Loyola University Chicago Loyola eCommons Dissertations Theses and Dissertations 1998 Health Ministry in the Life of a Congregation with a Parish Nurse: Caring and Connecting Through Christ Mary Ann Chase-Ziolek Loyola University Chicago Follow this and additional works at: https://ecommons.luc.edu/luc_diss Part of the Nursing Commons Recommended Citation Chase-Ziolek, Mary Ann, "Health Ministry in the Life of a Congregation with a Parish Nurse: Caring and Connecting Through Christ" (1998). Dissertations. 3746. https://ecommons.luc.edu/luc_diss/3746 This Dissertation is brought to you for free and open access by the Theses and Dissertations at Loyola eCommons. It has been accepted for inclusion in Dissertations by an authorized administrator of Loyola eCommons. For more information, please contact [email protected]. This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License. Copyright © 1998 Mary Ann Chase-Ziolek LOYOLA UNIVERSITY CHICAGO HEALTH MINISTRY IN THE LIFE OF A CONGREGATION WITH APARISH NURSE: CARING AND CONNECTING THROUGH CHRIST A DISSERTATION SUBMITTED TO THE FACULTY OF THE GRADUATE SCHOOL IN CANDIDACY FOR THE DEGREE OF DOCTOR OF PHILOSOPHY SCHOOL OF NURSING BY MARY ANN CHASE-ZIOLEK CHICAG<?,, ILLINOlS MAY 1998 Copyright by Mary Ann Chase-Ziolek All rights reserved .......... - ACKNOWLEDGMENTS If there is one thing I have learned through my doctoral education, it is that no woman is an island unto herself This has been a shared journey that has connected me to many companions who have nurtured, supported and challenged me, and without whom the journey would not have been complete. This journey was launched from my home base that provided my anchor and centering point. My husband Keith has been an unfailing source of encouragement, support and practical assistance. My son Andrew has provided invaluable computer assistance and compassion while my daughter Emily has been my study buddy and inspiration. Long before my dissertation began, my early academic journey was launched with the blessing of my parents Helen and James Chase. I am particularly indebted to my father, who first showed me the connection between health and ministry through his example as a pastor. My committee members; Drs. Mary Ann McDermott, Dorothy Lanuza, Patti Ludwig-Beymer and Stephen Schmidt all provided invaluable insight and assistance. I am particularly indebted to Mary Ann McDermott, my director, for her insight and compassion. I am thankful not only for what she did to guide me through my dissertation, but also for the caring and Christian way she provided her guidance. 111 I am grateful to the members of First Church who so graciously and willingly participated in my research. Learning about their culture was both educational and personally enriching. There have been so many friends and colleagues who have shared this journey offering support, useful advice and prayers. The nurses I work with through the Volunteer Congregational Health Program have been a particular gift of God's grace for me during my dissertation. I am indebted to Ron Tabeta of Loyola University Instructional Design for his assistance with my graphic figures. lV To God be the glory, great things he hath done. Fannie Crosby TABLE OF CONTENTS ACKN"OWLEDGEMENTS ............................................................................................ iii LIST OF FIGlJRES ........................................................................................................ iv LIST OF TABLES .......................................................................................................... x Chapter I. STATEMENT OF THE PROBLEM ........................................................ 1 The Concept of Health Ministry ................................................................ 2 Societal Significance ................................................................................. 7 Significance to Nursing ........................................................................... 13 Assumptions ........................................................................................... 16 Purpose .................................................................................................. 18 II. REVIEW OF THE LITERATURE ......................................................... 21 Health Ministry ....................................................................................... 21 Parish Nursing ........................................................................................ 42 Healing ................................................................................................... 54 Congregations as Partners in Promoting Health....................................... 60 Congregational Culture ........................................................................... 68 Conceptual Fram.ework ........................................................................... 72 ill. METHODOLOGY ................................................................................. 77 Qualitative Research ............................................................................... 78 Study Design .......................................................................................... 80 Procedure ............................................................................................... 86 Evaluation .............................................................................................. 98 IV. HISTORICAL CONTEXT ................................................................... 101 John Wesley and the People Called Methodists ..................................... 102 Wesleyan Theological Beliefs ................................................................ 104 Methodism in the United States ............................................................ 110 Methodist Polity ................................................................................... 116 Involvement of United Methodist Church in Health ............................... 119 Vl V. FINDIN"GS ........................................................................................... 123 Cultural Descriptions ............................................................................ 123 Gaining Entry into the Culture .............................................................. 130 Research Participants ............................................................................ 132 Domains and Categories ....................................................................... 13 3 Domain Related to Individual Context .................................................. 13 5 Domain Related to Historical Context ................................................... 155 Domain Related to Community Context ................................................ 158 Domain Related to Organization ........................................................... 178 Domain Related to Ministry .................................................................. 188 Themes ................................................................................................. 215 VI. DISCUSSION ...................................................................................... 219 Significant Findings .............................................................................. 219 Implications for the Congregation ......................................................... 233 Implications for Nursing ....................................................................... 23 5 Strengths and Limitations ..................................................................... 236 Future Research .................................................................................... 238 Conclusion ........................................................................................... 23 9 APPENDIX A RESEARCH ON RELIGION AND HEAL TH ..................................... 242 B. RESEARCH ON PARISH NURSIN"G ................................................. 247 C. INTERVIEW GUIDE FOR PARISH NURSE COORDIN"ATORS ....... 251 D. RESEARCH ON INVOLVEMENT OF CHURCHES IN" HEALTH PROGRAMS .................................................................. 253 E. RESEARCH ON CHURCHES AS SITES FOR HEALTH PROGRAMS ....................................................................... 256 F. INFORMEDCONSENT ...................................................................... 261 G. INTERVIEW GUIDE .......................................................................... 263 H A PLACE FOR HEALTH BROCHURE .............................................. 268 I. PERMISSION TO USE SUNRISE MODEL. ....................................... 273 vu REFEREN"CES ...................................... ,..................................................................... 273 VITA........................................................................................................................... 292 viii LIST OF FIGURES Figure Page 1. Graphic representation of health ministry ............................................................ 5 2. Relationships in health ministry.......................................................................... 6 3. Contextual factors impacting the development of health ministry ........................ 8 4. Four dimensions contributing to an understanding of health ministry .............................................................................................. 22 5. Leininger' s SUilrise model. ...............................................................................