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Desmet L, Dezutter J, Vandenhoeck A, Dillen A. Geriatric inpatients' experiences with one-on-one chaplaincy visits in Belgium. J Health Care Chaplain 2024:1-19. [PMID: 39155768 DOI: 10.1080/08854726.2024.2386873] [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: 08/20/2024]
Abstract
This qualitative study explores how geriatric inpatients (n = 103) experience a one-on-one chaplaincy visit. Although some patients expressed neutral or negative feelings about the chaplaincy visit, the large majority spoke in a very positive way about the chaplain's care. Using thematic analysis, we identified four main themes characterizing patients' experiences with chaplaincy visits. (1) Patients experienced the chaplaincy visit as a place to tell personal stories and express their religious beliefs. (2) They had a safe and trusting relationship with the chaplain. (3) The interaction with the chaplain brought new perspectives. (4) After the visit, they felt satisfied, relieved, peaceful, and strong. This study demonstrates that the experiences of geriatric patients contribute to a better understanding of the value of chaplaincy care. Integrating patients' perspectives on chaplaincy care is recommended, both in future research and healthcare chaplaincy.
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Affiliation(s)
- Lindsy Desmet
- Faculty of Theology and Religious Studies, KU Leuven, Leuven, Belgium
| | - Jessie Dezutter
- Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
| | - Anne Vandenhoeck
- Faculty of Theology and Religious Studies, KU Leuven, Leuven, Belgium
| | - Annemie Dillen
- Faculty of Theology and Religious Studies, KU Leuven, Leuven, Belgium
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2
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Allison E, Woodhall J, Briggs M, Swift C. Reconfiguring the health-promoting hospital: the role of chaplaincy in England. Health Promot Int 2023; 38:daad068. [PMID: 37440253 DOI: 10.1093/heapro/daad068] [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: 07/14/2023] Open
Abstract
This paper seeks to explore how hospitals can be reconfigured to adopt more 'health-promoting' approaches and values. Specifically, the paper focuses on the role of hospital chaplaincy and argues that spiritual care should be considered alongside other health domains. Using semi-structured interviews, the aim of the paper is to explore the experiences of patients who accepted (n = 10) and declined (n = 10) hospital chaplaincy services. Data were analysed drawing on principles of interpretative phenomenological analysis (IPA). The findings suggested that participants who accessed chaplaincy services reported using the chaplains for pastoral, religious and spiritual care which contributed positively to their sense of well-being. This included religious rituals and supportive conversations. The majority of these participants had existing links with a faith institution. Participants who declined chaplaincy services reported having personal religious or spiritual beliefs. Other reasons cited, included: that the offer was made close to discharge; they had different support mechanisms; they were unaware of what the chaplaincy service offered. Participants identified a number of skills and attributes they associated with chaplains. They perceived them as being religious but available to all, somebody to talk to who was perceived as impartial with a shared knowledge and understanding. The paper concludes by highlighting the important role of chaplaincy as part of a holistic health-promoting hospital. This has implications not only for the design, delivery and promotion of chaplaincy services but also for health promotion more broadly to consider spiritual needs.
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Affiliation(s)
| | | | - Michelle Briggs
- Clinical Professor of Nursing & Director, Manchester Clinical Academic Centre (MCAC) for Nurses, Midwives and AHPs (NMAHPs), Manchester NHS Foundation Trust/University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
| | - Chris Swift
- Visiting Professor, Religious, Spiritual and Pastoral Care, Staffordshire University
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3
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Torke AM, Varner-Perez SE, Burke ES, Taylor TA, Slaven JE, Kozinski KL, Maiko SM, Pfeffer BJ, Banks SK. Effects of Spiritual Care on Well-Being of Intensive Care Family Surrogates: A Clinical Trial. J Pain Symptom Manage 2023; 65:296-307. [PMID: 36526251 PMCID: PMC10129066 DOI: 10.1016/j.jpainsymman.2022.12.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 12/03/2022] [Accepted: 12/07/2022] [Indexed: 12/15/2022]
Abstract
CONTEXT Critical illness of a family member is associated with high emotional and spiritual distress and difficult medical decisions. OBJECTIVES To determine if a semistructured spiritual care intervention improves the well-being of family surrogate decision makers in intensive care (ICU) settings. METHODS This study is a randomized, allocation-concealed, parallel group, usual care-controlled, single-blind trial of patient/surrogate dyads in five ICUs in one Midwest, academic medical center. Patients were 18 and older admitted to the ICU and unable to make medical decisions. The intervention involved proactive contact from the chaplain, scheduled, semi-structured visits, weekly follow-up, and bereavement calls. The control group received usual care. The primary endpoint was the surrogate's anxiety (Generalized Anxiety Disorders-7 scale), six to eight weeks after discharge. RESULTS Of 192 patient/surrogate dyads enrolled, 128 completed outcome assessments. At follow-up, anxiety in the intervention group was lower than control (median score 1 (interquartile range 0,6) vs. 4 (1,9), P = 0.0057). The proportion of patients with a minimal clinically important difference (MCID) in anxiety of 2+ was 65.2% in the intervention group vs. 49.2% in control. The odds of an MCID remained higher in adjusted analysis (Odds Ratio 3.11, 95% confidence interval 1.18, 8.21; P = 0.0218) The adjusted odds of an MCID were higher for spiritual well-being (OR 3.79, CI 1.41,10.17; P = 0.0081). Satisfaction with spiritual care was also higher (adjusted mean 3.5 ± 0.4 vs. 2.9 ± 0.1); P < .0001). CONCLUSIONS Proactive, semistructured spiritual care delivered by chaplains improves well-being for ICU surrogates. Results provide evidence for inclusion of chaplains in palliative and intensive care teams.
