{"id":18183,"date":"2020-08-20T13:32:58","date_gmt":"2020-08-20T13:32:58","guid":{"rendered":"http:\/\/www.uwb.edu\/?p=18183"},"modified":"2023-06-08T18:26:26","modified_gmt":"2023-06-08T18:26:26","slug":"community-health-nursing-homeless","status":"publish","type":"post","link":"https:\/\/www.uwb.edu\/news\/2020\/08\/20\/community-health-nursing-homeless","title":{"rendered":"Bringing hope and heart to the homeless"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/resident.jpg\" alt=\"Resident Kaye Ann Chancey\" class=\"wp-image-26538\"\/><figcaption class=\"wp-element-caption\">Kaye Ann Chancey. Photos by Maria Lamarca Anderson<\/figcaption><\/figure>\n\n\n\n<p>By Maria Lamarca Anderson<\/p>\n\n\n\n<p>Kaye Ann Chancey has been living at the <a href=\"https:\/\/www.ywcaworks.org\/locations\/angelines-day-center-women\">YWCA Angeline\u2019s Day Center for Women<\/a> in Seattle\u2019s Belltown neighborhood since February. She\u2019s 64 years old, and it is her first time experiencing homelessness and the stigma associated with it.<\/p>\n\n\n\n<p>When students from the University of Washington Bothell\u2019s Bachelor of Science in Nursing program came to the center in June, she said, \u201cthey made me feel good.<\/p>\n\n\n\n<p>\u201cThe students did everything with us,\u201d she said. \u201cThey sat among us, not at a head table. They listened to us. We were part of them. They were one of us.<\/p>\n\n\n\n<p>\u201cThey gave me something to look forward to every week,\u201d Chancey said.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Walking their talk<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/nurses.jpg\" alt=\"Maureen West, second from right, with students.\" class=\"wp-image-26539\"\/><figcaption class=\"wp-element-caption\">Maureen West, second from right, with students.<\/figcaption><\/figure>\n\n\n\n<p>The UW Bothell students were mostly nurses finishing their BSN degree this summer in the <a href=\"\/rnbsn\">RN-to-BSN program<\/a> with the course, Population-based Health in Community Practice.<\/p>\n\n\n\n<p>Maureen West, a senior lecturer in the <a href=\"\/nhs\">School of Nursing &amp; Health Studies<\/a>, taught this quarter\u2019s section with the topic, Program Planning and Implementation to Promote Community Health. The course partners with various agencies where students learn health promotion, disease prevention and social justice work through hands-on service. It\u2019s often the final course in the RN-to-BSN program, which offers nurses a full- or part-time schedule over four or nine quarters. Students meet one day a week or once every two weeks in a hybrid option.<\/p>\n\n\n\n<p>West\u2019s class has partnered with Angeline\u2019s for nine years and will be back in the fall to again work with its residents. The final in-person meeting of the summer course was Aug. 11 at Angeline\u2019s. Ordinarily, the shelter provides access daily to meals, laundry, showers and connections to other services for up to 175 women experiencing homelessness. Operations have been curtailed to a fraction of that during the coronavirus pandemic, said Lilliann Hansell, Angeline\u2019s program manager.<\/p>\n\n\n\n<p>Even during the pandemic, the students \u2014 Denae Davis, Eli Dimmitt, Jenny Le, Gerard Pascual, Katerina Popach and Eyoel Mekonnen \u2014 met in person at the shelter every Tuesday. They engaged in arts and crafts, gave manicures, helped prepare and serve food, offered information about the coronavirus and assessed the women\u2019s needs. \u201cBecause we can\u2019t have volunteers in the center right now, having the students here one day a week broke up the monotony and provided relief to staff,\u201d said Hansell.<\/p>\n\n\n\n<p>\u201cThe continuity of caring by the students helped me a lot,\u201d said Chancey, who has struggled with alcohol addiction. \u201cWe would talk about something one week, and the next week they would bring it up or have a solution if one was needed. It showed that they were listening to us. They did what they said they were going to do.<\/p>\n\n\n\n<p>\u201cThat doesn\u2019t always happen when you\u2019re on the street,\u201d she said.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment and prevention<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/nails.jpg\" alt=\"\" class=\"wp-image-26540\"\/><figcaption class=\"wp-element-caption\">Nail care is an opportunity to exchange information. <\/figcaption><\/figure>\n\n\n\n<p>The students presented their work in an Aug. 18 teleconference with more than 50 participants. The students reported many of the women have psychological or emotional problems. Physical disabilities and drug or alcohol dependence may be issues. Some are fleeing domestic violence. Transportation and photo identification are often problems.<\/p>\n\n\n\n<p>\u201cMost of us don\u2019t realize the barriers posed by not having photo ID,\u201d said West. \u201cAccessing critical services, Supplemental Security Income and primary care is nearly impossible without it.\u201d<\/p>\n\n\n\n<p>During the presentation, West told students, \u201cThank you for engaging in person with this community. Your ability to connect with the residents brought a sense of safety, healing and empowerment to their lives.\u201d<\/p>\n\n\n\n<p>Being immersed where patients are can also help students better understand the full continuum of care. \u201cCase managers usually handle care after the patient has been treated,\u201d said Le. \u201cWorking with the clients at Angeline\u2019s and knowing about its services and operations gives me another tool as I treat my patients.\u201d<\/p>\n\n\n\n<p>West pointed out that looking through the lens of trauma-informed care is key to public health and a compassionate way of connecting with patients. This practice shifts away from seeing what is wrong with a person to seeing what has happened to them.<\/p>\n\n\n\n<p>\u201cLooking at a patient holistically, knowing what\u2019s available to them when they leave my care, has helped me a lot,\u201d said Pascual. \u201cAlso finding out what brought them to the hospital. Is it the first time, or is it a repeat occurrence?