An ICU Expansion of a Novel Chaplain Intervention, "This is My Story," to Support Interdisciplinary Medical Teams Delivering Care to Non-Communicative Patients in an Academic Medical Center

Jason Wilson; Elizabeth Tracey; John Ponnala; Joshua Rodriguez-Hobbs; Thomas Crowe

doi:10.1007/s10943-022-01567-9

An ICU Expansion of a Novel Chaplain Intervention, "This is My Story," to Support Interdisciplinary Medical Teams Delivering Care to Non-Communicative Patients in an Academic Medical Center

J Relig Health. 2022 Apr 28;1-15. doi: 10.1007/s10943-022-01567-9. Online ahead of print.

Authors

Jason Wilson^{1

2}, Elizabeth Tracey³, John Ponnala³, Joshua Rodriguez-Hobbs³, Thomas Crowe³

Affiliations

¹ Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, 600 N Wolfe Street, Hurd 101, Baltimore, MD, 21287, USA. jwils166@jh.edu.
² , 36 S. Main St, Stewartstown, PA, 17363, USA. jwils166@jh.edu.
³ Department of Spiritual Care and Chaplaincy, The Johns Hopkins Hospital, 600 N Wolfe Street, Hurd 101, Baltimore, MD, 21287, USA.

Abstract

The intervention "This is My Story" (TIMS) was previously developed and presented as a case study involving chaplains and support to non-communicative patients (Tracey et al in J Religion Health, 60(5):3282-3290, 2021). This further investigation aims to determine feasibility by looking at eight criteria: acceptability, demand, implementation, practicality, adaptation, integration, expansion, and limited-efficacy testing (Bowen et al in Am J Prev Med 36(5):452-457, 2009). Chaplains conducted recorded conversation with a patient's loved one, then it was edited for brevity and succinctness, and uploaded to the patient's medical chart and can be listened to at any time by medical providers. A completed interview, posted to the patient's electronic medical record (EMR), and able to be listened to by the medical team, was found to be contingent upon two factors: proximity to time between referral to call completion and amount of clinical experience of the chaplain.

Keywords: COVID-19 interventions; Chaplain; This is My Story and moral distress; Visitor restrictions.