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Bales ME, Zhu J, Ganzer CA, Aboharb F, Keeler A, Ryon KA, Ehrmann BJ, Imperato-McGinley J. A retrospective case study of successful translational research: Cardiovascular disease risk assessment, experiences in community engagement. J Clin Transl Sci 2024; 8:e84. [PMID: 38784106 PMCID: PMC11112429 DOI: 10.1017/cts.2024.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 04/09/2024] [Indexed: 05/25/2024] Open
Abstract
In underserved communities across New York City, uninsured adults encounter a greater risk of cardiovascular disease (CVD) and diabetes. The Heart-to-Heart Community Outreach Program (H2H) addresses these disparities by screening for CVD risk factors, identifying healthcare access barriers, and fostering community engagement in translational research at the Weill Cornell Medicine Clinical and Translational Science Award (CTSA) hub. Screening events are hosted in partnership with faith-based institutions. Participants provide a medical history, complete a survey, and receive counseling by clinicians with referrals for follow-up care. This study aims to quantify H2H screening participant health status; identify socioeconomic, health access, and health-related barriers disproportionately promoting the onset of CVD and diabetes; and develop long-term community partnerships to enable underserved communities to influence activities across the translational research spectrum at our CTSA hub. The population served is disproportionately non-white, and uninsured, with many low-income and underserved individuals. The program was developed in partnership with our Community Advisory Board to empower this cohort to make beneficial lifestyle changes. Leveraging partnerships with faith-based institutions and community centers in at-risk New York City neighborhoods, H2H addresses the increasing burden of diabetes and CVD risk factors in vulnerable individuals while promoting community involvement in CTSA activities, serving as a model for similar initiatives.
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Affiliation(s)
- Michael E. Bales
- Weill Cornell Clinical and Translational Science Center, New York, NY, USA
| | - Jifeng Zhu
- Weill Cornell Clinical and Translational Science Center, New York, NY, USA
| | - Christine A. Ganzer
- Hunter-Bellevue School of Nursing, School of Health Professions, Hunter College, CUNY, New York, NY, USA
| | - Farid Aboharb
- Tri-Institutional MD-PhD Program, Weill Cornell Medicine, Rockefeller University, Memorial Sloan Kettering Center, New York, NY, USA
| | - Allegra Keeler
- School of Medicine, New York Medical College, Valhalla, NY, USA
| | - Krista A. Ryon
- Department of Physiology and Biophysics, Weill Cornell Medicine, New York, NY, USA
| | - Brett J. Ehrmann
- Division of Primary Care of the Weill Cornell Physician Organization, Weill Cornell Medicine, New York, NY, USA
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Zeien J, Vieira J, Hanna J, Ramirez A, Miller C, Hartmark-Hill J, Rosales C. Utilization of street-based COVID-19 vaccination clinics in Phoenix's homeless population. COMMUNITY HEALTH EQUITY RESEARCH & POLICY 2023:2752535X231196415. [PMID: 37635377 DOI: 10.1177/2752535x231196415] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
The novel Coronavirus (COVID-19) is a highly contagious viral illness that has caused the most significant global health crisis in recent human history. Individuals experiencing homelessness represent one of the more vulnerable populations for COVID-19 infection and morbidity. Amongst individuals experiencing homelessness in Phoenix, a student-led interprofessional organization called Street Medicine Phoenix (SMP) sought to both reduce the risk of COVID-19 transmission and morbidity/mortality related to infection. Through collaborations with the Maricopa County Department of Public Health and various community organizations, SMP developed a format for street-based vaccination clinics. SMP deployed these clinics on numerous occasions to the streets directly surrounding the community homeless shelter, allowing SMP to vaccinate individuals directly in their encampments. Through SMP's efforts starting in February 2021, 400 individuals experiencing homelessness have received at least one COVID-19 vaccine. Challenges encountered included low health literacy, lack of established rapport and trust, low vaccine confidence, difficulty verifying patients' vaccination status, difficulty obtaining sufficient information from patients to create a record in the Arizona State Immunization Information System (ASIIS), monitoring patients post-vaccination, transporting vaccine supplies from encampment to encampment, and lack of patient awareness of the mobile vaccine clinic services. Despite challenges, SMP's outreach efforts have demonstrated the feasibility and importance of mobile public health services to reach homeless encampments, particularly mobile vaccination clinics in response to disease outbreaks, and the necessity of strategic partnerships with community agencies to effectively meet the needs of underserved populations.
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Affiliation(s)
- Justin Zeien
- Walter Reed National Military Medical Center, Bethesda, MD, USA
| | - Jaime Vieira
- University of Arizona College of Medicine - Phoenix, Phoenix, AZ, USA
| | - Jeffery Hanna
- University of Arizona Mel and Enid Zuckerman College of Public Health, Phoenix, AZ, USA
| | - Alma Ramirez
- University of Arizona Mel and Enid Zuckerman College of Public Health, Phoenix, AZ, USA
| | - Catherine Miller
- University of Arizona Mel and Enid Zuckerman College of Public Health, Phoenix, AZ, USA
| | | | - Cecilia Rosales
- University of Arizona Mel and Enid Zuckerman College of Public Health, Phoenix, AZ, USA
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Torda A, Pinheiro R, Overton K, Yu J, Ooi SY, Altman L. Novel student roles in health care delivery: An example emerging from the COVID-19 health care crisis in 2021. Intern Med J 2023; 53:1050-1053. [PMID: 37162258 DOI: 10.1111/imj.16048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 02/26/2023] [Indexed: 05/11/2023]
Abstract
In 2021, the rapid rise in COVID-19 infections put overwhelming demand on health care services. It was recognised that patients could be managed in the community if an appropriate monitoring service existed. Medical students were recruited for roles that combined technology, teamwork and clinical skills. This is an example of how novel roles can provide solutions in times of health care crises.
