nach oben

Journal of Religion and Health

Erschienen in:

01.06.2011 | Original Paper

What Do Chaplains Contribute to Large Academic Hospitals? The Perspectives of Pediatric Physicians and Chaplains

verfasst von: Wendy Cadge, Katherine Calle, Jennifer Dillinger

Erschienen in: Journal of Religion and Health | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

This article analyzes interviews with pediatric physicians (N = 30) and chaplains (N = 22) who work at the same large academic medical centers (N = 13). We ask how pediatric physicians understand and work with chaplains and how chaplains describe their own work. We find that physicians see chaplains as part of interdisciplinary medical teams where they perform rituals and support patients and families, especially around death. Chaplains agree but frame their contributions in terms of the perspectives related to wholeness, presence, and healing they bring. Chaplains have a broader sense of what they contribute to patient care than do physicians.

For more information see: http://www.uphs.upenn.edu/pastoral/resed/JCAHOspiritrefs09.pdf.

For examples of how individual chaplains spend their time and define their jurisdictions, see first person studies by Angrosino (2006), Mitchell (1972), Russell (1975), Spirn (2000), Holst (1985).

For additional first person accounts of physician-chaplain relations see Westberg (1961).

The methodology to determine honor roll distinction combined hospital reputation, mortality data and patient-care related factors; when six or more specialty areas showed “exceptional breadth of excellence,” the hospital placed greater than two standard deviations above the mean and was granted honor role status. U.S. News & World Report. July 12, 2004 edition, “Honor Roll Hospitals.”

For more information see (Catlin, Cadge, and Ecklund 2008; Ecklund et al. 2007).

For a broader discussion of these perspectives see Cadge (forthcoming).

Ammerman, N. (2007). Introduction: Observing religious modern lives. In N. Ammerman (Ed.), Everyday religion: Observing religious modern lives (pp. 3–18). New York: Oxford University Press.

Angrosino, M. (2006). Blessed with enough foolishness: Pastoral care in a modern hospital. West Conshohocken: Infinity Publishing.

Barnes, L. L. (2006). A medical school curriculum on religion and healing. In L. L. Barnes, I. M. Talamantez (Eds.), Teaching religion and healing (pp. 307–25). New York: Oxford University Press.

Barnes, L., Plotnikoff, G., Fox, K., & Pendleton, S. (2000). Spirituality, religion, and pediatrics: Intersecting worlds of healing. Pediatrics, 106, 899–908.PubMed

Bellah, R., et al. (1985). Habits of the heart: Individualism and commitment in American life. Berkeley: University of California Press.

Besecke, K. (2001). Speaking of meaning in modernity: Reflexive spirituality as a cultural resource. Sociology of Religion, 62(3), 365–381.CrossRef

Bosk, C. (1992). All god’s mistakes: Genetic counseling in a pediatric hospital. Chicago: University of Chicago Pres.

Cadge, W. (forthcoming). Paging god: Religion in the halls of medicine. Chicago: University of Chicago Press.

Cadge, W., & Fair, B. (2010). Religion, spirituality, health and medicine: Sociological intersections. In C. Byrd, A. Fremont, S. Timmermans & P. Conrad (Eds.), Handbook of medical sociology. Vanderbilt University Press.

Cadge, W., Freese, J., & Christakis, N. (2008). Hospital Chaplaincy in the United States: A national overview. Southern Medical Journal, 101(6), 626–630.PubMedCrossRef

Carey, R. G. (1973). Chaplaincy: Component of total patient care? Hospitals: the Journal of the American Hospital Association, 47(14), 166–172.

Catlin, E., Cadge, W., & Ecklund, E. H. (2008). The religious identities, beliefs, and practices of academic pediatricians in the United States. Academic Medicine, 83(12), 1146–1152.

Chang, P. M. Y. (2003). Escaping the Procrustean Bed: A critical analysis of the study of religious organizations, 1930-2001. In M. Dillon (Ed.), Handbook of the sociology of religion (pp. 123–36). New York: Cambridge University Press.

