George Fitchett
Dados Biográficos
| ID | 166855 |
|---|---|
| NOME | George Fitchett |
| PRENOMES | George |
| SOBRENOME | Fitchett |
| ASSINATURA | FITCHETT G |
| AFILIAÇÕES | Rush University Medical Center |
| ORCID | 0000-0002-5054-8459 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 65 |
| TOTAL DE CITAÇÕES | 18 |
| TOTAL COMO AUTOR | 65 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1976 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Emotional intelligence and counseling self-efficacy among clinical pastoral education students in a multicenter sample
Understanding the characteristics of students entering Clinical Pastoral Education (CPE), including their baseline emotional intelligence (EI) and counseling self-efficacy (CSE), is essential for facilitating their development. This cross-sectional study examines demographic characteristics, EI, and CSE among 274 CPE students across 29 CPE centers nationwide. It also investigates professional and demographic factors that may predict baseline EI a…
Developing and implementing spiritual screening in healthcare
Healthcare chaplains recognize the importance of informed referrals for spiritual care; they are essential for spiritual care in outpatient settings. Research about the prevalence and harmful effects of religious/spiritual distress underscores the importance of effective methods for identifying patients who would benefit from spiritual care. Spiritual screening is a valuable way to help healthcare colleagues identify patients who would benefit fr…
Perspectives from early-career healthcare chaplains on the strengths and weaknesses of their clinical pastoral education and graduate degrees
This study investigated the educational experiences of early-career healthcare chaplains (ECHCs) to identify their perceptions of the strengths and weaknesses of their academic and clinical training. We conducted an online survey with fixed-choice and open-text questions, gathering data from 288 ECHCs. Their responses revealed substantial gaps between traditional academic programs, such as the Master of Divinity (M.Div.) degree, and the competenc…
An e-Delphi study on integrated curriculum standards for healthcare chaplaincy education
Healthcare chaplaincy education in the United States lacks standardized curriculum guidelines, resulting in inconsistent training and preparation for clinical practice. This modified e-Delphi sought consensus on curriculum standards to address this gap. Nineteen experts-including chaplains, clinical pastoral educators, theological faculty, and thought leaders-participated in a three-round process evaluating eight proposed domains covering academi…
Essential competencies for healthcare chaplains
This first-of-its-kind study explored the essential competencies healthcare chaplaincy hiring managers (HCHMs) sought for entry-level healthcare chaplains (HCCs). We conducted qualitative interviews with 16 HCHMs and using reflexive thematic analysis (RTA), developed nine key themes: interpersonal skills, teamwork, knowledge of family and group dynamics, understanding of the healthcare system, professionalism, proficiency in spiritual assessment,…
Chaplains’ reports of integration in community health initiatives
Health care and religious organizations have a long history with one another. Chaplains' investments in the health and wellbeing of their local communities have extended beyond the hospital walls for longer than many chaplains may recognize. However, the published evidence suggests these efforts have been limited. Given the history of health care evolution in the United States, the small evidence of cases highlighting chaplains' leadership within…
Development of the ONC-5
Religious and spiritual (R/S) beliefs are crucial coping resources for cancer patients, yet there’s no standard spiritual assessment approach. We developed the ONC-5, an evidence-based model to quantify patients’ spiritual concerns in adult oncology. Seventy-one patients with diverse cancer diagnoses completed a survey and a semi-structured ONC-5 interview with a chaplain. Measures included the distress thermometer, PHQ-2, R/S struggle, and spiri…
Faith Group Endorsement
Faith Group Endorsement (FGE) is required for the Association of Professional Chaplains (APC) board certification and the Association of Clinical Pastoral Education (ACPE) educator certification. It was established in the early days of professional chaplaincy but recent social changes, including changes in the U.S. religious landscape, create obstacles for obtaining and maintaining FGE for many candidates and raise questions about its value. We c…
Chaplain care for health care colleagues
In addition to supporting patients and their loved ones at critical times, chaplains have long understood that caring for their health care colleagues is an important part of their practice. The Covid-19 pandemic prompted conversations among chaplains about how best to address the stress they were observing in health care workers. Our team conducted a scoping review in PubMed and CINAHL of peer reviewed literature describing chaplaincy care for h…
