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Authors:Lindsay B Carey, Daniel H Grossoehme, Fran Kissack, Mark Newitt, Daniel Nuzum, Piret Paal, Linda Ross, Austyn Snowden, Chris Swift Pages: 1 - 7 Abstract: A diverse range of topics are covered in this issue of Health and Social Care Chaplaincy, namely: (i) end of life care, (ii) chaplaincy boundaries, (iii) moral injury, (iv) suicide, and (v) the increasingly important issue of electronic patient records. This issue also includes, once again, a number of book reviews. Finally, we welcome two new Co-Editors to the HSCC team, and note an upcoming European conference planned for 2024 focusing on spiritual care interventions. PubDate: 2023-04-24 DOI: 10.1558/hscc.26043 Issue No:Vol. 11, No. 1 (2023)
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Authors:Mark Newitt, Martin Kerry, Julian Perkins, Louise Yaull Pages: 24–3 - 24–3 Abstract: This article explores the related issues of boundaries and dual relationships within health and social care chaplaincy. The article begins by noting a tension between an understanding of pastoral care as having unstated and flexible boundaries and the clear statements from professional bodies that boundaries help the effective functioning of caring and supportive relationships. In a discussion of boundary-setting issues in relation to the expectations of both patients and chaplains, the article touches on the use of social media, before looking in more detail at dual relationships. The article argues that, while chaplaincy boundaries may need to be flexible, an awareness of normal practice is vital, so that any extending of boundaries is done consciously. In relation to this, a number of trigger points are suggested. The article recommends that individual chaplains discuss boundaries within supervision, and that teams have clear policies and protocols which articulate expectations around team working. It further recommends that the profession develops more guidance around dual relationships, and that formal supervision standards are set and audited. PubDate: 2023-04-24 DOI: 10.1558/hscc.22614 Issue No:Vol. 11, No. 1 (2023)
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Authors:Murray J Davies Pages: 68–9 - 68–9 Abstract: As part of a series on moral injury in HSCC (see Davies, 2023; Part 1), this Part 2 will propose that the current conceptions of moral injury (MI) may be inadequate, and that there is a need to recognize a distinct conceptualization of “spiritual damage”. Just as MI was, and still is, sometimes mistakenly and unhelpfully conflated with some criteria of post-traumatic stress disorder, it may also be a mistake to conflate spiritual damage with “spirituality injury” under the MI paradigm. The breadth and depth of spirituality and its basis in a divine, mysterious creator, or God(s), are such that their scope may extend beyond impacts that can be accounted for in terms of medicine, psychology and, in some respects, morality. As such, this article argues that the current discussion on spirituality within the MI framework may need to be revised to account for “spiritual damage” more comprehensively. It is suggested that a new approach to this area of MI is necessary to acknowledge the fundamentally important role of spirituality in a MI context, but also to expand the horizon to include spiritual damage that occurs before, during and after traumatic, difficult or horrific events. Further, deeper consideration needs to be given to encompassing both the institutional and personal aspects of religion and spirituality, and how damage in these areas can both wound and injure an individual’s spiritual schema, while also providing the potential for spiritual growth. This study will consider five areas, in particular, that require deeper consideration: (i) spirituality and science; (ii) a relationship with the divine; (iii) the use of spiritual tools; (iv) the recognition of spirituality as more than just an “aftermath” issue; and (v) spiritual growth. PubDate: 2023-03-09 DOI: 10.1558/hscc.25399 Issue No:Vol. 11, No. 1 (2023)
