WEBVTT 00:00:00.000 --> 00:00:01.972 align:middle line:90% 00:00:01.972 --> 00:00:03.930 align:middle line:84% SUBJECT: I love doing community health nursing. 00:00:03.930 --> 00:00:06.570 align:middle line:84% Getting to go on visits myself, and reminding myself 00:00:06.570 --> 00:00:08.250 align:middle line:84% of how great, how rewarding it is 00:00:08.250 --> 00:00:11.190 align:middle line:84% to sit with someone and sometimes people who 00:00:11.190 --> 00:00:12.120 align:middle line:90% are not at their best. 00:00:12.120 --> 00:00:14.140 align:middle line:84% You bring about healthy outcomes through this. 00:00:14.140 --> 00:00:16.830 align:middle line:84% Maybe it's not hanging IV, but you're talking 00:00:16.830 --> 00:00:18.460 align:middle line:90% about really important stuff. 00:00:18.460 --> 00:00:20.700 align:middle line:84% And motivating change, sometimes you're 00:00:20.700 --> 00:00:23.590 align:middle line:84% strengthening their relationship with the health system. 00:00:23.590 --> 00:00:25.440 align:middle line:84% So it's really a key role, even though it 00:00:25.440 --> 00:00:28.920 align:middle line:84% may seem like sort of a softer kind of nursing. 00:00:28.920 --> 00:00:30.690 align:middle line:84% WellAware aware is really meeting 00:00:30.690 --> 00:00:33.990 align:middle line:84% a need that's not met by other roles in the community, so 00:00:33.990 --> 00:00:37.287 align:middle line:84% the home visit, the building a relationship over time. 00:00:37.287 --> 00:00:39.120 align:middle line:84% We're just talking about each other's lives. 00:00:39.120 --> 00:00:40.080 align:middle line:90% We're not in a rush. 00:00:40.080 --> 00:00:42.690 align:middle line:84% That's where real exchange of information can happen. 00:00:42.690 --> 00:00:44.340 align:middle line:84% The clients we work with, they often 00:00:44.340 --> 00:00:46.800 align:middle line:84% are falling between the cracks in the system. 00:00:46.800 --> 00:00:49.530 align:middle line:84% They often come to us through the emergency room, 00:00:49.530 --> 00:00:51.480 align:middle line:84% and we learn that they're using the emergency 00:00:51.480 --> 00:00:52.780 align:middle line:90% room for primary care. 00:00:52.780 --> 00:00:55.680 align:middle line:84% They're not engaged with the health system in a healthy way. 00:00:55.680 --> 00:00:59.170 align:middle line:84% And, again, we're sort of the bridge to bring them back in. 00:00:59.170 --> 00:01:02.380 align:middle line:84% In planning our program, we spent a lot of time 00:01:02.380 --> 00:01:04.540 align:middle line:84% listening to people's stories, sitting 00:01:04.540 --> 00:01:07.390 align:middle line:84% on people's front porches, going to neighborhood association 00:01:07.390 --> 00:01:09.430 align:middle line:84% meetings, to really hear from people 00:01:09.430 --> 00:01:11.230 align:middle line:84% what they felt their issues were. 00:01:11.230 --> 00:01:13.990 align:middle line:84% It really came to me, through these conversations, 00:01:13.990 --> 00:01:16.630 align:middle line:84% that the number one issue is trust. 00:01:16.630 --> 00:01:19.000 align:middle line:84% That is something that has been right on the surface. 00:01:19.000 --> 00:01:21.970 align:middle line:84% When I talk to people about their stories, 00:01:21.970 --> 00:01:24.220 align:middle line:84% it's five minutes into it that they 00:01:24.220 --> 00:01:26.890 align:middle line:84% start talking about their experience 00:01:26.890 --> 00:01:30.670 align:middle line:84% of segregated schools, of massive resistance in Virginia, 00:01:30.670 --> 00:01:33.520 align:middle line:84% and of different types of discrimination. 00:01:33.520 --> 00:01:34.850 align:middle line:90% It's not very deep. 00:01:34.850 --> 00:01:36.640 align:middle line:84% It's really close to the surface. 00:01:36.640 --> 00:01:39.910 align:middle line:84% Through relationships, people come to want to change. 00:01:39.910 --> 00:01:44.050 align:middle line:84% Just a mandate from a provider, that's sort of a once every 00:01:44.050 --> 00:01:46.300 align:middle line:84% six month, is not going to have the same effect 00:01:46.300 --> 00:01:48.070 align:middle line:90% as listening to someone. 00:01:48.070 --> 00:01:49.630 align:middle line:84% We know we're in a great position 00:01:49.630 --> 00:01:51.880 align:middle line:84% to build trust and renew that feeling, 00:01:51.880 --> 00:01:53.440 align:middle line:90% that the system cares for us. 00:01:53.440 --> 00:01:58.400 align:middle line:84% The system is supporting this work in people's homes. 00:01:58.400 --> 00:02:02.590 align:middle line:84% We want people to trust that the system wants what's 00:02:02.590 --> 00:02:04.600 align:middle line:84% best for them, wants to know their stories, 00:02:04.600 --> 00:02:07.070 align:middle line:84% cares deeply about their situations. 00:02:07.070 --> 00:02:09.039 align:middle line:90% And so trust is key. 00:02:09.039 --> 00:02:11.400 align:middle line:90% It all comes down to trust. 00:02:11.400 --> 00:03:07.000 align:middle line:90%