She has created and led health promotion efforts both locally and globally at the university and community levels. She teaches courses at pre-licensure, graduate, and doctoral levels at both the nursing and medical schools. Her research examines the environmental and individual influences on access to healthcare in vulnerable communities. She has worked extensively to identify and compare the barriers and enabling factors to entering the health care system in both Ghana and Worcester, MA. Her clinical work focuses on the development of community-based and community oriented care for vulnerable populations.