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USD NURSING TIMES UNIVERSITY OF : HAHN SCHOOL OF NURSING AND HEALTH SCIENCE Vol 4 Salutes our Military Nurse

HEROES and HEALERS In Memoriam Dean Emerita Irene Sabelberg Palmer, PhD, RN, FAAN

CAPT Irene Sabelberg Palmer Army Nurse Corps Dean Emerita Palmer and Dean Sally Brosz Hardin at Hahn’s 35th Anniversary Celebration

rene Sabelberg Palmer, PhD, RN, FAAN, Founding Dean of the Hahn School of Nursing and Health IScience, passed away Sunday, May 29, 2011. Dr. Patricia Roth and Ms. Linda Johnston were with her and said that she died very peacefully. Saturday had been Dr. Palmer’s 88th birthday; she accom- plished amazing things in her 88 years, not the least of which was being a premier historical scholar of Florence Nightingale.

Dr. Palmer came to USD in 1974 after distinguished service as a Captain in the Army Nurse Corp, and as faculty at New York University, and as Dean at Boston University. Her vision was for a rigorous, science- based curriculum of practice and research to educate nurses to the highest educational standards. In 1975, she secured a substantial gift from the Phillip Y. Hahn family and a federal grant, which enabled her to break ground on the Nursing building. Dean Palmer’s vision remains the intellectual cornerstone of our USD Hahn School of Nursing and Health Science and the foundation for the current graduate programs committed to producing the profession’s leaders in science and practice. Fall 2011 USD NURSING TIMES UNIVERSITY OF SAN DIEGO

USD NURSING TIMES SON Military Nurse Salute HAHN SCHOOL OF NURSING AND 2/ USNS Mercy HEALTH SCIENCE MEPN’s: First nursing students to serve on the USNS Mercy. 6/ Heroes and Healers [ Dean ] In their own words - stories of courage, bravery and compassionate service. Sally Brosz Hardin, PhD, RN, FAAN Nursing Research Events [ Director of Development ] 34/ SON Doctoral Poster Presentations Joan Katherine Martin, M.A. Faculty Spotlight [ Features Writer ] Barbara Davenport 36/ Joseph Burkard, DNSc, CRNA RET Nurse Corps Officer, Professor and Mentor [ Editors ] Christopher Hardin, Susan Merrill, Donor Spotlights Carol Ponce, Carol Scimone 37/ Donald and Barbara Jonas Five SON military nursing students receive merit scholarships from the Jonas Foundation [ Designer ] 38/ Major SON Donors Chika Sasaki, Left Tree Design Donors and military veterans, Dr. Robert Beyster, Richard Charlton, Martin Dickinson and Richard Woltman. Correspondence regarding editorial content or address changes should be sent to: Military Roll-Call 40/ SON Military Graduates University of San Diego Hahn School of Nursing and Health Science Author E. Hughes Career Achievement Award Recipient for Nursing Development Office 42/ Marilyn T. Macdonald, PhD ‘05 5998 Alcala Park San Diego, CA 92110-2492 Faculty and Alumni Scholarly Review 44/ Honors, Awards, Grants, Publications and Presentations Phone: (619) 260-4730 Fax: (619) 260-6814 Philanthropy Corner 58/ Another Reason to Give [ Cover Photo] Conrado Perales, MSN, (2011) in his role Donor Honor Roll as Hero while stationed at Guantanamo 59/ 2011 Donor Contributions Bay Naval Station, and in his role as Healer during a volunteer medical mission to Ensenada, Mexico.

All nurses saluted in the USD NURSING TIMES are USD faculty, students [ or alumni of the Hahn School of Nursing and Health Science. [

1 Six Masters Entry Program in Nursing (MEPN) students made history last June when they and their instructor boarded the USNS Mercy in Da Nang, Vietnam. Abigail Chua, Catherine Chung, William Flores, Kimberly Fong, Jacqueline Iseri, and Patrick McNichols were the first nursing students ever invited to serve aboard the Navy’s Pacific fleet .

