CFCN study materials
CFCN study resources

CFCN key terms

CFCN · Get comfortable with the vocabulary.

Spiritual care

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.

Related: Spiritual assessment, Therapeutic presence, Spiritual distress
Spiritual assessment

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.

Related: Spiritual care, Spiritual distress
Spiritual distress

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.

Related: Spiritual assessment, Spiritual care
Therapeutic presence

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.

Related: Spiritual care, Prayer
Prayer

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.

Related: Spiritual care, Spiritual assessment
Health promotion

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.

Related: Health literacy, Primary prevention
Health literacy

How well a person can find, understand, and use health information to make decisions; limited literacy calls for plain language, pictures, and checking understanding.

Related: Teach-back, Health promotion
Teach-back

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.

Related: Health literacy, Health promotion
Motivational interviewing

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.

Related: Stages of change, Health promotion
Stages of change

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.

Related: Motivational interviewing, Health promotion
Primary prevention

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.

Related: Health promotion, Health literacy
Community assessment

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.

Related: Windshield survey, Key informant, Community assets
Windshield survey

A structured drive or walk through an area to observe housing, services, transportation, safety, and signs of community life that numbers alone can miss.

Related: Community assessment, Key informant
Key informant

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.

Related: Community assessment, Community assets
Community assets

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.

Related: Community assessment, Key informant
SMART objective

A goal written to be specific, measurable, achievable, relevant, and time-bound, so a program can tell whether the intended change actually happened.

Related: Logic model, Program evaluation
Logic model

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.

Related: SMART objective, Program evaluation
Program evaluation

Systematic collection of information during and after a program to judge whether it was delivered as planned and whether it made the intended difference.

Related: Logic model, SMART objective
Care coordination

Deliberately organizing a person's care across providers, settings, and time-sharing information, arranging services, and following up-so nothing is lost between visits.

Related: Resource navigation, Transitional care, Closed-loop referral
Resource navigation

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.

Related: Closed-loop referral, Care coordination
Closed-loop referral

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.

Related: Resource navigation, Care coordination
Interprofessional collaboration

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.

Related: Care coordination, Professional boundaries
Transitional care

Support during moves between settings, such as hospital to home, covering medication review, follow-up appointments, warning signs, and who to call with questions.

Related: Care coordination, Resource navigation
Advocacy

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.

Related: Resource navigation, Professional boundaries
Professional boundaries

Limits that keep the nurse-person relationship safe and focused on the person's needs, separating professional caring from friendship, romance, or financial involvement.

Related: Advocacy, Confidentiality
Confidentiality

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.

Related: Professional boundaries, Documentation
Informed consent

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.

Related: Advocacy, Confidentiality
Scope and standards of practice

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.

Related: Professional boundaries, Documentation
Advance directive

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.

Related: Informed consent, Advocacy
Cultural humility

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.

Related: Implicit bias, Faith-tradition integration
Social determinants of health

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.

Related: Resource navigation, Cultural humility
Faith-tradition integration

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.

Related: Cultural humility, Spiritual care
Medical interpreter

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.

Related: Cultural humility, Health literacy
Implicit bias

Automatic associations that can shape judgment and behavior without intent; nurses reduce their effect by noticing them and using consistent, fair processes.

Related: Cultural humility, Social determinants of health
Documentation

The timely, factual record of care-assessment, interventions, teaching, referrals, and the person's response-that supports continuity, communication among providers, and legal accountability.

Related: Confidentiality, Quality improvement
Quality improvement

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.

Related: Program evaluation, Incident report
Incident report

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.

Related: Quality improvement, Documentation
Home safety assessment

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.

Related: Care coordination, Health promotion