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Affiliation(s)
- Alexia M Torke
- Indiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana; Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana.
| | - Shelley E Varner-Perez
- Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana; Spiritual Care and Chaplaincy Department (S.E.V.P., B.J.P.), Indiana University Health, Indianapolis, Indiana
| | - Emily S Burke
- IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana
| | - Tracy A Taylor
- IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana
| | - James E Slaven
- Department of Biostatistics and Health Data Science (J.E.S.), Indiana University School of Medicine, Indianapolis, Indiana
| | | | - Saneta M Maiko
- Indiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana; Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana
| | - Bruce J Pfeffer
- Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; Spiritual Care and Chaplaincy Department (S.E.V.P., B.J.P.), Indiana University Health, Indianapolis, Indiana
| | - Sarah K Banks
- Indiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana
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Shaw M, Taylor C, Alicea E. Documenting chaplain involvement: a pilot project exploring Pastoral Care and the integration of data science in a Central Florida Hospital. J Health Care Chaplain 2023; 29:78-88. [PMID: 34923930 DOI: 10.1080/08854726.2021.2015056] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
This paper intends to outline a data integration response to the demands placed on the pastoral care department through the COVID-19 pandemic. Uniquely, these demands accelerated the need to implement documentation of care directed towards staff to complement the data derived from patient visitation. The motivation for this initiative is in part, to provide a complete picture of the care provided by hospital chaplains using an evidence-based approach through the implementation of data science.
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Affiliation(s)
- Martin Shaw
- Center for Ministry Education and Research, AdventHealth University, Orlando, FL, USA
| | - Christian Taylor
- Pastoral Care Department, AdventHealth Orlando, Orlando, FL, USA
| | - Edwin Alicea
- Pastoral Care Department, AdventHealth Orlando, Orlando, FL, USA
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5
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Antoine A, Fitchett G, Sharma V, Marin DB, Garman AN, Haythorn T, White K, Cadge W. How Do Healthcare Executives Understand and Make Decisions about Spiritual Care Provision? South Med J 2021; 114:207-212. [PMID: 33787932 DOI: 10.14423/smj.0000000000001230] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES This pilot study explores how healthcare leaders understand spiritual care and how that understanding informs staffing and resource decisions. METHODS This study is based on interviews with 11 healthcare leaders, representing 18 hospitals in 9 systems, conducted between August 2019 and February 2020. RESULTS Leaders see the value of chaplains in terms of their work supporting staff in tragic situations and during organizational change. They aim to continue to maintain chaplaincy efforts in the midst of challenging economic realities. CONCLUSIONS Chaplains' interactions with staff alongside patient outcomes are a contributing factor in how resources decisions are made about spiritual care.
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Affiliation(s)
- Aja Antoine
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - George Fitchett
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Vanshdeep Sharma
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Deborah B Marin
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Andrew N Garman
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Trace Haythorn
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Kelsey White
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
| | - Wendy Cadge
- From the Department of Sociology, Brandeis University, Boston, Massachusetts, Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, Illinois, Department of Psychiatry, Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, New York, Department of Health Systems Management, Rush University, Chicago, Illinois, Association for Clinical Pastoral Education, Atlanta, Georgia, School of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky
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Muehlhausen BL, Foster T, Smith AH, Fitchett G. Patients' and Loved Ones' Expectations of Chaplain Services. J Health Care Chaplain 2021; 28:350-364. [PMID: 33882787 DOI: 10.1080/08854726.2021.1903734] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
A study assessing the expectations patients and loved ones have of hospital chaplains was conducted at Ascension St. Vincent Indiana hospitals. In-person interviews were conducted with 452 patients and loved ones during an inpatient stay. The survey instrument was a modified version of a survey developed by Dr. Katherine Piderman of the Mayo Clinic. Participants answered questions regarding demographics, awareness of availability, expectations of visits, reasons for wanting to see a chaplain and gave feedback regarding visits if they had seen a chaplain. Results showed that patients and loved ones value chaplains with 93% saying they wanted a chaplain visit. This study was unique in seeking feedback from loved ones as well as patients. It may be equally important to reach out to loved ones during times of crisis when patients themselves are in surgery or sedated and loved ones are experiencing heightened anxiety.
