Summer 2013 Volume 9, No

Summer 2013 Volume 9, No. 2

THE CHANGING FACE OF NURSING 6 Reunion 2013 10 Students 14 Innovation 20 Nursing Alumni from diverse “flips” the Association Awards backgrounds seek nursing second careers classroom Duke Nursing as nurses magazine

Summer 2013 Volume 9, No. 2 ALSO IN THIS ISSUE New faculty appointments Duke Nursing Magazine 2 is published by the Duke Powell receives Cook Award Nursing Alumni Association. 4 Issues are available online at UCSF Honors Gilliss nursealum.duke.edu. Your comments, ideas, and letters Beta Epsilon turns 40 to the editor are welcome. Please contact us at: Second DUSON history volume published DukeNursing Magazine 512 S. Mangum St., Suite 400 6 Students commit to excellence Durham, NC 27701-3973 Friends and Family Day [email protected] 24 Students gain Duke Nursing firsthand research 7 Merwin and Hockenberry receive distinguished Alumni Affairs Staff experience professorship appointments Fran Mauney, Associate Dean, Development and Alumni Relations 8 Op-Ed by Renée Beauclair Twersky, ABSN’06, PhD Sallie Ellinwood, Director Philanthropic campaign progress of Development Duke joins Hopkins and UAB at Florida alumni event Amelia Howle, Director, Alumni Relations and Annual Programs 9 Graduation 2013 Ginger Griffin, Staff Assistant 18 Satcher speaks on global health Editor 19 Veterans health topic of annual Carter lecture Marty Fisher Contributing Writers 27 Classnotes Bernadette Gillis, Jim Rogalski, Angela Spivey 28 Robbins, ABSN’09, RN, CCRN in Panama with Graphic Designer Floating Doctors David Pickel 29 Gibbons, ABSN’09, MSN’12, paints a cow for Photography children’s hospitals Jared Lazarus, Les Todd, Jon Gardiner Duke University Photography David Pickel Illustration Correction: In the previous issue, Kristi Hendricks’ last David Pickel name was misspelled in the excerpt from the speech she gave at the December ABSN graduation ceremony. Duke Nursing Magazine apologizes for the error.

Produced by Duke Medicine Development and Alumni Affairs Copyright Duke University Health System, 2013. DMDAA 1357

Nursing Board of Advisors dean’s welcome Charles C. (Charlie) McIlvaine, T’87 (Chair), Darien, Conn. Christy W. Bell Southport, N.C. Mary Martin D. Bowen, MA’59 Decatur, Ga. Steven G. Clipp Chapel Hill, N.C. Preparing Christopher A. (Chris) Downey Foothill Ranch, Calif. Nurse Leaders Martha Ann Harrell Fayetteville, N.C. Gerald Lucovsky Of all the aspects of my work, the one students at all levels to encourage their Cary, N.C. most encouraging to me about nursing’s curiosity by exposing them to research. Anne F. McKay future is the quality and commitment of We believe that learning about research Creedmoor, N.C. Susan B. Meister, PhD, RN, FAAN our students. They exhibit extraordinary and being exposed to the power of Hampton, N.H. passion, creativity, and intelligence discovery will stimulate our students Susanne Rallis and are focused on reducing health to consider careers in science. You will Cary, NC disparities, caring for people at their see how faculty members Dr. Sharron Jeff Selph Cary, N.C. most vulnerable hour, and strengthening Docherty and Dr. Marilyn Hockenberry Cynthia W. Vanek the families and communities in which are collaborating with student researchers Vero Beach, Fla. we live. They intend to change the world. on patient-centered solutions. Sheppard W. (Shep) Zinovoy They are multitalented and scary smart! In this issue of Duke Nursing Palm Beach, Fla. In support of their ambitions, we must Magazine, you we also read more about a offer the highest quality educational new method of teaching that we call the Nursing Alumni Council programs possible. In this issue we focus “flipped classroom.” Nursing classes have July 1, 2012 – June 30, 2013 on our students and the ways in which often involved traditional lectures, where Officers we are working to prepare them to lead the instructors talk and the students Joan M. Stanley, BSN’71 into the future. listen. But inside the flipped classroom, President Consistent with Duke’s commitment the lectures are the homework and class Kathleen E. V. Gallagher, BSN’75 to excellence, the School of Nursing time is for discussions or hands-on Past President embraces a tripartite mission of education, learning. This new approach benefits Jo Ellen Holt, ABSN’08, MSN’10 Secretary scholarship, and service. Of these three, students by giving them an active role Councilors however, our dedication to educational in their own learning. We’ll hear from Charis E. Ackerson, ABSN’08 excellence rises above all other missions. students and faculty members, including Sally B. Addison, BSN’60 Since 1932, when we opened the school, Dr. Sharon Hawks and Dr. Alison Edie, Shane D. Anderson, ABSN’10 Bonnie C. Bauer, BSN’65 we have welcomed thousands of students how the flipped classroom works. Cheryl A. Brewer, MSN’94 to the Duke campus. When I was an I hope you find this latest issue of Rosemary Brown, MSN’94, DNP’10 Meg Carman, MSN’98, DNP’10 18-year-old Duke student, I was living Duke Nursing Magazine informative Libby H. Carver, MSN’02 away from home for the first time, and and gain insight into the school’s student Sarah K. Donnellan, ABSN’09 my understanding of the opportunities population and how they continue Margaret M. Edwards, BSN’70 Susan M. Glover, BSN’70 in nursing was, quite frankly, under- to shape our school and the future of Ashley J. Hase, BSN’82 developed. Today our students come nursing and health care. Leigh H. Holt, BSN’84 Katie Sligh Moore, ABSN’07 from a variety of educational and work Meredith T. Park, ABSN’11 backgrounds and are looking for a 2013 Christine S. Pearson, BSN’84 meaningful way to contribute to society. Melissa T. Peters, ABSN’07, CRNA’11 Kay Bunting Randolph, BSN’58 In this issue, we meet some of these Ruth C. Scharf, BSN’80 students who are making career changes S. Celeste Toombs, MSN’00, GNC’02 SUMMER Richard R. Welch, C’02 from such backgrounds as law, education, Catherine L. Gilliss, BSN’71, PhD, RN, FAAN Bertha R. Williams, MSN’96 sports, and fashion. Dean and Helene Fuld Health Trust Professor of Nursing Marianne Tango Williams, BSN’81 In addition to educating students Lindsay A. Wojciechowski, ABSN’04, MSN’05 Vice Chancellor for Nursing Affairs NURSING in almost every facet of nurse-led care,

faculty members are working with DUKE 1 New Faculty Appointments Kathleen S. Ashton Margaret Rémi M. Hueckel “Peggy” Bush

Kathleen S. Ashton, MSN’09, PhD, RN, is Margaret “Peggy” Bush, PhD, MBA, RPh, Rémi M. Hueckel, MSN’96, DNP’11, an assistant professor in the ABSN degree is an assistant professor with co-teaching CPNP-AC, is an assistant professor in program. She joined the School of Nursing responsibilities for the pharmacology the MSN and DNP degree programs. faculty in February 2013 and teaches the courses in both the MSN and ABSN She is an expert clinician in the pediatric ABSN program’s adult health courses. programs. She has more than ten years’ intensive care unit and a leader in patient Ashton has been a registered nurse for 32 experience teaching pharmacology. safety and process improvement at years and has extensive experience as a Her research experience has focused on Duke University Hospital, where she provider of care to adult populations in clinical drug development in the areas also holds a clinical appointment. As acute care settings. Before coming to the of oncology and hematopoietic growth a clinical associate, Hueckel served as School of Nursing, she was a staff nurse factors. She has practiced as a pharmacist clinical preceptor for acute care pediatric and unit educator in the Duke University in both hospital and retail settings. She nurse practitioner (PNP) students and Hospital Emergency Department, first joined the School of Nursing faculty as course coordinator for the acute care coordinator of the Nurse Residency in December 2012. PNP management courses. Currently, Program at Duke Hospital, and a staff Bush earned a BS degree in pharmacy she teaches management courses for the nurse in Duke Hospital Perioperative from The Ohio State University, an MBA pediatric acute care nurse practitioner Services. She also served as a preceptor for in health administration at Cleveland State specialty program and serves as laboratory newly licensed and experienced nurses. University, and a PhD in pharmacology instructor in the Pediatric Diagnostic Ashton earned a bachelor’s degree from the University of California, Los Reasoning and Physical Assessment in nursing science at Wilkes College Angeles (UCLA). She recently completed course. She first joined the School of in Wilkes-Barre, Pa. She earned a a graduate certificate in e-learning from Nursing faculty in 2013. master’s degree in nursing education North Carolina State University. Her Hueckel earned a BSN degree from at Duke in 2009 and completed a PhD professional interests include identifying Purdue University. She earned an MSN at the University of North Carolina at pharmacology instructional strategies degree as an adult nurse practitioner and Greensboro in December 2012. Ashton’s that engage learners and promote critical completed postmaster’s certificates in the dissertation focused on the adaptation thinking through the use of problem- family nurse practitioner and acute care of new registered nurses, and her current solving approaches. pediatric nurse practitioner specialties at research interests include the provision of In 2005, she received the Excellence in Duke. She is a 2011 graduate of the Duke support to new nurses through evidence- Teaching Award from Durham Technical DNP program. Hueckel is board certified based interventions. Community College. Other honors include by the American Nurses Credentialing being inducted into Beta Gamma Sigma Center as a family nurse practitioner and (Business Scholastic Honorary) in 1984 as an acute care PNP by the Pediatric and the Rho Chi Society (Pharmacy Nursing Certification Board (PNCB). Scholastic Honorary) in 1979. Hueckel’s clinical experience and 2013 interest in patient safety and emergency SUMMER NURSING DUKE 2 Journal of Pediatric Health Care Health Pediatric of Journal for the areviewer is and PNCB, of the Committee Exam PNP Care Acute the on serves Practitioners, Nurse Pediatric of Association National of the chapter Carolina North of the president-elect the is She students. PNP Care Acute and ABSN between collaboration professional for intra- opportunities create and courses management PNP Care Acute Duke the into simulation integrate creatively to her have allowed teams response Devon Noonan Noonan Devon Cheryl C. Rodgers C. Cheryl . of Nursing. School of Michigan University at the T32 fellowship NIH an completed 2010. recently in She Virginia of University Award the from Dissertation Verhonick J. Phyllis the received also She students. college in methods use tobacco alternative understanding on Tau Theta Sigma from grant asmall and Association Lung American the from a fellowship received she Virginia, of University the at While populations. vulnerable in reduction risk cancer and promotion Virginia. of University at the PhD and MPH an and University, at Georgetown degree MSN an College, at Boston degree aBSN received She settings. health pediatric/adolescent and community health, occupational health, in practice of clinical years eight than more with practitioner nurse registered and nurse aregistered is She course. Promotion school’s the Health teach initially will 2013 and in faculty Nursing of School the joined She programs. degree DNP and ABSN the in professor assistant FNP-BC MPH, PhD, Noonan, Devon Noonan’s research is focused on health health on focused is Noonan’s research to support her work her to support

