The spiritual journey of an organ transplant patient

In this article, a hospital chaplain presents a detailed narrative of the psychological, emotional, and spiritual dynamics of an organ transplant patient. The chaplain explicates the many complex factors that may characterize an organ transplant patient's recovery and the many persons--family members and hospital personnel--who can be impacted by such a journey.     

Counseling in heart surgery

Conclusion In conclusion, a word about the spiritual aspects of the ministry to the heart patient. All members of the hospital bly, the family coming to the hospital team minister in one way or another. The chaplain has a unique place on this team. He, too, can escape from a ministry by use of religious injections. There are times for prayer and sacraments, and only the individual chaplain can finally decide the appropriate if, where, and when.As the chaplain explores the meaning of the hospital experience with the patient—the patient's feelings about life, death, experiences, and goals; giving and understanding where it is needed; aiding in the healing of the whole person—surely this ministry is a reflection of his motivation and is in part an attempt to realize in another the wholeness and fullness of man. It is not the physical therapy of the doctor; it is not the psychotherapy of the psychiatrist. It is the spiritual therapy of the chaplain.     

Values interpretation: A new model for hospital ministry

The importance of values in clinical settings is a topic of increasing discussion in the medical literature, but the nature of values and the process of interpreting them have received little attention. The hospital chaplain or religious professional is an underused resource in addressing values issues. This paper summarizes the current models of the hospital chaplaincy in historical context, and then develops a new model drawn from the disciplines of pastoral care and clinical medical ethics in order to address problems involving values in clinical settings. The model construes the chaplain as values interpreter who provides both consultation and liaison functions in clinical situations. We present a clinical case to illustrate the role of the values interpreter. We conclude that the religious professional can make an important contribution to both clinical decision making and medical education through such a model.The authors thank Don S. Browning, Ph.D., and Thomas H. Jobe, M.D., for their critical readings of earlier versions of this paper.     

A national survey of hospital directors' views about the importance of various chaplain roles: differences among disciplines and types of hospitals

A national random sample of hospital directors was asked to rate the importance of seven categories of chaplain roles and functions: 246 nursing directors, 267 social services directors, 307 medical directors, and 611 pastoral care directors. All four groups rated end-of-life care, prayer, and emotional support as being between very important and extremely important. Other roles, including consultation, advocacy, community outreach, and religious services and rituals were rated significantly less important. Significant differences were found across disciplines and hospital settings (general, psychiatric, etc.). Medical directors rated most chaplain roles lower than other directors did, and directors in psychiatric hospitals rated all roles, except religious services/rituals, lower than their counterparts in other types of hospitals. The importance that directors accorded to all the chaplain roles examined was also influenced by their own spirituality and religiosity, as well as the religious affiliation of their institution.     

Hospital Chaplaincy As Agapeic Intervention

The notion of hospital chaplaincy raises significant concerns,because it provides for the possibility that the chaplain becomesa generic chaplain rather than a member of a particular faith.Despite these reservations, however, I think that Mennonitesshould serve as hospital chaplains. Instead of seeing themselvesas chaplains to all, though, Mennonites ought to see the servicethey provide as analogous to relief and development work. Thiswould make Mennonite chaplaincy a form of what Mennonite scholarC. Norman Krause calls "agapeic intervention," which would allowfor the ministry to the sick without requiring genericism.     

Provision of spiritual and pastoral care facilities in a high-security hospital and their increased use by those of Muslim compared to Christian faith

The relationship between religion and psychiatry remains controversial amongst British psychiatrists. We looked at the provision of spiritual and pastoral care facilities in a high-security hospital and the role of faith chaplains with particular reference to the Muslim minority group. There was a significantly higher uptake of pastoral care services amongst those of Muslim faith compared to Church of England and Roman Catholic Christians. Possible reasons for this are discussed. Resources allocated for the Muslim faith group were limited and heavily dependent on the availability of the Muslim faith chaplain. Our study highlighted the need for clearly defined standards for the provision of spiritual and pastoral care within high-secure psychiatric hospitals, and by implication other NHS psychiatric settings, a re-examination of the role of the faith chaplain in relation to the clinical team, and raised questions about the equitable allocation of resources between various faith groups within the hospital.     

