Volume X, Issue I Spring 2012

1. Remove scope-of- Discover Johns Hopkins practice barriers. Nursing’s Blueprint 2. Expand doctoral nursing education opportunities for for the nurses to lead and diffuse collaborative Future improvement efforts.

3. Implement nurse residency programs.

4. Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.

5. Double the number of nurses with a doctorate by 2020.

The Doctor of Philosophy (PhD) for research leaders. 6. Ensure that nurses engage in lifelong learning. Advance the science of nursing and healthcare. 7. Prepare and enable nurses to lead The Doctor of Nursing Practice (DNP) for clinical leaders. change to advance health. Advance the practice of nursing and improve health outcomes. 8. Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data. Choose your path at the Johns Hopkins University School of Nursing—a place where exceptional people discover possibilities that forever change their lives www.nursing.jhu.edu/doctoral and the world. Inside: 26 Doubling the Number of 32 Interprofessional Education Nurses with Doctorates Initiatives at Hopkins JOHNS HOPKINSVolume X, Issue I Spring 2012

A publication of the Johns Hopkins University School of Nursing, the Johns Hopkins Nurses’ Alumni Association, and the nursing departments of the Johns Hopkins-affiliated hospitals Features 26 Higher Education by Jennifer Walker The data is compelling. The American Association of Colleges of Nursing predicts the country will lose 260,000 nurses by 2025, including thousands of nursing faculty needed to educate new nurses. In response, the Institute of Medicine recommends universities double the number of doctoral-prepared nurses. How are nursing schools and doctoral programs across the county— including many led by Johns Hopkins alumni—mobilizing to attract and prepare tomorrow’s nurse educators, practitioners, and researchers?

Interprofessional Education—Today Nursing student Lauren McGivern, Accelerated ’12 (right), and 32 From Silos to Synergy: medical student Emily Miller (center), join pediatric resident Interprofessional Education Stephanie Chin-Sang, MD, on rounds at the Harriet Lane Clinic. Initiatives Find Warm Welcome at Hopkins As part of the Doctor-Nurse Alliance, a student interest group at by Rebecca Proch Johns Hopkins University, students from the Schools of Nursing and Medicine shadow nurses and doctors to learn how healthcare Eye-opening. Important. Exciting. professionals from different disciplines provide care. Innovative. Barrier-breaking. “A-ha!” [Photo by Christopher Myers] moments. When the Hopkins community talks about interprofessional education, enthusiasm and energy pour forth. This is no dry mandate; this is synchronicity, Departments ideas cropping up across campuses and departments and blooming in the fertile 4 Hill’s Side 18 Bench to Bedside 22 Jhpiego New! 36 Hopkins Nurse soil of emerging alliances and innovative Dean Martha Hill invites Susan Nursing research article is AHA Jhpiego assists Lesotho to strengthen Preparation pays off for JHH nurses, partnerships. Throughout the School of Hassmiller, Robert Wood Johnson journal editor’s pick, saliva testing nursing education. Suburban Hospital takes big steps to Nursing and the School of Medicine, new Foundation senior adviser for nursing, helps identify patients at risk, and best avert patient falls, and other news from and expanding initiatives are bringing to share her thoughts on the top practices can lower “multiplier risks.” 25 Live from 525 the Johns Hopkins Hospitals. fruitful transformation to Hopkins priorities facing nursing today. Gina Colaizzo’s art offers an outlet for healthcare education. 20 Global Nursing creation and healing. 50 Vigilando 8 On the Pulse Volunteerism opens eyes and text4baby News from the Johns Hopkins Nurses Amazing nurse receives honor, spit messages moms around the world. Alumni Association. sampling gets easier, Sandra Angell says goodbye, and more. J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 1 Contributors

A recovering health-policy wonk turned Editor Robert Rosseter freelance science and medical writer, Teddi Pamela McComas Director of Public Affairs Fine still harbors a childhood dream to be a American Association of Managing Editor Colleges of Nursing simultaneous translator. But today, instead of Lynn Schultz-Writsel studying Urdu or Kanji, she’s opted to be a Sharon Sopp not-very-simultaneous translator of science, Art Director Sr. Communications Manager as seen in “Bench to Bedside” (page 18). Pam Li Howard County General Hospital When she’s not poring over nursing research Editorial and Design Staff Editorial Mission (as some read a good mystery novel) or Jacquelin Gray Johns Hopkins Nursing is a crafting press releases about Hopkins nurses, Vigilando Editorial Assistant publication of the Johns Hopkins she keeps her creative engine humming by David Biglari University School of Nursing, designing and fabricating fanciful art jewelry. Online Editor the Johns Hopkins Nurses’ Alumni Association, and the Mfonobong Umana nursing departments of the Johns With more than a decade of experience Graphic Review Hopkins-affiliated hospitals. The magazine tracks Johns Hopkins in healthcare, Whitney L.J. Howell is Advisory Board a freelance reporter who writes about all nurses and tells the story of Terry Bennett their endeavors in the areas of aspects of the industry, from policy to Director of Nurse Recruitment education, practice, scholarship, practice to research. She enjoys writing Johns Hopkins Bayview Medical Center research, and national leadership. about the interplay among all providers, JoAnn Coleman For advertising, contact: highlighting how each contributes to and Postmaster’s, CRNP ’95 bolsters patient care. It’s always satisfying, Jon Eichberger she says, to inform audiences, in both Deborah Dang 410.614.4695 [email protected] trade and mainstream publications, about Director of Nursing Practice, Education, and Research new advancements or system changes that The Johns Hopkins Hospital Send correspondence to: will affect both scope of practice and how Editor Marian Grant, BSN ’00, MSN ’05 services are provided. Johns Hopkins University Karen Haller School of Nursing VP for Nursing and Patient Care 525 N. Wolfe Street Rebecca Proch is a freelance writer and Services Baltimore, MD 21205 regular contributor to Johns Hopkins Nursing. The Johns Hopkins Hospital 410.614.4695 As a writer, her two specialties have been Sandy Reckert-Reusing Fax: 410.502.1043 healthcare and the arts. The best thing Director of Communications [email protected] about both, in her opinion, is that she gets and Public Affairs to talk to passionate people who love what Johns Hopkins Bayview Medical Center For general inquiries, call: 410.955.4788 they do. Proch also manages technology Leslie Kemp, BSN ’95 and multimedia resource projects for the arts education programs at the Wolf Trap Foundation for the Performing Arts.

Eco Box

Jennifer Walker loves writing stories Paper Requirements: 54,039 pounds about inspiring people. For this issue’s Using this combination of papers saves the following each year: “Higher Education” feature (page 26), she Wood Use: 6 tons had the privilege of talking to doctoral Total Energy: 21 million BTUs nursing students who will educate the next Greenhouse Gases: 7,235 lbs generation of nurses. They are incredibly Wastewater: 17,225 gallons passionate people who, as researchers, Solid Waste: 1,915 pounds are also poised to make a tremendous impact on patient care in their respective specialties, she says. As a Baltimore-based The spring 2012 issue of Johns Hopkins Nursing is printed on Sterling Matte paper. freelance writer, Walker specializes in health, business, and lifestyle topics. Environmental impact estimates were made using the Environmental Defense Paper Calculator at www.papercalculator.org.

2 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 Hill’sSide

Education, Leadership, and Collaboration Three components that will help transform nursing and improve patient care

t’s not easy to improve healthcare and calling upon our faculty, students, urses play such a critical role Nursing Leadership: Nurses bring an Ioutcomes for patients and families. But alumni, staff, fellow nurses, partners, Nin improving the health and important voice and point of view to as nurses, our knowledge, resiliency, and and friends—and show how nursing is healthcare for all Americans. With this management and policy discussions. We

A ar o n T r oy D avid experience on the front lines of providing implementing the recommendations understanding the Robert Wood Johnson need to prepare more nurses to help lead care position us well to evaluate what and working toward transforming Foundation (RWJF) was proud to have improvements in healthcare quality, is working, what isn’t, and to make the our profession. sponsored the Institute of Medicine’s safety, access, and value, whether at the changes needed to achieve this goal. To start, I reached out to Robert (IOM) report, The Future of Nursing: bedside, in the community, or in the As we tackle transforming healthcare, Wood Johnson Foundation senior Leading Change, Advancing Health. boardroom. RWJF has long promoted we also need to transform nursing. The advisor for nursing, Susan Hassmiller, Though all of the recommendations need nursing leadership through our Executive recent Institute of Medicine report, PhD, RN, FAAN, and asked what she to be advanced to transform nursing Nurse Fellows program, and through The Future of Nursing: Leading Change, views as nursing’s top priorities. Her and improve patient care, RWJF is our Nurse Leaders in the Boardroom and Advancing Health and its “blueprint for thoughts on education, leadership, and taking the lead in nursing education, Transforming Care at the Bedside programs. action” is a powerful guide. The eight collaboration follow. nursing leadership, and interprofessional recommendations listed within the collaboration—areas that provide the Interdisciplinary Collaboration: blueprint break down what must be done Martha N. Hill, PhD, RN, FAAN, ’64 best fit with the Foundation’s mission, Studies have demonstrated how effective to help us improve how we lead, educate, Dean priorities, assets, and resources. coordination and communication among practice, build infrastructures, and partner Professor and Nursing, Medicine and health professionals can enhance the with other healthcare professionals. Public Health Nursing Education: The IOM report quality and safety of patient care. Health In this issue and the upcoming two emphasizes that if nurses are to be professionals working collaboratively as issues of Johns Hopkins Nursing magazine, as effective as possible in helping to integrated teams draw on individual and we will look internally and externally— provide high-quality patient care, collective skills and experience across they’ll need to be better prepared as disciplines. They seek input and respect Susan B. Hassmiller, PhD, RN, FAAN, is the care becomes more complex and shifts the contributions of everyone involved. Robert Wood Johnson Foundation senior adviser for nursing, where she is tasked with shaping and to the home and community. We also That allows each person to practice at a leading the Foundation’s strategies to address the need more nurses with advanced degrees higher level. The result is inevitably better nurse and nurse faculty shortages in an effort to provide primary care and teach the patient outcomes, including higher levels to create a higher quality of patient care in the next generation of nurses. A bachelor’s of patient satisfaction. We also need to United States. degree in nursing (BSN) best prepares foster interprofessional education, training nurses to take on increasingly complex and practice. RWJF is holding meetings Editor’s note: The eight recommendations from the IOM’s Future of Nursing report are listed below. Look for these icons roles. RWJF is starting a new National with physician and nursing stakeholders throughout the magazine to see how Hopkins Nursing is addressing the recommendations. Nurse Education Progression initiative to find common ground on the roles that that will help more nurses to earn a BSN each profession plays in healthcare and IOM Future of Nursing Recommendations degree or higher and help to advance the to move beyond differences that divide IOM recommendation to increase the nurses and physicians. Recommendation 1: Recommendation 4: Recommendation 7: proportion of nurses with a baccalaureate Remove scope-of-practice Increase the proportion of nurses Prepare and enable nurses to degree to 80 percent by 2020. We’re Susan B. Hassmiller, PhD, RN, FAAN barriers. with a baccalaureate degree to lead change to advance health. also helping to advance the IOM Senior Advisor for Nursing 80 percent by 2020. recommendation to double the number Robert Wood Johnson Foundation Recommendation 2: Recommendation 8: of doctorates by 2020 through our Nurse Expand opportunities for nurses Recommendation 5: Build an infrastructure for Faculty Scholars’ program and our New to lead and diffuse collaborative Double the number of nurses the collection and analysis of Jersey Nursing Initiative. improvement efforts. with a doctorate by 2020. interprofessional healthcare workforce data. Recommendation 3: Recommendation 6: Implement nurse residency Ensure that nurses engage in programs. lifelong learning.

4 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 5 Nursing Assessment Letters to the Editor

want to compliment you on the Winter are doing, highlights how we value Iissue of Johns Hopkins Nursing, which faculty practice, and shows how faculty featured several of our practice track practice informs our teaching mission. faculty members in the Department of Well done! Acute and Chronic Care: Anne Belcher, Shawna Mudd, Julie Stanik-Hutt, Beth Marie T. Nolan, PhD, RN Sloand, and Joyce Vazzano. I especially Professor and Chair, Department appreciated your focus on their practices. of Acute and Chronic Care This lets our readers know about the Johns Hopkins University School exciting things that our faculty members of Nursing Survey Says! Looking for Look at Johns Hopkins’ Charitable Gift security? Annuity Program Make a gift and receive OnE-LiFE Contact us or visit our website CHaRitabLE GiFt to calculate your benefits and guaranteed, fixed income for life. annuity RatES learn more: Richard J. Letocha, Esq., CFP® Fund a Charitable Gift annuity As of January 1, 2012 Office of Gift Planning Letters to Johns Hopkins Nursing Share Your Views Hopkins Nursing with a minimum gift of $10,000 age rate We welcome all letters regarding the 90 9.0 410-516-7954 or 800-548-1268 magazine or issues relating to Hopkins about the e-News 2011 Grads (cash or securities) and enjoy the [email protected] Nurses. Email 200 words or less to following benefits: 85 7.8 giving.jhu.edu/giftplanning [email protected] or send to: Our e-News brings Hopkins What’s your employment status? 80 6.8 Nursing headlines right to your Let us know about today’s • guaranteed, fixed payments for Editor, Johns Hopkins Nursing 75 5.8 inbox. We want to know what job market! life to you and/or a loved one 525 N. Wolfe Street 70 5.1 you think of it. Give us the scoop The House, Room 107 • partially tax-free income and take our e-News survey! 65 4.7 Baltimore, MD 21205 • a charitable deduction Seek advice from a tax Letters will be edited for length Take both surveys at www.nursing.jhu.edu/surveys. a lasting contribution to professional before entering or clarity. • into a gift annuity agreement. the mission of the Johns Johns Hopkins gift annuities Hopkins School of nursing are not available in all states. 6 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 On the Pulse News from Around the School

became the cause célèbre at the School

W i ll K irk of Nursing,” Nolan says. “We were really behind her nomination and we wanted her to win.” Shockney made the next cut to five finalists and was then selected as the top winner by a panel of five national nursing experts. n To post congratulations or to view the “Amazing Nurse” video featuring Shockney, visit www.nursing.jhu.edu/ shockney. Half a Dozen for the Hall of Fame by Kelly Brooks When told that six of the fourteen inductees to the 2012 International Researcher Hall of Fame were Johns Hopkins University School of Nursing faculty, dean Martha Hill, PhD, RN, said, “It demonstrates how exceptional our nursing faculty is,” and called it “an • Miyong Kim, PhD, RN, professor and The Adult Acute Care NP curriculum, impressive achievement.” Lillie Shockney hopes her “Amazing Nurse” honor will inspire more people to consider nursing as a career. chair of the Department of Health renamed Adult-Gerontology Acute Care The prestigious International Systems and Outcomes Nurse Practitioner, will transition in the Researcher Hall of Fame award honors spring 2012 semester to a format that nurses whose research has influenced the • Marie Nolan, PhD, MPH, RN, All-Star Tribute show in Los Angeles on Nursing professor and chair of the integrates the full range of gerontology An Amazing Nurse profession, benefitted patients, and professor and chair of the Department December 11, 2011. Department of Acute and Chronic Care, expertise. In the fall 2012 semester, the achieved significant professional recog­ of Acute and Chronic Care Lillie Shockney Honored by “The title really made me feel good,” has known Shockney for 25 years and Adult Nurse Practitioner program will nition. “It takes extraordinary dedication, Johnson & Johnson Shockney says. “I hope one of the nominated her for the award. She says as They will be honored at Sigma Theta become the Adult-Geriatric Primary intellect, ingenuity, and perseverance to outcomes is that more people making a soon as she learned of the competition Tau International’s 23rd International Care Nurse Practitioner. by Jon Eichberger become a successful researcher, and the career decision will consider nursing.” she thought of Shockney, who has Nursing Research Congress on August 2, “The changes will prepare NP bar is set even higher to be inducted into 2012, in Brisbane, Australia. People within the Johns Hopkins Shockney, a two-time breast cancer exhibited exceptional leadership skills graduates to provide acute, critical, and the Hall of Fame,” Hill added. community have long known that survivor and registered nurse who has throughout her career. chronic care services across the entire The six School of Nursing Hall of Lillie Shockney, MAS, RN, is an amaz- been employed by Johns Hopkins since “She is a phenomenon, an unstop­ spectrum of adult health,” says associate Fame inductees include: ing nurse. Now she’s got the moniker to 1983, has worked tirelessly to improve pable force, a living example of how Covering the professor Julie Stanik-Hutt, PhD, prove it. the care of breast cancer patients around good can come from suffering and how • Jerilyn K. Allen, ScD, RN, associate Spectrum ACNP/GNP, director of the master’s Shockney, administrative director the world. She is responsible for the much good can be accomplished,” Nolan dean for research and M. Adelaide program. “Graduates will continue of the Johns Hopkins Avon Breast Center quality-of-care and patient-education wrote in her nomination letter. “Like a Nutting Professor Adult NP Programs Increase Expertise to focus their practice on the care of individuals who are physiologically since 1997, was selected as this year’s programs; the survivor volunteer team; whirlwind, she has changed breast cancer • Patricia Mary Davidson, PhD, MEd, by Jon Eichberger “Amazing Nurse” in the Johnson community outreach at a local, regional treatment and survival at Johns Hopkins, RN, adjunct professor unstable, technologically dependent and & Johnson Campaign for Nursing’s and national level; and the Breast in the U.S., and globally.” Students enrolled in adult primary requiring frequent monitoring and/or • Deborah Gross, DNSc, RN, professor Future national contest to celebrate Center’s Website and patient advocacy. Shockney initially was selected as one and adult acute care nurse practi- interventions, and those who are highly and Leonard and Helen Stulman and reward nurses’ value. Shockney’s Shockney is also a guest lecturer of 20 semifinalists from several thousand tioner (NP) programs at the Johns Hop- vulnerable for complications.” These Endowed Chair work with breast cancer patients was and distinguished speaker at the Johns nominees. Johnson & Johnson asked kins University School of Nursing will modifications reflect nursing’s need for recognized by Johnson & Johnson Hopkins University School of Nursing. voters to pick their favorite nominee • Pamela Jeffries, PhD, RN, ANEF, soon focus on every aspect of adult care, increased depth of expertise in addressing during the 2011 CNN Heroes: An Marie Nolan, PhD, RN, School of on their contest’s Facebook page. “It associate dean for academic affairs from post-adolescent to older adult. the expanding population of older adults.

