Spring/ Summer 2008 Duke Nursing Volume 3, No. 1 magazine
08 1938 Alumna Steps Up for Scholarships 14 Simulation Fosters Teamwork and Communication 20 Benner Delivers Harriet Cook Carter Lecture
Cycled Light Research Changes Standard of Care for Preemies pg 22
Learning, Serving, and Sharing—Duke Students in Cultural Immersion pg 24 ABSN Program Turns 5—Meet 7 Young Professionals in Satisfying Nursing Careers pg 10 “We believe in higher education and what it can do for people. We established this gift annuity because of all Ann’s education did for her and the patients she served. We are so grateful to be able to help Duke in a way that also helps us.” —Preston Leake, G’54, PhD’54
Ann Leake, N’54 and Preston Leake, G’54, PhD’54
A DUKE CHARITABLE GIFT ANNUITY A Sound Investment for You—a Dream Come True for Tomorrow’s Nursing Leaders
With your gift of cash or stocks, Duke will establish a charitable gift annuity in your SAMPLE DUKE ANNUITY RATES name and pay you a lifetime annuity. You qualify for a charitable tax deduction Single Person and avoid capital gains taxes. Upon your passing, the remaining funds will provide AGE RATE support for the Duke School of Nursing. 65 6.0% 70 6.5% For more information please contact Joseph W. Tynan, JD, director of gift and 75 7.1% endowment planning for Duke Medicine, at [email protected] or 919-667-2506. 80 8.0% Visit us on the Web at development.mc.duke.edu Married Person AGE RATE 65/65 5.6% 70/70 5.9% 75/75 6.3% 80/80 6.9% Dean’s WELCOME
Friends, In December we graduated our fifth cohort of students from the accelerated Bachelor of Science in Nursing (ABSN) degree program. Our school has returned to a fundamental historical role: preparing excellent new nurses to enter our profession. By offering this opportunity to people who have already completed another baccalaureate degree, this program is innovative yet grounded in our school’s strongest traditions.
The Helene Fuld Health Trust committed $6 million, Successes such as these are dramatically elevating our a compelling sum, to this degree program. For our stature among schools of nursing. As an alumna and profession, this investment has already produced nearly member of our community, I feel great pride. 250 motivated nurses. More than half of them have gone With the strong support of our friends and alumni, on to work within the Duke University Health System, and we are able to fulfill our commitment to the profession two in 10 have sought a master’s degree. Clearly the gift through these initiatives. In turn, these accomplishments has been transformative. honor our commitment to our alumni by enhancing Having the ABSN program in the same building with the long-term value of a Duke University School of our master’s program and our new PhD program for more Nursing degree. A community collaborates to help each than a year has been wonderful. Our sense of capacity member, and it is important to me that each of you feels and community has grown, and both formal and informal a strong sense of connection and belonging in this effort, interactions and collaborations among the faculty are especially those of you who may have felt disconnected in strengthening all of our offerings. The faculty members of the past. our master’s program, along with those of the ABSN and Our school’s recent ascent in rankings and national doctoral programs, have begun to review the curricula to visibility is built upon the hard work of everyone in the better articulate program offerings. school’s history as well as our current wealth of faculty, Nurses from the Duke University Health System are staff, and student talent. Each of us owns this success. entering the master’s program to support their professional We are stronger and aspire to even greater accomplishments, activities, including the development of applications for which helps us attract ever more gifted faculty, staff, and magnet recognition at Duke Raleigh and Durham Regional students as well as additional opportunities to expand hospitals. Our PhD program welcomed a second cohort and innovate. of students, while its continuing students won funding Yet we have a great deal of work ahead. We for their research, presented their findings at national need everyone’s determination and commitment. I and regional meetings, and submitted manuscripts for enthusiastically pledge mine. publication. As 2007 ended we learned that Duke’s Board May I count on you? of Trustees enthusiastically endorsed our proposal to launch a Doctor of Nursing Practice degree program.
Catherine Lynch Gilliss, BSN’71, DNSc, RN, FAAN Dean and Professor Vice Chancellor for Nursing Affairs DUKE NURSING SPRING/SUMMER 2008 01 10 ABSN Program: Five Years 22 Duke research sheds new 24 Cultural Immersion: and Growing Fast light on preemie care. A New Perspective on Health and Health Care
Duke Nursing magazine ALSO IN THIS ISSUE 20 Harriet Cook Carter Lecture—Integrating Classroom and Spring/ Summer 2008 Clinical Learning Volume 3, No. 1 27 SON Awards & Recognitions, Publications, and Grants
Duke Nursing Magazine IN EVERY ISSUE is published once a year by the Duke Nursing Alumni Association. 01 Dean’s Welcome: Catherine Lynch Gilliss Issues are available online at nursealum.duke.edu. 03 In the News: Your comments, ideas, and letters New Doctor of Nursing Practice Degree Approved to the editor are welcome. Please contact us at: Duke Nursing Breaks Into NIH Top 15 in Research Funding Duke Nursing Magazine 512 S. Mangum St., Suite 400 U.S.News Rankings Soar Durham, NC 27701-3973 Longtime Duke Hospital Nurse Appointed Assistant Dean [email protected] for Admissions Duke Nursing Colombian Physician Joins Office of Global and Community Alumni Affairs Staff Susan Glenn, Executive Director, Health Initiatives External Relations DUSON Mourns the Loss of Jody Clipp Sallie Ellinwood, Director of Development Holditch-Davis Receives First University Professorship Amelia Howle, Assistant Director, Farmer to Speak at DUSON Global Health Lecture Series Alumni Affairs and Special Events Ginger Griffin, Staff Assistant Scholarship Gift Honors 1975 Alumna
Editor Hase, BSN’82, Supports International Student Travel Marty Fisher 1938 Alumna Steps Up for Scholarships Copy Editor Stefanie Conrad 0 9 New SON Faculty Appointments Contributing Writers Jim Rogalski, Bernadette Gillis, Bryan Gilmer Graphic Designers Jennifer Sweeting, Cara Ragusa Photography Duke University Photography, Sallie Ellinwood, Will McIntyre, Robert Benson Photography, James Wallace
Produced by the Office of Creative Services and Marketing Communications. Copyright Duke University Health System, 2008. MCOC-5595 in the news
New Doctor of Nursing Practice Degree Approved A new Doctor of Nursing Practice (DNP) program was approved in December by the Duke University Board of Trustees. With an emphasis on putting research and scientific findings into practice to improve health care systems, the three- year program plans to enroll 20 students in fall 2008. By 2013 total enrollment of 65 students is projected. “The doctor of nursing practice program builds on our expertise, our school’s mission, and the mission of Duke Medicine,” says Barbara Turner, DNSc, RN, FAAN, professor and chair of the DNP program. “We have been inundated Duke Nursing Breaks into NIH Top 15 with emails from advanced practice nurses The Duke University School of Nursing received more than $2.8 million who comment that this is exactly the in National Institutes of Health funding for research in 2006, making it type of program that excites them about 14th in NIH funding among schools of nursing nationally. In 2005 the furthering their nursing education, with its school ranked 19th. focus on evidenced-based practice, quality “This accomplishment speaks well of the dedication and hard work and safety in practice, and health care of our faculty and my predecessor Jody Clipp,” says Diane Holditch- leadership. We look forward to the arrival Davis, BSN’73, PhD, RN, FAAN, the Marcus Hobbs Distinguished of the first class in the fall of 2008.” Professor and associate dean for research affairs. “The faculty is Nationally 59 nursing schools have continuing their scientific endeavors and I believe they will exceed this DNP programs, including several of Duke rating in the next year or two.” School of Nursing’s top-15 national peers. The data for the ranking was compiled using an NIH Web-based No nursing school in North Carolina tool that allows schools to determine the dollars awarded to any one currently offers the DNP degree. organization or department. Duke’s DNP program also will address a national need for clinical nurse leaders who will work with people from U.S.News Rankings Soar related professions to move research into clinical practice to promote innovative, In 2007 the Duke University School of Nursing jumped from 29th high-quality, and safe patient care, to 15th in U.S.News & World Report’s rankings of America’s Best says Gilliss. Graduate Schools. The last time nursing schools were ranked was 2004. In addition Duke’s DNP program will “The peer recognition that is reflected in this dramatic ascent results help ease the nation’s nursing shortage, from the efforts of many people, including our faculty and staff, our which stems in part from a shortage students, our alumni and donors, and all our other supporters,” says of nursing faculty. DNP graduates are Dean Catherine Gilliss, BSN’71, DNSc, RN, FAAN. “In these three expected to be qualified to fill the gap and short years we have launched the ABSN (accelerated bachelor of prepare the next generation of nurses. science in nursing) program, designed and launched the PhD program, enlarged the master’s program, erected a new building, recruited a new For more information visit dean, enlarged the faculty by 33 percent, and earned recognition among nursing.duke.edu. the top 20 National Institutes of Health grantees in the field of nursing. It is good to have these efforts recognized by our peers.” DUKE NURSING SPRING/SUMMER 2008 03 in the news
Longtime Duke Hospital Nurse Appointed Assistant Dean for Admissions Syvil Burke, MSN, MBA, RN, has been appointed as the first assistant dean for admissions and student affairs. She has more than two decades of experience at Duke Hospital, including working as a nurse manager in the late 1980s and early ’90s. She later served as associate operating officer for the transplant and dialysis service lines. In her new role she will streamline the School of Nursing’s admissions and student services operations into a team that serves its changing and growing needs and constituencies. Burke received her bachelor’s degree from the University of North Carolina at Chapel Hill, her master’s from UNC-Greensboro, and her MBA from the Fuqua School of Business at Duke.
