Skip to main content
Log in

The Role of Healthcare Chaplains in Resuscitation: A Rapid Literature Review

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

Spirituality is becoming of increasing importance in the international healthcare context. While patients’ spirituality or faith is often overlooked, there is a growing awareness that understanding, addressing and supporting patients’ spiritual and faith needs can influence healthcare outcomes. This review aims to illuminate this role and highlight healthcare chaplains’ potential in relation to the provision of pastoral support for families during and after patient resuscitation, and the dearth of interdisciplinary education in this field. A rapid structured review was undertaken using four databases—PubMed, CINAHL, PsycINFO and ATLA. Primary research studies published during the 10-year period 2007–2017 written in English addressing the chaplain’s role or perceived role in resuscitation were included. An initial search using key terms yielded 18 relevant citations. This reduced to 11 once duplicates were removed. Ultimately five relevant primary research studies were included in the final analysis. This review found few studies that directly explored the topic. Certainly many view the chaplain as a key member of the resuscitation team, although this role has not been fully explored. Chaplains likely have a key role in supporting families during decisions about ‘not for resuscitation’ and in supporting families during and after resuscitation procedures. Chaplains are key personnel, already employed in many healthcare organisations, who are in a pivotal position to contribute to future developments of spiritual and pastoral care provision and support. Their role at the end of life, despite well described and supported, has received little empirical support. There is an emerging role for chaplains in healthcare ethics, supporting end-of-life decisions and supporting family witnessed resuscitation where relevant. Their role needs to be more clearly understood by medical staff, and chaplain’s input into undergraduate medical education programmes is becoming vital.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Barmania, S., & Aljunid, S. M. (2016). Faith-based health care. Lancet, 387(10017), 429.

    Article  PubMed  Google Scholar 

  • Cadge, W. (2012). Paging God: Working with chaplains in healthcare. Congregations, 39(4), 18–20.

    Google Scholar 

  • Cadge, W., Calle, K., & Dillinger, J. (2011). What do chaplains contribute to large academic hospitals? The perspectives of pediatric physicians and chaplains. Journal of Religion and Health, 50(2), 300–312.

    Article  PubMed  Google Scholar 

  • Carey, L. B. (2012a). Utility and commissioning of spiritual carers. In M. Cobb, C. M. Puchalski, & B. Rumbold (Eds.), Oxford textbook of spirituality in healthcare (pp. 397–405). Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Carey, L. B. (2012b). Bioethical issues and health care chaplaincy in Aotearoa, New Zealand. Journal of Religion and Health, 51(2), 323–335.

    Article  PubMed  Google Scholar 

  • Carey, L. B., Cobb, M., & Equeall, D. (2005). From ‘pastoral contacts’ to ‘pastoral interventions’. Scottish Journal of Healthcare Chaplaincy, 8(2), 14–20.

    Google Scholar 

  • Carey, L. B., & Cohen, J. (2009). Religion, spirituality and health care treatment decisions: The role of chaplains in the Australian clinical context. Journal of Health Care Chaplaincy, 15(1), 25–39.

    Article  Google Scholar 

  • Carey, L. B., & Cohen, J. (2010). Health care chaplains and their role on institutional ethics committees: An Australia study. Journal of Religion and Health, 49(2), 221–232.

    Article  PubMed  Google Scholar 

  • Carey, L. B., & Newell, C. J. (2007). Chaplaincy and resuscitation. Resuscitation, 75(1), 12–22.

    Article  PubMed  Google Scholar 

  • Carey, L. B., Robinson, P., & Cohen, J. (2011). Organ procurement and health care chaplaincy in Australia. Journal of Religion and Health, 50(3), 743–759.

    Article  PubMed  Google Scholar 

  • Courtwright, A. M., Abrams, J., & Robinson, E. M. (2017) The role of a hospital ethics consultation service in decision-making for unrepresented patients. Journal of Bioethical Inquiry. https://doi.org/10.1007/s11673-017-9773-1 [Epub ahead of print].

