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Things They Didn’t Teach in Nursing School: Preparing for Missionary Nursing Grace J. Tazelaar MS, RN Missions Director Nurses Christian Fellowship.

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Presentation on theme: "Things They Didn’t Teach in Nursing School: Preparing for Missionary Nursing Grace J. Tazelaar MS, RN Missions Director Nurses Christian Fellowship."— Presentation transcript:

1 Things They Didn’t Teach in Nursing School: Preparing for Missionary Nursing Grace J. Tazelaar MS, RN Missions Director Nurses Christian Fellowship

2 Topics for Missionary Nursing I.Cultures/Worldview II.Spiritual Care III.How to teach

3 Culture/Worldview Worldview – “culturally agreed upon perception of reality, in other words worldview bridges the gap between objective reality and a person’s perception of it” Lane, Patty. A Beginners Guide to Crossing Cultures. Downers Grove, IL.: InterVarsity Press

4 Culture/Worldview What we do or Practice Values and Beliefs Worldview

5 Culture/Worldview I.HEALTH AND ILLNESS Nursing grew out of a Christian worldview Historically nursing practice is based in the scientific/medical understanding of health and illness Germ theory Systems theory Evidence based practice

6 HEALTH AND ILLNESS Host cultures may have a different understanding of health and illness Illness may be: Considered normal – everyone suffers from this problem Caused by a broken relationship Related to a curse

7 John 9:1- 7 1As he went along, he saw a man blind from birth. 2His disciples asked him, "Rabbi, who sinned, this man or his parents, that he was born blind?" 3"Neither this man nor his parents sinned," said Jesus, "but this happened so that the work of God might be displayed in his life. 4As long as it is day, we must do the work of him who sent me. Night is coming, when no one can work. 5While I am in the world, I am the light of the world." 6Having said this, he spit on the ground, made some mud with the saliva, and put it on the man's eyes. 7"Go," he told him, "wash in the Pool of Siloam" (this word means Sent). So the man went and washed, and came home seeing. HEALTH AND ILLNESS

8 Culture/Worldview II.Understanding of the Gospel message

9 Cultural tensions Lingenfelter, Sherwood G. & Mayers, Marvin K. Ministering Cross-Culturally: An Incarnational Model for Personal Relationships. Grand Rapids, MI.: Baker Books Tensions about Time Tensions in Judgment Tensions in Handling Crisis Tensions over Goals Tensions about Self-Worth Tensions regarding Vulnerability

10 II. Spiritual Care Assessing Spiritual Needs  Personal Relationship with God View of God View of Man View of Jesus  Meaning and Purpose  Love and Belonging  Forgiveness

11 The Person Providing Spiritual Assistance Should have their own spiritual needs met  Not get ahead of God and do in our own strength  Not get behind and miss opportunities  In tune with God

12 The Person Providing Spiritual Assistance Motivation MMeet the spiritual need of the person for whom you are caring? MMeet your need to share the gospel?

13 Be obedient  Do only the work God has given us to do  Don’t try to do the work of the Holy Spirit  God often uses our weak areas Glory goes to God

14 The Ministry of Presence Being Christ in a person’s life. Comfortable in silence Therapeutic communication skills

15 Meeting Spiritual Needs Through Scripture Personal study of the Bible prerequisite Using scripture  Meet the identified spiritual need  Person is agreeable to the idea Not using scripture  Inappropriate application  Persons with acute mental illness

16 Meeting Spiritual Needs Through Prayer Not magic Personal prayer For others WWith their permission AApart from the person on their behalf

17 Meeting Spiritual Needs Through the Church The Body of Christ  Each has unique gifts to bring to the table  Each person is a work in progress – in need of grace  Everyone is needed

18 Meeting Spiritual Needs Through the Church Unity – the message of the gospel CCan’t be jealous of others gifts BBy the love we have for one another, others will see Christ. DDon’t neglect the Church in our priorities.

19 How to Teach Most educators  Aim at the cognitive domain  Focus on providing information  Tend to teach the way we have been taught.

20 How to teach Health education should  Aim at the practice domain  Focus on changed behavior  Use methodology appropriate for adult learners

21 Adult Education TheoryImplications 1. Adults are capable of learning throughout their lives 1. Everyone should be given opportunity 2. Adults are the agents of their own education 2. Emphasis is on learning; not teaching 3. Adults have a wide experience and have learned much from life 3. Begin with what they know 4. As adults grow older their memories may get weaker but their powers of observation and reasoning often grow stronger 4. Don’t emphasize facts as much as present concepts 5. Adults have a sense of personal dignity 5. Treat them with respect

22 Adult Education People Remember: 20% of what they hear 40% of what they hear and see 80% of what they discover for themselves

23 Adult Education Problem Posing method  Presents a problem (without offering a solution)

24 Starters/Codes Songs Pictures Dramas Stories Games/Riddles Presenting the Problem Adult Education

25 Qualities of Good Starters/Codes (5 Ss) Adult Education Short Simple Specific Sensitive Solvable

26 See What did you see or hear? Happening What is happening? Our Does this happen in our community? Give examples Why Why does it happen? eDoeDo What can we do about it? How? Who? When? Where? SHOWeD Adult Education

27 Curriculum Development Professional  Body of knowledge  Regulated practice – License  Built on foundation of arts and sciences

28 Curriculum Development Competency/Mastery  Prepares person for a task/job  Focus is on skill/job performance  Information is limited to what is necessary to learn the skill

29 Develop a list of skills What knowledge does the health worker need to do this task? What would be nice to know What would be good to know What is essential to know

30 Develop a list of skills What attitude does the health worker need to do this task well?

31 Develop a list of skills What practical skills does the health worker need to do this task?  Communication  Problem solving  Manual

32 Knowledge, Attitude, Practice Learning has not taken place until it is put into practice Head knowledge passes through values/beliefs before being acted upon  Smokers continue to smoke even though they know it is detrimental to their health  Distance between heaven and hell is distance between head and heart

33 Adult Education What we do or Practice Values and Beliefs Worldview


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