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Centering Neuro-Diversity, Inclusion, and Accessibility in Professional Fields of Care. 以专业护理领域的神经多样性、包容性和可及性为中心。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050231180788
Mary Beth Yount
This issue has excellent material revolving around community inclusivity and support, and the research and reflections can call us to examine our professional approaches and the work of our associations. We can all grow in accessible and inclusive support for colleagues, patients, and clients. The two closing items emphasize neurodiversity, especially inclusion and equity of neuro-minorities. As Jonathan Alschech, in his review of the “Love on the Spectrum” media series writes: “As healing professionals that respect and encourage the expression of each person’s full humanity, we are invited to be informed and critical viewers” of the media and society around us. This editor would add our professional fields and associations to this critical study as well. Alschech addresses our responsibility in terms of an “emancipatory, equity-diversity-inclusion (EDI) centered approach” (2023). Our professional fields and practices of care require advocacy and uplifting of diverse perspectives and ways of being. Supportive and professional caregiving fields such as clinical counseling, chaplaincy, pastoral care, and teaching, will always include practitioners and clients/patients/students that have, as Alschech writes, “an open, wide, and complex multiplicity of ways in which people experience and process sensory stimuli, experience and understand other people and social interactions, use and understand language and non-verbal communication, and regulate their emotions and behaviors” (2023). In what ways are we allowing an appreciation of neurodiversity to inform our professions? Are we acknowledging the gifts brought by such varied perspectives and experiences in our colleagues as well as those from our clients? Are we accommodating and supporting providers who might be on the autism spectrum by making implicit processes more explicit? Many of the professional fields of care have, as the article in this issue by Robert Klitzman et al. highlights, subjective and imprecise roles and processes. In addressing “spiritual, religious and existential issues, stresses and care involve inherent subjectivities and are therefore ill defined, making the boundaries of chaplains’ roles relatively diffuse and blurry” (2023). There are many unspoken social cues in such practices of care, requiring the professional to make ongoing decisions about when to end particular visits as well as therapeutic relationships. Persons with autism or otherwise neurodiverse, whether professional care providers or patients/families, are likely to find implicit cues challenging to provide or interpret. Chaplains, pastors, and other professionals often rely on verbal and nonverbal cues to determine how to proceed with each patient and family, including frequency and duration of visits. Training programs should include education in these areas, including social stories and scripts to support practitioners in navigating this ambiguous and subjective space. Accommodating to make the implicit more e
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引用次数: 0
The Importance of Timing, Fundamental Attitudes, and Appropriate Interventions as Key Aspects of Chaplain Suicide Prevention: A European Expert Panel of Mental Health Chaplains. 时间的重要性,基本态度和适当的干预措施,作为牧师自杀预防的关键方面:一个欧洲心理健康牧师专家小组。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050221141047
Serena Margaret Saliba, Birgitta Fält, David O'Connell, Thomas Sjöberg, Ulla Britt Holm Sørensen, Martijn Steegen, Josh Turner, Anne Vandenhoeck

An expert panel consisting of six mental health chaplains from several European countries was convened to ascertain the specific contribution of mental health chaplains to suicide prevention, and to generate good practices for suicide prevention. Three themes emerged: (1) the importance of timing; (2) fundamental attitudes of the chaplain towards the patient, and (3) appropriate interventions.

召集了一个由来自几个欧洲国家的六名精神卫生牧师组成的专家小组,以确定精神卫生牧师对预防自杀的具体贡献,并制定预防自杀的良好做法。出现了三个主题:(1)时机的重要性;(2)牧师对病人的基本态度;(3)适当的干预措施。
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引用次数: 1
War Comes Home. 战争回来了。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050231171393
Carroll E Arkema
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引用次数: 4
A Mixed-Methods Pilot Study of a Well-Being Intervention for Healthcare Chaplains. 保健牧师福祉干预的混合方法试点研究。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050221146510
Stephanie L Harris, Amanda T Sawyer, Hong Tao, Amanda K Bailey
This mixed-methods pilot study explored the psychological and emotional experiences of chaplains and the feasibility, acceptability, and impact of workshops designed to support chaplain well-being. After the workshops, scores on a measure of self-compassion increased, while secondary traumatic stress and burnout scores decreased. Qualitative data reflected the range of experiences of chaplaincy as well as the benefits of the workshops. This pilot study supports further exploration of organizational interventions to promote chaplain well-being.
这项混合方法的试点研究探讨了牧师的心理和情感体验,以及旨在支持牧师幸福感的研讨会的可行性、可接受性和影响。工作坊结束后,自我同情的得分上升,而二次创伤压力和倦怠的得分下降。定性数据反映了牧师经历的范围以及讲习班的益处。本研究支持进一步探索组织干预以促进牧师幸福感。
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引用次数: 2
Extraordinary Attorney Woo (2022). 特别律师吴(2022)。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050231177087
Florence Gelo
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引用次数: 0
Exiting Patients' Rooms and Ending Relationships: Questions and Challenges Faced by Hospital Chaplains. 退出病房和结束关系:医院牧师面临的问题和挑战。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050221146507
Robert Klitzman, Gabrielle Di Sapia Natarelli, Stephanie Sinnappan, Elizaveta Garbuzova, Jay Al-Hashimi