2 Practice at Hahn this May, was aboard as the Mercy’s chief anesthetist during the students’ tour. “The MEPN’s were awesome,” she remembered. “They were very energetic, and we used them everywhere: in screening clinics, peds, med-surg, the onshore clinics. They did everything we assigned them, and we assigned them a lot.” Templin and her students were eager to learn about other cultures, with the aim of becoming culturally competent providers. In preparation to provide rapid, flexible acute medical for their tour, they studied the history and surgical services to combat forces and culture of Vietnam and Cambodia. afloat and onshore. Her last wartime They learned about prohibitions like deployment was in 1991, supporting not touching the top of a person’s head Operation Desert Shield. Since then because that could damage the per- her deployments have been chiefly in son’s spirit, and about such traditional disaster relief, such as the Indonesian healing methods as rubbing a heated tsunami in 2005, and in regularly coin across the affected body part to scheduled humanitarian missions restore internal balance. coordinated through NGO’s. Project They faced their first demand for Hope was the coordinating agency for cultural competence the day they last summer’s tour. boarded the Mercy. For all but McNich- On humanitarian missions, Navy ols, who’d previously served a Navy healthcare personnel comprise about hitch, the military environment was a 5% of the total healthcare staff. The foreign culture, with its own customs, rest of the staff are providers from the language, and taboos. Students bunked other U.S. military services and 10 with enlisted personnel, 100 people in partner nations, including Australia, close quarters, where the racks (beds) Canada, Cambodia, France, Japan, stood three high and the communal New Zealand, , Republic of bathrooms and showers were a walk For five weeks they and Professor Korea, Singapore, and the United down the hall. Professor Templin got Kathleen Templin lived aboard the Kingdom. Hahn students joined these a reprieve; she was moved to officers’ Mercy, and the students worked chiefly military providers and nurses, physi- quarters, where the racks were only in the shipboard pediatric and med- cians and other volunteers from East- two high. Reveille sounded at 0600 surg wards, and also on shore-based Meets West, International Relief Teams, through speakers: “Reveille, reveille! clinics in Cambodia. That first day in Latter-day Saint Charities, Operation All hands on deck. Now reveille. Da Nang harbor, they could not antici- Smile, Project Hope, Hope Worldwide, Breakfast for the crew.” They were re- pate all that they would give, and all UCSD Pre-Dental Society, Vets With- quired to muster (roll call at their duty that they would take home. out Borders, and World Vets. Learning station) at 0630, on days off as well as The Mercy, home ported in San Di- to work with colleagues from other on duty days. Their uniform, Project ego, is a fully equipped hospital, with countries and varied clinical back- HOPE tee shirt and scrub pants, was 12 OR’s, 20 recovery beds, 80 ICU grounds and trainings was an essential mandatory for duty and all meals. Will beds and a maximum capacity of 1000 part of the mission. Flores spoke of the shock of “someone beds. As one of the Navy’s two large Commander Robin Tyler, who all the time telling you where to be.” hospital ships, her primary mission is completed her Doctorate in Nursing Three-high racks in crowded quar-

3 Professor Kathleen Templin and MEPN students with the Mercy clinical team

ters, no internet access, and 14 hour HOPE, and our country.” were expected to bring their own food. work days is a different experience Kimberly Fong said, “It was a great On the Mercy patients weren’t permit- from most students’ semesters abroad. experience to live with the military. ted to bring food aboard. The western Abby Chua remembers working on- What awed me most was that they food served on the ward was unfamil- shore in a clinic in Cambodia, where work so hard, 13-14 hour days, and iar, and her patient wouldn’t eat. The the temperature was in the high 90’s, they never complained. They earned staff tried a variety of foods, and found and the humidity was 80-90 percent. my total respect.” she would eat pancakes and dry cereal, The clinic day ran from 7am to 5pm, On shipboard, three students were and drink Ensure. and by mid morning her tee shirt was assigned to pediatrics, and three to the The length of the Mercy’s stops, 12 drenched with sweat, her scrub pants med-surg unit; half way through the to 13 days, determined which patients clung damp and clammy against her tour, they switched assignments. They and which disorders could be treated. legs, and her hair was plastered to her learned to work through interpreters, Conditions that could be resolved in head. Coming back to the ship, more to admit and discharge patients quick- a single episode of care were treated; than food, more than sleep, she want- ly, and to care for multiple patients in those that would require sustained ed a shower, and then to put on a tank a shift. They learned the practicalities care over weeks or months were not. top and shorts. On the Mercy shorts of culturally sensitive care. Caring for “We had to get them ‘streetable,’” weren’t an option. “We were always on a 16-year-old Cambodian girl after Tyler explained. Patients’ pain had to good behavior,” she said. “We knew we surgery for kidney stones, Abby Chua be manageable by discharge, and at were representing Hahn, and Project learned that at local hospitals, patients some stops, “manageable” included

