Volunteer Experience in Healthcare: A Service Learning Journey

1 Service Learning Project: CHI Health Immanuel Leia Fears Kirkpatrick Signature Series – Bellevue University LA400 LA410 LA420 American Vision and Values Dr. Pamela Hunter November 6, 2021

2 Entry One: Selection of the Service Learning Project When I heard the word volunteer, I knew, without hesitation, that I wanted to use my volunteer hours at CHI Health Immanuel. CHI Health Immanuel is one of fourteen acute care hospitals apart of CHI Health, a division of CommonSpirit Health. I have worked in healthcare since 2009, starting as a Certified Nursing Assistant and Medication Aide 40HR to transitioning to the administrative side and supporting healthcare organizations executives. With the Covid-19 pandemic, it has left many hospitals understaffed, and as an administrative employee there are days we sit back and see the tears, sweat, hard work and compassion in all of our frontline staff each and every single day. It gives a sense of pride working in a place as such, with that sense of pride comes the want to help and do more. It was announced that the hospital needed volunteers, clinical and non-clinical and due to me having previous experience working as a Certified Nursing Assistant, I knew this was the perfect opportunity for me to use for my Service Learning Project while also helping out my coworkers, patients, visitors and other staff at the hospital. What I did not know was how my experience completing my volunteer work would help me better understanding the purpose, objectives, and overall grasp of the Kirkpatrick Signature Series.

3 CHI Health Immanuel is located in the North part of Omaha, Nebraska. CHI Health Immanuel treats a diverse community and population. including those who are vulnerable. Part of the mission is to provide high quality healthcare to all the hospital has a privilege to serve. As I begun to read articles in this course, I saw a connection between engaged citizenship and healthcare workers, especially frontline staff. Although the definition of Engaged Citizenship can be defined in several ways, the overall definition is by showing a great concern for an issue presenting itself in the community. In this case, the hospital is the engaged citizen with concerns for lack of access and quality healthcare for those in the community who have lower incomes, less fortunate and / or vulnerable. Sarah Bosin believes that civic virtue is a morality or standard of a righteous behavior in relation to a citizen’s role in society. The frontline staff in the hospital take their role in helping the community as a civic virtue. Me being able to volunteer will give me the firsthand look of how the work we do as a hospital has an impact on the community as a whole. Patient experience is another reason I selected to volunteer in healthcare. As healthcare workers we are expected to treat every patient that comes through the hospital front doors equal. I know, because of my employed role in the hospital, that a lot of patients voice they feel judged by

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4 staff members in the hospital. The Declaration of Independence states “all men created equal” (Declaration of Independence, 2020) and that is the same view we must have as hospital staff. Making a note to note discriminate based on income levels, I felt being on the floor and on units would help me connect better with frontline workers, patients, and visitors to better understand the disconnect that some of our patients’ experience. Entry Two: Service-Learning Project Objectives Mission Statement “As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.” Vision “A healthier future for all—inspired by faith, driven by innovation, and powered by our humanity” Values Compassion, Inclusion, Integrity, Collaboration, Excellence

5 The mission statement, vision and values listed above belong to CHI Health, which is a division of CommonSpirit Health. Understanding these played a significant role in helping me connect my volunteer work for the Service Learning Project and the course throughout the last several weeks. When completing my volunteer work, I wanted to really focus on the mission statement, vision, and values and if I felt they were truly being followed by not only staff but leadership as well. The course objectives I found our mission statement, vision, and values to connect the most with are 2. Explain the importance of the Constitution and the structure of the government it creates to the preservation of individual rights, 3) Reflect on the relevance of the values discussed to their work and personal lives, and 9) Assess the impact on their communities of their own acts of engaged citizenship. I feel these three objectives closely relate to not only my volunteer work but also my work as a professional that focuses on community relations for my organization. During my volunteer hours I was able to work in three departments within the hospital, the first department was on actual units with patients. This allowed me to see frontline workers and gain a better understanding of their structure. This is where I learned of the nursing shared governance that was form at the hospital and the search for a president. I used this