, is an an , is patients. She is certified as a pediatric pediatric as a certified is She patients. transplant marrow bone pediatric with experience research and clinical extensive 2013, has in faculty Nursing of School the who joined Rodgers, programs. degree DNP and MSN the CPON CPNP, RN, PhD, Rodgers, C. Cheryl Corporation. Certification Nursing Oncology the and Nurses Oncology Hematology of Pediatric Association for the member aboard as serves currently She board. Nursing Oncology Pediatric of of the amember is and journals oncology and for pediatric reviewer strategies. management symptom exploring and knowledge experience symptom expanding on focused of research program develop her to continue will she Duke, At patients. transplant marrow bone adolescent for intervention management symptom early an evaluated and developed she of Medicine, at Baylor College fellowship post-doctoral athree-year, During recovery. transplant marrow bone during adolescents and of children experiences symptom the exploring on focused dissertation Her 2009. in University Texas from Woman’s aPhD and 2000, in Center Science of Texas Health Houston University the from degree 1989, MSN an in Center Medical of Nebraska University nurse. oncology apediatric as and practitioner nurse Rodgers has served as a manuscript amanuscript as served has Rodgers the from degree aBSN earned She , is an assistant professor in in professor assistant an , is new faculty new editorial Journal Journal

3 DUKENURSINGSUMMER2013 Powell Honored Gilliss Receives For Commitment to Distinguished Community Health Alumnus Award

Dorothy Powell, EdD, RN, FAAN, associate dean for global and In April, Dean Catherine Gilliss received the community health initiatives, was one of eight honorees during University of California, San Francisco (UCSF) the 16th annual Cook Awards Ceremony and Dinner. School of Nursing’s 2013 Jane Norbeck The Cook Awards are named in honor of Dr. Samuel DuBois Distinguished Alumna Award. Gilliss earned a PhD Cook, Duke University’s first African-American professor, and from UCSF in 1983. recognize service to the university and community. This year the The award was established in 1984 to honor event also was part of the university’s nine-month commemora- graduates who have made significant contributions tion of the 50th anniversary of black students at Duke. Andy to the nursing profession and have demonstrated Burness, one of Cook’s first students at Duke; President Richard service and/or leadership that contributed to the H. Brodhead; and Ben Reese, vice president of Duke’s Office for growth and development of the UCSF School of Institutional Equity, offered remarks during the ceremony held Nursing and/or the profession. The award is named in February. for Jane Norbeck, an alumna from the master’s As founder of the Office of Global and Community Health class of 1971 and PhD Class of 1975 and dean Initiatives, Powell has developed international and local opportu- from 1989 through 2000. nities for student cultural immersion. Her goal is to help students increase their cultural sensitivity and experience the challenges of health care delivery to vulnerable populations. Her international work has involved countries in the Caribbean, Central America, Africa, and parts of Asia. She has created ongoing bonds between the School of Nursing and organizations that serve home- less and other high-risk communities in Durham. In addition, Powell has increased opportunities for the economically disadvan- taged and under-represented minorities in nursing at Duke.

New Web Site Launched

2013 Duke University School of Nursing has a new web site. You can keep up with news about nursing educa- Award winners, from left to right: Yuridia Ramirez, a Duke history tion and research at nursing.duke.edu. You can also SUMMER doctoral student; (front row) Li-Chen Chin, director of intercultural follow the school on Facebook, Twitter, Google Plus, programs in student affairs; Dr. Powell; and Charles West, a senior Pinterest, LinkedIn, YouTube, and Flickr. and campus leader; (back row) Daniel Kimberg, a Duke alumnus and

NURSING Robertson scholar; Lee Baker, dean of academic affairs for Trinity College; Marcus Benning, a junior and president of the Black Student nursing.duke.edu Alliance; and Kevin White, Duke’s vice president and director of athletics. DUKE 4 news

Beta Epsilon Celebrates 40th Anniversary

The Beta Epsilon Chapter of Sigma Theta Tau International Honor Society of Nursing celebrated its 40th anniversary on March 4. Speakers shared their history with the Beta Epsilon chapter for an audience of chapter members, nursing faculty, and Duke nursing students. Speeches included a welcome from the chapter president, Robin Knobel, PhD, RN and opening remarks from Dean Catherine Gilliss. Second History Volume Published Past chapter leaders who shared their Beta Epsilon Duke University School of Nursing experiences included: Mary graduation has published a second volume on photo of the Ann Peter, BSN’62, MSN’65, Class of 1982. the school’s history, Progress and PhD, RN; Midge Bowers, Possibility, covering 1971-2013. MSN’90, DNP, RN, FNP-BC, AACC, and This was one of the most challeng- Dean Emeritus Ruby Wilson, EdD’69, ing periods, when, in 1979, the RN, FAAN. A reception to mark the event school was targeted for closing. Of the other schools and departments targeted for elimination, some fared better followed the presentation. than others. The School of Education was closed. The Department of Health, From the difficult challenges of this Physical Education, and Recreation was reorganized as a unit within Athletics. The School of Forestry and Environmental Sciences, the Duke University Marine Lab, and the Department of Sociology were spared.

With the support of Dr. William Anlyan, the chancellor of health affairs, Dr. Wilson period, visionary leadership and was able to preserve the small master’s program and the School’s basic structure within the Duke organization. In 1980, the last class of students—60 women in total—were admitted to the bachelor’s program in nursing. During the next four years, Dr. Wilson’s main focus was retaining the School’s faculty to maintain aca- new programs helped the school demic excellence and successfully graduating the remaining classes of students. The final class of BSN students at Duke University School of Nursing graduated in 1984. Every single member of this class would go on to pass their state board exams enjoy a remarkable turnaround. The on their first attempt, a bittersweet achievement. On December 12, 1981, a Task Force on the Future of Nursing Education at Duke University submitted a report to University trustees recommending the establishment of two nursing education programs: a master’s program in a publication was mailed to alumni in clinical specialty and an associate’s degree program in nursing that would enroll students with one year of undergraduate education from an outside college for a 15-month, hospital-based clinical education. Transforming the BSN program into an associate’s degree program, however, was met with strong opposition from January and is available online at School of Nursing faculty. A letter sent to the trustees and signed by all faculty members stated that an associate’s degree is “contrary to professional nursing article from the Duke Chronicle standards and beneath the level of excellence associated with Duke University.” about the last graduating class The associate’s degree program was never implemented at the School, and no nursing.duke.edu. of bsn students. replacement was made for the BSN program. Nationwide, several other private nursing schools were closed, including the distinguished programs at Cornell University, Stanford University, and Boston University. The prevailing sentiment of the time was that nursing education was expensive and not consistent with the mission of elite, private universities.

Letters progress and possibility, 1971-2013 13 “What a delight, and trip down memory lane, to open your magazine yesterday evening. For some odd reason, I started reading it back to front, and the pages became more

and more familiar. There was my dear friend, Kathryn A. May outside 2013 Hanes House on p. 8. There was my student uniform on p. 7. Imagine my surprise to see my graduating class on p.4 and 5! I see myself, smiling

away in the very back row on p.5.” SUMMER —Phoebe E. Bacon, BSN’74, MLS, MA Mary Ann Peter, Dean Catherine Gilliss, Dean

Emeritus Ruby Wilson, Midge Bowers, Robin NURSING Knobel, and Dorothy Brundage, PhD, RN, FAAN, former interim dean DUKE 5 1963 Commitment to Excellence Ceremony

On the night before Family and Friends Day, Duke University School of Nursing Reunion 2013 held its second annual Commitment to Excellence Ceremony for students in More than 200 alumni, the Accelerated BSN program. friends, and family gath- This year’s student address was ered on campus for Nursing delivered by Randi Simpkins, ABSN’13, Reunion, April 12-13, 2013. who shared the story of her brother’s bicycle accident. Dean Catherine Gilliss and “As he grappled with the pain … Joan M. Stanley, BSN’71, I was able to sit at his bedside and 1973 PhD, RN, FAAN, FAANP, strengthen and empower him with sto- president of the Nursing ries of patients who I came into contact Alumni Association, presented with week after week,” she said. School of Nursing awards She told her fellow students their to Eleanor Schildwachter challenge today is no different than it McConnell, BSN’76, was two centuries ago: “We must do MSN’78, PhD, RN, GCNS- all in our power to elevate the stan- BC; Barbara Brod Germino, dard of our profession and the practice BSN’63, MSN’68, PhD, RN, of our calling.” FAAN; Virginia Brown Lang, Dean Catherine Gilliss made open- BSN’67; and Mary Ann ing remarks, and assistant professor Rohrhurst Peter, BSN’62, Kathleen M. Turner, MSN’93, DNP’12, MSN’65, PhD, RN. RN, gave a brief history of the ABSN program at Duke before introducing Simpkins. 1978 Other weekend highlights included the 2013 The Commitment to Excellence Distinguished Contributions Ceremony is intended to foster a to Nursing Science Address by sense of community and establish Germino, a faculty discussion a transitional experience to support on education for global lead- nursing students as they begin their ership, and a session on what clinical rotations. every woman needs to know from a financial perspective. Michael Relf, PhD, RN, ACNS-BC, AACRN, CNE, FAAN, assistant dean for undergraduate education, with Randi Simpkins

Save the Date! Reunion 2014 1983 April 11-12 news

Merwin and Hockenberry Receive Distinguished Professorship Appointments

Elizabeth Merwin, PhD, RN, FAAN and Marilyn Hockenberry, PhD, RN, PNP-BC, FAAN, have been named to endowed professorships at Duke University School of Nursing. These appointments are in recog- nition of their distinguished contributions to nursing research and health care. A group of future nurses get in on the Family and “Dr. Merwin and Dr. Hockenberry are Friends Day fun. distinguished and productive scientists whose work exemplifies the important Elizabeth Merwin Marilyn discoveries being made by nurse scien- Hockenberry Family and tists,” says Dean Catherine Gilliss. “They Friends Day represent major resources to our field, whose work focuses on the symptoms and we are very pleased to have them at associated with childhood cancer treat- Duke helping to prepare the next genera- ments. A successful and prolific research- More than 375 faculty, tion of nurse researchers.” er and clinician, she has significantly students, family, and friends Merwin is the executive vice dean contributed to understanding how to gathered for this year’s of the School of Nursing. She will be improve cancer care for children. Family and Friends Day in named to the Ann Henshaw Gardiner For more than two decades, February. Each year, the Professorship in Nursing. Hockenberry is Hockenberry has conducted studies to event gives students in the a professor of nursing and specialist in explore the most frequent and severe Accelerated BSN program a pediatric oncology. She will be named to symptoms experienced by children dur- chance to share with their the Bessie Baker Professorship in Nursing. ing cancer treatment, including fatigue, loved ones what it’s like to The announcements were made at the mental and cognitive changes, sleep be a nursing student at Duke. annual Duke University dinner honor- disturbance, pain, and nausea. She and The informative and fun-filled ing distinguished professors in May. The her colleagues have developed predictive day featured demonstrations professorships take effect July 1. models identifying children at greatest in the school’s Center for Merwin is a pioneer in the study of risk for severe symptom toxicities that Nursing Discovery; a class mental health service needs and delivery often inhibit optimal cancer therapy. She taught by faculty member, in rural communities. A highly regarded is now funded by the National Institutes Michael Relf, PhD, RN, ACNS- scholar, her work has shaped the field of of Health/ National Institute of Nursing BC, AACRN, FAAN; and face mental health nursing and more broadly Research to evaluate the influence of painting for the kids. influenced interdisciplinary mental health phenotypic responses assessed by cere- care in underserved rural areas. Her brospinal fluid (CSF) biomarkers of oxida- research has used large datasets to gen- tive stress and inflammatory pathways on 2013 erate core data for understanding the de- symptoms experienced by children with livery of mental health care, understand- leukemia. ing the challenges of mental health care The Bessie Baker Professorship is providers in rural areas, shaping health named for the first dean of the School of SUMMER care provider education and influencing Nursing, and the Ann Henshaw Gardiner policy decisions. Professorship is named in honor of the

