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Journal articles on the topic 'Medical chaplain'

Author: Grafiati

Published: 5 June 2025

Last updated: 16 July 2025

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1

Lee, Brittany M., Farr A. Curlin, and Philip J. Choi. "Documenting presence: A descriptive study of chaplain notes in the intensive care unit." Palliative and Supportive Care 15, no. 2 (2016): 190–96. http://dx.doi.org/10.1017/s1478951516000407.

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AbstractObjective:To clarify and record their role in the care of patients, hospital chaplains are increasingly called on to document their work in the medical record. Chaplains' documentation, however, varies widely, even within single institutions. Little has been known, however, about the forms that documentation takes in different settings or about how clinicians interpret chaplain documentation. This study aims to examine how chaplains record their encounters in an intensive care unit (ICU).Method:We performed a retrospective chart review of the chaplain notes filed on patients in the adu

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2

Rosul, N. "Topical issues of the legal regulation of medical chaplaincy in Ukraine." Uzhhorod National University Herald. Series: Law 1, no. 78 (2023): 221–26. http://dx.doi.org/10.24144/2307-3322.2023.78.1.36.

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The article is devoted to the study of topical issues of legal regulation of the institute of medical chaplaincy in Ukraine. It is stated that at the current stage of state development, the specifics of pastoral care in healthcare are not properly regulated by law and need to be clearly established, in particular not only in the Constitution of Ukraine, the Civil Code of Ukraine, the Laws of Ukraine “Fundamentals of the Legislation of Ukraine on Health Care” and “On Freedom of Conscience and Religious Organizations”, but also by specialized law. Special attention was paid to the analysis of th

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3

Labuschagne, Dirk, Alexia Torke, Daniel Grossoehme, et al. "Chaplaincy Care in the MICU: Describing the Spiritual Care Provided to MICU Patients and Families at the End of Life." American Journal of Hospice and Palliative Medicine® 37, no. 12 (2020): 1037–44. http://dx.doi.org/10.1177/1049909120912933.

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Background: Gravely ill patients admitted to the intensive care unit (ICU), and their families experience acute spiritual and existential needs and often require complex decisions about their care. Little is known about what constitutes chaplaincy care for patients or families in ICUs. Chaplains report that participation in medical decision-making is part of their role. Objective: To describe the spiritual care provided to patients and their families in the ICU. Methods: This was a retrospective observational study of spiritual care for patients and families in the medical ICUs (MICUs) at 4 me

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Mermann, Alan C. "A Medical School Chaplaincy." Journal of Pastoral Care 43, no. 3 (1989): 222–29. http://dx.doi.org/10.1177/002234098904300304.

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Describes characteristics of contemporary medical school students and how these determine the forms of ministry to them. Elaborates on teaching and counseling roles of the chaplaincy program at Yale School of Medicine. Defines the qualities of a chaplain working within a medical school setting.

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Mascaro, Jennifer S., Patricia K. Palmer, Marcia J. Ash, et al. "A randomized controlled trial of a compassion-centered spiritual health intervention to improve hospital inpatient outcomes." PLOS ONE 20, no. 3 (2025): e0313602. https://doi.org/10.1371/journal.pone.0313602.

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Background Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH™ (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH’s effects. Method Chaplain residents

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Spivak, V. O. "Separate issues of Ukrainian legislation functioning on social security of medical chaplains." Bulletin of Kharkiv National University of Internal Affairs 97, no. 2 (2022): 118–31. http://dx.doi.org/10.32631/pb.2022.2.10.

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The justification of the need to consolidate the chaplaincy in the field of health care at the legislative level has been made, as well as the legislative provisions and initiatives regarding the introduction of pastoral care in the medical field have been analyzed. It has been emphasized that currently the medical chaplaincy does not have the necessary legal regulation for full functioning and development and takes place exclusively at the initiative of churches and religious organizations, requiring proper legal regulation by the state. On the basis of the analysis of the current

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Damen, Annelieke, Patricia Murphy, Francis Fullam, Deirdre Mylod, Raj C. Shah, and George Fitchett. "Examining the Association Between Chaplain Care and Patient Experience." Journal of Patient Experience 7, no. 6 (2020): 1174–80. http://dx.doi.org/10.1177/2374373520918723.

