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Winter 2011 Duke Nursing Volume 6, No. 1 magazine

As technology transforms the CONNECTED classroom, person-to-person connections remain vital. 10 Duke wins national 16 Opinion: High touch 18 Technology transforms award for welcoming is critical in today’s the classroom men in nursing high tech world experience Duke Nursing of nursing magazine

Winter 2011 Volume 6, No. 1 ALSO IN THIS ISSUE DukeNursing Magazine is published by the Duke 04 Wilson becomes NC Nursing Hall of Famer Nursing Alumni Association. Issues are available online at 04 DNP student wins GlaxoSmithKline nursealum.duke.edu. child health award Your comments, ideas, and letters to the editor are welcome. Please contact us at: 05 Sullivan inducted as Fellow, AAN DukeNursing Magazine 512 S. Mangum St., Suite 400 05 Knobel wins RWJF Scholar Grant Durham, NC 27701-3973 [email protected] 08 New informatics certificate begins this spring

Duke Nursing 09 Tango honored for 25 years of annual giving Alumni Affairs Staff Fran Mauney, Associate Dean for 13 ABSN students participate in nursing Clinical Affairs, Executive Director, home research Development and Alumni Relations Sallie Ellinwood, Director 15 Students connect with Durham’s homeless of Development Amelia Howle, Director, Alumni 24 Marsh, BSN’66, partners with nursing Relations and Annual Programs students in Kenya Ginger Griffin, Staff Assistant 26 Long, BSN’70, paints in Renaissance style Editor Marty Fisher 27 Student discovers the original Blue Devils Copy Editor in Switzerland Stefanie Conrad Contributing Writers 28 Obituaries Bernadette Gillis, Sharon Hawks, Jim Rogalski 29 Gustafson, BSN’80, brings lighthearted Graphic Designer approach to maternity class David Pickel Photography Jared Lazarus, Megan Moor Photography Sallie Ellinwood, William Mebane, Cathy Miller Wire Sculpture David Pickel

Produced by the Office of Marketing and Creative Services. Copyright Duke University Health System, 2011. MCOC-8145 DEAN’S WELCOME Nursing Board of Advisors Charles C. (Charlie) McIlvaine, T’87 (Chair), Darien, Conn. Christy W. Bell Newark, N.J. Mary Martin D. Bowen, MA’59 Decatur, Ga. The Honorable Wanda G. Bryant, T’77, Raleigh, N.C. Steven G. Clipp CONNECTING TO LEARN, Chapel Hill, NC LEARNING TO CONNECT Christopher A. (Chris) Downey Foothill Ranch, Calif. Martha Ann Harrell Fayetteville, N.C. Michael C. Howe Friends, performance. With e-portfolios we are Minneapolis, Minn. broadening the picture of our students’ With advancements in technology Thomas D. Jones experiences, competencies, and personal Menlo Park, Calif. occurring at breakneck speed, it’s easy strengths in the classroom, the lab, and Diana J. Mason, PhD, RN, FAAN, DHL to get excited about the next gadget. At (Hon.), New York, N.Y. the community. Video conferencing the Duke University School of Nursing, Susan H. McDaniel, PhD, T’73 software is enriching traditional learn- we look beyond the novelty of new Rochester, N.Y. ing techniques, connecting student technology to assess its usefulness as a Charles C. (Charlie) McIlvaine, T’87 readers with the authors of their Darien, Conn. tool for solving problems in learning, assigned readings in real time. Susan B. Meister, PhD, RN, FAAN, teaching, and delivering care. Hampton, N.H. Enhancing the human-to-human Nursing Alumni Council Our faculty members are developing connection via technology holds great July 1, 2010 – June 30, 2011 and improving virtual learning promise for the advancement of nursing Officers environments that allow students to education, research, and practice. No Kathleen E. V. Gallagher, BSN’75 practice and test their clinical skills President matter what new technologies emerge outside the confines of the traditional Joan M. Stanley, BSN’71 in the coming years, it will remain classroom. We are expanding the President-Elect our goal to champion the human Melissa T. Peters, ABSN’07 boundaries of our Center for Nursing connection as we advance the delivery Secretary Discovery by taking simulation of and improve health Constance C. Kendall, BSN’84 mannequins out of the lab and into Past President outcomes for future generations. the community—both on campus and Connie B. Bishop, BSN’75, MBA, RN-BC

Councilors online. With the help of our faculty, Charis E. Ackerson, ABSN’08 these mannequins are even engaging Sally B. Addison, BSN’60 students via Twitter and Facebook to Kimberly A. Alexander, ABSN’09 enhance teaching and learning, building Catherine Lynch Gilliss, BSN’71, DNSc, RN, FAAN Shane D. Anderson, ABSN’10 Dean and Helene Fuld Health Trust Professor of Nursing Meg Carman, MSN’98, DNP’10 human connections via technology. Vice Chancellor for Nursing Affairs Elizabeth H. Carver, MSN’02 Nancy Swan Coll, N’68 Our Center for Nursing Discovery Sarah K. Donnellan, ABSN’09 Margaret M. Edwards, BSN’70 now digitally records student Yvonne R. Ford, MSN’00 practice scenarios, enabling learners Susan M. Glover, BSN’70 to further reflect on and improve Gayle B. Harris, BSN’72 Ashley J. Hase, BSN’82 team interactions and individual 2011 Jo Ellen Holt, ABSN’08, MSN’10 Carole A. Klove, BSN’80 Rod C. Moore, A’78

Christine S. Pearson, BSN’84 WINTER Susan J. Rainey, BSN’70 Martha C. Romney, BSN’77 Ruth C. Scharf, BSN’80 NURSING Katie L. Sligh, ABSN’07 Bertha M. Williams, MSN’96 Student Representative DUKE

Ann E. Horigan, MSN’05, PhD Student 01

appointments

Lisa Day Kay Mueggenburg Jane Peace Janet Prvu Bettger Karin Reuter-Rice

New SON Faculty Appointments

Lisa Day, PhD, RN, CNRN, is an and public health organizations, as well nurse at Duke University Medical Center assistant professor in the Accelerated as eight years in undergraduate teaching and as a family nurse practitioner in Bachelor of Science in Nursing and at Southern Illinois University and the college health and women’s health. She Doctor of Nursing Practice degree University of Kentucky. Most recently, holds bachelor’s and master’s degrees programs. She comes to Duke from the she worked to develop and implement in nursing from UNC-Chapel Hill University of California, San Francisco in central Kentucky a hospice and and a PhD in nursing with a minor in (UCSF) Medical Center, where she palliative medicine fellowship program computer sciences from the University was a clinical nurse specialist for accredited by the Accreditation Council of Wisconsin-Madison. neuroscience and critical care. She for Graduate Medical Education. She and Patricia Benner, PhD, RN, FAAN, holds a diploma in nursing from Jewish Janet Prvu Bettger, ScD, FAHA, co-authored Educating Nurses: A in St. Louis, Missouri., a is an assistant professor and Agency Call for Radical Transformation. She bachelor’s degree from McKendree for Healthcare Research and Quality is passionate about teaching second- College in Lebanon, Illinois, a graduate (AHRQ)-mentored scholar in degree students and developing support degree in community health nursing comparative effectiveness research systems for new graduates transitioning from Southern Illinois University, studying the effect of care coordination into nursing practice. Nationally, she Edwardsville, and a PhD in higher on post-stroke outcomes. She comes has served as a consultant on several education and education administra- to Duke from the University of nursing education projects, most recently tion from the University of Southern Pennsylvania (Penn) School of Nursing, the 2008 National League for Nursing Illinois, Carbondale. where she was a research fellow with the Think Tank on Transforming Clinical NewCourtland Center for Transitions Nursing Education. She holds an Jane Peace, PhD, RN, FNP, is an and Health. At Penn she completed associate’s degree in nursing from Long assistant professor of nursing in the federally funded post-doctoral research Beach City College, California, and Master of Science in Nursing and Doctor in neuro-rehabilitation and a Switzer bachelor’s, master’s, and PhD degrees of Nursing Practice degree programs, Fellowship from the National Institute from the UCSF School of Nursing. charged with building capacity in on Disability and Rehabilitation nursing informatics and continuing the Research. Her doctoral training in Kay Mueggenburg, PhD, RN, school’s interdisciplinary collaborations rehabilitation sciences was completed is an assistant professor of nursing in with the Duke Center for Health at Boston University while she was the Accelerated Bachelor of Science in Informatics. She comes to Duke from leading a statewide stroke quality-of- Nursing and Doctor of Nursing Practice the University of (UNC) care initiative for the Massachusetts degree programs. Her area of expertise at Chapel Hill, where she was a post- Department of Health. She is chair of is community and public health nursing. doctoral fellow in the School of Nursing the National Stroke Association’s Stroke She has nearly 30 years of experience in and the Center for Genomics and Society, Patient Follow-up Task Force nurse leadership roles in community where she studied the ethical, legal, and social issues of sharing family health information. She has worked as a staff

Lee Busselman Kristi Rodriguez

Administrative Appointments and incoming chair of the American Lee Busselman is assistant dean for Kristi Rodriguez is assistant dean Heart/Stroke Association’s Nursing and marketing and communications. He for admissions and student services. Rehabilitation Committee of the Stroke comes to Duke from the University of She comes to Duke from the University Council. She holds a bachelor’s degree Illinois at Urbana-Champaign, where of Nevada, Las Vegas (UNLV), where from the University of Western Ontario, he served as director of marketing for she was director of undergraduate Canada, and a master’s degree from the the College of Agricultural, Consumer, recruitment and compliance coordinator- University of Wisconsin-LaCrosse. and Environmental Sciences. He has an financial aid administrator. She accomplished career leading marketing holds a bachelor of science degree in Karin Reuter-Rice, PhD, RN, and communications departments communication studies from Nebraska CPNP-AC/PC, is faculty coordinator in higher education and has received Wesleyan University and a master of for the Neonatal and Pediatric several national professional awards. education degree in higher education Instructional Area and lead faculty He will lead the development of strategic leadership from UNLV. member in the Pediatric Acute and initiatives to heighten awareness of the Chronic Nurse Practitioner specialty School of Nursing’s accomplishments in the Master of Science in Nursing in research, education, and service. He degree program. She is co-editor of the will also help create communication first pediatric acute care interprofessional strategies for relationship building with textbook, which is scheduled for release prospective students, alumni, and friends in 2011. She also is co-editor of Acute of the school. and Specialty Cases for the Journal of Pediatric Health Care and chairs the Acute Care Special Interest Group of the National Organization of Pediatric Nurse Practitioners. She is secretary and acute care member-at-large for the Pediatric Nursing Certification Board. Her research focuses on pediatric traumatic brain injury. She comes to Duke from Rady Children’s Hospital in San Diego, California, where she 2011 worked in a tertiary care pediatric ICU.

