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Religious and spiritual diversity is not always welcomed, or even tolerated, in healthcare. In our talk with Chaplain Ermanno Willis, we learn how vital it is to include a patient's spiritual beliefs into their care, and how to go about doing this using validated tools to collect a patient's Spiritual History, just like their Social or Sexual History. We also discuss the importance of creating a learning/work environment that allows for a diversity of belief systems among healthcare providers themselves.
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Show Notes
Learning Objectives:
[0:00] Intro
- Introduction of our co-hosts, guest, and the episode topic
[2:25] Religious and spiritual diversity defined
[3:57] The co-hosts share their inspiration for this episode
[6:48] Examples of how religious and spiritual diversity impacts healthcare
[8:31] Introduction of Chaplain Ermanno Willis
[10:22] A Step in Their Shoes Segment
- Ermanno Willis discusses his woodworking hobby as a part of his self-care.
[12:48] Ermanno discusses his journey to becoming a chaplain
[15:28] Ermanno describes the role of a chaplain
- Hospital chaplains have the benefit of being fully present and giving the patient as much time as they need and want.
- Ermanno discusses the different environments in which spiritual care providers can work.
- Chaplains also support caregivers.
[34:08] Evidence that patients want religion and spirituality addressed by their health care providers
- Ermanno and Brittane share professional experiences of honoring patients by acknowledging their needs.
[40:10] The benefits of religious/spiritual beliefs on health
- Observational and prospective studies, and even clinical trials, correlate spiritual health with a host of benefits on physical and mental health.
[43:56] The concept of collecting a patient’s Spiritual History
Ermano discusses the Spiritual Assessment Tool he uses, the 5 Triads of Pastoral Care by Timothy Ledbetter, Senior Chaplain at Chaplaincy Health Care in Washington
Article references:
- Improving the patient experience by focusing on spiritual care. ACP Hospitalist June 2016.
- The critical role of spirituality in patient experience. The Beryl Institute. December 2015.
[48:36] Spiritual screening tools
- FACT (Chaplain LaRocca-Pitts): Faith/Activity/Coping/Treatment
- FICA (Drs. Puchalski and Romer): Faith/Importance/Community/Address or Action
- HOPE (Drs. Anandarajah and Hight): Sources of Hope/the role of Organized religion for the patient/Personal spiritual and practices/Effects on medical care and end-of-life decisions
[51:48] The difference between a spiritual screening tool and a spiritual assessment tool
[55:58] Intolerance of spiritual diversity in healthcare and healthcare education
- Be aware of implicit biases. Stop making assumptions or judgments about others’ worldviews. Ask questions curiously.
[58:25] Two key issues to navigate: Power Dynamics and Professionalism
As an example of this, Maggie, Ermanno, and Brittane discuss their opinions on if/when/how clinicians should pray with their patients.
[1:05:56] Continuing the conversation
Twitter and Instagram @TheDEIshift, email at [email protected], and our website www.thedeishift.com
[1:06:30] Outro
[1:06:36] Blooper!
Additional Resources:
- Suk-Sun Kim, Yeoun Soo Kim-Godwin, Koenig HG. Family spirituality and family health among Korean-American elderly couples. Journal of Religion and Health 2016;55(2):729-46. Published by Springer.
- Koenig HG. Spirituality in patient care: why, how, when, and what. 1st edition. Radnor, Pennsylvania: Templeton Foundation; 2002.
- Koenig HG. Religion, spirituality, and health: a review and update. Adv Mind Body Med 2015;29(3):19-26.
- Hertz BT. Improving the patient experience by focusing on spiritual care. ACP Hospitalist, June 2016.
- Spiritual Assessment Tool for Chaplains:
-Ledbetter T. A pastoral perspective on pain management. The Journal of Pastoral Care 2001;55(4):379-87.
Spiritual History Screening Tools for Clinicians:
-LaRocca-Pitts, MA. FACT: taking a spiritual history in a clinical setting. Journal of Health Care Chaplaincy 2008;15:1-12.
- Puchalski CM and Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine 2000;3:129-37.
- Anandarajah G and Hight E. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. American Family Practice 2001;63:81-88.
- Comparisons of the above screening tools, and a few additional ones not mentioned on the episode:
LaRocca-Pitts M. FACT, A Chaplain's Tool for Assessing Spiritual Needs in an Acute Care Setting. Chaplaincy Today 2012;28(1):25-32.
- Saguil A and Phelps K. The spiritual assessment. American Family Physician 2012;86(6):546-50.
Credits:
Guest: Mr. Ermanno Willis
Co-hosts/Producers: Dr. Maggie Kozman, Dr. Brittane Parker
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Editor/Assistant Producer: Deepti Yechuri
Production Assistants: Clara Baek, Lynn Nguyen
Website/Art Design: Ann Truong
Music: Chris Dingman
Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.
Season 2 of The DEI Shift podcast is proudly sponsored by the American Medical Association's Joan F. Giambalvo Fund for the Advancement of Women and the American College of Physicians Southern California Region III Chapter.
The DEI Shift theme music is by Chris Dingman. Learn more at www.chrisdingman.com.
Contact us: [email protected], @thedeishift, thedeishift.com
- Summarize the evidence showing that many more patients want their spiritual lives addressed by their healthcare providers than are currently being addressed
- Describe evidence-based examples of the positive impacts of religion and spirituality on health.