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A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients’ electronic medical record. Our analyses included 11 741 patients, 26.5% of whom had received any chaplain care. Patients

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8

Krauss, Anna, and Robert T. Carter. "Observations about Holistic Care from the Experience of a Medical Student Shadowing a Chaplain." Religions 15, no. 7 (2024): 826. http://dx.doi.org/10.3390/rel15070826.

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The project was initiated when a medical student expressed interest in shadowing a chaplain during their third-year clinical rotations. The Hospital Library Service supported this inquiry by providing readings about intentional programs and a medical practitioner spiritual screening for both the chaplain and student to review. By coordinating with the student’s medical supervision, different times were found throughout the day such that a variety of pastoral care instances could be observed. As part of the welcome extended to each patient, the chaplain introduced the medical student and obtain

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9

Chang, Bei-Hung, Nathan R. Stein, Kelly Trevino, Max Stewart, Ann Hendricks, and Lara M. Skarf. "End-of-life spiritual care at a VA medical center: Chaplains' perspectives." Palliative and Supportive Care 10, no. 4 (2012): 273–78. http://dx.doi.org/10.1017/s1478951511001003.

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AbstractObjective:Spiritual care is an essential component of quality palliative care. Recognizing the importance, the Department of Veterans Affairs (VA) mandates the inclusion of chaplains in a palliative care consult team (PCCT). The purpose of this study is to explain the process and content of spiritual care provided in a VA Medical Center from chaplains' perspectives.Method:Five Christian chaplains who provide care to patients at end of life were interviewed. Each interview was recorded and transcribed. Analysis based on the grounded theory was used to identify themes from each interview

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10

McCurry, Ian J. "Dear Unknown: A Letter to a Teenage Gunshot Victim." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 75, no. 1 (2021): 74. http://dx.doi.org/10.1177/1542305020968052.

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11

Bryce, Bruce E. "Using a chaplain in the OR." AORN Journal 48, no. 6 (1988): 1178–79. http://dx.doi.org/10.1016/s0001-2092(07)69787-7.

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12

Koenig, Harold G. "Role of the Chaplain on the Medical-Surgical Team." AORN Journal 96, no. 3 (2012): 330–32. http://dx.doi.org/10.1016/j.aorn.2012.06.007.

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Flannelly, Kevin J., George F. Handzo, M. Div., et al. "A National Survey of Hospital Directors' Views about the Importance of Various Chaplain Roles: Differences among Disciplines and Types of Hospitals*." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 60, no. 3 (2006): 213–25. http://dx.doi.org/10.1177/1542305020066003005.

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A national random sample of hospital directors was asked to rate the importance of seven categories of chaplain roles and functions: 246 nursing directors, 267 social services directors, 307 medical directors, and 611 pastoral care directors. All four groups rated end-of-life care, prayer, and emotional support as being between very important and extremely important. Other roles, including consultation, advocacy, community outreach, and religious services and rituals were rated significantly less important. Significant differences were found across disciplines and hospital settings (general, p

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14

Graham, Maurice. "The Role of the Chaplain with Religious Families Who are Resistant to Treatment." Journal of Pastoral Care 40, no. 3 (1986): 273–75. http://dx.doi.org/10.1177/002234098604000310.

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Describes and recommends a pastoral care protocol in dealing with families who resist medical treatment on religious grounds. Notes how such a protocol consisting of physician, social worker, and chaplain, can yield more successful results than a legal protocol. Gives several case illustrations.

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Strauss, Piet. "JD Kestell as veldprediker 1899-1902." New Contree 79 (December 30, 2017): 18. http://dx.doi.org/10.4102/nc.v79i0.92.

