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Spiritual & Religious Care Competencies for Specialist Palliative Care Mare Cutle Cancer Care proves high quay musing, taaly free, to give ‘einai il people the ehoie of ching at home supported by ther fails, Devoted 10 Life Contents Introduction Level 4 Level 2 Level 3 Level # Sample Audit Tool “These atsermenttols have been designed to complement the Spiritual & Religious Care Competences booklet, developed by David Mitchel, letarer in Palliative Care and Tom Gardon, Chaplain, working atthe Marie Curie Cancer Care hospees in Glasgow and Edinburgh. Working Party Profession Marie Cute Hospice Cath Bredbury Acca Nurse Manager Marie Curie Nursing Service ‘Tom Gordon Chaplain Edinburgh Ebbie Halland Acca Nurse Manager Marie Curie Nursing Service Shaun Kinghorn Senior Letarer Newearle Maria MeGill Centre Manager Glasgow David Mitel! Chaplain Glasgow Stephen Smith Clinical Services Manager Edinburgh Barbara Tyas Chaplain Bradford Graham Woolley Entstes Officer Liverpool Fay, These competences ae supported by the Association of Hospice and Palliative Care Chaplains (AHPCC), AGG fe protesioa organisation fr hope and alain ae chapan ‘To download a copy ofthis document please vist wwrwsmariecurie;ong uk/healtheare Introduction Spiritual & Religious Care “These competences have been developed with an understanding of sprit care inte broadest sense, ri acknowledged that Spirituality includes whatever gives person meaning, value and worth in thee life. Spintlity and Religion ate clearly Alissinguished: religion can be an important pat in a perso spirituality but how important, ia al, will depend onthe individual. Although Spiritual eaze i taditionally seen as the chaplains azea of expertise these competencies assume that all staifand volunteers ean and do provide spiritual ear. Language, Process and Terminology Spivsuality isa dificult area to define, discuss and audit. It does not lend itself to clear expression and often che descriptive language used i subjective and diverse. By accepting that spictalty i indvidval in natut fallow that its expression vr lo be individual, These competences sek to use terminology that will be familiar to healthcateprofesions in gener], but te acknowledged that sometimes the competencies, by virtue of the way they are expressed, wil appear lose, Such individuality we fel sa strength, rather than a weaknet in this particular area of ere Levels & Headings “The competencies are set out in four level, They specify levels of competency that shouldbe achieved by staff and voluneere ‘working in ll areas of care, chrough those with increasing depth of contact with patients and ther famibetearer, to those whove primary responsiblity is for spicitual cate, normally chaplains Each level s prefaced by a statement giving guidance on which group of staff and volunteers would normally be expected to achieve or be working cowards achieving ths lve “The columa headings have been chosen to reflect progression from Knowledge shrough Sill, then to Actions. ‘The Skis ‘oluta in pateuar shows a clear progression inability fromm level 110.4, However, the Skil column at level one includes examples of awatenes that would normally be included under Iknowledge, Tee fle that fr this particular subject an swareness of an area that is diffe vo put into words isa recognisable skill even though itis hard to measure, Developing & Evidencing Competence “The following are offered asa guide to developing and evidencing these competency at ll levels ‘Toole for Developing competence could include: staftvolunteer Indveton,saining courses, contining education, essential incident reviews, personal and professional development ‘Ways of Evidencing competence could include: detonstracing review of patient note; estleitcal incident reviews; dacusson at multidsciplnary team meetings: planaing and evaluation of staff induction and teaching sessions; personal and profesional development reviews; contributions to profesional journalfbooks/national documents; contributions to a journal ela | Level t: All staff and volunteers who have casual contact with patients and their families Statement: ‘This level stele to ensure that ll staf and volunteers understand chat all people have spiritual needs and distinguishes between spiritual and religious needs Ie secks to encourage basic skills of awareness, relationships and communication, and an silty to refer concerns to members ofthe mulkidsciplinary team (MDT) ‘COMPETENCIES \ KNOWLEDGE SKILLS, ACTIONS, veryone working level 1 shouldbe able to (© Recognize that everyone das a sptitual dimension © Recognise that some people wil have a religious clement to thei spiialicy (© Understand the imporeance cof active listening sie © Recognise their personal ‘boundaries in siital care (© Know when to refer on for sore experienced assistance Everyone working at level {should have the following sil: (© An awareness ofthe nature of spctuality ‘within palliative cave coatext (© An awareness ofthe nature of religous reeds within a palliative cate context © An ably to develop a rapport with patients and earert (© A recognition oftheir wn pectonal limitations (© An ability to communicate with others aud efor to membezt ofthe MDT Everyone working at Level 1 should beable ro demonstrate an ability to (© Build relationships ‘with patents and families (© Use active listening shill o discern between spireul and religious needs (© Refer om to members ofthe MDT ‘Spiritual # Religious Cae Competencies fr Specialist Palliative Care All staff and volunteers whose duties require contact with patients and families/carers Statement: “This level secks to enhance the competences developed at level 1 with an increased awareness of spsitual