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
1.
HolstL. 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.
GussV. Pastoral care in bioethical reflection. The Caregiver Journal; 8(4): 30–36.
6.
NouwenH. Creative Ministry. New York: Doubleday, 1971.
7.
VauxK. The chaplain and the crisis in ethics. In Hospital Ministry: The Role of the Chaplain Today. HolstLE (ed.). New York City: Crossroads, 1985.
8.
FichtnerCG and McKennyGP. Values interpretation: A new model for hospital ministry. Journal of Religion and Health1991; 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 Medicine1994; 10(2): 103–107.
10.
Chaplain Irene Fullarton, pers. com., 1993.
11.
Ecclesiastes 3:2.
12.
RoyD. “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.
SmithK and BurtonLA. Epilogue: Chaplaincy at the turn of the century. In Chaplaincy Services in Contemporary Health Care. BurtonLA (ed.). Schaumberg, Ill.: College of Chaplains Inc., 1992.
14.
EyerRC. Clergy's role on medical ethics committees. The Journal of Pastoral Care1985; 39(3): 208–212.
15.
VolicerLHermannH, and RheumeY. Allowing the debilitated to die (continued). The New England Journal of Medicine1984; 310(8): 530.