Literature DB >> 31285977

"It starts with 'Aloha…'" Stories by the Patient Navigators of Ke Ku'una Na'au Program at The Queen's Medical Center.

Laura Kau'ionlani Nishizaki1, Anthony Hereari'i Negrillo2, Jonna Minky Ho'opai2, Robert Naniole2, Damien Hanake'awe2, Kehau Pu'ou2.   

Abstract

The Ke Ku'una Na'au (KKN) navigators were first hired in 2016 at The Queen's Medical Center (QMC) in Honolulu, Hawai'i, with a focus on reducing hospital readmissions for socially and economically vulnerable Native Hawaiian adults. To our knowledge, QMC was the first acute care hospital in the state to implement the use of community health workers into the health care system as navigators for patient needs in the community following discharge. This article tells the story of our experiences as the 5 patient navigators from the Native Hawaiian community during the first 2 years of the program. The article describes how we ended up in this vocation and a summary of what we have learned. We also describe walking with our patients through their journey of healing, a journey which begins at the bedside during hospitalization starting with the moment we say, "Aloha." (A companion article in this issue describes the KKN program history, design, and clinical outcomes in more detail.) We hope these stories are inspirational to others who fill the community health worker role and may walk in our shoes in other health care organizations and/or help support the planning and implementation of similar programs to meet other communities' health needs. We consider the implications for community-clinical linkages.

Entities:  

Keywords:  Native Hawaiian; health care system; hospital; patient navigators

Mesh:

Year:  2019        PMID: 31285977      PMCID: PMC6603887     

Source DB:  PubMed          Journal:  Hawaii J Med Public Health        ISSN: 2165-8242


  4 in total

1.  Native Hawaiians and psychology: the cultural and historical context of indigenous ways of knowing.

Authors:  Laurie D McCubbin; Anthony Marsella
Journal:  Cultur Divers Ethnic Minor Psychol       Date:  2009-10

Review 2.  Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders.

Authors:  Joseph Keawe'aimoku Kaholokula; Claire Townsend Ing; Mele A Look; Rebecca Delafield; Ka'imi Sinclair
Journal:  Ann Hum Biol       Date:  2018-05-29       Impact factor: 1.533

3.  "I Need my Own Place to get Better": Patient Perspectives on the Role of Housing in Potentially Preventable Hospitalizations.

Authors:  Michelle L Quensell; Deborah A Taira; Todd B Seto; Kathryn L Braun; Tetine L Sentell
Journal:  J Health Care Poor Underserved       Date:  2017

4.  Pathways to potentially preventable hospitalizations for diabetes and heart failure: a qualitative analysis of patient perspectives.

Authors:  Tetine L Sentell; Todd B Seto; Malia M Young; May Vawer; Michelle L Quensell; Kathryn L Braun; Deborah A Taira
Journal:  BMC Health Serv Res       Date:  2016-07-26       Impact factor: 2.655

  4 in total
  1 in total

1.  Insights in Public Health: Outpatient Care Gaps for Patients Hospitalized with Ambulatory Care Sensitive Conditions in Hawai'i: Beyond Access and Continuity of Care.

Authors:  Tetine L Sentell; Todd B Seto; Michelle L Quensell; Jhon Michael Malabed; Mary Guo; May D Vawer; Kathryn L Braun; Deborah A Taira
Journal:  Hawaii J Health Soc Welf       Date:  2020-03-01
  1 in total

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