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https://www.readbyqxmd.com/read/28156526/integrating-contemplative-and-spiritual-care-in-outpatient-palliative-care-a-pilot-study
#1
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
https://www.readbyqxmd.com/read/28146647/chaplains-working-in-palliative-care-who-they-are-and-what-they-do
#2
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
https://www.readbyqxmd.com/read/28137999/the-role-of-religious-beliefs-in-ethics-committee-consultations-for-conflict-over-life-sustaining-treatment
#3
Julia I Bandini, Andrew Courtwright, Angelika A Zollfrank, Ellen M Robinson, Wendy Cadge
Previous research has suggested that individuals who identify as being more religious request more aggressive medical treatment at end of life. These requests may generate disagreement over life-sustaining treatment (LST). Outside of anecdotal observation, however, the actual role of religion in conflict over LST has been underexplored. Because ethics committees are often consulted to help mediate these conflicts, the ethics consultation experience provides a unique context in which to investigate this question...
January 30, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28126871/primary-care-chaplaincy-a-valid-talking-therapy
#4
Gordon Macdonald
No abstract text is available yet for this article.
February 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/27880088/lectio-divina-a-preliminary-evaluation-of-a-chaplaincy-program
#5
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...
November 23, 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27869567/use-of-the-daily-phone-diary-to-study-religiosity-and-mood-convergent-validity
#6
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...
November 21, 2016: Journal of Health Care Chaplaincy
https://www.readbyqxmd.com/read/27810565/frequency-and-predictors-of-acute-hospitalization-before-death-in-patients-with-glioblastoma
#7
Eli L Diamond, Katherine S Panageas, Alexis Dallara, Ariel Pollock, Allison J Applebaum, Alan C Carver, Elena Pentsova, Lisa M DeAngelis, Holly G Prigerson
CONTEXT: Glioblastoma (GBM) is a devastating and incurable neuro-oncologic disease, and issues related to the end of life are almost invariably a matter of "when," not a matter of "if." Optimizing symptom management and quality of life in later stages of disease is of the utmost priority. OBJECTIVES: To examine the frequency of and factors associated with late acute hospital admission before death in patients with GBM. METHODS: Case-control study comparing patients with GBM admitted to the hospital within one month of death to those without late hospital admission...
February 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27754759/a-qualitative-analysis-of-a-healthcare-professional-s-understanding-and-approach-to-management-of-spiritual-distress-in-an-acute-care-setting
#8
Debbie Selby, Dori Seccaraccia, Jim Huth, Kristin Kurrpa, Margaret Fitch
OBJECTIVE: The goal of this study was to explore healthcare professionals' (HCPs') perception of their role in provision of spiritual care, in addition to attempting to identify a simple question(s) to help identify spiritual distress. BACKGROUND: Spirituality is well recognized as important to whole-person care, particularly in those with terminal illnesses. Understanding the role of front-line providers in the identification and management of spiritual distress, however, remains challenging...
October 18, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27719733/does-on-site-chaplaincy-enhance-the-health-and-well-being-of-fly-in-fly-out-fifo-personnel
#9
Angela Ebert, Karin Strehlow
Issue addressed: The fly-in, fly-out (FIFO) work style has been linked to mental-health and interpersonal issues and a need for strategies that maintain a healthy workforce. This study investigated whether 24/7 on-site chaplains deliver a service that promotes the health and well being of FIFO personnel.Methods: A phenomenological approach was used to explore the perceptions of FIFO personnel working in different roles and organisational sections on a remote mine site in Western Australia. Multi-pronged strategies recruited 29 participants who represented management, supervisors, workers and support staff...
