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SUMMER 2016 Midwives in p. 12 NURSING Alumni Spotlight p. 18 Funding for Back Pain Research p. 22 MATTERS A Reunion 20 Years in the Making p. 23

Explore the evolution of nursing, from the caps YEARS to high-tech education. p. 4 FEATURED STORY | p. 4 NOW THEN & Editor UMSN is celebrating 125 years of nursing Jaime Meyers education at the . Graphic Designer Lauren Stuart Have a little fun exploring a few of the Photography ways UMSN has evolved to meet the needs Lauren Stuart of students and to address emerging Austin Thomason Elizabeth Wenner challenges in health care. Contributors Mary Beth Lewis Jodi Smolek Colleen Zimmerman IN THIS ISSUE The Nursing History Society of the University of Michigan

Please direct any questions INFLUENTIAL PARTNERSHIPS about content in this magazine 11 A partner in care for victims of violence to [email protected]. gets international acclaim.

Q&A WITH NEW PRESIDENT OF ACNM 13 What Dr. Lisa Kane Low wants every woman to know about giving birth.

RESEARCH FINDINGS 20 End-of-life care, pregnancy and PTSD, and more.

UMSN is on LinkedIn. The page “University of Michigan School of Nursing Alumni Group” is intended for connecting with classmates, Connect with networking, sharing career updates, and nursing-related discussions. UMichNursing If you’re an alum, you’re invited to join! NURSING MATTERS | SUMMER 2016 FAREWELL GALA During UMSN’s April Global Symposium, a special celebration was held to honor Dean Kathleen Potempa’s 10 years of leadership.

1 2 WELCOME, DEAN AND PROFESSOR PATRICIA D. HURN!

The U-M School of Nursing welcomes Patricia D. Hurn, PhD, RN, as its new dean. She 3 4 joins UMSN from the University of Texas System where she served as vice chancellor for research and innovation, and executive officer.

Dr. Hurn earned her bachelor’s degree in nursing from the University of Florida, master’s degree in nursing at the 5 6 University of Washington, and doctorate in physiology from 1 A bagpiper entertains the crowd, a tradition Dean Potempa brought to Johns Hopkins University. UMSN commencement ceremonies. 2 Colleen Zimmerman, UMSN’s Executive Director of Development and Alumni Relations, and Dean Potempa share a Her transdisciplinary research laugh. 3 Former deans Norma Marshall and Ada Sue Hindshaw with Dean includes a focus on the Potempa. 4 Dean Potempa with current and past visiting scholars. 5 Dean cellular and molecular basis Potempa with U-M Health System partners who made UMSN’s Clinical of gender differences in Excellence Initiative a nationally recognized model of integrating teaching in response to experimental brain clinical settings. 6 Bonnie Hagerty, Associate Dean, Office of Undergraduate injury. Additional research Studies, and Dean Potempa announce an endowed fund created to honor focused on estrogen as an the dean’s tenure. The Edward and Bernice Potempa Student Aid Fund was immunoprotectant in cerebral named to honor her in-laws and will support graduate students. blood restrictions, as well as stroke and other neurological conditions.

LEADERSHIP “I am greatly anticipating the opportunity to move this THEN: already outstanding School of Jane Elizabeth Pettigrew (1891-1893) was the first Nursing toward even greater director of what was then called the University of scholarship, leadership in Michigan Training School for Nurses. It was organized health care delivery, and and administered by the U-M Medical School. innovation in education,” Dean Hurn says. Rhoda Reddig Russell (1940-1972, pictured) first served as a director of the Training School. In Look for more on Dean Hurn 1941, the school became an independent unit and in the next issue of Nursing was renamed the University of Michigan School of Matters. Nursing. However, it wasn’t until 1955 that Russell was appointed as the first dean of the school. THEN NOW Nursing is an ever-evolving profession, and while many& of its principles remain constant, there have been countless changes in education and practice. As UMSN celebrates 125 years, enjoy this look at a few of the ways nursing and the school have changed.

THEN: The official uniform of the University Hospital Alumnae Assocation in 1946 was made with poplin, pearl buttons, and surgical sleeves with cuffs. The collar was separate from the rest of the uniform. The cost of the uniform was $3.25 and the collar was 17 cents.

NOW: UMSN students wear U-M blue scrubs with a School of Nursing patch. After graduation, the color of their scrubs may change depending where they work. ANATOMIC STUDIES THEN: A basic understanding of anatomy, as described in a 1904 THEN: In 1927, U-M Laboratory Guide, was “necessary for a nurse so that she may Marjorie Franklin converse with the doctor about cases in an intelligent manner.” became the first African American NOW: Anatomy is a fundamental element of a nursing student’s graduate of UMSN, education. UMSN is one of only a few units on campus with a 3D according to the Anatomage Table. It uses MRIs from real-life patients and can be Nursing History used for virtual dissections without the need for cadavers. Society. The first male students graduated in 1968 and included Gary Jones Christman, Dale Keith Boring, and Fredrick C. Raje. DOCTORAL EDUCATION THEN: The first PhD dissertation at UMSN was, Life“ Change and NOW: UMSN supports U-M’s renewed Illness in Two Drug Treatment Modalities,” by Marcia Anderson in commitment to Diversity, Equity and August 1978. Inclusion. It welcomes students from all races, backgrounds and citizenships. NOW: In addition to graduating top PhD researchers, UMSN offers a Doctor of Nursing Practice degree. Candidates complete a Learn more: scholarly project. Together, these alums are leading change in diversity.umich.edu health care. NURSING MATTERS | SUMMER 2016

THEN: Students once received gold, and we mean real THEN: Caps were originally part of the nurse uniform gold, pins upon graduating from nursing school. Above for sanitary reasons and to present a tidy appearance. is a cum laude pin from Jeannette Roper, class of 1929. Styles changed, but the caps served as a signature element of a nurse’s uniform. NOW: Students still receive a pin at graduation. Although they are no longer made of gold, they remain NOW: Caps began to disappear in the 1980s, again for a meaningful symbol. sanitary reasons, and to be more welcoming to men in the profession. But the symbolism remains strong.

ADMISSIONS AND GRADUATION THEN: In 1891, six students were admitted to the very first class in what was known as the U-M Training School for Nurses. In 1893, U-M President James Angell was quoted in the Ann Arbor Argus saying, “There were few more important days in the history of the University than this, the graduation of the first class of trained nurses.” In the past, nurses wore their uniforms at graduation, as seen in this 1927 photo.

NOW: U-M reported a record 55,000 freshmen admissions in 2016, continuing a 10-year streak of increased admissions. Approximately 150 graduates receive their BSN from UMSN each year. They wear regular clothing under the traditional cap and gown.

THEN: Students wore an ID pin on their clothing. To the right is a student pin from the late 1930s.

NOW: Students wear a plastic rectangular badge with their student ID and photo that grant them access to areas such as our Clinical Learning Center.