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Affiliation(s)
| | - Todd Foster
- Graduate Medical Education, Indianapolis, IN, USA
| | - Aaron H Smith
- Indiana University School of Medicine, Indianapolis, IN, USA
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA
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Kirchoff RW, Tata B, McHugh J, Kingsley T, Burton MC, Manning D, Lapid M, Chaudhary R. Spiritual Care of Inpatients Focusing on Outcomes and the Role of Chaplaincy Services: A Systematic Review. JOURNAL OF RELIGION AND HEALTH 2021; 60:1406-1422. [PMID: 33575891 DOI: 10.1007/s10943-021-01191-z] [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] [Accepted: 01/19/2021] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To identify demographic trends associated with patient utilization and healthcare provider request for spiritual care services and to describe the impact of spiritual care on the quality of life (QoL), spiritual well-being (SWB) and level of satisfaction (SAT) of hospitalized patients. PATIENTS AND METHODS A systematic search of Ovid MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Scopus, was combined with review of relevant bibliographies. A total of 464 titles and abstracts were reviewed. Data were independently extracted by reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data on the effects of spiritual interventions on QoL, SWB and SAT were extracted, along with demographic data reflecting chaplain services. The results of the studies are presented narratively and in a qualitative manner. RESULTS Observational or experimental studies investigating chaplain utilization demographics (n = 12), patient satisfaction (n = 9) and QoL/SWB (n = 3) were included. Perceived severity of illness, average length of stay and older age were consistently found to be predictors of higher need for spiritual care. Receipt of spiritual care was correlated with increased patient and family satisfaction, independent of clinical outcome. Chaplain interventions were associated with improvement in perceived QoL and SWB. In spite of this, healthcare workers rarely attempt to explore the patient's or family's need for spiritual care, with the majority of chaplaincy consults occurring in the final day of the patient's life, potentially leading to a failure to meet the spiritual needs of non-terminal patients who have spiritual trauma related to their resolving illnesses. CONCLUSION Attention to the spiritual needs of hospitalized patients is an essential yet often overlooked aspect of patient care. Chaplains serve as spiritual care specialists whose services can enhance the hospital experience, improve patient satisfaction and help to bridge potential gaps between the patient and medical providers.
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Affiliation(s)
| | - Beba Tata
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
| | - Jack McHugh
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
| | | | | | | | - Maria Lapid
- Mayo Clinic, 200 1st St SW, Rochester, MN, 55902, USA
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8
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Damen A, Murphy P, Fullam F, Mylod D, Shah RC, Fitchett G. Examining the Association Between Chaplain Care and Patient Experience. J Patient Exp 2021; 7:1174-1180. [PMID: 33457562 PMCID: PMC7786773 DOI: 10.1177/2374373520918723] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients’ electronic medical record. Our analyses included 11 741 patients, 26.5% of whom had received any chaplain care. Patients with lower self-rated health were more likely to have received chaplain care (P < .001). In bivariate analyses, chaplain care was associated with lower likelihood of reporting the highest score for 4 patient experience items (P < .001). In multi-variable models that adjusted for patient self-rated health and other factors, the association between chaplain care and the 4 patient experience items was nonsignificant. There was no effect modification for patient religious affiliation, self-rated health, or other demographic factors. The chaplain care-patient experience association may be more complex than has initially appeared, and further research is needed to help us better understand it.
