Community Outreach and Engagement Spotlight

November 2022

Courtney Shihabuddin, DNP, APRN-CNP, AGPCNP-BC
Assistant Clinical Professor
Director, Adult-Gerontology Primary Care Nurse Practitioner Program
Director, Adult-Gerontology Clinical Nurse Specialist Program

Brief description of your community-engaged work:

I work as a nurse practitioner at the Columbus Free Clinic where I precept medical students (first and four years), as well as PA students and my own adult-gerontology primary care nurse practitioner students. I also serve on the board of the Columbus Free Clinic and am the faculty mentor for the Rainbow Clinic where we exclusively treat members of the LGBTQIA+ community.

Why is engaging the community important to you and your work?

Prior to working at Ohio State, I worked as an HIV specialist in a Ryan White HIV Clinic in Oklahoma City, OK. I truly adored my work there, treating that underserved population, and I knew when we relocated to Columbus, that I wanted to stay engaged in the community, helping to provide care for populations that would benefit from it most – the uninsured and under-insured. My work at the free clinic has allowed me to see my students learn and grow, not just in the classroom, but I’m able to see their clinical application of my teaching in the real world, with real patients, and that’s magical.

What lessons have you learned from the community that has helped you as a university staff member?

I am constantly learning about other community offerings and programs that I was unaware of prior to joining the Columbus Free Clinic. I have networked with students and faculty from other colleges which have allowed me to integrate more interdisciplinary initiatives into my everyday work, bringing nursing and medical students together, and helping to learn how to better integrate multidisciplinary plans of care to improve patient care and outcomes.

What has been your favorite moment from your community-engagement work?

I truly enjoy mentoring my students in the clinical setting. I love that I get to provide the didactic education they need to have good clinical decision-making skills, and then I get to observe that happening in real time. It’s almost like I watch the lightbulb moment when it all finally “clicks” and they are able to behave as safe and effective nurse practitioners. One other thing I love is when my NP graduates come back to CFC and volunteer as providers. It’s been an honor to see that full-circle moment.

What advice do you have for other faculty members who are interested in getting involved in community engagement?

The Columbus Free Clinic is a fantastic opportunity for APRN faculty to give back to the community and precept Ohio State students, whether they be medical or nursing students. It’s a great way to provide clinical hours for students who need them to graduate, all while giving back to our community in a way that is desperately needed by this patient population.


Archive

September 2022: Kathy D. Wright, PhD, RN, APRN-CNS, PMHCNS-BC

Kathy Wright with 62-year old body builder

Kathy D. Wright, PhD, RN, APRN-CNS, PMHCNS-BC, Assistant Professor
Center for Healthy Aging, Self-Management and Complex Care

Brief description of your community-engaged work.

My lab is the Brain and Blood Pressure Health Is Valuable for Everyone (B+BHIVE). We provide health education, mindfulness practices, blood pressure checks, and cognitive and mental health screening minoritized communities. This work is across the lifespan to reduce the risk of Alzheimer’s disease and related dementias among Blacks/African Americans and those who are from underrepresented populations, such as rural areas. We volunteer for events that include UpLift Her, African American Men’s Wellness Walk, Central Ohio American Heart Association, Urban Aging Residents Coalition, and St. James Christian Center.

Why is engaging the community important to you and your work?

Alzheimer’s disease and Related Dementias is a critical issue for minoritized groups. Indeed, Blacks and African Americans are 1) twice as likely to get dementia, 2) diagnosed too late into the course of the disease to benefit from treatments, and 3) live longer with dementia and require more physical care in the later stages of the dementia. One of the main pathways for us as African Americans to lessen the burden of dementia is living a healthy lifestyle. This includes keeping blood pressure under control, stress management, eating plenty of fruits and vegetables, mindfulness/meditation/prayer, and physical activity.

Most importantly, I have the opportunity to meet people at varying points on their wellness journey from a 62-year-old body builder [pictured above] to a person who is wheel chair bound. I teach others to give themselves grace and not compare themselves to others, or even how they may have been in the past. The focus is on what I can do today, even if it is to drink one less can of surgery soda than yesterday. Always give yourself grace and keep moving forward.

