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chaplain, spiritual care, chaplaincy, spirituality,

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...
April 10, 2017: Journal of Health Care Chaplaincy
Alex Beth Schapiro
247 Background: Spiritual support is associated with better outcomes in cancer care and at the end of life (1, 2). Consensus guidelines advocate for incorporating spiritual care in the provision of specialist level palliative care (3). Contemplative care practices and chaplaincy interventions have the potential for mitigating existential distress, cultivating prognostic awareness, and fostering spiritual approaches to grieving and coping with advanced cancer. We present the results of a pilot program demonstrating the feasibility and impact of integrating a contemplative care chaplain in an outpatient palliative care program in a culturally diverse patient population in a large, academic cancer center...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Jane Jeuland, George Fitchett, Dena Schulman-Green, Jennifer Kapo
BACKGROUND: Palliative care (PC) programs utilize chaplains to address patients' spiritual care needs; however, there is no comprehensive description of chaplaincy in PC programs nationally. OBJECTIVE: To describe chaplains working in PC across the United States, including their integration on the PC team and visit content. DESIGN: National online survey conducted February-April 2015. SUBJECTS: We invited participation from hospital-based chaplains belonging to four national professional chaplain associations who spent 15% or more of their working hours with PC teams...
February 1, 2017: Journal of Palliative Medicine
Julian Raffay, Emily Wood, Andrew Todd
BACKGROUND: Within the UK National Health Service (NHS), Spiritual and Pastoral Care (SPC) Services (chaplaincies) have not traditionally embraced research due to the intangible nature of their work. However, small teams like SPC can lead the way towards services across the NHS becoming patient- centred and patient-led. Using co-production principles within research can ensure it, and the resulting services, are truly patient-led. METHODS: A series of interviews were conducted with service users across directorates of a large NHS mental health Trust...
2016: BMC Psychiatry
Lindsay B Carey, Timothy J Hodgson, Lillian Krikheli, Rachel Y Soh, Annie-Rose Armour, Taranjeet K Singh, Cassandra G Impiombato
This scoping review considered the role of chaplains with regard to 'moral injury'. Moral injury is gaining increasing notoriety. This is due to greater recognition that trauma (in its various forms) can cause much deeper inflictions and afflictions than just physiological or psychological harm, for there may also be wounds affecting the 'soul' that are far more difficult to heal-if at all. As part of a larger research program exploring moral injury, a scoping review of literature and other resources was implemented utilising Arksey and O'Malley's scoping method (Int J Soc Res Methodol 8(1):19-32, 2005) to focus upon moral injury, spirituality (including religion) and chaplaincy...
August 2016: Journal of Religion and Health
Simon Lasair
Health care chaplaincy positions in Canada are significantly threatened due to widespread health care cutbacks. Yet the current time also presents a significant opportunity for spiritual care providers. This article argues that religion and spirituality in Canada are undergoing significant changes. The question for Canadian health care chaplains is, then: how well equipped are they to understand these changes in health care settings and to engage them? This article attempts to go part way toward an answer.
March 2016: Journal of Pastoral Care & Counseling: JPCC
(no author information available yet)
THIS BOOK is written with many different professionals in mind. It can be read, and readily appreciated, by various healthcare workers and individuals working with children and young people, not just child-health nurses or paediatric nurses in specialist children's hospitals or hospices. It is written by the chaplaincy team of Birmingham Children's Hospital.
February 9, 2016: Nursing Children and Young People
Barbara Pesut
In Nolan's case study, "He Needs to Talk!": A Chaplain's Response to Nonreligious Spiritual Care," he asks an important question: "What is distinctive about the chaplain's role in working with nonreligious people?" This is a compelling question for chaplains working in a society where individuals are increasingly defining themselves as NOT religious. In this response, I will analyze how our current religious context, in which we feel over-responsible for an existential quest without a language to express our dilemma, creates a unique role for chaplaincy with the nonreligious...
2016: Journal of Health Care Chaplaincy
Steve Nolan
Chaplains have always worked with nonreligious people, but it is not always clear what is distinctive about their contribution. This case describes an episode of nonreligious spiritual care in order to explore the value of chaplaincy work with people who regard themselves as nonreligious. This case reports on work with a dying man and his family-wife, daughter, sister, and son-in-law-whose religion is secularized, but whose secularism is touched by the sacred.
2016: Journal of Health Care Chaplaincy
Matthew D Frierdich
This article focuses on the institutional dimensions of spiritual care within hospital settings in the context of the Patient Protection and Affordable Care Act of 2010 (ACA), applying policy information and systems theory to re-imagine the value and function of chaplaincy to hospital communities. This article argues that chaplaincy research and practice must look beyond only individual interventions and embrace chaplain competencies of presence, ritual, and communication as foundational tools for institutional spiritual care...
2015: Journal of Health Care Chaplaincy
Janie J Taylor, Jennifer L Hodgson, Irina Kolobova, Angela L Lamson, Natalia Sira, David Musick
Hospital chaplaincy and spiritual care services are important to patients' medical care and well-being; however, little is known about healthcare providers' experiences receiving spiritual support. A phenomenological study examined the shared experience of spiritual care between hospital chaplains and hospital-based healthcare providers (HBHPs). Six distinct themes emerged from the in-depth interviews: Awareness of chaplain availability, chaplains focus on building relationships with providers and staff, chaplains are integrated in varying degrees on certain hospital units, chaplains meet providers' personal and professional needs, providers appreciate chaplains, and barriers to expanding hospital chaplains' services...
