By David LewellenVision editor
When Fr. Basil Royston, BCC,arrived at O’ConnorHospital in San
Jose eightyears ago, he inherited a narrativesystem of charting
pastoral care visits.But he found the format time-consuming. “By
the time I had done30 or 40 in a day, I thought that Ishould get a
rubber stamp,” he said.“So I thought, why not get [checklist]boxes
and check them?”
So Fr. Royston designed a form forcharting with a checkoff list
of pastoralinterventions and limited space fornarrative. In the
near future, the formwill be easily transmitted into anelectronic
Because the Joint Commission nowrequires proof that spiritual
care wasprovided, more hospitals now expectthat chaplains will
document theirwork in a patient’s medical chart. Butdocumenting a
spiritual encounter ismore challenging than noting a pulserate or a
dosage of medication.
Across the country, one chaplain ata time, one system at a time,
almosteveryone has a different story aboutcharting formats. Some
like thenarrative system, some like checklists;
some are electronically formatted;some have efficient paper
systems. Butin the absence of a consensus aroundbest practices,
almost every institutionis using a system of documentationthat
works within their clinical setting.
That may or may not be a problem.Settings and needs vary widely,
and atevery institution “the staff developswhat makes sense to
them,” said Sr.Colette Hanlon, SC, BCC, thespiritual care
coordinator at ProvidenceCare Center in Lenox, MA.
The drawback to a checklist system,Sr. Hanlon said, is that
theinterdisciplinary team may not knowchaplain terminology — and
there’sprobably not a box to check forsomething as specific
andcomprehensible as “the patient isterrified of surgery and had a
baddream, and I called the surgeon.”
However, Sr. Hanlon has taughtcharting to CPE students, and
alsoeducated other healthcare professionalson what chaplains do,
“so they knowwhat a pre-op visit might involve.” Thebest setting
for teaching charting, shesaid, is interdisciplinary, where
thefocus will not be just on pastoral-carelanguage.
In This Issue:
Karen Pugliese 2
David Lichter 3
Certification Update 4
Newly certified chaplains 5
Seeking, Finding 8
Research Update 10
Volunteer of the Month 11
Lawrence VandeCreek 12
Prayers for Healing 12
Pastoral Care Summit 13
2008 Conference 14
NACC Awards 15
Poem “Solace” 15
Spiritual distress assessment 17
Parent reflects on grief 17
Positions available 18
National Association of Catholic Chaplains
January 2008Vol.18 No. 1
See Charting on page 6
Pastoral care developssolutions to charting
A screenfrom CentralDuPageHospital inWinfield, IL
2 Vision January 2008
By Karen PuglieseNACC Board Chair
On December 1st, in the midst of the city’s first winterstorm,
14 Chicago-area NACC chaplains gatheredwith David Lichter; Dr. Bob
Ludwig, director of theInstitute of Pastoral Studies at Loyola
University; and Dr.Bob O’Gorman, director of the M.Div. and Master
ofPastoral Studies programs at the institute.
We were part of a unique day-long learning opportunitysponsored
by Loyola in which best-selling author Fr. RichardRohr led an
audience of 630 participants in a powerful andchallenging
exploration of Scripture as a path to a spiritualitywhich is
grounded, traditional, and yet consistently “counter-intuitive” in
its mature form. Over lunch, a diverse group ofchaplains met with
our new Executive Director, BobO’Gorman, and Fr. Ludwig, greeted
old friends, and madenew collegial acquaintances.
The presentation coincided with the release of RichardRohr’s
newest book, Things Hidden: Scripture As Spirituality.At the same
time, Bob O’Gorman revealed Loyola’s newestgraduate program,
responding to the call to minister in newways within the Church.
The school will offer three newfocus areas — healthcare ministries,
urban ministry, andministry management and leadership. The
curriculum,courses and workshops in this exciting new
chaplaincyconcentration were developed in consultation with theNACC
and include basic CPE and a CPE residency. Uponcompletion of the
degree, students will be ready forcertification. This is a
wonderful example of a hoped-foroutcome in our Strategic Plan!
The institute now offers MA degrees in divinity,
pastoralstudies, pastoral counseling, spirituality, social justice,
andreligious education, as well as advanced graduate
certificateprograms in pastoral counseling, spiritual direction,
socialjustice and religious education. Dr. O’Gorman told
thechaplains attending the gathering that IPS will begin to
offerspecific workshops each semester as part of the new track
inhealthcare ministries. The workshops will be developed notonly
for those preparing for chaplaincy, but also for chaplainsalready
in ministry in the Chicago area for their continuingeducation. We
were given an opportunity to rank suggestedworkshops with an eye to
our own interests and needs, tomodify the topics, suggest
additional subject matter, and offerpotential qualified and
Bob O’Gorman announced that he and Bob Ludwig,along with other
educational leaders of graduate schools inpastoral ministry and
theological studies, would meet withCatholic Health Association
leaders to discuss partnershipopportunities in preparing ministry
leaders for education andhealthcare. Our executive director, David
Lichter, will alsoparticipate. And as you know (see David Lichter’s
article onpage 3), we continue to collaborate closely with
Yanofchick, CHA Senior Vice President of MissionIntegration. We
hope you see, as we do, an excitingsynchronicity and a clearly
growing momentum for ourStrategic Plan.
Personally, I was deeply moved by the connectionsbetween Fr.
Rohr’s reflections and my sense of the NACC’sown spiritual and
strategic path. I encourage small groups ofmembers to come
together, either in person or in e-mailconversations, to reflect on
the depth of wisdom and insightRohr’s book offers. One of his major
themes was the notionof “things hidden,” as Jesus said, “since the
foundation of theworld.” Rohr offered insight into how humanity
comes tosee and understand the Mystery of God revealed in our
ownlives, and trust the development of our spiritualconsciousness
and inner authority. He suggested that we arerediscovering
transformation when we enter more fully intoparabolic and
Fr. Rohr challenged us to engage in “cellular”contemplative
prayer, which takes us into the depths of theunconscious and
awakens us to what is hidden in our oftendualistic approach to
life, even to our life of prayer. Dualistichearts and minds are
confounded by mercy, forgiveness,grace, and divine love. As we
strive to implement ourStrategic Plan, we need to avoid entrapment
in an all-or-nothing mentality that devalues less than
perfectachievements. Rohr encouraged us to see with the “thirdeye;”
to detach from tightly held ideas, to engage inparadoxical versus
oppositional thinking and discover graceshidden in the darkness of
our own ignorance, fear, prejudice,blocks, and blind spots and
As we step over the threshold of a new year, I amreminded of
both the Vision and Action and the PastoralCare Summit, during
which we prayerfully sought tobecome more comfortable with
uncertainty and more athome dwelling in the Mystery of Possibility.
Minds thatcontinually re-process the past and worry about the
futureavoid the Gift of the Present Moment, and commit what Fr.Rohr
playfully called the capital sin of superficiality. Imaginethe
potential energy unleashed by our members committedin prayer and
action to what Rohr described as “Life asParticipation” in the
transformation of our ownconsciousness and of our association.
Imagine the impact onour Church, our world!
Imagine the gifts of wisdom and insight that couldemerge from
small groups prayerfully reading and reflectingtogether. Consider
taking the initiative to invite colleaguesfrom various traditions
to begin the new year by enteringinto a prayerful experience of
faithful and graceful livinginto the Mystery and Paradox of Knowing
and Unknowing.And let us know what is brought to light, even in the
midstof winter’s darkness, from the hidden recesses of your
Karen Pugliese, MA, BCC, is a chaplain at Central DuPageHospital
in Winfield, IL.
New programs, new food for thought offer inspiration
January 2008 Vision 3
visionVision is published 10 times a year by theNational
Association of Catholic Chaplains.Its purpose is to connect our
members witheach other and with the governance of theAssociation.
Vision informs and educatesour membership about issues in
pastoral/spiritual care and helps chart directions forthe future of
the profession, as well as theAssociation.
Executive EditorDavid A. Lichter, D.Min.
Graphic DesignerGina Rupcic
The National Association of CatholicChaplains is a professional
association forcertified chaplains and clinical pastoral educators
who participate in the healingmission of Jesus Christ. We provide
standards, certification, education, advocacy, and professional
development forour members in service to the Church andsociety.
NNAACCCC NNaattiioonnaall OOffffiiccee5007 S. Howell Avenue
Milwaukee, WI 53207-6159(414) 483-4898
Fax: (414) firstname.lastname@example.org
Executive DirectorDavid A. Lichter, D. Min.email@example.com
Director of OperationsKathy Eldridgekeldridge@nacc.org
Director of Education & Professional PracticeSusanne
Membership/Executive AssistantCindy Bridgescbridges@nacc.org
Special ProjectsPhilip Paradowskipparadowski@nacc.org
By David Lichter, D.Min.Executive Director
Last month, I offered my observationson the first goal of NACC’s
strategicplan: to support association memberswith creative
educational, spiritual, andcommunication opportunities. As
Imentioned, reaching these goals willrequire effective strategy
development indialogue with you. I asked for yourcomments on my
reflections, and I amgrateful to the many of you who did justthat.
I ask you again to respond to thiscolumn.
Considering the value of belonging toan association such as the
NACC, onethinks first about the immediate tangiblebenefits, such as
Vision. I often weigh thecost benefit of my dues to belong to
otherorganizations against those tangiblebenefits, and often come
up short. Then Iask, “Is it worth the fees?”
I know we need to create moreeducational events related to goal
one.However, I would like you to add into thevalue equation our
efforts to address goaltwo, to promote the profession of
chaplaincy.Fulfilling this goal carries many criticallong-term
benefits to your ministry thatare less immediate or countable.
