Digital Commons Network^™

Understanding Secondary Trauma In Cross Cultural Ministry Contexts, Rebekah M. F. Baxter

Doctoral Dissertations and Projects

Christian cross cultural missionary workers serving in cross cultural contexts frequently operate in emotionally and spiritually demanding environments characterized by poverty, violence, displacement, and systemic suffering. In these settings, ongoing exposure to trauma narratives and the distress of others may place ministry workers at risk for secondary traumatic stress (STS), a condition commonly studied in healthcare and counseling professions but under-explored in ministry contexts. STS can manifest in emotional, cognitive, and spiritual symptoms that affect both personal well-being and vocational sustainability. While existing literature acknowledges that missionary workers face unique risk factors, the lived experiences of Christian cross cultural missionary …

Concordia Seminary Magazine Spring 2026, Ken Ohlemeyer

Concordia Seminary Magazine

Shaped for His Service

Walking With The Wounded: Chaplains As Agents Of Christ’S Healing Ministry, Fred Okechukwu Anucha

Doctoral Dissertations and Projects

This Doctor of Ministry action research project evaluated the effectiveness of an eight-week Christ-centered training intervention designed to strengthen hospital chaplains’ confidence and clarify sacramental boundaries in end-of-life care at AdventHealth Celebration. Hospital chaplains frequently encounter situations in which patients and families request sacramental or spiritually significant practices during moments of crisis, yet chaplains often lack structured training that addresses how to respond with both pastoral sensitivity and theological clarity within a multifaith healthcare environment.

The project implemented an eight-week training program that integrated theological reflection, case-based discussion, and practical ministry applications intended to strengthen chaplains’ confidence in providing spiritual …

Reclaiming The Listening Pastor: A Pastoral Introduction To Spiritual Direction And Its Implications For A Recovery Of Pastoral Identity, Formation, And Sustainability In The Pentecostal Tradition, Hannah E.R. Sims

Doctor of Ministry (DMin)

American Pentecostalism has long been marked by spiritual vitality, yet its theology of pastoral identity remains comparatively underdeveloped. Pentecostal pastors are often recognized as Spirit-led leaders and compelling communicators, but many now find themselves functioning primarily as organizational executives or cultural personalities—roles shaped more by business strategy and therapeutic expectation than by historic practices of spiritual care. In this quiet shift, something sacred has thinned. Pastors frequently experience role confusion, spiritual fatigue, and a subtle distancing from the relational and formational heart of their vocation. This dissertation explores what has been diminished within Pentecostal pastoral identity and what might yet …

A Chaplain-Specific Care Plan For Addressing Moral Injury And Promoting Holistic Well-Being In Nurses That Have Transitioned From Hospital Care To Hospice Care, Franklin Hicks

Doctoral Dissertations and Projects

This thesis project, “A Chaplain-Specific Care Plan for Addressing Moral Injury and Promoting Holistic Well-Being in Nurses That Have Transitioned from Hospital Care to Hospice Care,” addresses the lack of chaplain-led interventions for nurses suffering from moral injury. Many nurses who transitioned from hospital to hospice care reported ongoing moral residue from ethically distressing events in acute settings. The purpose of this project was to evaluate the effectiveness of a spiritually grounded care plan, developed and facilitated by a board-certified chaplain, to address these moral wounds and promote holistic well-being among hospice nurses.

Twelve hospice nurses in West Tennessee participated …

Enhancing Collaborative Care: A Training Manual For Improving Veterans Affairs Mental Health Chaplaincy, Eddie L. Jones

Doctoral Dissertations and Projects

In 2010, the U.S. Department of Veterans Affairs (VA) and the Department of Defense (DoD) launched a study to investigate the integration of chaplains in mental health care. This research expands on that study by focusing on the critical need for enhanced collaboration between chaplaincy and mental health services at local VA facilities. While existing literature affirms the integral role of chaplains in addressing the spiritual and emotional needs of individuals, significant gaps in awareness and effective collaboration practices were identified at the Marion, IL VA Health Care System (VHCS). This study aimed to assess and address the specific training …

