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Chapter 29

The Faith Community Nurse

 Describe the heritage of health and healing in faith communities.  (^) Describe models of the parish nurse.  Demonstrate an awareness of the nurse’s role as parish nurse in faith communities for health promotion and disease prevention.  Recognize the role of holistic health care for wellness in faith communities.  (^) Help communities of faith include Healthy People 2020 guidelines in program planning.  Collaborate with key partners to implement health ministries relevant for the faith community.  Discuss the legal, ethical, and financial issues related to parish nursing.

Objectives

 Parish nurses work in close relationships with individuals, families, and faith communities to establish programs and services that significantly affect health, healing, and wholeness.  Parish nurses balance knowledge and skill in the role and facilitate the faith community to become a caring place.  Parish nurses address universal health problems of individuals, families, and groups of all ages.  Parish nursing is gaining prominence as nurses bc people want to reclaim their traditions of healing, acknowledge gaps in service delivery, and, along with the rise of nursing centers, affirm the independent functions of nursing.

Introduction

 (^) Faith Communities: groups of people that gather in churches, cathedrals, synagogues, or mosques and acknowledge common faith traditions  (^) Parish Nurses: respond to health and wellness needs of populations of faith communities and are partners with the church in fulfilling the mission of health ministry  Health Ministries: activities and programs in faith communities organized around health and healing to promote wholeness in health across the life span. Services may include:  (^) Visiting the homebound  (^) Providing meals for families in crisis or when returning home after hospitalization  (^) Participating in prayer circles  (^) Volunteering in community acquired immunodeficiency syndrome (AIDS) care groups  (^) Serving “healthy heart” church suppers  (^) Holding regular grief support groups

Definitions in

Faith Community Nursing

Congregational Model  The nurse is usually autonomous  The development of a parish nurse/health ministry program arises from the individual community of faith  The nurse is accountable to the congregation and its governing body Institutional Model  Includes greater collaboration and partnerships than the Congregational model  The nurse may be in a contractual relationship with hospitals, medical centers, long-term care establishments, or educational institutions.

Models of

Faith Community Nursing

CIRCLE Model of Spiritual Care

SETTING

RECEPIENT OF SPIRITUAL NURSING CARE PROVIDER OF SPIRITUAL NURSING CARE C ARING I NTUITION R ESPECT FOR

• Religious beliefs &Practices C AUTION L ISTENING E MOTIONAL S UPPORT



Faith Communities

 (^) Holistic health centers 

Faith Nurse Community

 (^) International Parish Nurse Resource Center (IPNRC)/Advocate Health Care resources  (^) Parish nurse coordinator  (^) Neighborhood nurse 

Health Care Delivery

 (^) Formation of partnerships

Historical Perspectives



Justice, Mercy, and Spiritual & Physical Healing

(primary focus)



Nursing Research



Biblical Accounts

 (^) Phoebe (name means servant) (Romans 16:1-2)  (^) Faith foundations (Psalms 106, 107, 113; Mark; Luke; Acts) 

Early Church – Preach, teach, and heal (done by the

creator, through the creatrr, and human kind as well)



Creator and humankind

Faith Communities



Average age = 55 years



89% female



32% prepared at BSN, 24% Diploma, 14%

Associate, 12% Master



68% Unpaid staff in towns (47%), cities (43%),

and metro (11%)



Majority Christian faith traditions. 2% Jewish,

25% Luteran, 23% Roman Catholic, 16%

Methodist



17% ANA membership

Demographic Profile of Faith

Community Nurses



Annual and periodic evaluations are required of

parish nurse practices and services needed.



Abiding by the professional nursing code is

understood; however, the nurse must also know

the polity, expectations, and mission of the

particular faith community.



The nurse also continually interprets the

profession for the faith community.

Issues in Faith Community Nursing Practice Professional Issues



Personal health counseling

 (^) Health risk appraisals  (^) Spiritual assessments  (^) Plans for healthier lifestyles  (^) Support and guidance related to numerous acute and chronic actual and potential health problems 

Health education



Liaison (between faith community and local

resource)



Facilitator



Pastoral care



Services to vulnerable population

Functions of the

Faith Community Nurse

Recognize the role of holistic

health care for wellness in faith

communities.



Personal health counseling



Health education



Liaison



Facilitator



Spiritual Support

Functions of the Parish Nurse