4 tolerating a bumpy ride back to shore tions in local health care facilities. patients had serious scarring from acid in the band aid boat, the Mercy’s small When Patrick McNichols transported burns inflicted by their husbands, one transport craft. a child to a local ER he found “dirty, for her refusal to work as a prostitute. Students cared for children and outdoor stalls, like where you’d keep The trip made her reflect on her bless- adults who’d had surgical repairs of animals,” and no electricity. For Mc- ings, and shaped her decision to serve cleft lips and palates, and for young Nichols the hardest part of the clinic on future humanitarian missions. and middle aged adults who’d had work wasn’t the hours, or the working Patrick McNichols found himself cataract surgery because of a lifetime’s conditions; it was seeing all the people thinking more about his commitment exposure to strong tropical sun. Many they could not treat. The memory of to service; he’s applied to the Navy patients required surgical drainage of a three year-old with end stage hydro- Nurse Corps reserve, and hopes to be large abscesses. A number presented cephalus stays with him. Will Flores called for active duty. Before the Mercy, with tumors that were benign, but so said, “l learned to hold back tears, and Will Flores had planned to work in an large they caused significant functional breathe deeply” for all the conditions ER or OR. What he saw in Cambodia impairment. Many women required he saw, like club foot, for which the “opened my mind and my heart to surgery for ovarian cysts and gyne- surgery could have easily been done, public health.” He has applied to the cological adhesions. Inguinal hernias but for which the essential follow-up US Public Health Corps. were common and, so were extra digits. PT was unavailable. The MEPN students made history Other conditions they cared for includ- Everyone came home changed on the Mercy, and in their own lives. ed a mastectomy and a thyroidectomy, by their experience. Abby Chua was They were glad to have gone, and every anal fistula I&D, hysterectomy, and re- disturbed by the status of women in one of them is planning to seek other nal stone removal. Post-op and follow- the countries they visited. Two women opportunities for international service. up care was intense; all necessary care had to be accomplished before the ship departed. MEPN students spoke of learning to be flexible, as assignments changed to meet patient needs and colleagues rotated off the ship and new groups came aboard. They learned to navigate military rules and local bureaucracies to arrange the follow-up care for their patients. In Vietnam Professor Tem- plin was asked, on a day’s notice, to present two half-day sessions to local physicians and directors of nursing programs on competencies and stan- dards in nursing education. “It was a good experience for the students to see their instructor under the gun,” she said. “We all learned about the kind of flexibility we’d need.” In onshore clinics in Cambodia, students assisted physicians and nurse practitioners with exams, basic treat- ments, and recording of findings on PDA’s. They saw up close the condi- Kim Fong, Catherine Chung, and Peggy Holt with pediatric patient

5 All that We Could Give

LCDR Ryan Nations, center, administers anesthesia at Operating Base Farah, Afghanistan

Lieutenant Commander Ryan L. Nations, NC, USN, CRNA is now in his second year in the PhD program. From March to August of 2010 he served as nurse anesthetist and Assistant Officer-in-Charge for the Field Surgical Team at Forward Operating Base Farah, in western Afghanistan. He writes about his time there:

6 here was no shortage of need. friends back home and soon the care age, took out two cars and placed them My experience started with packages arrived: shoes, basic school in the boy’s hands. They were real. T this very simple observation. supplies and clothes. Every child we They were in his hands. They were It was not about what you wanted took care of left with new shoes, a going home with him. A little smile or would have liked to have; it came toothbrush, and clothes they could appeared, the first we’d seen. down to what do you need to survive grow into. They even got toys. My I drew from every nursing experi- this moment, maybe another moment, mom sent a five-pack of Hot Wheels ence the Navy has given me to get and if you were lucky, stringing enough cars. We gave it to one of our patients, through that deployment. Despite the moments together bloodshed and the to make a future. I sadness and grief came to see that we “It was great,” I reply. that comes with needed very little, “We did the best that we could do.” living in a war, the and learned to ap- nursing experience preciate the bounty was fantastic. We from which we had come. a young boy. He didn’t know what to all did everything and nobody had Our patients needed all that we do. We had the interpreter tell him, just one job. The nurses who did a could give. “These are a gift for you, these are resuscitation in the trauma bay helped We frequently provided care for now yours.” He looked as though he with sore throats and twisted ankles the local people, and providing care, expected us to take them back at any or simply listened when you needed to we began to get a feel for the world moment. The package sat on the litter talk about home. People ask me “how outside the wire. We asked our inter- next to him for a long time. Only as we was it? “ preters, “How come the oldest brother prepared to send him home it started “It was great,” I reply. “We did the always comes to get our patients?” to sink in. His uncle opened the pack- best that we could do.” “Because most of the fathers have died in the fighting.” “What was a nine year-old doing out so late?” “Selling water to support his family.” The more we saw, the more we asked, the more the need became apparent. We were limited in what we could do. Limited by rules, by available equipment, by lack of supplies. We saw many people for whom a simple intervention at the time of their injury could have prevented the painful and disabling complications they now suffered. The lack of medical care throughout the province and the pay-up-front, bring your own medical supplies, men-first system left many debilitated. In Afghanistan an injury can ruin your chance at a job, or marriage, even survival. Only the strong survive. We found ways to do more. We LCDR Ryan L. Nations, NC, USN, CRNA, PhD student shared our stories with family and