Colombian Physician Joins Office of Global and Community Health Initiatives Rosa Solorzano, MPH, MD, a physician and local community initiatives with a focus on from Colombia with 17 years of U.S.-based the Hispanic population; outlining a cultural public health experience, has been appointed competence course for nursing students; and associate director of the Office of Global creating research opportunities for Duke nursing and Community Health Initiatives. Most students in local and international Hispanic recently Solorzano worked with the non-profit communities. She is currently developing a two- organization TeenSmart International in week summer clinical and cultural experience in Atlanta, Georgia, working with adolescents in Nicaragua for ABSN students. Solorzano earned Nicaragua, Guatemala, and Costa Rica to help her medical degree in Colombia as a general promote healthy lifestyles and prevent health- practitioner and then went on to earn her master’s risk behaviors. At Duke she will pursue three degree in public health at Emory University. priorities: developing all global, international, American AcademyofNursing (FAAN). Trajectories ofAgingandCare(TRAC)Center, thefirstscientificCenter Clipp, NotedGerontologyResearcher within ourschool,shehelpedbuildaresearchenterpriseand launcha went ontoreceiveherdoctorateindevelopmentalpsychology from Catherine Gilliss,BSN’71,DNSc,RN,FAAN. “Dr. Clipphasmade Cornell University. Shecompletedapost-doctoralfellowship inaging Contributions toNursingScienceAward, recognizinghermany Elizabeth, andCeleste. Duke MournstheLossof Durham Veterans AffairsMedicalCenter. designing andimplementingthenewPhDprogram. of ExcellenceattheSchoolNursing.Shealsowasinstrumentalin of Health,HartfordFoundation,andRANDCorporation-funded doctoral program.We willmissherdynamicpersonality, herenormous in psychiatricnursingattheUniversityofMaryland,College Park,and and personallyforDuke,especiallyourschool,”saidDean and shewasanationallyrespectedresearchereducator. Asaleader and PhiKappawasinductedposthumouslyasafellow ofthe and thequalityoflifecareatendlife. health acrossthelifecourse,chronicillnessandinformalcaregiving, accomplishments, includingherresearchrelatedtotrajectoriesof renamed theElizabethC.ClippResearchBuilding. research atDukeUniversity. ShewasamemberofSigma ThetaTau talent, andthegenerosityofherspirit.” substantial contributionstoourunderstandingofhealthandaging, “Dr. Clipp’s passingisatremendousloss,bothprofessionally Clipp wastheprincipalinvestigatorofNationalInstitutes Clipp receivedherbachelor’s ofnursingdegreeandmaster’s degree In Maythebuildingthathousesnursingresearchfacultywas In AprilClippwasgiventheSchoolofNursing’s Distinguished She issurvivedbyherhusband, Steven,andherchildren,Stephen, Center. Shealsowastheassociatedirector Education, andClinicalCenteratthe of gerontology, diedonAugust5,2007. of Geriatrics,atDukeUniversityMedical professor, DepartmentofMedicine,Division for researchtheGeriatricResearch, research affairsandalsoheldthetitleof the BessieBakerProfessorofNursinganda Elizabeth C.“Jody”Clipp,PhD,RN,FAAN, nationally recognizedresearcherinthefield Clipp wastheassociatedeanfor “it’s purelycoincidental,but “kangaroo care”versusmother-administered Associate DeanofResearchAffairsDiane Affairs inAugust,bringingeightyearsof University Professorship Holditch-Davis ReceivesFirst when Iwasafreshmanat College beforereceiving Nursing tobefundedbytheuniversity, a Nursing in1973. Distinguished ProfessorofNursing,thefirst Duke.” Holditch-Davis Holditch-Davis notesthat, of pre-terminfants. of Health.Sheiscurrentlyinvestigating distinguished professors. Holditch-Davis nowrepresentstheschool provost, aboutwhom university distinguishedprofessorshipatthe practices andthebehavioraldevelopment School ofNursing. infant massageonmaternalparenting leading theschool’s OfficeofResearch he happenedtobeprovost a formerDukeUniversity has beenappointedtheMarcusC.Hobbs her bachelor’s degreefromtheSchoolof applications fortheNationalInstitutes at Duke-wideactivitiesforuniversity Holditch-Davis, BSN’73,PhD,RN,FAAN, entered theDukeWomen’s endowed professorshipattheSchoolof the effectsofmother-baby skin-to-skin experience asascientificreviewerofgrant named inhonorofHobbs, sign oftheschool’s risingstatureoncampus. The professorshipis The Hobbsprofessorshipisthefirst Holditch-Davis becameassociatedean
055 DUKENURSINGSPRING/SUMMER2008 in the news
The Duke Global Health Institute The Duke Global Health Institute was created in 2006 to address health disparities around the world. It brings knowledge and wisdom from across Duke University to bear on the pressing issues of global health in the 21st century. The institute goes far beyond addressing scourges such as HIV/AIDS and malaria or preparing for the spread of SARS or avian flu to examine the contexts in which these diseases exist—how issues such as poverty, gender, environment, and globalization reinforce existing health disparities, and what can be done in these areas to improve health. The university-wide institute works with faculty and students from all nine schools at Duke in the areas Farmer to Speak at Nursing Global Health Lecture Series of research, education, service, and Noted Harvard Medical School anthropologist, physician, and humanitarian policy. It aims to become a world- Paul Farmer, T’82, MD, PhD, will be the keynote speaker for the Duke School recognized authority in global health of Nursing Office of Global and Community Health Initiatives’ inaugural and to make significant contributions lectureship series on global health. to the prevention and treatment The event is scheduled for Monday, April 21, from 6:30–8:00 p.m. in Duke of health problems in our local University’s Page Auditorium. community and around the world. Farmer is the founding director of Partners in Health, an international For more information visit charity organization that provides health care services, research, and advocacy globalhealth.duke.edu. on behalf of those living in poverty. He is the subject of Pulitzer Prize-winning author Tracy Kidder’s book, Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World. Farmer is the recipient of the Jimmy and Rosalynn Carter Award for Humanitarian Contributions to the Health of Humankind from the National Foundation for Infectious Diseases and several other national humanitarian awards. He currently serves as the Maude and Lillian Presley Professor of Medical Anthropology in the Department of Social Medicine at Harvard. He also is an attending physician in infectious diseases and associate chief of the Division of Social Medicine and Health Inequalities at Brigham and Women’s Hospital in Boston. Tickets will be available at the box office on the day of the event on a first-come, first-served basis. The event is co-sponsored by the Duke University Global Health Institute. For more information visit nursing.duke.edu. “Our Duke degrees put us in a position “Our Dukedegreesputusinaposition Ashley JoynerHase,BSN’82,andher where we can contribute to the global where wecancontributetotheglobal with dignityandnobility,” Stevesays. Hase, BSN’82,SupportsInternationalStudentTravel of GlobalandCommunityHealth Hope, a300-bedorphanageand school Initiatives (OGACHI)toprovidetravel placements inimpoverishedcommunities. in Tanzania witha25-bedhealth center fortunate oftheworld.Itissomething in a way that serves the less fortunate in awaythatservesthelessfortunate about puttingtheirknowledge,faith,and husband, Steve,T’82,arepassionate and philosophymajor. after theygotinvolvedwiththe Cityof have suchafondnessforDuke,” Ashley community.” resources toworkempowertheless global healthinitiativewasa natural step their clinicalcreditsthroughoverseas the optionofsatisfyingaportion their timeatDuke,whenAshleywasa they saywasinstilledinthemduring to theSchoolofNursing’s Office through howtoputmyfaithintoaction stipends tonursingstudentswhohave nursing studentandStevewasareligion says, addingthatsupportingthe school’s Susan T. Miner and Debbie JonesMordaunt “Professors challenged me to think “Professors challengedmetothink “We wanttogivebackbecausewe The Hasesrecentlypledged$50,000
Scholarship GiftHonors1975Alumna General Electric CorporationandadditionalmatchingfundsfromtheDuke Mordaunt’s parents, ThomasandMyrtleJonesofStamford,Connecticut. $100,000 scholarshipinhernameattheSchoolofNursing.Mr. Jonesisaretired University FinancialAidInitiativebroughtthetotalendowmentto$300,000. of developmentfortheSchoolNursing.“DebbielovedNursing, Some ofDebbieJonesMordaunt’s, BSN’75,bestmemorieswereofhertimeas and thisgiftisawonderfulwaytohonorrememberher.” a student at the Duke University School of Nursing. She and her roommate, roommate, her and She Nursing. of School University Duke the at a student executive ofGeneralElectric,andtheirgiftwasmatchedwith$50,000from the years,and when Mordaunt died of cancer in 2005, Miner remained close to Susan ThomasMiner, BSN’75,werelikesisters.Thetwokeptintouchover “We aredeeplygratefultoMr. andMrs.Jones,”saysSallieEllinwood,director To honor Debbie’s memory, Mr. and Mrs. Jones decided to establish a establish to decided Jones memory, To Mr.Debbie’s Mrs. honor and “will enableasignificantnumber AIDS. Itcurrentlyisunderconstruction within athree-hourradiusofthevillage Medical Center(KCMC)inTanzania Nursing andKilimanjaroChristian off toraisethecouple’s four children. of Medicinealreadyhasalong-standing overseas opportunities.TheDukeSchool officials areworkingtoestablisha of studentstogainvaluableinternational director ofOGACHI,saystheHases’gift developing countriesparallelsourown, of theworld.Theircommitmentto of Ntagacha,Ashleysays. in Tanzania. family practicenursewhoistaking time She saidshehopestoreturn nursing for childrenofparentswhohavedied and contribute withhands-onhealthcare and service-learning. and Iamgratefulfortheirassistance.” and willbetheonlyhealthcarefacility relationship withKCMC. relationship betweentheSchoolof choosing wheretodoculturalimmersion to offerfaculty, students,andresidents experience inAfricaandotherparts students willconsiderTanzania when The Hasessaytheyhopenursing AshleyHaseisaformerclinical and Dorothy Powell,EdD,RN,FAAN, In factPowellandotherDuke Carolina. Theyhavefourchildren— Libby, 17,whowillenterDukethisfall; citiesofhope.com. information ontheCityofHope, visit School ofNursing’s Officeof Global Steven, 14;Peter, 10;andAndrew, 6. and CommunityHealth.For more and CommunityHealthInitiatives, visit nursing.duke.edu andclickonGlobal The HasesliveinGreensboro,North For moreinformationonthe
GIFTS TO NURSING TO GIFTS
—Jim Rogalski —Jim
07 DUKENURSINGSPRING/SUMMER2008 GIFTS TO NURSING
1938 Alumna Steps Up for Scholarships
Twirling around the dance floor with a man half her age, Bieber had 35 classmates when she began classes at the Annie Beery Bieber, N’38, is a step ahead of most 91-year- School of Nursing, and only 18 of them graduated. She says olds. Her feet keep time to the Latin rhythms of the tango, that her class was instrumental in starting the Duke Student mambo, cha-cha, and merengue. Government Association, partly a Bieber’s smile is wistful as the music recalls another reaction to the strict curfews on time, when she and her late husband, Gustave Francis nursing students, who were the only Bieber, MD’43, used to dress to the nines and go dancing to women on West Campus at the time. the big band sounds of Tito Puente and other Latin greats. After graduation she had the Now the arms around Bieber’s slender waist are those of honor of being chosen as assistant to her dance instructor and dear friend Tim Saunders. Once a Miss Dill, the nursing arts instructor. week he brings a boom box to the Greensboro retirement com- In later years she worked in the Duke munity where Bieber lives, and they spend an hour ballroom Hospital Emergency Room in the dancing. Bieber says it’s the highlight of her week, and the mornings and spent afternoons working in the Nose and exercise helps keep her mind, body, and spirit in shape. Throat Clinic. During her last year and a half at Duke, she Much has changed—in dancing and nursing—since was a supervisor in the nursing office. Bieber took her first steps at Duke toward a life that would She remembers many legendary figures of Duke take her all over the world. Both her career in nursing and Medicine’s early days, including deans of nursing Bessie her marriage had their start at Duke, and that’s where Bieber Baker and Margaret Pinkerton, the first nursing faculty has decided to leave a bit of her legacy. She recently gave member, Ann Henshaw Gardiner, and original Duke medical $100,000 to establish the Annie Beery and Gustave Francis faculty members Robert “Daddy” Ross, F. Bayard “Nick” Bieber Scholarship Fund at the School of Nursing. Her gift Carter, Darryl “Sterile Darryl” Hart, and Fred Hanes. will be matched by the Duke Financial Aid Initiative for a Gustave Bieber was a third-year medical student total of $200,000. when Bieber married him in 1941. After he graduated, “I think all of us, as alumni, feel a connection to today’s they moved to the University of Chicago Clinics for his students, and it’s wonderful when alumni are able to give internship and residency. After Gustave completed two years back by supporting in the U.S. Army Medical Corps during World War II, the scholarships,” said Dean couple moved to Honolulu, Hawaii, for his internship and Catherine Gilliss, BSN’71, residency in obstetrics and gynecology. They spent a number DNSc, RN, FAAN. of years caring for workers on Hawaii’s sugar plantations. “While Duke is preparing Later they settled in New Orleans, Louisiana, where he nurses today for a world worked at Charity Hospital and they began raising two of health care that is sons, Kenneth, E’70, and Pete “Steve.” They finally settled very different from the in Fort Myers, Florida, but traveled all over the world for environment in which medical conferences. Bieber collected necklaces from many Annie—and even my of the places she visited, and these have become part of her generation—practiced, trademark style. the quality of a Duke Gustave died in 1988, and Bieber later moved to nursing education Greensboro, North Carolina, where her son Pete and his remains among the family live. When some bonds she had purchased years very best.” earlier matured, she decided to use the money to endow a scholarship at the School of Nursing. “It just seemed like a nice thing to do,” she says.
—Marty Fisher
Annie Beery Bieber, N’38, with her dance instructor, Tim Saunders New SON Faculty Appointments years ofexperienceinclinicalpractice, Ohio StateUniversity. works half-timeatHospiceofWake Clarion UniversityofPennsylvania Ohio BoardofNursingandduringthat County. Shefeelstheclinicalexperience John Brion, PhD, RN PhD, Brion, John Duke heservesasaninstructorwith of directorstheNationalCouncil oncology nursingcertificate(AOCN) oncology nursepractitionerresidency quality oflife.AtDukesheteachesthe Hospice herfocusistailoringpalliative psychology andsociology—andanMS program administration.Heservedfor in adulthealthandPhDnursingat undergraduate degreeinhistoryfrom patients andtheirfamiliesisinvaluable before earningaBSN,twoBAs—in State BoardsofNursingEducation.At last 30years. from Winston SalemState University. from theUniversityofNorthCarolina baccalaureate nursingeducation,and She hasbeenapracticingnurse forthe at ChapelHillandherbachelor’s degree an assistantclinicalprofessorwhoalso acute chronicillnesscourses.Lambe and onlineinitialnursepractitioner Camille Lambe, PhD, RN, AOCN, NP AOCN, RN, PhD, Lambe, Camille clinical professorwithmorethan19 care tomaximizeeachpatient’s desired master’s degree,andheradvanced received herPhD,nursepractitioner the ABSNprogram.Brionreceivedan time waselectedtoserveontheboard three yearsasexecutivedirectorofthe to herworkasanursingeducator. At she gainsworkingwithterminallyill , isanassistant , is Army andasassistantvicepresident Washington UniversityHospital,the (UCLA) MedicalCenter, and the with theAmericanAssociationof Colleges ofNursing,theGeorge Carolina. Shealsohasheldpositions England. Thornlow earned her PhD from England. ThornlowearnedherPhDfrom National Health Service of London, National HealthServiceofLondon, of complex health organizations. She has of complexhealthorganizations.Shehas University of California, Los Angeles University ofCalifornia,LosAngeles of qualitymanagementatCarolinas Healthcare SysteminCharlotte,North professor of nursing whose research professor ofnursingwhoseresearch focuses on acute care quality and patient focuses onacutecarequalityandpatient from PennStateandamaster’s degreein master’s-level courseonthemanagement cardiopulmonary nursingfromUCLA. the UniversityofVirginia in2007,and served asacaptainintheUnitedStates safety. ShecurrentlyteachesaDuke Deirdre Thornlow, PhD, RN PhD, Thornlow, Deirdre she holdsabachelor’s degreeinnursing John Brion,PhD,RN , is an assistant , isanassistant Camille Lambe, PhD, RN, AOCN,NP
1995. Hisinterestsincludeanesthesia Vacchiano servedintheUnitedStates There hedidresearchonhypoxiaand Research Laboratory. Heearneda Navy for26years,retiringasacaptain. University inordertobecomeacertified University andasecondbachelor’s diagnostic cardiology. degree fromGeorgeWashington He receivedhisPhDinphysiologyfrom bachelor’s degreefromWright State hyperoxia attheNavalAerospace and applications of hypoxia research to and applicationsofhypoxiaresearchto appointed tothefaculty. Previously Charles Vacchiano, PhD, CRNA PhD, Vacchiano, Charles registered nurseanesthetist(CRNA). the UniversityofSouthCarolinain Deirdre Thornlow, PhD, RN F A aculty ppointments Charles Vacchiano, , hasbeen PhD, CRNA
09 DUKENURSINGSPRING/SUMMER2008 FEATURE story
ABSN Program Draws Young Professionals into Program Turns Satisfying Nursing Careers 5 BY MARTY FISHER “In industry, IwasinvolvedinSixSigma Step-Down Unit,DukeHospital chemical process engineer and trouble-shoot atthebedsideevery Clinical Nurse I, Adult Surgical Surgical Adult I, Nurse Clinical Jo EllenHolt,ABSN’08 filter outintothe real world.Nursesare science ofnursing progress.” day…I want to use the formal discipline discipline formal the use to want day…I engineers. We have to problem solve problem solve We to have engineers. of engineering to help the young young the help to engineering of of Arkansas that itworksinacademia,andlet it that modelintohealthcare andshow training, whichiscontinuousquality improvement…I think it’s think improvement…I bring to time BS, ChemicalEngineering,University Four years’ work experience as a as experience work years’ Four “One dayduringmypreceptorship intheoncologyunitatDukeHospital,Iwasworking and theymademepartofthatteam,Iwasabletohelp.realized howmuchIhad emergencies withfouroutofthefivepatients.Thenursesallcametogetherasateam, with a nurse who had five patients. During the course of that day there wereday medical that of course the During patients. five had who nurse a with Left a30-yearcareer ininformationtechnologyservicesmanagementtopursueherDukeABSN learned andwassurprisedbyhowmuchIknew.learned Itwasagreat confidencebooster.”