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Authors:Ane Inger Bondahl Søberg, Lars Johan Danbolt, Sigrid Helene Kjørven Haug, Torgeir Sørensen Pages: 95–1 - 95–1 Abstract: This qualitative study focuses on how hospital chaplains encounter and explore existential themes in their conversations with patients at risk of suicide. Hospital chaplains from three of the four health regions in Norway participated in focus group interviews. The interviews were analysed by systematic text condensation. We found that the participants emphasized support and being a witness to patients’ narratives, exploring existential themes regarding life and death, guilt and shame, relatedness and loneliness, faith and hope. The chaplains understood their role as representing life. Their theological perspectives, pastoral clinical education and experiences were seen as being important in these conversations. Further research may investigate how the hospital chaplains’ role and existential competence can contribute to interdisciplinary teams working with patients at risk of suicide, examining how conversations about existential themes affect patients’ health, and whether these conversations prevent suicide. PubDate: 2023-03-09 DOI: 10.1558/hscc.23010 Issue No:Vol. 11, No. 1 (2023)
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Authors:Kevin Tromans Pages: 113– - 113– Abstract: There is a significant minority of the hospital population for whom hospitalization raises profound existential questions: the meaning and purpose of a dramatic life change or the realization of one’s own mortality. This can impact on the spirit – the sense of inner well-being and contentment of the individual. The realization of mortality impacts more widely, both on the patient and those in their wider circle. The opportunity to receive care which permits the exploration of existential questions and unconditionally embraces the anguish they evoke can be of real benefit. Nervecentre is an electronic patient care record administration system, which has been recognized for its benefits in improving access to and provision of spiritual care. The implementation of Nervecentre has increased the visibility of chaplains, strengthening the relationships supporting the delivery of spiritual care at the end of life. PubDate: 2023-03-28 DOI: 10.1558/hscc.19684 Issue No:Vol. 11, No. 1 (2023)
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Authors:John Saunders Pages: 133– - 133– Abstract: Koenig, H. G., Carey, L. B., and Al Zaben, F. (2022). Spiritual Readiness: Essentials for Military Leaders and Chaplains. New York: Amazon Books, 290pp. (pbk). ISBN: 9798840830093. PubDate: 2023-04-24 DOI: 10.1558/hscc.26044 Issue No:Vol. 11, No. 1 (2023)
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Authors:Erhard Weiher, Carlo Leget Abstract: In the health-related and practical-theological debate, it is increasingly recognized that the core task of healthcare chaplaincy is spiritual care. There is a focus on the fundamental importance and necessity of spiritual accompaniment. However, concepts relating to this are only described in outline. Concepts that develop healthcare chaplaincy more precisely and present specific methods for the concrete “how” of spiritual care are still rare. This article outlines a basic dimension for chaplaincy and a methodology that is committed to the spiritual reality of people in secular modernity, beyond the internal religious culture. Keywords:Articles
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Cadge, W., and Rambo, S. (Eds.) (2022). Chaplaincy and Spiritual Care in the Twenty-First Century: An Introduction
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Authors:Hope Siesage, Lorna Sams, Naomi J Ellis, Chris Swift Abstract: This article presents an exploration of the changing experiences of six chaplains employed by a large care provider (LCP) during the COVID-19 pandemic. Semi-structured interviews carried out over a ten-month period with six chaplains during the pandemic highlighted three key themes relating to their experiences in care homes during the crisis: (i) adapting work practices; (ii) mental health and well-being; (iii) giving and receiving support. In the context of a worldwide pandemic, this study highlights the issues experienced by chaplains in residential and aged care homes at the epicentre of COVID-19-related deaths in the United Kingdom. Keywords:Articles
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Weiner, J. (2022). Care and Covenant: A Jewish Bioethic of Responsibility
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Authors:Margaret T Gopaul, Deena A Martinelli Abstract: The US Department of Veterans Affairs (VA) and the US Department of Defense (DoD) evaluated the expanding roles of chaplains in mental health and identified a prevalent need for additional training among healthcare chaplains. The literature revealed that chaplains were lacking the skillsets needed to effectively care for patients with mental health disorders. A gap remains in the literature regarding the reported level of mental health training and preparedness of chaplains who minister to geriatric patients with mental health disorders. This quantitative study used a questionnaire instrument to survey 26 chaplains in the United States. The participants were experienced healthcare chaplains working in New York, New Jersey and Connecticut. The findings confirmed the need for additional training and preparedness among chaplains who minister to geriatric patients with mental health disorders. The results and empirical literature informed the development of a practical guide that includes ways to meet these challenges and assist chaplains in providing comprehensive delivery of competent care to patients. Keywords:Research Article
