V8 phg for va govenors conf 2016 revised

1. Developing Project Healthy Grandparents© in Virginia:
African-American Grandmothers Raising Grandchildren
Ethlyn McQueen-Gibson, RN, MSN, ACNS-BC – Doctorate of Nursing Practice (DNP) Student at Ursuline College (Cleveland, OH) &
Clinical Performance, Manager for Riverside PACE (Newport News, VA)
Christine J. Jensen, PhD, Riverside Center for Excellence in Aging and Lifelong Health (Clinical Preceptor for DNP Student)
Background/Overview
September – December 2016
Role of the Doctorally-Prepared Nurse
Acknowledgement to Project Mentor:
Current statistics report there are more than two
million African-American grandmothers serving as
custodial caregivers for their grandchildren in the
United States.
(US Census, 2013)
African-American grandparent
caregivers are typically between the ages
of 45-59, are more likely to:
Live in the South, live in poverty, live with two or
more chronic diseases, and experience greater levels
of stress than other grandparent caregivers .
(Whitley, Lamis, & Kelley, 2016)
Have chronic diseases such as type 2 diabetes,
hypertension and be overweight/obese
(Kelley, Whitley, & Campos, 2013)
These caregivers face a multitude of challenges to
include: health and financial difficulties, increased
caregiver burden, increased stress, increased
depression and poor health outcomes. (McCubbin,
Thompson, Futrell, & McCubbin, 1997)
Deliver case
management in the
school based clinic
for grandmothers
serving as caregivers
Improve management of
chronic diseases
adversely affecting
African-Americans:
Type 2 Diabetes
Hypertension
Congestive Heart Failure
Chronic Obstructive
Pulmonary Disease
Decrease emergency room
visits – and subsequent
hospital admissions
Current costs for inpatient
hospitalization:
•Type 2 diabetes =
$7900-$13,000
•Congestive heart failure =
$8,000
•Uncontrolled hypertension =
$31,000
Increase utilization of
available but
underutilized/unknown
community resources:
• Community Free Clinic
of Newport News
• Community Care
Collaborative
Program Overview to the Grandparents & Community Partners
Presentation of proposed project DNP Capstone Project to
school administrators and potential grandmothers at the
Achievable Dream Academy :
Back to school nights and PTA forums to assess potential
interest in participation and overview of benefit of
improving health outcomes through onsite case
management services
Meeting with proposed community partners:
Review their role in the areas of social work, pharmacy
management, clinic collaboration , community support
Aims of the Proposed Project
Achievable Dream Academy
(www.achievabledream.nn.k12.va.us)
Elementary, Middle & High School
Newport News, Virginia
Riverside Health System Operates
School-Based Clinic:
Riverside Health System Foundation partners with an
Achievable Dream Academy to fund and operate the
school based clinic. Unique features of the clinic include
health promotion and disease prevention.
These services are also available to family members
(current unmet need)
Setting for the Proposed Intervention
This advanced practice nurse
assesses community needs, builds
relationships and analyzes health
stats and environmental data.
American Association Colleges of
Nursing (AACN) – core
essential for doctorate of nursing
practice:
Essential VII – clinical
prevention and population health
for improving the nation’s health
Serve as an advocate to promote
high quality and cost effective
health care
Proposed Community Partners
Professor Susan Kelly, RN, PhD, FAAN & Staff
Director, Project Healthy Grandparents
Byrdine F. Lewis School of Nursing and Health Professions
Georgia State University - Atlanta, Georgia