RESIDENT/ STUDENT NAME:  Jane D. Smart

 

NHSC SEARCH Program for West Virginia

Resident/Student Application

 

APPLICATION MUST BE SUBMITTED ELECTRONICALLY TO THE SITE OF INTEREST

& RECEIVED BY THE SITE COORDINATOR TWO WEEKS BEFORE DEADLINE DATE

 

 

RESIDENT/STUDENT NAME:   Jane Doe Smart

 

PERMANENT ADDRESS:

825 Riverview Drive

Cameron, WV 26033

 

(PARENTS OR OTHER RELATIVES IF NECESSARY)  parents address

 

COUNTY OF PERMANENT ADDRESS:  Marshall County

 

CURRENT ADDRESS: 

4631 Paulina Street   Apt. 506

Huntington, WV 25755

 

EMAIL:  janedsmart@aol.com

 

CURRENT PHONE NUMBER:  304-816-5032

 

RELATIVES/FAMILY TIES IN RURAL WEST VIRGINIA (INCLUDING LOCATION(S)):  Mother, brother, nieces, nephew, grandnephews:  Marshall County;  Brother:  Lewisburg;  and close family relatives in Washington and Logan Counties.  Our family ancestors date back over 100 years in Marshall County. 

 

ARE YOU A NHSC RECIPIENT?  No

IF YES, PLEASE ATTACH A LETTER FROM THE NHSC OR PAYMENT RECEIPT VALIDATING STATUS.  N/A

 

CURRENT EDUCATIONAL STATUS:

You must be considered a full time resident or student in good standing with your program.

 

University/College:  Marshall University

 

Current year in program or residency:  Final year

 

Field of study:  NP

 

Area of interest (must be primary care):  Family Nurse Practitioner/Primary Care/Community Health

 

Matriculation date:  8/04


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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

Graduation date:  5/07

 

Year of residency completion:  N/A                                                                 

 

 

EXPERIENCE/GOALS

 

 

What are your career goals, including practice location preference(s)? 

 

My intended future practice location preference would be the northern panhandle, but I am willing to locate in any rural and underserved area of West Virginia.  I have been provided exceptional professional learning opportunities during my 22 year tenure as a Registered Nurse.  It is my strong desire to stay in my home state of West Virginia and share the professional knowledge and skills acquired with those who stand to benefit the most.  I have been working closely with Martha Endres at the West Virginia Division of Recruitment for the past several months and have contacted seven health care organizations in the state to set up interviews for a Nurse Practitioner position.  These interviews will be conducted during my rural rotations. 

 

As a professional nurse, health promotion and disease prevention strategies are a fundamental part of my daily practice.  In my preparation as a Family Nurse Practitioner these strategies have been extensively emphasized to include interventions aimed at improving the health of the broader community and of populations.  I have spent many hours contemplating innovative ideas.  Whether it entails developing a domestic violence primary prevention program targeting high school aged persons or coordinating a walking trail for seniors in areas where health care resources/funding is limited, I am confident that my formal teaching and program development experience would be beneficial in developing and implementing population-focused, health-related programs for any community within West Virginia.

 

In addition to my future practice as a primary care, mid-level provider, I have multiple professional interests that I’d like to pursue.  One of my passions is to more fully actualize my NP role as a political activist, advocating for the health care needs of the most vulnerable and underserved populations.  It is my strong conviction that there should always be an equitable distribution of benefits and burdens.  It is my belief that the people of West Virginia have an excess of social and economic burdens, many of which have negative consequences on health.  In conjunction with my anticipated participation in the state legislature in Charleston, I plan to travel to Washington, DC where I can collaborate with my peers and professional organization in influencing National Health Care Policy that ensures quality health care at a reasonable cost and improves access.

 

 

Why are you interested in rotating with health care professionals at a rural site(s) in West Virginia?

 

I am interested in Cameron Community Health Clinic for my rural rotation as I hope to secure a permanent position with them following graduation.  In addition to gaining knowledge from the rotation and the preceptor, I will be treating the experience as an extended job interview.

 

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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

Please describe your work or community service experience within your home community or other rural community.  Discuss rural health experience as a health professional or health professions student.  (Medical students please include the exact dates and locations of the two months of required rural experience.)

 

Completed a 20 hours volunteer training program through the Snohomish County Center for Battered Women and have begun work at the shelter.

 

Winter, 2004—Coordinated a Health Fair on the Everett Community College Campus, Everett, WV

Winter, 2004—Coordinated a Blood Pressure Clinic held at Providence General Medical Center, Everett, WV

 

1996-2002—Volunteer program advisory committee member for the Nursing Assistant Training Program, one of many programs preparing high school students for service jobs/positions.

 

Made financial contributions to community organizations such as the local police departments who provide crime prevention and drug awareness community education programs.  Donated used clothing and household items to local self-help organizations.

 

Rural health experience as a Family Nurse Practitioner student included Planned Parenthood in rural eastern West Virginia—PAP smears, STD screening and counseling, and contraceptive counseling to economically and culturally diverse population.