8 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 9 On the Pulse News from Around the School

Recent policy changes regarding the which suggests that nurses tend to put role and population focus for certified their own health and well-being second No More Swabbing New Leader for Hopkins Nursing registered nurse practitioners have been to the care of others and/or professional Spit Sampling Gets a Whole by Jon Eichberger identified in the new NP competencies development. Over time, this makes Lot Easier and outlined in the Consensus Model them increasingly vulnerable to As the new chair of the Johns for APRN Regulation: Licensure, cardiovascular disease. by Jon Eichberger Hopkins University School of W iLL K irk Nursing’s Department of Community- Accreditation, Certification, and “People are well aware of the risks Researchers are constantly finding Public Health, Christine Savage, PhD, Education (2008). The new model has of cardiovascular disease, but a large new ways to figure out what makes RN, CARN, enjoys working with been endorsed by over 45 national nursing percentage still don’t take active steps to us human beings tick, and one of the a motivated and talented team of organizations and provides the framework reduce that risk,” notes doctoral student newer methods makes you want to nurse educators. for these new population foci. n Tam Nguyen. “The idea of SON Fit was spit—literally. Savage joined the School of Nursing to give people with busy schedules a Saliva is full of analytes and on January 1, 2012, replacing Phyllis chance to engage in physical activities biomarkers that create a biological Sharps, PhD, RN. that were both fun and healthy. It’s been journal of exposure to chemicals and “The [School of Nursing] faculty finds a tremendous success.” disease, and of genetic variability. her to be passionate and enthusiastic Stepping It Up The SON Fit program serves as a However, the collection of oral fluid about public health nursing, with Hopkins Nursing Starts catalyst toward improving not only has always proved cumbersome, with an exciting and clear vision for the Fitness Program the culture of wellness in the SON, researchers depending on swabs or Department and for advancing the but also creating lifelong commitment collection cups. by Jon Eichberger School’s role in community nursing,” toward becoming living ambassadors A new tool developed by the says dean Martha N. Hill, PhD, RN. Between promises made at New of health and well-being. Through Johns Hopkins University School of (l to r) In their new positions, Christine Savage leads the Department of Community-Public Health and “I wholeheartedly agree with them.” Year’s and with beach season around support from the University and the Nursing Center for Interdisciplinary Phyllis Sharps is the associate dean for community and global programs and the director of the Center Savage has worked with vulnerable the corner, many people have resolved to School, all the activities are free of Salivary Bioscience Research (CISBR) for Global Nursing. populations for a majority of her career, lead a healthier, more active life. To help charge for all participants. n in collaboration with SalivaBio, LLC, beginning as a community maternal to alcohol use during pregnancy and of alcohol and health content in turn those resolutions into results, the improves the ease of oral fluid collection, child health nurse in the 1970s and management of health for the solitary nursing curricula. Johns Hopkins University School of while maintaining the integrity of 1980s. Based on these experiences, homeless adult, and she was on the Prior to Hopkins, Savage was a Nursing P30 Center of Excellence for the biospecimen. she became interested in the role National Quality Forum’s steering professor in the College of Nursing and Cardiovascular Health has a fitness “Our studies show that swabs used alcohol and drugs played in increasing committee related to best practices in the College of Medicine, Department program in place. to collect saliva can retain analytes, vulnerability in certain populations. for substance abuse prevention and of Public Health Science, at the The “SON Fit” program, which cause interference with assays, result in She later became involved in the field treatment. Currently she is editor of the University of Cincinnati and was the includes yoga, Zumba, a “Biggest inaccurate estimates of saliva flow rates, of addictions nursing and was president National Institute on Alcohol Abuse and director of the master’s program in public Loser” competition, and a stair- and may even produce inaccurate assay of the International Nurses Society Alcoholism (NIAAA) BSN curriculum health nursing. She was also the associate climbing club called “Step it Up!,” results,” explains Douglas A. Granger, on Addictions from 2003-2006. She on alcohol and health and is working director of the University Hospital was launched by the Center of PhD, director of CISBR and professor of has conducted funded research related with NIAAA in promoting the inclusion Institute of Nursing Research. n Excellence for Cardiovascular Medicine, Nursing, and Public Health at Health in fall 2011 in response to Johns Hopkins University. a school-wide survey of School of The Whole Saliva Collection Device Nursing faculty, staff, and students. is a small polypropylene collection tube Sharps Leads Community and Global Programs Respondents (n=304) reported that with an integral adapter that comes Phyllis Sharps, PhD, RN, successfully led the Department of to this Department and we can be very proud of that. I have their workload as a student, faculty, individually wrapped in a clean foil Community-Public Health for four years. She is now the School of thoroughly enjoyed serving as your department chair over or staff “definitely” affected their level pouch with ready-to-go instructions, and Nursing’s associate dean for community and global programs. In these past four years, sharing with you your accomplishments, of stress (78%) and health (47%). it is a universal fit with common cyro an email sent to Department of Community-Public Health faculty achievements, your challenges and sometimes your sadness Furthermore, 60% of respondents vials. “It’s not rocket science,” Granger and staff, she reflected upon her time as the Department’s chair: and losses. . .I am looking forward to working with and reported gaining some weight over says, “it’s a practical solution that will Together, over the four years we have accomplished a lot. supporting our new chair, Dr. Christine Savage, as well as the past year, with about half of enable saliva analytes to be integrated We have formed a department with a unique identity and being fully committed to my new role as associate dean for those respondents gaining more effectively into basic and clinical studies culture. We have created a mission, objectives, and a vision. community and global programs. n than five pounds. and consumer applications.” We have at least accomplished one of our goals—to be the Thank you all for the privilege of providing leadership y G endr o n C ath These results duplicate much For more information about the #1 School of Nursing for Public Health Nursing. We have and guidance. of the evidence shown in the Whole Saliva Collection Device visit implemented several signature events and activities unique —Phyllis Sharps, PhD, RN longitudinal Nurses’ Health Study, www.nursing.jhu.edu/saliva.

10 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 11 On the Pulse News from Around the School

existing evidence-based guidelines at Operated by Take Care Health Systems, released by the Rand Corporation showed Go Team! the company’s Take Care Clinics—sites a wholly owned subsidiary of Walgreens, that the use of walk-in retail clinics is on Hopkins Nursing Ranks No. 4 that are more and more frequently being the Clinics are walk-in, professional the rise—having increased ten-fold in for NIH Funding I st o ckph t o. c m used now to treat common illness like healthcare centers where board-certified the past two years. respiratory infections, ear aches, sore family nurse practitioners and physician “Working closely with a prestigious by Pamela McComas throats, and flu symptoms. assistants treat patients 18 months and respected institution such as Johns Critical research conducted by School of Nursing assistant professors and older for common illnesses, offer Hopkins helps to further the role that Johns Hopkins University School Kathleen Becker, DNP, CRNP, and preventive services such as vaccines retail clinics can play in providing positive of Nursing faculty and doctoral students Andrea Parsons Schram, DNP, CRNP— and physicals, and are licensed to write patient outcomes in today’s healthcare earned the School a No. 4 national rank- with Hopkins Medicine colleagues Fred prescriptions. The Clinics have followed system,” says Sandra Ryan, RN, MSN, ing among schools of nursing receiving Brancati, MD, chief of the Division of evidence-based guidelines for quality CPNP, FAANP, chief nurse practitioner federal research funding awarded by the General Internal Medicine, and Madhav patient-care delivery since they opened, officer for Take Care Health Systems. NIH for 2011. Goyal, assistant professor—are currently and in 2009 Take Care Health Systems “The partnership also continues to further “What a wonderful accomplishment reviewing guidelines for the conditions received full certification from the Take Care Health’s goal of ensuring nurse for our faculty and PhD students,” says most often treated at Walgreens Take Jefferson School of Population Health practitioners have the ability to practice associate dean for research Jerilyn Allen, Care Clinics. The Hopkins team’s role for adhering to the Convenient Care quality care to the full extent of their ScD, RN. “Congratulations to the nurse is to utilize evidence-based research and Association’s quality and safety standards education and expertise.” n researchers whose funding directly national care standards in their reviews for retail clinics. and to recommend additional best prac­ Becker sees the partnership as a win- contributed to our total dollars.” The Johns Hopkins University tices for management and treatment of win for both organizations. “Walgreens Over the past several years, the School School of Nursing extends a conditions such as influenza and sinusitis. is looking to Hopkins to provide best- has climbed in the rankings from seventh special thanks to Johns Hopkins Take Care Clinics at select Walgreens practice guidance for the clinics, and in 2006 and 2007 to No. 6 in 2008, to Federal Credit Union for have a healthcare delivery model pri­ Hopkins sees this as an opportunity to No. 5 in 2009, and then to No. 4 in 2010. participating in Accepted Students marily provided by nurse practitioners. engage with a proprietary organization For 2011, the School’s faculty and on Developing Behavioral Interventions, behavioral intervention research will Day held on March 2, 2012, at the “With our shared mission, we can and influence best-care practices,” she doctoral student researchers received more does just that. The program, offered benefit most from participating. n School of Nursing. than 6.5 million dollars to fund research by the School of Nursing’s Center for For more information, including a promote this model of care delivery and says. “There’s a big future for partnership about cardiovascular health, violence Innovative Care in Aging, is June 14–16, day-to-day overview of the training impact standards of care delivered through here, and this is one of the first steps.” Johns Hopkins Federal Credit Union prevention, end-of-life care, symptom 2012, in Baltimore, Maryland. and a list of the experts, visit www.nursing. this Walgreens channel,” says Schram. Members of the Hopkins team also jhfcu.org Since 2005, more than 6.5 million see their work as an opportunity to management, effective parenting, cancer At the Institute, researchers will jhu.edu/aginginstitute. Your support is greatly appreciated. prevention, and elder care. n create and test novel interventions— patients have been treated at the more improve care for millions—and one that efforts that change patient behavior, than 360 Take Care Clinics nationwide. is only expected to grow. A recent study improve self-management, and promote At Your Service better health and quality of life—and Dear School of Nursing Community, From Idea to can eventually be implemented in Interprofessional Expertise diverse healthcare environments for Creates New “Retail” Care Intervention As my retirement date of June older adults. They will also learn from Team Partnerships each of whom has created an enviable legacy on which future

W i ll K irk 30, 2012, nears, I look back Summer Institute Offers Research intervention experts through lectures, leaders can build. I’ve worked with wonderful faculty, staff, and by Kelly Brooks on my 27 years at the Johns Training for Older Adult Care small-group consultation, and one-on- alumni who have been dedicated to providing the best possible Hopkins University School of one collaboration. The growing demand for experience for our students. by Kelly Brooks Nursing with great fondness “The program is designed for “retail” clinics—walk-in clinics And what can I possibly say about the students that ade­ and tremendous gratitude. One in every eight Americans is researchers and health professionals from conveniently located in shopping quately captures what they mean to me? They are the heart of I’ve had the amazing aged 65 years or older and, by 2030, any discipline who seek to create and areas and other easily accessible the School. Their accomplishments, sacrifices, hard work, and opportunity to participate it is expected to be one in five. As the test an intervention to help older adults, sites—is offering new opportunities for contributions to the future of the nursing profession are a source in both the early history of number of older Americans increases, their family members, or communities interprofessional teamwork and corporate of great pride and inspiration. I look forward to continuing my this wonderful School and healthcare providers and researchers must live healthier lives,” says Laura N. partnerships at Johns Hopkins. contact with them through the Alumni Association. to revel in its current status understand and address the needs of this Gitlin, PhD, director of the Center for Working with Walgreens, the largest Thank you for all that each of you has done to make life at as a premiere institution for growing population. Innovative Care in Aging. She notes drug retailing chain in the United Hopkins such an enjoyable and enriching experience. I wish education, research, and A new, three-day training program that junior faculty, post-doctoral States, an interprofessional Johns you every success and will remain a #1 fan! nursing practice. It has been my good fortune to work with at Johns Hopkins University School of students, researchers, or investigators Hopkins HealthCare team is providing —Sandra Angell, MLA, RN, ’69 three deans—Carol Gray, Sue Donaldson, and Martha Hill— Nursing, the Summer Research Institute with limited experience in health-related guidance and consultation on the Associate Dean for Student Affairs

12 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 13 On the Pulse News from Around the School

Celebrating Scholarship Teaching the W i ll K irk by Chanel D. Newsome Teachers PHo t o s b y W i ll K irk School of Nursing donors experienced firsthand the impact their philanthropy Maryland’s Nurse Educators Get in support of financial aid is making at the Johns Hopkins University School High-Tech at Hopkins of Nursing’s Scholar-Donor Luncheon. On March 6, 2012, 75 donors and scholars attended the annual event which celebrates the achievements of the School’s outstand- by Kelly Brooks ing scholars and recognizes the generosity of its donors. Student recipients of named To secure a state-of-the-art scholarships and their donors were able to meet, learn about one another, and share education for tomorrow’s nurses, their experiences. Maryland’s nurse educators must become Grace Ho, a second-year doctoral student and one of the speakers at the event, said, masters of simulation technology. “The donors’ support plays a crucial role in building character and preparing future Faculty from 10 Maryland nursing nurse leaders.” Ho also expressed her appreciation for the opportunity to participate in schools learned how to incorporate research projects made possible by the financial support she receives through the Ellen simulation training in their teaching Levi Zamoiski Doctoral Fellowship. n at the Maryland Faculty Academy Sue Schlenger, scholarship donor for Simulation Teaching in Nursing (M-FAST), held on January 9–13, 2012, at the Johns Hopkins University School of Nursing. “Simulations provide students a safe, simulated clinical environment to Simulation not only provides a safe learning environment, it can also enable schools to accept and hone their skills, develop their problem- graduate more nurses. solving abilities, and get experience within their scope of practice,” says identify student strengths and weaknesses technology and pedagogy, the schools will Pamela R. Jeffries, PhD, RN, associate and develop targeted teaching to address continue to collaborate with one another dean for academic affairs at the School of them,” she says. The results are better and have continuing support from Nursing. “It’s absolutely an essential part rates of student retention, graduation, M-FAST instructors. Schools will also of today’s nursing education.” and passing licensure exams. have access to aggregated data showing Simulated patient scenarios are most An added benefit of the program, the impact of simulation training across effective when facilitated by an educator according to M-FAST project manager the participating institutions. Doctor of Nursing Practice student Godfrey Katende and Advisory Council member Catherine Ogunsola, Accel. ’12 who understands the technology, the Jennifer Haire, is easing the state’s The consortium includes the nursing Mary Jo Wagant pedagogy, and the way that students nursing shortage. Nursing schools often programs of: learn—and all of these topics are taught limit their student enrollment—and • Bowie State University to faculty who attend the M-FAST therefore the number of new nurses • Carroll Community College Academy. They learn to facilitate entering the workforce each year—based • Coppin State University the student learning experience and on the number of clinical assignment • Harford Community College then share their knowledge, becoming positions available. When students spend • Howard County Community faculty trainers for their own schools some of their clinical time in simulation College and universities. In this way, M-FAST scenarios instead of real-time clinical • Johns Hopkins University continues to improve simulation care of patients, schools can potentially • Montgomery College education throughout the state long accept more students and graduate more • Stevenson University after the Academy is over. qualified nurses. • Towson University The result, says M-FAST principal The 10 M-FAST schools represent a • Wor-Wic Community College investigator Linda Rose, PhD, RN, will wide range of nursing schools: small- and be a cadre of nursing graduates who large-enrollment programs, associate M-FAST is a three-year program, are well-prepared for the rigors of a and baccalaureate degree programs, funded by the Maryland Higher nursing career. The techniques taught at and programs with varying levels of Education Commission in 2010. n Emily Pavetto, Trad. ’13; dean Martha N. Hill ’64; Steven Wright, Trad. ’13; Mary-Ann Mary Ellen DuPont, Accel. ’12 and Frances M-FAST “are great for assessing student simulation expertise and resources. As Learn more about simulation at Pinkard, Advisory Council chair Walter (Wally) Pinkard, Jr.; Rachel Witter, Accel. ’12; and Trimble SPH ’66 competencies, so teachers can better they move forward, implementing new www.nursing.jhu.edu/simulation. Kate Kloss, Trad. ’12

