Since 2009, students from the Samuel Merritt University Family Nurse Practitioner and Physician Assistant programs have been providing free health screening checks to an underserved community in South Hayward.
For the past year, SMU students have been volunteering their weekends to work at the Hayward (Calif.) Day Labor Center where crowds of immigrant day workers gather each morning and afternoon looking for hourly jobs. The majority of people who are seen at the multi-use center are undocumented immigrants and low-income families with no insurance.
"SMU is committed to improving the well-being of the communities we serve, regardless of an individual's ability to pay," said Suzanne August-Schwartz, DNP, APRN-BC, FNP, SMU assistant professor in the School of Nursing and program director. "In collaboration with community partners like the Hayward Day Labor Center, we take healthcare education, screenings and support services out to its primary and secondary community."
For just a short wait, uninsured individuals, families and day laborers are able to speak with supervised nursing and physician assistant students about symptoms, pains and general health concerns. SMU students offer basic health screenings for blood pressure, vision and depression; they also strive to educate uninsured workers about preventing injuries and chronic conditions, such as heart and skin diseases. The students also administer referrals for specialized medical appointments, pass out health education materials and counsel about substance abuse, depression and anxiety.
"The problems we see with day laborers are not often isolated physical issues but manifestations of a combination of psychological, chronic muscular issues and illness," August-Schwartz said. "The student volunteers, from a variety of disciplines - be it nursing, physician assistant or physical therapy - enable us to address the whole individual. The community support from area health clinics, such as the Davis Street Family Resource Center in San Leandro, allows us to follow up with patients, a critical component to maintaining good health."
According to the Center's staff, 86 percent of patients who come for the free health screening are bilingual in Spanish and an additional indigenous language, such as the Mayan language K'iche'. Most patients are from Guatemala. That's not a problem for student Britta Hult. She is fluent in Spanish after volunteering for six months in Chile. She believes two-way communication is the key to better care.
"When they learn that I do speak Spanish, you see a definite relief and opening up of their comfort level," Hult said. "It benefits not only the patients who receive treatment, but also providers like myself who are no longer limited in the people they can help."
"I feel comfortable with the students," said Spanish-speaker Daniel Sanchez, a forklift driver working in Hayward. "They listened to my concerns, and it looks like a good team, they consulted each other all the time, which made me feel confident. I would come again."
For Maria Escobar, a mother of two, a simple "buenos dias" or "gracias" from FNP student Alberto Hernandez helped relieve some of her nervousness. "I don't speak English, but my two sons do, but I worry maybe they won't tell the nurse everything. Because [Hernandez] speaks Spanish, it makes me feel much better that he can understand all my concerns."
SMU students also offer more than just solutions to health problems. They offer emotional support and encouragement to the patients. The project offers health information on topics such as safe lifting techniques, alcohol abuse and sexually transmitted diseases.
SMU students and faculty say they find they, too, have been positively affected by the project. These practices broaden the students' experiences, develop an understanding of the barriers the population face and provide for specific needs of day workers. It's also an opportunity for the students to gain cultural competency to meet the healthcare needs of underserved people where they live and work.
"Our students have the chance to gain real medical experience by focusing on interacting with patients, taking vitals and filling out medical history forms," August-Schwartz said. "Working at the Day Labor Center also helps the students gain perspective on their career and future."