Awareness and Preferences for Health Care Chaplaincy Services Among US Adults

Rajaee, Geila; Patel, Minal R.

doi:10.3122/jabfm.2021.02.200396

Cited by 6 publications

(5 citation statements)

References 32 publications

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“…Our survey tracks with both of these in terms of patients' overall interest in spiritual care, but diverges in the details. We find a clinic population that is generally open to overt religiosity such as prayer (like Piderman et al, 2010); at the same time, our patients with high religiosity report greater desire for help with secular topics (more like Rajaee & Patel, 2021). These nuances may be regional, or may reflect the additional value of assessing patients' public and private religiosity in considering their pastoral care needs.…”

Section: Discussionmentioning

confidence: 71%

“…In contrast, Piderman et al (2010), measuring mostly overtly religious individuals, found that nearly 70% of their respondents desired chaplain care, and the mostly highly endorsed reason for wanting to see a chaplain was “to be reminded of God's care and presence” followed by “prayer or scripture study.” Our survey tracks with both of these in terms of patients’ overall interest in spiritual care, but diverges in the details. We find a clinic population that is generally open to overt religiosity such as prayer (like Piderman et al, 2010); at the same time, our patients with high religiosity report greater desire for help with secular topics (more like Rajaee & Patel, 2021). These nuances may be regional, or may reflect the additional value of assessing patients’ public and private religiosity in considering their pastoral care needs.…”

Section: Discussionmentioning

confidence: 71%

“…To make sense of this finding, we compare our results against two larger-scale surveys exploring patient desire for chaplain services, one from a nationally representative sample of US adults (Rajaee & Patel, 2021) and another from a three-hospital survey in Michigan, Arizona, and Florida (Piderman et al, 2010). In Rajaee and Patel's survey, nearly 60% of US adults (religious and nonreligious) have an interest in healthcare professionals addressing spiritual care needs in healthcare settings, across respondent geography and religious/spiritual profile.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Gad et al (2022) surveyed 195 inpatients at a non-faith-based academic hospital in Toledo, OH, and found that patients with no religious identity (self-identified as atheist, agnostic, or no religion) were just as likely to want a religious/spiritual conversation initiated by their healthcare provider as religious respondents. Rajaee and Patel (2021) explored population-level preferences around outpatient and inpatient chaplaincy services in a nationally representative sample of US adults, finding that nearly 60% of US adults have an interest in professional spiritual care in healthcare settings. Not only do most patients desire spiritual care, but Marin et al (2015) also find that “patients who are seen by chaplains are more satisfied with their hospital stay.”…”

Section: Introductionmentioning

confidence: 99%

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Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic

Henderson

Oliver

Hemming

2023

J Pastoral Care Counsel

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Outpatient chaplaincy is a new specialty in healthcare, with a relative paucity of research studies exploring the need for spiritual care interventions in ambulatory settings. Over the past 3 years, our interdisciplinary team at the Duke Outpatient Clinic has piloted the extension of professional spiritual care into this hospital-based resident teaching clinic offering primary care to underserved populations in Durham, NC. In this article, we report the results of a series of surveys that we conducted at the clinic to assess patients’ perceptions of chaplain services, understanding of Chaplains’ roles, and desire for chaplain services in specific hypothetical scenarios. As part of this survey, we also asked patients about their personal levels of extrinsic and intrinsic religiosity using the well-validated Duke University Religion Index. Our results indicate which chaplain interventions are most desired among this patient population in relation to patients’ self-reported religiosity. We hypothesized that only our more religious patients would strongly desire chaplain support for the majority of scenarios presented. We were surprised to find that a majority of our patients—regardless of their own level of religiosity—express desire for support from an outpatient healthcare chaplain when they need a listening ear, are grieving a loss, or are seeking prayer.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic

Henderson

Oliver

Hemming

2023

J Pastoral Care Counsel

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“…Therefore, one way to ensure there is a focus on meaning-making is to offer mindfulness-based interventions (and mind-body interventions more broadly). In addition, existential anxiety could more explicitly be targeted through meaning-centered therapy (Masterson-Duva et al, 2020), logotherapy (Liu et al, 2021), and chaplaincy services (Rajaee & Patel, 2021). The adoption of system-based stepped and collaborative care approaches (Maehder et al, 2019) that initially focus on less-intensive treatments (e.g., patient education), and then "step up" patients to more intensive treatments (e.g., yoga for PTSD) based on initial treatment response could lessen the burden on healthcare systems that would likely occur when new types of services (e.g., meaning-centered therapy) are added.…”

Section: Future Directionsmentioning

confidence: 99%

Introducing the integrated model of co-occurring chronic pain and posttraumatic stress disorder: Adding meaning-making and existential concepts to current theory.

Reed,

Williams,

Engel

et al. 2023

Psychological Trauma: Theory, Research, Practice, and

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Objective: Making meaning out of the experience of chronic pain and posttraumatic stress disorder (PTSD) is a core process of recovery and symptom management of the comorbidity and a key active ingredient in the treatment for these conditions. Managing the effects of chronic pain and PTSD symptoms often evokes anxieties that could be considered existential (e.g., loss of meaning in life and concerns about one's identity). However, current theoretical models of co-occurring chronic pain and PTSD do not capture core meaning-making processes involved in either condition, resulting in the potential to overlook their centrality. The objective of the current work is to integrate current theoretical models of co-occurring chronic pain and PTSD with theory and science related to meaning-making and existential anxiety. Method: A targeted literature review was used to develop a novel model of co-occurring chronic pain and PTSD. Results: The present work introduces the integrated model of co-occurring chronic pain and PTSD, which is a first attempt at integrating current theoretical perspectives of co-occurring chronic pain and PTSD with the literature on meaning-making and closely related existential perspectives. We outline model-specific hypotheses and describe model implications and future directions. Conclusions: The model provides clinicians and researchers with a more thorough conceptualization of how chronic pain and PTSD interact, which symptoms to target, and which outcomes may be important for individuals who have both chronic pain and PTSD. As a result, the model has the potential to improve pain and PTSD outcomes, and perhaps health outcomes more broadly, within this population. Clinical Impact StatementIndividuals with co-occurring chronic pain and posttraumatic stress disorder (PTSD) experience a multitude of physical and mental health symptoms. Treatment for either condition often includes making meaning out of their symptoms and managing anxieties that may be considered existential (e.g., loss of meaning in life). The current work is a first attempt at integrating current theoretical perspectives of co-occurring chronic pain and PTSD with the literature on meaning-making and related existential perspectives. The model provides clinicians and researchers with a more thorough understanding of co-occurring chronic pain and PTSD and has the potential to improve outcomes relevant to this population.

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Walking-the-Walk: Attending to the “Spiritual” in Medical Family Therapy’s Biopsychosocial/Spiritual Care

2021

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Awareness and Preferences for Health Care Chaplaincy Services Among US Adults

Cited by 6 publications

References 32 publications

Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic

Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic

Introducing the integrated model of co-occurring chronic pain and posttraumatic stress disorder: Adding meaning-making and existential concepts to current theory.

Walking-the-Walk: Attending to the “Spiritual” in Medical Family Therapy’s Biopsychosocial/Spiritual Care

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