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Results for “Chaplaincy Service, Hospital”

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PubMed1984

The institutional chaplain: constructing a role definition.

Reports on a questionnaire survey of members of the Omaha Nebraska Area Institutional Chaplains' Association and the Nebraska State Chaplain's Association. Develops a typology of the role of the hospital chaplain based on findings which indicate that chaplains see themselves as (1) counselors, (2) professionals, and (3) religious functionaries. Notes that these perceptions are often at dissensus with relevant publics, and interprets the role of definitions in terms of secularization and social structure principles. Discusses and suggests ways of addressing role differences in view of current changes in health care developments.

Chaplaincy Service, Hospital↗

PubMed2003

Addressing patients' emotional and spiritual needs.

BACKGROUND: A comprehensive, systematic literature review and original research were conducted to ascertain whether patients' emotional and spiritual needs are important, whether hospitals are effective in addressing these needs, and what strategies should guide improvement. METHODS: The literature review was conducted in August 2002. Patient satisfaction data were derived from the Press Ganey Associates' 2001 National Inpatient Database; survey data were collected from 1,732,562 patients between January 2001 and December 2001. RESULTS: Data analysis revealed a strong relationship between the "degree to which staff addressed emotional/spiritual needs" and overall patient satisfaction. Three measures most highly correlated with this measure of emotional/spiritual care were (1) staff response to concerns/complaints, (2) staff effort to include patients in decisions about treatment, and (3) staff sensitivity to the inconvenience that health problems and hospitalization can cause. DISCUSSION: The emotional and spiritual experience of hospitalization remains a prime opportunity for QI. Suggestions for improvement include the immediate availability of resources, appropriate referrals to chaplains or leaders in the religious community, a team dedicated to evaluating and improving the emotional and spiritual care experience, and standardized elicitation and meeting of emotional and spiritual needs. Survey data suggested a focus on response to concerns/complaints, treatment decision making, and staff sensitivity.

Chaplaincy Service, Hospital↗

PubMed1994

The chaplain's role in bioethical decision-making.

With advances in medical technology, difficult questions of "What should be done?" and "Who should decide?" are a daily occurrence in hospitals. This paper reports the results of a survey of Canadian chaplains with respect to their involvement in bioethical decision-making. The survey suggests that chaplains make a significant contribution to discussion and resolution of bioethical dilemmas. Using a case study, the paper elaborates on the chaplain's role in bioethical decision-making, and indicates how such participation can influence both cost containment and risk management.

Adult↗

PubMedDate not supplied

Role clarification: a quality improvement survey of hospital chaplain customers.

The following article describes a quality improvement survey that examined the role nurses, patients, and patients' families expect the hospital chaplain to play when they use the chaplain's services. The results of the questionnaire suggest that patients and nurses sometimes see the role of the chaplain differently. There are times when nurses readily call a chaplain to help with a problem on a unit. There are other times when nurses are reluctant to ask for the chaplain, but patients would be most appreciative of the chaplain's presence. This article explores these situations and gives suggestions for ways to use a chaplain's expertise more effectively.

Alberta↗

PubMed2003

End-of-life issues and spiritual histories.

BACKGROUND: Patients facing end-of-life issues have spiritual concerns that may have an impact on their medical decision-making. METHODS: To determine whether physicians address spiritual concerns in this context, we reviewed the charts of 92 elderly hospitalized patients facing decisions regarding resuscitation status or feeding tube placement. RESULTS: The average age of the participants was 72.4 years and 51% of them were female. Only 6.5% of the patients had spiritual histories documented in their charts; 29% had either a spiritual history or some mention of chaplain or psychiatrist involvement. CONCLUSION: Spiritual concerns of many patients facing end-of-life decisions are not being addressed.

Aged↗

PubMedDate not supplied

A national survey of health care administrators' views on the importance of various chaplain roles.

A random sample of hospital administrators throughout the United States was surveyed about their views on the importance of eleven chaplain roles and functions. The 494 respondents fell into three categories: (1) directors of pastoral care departments (N = 132); (2) administrators of hospitals that have a pastoral care department (N = 180); and (3) administrators of hospitals that do not have a pastoral care department (N = 182). All three groups considered all eleven roles to be relatively important, although administrators of hospitals that do not have a pastoral care department gave lower ratings, overall. Meeting the emotional needs of patients and relatives were seen as chaplains most important roles, whereas performing religious rituals and conducting religious services were seen as least important by all three groups. In all but a few instances, the level of importance that administrators assigned to the various roles were positively related to their ratings of their own religiousness and spirituality (r's = .11 to .26, p < .05).

Attitude of Health Personnel↗

PubMed1986

Psychiatric consultation with general hospital chaplains.

