Faith Community Nursing(FCN)

Improving the FCNs documentationBy Yisehak Tura, BSN, RN, OCN, PHN

Objectives

Participants will…. learn benefits of documentation of FCN services. identify and implement a documentation system for

their program. understand barriers to documentation of services. incorporate risk assessment tools and family

history in the care of their clients.

FCN – The problem

FCNs often work unpaid

lack of consistency in documentation tools

Contributing factor: shortage of time and multiple roles of the FCN

FCN – The problem The following survey question sent out to FCNs in

the Twin Cities: Do you utilize a client / family info documentation

tool provided by the Faith Community Nurse Network?

Low response rate (only 5 nurses replied) 4 out 5 did not document their services Rydholm (2006) noted that volunteer nurses were

less intentional in their documentation.

FCN – Research question

In faith community nurses, how does documentation of services provided compared to no documentation impact outcomes of their programs?

The literature: Key points The scope and standards of the FCN states:

Documentation & confidential and secure storage of relevant data is part of the FCN work (American Nurses Association & Health Ministries Association, 2012)

The Literature: Key points Essential responsibilities of the FCN include

documenting provided care, outcomes of that care, and services provided (Miller & Carson 2010)

Clear and concise documentation facilitates the work of the FCN

The literature: Key points

Rydholm, et al. (2008) reviewed seventy five FCN chartings from the greater Twin Cities.

Cost savings analyzed from the study: The FCNs saved the system over 3 million in averted

stays in acute or critical care (Rydholm, et al., 2008). 

FCNs showed a health care cost savings of $1,910,630 from 2005 - 2012 (Yeaworth & Sailors, 2014).

Late access to care can be more costly to government and third party payers.

The Literature: Key points Remarkable success of parish nurses in bridging

care between the informal, faith-based system and the formal acute health care system.

Other authors suggest an internet based documentation and tracking systems to demonstrate benefits to communities on cost savings based on services provided (Brown, 2006)

The literature: Key points Dyess, Chase and Newlin (2010) evaluated seven

research studies in the area of documentation and evaluation of faith community nurses practice.

Dyess, et al. discussed the essence of the FCN practice should be captured by documentation of services and the financial impact of their practice should be accounted for.

The literature shows…

Documentation is quite limited in charting holistic aspect of nursing care

Documentation is limited in charting specific patient outcomes at individual and population level

Documentation is necessary to demonstrate effectiveness of practice

(Dyess, et al., 2010)

Documentation tools Parish nurses can choose a suitable documentation tools available

free of charge or for a fee

Samples of free documentation tools (Please click on the hyperlinks to learn more about these tools)

Faith Community Nurse Network of the Greater Twin Cities http://www.fcnntc.org/documentation-tools.html

By Lisa Burkhart, PhD, RN, MPH (need to send a request to the author before using the forms)

http://www.luc.edu/nursing/about/faculty/lisaburkhartphdrnmph.shtml

Documentation tools Sample paid Services: Henry Ford Macomb Hospitals (subscribe to a network $3000, for

independent FCNs $99 / yr).

http://www.luc.edu/nursing/about/faculty/lisaburkhartphdrnmph.shtml Subscription details: https://www.fcndocumentation.com/MenuOption/Details.aspx?ID=5

Documentation module incorporates: the North American Nursing Diagnoses Association (NANDA), Nursing Intervention Classification (NIC) and Nursing Outcomes Classification (NOC)

(Writer does not endorse any paid documentation tools provided here. They are just sample available in the internet).

Documentation tools More paid services:

Pittsburgh Mercy Parish Nurse & Heath Ministry ($400 for health systems, $200 for each FCN or each church).

http://www.pmhs.org/parish-nurse-program/education-and-resources.aspx

https://www.pmhs.org/parish-nurse-program/parish-nurse-store.aspx

(Writer does not endorse any paid documentation tools provided here. They are just samples available in the internet).

Assessment tools Free online assessment tools on major causes of death in the U.S. Heart Disease: Heart attack risk calculator available from the AHA

and American Stroke Association https://www.heart.org/gglRisk/main_en_US.html The United State Surgeon’s general family portrait to Learn about

your risk for conditions that can run in families, such as cancer. https://familyhistory.hhs.gov/FHH/html/index.html The tool can also be used to document family tree and visualize

available family support and relationships.

(These are valuable assessment tools available for public health nurses).

Recommendations

Parish nurses are providing a wealth of interventions to diverse populations but are not documenting in a way that allows for critical appraisal (Dandridge, 2014)

Parish nurses must adopt a unified language and document clear goals and measurable outcomes (Dandridge, 2014).

Utilizing a documentation tool which is convenient to your community need is essential

Gap in research

Limitations: There is a gap in research comparing the benefits of documentation

of nursing services to lack of documentation to specific outcomes achieved.

Conclusion Documentation should be essential part of the FCN practice to demonstrate

effectiveness of practice and outcomes of provided services

There are different formats of documentation.

There is lack of accountability in unpaid FCNs in area of documentation.

An easy format of documentation needs to be adopted by FCNs

Consider exploring free tools or paid documentation tools available for FCNs.

Continuing Education is needed on the long term benefits of FCN documentation

 

Questionnaire Please help me by completing the following quick questionnaires after reading

this power point (only five drop down, multiple choice / multiple response type questions with optional explanations).

It takes about 3-5 minutes of your time. Thank you in advance!

https://www.surveymonkey.com/r/F6XXKT3

After completing the survey, you will be able to see anonymous results of your colleagues’ response to their documentation habits….

It is fun to see other FCNs response in comparison to yours. If you would like to read the complete literature review of this presentation,

please email the writer at yisaact@gmail.com Thank you! God bless your service to your communities.

References Brown, A. (2006). Documenting the Value of Faith Community Nursing: 2. Faith Nursing Online. Creative Nursing, 12(2), 13. Buijs, R., & Olson, J. (2001). Parish nurses influencing determinants of health. Journal of Community Health Nursing, 18 (1),

13–23. Dyess, S., Chase, S., and Newlin, K. 2010. "State of research for Faith Community Nursing 2009." Journal of Religion &

Health 49, no. 2: 188-199. Academic Search Premier, EBSCOhost (accessed July 3, 2015).

Geller, K. (2007). Advice of counsel. Liability is an issue for a community nurse. Rn, 70(4), 56. Miller, S., & Carson, S. (2010). A Documentation approach for Faith Community Nursing. Creative Nursing, 16(3), 122-131.

doi: 10.1891/1078-4535.16.3.122

Monay, V., Mangione, C. M., Sorrell-Thompson, A., & Baig, A. A. (2010). Services delivered by Faith-Community Nurses to individuals with elevated blood pressure. Public Health Nursing, 27(6), 537-543. doi:10.1111/j.1525-1446.2010.00881.x

Parker, W. (2004). How well do parish nurses document? Journal of Christian Nursing, 21(2), 13. Rydholm, L. (2006). Documenting the value of Faith Community Nursing: Saving hundreds, making cents - A study of

current realities. Creative Nursing, 12(2), 10-12.

Rydholm, L., Moone, R., Thornquist, L., Alexander, W., Gustafson, V., & Speece, B. (2008). Care of community-dwelling older adults by faith community nurses. Journal of Gerontological Nursing, 34(4), 18-31. doi:10.3928/00989134-20080401-09

Slutz, M. (2011). Westberg Symposium's documentation playroom. Parish Nurse Perspectives, 10(1), 6.