What lessons have you learned from the community that have helped you as a university staff member?

Patience and adaptability. In the community, we need to move at the pace of those we work with, not the rushed pace of academia. Also, the systems of organization may not be exactly what we expect. It is best always to observe, listen, and follow the lead of the individual/group that has invited you into their community because this is their home.

What has been your favorite moment from your community-engagement work?

The best part about working in the community is that I have many favorite moments. When you are in the community, you become a part of that family. So, one of the Elders invited me and Dr. Judy Tate to a Christian comedy show. The Elder (Ms. Pam Shields, Director of the Urban Aging Residents Coalition) requested that I bring educational materials to pass out to all the attendees. When the show started, Ms. Pam went up to the stage and asked me to join her. I was presented with a huge bouquet of flowers and a certificate thanking me for the work that I have done with her group in the community that includes a monthly mindfulness activity.

What advice do you have for other CON members who are interested in getting involved in community engagement?

We all have busy schedules and obligations for scholarship, research, and teaching. Be smart about your time and focus on one or two groups that are important to you. Start out by volunteering for a health fair or giving a talk to the community you want to foster a relationship. Be consistent. Don’t attend just once. Be available for last-minute requests and if you cannot do it, then find a colleague who can. For example, I lead the monthly mindfulness breathing exercise for the Urban Aging Residents Coalition. If I’m unable to attend, then my back up is Dr. Judy Tate or Dr. Karen Moss.

July 2022: Karen Moss, PhD, RN, CNL

Karen Moss, PhD, RN, CNL, Assistant Professor
Center for Healthy Aging, Self-Management and Complex Care (CHASM-CC)
Center for Health Outcomes in Medicine, Scholarship and Service (HOMES)

I love engaging with older adults. I am passionate and committed to improving the quality of life for African American older adults living with dementia and their family caregivers through quality advance care planning for the end of life and better pain management outcomes. Some of my current work explores barriers and facilitators for advance care planning for African American dementia family caregivers. We are also describing pain and stress in older adults living with dementia and their family caregivers. Through the conduct of my community-based research, we collaborate with members of the community through ongoing education. We allow the community to direct the focus of this work based on their needs, while educating them on the importance of advance care planning.

Why is engaging the community important to you and your work?

My work would not be possible without community engagement. I am always excited to give back to the community. Having conversations on advance care planning with community members brings me joy. To observe their curiosity and interests peak as we get deeper into honest conversations through storytelling about death and dying amazes me. Thankfully, we have been able to remain engaged in these conversations despite the coronavirus pandemic. Virtual conversations and presentations and also virtual data collection for my research have been extremely beneficial. Through community-based recruitment, we engage our study participants as my consultants as they are the experts of their own experiences as well as their needs. Therefore, community engagement is critical for my work and hence it is importance for me to remain engaged.

What lessons have you learned from the community that have helped you as a university staff member?

I have come to realize that the ‘community’ that we often describe is truly plural, “communities.” Various demographic characteristics such as gender, race, ethnicity, and geography used to describe any one individual or family helps them to be aligned with various groups/communities. I have learned that it is extremely important to listen first. Our communities (plurality intended) have lots of needs and lessons to teach us about their experiences. However, in order to learn from them, we must connect with them in nonjudgmental ways to learn how to best help them. This approach has proven beneficial to my research program. My initial research studies assessed the understanding and needs of African American dementia family caregivers by asking and then describing them. We approached this from a multi-stakeholder perspective, including healthcare providers and community leaders. Based on these findings we have designed a caregiver support program that was co-developed with and for its end users, our African American dementia family caregivers. We are excited to be on the cusp of optimizing and refining the program through testing with African American dementia family caregivers.

What has been your favorite moment from your community-engagement work?

There are many. One of my favorite memorable moments was while I was a clinical instructor for a community health nursing course. My students and I were assigned to a low-income housing community. During our time there, the students and I were deeply embedded within this community. We listened to their concerns, learned, taught, laughed, cried, ate, and danced with them during Zumba workouts. The powerful transformation observed within community members from across the lifespan as well shared by the students were priceless. It was a remarkable meeting of individuals from various race, ethnic, socioeconomic, and geographic backgrounds to learn more about each other in the absence of undue judgement.