14 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 15 On the Pulse News from Around the School

access, knowledge, and utilization of Team Efforts student Christine Keenan visited La family-planning services for survivors of Source School of Nursing in Lausanne, In the News sexual and gender-based violence and Faculty members Laura Gitlin, PhD, Switzerland. Jeffries delivered a pre­ their partners in the Eastern Democratic Nancy Hodgson, PhD, RN, Sarah sentation about the challenges, issues, Faculty member Jerilyn Allen, ScD, research study which found that a shows a correlation between mother Republic of Congo. Szanton, PhD, CRNP, and Elizabeth and future direction of simulation while RN, comments that “All healthcare remote weight-loss counseling program and baby cortisol levels. Publications in (Ibby) Tanner, PhD, MS, RN, Aschenbrenner, Keenan, and O’Neill professionals, especially nurses, need with Website and email support was as Belgium, Canada, India, and the United Faculty—Health Systems traveled to Boston, MA, to present conducted a faculty development to become more aware of opportunities effective as one delivered in person. Kingdom carried the news, in addition & Outcomes at the Gerontological Society of institute on implementing simulations to use social media and technology to to two media outlets in the United America meeting from November and debriefing. promote healthy behaviors and the The article “Keeping victims of States: Bio Medicine and Science Codex. Laura Gitlin, PhD, spoke about “Living 18–22. Presentation topics included Faculty member Betty Jordan, DNSc, prevention of cardiovascular disease,” in domestic violence safe,” credits faculty at Home with Dementia: Practical depression, innovative collaborative trial RNC, staff member Rachel Breman, and the article “Success with support.” The member Jacquelyn Campbell, PhD, RN, In the February 24, 2012, edition of Strategies that Can Make a Difference methodologies, dementia care, family students Teresa Pfaff and Samantha article published in Nurses.com News on for determining a number of high-risk Medical News Today, associate dean for in Quality of Life,” at the National caregiving, and function in older adults. Schneider attended the mHealth Summit November 28, 2011, discusses a recent factors that may have common traits academic affairs and faculty member Association of Professional Geriatric In early February, faculty members in Washington, DC, in December. The and might be indicators as to whether a Pamela Jeffries, PhD, RN, comments Care Managers Mid-Atlantic Chapter Diane Aschenbrenner, MS, APRN, Summit featured conference sessions domestic violence case presents factors on how schools of nursing are address- 2011 Conference in Philadelphia, PA, RN; Pam Jeffries, PhD, RN; Sharon discussing the benefits and challenges of of lethality. The article was published in ing the faculty shortage problem by on November 8. O’Neill, JD, MSN, CRNP; and doctoral mobile healthcare technology. n Wicked Local Stow on January 20, 2012. reexamining how to provide clinical I st o ckph t o. c m education to undergraduate students. Students Faculty member Doug Granger, PhD, Jeffries says she sees “the integration Postdoctoral student Jeanne Alhusen, is making news around the globe. of clinical simulations to combat the CRNP, MSN, received a 2012 Travel Recent research by Granger and nursing faculty shortage as one of most Award from the Hon. Ruth D. Vogel colleagues reveals surprising findings impactful new models on the forefront Fund for Professional Development. about how the hormone cortisol affects of addressing the Future of Nursing Traditional and accelerated students babies versus adults. The research also Education report.” n Bethany Ackerman, Emily Bisker, Heather Coleman, Lesley Dokes, Christina Dorsey, and Daniel Mertz, participated in the Maryland Independent Higher Education Day in Annapolis on February 9. Matthew Palmer, associate Faculty—Community–Public Health Faculty, Student, director of State Affairs for the Hopkins Jodi Shaefer, PhD, RN, was the Government, Community and Public and Staff News distinguished speaker for the third Affairs Office, said, “The students were Annual Nursing Research Conference amazing and did a great job of putting a Faculty—Acute & Chronic Care held on November 3 at Shepherd human face on the issues that our office Diane Aschenbrenner, MS, APRN, RN, University in Shepherdstown, WV. advocates for each day.” is leading a group of faculty and students Her topic was “Johns Hopkins Nursing Graduate students Joahnna Fournier, dedicated to ensuring ethical behavior Evidence-Based Practice Model: Lea Marineau, Jacqueline O’Connell, Patricia Abbott (left) has a long history of involvement in national and international as the Johns Hopkins University School Excitement in Clinical Practice.” She and Emily Spede won awards at the informatics initiatives. of Nursing’s new chair of the Academic also presented a poster at the 2012 annual Nurse Practitioner Student Poster Prematurity Prevention Symposium on Presentation on December 8. Ethics Committee. Patricia Abbott, PhD, RN, associate professor, Department of Health Systems January 19 in Washington, DC. Traditional 2013 students Kristen Butt Deborah E. Jones, PhD, RN, and Outcomes, received a personal invitation from William E. Kennard, U.S. Nicole Warren, PhD, MPH, CNM, and Hilary Rabuck have been elected was appointed dean of Hampton Ambassador to the European Union, for the High-Level Workshop on Innovation received one of nine faculty grants in to the Maryland Association of Nursing University School of Nursing located in in Healthcare on November 16 in Brussels, Belgium. Policymakers and academic global health from the Johns Hopkins Students 2012-2013 Board of Directors. Hampton, VA. and private-sector representatives from both sides of the Atlantic attended the Center for Global Health for the 2011– Kristen is the secretary and Hilary is the Laura Taylor, PhD, RN, is the Johns Workshop to produce a set of concrete policy recommendations on healthcare 2012 cycle. The study will be co-funded Breakthrough to Nursing director. Hopkins University School of Nursing’s and remote monitoring for cure and prevention. The recommendations from the by The Bill and Melinda Gates Institute All-School Curriculum chair, heading a Nicole Warren’s study aims to improve family Workshop will be shared with relevant transatlantic policymakers to ensure rapid for Population and Reproductive nine-member committee. planning services for survivors of sexual and uptake of health technology for the benefit of patients around the world. Health. The study aims to improve gender-based violence and their partners.

16 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 17 BENCH to Bedside The Latest in Nursing Research

The study shows that direct inter­ a test that measures sugar in the blood. Exposed to Intimate Partner Violence,” Nursing Research vention by nurses with cardiovascular The NP/CHW patients also had an Brain, Behavior, and Immunity, in press] disease (CVD) patients has a positive improved perception of the quality of According to Granger, “If CRP can be Article is AHA effect on improving cardiovascular care their chronic illness care. measured accurately in saliva, sampling I st o ckph t o. c m in underserved populations. “Our results demonstrate the value would be stress- and pain-free, minimally Journal Editor’s Pick The trial randomly assigned patients of nurse practitioner interventions invasive, and could be self-collected, Study Shows NP Intervention with documented CVD, type-2 diabetes, and add to the collective research that lowering the barriers to having it checked Proves Valuable high cholesterol, or hypertension has already been done in nurse case for many individuals.” into two groups: a nurse practitioner/ management in cardiovascular care,” In a two-year, longitudinal exploration by Jon Eichberger community health worker (NP/CHW) Allen notes. “It is time to translate of more than 100 women seeking help “Community Outreach and Cardio- group and an enhanced usual care these effective strategies into practice from domestic violence shelters and vascular Health (COACH) Trial: to improve the cardiovascular health of community agencies, the researchers high-risk populations in urban settings A Randomized, Controlled Trial of Nurse Direct intervention by nurses collected and compared CRP samples Practitioner/Community Health Worker across the country.” n from saliva and blood. Cardiovascular Disease Risk Reduction in with cardiovascular disease They found that saliva CRP Urban Community Health Centers,” was patients has a positive effect on measurement was accurate and precise, an editor’s pick in the November 2011 improving cardiovascular care in No Blood Needed and that salivary and blood CRP levels issue of the American Heart Association underserved populations. were stable across a period of two years. (AHA) journal, Circulation: Cardiovascu- Saliva Testing Helps Identify Also, the pattern of correlations with lar Quality and Outcomes. Patients at Risk for Heart Disease body mass index was identical for both The COACH trial, funded by the group. The NP/CHW team focused on blood and saliva CRP measurements. by Teddi Fine National Institutes of Health, was led lifestyle changes based on behavioral Moreover, the saliva test measured by associate dean for research and M. interventions and the prescription of Due to the popularity of forensic women with low levels of CRP—low Adelaide Nutting Chair Jerilyn Allen, appropriate medications. Strategies to crime-lab television shows, a vast risk for heart disease—with the same ScD, RN, and included fellow Johns improve adherence were also integrated. majority of Americans know that body- precision as the comparable blood test. Hopkins University School of Nursing After 12 months, the NP/CHW fluid samples can put criminals behind It was not as accurate as the blood researchers Cheryl Dennison Himmelfarb, patients had a significantly greater bars. What most people don’t know is test when measuring high CRP levels. PhD, RN; Sarah Szanton, PhD, CRNP; reduction in total cholesterol, bad LDL that measuring a certain protein, called Nonetheless, the implications are study by doctoral graduate Bernadette dean Martha N. Hill, PhD, RN; and Mary cholesterol, triglycerides, systolic and C-reactive protein (CRP), also may help tantalizing. If you test with low CRP Controlling high blood pressure can Thomas, DNP ’11, MPH, APRN, reports Donnelly-Strozzo, DNP, MPH. diastolic blood pressure, and HbA1c— save lives. levels in oral fluid it is pretty certain you slow the progression of diabetes- on the use of individualized action lists CRP in the blood is a well-established are in the “low-risk” group, but if you test related chronic kidney disease and and electronic health record (EHR) general measure of inflammation in the high, then you would need a follow-up decrease the incidence of heart attack, technology to help boost provider body. CRP levels above an American blood test. n adherence to best practices. [“Improving Heart Association cut-off level, are stroke, and the progression to end- Blood Pressure Control Among Adults I st o ckph t o. c m suggestive of significant risks for stage renal disease. with CKD and Diabetes: Provider-focused cardiovascular disease. Quality Improvement Using Electronic CRP blood tests are invasive, take one of these problems can be serious; Health Records,” Advances in Chronic time, and can be costly. However, Managing Diabetes together they exponentially raise the Kidney Disease, November 2011] Dorothée Out, postdoctoral fellow at Best Practices Can Lower likelihood of cardiovascular and cerebro- The study tracked 3,137 diabetic the Center for Interdisciplinary Salivary “Multiplier Risks” vascular morbidity and mortality. patients across 6,781 separate clinician The good news is that controlling visits. EHR-based scorecards and real- Bioscience Research (CISBR); Douglas by Teddi Fine A. Granger, PhD, professor and CISBR high blood pressure can slow the time feedback significantly increased director; professor Gayle G. Page, DNSc, Nearly 17 percent of U.S. adults are progression of diabetes-related CKD and doctor and nurse practitioner adherence RN, and other colleagues from the affected by chronic kidney disease decrease the incidence of heart attack, to best practices in screening, diagnosis, University of Akron found that a saliva (CKD), a significant underlying cause stroke, and the progression to end-stage and treatment. test might be just as effective and cost of cardiovascular disease in the United renal disease. “Using reminders and action lists less. [“Assessing Salivary C-reactive States. CKD also accounts for nearly 28 Unfortunately, best practices for helps keep evidence-based guidelines on Protein: Longitudinal Associations percent of Medicare expenditures. Adults diagnosing and managing chronic kidney a provider’s radar screen and increases our with Systemic Inflammation and with diabetes are at increased risk for disease and blood pressure often are not capacity to deliver quality chronic disease Cardiovascular Disease Risk in Women both CKD and high blood pressure. Any followed by primary care providers. A management,” Thomas notes. n

18 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 19 News from Around the World Global Nursing

Johns Hopkins University Global

Opening Eyes mHealth Initiative to reach out to W i ll K irk mothers worldwide. Text4baby’s first Through international initiative launched in November 2011, reaching out to Russian Volunteering moms. “I believe text4baby can benefit Graduate Students Provide women worldwide,” says Betty Jordan, Care in Haiti DNSc, RNC, Johns Hopkins University by Jon Eichberger School of Nursing assistant professor and text4baby program evaluator. “Partnering The life of a graduate nursing with the mHealth Initiative, which student is busy. It’s so busy that one includes both domestic and international might not expect students to think about mHealth programs, is a great first step.” anything besides getting through their Text4baby is a perfect example of the clinicals and classes without collapsing mHealth Initiative’s work to improve in exhaustion. Yet, for one week this past global health using mobile information October, four Johns Hopkins University and communications. Pregnant women School of Nursing graduate students and new moms who sign up (by texting paused to look outside of their studies BABY or BEBE to 511411) receive three and East Baltimore. The group traveled text messages each week full of health tips to a remote part of Haiti as volunteers, and resources. offering vital medical care to more than In the two years since text4baby 1,000 patients. Phyllis Mason treats the wound of a Haitian resident who lacks access to good medical care. began, Jordan has been the program evaluator, working to measure While much relief work has been done text4baby’s impact. “We recognize that doing scientifically rigorous program since the January 2010 earthquake village about one hour away from the firsthand their healthcare system and evaluation and research is critical,” wreaked havoc in south-central coastal city of Jérémie in southwest Haiti. living conditions.” n says Jordan, who is also the deputy Haiti, most Haitians in rural areas still During their week in Haiti, the Read more about students’ experi­ director of the mHealth Initiative. The lack good medical care and many students faced the reality that “the ences in Haiti at www.nursing.jhu. lessons learned from text4baby could resources were incredibly limited there,” edu/haitiblogs. help the mHealth Initiative develop necessities of life. said Lea Marineau. While much relief more successful projects worldwide. work has been done since the January “Whether international or domestic, School of Nursing faculty member 2010 earthquake wreaked havoc in we need evidence to move forward with Elizabeth “Beth” Sloand, PhD, south-central Haiti, most Haitians in Messaging New implementing mHealth technologies.” CRNP, a veteran of numerous trips to rural areas still lack good medical care A recent evaluation of text4baby provide clinical assistance and student and many necessities of life. After setting Moms Around in San Diego, California, found that experiences, organized the trip and up the small amount of equipment mothers who receive the text messages encouraged students who were eligible they had brought from Baltimore to the World are more likely to take action—calling to participate. Four graduate nurse supplement the clinic’s basic supplies, Text4baby Joins Global hotlines or talking with their doctor— Betty Jordan (center) shows Global mHealth Initiative student leaders, Teresa Pfaff ’12 (left) practitioner students—Katherine Philips, the volunteers offered primary care mHealth Initiative than other mothers. And 96 percent of and Samantha Schneider ’13 (right) how text4baby can reach more moms around the world using Kearstyn Leu, Lea Marineau, and Tresa to members of the local community. by Kelly Brooks text4baby users would refer the service mobile devices. Schumann—joined the multidisciplinary In some cases, the group provided to a friend. Text4baby is so popular that team with faculty members Phyllis Mason, emergency care as well. By giving More than 300,000 pregnant the Centers for Medicare & Medicaid the District of Columbia, and U.S. was promoting text4baby at Agrifest, an MS, RN, CANP, and Shawna Mudd, their time and skills to the residents women and new moms are Services have partnered with text4baby territories such as the Virgin Islands, annual agriculture and food festival. With DNP, CRNP, three physicians and other of Leon, the students also gained giving their babies a healthy start to drive enrollment in the Children’s where Johns Hopkins nursing students terrain that makes text messages easier professionals. Through funding from a valuable clinical practice. Marineau in life using text4baby, the first free Health Insurance Program, Medicaid, as conduct public health practicums each to receive than phone calls, the Virgin private donor and contributions from the described the work as “definitely the health text-messaging service in the well as text4baby. year. In February 2012, Jordan traveled Islands are fertile ground for text4baby, participants themselves, the volunteers best clinical experience I have ever United States. In a new partnership, Since February 2010, text4baby has to St. Croix where Eleanor Hirsh from and today, more than 320 women there left on October 15 for Leon, a small had. It was eye-opening to experience text4baby is now working with the reached out to women in all 50 states, the Island’s Family Connection program are enrolled. n