These data, the first to explore chaplains' challenges in ending visits/relationships with patients/families, has critical implications for practice, education, and research. Questions arise about the scope/boundaries of chaplains' relationships with patients/families. Interviews were conducted with 23 chaplains who face questions/challenges regarding how to end visits and interactions, including individual conversations and ongoing relationships with patients/families. Chaplains confront uncertainties and rely on verbal- and non-verbal cues to gauge how long to stay with each patient/family, and they are sometimes unsure. These data have critical implications for practice, education, and research.

这些数据首次探讨了牧师在结束探视/与患者/家属的关系时所面临的挑战,对实践、教育和研究具有重要意义。关于牧师与病人/家属关系的范围/界限的问题出现了。采访了23名牧师,他们面临着如何结束访问和互动的问题/挑战,包括个人对话和与患者/家属的持续关系。牧师面临着不确定性,依靠语言和非语言的线索来衡量与每个病人/家庭相处的时间,他们有时不确定。这些数据对实践、教育和研究具有重要意义。
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引用次数: 3
Patient Religiosity and Desire for Chaplain Services in an Outpatient Primary Care Clinic. 门诊初级保健诊所患者的宗教信仰和对牧师服务的渴望。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050221147901
Katherine K Henderson, John P Oliver, Patrick Hemming

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.

门诊牧师是一个新的专业在医疗保健,相对缺乏研究研究探索需要精神护理干预在门诊设置。在过去的3年里,我们在杜克门诊诊所的跨学科团队已经试点将专业精神护理扩展到这家以医院为基础的住院教学诊所,为北卡罗来纳州达勒姆市服务不足的人群提供初级保健。在这篇文章中,我们报告了我们在诊所进行的一系列调查的结果,以评估患者对牧师服务的看法,对牧师角色的理解,以及在特定假设场景下对牧师服务的渴望。作为调查的一部分,我们还使用杜克大学宗教指数询问了患者的个人外在和内在宗教信仰水平。我们的研究结果表明,在这一患者群体中,与患者自我报告的宗教虔诚度有关的牧师干预是最需要的。我们假设,在大多数情况下,只有更虔诚的病人才会强烈要求牧师的支持。我们惊讶地发现,大多数病人——不管他们自己的宗教程度如何——在他们需要倾听、悲伤或寻求祈祷时,都表达了对门诊医疗牧师的支持的渴望。
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引用次数: 2
Dying Like a Dog. 像狗一样死去。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050221136803
David George Rinaldi

Discussion surrounding the terminal care of an individual hospice patient. This includes the patient's reflections, his dissatisfaction, from his perspective, with inadequate end-of-life care, and his thoughts on assisted suicide. The author also discusses the spiritual aspects of this unusual encounter.

讨论个别安宁疗护病人的临终照护。这包括病人的反思,从他的角度来看,他对临终关怀不足的不满,以及他对协助自杀的想法。作者还讨论了这一不寻常遭遇的精神层面。
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引用次数: 0
Love on the Spectrum (US Version 2022; Australian Version 2019). 频谱上的爱(美国版2022;澳大利亚版2019)。
IF 1.8 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.1177/15423050231178667
Jonathan Alschech
Love on the Spectrum is a reality television show, originally created for ABC TV in Australia in 2019; an American version was created by the same Australian producers for Netflix in 2022. The show follows male and female adults who identify as being on the Autistic Spectrum as they navigate the dating world in search of love. The show organizes dates between people on the autistic spectrum and follows them as they get ready for their dates, during the dates and in their aftermath, interviewing the participants as well as their families and close friends.
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引用次数: 1
Assessing how Spirituality Affects Resiliency in the Pediatric Healthcare Practitioner. 评估精神如何影响弹性在儿科保健从业者。
IF 1.8 Q3 Medicine Pub Date : 2023-03-01 DOI: 10.1177/15423050221127210
Emily K Fowler

A literature review was conducted to examine the role of spirituality with resiliency in the pediatric workplace. Two themes emerged from the literature review: healthcare practitioners desire to have a sense of belonging at work and the utilization of chaplains is helpful. This study aims to discover how practitioners experience spiritual health in the workplace and identify interventions that enhance resiliency with the challenges of pediatrics. Implications from this study are applied to chaplaincy and research.

一项文献综述进行了研究的作用,精神与弹性在儿科工作场所。从文献综述中出现了两个主题:医疗从业者渴望在工作中有归属感,利用牧师是有帮助的。本研究旨在发现从业人员如何在工作场所体验精神健康,并确定干预措施,以增强儿科挑战的弹性。本研究的启示可应用于神职与研究。
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引用次数: 0
期刊
Journal of Pastoral Care & Counseling
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