7 LISA TANGREDI: Service in Kandahar Leads to New Goals

Lisa Tangredi, NC, USN, DNP student, second from left, with Trauma Team in Kandahar

8 Lisa Tangredi, NC, USN, DNP student

isa Tangredi enlisted in the Navy Nurse Corps learn to do things you’d never been trained to do,” she said. because she was looking for a challenge. She hasn’t “You had to dig deep, and find your capabilities.” L been disappointed. She was commissioned in May Tangredi also worked in the primary care tent, where 2009, and three months later she stepped off a transport soldiers presented with headaches, abdominal pain, eye plane at Kandahar Airfield into the dry heat of Southern injuries and the like. Medical supplies often ran short, and Afghanistan, where summer temperatures stay in the 90’s, equipment was limited. Without the diagnostic tools she’d and the landscape is shades of tan. She was part of a team used in civilian settings, Tangredi came to value her col- that would take over the base combat hospital, which served leagues’ and her own growing expertise in triage, basic coalition soldiers, local Afghan adults and children, and exams and physical diagnosis. When fighting ramped up detainees. Every day the MedEvac helicopters would land around Bastion, a British military base, casualties spiked with casualties from forward operating bases and combat: and the staff needed help. Tangredi was assigned to the ICU traumatic amputations and gunshot wounds, and blast there. She found that British nurses did most of the tasks injuries, including what was fast becoming the war’s signature that US hospitals assigned to respiratory therapists. More injury, traumatic brain injuries. The task was to provide immedi- flexibility, more learning. ate care and stabilize patients for transport to Landstuhl. The Kandahar tour changed her professional plans. Over the next six months she learned enough of the local She came home wanting more education, and in particular, culture and customs to provide culturally sensitive care to wanting to learn pediatrics and family care. She’d been Afghan patients. She learned to work with limited resources assigned to Naval Hospital Camp Pendleton, and applied to and only the most basic equipment. She learned to do triage USD’s Family Nurse Practitioner (FNP) program. Professor and trauma care on a team with physicians and nurses from Susan Instone encouraged her to apply for the Doctor of the UK, Australia, Canada, and Denmark, to bridge differences Nursing Practice (DNP) program. in training, terminology, and styles of practice. In every task She started in the fall of 2010, while continuing to work and every setting she learned the essential skills of military full time. Work and school together make a full schedule, but nursing: flexibility, the willingness to learn on the fly and Tangredi has no question about its value. Her DNP course the capacity to work with whatever the situation offered. work has already influenced how she looks at her job: “I keep Tangredi was certified in adult and geriatric care, but seeing gaps in knowledge, and I see so many projects I want she’d had no experience or training in trauma care. She’d to do,” she says. Her residency pushed her to learn new skills, never done any pediatric work, and now she was responsible and she’s welcomed the exposure to public policy concerns. for very sick Afghan children on ventilators. “You just had to She hopes to work in family practice, with military families.

9 LCDR Jason McGuire, NC, USN, CRNA, 2011 PhD graduate

EMERGENCE DELIRIUM: Research Confirms a Clinical Hunch

ieutenant Commander Jason their heads against a side rail, or rip higher likelihood of Emergence McGuire knew the statistics their stitches. Staff who attempted to Delirium episodes. for Emergence Delirium and calm them risked a kick or a fist, or When he applied to PhD programs, Lthey didn’t fit with his experience. worse. Emergence Delirium seemed to McGuire knew that he wanted to study The state of confusion, agitation, and be occurring at higher frequencies Emergence Delirium. Two factors made violent physical and verbal behaviors among military returning from combat USD his first choice. Joe Burkard DNSc, as a patient emerges from general in Iraq and Afghanistan. a respected mentor who’d taught him anesthesia occurs in about five percent The 20-year Navy veteran also knew anesthesia in the Navy, had just accepted of the adult civilian population. that a growing body of evidence a faculty appointment at USD. The Treating combat veterans, the Navy suggested that even a single, short- presence of Naval Hospital San Diego nurse anesthetist had seen much lived episode of delirium is associated and Naval Hospital Camp Pendleton in higher incidence. Although Emergence with increased risk of cognitive San Diego meant that he would have Delirium is time-limited, lasting as dysfunction. Delirium is cumulative; access to large numbers of surgical briefly as 30 seconds to 5-10 minutes, more episodes of delirium meant an patients who’d been in combat. “USD occasionally 30 minutes, it’s a serious increased likelihood of cognitive was a perfect fit,” he said. McGuire matter. Delirious patients who were fit, difficulties, especially problems with was able to work closely with Professor strong, and combat-trained posed memory. Many of the sailors and Burkard, who served as his advisor and significant risks to themselves and Marines injured in combat required dissertation chair. others. They could pull out an IV, bang multiple surgeries, exposing them to In a preliminary study, McGuire