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Affiliation(s)
- Annelieke Damen
- PhD student Outcomes of Chaplaincy, University of Humanistic Studies, Utrecht, the Netherlands
| | - Patricia Murphy
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
| | - Francis Fullam
- Health Systems Management, Rush University Medical Center, Chicago, IL, USA
| | - Deirdre Mylod
- Institute for Innovation, SVP Research & Analytics, Press Ganey Associates, South Bend, IN, USA
| | - Raj C Shah
- Family Medicine and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago, IL, USA
| | - George Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
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9
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Feasibility and acceptability of a telephone-based chaplaincy intervention in a large, outpatient oncology center. Support Care Cancer 2020; 29:1275-1285. [PMID: 32623520 PMCID: PMC7334628 DOI: 10.1007/s00520-020-05598-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 06/23/2020] [Indexed: 11/16/2022]
Abstract
Purpose Telechaplaincy (the use of telecommunications and virtual technology to deliver spiritual and religious care by healthcare chaplains or other religious/spiritual leaders) is a relatively novel intervention that has increasingly been used in recent years, and especially during COVID-19. Telephone-based chaplaincy is one mode of telechaplaincy. The purpose of this study was to (1) describe telephone-based chaplaincy interventions delivered as the first point of contact to patients who screen positive for religious/spiritual concern(s) using an electronic data system, and (2) assess the feasibility and acceptability of delivering interventions in an outpatient cancer institute using this methodology. Methods Patients were screened for religious and spiritual (R/S) concern(s) using an electronic data system. Patients indicating R/S concern(s) were offered a telephone-based chaplaincy intervention and asked to complete a survey assessing acceptability of the intervention. Feasibility and acceptability data were collected. Results Thirty percent of screened patients indicated R/S concern(s). Telephone-based chaplaincy interventions were offered to 100% of eligible patients, establishing contact with 61% of eligible patients, and offering chaplaincy interventions to 48% of those patients. Survey participants report high acceptability of the offered intervention. Conclusion This is the first study examining feasibility and acceptability of telephone-based chaplaincy with oncology patients. Telephone-based chaplaincy is feasible and acceptable within an outpatient oncology setting, supporting the promise of this interventional strategy. Further research is needed to refine practices.
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10
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Sharma V, Marin DB, Zhong X, Mazumdar M, Keogh M, Costello Z, Jandorf L. Using the Taxonomy: A Standard Vocabulary of Chaplain Activities. J Health Care Chaplain 2019; 27:43-64. [PMID: 31448706 DOI: 10.1080/08854726.2019.1653636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
At present, the field of chaplaincy does not have a standardized vocabulary for the activities that chaplains conduct in different institutions and settings. This is a hindrance when making comparisons among various chaplain activities across institutions and drawing conclusions from the data reported. Recently a standardized vocabulary, the Advocate Taxonomy, was developed by a group of chaplains and there was consensus agreement that the taxonomy represented the gamut of chaplain activities. However, to date, no data with adults has been presented to support the conclusions reached by the taxonomy development team. This article is the first effort to examine which taxonomy items are most commonly used in the acute care setting. It further explores the differences in the use of the taxonomy items in different settings (ICU vs. Non-ICU), the type of chaplain visit (Initial vs. Follow-up) and the patient's discharge status (Expired vs. discharged alive).
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Affiliation(s)
- Vanshdeep Sharma
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Deborah B Marin
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.,Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Xiaobo Zhong
- Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Madhu Mazumdar
- Institute for Healthcare Delivery Science, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Maggie Keogh
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Zorina Costello
- Center for Spirituality and Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Lina Jandorf
- Center for Behavioral Oncology, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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11
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Aja VT. The Relevance of Patients' Spiritual Care in the Nigerian Cultural Context: A Health Care Chaplain's Perspective. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2019; 73:82-87. [PMID: 31189451 DOI: 10.1177/1542305019852889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In most Nigerian hospitals, there is no evidence of formally employed health care chaplains. Personal experiences of a health care chaplain serving at a faith-based hospital in Nigeria show that the Nigerian cultural context, as it relates to individuals' personal spirituality, as well as the abundant research on the associations between spirituality/religiosity and health, precipitate the need for services of health care chaplains in Nigerian hospitals, whether faith-based, non-faith-based, or government hospitals.
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Affiliation(s)
- Victoria T Aja
- Adventist International Institute of Advanced Studies, Philippines
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12
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Damen A, Schuhmann C, Leget C, Fitchett G. Can Outcome Research Respect the Integrity of Chaplaincy? A Review of Outcome Studies. J Health Care Chaplain 2019; 26:131-158. [PMID: 31017043 DOI: 10.1080/08854726.2019.1599258] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
In recent years, some within chaplaincy have advocated for a stronger focus on outcomes, including outcome research, whereas others in the field have questioned an outcome-oriented perspective. In this article, existing outcome studies are reviewed in relation to the ongoing discussion about a process- or outcome-oriented approach to chaplaincy. A central question emerges from this discussion: how can outcome research be designed that respects the integrity of the profession of chaplaincy? A literature search in MEDLINE/Pubmed produced twenty-two chaplaincy outcome studies that met the inclusion criteria. A review of these studies shows that thus far most have focused on secondary chaplaincy outcomes (e.g., satisfaction) using quantitative designs. To respect the integrity of chaplaincy, it is recommended that future studies should also focus on characteristic chaplaincy outcomes, use mixed methods designs, and articulate more clearly how their chosen outcomes, outcome measures, and interventions relate to the work of chaplaincy.
