Defining and Operationalizing Chaplain Presence: A Review.

Presence is a vaguely defined word often used by chaplains to describe their work with patients, families, and staff. The current literature defines presence as a process of creating a trusting atmosphere for nonjudgmental and compassionate sharing in another's story. Presence has no apparent agenda, much flexibility, and requires emotional vulnerability in the chaplain interactions. This presents four problems: distinguishing chaplain presence from presence by other providers; dependence on chaplain vulnerability in the encounter; difficulty of assessing impact on patient/family care; and clearly communicating the importance of presence to the interprofessional team. An operational definition is provided including parameters for care and intended outcomes.