Chatters, L. M. (2000). Religion and health: Public health research and practice. Annual Review of Public Health, 21, 335–367.PubMedCrossRef

Crossley, K. (2002). Professional satisfaction among U.S. healthcare chaplains. Journal of Pastoral Care and Counseling, 56(1), 97–107.

Daaleman, T. P., & Frey, B. (1998). Prevalence and patterns of physician referral to clergy and pastoral care. Archives of Family Medicine, 7, 548–553.PubMedCrossRef

DeVries, R., Berlinger, N., & Cadge, W. (2008). Lost in translation: The chaplain’s role in health care. Hastings Center Report, 38(6), 23–27.CrossRef

Ecklund, E. H., Cadge, W., Gage, E. A., & Catlin, E. A. (2007). The religious and spiritual beliefs and practices of academic pediatric oncologists in the United States. Journal of Pediatric Hematology and Oncology, 29(11), 736–742.

Ellison, C. G., & Levin, J. S. (1998). The religion-health connection: Evidence, theory, and future directions. Health Education & Behavior, 25(6), 700–720.CrossRef

Fitchett, G., Meyer, P. M., & Burton, L. A. (2000). Spiritual care in the hospital: Who requests it? Who needs it? J Pastoral Care, 54(2), 173–186.PubMed

Fitchett, G., Rasinski, K., Cadge, W., & Curlin, F. (2009). Physicians’ experience and satisfaction with chaplains: A national study. Archives of Internal Medicine, 169(19), 1808–1810.PubMedCrossRef

Flannelly, K. J., Galek, K., Bucchino, J., Handzo, G. F., & Tannenbaum, H. P. (2005a). Department directors’ perceptions of the roles and functions of hospital chaplains: A national survey. Hospital Topics: Research and Perspectives on Healthcare, 83(4), 19–27.

Flannelly, K., Galek, K., & Handzo, G. F. (2005b). To what extent are the spiritual needs of hospital patients being met? The International Journal of Psychiatry in Medicine, 35(3), 319–323.CrossRef

Flannelly, K. J., Handzo, G. F., Weaver, A. J., & Smith, W. J. (2005c). A national survey of health care administrators’ views on the importance of various chaplain roles’. Journal of Pastoral Care & Counseling, 59(1–2), 87–96.

Flannelly, K., Handzo, G., Galek, K., Weaver, A., & Overvold, J. (2006). A national survey of hospital directors’ views about the importance of various chaplain roles: Differences among disciplines and types of hospitals. The Journal of Pastoral Care & Counseling, 60(3).

Flannelly, K. J., Weaver, A. J., & Handzo, G. F. (2003). A three-year professional study of chaplains’ professional activities at Memorial Sloan-Kettering Cancer Center in New York city. Psycho-Oncology, 12, 760–768.PubMedCrossRef

Fogg, S. L., Weaver, A. J., Flannelly, K. J., & Handzo, G. F. (2004). An analysis of referrals to chaplains in a community hospital in New York over a seven year period. Journal of Pastoral Care and Counseling, 58(3), 225–235.PubMed

Galek, K., Flannelly, K. J., Koenig, H. G., & Fogg, S. L. (2007). Referrals to chaplains: The role of religion and spirituality in healthcare settings. Mental Health, Religion & Culture, 10(4), 363–377.CrossRef

Holst, L. E. (1985). Hospital ministry: The role of the chaplain today. New York: Crossroad.

Hover, M., Travis, J. L., Koenig, H. G., & Bearson, L. B. (1992). Pastoral research in a hospital setting: A case study. The Journal of Pastoral Care, 46(3), 283–290.

Jacobs, M. R. (2008). What are we doing here? Chaplains in contemporary health care. Hastings Center Report, 38(6), 1–3.CrossRef

Koenig, H. G., Hover, M., Bearon, L. B., & Travis, J. L. (1991). Religious perspectives of doctors, nurses, patients and families: Some interesting differences. Journal of Pastoral Care, 45, 254–267.PubMed

Koenig, H. G., McCullough, M. E., & Larson, D. B. (2001). Handbook of religion and health. New York: Oxford University Press.

