Townsend, originally from Ohio, moved to Evansville several years ago and joined Ascension St. Vincent Evansville. Hailing from urban areas, rural culture was unfamiliar territory for her. In her transition from urban to rural practice, Townsend observed noticeable disparities in healthcare access and health education. As a part of Heart Healthy Hoosiers, Townsend works to close these gaps through screenings, advisement, and coaching.
Townsend is also a faith community nurse. Faith Community Nurses (FCNs) go through additional training to comprehensively further their abilities as a nurse to address the overall health of a patient.
“[FCNs] also learn about how to do things like active listening, motivational interviewing, some of those types of processes that we touch on in nursing school but with these classes, hone their skills a little better,” Todd said. She explained that FCNs learn about whole person-centered health focusing on the spiritual, physical, intellectual, creative, and emotional aspects of healthcare. Additionally, as nurses within their congregations, FCNs are often better connected and trusted within their communities.
Several recent health collaborations have united IU and community organizations throughout the region. Through a Community Health Improvement Plan (CHIP) initiative facilitated by Dr. Barnes, the IU Center for Rural Engagement, School of Public Health-Bloomington, and community members, rural counties focused on addressing the physical and mental health of their communities. The Indiana University School of Nursing also developed a community-focused partnership that offered preventative health screenings in two counties, Orange and Martin. Todd, also a faith community nurse, assisted with the program, engaging the community and guiding nursing students through health promotion and education.
If I can even go out and change the life of one person or help one person along their health journey, I view it as a success.
Gina Townsend, Faith Community Nurse
Heart Healthy Hoosiers provides free health screenings for cardiovascular disease and diabetes to any Indiana resident 18 years and older who attends a screening or makes an appointment. Each screening consists of height, weight, blood pressure, waist circumference measurements, a blood lipid panel, and a diabetes blood test. Townsend discusses the results and gives recommendations that reflect a blend of her expertise and the patient’s personal goals. Over 6 months, Townsend works with patients on a personal level to change their lifestyles in hopes of reaching the goals the patients want to achieve. The program reaches its conclusion with a post-program health screening to analyze and compare results.
“The most impactful experience has been seeing individuals that have had changes in their lives as a result of the screening,” said Todd.
The Heart Healthy Hoosiers program was created in the wake of the COVID-19 pandemic through a Centers for Disease Control COVID-19 Health Disparities grant facilitated through the Indiana Department of Health. The program responds to the needs of underserved populations, particularly rural communities in Indiana, impacted by COVID-19. Not only were more people needing care, the lack of medical personnel and facilities in rural communities led to substantial deficiencies in access to care and services. The travel time, long wait times to get an appointment, and overall health costs deterred residents from getting the care they need.
Southern Indiana Heart Healthy Hoosiers now serves 13 counties, recently adding Pike, Posey, Gibson, and Warrick. Townsend holds screenings in a variety of public places, including libraries, churches, YMCAs, food pantries, and recovery centers. Screenings are also held at different times, including after regular business hours to accommodate those that cannot attend due to day jobs. Both nurses work to establish partnerships with organizations and people that are already trusted in these communities to accelerate their ability to make a meaningful impact.
“If I can even go out and change the life of one person or help one person along their health journey, I view it as a success,” said Townsend.
Southern Indiana counties served
Crawford
Daviess
Dubois
Gibson
Greene
Jackson
Lawrence
Martin
Orange
Pike
Posey
Warrick
Washington