Hockenberry is an internationally first instructor at the School of Nursing. NURSING known expert in pediatric oncology DUKE 7 8 DUKENURSINGSUMMER2013 Twersky, ABSN’06 ABSN‘06, ABSN‘06, Renée step. first is an important interacting to create understanding new PhD and smarter,that better we work of ways old and breaking down Beauclair futureterprofessional The success interactions. of demands care health hierarchies that have “stove piped” professions to in and led strained to promote our profession and rethink have the agreat opportunity Twersky, ateam approach, that adopt Ibelieve we and specialties settings care health more are chronic closely. managed with illnesses that those As to ensure have that access adequate and patients follow up care, and together nurse, works and clerk, nurse,registered licensed practical team, care includes aprovider, which primary Each panels. assigned all thinkinguse of their critical skills managefor help they care as their centered medical home model, which requires registered nurses to We provided. have patient- the adopted isservice major care the physicians. of in service the nurses of beleaguered of potentialexample exploitation ultimately, yet as another was dismissed care, my suggestion better ate team collaborative amore environment and well-informed and, basis the of on of what could evaluatingInstead cre suggestion the to take at me. need of care themselves!” “They hissed someone training work,” physicians. by attending the “That’s DOCTOR’S to unit the instead of inconsistentresidents on relying non-existent or could create nurses was constant, acurriculum and new orient staff were transient residents nursing the while that because I proposed of rather their common goal on focus their distinctions on nurses nursing what as itis instead of what itis not. to understand practice, my and has own me allowed foundation Ibase which upon administrator, afamily or member. my touchstone, has This been the up, speak wrong, evenseems ifitmeans challenging aphysician, an practice, focus the patient the remains on something same. If the we might for is to our whatever patient.sibility advocate In setting told us Hays that anurse’s Judy was completed. Professor respon Ninthon Street before building program beautiful the new the used Accelerated into crowded rented cramped BSN the students space Duke.at day school of my nursing first I remember Fifty-six Improves Care for Patients Team Care Health Ultimately Autonomy for on the Nurses opinion editorialopinion Care Service at the the at Service Care in the Ambulatory Durham Veterans system specialist Renée Beauclair Beauclair Renée I now manage multiple ambulatory care clinics, of which primary of clinics, primary care which manage multiple ambulatory now I and doctors tension result can when that unnecessary seems It PhD, Affairs Medical Medical Affairs is a health ahealth is Center. , tensions in the workplace. workplace. the in tensions ings and unnecessary leading to misunderstand miliar our processes, with unfa residents, medical of influx the saw regularly unit our affiliation, demic an aca with Department in an Emergency practiced I care. example, when For safe, patient high quality ------Collaborate Florida Event on Duke, Hopkins, and UAB Nursing Schools ties, includingties, space named in wing of new the Nursing’s campaign, there are many opportuni of you areIf School interested the in supporting Progress Campaign Development andDevelopment Alumni Affairs. (919)Ellinwood, 385-3151, Nursing of School Francontact Mauney, (919) 414-8908 Sallie or options for giving through your estate. Please as well as benefits, income provide can and tax Duke planned giving options that offers also and faculty. for students health opportunities global or research provide or support sorships, to profes endow scholarships, provide as gifts Christinethe building, Pearson Siegler aswell $40 million $40 $30 million $20 million $10 million MSN’90, DNP, RN, FNP-BC, AACC represented Duke. represented AACC DNP, FNP-BC, RN, MSN’90, and Naples, Fla., in January. Each program featured featured program Each January. in Fla., Naples, and Alabama at Birmingham at a luncheon program for for program aluncheon at Birmingham at Alabama from John Hopkins University and the University of of University the and University Hopkins John from a panel discussion on Leading Innovation in Health Health in Innovation Leading on discussion a panel Dean Catherine Gilliss joined the deans of nursing nursing of deans the joined Gilliss Catherine Dean alumni and friends in Jacksonville, St. Petersburg, Petersburg, St. Jacksonville, in friends and alumni 0 Care and Nursing Education. Midge Bowers, Bowers, Midge Education. Nursing and Care Raised as of April 2013 April of as Raised $27.5 million $43.0 million of goal campaign capital Donations toward the giving

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8 Collaborate Florida Event on Duke, Hopkins, and UAB Nursing Schools giving Angela Sherman, Luisa Vega, and Crystal Santiago Crystal and Vega, Luisa Sherman, Angela Graduates prepare for the ceremony, ceremony, the for prepare Graduates think today beyond and continue to challenge yourself. 2012September graduate, delivered student address. the Association. Nurses American Karen Daley, president of the FAAN, PhD, RN, MPH, Catherine Gilliss and acommencement by address programs. school’s Accelerated DNP, BSN, MSN, degree and PhD May on 12degrees to 253 representing the students of awarded Nursing School asthe andtears, cheers year’sThis graduation was once againwith filled hugs, Graduation 2013 advance health care for all.” at to problems and challenge each other in an effort Challenge what we knowand challenge how we look Among Kelley’sAmong words of advice: “I ask each of you to ceremonyThe included from welcome Dean remarks Tiffany Kelley,Tiffany PhD’12, news a

9 DUKENURSINGSUMMER2013 Kevin Momber age: 30 first career: paralegal in Philadelphia Ellen currently: Urbanowicz CRNA student age: 27 first career: clothing designer in Manhattan currently: ABSN student THE CHANGING FACE OF NURSING A FEW YEARS AGO in a top New York City fashion design firm, Ellen Urbanowicz sat across the table from Generation Y pop stars Jessica and Ashley Simpson, whose “Tween” clothing line was all the rage. Urbanowicz—then age 24—and fellow designers were charged with keeping the label fresh and edgy. Urbanowicz had been in New York just a couple of years and had Randi Simpkins steadily risen up the ranks at The Jones age: 40 Group. The New Jersey native was living in first career: Manhattan and reveling in the excitement that Students school teacher currently: the city and her demanding job provided. She with diverse ABSN student was on her way to fulfilling a childhood dream of becoming a famous fashion designer—going backgrounds from making clothes for her dolls to designing them for the stars. attracted to One Friday night about a year later, while second career working on a line of clothes for Macy’s, a moral realization struck her. “We were at the office until 11 p.m. and people were freaking By Jim Rogalski out about hem lengths and zippers. It made me think: This is just clothing. It’s not a life and death situation. I really felt I had lost touch with who I was and did not want to live the rest of my life like that.” Meanwhile, near Venice, Italy, 23-year old San Diego native Anna Gonzales was making a good living as a professional water polo player. She traveled to new and interesting places and enjoyed free time with friends on sunny beaches. “It was a pretty good life,” she says. “I got to see a part of the world I never thought I’d get to see, and get paid to do what I loved.”

One problem, though: Gonzales knew that her time as a professional 2013 athlete was limited. Age and a recurring shoulder injury would eventually force her to quit, she reasoned. Gonzales sought a more substantive,

rewarding future. SUMMER When an offer came to join a different professional water polo team—this one in Greece—she said no. “It was time to actually start my

life,” she says. NURSING DUKE 11 For Urbanowicz and Gonzales, That certainly is true for Kevin the choice for new careers was clear: Momber, a former paralegal at a large Nursing. Philadelphia law firm. The current Anna Gonzales R. John student in Duke’s Master of Science CAREER REBOOT in Nursing degree program says he age: 25 Repique Nursing as a second career is a grow- career: age: 43 became disenchanted working in the professional ing trend in the United States and at first career: legal system because “it felt like I was water polo Duke. That’s documented, in part, psychiatric trying to game the system to make a player by the explosive growth of nursing nursing currently: currently: lot of money for the firm’s partners. It ABSN student schools offering accelerated bachelor DNP student; was soul crushing. It wasn’t purposeful of science in nursing (ABSN) degree VP, Jackson and meaningful. I knew I didn’t want programs, which require students Health System, Miami, FL to go on to law school.” to already have earned bachelor’s Over the past 10 years, men have degrees, the majority of which are in made up 10 percent of the nursing non-health care disciplines. student population at Duke, compared The American Association of Colleges in Nursing (AACN) to the national average of 6 percent. The number of male nursing reports that in 1990, just 31 ABSN programs existed in the students in all of Duke’s nursing programs grew from 39 in 2003 United States. Today there are about 250. to 107 this year. The AACN says the number of men entering Duke University School of Nursing has enrolled former nursing is slowly but steadily increasing. architects, teachers, business owners, and the like into its After leaving the law firm, Momber returned home to Grand programs. Like Urbanowicz and Gonzales, some have renounced Rapids, Michigan and ran into a male friend who recently had established careers that they found unrewarding. Nursing, they completed an ABSN program there, was working as a nurse, and said, provides them with deep personal richness, humanitarian loved it. value, flexibility, and long-term stability. “It was like a light bulb went on for me,” Momber said. “I The School of Nursing’s overall enrollment has nearly didn’t grow up around nurses, so it wasn’t even on my radar. But tripled in the last 10 years, growing from 398 full-and part-time I realized this is exactly what I wanted to do. I knew it would students in 2003 to today’s 844. The current average age of all allow me to give back in so many ways.” Duke nursing students is 34, for ABSN students it’s 28, further He earned an ABSN degree in Michigan, then was hired at indications that women and men are rebooting their professional Duke University Hospital in the Pediatric Intensive Care Unit. lives mid-career. “I chose Duke because I knew I would want to go back to It makes for a diverse student cohort with myriad life experi- school at some point, and I wanted to work at a big, respected ences entering the workforce. medical center,” he said. “Being a nurse is so gratifying to me.” “For many recent college graduates and established profes- After three years in the Pediatric ICU, Momber, now age 30, sionals, nursing is attractive since it allows them the opportunity decided to specialize in anesthesiology and enrolled in the School to obtain both personal and professional satisfaction—something of Nursing’s certified registered nurse anesthetist program. “I like frequently cited as missing in other jobs and professions,” says having that kind of responsibility,” he says. “You’re at the head Michael Relf, PhD, RN, ACNS-BC, AACRN, CNE, FAAN, the of the bed during surgeries helping to keep the patient alive. That School of Nursing’s assistant dean of undergraduate education. really appeals to me.” He has one year left in the program. 2013 Applications to all Duke University School of Nursing R. John Repique, a student in Duke’s Doctor of Nursing programs have more than tripled since 2007, when 453 prospec- Practice degree program, is vice president, chief administrative tive students applied. For the 2012-2013 school year, there were officer, and chief nursing officer for Mental Health Services at SUMMER 1,398 applications. Jackson Health System in Miami. He comes to the Duke campus According to the Online Journal of Issues in Nursing (OJIN), once a semester. nursing students identified caring for others and contributing to Unlike Momber, Repique was called to nursing at an early age. NURSING the well-being of society as a major component of their decision “I’ve always been a nurse,” he said. “I came from a family of to become nurses. nurses. What I love about nursing is its focus on caregiving.” DUKE 12 Number of enrolled Duke nursing students 800

