Health disparities, insufficient healthcare provider numbers, and
community participatory approaches have spawned an increased usage
of community health advisors (CHA). Examination of CHA training is
minimal. A case study was conducted with five women who completed
CHA training to explore their experience. Interpretive synthesis
was employed with two interviews and the investigator's
journalings. As the women came together to be trained, their
stories told of an encounter where they gathered as learners in an
experience that was personally transforming and communally
enriching. Two patterns-Gathering the CHAs AS Learners and
Gathering the CHAs AS Doers-and their related themes emerged from
the CHAs' stories. What was learned was their stories are familiar
to all of us and show the complex issues of living in community-the
constant pull of daily existence as they engaged in a never-ending
struggle to create movement for themselves and others within the
context of everyday mundane. Perhaps creating a nurturing, safe
harbor for questioning where new thinking can occur has equipped
these women with the learning tools to take their new-found roles
and put it out into their community.
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