She holds a diploma in nursing from the WINTER University of Alberta Hospital School of Nursing in Canada, and master of

science and PhD degrees in nursing from NURSING the University of San Diego. DUKE 03 news

Wilson Becomes NC Nursing Hall of Famer

Former dean of the School of Nursing Ruby L. Wilson, EdD’69, RN, FAAN, was inducted into the DNP Student Wins North Carolina Nurses Association Hall of Fame at GlaxoSmithKline Foundation Award a ceremony in October. Wilson was cited for her pioneering local and national Jill Kerr, MPH, FNP, a student in the Doctor of Nursing Practice leadership in nursing education and service. She became degree program, received the Individual Recognition Child Health a member of the Duke nursing faculty in 1955 and was Recognition Award from GlaxoSmithKline for her work with the dean from 1971 to 1984. She also served as a professor of Chapel Hill-Carrboro City Schools Pre-K Head Start Program. nursing, assistant professor of medicine, and assistant to Kerr speaks Spanish, French, and Arabic, which helps her the chancellor for health affairs. communicate with children and families. She was cited for In 1958, in collaboration with Thelma Engles, MA, her exceptional communications with children and families to RN, professor and chair of the Department of Medical- prevent health-related absences; intervene early with asthma, Surgical Nursing at dental, or vision problems; and Duke, Wilson initiated eliminate health disparities among the first master’s degree her students. program in clinical Kerr, who holds an undergraduate nursing, which became degree in history and French, served a national model in the Peace Corps in Morocco in for graduate nursing 1978, where she learned Arabic and specialization. She also apprenticed with midwives. She then encouraged professional received a family nurse practitioner development of Duke’s degree from Pace University and went to nursing faculty and Ruby L. Wilson Jill Kerr work in the Yale-New Haven, developed a pioneering Connecticut, . Later she moved to rural undergraduate curriculum. New Mexico to work as a public health nurse in prenatal and well Wilson also was hailed for her service commitment—­ child care, communicable diseases, and school health. locally, nationally, and internationally—including Kerr moved to North Carolina in 1997 for a Child Health serving on the boards of the Duke Patient Public Health Service Fellowship at the University of North Support Program, the American Cancer Society, Triangle Carolina (UNC) School of Public Health. Now she is a full-time Hospice, and the Women’s Forum of North Carolina. student in Duke’s DNP degree program, focusing on decreasing She worked with the Rockefeller Foundation in pre-school absences as a way to help decrease the educational Thailand to design a research-driven medical center equity gap. with a new nursing curriculum. She also has been Kerr will donate her $2,000 award to the North Carolina elected to the Institute of Medicine and the American Public Health Association for scholarships. She and her husband Academy of Nursing and was a presidential appointee have four living daughters, ages 18 to 25, including one student at on the National Council of Nurse Training of the United Duke University and one student at UNC-Chapel Hill. They live in States Public Health Service. Chapel Hill. Wilson began her career as a staff nurse, head GlaxoSmithKline Child Health Recognition Awards are nurse, and night clinical supervisor at Allegheny presented annually to recognize individuals and programs that General Hospital in Pennsylvania, where she received stand out for their success in improving children’s health. Only a bachelor’s diploma in nursing. She went on to obtain one Individual Recognition Award is presented each year. a bachelor of science degree in nursing education from the University of Pittsburgh, a master of science degree in nursing from Case Western Reserve University, and a doctor of education degree from Duke University. been adoptedbytheU.S.AdministrationonAging. for buildingeldercarecoalitionsinruralcommunitieshas a nationallypublishedresearcheroneldercarewhosemodel Ann HenshawGardinerProfessorshipinnursingatDuke,is on thefamilyandchronicillness,Davis,whoholds event, whichwasfollowedbyareception.Gillissisanexpert University undergraduateandgraduatealumniattendedthe Tower ClubinChicago,Illinois,October. About30Duke presented aprogramonCaringforYour AgingParentsatthe and ProfessorLindaL.Davis,PhD,RN,DP-NAP, FAAN, Dean on Caring for Aging Parents Chicago Duke Alumni GetTips Catherine L.Gilliss,BSN’71,DNSc,RN,FAAN GLOBAL HEALTH LECTURE THURSDAY, FEBRUARY 3,4:00-6:00

, PM , SCHOOLOF NURSINGAUDITORIUM Thursday, February 3,4:00-6:00 disasters tocaringfortheunderserved. world­­ discuss thestateofhealtharound the Come hearacurrent thoughtleader Health Lecture 4 and theOfficeofProvost. Initiatives, theDukeGlobalHealth Institute, Office ofGlobalandCommunity Health the DukeUniversitySchoolofNursing’s The GlobalHealthLectureissponsoredby A reception willfollowfrom 6:00-7:00 School ofNursingAuditorium th —from responses tonatural Annual Global AnnualGlobal Linda L.DavistalkstoChicagoalumni. news

pm

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05 DUKENURSINGWINTER2011 news

Sullivan Inducted as AAN Fellow Knobel Wins RWJF Nurse Faculty Scholar Grant Dori Taylor Sullivan, PhD, RN, NE- BC, CNL, CPHQ, FAAN, professor Robin Knobel, PhD, RNC, NNP, an assistant professor in the in the Doctor of Nursing Practice master’s, PhD, and DNP degree programs, won a competitive degree program and associate dean grant from the Robert Wood Johnson for academic affairs, was inducted as Foundation (RWJF) to study the a Fellow in the American Academy of mysterious physiology of extremely Nursing in November. premature infants. “Selection for membership in One of just 12 nurse educators the Academy is one of the most nationwide to receive the three-year, Dori Taylor Sullivan prestigious honors in the field of $350,000 Nurse Faculty Scholar nursing,” said Academy President award in 2010, Knobel will use and Dean of the School of Nursing, Catherine L. Gilliss, the award to study babies born at BSN’71, DNSc, RN, FAAN. “Academy Fellows are truly less than 29 weeks gestation. These experts. The Academy Fellowship represents the nation’s Robin Knobel babies are frequently exposed to top nurse researchers, policymakers, scholars, executives, cold air during nursing and medical and practitioners. procedures. Because they have immature neurological systems Sullivan came to Duke in 2008 from Sacred Heart and little ability to generate their own heat or regulate their University in Connecticut, where she led the Department of blood flow, they risk developing gastrointestinal infections, Nursing and was chair of the Council of Deans and Directors bleeding in the brain, and other potentially lethal complications. of Nursing. Her 30-year career has included roles as a national Knobel’s research builds on a previous study she con- health care consultant, clinical and research director, clinical ducted that found that extremely premature babies suffer specialist, faculty member, and academic administrator. She abnormal blood flow that keeps their hands and feet warmer currently serves as core faculty for evidence-based practice than their body cores. Colder temperatures indicate low blood on the Robert Wood Johnson Foundation grant, Quality flow and correspondingly low oxygen levels, a pre-cursor of and Safety Education in Nursing, and she co-authored a health problems. monograph on leadership competencies in health care with a Diane Holditch Davis, BSN’73, PhD, RN, FAAN, the focus on complexity science and transformational leadership. Marcus E. Hobbs Distinguished Professor of Nursing, and David Tanaka, MD, a professor of pediatrics and neonatology at the School of Medicine, Department of Pediatrics, will serve as Knobel’s mentors. “Every year, 30,000 extremely premature babies are born in the United States,” said Holditch-Davis. “Dr. Knobel’s research will ultimately help improve the odds that these babies will live longer, healthier lives and could lead to considerable savings to the U.S. health care system.”

