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Table 3 The chaplaincy taxonomy

From: What do I do? Developing a taxonomy of chaplaincy activities and interventions for spiritual care in intensive care unit palliative care

Intended effects Methods Interventions
Aligning care plan with patient’s values Accompany someone in their spiritual/religious practice outside your faith tradition Acknowledge current situation Facilitate closure
Build relationship of care and support Assist with finding purpose Acknowledge response to difficult experience Facilitate communication
Convey a calming presence Assist with spiritual/religious practices Active listening Facilitate communication between patient and/or family member and care team
De-escalate emotionally charged situations Collaborate with care team member Ask guided questions Facilitate communication between patient/family member(s)
Demonstrate caring and concern Demonstrate acceptance Ask guided questions about cultural and religious values Facilitate decision making
Establish rapport and connectedness Educate care team about cultural and religious values Ask guided questions about faith Facilitate grief recovery groups
Faith affirmation Encourage end of life review Ask guided questions about purpose Facilitate life review
Helping someone feel comforted Encourage self care Ask guided questions about the nature and presence of God Facilitate preparing for end of life
Journeying with someone in the grief process Encourage self reflection Ask questions to bring forth feelings Facilitate spirituality groups
Lessen anxiety Encourage sharing of feelings Assist patient with documenting choices Facilitate understanding of limitations
Lessen someone’s feelings of isolation Encourage someone to recognize their strengths Assist patient with documenting values Identify supportive relationship(s)
Meaning-Making Encourage story-telling Assist someone with Advance Directives Incorporate cultural and religious needs in plan of care
Mending broken relationships Encouraging spiritual/religious practices Assist with determining decision maker Invite someone to reminisce
Preserve dignity and respect Explore cultural values Assist with identifying strengths Perform a blessing
Promote a sense of peace Explore ethical dilemmas Bless religious item(s) Perform a religious rite or ritual
  Explore faith and values Blessing for care team member(s) Pray
  Explore nature of God Communicate patient’s needs/concerns to others Prayer for healing
  Explore presence of God Conduct a memorial service Provide a religious item(s)
  Explore quality of life Conduct a religious service Provide access to a quiet place
  Explore spiritual/religious beliefs Connect someone with their faith community/clergy Provide compassionate touch
  Explore values conflict Crisis intervention Provide Grief Processing Session
  Exploring hope Discuss concerns Provide grief resources
  Offer emotional support Discuss coping mechanism with someone Provide hospitality
  Offer spiritual/religious support Discuss frustrations with someone Provide religious music
  Offer support Discuss plan of care Provide sacred reading(s)
  Setting boundaries Discuss spirituality/religion with someone Provide spiritual/religious resources
   Ethical consultation Respond as chaplain to a defined crisis event
   Explain chaplain role Share words of hope and inspiration
   Facilitate advance care planning Share written prayer
    Silent prayer