  • Creel, E., & Tillman, K. (2008). The meaning of spirituality among nonreligious persons with chronic illness. Holistic Nursing Practice, 22(6), 303–309.

    Article  PubMed  Google Scholar 

  • Deal, N. S., Sharp, W. W., Orbelyan, G. A., Borak, M. H., Friant, J., Shah, A. P., et al. (2014). The emergency cardiac arrest response team (eCART): A novel strategy for improving therapeutic hypothermia utilization following out-of-hospital cardiac arrest. Resuscitation, 85(12), 1775–1778.

    Article  PubMed  Google Scholar 

  • Duff, J. F., & Buckingham, W. W., III. (2015). Strengthening of partnerships between the public sector and faith-based groups. Lancet, 386(10005), 1786–1794.

    Article  PubMed  Google Scholar 

  • Flannelly, K. J., Emanuel, L. L., Handzo, G. F., et al. (2012). A national study of chaplaincy services and end-of-life outcomes. BMC Palliative Care, 11(10), 1–6.

    Google Scholar 

  • Flannelly, K. J., Galek, K., Bucchino, J., et al. (2005). Department directors’ perceptions of the roles and functions of hospital chaplains: A national survey. Hospital Topics, 83(4), 19–27.

    Article  PubMed  Google Scholar 

  • Flannelly, K. J., Weaver, A. J., & Handzo, G. F. (2003). A three-year study of chaplains’ professional activities at Memorial Sloan-Kettering Cancer Center in New York City. Psychooncology, 12(8), 760–768.

    Article  PubMed  Google Scholar 

  • Health Service Executive HSE. (2006). HR Circular 013/2006: Roman Catholic Hospital Chaplains. Dublin: Health Service Executive.

    Google Scholar 

  • Hemming, P., Teague, P. J., Crowe, T., & Levine, R. (2016). Chaplains on the medical team: A qualitative analysis of an interprofessional curriculum for internal medicine residents and chaplain interns. Journal of Religion and Health, 55(2), 560–571.

    Article  PubMed  Google Scholar 

  • Hexem, K. R., Mollen, C. J., Carroll, K., et al. (2011). How parents of children receiving pediatric palliative care use religion, spirituality, or life philosophy in tough times. Journal of Palliative Medicine, 14(1), 39–44.

    Article  PubMed  PubMed Central  Google Scholar 

  • James, J., Cottle, E., & Hodge, R. D. (2011). Registered nurse and health care chaplains experiences of providing the family support person role during family witnessed resuscitation. Intensive & Critical Care Nursing, 27(1), 19–26.

    Article  Google Scholar 

  • Khalid, I., Hamad, W. J., Khalid, T. J., Kadri, M., & Qushmaq, I. (2013). End-of-life care in Muslim brain-dead patients: A 10-year experience. American Journal of Hospital Palliative Care, 30(5), 413–418.

    Article  Google Scholar 

  • Khangura, S., Konnyu, K., Cushman, R., Grimshaw, J., & Moher, D. (2012). Evidence summaries: The evolution of a rapid review approach. Systematic Review, 1(10), 1–9.

    Google Scholar 

  • Macy, C., Lampe, E., O’Neil, B., Swor, R., Zalenski, R., & Compton, S. (2006). The relationship between the hospital setting and perceptions of family-witnessed resuscitation in the emergency department. Resuscitation, 70(1), 74–79.

    Article  PubMed  Google Scholar 

  • McAfee, C., Cochrane, B., Waldron, M., et al. (2006). Chaplains working in a hospice palliative care team recount the spiritual challenges at the end-of-life. Scottish Journal of Healthcare Chaplaincy, 9(2), 18–24.

    Google Scholar 

  • Messinger, R. (2015). Faith-based organisations and health care: invest, don’t proselytise. Lancet, 386(10005), 1733.

    Article  PubMed  Google Scholar 

  • Mowat, H. (2008). The potential efficacy of healthcare chaplaincy and spiritual care provision in the NHS (UK). http://www.ukbhc.org.uk/sites/default/files/The%20potential%20for%20effiicacy%20for%20healthcare%20chaplaincy.pdf. Accessed 7 February 2016.