What advice do you have for other faculty or staff members who are interested in getting involved in community engagement?

We must reconsider that fact that we are all engaged in community-based work. The patients, families, students, and faculty we engage with are all a part of various communities. Therefore, we would all be better served if we were more connected with each other in some way. I recommend that staff and faculty who are interested in community engagement take a close look at what appears to be the pressing needs in the communities that surround them. From these needs, determine which aligns best with their passion. Then seek out ways to get involved. In doing so, your passion will drive your engagement with the community, you will give it your all, and it will be more impactful. However, most importantly it will be maximally beneficial to those community members whose needs are greatest. This makes it all the more meaningful.

May 2022: Sarah Posten, C-CHW, CPST

Sarah Posten, C-CHW, CPST
Clinical Practicum Coordinator
College of Nursing, Community Health Worker Program

Our program engages with the community through our students and community-based partner organizations. Our students have an opportunity to build relationships with organizations and people. During the student’s practicum, they experience connecting families and communities to resources that could include free birth certificates, social security cards, rental and utility assistance, mental health resources, food, diapers and wipes. Most of our students and partners are there to contribute support by providing a warm place to stay, shower and do laundry, or even just by having a conversation.

Why is engaging the community important to you and your work?

Building relationships and engaging with the community can go a long way when helping with resources. We can learn from the community about what resource gaps we have and how we can work together to add that resource to the community. Being the boots on the ground and working alongside the community can help us recognize the barriers of social determinants of health and adjust the current processes used to help address and eliminate those barriers of access.

What lessons have you learned from the community that have helped you as a university staff member?

There is more to everyone’s story than just what we are working on or teaching. Taking the time to get to know someone and connect with them can not only change their health and outcome, but also change the outcome of the entire community. Focusing on the quality of care of each community member, taking the time to listen, follow up and follow through, the outcome will have an overall effect on the community.

What has been your favorite moment from your community-engagement work?

I love our partners and students. Being in the community is my favorite part of my job: meeting partners and students at local coffee shops, community centers and libraries to learn more about their community and talk about ways we can collaborate to help break down barriers and uplift the community. Another favorite is being able to represent the Community Health Program at local events where we share information about our amazing program, the work our students have done and how impactful the community health worker is to our community.

What advice do you have for other staff members who are interested in getting involved in community engagement?

If you like to help others and your community, you can start by having a conversation and learning more about an individual and their background. Most engagement starts with a smile and a conversation that can lead to volunteering at a local organization. It is more than just donating time, handing out diapers and wipes or food. It is the relationship building, the continued conversation and being able to relate on an individual level that helps build community engagement.

March 2022: Leslie Hill, BS, CHW, CDCA

Leslie Hill, BS, CHW, CDCA
Community Outreach Coordinator, Community Health Worker
Ohio State Total Health and Wellness Primary Care Clinic

Our clinic is actively involved in helping to reduce the spread of COVID-19 (and other communicable diseases) by giving away Personal Protection Equipment (PPE) in the form of PPE Care Kits. This is our largest outreach project as the ongoing need for resources exists during this pandemic. Nearly 6,000 PPE Care Kits have been distributed to community agencies, homeless shelters, schools, and public health locations. Our clinic staff assembles each kit with cloth and disposable face masks, disposable gloves, digital thermometers, hand sanitizers and disinfectant wipes.  Educational material about COVID-19 as well as the importance of having a primary care health provider is also included.

Why is engaging the community important to you and your work?

It is important for me to gain knowledge and to share knowledge. The best way to gain knowledge about the community is to be out and about amongst the people.  I like to speak with them and hear what their foremost concerns and needs are. I gain knowledge by seeing people in their environment and situations. Sharing knowledge with the community that could offer guidance and resources with the intentions to improve, educate, advocate and uplift; with hopes of lifting any barriers and progress can be made towards overcoming their concerns and needs.

What lessons have you learned from the community that have helped you as a university staff member?