October 6, 2016: Health Promotion Journal of Australia
https://www.readbyqxmd.com/read/27693904/developing-a-medical-school-curriculum-for-psychological-moral-and-spiritual-wellness-student-and-faculty-perspectives
#10
Christine M Mitchell, Zachary D Epstein-Peterson, Julia Bandini, Ada Amobi, Jonathan Cahill, Andrea Enzinger, Sarah Noveroske, John Peteet, Tracy Balboni, Michael J Balboni
CONTEXT: Although many studies have addressed the integration of a religion and/or spirituality curriculum into medical school training, few describe the process of curriculum development based on qualitative data from students and faculty. OBJECTIVES: The aim of this study is to explore the perspectives of medical students and chaplaincy trainees regarding the development of a curriculum to facilitate reflection on moral and spiritual dimensions of caring for the critically ill and to train students in self-care practices that promote professionalism...
November 2016: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/27317100/service-user-views-of-spiritual-and-pastoral-care-chaplaincy-in-nhs-mental-health-services-a-co-produced-constructivist-grounded-theory-investigation
#11
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
https://www.readbyqxmd.com/read/27254073/-chaplains-for-wellbeing-in-primary-care-a-qualitative-investigation-of-their-perceived-impact-for-patients-health-and-wellbeing
#12
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
#13
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/27150423/holding-the-tension
#14
Chris Feudtner
My colleagues and I had been asked by a member of a clinical team to help sort through the ethics of stopping a life-sustaining intervention for a very ill child. We had already talked with the parents, the physicians, and the folks from nursing, social work, and chaplaincy. Terms like "suffering," "cruel," "compassion," and "moral distress" had been uttered, as had terms like "inappropriate," "unethical," "neglectful," and "risk-management." The group had now stuffed all of these polarizing thoughts and feelings into this cramped room with only one door...
May 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27094705/moral-injury-spiritual-care-and-the-role-of-chaplains-an-exploratory-scoping-review-of-literature-and-resources
#15
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
https://www.readbyqxmd.com/read/27027183/spiritual-care-with-sick-children-and-young-people-nash-paul-et-al-spiritual-care-with-sick-children-and-young-people-224pp-%C3%A2-14-99-jessica-kingsley-publishers-9781849053891-1849053898-formula-see-text
#16
(no author information available yet)
This handbook addresses the misconception that spiritual care is synonymous with religious care using research and examples of evidence-based practice carried out by the chaplaincy team at Birmingham Children's Hospital NHS Foundation Trust.
March 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27023459/how-involved-are-non-va-chaplains-in-supporting-veterans
#17
Marek S Kopacz, Bruce D Feldstein, Cecille Allman Asekoff, Maurice S Kaprow, Rebecca Smith-Coggins, Kathy A Rasmussen
In terms of supporting veteran populations, little is known of the experiences of chaplains professionally active outside of Department of Veterans Affairs (VA) healthcare settings. The present study looks to examine how involved non-VA chaplains are in supporting veterans as well as their familiarity with the VA. An online survey was distributed in a convenience sample of chaplains, of which n = 39 met the inclusion criterion for this study (i.e., no past or present VA affiliation). The results find that most of the non-VA chaplains encounter veteran service users either on a weekly or monthly basis...
August 2016: Journal of Religion and Health
https://www.readbyqxmd.com/read/26956756/no-child-left-in-the-morgue-standing-in-as-hope-s-family
#18
Karen R Behm
This personal reflection expresses a chaplaincy department's feelings as they became the surrogate family for a child whose body was abandoned by its mother in the hospital morgue.
March 2016: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/26956753/art-at-the-bedside-reflections-on-use-of-visual-imagery-in-hospital-chaplaincy
#19
Susan Dodge-Peters Daiss
'Art at the Bedside' is the name given to a hospital visitation program during which works of art loaded onto a computer are used to start conversations with patients and their families. The article traces the genesis of the program that evolved from the author's dual training in art museum education and hospital chaplaincy through the evolution of the practice, now in its sixth year. Reflections on the practice itself are the focus of this article, from identifying the kinds of responses frequently elicited by the artwork to understanding how these works of art seem to forge immediate connections between the patient and the facilitator...
March 2016: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/26956752/ethics-politics-and-religion-in-public-health-care-a-manifesto-for-health-care-chaplains-in-canada
#20
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
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