CFCN key terms
CFCN · Get comfortable with the vocabulary.
- Spiritual care
- Related: Spiritual assessment, Therapeutic presence, Spiritual distress
Support for a person's inner life-meaning, purpose, connection, and relationship with the sacred-offered through listening, presence, prayer, and helping them draw on their own beliefs and faith community.
- Spiritual assessment
- Related: Spiritual care, Spiritual distress
A structured conversation or tool used to learn how a person makes meaning, what gives them hope, and which beliefs and practices shape their health choices, so care can fit their needs.
- Spiritual distress
- Related: Spiritual assessment, Spiritual care
Disruption in a person's meaning or belief system, showing up as hopelessness, anger at God, guilt, or feeling cut off from self, others, or the sacred, and calling for gentle support and referral.
- Therapeutic presence
- Related: Spiritual care, Prayer
Being fully attentive and available to another person in the moment: listening without rushing, judging, or steering the conversation toward your own agenda or answers.
- Prayer
- Related: Spiritual care, Spiritual assessment
A practice of addressing or attending to the sacred. Nurses support it when the person wishes, respect its forms, and avoid imposing their own tradition or promising particular outcomes.
- Health promotion
- Related: Health literacy, Primary prevention
Actions that help people gain control over and improve their health-education, supportive environments, and healthy policy-rather than only treating illness after it appears.
- Health literacy
- Related: Teach-back, Health promotion
How well a person can find, understand, and use health information to make decisions; limited literacy calls for plain language, pictures, and checking understanding.
- Teach-back
- Related: Health literacy, Health promotion
A check for understanding in which the learner restates or shows the information in their own words, letting the educator correct gaps instead of simply asking whether they have questions.
- Motivational interviewing
- Related: Stages of change, Health promotion
A collaborative conversation style that draws out a person's own reasons for change using open questions, affirmation, reflection, and summary, while avoiding argument, pressure, or unsolicited advice.
- Stages of change
- Related: Motivational interviewing, Health promotion
A model describing readiness to change as steps-precontemplation, contemplation, preparation, action, and maintenance-used to match teaching and support to where the person actually is.
- Primary prevention
- Related: Health promotion, Health literacy
Efforts that stop illness or injury before it begins, such as immunization and hand-hygiene teaching; secondary prevention finds problems early and tertiary prevention limits disability.
- Community assessment
- Related: Windshield survey, Key informant, Community assets
A systematic gathering of information about a defined group-its needs, strengths, resources, values, and health status-used to guide decisions about programs and services.
- Windshield survey
- Related: Community assessment, Key informant
A structured drive or walk through an area to observe housing, services, transportation, safety, and signs of community life that numbers alone can miss.
- Key informant
- Related: Community assessment, Community assets
A person selected for deep knowledge of a community-faith leader, clinic staff, longtime resident-who offers perspective on local needs, networks, and how to gain trust.
- Community assets
- Related: Community assessment, Key informant
The strengths a community already holds-skills of residents, associations, buildings, congregations, and informal networks-used to build programs on what exists rather than only on deficits.
- SMART objective
- Related: Logic model, Program evaluation
A goal written to be specific, measurable, achievable, relevant, and time-bound, so a program can tell whether the intended change actually happened.
- Logic model
- Related: SMART objective, Program evaluation
A picture linking the resources invested in a program, its activities, the short-term outputs, and the longer-term outcomes, used for planning, communication, and evaluation.
- Program evaluation
- Related: Logic model, SMART objective
Systematic collection of information during and after a program to judge whether it was delivered as planned and whether it made the intended difference.
- Care coordination
- Related: Resource navigation, Transitional care, Closed-loop referral
Deliberately organizing a person's care across providers, settings, and time-sharing information, arranging services, and following up-so nothing is lost between visits.
- Resource navigation
- Related: Closed-loop referral, Care coordination
Helping a person find, reach, and use community services such as food assistance, transportation, or a clinic, including checking eligibility, making contact, and confirming the connection happened.
- Closed-loop referral
- Related: Resource navigation, Care coordination
A referral that is tracked until there is confirmation the person was seen and the service began, rather than assuming that giving a name or phone number completed the work.
- Interprofessional collaboration
- Related: Care coordination, Professional boundaries
Working with other disciplines-clergy, social work, medicine, pharmacy-toward shared goals, with clear roles and open communication centered on the person's own wishes.
- Transitional care
- Related: Care coordination, Resource navigation
Support during moves between settings, such as hospital to home, covering medication review, follow-up appointments, warning signs, and who to call with questions.
- Advocacy
- Related: Resource navigation, Professional boundaries
Speaking up with or for a person to protect rights, obtain needed services, and remove barriers, always guided by that person's stated goals and consent.
- Professional boundaries
- Related: Advocacy, Confidentiality
Limits that keep the nurse-person relationship safe and focused on the person's needs, separating professional caring from friendship, romance, or financial involvement.
- Confidentiality
- Related: Professional boundaries, Documentation
The duty to keep personal health information private and share it only with those who need it for care, with the person's permission or as the law requires.
- Informed consent
- Related: Advocacy, Confidentiality
A person's voluntary agreement to care after receiving understandable information about benefits, risks, and alternatives, given freely while the person is able to decide.
- Scope and standards of practice
- Related: Professional boundaries, Documentation
Documents that describe what a specialty nurse is prepared to do, the expected level of performance, and the boundaries beyond which more training or referral is needed.
- Advance directive
- Related: Informed consent, Advocacy
A written statement made while a person can decide, naming a health care agent or recording treatment preferences to guide care if they later cannot speak for themselves.
- Cultural humility
- Related: Implicit bias, Faith-tradition integration
An ongoing, self-reflective stance that acknowledges one's own biases and the limits of one's knowledge, treating each person as the expert on their culture and needs.
- Social determinants of health
- Related: Resource navigation, Cultural humility
The conditions where people are born, grow, work, live, and age-income, housing, food, transportation, discrimination-that shape health more strongly than clinical care alone.
- Faith-tradition integration
- Related: Cultural humility, Spiritual care
Weaving a community's own beliefs, texts, rituals, and calendar into health ministry in ways the community recognizes as its own, without blending in unrelated practices.
- Medical interpreter
- Related: Cultural humility, Health literacy
A trained professional who conveys meaning accurately between clinician and patient in the patient's preferred language, rather than relying on a family member or untrained bilingual staff.
- Implicit bias
- Related: Cultural humility, Social determinants of health
Automatic associations that can shape judgment and behavior without intent; nurses reduce their effect by noticing them and using consistent, fair processes.
- Documentation
- Related: Confidentiality, Quality improvement
The timely, factual record of care-assessment, interventions, teaching, referrals, and the person's response-that supports continuity, communication among providers, and legal accountability.
- Quality improvement
- Related: Program evaluation, Incident report
A continuous, data-driven effort to make care safer and more effective by testing small changes, measuring results, and adjusting, rather than blaming individuals for errors.
- Incident report
- Related: Quality improvement, Documentation
A confidential internal record of an error, near miss, or unexpected event, used to find system causes and prevent repeat harm; it is not part of the clinical chart.
- Home safety assessment
- Related: Care coordination, Health promotion
A structured check of a person's living space for fall, fire, medication, and other hazards, followed by practical fixes and teaching matched to the person's resources.