Why GPs Refer to Chaplaincy
A Qualitative Study
Keywords:Spirituality, Chaplaincy, Spiritual care, Religious care, Referral and Consultation, Primary Health Care, General Practice, General Practitioners
Background: Chaplaincy intervention in primary care is an emerging provision; little is known about what causes a General Practitioner (GP) to refer a patient. Aim: To discover why GPs refer to chaplaincy in primary care contexts, to understand referral processes, investigate alternative referral routes, and explore how cues relate to previously reported socio-economic health issues. Design and Setting: A qualitative descriptive study in one urban Scottish general practice. Methods: Semi-structured interviews were conducted with a convenience sample of GPs. Data were analysed, to the point of saturation, using thematic content analysis. Findings: Nine GPs participated. Appreciation of whole-person spiritual care and good access predisposed GPs to refer to chaplaincy. Referral followed a series of steps precipitated by identification of issues: mental health issues, bereavement, spiritual and relationship issues, and isolation. Doctors gauged the need for referrals subjectively. Sharing management with patients was routine, suggesting active participation. Female patients were referred more frequently than male patients. Conclusion: Referrals were made on a person-centred basis. An apparent barrier of male gender and subjectivity in assessment before referring merit further investigation. We suggest that a model representing the referral process demonstrates good practice and may stimulate discussion about GP referral to chaplaincy.
Appleby, A, Wilson, P & Swinton, J 2018, ‘Spiritual care in general practice: Rushing in or fearing to tread? An integrative review of qualitative literature’, Journal of Religion and Health, vol. 52, pp. 1108-1124.
Attride-Stirling, J 2001, ‘Thematic networks: An analytic tool for qualitative research’, Qualitative Research, vol.1(3), pp. 385-405.
Bowling, A 2014, Research methods in health - Investigating health and health services, Maidenhead: McGraw-Hill Education.
Bryson, R 2012, Honouring personhood in patients: The added value of chaplaincy in general practice, Birmingham: Whole Person Trust.
Bunniss, S, Mowat, H & Snowden, A 2013, ‘Community chaplaincy listening: Practical theology in action’, The Scottish Journal of Healthcare Chaplaincy, vol. 16 (special), pp. 42-50.
Burnard, P, Gill, P, Stewart, K, Treasure, E & Chadwick, B 2008, ‘Analysing and presenting qualitative data’, British Dentistry Journal, vol. 204, no. 8, pp. 429-432.
Charmaz, K 2006, Constructing Grounded Theory: A practical guide through qualitative analysis, London: SAGE.
Creswell, JW & Poth, CN 2018, ‘Qualitative inquiry and Research Design. Choosing among five approaches’, LA: Sage Publications.
Frances, JJ, Johnston, M, Robertson, C, Glidewell, L, Entwistle, V, Eccles, MP & Grimshaw, JM 2010, ‘What is an adequate sample size? Operationalising data saturation for theory-based interview studies’, Psychology and Health, vol. 25, no. 10, pp. 1229-1245.
Guest, G, Bunce, A & Johnson, L 2006, ‘How many interviews are enough? An experiment with data saturation and variability’, Field Methods, vol. 18, no. 1, pp. 59-82.
Kevern, P & Hill, L 2015, ‘Chaplains for well-being in primary care: Analysis of the results of a retrospective study’, Primary Health Care Research and Development, vol. 16, pp. 87-99.
Macdonald, G 2017, ‘The efficacy of primary care chaplaincy compared with antidepressants: A retrospective study comparing chaplaincy with antidepressants’, Primary Health Care Research and Development, vol. 18, no. 4, pp. 354-365.
McSherry, W, Boughey, A & Kevern, P 2016, ‘‘Chaplains for wellbeing’ in primary care: A qualitative investigation of their perceived impact for patients’ health and wellbeing’, Journal of Health and Care Chaplaincy, vol. 22, pp. 1-20.
Mowat, H, Bunniss, S & Kelly, E 2012, ‘Community chaplaincy listening: Working with general practitioners to support patient wellbeing’, The Scottish Journal of Healthcare Chaplaincy, vol. 15, pp. 21-26.
NHS Education for Scotland 2009, Spiritual Care matters: An introductory Resource for all NHS Scotland Staff, viewed June 2019, https://www.nes.scot.nhs.uk/media/3723/spiritualcaremattersfinal.pdf
NHS Health Scotland 2019, Social Prescribing Resources, viewed July 2019, http://www.healthscotland.scot/publications/social-prescribing-resources
NHS Scotland 2016, Driving and Supporting Improvement in Primary care:2016-2020, Health Improvement Scotland, viewed 26 February 2018, http://www.healthcareimprovementscotland.org/our_work/primary_care/programme_resources/primary_care_approach.aspx
Parahoo, K 2014, Nursing Research – principles, process and issues, 3rd edn., London: Palgrave Macmillian.
Pink, J, Jacobson, L & Pritchard, M 2007, ‘The 21st century GP: Physician or priest?’, British Journal of General Practice, vol. 57, pp. 840-842.
Rindfleish, A 2019, Spiritual Assessment Tools: Clinical Tool. Whole Health: Change the conversation, viewed 18 May 2019, http://projects.hsl.wisc.edu/SERVICE/modules/11/M11_Spiritual_Assessment_Tools.pdf
Robson, C & McCartan, K 2011, Real world research: A resource for users of social research methods in applied settings, 3rd edn., Wiley.
Sandelowski, M 2000, ‘Whatever happened to qualitative description?’, Research in Nursing and Health, vol. 23, pp. 334-340.
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