6 volunteer experience to help me connect with course objective two. The importance of this objective is to understand the framework and structure of our government while creating the separation of powers and protecting individual rights of the citizens of this county. I connect the nursing shard governance as they same as trying to establish a separation of power and protecting their rights. This shared governance helps with employee satisfaction but also those same happy employees with then give better treatment and care to the patients in the community. In the article titled “The case against equality of opportunity” we are told that equality of opportunity is typically defined in opposition to equality of outcomes (Matthews, 2015). This statement is saying that all people no matter their class, deserve the same opportunities, this applies to quality healthcare as well. Being able to complete this course has been a challenge for me, I am experiencing health issues that resulted in me not being able to perform as well as I would have liked in my last term at Bellevue University. However, upon learning of this class I never understood why I needed to take this and why I could not select a cluster class of my choice. Words of advice I received was to keep an open mind, and that I did the entire time. Course objective three, is important because it allowed me to not only understand

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7 the class in depth, but it also helped me look at my volunteer work from a different perspective and last, it allowed me to understand the impact my organization has on the community and my role in playing a part. This objective was important not only for the course but personally as well. I believe those who cannot reflect on the relevance of the values discussed to their work and personal lives may not get the full benefits of this course. Upon my time at the hospital, I was able to connect with Dr. Reverend Angela Washington. These are two individuals who are very active in the community using their knowledge, connections, and excellence to provide resources to the community. I believe it is impossible to create equality of opportunity for everyone and that as a society we aren’t ready for that. It is said that instead of focusing on equal opportunity focus on reducing the inequality (Matthews, 2015). Angela focusses on that reducing the inequality in the community, the tools, and resources they provide to patients outside the hospital does not always have to do with healthcare, however, they understand the importance of those resources. Entry Three: Emergency Department I decided to volunteer in the Emergency Department, it is one of the units that are understaffed in the hospital. I selected this area, despite me

8 knowing how challenging it would be, as I knew it was a common area that patients who are of color feel they are treated differently and do not receive the same care as those patients who are not people of color. On this evening, I went into the registration area and noticed our Sr VP of Human Resources and his wife waiting. I immediately went over and spoke to him to make sure everything was going well for them, and nothing was needed. During our conversation, I jokingly mentioned I was going to let the staff know who he was so they will take special care of his wife. They both laughed, but then he informed to be sure to not say anything. The reason for this is he wanted to let the caregivers do their job and treat the same as they would any other patient coming through our doors. I respected him for this. Him being a Sr VP he could have explained who he was in attempt for better care and/or a quicker visit. However, a few hours later I overheard him outside if his wife room asking to speak to someone that can give him better answers to his questions, explanations, and not continue to ignore him. He was calmly sitting in a chair while asking to do so, when another male charge nurse then walked over, stood over him and said “if you don’t like it here you can feel free to leave, and if you don’t want to leave, we will then call security” I knew then that it was not realized who he was, but instead seen as threat. He sat and did not leave; security was then called

9 which so happened to be one of our security directors. Once he saw the Sr VP of Human Resource, he went to ask why he called for an “irate patient who is harassing staff, refusing to leave, causing a disturbance”. It was then obvious what had happened, the thing we hear from our patients of color often, the feeling of not being treated equal and given the same quality of care as other patients. As we know, people of color, are a group of people in American society that has been treated with less than equal right to opportunity. While great progress has been made, there is still work to do. It is in fact that even after decades after MLK famous I have a dream speech less than 50% of Americans feel the country has made substantial progress and about the same amount feels that we as a society have a lot more work to do (Pew research, 2013). This even includes the quality of healthcare that is received. In order to change this thought process, staff must be able to remember our mission statement and be an advocate for that. Not thinking since someone walked in forgetting their wallet, they are uninsured patients that won’t pay their bill. And, if that was the case, if an uninsured patient couldn’t afford to pay their bill that does not mean they deserve to be treated differently or receive a less than excellent healthcare. Isabela Sawhill (1999) states in order to really a society where we all can have an

