The 130th Annual Meeting of APHA

3065.0: Monday, November 11, 2002 - 8:30 AM

Abstract #42308

Charlotte Rainbow PRISM Model: Improving healthcare for homeless women and children

William K. Cody, RN, PhD, Department of Family & Community Nursing, University of North Carolina at Charlotte, 9201 University City Blvd, Charlotte, NC 28223, (704) 687-4683, wkcody@email.uncc.edu

The Charlotte Rainbow Prism Model was synthesized from tenets of community health practice and the human becoming school of thought originated by Rosemarie Parse. PRISM is an acronym for Presence, Respect, Information, Services and Movement. The model emerged to guide a service project operated by the Family and Community Nursing Department at the University of North Carolina at Charlotte, a free clinic for homeless women and children. In this model, nurses are present with the community. This means paying attention, being reliable, “being with” the community in spirit and thought and staying with the community over time. Nurses respect the community profoundly, consistently, demonstrably, and without exception. This means it is the community members’ visions, values, hopes and dreams that drive the providers’ agenda. Nurses listen first, acknowledging the women’s freedom to make health-related choices and their personal responsibility to self, family and community, and then make available information that the women want and ask for to support decision-making and self-sufficiency. Nurses provide services, rather than being present merely to “organize” or “partner with.” This means that community healthcare providers bring something tangible, useful, desirable and meaningful into collaboration with the community. Nurses encourage, support and coparticipate in the movement of individuals, families and groups. This means that the nurses follow the lead of the community members and change their agenda as the agenda of the people changes. Details of the first year of implementation of the model will be presented, including outcomes, such as client satisfaction, improved health status, completed referrals, volume of services delivered, and cost effectiveness.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: Models for Provision, Homelessness

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Community Partnership

The 130th Annual Meeting of APHA