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Multidisciplinary staff perspectives on the integration of spiritual care in a new setting: Israel

Published online by Cambridge University Press:  08 November 2019

Michael Schultz ,
Johanna Czamanski-Cohen Open the ORCID record for Johanna Czamanski-Cohen [Opens in a new window] ,
Netta Bentur ,
Saidah Mohsen-Byadsi ,
Yoav Artsieli  and
Gil Bar-Sela Open the ORCID record for Gil Bar-Sela [Opens in a new window]
Michael Schultz
Affiliation:
Division of Oncology, Rambam Health Care Campus, Haifa, Israel
Johanna Czamanski-Cohen
Affiliation:
School of Creative Arts Therapies, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
Netta Bentur
Affiliation:
The Stanley Steyer School of Health Professions, the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Saidah Mohsen-Byadsi
Affiliation:
Division of Oncology, Rambam Health Care Campus, Haifa, Israel
Yoav Artsieli
Affiliation:
Division of Oncology, Rambam Health Care Campus, Haifa, Israel
Gil Bar-Sela*
Affiliation:
Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel Cancer Center, Emek Medical Center, Afula, Israel
*
Author for correspondence: Gil Bar-Sela, Cancer Center, Emek Medical Center, 21 Yitzhak Rabin Blvd., Afula1834111, Israel. E-mail: [email protected]
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Abstract

Objective

Integrating spiritual care into multidisciplinary care teams has seen both successful thoughtful collaboration and challenges, including feelings of competition and poor cross-disciplinary understanding. In Israel, where the profession is new, we aimed to examine how spiritual care is perceived by other healthcare professionals learning to integrate spiritual caregivers into their teams.

Method

Semi-structured qualitative interviews of 19 professionals (seven physicians, six nurses, three social workers, two psychologists, and one medical secretary) working with spiritual caregivers in three Israeli hospitals, primarily in oncology/hematology. The interviews were transcribed and subjected to thematic analysis.

Results

Respondents’ overall experience with adding a spiritual caregiver was strongly positive. Beneficial outcomes described included calmer patients and improved patient–staff relationships. Respondents identified reasons for a referral not limited to the end of life. Respondents distinguished between the role of the spiritual caregiver and those of other professions and, in response to case studies, differentiated when and how each professional should be involved.

Conclusion

Despite its relative newness in Israel, spiritual care is well received by a wide variety of professionals at those sites where it has been integrated. Steps to improve collaboration should include improving multidisciplinary communication to broaden the range of situations in which spiritual caregivers and other professionals work together to provide the best possible holistic care.

Keywords

ChaplaincyCollaborationIsraelMultidisciplinaryRole conflictSpiritual care
Type
Original Article
Information
Palliative & Supportive Care , Volume 18 , Special Issue 4: Palliative and Supportive Care During The COVID-19 Pandemic , August 2020 , pp. 431 - 436
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Copyright
Copyright © Cambridge University Press 2019

