Date of Award

Spring 5-9-2025

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Sheryl Winn, DNP, APRN, MSN, ANP-BC

Second Advisor

Sallie Coke, PhD, APRN, CPNP-PC, FNP-C, PMHS

Third Advisor

Lori Dalcour, DNP, MSN, APRN, WHNP-BC

Abstract

There is a higher prevalence of mental health illnesses among migrants. This minority group is faced with challenges in accessing healthcare due to poverty, stigmatization, and fear of discrimination. Research has shown that community health workers (CHWs) bridge the gap between the health and social service sectors and the patients by improving patient access to care and healthcare outcomes. A translational project was implemented to evaluate how psychoeducational training improved the CHWs’ confidence and knowledge level in providing mental health support to the patients and community members. Sister Calista Roy’s Adaptation Model was used to guide the study by incorporating the four components of the model: person, health, environment, and nursing, so that the migrants can adapt positively to their environments and have positive health outcomes. This study has a convenience sample of six CHWs from a local non-profit healthcare center in a city with the highest refugee population in Clarkston, Georgia. The CHWs’ confidence levels in providing mental health support to migrants were assessed before and five weeks after the psychoeducational training with the ten-item mental health self-efficacy scale. Pre- and post-tests were assigned on common mental health conditions like anxiety, depression, post-traumatic stress disorder, and substance use disorder before and after the training to assess the CHWs’ mental health. The study result showed no statistical significance in the participants’ confidence and knowledge levels, however, the confidence level scores increased after the mental health training.

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