Think about this parallel. You as amember try to weigh the value
ofbelonging to an association and todetermine how best to judge its
value. Butin turn, the profession of chaplaincy seeksto position
itself among other professionsthat are trying to judge the value
ofchaplaincy and deciding whether tosupport and invest in it. The
sevenobjectives of this goal cover developingpartnerships that will
help develop andadvance the value of chaplaincy.
The first objective is: advocate with andeducate the bishops,
The Joint Commission,the Catholic Health Association, theAmerican
Hospital Association, and CEOs ofhealthcare organizations on the
value ofcertified chaplains and clinical pastoraleducators, as well
as on their role and needs. Ihad a good meeting with the
NACC’sEpiscopal Advisory Board at the
USCCB’s General Assembly inNovember. They were positive about
theplan and its direction. Several bishopscame up to me at the end
of the meetingto offer their help as needed. I sensegenuine
interest and support. BothBishop Calvo, our new Episcopal
Liaison,and Bishop Melczek, our former one,again expressed the
invaluable ministrychaplains provide.
We greatly appreciate the growingpartnership with CHA,
especially throughBrian Yanofchick, Senior Vice Presidentof Mission
Integration. With Brian’sleadership and Tom Landry’sgroundwork, we
have initiated both thePastoral Care Summit in Omaha (seepage 13)
and the more recent survey onpastoral care that was conducted
inDecember. CHA is very committed tocollaborate with our chaplains,
directors ofpastoral care, and mission integrationleaders to help
identify and articulate thevalue of chaplaincy. Then we will be in
aposition to further advocate it with theAmerican Hospital
Association andCEOs of healthcare organizations. Thesetarget groups
were of particularimportance for the Marketing Task Forcegroup that
worked in the fall.
The second objective is: work with theSpiritual Care
Collaborative, the CatholicHealth Association, and The
JointCommission to establish and recognizestandards for Pastoral
Care departments andproviders. At the CHA/NACC PastoralCare Summit,
this was identified as a keyarea, and we are organizing to address
thisneed. However, we don’t want to reinventthe wheel, but build on
the best ofexisting standards, and work with theSpiritual Care
Collaborative and TheJoint Commission to build a consensusfor
standards that can be foundation forfuture programs. We have begun
toaddress this objective well.
The third objective is: provideeducational materials for use
with collegesand ministry groups to promote chaplaincy asa vocation
and profession. Several groups
NACC works to promotevalue of pastoral care
See Pastoral Care on page 4
are converging on this objective. In the fall, both theMarketing
and Recruitment Task Forces provided some gooddirection here. Also
at the Pastoral Care Summit, a groupoffered strategies for
promoting chaplaincy to these educationaland formational entities.
We will integrate the efforts of thesetask forces in the coming
year. Also, CHA invited us toparticipate in a convening of leaders
in higher education to
explore the future leadership needs, and chaplaincywas part of
that discussion. We plan to have somesample materials that can be
used for these highereducation and ministry groups by
The fourth objective is: promote CPE programsand increase the
number of CPE supervisors. At theirNovember board meeting, the NACC
board spentsome time discussing this need. Also, I wasgrateful to
attend the ACPE National Conventionin October and visit with
several CPE supervisors
— some who are certified only with ACPE, and others withdual
certification. We need to be in serious dialogue withACPE, which
also feels the urgent need for more CPEsupervisors. We are
exploring the appropriate partnership withthem to address this
The fifth objective is: Benchmark staffing and wages
ofprofessionals with comparable training and experience. A first
stepto meeting this objective is getting updated data on
staffingand wages within our own profession. As mentioned earlier,
undertook a survey with CHA in December, and will haveresults in
early spring. We are also conducting acompensation survey with the
Spiritual Care Collaborative inearly 2008 that will provide us with
very helpful data forfurther benchmarking our profession. From this
basis we cantake further steps to address this objective.
The sixth objective is: provide resources to assist
withdeveloping and sustaining excellent spiritual care services.
ThePastoral Care Summit provided an opportunity for many ofyou to
encourage collaborative efforts. I want NACCmembers to be able to
access such resources on the NACCwebsite. You know better than I
the rich resources we alreadyhave among our members. Now it’s a
question of gettingmembers to send in their resources, and making
sure ourwebsite is very user-friendly. We have a ways to go here,
butwe can make this happen!
The seventh objective is: partner with clinical
researchfaculties in initiating studies on the value of
professional spiritualcare in healthcare settings. Again, at the
Pastoral Care Summit,we had some select representation of
researchers who haveexperience in this area and want to partner
with us. We havesolid potential here also.
Overall, as you can see, the Pastoral Care Summitprovided an
invaluable foundation for addressing most of theareas of this goal.
We look forward to advancing this workwith those who participated,
and many who could notparticipate.
My next Vision article will reflect on goal three: Tostrengthen
the NACC’s relationship within the Catholic Church. Ilook forward
to a great 2008 with you!
4 Vision January 2008
are trying to
judge the value
Pastoral CareContinued from page 3
Q. I am interested in applying for certification in 2008.Where
can I find the necessary materials?
A. As of now, all of the forms that you will need areavailable
online. Go to www.nacc.org and click onCertification to view and
download orprint the materials. Beginning this year,we will no
longer mail certificationmaterials. (And remember that yourpostmark
deadline is Feb. 15.)
The same system now applies tomembers who need to renew
theircertification in 2008 or later. All formsare available at our
The NACC’s newly revised standards, which you willrefer to
frequently in your application, are now also postedat our site
Q. I’m a certified member, and I’m interested in being
avolunteer interviewer in 2008. What steps should I take?
A. For every round of certification interviews, we needdozens of
volunteer interviewers who are NACC-certified
chaplains. There is one round of interviews scheduled for2008,
the weekend of Oct. 4-5. To express your interest inparticipating
as a certification interviewer in the fall, pleasesend an e-mail to
firstname.lastname@example.org. We will respond
to discuss time commitment, training,and other logistics.
Q. Will I have opportunities tolearn more about certification
andrenewal of certification at theIndianapolis conference?
A. Yes. We will again offer theworkshops we have offered in
previousyears, led by members of the
Certification Commission. There will be four sessions: oneto
address your questions about the certification process,one to cover
our updated process for renewal ofcertification, and one to discuss
supervisors’ certificationand renewal of certification.
Additionally this year, we willpresent a session on training to
become a certificationinterviewer.
CERTIFICATIONu p d a t e
Chaplaincy & Mental Health
CERTIFICATIONu p d a t e
More certification materials now available online
January 2008 Vision 5
NACC welcomes newly certified membersCongratulations to the
NACC members who have beenapproved for chaplain
certificationfollowing their interviews in October:
Mr. Pedro J. Acosta Zapata, Greenfield, WIMrs. Linda L. Amato,
St. Clair, MIMrs. Maria A. Benoit, Apple Valley, CAMr. Isaac J.
Brown, Portland, ORMr. Stanley L. Buglione, Niles, ILBro. Robert E.
Campbell, Albuquerque, NMMs. Sherry L. Christ, Adrian, MIRev.
Kenneth A. Chukwu, Chatsworth, CASr. Annemarie T. Colapietro, SNJM,
Alameda, CARev. Daniel B. Devore, Ponte Vedra Beach, FLSr. Rosa
Maria Eubanks, CCV, Hyattsville, MDMr. Isidro Gallegos, Chicago,
ILMrs. Carolanne B. Hauck, Lancaster, PARev. Cajetan N. Ihewulezi,
St. Louis, MOMrs. Grace Jaworski, East Aurora, NYRev. Luke K.
Kalarickal, Tyler, TX
Ms. Lorena M. Klinnert, St. Paul, MNMrs. Laura L. Law, St.
Ms. Ann-Marie Lemire, Eugene, OR
Ms. Mary Jane Lipinski, Marshfield, WI
Ms. Sandra B. Lucas, Waterville, ME
Deacon Victor V. Machiano, McKinney, TX
Rev. Anthony Madu, Uniondale, NY
Rev. Augustine C. Manyama, Portland, OR
Sr. Diane M. McManus, SSJ, Philadelphia, PA
Rev. Elias N. Menuba, Hartford, CT
Mr. Ronald S. Michels, Ripon, WI
Mrs. Debra T. Montelongo, Fairfax Station, VA
Mrs. Karen A. Nehls, Muskego, WI
Rev. Godwin T. Nnamezie, Canon City, CO
Rev. Remigius O. Nwabichie, Bridgeport, CT
Ms. Colleen A. O’Neill, Grand Island, NE
Rev. Charles M. Obinwa, Delphos, OH
Rev. Nelson O. Ogwuegbu, Baltimore, MDRev. Charles U. Okorougo,
Lake Charles, LARev. Ejike I. Onyenagubo, Syracuse, NY
Sr. Christiana C. Onyewuche, EHJ, Boston, MARev. Andrew A.
Phiri, Oak Park, ILSr. JoAnn Poplar, SSJ-TOSF, Garfield Heights,
OHDr. Linda D. Schlafer, Oakland, IAMrs. Dorothy L. Sexton-Nagel,
Baiting Hollow, NYDr. Kathleen D. Sweeney, Cumberland, MDMs.
Dorothy A. Wilderman, Evansville, INMs. Elizabeth J. Wopat,
Onalaska, WISr. Bridget C. Zanin, MSC, Chicago, IL
We also congratulate the followingmembers on their
Supervisory CandidateMs. Theresa Lowther, Buffalo, NY
Associate SupervisorSr. Nancy Beckenhauer, OSU, PepperPike,
InterviewersRev. Milton N. Adamson, CSCMr. Bruce C. AguilarDr.
