Meeting People Where They Are
Children's Hospital sits in West Philadelphia — a community of incredible diversity and, in many ways, incredible needs.
The Community Nursing Advocacy Fellowship, the only fellowship of its kind in the nation, was created to help meet those needs and, at the same time, provide CHOP nurses with an outlet for their desire to step outside the Hospital buildings and serve in the community.
Many nurses care for the sickest children every day in their jobs. They appreciate working with healthy children and youth, and are energized by figuring out novel ways to help them stay healthy. Whether helping parents toddler-proof their homes or teaching second-graders about sugar-free drinks or enticing teenage girls to exercise, nurse fellows give of themselves and gain a better understanding of the community.
Generous donations from the 1675 Foundation and Carol Ware Charitable Lead Trust have allowed the program to grow from six fellows in 2004 to 10 spots now. The nurses initially spend their allotted 12 hours a month visiting nonprofits, shelters, schools and family court. Then they develop a project drawn from that experience.
"Until you spend time with families in a homeless shelter, you can't really understand their challenges," says Mary Polk-Pretsch, R.N., M.S.N., who works with acute patients at CHOP. "Mothers have nowhere to store milk or fresh food. So if they miss the set mealtime, their only alternative is fast food. Children don't have a safe place to play outside, so they don't get enough exercise."
Her project got mothers and their children, who were residents of ECS St. Barnabas Mission, exercising together and learning about nutrition. "The kids had fun, and the moms learned they can be good role models for their children," Polk-Pretsch says.
"I got a better perspective on how healthcare is tied to family dynamics and lifestyle," says Derek Waters, R.N., B.S.N., a primary care nurse who combined math, science and fun activities to teach 7-year-olds about nutrition at Penn Alexander School.
Beth Henry, B.S.N., C.P.N., has spent 24 years as a CHOP nurse but says her knowledge grew exponentially during her fellowship. "Every experience was an adventure, and it taught me to think about families and their circumstances in a whole new way. It helped me be a better nurse."