Fall 2018

University of Miami School of Nursing and Health Studies

CELEBRATING YEARS— 70 MOVING FORWARD

ON A MISSION PILLARS OF THE COMMUNITY A YEAR OF SIMULATION Q&A: DEAN MUNRO fall 2018 contents EDITORIAL CONTRIBUTORS features Marina Alvarez, B.G.S.C. ’03 SONHS Executive Director On a Mission Rosa M. Lamazares-Romero 10 SONHS Assistant Director, When faculty and students touch down in Haiti to care for the residents of Communications and Marketing Thomonde, few things are certain. Thankfully, Jude Dhaiti is one of them. Robin Shear Pillars of the Community SONHS Senior Editor, Communications 14 Over the course of their final semester, public health students from the School Mike Clary of Nursing and Health Studies don’t just do outreach in the community, they Carlos Harrison help design research-based interventions. Yolanda Mancilla Ginny Pickles Real Connections in a Simulated Setting Maggie Van Dyke 18 In its first year of operation, the Simulation Hospital has become a very busy Jessica Weiss place for education, research, and technology—and that’s a good thing for

UNIVERSITY COMMUNICATIONS health care and public safety in the region.

Jacqueline R. Menendez, A.B. ’83 Celebrating 70 Years—Moving Forward Vice President for Communications 22 Dean Cindy L. Munro shares insights on the school’s 70th anniversary, Matthew McDonald shifting currents in health care, and her strategy for steering the SONHS to Associate Vice President new horizons in her second year at the helm. for Communications Meredith Camel, M.F.A. ’12 Executive Director for Communications departments Lisa Kuehnle Senior Art Director 2 Leadership Touch the future with a Nicole Andújar Senior Graphic Designer 3 Dean’s Message Angie Villanueva, A.B. ’12, M.B.A. ’18 planned gift to the School of Production Manager Vital Signs 4 Promoting Health and Hope for All of Us • SONHS by the Numbers Heartbeat is published twice a year Foronda Named Macy Faculty Scholar • Public Health Degree Earns by the School of Nursing and Health Studies National Accreditation • Jonas Scholars Named • First Helene Fuld Nursing and Health Studies. (SONHS) and the University of Miami Office of A.B.S.N. Scholars Tapped Communications and Marketing. Heartbeat is distributed to alumni, faculty, staff, and friends of New Faces at the SONHS Bequests and other planned gifts help the School increase the SONHS. Reproduction in whole or in part 26 without permission is prohibited. Postmaster and scholarship opportunities, expand academic programs, and support others, please send change of address notification Faculty Honors to Heartbeat, School of Nursing and Health 30 innovative research for years to come. The University of Miami’s Office Studies, P.O. Box 248153, Coral Gables, Florida, Faculty Profile of Estate and Gift Planning can help you explore options that balance 33124; telephone 305-284-3666. Contributions of articles and artwork are welcome, but Heartbeat 32 Juan M. González accepts no responsibility for unsolicited items. your philanthropic goals with your financial needs and tax-planning Class Notes strategies – helping you plan for your future, the School’s future, The comments and opinions expressed in this 33 Updates from SONHS grads magazine do not necessarily reflect those of the and all of our futures. Leave a legacy of caring and healing. Alumni Profile University of Miami or the staff of Heartbeat. 35 Copyright © 2018, University of Miami. An Rosemary Lohlein, C.N.P. ’79, and Robert Charles Lohlein, B.S.N. ’17 Equal Opportunity/Affirmative Action Employer. Student Profile To learn more about making a planned gift, please visit our website at 36 UNIVERSITY COMMUNICATIONS 18-074 Stephanie Lozano miami.edu/plannedgiving or contact Cynthia Beamish, Executive Director, Office of Estate and Gift Planning. 305-284-2914 • [email protected] or Paul Metcalf, SONHS Development Director. 305-284-1785 • [email protected]

SONHS Advancement [email protected] 305-284-1563 www.miami.edu/SONHS 10 14 18 22 leadership dean’s message

UNIVERSITY OF MIAMI School of Nursing and Health Studies The School of Nursing and Health Studies at 70: ADMINISTRATION FACULTY Cindy L. Munro, Ph.D. Steve Alves, Ph.D. Yui Matsuda, Ph.D. Novel, Optimistic, World-Changing Dean and Professor Professor of Clinical Assistant Professor John M. Clochesy, Ph.D. Patricia Amado, Ph.D. Brian McCabe, Ph.D. This year, the School of Nursing and over one year ago, has become a hub for Please join me Research Associate Professor Vice Dean and Professor Assistant Professor of Clinical Health Studies is proudly celebrating its education, research, testing, and training— for an informal Evan M. McEwing, D.N.P. Jeffrey Groom, Ph.D. Debbie Anglade, Ph.D. 70th anniversary, a momentous occasion a critical step toward improving health care conversation in our Assistant Professor of Clinical Lecturer Associate Dean for Simulation Programs, that coincides with the unveiling of the and public safety in the region. This cover story— Director, Nurse Anesthesia Program and Susana Barroso-Fernandez, Ph.D. Adrian Mesa, M.S.N. Professor of Clinical Assistant Professor of Clinical and Lecturer University of Miami’s Roadmap to Our transformational facility has been the locus “Celebrating Director, Simulation-Hospital Special Projects Martin M. Zdanowicz, Ph.D. Victoria Behar Mitrani, Ph.D. New Century. These events herald an for a year of regional and international 70 Years at the Associate Dean for Health Studies Patricia Larrieu Briones, D.N.P. Professor exciting new era for the University and the collaboration, communication, and SONHS—Moving Assistant Professor of Clinical and Professor of Clinical Greta Mitzova-Vladinov, D.N.P. SONHS. We have eagerly embraced three innovation at the vanguard of health care Forward”—where I’ll share Rosina Cianelli, Ph.D. Assistant Professor of Clinical and Associate Charles A. Downs, Ph.D. Director, Nurse Anesthesia Program of the Roadmap’s strategic priorities: simulation. And, importantly, it has my thoughts about our key strategic Associate Dean for Research, and Associate Professor and Director, Associate Professor M.S.N.-D.N.P. Program Anne E. Norris, Ph.D. mission-driven research, education for life, provided an unmatched setting to support initiatives, the shifting currents in health Professor and hemispheric leadership; these are our our strategic priority of education for life. care, the culture of belonging that infuses Mary Mckay, D.N.P. Nichole Crenshaw, D.N.P. Assistant Professor of Clinical Associate Dean for Nursing Undergraduate Brenda Owusu, D.N.P. guiding stars as we navigate toward a future In “Pillars of the Community,” you’ll everything we do at the school, and my and Director, Adult Gerontology Programs and Associate Professor of Clinical Assistant Professor of Clinical and Acute Care Nurse Practitioner Program Director, Adult-Gerontology Primary Care that will see our graduates taking their place read about how our novel undergraduate plans for steering the SONHS toward new Johis Ortega, Ph.D. as leaders among the next generations of public health program is teaching students horizons as I begin my second year at the Giovanna De Oliveira, Ph.D. Linda M. Parker, D.Sc. Associate Dean for Hemispheric and Global Assistant Professor of Clinical Research Assistant Professor health care clinicians and researchers in to carry forward our tradition of advocacy helm of this extraordinary school. After Initiatives and Associate Professor of Clinical Joseph De Santis, Ph.D. Andrew Porter, Ph.D. South Florida and throughout the globe. for vulnerable populations. Partnering with seven decades of progress, our journey is still Mary Hooshmand, Ph.D. Associate Professor and Assistant Professor of Clinical In this issue of Heartbeat, we proudly nonprofit organizations, seniors are an adventure on which I’m excited to Associate Dean, D.N.P. Programs, Interim Director, Ph.D. Program Interim Associate Dean for Master’s Programs Susan Prather, Ed.D. recognize and honor our 70-year legacy of designing and implementing interventions embark every day! and Assistant Professor of Clinical Diego Deleon, M.D. Assistant Professor of Clinical Senior Lecturer academic, clinical, and research excellence, aimed at improving community health. Sean Kilpatrick, M.S.Ed. Carmen Rosa Presti, D.N.P. Ruth Everett-Thomas, Ph.D. Assistant Professor of Clinical and look ahead with optimism and hope With our fifth graduating class of public Cindy L. Munro Assistant Dean of Student Services Assistant Professor of Clinical Regine Reeves-Placide, M.S.N. toward our 100th year. The articles in this health students, we’re demonstrating how Ph.D., R.N., A.N.P.-B.C., F.A.A.N., Marina Alvarez, M.S. Ashley Falcon, Ph.D. Lecturer issue showcase the ways in which the long-term community building leads to F.A.A.N.P., F.A.A.A.S. Executive Director, Operations and Research Assistant Professor of Clinical Deborah J. Riquelme, Ph.D. SONHS is building on its legacy while lasting impacts. Dean and Professor Zuny Fernandez, B.S. Cynthia Foronda, Ph.D. Assistant Professor of Clinical working to fulfill its strategic priorities. In these pages, you’ll also meet two Director, Budget Associate Professor of Clinical Deborah Salani, D.N.P. In “On a Mission,” you’ll go on a distinguished nurse leaders and researchers Karina Gattamorta, Ph.D. Associate Professor of Clinical and Director, ADVANCEMENT Research Associate Professor Undergraduate Nursing Accelerated Program medical mission to Haiti, where you’ll meet who have recently become part of the SONHS staffer Jude Dhaiti, who was born SONHS family. As vice dean and professor, Paul A. Metcalf, Ph.D. Nicole A. Gonzaga, D.N.P Jill Sanko, Ph.D. Assistant Professor Director of Development Assistant Professor of Clinical and raised in Haiti, and read about how he Dr. John M. Clochesy will play a critical Juan E. Gonzalez, Ph.D. Kenya Snowden, D.N.P. is going back there time and again to make role in advancing our school’s strategic Assistant Professor of Clinical 2018-2019 Director, Nurse Anesthesia Program a difference in communities with little or no vision in the areas of mission-driven and Professor of Clinical VISITING COMMITTEE Beatriz Valdes, Ph.D. access to health care. Through his selfless research, education for life, and hemispheric *Jayne Sylvester Malfitano, Chair Juan M. Gonzalez, D.N.P. Assistant Professor of Clinical service, he has earned his place at the heart leadership. Dr. Charles A. Downs, a Lissette M. Exposito, B.S.N. Assistant Professor of Clinical and Director, Denise C. Vidot, Ph.D. Pamela J. Garrison, R.N. Family Nurse Practitioner Program Assistant Professor of the team. You’ll also get to see our translational researcher and nationally ** Thelma Anderson Gibson, B.S.N. Shayne Hauglum, Ph.D. Jacqueline Gonzalez, D.N.P. Natalia Villegas Rodriguez, Ph.D. advanced practice nursing students and recognized academic leader, joins us Assistant Professor of Clinical Kim Greene, L.C.S.W. Associate Professor of Clinical faculty in action as they bring health care to as associate dean for research and Michael Joseph, M.B.A. Laly Joseph, D.V.M., D.N.P. Goldie Wasman, M.S.N. small villages and remote, difficult-to-access associate professor; he will lead Maria Lamas, M.B.A. Assistant Professor of Clinical Lecturer Javier Lopez, M.D. areas in the rural Thomonde region. It’s a research development in our LaToya J. Lewis-Pierre, Ed.D. Carole Wilkinson, D.N.P. Arthur R. Miller, M.B.A. compelling example of hemispheric priority areas of vulnerable Oscar Morales, M.D. Assistant Professor of Clinical Assistant Professor of Clinical leadership and partnership at its finest. populations, patient safety and Kevin E. O’Brien, M.D. Zhan Liang, Ph.D. Erick Zarabozo, D.N.P. M. Christine Schwartz, M.S.N. Assistant Professor Lecturer Our faculty, community partners, patient outcomes, disaster Clemencia Silk, M.S. Elizabeth Smith, D.N.P. and alumni are harnessing the school’s preparedness, global Joan K. Stout, R.N. exceptional physical resources on an unprec- health, and family KLEMM ROBERT *Alex F. Vicencio, CFA®, CFP®, CIMA® David Zambrana, Ph.D. MISSION STATEMENT edented scale. In “Real Connections in caregiving. *Denotes Board of Trustees At the School of Nursing and Health Studies, we transform lives and health care through a Simulated Setting,” you’ll learn how our **Denotes Emeriti Member, Board of Trustees education, research, innovation, and service across the hemisphere. Simulation Hospital, which opened just

