Thesis (D.Min.)--Acadia University, 1997. / Includes bibliographical references. Also available on the Internet via the World Wide Web.

Thesis (D.Min.)--Acadia University, 1997. / Includes bibliographical references. Also available on the Internet via the World Wide Web.

A presente pesquisa tem como objetivo investigar a contribuição que o serviço de capelania hospitalar pode proporcionar ao enfermo oncológico e aos seus familiares no ambiente hospitalar. Neste trabalho, busca-se resgatar a dimensão humana por meio da espiritualidade, ser um referencial de auxílio diante da dor e do sofrimento ao transmitir o amor, o consolo e a esperança existente em Deus, oferecer aos profissionais da saúde uma melhor compreensão da importância do serviço de capelania hospitalar para o auxílio na recuperação do enfermo. Sendo assim, no primeiro capítulo resgata-se de forma objetiva a origem, a trajetória e o desenvolvimento da capelania hospitalar até o contexto atual. Aborda a questão da fundamentação evangélica da capelania hospitalar, bem como o perfil do capelão hospitalar. A segunda parte discorre a priori sobre a questão do diálogo entre a teologia e as ciências. E a filosofia participa deste diálogo como mediadora entre esses saberes. Em um segundo momento o autor trata dos conceitos saúde integral e salvação e, por fim, apresenta vários estudos que comprovam os benefícios da fé para com a saúde. No terceiro capítulo, estabelece uma reflexão sobre a questão do drama vivenciado pelo paciente oncológico. Aborda de forma concisa a espiritualidade do paciente com câncer no contexto hospitalar. / This research aims to investigate the contribution that the service can provide pastoral care to the sick cancer and their families in the hospital. In this paper, we seek to recover the human dimension by means of spirituality, be a reference to aid in the face of pain and suffering to convey the love and consolation and hope in God exists, to offer health professionals a better understanding of the importance of hospital chaplaincy service to aid in the recovery of the patient. Thus, in the first chapter its indicated an objective way to its origin, history and development of pastoral care to the current context. Addresses the question of evangelical statement of pastoral care, as well as the profile of the hospital chaplain. The second part discusses a priori on the issue of dialogue between theology and science. And the philosophy part of this dialogue as a mediator between these knowledge. In a second step the author addresses the concepts integral health and salvation, and finally presents several studies showing the benefits of faith to health. In the third chapter, in turn provides a reflection on the question of the drama experienced by cancer patients. Addresses concisely spirituality of cancer patients in the hospital.

Essa pesquisa investiga a contribuição da espiritualidade na recuperação do paciente cardíaco hospitalizado. A partir da constatação das demandas espirituais e da importância de um tratamento holístico ou integral para sua recuperação, aborda os benefícios para a saúde do paciente adulto cardíaco internado. Na segunda parte a pesquisa aborda a influência da espiritualidade nos fatores de risco das doenças cardiovasculares, assim como a questão da crise, do sofrimento e dos problemas emocionais na internação. Também investiga as relações entre as emoções, o corpo e o espírito, mostrando a integração e as interferências entre as diferentes dimensões do ser humano, especialmente nas doenças psicossomáticas. Ao final, a dissertação aborda o papel da fé e da oração na medicina e a importância de se tratar o ser humano de uma forma global. Sugere-se incluir a espiritualidade como recurso de saúde na formação dos novos profissionais, bem como reconhecer a importância do conselheiro espiritual ou capelão no tratamento integral do paciente cardíaco hospitalizado. / This research paper investigates the contribution spirituality gives to the recovery of hospitalized cardiac patients. Based on the verification of spiritual demands and on the importance of a holistic or all encompassing treatment, this paper deals with the benefits these have for the health of adult cardiac interned patients. In the second part the research deals with the influence of spirituality on the risk factors for cardiovascular illnesses, as well as with the issue of the crisis, the suffering and the emotional problems of being hospitalized. It also investigates the relations between emotions, the body and the spirit, showing the integration and the interferences between the different dimensions of the human being, especially on psychossomatic diseases. At the end the thesis deals with the role of faith and prayer in medicine and the importance of treating the human being in a global way. It is suggested that spirituality be included as a health resource in the formation of new professionals, as well as recognize the importance of the spiritual counselor or chaplain in the holistic treatment of a hospitalized cardiac patient.