BUILDING THEN: Through the years, UMSN was housed in multiple campus buildings, not always together.

NOW: In 2015, UMSN opened the first building in U-M’s history designed specifically for nursing education. EXTRACURRICULAR ACTIVITIES THEN: In the 1940s, UMSN had two full-time social directors. From 1948-1949 U-M Official Publication V.50, “Frequent teas and parties make it possible for training in the social graces… In addition, organized hikes, picnics, bicycle trips and canoeing parties provide wholesome outdoor recreation. Special attention is given to providing a well-rounded social and recreational program for the students.”

NOW: Nursing students have one of the most rigorous schedules of all majors, but they continue to excel in other areas. For example, 2016 grad Danielle Pfeifer earned accolades on the track as a middle-distance runner and in academics.

Read about Danielle: nursing.umich.edu/pfeifer

DANIELLE PFEIFER NURSING STUDENTS WITH THEIR SPORTS GEAR, 1941

MRS. CHASE THEN: Mrs. Chase was one of the earliest training mannequins for nursing students. Nicknamed for the manufacturing company, this model from the 1920s was considered very advanced for the time because “she” has an injection site on her arm and an internal reservoir.

Notice the length of her sleeves. Her gown, authentic to that era, had long sleeves for modesty and pre-dates the use of IVs.

The wheelchair is also from the 1920s.

NOW: UMSN students use high-fidelity mannequins to hone their skills. Instructors are in adjoining control rooms while Some of Mrs. Chase’s leading the mannequins and joints, such as her monitoring the students through shoulders, are made of countless simulations. Students rope or cloth. Her knees practice numerous skills are metal hinges. including chest tube insertations, administering Unfortunately, Mrs. medication, and even delivering Chase’s ears were made a baby. Instructors can mimic of rubber and have changing scenarios to prepare disintegrated. students for real life situations. NURSING MATTERS | SUMMER 2016 2017 RANKINGS U.S. News & World Report collected statistical data and peer assessment reputation surveys from more than 500 accredited graduate programs in nursing.

Nurse Midwifery Nursing Administration

Adult/Gerontology Primary Care Nurse Practitioner Nursing Informatics

DNP Pediatric Primary Family Nurse (First time DNP programs were ranked by USNWR) Care Nurse Practitioner Practitioner

Overall Ranking Master’s Degree Programs

Among the programs ranked each year — business, education, engineering, law, medicine, as well as nursing — U-M maintained top-15 rankings in all six categories. SCHOOL NEWS

FAST FACTS: UMSN’S competition, sponsored by the Rackham Graduate School. PhD NEW BSN TO DNP students compete to deliver the best PROGRAM research presentation and can only use one slide. The competition began Formerly for post-master’s only, in Australia, and now institutions UMSN’s updated DNP program around the world are using it as now also welcomes baccalaureate a way to help PhD students fine- nurses for a fast track to the terminal tune their oral presentation skills. nursing practice degree. Wagner won $500 in travel funds for her presentation “Reducing ADOLESCENT SBIRT DNP students choose among Pain after Chemotherapy.” She says specialty programs: she’ll use the funds for an upcoming UMSN was selected as one of only neuroscience conference. five schools of nursing to participate ƒƒAdult-Gerontology Acute Care NP in a grant to integrate adolescent SBIRT (screening, brief intervention, ƒƒAdult-Gerontology CNS INTERPROFESSIONAL and referral to treatment) for substance use into the curricula. ƒƒAcute Care Pediatric NP CURRICULUM SBIRT provides early intervention for people with substance use disorders, ƒƒAdult-Gerontology Primary Care NP and for those at risk.

ƒƒ Primary Care Family NP Simulation exercises allow students to interactively practice ƒƒ Primary Care Pediatric NP conversations with emotionally- U-M is strengthening its focus on responsive virtual adolescents to A full-time student can finish in interpressional education (IPE) learn screening, assessment and three years with eight consecutive for students in the health science clinical interviewing skills. The terms. Non-clinical courses are web- schools. The goal is to increase practitioner’s relational skills and blended and meet on campus once collaboration for improved the virtual patient’s engagement a month. The application opens in communication and more efficient in the conversation are monitored, late August. care. UMSN is represented by measured, and reported in real time Clinical Assistant Professor Nicole to the participant. Analytics are also Learn more: Boucher, PhD, RN, CPNP, and Clinical available across the population of nursing.umich.edu/dnp Instructor Christine Leech, RN, MSN, simulation users.The simulation has on a newly created Interprofessional been combined with other learning Curriculum Workgroup, which will materials and activities in UMSN’s THESIS COMPETITION examine the curricula, develop a plan Clinical Learning Center. to integrate IPE into programs and WINNER address logistical challenges such as “Student and faculty feedback has PhD student Monica Wagner won students’ schedules. been enthusiastic, and participants U-M’s Three-Minute Thesis have demonstrated improved

RETIREMENT Assistant Professor Patricia and academic success program for Coleman-Burns, PhD, MA, retired underrepresented students. PCB, after 25 years of dedicated as she is affectionately called by commitment to UMSN and the students, is known for her dedicated nursing profession. Among her mentorship, and her research many contributions, Dr. Coleman- and advocacy in reducing health Burns served as a special advisor disparities. She was recently awarded on multicultural affairs to UMSN’s the Sarah Goddard Power Award: dean and chair of UMSN’s Recognizing the Status of Women Diversity Committee. She also within the University of Michigan. served as director of GENESIS, Awardees are selected for their a UMSN outreach program for contributions to the betterment of students in grades 8-11 to learn women in leadership, scholarship and about health science careers. other professional activities. PATRICIA COLEMAN-BURNS, SECOND GENESIS is also a retention FROM LEFT NURSING MATTERS | SUMMER 2016

A-MAIZING ALUMS Local UMSN alumni volunteered to be “patients” for freshmen to experience their first clinical interactions with real people. The students practiced face- to-face communication skills, taking vital signs, and conducting health assessments in a clinical setting. Pictured here is freshman Madeleine Bredin examining volunteer patient Linda Lampman (BSN 1969). If you’re interested in volunteering with us, contact the UMSN Office of Alumni Relations at (734) 763-9710 or [email protected].