2 heartbeat FALL 2018 FALL 2018 heartbeat 3 vital signs SONHS BY THE NUMBERS Promoting Health and Hope for All of Us Overall first-time pass rate for nursing master’s students who took nurse practitioner certification exams in 2017—that’s The rain couldn’t dampen Catherine Nadeau’s enthusiasm for her mission. D.N.P. students did fantastic work. They Rick Garcia, Ph.D., director of 98% 10 percent above the national average Sporting her white coat, she stood at a waterlogged booth in an open field in rural created innovative booths on a variety of nursing education at the Washington, Homestead showing area residents how to check for possible signs of skin cancer. health issues. They also brought in a huge D.C.-based AACN and a principal Nadeau, M.S.N. ’17, was one of 45 current Doctor of Nursing Practice (D.N.P.) donation of food for the community.” investigator for its All of Us grant, attended students from SONHS who helped organize and staff a free Community Health The health fair the students partici- the Community Health Fair in June to Fair on June 23 in collaboration with M.U.J.E.R., a Homestead-based social service pated in as part of Cianelli’s Population discuss All of Us with fair attendees. During First-time pass rates for B.S.N. students organization. Based Health and Health Care Disparities his presentation, Garcia, a SONHS on the National Council Licensure The students distributed first-aid kits, course accomplished another goal as well: alumnus (B.S.N. ’95), explained in English Examination (or NCLEX-RN) for 2017, dental floss, even UV-light-detecting helping scientists connect with groups and Spanish that minorities make up 36 97.22% well above the State of Florida average of keychains and discussed a variety of historically underrepresented in biomedical percent of the U.S. population, with that 73.99 and the national average of 87.11 health-related topics with members of the research. Cianelli and SONHS associate number forecast to rise to 56 percent by mainly Latino community. D.N.P. student professor of clinical Natalia Villegas, Ph.D. 2060. But despite those increases, enroll- Evens Mesadieu, B.S.N. ’09, distributed ’12, proposed the outreach in a competitive ment in clinical trials remains much lower bilingual pamphlets showing proper body mini-grant funded by the American for minorities—in “subzero territory,” Ranking for the Master of Science in mechanics. “There are many farmworkers Association of Colleges of Nursing (AACN) pronounced one of the researchers Nursing (M.S.N.) program out of 296 in this area,” he says. “This explains how to support the landmark All of Us Research interviewed in a video Garcia played for programs, as reported in March in the U.S. News & World Report ’s Best Graduate to bend down to pick up boxes, for Program. The National Institutes of Health the audience. NO. 32 Schools 2019 guide—a jump of six spots example, so they don’t hurt their backs.” (NIH) launched All of Us in May to extend Cianelli says All of Us is an important SONHS faculty Rosina Cianelli and since 2018 and nearly 30 spots since 2015 Natalia Villegas, above, with Rick “The experience was wonderful,” precision medicine efforts to all diseases by initiative given that Latinos and other Garcia, of the American Association says associate professor Rosina Cianelli, developing a health research data set of one historically underrepresented minority of Colleges of Nursing, host a health Ph.D. “We had a much higher turnout million or more participants who represent groups suffer at higher-than-average rates fair with help from D.N.P. students to promote the All of Us Research from the community than we expected, the diversity that exists throughout the from chronic diseases like hypertension, Program. even with the rainy weather. And the United States. diabetes, and arthritis. She says she and her Ranking for Doctor of Nursing Practice team managed to discuss All of Us with 195 (D.N.P.) program out of 203 programs in adults, many more than their projected goal NO. 42 U.S. News’ Best Graduate Schools 2019, up four spots over 2018 of engaging 150 members of the Home- stead rural community in meaningful conversations about the initiative. She credits support from the school’s Center for Latino Health Research Opportunities (CLaRO) and longstanding community Number of students who graduated from partner M.U.J.E.R. the SONHS this past spring/summer as of Attendees who showed interest in 359 press time participating were directed online to allofus.org. “I had people coming up to me after, saying, ‘I want to participate.’ I think it was because they saw minori- ties represented, and the subject was discussed openly,” says Villegas. “Having Dr. Garcia present the information was Total number of students enrolled at the SONHS in Fall 2018 very effective because he knows the 1,143 program. People were feeling empow- ered because he came to talk to them directly about this important program.”

4 heartbeat FALL 2018 FALL 2018 heartbeat 5 vital signs JAVIER CORRALES JAVIER

Foronda Named Macy Faculty Scholar Public Health Degree Earns A parent receives the news that her young child has a severe chronic condition that will require daily treatments, medications, and other potentially complicated care at home. National Accreditation The hospital sends the family off with a list of instructions, supplies, and other resources. But then what? The day-to-day responsibility for the The Council on Education for Public Health (CEPH) has young patient’s well-being falls to the family. accredited the Bachelor of Science in Public Health (B.S.P.H.) program Pediatric nurse Cynthia Foronda, example of the “We’re delighted by this at the School of Nursing and Health Studies for a five-year term, through Two Doctoral Ph.D., associate professor of clinical, innovations we need fantastic news from the Macy July 1, 2023. Nursing Students has a plan to connect low-income family in order to meet the Foundation,” said Cindy L. Already accredited by the Southern Association of Colleges and Schools, the caregivers of children who have asthma public’s changing health Munro, dean and professor at SONHS program is now one of just a dozen standalone baccalaureate programs of Named Jonas with students and faculty at the School of care needs,” said Holly SONHS. “The project holds great public health nationwide—and currently the only one in Florida—to receive CEPH Nursing and Health Studies, empowering Humphrey, M.D., president of promise for helping family caregivers accreditation. Scholars these families with a comprehensive the Josiah Macy Jr. Foundation. and improving outcomes for chronically Martin M. Zdanowicz, Ph.D., is the associate dean for Health Studies, which Two doctoral students at the School of caregiver education program grounded “This award is so exciting, as it will ill children. The foundation’s recognition administers the public health program. Nursing and Health Studies have been in simulation and telehealth. provide mentorship for career development and support will help propel Dr. Foronda “I am very proud of Dr. Zdanowicz and our faculty for creating and sustaining named to the prestigious Jonas Nurse and support the creation of a new model of to the next level as a driver of change excellence in undergraduate public health education at the SONHS, and equally Scholars Program for 2018-2020. Gilda “Macy Faculty clinical education that not only bridges whose bold vision for simulation proud of our exceptional staff and amazing students,” says Dean and Professor Pamphile, B.S.N. ’09, a student in the education with patient outcomes but also teaching and research will greatly Cindy L. Munro, Ph.D. B.S.N.-D.N.P. Nurse Anesthesia Program, Scholars are paving focuses on an often-overlooked area in our benefit the community at large.” “Massive kudos to the public health faculty—Dr. Ashley Falcon, Dr. Andrew and Ernesto Carnota, who started the the way for current health care system—that of Porter, and Dr. Diego Deleon. They were recognized by everybody, and particularly Ph.D. in Nursing program in August, join caregiver education,” said Foronda. the students, as being phenomenally dedicated and outstanding,” says Zdanowicz. an elite group of over 200 Jonas Scholars health professions Macy Faculty Scholars receive “They bring lots of innovation to the program and prepare the student to go out at 92 universities across the nation. support of up to $100,000 per year and be successful in tackling health challenges worldwide.” Carnota, a certified Critical Care education reform.” over two years, spending at least CEPH is an independent agency recognized by the U.S. Department of Registered Nurse (C.C.R.N.), was selected Thanks to the Josiah Macy Jr. 50 percent of their time pursuing Education. The accreditation status is retroactive, applying to all graduates of the to the Jonas Scholar Ph.D. Program— Foundation, Foronda’s proposal will education reform projects at program since its launch in 2012. The review involved detailed documentation and Psych-Mental Health. His research focuses become reality. Foronda was one of five their institution. on-site interviews addressing eight overall review standards, such as faculty, areas of on how stigma impacts post-exposure Faculty Scholars selected nationwide this study, and student outcomes. prophylaxis usage and HIV-prevention year to receive the Macy Faculty Scholars Zdanowicz says graduates have been highly successful at going on to advanced efforts among gay/bisexual Hispanic men. Program Award. She is the school’s degrees and careers in public health, noting Pamphile, C.C.R.N., was selected for the first-ever recipient of the prestigious that this past spring, 96 percent of Jonas Veterans Healthcare Scholar D.N.P. educational change award funded by the B.S.P.H. graduates reported Program–Community-Based Care. Her Josiah Macy Jr. Foundation. Her employment and/or graduate scholarly project looks at the issue of appointment began September 1. school placement. postsurgery opioid abuse among veterans. “Macy Faculty Scholars are paving See page 14 for more Jonas Philanthropies, a leading national the way for health professions education about the impact philanthropic funder of graduate nursing reform. Dr. Foronda’s project to teach SONHS public health education, funds the Jonas Scholars family caregivers of young asthma students are having out program, which invests in nursing scholars patients, future nurses, and other health in the community. addressing our nation’s most urgent health professionals how to apply simulation needs. Previous Jonas Scholars at the and telehealth technology to improve SONHS have used their awards to patient and family health outcomes is an advance knowledge in health issues related to military combat, mental health, suicide, and HIV/AIDS-related stigma.

6 heartbeat FALL 2018 FALL 2018 heartbeat 7 R.M. LAMAZARES-ROMERO vital signs

Inaugural Helene Fuld Accelerated B.S.N. Scholars Named

Eight stellar students in the Accelerated Bachelor of Science in Nursing (A.B.S.N.) degree program have been chosen as the first-ever Helene Fuld A.B.S.N. Scholars at the School of Nursing and Health Studies. The students will receive $10,000 each toward their tuition in the rigorous degree program, thanks to a generous award from the Helene Fuld Health Trust, one of the nation’s largest private funders devoted to nursing students and nursing education. “I’d like to welcome you as the During the luncheon, Irina Zarabozo’s mentee is Gino Cortes, in the nursing profession all his life has associate dean for B.S.N. programs and go through this program,” said Meredith inaugural group of Fuld A.B.S.N. Kalvarskaya, who moved to South a 24-year-old former software developer fostered his passion for helping people— associate professor of clinical, and McCoid, who earned a degree in Scholars,” said Cindy L. Munro, Ph.D., Florida from Moscow five years ago, from New Jersey who was valedictorian and his persistence to succeed. Deborah Salani, B.S.N. ’86, M.S.N. ’89, psychology and worked on a sailboat in dean and professor of the SONHS, during explained that the scholarship will of his high school class. The Rutgers Sharing the resources that will help D.N.P. ’12, associate professor of the Caribbean before joining the a June luncheon to introduce the students help her fulfill her childhood dream graduate now hopes to connect his Cortes and the other scholars do just clinical. “We’re here to give you a lot of SONHS last month. “I know it’s going to their faculty mentors. “The Helene Fuld of becoming a nurse. “Thank you very technology background with the that was a main goal of the afternoon support and encouragement,” assured to be overwhelming, but it’s good Health Trust has been very active in the much for this opportunity,” she said. advances taking place in health care. event coordinated by program leaders Salani. “We were all young nursing knowing there’s someone behind you.” support of nursing as a discipline for a very “Thank you for believing in me.” Cortes said seeing his mother serve Mary Mckay, B.S.N. ’88, D.N.P. ’09, students once upon a time too, so we Cortes agreed. “The Fuld scholar- long time and is a major donor for our She and her peers are among the know how difficult that was.” ship not only reduces my financial school. This will be a lovely achievement 82 Accelerated B.S.N. students of the The Fuld Scholars must debt,” he said. “It provides me with an for you to add to your CV.” Class of 2019 who began the program in maintain a 3.0 GPA and meet open network of both faculty and fellow Announced in 2016, the Helene May. The Fuld Scholars were selected regularly with their mentors. “I’m students on whom I know I can rely.” Fuld Health Trust’s $1.7 million grant based on the quality of their personal really excited to be here and The 2018 Helene Fuld A.B.S.N. to the SONHS went toward building statements, résumés, and grade point Scholars are: Gino Cortes, Yaima Gutierrez, the Helene Fuld Skills Resource Center averages at the time of application. “It was Irina Kalvarskaya, Meredith McCoid, on the fifth floor of the new Simulation very hard to choose this group, and I think Gabriela Piacentini, Haley Rudnik, Hospital and to create scholarships we’ve made a great selection,” said faculty Abigail Wilton, and Rhonda Yousef. for eight incoming A.B.S.N. students mentor Erick Zarabozo, D.N.P. ’17. per year for a period of three years. The 11-month A.B.S.N. program is designed for students who already have a Front row, from left: Faculty mentor bachelor’s degree in a field other than Deborah Salani; students Rhonda nursing. Financial aid can be critical Yousef, Irina Kalvarskaya, because they’ve often exhausted prior Gabriela Piacentini, and Yaima Gutierrez; and faculty mentor Ruth scholarship support while earning their Everett Thomas. Middle row, from first degrees. left: Students Meredith McCoid The 2018 Helene Fuld A.B.S.N. and Haley Rudnik; faculty mentor Carmen Presti; students Abigail Scholars at the SONHS represent a broad Wilton and Gino Cortes; and range of academic experience, from liberal faculty mentor Natalia Villegas. arts and computer science to biology and Back row, from left: faculty mentor Erick Zarabozo with Mary Mckay, business. Their geographic backgrounds associate dean for nursing are equally diverse, including the Pacific undergraduate programs, and Northwest, Minnesota, Jordan, Brazil, Sean Kilpatrick, assistant dean, Cuba, and Russia. Office of Student Services. (Faculty mentors Laly Joseph and Giovanna DeOliveira not pictured.)

