FEATURESCommunicating Spiritual Care in the Electronic Health RecordBurkhart, Lisa PhD, RN, ANEF; Coglianese, Marie MPS, BCC; Kaelin, Jerry MDiv, MA, BCC; Moorhead, Sue PhD, RN, FAAN; Joyce, Cara PhDAuthor Information Author Affiliations: Marcella Niehoff School of Nursing, Loyola University Chicago (Dr Burkhart); Parkinson School of Health Sciences and Public Health, Loyola University Chicago (Dr Joyce); Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital (Dr Burkhart); and Loyola University Medical Center, Maywood (Ms Coglianese and Mr Kaelin), IL; and College of Nursing, University of Iowa (Dr Moorhead). The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Lisa Burkhart, PhD, RN, ANEF, Marcella Niehoff School of Nursing, Loyola University Chicago, 1032 W Sheridan Rd, Chicago, IL 60626 ([email protected]); or Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, 5000 5th Ave, Hines, IL 60141 ([email protected]). CIN: Computers, Informatics, Nursing: October 2021 - Volume 39 - Issue 10 - p 538-546 doi: 10.1097/CIN.0000000000000707 Buy CME Test Metrics Abstract Chaplains must document their ministry of care in electronic health records that primarily focus on the physical dimension of care. Creating chaplain documentation that reflects the spiritual dimension of care requires chaplains to participate in the screen design. This article describes how chaplain documentation was designed and refined using psychometric methods. The resulting system successfully supported chaplain workflow, provided an ability to aggregate chaplain workload, and integrated the chaplain into the interprofessional team by structuring, linking, and sharing both the chaplain and nursing assessment of spiritual distress in the electronic health record. Documentation used 5-point Likert scales to measure different dimensions of patient spirituality. Reliability and validity were further evaluated as part of a workshop at an Association of Professional Chaplains annual meeting. Findings supported interrater reliability and the ability to predict and discriminate change pre and post encounter. Documentation screen content is presented. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.