Linda M. ArnoldMr. David C. BakerMs. JoAnn Gragnani BossMs. Phyllis
A. BowlingMr. Willard J. BraniffSr. Anne K. Breitag, OPRev. Michael
E. Burns, SDSSr. Carol E. DeCrane, CSAMrs. Allison S. DeLaneyMr.
Michael J. DoyleSr. A. Louise Eggen, OSBSr. Nancy D. Flaig, OSBBro.
Daniel J. GallucciSr. Pauline E. Gilmore, FMMSr. Suzanne C. Giro,
CSJSr. Mary Ellen Gleason, SCSr. Rose S. Grabowski, SSJ-TOSFSr.
Colette Hanlon, SCMs. Jean M. HarringtonMs. Deborah K. HeenSr.
Gloria Jean Henchy, CDPSr. Marilyn Herr, OSFSr. Susan M. Holmes,
Dr. Carolyn M. JurkowitzMrs. Kathy J. KaczmarekMrs. Susan M.
KangasMr. William H. Korthals, Jr.Rev. Philip G. KrahmanMs. Janice
A. LabasMs. Aoife C. LeeMr. James P. LetourneauMs. Martha L.
LevenMs. Theresa LowtherMs. Theresa MaikischRev. Dean V.
MarekMargaret C. MatacaleMs. Carol MazurekDr. Dennis McCannDeacon
William N. MichDr. Anne MurphySr. Mary J. O’Hara, OPRev. Gerald U.
OnuohaSr. Ellen Poché, CSJSr. Karen J. Pozniak, SNDdeNMs. Elinor D.
QuillMrs. Ellen K. RaddayMr. George P. ReedRev. Basil G. RoystonSr.
Maryanne Ruzzo, SCMs. Dorothy M. SandovalMr. Timothy G. SerbanSr.
Alice L. Smitherman, OSBMs. Barbara Sorin
Ms. Janice K. StantonSr. Maureen Stocking, OPMr. Michael L.
SullivanMiss Mary M. TooleMs. Kathleen A. Vander VeldenDeacon
Thomas J. WakenMs. Myra J. WentworthMs. Marilyn Williams
Interview Team EducatorsBro. James F. Adams, FMS, Bayonne, NYMr.
Robert J. Barnes, Woodruff, WIMs. Annette Castello, Venice, FLMs.
Cathy Connelly, Columbia, SCMs. Camelia L. Hanemann, Milwaukie,
ORMs. Judith A. Shemkovitz, Cleveland, OHDr. Jane W. Smith,
Site CoordinatorsDr. Susanne Chawszczewski, NACC,Milwaukee,
WIMrs. Catherine S. Colby, Providence St.Vincent’s Medical Center,
Portland, ORMs. Kathleen Eldridge, NACC, Milwaukee, WISr. Mary A.
Gallagher, OSF, St. ElizabethMedical Center, Brighton, MAMrs. Angie
F. Vorholt-Wilsey, DePaulHospital, Bridgeton, MO
The NACC wishes to thank thefollowing members who made
thecertification weekend possible:
Thank you to our volunteers
6 Vision January 2008
Different settings — acute care, long-term care, psychiatric,
ER, hospice — havedifferent needs. Sr. Hanlon said that herstudents
have taken the model she taught toother systems, but “a lot depends
on theleadership of your department” as to whatformat is used. Some
places, she said, simplyput a sticker on the folder to indicate
thatthe chaplain visited or that the patientreceived a sacrament —
“and that’s what anurse will look at, at 1 o’clock in
At her previous job at The Hospital of St.Raphael in
Connecticut, Sr. Hanlon heldquarterly “charting field trips,” for
everyonein the pastoral care department to review.She would take 10
charts at random fromeach unit and check the percentage that
hadbeen visited by a chaplain and thepercentage that had
substantial charting notes. It was achance for the emergency-room
chaplain to learn how theob-gyn chaplain worked, and vice versa,
and for everyone toshare good or bad examples.
“Charting is about communication in general,” saidGeorge West,
director of chaplain services at St. John’sRegional Medical Center
in Oxnard, CA, and St. John’sPleasant Valley Hospital in Camarillo,
CA. His staff, he said,has learned to chart both for one another
and for otherdepartments. Internally, for instance, they might say,
“Thepatient is not in touch with her/his mortality,” but to
themedical staff they might say, “The patient expects to returnto
Fr. Royston said that training the nurses at O’Connor tofill out
the spiritual assessment grid has “made a hugedifference in terms
of nurse involvement and patientsatisfaction.” Nurses find it
helpful to know more of thepatient’s background, he said, and “no
other place in thechart are most of those things recorded.”
The “spiritual risk assessment” form at O’Connor askstrained
nurses or pastoral visitors (community clergy ortrained volunteers)
to identify factors in the patient’sphysical, mental or spiritual
condition that could put them atrisk for a crisis. Fr. Royston
inputs the results into a databaseand assigns his four full-time
chaplains to visit the high-riskpatients. If someone is emotionally
unstable, or has anegative diagnosis, or broken family
relationships, it’s helpfulfor the chaplain to know in advance
“Pastoral visitors have no business looking at the
medicalsection” of a chart, Fr. Royston said, but the
professionalchaplains sometimes find it useful background and
asupplement to what patients tell them directly.
Space for notes is limited, because “we didn’t want
peoplewriting the wrong things,” Fr. Royston said. “We can’t
saythat a patient seems depressed. We’re not qualified to
makepsychiatric evaluations.” But for major, intense,
unusualmeetings, O’Connor Hospital’s chart has a half-page leftopen
At Mercy Fitzgerald Hospital in Darby, PA, Sr. AngelaFellin,
RSM, prefers that her department do the initialspiritual
assessments. “99 percent of patients don’t knowwhat a chaplain will
do for them,” she said. If a nurse isasking the questions, “it
scares them.” But she and her fourpart-time priests manage to see
every new admit in keydepartments – ICU, emergency room, cardiac,
As the only certified chaplain on staff, Sr. Fellin hastrained
the part-time priests to record their work on a paperform adapted
to their own purposes. (Mercy Fitzgerald isgoing electronic, but it
is not friendly to pastoral care so far:“We have to go through
about 10 screens.”)
The form, which is filed directly with a patient’s
progressnotes, provides a checklist in which the chaplain can fill
in asmany boxes as needed (e.g. “guilty,”
“grieving/sad,”“anxious/fearful,” “resistant”) and also a space for
Teaching her coworkers is an ongoing process. “At
everydepartment meeting, I go over some aspect of charting,”
shesaid. She also sits on a hospital committee that reviewspatient
charts and gets a look at the bigger picture.
Interacting with other departments can also be promotedby using
their charting system. The pastoral care departmentat Central
DuPage Hospital in Winfield, IL adapted thehospital’s McKesson
system to include chaplaincy. “We said,What’s the purpose of doing
this?” said chaplain Karen
A screen from Mount Carmel Health System in Columbus, OH
ChartingContinued from page 1
Pugliese, BCC, “and it was to work with theinterdisciplinary
team.” So chaplains askednurses what was most important to them
inthe chaplain’s spiritual assessment of thepatient, and asked
themselves what spiritualinformation gleaned by the nurses was
mostimportant to them.
Questions were added to the electronicPatient Needs Assessment
for nurses to askall their patients if they wish to see achaplain,
to receive Catholic Communionand anointing, or to notify their
church.Nurse documentation of the responsesgenerates reports for
the pastoral caredepartment.
The spiritual care section of the electronicmedical record now
has checklists for thechaplain to complete afterward identifyingthe
referral source (patient, family, staff orother chaplain), when the
initial spiritualassessment was completed by the chaplain,whether
the spiritual needs were identifiedand met, and whether there is an
ongoing plan of care (forexample, spiritual distress, end-of-life
issues, emerging crisis,ethical moral concerns.)
Narrative windows, where the chaplain writes a succinctsummary
of the encounter, are not for revealing a patient’sconfidential
fears about God, death, or abandonment, but togive a general sense
of their state of mind. If, for instance, apatient asks a chaplain
to help with life review, it’s a signalthat the person knows he is
dying – important informationfor the doctor or nurse.
During the ten years that Michelle Lemiesz, BCC, hasbeen at
Mount Carmel Health System in Columbus, OH,spiritual care charting
has moved to a medical format, withassessment, plan of care, and
outcomes using the HBOCCare Manager system.
Chaplains at Mount Carmel educate and assist patients infilling
out advance directive forms and indicate the outcomeof the visit
with check-boxes in order to inform the patient-care team that the
referral has been completed. The chart canshow which forms the
chaplain gave the patient, and whatthe patient’s response was (not
interested, thinking about it,consulting with family, etc.)
Mr. West said that St. John’s advance directives arecharted
separately and open for all care staff to review. Thetreatment
limit/no code status of the patient appears in theMisys system in
the same icon that alerts caregivers toallergies — i.e. noting a
treatment limit. Advance directivesare a primary responsibility for
St. John’s chaplains, as well ascharting family conferences and
affirming code status orders.
Mount Carmel’s system allows chaplains, case managers,social
workers, and nurses to refer needs and observations toeach other.
“It allows each discipline to have a paper trail,”
Ms. Lemiesz said. If, for instance, a patient mentions arecent
death in his family, the nurse will refer the patient tochaplaincy
for a follow-up assessment. Doctors routinelyorder chaplain visits
as part of the patient’s care, andstandard orders of care exist for
some diagnoses (stroke,amputation, new diagnosis of cancer). The
physician willread the chaplain’s assessment and include them in
the planof care for the patient as needed.
Ms. Lemiesz said that 95 percent of the charting done
bychaplains will contain at least some narrative, “short andsweet
and pertinent.” Any line in the charting system can beclicked to
bring up a box to type in comments. When thedocument is saved, it
will produce a color code to show it hasbecome a permanent part of
“It’s important to have a good working relationship with
aspecific IT person who understands what chaplains do.” saidMr.
