Health and Social Care Chaplaincy 2021-03-18T17:05:02+00:00 Lindsay Carey Open Journal Systems <p><em>Health and Social Care Chaplaincy</em> is a multidisciplinary forum for the discussion of a range of issues related to the delivery of pastoral and spiritual care across various settings: acute, paediatric, mental health, palliative care and community. <a href="">Learn more.</a></p> COVID-19, Spiritual Support and Reflective Practice 2021-03-18T14:08:10+00:00 Lindsay B. Carey 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Advertisement: Finding Comfort During Hard Times by Earl Johnson 2021-03-18T17:05:02+00:00 Available at 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Ecological Awareness in Practice 2021-03-18T16:14:39+00:00 Astrid Notarangelo <p>Music therapy is a research-based allied health discipline that utilizes music to support the health and flourishing of individuals and groups. This reflective discussion article describes some of the challenges of including spirituality in music therapy and the author’s journey from practice to a community-building project. The possibilities of music therapy in cultivating the health and well-being of a community are discussed, with reference to a growing body of music therapy literature on spirituality, health, and community.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. “Dog” is “God” Spelled Backward 2021-03-18T16:31:59+00:00 Donna Carlyle Katie Watson <p>This brief report describes the unique and innovative work of a hospital chaplaincy “Good Samaritan” staff welfare dog named “Poppy Jingles.” As the importance of stress prevention and burnout among National Health Service staff (UK) has been highlighted in current policy, the initiative of animal-assisted therapy is both timely and significant. The relevance of inter-species well-being is detailed in this article, describing what can be considered as Poppy’s “nonhuman charisma.” This includes eliciting specific aspects of well-being which can be thought to correspond to eudaimonic states of human flourishing.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. COVID-19. The Call of Louisa Jordan 2021-03-18T14:15:53+00:00 Ian Stirling <p>This article employs an innovative research methodology, evocative spiritual autoethnography, to capture the complex existential and pastoral experiences gathered during the formation of the spiritual care team at NHS Louisa Jordan, Glasgow. It is a snapshot in time and offers a rare glimpse into the humanity and vulnerability of the spiritual care team as they face this far from normal situation. Learnings identified through contemplative inquiry serve to expand the horizon of chaplaincy.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Spiritual Well-being, Attitude, Involvement, Perceptions and Competencies 2021-01-06T12:14:02+00:00 Cornelia Brandstötter Firuzan Sari Kundt Piret Paal <p>Developing spirituality and spiritual care competencies in nursing students is an important task. In German-speaking countries, research investigating spiritual care in nursing teaching and nursing practice is limited. The aim of this study was to measure nursing students’ perceptions of their spiritual care competencies, care attitudes, involvement, perception and well-being. Three groups of second-year undergraduate nursing students in the years 2018, 2019 and 2020 participated in a cross-sectional study using validated scales to measure students’ spiritual well-being (JAREL), spiritual care attitudes and involvement (SAIL), spirituality and spiritual care perceptions (SSCRS), and competencies (SCCS). Nursing students (N = 191) show a high level of spiritual attitude and involvement. The groups attained similar scores on the SSCRS, but the group of 2020 achieved the highest score, indicating a broader view of spirituality. This group also scored highest on the SCCS, which shows a higher self-perceived competence in delivering spiritual care. At the same time, the 2020 group reported significantly low spiritual well-being scores. Students rated their competencies in delivering spiritual care as high. This may be negatively affected if their spiritual well-being remains low. Further investigation is needed to clarify how to tackle this shortcoming in educational training.</p> 2021-03-18T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Spiritual Support in Advanced Heart Failure 2021-03-18T14:54:49+00:00 Jackie Miles Linda Ross Paul Jarvis Sara Pickett <p>Heart failure is a complex, progressive disease with an uncertain trajectory. Those with advanced heart failure (AHF) experience substantial spiritual needs. Spiritual interventions may enhance quality of life and reduce anxiety and depression, but studies are limited and none have focused exclusively on the AHF patient population. This is the first feasibility randomized controlled trial (RCT) to ascertain the clinical and cost effectiveness of a spiritual intervention (spiritual support) in AHF patients. A total of 47 AHF patients were randomized to control (standard care, n = 25) or intervention (standard care plus spiritual support, n = 22) groups. Spiritual support consisted of a one-hour discussion facilitated by trained volunteers using a “Spiritual&nbsp;Enquiry Tool” at two-monthly intervals over six months. Participants completed validated measures of spiritual well-being, depression/anxiety, and health-related quality of life (QoL). Purpose-designed questionnaires gathered information on demographics, NHS resource use, confounding factors, and satisfaction with spiritual support. The new information was to help researchers design an RCT to determine the clinical and cost effectiveness of spiritual support within a holistic model of care for AHF patients. Future trends worthy of further investigation include (i) the possible positive effect of spiritual support on QoL and anxiety, and (ii) possible lower NHS resource use and cost savings in patients receiving spiritual support. Overall, the key message of this study is that researchers must evaluate whether the cost of running a well-designed trial of this nature is justified in the current economic climate, where funding bodies are looking for value for money.