700 energy level and intensity of focus to their studies than younger students. They seek out challenges at work and are well suited to problem solving. 600 For former elementary school teacher Randi Simpkins, who

total enroll graduated from Duke’s ABSN degree program in May, facing 500 new challenges while serving others was a major motivator for her career change. 400 “Teaching was very fulfilling to me,” the 40-year-old mother ‘07 ‘08 ‘09 ‘10 ‘11 ‘12 of two teenagers says. “I think it came natural to me. I always challenged my students to push themselves to do more, but I got Applications to the ABSN program to the point where I wasn’t pushing myself.” After nine years of teaching in Philadelphia, then Charlotte, 700

she began exploring nursing. “Before long it was a no-brainer,” 600 she says. “I knew that if I was going to become a nurse I

500 needed to be an astute, efficient, and competent nurse. Duke was the only school I applied to, and my expectations have 400 been surpassed.”

300 While Simpkins initially set out to “go outside my comfort zone and not work with children,” she eventually realized that 200

number of applications of number pediatric nursing was her calling.

100 “Working in the clinical setting showed me that I have ‘07 ‘08 ‘09 ‘10 ‘11 ‘12 a natural ability with children,” she says. “I love them (totals for 2010-2012 include spring and fall semesters) all—babies, toddlers, teenagers.” She hopes to stay at Duke and eventually continue her nursing education, possibly to become a Born and educated in the Philippines, he arrived in the U.S. in nurse practitioner. the early 1990s when a nursing shortage had hospitals recruiting Unlike Simpkins, Urbanowicz, the former fashion designer, overseas to fill positions. Repique worked at a state psychiatric grew up surrounded by nurses, making her second career choice hospital in Georgia for two and a half years, then became a seem more direct. Her mother is a school nurse, and three of her psychiatric nurse in Maryland, where he earned a master’s degree aunts also are nurses. But it wasn’t until she helped to take care at the University of Maryland. of her ill grandparents before they passed away that the seed of From 1994-2000, Repique worked at Johns Hopkins, and in nursing as a career was planted. It germinated after leaving the 2001 he moved to New York City to become a nurse manager, fashion world. then director of behavioral health nursing/quality at New York Gonzales earned an undergraduate degree in kinesiology, Presbyterian/Weill Cornell Medical Center until 2008, when he and nursing was always an option she considered. She became moved to Miami and became Jackson’s first chief nursing officer interested in oncology after one grandfather died of leukemia for behavioral health services. and the other died of esophageal cancer. One of her grandmoth- Seeking further personal and professional growth, Repique ers died of ovarian cancer. She started in Duke’s ABSN program enrolled in Duke’s DNP program in 2011. in Fall 2012. “I’m passionate about social and health policy issues,” he “I’m interested in pediatric oncology but am open to a lot 2013 said. “In my current position I get to engage the community of things,” Gonzales said. “In this program you’re thrown into about mental health issues and access to care. I want to do more a lot of different situations. I’ve thought about emergency room of that, and I hope to inspire younger nurses.” medicine or becoming a nurse anesthetist. There are just so many SUMMER broad categories I can go into.” MORE ENERGY AND FOCUS The OJIN also reports that nursing school administrators said second-career nursing students typically bring a higher NURSING DUKE 13 classroom

the flipped A NEW TEACHING MODEL TURNS THE TRADITIONAL LECTURE APPROACH ON ITS HEAD

or the first few minutes, the Managing Acute and Chronic Health Problems class looks pretty much like any other. Forty-five students sit behind long curved tables in the amphitheater-style classroom in the Pearson Building, while the professor, Alison Edie, DNP, RN, FNP, stands in the front of the class, going over some announcements. But before long, you notice something a little different. Edie doesn’t give a lecture, and although she has invited two guest faculty members—Ann Mosher, MPH, FNP-BC, and Les Harmon, MSN’97, DNP’12, RN, ANP-BC, AAHIVS—to lead parts of the two-hour session, neither of them delivers anything remotely like a lecture either. To be precise, neither of them delivers a lecture during the class. In fact, the students have all seen a lecture by each of them—but online, before class. They’ve also taken a quiz testing their understanding of the concepts presented in those recorded lectures—but again, they did that and turned it in before class, too, not after it.

WELCOME TO THE “FLIPPED” CLASSROOM. Edie is one of several professors in the School of Nursing experimenting with the flipped classroom model, which also is being used, in various incarnations, by dozens of professors throughout the wider university. In a flipped classroom, rather than lecturing to students in class and then testing them, the instructor gives them the same information by way of online lecture or 2013 readings or some combination, prior to class time. Often they take an online quiz, also prior to class. Then, in the classroom, the students do activities designed to help them put into practice the concepts they learned before they arrived. SUMMER In this particular session, Mosher and Harmon presented a series of case studies, with symptoms and family histories, and the students, working in small groups, had

NURSING BY DAVE HART DUKE 14 flipped 2013 SUMMER NURSING DUKE 15 to determine what questions to ask, come up are my questions, what are my with the most likely diagnoses, and formulate “And it really requires resources?’” she says. “Because treatment plans. students to do the that’s the thought process you “What we do in class is what really have to have when you get into gets them ready to do it out there, in their preparatory work. the clinic.” clinical work,” Edie says. “You need some The flipped model allows core concepts, definitely. You have to have a They can’t slide by.” faculty to play a more engaged strong foundation of knowledge. But how do ALISON EDIE role, too. they get that content? Does it have to be me “This puts students at the standing in front them with a Powerpoint and center of learning, rather than telling them? If I spend two hours in class faculty,” says Sharon Hawks, doing that, we don’t have time for any of those activities you saw, DNP’10, CRNA, who began using the flipped model in the fall the activities that require them to do the work of reasoning their of 2012. “I don’t use class time lecturing. I use it to be a guide way to answers.” and a resource, to answer questions, to help them learn to make their own judgments. That’s the true value of faculty. So they’re getting the best of me. We’re learning together. They’re teaching ACTIVE LEARNING each other.” Flipping isn’t really a new concept; individual instructors in Hawks said her experience thus far has been that the various disciplines have used variations of it for years. What is flipped model opens up new avenues of understanding for relatively new is identifying it as a specific educational model both students and teacher. The pre-class quizzes, for example, based on some basic principles, and using it in areas that have reveal where gaps in understanding lie, and those gaps can be traditionally relied far more heavily on the classic lecture method. addressed immediately. “Some people have been doing it all along,” Edie says. “In a “It’s important for students to know what they don’t lot of liberal arts classes, students read the material first and then know,” she says. “This way I can give them immediate come to class and discuss it; you don’t necessarily have professors feedback on that, and we can work it out. It encourages who stand in front of the class and lecture about it. But what discussion, and a much higher level of discussion. It’s fun, and is unique, maybe, is using it in the hard science courses, where I think we’re all learning more.” students have long felt they have to be verbally lectured to in

order to get the content.” At Duke, where flipping is one of a number of innovative CRITICS AND CONVERTS educational approaches, much of the impetus came from a series Flipping a classroom is not easy. It requires a substantial of workshops and programs conducted last year by the Center investment of work by both faculty and students ahead of time. for Instructional Technology. Many of the professors who have “It takes a tremendous amount of time, preparation, and embraced the concept combine it with another fast-growing energy,” Edie says. “It hasn’t decreased my workload at all. And educational practice known as Team-Based Learning, which it really requires students to do the preparatory work. They can’t emphasizes students collaborating in groups to solve problems. slide by.” Proponents say the new approach benefits students by Edie didn’t announce on the first day of her Managing Acute 2013 giving them a more active role in their own learning. Under the and Chronic Health Problems class that she was flipping it; lecture model, a professor might describe how he or she solved a she didn’t want the students to feel like guinea pigs. She simply particular problem, Edie says. The flipped approach, by contrast, spelled out how things were going to work and told the students SUMMER requires students to solve the problems themselves. Rather than how she expected the unusual format to help them learn the being passive recipients of information, they come into class process of clinical reasoning. prepared—they hope—to do their own critical thinking. They did not all buy into the idea, at least not at first. NURSING “I’m trying to help them develop the reasoning process so “I was one of the biggest critics,” says NP student Ryan Ress. they can think, ‘OK, how am I going to figure this out? What “This was something I’d never been exposed to, and yes, there DUKE 16 was a little anxiety. But I actually really enjoy it. It helps that we can get the information in a formal lecture at home, and then we come in here and piece it together.” The flipped classroom is indeed a different way of teaching and learning, and it’s not necessarily well suited to all subjects and all classes. Edie acknowledges that some students still aren’t thrilled with it. But she believes it will help them when they begin their clinical work. “They’re nervous, because they’re getting ready to go out and see a patient, listen to their story and try to decide what’s wrong and how to treat it,” Edie says. “That’s when they want the comfort of a classroom that says, ‘OK, I’m going to tell you everything you need to know. Write it down, and you will know what to do.’ And it just doesn’t work that way. That’s not the reality.” Even those students who have had some difficulty adjusting to the flipped model say they’ve found it a valuable learning tool. FNP student Neha Desai said adjusting to her first flipped classroom was a significant challenge, especially considering her experience under the classical lecture model growing up in India. “I like it,” Desai says. “I don’t love it. And I think the reason I don’t love it is because it’s so new to me. I’ve had most of my education in India, where students were expected to listen and never speak. To go from that to this, where I’m thinking, ‘Wait, you’re not going to talk at all? I’m going to do the talking?’ was uncomfortable at first. But I do think this way is more practical. It’s a lot more work, but you’re thinking more. Of course things make sense when someone is saying them. But it’s when you say it yourself that it really clicks in.” That is precisely the point, Hawks says. She said student responses to a post-course evaluation after her first flipped class in the fall 2012 semester indicated that her students had learned at least as much as they would have in a traditional classroom environment. Moreover, they appreciated learning to reason their way to solutions themselves, which may be the most important lesson of all. In the operating room, there is no

lecturer to give students the correct answer. 2013 “Several of them said, ‘I had to teach myself,’” Hawks says. “I loved that answer. Because that is what adult learning