- Identify the steps of one of the validated tools for collecting a patient’s Spiritual History (just like the Social and Sexual History).
- Assess how implicit biases contribute to how (un)welcoming learning and work environments are toward differing religious/spiritual belief systems.
[0:00] Intro
- Introduction of our co-hosts, guest, and the episode topic
[2:25] Religious and spiritual diversity defined
[3:57] The co-hosts share their inspiration for this episode
[6:48] Examples of how religious and spiritual diversity impacts healthcare
[8:31] Introduction of Chaplain Ermanno Willis
[10:22] A Step in Their Shoes Segment
- Ermanno Willis discusses his woodworking hobby as a part of his self-care.
[12:48] Ermanno discusses his journey to becoming a chaplain
[15:28] Ermanno describes the role of a chaplain
- Hospital chaplains have the benefit of being fully present and giving the patient as much time as they need and want.
- Ermanno discusses the different environments in which spiritual care providers can work.
- Chaplains also support caregivers.
[34:08] Evidence that patients want religion and spirituality addressed by their health care providers
- Ermanno and Brittane share professional experiences of honoring patients by acknowledging their needs.
[40:10] The benefits of religious/spiritual beliefs on health
- Observational and prospective studies, and even clinical trials, correlate spiritual health with a host of benefits on physical and mental health.
[43:56] The concept of collecting a patient’s Spiritual History
Ermano discusses the Spiritual Assessment Tool he uses, the 5 Triads of Pastoral Care by Timothy Ledbetter, Senior Chaplain at Chaplaincy Health Care in Washington
Article references:
- Improving the patient experience by focusing on spiritual care. ACP Hospitalist June 2016.
- The critical role of spirituality in patient experience. The Beryl Institute. December 2015.
[48:36] Spiritual screening tools
- FACT (Chaplain LaRocca-Pitts): Faith/Activity/Coping/Treatment
- FICA (Drs. Puchalski and Romer): Faith/Importance/Community/Address or Action
- HOPE (Drs. Anandarajah and Hight): Sources of Hope/the role of Organized religion for the patient/Personal spiritual and practices/Effects on medical care and end-of-life decisions
[51:48] The difference between a spiritual screening tool and a spiritual assessment tool
[55:58] Intolerance of spiritual diversity in healthcare and healthcare education
- Be aware of implicit biases. Stop making assumptions or judgments about others’ worldviews. Ask questions curiously.
[58:25] Two key issues to navigate: Power Dynamics and Professionalism
As an example of this, Maggie, Ermanno, and Brittane discuss their opinions on if/when/how clinicians should pray with their patients.
[1:05:56] Continuing the conversation
Twitter and Instagram @TheDEIshift, email at [email protected], and our website www.thedeishift.com
[1:06:30] Outro
[1:06:36] Blooper!
Additional Resources:
- Suk-Sun Kim, Yeoun Soo Kim-Godwin, Koenig HG. Family spirituality and family health among Korean-American elderly couples. Journal of Religion and Health 2016;55(2):729-46. Published by Springer.
- Koenig HG. Spirituality in patient care: why, how, when, and what. 1st edition. Radnor, Pennsylvania: Templeton Foundation; 2002.
- Koenig HG. Religion, spirituality, and health: a review and update. Adv Mind Body Med 2015;29(3):19-26.
- Hertz BT. Improving the patient experience by focusing on spiritual care. ACP Hospitalist, June 2016.
- Spiritual Assessment Tool for Chaplains:
-Ledbetter T. A pastoral perspective on pain management. The Journal of Pastoral Care 2001;55(4):379-87.
Spiritual History Screening Tools for Clinicians:
-LaRocca-Pitts, MA. FACT: taking a spiritual history in a clinical setting. Journal of Health Care Chaplaincy 2008;15:1-12.
- Puchalski CM and Romer AL. Taking a spiritual history allows clinicians to understand patients more fully. Journal of Palliative Medicine 2000;3:129-37.
- Anandarajah G and Hight E. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment. American Family Practice 2001;63:81-88.
- Comparisons of the above screening tools, and a few additional ones not mentioned on the episode:
LaRocca-Pitts M. FACT, A Chaplain's Tool for Assessing Spiritual Needs in an Acute Care Setting. Chaplaincy Today 2012;28(1):25-32.
- Saguil A and Phelps K. The spiritual assessment. American Family Physician 2012;86(6):546-50.
Credits:
Guest: Mr. Ermanno Willis
Co-hosts/Producers: Dr. Maggie Kozman, Dr. Brittane Parker
Executive Producer: Dr. Tammy Lin
Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung
Senior Producers: Dr. Maggie Kozman, Dr. DJ Gaines
Editor/Assistant Producer: Deepti Yechuri
Production Assistants: Clara Baek, Lynn Nguyen
Website/Art Design: Ann Truong
Music: Chris Dingman
Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.
Season 2 of The DEI Shift podcast is proudly sponsored by the American Medical Association's Joan F. Giambalvo Fund for the Advancement of Women and the American College of Physicians Southern California Region III Chapter.
The DEI Shift theme music is by Chris Dingman. Learn more at www.chrisdingman.com.
Contact us: [email protected], @thedeishift, thedeishift.com
