P A G E 1 Spiritual Care - St. Joe's · observance of a ritual/service for the Dedication and lessing of the Palliative Suite for Palliative Patients on the linical Teaching Unit

Spiritual Care Professional Practice Leader (Charlton, King, West 5th): Gary Payne, R.P., M.Div., Specialist and Certified Teaching Supervisor, Canadian Association for Spiritual Care (CASC) Number of Members of Discipline

Professional Spiritual Care Providers and Residents:

Charlton 6.25 FTE King 0.5 FTE West 5th 3.0 FTE

Scope of Practice:

Spiritual Care and

Counselling

Specialists seek to

improve the

quality of life for

individuals and

groups

experiencing

spiritual, moral

and existential

distress related to

changes in health,

maturation,

ability, and life

circumstances.

They utilize a

holistic, relational

approach to assess

the nature and

extent of the

concerns;

collaboratively

develop a plan of

care; provide

therapeutic

interventions to

promote,

maintain, and

restore health

and/or palliate

illness and injury;

and evaluate the

implementation of

the plan of care to

ensure its efficacy

and adequacy.

Clinical Practice Achievements Quality & Safety All Spiritual Care staff successfully completed e-Learning

requirements and maintenance (Falls Prevention 1 & 2, AODA, Hand Hygiene, WHMIS, Emergency Preparedness, Prevention of Violence in the Workplace, Basic Occupational Health and Safety Awareness Training).

Initiated, engaged and completed 5-S component of LEAN philosophy in Spiritual Care Department offices and education spaces.

All staff submitted applications to the College of Registered Psychotherapists of Ontario (CRPO) with five having successfully registered and others awaiting confirmation.

One staff successfully completed a Canadian Association for Spiritual Care, Specialist Peer Review.

Change Initiated and completed one departmental-specific LEAN

activity focused on increased efficiency and elimination of waste in human resource time and energy. This activity centered on the creation of an on-line data storage bank

for documentation of on-call referrals accessed exclusively by Spiritual Care staff from any location within or external to the hospital.

Community Ongoing implementation of developed method of actively

seeking feedback for quality assurance and improvement related to the quarterly Memorial Service (Patient/(Family) Engagement)

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P R O F E S S I O N A L A D V I S O R Y C O M M I T T E E

R E P O R T O F T H E H E A L T H D I S C I P L I N E S 2015

Interconnection Facilitated and coordinated SJHS Spiritual Care Services Retreat in which all Spiritual Care Practitioners throughout

the System, hospital executive members, program leads, ethicists, physicians and board members consulted and collaborated to achieve Strategic Directions for the discipline moving forward.

Initiated Spiritual Care Journal Club as professional development opportunity with focused attention on developing work plans to address strategic goals. Invitation to participate extended to all Spiritual Care Practitioners of each SJHS organization

Initiated Harbour Spiritual Centre mural project, a collaborative between Spiritual Care and Art Therapy in which patients engaged in therapeutic exercise of creating, through artistic expression, a mural to adorn this space of spiritual reflection

Launched Spiritual Care e-Learning Module available to all existing as well as new hires to SJHH through the SJHH e-Learning studio as a staff or external guest (Health Professional Discipline Priority)

WW1 and WW2 Plaque Rededication Ceremony, a collaboration between The Spiritual Care Department, Volunteer Services and Public Affairs.

Submitted, received acceptance and displayed poster at first SJHH Partnering with Patients and Families Event, a collaboration with the Patient and Family Advisory Council

Continued active engagement of partnership and collaboration with Dr. Deborah Cook, ICU staff and the Palliative Care Consult Team in research pertaining to the 3 Wishes Demonstration Project

Collaborated with Public Affairs regarding Blessing of Youth Wellness Centre and coordinated and facilitated the participation of youth to actively contribute to the blessing.

