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How patients perceive the role of hospital chaplains: a preliminary exploration.

OBJECTIVE: An exploratory study of the attitudes of hospital patients to the service provided by hospital chaplains. DESIGN: Questionnaire study of hospital inpatients in December 1992. SETTING: One large teaching hospital in London. PATIENTS: 180 hospital inpatients in 14 different general wards, 168 (93%) of whom agreed to take part. MAIN MEASURES: Attitudes to chaplains and their role contained in 12 questions developed during a pilot study on hospital inpatients (16) and staff (14) and their relation to patients' age, sex, length of hospital stay, and religious beliefs, according to Kendall rank order correlations. RESULTS: Of 168(93%) respondents, 72(43%) were women; mean age of patients was 63.1 (SD 16.8) years. Forty five (27%) were inpatients of three days or less and 22(13%) for one month or more. 136(81%) were Christian; 17(10%) atheist, agnostic, or had no religion; and 15(9%) were of other religions. In general, patients showed positive attitudes towards the role of hospital chaplains and to the services they provided. The correlation analysis showed that there was a significant tendency for older patients, those who had been inpatients for longer, and those with religious beliefs to be more sympathetic to the role of hospital chaplains. CONCLUSIONS: Hospital chaplains provide a service which is appreciated by patients. This study provides a simple instrument for assessing patients' attitudes to chaplains.

Aged↗

Pastoral care: marketing "high touch".

Marketing pastoral care skills is important both within and without the health care organization. To increase administrators' awareness of the value of the pastoral care department, for example, chaplains must be able to demonstrate that their activities can affect the bottom line. They must therefore develop a system of accountability that defines and measures their services in objective terms. Such a system would include the reporting of monthly visit statistics as well as the collection of data from patients and personnel on the adequacy of pastoral care services. Other awareness-building activities could include participation in nursing practice rounds, in-service presentations, involvement in hospital social events, and placement of articles about pastoral care in hospital publications. Activities that would help to foster good community relations and thereby improve census include participation in the area clergy association, work with local church groups that visit the sick and the homebound, providing speakers to community organizations, and sponsoring a memorial Mass for families of patients who have died at the hospital. Pastoral care staff should not feel threatened by the changing health care environment. Instead they must recognize the opportunity it provides to create ways to minister to a new mix of patients and to reach new groups.

Catholicism↗

Chaplains' roles expand in redesign.

CARE 2000, the patient-focused redesign at Mercy Hospital Scripps Health San Diego, is significantly changing the roles of the facility's chaplains. On one hand, Mercy's chaplains have received training the roles of other care givers, learning, for example, how to give bed baths, take vital signs, and apply CPR. On the other the chaplains have taught courses in which other care givers learned, for example, about the differences between spirituality and religion, the grieving process, and spiritual growth. Through such cross training, Mercy's chaplains have increased their visibility in the hospital and the community, improved their communication with other care givers, and enhanced other care givers' understanding of the importance of spiritual care.

California↗

[Not Available].

Parallel with military physicians in Bulgarian army working and the military orthodox clergy. It is very important factor for success activity soldier's conscious. The author consider, that religious spirit is necessary for soldier and commander. The Moscow's newspaper "Russian world" publish on 23 January, 1913 interview by D-r Socolevsky with military epidemiologist prof. Kraws were the professor said: "The chaplains much help me in the control over the cholera, especially near Chataldga 1912-1913. They saved Bulgaria army from the cholera, this terribly whip." The physicians Sikarsky, Goldmier,Stamatov and others write that the chaplains execute his duty as exemplary hospitals. Command of the military clergy during the period 1912-1918 is Velikoturnovo's bishop losiv (1870-1918). He become ill on the front.

Bulgaria↗

Intimate strangers: the role of the hospital chaplain in situations of sudden traumatic loss.

Discusses the role of the hospital chaplain in situations of sudden traumatic loss making extensive use of the metaphore of the Stranger. Explicates biblical, theological, historical, and psychological perspectives on the metaphore as it appears within the Judeo-Christian tradition and critically relates this to much current crisis literature. Notes how hospital traumas demonstrate to the chaplain how God's presence may be witnessed in the strange and in ways not always placid or traditional.

Bereavement↗

Religious support from parish clergy for hospitalized parishioners: availability, evaluation, implications.

Reports the results of interviews with a random sample (N = 500) of hospital patients responding to the following questions: What percentage of hospital patients consider themselves part of a church or synagogue? How many patients identify a specific parish clergy or some other source who could provide them pastoral support? How many patients received pastoral support during hospitalization from clergy or some other person, and by visit or phone call (excluding hospital chaplains)? How do hospital patients evaluate the helpfulness of these pastoral visits? Discusses the results of the survey, implications for pastoral caregivers, and suggests future research possibilities.

Chaplaincy Service, Hospital↗

The impact of the Family Communication Coordinator (FCC) Protocol on the role stress of hospital chaplains.

The Family Communication Coordinator (FCC) Protocol was implemented to provide early family intervention and to facilitate effective communications during potential organ donation cases. Previous studies found the Protocol associated with improved donor outcome measures and with reduced role stress for ICU nurses caring for potential donors. The present study examines the impact of the Protocol on the perceived role stress of hospital chaplains serving as FCCs. All hospital chaplains serving as FCCs at an academic teaching hospital were surveyed. Their perceptions of job dimensions, role stress, job satisfaction, and commitment were measured; interviews and secondary data supplemented the surveys. The findings demonstrate that the FCC Protocol is associated with improved role stress, specifically role ambiguity and role conflict, among hospital chaplains serving as FCCs. Additionally, the findings suggest that satisfaction with the Protocol may be associated with experience with the Protocol.

