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Journal of Health Care Chaplaincy

Qian Zhang, Jess Shenkel, Sara Paasche-Orlow, Wendy Cadge, Elizabeth Howard, Margaret Bryan, John N Morris
Religion is a consistent, positive predictor of health in older adults. Studies focused on religion and spirituality as a coping mechanism find significant positive effects on the lives of older adults. This study investigated how an older person's living situation influences his or her access to spiritual and religious resources and, consequently, his or her health. Utilizing existing data, this pilot project examined the relationship between visits from a chaplain and the mood, pain level, functional ability, and/or discharge status of elders residing in the rehabilitation unit of one long-term care facility...
April 19, 2019: Journal of Health Care Chaplaincy
Emmanuelle Poncin, Pierre-Yves Brandt, François Rouiller, Mario Drouin, Zhargalma Dandarova Robert
The body of theoretical and empirical research led by chaplains and theologians between 2000 and 2018 is developing into a rich, diverse, and methodologically rigorous healthcare chaplaincy literature, which this review proposes to map. Online keyword and bibliographical searches and specialist recommendations yielded 199 relevant publications, which we analyzed in terms of methodology, topic, and results. On this basis, this article identifies and describes five key areas of the literature: chaplains' practices, spirituality, research, impact, and healthcare professionals' practices of spiritual care...
April 15, 2019: Journal of Health Care Chaplaincy
David Fleenor, Karen Terry, Vanshdeep Sharma, Deborah Marin
Journal clubs are an established and effective method of promoting research literacy and evidence-based practice in the medical field. However, their use in clinical pastoral education (CPE) residencies is relatively new and largely unstudied. In 2016 we surveyed 201 ACPE certified educators of CPE residency programs throughout the United States. Eighty-eight certified educators participated in this first-of-its-kind study. Our aim was to determine the prevalence and structure of existing CPE journal clubs and establish baseline data to determine the effectiveness of future programs for increasing research literacy...
March 27, 2019: Journal of Health Care Chaplaincy
George F Handzo, Mary-Margaret Atkinson, Susan K Wintz
The Clinical Practice Guidelines for Quality Palliative Care, fourth edition were recently published. Through the involvement of the Association of Professional Chaplains and the HealthCare Chaplaincy Network, this is the first time that any chaplains have been an official party to the development of these guidelines. The expectation set by the guidelines is that all health care professionals (including all chaplains) caring for people living with serious illness at any stage of illness, at any age, and in any setting will integrate core palliative care principles and best practices into their routine care and have sufficient training to complete an assessment of the patient and address common sources of suffering...
March 27, 2019: Journal of Health Care Chaplaincy
Emmanuelle Poncin, Brigitte Niquille, Guy Jobin, Charles Benaim, Etienne Rochat
As many hospitals lack standardized referral protocols for spiritual care, healthcare professionals' perceptions and preferences play an important role in their decisions to refer patients to chaplains. To better understand what motivates these professionals to refer patients and how they approach spiritual care, this article examines referral requests from twelve healthcare professionals to a chaplain at the Lausanne University Hospital Department of Physical and Rehabilitation Medicine. Comparative discourse analysis highlights that requests are largely driven by difficulties in patient-professional relationships...
March 21, 2019: Journal of Health Care Chaplaincy
Anke I Liefbroer, Joantine Berghuijs
In multicultural and multifaith societies spiritual caregivers increasingly meet clients with diverse (non-)religious or spiritual orientations. We investigate how this religious and spiritual (R/S) diversity is dealt with by spiritual caregivers working in healthcare settings, the military, and prisons. Based on a survey among spiritual caregivers (n = 208) in a secularized, European country (The Netherlands), this study shows how spiritual caregivers' personal as well as organizational factors relate to attitudes to R/S diversity...