and religious needs how they may be identified and responded to. In addition to increased communication skills idenifiation and referal of Aifclt needs should be achievable slong with an ability co sdesiy personal waining needs COMPETENCIES KvOWLEDGE skiuis AcTIONs In adtion tthe knowledge In adn to he le tev Tn adtion oh performance arlene! everyone working a ‘eryone working a el 2 arte everyone woking a eve 2 shoul be able Should hve he fellow kl eve 2 soul be abe to 1 Undead the nse of 2h anscnsha sl demonstate an ait sptualty within «ple needs requreacinowiedgoment | © Prondesuporive lsening screconer ce iyo endl toa pint aor exer 6 Have an awareness oftheir who hae igus or spiitual neds | © Doctment perce situa owen spealiy © ability oie cel ned 1 Undesand the importance tothe ptenars and eter diet egos ad tod ines of norerbel end chins contig spiral neds of paste verbal communicaon fai to cog ad tees to meme of 1 Understand the importance repoedapepely om ce MDT of cnfentaliy ad when 0 indvidals emotions © dey pertona ining Ghctow and document infomation | Arecogiton of thir own snd etlpment nese Tatton o mange dfs itr ering oo approtinte \ toners the MDT | Level 8: Staff and volunteers who are members of the multidisciplinary team Statement: ‘This evl seco farther enhance the hil of levels 1&2 Jemoves inc the ara of assessment of pital and religous ned developing a pan for ere and recognising complex pista, religous and ei issues, “This level also introduces confide and he ecoedig of senstive and personal patient formation ‘COMPETENCIES KNOWLEDGE SKILLS, ACTIONS Tn addition tothe knowledge atlevels 1 & 2 everyone ‘working at level 3 should beable: (© Understand the nate of spiritual assessment including the religious and ethical dimensions (© Understand the sis chat other members of the MDT. possess in relation to spiral exe © Understand confidenalty wth gard to patients’ and caress! personal information and what may be shared within the MDT. N Tn addition to the sills at levels 18¢ 2, everyone working a level 3 should have the following skill © An ability to describe and evidence a working definition of spisitual and religious needs |© An aby to cist paint’ key conecmne at apace dinected by paints (© An shity to recogite unmet spinal and reigiows need (© An ability to recogsize and respond appropriately to colle. in indvidsale and familie and ro emotional see (© An ability to develop and administer a pla for spiritual eae based on spiritual or religious ned © An ability to recopize comple spiral, religions and chia sue (© An ail to refer electively to other spiel cate resources, including chaplaincy, and to clealy articulate reasons for teferal (© An bir to identy education, training and development needs © An ability to respect conidenilty andthe appropriate slselonur of patiencarers persona information Tn addition ta the performance at levels 1 & 2 everyone working a level 3 shouldbe able to demonstrate an ability 0 (© Document patenester information ma way chat respects confidentiality of individuals and of he MDT (© Document the attessment, incerventions (ate and osteomes for patents and caress ‘© Document appropriate referrals following spiritual assessment (for example: referral to chaplainey or he patients own faith representative) ‘Spiritual # Religious Cae Competencies fr Specialist Palliative Care Level 4: Staff or volunteers whose primary responsibility is for the spiritual and religious care of patients, visitors and staff Statement: Salf working at level 4 are expected tobe able to manage and facilitate complex spiritual and religious needs in patients, famlestearers, sa and volunteers. In particular they will deal with the existential and practieal needs arising from the impact ‘om individuals and families from illness, li In addition they should have a clear understanding of their own dying and death personal belies and be able to journey with others focused on ther people's needs and agenda, “They should late with ‘external esourees as requied. They should also act as a resource forthe suppor, taining and education of healtheare professionals and volunteers, and sek tobe involved in professional and national natives ‘COMPETENCIES KNOWLEDGE SKILLS, ACTIONS In addivon tothe knowledge st levee 1,2. 3 everyone working aclevel$ shoud haves © Knowledge, understanding sd insight ito the complex spiral needs ofpacientlcrers and sail (© Knowiedge understanding and insight nt the complex regio needs ofpainsearees and staff (© Knowledge and understanding ofthe main world faiths, Ihumanism and atheism wth partial reference ro hele philosophies, bles and Practices around ies, fe, \ a and dying In addtion co the sks at levels 1,2 8 3, everyone working sat evel 4 should have an ability to (© Demonstate and present an indepth and broad understanding of spctualty and how spntual and rigious needs can be asesed and addressed (© Demonstrate a wade range of skill to discern, assess and addres the complex spiritual and religous needs of patienslcrers (© Demorutzate an awarenes ofthe spiritual ‘cate sill of members ofthe muihidciphinary team and evsluate spirits asessments (© Provide supporsupevsion to members ofthe multidsciplnary team engaged in spisitual assessmenviatrvenionelecal © Demonstrate an awarenes of additional intemal and exernal resources and how these may be accessed con In addition to the peformance at levee 1,2 3 everyone working at level 4 shouldbe able to demonsrate an ability to (© Document and provide feedback to indiidvalteam members following referral (© Help patencstearersicaff arsiculate thee sprtual and religious needs and identify resourees to addres them (© Delegate ass effetively to other

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