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1.
Clin Dermatol ; 39(4): 733-735, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34809783

RESUMO

Rabbi Elazar ben Azaryah, a great Torah scholar during the first century ce, turned rapidly gray at the age of 18. This contribution presents details of his case history in light of the current medical understanding of canities subita and recent scientific evidence showing that acute stress can lead to accelerated graying.


Assuntos
Doenças do Cabelo , Hipopigmentação , Clero , Humanos
2.
Rev Esp Salud Publica ; 952021 Nov 03.
Artigo em Espanhol | MEDLINE | ID: mdl-34728596

RESUMO

The Agreement of the Council of Ministers of November 30, 2018 approving instructions to eliminate certain medical causes of exclusion in access to public employment, such as HIV, diabetes, celiac disease and psoriasis, has meant an important advance in the protection of the labor rights of people in these conditions. Since then, the tables of medical exclusions have been revised and modified for the National Police, National Police, the Civil Guard, the Customs Surveillance Corps, the Corps of Penitentiary Institutions Assistants, the Military Training Centers, the Training Centers, for the incorporation to the Troops and Marines scales and the National School of Police. In addition, the repeal of the Orders of the National Police (Order of January 11, 1988) and the regulatory modification of the Civil Guard (Order PCI/155/2019) guarantee that the diagnosis of HIV, diabetes, celiac disease and psoriasis, will continue without being an impediment for access to the National Police and the Civil Guard in the calls for the next exercises. So, that the mere diagnosis of a disease such as HIV, diabetes, celiac disease and psoriasis will not be a generic cause for exclusion from public employment, but will take into account medical advances and existing scientific evidence, as well as the health situation of each person.


Assuntos
Clero , Intervenção Coronária Percutânea , Emprego , Humanos , Polícia , Espanha
3.
Am J Crit Care ; 30(6): 419-425, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34719714

RESUMO

BACKGROUND: Family presence during resuscitation is the compassionate practice of allowing a patient's family to witness treatment for cardiac or respiratory arrest (code blue event) when appropriate. Offering family presence during resuscitation as an interprofessional practice is consistent with patient- and family-centered care. In many institutions, the role of family facilitator is not formalized and may be performed by various staff members. At the large academic institution of this study, the family facilitator is a member of the chaplain staff. OBJECTIVES: To examine the frequency of family presence during code blue events and describe the role of chaplains as family facilitators. METHODS: Chaplain staff documented information about their code responses daily from January 2012 through April 2020. They documented their response time, occurrence of patient death, presence of family at the event, and services they provided. A retrospective data review was performed. RESULTS: Chaplains responded to 1971 code blue pages during this time frame. Family members were present at 53% of code blue events. Chaplains provided multiple services, including crisis support, compassionate presence, spiritual care, bereavement support, staff debriefing, and prayer with and for patients, families, and staff. CONCLUSIONS: Family members are frequently present during code blue events. Chaplains are available to respond to all such events and provide a variety of immediate and longitudinal services to patients, families, and members of the health care team. Their experience in crisis management, spiritual care, and bereavement support makes them ideally suited to serve as family facilitators during resuscitation events.


Assuntos
Reanimação Cardiopulmonar , Assistência Terminal , Clero , Humanos , Estudos Retrospectivos , Espiritualidade
4.
J Pastoral Care Counsel ; 75(3): 199-206, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34763568

RESUMO

Canadian federal prison chaplaincy underwent a major shift in 2013 when the provision of its services was privatized and outsourced to a single for-profit company. This article presents a summary of the experiences and concerns expressed by minority faith chaplains serving in federal correctional institutions following privatization. It is based on ten in-depth, semi-structured interviews with minority faith prison chaplains. The results show that minority faith federal prison chaplains are concerned about increased levels of bureaucratization that have compromised the quality of spiritual care available to prisoners, reductions in resources for chaplains, and increased levels of emotional exhaustion and frustration among themselves and fellow minority faith chaplains serving in Canadian correctional facilities.