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Affiliation(s)
- Annelieke Damen
- PhD Student Outcomes of Chaplaincy, University of Humanistic Studies, Utrecht, The Netherlands
| | | | - Carlo Leget
- University of Humanistic Studies, Utrecht, The Netherlands
| | - George Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
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Zhang Q, Shenkel J, Paasche-Orlow S, Cadge W, Howard E, Bryan M, Morris JN. Effect of Chaplaincy Visits in an Elder Care Setting: A Pilot Analysis of Existing Data. J Health Care Chaplain 2019; 26:103-116. [PMID: 31002027 DOI: 10.1080/08854726.2019.1599257] [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: 10/27/2022]
Abstract
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. Samples of patients who did and did not have chaplaincy visits were matched based on their level of frailty. Analytic comparisons revealed no significantly different outcomes in terms of mood, pain level, functional ability, or discharge status for patients visited by a chaplain. The outcomes suggest future hypotheses and offer a model for outcomes-based chaplaincy research.
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Affiliation(s)
- Qian Zhang
- The Heller School, Brandeis University, Waltham, Massachusetts, USA
| | - Jess Shenkel
- Department of Sociology, Brandeis University, Waltham, Massachusetts, USA
| | - Sara Paasche-Orlow
- Director of Spiritual Care, Hebrew SeniorLife, Boston, Massachusetts, USA
| | - Wendy Cadge
- Sociology, Brandeis University, Waltham, Massachusetts, USA
| | - Elizabeth Howard
- School of Nursing, Northeastern University, Boston, Massachusetts, USA
| | - Margaret Bryan
- Hebrew SeniorLife, Programmer Analyst II, Institute for Aging Research, Boston, Massachusetts, USA
| | - John N Morris
- Social and Health Policy Research, Alfred A. and Gilda Slifka Chair in Social Gerontological Research, Institute for Aging Research, Hebrew Senior Life, Boston, Massachusetts, USA
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Kittelson S, Scarton L, Barker P, Hauser J, O'Mahony S, Rabow M, Delgado Guay M, Quest TE, Emanuel L, Fitchett G, Handzo G, Yao Y, Chochinov HM, Wilkie D. Dignity Therapy Led by Nurses or Chaplains for Elderly Cancer Palliative Care Outpatients: Protocol for a Randomized Controlled Trial. JMIR Res Protoc 2019; 8:e12213. [PMID: 30994466 PMCID: PMC6492061 DOI: 10.2196/12213] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 12/31/2018] [Accepted: 12/31/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Our goal is to improve psychosocial and spiritual care outcomes for elderly patients with cancer by optimizing an intervention focused on dignity conservation tasks such as settling relationships, sharing words of love, and preparing a legacy document. These tasks are central needs for elderly patients with cancer. Dignity therapy (DT) has clear feasibility but inconsistent efficacy. DT could be led by nurses or chaplains, the 2 disciplines within palliative care that may be most available to provide this intervention; however, it remains unclear how best it can work in real-life settings. OBJECTIVE We propose a randomized clinical trial whose aims are to (1) compare groups receiving usual palliative care for elderly patients with cancer or usual palliative care with DT for effects on (a) patient outcomes (dignity impact, existential tasks, and cancer prognosis awareness); and (b) processes of delivering palliative spiritual care services (satisfaction and unmet spiritual needs); and (2) explore the influence of physical symptoms and spiritual distress on the outcome effects (dignity impact and existential tasks) of usual palliative care and nurse- or chaplain-led DT. We hypothesize that, controlling for pretest scores, each of the DT groups will have higher scores on the dignity impact and existential task measures than the usual care group; each of the DT groups will have better peaceful awareness and treatment preference more consistent with their cancer prognosis than the usual care group. We also hypothesize that physical symptoms and spiritual distress will significantly affect intervention effects. METHODS We are conducting a 3-arm, pre- and posttest, randomized, controlled 4-step, stepped-wedge design to compare the effects of usual outpatient palliative care and usual outpatient palliative care along with either nurse- or chaplain-led DT on patient outcomes (dignity impact, existential tasks, and cancer prognosis awareness). We will include 560 elderly patients with cancer from 6 outpatient palliative care services across the United States. Using multilevel analysis with site, provider (nurse, chaplain), and time (step) included in the model, we will compare usual care and DT groups for effects on patient outcomes and spiritual care processes and determine the moderating effects of physical symptoms and spiritual distress. RESULTS The funding was obtained in 2016, with participant enrollment starting in 2017. Results are expected in 2021. CONCLUSIONS This rigorous trial of DT will constitute a landmark step in palliative care and spiritual health services research for elderly cancer patients. TRIAL REGISTRATION ClinicalTrials.gov NCT03209440; https://clinicaltrials.gov/ct2/show/NCT03209440. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/12213.