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Reverend John Daniel (Father) Kestell (1854-1941) was a wellknown minister of religion in the Dutch Reformed Church. Through various actions he earned himself the nickname of “Father (Vader) Kestell” among his fellowmen. Although he supported the actions of the Republic of the Orange Free State and the Zuid-Afrikaansche Republic in the South African War (1899-1902), he declined to fight or take up a military rank. He in stead tried to strengthen the faith in God of the burgers and acted as a medical assistant to Boer and Briton when needed. As a chaplain he only wanted to be a minster of relig

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Choi, Philip J., Farr A. Curlin, and Christopher E. Cox. "“The Patient Is Dying, Please Call the Chaplain”: The Activities of Chaplains in One Medical Center's Intensive Care Units." Journal of Pain and Symptom Management 50, no. 4 (2015): 501–6. http://dx.doi.org/10.1016/j.jpainsymman.2015.05.003.

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17

Hemming, Patrick, Paula J. Teague, Thomas Crowe, and Rachel Levine. "Chaplains on the Medical Team: A Qualitative Analysis of an Interprofessional Curriculum for Internal Medicine Residents and Chaplain Interns." Journal of Religion and Health 55, no. 2 (2015): 560–71. http://dx.doi.org/10.1007/s10943-015-0158-7.

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Alexander, David William. "Walking Together in Exile: Medical Moral Injury and the Clinical Chaplain." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 74, no. 2 (2020): 82–90. http://dx.doi.org/10.1177/1542305020912263.

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This article examines various sides of the recent discussion about establishing a medical category within the “moral injury” discourse. Essential differences between the nature and development of moral injury among physicians and combat veterans are acknowledged. Essential similarities are also explored. Case notes from a 3-year encounter between a clinical chaplain and a disoriented physician are offered as an illustration of how moral injury interventions with veteran populations can inform care for physicians experiencing burnout.

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Tartaglia, Alexander, Diane Dodd-McCue, Timothy Ford, Charles Demm, and Alma Hassell. "Chaplain Documentation and the Electronic Medical Record: A Survey of ACPE Residency Programs." Journal of Health Care Chaplaincy 22, no. 2 (2015): 41–53. http://dx.doi.org/10.1080/08854726.2015.1071544.

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Gomez, Sofia, Betty White, James Browning, and Horace M. DeLisser. "Medical Students’ Experience in a Trauma Chaplain Shadowing Program: A Mixed Method Analysis." Medical Education Online 25, no. 1 (2020): 1710896. http://dx.doi.org/10.1080/10872981.2019.1710896.

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Pavlish, Carol L., Joan Henriksen, Katherine Brown-Saltzman, et al. "A Team-Based Early Action Protocol to Address Ethical Concerns in the Intensive Care Unit." American Journal of Critical Care 29, no. 1 (2020): 49–61. http://dx.doi.org/10.4037/ajcc2020915.

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Background Ethical conflicts complicate clinical practice and often compromise communication and teamwork among patients, families, and clinicians. As ethical conflicts escalate, patient and family distress and dissatisfaction with care increase and trust in clinicians erodes, reducing care quality and patient safety. Objective To investigate the effectiveness of a proactive, team-based ethics protocol used routinely to discuss ethics-related concerns, goals of care, and additional supports for patients and families. Methods In a pre-post intervention study in 6 intensive care units (ICUs) at

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22

Frazier, Michael, Karen Schnell, Susan Baillie, and Margaret L. Stuber. "Chaplain Rounds: A Chance for Medical Students to Reflect on Spirituality in Patient-Centered Care." Academic Psychiatry 39, no. 3 (2015): 320–23. http://dx.doi.org/10.1007/s40596-015-0292-2.

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Rosul, N. O. "Legal regulation of pastoral care in health care institutions of the Visegrad Group countries." Uzhhorod National University Herald. Series: Law 4, no. 86 (2025): 52–58. https://doi.org/10.24144/2307-3322.2024.86.1.4.8.

