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Saturday, April 19, 2025

Block 2

This guest post is written by Ashly E Jordan, a DPH Candidate at the City University of New York.

Ashley JordanIt was a relatively small abscess at the base of Angel’s wrist. Angel lived in an abandoned building in Southwest Detroit. Angel was a long-term drug user.  Angel was a citizen, but had little schooling and was predominately non-English speaking. She was born in and grew up in Chicago. Angel came to the syringe exchange program where I was working, and presented with the abscess. We referred her to the nearest clinic, which in this impoverished neighborhood was almost an hour’s walk. Such abscesses are common in drug injectors and can generally be treated easily and inexpensively as an outpatient.  Angel did not have a car, and did not have bus fare. She did walk to the clinic, only to be turned away. While Angel had Illinois Medicaid, the clinic would not see her because they saw patients only with Michigan Medicaid. She had previous bad experiences with perceived discrimination and stigmatization in other care settings, and being turned away felt normal. She did not know she had other options. Angel was soon admitted to the hospital and was found to have an infection that had spread to her blood (she had “sepsis”). She required a month long hospitalization, and two surgeries on her arm before she was eventually released alive but with enormous permanent scars on her arm. Angel had health insurance and would be considered by many to have “health care access,” however due to multi-level barriers including stigmatization, lack of transportation, arcane insurance restrictions and regulations, to her own learned fatalism, Angel’s inexpensively and easily treatable abscess came to require a month-long hospital stay with both worse clinical outcomes and vastly greater societal expense.

This is a re-post written by CHMP senior Fellow Liz Seegert for Health Callings Jobs that Matter.

In a unique writing course at the Hunter-Bellevue School of Nursing in New York City, nurses are relearning to “open up” while also improving their communication skills. The lessons learned at the “Narrative Writing for Nurses” course, taught by two former editors of the “American Journal of Nursing,” can be practiced at home to relieve stress and engage in self-discovery. It can also boost your academic writing skills.Narrative Writing Liz Seegert

How the writing helps

“Many nursing students have strong academic need for remedial writing and making themselves understood, says James Steubenrauch, adjunct instructor and Senior Fellow at Hunter’s Center for Health, Media and Policy. “We try to help them become better writers by using creative or artistic means to engage them in the process.”

Students begin each class with a creative writing prompt and also keep a daily journal. They may react to a poem or piece of nonfiction, or be asked to describe an event. Students write in different genres, and share their work with classmates. Although some are initially reluctant to open up, eventually most find it cathartic, says co-instructor Joy Jacobson.

She says that by bypassing some of the traditional methods of teaching writing, “we’re trying to engage them where art engages people, where music and poetry engage people, and we’re doing that for all the reasons a nursing program would want their students to be better writers, better students, and in fact, better nurses.”

Cerusala Shiba, BSN, decided to enroll in the narrative writing program last term to address her struggle with writing, especially with grammar. It provided much more than a basic “how-to.” (continue here