Massey Kevin, Barnes Marilyn J D, Villines Dana, Goldstein Julie D, Pierson Anna Lee Hisey, Scherer Cheryl, Vander Laan Betty, Summerfelt Wm Thomas
Advocate Health Care, 3075 Highland Parkway, Downers Grove, IL 60515 USA.
BMC Palliat Care. 2015 Apr 15;14:10. doi: 10.1186/s12904-015-0008-0. eCollection 2015.
Chaplains are increasingly seen as key members of interdisciplinary palliative care teams, yet the specific interventions and hoped for outcomes of their work are poorly understood. This project served to develop a standard terminology inventory for the chaplaincy field, to be called the chaplaincy taxonomy.
The research team used a mixed methods approach to generate, evaluate and validate items for the taxonomy. We conducted a literature review, retrospective chart review, focus groups, self-observation, experience sampling, concept mapping, and reliability testing. Chaplaincy activities focused primarily on palliative care in an intensive care unit setting in order to capture a broad cross section of chaplaincy activities.
Literature and chart review resulted in 438 taxonomy items for testing. Chaplain focus groups generated an additional 100 items and removed 421 items as duplications. Self-Observation, Experience Sampling and Concept Mapping provided validity that the taxonomy items were actual activities that chaplains perform in their spiritual care. Inter-rater reliability for chaplains to identify taxonomy items from vignettes was 0.903.
The 100 item chaplaincy taxonomy provides a strong foundation for a normative inventory of chaplaincy activities and outcomes. A deliberative process is proposed to further expand and refine the taxonomy to create a standard terminological inventory for the field of chaplaincy. A standard terminology could improve the ways inter-disciplinary palliative care teams communicate about chaplaincy activities and outcomes.
牧师越来越被视为跨学科姑息治疗团队的关键成员，然而他们工作的具体干预措施和预期成果却鲜为人知。本项目旨在为牧师领域开发一个标准术语清单，即牧师分类法。
研究团队采用混合方法来生成、评估和验证分类法的条目。我们进行了文献综述、回顾性病历审查、焦点小组讨论、自我观察、经验抽样、概念映射和信度测试。牧师活动主要集中在重症监护病房环境中的姑息治疗，以便涵盖广泛的牧师活动范围。
文献和病历审查产生了438个分类法条目用于测试。牧师焦点小组又提出了100个条目，并删除了421个重复条目。自我观察、经验抽样和概念映射提供了有效性证据，表明分类法条目是牧师在精神关怀中实际开展的活动。牧师从案例中识别分类法条目的评分者间信度为0.903。
100项的牧师分类法为牧师活动和成果的规范性清单奠定了坚实基础。建议通过一个审议过程进一步扩展和完善分类法，以创建牧师领域的标准术语清单。一个标准术语可以改善跨学科姑息治疗团队就牧师活动和成果进行沟通的方式。