See the photo album: facebook.com/UMichNursing

interviewing skills and confidence,” UNDERGRADUATE reports Clinical Associate Professor Stephen Strobbe, PhD, RN, PMHCNS- LEADERSHIP BC, CARN-AP, who serves as UMSN’s Penny Riley, PhD, MS, Project Liaison. RN, is UMSN’s new Assistant Director for Dr. Strobbe says there are plans to Educational Excellence offer the program to nursing faculty, in the Undergraduate and to advanced practice students in Program. Most recently, a health assessment course. she served as a UMSN clinical instructor, coordinator of complex The grant is funded by the Conrad N. care courses, and Maize Cluster Hilton Foundation and administered Lead where she organized teaching by NORC (formerly known as the activities and provided supervision National Opinion Research Center) of faculty and program operations. at the University of Chicago. The She is certified as a Women’s Health POSTER PRESENTATION simulation was created by Kognito Care Nurse Practitioner. Her research with input from clinicians and focuses on heart failure. Hillman Scholar and doctoral educators, including Dr. Strobbe. student Jordan Harrison was Dr. Riley’s new position will focus selected for a poster presentation on fostering excellence in clinical at the 2016 American Society of CLC IN THE NEWS teaching, working with faculty Clinical Oncology (ASCO) Quality to innovate teaching methods, Conference. The event focuses on UMSN invited an Associated Press improving the integration of improving the quality and safety of reporter to visit our Clinical Learning education, practice and research in cancer care. Harrison’s presentation, Center. The result was a news article the undergraduate program, and “Factors associated with toxicity- and video that were featured in furthering the development of related service use among multiple national publications UMSN’s Clinical Excellence Initiative community oncology patients” including USA Today. in partnership with the U-M Health was chosen from more than 300 System. She will also handle key abstract submissions. Harrison, See the video: administrative tasks such as working right, is pictured with mentor Dr. nursing.umich.edu/CLC with UMSN’s Clinical Learning Christopher Friese. Center to coordinate operations and managing new faculty orientation. FACULTY ACCOLADES

NURSE PRACTITIONER demonstrated an extraordinary ACTION ON OPIOIDS record of accomplishment in scholarly research and have an Clinical Associate excellent record of contribution as a Professor Stephen teacher. Dr. Friese was also recently Strobbe, PhD, RN, selected for the National Academy PMHCNS-BC, CARN-AP, of Medicine/Robert Wood Johnson was named Co-Chair Foundation Health Policy Fellows for the Washtenaw Program. Fellows will spend a year in Health Initiative Opioid Project, a Washington, D.C. working on health- community-based group striving to related legislative and regulatory reduce opioid addiction, overdoses, issues with members of Congress and and deaths. It brings together the executive branch. Recent UMSN leaders from law enforcement, health UMSN CLINICAL ASSISTANT PROFESSOR DNP graduate , was care and the community to share CYNTHIA DARLING-FISHER, ALUMNA RACHEL Daniel Ochylski PROSSER, FORMER FACULTY ANNE THOMAS, also selected for the fellowship. resources and build partnerships. Dr. GINA DAHLEM, AND PROFESSOR EMERITA Strobbe is also the president-elect JOANNE POHL of International Nurses Society on Clinical Assistant Professor Chin Hwa NIGHTINGALE AWARD Addictions. (Gina) Dahlem, RN, FNP-C, PhD, was inducted as a fellow in the American Clinical Assistant Association of Nurse Practitioners Professor Barbara AAN FELLOWS (AANP). Selection is based on Freeland, RN, DNP, accomplishments in practice, ACNS-BC, CDE, Associate Professor education, policy and research, and received a 2016 Ellen Lavoie Smith, contributions to the advancement of Nightingale Award PhD, APN-BC, AOCN, NPs. Dr. Dahlem’s research focuses for Nursing Excellence in Education has been selected as a on opioid overdose prevention administered by Oakland University fellow of the American using naloxone, and on how patient- School of Nursing and its Board Academy of Nursing. provider relationships affect patient of Visitors. The annual ceremony UMSN alumni Martha Funnell, a U-M outcomes. Her clinical expertise honors nurses for leadership, quality Medical School associate research is serving vulnerable populations, care, innovation and advocacy. scientist, Mary Burman, a University particularly people experiencing The Education Award is given to a of Wyoming dean and professor, and homelessness. professional nurse who demonstrates Colleen Corte, a University of Illinois- innovative education activities or Chicago associate professor, were contributes to quality patient care also selected. SIMULATION AND through research. Dr. Freeland uses more than 40 years of experience to LEARNING teach students advanced methods to INTERPROFESSIONAL Michelle Aebersold, improve patients’ health education, PhD, RN, CHSE, FAAN, literacy and self-care. Her research LEADERSHIP FELLOWS was elected to the focuses on knowledge and attitudes Two International Nursing of nursing students towards diabetes nursing Association for Clinical self-care. faculty Simulation & Learning members (INACSL) Board of Directors as Vice are part President for Operations. She is the STATISTICS of the director of UMSN’s Clinical Learning inaugural cohort of the U-M Center and has extensive experience Associate Professor Interprofessional Leadership Fellows in both high-fidelity and virtual- Ivo Dinov, PhD, was program. Clinical Associate Professor reality simulation. elected as a member Michelle Aebersold, PhD, RN, of the International CHSE, FAAN, and Clinical Instructor Statistical Institute (ISI). Amber Dallwig, MSN, RN, were CAMPUS HONORS AND Elected ISI membership selected for the 18-month program recognizes those who have made designed to build their capacity NATIONAL FELLOWSHIP significant contributions to statistics as interprofessional scholars and Assistant Professor in areas such as research, education effective leaders in education. Christopher Friese, or professional leadership. Dr. Dinov’s PhD, RN, AOCN, research focuses on big data, health FAAN, is a recipient informatics, high-performance of the 2016 Henry computing, and teaching with Russel award. It technology. He is also the Director of recognizes faculty members early the Statistics Online Computational in their academic careers who have Resource. NURSING MATTERS | SUMMER 2016 GLOBAL NEWS INTERNATIONAL PHD RESEARCH

A group of twelve UMSN faculty, staff and PhD students travelled to the University of San Paulo Ribeirao Preto (USP-RP) in Brazil for the annual Global Ambassadors PhD Summer Research Institute. The five-day conference included colleagues from peer nursing schools in Brazil, Thailand, and .

The participants shared research and developed new collaborations to further scientific progress in areas including chronic disease management, health promotion, vulnerable populations and psychiatric nursing. The UMSN students showcased their work through posters and presentations and received constructive feedback from the international group. They also visited local clinical sites and toured USP’s labs and simulation center.

“Health issues rapidly jump time zones and continents, and our increasingly multicultural neighborhoods mean that nurse scientists need to possess a deep understanding of the cultural contexts and practices of people different from ourselves,” says Associate Professor Patricia Abbott, PhD, RN, FAAN, FACMI. “Our students and faculty learn from varying approaches to scientific inquiry. Traveling DR. DENIS MUKWEGE, THE PANZI HOSPITAL CAMPUS, DR. ALAIN with these students and sharing research is enriching, and MUKWEGE AND DR. JANIS MILLER helps all of us to extend our thinking and diversify our partnerships to extend outside of our own backyards.” INFLUENTIAL PARTNERSHIPS This is the third year of the program funded by a Dr. Denis Mukwege, a gynecological surgeon in the U-M Rackham Graduate School Grant for the Global Democratic Republic of Congo, was named one of Time’s Engagement of Doctoral Education. “100 Most Influential People.” Dr. Mukwege is the founder of Panzi Hospital and has become the face of help for thousands of women raped and traumatized during the DRC’s ongoing wars.