8 heartbeat FALL 2018 R.M. LAMAZARES-ROMERO FALL 2018 heartbeat 9 As a dazzling sun rises over the mountains of Jude Dhaiti’s passion for bringing Thomonde, Jude Dhaiti is By Yolanda Mancilla health care to his native island Interviews conducted by already at work in the house Robin Shear nation has changed many lives, that serves as headquarters including his own. and dormitory for the Haiti ON A medical mission team. He’s checking the weather report and road conditions, arranging transportation, and making sure every- MISSION thing’s ready for the trip to the distant village the team will visit that day. Located in central Haiti near its border with the Dominican Republic, Thomonde is a rural farming community with high rates of poverty and emigration to the U.S., and extremely limited access to health care.

Twenty-five advanced practice nursing students are milling about, grabbing a quick breakfast, helping pack lunches and medical supplies, and asking Dhaiti countless questions. Through it all, the School of Nursing and Health Studies employee is the knowing calm at the center of a bustling, well-organized operation that will provide primary and preventive health care services to some 400 adults and children over the course of an extraordinary week. The School of Nursing and Health Studies (SONHS) has been visiting the Thomonde region twice a year since 2010, and Dhaiti has been an integral member of the team for the past six years. “We couldn’t do it without him,” says team leader Johis Ortega, B.S.N. ’02, M.S.N. ’06, Ph.D. ’10, associate dean for Hemispheric and Global The School of Nursing and Health Studies runs mobile health care clinics in Initiatives and associate professor of clinical. Haiti twice a year addressing pediatric, adult, and women’s health. Last year “Everyone feels safe and comfortable longtime UM supporter Evelyn J. Budde donated $5,000 toward the mission. For the second year, Walgreens has provided in-kind donations of health care because he’s there. He makes sure our supplies totaling over $7,000. To learn more about supporting this special students and faculty understand the Haitian project, please contact the Development Office at (305) 284-9773. culture and that we know what to expect.”

10 heartbeat FALL 2018 FALL 2018 heartbeat 11 The team gathers for a morning know exactly what to do,” explains the infant’s only chance at survival “Going to Thomonde made me see a pre-briefing session before heading out into assistant professor of clinical Kenya depended on an emergency trip to a part of Haiti I didn’t know,” he says. “I was the lush green landscape dotted with palm Snowden, M.S.N. ’10, D.N.P. ’11. “The hospital. She immediately turned to Dhaiti. fortunate to be part of the middle class in trees and small, colorful houses. After an hardest part is figuring out how we’re “I said, ‘Jude, you’ve got to make sure this Haiti, so learning that people in Thomonde hour-long drive along rugged roads, they going to set up the space because we baby gets to the hospital because otherwise didn’t have any health care, and seeing what arrive at a schoolhouse that will be the never know what we’re going to find.” the baby might not make it,’ and he the SONHS and Project Medishare are setting for the one-day clinic. Already a But ingenuity and resourcefulness rule responded in his reassuring way,” she doing, really changed my life.” large number of people—elderly men, the day: For the maternity area, students recounts. “It’s very hard to arrange hurricanes—most recently Matthew in so many of us to go back. It was the pregnant women, mothers with babies, sometimes have to push benches together transportation to the hospital. We don’t A FAMILY 2016 and Irma in 2017—with the community feel, and the great need of the children of all ages—have lined up outside and drape them with clean sheets to often do it. But Jude took charge. He LEGACY countryside especially hard hit. population.” the structure. Dhaiti works closely with create a table for pelvic exams, hanging communicated the urgency of the Their country’s challenges led Dhaiti’s “It’s important for Haitians to Project Medishare, a Haiti-based nonprofit more sheets around it for privacy. situation and did whatever he had to do to OF GIVING family to start a nonprofit organization. contribute to the project,” says Dhaiti. health care organization, to coordinate the Once again, Dhaiti is at the center of try to get the mother and baby taken to Jude Dhaiti’s father, a dentist, served as “We started it by feeding the poor,” says “What happened to Chris also happened to logistics of the visit to area residents. Some activity, coordinating logistics, assigning the the hospital. And that’s just one example dean of Haiti’s dental school. His mother Dhaiti. The organization also began me, in terms of Haitians returning and not of them are visiting the clinic for the first local interpreters to their posts, and of the many heroic things Jude does every also worked at the school, and empha- fundraising educational scholarships for really understanding the country until you time; others know it well and call out providing information and guidance to the day of the mission.” sized the importance of education to her young people. “At first we were able to experience the mission. All the Haitian greetings to Dhaiti, Ortega, and other team residents who are waiting to be seen. His children. Dhaiti moved to New York at sponsor six kids, and now that number is students who’ve gone on the mission say the members. Many patients have walked an strategic skills and methodical approach are MAKING A 17, began college at the New York up to 210,” says Dhaiti. same thing.” hour or more from remote farms and a perfect fit for the NIMS model. Through- DIFFERENCE Institute of Technology and worked in Many other students describe their villages to be seen during today’s clinic. out the hectic, demanding day, he’ll serve as banking. He eventually married and had RETURN TO HAITI experience with the SONHS clinics in interpreter while supervising the other AT HOME a son before returning to Haiti for several Some of the students who take part in Haiti as transformational as well. “I have interpreters, ensuring they’re communicat- At the SONHS, Dhaiti is a data analyst. He years. There he owned and operated a the medical missions are also from Haiti. never experienced anything like this in my ing medical information accurately. He’ll corrals numbers and facts into tidy reports number of businesses. “I moved back to One of them is Christopher Mourra entire nursing career,” says D.N.P. student troubleshoot and resolve myriad issues that for the entire school. But what this Haiti because I wanted to give my child Thompson, M.S.N. ’18, who participated Marecia Bell, who has worked with U.S. may arise, freeing the medical team to focus beloved—and tirelessly efficient—SONHS the same type of family setting I had in the past two missions while pursuing his veterans, the homeless, and other vulnerable on providing care. He’ll arrange the team’s employee gives back to his island nation when I was young,” he says. graduate nursing degree at the SONHS. populations over her 20-year nursing career. transportation back to home base. And he’ll through the medical missions cannot be By 2001 Dhaiti had a daughter as well Born in the U.S. to Haitian parents, “The SONHS clinic in Haiti was such an constantly make his way around the clinic, contained, predicted, or explained by the and had relocated to Miami, where he soon Thompson, like Dhaiti, lived in Port-au- eye-opener. I cried every day. I pledged to checking to make sure the team members rows and columns of any spreadsheet. began working for the U. At UM, he Prince until the age of 17. “I had a more myself as a health care provider to go back are taking care of themselves. Have they had Born and raised in Port-au-Prince, continued the education he’d curtailed to privileged upbringing than the majority to Haiti with this mission.” Christopher Mourra Thompson, above and bottom right lunch? Do they need a break? Some water? Dhaiti was originally recruited to the work full-time in New York. Taking one of the people in Haiti, and growing And when she, Thompson, and future He knows it’s easy to neglect your own initiative by Ortega and the late Marie class at a time while bringing his consider- up I was always very aware of that,” SONHS students do make that trip, they The all-volunteer SONHS health needs when there’s so much to be done. Chery, a SONHS faculty member and able business background to the task of says Thompson. Still, he too was will find Jude Dhaiti is still a constant care team springs into action, aware that Officially Dhaiti’s position, identified country director for Project Medishare in troubleshooting data challenges at the shocked to see Thomonde’s lack of energetic and emotional force at the center every minute is precious. Working in small near the top of the NIMS org chart, is Haiti who passed away in 2014. SONHS, he graduated with a bachelor’s health care firsthand. “I asked myself, of the undertaking. “Jude has facilitated clinical groups, four faculty members and “Student Services/Community Ambassa- “Marie Chery always hoped I’d join degree in computer science from the how can I help make this better next our ability to implement this mission year their student charges see as many as 150 dor,” but his contributions are more the team and experience the work they do College of Arts and Sciences. time? What can I do with the resources after year,” says Ortega. “His devotion and patients a day. They assess the space and complex and nuanced. for the community,” Dhaiti remembers. He had been living outside of Haiti I have available in Haiti? Why are we dedication come from his own passion furnishings and divide the area into “He lets everyone know, if you need “She made sure I went there that first time, for almost a decade when the catastrophic buying food in the U.S. and bringing it for helping Haiti.” separate clinics for triage, pediatrics, mater- anything, just go to him and he’ll figure when I joined the mission to Thomonde in earthquake of 2010 occurred. Dhaiti says to Haiti in suitcases?” “Jude has a love for his country that nity, and adult care. They developed their it out,” says assistant professor of clinical 2013 as a photographer.” From his first trip, he lost many friends in the disaster—one Thompson not only contributed his he shares with everyone,” adds Snowden. rigorous protocol based on the U.S. Juan M. González, D.N.P. “It’s always Dhaiti’s role has quickly evolved into one was killed by falling debris as she fled a clinical skills in December 2017 and this And even though the twice-yearly National Incident Management System very reassuring when you’re there and that is vital to the mission. But the missions supermarket, another was trapped under past March, he also enlisted the attention visits to Thomonde are grueling and (NIMS). Their adapted NIMS framework, he’s part of the team.” have also been a revelation for Dhaiti. rubble in a bank, and yet another friend and aid of his family, who runs wholesale exhausting, taking Dhaiti away from his which was documented last year in the “Jude takes care of everyone, and of so died after flying back home to Haiti from companies in Haiti. Their contributions family during his brief holidays from work, International Journal of Travel Medicine and many things behind the scenes that we Miami that same day. Dhaiti’s father, in and connections ultimately saved the he says he’ll keep going back for as long as Global Health, has allowed the SONHS might not even notice,” agrees Snowden. his 70s at the time, had to flee to safety program more than $5,000. Any money he can. “I feel I make a difference for Haiti team to address safety issues while “He has a way of calming people down, of from Port-au-Prince to the Dominican saved enables the team to purchase more and for the students,” he says. “When each speeding up clinical set up times and resolving situations.” Republic on the back of a motorcycle. medicine, a scarce resource in rural Haiti. mission ends, and I see how many people increasing patient capacity. Snowden recalls the time a mother Even as the Haitian people worked to “It was such an amazing experience we’ve helped and how the students have “We can set up in 20 minutes brought her newborn to the clinic with a recover from the terrible devastation of to give back to my community,” says been impacted by the work they’ve done, instead of taking an hour because we fever, rash, and distended belly. She knew the temblor, they were slammed by Thompson. “I think that’s what motivated it’s all worth it.”

