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L Harris S, Bailey AK. Work-related perceptions and coping strategies of acute care chaplains: a qualitative analysis. J Health Care Chaplain 2024; 30:167-185. [PMID: 37853721 DOI: 10.1080/08854726.2023.2270395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
Hospital-based chaplains provide crucial spiritual and emotional care to patients, families, and staff during times of intense life changes and crises. Chaplains are regularly exposed to suffering and their work may result in personal mental and emotional health challenges. To understand chaplains' perceptions of the impact of their work and methods to cope, a secondary analysis of a mixed-methods study on chaplain well-being was undertaken. Qualitative interviews were conducted with nine hospital-based chaplains and data were coded and analyzed using thematic analysis. Results revealed that participants perceive their work as offering both trials and rewards, and their efforts to cope with trials include interpersonal support, intrapersonal resources, and spiritual resilience. Personal insights into chaplains' experiences may help inform organizational interventions to support these essential members of the care team.
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Garcia ACM, Silva LSR, Ferreira ACG, Conceição VMD, Meireles E, Mills J. Translation, cultural adaptation, and validation of the mindful self-care scale among Brazilian palliative care providers. Palliat Support Care 2022; 20:839-845. [PMID: 34812133 DOI: 10.1017/s1478951521001802] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aimed to translate, culturally adapt, and validate the Mindful Self-Care Scale (MSCS, 33-item) in a Brazilian hospice and palliative care context. METHOD This was a cross-sectional study with a sample of 336 Brazilian hospice and palliative care providers. The European Organisation for Research and Treatment of Cancer - Quality of Life Group Translation Procedure protocol was used for the translation and the cultural adaptation process. Psychometric properties supporting the use of the MSCS were examined through confirmatory factor analysis (CFA) and correlation analysis with other instruments to assess congruence to related constructs (resilience and self-compassion). The reliability of the Brazilian-Portuguese version of the MSCS was assessed using Cronbach's α and composite reliability coefficients. RESULTS The six-factor (33-item) model showed a good fit to the data, with satisfactory reliability indices and adequate representation of the scale's internal structure. Further validity is evidenced in the significant, positive correlations found between the MSCS, and similar well-being constructs, namely the Self-Compassion and Resilience scales. SIGNIFICANCE OF RESULTS The findings reveal that the MSCS (33-item) is a valid, reliable, and culturally appropriate instrument to examine the practice of mindful self-care by hospice and palliative care providers in Brazil. More broadly, it represents a promising instrument for future research into self-care practices and well-being among Brazilian healthcare providers.
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Affiliation(s)
- Ana Cláudia Mesquita Garcia
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | - Laura Soares Rodrigues Silva
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | - Ana Cristina Gonçalves Ferreira
- Interdisciplinary Center for Studies in Palliative Care, School of Nursing, Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
| | | | - Everson Meireles
- Health Sciences Center, Federal University of Recôncavo da Bahia, Santo Antônio de Jesus, Bahia, Brazil
| | - Jason Mills
- School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
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Margavio Striley K, Tenzek KE, Field-Springer K. Difficult dialogues about death: applying risk orders theory to analyse chaplains’ provision of end-of-life care. HEALTH, RISK & SOCIETY 2022. [DOI: 10.1080/13698575.2022.2056582] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Katie Margavio Striley
- Interpersonal Communication, Department of Communication, The University of North Carolina, Chapel Hill, Chapel Hill, NC, USA
| | - Kelly E. Tenzek
- Department of Communication, University of Wisconsin-Milwaukee (Data Collection)1
- Department of Communication, University at Buffalo, North Campus, Buffalo, New York, USA
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McCurry I, Jennett P, Oh J, White B, DeLisser HM. Chaplain Care in the Intensive Care Unit at the End of Life: A Qualitative Analysis. Palliat Med Rep 2021; 2:280-286. [PMID: 34927154 PMCID: PMC8675270 DOI: 10.1089/pmr.2021.0012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2021] [Indexed: 12/27/2022] Open
Abstract
Background: The provision of spiritual care is a key component of high-quality patient-centered care, particularly in the intensive care unit (ICU). However, the integration of spiritual care into the care of patients in the ICU is variable, especially at the end of life, which may be due in part to poor or incomplete provider knowledge of the work of chaplains. Objective: To characterize the care and services provided by chaplains to patients in an ICU at the end of life and/or their families. Design: A retrospective chart review was performed to identify all patients admitted over a three-month period to an ICU who had visits with a chaplain and an ICU course that ended in death, discharge to a palliative care facility or discharge to hospice. Subjects/setting: Twenty-five chaplains at a U.S. medical center. Measurements: Qualitative analysis was performed using directed content analysis on the notes written by the chaplains. Results: Qualitative analyses of the chaplain notes revealed four broad themes regarding the activities of chaplains in the ICU with respect to patients and families. These were that chaplains provide comfort to patients and family facing the end of life, provide prayers with a variety of purposes, assist in supporting family members through complex medical decision making, and provide connections to appropriate resources. Conclusions: Chaplains contribute to the care of patients in the ICU through a wide range of activities that demonstrate the unique intermediary and collaborative role chaplains can play within the health care team at the end of life in the ICU.