Collaboration with Corporate Wellness regarding Spiritual Care presentation, Multitasking and Mindfulness Collaborated with Public Affairs in a Christmas Tree Lighting event involving patients, staff and the general public. Following Our Surprises, Not Letting our Assumptions Get in the Way, a workshop presented in collaboration with

SLP and Recreation Therapy Collaborated with the Suicide Prevention Committee to provide a memorial ritual for World Suicide Prevention

Day. Initiated and collaborated with Volunteer Services, Human Resources, and Public Affairs to co-ordinate a food

drive for `Neighbour to Neighbour’, December 2015. Collaborated with General Internal Medicine Team in CTU-West by providing leadership in the preparation and

observance of a ritual/service for the Dedication and Blessing of the Palliative Suite for Palliative Patients on the Clinical Teaching Unit West, Mary Grace Wing.

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S P I R I T U A L C A R E

Academic Pursuits

Internal Teaching The Role of Spiritual Care to 3rd year RN students Engaging Research- Supporting Clinical Practice, a Narrative Journey, a collaboration between Spiritual Care, SLP, and Recreation Therapy, presented at Best Practice Spotlight event. The Role of Spiritual Care to 4th year RN students from McMaster. Introduction to Spiritual Care, an orientation for new nurses in mental health The Role of Spiritual Care in the Hospital Setting, presented to all new staff in Critical Care units The Use of Diagnostic Tools: Psychotherapeutic Assessment of LTC Resident with MS. Communication Skills with Challenging Families to Nephrology, RTU and URO staff. Power Differentials in Providing Family Support to Nephrology staff. Multicultural Issues & Culturally Sensitive Caregiving in Palliative Care to Nephrology, URO and RTU staff. Moral Distress for Nephrology staff

Formal Teaching Affiliation with Waterloo Lutheran Seminary, (Wilfrid Laurier University) Adjunct Lecturer, Waterloo Lutheran Seminary, (Wilfrid Laurier University) Pastoral Counselling Course, Waterloo Lutheran Seminary, (Wilfrid Laurier University), SJHH, West 5th Campus, September 2014 to April 2015 Post Modern Family Therapy – Waterloo Lutheran Seminary (Wilfrid Laurier University) Qualitative and Quantitative Research Methodologies – Waterloo Lutheran Seminary (Wilfrid Laurier University) Supervised Pastoral Education, St. Josephs Healthcare Hamilton

External Presentations Grief and the Family, presented to facilitator's group at South Central Bereaved Families of Ontario Pastoral Theology of Caring for Sick, presented at Hamilton Diocese, Permanent Deacons Formation Day Following Our Surprises, Not Letting our Assumptions Get in the Way, a workshop presented in collaboration with SLP and Recreation Therapy Spiritual Care as Compassionate Caring, presented to third year Physiotherapy students at McMaster University Personalizing Death in the ICU: Three Wishes Demonstration Project, presented at the Canadian Association for Spiritual Care 2015 National Conference

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Research Three staff received the Canadian Association for Spiritual Care (CASC) Group Research Award - 2015.

Three Wishes Research at St. Joseph's under the direction of Dr. Deborah Cook. Initial Research – Development of Research Posters regarding: “How does a First Nations person experience spiritual care in a Canadian hospital?” “What is the experience of mental health in-patients who have received a diagnosis of compulsive

buying disorder of walking through the hospital lobby with its retail tables and shops?” “Is there a relationship between Grandiose Religious Delusions (GRDs) and spiritual coping, and if so,

what is it?” “What is the experience of ICU nurses after they make a referral to the Spiritual Care Department for

the family of a patient who has just died?” “How is the Three Wishes Project experienced by LGBT couples where one of the partners is

experiencing end of life in ICU?” One staff/resident, Nigel Bone, received the 2015 Angel Marie O’Connor Award recognizing the

Spiritual Care Resident who best integrates clinical work, academics and research Staff member pursuing Doctorate of Ministry received approval for DMin Research Thesis Proposal.

