Abstract
Chaplaincy has traditionally been considered a profession highly respectful of confidentiality. Nevertheless, given increasing professional collaboration within health and welfare contexts, plus the requirements of intervention reporting and the ease of technological data sharing, it is possible that confidentiality may be sacrificed for the sake of expediency. This exploratory review considers the literature relating to the role of chaplaincy and confidentiality that suggests a number of principles which should be considered by chaplaincy associations/organizations to ensure appropriate professional practice and the holistic health and well-being of patients/clients. Recommendations are made for the development of specific policies and procedures, confidentiality training programs and further research for developing universal protocols relating to chaplains and their handling of confidential information.
Similar content being viewed by others
Notes
Traditionally, a confessional is an enclosed booth (most often utilised within Roman Catholic Church, but also some Anglican and Lutheran Churches) which is used for the sacrament of penance, often called confession. The confessional is designed to keep the identity of the confessor anonymous. What is confessed within the confessional is to be held with absolutely confidentiality by clergy.
“Apprise the medical profession”, under Frierson’s (1977) model would be a form of ‘professional confidentiality’ (refer Table 3).
References
AAPC. (2013). AAPC code of ethics: Principle IV—Confidentiality. Fairfax Virginia: American Association of Pastoral Counsellors, Retrieved: http://www.aapc.org/about-us/code-of-ethics/.
AHPCC. (2005). Code of conduct (2 ed.). UK: Association of Hospital and Palliative Care Chaplains. Retrieved: http://www.ahpcc.org.uk/books/books_codeconduct.htm.
Aiken, C. (2008). Chaplaincy and health care in the ADF: The relationship between body, mind and soul. ADF Health, 9(2), 74–78.
APC (2000) Code of Ethics. Schaumburg, Illinois: Association of Professional Chaplains. Retrieved: http://www.professionalchaplains.org/Files/professional_standards/professional_ethics/apc_code_of_ethics.pdf.
Baldwin, W. (1981). The hospital chaplain’s role—strictly confidential. Nursing Mirror, 153(9), 26–28.
Beauchamp, T. L., & Childress, J. F. (2013). Principles of biomedical ethics (7th ed.). Oxford: Oxford University Press.
Beder, J., & Yan, G. W. (2013). VHA chaplains: Challenges, roles, rewards and frustrations of the work. Journal of Health Care Chaplaincy, 19(2), 54–65.
Besterman-Dahan, K., Gibbons, S. W., Barnett, S. D., & Hickling, E. J. (2012). The role of military chaplains in mental health care of the deployed service member. Military Medicine, 177(9), 1028–1033.
BMA. (1997). BMA hippocratic oath. London: British Medical Association.
Budd, F. C. (1999). An air force model of psychologist–chaplain collaboration. Professional Psychology: Research and Practice, 30(6), 552–556.
Bush, J. E. (2003). Pastoral confidentiality. Business & Professional Ethics Journal, 22(4), 67–92.
Carey, L. B., & Del Medico, L. (2013). Chaplaincy and mental health care in Aotearoa New Zealand: An exploratory study. Journal of Religion and Health, 52(1), 46–59. doi:10.1007/s10943-012-9622-9.
Carey, L. B., & Willis, M. (2014). Audit into RAAF chaplaincy policy and confidentiality. Canberra: Royal Australian Air Force Chaplaincy Branch.
Carey, L. B., Willis, M., Krikheli, L., & O’Brien, A. (2014). Religion, health and confidentiality: An exploratory review of the role of chaplains. Journal of Religion and Health. doi:10.1007/s10943-014-9931-2.
CASC. (2012). Code of ethics. In Policy and procedure manual (chap. 5). Oakville, ON: Canadian Association for Spiritual Care. http://209.162.178.174/manual.asp?Chapter=205.
Casscells, S. W. (2009). Speech by the Assistant Secretary of Defense for Health Affairs to military chaplains. Journal of Religion and Health, 48(1), 58–61. doi:10.1007/s10943-008-9222-x.
CHCC. (2005). Code of conduct. London: College of Health Care Chaplains. http://www.healthcarechaplains.org/index.html.
Cramer, A. A. (1966). Go tell the people? The ethics of pastoral confidentiality, Pastoral Psychology, 17, 31–41.
Crittenden, J. W. (1977). Hospital chaplaincy and medical records. Medical Record News, 48(1), 30–36.
Cronan, P. A. (2013). Ethics insight: Client relations—conflict, confidentiality and comprehensive note taking (vol. 1, pp. 1–4). Canberra: Australian Defence Force Legal Service.
Dunt, D. (2009). Review of mental health care in the ADF and transition through discharge. Canberra: Department of Defence, Australian Defence Force.
Erde, E., Pomerantz, S. C., Saccocci, M., Kramer-Feeley, V., & Cavalieri, T. A. (2006). Privacy and patient–clergy access: Perspectives of patients admitted to hospital. Journal of Medical Ethics, 32(7), 398–402.
Fish, M. G. (1978). Paradox: Confidentiality and member of the team. Bulletin-American Protestant Hospital Association, 42(2), 132–134.
Friesen, D. D. (1971). Confidentiality and the pastoral counsellor. Pastoral Psychology, 22(1), 48–53.
Goldstein, H. R., Marin, D., & Umpierre, M. (2011). Chaplains and access to medical records. Journal of Health Care Chaplaincy, 17(3–4), 162–168.
Handzo, G., Cobb, M., Holmes, C., Kelly, E., & Sinclair, S. (2014). Outcomes for professional health care chaplaincy: An international call to action. Journal of Health Care Chaplaincy, 20(3). doi:10.1080/08854726.08852014.08902713.