Evaluation of spiritual care services at Cedars Sinai hospitals
In 2022, the Spiritual Care (SC) program at Cedars-Sinai Health System in Southern California undertook an evaluation of their services. It included a survey and focus groups to learn how the staff at Cedars Sinai hospitals perceived and utilized SC services for patients, visitors, and themselves. Survey participants included 554 staff members; 314 of those reported direct contact with patients. The eight focus groups had 28 participants. Respond…
A time study of Acpe certified educators
This is a descriptive, quantitative, cross-sectional study of how ACPE Certified Educators (CEs) allocated their time among varied responsibilities in calendar year 2021. Using a structured interview assisted survey instrument, 25 CEs at academic medical centers/university teaching hospitals were surveyed via Zoom/Phone. Results found a median commitment of 58% of time on clinical pastoral education (CPE) activities (38% to teaching and 20% to ad…
Spiritual Care and Community Wellness
Religious organizations have influenced parts of the history of healthcare in the United States. Whether at the local faith community level or national religious bodies, faith communities and health systems have explored partnerships to connect health service delivery and promote population health in its complexity. The changes to health policy in the past decades have fueled how health systems dedicate financial and tangible resources to improvi…
Supporting staff
The aim of this study was to describe the range of spiritual care activities in support of clinical colleagues at a subset of U.S. hospitals. A descriptive cross-sectional design using a 76-item Zoom/telephone guided survey containing a subset of staff care questions was employed. Data were provided by directors/managers responsible for spiritual care services at the 2020–2021 U.S. News & World Report top hospitals. Results identified staff suppo…
Providing spiritual care to cancer patients in the outpatient context
The aim of this pilot study was to test an effort to provide spiritual care (SC) to oncology outpatients in the Ascension healthcare system. Medical providers referred patients who would benefit from spiritual and emotional support. Twenty-seven cancer outpatients from 5 states were enrolled in the project. Based on the chaplain assessment, 45% of the patients had moderate or severe spiritual concerns. On average patients had 4 sessions with a ch…
Mapping spiritual care in small and critical access hospitals in a faith-based US Health system
Little is known about spiritual care in small hospitals and critical access hospitals (CAHs), essential sources of health care in rural areas of the US. Using interview-administered surveys with spiritual care providers, we examined spiritual care services in 19 facilities, including seven small hospitals, nine CAHs, and three freestanding emergency departments, in one religiously-owned healthcare system. We identified four groups of facilities b…
Chaplain staffing and scope of service
The functions of hospital chaplains and the corresponding staffing of spiritual care departments remain persistent and parallel questions within the profession. No consensus exists on services provided by spiritual care departments nor the staffing patterns to meet those expectations. This study describes the key activities and staffing at the 20 U.S. News and World Report Best Hospitals 2020–2021 as well as the connections between services, staf…
Religious and Spiritual Experiences, Discrimination, and Stress Among Midlife Women in the USA
The harmful effects of perceived discrimination for physical and mental health are well documented. Evidence identifies how dimensions of religious/spiritual (R/S) involvement may reduce these harmful effects. This study examined how R/S experiences are associated with the effects of discrimination on perceived stress. With data from the Study of Women's Health Across the Nation (SWAN), we examined the offsetting and buffering effects of daily sp…
Exploring Spiritual Concerns, Needs, and Resources in Outpatient Healthcare Facilities Serving Under-Resourced Black Patients
Background Acknowledging patients' spiritual concerns can enhance well-being and is essential to patient-centered chronic illness care. However, unmet spiritual care needs remain a major area of suffering, particularly among under-resourced populations. Limited research exists on how spiritual concerns are acknowledged and integrated into the care of chronically ill older Black patients in these settings. Purpose This study aimed to explore the s…
American health care chaplains’ narrative experiences serving during the Covid-19 pandemic
The COVID-19 pandemic significantly impacted North American health care chaplains' modes of work and emotions. To capture the experiences of health care chaplains across the United States, 30 Board Certified (or eligible) chaplains were asked to keep a weekly narrative journal of their experiences and emotions during the pandemic from April of 2020 through June of 2020. Twenty-one chaplains submitted their journals for qualitative analysis, amoun…
