Welcome to Spiritual Care: Essential to Catholic Identity
This course will help you understand:
Why spiritual care is vital to Catholic health care
The responsibility of creating a healing environment that provides spiritual care for patients, families, loved ones and staff
In a 2012 survey Catholic health ministry leaders and clinicians were asked to describe the value and purpose of spiritual care. In your mind, which are the four most important purposes of spiritual care?
Select the four responses that most closely match your ideas about the value and purpose of spiritual care. Then tap Submit to see if your choices match what the survey found.
Spiritual aid in end-of-life care
Part of Catholic identity/mission
Lead prayer and ritual
Aid in ethical decision-making process
Supportive presence for patient and family
Important for the healing process
Supportive presence for staff
Essential for treatment of the whole person
Submit
In a 2012 survey Catholic health ministry leaders and clinicians were asked to describe the value and purpose of spiritual care. In your mind, which are the four most important purposes of spiritual care?
Yes. Your responses match the survey results.
The survey results were:
Supportive presence for patient and family
Supportive presence for staff
Essential for treatment of the whole person
Part of Catholic identity/mission
Tap the photo to hear a family member describe her experience with spiritual care when her mother was dying.
In this section you will learn that Catholic health care extends the healing ministry of Jesus, addressing the body, mind, spirit and social dimensions of the whole person.
Tap each component of holistic healing to discover the definition.
Body
The physical dimension of the human person
Mind
The psychological dimension of the human person including one’s emotional state and ability to cope
Social
The relational dimension of the human person including family, support system, worship community and the wider community
Spirit
The spiritual dimension of the human person including how one cares for the soul or spirit and how one relates to God or a higher reality
Jesus is our model for healing. Watch a video to learn more about His healing of a man who was paralyzed.
Jesus is our model for healing.
Watch a video to learn more about His healing of a man who was paralyzed.
Healing of Paralytic (Mark 2:1-12)
Body
Social
Mind
Spirit
Social
Our Healing Is …
Commissioned by Jesus
To reveal God’s presence
A ministry of the Church
These writings by Church leaders can help us reflect more deeply on the integration of spiritual care in our health care ministry. Tap each photo label to read Church leaders’ reflections on health care as a ministry.
Pope John Paul II Health and Society Conference (2000)
United States Conference of Catholic Bishops Ethical and Religious Directives for Catholic Health Care Services (2009)
Joseph Cardinal Bernardin A Sign of Hope (1995)
These writings by Church leaders can help us reflect more deeply on the integration of spiritual care in our health care ministry. Tap each photo label to read Church leaders’ reflections on health care as a ministry.
“Tending the sick means approaching the suffering person and not simply attending a sick body. This is why health care workers are asked to make a commitment that has the nature of a vocation. Giving the sick and their families reasons for hope in the face of the pressing questions that assail them, that is your mission. The Church is near you and shares with you this passionate service to life.”
“Since a Catholic health care institution is a community of healing and compassion, the care offered is not limited to the treatment of a disease or bodily ailment but embraces the physical, psychological, social, and spiritual dimensions of the human person.”
“Our distinctive vocation in Christian healthcare is not so much to heal better or more efficiently than anyone else; it is to bring comfort to people by giving them an experience that will strengthen their confidence in life.”
Now you will learn how everyone in Catholic health care contributes in some way to providing an environment of spiritual care. Read each of the scenarios and decide who is responsible for providing spiritual care in this situation. Tap the photo indicating who is responsible in this situation.
While walking down a hall in your facility, you see a woman by herself crying. Whose responsibility is it to stop and speak to this woman?
All Staff
Patient Care Team
Spiritual Care Team
Now you will learn how everyone in Catholic health care contributes in some way to providing an environment of spiritual care. Read each of the scenarios and decide who is responsible for providing spiritual care in this situation. Tap the photo indicating who is responsible in this situation.
A patient who has been estranged from his family is dying in your facility’s ICU. There is great tension among the family members as they gather in the ICU waiting room. Whose responsibility is it to help this family?
All Staff
Patient Care Team
Spiritual Care Team
Now you will learn how everyone in Catholic health care contributes in some way to providing an environment of spiritual care. Read each of the scenarios and decide who is responsible for providing spiritual care in this situation. Tap the photo indicating who is responsible in this situation.
A physician in a clinic is about to tell a patient she has Stage IV cancer and there is no chance for a cure. The physician does not know how the patient is going to cope with the news. Whose responsibility is it to initially assess the patient’s spiritual and emotional needs and to call a chaplain if necessary?
All Staff
Patient Care Team
Spiritual Care Team
Now tap each of the photos again to learn more about spiritual care roles.
All Staff
Spiritual care is one of the key traits of Catholic health care. We provide this care when we provide excellent service and practice our organization’s Core Values and Standards of Behavior. We are all responsible for creating this environment.
