Neighborhood Nursing: Preimplementation Activities for an Interdisciplinary Model of Community‐Based, Preventive Care
Ashley Gresh, Tiffany Riser, Terry Lindsay, Kennedy McDaniel, Margaret M. Fitzpatrick, Kelly K. Jones, Randi Woods, André Nogueira, Natalia Barolin, Yolanda Ogbolu, Maija Richelle Anderson, Joan Tilghman, Lisa Stambolis, Sarah SzantonAim
To describe the activities and processes involved in the preimplementation phase of refining Neighborhood Nursing, a community‐based health care program where nurses and community health workers provide health and social care services to enhance population health.
Methods
This study used a combination of human‐centered and systems design approaches and qualitative methods, analyzed through a rapid qualitative analysis, to conduct the preimplementation phase of Neighborhood Nursing from January to December 2024. A panel of experts reviewed the results and provided feedback including public health nurses, community health workers, and researchers.
Results
We conducted listening sessions ( n = 4), informal interviews and encounters ( n = 270), participant observation sessions ( n = 40), and asset mapping. We organized our findings using the Public Health Intervention Wheel and Accountable Health Communities Health‐Related Social Needs Tool to report the services that were identified by community partners as priority areas to address that include a range of physical and social care services.
Conclusion
We offer a framework using learnings from the preimplementation phase for future work that hypothesizes population health outcomes that align with the Institute for Healthcare Improvement’s quadruple aim. The processes and activities conducted during this preimplementation phase ensure that research and practice are guided by a model that is culturally responsive and equity focused. This community‐based model of care has the potential to improve population health. Neighborhood Nursing is a promising service delivery model that showcases how nurses and community health workers can practice to their full scope to improve health and well‐being. It offers a universal community‐based, preventive, whole‐person care model to reduce health inequities and improve population health. The results of this rapid qualitative analysis and framework can be used as a guide for model implementation and future research to test the model’s impact across settings.