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Service User Views of Mental Health Spiritual and Pastoral Care Chaplaincy Services 2021-03-18T15:08:26+00:00 Emily Wood Sally Ross Julian Raffay Andrew Todd <p>The aim of this research was to study the needs of mental health service users using spiritual and pastoral care, and to further inform an upcoming feasibility study to investigate spiritual care provision. Semi-structured interviews were conducted with mental health inpatients to assess their views of their spiritual strengths and needs. Framework analysis was based on the analysis used in a previous study with consideration for emergent themes coming from a more diverse population. Thirteen&nbsp;participants reflected different faiths and denominations. Overall, participants held religious views of the definition of spiritual care, but also valued highly the pastoral aspects of being listened to by a compassionate person with time to be with them. Some specific religious needs were highlighted. Most participants supported extending the chaplaincy provision. Key themes from a previous study recurred with the participants. Service users valued chaplaincy for chaplains’ skill in listening and providing choice, in that the option to engage in religious or spiritual practice was available but not pushed.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. A Weary Old Warrior 2021-03-18T15:27:05+00:00 Florence Gelo <p>This narrative describes how an art image can elicit conversation with hospice patients about their spiritual needs. It describes one conversation between the researcher (in the role of a spiritual care provider) and a hospice patient that demonstrates how an art image can serve as a metaphor, a bridge linking inner and outer worlds, and a stimulus to help those at the end of life identify and integrate aspects of self that might otherwise remain unexpressed and unresolved. One goal for spiritual care providers is to be open to painful expressions of regret and longing.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Making Courageous Conversation in Healthcare (Part I) 2021-03-18T15:48:26+00:00 Suzanne Bunniss <p>Values Based Reflective Practice (VBRP®) was first developed by National Health Service (NHS) Education for Scotland in 2011 to help health and social care staff have courageous conversations about the relationship between who they are and what they do at work. The stated hope of VBRP® is to help staff reclaim a sense of meaning and purpose in their professional lives, and reawaken the memory of why they chose to work in a caring vocation. This article describes the history and development of VBRP®, the elements of this reflective practice model, and presents the first quantitative evaluation of VBRP® training with evidence gathered from 138 healthcare, social care, and third sector workers. This study is the first of a two-part series; the second article (Part II) locates VBRP® within healthcare literature concerned with “soul and role,” and it presents further qualitative evidence for and wider discussion of the model.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Making Courageous Conversation in Healthcare (Part II) 2021-03-18T15:57:24+00:00 Suzanne Bunniss <p>This article is the second in a two-part series describing the evidence base for Values Based Reflective Practice (VBRP®), as it is used within the National Health Service (NHS) in Scotland (Bunniss, 2020). Here, the author discusses the conceptual underpinnings of VBRP®, considering the literature concerned with “soul and role” in professional education, and asks whether health and social care professionals seeking to rediscover the vocational hopefulness behind their working day might find some encouragement through this new reflective practice model. Qualitative evidence is presented from ten semi-structured interviews with a range of healthcare professionals who are using VBRP® in practice.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd. Evaluating the Effectiveness of Frameworks Benchmarking for Quality Spiritual Care in Victoria, Australia 2021-03-18T16:04:10+00:00 Christine M. Hennequin <p>The Spiritual Health Association2 has developed two frameworks for use by spiritual care management across health services in Victoria (Australia), namely, the “Spiritual Care Minimum Data Set Framework” (SHV, 2015) and second, the “Spiritual Care in Victorian Health Services: Towards Best Practice Framework” (SHV, 2016a), hereafter referred to as “the frameworks.” For the first time, the frameworks have provided a consistent way of collecting data in Victoria, and of benchmarking spiritual care services in several areas including governance, credentialing, and quality improvement processes. The evaluation was conducted by surveying 36 spiritual care managers/ co-ordinators in Victorian hospitals. The results were used to report to chief executive officers in Victorian health services. The results of the evaluation showed that the frameworks were effective tools for auditing, benchmarking, and improving quality in spiritual care departments within health services in the State of Victoria, Australia. These frameworks were found to support spiritual care departments in undertaking continuous improvement initiatives in their local health services. The results have informed the development of future frameworks and guidelines for the spiritual care sector.</p> 2021-03-01T00:00:00+00:00 Copyright (c) 2021 Equinox Publishing Ltd.