“The workwaschallengingand fun,butI Clinical NurseI,9300OncologyUnit,DukeHospital did notlikewho Iwasasaperson.” destroy theworld,basically,” shesays. of rocketmotorsformissiles—Patriots, Chemical Company. three yearsoverseeingtheproduction to theU.S.military. Shespentthenext pesticides, andcleaningproducts,she the workprocessmoreefficientandsafer BS inchemicalengineering,shelandeda from theUniversityofArkansaswitha for employeesandtheenvironment.But Holt wasnothappy. money wasgood,andsheenjoyed manufacture ofpharmaceuticals, job asaprocessengineerwithEastman landed ajobwithAeroJet,contractor knowing thatyouwereworking to knowing hercontributionwasmaking Sidewinders, Javelins,andthelike.The “It wasdifficulttosleepatnight B After ayearofsupervisingthe Holt left her engineering job and in in job and engineering her Holt left y manymeasureslifeafter Jo EllenHolt,ABSN’08. college wasasuccessfor Shortly afterhergraduation Pamela Watson, ABSN’08 A FastTrack toBetterNurses Then asnow, hospitalsand health alarming shortage ofbaccalaureate- accelerated Bachelor of Science in in of Science Bachelor accelerated agents who could make a difference in agents whocouldmakeadifferencein at Duke. (Hon.), PhD,RN,FAAN and herfaculty , she and care, health in work processes systems acrossthecountryfaced an goal? To developnursingleaders—change search ofamoremeaningfulcareer. The prepared registered nurses—college they begandesigningtheABSNcurricu- team hadinmindeightyearsago,when engineering and nursing in program Nursing (ABSN) degree program. She She program. degree (ABSN) Nursing unit. She is actively seeking ways to seeking actively is She unit. December she graduated from Duke’s from graduated she December now works as a clinical nurse in Duke Duke in nurse now aclinical worksas Hospital’s adult surgical step-down step-down surgical adult Hospital’s lum: smart, educated men and women in lum: smart,educatedmenandwomenin into principles engineering incorporate former deanMaryT. Champagne,N’07 health careandinpeople’s lives. degree to help develop adual hopes Holt isjustthekindofperson
11 DUKENURSINGSPRING/SUMMER2008 FEATURE story
graduates with higher-level skills in offers more than 800 hours of clinical A Transforming Gift critical thinking, communication, care experience, culminating in a seven-week The progress was very encouraging, management, and clinical leadership. clinical preceptorship in an inpatient but one key element was missing: A growing elder population and hospital unit. With collaboration from a philanthropic partner. Without advances in medicine and technology to Duke University Health System’s nursing significant private investment, the school treat cancer, heart disease, congenital leadership, the School of Nursing sought would be extremely hard pressed to hire diseases, premature infants, and the to produce new nurses who would faculty, provide student scholarships, elderly had significantly advanced the be fully prepared to fill badly needed and secure and equip classrooms and skill set needed to care for hospital and positions in Duke University Hospital laboratory space. long-term care patients. At the same as well as in community hospitals and That hurdle was cleared in a big time, nursing faculty were beginning to health care facilities across the country. way in January 2002 when the Helene age out of the profession, and enrollment Champagne and team applied Fuld Health Trust, created by Leonard in traditional four-year baccalaureate for and received a coveted $6-million Felix Fuld, cemented a partnership with nursing programs was declining sharply. grant from the Health Resources and the School of Nursing with a $6-million A few dozen peer schools had Services Administration (HRSA) of the gift for the new ABSN program. On the started ABSN programs as a fast United States Department of Health same day the Fuld gift was announced, track to nursing for college graduates. and Human Services. They also worked the Duke University Board of Trustees Duke University, which had dropped closely with the North Carolina Board announced its approval of the ABSN its four-year baccalaureate nursing of Nursing and the Commission on degree program. program in 1982, sought to create a Collegiate Nursing Education (CCNE) to The Helene Fuld Health Trust, better baccalaureate model, one that ensure the program met all requirements based in New York, is the nation’s would focus on the fundamentals of for the baccalaureate degree. As the largest private foundation dedicated nursing but also offer 15 master’s-level end of 2001 approached, things were exclusively to nursing students and credits and expose students to more looking very positive for a successful nursing education. The gift was the hours of hands-on clinical experience accreditation visit in the spring of 2003. largest in the school’s 72-year history in the acute care setting. Duke currently and, according to Dean Catherine Gilliss, BSN’71, DNSc, RN, FAAN, it heralded a change in the school’s fortunes that is ABSN still playing out today. Patrick Olson, ABSN’04 Clinical Nurse II, Medical Intensive Care Unit (MICU), Duke Hospital BS, West Point, United States Army, 1992–1998 Started a MICU Intranet initiative at Duke for RN resources
“I chose Duke’s ABSN program because of the shortened timeline to getting my BSN—16 months versus 24. The biggest advantage was the opportunity to do my final semester clinical rotation in the unit where I wanted to work after graduation, the MICU. This let me get a good feel for the unit, the daily workload, and the ‘life’ of an ICU nurse as a student without the pressures of stepping into the ICU as a brand new nurse.” “I chosetheprisonsitebecauseIthoughtitwouldbeaninteresting S Alexander. Shehad noticed,duringthesixdaysofherfirst-semester one time with patients. Brion and the students spend from 6:45 a.m. as it’s inthescopeofoureducation,”shesays. opportunity todomoredirectpatientcareandprocedures,”says a patientwithend-stage cancer. “Because hewasinprisonand clinical experience in Duke Hospital, that special IV and ostomy ostomy and IV special that Hospital, Duke in experience clinical Center inButner, North Carolina,a700-bedhospitalforthefederal Federal Prison Clinical Experience aFirst Is for Duke until 3:00p.m.at thecentereveryMondayand Tuesday. nurses on the floor and us—we get to do whatever they do, as long something moreunusualcaughthereye. was takingagroupofeightABSNstudentstotheFederalMedical was directorofanOutwardBound programforteenswithcancer placement intermsofcontinuitycare,anditwouldgiveme the prison system,oneofonlysixsuchfacilitiesinthecountry. teams werecalledinforprocedures.“Attheprisonit’s justthe In additiontogettinglotsofhands onexperience,Alexander, who For thefirsttime,AssistantClinicalProfessorJohnBrion,PhD,RN, Durham Regional,Rex,AlamanceorUNChospitals.But During hersecond weekatthecenterAlexander wasassignedto before shedecidedtopursueher ABSN,appreciatedtheone-on- great clinicalplacementchoicesforher15-weekadult econd semesterABSNstudentKimAlexanderhadsome health course:anassortmentofinpatientunitsatDuke, From left,thestudentsare: ClarkSchmutz,KimAlexander, Darcy King,JohnBrion,AshleyShurley, John Brion,PhD,RN,center, andstudentsare ready foradayofclinicattheButnerfacility. Jennifer Smith,andStephanieReese.Notpictured are KellyCatoandBurkeDickens. “We love havingthestudentshere,andhopefullysomebodywill “Just beingthereforhimandtalkingwithreaffirmedmycareer According toBrion,aclinicalplacementatprisonfacilityisvery administration, staff, andeventheinmateshavetreatedhim applied forcompassionatereleasebutwasnotexpectedtosurvive care, abdominalsurgery, anddialysis.It’s muchmorethanyour choice,” shesays.“It’s oneofthereasonsIwentintonursing—to run-of-the-mill clinicalexperience,”hesays.Headdsthatthe unit wherehisstudentsareassignedprovidesthemwith“awide unusual foranursingschool.But,asinpatientlearningexperiences separated fromhisfamily, hereallyneededsomebodyto listenas want tojoinour team,”hesays.“We’re alwaysappreciative of with Duke. variety ofpracticeskillsandpathology, includingHIV, hepatitisC, tuberculosis, MRSA,orthopedicsandamputations,burns,ventilator the studentswell.“We allfeelextremelywelcomedinthissetting,” the longapplicationprocess. Prison Warden AlBeeleriseagertocontinuetherelationship helps ourstaff keepourenergiesandeducation up-to-date.” being abletodevelop relationshipswithacademic institutions—it he says. become increasinglyscarce,he’s thrilledtofindit.The 30-bed be thereforpeople.” he processedwhatwasgoingonforhim,”shesays.Themanhad
13 DUKENURSINGSPRING/SUMMER2008 FEATURE story
Simulation Fosters Team Building, Communications
eginning in June, students in the accelerated Bachelor communicate with each other through headsets as they assess of Science in Nursing (ABSN) degree program will and treat the patient. be able to computer-click their way through a three- B A dialogue box gives a description of the incoming virtual dimensional (3D) virtual combat support hospital, treat a virtual patient, whose vital signs are visible on a monitor within the trauma patient, and hone their team-building skills thanks to game. A faculty observer documents how the students perform a high-tech computer game developed by the United States during pre-briefing, treatment, and de-briefing. Behaviors military and the Duke Human Simulation and Patient Safety being stressed include situational awareness, structured Center (HSPSC). communication, and assertiveness, among others. An instructor will assess their behavior in the virtual world and Students can computer-click on a patient’s wound and get a give very real feedback afterwards. list of options for treatment. During the session the instructor The 3DiTeams software gaming program is among the most can create conflicts, such as directing the student physician to cutting-edge 3D computer software available for training perform a procedure on the wrong side of the body, to see how medical personnel in team building and leadership. It is geared the team will react. toward today’s savvy generation of computer gamers and Nancy M. Short, BSN’76, MBA’91, DrPH, RN, the chair provides a cost-effective way to enhance skills. of Duke’s ABSN program, has secured a grant to purchase “This is much more engaging than sitting in a lecture hall,” says computers, reimburse the HSPSC for 3DiTeams training, and Jeffrey Taekman, MD, director of the HSPSC, who along with his allow ABSN students access to the cutting-edge training team secured funding and helped develop the software. “The software. The computers will be located in the Center for literature says that watching a lecture does not change behavior.” Nursing Discovery at the School of Nursing. She says this virtual training is important to get nurses ready for the workforce. In the game students are assigned roles including senior and junior nurse, physician, and more. They create avatars—virtual “It is increasingly difficult to train entry-level health care profes- characters within the computer game—which they move sionals in (real) tertiary settings,” she says. “They need exposure throughout the virtual combat hospital room. Students to situations prior to entering a patient care environment, and “For me the pediatric course offered through the program was wonderful. The faculty who specialize in pediatrics helped me decide that neonatal pediatrics was the right track for me. I had wonderful clinical experiences—I actually got to do clinical in the Duke Intensive Care Nursery. We got hands-on patient care experience, which was more intensely involved than what I believe other universities would facilitate. The instructors were very influential. They had a lot of examples to bring to the classes…It made learning a whole lot easier.”