February 20, 2019: Journal of Health Care Chaplaincy
Erika Willander, Hannah Bradby, Sandra Torres, Pernilla Jonsson
Research interest in hospital chaplaincy has increased, in part because it is believed to contribute to the development of just models of religious pluralism. This research note brings attention to hospital chaplaincy in Sweden, a country where religious diversity has substantially increased due to migration but where research in hospital chaplaincy is scarce. In order to advocate for future research, this research note describes the organization of hospital chaplaincy in Sweden, presents new analyses of official data showing its extent and religious composition, and proposes that the organization of hospital chaplaincy in this country needs to be re-considered now that religious diversity is a given...
January 27, 2019: Journal of Health Care Chaplaincy
Annelieke Damen, Carmen Schuhmann, Gerty Lensvelt-Mulders, Carlo Leget
The aim of this study was to identify research priorities for health care chaplaincy in The Netherlands according to practicing chaplains and chaplaincy leaders. To this end, a two-round Delphi study was conducted. The first round in which participants were asked to list at least three research priorities was completed by 249 respondents. Through content analysis, the resulting 811 priorities were merged into 54 research topics in 10 domains. In the second round, 179 respondents ranked these topics on a Likert scale from 1 to 5 (low priority-high priority) from the perspective of the patient/client, the organization, and the profession...
January 21, 2019: Journal of Health Care Chaplaincy
Marek S Kopacz, Mary S Adams, Robert Searle, Harold G Koenig, Craig J Bryan
The aim of this descriptive study was to examine the prevalence and perceived intensity of potentially morally injurious events (PMIEs) in a group of VA chaplaincy service users. A secondary aim was to examine the relationship between PMIEs, spiritual injury, and religiosity. A convenience sample of veterans (n = 84), participants in a spiritual injury support group, completed the Moral Injury Events Scale (MIES). Most individuals also completed the Duke University Religion Index (as a measure of religiosity) and Spiritual Injury Scale...
December 26, 2018: Journal of Health Care Chaplaincy
Philip J Choi, Vinca Chow, Farr A Curlin, Christopher E Cox
There is evidence that addressing the religious and spiritual needs of patients has positive effects on patient satisfaction and health care utilization. However, in the intensive care unit (ICU), chaplains are often consulted only at the very end of life, thereby leaving patients' spiritual needs unmet. This study looked at the views of 219 ICU clinicians on the role of chaplains. We found that all clinicians find chaplains helpful when a patient is dying or when the chaplain brings up religious or spiritual topics...
December 5, 2018: Journal of Health Care Chaplaincy
Elizabeth A Lobb, Susanne Schmidt, Natalia Jerzmanowska, Ashley M Swing, Safrina Thristiawati
This study aimed to establish whether Pastoral Care (PC) visits were an effective component of a hospitalized patient's overall health experience. Outcomes of PC visits were reported by 369 patients in 7 sites across Australia. The patient reported outcomes of PC visits included: the patients felt they could be honest with themselves, with a sense of peace, a better perspective of their illness, less anxiety, and felt more in control. Five factors of the PC visit significantly related to higher patient's overall outcomes: (a) having more Pastoral Care visits (p < 0...
October 15, 2018: Journal of Health Care Chaplaincy
M Jeanne Wirpsa, Rebecca Emily Johnson, Joan Bieler, Lara Boyken, Karen Pugliese, Emily Rosencrans, Patricia Murphy
Shared decision making (SDM) is a central component of patient-centered care; however, a minimal amount is known about what health care chaplains contribute to this process. Data from 463 full-time chaplains practicing in the United States collected by an online survey was analyzed using SPSS 26 for bivariate and multivariate logistical regressions to identify variables impacting chaplain integration into SDM. Coding of free text responses yielded multiple domains for chaplain contributions and barriers. Thirty-eight percent of chaplains reported being often or frequently integrated into health care team discussions regarding medical decisions, with years of professional experience, time spent supporting the emotional processing of medical decisions, and being well-prepared as the strongest predictors for high integration...
