harkness2e chap23 ppt

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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

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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.

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Nursing in Faith Communities• 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.

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Nursing in Faith Communities• Faith community nursing provides the

following support:• Health promotion• Health screening• Health teaching • Care for individual people and groups associated

with the congregation

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QuestionIs the following sentence true or false?Parish nurses established the first hospitals.

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AnswerFalseRationale: 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.

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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.

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Spiritual CareCare 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

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QuestionIs 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.

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AnswerFalseRationale: 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.

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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.

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The Uniqueness of Faith Communities

• Relationship with the clergy• Faith community as community

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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

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Scope and Standards of Practice• Faith-based nurses function by virtue

of their license to practice nursing.• Faith-based nurses function more

independently.

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The Nursing Process in Faith Community Nursing

• Assessment and diagnosis• Interventions and outcomes

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QuestionIs the following statement true or false?Ethical principles that guide nursing practice in general do not apply to nursing in faith communities.

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

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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.

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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.

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