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加强医院牧师在医疗团队中的融入:一项针对医院牧师的调查研究的定性分析

Enhancing the integration of chaplains within the healthcare team A qualitative analysis of a survey study among healthcare chaplains.

作者信息

Kruizinga Renske, Schuhmann Carmen, Glasner Tina, Jacobs Gaby

机构信息

University for Humanistic Studies, Utrecht, The Netherlands.

出版信息

Integr Healthc J. 2023 Feb 16;4(1):e000138. doi: 10.1136/ihj-2022-000138. eCollection 2022.

DOI:10.1136/ihj-2022-000138
PMID:37440855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10240735/
Abstract

BACKGROUND

Spiritual well-being is considered an important component of health and is increasingly integrated at all levels of healthcare. Delivering good integrated spiritual care requires coordination between different colleagues in which interprofessional collaboration is crucial. However, this interprofessional collaboration is not always self-evident. What spiritual care entails, is often poorly understood by their healthcare colleagues. Developing a shared professional identity is a crucial component of the shift towards professionalisation in chaplaincy.

OBJECTIVES

We aim to answer the following research question: how do healthcare chaplains in the Netherlands describe their work and their professional identity in relation to other healthcare professionals?

DESIGN AND SUBJECTS

Analysis of open-ended questions of a survey among healthcare chaplains regarding professional self-understanding in the Netherlands.

RESULTS

107 Dutch chaplains working in a healthcare setting completed the five open-ended questions in the survey. The field of healthcare chaplaincy is changing from an exclusive focus at patients, towards more activities at staff and organisational level such as educating other healthcare professionals and, being involved in ethics and policy making.

CONCLUSIONS

Our research shows that the professional self-understanding of chaplains entails many leads to foster interprofessional collaboration. At the same time, there are concerns about the professional identity of the chaplain which is not always clear to every healthcare professional. Healthcare teams can benefit from an extensive integration of chaplains in the healthcare team, by including the non-patient-related activities of chaplains, such as staff training, moral deliberation and policy advice.

摘要

背景

精神健康被视为健康的重要组成部分,并且在医疗保健的各个层面越来越多地得到整合。提供良好的综合精神关怀需要不同同事之间的协调,其中跨专业合作至关重要。然而,这种跨专业合作并非总是不言而喻的。精神关怀的具体内容,往往不为其医疗同事所理解。形成共同的职业身份认同是迈向牧师专业化转变的关键组成部分。

目的

我们旨在回答以下研究问题:荷兰的医疗保健牧师如何描述他们的工作以及他们相对于其他医疗保健专业人员的职业身份认同?

设计与研究对象

对荷兰医疗保健牧师关于职业自我认知的一项调查中的开放式问题进行分析。

结果

107名在医疗环境中工作的荷兰牧师完成了调查中的五个开放式问题。医疗保健牧师领域正从仅专注于患者,转向在员工和组织层面开展更多活动,比如教育其他医疗保健专业人员以及参与伦理和政策制定。

结论

我们的研究表明,牧师的职业自我认知带来了许多促进跨专业合作的线索。与此同时,人们对牧师的职业身份存在担忧,并非每个医疗保健专业人员都清楚其职业身份。通过纳入牧师与患者无关的活动,如员工培训、道德审议和政策建议,医疗团队可以从牧师在医疗团队中的广泛整合中受益。

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本文引用的文献

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The perceived impact of being a chaplain-researcher on professional practice.作为一名牧师-研究人员对专业实践的感知影响。
J Health Care Chaplain. 2024 Jan-Mar;30(1):19-32. doi: 10.1080/08854726.2022.2132036. Epub 2022 Oct 20.
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The future of chaplaincy in a secularized society: a mixed-methods survey from the Netherlands.在世俗化社会中的牧职未来:来自荷兰的混合方法调查。
J Health Care Chaplain. 2023 Jan-Mar;29(1):132-144. doi: 10.1080/08854726.2022.2040894. Epub 2022 Feb 21.
3
Chaplain Leadership During COVID-19: An International Expert Panel.《新冠疫情期间的牧师领导力:国际专家小组》
J Pastoral Care Counsel. 2022 Mar;76(1):56-65. doi: 10.1177/15423050211067724. Epub 2021 Dec 21.
4
The professionalization of chaplaincy .牧师职业的专业化。
J Health Care Chaplain. 2023 Jan-Mar;29(1):14-29. doi: 10.1080/08854726.2021.1996810. Epub 2021 Oct 29.
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Staff-Care by Chaplains during COVID-19.神职人员在 COVID-19 期间对员工的关怀。
J Pastoral Care Counsel. 2021 Apr;75(1_suppl):24-29. doi: 10.1177/1542305020988844.
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Chaplain-Physician Interactions From the Chaplain's Perspective: A Mixed Method Analysis.从牧师的角度看牧师-医师互动:混合方法分析。
Am J Hosp Palliat Care. 2021 Nov;38(11):1308-1313. doi: 10.1177/1049909120984390. Epub 2020 Dec 30.
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An EAPC white paper on multi-disciplinary education for spiritual care in palliative care.关于缓和医疗中灵性照护的多学科教育的 EAPC 白皮书。
BMC Palliat Care. 2020 Jan 15;19(1):9. doi: 10.1186/s12904-019-0508-4.
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