October 15, 2018: Journal of Health Care Chaplaincy
Joep van de Geer, Anja Visser, Hetty Zock, Carlo Leget, Jelle Prins, Kris Vissers
Health care chaplains participated in a multicenter trial to explore an implementation strategy for the Dutch multidisciplinary guideline for spiritual care. The intervention was concise spiritual care training for hospital staff of departments where patients in curative and palliative trajectories are treated. Data were collected in semistructured interviews with chaplains who acted as trainers, before and after the intervention. Results based on nine preintervention and eleven post-intervention interviews are presented...
October 2018: Journal of Health Care Chaplaincy
Alexander Tartaglia, Timothy Ford, Diane Dodd-McCue, Christine Reid, Carolyn Hawley, Alma Hassell
This article presents the results of a 30-month process improvement initiative examining the spiritual assessment documentation patterns of staff chaplains as well as CPE residents and interns at an academic medical center. Preliminary examination of chaplain documentation patterns led to a multidimensional intervention to address perceived documentation limitations and enhance reliability. The intervention resulted in positive changes in documentation patterns as assessed by an expert panel of experienced chaplains...
October 2018: Journal of Health Care Chaplaincy
Kristin Lindholm
With an increasing number of terminal patients in the United States dying in the context of hospice, the role that hospice chaplains play in providing spiritual care for patients and their families is important to examine. The hospice chaplain role requires careful navigation of the development of relationships that may end abruptly, the expectations of hospice organizations, and the needs of both patients and families. The current study uses the concept of competing role dialectics to further our understanding of the challenges chaplains face as they enact this crucial role...
October 2018: Journal of Health Care Chaplaincy
Jeffrey M Pyne, Aline Rabalais, Steve Sullivan
Moral injury in veterans with posttraumatic stress disorder includes symptoms of guilt and shame, and these symptoms are often not responsive to evidence-based mental health treatments. Clergy provide a pathway for relieving the guilt and shame. However, there is a long history of mistrust between clergy and mental health clinicians and not enough Veterans Health Administration chaplains to meet this need. The goal of this study was to gather qualitative interview data from relevant stakeholders regarding whether and how Veterans Affairs (VA) mental health clinicians and community clergy could collaborate to address moral injury issues such as guilt and shame in veterans being treated for posttraumatic stress disorder...
August 15, 2018: Journal of Health Care Chaplaincy
Wendy Cadge
Chaplains, like professionals in a range of industries, have long sought to maintain and build occupational power by articulating their professional mandate and advocating for their work. I describe how leaders of the Association of Professional Chaplains and its predecessor organizations used multiple strategies to articulate and re-articulate their professional mandate between 1940 and the present to become a companion profession, one that comes alongside another without seeking to challenge its jurisdiction...
August 13, 2018: Journal of Health Care Chaplaincy
Paul Nash, Emma Roberts, Sally Nash, Kathryn Darby, Aftab Ahmed Parwaz
There is increasing pressure to provide an evidence base for chaplaincy with children and young people. This is an underresearched area, and current evidence is often anecdotal. Advocate Health Care in Chicago (funded by the Templeton Foundation working in partnership with the Health Care Chaplaincy Network) developed a 100-item taxonomy that was the starting point for a wider international initiative in developing a taxonomy for use in health care chaplaincy. The team at Birmingham Children's Hospital is part of this wider project and have sought to adapt and develop the original taxonomy for use in a specialist pediatric hospital...
July 27, 2018: Journal of Health Care Chaplaincy
Kevin J Flannelly, Laura T Flannelly, Katherine R B Jankowski
The article defines, describes, and discusses the seven threats to the internal validity of experiments discussed by Donald T. Campbell in his classic 1957 article: history, maturation, testing, instrument decay, statistical regression, selection, and mortality. These concepts are said to be threats to the internal validity of experiments because they pose alternate explanations for the apparent causal relationship between the independent variable and dependent variable of an experiment if they are not adequately controlled...
July 2018: Journal of Health Care Chaplaincy
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...
July 2018: Journal of Health Care Chaplaincy
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