Date of Graduation

Fall 12-18-2015

Document Access

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

John Hurley



Increase Access to Healthcare and Decrease Health Disparities for the Underserved Population

My project aims to improve access to healthcare for the underserved population living in San Francisco’s Tenderloin District by reconnecting them to a Primary Care Provider through the "Patient Advocacy Program" aka, "Abundant Life Program," at City Impact’s Health and Wellness Clinic. This project focuses on the Clinical Nurse Leadership (CNL) role of Nurse Leadership and the CNL curriculum competency role is concentrated on Healthcare Advocacy (AACN, 2002). As a CNL, I will be utilizing community based resources, performing microsystem assessments, and individual health profiles to assist me in collecting and measuring data and creating a patient centered need-based project. I will create a pamphlet that will increase awareness and provide the individuals with step by step information regarding a program that will increase access to healthcare and help those who are not currently connected with a Primary Care Provider make a connection. This involves a multi-disciplinary teamwork approach will result in optimal success. The primary population of my project is the at risk poor residents, seniors, and persons with physical and mental disabilities, including the homeless in the Tenderloin District. I will be increasing the clinic’s volunteer and patient awareness and provide the information needed to participate in the program that will lead to increase healthcare access, accountability and ongoing health education to support their needs. This will lead to decrease in health related disparities and decreased costs in emergency room visits. The results of my project yielded a 7% increase of those connected to healthcare, which is a 2% increase from the projected goal of 5% increase. My project reflects the “Butterfly Effect” of change that begins with one individual that will ultimately affect the global healthcare.

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