Nikki and Derrick King Jonathan and Shannon Garrett Correction On page 21 of the Summer 2010 issue of Duke Nursing Magazine, the photo captions of two married couples who received degrees together in May were reversed. We regret the error! We hope you will join us! weekend. special forthis planned are activities exciting Many or 919-667-2529 at relations, of alumni director Howle, Amelia contact please Forinformation, March. in mailed be will information Reunion of Nursing. School University at Duke 8-9 April reunions celebrate 1933-1960), will (classes Club Century Half the of members as well as 6, 1and in ending years with Classes R save eunion

the [email protected]

date 2011 A .

pril 8–9

07 news

New Graduate “I think our program will Informatics—which stand out,” said Constance brings together Duke’s Certificate in Johnson, PhD, assistant schools of medicine, Informatics professor, “because we’ve nursing, engineering, had a 36 credit-hour online and business to train the As the nation moves towards the elec- informatics program since next generation of health tronic medical record, Duke University 1997”(Master of Science in care administrators School of Nursing in January began Nursing informatics specialty in implementing and offering a graduate certificate in health degree program). “This managing electronic certificate program will teach medical record systems— informatics to nurses and other health Constance Johnson the fundamentals of information received $2.16 million care providers. technology—issues, theories, standards, from the HI-TECH Act. The center is The one-year, 18 credit-hour certificate, and trends.” providing the School of Nursing with which is being offered in partnership with The need for informatics specialists $200,000 to offer 20 students $10,000 the Duke Center for Health Informatics, is projected to rise dramatically over each in tuition reimbursement. consists of primarily online courses. the next several years following the The overall goal of electronic medical It also includes a two-and-a-half-day 2009 passage by Congress of the Health records is to improve health and lower session at the school once a semester, and Information Technology for Economic costs by streamlining information and a real-world practicum following course and Clinical Health Act (HI-TECH making it accessible to all of a patient’s work. Students who hold a bachelor’s Act). The $19 billion act was part of providers; reducing duplication of tests; degree and have a health care background the $787 billion U.S. stimulus package flagging potential drug interactions; are eligible to apply. and is meant to promote industry-wide and more. Quick access to medical adoption of electronic medical records. records could also be life-saving in an The Duke Center for Health emergency situation.

VALUE IN HEALTH CARE 2011 HARRIET COOK CARTER LECTURE JACK NEEDLEMAN, PhD, FAAN, will The lecture is sponsored by the Duke present Searching for Value in Health Care University School of Nursing; Duke at the 2011 Harriet Cook Carter Lecture, Translational Nursing Institute; Sigma Theta Tuesday, February 22, at 3:00 PM in the Tau International Honor Society of Nursing, Beta Epsilon Chapter; and Duke University School of Nursing Auditorium. Health System Clinical Education and Professional Development. For information about receiving International Association for A reception will follow. Continuing Education & Training (IACET) ap- Needleman is a professor of health services proved credit, please visit nursing.duke.edu/ at the University of California, Los Angeles modules/son_about/index.php?id=137. School of Public Health.

TUESDAY, FEBRUARY 22, 3:00 pm SCHOOL OF NURSING AUDITORIUM The School of Nursing The SchoolofNursing Air ForceROTCtrainingprogram,Williams pursuednursing natural gestureforustogiveback.” wonderful educationshereceivedatDuke,soitwasjusta Tango, whoturned90inJanuary. “We aregratefulforthe daughter late wifeEmilymadeannualdonationsinrecognitionoftheir the SchoolofNursingAnnualFund. special plaquerecognizinghis25yearsofcontinuousgivingto honored MichaelTango ofWashington, NewJersey, witha This pastsummer, theDukeUniversitySchoolofNursing 25 Years Giving Annual of Tango For Honored center for cancer care center forcancercare Center, anoutpatient and the Duke Cancer and theDukeCancer medical campus with medical campuswith and clinicalresearch. University Hospital, University Hospital, building isatright. the Duke Medicine the DukeMedicine expansion of Duke expansion ofDuke After graduatingfromtheSchoolofNursingandDuke “We havealwaysbeenveryproudofMarianne,”said Tango, aretiredemployeeforM&M,Mars,Inc.,andhis Construction now Construction now transform Duke’s Pavilion, a major Pavilion, amajor underway will underway will Marianne Tango Williams, BSN’81 Marianne Tango Williams,left,andherfatherMichaelTango

. leaders inourrespectiveprofessions.” and innovativethinking,whichhelpedtodevelopusinto Nursing “caredabouteachstudentandnurturedourcritical to servemycountry.” Williams said.“Theyhadatremendousinfluenceonmychoice for mewiththeirgenerosityandselflessserviceasIgrewup,” retiring fromactivedutyasaLieutenantColonelin2003. field intheU.S.AirForce.Sheservedasacommanderbefore for ashorttimebeforeshetransitionedtothehumanresources accounting degree. who isattheUniversityofCentralFloridaworkingonan Florida onanAirForceROTCscholarship;andMikaela, two children—SeanMichael,whoisattheUniversityof Air Force,atthePentagoninWashington, D.C.Theyhave for operations,PlansandRequirements,HeadquartersU.S. was appointeddirectorofoperations,deputychiefstaff also wasintheAirForceROTCwhileatDuke.Herecently and proud.” others withtheirannualgifts,andforthat“Iamverythankful Nursing forhelpingstudents.” we madetogethertoshowourappreciationtheSchoolof to givetheAnnualFundbecause“itwasacommitment Tango sayswhenhiswifepassedawayin1996hecontinued She saidshevalueshowthefacultyatSchoolof “My parentsarehugeDukefans,andtheywererolemodels Williams ismarriedto Williams saidherparentsmadeadifferenceinthelives of Brett Turnage Williams, T’81 people

, who

09 DUKENURSINGWINTER2011 You’ve Come A Long Way… DUKE Duke Wins nurses. It was not unusual for men nursing profession,” said John Brion, who wanted to do so to be perceived PhD, RN, an assistant professor in National Award as strange.” the Accelerated Bachelor of Science as Best Nursing Not so much today. in Nursing (ABSN) degree program. School for Men Lured by the chance to have an “And the opportunity to become a impact on the lives of others as well nurse practitioner or certified nurse as copious opportunities in a multitude anesthetist with the potential to By Jim Rogalski of specialties, a robust job market, have greater autonomy seems to be For the 1970 graduation capping and flexible work schedules, more particularly appealing to men.” ceremony, the Duke University School men are entering the nursing field each Since the Voelkel and Brown era of Nursing (DUSON) faculty faced year. Just a few years ago men made at DUSON, the School of Nursing a dilemma with two of its students: up 4.5 percent of the licensed nursing has worked steadily to recruit more Donning them with traditional nurse’s workforce. Today it is 6 percent and men into nursing and make Duke caps was simply out of the question. growing. Enrollment by men in pre- a welcoming place for them. Those So when Roger Voelkel, BSN’70, licensure programs is even higher. efforts culminated this fall when the and Don Brown, BSN’70—who both “More men are realizing the many school received a 2010 Best Nursing had come to Duke in 1966 via the opportunities that exist within the School/College for Men in Nursing U.S. Navy Enlisted Nursing Education Award from the American Program—crossed the stage Assembly for Men in Nursing dressed in their crisp Navy whites, (AAMN). The association cited interim dean Ann Jacobansky, Duke’s success at recruiting and RN, placed a Duke pin on their retaining male students and faculty respective lapels instead of a cap and coordinating networking and on their heads. community service activities that By earning their nursing foster a supportive environment degrees, the school’s first two for men in nursing. male students helped to pave the A full third of Duke’s core way for generations of men who nursing teaching faculty—four would follow. out of 12—are men. “The school took a bold step A group of male Duke nursing students enjoy pizza and “The award is really an honor,” by admitting us,” said Voelkel. camaraderie at a recent informal social get-together. Brion said, “because it speaks “Times were different then, and to the commitment the school it was uncommon for men to be 11 DUKENURSINGWINTER2011 baccalaureate master’s research-focused practice-focused nursing programs nursing programs doctoral nursing programs doctoral nursing programs 20% DUKE 15% 20.0% DUKE DUKE 16.92% DUKE 10% 14.8% 13.09% NATIONAL 10.8% NATIONAL NATIONAL 5% 9.1% NATIONAL 7.3% 8.1% 0

has to making sure we have a diverse students lived in Hanes House, but it Okam said he had always been student body and a more diverse nursing was inappropriate to house the male interested in the medical profession but workforce.” students there, she said. Since West was uncertain about which field to choose. The Duke chapter of AAMN— Campus was so far from the nursing He pursued research and pharmacology nicknamed DAAMN—hosts events that school, the male students were housed for a short while but eventually realized he include informal cookouts and pizza across the street in the graduate center. wanted to work one-on-one with patients. parties, volunteer landscaping at a local John Ringland, BSN’78, lived off “The field of nursing is very broad,” homeless shelter, blood drives, and a campus. He transferred from Trinity he said, “and has a lot of opportunities. night at a Durham Bulls game. into the nursing program during his This is a starting point to greater things ABSN student Brian Gammon, the sophomore year and was the only male the field has to offer.” student chair of DAAMN, said the social in his class of 100. He said he “was He plans to eventually become a