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Affiliation(s)
- Ian McCurry
- Academic Programs Office and the Pulmonary, Allergy and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.,Department of Pastoral Care and Education, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
| | - Pauline Jennett
- Department of Pastoral Care and Education, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
| | - Jimin Oh
- Graduate School of Education, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Betty White
- Department of Pastoral Care and Education, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
| | - Horace M DeLisser
- Academic Programs Office and the Pulmonary, Allergy and Critical Care Division, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Stilos K(K, Ford B, Chakraborty A, Takahashi D. Spiritual Care as Part of an Interprofessional Model for Debriefing on an Oncology Unit. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2021; 75:158-162. [PMID: 34763574 PMCID: PMC8592097 DOI: 10.1177/15423050211021387] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Health care clinicians who care for seriously ill and dying patients have been known to be at higher risk for burnout and moral distress. When not well supported in their workplace, clinicians may suffer additional adverse outcomes to their overall wellbeing. Self-care is one way to help mitigate these adverse outcomes. The literature has described formalized debriefing not only as a self-care strategy but an intervention to promote healthy team development. The focus of this paper will showcase how social work and spiritual care practitioners in our institution worked collaboratively to support an inpatient oncology unit to address issues related to burnout by providing staff with monthly debriefing sessions intended to enhance self-care and wellness in the workplace.
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Affiliation(s)
- Kalli (Kalliopi) Stilos
- Kalli (Kalliopi) Stilos, Department of Nursing, Faculty of Nursing, University of Toronto, Toronto, Ontario M5S, Canada.
| | - Bill Ford
- Sunnybrook Health Sciences Centre, Canada
| | - Anita Chakraborty
- Sunnybrook Health Sciences Centre, Canada; University of Toronto, Canada
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Desjardins CM. Scared but Powerful: Healthcare Chaplains' Emotional Responses and Self-Care Modes during the SARS-Cov-19 Pandemic. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2021; 75:30-36. [PMID: 33730912 PMCID: PMC7975857 DOI: 10.1177/1542305021993761] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
Drawing from both the qualitative free-text responses and quantitative responses to an international survey of 1657 chaplains serving during the SARS-Cov-19 pandemic, we explore chaplains' emotional responses to the pandemic and how emotion connects to self-care. This paper reports on the modes of self-care practiced by chaplains, including modes reported as unavailable due to pandemic restrictions. Lastly, we explore how effective spiritual care leadership may mediate chaplain emotions and ultimately chaplain self-care.
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Affiliation(s)
- Cate Michelle Desjardins
- Cate Michelle Desjardins, Transforming Chaplaincy, 1653 W. Congress Parkway, Chicago, IL 60612, USA.