All Staff
Spiritual care is one of the key traits of Catholic health care. We provide this care when we provide excellent service and practice our organization’s Core Values and Standards of Behavior. We are all responsible for creating this environment.
Whether you are involved in direct patient care or work behind the scenes, your actions with patients, their families and co-workers must reflect the belief that all people are worthy of respect and dignity.
Patient Care Team
Physicians, nurses, certified nurse assistants, social workers and other direct patient care givers have a greater responsibility for attending to the emotional and spiritual needs of patients, their families and loved ones. Those who give direct patient care are often the ones who are prepared to diagnose spiritual distress or religious issues and make referrals to the spiritual care team.
Patient Care Team
Physicians, nurses, certified nurse assistants, social workers and other direct patient care givers have a greater responsibility for attending to the emotional and spiritual needs of patients, their families and loved ones. Those who give direct patient care are often the ones who are prepared to diagnose spiritual distress or religious issues and make referrals to the spiritual care team.
Spiritual Care Team
The norm is to have professionally trained individuals called “chaplains” who are certified specialists in delivering spiritual care to patients, families and staff. They spend time with individuals assessing their spiritual and emotional needs. They determine interventions that will assist the person, and they develop a spiritual care plan. Most spiritual care teams have Board Certified Chaplains who are also part of the patient care team; their work complements and broadens the holistic care provided by the team.
Spiritual Care Team
The norm is to have professionally trained individuals called “chaplains” who are certified specialists in delivering spiritual care to patients, families and staff. They spend time with individuals assessing their spiritual and emotional needs. They determine interventions that will assist the person, and they develop a spiritual care plan. Most spiritual care teams have Board Certified Chaplains who are also part of the patient care team; their work complements and broadens the holistic care provided by the team.
Catholic health care is a ministry that comes from Jesus. He cared for the whole person: body, mind, spirit and relationships. Therefore, to heal as Jesus did includes care of the spirit or soul. Please take some time to reflect on the following questions.
How do I contribute to holistic care in my organization?
Do I see the work I do as a healing ministry?
What is my comfort level discussing with patients and families their spiritual needs and making a referral to a member of the spiritual care team?
In this section you will learn more about the members of the spiritual care team and their responsibilities.
Tap each chaplain photo to hear what being a chaplain means.
Like any department within a health system, Spiritual Care or Pastoral Care has its own strategic and operational plans, department policies, standards and job descriptions.
Most spiritual care departments have adopted the Standards of Practice for Professional Chaplains in Acute Care Settings. The Standards were developed by the Association of Professional Chaplains in partnership with the National Association of Catholic Chaplains and other chaplain groups. Standards of practice are being developed for other settings as well.
You will now look at the Preamble and the Standards which are found in Sections One through Three:
Preamble
Section One
Section Two
Section Three
Chaplaincy care is grounded in initiating, developing and deepening, and bringing to an appropriate close, a mutual and empathic relationship with the patient, family and/or staff. The development of a genuine relationship is at the core of chaplaincy care and underpins, even enables, all the other dimensions of chaplaincy care.
Assessment
The chaplain gathers and evaluates relevant data pertinent to the patient’s situation and health (biological, psychological, social, spiritual and religious).
Delivery of Care
The chaplain develops and implements a plan of care to promote patient well-being and continuity of care.
Documentation of Care
The chaplain enters information into the patient’s medical record relevant to the patient’s medical, psycho-social, and spiritual/religious goals of care.
Teamwork and Collaboration
The chaplain collaborates with the organization's interdisciplinary care team.
Ethical Practice
The chaplain adheres to a common code of ethics, which guides decision making and professional behavior.
Confidentiality
The chaplain respects the confidentiality of information from all sources, including the patient, medical record, other team members and family members in accordance with federal and state laws, regulations and rules.
Respect for Diversity
The chaplain models and collaborates with the organization and its interdisciplinary team in respecting and providing culturally competent patient-centered care.
Continue
To build this puzzle, tap a puzzle piece and then tap the correct spot on the puzzle frame. Once you’ve positioned a piece correctly, the definition of the Standard will appear. Complete the puzzle to reveal the whole picture.
Tap each level of the pyramid to learn more about chaplaincy care for the staff and the organization.
Chaplain as Leader
Chaplain as Leader
The chaplain provides leadership in the professional practice setting and the profession.
Care for Organization
Care for Organization
The chaplain provides chaplaincy care to the organization in ways consistent with the organization’s values and mission statement.
Care for Staff
Care for Staff
The chaplain provides timely and sensitive chaplaincy care to the organization’s staff via individual and group interactions.
Cxlick each level of the pyramid to learn more about chaplaincy care for the staff and the organization.
