A. Vandenhoeck, Joost Verhoef, D. Nuzum, P. Mösli, David Neuhold, Simon Peng-Keller, Traugott Roser, L. Ross, W. Smeets, A. Snowden, W. Mcsherry
“If it is not charted: it did not happen.” The charting of healthcare chaplaincy contacts in patient files has been controversially discussed in the literature in recent years. In particular, entries in digital medical records raise questions among pastoral care managers about confidentiality, data protection regulations and managerial interests. The European White Paper on charting in healtcare chaplaincy argues that charting chaplaincy contacts with patients and relatives (1) makes their spiritual needs visible, (2) contributes to improved interprofessional communication about chaplaincy and (3) makes the work of chaplains transparant. Charting improves the quality of care for patients, promotes the professionalism of chaplaincy and facilitates interdisciplinary exchange and multi-professional cooperation. It should be noted that entries in patient files should be made as if the patient were reading them. Descriptions must be adequate, understandable and concrete: The reason for the contact, assessment, changes resulting from the contact, interventions made and further planning are five steps of patientcentred pastoral care documentation. They respect patient rights and the principles of clinical ethics. In each case, questions of the software used, access rights and the use of the collected data material need to be clarified. The documentation of chaplaincy contacts can improve the relationship between patient and chaplain if it is included in the care. Last but not least, chaplaincy charting creates a data basis for practice-oriented research and training and for the development of the profession.
{"title":"Charting by Chaplains in Healthcare: White Paper of the European Research Institute for Chaplains in HealthCare (ERICH)","authors":"A. Vandenhoeck, Joost Verhoef, D. Nuzum, P. Mösli, David Neuhold, Simon Peng-Keller, Traugott Roser, L. Ross, W. Smeets, A. Snowden, W. Mcsherry","doi":"10.1558/HSCC.20583","DOIUrl":"https://doi.org/10.1558/HSCC.20583","url":null,"abstract":"“If it is not charted: it did not happen.” The charting of healthcare chaplaincy contacts in patient files has been controversially discussed in the literature in recent years. In particular, entries in digital medical records raise questions among pastoral care managers about confidentiality, data protection regulations and managerial interests.\u0000The European White Paper on charting in healtcare chaplaincy argues that charting chaplaincy contacts with patients and relatives (1) makes their spiritual needs visible, (2) contributes to improved interprofessional communication about chaplaincy and (3) makes the work of chaplains transparant. Charting improves the quality of care for patients, promotes the professionalism of chaplaincy and facilitates interdisciplinary exchange and multi-professional cooperation. It should be noted that entries in patient files should be made as if the patient were reading them. Descriptions must be adequate, understandable and concrete: The reason for the contact, assessment, changes resulting from the contact, interventions made and further planning are five steps of patientcentred pastoral care documentation. They respect patient rights and the principles of clinical ethics. In each case, questions of the software used, access rights and the use of the collected data material need to be clarified.\u0000The documentation of chaplaincy contacts can improve the relationship between patient and chaplain if it is included in the care. Last but not least, chaplaincy charting creates a data basis for practice-oriented research and training and for the development of the profession.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41716399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is an international movement towards integrated care. This systema- tized literature review studied healthcare chaplaincy spiritual care interventions that support adult mental health by integrating health and social care. Seventeen relevant studies were found. One analysed individual and family care in a general hospital. Twelve described one-to-one community-based interventions, of which ten concerned general practice healthcare centres. Four involved groups supporting mental health in hospitals or community-centres. Two studies used qualitative approaches, seven quantitative and eight mixed methods. The quality of evidence for the outcomes of interventions was examined. The review found that studies demonstrated shifts in healthcare professionals’ working practices anticipated by Paterson (2014), from hospital towards community bases, from treatment of individuals towards empowering ser- vice users to self-manage their health, and in mental health contexts from treatment of individuals towards care in groups.