Chris Woods, ABSN’06 Student in Duke’s MSN-Neonatal Nurse Practitioner (NNP) Program Full-Time Staff Nurse, Intensive Care Nursery (ICN), Duke Hospital BS, Liberal Studies, Excelsior College Former U.S. Navy SEAL
gaming simulations allow for team interactions, rehearsal, learning new concepts, and dealing with errors.” The list of student behaviors to be accomplished is based on the curriculum of the Agency for Healthcare Research and Quality (AHRQ) called TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety). Duke is one of only four TeamSTEPPS centers of excellence in the country and is a training site for the TeamSTEPPS curriculum. “Teamwork and communication are huge issues nationally,” Taekman says. “I’m a big advocate for interactive types of learning because when you do get to the patient’s bedside, you can maximize the time by having the best understanding possible.” The HSPSC program is funded by the United States Army Telemedicine and Advanced Technology Research Center and at the School of Nursing ABSN by a Health and Human Services Resources Administration (HRSA) nurse education grant. 3DiTeams was created by Duke and the software company Virtual Heroes on behalf of the United States military. Virtual Heroes is run by Duke graduate Jeremiah “Jerry” Heneghan, B’02. The AHRQ is funding a Duke study to compare the 3DiTeams video game program to other forms of team training in regard to cost, outcomes, and attitudes. Other members of Taekman’s team include Melanie Wright, PhD; Noa Segall, PhD; and Gene Hobbs, CHT. —Jim Rogalski DUKE NURSING SPRING/SUMMER 2008 15 FEATURE story
Schoenholz, BSN’73, Supports ABSN Financial Aid
hen Susan Hadam Schoenholz, BSN’73, and her husband, David, T’73, decided recently to become $1-million donors to Duke W University’s Financial Aid Initiative, Susan showed her support for the School of Nursing by designating $250,000 of the gift for students in the accelerated Bachelor of Science in Nursing (ABSN) degree program. “I know how valuable the baccalaureate education I received was and the opportunities it created for me,” says Schoenholz. “Even though this program is very different from the program that I was a part of, I believe its graduates will be equipped with the problem solving and critical thinking skills they will need to succeed in a complex and changing field of nursing.” The Schoenholz gift will be matched by the Duke University Financial Aid Initiative for a total of $500,000 for ABSN student scholarships. “We are very grateful to Susan and David for their support for both nursing and arts and sciences education at Duke,” says Duke University President Richard H. Brodhead. “The ABSN program has been a great success, and its graduates are filling an important need at Duke and nationally. It’s wonderful to have the support of nursing alumni.” Schoenholz had a 20-year career in nursing, including work as a clinical specialist in education at Harvard University’s Joslin Diabetes Center and as a clinical specialist in diabetes and pregnancy at Northwestern University. She later received a master’s degree and worked as director of nursing at a home health agency before retiring. ABSN Katherine Hornack, ABSN’07 Clinical Nurse II, Intensive Care Unit, Duke Hospital BS, Psychology, German, Philosophy, Marquette University Worked as a therapist for suicidal and aggressive adolescents
“One of the great things about the ABSN program is that we have a little bit more experience and we know what we want to do in the world. I knew I wanted to work in critical care. The reason I chose nursing versus going back for my MD was that I found that even as a bachelor’s-level psychotherapist, I knew what was happening with my patients almost better than the doctor. I liked the actual interaction with the patient and family. In nursing I can continue that and have the opportunity of growth into a master’s or nurse practitioner role. One of the very big positives about Duke is that you feel like you’re part of the community. I felt like I had a networking system here. I had done a preceptorship in the ICU, and I knew I could get a job in the ICU.” The course format was developed using a series of of series a using developed was format course The This year the students also completed service projects in According to Donald “Chip” Bailey, Jr., PhD, RN, course American AssociationofCollegesNursingandtheJohn Students Firsthand Get Elder Experience Care Geriatric Nursing Course in Baccalaureate Nursing” by the evidence-based protocols or care strategies for common common for strategies care or protocols evidence-based director, the exposure to elder care is important because geriatric nursingcare. each of the four long-term care facilities they worked and evaluatetheprotocols based oninteractionswith Students patients. elderly of majority the for effective accreditation. a successfulon-sitereview, withno an endowedprofessorship,supportfor visiting faculty, anda10-bedsimulation educational technology, andendowed educating baccalaureatenurses,”says would putDukebackinthebusinessof patients, staff, andfaculty. more than 60 percent of the patients these future nurses more than60percentofthepatientsthesefuturenurses Hartford Foundation Institute for Geriatric Nursing. In 2004 the program was awarded “Best Stand-Alone will encounteratDukeandotherhospitalsbeelderly. work inpairsoveraseven-week rotationtoimplement completed 59,000-square-footbuilding, confidence oftheFuld Trust. Thisgift received fromHRSAhelpedusgainthe recommendations, forthefull10-year scholarships, aportionoftherecently support forourfaculty.” school, makingpossiblenewfacilities, in. These included conducting skin tests for tuberculosis, Gilliss. “Thepublicendorsementwe health problems faced by the elderly in long-term care care long-term in elderly the by faced problems health settings. The protocols have been tested and proven proven and tested been have protocols The settings. four-year accreditationfromtheCCNE D in Fall2003andrecentlycompleted lab, theCenterforNursingDiscovery. into designinganewcurriculumthat has done nothing less than transform our “A lotofveryhardworkwent The schoolreceiveditspreliminary The Fuldgiftfundedstudent to have an award-winning stand-alone course in in course stand-alone award-winning an have to uke University’s accelerated Bachelor of Science in Nursing program is one of only a few nationally Nursing programisoneofonlyafewnationally 16-month programofstudyinAugust 2009. HRSAawardedasecondgrantto of theprogram’s existence,from38 about 9percentminorities.Theyrange a diversegroupofcollegegraduates, and finishinDecemberofthefollowing year. Theyarepinnedataspecial 84 students. ceremony inDecemberandcelebrate come fromNorthCarolina,andthe students whograduatedin2004to65 graduation withtherestofDuke planned expansiontoasmany the schoolin2007tosupportanother University inMay. Duke ABSNstudentsbeginthe Filling aNeed in theclassthatwillgraduateMay in agefrom21to57.About60percent including roughly6percentmenand Enrollment hasincreasedeachyear Duke’s ABSNprogramattracts creating an emergency evacuation plan, and designing large format calendars for patient rooms. Students also visited management, andhomesafety. well elders in an independent living facility and shared well eldersinanindependentlivingfacilityandshared information about healthy lifestyles, nutrition, medication information abouthealthylifestyles,nutrition,medication Rachel Klien;standing are CourtneyCollins,Kelly Anderson,LauraBax, calendars tohelpelderlyresidents withtimeorientation.From left,
Students intheGeriatricNursingProgram designedlargeformat first row, are students Andrea Lingle, Elizabeth Faulkner, and Clinical Instructor Vickey Keathly,Clinical InstructorVickey and studentAmyRunk. 3.3, andthenumberofstudentswho 95 percent. area of Duke Hospital and many many and Hospital Duke of area of Nursing. The hospital offers a Nursing a meangradepointaverageofabout exchange for working in Duke University encouraged astrongpartnershipbetween clinical placements in nearly every every nearly in placements clinical collaborate extensivelytoprovide remaining 40percentcomefromstates students takeadvantageoftheprogram. graduate isconsistentlyhigherthan the seven-weekpreceptorship,gives facilities inoraffiliatedwiththeDuke Education Reimbursement Program in Education ReimbursementProgramin University HealthSystem.Oneofthe Duke University Hospital and the School Duke UniversityHospitalandtheSchool Health System facilities, and most Health Systemfacilities,andmost most popularaspectsoftheprogram, in allregionsofthecountry. Theyhave The schoolandhospitalalso Enlightened self interest has Enlightened selfinteresthas
17 DUKENURSINGSPRING/SUMMER2008 FEATURE story
Gena Bittner Burnett, ABSN’06 Student in Duke’s MSN-Certified Registered Nurse Anesthetist (CRNA) Program Worked as a clinical nurse in Duke Hospital’s Medical Intensive Care Unit (MICU) BA, Chemistry, UNC-Chapel Hill Founding President, Duke Student Nurse Association
“Duke’s program is unique in that it provides 15 hours of graduate-degree credit in addition to the required BSN curriculum. Knowing that I was planning to continue my education at the master’s level, this was an important feature. The vigilance and critical thinking skills I learned in the ABSN program—through patient simulation and clinical rotations—were enhanced when I worked in Duke’s MICU. Now as a new CRNA student, I am quickly learning that vigilance and critical thinking skills are essential for anesthesia practice.” ABSN
students experience tailored to the work collaborations in global health, geriatrics, best practices in second-degree nursing they will be doing—nearly 40 percent public policy, community health, and education. The results will be published accept employment on the unit where divinity—to name just a few. This in nursing professional journals over the they completed their preceptorship. deepens and enriches the learning next several years. Others have taken positions at Triangle- experience for our students.” area hospitals or tertiary hospitals in Hays, who was succeeded as chair “For me, it was Duke or nothing.” other states, including Johns Hopkins, by Nancy M. Short, BSN’76, MBA’91, Like many of her classmates, Jo Ellen the Mayo Clinic, Emory University, DrPH, RN, says the time is ripe for a Holt says she was drawn to the aura of the University of Pennsylvania, the national effort to research best practices Duke University, with its gothic campus, University of Chicago, and the in accelerated baccalaureate nursing championship athletic teams, and University of California-San Francisco. education. top-ranked academic medical center. “It has been about two decades “For me it was Duke or nothing,” Best Practices since the accelerated model emerged, says Holt. “I had dreamed about Duke Judith Hays, PhD, RN, who served as and a number of different models have as a young person. I always thought I chair of the ABSN program from 2004 evolved,” she says. “As the shortage of might come here someday.” until April 2007, credits faculty support nursing faculty and clinical training sites Holt arrived in Durham a few for teaching as well as relationships deepens, it’s time to look at the most days before the start of classes. Eager across Duke University, the health effective and efficient ways of educating to explore the campus, she quickly got system, and the community with the baccalaureate nurses.” turned around. program’s success. In March 2007 Hays and her Duke “I thought I was lost and in a forest,” “Our faculty has been very generous nursing colleagues hosted more than she says. “And then I happened upon in giving time and one-on-one attention 100 participants from schools of nursing Chapel Drive and drove up to Duke to our students,” she says. “Our across the country. Twenty schools, Chapel. That was an amazing experience. nursing faculty members are established including Duke, formed a consortium to I think this will be a hard place to leave.” researchers and clinical experts with develop a research agenda for evaluating Spelling Out Nursing’s Alphabet Soup
By confessing on a television commercial that she’s In the category of not-so-easily-recognized abbreviations guilty of copious IM-ing (“Instant messaging”) of nursing degree and certifi cate programs offered at Duke with her BFF (“Best Friend Forever”) Rose, a little come DNSc (Doctorate of Nursing Science degree), GNIE old lady, has proven that IM-speak is no longer the (Geriatric Nursing Innovations in Education), PACNP (Pediatric Acute Chronic Care Nurse Practitioner), ACNP sole domain of SNERTs (“Snot-Nosed Egotistical (Acute Care Nurse Practitioner), CCNS (Critical Care Nurse Rude Teenagers.”) Specialist), CRM (Clinical Research Manager), CRNA CMIW (“Correct Me if I’m Wrong”), but it’s now NBD (Certifi ed Registered Nurse Anesthetist), and the recently (“No Big Deal”) for millions of people of all ages to use an approved DNP (Doctor of Nursing Practice). alphabet soup of abbreviations to describe everything from Other noteworthy lettered litanies in the fi eld of nursing KPC (“Keeping Parents Clueless”) to NALOPKT (“Not A include FAAN which means the person is a Fellow of the Lot Of People Know That”) (which, until now, could probably American Academy of Nursing, to which nurses are invited have been said about KPC). based on their leadership and professional accomplishments. BTW (“By The Way”), all of these acronyms are There currently are just 1,500 members nationally, established in mainstream IM-ing. Don’t believe it? DYOR and 14 Duke nursing faculty members (“Do Your Own Research”). are among them. If you’re a n00b (“Newbie”) to nursing, you might be struggling to understand what all of the letters stand for at BY JIM ROGALSKI the end of your professors’ names. Maybe you have a new boss and don’t quite know what to make of the half dozen acronyms tagged onto his or her name. Perhaps you DKDC (“Don’t Know, Don’t Care”), but if you do, this article will For more on IM-speak visit: help set you STR8 (“Straight”). webopedia.com/quick_ref/ Our own faculty member Eleanor S. McConnell, BSN’76, textmessageabbreviations.asp#b
MSN’78, RN, PhD, GCNS-BC as you can see, has no fewer For nursing degree information visit: than fi ve alphabetical arrangements after her name. Here’s the wikipedia.org/wiki/ 411 (“Information”) on what they mean: List_of_nursing_credentials
BSN’76 means she earned a Bachelor of Science degree in nursing from Duke University in 1976.
MSN’78 stands for the Master of Science in Nursing degree she received at Duke in 1978.
RN, of course, means she’s a registered nurse. 2008 (If you didn’t know that you might want to consider a new career.)
GCNS-BC indicates she a Geriatric Clinical Nurse Specialist, Board-Certifi ed. Knowing what order the acronyms should follow is
equally challenging. Suffi ce it so say that the alpha-hierarchy SPRING/SUMMER fl ows from academic, to licensure or state designation, to board certifi cation, to awards. NURSING DUKE 19 FEATURE story
Harriet Cook Carter Lecture— Integrating Classroom and Clinical Learning
BY BERNADETTE GILLIS
Sometimes the best way to improve education is to listen to those Benner says students often view ethical most affected—students. That’s exactly what Patricia E. Benner, standards as abstract principles but don’t PhD, RN, FAAN, did recently as director of a national nursing always realize ethics lessons can occur any time in day-to-day practice. education study sponsored by the Carnegie Foundation. She shared The key is to find a way to a few of the study’s highlights for a crowd of 300 at the School of incorporate all three apprenticeships Nursing’s annual Harriet Cook Carter lecture in January. into both classroom and clinical settings. Benner says while most educators During the three-year study, which says. “We really have to beef up the and administrators do include them consisted of surveys and visits to nine classroom teaching.” separately in their curriculums, there is schools of nursing, Benner and her Using feedback from a survey of very little integration. research team found that even though 1,648 members of the National Student For example in the survey one most students are enthusiastic and Nurses’ Association, Benner and her student expressed concern that too much passionate about nursing, educators still team identified three dimensions, or emphasis is placed on technical skills. The need to find better ways to mesh clinical apprenticeships, that educators should student wrote: “Bedside manner, social with classroom learning. Benner says use when teaching future nurses: interaction, calming difficult patients, many methods used in the classroom, cognitive, practice, and ethical standards. dealing with intense emotion, and such as playing games or teaching to The cognitive apprenticeship communication with patients with whom standardized tests, aren’t effective or includes basic intellectual training that you do not share a common language are engaging enough. typically occurs in the classroom. The all much harder than learning to start an “We found classroom teaching to practice apprenticeship involves learning IV, yet the emphasis on skills over theory be weaker than clinical teaching,” she that goes on in clinical practice settings. and thought pretends otherwise.” Duke nursing alumni and students, faculty, and administrators from nursing schools across North Carolina attended the Harriet Cook Carter Lecture at Duke.
