Описание: Simon Peng-Keller/David Neuhold Recording spiritual care in electronic medical records. Overview on an ongoing developmentAbstract: The introductory contribution begins with a historically oriented sketch. By referring to ancient and early modern practices, the relationship between spiritual (self-)care and various forms of documentation is broadened. The focus is then on the documentation efforts of clinical pastoral care in the 20th century. The recording of clinical pastoral care is by no means new. The efforts of thephysician Richard Cabot and the theologian Russel L. Dicks in the 1930s show this impressively. In afurther step, more recent developments, which were important in the run-up to the electronic medical record (EMR) that produced it, are pursued. An exemplary view, namely of Kenya, expands what is depicted into another context beyond the western realm. Finally, the chapter gives an overview of the state of research and literature on the topic and some of the questions discussed therein, such as the pastoral mystery and the crucial matter of confidentiality. Possible unintended consequences of the emerging practice also are considered. Thus, the discussion is complex, multifaceted, and changing. Keywords: Documentation, history, (self-)care, EMR, pastoral mystery, confidentiality, unintended side effects. I. Basic considerations Eckhard Frick Psychiatric-psychotherapeutic perspectiveAbstract: Proactively addressing spiritual and religious (s/r) issues has a strong intervention effect on patients that is generally more important than the detailed content of spiritual screenings and assessments. When asked about s/r needs or problems, patients may feel bothered, surprised, annoyed, or, conversely, satisfied, supported, acknowledged in their coping efforts. Consequently, documentation should first of all reflect whether and how the patient reacts towards the clinician's s/r intervention and whether and how he wants this interaction to be shared in the healthcare team. There is growing evidence that patients want that the carers to take into account the spiritual dimension of health care. Health professionals must, however, respect individual and general boundaries (non-compulsive, non-proselytizing, non-neglecting approach). In psychiatry and psychotherapy, patients' spirituality is less pathologized than in former times and more and more accepted as a universal dimension to human experience, transcending individual religions. In mental health and in other medical fields, s/r may be part of the problem or part of the solution (K. Pargament) or both. Consequently, spiritual charting should not only differentiate pathological / negative and resilient / positive coping but also comprise the patient's s/r health-care preferences and goals as well as the role he or she attributes to the health professional. All in all, a hermeneutical (understanding) approach is required both when communicating with the patient and when putting it into writing for the healthcare team, i.e., translating the patient's spirituality and sharing it with different team members respecting their own s/r and professional belongings as well as their experiences and competencies in this field. Key words: Spirituality, psychotherapy, team, patient Guy Jobin Ethical perspectiveAbstract: The introduction of EHRs into clinical practice appears to be irreversible. Where EHRs are used, chaplains have cooperated willingly with this way of reporting and sharing information with other members of the care team. They must, as a result, adapt their own note-taking practices to ensure effective, relevant, and meaningful communication as part of the joint deci
Over the past half century, the field of chaplaincy has come to a fork in the road. Many will recognize the well-traveled path of traditional chaplaincy. Others will follow the newer but clearly marked way to professional chaplaincy: a clinically trained, evidence-based discipline, reflecting and serving the diverse expressions of spirituality in modern society. Until now, chaplaincy in Emergency Medical Services has been the terra incognita, the unknown land on the chaplaincy map. Drawing on three decades of clinical chaplaincy practice, scholarship and original research, Russell Myers gives us the map, making the case for ambulance service chaplaincy-how to think about it and how to do it.
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