10 polled 72 military and non-military ments are gold standards for assessing research competition held at the nurse anesthetists, and confirmed that anxiety, depression and PTSD. Post Navy Medical Center San Diego, and Emergence Delirium was a significant surgery, 20% of his study population traveled to Portsmouth, VA for the concern for them. experienced episodes of Emergence national competition. He hypothesized that exposure to Delirium, an incidence four times the Because his research is the first combat increases both the frequency norm in a general adult population. incidence study of Emergence Delirium and the severity of Emergence Delirium, McGuire has published one article among combat veterans, McGuire and also that the level of anxiety, in the Journal of the American Society cautions that it’s premature to generalize depression, and post-traumatic stress of PeriAnesthesia Nurses, and he has across all combat veteran populations. symptoms identified in preoperative two more in press. “Risk Factors for His next step will be to replicate the assessments would be a strong predictor Emergence Delirium in US Military study across multiple hospital sites. of the incidence and severity of Emer- Members” was selected by the Journal’s He’ll work on that at his next posting, gence Delirium. At Camp Pendleton, review panel for the 2011 Mary Hanna when he joins the faculty of the Gradu- he followed 130 Marine combat Memorial Journalism Award; selection ate School of Nursing at the Uniformed veterans who required surgery. He criteria included journalistic style, Services University of the Health administered three preoperative originality, clarity of expression, rel- Sciences in Bethesda, MD. He’ll teach assessments, the STAI (State-Trait evance of content to the specialty, and in the Nurse Anesthesia Program there Anxiety Inventory), the PHQ-9 (Patient overall contribution to the collection of and continue his research on predicting Health Questionnaire), and the PCL-M published nursing knowledge. McGuire and managing Emergence Delirium. (PTSD Checklist-Military); all instru- also won the Navy’s regional academic

LCDR Jason McGuire, NC, USN, CRNA 2011 PhD graduate with local girls during Operation Enduring Freedom

11 HEATHER KING’S Research Will Serve Wounded Warriors

hen Lieutenant Commander Heather King deployed to Fallujah, Iraq, with Bravo Surgical Company in 2004 , she and her colleagues didn’t W know much about blast injuries, and even less about traumatic brain injuries (TBI). Bravo set up shop in a camp where Saddam Hussein’s regime had trained Iranian terrorists. They had a pharmacy, an oxygen-generating facility, a blood bank, two wards, a recovery room and three operation rooms. Bravo Com- pany also fielded a Forward Resuscita- “I missed him terribly, tive Surgical System, a mobile OR that but I knew he was in good hands” could drive close to the forward operat- ing bases, set up in an hour, and start receiving casualties. For two months, King, a Certified Registered Nurse Anesthetist, served as the sole anesthesia provider for the forward system. Every day she saw the results of rifle and mortar fire and Improvised Explo- sive Devices (IED’s) on bodies and brains. Long after their wounds were treated, soldiers suffered persistent sleep disturbances, headaches, chronic pain, and cognitive and memory problems. King’s next overseas deployment brought a different set of demands. While she was pregnant with her first child, she learned that she would serve as chief anesthetist for the USNS Mercy’s cruise in 2008. Her son Wiley was nine months old when the Mercy sailed. She credits her husband, a civilian, and her in-laws and friends for stepping up and caring for Wiley for four months. “I missed him terribly, but I knew he was in good hands,” she said. The week she came home he started walking. Her experience on the Mercy led to a paper, “Pacific Partnership 2008: The Surgi- cal Mission, Surgical Screening Process, and the Anesthetic Management of Un- controlled, Untreated Hypertensive Patients,” for which King was honored with the 2011 Rear Admiral Mary F. Hall Award for Nursing Publication. At Naval Medical Center San Diego, where she now serves as Director of Nurse Anesthesia Clinical Training, she conducted two research studies: “Retrospective LCDR Heather King’s husband Tom and son Study of Complications Associated with the Angio-seal™ Device,” which examines Wiley: Wiley waves a flag for his mother, who the functioning of a hemo-static device used in the cardiac care unit for patients deployed on the USNS Mercy. post femoral cordis placement, and “The Effects of Clonidine Added to Bupiva-

