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Charting by Chaplains in Healthcare: White Paper of the European Research Institute for Chaplains in HealthCare (ERICH) 医疗保健牧师制图:欧洲医疗保健牧师研究所(ERICH)白皮书
Q1 Arts and Humanities Pub Date : 2021-10-20 DOI: 10.1558/HSCC.20583
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.
“如果没有绘制图表,那就没有发生。”近年来,文献中对医疗保健牧师在患者档案中的联系方式进行了有争议的讨论。特别是,数字医疗记录中的条目在牧民护理管理人员中引发了关于保密性、数据保护法规和管理利益的问题。《欧洲健康护理牧师记录白皮书》认为,记录牧师与患者和亲属的联系(1)使他们的精神需求可见,(2)有助于改善关于牧师的跨专业沟通,(3)使牧师的工作透明化。制图提高了患者的护理质量,促进了牧师的专业化,促进了跨学科交流和多专业合作。需要注意的是,患者档案中的条目应该像患者在阅读一样。描述必须充分、可理解和具体:接触的原因、评估、接触引起的变化、采取的干预措施和进一步的计划是以患者为中心的田园护理文件的五个步骤。他们尊重患者权利和临床伦理原则。在每种情况下,都需要澄清所使用的软件、访问权和所收集数据材料的使用问题。如果护理中包括牧师联系人的文件,可以改善患者和牧师之间的关系。最后但同样重要的是,牧师图表为面向实践的研究和培训以及职业发展创造了数据基础。
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引用次数: 3
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 医疗牧师的精神关怀干预如何通过整合健康和社会关怀来支持成人的心理健康?: 2010-2019年英文版发表的主要研究综述
Q1 Arts and Humanities Pub Date : 2021-09-22 DOI: 10.1558/HSCC.20588
Martyn Skinner, Simon J. A. Mason, Neil Cockling
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.
国际上正在开展综合护理运动。本系统的文献回顾研究医疗牧师的精神护理干预,通过整合健康和社会护理来支持成人心理健康。共发现17项相关研究。其中一篇分析了一家综合医院的个人和家庭护理情况。12个国家描述了一对一社区干预措施,其中10个涉及全科医疗保健中心。有4个团体参与支持医院或社区中心的心理健康。两项研究采用定性方法,七项采用定量方法,八项采用混合方法。对干预结果的证据质量进行了检查。回顾发现,研究证明了Paterson(2014)所预期的医疗保健专业人员工作实践的转变,从医院转向社区基地,从个人治疗转向授权服务用户自我管理他们的健康,以及在心理健康背景下,从个人治疗转向群体护理。
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引用次数: 1
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” 对话对牧师神学发展的重要性——对范霍尔滕和沃尔顿的神学方法及其“上帝永恒”问题的思考
Q1 Arts and Humanities Pub Date : 2021-06-15 DOI: 10.1558/HSCC.19766
J. Swinton, B. Brock
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.
为了回应范·霍尔顿和沃尔顿对约翰·斯文顿对时间和残疾的神学方法的批评(范·霍尔顿和沃尔顿,2020年,2022年)(斯文顿,2016年,2020年),神学伦理学家布莱恩·布洛克教授加入了约翰·斯文顿。斯文顿和布洛克认为,虽然范霍尔顿和沃尔顿声称试图开启对话,但这是值得商榷的。对话对于这样的对话是必要的,但他们的工作重点一直集中在批评和争论上,没有任何建设性的理论或实践建议。如果我们只是讨论概念和想法,这可能是可以接受的。当我们与真实的人打交道时,它就不那么令人信服了。正如他们之前的工作一样,van Holten和Walton不断地试图将他们的想法付诸实践,而没有真正考虑到经验,这导致了重大的矛盾和问题。在这篇文章中,我们将探讨van Holten和Walton研究神学和做神学的方法——神学是什么,谁应该被允许参与神学的形成,什么样的方法被认为是合适的,更重要的是,谁来做决定。当涉及到研究复杂的现实世界问题,如痴呆症和残疾的经历时,我们研究了一些与他们的立场有关的重大问题。当前的文章涉及到提出的各种批评和关注,并强调了我们对他们方法中的缺陷以及他们缺乏对实践影响的认识或关注的一些关注和担忧。尽管我们在许多问题上存在很大分歧,但文章的结论是,如果认真对待对话的愿望,实际上可能会有一条前进的道路。文章以一个建设性的命题结束,这个命题有可能积极地奠定和鼓励未来实践神学和哲学神学之间的对话。
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引用次数: 1
“It’s Real, It’s Much More Real”: An Exploration of Values Based Reflective Practice ® as a Reflective Tool “它是真实的,它更真实”:探索基于价值观的反思实践®作为一种反思工具
Q1 Arts and Humanities Pub Date : 2021-03-30 DOI: 10.1558/hscc.19832
Heather Kennedy, J. Kennedy
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.
基于价值观的反思实践(VBRP®)是一种广泛应用于苏格兰医疗保健机构的小组反思框架,在那里,同事小组使用VBRP®结构开会并讨论他们基于工作场所的经验。VBRP®模型先前在HSCC中被指出有助于在关怀职业中工作的“勇敢对话”(Bunniss, 2021a, 2021b)。然而,尽管VBRP®是国家平台,但对其的评价有限。目的:本研究探讨VBRP®作为一种反思工具在医学本科学生中的影响。方法:采用定性行动研究方法。结果:从数据中确定了三个主题:克服VBRP®期间的反思障碍;通过VBRP®的社会性质加强反思;参与者通过VBRP®透镜对反射的感知。结论:VBRP®由于其社会性,使反思更深入、更真实,并增强了书面反思能力。它促进了医学生同伴支持网络和积极应对机制的形成。团队合作和团队关系也得到了改善。
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引用次数: 2
Timelessness, Dementia and the Appeal to Practice: A Response to Swinton’s Rejoinder 永恒、痴呆和对实践的诉求:对斯文顿的反驳的回应
Q1 Arts and Humanities Pub Date : 2021-03-30 DOI: 10.1558/HSCC.18876
Wilko van Holten, M. Walton
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).
