A Distinctive Framework for - PowerPoint Presentation

A Distinctive Framework for Adventist Nursing

Faith and Science Teachers’ Conference Affirming Creation December 10-19, 2018

Background -- Ministry of Healing, by E. G. White Mission of Love, by Muriel Chapman Visits to Adventist Schools of Nursing globally An awareness dawned that these schools have an outstanding legacy

What is that legacy? Courageous pioneers, leaders and innovators Aimed for excellence Focused on wholistic care Graduates top the nursing boards & were in great demand

How can we maintain this legacy? When -- new schools of nursing are being developed rapidly the history of our schools is not available the common threads of our beliefs about nursing have not been identified the distinctiveness of our approach to nursing is not yet described

Project Global Partnerships in Nursing for Wholistic Nursing Care 1998 Funded by The Ralph and Carolyn Thompson Charitable Foundation

Goal: Learn from nurses globally What is distinctive about Adventist nursing education and practice in their context Cultural conceptions of wholistic care Cultural views of nursing metaparadigm concepts

Global needs Curriculum guidelines to use along with national requirements Help with applying a wholistic approach, spiritual, mental, social & cultural A shared platform for collaboration among Adventist nursing programs A conceptual framework for Adventist nursing (from the data)

Objectives To provide Adventist nursing programs basic guidelines on educating for wholistic nursing care To construct a simple data-based model that would be relevant across cultures

Global Partnerships Conferences 1999 Thailand 2000 Brazil 2001 China 2002 South Africa 2003 Romania 2004 England 2007 Thailand 2009 Geneva 2012 Malawi 2013 Indonesia

Events International conferences (2013) Global Partnerships Conference in Bali, Indonesia ECD educator conference, Rwanda (2013) AINEC Meetings: (2014) NAD Latin America (SAD)

Methodology Qualitative study LLU IRB: If a position paper or ‘White Paper’ will be the end result, IRB review is not necessary Used focus groups (except for NAD) Asked ten questions—developed by the GP conference planning committee in 2013

Methodology (contin) 27 Focus Groups 5 – 15 members per group Comments were written on poster paper by group recorders and entered into a computer by other recorders

Methodology (contin) Focus groups conducted in Spanish and French were translated into English by bilingual translators. All data were transcribed into Nvivo 10 software in English for analysis

Sample 213 SDA Nurses: 10 Divisions of the World Church 31 Countries 8 Spanish speaking countries 3 French speaking countries

Questions: 1. What is the essence of nursing? 2. What is unique about Adventist nursing? 3. What values and beliefs led you to answer question # 2 as you did? 4. How does our Adventist heritage affect nursing care?

Questions: 5. What are similarities in nursing care across cultural settings? 6. What are the differences in nursing care across cultural settings?

Questions: 7. Which of the beliefs you have identified as distinctly Adventist, do you see evidenced in the practice of nursing in SDA institutions? 8. What strategies, approaches, and tools would facilitate integration and implementation of these values and beliefs into the curriculum ?

Questions: 9. What strategies would promote application of these values and beliefs into the practice of nursing? 10. What strategies would facilitate commitment to shared responsibility for translating values and beliefs from the classroom to the clinical setting?

Data Analysis Using Nvivo software: Open coding : PIs independently read the data ‘line by line’ and identified nodes Axial coding : Nodes clustered into categories Selective coding : identified overarching core variables/concepts/constructs

Data Analysis Selective coding: (a) identified concepts related to: mission , values , beliefs and ethics (b) clustered concepts according to their relevance to the nursing metaparadigm: humans , health , environment , nursing

From the data —on ‘Mission’ Restoration of the image of God in human beings Reflect Christ’s healing ministry to the whole person —including the spiritual

Christ’s Mission: . . . to bring complete restoration to men and women. . . . [through] healing and teaching MH p. 9

Mission (our statement) To promote healing, well-being, and restoration of the connection between humans and their Creator

Beliefs (data & summary) God is the giver of life ( sanctity of life ). Each person is a child of God. The human body is the temple of the Holy Spirit. The Bible is the word of God and reflects His character of love .

(Supporting) Scripture: Know ye not that ye are the temple of God, and that the Spirit of God dwelleth in you? I Cor 3: 16, 17

From the data —on ‘Values’ Love Empathy Excellence Kindness Integrity Respect Loyalty Hope Service Trustworthy Commitment Equality Justice Human rights Charity

From the data —on ‘Ethics’ Every human being is worthy of dignity and respect Every human being has a right to live Nurses promote and preserve human dignity Nurses advocate and act for the welfare of others.

Human rights: . . . People’s social rights , and their rights as Christians, are to be taken into consideration. All are to be treated . . . as the sons and daughters of God. MH p. 287

Ethics (our summary) Adventist nurses— Are ethical and honest. Are committed to justice, charity, and human rights. Promote and preserve human dignity Serve as advocates for their clients Develop an active moral conscience.

From the data —on ‘Humans’ Created by God Designed to have a personal relationship with God The sick person needs to be viewed as a whole being

God desires us . . . . (as humans) To connect with heavenly agencies to . . . restore in us the divine image . MH p. 55

Humans (our summary) Are integrated wholistic beings—bio-psycho-social-cultural and spiritual . Are created as interactive beings for the purpose of connecting with God, other humans, and all of God’s creation.