Scholarly Pursuits

Publications Published Manuscripts: Cook DJ, Swinton M, Toledo F, Clarke F, Rose T, Hand-Breckenridge T, Boyle A, Woods A, Zytaruk N, Heels-Ansdell D, Sheppard RD. Personalizing Death in the ICU: The Three Wishes Project. Ann Intern Med 2015;163:271-279. doi:10.7326/M15-0502. Submitted Book Chapters: Breckenridge T, Swinton M, Rose T, Toledo F, Woods A, Boyle A, Cook D. Interprofessional Collaboration in the 3 Wishes Project: Enhancing Spirituality for Dying Patients, their Family Members and their Health Care Professionals. In: Canadian Association of Spiritual Care Counsellors of Canada Yearbook 2015 (in press).

Submitted Abstracts:

Swinton M, Rose T, Woods A, Boyle A, Toledo F, Hand-Breckenridge T, Shears M, Cook D. Spirituality during the Dying Process in the ICU: Findings from the 3 Wishes Project. Crit Care Med 2016 (in press).

Swinton M, Rose T, Toledo F, Hand-Breckenridge T, Woods A, Boyle A, Clarke F, Zytaruk N, Saunders L, Shears M, Sheppard RD, Cook D. Interprofessional Collaboration in the ICU: Determinants of Success in the 3 Wishes Project. Can Crit Care Forum Abstract Book 2015, Toronto, ON, October 26, 2015. (in press).

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Continuing Education: Four residents/staff earned level 1 Advanced education in Clinical Pastoral Education (CPE), certificates

Four residents/staff earned level 2 Advanced education in Clinical Pastoral Education (CPE), certificates

Five residents/staff earned level 1 Basic education in Pastoral Counselling Education (PCE), certificates

One resident/staff earned level 3 Basic education in Clinical Pastoral Education (CPE), certificate

Six residents/staff earned level 2 Basic education in Clinical Pastoral Education (CPE), certificates Eleven learners earned level 1 Basic education in Clinical Pastoral Education (CPE), certificates

One learner earned level 3 Provisional Teaching Supervision in Clinical Pastoral Education (CPE), certificate

One staff earned level 3 Provisional Teaching Supervision in Clinical Pastoral Education (CPE), certificate

Two Resident/Staff completed Graduate Level course in Professional Ethics

One Staff completed Suicide Awareness and Prevention training, certificate

One staff completed Dialectical Behavioural Therapy skills training

One staff completed Introduction to Lean Principles Hands on Workshop

Three staff completed Mental Health Commission of Canada’s, Mental Health First Aid Training, certificates One staff completed Mindfulness Communication Course, McMaster, certificate

One staff completed Healthcare Issues in Mental Health for GLBTTIQ, Emmanuel College, certificate Gentle Persuasive Approaches to Dementia Care (Recharged) Training Workshop, 2 certificates Affirming an Ethic of Care: Bridging the Gaps at the End of Life, Center for Clinical Ethics Education, certificate

Two staff successfully completed College of Registered Psychotherapists of Ontario (CRPO), Jurisprudence Module, certificates Schizophrenia Overview Workshop, 5 certificates

Seven staff/residents completed Crisis Prevention Institute (CPI) training, certificates/CPI Blue Cards

Therapeutic Seniors Care Education, certificates

10th Educational Conference on Palliative and End of Life Care, Dying Peacefully: Clinical, Emotional, Familial and Spiritual Perspectives, certificate

Canadian Association for Spiritual Care, Ontario Southwest Region, Professional Development on Growing in Profes-sional Practice, certificate

Hamilton National Fall Prevention Month Event: We all have a role to play: What’s yours? certificate Two staff completed graduate-level course entitled Professional Ethics and the Pastoral Counsellor from WLS Five residents completed graduate-level course, Postmodern Family Therapy, WLU Five residents completed graduate-level course, Qualitative and Quantitative Research Methodologies, WLU

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Quality & Safety Ensure compliance of all Spiritual Care staff in regard to E-Learning requirements and

maintenance (Falls Prevention 1 & 2, AODA, Hand Hygiene, WHMIS, Emergency Preparedness, Prevention of Violence in the Workplace, Basic Occupational Health and Safety Awareness Training – managers and staff)

Complete practical aspects of 5-S component of LEAN philosophy throughout Spiritual Care Department offices and education spaces at Charlton campus by May 2016

Review and update Spiritual Care Department Guidelines and Protocols to reflect current practice.

