Abstract:A study assessing the expectations patients and loved ones have of hospital chaplains was conducted at Ascension St. Vincent Indiana hospitals. In-person interviews were conducted with 452 patients and loved ones during an inpatient stay. The survey instrument was a modified version of a survey developed by Dr. Katherine Piderman of the Mayo Clinic. Participants answered questions regarding demographics, awareness of availability, expectations of visits, reasons for wanting to see a chaplain and gave feedback … Show more
“…Furthermore, the role of chaplains in medical decision-making has gained additional visibility in recent years [ 41 ]. Most of these publications described chaplains' in-hospital role in family conferences or with palliative care teams but have not addressed periviable delivery contexts other than stillbirths [ 26 , [42] , [43] , [44] , [45] ]. Utilizing chaplain decision coaches with patients at risk of periviable delivery expands chaplains' skills to a population whose spiritual care needs were previously underserved by chaplains.…”
“…Furthermore, the role of chaplains in medical decision-making has gained additional visibility in recent years [ 41 ]. Most of these publications described chaplains' in-hospital role in family conferences or with palliative care teams but have not addressed periviable delivery contexts other than stillbirths [ 26 , [42] , [43] , [44] , [45] ]. Utilizing chaplain decision coaches with patients at risk of periviable delivery expands chaplains' skills to a population whose spiritual care needs were previously underserved by chaplains.…”
“…This is in contrast to the delivery location of many spiritual care visits in the inpatient setting. 30,31 However, spiritual care by phone is becoming increasingly acceptable in chaplaincy practice—especially given recent experiences with the COVID-19 pandemic. 17,20,32,33 Spiritual care delivered by phone has notable benefits similar to virtual visits for clinical care: the care recipient is able to engage with a chaplain in a meaningful way without having to travel long distances, arrange childcare, or take extended time off from work, thus removing some barriers associated with healthcare access.…”
Background: Although religion and spirituality are important to adults with cancer and their family caregivers, few studies have tested spiritual care interventions in the outpatient setting. Aim: To determine the feasibility, acceptability, and preliminary effects of chaplain-delivered, semi-structured spiritual care to adult outpatients with advanced cancer and their caregivers. Design: In this pre/post pilot intervention study, board-certified chaplains utilized the Spiritual Care Assessment and Intervention (SCAI) framework during 4 individual sessions. Surveys at baseline and at 1, 6, and 12 weeks post-intervention assessed spiritual well-being, quality of life, depression, anxiety, and religious coping. Setting/Participants: We enrolled U.S. adult outpatients with or without an eligible family caregiver. Eligible patients were at least 18 years old and at least 2 weeks post-diagnosis of incurable and advanced-stage lung or gastrointestinal (GI) cancer. Results: Of 82 eligible patients, 24 enrolled (29.3%); of 22 eligible caregivers, 18 enrolled (81.8%). Four planned chaplain visits were completed by 87.5% of patients and 77.8% of caregivers. All enrolled participants completed baseline surveys, and more than 75% completed follow-up surveys at 2 of 3 time points. More than 80% of patients and caregivers reported they would recommend the sessions to a friend or family member. Patients’ spiritual well-being improved significantly at all timepoints compared to baseline: 1-week post (p < .006), 6-weeks post (p < .001), and 12-weeks post (p < .004). Conclusions: Spiritual care through SCAI is feasible, acceptable, and shows promise in improving spiritual well-being and other important outcomes in advanced-stage cancer patients and family caregivers. Further investigation is warranted.
“…They can support older adults in the search for meaning in life, reconciliation with (past) life, experiencing peace and hope, coping with death, and in reflecting on and deepening the role of spirituality in one’s life (Prause et al, 2020 ; Timmins et al, 2018 ; Visser et al, 2023 ; Wells et al, 2021 ). Recent research has shown that patients feel satisfied when they receive chaplaincy care and that their spiritual needs are met (Kirchoff et al, 2021 ; Marin et al, 2015 ; Muehlhausen et al, 2022 ; Tan et al, 2020 ). Also, patients highly appreciate the chaplain's presence, trusting relationship, attentive listening, and familiarity (McCormick & Hildebrand, 2015 ; Sailus, 2017 ).…”
The present non-randomized clinical trial examined the short-term outcomes of one-on-one chaplaincy interventions with 416 geriatric patients in Belgium. Participants were interviewed one or two days before a potential chaplaincy intervention (baseline measurement), and one or two days after a potential intervention (post-measurement). Patients in the non-randomized intervention group received an intervention by the chaplain, while the non-randomized comparison group did not. Patients in the intervention group showed a significant decrease in state anxiety and negative affect, and a significant improvement in levels of hope, positive affect, peace, and Scottish PROM-scores, compared to the comparison group. Levels of meaning in life and faith did not significantly change after the chaplaincy intervention. This study suggests that geriatric patients may benefit from chaplaincy care and recommends the integration of chaplaincy care into the care for older adults.
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