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Grief in Healthcare Chaplains: An Investigation of the Presence of Disenfranchised Grief
Authors:Steven Spidell  AnneMarie Wallace  Cindy L. Carmack  Graciela M. Nogueras-González  Crystal L. Parker  Scott B. Cantor
Affiliation:1. Presbyterian Outreach to Patients , Pearland, Texas, USA sspidell@mdanderson.org;3. Clinical Chaplaincy Programs, The University of Texas MD Anderson Cancer Center , Houston, Texas, USA;4. Departments of Behavioral Science and Palliative Care and Rehabilitation Medicine , The University of Texas MD Anderson Cancer Center , Houston, Texas, USA;5. Department of Biostatistics , The University of Texas MD Anderson Cancer Center , Houston, Texas, USA;6. Department of Biostatistics, Section of Health Services Research , The University of Texas MD Anderson Cancer Center , Houston, Texas, USA
Abstract:We examined how chaplains respond to grief and determined the prevalence of disenfranchised grief (i.e., grief that is not or cannot be acknowledged or supported by society) in healthcare chaplains. We conducted an online survey of members of the Association of Professional Chaplains. Of 3131 potential participants, 577 (18%) responded to the survey. In response to grief in the workplace, chaplains stated they would have low energy (78%), feel sad or moody (63%), feel like they had no time for themselves (44%), go through the motions (41%), and distance themselves from others (31%). As an indicator of disenfranchised grief, 21% of chaplains felt that their grief was not supported and affirmed in the workplace and 63% listed circumstances of death about which they felt very uncomfortable hearing or talking about. The results suggest that grief, and disenfranchised grief in particular, may be an important concern to address in healthcare chaplaincy.
Keywords:chaplaincy  disenfranchised grief  grief  pastoral care  responses to death
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