I have learned of social barriers to health care while interacting with the community.  Transportation, jobs, food instability, worries about housing and utilities and health insurance are common needs that are not being met for most of the community that Ohio State Total Health and Wellness Primary Care Clinic serves.  It helps to learn what resources or services people need access to so that we can work to link them and bridge the gaps for them.

What has been your favorite moment from your community-engagement work?

I love the public! So being around people, sharing information and our PPE Care Kits is a nice way to talk to them, see smiles and build partnerships with other organizations.  My favorite moment was sharing our care kits with a local food pantry who was very happy to finally have face masks to give their patrons.  They had received several inquiries and requests for disposable face masks but could not supply any.  It was a great feeling to see how our outreach helped their mission as well as fulfill an immediate need during this pandemic.

What advice do you have for other staff members who are interested in getting involved in community engagement?

As long as you have it in your heart to help others, there is an opportunity for community engagement. Find a need, start with a small outreach project, and offer it to a community group, an organization, or a school. It could be a few hours of your time or donated items that would help a cause. If everyone does a little bit, it will make a lot of difference for the community as a whole.

January 2022: Sophia Leissa & Jillian Randolph, The Aspire Study

Can you tell us what The Aspire Study is and what your roles are?

The Aspire Study is a NINR funded project seeking to reduce cardiovascular disease risk in young Black and Hispanic adults through a culturally and environmentally tailored mobile health intervention. The intervention employs students from the Nurse Health Coaching Certificate program/Health Wellness Innovation minor to send participants a daily text message incorporating their real-time diet and physical activity data to make suggestions for meals, workouts, and stress reduction.

Sophia L:  I’m the Program Assistant for the study. In my role I develop recruitment strategies and focus on the retention of study participants.

Jillian R:  I’m the Project Coordinator. I manage the daily operations, ethical and budgetary compliance, investigator meetings, and the study’s community advisory board.

Columbus State Community College is a community partner on the study. Can you tell us more about their involvement?

We have established a Community Advisory Board (CAB) consisting of students, faculty, staff, and alumni from Columbus State (CState) to help guide our implementation and ensure our intervention is responsive to student needs. They have helped us create new text messages for local food options and menus, ensured we have a presence at school wide events and on media platforms, and connected us with various student services within the community so that our students are able to thrive in school, our study, and in life. We are also prioritizing mutual benefit with our CAB and with the CState community at large – we are working with our CAB to explore other research/community-based projects of interest to them and will also be planning events in the future to disseminate our preliminary findings and hold discussions on what health and wellness means and looks like in Black and Brown communities.

What has been your favorite moment while doing your work?

Our favorite moments while doing this work has been being able to witness the progression of students throughout their time within the study. Some participants seemingly transform throughout the year they spend in the study. We have both been able to witness participants' self-confidence, overall happiness, and health habits drastically improve over the course of 12 months as they work on their mental health, exercise, and nutrition. It has been an honor for them to allow us this small window into witnessing this progression and being able to cheer them along as they reach many goals they thought would be unattainable at the start of the study!

What lessons have you learned from the community that you would like to pass on to others in this field?

One lesson that we learned from the community that we would like to pass on to others within the field is being responsive to the needs of the community at each stage of the research progress. As we began the process of enrolling students into the study, we found that there was a need for mental health referral services to adequately support participants throughout their time within the study and beyond. This sentiment was echoed by our Community Advisory Board who was able to provide valuable information about the existing services available to students and gaps in resources. After implementing a referral process for students who screened positively for depressive symptoms, we received positive feedback from the students, some even claiming they would have never thought to seek out services prior to participating in the study. We learned how valuable it is to adapt and innovate upon program implementation to address the needs of the community that become apparent at every stage of the research process.

For more information about The Aspire Study please see below:

For questions, email Randolph.240@osu.edu


Sophia LeissaSophia Leissa

Sophia received her BA in Sociology from Willian & Mary in 2019 and is currently working towards her Master’s in Public Health at Ohio State. Her academic and career interests lie in this intersection, specifically understanding and addressing socioeconomic health disparities.