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Affiliation(s)
- Sheri Kittelson
- Center for Palliative Care Research and Education, Department of Medicine, University of Florida, Gainesville, FL, United States
| | - Lisa Scarton
- Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, United States
| | - Paige Barker
- Center for Palliative Care Research and Education, Department of Medicine, University of Florida, Gainesville, FL, United States
| | - Joshua Hauser
- Buehler Center on Aging, Health and Society, Palliative Care, Northwestern Feinberg School of Medicine, Chicago, IL, United States
| | - Sean O'Mahony
- Palliative Medicine, Rush University Medical Center, Chicago, IL, United States
| | - Michael Rabow
- Helen Diller Family Comprehensive Cancer Center, Center for Educaiton in Palliative Care, University of California, San Francisco, San Francisco, CA, United States
| | - Marvin Delgado Guay
- Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, University of Texas, MD Anderson, Houson, TX, United States
| | - Tammie E Quest
- Buehler Center on Aging, Heatlh and Society, Northwestern Feinberg School of Medicine, Chicago, IL, United States
| | - Linda Emanuel
- Buehler Center on Aging, Heatlh and Society, Northwestern Feinberg School of Medicine, Chicago, IL, United States
| | - George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, United States
| | - George Handzo
- Health Services Research & Quality, HealthCare Chaplaincy Network, Caring for the Human Spirit TM, New York, NY, United States
| | - Yingewi Yao
- Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, United States
| | - Harvey Max Chochinov
- Research Institute of Oncology and Hematology, Cancer Care Manitoba, University of Manitoba, Winnipeg, MB, Canada
| | - Diana Wilkie
- Center for Palliative Care Research and Education, College of Nursing, University of Florida, Gainesville, FL, United States
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Brown J, Gardner J. The Role of the Pastoral Practitioner in Health Outcomes and Wellbeing During Acute Illness: Exploring the Patient Experience of a Pastoral Visit. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2017; 71:230-236. [PMID: 29224520 DOI: 10.1177/1542305017742349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The role of the pastoral practitioner is embedded in many health care services and organizations. Despite this, there is little evidence to describe the impact of this role on patient outcomes, in particular how visits by a pastoral practitioner influence patient healing and recovery. This paper describes a small study that explored the patient experience of pastoral practitioner visits in an acute care facility.
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Fitchett G. Recent Progress in Chaplaincy-Related Research. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2017; 71:163-175. [PMID: 28893170 DOI: 10.1177/1542305017724811] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
In light of the continued growth of chaplaincy-related research this paper presents an overview of important findings. The review summarizes research in six broad areas: what chaplains do; the importance of religion and spiritual care to patients and families; the impact of chaplains' spiritual care on the patient experience; the impact of chaplain care on other patient outcomes; spiritual needs and chaplain care in palliative and end of life care; and chaplain care for staff colleagues. It concludes with a description of several innovative and important new studies of chaplain care and notes areas for future investigation.
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Affiliation(s)
- George Fitchett
- Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA
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Sharma V, Marin DB, Sosunov E, Ozbay F, Goldstein R, Handzo GF. The Differential Effects of Chaplain Interventions on Patient Satisfaction. J Health Care Chaplain 2016; 22:85-101. [DOI: 10.1080/08854726.2015.1133203] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Taylor JJ, Hodgson JL, Kolobova I, Lamson AL, Sira N, Musick D. Exploring the phenomenon of spiritual care between hospital chaplains and hospital based healthcare providers. J Health Care Chaplain 2015. [PMID: 26207904 DOI: 10.1080/08854726.2015.1015302] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
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. While HBHPs appreciated the care received and were able to provide better patient care as a result, participants reported that administrators may not recognize the true value of the care provided. Implications from this study are applied to hospital chaplaincy clinical, research, and training opportunities.