Assuntos
Serviço Religioso no Hospital , Assistência Religiosa , Canadá , Clero , Humanos , Prisões , Privatização
5.
J Pastoral Care Counsel ; 75(3): 171-178, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34763572

RESUMO

2021 is the 75th anniversary of the Association of Professional Chaplains. This article celebrates this vibrant history tracing the history of APC and its predecessor organizations through name changes and mergers, recounting their growth toward inclusion and diversity, and illustrating the history of their collaboration ending with a possible new merger with ACPE. Through their commitment to growth and excellency, APC is arguably one of the premier spiritual care organizations in the world.


Assuntos
Serviço Religioso no Hospital , Assistência Religiosa , Clero , Humanos , Espiritualidade
6.
Br J Nurs ; 30(17): 1042-1043, 2021 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-34605256

RESUMO

Richard Griffith, Senior Lecturer in Health Law at Swansea University, discusses the statement made by the UK vaccines minister that healthy 12-15-year-olds could override their parents' decision on coronavirus vaccination.


Assuntos
Menores de Idade , Pais , Clero , Nível de Saúde , Humanos , Consentimento Livre e Esclarecido
7.
Comput Inform Nurs ; 39(10): 538-546, 2021 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-34623338

RESUMO

Chaplains must document their ministry of care in electronic health records that primarily focus on the physical dimension of care. Creating chaplain documentation that reflects the spiritual dimension of care requires chaplains to participate in the screen design. This article describes how chaplain documentation was designed and refined using psychometric methods. The resulting system successfully supported chaplain workflow, provided an ability to aggregate chaplain workload, and integrated the chaplain into the interprofessional team by structuring, linking, and sharing both the chaplain and nursing assessment of spiritual distress in the electronic health record. Documentation used 5-point Likert scales to measure different dimensions of patient spirituality. Reliability and validity were further evaluated as part of a workshop at an Association of Professional Chaplains annual meeting. Findings supported interrater reliability and the ability to predict and discriminate change pre and post encounter. Documentation screen content is presented.


Assuntos
Registros Eletrônicos de Saúde , Terapias Espirituais , Clero , Humanos , Reprodutibilidade dos Testes , Espiritualidade
8.
J Relig Health ; 60(5): 3090-3099, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34480691

RESUMO

Moral injury tends to be conceptualized through an interplay of psychological and religious concerns. Recent qualitative research has begun utilizing chaplains to bolster the understanding of moral injury within veterans. The current study examined qualitative data regarding how moral injury is viewed through the lens of Chaplain Services within the Veterans Health Administration (VA). Specifically, chaplains were asked to describe how moral injury presents, what kinds of complaints veterans voice with regard to moral injury, and how moral injury impacts social functioning. Chaplains highlighted how moral injury is a pervasive issue affecting veterans across multiple domains. Clinical implications discussed further.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Veteranos , Clero , Humanos , Morbidade , Pesquisa Qualitativa
9.
J Relig Health ; 60(5): 3061-3089, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34553273

RESUMO

Military personnel deployed to war zones or assigned to other morally challenging military duties are likely to be exposed to potentially morally injurious events (PMIE) that may inflict a moral injury (MI). This qualitative study formed 'Phase 1' of a larger study into PMIEs experienced by Australian veterans and the potential pastoral/spiritual care role of chaplains. Two seminars were conducted that involved 10 veterans being interviewed and audio recorded about their deployment experiences to evaluate whether there was any evidence among Australian veterans of a PMIE. Narrative data analysis indicated that all participants had been exposed to, or were involved in, a PMIE of one kind or another. Seven key themes were identified from the analyzed qualitative data: (i) immoral acts, (ii) death and injury, (iii) betrayal, (iv) ethical dilemmas, (v) disproportionate violence, (vi) retribution and (vii) religious/spiritual issues. Given this preliminary PMIE evidence identified, there is a need for further research, as well as the development of a suitable moral injury assessment scale appropriate for Australian veterans. Furthermore, given the ethical, moral, and spiritual issues involved, the implementation of a rehabilitation program suitable for Australian veterans which can be provided by chaplains is also suggested-namely 'Pastoral Narrative Disclosure.' It is argued that moral injury needs to be recognized, not just as an issue affecting individual personnel and their families, but is also a community health, organizational and government responsibility.