12 heartbeat FALL 2018 FALL 2018 heartbeat 13 American Red Cross Disaster Program • Coordinated Victim’s Advocacy Center • FLIPANY • Florida Breast Cancer Foundation • Florida Department of Health • IDEA Exchange • Girl Power - World Literacy Crusade of Flori- da, Inc. • University of Miami Miller School of Medicine Department of Ob- stetrics and Gynecology • Hope for Miami – Various Programs • Miami VA Medical Center - Geriatric Research Education & Clinical Center • Mexican Pillars of the Community By Jessica Weiss

With its fifth graduating class of public health students, the School of Nursing and Health Studies shows that long-term community building leads to lasting impacts for vulnerable populations.

Alexander Klar, B.S.P.H. ’18, had passed by the Mexican Consulate in Brickell, just two blocks from his apartment, dozens American Red Cross Disaster Program • Coordinated Victim’s Advocacy of times before he finally walked in one day last November. ❚ Center • FLIPANY • Florida Breast Cancer Foundation • Florida DepartmentKlar, at the time a University of Miami senior, was looking for a of Health • IDEA Exchange • Girl Power - World Literacy Crusade of Floripartner- organization for his field practicum in community health, a required final-semester course. The consulate, he da, Inc. • University of Miami Miller School of Medicine Department of Obthought,- could be the perfect setting to leverage his double major stetrics and Gynecology • Hope for Miami – Various Programs • Miami VAin public health from the School of Nursing and Health Studies Medical Center - Geriatric Research Education & Clinical Center • Mexicanand Spanish from the College or Arts and Sciences to address a community health need. ❚ He introduced himself to the Consulate • UM-NSU Center for Autism and Related Disabilities (CARD) • consulate staff. “I gave them several ideas and asked if they had Planned Parenthood • Pridelines • Sabrina Cohen Foundation • Special any projects on the backburner,” Klar recalls. ❚ The nationally Olympics • St. John Bosco Clinic (SSJ Health Foundation) Sylvester Compreaccredited- Bachelor of Science in Public Health (B.S.P.H.) program requires students in their final semester to partner with hensive Cancer Center • The Sex Wrap • Thelma Gibson Health Initiative a nonprofit• health organization from 6 to 20 hours per week as a UM GreenU Sustainability • UM Lennar Health Center • UM Miller Schoolway to apply the knowledge and skills gained during their public of Medicine/DPHS • UM President’s Coalition for Sexual Violence Preven-health studies. ❚ “They learn to communicate, think, and understand the bigger picture,” says Martin Zdanowicz, Ph.D., tion and Education • UM Sandler Center for Alcohol and Other Drug Edu-associate dean for Health Studies at the School of Nursing and cation • Urban Health Partnerships • Urban Promise Miami • Yes! InstituteHealth Studies (SONHS). “It’s not just a theory in the classroom. Barbara Bologni Brianna Valdes CJ Arcalas Alexander Klar Everything they learn goes right out into practice.”

14 heartbeat FALL 2018 FALL 2018 heartbeat 15 Florida—and be able to digest it,” says Klar, Erin Kobetz, Ph.D., an associate director With support from her preceptor at That was the case at the Thelma who now lives in Paris and works as a social at Sylvester Comprehensive Cancer Center Pridelines, health services outreach manager Gibson Health Initiative (TGHI), where Becoming Integral enterprise consultant. “This was one aspect and senior associate dean for health disparities Luigi Ferrer, Arcalas joined Pridelines’ efforts community health field practicum Members of of a larger problem that we could really at UM’s Miller School of Medicine, says she on the Getting to Zero campaign. A national students have helped shape a crucial change and that was not super hard. When viewed Gabriela Pages, B.S.P.H. ’18, and program adopted by Miami-Dade County in initiative over the last three years. The the Community I ended up with the final product, I could Brianna Valdes, B.S.P.H. ’18, as “much more 2016, Getting to Zero aims to respond to the “Passport to Health” program for understand the whole process. I was able to than students.” For their spring practicum, high rates of HIV among 20- to 29-year-olds low-income Miamians provides a pathway In Spring 2018, public health student see I was contributing.” Valdes and Pages helped launch Sylvester’s and find solutions to issues related to HIV/ to better health, new skills, jobs, housing, Barbara Bologni was matched with Urban Ruiz agrees that the impact has been new mobile cancer detection center for AIDS by getting more people tested, reducing and economic stability through a series of Health Partnerships (UHP), an organiza- tangible. More people are now accessing the underserved communities. “It was a learning the number of new diagnoses, and helping 60 interventions providing guidance for a tion that aims to create equitable commu- consulate’s website to download the guide. experience for everyone, so we didn’t see them HIV-positive individuals in treatment reach range of issues, from affordable health nities through access to transportation, And Ventanilla de Salud uses the guide as interns or students,” says Kobetz. “We saw viral load suppression (an undetectable level insurance and dental care to counseling food, physical activity, and more. UHP Students generally assist vulnerable regularly to assist people who come in to them as collaborators and team members.” of the HIV virus in the body). and injury prevention. assigned her to the Live Healthy Little communities on issues such as health access services. Ferrer saw Arcalas as a strategic partner The 2016 practicum students helped Havana program, which works to improve disparities, autism spectrum disorder, in reaching campus communities. “I felt the develop and research the majority of the health of residents through elements nutrition, and sexual and environmental Learning about learning really went both ways,” he says. TGHI’s material relating to health. The like parks, bike lanes, and safe sidewalks. health. They often end up serving as key ‘A Practice Science’ “We collaborated, and it was just a great following year, students helped transition Little Havana consistently ranks below players in an organization’s work. Ashley Falcon, Ph.D. ’14, assistant professor Community Needs experience.” the material from hard copies to lesson the national average in terms of residents’ In Klar’s case, by the start of the Spring of clinical, is one of two faculty members For her practicum, Chelsea-Jane “CJ” Arcalas continues to work with plans and online resources, with a focus physical activity. 2018 semester, staff at the Mexican leading the community health practicum. Arcalas, B.S.P.H. ’18, was matched with Pridelines to integrate more HIV awareness on HIV, risky behaviors, and nutrition. Though Bologni had taken an Consulate had connected him with the She says the course differs from an Pridelines, an organization that supports and education at UM and on other campuses And this past spring, four students helped environmental health course, she says the Ventanilla de Salud program. Located inside internship in that the impact is designed to educates South Florida’s LGBTQ youth. It around South Florida. She plans to attend finalize the program and identify local practicum brought the material to life. “The 50 Mexican consulates across the United go beyond the students’ own development. was the third year that public health medical school next year. health and nutrition resources. built environment is crucial to health,” she States, the service, which translates roughly “Public health is very much a practice students had worked with the organization. “It would be great if HIV testing could Joseph King, TGHI’s vice president says. “Can you cross to the other side of the to “Health Window,” is intended to improve science, and it needs to be beneficial to the Arcalas had no prior knowledge of HIV reach the same level of acceptance and of operations, runs Passport to Health. street? Can you access parks to exercise? Is the physical and mental health of Mexicans community partner,” says Falcon. “The screening and hadn’t been involved with the visibility as the red blood drive trucks that He says the school’s public health the community connected? Do people feel living in this country. The Miami Ventanilla course is meant to be a win-win.” LGBTQ community on campus, but she are always on campus,” says Arcalas. “We students have made the program safe? These things all affect health. The had a number of ideas in the works, one of Launched in 2012, the B.S.P.H. developed a passion for the Pridelines need to reduce stigma.” possible. “They helped me pioneer it,” practicum really opened my eyes to that.” which was a Spanish-language health guide degree program has grown from just four mission. Now she’s interested in working on he adds. “And we’ve rolled it out and It also taught her that the first essential that could serve as a crucial resource for the graduates in 2014 to 45 this past spring. HIV awareness issues in her career. had a really high success rate getting it step, before implementing any intervention, immigrant community in Miami. The number of community health partners “It opened my eyes in terms of putting Building on Ideas through.” is to build trust. She spent the semester “Alex was the perfect person to lead the for the practicum has increased exponen- myself in the shoes of someone who is In addition to the practicum, the public Falcon says successes like this show engaging the community by conducting project,” says Andres Ruiz, the community tially, as well, to 30 across South Florida, different than me, learning about their health students work throughout the semester the true potential of the field practicum workshops, administering surveys, relations manager at the consulate. “He with an alternative option for students to struggles and also realizing our lives are the on a final paper discussing evidence-based in community health. “This wasn’t just organizing events, and holding conversa- spearheaded it and made it happen.” meet the field requirement globally in India, same,” she says. intervention proposals for their partner a hypothetical project someone came tions. As a result, she began to see that many By April, the consulate had released its Australia, or Chile. One of Arcalas’s main tasks was to input organization. During National Public Health up with,” she says. “It’s actually Little Havana residents she met tended to first-everGuía de Salud, a 53-page resource About a quarter of students make their HIV testing data, collected either from the Awareness Week each April, they present their implemented. The students helped feel disheartened about their community for Spanish-speaking immigrants in own community match, as Klar did. Pridelines facility or at outreach locations. The capstone research posters to the University build it and develop it.” and by what they described to her as Miami-Dade and surrounding areas, Otherwise Falcon and fellow course leader information goes into the organization’s community. Partner agencies and future This and other long-lasting unfulfilled promises from local government. prepared by Klar. Available online as well as Andrew Porter, Ph.D., assistant professor of monthly report to the Florida Department of practicum students sometimes adopt and partnerships are growing the program’s The experience inspired Bologni to in print at the consulate, it includes a clinical, help place them. Students begin the Health. Every Thursday she worked at the advance their work. footprint in the community. stick with UHP in Little Havana for the comprehensive database of free and low-cost semester by responding to a number of key Pridelines office in Miami, attending “We get such tremendous feedback final year of her “4+1” combined bachelor’s area services, including hospitals and clinics. questions about their partner organizations, programming meetings with people from from the partners on what the students are and master’s degree program, in the hopes It also provides assistance for navigating the such as: “What’s the need? What are the other departments. That’s where she doing,” says Associate Dean Zdanowicz. that building long-term relationships in the U.S. health system and information on challenges? How do we tackle them?” developed an interest in doing outreach for “The impact it has is threefold: the impact community will lead to lasting public health several chronic and high-incidence diseases. They quickly learn about their partner young adults, specifically on college campuses. on the students, on the community, and improvements. Klar says the process helped him organizations’ day-to-day operations and “I saw that’s where I could really on the agency partners.” “I didn’t realize the community was understand the true power of public health. the communities they serve while being contribute,” says Arcalas, a UM student The program’s most recent lacking so many things. When you go there, “It’s about the ability to take a introduced to the basic principles and leader who also served as a resident accomplishment came in July, when it you notice the community is a little bit problem—in this case the need to increase methods used in community health assistant and president of the Council of received accreditation for a five-year tired; they don’t have hope,” she says. “Little the use of health resources among the assessment, program development, program International Students and Organiza- term from the Council on Education for by little, it’s amazing to see change, and to Spanish-speaking population in South implementation, and evaluation. tions in her senior year. Public Health (CEPH). get a smile and a ‘thank you.’”

16 heartbeat FALL 2018 FALL 2018 heartbeat 17 Real Connections in a Simulated A year of collaboration and innovation at the height Associate Dean Jeffrey Groom, above of health care simulation center, shows new SONHS parents Setting By Jessica Weiss and Robin Shear around the Simulation Hospital. He says over 500 groups, including delegates from China to the Bahamas, have toured the 41,000-square-foot hub of It’s a typical afternoon at the School of Nursing innovation since it opened last September. He and his staff partner with and Health Studies, and Professor of Clinical area hospitals like Jackson and UHealth Tower to develop continuing simulation Jeffrey Groom, Ph.D., is doing his daily triage education for residents and other health providers. They also collaborate with first responders, school nurses, high of the overlapping grids displayed across his school health programs, and tech companies, among others. computer screen: Interventional Radiology (gray), China Neuro Delegation Tour (red), Acute Care Nurse Practitioner Sim (green), Public Health Sim (blue), and so on. The dizzying array of color-coded squares is the master calendar that Groom, the school’s associate dean for Simulation Programs and the International Academy for Clinical Simulation and Research, uses to track every course, conference, tour, training, sympo- sium, and residency taking place at the school’s Simulation Hospital.