West. “Charting is basically a common task for us all,but it is a
very complex subject with many opinions andsystems.”
January 2008 Vision 7
A screen from St. John’s Regional Medical Center in Oxnard,
What do you think? We have gathered information from half a
chaplains for this article, but there are nearly 3,000 ofyou in
the NACC — and as you know, charting is a fieldwith many approaches
and not a great deal of consensus.
We would like to continue this discussion online inthe coming
weeks and months. If you have ideas toshare, please e-mail them to
email@example.com. Wewill post them on our website and give you
updates onnew developments through NACC Now.
8 Vision January 2008
By Mary Johnson
Acolor guard, the national anthem, lots of supporters– what had
drawn this much attention to twowomen in a swimming pool? We were
planning to swim for 24 hours straight, and it
was a good cause: the 2007 Silent No More Swim to raiseawareness
about and research funds for ovarian cancer. Buteven so, I got
choked up during the national anthem. Irealized that everyone was
singing along with therecording and most had their hands over their
hearts. Itwas very moving.
Claire Casselman and I had a history of “unusual”swimming
events. In 2004 we swam nearly 50 kilometersdown the Missouri River
to celebrate my 50th birthday.Now, here we were about to embark on
another swimmingodyssey. We aren’t extreme athletes, but we had
theadvantage of a compelling cause. We knew we would bemotivated if
we kept our focus on the women diagnosed
with ovarian cancer as well as the need forongoing public
education about the disease.
Claire had flown in to Rochester, MN, thatmorning from Ann
Arbor, where she works asa clinical social worker at the University
ofMichigan Comprehensive Cancer Center.People began gathering by
the pool about anhour beforehand. They were our friends,
ourco-workers, ovarian cancer advocates, curiousonlookers, members
of the public who hadread about the event in the local
and a sprinkling of surviving spouses.After the Color Guard
retired, we jumped into the
water. All of our supplies sat by the edge of the pool:flippers,
kickboards, towels, extra goggles, and bottles filledwith a mixture
of water and electrolyte replacement.Medical personnel were also
there, watching over us,encouraging us to drink and eat on a
regular basis, andgiving shoulder massages during our breaks. When
Claireand I signaled our readiness, the lifeguard blew a whistleand
we started swimming. I was all pumped up onadrenaline. I had to
remind myself to relax and slow down.It was important that I get
into my “zone.” Mostswimmers can achieve an automatic pilot that
allows us tofree our minds. It is possible to actually forget we
areswimming. That is where I wanted to go.
Ovarian cancer is a significant health issue in NorthAmerica,
with over 25,000 women in the U.S. and 1,200women in Canada
diagnosed each year. Unfortunately,approximately 75% of women have
advanced disease at the
time of diagnosis. The five-year, disease-free survival ratefor
women diagnosed with advanced ovarian cancer is lessthan 20%,
according to the Mayo Clinic Guide to Women’sCancers.
One patient advocacy group that raises funds forovarian cancer
research is the Minnesota Ovarian CancerAlliance (MOCA). Since its
founding in the late 1990s,MOCA has provided substantial grant
funding toinstitutions in the state of Minnesota conducting
researchin ovarian cancer. In 2003 I was fortunate to receive aMOCA
grant for a study titled, “The use of a spiritualintervention to
enhance mood states, spiritual well-beingand quality of life in
women with recurrent ovariancancer.” I have come to admire the work
of MOCA andwas looking for ways to contribute to their mission,
sincepart of my clinical focus is women with ovarian and
othergynecologic cancers. The marathon swim project seemedlike a
great approach to awareness-raising.
So in 2006 I swam a 12-hour marathon by myself. Ijumped in the
water at 5 a.m. on a Friday without fanfare.I swam for 50 minutes
out of every hour until 5 p.m. Weraised awareness — and almost
$1,000 an hour. I felt greatat the conclusion and only slightly
With confidence from that experience, I began the 2007swim. My
plan was to take it one hour at a time. I hadasked my chaplaincy
colleagues to pray that my heartwould be open to God’s grace. This
grace had sustained meduring the 2006 swim, making it seem almost
But during the 24-hour marathon, I was showered withdifferent
kinds of grace, in ways I might not have thoughtI wanted, but never
The first several hours of swimming were exhilarating. Ifelt
strong and hopeful. I worked to maintain a here-and-now focus,
instead of giving in to the temptation ofimagining the finish
before I had reached it. Many peoplestopped by the pool to cheer us
on. Among them werebreast and gynecologic cancer patients who had
come to anannual conference hosted by the Mayo Women’s
CancerProgram. They had heard about the swim and showed upat the
pool to provide moral support. I knew several ofthem, and their
presence was very motivational.
Claire and I planned to swim at the same time, but nottogether.
We have different approaches to working out. Iwanted to plan each
hour carefully and to execute thatplan, almost like a job. We would
both swim for 45minutes and take the last 15 minutes of the hour to
get outof the pool, do our self-cares, and refresh before
beginningall over again. Replacement swimmers were scheduled tokeep
the laps going during our breaks.
During the 24-
hour marathon, I
kinds of grace
Marathon swim’s unexpected outcome full of grace
I planned to begin each hour with a vigoroushalf-mile swim and
then spend the rest of thetime on a kickboard, moving back and
forthusing flutter, scissor, and whip kicks. When usingthe
kickboard, I could chat with people whowould walk alongside of the
pool. It was a wayfor us to get support and for our many visitors
tobecome a part of the total effort.
But I began to have difficulty after about 10hours of swimming.
I couldn’t keep up with therequired fluid intake and became
dehydrated.One might think that hydration isn’t an issue
forswimmers, but a powerful process of dehydrationtakes place with
vigorous activity in the water,and the fluid has to be replaced or
weakness,light-headedness, nausea and lethargy set in. Itried to
recover, pushing fluids and trying to eatbites of high-sugar foods.
Despite my efforts, I fellbehind. As I grew weaker, swimming became
adaunting challenge and each lap became a majoreffort.
After about 12 hours of swimming I began to havedifficulty
keeping fluid or food down. Hypothermia beganto set in as my body
struggled to warm itself. The samewater that felt tepid at the
start of the swim now felt ice-cold. I battled through the next
three hours or so, tryingto keep up with hydration, but I fell
farther behind witheach passing hour. At the 15th hour I was taken
to theEmergency Department and received several liters
As my difficulties increased, my need for medicalsupport
increased as well. In the middle of the night Ifound myself
surrounded by three physicians and twoadvanced practice nurses,
none of whom were scheduledto be at the pool at the hour when my
need was greatest.When it became all too apparent that I had gone
beyondthe point where the situation could be salvaged, theyarranged
for my visit to the hospital. One of them, apsychiatrist and a good
friend, accompanied me andstayed with me until my treatment was
complete. Michael,Sally, Mary, Lanie, Karin, and Jeff were
And during my struggles, Claire quietly kept onswimming. She was
a machine. She maintained anamazing focus and successfully
completed all 24 hours ofthe marathon. She was able to keep herself
fed andwatered properly, and she had an hourly ritual during
eachbreak that allowed her to maintain her drive and preparethe
next hour. Her body maintained its stamina
throughout and she finished the project for us, to thecheers of
the crowd. Claire was also grace.
Later, one of the ovarian cancer survivors handed me acard. In
it she had written the following expert advice:“Sometimes things
don’t work out as you had planned.Barriers are thrown in your way.
So you just learn to acceptthe barriers.” For me, accepting the
barriersmade it possible for me to receive the love andcare I so
desperately needed. Those words ofencouragement were grace.
When I was being taken to the hospital, anumber of people tried
to comfort me aboutnot being able to meet our goal. As wewalked
toward the door I suddenly realizedthat the pool had four swimmers
at 3 a.m.There were volunteers everywhere. Therewere medical
support people by my side, eventhough they were not scheduled to be
with usat 3 a.m. I remembered that I had prayed for grace
andrealized, at that moment, that I had really been praying tobe
able to complete this goal by myself. But grace came inthe form of
multiple champions, equally invested in thegoal and generously
giving of their time and effort. Thiswasn’t a failure. This was a
victory, and I was overcomewith gratitude.
Mary E. Johnson, BCC, is Assistant Professor of Oncology atMayo
Clinic College of Medicine and Coordinator of Educationfor Mayo
Chaplain Services. firstname.lastname@example.org
January 2008 Vision 9
barriers made it
possible for me
to receive the
care I needed
Mary Johnson (right) and Claire Casselman get ready for their
epicswim to raise money for ovarian cancer research.
10 Vision January 2008
By Richard J. Petts
Becoming a parent dramatically changes one’s life. Havinga child
may have an especially profound effect on men’slives, leading men
to settle down, reevaluate theirpriorities in life, and become more
committed to their families(Snarey 1993; Wilcox 2002). However,
facing these challengescan be difficult. Many men have no
experience in raisingchildren, causing new fathers to search
outside sources forparenting support and guidance on how to become
a goodfather. One important resource available to new fathers
isreligion, and chaplains are in a unique position to help
providethe support that new fathers may be looking for.
My research suggests that many men increase theirinvolvement in
religion after the birth of a new child (Petts2007). New fathers
may turn to religion in order to findmeaning and significance in
this life event. Fathers may alsorely on religious institutions for
guidance in raising children,and this guidance may be especially
important for men who are
having their first child. Because religiousinstitutions and
families are interdependent onone another, churches areoften a
primary source ofsupport for new parents,and religious leaders
shouldcontinue to focus onministries that help newparents to be
involved intheir children’s lives.