Benner says after visiting the in service of the best caregiving Currently a professor and the Thelma nine schools of nursing, she and her practice. From the beginning our goal Shobe Chair in Ethics and Spirituality team were not able to find a school for the eight clinic-based courses of in the Department of Social and that effectively incorporated all three the ABSN program has been to protect Behavioral Sciences at the University apprenticeships. However, she recognized time and space for this most critical of California, San Francisco, School of that Duke’s School of Nursing—which developmental trajectory.” Nursing, Benner has written a number was not included in the study—has made For schools that are not effectively of books that have formed the basis for significant efforts to do so. integrating the three apprenticeships, curriculum design at many colleges and Judith Hays, immediate past chair of Benner suggests including more universities, Duke included. Four of Duke’s accelerated Bachelor of Science discussions about clinical experiences her works, including From Novice to in Nursing (ABSN) degree program, and ethical issues in the classroom. She Expert: Excellence and Power in Clinical says expert faculty are key to effectively also recommends that educators keep Nursing Practice (1984), have won the integrating the cognitive, practice, the students’ classroom learning goals American Journal of Nursing Book of and ethical dimensions into nursing in mind when coaching students in the Year award. She was elected an education. clinical settings. And whether teaching honorary fellow of the Royal College of “Full-rank faculty and experienced in the classroom or in the clinic, teachers Nursing in the United Kingdom in 1994 clinical instructors are consistently should ask their students, as well as and is a fellow in the American Academy present with small groups of our themselves, reflective questions. of Nursing. students in patient care units and in Overall, Benner says it’s important clinical simulation labs,” she says. “They for educators to get students to see the are able to interpret classroom concepts world through the patient’s eyes. “That’s and highlight relevant ethical dilemmas the goal of good nursing education.” DUKE NURSING SPRING/SUMMER 2008 21 FEATURE story Cycled Light Research Changes Standard of Care for Preemies BY BRYAN GILMER
In the mid-1990s Debbie Brandon, PhD, RN, was working in the neonatal intensive care unit (NICU) at Duke University Hospital, where the tiniest and sickest premature babies spent 24 hours a day under bright interior lights.
“If you are there 24-7, and you see the environment, Her first study, published in 2002 you know it is not normal,” she says. “I thought, we have in The Journal of Pediatrics with improved the technology for keeping these babies alive, Diane Holditch-Davis, BSN’73, PhD, but we have not done as much to improve their long-term RN, FAAN, and another colleague, developmental outcomes. I was interested in what I as a nurse found that infants born at or before could best do to impact it.” 28 weeks postconceptional age who Brandon had begun her PhD work at the School of received cycled light at birth or at 32 Nursing in the fall of 1994. For her dissertation she decided weeks gained weight faster than infants to work to find interventions that would benefit preemies’ not receiving it until 36 weeks. It also development. When she reviewed the academic literature, she found no short-term advantages of Debbie Brandon, PhD, RN found it both scant and not terribly compelling. near darkness. “I pulled light out as a potential intervention,” she said, Brandon’s new study compares giving cycled light for noting that some other NICUs were keeping neonates in babies born at or before 28 weeks postconceptional age as near darkness 24 hours a day in an attempt to mimic the soon as they reach 28 weeks versus keeping them in continuous intrauterine environment or in the belief that bright light near darkness until 36 weeks of age. would harm their eyes. “Another difference in the study is that we are looking “When I was looking at all the kinds of potential stimuli, not only at short-term outcomes but those until 24 months light was the one I thought had the potential to be the most corrected age after discharge from the hospital,” she says, significant influence,” she says. adding that her hypothesis was that “kids who got the cycled She wondered whether light in the nursery might actually light earlier would have better growth, be discharged from the help visual development, and soon she began to suspect that hospital sooner, and have better sleep-wake patterns.” alternating light and dark could help the babies regulate their She has followed 121 infants born between 2003 and circadian rhythms after birth. 2007, all of whom have been discharged from the hospital, Brandon was onto something. More than a decade later, though 43 still have not turned two. She plans to publish the she is now an associate professor in both the School of Nursing results of that study as soon as the data are in and analyzed. and in pediatrics at Duke University Medical Center. And she is It might seem counterintuitive that 11 hours of light could completing her second longitudinal study on lighting schemes benefit a baby that had become used to the darkness of the in NICUs. Her work and that of peers around the country has womb. But Brandon points out that the baby’s body changes influenced the way hospitals care for newborns. profoundly with birth. “The pre-term infant is neither a fetus, nor is it a full-term Weight Gain, Regular Sleep Patterns Are Possible Benefits baby,” she notes. “Its organ systems are now functioning quite Brandon has studied a simple routine called “cycled light”: differently, and quite different developmental demands are For 11 hours during the day shift, the lights stay on. For 11 being placed on the body. Besides, you can’t mimic the uterine hours during the night shift, nurses keep them off. For the hour environment.” during shift change, anything goes—and that was a pragmatic Though the second study isn’t yet complete, Brandon’s decision straight out of Brandon’s clinical nursing experience. work has made a difference. Already at Duke Hospital as well “I did that because it is practical,” she says. “Because if it is as at many other hospitals around the country, premature not practical, it won’t get implemented.” infants receive a regimen of cycled light. DUKE NURSING SPRING/SUMMER 2008 23 FEATURE story
Learning, Serving, and Sharing— BY BRYAN GILMER ABSN Students Experience Cultural Immersion in Barbados and India
Charis Lawrenson Ackerson, ABSN’08, RN, was amazed. She and a local Honduras to offer new nurses just such nurse in Barbados had just stepped through the door of a tiny concrete-block insights—and to raise their awareness of house with a corrugated metal roof to check on a diabetic patient. The nurse cultural differences. “To have a Duke experience in Duke measured the patient’s blood sugar level and then led Ackerson to the kitchen. facilities is a privileged opportunity to “She opens the fridge and gets the under in Barbados. see the best that medical care has to offer insulin out,” Ackerson remembers. “But “By the second week they were anywhere in the world,” Powell says. “But then I see she also looks to see if they’re like, ‘OK, check in the patient, check these international experiences show eating vegetables or high-carb foods. schedules, answer the phone,’” she says. that the majority of health care delivery Then she opens their cabinets to see “They are so busy.” systems in the world aren’t as privileged. It what kind of snacks they are having.” Now, less than five months later, allows students to contrast what they have The moment drove home for Ackerson is a nurse in the neonatal here with what other parts of the world Ackerson how crucial such simple, effec- intensive care unit at Presbyterian/ don’t have. Yet many of those countries tive preventive measures are in providing St. Luke’s Medical Center in Boulder, are able to use what they have in effective low-cost, high-quality health care. Colorado. But she is also looking for ways to deal with their problems.” “They had so much to teach us,” she community volunteer work to provide OGACHI, established two years ago, says of the summer cultural immersion prenatal counseling and preventive care works closely with Duke University’s trip she took last summer. “They don’t to pregnant women in her community. signature Global Health Institute have a lot of money to spend on health to increase the number of students care in Barbados, so they really focus on Raising Awareness who complete such service learning primary prevention.” Dorothy Powell, EdD, RN, FAAN, experiences. The School of Nursing also Ackerson and her classmates worked director of the school’s Office of partners with other nursing schools in alongside the local nurses, providing Global and Community Health the host countries, where in some cases front-line care at a local polyclinic in the Initiatives, says OGACHI created a local faculty member accompanies morning, then visiting chronic patients the summer cultural immersion trips students to the site to help them in their homes each afternoon. The to Barbados, India, Jamaica, and understand the situation in the health nurses quickly treated the Duke students Nicaragua and continued to work with care facilities they visit. as members of the staff, with the Duke University’s Exploring Medicine near-complete autonomy nurses operate in Other Cultures program on trips to Virginia Garcia MemorialHealthCenter A StudyinContrasts They weretrying,buttheresources was prettydirty, andtheyjustdon’t on HIV/AIDSprevention.Shefounda India withagrouptoseehowresidents only peoplewhocanaffordcare there Hospital,” shesays.“Theproblemisthe precautions [topreventcontactwith populations. Now shehastakenajobat bodily fluidsthatcantransmitHIV]. just asgoodhere,accreditedbythe have alotofequipment.Theywere and clinicsopentoall. hospital systemforthewell-to-doand cavernous disparitybetweentheprivate her interestinworking withunderserved are theverywealthy. Itwas justsucha the bareessentials,”Russellrecalls.“It the government-orcharity-runhospitals there receivehealthcare,withafocus struggling eventoimplementuniversal so limited.” Shannon Russell,ABSN’08,traveledto stark contrast.” same organizationthataccreditsDuke “The governmenthospitalshadjust But oneprivatehospital“was Russell saidtheexperiencesolidified ‘What timedid shegethere?’”says Ackerman. which theyarrive. will visit.ADukeclinicalinstructor Cultural Competence of helpingapersonhavegoodoutcomes others whofacesignificantbarriersto pre-eclampsia, and theyweresaying, pre-eclampsia whenthelocal custom is before theirtripstogainknowledgeof Students gothroughanorientation in everyareaoftheirlife,beingable in Portland,Oregon,aprimarycare a pregnantpatientwhoshowedsignsof have chancestoshareknowledgewith attitude, readytolearn,theysometimes host countrieswitharespectful,humble accompanies them.Thoughstudentsvisit health care. center servingmigrantfarmworkersand their foreigncounterparts. the cultureandhealthcaresystemthey to takecareoftheirfamily,” shesays. simply totakepatientsinthe order in suggested prioritizingthetreatmentof “I’m recognizingthesymptoms of “I seehowhealthcareisattheroot For example,Ackermangently There aresomanyculturesrepresented wearing them,”shesaid.“We have $2,000. Powellisworkingtoraisefunds of professionalismandhelppatients parting giftofnamebadgesforthelocal in ourowncountrytowhomweprovide for scholarshipstoenablemorestudents and weneedtobeableunderstand care. We absolutelymustensurethatour relate tothem. their ownpotentialstereotypesorbiases. examine theirownvaluesanddealwith each other across the continents,” Powell to participate. the costofhisorhertrip,around sensitivity, andrespectfor differences.” students developculturalcompetence, says. “Thesetripsalsocausestudentsto stayed intouch.” nurses’ uniformstoenhancetheirsense “We certainlyareaglobalsociety, “They lovedthemandarestill Each studenthastopayorborrow She andherclassmatesalsomadea
25 DUKENURSINGSPRING/SUMMER2008 FEATURE story
New Strategies to Improve Cardiovascular Health in Barbados
In October the School of Nursing’s Office of Global and Community Health Initiatives (OGACHI) helped organize a conference in Christ Church, Barbados, on managing cardiovascular disease in the elderly.