Paul Tournier— Of all the dimensions of the human being, the spirit is the integrating factor

12/17/2018 Pjones 37

Developing the ‘True Self/Soul’ Being connected with God Being authentic Spirituality is overcoming these splits.

From the data —on ‘Health’ Health is wholistic —physical, mental, social, spiritual, cultural well-being Lifestyle impacts health Communion with God impacts health

Health - wholistic It was His mission to bring complete restoration to men and women. He came to give them health , peace . . . MH p. 9

Health - lifestyle In His written word and in the great book of nature He has revealed the principles of life . It is our work to obtain a knowledge of these principles and . . . to cooperate with Him in restoring health to the body as well as to the soul. MH p.55

Health - communion As the mind of the sufferer is directed to the Savior, peace fills the heart, and the spiritual health that comes is used as the helping hand of God in restoring health to the body. MH p. 58

Health (our summary) Restoration of the image of God in human beings. Development of wholistic well-being . Interconnectedness with God and the whole of creation.

From the data —on ‘Environment’ An esthetic environment that will show God’s laws of beauty and harmony Create a friendly spiritual environment Conserve the natural environment Construct an environment that supports translation of values

Environment: Every flower , with its delicate tints and its fragrance, is given for our enjoyment . . . There is not a star that beautifies the heavens that He did not make. Every drop of rain . . . , every ray of light . . . testifies to the love of God in Christ. MH p. 243

Environment (our summary) Reflects God’s laws of beauty and harmony. Impacts healing . Nurses can create a healing & spiritual environment.

From the data —on ‘Nursing’ A sacred calling Caring is the main value Compassion beyond the ordinary Selfless service with love—going the extra mile Providing wholistic care

In ministering to the sick: . . . success depends on the spirit of consecration and self-sacrifice with which the work is done. MH p. 301

Nursing: The Lord wants wise men and women, acting in the capacity of nurses, to comfort and help the sick and suffering… in the care great Healer, in faith looking to Him for restoration . A Call to Medical Evangelism p. 18.3

Nursing (our summary) Is a human science encompassing knowledge of bio-psycho-social-cultural and spiritual well-being . A sacred calling to serve and care for humanity with compassion .

Key Constructs Caring Empowering Connecting

Caring: Sub-concepts from the data Compassion beyond the ordinary Compassionate care with the fruits of the spirit (love, joy, peace, long-suffering, kindness, goodness, faithfulness, gentleness, self-control)

On compassion: The Savior’s work was not restricted to any time or place. His compassion knew no limit. There was no place large enough to receive the multitudes that thronged to Him. MH p. 9

Caring: Other sub-concepts (data) Commitment Competence Loyalty Empathy Sensitive Integrity

Caring (our summary) Empathy, compassion Going beyond the ordinary Sensitive, valuing Selfless service

From the data —on ‘Empowering’ Demonstrate caring in personal life. Role model a healthy life style. Promote healthy living . Advocate for the patient through inter-professional collaboration.

From the data —on ‘Empowering’ students Professors role-model their beliefs and values to students Lead by example in teaching and in student interactions Role model compassionate patient care Nurture students critical thinking skills

Empowering – inspiring: “Nurses, if you have a living connection with God, you can in confidence present the sick before Him. He will comfort and bless the suffering ones, molding and fashioning the mind, inspiring it with faith and hope and courage.” MM p. 115

Empowering (summary) Advocating Educating, mentoring Inspiring, motivating Valuing Promoting self-care Role modeling

From the data —on ‘Connecting’ Prayer and a personal relationship with God Social interaction with other human beings Compassion, presence, active listening Being connected —God, family, community

Connecting with God : “Abide in Me, and I in you. As the branch cannot bear fruit of itself, except it abide in the vine; no more can ye, except ye abide in Me”. John 15: 4, 5

Connection with nature: The Savior’s life on earth was a life of communion with nature and with God . In this He revealed for us the secret of a life of power . MH p. 23

Connecting: It is by our communion with Him . . . By abiding in Him that we grow in grace. Steps to Christ, p. 50

Connecting: Through sincere prayer we are brought into connection with the mind of the infinite one. Steps to Christ, p. 73

Connecting (summary) Communion, prayer Caring presence Therapeutic communication Coordinating/managing Mentoring, facilitating

Summary: Adventist Nursing Is a sacred call to ministry— to promote well-being through Caring, Empowering, and Connecting 2. Is distinctive

Distinctiveness of Adventist Nursing: Our mission Our education Our practice

Distinctiveness of our Mission: 1. Promoting wholistic well-being . 2. Restoring the connection between humans and their Creator. 3. Promoting connectedness among humans and their environment.

Distinctiveness of our Education: 1. Humans are sacred, created in God’s image. 2. Health is wholistic well-being. 3. Nursing is a call to ministry.

Adventist nurse educators : Demonstrate caring and respect for students as unique human beings Role model a relationship with God Connect students with resources that support their successful development Empower students for personal and professional growth.

Adventist nurse educators (contin) : 5. Reflect God’s unconditional love . 6. Facilitate well-being in students. 7. Role model and promote wholistic health . 8. Nurture and support students

Distinctiveness of our Practice: 1. Accepted as a sacred accountability 2. Grounded in specific values, beliefs and ethics 3. Builds on and extends a legacy of excellence in whole person care 4. Empowers individuals, families, and communities for change

However . . . It is only through the grace of Christ that the work of restoration (physical, mental and spiritual) can be accomplished. MH p. 143

Thank you!