Timmins Fiona, Pujol Nicolas
School of Nursing and Midwifery Studies, Trinity College Dublin, 24 D'Olier St., Dublin 2, Ireland.
Laval University, Quebec, Canada.
J Relig Health. 2018 Jun;57(3):1183-1195. doi: 10.1007/s10943-018-0604-4.
Spirituality is becoming of increasing importance in the international healthcare context. While patients' spirituality or faith is often overlooked, there is a growing awareness that understanding, addressing and supporting patients' spiritual and faith needs can influence healthcare outcomes. This review aims to illuminate this role and highlight healthcare chaplains' potential in relation to the provision of pastoral support for families during and after patient resuscitation, and the dearth of interdisciplinary education in this field. A rapid structured review was undertaken using four databases-PubMed, CINAHL, PsycINFO and ATLA. Primary research studies published during the 10-year period 2007-2017 written in English addressing the chaplain's role or perceived role in resuscitation were included. An initial search using key terms yielded 18 relevant citations. This reduced to 11 once duplicates were removed. Ultimately five relevant primary research studies were included in the final analysis. This review found few studies that directly explored the topic. Certainly many view the chaplain as a key member of the resuscitation team, although this role has not been fully explored. Chaplains likely have a key role in supporting families during decisions about 'not for resuscitation' and in supporting families during and after resuscitation procedures. Chaplains are key personnel, already employed in many healthcare organisations, who are in a pivotal position to contribute to future developments of spiritual and pastoral care provision and support. Their role at the end of life, despite well described and supported, has received little empirical support. There is an emerging role for chaplains in healthcare ethics, supporting end-of-life decisions and supporting family witnessed resuscitation where relevant. Their role needs to be more clearly understood by medical staff, and chaplain's input into undergraduate medical education programmes is becoming vital.
在国际医疗环境中，灵性正变得越来越重要。虽然患者的灵性或信仰常常被忽视，但人们越来越意识到，理解、关注和支持患者的精神和信仰需求会影响医疗结果。本综述旨在阐明这一作用，并强调医疗保健牧师在患者复苏期间及之后为家庭提供牧灵支持方面的潜力，以及该领域跨学科教育的匮乏。我们使用四个数据库——PubMed、CINAHL、PsycINFO和ATLA进行了快速结构化综述。纳入了2007年至2017年这10年间以英文发表的关于牧师在复苏中的角色或感知角色的主要研究。使用关键词进行的初步搜索产生了18条相关引文。去除重复项后减少到11条。最终，五项相关的主要研究被纳入最终分析。本综述发现很少有研究直接探讨这个话题。当然，许多人将牧师视为复苏团队的关键成员，尽管这一角色尚未得到充分探讨。牧师在支持家庭做出“不进行复苏”的决定以及在复苏过程中和之后支持家庭方面可能发挥关键作用。牧师是关键人员，已经受雇于许多医疗保健机构，处于为精神和牧灵关怀的未来发展做出贡献并提供支持的关键位置。他们在生命末期的角色，尽管有详尽的描述和支持，但几乎没有得到实证支持。在医疗伦理中，牧师在支持临终决定以及在相关情况下支持家庭见证复苏方面正发挥着新的作用。医务人员需要更清楚地了解他们的角色，并且牧师对本科医学教育项目的投入正变得至关重要。