This article describes a program in which psychiatrists serve as consultants to a group of chaplains working in a general hospital. The chaplains learn to use specific concepts and techniques from liaison psychiatry to evaluate and refine their own work. The consultants teach them about psychopathology in the medically ill, about the awareness and use of transference and countertransference reactions, and about how to define an appropriate role within the medical ward milieu. The article discusses the benefits of this consultation to chaplains and psychiatrists, especially in clarifying the role distinctions between the two groups.

Chaplaincy Service, Hospital↗

PubMed1986

A case study in pastoral counseling.

When Michael Jones was admitted to the hospital with AIDS, he was quite alone. Always a private person, with few personal friends, he had isolated himself from those around him after his diagnosis. Although Michael had long felt alienated from religion, daily visits from a hospital chaplain proved enjoyable and helpful for him. Their conversations helped Michael to understand the difference between religion and spirituality. He acknowledged his relationship with God and began to realize the connection between relating to God and relating to others. He desired inner healing and the healing of some broken relationships. Through the pastoral visits, Michael not only was given comfort and assurance, but he was helped in his journey toward spiritual reconciliation.

Acquired Immunodeficiency Syndrome↗

PubMed1991

Use of the chaplaincy in the neonatal intensive care unit.

The hospital chaplain is a relatively new member of the health care team, and there is little objective information on the chaplaincy's role in the hospital. To evaluate the chaplain's role, I collected information from the chaplain's daily logs and from a medical staff/parent questionnaire on the use of the chaplaincy in the neonatal intensive care unit (NICU). Both the medical/nursing staff and the chaplains viewed the chaplain's role as encompassing both traditional (religious functionary) and nontraditional functions. However, the medical/nursing staff consulted chaplains only for traditional roles. The discrepancy in chaplain use suggests a need for objective study about the chaplain's role. I offer hypotheses for testing the role of the chaplaincy in the NICU.

Attitude of Health Personnel↗

PubMed1990

The valuation of pastoral care by hospital administrators: a survey of selected for-profit and non-profit institutions.

This paper reports on a study of 600 hospital administrators, half of which were in non-profit institutions and half of which were in hospitals owned or managed by the Hospital Corporation of America. The project was designed to identify what differences, if any, existed between surveyed administrators in both types of institutions in their valuation of pastoral care. No significant differences were found between the two groups of administrators in the valuation of pastoral care. All administrators were found to be concerned about the quality of patient care and to value aspects of care such as pastoral care which are personal and difficult to quantify.

Analysis of Variance↗

PubMedDate not supplied

The chaplain as hospital ethicist in the cost containment struggle.

How can quality health care be maintained in the era of cost containment? This article argues that allegiance to relevant ethical principles at the root of the health car process is necessary and that the chaplain can make an important contribution by discussing them within the institution. This article seeks to be a resource to such discussions and presents three fundamental ethical assumptions and three specific principles which can aid in shaping the health care cost containment struggle. Case studies are provided as a context for the ethical principles.

Chaplaincy Service, Hospital↗

PubMed2001

A case study using the Discipline with a clinical team.

Health care delivery in hospitals and clinics promotes an interdisciplinary team approach. This article presents the use of The Discipline though the involvements of the chaplain as part of the Infectious Disease team as together they addressed the inherent spirituality of one HIV/AIDS patient. This narrative recounts the unfolding events of the patient's life and describes the use of The Discipline during a very difficult time period for the patient and the staff. The experience can serve as a model for other health care teams who must manage difficult, deteriorating patients.

Adult↗

PubMed1990

Clinical pastoral education for laity.

Medical science, with its high technology, has had a major impact on today's hospitalized patient. Not only has the length of stay been shortened dramatically but the level of illness is much more intense. Both of these factors have influenced the role pastoral care plays as a member of the health care team if patients and families are to receive holistic care. Carefully selected and trained laity can help meet the expanding pastoral care needs of hospitalized patients. This article describes a program designed exclusively for laity, which equips these volunteers through a clinical process similar to that of Clinical Pastoral Education (CPE). The authors contend that any program designed to prepare laity for pastoral care must include the clinical component. Their experience with 38 laity who have completed the program described in this article has led them to the conclusion that such a process inspires a dynamic growth in faith as laity claim their rightful authority in pastoral care.

Chaplaincy Service, Hospital↗

PubMed1990

The science of caring.

