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Communicating Chaplains’ Care

Narrative Documentation in a Neuroscience-Spine Intensive Care Unit

Bibliographic Data

ID22310889
AuthorsRebecca Johnson (0000-0002-2847-8298, Northwestern University, corresponding author), M J Wirpsa (0000-0001-7697-3499, Northwestern Memorial Hospital), Lara Boyken (Northwestern University), Matthew Sakumoto (0000-0002-8192-471X, Northwestern University), George Handzo (0000-0001-6683-7303, HealthCare Chaplaincy Network), Abel Kho (0000-0003-1993-5634, Northwestern University), Linda L Emanuel (0000-0003-4371-1999, Northwestern University), LINDA EMANUEL
Year2016
Volume22
Issue4
Pages133-150
Publication date2016-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Health Care Chaplaincy (JOURNAL)
Journal identifiersISSN: 0885-4726 • E-ISSN: 1528-6916
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/08854726.2016.1154717
PMID27191058
OpenAlexW2394786852
LanguageEN
Citations received8
References cited31

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

Documentation · Health care · Narrative · Family and Patient Care in Intensive Care Units · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

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Unique citing works8
Citations per year1
Citation span2018 - 2024 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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