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University of Indianapolis (Indianapolis, IN)
Parish Nursing

Summary
University of Indianapolis’ School of Nursing initiated the Parish Nursing: Primary Health Ministry course in 1997 to foster partnerships, build community capacity, and provide healthcare assessment within communities throughout Indiana. The University formed multifaceted partnerships with local hospitals and churches as well as church conferences, state parish nurse coordinators, county agencies, and healthcare alliances. In addition, the parish nurse program forged interdisciplinary academic collaborations with the University’s Ecumenical and Interfaith Program and the Center for Aging and Community.

The Practice
Partnerships are essential to the effectiveness of this Parish Nursing course. From its inception, the faculty developing this course established partnerships with local hospitals and church conferences to sponsor prospective parish nurses to enroll in and complete the course. These parish nurses then serve communities across Indiana by integrating faith and health with assessment and health promotion programming resources. Through numerous community presentations, these faculty leaders also established networks among state parish nurse coordinators, county agencies such as the Council on Aging as well as state organizations, namely the Indiana Alliance for Health Promotion and the South Indiana Conference of the United Methodist Church (SICUMC) Health and Welfare Committee. These networks of partners provide direction and resources integrating faith and health through community programs to address local and state needs. Sponsoring hospitals and the SICUMC established the role of parish nurse coordinator to guide the education and community programming of local parish nurses. Through these collaborative partnerships, the University was instrumental in forming an Indiana Parish Nurse Coordinators Networking Group, which is developing the Indiana Center for Parish Nursing to provide additional statewide community infrastructure to parish nurses.

The partnerships established between the parish nurse program and sponsoring healthcare agencies, church conferences, and local congregations address gaps in healthcare assessment, education, and service delivery thus building community capacity to meet this critical need. As nurses progress through the course they establish a health ministry team, assess the needs of their congregation and develop a health promotion plan. Assessment of the needs of each congregation and their surrounding community is completed by doing a windshield survey, interviewing key stakeholders and through written surveys. Parish nurses walk and drive a one-to-five mile distance around their church. They assess the neighborhoods assets and needs. They look for potential program partners (e.g. other churches, area hospitals, schools, libraries, and businesses) and for availability of services such as public transportation, adequate recreational areas, grocery stores as well as safety issues. They also survey their individual church members to determine assets of volunteer resources, multigenerational/multicultural members, handicap accessibility, etc. Parish nurses also use data collected on local and state websites for health information along with the National Healthy People 2010 Objectives. With this data, parish nurses work with community partners to sponsor health promotion programming for their
churches and neighborhoods as well as organize local citizens to address health and safety issues within their communities.

The University of Indianapolis Parish Nursing course places emphasis on theology and health and thus embodies an interdisciplinary focus. Faculty from the School of Nursing, Department of Philosophy and Religion, the University Ecumenical and Interfaith program, as well as community leaders who are parish nurses, counselors, and lawyers teach in this course. This interdisciplinary nature spills over to cooperative ventures with other campus departments. The Parish Nursing Program collaborates with the Crossings Project of the University Ecumenical and Interfaith program and receives funding from this project’s Lilly grant for the financial sponsorships of parish nursing students, an update course for students who already completed the initial course, and mentoring workshops for undergraduate nursing students to create parish based health promotion programs and to explore a vocation of parish nursing. In addition, the parish nursing program collaborates with the University’s Center for Aging and Community in a Caregiver Project that targets inner city Spanish-speaking community members.

Effectiveness
Two hundred forty-four nurses from across the state have completed the University of Indianapolis Parish Nursing course and provide service to a variety of denominations, parishes, and communities. Each year, these parish nurses participate in state-wide health promotion programs bringing resources and education on topics such as “Mammograms for Moms,” obesity, and “Aging Well” to their local congregations and communities.

There is a lack of documentation to demonstrate the effectiveness of parish nursing practice. A documentation system is being created by the Indiana parish nurse coordinators on the web for this purpose. The expected outcomes include a monthly record detailing the congregation (denomination), number of parish nursing hours completed through home visits, phone, mail/e-mail contact, hospital, and church contact visits, the number of referrals to the pastor, physician, social services, support groups, counseling, as well as screenings for blood pressure and health fair screenings through hospitals. Health teaching/promotion presentations and written communications are tracked as they relate to the Healthy People 2010 National Objectives. Coordinators can retrieve their parish nursing group data as well as state wide data.

Resources
For information about the University of Indianapolis Parish Nursing course, please visit www.uindy.edu (click on academics and scroll to the School of Nursing, then scroll to parish nursing). Information about the partnerships or any specifics about the course can be obtained from Cheryl Larson, Parish Nurse Coordinator (clarson@uindy.edu) or the Indiana Center for Parish Nursing (visit www.mgh.net, then click on parish nursing; click on Indiana Parish Nurse; click on Parish Nurse Network). This site will eventually include the documentation assessment described above.

Indiana Parish Nurses (click on Indiana Parish Nursing)

International Parish Nursing Resource Center

Health Ministries Association

Text resource: Solari-Twadell, P. and McDermott, MA (1999) Parish Nursing Promoting Whole Person Health Within Faith Communities, Sage Publications, Thousand Oaks.

Contact Information
Cheryl Larson
Assistant Professor
Parish Nurse Coordinator
University of Indianapolis
1400 E. Hanna Avenue
Indianapolis, IN 46227
Phone: (317) 788-3503
Fax: (317) 788-3542
clarson@uindy.edu



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