“How Can We Sing In A Strange Land?” The Pastoral Musician As A Master Griot/Griotte, Dollie Howell

Doctor of Pastoral Music Projects and Theses

The writer of Psalm 137 asks a question that poignantly resonates with the experiences of enslaved Africans who were taken captive, exiled from their homelands, and told to forget their languages, worship practices, and tribal traditions. Their dehumanization was intensified by expectations that “required a song and . . . mirth.” The question was “How shall we sing the Lord’s song in a strange land?” In response to this question of engaging in song as a community while in a strange land of deep and persistent systemic suffering, enslaved African-descended people founded a unique tradition within Christianity that responded to …

Hospital Organizations’ Obligation To Promote Spiritual Well-Being Among Nurses: Development Of A Normative Ethical Argument, Michael Jordan

Electronic Theses and Dissertations

This dissertation presents an innovative strategy to promote the support of nurses' spirituality within hospital organizations. By focusing on the spiritual well-being of nurses by hospital organizations, with a natural extension into nursing schools, the approach aims to enhance nurse’s ability to protect their own spirituality, provide comprehensive spiritual care to patients, and increase nurse moral resilience. By investing in nurses' spirituality and spiritual growth, hospitals can potentially increase job satisfaction among nursing staff, improve patient care outcomes, and create a more holistic healing environment for both nurses and patients. As the nursing shortage continues and the number of nurses …

Reclaiming The Body: A Womanist Bioethics Approach To Christian Authoritarianism, Laron Bryant Dowdell

Yale Divinity School Theses

This paper uses womanist bioethics as a theoretical lens to explore how authoritarian leadership practices violate Black women's well-being and autonomy. Womanist bioethics uniquely centers Black women's lived experiences, integrating spiritual, historical, and social dimensions of justice that mainstream bioethics often ignores. The womanist bioethics framework is applied to critique religious authoritarianism and to propose alternative leadership models rooted in shared leadership and communal accountability. The discussion unfolds in four parts: (1) how womanist bioethics critiques the bodily and moral harm authoritarian leadership inflicts on Black women, (2) testimonials of Black women who resisted high-control church systems, (3) an exploration …

Weeping In The Household: Equipping Pastoral Caregivers Among Grieving Families At Grace Presbyterian Church In Baltimore, Maryland, Charles Brandon Brewer

Doctor of Ministry Projects

This project sought to equip pastoral care ministry members of Grace Presbyterian Church to explore communal grief and deepen their own understanding of family systems in intergenerational grief. Participants engaged in a four-week training series aimed at reducing fear surrounding discussions of death, dying, and grief, empowering pastoral caregivers in the church to offer compassionate care to grieving individuals and families. Participants were trained to facilitate Bible studies, group discussions and were equipped with the skills necessary to guide and expand the church’s existing bereavement ministry beyond crisis intervention, strengthening pastoral care efforts, and the pastoral care ministry of the …

Innovating Chaplaincy Education: Integrating Nonreligious Spiritual Care Interventions To Serve A Diverse Patient Population, Dianne Dragon

Antioch University Dissertations & Theses

The transformation to the curriculum taught in chaplain training in Clinical Pastoral Education (CPE) will now address the spiritual needs of a more diverse, nonreligious, and interfaith population in the United States. Historically rooted in religious frameworks, CPE curricula are evolving to incorporate non-religious spiritual care interventions and promote research literacy among chaplains. This dissertation study uses descriptive analysis to present a study surveying CPE educators across over 300 U.S. based CPE centers to explore teaching practices and adaptation strategies. Findings reveal that integrating evidence-based methods and interdisciplinary collaboration is key to addressing inclusivity and professional competency in chaplaincy. By …

