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Rozann Allyn Shackleton Editor's Voice Linda Brown Making The Volume 26 Number 2 • Autumn/Winter 2010 Rozann Allyn Shackleton Editor's Voice Linda Brown Making the Case for Case Study Research This article provides a how-to guide for chaplains interested in conducting case study research, including research design, data collection/analysis and preparation of the manuscript. keywords: methodology, data analysis, evidence-based practice Ann Sidney Charlescraft, Alexander Tartaglia, Diane Dodd-McCue, Sandra B. Barker When Caring Hurts . A Pilot Study Supporting Compassion-fatigued Pediatric Critical Care Nurses Compassion fatigue is often experienced in health care institutions. The article describes the vital role that chaplains may play in addressing self-care as an ethical and pastoral priority and details an intervention plan piloted with critical care nurses. keywords: research, survey, burnout Mark LaRocca-Pitts Protocol-based Referrals: A Method for Selecting Patients in the Electronic Age Effective patient selection is a perennial concern for chaplains. Various methods have been proposed, including case-finding, standard response and referral. This article discusses protocol-based referrals, a form of standard response which utilizes electronic medical records as a tool for selecting patients. keywords: referral, patient records, triage Marci Pounders Essay- Don't Worry, I've Got You Personal reflection on ministry to a hospice patient. keywords: pastoral, end-of-life, compassion George R. Robie, Coordinator Retired Chaplains' Writing Project This installment features the reflections of three past presidents of the two organizations which merged to form the Association of Professional Chaplains. keywords: collegial, wisdom, history - Jerry J. Griffin: The Integrity of Authority and Identity - Ron Ropp: Issues, Concerns and Goals of Chaplain Leadership 1982-83 - Clark S. Aist: Thoughts from the Seventies Lynn Crager On Holy Ground- An Accumulation of Grief Personal reflection on mortality. keywords: lament, comfort, caring W. Noel Brown In the Literature A survey of current literature related to chaplaincy care culled from an international selection of professional journals and other media. Robert W. Duvall Expression of Faith - pilgrimage Personal reflection haiku. keywords: poetry, renewal, inspiration Mardie Chapman, Media Review Editor Media Reviews Courageous Conversations: The Teaching and Learning of Pastoral Supervision • Women Out of Order: Risking Change and Creating Care in a Multicultural World • Talking with God in Old Age: Meditations and Psalms • We Do Remember You • Just Conflict: Transformation through Resolution • Coming Out, Coming Home: Making Room for Gay Spirituality in Therapy • A Sacred Walk: Dispelling the Fear of Death and Caring for the Dying © Chaplaincy Today • Vol. 26 No. 2 • Autumn/Winter 2010 Editor’s Voice IT’S ALWAYS WITH PLEASURE—and I confess with a certain amount of relief—that I complete an issue of Chaplaincy Today. This particular one also comes with an added sense of excitement and enthusiasm as CT takes another step toward fulfilling the mandate of APC’s Publications Task Force to expand its focus on research and to mentor chaplains who are interested in pursuing this area of writing for publication. The lead article, authored by Linda Brown, begins with a background Rozann Allyn Shackleton on case study as a research mode and includes recommendations for MDiv MA BCC designing such research projects. She also offers a step-by-step model [email protected] for “writing the case.” As a follow-up, CT is issuing a call for case study papers to be published in 2011. The deadline for the first issue (27.1 – Spring/Summer 2011) is January 31. Guidelines for manuscript submission are posted on the Web site, and queries are welcome. Also in the research vein, Ann Sidney Charlescraft and her colleagues at Virginia Commonwealth University discuss the pilot study of their program, “Promoting Self-care among Caregivers,” which was developed to address compassion fatigue, burnout and stress in pediatric critical care nurses. She is scheduled to present a professional development intensive on compassion fatigue and self- care at the APC 2011 Annual Conference. The profession of chaplaincy is viewed through a multifaceted lens, which looks both to the future and to the past. Mark LaRocca-Pitts explores the use of electronic medical records as a triage instrument for setting patient visitation priorities. George Robie again has tapped the expertise of retired BCCs, through the Retired Chaplains’ Writing Project. Jerry Griffin, Ron Ropp and Clark Aist, past presidents of the two organizations that merged to form APC, offer their unique views of chaplaincy as they experienced it. The next installment of this feature, slated for publication in the Autumn/Winter 2011 issue of CT, will feature the reflections of female chaplains who joined the profession at a time when men held the vast majority of leadership roles. See the box on page 40 for information on submissions for this collaborative article. Reflective essays and poetry by Marcie Pounders, Lynn