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References

REFERENCES

Bar-Sela, G, Bentur, N, Schultz, M, et al. (2014) Spiritual care in hospitals and other healthcare settings in Israel — a profession in the making. Harefuah 53, 285–288, 304 [in Hebrew].Google Scholar
Bentur, N, Resnitzky, S and Sterne, A (2010) Attitudes of stakeholders and policymakers in the healthcare system towards the provision of spiritual care in Israel. Health Policy 96, 13–19.10.1016/j.healthpol.2009.12.006CrossRefGoogle ScholarPubMed
Braun, V, Clarke, V, Hayfield, N, et al. (2019) Thematic analysis. In Liamputton, P (ed.), Handbook of Research Methods in Health Social Sciences, SpringerLink. Springer, Singapore. pp. 843–860.10.1007/978-981-10-5251-4_103CrossRefGoogle Scholar
Bronstein, LR (2003) A model for interdisciplinary collaboration. Social Work 48, 297–306.10.1093/sw/48.3.297CrossRefGoogle Scholar
Cooper, D, Aherne, M, Pereira, J, et al. (2010) The competencies required by professional hospice palliative care spiritual care providers. Journal of Palliative Medicine 13, 869–875.10.1089/jpm.2009.0429CrossRefGoogle ScholarPubMed
Creswell, JW (2013) Qualitative Inquiry and Research: Choosing Among Five Approaches, 3rd ed. Los Angeles: Sage.Google Scholar
Fitchett, G (2017) Recent progress in chaplaincy-related research. The Journal of Pastoral Care & Counseling: JPCC 71, 163–175.10.1177/1542305017724811CrossRefGoogle ScholarPubMed
Fitchett, G, Rasinski, K, Cadge, W, et al. (2009) Physicians’ experience and satisfaction with chaplains: A national survey. Archives of Internal Medicine 169, 1808–1810.10.1001/archinternmed.2009.308CrossRefGoogle ScholarPubMed
Fitchett, G, Lyndes, KA, Cadge, W, et al. (2011) The role of professional chaplains on pediatric palliative care teams: Perspectives from physicians and chaplains. Journal of Palliative Medicine 14, 704–707.10.1089/jpm.2010.0523CrossRefGoogle ScholarPubMed
Flannelly, KJ, Handzo, GF, Galek, K, et al. (2006) A national survey of hospital directors’ views about the importance of various chaplain roles: Differences among disciplines and types of hospitals. The Journal of Pastoral Care & Counseling: JPCC 60, 213–225.Google ScholarPubMed
Fogg, SL, Weaver, AJ, Flannelly, KJ, et al. (2004) An analysis of referrals to chaplains in a community hospital in New York over a seven year period. The Journal of Pastoral Care & Counseling: JPCC 58, 225–235.10.1177/154230500405800307CrossRefGoogle Scholar
Galek, K, Flannelly, K, Koenig, H, et al. (2007) Referrals to chaplains: The role of religion and spirituality in healthcare settings. Mental Health, Religion & Culture 10, 363–377.10.1080/13674670600757064CrossRefGoogle Scholar
Galek, K, Vanderwerker, LC, Flannelly, KJ, et al. (2009) Topography of referrals to chaplains in the Metropolitan Chaplaincy Study. The Journal of Pastoral Care & Counseling: JPCC 63, 1–13.10.1177/154230500906300106CrossRefGoogle ScholarPubMed
Harr, C, Openshaw, L and Moore, B (2009) Interdisciplinary relationships between chaplains and social workers in health care settings. Journal of Health Care Chaplaincy 16, 13–23.10.1080/08854720903451048CrossRefGoogle ScholarPubMed
Jeuland, J, Fitchett, G, Schulman-Green, D, et al. (2017) Chaplains working in palliative care: Who they are and what they do. Journal of Palliative Medicine 20, 502–508.10.1089/jpm.2016.0308CrossRefGoogle Scholar
Kao, LE, Lokko, HN, Gallivan, K, et al. (2017) A model of collaborative spiritual and psychiatric care of oncology patients. Psychosomatics 58, 614–623.10.1016/j.psym.2017.06.004CrossRefGoogle Scholar
Kelly, T and Howie, L (2007) Working with stories in nursing research: Procedures used in narrative analysis. International Journal of Mental Health Nursing 16, 136–144.10.1111/j.1447-0349.2007.00457.xCrossRefGoogle ScholarPubMed