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Roze des Ordons AL, Stelfox HT, Sinuff T, Grindrod-Millar K, Sinclair S. Exploring spiritual health practitioners' roles and activities in critical care contexts. J Health Care Chaplain 2020; 28:41-62. [PMID: 32159461 DOI: 10.1080/08854726.2020.1734371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Family members of patients admitted to the intensive care unit (ICU) experience multidimensional distress. Many clinicians lack an understanding of spiritual health practitioners' role and approaches to providing spiritual support. Through semi-structured interviews and focus groups with 10 spiritual health practitioners, we explored how spiritual health practitioners support families of patients in the ICU to better understand their scope of practice and role within an interdisciplinary critical care team. Spiritual health practitioners' work was described through clinical roles (family support, clinician support, bridging family members and clinicians), activities (companioning, counseling, facilitating difficult conversations, addressing individual needs), tensions (within and between roles and activities, navigating between hope and anticipated clinical trajectory, balancing supportive care and workload) and foundational principles (holistic perspective, resilience). A more comprehensive understanding of these roles and skills may enable clinicians to better integrate spiritual health practitioners into the fabric of care for patients, families, and clinicians themselves.
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Affiliation(s)
- Amanda L Roze des Ordons
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.,Department of Anesthesiology, Cumming School of Medicine, University of Calgary, Calgary, Canada.,Division of Palliative Medicine, Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada
| | - Henry T Stelfox
- Department of Critical Care Medicine, Cumming School of Medicine, University of Calgary, Calgary, Canada.,Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.,O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Tasnim Sinuff
- Interdepartmental Division of Critical Care, Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | | | - Shane Sinclair
- Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada
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Ash MJ, Walker ER, DiClemente RJ, Florian MP, Palmer PK, Wehrmeyer K, Negi LT, Grant GH, Raison CL, Mascaro JS. Compassion Meditation Training for Hospital Chaplain Residents: A Pilot Study. J Health Care Chaplain 2020; 27:191-206. [DOI: 10.1080/08854726.2020.1723189] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Affiliation(s)
- Marcia J. Ash
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA
- Center for Contemplative Science and Compassion-Based Ethics, Emory University, Atlanta, GA, USA
| | - Elizabeth Reisinger Walker
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA
| | - Ralph J. DiClemente
- Department of Social and Behavioral Sciences, College of Global Public Health, New York University, New York, NY, USA
| | | | | | - Kathryn Wehrmeyer
- Department of Family and Preventive Medicine, Emory University, Atlanta, GA, USA
| | - Lobsang Tenzin Negi
- Center for Contemplative Science and Compassion-Based Ethics, Emory University, Atlanta, GA, USA
- Department of Religion, Emory University, Atlanta, GA, USA
| | - George H. Grant
- Department of Spiritual Health, Emory University, Atlanta, GA, USA
| | - Charles L. Raison
- Department of Spiritual Health, Emory University, Atlanta, GA, USA
- School of Human Ecology, University of Wisconsin-Madison, Madison, WI, USA
| | - Jennifer S. Mascaro
- Department of Family and Preventive Medicine, Emory University, Atlanta, GA, USA
- Center for Translational Social Neuroscience, Emory University, Atlanta, GA, USA
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Clevenger C, Pugliese K, O'Mahony S, Levine S, Fitchett G. Study of Shadowing Experiences among Chaplains in the Coleman Palliative Medicine Fellowship. J Health Care Chaplain 2019; 27:24-42. [PMID: 31032744 DOI: 10.1080/08854726.2019.1603917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
While shadowing is a relatively common practice in the education of many health professionals, it is not widely used in chaplaincy education. Findings from our qualitative study of 12 chaplains who participated in the Coleman Palliative Medicine Training Program suggest it may offer benefits for practicing chaplains. In interviews with seven fellows who shadowed more experienced palliative care (PC) chaplains and the five mentors who were shadowed at their work settings, participants reported opportunities for mutual learning, self-reflection, and collegiality. Fellows observed how members of a PC team collaborate and contribute equally to the care of patients. Mentors found shadowing was a rare opportunity to share their chaplaincy practice with colleagues. It helped them to appreciate different aspects of their work settings and to distinguish between PC and generalist chaplaincy. We discuss the challenges participants experienced while shadowing and offer recommendations for incorporating the practice more widely into chaplaincy education.
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Affiliation(s)
| | - Karen Pugliese
- Northwestern Medicine Central DuPage Hospital, Winfield, IL, USA
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