An Adaptation of The Discipline in a Clinical Pastoral Education Program

SUMMARY

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.     

Experience with Clinical Pastoral Education in the Context of The Discipline

SUMMARY

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

SUMMARY

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.     

A Case Study Using The Discipline with a Clinical Team

SUMMARY

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.     

The Discipline for Doing Spiritual Care: Variations on a Theme

SUMMARY

This article describes the writer's 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.     

First Steps: Approaching The Discipline Based,Outcome Oriented Ministry Model

SUMMARY

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.     

The Discipline: Its Impact on My Theological Perspective,Pastoral Identity and Practice

SUMMARY

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.     

A Disciplined Approach to Spiritual Care Giving for Adults Living with Cystic Fibrosis

SUMMARY

Adults living with cystic fibrosis are less likely than other pulmonary patients to describe themselves as religious, to attend worship services regularly, to use god language, to describe their spiritual life, and in general, to give any obvious, outward indications of their spiritual strength, concerns, and depth. And yet, they have consistently demonstrated in chaplain-patient encounters an awareness of the function and importance of their spirituality in relation to life choices, coping with illness, facing mortality, and expressing life meaning, beliefs, and values. A disciplined approach by chaplains is a key component to engaging these patients so that each person's unique spiritual story unfolds. Results from The Discipline demonstrate how adults with cystic fibrosis are different in their expression and approach to spirituality from other pulmonary patients.     

Playing Well with Others: The Discipline in a Pediatric Hospital

SUMMARY

This article contains a personal reflection on the way it feels, in fact and in theory, to move from a chaplaincy position in a clinical setting, to one where clinical chaplaincy is relatively new. The article presents the ways a clinically trained chaplain can introduce herself to a new setting, and how she must continually reevaluate her approach.     

Economic Rationalism and the Cost Efficiency of Hospital Chaplaincy: An Australian Study

SUMMARY

Health care reform is also occurring in Australia and effects hospital chaplaincy programs. “Economic rationalism” is the philosophic foundation of this effort and its contrast with the values inherit in hospital chaplaincy are highlighted. Selected research results from the Australian system are described and the authors offer a perspective on the cost efficiency of hospital chaplaincy.     

Language and Tools for Professional Accountability

SUMMARY

The article considers the issues raised by Chaplain Yes and Chaplain No earlier in this volume. They are considered in the framework of the distinctive dimensions of a profession. I contend that chaplaincy could be served by internal discussions of specialized skills and goals it wants to claim in the professional sphere, and that scientific tools could be used to evaluate, refine, and communicate those skills and goals. Possibilities include benchmarks, outcomes research, and inclusion of “consumers” in research designs. I argue that distinctive core skills and competencies of chaplaincy lie in affective, intuitive, and symbolic domains more than scientific domains, but that chaplaincy can benefit from strategic utilization of tools more native to other disciplines. I caution against reductionism from either domain, while arguing for vigorous dialogue.     

Book Review

Book reviewed in this article: B.S. Turner, Medical Power and Social Knowledge. J. Bond and S. Bond, Sociology and Health Care: an Introduction for Nurses and Other Health Care Professionals. J. Bond and S. Bond, Sociology and Health Care: an Introduction for Nurses and Other Health Care Professionals. W.J. Doherty, C.E. Christiansen and M.B. Sussman, Family Medicine: the Maturing of a Discipline. W.J. Doherty, C.E. Christianson and M.B. Sussman, Family Medicine: the Maturing of a Discipline. T. Rathwell, Strategic Planning in the Health Sector. D.J. Hunter and G. Wistow, Community Care in Britain: variations on a theme. T. Rathwell, Strategic Planning in the Health Sector. D.J. Hunter and G. Wistow, Community Care in Britain: variations on a theme. N. Mays and G. Bevan, Resource Allocation in the National Health Service: A review of the methods of the Resource Allocation Working Party (RAWP). N. Mays and G. Bevan, Resource Allocation in the National Health Service: A review of the methods of the Resource Allocation Working Party (RAWP). P. Townsend, P. Phillimore and A. Beattie, Health and Deprivation: Inequality and the North. P. Townsend, P. Phillimore and A. Beattie, Health and Deprivation: Inequality and the North. C. Baron, Asylum to Anarchy. C. Baron, Asylum to Anarchy. J. Justice, Policies, Plans and People: Culture and health development in Nepal. J. G. Kennedy, The Flowers of Paradise: the institutionalized use of the drug qat in North Yemen. J. Justice, Policies, Plans and People: Culture and health development in Nepal. J. G. Kennedy, The Flowers of Paradise: the institutionalized use of the drug qat in North Yemen. J. Justice, Policies, Plans and People: Culture and health development in Nepal. J. G. Kennedy, The Flowers of Paradise: the institutionalized use of the drug qat in North Yemen. N.P. McKeganey and S. Cunningham-Burley (eds), Enter the Sociologist. N.P. McKeganey and S. Cunningham-Burley (eds), Enter the Sociologist.     

