Title
: Nurses’ Oral Health Initiative for the Underserved

Grant number: 1-D11-HP-00146-01

Funded by
: Bureau of Health Professionals Health Resources and Services Administration (HRSA)

Years granted: September 2000 – July 2004

The purpose of this three-year project is twofold: 1) to provide oral health care for vulnerable populations and, 2) to address national workforce concerns.  The target populations for the provision of oral health care include urban American Indians, homeless women and children, and low-income elderly.  The persons targeted for enhancement of a diverse and culturally competent and sensitive health professions workforce are students from a local high school, students and faculty within the College of Nursing.  This project is critically needed because of the disparity of care for persons with low income.  The relationship between poverty and poor health is significant.  Oral health is an area of health care that has often been overlooked or trivialized.

This project will address the need for oral health care by providing assessment of need by the Nurse practitioners who practice in one of the four satellite clinics of the Center for Nursing.  Treatment of oral health needs will be provided by opening the Akron Health Department’s Dental Clinic additional hours specifically for the treatment of those person’s referred by the nurse practitioners from the Center for Nursing.

This project will address nursing workforce issues by providing opportunities for undergraduate and graduate nursing student’s clinical experiences that include working with ethically diverse populations.  Implementation of the goals of this project will require that students 1) be culturally sensitive, 2) view health care from a systems perspective, 3) use critical thinking and problem solving, 4) provide for the management of patients, and 5) integrate principles of holistic care throughout the clinical experience.  Another aspect of addressing workforce issues is increasing enrollment and retention of minority students in nursing.  This project provides for exposure of students to nursing roles through the activities of Pre-Nursing Clubs in a high school that has a high percentage of minority students.  The University of Akron already has a Collaboration Initiative with Central-Hower to prepare students for college.  The activities proposed in this grant will build upon that initiative while addressing national workforce needs.

The project goals will be evaluated both formatively and summatively to assure that the project is on target and the purpose is being fulfilled.  Linkages among the College of Nursing, Center for Nursing, Akron Health Department, and Akron City School System will facilitate accomplishment of the purposes of this proposal.  Taken collectively, the structural underpinnings of the project are secure; funding is necessary to fulfill the vision.



Title
: Multidisciplinary Practicum: Serving Minorities in an
Underserved Area Community Clinic

Funded by: Area Health Education Consortium: SPAHEC

Years granted: September 1999 – present

The purpose is to increase interdisciplinary collaboration among health care providers from various educational programs.  The focus of the project is to provide multidisciplinary clinical experience for nursing students, medical students, medical residents and dietetic students.  The preceptors and students work together to assess plan and implement care.

The objectives for this project are:

1.)    Contribute to multidisciplinary care of patients.

2.)    Utilize appropriate professional skills when providing care to patients.

3.)    Use problems based learning for didactic education.



Title
: Community Health Care Clinics

Funded by: Akron General Health System Development Foundation

Years granted: September 1999 - present

The outcomes of this project are related to the following three objectives:

Objective One:  To provide primary health care to persons who do not have health insurance and who do not qualify for federal programs.

Persons who do not have insurance will use the clinic for primary health care.  The number of emergency department visits for this population will decrease.  Health promotion and disease prevention is part of each health visit.  Referrals for additional health care will be timely (rather than avoided and prolonged, due to limited access, which then compounds health problems).  Laboratory care is provided by LabCare, at discounted rates.  Medications that cannot be provided via drug samples are covered though a national “needy meds” program provided by pharmaceutical companies.

Objective Two:  To provide precepted clinical educational experiences for medical residents and nurse practitioners.

College of nursing faculty, nurse practitioner students, physicians, and residents from Akron General Medical Center will provide staffing for the clinic.  Health care learners have an opportunity to provide needed services and learn about minority populations, community health, and multidisciplinary care, while being precepted by faculty.

Objective Three:  Implement and educationally sound multidisciplinary educational model of clinical education.

This experience will supplement acute care clinical education experience.  It is our belief that when students work side by side with faculty preceptors, the quality of the educational experience carries over to additional experiences.




Title
: Nurse-Managed Center: Primary Care at Satellite Sites

Grant number: 1 D10 NU 30212-01

Funded by:  Bureau of Health Professionals Health Resources and Services Administration (HRSA)

Years granted: August 1995 – July 2000

Money awarded: $650,000

 




Title
: American Indian Drug and Alcohol Outreach Services

Grant number: MIH 00-1-24

Funded by
: Ohio Commission on Minority Health

Years granted: July 1999 – July 2001

Money awarded: $150,000

The American Indian Drug and Alcohol Outreach Service’s Three Fires Project offers a program to Native American Indian men and women who reside in Summit, Cuyahoga and Stark counties who have problems with alcohol and/or substance abuse.  The program includes participation in support meetings led by an American Indian, storytelling, and traditional American Indian spiritual ceremonies.

Participants receive health care at the University of Akron College of Nursing Center for Nursing Clinics.  Health promotion is encouraged though education health programs to promote preventive health practices on an as needed basis.


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