  • Naughton, M. (2014). Healthcare Chaplaincy in Ireland 1981–2014. A History of the National Association of Healthcare Chaplains. Dublin: National Association of Healthcare Chaplains.

    Google Scholar 

  • NHS South Yorkshire. (2003). Caring for the spirit. A strategy for the chaplaincy and spiritual care workforce. http://www.nhs-chaplaincy-spiritualcare.org.uk/NationalHealthService/Caring_for_the_Spirit_Short_Form_May_2004.pdf. Accessed 7 February 2016.

  • Nuzum, D., Meaney, S., O’Donoghue, K. (2014). The provision of spiritual and pastoral care following stillbirth in Ireland: A mixed methods study. BMJ Supportive and Palliative Care. https://doi.org/10.1136/bmjspcare-2013-000533 [Epub ahead of print].

  • Olivier, J., Tsimpo, C., Gemignani, R., et al. (2015). Understanding the roles of faith- based health-care providers in Africa: Review of the evidence with a focus on magnitude, reach, cost, and satisfaction. Lancet, 386(10005), 1765–1775.

    Article  PubMed  Google Scholar 

  • Orton, M. J. (2008). Transforming chaplaincy: The emergence of a healthcare pastoral care for a post-modern world. Journal of Health Care Chaplaincy, 15(2), 114–131.

    Article  PubMed  Google Scholar 

  • Pesut, B. (2015). Critical response to palliative case studies. A nurse’s perspective. In G. Fitchett & S. Nolan (Eds.), Spiritual care in practice. Case studies in healthcare chaplaincy (pp. 272–280). London: Jessica Kingsley.

    Google Scholar 

  • Pesut, B., Reimer-Kirkham, S., Sawatzky, R., et al. (2012). Hospitable hospitals in a diverse society: From chaplains to spiritual care providers. Journal of Religion and Health, 51(3), 825–836.

    Article  PubMed  Google Scholar 

  • Polit, D. F., & Tatano Beck, C. (2014). Essentials of nursing research appraising evidence for nursing practice. London: Lippincott Williams & Wilkins.

    Google Scholar 

  • Smith, J., Cheater, F., & Bekker, H. (2015). Parents’ experiences of living with a child with hydrocephalus: A cross-sectional interview-based study. Health Expectations, 18(5), 1709–1720.

    Article  PubMed  Google Scholar 

  • Summerskill, W., & Horton, R. (2015). Faith-based delivery of science-based care. The Lancet, 386(10005), 1709–1710.

    Article  Google Scholar 

  • Swift, C. (2014). Hospital chaplaincy in the 21th century: The crisis of spiritual care on the NHS (2nd ed.). Farnham: Ashgate.

    Google Scholar 

  • Timmins, F., Murphy, M., Pujol, N., et al. (2016). An exploration of current spiritual care resources in health care in the Republic of Ireland (ROI) and review of international chaplaincy standards. Dublin: Trinity College Dublin.

    Google Scholar 

  • Tomkins, A., Duff, J., Fitzgibbon, A., et al. (2015). Controversies in faith and health care. Lancet, 386(10005), 1776–1785.

    Article  PubMed  Google Scholar 

  • Williams, M. L., Wright, M., Cobb, M., & Shiels, C. (2004). A prospective study of the roles, responsibilities and stresses of chaplains working within a hospice. Palliative Medicine, 18(7), 638–645.

    Article  PubMed  Google Scholar 

  • Woodward, J. (1999). Health care chaplaincy: A reflection on models. http://jameswoodward.sdnet.co.uk/pdf/Article%2023%20Health%20Care%20Chaplaincy.pdf. Accessed 13 November 2017.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fiona Timmins.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Human and Animal Rights

This article does not contain any studies with human participants performed by any of the authors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Timmins, F., Pujol, N. The Role of Healthcare Chaplains in Resuscitation: A Rapid Literature Review. J Relig Health 57, 1183–1195 (2018). https://doi.org/10.1007/s10943-018-0604-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-018-0604-4

Keywords

Navigation