Integrating Religious and Spiritual Struggles into Clinical Documentation: A System-Wide Evaluation of Chaplain Charting Quality

We evaluated a system-wide charting intervention integrating Exline and Pargament’s Religious and Spiritual Struggles framework into documentation. Using qualitative content analysis of notes sampled across 2019–2023 (N = 48), note quality improved substantially, with clearer assessment, intervention specificity, and RSS-domain identification, demonstrating a psychologically grounded method for strengthening spiritual-health documentation.