Professional Practice Advocacy Education & Research Spiritual Development EthicsWalk Conferences, Workshops, Education Opportunities Chaplaincy in the News Reviews TalkBack  
spacer
Archives
 

3/16/2005 Vol. 2, No. 4

Professional Practice
 

Sarah Wofford and James Yoder, Jr., on a way to honor healthcare providers

Blessing of the Hands: A Gift to the Staff

Part I                                                                                                                                                       Sarah R. Wofford, RN, BSN, M.Div.

Tears rimmed her eyes as she said to me…

“Thank you.  You’ve just reminded me why I became a nurse. I had forgotten…for a long time, I had forgotten.”

This is the kind of reaction that I receive time and time again as I present the Blessing of Hands to individual nurses, doctors and staff.

Though the blessing itself is brief, the message is clearly understood by the spiritual core of these people. It rivets their minds to remember why they chose the careers that they did, namely to offer compassion and healing to those in need.

Today, hospital staffs are expected by all to perform with precise knowledge, assessment, and response with little room for error. My experience is that most are committed to giving their best, but constant stress leads to fatigue and burnout. The fatigue is from a line of work that science and technology are constantly expanding, specializing, and changing. While compassion for others may have guided doctors and nurses to their health-related fields, completing the tasks are often what drives them.

I find that the Blessing of Hands honors the health care providers by reaching deep into their spiritual beings. It verbalizes a pastoral understanding of the work they perform. It acknowledges sensitivity to the energy and emotion they give to those they serve. It conveys confidence in them and empowers them to continue on with a renewed compassion for others.

 

Part II                                                                                                                                                         James D.Yoder, Jr., M.Div., BCC

The Pastoral Services staff at Pitt County Memorial Hospital, Greenville, North Carolina, planned a variety of events for Pastoral Care Week 2004. One event in particular stands out as memorable and was experienced as a gift to the facility employees. This experience was a blessing of the hands.

Although this practice is not an innovation to worldwide pastoral care, it was new to this facility. Thus said, some careful planning needed to be done. We asked questions such as, where should we do this? How do we make this known and comfortable? What kind of commitment do we need from the department staff? Should we build a liturgy around the blessing? What do we use for the blessing ingredient? Through e-mail and face-to-face discussion, we established a fairly comprehensive plan.

The two primary decisions that guided the rest of the planning were to do two services in the hospital chapel and to take the opportunity to every nursing station on day and night shifts. A liturgy for large groups was designed as well as a short prayer preceding the blessing for individuals. In order not to not confuse this with any sacramental practices, we purchased an essential oil combination of sacred cedar and lavender. The aromatic nature of the oil added another sensory component; it also had a downside –a very few reactions [skin, headache, asthma]. A schedule was developed to insure inclusion of all the clinical areas. CPE students were very helpful in identifying some areas to be included and were also involved in the actual services as well.

PCMH is deeply embedded in a religious community. As can be true anywhere, new ideas, i.e., we never did it that way before, can cause anxiety and non-participation. Consequently, we organized an educational campaign. We utilized our periodic Pastoral Services newsletter, separate communication with managers, and posters. One newsletter article talked about the healing use of oils from ancient times; another identified the blessing as ritual and not sacramental; a third communicated clearly that participation was totally voluntary and that the experience would happen in an area of each nursing station sequestered from general staff activity. These articles were spaced over two editions that invited comment or questions. The department Director communicated with hospital supervisors and managers; specific attention was given for them to make staff aware and to encourage questions. Finally, a copy of the full liturgy was distributed via e-mail.

Participation in the blessing was phenomenal. Several supervisors contacted staff chaplains to schedule unit events; others included it in their department newsletters. Two chaplains have been asked to do a similar blessing for a nursing program. Over 700 hundred hands were blessed!

Our learning from this? We need to find better ways to inform night staff. We can be a very positive influence on staff morale. We are an integral part of the hospital system. What more could we ask for?


