What We Hear and Say: Spiritual Assessment and Documentation
Course Author: Brent Peery, BCC
By the end of this course the learner will be able to:
- Demonstrate knowledge and understanding of the differences and methodologies of spiritual screening, spiritual history, and spiritual assessment
- Demonstrate knowledge with one accepted model of spiritual assessment and apply the model appropriately with patients and families within the required time frame of setting
- Effectively articulate the spiritual, religious cultural, existential, emotional, and social needs, resources, and risk factors assessed as well as identify any needed referrals
- Understand and demonstrate the characteristics of spiritual reassessments.
- Demonstrate understanding of the importance of documentation and the requirements of organizational and regulatory guidelines.
- Summarize best practice for chaplaincy and spiritual care documentation
- Current State of Chaplaincy/Spiritual Care Assessment
- The Case for Conscious Chaplaincy Assessment
- Assessing Assessments
- Assessment Formats
- General Observations
- Assessment Models
- Choosing an Appropriate Spiritual Assessment Model
- Peery’s Approach
- Concluding Thoughts on Assessment and an Example
- An Overview of Chaplaincy/Spiritual Care Documentation
- Documentation Models
Number of Continuing Education Hours: 20
Credit towards Board Certification Requirements: 1
Aligns with the following Quality Indicators in What is Quality Spiritual Care in Health Care and How Do You Measure It? (HCCN. 2016).
- Structural Indicator 1.A. Chaplains as certified or credentialed spiritual care professional(s) are provided proportionate to the size and complexity of the unit served and officially recognized as integrated/embedded members of the clinical staff.
- Process Indicator 2.A. Specialist spiritual care is made available within a time frame appropriate to the nature of the referral.
- Process Indicator 2.B. All clients are offered the opportunity to have a discussion of religious/spiritual concerns.
- Process Indicator 2.C. An assessment of religious, spiritual, and existential concerns using a structured instrument is developed and documented, and the information obtained from the assessment is integrated into the overall care plan.
- Process Indicator 2.E. Families are offered the opportunity to discuss spiritual issues during goals of care conferences.
- Process Indicator 2.G. End of life and Bereavement Care is provided as appropriate to the population served.