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In the realm of nursing education, few experiences are as profoundly transformative as clinical rotations in homeless shelters. These settings provide a unique platform for undergraduate nursing students to practice their skills while encountering the complexities of care for individuals experiencing homelessness. Undergraduate students all participate in the care of people experiencing homelessness for at least one day in the community nursing course. This course is the last semester before they graduate from college allowing them to use the critical thinking skills they have gained throughout the program. Before their experience in the homeless day shelter, students are taught what the Bible teaches about caring for those who are vulnerable and how faith impacts the care and manner in which we communicate with others. Once in the setting, students are taught more about poverty, substance use, lack of resources for transportation, and medications. They are also taught and experience moments where they can see their own similarities to someone who is living without a home. Furthermore, when faith is integrated into this practice, it can enhance both the care provided and the personal growth of the student nurse. This experience gives undergraduate students the opportunity to learn from and love people who live in different places and battle different things than they do. By exposing students to people who walk and talk in different ways, students learn how to embrace fully that all in the community are Imago Dei, image-bearers of God. Following the clinical experience, students are asked to reflect on the time in the setting. Scriptural prompts are given to help the student investigate their own faith and thinking.

Faith as a Catalyst for Compassionate Care

One of the most significant ways faith impacts nursing practice is through the cultivation of empathy and compassion. In a homeless shelter, students encounter individuals who are often marginalized and facing significant hardships. Faith can serve as a powerful motivator for nurses to approach each patient with a nonjudgmental and compassionate mindset. This perspective encourages students to see beyond the immediate medical issues and recognize the inherent dignity and humanity of each individual.

For instance, students who draw strength from their faith might be inspired to spend extra time listening to patients’ stories, offering comfort, or providing emotional support. This approach aligns with the concept of “servant leadership” found in many faith traditions, where the primary goal is to serve others with humility and love. A student this semester stated, “As I interacted with this community, I really had to put myself into their shoes…It was very eye-opening.  It stretched my perspective, I learned that we are all people, and you can find connection with people whose lives are very different from yours.”

By integrating these principles, nursing students learn to offer holistic care that addresses not only physical health but also emotional and spiritual needs.

Building Trust and Establishing Relationships

Establishing trust with patients is crucial in any healthcare setting, but it takes on a special significance in a shelter environment. Individuals experiencing homelessness often face numerous barriers to trust, including past negative experiences with healthcare providers and societal stigma. When nursing students approach care through the lens of their faith, they may find it easier to build meaningful relationships with patients.

Faith-based virtues such as respect, kindness, and genuine concern for others can help bridge the gap between healthcare providers and patients. Students who integrate their faith into practice may find that their compassionate approach fosters a sense of security and trust, encouraging patients to be more open about their needs and concerns.

Navigating Ethical and Emotional Challenges

Working in a homeless shelter also presents a range of ethical and emotional challenges. Students might encounter situations that test their moral and emotional resilience. Faith can offer a framework for navigating these challenges, providing students with a sense of purpose and a source of strength.

For example, when faced with difficult decisions or emotionally charged situations, faith can help students maintain their composure and make decisions aligned with their values. It can also provide comfort and encouragement during moments of stress and uncertainty. By relying on their faith, students can better manage the emotional toll of working with vulnerable populations and maintain a sense of hope and commitment.

Conclusion

The integration of faith into nursing practice at a homeless shelter provides a profound opportunity for undergraduate nursing students to enrich their clinical experiences. By approaching care with compassion, building trust, and navigating challenges with resilience, students can offer exceptional care to individuals experiencing homelessness while deepening their own understanding of their vocation. This holistic approach not only benefits the patients but also fosters personal and professional development for the nursing students, preparing them to make a meaningful impact in their future careers.

Heidi Callighan

Heidi Callighan is an assistant professor at Samford University and is engaged in active clinical practice with vulnerable populations, particularly those experiencing homelessness.  Dr. Callighan received her BSN and MSN from Samford University and her PhD from William Carey University.  Dr. Callighan has 20 years of nursing experience treating children and families with chronic and ongoing medical conditions.  Dr. Callighan coordinates the community health course in the Undergraduate course program.  Through nursing practice, Dr. Callighan is able to teach students to show honor and add value to the overlooked, underserved, and vulnerable in our communities, who are all image-bearers of God.

Kristen Johnston

Kristen Johnston is an associate professor at Samford University and is active in clinical practice with patients experiencing health inequities and mental health concerns. Dr. Johnston received her ASN, BSN, and MSN from Samford University and her DNP from Troy University. She is a certified asthma educator. Dr. Johnston has over 25 years of experience working with vulnerable populations treating many patients with acute and chronic conditions. Currently, she coordinates the women’s health course in the FNP program and the policy course in the DNP program. She also teaches community health nursing in the undergraduate program. Through clinical practice, she teaches students how to love and care for vulnerable populations specifically image bearers experiencing homelessness.

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