Dr. Mukwege’s visit to U-M in 2010 to receive the Wallenberg Medal led to an ongoing partnership with School of Nursing Associate Professor Janis Miller, PhD, APRN, FAAN. “We bonded over our mutual interest in helping women whose bottom ends have seen the worst side of the world,” said Dr. Miller, whose expertise includes recovery from pelvic tissue trauma in childbirth and the resulting complications. In addition to her Michigan-based work, Dr. Miller is now actively involved in improving the research capacity at Panzi so providers like Dr. Mukwege can share their expertise with the global health community.

The partnership expanded in 2015 when Dr. Mukwege’s son, Alain, became a visiting scholar and research associate at UMSN, with Dr. Miller serving as his mentor. Dr. Alain Mukwege’s research includes managing pelvic organ prolapse, traumatic fistula, obstetric fistula, and other gynecological injuries.

UMSN and Dr. Denis Mukwege will host a screening of the film “When Elephants Fight,” narrated by Robin Wright, on Sept. 22 (details subject to change). The documentary explores the conflict over valuable natural minerals that is responsible for much of the violence and corruption in DRC. Check nursing.umich.edu for details. University of Michigan students IV tubing. The hospital staff was recognize them in perhaps the often travel to developing countries very appreciative of the items like highest honor a mother can give – to learn about health care outside tape, syringes, and medicines the one mother named her daughter the , but for a group of U-M group brought from the U.S. or Taya for student Taya Hamilton, and eight U-M School of Nursing (UMSN) purchased from the local pharmacy, another named her daughter Ruth for midwifery students, their clinical noted Dr. Zielinski. Some members of Dr. Zielinski. immersion experience in Uganda was the group even donated blood. also emotionally compelling. Dr. Zielinski says discussions are underway to make this an annual opportunity for students. She plans to Despite, or perhaps partly because hold an informal information session “We saw mothers die and we saw of, the emotional toll and challenging in the fall to share lessons learned babies die,” says Clinical Associate environment, the group says the and speak with interested students. Professor Ruth Zielinski, PhD, CNM, experience was overwhelmingly FACNM. “It’s heartbreaking because positive. One of the most positive TOP: UMSN AND UGANDAN NURSING if some of these situations had aspects was working in collaboration STUDENTS PRACTICE INFANT RESUSCITATION. happened in the United States with with the Ugandan midwives and BOTTOM: SARA, A UGANDAN MIDWIFE, all the resources available, those other healthcare providers and DRESSED HER SON (HELD BY SHIFFLER) IN A U-M SHIRT. EVEN IF HE SEEMS A LITTLE deaths could have been prevented.” students from around the world. UNSURE, WE THINK HE LOOKS LIKE U-M CLASS OF ’35 MATERIAL. The midwifery group spent two “Particularly for nurses, I think it is weeks in Uganda working at three important to take advantage of any different health care facilities, which experience outside of your country were often hot and without basic and your culture,” says student supplies or privacy for patients. Elizabeth Amaya. “It can help you discover the kind of health care “The Ugandan midwives do incredible provider you want to be and will work with very few resources and offer many lessons about patience little technology,” says student and compassion.” Ashleigh Shiffler. “We had to be creative and rely more heavily on what we saw, heard, and felt. Sometimes it was fun -- no one Dr. Zielinski has high praise for the knew if their baby was a boy or a girl way the students managed difficult until delivery and another student circumstances. “I think everybody diagnosed twins through physical at one point or another shed tears, assessment -- and other times it was but always at appropriate times,” very challenging,” Shiffler explained, she says. “I was very proud of their “But, those are skills that we’ll carry willingness to adapt and their ability with us wherever we practice in to create a safe and sacred space for the future.” these women giving birth.”

Supplies are such a challenge The efforts of the U-M group were that patients need to bring or not unnoticed by the Ugandan purchase their own items such as women. Two of them chose to

- Financial support provided by Arie and Dorothy McCabe Van Daalen International Nursing Fund. - NURSING MATTERS | SUMMER 2016

Q&A WITH THE NEW PRESIDENT OF THE even more positive and satisfying AMERICAN COLLEGE OF NURSE-MIDWIVES when they have someone really What She Wants Every invested in their needs. What would you like people to know Woman to Know About about UMSN’s midwifery program?

Giving Birth UMSN’s program is an amazing example of midwifery. We have Lisa Kane Low, PhD, CNM, FACNM, ƒƒ Expanding our consumer campaign strong expertise in global health, and FAAN, was recently inducted as to raise awareness about the faculty engaged in national policy president of the American College outcomes of midwifery care. and standards. The ability for our of Nurse-Midwives (ACNM). She is students to work collaboratively UMSN’s Associate Dean for Practice ƒƒ Continuing strategic projects with mentors, particularly at and Professional Graduate Studies around physiologic birth and the U-M Health System, allows them and a U-M associate professor of reduction of cesarean births that to understand the challenges Nursing, Women’s Studies, and demonstrate midwifery leadership and joy. Our program is about Obstetrics and Gynecology. in quality improvement. Also, quality practice, but also political midwives have shown great success engagement and appreciation for the How would you describe midwifery in supporting women to successful role you can have in improving care today? VBAC (vaginal birth after cesarean) outcomes. Together we create a very but it’s been left out of the strong program that launches new I’m hoping we are at a tipping mainstream conversation. midwives into their careers with solid point. The U.S. has some of the philosophies and beliefs about the poorest maternity care outcomes of What is the biggest challenge for role they can play in making developed nations and yet we spend midwives today? a difference. the most. When midwives are part of the system, they can change the Some states, including Michigan, way care is provided and improve have regulations restricting the scope outcomes. of practice for advanced practice registered nurses (APRNs), which What would you like people to know create barriers in practicing to their about midwifery care? full education. Much of ACNM’s policy work has been pulled into standards The biggest thing is that you get for Certified Professional Midwives, individualized, tailored care. Midwives but there has been less success work very hard to engage with in APRN full practice authority women about their choices. We do initiatives, and that has been that work well-informed by evidence frustrating. so we can offer the best options for that individual person. Editor’s note: More than 20 states have granted full practice authority UMSN What made you want to be to APRNs. Legislation is under MIDWIFERY president of ACNM? consideration in other states. THEN: In 1990, UMSN I went to my first ACNM conference What is the relationship between established the first graduate even before I was a midwife. I saw midwives and physicians? nurse midwifery program in people passionately articulating the Michigan. Top Row (left to beliefs that I held and that was really We have agreed to disagree on right): Carol Shultheis, exciting. Prior ACNM leadership some policy perspectives such as Barbara Peterson, Jane made significant progress in home birth and scope of practice Gemmill, Sherry Robins, Linda building collaborations, particularly legislation. But I believe our only way French. Second Row: Lori around standards for education and forward in changing maternity care House-Hewitt, Amy Broaddus, regulations, and I was inspired to see is through collaboration. There may Mary Ann Fleming, Jody Lori. that momentum continue. also be economic advantages at play between providers, which can make NOW: The UMSN community What are your goals as ACNM some people perceive midwives as may recognize a familiar face president? competitors to physicians. in the first cohort. Dr.Jody Lori serves as Associate Dean ƒƒ Making sure our organization Why do you say “midwifery is a for Global Affairs at UMSN. is financially well positioned to best-kept secret”? Her research focuses on the continue policy and member development of new models service work, and building on it. You don’t know what you don’t have of care to address the high until you have it. People may have a rates of maternal and ƒƒ Continuing work related to diversity perfectly fine experience with giving newborn mortality in Africa. and inclusion as we increase the birth, but they don’t know what midwifery workforce. might have been different. It can be YEARS NURSING MATTERS | SUMMER 2016