MEN IN NURSING gatherings are valuable because they give treated like everyone else. I didn’t get any family nurse practitioner and manage male students the opportunity to talk special treatment. I remember going to his own practice. about what’s going on in school. The OB rotation in delivery and my professor Abdur Akbar also came from a faculty, he said, “take time out of their never stopped me from doing anything.” research background but was drawn to day to meet with us outside of class. He said that, “like women surgeons nursing after “working alongside them They treat us like colleagues even though having to work harder to gain respect, I and seeing the impact they have and the we’re students.” had to do at least as well or better than level of responsibility they are given.” According to the American the female students. Today, in general, Ryan Shaw, a PhD student, said a Association of Colleges of Nursing nursing is a much more respected number of friends and family members (AACN), 10.8 percent of nursing profession than it was 30 years ago.” asked if he is planning to become a doctor. students in baccalaureate nursing Robert Sigety, BSN’80, said he reme- “The general public has a misconception programs nationwide are male; at mbers “getting a few comments from that nursing is a bridge to becoming a Duke it’s 14.8 percent. The AACN doctors about why I wanted to be a nurse, doctor,” Shaw said. “But in truth, the says the national average for men in but not anything mean. I was treated very two are very separate professions.” master’s programs is 9.1 percent; it’s 13.09 percent at Duke. Duke boasts “The field of nursing is very broad and has a lot of a 20 percent male enrollment rate for opportunities. This is a starting point to greater things research-focused doctoral nursing programs, which is nearly triple the the field has to offer.” — UCHE OKAM national average of 7.3 percent. And 16.92 percent of Duke’s practice- well and had good relationships.” Omar Hasan came from a law focused doctoral nursing students are At a recent pizza gathering at the enforcement background, where he male, which is double the national School of Nursing café, current male enjoyed the flexible schedule and hands- average of 8.1 percent. students talked about the importance of on work. He prefers nursing because Ruby L. Wilson, EdD’69, RN, FAAN, gender diversity in the nursing workforce, “you’re taking someone who’s sick and dean from 1971 to 1984, said only a what appeals to them about the pro- trying to problem solve and improve the couple of tweaks were needed once the fession, and their experiences so far. quality of their life.” school began admitting men. Uche Okam said that during his Adds Brion: “The really impressive “Of course we had different uniforms maternity clinic rotation he was assigned thing about all of our students is that made for them because they didn’t wear to a young woman in labor who “was most have had successful careers in other skirts. And we had to make different not very receptive to having a male fields but have been drawn to nursing living arrangements,” Wilson said. student, and I could understand that. out of a desire to make a difference in In the 1960s and early 1970s, nursing So I was assigned to another patient.” the lives of other people.” of thestudy. Overfivemonthstheytrained nursinghome Anderson says. a differenceinpreventingfalls. will showwhethertheadded communication trainingcanmake Anderson, whoservesasprincipalinvestigator, saysthestudy a specialinterventionAndersoncreatedcalledCONNECT. communication trainingin prevention trainingand the othertheyreceivefalls falls preventiontraining.In one groupemployeesreceive groups ofnursinghomes.In Prevention,” involvestwo “CONNECT forBetterFalls nursing homes. in preventingfalls communication canplay the roleimprovedstaff with astudythatexamines Stone ProfessorofNursing, Anderson, theVirginia summer andfallhelping and KatyZahnspentthe Mewshaw, MaggieMucha, homes. study onfallsinnursing Nursing Research-funded on aNationalInstituteof them asresearchassistants the chancetoworkwith Recently fourstudentsgot Kirsten Corazzini,PhD. researchers likeRuthA.Anderson,PhD,RN,FAAN, and Nursing (ABSN)degreeprogram,thankstoeffortsbynursing for studentsintheDukeAcceleratedBachelorofScience major researchstudies,butthatmaybestartingtochange baccalaureatenursingstudentsdon’tMost getinvolvedin Students with the World of Research Nursing Home Study Connects The students were involved in the falls prevention portion portion The studentswere involvedinthefallsprevention “Preliminary resultsalreadysuggest thattheanswerisyes,” The study, titled Megan Bowers,Jennifer

faculty membersChipBailey, PhD,RN,andKirstenCorazzini,Duke ClinicalInstructorAshleyLeak. Jennifer Mewshaw, Megan Bowers,andKatyZahndiscusswaystopreventfalls.Standing,fromleft,are Nursing home resident Clyde Ragan (center) listens as students (left to right) Maggie Mucha, Nursing homeresidentClydeRagan(center)listensasstudents(lefttoright) MaggieMucha,

included alllevelsofstaff,fromnursingdirectorstocertified took placebothinpersonandthroughteleconferencing cardiovascular problems,andpoorfootwear. Thetraining of falls,suchaspoorvision,unstablegait,medications, staff membersonmajorareasthatcanputresidentsindanger nursing research,” saysMewshaw. nursing research. “Before,Ihadnoideawhat itmeanttodo and relationshipswithfellow employees. study hadbeeneffectiveinhelping themimproveinteractions whether thecommunicationtraining theyreceivedearlierinthe nursing assistantsto housekeepers. The studyofferedallfourstudents theirfirstexposureto The studentsalsosurveyedthestaffmultipletimeson

13 DUKENURSINGWINTER2011 Bowers adds, “I was amazed at the “The things we do as nurses in have complexity of actually implementing been developed and tested through research. a research plan. It’s one thing to write it up. But it’s another thing to be in a We need people building that knowledge base nursing home where the staff turnover for practice.” — RUTH A. ANDERSON is high. It can be challenging to get the information you need.” Challenges aside, all the students States, less than 6 percent have PhDs students a glimpse into the challenges agree their experience with the in nursing,” Anderson says. “They’re involved in nursing home care and CONNECT study has opened their eyes the ones who do the research, and taught them the importance of to the possibilities of pursuing a career research is how we learn to advance the communicating with nursing assistants. in nursing research. Zahn says, “I want practice of nursing. The things we do as “The nurse assistants are with the to incorporate research in my long-term nurses in hospitals have been developed patients more than any other provider career goals, which is not something and tested through research. We need in the nursing home,” Anderson says. that was on my radar before.” people building that knowledge base “If nurses don’t talk and listen to them And Anderson says that’s exactly for practice.” about what they’re seeing, then that what motivated her to involve the Anderson says working with the information never gets to the care students in the first place. While she has ABSN students complements recent planning team and prevents them from frequently used PhD research assistants changes in the school’s curricula that helping patients feel better and making in the past, this was the first time she now offer students the opportunity them less likely to fall.” enlisted help from ABSN students. She to follow either a research or foreign Mewshaw says, “There were a couple says more researchers are needed in the language track during the 16-month of people in the nursing home who didn’t field and getting students involved early program. Bowers, Mewshaw, Mucha, get along very well, and this project helped on may be the key. and Zahn all chose the research option. them open those lines of communication. “Of all the nurses in the United The CONNECT study also gave The study definitely impacted some people on a personal level.” Anderson plans to continue working with ABSN students throughout the rest of the yearlong CONNECT study and in future studies. Though Bowers, Mewshaw, Mucha, and Zahn will have graduated by the time the study ends in the spring, they have written articles related to their work on the study that will be submitted for publication. Associate professors Chip Bailey, PhD, RN, and Kirsten Corazzini, PhD, served as advisors and mentors for the students. Bailey trained the students in the study protocols, and Corazzini met with them every two weeks to discuss progress and provide education on research methods. —BERNADETTE GILLIS The CONNECT study exposed ABSN students to nursing research and the complexity of nursing home care.

Duke nursing students provided much-needed services for Durham’s homeless community. Left, student Amiee Graham (left) checks a patient’s blood pressure as classmate Aleena Bhasin looks on. Right, student Ashley Anderholm (right) helps a patient fill out paperwork. Homeless Connect—A Pathway to Hope

The man came to Project Homeless Connect “We headed over to the Durham Tech hoping for a coat and a blanket to keep table, where we found that his Veteran’s himself warm. He left with leads on a job, benefits would pay for him to get a nursing a home, and a pathway to a new career— degree,” says Esser. “As I gave him a big as a nurse! hug and wished him all the best, I wasn’t sure who was more excited!” Project Homeless Connect provides much needed resources such as job opportunities, The nursing students provided blood pres- housing assistance, hot showers, clothing, sure checks and glucose screenings for the and medical care for people in Durham nearly 500 homeless people who attended who lack permanent housing. This year 100 the October event at the Durham Bulls students from Duke University School of Athletic Park. Nursing faculty members Nursing worked as volunteers at the event. and staff also attended as volunteers.

One of them, Elizabeth Esser, a student According to Belinda Wisdom, senior in the Accelerated Bachelor of Science program coordinator for the School in Nursing degree program, served as an of Nursing’s Office of Global and escort, and she was matched with a home- Community Health Initiatives and one of less veteran. She served as his navigator for the event’s planners, the event provides the day, hooking him up with a quick shave a service opportunity for students and a and a job interview. different perspective on the problem of homelessness. The man learned that the job paid well enough to qualify him for housing loan “There are misconceptions about home- assistance through the U.S. Department of lessness,” says Wisdom. “This event helps Students also provided glucose screenings at 2011 Project Homeless Connect. Veterans Affairs. He revealed to Esser that students realize that these are everyday he had long wanted to become a nurse. people struggling with job loss and Brian Lupo (center) was one of 100 Duke

nursing students who participated in the WINTER economic hardship.” community event. NURSING DUKE 15 opinion

