Johnson Madeline, Butts Rev Ian R, Ashworth Rachel, Smith Jacquelyn, Marik Patricia, Davies W Hobart, Rothschild Charles
Department of Psychology, University of Wisconsin - Milwaukee.
Department of Spiritual Care, Children's Wisconsin.
Clin Pract Pediatr Psychol. 2025 Apr 9. doi: 10.1177/21694826251328954.
To explore, by way of intentional, case-based reflection, the ways in which hospital-based chaplains and pediatric psychologists collaborate as key members of a patient/family's interdisciplinary care team to provide synergistic spiritual and psychosocial care.
Intentional reflection and dialogue amongst co-authors with backgrounds in chaplaincy/spiritual care, pediatric intensive care medicine, pediatric palliative care medicine, and pediatric psychology. Co-authors took notes on the content of conversations they observed at a midwestern hospital. They then reviewed the content of these conversations for themes which might be applicable to interdisciplinary psychosocial and spiritual care.
While each case represents one specific situation, key concepts were identified and explored. These include: differences in timing of care and expertise among psychosocial team members can be leveraged to enhance the collective ability to support a family; spiritual and psychological distress can mirror one another, and even co-occur; a family's religious or cultural identity does not inherently predict the degree to which their distress has spiritual underpinnings; the collaborative nature of interdisciplinary team members can strengthen support to patients and families if they demonstrate partnership and consistent communication.
Interdisciplinary teamwork involving collaboration between hospital chaplains and pediatric psychologists, both serving critical roles within the care team, can lead to unique and effective partnerships which enhance psychosocial and spiritual care for patients and families. While these reflections represent collaboration at a single hospital, further work should be done to better understand the current state of such teamwork more broadly, and to identify best practices to maximize the impact of these collaborations across institutions.
通过基于案例的有意反思，探讨医院牧师和儿科心理学家作为患者/家庭跨学科护理团队的关键成员如何协作，以提供协同的精神和心理社会护理。
具有牧师/精神护理、儿科重症医学、儿科姑息治疗医学和儿科心理学背景的共同作者之间进行有意反思和对话。共同作者记录了他们在一家中西部医院观察到的对话内容。然后，他们审查了这些对话的内容，以寻找可能适用于跨学科心理社会和精神护理的主题。
虽然每个案例代表一种特定情况，但确定并探讨了关键概念。这些概念包括：心理社会团队成员在护理时间和专业知识方面的差异可以被利用来提高支持家庭的集体能力；精神痛苦和心理痛苦可能相互反映，甚至同时出现；一个家庭的宗教或文化身份并不能固有地预测其痛苦在精神层面的基础程度；如果跨学科团队成员表现出合作关系并保持一致的沟通，他们的协作性质可以加强对患者和家庭的支持。
涉及医院牧师和儿科心理学家合作的跨学科团队合作，二者在护理团队中都发挥着关键作用，可以形成独特而有效的伙伴关系，从而加强对患者和家庭的心理社会和精神护理。虽然这些反思代表了一家医院的合作情况，但应进一步开展工作，以更广泛地更好理解此类团队合作的现状，并确定最佳做法，以最大限度地提高这些合作在各机构中的影响。
