A case study of Jerry: emphasizing team communication through use of the Discipline

After the chaplain is well acquainted with The Discipline and has begun to implement it in daily pastoral practice, half of the work is done. The further work concerns how and what to communicate to the care team regarding the chaplain's observations. This article begins by offering a pastoral reflection on the chaplain's identity and pastoral practice within a multi-disciplinary care team. The pastoral reflection highlights key theological assertions used by The Discipline. The author then identifies the particular problems facing care teams and their communication that the chaplain can anticipate when using The Discipline. Thirdly, the author suggests workable, theologically based tools for the resolution of these problems. Lastly, through the case study of "Jerry," the author illustrates both the "how" and "what" components of care team communication using the working elements of The Discipline. The "how" component describes the informal and formal relational processes that have contributed to a working partnership. The case study also illustrates the "what" part of care team communication--the structure and delivery of observable and discernible content to physicians and nurses. These materials can ease the transition towards effective pastoral presence on the interdisciplinary care team regarding patient and family/support partner care.     

参访台湾医院对开展优质护理服务的启示

2013年11月，笔者参加了为期7 d的国家卫计委组织的海峡两岸护理交流项目，本次组团共20人。在台湾主要参观访问了台北公立万芳医院、北大附设医院、台南嘉义市基督教圣马尔定3家医院。笔者认为台湾在护理理念、护理管理以及富有人文内涵的优质服务方面的经验值得学习借鉴。     

An adaptation of The Discipline in a clinical pastoral education program. Interview by Larry VandeCreek

The author describes his perspective on providing pastoral care to hospital patients, his search for new ways to understand that ministry, his first contact with The Discipline, and his adaptation of it to the clinical and educational programs at his center. He discusses the need to help clinical pastoral education students to operationalize their ministry and to learn how to identify outcomes that are meaningful to health care decision makers.     

First steps: approaching The Discipline based, outcome oriented ministry model

This article describes how a new staff chaplain is approaching and applying a discipline based, outcome oriented ministry model. He describes his move from being a lone, geriatric chaplain in a long term care facility to becoming a member of a team of staff chaplains in a teaching hospital who have disciplined themselves to an outcome oriented ministry model. The writer gives his perspective on The Discipline, and denotes ways in which his ministry has been impacted. Though the author has been involved with this process for only six months, both he and those in his care are experiencing some of the benefits of making tangible contributions and developing measurable outcomes in ministry.     

Experience with clinical pastoral education in the context of The Discipline

This article relates the experience of integrating The Discipline into the process and curriculum of an ACPE accredited clinical pastoral education (CPE) program involving residents and single unit students. It describes supervisor and student concerns as well as the conclusions they reached concerning the integration of The Discipline into The CPE process.     

Using The Discipline for integrative ministry formation

One United Methodist Annual Conference has begun a program of ministry formation education for probationary, first-appointment ministers in conjunction with Emory Clergy Care, Atlanta. This program uses an adaptation of The Discipline as an integral part of their ongoing formation education. Participants have learned the basics of planned pastoral care delivery, family and congregational systems thinking and self-supervision. Using The Discipline, they have been effectively adapting it to their local church settings and ministries.     

17城市妇幼保健院发表学术论文的统计分析

目的:了解山东省17城市妇幼保健院学术研究状况。方法:使用文献计量学方法收集数据并进行统计学处理。结果:山东省17城市妇幼保健院在各种期刊上共发表并被VIPD收录的论文数为1 759篇,呈逐年递增;其中创新性论著占39.51%,核心期刊发文量占21.60%,临床学科论文占46.79%,最高产作者著文25篇,平均作者合作度为2.34,合作率达78.68%。结论:山东省妇幼保健机构学术研究成绩显著。     

The Discipline: its impact on my theological perspective, pastoral identity and practice

This article is a personal interpretation of how The Discipline has re-formulated the pastoral identity, practice, and theology of a board certified chaplain providing ministry to patients in the heart sciences. His reflections take into account his history as an ordained priest and as a professionally trained chaplain. The article reflects his struggles and theological transformations, demonstrating how a theological base may emerge from the interpretative reflection on The Discipline. The article describes the uneasy internal and external processes that occurred in and around him during that transformation. His story also attests to growth made "from the inside out" as a chaplain within a generative multi-faith department.     