THE TOUCH hIn a Highu Tech manWorld, High Touch is Still Critical

he surgeon makes a small incision and looks over the electrocardiogram tone is also generating more and more slowly. drapes. “Everything OK,” he asks? She looks at the ECG monitor and sees only an occasional ECG T The nurse anesthetist never looks away from the blinking impulse cross the screen. Something is wrong—very wrong. and buzzing monitors that display a continuous trend of patient She alerts the surgeon that he needs to stop the procedure, and vital signs. cardiac resuscitation of the two-year-old patient begins. Heart rate? Check. Blood pressure? Looks good. Respiratory rate? Normal. he situation I have just described happened many years End-tidal carbon dioxide? Unchanged. ago, and the nurse anesthetist caring for this child was Exhaled anesthetic agent concentration? Therapeutic. T me. What happened, you are asking? This patient suf- EEG waveform? Appropriate. fered a cardiac arrest secondary to a temporary insufficiency of Body temperature? A little chilly but nothing oxygen delivery to his body tissues. a total body warming blanket won’t fix. Yes, it was a major event and perhaps it could have been Last but not least, oxygen saturation? prevented. Fortunately, the cardiac arrest lasted only 10 100 percent. seconds, and the patient recovered completely. The next “Everything is great,” she fires back at the concerned surgeon. question you may be asking is, how did this happen? How Not willing to leave well enough alone, she was it that I did not know this patient was experiencing chides the surgeon. “And it will be even better dangerously low levels of oxygen? The answer is simple: I was if you stay on your side of the table and mind looking at the monitors and all the blinking lights but not at your own business.” the patient. In my desire to fix what was wrong, I focused on Everyone laughs and agrees that he needs to the technology and not on my patient. In this case, it almost continue the procedure if they are going to cost this child his life. finish this case by 5 p.m. The sound of laugh- There can be no arguing that the use of technology ter is comforting, as everyone knows that saves patients’ lives; however, the Institute for Healthcare laughter is a sign that things are going well. Improvement estimates that approximately 15 million The surgeon reverts to his side of the ether preventable medical mistakes occur in hospitals each year. By Sharon Hawks screen and the CRNA, once again, turns her DNP’10, CRNA attention to the city of monitors that sur- More people die in U.S. hospitals from medical errors than rounds both her and the two-year-old patient. perish from motor vehicle accidents or breast cancer. Now standardization of technology usage and the creation Time passes and she notices that the oxygen saturation of evidence-based clinical guidelines are being used to decrease monitor is not providing a reading. Two minutes ago the oxygen hospital-related morbidity and mortality rates. Anesthesia saturation was 100 percent, and it has been stable throughout the care is an excellent example of how standardization has made case. The cause must be a defective oxygen sensor, or maybe it anesthesia safer than ever. needs repositioning on the patient’s small finger. She investigates The American Association of Nurse Anesthetists and the and everything looks fine. The probe is securely in place, and yet American Society of Anesthesiologists collaborate regularly the impulse from the patient’s finger appears weaker and is being to address various issues affecting patient safety during sensed less and less frequently. What could it be? Suddenly she notices that the THE

TOUCH i practiced byFlorence Nightingale. temperature changes areasimportantnow theywerewhen changes inskin color, andtouching apatient’s skintodetect be thefoundationofnursing care. Palpatingapulse,observing palpation, andauscultationhave alwaysbeenandcontinueto gathering tools.Essentialnursing skillssuchasobservation, never beignoredinfavorofsophisticated technologicaldata gathered throughtheuseofnursingassessmentskillsmust technology isnotinfallible.Forthisreason,patientinformation be reducedtoblinkinglightsandirritatingbeeps.Intheend, making patientcaredecisions. critically analyzetheinformationandprovidecontext for data aretobeuseful,itistheanesthesiateamthatmust subsequently taken.Iftechnologicallymeasuredhemodynamic it isinterpretedaccuratelyandappropriateactionsare the situationIdescribed,technologyisonlyeffectivewhen potential forhumanerror;however, ascanbeseenfrom use oftechnologytoimprovepatientcare. during allanesthetics.Quality-improvementstudiessupportthe tidal carbondioxidemonitoring,andotheressentialmonitors of pulseoximetry, ECG,bloodpressure,temperatureandend- standardization ofintra-operativemonitoringhasledtotheuse been safertoreceiveananestheticthanitistoday. The rates ofanestheticmorbidityandmortality. Ithasnever anesthesia. Theseimprovementshaveresultedinplummeting Were itnotforthesehumaninterfaces,technologywould The goaloftechnology developmentistoremovethe lab or learned atacontinuingeducationcourse. lab orlearned patients. Theseskillscannotbetaughtinasimulation are oftenthoughttohavea“sixthsense”forassessing n thenursingcommunity, experienced,seasonednurses competent anesthesia careprovider. however, itdoes notreplacethevigilanceand caringofa is irreplaceable andessentialtoprovidingsafe patientcare; an experiencednurseanesthetist, Ihavelearnedthattechnology not thepatient(asiscase most ofthetime).NowthatIam decided theproblemwas pulse oximetrydeviceitselfand from thepulseoximeterastroubling. Inmymind,Ihadalready as caring. those thingsthatarehardertomeasureyetmattersomuch, such technology, willtherebeenoughtimetoprovidepatients with human being. technology butinsteadrequirestheattentionanddedication ofa all know, caringinvolvesaskillsetthatcannotbedelivered by caring hasalwaysbeenacentraltenetofthenursingrole.As we taking careofliving,breathingpatients.Thephilosophy education course.Theymustbelearnedintherealworldby cannot betaughtinasimulationlaborlearnedatcontinuing intuitive andsensingratherthantechnologydriven.Theseskills sense allowsthemtoassessapatientusingskillsthataremore thought tohavea“sixthsense”forassessingpatients.Thissixth In thenursingcommunity, experienced,seasonednursesareoften more difficulttomaintainahands-onapproachpatientcare. Astechnologyuseinhealthcareincreases,itbecomes contact. technology innursingisthedecreasedopportunityforpatient On thatdaymanyyearsago,Ineverinterpretedthedata My questionis,ifnursesincreasethetimespentusing A significantchallengecreatedbythegrowinguseof

17 DUKENURSINGWINTER2011 C NNECTED As technology transforms the classroom, person-to-person connections A LIFELESS DUMMY HARDLY SEEMS the likely hero in a story about award-winning innovation in nursing education. remain vital. Until you meet Stanley Sim. The low-end, durable patient simulator has crowd-surfed at a Duke men’s basketball game; dressed as a vampire to promote a By Jim Rogalski blood drive; and posted to Twitter his thoughts about love, health, and the pursuit of pulled pork sandwiches. By doing so, he engaged his followers in a dialogue about core nursing competencies, patient-centered care and safety, and HIPAA (Health Insurance Portability and Accountability Act) regulations. He also impressed the higher education community and helped the Duke University School of Nursing win a 2010 Campus Technology Innovators Award for the creative use of social media in education. “This award is a big deal for us because it shows that the School of Nursing is willing to embrace new technology and explore new ways of teaching and learning,” says Mary Barzee, the program coordinator for Innovative Nursing Education Technologies (iNET) at the School of Nursing. iNET is a federally funded collaborative effort among the nursing programs at Duke, Western Carolina University, and the University of North Carolina at Charlotte, to integrate technology into nursing education. D Student Jean Schenkkanexplores theDukeEducation andLearning inVirtual Environments (DELVE) computer programwith assistant professor BethPhillips.

19 DUKENURSINGWINTER2011 Duke was the lead team and designed and scripted Stanley’s “ tudents today are so drawn to adventures in Sim Soap: A Twitter Soap Opera. social media like Facebook and With computer technology seemingly advancing every S nanosecond and today’s students as committed to their Twitter, and we’re realizing it’s a great way Internet-enabled cell phones as Ozzie was to Harriet, it’s for us to get our message to them and to just not enough to learn by rote memory anymore, nursing reinforce core competencies in a fun way.” experts say. So one of the school’s strategic goals “is to be at the forefront — MARGIE MOLLOY of innovation,” says Marilyn Lombardi, PhD, director of popular social medium Twitter to reach students and reinforce academic and strategic technology. “Technology can help us key competencies of Quality and Safety Education for Nurses. create critically aware and creative health care providers and For six days in February of 2010, Barzee posted a total of make nursing education more of a personalized experience.” 488 “tweets,” or short text messages, on Stanley’s behalf in a Within the past 18 months, the school has upgraded its fully scripted soap opera story. Close to 100 nurse educators Center for Nursing Discovery (CND) patient simulation lab and students followed Stanley Sim’s creative and imaginary to include more realistic, programmable patient mannequins; drama in which he wrote about his growing anxiety over acute developed a highly detailed indigestion and about non-medical interests like Duke men’s avatar-based 3D virtual nursing basketball and finding his long-lost high school sweetheart. lab and patient scenario; taught Duke staff hauled Stanley to various campus events as a the creation of Web-based way to give him life beyond the lab and cyberspace. Students portfolios; embraced Facebook around the university campus were eager to get their photos and Twitter, and more. taken with him. “Seeing so much innovation “They were very curious about him, and it served as an in the last year or so makes it opportunity for us to explain to others how we use these really clear that there will be simulators,” says CND Coordinator Margie Molloy, MSN, a lot more in the future,” says RN. “It helped us promote nursing education at Duke.” Meredith Park, a student in the Molloy drew the line at what she would allow Stanley to DUSON representatives Mary Barzee, holding Accelerated Bachelor of Science award, Midge Bowers, second from left, do. Crowd surfing with the was fine, but, she in Nursing (ABSN) degree and Margie Molloy, center, are flanked by says with a chuckle, “when students wanted him to smoke the two representatives of Campus Technology program. “Our generation grew hookah, we didn’t let him.” Magazine as they accept the Innovators Award up with Facebook, Twitter, and in Boston, Massachusetts. In accordance with the script, Stanley eventually suffered computers, and it’s great to see a heart attack, and details of his condition and treatment the school embracing them.” were updated regularly on Twitter. When the script called for ABSN student Jean a nurse to post a little too much personal information about Schenkkan says of the CND him, the online discussion turned to the importance staff: “I haven’t met any other of knowing HIPAA guidelines. team of people who are more The soap opera ended on Valentine’s Day on a happy note: dedicated to the students and to Stanley was released from the hospital in good health and embracing new technology.” finally connected with his lost love, Cookie. “Students today are so drawn to social media like Facebook Stan’s the Man on Campus and Twitter, and we’re realizing it’s a great way for us to get Sim Soap: A Twitter Soap Opera our message to them and to reinforce core competencies in a was designed as an experiment fun way,” Molloy says. for nurse educators to use the Stan’s face on Twitter C NNECTED

On the Facebook front, Molloy breathed life into another low-end mannequin named Ivy Sim by creating a Facebook account for her. Molloy—posing as Ivy—posted Ivy’s thoughts about her successes and struggles as a first-semester Duke ABSN student. Ivy’s followers interacted with her by posting messages of encouragement and ruminating about the difficulties of particular homework assignments. Promoting student interaction was the main goal of the Facebook project. Ivy, too, was brought to campus events and spent a weekend in during the graduate student basketball campout. Like Stanley, she was quite popular. The feedback from both the Stanley Sim and Ivy Sim experiments was so positive that faculty members are discussing ways to make student participation in similar social media projects mandatory in the future, perhaps as early as this spring. “It’s important that students have fun learning and that we Clinical instructors Pam Porter, RN, center, and Daya Breckenridge, RN, right, take notes on students’ performances during a patient simulation session. make teaching points memorable and meaningful,” Barzee says.