<\/p>\n\n\n\n<p>\u201cI\u2019ve learned to not just treat what I see,\u201d Pascual said. \u201cI want to treat what is happening to prevent it from happening again.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Spreading kindness<\/h2>\n\n\n\n<p>Sung Park was living in California as the country was going into lockdown due to the coronavirus pandemic. Health problems forced her from her job, and she made her way to Seattle where she\u2019d lived 20 years before. \u201cI had no idea that housing costs were as high here as they are there, maybe even higher.\u201d<\/p>\n\n\n\n<p>One month ago, she was referred to Angeline\u2019s, and the students were instrumental in mitigating Park\u2019s transition to being homeless.<\/p>\n\n\n\n<p>Through sessions on relieving stress and how to coexist with a diverse group of people with a wide variety of issues, she was able to manage her day-to-day experience. \u201cThey smiled all the time and were super, super sweet,\u201d Park said. \u201cThey would come to my table and ask me how I was doing and would have an actual conversation with me.<\/p>\n\n\n\n<p>\u201cThey made me feel valued and respected,\u201d Park said.<\/p>\n\n\n\n<p>These kinds of personal connections can be critical to success, said West. \u201cAs nurses we bring our expertise in health care to these women. At the same time, the residents bring expertise on their lives,\u201d she said.<\/p>\n\n\n\n<p>\u201cTogether, we share our collective power and help them with their transitions.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Homeless, not helpless<\/h2>\n\n\n\n<p>Current events over this summer only added to the RN-to-BSN students\u2019 real-time learning opportunities.<\/p>\n\n\n\n<p>At Angeline\u2019s, Davis heard many stories about how the pandemic is making it harder to access resources and find permanent housing. One resident, for example, told her she\u2019d just turned 65 and was eligible for some services at lower costs, in her case a bus pass. She hasn\u2019t been able to get her reduced-cost pass, however, because the office was closed and she instead had to access the internet, print out the form and mail it with a copy of her identification.<\/p>\n\n\n\n<p>It could take up to three weeks to get her pass. \u201cIn the meantime, she\u2019s trying to get a job in Renton,\u201d said Davis. \u201cShe needs that bus pass now.\u201d<\/p>\n\n\n\n<p>Conversations about racial injustice became part of the course after the death of George Floyd, she said.<\/p>\n\n\n\n<p>\u201cRacial injustice associated with health care disparity has been highlighted this quarter,\u201d Davis said. \u201cBut this experience has also provided me with a lot of hope that change can happen.\u201d<\/p>\n\n\n\n<p>One of the most important things this summer taught her, said Davis, who will next be entering the Master\u2019s in Nursing program in the fall, is that \u201cwe need to have conversations about the cause of why people are homeless instead of making them feel like they\u2019re not good people.\u201d<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nurses are a lifeline<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/food.jpg\" alt=\"Meals are one of the services provided at Angeline's Day Center.\" class=\"wp-image-26541\"\/><figcaption class=\"wp-element-caption\">Meals are one of the services provided at Angeline&#8217;s.<\/figcaption><\/figure>\n\n\n\n<p>Jason Hester, meals program manager at Angeline\u2019s, considers the partnership with UW Bothell faculty and students critical to the organization\u2019s work.<\/p>\n\n\n\n<p>\u201cThey are bringing life to the women here by looking them in the eye and not being afraid to hold their hand,\u201d he said. \u201cBut beyond that, the impact of the students going out in the community and advocating for these women who are often overlooked is immeasurable.\u201d<\/p>\n\n\n\n<p>On a more personal note, Chancey added that the patience and empathy she received from the students has affected how she interacts with her fellow residents.<\/p>\n\n\n\n<p>\u201cThey treated everyone \u2014 the residents and staff \u2014 with love, respect and kindness,\u201d she said. \u201cWe\u2019re all different, and we all have our own struggles. But that doesn\u2019t mean we have to yell or be mean to one another.<\/p>\n\n\n\n<p>\u201cSo many things came out of the students spending time with us,\u201d she said. \u201cI\u2019m so grateful for the things I learned from them.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nail care was one way that RN-to-BSN students in the Population-based Health in Community Practice course taught by Senior Lecturer Maureen West assessed and observed women at the YWCA Angeline&rsquo;s Day Center in Seattle.<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_is_archived":false,"_archived_contact_email":"","footnotes":""},"categories":[202,218,249],"tags":[],"school":[420],"class_list":["post-18183","post","type-post","status-publish","format-standard","hentry","category-campus-news","category-community-engagement","category-coronavirus","school-school-of-nhs"],"acf":{"related_links":{"toggle_visibility":false,"link_1":null,"link_2":null,"link_3":null,"link_4":null,"link_5":null},"highlight_box":{"toggle_visibility":false,"title":"","content":"","button":null,"button_style":"angled-purple-button","button_screen_reader_text":""},"contact_type_1":{"toggle_visibility":true,"contact_title":"","email":"","phone":"","box":"","address_line_1":"","address_line_2":"","location":""},"contact_type_2":{"toggle_visibility":false,"contact_title":"","email":"","phone":"","box":"","address_line_1":"","address_line_2":"","location":""},"social_media":{"toggle_visibility":false,"facebook_url":"","instagram_url":"","linkedin_url":"","twitter_url":"","youtube_url":""},"blog_archive_sidebar_visibility":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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