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10 equal chance in this country, we must first do better strengthening families. In this case would “family” be the senior leadership and by strengthening the training in diversity can we strengthen the staff to not give less than excellent care to patients who are people of color? This experience has taught me that as a society we must remember those induvial rights which include treating everyone the same. Entry Four: Gift Shop Another area of the hospital I wanted to volunteer in is the hospital’s gift shop. The reason for this is because our hospital gift shop is staffed by volunteers. Most of the volunteers are retired nurses who still want to contribute to the mission, vision and values of the hospital and continue to do their part although they are no longer bedside. The two volunteers that were working during my volunteer shift had a combined total of 85 years of service at CHI Health. Over the decades they have experience several changes in leadership and polices some good and some they viewed as bad. During my shift I asked each of them how does working as a volunteer in the hospital compare to working as a nurse in the hospital? The response I received was interesting and unexpected from both. They expressed while they love volunteering and being able to still interact with

11 patients, families, and visitors they feel they no longer have the same respect with the staff, providers, and other nurse they once did. Due to this it made their volunteer hours not as enjoyable as they once were. They felt since they were volunteers and not actual hospital staff they weren’t heard, got ignore often and not respected by some of the staff. They continued to provide examples throughout of conversation including not being invited to the hospital’s events. As I continued to help stock supplies in the back, I would overhear staff come into the gift shop. Most staff seemed friendly, laughing, and joking with the volunteers. I did see one instance where the cash register was having difficult, and the volunteer has a line of people. At that time there were several staff who shouted out what they had or wrote it down then left money on the counter. This was against the rules, as all items need to be scanned. Once the store was empty, I saw the drained look in the volunteer face. Sandal (2010) states that we must learn to separate the questions of what is fair and right from arguments about basic morals, virtue, and honor. While the volunteers are not employees and by right do not have to be included in the hospital’s events, it is fair to include them. We often mix up what is right and what is fair, just because something is right does not make it fair, and just because something is fair does not mean it right.

12 This situation is something I decided to speak to the Volunteer Manager about. I explained how they feel the spark they once had is gone and they no longer feel appreciated. In fact, if it was not for our volunteers, we would not be able to open the gift shop at all. While in jail in Birmingham Dr. Martin Luther King wrote his famous Letter from Birmingham Jail, which discussed equality and justice. King (2018) believed that after decades of social injustice that people will begin to lose self-respect due to believing they can and will never been seen or heard as someone who is seen better than them. When I saw the volunteer change the policy to accommodate the staff, the same staff that if she was a charge nurse still, she would have made them follow the policy, it made me think of that statement from King, about her losing her self-respect and beginning to believe and perform as if she was “just a volunteer”. I was able to use my role in the hospital as an administrative assistant to speak up for them and be a voice with the Senior Leadership Team. From there the volunteers were able to start gaining the confidence they once had and use their voice to enforce the policies of the gift shop and to gain the respect they once had. Entry 5: Dr. Reverend Angela Washington, Pastoral Care

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13 I decided to spend my volunteer time in Pastoral Care one of our departments in the hospital. The Pastoral Care department is made up of chaplains and religious figures that provides religious and spiritual guidance to patients, patient’s families, and staff in the hospital. One of the hospital chaplains is Dr. Reverend Angela Washington. I decided to follow Angela for an evening as she was the only chaplain on call that night. It is very common for families to request notaries in the hospital, due to me being a notary in the state of Nebraska I decided to work on call with Angela so all notaries request I could do instead of her. Most of our time was spent in the ICU, which I was expecting as I get a lot of notary request for that unit during the day. We spent a lot of times sitting with families, some wanted silence, others wanted prayer, and some wanted spiritual guidance to help understand. No matter what they wanted, Angela was there. She joked, laughed, singed, prayed, and even danced with patients and their loved ones. My experience with her was something I needed and did not even realize it. She was advocate for patients and their families, times even challenging the hospital staff if she felt the patients were not being heard. In between our very busy Saturday night, Angela also spent time talking with staff as well. Angela is very well respected in the hospital. She

