"I Don't Do Religion": Using Nature Photographs to Engage Patients in Spiritual Reflection.

When caring for healthcare patients, professional chaplains may find an increasing proportion of individuals in the U.S. who do not identify as religious and who may benefit from creative approaches to discussing their spiritual and existential concerns. One approach to engaging patients is using a "third voice," as shared in a personal narrative in which a chaplain uses landscape photographs to engage a patient for discussion of spiritual and existential concerns. The content of the conversation may inform decisions about treatment, quality of life, and person-centered care.