Chaplain as Leader
Care for Organization
Care for Staff
The chaplain provides timely and sensitive chaplaincy care to the organization’s staff via individual and group interactions.
Cxlick each level of the pyramid to learn more about chaplaincy care for the staff and the organization.
Chaplain as Leader
Care for Organization
The chaplain provides chaplaincy care to the organization in ways consistent with the organization’s values and mission statement.
Care for Staff
The chaplain provides timely and sensitive chaplaincy care to the organization’s staff via individual and group interactions.
Cxlick each level of the pyramid to learn more about chaplaincy care for the staff and the organization.
Chaplain as Leader
The chaplain provides leadership in the professional practice setting and the profession.
Care for Organization
The chaplain provides chaplaincy care to the organization in ways consistent with the organization’s values and mission statement.
Care for Staff
The chaplain provides timely and sensitive chaplaincy care to the organization’s staff via individual and group interactions.
Continuous Quality Improvement
The chaplain seeks and creates opportunities to enhance the quality of chaplaincy care practice.
Research
The chaplain practices evidence-based care, including ongoing evaluation of new practices, and, when appropriate, contributes to or conducts research.
Knowledge and Continuing Education
The chaplain assumes responsibility for continued professional development, demonstrates a working and current knowledge of current theory and practice, and integrates such information into practice.
Spiritual care departments have numerous responsibilities as outlined in the Ethical and Religious Directives for Catholic Health Care Services (also known as the ERDs). Tap each of these Directives to learn more.
Pastoral Care for All
Pastoral care is offered to all people, not just Catholics. We respect the diversity of all faith traditions (Directive 10).
Non-Catholic Members of the Pastoral Care Staff
To ensure the appropriate care of non-Catholic patients and residents, chaplains of various faith traditions may be part of the Pastoral Care staff (Directive 22).
Professional Preparation
Spiritual care personnel are professionally prepared to minister to a plurality of traditions and to patients with no faith tradition (Directive 10).
Work with Local Clergy
Spiritual care staff work with local parishes and churches and the members of the clergy of those various faith-communities (Directive 11).
Provision of Sacraments
The sacraments are provided for Catholic patients and residents, including Eucharist, Anointing of the Sick, Penance (Directives 12, 13, 14, 15, 16) and Baptism in emergency situations (Directives 17, 19).
Priests and Deacons on Staff
A priest or deacon must have the explicit approval of the local bishop to be on the Pastoral Care Staff (Directive 21).
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
A person who has completed a graduate-level theological degree and 4 units of Clinical Pastoral Education (CPE), is endorsed by a faith body, and has successfully submitted written materials and passed an oral interview by a certified team
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
A person who has some Clinical Pastoral Education (CPE) and/or some background in theology
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
An ordained priest who may or may not be a Board Certified Chaplain
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
A trained Catholic lay person, approved by their pastor, who distributes Holy Communion to Catholic patients or residents
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
An intern or resident in the process of completing Clinical Pastoral Education (CPE)
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
A variety of personnel with a full range of competencies may serve within a spiritual care department to meet the spiritual needs of patients, family, loved ones and staff. Tap the job title to match the correct professional preparation. Correct answers are highlighted.
A trained person, ordained clergy or lay person, who makes pastoral visits to patients or residents, offers prayer support and makes spiritual care referrals to chaplains
CPE Student
Eucharistic Minister
Sacramental Minister
Chaplain
Board Certified Chaplain (BCC)
Volunteer
In this section we heard chaplains describe what they do.
We also learned the Standards which guide the practice of chaplaincy in general. In addition, we reviewed some of the Directives pertaining to spiritual care in the Ethical and Religious Directives for Catholic Health Care Services.
We also learned there are a variety of positions within a spiritual care department with varying degrees of preparation required to do the job.
Before going to the next section, please take a moment and reflect on these questions.
1. Do I know at least one chaplain within my organization?
2. Would I feel comfortable calling a chaplain to assist with the spiritual care of a patient, family member, loved one or staff person?
3. What is the value of having spiritual care available in my organization?
Please take a moment and reflect on these questions.
1. Do I know at least one chaplain within my organization?
2. Would I feel comfortable calling a chaplain to assist with the spiritual care of a patient, family member, loved one or staff person?
3. What is the value of having spiritual care available in my organization?
Please take a moment and reflect on these questions.
1. Do I know at least one chaplain within my organization?
2. Would I feel comfortable calling a chaplain to assist with the spiritual care of a patient, family member, loved one or staff person?
3. What is the value of having spiritual care available in my organization?
In this section you will learn about chaplain competencies and requirements for becoming a Board Certified Chaplain, and you will work through a brief contemporary issue.
Tap each photo to hear a leader within Catholic health care speak about the importance of spiritual care and the unique competencies that chaplains bring to the care team.