HCCF&BG (2014). Health Care Chaplaincy Faith and Belief Group. London: http://hcfbg.org.uk/.
Helm, P. (1985). Confidentiality. In D. J. Atkinson & A. H. Field (Eds.), New dictionary of Christian ethics and pastoral theology. Leicester: Intervarsity Press.
Higgins, G. L. (1989). The history of confidentiality in medicine. Canadian Family Physician, 35(April), 921–926.
Howard, M. D., & Cox, R. P. (2007). Family issues in time of war: A chaplain’s perspective. Issues in Religion and Psychotherapy, 31(1), 55–69.
ICHC. (1972). Interchurch Council for Hospital Chaplaincy. Wellington, New Zealand. Retrieved http://www.ichc.org.nz.
ICRC. (1949). The Geneva conventions. Geneva: International Committee of the Red Cross.
Klink, T. W. (1966a). Documents and reports on privilege and confidentiality. Pastoral Psychology, 17(2), 42–46.
Klink, T. W. (1966b). Pastoral confidences: A modern dilemma. Pastoral Psychology, 17(2), 3–8.
Loewy, R. S., & Loewy, E. H. (2007). Healthcare and the hospital chaplain. Medscape General Medicine, 9(1), 53–62.
McCurdy, D. B. (2012). Chaplains, confidentiality and the chart. Chaplaincy Today, 28(2), 20–30.
NACC. (2007). Code of ethics for spiritual care professionals. In Standards for ethics, certification, renewal of certification Pt II, Section 100 & 200. Milwaukee, WI: National Association of Catholic Chaplains. http://www.nacc.org/docs/certification/NACC%20Standards%20October%202013.pdf.
NAJC. (2003). Code of professional ethics. Whippany, New Jersey: National Association of Jewish Chaplains, http://www.najc.org/about/ethics.
Neels, R. J. (1977). The horizontal perspective: A study of patients’ attitudes towards hospital chaplains. The New Zealand Medical Journal, 85(588), 429–432.
Neuhauser, J. A. (2011). Lives of quiet desperation: The conflict between military necessity and confidentiality. Creighton Law Review, 44(4), 1003–1044.
Niselle, P. (2005). Can you tell? Should you tell? ADF Health, 6(1), 9–11.
NZPA. (1993). Privacy Act 1993. Wellington: New Zealand Government Parliamentary Counsel Office. http://www.legislation.govt.nz/act/public/1993/0028/latest/DLM296639.html.
Parkinson, P. (2003). Child sexual abuse and the churches: Understanding the issues (2nd ed.). Sydney: Aquila Press.
Ruff, R. (1996). Leaving footprints: The practice and benefits of hospital chaplains documenting pastoral care activity in patients’ medical records. Journal of Pastoral Care, 50(4), 383.
SACH. (2012). Code of professional conduct. Scottish Association of Chaplains in Healthcare, http://www.sach.org.uk/code.htm.
SCA. (2013). Code of professional conduct. Melbourne: Spiritual Care Australia Incorporated. http://www.spiritualcareaustralia.org.au/resources/Code_of_Conduct.pdf.
Seddon, R. L., Jones, E., & Greenberg, N. (2011). The role of chaplains in maintaining the psychological health of military personnel: An historical and contemporary perspective. Military Medicine, 176(12), 1357–1361.
Siegler, M. (1982). Sounding boards. Confidentiality in medicine—a decrepit concept. New England Journal of Medicine, 307, 1518–1521.
Smith, M. L., & Overvold, J. (2009). Chaplains and confidentiality. Hastings Centre Report, 39(1), 12–13.
Tiberghein, P. (1954). The evolution of the medical secret. In P. Flood (Ed.), New problems in medical ethics (vol. 2). Westminster, MD.
Tribbensee, N. E., & Claiborn, C. D. (2003). Confidentiality in psychotherapy and related contexts. In W. O’Donohue & K. Ferguson (Eds.), Handbook of professional ethics for psychologists: issues, questions, and controversies (pp. 287–300). Thousand Oaks, CA: Sage.
UKBHC. (2010). Code of conduct for healthcare chaplains. Respecting confidentiality [Section 4.3]. Cambridge: United Kingdom Board of Health Care Chaplaincy. Retrieved: http://www.ukbhc.org.uk/sites/default/files/ukbhc_code_of_conduct_2010_revised_2012_0.pdf.
UNESCO. (2005). Universal declaration on bioethics and human rights. Paris: United Nations Educational, Scientific and Cultural Organization.
Veatch, R. M. (2012). Bioethics. New Jersey: Pearson Education.
Watson, F. A. (1998). Confidentiality and risk assessment: case studies of the professional judgements of nurses, social workers and hospital chaplains. Ph.D. Thesis. University of Leeds, Department of Sociology and Social Policy, Leeds, West Yorkshire.
Witten, C. M. (2013). Confidentiality with chaplains: Sailors hold the key. Retrieved from: http://0-search.proquest.com.alpha2.latrobe.edu.au/docview/1365669578?accountid=1365612001.
WMA. (1948). Declaration of Geneva (Physician’s Oath). Geneva: World Medical Association.
Acknowledgments
Appreciation is acknowledged to Ms. Kylie Breheny for her supportive contribution to this review.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Carey, L.B., Willis, M.A., Krikheli, L. et al. Religion, Health and Confidentiality: An Exploratory Review of the Role of Chaplains. J Relig Health 54, 676–692 (2015). https://doi.org/10.1007/s10943-014-9931-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-014-9931-2