20 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 21 Jhpiego

Jhpiego Assists Lesotho to Strengthen Nursing Education by Ann LoLordo Jhpiego, an international health non-profit and affiliate of Johns Hopkins University, has partnered with a faith-based health organization in Leso- tho to strengthen nursing education and increase the numbers of these essential health workers who provide lifesaving care to women and families. Known as the Kingdom in the Sky, the southern African country of Lesotho has the third-worst HIV prevalence rate in the world—23.6 percent. The average life expectancy is 41 for men and 39 for women. The World Health Organization estimates that this landlocked nation of 2 million people Lastina Lwatula (left), a regional Preservice Training Advisor based in Jhpiego’s Zambia office, has only 43 percent of the nurses and provides supportive supervision for two participants at a training session in Lesotho. Jhpiego is working midwives that it needs. with four schools and the Lesotho Nursing Council to help strengthen nursing education in the southern To address this dearth of frontline African country. health workers, Jhpiego has launched a multipronged effort to ensure that more is working in collaboration with the preparing lesson plans and adapting nurses are educated and nursing students Christian Health Association of Lesotho different teaching methods to her receive a quality education and the (CHAL) and its four nursing schools. courses. She finds the emphasis on hands-on clinical experience they need “In Lesotho, Jhpiego is committed providing feedback to students and to helping our partners strengthen the supportive supervision by Jhpiego nursing education and develop a growing staff both critically important. “Our The World Health Organization work force of skilled nurses who will knowledge base is going to improve and estimates that this landlocked nation of deliver care competently and humanely,’’ we will maintain our teaching skills up to 2 million people has only 43 percent of says Leslie Mancuso, PhD, RN, Jhpiego’s standards,” she says. CEO and president, who began her In its efforts with CHAL to graduate the nurses and midwives that it needs. career as a pediatric intensive care nurse. competent nurses and keep them “The people of Lesotho deserve no less.” qualified, Jhpiego is helping the Lesotho to provide competency-based care. This Jhpiego staff have trained 71 Nursing Council strengthen regulatory action plan focuses on developing the preceptors thus far. Of those, eight and educational standards and improve skills of preceptors, providing continuous are receiving additional training professional development. supportive supervision to ensure the and mentoring to become “qualified Jhpiego’s work in Lesotho has the integration of skills into their teaching, trainers”—proficient providers who are support of the Ministry of Health and upgrading skills labs and equipment, able to train others in clinical skills. Social Welfare and is funded by the U.S. updating learning materials, and Nursing instructor Isabel Nyangu, Agency for International Development’s establishing a monitoring and evaluation a participant in the training, says the global flagship Maternal and Child system for nursing education. Jhpiego course gave her new insights into Health Integrated Program (MCHIP). n

22 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 23 LIVE from 525 A Forum for Student Expression Ro bert M c Cl int o ck

An Ambassador of Nursing

Thaissa Davila was always fascinated with how the body works, but it took a tragedy to “seal the deal” for her The Power of a Paintbrush nursing career. Art Offers an Outlet for Creation and Healing Growing up in Brazil, Davila says she did not have much exposure to nursing within her culture. Becoming a doctor was by Gina Colaizzo her idea of being involved in the medical field. Upon moving to the United States, she interacted more with nurses and found she identified with them. Then, out Nursing school can be stressful. To deal with stress,

of a tragedy came a defining decision. “My husband was I turn to my paintbrush. I’m inspired by my love of artistic W i ll K irk involved in a car accident and was hospitalized for a creativity and mesmerized by the beauty of scientific structures few weeks,” she explains. “The way the nurses treated viewed through the microscope. Upon leaving a research lab, us and the experiences during such a difficult time I have always found a way to incorporate and amplify these sealed the deal. I realized nursing would fulfill me.” images into my artwork. Doing so not only allows me to share She was accepted into the Johns Hopkins the artistic beauty of science with others, it also serves as a University School of Nursing, but with a growing healthy coping mechanism and an emotional outlet when family and a mortgage, finances were a concern. I’m stressed. Thanks to the Class of 1944 Scholarship, Davila, a “Even in the sophisticated hospitals With time and student in the Traditional 2012 class, can focus on tussle, I began her education without the worry. “It takes a huge of this nation, patients suffer from compiling some of amount of stress and burden off of my shoulders, afflictions that cannot be relieved by my illustrations and and allows me to focus on school,” she says. “It also technology or pharmacology. For those thoughts into an gives me time to take care of myself and my family.” After graduation, she plans to work in an adult patients, compassion and creativity in organized format. critical care unit and aspires to eventually hold a any form should be called into play.” As my literary prose transformed leadership position within a hospital. Pursuing an —Hunter Doherty “Patch” Adams, MD advanced nursing degree is also a long-term goal. into rhythmic However, Davila’s goals extend beyond credentials verse, my passion and career path. Her limited exposure to nurses during for children and healthy living resulted in the creation of How her childhood and the experience of her husband’s to Be a Winner for Dinner. This children’s book takes the reader hospitalization resonate in her higher aspirations. “I on a journey with a young boy whose mission is to make his want to give back by being an ambassador of the mother’s dinner vegetables taste better so that he can enjoy nursing profession to patients and their families. eating them and follow his doctor’s recommended daily diet. I want to provide emotional support for Understanding how I have personally benefitted from patients, as well as their family members, the artistic process, I want to share my experience and show in a time when they are vulnerable and others how artistic expression can in fact be therapeutic. This sometimes even lost. I want to utilize is particularly true for those who are confined to the hospital my life experiences to pioneer a setting and dealing with long-term illnesses. In 1977, Dr. cultural change about diversity George L. Engel proposed the biopsychosocial model; the within the nursing profession.” theory proposes that psychological and social aspects of life influence wellness and disease to the same effect that biological factors do. I found my own experiences in artistic creations and the associated psychological benefits to be in full support of The Class of 1944 Scholarship was established this theory. in 1994 by members of the class in honor of their 50th reunion, through the leadership My book allows me to send a positive message about healthy of Kathryn diet to the pediatric population and also demonstrates how Holman stress can manifest into positive outcomes if it is dealt with in O’Connor of a constructive and productive manner. As I continue through Alexandria, my career, I hope to produce a series of children’s books Virginia. to integrate the creative process of art as a form of holistic therapy within my nursing practice. n After graduation, Gina Colaizzo plans to seek publication for her book,

C hris H art lo ve Read more about Gina’s passion for art and nursing on her blog: www.nursing.jhu.edu/ginablog. How to Be a Winner for Dinner.

J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 25 Higher Education

the respective directors of the Johns Hopkins University School of Nursing’s Doctor of Philosophy (PhD) and Doctor of Nursing AsPractice (DNP) programs, Hae-Ra Han, PhD, RN, and In response to the IOM’s Mary Terhaar, DNSc, RN, see a Catch-22 in nursing’s future. fifth recommendation to The field is paced to have 260,000 fewer nurses than it needs double the number by 2025, according to the American Association of Medical of nurses with a doctorate Colleges of Nursing (AACN). Yet, if universities continue by 2020, deans and to graduate doctoral nursing students at the same rate, there will be a dearth of faculty to teach potential new nurses who directors of doctoral could fill the gap. nursing programs focus on “We’ve got to get schools producing more nurses,” attracting and preparing Terhaar says. “But we know that one of the reasons schools the next wave of nurse can’t accept all of the applicants is because they don’t have enough faculty.” educators and researchers. Han agrees, pointing out that many current nursing faculty members will retire in the next 10 years. “Without more doctorally prepared faculty, schools cannot expose a larger class of students to the health sciences, translational research, and evidence-based practice that will prepare them to become frontline health professionals,” she adds. by Jennifer Walker The Institute of Medicine (IOM) issued a recommenda­ Illustration by Mike Austin tion for universities to double the number of nurses with a doctorate by 2020 as part of its 2010 report, The Future of Nursing: Leading Change, Advancing Health. Accordingly, nursing schools should strive to matriculate 10 percent of their undergraduate students into master’s or doctoral programs within five years of graduation.

26 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 27 To meet this recommendation, Han says the School of innovators in healthcare systems. “We’re focused on the Patricia Moritz, PhD, BS ’75, RN, is expanding her faculty to students who want to study full-time, and the school provides Nursing works to facilitate undergraduate students’ transition quality, the rigor, and the scholarship of our program,” Terhaar attract more students to the school’s PhD and DNP programs. an online PhD program. into advanced nursing programs. Through the Research says. “We’re producing scholarly DNPs who will be experts in “It’s a combination of adding additional faculty for more depth The College of Nursing at Villanova University in Honors program, baccalaureate nursing students are exposed their area of specialization and, while they’re there, be mentors in our existing science and specialty areas in the programs that Villanova, Pennsylvania, is looking for alternative funding to research early by working with faculty on an ongoing for all those nurses who are going into practice. Our graduates enables broader opportunities for students,” she says. opportunities to help students finance their education. “We’re research project. After they receive their undergraduate degree, go out with an impressive new skill set and will be able to make In Oklahoma, Lazelle Benefield, PhD, RN ’72, dean of going to have to look to the private sector,” says dean M. registered nurses can enroll directly in the PhD program practice better.” the University of Oklahoma Health Science Center College Louise Fitzpatrick, EdD, BS ’63, RN, FAAN. Independence without obtaining their master’s degree first. Three Johns Hopkins University School of Nursing of Nursing, wants to increase the speed at which students Blue Cross, for example, has contributed funding to support In the School of Nursing’s DNP program, enrolling more alumni—who have gone on to become deans of other nursing complete their doctoral degrees. “Often, it takes seven years scholarships for doctoral nursing students in the greater students is not currently an option. Each year the program schools—are also responding to the IOM’s recommendation. for people to finish,” she says. “That’s much too long.” To Philadelphia area. fills to capacity with experienced clinicians who can become At the University of Colorado College of Nursing, dean help, the college offers scholarship opportunities to support

The next wave of nurse educators and researchers

Money matters when it comes to furthering education. At the the Ellen Levi Zamoiski Doctoral Fellowship in her honor. The Jonas Nurse Leaders Scholar Program recipients The past and current Ellen Levi Zamoiski Fellows and Jonas Johns Hopkins University School of Nursing, many full-time “My mother was always impressed by the quality of student are expected to accomplish three goals: 1) be prepared to Scholars are living up to the expectations set for them. From PhD students are 100% funded with a stipend for the first two chosen to receive the Ellen Levi Zamoiski Fellowship,” says teach nursing in metropolitan New York; 2) integrate new helping vulnerable populations to providing practitioners years of study. The School also offers additional support—such Clair Segal. “She knew each of them would ultimately improve research findings from clinical sites with theory, knowledge, with access to research, they are recognizing problems, asking as the Ellen Levi Zamoiski Doctoral Fellowship and Jonas patient care and outcomes because they had been given the and practice skills taught in the classroom; and 3) maintain tough questions, making a difference, integrating research, Nurse Leaders Scholar Program. opportunity to continue their studies, to recognize problems, collaborative relationships in the clinical settings, serving from advocating, and educating future nurses. In 2005, Ellen Levi Zamoiski’s daughter and son-in-law, to ask the tough questions, and to be the best-equipped to the outset as an advocate for clinical orientation programs that Clair Zamoiski Segal and Thomas (Tommy) Segal, established make a difference.” aim to retain nurses by increasing their job satisfaction.

Jessica Roberts Williams, PhD ’08, Sara Rosenthal, MSN ’08, BS ’04, RN MSN/MPH ’05, RN Ellen Levi Zamoiski Fellow, 2006-2007

Ellen Levi Zamoiski Fellow, 2005-2006 RE nee F ischer C hris H art lo ve As an undergraduate in the Johns Hopkins From the moment a healthcare researcher University School of Nursing Research decides on a topic of study, it takes an Honors Program, Sara Rosenthal learned average of 10 years before the results will that the observations a nurse makes in her impact patients, says Jessica Roberts. “That’s work can also become fascinating research too long,” she continues. “So how can we questions. “That opened me up to the shorten this gap and help make findings possibility of research,” she says. “After I more relevant for the patient population?” graduated and I entered the field, I started As a consultant with MANILA Consulting thinking about what I was seeing in my Group in McLean, Virginia, Williams is practice.” As a neonatal intensive care currently synthesizing research literature on (NICU) nurse, Rosenthal was struck by topics such as HIV/AIDS prevention and the way parents make decisions in high- reproductive health, and testing strategies for stress situations. Some wanted to maintain dissemination so that this information can control over how their baby was treated, be seamlessly distributed to practitioners in while others preferred to let the hospital the field. Williams first became interested in staff take charge. For her dissertation she evidence-based practice while she was in the studied the factors that influence parent PhD program. Her dissertation focused on the decision-making in the NICU, from relationship between relational aggression and education and race to the amount of trust dating violence among urban middle school that parents have in their healthcare youth, a part of an arts-based initiative for the providers. It’s a topic that continues to prevention of dating violence funded by the fascinate her. Rosenthal is expected to Centers for Disease Control and Prevention. receive her PhD this coming May and plans to teach. She also wants to further investigate parent decision-making in the NICU.

28 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 29 Jan Kaminsky, Accel. ’04, RN Vinciya Pandian, MSN ’04, CRNP Jonas Scholar, 2008-2012 Ellen Levi Zamoiski Fellow, 2008-2009 C hris H art lo ve C hris H art lo ve “The most horrible thing is for a mother to be When Vinciya Pandian became an intensive care separated from her newborn, whether you’re a unit nurse practitioner, she saw many clinical prisoner or not,” says Jan Kaminsky, a part-time problems that were not yet being studied. “I decided pediatric intensive care unit nurse at Saint I needed to go back to school to learn research skills Barnabas Medical Center in New Jersey and a if I really wanted to affect how patients are cared clinical instructor at Hunter College in New for,” she says. Pandian focuses on helping healthcare York City. For her dissertation Kaminsky is providers and patients’ family members understand part of a Columbia University research project the benefits of tracheostomy. “For patients who get a that focuses on attachment issues between tracheostomy, their quality of life improves because incarcerated mothers and their babies at now they are able to talk,” she says. “Tracheostomy Bedford Hills Correctional Facility in Bedford is actually a step forward that can help patients Hills, New York—a prison that allows mothers get off of the ventilator.” Pandian has interviewed to keep their babies with them in a special part patients who are still able to communicate while of the facility for up to 18 months. Kaminsky on a ventilator and developed a quality-of-life uses a conflict tactics scale to research child questionnaire geared specifically toward patients discipline tactics among mothers after their who are both intubated and who receive a release from the facility. After she graduates in tracheostomy. After she receives her PhD in 2013, August, she hopes to start a full-time tenure she plans to pursue a combination of clinical work, track position at a New York university. research, teaching, and administration. W i ll K irk W i ll K irk C hris H art lo ve C hris H art lo ve

Yvonne Commodore-Mensah, RN Christine Keenan, MSN, RN Bryan Hansen, RN Grace Ho, BS ’09, RN Jonas Scholar, 2010-2012 Jonas Scholar, 2010-2012 Jonas Scholar, 2010-2012 Jonas Scholar, 2010-2012 and Yvonne Commodore-Mensah wants to educate the next Your patient is crashing. Quick—what do you do? Christine Bryan Hansen wants to “straddle the line” between research Ellen Levi Zamoiski Fellow, 2010-2011 generation of nurses about cardiovascular health in vulnerable Keenan is using simulation technology to investigate how and direct practice. Currently a part-time forensic nurse After volunteering in two child abuse clinics, Grace Ho found populations. Her research centers on cardiovascular disease clinicians make decisions in time-sensitive situations. In examiner at Mercy Medical Center in Baltimore, Maryland, her clinical and research interests: child abuse and corporal risk factors and behaviors among West African immigrants. addition to teaching after graduation, she plans to continue his research focuses on preventing pressure ulcer development punishment. For her dissertation she is examining the way looking at simulation’s impact on patient outcomes. among older adults who are vulnerable to neglect. He also parents differentiate physical discipline from child abuse and hopes to impact U.S. policy development that can improve anticipates that this topic will continue to inform her research. this population’s quality of life. Read more about Hansen Then, as a clinician, Ho wants to use her research to educate online at www.nursing.jhu.edu/bryanhansen. parents about child abuse. Read more about Ho online at www.nursing.jhu.edu/graceho.