Nursing: Significance for spiritual care

Nurses can be seen to contribute significantly to the spiritual objectives and programs in hospitals and other health agencies under religious auspices. One impressive example is nursing involvement with and cooperation in the pastoral care program at North Carolina Baptist Hospital in Winston-Salem. At this hospital the nurse is both an assistant to and a coworker with the chaplain and functions in many ways as facilitator and supporter in his spiritual mission.     

Spiritual opportunities in the liminal rites of hospitalization

This paper describes the way in which a hospital stay functions as a period of liminality. The opportunities for transformation inherent in such an experience are examined, with special attention given to the role of the hospital chaplain as the ritual leader who can help facilitate the movement through liminality and into wholeness.Ann Hallstein the M. Div. from Union Theological Seminary in May 1992 and expects to be ordained in the United Church of Christ.     

Death in Hospital: The Place of Religion in the Care of the Patient

The reflections in this article are based on my experience over the past ten years as hospital chaplain of a large district general hospital within the UK National Health Service. I realize the limitations of this experience, but I hope that I may achieve some insights that have a wider application. I attempt to bring my hospital experience into a creative relationship with other aspects of my life, which include a commitment to Christian–Muslim dialogue, and a background of life and work in the Middle East, where I worked for the Anglican Church in Lebanon and Syria from 1973 until 1982.     

The military chaplain: a study in ambiguity

This article looks at the ambiguities in the role of the military chaplain from three points of view. The first considers the nature of the constituency within which the chaplain ministers, paying particular attention to the degree – or otherwise – of secularisation and the reasons for this. The second examines the role of the chaplain in relation to the two institutions which he or she serves (i.e. church and state) and the tensions that emerge as a result. These are articulated in terms of ‘an angle of eschatological tension’. The third is concerned with ‘the roles within the role’ – that is the variety of tasks that make up the role of chaplaincy and the degree to which these are compatible with each other. The significance of theology in the resolution of the ensuing issues is set against diminishing societal resources in terms of religious literacy.     

Transcultural hospital pastoral care

Transcultural hospital pastoral care's subjects, the immigrant and the refugee, are described. Differences and similarities are noted. Three difficulties—culture shock, prejudice, and ethnocentrism—are followed by principles of transcultural hospital pastoral care, the significance of hospitalization, and a case history.The Rev. David G. Hawkins, B.A., S.T.M., D. Rel., R.S.W., St. George's Anglican Church in Vancouver, is a chaplain at Vancouver General Hospital.     

Approaching the religious patient in forensic psychiatry,with special focus on ethnic minority patients

ABSTRACT

Ethnic minority patients are overrepresented in Danish forensic psychiatry and knowledge is needed on how these patients are approached in relation to religious and cultural issues. The aim of this study was to investigate how psychiatrists in Danish forensic psychiatry approach religious ethnic minority patients. The study revealed positive approach towards religious ethnic minority patients. However, unless religion features as part of the illness, the tendency is to not incorporate the patients’ religiosity in treatment. The study finds that the hospital chaplain is regarded by the psychiatrists as an important part of the ward and expressed the desire for a more formal cooperation with religious specialists to be developed. Finally, the study finds that religious practices such as Ramadan, common prayer, and Islamic edicts on food and unlawful touch are areas where more knowledge is needed, especially in relation to anxiety, potential stress, and conflict situations.     

The minister as pastor and person

The image of the clown as developed by Faber to illustrate the role of the hospital chaplain as a deepening and unifying force in that setting is utilized to elucidate the role and needs of ministers as they function as significant professionals in the community. As such, they are both pastors and persons. As pastors, they are also symbols to others representing a reality larger than merely their own personhood. Nevertheless, for the most effective work, the development of the person as person is a prerequisite. Their increasing competence can be secured only through the supervision of their pastoral work by another highly trained, skilled and sensitive practitioner.     

"Elicitation hooks": a discourse analysis of chaplain-patient interaction in pastoral and spiritual care

The article considers the communicative role of the hospital chaplain and maps some of the language strategies deployed to facilitate disclosure of the patients' concerns and achieve enhanced spiritual care. These include: i) involvement, ii) politeness and iii) encouraging disclosure or exploring emotion.     