12 LCDR Heather King, fourth from right, in Fallujah, Iraq

caine on Analgesia and Post-operative Outcomes to Combined Femoral/Sciatic Nerve Blocks.” She has served as a Government Liaison for two Congressionally Directed Medical Research Programs’ scientific review panels, and as an Associ- ate Investigator on two research investigations with Student Registered Nurse Anesthetists. She was selected to attend the Hahn School’s PhD program on a Duty Under Instruction (DUINS) assignment. USD was the school she’d wanted, “because of its reputation, its faculty, who are scholars and also very supportive of students.” She has completed most of her coursework and began her research in August. King has followed the research on TBI and the increased understanding of its debilitating effects on the lives of soldiers and their families. She plans to examine aspects of improving care for soldiers with blast injuries or TBI. She’s particularly interested in non-pharmacological interventions for dealing with stress and sleep deprivation. King has served on active duty for 16 years and is the recipient of five Navy and Marine Corps Commendation Medals. After her doctoral studies, she hopes to use her research skills as a command researcher, and also to teach.

13 A Call to Action For Civilian Healthcare Systems

s service members injured in there has been minimal or no external providers in every setting. Iraq and Afghanistan have injury; the patient looks fine. Interviewees described two major A flooded into the military and When she started in the PhD sources of pain and suffering, their veterans’ health care systems, providers program at Hahn, Dr. Jett focused on blast injuries and their experiences learned to assess for Blast Induced research that would document the seeking health care. They saw their Neurotrauma (BINT), and offer appro- problem veterans faced. Working with blast injuries as life changing events. priate treatment. Civilian health care her advisor Dr. Jane Georges, she Returning home, they experienced has lagged. Veterans seeking care in developed a semi-structured interview disruption in work, relationships, and civilian systems too often find other areas of their lives. Equally providers who don’t know how disruptive was their experience BINT is caused, fail to ask the in seeking healthcare. Present- right diagnostic questions, and ing with nonspecific symptoms don’t understand its pervasive and and no history of head trauma, potentially disabling symptoms. these patients presented a Working in public health, diagnostic challenge. Few Shirley Jett saw veterans, many civilian providers knew to ask now serving in the Reserves, about deployments, or took the struggling with civilian systems history necessary to discover that should have been helping their patients’ experience of a them. A veteran herself, retired blast. Without that critical from the Navy Nurse Corps with knowledge, their symptoms the rank of Commander, she were too often dismissed as knew these young men and psychogenic or trivial. women deserved better care. Dr. Jett stresses the need to Blast injuries are caused by educate healthcare providers in the shock wave from an explo- civilian settings about Blast sion, typically from mortar fire, Induced Neurotrauma: how it a grenade, or an Improvised happens; its high incidence Explosive Device such as a among service members deployed buried roadside bomb. Waves of in Iraq and Afghanistan; and the extremely pressurized air, with kinds of tissue damage, symp- the force of hurricane-strength toms, and impairments in winds, assault the brain. The Dr. Shirley Jett PhD functioning that result. Because rapid acceleration and decelera- nurses are frequently the frontline tion of tissue causes tears and dam- to explore veterans’ experience in providers, increasing their understand- aged axons; injured cells leak fluid. dealing with civilian healthcare ing of the syndrome can contribute to Symptoms include confusion, double providers and systems. She interviewed improved care. Military healthcare and vision, memory loss, severe headaches, veterans and current service members the VA have developed strong models for impairments in concentration and ages 21 to 30. Some were as little as assessment and care that could readily comprehension, and compromise of three months away from their BINT translate to other settings. Dr. Jett hopes executive function. Some symptoms incident; some, as much as five years to continue her research, examining may show immediately, or onset may out. What she learned should be gender differences in providers’ responses occur weeks or months later. Often essential reading for health care to patients presenting with BINT.

