nach oben

Journal of Religion and Health

Erschienen in:

01.04.2016 | Original Paper

Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns

verfasst von: Patrick Hemming, Paula J. Teague, Thomas Crowe, Rachel Levine

Erschienen in: Journal of Religion and Health | Ausgabe 2/2016

Einloggen, um Zugang zu erhalten

Abstract

Improved collaboration between physicians and chaplains has the potential to improve patient experiences. To better understand the benefits and challenges of learning together, the authors conducted several focus groups with participants in an interprofessional curriculum that partnered internal medicine residents with chaplain interns in the clinical setting. The authors derived four major qualitative themes from the transcripts: (1) physician learners became aware of effective communication skills for addressing spirituality. (2) Chaplain interns enhanced the delivery of team-based patient-centered care. (3) Chaplains were seen as a source of emotional support to the medical team. (4) The partnership has three keys to success: adequate introductions for team members, clear expectations for participants, and opportunities for feedback. The themes presented indicate several benefits of pairing physicians and chaplains in the setting of direct patient care and suggest that this is an effective approach to incorporating spirituality in medical training.

Association for Clinical Pastoral Education (ACPE). (2010). ACPE standards and manuals. Decatur, GA: ACPE.

Anandarajah, G., & Mitchell, M. (2007). A spirituality and medicine elective for senior medical students: 4 years’ experience, evaluation, and expansion to the family medicine residency. Family Medicine, 39(5), 313–315.PubMed

Archer, J. C. (2010). State of the science in health professional education: Effective feedback. Medical Education, 44(1), 101–108. doi:10.1111/j.1365-2923.2009.03546.x.CrossRefPubMed

Balboni, T. A., Balboni, M., Enzinger, A. C., Gallivan, K., Paulk, M. E., Wright, A., & Prigerson, H. G. (2013). Provision of spiritual support to patients with advanced cancer by religious communities and associations with medical care at the end of life. JAMA Internal Medicine, 173(12), 1109–1117. doi:10.1001/jamainternmed.2013.903.CrossRefPubMedPubMedCentral

Balboni, M. J., Sullivan, A., Enzinger, A. C., Epstein-Peterson, Z. D., Tseng, Y. D., Mitchell, C., et al. (2014). Nurse and physician barriers to spiritual care provision at the end of life. Journal of Pain and Symptom Management 48(3), 400–410. doi:10.1016/j.jpainsymman.2013.09.020.

Balch, C. M., & Shanafelt, T. (2010). Combating stress and burnout in surgical practice: A review. Advances in Surgery, 44, 29–47.CrossRefPubMed

Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44(9), 1175.CrossRefPubMed

Campbell, J. C., Coben, J. H., McLoughlin, E., Dearwater, S., Nah, G., Glass, N., & Durborow, N. (2001). An evaluation of a system-change training model to improve emergency department response to battered women. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 8(2), 131–138.CrossRef

Campbell, N., Stuck, C., & Frinks, L. (2012). Spirituality training in residency: Changing the culture of a program. Academic Psychiatry, 36(1), 56–59.CrossRefPubMed

Chibnall, J. T., Bennett, M. L., Videen, S. D., Duckro, P. N., & Miller, D. K. (2004). Identifying barriers to psychosocial spiritual care at the end of life: A physician group study. American Journal of Hospice and Palliative Medicine, 21(6), 419–426.CrossRefPubMed

Clark, P. A., Drain, M., & Malone, M. P. (2003). Addressing patients’ emotional and spiritual needs. Joint Commission Journal on Quality and Safety, 29(12), 659–670.PubMed

Crabtree, B. F., & Miller, W. L. (1992). Doing qualitative research. Newbury Park, CA: Sage Publications.

Ekedahl, M., & Wengström, Y. (2008). Coping processes in a multidisciplinary healthcare team: A comparison of nurses in cancer care and hospital chaplains. European Journal of Cancer Care, 17(1), 42–48. doi:10.1111/j.1365-2354.2007.00801.x.CrossRefPubMed

Fitchett, G., Rasinski, K., Cadge, W., & Curlin, F. A. (2009). Physicians’ experience and satisfaction with chaplains: A national survey. Archives of Internal Medicine, 169(19), 1808–1810. doi:10.1001/archinternmed.2009.308.CrossRefPubMed

Forrest, C., & Derrick, C. (2010). Interdisciplinary education in end-of-life care: Creating new opportunities for social work, nursing, and clinical pastoral education students. Journal of Social Work in End-of-Life & Palliative Care, 6(1–2), 91–116. doi:10.1080/15524256.2010.489224.CrossRef