 

Please refer to the attached Curriculum Vitae for a more detailed description of my professional experiences/activities throughout my career.

 

 

COMMUNITY PROJECT

 

Please respond to the following with regards to your proposal for a community project at the rural site: (Residents and students must consult with the site coordinator before completing this section.  Your project could involve a role in a new community project, or research project, and/or and ongoing community project at the site.)

 

This portion of the application must read as an essay with an introduction, body and conclusion.  For example, if the project includes working with elementary schools, include how many times this presentation will take place, what grade level(s), what teaching aids needed, brochures from organized groups (cancer society, etc.) have been obtained, etc. etc.  Most importantly you need to discuss how the project will be evaluated and measured. 

 

The essay must address these points:  Is your project based on community need?  Is it an ongoing site project?  What is the target population?  What intervention or education do you propose?  How will the project be evaluated?

 

Project Title:  When Love Hurts:  Perspectives on Teen Dating Violence

 

Community Project Essay:  (1 page minimum—no maximum…..)

 

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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

At best, the transition from childhood to adulthood is frequently one of awkwardness and trepidation.  When this transition is marked with danger and teen dating violence, the journey into adulthood becomes even more overwhelming and complicated.  Given the complex and sometimes conflicting and ambiguous social, cultural, and family messages about intimacy and relationships, many teens fins themselves unsure of what to expect and how to behave in dating or intimate relationships.  For many adolescents their anticipated joy in entering an intimate relationship is overshadowed by danger and violence.

 

In addition to the growth and developmental factors placing teens at risk for relationship violence, teen-dating violence poses special legal challenges that have contributed to inadequate community resources.  Many domestic violence shelters throughout the country are turning teenagers away unless they are legally married, emancipated from their parents, have received parental consent or have a child.  Teens who do not meet these requirements are often referred to shelters for the homeless or runaways or are forced to remain with a parent or guardian, who may be unsupportive or unable to provide safety.  In addition, many schools depend overwhelmingly on rape crisis centers, shelters, and other outside services to offer programming on issues pertaining to teen dating violence.

 

Injury and violence are combined as a leading health indicator in Healthy People 2010 with injury and violence prevention as a major national goal.  Studies indicate that dating violence affects at least one in ten couples and is one of the major sources of violence in adolescence (Levy, 1991; Lee, 1991).

 

Other alarming statistics include:

 

1.)  Data from a study of 8th and 9th grade male and female students indicated that 25% had been victims of nonsexual dating violence and 8% had been victims of sexual dating violence (Foshee, et al, 1996).

 

2.)  A comprehensive National Crime Victimization survey found that women were 6 times more likely than men to experience violence at the hand of an intimate partner (Bachman & Saltzman, 1995).

 

3.)  40% of teenage girls between the ages of 14 and 17 report knowing someone their age who has been hit or beaten by a boyfriend (Children Now/Kaiser Permannente poll, December, 1995).

 

4.)  Young women between the ages of 16 and 24 experience the highest rates of violence by current or former intimate partners (U. S. Department of Justice, 1998).

 

Between October 1995 and February 1996 the National Coalition Against Domestic Violence Teen Dating Violence Project (TDVP) conducted an informal qualitative national survey that was completed by 582 teens.  The following are selective, yet significant, findings that illuminate perceptions and experiences of teens in relationship to dating violence:

 

60% of those surveyed had experienced some type of abusive behavior in a dating relationship.  The most frequent behavior indicated by teens was “jealousy” (45%) followed by “verbal abuse” (28%).  Additional behaviors included:  “controlling who you spend time with (27%), and “shoving” (25%).

 

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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

When asked whom the teen would turn to for help the most frequent response was “friends” (75%).  This might indicate the importance of training “peer counselors” about teen dating violence and including them in dating violence prevention and intervention programs.

 

Fear, misconceptions about the problem or about the relationship, lack of services, low self-esteem, control by the abuser, peer pressure, and concern about family response all combine to keep battered teens trapped in silence and secrecy.

 

While younger and older teens demonstrated a relatively sophisticated understanding of violence in general and dating violence in particular, both groups evidenced uncertainty about the accountability for violence.  For some teens, violence was something that merely happened in a relationship, rather than something one person consciously chose to do to another.

 

In addition, to the prevalence of teen dating, violence and the perception and experiences of teens related to the same, rural communities display particular characteristics when it comes to aiding victims of domestic violence in general and to providing community education about the problem in rural areas.  Attitudes regarding “healthy country” versus “violent city”, tendency toward reliance on the family (even when dysfunctional) for problem solving, enforced isolation and lack of anonymity are central to the majority of individuals residing in rural areas.

 

Furthermore, barriers in communication and police response, as well as limited access to transportation and inadequate social and medical services pose challenges to the development of effective strategies to deal with this issue in rural areas.