Realism Breeds Competency, Compassion The CND recently added several new patient mannequins with more life-like qualities, including chest movement when they breathe and the ability to converse with nurses via a live person speaking through a microphone in the observation room. Students say the improved realism helps them to envision the mannequins as real people, making patient scenarios more impactful as they prepare for their clinical rotation with real patients. “The new human characteristics help to personify them,” Park says. “We’ve really gotten to the point where we’re comfortable talking to them and treating them like real patients.” During a recent patient scenario with a team of students, during which the mock patient suffered from an undetected intestinal blockage, Molloy recounted how back in August of Margie Molloy, second from left, coordinator at the Center for Nursing 2009 the students would barely approach the mannequins, Discovery, leads a group discussion following a patient simulation session. partially because the simulators were unrealistic. “Now, they’re even placing their hands on the mannequins’ shoulders to comfort them.” 2011 Matt Wright, a nursing simulation and technology specialist, often provides the patients’ voices.

He’ll say things such as, “my stomach really hurts,” and WINTER “that IV bag doesn’t look like what I usually get.” Students say being able to respond to a patient makes the scenarios

much more real. NURSING DUKE 21 SECTION HEADING

Of course, actual clinical experience is the best form of teaching, Molloy says, but practice scenarios done in a high fidelity simulation environment make for a smoother transition to real patients. Other new technology recently added to the CND are video cameras and computer software that allow students to go online afterward to watch a recording of their session, complete with visuals of all of the room’s monitors. If students made mistakes during the session, they can go back and learn exactly where things started to go wrong and why. “This is extremely valuable,” says ABSN student Beth Helgeson. “Sometimes in these simulations we do a good job as a team, but this helps me understand what I need to do better. The next time, I’ll be more cognizant of it.” Another valuable addition is debriefings following the sessions in which faculty give kudos for jobs well done and point out where mistakes were made. Students share their thoughts about their own performance and the performance of the team. Says Schenkkan: “Like Margie (Molloy) always says, ‘If you make a mistake here, you’ll never make that same mistake with a real patient.’ ”

Virtual Reality a Reality Schenkkan was one of the first students to take a test Beth Phillips explains DELVE to ABSN students. drive of DELVE (Duke Education and Learning in Virtual Environments), the state-of-the-art 3D Duke virtual nursing lab—an online computer game-like program in which students enter a detailed virtual replica of a Duke Hospital room and treat a patient whose medical chart is accessed by a click of the mouse. All diagnostic devices and monitors mimic what’s used at Duke University Hospital and are placed precisely where they would be in a real hospital room. If medication needs to be dispensed, students click on the medication drawer, select what they need, and adjust the

Students create an avatar in their Students control their avatars as they dosage. If the IV pump needs adjusting, students click on it and own likeness. participate in patient care scenarios in adjust the controls. computer generated three-dimensional DUSON hopes to roll out the new computer program to hospital rooms. students this spring. Like in the CND, sessions will be recorded and made available online afterward, a feature that Schenkkan says is invaluable. C NNECTED

eople are jumping into new Feedback has been positive from her students who have “ created e-portfolios. technology because it’s exciting P “It helped me to better realize my accomplishments and and fun. But we’re looking at the theory demonstrate how I have shaped myself professionally,” says behind it and whether students can really Lisa Tatko, a senior in the Nurse Anesthesia Specialty. “I liked that I could individualize my portfolio with a specific layout learn with it.” — BETH PHILLIPS and attach examples of my work.” Luke Sutton, also a student in the Nurse Anesthesia Specialty, said he was “able to provide a link to my portfolio to potential employers, and I have received positive reactions. “This is a great way to do self-testing and clinical practice at I was told that it is very impressive.” home and watch what you’ve done in the past,” she says. “This Assistant Professor Helen Gordon, MS, RN, CNM, used is done very well. There’s so much detail.” the free video conferencing software Skype to connect ABSN All sounds—from running water in the hand wash sink to students in her Nursing Care of the Child Bearing Family blood pressure cuff Velcro— were recorded and input into the course to Jennifer Block, the author of a book she had program by Beth Phillips, MSN’93, RN, CNE, who heads the assigned. development of the computer program. Gordon’s class of 68 students sat in an auditorium equipped Phillips says the 10 different patient scenarios that will be with a large-screen projector. The video image from Block’s programmed are designed to teach basic nursing competencies. Web-camera was visible Users create an avatar to represent themselves and move freely on the large screen, and throughout the virtual hospital room simply by moving their Block was able to see the computer mouse. class on her computer “This certainly is not a substitute for clinical experience screen. Gordon moderated but is a great way to prepare them to go to clinical,” she says. a 30-minute real-time “You feel a real sense of presence in here and a sense that you question and answer are really with a patient.” session between Block and the students. Other Tech-Savvy Advances “It felt like Block was Sharon Hawks, DNP’10, RN, CRNA, associate director of the in the room as a guest Nurse Anesthesia Specialty in the Master of Science in Nursing speaker, and the students degree program, mandates that all of her students create an were engaged and electronic portfolio—an online CV that is made accessible to interested,” Gordon says. potential employers. She teaches them how to do it. Using Skype, she says, A student’s e-portfolio homepage Hawks says e-portfolios allow students to represent the cuts down on travel costs and encourages informal full scope of their experience and strengths and not simply dialogue with experts from outside the area. document that they have met minimum competencies to Phillips says the ultimate goal of using new technology become a nurse. for nursing education is to make a difference in learning.

“My ultimate goal would be that all students who come “People are jumping into new technology because it’s 2011 through the nursing program create an e-portfolio when they exciting and fun. But we’re looking at the theory behind it enter to show exactly what they are capable of doing,” she and whether it can improve students’ learning. We believe that says. “It allows things that are normally invisible to be seen, ultimately these students will go out and improve the quality of WINTER and that is really exciting because it captures the full scope of patient care.” a person.” NURSING DUKE 23 CLOSE UP

Volunteer Experience Leads Marsh on Mission to Improve Nursing Education in Kenya

According to Gene Marsh, BSN’66, PhD, no the School of Medicine. Until the nursing amount of orientation, Wikipedia searches, program has a PhD-prepared nursing or study of the CIA World Fact Book fully professor on faculty, it will be difficult for prepared her for a five-month volunteer ex- the department to advance to the status perience in Eldoret, Kenya. Prior to leaving of a school of nursing and receive much- her Colorado home in January 2010, she needed resources. had visions of teaching nursing students in “They hope for opportunity and to move a land made up of scorched, barren deserts forward with their careers,” Marsh says of and starving nomadic families. the nursing students, “but opportunities But during her assignment with Encore come to them so seldomly.” Service Corps International at Moi So in addition to her teaching duties, University, College of Health Sciences, she Marsh, an associate professor emerita instead found a lush, pastoral landscape at of nursing at the University of Colorado, the western edge of the Rift Valley filled devoted her time to mentoring master’s with hardworking individuals doing all students in research methods and helping they could to educate themselves and their faculty members prepare PhD proposals, families. As a volunteer nursing professor often a requirement for admission to at the university, she ended up becoming African and European PhD degree programs. “...I focused on the skills more than just a teacher. She’s now a fundraiser, mentor, and long-term advocate Marsh says she developed relationships and attributes I have for faculty members and students eager to with all her master’s students, but one to offer and reminded earn PhDs. in particular left a lasting impression. A nurse-midwife named Lydia sought Marsh’s myself that the small Not long after her arrival, Marsh discovered help with her thesis. Marsh was amazed by that her students and others like them things add up and can Lydia’s dedication, especially since she had in Kenya are severely limited in how far two sons, a husband, and mother-in-law to make a big difference.” they can go with their education. The care for. need for nurses in Kenya is high, but — GENE MARSH government-funded nursing positions lag “She told me, ‘Please be hard on me behind demand, and faculty members to because the harder you are the stronger educate nurses are in short supply. No PhD a woman I will be,’” Marsh says. “I’ve programs in nursing exist in all of Kenya. In never seen a student blossom so quickly. fact, the closest program is in South Africa. She challenged the class to do better.”