14 is by far everyone favorite and because of this she is the first choice of a lot of the staff members. She never once complained how busy it was. Even after staff members left, she would never once complain. I made a point that evening to ask her how she was doing, and how does she deal with all the grief and death she is surrounded by every day. And her answer was simply, her faith and her Lord. Not only does Angela do amazing work at CHI Health Immanuel, she also makes it a point to be there for patients outside of the hospital as well. I was able to volunteer with Angela at her annual Fall Back into School fair at her church for the Omaha CUES school district. There she provided over 100 backpacks to children that were filled with school supplies. The school supplies were collected by departments in the hospital that Angela and I helped organize as part of a community relations project. At the fair there was also a flu shot clinic for parents and children that was sponsored by CHI Health, free chips and hotdogs, and a live DJ. It was great to see Angela in action both in and outside of the hospital. Robert Putnam (2000) believes that the ties Americans once had to their community is disappearing and for us to reestablish that reconnection that we must start with the children in the community. Angela spends a significant amount of time with children specifically those in the small North

15 Omaha CUES school district. She has spent numerous hours reading to students, offer tutoring, and providing grief counseling for students who lost family members to gun violence. She always mentors young ladies the ages of 14-18, teaching them to always speak up for themselves, stand for what they believe, and not only fight their rights. In How the Moral Lessons of To Kill a Mockingbird Endure Today, Anne Maxwell (2018) says it is important for children to listen to their own conscience every if everyone else has a different view. Angela practices this with the guidance she provides to the youth in our community. In April of this year, I was honored to present her with the CHI Health Spirit of Service award. The Spirit of Service award recognizes extraordinary employees and staff who use our core values every day in the work they do. Angela received over 40 nominations from patients, families, and staff. “We make the healing presence of God known in our world” when I read this part of our mission, I immediately think of the work that Dr. Washington has done. As a religious leader in the community Dr. Washington is sets a perfect example of engage citizenship. She has made an ever-lasting impact on our staff, in our community, and with the patients she encounters.

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16 Entry 6: Nursing Shared Governance Part I During my time volunteering in the emergency department several of the nurses were discussing the nursing shared governance. According to Taina Kanninen (2019) a nursing shared governance is a nursing practice that is designed to integrate values and beliefs that professional practice embraces as the mean to achieve quality healthcare. Studies have shown that by implementing nursing shared governance models that work environments, satisfaction and retention will improve. The goal of creating a shared governance model at CHI Health Immanuel is to build a strong partnership between the clinical nurses and the nurse leaders allowing clinical nurses to feel empowered and able to use their skills and knowledge to have a say so in decision making. Understanding the importance of nursing shared governance helped me understand the importance of the separation of powers within the United States Government. In Federalist paper 47, James Madison believes in the importance of the separation of powers and argues the point of unequal division could result in the loss of liberty. The nursing shared governance will create a separation of powers within the hospital’s clinical nursing staff, the nursing leaders and senior leadership by allowing all parties to have voice and say

17 in decision making processes with the majority having to agree. One of the first issues addressed by the shared governance was the requirement for all clinical nurses to work overtime. After debating and assessing the shifts and departments with greatest needs, clinical nurses felt as if the nurse leaders should work extra shifts as well. This was due to nurse leaders working only eight-hour days with no weekends. It was felt as if the nurse leaders did not understand the stress of consistently being understaffed and providing an excellent quality of care to patients. This why the initial idea of a nursing shared governance was introduced. It was important to form a structure, to ensure those who were clinical nurses did not feel those with power would abuse it. As I learned and asked additional questions, I was told there was some backlash from nursing leaders who did not think the nursing shared governance was needed, they felt it would not be productive and instead create a platform for clinical nurses to promote negativity by complaining. However senior leadership felt differently, they felt since the clinical nurses are bedside and treating the patients in our community that their voice matters just as much if not more. In Federalist paper 10, Madison states that the form of a large republican government it would be beneficial and would be responsive to the people in this country (Madison, 1787). In the