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Affiliation(s)
- Janie J Taylor
- a CareNet Counseling East , Greenville , North Carolina , USA
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Marin DB, Sharma V, Sosunov E, Egorova N, Goldstein R, Handzo GF. Relationship between chaplain visits and patient satisfaction. J Health Care Chaplain 2015; 21:14-24. [PMID: 25569779 DOI: 10.1080/08854726.2014.981417] [Citation(s) in RCA: 65] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This prospective study investigated the relationship between chaplain visits and patient satisfaction, as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and Press Ganey surveys from 8,978 patients who had been discharged from a tertiary care hospital. Controlling for patients' age, gender, race, ethnicity, language, education, faith, general health status, and medical conditions, chaplain visits increased the willingness of patients to recommend the hospital, as measured by both the HCAHPS survey (regression coefficient = 0.07, p < .05) and the Press Ganey survey (0.11, p < .01). On the Press Ganey survey, patients visited by chaplains were also more likely to endorse that staff met their spiritual needs (0.27, p < .001) and their emotional needs (0.10, p < .05). In terms of overall patient satisfaction, patients visited by a chaplain were more satisfied on both the Press Ganey survey (0.11, p < .01) and on the HCAHPS survey (0.17, p < .05). Chaplains' integration into the healthcare team improves patients' satisfaction with their hospital stay.
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Affiliation(s)
- Deborah B Marin
- a Department of Psychiatry , Icahn School of Medicine at Mount Sinai , New York , New York , USA
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Schultz M, Lulav-Grinwald D, Bar-Sela G. Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care. BMC Palliat Care 2014; 13:19. [PMID: 24708816 PMCID: PMC4108186 DOI: 10.1186/1472-684x-13-19] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2013] [Accepted: 03/31/2014] [Indexed: 12/04/2022] Open
Abstract
Background As professional spiritual care (chaplaincy) is introduced to new cultures worldwide, it bears examining which elements of screening and care are universal and, for those elements showing cultural difference, to study them in each culture. No quantitative spiritual care patient study had previously been done in Israel. Our objectives were twofold: 1) to examine who wants spiritual care in Israel, including demographic and clinical variables, and to compare against other results worldwide to further develop universal screening protocols 2) to see what patients want from spiritual care specifically in the Israeli setting. Methods Self-administered patient questionnaire examining spirituality/religiosity, interest in spiritual care (subdivided by type of care), and key demographic, social, and clinical data. The study setting was an Israeli oncology center at which spiritual care had been recently introduced. Results Data from 364 oncology patient questionnaires found 41% interest in spiritual care, as compared to 35%-54% in American studies. Having previously been visited by a spiritual caregiver predicted patient interest in further spiritual care (AOR 2.4, 95% CI 1.2-4.6), suggesting that the new service is being well-received. Multivariate stepwise logistic regression analysis identified additional predictors of openness to receiving spiritual care: self-describing as somewhat/very spiritual vs. not spiritual (adjusted odds ratio [AOR] 3.9 and 6.3, 95% CI 1.8-8.6 and 2.6-15.1) or traditional/religious vs. secular (AOR 2.2 and 2.1, 95% CI 1.3-3.6 and 1.1-4.0); and receiving one visit a week or less from family and friends (AOR 5.6, 95% CI 2.1-15.1). These findings are in line with previous American studies, suggesting universality across cultures that could be utilized in screening. Differences in demographic data and medical condition were not significant predictors of patient interest, suggesting a cultural difference, where age and education were predictors in the American context. Levels of interest in explicitly religious or spiritual support such as prayer or addressing religious/spiritual questions were much lower than in other cultures. Conclusions Results illustrate the demand for and satisfaction with the new Israeli service. The cross-cultural comparison found both culture-dependent and possibly universal predictors of patient interest, and found lower interest in Israel for explicitly religious/spiritual types of support.
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Affiliation(s)
- Michael Schultz
- Division of Oncology, Rambam-Health Care Campus, Technion-Israel Institute of Technology, POB 9602, Haifa 31096, Israel.
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Abstract
OBJECTIVE The overall aim of this study was to discover how chaplains assess their role within ethically complex end-of-life decisions. METHODS A questionnaire was sent to 256 chaplains working for German health care institutions. Questions about their role and satisfaction as well as demographic data were collected, which included information about the chaplains' integration within multi-professional teams. RESULTS The response rate was 59%, 141 questionnaires were analyzed. Respondents reported being confronted with decisions concerning the limitation of life-sustaining treatment on average two to three times per month. Nearly 74% were satisfied with the decisions made within these situations. However, only 48% were satisfied with the communication process. Whenever chaplains were integrated within a multi-professional team there was a significantly higher satisfaction with both: the decisions made (p = 0.000) and the communication process (p = 0.000). Significance of the results: Although the results of this study show a relatively high satisfaction among surveyed chaplains with regard to the outcome of decisions, one of the major problems seems to reside in the communication process. A clear integration of chaplains within multi-professional teams (such as palliative care teams) appears to increase the satisfaction with the communication in ethically critical situations.