GLOBAL SYMPOSIUM IN CELEBRATION OF 125 YEARS OF NURSING EDUCATION AT U-M, THE SCHOOL OF NURSING HELD A THREE DAY SYMPOSIUM, HIGHLIGHTING THE IMPACT OF NURSING ON GLOBAL HEALTH.

On April 6-7, 2016, U-M faculty and alumni, top nursing scientists, and global health leaders gathered for the Symposium on Global Health. The symposium was well attended and provided a meaningful opportunity for scholars, students, nurses, and community members to come together and discuss cross-cutting global health topics.

At the symposium, it was announced that alumna Sara Rothschild, and her husband Robert, had made a nearly $1 million gift to UMSN. It creates the Rothschild Global Health Scholars Program, and is part of the $4 billion “Victors for Michigan” campaign at University of Michigan.

Dean Kathleen Potempa called the gift “transformative,” because it will provide “new resources to send our undergraduate and graduate students to work, study, research and learn alongside faculty and partners around the world.”

ANNETTE MWANSA NKOWANE, MA, BSC, RN, IS THE TECHNICAL OFFICER OF NURSING AND MIDWIFERY IN THE HEALTH WORKFORCE DEPARTMENT OF THE WORLD HEALTH ORGANIZATION. SHE SPOKE ABOUT ADVOCATING FOR UNIVERSAL HEALTH CARE ACCESS. Research Day Initiated by Dean Kathleen Potempa in 2009, the annual event is a way to highlight the vast scope of nursing research and inspire new collaborations.

The annual Suzanne H. Brouse Lecture, “Nurses Hold Up Half the Sky” was delivered by Tonda L. Hughes, PhD, RN, FAAN, Professor and Associate Dean for Global Health, University of Illinois at Chicago College of Nursing. Innovations on Global Health Conference

RESEARCH DAY AWARDS DAY Nurses as Global ONE Leaders Student First Place: Alex Fauer (pictured), BSN Student, Hillman Scholar; Christopher R. Friese, PhD, RN, AOCN, FAAN. “Plasma biomarkers associated with inflammation SPEAKERS and female reproductive function: A review of literature.” Vanessa Kerry, CEO at Seed Global Health, Faculty at Harvard Medical School presented “Promoting Workforce Development: The Importance of Nurses and Midwives.”

Siriorn Sindhu, Associate Professor of Surgical Nursing, Mahidol University Faculty of Nursing, Bangkok focused on Women’s Health and Student Second Place: Kathryn Abramoski (pictured), Women’s Rights.” BSN Student, Hillman Scholar; Corinne Hauck, BSN Student; Jennifer Pierce, MA; Sarah A. Stoddard, PhD, RN, CNP, FSAHM. “The Relationship Between Purpose, Perceived Norms, and Alcohol and Marijuana Use in High School Adolescents.” Michelle Dynes, Nurse Faculty Award: Stephen Strobbe, PhD, RN, PMHCNS-BC, Epidemiologist, CDC, spoke CARN-AP; Theresa R. F. Dreyer, MPH; Chin Hwa (Gina) about her experiences in Africa Dahlem, PhD, FNP-C, FAANP; Adreanne Waller, MPH; during the Ebola outbreak in, Marci Scalera, ACSW, LMSW, CAADC; Alice Penrose, MD, “The CDC: Serving on the Front MPH. “Reducing opioid overdose deaths through the Lines of Global Health Care.” Washtenaw Health Initiative Opioid Project.” NURSING MATTERS | SUMMER 2016

Innovations in Global Health Expo featured interactive displays of technologically assisted engagement developed at UMSN, including virtual reality simulations, Spanish-language patient care videos, and videoconferencing with peer schools in Haiti and other countries.

PANEL DISCUSSION: UMSN STUDENTS PAST AND PRESENT: MAKING A GLOBAL IMPACT

DAY Universal Health Care TWO in the Pan American Region SPEAKERS

Annette Mwansa Nkowane, Nursing and Midwifery Program, Health Workforce Department, WHO, shared “WHO Advocacy for Universal Health Care Access.”

PANEL DISCUSSION ON UMSN WORK IN PAHO REGION

Rosemarie Josey, MSN, MPA, UMSN faculty shared their various research, community RN, Atlantic Region Director, health, and educational efforts in the Pan American Commonwealth Nurses and Health Organization region. Dr. Barbara Brush, UMSN’s Midwives Federation, presented Carol J. and F. Edward Lake Term Clinical Professor, (at “Universal Health Care Access podium) discussed her work with UMSN’s Megan Eagle in the Americas: The Role of and Autonomous University of Nuevo Leon’s Esther Nurses and Midwives.” Gallegos Cabriales to develop master’s-level nursing curriculum in Mexico. Other topics included Spanish for health care professionals and virtual collaboration for community health nursing.