18 hospital by implementing the shared governance model it would strengthen the staff as a whole and allowed all issues and polices that were brought to the table to be voted on as a whole by all three parties. Similar to how our three branches of Government work in the United States. While working with the clinical nurses in the Emergency Department, I was able to better understand the stress and effects that continue during the Covid-19 Pandemic. With mandatory overtime and vaccine mandates, clinical nurses were beginning to feel like last year heroes this year zeros within the community and within the hospital. Entry Seven: Nursing Shared Governance PT II Several of the nurses in the Emergency Department were excited and looking forward to the nursing shared governance. They believe it will help promote equality within the hospital and strengthen the relationship between nurses, nurse leaders and senior leadership. The clinical nurses believed it is their right to be able to have a freedom of speech in the work environment to help promote a positive work culture. One final step in the nursing shared governance was to elect a representative as President. It would allow for there to be a president, someone to hold power but the governance will elect the representative that can exercise that power.

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19 In Federalist Paper 51, Madison also defended the form of republican government by arguing that a large government was not too large and would be responsive to the people in this country. In this case the country is the hospital and the large government being the shared governance. The nursing shared governance will be able to make decisions and/or “laws” within the hospital that are needed to carry out the hospital’s mission and vision, identical to how Article 1 in the United States Constitution describes the organization of congress. During my time volunteering I decided to help with the process of arranging the selection of the shared governance president election. In areas that were visible to the staff only I volunteered to help promote the shared governance and to begin the nomination process of a president. While doing so, I promoted the shared governance by using the First Amendment in the Bill of Rights, reminding nurses of their freedom of speech as many felt they had no say so or voice within the hospital. I enjoyed this a lot, as I felt I was able to use something I learned in school to contribute. Being able to see the structure and progress has been interesting, there are nurses from all levels including APRNs, different religions, races, and backgrounds as well. Each nurse seems to bring something different to the governance, for example, some nurses want to

20 focus more on diversity training to be able to provide patients with different backgrounds with excellent care that meets the patients’ standards and expectations. While other nurse focusses more on the difference of incentive pay, such as LPNs are given $5 more an hour to work extra shifts and RNs are given $10 more per hour. The nurses feel they are all equally working just as hard and should be offered the same incentive pay to pick up extra shifts. Being in our Emergency Department on a Friday night is most certain different then the Emergency Department I may casually walk through on a Monday afternoon. I saw walk in shooting victims, intoxicated patients and mentally ill patients walk through the double doors. Once the care team is in action, you cannot tell who an LPN is and who is an RN. The nurses collaborate and work side by side to ensure treatment and care of those patients. I can understand the frustration of those nurses as they feel they are performing their jobs just as well and providing excellent care however being made to lose time with their family working overtime not being ablet o be compensated as much as other nurses. I noticed at times it did create a small tension among the staff, however, that department is like one big family who continues to improve over time raising their patient experience scores. I am looking forward to the progress and the results down the road from the nursing shared governance.

21 Entry Eight: Mike B., a change in security pay One of my volunteers shifts I was stocking supplies in the Emergency Department when a nurse begins to call for help from a patient’s room. A security guard name Mike B. and others came rushing out his office to the room. I could not see the events taking place, but I could hear the yelling, cursing, throwing things and wrestling around with the security guards. The security guards were able to get the patient under control and when returning to their office I overheard one say, “this is why everyone quits, we don’t get paid enough”. The starting wage for a security was $11 an hour. For that amount security guards constantly had to deal with workplace violence of being hit by patients. The retention rate for security guards were very low, many of them were leaving to work at places like Walmart who starting pay is $14 an hour. Mike B. has patrolled the halls for over 10 years and is a current supervisor. Mike is responsible for implementing changes that start at the hospital level, that went up to the division and finally making its way to CommonSpirit Health. One of the first things Mike helped implement was a workplace violence committee. This was built of security guards, nurses, providers and members of our safety and quality department. The purpose

