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Supplier-induced demand for pastoral care services in the general hospital: a natural experiment.

Assesses the effects the elimination of a pastoral care training program and a reduction in staff had on referral rates for pastoral care. Results showed a decrease in referrals initiated by pastoral care staff but an increase in pastoral care referrals initiated by medical staff and patients. Notes that when pastoral care staff were less available, the demand for their services became more apparent.

Chaplaincy Service, Hospital↗

The case confessions of a pastoral visitor.

When a bungled catheterization following surgery causes a life-threatening hemorrhage, this Lutheran minister and hospital chaplain finds himself on the receiving end of professional pastoral care. Regretting the times in offered "Gospel platitudes and sugar-coated Bible verses" to suffering patients, the author finds that his experience has brought him closer to God's presence and made him a better minister.

Attitude of Health Personnel↗

Where there is hope, there is life: toward a biology of hope.

Argues the thesis that where there is hope there is life. Grounds this thesis philosophically and theologically, then reviews it from the medical and nursing literature, and illustrates it in a vignette of hospital ministry. Argues that hope can enhance the quality and even the quantity of life. Proposes that hope helps people to deal with their feelings and to cope with their illness. Hope affects immunity and survival. Challenges chaplains, pastoral counselors, and parish clergy to become more effective "agents of hope."

Attitude to Health↗

The chaplain/pastoral counselor as a behavioral medicine consultant in cardiac rehabilitation: a team approach.

Pastoral Behavioral Medicine Consultants can make a valuable contribution to the modern hospital particularly if physicians and other health care professionals are joined in offering creative and effective programs for healing. This article discusses several programs in which the traditional hospital chaplain's role is extended to that of a pastoral/behavioral medicine consultant (PBMC). The examples are meant to stimulate the reader's interest, ideas and intuition about innovative ways that the modern PBMC can not only survive but flourish in chaplain/pastoral counseling ministries.

Behavioral Medicine↗

How has health care reform affected professional chaplaincy programs and how are department directors responding?

No published studies were identified that describe the impact of health care reform on professional chaplaincy departments in hospital settings. Results from a random sample (N = 370) of department directors indicate that 45 percent report no budgetary consequences, 27 percent have experienced budgetary cutbacks, and 17 percent describe departmental growth. The cutbacks most often involve the loss of staff chaplain positions. Directors also describe past and future strategies for resisting downsizing trends.

Budgets↗

The medical captivity of religion and health.

Uses actual hospital-based experiences to draw attention to and illustrate how modern chaplaincy may fall into forms of paternalism and iatrogenesis. Notes particularly how high tech iatrogenesis and high touch chaplaincy may interact in counterproductive ways. Opines that the church once again needs a revisioning of health which is based on theological notions of the church as sustaining community and as a school for empowerment.

Attitude of Health Personnel↗

Pastoral care's role in a reformed system. Pastoral care professionals need to promote the spiritual dimension of healing throughout the continuum of care.

The emerging structure of healthcare delivery is challenging many elements of traditional pastoral care. With these changes, how can pastoral care professionals be on the cutting edge of tomorrow's pastoral care ministry? Pastoral care givers must understand that the individual with holistic needs will be at the center of the reformed healthcare system. All providers will share the responsibility and financial risk of providing high-quality care to each client. Pastoral care departments will need to develop systems to objectively measure the quality of their spiritual and religious care services, as well as patient or client satisfaction. Pastoral care professionals must take the lead in developing a vision of spiritual care that reflects the new paradigm of integrated delivery. They must also share the vision of integrated spiritual care with opinion leaders who can be advocates for an expanded vision of pastoral and spiritual care within the network. Ideally, faith communities should be centers for care, healing, and wellness, with hospitals as extensions of those communities. Within such a network, pastoral care givers can organize programs, workshops, and retreats around spirituality and wellness as part of the faith community's mission. In addition, pastoral care professionals can help clients learn about themselves and their life-styles and make healthier choices. Pastoral care givers need to recognize that within brokenness there is also wholeness, wisdom, and new opportunities. When we are free of our own agenda, we can empower others. Together, with God's grace, pastoral care givers can shape a new future and make it happen.

Chaplaincy Service, Hospital↗

A teaching project for training family residents regarding the services of hospital chaplains.

In doing a curriculum evaluation for Behavioral Science training of Family Medicine Residents, it was determined that the knowledge of the work of the chaplains in inpatient care was somewhat limited. The Behavioral Science Educator initiated a collaborative project with the Department of Pastoral Care in order to facilitate an increased awareness of the chaplains' services, since the chaplains are part of the patient treatment team. This article is a description and evaluation of that project.

