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

Background Parish nursing is a specialized branch of professional nursing that promotes health and healing by integrating body, mind and spirit as a practice model. Parish nurses contribute to the Canadian nursing workforce by promoting individual and community health and acting as system navigators. Research related to parish nursing practice has not been systematically collated and evaluated. Purpose This review seeks to explore, critically appraise and synthesize the parish nurse (PN) research literature for its breadth and gaps, and to provide recommendations for PN practice and research. Methods A scoping review was conducted using Levac and colleagues’ procedures and Arksey and O’Malley's enhanced framework. The CINAHL, ProQuest and PubMed databases were comprehensively searched for original research published between 2008 and 2020. The final sample includes 43 articles. The Mixed Methods Appraisal Tool was used to critically assess literature quality. Results There is a significant gap in PN research from Canada and non-U.S. countries. Methodological quality is varied with weak overall reporting. The literature is categorized under three thematic areas: (1) practice roles of the PN, (2) role implementation, and (3) program evaluation research. Research that evaluates health promotion program interventions is prominent. Conclusions More rigorous research methods and the use of reporting checklists are needed to support evidence-informed parish nursing practice. Building relationships among parish nurses, nursing researchers and universities could advance parish nursing research and improve evidence-based parish nursing practice. Research into the cost effectiveness, healthcare outcomes, and the economic value of PN practice is needed.

Exploring the Experiences, Challenges, and Approaches of Parish Nurses in Their Community Practice

Purpose: To explore the personal experiences, challenges, and practices of parish nurses in their communities. Method/Design: The overall study used a mixed methods concurrent embedded design to describe parish nurses’ experiences with diabetes education and preconception counseling in their practice. Also included were descriptions of generalized practices. Therefore, this current report will focus on these broader experiences. Focus group data were collected using face-to-face, teleconference, and video conferencing formats with 48 nurses who consider themselves to be parish nurses and analyzed with content analysis. Findings: Four qualitative themes were identified in the data: (1) Gaining Entry Through Trust, (2) Enhanced Focus on Spiritual Caring, (3) Accomplishing Much Despite Challenges, and (4) Practice Making a Difference. Parish nurses are uniquely situated to provide holistic care for the mind, body, and spirit of their patients. Despite the many positive aspects, parish nurses experience unique challenges, such as funding their practice and working independently. Conclusions: The parish nurses can play a vital role in providing holistic care to patients in a faith-based community. Future work is needed to address the challenges of parish nurses such as access to continuing education programs related to health topics of concern to their community members.

Healing and Religion in the United States

Religions, in almost every case, are concerned with healing the sick and the broken. Of course, healing is not the sole feature or function of religion, but for many people, restoration of wellness and wholeness is a central component of their religious experience. Religious healing comes in many forms, from miraculous supernatural intervention, to the manipulation of metaphysical energies, to the proper ordering of healthy human relationships and societies. Some religions rely on the ministrations of healing specialists such as shamans, parish nurses, or gifted miracle workers. Others focus on therapeutic modes of self-help, while yet others link healing with redemption from iniquity. In many cases, various kinds of religious healing overlap, all in service of that which is most efficacious in providing relief and recovery. The history of religions in the United States is likewise full of instances and varieties of religious healing. Americans of many creeds and diverse heritages have often sought healing within their religious traditions, and they have innovated new religious movements that focus primarily on the alleviation of suffering. Moreover, the attention to healing within American religions predates the rise of scientific biomedicine, evolves alongside of it, and endures through the present. Finally, recurrence to religious healing has often played a role in ethnic identity construction and maintenance in this largely immigrant nation. Given the scope and impact of healing on U.S. religious history, it is imperative to consider how the idea of healing has captivated and motivated religious actors. Of particular interest is the complex and sometimes violent process by which religious ideas and practices related to healing have been exchanged, modified, and even appropriated. Throughout the course of American history, religious healing—in its many expressions—has been characterized by ongoing competition, collaboration, overlap, and constant change. Ultimately, it bears little fruit to look for a common thread that might run among all the various traditions and formulations of American religious healing. Rather, it is more rewarding to consider carefully the interactions and evolutions of healing in the ever-changing American religious scene.

Hope and Advanced Breast Cancer: Engaging with the Parish Nursing Community to Explore Hope in Women with Advanced Breast Cancer in Nigeria

Women with advanced breast cancer living in Nigeria face many obstacles and are very reliant on the support of faith communities, including parish nurses, who have a strong presence in Nigeria. Research with people with advanced cancer has shown the importance of hope as a source of strength and an important spiritual concept in their lives. Parish nursing focuses on the promotion of health within the context of the values, beliefs, and practices of the faith community. What distinguishes parish nursing care is the intentional integration of the body, mind, and spirit to create wholeness, health, and a sense of well-being even when the patient’s illness is not curable. This specialty nursing practice holds that all persons are sacred and must be treated with respect and dignity. In line with these beliefs, the parish nurse serves her community with compassion, mercy, presence, and justice. Community-based research is needed to explore what hope means for women in Nigeria with advanced breast cancer, in order to build essential and innovative nursing knowledge and provide opportunities to identify meaningful interventions and ways the faith community can support these women, their families, and their communities.