14 HEALING THE WARRIORS Who’ve Served Their Country

ieutenant Colonel military facilities, and TRICARE providers. She monitors Shelly Burdette- care, medication compliance, and negotiates a daunting L Taylor completed her array of military record-keeping and regulations on her PhD studies in December patients’ behalf. She is charged with addressing her patients’ 2010, and the Army had medical, psychiatric and spiritual health needs. Given their a job for her right away. multiple concerns, including pain management, sleep Burdette-Taylor, who has disturbance, post-traumatic stress symptoms, and mobility served since 1986, first with issues, timely and proactive and comprehensive case the National Guard, and management is essential. since 2001 in the Army Burdette-Taylor’s work draws on her rich experience as a Reserve, was assigned to parish nurse, a wound care and foot care specialist, and her LTC Shelly Burdette–Taylor, PhD active duty as nurse case teaching. For her dissertation she studied military personnel manager for a Community- who suffered traumatic limb loss in Iraq and Afghanistan, Based Warrior Transition Unit (CBWTU) headquartered at and the relationship between quality of well-being and the McClellan AFB near Sacramento, CA. impact of events such as PTSD after traumatic limb loss Launched in 2007, Warrior Transition Units are the from an Improvised Explosive Device (IED). Army’s effort to respond more effectively to the needs of About her work with the Warrior Transition Unit, she injured soldiers. Burdette-Taylor points out that “we’ve says “As an Army nurse for over 25 years, I am honored to never had so many wounded soldiers.” The units are be working with these Soldiers and this cadre of staff. What developing methods to assist all service members who have I do for them doesn’t compare to what they have done and suffered severe and disfiguring wounds from burns, those do for our country. These Soldiers have given it all. Our goal with blast injuries and suffering from traumatic brain with the CBWTU is to facilitate these injured and assist in injuries and amputations, and those with post-traumatic their care and help them return to life as productive members stress disorder. Over 10,000 soldiers are currently enrolled. of society as partners, parents, and personnel.” Warrior Transition Unit services are based on a “triad of care” composed of three critical elements: a squad leader, usually a master sergeant; a nurse case manager; and a physician primary care provider. This treatment team develops an individualized treatment plan for each wounded soldier and offers a comprehensive support system to assist them. Burdette-Taylor explained that the community-based model allows injured soldiers to remain on active duty while they return to their families and undergo treatment and rehabilitation for their injuries in the communities where they live. Service members have welcomed the opportunity to live at home. The CBWTU based at McClellan follows service members in , Nevada, Washington and Oregon. Burdette-Taylor is one of 12 nurse case managers, each of whom has a caseload of about 25. She keeps in touch with her patients by telephone and e-mail, and by quarterly face-to-face visits, which may occur at McClellan, or in the service members’ communities. She is responsible for ensuring the best medical outcome for the warriors in her care, delivered through VA and LTC Shelly Burdette-Taylor, second from right, 2011 PhD graduate

15 Chief Anesthetist, USNS Mercy, Studies for the DNP

16 he Doctor of Nursing Practice (DNP) program condenses large doses of T academic study and clinical practice into 20 months, and a months-long detour isn’t on most students’ schedules. Commander Robin Tyler found herself facing that kind of interruption in the spring of her first year, when the Navy assigned her to serve as chief anesthetist on the USNS Mercy for its Pacific Partnership cruise.

The Mercy sailed from San Diego on May 1, to Vietnam, 8-point scoring tool (Snoring, Tiredness, Observed Apnea, Cambodia, Indonesia and Timor Leste, returning in late High Blood Pressure, BMI, Age, Neck Circumference, September. In addition to providing anesthesia for surgery Gender) with high validity for identifying patients with OSA. on shipboard and clinics ashore, the mission involved She conducted a training for nurses on administering the Subject Matter Expert Exchanges, in which Mercy staff and instrument, and a protocol for referring high risk patients volunteers taught specific skills to local providers. At the (scored positive on three or more variables) for anesthesia Naval Medical Center San Diego, Tyler had written the consults. Her goal was to determine whether using the curriculum on regional anesthesia, the use of peripheral nerve questionnaire would increase the number of patients blocks instead of general anesthesia, for the Certified identified as at high risk for OSA. These patients would be Registered Nurse Anesthetist (CRNA) training program, and referred for regional rather than general anesthesia, and CDR part of her assignment on the Mercy was to teach regional Jones’s research will evaluate outcomes for this population. anesthesia to physicians and nurses in Vietnam. In April, Tyler retired from the Navy, and after graduating Tyler knew she’d have to scramble to make up those five with her DNP class, she moved to Great Falls, MT, her home months, but she wouldn’t have missed the Mercy for all the town, to start a new job doing OB anesthesia. courses in the curriculum. “The Mercy was a payoff,” she said, a reward for grimmer tours in her 20 years in the Navy Nurse Corps, including service in a field hospital in Iraq in 2003. Tyler’s involvement in the Naval Medical Center CRNA training program had put a doctoral program on her to-do list. Writing the curriculum for regional anesthesia increased her awareness of professional standards; as of 2015 the entry level credential for CRNA’s will be a doctoral degree. Her experience would have grandfathered her in, but she wanted to do more teaching, and the DNP would be, in her words, a “door opener.” She applied to USD and was accepted, but didn’t know what the Navy would approve. Two weeks before classes started, she learned she’d be going to school. At the Naval Medical Center she’d seen the perioperative complications among patients with undiagnosed Obstructive Sleep Apnea (OSA). An evidence-based project was waiting to be done. Collaborating with PhD student Commander Shari Jones, she developed a project to increase pre-op clinic nurses’ awareness of Obstructive Sleep Apnea. Clinic nurses were asked to administer the STOP-BANG questionnaire, an CDR Robin Tyler

