Search Results (73)

In order to offer holistic, patient-centred care, attention needs to be paid to spiritual needs. For long-term paediatric patients, this need can be crucial as they may be facing a range of challenges, including life-limiting or life-changing illnesses. This article is based on two pieces of case study research. The first developed a phenomenological definition of spirituality drawing on both the literature and thirty-six case studies of oncology patients where interpretive spiritual encounters (ISEs) were used to identify spiritual needs. The spiritual needs identified were meaning-making, transcendence, connectedness, security, hope, and significance. A challenge for chaplains is then to identify interventions which can respond to the spiritual needs assessed; examples are offered demonstrating this. The second piece of case study research draws on existing taxonomy research in which thirteen paediatric case studies were analysed for practice-based methods of responding to spiritual needs. This offers the possibility of a common language to describe the chaplain’s response to identified spiritual needs, which informs the interventions chosen. Full article

Work–family conflicts (WFCs) and family–work conflicts (FWCs) have been found to be important to worker morale and retention as well as family (as defined by the respondents) well-being, with particular importance within the military, as indicated by a number of studies in the United States, Canada, and European countries. However, few studies have focused on the impact of WFC and FWC for high ranking officers and their families. This study involved two samples of officers attending an advanced leadership course at Fort Leavenworth, Kansas, in 2007, featuring a total of 262 Army officers and another 45 officers from other services and countries. The sample of Army officers included 239 men (85.4% of whom were a parent) and 22 women (63.6% of whom were a parent; Fisher’s Exact Test, p < 0.02), with one missing case for sex. Of the men and women, respectively, most were married for the first time (190/11), with some never married (14/5), married but divorced (10/1), married/divorced/remarried (20/4), married/spouse died/remarried (1/0), married/divorced/remarried/divorced/remarried (4/0), and married/divorced/remarried/divorced/remarried (0/1). Measures for cohabitation or same-sex partnerships were not used. Two modified measures of WFC and FWC of four items each were tested and found to represent different factors and to have high internal consistency reliability. In general we found few sex differences, but female officers seemed to be more influenced by family–work conflict than male officers. One of our most substantial findings was that work–family conflict was more prevalent than family–work conflict within our sample. Also, we found that marital satisfaction tended to be higher than parental satisfaction and that officers usually found their own retention intentions to be higher than their perception of that of their spouses. Satisfaction with the military was consistently and strongly related to lower levels of work–family conflict while similar but weaker trends were found for family–work conflict. Most of our results were found to cross-validate with a subsample of non-Army officers in our sample. We found bias from marital social desirability to be lower for our marital process scale and for FWC than for marital satisfaction and WFC. In sum, our results confirm adverse effects of deployments and other stressors on military families and a continuing need for military support for families, even among higher ranking officer families. Full article

This study examines the distinctive male leadership—comprising procurators, parish priests, and chaplains—of the beguinage of St. Elizabeth in Valenciennes during the thirteenth and fourteenth centuries. Contrary to the majority of beguine communities in the southern Low Countries, where leadership appointments were dictated by religious or secular authorities, this community was entitled to elect its male administrators autonomously. The elected were generally influential figures in local religious and secular affairs and maintained a close relationship with the comital family of Hainaut. The analysis will demonstrate how this politically embedded ecclesiastical framework not only ensured doctrinal legitimacy but also mediated conflicts between secular lords and church authorities, thus enabling the community’s survival amid accusations of heresy and institutional repression. By examining the electoral criteria and functional specialization of male leaders, and their interactions with self-governed beguines, this research tries to offer a new perspective on the complex governance strategies of the medieval beguine movement. Full article

