Collaborating Community and Faith-based Nursing


CollaboratingCommunity and Faith-based Nursing

The term‘collaboration’ involves working together for the good of acommon course, which also encompass a lot more. There are severalpreconditions that warrant successful collaboration. First, there hasto be shared objectives in which the systems put in place by theparticipants, should be similar. The communication between the twomust be respectful, honest, and purposeful. The paper will attempt tolook at collaboration between the two communities and faith-basednursing and the heritage in faith communities in regard to health andhealing (ANA, 2012). Additionally, the paper will study the benefitsof collaboration, the nurse’s roles in prevention of disease andhealth promotion, program planning, and parish (faith-based) nursingin relation to legal, financial, or ethical issues.

To begin with,also known as the parish nursing, is recognized by the AmericanNurses Association in the United States for example, in regard to itsspecialty and unique scope of their practice. Their practices arebased on the standards of care within the client’s context(individual or family, faith community) in terms of beliefs, values,and faith practices (ANA, 2012). The health and healing heritage ispart of their wider outreach, which focuses on the healing needs andhealth of the people involved in a particular faith-based community.Their heritage is based on continued connectedness, love, hope, andencouragement. They are also involved with visiting the sick orhomebound, advocating for healthy lifestyles, offering support,whether individually or as a group, and also giving insights ondisease prevention and health promotion (ANA, 2012). Additionally,their heritage does advocate for monitoring individuals and do notrequire a background in medicine for one to be part of it.

Collaborativenursing between the community and faith-based (parish), should bewilling to combine efforts to oversee the success of meeting theirobjectives and goals. This way, they will able to come up with a planindividualized to the specific needs of the patient. The benefits ofcollaboration between community and faith-based nursing are theimproved patient outcomes, effective utilization of resources, andenhanced provider satisfaction. Improved patient outcomes in thesense that the team will be able to work as a unified group in whichthey utilize their joint talents and skills to arrive at the highestlevel of patient care standards (ANA, 2012). This way, the patient ison the advantageous side, by getting the best of heath care services.Again, the team is able to come up with a joint multidisciplinaryplan of health care plan, oversees the best health care serviceprovided to the patient.

Effectiveutilization of resources is best achieved through a jointcollaboration. Putting into consideration the expensive nature ofgiving proper health care to the patients, there is a need to utilizethe available resources. More of the health care practices, often runshort of funds or are working under budgeted funds. Collaboratedpractices ensure that finances are shared and purchased medicine isused collaboratively. Finally, collaborative health practicesguarantees enhanced provider satisfaction (ANA, 2012). Collaborativehealth car ensure there is satisfaction in both parties as far asprovision of health care is concerned. Since the major cause ofdissatisfaction includes unpredictable services reimbursement,collaborative care guarantees the services are available at any giventime.

The roles of anurse as a parish nurses in faith-based communities revolves aroundvolunteering, especially in churches. However, some are also membersof paid staffs. They work with pastoral staff with directions comingfrom the congregational Health Council. These parish nurses help topromote the faith-based community through health care and healing.Through nurturing friendships and relationships, these nurses engageregularly in the activities that impart prevention awareness andadvocate for healthy lifestyles (ANA, 2012). Some of the activitiesthat these parish nurses perform include:

  1. Screening of blood pressure every month after the worship service

  2. Organize the speakers to address the health issues of women

  3. Pray for and with those diagnosed with acute and chronic diseases

  4. Pay visits to the elderly, the new born, and home bound people

  5. Arrange for visitation and volunteer training

  6. Contribute to the bulletin and health-related newsletters

  7. Coordinate weight management and exercise classes

  8. Ensure that proper infection control is up to date and maintained in classes within the school, and

  9. A lot of possibilities that are based on the congregation needs.

As the states and communities figure out how they will effectivelyuse their resources towards improving the health of the people, theLeading Health Indicators (LHI) may be considered to be the firstamong leading topic areas in the Healthy People 2020 guidelines andobjectives. Faith-based communities may include the HP2020 guidelinesin their program planning. Healthy people based on simple, yet apowerful model these communities may establish the objectives ofnational health in their program planning. They may also providetools and data that would enable the states and communities tocombine their best efforts in order to achieve those (ANA, 2012). Thefaith-based communities may also use the framework of MAP-IT toassist them. They would do this through mobilizing their partners,assess their community needs, come up with and implement a plan thatwould help them arrive at the HP 2020 objectives, and track theprogress of their communities.

How the faith-based communities would do this, include coming up witha framework to implement. These communities may include HP2020guidelines through interventions that tend to share similar successpaths: Mobilization, assessment, planning, implementation, andtracking. They may use the guidelines in planning and evaluatinghealth interventions (ANA, 2012). The guidelines will also help tocreate a path to healthy communities and more stable nation throughtheir nursing activities. The HP2020 guidelines could help them tocreate a work-plan, which details concrete steps of action, identifyindividuals to formulate and complete them, and sets a deadline forcompleting program plan. Additionally, they may include theseguidelines to assist them in facilitating community efforts throughevents, advisory groups, or meetings (ANA, 2012). The guidelines willalso help in developing and presenting education programs and policyinitiatives and support fundraising through provision of technicalassistance in evaluation or planning.

There are ethical issues that are related to parish nursing. Anethical issue is not necessarily an ethical dilemma or is it asituation that elicits ethical uncertainty, or is it an ethicaldistressful situations. Some of the ethical issues that surroundparish nursing include: End-of-life decisions and privacy andconfidentiality. End-of-life decisions revolve around treatmentcessation, intercession and advocacy. The ethical issue is crucialsince parish nursing may not know what to do when sandwiched betweenlife and death situations (ANA, 2012). In order to be ethical andrelevant, parish nurses should first consider broader contextualethical principles in regard to societal, professional, and culturalvalues before making decisions. Additionally, end-of-life issues, forinstance extension of life and euthanasia, have continued to presentparish nurses with real dilemmas in ethics.

Privacy and confidentiality is another of ethical issues facingparish nurses. Parish nurses are affected by the healthcare commonlaw, and in particular, when keeping the patients informationconfidential. These parish nurses face dilemma in protectingconfidentiality, which is important in healthy relationship betweenthem and their patients. This information may be the nature of thepatient’s condition, disease, vulnerability, family background,historical background, and their current state (ANA, 2012). Thepatient’s confidential records, which should be protected andguarded by all costs, are among the things that requireconfidentiality from the parish nurses.


American Nurses Association (2012). Faith community nursing: Scopeand standards of practice. Silver Spring, Maryland: AmericanNurses Association.