Skip to main content
Top
Published in: BMC Palliative Care 1/2015

Open Access 01-12-2015 | Research article

“Taking your place at the table”: an autoethnographic study of chaplains’ participation on an interdisciplinary research team

Authors: Allison Kestenbaum, Jennifer James, Stefana Morgan, Michele Shields, Will Hocker, Michael Rabow, Laura B Dunn

Published in: BMC Palliative Care | Issue 1/2015

Login to get access

Abstract

Background

There are many potential benefits to chaplaincy in transforming into a “research-informed” profession. However little is known or has been documented about the roles of chaplains on research teams and as researchers or about the effects of research engagement on chaplains themselves. This report describes the experience and impact of three chaplains, as well as tensions and challenges that arose, on one particular interdisciplinary team researching a spiritual assessment model in palliative care. Transcripts of our research team meetings, which included the three active chaplain researchers, as well as reflections of all the members of the research team provide the data for this descriptive, qualitative, autoethnographic analysis.

Methods

This autoethnographic project evolved from the parent study, entitled “Spiritual Assessment Intervention Model (AIM) in Outpatient Palliative Care Patients with Advanced Cancer.” This project focused on the use of a well-developed model of spiritual care, the Spiritual Assessment and Intervention Model (Spiritual AIM). Transcripts of nine weekly team meetings for the parent study were reviewed. These parent study team meetings were attended by various disciplines and included open dialogue and intensive questions from non-chaplain team members to chaplains about their practices and Spiritual AIM. Individual notes (from reflexive memoing) and other reflections of team members were also reviewed for this report. The primary methodological framework for this paper, autoethnography, was not only used to describe the work of chaplains as researchers, but also to reflect on the process of researcher identity formation and offer personal insights regarding the challenges accompanying this process.

Results

Three major themes emerged from the autoethnographic analytic process: 1) chaplains’ unique contributions to the research team; 2) the interplay between the chaplains’ active research role and their work identities; and 3) tensions and challenges in being part of an interdisciplinary research team.