On top of that, the nursing program at Lydia’s determination was particularly Moi University is a department within moving, considering how difficult it can be “But thenIfocusedontheskillsandattributes “I wouldgetthemostencouraginge-mails,” The firstscholarshiprecipient,Geoffrey Maina, Though she’s backhomenow, Marsh’s heartis

against women,especiallyiftheycomefrom daughter Sydney andTurner, 10,andson,Steve,8. daughters, KarenSahnand and keptmesmiling.” offered donationsandwordsofencouragement eventually returntoKenyaandbecomeamentor difference inacountryaffected bymajorsocial experience inKenya,lonelinessanddiscourage ditional culturalbeliefsandbehaviors.Marsh of Marsh’s malestudentsselectedcontroversial create ascholarshipfund,whichawards$5,000to continues tosuperviseandoffer supporttoLydia Canada. Acommunityhealthnurse,heplansto (non-governmental organizations)aremaking ment setin,leavingherwonderingifefforts, for womentogetaneducationinKenya.Marsh she says.“Myclassmates’enthusiasmandsup- ship isdueinparttosupportfromher1966Duke scholarships willbeawardedin2011. still withthenursingstudentsinEldoret.She significant progress. she says.Sheaddsthatmanyinternational says theirworkisimportantbecausethecountry’s students atMoiUniversity. Fortheirtheses,two says, “Therearestillhumanrightsinfringements which seemedsosmall,weretrulymakinga Scott Scharin.Staceyandherhusband Kirklive School ofNursingclassmates.Shesaidmany via e-mail.ShehasalsoteamedupwithEncoreto volunteers workinginKenyathroughNGOs port helpedmegetthroughsometoughtimes positioned tobecomethevoiceforimproved Karen livesinAspen,Colo.,with herpartner topics relatedtoHIV/AIDSthatchallengetra- traditional tribalvillagesinsteadofthecity.” to master’s-level nursingstudents.Two additional things addupandcanmakeabigdifference,” Marsh livesinDenver, Colo.,andhastwo Marsh’s abilitytoraisethefundsforscholar Moi UniversityfacultypursuingPhDsinnursing. Marsh admitsthatabouthalfwaythroughher Men makeupabout30to40percentofnursing Ironically, malenursingstudentsarebetter ills andgovernmentcorruption. in CrestedButte, Colo.,withtheirtwinsonand is nowenrolledattheUniversityofAlberta, before sheleftKenya. have tooffer andremindedmyselfthatthesmall health ministersandlegislatorsaremorelikelyto health careforwomenandchildren,Marshsays. listen tothemthanwomen. —BERNADETTE GILLIS Stacey Petersen,T’92

- - . her husbandTom. Miami Fla.,wheresheliveswith University SchoolofNursingin and researchclinicianatBarry work immensely. Sheisaprofessor teaching fulltimeandenjoyingher she receivedaPhD.Sheisstill Carolina CollegeofNursing,where Award fromtheUniversityofSouth has receivedaDistinguishedAlumna Sandra M.Walsh, BSN’60,PhD 1960s Springs, Fla. care clinics.HerhomeisinAltamont Hanoi MedicalCenterandinprimary worked withthenursingschoolat clinic inPhnomPenh.InVietnam she also spenttimeseeingpatientsata to becomeregisterednurses.Martin twins arecontinuingtheireducation and aunthadsoldthemin2008.The sex tradeintowhichtheirmother she purchasedtheirreleasefromthe grads aretwinsisters.Martinsays from theinauguralclass.Two ofthe there andmetfiveofthesixgraduates in 2008foranewnursingschool nursing assistantcurriculumshewrote In Cambodiasheevaluatedthe week visittoCambodiaandVietnam. MSN’60 Shirley DavisMartin,N’56,BSN’58, 1950s , recentlycompletedafive- ,

an associateprofessorfortheDuke Nancy M.Short,BSN’76,MBA’91 She livesinSantaMaria,Calif. Young ChildreninAnaheim,Calif. Association oftheEducation convention oftheNational a Novemberworkshopatthe Parenting Concerns Encouragement forEveryday author of Joan SchweickartRice,BSN’70 1970s husband Steve. lives inLosGatos, Calif.,withher in theU.S.AirForceReserves and requirements. Mindenisacolonel Force HealthServicesInspection for surveyingcompliancewith Air New Mexico.Sheisresponsible Agency atKirklandAirForceBase, for theU.S.AirForceInspection been selectedasnurseinspector Ellen M. Minden,BSN’80 1980s Carolina StateUniversity. electrical engineeringcourseatNorth employed andteachingasenior-level Arthur, Cary Academy;andherhusband daughter Charlotteisaseniorat a bachelor’s degreeinbiology;her from Hampden-SydneyCollegewith N.C. HersonWhitgraduatedinMay time atRexHealthcareinRaleigh, BSN’79, GNC’97 Elizabeth Whitmore Kelley, the DNPstudents. Practice (DNP)FacultyAward from the OutstandingDoctorofNursing Teaching Award fromthe facultyand 2010 SchoolofNursingDistinguished Inequities Program,receivedthe senior researchfellowfortheHealth University SchoolofNursingand classnews

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25 DUKENURSINGWINTER2011 sunlight, whichisidealforoilpainting. north-facing studioprovidesoft, indirect The floor-to-ceiling windowsinLong’s shows andeventsforthecommunity. 35 artist’s studiosandoffers frequentart historic renovationofanoldtextilemillhas Belt artsandentertainmentdistrict.The studio inDowntownDurham’s Golden partners rentedahigh-ceilinged,light-filled in 2007.InAugust2008sheandthree off herhomemortgageandfinallyretired career atDukeUniversityHospital.Shepaid study withCovinowhilewindingdownher For thenextnineyears,shecontinuedto to detailandcommitmentquality. Long toexcelasanICUnurse—attention to thesamequalitiesthathadenabled masters oftheItalianRenaissanceappealed oil paintingtechniquespracticedbythe Covino’s dedicationtothepainstaking portrait painterFrankCovino. attended aworkshopoffered bymaster classes. Afterayearoftakingclasses,Long fun. Thefriendsuggestedshetakesome a Vermeer paintingshehadcopiedfor That’s whenafriendvisitingherhomesaw mid-1990s.” “but Ididn’t studypaintingatalluntilthe “I hadpaintedasachild,”remembersLong, began callinghername. University HospitalICUnurse,anotherlove towards theendofhercareerasaDuke for 37years,that’s exactlywhatshedid.But Long, BSN’70 For aslongshecanremember, Renaissance foraModernAudience Long, BSN’70,Evokesthe UPCLOSE , wantedtobeanurse.And Christine

the 15th-centurytechniqueoftrompel’oeil. incorporating playfulspecialeffects, using own frames.Inherstilllifes,sheenjoys paints directlyonwoodandbuildsallher that thecolordoesn’t fadeovertime.She creates realisticfacialtones,andensures applies colorontop.Thisaddsdepth, monochromatic underpainting,then For everypainting,shefirstcreatesa she learnedfromCovino. following thetime-honoredtechniques studio, sayssheisaperfectionistabout “Millenium” and“Renaissance,”forher Millenaissance Art,acombinationof Long, whohascoinedtheterm and restoresoldpaintings. somber styleofRembrandt.Shealsocleans ing oneofherlatemotherdoneinthe several newpaintingsinprogress,includ lifes arecurrentlyondisplay, andshehas northern Virginia, portraits,andstill landscapes oftheEnoRiverandhernative More than20paintings,includinglocal Long’s Samsonovercomesimpossible odds arms. UnlikeSampson fromtheBiblestory, struggling againststeelchainsthat bindhis a manwithbodybuilder’s physique style. Titled Triumph ofSamson,itportrays size, boldcolors,andmorecontemporary stands outfromalltheothersbecause ofits One ofthelargestportraitsinLong’s studio of NorthCarolinaatChapelHillpublication. Genetics inMedicine titled UrbanVortex, waspurchasedby to tryanabstractpainting.Herfirsteffort, Expressionism. Acolleagueoncedaredher styles ofImpressionismandAbstract She isarealistbuthasdabbledinthe

magazine,aUniversity

- Medicine by was purchased titled UrbanVortex, Her firsteffort, abstract painting. dared hertotryan A colleagueonce Genetics in magazine... Christine Long goldenbeltarts.com. (6-9 p.m.).Formoreinformation, visit Saturdays (11a.m.-4p.m.),and third Fridays first Wednesdays (11a.m.-4p.m).,second in GoldenBeltduringopenstudios on area orarevisitingtostopbyherstudio Long invitesnursingalumniwholiveinthe spirit anddetermination.” up onlifesupport.Iwasimpressedwithhis admitted totheICU,buthefinallyended of ahighschoolathletewhenhewas she says.“Hehadthebeautifulphysique “He had a veryaggressiveformofcancer,” a patientshecaredfor. still workingintheDukeICU,memoryof to freehimself.Shepainteditwhileshewas —MARTY FISHER —MARTY Christine Long

Shaw sayshewasgladwearing therightshirt! when theAmericansjoinedwar andhelpedpushbacktheAxispowers. man’s eyeslitup.HeshookShaw’s handvigorously andexclaimedthathehasneverforgotten Chasseurs AlpinswhoservedduringWorld War ShawwasAmerican,the II.Uponlearning met anelderlymanwholivednearby. SpeakinginFrench, themandescribedhimselfasa Shaw foundthetributeatbaseofMountSalèveinsmallvillage ofVeyrier. There he were countedupontobreak thestalemateoftrench warfare inthemountains. flowing capesandjauntyberets. TheiruniquetrainingandknowledgeoftheFrench Alps Chasseurs Alpins.Theywore darkblueuniformswith nickname ofanelitebandFrench soldiers,the The BlueDevils,inFrench due totheracynameonDuke’s Methodistcampus. sent in,butonlyone,“BlueDevils,”caughton,inpart find anappropriate mascot.Manynominationswere University studentnewspaperlaunchedacampaignto Shaw writesthat,followingWorld War I,theDuke the inspirationforDuke’s famedmascot. upon aWorld War ItributetotheFrench BlueDevils— Shaw,Ryan acurrent studentintheSchoolofNursing’s PhDdegree program, stumbled When heattendedsummerschoolattheUniversityofBasel,Switzerland,lastsummer, Encounters theFrench Blue Devils Sacrebleu! PhDStudent les DiablesBleus , wasthe Ryan ShawinSwitzerland Ryan

