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Workforce Readiness Training: A Comprehensive Training Model That Equips Community Health Workers to Work at the Top
Lily K Lee1,2, Elizabeth Ruano1, Pamela Fernández1
1Community Health Workers/Promotores Academy, San Manuel Gateway College, Loma Linda University, San Bernardino, CA, United States.
A comprehensive training model is essential for equipping Community Health Workers (CHWs) to address social determinants of health. This model includes training for CHWs and their supervisors to improve healthcare integration and patient-centered care.
Area of Science:
- Public Health
- Healthcare Workforce Development
Background:
- Clinical care accounts for only 20% of health outcomes; social determinants drive 80%.
- Shortages in clinical providers necessitate leveraging Community Health Workers (CHWs) to address nonmedical health factors.
- CHWs can bridge healthcare gaps by addressing environmental conditions, behaviors, and social determinants of health.
Purpose of the Study:
- To detail a comprehensive training model for Community Health Workers (CHWs) to ensure workforce readiness.
- To equip CHWs to deliver well-coordinated, client/patient-centered care by addressing social determinants of health.
- To support the integration of CHWs into the healthcare system through training for CHWs and their supervisors.
Main Methods:
- A systematic training program development approach was used, incorporating literature reviews and CHW involvement in all research phases.
- The model includes core CHW training with two tracks and three delivery modalities, alongside continuing education.
- Organizational Readiness Training was developed for supervisors and leadership to facilitate CHW integration.
Main Results:
- The training model components, including core CHW training, are presented.
- Process and outcome measures (Kirkpatrick model) captured changes in CHW attitude, knowledge, confidence, and behavior.
- Lessons learned from implementation cover practice-driven curricula, student-centered delivery, and pandemic adaptations.
Conclusions:
- A robust, comprehensive training program is crucial for preparing Community Health Workers (CHWs) to meet increasing demand.
- Training must extend to supervisors and leadership to ensure successful CHW integration and organizational readiness.
- This approach strengthens the CHW profession, enhancing the delivery of holistic, client/patient-centered care.
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