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Chaplain-Physician Interactions From the Chaplain's Perspective: A Mixed Method Analysis.

Sofia Gomez1,2, Christine Nuñez Ba3, Betty White4

  • 1Academic Programs Office, 14640Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

The American Journal of Hospice & Palliative Care
|December 30, 2020
PubMed
Summary

Healthcare chaplains report challenges in their interactions with physicians, including a lack of physician understanding and appreciation for the chaplain role. These findings suggest opportunities to improve the integration of pastoral care into patient treatment teams.

Keywords:
chaplainchaplain-physician interactionspastoral carepatient spiritualityphysician spiritualityspiritual distressspirituality and health

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Area of Science:

  • Healthcare delivery
  • Patient care
  • Interprofessional collaboration

Background:

  • The recognized value of healthcare chaplains in patient care is contrasted by physicians' limited understanding of pastoral care.
  • This gap raises concerns about the quality of chaplain-physician interactions and their impact on patient outcomes.
  • Chaplain-physician interactions, particularly from the chaplain's viewpoint, remain under-investigated.

Purpose of the Study:

  • To investigate the nature of interactions between healthcare chaplains and physicians.
  • To gather insights into the chaplain's perspective on these professional relationships.
  • To identify barriers and facilitators in chaplain-physician collaboration.

Main Methods:

  • An anonymous survey was distributed to chaplains at a single institution.
  • Focus group discussions were conducted with responding chaplains to collect qualitative data.
  • Quantitative and qualitative data were analyzed from over 20 chaplains.

Main Results:

  • Chaplains reported satisfaction with access to physicians but noted a disconnect.
  • Physicians' unfamiliarity with the chaplain role and its significance was a key finding.
  • Structural barriers to integrating chaplains into medical care teams were identified.

Conclusions:

  • The study provides current data on chaplain-physician interactions from the chaplain's perspective.
  • Findings highlight a need for interventions to improve the chaplain-physician relationship.
  • Enhancing interprofessional understanding and collaboration can optimize pastoral care integration.