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Healthcare Agencies II

Healthcare Agencies II

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Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...

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The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...

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Ethical Concerns in Healthcare:

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Healthcare and the hospital chaplain.

Roberta Springer Loewy¹, Erich H Loewy

¹Bioethics Program, University of California, Davis, USA. raloewy@ucdavis.edu

Medgenmed : Medscape General Medicine

|April 17, 2007

Summary

Clinical pastoral education programs are expanding chaplain roles, leading to concerns about patient autonomy and privacy. Reassessing chaplaincy

Area of Science:

Bioethics
Healthcare Administration
Clinical Pastoral Education

Background:

The Association for Clinical Pastoral Education (ACPE) encourages chaplains to adopt proactive roles in healthcare settings.
Chaplaincy programs are increasingly engaging in patient interactions and record access without explicit patient consent or requests.
This shift challenges traditional patient autonomy and healthcare professional relationships.

Purpose of the Study:

To critically examine the evolving roles and claims of chaplains within healthcare.
To analyze the assumptions underlying chaplains' expanded access to patients and medical records.
To reassess professional commitments regarding patient bio-psycho-social integrity.

Main Methods:

Critical analysis of claims and assumptions made by chaplains and chaplaincy programs.

Related Experiment Videos

Review of accreditation standards and professional practices.

Conceptual re-evaluation of terms like 'chaplaincy,' 'healthcare professional,' and 'healthcare team member.'

Main Results:

Chaplains are asserting expertise in 'spirituality' beyond religion, justifying broader patient interaction.
Questionable assumptions include the conflation of spirituality and religiosity, and the misinterpretation of accreditation requirements (e.g., JCAHO).
The claim that chaplains are full healthcare team members with unrestricted record access is contested.

Conclusions:

The proactive stance of some chaplains raises significant ethical concerns regarding patient autonomy and confidentiality.
There is a need to redefine the scope of chaplaincy services and their integration into healthcare teams.
Professional commitments must prioritize the protection of patients' bio-psycho-social integrity.