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The Role Evolution of Community Health Workers Working for a Community Base 4.2.10

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Leonard Davis Institute of Health Economics
Leonard Davis Institute of Health Economics

Author: Matthew O'Brien

Health & Medicine
1 of 1
The Role Evolution of Community Health Workers Working for a Community-Based, Cervical Cancer Prevention Project Introduction/Background Policymakers increasingly call for greater use of community health workers (CHWs) to deliver a variety of healthcare services in communities. Research in this area has not yet examined how the assumption of a CHW role by a community member affects that individual personally or influences the work of these lay health professionals. Through in-depth interviews pre- and post-intervention, this study explores the evolution of community members into CHWs by focusing on the personal and professional implications of this process. Participants in the study came from a new Hispanic immigrant community in an urban, East Coast location in the United States. Hispanic CHWs are commonly known as promotoras. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Findings Becoming a promotora was a transformative process for the participants that allowed them either a) their first sense of “feeling like themselves” in their new country or b) changed, for the positive, their sense of self and subsequent interactions with their family members. Three themes shaped the role evolution process: Reasons, Vision, and Personal Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],Acknowledgements: The researchers would like to thank Bertha, Irma, Lupe, and Celmy for their participation in the study and Abril Campos, BA, for her assistance with data coding. Dr. Squires conducted this study during her National Institute for Nursing Research T32 Post-Doctoral Fellowship in Nursing Outcomes Research at the Center for Health Outcomes & Policy Research (Linda Aiken, PhD, FAAN; T32‑NR‑007104 ) at the University of Pennsylvania School of Nursing. “ I want put more light in my life and give this to others as well. To do something more, instead of working…or …I want to try to advance a bit more, and not just to stagnate in one place with my head down, cleaning, without helping anyone, just being there.” – Promotora B Reasons Vision Personal Changes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Allison Squires, PhD, RN (PI) Assistant Professor New York University College of Nursing Matthew O’Brien, MD Robert Wood Johnson Clinical Scholar University of Pennsylvania Leonard Davis Institute of Health Economics Rebecca Bixby, BSN, RN Nurse Coordinator Latina Community Health Services Philadelphia, PA Elaine Turzo, MSN, CRNP Pennsylvania Hospital Women’s Health Services Philadelphia, PA Jack Ludmir, MD Chair, OB/GYN Pennsylvania Hospital Philadelphia, PA

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