Kudler, T. (2007). Providing spiritual care. Contexts, 6(4), 60–61.CrossRef

LaRocca, M., et al. (2008). A collegial process for developing better practices. Chaplaincy Today, 24(1), 3–15.

Lee, S. J. C. (2002). In a secular spirit: Strategies of clinical pastoral education. Health Care Analysis, 10(4), 339–356.PubMedCrossRef

McGuire, M. B. (2008). Lived religion: Faith and practice in everyday life. New York: Oxford University Press.

Mitchell, K. R. (1972). Hospital chaplain. Philadelphia: Westminster Press.

Norwood, F. (2006). The ambivalent chaplain: Negotiating structural and ideological difference on the margins of modern-day hospital medicine. Medical Anthropology, 25(1), 1–29.PubMedCrossRef

Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, and practice. New York: Guilford.

Puchalski, C. M., & Larson, D. B. (1998). Developing curricula in spirituality and medicine. Academic Medicine, 73(9), 970–974.PubMedCrossRef

Rashotte, J., Fothergill-Bourbonnais, F., & Chamberlain, M. (1997). Pediatric intensive care nurses and their grief experiences: A phenomenological study. Heart and Lung, 26(5), 372–386.PubMedCrossRef

Robinson, M. R., Thiel, M. M., Backus, M. M., & Meyer, E. C. (2006). Matters of spirituality at the end of life in the pediatric intensive care unit. Pediatrics, 118(3), 719–729.CrossRef

Russell, W. D. (1975). My baby’s dead. Journal of Pastoral Care, 29(3), 196–201.PubMed

Siegel, B., Tenenbaum, A. J., Jamanka, A., Barnes, L., Hubbard, C., & Zuckerman, B. (2002). Faculty and resident attitudes about spirituality and religion in the provision of pediatric health care. Ambulatory Pediatrics, 2(1), 5–10.PubMedCrossRef

Spirn, C. A. (2000). My life as a chaplain: How a hospital chaplain helps patients. Rockville, MD: Shengold.

Strauss, A. L., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.

Thiel, M. M., & Robinson, M. R. (1997). Physicians’ collaborations with chaplains: Difficulties and benefits. The Journal of Clinical Ethics, 8(1), 94–103.PubMed

VandeCreek, L. (2002). Professional chaplaincy and clinical pastoral education should become more scientific: Yes and no. New York: Haworth Press.

VandeCreek, L., & Burton, L. (2001). Professional chaplaincy: Its role and importance in healthcare. White Paper: http://www.healthcarechaplaincy.org/publications/publications/white_paper_05.22.01/index.html.

Weaver, A. J., & Ellison, C. G. (2004). Featured CME topic: Spirituality ‘introduction’. Southern Medical Journal, 97(12), 1191–1193.PubMedCrossRef

Westberg, G. E. (1961). Minister and doctor meet. New York: Harper & Brothers.

Wuthnow, R. (1998). After heaven: Spirituality in America since the 1950s. Berkeley: University of California Press.

Titel: What Do Chaplains Contribute to Large Academic Hospitals? The Perspectives of Pediatric Physicians and Chaplains
verfasst von: Wendy Cadge
Katherine Calle
Jennifer Dillinger
Publikationsdatum: 01.06.2011
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 2/2011
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-011-9474-8

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2011

Hopelessness, Temperament, Anger and Interpersonal Relationships in Holocaust (Shoah) Survivors’ Grandchildren

Using Pictures to Evoke Spiritual feelings in Breast Cancer Patients: Development of a New Paradigm for Neuroimaging Studies

An Ethic of Resistance: Choosing Life in Health Messages for African American Women

A Spiritual Person

The Impact of a Breast Cancer Diagnosis on Religious/Spiritual Beliefs and Practices in the UK

Are Residents Willing to Discuss Spirituality with Patients?