is all about.” SUMMER NURSING DUKE 17 policy and science leaders. As an example of what can happen when these leaders don’t work together, he cited a policy that mandated physical education in schools where students receive free meals. While the policy was adopted, the schools were unable to implement the classes because they did not have the funds to hire the teachers they needed. “We have policies that are not consistent with the science and research we do,” he said. “And then we have practices that are not consistent with the policies. How do we get the right policies in place, and how do we get those policies implemented?” Satcher challenged the audience to see that changes often take a long time and that many people do not value science as highly as they do. “For some, deeply held beliefs are much more important than science and what they have been taught since childhood is more important than science,” he said. “Now, you The luncheon gave the student essay winners a unique opportunity to personally talk with can throw your hands in the air in frustra- the former surgeon general about eliminating global health disparities. tion, but persistence is the key.” During his visit to Duke, Satcher also attended a special luncheon with 10 students Satcher Delivers from the schools of medicine and nursing and Trinity College. The students were the chosen winners of an essay competition on Global Health Lecture “Making the Elimination of Health Dispari- ties a Personal Priority.” An essay written Eliminating health inequalities that result in keynote lecture held at the School of Nurs- by ABSN student Catherine Pheasant was premature deaths and illnesses could save ing, and Satcher’s lecture was webcast live among those chosen. more than $1 trillion, said Former Surgeon for local and national viewers. The speech General David Satcher, MD, PhD, during can be watched in its entirety at tinyurl. the 6th Annual Global Health Lecture at com/Satcher. Duke University Satcher is currently the VIEW ONLINE School of Nursing. director of the Satcher Health Satcher’s lecture Citing a study Leadership Institute at the was webcast. that explored the Morehouse School of Medi- The speech can costs of health cine in Atlanta, Ga. In 1998, inequalities, Satcher he was sworn in as the 16th be watched in its said that health surgeon general of the United entirety at tinyurl. disparities cost the States. He also served as as- com/Satcher. United States $1.24 sistant secretary for health in

2013 trillion a year. In his the Department of Health and presentation, “Defining the Path to Global Human Services from Febru- Health Equity,” Satcher discussed policies ary 1998 to January 2001,

SUMMER and current health issues facing society, making him only the second including access to mental health, disease person in history to have held both The School of Nursing held a luncheon for speaker David Satcher, faculty members, and the student prevention, and even the current debates positions simultaneously. winners of a global health essay competition. Here,

NURSING restricting sugary beverages. During his speech, Satcher Satcher (center) talks with Dean Catherine Gilliss and More than 300 people attended the encouraged collaboration between Dorothy Powell, EdD, RN, FAAN, associate dean for

DUKE global and community health initiatives. 18 School Recognizes Its First Black Graduates

After the global health lecture and as part of a year-long commemoration of the Harriet Cook Carter Speaker 50th anniversary of the first African-Amer- ican students to enroll at Duke University, Calls for Greater Focus Dean Catherine Gilliss recognized the first African Americans to graduate from the on Veterans’ Health Care school’s degree programs. Donna Harris, BSN’71; Cynthia Linda Schwartz, DrPH, MSN, RN, a Vietnam War veteran and an advocate for veterans and Denise Mullen, MSN’76; and Karol their families, spoke during the 50th annual Harriet Cook Carter Lecture in February, at Duke Harshaw-Ellis, DNP’11, were honored University School of Nursing. for making a meaningful impact on health Schwartz served as a nurse during the war and is now head of the Department of Veter- care and on the history of the school. ans Affairs in Connecticut as well as an advisor to the U.S. Department of Veterans Affairs. The honorees were escorted by Making a Speaking to an audience of Difference in Nursing (MADIN II) pro- students, health care professionals, gram scholars Anna Gonzales, Shedeline faculty, and staff, Schwartz said Charles, and Kevin Gulledge. less than 20 percent of all veterans In 1967, Harris became the first African use the services of Veterans Affairs American to enter the School of Nursing. medical facilities or clinics, and Since earning her BSN degree from Duke health care professionals need to in 1971, she has worked as a registered start identifying veterans among nurse in a variety of positions at North their patients. Carolina Central University, the Durham “The question every health care County Department of Social Services, provider needs to ask is ‘Did you the Durham County Health Department, the University of North Carolina at Chapel serve in the military?’ and then help Hill, and Duke. Today, Harris is a clinical connect them to the services they research nurse in the School of Nursing’s need,” Schwartz said. Office of Research Affairs. The issues affecting veterans Mullen was Duke’s first African also impact their families; Schwartz American MSN graduate. She was em- mentioned that one million children ployed by MD Anderson Cancer Center have had at least one parent de- for 35 years in various roles, and in 2011 ployed for active duty. Schwartz asked In her lecture, “Healing the Wounds of War,” Linda she retired from her position as clinical the audience how many of them have Schwartz discussed the challenges facing today’s veterans and their families. administrative director of both the Clini- had family members deployed more cal and Translational Research Center than once. Several hands stayed in the air as she asked whose family members had been and the Integrative Medicine Center. She deployed twice, three times, or even as many as five times. is currently engaged in a Health Informa- “We are still trying to understand the effect of multiple deployments and how it influenc- tion Workforce Development Program at es the family,” she said. “This is a game-changing moment Houston Community College. VIEW ONLINE in health care for veterans in the U.S. You are going to be In addition to being the first African the first line of identifying who are these folks, what are This year’s Harriet Cook American graduate of Duke’s DNP pro- their needs and the needs of their families.” Carter Lecture was also gram, Harshaw-Ellis was one of the first 2013 Schwartz also said veterans want their providers to graduates of the Duke Geriatric Nurse featured on C-SPAN. To view give honest answers and simply stated facts. She encour- Practitioner and Adult Post-Master’s Cer- Schwartz’s lecture and other aged them to leave politics at the door—don’t judge, don’t tificate programs. She has held a variety School of Nursing videos, visit

let pity or anger influence interactions—and tap into the SUMMER of positions in her 27 years at Duke, both nursing.duke.edu/gallery. veteran’s inherent strengths. as a nurse and a nurse practitioner. She “These are people who are survivors of a hostile atmo- currently is a consulting associate at the

sphere, and they have qualities that you want to build on, where they can learn how to help NURSING School of Nursing and a nurse practitioner in the Duke Heart Failure Same-Day themselves,” she said.

Access Clinic. DUKE 19 DISTINGUISHED ALUMNA AWARD

2013 Nursing Alumni Association Awards Eleanor “Ellie” Her academic interests include frailty in the elderly, the role of the physical and Schildwachter McConnell, caregiving environment in promoting BSN’76, MSN’78, PhD, RN, GCNS-BC function, and implementation science. Her currently funded work focuses on Eleanor McConnell may not have realized factors that influence the implementation it at the time, but her sister’s efforts to of evidence-based interventions to push her to learn to read and write at age prevent functional decline in very frail 3 instilled some valuable lessons that were older adults, with a particular interest in much greater than the simple words young improving care for older adults who have Ellie managed to scribble on the girls’ cognitive impairment. blackboard. Those early teachings lay the She is a co-investigator on a groundwork for a lifelong love of learning randomized trial testing two different and have since served as a constant educational approaches to implementing reminder that you can’t go it alone when it evidence-based falls prevention in long- comes to succeeding in life. term care, funded by the Department of “No one does anything of substance Veterans Affairs (VA) Health Services without support,” McConnell. “The Research and Development Service and the awards and the support allow you to National Institutes of Health. She served continue to push forward.” as co-chair of the VA’s Dementia Warning An associate professor at the School Signs Workgroup and currently serves as of Nursing, McConnell has focused principal co-chair of the VA’s Dementia her career on advancing the care of the Education and Training Committee. aged, in particular, conducting research In 2008, McConnell was named a aimed at solving some of the complex distinguished practitioner in the National health problems presented by a rapidly Academies of Practice and received the aging population. Ewald Busse Award from the North McConnell is a senior fellow with Carolina Division of Aging and Adult the Duke Center for the Study of Aging Services for her contributions to shaping and Human Development and a clinical aging policy in the state. In 2010, she was nurse researcher and core investigator in named a Fulbright Senior Specialist to “No one does the Geriatric Research, Education, and consult with faculty at the University of Clinical Center at the Durham Veterans West Indies, Mona, on the development anything of substance Affairs Medical Center. She also directs of advanced practice nursing programs without support.” the Duke Center of Excellence in Geriatric in geriatrics. In addition to her scientific Nursing and serves as co-director of the publications, McConnell co-edited the - McCONNELL Duke Geriatric Education Center. pioneering and internationally recognized 2013 She first joined Duke in 1988 after textbook, Matteson & McConnell’s having held several faculty positions at the Gerontological Nursing: Concepts and University of North Carolina at Chapel Practice, now in its third edition. SUMMER Hill. Prior to that, she was director of McConnell earned a BSN degree and nursing at Carol Woods Retirement an MSN degree from Duke and a PhD in Community in Chapel Hill. nursing from UNC-Chapel Hill. NURSING DUKE 20 DISTINGUISHED CONTRIBUTIONS TO NURSING SCIENCE

2013 Nursing Alumni Association Barbara Brod Germino, initial cancer treatment decisions, and Awards BSN’63, MSN’68, PhD, RN, FAAN long-term survivors of breast cancer. In an early study with Sandra Funk, Early in her nursing career, Barbara PhD, a professor at UNC-Chapel Hill, “Cancer has Germino witnessed many patients and their team interviewed families of newly their families struggling to cope with a diagnosed cancer patients in their homes, a major impact on cancer diagnosis. She says at the time “we and found that many of the families’ knew very little about the experiences of concerns centered on managing the individuals, families, survivorship and how people dealt with illness and its effects and the struggle to and the community,” it.” These experiences had a lasting impact find meaning during the chaos of dealing on her research career and put her on a with cancer. - GERMINO path to spend decades investigating ways Germino continues to publish work to better help nurses guide cancer patients with her UNC colleagues. Their most and their loved ones through some of life’s recent project involves the translation of most difficult and uncertain moments. an uncertainty management intervention “Cancer has a major impact on for younger African American and individuals, families, and the community,” Caucasian breast cancer survivors into she says. a web-based format for distribution to a Currently research professor in the national survivor organization. School of Nursing at the University of Early in her career, Germino was North Carolina at Chapel Hill, Germino an instructor and assistant professor at has focused her research on the impact of Duke University School of Nursing and cancer on patients and their families from spent three years as an assistant professor diagnosis to survivorship and into the at UNC. She also held appointments at final phases of life. Kodiak Island Hospital in Alaska, the Over the years, she has collaborated University of South Florida in Tampa, and with other UNC nursing faculty members the University of Washington in Seattle. and multidisciplinary teams of researchers After earning a PhD, she returned to UNC from nursing, psychology, social work, as an associate professor and later became statistics, and economics. With Merle a professor. In 1984, she was named Mishel, PhD, RN, FAAN, Kenan the Carol Ann Beerstecher-Blackwell Professor at UNC-Chapel Hill, their Endowed Chair of Thanatology in UNC’s team conducted clinical trials of psycho- School of Nursing, a position she held educational nursing interventions designed until her retirement in 2006. to manage the uncertainties that are part Germino was one of a group of of the cancer trajectory for patients and faculty who planned and implemented families and received ongoing federal the PhD program at UNC, and she has funding for their work from 1993-2010. served on 33 master’s and 26 doctoral These theory-based interventions were degree committees, chairing 11 doctoral designed to help manage uncertainty and dissertations before retiring from teaching. improve knowledge, coping, and various She received both BSN and MSN aspects of quality of life for patients degrees from Duke and a PhD in nursing

newly diagnosed with breast and prostate science from the University of Washington NURSING cancer, patients and partners making in Seattle. DUKE 21 HUMANITARIAN AWARD

