Implantação do programa "enfermagem na comunidade de fé": relato de experiência / Implementation of the "Faith Community Nursing" Program: experience report / Implantación del programa "Enfermeras Parroquiales: relato de experiencia"

Objetivo: Descrever o processo de implantação do programa "Enfermagem na Comunidade Fé" no Brasil. Síntese dos dados: Trata-se de um relato de experiência, realizada em 2011, sobre a implantação do programa "Enfermagem na Comunidade Fé" no Brasil. Inicialmente, estabeleceu-se uma parceria entre o Centro Universitário Adventista de São Paulo e o Church Health Center em Memphis. O currículo do Church Health Center foi traduzido, revisado e implementado em quatro módulos: espiritualidade, saúde holística, profissionalismo e comunidade. Foram realizados dois cursos. O primeiro, em 2013, contou com a participação de 34 enfermeiros em período integral. O segundo, oferecido em 2016, na modalidade semipresencial, teve 20 participantes. A implantação do programa foi efetiva, uma vez que possibilitou instrumentalizar enfermeiros com uma visão holística e capacidade reflexiva para atuarem em seus locais de origem, seja em hospitais e clínicas, seja nas comunidades de fé, como multiplicadores de uma prática humanitária que valoriza todas as dimensões do ser humano. Conclusão: O programa vem se consolidando no Brasil e poderá ser uma ponte para um melhor enfrentamento das dificuldades de saúde encontradas nas comunidades.

Objective: To describe the implementation process of Faith Community Nursing (FCN) program in Brazil. Data Synthesis: This is an experience report conducted in 2011 on the implementation of the "Faith Community Nursing" program in Brazil. Initially, a partnership between The Adventist University of São Paulo and the Church Health Center in Memphis was established. The Church Health Center curriculum was translated, revised and implemented in four modules: spirituality, holistic health, professionalism and community. Two courses were conducted. The first, in 2013, counted with the participation of 34 nurses in full-time. The second, offered in 2016, in blended form, had 20 participants. The implementation of the program has been effective as it enabled the nurses to be equipped to practice care for the whole person in a reflective way in their places of origin, whether in hospitals, clinics or in faith communities, as multipliers of a humanitarian practice that values all the dimensions of the human being. Conclusion: The program has been consolidated in Brazil and can be a bridge to better cope with the health problems encountered in communities.

Objetivo: Describir el proceso de implantación del programa "Enfermeras Parroquiales" en Brasil. Síntesis de los datos: Se trata de un relato de experiencia realizado en 2011 sobre la implementación del programa "Enfermeras Parroquiales" em Brasil. En principio se estableció una sociedad entre el Centro Universitario Adventista de São Paulo y el Church Health Center en Memphis. El currículo del Church Health Center fue traducido, revisado e implementado en cuatro módulos: la espiritualidad, la salud holística, el profesionalismo y la comunidad. Se realizaron dos cursos. El primero fue en 2013 y tuvo la participación de 34 enfermeros en período integral. El segundo ha sido en 2016 en la modalidad semipresencial y tuvo 20 participantes. La implantación del programa fue efectiva ya que posibilitó la orientación de los enfermeros para una visión más holística y capacidad reflexiva para la actuación en sus sitios de origen, sean los hospitales y clínicas o en las comunidades de fe como multiplicadores de uma práctica humana que valora todas las dimensiones del ser humano. Conclusión: El programa se ha consolidado en Brasil y podrá ser un puente para un mejor afrontamiento de las dificultades de salud encontradas en las comunidades

The Role of Religious Involvement in the Relationship Between Early Trauma and Health Outcomes Among Adult Survivors.

The purpose of this study was to determine the role of religious involvement and related indicators - religious coping, intrinsic religiosity, forgiveness and gratitude - in reducing the negative impact of early traumatic stress on the mental and physical health of adult survivors. Multiple linear regressions were used to analyze self-reported data of 10,283 Seventh-day Adventist men and women across North America. The study also included an original analysis on a subsample (n = 496) of the larger group, examining diabetes risk factors in conjunction with Adverse Childhood Events (ACE) data. Higher early trauma scores were associated with decreased mental health (B = -1.93 p < .0001) and physical health (B = -1.53, p < .0001). The negative effect of early trauma on mental health was reduced by intrinsic religiosity (B = .52, p = .011), positive religious coping (B = .61, p = .025), forgiveness (B = .32 p = .025), and gratitude (B = .87 p = .001). Adult survivors of early trauma experienced worse mental and physical health; however, forgiveness, gratitude, positive religious coping, and intrinsic religiosity were protective against poor mental health. The findings support a holistic perspective in the care of childhood trauma survivors.

Gender and Race Variations in the Intersection of Religious Involvement, Early Trauma, and Adult Health.

PURPOSE: This study aimed to determine gender and race variations in regards to the influence of religious involvement (RI) as a moderator of the effects of early traumatic stress (ETS) on health-related quality of life among adult survivors of child abuse. DESIGN: A cross-sectional predictive design was used to study Seventh-day Adventist adults in North America (N = 10,283). METHODS: A secondary analysis of data collected via questionnaires was done using multiple regression. RESULTS: Data revealed that women had a significantly higher prevalence of any or all ETS subtypes, except for physical abuse prevalence, which was the same for both genders. Blacks reported a significantly higher prevalence of at least one ETS subtype than did Whites, except for neglect, where Whites had a higher prevalence. Exposure to at least one ETS subtype was associated with worse negative effect on mental health (B = -2.08, p < .0001 vs. B = -1.54, p < .0001) and physical health (B = -2.01, p < .0001 vs. B = -1.11, p < .0001) for women compared to men. Among those exposed to all ETS subtypes (n = 447), Whites had significant worse physical health, with White women having almost two times the negative effect on physical health (B = -4.50, p < .0001) than White men (B = -2.87, p < .05). As for RI moderation, based on tests of three-way interactions of race-RI-ETS, there were no associated differences. However, tests of three-way interactions of gender-RI-ETS showed a significant buffering effect. Among those with high levels of negative religious coping (RC), women exposed to ETS had significantly worse physical health (B = -1.28) than men. CONCLUSIONS: Results give evidence of gender and racial differences on the magnitude of the ETS-health effect, as well as gender differences in ETS-health buffering by RC. CLINICAL RELEVANCE: Findings suggest gender and racial differences must be considered when devising holistic nursing interventions for improving health outcomes of early trauma survivors.