Damen Annelieke, Schuhmann Carmen, Rosie X J S, van Zundert Marjo, Jacobs Gaby, Muthert Hanneke, Olsman Erik, Visser Anja
University of Humanistic Studies, Utrecht, The Netherlands.
University of Groningen, Groningen, The Netherlands.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251357528. doi: 10.1177/21501319251357528. Epub 2025 Jul 17.
A broad range of studies have associated spirituality with health outcomes. However, the integration of spiritual care in primary and community care has substantially lagged behind. Chaplains, as specialist spiritual caregivers, are increasingly employed in primary and community care to fill the gap. To investigate the implementation of chaplains in these settings from the perspective of clients, this study focused on the following research question: what are primary and community care clients' reasons to seek chaplaincy care, their ideas of care goals, and what outcomes of care do they report?
24 Dutch chaplaincy clients were interviewed.
Clients sought support from a chaplain for existential concerns, or an existential struggle encompassing several areas of life. They described goals and outcomes of care in 3 domains: (1) the relationship with the chaplain, which included being seen, heard and acknowledged; (2) meaning-making, where they gained insight into and/or processed life-events, and connected more with themselves, others and/or the sacred; and (3) well-being, which included feeling better and finding peace.
This study provides novel insights into clients perspective on chaplains' contributions in primary and community care. Their experiences are key to further shaping the implementation of chaplaincy in these settings.
广泛的研究已将精神性与健康结果联系起来。然而，精神关怀在初级和社区护理中的整合却大大滞后。作为专业精神护理人员的牧师，越来越多地受雇于初级和社区护理以填补这一空白。为了从服务对象的角度调查牧师在这些环境中的实施情况，本研究聚焦于以下研究问题：初级和社区护理服务对象寻求牧师关怀的原因是什么，他们对护理目标的看法是什么，以及他们报告的护理结果是什么？
对24名荷兰接受牧师关怀服务的对象进行了访谈。
服务对象因存在性担忧或涉及生活多个领域的存在性挣扎而寻求牧师的支持。他们从三个方面描述了护理的目标和结果：（1）与牧师的关系，包括被关注、被倾听和被认可；（2）意义建构，即他们对生活事件有了洞察和/或进行了梳理，并与自己、他人和/或神圣之物建立了更紧密的联系；（3）幸福感，包括感觉更好和找到内心的平静。
本研究为服务对象对牧师在初级和社区护理中所做贡献的看法提供了新的见解。他们的经历对于进一步完善这些环境中牧师关怀服务的实施至关重要。
