Communicating Chaplains' Care: Narrative Documentation in a Neuroscience-Spine Intensive Care Unit.
J Health Care Chaplain
; 22(4): 133-50, 2016.
Article
em En
| MEDLINE
| ID: mdl-27191058
ABSTRACT
Chaplaincy care is different for every patient; a growing challenge is to ensure that electronic health records function to support personalized care. While ICU health care teams have advanced clinical practice guidelines to identify and integrate relevant aspects of the patient's story into whole person care, recommendations for documentation are rare. This qualitative study of over 400 free-text EHR notes offers unique insight into current use of free-text documentation in ICU by six chaplains integrated into the healthcare team. Our research provides insight into the phenomena chaplains record in the electronic record. Content analysis shows recurrent report of patient and family practices, beliefs, coping mechanisms, concerns, emotional resources and needs, family and faith support, medical decision making and medical communications. These findings are important for health care team discussions of factors deemed essential to whole person care in ICUs, and, by extension have the potential to support the development of EHR designs that aim to advance personalized care.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Assistência Religiosa
/
Serviço Religioso no Hospital
/
Comunicação
/
Registros Eletrônicos de Saúde
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Qualitative_research
Limite:
Humans
Idioma:
En
Revista:
J Health Care Chaplain
Assunto da revista:
HOSPITAIS
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Estados Unidos