This article describes the design and implementation of a Specialized Mental Health Clinical Pastoral Education (CPE) program for clergy and theological students of all spiritual, religious, and cultural backgrounds. Addressing the need for mental health competencies in religious leaders and chaplains, this training equips participants with specialized skills in individual and group mental health spiritual assessment and spiritual care. Program participants become effective members of a multiprofessional team, gain knowledge of mental health philosophies of concordant and discordant spiritual orienting systems, and gain greater relational capacity. The Mental Health CPE Program includes traditional and novel CPE elements: (1) clinical practice, (2) group and individual supervision, (3) didactic presentations and journal clubs, (4) verbatim (Protocols of patient encounters) and case presentations, (5) group leadership training and practica, and (6) experience of faith reflections. This article provides insights into the origins of CPE, a description of the implementation in a free-standing psychiatric hospital, and observed developmental changes of program participants. We include graduates’ anecdotal feedback about their learning experience and its impact on their leadership in chaplaincy and in religious communities. Additionally, we report on areas for future development and further study of the effectiveness of Mental Health CPE. Full article

This study examines the exercise of religious freedom within the Polish penitentiary system, focusing on the intersection of legal frameworks, religious pluralism, and secularization. While Poland’s Constitution and penal legislation guarantee inmates the right to practice their faith, the practical implementation of this right faces systemic challenges. This research draws on legal analysis, demographic data, and existing empirical studies to assess how pastoral care operates in prisons. The findings reveal that although the prison system is formally open to various denominations, access to non-Catholic chaplaincy is often limited and misaligned with the evolving religious composition of the inmate population, especially following increased immigration. The number of chaplains and volunteers remains low relative to the needs of inmates, and pastoral services vary widely across regions. Despite these issues, religious involvement is shown to support rehabilitation by fostering moral development and reducing recidivism. This study concludes that a more inclusive, pluralistic, and flexible approach to prison ministry—one that accounts for both declining religiosity and growing diversity—is essential. Chaplaincy must adapt not only as a provider of religious rites but also as a facilitator of ethical reflection, emotional support, and reintegration into a secular and pluralistic society. Full article

Purpose: Assess mental health professionals’ attitudes regarding the timing and characteristics of therapeutic interventions for children whose parents have incurable cancer, and whether professionals would use artificial intelligence (AI) in these interventions. Methods: Professionals were surveyed about their therapeutic approaches to caring for children when parents have incurable cancer under different scenarios. Data from N = 294 (69% male, 72% white, 26% Latine, 56% rural or underserved communities) physicians, psychologists, social workers, hospital chaplains, community health workers, and others were analyzed. Attitudes surrounding the timing and characteristics of interventions across the parent’s cancer journey were compared, including how professionals believed interventions should attend to dimensions of the child or family, and if, how, and when AI technology could be introduced. Results: Across 10 dimensions of childhood, (1) the child’s premorbid exposure to traumatic events, (2) a surviving parent’s presence, and (3) the child’s age were important factors to consider when making mental health care decisions in this context. The professionals reported being more likely to introduce therapeutic resources as early as possible in the parent’s illness (i.e., upon diagnosis). Regarding the use of AI, 87% foresaw its role in supporting children’s mental health. While 93.2% agreed that a grieving child could be helped by interacting with an AI-generated likeness of the deceased parent, when AI’s use was contextualized in providing support for a child who lost a parent to cancer, only 49% believed AI was appropriate. The participants were conflicted over when AI could be first introduced, either upon a parent’s illness diagnosis (19.4%), during a parent’s treatment (19.0%), or as part of a parent’s hospice care (12.6%). None believed it to be appropriate following the loss of the parent to cancer. Conclusions: AI is increasingly present in children’s daily lives and quickly infiltrating health care with widely accessible mental health chatbots. Concerns about privacy, the accuracy of information, and the anthropomorphism of AI tools by children give professionals pause before introducing such technology. Proceeding with great caution is urged until more is known about the impact of AI on children’s mental health, grief, and psychological well-being in the context of parental cancer. Full article