30 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 31 From Silos to Synergy Interprofessional Education Initiatives Find Warm Welcome at Hopkins

Eye-opening. Important. Exciting. Innovative. Barrier-breaking. “A-ha!” moments. When Hopkins students and faculty talk about their experiences with interprofessional education, they describe it in game-changing terms. Interprofessional education, or IPE, is a collaborative approach to healthcare education that brings together students from across disciplines to interact with each other before entering their respective professions. It’s an approach that has been gaining widespread attention and international interest. The World Health Organization addressed the subject with a study group for global practice that convened in 2007, and the Institute of Medicine’s 2010 report on the future of nursing laid out recommendations that included IPE as well as increased partnerships with other healthcare professions. When the Hopkins community talks about IPE, enthusiasm and energy pour forth. This is no dry mandate; this is synchronicity, ideas cropping up across campuses and departments and blooming in the fertile soil of emerging alliances and innovative partnerships. Throughout the School of Nursing and the School of Medicine, new and expanding initiatives are bringing fruitful transformation to Hopkins healthcare education.

A Fitting Tribute by Rebecca Proch The phrase “working in silos” comes into almost any conversation with Hopkins Illustration by Mike Austin students or faculty about the value of IPE. For Elizabeth (Ibby) Tanner, PhD, RN, associate professor in the School of Nursing’s Department of Community Public Health and School of Medicine’s Division of Geriatric Medicine and Gerontology, it’s how she describes the earliest challenges facing the cross-disciplinary faculty group that eventually envisioned the Daniels Initiative. “We [medical and nursing faculty] met to discuss how we might jointly educate prelicensure nursing and medical students, as well as advanced practice nursing students and residents about caring

32 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 33 In the Dean’s Words

S hiv G andhi Paul B. Rothman, MD, arrives in July as the new CEO of Johns Hopkins Medicine and the incoming dean of the School of Medicine. He succeeds dean Edward Miller, MD, who retires in June. W i ll K irk Rothman shared his thoughts about the role of IPE within Hopkins and in the field of healthcare. As healthcare moves into a new era, we want to collaborate across the professions to provide safe, high-quality patient care. That needs to begin when our future professionals are students. Hopkins has the top nursing school in the country, and as we look at ways to incorporate interprofessional education, I look to the School of Nursing and the School of Medicine to work closely together to provide these important opportunities to our students. From the start of each student’s education, we need to teach them how to coordinate care and how to build and work in teams. That’s going to be increasingly vital to delivering top-quality healthcare to the American people. Dean Martha Hill [of the School of Nursing] and I are already discussing the future of IPE at Hopkins, and I look forward to working together to ensure that Hopkins continues to be a national leader in healthcare education. —Paul B. Rothman, M.D.

A Collaborative Effort and graduate education and practice. The entire group meets Jeffries has also been on the front lines of the formation monthly, and the sub-groups meet regularly as well. of a faculty group that has come to be known as the Johns Pat Thomas, MD, School of Medicine associate dean Hopkins Interprofessional Collaborative. “We want to create for curriculum and one of the leaders of the undergraduate a sustainable model for interprofessional education here,” curriculum group, points out that the work of the faculty she says. “It’s important worldwide, and it’s something we development group is key to their success. “We need to can’t take lightly.” train faculty in these competencies. How do you learn to With dean Hill’s assistance, the collaborative held a co-facilitate well?” For the collaborative, their first step was a Prelicensure Daniels scholars and Geriatric Interest Group (GIG) members hosted the GIG’s annual Senior Prom, held at the Apostolic Towers, a housing retreat this past January to talk about the challenges of an IPE faculty development workshop that took place in March. complex for low-income older adults. This intergenerational event of Hopkins students from the Schools of Nursing, Medicine, and Public Health brings approach, to hear from keynote speakers from other schools together healthcare students and healthcare recipients in a meaningful experience for all. with IPE programs in place, and to break into four professional- Student Leadership service groups that would each focus on a key area: culture and “Students drive change,” Jeffries believes. Indeed, throughout for complex older adults,” she recalls. “But, we found that we Training the Messenger infrastructure, undergraduate curriculum, faculty development, Hopkins’ IPE work, there is a strong student voice and had very little practical understanding of each other’s curricula Finding a need for a better way to train students to work presence. Students from both Schools have been included and educational models. We had learned and worked in silos together to conduct quality family meetings, Rebecca in the Collaborative’s curriculum group as advisors, and ourselves, so we had to learn from each other first in order to Aslakson, MD, assistant professor in the Department of student leaders joined panel discussions at the March faculty figure out how to teach collaboratively.” Anesthesiology and Critical Care Medicine in the School of development workshop to share their experiences and The Daniels Initiative grew out of a five-year gift from the Medicine, approached School of Nursing dean Martha Hill, C hrist o pher My ers views. “It’s imperative to have students involved at this level,” family of Worth B. Daniels Jr., MD. Now in its second year, it PhD, RN, with an idea to do simulated experiences. Dean says Tanner. teaches the skills of interprofessional collaboration to nursing Hill brought together Aslakson and Pam Jeffries, PhD, RN, The success of the Daniels Initiative also inspired a student and medical prelicensure students, as well as nurse practitioner School of Nursing associate dean for academic affairs. Jeffries’ interest group devoted to IPE. Under the leadership of medical and medicine residents, through partnered learning. This expertise in developing and deploying simulations provided student Brent Pottenger and nursing student Paige Griffith includes learning to collaborate by working together to the remaining pieces. “I had the idea, and Pam had the as co-presidents and also Daniels Scholars, the Doctor-Nurse provide home-based care to low-income older adults living in methodology,” says Aslakson. Alliance was formed. The Alliance’s first meeting in October the community, and participating in problem-based learning In October of 2010, together with a group of roughly 2011 brought 70 students from both Schools, and has been sessions. The students also examine the perspectives of their 30–40 nurses, physicians, social workers, chaplains, and faculty producing events and creating opportunities for its members colleagues from different health professions by discussing the and students from the Schools of Medicine and Nursing, from the start. assumptions they have about each other’s discipline, training, Aslakson and Jeffries spent two days developing four scenarios Pottenger sees this student interaction as a way to build experience, and practice. in which a patient-care team meets with family members to momentum to help them prepare for their professional “These experiences give students time to learn and grow deliver bad news. environments, and hopes that their programs can be replicated together,” says Dr. Laura Hanyok, MD, School of Medicine Since then, Aslakson has run the scenarios monthly for in other schools to innovate healthcare education. “Because of assistant professor. Hanyok, along with School of Nursing interdisciplinary groups of students who take turns playing the way our campus buildings are laid out, the analogy we’ve assistant professor, Kathleen Becker, DNP, RN, CRNP, are the roles of the care providers and the family members. used is that medical and nursing students are on different founding faculty members of the Daniels Initiative. “Our “This is new ground for us,” she says. “It’s a hands-on way to sides of the dome,” he says. “But in our professions, everyone residents say they wish they’d had this chance sooner, so Getting ready for paired shadowing. (l to r) Medical student and Doctor- interacts. We’ve all been really excited about crossing that learn, and it creates camaraderie. Each group brings in different Nurse Alliance co-president Brent Pottenger meets with medical student we’re looking at ways to integrate this approach throughout strengths, and each group is always impressed with what the divide, literally and metaphorically. I think this global Harita Shah; nursing student Kenny Chen, Accelerated ’12; and attending perspective can change healthcare.” the entire three-year residency program.” others bring.” physician Maria Trent, MD, MPH.

34 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 35 HOPKINSNurse News from the Johns Hopkins Hospital Department of Nursing

fewer beds in the existing nursery by carefully orchestrated practice strategy future workspace. But nurse managers Ready, Set, Move! supporting couplet care. “the best thing we’ve done.” Just as it have gone even further to empower Preparation Pays for “That was a huge shift in the way we sounds, “A Day in the Life” simulates staff members.

Hopkins Nurses practice,” Diamond says. Having started an actual work shift. Drawing expertise “We looked at what we could do to I st o ckph t o. c m the new practice already, nurses will be from the Hospital’s existing Simulation give nurses some control. Scheduling was by Elizabeth Heubeck accustomed to it when they move to the Center and training more than 200 one idea,” says Kristina Hoerl, MSN, RN, Almost a decade ago, before new building. facilitators—mostly nurses—to conduct CRN, a nurse clinician III in radiology. blueprints were completed and practice sessions, participants are Listening to nurses’ requests, the walls erected for the Sheikh Zayed “We expect everything to be familiarizing staff with new locations, Radiology Department implemented Tower and The Charlotte R. Bloomberg up and running before the first work processes, and technologies. scheduling changes. Some nurses Children’s Center, The Johns Hopkins patient is admitted to the building. Staff members can choose other wanted more four-day weekends; Hospital’s (JHH) leaders gave nurse tactics to familiarize themselves with others wanted more Fridays off. Where managers the go-ahead to begin planning. We simulated everything ahead the new building based on learning- possible, the department is making “We were told to start piloting new of time.” style preferences. “We are using a equitable schedule changes. Another processes before the move,” recalls Joan multi-modal approach,” Case says. plus is the creation of predictable Diamond, MS, RN, NEA-BC, prenatal Twenty hours of mandatory training They can watch a series of orientation scheduling patterns, which allow nurse manager and a member of JHH’s prior to the move have prepared nurses to videos; sign up for a guided tour of nurses to see whether they’re scheduled Transition Monitoring Team, a team demonstrate competency with other new the new building; carry a 4 x 7-inch on a given day a year from now. Efforts created to help guide nurses through practices and equipment. “They won’t pocket guide of the new layout; and like these let nurses know that despite the transition to the new building. be working in the new building with place a Web application on their mobile the unknown, there is consistency The charge was intended to jumpstart anything they haven’t touched, seen, or device that offers maps, directories, and control. preparations for the JHH nurses—more experienced,” Diamond says. and information about the building. “Hopkins has put forth a lot of effort than 2,800—who would be affected, That’s also the idea behind “A Day Each tool, developed in concert with to ensure the staff feels comfortable and either directly or indirectly, by the spring in the Life.” Debra Case, MS, RN, ’72, JHH’s Marketing and Communications is educated,” Diamond says. Prenatal 2012 opening of the new building. director of clinical education, calls the staff, familiarizes nurses with their nurse clinician Logan Garland, BSN, With the Behavioral Alert program, a patient who has exhibited Since then, nurse managers have RNC-OB, agrees. “Because we’ve concerning behaviors in the past is immediately flagged for triage staff worked relentlessly to ensure their experienced so much in the new building, through the electronic patient record. nurses feel a sense of control over I’ve become acclimated to the space. their new situation. After absorbing That helps make the transition easier and recommendations by consultants smoother,” she says. “I already feel like I “We wanted to find a solution to help Emergency Department (ED) nursing with expertise in hospital moves and know my new unit.” n empower staff to keep the environment staff collaborated with several other implementing a renowned training safe to the extent that we can,” says hospital departments and disciplines to program called “Managing Organizational Michelle Patch, MSN, RN, ACNS-BC, develop an ED Behavioral Alert program. Transition,” which seeks to empower safety officer for the Department of With the Behavioral Alert program, employees confronting change, nurse Preventing Emergency Medicine. a patient who has exhibited concerning managers got to work. In the 2009 incident, Patch recalls, behaviors in the past is immediately “We expect everything to be up and Disruptive Behavior the patient wasn’t acting unpredictably flagged for triage staff through the running before the first patient is admitted but did have a significant history of electronic patient record. An icon to the building. We simulated everything in Patients behavioral issues. The nurse who was alerts staff, directing them to a note ahead of time,” Diamond says. In some Nurses Collaborate and attacked, Patch says, suggested that it in the electronic record. “The note cases, nurses practiced new models of care Champion Programs would be helpful to have notification describes the behavior and the team’s well in advance of the move. early in the intake process that a patient recommendations for safety at the next by Sara Michael Consider the obstetrics unit. Its might pose a risk. visit,” Patch says. For example, if a patient current 36-bed nursery will shrink to 16 Three years ago, a nurse and a secu- “If we have this information, it’s presented a weapon before, the note beds in the new space. This intentional rity guard from The Johns Hopkins buried in a chart. How helpful is that for would recommend that Security search shift will open space for a six-bed Hospital’s (JHH) Psychiatric Emergency the front-line receivers in the emergency the person and his or her belongings. It’s obstetrics triage area; it also encourages Department were assaulted by a patient. setting?” Patch questions. information already in the chart, much mothers to spend more time with their That attack—and the nurse’s insights into To provide front-line staff with a quick like data that a patient has diabetes or a newborns—a practice called mother-baby Activities such as scavenger hunts provided fun opportunities for nurses to become familiar with the a solution—set into motion a hospital-wide way to know if an incoming patient has a fall risk, Patch adds, but it wasn’t readily couplet care. Nurses are already using new building. plan to help prevent disruptive behavior. history of violence or disruptive behavior, available before. To determine who

36 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 37 HOPKINSNurse News from the Johns Hopkins Hospital Department of Nursing

receives the alert icon, a collaborative the eighth floor of the Nelson building named Sacred Ground—A Tribute: Johns “We always prefer human milk to specific feeding plans. Recently, she and Adult ED and Psychiatric ED team of before fatally shooting his mother, a Hopkins Pediatric Intensive Care Unit. formula, so I introduced evidence-based pediatric nurse practitioner Suzanne nurses and doctors reviews cases based on patient on the unit, and himself. From the start, their idea to produce information about supplementing at the Rubin, DNP ’11, MPH, MS ’97, an algorithm Patch championed. That incident thrust staff safety a book for and by the members of the breast to obstetricians, midwives, and CRNP-P, devised breastfeeding plans Finding better ways to manage into the spotlight, prompting Hospital PICU’s interprofessional team was well neonatologists,” she says. “Now, we’re for late preterm infants and infants with disruptive patients has been a priority leadership to reach out to all sectors of received by their colleagues. “No one the state’s only hospital with a specified hyperbilirubinemia. among emergency and psychiatric nurses the Hospital to find ways to prevent such ever hesitated. Everyone said, ‘You supplemental feeding policy.” Lactation guidance isn’t limited to for many years. ED nurses are particularly an event in the future. The ED’s program, must do this.’ It gave us momentum,” JHH lactation specialists complete post-delivery days. Mothers can attend vulnerable to incidents with disruptive heralded by the nursing staff, laid the Nace says. 20 hours of basic breastfeeding training bi-monthly prenatal breastfeeding classes. patients. “Patients are coming right off foundation for a hospital-wide program. That support evolved into a substan­ through courses offered twice annually. After birth, lactation specialists also call the street,” says Patricia Sullivan, MSN, The Hospital leadership expanded the tial written body of work, which includes In addition, Dixon mentors one nurse mothers at one-week, one-month, and BSN ’77, RN, nurse manager for the ED’s alert efforts and formed a Behavioral around 40 heartfelt entries from various toward international board certification three-month intervals to assess progress. Psychiatric Emergency Department, Alert Group. This multi-disciplinary PICU team members based on their in lactation every semester and accepts Weekly new-mother meetings also let adding that some patients can be team is led by the Risk Management experiences on the unit. The stories lactation consultant interns from other women discuss concerns. agitated, sociopathic, or have a history of Department, and goes into action once range from uplifting to heartbreaking education programs. Lactation specialists offer free con­ disruptive behavior. a clinician contacts Security regarding to hilarious, and certain themes surface Under Dixon, the number of sultations to all JHH staff members too. “We knew it would be important a patient. The Behavorial Alert Group throughout—resilience, commitment, breast­feeding mothers has skyrocketed. “If a new mom is having a problem, she to identify them from the get-go, even decides when to place an alert flag in a teamwork among them. Pre­viously, only 26 to 42 percent of can make an appointment to see us,” before the patients got in the [care area]. disruptive patient’s record. As with the If there’s a single passage that sums up mothers at JHH initiated breastfeeding. Dixon explains. An employee pump room We wouldn’t turn them away, but we ED leadership, this group is similarly the book’s significance, perhaps it can be Today, thanks to seven-day-a-week within the Hospital is also available. needed to manage them.” challenged with making sure that only Remember, Honor, found in Nace’s introduction: “How do lactation coverage,­ between 60 and “We’ve made a huge impact,” Dixon A national trend has emerged to the most critical cases receive the alert. we remember all that we have done for these 92 percent do so. says. “We’re teaching moms to let babies reduce restraint and seclusion of these In the last year, the Behavioral Alert and Share children and all the times we’ve stood by Dixon also collaborates with JHH’s lead the dance. It makes breastfeeding so patients, in favor of a more welcoming Group has already received about two Sacred Ground Pays Tribute one another year after year? We have built pediatric nurse practitioners to establish much easier.” n and calming environment, Sullivan dozen requests to flag disruptive patients, to the PICU a camaraderie second to none, forged bonds says. Psychiatric Emergency Department says Jeff Natterman, RRT, MA, JD, risk that can never be shattered, mysteriously by Elizabeth Heubeck nurses took on this challenge in 2005, manager for The Johns Hopkins Hospital read each other’s minds and every move, and developing a set of interventions for and an attorney for the hospital system. worked to an unvoiced rhythm that never A few years ago, when Pediatric J ennifer B ish o p disruptive patients to ensure their safety These are the “extreme cases” that are Intensive Care Unit (PICU) misses a beat.” n and that of the staff. The nurses make a identified, Natterman explains, and staff members realized the move to The point of letting patients know what to about 15 or so have received alerts. The Charlotte R. Bloomberg Children’s expect while they are at the Hospital and hospital-wide program’s implementation Center would soon become a reality, educating staff about how to help the is currently being finalized by the Risk colleagues Tricia Nace, BSN, RN, and Mentoring Moms patients, Sullivan says. Management Department. Laura Lefkowitz, BSN, RN, decided Lactation Specialists Offer Help On the inpatient side, they imple­ Such programs often start within an there was one thing they didn’t want by Whitney L. J. Howell mented family-style cafeteria meals individual unit before being expanded lost or forgotten in the shuffle: the where patients and staff dine together through the Hospital, explains Karen memories of the critically ill patients Whether it’s her first child or third, and patients can choose their food, so Haller, PhD, RN, NEA-BC, JHH’s vice they’d treated in the old building. They breastfeeding can be difficult for they feel more in control. “This was a big president for nursing and patient care also wanted to share how these patients any mother. When something just isn’t culture change for our units,” Sullivan services. “We are decentralized,” she adds. had drawn together each member of the working right, Deborah Dixon, BSN, RN, says. “It used to be that seclusion was a “This problem became apparent to the PICU staff—nurses, physicians, child IBCLC, or one of her five board-certified necessary part of treatment.” Emergency Department, and they wanted life specialists, respiratory therapists, and colleagues steps in. Similarly, the Behavioral Alert to do something, so they got a group more—as an exceptionally strong, caring, As The Johns Hopkins Hospital’s program demonstrates nurses’ initiative to together and developed a program.” and resilient team. (JHH) lactation consultant coordinator, better plan and prepare for patients with She adds, “That’s why we have a To preserve the legacy, share the Dixon helps mothers and babies certain behavioral management needs. common saying at the Hospital: Listen to cherished memories, and honor the master breastfeeding or use supple­ The ED was just implementing the the front lines. They had been working children and families whose lives were mentation strategies. Since arriving Behavioral Alert program when the on this problem locally, and created forever changed by their experiences in in 2007, she’s enhanced the lactation September 2010 shooting occurred. A a best practice that the rest of the the PICU, the two nurses engaged PICU support program to assist mothers with man shot and wounded a physician on institution could adopt.” n staff—past and present—to write a book low milk supply. Lactation consultant coordinator Deborah Dixon helps a new mother with breastfeeding.

