The Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Study

7.00
Hdl Handle:
http://hdl.handle.net/10755/158384
Type:
Presentation
Title:
The Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Study
Abstract:
The Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Study
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Peltzer, Jill, PhDc, MS
P.I. Institution Name:University of Kansas School of Nursing
Contact Address:3901 Rainbow Blvd, Kansas City, KS, 66160, USA
Contact Telephone:913-945-6819
Co-Authors:J.N. Peltzer, C.S. Teel, School of Nursing, University of Kansas , Kansas City, KS;
Safety net organizations are a collective group of free primary care clinics that serve the uninsured and underinsured populations. Researchers posit that safety net providers are best equipped to deal with the complex needs of this vulnerable population because they frequently provide culturally competent care and services such as translation, extended hours, and mobile clinics. However, many of these agencies are often fragile organizations, relying on volunteer staff and tenuous funding. Organizations comprising the safety net may not survive due to declining resources and/or increasing demands for services as the number of uninsured and underinsured continues to increase. Using Positive Deviance as the framework, the authors wanted to identify a safety net organization that had developed comprehensive and sustainable programs, particularly in a period of economic instability. A Community Health Center (CHC), located in an the lowest socioeconomic quartile of a Midwestern state was identified because of its exponential growth in terms of clients served and development of diverse programs developed within a short period of time, in spite of being located in an economically challenged area. A qualitative case study method was used to explore these strategies that facilitated the success of the Center. A purposive sample of 15 CHC staff and board members was used to collect data, through semi-structured interviews. Sources of data included narratives from the interviews, archival documents, field notes, and observations of clinic activities. Major themes developed through the analysis that supported development and sustainability of the CHC were 1) upholding the mission of the Center, 2) a dynamic leadership team, 3) networking with local agencies to identify needed programs to support health of the community and to avoid replication of services, and 4) "thinking outside the box." This CHC is a positive example of a successful safety net organization. It could be used as model for other safety net organizations in developing comprehensive and sustainable programs to serve vulnerable populations. Implications for practice, research, and education will be explored further.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158384-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Development of a Comprehensive Community Health Center in a Rural Community: A Qualitative Case Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Peltzer, Jill, PhDc, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas School of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3901 Rainbow Blvd, Kansas City, KS, 66160, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">913-945-6819</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jpeltzer2@kumc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">J.N. Peltzer, C.S. Teel, School of Nursing, University of Kansas , Kansas City, KS;</td></tr><tr><td colspan="2" class="item-abstract">Safety net organizations are a collective group of free primary care clinics that serve the uninsured and underinsured populations. Researchers posit that safety net providers are best equipped to deal with the complex needs of this vulnerable population because they frequently provide culturally competent care and services such as translation, extended hours, and mobile clinics. However, many of these agencies are often fragile organizations, relying on volunteer staff and tenuous funding. Organizations comprising the safety net may not survive due to declining resources and/or increasing demands for services as the number of uninsured and underinsured continues to increase. Using Positive Deviance as the framework, the authors wanted to identify a safety net organization that had developed comprehensive and sustainable programs, particularly in a period of economic instability. A Community Health Center (CHC), located in an the lowest socioeconomic quartile of a Midwestern state was identified because of its exponential growth in terms of clients served and development of diverse programs developed within a short period of time, in spite of being located in an economically challenged area. A qualitative case study method was used to explore these strategies that facilitated the success of the Center. A purposive sample of 15 CHC staff and board members was used to collect data, through semi-structured interviews. Sources of data included narratives from the interviews, archival documents, field notes, and observations of clinic activities. Major themes developed through the analysis that supported development and sustainability of the CHC were 1) upholding the mission of the Center, 2) a dynamic leadership team, 3) networking with local agencies to identify needed programs to support health of the community and to avoid replication of services, and 4) &quot;thinking outside the box.&quot; This CHC is a positive example of a successful safety net organization. It could be used as model for other safety net organizations in developing comprehensive and sustainable programs to serve vulnerable populations. Implications for practice, research, and education will be explored further.</td></tr></table>en_GB
dc.date.available2011-10-26T20:59:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:59:47Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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