2013 Nursing Alumni Association Awards Virginia “Ginny” Brown to 100 volunteers. She herself volunteers Lang, BSN’67 two days a week, collecting money and helping customers, many of whom she knows by name. When Ginny Lang first became a volunteer The shop reached a milestone in at the Nearly New Shoppe in 1983, she was 2012, breaking the $1 million mark in more than happy to help ring up customers scholarships awarded to Duke medical or sort donated items for Duke University students in a single year. The scholarship Medical Center’s well-known thrift shop. fund balance is now more than $4 But anything beyond that hadn’t crossed million with a market value of nearly $14 her mind. “I had no aspirations to be in million. Each year, the Medical Faculty charge of anything,” she says. Wives Scholarship Fund generates from Fast-forward to three decades later, and $750,000 to $1 million for medical not only is Lang in charge of the Nearly student scholarships. New Shoppe, but her advocacy of the shop Lang credits the efforts of the staff, and the fundraising group that oversees volunteers, and the local community for it has played a pivotal role in helping the success in raising these funds and numerous Duke nursing and medical playing a major role in keeping student students finance their educations. debt at Duke below the national average. Lang is the current president of the In recent years, the Medical Faculty Medical Faculty Wives, which has served Wives created a scholarship fund for the both the Duke and Durham communities School of Nursing, to which they have for the past 45 years. Founded in 1968 by donated an additional $428,000. 18 wives of School of Medicine department Lang’s commitment to Duke started chairs, the Medical Faculty Wives group immediately after earning her degree. raises funds for student scholarships, She served in leadership positions for the primarily through its flagship fundraiser, School of Nursing’s alumni association and the Nearly New Shoppe. continued to serve in such roles throughout Although Lang first volunteered for the 1970s and into the early 1980s. the Nearly New Shoppe in 1983, she had Notably, she oversaw the association as “When you think learned of the organization’s importance the School of Nursing underwent a major to the medical community at Duke about the impact you transition when it ended its bachelor’s long before, having graduated from the degree in nursing program in the 1980s. have on the community School of Nursing only a year before the In addition to the schools of medicine group was founded. Remembering Ethel and students, it’s bigger and nursing and the Nearly New Shoppe, Wyngaarden Teer and the other “founding Lang also dedicated many years as a than the individual. moms” of the Medical Faculty Wives group 2013 volunteer for Durham Academy and the and their devotion to student scholarships When you get a group Ronald McDonald House of Durham. and the Durham community, Lang did not After earning a BSN degree from to work together, hesitate to take on a larger role when the

SUMMER Duke in 1967, Lang spent the early group asked her to become its chairman in you get the best out part of her career working part-time 1990 and president in 2010. as a family planning nurse in the of everyone.” Today as president, Lang oversees the

NURSING obstetrics and gynecology clinic at Duke day-to-day operations of the shop and University Hospital. - BROWN manages three and a half paid staff and 75 DUKE 22 stipends and lectureship programs for for programs lectureship and stipends to provide and practice in excellence their for honor nurses and to recognize serves which of Nursing, Friends The program. the to fund nurses of Duke agroup and patient’s family the led patient a grateful with encounter Her program. of Nursing Friends of the establishment the a role in played she 1988, In of nursing. director hospital’s first the became Peter Hospital, North of Duke opening 1980 for the made Japanese. into translated was book, recognized nationally the nurses Duke 350 than more with co-authored Peter assurance, quality of work her in a result As States. United the in kind of its first the to be believed is 1974-1978,from which Nursing in Program Assurance Quality pioneering of the development the leading include at Duke roles administrative her of Highlights administrator. anursing as rehabilitation clinical specialist and then a as first for 24 years, Hospital University for them. who care nurses the and patients on mark lasting a left also but interns influenced not only she where at Duke, of career her true.” it was found (the interns) but Ithink laughed, both “we time, at the place.” says, the She run “Tell nurses them advice: His interns. medical new to orient how on best for suggestions cardiologist, aDuke husband, her asked Peter Ann Mary 1980s, early the in of nursing director first Hospital’s University Duke role of the on taking after long Not BSN’62, MSN’65, PhD, RN Peter, Rohrhurst Ann Mary In 1978, as preparations were being being were preparations as 1978, In at Duke nursing worked in Peter majority the spent Peter Now retired, Guidelines for Nursing Care Nursing for Guidelines , which , which University School of Nursing. of School University Duke from degrees MSN and BSN holds preservation. historic to dedicated boards three on served has also She Care. Senior County Orange and Aging, on Department County Orange the Homes, Nursing County Orange Association, Heart N.C. the include roles held leadership has she which in organizations Other committee. advisory of Nursing Friends Duke of the co-chair is currently She 2004-2012. from chair as and 1991-2004 from of trustees board its of chair vice as serving included College Community Technical Durham work with Peter’s committees. and boards numerous on roles leadership in serving counties, Orange and Durham in community to the commitment her increased program. graduate Nursing of School UNC the in position faculty to a led which Hill, at Chapel Carolina of North University the from education people,’” says. she good knew ‘She it to say, my Iwant “On epitaph goals. her to accomplish others and family, colleagues, numerous from of support Care Nursing of writing process the like much out that to point quick is Peter Center. Heart Duke anurse’s work at the recognizing annually Peter’s honor, in named award was of Nursing 1991, aFriends In year. 25th its now is celebrating development, staff DISTINGUISHED SERVICE AWARD SERVICE DISTINGUISHED In addition to a PhD from UNC, Peter Peter UNC, from to aPhD addition In she 2004, in retirement her After in aPhD received Peter 1992, In proud of achievements, her While , it has taken a great deal deal agreat taken , it has Guidelines for people,’” good knew ‘She Iwant it say, to “On my epitaph “On epitaph my

-PETER

Awards Association Alumni Nursing 2013

23 DUKENURSING

Students See Impact of Nursing Research

Back in 2004, Sharron Docherty, PhD, RN, CPNP-AC/ to ensure that they come out the other end of treatment PC received her first National Institutes of Health still thriving,” Docherty says. (NIH) research grant, a Research Enhancement Award, The researchers aim to enroll 60 children at the Duke intended to stimulate research in schools that provide site. With half of those children, Docherty will conduct baccalaureate or advanced degrees but that haven’t been qualitative interviews to find out how they perceive their major recipients of NIH support. The grant required that symptoms. “Their perception of the student involvement be written in from the outset, and symptom experience will help us the thought of mentoring a student while conducting her understand the quantitative data,” own research seemed daunting, says Docherty, associate Docherty says. “One of the things professor of nursing. “Having to be responsible for we know about kids with cancer someone else’s goals, when I was a novice researcher, that from our previous studies is you can seemed like a juggling act,” she says. have two kids with similar levels But Docherty found that she liked working with of symptoms, but when you talk to students. In fact, a master’s student who worked on that them about the challenges it brings

first project ended up becoming a paid research assistant Sharron Docherty to their life, they will have very after she met her coursework research requirement. Now different experiences.” Docherty can’t imagine conducting research without Students get Megan Winkler, a first-year students. “They bring a fresh perspective,” she says. “By firsthand exper- student in the Duke Nursing PhD the time the grant starts, you are so familiar with it that program who works on the project, you get such tunnel vision. Then a student will come in ience working welcomes the chance to learn about with fresh eyes and ask a question, and you’ll say, ‘Well, on a multi-site all the moving parts of a large, why did we do it that way?’ You’ll see things that you multi-site study. “My personal didn’t see before.” research study nursing career has been much Currently Docherty works with six students on a more clinical based, so I haven’t four-site, NIH-funded study; she is the investigator for the had the chance to participate in research,” she says. Duke site. The overall principal investigator is Marilyn Winkler discovered she was interested in research while Hockenberry, PhD, RN, PNP-BC, FAAN, professor of an undergraduate at Indiana University “I had a couple of nursing. In children undergoing leukemia treatment, research classes that I loved, and the rest of my classmates the project tracks and measures common side effects of really didn’t,” she says. “That’s when I started realizing chemotherapy, using simple questionnaires, and looks I’m a little different than other people.” for immune-system markers and genetic variants that After becoming a pediatric nurse practitioner and 2013 may be more prevalent in children who experience the teaching in a BSN program, Winkler is beginning to write most severe symptoms. “Now that 90 percent of children a grant proposal for her own future research project. with leukemia survive with treatment, we can focus on She plans to examine how interactions between mothers

SUMMER targeting the most toxic therapy to those with high-risk and daughters affect obesity rates in African American disease and lowering the toxicity of the therapy for the girls, a population that has been understudied, she others. We want to limit their symptom distress and help says. When she conducted a literature review of studies NURSING

DUKE by Angela Spivey 24 Research coordinator Angel Barnes works with children partici- pating in a study about side effects of chemotherapy. Students shadowing her learn about all the issues that can arise during a large research study. 2013 SUMMER NURSING DUKE 25 you to do. But when I walked into her office, the first thing she said to me was ‘What are your goals?’ It’s been great to work with her,” Kelley says. She also relishes the chance to work with an established researcher such as Hockenberry. “For me, being new to the field of nursing, and working with someone like Marilyn Hockenberry, who wrote our pediatric textbook, it’s just mind-blowing.” Colleen McLaughlin is a pediatric nurse practitioner who has worked for seven years with clinical trials in Duke’s pediatric blood and bone marrow transplantation program. She’s earning a doctor of nursing practice (DNP) degree online while working full time and welcomes the chance to learn as much as she can about conducting research. She works on the Hockenberry/ Docherty project to earn credit for a research elective. “It is an opportunity to see how a multi-site study works, and all the complexities that go with it,” she says. The students have received training in qualitative interviewing from Docherty so they can assist with that as enrollment increases. Another valuable experience, they say, has been shadowing research coordinator Angel Barnes, MA, as she works out all the issues that arise when conducting a large, multi-site study. When you’re shipping cerebrospinal fluid (CSF) samples to another state for genomic sequencing, how do you ensure you don’t lose all your samples if there’s a shipping error? How do differences in run time and equipment affect the CSF samples? “On paper, it looks simple: we collected CSF samples. But the first time, it took us more than an hour to run one sample through the centrifuge and Duke Nursing students prepare it for shipping,” Winkler says. “We are getting a looking at factors that lead to obesity for Megan Winkler, glimpse into the ‘how-to.’” African-American girls, only nine articles Colleen Mclaughlin, As a side activity, Winkler is working with used that population as the primary sample. and Beth Kelley Hockenberry on a paper analyzing the body mass indexes welcome the chance “Everything else had them embedded in of children with leukemia over time, using a database to experience a these larger samples, and not everyone used multi-site research from one of Hockenberry’s other studies. “That paper the same measures. So these girls are kind of project firsthand. will combine her studies on leukemia in children with my hidden from view, but they’re the group with interest in childhood obesity,” Winkler says. “That’s one the most prevalent obesity,” she says. of the great things about the faculty here—they really Other students working on Hockenberry’s and do want to help you meet your personal goals, while still Docherty’s project include ABSN student Beth Kelley. having help with their projects.” She joined the project to get experience in data collection None of this may have happened for Winkler if

