A Qualitative Study of Chaplains Spiritual Care for Persons With Dementia in Long-Term Care

Chaplains play a central role in providing spiritual care in long-term care settings. This study explored how chaplains provide spiritual care for residents with dementia in long-term care, which is not well understood. We conducted six separate semi-structured focus groups with a total of 16 chaplains who provide care for people with dementia in long-term care facilities across the U.S. Thematic analysis was used to identify common practices, challenges, and adaptations in chaplains' work with persons with dementia. Two main themes emerged: the broad and multifaceted role of chaplains in long-term care, including responsibilities to residents, staff, and family, and dementia-specific spiritual care adaptations and delivery practices, including learning through experience, using multisensory tools, relying on presence, music, and emotional resonance. Chaplains' adaptive, person-centered spiritual care for residents with dementia highlights the need for dementia-informed chaplaincy training and greater integration of chaplaincy into interdisciplinary care planning in long-term care settings.