Spiritual care department leaders’ response to racial reckoning in 2020 and 2021
Ascension, one of the largest Roman Catholic healthcare systems, and Transforming Chaplaincy (TC) collaborated on a research project "Managing Spiritual Care (SC) Departments During the COVID-19 Pandemic: A Qualitative Study." Research participants included 22 leaders from Ascension and TC contacts. Four rounds of individual interviews were conducted from April, 2020 to February, 2021. After issues of race and racial reckoning following George Fl…
Spirituality in Serious Illness and Health
Importance: Despite growing evidence, the role of spirituality in serious illness and health has not been systematically assessed. Objective: To review evidence concerning spirituality in serious illness and health and to identify implications for patient care and health outcomes. Evidence Review: Searches of PubMed, PsycINFO, and Web of Science identified articles with evidence addressing spirituality in serious illness or health, published Janu…
Training Spiritual Caregivers
This chapter explores graduate theological education as a field that produces both discourses of spirituality and the professionals who provide what is increasingly called “spiritual care.” As taught in chaplaincy programs, the case of spiritual care illustrates how “spirituality” is produced by religious institutions in a pragmatic effort to train chaplains for work in the secular institutions that employ them. The chapter shows how, based on th…
What organizational and business models underlie the provision of spiritual care in healthcare organizations? An initial description and analysis
Two-thirds of American hospitals have chaplains. This article explores the organizational and business models that underlie how chaplains are integrated into hospitals. Based on interviews with 14 chaplain managers and the 11 healthcare executives to whom they report at 18 hospitals in 9 systems, we identify three central findings. First, there is significant variation in how spiritual care programs are staffed and integrated into their hospitals…
Patients’ and Loved Ones’ Expectations of Chaplain Services
A study assessing the expectations patients and loved ones have of hospital chaplains was conducted at Ascension St. Vincent Indiana hospitals. In-person interviews were conducted with 452 patients and loved ones during an inpatient stay. The survey instrument was a modified version of a survey developed by Dr. Katherine Piderman of the Mayo Clinic. Participants answered questions regarding demographics, awareness of availability, expectations of…
Management and leadership competencies among spiritual care managers
Both the healthcare and religious landscapes in the United States are rapidly changing. Despite the dynamic environment that spiritual care managers face, many do not receive management training prior to assuming their roles and many receive little or no training once they are in their roles. This study used mixed methods to examine the applicability of the National Center for Healthcare Leadership (NCHL) competency model to spiritual care manage…
Training Chaplains and Spiritual Caregivers
This paper describes the history of chaplaincy programs in theological education, the content of their curricula, the goals of the programs as described by faculty, and the programs’ approaches to issues of spiritual and religious diversity. It is based on a sample of 21 schools that offer specific chaplaincy education through masters of divinity or masters of arts degrees. We conducted semi-structured interviews with faculty at these schools and…
Factor Analysis of the 'Spiritual Well-Being Scale' and Its Clinical Utility with Psychiatric Inpatients
Eric L. Scott, Albert A. Agresti, George Fitchett, Factor Analysis of the 'Spiritual Well-Being Scale' and Its Clinical Utility with Psychiatric Inpatients, Journal for the Scientific Study of Religion, Vol. 37, No. 2 (Jun., 1998), pp. 314-321
Worship Attendance and the Disability Process in Community-Dwelling Older Adults
These results suggest that more frequent worship attendance does not contribute to slowing the progress of disability in late life. Future research is needed to better understand the development of the differences in disability associated with worship attendance observed at baseline
Struggle with the divine in Swiss patients visited by chaplains
A body of evidence is developing that describes harmful effects of religious struggle that includes struggle with the divine (e.g. feeling abandoned or punished by God). We examined the prevalence and correlates of divine struggle among 540 Swiss hospital patients. Some divine struggle was reported by 46 percent of the sample. Unexpected hospital admission and scores on a measure of faith were associated with a greater likelihood of reporting any…
Racial/Ethnic Differences in Religious Involvement in a Multi-Ethnic Cohort of Midlife Women