2015: Journal of Health Care Chaplaincy
Emily M Cramer, Kelly E Tenzek, Mike Allen
The current investigation examines the communicative hallmarks of successful chaplaincy work as articulated by professional chaplains providing spiritual care at the end-of-life. Data grounded in qualitative interviews with 32 chaplains of various denominations and lengths of service reveals a challenge in gauging success when working with dying patients and families. Chaplains reported nonverbal hallmarks of success consist of (a) intrapersonal sense of accomplishment, (b) progress in fulfilling patient needs, and (c) meaningful connection with patients...
2015: Journal of Health Care Chaplaincy
Parameshwaran Ramakrishnan
PURPOSE OF REVIEW: Clinical works at the intersection of 'spirituality, religion, theology and medicine' are studied to identify various aspects of what constitutes spirituality, what contributes to spiritual health and how to provide spiritual-healers for our current health-care system. RECENT FINDINGS: Spiritual care in the current medical world can be classed grossly into two departments: complementary and alternative medicine, considered as proxy variable for spirituality, and physician-initiated clinical Chaplaincy, informed by theology...
September 2015: Current Opinion in Psychiatry
Janet Betty Eccles
This article reports on the inception and work of the first multi-faith chaplaincy team in a general hospital outside of London. The problematic beginnings are described as the team, previously run by and based on Anglican Christian ministry expanded to multi-faith care. The importance of the chapel/worship space in such a project diminished and chaplains and volunteer visitors of all faiths and none now minister in more secular spaces throughout the hospital and outside its walls. This is a reflection of their work becoming more interfaith as chaplains ministering to those of different faiths from their own evolved to a more spiritually rather than religiously oriented focus in generating patient-centred care in the context of a changing British culture, now considered simultaneously Christian, religiously plural, and secular...
September 2014: Journal of Pastoral Care & Counseling: JPCC
Linda Emanuel, George Handzo, George Grant, Kevin Massey, Angelika Zollfrank, Diana Wilke, Richard Powell, Walter Smith, Kenneth Pargament
BACKGROUND: Chaplaincy is a relatively new discipline in medicine that provides for care of the human spirit in healthcare contexts for people of all worldviews. Studies indicate wide appreciation for its importance, yet empirical research is limited. Our purpose is to create a model of human spiritual processes and needs in palliative care situations so that researchers can locate their hypotheses in a common model which will evolve with relevant findings. METHODS: The Model Building Subgroup worked with the Chaplaincy Research Consortium as part of a larger Templeton Foundation funded project to enhance research in the area...
2015: BMC Palliative Care
Philip J Choi, Farr A Curlin, Christopher E Cox
CONTEXT: Patients and families commonly experience spiritual stress during an intensive care unit (ICU) admission. Although most patients report that they want spiritual support, little is known about how these issues are addressed by hospital chaplains. OBJECTIVES: To describe the prevalence, timing, and nature of hospital chaplain encounters in ICUs. METHODS: This was a retrospective cross-sectional study of adult ICUs at an academic medical center...
October 2015: Journal of Pain and Symptom Management
Allison Kestenbaum, Jennifer James, Stefana Morgan, Michele Shields, Will Hocker, Michael Rabow, Laura B Dunn
BACKGROUND: There are many potential benefits to chaplaincy in transforming into a "research-informed" profession. However little is known or has been documented about the roles of chaplains on research teams and as researchers or about the effects of research engagement on chaplains themselves. This report describes the experience and impact of three chaplains, as well as tensions and challenges that arose, on one particular interdisciplinary team researching a spiritual assessment model in palliative care...
May 2, 2015: BMC Palliative Care
Richard A Powell, Linda Emanuel, George Handzo, John Lantos, Laura B Dunn, Ellen L Idler, Diane J Wilkie, Kevin Massey, William T Summerfelt, Marilyn J D Barnes, Tammie E Quest, Allison Kestenbaum, Karen Steinhauser, George Fitchett, Angelika Zollfrank, Annette K Olsen, Tracy A Balboni, Dane Sommer
BACKGROUND: Despite recognition of the centrality of professional board-certified chaplains (BCC) in palliative care, the discipline has little research to guide its practices. To help address this limitation, HealthCare Chaplaincy Network funded six proposals in which BCCs worked collaboratively with established researchers. Recognizing the importance of interdisciplinary collaboration in the development of a new field, this paper reports on an exploratory study of project members' reflections over time on the benefits and challenges of conducting inter-disciplinary spiritual care research...
2015: BMC Palliative Care
Kevin Massey, Marilyn J D Barnes, Dana Villines, Julie D Goldstein, Anna Lee Hisey Pierson, Cheryl Scherer, Betty Vander Laan, Wm Thomas Summerfelt
BACKGROUND: Chaplains are increasingly seen as key members of interdisciplinary palliative care teams, yet the specific interventions and hoped for outcomes of their work are poorly understood. This project served to develop a standard terminology inventory for the chaplaincy field, to be called the chaplaincy taxonomy. METHODS: The research team used a mixed methods approach to generate, evaluate and validate items for the taxonomy. We conducted a literature review, retrospective chart review, focus groups, self-observation, experience sampling, concept mapping, and reliability testing...
2015: BMC Palliative Care
Steven C McCormick, Alice A Hildebrand
Improving the provision of spiritual care to hospitalized patients requires understanding what patients look for from a hospital chaplain, and why. This qualitative study uses grounded theory methodology to analyze data from 25 interviews with adult patients and/or adult family members who received spiritual care in a large tertiary care hospital. Analysis reveals three key themes in chaplaincy care: the attributes valued in the chaplain's presence, the elements necessary to form relationship with the chaplain, and the role of the chaplain in helping patients to discover and express meaning in their experiences...
2015: Journal of Health Care Chaplaincy
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