 

The high incidence and prevalence of teen dating violence, the developmental and experiential vulnerability of the teen population in general and, more specifically, the environmental challenges faced by rural communities support the development and implementation of a teen dating violence prevention program in the Marshall/Ohio Counties of West Virginia.  While there are domestic violence resources in this area such as the Family Violence Prevention Program, there are no known formal programs that target teens and that are preventative in focus.

 

WHEN LOVE HURTS:  PERSPECTIVES ON TEEN DATING VIOLENCE

 

Overview:

This topic has received support and approval for development by Debra Riggs, Coordinator for the Region One Northern WV Rural Health Education Consortium.  This program was developed based upon the findings in the literature and will be conducted in a presentation format for teen women and men (ages 13-18) at three local high schools and four junior high schools.  Due to the geographic distance (I am at school in Huntington at the moment), Debra Riggs is assisting me in the coordination of this program with the target sites.

 

The National Coalition Against Domestic Violence Teen Dating Violence Manual provided the framework by which the objectives and content were developed and are consistent with the information found in the literature (see attached summary of objectives, content and teaching/evaluation methods).

 

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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

Scope:

The presentation covers the following:  pre/post testing; defining the problem; recognizing abuse; roots of violence; prevention; and giving and seeking help.

 

Purpose:

To educate teens about the dynamics and consequences of teen dating violence, and the elements of abuse as well as healthy relationships.

 

Teaching Methods:

Video:  Rough Love, 1994, 47 minutes, Endorsed by the National Coalition on Domestic Violence.  Appropriate for grades 6-12.  This video is hosted by Gabrielle Cateris, star of the tv program “Beverly Hills 90210”.  Ms. Cateris creates a lively and provocative dialogue with her studio audience, including teens, family members, friends and professionals, about the dynamics and consequences of teen dating violence.  The video is broken down into 5 segments.  The following topics are included:

1.)  Verbal, emotional, physical, and sexual abuse.

2.)  Discussions of jealously and disrespect in relationships.

3.)  Generational patterns of violence and abuse.

4.)  Danger signals of abusive relationships.

5.)  How you can help if you are a peer, parent, or teacher.

6.)  Elements of a healthy relationship.

7.)  How to break the cycle of violence.

 

After each video segment there will be a brief (5-10 minute) facilitated discussion/questions.

 

Handouts will be provided in a packet for each participant and includes:

Checklist of warning signs

Guidelines for friends and peer responses

Unhealthy vs healthy relationships

Information sheet for teen men

Information sheet for teen women

Peer activism

Teens’ voices and visions

Local resources

 

EVALUATION OF PRESENTATION

 

--Pre/post test will determine the degree of participant achievement of the learning objectives

--Participants will complete a presentation evaluation

--An advocate from the Family Violence Prevention Program in Marshall County will evaluate the presentation

--A written analysis of the program’s effectiveness as well as recommendations for future program development will be compiled from the evaluation methods above and submitted to the Consortium within 60 days of program completion

 

 

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                                                                                                RESIDENT/ STUDENT NAME:  Jane D. Smart

 

 

ATTACHMENT--summary of objectives, content and teaching/evaluation methods

 

5 OBJECTIVES:

 

1.)  Discuss the cycle of violence and 3 warning signs of dating violence.

CONTENT—Review and discussion of warning signs that lead to and indicate the escalation of an abusive relationship, the difficulties often involved in ending an abusive relationship, and the healing work needed after a violent relationship ends.

TIME FRAME—16 minutes

TEACHING—Videotape, Group Discussion, Handout Pre/Post Test

 

2.)  Identify the significance of victim blaming vs responsibility of the perpetrator.

CONTENT—Strongly reinforce the perpetrator’s responsibility for behavior and that there is never any excuse or provocation for violence.

TIME FRAME—14 minutes

TEACHING-- Videotape, Group Discussion, Pre/Post Test

 

3.)  Describe how feelings of jealousy could lead to someone’s use of violence against a partner.

CONTENT—Discuss how jealousy is often seen as a positive or complimentary element in a relationship, but in reality is potentially a very controlling and dangerous dynamic.

TIME FRAME—25 minutes

TEACHING-- Videotape, Group Discussion, Pre/Post Test

 

4.)  Identify 2 aspects of healthy and unhealthy relationships.

CONTENT—Explore the importance of respect in a healthy relationship.  The impact of culture and media messages about men, women, sex roles, and respect are discussed.

TIME FRAME—16 minutes

TEACHING-- Videotape, Group Discussion, Pre/Post Test

 

5.)  Identify 2 resources where teens can turn for help if they are caught up in the cycle of dating violence.

CONTENT—Identify significant resource persons and agencies within the local community.  Discuss empowerment strategies by which teens can get involved in stopping relationship violence in situations with other teens, in school and the community.

TIME FRAME—12 minutes

TEACHING-- Videotape, Group Discussion, Pre/Post Test

 

 

 

 

 

 

 

 

 

PLEASE ATTACH LETTERS OF RECOMMENDATION, RESUME, ETC. ANY INFORMATION TO SUPPORT YOUR APPLICATION.