Academic Programs Office, 14640Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Medicine, School of Medicine, 6429Stanford University, Stanford CA, USA.
Am J Hosp Palliat Care. 2021 Nov;38(11):1308-1313. doi: 10.1177/1049909120984390. Epub 2020 Dec 30.
The value of healthcare chaplains to patient care is increasingly recognized. However, physicians' understandings of the role of pastoral care have been reported to be poor, which have raised concerns about the quality of chaplain-physician interactions and their impact on patient care. These interactions, particularly from the perspective of the chaplain, have not been extensively investigated.
An anonymous survey about the interactions of chaplains with physicians was sent to chaplains at a single institution, with subsequent focus group discussions of responding chaplains to obtain additional qualitative data.
Quantitative and qualitative data were collected from over 20 chaplains. While chaplains indicated satisfaction regarding their access to physicians, they noted a disconnect between chaplains and physicians, physicians' unfamiliarity with the chaplain role, a sense that physicians do not always appreciate the chaplain role as significant or helpful, and structural barriers to the integration of chaplains into medical care teams.
This study provides contemporary data on the nature of chaplain-physician interactions as reported from the perspective of chaplains. Further, these findings highlight opportunities for interventions to enhance the chaplain-physician relationship.
医疗神职人员对患者护理的价值越来越受到重视。然而,据报道,医生对牧师关怀角色的理解很差,这引起了人们对牧师-医生互动的质量及其对患者护理的影响的担忧。这些互动,特别是从牧师的角度来看,尚未得到广泛的研究。
向一家机构的牧师发送了一份关于牧师与医生互动的匿名调查,随后对回应的牧师进行焦点小组讨论,以获取更多的定性数据。
从 20 多名牧师那里收集了定量和定性数据。虽然牧师表示对他们与医生的接触感到满意,但他们注意到牧师和医生之间存在脱节,医生对牧师的角色不熟悉,医生并不总是认为牧师的角色重要或有帮助,以及牧师融入医疗团队的结构性障碍。
本研究从牧师的角度提供了关于牧师-医生互动性质的当代数据。此外,这些发现突出了加强牧师-医生关系的干预机会。