Have Bible passages marked Psalm 32 2 Corinthians 1
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What do you see? X4 What we see is determined by our perspective. Perspective on hindsight. Our perspective is often determined by our worldview.
Culture/Worldview
What we do or Practice
Values and Beliefs
Worldview
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A. Our worldview impacts what we do. If healthcare practice is based in western worldview, it may be perceived differently by someone with a differing worldview. Anne Fadiman The Spirit Catches You and You Fall Down. Biblical foundation for Missions provides a worldview for missionary nursing practice, where ever nurses practice
Nursing Metaparadigm
• Person• Health• Nursing• Environment
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Apologies to medical personnel Nursing History – the church Medical History – Greek thought, Hippocrates Biblical foundation for four key concepts in nursing.
Person• Man Created in the Image of God
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NIU graduate paper. Travelbee, J. (1966). Interpersonal aspects of nursing. Philadelphia: F.A. Davis Schaefer, Francis. Escape from Reason
Curriculum
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Curriculum West Sub Statement of Philosophy Uganda Ministry of Health curriculum revision
AIDS crisis -- UNCPAPatient Care and Ethics Subcommittee
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AIDS crisis -- UNCPA Statistics represent people created in God’s image Caring for Jesus Representing Jesus to those for whom we care
Healthcare for the Poor
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Healthcare for the Poor Jayakumar Christian – Marred image of God Dignity of each person
Ethics
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Ethics Beginning of life End of life All of life – Marriage sacred because: We are created in God’s image Marriage Respecting God’s image in marital partner – coming together as one to better represent God to the world. God speaks of His relationship with the Church in marital terms
Alternatives to being Created in God’s Image
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Alternatives -- Schaeffer Evolved life form Mechanical view – take apart and put back together
Health
Continuum
Perfect well-being Death
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No real Biblical foundation for this view.
Health
Health is the state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity.
World Health Organization 1948
Health is the state of complete physical, mental, social, and well-being and not merely the absence of disease and infirmity.
spiritual
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Unsuccessful in adding spiritual to definition. NCFI European colleagues tried.
Health
Shalom“Shalom means just relationship (living justly and experiencing justice), harmonious relationships and enjoyable relationships. Shalom means belonging to an authentic and nurturingcommunity in which one can be one’s true self and give one’s self away without becoming poor. Justice, harmony, and enjoyment of God, self, others, and nature; this is the shalom that Jesus brings, the peace that passes all understanding.”
Wolterstorff, Nicholas. 1983 Until Justice and Peace Embrace. Grand Rapids, Michigan. William B. Eerdmans. p. 69-72.)
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4. Health promotion = promoting shalom a) More than curing disease b) Restoring relationships c) Restoring communities – community health development d) Caring for the environment e) Promoting the gospel – to restore our relationship to God the Creator, through the work of His Son, Jesus, by the power of the Holy Spirit.
NursingShelley and Miller“Christian nursing is a ministryof compassionate carefor the whole person, in response to God’s grace toward a sinful world, which aims to foster optimum health (shalom) and bring comfort in suffering and deathfor anyone in need.”
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A Ministry – diakonia – service of the church Hospitals were ministries of the church – Presbyterian/St. Luke→Rush; Wesley Passavant→Northwestern, Lutheran General→Advocate Health, Mercy, Parish/Congregational nursing – Health Ministries Compassionate care – “Christian caring is not just an emotional tug, an intellectual concept or a metaphysical event. It is hands-on, patient-centered, physical psychosocial and spiritual intervention to meet the needs of the patient regardless of how the nurse feels.” Caring is an act of faith – it involves risk of opening ourselves to another Whole person – all dimensions – physical, social, psychological, spiritual Luke 2:52 “And as Jesus grew up, he increased in wisdom and in favor with God and people.” TNIV Intricately woven together and need to be addressed as a whole. Often treat symptoms instead of treating the root cause. Psalms 32:1-5 Abortion, adultery, abuse, misogyny Resulting from God’s Grace 1 John 4:19 “We love because he first loved us.” TNIV Ability to extend God’s grace to others, to represent Christ to them, be the hands and feet of Jesus. – non glamorous jobs, emptying bed pans, emesis basins, bathing, cleaning dentures. Aim is shalom Bring comfort to all in need Journey through suffering and death with another person. 2 Corinthians 1:3-5 Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, 4 who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves receive from God. TNIV
NursingBeverly Malone PhD., RN FAAN
A Healing Resource for the World
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General Secretary of the Royal College of Nursing UK, past president of the ANA and former Deputy Assistant Secretary for Health US Department of Health and Human Services. “My vision for nursing is that we are a healing resource for the world. Nurses provide more than 80% of all direct care worldwide, yet frequently when world health is discussed, nurses are not involved. At times the emphasis on what we do leaves no room in the public’s perception for what we know and our ability to maximize the knowing and doing of others. However, our in-depth client relationships enable us to be effective health care leaders with individuals, communities and nations. In my vision, there is no service without effective decision making in which nurses are key players. With a vision of nursing shaping and leading in health care, public health could lead the world health agenda. I see nurses as designers, monitors and caregivers in this health care system. To accomplish this, Christian nurses should daily demonstrate the power of Jesus Christ. This includes four types of power. Informational power includes the message of hope, salvation and eternal peace that is skillfully communicated through the words and behaviors with mutual respect across race, age, gender faith and other areas of diversity. Legitimate power comes through our license to practice, but more so through the blood of Christ and the empowerment of the Holy Spirit. Charismatic power enables us to show the joy we have in serving Christ through delivering quality care to patients with smile power and pure enjoyment in healing. Extended power is inviting others to join God’s family. It is not enough that we are heirs to the incredible power of a living Savior; we must share it, pointing the way to salvation and praising the son of God, Jesus Christ. Looking to nursing to bring health to individuals, families, communities, and nations.
