Department of Communication Studies, California State University, Long Beach, CA, USA.
Department of Communication, University of Texas, Austin, TX, USA.
J Health Care Chaplain. 2023;29(4):337-352. doi: 10.1080/08854726.2022.2087965. Epub 2022 Jun 26.
The present study examined chaplain reported plans for patient conversations regarding end-of-life (EOL) care through the lens of multiple goals. Chaplains ( = 69) were asked to curate a plan for engaging with a patient about EOL treatment options, including how they would engage in the conversation and what they would plan to discuss. Findings indicated that plans primarily consisted of relational and identity goals, with a majority navigating multiple goal orientations. Content overwhelmingly involved developing rapport with patients, eliciting patient preferences for care, and serving as a patient liaison. The current study addresses the paucity of research around the role a chaplain plays on the interdisciplinary team and their respective approach to EOL conversations. Examination of curated plans affords insight to what content is prioritized and which conversational goals are present. Integration of multiple goals offers preliminary evidence for conversational quality. Awareness of goal approach and content prioritized affords clarity on how chaplains can be called upon to support members of the interdisciplinary care team.
本研究通过多重视角考察了牧师报告的关于终末期（EOL）护理的患者对话计划。要求牧师（ = 69）制定一项计划，与患者讨论 EOL 治疗方案，包括他们将如何进行对话以及计划讨论哪些内容。研究结果表明，这些计划主要由关系和身份目标组成，大多数人都采用了多种目标取向。内容主要涉及与患者建立融洽关系，引出患者对护理的偏好，并充当患者的联络人。本研究解决了围绕牧师在跨学科团队中所扮演的角色及其各自对 EOL 对话方法的研究不足的问题。对策划计划的审查使我们能够深入了解优先考虑的内容以及存在的哪些对话目标。整合多种目标为对话质量提供了初步证据。对目标方法和内容优先级的认识使我们能够清楚地了解如何要求牧师来支持跨学科护理团队的成员。