Solution-Focused Pastoral Counseling For Bereavement, Wayne A. Benner

Doctoral Dissertations and Projects

The topic of this action research is Solution-Focused Pastoral Counseling for grief and bereavement. The need for the research completed is for hospice chaplains to have a workable tool to use for grief and bereavement. The problem is that many hospice chaplains do not have a framework to use for counseling in grief. The action researcher worked on the thesis of if chaplains use Solution-Focused Pastoral Counseling for grief they will be more effective. The research was completed using Solution-Focused Pastoral Counseling to counsel six participants in grief. Each participant completed a pre-counseling questionnaire and a post-counseling questionnaire to assess …

An Action Research Study Of The Spiritual Growth Among Veterans Within The Civilian Context, Long Tuan Nguyen

Doctoral Dissertations and Projects

Military-civilian transition (MCT) for Veterans has been commonly associated with negative mental health experiences as they had to go through the intercultural changes between the military and civilian life. The purpose for this DMIN action research project was to design, coordinate, and assess a chaplain model of care called Spiritual Growth Lectio (SGL) for recently discharged Veterans. Thirteen Veterans participated in this research project through purposive sampling. The SGL model comprised a pre-test survey, six-week intervention, posttest survey, and focus group interview guided by four research questions. Quantitative data was collected from participants’ pre-test and post-test surveys. Subsequently, qualitative data …

The Operation Of The Holy Spirit In Pastoral Counseling And Chaplaincy, Elizabeth Canfield

Doctor of Ministry (DMin)

The operation of the Holy Spirit in pastoral counseling and chaplaincy is a topic that is difficult to quantify. How and where the Holy Spirit moves is often a mystery. This dissertation seeks to understand the movement of the Holy Spirit in pastoral counseling and chaplaincy in the form of a theological and literature review looking into the history of soul care/pastoral counseling and the development of chaplaincy. It also looks at who the Holy Spirit is, how the Spirit operates, and develops a theology of the Holy Spirit within pastoral counseling and chaplaincy with a focus on spiritual gifts. …

Action Crisis Intervention Response, Dwayne Pine

Doctoral Dissertations and Projects

Establishing a peer-to-peer mental health intervention program for healthcare workers at Henry Mayo Hospital is imperative for addressing stress, anxiety, depression, job burnout, and compassion fatigue. The growing mental health crisis among healthcare workers, leading to a significant number leaving the industry due to lack of support from management, underscores the urgency of this initiative. This action research project emphasizes the need for such a program in conjunction with the established Mental Health First Aid. While the latter provides tools to recognize a mental health crisis, it lacks holistic approaches to aid healthcare workers in immediate crisis mode. The project …

Spiritual Disciplines And Mental Resiliency: The Effectiveness Of Spiritual Coping Mechanisms To Decrease Anxiety And Depression Symptoms, Alysa Lynn Vanderweerd

Doctoral Dissertations and Projects

The outcome of anxiety and depression’s symptomology is an ever-rising global economy cost of 1 trillion U.S. dollars, due to medical costs and loss of productivity, leading researchers and clinicians to search for effective cost saving solutions (Chodavadia et al., 2023). Religion/Spirituality (RS) based cognitive therapy treatments are recognized in alleviating maladaptive behaviors and cognitive distortions, offering comfort to the afflicted, hope and belief that God is available for the seeker (Ramos et al., 2018). Therefore, the researcher conducted an internet-based, self-paced intervention of a mixed methods study of a 40-Day Biblical Worldview Educational Treatment Program of a convenience sample …

Equipping Local Pastors To Develop A Comprehensive Chaplaincy Ministry For The Cullman County Sheriff's Office, Matthew W. Smith

Doctoral Dissertations and Projects

Law enforcement officers’ high incidence of suicides and career abandonment is often attributed to work stress and inadequate support. The unmet emotional, physical, and spiritual needs further compound this situation. The researcher addressed the problem of unmet needs by training local pastors to serve as chaplains. Seven deputies, including six males and one female, and ten ministers, including eight males and two females, participated in the program. The training sessions included the following topics: introduction to law enforcement chaplaincy, personal issues LEOs’ battle, ministry of presence, building relationships, the chaplain’s purpose and role, qualities desired in a chaplain, ride-alongs, death …

