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Pastoral Care Research
The Department has an active program of pastoral care research, and in 1998 was awarded
"Research Center of the Year" by the Association for Clinical Pastoral Education. That
award acknowledged the Department's work on particular projects, its integration of research
into the CPE curriculum, and its use of research in a
variety of programs with the hospital and the School of Medicine, including an elective
course in Spirituality & Medicine and an annual Spirituality
Research Symposium. The Department is also
actively involved with the ACPE Research Network.
A monthly Research Seminar is part of the Department's Clinical Pastoral Education
curriculum and aims to familiarize chaplaincy students with the area of study and equip
them to utilize published research in the field and participate in future projects. CPE
students also attend a monthly Interest Group on
Spirituality, Religion, and Health,
which draws persons from throughout the University of Pennsylvania and the hospitals of
its Health System. This interest group, which the Department organizes and hosts, developed
out of a multidisciplinary effort to establish a Center for Spirituality, Religion, and
Health at Penn.
Specific research projects haev been carried out through a multi-site, interdisciplinary
Research Committee, convened through the Department. This
Committee has acted both as a working group for principal projects and as a consultative group
to individual researchers developing studies outside of the Committee proper. In 1999, the
Committee published its first study: "Do Patients Want Physicians
To Inquire About Their Spiritual/Religious Beliefs If They Become Gravely Ill,"
in The Archives of Internal Medicine [159, no. 15 (August 9/23, 1999):
1803-6]. Findings were also presented at the annual conferences of the American College of Chest
Physicians, the Society for Health and Human Values, the American Association of Bioethics,
the Society for Bioethics Consultation, and the Association for Clinical Pastoral Education.
The study has to date been cited in 289 articles and in 109 books, including The Handbook
of Religion & Health (2001/2011), Current Medical Diagnosis & Treatment
(2004), The Manual of Psychiatric Care for the Medically Ill (2005), Healthcare
and Spirituality (2005), The Cambridge Textbook of Bioethics. (2008), The Oxford
Handbook of the Sociology of Religion (2009), Spiritual Assessment in Healthcare
Practice (2010), Making Health Care Whole: Integrating Spirituality into Patient
Care (2010), and End of Life Care: A Practical Guide (2011). [Click here
for a complete list of journal articles and books that reference
the study.]
A follow-up study explored attitudes of nursing home residents concerning
physician inquiry about spiritual/religious beliefs and paired that project with another
regarding attitudes toward Living Wills and factors influencing their completion. Results
of this study were presented to the annual conference of the American Association of
Bioethics and Humanities. The Committee has continued to pursue
original research projects, including a replication of the "Physician Inquiry" study at
four sites around the nation, an investigation of the effectiveness of a pastoral care
intervention as part of an outpatient pulmonary rehabilitation program, and a study of
the effects of an increased and intensive presence of a chaplain on an inpatient oncology
unit. Most recently, the Department has undertaken a qualitative research project to explore
the effect of illness on spirituality. Open-ended interviews were begun with this statement
and question:
Some patients who undergo serious illness, whether they are religious or not, tell us that they
have important experiences of a spiritual nature, such as spiritual discoveries, spiritual crises,
or spiritual growth. We hope that a fuller understanding of these spiritual experiences will contribute
to better patient care, and we'd like to learn from you about any experiences of this kind. All of your
perceptions, thoughts, and feelings are important to us, so I invite you to share freely and completely.
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