A beacon in the storm: competencies of healthcare chaplains in the accident and emergency department
Open Access
- 3 July 2021
- journal article
- research article
- Published by Taylor & Francis Ltd in Journal of Health Care Chaplaincy
- Vol. 27 (3), 172-189
- https://doi.org/10.1080/08854726.2020.1723188
Abstract
Introduction: In several Dutch hospitals, healthcare chaplains provide care to accompanying persons at the accident and emergency (A&E) department, even though they have not been trained for such a dynamic, high-intensity environment. We therefore examined the competencies they feel they need in this setting. Methods: Interviews were conducted with 14 healthcare chaplains from nine hospitals, and with five A&E nurses from two hospitals. Results: All respondents considered healthcare chaplaincy essential in the A&E department. Our findings support the need for psychosocial and communicative skills, knowledge of mourning processes, flexibility, sensitivity, and reflexivity. Additional competencies included sensitivity to existential concerns, practicing presence, a person-centered approach, medical knowledge, and letting go of a solution-oriented approach. Discussion: The chaplains questioned the sufficiency of their leadership skills, pragmatism, and medical knowledge. To ensure their sustained availability for people in crisis, more systematic efforts are needed with regard to aftercare, evaluation, and self-care on the part of healthcare chaplains.This publication has 17 references indexed in Scilit:
- Spiritual Care in the Intensive Care Unit: A Narrative ReviewJournal of Intensive Care Medicine, 2017
- Consequences of the presence and absence of empathy during consultations in primary care: A focus group study with patientsPatient Education and Counseling, 2017
- “The Patient Is Dying, Please Call the Chaplain”: The Activities of Chaplains in One Medical Center's Intensive Care UnitsJournal of Pain and Symptom Management, 2015
- Emergency Nursing Resource: Family Presence During Invasive Procedures and Resuscitation in the Emergency DepartmentJournal of Emergency Nursing, 2011
- Anxiety as a factor influencing satisfaction with emergency department care: perspectives of accompanying personsJournal of Clinical Nursing, 2009
- The influence of patient acuity on satisfaction with emergency care: perspectives of family, friends and carersJournal of Clinical Nursing, 2008
- Family presence during invasive procedures and resuscitations in the emergency department: A critical review and suggestions for future researchAnnals of Emergency Medicine, 2002
- Accident and emergency nurses' perceptions and experiences of caring for familiesJournal of Clinical Nursing, 2000
- Grieving after a sudden death: the impact of the initial interventionAccident and Emergency Nursing, 1997
- Death in accident and emergencyAccident and Emergency Nursing, 1995