These health care leaders have shared the importance of having trained chaplains. Now let’s see what is involved in the preparation of a Board Certified Chaplain.
Tap each of the criteria that must be met to become a Board Certified Chaplain.
Graduate-level Theological Degree
4 Units of CPE
Faith Tradition Endorsement
Board Certified Chaplains have completed at least a graduate-level theological degree. This provides them the theological foundation needed to contribute the spiritual dimension of holistic care to the care team. Board Certified Chaplains must be sensitive to the diversity of faith traditions encountered in patients and families.
They must complete 4 units (1,600 hours) of Clinical Pastoral Education (CPE). Each of these units includes formal classroom time, supervised clinical time with patients and staff, and personal theological reflection to integrate their theological training with learning in the clinical setting.
All chaplains must have the endorsement of a faith community as a person who is in good standing. Many chaplains are ordained priests, deacons, vowed religious or ordained clergy. More than half of Catholic chaplains are lay men and women.
Graduate-level Theological Degree
4 Units of CPE
Faith Tradition Endorsement
After chaplains complete 4 CPE units, earn a graduate-level theological degree and receive endorsement by a faith community, they may apply for Board certification.
A Board Certified Chaplain brings cultural, religious, and spiritual assessment competencies that greatly benefit patients, families, loved ones and staff.
Please read and consider the following contemporary issue. Tap the Next button to display some questions.
Contemporary Issue:
Good Shepherd Hospital is a Catholic hospital that has served a rural community for 75 years. The hospital has a staff of 700 employees, two of whom are Board Certified Chaplains, one a Catholic lay woman and the other a Baptist minister. The Catholic priests in the surrounding towns each take a week of providing sacramental coverage as the need arises. While patient volume is steady, reimbursement from government and commercial payors has been decreasing. The senior leaders of the hospital are beginning to look at cuts to staff as a way to offset declining revenues.
One option is to eliminate the Spiritual Care department with the hope that the hospital’s mission leader can convince the local priests and clergy to provide regular spiritual support to patients and families. You are concerned what this might do to Good Shepherd Hospital.
Tap each question to reveal some possible answers.
1. What would it mean to the Catholic identity of Good Shepherd Hospital if there were no professional chaplains on staff?
2. What would this change mean for patients, families, loved ones and staff?
3. What specific skills and competencies would be lost if the hospital had no Board Certified Chaplains?
1. What would it mean to the Catholic identity of Good Shepherd Hospital if there were no professional chaplains on staff?
No visible presence of the spiritual dimension of care on a regular basis
No staff trained specifically to deal with spiritual distress, to assess spiritual care, or to develop spiritual care plans
A risk of losing the spiritual dimensions of holistic care
2. What would this change mean for patients, families, loved ones and staff?
No one on the staff who has been professionally trained to deal with spiritual distress in times of crisis and loss
No professional chaplain available for spiritual care over an extended period of time for the family and loved ones of a patient who has died
No professional chaplains who will attend to the spiritual needs of the staff after a trauma or unanticipated death of a patient
3. What specific skills and competencies would be lost if the hospital had no Board Certified Chaplains?
The ability to deal with multiple cultures and faiths and to pray in patients’ desired ways of praying
The expertise to help patients be reconciled with God, their families, loved ones and themselves
Facilitation skills for discussions around treatment choices and end-of-life care
Tap each question to review the course.
What is the purpose of the course?
Why is spiritual care vital to Catholic health care?
What are the roles of patient and spiritual care teams?
What are the Standards of Practice followed by chaplains, the Directives adhered to by chaplains who work in Catholic health care facilities and the criteria for becoming a Board Certified Chaplain?
To learn why spiritual care is vital to the identity of Catholic health care and to understand the responsibility of creating a healing environment that provides spiritual care for patients, families, loved ones and staff.
Catholic health care is a ministry that comes from Jesus. We heal as Jesus healed. He cared for the whole person: body, mind, spirit and relationships. Everyone in Catholic health care has responsibility for creating a spiritual environment by their words and actions.
Patient care teams initially assess the spiritual need in patients and families. Specialized care is given by the spiritual care team.
You learned the Standards of Practice for Professional Chaplains in an Acute Care Setting as well as several of the Directives from the Ethical and Religious Directives for Catholic Health Care Services which pertain to pastoral and spiritual care. You also heard about the training and criteria for becoming a Board Certified Chaplain.
Just as the companions of the paralyzed man assisted their friend to be healed, so we are called to be companions to all who come to our facilities seeking wholeness and healing. We are called to remove obstacles encountered by persons searching for wholeness and to assist them in experiencing the total healing power of God.
You have completed Spiritual Care: Essential to Catholic Identity. Thank you for all you do in the ministry of Catholic health care.
Tap these links to access additional information about topics covered in this course.