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The article examines the peculiarities of the legal regulation of the institute of medical chaplaincy in the countries of the Visegrad Group. The current state of regulation and functioning of the institute of medical chaplaincy in Hungary, Slovakia, Czech Republic, Poland is analyzed. The constitutional provisions enshrining the right to freedom of conscience and religion are outlined. The similarity of the definition of this fundamental right in the basic laws of the states, which is the basis for the implementation of pastoral care in health care institutions, is established. The author ana

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Lentini, Nicole, Elizabeth Martinez, and Kelly Michelson. "Characterizing social worker and chaplain interactions with parents of critically ill children with cancer." Journal of Clinical Oncology 35, no. 15_suppl (2017): e22024-e22024. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e22024.

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e22024 Background: Parents of children with cancer admitted to the pediatric intensive care unit (PICU) often obtain support from social workers and/or chaplains (SWs/Cs). Yet, empirical work describing the roles and activities of SWs/Cs caring for patients in the PICU is lacking. This study examined the roles of SWs/Cs caring for critically ill children with cancer and their families. Methods: Parents of patients with cancer expected to have a PICU stay > 72 hours, ongoing involvement with palliative care, or a pediatric index of mortality score > 4 were invited to participate. These cr

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Fudge, Eric J. "A Spoke in the Wheel: Enhancing Chaplaincy Documentation in Interdisciplinary Care Settings." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 75, no. 2 (2021): 112–18. http://dx.doi.org/10.1177/1542305021991065.

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Chaplaincy is a spoke in the wheel of interdisciplinary care that uses its disciplines to better the patient’s medical condition. Therefore, chaplains ought to consider how their emotional and spiritual support helps interdisciplinary teams treat patients’ illnesses/injuries. This essay explores how chaplains can contribute more effectively to interdisciplinary care by keeping their patients’ condition in focus throughout their spiritual assessments and using models that are familiar to the medical team.

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Dow, Keith. "“Marked” Bodies, Medical Intervention, and Courageous Humility: Spiritual Identity Formation in Nathaniel Hawthorne’s The Birthmark." Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 47, no. 5 (2022): 625–37. http://dx.doi.org/10.1093/jmp/jhac022.

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Abstract Nathaniel Hawthorne’s The Birthmark offers a sharp lens through which to examine power, purity, and personal identity. Scientist and spiritual idealist, Aylmer, is obsessed with “correcting” the only flaw he perceives in his wife Georgina, the imprint of a small red hand on her pale cheek. For Alymer, this one “imperfection” reaches deep into Georgina’s heart, a sign of sin, decay, and mortality. It is the natural that must be overcome with science. Drawing on Hawthorne’s tragic fiction, this paper questions the influence of stigma, power dynamics, and mind-body dualism in constructin

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Chow, Ronald, Leah Tenenbaum, Tracy A. Balboni, and Elizabeth Horn Prsic. "Medical Outcomes of Oncology Inpatients With and Without Chaplain Spiritual Care Visit: The Yale New Haven Hospital Experience." JCO Oncology Practice 18, no. 3 (2022): e334-e338. http://dx.doi.org/10.1200/op.21.00600.

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PURPOSE: Although there exists some literature on the psychosocial elements of health between patients with and without spiritual care, less information is available on hospital health outcomes. Hence, we aimed to describe and compare health care utilization and outcomes among medical oncology patients who received and did not receive spiritual care consultation during inpatient admission. METHODS: We conducted a retrospective chart review of medical oncology patients admitted to Yale New Haven Hospital between January 1, 2018, and December 31, 2020, to compare hospital outcomes between patien

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Verkamp, Bethany, Ayman Soliman, Stella M. Davies, and Christa Krupski. "Influence of the Incorporation of a Muslim Chaplain on Medical Decision-Making in a Pediatric Hematopoietic Cell Transplant Program." Transplantation and Cellular Therapy 31, no. 2 (2025): S355. https://doi.org/10.1016/j.jtct.2025.01.546.

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Simmonds, Anne L. "The Chaplain's Role in Bioethical Decision-Making." Healthcare Management Forum 7, no. 4 (1994): 5–10. http://dx.doi.org/10.1016/s0840-4704(10)61072-1.