Change Initiate, engage and complete LEAN project associated with electronic, discipline-specific,

documentation regarding Sacrament of the Sick (Health Professional Discipline Priority) Initiate, engage and complete LEAN project associated with integration of TOA information into on-call

electronic documentation system. Complete registration of all permanent Spiritual Care staff with the College of Registered Psychothera-

pists of Ontario (CRPO)

Community Initiate and coordinate plan to collaborate with Spiritual Care colleagues throughout the SJHS

to support each organization in the development of working plans to address commonly held Spiritual Care Services Strategic Directions

Research & Education Develop through consultation and collaboration with multidisciplinary team members, an education

module focused on Initiating Crucial Conversations Regarding Advance Care Planning (Health Professional Discipline Priority)

Canadian Association for Spiritual Care, SJHH Site Accreditation to be completed by end of 2016. Engage research exploring the lived experience of ICU nurses after making a referral to the Spiritual Care

Department for the family of a patient who has just died. Progress to date: The protocol has been drafted along with an application to the HiREB. Submission of research application to HiREB prior to March 31, 2016. Research to be conducted once application approved.

Discipline Goals 2016

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Leadership 2015 SJHS System-Wide Spiritual Care Services Retreat – Envisioning the Future of Chaplaincy in Catholic

Healthcare Organizations / Development of Strategic Directions Collaboration with Hamilton Health Sciences regarding bi-annual Early Pregnancy Loss and Stillbirth

Memorial Service Clinical programming entitled, “Life Stories Project”, an inter-professional collaboration with Recreation

Therapy Initiation, design and facilitation of Quarterly Memorial Services for families of patients who died at

SJHH during 2015 Leadership in individual SJHH Employee Memorial Services Collaboration with research project in ICU, 3 Wishes Demonstration Project whose lead investigator is

Dr. Deborah Cook. The overall aim of the entire research project is to improve the quality of the dying experience for patients and their families.

Participation in the Multicenter Implementation Study of the 3 Wishes Project involving SJHH ICU and St. Michael’s Hospital, Toronto, ICU.

Spiritual Care Awareness Week, October 2015. Initiated engagement of the hospital popula-tion with "Enriching our Workplace with a Spirit of Gratitude" through daily reflections provided to every department in the hospital and in-patient units.

External Committees CASC 2015 National Conference – SJHH Spiritual Care Department financially supported this event and our

staff's work was a key part of the conference's success. Many were on the Executive Planning Committee and several accepted leadership roles of various committees such as Public Relations & Marketing, Advertisement, Volunteer Coordination, Social Activities, and Fundraising.

Local Faith Group committees and boards Attending local deanery and presbytery meetings Canadian Association for Spiritual Care (CASC) Academic Assessment Committee (for national assessment of

academic equivalencies of members for certification purposes) True City Program (ecumenical initiative of Hamilton area churches to provide social aid to local needy

residents) Labyrinth Committee, Chair and member Community Spiritual Care Advisory Committee Canadian Association for Spiritual Care Southwest Ontario (CASCSWONT) Executive (Local Region of the

CASC) Peer Review Coordinator for the Ontario Southwest Region; Board membership of the Ontario Multifaith Council Membership on the Regional Multifaith Committee Mood Menders Support Group Hamilton Member of the Advisory Board of the St Dymphna Society at St Joseph’s Parish Committee Chairs for the Canadian Association for Spiritual Care 2015 National Conference at the Sheraton

Hotel Hamilton Ontario South Central Bereaved Families of Ontario – Professional Advisory Committee Canadian Association for Spiritual Care (CASC) Education Centre Accreditation Committee for London Health

Sciences Centre.

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Documents

P A G E 1 Spiritual Care - St. Joe's · observance of a ritual/service for the Dedication and lessing of the Palliative Suite for Palliative Patients on the linical Teaching Unit