The conference, which yielded Advances in sanitation, public health, promising strategies for improving the and basic medical care are helping cardiovascular health of Caribbean people in Caribbean countries live longer. elders, was the first in a series OGACHI But that achievement has raised a whole plans in cooperation with the Pan new set of health care issues that are only based standards of care emerging American Health Organization’s Office beginning to be addressed, especially from research in the United States to of Caribbean Program Coordination, increased cardiovascular disease and local needs, resources, and cultures to according to Director Dorothy Powell, associated morbidities. manage the care of elderly with chronic EdD, RN, FAAN. “They don’t have the resources in conditions. A total of 165 nurses, physicians, the Caribbean that we have in the U.S. “The participation and excitement dentists, government officials, educators, for taking care of the elderly,” such the conference generated were very and health administrators from the as long-term care facilities, Powell encouraging,” Powell says. “This is all United States and 17 Caribbean islands says. “Elderly people usually are taken the beginning of a dialogue, and we participated. The group agreed that care of at home. But now people who are expecting this dialogue to continue. Caribbean countries need to: would customarily have been those We hope that some of these ideas can n Promote better preventive health caregivers are part of the workforce. eventually become policy and improve care for adults as they age, including So many elderly people have been put health care.” improved community-based and into hospitals, and there are not special Duke’s 18-member contingent primary care protocols for the care and treatment of included 10 faculty presenters from the n Offer more specialized geriatric train- the elderly in institutional settings.” School of Nursing’s geriatric nursing ing in the health professions, especially The United States has evolved faculty, the Duke University Medical advanced specialties such as geriatric successful models of care to cope with Center on Aging, the Division of nurse practitioner and geriatrician similar societal changes, and its nursing Cardiovascular Medicine, the Duke n Improve and expand health care and professionals have knowledge to share Heart Center, the Terry Sanford Institute health research so scientific evidence with their Caribbean counterparts, informs effective public policies of Public Policy, Duke University Powell says. Caribbean stakeholders Hospital, and others. n Better support families caring for may adapt models of care and evidence- elderly members Duke University School of Nursing
Awards & Recognitions 2006–2007
Donald Bailey, PhD, RN Judith C. Hays, PhD, RN Dorothy L. Powell, EdD, RN, FAAN American Cancer Society Travel Elected Member, American Public Health 2006 Helen Sullivan Miller Lecturer, Scholarship Award Association Publications Board North Carolina Central University, Department of Nursing Kirsten Corazzini, PhD Constance M. Johnson, PhD, RN Duke University Center for International Top-10 Paper, 2006 Health Informatics Marva Mizell Price, DrPH, RN, FAAN Studies, Duke Global Health Institute, Faculty Conference Fellow, American Academy of Nurse Travel Award, 2007 Practitioners Humanities, Arts, Science, and Technology Holly S. Lieder-Parker, MSN, RN, CPNP-AC Reappointment, North Carolina State Advanced Collaboratory Fellowship ABSN Faculty Excellence Award Commission for Health Services University of California San Diego, Supercomputer Center, Summer Institute on Brenda Nevidjon, MSN, RN, FAAN Susan M. Schneider, PhD, RN, AOCN Cyberinfrastructure in the Humanities and President-Elect, Oncology Nursing Society 2007 Oncology Nursing Society Excellence in Social Sciences, 2006 Cancer Nursing Research Award NIH/NINR Gerontological Nursing Judith K. Payne, PhD, RN, AOCN, CS Interventions Research Center/Hartford Nancy M. Short, DrPH, MBA, RN Elected Coordinator, Oncology Nursing Center for Geriatric Nursing Excellence, Society Advanced Nursing Research Special North Carolina Nurses Association Board of University of Iowa, Mentoring Grant Interest Group Director’s Outstanding Service Award Recipient, 2006 Associate Editor, Oncology Nursing Forum Named One of “The Great 100” Nurses in North Carolina Catherine L. Gilliss, DNSc, RN, FAAN 2007 Duke Comprehensive Cancer Center Appointed Member, Nursing Outlook Young Investigator Award ($1,000) Ruby Wilson, EdD, RN, FAAN Editorial Board Oncology Nursing Forum Foundation University Medal for Distinguished Doctor Honoris Causa, University of 2007-2009 Mara Morgensen Flaherty Meritorious Service at Duke Portland, Oregon Lectureship Award 2007 Jean S. Vallance Lecturer in Nursing Innovation, Pennsylvania State University, School of Nursing President-Elect, American Academy of Nursing Lifetime Achievement Award, International Family Nursing Society, 2007 Wall of Fame, Distinguished Alumni of University of California, San Francisco School
of Nursing DUKE NURSING SPRING/SUMMER 2008 27 Duke University School of Nursing
Faculty Publications 2006–2007
Ruth A. Anderson, PhD, RN, FAAN management of difference in research synthesis studies. Social Science & Medicine, Castle, N. G., Engberg, J., & Anderson, R. A. 64(1), 236-47. (2007). Job satisfaction of nursing home administrators and turnover. Medical Care Sandelowski, M., Voils, C., & Barroso, J. (2006). Research and Review, 64(2), 191-211. Defining and designing mixed research synthesis studies. Research in the School, Castle, N. G., Engberg, J., Anderson, R. A., & 13(1), 29-40. Men, A. (2007). Job satisfaction of nurse aides in nursing homes: Intent-to-leave and Voils, C. I., Barroso, J., Hasselblad, V., & turnover. Gerontologist, 47(2), 193-204. Sandelowski, M. (2007). In or out? Methodological considerations for including Colón-Emeric, C., Lekan-Rutledge, D., and excluding findings from a meta-analysis Utley-Smith, Q., Ammarell, N., Bailey, D., of predictors of antiretroviral adherence in Piven, M. L., Corazzini, K. N., & Anderson, R. HIV-positive women. Journal of Advanced A. (2006). Connection, regulation, and care Nursing, 59, 163-177. plan innovation: A case study of four nursing homes. Health Care Management Review, Wanda Bradshaw, MSN, RNC, NNP, PNP 31(4), 337-346. Bradshaw, W. T., & Furdon, S. A. (2006). A Donald E. Bailey, PhD, RN nurse’s guide to early detection of umbilical venous catheter complications in infants. Bailey, D. E., Wallace, M., & Mishel, M. H. Advances in Neonatal Care, 6(3), 127-138. (2007). Watching, waiting and uncertainty in prostate cancer. Journal of Clinical Nursing, Bradshaw, W. T., Turner, B. S., & Pierce, J. R. 16(4), 734-741. (2006). Physiologic monitoring. In G. B. Merenstein & S. L. Gardner (Eds.) Handbook Bailey, D., & Wallace, M. (2007). Critical of neonatal intensive care (6th ed.). St. Louis: review: Is watchful waiting a viable manage- Mosby. ment option for older men with prostate cancer? American Journal of Men’s Health, Furdon, S. A., Horgan, M. J., Bradshaw, W. T., 1(1), 18-28. & Clark, D. A. (2006). Nurses’ guide to early detection of umbilical arterial catheter Colón-Emeric, C., Lekan-Rutledge, D., complications in infants. Advances in Utley-Smith, Q., Ammarell, N., Bailey, D., Neonatal Care, 6(5), 242-256. Piven, M. L., Corazzini, K. N., & Anderson, R. A. (2006). Connection, regulation, and care Debra Brandon, PhD, RN, CCNS plan innovation: A case study of four nursing homes. Health Care Management Review, Alton, M., Frush, K., Brandon, D.H., & Mericle, 31(4), 337-346. J. (2006). Development and implementation of a pediatric patient safety program. Julie Barroso, PhD, ANP, APRN, BC, FAAN Advances in Neonatal Care, 6(3) 104-111.
Barroso, J., Sandelowski, M., & Volis, C. I. Alton, M., Mericle, J., & Brandon, D. H. (2006). (2006). Research results have expiration One intensive care nursery’s experience with dates: Ensuring timely systematic reviews. enhancing patient safety. Advances in Journal of Evaluation in Clinical Practice, Neonatal Care, 6(3), 112-119. 12(4), 454-462. Brandon, D. H. (2006). Sharing our stories Sandelowski, M., & Barroso, J. (2007). [editorial]. Advances in Neonatal Care, 6(3), Handbook of synthesizing qualitative 98-100. research. New York: Springer. Long, M., & Brandon, D. H. (2007). Induced Sandelowski, M., Barroso, J., & Voils, C. I. hypothermia for newborns with hypoxic- (2007). Using qualitative metasummary to ischemic encephalopathy. Journal of Obstetric, synthesize qualitative and quantitative Gynecologic, and Neonatal Nursing, 36(3), descriptive findings. Research in Nursing & 293-298. Health, 30(1), 99-111. Snow, T., & Brandon, D. H. (2007). Mechanical Sandelowski, M., Trimble, F., Woodard, E. K., ventilation in neonates: Where we have been & Barroso, J. (2006). From synthesis to script: and where we are going. Advances in Transforming qualitative research findings for Neonatal Care, 7(1), 8-21. use in practice. Qualitative Health Research, 16(10), 1350-1370. Woods, A., & Brandon, D. H. (2007). Prune belly syndrome: A focused physical assess- Sandelowski, M., Voils, C. I., & Barroso, J. ment. Advances in Neonatal Care, 7(3), (2007). Comparability work and the 132-143. Duke University School of Nursing
Faculty Publications 2006–2007
Janice Collins-McNeill, PhD, APRN, BC Linda Lindsey Davis, PhD, RN, ANP, Hunter, A., Denman-Vitale, S., Garzon, L., DP-NAP, FAAN Jackson Allen, P., & Schumann, L. (2007). Collins-McNeil, J. (2006). Psychosocial Continuing education: Global infections: characteristics and cardiovascular risk in Davis, L., Weaver, M., & Habermann, B. (2006). Recognition, management, and prevention. African Americans with diabetes. Archives of Differential attrition in a caregiver skill The Nurse Practitioner, 32(3), 34-42. Psychiatric Nursing, 20(5), 226-233. training trial. Research in Nursing & Health, 29(5), 498-506. Sharron L. Docherty, PhD, CPNP Kirsten Corazzini, PhD Wendy Demark-Wahnefried, PhD, RD, LDN Docherty, S. L. (2007). Advanced practice Colón-Emeric, C., Ammarell, N., Bailey, D., nurses in pediatric hospital care. In R. M. Corazzini, K. N., Lillie, M., Piven, M. L., Demark-Wahnefried, W. (2007). Dietary fatty Perkin, J. D. Swift, D. A. Newton., & N. Anas Utley-Smith, Q., & Anderson, R. A. (2006). acids correlate with prostate cancer biopsy (Eds.), Pediatric hospital medicine (2nd ed., Patterns of medicine and nursing staff grade and volume in Jamaican men. Journal pp. 14-19). Philadelphia: Lippincott Williams communication in nursing homes: Implications of Urology, 177, 101. & Wilkins. and insights from complexity science. Qualitative Health Research, 16(2), 173-188. Demark-Wahnefried, W. (2007). Print-to- Docherty, S. L. (2007). Childhood cancer. In N. practice: Designing tailored print materials to A. Ryan-Wenger (Ed.), Core curriculum for Colón-Emeric, C., Lekan-Rutledge, D., improve cancer survivors’ dietary and exercise primary care pediatric nurse practitioners (pp. Utley-Smith, Q., Ammarell, N., Bailey, D., practices in the FRESH START trial. Nutrition 712-727). St. Louis: Elsevier. Piven, M. L., Corazzini, K. N., & Anderson, R. Today, 42, 31-138. A. (2006). Connection, regulation, and care Brandon, D., Docherty, S. L., & Thorpe, J. plan innovation: A case study of four nursing Demark-Wahnefried, W., & Moyad, M. M. (2007). Infant and child deaths in acute care homes. Health Care Management Review, (2007). Dietary intervention in the manage- settings: Implications for palliative care. 31(4), 337-346. ment of prostate cancer. Current Opinion in Journal of Palliative Medicine, 10(4), 910-918. Urology, 17, 168-174. Colón-Emeric, C., Lekan-Rutledge, D., Docherty, S. L., Miles, M., & Brandon, D. Utley-Smith, Q., Ammarell, N., Bailey, D., Demark-Wahnefried, W., Pinto, B. M., & Gritz, (2007). Searching for the dying point: Corazzini, K. N., Piven, M. L., & Anderson, R. E. (2006). Promoting health and physical Providers experiences with palliative care in A. (in press). Identifying barriers and function among cancer survivors: Potential the pediatric acute care setting. Pediatric facilitators to clinical practice guideline use in for prevention and questions that remain. Nursing, 33(4), 335-341. nursing homes using case study methodology. Journal of Clinical Oncology, 24, 5125-5131. Docherty, S. L., Lowry, C., & Miles, M. S. (2007). Journal of the American Geriatrics Society. Rao, A. V., & Demark-Wahnefried, W. (2006). Poverty as the context for parenting Corazzini, K. N., Rapp, C. G., McConnell, E. S., The older cancer survivor. Critical Reviews in experience of low-income, Lumbee Indian & Anderson, R. A. (in press). Use of a Oncology/Hematology, 50, 131-143. mothers with a medically fragile infant. hand-held computer observational tool to Reeves, M., Eakin., E., Lawler., S., & Demark- Neonatal Network: The Journal of Neonatal improve communication for care planning Wahnefried, W. (2007). Health behaviours in Nursing, 26, 361-369. and psychosocial well-being. Journal for survivors of childhood cancer. Australian Docherty, S. L., Sandelowski, M., & Preisser, J. Nurses in Staff Development. Family Physician, 36, 95-96. S. (2006). Three months in the symptom life