We examined racial/ethnic differences in five measures of religious involvement (worship attendance, religious social support, importance of faith, comfort from religion, and frequency of prayer or meditation) among 2,690 women, age 42-52 years, participating in the Study of Women's Health Across the Nation (SWAN). The women reported five racial/ethnic identifications: white, African American, Hispanic, Japanese, and Chinese. A large proportion o…
Sometimes it is better to receive
Sometimes it is better to receive
Family therapy and communion
Wisdom and folly in death and dying
Development of a model for spiritual assessment and intervention
Hospitalized psychiatric and medical patients and the clergy
Factor Analysis of the 'Spiritual Well-Being Scale' and Its Clinical Utility with Psychiatric Inpatients
Eric L. Scott, Albert A. Agresti, George Fitchett, Factor Analysis of the 'Spiritual Well-Being Scale' and Its Clinical Utility with Psychiatric Inpatients, Journal for the Scientific Study of Religion, Vol. 37, No. 2 (Jun., 1998), pp. 314-321
The role of religion in medical rehabilitation outcomes
Measuring spiritual well-being in people with cancer
A significant relation between religion and better health has been demonstrated in a variety of healthy and patient populations. In the past several years, there has been a focus on the role of spirituality, as distinctfrom religion, in health promotion and coping with illness. Despite the growing interest, there remains a dearth of well-validated, psychometrically sound instruments to measure aspects of spirituality. In this article we report on…
Health Care Chaplaincy as a Research-Informed Profession
Health care chaplaincy should become a research-informed profession in the next ten years. This article describes my rationale for this statement and outlines a plan for accomplishing it. This means that all professional health care chaplains will value the contributions that research can make to their ministry and some chaplains will be engaged in research that informs the profession. Becoming a research-informed profession does not mean losing …
Religious Struggle
OBJECTIVES: For some people, diagnosis with a serious illness or other adverse life events can precipitate a period of religious struggle. While evidence of the harmful effects of religious struggle is accumulating, less is known about its prevalence or correlates. The aim of this study was to examine the prevalence and correlates of religious struggle in three groups of medical patients. METHODS: Study participants included diabetic outpatients …
Racial/Ethnic Differences in Religious Involvement in a Multi-Ethnic Cohort of Midlife Women
We examined racial/ethnic differences in five measures of religious involvement (worship attendance, religious social support, importance of faith, comfort from religion, and frequency of prayer or meditation) among 2,690 women, age 42-52 years, participating in the Study of Women's Health Across the Nation (SWAN). The women reported five racial/ethnic identifications: white, African American, Hispanic, Japanese, and Chinese. A large proportion o…
Chaplains and Quality Improvement
To date, the field of health care chaplaincy has little information about what constitutes "quality spiritual care. "A qualitative study of four focus groups in New York, Illinois, Arizona, and California was conducted to gather preliminary information about how health care chaplains' experience and understand "quality" and "quality improvement" in spiritual care. The study revealed that many chaplains feel a tension inherent in the task of measu…
Introducing Chaplains to Research
Health care chaplains are beginning to recognize the need to become an evidence-based profession. This will require that all chaplains become informed consumers of research. There has been little investigation into the barriers that chaplains face as they attempt to become research literate. This study employed comments of 94 chaplains who attended pastoral research workshops to examine attitudes chaplains report about research that might represe…
Ethical Issues in Case Study Publication
As chaplains develop richly detailed case studies for publication, ethical questions about case study construction and publication are emerging. Concerns about seeking patients' permission to publish material about them suggest additional questions and raise broad confidentiality and privacy issues. Confidentiality-related practices in health care and psychotherapy provide the most extensive guidance for chaplains, but healthcare chaplaincy has r…
Making Our Case(s)
Health care chaplaincy needs to develop a body of published case studies. Chaplains need these case studies to provide a foundation for further research about the efficacy of chaplains' spiritual care. Case studies can also play an important role in training new chaplains and in continuing education for experienced chaplains, not to mention educating health care colleagues and the public about the work of health care chaplains. Guidelines for wri…
Racial/Ethnic Differences in Responses to the Everyday Discrimination Scale