Chaplaincy Service, Hospital↗

Supervision of pastoral volunteers.

Pastoral care in hospitals can be enhanced by the use of trained volunteer lay people from a variety of backgrounds. God can use all these different personalities as a channel of His love and grace to the sick, injured, and their families. This article summarizes the chaplain's role with initial preparation, training, coordination, and recognition and support of such volunteers.

Chaplaincy Service, Hospital↗

The spirituality and religiosity of veterans.

This article reports on the author's clinical observations of certain religious and spiritual interests of one hundred and twenty-five veteran patients at a small VA hospital. Definitions of both spirituality and religiosity are presented to indicate that they are not the same phenomenon. A list of questions routinely used by the author in doing an assessment of a patient's religiosity and spirituality is provided. Impressions of the veteran patients' religious and/or spiritual needs and concerns are summarized. Suggestions for future research are outlined.

Chaplaincy Service, Hospital↗

An adaptation of The Discipline in a clinical pastoral education program. Interview by Larry VandeCreek.

The author describes his perspective on providing pastoral care to hospital patients, his search for new ways to understand that ministry, his first contact with The Discipline, and his adaptation of it to the clinical and educational programs at his center. He discusses the need to help clinical pastoral education students to operationalize their ministry and to learn how to identify outcomes that are meaningful to health care decision makers.

Chaplaincy Service, Hospital↗

Commentary. The pastor as patient.

During his hospitalization for treatment of prostate cancer, this pastor-author found that the ill are often not put off by the shortcomings of those who would provide spiritual care. They are able to see beyond any shortcomings of their minister to the life and power of the liturgy itself and the pastor's "loving intentions."

Attitude of Health Personnel↗

How many chaplains per 100 inpatients? Benchmarks of health care chaplaincy departments.

Reports the results of a questionnaire survey of a sample of chaplaincy departments directors (N = 370) designed to answer the following questions: How many chaplains do various types of hospitals employ per 100 inpatients? What is the relationship between the number of employed chaplains and departmental Clinical Pastoral Education (CPE) programs? How much effort do departments give to outpatient ministry? What percentage of ministry do volunteer chaplains provide? Provides tentative answers to inform the strategic planning processes of chaplains and administrators.

Benchmarking↗

I am a hospital chaplain who happens to be a Jewish woman.

The author describes her experience through several quarters of Clinical Pastoral Education as a Jewish woman. She recounts the story of her own sense of urging toward chaplaincy as an expression of her spirituality, as well as much of the "mixed" nature of her journey among a predominantly Christian group. Included are stories of patient encounters as well as a record of her ongoing conversation with her surroundings.

Chaplaincy Service, Hospital↗

Hospital as foreign country.

As the world has been broken into ever more discrete segments, normative judgments--as distinct from descriptive--have been increasingly relegated to so-called private, personal experience. It appears that in medical ethics, the autonomy of the patient and the autonomy of the physician must be simultaneously protected. This essay argues for a more community-based approach to ethics in medical care and articulates this in terms of feminist theology.

Chaplaincy Service, Hospital↗

Hand injuries--the chaplain's role in holistic patient care.

In this article, the emotional and pastoral needs of patients with hand injuries were evaluated in a hospital setting. Representative cases were used to illustrate patients' reactions to their inner conflicts. Over a 3-month period, 65 patients were seen: 42 with acute trauma and 23 with chronic hand surgery problems. Many of these patients expressed a need for emotional and pastoral support. The chaplain directed the hand surgery team in assisting individuals to deal with these issues.

Adult↗

Organ donation and hospital chaplains. Attitudes, beliefs, and concerns.

The attitudes, religious issues, and participation level of 110 practicing hospital chaplains concerning cadaver-organ donation are considered. Chaplains are identifying with the emotional aspects of organ donation, in particular the grief and emotional trauma of the grieving family. Donor rates of minority groups are discussed from the perspective of religious traditions and myths. Religious questions of next of kin are investigated, and recommendations are made for a comprehensive approach to cadaver-organ procurement.

Attitude↗

The planning, organising and delivery of a memorial service in critical care.

The Intensive Care Society (1998) recommends that facilities should be available to follow up bereaved relatives. As part of bereavement follow up, a memorial service has been held at Royal Preston Hospital for the last three years. Over 300 people attended in 2003. A memorial service is often referred to as a ritual. Rituals seem to meet certain universal needs, such as confirming the reality of the death, assisting in the expression of feelings, stimulating memories of the deceased and providing support to the family and friends of the deceased. An audit in 2003 has confirmed the value of the service: 97% of attendees were glad they attended the service and 72% would like to be invited to the service again next year.

Anniversaries and Special Events↗