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22 of this committee is to help decrease the attacks of patients and the hospital security guards. Mike became an advocate for the security department at Immanuel. The more Mike began speaking to other security guards at other hospitals it was realized this was an issue at other hospitals as well. The night I volunteered, and Mike was working left him with a black eye, and no one should have to go through that in attempt to help maintain excellence in patient care. When Mike realized that he was losing members of his team due to the increased workplace violence he felt it was his civic virtue within the hospital to do something about it. Not only did Mike fight for a workplace violence committee he also began to advocate for a hire starting wage of $15 an hour. This was met with backlash and originally denied due to budget, but it was Mike and his fearless battle that did not give up. Michael Tomasello believes that in order to solve our biggest challenges, which threatens you, you must be prepared to think of all (Tomasello, 2018). What Tomasello met by that is that the actions we take and the choices we make can mold the environment and culture around us, as well as the next to come. Although Mike felt he was compensated well he knew that it was not right for his collogues and wanted to be an example and make a change.

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23 Mike took his ideas and action plan all the way to national. It has not been easy. Mike is still currently working with National to provide a safe environment and higher wage for security guards who work in hospitals with psychiatric units. His actions and advocacy for his collogues made him an agent for moral change within the hospital. Although Mike is not the director of his department he is still respected by the department and has a strong backing and following. Bill Tayler believes the most effective leaders are those who successfully create a culture in which individuals feel obligated to express themselves with freedom of speech (Taylor, 2017). Mike’s continued battle for increasing the starting wage is just one of the examples of his morality, integrity and doing what he believes is right even if it is not affecting him directly but affecting those around him. I always enjoyed working with Mike and seeing his inaction with his coworkers and the patients. I feel he sets the example of our values. Entry Nine: Covid-19 Vaccine Clinic One of my shifts of volunteering I worked in the Saturday morning Covid-Clinic at the Omaha Home for Boys. CHI Health Immanuel partnered with Charles Drew Health Center to provide vaccine shots and Covid-19 testing to the North Omaha Community. The partnership not only helped

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24 create a close place for members of the community, but it was also able to provide transpiration services for those without transportation. The clinic was busy from the time the doors open until the doors closed. However, it was noticed that our clinic was not listed on the Nebraska Health and Human Services website as a location for vaccinations. These affected the number of individuals getting vaccinated due to limited transportation to other clinics located in Omaha. Mathews (2015) believes that there should be no discrimination between upper and lower classes and people deserve the same opportunities. By limiting the communication of the vaccine clinic, it was not giving everyone the same opportunity to receive a vaccination. A part of Charles Drew mission statement is “affordable healthcare for all”, this along with CHI Health to advance social justice for all through healthcare makes these two organizations advocates for community and their rights to receive quality healthcare. My time volunteering with the vaccine allowed me to get gain a deep understanding of the lack of resources that are stopping from those in North Omaha to gain advantage or have equality. In Six Great Ideas, Mortimer Adler, stated that quality is treating equals equally and treating unequal’s unequally which is injustice (Adler, 1984). Providing the vaccine clinic provided people with less money the same benefits as those with

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25 more. This can be seen as how we as a country can begin to establish equality. It is stated that by Paul Bloom that the issue isn’t that those in poverty have less means than others but that those in poverty have too little or none at all. Bloom believes that equal respect and resources should not matter if someone is rich or poor because giving basic means, respect, freedom does not require money (Bloom, 2018). After several weeks of meetings and phone calls, the North Omaha Covid-19 vaccine clinic was the included on the Douglas County Health and Human Services website along with other stand-alone clinics taking place in the North Omaha YMCA and selected Omaha Publics Schools. This began to immediately increase the number of vaccinated individuals. It was believed that the North Omaha community was against the vaccine due to low vaccine rates when, in fact, it was due to the lack of resources and communications given to the community by the county’s website. People of Color have become accustomed to such things; therefore, battles are difficult as members in the community will ignore certain issues. As we know there is strength in numbers. Being an organization with the manpower, connections, and resources it is important to expand it outside of the hospital and pour it into the community, as the community makes up the patients we treat. This includes not only the Covid-19 vaccine clinic but