Results from my study also suggestthat attending religious
services is linked to
higher levels of father involvement (Petts 2007).
Religiousteachings may prepare men for the responsibility of
raising achild and help them to find meaning and purpose in this
lifeevent. Religious involvement appears to be especially
importantfor first-time fathers, who may be more reliant on
churches tohelp compensate for their lack of experience in raising
a child.In contrast, men who stop attending religious services or
attendreligious services less frequently after the birth of a child
areless likely to be highly engaged in their children’s lives.
Overall,these findings suggest that religious participation may
help topromote parent-child interaction and involvement, and
perhapsimprove overall family cohesion.
By being available to new parents throughout the time
ofpregnancy and childbirth, chaplains have a great opportunity
toprovide the religious support that fathers may be looking
for.Scholars argue that parenthood may increase one’s desire toturn
to religion even if they were not religious prior to having achild
(Berman 1968). Therefore, chaplains should strive tomake themselves
available and open to providing religiousteaching and guidance to
individuals who are making thetransition to parenthood.
Support from chaplains may be especially important
forunderprivileged populations. My study was conducted among
urban parents, a population characterized as having high ratesof
out-of-wedlock births and relatively low levels of income.These
individuals likely do not have access to the same pre-and
post-natal resources as wealthier parents, making themmore likely
to turn to free sources of support such as religiousinstitutions.
Because exposure to religion seems to play animportant role in
encouraging parents to become involved intheir children’s lives, it
is essential that chaplains extend awillingness to help and support
men in these areas who may beseeking out religion for guidance in
raising children anddealing with this major life change.
Exposing new parents to religion and encouraging them tobecome
involved in a religious community may have aprofound effect on
children. High rates of divorce, non-maritalcohabitation, and
single parenthood (especially among poorand minority populations)
leave many children at adisadvantage because they are not able to
receive social andeconomic support from two parents. Since
religiousparticipation appears to increase the likelihood that
fathersbecome involved in their children’s lives, getting new
fathersinvolved in religion from the start may help to counteract
of the problems facing many Americanfamilies today.
By helping new fathers find meaningand importance in parenthood,
chaplainsmay be able to encourage fathers to developstronger family
commitments and increasethe likelihood that they provide support
totheir children. Research suggests that even
among nonresident fathers, interaction with children
increasesthe likelihood that fathers provide vital social and
financialsupport to children. Moreover, fathers who are involved
earlyon in their children’s lives are more likely to stay involved
astheir children get older (Aldous, Mulligan, and Bjarnason1998).
Thus, chaplains may be able to (a) indirectly increasethe financial
well-being of disadvantaged families by providingreligious guidance
and support to new fathers; and (b) increasethe likelihood that
fathers remain engaged with their childrenthroughout their
It is important to note, however, that simply identifyingwith a
religious denomination may not provide the samebenefits as active
religious involvement. Therefore, chaplainsshould not only provide
religious support to new fathers, butshould also actively encourage
them to get involved in areligious community. Active participation
in religious servicesmay provide new fathers with a sense of
community and socialsupport, which may increase family commitments.
In addition,religious institutions encourage families to attend
servicestogether as well as provide programs and resources to aid
inchild-rearing. Being immersed in such an environment mayallow new
fathers to become more effective parents, which mayultimately
improve the well-being of parents, children, andfamilies.
Overall, my research on the influence of religion on new
Religious participation encourages father involvement
Chaplains may be
able to encourage
fathers to develop
January 2008 Vision 11
fathers has important implications for chaplains.
Religiousparticipation is associated with higher levels of
fatherinvolvement, and many new fathers increase their
religiousinvolvement after the birth of a new child. Chaplains
should beaware of the questions and struggles that men may have
whenbecoming a new father and make an effort to provide
religioussupport to men who are making this transition.
Chaplainsshould also encourage new fathers to become active in a
religiouscommunity as a way to gain increased religious support as
well aslearn about child-rearing practices and ways to pass on
religioustraditions to children.
One effective strategy may be to establish partnerships
withlocal churches to assist in supporting new fathers.
Suchpartnerships may help to ease the transition of shifting from
aone-on-one support system between a chaplain and new fatherto a
community-based social support system within a religiouscommunity.
Perhaps most importantly, increasing fathers’religious involvement
may help to improve family stability andcohesion, increasing the
likelihood that children are raised bytwo parents (regardless of
whether the parents live together).Chaplains may be able to play a
primary role in fostering thisreligious involvement because of
their accessibility to fathers atthe time of childbirth, and should
make themselves available to
new fathers who are searching for religious guidance
Richard J. Petts is a PhD. candidate in sociology at The Ohio
StateUniversity in Columbus, OH. email@example.com
ReferencesAldous, Joan, Gail Mulligan and Thoroddur
1998. “Fathering over time: What makes a difference?”Journal of
Marriage and Family 60:809-820.
Berman, Louis A. 1968. Jews and Intermarriage. NewYork: Thomas
Petts, Richard J. 2007. “Religious Participation,
ReligiousAffiliation, and Engagement With Children Among
FathersExperiencing the Birth of a New Child.” Journal of
Snarey, John. 1993. How Fathers Care for the NextGeneration: A
Four-Decade Study. Cambridge: HarvardUniversity Press.
Wilcox, W. Bradford. 2002. “Religion, Convention, andPaternal
Involvement.” Journal of Marriage and Family64:780-792.
Name: Alan E. BowmanWork: Catholic Health Initiatives, Vice
President, Mission Integration.NACC member since: 1985 Volunteer
service: Board of
Directors, Standards and Certificationcommissions; regional and
nationalconference presenter; conferenceplanning; USCCB/CCA Board
aswell as with APC and ACPEroles. Volunteering is always an
opportunity for me to give back to the organizations andmembers
who have blessed my ministry.
Book on your nightstand: Thomas Merton: SpiritualMaster edited
by Lawrence Cunningham, and The 101Dalmatians by Dodie Smith to
read with my daughter.
Book you recommend most often: The Wounded Healerby Henri Nouwen
and Good Grief by Granger Westberg
Favorite spiritual resource: Centering prayer and
Favorite movie: watching Wild Hogs with family and
friendsFavorite retreat spot: Rocky Mountains National ParkFavorite
fun self-care activity: Riding a motorcycle in the
Rocky Mountains, enjoying the beauty of God’s creationPersonal
mentor or role model: Fr. Jerry Broccolo and
Rev. David MiddletonFamous/historic mentor or role model: Henri
NouwenWhy did you become a chaplain? My grandfather and
uncle both died from cancer, and I was searching
forunderstanding and desired to learn more about how God
journeys with those who are suffering.Why do you stay with the
NACC? NACC is a very
important part of my professional networking. It is where I
enjoyopportunities to pray, learn, celebrate, and contribute with
otherswho are committed to compassionate and
Why do you volunteer? It truly is in giving that wereceive. When
I volunteer with NACC, I not only enjoythe opportunity to share
what I have learned with others,I also enjoyed the opportunity to
learn with and fromthose who volunteer with me. I have
developedrelationships with people who are kindred spirits on
thisjourney to open ourselves more fully to God’s presenceand to
invite others to join us on the journey.
What volunteer activity has been mostrewarding? Each volunteer
activity builds upon priorexperiences and expands my understanding
and appreciation forthe healing ministry. Serving on Certification
encourages myhope for the future of NACC as I see talented,
compassionateand diverse professionals join NACC. Serving on the
Boardbroadens my appreciation for the diversity of ministries
andservices that NACC comprises. Serving on Standards renews
myrespect for professional criteria in preparing those who will
servethe ill and suffering. Offering workshops deepens
myunderstanding and appreciation for those who are dedicated
toeducation and formation. All of the volunteer activities
withinNACC facilitate opportunities to build lasting relationships
withothers who share a belief and commitment to the healingministry
that we offer on behalf of the Church and for the sakeof God’s
VOLUNTEEROF THE MONTH
Alan Bowman prays, learns, celebrates with NACC
12 Vision January 2008
By Lawrence VandeCreek
Chaplains provide ministry to family members of patients.The
family members of those admitted with criticalinjuries or illnesses
merit special attention, because theseexperiences leave a lasting
impact. But how, exactly, can thatexperience be characterized? If
chaplains and parish clergy knewthat, they could more deliberately
tailor their care. That was thepurpose of the research article
The author of this study invited family members to providean
in-depth description of their feelings and thoughts somemonths
after the experience. She taped their descriptions,
beginning the session by saying, “Would youplease describe for
me the experience ofhaving your family member admitted to
thehospital suddenly during a medical emergencyin as much detail as
you can remember?” Shethen simply let the family member talk.
Aftertranscribing the interview, she read and rereadthe material
until the essence of thatexperience was clear. The author continued
tointerview family members of other patientsuntil no new
characteristics central to theexperience emerged from the
required interviews with a family member of six patients,
andeach is briefly described in the article.
What were the results? In general, the “roller-coaster
ride”metaphor described the experience. “Participants described
greatups and downs, no control over a terrifying experience, and
therecognition that they had no choice but to wait until the
rideended on its own.” Ten themes emerged from the narratives
thatdescribed this ride.
Theme 1: The inability to feel. Shortly after they arrivedat the
hospital, participants felt that the experience was unreal.One
said, “I was numb” and another stated, “My mind was verymuddled.”
This, however, soon ended.
Theme 2: Terrified waiting. Thoughts and feelings soonreturned.
Waiting, worrying was all there was to do. One stated,“All I could
do was sit there with my thoughts. It was horrible.There was
nothing I could do except sit there.”
Theme 3: Understanding the unspoken. The familymembers all
understood more than what hospital personnel said
to them. One said, “I could see it. I knew something was
wrong.No matter what they said, after I saw the look on their
faces,they couldn’t make me feel better.”
