Development and Implementation of a Combined Nurse Care Manager and Community Health Worker Training Curriculum to Address Hypertension Disparities. Issue 3 (July 2022)

• Record Type: Journal Article
• Authors: Alvarez, Carmen; Ibe, Chidinma; Dietz, Katie; Carrero, Nicolas Dominguez; Avornu, Gideon; Turkson-Ocran, Ruth-Alma; Bhattarai, Jagriti; Crews, Deidra; Lipman, Paula Darby; Cooper, Lisa A.
• Other Names: collaborator.
• Is Part Of: Journal of ambulatory care management. Volume 45:Issue 3(2022)
• Page Start: 230
• Page End: 241
• Publication Date: 2022-07
• Subjects: community health worker -- curriculum -- hypertension -- nurse care manager; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000422
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : The use of nurse care managers (CMs) and community health workers (CHWs) has demonstrated effectiveness in supporting improved blood pressure management among racially, ethnically, and socioeconomically minoritized populations. We partnered with a community advisory board (CAB) to develop a CM and CHW training curriculum and team-based collaborative care intervention to address uncontrolled hypertension. The objective of this study was to train CMs and CHWs to implement patient-centered techniques and address social determinants of health related to hypertension control. In partnership with a CAB, we developed and implemented a training curriculum for the CM/CHW collaborative care team. The training improved CM and CHW confidence in their ability to address medical and nonmedical issues that contribute to uncontrolled hypertension in their patients; however, preexisting norms and beliefs among CMs and CHWs created challenges with teamwork. The training curriculum was feasible and well-received. Additionally, the CMs' and CHWs' reactions provided insights to improve future collaborative care training and teamwork.