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Winter-Pfändler U, Morgenthaler C. Patients' satisfaction with health care chaplaincy and affecting factors: an exploratory study in the German part of Switzerland. J Health Care Chaplain 2011; 17:146-61. [PMID: 22029506 DOI: 10.1080/08854726.2011.559857] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Surveying patients' satisfaction with chaplaincy services contributes to improving the quality of health care chaplaincy. Therefore, 679 patients from 32 general hospitals and psychiatric clinics in the German part of Switzerland were surveyed in a cross-sectional design. Seven factors influencing patients' satisfaction with health care chaplaincy were identified. They pertain, on one hand, to the chaplain-patient relationship ("Respect and friendliness," "Empathy," "Negative relationship") and, on the other hand, to the evaluation of chaplains' interventions ("Religious/spiritual interventions," "Religious/spiritual issues," "Clarification, coping and support," "Conflict management and forgiveness"). Whereas the patient-chaplain relationship was significantly associated with the patient's age and religiosity, the apprehension of pastoral intervention was significantly associated with the patient's religiosity and denomination, length of stay, admission to hospital, and the patient's health status. The results suggest that chaplains have to take account of the situational circumstances and personal characteristics of patients in order to optimize their service.
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Galek K, Flannelly KJ, Jankowski KRB, Handzo GF. A Methodological Analysis of Chaplaincy Research: 2000–2009. J Health Care Chaplain 2011; 17:126-45. [DOI: 10.1080/08854726.2011.616167] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Jankowski KRB, Handzo GF, Flannelly KJ. Testing the Efficacy of Chaplaincy Care. J Health Care Chaplain 2011; 17:100-25. [DOI: 10.1080/08854726.2011.616166] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Derrickson P, Van Hise A. Curriculum for a Spiritual Pathway Project: Integrating Research Methodology into Pastoral Care Training. J Health Care Chaplain 2010; 16:3-12. [DOI: 10.1080/08854720903451030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Montonye M, Calderone S. Pastoral Interventions and the Influence of Self-Reporting: A Preliminary Analysis. J Health Care Chaplain 2010; 16:65-73. [DOI: 10.1080/08854720903519976] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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VandeCreek L. Defining and advocating for spiritual care in the hospital. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2010; 64:1-10. [PMID: 20828074 DOI: 10.1177/154230501006400205] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
A definition of spiritual care and attention to the scientific literature can strengthen the advocacy efforts of hospital funded chaplaincy programs. Adapting Pargament's work, spiritual care is defined here as giving professional attention to the subjective spiritual and religious worlds of patients, worlds comprised of perceptions, assumptions, feelings, and beliefs concerning the relationship of the sacred to their illness, hospitalization, and recovery or possible death. Results from the scientific literature are then presented in response to four advocacy related questions: 1) How do hospital decision makers and chaplains perceive the experience of hospitalization, 2) Does a need for spiritual care exists; is it relevant, 3) Who can best provide spiritual care, and 4) Are chaplain visits helpful? This definition and advocacy material can be useful when decision makers review the funding of spiritual care.
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Beardsley C. 'In need of further tuning': using a US patient satisfaction with chaplaincy instrument in a UK multi-faith setting, including the bereaved. Clin Med (Lond) 2009; 9:53-8. [PMID: 19271602 PMCID: PMC5922636 DOI: 10.7861/clinmedicine.9-1-53] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Healthcare chaplaincy research seems further advanced in the USA. Here a US patient satisfaction with chaplaincy instrument (PSI-C-R) was used in a London NHS foundation hospital with a multi-faith chaplaincy team and population. A version of the instrument was also generated for the bereaved. PSI-C-R had not been subjected to test-retest to confirm its reliability so this was done at the pilot stage. It proved only partly reliable, but in three separate surveys a cluster of highly rated factors emerged, as in earlier studies: chaplains' prayer, competence, listening skills and spiritual sensitivity. Low-rated factors and qualitative data highlighted areas for improvement. Disappointing response rates arose from patient acuity, ethical concerns about standard follow-up protocols, and the Western Christian origins of the instrument which requires further revision for multi-faith settings, or the design of new instruments.
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Lyndes KA, Fitchett G, Thomason CL, Berlinger N, Jacobs MR. Chaplains and Quality Improvement: Can We Make Our Case by Improving Our Care? J Health Care Chaplain 2008; 15:65-79. [DOI: 10.1080/08854720903113416] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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