The authors examined the impact of race/ethnicity on responses to the Everyday Discrimination Scale, one of the most widely used discrimination scales in epidemiologic and public health research. Participants were 3,295 middle-aged US women (African-American, Caucasian, Chinese, Hispanic, and Japanese) from the Study of Women's Health Across the Nation (SWAN) baseline examination (1996-1997). Multiple-indicator, multiple-cause models were used to…
A Survey of Chaplains' Roles in Pediatric Palliative Care
To date, the field of health care chaplaincy has had little information about how pediatric palliative care (PPC) programs meet the spiritual needs of patients and families. We conducted a qualitative study consisting of surveys of 28 well-established PPC programs in the United States followed by interviews with medical directors and professional chaplains in 8 randomly selected programs among those surveyed. In this report, we describe the PPC c…
Psychological and Social Characteristics Associated with Religiosity in Women’s Health Initiative Participants
Measures of religiosity are linked to health outcomes, possibly indicating mediating effects of associated psychological and social factors. We examined cross-sectional data from 92,539 postmenopausal participants of the Women's Health Initiative Observational Study who responded to questions on religious service attendance, psychological characteristics, and social support domains. We present odds ratios from multiple logistic regressions contro…
Chaplaincy and Mental Health in the Department of Veterans Affairs and Department of Defense
Chaplains play important roles in caring for Veterans and Service members with mental health problems. As part of the Department of Veterans Affairs (VA) and Department of Defense (DoD) Integrated Mental Health Strategy, we used a sequential approach to examining intersections between chaplaincy and mental health by gathering and building upon: 1) input from key subject matter experts; 2) quantitative data from the VA / DoD Chaplain Survey (N = 2…
Worship Attendance and the Disability Process in Community-Dwelling Older Adults
These results suggest that more frequent worship attendance does not contribute to slowing the progress of disability in late life. Future research is needed to better understand the development of the differences in disability associated with worship attendance observed at baseline
Evidence-Based Chaplaincy Care
Leaders in health care chaplaincy and practice guidelines, such as the Association of Professional Chaplains' Standards of Practice, call for chaplains to develop an evidence-based approach to their work. The extent to which practicing chaplains accept this new paradigm is unclear. The aim of this study was to gather information regarding chaplains' attitudes and practices with respect to evidence-based chaplaincy care. Data for the study came fr…
Struggle with the divine in Swiss patients visited by chaplains
A body of evidence is developing that describes harmful effects of religious struggle that includes struggle with the divine (e.g. feeling abandoned or punished by God). We examined the prevalence and correlates of divine struggle among 540 Swiss hospital patients. Some divine struggle was reported by 46 percent of the sample. Unexpected hospital admission and scores on a measure of faith were associated with a greater likelihood of reporting any…
Religion, spirituality, and physical health in cancer patients
Although religion/spirituality (R/S) is important in its own right for many cancer patients, a large body of research has examined whether R/S is also associated with better physical health outcomes. This literature has been characterized by heterogeneity in sample composition, measures of R/S, and measures of physical health. In an effort to synthesize previous findings, a meta‐analysis of the relation between R/S and patient‐reported physical h…
Education for Professional Chaplains
The growing importance of professional chaplains in patient-centered care has raised questions about education for professional chaplaincy. One recommendation is that the curricula of Clinical Pastoral Education (CPE) residency programs make use of the chaplaincy certification competencies. To determine the adoption of this recommendation, we surveyed CPE supervisors from 26 recently re-accredited, stipended CPE residency programs. We found the c…
Health Care Chaplaincy
There is a growing body of evidence investigating chaplaincy services. The purpose of this scoping review was to examine the empirical literature specific to the role of chaplaincy within health care published since 2009. Electronic searches of four databases were conducted in August 2015. After screening, 48 studies were retained and reviewed. Four themes emerged: experiences and perceptions of the health care chaplain (n = 15), chaplain practic…
Religion, Spirituality, and Psychology (60 obras) · Medicine (58 obras) · Psychology (54 obras) · Nursing (41 obras) · Political science (30 obras) · Health care (28 obras) · Pastoral care (28 obras) · Sociology (25 obras) · Alternative medicine (23 obras) · Religion, Society, and Development (23 obras)