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    Teams of community health workers and nursing students effect health promotion of underserved urban neighborhoods.
    Public Health Nurs 2013 Sep-Oct;30(5):439-47. Epub 2013 Mar 5.
    Calvin College, Grand Rapids, Michigan 49546-4403, USA.
    Objective(s): The purpose of this study was to explore the effectiveness of CHW/nursing student teams in promoting secondary protection and improving access to care for residents of three urban underserved neighborhoods. The study also sought to measure CHW and resident satisfaction of such a program.

    Design And Sample: Quasi-experimental and non-experimental designs were used for the study. Convenience samples consisted of residents who participated in the CHW program during 2005-2006, CHWs and residents who participated in the CHW program during 2005-2007 and a systematic random sample of residents across the three neighborhoods.

    Measures: Three quantitative measures were used in the study: a pre/post test with residents who participated in the program, a satisfaction survey of CHWs and participants, and a community assessment survey of the neighborhoods in which the program occurred.

    Results: CHW/nursing student teams were shown to increase awareness of community resources, increase access to dental care, decrease use of the ER, promote use of a medical home/regular source of care, and increase the percentage of people having their blood pressure screened in the last 2 years.

    Conclusion: CHW/nursing student teams can positively impact the health of underserved populations.

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    Diabetes Educ 2013 Nov-Dec;39(6):792-9. Epub 2013 Sep 19.
    Ashley W. Collinsworth, MPH, ELS, Director of Health Care Research, Baylor Health Care System | Institute for Health Care Research and Improvement, 8080 North Central Expressway, Suite 500, Dallas, TX 75206, USA.
    Purpose: The purpose of this study was to evaluate the effectiveness of a Community Health Worker (CHW)-led diabetes self-management education (DSME) program and to understand how CHWs and primary care providers (PCPs) work together to provide comprehensive diabetes care.

    Methods: A quantitative pre- and postassessment of change in patients' blood glucose levels (A1C), blood pressure, and body mass index was performed to determine the clinical effectiveness of the program. Qualitative, semi-structured interviews with 5 CHWs and 7 PCPs were conducted to assess how CHWs were incorporated into clinical teams and their impact on care delivery and diabetes-related outcomes. Read More
    The impact of community health worker training and programs in NYC.
    J Health Care Poor Underserved 2006 Feb;17(1 Suppl):26-43
    Alianza Dominicana, Inc., USA.
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    Performance of female volunteer community health workers in Dhaka urban slums.
    Soc Sci Med 2012 Aug 25;75(3):511-5. Epub 2012 Apr 25.
    Centre for Equity and Health Systems, ICDDR,B, 68 Shaheed Tajuddin Ahmed Sharani, Mohakhali, Dhaka 1212, Bangladesh.
    Volunteer community health workers (CHWs) are one approach to addressing the health workforce crisis in developing countries. BRAC, a large Bangladeshi NGO, a pioneer in this area, uses female volunteer CHWs as core workers in its health programs. After 25 years of implementing the CHW model in rural areas, BRAC has begun using female CHWs in urban slums through its community-based mother, newborn and child health interventions. Read More
    How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review.
    BMC Public Health 2016 May 20;16:419. Epub 2016 May 20.
    Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
    Background: Community health workers (CHWs) are uniquely placed to link communities with the health system, playing a role in improving the reach of health systems and bringing health services closer to hard-to-reach and marginalised groups. A systematic review was conducted to determine the extent of equity of CHW programmes and to identify intervention design factors which influence equity of health outcomes.

    Methods: In accordance with our published protocol, we systematically searched eight databases from 2004 to 2014 for quantitative and qualitative studies which assessed access, utilisation, quality or community empowerment following introduction of a CHW programme according to equity stratifiers (place of residence, gender, socio-economic position and disability). Read More