RESUMO
This paper examines the effect of parish nursing as a faith community initiative to support the work of district and community nurses and improve health outcomes. It discusses the reasons why faith communities might embark upon health initiatives, and describes the practice of parish nursing and its history and development in the UK. With reference to both quantitative and qualitative outcomes, the relevance of the practice in the UK health scene is assessed. The paper suggests that connecting with the third sector through parish nursing could enhance the work of community and district nurses; this would present additional sources of holistic care and health promotion and can be offered in an optional but complementary manner to the care provided through the NHS.
Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Promoção da Saúde/organização & administração , Enfermagem Paroquial/história , Enfermagem Paroquial/organização & administração , Espiritualidade , Medicina Estatal/organização & administração , História do Século XX , História do Século XXI , Humanos , Reino UnidoRESUMO
The Church Health Center (CHC) in Memphis was founded in 1987 to provide quality, affordable health care for working, uninsured people and their families. With numerous, dedicated financial supporters and health care volunteers, CHC has become the largest faith-based health care organization of its type nationally, serving >61,000 patients. CHC embraces a holistic approach to health by promoting wellness in every dimension of life. It offers on-site services including medical care, dentistry, optometry, counseling, social work, and nutrition and fitness education, to promote wellness in every dimension of life. A 2012 economic analysis estimated that a $1 contribution to the CHC provided roughly $8 in health services. The CHC has trained >1200 Congregational Health Promoters to be health leaders and is conducting research on the effectiveness of faith community nurses partnering with congregations to assist in home care for patients recently discharged from Memphis hospitals. The MEMPHIS Plan, CHC's employer-sponsored health care plan for small business and the self-employed, offers uninsured people in lower-wage jobs access to quality, affordable health care. The CHC also conducts replications workshops several times a year to share their model with leaders in other communities. The Institute for Healthcare Improvement (IHI) recently completed a case study that concluded: "The CHC is one of a very few organizations successfully embodying all three components of the IHI Triple Aim by improving population health outcomes, enhancing the individual's health care experience, and controlling costs. All three have been part of the Center's DNA since its inception, and as a transforming force in the community, the model is well worth national attention."
Assuntos
Promoção da Saúde/organização & administração , Saúde Holística , Pessoas sem Cobertura de Seguro de Saúde , Enfermagem Paroquial/organização & administração , Humanos , Alta do Paciente , TennesseeRESUMO
The role of the Faith Community Nurse (FCN) is a multifaceted wholistic practice focused on individuals, families, and the faith and broader communities. The FCN is skilled in professional nursing and spiritual care, supporting health through attention to spiritual, physical, mental, and social health. FCNs can help meet the growing need for healthcare, especially for the uninsured, poor, and homeless. The contribution of FCNs on, primary prevention, health maintenance, and management of chronic disease deserves attention to help broaden understanding of the scope of FCN practice.
Assuntos
Cristianismo , Enfermagem em Saúde Comunitária/organização & administração , Diabetes Mellitus Tipo 2/enfermagem , Acessibilidade aos Serviços de Saúde/organização & administração , Enfermagem Holística/organização & administração , Infarto do Miocárdio/enfermagem , Enfermagem Paroquial/organização & administração , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Feminino , Promoção da Saúde , Humanos , Lactente , Recém-Nascido , Masculino , Pessoas sem Cobertura de Seguro de Saúde , Pessoa de Meia-Idade , Objetivos Organizacionais , Áreas de Pobreza , Estados Unidos , Adulto JovemRESUMO
The Church Health Center (CHC) in Memphis, Tennessee has worked to fill gaps in healthcare since 1987. With the advent of the Affordable Care Act and millions unable to afford insurance, the CHC is partnering with faith community nurses in new opportunities to offer wholistic healthcare toward wellness.
Assuntos
Cristianismo , Centros Comunitários de Saúde/organização & administração , Comportamento Cooperativo , Enfermagem Holística/organização & administração , Medicare , Enfermagem Paroquial/organização & administração , Promoção da Saúde/organização & administração , Humanos , Tennessee , Estados UnidosRESUMO
Originally named parish nursing because of its beginnings in the Christian faith, the term faith community nursing (FCN) has been adopted to encompass nurses from other faiths. The American Nurses Association recognized parish nursing as a nursing specialty and, in collaboration with the Health Ministries Association, published the Scope and Standards of Parish Nursing Practice in 1998 (revised in 2005). In this article, the authors explore the philosophy, objectives, growth, and practice of this specialty.