Zwischen 2001 und 2009, veränderte sich die religiöse Betreuung in portugiesischen öffentlichen Krankenhäusern von einem traditionellen Modell der Betreuung durch Kapläne, in dem Römische Katholische Kapläne die einzigen offiziellen religiösen Vertreter auf dem Krankenhausgelände waren, auf ein gesetzlich erzwungenes pluralistisches Modell, wo die religiöse Vielfalt sowohl eine Herausforderung als auch eine Ressource für religiöse Akteure bedeutet. Als Vergleichsfallstudie von drei High-End, öffentlichen Universitäts Krankenhäusern in Portugal zeigt diese Dissertation, dass die Bestimmung von religiöser Unterstützung strittig wurde, sobald die durch die Römische Katholische Kirche ausgeübte Dominanz in dem speziellen Fall des religiösen Beistands in Krankenhäusern durch Gesetzesänderungen in Frage gestellt wurde, die noch nicht vollständig umgesetzt sind. Rechtsänderungen in Richtung eines Übergangs zwischen traditionellen Kaplansämtern und Leistung Geistiger und Religiöser Unterstützung produzierten unterschiedliche Ergebnisse in den drei untersuchten Fällen in dieser Dissertation. Jede Gruppe religiöser Vertreter innerhalb jedes Krankenhaus hat gezielt lokale Aufträge ausgehandelt, um Ihre strategischen Ziele zu erreichen. Dieses divergierende Muster ist das wichtigste Forschungsrätsel in dieser Studie. In der vorliegenden Arbeit wird vorgeschlagen, dass die religiöse Betreuung in öffentlichen Krankenhäusern entlang von vier Dimensionen betrieben wird: das Niveau der organisatorische Integration der religiösen Hilfeleistungen, deren strategischen Ausrichtung, deren institutionelle Untermauerung und deren Kognitiven Orientierungen. Diese Dimensionen bestimmen zu einem großen Teil, die Muster des strategischen Handelns der religiösen Vertreter in Krankenhäusern. Die vorliegende Arbeit stellt fest, dass jeder der drei untersuchten Fälle, obwohl integriert in einem einzigen rechtlichen und operationellen Rahmen, in seinem Niveau der organisatorischen Integration divergiert und das dass die Kernursache aller folgenden Unterschiede zwischen den anderen Dimensionen ist. / Between 2001 and 2009, religious assistance in Portuguese public hospitals moved from a traditional chaplaincy model, where Roman Catholic chaplains stood as the only official religious representatives within hospital premises, to a legally enforced pluralistic model where religious diversity is both a challenge and a resource to religious actors. As a comparative case study of three high-end, public university hospitals in Portugal, this dissertation shows that religious assistance provision became contentious as the dominance exerted by the Roman Catholic Church in the specific case of religious assistance within hospitals was challenged by legal changes which are not fully implemented. Legal change towards a transition between traditional chaplaincies and Spiritual and Religious Assistance Services produced divergent results across the three cases studied in this dissertation, as the set of religious representatives within each hospital negotiated through specific local orders in order to achieve strategic goals. This divergent pattern is the most important research puzzle in this study. In this dissertation, it is proposed that religious assistance in public hospitals operates along four dimensions: the level of organizational integration of religious assistance services, their strategic orientation, their institutional underpinnings and their cognitive orientations. These dimensions determine, to a large extent, the patterns of strategic action by religious representatives within hospitals. This dissertation finds that each of the three cases studied, while integrated in a single legal and operational framework, diverge in their level of organizational integration and this is the core cause of all remaining differences across other dimensions.

Establishment of Chaplaincy Service at the Hospital in Cheb This thesis describes the process of implementation of the hospital chaplain service in a hospital in Cheb, including a description of the obstacles and problems related to organizational culture change in this medical device. The aim of launching this new service was to contribute in improving the quality of services through complementing existing health services with the spiritual dimension of patient care. In the theoretical part the thesis focuses on knowledge about ecumenically-scale pastoral work of the hospital chaplains in the specific environment of hospitals. These findings are derived from publicly available sources - from secondary sources, or from websites. The practical part of the thesis describes the sequential steps that have been made in the implementation of chaplaincy services in Cheb hospital. The practical part contains interview with a professional chaplain, an experienced priest and nurses of Cheb hospital and a subsequent analysis of these interviews. Processed outputs of the interviews were then applied in the process of individualization of services according to the specific needs of this hospital. In this part also the state of new services a month after its launch had been evaluated. In the conclusion of the...