Theme 4: Controlled information seeking. Some familymembers
wanted no information; others wanted a verycontrolled amount and
type of information. One said, “Whenthe doctor started listing all
the operations that they had to doand what he was going to have to
go though, I was very upset.… I think the details scared me.”
Theme 5: Protecting others. Participants protectedothers,
primarily children and the patients, from what they
wereexperiencing. One said, “So for the kids, I always tried to
bepositive.” Another stated, “I would schedule my cries.”
Theme 6: Isolated and alone. The participants wereaware that
they alone were experiencing these intense feelings.One said, “It’s
like you are driving along the highway … witheverybody else, and
then (someone) tells you to get off at thenext exit, … and now you
are all alone on a road by yourself,with no funds, no lights, no
Theme 7: The busy mode. Participants sought relief bystaying
busy. “I needed to rake, so I raked acorns. I rakedthousands of
acorns ... My house gets very clean and my yardgets very
Theme 8: Fighting the system. Participants recalledstruggling
with bills. One said, “Green is the issue, and no oneis
Theme 9: The saturation point. Each participantdescribed the
physical and emotional toll of the experience. Onesaid, “I reached
the saturation point after about three months,and I started taking
medication for anxiety and depression.”
Theme 10: A new normal. Each became aware that therewas no
return to the old status quo. One said, “You have toestablish a new
normal and you have to live with the fact thatthere is a new
The author discusses nursing implications of these
findings.However, chaplains will have little difficulty in
drawingconclusions relevant to their ministry.
Reference: Joyce S. Fontana. 2006. A Sudden, Life-Threatening
Medical Crisis: The Family’s Perspective. Advances inNursing
Science, 29(3), 222-231.
Larry VandeCreek, BCC, is a retired APC chaplain living in
Bozeman,MT. This article originally appeared in the APC News.
Study finds stages of families in medical crisis
In general, the
Prayers for Healing
If you know of an association member who is ill and needsprayer,
please request permission of the person to submit their
name,illness, and city and state, and send the information to the
Visioneditor at the national office. You may also send in a prayer
requestfor yourself. Names may be reposted if there is a continuing
Ellen RaddayArlington, VAHead injury
January 2008 Vision 13
By David Lichter, D.Min.Executive Director
In the early months of 2007, the NACC and Catholic
HealthAssociation, under the leadership of Rev. Tom Landry forNACC
and Brian Yanofchick of CHA, began to plan aPastoral Care Summit.
The goals were ambitious, but vital tothe profession of pastoral
care: to establish a vision,benchmarks, standards, and metrics to
measure effectiveness ofpastoral programs with the healthcare
While NACC and CHA co-sponsored the event, AlegentHealth in
Omaha was the gracious host when we gatheredOct. 22-24. They also
enlisted Right Track services for theDecision Accelerator process
with Stu Winby as leader,facilitator and process designer for the
For those not familiar with Decision Accelerator and theRight
Track facility, the process is an intensive collaborativeactivity
designed to “accelerate” the group’s thinking, planning,and
decision-making. Along with Stu, Christopher Fullertonwas the
graphic designer, capturing and synthesizing thecontent with key
words, images, phrases, and themes on whitewalls. He was masterful
in helping us visualize what we werediscussing and advancing our
work. Other support stafftranscribed conversation and photographed
whiteboards andour groupings. At the end of the planning, Right
Track createda website for the content of the summit. CHA and
NACCthen further transcribed the photographed whiteboards.
The invitation list included representatives from
seniorleadership in Catholic health systems, including
missionintegration executives, experienced practioners (chaplains
anddirectors of pastoral care), the Spiritual Care
Collaborative,researchers, measurement specialists, graduate
programs inministry, and ecclesial leaders. More than 100
invitations weresent out. Our working group was more than 50, but
many whocould not participate due to prior commitments want to
bepart of the follow-up activity. Those who participated
arecommitted to see the process through.
We spent some initial time mapping out past and futureinfluences
on the pastoral care environment. Participantsapproached a
whiteboard and added their wisdom to map. Thegroup noted several
future marks such as: professionalstandards of practice, more
accountability, more distancelearning and technology to train
supervisors, leadershipcompetencies, ethics expertise, research and
publication, andresource sharing.
The group then divided into diverse perspective groups andlooked
at various articles to offer us some “best practice”information on
the field of pastoral care. Each of us read anarticle or two, then
shared the highlights to broaden ourknowledge base.
This all led us to the exercise of envisioning a best
practice2017 vision of pastoral care in healthcare. We had to
articulatea storyline for a particular publication, whether Health
Modern Health Care, USA Today, The New York Times, or
others.This was an inventive exercise that helped us express
wherepastoral care and chaplaincy needed to go. We ended day
oneboth tired and enlivened, with an overview, big picture
ofpastoral care and chaplaincy. Now we were anxious to getworking
On day two, we self-selected our groups based on ourinterest:
educational tracts/credentialing, staffdevelopment/composition,
recruitment, metrics, care services,information technology
resources, and financial resources. Eachgroup identified the key
components of its respective area.Then one person presented the
work to the other participantsand sought further insights from them
as they migrated fromgroup to group. This added further depth to
The groups were then asked to further refine the results
andgenerate both a short-term and long-term (three-to
five-yearhorizon) action plan with milestones. On the final
morning, wefurther refined and shared the action plans, and created
This was a first-of-its-kind activity for our profession, as
wehad representatives from so many systems and hospitals. Do wehave
a vision? We have the beginning of a shared vision thatwill need to
be further tested and refined in our diversesettings.
Do we have benchmarks? Many diverse benchmarks wereidentified.
However, we have follow-up work to summarizeand prioritize
Do we have standards? Many systems have standards forpastoral
care; some do not. We sensed a commitment onparticipants’ part to
share what they have and to work towardsome common standards in
collaboration with the SpiritualCare Collaborative, but we do not
want to reinvent the wheel.It would be best for all if systems with
established standardsmake their work available as a baseline for
Do we have metrics to measure effectiveness of pastoralprograms
within the healthcare industry? The metrics groupstrove to develop
a question that could be used in healthcaresurveys, such as Press
Ganey. These groups took the initiativeto self-organize and
committed to a series of monthly meetingsto identify these
So, did we achieve the objectives? I believe every
participantwas disappointed that we did not get as far as we
hadanticipated. However, everyone left committed to continue
theimportant work that was begun. As one participant expressedit,
“We can’t do this alone or as isolated systems. We have to dothis
Yes, the steaks are good in Omaha. However, the stakeswere high
at this summit, and they remain high. Participantsfrom healthcare
systems invested tremendous human andfinancial resources into those
days. NACC and CHA arecommitted to see that the objectives of this
summit will bemet.
Summit identifies goals for future of pastoral care
14 Vision January 2008
By Carey Landry
Who are we called to be as pastoral and certifiedchaplains
within the Roman Catholic Church?What are the challenges we face in
relating to thewider Church in this day and time? How do we bring
ourmany gifts and talents to the service of the whole Church?How do
we support each other as NACC members in theongoing issues that we
These are some of the questions that the 2008 NACCNational
ConferencePlanning Committeehad to work throughduring
ourteleconference meetingslast fall. As a first-timeparticipant in
an NACCnational conferenceplanning session, Ilistened intently to
thosemore experienced. It feltsimilar to my experienceas a pastoral
musician —in that role, I have hadto become adept atreflecting on
thereadings of a givenSunday, then looking forhymns and songs
thatinterpret and enhancethose readings. In muchthe same way,
whileissues were being raised,the song “Sing a NewChurch” began to
cometo mind, especially the beginning words of the refrain: “Let
usbring the gifts that differ, and in splendid varied ways, sing
anew Church into being…” It seemed to resonate with thegroup, and,
ultimately, we fine-tuned the words into ourConference theme.
Very real challenges confront many of us in our
hospitals,prisons and other places of ministry. In the midst of
thegraced moments and challenges of our ministry, we recognizenot
only the diversity of our own many splendid gifts aschaplains, but
that we work amidst remarkable co-workersand within a larger church
enriched by diverse roles and gifts.
No three- or four-day conference can solve the majorissues
facing us. But we can support each other in “splendidvaried ways,”
and that is our hope for the 2008 conference.We want to look at our
ministries as both GIFT andCHALLENGE, and nationally known speakers
will beaddressing four key questions in our plenary sessions:
Rev. Kenan B. Osborne, OFM, will speak to: How is oursacramental
life a gift and foundation to our ministry?
Rev. Richard M. Gula, SS, will address: In light ofCatholic
values and ethics, what gifts and responsibilities dowe bring to
our ministry that are unique?
Carolyn Osiek, Ph.D., will offer her thoughts on: In lightof our
ministry, what does Scripture teach us about ourprophetic
Sr. Jamie T. Phelps, OP, will discuss: Where are we
beingchallenged to grow in ourministry?
Again this year, manydifferent workshops will beoffered.
Committeemembers have suggested anumber of different topics,such as
clinical ethics,mental health, diversity,outcomes, palliative
care,end-of-life decisionmaking, mission servicesand pastoral care,
pediatriccare, spirituality, basicteaching and presentationskills,
promoting andmarketing pastoral care andourselves, to name a
One very significantdecision made by thePlanning Committee is
tocreate a separate timeduring the 2008Conference for NACCworkshops
certification or interviewer training) to leave members free
toattend other workshops.