Assuntos
Transtornos de Estresse Pós-Traumáticos , Veteranos , Austrália , Clero , Humanos , Espiritualidade
10.
J Relig Health ; 60(5): 3282-3290, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34386889

RESUMO

This set of three case studies portrays a unique intervention undertaken at The Johns Hopkins Hospital in response to the COVID-19 pandemic with a goal to reduce the impact of absentee visitors during patient care on physicians, nurses, and the patient's loved ones. The intervention, known by the acronym TIMS, "This is My Story", involves a chaplain-initiated telephone call to a loved one, someone who has been identified by the patient as part of their care discussions, of hospitalized patients who have difficulty with communicating to the medical team. The call is recorded then edited for conciseness, and attached to the electronic health record for the entire medical care team to hear. The focus of the chaplain lead conversation with a loved one centers around gathering and presenting information about the patient as a person. Medical team members listen to the edited audio file either on rounds or by utilizing a hyperlink in the electronic health record (EHR). The audio file is two minutes or less in length, as this is the optimal size for comprehension without overburdening the care provider. While conducting the interview, there is an opportunity for chaplains to provide spiritual and emotional support to loved ones and medical staff, contributing substantively to patient care, as is illustrated in the case studies.


Assuntos
COVID-19 , Pandemias , Clero , Comunicação , Humanos , SARS-CoV-2
12.
J Relig Health ; 60(6): 3807-3870, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34396482

RESUMO

This study offers an exploratory review of the experience of stress and burnout syndrome among Catholic priests. Following Arksey and O'Malley's (Int J Soc Res Methodol 8(1):19-32, 2005, https://doi.org/10.1080/1364557032000119616 )  protocol, a scoping study was conducted. Given the scarcity of studies found on the subject, a broad selection criterion  was used, which included quantitative, qualitative and mixed studies, literature reviews and comparative studies with other professions. The results reveal various risk factors: work overload among younger generations of priests, a sociocultural context that distrusts the clergy, neurotic, introverted, perfectionist and narcissistic personality styles, avoidant and complacent coping styles, living alone, not having sufficient support (especially from the Church authorities), excessive demands and lack of boundaries related to the priestly role and submissive obedience styles, among others. However, the studies reviewed also identified important protection factors: promoting optimism, an approach-based coping style and a collaborative way of resolving conflicts, frequent physical exercise, eating a balanced diet, finding time to rest, strengthening personal identity, social support (from parishioners, collaborators, colleagues, superiors) and leading an active spiritual life. Stress and burnout are associated with certain pathologies linked to smoking, alcoholism, obesity, diabetes, cardiovascular disease, anxiety and depression. Strengthening protective factors and minimizing the impact of risk factors would do much to improve the clergy's occupational health.


Assuntos
Esgotamento Profissional , Clero , Adaptação Psicológica , Ansiedade , Catolicismo , Humanos
13.
15.
J Relig Health ; 60(5): 2989-3011, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34245433

RESUMO

Moral injury (MI), originally discussed in relationship to transgressing moral beliefs and values during wartime among military personnel, has expanded beyond this context to include similar emotions experienced by healthcare professionals, first responders, and others experiencing moral emotions resulting from actions taken or observations made during traumatic events or circumstances. In this article, we review the history, definition, measurement, prevalence, distinctiveness, psychological consequences, manifestations (in and outside of military settings), and correlates of MI in different settings. We also review secular psychological treatments, spiritually integrated therapies, and pastoral care approaches (specific for clergy and chaplains) used to treat MI and the evidence documenting their efficacy. Finally, we examine directions for future research needed to fill the many gaps in our knowledge about MI, how it develops, and how to help those suffering from it.


