Antoine Aja, Fitchett George, Marin Deborah, Sharma Vanshdeep, Garman Andrew, Haythorn Trace, White Kelsey, Greene Amy, Cadge Wendy
Department of Sociology, Brandeis University, Waltham, MA, USA.
Department of Religion, Health and Human Values, Rush University Medical Center, Chicago, IL, USA.
J Health Care Chaplain. 2022 Apr-Jun;28(2):272-284. doi: 10.1080/08854726.2020.1861535. Epub 2020 Dec 28.
Two-thirds of American hospitals have chaplains. This article explores the organizational and business models that underlie how chaplains are integrated into hospitals. Based on interviews with 14 chaplain managers and the 11 healthcare executives to whom they report at 18 hospitals in 9 systems, we identify three central findings. First, there is significant variation in how spiritual care programs are staffed and integrated into their hospitals. Second, executives and chaplain managers see the value of chaplains in terms of their quality of care, reliability and responsivity to emergent patient and staff needs, and clinical training and experience working within a complex environment. Third, few departments rely on empirical data when making decisions about staffing, tending instead to default to the budgetary status quo. These findings provide the basis for a larger more systematic study.
三分之二的美国医院配备了牧师。本文探讨了牧师融入医院所依据的组织和商业模式。基于对9个系统中18家医院的14位牧师管理人员及其汇报工作的11位医疗保健高管的访谈，我们得出了三个主要发现。第一，精神护理项目的人员配备方式以及融入医院的方式存在显著差异。第二，高管和牧师管理人员认为牧师在护理质量、对患者和员工紧急需求的可靠性和响应能力以及在复杂环境中工作的临床培训和经验方面具有价值。第三，很少有部门在做出人员配备决策时依赖实证数据，而是倾向于维持预算现状。这些发现为更大型、更系统的研究奠定了基础。