2013 and qualitative interviewing. “I’d been exposed to she hadn’t had that first exposure to research as an research when I got my master’s degree in rehabilitation undergraduate. That’s why the School of Nursing makes counseling, but it was mostly doing literature reviews or it a priority for students of all levels to get research

SUMMER synthesizing research results once someone had already experience. “We just don’t have enough nurses interested collected the data,” she says. When Kelley approached in doing research,” Winkler says. “It’s so important Docherty about working on the project, she was surprised that at our entry-level degree, we’re getting really good

NURSING at Docherty’s interest in her individual needs. “I expected exposure to research to see what we could do, if we to be handed a list and told these are the things I need wanted to do it.” DUKE 26 Hodge, Jr., MD’78 children, three had and 1948 in to Spartanburg moved They Chapel. Duke in married were they and Duke, HS’47 MD, Hodge, Byron husband, late her met She years. five for of Nursing School University Duke at nursing taught artist, an also is who Hodge, House. Hospice the for million $6 and Center, Cancer Gibbs the for $2 million Hospital, Regional Spartanburg tower at Montgomery Rose Walter and the for million $3.3 raising in instrumental was She chair. board female first the was and of trustees, board the on was foundation, the of director executive first the as served She foundation. of the member emeritus an is and communication abilities, fundraising her for nature” of a“force and of dynamite” a“stick called been has who Hodge, White. Junie Mayor Day Spartanburg by Hodge Katie proclaimed also was that aday 6, April on presented was award The Foundation. Regional S.C., Spartanburg, the Achievement AwardLifetime of RN BSN’43, Hodge, Adams Katie 1940s , was honored with the 2013 the with honored , was G. Byron Byron G. , John John G. G. , at at , leisure. leisure. loving and grandchildren, her enjoying watercolors, painting traveling, is She practitioner. nurse care primary a retired BSN’63 Cynthia Kreider Bowyer, 1960s grandchildren. nine and sons two has She away 2011. in passed Erskine L. Thomas husband Her problems. health with friends and family for support and care provides still but she Maine, Portland, in living and retired BSN’60 N’58, Quinn, Edna Towson, in Md. lives She energetics. matrix and Psych-K, biofeedback, reflexology, practices also She nurses. student and patients with Reiki practicing setting a hospital in now works and 1996 in BSN’58 Boozer, Van Metre Nancy grandchildren. two and sons two has She summer. away last PhD’58 F.Paul Nichols, husband Her years. 25 for nurse school and nurse health public a was She places. interesting to trips bus and bowling Wii including of activities, variety a enjoying is she where Calif., Mesa, La in facility retirement N’55 Edith Moore Nichols, 1950s E’12 II, Hodge Adams John alumnus, Duke one including grandchildren, three has Katie and T’77, P’12 Hodge, Adams Susan Hodge Irwin, B’83 Irwin, Hodge Susan , recently moved into a into moved , recently , retired from nursing nursing from , retired , of Montville, N.J., is N.J., , of Montville, , passed , passed , , is , is . . Durham. in live and grandchildren several and children four have They Recreation. and of Health, Physical Education, Department the in professor associate an as Duke from retired recently EdD, LeBar, A. John husband Her practice. psychotherapy her in time part MSN’69 BSN’63, Carole LeBar, Frey life, traveling, and relaxing. relaxing. and traveling, life, married enjoying is and Center Nursing and Rehabilitation Haven at Crest educator clinical as position her from retired 15, 2011. is She October on Peacock Thomas married MSN’90 BSN’73, Davis, Curtis Barbara 1970s Devils. Blue the on cheered and chocolate, hot drank blankets, in wrapped they as other each with time agreat had trio the game, the lost Duke While Cincinnati. and Duke between game football Bowl Belk the for Charlotte in BSN’56 Lindquist, McLean Nancy MSN’6 BSN’58, N’56, Martin, Davis Shirley BSN’66 Turner Deppe, Elaine , at left in photo, photo, in , at left , united December 27 December , united , of Rio Grande, N.J., N.J., Grande, , of Rio , continues working working continues , 0, center, and and center, 0, kayaking, going to the gym, and and gym, tothe going kayaking, by of nursing outside active stays She junior. acollege and junior school high children—a have two Duane husband her and She nursery. newborn the in but also room, emergency the in mainly Pennsylvania, rural in hospital community asmall in works currently She positions. of avariety in years 40 for practicing after nurse a full-time BSN’73 Anne Armstrong Griffin, sub-Saharan Africa. She will try try will She Africa. sub-Saharan for health reproductive and mortality maternal on focused international training project an on recently most years, 12 past the for CDC at the aconsultant as worked has She (CDC). Prevention and Control Disease for Centers U.S. the at epidemiologist anurse as years 22 after 2001 in service health public from retired Christine Zahniser, BSN’73 Charlotte. in live and Tomhusband children have two her academy. and She the into inducted practitioner nurse only the remains and of Medicine School UNC at the Educators of Academy tothe elected was she 2008, In System. Care Health Carolinas the for Aging of Division of the director the is also She integration. systems palliative care, and health care, home geriatrics, teaches She Charlotte. in based program the in of Medicine School at UNC professor BSN’73 Sindy Wiley McCrystle, Pa.Lewisburg, in live They dog. her walking classnews , said she still loves being being loves still she , said , is a clinical assistant assistant aclinical , is ,

27 DUKENURSINGSUMMER2013 classnews

deceased’s bodies for a funeral. On this tropical morning, the warmth of the air was as comforting as the embrace from a loved one. But as I walked into the frigid morgue, a coldness struck deep in my gut. I told myself that I had done this countless times before, and this should be no different. As a nurse, early in my career I learned to adjust to a different role each time I worked with a different patient. Often I have to extend beyond my comfort zone, placing my emotions to the side, to achieve the outcomes that are in the best interest of the patient. In my experience, working with a patient who is dying or the family of a recently deceased patient may be the most intimate and unique experience we will ever have, not only as nurses, but Robbins and his colleagues with the Floating Doctors medical relief group bury as human beings. The emotions the bodies they prepared for burial in Panama. are intense enough that we often use a euphemism to discuss Shortly after I arrived in death, to create a more comfort- Panama, it came to the attention Death Brings able environment. of the Floating Doctors that two But, this time was different. I residents of the local “Asilo” (a had never worked with a person New Light community home for the elderly who had died ten days prior. and ill), had died a week earlier. With a fellow nurse from Texas, Due to recent governmental to Life a Physician’s Assistant from budget cuts, their bodies had Santa Fe, and a medical student by Nicholas L. Robbins, has always been different than remained in the local hospital’s from London at my side, we ABSN’09, RN, CCRN that of many other tropical non- morgue. It quickly became gently washed the bone-chilled profit medical relief groups. clear that our group needed to At some point in our lives we all bodies. I found myself search- Their goal is not only to provide help. Within hours, the group search for something more. For ing to create a mental “euphe- immediate health care but more started building caskets, and I me, I am in constant search of mism” to protect my emotions importantly to make sustain- volunteered to help prepare the adventure, knowledge, experi- from experiencing the reality. able change. In doing so, the

2013 ence, and opportunity. That However, despite the attempt, organization is committed to search led me to an international all of my experiences with death supporting these communities MORE INFO volunteer trip from which I have began flooding my mind. I con- in many capacities other than For more information about just returned. I spent the first tinued to remind myself that this SUMMER just health care. Their vision is Floating Doctors, please e-mail two weeks of March 2013 with was one of those “out of your much like mine: create a lasting me at nicholas.l.robbins@ Floating Doctors, a medical non- comfort zone” experiences, yet effect. I have never wanted to profit organization in Bocas del gmail.com or check out I struggled to contain the tears NURSING look back on my life and know I Toro, Panama. Since its inception their website, that had been welling in my missed an opportunity to create in 2009, Floating Doctors’ vision floatingdoctors.com. eyes. Despite my effort to create

DUKE a lasting memory. 28 my protecting euphemism, there was no escaping the reality; death is and will always remain, death. I found myself lost in trying to deal with an emotion I had never experienced before and one I do not believe I will ever be able to put into words. Since I have returned from my trip, I have spent time trying to understand that emotion and have finally realized that it is not supposed to be understood Hilary Gibbons and a friend painted this cow as a but represents a glimpse of part of a public art exhibit, raising $5,500 for the the larger picture of life. It was A Cow children’s hospitals at both Duke and UNC. meant to remind me that there is a world beyond the intensive care unit walls where I work day Divided in and day out. This world holds lessons that can only be found For the last few months of 2012, a 125-pound cow painted half Duke blue and half through interacting with them. Carolina blue grazed just outside Tobacco Road restaurant in downtown Durham. The emotions we feel when we For that, thank Hilary Gibbons, ABSN’09, MSN’12—at least partially. A nurse allow our courage to push the practitioner at UNC Lineberger Comprehensive limits is precisely what creates Cancer Center by day, Gibbons likes to draw the memories. Those emotions and paint for fun in her spare time. So of course are what motivate my search she said yes when her good friend JoAnne for more adventure, deeper Goodwyn asked her to help paint a cow. knowledge, further experience, The cow was one of 79 designed by amateur and larger opportunity. My trip and professional artists and positioned around with Floating Doctors and the public spaces in Raleigh, Durham, and Chapel interaction I experienced with Hill, N.C. as part of North Carolina CowParade death achieved everything I 2012, which was both a public art event and a needed to remind myself of fundraiser for North Carolina Children’s Hospital. the larger picture and certainly Goodwyn and Gibbons were asked to work to create a lasting memory. with the theme, “Which Shade of Blue are Death shed a new perspective You?” That’s the slogan that the cow’s sponsor, Keystone Bank (now Bank of North about life I had not understood Carolina) uses for their Blue Savings Account, which they use to raise money for the until now. It is our responsibility children’s hospitals at both Duke and UNC. So a cow showcasing the Duke-Carolina as nurses and people to reach rivalry seemed a natural. Gibbons painted the Duke side, and Goodwyn was in for things you never knew you charge of the UNC side. “She’s a huge Carolina fan, and I’m a Duke fan,” Gibbons wanted or needed. The world is says. The two sides of the cow were divided by a depiction of Tobacco Road. 2013 filled with opportunities to expe- To complete their cow, the friends spent about six weeks painting for a couple of rience something new. To quote hours almost every evening after work. “We’re good friends, so it was good company, and both of us love to paint,” Gibbons says. Matt Damon in the movie We SUMMER Bought a Zoo, “Sometimes all About 60 of the cows were auctioned off after their extended parade. you need is twenty seconds of Goodwyn’s and Gibbons’ cow sold for $5,500. Befitting their theme, the proceeds were split between North Carolina Children’s Hospital and Duke Children’s Hospital. insane courage...and I promise NURSING you, something great will come “Our cow was the only one that benefited both hospitals,” Gibbons says.

of it.” – ANGELA SPIVEY DUKE

29 classnews Keep in Touch with Your Duke Nursing Family! Send your personal and professional news—photographs are strongly encouraged—to Duke Nursing Magazine, 512 S. Mangum Street, Suite 400, Durham, N.C., 27701-3973. Or, e-mail your news to [email protected].