Chaplaincy Service, Hospital↗

Revisiting Viktor Frankl: his contributions to the contemporary interest in spirituality and health care.

The case is made for location of spirituality to be in the body, and at the same time for the power of the spirit to transcend the body when it is afflicted. The author highlights Viktor Frankl's strongest convictions that one can survive through the shear power of one's spirit. Correspondingly, the promise of resurrection can help a Christian to maintain a vision of life, stay courageous though there may be no hope of tomorrow as we have known it. The author asserts the role of the hospital chaplain in helping the sick person to draw upon his or her spiritual strength to cope with their physical illness or affliction.

Adaptation, Psychological↗

Risks of infection to the bereaved.

Reports the results of an informal survey of over seventy emergency room (ER) nurses regarding the risk of infection to the bereaved due to blood and body fluid exposure when they are in contact with the deceased shortly after death. Results indicated that the nurses never considered the possibility of this risk. Notes that although the risk of HIV is less likely due to the fragile nature of the virus, hepatitis B and other infectious diseases can be transmitted. Suggests that hospital chaplains are in a unique position to assist in the protection of the bereaved from this potential hazard.

Attitude of Health Personnel↗

To what extent are the spiritual needs of hospital patients being met?

Although a substantial number of studies have documented the spiritual needs of hospitalized patients, few have examined the prevalence of these needs and even fewer have attempted to measure the extent to which they are being met. Since chaplains are the primary providers of spiritual care, chaplains' visits to patients would appear to provide a reasonable proxy for the latter. Based on the limited data available, we estimated the proportion of hospitalized patients who are visited by chaplains. Our analyses yielded a point estimate of 20% (+/- 10%), depending on a number of factors.

Chaplaincy Service, Hospital↗

What training should be required as an education standard for healthcare and hospital chaplains?

This document discusses training for hospital and healthcare chaplains in the light of different UK standards applied by various interested parties. It considers the different standards and concludes that there is no single applied standard for training for National Health Service (NHS) hospital chaplains across the UK. Those models that do exist take differing approaches, with some basing their systems on normatively defined views of what a chaplain needs to be effective on functional (NHS managerial) or interpersonal (clinical pastoral) levels, while others take a more hybrid approach blending these approaches with doctrinal concerns. Equally, there is wide variation across different denominations and employers. This document seeks to identify where there is common ground on domains of competence for chaplaincy training and suggest some progress for training which fits into NHS structures and systems.

Chaplaincy Service, Hospital↗

Commentary. Mid-life confessions.

Although he recalls times in his work as a hospital chaplain when he cared for people superficially, the author notes that patients themselves ministered to him, teaching him more compassionate ways to serve.

Adult↗

Evaluation of the hospital chaplain's pastoral care: Catholic and Protestant differences.

Reports the results of a questionnaire survey of Roman Catholic and Protestant insurance claimants (N = 445) who were asked to evaluate their hospital stays in terms of pastoral care, social services, and patient representatives. Discusses the results--including a ranking of the levels at which spiritual needs were met--and offers guiding questions for future research.

Adult↗

Perceptions and practices of registered nurses regarding pastoral care and the spiritual need of hospital patients.

Reports the findings of a questionnaire survey designed to examine the impact of pastoral care on patient care and job satisfaction of registered nurses (N-280) employed in a metropolitan hospital. Suggests that educational strategies be explored as a way of broadening the perspectives of nurses regarding reasons for consulting pastoral care departments.

Attitude of Health Personnel↗

The need and appropriateness of measurement and research in chaplaincy: its criticalness for patient care and chaplain department survival post 1987.

To bring their discipline, Health Care in the Spiritual Dimension, up to late 20th/early 21st century clinical science standards, chaplaincy departments must immediately start to utilize objective instruments for clinical care and for management reporting. This is critical not only for quality of patient care but also for longterm survival of chaplain departments. This paper is a major survey of the best of the numerous, recently developed, spiritual dimension instruments. Also included are examples of how clinical-research findings from a recent hospital chaplaincy study, can be interpreted to assist local chaplaincy department programs and budgets. Such measurement, when properly interpreted, also can play a key role in the future of more adequate training of spiritual health providers by theological professional schools.

Boston↗

Pastoral care of the premature baby.

A chaplain shares his learning in his attempts to deliver meaningful pastoral care to premature babies in a Neonatal Intensive Care Unit of a hospital. Explicates some of the parallels between pastoral communication with adults and with babies, noting especially the necessity of recognizing the need for creative modification of adult modes of care.

Chaplaincy Service, Hospital↗

Priest scandal hits hospitals. As pedophilia reports grow, church officials suspend at least six hospital chaplains in an effort to address alleged sexual abuse.

The growing sex abuse scandal plaguing the Roman Catholic Church has spread to many facets of the secular world, and the healthcare community is also coping with the crisis. At least six hospital chaplains have been relieved of their duties because past allegations of abuse came to light. Catholic healthcare officials are concerned that a few alleged abusers could tarnish the image of chaplains.

Catholicism↗