38 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 39 HOPKINSNurse News from the Johns Hopkins Hospital Department of Nursing

the clinical nurses’ dedication to their gives everyone the confidence that we WICU Wins work says Sam Young, MS, RN, ACNPC, can make a difference.” CCNS, CCRN, the WICU’s clinical The most significant change has

C hrist o pher My ers Beacon Award nurse specialist. been embracing patient-centered care. Second Unit at JHH Honored The AACN’s report recognized The WICU expanded visiting hours the strengths of the unit as its proven to 20 hours a day, making it easier by Whitney L. J. Howell interdisciplinary practice, culture of for family and friends to visit. A new The Johns Hopkins Hospital’s excellence, and leadership. The WICU’s “family involvement menu” lets visitors Weinberg Intensive Care Unit cultivation of shared govern‑ance and choose ways to help, such as assisting (WICU) is shining with excellence. The patient- and-family-centered care is the patient with grooming. Having WICU, in the Department of Surgery, unique. “The unit’s open culture sets loved ones nearby also improves patient- received the Beacon Award for Excel- us apart,” Young says. “Nurses have nurse-family communication. “Visitors lence from the American Association opportunities to grow, to be autonomous, can report subtle personality or behavior of Critical-Care Nurses (AACN) in and to collaborate with others.” changes nurses might not notice,” November, becoming the only unit in To facilitate that freedom, WICU Young explains. Maryland to receive the award in 2011. nurse manager Donna Prow, BSN, Young says the WICU receives many The honor, coupled with the Beacon RN, started group meetings. Up to thank-you letters, and “performance Award won by the Department of Med­ 14 nurses meet for team-building, star” boards posted in the unit allow icine’s Medical Intensive Care Unit in practice updates, and idea-sharing. patients and visitors to recognize staff. “It 2010, recognizes individual units that “The entire staff has a voice,” says nurse shows our customers we like what we’re distinguish themselves by improving every clinician III Carol Maddrey, BSN, RN. doing,” she says. “The WICU is a good aspect of patient care. It also demonstrates “That breeds pride within our unit and experience for them.” n

Experience the Possibilities… Kelly Hendrix gets hands-on rebuilding a deck. through Johns Hopkins University faculty opportunities

you aren’t trying to make people feel It’s also been fun for her to watch the Now seeking full-time CNS and APN faculty and researchers with expertise in Building physically better, but you’re trying to Hospital’s new clinical building come adult health, psychiatric nursing, informatics, and community public health. make them feel better emotionally by together. In fact, one of the building’s Visit www.nursing.jhu.edu/joinfaculty to learn more. Better Lives giving them a lovely home.” most interesting features parallels one of Hendrix and her husband created her favorite parts of contracting—the tile. Hopkins Nurse Heals Johns Hopkins University School of Nursing is an equal opportunity employer—and a place Patients and Houses their home improvement company, Made partially from recycled glass, the where exceptional people discover possibilities that forever change their lives and the world. Building Solutions, five years ago. tiles in the new building sparkle. “When by Whitney L. J. Howell They focus on renovating older homes, you come across a lot of tile, the shimmer If you ask Kelly Hendrix, RN, her reclaiming each structure’s former beauty. is just a nice touch to see,” she observes. work as a general contractor isn’t “I love taking something that has been While Hendrix enjoys working as too different from her work as a nurse completely wrecked and turning it into a contractor, she hopes other women in The Johns Hopkins Hospital’s something amazing,” she says. As long will be inspired by her success. “I want Emergency Department. Both use a as a house has a solid foundation, they women to stop saying, ‘I can’t do it.’ healing touch. can make any other repairs, including Watch HGTV. You can do it. It’s easy,” “You must also be a people person.” framing, plumbing, and electrical work. she says. “You don’t have to worry Hendrix adds. “As a nurse, you listen to Much of her role includes talking with about calling someone to take care of what your patient needs and use your the customer to determine preferences things. You can look it up online and skills to help them. As a contractor, and pricing out each job. figure it out.” n

40 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 41 HOPKINSNurse News from Johns Hopkins Bayview Medical Center

Making History W i ll K irk CICU Reaches Patient Safety Milestone Hopkins Nurse Receives by Sara Baker Rare Honor The cardiac intensive care unit central line-associated bloodstream by Sara Baker (CICU) at Johns Hopkins Bayview infections—was always followed. Those Carol E. Ball, MAS, RN, made Medical Center reached a significant measures include: history on November 18, 2011, milestone on January 18, 2012—one year • Use of the BSI checklist during when she became the first nurse within without a central line-associated blood- insertion of the central line Johns Hopkins Medicine to have an stream infection (BSI). To recognize this • Appropriate selection of the insertion inpatient unit named in her honor. accomplishment, CICU nursing staff site, avoiding femoral lines whenever At a special dedication, the Bridgeview and physicians received the first Group possible Unit in the John R. Burton Pavilion Patient Safety Star Program Award at • Full body draping of the patient was renamed the Carol Ball Medicine the Johns Hopkins Bayview Quality & during the insertion to maintain the Unit in recognition of Ball’s 47 years of Patient Safety Council meeting also held sterile field service to the Johns Hopkins Bayview on January 18. • Appropriate hand hygiene for all Medical Center. The CICU has been participating in people involved in any way with a statewide collaborative effort focusing the procedure on reducing central line infections. The • Gowns, gloves, masks and eye protec­ “People have often asked me, ‘how initial goal of the project was to reduce tion for staff involved in the procedure can you stay at the same hospital for the number of infections statewide by • Daily review of the need for the line, 47 years?’ I tell them that this is not 50 percent. In a 2011 to 2010 calendar- and removal when the line is no the same hospital. There have been year comparison, the CICU reduced its longer required rate by 68 percent. To continue the effort to reduce remarkable transformations through Nurses and physicians took early infections, nursing staff is empowered the years, and I feel privileged to have ownership of the effort. Their focus was to stop the line insertion when there played a role in those changes.” to ensure that the BSI bundle—a set of are concerns that the bundle is not evidence-based measures shown to reduce being followed. n Ball is the senior director of nursing and administration at Johns Hopkins Bayview and holds a reputation among colleagues and patients for being caring, genuine, collegial, loyal, and innovative. “She epitomizes what makes Johns Hopkins Bayview such a special place,” says Richard G. Bennett, MD, president To honor Carol Ball’s commitment to providing the best possible care for patients, and for her leadership and many years of service, Johns Hopkins Bayview Medical of the Medical Center. Center named one of its inpatient units the Carol Ball Medicine Unit. “It’s more common that a unit is named after a donor, a retiree, or some­ one who is deceased,” explains Ronald the years, she held many different president of patient care services at the Key Medical Center to today’s Johns R. Peterson, president of The Johns positions, including staff nurse, head Medical Center. Hopkins Bayview Medical Center. Hopkins Hospital and the Johns Hopkins nurse in the emergency department, In addition to living out her passion “People have often asked me, Health System, and executive vice nursing super­visor, and director of of mentoring young nurses and managers, ‘how can you stay at the same hospital president of Johns Hopkins Medicine. nursing and support services. In each of Ball also has collaborated with other for 47 years?’” says Ball. “I tell them “It is a special and rare occasion that we these roles, Ball has upheld an unyielding disciplines to develop a team approach that this is not the same hospital. honor a beloved colleague who is still principle—to provide the best care to to patient care at Johns Hopkins There have been remarkable working with us.” patients. “Johns Hopkins Bayview’s Bayview. During her many years at the transformations through the years, Ball began her nursing career in commitment and dedication to nursing Medical Center, she remained nursing’s and I feel privileged to have played a 1964 at Johns Hopkins Bayview (then started with Carol’s leadership,” says foundation through the transitions from role in those changes. This tribute is Baltimore City Hospitals). Through Maria V. Koszalka, EdD, RN, vice Baltimore City Hospitals to Francis Scott for all of nursing.” n CICU members accept their award at the Quality & Patient Safety Council meeting.

42 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 43 HOPKINSNurse News from Howard County General Hospital, A Member of Johns Hopkins Medicine

aren’t fully developed yet—and how to “Psychiatry always has been behind Spreading the Word guide them to make good ones. “It’s fun Psychiatry Unit Launches to be out in the community. That’s the closed doors. Nobody really knows Johns Hopkins Nursing: Speakers Bureau people we serve,” Morseman says. what we do or how we do it. But it’s not the only group the bureau My group is very experienced…I by Elizabeth Heubeck serves. HCGH staff members have thought, let’s share our experience.” Many Faces. Health education has become a benefited from guest lecturers too. “We widely popular subject in recent started with one of the hottest, most years, but there’s one area of the health dangerous topics: alcohol-withdrawal psychiatric nurses—the former thrive sector that remains somewhat of a taboo seizures, which can be fatal,” says on task completion, the latter on Countless Opportunities. topic: psychiatry. That hasn’t prevented Schmidt. Alternate addiction counselor, relationships with patients—Schmidt Tom Schmidt, BSN, RN, nurse manager Sheryl Dulsky, RN, discussed the topic sees room for crossover. “Medical-surgical of Howard County General Hospital’s with HCGH staff members during three nurses need to know how to assess (HCGH) Psychiatry Inpatient Unit, separate shifts so that all employees behavioral change, aggression, cognitive from establishing both community- and had an opportunity to attend. decline, things like that,” Schmidt says. hospital-based speakers bureaus on the Schmidt’s inclusive attitude inspires Schmidt and other members of the his in-house bureau topics. For instance, Psychiatric Unit step in to bridge that gap. topic. In fact, it’s fueled his ambition. CAREERS ARE MADE AT JOHNS HOPKINS NURSING. START YOURS TODAY. “Psychiatry always has been behind he explains that while some might look “I’ve always been a public speaker. closed doors. Nobody really knows what at medical-surgical nurses as requiring I’m happy to get back into the role,” we do or how we do it. My group is very a completely different skill set from Schmidt says. n experienced; most have been here 20 Our patients come from all over the country. And so do or more years. I thought, let’s share our our nurses. They come to be part of the most professional, experience,” Schmidt explains. W i ll K irk diverse, and reputable nursing teams. They come to work Combining his expertise as a public beside the unequaled talent of Johns Hopkins physicians, speaker with his desire to promote the nurses and staff. And they come for the benefits and unlimited knowledge of HCGH’s psychiatry unit opportunities for personal and professional growth. staff members, Schmidt decided about a year and a half ago to launch the Join our team. Be the next face of Johns Hopkins. hospital/community speakers bureau. It’s been well-received by community For additional information or to apply members and HCGH staff alike. online, visit www.workingathopkins.org To date, inquiries for lectures by the community speakers bureau have varied greatly by subject and audience. Two senior groups affiliated with local church organizations have requested and heard lectures on topics relevant to their demographic: sleep disturbances and spirituality in aging. On the other side of the spectrum, the community speakers bureau also has responded to inquiries from school groups. For parents of middle school students at an area public school, Sue Morseman, THE JOHNS HOPKINS HOSPITAL RN, staff nurse in HCGH’s psychiatry JOHNS HOPKINS BAYVIEW MEDICAL CENTER department, led a talk about growth and JOHNS HOPKINS INTRASTAFF development among adolescents. She JOHNS HOPKINS HOME CARE GROUP addressed tough topics on the minds of HOWARD COUNTY GENERAL HOSPITAL parents, explaining why adolescents tend Tom Schmidt, Susan Morseman, and Phyllis Lamiano review class outlines for an upcoming in-service to make impulsive choices—their brains program schedule. EOE/AA,M/F/D/V

44 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 HOPKINSNurse News from Sibley Memorial Hospital, A Member of Johns Hopkins Medicine