27 DUKENURSINGWINTER2011 obituaries

Bowen, Volunteer and Supporter Corps, her duties included serving with Dottye Sutherland Hulsberg, N’51, the Duke-affiliated 65th General Hospital BSN’53, of Scottsdale, Ariz., died Sept. Edward G. Bowen, T’57, MD’59, HS’59, 22, 2010. She was 81. After graduating of Decatur and Lake Rabun, Ga., died July from 1942-1945. Her career also included from Duke, she traveled to Saudi Arabia 20, 2010. He was 74. Longtime supporters working as a nurse in Philadelphia, Pa., with Aramoc to teach nursing. She and of the Duke University School of Nursing, at Presbyterian Hospital, Bryn Mawr Hospital, Bryn Mawr College Infirmary, her husband were married in Switzerland Dr. Bowen and his wife Mary Martin D. and Haverford State Hospital. She work- and in 1965 returned to the United States, Bowen, G’59, established the Edward where she taught nursing and worked as G. and Mary Martin Bowen Scholarship ed as a Philadelphia school nurse as well. a hospice nurse. in the School of Nursing. Mary currently She was predeceased by her husband serves on the Duke University School of John J. McDonnell. , of Decatur, Nursing Board of Advisors. Dr. Bowen Elinor Emory Guinn, BSN’57 Ga., died Nov. 2, 2010. She was 75. was a retired gynecologist and obstetrician Ruby Bingham Walters, N’47, of Virginia Guinn worked for Grady Memorial who practiced in Atlanta, Ga.. He served Beach, Va., died Nov. 16, 2010. She was Hospital in Atlanta for 24 years before as a member of the Duke University Board 87. She was a former employee of Kellum retiring in 1995. She was active in her of Trustees from 1999-2006. He also re- Funeral Home’s Pleasant Hall Chapel. church and enjoyed traveling. ceived the Charles A. Dukes Award as A longtime hospital volunteer, she also an outstanding alumnus of Duke. was the first president of the Lake Taylor Transitional Care Hospital’s Volunteer 1960s 1930s Corps. She was preceded in death by her Deane Kenworthy Corliss, BSN’67, Eunice Goodman Holmes, N’34, of husband Jack S. Walters. of Birmingham, Ala., died Nov. 7, 2010, China Grove, N.C., died Oct. 30, 2010. after a two-year battle with cancer. She She was 98. Holmes worked as the first Ann Franklin Pollok, N’49, of Durham, was 65. Her 20-year nursing career night supervisor at Rowan Memorial N.C., died Sept. 7, 2010, at Hock Family included teaching at the University of Hospital and for the Rowan County School Pavilion. She was 83. Her career included Alabama at Birmingham and serving System. Later she served as state nursing working at Durham Regional Hospital. as nursing director for public health supervisor for the West Virginia Health She was preceded in death by her husband for five counties in Alabama. At the Department and the Maryland State Health Morris Pollok. age of 40 she earned a law degree and Department. From 1956-1974 she was a joined the law firm Bradley Arant Boult supervisor of nursing for the home care Jean Solomon Turner, BSN’49, died Cummings, LLP, where she later became unit of the Veterans Affairs Medical Center Aug. 30, 2010, at New Hanover Regional a partner. As a health care attorney, she in Fayetteville, N.C. She was preceded in Medical Center in Wilmington, N.C. She was instrumental in drafting Alabama’s death by her husband Cicero K. Holmes. was 83. She worked at James Walker Natural Death Act. Corliss is survived Hospital and later worked in preschool by her husband David A. Corliss. Marie McAdams Parrish, N’37, of Boca at local churches. She is survived by her Raton, Fla., died Oct. 23, 2010. She was husband of 59 years, Cecil E. Turner. 1970s 94. Her career included working as a Constance Rocktoff Schilthuis, nurse at her husband’s urology practice in 1950s BSN’77, of Kennett Square, Pa., died Ft. Lauderdale, Fla. She also was deeply Madeleine Auter Fero, N’49, BSN’51, May 6, 2010. She was 55. During her involved with the Christian education of Mount Vernon, Wash., died Sept. 17, career she specialized in pediatrics and department at her church. Later in life 2010. She was 83. After marrying her first maternal care, working at the Delaware she began painting and traveled extensively husband, she worked part-time as a nurse Division of Wilmington Medical Center around the U.S., learning oil painting and later became a homemaker and PTA in Wilmington, Del., and Sacred Heart techniques. She received professional volunteer. In 1967 she was the first woman Hospital in Allentown, Pa. She later taught certification in 1993. She was preceded elected to the Bothell City Council. After nursing at Harrisburg Community College in death by her husband Albert A. serving on the council for six years, she and Hartford County Community College. Parrish, T’33, MD’39. became a government planner for King She battled cancer for more than 20 years. County and earned a master’s degree in Schilthuis is survived by her husband of 1940s public administration from the University more than 30 years, Jim Schilthuis. Evelyn Garris McDonnell, N’42, of of Washington. She was preceded in death Dover, Del., died Nov. 25, 2010. She was by her second husband, Donald Fero. 89. After enlisting in the U.S. Army Nurse primarily withhigh-risk pregnancies. consultant atDuke,Gustafsonworks A perinatalnurseclinicianandlactation people morecomfortable.” you cangetpastthat,usually make very emotionalthingforalotof people.If use alotofhumor. Breastfeedingcanbea She adds,“Ijokeaboutalotofthingsand baby andfamilyunitaredifferent.” ing themomgettoknowherbaby. Every right. That’s important,butfocusonhelp that youhavetogetthepositioningexactly able,” shesays.“Everybody’s soconcerned “You havetomakethesemoms comfort emotional support. the importanceofoffering eachmother the bodymakesmilk,shealsoemphasizes students thebasicsonanatomy, likehow Gustafson sayswhileshegivesthenursing make themcomfortable. know themothersanddowhatittakesto valuable lessons.Lessonnumberone:Getto ents walkawaywithmanymemorableyet into herbreastfeedinglectures,andstud- Duke, incorporatesawealthofknowledge held variouspositionsinher30yearsat But makenomistake.Gustafson,who’s and blush. to makeafairnumberofstudentsgiggle sensitive topics,Gustafsonhasbeenknown tell-it-like-it-is mannersheusestodiscuss strate breastfeedingtechniquestothe upside downonhershouldertodemon From thedollshemightjokinglyhold might beabetterdescriptor. rather loosely. Comedienneorentertainer Maternity class,sheusesthetermlecturer lecturer fortheSchoolofNursing’s N220 IBCLC, RLC When to MaternityClass Laughs, UnforgettableLessons Gustafson, BSN’80,Brings Cathy Gustafson,BSN’80,RN, , sayssheservesasaguest -

- - lectures havebeen abighit. ago, andeverysemester sinceGustafson’s Gustafson tobe aguestlecturerfiveyears teaches thematernitycourse,first invited Helen Gordon,MS,RN,CNM,who go through.” to haveababyintheNICUand whatyou have agoodunderstandingofwhat it’s like unit,” sheexplains.“Ipumped,andsoI “She wasintheneonatalintensivecare rience. Herfirstbornchildwasapreemie. from herDukeeducationandclinicalexpe mothers andbabiesdoesn’t onlycome Gustafson’s expertiseinhelpinghigh-risk may haveababythathastrachtube.” baby athomewhohasafeedingtubeor to do,”Gustafsonsays.“Shemayhavea think aboutwhatelseshehas so often,stopand she hastopumpevery you havetotellamom “I tellthemthatwhen cardiac issue. had anundiagnosed day forherbabywho had towasheach containers amother number ofbreastmilk a pictureofthelarge after showingthem got fromstudents surprised reactionshe She recallsthe not getanywhereelse. perspective theymight nity studentsaunique offers themater preemies, Gustafson healthy momstobreastfeedtheirfragile with theirbabiesordiligentlyworking and developbreastfeedingrelationships moms withmajorhealthissuesestablish Whether detailingherexperienceshelping - Gustafson usesadolltodemonstratebreastfeedingtechniques - by thoseoutsideGordon’s class.InJuly Gustafson’s workhasnotgoneunnoticed future nurses.” alumni toparticipateintheeducationof real gifttobeablecallupononeofour and forDukethatwouldbeCathy. Itisa have thelatestandgreatestevidence, start atbreastfeeding.Iwant(students)to of anewmothergettingoff toastrong ing. “Nursescanmakeorbreakthesuccess says Gordon,anassistantprofessorofnurs “Cathy providesanincredibleoverview,” for thecommunityatDurham’s Teer House. Gustafson alsoteachesbreastfeeding classes high-risk momsandlecturingstudents, in herclinic.Whenshe’s notworkingwith medical studentswhentheysee patients assistant studentsandoccasionallyteaches Gustafson alsolecturesDukephysician patient andfamilyeducation. she receivedaFriendsofNursingAward for newsletter, Duke Medicineemployeesintheinternal a programthatrecognizestheworkof nominated GustafsonforaHigh-Five, Gordon andsomeofthematernitystudents InsideDukeMedicine —BERNADETTE GILLIS . In2007 - UPCLOSE

29 DUKENURSINGWINTER2011 First Class Mail U.S. Postage PAID Durham, NC Permit No. 60 Duke Nursing Magazine 512 S. Mangum Street, Suite 400 Durham, NC 27701-3973 151-7017

Gero Boot Camp To prepare for their six-week geriatric rotation, students in the Accelerated Bachelor of Science in Nursing (ABSN) degree program took part in Gero Boot Camp, an immersion experience with volunteer elders. Valiantly offering themselves as standardized patients were Margaret Mallory Merryman, N’41, her husband George E. Merryman, Jr., and Evelyn D. Morgan, BSN’47, MSN’72.

Above, Merryman gets tickled during her foot exam.