Urban Parish nurses: A qualitative analysis of the organization of work in community-based practices

Abstract

In the changing political economy of the health care environment, it is critical to understand the role of community providers serving vulnerable groups as central to their core service missions. Religion becomes salient in the work of health care providers in church communities. This study deconstructs and critically examines the factors that shape the work of nurses in urban congregations. The design utilized in-depth semi-structured interviews and a survey that included educational background, years in practice, congregation demographics and outreach activities. Nurses discussed how their faith-based work aligns along broader common dimensions of their practice. The organization of work is a useful sociological framework in which to explore this community-based nursing specialty.

What Are the Characteristics of the Parish Nursing Research Literature and How Can it Inform Parish Nurse Practice and Research in Canada? A Scoping Review

“…For the most part, all 14 qualitative studies meet the quality criteria for appropriateness of the methods and reporting of the data collection methods and sources (Devido et al, 2018; Dyess, 2008; Dyess & Chase, 2012; Grebeldinger & Buckley, 2016; Kazmer et al, 2017; King, 2011; Millerd, 2010; Mock, 2017; Newbanks & Rieg, 2011; Sheehan et al, 2013; Shores, 2014; Van Dover & Pfeiffer, 2011; Young, 2015; Ziebarth & Miller, 2010). According to MMAT criteria, there is insufficient evidence to confirm that the findings are adequately derived from the data in six of the 14 studies; we appraised this criterion as “can't tell” in five articles (Grebeldinger & Buckley, 2016; King, 2011; Mock, 2017; Sheehan et al, 2013; Young, 2015) and “no” in one study (Newbanks & Rieg, 2011). Our scoring is based on absent or weak reporting of data analytic procedures with rationale.…”

“…Our scoring is based on absent or weak reporting of data analytic procedures with rationale. There is insufficient information to determine coherence between data sources, collection, analysis, and interpretation in four studies (King, 2011; Newbanks & Rieg, 2011; Sheehan et al, 2013; Young, 2015).…”

“…Thirteen studies (30.2%) describe the PN role of promoting health (Austin et al, 2013; Cooper & Zimmerman, 2016, 2017; Dyess, 2008; Gotwals, 2018; King, 2011; King & Tessaro, 2009; McGinnis & Zoske, 2008; Monay et al, 2010; Newcomb et al, 2014; Sheehan et al, 2013; Young, 2015; Ziebarth, 2016b). Health promotion activities include conducting family histories (Newcomb et al, 2014), health screening, monitoring, teaching (Ziebarth, 2016b), coaching (Austin et al, 2013; Cooper & Zimmerman, 2016, 2017; King, 2011; King & Tessaro, 2009; McGinnis & Zoske, 2008; Monay et al, 2010; Young, 2015), and developing/implementing health promotion programs (McGinnis & Zoske, 2008).…”

“…Communication and collaboration are described in 12 studies (Kazmer et al, 2017; King, 2011; King & Pappas-Rogich, 2011; McCabe & Somers, 2009; McGinnis & Zoske, 2008; Monay et al, 2010; Rydholm et al, 2008; Shillam et al, 2013; Shores, 2014; Solari-Twadell & Hackbarth, 2010; Young, 2015; Ziebarth, 2018). Communication is enacted through health education, active listening and presence (Solari-Twadell & Hackbarth, 2010; Ziebarth, 2016b), and referrals to community resources (McGinnis & Zoske, 2008; Young, 2015). PNs engage in interprofessional care (Rydholm et al, 2008; Shillam et al, 2013), such as with pharmacists to promote medication safety for older adults (Shillam et al, 2013).…”

“…Only four studies specifically address advocacy in PN practice (Dyess, 2008; King, 2011; King & Pappas-Rogich, 2011; Young, 2015). Advocacy is described as a supportive intervention for chronic illnesses management (Dyess, 2008), health promotion (King & Pappas-Rogich, 2011), and healthcare system navigation (Young, 2015). There are no studies that address ethics in PN practice.…”