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In a modern hospital, chaplains work alongside patients, staff and their relatives across the whole hospital community and for a variety of reasons.

We hope the following information will answer some of the questions you might have about chaplaincy within an acute hospital such as Addenbrooke’s.

Role of chaplains today

The basic role of the chaplain is to be involved with others in the provision of holistic care to the hospital community.

'Holistic care' is concerned with the whole person and includes not only a person’s physical health but also their social, emotional and spiritual health or well being.

Chaplains are pastoral practitioners who seek to build a relationship of trust through compassionate presence and thereby offer help and support to a diversity of people. Such support might focus on the emotional or spiritual adjustment to illness or a search for meaning and purpose during difficult times. Help in crisis situations, including family/relational issues as well as bereavement care, are regular areas of chaplaincy involvement.

Chaplains work alongside other health care professionals collectively and collaboratively to provide psycho-social-spiritual services for patients and families.

The chaplain's specialty is to possess a particular understanding of the relation between faith, illness, and the emotional and mental conflicts that arise. A chaplain seeks to motivate and initiate meaningful use of each individual's beliefs and attitudes in the management of their problems.
The chaplain's role is supportive, serving as a counsellor and guide to the psycho-spiritual needs of the staff and patients.

The chaplain's ministry to the patients is a prime responsibility. Often, the chaplain will come into contact with the patient's family and be able to respond to their needs as required.
Hospital Staff form another major area of pastoral responsibility for the chaplain. The chaplain can make an effective contribution to the hospital's total pastoral care by working alongside the various members of the team. The chaplain makes and receives direct referrals, consults in confidence with staff members concerning patients, and provides meaningful patient-staff care.

Key areas of focus:

1. Patient focus

Chaplains seek to:

• Develop an integrated pastoral care ministry of support, guidance, nurture and encouragement.
• Provide information on faith traditions and access to resources and rituals.
• Assist patients to cope with the psychological, social and spiritual aspects of their diseases and problems.
• Help identify spiritual and religious 'filters'.
• Offer counselling services related to problems/issues that patients might share with a professional religious worker eg fear of death, guilt, and forgiveness.
• Act as a facilitator between patients and hospital staff, or family and patient, or family and staff, as required.
• Serve as a religious resource person for the patient.
• Serve as a representative of the religious community to the institution.
• Invite clients to express feelings and explore the meaning of their experience e.g. about an illness or other life stress.
• Work with family and friends for their own healing and support of their loved one.
• Explore spiritual resources for rehabilitation, healing and growth.

2. Staff Focus

Chaplains seek to:

• Work with staff to support clients.
• Provide pastoral care services to the staff of the hospital.
• Establish a training function for those staff interested in personal development in the area of psycho-social-spiritual concerns.
• Facilitate groups of staff for team building and debriefing.
• Participate in case conferences regarding patients and/or problem issues.
• Help other professionals identify and attend to their own needs and issues, by providing staff support and valuing their particular contribution.
• Serve as an intermediary or resource person in some of the complex situations of healthcare.
• Serve as a resource for those addressing the complex ethical issues involved in making healthcare decisions.

3. Church and Community Relations

Chaplains seek to:

• Assist the local churches to develop programmes of chaplaincy support.
• Develop a group of lay people to assist the chaplaincy team provide holistic patient care.
• Enlist and maintain a volunteer's programme.

4. Co-ordinate the hospital's religious activities

Chaplains seek to:

• Support various religious staff groups.
• Co-ordinate outside use of religious resources in the hospital.
• Control the distribution of religious materials within the hospital.

5. Pastoral services

Chaplains seek to:

• Create and maintain a pastoral care services department.
• Engage in appropriate research to strengthen the pastoral services department.
• Maintain appropriate professional relationships with the hospital administration.

Ecumenical chaplaincy

For the vast majority of people who find themselves in hospital the denomination of the chaplain is not important. What is needed is that the person is someone who provides relevant spiritual and pastoral care to the person in need at the time. It is this recognition that is important and is what unites Christian believers at the time of need, rather that the details of church personship that too often cloud the agenda and do not allow the real needs of the person at this time to be addressed and met.

More about Ecumenical chaplaincy for Catholic patients


 

 

 

For further information contact The Chaplaincy, Box 105, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 2QQ; Tel: 01223 217 769; E-mail: chaplaincy@addenbrookes.nhs.uk

 

Last updated: 5 September 2006