I have been given the responsibility of preparing andleading the
music for the 2008 Conference. I am grateful forthis opportunity,
as it blends my ministry as a board-certifiedchaplain over the past
twelve years and my ministry in musicover the past 40 years. I am
looking forward to providing veryjoyful, hope-filled music of the
Easter season during ourEucharistic celebrations and prayer
services, and quietlyprayerful music when we gather for our
Come and join us on April 5 through 8, 2008, in my hometown of
Indianapolis, IN. Let us all come together with ourmany different
gifts and talents to support one another inministry “in splendid
Carey Landry, BCC, is a chaplain at St. Vincent
IndianapolisHospital in Indiana. firstname.lastname@example.org
Conference to look at ministry as gift and challenge
Indianapolis, IN l April 5-8, 2008
January 2008 Vision 15
Adistinguished member and a distinguished friend ofthe NACC will
be honored at our conference inIndianapolis this spring, as the
association reinstatesthe practice of annual awards after a
Ira Byock, MD, will be honoredwith the Outstanding
ColleagueAward, given to a person or groupoutside the NACC who
supportsthe NACC or the field of ministry,and Deacon Arthur Metallo
hasbeen selected to receive the NACC’sDistinguished Service
Ira Byock is the chair ofpalliative medicine at DartmouthMedical
School; director ofpalliative medicine at Dartmouth-
Hitchcock Medical Center; and a professor in thedepartments of
anesthesiology and community and familymedicine.
He has been involved in hospice and palliative care sincehis
residency in 1978, when he helped found a hospice homecare program
for the indigent population of Fresno, CA. Heis a past president
(1997) of the American Academy ofHospice and Palliative Medicine.
During the 1990s he was aco-founder and principal investigator for
the MissoulaDemonstration Project, a community-based organization
inMontana dedicated to researching and transforming the end-of-life
experience locally, as a demonstration of what ispossible
nationally. From 1996 through 2006, he served asDirector for
Promoting Excellence in End-of-Life Care, anational grant program
of the Robert Wood JohnsonFoundation.
Dr. Byock has authored numerous articles on the ethicsand
practice of hospice, palliative and end-of-life care. Hisfirst
book, Dying Well, has become a standard in the field. Hehas been an
advocate for the voice and rights of dyingpatients and their
families. His most recent book, The FourThings That Matter Most,
(2004) is published by the FreePress.
Dr. Byock has received the National HospiceOrganization’s Person
of the Year (1995), the NationalCoalition of Cancer Survivorship’s
Natalie Davis SpingarnWriters Award (2000), and the American
College of CHESTPhysicians Roger Bone Memorial Lecture Award
(2003). Hehas appeared on numerous national television and
radioprograms, including NPR’s All Things Considered and FreshAir,
ABC’s Nightline, CBS’s 60 Minutes, and PBS’s The NewsHour.
Deacon Art Metallo recently retired from ResurrectionHealth Care
in Chicago, where over 100 chaplains and CPEinterns and residents
throughout the system considered himtheir servant leader. Besides
chaplains, he ably related tovolunteers, staff, administrators,
patients, CPE residents andinterns, clergy, and bishops.
Deacon Metallo was born inChicago and holds degrees
fromMundelein College and LoyolaUniversity. While working as
asupervisor for Jewel Food Stores, hewas ordained to the diaconate
in1974, and shortly afterward becamea chaplain at St. Francis
Hospital inEvanston, IL. FollowingResurrection Health Care’s
purchaseof St. Francis, Deacon Metallo
became director of spiritual services in 1998.In managing
chaplains of various denominations and
faiths, he showed respect for diversity and ecumenism, whileat
the same time modeling the Catholic values. Because of
hisencouragement, manychaplains became certified bythe NACC and/or
the APC.He initiated and developed theRHC system-wide
Art also developed asystem-wide spiritual servicesoperational
policy manual forstaff and helped to integrateand standardize
spiritualservices in all venues: acutecare, long-term care,
retirementcommunities, behavioralhealth, home health andhospice
care in a system thatministers to over 105,000 acutecare patients,
265,000emergency room patients,4,600 nursing home residents,and
1,400 retirementcommunity residents each year.Art justified
chaplain FTEs byapplying mission standards aswell as metrics. He
made surethe chaplains were part of theleadership team at each
facility.His passion for the missionshowed itself in his concern
forproviding the spiritualcomponent of healthcare.
Deacon Metallo retiredfrom Resurrection last fall. Helives in
Chicago and inChandler, AZ, and has threechildren and six (soon to
Art Metallo, Ira Byock to be honored at conference
By Deborah GordonCooper
And still,the world goes on being beautiful…the trees, the water
andthe skyoffering solace,whether we see or not.
Just now, the cloudsbehind the black limbsof the mountain
ashcatch fire in the last lightof the day.
Hope ringsin the delicate throatof a single bird,singing the sun
down,whether we’re listeningor not.
Even as we sleepthe gracious moontraces the sky,keeping the
night-watch…soft spill of lightacross the bed.
Deborah Gordon Cooper,BCC, is a chaplain emeritain Duluth,
Ira Byock, MD
Deacon Art Metallo
16 Vision January 2008
By Michele Le Doux Sakurai
“The patient is a pastor and has lots of support; hewon’t be
needing a chaplain.” Karen, an experiencednurse, was reporting her
observations to me; Pastor Smithhad had visits from family members,
church members,and clergy friends throughout the day. I trusted
Karen’sclinical skills and her intuition; Pastor Smith became alow
priority for my visits that evening. It was a busy shift,and I gave
no thought to him until his wife stopped mein the hall: “You’re the
chaplain, aren’t you? Please, couldyou stop by to see my husband?
But wait until all hisvisitors are gone.”
I saw him at 9 p.m., and he welcomed me. “I am soglad you came
by; I really need to talk to someone. Yousee, I have two small
children, and my treatment isn’tgoing well. I don’t believe I will
survive this cancer, and I
am struggling with where God is. I know myfamily and friends are
trying to beencouraging as they talk about God’s healingpresence,
but that is not what I am feeling.This is so hard for me. I thought
I had faith,but now, I just don’t know. … I’m a pastor,and to speak
of such doubts could underminethe faith of my community. I don’t
darespeak of such things even to my clergyfriends. I don’t know
where to turn.”
Pastor Smith’s dilemma isn’t unique; thisis actually just what
chaplains are trained to handle. Afterfour or more units of CPE, we
develop the skills torecognize spiritual distress. A chaplain
visiting with thispatient, while friends and family were present,
mighthave recognized a disconnect between the faithsentiments of
friends and the response of Pastor Smith(for instance, lack of
verbal response, eye contact,engagement, or nonverbal responses
that would haveindicated his spiritual distress). To see such a
disconnectnot only takes training, but it also requires time. Even
iftrained, most nurses do not have the luxury of time at thebedside
for such assessment. Many nurses, and otherinterdisciplinary team
members, find spiritual assessmentto be outside their expertise.
Providing team memberswith examples of spiritual distress is one
way to helpthem to more easily recognize when this is a problem
forpatients or their families.
Perhaps the most familiar indicator of spiritual distresscomes
in the form of a WHY question, “Why is thishappening to me?” or
“Why does God let this happen?” Apatient or family member asking
“Why” generally islooking less for an answer and more for someone
to heartheir pain and suffering. To be present in this manner
requires time with no interruptions and the discipline tohear
the anguish without needing to fix the dilemma.
When the “Why” question is not adequatelyaddressed, a feeling of
alienation from God/HigherPower can result. Such alienation can
exhibit as anger, “Iwant nothing to do with God,” or “I can’t
believe in a Godwho would let this happen!” or “I’m too angry to
pray.”Alienation can also be experience through a sense ofguilt:
“Am I being punished?” “Some things God can’tforgive.”
For some patients, the religious authorities have notadequately
addressed issues of crisis. Such examplesinclude, “My pastor says
if I had enough faith, I wouldn’t bein this mess.” “The pastor says
I am paralyzed because ofsomething wrong I did early in life.” “My
husband says if Idivorce him, I will go to hell.” “My pastor says
my wife isdying because I haven’t saved enough souls for
In our social context, extended families are no longerthe norm.
People move more, and connection withchurch can become fragmented.
Examples of suchfragmentation include: “I got sick and was moved
into fostercare; I haven’t been to church or seen my pastor for a
longtime.” “My pastor of 18 years has retired, and I just don’tcare
for the new one.” “It’s been so long; I don’t know how topray
Often times crisis can trigger unresolved issues: “Thisis the
third family member to die this year,” or “I thought Iwas over my
dad’s death, but it’s all coming back.” Crisis canalso cause
unresolved conflicts to surface, “I’m estrangedfrom my family; I
have no one;” (son to dying father) “ Youdid this to yourself; it
serves you right!” “My daughter livesout of state, but I don’t want
to bother her;” “My father can’tdie without accepting Jesus as his
In the clinical setting, religion can become a barrier toa plan
of care. For instance, patients who refuse painmedication because
“I need to suffer to get to heaven.” Orsometimes patients or family
members use religiousreasoning to continue heroics when heroics are
futile: “Iknow my mother wouldn’t want to live like this, but in
goodconscience, I can’t just let her go,” or “I believe in
In essence, spiritual distress can be manifested in avariety of
ways; as anger, fear, confusion, grief, anxiety,depression,
despair, desperation, or religiousentrenchment. The questions or
statements need not bereligious in nature. “Is it a sin to want to
die?” soundsreligious, while “I’m tired of living” does not. Yet
bothreflect deeply spiritual issues of despair. Helping staff
tolisten on a deeper level can increase their appreciation
ofspiritual care’s complexity, as well as of chaplains’distinctive
skills, and hopefully increase referrals tochaplains.
Chaplains help the team assess spiritual distress
January 2008 Vision 17
Ultimately, we as chaplains are the ones who must educatestaff
regarding what competent spiritual care entails. All spiritualcare
requires a sensitivity to professional and personalboundaries. One
of a chaplain’s roles is to articulate to staff whatthese
boundaries entail, while at the same time honoring the
gifts that staff members bring to the bedside - for
indeed,spiritual care is a shared ministry.