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26 also the mental health therapists that were placed into selected schools by CHI Health to help the children of the community as well. Focusing on the children in the community can have a great impact of the future of North Omaha for the better. Entry Ten: Conclusions Part I 1. The Service Learning Project helped me better understand the role that engaged citizenship has in affecting positive change in American society." 7 2. I was initially reluctant to participate in the Service Learning Project assignment. 10 3. Overall, I found the Service Learning Project assignment was a rewarding experience. 7 The Kirkpatrick Signature Series Service Learning Project was a good experience overall. With me doing my volunteer hours both inside and outside of the hospital it allows me to better understand my organization and how it connects with community / the patients we serve. Most of my time was spent in the Emergency Department stocking supplies during high volume shifts, answering phone and answering the call lights for patients. Originally, I thought it would be impossible to connect my volunteering with the class. What helped me I began to look at the hospital as a society and

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27 the staff the citizens of that society. I made it a point to sit and talk with nurses, providers and other staff about things going within the department. By doing so, and not just focusing on my volunteer work, I was able connect the volunteer experience with the course objectives. I am very passionate about healthcare, specifically mental health due to my son and his challenges with mental health. I believe healthcare is my calling and working for a faith-based hospital it allows me to use my faith along with the science of medicine to live out our mission statement, vision, and values. At the beginning of the term, when I read through the Service Learning Project Report instructions, I initially thought my ratings would be all tens, I saw no point in doing this and did not agree with having to be required to take the course. I did research prior to starting the course and found there are other options for cluster classes, such as the Managing Diversity in the Workplace. I am a Human Recourse Management major, why could I not take classes that would pertain to my program? This was a debate I had since the moment I enrolled. After completing the project, I still feel as if cluster classes should be able to be selected by the student. Even though I feel the class should not be required and students should be allowed to take their own cluster classes, I did walk away from the Service Learning Project having learned something from my experience.

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28 Engaged Citizenship was mentioned throughout the weeks, it teaches us that we, as citizens, can have positive changes today by becoming an engaged citizenship. I still struggled with this; I believe as a Black woman that this society is not set up for POC to be successful in this country and especially not in this city. Living in North Omaha my entire life I have seen violence increase and resources decrease. I personally know a lot of leaders in North Omaha, not the leaders that are elected but the leaders that the community turn to for resources and guidance. I believe the North Omaha community is strong in North Omaha however we are still fighting racism and discrimination every day as soon as we leave our community. It is difficult to take a class and learn American Values because these American values and history I feel do not apply to me being Black. At a time like this, I think this class came become a bit controversial and a trigger for people of color. Reading history that does not include my history and the struggles of my people, instead we discussed history as a country which when most of this history was written my people were not taken into consideration, such as the right to vote. Then I remember King statement in a Letter from Birmingham Jail, “I stand in the middle of two opposing forces in the Negro Community” (King, 2018). What he meant by this is that he recognizes that his voice did not speak for everyone in the Black

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29 community. Some were tired, felt the system had beaten them and there was nothing that could be done. So, I did some self-reflection as to why I felt triggered by this course, was I the other half of the community King referenced? The half that had given up and is now only living to survive not living to thrive? I think I was I think I let my negative mindset of being in a state I feel is racist against me, cloud my judgement. So instead, I told myself if this is how you feel, then use the class to make a change starting with becoming more active in the community I love so much. My self- reflection is the biggest lesson I learned in this course. I do believe Engaged Citizenship can work, but it cannot just be the small community of North Omaha, it must be the entire city wanting the better for the entire city. We have systemic racism in our city, and I think the issue goes deeper than being an engaged citizen. One thing, the biggest thing, I agree with is focusing on strengthen families and educating our children. By doing this, over years we can break generational cycles that present themselves in families within the community. In Bowling Alone, Putnam (2000) argues that over the years parents are taken less entrance in their children’s educations, PTA numbers are declining, and less people volunteer. I do believe this is crucial, especially in North Omaha, I personally know so many children who lost family members to gun

