Screening for Spiritual Struggle. Judith Blanchard, D.Min., B.C.C. – Chaplain Clinical Leader. A Quality Improvement Initiative at Maine Medical Center, Portland ME Winter-Spring 2011 Judith Blanchard, D.Min., B.C.C. Chaplain Clinical Leader
Screening for Spiritual Struggle
Judith Blanchard, D.Min., B.C.C. – Chaplain Clinical Leader
A Quality Improvement Initiative at Maine Medical Center, Portland ME
Judith Blanchard, D.Min., B.C.C. Chaplain Clinical Leader
Douglas Allan Dunlap, Ed.M., Ed.D, M.Div., Chaplain Resident
– Learn how one might engage nursing staff in screening for religious/spiritual struggle.
–Gain familiarity with a quality improvement project for in-patient spiritual care.
Importance of Religion to Cancer Patients
N=230 patients with advanced cancer.
From Balboni et al, J of Clinical Oncology, 2007
“I am told that God lives in me – and yet the reality of darkness and coldness and emptiness is so great that nothing touches my soul.” Newsweek 9/3/07
Addressing Spiritual Struggle/Distress means:
“…to help create an environment where what is fundamental, natural, and indigenous to the human psyche can most easily do its own work of bringing about integration, balance, and wholeness.”
Michael Kearney (2000)
Nursing recruitment from:
Current Nursing Questions:
Any spiritual practices that
may affect your care? No Yes
Spiritual Screening Tool
Patient Admitted: Our team is committed to the whole person.
Do you have a belief, spiritual or otherwise, that is important to you?
Is that helping you now?
Was there a time when you did?
Thank you. We do wish to be supportive of you.
[Make SCM Pastoral Care Consult Order or call 662-2951 with referral. Note which Track patient on.]
10 Nurses Recruited and Trained
1 – Injured and unavailable
3 – No referrals (1 nurse said she had made a couple but no record)
2 – made one referral
3 – made two referrals
1 – made six referrals
14 Referrals made in six weeks
Results of 14 Nursing Referrals
#1 Belief HelpfulN = 7
#2 Belief Not HelpfulN = 3
#3 Belief in PastN = 1
#4 No BeliefN = 3
Participating nurses reported
Follow up by chaplains
Findings and plans for the future
We are all in this together!
Questions and Answers