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With advances in medical technology, difficult questions of “What should be done?” and “Who should decide?” are a daily occurrence in hospitals. This paper reports the results of a survey of Canadian chaplains with respect to their involvement in bioethical decision-making. The survey suggests that chaplains make a significant contribution to discussion and resolution of bioethical dilemmas. Using a case study, the paper elaborates on the chaplain's role in bioethical decision-making, and indicates how such participation can influence both cost containment and risk management.

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Gjukaj, Driton, Daniel Drewniak, and Nikola Biller-Andorno. "Ethical issues faced by Muslim patients: An empirical study of Muslim and non-Muslim students’ perceptions." Clinical Ethics 13, no. 2 (2017): 67–74. http://dx.doi.org/10.1177/1477750917738112.

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Background Patients who follow a specific religion may experience specific moral conflicts when interacting with the health care system. Health care providers’ awareness of and sensitivity to such issues can be beneficial to patients and increase the quality of care they receive. The aims of this study were to investigate (1) which potential ethical issues were considered to be relevant to Muslim patients and (2) to examine if these assessments varied between Muslim non-medical, Muslim medical, and non-Muslim medical students. Methods An online questionnaire with n = 205 students from differen

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Rodriguez-Gonzalez, Maribel, Michael Alan Silverman, Maura Miller, Sandra DiScala, Mythili Bharadwaj, and Anthony Beazley. "IMPROVING MEDICAL STUDENT RECOGNITION AND UNDERSTANDING OF MORAL INJURY IN MILITARY VETERANS." Innovation in Aging 6, Supplement_1 (2022): 437. http://dx.doi.org/10.1093/geroni/igac059.1716.

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Abstract Developing a curriculum for medical students is essential in teaching specific skill sets to better care for patients. There are 18,000,000 living military Veterans in America with unique needs not usually included in medical school curriculum. Military personnel are trained to kill or neutralize the enemy, a doctrine that goes against the moral, religious, and societal principle of thou shalt not kill. Combat Veterans are frequently placed in circumstances where they are forced to commit or participate in acts that go against their moral beliefs leading to a dimensional problem calle

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Brooker, Dawn. "Person-Centered Dementia Care: The Legacy of Tom Kitwood." International Journal of Person Centered Medicine 12, no. 2 (2024): 21–36. http://dx.doi.org/10.5750/ijpcm.v12i2.1114.

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Tom Kitwood died at the age of 61 years in 1998. His first degree was in Natural Sciences at Cambridge, and he was an ordained Anglican priest who taught chemistry and worked as a school chaplain in Uganda. Having lost his faith following the massacres he witnessed there in the early 1970s, Tom returned to the United Kingdom and settled in Bradford, where he completed his PhD in Interdisciplinary Human Studies, becoming a lecturer and eventually a professor in 1998. This potted account of his career does not easily explain how he became one of the most influential figures in dementia care. Nea

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Douglas, TJ, Ronald D. Adelman, Jon Overvold, Rabbi Mychal Springer, and Jean Walsh. "Partners in Healing: Fostering Dialogues Between Medical Fellows and Chaplain Residents About the Role of Spirituality in Health Care (TH120B)." Journal of Pain and Symptom Management 65, no. 3 (2023): e264. http://dx.doi.org/10.1016/j.jpainsymman.2022.12.053.

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Nedavnya, Olga. "Peculiarities of the military chaplaincy of the Ukrainian Greek Catholic Church and the Roman Catholic Church in Ukraine in the conditions of modern war." Skhid 7, no. 1 (2025): 53–58. https://doi.org/10.21847/2411-3093.2025.717.

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The article examines the features of military chaplaincy of the Ukrainian Greek Catholic Church and the Roman Catholic Church in Ukraine in the context of the war of the Russian Federation against Ukraine. The structures of these Churches that are responsible for the military chaplaincy and have already gained successful experience in such activities during the war (from 2014 to the present day) are identified. The forms of training of military chaplains are determined: these are courses organized at state military higher educational institutions, trainings and classes (including ones in the s

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Yih, Caroline. "The Impact of Cultural Diversity on End-of-Life Care." Religions 13, no. 7 (2022): 644. http://dx.doi.org/10.3390/rel13070644.

