Nursing StudentPeer Educators inPartnership WithUniversity HealthServices:A CollaborativeEffort to EngageCollege Freshmanin Sexual HealthEducation

Katherine Chadwell, DNP, MS, ARNP-BCSande Gracia Jones, PhD, ARNP, ACRN, FAANCamila Pham, BSMariela Gabaroni, MS, CHESCarol A. (“Pat”) Patsdaughter, PhD, RN, CNE, ACRN

Funding SourcesOffice on Women’s Health,Office of Public Health and Science,U.S. Department of Health andHuman ServicesSubstance Abuse and MentalHealth Services AdministrationOffice of HIV/AIDS Policy

Florida International University Miami’s four year, urban, research-oriented stateuniversity, located on a 573 acre campus 15th largest public university & largest HSI incontinental US Fall 2010: 42,315 students MSI: 58% Hispanic; 12% Black; 7% other ethnicminorities 70% students are undergraduates Primarily a commuter campus with approximately3,000 students living on campus

A Tour of Miami andFlorida International University

College of Nursing and Health SciencesEthnicity rams GenericBSN RN to BSN MSN- NP- CRNA DNP PhD

University Health ServicesOur mission is to provide access to quality healthcare to the University community and toencourage healthy lifestyles through healthpromotion, education, mentorship and research.The clinical and health educational servicescomplement the academic mission of theinstitution by working with University faculty,departments, and community agencies toexpand access to health - related resources. Westrive to be proactive based on the changingneeds of our community.

Student Health Fee All students are mandated to pay a healthfee to the university each semester– Health fee is 83.19 This fee is not an insurance plan– This fee allows the university to offerquality health care & preventionservices to students either free or at avery reduced rate– Sexual Health information, safe sexkits, and free HIV testing are offered atthe Wellness Center

Program BackgroundSENORITAS StudentEducationNeeded inOrder toReduceInfection andTransmission ofAIDS/HIV andSTI’s)HIV-PEPSALSAH Student ledActivities forLatinos aboutSubstance AbuseAIDS/HIVHepatitis HIVPreventionEducationProgramSENORITA POWER

Strategic Prevention Framework Assessment: Profilepopulation needs, resources,and readiness to addressneeds and gaps Capacity: Mobilize and buildcapacity to address needs. Planning: Develop acomprehensive strategic plan. Implementation: Implementevidence-based programs,policies, and practices Evaluation: Monitor, evaluate,sustain, and improve. Sustainability Cultural Competency

Program OverviewNursing students provide a50-60 minute interactivepresentation in thefreshman orientation class,about sexually transmitteddiseases, HIV/AIDS,substance abuse, hepatitis,and highlight sexualhealth services providedby University HealthServices.

Recruitment of Student PeerEducators Junior nursingstudents Letter of interest Resume GPA 3.0 Male and female Racially andethnically diverse

Training Student Peer Educators Modules:- Understanding the power of peer education- Strategies for change in high risk behavior- Listening skills- Responding and referral skills- Intervention skills- Developing inclusive peer education efforts- Programming and presentation skills- Taking care of yourself- Group development and success

Training Student Peer Educators Topic Training:- Sexually transmitteddiseases- Risky sexual practices- HIV & AIDS- Substance Abuse- Hepatitis

Connecting With UniversityHealth Services Meeting withAdministrative staff atUniversity Health Services Presentation content:Student Peer Educators,grant guidelines, UniversityHealth Services needs. Scheduling of classes

Freshman Experience Class Primarily Freshman 17-18 years of age Female greater thanmale Culturally andethnically diverse

Nursing Perspective Scheduling peereducators Technical supportfor presentations Supplies Handouts Data Collection Evaluation ofpresentation


Data Collected 23-item CoreAlcohol and DrugSurvey Short Form(Core Institute,Southern IllinoisUniversity)27-item STDKnowledgeQuestionnaire(Jaworski & Carey,2007)18-item brief HIVKnowledgeQuestionnaire(Carey &Schroder, 2002)

University Health Perspective UHS Staff initially observed classes Staff provided feedback andknowledge to peer educators Students more receptive tostudents Extends UHS outreach Cost effective Collaborative relationship on otherevents

Students inAction Video

Peer Led Program Evaluation 52 Freshman classes 934 student African American/Black; Caucasian/White; AmericanIndian/Alaskan native; Hawaiian/Pacific Islander; Asian;MultiracialHispanic/LatinoEthnicity YES/NOYEAR IN COLLEGE:Freshman, Sophmopre,Junior, Senior, Graduate

PRESENTATIONEVALUATIONExcellent GoodFairPoorNoYesresponsePresenter’s knowledge ofthe ionof the subjectLevel of interaction withparticipants834981-175814824-2Presenter’s managementof time7731461113The value of theworkshop83155125-Overall evaluation83489731Did you learn anythingnew today from thisworkshop?1900No33

Qualitative EvaluationOverall Themes Visual Enhancements(models, demonstrations) Further topics toelaborate on or discuss Presenters preparationand interaction

Challenges Balance being astudent peer educatorwith school demands(clinical & classroom) Difficult to coversome time slots Balance a sixtyminute time slot withengaging information Keep information upto date Building expertise Loss of expertise

Building Expertise:Summer Training

Nursing Student Peer Educatorsand Campus Awareness Events

Nursing Student PeerEducators and Community AmericanAssociation ofNurses in AIDSCare Pride Center inFt. Lauderdale

SUSTAINABILITY Seek additional program funding Partnerships: on campus and in thecommunity Recognize student peer educators fortheir work Branding and marketing Capitalize on social media

Importance of work Miami has been anepicenter for HIV sincethe start of theepidemic (CDC, 2010) In 2009, the highestrates of new AIDSdiagnoses were inMiami (37.2 per 100,000people) (CDC, 2010) Miami-Dade andBroward Counties areranked number 1 & 2 forincidence of STD’s inthe state of Florida(Florida Department of Health, 2010)

Continue the Mission Increase awareness and knowledge of HIVand STDs for college students in SouthFlorida Increase # of young adults who know theirHIV status Increase leadership and preventioneducation knowledge/experience of nursingstudent peer educators as our future leadersand clinicians in HIV/AIDS, STD’s, andsubstance abuse care Overall, improve the long-term health of ourSouth Florida community

? Questions ? Katherine Chadwell, [email protected] Sandra Jones, 305-348-7732, [email protected] Camila Pham, 305-348-4020, [email protected]

Florida International University Miami’s four year, urban, research-oriented state university, located on a 573 acre campus . DNP PhD . Universit