18 heartbeat FALL 2018 FALL 2018 heartbeat 19 exercises, countless birthing and Joseph, B.S.N. ’11, a certified nurse training at the Simulation Hospital too, each scenario, no matter how complex or emergency scenarios, and other medical educator responsible for training some 80 with programs for other UM graduate grand in scale. “The building, technology, twists and turns, all carefully orches- nurses at UHealth Tower. Joseph brought medical education programs slated to and teaching scenarios come to life and trated to improve real-world health her latest nurse residency group roll out in the coming year, says Groom. translate into learning experiences and care outcomes and patient safety. to the Simulation Hospital in June. And for the first time, this past teachable moments because of our “We learn how to do different “Everything is state of the art, and the June, the annual Interprofessional Simulation Hospital team,” he explains. scenarios with our simulators, especially support from the SONHS’ skilled Patient Safety Course was able to easily And there’s more to come. Supporting before going into the hospital setting,” technicians is very important in allowing accommodate all 225 participating the school’s mission to serve vulnerable then-student Casey Pearce, B.S.N. ’18, told us to carry out simulation scenarios with nursing students and medical residents populations and improve patient outcomes, the Miami Herald in April at the eMerge high-fidelity mannequins.” from UM together in one setting SONHS faculty involved in the grant- Americas technology convention, where she Education also takes place in the for intensive team trainings, lectures, funded Caregiver Academy will use the did CPR on a newborn. Her “patient” was building’s second-floor, 280-seat and the ever-popular SimOlympics. Simulation Hospital’s telehealth capabilities a simulator Pearce had learned on at the auditorium, which has been the site of “The size and layout of the Simulation and fourth-floor home health apartment to SONHS. “We might even have one of our conferences on Medicare fraud, Zika, Hospital allowed students to go from educate and empower family caregivers and professors standing next to the baby and and the role health care providers can simulation to debriefing room seam- other learners to tend to the daily needs of acting as the parent, and [we are] learning play combating human trafficking, lessly, without losing the continuity of individuals suffering from chronic illness how to talk to the parent of a newborn. So, among others. On the Simulation the thought process or the experience,” and other life-altering conditions. all the communication and all the skills we Hospital’s one-year anniversary, it explains Groom. “It also has clinical and The school also plans to launch learn basically on the simulators first.” featured a symposium with speakers from patient rooms that look appropriate to a Simulation Fellowship program, With medical error the third leading the CDC, UM Emergency Management, the scenario, providing a more realistic welcoming health care researchers from cause of death in the United States, these and other experts in the field. The event physical context than in previous years.” around the world to advance their are important lessons. The International was a continuation of the hospital’s Academy for Clinical Simulation and inaugural symposium, which included a Research at the Simulation Hospital is high-profile panel on disaster response, “Save one life, you’re a hero. already a go-to resource for training new a fitting topic for a building that opened Save a hundred lives, you’re a nurse.” and experienced health care personnel in the wake of the very real devastation “It was ridiculously fun. Everything gave me an adrenaline rush,” gushed New from area medical facilities in a range of wrought by Hurricane Irma. The realism was clear when new UM simulation-based studies at this Jersey teen Amanda Allen. She and her specialties—from school nurses brushing Just weeks after Irma, the Simulation parents toured the entire facility in first-of-its-kind, cutting-edge facility. classmates explored the Simulation up on emergency response for cardiac Hospital team conducted a mass sheltering mid-August, most for the first time. The And with each new grid added to Hospital during the UM Summer Scholars Program and even took turns arrest or severe bleeding to acute care exercise that transformed the facility into a excitement, from the corridors to the the Simulation Hospital master calendar, intubating mannequins. The Simulation nurse practitioners taking a simulation- Red Cross shelter for volunteer “evacuees” clinical suites, was palpable. “Oh, you can another window of opportunity opens Hospital has also been the setting for based workshop on the latest diagnostic seeking safety before a major hurricane. feel the fontanelle!” one mother exclaimed, into the future of health care education full-scale disaster preparedness scenarios, comprehensive inter- ultrasound techniques for emergency Nursing students took the roles of frontline caressing the head of a newborn simulator and innovation. This year nursing professional patient safety education, departments. It also offers research, responders, using the guiding principles of in the third-floor Labor and Delivery students from Spain, Mexico, Australia, and research projects like the Alarm innovation, and collaboration opportuni- the Homeland Security Exercise and Suite. Another parent, a midwife from and Chile took part in scenarios at the Study, which is using a multidisciplinary ties for students, faculty, and community Evaluation Program and conducting client Maine, carefully examined the birthing Simulation Hospital as part of an approach to address the impact of medical alarms in hospital settings. partners alike. intakes and assessments according to Red suite occupied by a birth-ready simulator observership exchange SONHS hosts. On each of its five floors, immersive Cross protocols. The second part of the named Victoria, commenting, “I wish I’d Nursing students from Mexico’s Universi- clinical simulation activities are played exercise replicated a hospital dealing with gone to school here!” Many noted that the dad Autonoma de Campeche said the out using computerized patient patient surge following the post-hurricane Simulation Hospital had been a big draw Simulation Hospital was like nothing And there are lots of them—as many tional visitors, hundreds of health care simulators or standardized patient actors all-clear announcement. for their SONHS freshmen. “You really they had ever seen. “At first it was a little as 35 per week—each designed to advance professionals, and over 1,000 UM directed by simulation instructors in Since then, first responders and get the sense of the hospital setting, all the hard because the clinical simulation was health care education, improve patient students have benefited from the high-tech backstage control rooms. The public safety agencies also have been monitors and beeping sounds that can be new for us. But the simulation instructors safety, and innovate community solutions dynamic Simulation Hospital’s ability hospital has full and partial simulator using the facility to meet their disaster distractions,” said Daniel Gallagher, whose made us feel very at home. They were very to pressing public health concerns. to help bridge the critical and growing mannequins to address every stage of preparedness and response training daughter Erin is a public health/premed friendly, calming, and supportive,” said At the dedication ceremony for the gap between classroom learning and life—preemies and toddlers, pregnant needs. Over the summer, the UM Police student. “It’s very impressive.” Gabriela Gala Queb. “This experience 41,000-square-foot facility on September increasingly complex clinical environ- women, adult men and women—all Department used the clinic and ER Just as impressive as the building, opened the path for us to continue 28, 2017, University of Miami President ments, from emergency and intensive capable of demonstrating almost any spaces, hallways, and emergency notes Groom, are the simulation faculty, becoming better nurses and do the best Julio Frenk concluded his remarks by care to labor and delivery. malady or series of complex conditions entrance to conduct an active shooter nursing specialists, operations technicians, we can for our patients.” saying, “Save one life, you’re a hero. Save In its first year alone, the Simula- a health care provider might encounter. tactical training. and other community partners involved in To tour the Simulation Hospital a hundred lives, you’re a nurse.” tion Hospital has been the site of active “The Simulation Hospital is fully Emergency medicine and interven- developing curricula; conducting research; or for information, call 305-284-4089 Since that day, scores of interna- shooter and hurricane sheltering equipped,” says SONHS alumna Jessica tional radiology residents receive regular and prepping, running, and debriefing or visit simhospital.sonhs.miami.edu.

20 heartbeat FALL 2018 FALL 2018 heartbeat 21 Celebrating 70 Years at the SONHS– MovingForward A conversation with Dean Cindy L. Munro By Yolanda Mancilla

The School of Nursing and Health Studies has always been a leader, whether in the local community or across the hemi- sphere. As the needs of the nation’s population and health care system have evolved, so has the SONHS. Today, the school’s research on health disparities and attention to cross-cultural issues in clinical care are addressing the challenges facing our increasingly diverse communities. Expanding enrollment and the intro- duction of an accelerated B.S.N. are helping to meet the urgent and growing need for nurses in the health care workforce. The B.S. degree in health science is providing founda- tional studies for tomorrow’s pharmacists, physical and occupational therapists, physicians, and health policy professionals, while the B.S. in public health is preparing future professionals in areas from epide- miology to global health. New M.S.N. programs are bringing more nurse practitioners to the field, where they are able to fill the primary and specialized health care needs of the popula- tion, and the school’s Ph.D. and D.N.P. programs are producing new generations of nurse-researchers and nurse- JENNY ABREU / MITCHELL ZACHS leaders who are redesigning health care and redefining our understanding of nursing as a profession. Entering her second year at the helm of the SONHS, Dean Cindy L. Munro, a veteran nursing educator, researcher, clinician, and administrator, is poised to lead the school into a future that abounds with opportunities for those in health professions to play transformative roles at every level of the health care environment. In recognition of the school’s 70th anniversary, Heartbeat sat down with Dean Munro to learn more about her vision for taking the school to its 100th anni- versary and beyond.

22 heartbeat FALL 2018 FALL 2018 heartbeat 23 How have your past success in the next 10 or 20 years for the traditionally produced educational community when we have so many deliver the highest quality care at the lowest The Simulation Hospital gives people experiences helped greatness yet to come. It’s also an excellence for our undergraduate and students—and alumni—who are out cost by helping them to understand the the opportunity to practice routine you navigate your opportunity to build the culture of graduate students, we’re also looking to there as our ambassadors, doing such systems and to be high-quality critical things over and over to get them smooth belonging that underpins everything at provide education for life for working good work. thinkers and decision-makers about the best and to practice responding to rare first year as dean of the University of Miami. At the school, professionals in health care by adding skill interventions to offer patients. clinical situations where you get only the School of Nursing we’re creating an environment where sets, stackable credentials, and continuing What about the one chance. Simulation is still in its and Health Studies? every member of our community is education targeted to the different and school’s challenges? Seventy years ago, we infancy. At the school, we’re thinking valued for who they are and has an novel things they’ll need to know. never could have hard about how to incorporate virtual As sailors, my husband and I have a saying opportunity to contribute to the fullest Finally, we’re extremely well I don’t think in terms of challenges. Going envisioned the technology reality into the simulation experience. we use out on the water: “Other people have extent of their abilities. All of this is positioned to move forward as leaders back to the sailing analogy, if the current About how we can expand the simula- plans, but people on a boat have intentions.” intimately tied to our commitment to in the area of hemispheric leadership isn’t going in the direction you want to go, in health care today. How tion experience beyond the clinical Rather than a rigid plan about how you’re diversity and inclusion. because of our Pan American Health you alter your course. You don’t think of do you lay a foundation setting to what might happen in the getting from A to B, you have a larger vision Organization/World Health Organization- that as a challenge but as something to for the SONHS that can home setting by using our one-bedroom for where you want to go. You adapt to the Can you talk about funded collaborating center focused on navigate around. In higher education, homecare apartment, or to what might carry the school to its changing tides and winds and storms with the school’s strategic workforce preparation in the Americas, people identify challenges like maintaining happen in a movie theater by using the the long-term goal in mind, and with the priorities? as well as through our other activities enrollments in traditional programs and the 100th anniversary? Simulation Hospital auditorium. We’re ability to adapt to whatever is happening at around the hemisphere. cost of education being a barrier to many We’re grounded in wanting to improve open to the possibilities of simulation the moment. If you get a good current that’s We’ve been working to align our own students, but we’re navigating around things outcomes for our patients. As technology becoming more and more important in taking you in the right direction, you’re strategic priorities with the University of What do you consider viewed as challenges by people who aren’t changes, as there is more research, we’re student activities and in lifelong learning going to ride that current. I’ve found that’s a Miami’s Roadmap to Our New Century. the school’s greatest quite as optimistic about the world. better positioned to improve outcomes. for professionals. pretty useful approach on land too. A dean In doing so, we are building on an existing strengths? We should embrace the idea that the has to view things from the perspective of platform of excellence at the school, What are the most world we’ll have in 30 years will be much What kind of individuals various roles, so when I’m working with focusing on three common strategic areas: Our people—our faculty and staff are significant issues facing more conducive to improving outcomes thrive at the School faculty, I’m channeling what I learned as a mission-driven research, education for life, spectacular. Our physical facilities— nursing education and for patients. We should be running of Nursing and Health nurse educator. I put myself in their shoes in and hemispheric leadership. from our beautiful 53,000-square-foot headlong into the future, ready to get terms of their concerns and vision for their First, we already have a legacy of M. Christine Schwartz Center to the global health care? there. I don’t see it as a threat but as an Studies? careers. Having worked in the clinical world strength in mission-driven research, landmark 41,000-square-foot Simula- One of the most significant issues we face as opportunity to accomplish our root My doctoral studies mentor, Francis also helps me navigate in the right direction particularly in the area of vulnerable tion Hospital—represent another great a health care system and as a country is how mission to fully serve and engage patients Macrina, was always looking for answers for the future of the health care practitioners populations, and that has given us a strength because they support all of our we’re going to pay for the services our in meeting their needs and improving to problems in the world and always we’re preparing. platform from which to strengthen our cutting-edge work now and to come. For population needs. Health care has grown their outcomes. It will mean that those of optimistic that those answers could be research infrastructure and move into example, the Caregiver Academy is an more expensive, and our ability to adapt to us who come from an earlier generation found. He made every student and This year marks related research areas like global health, incredibly innovative idea that was that hasn’t kept pace. So identifying will have to continue tuning up our skills faculty who worked with him feel it was the SONHS’ disaster preparedness, patient safety and recently funded by the Macy Founda- strategies to deliver high-quality, personal- because the equipment we see tomorrow possible to change the world and 70th anniversary— patient outcomes, and family caregiving. tion through an award to associate ized care at a cost the country can afford is won’t look the same. But we’ll deal with accomplish great things. That’s my goal Next, we have a record of preparing professor Cindy Foronda. It’s just going to be important. Nurses are poised to changes in technology as they come, and here at the SONHS. Our tagline is what most excites you exceptionally well-qualified students in launching and will be an important be part of the solution because if we’re welcome developments that help us meet NOW: Novel, Optimistic and World- about the coming year nursing and health studies, and of research area for us and the populations permitted to practice at the full scope of our the goal of improving patient outcomes. Changing. Those are the kind of faculty and beyond? outstanding educational outcomes that we serve. But it wouldn’t be possible ability and knowledge, we can help fill the and students I want. People who are are reflected in our B.S.N. graduates’ without the great brainpower of the gap in terms of access and cost containment. Why is the school’s forward-thinking about new solutions to Celebrating this special anniversary has first-time passing rates of 97.22 percent faculty combined with the physical Our system is in flux. It’s difficult to focus on simulation patient problems. People who are given us a wonderful opportunity to on the NCLEX, and in our M.S.N. resources of the Simulation Hospital. predict what the health care and reimburse- education important? eternally optimistic about the potential build our community. We’re recognizing graduates’ first-time passing rates of 98 And, of course, having students who are ment systems will look like. Are we going to that patients have and about their own and honoring our past but trying to think percent on their nurse practitioner really engaged and very dedicated to focus on wellness, or only on illness? Our Research shows that students who have potential. And people who really do forward rather than looking in the certification exams. While we’re protect- their fields is such a joy. It expands our job is to provide students and working simulation experiences practice in a safer believe they can change the world and rearview mirror. It sets the stage for our ing our core degree programs that have ability to make a difference in the professionals with the toolkits they need to way when they work with real patients. are willing to give it a shot.

