The Chaplain Family Project: Development, Feasibility, and Acceptability of an Intervention to Improve Spiritual Care of Family Surrogates

Alexia M. Torke, Saneta Maiko, Beth N. Watson, Steven S. Ivy, Emily S. Burke, Kianna Montz, Sarah A. Rush, James E. Slaven, Kathryn Kozinski, Robyn Axel-Adams, Ann Cottingham

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

In the Intensive Care Unit (ICU), family members experience psychological and spiritual distress as they cope with fear, grief, and medical decisions for patients. The study team developed and pilot tested a semistructured chaplain intervention that included proactive contact and spiritual assessment, interventions, and documentation. An interdisciplinary team developed the intervention, the Spiritual Care Assessment and Intervention (SCAI) Framework. Three chaplains delivered the intervention to surrogates in two ICUs. There were 25 of 73 eligible patient/surrogate dyads enrolled. Surrogates had a mean age of 57.6, were 84% female and 32% African American. The majority (84%) were Protestant. All received at least one chaplain visit and 19 received three visits. All agreed they felt supported by the chaplains, and qualitative comments showed spiritual and emotional support were valued. A semistructured spiritual care intervention for ICU surrogates is feasible and acceptable. Future work is needed to demonstrate the intervention improves outcomes for surrogates and patients.

Original languageEnglish (US)
Pages (from-to)147-170
Number of pages24
JournalJournal of Health Care Chaplaincy
Volume25
Issue number4
DOIs
StatePublished - Oct 2 2019
Externally publishedYes

Keywords

  • Chaplain
  • intensive care
  • proxy decision making
  • spiritual care
  • spiritual distress
  • surrogate

ASJC Scopus subject areas

  • Health(social science)
  • Clinical Psychology
  • Religious studies

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  • Cite this

    Torke, A. M., Maiko, S., Watson, B. N., Ivy, S. S., Burke, E. S., Montz, K., Rush, S. A., Slaven, J. E., Kozinski, K., Axel-Adams, R., & Cottingham, A. (2019). The Chaplain Family Project: Development, Feasibility, and Acceptability of an Intervention to Improve Spiritual Care of Family Surrogates. Journal of Health Care Chaplaincy, 25(4), 147-170. https://doi.org/10.1080/08854726.2019.1580979