Catherine Nadeau, Autumn Mreczko, Kristine Gauthier, Elizabeth Remo, Duellyn Pandis, Laura Szalacha, Kumar Jairamdas, Usha Menon
{"title":"通过护士主导的流动初级保健服务于服务不足的人群。","authors":"Catherine Nadeau, Autumn Mreczko, Kristine Gauthier, Elizabeth Remo, Duellyn Pandis, Laura Szalacha, Kumar Jairamdas, Usha Menon","doi":"10.1111/phn.70020","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To develop and implement a nurse-led mobile health clinic affiliated with an academic college of nursing to improve access to care in underserved communities and support workforce development through experiential nursing and interprofessional education.</p><p><strong>Design: </strong>A descriptive, community-based quality improvement initiative detailing the operationalization of a nurse-led mobile health unit (MHU) serving underserved communities.</p><p><strong>Sample: </strong>The first 200 patients served by the MHU across five high-need community locations were identified using census data and the social vulnerability index.</p><p><strong>Measurements: </strong>Patient demographic data, visit type, and satisfaction were collected. Additional process measures included clinic staffing, services delivered, and student involvement.</p><p><strong>Intervention: </strong>The Mo-Bull Nurse Medical Clinic delivered free primary care services while serving as a training site for undergraduate and graduate nursing students and interprofessional learners.</p><p><strong>Results: </strong>Among 200 patients, 175 were adults (mean age 48), and 25 were children (mean age 9.2). Adults were 43.5% female, 51.5% White, 20.5% Hispanic, and 18% Black. Most children sought school/sports physicals (88%). Common adult visits included well-care (16%), hypertension (13.1%), and alcohol abuse remission (9.7%). Over 99% reported high satisfaction.</p><p><strong>Conclusions: </strong>Nurse-led mobile clinics are a scalable, equity-driven model that expands access to care and supports hands-on workforce development in underserved communities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Serving the Underserved Through Nurse-Led Mobile Primary Care.\",\"authors\":\"Catherine Nadeau, Autumn Mreczko, Kristine Gauthier, Elizabeth Remo, Duellyn Pandis, Laura Szalacha, Kumar Jairamdas, Usha Menon\",\"doi\":\"10.1111/phn.70020\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To develop and implement a nurse-led mobile health clinic affiliated with an academic college of nursing to improve access to care in underserved communities and support workforce development through experiential nursing and interprofessional education.</p><p><strong>Design: </strong>A descriptive, community-based quality improvement initiative detailing the operationalization of a nurse-led mobile health unit (MHU) serving underserved communities.</p><p><strong>Sample: </strong>The first 200 patients served by the MHU across five high-need community locations were identified using census data and the social vulnerability index.</p><p><strong>Measurements: </strong>Patient demographic data, visit type, and satisfaction were collected. Additional process measures included clinic staffing, services delivered, and student involvement.</p><p><strong>Intervention: </strong>The Mo-Bull Nurse Medical Clinic delivered free primary care services while serving as a training site for undergraduate and graduate nursing students and interprofessional learners.</p><p><strong>Results: </strong>Among 200 patients, 175 were adults (mean age 48), and 25 were children (mean age 9.2). Adults were 43.5% female, 51.5% White, 20.5% Hispanic, and 18% Black. Most children sought school/sports physicals (88%). Common adult visits included well-care (16%), hypertension (13.1%), and alcohol abuse remission (9.7%). Over 99% reported high satisfaction.</p><p><strong>Conclusions: </strong>Nurse-led mobile clinics are a scalable, equity-driven model that expands access to care and supports hands-on workforce development in underserved communities.</p>\",\"PeriodicalId\":54533,\"journal\":{\"name\":\"Public Health Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/phn.70020\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/phn.70020","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Serving the Underserved Through Nurse-Led Mobile Primary Care.
Objectives: To develop and implement a nurse-led mobile health clinic affiliated with an academic college of nursing to improve access to care in underserved communities and support workforce development through experiential nursing and interprofessional education.
Design: A descriptive, community-based quality improvement initiative detailing the operationalization of a nurse-led mobile health unit (MHU) serving underserved communities.
Sample: The first 200 patients served by the MHU across five high-need community locations were identified using census data and the social vulnerability index.
Measurements: Patient demographic data, visit type, and satisfaction were collected. Additional process measures included clinic staffing, services delivered, and student involvement.
Intervention: The Mo-Bull Nurse Medical Clinic delivered free primary care services while serving as a training site for undergraduate and graduate nursing students and interprofessional learners.
Results: Among 200 patients, 175 were adults (mean age 48), and 25 were children (mean age 9.2). Adults were 43.5% female, 51.5% White, 20.5% Hispanic, and 18% Black. Most children sought school/sports physicals (88%). Common adult visits included well-care (16%), hypertension (13.1%), and alcohol abuse remission (9.7%). Over 99% reported high satisfaction.
Conclusions: Nurse-led mobile clinics are a scalable, equity-driven model that expands access to care and supports hands-on workforce development in underserved communities.
期刊介绍:
Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.