Winiger Fabian, Sprik Petra
Professorship for Spiritual Care, University of Zurich, Zurich, Switzerland.
Department of Health Services Administration, University of Alabama, Tuscaloosa, AL, USA.
J Health Care Chaplain. 2024 Jul-Sep;30(3):186-201. doi: 10.1080/08854726.2023.2294680. Epub 2023 Dec 19.
Telehealth-based care models are being widely adopted by primary care providers and large healthcare institutions. Drawing on data collected at an international conference on the theory and practice of telechaplaincy, this article identifies and discusses how chaplains navigate various telechaplaincy-related challenges. A thematic analysis identified 49 codes and 11 themes at the individual-, organizational- and population levels. Presenters reported facing novel and qualitatively distinct challenges spanning an array of telechaplains' professional activities, including the structure of work routines, the types of interventions used, the ways provider-patient connections are established and experienced, the strategic positioning of chaplains, their role in the model of care, and ultimately, the populations served. It is argued that, though telechaplaincy has gained prominence since the Covid-19 pandemic, the maintenance of professional standards in digital care settings is a systemic challenge related to long-term trends towards outpatient care.
基于远程医疗的护理模式正被初级保健提供者和大型医疗机构广泛采用。本文利用在一次关于远程牧师关怀理论与实践的国际会议上收集的数据，识别并讨论了牧师如何应对各种与远程牧师关怀相关的挑战。一项主题分析在个人、组织和人群层面识别出49个编码和11个主题。报告人表示面临一系列新颖且性质不同的挑战，这些挑战贯穿远程牧师关怀专业活动的各个方面，包括工作日常的结构、所采用的干预类型、建立和体验医患联系的方式、牧师的战略定位、他们在护理模式中的作用，以及最终所服务的人群。有人认为，尽管自新冠疫情以来远程牧师关怀已备受关注，但在数字护理环境中维持专业标准是与门诊护理长期趋势相关的系统性挑战。
