Working on the Clinical Frontline During the COVID-19 Pandemic
The Perceptions and Experiences of Hospital Chaplains
DOI:
https://doi.org/10.1558/hscc.26991Keywords:
survey, hospital chaplaincy, COVID-19 pandemic, qualitative interviewsAbstract
Hospital chaplaincy teams played a vital role during the COVID-19 pandemic, but the full depth of their experiences and personal impacts is not fully known. This UK study was advertised using social media platforms, local press outlets and chaplaincy professional bodies. An electronic survey was completed by 63 hospital chaplains, with the opportunity for all respondents to participate in follow-up interviews. This option was taken up by seven chaplains and explored the personal impacts, experiences and reflections of working during the pandemic. Their views of the impact of initiatives, practices and organizational changes were explored. Themes included: (1) challenges and personal impact, including reflections on the enormity of the situation, personal fears and sacrifices, and clinical challenges; (2) practical solutions, including personal strategies and the support of colleagues; and (3) organizational issues and suggestions. This article concludes with recommendations for organizations and further research.
References
Bradshaw, A., Dunleavy, L., Garner, I., Preston, N., Bajwah, S., Cripps, R., …, & Walshe, C. (2022). Experiences of staff providing specialist palliative care during COVID-19: A multiple qualitative case study. Journal of the Royal Society of Medicine, 115(6), 220–230. https://doi.org/10.1177/01410768221077366
Busfield, L. (2020). Listening on the outside – screaming on the inside. Reflections from an acute hospital chaplain during the first weeks of COVID-19. Health and Social Care Chaplaincy, 8(2), 218–12. https://doi.org/10.1558/hscc.41807
Braun, V., & Clarke, V. (2014). What can “thematic analysis” offer health and wellbeing researchers? International Journal of Qualitative Studies on Health and Well‐Being, 9(1), 1–2. https://doi.org/10.3402/qhw.v9.26152
Braun, V., Clarke, V., Boulton, E., Davey, L., & McEvoy, C. (2021). The online survey as a qualitative research tool. International Journal of Social Research Methodology, 24(6), 641–654. https://doi.org/10.1080/13645579.2020.1805550
Cadge, W., & Skaggs, M. (2022). How the role and visibility of chaplains changed over the past century. The Conversation, 1 June. https://theconversation.com/how-the-role-and-visibility-of-chaplains-changed-over-the-past-century-182211
Flynn, E., Tan, H., & Vandenhoeck, A. (2021). “We need to learn from what we have learned!” The possible impact of Covid-19 on the education and training of chaplains. Journal of Pastoral Care & Counseling, 75(1 suppl.), 37–40. https://doi.org/10.1177/1542305021996228
Green, J., & Thorogood, N. (2014). Qualitative methods for health research (3rd ed.). London: Sage
Greenberg, N., & Tracy, D. (2020). What healthcare leaders need to do to protect the psychological well-being of frontline staff in the COVID-19 pandemic. BMJ Leader, 4(3), 101–102.https://doi.org/10.1136/leader-2020-000273
Harris, S.L, & Bailey, A. K. (2023). Work-related perceptions and coping strategies of acute care chaplains: a qualitative analysis. Journal of Health Care Chaplaincy, 1–19. https://doi.org/10.1080/08854726.2023.2270395
Harrison, S., & Scarle, J. (2020). How are chaplaincy departments responding amidst the COVID-19 pandemic? A snapshot of UK responses to a questionnaire. Health and Social Care Chaplaincy , 8(2), 143–153. https://doi.org/10.1558/hscc.41624
Hegarty, S., Lamb, D., Stevelink, S. A. M., Bhundia, R., Raine, R., Doherty, M. J., …, & Wessely, S. (2022). “It hurts your heart”: Frontline healthcare worker experiences of moral injury during the COVID-19 pandemic. European Journal of Psychotraumatology, 13(2), 2128028. https://doi.org/10.1080/20008066.2022.2128028
Jack, B. A., Kirton, J. A., Groves, K. E., Abrams, M., Bray, D. G., & Lloyd-Williams, M. (2024). Shining a light in COVID-19 Darkness: The impact of hospital chaplaincy teams on healthcare professionals. Health and Social Care Chaplaincy, 12(1). https://doi.org/10.1558/hscc/27096
NHS England (2023). NHS chaplaincy: Guidelines for NHS managers on pastoral, spiritual and religious care. https://www.england.nhs.uk/publication/nhs-chaplaincyguidelines-for-nhs-managers-on-pastoral-spiritual-and-religious-care
Papadopoulos, I., Lazzarino, R., Koulouglioti, C., Ali, S., & Wright, S. (2022). Towards a national strategy for the provision of spiritual care during major health disasters: A qualitative study. International Journal of Health Planning and Management, 37(4), 1990–2006. https://doi.org/10.1002/hpm.3443
Polit, D. F., & Beck, C. T. (2021). Essentials of nursing research: Appraising evidence for nursing practice (10th ed.). Philadelphia: Wolters Kluwer.
Sandelowski, M. (2000). Combining qualitative and quantitative sampling, data collection, and analysis techniques in mixed-method studies. Research in Nursing & Health, 23(3), 246–255. https://doi.org/10.1002/1098-240X(200006)23:3<246::AID-NUR9>3.0.CO;2-H
Snowden, A. (2021). What did chaplains do during the Covid pandemic? An international survey. Journal of Pastoral Care & Counseling, 75(1 suppl.), 6–16. https://doi.org/10.1177/1542305021992039
Tata, B., Nuzum, D., Murphy, K., Karimi, L., & Cadge, W. (2021). Staff-care by chaplains during COVID-19. Journal of Pastoral Care & Counseling, 75(1 suppl.), 24–29. https://doi.org/10.1177/1542305020988844
World Health Organization (2020). General’s opening remarks at the media briefing on COVID-19. Retrieved 6 September 2023 from https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefingon-covid-19---11-march-2020
World Health Organization (2023). The coronavirus (COVID-19) dashboard. Retrieved 6 September 2023 from https://covid19.who.int/region/euro/country/gb
