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Selection of a hospital based director of pastoral care: process and stakeholders.

Details the steps which were taken in the process of hiring a Director of Pastoral Care for a 274-bed acute care regional referral center in southern Alberta, Canada. Stresses the importance of anchoring the hiring process steps within a relevant context. Offers recommendations for hospitals and clergy faced with a similar project.

Alberta↗

Attitudes toward hospital evangelism: a comparison of pastors and chaplains.

The attitudes toward hospital evangelism of a random sample of Baptist ministers from Texas are analyzed, with special reference to significant differences between pastors and chaplains. Findings reveal that these two groups hold divergent views on the central mission of hospital evangelism. In general, Baptist pastors tend toward a more idealized view focused on soul-winning than Baptist chaplains, who seem somewhat more attentive to the special circumstances of the hospital patient. The implications of these findings are discussed.

Attitude↗

Modeling the wisdom of journeying together: parish nursing and chaplaincy.

We describe how a chaplain and a parish nurse built an interprofessional group within a hospital and used the process to increase attention to spiritual care within a hospital. We identify organizational and system characteristics that support this effort, in particular the importance of administrative support and the willingness of hospital staff to value their own spirituality as a resource for patients and family members.

Chaplaincy Service, Hospital↗

Department directors' perceptions of the roles and functions of hospital chaplains: a national survey.

A national survey of hospital directors of medicine, nursing, social services, and pastoral care was conducted to obtain opinions about the importance of various chaplain roles. On average, directors in all four disciplines rated three of the seven chaplain roles (grief and death, prayer, and emotional support) to be "very" to "extremely" important. Most of the others roles were rated between "moderately" and "very" important (religious services-rituals consultation and advocacy, community liaison-outreach). Several significant differences were found among disciplines, as physicians rated the importance of most chaplains' roles lower than did other disciplines. Overall, there was a tendency for directors in smaller hospitals, especially those with fewer than 100 patients, to place less importance on most of the chaplain roles investigated here.

Chaplaincy Service, Hospital↗

The use of volunteer community clergy as hospital pastoral care staff.

Review of six ongoing pastoral care programs which make extensive use of volunteer community clergy as Associate Chaplains indicating details of recruitment, orientation, training, volunteer benefits, cost of operation, Associate Chaplain duties, and program design. The pastoral care programs are operating in hospitals with from 227 to 498 beds and which have at least on full-time paid chaplain.

Chaplaincy Service, Hospital↗

The renaissance of pastoral care.

Administrators are finding pastoral care has a future, and a vital one. Without question, the chaplaincy of the future will not be the same as the chaplaincy of the past. Its theology will remain a constant, and its roots will hold fast, but the services will change, along with the healthcare environment in which it operates. If it wants to be an integral part of the clinical team, pastoral care must address three critical areas: spirituality, outreach, and accountability. Healing is spiritual. The meaning and purpose patients find in life, as well as their involvement with the spiritual, are key healing indicators in their treatment. As the spirituality movement articulates its value within the practice of medicine, pastoral care departments are likely to be its principal catalysts. Pastoral care departments are reassessing their ability-and the need-to see every patient, and instead are identifying those patients who will most benefit from pastoral intervention. At the same time, pastoral care services are extending beyond the hospital and will be based in many other settings in the future. If pastoral care hopes to be indispensable in the healthcare setting, it must demonstrate that it makes a contribution and a difference. This requires developing and applying clinical standards to its ministry, as well as creating an empirical data base to substantiate the efficacy of pastoral care interventions.

Chaplaincy Service, Hospital↗

Paying Peter and Paul: benefits of a hospital-based lay pastoral visitation program.

Lay chaplaincy in hospitals is an idea whose time has come. Its benefits are many. Patients receive more pastoral attention. The professional chaplain receives support and an opportunity to teach his or her craft. The hospital finds the cost-effectiveness of the chaplain greatly increased. The churches may utilize the program as a training ground for their own lay ministry. And the lay chaplains themselves are enabled to participate in a form of Christian service that is as old as the Church itself and deeply rewarding.