Massey, K, Barnes, MJ, Villines, D, et al. (2015) What do I do? Developing taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care. BMC Palliative Care 14, 10.10.1186/s12904-015-0008-0CrossRefGoogle ScholarPubMed
O'Connor, M and Fisher, C (2011) Exploring the dynamics of interdisciplinary palliative care teams in providing psychosocial care: “Everybody thinks that everybody can do it and they can't”. Journal of Palliative Medicine 14, 191–196.10.1089/jpm.2010.0229CrossRefGoogle Scholar
Pagis, M, Tal, O and Cadge, W (2017) What do non-clergy spiritual care providers contribute to end of life care in Israel? A qualitative study. Journal of Religion and Health 56, 614–622.10.1007/s10943-016-0349-xCrossRefGoogle ScholarPubMed
Polkinghorne, DE (1989). Phenomenological Research Methods. Existential-Phenomenological Perspectives in Psychology. Boston, MA: Springer, pp. 41–60.10.1007/978-1-4615-6989-3_3CrossRefGoogle Scholar
Puchalski, C, Ferrell, B, Virani, R, et al. (2009) Improving the quality of spiritual care as a dimension of palliative care: The report of the Consensus Conference. Journal of Palliative Medicine 12, 885–904.10.1089/jpm.2009.0142CrossRefGoogle Scholar
Resnitzky, S and Bentur, N (2014). A Trial Program Integrating Spiritual Caregivers into Nursing Homes in Israel – An Evaluation Study. Report of the Myers-JDC-Brookdale Institute, Jerusalem, Israel [in Hebrew].Google Scholar
Schultz, M, Lulav-Grinwald, D and Bar-Sela, G (2014) Cultural differences in spiritual care: Findings of an Israeli oncologic questionnaire examining patient interest in spiritual care. BMC Palliative Care 13, 19.10.1186/1472-684X-13-19CrossRefGoogle ScholarPubMed
Schultz, M, Bentur, N, Rei Koren, Z, et al. (2017) From pastoral care to spiritual care — Transforming the conception of the role of the spiritual care provider. Harefuah 156, 735–739 [in Hebrew].Google ScholarPubMed
Steinhauser, KE, Fitchett, G, Handzo, GF, et al. (2017) State of the science of spirituality and palliative care research Part I: Definitions, measurement, and outcomes. Journal of Pain and Symptom Management 54, 428–440.10.1016/j.jpainsymman.2017.07.028CrossRefGoogle ScholarPubMed
Taylor, JJ, Hodgson, JL, Kolobova, I, et al. (2015) Exploring the phenomenon of spiritual care between hospital chaplains and hospital based healthcare providers. Journal of Health Care Chaplaincy 21, 91–107.10.1080/08854726.2015.1015302CrossRefGoogle ScholarPubMed
Vanderwerker, LC, Flannelly, KJ, Galek, K, et al. (2008) What do chaplains really do? III. Referrals in the New York Chaplaincy Study. Journal of Health Care Chaplaincy 14, 57–73.10.1080/08854720802053861CrossRefGoogle ScholarPubMed
Weinberger-Litman, SL, Muncie, MA, Flannelly, LT, et al. (2010) When do nurses refer patients to professional chaplains? Holistic Nursing Practice 24, 44–48.10.1097/HNP.0b013e3181c8e491CrossRefGoogle ScholarPubMed
Wesley, C, Tunney, K and Duncan, E (2004) Educational needs of hospice social workers: Spiritual assessment and interventions with diverse populations. The American Journal of Hospice & Palliative Care 21, 40–46.10.1177/104990910402100110CrossRefGoogle ScholarPubMed
Willemse, S, Smeets, W, van Leeuwen, E, et al. (2018) Spiritual care in the ICU: Perspectives of Dutch intensivists, ICU nurses, and spiritual caregivers. Journal of Religion and Health 57, 583–595.10.1007/s10943-017-0457-2CrossRefGoogle ScholarPubMed
Williams, ML, Wright, M, Cobb, M, et al. (2004) A prospective study of the roles, responsibilities and stresses of chaplains working within a hospice. Palliative Medicine 18, 638–642.10.1191/0269216304pm929oaCrossRefGoogle ScholarPubMed
Wittenberg-Lyles, E, Oliver, DP, Demiris, G, et al. (2008) Communication dynamics in hospice teams: Understanding the role of the chaplain in interdisciplinary team collaboration. Journal of Palliative Medicine 11, 1330–1335.10.1089/jpm.2008.0165CrossRefGoogle ScholarPubMed