Go to youtube.com/UMichNursing and UMSN will have additional special events click on the 2016 Global Symposium playlist YEARS in the fall to celebrate our school’s 125-year to watch the presentations. history. Check the back cover for dates. MENTAL HEALTH undergrad experience to find ways of supporting students, especially INCLUSION during their first year of college. “The Those experiences inspired Wellons emphasis was on removing barriers to to pursue a master’s degree to focus success,” she says. “We stepped away on mental health and its role in overall from formulas. We grouped students health. But even after earning her with the same life experiences degree, it was still a fight to work on together.” mental health in an acute care setting because a nurse with her education Dr. Wellons, who returned to U-M this was expected to be assigned to a year for the first time in 20 years, says mental health unit. she was surprised she did not see as much diversity as she had expected. Those battles only encouraged She expressed interest in U-M’s Wellons to go further. As a recently increased commitment to former fellow of American Nurse diversity moving forward. Associations Minority Fellowship Program, she pursued a PhD in NEW NURSING psychology so she could advocate COLLABORATIONS ALUMNI for the patient as a total person. “Hospital systems are not designed for The visit to U-M was to attend the patient,” she says. “But I wanted UMSN’s Symposium on Global SPOTLIGHT systems that include social support Health: 125 Years of Research and for both health care professionals and Impact. Upon returning to California, Retha V. (Flowers) Wellons, those they serve.” Dr. Wellons presented a summary PhD, RN: A Career in of the symposium to the VA’s Nurse NEW APPROACH Managers Council. “I’m hoping it Transformational Change leads to more VA collaborations FOR VETERANS with nursing schools and opens up The drive to be on the forefront of A series of career advancements, opportunities in nursing research to advancing nursing helped University including as faculty at UMSN and understand the military culture and of Michigan School of Nursing University of California – San transition to civilian life.” (UMSN) alumna Retha Wellons Francisco, and private sector global chart a unique career path. It began consulting, led Dr. Wellons to Dr. Wellons says while she enjoys conventionally enough as a volunteer Veterans Affairs Palo Alto Health changing jobs and new opportunities, candy striper, but challenging Care System. right now she is committed to the VA. traditional ways of thinking led to “It’s such a worthy mission to serve significant contributions in areas of “Planning and accountability were the veterans and their families who mental health, hospital systems, high inadequate for the veterans returning have sacrificed so much for us and tech global workforce and military from Iraq and Afghanistan wars,” says the country.” caregiver wellness. Dr. Wellons. “And, there were minimal education and support services Read about Dr. Wellons’s VA Fellowship Opportunity on the next page. Dr. Wellons was a first-generation available for caregivers and families. college student at U-M in the 1960s. But the VA is working to remove Much like today, nursing students barriers to services for veterans and then had a very structured program, their families.” which Wellons credits for keeping her on track when discovering the SUPPORTING newfound freedoms of college. She was part of U-M’s Opportunity STUDENTS Award program aimed at supporting Dr. Wellons has also been a champion minority and first-generation for diversity. She says coming from a students. “Other students in the predominately black community, to program had more flexibility, but only being one of only four black students half of them made it through the first among 250 in her freshmen nursing year,” says Wellons. class was a shock. She laughed recalling a memory from her first In her first jobs after graduation, Dr. night in Couzens Hall, “Someone Wellons says she felt compelled to asked me ‘Where is the john?’ spend more time with patients than and I had no idea that meant required because she wanted a more the bathroom!” comprehensive understanding of their health care needs, mental state, During her time as UMSN faculty, she DR. WELLONS WAS PART OF A UMSN history, and home life. “I ended up helped launch the Office of Minority MARKETING CAMPAIGN DURING HER TIME working a lot of overtime,” Affairs and served as the office’s AS FACULTY she chuckled. first coordinator. She used her own Photo credit: Elizabeth Wenner NURSING MATTERS | SUMMER 2016 CLASS NOTES

NEW DEAN PEACE CORPS PROJECT The Pediatric Nursing Certification Board’s appointed Monika Pis, Linda Scott, (PhD ’99), was named Helen (Collins) (PhD ’06, MSN ’02, BSN ’00), to its dean of UW-Madison School of Kuebel, (BSN ’66), Pediatric Nurse Practitioner Primary Nursing effective July 15, 2016. Dr. may be retired but Care Certification Committee. She Scott most recently held the position she’s getting ready is also a national certification board of Associate Dean for Academic for another exciting exam item writer. Both are three- Affairs at the College of Nursing at chapter in her nursing year commitments. the University of Illinois-Chicago. career. Kuebel is heading to Africa Dr. Scott also recently served as in October as a visiting professor. a member of UMSN’s Diversity She’s part of a joint project involving 100 MOST INFLUENTIAL Committee. the Peace Corps, Global Health Service Partnership, Seed Global WOMEN IN MICHIGAN Health (led by Vanessa Kerry), and Two UMSN alumni made the Crain’s ON THE MOVE the President’s Emergency Plan for Detroit Business 100 Most Influential Aids Relief (PEPFAR). The project Women list. Gwen MacKenzie, (BSN Certified nurse practitioner Aaron is focused on enhancing nursing, ’76, MHSA), is a senior vice president Lanning, (MS ’13), joined the staff midwifery and medical education in and Michigan market executive at at the Dickinson Ear, Nose & Throat Tanzania, Uganda, Malawi, Swaziland Ascension Health Michigan. She is Clinic in Iron Mountain, MI. and Liberia. Kuebel is part of the responsible for the administrative team teaching nursing in Swaziland. direction, strategic positioning and operations of the system’s 13 HONORARY DEGREE Kuebel retired in 2011 after serving hospitals. Her health career began as Dean and Director of Nursing as an oncology nurse practitioner. Suzanne Bellinger Feetham, (PhD, for Lower Columbia College in She told Crain’s, “Being a clinician RN, FAAN, BSN ’62), received an Washington State. Her career and able to relate to physicians adds honorary doctor of laws degree included working in Illinois as a public credibility because they don’t expect from Wayne State University. She health nurse and developing a Rural it. They expect me to be a CPA or was selected as a “nationally and Outreach Nursing Education program CFO. I can be a calm person, but I’m internationally recognized leader who in Washington. She was inducted into also a skilled negotiator.” has affected policy change through the Washington State Nursing Hall of her positions in academia, health Fame in 2012. Andra Rush, (BSN ’81), is the founder systems and the federal government.” and CEO of Rush Group, a trucking The Feetham Family Functioning business that employs nearly 4,000 Survey, developed in 1977 at WSU, IMPROVING CLINICAL people. She and her company are assesses the strengths of families active in supporting the revitalization and is used today in research across DOCUMENTATION of Detroit and are looking for ways disciplines with translations in Alumna and member of UMSN’s to spur recovery in Flint “as they eight languages. Alumni Society Board of Governors, overhaul their infrastructure in the Fran Jurcak, (MSN, BSN ’81, wake of the water crisis.” RN, CCDS), is the new Clinical VA FELLOWSHIP Documentation Program Manager for Iodine Software. Jurcak will focus on EXECUTIVE OFFICER OPPORTUNITY accelerating product development to Dr. Wellons would like to make improve productivity, accuracy and Joseph Morris, (PhD, Michigan nurses aware of a two-year outcomes at the company, which is MSN ’02, BSN ’97), Post-Doctoral Advanced Fellowship based in Austin, Texas. was appointed Program in Mental Health Research as the California and Treatment at the Palo Alto Board of Registered Veterans Administration Health LEADERSHIP SERVICE Nursing’s Executive Care System. It aims to train nurses Officer. The BRN is responsible for to become outstanding clinical Therese Harper, (BSN, ’78), is interim implementation and enforcement of researchers in high priority areas of Vice President for Academic Affairs at laws related to nursing education, mental health. Laramie County Community College licensure, practice, and discipline. (LCCC) in Cheyenne, Wyoming. She Dr. Morris most recently served as Contact Program Director Dr. Ruth most recently served as LCCC’s dean Associate Dean of Nursing and Allied O’Hara (Ruth.O’[email protected]) for of health sciences and wellness. Health at Mt. San Jacinto College in more information. Riverside County, CA.