 


Jillian Randolph

Jillian Randolph

Jillian graduated from the University of Virginia with a dual degree in Global Development Studies and English Literature in 2019. After graduation, she was a Princeton in Africa Fellow and moved to Dar es Salaam, Tanzania to work as a fundraising and grants management assistant for the largest provider of disability healthcare services in the country. She is currently pursuing her Master’s in Public Health at Ohio State and maintains a particular interest in the social determinants of health, health inequities, and knowledge generation and translation. She hopes to use the power of trans local and transnational collaborations as a catalyst to solve systemic health inequities worldwide.

September 2021: Black Health Explained

Faith MetlockBy way of Cleveland, OH, Faith Metlock is a senior at Ohio State studying nursing with a minor in pharmaceutical sciences and certificate in primary care. Outside of the classroom, Faith is president and founding member of Nursing Students of Color, a new student organization in the College of Nursing dedicated to creating safe spaces for minority nursing students.

Last year, in her role as Vice-President, Faith founded the Nursing Students of Color’s Mentorship program, where current nursing students are paired with pre-nursing students to support with pre-requisite courses and the application process for the BSN program. In her free time Faith manages, Black Health Explained, a health promotion platform she founded dedicated to the Black community with hopes of empowering her community to follow healthy lifestyle practices.

Black Health Explained (BHE) provides preventative care education through engaging infographics with simplified information posted regularly on social media and their website. The goal is to use these formats to engage community members and encourage them to follow healthy lifestyle practices that may reduce their risks of developing chronic health conditions, such as hypertension and diabetes, which disproportionally impacts the Black population. Since recently introducing video content onto their page, BHE has already reached over 3,600 accounts.

In the very near future BHE hopes to launch a YouTube channel that will feature videos on health topics with expert guest speakers. Faith also plans to add a searchable Black, healthcare provider directory onto the website.

For more information about Black Health Explained or Nursing Students of Color see below:

Ask a Buckeye Nurse

Faculty members Deborah L. Dawson, DNP, RN, and Elizabeth “Lizzie” Fitzgerald, EdD, APRN-CNS, PMHCNS-BC lead the Ask A Buckeye Nurse (ABN) outreach program that connects volunteer faculty and students from The Ohio State University College of Nursing with local barbershops and beauty salons to provide free health screenings, twice a month, during the academic school year. Volunteers engage with community members on the Near East Side of Columbus, Ohio. The goal of the program is to address barriers to health and wellness and reduce health disparities in African American adults. Additional community partners for the program include The Ohio State University Wexner Medical Center East Hospital and Making a Difference, Inc.

Screenings include blood pressure, blood glucose, BMI and stress levels. After screening, if an individual’s results indicate the need for a referral, participants are referred to their primary care provider or assisted in finding a healthcare provider. Health education materials are provided to help patrons gain a better understanding of potential health risks and learn ways to practice healthy lifestyle behaviors. In the spring of 2017, the program expanded its efforts to include two additional barber shops for a two-day “Barbers and Beauticians Who Care” event.

More than 1,100 individuals have undergone a screening through an Ask A Buckeye Nurse event since 2014. Although COVID-19 physical distancing precautions have made it difficult to provide in-person services, ABN has not stopped its efforts to provide resources to community members. The program partnered with the College of Nursing’s Office of Community Outreach and Engagement and the American Heart Association to create and distribute 300 packets of cardiovascular health information, along with masks and hand sanitizer for patrons of six partner barber and beauty shops in December 2020. Once able to resume in-person services, the Ask A Buckeye Nurse leaders plan to expand their efforts to include screening for cholesterol levels.

Ask A Buckeye Nurse Leadership

Deborah DawsonDeborah L. Dawson, DNP, RN, is an assistant professor of clinical practice at The Ohio State University College of Nursing, with more than a decade of teaching experience. Her nursing background is in critical care, research and parish/community nursing. She recently earned a Doctor of Nursing Practice (DNP) degree from Indiana Wesleyan University. Her DNP project, focused on improving cardiovascular health for African American adults, was entitled A Faith-Based Cardiovascular Educational Program to Improve Self-Care Behavior Risk Factors in African American Adults.