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Despite the universality of death for humanity, end-of-life care needs and expectations are highly unique and influenced by the individual’s cultural conditioning, values, and beliefs. In the pursuit of quality end-of-life care provision within the increasingly complex and diverse contemporary medical context, it is vital for cultural idiosyncrasies to be taken into consideration in order to attend to the individual patient’s needs and end-of-life goals. Palliative chaplains, as the spiritual care specialists within the multidisciplinary healthcare team, play a crucial role in the support and

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Monnett, Mikel. "Developing a Buddhist Approach to Pastoral Care: A Peacemaker's View." Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications 59, no. 1-2 (2005): 57–61. http://dx.doi.org/10.1177/154230500505900106.

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As the United States becomes a more multicultural and multireligious society, the ranks of healthcare chaplains are no longer being limited solely to Judeo-Christian clerics. In an effort to increase interfaith understanding and ecumenical awareness, the author presents one model of healthcare chaplaincy that derives itself from a Buddhist perspective and how he uses it in his daily work at a large medical center in the United States.

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Nakajima, Erica C., Joseph Christopher Murray, Jacquelyn W. Zimmerman, et al. "Reflection rounds to facilitate resilience in hematology/medical oncology fellows." Journal of Clinical Oncology 38, no. 15_suppl (2020): 11019. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.11019.

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11019 Background: Given the prevalence of burnout among medical oncologists (40-60% in the literature), education on burnout risk factors, recovery, and prevention are needed urgently in training curricula for medical oncology fellows. Care of patients with cancer is increasingly complex, and often can seem overwhelming to new trainees. Debriefing as a resiliency skill to develop self-reflection and identify coping strategies may provide a durable way to navigate these complexities. Optimization of fellowship Reflection Rounds (RR) was selected as a fellow-led quality improvement (QI) project

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Froniewski, Jacek. "Możliwości i perspektywy ekumenicznej posługi duchownych wobec chorych w warunkach hospitalizacji." Ekonomia 23, no. 4 (2018): 125–37. http://dx.doi.org/10.19195/2084-4093.23.4.10.

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Possibilities and prospects of ecumenical priestly ministry to the sick under hospitalizationThe paper shows the range of possibilities of ecumenical service of priests to the sick of other Christian denominations. In Poland it is a problem which has been growing in the face of contemporary migration movements. Nowadays the chaplain in his service in hospitals much more often encounters the faithful of other denominations. Also medical science clearer and clearer sees in patients care a whole range of determinants linked to their denomination, on which often depends their perception of the qua

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Christopher, Jennifer, Theresa Christopher, and Thomas Yuelling. "NON-PHARMACOLOGICAL DEMENTIA CARE APPROACHES: IMPLEMENTING STAR-VA IN A SHORT-STAY, SUBACUTE MEDICAL SETTING." Innovation in Aging 8, Supplement_1 (2024): 1330. https://doi.org/10.1093/geroni/igae098.4245.

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Abstract Staff Training in Assisted Living Residences for Veterans Affairs Medical Centers (STAR-VA) is an evidenced-based, interdisciplinary, non-pharmacological approach to managing dementia-related behavioral and psychological symptoms in long-term care settings (Karlin et al., 2017). The program involves a psychologist and nurse who provide dementia education, facilitate behavioral analysis, and implement person-centered behavior plans. This study highlights the piloting of STAR-VA in a short-stay, subacute, medical rehabilitation setting. The case study involves a 74-year-old African Amer

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Teague, Paula, Susan Kraeuter, Sarah York, Wayman Scott, Muhammad M. Furqan, and Sammy Zakaria. "The Role of the Chaplain as a Patient Navigator and Advocate for Patients in the Intensive Care Unit: One Academic Medical Center’s Experience." Journal of Religion and Health 58, no. 5 (2019): 1833–46. http://dx.doi.org/10.1007/s10943-019-00865-z.

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Kothadia, Sejal, Zhen Wang, Sarah Lee, et al. "Comparison of palliative care for lung cancer patients (pts) at two Veteran Affairs Medical Centers." Journal of Clinical Oncology 35, no. 15_suppl (2017): e21621-e21621. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e21621.