Corazzini, K., Lekan-Rutledge, D., Utley-Smith, Seewaldt, V. L., Goldenberg, V., Jones, L. W., of a teenage girl undergoing treatment for Q., Piven, M. L., Colón-Emeric, C., Bailey, D., Peace, C., Broadwater, G., Scott, V. S., Bean, G. cancer. Research in Nursing and Health, 29, Ammarell, N., & Anderson, R. A. (2006). The R., Wilke, L. G., Zalles, C. M., & Demark- 294-310. Golden Rule: Only a starting point for quality Wahnefried, W. (2007). Overweight and care. The Director, 14(1), 255, 257-259, 293. obese perimenopausal and postmenopausal Catherine L. Gilliss, DNSc, RN, FAAN women exhibit increased abnormal mammary Piven, M. L., Ammarell, N., Lekan-Rutledge, Beyene, Y., Gilliss, C., & Lee, K. (2007). “I take epithelial cytology. Cancer Epidemiology, D., Utley-Smith, Q., Corazzini, K. N., Colón- the good with the bad, and I moisturize”: Biomarkers, and Prevention, 16, 613-616. Emeric, C., Bailey, D., & Anderson R. A. (2007). Defying middle age in the new millennium. Paying attention: A leap toward quality care. Stull, V. B., Snyder, D. C., & Demark- Menopause, 14(4), 734-41. The Director, 15(1), 58-60, 62-63. Wahnefried, W. (2007). Lifestyle interventions Hudson, A. L., Taylor, D., Lee, K. A., & Gilliss, C. in cancer survivors: Designing programs that Piven, M. L., Bailey, D., Ammarell, N., L. (2006). Symptom experience and self-care meet the needs of this vulnerable and Colón-Emeric, C., Corazzini, K. N., Lekan- strategies among healthy midlife African- growing population. Journal of Nutrition, Rutledge, D., Utley-Smith, Q., & Anderson, R. American women. Journal of National Black 137(1), 243S-8S. A. (2006). MDS coordinator relationships and Nurses Association, 16, 6-14. nursing home care processes. Western Journal of Nursing Research, 28(3), 294-309. Susan Denman, PhD, RN, FNP Juarbe, T. C., Gutierrez, Y., Gilliss, C., & Lee, K. A. (2006). Depressive symptoms, physical Utley-Smith, Q., Bailey, D., Ammarell, N., Denman, S. (2006). Education: An essential activity, and weight gain in premenopausal Corazzini, K., Colón-Emeric, C., Lekan- key for the improvement of Public health in Latina and White women. Maturitas, 55(2), Rutledge, D., Piven, M. L., & Anderson, R. A. developing countries. Published at http:// 116-125. (2006). Exit interview-consultation for research whep.info/26-27oct/denman/index.html by validation and dissemination. Western Journal the French National Academy of Sciences, of Nursing Research, 28(8), 955-973. Inter Academy Panel, Scientific Committee of the Women’s Health Education Program
(WHEP). DUKE NURSING SPRING/SUMMER 2008 29 Duke University School of Nursing
Faculty Publications 2006–2007 continued
Michener, J. L., Yaggy, S., Lyn, M., Warburton, Cristina C. Hendrix, DNS, APRN-BC, interactions of mothers and their medically S., Champagne, M., Black, M., Cuffe, M., Califf, GNP, FNP fragile infants. Research in Nursing and R., Gilliss, C., Williams, R. S., & Dzau, V. (In Health, 30(1), 17-30. press). Improving the health of the commu- Bruce, S., Hendrix, C. C., & Gentry, J. (2006). Miles, M. S., Holditch-Davis, D., Pedersen, C., nity: Duke’s experience with community Palliative sedation in end-of-life care. Journal Eron, J., & Schwartz, T. (2007). Emotional engagement. Academic Medicine, 83(4). of Hospice and Palliative Nursing, 8(6), 320-327. distress in African American women with HIV. Journal of Preventive Interventions in the Judith C. Hays, PhD, RN Goldsmith, B., Hendrix, C. C., & Gentry, J. Community, 33(1-2), 35-50. (2006). Providing end of life palliative care Hays, J. C., Davis, J. A., & Miranda, M. L. for the developmentally disabled and their Miles, M. S., Holditch-Davis, D., Scher, M., & (2006). Incorporating a built environment families. Journal of Hospice and Palliative Schwartz, T. (2007). A longitudinal study of module into an accelerated second-degree Nursing, 8(5), 270-275. depressive symptoms in mothers of prema- community health nursing course. Public turely born infants. Journal of Health Nursing, 23(5), 442-452. Hendrix, C. C., & Ray, C. (2006). Informal Developmental and Behavioral Pediatrics, caregiver training on home care and cancer Hays, J. C., & Hendrix, C. (in press). The role 28(1), 36-44. symptom management prior to hospital of religion in bereavement. In Stroebe, discharge: A feasibility study. Oncology Holditch-Davis, D., & Blackburn, S. T. (2007). Hansson, Stroebe, & Schut (Eds.) Handbook Nursing Forum, 33(4), 793-797. Neurobehavioral development. In C. Kenner of bereavement research and practice: 21st & J. W. Lott (Eds.), Comprehensive neonatal century perspectives. Washington, DC: Holston, E. C., Schweitzer, R., Meeker, M. E., care: An interdisciplinary approach (4th ed., American Psychological Press. Hendrix, C. C., Gaspar, P. M., Kossman, S., & pp. 448-479). St. Louis: Saunders. Piamjariyakul, U. (2006). Preparing junior Hays, J. C. (2006). Elementary, my dear investigators to develop gerontological Miles, M. S., Holditch-Davis, D., Pedersen, C., readers. Public Health Nursing, 23(3), 203-204. research. Nursing Outlook, 54, 287-293. Eron, J., & Schwartz, T. (2007). Emotional Hays, J. C. (2007). Invitation for simulations. distress in African American women with HIV. Public Health Nursing, 24(2), 99-100. Diane Holditch-Davis, PhD, RN, FAAN In M. B. Blank & M. M. Eisenberg (Eds.), HIV: Issues with mental health and illness (pp. Hybels, C. F., Blazer, D. G., Pieper, C. F., Bartlett, R., Holditch-Davis, D., & Belyea, M. 35-50). Binghamton, NY: Haworth Press. Burchett, B. M., Hays, J. C., Fillenbaum, G. G., (2007). Problem behaviors in adolescents. Kubzansky, L. D., & Berkman, L. F. (2006). Pediatric Nursing, 33(1), 13-18. Mary E. Holtschneider, MPA, RN, BC, Sociodemographic characteristics of the NREMT-P neighborhood and depressive symptoms in Bartlett, R., Holditch-Davis, D., Belyea, M., older adults: Using multilevel modeling in Halpern, M., & Beeber, L. (2006). Risk and Holtschneider, M. E. (2007). TECH UPDATE: geriatric psychiatry. American Journal of protection in the development of problem Better communication, better care through Geriatric Psychiatry, 14(6), 498-506. behaviors in adolescents. Research in Nursing high-fidelity simulation. Nursing and Health, 29, 607-621. Management, 38(5), 55. Hybels, C. F., Blazer, D. G., & Hays, J. C., (in press). Demography and epidemiology of Black, B., Holditch-Davis, D., Schwartz, T., & Holly S. Lieder-Parker, MSN, RN, CPNP-AC psychiatric disorders in late life. In D. G. Scher, M. (2006). Effects of antenatal magnesium sulfate and corticosteroid Blazer, D. C. Steffens, & E. W. Busse (Eds.) McGahey-Oakland, P., Lieder, H., Young, A., & therapy on sleep states of preterm infants. Essentials of geriatric psychiatry. Washington, Jefferson, L. (2007). Family experiences Research in Nursing and Health, 29(4), DC: American Psychiatric Publishing, Inc. during resuscitation at a children’s hospital 269-280. emergency department. Journal of Pediatric Jeste, N. D., Hays, J. C., & Steffens, D. C. Health Care, 21(4), 217-225. (2006). Clinical correlates of anxious Holditch-Davis, D. (2007). Acute care of depression among elderly patients with high-risk infants [editorial]. Journal of depression. Journal of Affective Disorders, 90, Obstetric, Gynecologic, and Neonatal Nursing, Constance M. Johnson, PhD, RN 36(3), 279. 37-41. Bernstam, E. V., Pancheri, K. K., Johnson, C. Steinhauser, K. E., Clipp, E. C., Hays, J. C., Holditch-Davis, D., Schwartz, T., Black, B., & M., Johnson, T. R., Thomas, E. J., & Turley, J. P. Olsen, M., Arnold, R., Christakis, N. A., Scher, M. (2007). Correlates of mother- (2007). Reasons for after-hours calls by Lindquist, J. H., & Tulsky, J. A. (2006). premature infant interactions. Research in hospital floor nurses to on-call physicians. Identifying, recruiting, and retaining Nursing and Health, 30, 333-346. Joint Commission Journal on Quality and Patient Safety, 33, 342-349. seriously-ill patients and their caregivers in Knobel, R., & Holditch-Davis, D. (2007). longitudinal research. Palliative Medicine, 20, Thermoregulation and heat loss prevention Eleanor S. McConnell, PhD, RN, GCNS-BC 745-754. after birth and during neonatal intensive- care unit stabilization of extremely low- Colón-Emeric, C., Schenck, A., Gorospe, J., birthweight infants. Journal of Obstetric, McArdle, J., Dobson, L., DePorter, C., & Gynecologic, and Neonatal Nursing, 36(3), McConnell, E. S. (2006). Translating evidence- 280-287. based falls prevention into clinical practice in nursing facilities: Results and lessons from a Lee, T. Y., Holditch-Davis, D., & Miles, M. S. quality improvement collaborative. Journal (2007). The influence of maternal and child of the American Geriatrics Society, 54(9), characteristics and paternal support on 1414-1418. Hastings, S. N., Whitson, H. E., White, H. K., Susan M. Schneider, PhD, RN, AOCN Meade, C. S., & Sikkema, K. J. (2007). Sloane, R., McDonald, H., Lekan-Rutledge, D. Psychiatric and psychosocial correlates of HIV Gosselin-Acomb, T. K., Schneider, S. M., A., & McConnell, E. S. (2007). Development sexual risk behavior among adults with Clough, R. W., & Veenstra, B. A. (2007). and implementation of the TRAC (tracking severe mental illness. Community Mental Nursing advocacy in North Carolina. after-hours calls) database: A tool to collect Health Journal, 43, 153-169. Oncology Nursing Forum, 34(5), 1070-1074. longitudinal data on after-hours telephone Sikkema, K. J., Hansen, N. B., Kochman, A., calls in long-term care. Journal of the Schneider, S. M. (2006). Virtual reality makes Tarakeshwar, N., Neufeld, S., Meade, C. S., & American Medical Directors Association, 8(3), chemotherapy delivery more tolerable. Fox, A. M. (2007). Outcomes from a group 178-182. Oncology News International, 15(10), 59. intervention for coping with HIV/AIDS and McConnell, E. S., Lekan-Rutledge, D. A., Schneider, S. M., & Hood, L. (2007). Virtual childhood sexual abuse: Reductions in Hebert, C., & Leatherwood, L. (2007). reality: A distraction intervention for traumatic stress. AIDS and Behavior, 11, 49-60. Academic-practice partnerships to promote chemotherapy. Oncology Nursing Forum, Sikkema, K. J., Meade, C. S., Doughty, J. D., evidence-based practice in long-term care: 34(1), 39-46. Zimmerman, S. O., Kloos, B., & Snow, D. L. Oral hygiene care practices as an exemplar. (2007). Community-level HIV prevention for Nursing Outlook, 55(2), 95-105. Nancy M. Short, DrPH, MBA, RN persons with severe mental illness living in supportive housing programs: A pilot Judith K. Payne, PhD, RN, AOCN, CS Kelly, D., & Short, N. M. (2007). Exploring assumptions about teams. Journal on Quality intervention study. Journal of Prevention and Carpenter, J., Neal, J., Payne, J., Kimmick, G., and Patient Safety, 32(2), 109-113. Intervention in the Community, 33, 121-135. & Storniolo, M. (2007). Cognitive-behavioral Tarakeshwar, N., Srikrishnan, A., Johnson, S., intervention for hot flashes. Oncology O’Grady, E. (2006). Powerful lessons for Vasu, C., Solomon, S., Merson, M., & Sikkema, Nursing Forum, 34(1), 37. nurses learned from a year on Capitol Hill [interview with Nancy M. Short]. Nurse K. (2007). A social cognitive model of health Payne, J., & Yenser, S. (2007). Utilization of Practitioner World News, 11(12), 1, 16-17. for HIV-positive adults receiving care in India. general clinical research centers for nursing AIDS and Behavior, 11, 491-504. research. Biological Research for Nursing, 9(2), Short, N. (2006). The art of apology: Have we 142-146. reached a tipping point? Duke Nursing Kathleen M. Turner, MSN, RN Magazine, 1(1), 34-35. Payne, J. (2007). Cancer clinical trials. In J. Utley-Smith, Q., Phillips, B., & Turner, K., Fulton & M. Langhorne (Eds.), Oncology Short, N. M. (2007). Applied healthcare (accepted 2007). Avoiding socialization nursing (5th ed.). St. Louis: Mosby. economics for the noneconomics major. In J. pitfalls in accelerated nursing education: Milstead (Ed.), Health policy and politics: A Re-visiting Shane’s Returning-to-School Payne, J., Held, J., Thorpe, J., & Shaw, H. (in nurse’s guide (3rd ed.). Boston: Jones & model. Journal of Nursing Education. press). Effect of exercise on biomarkers, Bartlett Publishers, Inc. fatigue, sleep disturbances, and depressive Queen Utley-Smith, EdD, RN symptoms in older women with breast cancer. Strand, J., Short, N. M., & Korb, E. (2007). The Oncology Nursing Forum. roles and supply of nurse-midwives, nurse Colón-Emeric, C., Lekan-Rutledge, D., practitioners, and physician assistants in Utley-Smith, Q., Ammarell, N., Bailey, D., Roop, J., Vallerand, A., & Payne, J. (2007). North Carolina. North Carolina Medical Piven, M. L., Corazzini, K. N., & Anderson, R. Theories and conceptual models to guide Journal, 68(3), 184-186. A. (2006). Connection, regulation, and care quality of life related research. In P. Hinds & C. plan innovation: A case study of four nursing King (Eds.), Quality of life: From nursing and Kathleen J. Sikkema, PhD homes. Health Care Management Review, patient perspectives: Theory, research, and 31(4), 337-346. practice (3rd ed.). Boston: Jones & Bartlett. Fox, A. M., Jackson, S. S., Hansen, N. B., Gasa, N., Crewe, M., & Sikkema, K. J. In their own Utley-Smith, Q. (2006). What nursing Beth C. Phillips, MSN, RN, CNE voices: A qualitative study of women’s risk for assistants say they want: Taking a risk in intimate partner violence and HIV in South education decision-making. The Director, Phillips, B. (2007). An education-service Africa. Violence Against Women, 13, 583-602. 14(4), 149-152. collaboration to address a perceived graduate RN readiness gap. Nursing Outlook, Hansen, N. B., Kershaw, T., Kochman, A., & Utley-Smith, Q., Phillips, B., & Turner, K., 55(2), 112-113. Sikkema, K. J. (2007). A classification and (accepted 2007). Avoiding socialization regression tree (CART) analysis predicting pitfalls in accelerated nursing education: Utley-Smith, Q., Phillips, B., & Turner, K., treatment outcome following a group Re-visiting Shane’s Returning-to-School (accepted 2007). Avoiding socialization intervention RCT for HIV-positive adult model. Journal of Nursing Education. pitfalls in accelerated nursing education: survivors of childhood sexual abuse. Re-visiting Shane’s Returning-to-School Psychotherapy Research, 17, 404-415. model. Journal of Nursing Education. Masten, J., Kochman, A., Hansen, N. B., & Carla Gene Rapp, PhD, RN, CRRN Sikkema, K. J. (2007). A short-term group treatment model for gay male survivors of Rapp, C. G. (2006). A commentary on the childhood sexual abuse living with HIV/AIDS. future of geropsychiatric nursing practice: International Journal of Group Psychotherapy, Definition, education, and advocacy. Journal 57, 475-496. of the American Psychiatric Nurses
