and-mood-convergent-validity
#12
Rhonda D Szczesniak, Yuanshu Zou, Sophia M Dimitriou, Alexandra L Quittner, Daniel H Grossoehme
Studies of religious/spiritual behavior frequently rely on self-reported questionnaire data, which is susceptible to bias. The Daily Phone Diary (DPD) was developed to minimize bias in reporting activities and behavior across a 24-hour period. A cross-sectional study of 126 parents of children with cystic fibrosis was used to establish the validity of the DPD to study religious/spiritual behaviors. Longitudinal models were used to determine the odds of improved mood during religious/spiritual activities. Convergent validity was found...
April 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27869574/international-study-of-chaplains-attitudes-about-research
#13
Austyn Snowden, George Fitchett, Daniel H Grossoehme, George Handzo, Ewan Kelly, Stephen D W King, Iain Telfer, Heather Tan, Kevin J Flannelly
An online survey was conducted by twelve professional chaplain organizations to assess chaplains' attitudes about and involvement in research. A total of 2,092 chaplains from 23 countries responded to the survey. Over 80% thought research was definitely important and nearly 70% thought chaplains should definitely be research literate. Just over 40% said they regularly read research articles and almost 60% said they occasionally did. The respondents rated their own research literacy as 6.5 on a 0-10 scale. Significant positive inter-correlations were found among all four measures: importance of (a) research and (b) research literacy; (c) frequency of reading articles; and (d) research literacy rating...
January 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27398684/i-m-still-me-inspiration-and-instruction-from-individuals-with-brain-cancer
#14
Katherine M Piderman, Jason S Egginton, Cory Ingram, Ann Marie Dose, Timothy J Yoder, Laura A Lovejoy, Spence W Swanson, James T Hogg, Maria I Lapid, Aminah Jatoi, Megan S Remtema, Beba S Tata, Carmen Radecki Breitkopf
Individuals with brain cancer face many challenges, including threats to cognition, personality, and sensory and motor functioning. These can alter one's sense of identity and result in despair. Chaplain-led spiritual interviews were conducted with 19 patients with brain cancer as part of a larger spiritual legacy intervention called "Hear My Voice." The majority was female (58%), married (68%) and had aggressive/advanced tumors (63%). Participants were 22-68 years of age and expressed the following religious affiliations: Protestant (42%), Catholic (21%), Muslim (5%), and none (32%)...
January 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27322781/the-soul-s-legacy-a-program-designed-to-help-prepare-senior-adults-cope-with-end-of-life-existential-distress
#15
Fred Grewe
Current innovative psychological therapies have made great progress in addressing existential suffering in dying patients but are often begun to late in the end-of-life process and often ignore religion, which for many is a major component in the meaning-making process. Therefore, this article explores how chaplains (who are familiar with various religious traditions without promoting them) can help prepare senior adults effectively cope with inevitable end-of-life existential issues. The project described in this article provides tools for chaplains to address the real issues that terrify us all, but particularly the elderly: death, isolation, and meaninglessness...
January 2017: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27254073/-chaplains-for-wellbeing-in-primary-care-a-qualitative-investigation-of-their-perceived-impact-for-patients-health-and-wellbeing
#16
Wilfred McSherry, Adam Boughey, Peter Kevern
Although Health Chaplaincy services are well-established in hospitals in the United Kingdom and across the world, Primary Care Chaplaincy is still in its infancy and much less extensively developed. This study explored the impact the introduction of a Primary Care "Chaplains for Wellbeing" service had upon patients' experience and perceived health and well-being. Sixteen patients participated in one-one interviews. Transcripts were analyzed using interpretative phenomenological analysis (IPA). Patients reported circumstances that had eroded perceived self-efficacy, self-identity, and security manifesting as existential displacement; summarized under the superordinate theme of "loss...
October 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27191058/communicating-chaplains-care-narrative-documentation-in-a-neuroscience-spine-intensive-care-unit
#17
Rebecca Johnson, M Jeanne Wirpsa, Lara Boyken, Matthew Sakumoto, George Handzo, Abel Kho, Linda Emanuel
Chaplaincy care is different for every patient; a growing challenge is to ensure that electronic health records function to support personalized care. While ICU health care teams have advanced clinical practice guidelines to identify and integrate relevant aspects of the patient's story into whole person care, recommendations for documentation are rare. This qualitative study of over 400 free-text EHR notes offers unique insight into current use of free-text documentation in ICU by six chaplains integrated into the healthcare team...
October 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27328207/studying-associations-in-health-care-research
#18
Kevin J Flannelly, Laura T Flannelly, Katherine R B Jankowski
This article discusses some of the types of relationships observed in healthcare research and depicts them in graphic form. The article begins by explaining two basic associations observed in chemistry and physics (Boyles' Law and Charles' Law), and illustrates how these associations are similar to curvilinear and linear associations, respectively, found in healthcare. Graphs of curvilinear associations include morbidity curves and survival and mortality curves. Several examples of linear relationships are given and methods of testing linear relationships with interval and ratio data are introduced (i...
July 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27191375/help-seeking-behaviors-among-active-duty-military-personnel-utilization-of-chaplains-and-other-mental-health-service-providers
#19
Jessica Kelley Morgan, Laurel Hourani, Marian E Lane, Stephen Tueller
Military chaplains not only conduct religious services, but also provide counseling and spiritual support to military service members, operating as liaisons between soldiers and mental health professionals. In this study, active-duty soldiers (N = 889) reported help-seeking behaviors and mental health. Using logistic regressions, we describe the issues for which soldiers reported seeking help, then outline the characteristics of those who are most likely to seek help from a chaplain. Of the soldiers who sought help from a chaplain within the previous year, 29...
July 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27191221/the-differential-effects-of-chaplain-interventions-on-patient-satisfaction
#20
Vanshdeep Sharma, Deborah B Marin, Eugene Sosunov, Fatih Ozbay, Rafael Goldstein, George F Handzo
There is an acute need to define the specific skills that make chaplains integral to the healthcare team. This prospective study attempts to identify those skills that may be specific to chaplains, for whom no other member of the health care team has similar training, and to examine if these skills have a differential effect on patient satisfaction. A total of 59 interventions were identified and grouped into 10 categories by focus groups comprised of chaplains. Subsequently, Principal Component Analysis yielded two independent variables; Component 1 representing the "Religious/Spiritual" dimension, and Component 2 representing the "Psychosocial" dimension of chaplains' work...
July 2016: Journal of Health Care Chaplaincy
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