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e21621 Background: Palliative and end of life care is essential for lung cancer pts. We examined palliative care delivery for lung cancer pts at 2 VA medical centers. Methods: In an IRB approved protocol, we reviewed medical records of matched pts diagnosed with liver or lung cancer between 2006 and 2012 who were seen by palliative care at 2 VA medical centers (S1, S2). Veterans were compared by 1) demographics, 2) palliative interventions, and 3) outcomes: ED visit within 1 month (mo) of death, ED visit within 6 mo of death, and ICU within 30 days of death. Analyses were performed with SAS St

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Arutyunyan, Tsovinar, Folafoluwa Odetola, Ryan Swieringa, and Matthew Niedner. "Religion and Spiritual Care in Pediatric Intensive Care Unit: Parental Attitudes Regarding Physician Spiritual and Religious Inquiry." American Journal of Hospice and Palliative Medicine® 35, no. 1 (2016): 28–33. http://dx.doi.org/10.1177/1049909116682016.

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Objective: Parents of seriously ill children require attention to their spiritual needs, especially during end-of-life care. The objective of this study was to characterize parental attitudes regarding physician inquiry into their belief system. Materials and Main Results: A total of 162 surveys from parents of children hospitalized for >48 hours in pediatric intensive care unit in a tertiary academic medical center were analyzed. Forty-nine percent of all respondents and 62% of those who identified themselves as moderate to very spiritual or religious stated that their beliefs influenced t

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Liu, Mark, Alison Snow, Aarti Sonia Bhardwaj, et al. "Enhancing cancer care: Leveraging technology for proactive psychosocial and social determinants of health screenings." JCO Oncology Practice 19, no. 11_suppl (2023): 583. http://dx.doi.org/10.1200/op.2023.19.11_suppl.583.

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583 Background: Cancer diagnoses and their associated treatments cause many patients significant psychosocial distress. The psychological, social, spiritual, and financial burdens of cancer contribute to psychosocial distress throughout all stages of the cancer trajectory, with between 35-46% of patients reporting significant psychosocial distress. As such, the American College of Surgeons Commission on Cancer mandates psychosocial distress screening in cancer patients. Though this screening has been shown to reduce cancer related distress levels, barriers remain in sustained implementation. A

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Antonuzzo, Andrea, Enrico Vasile, Maurizio Lucchesi, et al. "A new model of early supportive care and symptoms management: The experience of Pisa medical oncology." Journal of Clinical Oncology 31, no. 15_suppl (2013): e20711-e20711. http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e20711.

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e20711 Background: Recent advances in medical oncology research and new possibilities of care create a growing number of treatment-related complications. Due to these clinical relevant toxicities a significative number of patients have to admit to our hospital emergency rooms in the recent years. Data from different institutions in Italy suggest that an integrated model of supportive care dedicated to symptoms management and not only, is more effective for cancer patient’s care. Methods: In the last seven months of 2012 we started the “supportive care-team” activity giving a dedicated-room ins

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Ingram, Stacey A., Courtney Williams, Aidan Gilbert, et al. "Tracking the clinical experience of women with metastatic breast cancer at an academic cancer center." Journal of Clinical Oncology 36, no. 30_suppl (2018): 93. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.93.

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93 Background: Time-driven activity-based costing (TDABC) can be used by health systems to identify inefficiencies and improve the patient experience in clinical encounters. This quality improvement project utilized a Plan, Do, Study, Act (PDSA) cycle to evaluate routine clinic-based care for women with metastatic breast cancer (MBC). Methods: A project plan was developed to directly observe the time spent by MBC patients in clinic (Plan). Patient clinical encounters could include a physician visit along with scans, infusion, and/or labs. We then created process maps of typical patient clinica

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Halian, Taras, and Ruslan Deliatynskyi. "Father Stepan Gorodetsky (1853-1928): historical portrait." Good Parson: scientific bulletin of Ivano-Frankivsk Academy of John Chrysostom. Theology. Philosophy. History, no. 15 (December 14, 2020): 53–80. http://dx.doi.org/10.52761/2522-1558.2020.15.11.