The Catholic Church in Denmark hosts several migrant communities, with the Polish-speaking group among the largest and most visible. Institutionally, Catholic priests from Poland serve as chaplains for migrant congregations, accompanying these mobilities and providing educational practices (e.g., family guidance, biblical teaching). This paper examines how perspectives on Catholic scriptural authority differ between the Church’s institutional representatives and its members, revealing tensions between biblical authority, social accommodation, and family values in a migratory setting. Based on 20 months of fieldwork in a Polish Catholic community in Copenhagen, this paper highlights the dynamic interplay of how Church members assess scriptural authority as evaluative engagement in their transnational lives in the Danish public sphere, illustrated through interconnected ethnographic excerpts. This article illustrates how scriptural engagement offers a productive lens to explore divergent notions of Polish Catholic diasporic life and the tensions between transnational religion, national belonging, and moral navigation. Full article

Suicide is a significant public health issue and a leading cause of death amongst those aged 15 to 29, making it particularly relevant in the university context, where many students fall within this age range. Universities are motivated to promote student wellbeing, as it is closely linked to academic achievement and overall satisfaction with the university experience. University chaplains play a vital role on campuses, providing spiritual care to the entire university community. Whilst their contributions to suicide prevention are acknowledged, there is a notable lack of explicit research in this area. This paper presents the results of an online multimethod questionnaire on the self-reported contributions of university chaplains to suicide prevention, involving 50 participants working in 16 different countries. The findings indicate that university chaplains self-report contributing to all three levels of the suicide prevention framework: prevention, intervention, and postvention, with prevention being the area where they feel they contribute most. This paper also explores the wellbeing practices of university chaplains, key elements of university chaplaincy, and various aspects of the professionalisation of university chaplaincy. Full article

Understanding the dynamics of timber structures is essential for the timber structural engineering field, where it is necessary to build predictive numerical models and digital twins. Three similar-sized representative post-beam bracing frames with wood–metal assemblies were tested. Experimental modal analysis gave some indication of the non-linear behaviour of the structure. Then, the frame was submitted to a logarithmic sine sweep, which highlighted some specificities of the non-linear modes: dependence on the sweep direction and amplitude, jump, etc. These phenomena can be explained by friction and shocks in the assemblies. An accurate model of these non-linearities could lead to resilient and more earthquake-resistant timber structures, as the equivalent damping of a non-linear structure is way lower than for a linear one. Full article

This paper analyzes the work of chaplaincy and spiritual care from the perspective of care recipients. Chaplains call their work a “ministry of presence,” a term of art that is often unclear to many who are not chaplains. How else might we conceptualize “presence” in order to ground it in the social science literature? Using sociological theory, we show that care recipients may experience a chaplain’s work as emotional labor, specifically “other-focused emotional labor.” Based on in-depth interviews with a sample of 38 care recipients, we find recipients feeling reassured by the chaplain; being offered support and help by the chaplain; and not feeling judged by the chaplain. These findings enlarge sociological concepts about spiritual care to include what recipients experience as emotional labor and call for a broader engagement between sociologists of religion and emotions. Full article

“Renaissance Woman” is a colloquial expression for someone who excels above and beyond normal in a wide variety of tasks, and Rev. Dr. Muriel Spurgeon Carder (1922–2023) deserves that title, for she was an ordained Canadian Baptist missionary who worked in churches, schools, and hospitals in India and Canada, as well as served as a professor, New Testament scholar, Bible translator (into Telegu), and hospital chaplain. She also published academic articles on textual issues related to New Testament manuscripts, on a biblical theology of sin, as well as on issues surrounding physical and mental challenges. Her personal accomplishments are striking among Baptists in India but also her Canadian denomination, the Baptist Convention of Ontario and Quebec (BCOQ). Carder recently passed away at the age of 100, and this research is an introduction to her life and legacy. There is much more to be explored regarding Carder, and my hope is that this brief article provides some impetus for more detailed and comprehensive research on such an iconic figure in the BCOQ. That said, this article does more than merely provide a summary of her life and legacy. It also aims at using the experience of Carder to explore some common assumptions about Canadian women in ministry, identifying when she reinforces some and undermines others. In other words, the example of Carder complexifies what can be assumed about the experience of women in the church and warns against universal generalizations surrounding their experience. In 2008, the denomination changed its name to Canadian Baptists of Ontario and Quebec (CBOQ), and for the sake of simplicity and clarity, CBOQ will be used throughout this article. Full article