The Need For Standardized Training For Volunteer Healthcare Chaplains, Dominic Anthony Korzecki

Masters Theses

For the past 50 years, many studies have examined the effects of Spiritual Care in medical environments. Though these studies have helped support the legitimacy and necessity for the presence of spiritual care in medicine, a lack of attention has been given to the level of professionalism of those who have been granted permission to administer care. The objective of my thesis is to determine the following: 1) if medical organizations that utilize volunteer-only spiritual care programs for their patients, and families, provide the same level of care as ones staffed by trained professionals, 2) if volunteer-only chaplaincy programs generate …

Biblical And Theological Principles For A Chaplaincy Ministry, Shelby Davidson

Journal of Adventist Mission Studies

The term chaplaincy does not directly appear in the Bible. However, the principles of chaplaincy are very much present in the Scriptures. Jesus, the greatest chaplain, was present in the Garden of Eden. Later, he incarnated as a human to this fallen world to be with humanity, to go through what human beings go through. A chaplain primarily is present with the people; therefore, a ministry of presence, empathy, giving wise counsel, and many other qualities describe what a chaplain is. This article looks at biblical and theological principles to guide a chaplaincy ministry from Scripture as well as from …

A Grief Intervention For Early Perinatal Loss, Dani M. Helm

Doctoral Dissertations and Projects

Early pregnancy loss has a multidimensional effect on patients, touching the body, soul, and spirit. This project addresses patients’ lack of spiritual and emotional support following early pregnancy loss, commonly called a miscarriage. The available research on the emotional impact of early pregnancy loss has grown stronger over the last three decades. However, there is a deficit of research exploring the spiritual implications of miscarriage and how faith is used as a coping mechanism for pregnancy grief. In modern culture, the term spirituality can mean many different things. With this awareness, Mercy Healthcare embraces and supports patients wherever they find …

Developing A Community Chaplaincy Ministry: Through A Need Satisfaction Care Model For A Native Language Church, Shanti Samuel

Doctoral Dissertations and Projects

Believers in Jesus Christ are mandated to "go" into the world, and caring for people is part of the seeking. God has provided models and processes of His care in the scriptures. A chaplain holds spiritual care functions outside the church's four walls on the field. Unfortunately, many Asian Indian Americans in the booming immigrant population have not received care. Therefore, this action research thesis assumes need-based church training to build a culture-sensitive model of care to provide care. This research project explored the causes and impediments to care through participative sessions with the spiritual care provider volunteers of the …

Equipping The Healthcare Team For Spiritual Care, Donna Burske

ATS Dissertations

No abstract provided.

Equipping The Saints : A Return To The Biblical Understanding Of The Priesthood Of All Believers, Benjamin Stilwell-Hernandez

ATS Dissertations

No abstract provided.

Understanding The 21st Century Practical Implication Of Chaplaincy Ministry In The City Of Milwaukee, Wi, Jeffrey D. Hayman

Doctoral Dissertations and Projects

This research project acknowledges that God’s command for Christian hospital chaplains is to serve humanity. Jesus calls a chaplain. He then forms, transforms, and conforms them to His image of oneness. Hospital chaplains like pastors are part of care ministries that extend to various work settings, Christian and secular. The hospital-certified chaplain, by definition, can support the whole workforce in the hospital, including their patients and the patient’s families. The hospital-certified chaplain is the main focus of this research. These hospital chaplains must be qualified, endorsed, licensed, certified, or ordained to be on the frontline in the community. A hospital-certified …

A New Paradigm For Ministry In The World: Spiritual Care Services Of Maine, Lori H. Whittenmore

Doctor of Ministry

With dwindling church attendance in the State of Maine, people’s spiritual needs are often unattended to, especially in times of struggle. Clergy are serving shrinking congregations with shrinking budgets, leading to reduced hours. They don’t often have time to provide pastoral care to their flock, let alone people outside of their flock. This project creates a mechanism to organize a chaplain team and make them available by contract to organizations and their staff and clients. I have conceptualized, designed, and birthed a community-based per diem chaplain/spiritual care organization that can match the world’s soulful need with professional, competent chaplains.

