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40 “just a nurse” More than


Lay or para-professionals are definitely critical to delivering services, particularly to vulnerable and underserved communities. However, nurses have specialized knowledge, education and experience that allow them to address physical, emotional and social well-being. Families know about and believe in nurses, and like having a nurse to address their health issues.


They have


claimed the nurses as their own and will often refer to them as “my nurse,” says Rowland-Mishkit.


...nurses have specialized knowledge, education and experience that allow them to address physical, emotional and social well-being...


hen Miss Colorado, a nurse, delivered a monologue, “Just a Nurse,” as her talent for the 2016 Miss America Pageant, she started a firestorm that few could imagine. Johnson, the second-runner up in the competition, shared a story about an Alzheimer's patient who made her realize the importance of her profession -- that she was more than "just a nurse.”


The value and importance of nursing is something that REACHUP, Inc. / Central Hillsborough Healthy Start’s (CHHS) Vanessa Rowland-Mishkit, BSN, a Columbia University-prepared nurse, has made crystal clear.


Serving as Clinical Director for REACHUP, Inc.


/ CHHS since 1999, she has been a staunch advocate for the role of nursing in community-based maternal and child health programs.


When other maternal and child health home visiting


programs in Hillsborough County and across the state and nation reduced or eliminated nurses due to cost, Rowland-Mishkit was adamant that nurses remain part of REACHUP, Inc. / CHHS programs.


As part of its mission, REACHUP, Inc. / CHHS has been building and strengthening the bridges between communities, family and clinical caring to reduce the unacceptable health disparities between Black and White mothers and infants for 17 years. Moving forward with its commitment to using nurses, REACHUP, Inc. / CHHS developed a partnership with the FL Association of Healthy Start Coalitions in a successful application to the Strong Start for Mothers and Newborns Initiative. It co-locates Maternal and Child


Health


Specialists (nurses or related high level professional) in five obstetric provider offices in Hillsborough, Pinellas and Polk counties. They offer intensive chronic disease health education, medical case management and treatment coordination to Medicaid eligible pregnant women at greatest risk for poor birth outcomes.


Vanessa Rowland-Mishkit, Clinical Director


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