The practice of spiritual care in health has included the goal of addressing the spiritual needs of healthcare staff. Spiritual-care practitioners have had some difficulty in fulfilling this goal, which has created the need for innovative approaches. Two approaches designed to address the spiritual and existential needs of staff are Value-Based Reflective Practice (VBRP) and Schwartz Rounds. Schwartz Rounds are a regular whole-hospital meeting where staff are invited to share and discuss the social and emotional aspects of their work. They are an evidence-based intervention to reduce psychological distress and improve staff wellbeing. This paper seeks to explore the role of spiritual care practitioners in addressing the spiritual and existential needs of staff. It then explores the synergy of these roles with the theory and practice of the above approaches, with a particular emphasis on Schwartz Rounds. The paper is grounded in the experience of the authors collaborating to establish Schwartz Rounds in a large and culturally diverse hospital while also playing a leadership role in the establishment and sustainability of Schwartz programmes in other settings. Full article

Healthcare personnel experienced unprecedented stressors and risk factors for burnout, anxiety, and depression during the COVID-19 pandemic. This may have been particularly true for spiritual health clinicians (SHCs), also referred to as healthcare chaplains. We administered a daily pulse survey that allowed SHCs to self-report burnout, depression, and well-being, administered every weekday for the first year of the pandemic. We used a series of linear regression models to evaluate whether burnout, depression, and well-being were associated with local COVID-19 rates in the chaplains’ hospital system (COVID-19 admissions, hospital deaths from COVID-19, and COVID-19 ICU census). We also compared SHC weekly rates with national averages acquired by the U.S. Census Bureau’s Household Pulse Survey (HPS) data during the same timeframe. Of the 840 daily entries from 32 SHCs, 90.0% indicated no symptoms of burnout and 97.1% were below the cutoff for depression. There was no statistically significant relationship between any of the COVID-19 predictors and burnout, depression, or well-being. Mean national PHQ-2 scores were consistently higher than our sample’s biweekly means. Understanding why SHCs were largely protected against burnout and depression may help in addressing the epidemic of burnout among healthcare providers and for preparedness for future healthcare crises. Full article

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 obtained consent for them to be present during the care conversations that followed. These visits occurred over two months in the spring of 2024. This experience provided an opportunity for both the chaplain and student to reflect on the process of acknowledging, confirming, affirming, and encouraging patients and their families. Additionally, through these visits and subsequent conversations, a holistic health and wellness model was used to emphasize compassionate and spiritual patient care. Full article

This paper examines the writings of European travelers, chaplains, and resident doctors on pandemics in the Mediterranean regions from the 16th to the 19th centuries. Using French comparative literary theory, the article highlights how Muslim communities in Egypt, Turkey, Aleppo, and Mecca were stereotyped based on their belief in predestination, their failure to avoid contamination, and their lack of social distancing during plague outbreaks. This paper argues that travelers were influenced by Renaissance humanism, Ars Apodemia, religious discourses, and texts, such as plague tracts, model town concepts, the book of orders, and tales, and that they essentialized Mediterranean Islamicate societies by depicting contamination motifs supposedly shaped by the absence of contagion theory in prophetic medicines. Regarding plague science, this paper concludes that Christian and Muslim intellectuals had similar approaches until the Black Death and that Arabs were eclectic since the Abbasid period. This paper further maintains that the travelers’ approaches fostered chauvinism and the cultural hegemony of the West over the Orient since the Renaissance and Enlightenment periods, driven by eschatology, conversion, and power structure narratives. Full article