A downsizing crisis at Mount Carmel Medical Center, Columbus, OH, forced its Pastoral Care Department to begin thinking in terms of accountability. Trained in an intuitive style of chaplaincy, the staff distrusted a clinical approach to pastoral care. Nonetheless, when they found themselves scrambling to justify their existence, the entire department staff literally withdrew from the hospital for two days to redesign pastoral care. What evolved was a process of "focused care." It represented a radical departure from their traditional assumptions about chaplaincy in that henceforth they would (1) base their ministry on assessment of spiritual need, with primary attention to high-risk patient populations, (2) continue to provide eucharistic ministry through volunteers, but no longer rely on Catholic chaplains to carry out those duties, (3) no longer assume that a chaplain needed to be present at every death or medical crisis, and (4) no longer assume that the impact of a spiritual ministry could not be objectively measured.

Catholicism↗

PubMedDate not supplied

Pastoral care staff participate on treatment team.

Clinical department members at Marianjoy Rehabilitation Center identified problems with their staffing conferences, in which they plan patient care. The problems included a deemphasis on social and spiritual aspects and an overemphasis on billing concerns. To correct these difficulties, the hospital adopted the Patient Evaluation Conference System (PECS), adding a pastoral care component. Central to the new system is the addition of pastoral care data from scales that assess patient status in four areas: (1) awareness of spiritual dimension of disability, (2) knowledge of spiritual resources, (3) skill in spiritual self-management, and (4) use of spiritual resources. Pastoral care staff write evaluations in easily understood language so other staff members can understand pastoral care's purpose. They formulate specific short-term objectives in order to delineate the pastoral services needed. Integration with the treatment team has resulted in greater accountability for the pastoral care staff. Patient progress charts now include specific pastoral care goals, and a daily report of pastoral care services is included on patient bills, although no fee is charged. Program evaluation and feedback systems to enable pastoral care staff to make more accurate assessments are planned. The new system has enhanced staff communication, service documentation, discharge planning, and the quality of pastoral care.

Chaplaincy Service, Hospital↗

PubMed1986

Lay pastoral care: spiritual and psychological challenges.

By welcoming laypersons into the pastoral ministry, the Church is participating in transformation--clearing away the familiar patterns of ministry so that the laity can respond more fully to its baptismal calling. Three basic questions should be asked in meeting the challenges of this calling: 1. Who should be chosen for lay pastoral care? Those selected should not be overly passive, but assertive and mature in their faith. 2. What should be expected of pastoral laypersons? Catholic hospitals should be careful not to exploit lay ministers by expecting extraordinary sacrifices (e.g., being on call 24 hours a day and on weekends) that will burn out the lay minister and adversely affect his or her family. 3. What are the potential roadblocks to the laity's success? One danger is that hospital's financial belt-tightening could disproportionately penalize pastoral care. Another pitfall is the misperception that the lay ministry movement is a means of moving clergy and religious out of the way. We are being called to act now in developing lay ministers. This is not a one-way process in which clergy and religious "act upon" the laity through the Spirit. Rather, it is a two-way transaction, for the laity have the Spirit, too, and are themselves a source of divine power. As they take on pastoral responsibilities, laypersons will of course need guidance. But this guidance should be given in a spirit of equality and with an understanding of the interdependence of all members of the Body of Christ.

Catholicism↗

PubMed1990

The professional chaplain.

In this technological age, when hospitals run the risk of becoming frightening and impersonal places, pastoral care departments have an obligation to ensure that they provide high-quality, professional service. One of the common themes of contemporary mission statements is the call for "holistic care"-- meeting the physical, emotional, social, and spiritual needs of patients. A second theme is the importance of providing high-quality care. In the past 20 years, the National Association of Catholic Chaplains has developed education and accreditation programs that have led to stronger, more effective pastoral care service and education. Although credentialing is not a panacea for all problems and conflicts, when persons work at developing personal, professional, and theological competencies, they are more successful in resolving conflict. In fact, well-prepared, certified chaplains enhance all aspects of the healthcare ministry. Finally, the effort to improve pastoral care provides an opportunity for all involved to "live the mission." Today's greater emphasis on team ministry allows the pastoral care department to be a model of community and dialogic relationship for the rest of the healthcare facility.

Catholicism↗

PubMed2000

The public debate on life and death choices: a response from a Jewish hospital chaplain.

Addresses the issue of life and death choices from the perspectives of a Jewish chaplain. Explores the tension between the law (Halachah) and experience or story (Aggadah) and the impact of that tension on lives and decisions. Cites persons and situations from biblical material, oral tradition, and modern times which illustrate the human struggle with these disputed issues. Explores different levels of pain and our understanding of and response to suffering. Invites reflection on the range of responses to pain that are humanly possible. Illustrates how meaning in life nurtures the desire to live. Claims this meaning aspect is not adequately addressed in the current dialogue. Focusses on the role of chaplains in listening and responding to persons and in helping to activate the impulse of hope. Suggests ways in which chaplains can be advocates for patients, prophetic voices within communities and institutions, and empowering of the gifts of others.

Chaplaincy Service, Hospital↗