Chaplaincy Service, Hospital↗

Reflections of a hospital chaplain.

Jane Vieira wrote the Journal of Healthcare Chaplaincy enclosing an "open letter" reflecting on her own experience of ten years as a hospital chaplain. While this is in no way an "article," Chaplain Vieira's testimony to her love of chaplaincy was worth sharing.

Chaplaincy Service, Hospital↗

Religious perspectives of doctors, nurses, patients, and families.

Reports the results of a survey examining religious denomination, belief in a higher power, church attendance, and religious coping among physicians (N = 130), nurses (N = 39), patients (N = 77), and families (N = 60). Differences are noted and discussed. Notes that while a large proportion of patients and families found religion to be the most important factor enabling them to cope, only a small percentage of physicians felt that way. Observes that the results of this and other studies may indicate a gap in religious orientation between health care providers and patients and that such a gap could hinder the recognition of and proper care for spiritual needs in the hospital setting.

Adaptation, Psychological↗

Pastoral needs and support within an inpatient rehabilitation unit.

Because patients reported concerns regarding the adequacy of pastoral service delivery during their inpatient rehabilitation hospitalization, a study was performed to ascertain the patient's pastoral needs and the extent of pastoral services provided. After discharge from the inpatient rehabilitation hospital, patients were surveyed as to their perceived religious and spiritual needs, as well as to the extent of religious, spiritual, and pastoral services provided during their inpatient stay. The majority of responders (74%) reported their religious and spiritual beliefs were important. Forty-five percent of responders indicated not enough attention was repaid to their religious or spiritual needs, whereas only 1% felt that too much attention was paid. A majority of patients (54%) desired pastoral visitation. Other needs were elicited, including expanded pastoral services, increased staff empathy for the patient's spiritual and religious needs, and improved availability of church or synagogue services or sacraments. Many Jewish patients reported concerns of being punished by God, whereas Christian patients were concerned that God was unaware of their personal needs. Some responders, regardless of personal faith, were also troubled with fears of death, God's failure to heal, and loss of purpose in life. There is a clear need to establish a mechanism to identifying the religious and spiritual needs of each individual patient. These needs must be considered with both sensitivity and compassion by all members of the rehabilitation staff. The rehabilitation facility must also develop a mechanism to identify pastoral care resources available within the hospital and local community, and to assure that the patient's needs are addressed.

Aged↗

Assessment of pastoral needs among medical outpatients.

Reports research findings on samples of hospital outpatients, hospital inpatients, and well persons from the community in an attempt to explore the content and extent of pastoral needs among medical/surgical outpatients. Analyzes and presents statistical data which lead to the conclusion that the spiritual needs of outpatients manifest greater similarity to healthy persons in the community than to hospital inpatients. Notes limitations of the study and discusses praxis implications for chaplains.

Adult↗

Patients and staff favor night ministry program.

Patients often are more receptive to pastoral care during the night hours than during the day. When a chaplain remains in the hospital through the night, he is able to translate his religious calling into concern and love where it is most needed.

Attitude↗

A national survey of hospital directors' views about the importance of various chaplain roles: differences among disciplines and types of hospitals.

A national random sample of hospital directors was asked to rate the importance of seven categories of chaplain roles and functions: 246 nursing directors, 267 social services directors, 307 medical directors, and 611 pastoral care directors. All four groups rated end-of-life care, prayer, and emotional support as being between very important and extremely important. Other roles, including consultation, advocacy, community outreach, and religious services and rituals were rated significantly less important. Significant differences were found across disciplines and hospital settings (general, psychiatric, etc.). Medical directors rated most chaplain roles lower than other directors did, and directors in psychiatric hospitals rated all roles, except religious services/rituals, lower than their counterparts in other types of hospitals. The importance that directors accorded to all the chaplain roles examined was also influenced by their own spirituality and religiosity, as well as the religious affiliation of their institution.

Chaplaincy Service, Hospital↗