Vanderwerker Lauren C, Flannelly Kevin J, Galek Kathleen, Harding Stephen R, Handzo George F, Oettinger Margaret, Bauman John P
The HealthCare Chaplaincy, USA.
J Health Care Chaplain. 2008;14(1):57-73. doi: 10.1080/08854720802053861.
The current study examines patterns of referrals to chaplains documented in the 1994-1996 New York Chaplaincy Study. The data were collected at thirteen healthcare institutions in the Greater New York City area. Of the 38,600 usable records in the sample, 18.4% were referrals, which form the sample for the current study (N = 7,094). The most common sources of referrals were nurses (27.8%) and patients themselves (22.3%), with relatively few referrals coming from physicians and social workers. The study shows the range of patient issues that are referred to chaplains, including emotional, spiritual, medical, relationship/support, and a change in diagnosis or prognosis. Although the reasons for referral varied by hospital setting and referral source, overall, patients were referred more frequently for emotional (30.0%) than for spiritual issues (19.9%). Results are discussed in relation to the need to clarify the role of the chaplain to the rest of the healthcare team, to recognize when there is a spiritual cause of emotional distress, and to establish effective referral protocols.
当前的研究考察了1994 - 1996年纽约牧师关怀研究中记录的向牧师转诊的模式。数据收集于纽约市大都市区的13家医疗机构。在样本中的38,600份可用记录中，18.4%是转诊记录，这些构成了当前研究的样本（N = 7,094）。最常见的转诊来源是护士（27.8%）和患者本人（22.3%），来自医生和社会工作者的转诊相对较少。该研究显示了转诊给牧师的患者问题范围，包括情感、精神、医疗、人际关系/支持以及诊断或预后的变化。尽管转诊原因因医院环境和转诊来源而异，但总体而言，因情感问题（30.0%）转诊的患者比因精神问题（19.9%）转诊的更频繁。研究结果围绕向医疗团队其他成员阐明牧师角色的必要性、识别情感困扰的精神原因以及建立有效的转诊方案等方面进行了讨论。