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Affiliation(s)
- Adrienne Torda
- School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia
- Prince of Wales Hospital, Sydney, New South Wales, Australia
| | - Rebecca Pinheiro
- Strategy, Innovation & Improvement, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
| | - Kristen Overton
- School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia
- Prince of Wales Hospital, Sydney, New South Wales, Australia
| | - Jennifer Yu
- School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia
- Prince of Wales Hospital, Sydney, New South Wales, Australia
| | - Sze-Yuan Ooi
- School of Clinical Medicine, UNSW Sydney, Sydney, New South Wales, Australia
- Prince of Wales Hospital, Sydney, New South Wales, Australia
| | - Lisa Altman
- Strategy, Innovation & Improvement, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
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Collins RA, Zeitouni J, Veesart A, Chacon J, Wong A, Byrd T. Establishment of a vaccine administration training program for medical students. Proc AMIA Symp 2023; 36:157-160. [PMID: 36876245 PMCID: PMC9980645 DOI: 10.1080/08998280.2022.2137373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
While vaccine administration training is included in the curriculum for several health professions, it is not universally incorporated into the medical school preclinical curriculum. To fill this education gap, a pilot vaccine training program for first- and second-year medical students was conducted using an online Centers for Disease Control and Prevention module and an in-person simulation with nursing faculty. The aim of this study was to evaluate the effectiveness of the training program. Pre- and post-surveys used a Likert 5-point scale to assess the training effectiveness. Ninety-four students completed the surveys (response rate, 93.1%). Following the training, students felt more comfortable giving a patient a vaccine under the supervision of a physician (P < 0.0001), volunteering in a community-wide vaccine campaign (P < 0.0001), and administering vaccines during clinical rotations (P < 0.0001). Most students, 93.6%, found the in-person training to be "effective" or "very effective," and 97.8% felt that learning how to administer vaccines should be incorporated into the preclinical medical curriculum. Without this program, 76 students (80.1%) would not have been able to participate in a vaccine training. The interdisciplinary training program outlined in this study may serve as a model for similar initiatives at other medical schools.
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Affiliation(s)
- Reagan A Collins
- School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Jad Zeitouni
- School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Amanda Veesart
- School of Nursing, Texas Tech University Health Sciences Center, Lubbock, Texas
| | - Jessica Chacon
- Department of Medical Education, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas
| | - Aliza Wong
- Honors College and Department of History, Texas Tech University, Lubbock, Texas
| | - Theresa Byrd
- Department of Public Health, Texas Tech University Health Sciences Center, Lubbock, Texas
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Villa G, Galli E, Allieri S, Baldrighi R, Brunetti A, Giannetta N, Manara DF. Frontline Involvement in Population COVID-19 Vaccinations: Lived Experience of Nursing Students. Healthcare (Basel) 2022; 10:healthcare10101985. [PMID: 36292432 PMCID: PMC9601827 DOI: 10.3390/healthcare10101985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 10/06/2022] [Accepted: 10/07/2022] [Indexed: 11/04/2022] Open
Abstract
(1) Background: The globally promoted vaccination campaign has been shown to be the solution for the COVID-19 pandemic, reducing transmission, hospitalisation and the need for intensive care. Although several studies have examined the experiences of healthcare workers during the pandemic, few studies have investigated healthcare student experiences. The aim of this study is to explore the lived experience of third-year nursing students during the COVID-19 vaccination campaign. (2) Methods: A phenomenological qualitative method was adopted. The researchers selected third-year students undertaking a bachelor’s nursing degree who took part in the COVID-19 vaccination campaign at a high-volume vaccination centre in the period from May to August 2021. (3) Results: Thirteen students were included in the study. Three themes and twelve subthemes emerged from the study. The themes were: a challenging experience; it is not as easy as it seems; a learning experience worth living; and teamwork and trust leading to professional development. (4) Conclusions: Participation in the vaccination campaign was a novelty for students in their degree program. Students emphasized the positive aspects of having the opportunity to participate in the vaccination campaign and help the entire community in the fight against COVID-19.
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Affiliation(s)
- Giulia Villa
- Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Emanuele Galli
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
- IRCSS San Raffaele Scientific Institute, 20132 Milan, Italy
| | - Sara Allieri
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Riccardo Baldrighi
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Adelaide Brunetti
- Nursing School San Raffaele Hospital, Vita-Salute San Raffaele University, 20132 Milan, Italy
| | - Noemi Giannetta
- School of Nursing, UniCamillus—Saint Camillus International University of Health and Medical Sciences, 00131 Rome, Italy
- Correspondence:
| | - Duilio Fiorenzo Manara
- Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy
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