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“Can You See What I Say'” Beyond Words
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Authors:John Patrick Doherty, Daniel Nuzum Abstract: Empathic relational communication is a key competency in spiritual care for establishing a trusting pastoral relationship. Ministry with d/Deaf persons requires a deeper level of relational skill, where attentiveness to sign language, non-manual features, visual cues and facial grammar are important for meaningful pastoral relatedness. It is widely recognized that d/Deaf persons experience higher than average healthcare access barriers and associated psychological impacts, and therefore spiritual need. In addition, d/Deaf persons develop a non-auditory approach to emotional expression and communication. The competencies of clinical pastoral education (CPE) provide a natural context to further develop the necessary deeper relational skills for healthcare ministry. This article draws on the lived experiences of a chaplain for the d/Deaf engaged in CPE and a CPE educator, in order to highlight current deficiencies in pastoral care for d/Deaf persons, and to explore and illustrate how relational empathy and spiritual connection can be deepened among d/Deaf persons in healthcare by developing the competencies of CPE.
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Authors:Darren Cronshaw Abstract: Koenig, H. G., Carey, L. B., and Wortham, J. S. (2023). Moral Injury: A Handbook for Military Chaplains New York: Amazon Books, 350 pp. (pbk). ISBN: 9798365872431 Keywords:Book Reviews
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Spiritual Care, Mental Health, Hearing Impairment and COVID-19
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Authors:Lindsay B Carey, Daniel H Grossoehme, Fran Kissack, Mark Newitt, Daniel Nuzum, Piret Paal, Linda Ross, Austyn Snowden, Chris Swift Pages: 143 - 151 Abstract: This issue of Health and Social Care Chaplaincy presents a wide range of topics relating to: (i) spirituality and spiritual care education, (ii) mental health care, (iii) hearing impairment, and (iv) COVID-19 in residential aged care. A number of book reviews are presented, as well as the annual overview of HSCC. Finally, we welcome a new HSCC Editor-in-Chief and remind readers of the upcoming European Conference on Religion, Spirituality and Health planned for 2024. Further, we provide advance notice of a forthcoming conference currently in planning – namely the inaugural International Moral Injury and Wellbeing Conference (IMIWC, 2024). Keywords:Editorial
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A Call to Address Gaps in Spiritual Care Education
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Authors:Ruth Aird, Maureen O’Neill Pages: 166 - 181 Abstract: These scoping reviews challenge the dissonance between policies on the delivery of spiritual care (SC) to clients in institutions and the education required to perform that delivery. The authors discovered a paucity of literature relating to Scotland regarding healthcare support workers’ SC education and little more regarding that for nurses. There were various gaps in the understanding of SC, planning in the curriculum for SC and subsequent learning by students. The conclusion of this article is that as SC is embedded in human rights policy and government health and social care standards, the educational and professional governing bodies should be responsible for ensuring that SC features in all healthcare training, which should include SC assessment in the curriculum as a way of learning and endorsing knowledge. Specialist knowledge should either be available in colleges and universities or brought in to deliver education. Keywords:Articles
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Chryssides, G. D., and Cohn-Sherbok, D. (Eds.) (2023). The Covid Pandemic and the World’s Religions
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Authors:William Simmons Pages: 253 - 255 Abstract: Moyse, A. (2022). Resourcing Hope for Ageing and Dying in a Broken World: Wayfaring Through Despair. London: Anthem Press, 162 pp. (hbk). ISBN: 9781785278617. Keywords:Book Reviews
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