{"title":"How Do Healthcare Chaplaincy Spiritual Care Interventions Support Adults’ Mental Health by Integrating Health and Social Care?: A Review of Primary Research Studies Published in English 2010–2019","authors":"Martyn Skinner, Simon J. A. Mason, Neil Cockling","doi":"10.1558/HSCC.20588","DOIUrl":"https://doi.org/10.1558/HSCC.20588","url":null,"abstract":"There is an international movement towards integrated care. This systema- tized literature review studied healthcare chaplaincy spiritual care interventions that support adult mental health by integrating health and social care. Seventeen relevant studies were found. One analysed individual and family care in a general hospital. Twelve described one-to-one community-based interventions, of which ten concerned general practice healthcare centres. Four involved groups supporting mental health in hospitals or community-centres. Two studies used qualitative approaches, seven quantitative and eight mixed methods. The quality of evidence for the outcomes of interventions was examined. The review found that studies demonstrated shifts in healthcare professionals’ working practices anticipated by Paterson (2014), from hospital towards community bases, from treatment of individuals towards empowering ser- vice users to self-manage their health, and in mental health contexts from treatment of individuals towards care in groups.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42514729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In response to van Holten and Walton’s critique (van Holten & Walton, 2020, 2022) of John Swinton’s theological approach to time and disability (Swinton, 2016, 2020), John Swinton is joined by the theological ethicist Professor Brian Brock. Swinton and Brock argue that while van Holten and Walton claim to be attempting to open up a dialogue, this is debatable. Dialogue is necessary for conversations such as these, but the thrust of their work has been focused on criticism and argument, without any constructive proposals for theory or practice. This might be acceptable if we were simply discussing concepts and ideas. It is less convincing when we are dealing with real people. As per their previous work, van Holten and Walton constantly attempt to push their ideas into practice without actually taking experience into consideration, which leads to significant contradictions and problems. In this article, we explore van Holten and Walton’s approach to theology and doing theology – what theology is, who should be allowed to participate in its formation and what approaches are considered appropriate, and, importantly, who makes that decision. We examine some of the significant problems with their position when it comes to examining complex real-world issues such as the experience of dementia and disability. The current article engages with the various criticisms and concerns that are put forward, and highlights some of our concerns and worries about the flaws in their approach and their lack of awareness of or attention to its implications for practice. Despite the fact that we are far apart on many issues, the article concludes that there may actually be a way forward if the desire for dialogue is taken seriously. The article ends with a constructive proposition that has the potential to positively ground and encourage future conversations between practical and philosophical theology.
{"title":"The Importance of Dialogue for Pastoral Theological Development: Some Reflections on van Holten and Walton’s Theological Method and its Problems with the “Timelessness of God”","authors":"J. Swinton, B. Brock","doi":"10.1558/HSCC.19766","DOIUrl":"https://doi.org/10.1558/HSCC.19766","url":null,"abstract":"In response to van Holten and Walton’s critique (van Holten & Walton, 2020, 2022) of John Swinton’s theological approach to time and disability (Swinton, 2016, 2020), John Swinton is joined by the theological ethicist Professor Brian Brock. Swinton and Brock argue that while van Holten and Walton claim to be attempting to open up a dialogue, this is debatable. Dialogue is necessary for conversations such as these, but the thrust of their work has been focused on criticism and argument, without any constructive proposals for theory or practice. This might be acceptable if we were simply discussing concepts and ideas. It is less convincing when we are dealing with real people. As per their previous work, van Holten and Walton constantly attempt to push their ideas into practice without actually taking experience into consideration, which leads to significant contradictions and problems. In this article, we explore van Holten and Walton’s approach to theology and doing theology – what theology is, who should be allowed to participate in its formation and what approaches are considered appropriate, and, importantly, who makes that decision. We examine some of the significant problems with their position when it comes to examining complex real-world issues such as the experience of dementia and disability. The current article engages with the various criticisms and concerns that are put forward, and highlights some of our concerns and worries about the flaws in their approach and their lack of awareness of or attention to its implications for practice. Despite the fact that we are far apart on many issues, the article concludes that there may actually be a way forward if the desire for dialogue is taken seriously. The article ends with a constructive proposition that has the potential to positively ground and encourage future conversations between practical and philosophical theology.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43182473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Values Based Reflective Practice (VBRP®) is a group reflection framework widely utilized within healthcare settings across Scotland, where groups of colleagues meet and discuss their workplace-based experiences using the VBRP® structure. The VBRP® model has previously been noted within HSCC as assisting “courageous conversations” about working in a caring vocation (Bunniss, 2021a, 2021b). Despite its national platform, however, there has been limited evaluation of VBRP®. Aim: This study explores the impact of VBRP® as a reflective tool among undergraduate medical students. Method: A qualitative action research methodology was used. Results: Three themes were identified from the data: overcoming barriers to reflection during VBRP®; enhancing reflection through the social nature of VBRP®; participants’ perceptions of reflection through the lens of VBRP®. Conclusion: VBRP® enabled deeper, more authentic reflection and enhanced written reflection abilities due to its social nature. It promoted the formation of peer support networks and positive coping mechanisms among medical students. Teamworking and group relationships were also improved.
