The Effect of Chaplain Patient Navigators and Multidisciplinary Family Meetings on Patient Outcomes in the ICU: The Critical Care Collaboration and Communication Project

Alghanim, Fahid; Furqan, Muhammad; Prichett, Laura; Landon, Jondavid; Tao, Xuguang Grant; Selvam, Pooja V.; Leslie, Myles; Hartman-Shea, Katherine; Teague, Paula; Scott, Wayman; Kraeuter, Susan; Hicks, Heather; Jain, Sneha; York, Sarah; Blanding, Renee; Zakaria, Sammy

doi:10.1097/cce.0000000000000574

Cited by 9 publications

(5 citation statements)

References 43 publications

(72 reference statements)

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“…Some chaplains worry, therefore, that adopting this term as central to their professional identity will result in an instrumentalization of this discipline toward objectives such as productivity, societal participation, and cost reduction. In a sense, this trend can already be observed in studies that examine the effects of chaplaincy on well-being, (mental) health, and care costs (Alghanim et al 2021;Buelens et al 2023;Kirchoff et al 2021). Molenaar (2016Molenaar ( , 2022 also notes this movement in the professional profile by the VGVZ, where it states that: "Through the systematic and methodical attention to meaning and belief systems, spiritual caregivers contribute to the well-being of people in relation to themselves, others and their environment."…”

Section: Meaning As Instrumental To External Objectivesmentioning

confidence: 83%

“…Studies on the relationship between spirituality, spiritual care, emotional well-being, and quality of life consistently show very small effect sizes that rarely reach statistical significance (Buelens et al 2023;Garssen et al 2021;Kirchoff et al 2021). Alghanim et al (2021) even found that introducing chaplains to an intensive care unit (ICU) who facilitated communication, offered support, and organized multidisciplinary family-meetings was associated with longer stays in the hospital and the ICU, and with higher costs compared to a control group that did not work with a chaplain. This does not mean that chaplaincy might not indirectly affect well-being and quality of life.…”

Section: Meaning As Instrumental To External Objectivesmentioning

confidence: 99%

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Positioning Chaplaincy in the Pluralistic and Multidisciplinary Dutch Care Context

Visser,

Zock,

Muthert

2023

Religions

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The professional identity of chaplains is under question because of societal trends of disaffiliation from and pluralization of religion, and of deinstitutionalization of care. Chaplaincy in the Netherlands looks to discourse around “meaning” to navigate these challenges. The use of the term “meaning” as the central concept in the professional identity of chaplaincy (and, by extension, spiritual care) is not undisputed, however. There are three related critiques: 1. Meaning and meaning-making have a strong cognitive and intentional connotation, which does not do justice to the lived experience of meaning and might lead to a medicalization of meaning. 2. The term meaning places the professional identity of chaplaincy in the instrumental discourse of other professions, which might lead to “abuse” of spiritual care toward external objectives such as health, (hedonistic) well-being, and/or economic gain, instead of internal objectives such as faith and spirituality. 3. A focus on meaning leads to a marginalization of religion, both societally and within chaplaincy, which might negatively affect chaplaincy’s core competence of hermeneutic understanding and worldview counseling. We conclude that finding one language to present the discipline might not be feasible and desirable. Instead, we advocate for the revitalization of the hermeneutic competency of chaplains.

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Section: Meaning As Instrumental To External Objectivesmentioning

confidence: 83%

Section: Meaning As Instrumental To External Objectivesmentioning

confidence: 99%

Positioning Chaplaincy in the Pluralistic and Multidisciplinary Dutch Care Context

Visser,

Zock,

Muthert

2023

Religions

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“…She describes chaplains’ work in terms of individual support, rituals and ceremonies, mediating and bridging community, and being present to show how institutional more than personal factors shape what chaplains do (Cadge 2023). Additional typologies of chaplains’ work, some connected to outcomes, further delineate how chaplains spend their time and the influence it can have on patient satisfaction, anxiety, and other individual level measures of recipient well-being (Alghanim et al 2021; Chow et al 2021; Damen et al 2020; Labuschagne et al 2021; Snowden and Telfer 2017; Tan et al 2020).…”

Section: Literature Reviewmentioning

confidence: 99%

The Persistence of Religion as a Master Status for Chaplains

Lawton,

Cadge

2023

Review of Religious Research

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The chaplain’s role, as perceived by chaplains, is well-studied. The ways in which care-recipients understand the chaplain’s role is not. This article analyzes interviews with 38 people who interacted with chaplains. We find that respondents understood the chaplain’s job to be multidimensional. We describe this multidimensionality through a “jobs to be done” framework showing that chaplains offer social listening, emotional comfort, and functional practical religious support. From the perspective of care recipients, religion defines the master status of chaplains, a perspective different from that of chaplains themselves. Respondents felt that religion was the least ambiguous part of their interaction with a chaplain. These findings complicate scholarly and personal narratives that center “presence” rather than religion when talking about chaplaincy and spiritual care. We suggest that chaplains could mitigate professional identity tensions by centering desires for religious and spiritual care.

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“…Detailed studies of IDT collaboration have been conducted in hospice teams, [ 7 , 8 ] but little investigation has been done into the processes and behaviors of non-hospice palliative care teams. There has been some study of multidisciplinary and interdisciplinary support of advance care planning (ACP) and shared decision making (SDM) particularly in the intensive care unit; [ 9 – 11 ] however, the question of how specialty palliative care interdisciplinary teams support decision making in the hospital remains unanswered.…”

Section: Introductionmentioning

confidence: 99%

The role of specialty palliative care interdisciplinary team members in acute care decision support: a qualitative study protocol

MacMartin,

Zhang,

Barnato

2024

BMC Palliat Care

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Background Specialty palliative care interdisciplinary teams (IDT) can play an important role in supporting patients and family members during acute care decision-making. Despite guidelines and evidence emphasizing decision-making support as a key domain of specialty palliative care, little is known about how decision-making support is actually implemented by specialty palliative care IDTs. This study aims to (1) describe the structure and processes of inpatient decision-making support delivered by specialty palliative care IDT, and (2) examine the perspectives of IDT members on their role in this decision-support. Methods A team of clinician and non-clinician researchers will conduct non-participant observation ethnography at a single medical center in northern New England. The ethnography will focus on the work of IDT members in supporting decision making, particularly elements of specialty palliative care that have limited descriptions in the literature (e.g. systems and processes of care). Observations of formal and informal interactions between IDT members and clinical encounters will be conducted at one site over four months. Participants include patients, care partners, non-specialty palliative care providers, and specialty palliative care IDT members. Additionally, we will conduct semi-structured interviews with IDT members across three geographically diverse specialty palliative care teams across the United States to explore providers’ first-person perspective on their roles and function in decision-making support for hospitalized patients. Field notes and transcripts from observation and interviews will be uploaded to Dedoose software for management and thematic analysis following an inductive approach. Discussion To our knowledge, this will be the first observational study of the roles of interdisciplinary specialty palliative care teams. Results from this research will support further investigation into implementation of decision-making support across different types of medical teams.

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The Effect of Chaplain Patient Navigators and Multidisciplinary Family Meetings on Patient Outcomes in the ICU: The Critical Care Collaboration and Communication Project

Abstract: Supplemental Digital Content is available in the text.

Cited by 9 publications

References 43 publications

Positioning Chaplaincy in the Pluralistic and Multidisciplinary Dutch Care Context

Positioning Chaplaincy in the Pluralistic and Multidisciplinary Dutch Care Context

The Persistence of Religion as a Master Status for Chaplains

The role of specialty palliative care interdisciplinary team members in acute care decision support: a qualitative study protocol

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