Association, 12(3), 156-160. DUKE NURSING SPRING/SUMMER 2008 31 Duke University School of Nursing
Funded Research and Training Grants* Active during Fiscal Year ‘06–’07 (7/1/06–6/30/07)
Anderson, R. A. (Principal Investigator). Califf, R. (Principal Investigator). Bailey Jr., D. Denman, S. (Principal Investigator). Bailey Jr., D. E., Burton, R., Corazzini, K. N., E., Hendrix, C., McConnell, E. S., Turner, B. S. Landerman, L. R., Martin, M., Parrado, E., McConnell, E. S., Utley-Smith, Q. Outcomes CTSA UL. Funded by National Institutes of Reyes, R. Health of Latino Infants: of Nursing Management Practice in Nursing Health (5UL1-RR024128-02), Interventions to Assure Care. Funded by Homes. Funded by NIH/NINR (5R01- 9/30/2006-6/30/2011, $6,887,902. National Institutes of Health (1R15- NR03178-08), 9/1/1994-1/31/2007, $152,998. NR008701-01A2), 9/21/2006-8/31/2008, Clipp, E. C. (Principal Investigator). Anderson, $150,000. Anderson, R. A. (Principal Investigator). R. A., Landerman, L. R., McConnell, E. S. Staffing Characteristics of Nursing Homes Trajectories of Aging and Care in Nursing Docherty, S. L. (Principal Investigator). and Quality. Funded by University of Science. Funded by National Institutes of Kurtzberg, J., Landerman, L. R., Miles, M. Pittsburgh (0003617-112512-1), Health (5P20-NR007795-06), Parental Caregiving of Children Post-stem 4/1/2007-3/31/2009, $15,873. 9/15/2001-6/30/2008, $197,042. Cell Transplant. Funded by National Institutes of Health (1R15-NR009041-01), Bailey Jr., D. E. (Principal Investigator). Colón-Emeric, C. (Principal Investigator). 8/1/2004-7/31/2008, $150,000. Barroso, J., Clipp, E. C., Landerman, L. R., Anderson, R. A. Evidence-Based Medicine in Muir, A. Uncertainity and Watchful Waiting the Skilled Nursing Facility. Funded by Freedland, S. J. (Principal Investigator). in Chronic Hepatitis C. Funded by National National Institutes of Health (5K23- Demark-Wahnefried, W. Ketogenesis, Institutes of Health (1R15-NR008704-01A1), AG024787-04), 7/15/2004-5/31/2009, $156,589. Ketogenic Diet, and Prostate Cancer 9/30/2005-8/31/2008, $150,000. Progression. Funded by Department of Corazzini, K. N. (Principal Investigator). Defense (W81XWH-06-1-0133), Barroso, J. (Principal Investigator). Bartlett, J., Translating Nursing Systems Science into 11/15/2005-11/14/2007, $236,447. Hicks, C., Pence, B., Wheten, K. Fatigue in HIV Practice in LTC: The PALS Intervention. Positive People. Funded by NIH/NINR Funded by University of Iowa, Freedland, S. J. (Principal Investigator). (5R01-NR008681-04), 9/1/2004-5/31/2009, 1/1/2007-12/31/2007, $10,000. Demark-Wahnefried, W. Ketogenic diet and $393,406. prostate cancer. Funded by Atkins Davis, L. L. (Principal Investigator). Foundation, 6/29/2006-6/30/2007, $75,000. Barroso, J. (Principal Investigator). Landerman, L. R., Thorpe, J. M. Project ASSIST Integrating Qualitative and Quanitative for Chronic Illness Caregivers. Funded by Freedland, S. J. (Principal Investigator). Research Findings. Funded by University of National Institutes of Health (5R01- Demark-Wahnefried, W. Molecular Dissection North Carolina at Chapel Hill (5-33042), NR008285-06), 9/30/2002-6/30/2008, $320,090. of the Association Between Obesity and 6/3/2005-3/31/2010, $54,503. Aggressive Prostate Cancer. Funded by Demark-Wahnefried, W. (Principal Department of Defense (W81XWH-06-0353), Brandon, D. (Principal Investigator). Investigator). Clipp, E. C., Cohen, H., Morey, 4/1/2006-3/31/2011, $648,148. Freedman, S., Goldstein, R., Gustafson, K., M. RENEW: Reach-Out to Enhance Wellness Landerman, L. R. Preterm Infants: Light in Older Survivors. Funded by National Goldberg, R. N. (Principal Investigator). Effects on Health and Development. Funded Institutes of Health (5R01-CA106919-04), Brandon, D. Cooperative Multicenter by National Institutes of Health (5R01- 7/15/2004-5/31/2008, $315,834. Neonatal Research Network. Funded by NR08044-05), 2/1/2003-1/31/2009, $130,849. National Institutes of Health (5U10- Demark-Wahnefried, W. (Principal HD040492-08), 5/1/2001-3/31/2011, $421,568. Burks, A. W. (Principal Investigator). Investigator). Daughters And MothErS Turner, B. S. Duke Clinical and Translational (DAMES) Against Breast Cancer. Funded by Hamilton, J. (Principal Investigator). Sikkema, Sciences Institute. Funded by NIH/NCRR National Institutes of Health (R21-CA122143- K. J. AIDS International Training and (1UL1-RR024128-01), 9/30/2006-6/30/2011, 01A1), 6/10/2007-5/31/2009, $140,000. Research Program. Funded by National $2,182,545. Institutes of Health (2D43-TW006732-04), 7/1/2003-5/31/2012, $262,698. of Iowa,3/1/2006-8/31/2008,$1,000. of Health (5K01-MH066380-05), of Health(5K01-MH066380-05), $33,974. 4/1/2003-1/31/2009, $103,186. 3/1/2006-8/31/2008, $125,000. (5-50245), 4/3/2006-2/29/2008,$8,114. University of North Carolina at Chapel Hill University ofNorthCarolinaatChapelHill Older Adults. Funded by National Institutes Older Adults.FundedbyNational Institutes Symptom Management. Funded by University Symptom Management.FundedbyNational C., Landerman,L.R.,Moore,J.,Schneider, S. 9/20/2006-8/31/2008, $121,375. Landerman, Hybels, C.(PrincipalInvestigator). Landerman, Hoyo, C.(PrincipalInvestigator).Demark- Income Mothers (HILDA). Funded by Interventions for VLBW Infants. Funded by Interventions forVLBWInfants.Funded Institutes ofHealth(1R15-NR009489-01A1), M. InformalCaregiverTraining inCancer Institutes of Health (5R21-ES014947-02), Institutes ofHealth(5R21-ES014947-02), NR009418-04), 9/30/2005-6/30/2010,$350,057. National InstitutesofHealth(5R01- NR009418-04S1), 9/21/2006-6/30/2009, Loss of IGF2 Imprinting. Funded by National Loss ofIGF2Imprinting.FundedbyNational Reducing DepressiveSymptomsinLow- Program: CaregiverTraining inCancer (Principal Investigator). Holditch-Davis, D.H.(PrincipalInvestigator). Landerman, L.R.Mother-Administered Holditch-Davis, D.H.(PrincipalInvestigator). Brooks, J.Supplement:Mother-Administered Holditch-Davis, D.H.(PrincipalInvestigator). Hendrix, C.(PrincipalInvestigator).Mentor Hendrix, C.(PrincipalInvestigator).Clipp,E. Depression and Physical Functioning in L. R.DepressionandPhysicalFunctioning in Wahnefried, W. In-uteroExposureandInfant by NationalInstitutesofHealth(5R01- (Principal Investigator). *McConnell, E.S.(PrincipalInvestigator). *Parker, H.(PrincipalInvestigator).Turner, B. 7/1/2005-6/30/2008, $72,854. Training forNon-SmallCellLungCancer Jones, L.W. (PrincipalInvestigator).Demark- and Education(PRIME)inProstate Cancer. $190,679. $179,103. (W81XWH-05-1-0209), 1/15/2005-2/14/2008, (W81XWH-05-1-0209), 1/15/2005-2/14/2008, (5D09-HP07339-02-00), 7/1/2006-6/30/2009, (5D09-HP07339-02-00), 7/1/2006-6/30/2009, Geriatric Nursing Education Project. Funded Geriatric NursingEducationProject.Funded Service Administration (5D62-HP01909-05-00), Service Administration(5D62-HP01909-05-00), Settings. FundedbyHealthResourcesand 9/1/2003-6/30/2009, $154,326. Evidence Based Nursing Practice in Geriatric Evidence BasedNursingPracticeinGeriatric Hybels, C.(PrincipalInvestigator).Landerman, Health (5P30-AG028716-02),9/15/2006- Health Resources and Service Administration Health ResourcesandServiceAdministration S., Docherty, S.L.PediatricAdvancedPractice Institutes of Health (1R01-MH080311-01), Institutes ofHealth(1R01-MH080311-01), 6/30/2011, $198,297. Nurse Practitioner for FNPs. Funded by 6/1/2007-5/31/2011, $50,000. in Older Adults. Funded by National in OlderAdults.FundedbyNational Funded by Department of Defense Funded byDepartmentofDefense Partnering Research Involving Mentoring Partnering ResearchInvolvingMentoring Foundation, 1/1/2006-12/31/2007,$98,989. Patients. FundedbyLanceArmstrong Pieper, C.(PrincipalInvestigator).Landerman, (Principal Investigator). McConnell, E.S.(PrincipalInvestigator). Bailey Jr., D.E.,Corazzini,K.N.,Hendrix,C. Wahnefried, W. Post-OperativeExercise L. R.SubtypesandTrajectories ofDepression RC 1. Funded by National Institutes of L. R.RC1.FundedbyNationalInstitutesof by John A. Hartford Foundation, by JohnA.HartfordFoundation, (Principal Investigator). Price, M.L.(PrincipalInvestigator).
*Turner, B.S.(PrincipalInvestigator).Clinical *Turner, B.S.(PrincipalInvestigator). *Turner, B.S.(PrincipalInvestigator).Nurse 7/1/2006-6/30/2009, $142,408. Tulsky, J.(PrincipalInvestigator).Clipp,E.C., Adults. Funded by Ohio State University Administration (D09HP07350-02), Administration (D09HP07350-02), Anesthesia Program. Funded by Health Anesthesia Program.FundedbyHealth of Health (5U01-AR052186-04), of Health(5U01-AR052186-04), and ServiceAdministration(1U1- and Practice.FundedbyHealthResources $158,238. $269,912. $458,886. (UT12931), 11/1/2006-3/31/2008,$311,733. (1D09-HP07359-02), 7/1/2006-6/30/2009, (1D09-HP07359-02), 7/1/2006-6/30/2009, Coping InterventionforHIV-Infected Older Careers inWomen’s Health. FundedbyNIH/ Supplement. Funded by National Institutes Supplement. FundedbyNationalInstitutes Goodwin, L.K.TIP-NEP:Technology 9/28/2004-7/31/2009, $409,861. KHP07713-01-00), 9/1/2006-8/31/2011, KHP07713-01-00), 9/1/2006-8/31/2011, Sikkema, K.J. (Principal Investigator). A Weinfurt, K.P. (PrincipalInvestigator). Clipp, Williams, R.S.(PrincipalInvestigator). Turner, Institutes of Health (5R01-NR008249-05), Institutes ofHealth(5R01-NR008249-05), Integration Program for Nursing Education Integration ProgramforNursingEducation NICHD (K12HD043446), 9/26/2002-7/31/2007, NICHD (K12HD043446),9/26/2002-7/31/2007, Funded by Health Resources and Service Funded byHealthResourcesandService Research ManagementProgramforNurses. Patients andCaregivers.FundedbyNational Resources and Service Administration Resources andServiceAdministration E. C.,Demark-Wahnefried, W. CaPS Hays, J.Trajectories ofSeriousIllness: Building Interdisciplinary Research B. S.BuildingInterdisciplinaryResearch 8/1/2003-4/30/2008, $383,947.
33 DUKENURSINGSPRING/SUMMER2008 Non-Profit Org. U.S. Postage PAID Duke Nursing Magazine Durham, NC 512 S. Mangum Street, Suite 400 Permit No. 60 Durham, NC 27701-3973 151-7017
Don’t miss the next issue of Duke Nursing Magazine! Reserve your copy by mailing your Annual Fund gift today in the enclosed envelope.
Nursing Students Connect with Homeless
In October eight Duke School of see a major community health event Nursing students participated in a in action.” one-day event aimed at connecting The students also offered the people Durham’s homeless with valuable nutritional advice and referred anyone services and resources. with a high blood pressure reading to During Project Homeless Connect, a nurse practitioner or physician on an event held at Urban Ministries to site. “The people were very satisfied and kick off Durham’s 10-year plan to end pleased with the information the stu- homelessness, the students provided dents gave them,” says Rosa Solorzano, blood pressure screenings. The MPH, MD, associate director of the screenings were just one of many free School of Nursing’s Office of Global and services made available that day for Community Health Initiatives. Grace Odom (right) receives a the homeless. Other services included The eight students learned about blood pressure checkup from Duke hair cuts, flu shots, and housing and Project Homeless Connect through their nursing student Andrea Lingle. employment assistance. Community Health Nursing course, The event gave the nursing which is taught by Helen Gordon, CNM, students an opportunity to work with MS, and required of all accelerated a population they seldom get a chance Bachelor of Science in Nursing (ABSN) to interact with, says Catherine Taylor, students. Taylor says the entire class, MSN, RN, BC, manager of clinical made up of 65 ABSN students and one placements at the School of Nursing. master’s degree student, will participate “Interacting with the homeless was very in Project Homeless Connect again in instructive and made a big impression.” the fall. She adds: “The students were able to