Saturday, September 13, 2008

Faith Community Nursing: Scope and Standards of Practice


Parish Nursing Ministry is now called "Faith Community Nursing" by the American Nurses Association (ANA). The following information is taken from the ANA's Scope and Standards of Practice.

Foundation Documents for Nursing
The Foundation documents for Professional Nursing are the:
1. Code of Ethics for Nurses (ANA, 2001)
2. Nursing's Social Policy Statement (ANA, 2nd ed., 2004).
3. Nursing: Scope and Standards of Practice (ANA, 2004). Differs depending on specialty.
4. Position Statement: The Nurse's Role in Ethics and Human Rights (ANA, 14 Jun 2010).

(1.) Code of Ethics for Nurses
* Defines nurses' ethical obligations and duties and is the nonnegotiable standard
* Provides guidance in all settings
* Provides fundamental values and commitments
* Addresses boundaries of duty and loyalty

(2.) Nursing's Social Policy Statement
* Describes nursing's accountability to the public
* Identifies processes of self-regulation, professional regulation and legal regulation that maintain the public trust

(3.) Nursing: Scope and Standards
* Describes what nursing is, what nurses do, and their accountable responsibilities
* Describes who, what, where, when, why and how of nursing practice
* Serves as a guide to legislators in the passing of laws, rules and regulations that govern nursing practice
* The Board of Registration of Nursing oversees the implementation of the Scope and Standards
* The 2004 Nursing: Scope and Standards of Practice describes the details of each nursing specialty practice

Definition of Nursing
"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations." [Nursing's Standard Policy Statement (2nd ed.), ANA, 2003.]

Definition of Faith Community Nursing
"Faith community nursing is the specialized practice of professional nursing that focuses on the intentional care of the spirit as part of the process of promoting wholistic health and preventing or minimizing illness in a faith community."

There are several assumptions that are made in regards to Faith Community Nursing:
1. Health and illness are human experiences
2. Health is the integration of the spiritual, physical, psychological, and social aspects of the patient promoting a sense of harmony with self, others, the environment, and a higher power
3. Health may be experienced in the presence of disease or injury
4. The presence of illness does not preclude health nor does optimal health preclude illness
5. Healing is the process of integrating the body, mind, and spirit to create wholeness, health, and a sense of well-being, even when the patient's illness is not cured

A Faith Community Nurse (FCN):
-is a registered professional nurse (defined as RN, not LPN) who serves as a member of the staff within the faith community
-must be knowledgeable in the nursing process, health care assets of the community, and spiritual beliefs and practices of the faith community to be served
-the FCN promotes health and prevents or minimizes illness by integrating the care of the spirit with care of the body and mind
***Intentional Care of the spirit is what differentiates this specialty practice from a community health nurse providing services within a faith community

FCN Interventions focus on spiritual health using:
* education
* counseling
* advocacy
* referral
* utilization of resources available to the faith community
* training and supervising volunteers
* collaborates with nursing colleagues to provide traditional services of nursing care
*** when another RN is not available and an urgent need is present, the FCN is responsible for both general and specialty nursing care

FCN practice will differ across faith faith communities based on:
* Legal and professional expectations
* Educational preparation of the RN
* Professional experience
* Position as defined by the faith community
* Needs of the congregation

The professional membership organization for Faith Community Nurses is the Health Ministries Association (HMA). HMA and ANA work together to promote understanding of faith community nursing as a specialized practice in the multidisciplinary practice arena of diverse faith communities. It does not promote one faith tradition but takes efforts to include all faith traditions.

Parish Nursing, or Faith Community Nursing, is a non-clinical discipline. This is important to know so you do not overstep your scope of practice and get yourself, or your church, into legal trouble. More on this later...

References:
As noted above, as well as Samaritan Counseling Center Congregational Ministries of Health. Parish Nursing Certification Course. Lancaster, PA: 2008.

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