week 13 Community nursing

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Chapter 23: Faith‐Oriented Communities and Health Ministries in Faith Communities

Chapter Highlights

Faith communities as centers for community health

Cultural and developmental features of faith community work

Integration of body, mind, and spirit in whole person health

Health promotion in faith communities

Parish Nursing

A specialty practice of nursing having registered nurses contribute to the health and wholeness of people in the context of a faith community

The parish nurse is part of the ministry staff of the congregation and serves the illness needs of individual people, families, and the entire faith community.

Nursing in Faith Communities #1

Equivalent to parish nursing; used in settings in which the word “parish” may have no meaning or association.

This broader term is the preferred term, but many original documents used “parish nursing” as the title for the role.

Nursing in Faith Communities #2

Faith community nursing provides the following support:

Health promotion

Health screening

Health teaching

Care for individual people and groups associated with the congregation

Question #1

Is the following sentence true or false?

Parish nurses established the first hospitals.

Answer to Question #1

False

Rationale: In ancient times, families and religious communities served as a primary source of health and illness care. Religious groups and monasteries established the first hospitals.

History of Faith Community Nursing

Faith community nursing is a fairly recent concept; however, in ancient times, families and religious communities served as a primary source of health and illness care.

Religious groups and monasteries established the first hospitals.

Granger Westberg, a Lutheran minister and hospital chaplain, began “parish nursing” in the 1980s.

Spiritual Care

Care of the human spirit that may include dealing with the meaning of health, illness or loss, and relationships with God and others, and that has the goal of peace

Question #2

Is the following statement true or false?

Congregation‐based model is one in which the faith community nurse serves a health system with assignment to particular congregational settings. In this model, the parish or faith‐based nurse serves as liaison and helps plan and coordinate care, particularly at times of transition.

Answer to Question #2

False

Rationale: Institution‐based model is one in which the faith community nurse serves a health system with assignment to particular congregational settings. In this model, the parish or faith‐based nurse serves as liaison and helps plan and coordinate care, particularly at times of transition. Congregation‐based model is one in which a faith‐based nurse serves a particular faith community by virtue of a contract or job description; it supports the concept of faith‐based nurse who can be paid or serve as a volunteer.

Models of Faith Community Practice

Congregation‐based model—a faith‐based nurse serving a particular faith community by virtue of a contract or job description; supports the concept of faith‐based nurse who can be paid or serve as a volunteer

Institution‐based model—the faith community nurse serving a health system with assignment to particular congregational settings; in this model, the parish or faith‐based nurse serves as liaison and helps plan and coordinate care, particularly at times of transition.

The Uniqueness of Faith Communities

Relationship with the clergy

Faith community as community

Roles of the Faith‐Based Nurse

Integrator of faith and health

Personal health counselor

Health educator

Health advocate

Referral agent

Coordinator of volunteers

Accessing and developing support groups

Scope and Standards of Practice

Faith‐based nurses function by virtue of their license to practice nursing.

Faith‐based nurses function more independently.

The Nursing Process in Faith Community Nursing

Assessment and diagnosis

Interventions and outcomes

Question #3

Is the following statement true or false?

Ethical principles that guide nursing practice in general do not apply to nursing in faith communities.

Answer to Question #3

False

Rationale: All the ethical principles that guide nursing practice in general apply to nursing in faith communities.

Ethical Considerations

Values, cultural practices, and faith are a part of health.

The body, mind, and spirit of community members are a primary focus of nursing in faith communities.

Education for Faith‐Based Nursing

Faith‐based nurses are often educated for the role in continuing education programs.

The IPNRC has developed a curriculum that can be delivered in a continuing education format or through a more formal academic program for college credit.

The curriculum for all participants is developed at the baccalaureate level, even though many faith community nurses have diplomas or associate degree preparation.