The …

An Assessment Of Dropout Rates Of Former Student Ministry Participants In Self-Identified Evangelical Churches With 500-2000 In Weekly Attendance, Derik Wade Idol

Doctoral Dissertations and Projects

Over the last quarter-century, there has been a consistent call to reconceptualization and at times reject the youth ministry task resulting from the universally accepted church dropout statistic post-high school graduation. In 2008, Brandon Shields presented a falsification study that disproved the theory that high school graduates are leaving the church at a rate of 70-90% at Southern Baptist Megachurches. The purpose of this study was to examine the claim that 70-90% of youth ministry graduates are leaving the church by researching 17 self-identified Evangelical churches of 500-2000 in average church attendance. The research design was a quantitative replication study …

Caregivers Need Care, Too: Conceptualising Spiritual Care For Migrant Caregivers-Transnational Mothers, Ma. Adeinev M. Reyes-Espiritu

Theology Department Faculty Publications

Growing research revolving around the plight of (Philippine) migrant domestic workers is noteworthy. However, the focus is largely on their role, capacity and identity as caregivers, meaning as labour migrants and transnational mothers engaged in both paid and unpaid care work. Building on the “care circulation” framework of Baldassar and Merla that conceptualises care as given and received in varying degrees by all family members across time and distance, this paper takes up the task of recognising migrant domestic workers as care receivers. In a particular way, this paper conceptualises care for migrant caregivers-transnational mothers that is based on a …

A Framework For Utilizing Narrative Theory And Life Review In Healthcare Chaplaincy, Joshua M. Fagin

Doctoral Dissertations and Projects

In healthcare chaplaincy, narrative theory can help the patient separate themselves from their grief or terminal illness. It has been said that chaplaincy is a “ministry of presence,” however, just showing up is a low-level intervention. The purpose for this Doctor of Ministry thesis is to equip chaplains with a comprehensive framework for apply narrative theory and life review in the healthcare chaplaincy context. This thesis seeks to explore and define biblical models of storytelling and spiritual narratives. This thesis will encourage chaplains to have meaningful, engaging and longer visits in individual and group visits. If the spiritual care department …

Spiritual Care Of Gay Men In Committed Relationships: An Evidenced-Based Intercultural Approach, Marc J. Coulter

Electronic Theses and Dissertations

Sexual minorities have historically been targets of homophobia, heterosexism, discrimination, and persecution particularly within traditional, conservative religious organizations. As a result, many people who identify as male and gay reject traditional forms of religion and seek alternative spiritual beliefs and practices affirming their sexual orientation, often self-identifying as “spiritual but not religious” (SBNR). Some white, gay male couples in committed relationships also reject traditional views of sexual fidelity and negotiate open, consensual, non-monogamous sexual relationships with their primary partner. Gay couples seeking behavioral health assistance to navigate relational difficulties may encounter clinicians who fail to acknowledge the harmful influence of …

The Role Of Emotional Intelligence In Chaplaincy: An Analysis If Ei In The Delivery Of Patient-Centered Care, Dean A. Darroux

Doctoral Dissertations and Projects

This study addressed the role of emotional intelligence among healthcare chaplains and its place in delivering patient-centered care at Adventist healthcare, Maryland. The study assumed that since healthcare chaplains’ journeys with their patients help them process their feelings as they understand the nature of their illness, they must identify their feelings and that of their patients to provide better care. It further examined the role of personality in determining its relationship with emotional intelligence and how it would influence patient-centered care. The literature surveyed indicated that emotional intelligence helps individuals understand their emotions as well as that of others. A …