SHARE YOUR STORY We want to hear about the achievements of our alumni. If you have news to share, please email us at [email protected]. RESEARCH FINDINGS

Lead author Matthew A. Davis, PhD, MPH, a UMSN assistant professor, says, “We were END OF LIFE COSTS expecting to find the most common pattern to be explosive health care spending in the final A new study finds that months of life. In fact, only 12 percent of older adults in our study showed this ‘late rise’ pattern for nearly half of older of health care spending.” Americans, the pattern The study shows the last year of life for this large group of seniors costs the Medicare of high spending on system five times as much as the care received by the much smaller group of seniors who have health care was in a sudden burst of very expensive care in their last few weeks of life. Dr. Davis believes the motion a full year findings have clear implications for efforts to improve care, and contain the growth of costs, before they died. at the end of life. The findings were published in the June 2016 issue of HealthAffairs.

Read more: nursing.umich.edu/endoflife NURSING MATTERS | SUMMER 2016

CNM. Roosevelt added that women also showed fear that the clinician won’t treat them respectfully, listen to their concerns or attend the actual birth.

Women also reported being worried that they’d be expected to bear the brunt of decision-making responsibility, or that their decisions wouldn’t be respected. Others worried how they’d be treated if they didn’t have good insurance.

The study is available online at the Journal of Obstetric, Gynecologic and Neonatal Nursing.

PHYSIOLOGICAL BIRTH GUIDE UMSN Associate Dean for Practice and Professional Graduate Studies Lisa Kane Low, PhD, CNM, FACNM, FAAN, and colleagues created PREGNANCY AND PTSD with a friend who had given birth, A Nurse’s Guide to Supporting and those with a friend who had an Physiological Birth for nurses to Collaboration between the U-M early miscarriage. learn more about the benefits School of Nursing and Medical School of physiological birth including is leading to new opportunities to They found 16 percent of the improved patient safety and help women with post-traumatic miscarriage group had a teen satisfaction. Also called “normal stress disorder (PTSD) manage pregnancy themselves, compared to births,” physiologic births strive to pregnancy. Using data from the 11 percent of the group where one of limit interventions such as medication STACY (Stress, Trauma, Anxiety, the friends had a baby. In addition, or surgery. The guide shares nursing and the Childbearing Year) project the friends of teen mothers were less care practices and evidence- led by UMSN Professor Julia Seng, likely to have sex as teens, and more based resources for practitioners. PhD, CNM, FAAN, U-M psychiatrist likely to attain their college degree. It is available through Nursing for Maria Muzik further investigated the Women’s Health. women who were diagnosed with Dr. Yakusheva says this shows PTSD. The researchers found women teens can learn from their friends’ with the strongest support networks unplanned pregnancies. She also NURSING EDUCATION during pregnancy did not have suggests doing more than just telling worsening PTSD symptoms. However teens how to avoid pregnancy, but to IN ETHIOPIA one in four women with PTSD did also teach them reasons and benefits Health leaders in Ethiopia should show worsening symptoms which of avoiding teen motherhood. consider raising the minimum nursing can lead to a higher risk of post- educational requirement to at least partum depression and difficulty a baccalaureate degree. That’s the bonding with their newborn. Dr. FEAR OF CHILDBIRTH recommendation from UMSN Clinical Seng believes these findings support Instructor Nadia Charania, PhD, RN, the need for increased screening A UMSN study shows women are and co-authors in an International for PTSD in pregnant women and even more afraid of childbirth than Journal of Current Research article more personalized care for trauma previously thought—and are as “The Journey of Ethiopian Nursing survivors in pregnancy. concerned about their health care Education: A Glimpse of Past, Present providers as they are about pain or and Future.” The researchers share complications. Researchers polled concerns about the country’s high TEEN PREGNANCY three small, diverse focus groups of numbers of communicable and non- women who were pregnant or had communicable diseases, nutritional Girls whose friends have experienced recently given birth. deficit disorders and a shortage of teen childbirth are less likely to get health care professionals. They praise pregnant themselves according to “Women who have significant Ethiopian nurses for their growing new findings, published in the June fear of childbirth are more likely role in advancing health care delivery issue of the Journal of Adolescent to have C-sections, longer and but encourage additional progress in Health, from Associate Professor more complicated labors, as well education and engagement to further Olga Yakusheva, PhD, and colleagues. have postpartum depression” said improve patient care. The researchers compared two lead author and Clinical Assistant groups of nearly 600 teen girls: those Professor Lee Roosevelt, PhD, MPH, RECENT FUNDING

$1.4 MILLION NIH in four intensive care units (ICUs) in this K08 grant. Dr. Costa BACK PAIN GRANT believes this research will provide “Most people will experience back insight into how to organize ICU pain at some point in their life, and interprofessional teams, optimize consequently it’s a very expensive how ICU teams work together $1 MILLION GIFT condition,” says Matthew Davis, PhD, to deliver complex care and MPH, a UMSN assistant professor ultimately improve outcomes for MOTIVATED BY FAMILY and member of U-M’s Institute for this high risk patient population. HEARTBREAK Healthcare Policy and Innovation. Dr. Davis and colleagues will investigate She didn’t know it at the time of what happens when patients look REDUCING MATERNAL course, but her own birth would be outside the primary care system inspiration for Eleanore (Maitland) for treatment. They will examine DEATHS IN AFRICA Higginson’s career and an incredible the impact of complementary A new program will upgrade gift to U-M. and alternative medicine (CAM) maternity waiting homes to providers, specifically chiropractors, help pregnant women in remote “I was a twin but my brother was on management and cost of back communities of Zambia. Merck stillborn and my mother barely pain treatment. for Mothers, the Bill & Melinda survived herself because of the Gates Foundation, and the ELMA terrible care she received,” says Ellie. Dr. Davis believes this research Foundation are contributing $11.4 “As I grew older, I couldn’t help but will provide policymakers with the million for 24 maternity waiting wonder what difference better care evidence they need to understand homes where women can stay in could have made.” effects of coverage of chiropractic the late stages of their pregnancy care, currently the only CAM and in the critical period Ellie says she was drawn to courses service covered by Medicare. The immediately following childbirth. in obstetrics and pediatrics while funding comes from a $1.4 million As part of the operations a student at the U-M School of Department of Health and Human research, UMSN Associate Dean Nursing in the late 1950s. Then after Services, National Institutes of for Global Affairs and Director of graduation, she worked at University Health grant. U-M’s PAHO/WHO Collaborating Hospital and taught nursing students Center Jody Lori, PhD, CNM, in the labor and delivery area. FACNM, FAAN, and her team will TEAMWORK IN ICUs lead a $1.2 million dollar portion Now both retired, Ellie and husband Understanding how of the effort in Zambia. George, an Air Force colonel, interprofessional teamwork affects began looking for philanthropic complex care delivery will be the They will create entrepreneurial opportunities. Through their estate, focus of a new grant led by UMSN models of these homes and test they committed a one million Assistant Professor and Institute for income generating activities dollar gift to create UMSN’s first Healthcare Policy and Innovation to promote long-term financial professorship in midwifery. “We member Deena Kelly Costa, sustainability. “We are honored both believe in education and PhD, RN. With nearly $800,000 and enthusiastic to be part of wanted to do something that would in funding from the Agency for this dynamic team dedicated to last beyond us,” says George. Healthcare Research and Quality, improving the lives of women and Dr. Costa and colleagues from infants living in some of the most Ellie expressed gratitude to know nursing, medicine, and sociology will remote locations in Zambia,” the gift has the potential to improve examine how team structure and said Dr. Lori. the type of care her mother received. function can impact outcomes for “Having funds for a professorship patients on mechanical ventilation will deepen the ability to offer much more to students who one day will be caring for patients. The thought of an ongoing educational GOAL $28 MILLION component that we contributed to is marvelous.” RAISED $21.9 MILLION Read more: nursing.umich.edu/midwiferygift CAMPAIGN UPDATE Contact: [email protected] NURSING MATTERS | SUMMER 2016 A Reunion 20 Years in the Making: “Thank You for Giving Sweet Baby James a Second Chance in Life”

