School of Nursing: Conceptual Framework

Godly Living
Godly living is foundational to the delivery of nursing care from a Christian worldview. Students grow in their relationship with God through engaging in spiritual disciplines such as; prayer, faith, scripture study, and through obedience to the Word of God and the prompting of the Holy Spirit. A personal relationship with Christ and obedience to his Word is a living testimony of Godly living. The call to Christian nursing requires a willingness to obediently conform to God’s standards as evidenced by Godly living.
Persons are created in the image of God (Genesis 1:27) for the purpose of having a relationship with God (Deuteronomy 6:4-6), through the person of Jesus Christ (Matthew 22:37-39). Each person can choose to reject or accept this relationship. Persons are mind, body, soul and spiritual beings. They shape and are shaped by cultural norms and life experiences. As complex beings each person has unique attributes, yet commonalities that bind individuals together. The diversity within the human state is valued and enriches our experience in the world.
Perfect health is harmony with God. Health is characterized by wholeness of mind, body, spirit, and soul, not merely by the absence of disease. While health is an important goal of individuals, the importance of health to society cannot be over emphasized. Health care disparities tend to follow socio-economic gradients and require a community approach to healing. Attitudes about health, perception of good health, and measures to determine health status are culturally defined.
The environment consists of a relatively stable set of stimuli surrounding an individual. Human beings can selectively interact with environmental stimuli and are also exposed to it in a passive manner. A reciprocal relationship between humans and environments exists in which the human is influenced by external stimuli that have the capacity to alter the internal environment of an individual. In turn, the individual alters the natural world through his/her interaction or lack of action with it. God created all things in the environment, yet remains separate from it.
The goal of nursing is to help others in the performance of activities contributing to health that they would do for themselves if they were able (Henderson, 1966). The role of the nurse is multifaceted but all nursing care activities are focused on advocating for those in need. Advocacy takes place through direct client care, research, care coordination, support of public policy to improve equitable resource allocation for the vulnerable, and health promotion activities. The art and science of nursing include interventions aimed at the relief of suffering, holistic healing, and the provision of compassionate presence. Nurses are essential members of the global health care work force. Global engagement requires nurses to view the world as the community.  
Service to others is the hallmark of Christian nursing. In serving others we glorify God. Serving others provides an avenue for personal transformation, changing both the nurse and the recipient of care. The call to Christian nursing requires a willingness to serve others.
Cultural Competence
The values, beliefs, and cultural understanding of individuals shape their worldview and ultimately determine their behavior patterns. Understanding how persons exist in the world is central to excellent nursing practice. Cultural competency extends the notion of cultural understanding to include the ability of the nurse to intervene appropriately and effectively with persons of diverse cultures. Nursing care must be delivered within the context of culture for care to have meaning for the recipient of care. The client’s conception of health, illness, and the parameters of nursing care must be considered. The culture of both the nurse and client influence the professional-client interaction.
Graduates of the Nyack College School of Nursing will be equipped to:
1. Affirm Godly living as foundational to Christian nursing practice.
1.1.   Practice spiritual disciplines of prayer, faith, scripture reading, and obedience to God.
1.2.   Express a willingness to serve others to the glory of God.
1.3.   Assert the power of prayer in healing.
2. Value each person as created in the image of God.
2.1.   Provide nursing care to diverse populations with sensitivity to cultural variations.
2.2.   Advocate for the dignity and worth of the clients they serve and their professional colleagues.
2.3.   Considers diverse social, economic, religious, and cultural traditions of individuals, families, and communities in planning for health care needs.
3. Affirm a Christian worldview of health as harmony with God.
3.1.   Synthesize knowledge from the humanities, biological, social, and nursing sciences to promote health and well being of individuals and communities around the globe.
3.2.   Improve the health of individuals and communities through an interdisciplinary approach to health promotion and disease prevention.
3.3.   Uses evidenced-based nursing therapeutics to provide holistic health care to clients.
3.4.   Identify the client’s conception of health and meaningfulness of the illness experience.
4. Understand the reciprocal relationship between the environment and the health of individuals and communities.
4.1.   Advocate for healthy environments to improve the health status of communities.
4.2.   Facilitate continuity of care across a variety of health care settings.
5. Affirm nursing practice as advocacy for those in need.
5.1.   Demonstrate excellence in technical skills in the delivery of professional nursing care.
5.2.   Recognize social, political, economic, and organizational avenues for influencing positive change in health care policy.
5.3.   Provide compassionate presence to all who suffer.
5.4.   Communicate effectively in verbal, nonverbal, and written form.
5.5.   Acquire and discriminate among vast amount of health care information to determine best practice for client care.
5.6.   Maintains nursing practice within professional/legal standards, ethical/moral standards, and sensitivity to client’s cultural differences.
6. Recognizes service to others as essential to professional nursing practice.
6.1.   Affirms personal transformation resulting from service to others.
7. Develop cultural competence in the delivery of holistic nursing practice.
7.1.   Considers the client’s conception of health, illness, and the parameters of nursing care when planning nursing interventions.
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