24 heartbeat FALL 2018 FALL 2018 heartbeat 25 new faces

Welcome to the Team Vice Dean Clochesy Joins the SONHS Within his first few weeks on the job, John M. Clochesy, Ph.D., R.N., was Zhan already showing off his Hurricanes pride, sporting a University of Miami necktie to Liang match his new role as vice dean and professor at the School of Nursing and Health R. M. LAMAZARES-ROMERO Studies (SONHS). Nicole cancer symptoms and another to help nursing research from Case Western Gonzaga Zhan Liang “I look forward to supporting all aspects of the SONHS, including the educate caregivers of chronically critically Reserve, an M.S. in medical-surgical Assistant Professor dean, faculty, staff, students, alumni, ill patients on end-of-life decisions. nursing from the University of Zhan Liang, Ph.D., R.N., held an Juan and community partners,” says Vice He has more than 100 publications, Wisconsin, Madison, and an M.A. in appointment as an assistant professor in Gonzalez

JAVIER CORRALES JAVIER R. M. LAMAZARES-ROMERO Dean Clochesy (pronounced CLAW- including the award-winning books psychology/diversity management from the College of Nursing at the University see), who started August 15. Essentials of Critical Care Nursing and Cleveland State. of South Florida from 2015 to 2018, Clochesy comes to the U from the Critical Care Nursing. He is a reviewer Nicole Gonzaga where she was the principal investigator Juan E. Gonzalez Assistant Professor of Clinical Professor of Clinical and Program University of South Florida College of for multiple journals and was the (PI) on a study to test the Effect of Nicole A. Gonzaga, D.N.P., is a Director, Nurse Anesthesia Nursing in Tampa, where he held an founding editor of AACN Clinical Issues Music Intervention on Symptoms and Certified Registered Nurse Anesthetist Juan E. Gonzalez, Ph.D., C.R.N.A., appointment as a professor and recently in Critical Care Nursing (now AACN Weaning from Prolonged Mechanical who has worked in hospitals and joined the School of Nursing and Health served as an associate dean, both for Advanced Critical Care). Ventilation. She has focused her research ambulatory facilities in South Florida Studies in May, after 15 years on the organizational integration and for the Prior to joining USF in 2012, on management of symptoms and since 2006, including as chief obstetric nursing faculty at Florida International Ph.D. program. Clochesy held positions at Cleveland clinical outcomes among chronic and C.R.N.A. at Memorial Hospital West. University, most recently as clinical “I can’t think of a better fit than State University and Case Western critically ill patients. This research She has been an adjunct faculty member associate professor at the College of Dr. Clochesy for this integral senior Reserve University in Cleveland. He interest developed from her clinical at the SONHS since 2015 and currently Nursing and Health Sciences and vice leadership position,” says SONHS served as a visiting professor in Taiwan experience as a critical care nurse caring holds a faculty position at Sylvester chair, assistant program director for the Dean and Professor Cindy L. Munro. and Wales, and in New Orleans after for patients admitted to the ICU and Comprehensive Cancer Center and Department of Nurse Anesthetist “He will play a critical role in advancing Hurricane Katrina. their family caregivers. Her direct University of Miami Health Tower. Practice. He holds a Ph.D. in nursing, an our school’s strategic vision in the areas Clochesy is a fellow of the patient experience has given her the Previously she held positions in UCLA M.S. in science (nurse anesthetist), and a of mission-driven research, hemispheric American Academy of Nursing and foundation to develop rigorous research Medical Center’s Cardiothoracic ICU B.S.N. in nursing, all from Barry leadership, and education for life.” American College of Critical Care studies examining interventions to and at NYU Medical Center. For the University. He also holds a bachelor’s Clochesy’s current research involves Medicine. He has a Ph.D. in clinical improve symptoms and clinical first time this fall, Gonzaga, who degree in biology from Barry. Gonzalez is providing virtual support and digital outcomes for chronic and clinically ill regularly participates in medical mission an Advanced Registered Nurse therapeutics by developing and testing patients. She worked with Dean Cindy trips to Latin America, is bringing a Practitioner licensed in Florida and a serious games for health. A recipient of L. Munro on a large NIH-funded Student Registered Nurse Anesthetist member of Sigma Theta Tau the 2017 USF College of Nursing clinical trial on oral care for mechani- from SONHS with her on a medical International Honor Society of Nursing. Mentor in Research Award, he is cally ventilated patients and is currently mission in Guatemala. Gonzaga has a His interests include patient simulation currently co-investigator on two virtual a co-investigator on another B.S.N. from the University of Texas at as a teaching modality, technology in support studies funded by the National NIH-funded study with Munro as PI Austin, an M.S. from Columbia nurse anesthesia, advanced cardiovascular Institute of Nursing Research—one to that uses recorded family voice messages University, and a D.N.P. from Johns life support, and patient safety. assist older adults in managing their to reduce delirium for mechanically Hopkins University. ventilated patients in the ICU. Liang received her B.S.N. degree from Guangzhou Medical University in China, and her M.S.N. and Ph.D. degrees in nursing from the University of Pittsburgh.

26 heartbeat FALL 2018 R. M. LAMAZARES-ROMERO FALL 2018 heartbeat 27 new faces

Pulmonary Researcher Named Associate Dean for Research

Charles A. Downs, Ph.D., A.C.N.P.-B.C., F.A.A.N., a translational researcher Chante from the University of Arizona noted for his work in acute lung injury and pulmonary Washington-Oates diseases, joined the School of Nursing and Health Studies August 15 as associate dean JAVIER CORRALES JAVIER for research and associate professor. Downs, a fellow of the American of personalized health interventions Translational and Regenerative Medicine Maya Chante Elías Paul Academy of Nursing, will lead the to prevent and treat the disease. in the College of Medicine. In addition Washington-Oates Metcalf ongoing development of the school’s Downs began his career working to the NIH, his research has been Postdoctoral Associate extensive research portfolio, including in the medical intensive care unit and supported by private foundation and

Chante E. Washington-Oates, B.S.N. CORRALES JAVIER identifying new areas of research, serving as a critical care flight nurse at institutional funding, and published in ’07, Ph.D. ’18, is working on a grant mentoring early- and mid-career faculty, the University of Alabama, Birmingham, a number of scholarly publications, such Maya Elías proposal to the National Institutes Paul Metcalf and pursuing research funding opportu- where he also earned his M.S.N. and as the Journal of Proteomics, American Postdoctoral Associate of Health. Her research comprises Development Director, Major Gifts nities in the areas of vulnerable B.S.N. degrees. He went on to earn his Journal of Respiratory Cell and Molecular Maya Elías earned her Ph.D. in nursing multilevel preventive interventions For two decades, Paul A. Metcalf, Ph.D., populations, patient safety/outcomes, Ph.D. in nursing with a focus on lung Biology, and PLoS One. science and her master’s degree in designed to improve the quality of life has been dedicated to the advancement of disaster preparedness, global health, and biology at the University of Arizona, gerontology from the University of of vulnerable families, such as those higher education through fundraising family caregiving. followed by a postdoctoral fellowship South Florida. She has a B.S.N. from affected by mental illness and substance efforts such as multiyear capital projects, “Dr. Downs is a dynamic, at Emory University. the University of Central Florida and use epidemics, violence, incarceration, annual direct response programs, and nationally recognized academic leader. At both UA-Birmingham and spent four years working as a neurosci- and separation. She plans to use her leadership giving. From 2004 to 2018, he We are very pleased to welcome him to Emory, Downs taught across B.S.N., ence registered nurse at Tampa General research to inform the development served in various capacities in the Division our school,” says Dean and Professor M.S.N., D.N.P., and Ph.D. nursing Hospital. Her dissertation study, “The of community agencies that provide of Institutional Advancement at Florida Cindy L. Munro. programs, developing courses focused Relationship between Sleep Quality and effective, evidence-based, protective- Atlantic University in Boca Raton, most His basic and early translational on radiography and biological Motor Function in Hospitalized Older focused interventions. Her dissertation, recently as associate director of Community research focuses on Acute Respiratory methodology. As a dually appointed Adult Survivors of Critical Illness,” was “Protective Multi-Level Factors in Engagement. He has presented at national Distress Syndrome (ARDS), a disease assistant professor in Emory’s nursing the first to describe post-intensive care Adolescents of Mothers with Mental conferences on the topic of alumni giving process characterized by profound school and physiology department, unit sleep quality among older adult Disorders,” suggested that adolescent and received graduate faculty status in the inflammation and pulmonary edema he earned the Woodruff Early inpatients and explore the relationship self-management strategies and maternal Department of Educational Leadership that is a major source of morbidity Investigator Award in 2014. between sleep and motor function upon involvement protected mental well- and Research Methodology at FAU while and mortality in the United States. He joined the University transition of care out of ICU. Under the being among youth whose mothers developing a graduate-level course titled Supported by a five-year R01 grant of Arizona in 2015 as an mentorship of her dissertation chair, have mental disorders. It received the Education and Philanthropy. He holds a from the National Institutes of Health, assistant professor with a Dean Cindy L. Munro, she submitted a Beta Tau Chapter Sigma Theta Tau B.S. degree in Communication from Ohio Downs is using state-of-the-art dual appointment at the postdoctoral fellowship grant application International Graduate Research Award University, as well as M.Ed. and Ph.D. molecular and biochemical techniques College of Nursing to build on her preliminary research and and informed her first-place-winning degrees from FAU. to better understand the molecular and the Division of explore longitudinal outcomes of critical presentation at the 2018 Southern underpinnings involved in the care survivorship in older adults. Nursing Research Society conference. evolution and resolution of ARDS with She has also presented at the Council the aim of informing the development for the Advancement of Nursing Science State of the Science Congress on Nursing Research, the Minority Health and Health Disparities Grantees Conference, and the Nursing Consortium Conference.

