Al-Hacham Mohamad, McNeill Cynthera, Bowman Angela, Carter Erik, George Nancy, Jenkins Randon, Stephens Umeika, Walker Tara, Hasan Bushra
Wayne State University College of Nursing, Detroit, MI, USA.
Inquiry. 2025 Jan-Dec;62:469580251357071. doi: 10.1177/00469580251357071. Epub 2025 Jul 23.
Colorectal cancer (CRC) screening disparities and opioid overdose (OD) deaths continue to pose significant public health challenges in Metro Detroit, particularly affecting African American and Middle Eastern North African (MENA) communities. The B.R.I.D.G.E. (Building Relationships to Impact Disparities and Generate Equity) initiative, a nurse-led, multimodal quality improvement (QI) program, demonstrates the vital role of nursing leadership in tackling these 2 pressing epidemics through community-focused, equity-driven strategies. Utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) 2.0 framework, B.R.I.D.G.E. implements targeted interventions across clinical and community settings. These initiatives include enhancing CRC screening through clinic-based QI projects, educating providers, offering transportation assistance, and expanding OD prevention via Narcan administration training, Screening, Brief Intervention, Referral to Treatment (SBIRT), and Mental Health First Aid (MHFA). By empowering nurses as trusted community advocates and cultivating strong cross-sector partnerships, B.R.I.D.G.E. effectively improves care delivery, advances health equity, and nurtures sustainable community engagement. This case study illustrates how nurse-led interventions can dismantle structural barriers, enhance health outcomes, and serve as scalable models for addressing health disparities in marginalized populations. Utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) 2.0 framework, B.R.I.D.G.E. implements targeted interventions across clinical and community settings. These initiatives include enhancing CRC screening through clinic-based QI projects, educating providers, offering transportation assistance, and expanding OD prevention via Narcan administration training, Screening, Brief Intervention, Referral to Treatment (SBIRT), and Mental Health First Aid (MHFA). By empowering nurses as trusted community advocates and cultivating strong cross-sector partnerships, B.R.I.D.G.E. effectively improves care delivery, advances health equity, and nurtures sustainable community engagement. This case study illustrates how nurse-led interventions can dismantle structural barriers, enhance health outcomes, and serve as scalable models for addressing health disparities in marginalized populations.
在底特律都会区，结直肠癌（CRC）筛查差异和阿片类药物过量（OD）死亡继续构成重大的公共卫生挑战，尤其影响非裔美国人和中东及北非（MENA）社区。桥梁（B.R.I.D.G.E.，即建立关系以影响差异并实现公平）倡议是一项由护士主导的多模式质量改进（QI）计划，它展示了护理领导力在通过以社区为重点、公平驱动的策略应对这两种紧迫流行病方面的重要作用。利用通过规划和伙伴关系采取行动（MAPP）2.0框架，桥梁倡议在临床和社区环境中实施有针对性的干预措施。这些举措包括通过基于诊所的质量改进项目加强结直肠癌筛查、对医疗服务提供者进行教育、提供交通援助，以及通过纳洛酮给药培训、筛查、简短干预、转诊治疗（SBIRT）和心理健康急救（MHFA）扩大阿片类药物过量预防。通过赋予护士作为受信任的社区倡导者的权力并培养强大的跨部门伙伴关系，桥梁倡议有效地改善了护理服务、促进了健康公平，并培养了可持续的社区参与。本案例研究说明了护士主导的干预措施如何能够消除结构性障碍、改善健康结果，并作为解决边缘化人群健康差异的可扩展模式。利用通过规划和伙伴关系采取行动（MAPP）2.0框架，桥梁倡议在临床和社区环境中实施有针对性的干预措施。这些举措包括通过基于诊所的质量改进项目加强结直肠癌筛查、对医疗服务提供者进行教育、提供交通援助，以及通过纳洛酮给药培训、筛查、简短干预、转诊治疗（SBIRT）和心理健康急救（MHFA）扩大阿片类药物过量预防。通过赋予护士作为受信任的社区倡导者的权力并培养强大的跨部门伙伴关系，桥梁倡议有效地改善了护理服务、促进了健康公平，并培养了可持续的社区参与。本案例研究说明了护士主导的干预措施如何能够消除结构性障碍、改善健康结果，并作为解决边缘化人群健康差异的可扩展模式。