Sarah Wofford is a Staff Chaplain at Pitt County Memorial Hospital, Greenville, NC. She oversees the pastoral care of the medical and the women’s health units. She also serves on the hospital’s Palliative Care/End-of-Life Team. Sarah graduated from Baylor University in 1979 with a BSN. Her clinical experience as a nurse includes medical/surgical, pediatrics, utilization review, and hospice. As a second-career student, she returned to Baylor to attend George W. Truett Baptist Theological Seminary. She completed her studies in 2002 earning an M.Div. Sarah’s first year of CPE residency was at Scott & White Memorial Hospital, Temple, TX. Three additional units at Sentara Norfolk General Hospital, Norfolk, VA, where she specialized in trauma, followed this. Sarah has applied for board certification through the Association of Professional Chaplains.


Jim Yoder, BCC, is a staff chaplain at Pitt County Memorial Hospital, Greenville, NC, serving the Medical ICU, Behavioral Health Services, and Adult Rehabilitation Services. Previously working in long term care and a general hospital in PA, he was a member of the APC Membership Services Council as Coordinator of State /Province Representatives and currently serves on the APC Education Committee, facilitating the sub-committee for awarding of CCEs. As proud grandparents, Jim and his wife Nancy return to PA frequently to enjoy some leisure time with the families of their children, Emily and Alison. At home, Jim finds pleasure in 'playing' at the computer, wrestling with his yellow Labrador Retriever, and making mobiles.

Do you have thoughts about professional practice you’d like to share with your colleagues? Send an e-mail info@PlainViews.org.

Advocacy
   

The Rev. Earl Johnson on chaplaincy in disaster –how we prepare ourselves

It's a Disaster: Prepare for It

Disaster Response may now be the social action of our time.  For those of us involved in clinical pastoral education over the past decade and worked with those seeking to gain entrance to our hospitals and clinics “to visit the sick”as a faith requirement, the events of 9/11 created a new focus and faith initiative –“to assist those devastated by natural and human-caused disaster.”  Well-intentioned and well-meaning, yet inappropriate volunteers seeking to gain access to some of the most-vulnerable –those traumatized by disaster –without first receiving any additional training or orientation on how to companion and aid the survivors, may not be a unique phenomenon.  But it is real and potentially dangerous.  One of the most important services that both dedicated disaster and faith-based response organizations need to provide to disaster clients is protection from those who feel a divine mission to assist them whether they want services or not.

The primary disaster needs are information and reassurance.  Even before first aid is administered or shelter found.  Am I safe?  Are my loved ones safe?  Where are they?  How can I reach them or speak to them or hold them?  Are my pets okay?  Are my livestock fed?  Will I be okay?  Even before food and water. After all, how can one eat or drink when one is full of dread and fear, sorrow, or the indescribable pain of loss. 

These are familiar questions for most chaplains, and our clinical and professional training helps us find meaning in the disaster events and process the tremendous feelings when the time is right.  That’s why the disaster culture and the chaplaincy culture are so similar in many ways.  Helping the patient, the victim, the survivor and their loved ones share the same vocabulary and focus on the other –without the loss of self –the knowledge of personal and professional boundaries in the midst of emergency room chaos or surrounding the perimeter of a smoking fuselage in a field is familiar to both cultures.  Chaplains know how to be with people in crises.  They know when to start the conversation and when to remain silent and honor the silence where there are no words to describe the horror.

The needs expressed above are only after an event has occurred. They deal with our response and the needs that emerge in a careful assessment of what services one might offer.

But what about before?  Is there any way to prepare for these eventualities, these horrors, these disasters?  Is there any way for us to develop resilience and a capacity to adapt and endure anticipated suffering?  That’s the preparedness part, where we need to do an inventory of our resources available and our own capacity to survive.  For chaplains, our family and faith resources are primary, and go hand in hand with professional training on how to be with persons in crises and work as a team.  To know that we are not alone and have help when in need.  To develop a capacity, an awareness of self-care and needs, and to know why we are there, what has called us to respond, and also, to know when to leave. 

Many of us lived and experienced the civil rights struggles and peace movement. Our characters became sharpened and defined through living through these times.  For some, 9/11 was our Pearl Harbor, but for most, innocence and awareness fell and rose three years ago on a quiet, sunny September day. We still haven’t truly processed how much a disaster that disaster was and it’s continuing impact for our lifetime.  Most respond to disasters by wishing to do something, as chaplains respond in kind.  Chaplains also know when to just be, and companion those impacted, and that’s key –reassurance, integrity, truthfulness –and you are safe with me.