Your career will

To help achieve her vision, Vincent and the other Frontline nurses received Leading on the became the executive champion for mentoring and guidance from coaches take flight at the Frontline Nursing Leadership like staffing manager Meg Kriss, RN, who Front Line Program, and in February 2011, 50 found herself “inspired by the nurses’ The Crucial Role of Leadership Sibley nurses launched into a year of creativity, their determination, and at the Bedside specialized leadership training. The support for one another.” schedule included four full-day intensive Each coaching group was formed with by Kelly Brooks classroom sessions, regular meetings with nurses from different clinical specialty A refreshing environment…a challenging role…an opportunity to take your career to the next level – you’ll find it all at a leadership coach, and undertaking a units, giving them new opportunities to Sibley Memorial Hospital. Sibley is a widely respected, premier 318-bed community hospital located in a lovely residential Amy Peterson, RN, takes extremely neighborhood of Northwest DC. With our recent affiliation with Johns Hopkins Medicine, Sibley has expanded our resources good care of her patients and is full project to improve safety and patient care. form such strong relationships with their and capabilities, providing you an even more dynamic environment. It’s a supportive environment complete with ongoing of creative ideas to make improvements “I’ve been a nurse for a long time. colleagues that “now they’re resources to education and a mentor who’s perfectly matched to your goals to help you grow and advance in your field. In addition, we offer competitive wages and comprehensive benefits, plus free parking! Sibley currently has opportunities in the following areas: on her Neonatal Intensive Care Unit. In [The Frontline Leadership Program] each other,” says Susan Ohnmacht, MSN, 2010, she says, “I had reached a point in reenergized me,” says operating room MS, RN, associate chief nursing officer Labor & Delivery RNs my career where I wanted to be a part of (OR) nurse Jill Kalaris, RN. After and director of critical care and senior Bring your exceptional skills and nurturing spirit to Sibley. We are the area’s premier destination for expecting moms (with the solution and step outside the box.” observing OR physicians mixing an coordinator for the Frontline program. over 3,500 births annually) and we are currently expanding to include more LDRP rooms and a larger Special Care Nursery. Currently, Sibley offers state-of-the-art delivery rooms, three fully equipped operating rooms able to accommodate multiple Inspired by Peterson and other nurses intra-articular injection, she launched Kalaris, Peterson, and 44 other nurses births and two triage rooms. like her, Joan Vincent, MSN, MS, RN, a Frontline project to have the mixture graduated from the program in January Sibley Memorial Hospital’s senior vice made by the pharmacy instead. She 2012, earning continuing education Childbirth Educator worked diligently for a year to have the units and certification in the Center for Must be licensed as an RN in DC with 3+ years of experience in maternity nursing and/or childbirth education. president of patient care services and Attendance at a Childbirth Education training seminar of at least 18 hours duration also required. chief nursing officer, envisions a greater procedure changed. “Nothing is as quick Frontline Leadership. The program was role for Sibley’s nurses: women and men of a fix as you think it is,” she says. But so successful that it’s been enhanced— Lactation Consultant who strongly advocate for patients, Kalaris’s persistence will pay off in saved the curriculum now extends over two RN preferred with license to practice in DC. Requires certification by the International Board of Certified Lactation collaborate with physicians, role-model time, improved safety, and decreased years, and other professional disciplines Consultants and 3+ years of experience in counseling breastfeeding mothers. for other staff, and hold themselves and potential for error or contamination. are invited to join. As the first cohort OR/PACU RNs others accountable for their practice. Along the way, Kalaris, Peterson, of nurses continues its training in Sibley needs experienced OR/PACU RNs for our main operating facility. Sibley’s surgical services are expanding 2012, they are joined with the recent opening of our Ambulatory Surgery Center, featuring three operating rooms, high-definition by 20 new participants video systems and new endoscopic equipment. from nursing, imaging, ER RNs S tephen Vo ss laboratory, pharmacy, and Work in an ER that practices leading-edge emergency medicine in a patient satisfying environment. nutrition services. The 24/7/365 ER at Sibley treats nearly 30,000 patients each year. The department is divided into two areas: With the Frontline major treatment and a Fast Track area for minor complaints. program in place, the Nursing Informatics Specialist Hospital is seeing You will coordinate the overall assessment, planning, implementation and maintenance of EPIC inpatient clinical improvements in patient documentation systems for patient care services. safety and satisfaction, Positions require a DC license. nurse-physician relations, and nursing engagement. Learn more about our opportunities by visiting: www.sibley.jobs Eight Frontline nurses achieved recognition through the Hospital’s Professional Advancement in Clinical Excellence (PACE) program. The improvement is obvious to Vincent, who sees that Sibley nurses are now “more engaged

in their practice and have EOE/AA On March 9, 2012, Meg Kriss, Jill Kalaris, and Joan Vincent attended “Leading Change,” a training session part of the a vision for their profes­ Frontline Leadership Development program. sional development.” n

46 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 HOPKINSNurse News from Suburban Hospital Healthcare System, A Member of Johns Hopkins Medicine ContinuingEducation | from the Institute for Johns Hopkins Nursing

Blood Transfusion Reactions: What nurses need to know

Averting The goal of this continuing education activity is to provide nurses and nurse practitioners with knowledge and skills to recognize and manage Receive FREE contact hours! Patient Falls blood transfusion reactions. Below is an introduction of the topic. Read the article in full online. After reading this article you will be able to: To receive contact hours, visit Suburban Hospital Takes Big Steps www.nursing.jhu.edu/ce. n by Susan Middaugh Identify risk factors, signs, and symptoms of blood transfusion Register for this activity online, reaction read the article in its entirety, Patients wearing yellow socks or and complete the post-test and n Describe goals of care for a patient with a blood transfusion reaction yellow gowns. A yellow sign outside evaluation. a patient’s room. These “flags” remind n Describe evidence-based nursing and medical management of a Or, call 443-287-4745 to request nurses and staff at Suburban Hospital blood transfusion reaction materials in the mail. that these patients, most age 65 and over, are at great risk of falling. The signs and accessories represent just one dimension of a recent initiative by Suburban’s bedside Historically the largest risk posed nurses to reduce their inpatient fall rate. to a patient receiving a blood product Before the policy change, “we reviewed transfusion was the potential for an

falls on a retrospective basis in commit- IS t o ckph o. c m infectious disease being transmitted. tee,” says LeighAnn Sidone, MSN, RN, However, with the implementation of OCN, CENP, director of professional nucleic acid testing (NAT) and other practice and nursing quality. “We didn’t advanced infectious disease screening always have all the information we needed methods, this risk has significantly and lost an opportunity to teach.” decreased1. Currently, the risk of Now, a group of responders called Hepatitis B virus (HBV) transmission the Morse Team goes to the unit where is estimated to be 1 in 282,000 to 1 in a fall has happened within minutes of 357,000; the risk of Hepatitis C virus an occurrence. The team—a registered (HCV) transmission is estimated to be nurse, a nursing assistant, and a nursing Morse Team members and unit nurses respond to a patient fall. Pictured from left to right: Jessica 0.03–0.5 in 1,000,000; and for Human supervisor from a different unit—speaks Larsen, Rosemarie Gurion, Carolee Beckford, Huratu Savage, Jennifer Morfino. Immunodeficiency virus (HIV) the with the patient and the patient’s transmission risk is estimated to be nurse and nursing assistant to find out Prevention is also intrinsic to the Suburban’s inpatient fall rate has 1 in 1.5 to 1 in 4.3 million2. With what happened and what corrective nurses’ agenda. Finding solutions to help been below the national benchmark the decline in the infectious disease steps might avert a future mishap. prevent falls and to better understand for five straight months. She credits transmission risks, the focus on blood “The goal is to assess the situation, why falls happen was shared by Intensive Care Unit nurse Carolee transfusion therapy complications has look for opportunities to improve, and Suburban’s four nursing councils. The Beckford, RN, CCRN, who chairs the shifted to those of a non-infectious educate their peers on the spot,” says councils included bedside nurses every NQSSC, with spearheading the change, nature, such as blood transfusion Sidone. The team, which also includes step of the way. What emerged was a implementing the new protocol, and reactions. The role of nursing in a pharmacist, gathers data to identify need for education across a spectrum making tweaks, such as rotating the Author: Rebekah M. Zonozy, MSN, Association of Blood Banks, and the the identification and management potential con­tributing factors such as the of caregivers. “Nurses wanted to better staffing responsibility for the Morse Team CRNP, RN Joint Commission regulate how blood of non-infectious complications patient’s mental status and medications; understand the circumstances leading throughout the hospital. products are procured, stored, prepared related to blood transfusion therapy is hazardous conditions, such as lighting to a patient fall. The Morse Team “At first some of the bedside nurses lood transfusion therapy can be a and administered to the recipient. absolutely crucial. and floor surface; staffing; interventions evaluation provides that information,” were tentative about taking a leadership life-saving measure for patients; made or not; and caregivers’ awareness explains Sidone. Each nursing unit also role and uncomfortable with peer-to- however, there are a variety of B The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the of the patient’s risk level. The data is had to recommend an action plan. One peer review,” says Beckford. Recently, complications that can occur both during American Nurses Credentialing Center’s Commission on Accreditation. recorded on a form and shared with unit, for example, found that falls were they’re “learning to critique each other and after a transfusion that pose serious This 1.0 contact hour Educational Activity is provided by the Institute for Johns Hopkins Nursing. the unit director and with that group’s more likely during a shift change. Now constructively. It’s a culture shift and the risk to the patients receiving this therapy. The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing representative to the Nursing Quality nurses help their patients with toileting first major undertaking by bedside nurses Some of the risks associated with blood education by the American Academy of Nurse Practitioners: AANP Provider Number 061216. Safety Service Council (NQSSC). the hour before. relative to patient safety and front-line transfusions can be life-threatening, This program has been granted 1.0 contact hours of continuing education (which includes 0.2 of The Council has the responsibility for Sidone considers the new policy accountability. With the Morse Team we and it is for this reason the Food and pharmacology hours). identifying trends. a success. Since it began last August, learn every day.” n Drug Administration, the American Contact hours will be awarded until April 15, 2014.

48 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 49 VIGILANDO News from the Johns Hopkins Nurses’ Alumni Association

This year, the Johns Hopkins Alumni graduation professional experiences, Alumni Update Hopkins Engages Nursing Alumni in Florida Association announced a strategic offer advice, and answer questions. Tina Cafeo, MSN ’97, RN decision to eliminate annual dues across Let us know if you are interested in by Jon Eichberger President, JHNAA the entire University. It is our hope that participating in any of these panels. hree top nursing schools—Johns opportunity to address the critical am pleased to report that you, our nursing alumni, will The Membership Committee’s other Hopkins University, University issues that currently face our nation’s Lindsay Dorrance is the remain active and generous important initiatives include sponsoring T of Alabama at Birmingham, and Duke healthcare system,” said Hill. “Medical new director of alumni in supporting our School and the pinning ceremonies for our nursing In Memoriam I University—visited southwest Florida advancements have changed healthcare relations for the School of students. We continue to graduates as well as supporting the work in January to mix and mingle with and made nurses more essential than ever Nursing. In the near future, seek nursing graduates, both of regional alumni groups. Helen Cunningham Crocker ’40 alumni and to present current views before. People are living longer and are she will work with the past and present, to join our Please continue to submit your Rosanna Deaderick Bounds ’41 about the changing role of nurses in living with chronic illnesses that just a Alumni Association to form efforts to lead our alumni current information, such as contact Evelyn Conran Purdy ’44 disease prevention and coordination few decades ago would have shortened a strategic planning group association into the future. details and your nursing specialty, to Beatrice Copeland ’45 of healthcare. their life span. More and more, nurses to determine our future Those of you who live and the Alumni Office. This enables the Darthea Bell Keith ’45 At networking luncheons in and nurse practitioners are the healthcare direction and goals. work in the Baltimore and office to provide contacts for students Wilma Jean Palmer Bloom ’46 Naples and Tampa, the three deans— professionals caring for these patients.” Our alumni weekend the mid-Atlantic region in various cities. It also expands our Laura Brautigan June ’46 Hopkins’ Dr. Martha Hill, Alabama- The deans also led a panel discussion event in 2012 will remain can be especially helpful nursing community, provides resources Jean Douglas McNab ’46 Birmingham’s Dr. Doreen Harper, and and a Q&A session during the event. similar to past years with a few minor by offering your time and talents. We and mentors to students, and keeps Lela Cornett Souders ’47 Duke’s Dr. Catherine Gillis—updated The panels comprised current students and exciting schedule changes. The are looking for committee members and you informed about events and updates Miriam Haugh Conner ’48 alumni on issues facing nurses and and recent graduates from each of the Alumni Weekend Committee is also chairs to lead initiatives and assist in the from the School. You may send your Mary Moseley McDowell ’53 nursing schools today. They noted that three schools. in the early stages of exploring several engagement of alumni and students. information and offer comments and Mary Jane Beck Reynolds ’54 as baby boomers age and the need for James Kelley, Johns Hopkins School of new events to engage alumni. Some The Membership Committee will suggestions to [email protected] or call Kathleen McCormick Daughtry ’55 more healthcare providers grows, and Nursing associate dean for development ideas include a community project with continue to work with the Alumni Office 410-955-4285. Be a mentor, a regional Robert Steinberg, husband of Sandy as healthcare reform takes shape, it is and alumni relations, said the events were students (“A Day of Service”) and an to present networking events for students. alumni leader, or committee member. Harvey Steinberg ’55 increasingly important for schools of such a success that the School of Nursing event to coincide with the University’s These events allow graduates to participate Most important, be an active member Franchelle Wilkinson ’55 nursing to prepare nurses to effectively plans to hold similar events in the Florida alumni weekend in May 2012. in an informal panel and discuss their post- of JHNAA. Son of Shirley Carenbauer lead and deliver quality healthcare. area next winter. He adds, “We have also Reischman ’67 Each described their school begun to explore partnering with other Mildred K. Thornton ’75 as thriving by focusing on the peer nursing institutions to offer events CLASSNews Bessie Flowers Barranger ’77 everchanging healthcare needs of the around the country. We hope to see Maria Ebbe Sliwinski ’77 populations their graduates serve and alumni at these events, too.” Robin Wantz, MSN ’97 ’46 Our deepest sympathy is extended to ’50 Class Reporter—Betty Borenstein and her family, then visiting a son on the lake by collaborating with alumni who play For a list of upcoming alumni the family of Laura Brautigan June who died Scher, (443) 449-5934, [email protected]. in IN. She then flew to Phoenix to visit another vital roles in front-line healthcare events visit www.nursing.jhu.edu/ Feb. 12, 2012. Mrs. June was one of our most Cora Jane Lawrence has a new address, daughter, but promises to get back to Baltimore graduation. She worked to help him through delivery. Their most effective nursing alumnievents. faithful class reporters—always sending us having moved to a retirement community for for a visit soon. Mary Agnes Hull Stewart is medical school, and he had been her chief education programs information about her classmates and keeping a “wonderful new home and life.” She is still now living in an Alzheimer’s unit in a skilled caregiver for the last 2½ years, increasing greatly everyone up to date on the congressional active, sings in the vesper choir, and enjoys a nursing home. Her daughter-in-law writes that his regard for the nursing profession. A Center of are those in which bill regarding cadet nurses. She will definitely fabulous view of the mountains and bay nearby. the “only thing she speaks of is Johns Hopkins, Nursing Excellence is being planned at the Ohio students, faculty be missed. She says, “This is the best decision I ever made.” and she keeps a small photo album of your nurs- hospital in which she had been a patient several and alumni work Marion Bee is still enjoying retirement with ing class in her pocket.” A few “class husbands” times, and he and daughter Karen, who has spent together—sharing ’47 Rally forth family, pets, gardening, reading, game shows, have also sent news of their families. Charlie 15 years as a nurse there, were among those critical information ’Tis the year and relaxation. She is glad she lives up and away Royer writes that he is doing well, visits family chosen in the planning. and observations For our 65th from the Mighty Mohawk River and was able and neighbors, and keeps busy. Bob Hunter is that often lead to Celebration to escape the floods a few months ago.Janey enjoying life and sends greetings from himself ’55 Class Reporter—Margie Barber Trever, Calling on all Shutts Pinkerton still enjoys life in NC, where and wife, Jo. As for me, Betty Borenstein Scher, (410) 822-0479, [email protected]. Art new partnerships and The well tuned she and Pinky spent the holidays with family. I’m not as good as I used to be, but I’m doing Brecher, husband of Laura Lyman Brecher, one opportunities—to make With priceless wisdom Jo McDavid Hubbard sends greetings from KY, quite well anyway, and continue to do volunteer our most faithful correspondents, sent word that communities healthier To hear and see where she is doing well, though Stan has had work, read, do jigsaw puzzles, visit with my she would no longer be able to write us, now and provide greater The rewards of our journey severe circulation problems in both legs, had to children, and exercise. being in a care facility, the victim of vascular access for patients, from The Johns Hopkins University have one leg amputated, and is now confined dementia. She had worked as a homecare nurse primary to critical care. School of Nursing to a wheelchair. But, they enjoyed having their Dr. Dick Reynolds sent word of the before her retirement and had spent time since ’54 “Nurses and Doctor of Nursing Practice student Godfrey Katende (center), met Tops in the nation! children and grandchildren for the holidays. death of his wife of 56 years, MJ Beck Reynolds volunteering to help former patients so they nurse educators Dorothy Horne, Dietician Class ’44 (left), and Kay Potter ’46 September 27-29, 2012 Ella Ruth Stilz Whitmore has been traveling, on November 5, 2011. They met when both could remain in their homes. Their two adopted (right) at the networking luncheon held in Naples. —Elsie Peyton Jarvis, Feb. ’47 spending one week in Aruba with one daughter were students at Hopkins and married upon her children, a son—an opera tenor, and daughter— have an incredible