How Has Health Care Reform Affected Professional Chaplaincy Programs and How Are Department Directors Responding?

SUMMARY

No published studies were identified that describe the impact of health care reform on professional chaplaincy departments in hospital settings. Results from a random sample (N = 370) of department directors indicate that 45 percent report no budgetary consequences, 27 percent have experienced budgetary cutbacks, and 17 percent describe departmental growth. The cutbacks most often involve the loss of staff chaplain positions. Directors also describe past and future strategies for resisting downsizing trends.     

Response to Larry Dossey

SUMMARY

Is the issue addressed in this volume a question like “What time is it?” or a quest-ion like “What is time?” I argue that it is a quest-ion that requires professional chaplaincy to quest for an answer although it will always have blurred edges that lack succinctness, clarity, and certainty. The challenge posed by the quest-ion means that we must transform the dilemma into a higher synthesis that respects the qualitative aspects inherent in the profession.     

Health Care Reform: Analysis of Narrative Responses from Directors of Pastoral Care Departments

SUMMARY

This paper is a narrative analysis of comments written by hospital pastoral care department directors in response to the questionnaire item that asked them to write about their experience with health care reform and to make suggestions as to what the profession could do about it. Three central themes included: (1) the importance of and need for administrative support of the department, (2) the importance of departmental visibility within the institution, and (3) the challenges of embracing change. Two secondary themes were the admonishing of peer department directors concerning inadequate performance and the ministry to hospital staff during reform efforts.     

《中国感染控制杂志》2002—2018年文献热点计量学分析

目的了解《中国感染控制杂志》自2002年创刊至2018年刊载文献的研究热点。方法对《中国感染控制杂志》刊载文献的数量、作者、科研机构、关键词、被引次数、基金项目进行计量学分析。结果《中国感染控制杂志》2002—2018年共刊载2 930篇文献,发文频次最多的是中南大学湘雅医院吴安华,受基金资助论文的篇数呈上升趋势。综合高频关键词、爆点关键词与高被引文献计量分析结果,预测多重耐药菌的多中心应用性研究将成为该杂志未来5年的研究热点。结论《中国感染控制杂志》是中国感染领域的权威学术杂志之一,文献计量学分析直接展示了杂志研究的热点,为业内人员科研选题时提供了方向。     

Parish Nursing and Clinical Pastoral Education

ABSTRACT

Parish nursing is growing within the church. Providing Clinical Pastoral Education (CPE) to parish nurses can be a rich experience for them, their congregations, and persons in leadership positions. In turn, such educational efforts can provide CPE programs with a legitimate and credible community outreach. This contribution describes a CPE Introductory Unit for parish nurses and explores its implications for the nurses, their congregations and the CPE movement.     

But What Are We Trying to Prove?

SUMMARY

Chaplaincy and Clinical Pastoral Education (CPE) in the health care setting can and should approach their ministries more scientifically, primarily by incorporating the methods and results of quantitative and qualitative research. Such an approach, however, should have a carefully considered rationale. Proponents of a scientific approach should avoid associating their advocacy with dubious notions of health care “reform.” They should attend to the perceptions-and fears-that chaplains may have of “science” and research as these affect pastoral care. In particular, fears for professional and programmatic survival should be recognized for their potential to predispose chaplains either favorably or unfavorably toward a scientific approach. Ultimately, chaplains should increase their openness to scientific methods in order to learn more about their ministry and improve their practice, without expecting that the adoption of research methods will be a magical solution to the problems posed by the current environment.     

Attention to the Scientific Benefits of Pastoral Care Is a Blessing and a Curse

SUMMARY

The art of pastoral care may be difficult to describe but we know that the ability to measure and describe the process of becoming a clinically trained, professional pastoral care provider is possible. Within the Association for Clinical Pastoral Education we have developed standards that spell out the competencies needed to complete the desired skill outcomes. Instead of diluting the meaning of pastoral care, this movement has strengthened the training, at least for many supervisors, students and seminaries. I argue that being able to understand with more precision what we do and how we do it could only enhance the practice of our art and the understanding by others of what that art might look like.     

Marketplace Ministries,Inc., Dallas,Texas

SUMMARY

Health care chaplaincy should become a research-informed profession in the next ten years. This article describes my rationale for this statement and outlines a plan for accomplishing it. This means that all professional health care chaplains will value the contributions that research can make to their ministry and some chaplains will be engaged in research that informs the profession. Becoming a research-informed profession does not mean losing our emphasis on compassion, faith, presence, self-awareness, or any of the other rich resources of our tradition. It does mean supplementing those resources with the information research provides. I conclude that the question that professional health care chaplains face is not whether to become a research-informed profession, but how to get there.