Sweet Delight and Endless Night: A Qualitative Exploration of Ordinary and Extraordinary Religious and Spiritual Experiences in Bipolar Disorder

The authenticity of religious and spiritual experiences during mania is an important subject for bipolar patients. The exploration of such experience in bipolar disorder is the central point of this qualitative study. A psychiatrist and a hospital chaplain conducted 35 semi-structured interviews with recovered participants, recruited from mental health care institutions in the Netherlands, the patients’ association and via the internet, about their religious and spiritual experiences during illness episodes and in stable times. A variety in types (such as divine presence, unity, mission, meaningful synchronicity) during mania was reported, which were on a sliding scale with experiences/views in stable times in more than half of the interviews. During depression, absence of religious or spiritual experience was predominant. The reported experiences were viewed by most participants as both authentically religious or spiritual but also related to the disorder, requiring therefore language that transcended medical terminology. Also indicated is the relevance of the results for fundamental discussions about the nature or religious experience.     

Warren Zevon’s <Emphasis Type="Italic">The Wind</Emphasis> and Ecclesiastes: Searching for Meaning at the Threshold of Death

Telling one's story itself brings purpose to ones life, and it is an essential part of coming to grips with death. The book of Ecclesiastes and Warren Zevon’s album The Wind express the hope for social immortality rather than an actual afterlife. Both of them are suffused with a sense of death-awareness, although their location in time and place and the genre of their expressions are quite different. By looking closely at these texts, one is able to ascertain certain aspects of life review which are necessary for wholeness and completion. Hospice Chaplain CHRISTUS VNA Hospice and Palliative Care, 4415 Centerview, San Antonio, TX 78228, USA. Reverend Philip Browning Helsel is a hospice chaplain at CHRISTUS Hospice in San Antontio. He received his Master of Divinity from Princeton Theological Seminary and Clinical Pastoral Education units from Yuma Regional Medical Center in Yuma, AZ, and is an ordained minister in the Church of God (Anderson, IN). He has been a chaplain in psychiatric and general hospital settings. Past publications include articles in Pastoral Psychology and Presence, the Journal of Spiritual Directors International. He is working on a book about the life review process in literature and music, and applying for membership in the Association of Professional Chaplains.     

Healthcare Chaplains’ Perspectives on Nurse–Chaplain Collaboration: An Online Survey

The collaboration between nurses and chaplains is essential to provide spiritual support in healthcare institutions. Given challenges in collaboration exist between these disciplines, this study sought to further understand the nature of the chaplain–nurse relationship. Data obtained from an online survey of members of the Association of Professional Chaplains (N = 266) provide a quantified and nuanced picture of how chaplains perceive nurse collaboration and provision of spiritual care. This study not only provides evidence that can inform chaplain and nurse practice, but also an instrument for measuring perceptions about collaboration to provide spiritual care.

     

Perceptions of Chaplains’ Value and Impact Within Hospital Care Teams

Many scholars have written about the role of spirituality in health care. One mechanism for incorporating spirituality into the care of patients is to integrate clinically trained chaplains into hospital care teams. We examined in a mixed-methods fashion, the effects of this type of integrated care team within a teaching hospital setting. The quality and impact of chaplain involvement were studied from patient and physician-in-training perspectives, using data from more than 200 patients and physicians in training. Findings clearly show that clinically trained chaplains can contribute meaningful expertise and real value to the quality and comprehensiveness of patient and physician experiences.     

The deChristianization of Christian hospital chaplaincy: some bioethics reflections on professionalization, ecumenization, and secularization.

The traditional roles of Christian chaplains in aiding patients, physicians, nurses, and hospital administrators in repentance, right belief, right worship, and right conduct are challenged by the contemporary professionalization of chaplaincy guided by post-Christian norms located in a public space structured by three defining postulates: the non-divinity of Christ, robust ecumenism, and the irrelevance of God's existence. The norms of this emerging post-Christian profession of chaplaincy make interventions with patients, physicians, nurses, and hospital administrators in defense of specifically Christian bioethical norms and goals unprofessional, because the chaplain is now directed as a professional to support health care services held to standards articulated within a secular morality. These changes are exemplar of the profound recasting of the dominant moral culture with wide-ranging implications for bioethics.     

Continuity of Spiritual Care

Using a study in which clients were visited by the same chaplain at many points throughout the cycle of their care, the author demonstrates the benefits of consistent spiritual care. Positive collaboration with the total treatment team and access to information systems made it possible to achieve continuity of spiritual care. The chaplain had an enlarged perception of the efficacy of the spiritual care offered and increased job satisfaction as well.