Fortin, A. H., & Barnett, K. G. (2004). STUDENTJAMA. Medical school curricula in spirituality and medicine. JAMA, the Journal of the American Medical Association, 291(23), 2883. doi:10.1001/jama.291.23.2883.CrossRefPubMed

Fulford, K., Peile, E., & Carroll, H. (2012). Essential values-based practice: Clinical stories linking science with people. Cambridge: Cambridge University Press.CrossRef

Galanter, M., Dermatis, H., Talbot, N., McMahon, C., & Alexander, M. J. (2011). Introducing spirituality into psychiatric care. Journal of Religion and Health, 50(1), 81–91.CrossRefPubMed

Gregory, S. R. (2003). Growth at the edges of medical education: Spirituality in American medical education. The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha, 66(2), 14–19.PubMed

Henriksen, A., & Ringsted, C. (2011). Learning from patients: Students’ perceptions of patient-instructors. Medical Education, 45(9), 913–919. doi:10.1111/j.1365-2923.2011.04041.x.CrossRefPubMed

Institute of Medicine (IOM). (2011). Patients charting the course: Citizen engagement and the learning health system: Workshop summary. Washington, DC: The National Academies Press.

King, D. E., & Crisp, J. (2005). Spirituality and health care education in family medicine residency programs. Family Medicine, 37(6), 399–403.PubMed

Koenig, H. G. (2014). The spiritual care team: Enabling the practice of whole person medicine. Religions, 5(4), 1161–1174.CrossRef

Koenig, H. G., Hooten, E. G., Lindsay-Calkins, E., & Meador, K. G. (2010). Spirituality in medical school curricula: Findings from a national survey. International Journal of Psychiatry in Medicine, 40(4), 391–398.CrossRefPubMed

Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice-Hall.

Le Blanc, P. M., Hox, J. J., Schaufeli, W. B., Taris, T. W., & Peeters, M. C. (2007). The evaluation of a team-based burnout intervention program for oncology care providers. Journal of Applied Psychology, 92(1), 213.CrossRefPubMed

MacLean, C. D., Susi, B., Phifer, N., Schultz, L., Bynum, D., Franco, M., & Cykert, S. (2003). Patient preference for physician discussion and practice of spirituality. Journal of General Internal Medicine, 18(1), 38–43.CrossRefPubMedPubMedCentral

McClung, E., Grossoehme, D. H., & Jacobson, A. F. (2006). Collaborating with chaplains to meet spiritual needs. Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses, 15(3), 147–156.

McCray, L. W., Cronholm, P. F., Bogner, H. R., Gallo, J. J., & Neill, R. A. (2008). Resident physician burnout: Is there hope? Family Medicine, 40(9), 626–632.PubMedPubMedCentral

Morey, J. C., Simon, R., Jay, G. D., Wears, R. L., Salisbury, M., Dukes, K. A., & Berns, S. D. (2002). Error reduction and performance improvement in the emergency department through formal teamwork training: Evaluation results of the MedTeams project. Health Services Research, 37(6), 1553–1581.CrossRefPubMedPubMedCentral

Otis-Green, S., Ferrell, B., Spolum, M., Uman, G., Mullan, P., Baird, R. P., & Grant, M. (2009). An overview of the ACE project-advocating for clinical excellence: Transdisciplinary palliative care education. Journal of Cancer Education, 24(2), 120–126.CrossRefPubMedPubMedCentral

Pearce, M. J., Coan, A. D., Herndon, J. E, 2nd, Koenig, H. G., & Abernethy, A. P. (2012). Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 20(10), 2269–2276. doi:10.1007/s00520-011-1335-1.CrossRef

Phelps, A. C., Lauderdale, K. E., Alcorn, S., Dillinger, J., Balboni, M. T., Van Wert, M., & Balboni, T. A. (2012). Addressing spirituality within the care of patients at the end of life: Perspectives of patients with advanced cancer, oncologists, and oncology nurses. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology, 30(20), 2538–2544. doi:10.1200/JCO.2011.40.3766.CrossRef

Piderman, K. M., Marek, D. V., Jenkins, S. M., Johnson, M. E., Buryska, J. F., Shanafelt, T. D., & Mueller, P. S. (2010). Predicting patients’ expectations of hospital chaplains: A multisite survey. [Not medical educationTy]. Mayo Clinic Proceedings, 85(11), 1002–1010.CrossRefPubMedPubMedCentral

Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., & Sulmasy, D. (2009). Improving the quality of spiritual care as a dimension of palliative care: The report of the consensus conference. Journal of Palliative Medicine, 12(10), 885–904. doi:10.1089/jpm.2009.0142.CrossRefPubMed

Ratanawongsa, N., Rand, C. S., Magill, C. F., Hayashi, J., Brandt, L., Christmas, C., & Ziegelstein, R. C. (2009). Teaching residents to know their patients as individuals. The Aliki initiative at Johns Hopkins Bayview Medical Center. The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha, 72(3), 4–11.PubMed

Reed, D. A., & Wright, S. M. (2010). Role models in medicine. In H. J. Humphrey (Ed.), Mentoring in academic medicine (pp. 67–87). New York: ACP Press.

Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: Key findings from a new systematic review. Journal of Interprofessional Care, 24(3), 230–241. doi:10.3109/13561820903163405.CrossRefPubMed

Smith, R. C., Fortin, A. H., Dwamena, F., & Frankel, R. M. (2013). An evidence-based patient-centered method makes the biopsychosocial model scientific. Patient Education and Counseling, 91(3), 265–270.CrossRefPubMed

Stewart, M. (2003). Patient-centered medicine: Transforming the clinical method. Oxford: Radcliffe Publishing.

Suter, E., Arndt, J., Arthur, N., Parboosingh, J., Taylor, E., & Deutschlander, S. (2009). Role understanding and effective communication as core competencies for collaborative practice. Journal of Interprofessional Care, 23(1), 41–51. doi:10.1080/13561820802338579.CrossRefPubMed

Talley, J. A., & Magie, R. (2014). The integration of the “spirituality in medicine” curriculum into the osteopathic communication curriculum at Kansas city university of medicine and biosciences. Academic Medicine: Journal of the Association of American Medical Colleges, 89(1), 43–47. doi:10.1097/ACM.0000000000000078.CrossRef

Towle, A., & Godolphin, W. (2013). Patients as educators: Interprofessional learning for patient-centred care. Medical Teacher, 35(3), 219–225. doi:10.3109/0142159X.2012.737966.CrossRefPubMed

Vallurupalli, M., Lauderdale, K., Balboni, M. J., Phelps, A. C., Block, S. D., Ng, A. K., & Balboni, T. A. (2012). The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. The Journal of Supportive Oncology, 10(2), 81–87. doi:10.1016/j.suponc.2011.09.003.CrossRefPubMedPubMedCentral

Van de Ridder, J. M. M., Stokking, K. M., McGaghie, W. C., & ten Cate, O. T. J. (2008). What is feedback in clinical education? Medical Education, 42(2), 189–197.CrossRefPubMed

Walter, U., Plaumann, M., & Krugmann, C. (2013). Burnout intervention. In S. Bährer-Kohler (Ed.), (pp. 223–246) Springer, US. doi:10.1007/978-1-4614-4391-9_14.

Williams, C. M., Wilson, C. C., & Olsen, C. H. (2005). Dying, death, and medical education: Student voices. Journal of Palliative Medicine, 8(2), 372–381.CrossRefPubMed

Williams, J. A., Meltzer, D., Arora, V., Chung, G., & Curlin, F. A. (2011). Attention to inpatients’ religious and spiritual concerns: Predictors and association with patient satisfaction. Journal of General Internal Medicine, 26(11), 1265–1271. doi:10.1007/s11606-011-1781-y.CrossRefPubMedPubMedCentral

Titel: Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns
verfasst von: Patrick Hemming
Paula J. Teague
Thomas Crowe
Rachel Levine
Publikationsdatum: 01.04.2016
Verlag: Springer US
Erschienen in: Journal of Religion and Health / Ausgabe 2/2016
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-015-0158-7

Springer Medizin

Abstract

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

Weitere Artikel der Ausgabe 2/2016

Islam, Assisted Reproduction, and the Bioethical Aftermath

Mental Health and Self-Esteem of Institutionalized Adolescents Affected by Armed Conflict

Editor’s Introduction to the Special Section “Re-centering and Re-entering: Positioning Islam in the Bioethical Discourse”

Factor Structure of the Brief Multidimensional Measure of Religiousness/Spirituality in US and Indian Samples with Traumatic Brain Injury

Pedagogy and Purpose: Moral Imagination and the Teaching of Medical Ethics

Intrinsic Religiosity and Hypertension Among Older North American Seventh-Day Adventists