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data-url="https://hub.jhu.edu/magazine/2024/fall/neighborhood-nursing-pilot-baltimore/" itemscope itemtype="https://schema.org/NewsArticle" > <span itemprop="publisher copyrightHolder" itemscope itemtype="https://schema.org/EducationalOrganization"> <span itemprop="logo" itemscope itemtype="https://schema.org/ImageObject"> <meta itemprop="url" content="https://hub.jhu.edu/assets/themes/wphub/src/assets/images/logos/university-logo-small-horizontal-blue-no-clear-space.png" /> </span> <meta itemprop="name" content="Johns Hopkins University" /> </span> <span itemprop="image" itemscope itemtype="https://schema.org/ImageObject"> <meta itemprop="url" content="https://api.hub.jhu.edu/factory/sites/default/files/styles/hub_thumbnail/public/2024-09/idea-neighborhood-nursing-thumb.jpg" /> <meta itemprop="about" content="A nurse stands outside of a building full of people" /> </span> <meta itemprop="abstract" content="A School of Nursing pilot program brings health care to Baltimore neighborhoods by placing nurses and health workers in community focal points" /> <div class="hero-container row"> <div class="center force"> <div class="hero column force"> <div class="image column force image-square"><div class="image-container"><img src="https://api.hub.jhu.edu/factory/sites/default/files/styles/landscape/public/2024-09/idea-neighborhood-nursing-lead.jpg" alt="A nurse stands outside of a building full of people" class="column" sizes="(min-width: 1680px) 1440px, (min-width: 1280px) 1194px, (min-width: 1024px) 1062px, (min-width: 863px) 850px, (min-width: 768px) 863px, (min-width: 640px) 768px, (min-width: 412px) 640px, (min-width: 375px) 412px, 375px" srcset="https://api.hub.jhu.edu/factory/sites/default/files/styles/hub_medium/public/2024-09/idea-neighborhood-nursing-lead.jpg 420w, https://api.hub.jhu.edu/factory/sites/default/files/styles/soft_crop_630/public/2024-09/idea-neighborhood-nursing-lead.jpg 630w, 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https://api.hub.jhu.edu/factory/sites/default/files/styles/soft_crop_2000/public/2024-09/idea-neighborhood-nursing-lead.jpg 2000w, https://api.hub.jhu.edu/factory/sites/default/files/styles/soft_crop_2400/public/2024-09/idea-neighborhood-nursing-lead.jpg 2400w, https://api.hub.jhu.edu/factory/sites/default/files/styles/soft_crop_2880/public/2024-09/idea-neighborhood-nursing-lead.jpg 2880w"/></div><div class="caption column has-credit"><p class="credit"><span class="visuallyhidden">Credit: </span>Michela Buttignol</p></div></div> </div> <div class="page-title-container column force"> <h1 class="headline"><span class="highlight"><span itemprop="headline"> Nurses on call </span></span></h1> <h2 class="subheadline">A School of Nursing pilot program brings health care to Baltimore neighborhoods</h2> </div> </div> </div> <div class="row"> <div class="center force"> <div itemprop="articleBody" class="body-copy column force"> <div class="byline"> <p> <span class="visuallyhidden">By</span> <span class="author" itemprop="author">Emily Gaines Buchler</span> </p> <span class="sep" aria-hidden="true">/</span> <span class="visuallyhidden">Published</span> <meta itemprop="datePublished dateCreated" content="2024-09-12" /> <meta itemprop="printEdition" content="Fall 2024" /> <span class="publish-date">Fall 2024</span> </div> <p><em>Three years ago, after reading about <a href="https://www.newyorker.com/magazine/2021/08/30/costa-ricans-live-longer-than-we-do-whats-the-secret">Costa Rica's renowned public health system</a>, <a href="https://nursing.jhu.edu/faculty-research/faculty/directory/sarah-szanton/">Sarah Szanton</a>, dean of the <a href="https://nursing.jhu.edu/">Johns Hopkins School of Nursing</a>, proposed a solution to health care challenges in the United States. Today, her ideas are coming to life via a pilot program that brings health care to Baltimore neighborhoods—and reduces disparities by linking every resident to a nurse and community health worker. Her end goal: to grow the program nationally.</em></p> <h3>Taking Shape</h3> <p>To create <a href="https://nursing.jhu.edu/faculty-research/research/areas-of-expertise/community-global-health/center-community-innovation-scholarship/neighborhood-nursing/">Neighborhood Nursing</a>, Szanton and her colleagues partnered with nursing schools at Coppin State University, Morgan State University, and the University of Maryland. Together, they developed a supplement to primary care that places nurses and health workers in community focal points such as libraries, laundromats, and barber shops. Health care providers also go door-to-door, offering such services as blood pressure and glucose checks "or whatever residents need at the time, whether medical equipment, medication management, or help getting rid of hazards like lead paint or mold," says <a href="https://www.linkedin.com/in/lisa-stambolis/">Lisa Stambolis</a>, senior project manager of Neighborhood Nursing.