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Research article
First published December 1994

The Chaplain's Role in Bioethical Decision-Making

Abstract

With advances in medical technology, difficult questions of “What should be done?” and “Who should decide?” are a daily occurrence in hospitals. This paper reports the results of a survey of Canadian chaplains with respect to their involvement in bioethical decision-making. The survey suggests that chaplains make a significant contribution to discussion and resolution of bioethical dilemmas. Using a case study, the paper elaborates on the chaplain's role in bioethical decision-making, and indicates how such participation can influence both cost containment and risk management.

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References and Notes

1. Holst L. Hospital Ministry: The Role of the Chaplain Today. New York City: Crossroads, 1985.
2. It is my estimate that approximately 150 of the 280 registrants were hospital chaplains.
3. Canadian Hospital Association. Canadian Hospital Directory. Ottawa: CHA, 1992–1993.
4. No distinction was made between religiously based or non-religiously based hospitals. Generally, religiously based hospitals have larger chaplaincy staff.
5. Guss V. Pastoral care in bioethical reflection. The Caregiver Journal; 8(4): 30–36.
6. Nouwen H. Creative Ministry. New York: Doubleday, 1971.
7. Vaux K. The chaplain and the crisis in ethics. In Hospital Ministry: The Role of the Chaplain Today. Holst LE (ed.). New York City: Crossroads, 1985.
8. Fichtner CG and McKenny GP. Values interpretation: A new model for hospital ministry. Journal of Religion and Health 1991; 30(2): 109–117.
9. This case study and discussion is rewritten from the author's paper “The chaplain as spiritual and moral agent: Strengthening the process of bioethical decision-making,” published in Humane Medicine 1994; 10(2): 103–107.
10. Chaplain Irene Fullarton, pers. com., 1993.
11. Ecclesiastes 3:2.
12. Roy D. “Death, Meaning and Ethics Late in the 20th Century.” Paper read at the King's College Conference on Death, Dying and Bereavement, 17–19 May 1993, at the University of Western Ontario, London, Ontario.
13. Smith K and Burton LA. Epilogue: Chaplaincy at the turn of the century. In Chaplaincy Services in Contemporary Health Care. Burton LA (ed.). Schaumberg, Ill.: College of Chaplains Inc., 1992.
14. Eyer RC. Clergy's role on medical ethics committees. The Journal of Pastoral Care 1985; 39(3): 208–212.
15. Volicer L, Hermann H, and Rheume Y. Allowing the debilitated to die (continued). The New England Journal of Medicine 1984; 310(8): 530.

Biographies

The Rev. Anne L. Simmonds, BScN, MDiv, is Director of Champlaincy Services, The Wellesley Hospital, Toronto.

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Article first published: December 1994
Issue published: December 1994

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© 1994 The Canadian College of Health Leaders.
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PubMed: 10140168

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Rev. Anne L. Simmonds

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