{"title":"“It’s Real, It’s Much More Real”: An Exploration of Values Based Reflective Practice ® as a Reflective Tool","authors":"Heather Kennedy, J. Kennedy","doi":"10.1558/hscc.19832","DOIUrl":"https://doi.org/10.1558/hscc.19832","url":null,"abstract":"Values Based Reflective Practice (VBRP®) is a group reflection framework widely utilized within healthcare settings across Scotland, where groups of colleagues meet and discuss their workplace-based experiences using the VBRP® structure. The VBRP® model has previously been noted within HSCC as assisting “courageous conversations” about working in a caring vocation (Bunniss, 2021a, 2021b). Despite its national platform, however, there has been limited evaluation of VBRP®. Aim: This study explores the impact of VBRP® as a reflective tool among undergraduate medical students. Method: A qualitative action research methodology was used. Results: Three themes were identified from the data: overcoming barriers to reflection during VBRP®; enhancing reflection through the social nature of VBRP®; participants’ perceptions of reflection through the lens of VBRP®. Conclusion: VBRP® enabled deeper, more authentic reflection and enhanced written reflection abilities due to its social nature. It promoted the formation of peer support networks and positive coping mechanisms among medical students. Teamworking and group relationships were also improved.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47822112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this article, Wilko van Holten and Martin Walton continue the exchange with John Swinton regarding the understanding and usefulness of the “timelessness of God” (Swinton, 2016) in the context of dementia (see HSCC 8(1), “A Critical Appraisal of John Swinton’s Theology of Time and Memory” by van Holten and Walton, 2020, and “A Rejoinder to van Holten and Walton” by Swinton, 2020a). Both van Holten and Walton argue that Swinton’s restatement of God’s eternal presence in terms of unchangeableness comes with a serious theological price, namely, a static image of the divine. Swinton’s refusal to pay this price points to a tension in his thinking on this point. The authors adduce some empirical evidence to substantiate the claim that a timeless and immutable God is psycho-spiritually less appropriate in the context of pastoral care. For van Holten and Walton, their major concern is not with the intentions or conclusions at which Swinton arrives, but with the way in which he argues for those conclusions and expresses these intentions. In this exchange, practical and philosophical theology meet, and the authors explore some of the questions which are raised. These questions ultimately are concerned with theological method. A response to this article by Swinton will also be published in this issue of HSCC (see Swinton, 2022).
{"title":"Timelessness, Dementia and the Appeal to Practice: A Response to Swinton’s Rejoinder","authors":"Wilko van Holten, M. Walton","doi":"10.1558/HSCC.18876","DOIUrl":"https://doi.org/10.1558/HSCC.18876","url":null,"abstract":"In this article, Wilko van Holten and Martin Walton continue the exchange with John Swinton regarding the understanding and usefulness of the “timelessness of God” (Swinton, 2016) in the context of dementia (see HSCC 8(1), “A Critical Appraisal of John Swinton’s Theology of Time and Memory” by van Holten and Walton, 2020, and “A Rejoinder to van Holten and Walton” by Swinton, 2020a). Both van Holten and Walton argue that Swinton’s restatement of God’s eternal presence in terms of unchangeableness comes with a serious theological price, namely, a static image of the divine. Swinton’s refusal to pay this price points to a tension in his thinking on this point. The authors adduce some empirical evidence to substantiate the claim that a timeless and immutable God is psycho-spiritually less appropriate in the context of pastoral care. For van Holten and Walton, their major concern is not with the intentions or conclusions at which Swinton arrives, but with the way in which he argues for those conclusions and expresses these intentions. In this exchange, practical and philosophical theology meet, and the authors explore some of the questions which are raised. These questions ultimately are concerned with theological method. A response to this article by Swinton will also be published in this issue of HSCC (see Swinton, 2022).","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41248884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biddington, T. (2021). Multifaith spaces: History, development, design and practice.","authors":"S. Nolan","doi":"10.1558/HSCC.42716","DOIUrl":"https://doi.org/10.1558/HSCC.42716","url":null,"abstract":"Biddington, T. (2021). Multifaith spaces: History, development, design and practice. London: Jessica Kingsley Publishers. 224pp. (Pbk). ISBN: 9781785924781.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44010665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article presents a pilot study on pastors and deacons serving as hospital chaplains who provide spiritual care within a large urban hospital in Sweden. This descriptive study presents a unique contextual insight into Swedish hospital chaplains’ experiences. The purpose of this article, through the analysis of semi-structured interview material, is to describe hospital chaplains’ ability to meet medical staff and patients’ expectations. The results of the analysis are presented under three headings: chaplains in secularized spaces; chaplains filling in gaps; and cultural diversity. This will hopefully promote a conversation about the developing role of Swedish hospital chaplains in times of societal change. More research is encouraged to better detail the topic of the developing role through voices of hospital chaplains from other faith communities.
