Street Nursing Team
The 博彩网站 Street Nursing Team is a grant-funded program that engages nursing students in unique clinical learning opportunities that improve health and health care access for people experiencing homelessness in southern Oregon communities (Medford, Ashland, Grants Pass, and Klamath Falls).
The Street Nursing Team identifies the needs of people who are experiencing homelessness and provides care coordination, wound care, foot soaks, therapeutic listening, harm education, mental health services, telehealth appointments initiated from the street, advocacy in the hospital and clinics, and referrals to other services in the area.
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Service
博彩网站's School of Nursing Ashland and Klamath Falls campuses partner with community-based organizations to provide care coordination, mental health, wound care, foot soaks, and supplies that support survival on the streets. Faculty and students use patient-led approaches to build relationships.
In the first year of the Street Nursing Team grant, 58 undergraduate and graduate nursing students engaged with 2,459 people experiencing homelessness. Of these, 813 were complex care encounters.
Competencies
To enable students to develop competency in caring for people experiencing homelessness, we have developed undergraduate competencies for care of people experiencing homelessness, which have been validated by national nursing experts.
Homelessness is a critical public health issue in Oregon, and a lack of understanding of the more significant issues at play can lead to a biased approach to caring for this population. The Street Nursing program combines didactic education on root causes of homelessness, trauma- and violence-informed care models, harm education, comorbid conditions, and mental health with an immersive clinical education approach based on approaching people experiencing homelessness with humility.
With this background, our graduates will be better prepared to address structural inequity and bias within their practice environments and bring more effective evidence-based care to all patients and especially to those who are unhoused.
The Street Nursing Team aims to engage 280 nursing students from the Ashland and Klamath Falls campuses by June 2026.
Academic aspects
There are two academic aspects to the Street Nursing Team program:
- Undergraduate: The didactic portion of the street team curriculum is offered to all undergraduate students at the Ashland and Klamath Falls campuses and to the Accelerated Baccalaureate students on the Ashland campus. Immersive clinical experience at foot soak clinics and on street nursing rounds are clinical practicum options in core nursing courses.
- Graduate: Students in the Psychiatric Mental Health Nurse Practitioner (PMHNP) and Master in Nursing Education programs completing clinical rotations in southern Oregon are eligible to participate on the Street Nursing Team as part for clinical course credit.
Faculty Teaching Toolkit for Care of People Experiencing Homelessness (PEH)
This toolkit is to support undergraduate nursing educators on integrating the care of people experiencing homelessness into their curriculum. Learning activities are designed to meet outcomes of each competency.
Each competency has key learning activities as well as faculty development resources to go deeper into the literature and learning. The learning activities are organized by core competencies for people experiencing homelessness as well as by learning activity type.
Core Competencies and Teaching Strategies
Providing Respectful, Compassionate, Person-Centered Care
Content: Bias, stigma, trauma, and their impact on PEH care.
Learning Activities:
- Therapeutic Communication triad role-playing scenarios
- Trauma and Violence Informed Care Student Worksheet and optional small group discussion
- Concept-based Based Learning Activity: Substance Use Disorder and safety planning for the inpatient clinical setting
Faculty Development Resources: Coming soon
Evaluating Social Determinants of Health (SDOH)
Content: Impact of housing, food security, and social support on health.
Learning Activities:
- Icebreaker Activity: Nursing and Homelessness
- Online Forum: Chronic Conditions & Homelessness
Faculty Development Resources: Coming soon
Collaborating with Interprofessional Teams
Content: Principles of trauma-informed care and harm reduction.
Learning Activities:
Faculty Development Resources: Coming soon
Advocating for Improved Health and Equity
Content: Advocacy strategies and identifying gaps in PEH care. Impact of stigma toward homelessness and substance use in creating health disparities.
Learning Activities:
De-Escalation Debriefing Guide
Faculty Development Resource: Coming soon
Learning activities by type
- Worksheet and Reflection
- Case Study
- Chronic Illness Case Study (Coming soon)
- Acute illness Case Study (Coming soon)
- In-class Polling and Discussion
- Concept Based Learning Activities:
- Simulation
- Pre-Code Grey Simulation (Coming soon)
- Forums
- PowerPoint: Interchangeable Slides
- Discussion Guide
Scholarships and stipends for current students
The Street Nursing Team provides stipends and tuition reimbursement scholarships to students facing financial hardship, especially those with housing or food insecurity. To be eligible, students must be enrolled in one of the following programs:
- OCNE 3-year program (Ashland or Klamath Falls campuses)
- Accelerated bachelor program (Ashland campuses)
- Psychiatric Mental Health Nurse Practitioner DNP (Ashland campus)
Learn more about the Street Nursing Team scholarship from the Admissions Scholarships page.
Funding support
The Street Nursing Team is made possible through a four-year grant from the Health Resources & Services Administration (HRSA) Nurse Education, Practice, Quality and Retention- Mobile Health Training Program (HRSA 22-056) totaling $916,329, and an 博彩网站 Foundation Philanthropic Funding.
If you would like to become a donor, please contact Tanya Sloan at sloant@ohsu.edu.