Conclusions

Describing the contributions and challenges of one interdisciplinary research team that included chaplains may help inform chaplains about the experience of participating in research. As an autoethnographic study, this work is not meant to offer generalizable results about all chaplains’ experiences on research teams. Research teams that are interdisciplinary may mirror the richness and efficacy of clinical interdisciplinary teams. Further work is needed to better characterize both the promise and pitfalls of chaplains’ participation on research teams.
Literature
1.
go back to reference Flannelly KJ. The past, present, and future of chaplaincy research. J Health Care Chaplain. 2011;17(3–4):95–6.CrossRefPubMed Flannelly KJ. The past, present, and future of chaplaincy research. J Health Care Chaplain. 2011;17(3–4):95–6.CrossRefPubMed
2.
go back to reference Smith TA. The role of research in the future of chaplaincy. Chaplaincy Today. 1998;14(1):27–9.CrossRef Smith TA. The role of research in the future of chaplaincy. Chaplaincy Today. 1998;14(1):27–9.CrossRef
3.
go back to reference Fitchett G. Health care chaplaincy as a research-informed profession: how we get there. J Health Care Chaplain. 2002;12(1–2):67–72.CrossRefPubMed Fitchett G. Health care chaplaincy as a research-informed profession: how we get there. J Health Care Chaplain. 2002;12(1–2):67–72.CrossRefPubMed
4.
go back to reference Murphy PE, Fitchett G. Introducing chaplains to research: "this could help me". J Health Care Chaplain. 2010;16(3–4):79–94.PubMed Murphy PE, Fitchett G. Introducing chaplains to research: "this could help me". J Health Care Chaplain. 2010;16(3–4):79–94.PubMed
6.
go back to reference O'Connor TS. The search for truth: the case for evidence based chaplaincy. J Health Care Chaplain. 2002;13(1):185–94.CrossRefPubMed O'Connor TS. The search for truth: the case for evidence based chaplaincy. J Health Care Chaplain. 2002;13(1):185–94.CrossRefPubMed
7.
go back to reference Weaver AJ, Flannelly KJ, Liu C. Chaplaincy research: its value, its quality, and its future. J Health Care Chaplain. 2008;14(1):3–19.CrossRefPubMed Weaver AJ, Flannelly KJ, Liu C. Chaplaincy research: its value, its quality, and its future. J Health Care Chaplain. 2008;14(1):3–19.CrossRefPubMed
8.
go back to reference Ellis C, Adams TE, Bochner AP. Autoethnography: an overview Forum: Qualitative Social Research 2010;12(1, Art. 10). Ellis C, Adams TE, Bochner AP. Autoethnography: an overview Forum: Qualitative Social Research 2010;12(1, Art. 10).
9.
go back to reference Shields M, Kestenbaum A, Dunn LB. Spiritual AIM and the work of the chaplain: A model for assessing spiritual needs and outcomes in relationship. Palliat Support Care 2014;1–15. Shields M, Kestenbaum A, Dunn LB. Spiritual AIM and the work of the chaplain: A model for assessing spiritual needs and outcomes in relationship. Palliat Support Care 2014;1–15.
10.
go back to reference HealthCare Chaplaincy: Literature Review - Testing the Efficacy of Chaplaincy Care. In. New York: HealthCare Chaplaincy; 2011. HealthCare Chaplaincy: Literature Review - Testing the Efficacy of Chaplaincy Care. In. New York: HealthCare Chaplaincy; 2011.
11.
go back to reference Ellis, C. The Ethnographic I: A Methodological Novel about Autoethnography. Walnut Creek, CA: Rowman Altamira. 2004. Ellis, C. The Ethnographic I: A Methodological Novel about Autoethnography. Walnut Creek, CA: Rowman Altamira. 2004.
12.
go back to reference Maxwell JA. Qualitative Research Design: An Interactive Approach. 2nd ed. 869 Thousand Oaks, CA: Sage; 2004. Maxwell JA. Qualitative Research Design: An Interactive Approach. 2nd ed. 869 Thousand Oaks, CA: Sage; 2004.
13.
go back to reference Fowler JW. Stages of Faith: The Psychology of Human Development and the Quest for Meaning: New York HarperCollins; 1995. Fowler JW. Stages of Faith: The Psychology of Human Development and the Quest for Meaning: New York HarperCollins; 1995.
15.
go back to reference King SDW. Trust the Process: A History of Clinical Pastoral Education as Theological Education. Lanham, MD: University Press of America; 2007. King SDW. Trust the Process: A History of Clinical Pastoral Education as Theological Education. Lanham, MD: University Press of America; 2007.
16.
go back to reference Fitchett G. Assessing Spiritual Needs: A Guide for Caregivers. Lima, OH: Academic Renewal Press; 2002. Fitchett G. Assessing Spiritual Needs: A Guide for Caregivers. Lima, OH: Academic Renewal Press; 2002.
17.
go back to reference Handzo G, Roberts SB, Donovan DW. Creating and Implementing a Spiritual/Pastoral Care Plan. In: Roberts SB, editor. Professional Spiritual and Pastoral Care: A Practical Clergy and Chaplain's Handbook. Woodstock, VT: SkyLight Paths Publishing; 2012. Handzo G, Roberts SB, Donovan DW. Creating and Implementing a Spiritual/Pastoral Care Plan. In: Roberts SB, editor. Professional Spiritual and Pastoral Care: A Practical Clergy and Chaplain's Handbook. Woodstock, VT: SkyLight Paths Publishing; 2012.
19.
go back to reference Puchalski CM, Lunsford B, Harris MH, Miller RT. Interdisciplinary spiritual care for seriously ill and dying patients: a collaborative model. Cancer J. 2006;12(5):398–416.CrossRefPubMed Puchalski CM, Lunsford B, Harris MH, Miller RT. Interdisciplinary spiritual care for seriously ill and dying patients: a collaborative model. Cancer J. 2006;12(5):398–416.CrossRefPubMed
20.
go back to reference Dodd-McCue D, Tartaglia A. Self-report response bias: learning how to live with its diagnosis in chaplaincy research. Chaplaincy Today. 2010;26(1):2–8. Dodd-McCue D, Tartaglia A. Self-report response bias: learning how to live with its diagnosis in chaplaincy research. Chaplaincy Today. 2010;26(1):2–8.
21.
go back to reference Ellis CS, Bochner A. Autoethnography, personal narrative, reflexivity: researcher as subject. In: Denzin NK, Lincoln YS, editors. Handbook of Qualitative Research. 2nd ed. Thousand Oaks, CA: Sage; 2000. Ellis CS, Bochner A. Autoethnography, personal narrative, reflexivity: researcher as subject. In: Denzin NK, Lincoln YS, editors. Handbook of Qualitative Research. 2nd ed. Thousand Oaks, CA: Sage; 2000.
22.
go back to reference Ellis C, Ellingson L. Qualitative methods. In: Borgatta E, Montgomery R, editors. Encyclopedia of Sociology. New York: Macmillan; 2000. Ellis C, Ellingson L. Qualitative methods. In: Borgatta E, Montgomery R, editors. Encyclopedia of Sociology. New York: Macmillan; 2000.
Metadata
Title
“Taking your place at the table”: an autoethnographic study of chaplains’ participation on an interdisciplinary research team
Authors
Allison Kestenbaum
Jennifer James
Stefana Morgan
Michele Shields
Will Hocker
Michael Rabow
Laura B Dunn
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2015
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-015-0006-2

Other articles of this Issue 1/2015

BMC Palliative Care 1/2015 Go to the issue