50 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 51 Vigilando News from the Johns Hopkins Nurses’ Alumni Association

a great mom, and five grandchildren reside on from two to 23, including grandchildren and ’65 Dr. Carol Landis, professor at University Deadline for the next issue of the west coast. Sandy Harvey Steinberg had a great-grandchildren. Most are not nearby, but of Washington School of Nursing, received the New Director of Alumni Relations Vigilando: May 21, 2012. defib/pacemaker placed in June, and though she they still enjoy getting together when their 2011 Pathfinder Award at the annual Friends of does not feel much different, her ejection frac- schedules coincide. Though Parkinson’s keeps the National Institute of Research NightinGala indsay Dorrance, the new director the many such opportunities she is tion has improved. Her husband, Bob, whom she Bob, my husband, from doing what he is used to, in November. The award recognizes a nurse She has been living in Albuquerque since 2004 Lof alumni relations at the Johns now planning with alumni are regional had cared for with Parkinson’s disease for several he and I are able to walk our dog on the local researcher whose long-standing commitment and working in IT Project Management for Hopkins University School of Nursing, networking events, social media years, died October 20. Char Lee Williams and Rails-to-Trails every day. He is up to 1½ miles has made a difference in the lives of community Clinical Computer Systems for Presbyterian joined the School in February and is groups, alumni-student mentorship Bruce spent the holiday season with daughter now. Bob has learned how to access info on the members and their healthcare needs. Healthcare. Gail had a successful knee replace- now designing opportunities for alumni programs, and Alumni Weekend. Carol and their two talented grandchildren in Internet and enjoys watching old movies. Please ment in 2010. However, afterwards she devel- to remain involved with the School and Prior to Hopkins, Dorrance San Antonio, amazed with all the outside activi- take a look at Sachi’s picture on the inside back ’67 Class Reporter—Barbara Jo Glynn, oped a popliteal artery clot in that leg, which ties in which they are engaged, and feeling very cover of the Winter 2011 Johns Hopkins Nursing (410) 243-5591, [email protected]. Patti led to some significant health issues. Although to connect or reconnect with fellow worked for the Graduate School blessed. Carol Straub Guilbert is now retired magazine. She was working in the orthopaedic Wilcox-Honnold was diagnosed with a rare she was not planning on leaving her job at this Hopkins Nursing graduates and students. of Architecture, Planning, and but has services and other ministerial functions outpatient department at the time. Kay Smith disease called calciphylaxis in July. She is cur- point, Gail is starting to settle into retirement. “Lindsay’s proven track record Preservation at Columbia University at the nursing homes in the area. Dick still plays Burr continues to wear an obturator for a hole in rently undergoing treatment at the Mayo Clinic Anne Bienvenu Broussard retired from nursing of engaging alumni with each other in New York. At Columbia she tennis and keeps busy with his business. Helen her upper palate. Further surgery is not advised. and asks her classmates for their thoughts and after a 44-year-long nursing career, with the and with students through programs was responsible for the strategic Burdick Sloat has retired after 24 years as a prayers. Shirley Carenbauer Reischman last 28 years in nursing education. She was a and events will benefit the School of planning and implementation of supervisor at a long-term nursing facility and ’62 Charlotte Daniher Writer recently lost her 36-year-old son to a heart attack early professor and the BSN coordinator at University Nursing and our alumni from around the alumni relations programming is writing her memoirs. John has just published retired as a pediatric nurse practitioner in last year and also lost two close friends. She of Louisiana at Lafayette for the last six years. the country,” says James Kelley, for the school, which included seven another book, Moving Beyond the Christian Myth: Veneta, OR. During her years of service she recently retired and is living at her home in Her retirement plans include travel, time with The Next Step in Our Spiritual Evolution. If anyone managed a Healthy Tomorrows grant and initi- Pensacola, FL, where it’s warm! Gail Gerstner family and two grandchildren in Austin, as well associate dean for development and degree programs. wants a free copy, inquire at www.beyondreligion. ated a fluoride varnish program in the commu- Rathburn will not be able to attend the reunion as creative and spiritual pursuits. alumni relations. She holds a master of science com. Married 56 years, the Sloat clan has grown nity. She would love to hear from classmates. but is still excited to hear from her classmates. In the coming months Dorrance in fundraising management and ’98 Master’s Sharon Ann Myers worked hopes to have many conversations nonprofit administration as well as as the director of quality management at the with School of Nursing alumni. “I a master of arts in modern art from King Abdulaziz Medical Center in Jeddah, Saudi want to gain a sense of their needs and Columbia University. She earned her Arabia, and successfully led the facility through interests so the alumni office can serve undergraduate degree from Trinity its first Joint Commission Accreditation. She also served as senior consultant to the Makkah as a resource to develop the academic College in Connecticut. Region Quality Program and the Central Board and social interactions that strengthen Dorrance can be reached at UPCOMING EVENTS of Accreditation of Healthcare Institutions relationships,” Dorrance notes. Among 410-955-4285 or [email protected]. (CBAHI) in Saudia Arabia, where she assisted in the development of the first Hospital Annual Spring Tea Standards Manual, which has been approved May 9, 1:00 pm–3:00 pm by the Ministry of Health for implementation. W i ll K irk Octagon House, Mount Washington Subsequently, she assisted CBAHI in develop- ing their national survey process. She was the Johns Hopkins Nurses’ Alumni Association & Church Home & Hospital School of Nursing assistant director of Nursing at Johns Hopkins Alumni invite you to join them to renew the tradition of nurses enjoying afternoon tea Continuing Care Center in Baltimore where and sharing special memories. she led nursing groups to develop a career ladder RSVP by May 2, 2012 | Cost: $25.00 | Make Checks Payable to: JHNAA for nursing assistants in long-term care, which Mail Checks to: won the Innovations in Nursing Practice award. 20 Jackie Gray, JHUSON, 525 N. Wolfe Street, Baltimore, MD 21205 Ms. Myers is currently the quality management Questions: Call Deb Kennedy at 410-893-2421. officer at Midsouth Healthcare Network in the VA and is also an adjunct associate nursing SAVE THE DATE FOR THESE EVENTS (Venues TBD) professor at Vanderbilt School of Nursing. She Alumni-Student Happy Hour Robb Society 2012 Alumni Weekend is a recognized international speaker on indica- May 8, 6:00–8:00 p.m. Leadership Dinner September 27, 28 and 29 tors and measurement, quality concepts, and Baltimore, MD September 29 Baltimore, MD patient safety. She holds numerous certifications In honor of National Baltimore, MD Whether you graduated and memberships in healthcare, quality, and Nurses Week Sponsored by the Johns 50 years or five years risk managements, and is an author in the 12 Hopkins University School ago, from Hopkins or areas of patient safety and accreditation. She Alumni Lunch in Portland of Nursing for donors of Church Home, come join has recently published an academic book June 29, noon $1,000 of more. your nursing colleagues. For more information visit Portland, Maine based on her clinically tested systems model for Sponsored by the Johns patient safety and hospital accreditation. Patient www.nursing.jhu.edu/alumnievents Hopkins Nurses’ Alumni. Lindsay Dorrance (center) receives a warm welcome from Deb Kennedy (left), past Safety and Hospital Accreditation: A Model for or contact Lindsay Dorrance at president of the CHH School of Nursing Alumni Association, and Paula Kent (right), Ensuring Success is published by Springer and 410-955-4285 or [email protected] past president of JHNAA. available at booksellers.

52 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 53 G O E

Vigilando S For alumni of the Church Home and Hospital School of Nursing O Vigilando/Church Notes E R V By Deborah Corteggiano Kennedy, ’73

team leader/charge nurse from 2008-2011. In ’07 Accelerated Maura Carroll is living Freda Creutzburg Scholar Announced Class Reporter—Sarah Gauger, (919) ’00 October 2011, she became the new FEP case in rural Lichinga, Mozambique, for a year and 321-8849, [email protected]. Kisten Nolan manager for CareFirst BlueCross BlueShield. is working with HIV/AIDS patients with a t is my pleasure to announce the 2012 advertising industry, Weinberg decided to had a baby boy on Halloween 2011. Bekah Her new hobby is learning how to cook for her team from Doctors Without Borders. She is recipient of the Freda Creutzburg return to school to pursue her passion of I st o ckph t o. c m Frank Kittredge is now working full-time at I new husband, Fernando. In celebration of his currently providing technical support for nurses Dartmouth-Hitchcock in Manchester, NH, Memorial Scholarship. Caitlin G. becoming a nurse. In the future she hopes Mexican heritage and her love for Hawaiian and midwives while supervising and evaluating as a certified nurse-midwife and is loving Weinberg is a traditional BS student who to specialize in pediatrics. In her letter to culture, they had a small private wedding on May the quality of treatment and care of pregnant it there. Jeff McFarlane is now a certified expects to graduate in May. Weinberg the CHH alumni, Weinberg expressed 5, 2011, on the island of Oahu. They exchanged women infected with HIV. This project is a part Otorhinolaryngology nurse—ARNP-C, vows at the Ocean Crystal Chapel of the Hilton of the United Nations Global Plan to eliminate holds a bachelor’s degree in international her sincere appreciation. “I am greatly CORLIN. He works at South Coast ENT in Hawaiian Village followed by an oceanfront luau mother-to-child transmission by 2015. affairs and spanish from James Madison honored and appreciative. I hope my FL (www.otodocs.com). Jennifer Moran at the Bayer Estate of Aina Haina. This year on University, with a minor in Russian work as a nurse honors Miss Creutzburg’s married in April 2011 and lives in Honolulu, HI. Cinco de Mayo, they will renew their vows in Accelerated Amanda Staub Rossman studies. After working five years in the strong legacy,” she said. She works as an acute care NP in the Neuro ’08 her home country, the Philippines. is currently a CRNA student at York College of ICU at Queen’s Medical Center. Katie Pennsylvania and recently won the American Weatherbe Kotopoulos and her family Accelerated Meliza Lavin Weir is Association of Nurse Anesthetists (AANA) sadly left East Africa (Rwanda and Eastern ’06 currently enrolled in the MSN/APN Adult student writing contest. Her paper, titled DR Congo) in 2011 and now live in Dhaka, Primary Care/Palliative Care and is working “The Physiology of the Nicotinic Acetylcholine Bangladesh. Her husband took a promotion at the New York University Medical Center’s Receptor and its Importance in the Admin­ within World Vision. Katie stays home with Emergency Department in NY City. In her spare istration of Anesthesia,” was published as their three little boys. time, she continues to attend theater and dance an article in the October 2011 issue of the performances, running, and volunteering in AANA Journal. After three years of travel nursing, ’03 the community. In 2010, she raced in the NYC Jhodie de los Reyes Garcia Martinez returned Triathlon. In December 2011 Jacqueline Pareso For more details and photos, go to to Washington DC in 2008 and purchased her Root earned a master’s degree in nursing from www.nursing.jhu.edu/alumninews. first home in Cleveland Park. She worked at Villanova University School of Nursing. George Washington University Hospital as a

Third Annual Tea Who is this Alumna? n Wednesday May 9, 2012 the OThird Annual Alumni Tea will Who was the first nurse in any school of nursing to be appointed be held at “The Octagon” at Mount as a full-time nursing instructor? Washington. This is the lovely building and venue where the Church Home and By Betty Borenstein Scher ’50 Hopkins archives are kept. Please see n 1907, when trailblazer. Upon graduation she became to her because Carr had also been the first the Upcoming Events announcement on IM. Adelaide a head nurse, and in 1897 Nutting editor of the Johns Hopkins Nursing Alumnae page 52 for details and information about Nutting appointed appointed her to assistant superintendant Magazine when it was created in 1901. how to register. Ada M. Carr, of the Johns Hopkins Training School Before her interests led her to the Deb Kennedy ’73 and Caitlin G. Weinberg ’12 stand next to the portrait of Freda Creutzburg. Please call me (Deb Kennedy, class of 1893, as a for Nurses. She left Hopkins later that public health field, she gained significant 410-893-2421) if you want to attend but full-time instructor year to become superintendent of the nursing experience. In addition to are in need of transportation. I will try in the Hopkins Instructive Visiting Nurse Association her positions at Hopkins, Carr held and assist with getting you a ride. I’m Training School, it of Baltimore and led its expansion from superintendent of nursing positions In Memoriam looking forward to seeing lots of hats was an innovation a single visiting nurse to six nurses at hospitals in New York City, Rhode again this year. So, get out your favorite in the field of Island, and New Jersey. Myrtle Miller Watson, ’35 Jean Frankland DeHoff ‘52 chapeau and plan to attend. Ada M. Carr: an who provided home care to patients. Mina B. Hansen ‘40 Joan Hurley Murphy ’52 nursing education. excellent nurse, an She also organized classes for poor and Carr’s sister recalled that Ada was Previously, nursing excellent trailblazer, undereducated Baltimore residents to rarely seen without a book. She also Mary Ann McLin ‘45 Deborah J. Lewis-Miller ‘68 Transcripts: Quinlan Storage students were taught and an excellent and help them gain employment. wrote poetry, which frequently found its Suzanne L. Richard ‘51 Vickie Dufour Saraullo, ’75 (888-416-5353, ext. 7550 or 3907). by nursing staff complete person. In 1912, the National Organization of way into the alumnae magazine, along Contact Aniese Gentry. members—who also Public Health Nursing was formed. Carr with the many other articles she wrote. carried heavy administrative duties— joined this national movement, becoming For more information visit Send your news and address changes to: or by physicians. the first editor of its magazine,The Public www.medicalarchives.jhmi.edu/ Deb Kennedy, 1990 Gulfstream Court, Forest Hill, MD 21050; 410-893-2421, [email protected]. This was not the first time Carr was a Health Nurse. But that, too, was not new papers/carr.html.

54 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 J o h n s H o p k i n s N u r s i n g | m a g a z i n e . n u r s i n g . j h u . e d u 55 DEFININGMoments Johns Hopkins University School of Nursing Advisory Council

Walter D. (Wally) Pinkard, Jr.* (Chair) Leslie Mancuso, PhD, RN, FAAN Chairman President and CEO Cassidy Turley Jhpiego

Marianne Andreach Gerry Peterson, RN ’64, MA Senior Director, Business Development Past President The Medicines Company JHU Alumni Association

Edwin Avent Judy A. Reitz, ScD Former President/CEO and Publisher Executive Vice President/COO Heart & Soul Magazine The Johns Hopkins Hospital

Deborah (Deb) Baker, DNP ’11, MSN, ’97, Wayne N. Schelle, A&S ’58** Accel. ’92, CRNP Chairman Director of Nursing Wayne N. Schelle, Ltd. Department of Surgery The Johns Hopkins Hospital Thomas (Tim) Schweizer, Jr. President Judith (Judy) Campbell-McKennis ’60 Brown Advisory Securities, LLC

Gail Cassell, PhD Clair Zamoiski Segal Former Vice President, Scientific Affairs President Eli Lilly and Company Clair Zamoiski Segal, LLC

Bowers Espy Mary Jo Wagandt Retired Managing Director Representing The Women’s Board Merrill Lynch The Johns Hopkins Hospital

Steve Fanning Sandra L. Winfield, RN ’70, NP, Lic P, President and CEO PPEMS, Chief Solta Medical, Inc. Co-founder WinSystems, Inc. Maria Boyd Fazio, BS ’87* Chief PPEMS Pecan Plantation Volunteer Fire Brent A. Hanson Department & EMS, Inc. Founder Healthcare Management Advisors Mary Woolley President and CEO Deborah Kennedy, CH ’73, MS, RN Research!America Past President Church Home & Hospital School of Nursing Alumni Association Honorary Members Ernest Bates, MD, A&S ’58** E. Robert (Bob) Kent, Jr. Chairman and CEO Director American Shared Hospital Services, Inc. Alex Brown Realty Claire M. Fagin, PhD, RN, FAAN Helen Kim Professor and Dean Emerita Interim CEO University of Pennsylvania TRF Pharma, Inc. School of Nursing Interprofessional Education—Yesterday Johns Hopkins nursing students participate in teaching rounds with an assistant resident physician. *University Trustee Nursing students spent time with medical residents in each department to learn about the complexities of **University Trustee Emeritus various cases they could encounter as nurses.

The photo, taken in 1959, was published in a recruitment brochure called “Student Nurse at Johns Hopkins.” (Pictured from left to right: Jill Ward ’59; Donna Hayes ’60; unidentified nursing student; Marlene Lowder ’60; unidentified resident physician.)

Photo courtesy of The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions

56 J o h n s H o p k i n s N u r s i n g | S p r i n g 2012 Non-Profit Org. US Postage Johns Hopkins University PAID School of Nursing Hanover, NH 525 N. Wolfe Street Permit No. 65 Baltimore, MD 21205 www.nursing.jhu.edu

Printed on paper containing 10% recycled fiber Discover Johns Hopkins doctoral nursing education

The Doctor of Philosophy (PhD) for research leaders. Advance the science of nursing and healthcare.

The Doctor of Nursing Practice (DNP) for clinical leaders. Advance the practice of nursing and improve health outcomes.

Choose your path at the Johns Hopkins University School of Nursing—a place where exceptional people discover possibilities that forever change their lives www.nursing.jhu.edu/doctoral and the world.