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The aim of the article is a comprehensive, as complete as possible, objective coverage of the historical portrait of Fr. S. Gorodetsky in the form of his biographical essay based on the analysis of a whole set of unpublished sources. Research methodology: based on scientific principles of objectivity and historicism, specific scientific methods of periodization (to identify stages of the priest's life in the context of historical epochs of Galicia under the rule of different states), comparative analysis (to study and compare information from different sources), biographies (to clarify certain

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DiScala, Sandra Lee, Sarah Onofrio, Maura Miller, Mitchell Nazario, and Michael Silverman. "Integration of a Clinical Pharmacist into an Interdisciplinary Palliative Care Outpatient Clinic." American Journal of Hospice and Palliative Medicine® 34, no. 9 (2016): 814–19. http://dx.doi.org/10.1177/1049909116657324.

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Objectives: The primary objective of this quality improvement (QI) project was to determine if the Interdisciplinary Palliative Care Outpatient Clinic (IPCOC) at the West Palm Beach Veterans Affairs Medical Center offered improved symptom assessment and palliative care treatment outcomes. Secondary objectives were to identify, classify, and resolve medication problems and calculate the number of pharmacist recommendations accepted by prescribing providers. Methods: An IPCOC was created by selecting disciplines for a core group including a nurse practitioner, clinical pharmacist, social worker,

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Saint Martin, Marisa C., Phillip J. DeChristopher, and R. Paul Sweeney. "A Strategy for Wellness in a Pathology Residency Program: Enhancing Chances of Success During an Epidemic of Burnout." Academic Pathology 6 (January 1, 2019): 237428951985123. http://dx.doi.org/10.1177/2374289519851233.

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Physician burnout is a national crisis with medicine among occupations with higher suicide risk, at 1.8 times the national average. Few pathology departments address this issue, and even fewer residency programs offer formal resiliency training. We implemented a high-stress environment resiliency strategy and an Accreditation Council for Graduate Medical Education-compliant curriculum to our residency program. Its purpose was to apply initiatives employed in the finance industry, then to measure their effectiveness. Utilizing methods from financial companies such as Goldman Sachs, we adopted t

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Stan, D. L., S. Pruthi, S. Jenkins, K. Lackore, and C. A. Thompson. "Needs and preferences of breast cancer survivors: A cross-sectional survey." Journal of Clinical Oncology 29, no. 27_suppl (2011): 147. http://dx.doi.org/10.1200/jco.2011.29.27_suppl.147.

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147 Background: The Institute of Medicine recommends development of cancer survivorship care models that are patient centered. We designed a cross-sectional survey to determine the medical and psychosocial needs and preferences of breast cancer survivors. Methods: We identified a random sample, stratified by age and chemotherapy usage, of 600 women from MN, WI, and IA, ages 18-99, within 1-5 years of diagnosis of stage 0-3 breast cancer and seen at our institution. Results: We received 329 surveys (response rate 55%). Respondents were a mean age of 58 years (range 26-89) and a mean of 3.3 year

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Santhosh-Kumar, Cheruppolil R., Deborah Gray, Stephanie Struve, Carol Huibregtse, and Qiaofang Chen. "New primary palliative care (PC) model for community cancer clinics (CCC)." Journal of Clinical Oncology 34, no. 26_suppl (2016): 159. http://dx.doi.org/10.1200/jco.2016.34.26_suppl.159.

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159 Background: Our CCC serving a mixed rural/urban population is part of a large integrated healthcare system in Eastern WI. The closest PC specialist/team is 45 miles away at one of the tertiary care facilities. To fill this service gap we implemented a primary PC model. An initial outpatient palliative care family conference (OFC) and use of cancer nurse navigators (CNN)are hallmarks of this program. Methods: The VLCC, housed in a standalone facility is staffed by two medical oncologists and one radiation oncologist and has an infusion center and a full-fledged radiation oncology unit with

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