1. Please identify your top three strengths in the provision of spiritual care, with brief commentary on each. (Three Paragraphs. ICPT: 1, 2, and 4; ACPE: L1.2, L1.9, L2.1, L2.6, and L2.9)
2. Please identify your top three limitations and challenges in the provision of spiritual care, with brief commentary on each. (Three Paragraphs. ICPT: 1, 2, and 4; ACPE: L1.2, L1.9, L2.1, L2.6, and L2.9)
3. Please speak to the ways that your own attitude, preconceptions, values, and experiences impact your professional practice. (Three Paragraphs. ICPT: U1.1; 2, 5, 11, and 12; ACPE: L1.1, L1.2, L2.1, L.26, and L2.9)
4. Please reflect on what you believe makes for effective spiritual support for those you serve, including in your reflection a view on assessment and evaluation of outcomes. (Three Paragraphs. ICPT: U1.1, U1.2, U2.1, U2.3, U3.1, and U4.2; 3, 4, 12, and 13; ACPE: L1.5, L1.7, L2.2, L2.3, L2.4, and L2.6)
5. In professional practice, management of crisis situations may arise at any time, compromising our ability to manage multiple situations. Please reflect, using an example from your own clinical experience, on how you triage, manage, and set priorities when faced with potentially overwhelming situations. In specific, please share with us how you recognize for yourself the need for backup or relief in such a situation. (Four Paragraphs. ICPT U1.2, U2.1, U3.1; 7, 12, and 13; ACPE: L1.5, L1.7, L2.2, L2.3, L2.4, and L2.6)
6. How do you facilitate reflection on the spiritual, theological, or existential topics brought forth by your patients? In this process, what are the ways in which you both actively promote an individual’s native theological tradition as a source of strength and information, and avoid imposing your own viewpoints to substitute for an individual’s own beliefs and values? (Three Paragraphs. ICPT U1.1, U2.3, U3.1; 2, 3, 4, 5, 6, 7, 8 and 13; ACPE: L1.1, L1.2, L2.2, L2.3, and L2.4)
7. Discuss how you provide appropriate spiritual support to patients, families, and staff in your professional encounters, and describe how you measure the effectiveness of your work. Indicate if the mode of measurement is personally determined or is mandated through a specific pathway (such as charting pathways, etc.). (Three Paragraphs. . ICPT: U1.1, U1.2, U2.1, U2.2, U2.3, U3.1, U3.2, U4.1, and U4.2; 1, 3, 7, 10, and 13; ACPE: L1.1, L1.2, L 1.5, L1.7, L2.2, L2.3, and L2.4)
8. Please provide a brief example (independent of one of your two submitted case studies) of how you have addressed a specific set patient, family, or staff needs and measured the outcome; walking through assessment, delivery of care, and measurement of outcome. (Three Paragraphs. ICPT: U4.2; 2, 3, 5, 6, 7, 8, 10, 11, 12, and 13; ACPE: L1.1, L1.2, L2.2, L2.3, and L2.4)
9. Describe concrete ways in which you provide effective spiritual care to those in grief, be it anticipatory, process-related, or post-loss. If appropriate, please include information on restrictions you have experienced from an employer/place of ministry regarding accompanying individuals in the grief process. (Three Paragraphs. ICPT: U1.2; 3, 5, 6, 7, 11, and 13; ACPE: L1.5, L1.7, L2.2, L2.3, L2.4, and L2.6)
10. What are some of the ways that you provide spiritual care in a group setting? What skills have you found helpful in the process, even if they are not, strictly speaking, related to spiritual care? What challenges have you experienced in providing spiritual care in a group setting outside of a congregational environment? (Three Paragraphs. ICPT: U1.1, U2.1, U3.1; 2, 5, 6, 7, 8, 11, 12, and 13; ACPE: L1.4, L1.5, L1.7, L2.2, L2.3, L2.4, and L2.6)
11. How do you manage spiritual assessment? Are there specific models that you incorporate into your work? How do you actualize those assessments in your functional ministry? (Three Paragraphs. ICPT: U4.2; 3, 11, and 13; ACPE: L1.5, L1.7, L2.2, L2.3, and L2.4)
12. Please share with us the methods you use to document assessment and spiritual caregiving, and how you communicate outcomes with other members of the interdisciplinary staff. If chart style records are not maintained in your setting, please explain what tools are available to you for communication of spiritual care needs to staff of other disciplines. (Three Paragraphs. ICPT: U4.2; 3, 7, 10, 11, and 13; ACPE: L1.7, L2.4, L2.5, and L2.7)
13. How do you form, nurture, and conclude relationships you enter as a spiritual caregiver with openness, appropriate boundaries, and integrity? How has your approach evolved over your student experience and into functional caregiving? (Two Paragraphs. ICPT: U1.1, U2.1, U2.2, U3.1, U4.2; 2, 5, and 6; ACPE: L1.4, L1.5, L1.7, L2.2, L2.3, and L2.7)
14. Is the delivery of public worship expected of you in your current non-congregational role, or was it expected in a previous spiritual care role or as a student? If so, what governs how you develop these experiences of public worship and spiritual practice? As a Christian, how do you manage the sensitivities of both other Christian denominations as well as non-Christians in your area of practice? (Two Paragraphs. ICPT: U1.1, U2.1, U3.1; 2, 4, 6, 7, 8, and 12; ACPE: L1.5, L1.7, L2.2, L2.3, L2.4, and L2.6)
15. As professional spiritual caregivers, we function often in environments that are designed as business, governmental, or otherwise organizationally managed. How do you recognize group and organizational dynamics at work in such environments, and how do you see your own function within those structures. (Three Paragraphs. Three Paragraphs. ICPT U2.1, U3.1; 1, 2, 9, 10, 12, and 13; ACPE: L1.2, L1.4, L1.5, L2.2, L2.5, L2.6, and L2.7)
16. How are you currently utilizing research, professional journal articles, and professional books on pertinent topics to expand your horizons in providing spiritual care? Do you engage in research in your professional role? In what ways have you found yourself able to integrate your learning or research into your findings? (Two paragraphs for your general information, and two paragraphs for a specific example of how you are integrating learning or research. ICPT 1 and 13; ACPE: L1.6)
17. How do you see yourself contributing to your organization in leadership and development areas? If not currently employed in a non-congregational environment, reflection on how you have done so in the past, or how you might theoretically do so in the future. Be certain to reference the realities of organizational structures, budgets, and your community served in your response. (Four Paragraphs. ICPT: 1, 9, 10, and 12; ACPE: L1.2, L1.4, L1.5, L2.2, L2.5, L2.6, and L2.7)
18. Describe your approach to whole-person self care. Please provide a brief overview of your philosophy of self care, and then provide an inventory (or plan) of activities. Keep in mind, we are looking for aspects that serve the body, mind, and spirit. (One paragraph for overview. Inventory may be of any length and in any format. ICPT 2; ACPE: L1.3, L1.9, L2.5, L2.7, and L2.9)
19. Do you have formal training in any complimentary disciplines, programs, or processes that you use to enhance your provision of spiritual care? If so, please provide a listing of those areas of training, with notation on any certification or similar status you have to practice. (A listing of any length will suffice. If not, please fill in this question N/A.)