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30 violence, have family members in jail, and no resources. This example is why civic engagement is important to not let these situations continue so they do not continue to have effects on our children and society in future years. As stated, I was reluctantly to take this class and do the Service Learning Project, however, in the end I understand course objectives more and was excited I could connect my SLP with the course. I enjoyed the experience volunteering, the Emergency Department was very fast paced and allowed me to experience from the patient ‘s point of view and staff point of view. However, my most educational experience was with Dr. Reverend Angela Washington. Being able to connect with the patients inside and outside of the community taught me how important it is for our presence to be known and for those of us who can give back to those who have less. Overall, the experience is something I will never forget. Working in the hospital and volunteering in the hospital are two very different point of views. I felt not only more connected with staff, but I was able to connect with the community as well. The same community that I grew up in, I was able to feel like I was making a difference those evenings and weekends I volunteered. I made new friends and even found a small old Baptist church that I am planning on visiting. I decided that I will not stop volunteering just

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31 because the class is over, it was a great feeling to give back to the community that raised me.

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32 References Adler, M. J. (1997). Six great ideas : truth, goodness, beauty : ideas we judge by; liberty, equality, justice : ideas we act on (1st Touchstone ed.). Simon & Schuster. Bloom, P. (n.d.). People Don’t Actually Want Equality. They Want Fairness. Retrieved from https://www.saddleback.edu/faculty/agordon/documents/BlowingAlon e.pdf Bosin, S. (n.d.). Civic Virtue. Learning to Give, Retrieved from https://www.learningtogive.org/resources/civic-virtue King Jr., M. L. (2018). Letter from Birmingham Jail. Atlantic, 74–83. Madison, J. (1787, November 22). Founders Online: The Federalist Number 10, [22 November] 1787. National Archives and Records Administration. https://founders.archives.gov/documents/Madison/01- 10-02-0178. Madison, J. (1788, January 30). Founders Online: The Federalist Number 47, [30 January] 1788. National Archives and Records Administration. https://founders.archives.gov/documents/Madison/01-10-02-0266 Madison, J., & Hamilton, A. (1788, February 6). Founders Online: The Federalist No. 51, [6 February 1788]. National Archives and Records

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33 Administration. https://founders.archives.gov/documents/Hamilton/01- 04-02-0199. Matthews, D. (2015, September 21) The case of against equality of opportunity. Retrieved from https://www.vox.com/2015/9/21/933415/eqaulity-of-oppertunity Maxwell, A. (2017). How the moral lessons of to kill a mockingbird endure today. Retrieved from https://thecoversation.com/how-the-moral- lessons-of-to-kill-a-mockingbird-endure- today-100763 National Archives and Records Administration. (n.d.). The Constitution of the United States: A Transcription. National Archives and Records Administration. https://www.archives.gov/founding-docs/constitution- transcript National Archives and Records Administration. (2020). Declaration of Independence: A Transcription. National Archives and Records Administration. https://www.archives.gov/founding-docs/declaration- transcript Pew Research (2013, August 22) King’s dream remains an exclusive goal; many americans see racial disparities. Retrieved from https://www.pewresearch.org/social- trends/2013/08/22/kings-

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34 dream-remains-an-elusive-goal-many-americans-see-racial- disparities/ Putnam, Robert D. Bowling Alone: The Collapse and Revival of American Community. New York: Simon & Schuster, 2000. Sandel, M. J. (2010). Justice : what’s the right thing to do? (1st pbk. ed.). Farrar, Straus and Giroux. Sawhill, I. V. (1999, March 1). Still the Land of Opportunity? Retrieved from Brookings: https://www.brookings.edu.articles/still-the-land-of- oppertunity/ Taina Hannele Kanninen, Arja Häggman-Laitila, Tarja Tervo-Heikkinen, & Tarja Kvist. (2019). Nursing shared governance at hospitals – it’s Finnish future? Leadership in Health Services, 32(4), 558–568. https://doi-org.ezproxy.bellevue.edu/10.1108/LHS-10-2018-0051 Taylor, B. (2017, April 27). True Leaders Believe Dissent Is an Obligation. Harvard Business Review. https://hbr.org/2017/01/true-leaders- believe-dissent-is-an-obligation. Tomasello, M. (2018). How We Learned to Put Our Fate in One Another’s Hands: The Origins of Morality. Scientific American, 319(3), 70–75.

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