Dr. Dawson embraces the Ask A Buckeye Nurse community educational model which supports heart health screenings to communities at high risk for cardiovascular disease. Participation in the Ask A Buckeye Nurse educational model inspired Dr. Dawson to continue the research for her doctoral cardiovascular educational program in African American adults. Her scholarship, practice and service in nursing have been rewarding in allowing her to empower individuals to engage in activities that promote health and wellness in low economic areas.

Lizzie FitzgeraldDr. Elizabeth “Lizzie” Fitzgerald, EdD, APRN-CNS, PMHCNS-BC is an associate professor of clinical nursing at The Ohio State University College of Nursing, where she teaches in the graduate studies program. She is certified as a Clinical Nurse Specialist in Child and Adolescent Psychiatric Mental Health Nursing by the American Nurses Credentialing Center. She is a Fellow in the American Association on Intellectual and Developmental Disabilities and holds the distinction of Scholar in the Transcultural Nursing Society. Her scholarship and practice focuses on improving access to healthcare and striving to attain health equity by addressing multiple layers of a person’s life that reflect social marginalization.

Dr. Fitzgerald has been working with Ask A Buckeye Nurse since August 2014. She became involved because she wanted to engage with a community project to improve the health and well-being of urban community members. She also wanted to join a project that had the potential to be sustained, as trust is so important between academic institutions and communities when doing community engagement efforts. Ask A Buckeye Nurse was a perfect opportunity to serve the community and help to promote health and well-being among persons living in the Near East Side of Columbus.

After four decades of teaching in higher education, Dr. Fitzgerald will be retiring on June 1, 2021. During her retirement, she plans to focus on tutoring English for Speakers of Other Languages who wish to learn or improve their English language skills; promoting the development of intercultural competence among healthcare professionals; and volunteering in Latinx communities to improve health equity in the United States and Latin America.

Timiya Nolan

Timiya NolanTimiya S. Nolan, PhD, APRN-CNP, ANP-BC, is a research nurse who focuses on improving the quality and length of life in the African American community. Her inspiration for becoming a champion of health equity stems from her experiences in research and the nursing field. As Nolan worked and studied, she could not overlook the disproportionate amount of African Americans suffering from cancer, heart disease, obesity, and poor social determinants of health. Her mission to improve the health and wellness of the African American community by developing two interventions focused on disrupting the correlation between race and poor health outcomes.

The first of these interventions, called Y-AMBIENT, (Young African American Breast Cancer Survivorship Intervention), provides survivors of breast cancer with self-management strategies to improve quality of life. Breast cancer survivors are connected with nurse interventionists and coached in developing goals focused on personal concerns, such as diet, exercise, prayer/meditation and socialization. Participants are given information and support based on their choices, ensuring they are in full control of the process. This innovative approach toward regaining health and wellness after such a demoralizing disease has been recognized by the Gulf States Young Breast Cancer Survivorship Network, Young Survival Coalition and Susan G. Komen®.

Nolan is also collaborating with Darrell M.Gray, MD, MPH, and Joshua J. Joseph, MD, from the Ohio State College of Medicine, and the African American Wellness Agency on a project targeting African American men, who are at a higher risk than their counterparts for premature death. This grant-funded intervention was adapted from the highly reputable American Diabetes Association’s Diabetes Prevention Program and American Heart Association’s (AHA) Check Change Control program. By providing connections to primary care, individualized counseling and health coaching on the AHA’s “Life’s Simple 7®” metrics (blood pressure, glucose, cholesterol, weight, diet, physical activity and smoking status), this program has the potential to overcome a great number of obstacles toward equitable health established through societal boundaries. Nolan and colleagues have secured an impressive number of partners (e.g., the American Diabetes Association® (ADA), AHA, Columbus Parks and Recreation, Columbus YMCA, Columbus Public Health Department, African American Male Wellness Agency, The Ohio State University, etc.) in this initiative and continue to make great strides in their research and implementation.

Nolan is truly committed to correcting societal failures in health equity and wellness for the African American community. She is a testament to what exceptional dedication, meticulous planning and adaptability can achieve. We are honored to feature her in the College of Nursing Office of Community Outreach and Engagement’s Spotlights.