28 heartbeat FALL 2018 CORRALES JAVIER FALL 2018 heartbeat 29 faculty honors

Kenya Snowden

Laly Jeffrey Joseph Groom Erick Zarabozo

Jill Johis Sanko Ortega Andrew Porter Juan M. Gonzalez PHOTOGRAPHY BY R.M. LAMAZARES-ROMERO

Joseph Named to Groom Named to Experienced Nurse Society for Simulation Carmen Faculty Leadership in Healthcare Presti Academy Academy Laly Joseph, D.V.M., D.N.P., assistant Jeffrey Groom, Ph.D., SONHS professor of clinical, was accepted to professor of clinical and associate dean Porter Selected Sanko Recognized Presti, Zarabozo the 2018-2019 Experienced Nurse for Simulation Programs and the Fellow of the Faculty for Dedication Tapped for Spring Faculty Leadership Academy (ENFLA), International Academy for Clinical Learning Community to Simulation Awards a 12-month leadership development Simulation and Research, will be Andrew Porter, Ph.D., assistant Assistant Professor Jill Sanko, Ph.D. ’15, During the school’s Spring Awards experience offered by Sigma Theta Tau inducted into the Society for Simulation Juan M. professor of clinical, has been invited received the Frontline Simulation Ceremony in May, lecturer Erick González International Honor Society of Nursing in Healthcare (SSH) Academy at the to participate as a faculty fellow in Champion Award from the International Zarabozo, D.N.P. ’17, received the Faculty (STTI). Joseph is president of the International Meeting for Simulation in the University of Miami’s 2018-2019 Nursing Association for Clinical Simula- Clinical Excellence Award. He says his goal University of Miami’s Beta Tau Chapter Healthcare in January 2019. With over Florida Nurses Faculty Learning Community (FLC) tion in Learning. This award acknowledges “is to make students succeed and equip of STTI. Administered by the Center 3,700 members, the SSH seeks to Association Honors on Learning through Dialogue and a hard-working individual who demon- them with the skills they need to provide for Excellence in Nursing Education, improve performance and reduce errors Snowden, Ortega, Discussion. This fall he will take part strates exemplary dedication in the the best bedside care to their patients.” ENFLA promotes leadership develop- in patient care through the use of in learning sessions about educational day-to-day implementation of simulation- Teacher of the Year recognition went to ment in mid-career nursing faculty. simulation. The SSH Academy convenes Gonzalez uses of dialogue and discussion. He will based health care education, going beyond Carmen Presti, D.N.P. ’12, an assistant Preference for this highly selective a peer-vetted cadre of experts whose The Florida Nurses Association (FNA) then redesign a course to be taught and the ordinary to exemplify an extraordinary professor of clinical and Acute Care Nurse program is given to doctorally prepared sustained contributions have had an named assistant professor of clinical evaluated over the next five years. UM commitment to excellence in the delivery Practitioner who teaches pathophysiology, nurse educators and active STTI impact on advancement of the society Kenya Snowden, M.S.N. ’10, D.N.P. ’11, will provide funding for research and of simulation-based learning. role transition, and interprofessional health members. Each ENFLA scholar, mentor, and the field of health care simulation. 2018 Outstanding Nurse of the Year professional development during Porter’s care. “I am grateful to the SONHS for the and faculty triad works throughout Joining 49 existing fellows, the 11 (Community Action category) at its 8th fellowship year. opportunity to share my passion for the program to plan, initiate, and members of the 2019 Class of Fellows Annual South Region Symposium nursing with my students,” says Presti, a direct a variety of projects aimed at represent institutions that range from Awards Ceremony in April. The Nurse prior two-time recipient of the Faculty expanding the personal influence and the University of Miami to the Leader: Administration/Academia Award “I am grateful to the SONHS for Clinical Excellence Award. confidence of participants while having University of Pittsburgh and from at the event went to Johis Ortega, a substantial impact on the supporting Minnesota’s Mayo Clinic to Australia’s B.S.N. ’02, M.S.N. ’06, Ph.D. ’10, the opportunity to share my passion institutions, the profession of nursing, Royal Perth Hospital. Of particular associate dean for hemispheric and and global health. note, this third cohort is the first to global initiatives and associate professor for nursing with my students.” name Certified Registered Nurse of clinical. Juan M. González, D.N.P., Anesthetists as fellows, and Groom assistant professor of clinical, received is one of the first two CRNAs selected the Nurse Educator Award. to the academy.

30 heartbeat FALL 2018 FALL 2018 heartbeat 31 faculty profile class notes

Tips from a Two-Time 1970s 1990s Ann M. Thrailkill, C.N.P. ’76, works Dawn L. (Harrison) Garzon Maaks, student, she developed a concept analysis Teacher of the Year for VA Palo Alto Health Care System in B.S.N. ’90, was appointed president of of “Disengagement in HIV Care,” California. She works in primary care the National Association of Pediatric presented at the 2016 McKnight Mid-Year Assistant Professor Juan M. González, D.N.P., has been voted clinical faculty/ sound allows you to visualize the area on and women’s health, serving as the Nurse Practitioners on July 1. Her term Research and Writing Conference, and professor of the year twice by his students since joining the School of Nursing and the computer screen instead of going in maternity coordinator for the medical continues through June 30, 2019. She is presented the results of a research study Health Studies. blindly,” he explains. center and its outlying clinics. She a pediatric nurse practitioner and pediatric examining sexual negotiation among Asked his teaching secrets, he quotes advice from his mother, a high school From his vantage point at the enjoys doing volunteer work and travels primary care mental health specialist. Hispanic men who have sex with men at teacher: “A teacher needs to be a student advocate, identify and remove any barriers forefront of nursing education, González when possible. Her grandson is a the annual conference of Association of students have, and make every moment a teaching moment.” expresses optimism for his students’ Harvard grad working on Wall Street, Elise C. Hermes, B.S.N. ’98, was recently Nurses in AIDS Care. Now director of the SONHS possibly that nursing wasn’t meant for prospects. “In many states Advanced and her granddaughter is a senior at promoted to chief nursing information Family Nurse Practitioner program, me, Dr. González was very supportive. Registered Nurse Practitioners are now Ann’s undergrad alma mater, Boston officer for Nicklaus Children’s Hospital in Narciso Quidley-Rodriguez, B.S.N. ’14, González first got excited about He was able to see the humor and practicing to the fullest of their scope,” College. Ann says she’d love to hear from Miami. She has been with the organization Ph.D. ’18, defended his dissertation in May. becoming an educator when assigned to meaning behind such situations. He he says. “There are going to be a lot of fellow 1976 grads of the C.N.P. for 18 years, serving in leadership roles It explores sexual decision-making among be a preceptor for new graduate nurses could give you the confidence you opportunities for advanced practice program. and other positions, including neonatal men who identify as “bears,” a gay in the emergency department at South needed to succeed.” nurses at the bedside as well as in intensive care unit and emergency room/ subculture. His published works include Miami Hospital, where he’s worked for González says students who are leadership and teaching, in both acute Kathleen J. McGillick, B.S.N. ’77, trauma staff nurse. “Physical, Psychosocial, and Social Health of the past 12 years. “I enjoyed the receptive and hungry for new knowledge care and primary care settings.” received her M.S.N. degree at Adelphi Men Who Identify as Bears: A Systematic interaction and the challenge of having motivate him. In return, he encourages —Maggie Van Dyke University in New York after graduating Review” in the Journal of Clinical Nursing students ask questions and put me on them with meaningful feedback and from the SONHS. She remained active and “A Literature Review of Health Risks in the spot,” he says. plenty of praise. “I try to celebrate with in nursing for 17 years, including in 2000s the Bear Community, a Gay Subculture” in He began teaching clinical skills at students their small accomplishments, management and teaching. In 1994 Katrina Chong Blissett, B.S.N. ’06, the American Journal of Men’s Health. He has the SONHS in 2011, the same year he such as when they get the right answer she graduated from the John Marshall was asked to be a presenter at the 27th presented research findings at several was named South Miami Hospital’s ER to a question, instead of focusing on School of Law in Atlanta and has been World Nursing Education Conference in conferences, including the National Hispanic Unit Nurse of the Year. He soon their deficiencies,” he says. a practicing family law attorney for Berlin, Germany. Science Network and the Gay and Lesbian discovered that teaching complemented Several times a year, he also travels 24 years. This year she self-published Medical Association. his work as a clinician and vice versa. to Haiti and the Dominican Republic four novels, all in the mystery, thriller, Anna M. Lozoya, B.S.N. ’06, a risk “The more you study to teach, the to help lead the school’s hemispheric suspense genre under the name manager at Jesse Brown VA Medical Center, Julius Johnson, D.N.P. ’16, is teaching in better you do clinically,” he says. “The health care efforts there. These medical K. J. McGillick; they can be found received the 40 Under 40 Award from the the Family Nurse Practitioner program at more clinical experience you have, the missions offer him yet another opportunity on Amazon. National Association of Hispanic Nurses- Long Island University-Brooklyn, where better scenarios and examples you can to see his students transform. “When they Illinois Chapter and was recognized by the he was asked to become program lead for give your students.” leave, they’re different individuals,” he Illinois Nurses Foundation with a 40 Under the current year. He also reports that he Sofia De La Camara, B.S.N. ’15, says. “They develop more compas- 40 Emerging Nurse Leader Award. continues to practice home-based primary M.S.N. ’18, recalls him as “brilliant but sion. They learn how to troubleshoot 1980s and transitional care, and has two health never arrogant.” “Everyone’s favorite problems and be creative with a Mary E. Asher, M.S.N. ’85, D.N.P. ’11, care-based start-ups in the works. class was always whatever Dr. González small amount of resources.” relocated to San Antonio, Texas, where was teaching. For me that was pharma- A board-certified adult she teaches part-time for the University 2010s Kristi Brownlee, B.S.P.H. ’17, cology. He has the ability to make a gerontology, family, and emer- of the Incarnate Word School of Nursing Esther Mathurin, B.S.N. ’11, M.S.N. ’13, M.S.P.H. ’18, took part in the Minority whole classroom very interested in a gency room nurse practitioner, in the traditional B.S.N. program. Ph.D. ’18, a Robert Wood Johnson Training Program in Cancer Control topic they might have otherwise thought González conducts research on Foundation Future of Nursing Scholar, Research at UCLA this summer. Before was going to be dreadful because he ways to advance emergency care Deanne Silvers Donato, B.S.N. ’89, defended her dissertation in June. Titled graduating from the SONHS, she won exudes such confidence and knowledge,” through new knowledge and is married to Daniel Donato, M.D. ’80. “Engagement in HIV Care and Treatment she says. “As a new nursing student, protocols, and he educates Their son, Zach, graduated from Emory among Haitian Americans,” it examines the when the hospital environment was still nurse practitioners on methods University in 2018 and is in the first cohort process by which Haitian Americans decide terrifying (which led me to faint in front for using ultrasound to of the University of Miami’s Master of to be involved in their HIV care. She is of a patient and all my classmates), I improve diagnosis and Science in Biomedical Sciences program. interested in identifying barriers that inhibit Send us your news! remember being very discouraged. In treatment in the emergency “We are happy and proud to have another HIV-prevention behaviors in the Haitian Email R.M. Lamazares-Romero, moments like those, when I thought department. “If you’re starting Hurricane in our family!” says Deanne. community, and in the relationship SONHS Assistant Director, a central line or trying to between stigmatizing attitudes toward HIV Communications and Marketing, drain an abscess, the ultra- and prevention behaviors. As a Ph.D. at [email protected]