THE DIAGNOSIS THE REUNION Barb Williams knew it was more than a virus making On a recent February morning, Barb and James arrived her one-year-old son James sick. He was having trouble at UMSN for an emotional and at times tearful reunion. breathing and developed white sores inside his mouth. Beth introduced them to the class, her voice cracking as Barb and her husband, Chuck, took him to the doctor she told her students, “This is why I do what I do.” Barb, twice but both times they were told not to worry and fighting back tears, explained to the students that before were sent home. “I’m the mom of five boys and James is the diagnosis she didn’t even know what leukemia was. the youngest,” said Barb. “I knew this wasn’t just a routine She emphasized how important the nurses were to them sickness.” James was getting worse, so his parents took during the 5-month ordeal. “You are the ones the families him to the emergency room and again they were told to will get attached to,” she told the class. She shared that take him home. Instead, Chuck insisted on blood work. they became close to other families in similar situations, James was diagnosed with leukemia and immediately and it was the nurses who reassured Barb and Chuck transferred to the University of Michigan’s C.S. Mott that they would keep a close eye on James so they could Children’s Hospital. attend the funeral of another child who did not survive his cancer. She recalled that her then 9-year old son who BATTLING LEUKEMIA was the bone marrow donor for James told her, “I’d rather This was 1994 and UMSN alumna Beth Duffy, (BSN ’93, be a nurse than a doctor because they are the ones that MS ’99, DNP), was working as a fresh-from-school, brand- spend the most time with the patients.” new nurse. James was one of her very first primary patients and she has clear memories of caring for him: “James had times he wouldn’t want to eat, but the nurses “We used to call him Sweet Baby James because he was discovered he liked ham so they made sure he got ham, so cuddly and sweet even during terrible times.” James’s and I think he ate ham for two weeks straight one time,” five-month hospital stay included weeks in intensive care, laughed Barb in a moment of levity. James, who was a coma and an intestinal infection so severe his parents too young to remember his time in the hospital, was were told they might want to consider preparing for a emotional as he gave the students a simple message. “I funeral. “The nurses became like family,” said Barb. “His think it is so great that you want to do this for your doctor was wonderful, but we really became close to the career,” he told the nursing students. “Be ready and be nurses. We could not have asked for better people to take awesome.” Now a healthy 22-year-old man, James left for care our son.” Through chemotherapy and a bone marrow basic training in the Marines just three days after speaking transplant using one of James’s brothers as a donor, to the UMSN class. Before he left, Beth told him “All the James survived. bad guys better watch out! You’re a fighter and you’ve demonstrated that.” LIFE CONTINUES James enjoyed a typical adolescence in his hometown of Hudson, MI, and even earned a college football scholarship. His mom sent Beth occasional updates but they did not see each other for 20 years. Beth had gone on to earn her Doctor of Nursing Practice (DNP) specializing in pediatric acute care and oncology. She credits patients like James as her inspiration. “I just wanted to do more,” she says. Now a clinical assistant professor at the University of Michigan School of Nursing (UMSN), she invited Barb and James to share their story with a class. NNRIT RGANIATIN US STAGE Office of Development and External Relations • Suite 1154 AI University of Michigan School of Nursing ANN ARR MI 400 North Ingalls • Ann Arbor, MI 48109-5482 ERMIT N 1

UPCOMING EVENTS

Homecoming Reunion Weekend October 21-22

AAN Dessert Reception Washington, DC Oct. 21 8-9:30 p.m.

REGENTS OF THE UNIVERSITY OF MICHIGAN Michael J. Behm, Grand Blanc • Mark J. Bernstein, Ann Arbor • Laurence B. Deitch, Bloomfield Hills • Shauna Ryder Diggs, Grosse Pointe • Denise Ilitch, Bingham Farms • Andrea Fischer Newman, Ann Arbor • Andrew C. Richner, Grosse Pointe Park • Katherine E. White, Ann Arbor • Mark S. Schlissel, ex officio

Marian Durell Rhetaugh Graves Dumas Director, 1930-1940 Dean, 1980-1994 2016 REUNION WEEKEND

OCTOBER 21 OCTOBER 22 UMSN 125th Anniversary Go Blue Homecoming Open House Tailgate 9:00 A.M. - 11:45 A.M. 1:30 P.M. - 3:30 P.M. 1:45 P.M. - 3:00 P.M. Michigan vs. Illinois History Presentation Football Game 10:45 A.M. - 11:45 A.M. Kickoff time: 3:30 P.M. This year, UMSN is celebrating 125 All-Class Luncheon with REGISTRATION years of nursing education at Michigan. Dean Patricia D. Hurn In 2017, there will be an even grander 12:00 P.M. - 1:30 P.M. REQUIRED Register online or by phone. celebration as U-M celebrates its M-Talk with UMSN’s More information: bicentennial. Watch for special events Dr. Stephen Strobbe nursing.umich.edu/reunions 3:00 P.M. - 3:30 P.M. as we celebrate 200 years of U-M. Contact the UMSN Office of Alumni Relations: Take a virtual stroll down UMSN’s Memory Lane (734) 763-9710 or [email protected] to see photos from various eras. Alumni, faculty and staff are encouraged to submit their photos to [email protected]. Please include as much information (names, location, year, etc.) as possible.

nursing.umich.edu/umsn-memory-lane