在本文中,威尔科·范·霍尔顿和马丁·沃尔顿继续与约翰·斯文顿就痴呆症背景下“上帝的永恒性”(斯文顿,2016)的理解和有用性进行交流(见HSCC 8(1),“对约翰·斯文顿的时间和记忆神学的批判性评价”,范·霍尔顿和沃尔顿,2020,以及“对范·霍尔顿和沃尔顿的反驳”,斯文顿,2020a)。范·霍尔顿和沃尔顿都认为,斯文顿以不可改变的方式重述上帝的永恒存在,这需要付出沉重的神学代价,即上帝的静态形象。斯温顿拒绝付出这样的代价,表明他在这一点上的思想存在紧张。作者引用了一些经验证据来证实一个永恒不变的上帝在精神上和精神上不太适合教牧关怀的说法。对于范·霍尔顿和沃尔顿来说,他们主要关心的不是斯文顿得出的意图或结论,而是他论证这些结论和表达这些意图的方式。在这种交流中,实践神学和哲学神学相遇,作者探讨了提出的一些问题。这些问题最终都与神学方法有关。Swinton对这篇文章的回应也将发表在本期的HSCC上(见Swinton, 2022)。
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引用次数: 2
"It's real, it's much more real": An exploration of Values-Based Reflective Practice© as a reflective tool “这是真实的,更真实”:探索基于价值观的反思实践©作为一种反思工具
Q1 Arts and Humanities Pub Date : 2021-03-02 DOI: 10.1558/hscc.42191
Heather Kennedy, Jennifer Kennedy
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引用次数: 0
Biddington, T. (2021). Multifaith spaces: History, development, design and practice. 毕丁顿,T.(2021)。多元信仰空间:历史、发展、设计与实践。
Q1 Arts and Humanities Pub Date : 2021-02-25 DOI: 10.1558/HSCC.42716
S. Nolan
Biddington, T. (2021). Multifaith spaces: History, development, design and practice. London: Jessica Kingsley Publishers. 224pp. (Pbk). ISBN: 9781785924781.
毕丁顿,T.(2021)。多元信仰空间:历史、发展、设计与实践。伦敦:杰西卡·金斯利出版社,224页。(Pbk)。ISBN: 9781785924781。
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引用次数: 0
The Dynamics of Spiritual Care Among Swedish Hospital Chaplains: Approaching the Future in the Present 瑞典医院牧师的精神关怀动态:在当下走向未来
Q1 Arts and Humanities Pub Date : 2021-02-22 DOI: 10.1558/HSCC.18737
Jan Grimell, H. Bradby
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.
这篇文章提出了一个试点研究牧师和执事担任医院牧师谁提供精神护理在瑞典的一家大型城市医院。这一描述性研究提出了一个独特的背景洞察瑞典医院牧师的经验。本文的目的是通过对半结构化访谈材料的分析,描述医院牧师满足医务人员和患者期望的能力。分析结果分为三个标题:世俗化空间中的牧师;牧师填补空缺;文化多样性。这将有望促进关于瑞典医院牧师在社会变革时期发展作用的对话。鼓励更多的研究,以更好地详细介绍通过来自其他信仰社区的医院牧师的声音发展作用的主题。
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引用次数: 3
Religious, Spiritual, Pastoral … and Secular? Where Next for Chaplaincy? 宗教的,精神的,牧师的…和世俗的?牧师的下一步在哪里?
Q1 Arts and Humanities Pub Date : 2021-02-11 DOI: 10.1558/HSCC.42735
S. Nolan, D. Maclaren
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引用次数: 5
COVID-19, Spiritual Support and Reflective Practice 新冠肺炎、精神支持与反思实践
Q1 Arts and Humanities Pub Date : 2021-02-10 DOI: 10.1558/HSCC.42733
Lindsay. B. Carey
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
本期HSCC涵盖了三个重要领域:(i)新冠肺炎,(ii)精神支持和(iii)反思实践——所有这些都是牧师未来的基础。值得注意的是,在这一问题的所有三个领域都使用了各种正式的研究方法(无论是定量的还是定性的),所有这些都表明牧师身份的性质在变化,增加了其循证实践。事实上,自21世纪之交以来,牧师内部对循证实践的重视程度已经相当高。考虑到以前的人文主义模式(即生物医学、生物心理学、生物心理社会学),这一点尤为重要,因为缺乏经验证据,这些模式大多(无论是有意还是潜意识)避免或反对将宗教或精神护理纳入健康和社会护理环境。本世纪似乎在前进,人们越来越认识到需要对健康和福祉采取更全面的方法;即利用生物-心理-精神护理模式(Sulmasy,2002),该模式有意鼓励宗教和精神研究,并将任何信仰的人和非宗教信仰系统的人纳入其中。生物-心理-精神模式对于确保未来有适当的宗教/精神护理也越来越重要
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引用次数: 5
期刊
Health and Social Care Chaplaincy
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