R.M. LAMAZARES-ROMERO Follow Us:

32 heartbeat FALL 2018 class notes alumni profile

third place in the UM College of Arts at a camp for children from low-income eagerness to work at Ryder, especially when Global Grandmother Inspired Next-Gen Nurse and Sciences’ 24th Audley Webster and otherwise at-risk backgrounds. she shared some of her experiences there.” Memorial Essay Contest for her Yesenia is also a research assistant for the When Rosemary F. Lohlein, C.N.P. ’79, began her She continued her volunteer work well into her retire- submission, “Defining the ‘Strong Black Yesenia Licor, B.S.N. ’18, and Jessica N. family automated voice recording (FAVoR) nursing journey in Queens, New York, in 1961, and later ment, caring for patients in Senegal, Ecuador, and Mexico. Woman.’” Also earning third place Morales, B.S.N. ’18, were hired by Jackson research study spearheaded by SONHS New Jersey, she never expected it would lead to Miami, much Her last mission was six years ago in Honduras. honors was fellow SONHS student Memorial Hospital and are in the 16-week Dean Cindy L. Munro. “This nursing-led less to a war zone halfway around the world. Though her health of late had forced her to curb her Jasmine Mompoint for her submission Critical Care ICU Internship program. research study has the potential to change But in 1972, Lohlein, by then a mother of four, headed volunteer activities overseas, she remained active in her community titled, “I once thought I was beautiful. Jessica is in the Neuro-Surgical Intensive the quality of care and quality of life south with her family to Marathon in the Florida Keys to start in Coronado, California, attending church, practicing yoga, and Then I saw a magazine.” Care Unit. “It has been an amazing, experienced by the patient in an ICU,” says a new business venture with her husband. traveling for vacations to visit her children and grandchildren. exciting, and rewarding experience. I am Yesenia. “It’s important to me because every “I worked per diem at Fishermen’s Community Hospital in Just last year she attended the graduation of her grandson Anna Liza DelRosario Fernandez, constantly learning something new, whether day in the ICU I not only see delirious labor and delivery, the emergency department, and the operating Robert Charles Lohlein, B.S.N. ’17, who had followed in her D.N.P. ’17, a Jonas Nurse Scholar, is the it be about spinal cord injuries, traumatic patients in mental distress and pain but also room,” Lohlein said. “I just loved working as a nurse, and the footsteps at UM. (His parents and sister are also UM alumni.) acting clinical nursing director, Office of brain injuries, or intracranial hemorrhages. families who are experiencing a plethora of hospital was very accommodating with my schedule.” The younger Lohlein now works as a registered nurse in the Community Care, San Francisco VA The SONHS truly prepared me to start a emotions and distress. I truly look forward Recognizing Lohlein’s dedication and potential, a Surgical Transplant Unit at Florida Hospital in Orlando. “I Health Care System. job just months after graduation.” to what this research study can do for the supervisor encouraged her to apply for a nurse practitioner definitely was inspired to go into nursing by my grandmoth- “Working for Ryder Trauma Center has prevention of delirium.” program being offered at the University of Miami School of er,” he says. “And I chose the University of Miami because it’s Hana Phelan, B.S.N. ’17, was hired for been a dream come true for me,” adds Nursing and Health Studies. where she became a nurse practitioner.” an operating room internship at Lakes Yesenia, who works in Ryder’s Trauma ICU. “I’m so grateful for the education I received at the University It’s fair to say, some 40 years later, it is not his grand- Region General Hospital in New “Dr. Presti, who taught our pathophysiol- of Miami,” said Lohlein, who passed away in August, just a mother’s nursing school, as it now boasts major advances like Hampshire. She was previously a nurse ogy class, sparked further interest and couple of months after being interviewed for this article. “It really the new state-of-the-art Simulation Hospital. opened up the world to me. Living in the Keys was like living in Wisely, however, the U hasn’t changed everything, and a very small town. At the University, I met students from all over Lohlein seems to echo his grandmother as he recalls his clinical the world, and working at Jackson Memorial Hospital, I cared for experiences. “I got to care for the most diverse patients—people patients from many different cultures.” from the Caribbean, South and Central America—with the best Her Legacy Lives On Lohlein said being a nurse helped her cope with the grief of professors guiding me,” he says. “I don’t think I would have had losing her husband in a car accident when she was just 49. that experience anywhere else in Florida.” In Memoriam: JoAnn Trybulski And her experience at the SONHS sparked her interest —Ginny Pickles From launching a pioneering Doctor of she created Salem Hospital’s nurse in volunteerism. Several years after her husband’s death, Nursing Practice program to inspiring practitioner-managed employee health Lohlein registered with International Relief Teams, based in students and mentoring colleagues, JoAnn clinic. She then spent a decade as a San Diego. Almost immediately, she was called to serve in T. Trybulski, Ph.D., left an indelible mark licensed nurse practitioner and assistant northern Iraq after Operation Desert Storm. during her 11 years at the School of chief of nursing at the Harvard “Caring for patients in a third-world country is quite Nursing and Health Studies (SONHS). Community Health Plan. Practice, being named a Distinguished challenging,” Lohlein said. “You sometimes have to be She passed away on June 29 at age 67. Before coming to the SONHS in Practitioner of the National Academy of resourceful and improvise, but it really is a wonderful feeling “Dr. Trybulski was a pioneer, a 2002 as an assistant professor, Trybulski Practice in Nursing in 2008, and being when you realize, ‘Oh my gosh, this will work!’” creative visionary, and a mentor to so served on the faculty of MGH Institute of appointed to the Florida Board of Nursing Lohlein’s two-week stint in Iraq was a crash course in many, both at the SONHS and across our Health Professions (a graduate school in 2013. In 2013 she was also tapped to be the horrors of war, as she tended to patients with gunshot communities,” says Mary Hooshmand, founded by Massachusetts General chief nursing officer for University of wounds and devastating injuries from land mines. But she Ph.D., current associate dean for the Hospital) and earned her Ph.D. in nursing Miami Hospital (now UHealth Tower), a also observed the resilience of the human spirit and the D.N.P. program at the SONHS, who on a fellowship from Boston College. role she held for two years before moving generosity of the medical professionals who give selflessly worked with her from 2010 to 2013. At the SONHS, Trybulski revised the to Central Florida. Trybulski had recently of their time and skills. A native of New York, Trybulski Adult Nurse Practitioner curriculum and retired from a position as director of earned a biology degree at Fordham instituted case-based teaching. Named an Chamberlain College of Nursing’s D.N.P. University and an Associate of Applied associate dean in 2007, she worked with program. She is survived by her husband Science in Nursing degree from the faculty to create a dynamic master’s degree of 43 years, Ed; daughter Sarah Trybulski Robert Lohlein at graduation last year with his grandmother, Rosemary, University of the State of New York. curriculum that helped triple applications Fedor, a 2006 UM alumna; son-in-law who passed away in August. In her first nursing job in the emergency and double enrollment. In 2009 she rolled Rick Fedor; three brothers; and two department of Amesbury Hospital in out the school’s D.N.P. Program, which sisters-in-law. Massachusetts, she helped create protocols today boasts over 250 graduates, many of “She was a kind, extremely caring, that were recognized with an award from whom are involved in transforming the and compassionate colleague, role model, the State Office of Emergency Medical profession around the nation. and friend,” says Hooshmand. “Though Services. After earning her M.S.N. and Trybulski’s other achievements her legacy lives on at the SONHS, we Adult Primary Care Nurse Practitioner include co-editing the award-winning will miss her greatly and extend our certification from Simmons College, textbook Primary Care: A Collaborative deepest condolences to her family.” 34 heartbeat FALL 2018 FALL 2018 heartbeat 35 JENNY ABREU / MITCHELL ZACHS student profile

From Nurse to Patient: A Case Study in Courage

In 2015, Stephanie Lozano was living “Stephanie did not miss a beat,” says living organ transplants, which have better her dream—a dream she’d pursued since Assistant Professor Mary Hooshmand, long-term graft survival rates than deceased shadowing a certified registered nurse Ph.D., associate dean for the D.N.P. donor organs. anesthetist as a teenager. program. “She is a diligent and excellent Her final scholarly proposal, The School By Christmastime, the pediatric student and showed incredible resiliency and “Pre-Kidney Transplant Process Improve- intensive care unit nurse had completed her courage. Even while she was on dialysis ment Project,” is a testament to the dream of Nursing and first year in the B.S.N.-D.N.P. Nurse waiting for a transplant, she was proactive she wouldn’t let die. Anesthesia Track at the School of Nursing about scheduling her clinicals and working “Everyone has a battle to overcome,” Health Studies and Health Studies and was looking with faculty to arrange everything.” says Lozano, “and although my battle PHOTOGRAPHY BY JENNY ABREU / MITCHELL ZACHS forward to her second when she became ill Lozano refuses to let her health wasn’t the easiest, I had a determination 2018 A busy summer at the School of Nursing and Health with what she assumed was a virus. Things challenges define her life. She credits her faith, inside of me that wouldn’t let me entertain Studies was book-ended by two fantastic celebrations for got worse, though. A trip to urgent care in addition to the support of her family and any of the negative diagnosis, prognoses, or over 330 graduating SONHS students. “I am inspired by your revealed a high creatinine level, indicating a friends, for her resilience. “There’s this Bible outcomes thrown my way.” energy, your call to service and scholarship, and your dedication to serious kidney problem. verse that truly resonates for me and pushed —Maggie Van Dyke learning,” Dean Cindy L. Munro said at the Spring Awards Ceremony, held May 11 in the Shalala Student Center Ballroom. A few months later, on August 9, “I told the doctor, ‘I have school starting me to remember there is a beautiful life the more than 160 participants in the Master of Science in Nursing Award Ceremony tomorrow,’ and he said, ‘Nice try. Go straight ahead,” she says. “It’s Jeremiah 29:11: ‘For I filled the 700-seat Watsco Center Fieldhouse to capacity with family and friends. to the emergency room,’” Lozano recalls. know the plans I have for you, plans to Associate Dean Johis Ortega called on the newly minted nurse practitioners to “be She was immediately admitted to the prosper you and not to harm you, plans to leaders.” “Be a voice for the voiceless. Be a beam of light to those who find themselves hospital. Her creatinine levels continued to give you hope and a future.’” in darkness,” he said. “As we walk out of these doors today, I no longer consider you my climb, and her kidneys failed. A biopsy That future now includes earning her students. It is my privilege to call you colleagues.” revealed an autoimmune disease called D.N.P., marrying her fiancé, and Henoch-Schönlein purpura, which advancing her career as a C.R.N.A. She’s inflames the small blood vessels in the also intent on helping other kidney disease skin. In some cases, such as Lozano’s, the patients and donors navigate the pre-trans- disease also attacks the kidneys. plant process, which she found fragmented In the span of six weeks, she went and overwhelming. from a healthy, driven Doctor of Nursing As part of her studies, Lozano is Practice student to a patient on dialysis working with staff at Jackson awaiting a transplant. She arranged to take a Memorial Health System to leave of absence throughout 2016. “I always improve communication believed I would return the following year, between patients and the no matter what,” she says. transplant team and to Today, Lozano is again living her develop short patient dream, on target to graduate in December. education videos that help But her path hasn’t been without challenges. explain key topics, She had to balance her medical treatments including living organ and school, arranging to receive peritoneal donation. She is dialysis at home while sleeping so she particularly interested in wouldn’t miss clinicals or classes. increasing the number of Then she received the news she’d been waiting for. “It was March 10, 2017,” she says. “We got together as a family to say the rosary and, at the end of the prayer, my cousin announced she was my transplant match.” The surgery was a success, and Lozano was back at school a month later with a new kidney.

36 heartbeat FALL 2018 LOZANO CARY FALL 2018 heartbeat 37 Nonprofit Post Office Box 248153 Organization Coral Gables, Florida 33124 U.S. Postage P A I D Permit No. 438 Miami, FL

Celebrating 70 years of leading the way through eduCation and innovation

Simulation Hospital

Novel Optimistic World-Changing

doCtoral Programs master’s Programs baChelor’s Programs

To learn more about our programs, visit us on the web or contact us: www.miami.edu/SONHS ● (305) 284-4325