{"title":"The Dynamics of Spiritual Care Among Swedish Hospital Chaplains: Approaching the Future in the Present","authors":"Jan Grimell, H. Bradby","doi":"10.1558/HSCC.18737","DOIUrl":"https://doi.org/10.1558/HSCC.18737","url":null,"abstract":"This article presents a pilot study on pastors and deacons serving as hospital chaplains who provide spiritual care within a large urban hospital in Sweden. This descriptive study presents a unique contextual insight into Swedish hospital chaplains’ experiences. The purpose of this article, through the analysis of semi-structured interview material, is to describe hospital chaplains’ ability to meet medical staff and patients’ expectations. The results of the analysis are presented under three headings: chaplains in secularized spaces; chaplains filling in gaps; and cultural diversity. This will hopefully promote a conversation about the developing role of Swedish hospital chaplains in times of societal change. More research is encouraged to better detail the topic of the developing role through voices of hospital chaplains from other faith communities.","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48455661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Religious, Spiritual, Pastoral … and Secular? Where Next for Chaplaincy?","authors":"S. Nolan, D. Maclaren","doi":"10.1558/HSCC.42735","DOIUrl":"https://doi.org/10.1558/HSCC.42735","url":null,"abstract":"","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45136929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Three important areas are covered in this issue of HSCC: (i) COVID-19, (ii) spiritual support and (iii) reflective practice – all fundamental to the future of chaplaincy. It is important to note that various formal research methodologies (whether quantitative or qualitative) are utilized across all three areas in this issue, and all are indicative of the changing nature of chaplaincy increasing its evidence-based practice. Indeed, the emphasis on evidenced-based practice within chaplaincy has become considerable since the turn of the twenty-first century. This is particularly important given the previous humanistic models (i.e. biomedical, bio-psychological, bio-psychosocial), which have mostly (whether deliberately or subconsciously) avoided or opposed the inclusion of religious or spiritual care within health and social care contexts due to the lack of empirical evidence. This century seems to be advancing with an increased recognition of the need for a more truly holistic approach to health and well-being; namely, the utilization of the bio-psychosocial-spiritual model of care (Sulmasy, 2002), which intentionally encourages religion and spirituality research, and the encompassing of those from any faith and those with non-religious belief systems. The bio-psychosocial-spiritual model is also increasingly important for ensuring that there is appropriate religious/spiritual care for future
{"title":"COVID-19, Spiritual Support and Reflective Practice","authors":"Lindsay. B. Carey","doi":"10.1558/HSCC.42733","DOIUrl":"https://doi.org/10.1558/HSCC.42733","url":null,"abstract":"Three important areas are covered in this issue of HSCC: (i) COVID-19, (ii) spiritual support and (iii) reflective practice – all fundamental to the future of chaplaincy. It is important to note that various formal research methodologies (whether quantitative or qualitative) are utilized across all three areas in this issue, and all are indicative of the changing nature of chaplaincy increasing its evidence-based practice. Indeed, the emphasis on evidenced-based practice within chaplaincy has become considerable since the turn of the twenty-first century. This is particularly important given the previous humanistic models (i.e. biomedical, bio-psychological, bio-psychosocial), which have mostly (whether deliberately or subconsciously) avoided or opposed the inclusion of religious or spiritual care within health and social care contexts due to the lack of empirical evidence. This century seems to be advancing with an increased recognition of the need for a more truly holistic approach to health and well-being; namely, the utilization of the bio-psychosocial-spiritual model of care (Sulmasy, 2002), which intentionally encourages religion and spirituality research, and the encompassing of those from any faith and those with non-religious belief systems. The bio-psychosocial-spiritual model is also increasingly important for ensuring that there is appropriate religious/spiritual care for future","PeriodicalId":37483,"journal":{"name":"Health and Social Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49392230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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