EnvironmentContext of Care
Seen Environment• Created world
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Seen Environment Created world Christians are to care for it
Public Health concerns Water Sanitation Garbage Toxic/biological waste Food supply Going green Uganda Cary
Physical environment
• Noise• Safety• Privacy• Hygiene• Homeostasis – Fluid and electrolyte
balance
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Clinical nursing concerns
Work environment
Leaders set the tone Negative Positive
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Negative Toxic Sexual harassment Withholding information Unsafe Positive Working together Respectful Helpful, sharing knowledge
LearningEnvironmentTeachers set the tone Positive Negative
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a)Supportive b)Affirming c)Demonstration/Mentoring d)Forgiving of mistakes while learning from them
EnvironmentUnseen
• Evidence based healthcare
Myers, Bryant L. Walking with the Poor. New York: Orbis Books. 1999
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Important to base practice on what is known But there is a lot that remains unknown and unknowable Trying to prove the effectiveness of spiritual interventions is not possible. God is bigger than what we know and can comprehend. He is Sovereign. Healing prayer studies – Pete, Judy Shelly, David Larsen David Hilton – Immune response improved with meditation and prayer
Spiritual world
• Satan alive and well and at work• Listening to and trusting God
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The tradition in which I was raised had a very cerebral theology. Satan was acknowledged; but not often spoken about. Satan alive and well and at work Deceiver – spirituality, energy therapies, health/wealth gospel Pride and individualism – Taking the place of God, taking credit for what God has done Listening to and trusting God -- not limiting God to my understanding. My journey into knowledge of the spiritual world.
Job – The problem of Evil
Justice –Getting what you deserveMercy –Not getting what you deserveGrace –Getting what you don’t deserve
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Beginning of my spiritual journey. How can a good God allow evil? Either he is not good, or he is not God. High school English teacher questioned God’s existence because of evil allowed in the world. Time declared God is Dead on its cover. Seeking justice. Studied Job in Wheaton’s apologetics class. No answer to why God allows evil or bad things to happen. God is God, the creator of the Universe, I am the created with designed limitations. Evil/injustice can either increase my faith and draw me closer to God or cause me to deny him. Students today about social justice. Focus on Grace not justice. Spencer Perkins and Chris Rice.
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Spiritual battles taking place in Uganda – If ever evil were present, Idi Amin – The Last King of Scotland, Milton Obote, Yoweri Museveni? Came during the civil war. .
During the war, HIV/AIDS pandemic became evident. Seemed very unjust. Was God punishing Uganda? Homosexuals in the US? Ted Green described 10 years later Abstinence Be faithful Condoms if necessary Over time came to realize that it should have been Christ. Success in Uganda was because God intervened and answered prayers. God’s redeeming work. God’s design requires fidelity between man and woman Sin prevents us from following God’s design God provides a way for us through Jesus. The Holy Spirit enables us to live as God designed. In gratitude, we are to tell others about Jesus and them live as God planned
Teen Treasures
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Spiritual battle whenever the gospel was presented. The Missions environment is one of a spiritual battle. Need to be prepared and have prayer support for your work. AIDS track at Urbana. NCF Global Project to Uganda. Cary Christian Center in Mississippi.
Called to Care• Person
Created in the image of God• Health
Shalom• Nursing/ healthcare professional
Vocational calling to ministry in response to God’s grace
• EnvironmentCaring for the seen world while cognizant of what is taking place in the unseen world.