</p> <p>Although nurses and community health workers aren't equipped for home remediation projects, they bring in partner organizations that can help. For instance, <a href="https://www.bhsbaltimore.org/">Baltimore Behavioral Health Systems</a> can support residents struggling with mental health or substance use problems.</p> <p>Right now, the program is being piloted in the Johnston Square/Oliver neighborhoods in East Baltimore, with plans to start later this year in Sandtown-Winchester in West Baltimore. "Ultimately, we want to create a national program sustained in policy that gives everyone access to support in their own neighborhoods so that they can achieve optimal health," Szanton says.</p> <h3>Community-Centered Care</h3> <p>To develop Neighborhood Nursing, the team started by getting to know the Johnston Square/Oliver community. "Our goal was to gauge interest in a health program co-created with the community," Stambolis says. They talked to residents at community association meetings; visited the neighborhood's senior housing, farm, and parks; and helped a local leader fulfill her plan to create a walking group that "is now off and running on its own," Stambolis says.</p> <p>The relationship that nurses established with community members differed from the traditional clinician-patient relationship, through which health care providers dispense medical directives and advice. Instead, "we looked at people from a place of strength, realizing that residents already know what they want and need in terms of their own health and well-being," Stambolis says. She adds: "No one wants outsiders coming in acting like saviors."</p> <div class="external-links inline align-left"><h6>Also see</h6><div class="article teaser force"><div class="text"><h5><a href="https://www.npr.org/sections/shots-health-news/2024/06/11/nx-s1-4997717/nurses-primary-care-community-baltimore-costa-rica">In Baltimore, nurses deliver primary care door-to-door</a></h5><div class="summary"><span class="source">/ NPR</span></div></div></div><div class="article teaser force"><div class="text"><h5><a href="https://www.thebaltimorebanner.com/opinion/community-voices/emergency-rooms-wait-times-nursing-XHKFPOLGWBEWXOIFJ3OIPACNXM/">Commentary: Long emergency room wait times point to health system failures</a></h5><div class="summary"><span class="source">/ Baltimore Banner</span></div></div></div><div class="article teaser force"><div class="text"><h5><a href="https://www.pbs.org/newshour/show/neighborhood-nursing-brings-healthcare-to-peoples-doorsteps-in-vulnerable-communities">Neighborhood Nursing brings health care to people鈥檚 doorsteps in vulnerable communities</a></h5><div class="summary"><span class="source">/ PBS News Hour</span></div></div></div></div> <p>Now, as nurses interact with residents, they prompt individuals to steer the support they receive—a strategy shown by research to work. "If an elderly resident smokes cigarettes, they've probably had hundreds of people tell them to quit in their lifetime," Szanton explains. "Instead of doing the same, we ask them about their life aspirations. For instance, if someone wants to walk grandkids to the bus stop, we tell them they'll be less winded if they cut back on cigarettes."</p> <h3>Not Just Sick Care</h3> <p>The U.S. health care model involves treating patients who show up at clinics sick or injured. Although Neighborhood Nursing helps treat sick residents, it embraces a holistic public health model that weaves in preventive and restorative care, management of chronic conditions, and acute care for illnesses, Szanton says. The goal, she says, is to do more preventive care, "but at this point we're helping more with challenges [such as] dangerously high blood pressure or a lack of immunizations."</p> <p>While the program is based in part on Costa Rica's health care model—lauded as a success story worldwide—it's also based on what nurses have known and practiced for centuries. "In our profession, we listen authentically and look at the whole person," Stambolis says. "People aren't isolated. 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