Crager and Robert Duvall along with literature and media reviews round out the issue. I am grateful to all who contributed to this eclectic collection, and I invite you to add your voice to future issues. ©Chaplaincy Today • e-Journal of the Association of Professional Chaplains • Volume 26 Number 2 • Autumn/Winter 2010 1 Two continuing education credits (CE) are available on completion of the reading of this issue. Enter CT-26-2. Making the Case for Case Study Research Linda Brown BCC Case study research is an excellent way for health care chaplains to contribute to a body of knowledge pertaining to the evidence-based practice of pastoral and spiritual care in hospitals and health care institutions. This type of research strengthens our practice, connects it to theory and theology, facilitates the development of models and paradigms, and demonstrates that what we do is effective and that it makes a difference. This article provides a how-to guide for chaplains interested in learning to conduct case study research, including research design, data collection/analysis and preparation of the manuscript. Linda Brown PhD BCC serves as bereavement coordinator at Saint Luke’s Hospice, Kansas City, MO. She is CASE STUDY IS THE REDHEADED STEPCHILD OF RESEARCH. It endorsed by the Episcopal Church USA. is criticized routinely for non-generalizable results and lack of methodological precision and rigor when, in fact, it is “a necessary and sufficient method for [email protected] certain important research tasks in the social sciences … [and] holds up well when compared to other methods in the gamut of social science research methodology.”i Case study is commonly used in chaplaincy. Indeed, one of the pioneers of chaplaincy, Anton Boisen, based his practice on case research, examining the relationship between mental illness and religious experiences.ii Case study plays a pivotal role for disciplines such as chaplaincy, which are in the process of establishing their own bodies of research distinct from the research of related disciplines. Although chaplains owe a debt of thanks to our peers in psychology, sociology, anthropology and ethnography, we have our own identity and a professional responsibility to establish that what we do has value and is unique to our discipline. Thomas Kuhn, noted for his landmark work on the nature of scientific revolution, identifies well- executed case studies as a crucial developmental task for emerging and maturing disciplines, as they amass the paradigms necessary to reflect upon their practice.iii Researcher George Fitchett, a chaplain himself, argues that case studies are a logical and productive choice for chaplaincy research at this stage in the profession’s development: “We need good case studies of our work. … [We] need to link the spiritual care described in them with theories about our work.”iv Fitchett is a fierce and persistent advocate for health care chaplaincy as a research-informed profession and for chaplains as competent purveyors of research.v “Chaplains need to demonstrate that there are solid theories that support the care they provide.”vi This will “strengthen our practice of ministry; increase awareness of what we contribute; and promote interdisciplinary relationships.”vii Case studies are particularly important in this effort: “[In] order to effectively tell our story to our health care colleagues, in order to make the case that we are productive members of the health care team, we have to provide evidence for the difference that we make.”viii An in-depth case study offers distinct benefits in looking at the complex real-life issues and circumstances that are the focus of chaplains’ daily ministry. It is useful for investigating trends and specific situations and has the advantage both of immediacy and of flexibility. For a chaplain, trends of importance might include an increase in spiritual care consult requests from outpatient units, extended length of stay for patients in intensive care units (ICU), high turnover of nurses in the Neonatal ICU or the readmission rate of patients with intractable pain. In all of these instances, a chaplain might seek an explanation or propose an intervention in order to address the issue from ©Chaplaincy Today • e-Journal of the Association of Professional Chaplains • Volume 26 Number 2 • Autumn/Winter 2010 2 the distinct perspective of spiritual health and with the unique skills of the professional chaplain. Case studies “can be useful in capturing the emergent and immanent properties of life … and the ebb and flow of organizational activity, especially where it is changing very fast.”ix Case studies, as a rule, are more interesting and engaging personally than experimental research or statistical analyses and therefore may have a strong impact. Unlike experimental and quantitative research, which is typically concerned with measuring what happens, case study research is more likely to be concerned with how and why things happen. Case study is useful for discovery and interpretation, for looking at processes and meanings, and for testing models or interventions in real-world situations.
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