Michele Le Doux Sakurai, D.Min., BCC, is Trinity Health
2007-08 mission fellow in Boise, ID. MICHSAKU@sarmc.org
Even when interdisciplinary team members are skilledand feel
comfortable addressing the spiritual distress of theirpatients, in
some situations a referral to a chaplain will becritical. They
• When the patient’s question/story begins to feeloverwhelming
to the staff member.
• When a staff member begins to feel “hooked” or wantsto “fix”
the spiritual issues.
• When time constraints do not permit the teammember to fully
address the spiritual issues.
• When staff (nurse, OT/PT, social worker) must wearthe hat of
• When the staff member has evidencedanger/frustration with the
patient or has judged the patient
(“impossible,” “non-compliant,” “druggy,” “demanding,” etc.)•
When the patient’s theology seems alien to the staff
member’s understanding (could be cultural, religious, orpersonal
• When a team member thinks s/he knows the answer toa patient’s
question of meaning. (Such certainty can bedangerous and give way
to religious or secularproselytizing.)
• When the patient’s faith community and the patient’sexperience
are in conflict.
• When the patient expresses sense of abandonment byGod,
community, or clergy.
• When intuition tells the staff member that somethingis amiss,
but it isn’t easily identifiable.
By Nicole Onori Hansen
On behalf of the Pregnancy Loss Support Group, myhusband Jay,
son Evan, and I would like to inviteyou to share in this time of
remembrance, healing,and hope.
Our journey began unexpectedly almost 14 years ago onFebruary
27, 1994. On that day, our son Gabriel was bornprematurely and died
in my arms.
On that day, I wept with profound heartache.On that day, an
abysmal grief engulfed my soul.On that day, we became parents, a
mother and a father.On that day, our family was created.On that
day, I touched life and death.On that day, I asked God, why? There
are mothers and fathers here today for whom the
grief of pregnancy loss is as new as it was for me onFebruary
27, 1994. There are others, like myself, whobecame intimate with
this loss many years ago. For me, thecrushing grief and anguish
eventually became like an oldfriend who slowly drifted away. Yet it
was not until I fullysurrendered myself to the throes of its pain
and profoundlyexperienced my own humanness through its suffering,
thatgrief began to gradually distance itself from me. Once in
awhile, I still intentionally choose to visit it, or it
unexpectedly visits me because it is a part of who I am.I still
do not understand why. I no longer seek the answer
to that futile question. Instead, I have chosen to embracethe
gift of a son who has taught me about the blessings offaith, hope,
love, and compassion. It is throughremembering and loving Gabriel
that I have found the truemeaning of these blessings and the path
toward healingwhich has let me set my grief free. My hope is that,
in yourown way and in your own time, you find blessings andmeaning
in your journey from grief to healing.
Through miscarriage, infant loss, and stillbirth, grief hasbeen
a companion to all of us. Grief — that raw, almostinhumane,
unbearable emotion that defies expression hasdrawn us together
today as a community. Today, our silentsuffering may be openly
expressed, shared, and understoodin the refuge of this safe,
accepting community of familyand friends — family and friends who
have chosen toaccompany us on our journey through grief toward hope
andhealing. We are blessed to have this community and thistime and
place to remember.
Nicole Onori Hansen is an occupational therapist, writer,
andlife/wellness coach in Rochester, MN. This article is
adaptedfrom a reflection given at the annual "Remembering" Service
onOct. 28, 2007, sponsored by the Mayo Pregnancy Loss SupportGroup
Parent reflects on living with grief for 14 years
When should the chaplain be called in?
t HOSPITAL CHAPLAINSSan Bernardino, CA – The Diocese of San
Bernardino, the10th largest diocese in the US, is seeking highly
motivatedCatholic priest chaplains for various hospital sites in
sunnySouthern California. Positions are full-time and include
agenerous salary and compensation package (salary, paidmedical and
automobile insurance, retreat allowance). Somepositions also
include very comfortable housing provided bythe Diocese of San
Bernardino. Bilingual skills are very muchneeded (English/Spanish).
CPE training is highly preferred.Priests must be in good standing
with their respectivearch/dioceses and/or religious communities. We
are agrowing multicultural diocese based on the vision of hope
andhealing for the Catholic people of the Inland Empire.
Sendinquiries and resumes to: Rev. Msgr. Gerard M. Lopez,Diocese of
San Bernardino, 1201 E. Highland Ave., SanBernardino, CA
92404-4641. Telephone: (909) 475-5123.
t DIRECTOR OF SPIRITUAL CARELos Angeles, CA – In accordance with
the mission andphilosophy of the Daughters of Charity, St. Vincent
MedicalCenter seeks a Director/Priest to provide living evidence
ofChrist’s healing love and ministry to the spiritual, religious
andemotional needs of patients, their families, employees,
andmedical staff. Provide high quality liturgical services and
theadministration of the sacrament. For more information aboutour
excellent career opportunity and benefits, please visit ourwebsite
at www.stvincentmedicalcenter.com. Please emailyour resume to:
email@example.com or apply online. EOE.
t CHAPLAINSouth Bend, IN – Saint Joseph Regional Medical Center
is afaith-based, Catholic hospital providing inclusive
interfaithpastoral care to a wide variety of persons. We have six
staffchaplains across three sites and a well-developed
ethicscommittee. The department maintains a strong ACPEprogram.
South Bend, home of the University of Notre Dame,offers a community
atmosphere with advantages of a largercity. We are looking for an
individual for our full-time nightposition who has a vision for the
opportunities this ministryprovides to staff and patients. We are
looking for an individualwho can be flexible in their schedule as
we move to a newhospital in two years and develop new services. We
need aperson who has a well-developed sense of the role
ofprofessional chaplain and can help us move toward a
moreoutcome-based pastoral care. M.Div. preferred, master’s
inrelated field considered. Four units of CPE (residencypreferred),
certification by APC or NACC or eligible within twoyears, and
computer proficient. For consideration, pleasesubmit an online
application at www.sjmed.com. Pleaseinclude a cover letter, resume
and document articulating yourpastoral care philosophy and
practice. For more informationcontact Linda DeHahn, Manager, Center
for Spiritual Care firstname.lastname@example.org, 574-237-7299.
t DIRECTOR OF CATHOLIC HOSPITALMINISTRIESColumbia, MO – The
director is responsible for planning,organizing, coordinating and
directing the activities ofColumbia Catholic Hospital Ministries.
Hospital Ministries offers spiritually based clinically
trainedpastoral care and counseling through sacramental ministryand
spiritual/emotional support to the Catholic patients andtheir
families in the hospitals in Columbia, MO. M.A. intheology,
psychology, counseling, or their equivalent ispreferred.
Certification as a chaplain by the NACC, orexperience and eligible
for certification by NACC.Commissioned as an extraordinary minister
of theEucharist. Knowledge of medical moral theology andethics. At
least three years of healthcare experience aschaplain or director.
Salary depending on qualifications;negotiable. Send resume to Ron
Vessell, Diocese ofJefferson City, PO Box 104900, Jefferson City,
MO 65110;telephone (573) 635-9127; fax (573) 635-2286.
t DIRECTOR OF PASTORAL CARESuffern, NY – Good Samaritan
Hospital, a member of theBon Secours Charity Health System, is a
community-basedCatholic hospital dedicated to caring for the whole
person,body, mind, and spirit. We are currently seeking a
board-certified Roman Catholic chaplain who, with staff, leads
acomprehensive program of pastoral care (sacramental andpastoral)
for patients, families, staff and physicians.Qualified candidates
must possess a bachelor’s degree intheology or related field; a
master’s degree is preferred.CPE certification with two years of
clinical pastoralexperience in a healthcare setting is also
preferred. Thisposition has the possibility to become a CPE
supervisoryopportunity. To be considered for this position, please
visitour website and apply online at www.bschs.org/careers.EOE.
18 Vision January 2008
Positions Available The future of Positions Available For as
long as the NACC has had a publication, it has
included job listings. Our readership is exactly the groupthat
healthcare institutions want to reach when they needto hire a
chaplain or a pastoral care director, and we’ve beenhappy to help
employers and employees find each other.
In recent years, the Internet has become a more andmore
important way of looking for jobs and of filling jobs.We responded
by adding Positions Available on ourwebsite, essentially
duplicating the listings in Vision, and ithas become one of our
But as media becomes more electronic, and as jobs areposted and
filled more quickly, we have to assess whetherPositions Available
is still an efficient use of our ink andpaper. Due to our
publication lag time, at least a month,and often more, goes by
between the time an employersubmits an ad to us and the time you
read it in thenewsletter. The lag time for online posting is
usually lessthan a week.
We have not yet made any decisions about the future ofPositions
Available, but we would like to hear yourthoughts about the printed
version and possiblealternatives. Please write to David Lewellen,
NACC, 5007S. Howell Ave. Suite 120, Milwaukee, WI 53207, or
t DIRECTOR OF PASTORAL CAREFreeport, IL – Provena St. Joseph
Center seeks a Director ofPastoral Care. The Director is
responsible for leadership inplanning, implementing, supervising,
and evaluating allpastoral services provided for the residents,
their families andthe employees. The Director reflects the
organizationalmission of the facility and the Church itself in
providing anatmosphere of Christian concern and the dignity of
eachperson. CPE or equivalent pastoral training/experience
isrequired. Candidates must have a bachelor’s degree intheology or
related field and be certified by NACC. Sendresume to: Roberta
DeHaven, 659 E. Jefferson St., Freeport,IL 61032, phone (815)
232-6181, fax (815) 232-6143or e-mail t