We love to publish your photographs; note that electronic retirement again this fall and Phoebe Edwards Bacon, images need to be at least 300 dpi for printing. looks forward to reconnecting BSN’74, serves sick children with Duke classmates, having and their families in her time for travel and new capacity as librarian for the Va., where she is an elementary service as a nurse officer in the adventures, and improving Children’s and Family Resource school nurse. She and her U.S. Public Health Service and her photography. Zahniser Library at Johns Hopkins husband, Richard E. “Rick” then working in the private participated in the Duke alumni Hospital in Baltimore, Md. Moore, T’77, a juvenile and sector. Last year, she completed mission trip to Haiti in May Over the span of 15 years in domestic relations district several events, including a 2012, which she says was a nursing, she earned a BA and court judge, have two grown triathlon, 65-mile bicycle fascinating experience. She an MA in political science. She daughters. One served in ride, and a half-marathon. lives in Atlanta, Ga., with her left nursing in 1992, earned an the Peace Corps in Africa She also plays cribbage and husband, , MLS and served as a teacher David Word, E’72 (Cameroon) after college and is has competed in several and 16-year-old daughter and librarian for 19 years. now finishing graduate school tournaments. Kate. Her son, Jake Zahniser- in forestry, and the other , lives and works in Word, T’10 Nancy Lee Anderson Moore, served in AmeriCorps after Washington, D.C. , lives in Charlottesville, BSN’77 college and is now pursuing a 1980s Catherine Parsons Emmett, nursing degree. BSN’81, received her PhD in aging studies from the Nancy Ann Koch Schmid, University of South Florida in BSN’78, recently accepted the December 2012. She works at associate director of patient Suncoast Hospice in Pinellas care services/nurse executive County, Fla. role at the Coatesville Veterans

Affairs Medical Center in Laura Hunger Kahn, BSN’83, Coatesville, Pa. She has worked of Philadelphia, Pa., enjoys a for the Department of Veterans “hybrid health care career”— Affairs for 33 years and has practicing nursing in an accepted several assignments at inpatient setting with women various VA medical centers in who have eating disorders and the Northeast. She is currently teaching healthy eating cooking looking for housing in the classes to young families in an Philadelphia area and would urban, inner-city setting. “It love to connect with classmates is very exciting to see Duke Student Presents at who are located there. Her University School of Nursing Neurocritical Care Conference in Germany husband, Bob Schmid, E’77, is excelling in the field of medicine In January, ABSN student Stephen Spainhour presented his still working in the Syracuse, in ways that are exceptional and research at a joint scientific meeting in Mannheim, Germany. N.Y., area and hopes to find top notch,” she writes. Co-sponsored by the German Society for Neurocritical Care employment in the Philadelphia and Emergency Medicine (DGNI) and the Neurocritical Care area soon. Contact Nancy at Society, the meeting was held in conjunction with the DGNI’s [email protected]. 2013 annual conference. In addition to presenting a poster titled, 1990s “Documented ICP values are not adequate for use in clinical Cynthia Church Wark, BSN’79, Barbara Anne Vogelsang, research,” Spainhour also attended nursing and neurocritical care started her own business, MSN’94, passed the American sessions at the conference and toured a local hospital. SUMMER Healthcare Information Nurses Credentialing Center’s Consulting LLC, in Chester, Nurse Executive-Advanced Md., after retiring from federal Board Certification Exam in NURSING DUKE 30 obituaries

Ruth Ramsey Fletcher, BSN’44, of Charlotte, University, she collaborated on a series of research October 2012. She is the N.C., died March 31, 2013. She was 92. Fletcher studies that later were used by Jonas Salk in his clinical services director of was an avid fan of Duke basketball and loved work on the development of the polio vaccine. Perioperative and Maternal history and nature. For more than 50 years, she She was commissioned as a second lieutenant in Child Health Services at served in the music and children’s ministries at the U.S. Army Nurse Corps during World War II. the Kaiser Permanente San her church and sang in several church choirs She was predeceased by her husband of 67 years, Francisco Medical Center including the choir at Duke Chapel. She is survived John Moulton, who was CEO of Watts Hospital in San Francisco, Calif. by three daughters, four grandchildren, and four in Durham for many years. She is survived by great-grandchildren. four daughters, six granddaughters, five great- granddaughters, and two great-grandsons. 2000s Frances Byrd Lovell, BSN’45, of Charlotte, Laurel Teutenberg N.C., died January 22, 2013. She was 89. Lovell Rachel McCaskill Rogan, N’52, of Greeleyville, Davison, MSN’00, has met her husband, William “Bill” Figgatt Lovell, S.C., died at Agape Hospice House in Columbia joined the University of T’42, MD’45, at Duke. Over the years, while on December 14, 2012. She was 82. Rogan Missouri-Columbia School Bill practiced as an allergist, she worked as a worked for several years as a private-duty nurse of Medicine Department mother and homemaker and was engaged in at the old Kingstree Hospital and Clarendon of Neurology as a nurse many volunteer activities. The couple also opened Memorial Hospital in Manning. She later served practitioner with the stroke a dairy farm and later transitioned to growing as assistant director of the Williamsburg County team. The hospital is in strawberries, blackberries, and corn. Lovell was School Health Program. After thirty years of pursuit of Comprehensive predeceased by her husband, son, and daughter. service as a utilization/case management director, Stroke Center certification. She is survived by four grandchildren and two she retired from Clarendon Memorial Hospital. Davison is also preparing great-grandchildren. She was preceded in death by her husband, to build a new house and Thomas Stanislaw Rogan Jr. She is survived by is enjoying the company of Lenna Schnoor Manry, N’49, of Redwood City, three children, seven grandchildren, and three her 3-year-old daughter. Calif., died December 30, 2012, after a long great-grandchildren. illness. She was 86. After graduating from Duke, Paige Raabe Gump, Manry raised a family and worked as a supervising Laura Gatewood Sudduth, N’53, of Newton, MSN’08, and her husband, surgical nurse at Kaiser Hospital in Redwood N.C., died April 12, 2013. She was 81. Sudduth William Gump, MD, HS’09, City until retirement. She was preceded in death was a registered nurse and supervisor of nursing welcomed twins, Natalie by her first husband, Dr. Ernest E. Schnoor. She is at Winshow Hospital in Danville, Va., Danville Claire and Catherine survived by her husband, Dr. Clayton H. Manry, a Memorial Hospital, and Catawba Valley Medical Daphne, on Sept. 27, sister, two sons, and two grandsons. Center. She is survived by three children, seven 2012. The family lives in grandchildren, and six great-grandchildren. Louisville, Ky. Nell Perkins Bethany, BSN’50, of Tuscaloosa, Ala., died April 26, 2013. She was 85. She and Joe Margarita Sherertz Messersmith, N’54, of Bethany Jr., MD’52, were married in 1953. They Silver Spring, Md., died November 22, 2012. then moved to Eutaw, Ala., in 1960 and remained She was 81. She is survived by her husband, there until moving to Tuscaloosa in 2003. She Donald H. Messersmith, four children, and seven was a charter member of Capstone College of grandchildren. Nursing Board of Visitors. Bethany is survived by her husband Joe, three daughters, and seven Ruby Gilbert Barnes, N’56, EdD, of Cary, N.C., 2013 grandchildren. died April 30, 2013. She was 94. Dr. Barnes’s 50- year career in nursing education included teaching Susanne “Sue” Lynas Moulton, BSNEd’51, at UNC-Chapel Hill, East Carolina University,

died November 19, 2012, at Croasdaile Village in and Atlantic Christian College. She developed SUMMER Durham. She was 95. Early in her career, Moulton the continuing education program at ECU School worked in New York City as a registered nurse of Nursing and helped develop, teach, and direct

at Bellevue Hospital and later as a public health the MSN program at UNC-Greensboro. In 1985, NURSING nurse in Harlem. While taking classes at New York she retired as professor and director of the MSN DUKE 31 obituaries

program at UNC-Greensboro and was later named a professor of Susan Hunsche Heil, BSN’59, of Spokane, Wash., died April 24, nursing, emeritus. She was preceded in death by her husband of 2013. She was 75. Her career included working as a staff and surgical 19 years, William Norman Barnes Sr. She is survived by her sister, recovery nurse in Cincinnati, Ohio; New York, N.Y.; and Browns- Grace McBryde; one stepson; two step-grandchildren; and seven Mills, N.J., and as a stay-at-home mother. She also worked in clinical step-great-grandchildren. research for 15 years. She was a three-time survivor of breast cancer. Heil is survived by her husband, Lt. Col. (Ret.) James R. Heil, two Katherine “Katy” Keller Maultsby, BSN’57, of Burlington, N.C., children, and two granddaughters. died March 27, 2013, after three years of declining health. She was 78. Maultsby taught nursing at Nash Technical Institute and Alice Avett Haas, BSN’66, died at her home in Rancho Cordova, Alamance Community College. She also enjoyed a 50-year nursing Calif., on March 27, 2013, from cancer. She was 68. Haas spent most career in Albemarle, Rocky Mount, and Burlington, including of her career with Kaiser Permanente, working as a neonatal intensive working as assistant director of nursing at Alamance County care nurse, an infection control coordinator, and a nurse recruiter. Hospital. Following her retirement, she worked part time in student She is survived by her high school sweetheart and husband of 47 health at Elon University. She is survived by her husband of 56 years, years, John Thompson Haas, three daughters, six grandchildren, and Thomas N. Maultsby; four sons; a daughter; a brother; and 10 two brothers. grandchildren. Katharine Brooke Stebbins, BSN’75, of Concord, N.H., died April 3, 2013. She was 59. Most of her career was spent working in the health care and early childhood field as a nurse, in public health for the state of New Hampshire, and for the Children’s Place in Concord. She also worked as a television reporter. Brooke is survived by two daughters, her mother, and three sisters. 2013 SUMMER NURSING DUKE 32 Winning the Race

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Every gift to the Duke Nursing Annual Fund goes directly to benefit our students. Your gift by June 30, 2013 will help Duke attract the best students and ensure they graduate with lower educational debt.

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Raising the Beam

The School of Nursing celebrated the installation of the final steel beam of the 45,000-square-foot new wing of the Pearson Building on April 5, 2013. Before the ceremony, Dean Catherine Gilliss invited students, faculty, and staff to sign the beam and leave their mark on the new addition, slated for completion in February 2014. The $20.2 million building will help meet the needs of a growing faculty and student body.

Greg Warwick, AIA, chief architect, Duke University Health System; David Bowersox, MBA, associate dean, finance and administration, Duke University School of Nursing (DUSON); Dean Catherine Gilliss; and Mitchell Vann, CFM-LEED AP, director, facility operations, DUSON