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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 1: Well-Woman Visit

MCHbest Logo well-woman visit

Strategy. Faith Community Nursing

Approach. Establish a program to connect a registered nurse with a faith community to serve as a health liaison.

Source. Robert Wood Johnson Foundation's What Works for Health (WWFH) Database

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Overview. Faith community nurses (also known as Parish nurses or Congregational nurses) are registered nurses positioned within a parish or similar faith community, or within a health care system serving as a liaison to congregations. Faith community nurses focus largely on health promotion and injury prevention (Coenen 1999*, Weis 1997*), but also often function as counselors, referrers, and advocates (Coenen 1999*).

Evidence. Expert Opinion. Faith community nursing is a suggested strategy to improve health behaviors and health outcomes (Dyess 2010*, McGinnis 2008*, Buijs 2001*), especially among minority (Mendelson 2008, Hughes 2001*) and low income populations (Monay 2010*). However, additional evidence is needed to confirm effects. Read more in theĀ WWFH database report. Read more about WWFH's evidence ratings. (*Links to citations can be accessed through the WWFH database).

Target Audience. Patients.

Outcome. Percent of women, ages 18 through 44, with a preventive medical visit in the past year.

Examples from the Field. Access descriptions of current ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM.

Sample ESMs. Using the approach “Establish a program to connect a registered nurse with a faith community to serve as a health liaison,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of faith communities with a faith community nurse.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of faith communities with a faith community nurse.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of women within a faith community who report a preventive care medical service within the past year.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of women within a faith community who report a preventive care medical service within the past year.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.