临床学科群建设评价指标体系实证分析

现代大型综合性医院陆续组建学科群,以创造更高的临床和科研效益。为科学地管理学科群,运用评价指标体系对学科群发展建设进行了实证研究评估,对评估结果进行分析,并提出政策性建议：要重视学科群带头人的培养及学科人才队伍的建设;引导学科群管理方式由疏散型向紧密型、核心型转变;加强学科群群间合作和群内学术、人才、技术交流,打造优势学科群,提升核心竞争力,推动医院的快速发展。     

The Discipline for doing spiritual care: variations on a theme

This article describes the writers introduction to The Discipline and his decision to utilize selected aspects of it in direct care and in an educational milieu. The first section describes adaptation of the Profile (Concepts of Holy, Meaning, Hope, and Community) in the writer's work with addicted persons on a Recovery Center. The second section presents the employment of this Profile as a way to introduce CPE interns to the art of pastoral assessment.     

The Families First Program to Prevent Child Abuse: Results of a Cluster Randomized Controlled Trial in West Java,Indonesia

Prevention Science - The Families First parenting program is a 10-week paraprofessional-administered adaptation of the Positive Discipline in Everyday Parenting program for West Java, Indonesia. It...     

Living The Discipline on a stem cell transplant unit: spiritual care outcomes among bone marrow transplant survivors

An oncology chaplain details, using The Discipline for Pastoral Care Giving, common themes in the spiritual journeys of stem cell/bone marrow transplantation survivors, and helpful chaplain interventions.     

The Discipline: a pastoral care methodology with violent victims of violence

Ours is a violent culture and violence creates victims. Many of these victims are themselves violent. This article describes The Discipline as used in the pastoral care process that seeks to rehabilitate these violent victims. The process involves 5 Rs: Rapport, Reflection, Realization, Reorientation, and Reintegration.     

我国护理学设立二级学科的必要性(综述)

探讨护理学二级学科建设。护理学获准为一级学科后,从长远发展的角度考虑,应尽快设立二级学科。采用文献分析法,为护理学二级学科的设立提供理论依据。     

Outpatient Care: The Modern Chaplains' New Impact in Healthcare Reform

SUMMARY

An oncology chaplain details, using The Discipline for Pastoral Care Giving, common themes in the spiritual journeys of stem cell/bone marrow transplantation survivors, and helpful chaplain interventions.     

“第五项修炼”在护士职业教育中的应用

目的探讨第五项修炼的理论及学习技巧在合同制护士职业教育中,对提高护士职业满意度的影响。方法将160名合同制护士分为实验组和对照组,对实验组实施五项修炼的理论及学习技巧培训,培训结束半年后比较两组护士职业满意度。结果实验组护士职业满意度明显优于对照组,差异有统计学意义。结论“第五项修炼”的理论及学习技巧应用到合同制护士职业教育,能明显改善护理人员的心智模式,建立共同愿景,提高护理团队学习能力,提高护士职业满意度。     

A case study using the Discipline with a clinical team

Health care delivery in hospitals and clinics promotes an interdisciplinary team approach. This article presents the use of The Discipline though the involvements of the chaplain as part of the Infectious Disease team as together they addressed the inherent spirituality of one HIV/AIDS patient. This narrative recounts the unfolding events of the patient's life and describes the use of The Discipline during a very difficult time period for the patient and the staff. The experience can serve as a model for other health care teams who must manage difficult, deteriorating patients.     

西北地区基层医院加强学科建设实践与体会

学科建设是医院管理的核心。结合本院学科建设工作实践,从以下几个方面探讨基层医院应该如何加强学科建设工作：1.结合医院建设方向,加快重点学科建设;2.完善科研管理和奖励机制,提高科研水平;3.建立临床病例资料库和标本库;4.与上级医院加强合作,共享资源;5.以加强学科建设为契机,重视科研人才队伍的培养。     

A Case Study: Linda

An oncology chaplain illustrates the Discipline for Pastoral Care Giving by recalling interactions with a breast cancer patient.     

Book Reviews

Book reviewed in this article:
Scholarship in the Discipline of Nursing Edited by G. Gray, R. Pratt 1995.
Handbook of Staff Development: A Practical Guide for Health Professionals Barbara Horner.
Rural General Practice in the United Kingdom Edited by J. Cox.
Basic Child Psychiatry, 6th edn. Philip Barker.