At the Core of Care

At the Core of Care

Pennsylvania nurses innovating for their communities

In Our Own Voices: The Lived Experience of Women in Sex Work

In this episode, we speak with Kim Trout, PhD, RN, CNM, FACNM, FAAN and Saumya Ayyagari, MSN, MPH about nurse-led research on the lived experiences of sex workers who identify as women and their healthcare needs. We also hear insights from Blue Laurano, a harm reduction professional and MPH candidate at Temple University. Trout and Ayyagari are two of the three researchers on the study, “In Our Own Voices: The Lived Experience of Sex Workers in Philadelphia who Identify as Women.” This study aimed to begin filling the gaps in our knowledge concerning how the lived experience of being a woman (i.e., a cisgender or transgender woman) sex worker affects her health, health preferences, health needs, and health care utilization.  Saumya Ayyagari is the Nursing Workforce Development Manager for the Pennsylvania Action Coalition. Prior to this, her nursing career focused on reproductive health and parental and child health. She is passionate about expanding access to health care in a manner that is empowering to communities. Dr. Trout is an Associate Professor at the M. Louise Fitzpatrick College of Nursing at Villanova University where she conducts research on health promotion, health equity, and maternal morbidity reduction through nursing and midwifery care. Blue Laurano has worked in harm reduction for more than seven years. They are deeply committed to uplifting the voices of persons who use substances & educating people about the benefits of utilizing harm reduction in all spaces. They are currently pursuing a Masters in Public Health at Temple University. Trout and Ayyagari hope their findings will inform health care and public health professionals about how to improve health care services for sex workers who identify as women. Read their published research article here: In Our Own Voices: The Lived Experience of Sex Workers in Philadelphia who Identify as Women
May 1, 2023

Vaccine Education Strategies for the Long Haul

In this episode, we are closing out our special vaccine confidence coverage with Letha Joseph, DNP, APRN, AGPCNP-BC and Adeline Kline, MSN, APRN, FNP-BC, NCSN who are members of the National Nurse-Led Care Consortium’s Vaccine Confidence Advisory Committee. Kline and Joseph discuss the importance of relationship-building with community members to help promote health and wellness goals. Letha Joseph is a nurse practitioner from Durham, North Carolina. She is also the Director of the Geriatric and Extended Care Nurse Practitioner Residency program at the Durham VA Healthcare System and consulting associate at the Duke University School of Nursing. Adeline Kline is a family nurse practitioner and clinical educator for Hawai’i Keiki, which is a partnership between the University of Hawai’i Mānoa School of Nursing and the Hawai‘i Department of Education. 
April 17, 2023

What Nurses and Museums Can Learn from Each Other

Our special vaccine confidence coverage continues as we discuss the latest vaccine confidence trends and lessons learned as we enter the third year of the COVID-19 public health emergency. In this episode, we speak to Monica J. Harmon, MSN, MPH, RN and Jayatri Das, Ph.D. about the role that non-traditional health settings and partnerships have played in recent years to promote vaccine confidence.   Harmon and Das have been involved in educational and public health outreach within the community since the beginning of the pandemic. Jayatri Das is the Chief Bioscientist at the Franklin Institute, a science museum in Philadelphia that leads education programming and research efforts. She is also the Executive Producer of the Franklin Institute’s So Curious! Podcast. Das has helped oversee the Franklin Institute’s involvement with a nationwide initiative called Communities for Immunity to help educate and engage the public during the pandemic. Monica J. Harmon is a public health nurse and holds various leadership roles. At Drexel University she is the Executive Director at the College of Nursing and Health Professions (CNHP) Community Wellness HUB in addition to being an assistant clinical professor. She is also the Interim CNHP Services Director at the Stephen and Sandra Sheller 11th Street Family Health Services. Harmon serves as the Co-Chair for the Pennsylvania Action Coalition’s Nurse Diversity Council and is the chapter president of the Southeastern Pennsylvania Area Black Nurses Association (SEPABNA).
April 3, 2023

Delivering Vaccine Education with the Community

Our special vaccine confidence coverage continues as we discuss the latest vaccine confidence trends and lessons learned along the way. In this episode, Annette Gadegbeku, M.D joins us for a community-health focused conversation about her work and active role in various vaccination and testing initiatives that helped serve the community at Drexel University. She shares some of the key community health lessons learned after rolling out these initiatives specifically at the Dornsife Center for Neighborhood Partnerships. Annette Gadegbeku is a family physician and holds various leadership roles at Drexel University in addition to being an associate professor. She is the Chief of the Division of Community Health in the Department of Family, Community, & Preventive Medicine, the Associate Dean for the Office of Community Health & Health Equity, and the Medical Director of the Healing Hurt People Program in the Center for Nonviolence and Social Justice.
March 20, 2023

Vaccine Confidence: Where We Are Now and Where We Are Headed

In 2021 we rolled out a six-part vaccine confidence series featuring nurse champions who shared their experience with the COVID-19 vaccine rollout, addressing nursing burnout, and much more. We are continuing the conversation about vaccine confidence with a four-episode special focusing on vaccine confidence trends and lessons learned so far. In this episode we follow up with Melody Butler, who we previously talked to in 2021 from our first vaccine confidence series. She explains where we are in the pandemic and addresses the simultaneous surge of COVID, RSV, and the flu. Butler also shares her perspective on whether we are more prepared to prevent cases of infectious disease than in previous years. Melody Butler, BSN, RN, CIC is an Infection Preventionist at Good Samaritan Hospital Medical Center on Long Island and the founder of Nurses Who Vaccinate.
March 6, 2023

Reframing Trauma Informed Care as a Systems Approach

In this episode, we speak to Kathleen Metzker and Sara Reid about centering trauma literacy in the health center medical home and how health systems can cultivate trauma-aware practices as part of their delivery of care. Metzker and Reid are interviewed by Jillian Bird, Director of Training and Technical Assistance at the National Nurse-Led Care Consortium to support providers working at community health centers across the country.  Kathleen Metzker is the Director of Integrative Health and Mind Body Services at the Stephen and Sandra Sheller 11th Street Family Health Services of Drexel University. In this multidisciplinary health care setting, more than 6,000 patients access a range of services, including: primary care, behavioral health, dental services, and health and wellness programs. Sara Reid is a health educator, support group facilitator and consumer board member for the Boston Healthcare for the Homeless. She is a public speaker and delivers trainings on transgender priorities, including teaching medical and behavioral health providers how to provide gender-affirming healthcare. Support for this episode comes from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). It is part of an award totaling $550,000 with zero percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government.
December 19, 2022
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At the Core of Care

At the Core of Care highlights the consumer experience of patients, families, and communities and the creative efforts of nurses and other partners to better meet their health and healthcare needs through diversity, leadership, and practice innovation.


Sarah Hexem Hubbard

Sarah Hexem Hubbard

Sarah Hexem Hubbard, Esq. is the Executive Director of the National Nurse-Led Care Consortium and the Pennsylvania Action Coalition. She regularly speaks on topics related to the role of nursing in building a Culture of Health. She has published in the areas of public health law research, nurse practitioner scope of practice, and medical-legal partnership. Sarah teaches health policy at the University of Pennsylvania, School of Nursing, and she graduated magna cum laude from Temple Law.

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