Assuntos
Militares , Assistência Religiosa , Transtornos de Estresse Pós-Traumáticos , Clero , Humanos , Princípios Morais
16.
J Child Sex Abus ; 30(7): 869-889, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34323665

RESUMO

Amid considerable public scrutiny, Roman Catholic institutions in the United States have been called upon to address underlying organizational conditions that may facilitate child sex abuse and establish effective policies for early intervention and prevention. The development of child protection policies has largely been left to the discretion of local dioceses with little in the way of central oversight. This study examined the 32 U.S. archdioceses' written policies on child protection and maintaining a safe environment. We found 14 distinct policies spread across the archdioceses which fit into four general categories or domains: (1) Prevention of Child Sexual Abuse; (2) Detection and Reporting of Abuse; (3) Response to Victims; and (4) Investigational Process and Response to Allegations of Abuse. Using a tool developed from a list of unique components selected from the better policies of all 32 archdioceses, we compared policies across archdioceses. On a group level, we found current policies to be inadequate. The average score for all 32 archdioceses was 100.9 out of 250 possible points or 40%. The range was 61 to 137 (SD 20.4). The variation and inconsistencies across multiple archdioceses within the U.S. reveal the need for the Catholic Church to establish evidence-based standards on appropriately and effectively addressing child sexual abuse within its dioceses. These standards should be based on empirically supported best practices and emerging consensus of experts on better practices for youth-serving organizations in relation to child abuse. This article points to parameters for consideration in developing such standards.


Assuntos
Abuso Sexual na Infância , Clero , Adolescente , Catolicismo , Criança , Família , Humanos , Políticas , Estados Unidos
17.
Neurocrit Care ; 35(2): 322-334, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34195896

RESUMO

BACKGROUND: To enhance knowledge about religious objections to brain death/death by neurologic criteria (BD/DNC), we surveyed hospital chaplains about their experience with and beliefs about BD/DNC. METHODS: We distributed an online survey to five chaplaincy organizations between February and July 2019. RESULTS: There were 512 respondents from all regions of the USA; they were predominantly Christian (450 of 497; 91%), board certified (413 of 490; 84%), and employed by community hospitals (309 of 511; 61%). Half (274 of 508; 56%) of the respondents had been involved in a case in which a family objected to BD/DNC on the basis of their religious beliefs. In 20% of cases involving a religious objection, the patient was Buddhist, Hindu, Jewish, or Muslim. Most respondents believed that a person who is declared brain dead in accordance with the American Academy of Neurology standard is dead (427 of 510; 84%). A minority of respondents believed that a family should be able to choose whether an assessment for determination of BD/DNC is performed (81 of 512; 16%) or whether organ support is discontinued after BD/DNC (154 of 510; 30%). These beliefs were all significantly related to lack of awareness that BD/DNC is the medical and legal equivalent of cardiopulmonary death throughout the USA and that organ support is routinely discontinued after BD/DNC, outside of organ donation. CONCLUSIONS: Hospital chaplains, who work at the intersection between religion and medicine, commonly encounter religious objections to BD/DNC. To prepare them for these situations, they should receive additional education about BD/DNC and management of religious objections to BD/DNC.


Assuntos
Clero , Neurologia , Morte Encefálica , Hospitais , Humanos , Religião , Inquéritos e Questionários , Estados Unidos
19.
J Relig Health ; 60(5): 3052-3060, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34148181

RESUMO

Moral injury is a complex phenomenon characterized by spiritual, psychological, and moral distress caused by actions or acts of omission inconsistent with an individual's moral and ethical values. We present two cases from an ongoing randomized controlled trial of a spiritually integrated structured intervention delivered by chaplains for individuals suffering from moral injury. Chaplains met with Veterans for twelve 50-min sessions that each focused on a specific domain of moral injury. Participants were asked to complete validated scales assessing symptoms of moral injury and PTSD, including the PTSD Checklist for DSM-5 (PCL-5), Moral Injury Symptom Scale-Military Version Short Form, and Moral Injury Symptom Scale-Military Version Long Form. We report on two Veterans who completed the intervention and demonstrated significant improvement in moral injury and PTSD symptoms.


Assuntos
Militares , Transtornos de Estresse Pós-Traumáticos , Veteranos , Clero , Humanos , Princípios Morais , Transtornos de Estresse Pós-Traumáticos/complicações , Transtornos de Estresse Pós-Traumáticos/terapia
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