17 RETIRED REAR ADMIRAL KATHLEEN MARTIN: First Nurse Deputy Surgeon General

resh out of nursing school and newly commissioned as an Fensign in the Navy Nurse Corps, Kathleen Martin set a high goal for herself: to become a competent nurse. Maybe she could even become a charge nurse. Admiral wasn’t anywhere on her horizon. It was 1973, and although the Navy valued its nurses, the Navy Nurse Corps was a relatively small part of a very large medical organization with only one Flag Officer. Thirty-two years later, Rear Admiral Kathleen Martin retired with two stars and the distinction of being one of a small number of women flag officers in the Navy. Her vision of what she could achieve changed in three decades as the Navy changed. She worked hard at her first goal, becoming a competent nurse, through a series of assignments at Naval Hospital Camp Lejeune, where she became a charge nurse in pediatrics; Naval Hospital Jacksonville—charge nurse again—and the Naval Medical Clinic, Pearl Harbor. She was Lieutenant Commander Captain Tom Sizemore, MC, USN, President George Bush, Rear Admiral Kathleen Martin Martin when she arrived at Pearl Harbor in 1982. Her Commanding Officer asked her what she’d most like to do. Her horizon had expanded; she said she’d like to be an Executive Officer, second in command. Why wouldn’t she want to be the CO, he asked. She hadn’t ever thought about it. She began to think about it. Her CO talked with her about the path to command, the competencies

18 and the management experience first command, as CO of Naval Martin also served as the Director needed, and he assigned her projects Medical Clinic Port Hueneme. of the Navy Nurse Corps, leading over that enabled her to develop these skills. A second command followed, at two thousand Nurse Corps officers RETIRED REAR ADMIRAL KATHLEEN MARTIN: At Naval Hospital San Diego, Naval Hospital Charleston. With two worldwide. In 1999, she was assigned Martin was head of the Ambulatory commands on her resume, flag officer Commander of the National Naval First Nurse Deputy Surgeon General Medical Nursing Department, oversee- was now a real possibility. In 1998 she Medical Center, Bethesda, Navy ing eight specialty clinics. In 1990 she was promoted to Rear Admiral. That medicine’s flagship facility and enrolled in the Hahn Master of Science year the Hahn school honored her with provider of care to presidents and in Nursing (MSN) program with the Author E. Hughes Career Achieve- other dignitaries. Her final assignment concentrations in Family Health and ment Award. was Deputy Surgeon General of the Nursing Administration. “I loved the Her first assignment as a flag officer Navy, a position never previously held flexibility, the understanding faculty and was as Medical Inspector General, by a nurse. the opportunity to take courses in the charged with inspecting all Navy Martin retired in 2005. She is now School of Business as well,” she said. medical treatment, educational and the CEO of Vinson Hall Corporation, When she graduated from Hahn, research facilities. She worked with the a retirement community in McLean, she was assigned to Port Hueneme as Joint Commission on Accreditation of VA that offers a full continuum of care Director of Nursing Services. Her CO Healthcare Organizations to develop to individuals who have honorably coached her on leadership and deci- common standards, and secured the served their country. The care, leader- sion-making, and she drew upon her Joint Commission’s agreement to accept ship and service that she provided Hahn education to further develop her shared inspections with the Navy. She throughout her Navy career she now skills. When her CO was reassigned, earned the gratitude of all of Navy continues to provide for members of he recommended her as his replace- Medicine for reducing their accredita- America’s aging population. ment, and in 1993 she assumed her tion inspections from two to one.

RADM Martin with First Lady Michelle Obama

19 COL Mary Sarnecky Army Nurse Corp COL Sarnecky shaking hands with COL Michael Sheppeck MARY SARNECKY, DNSC AND Army Nurse Corps Historian

olonel Mary T. Sarnecky, DNSc, RN served the Army the highest position then open to an American Army Nurse. Nurse Corps as clinician, administrator, teacher, and In 1991, the New York-Tidewater Chapters of Associa- Cresearcher, and because of her doctoral studies at tion of Military Surgeons of the United States published an Hahn, she became its historian, writing first a biography of excerpt of her dissertation, and selected it for their first one of its major figures in the early 20th century, and then a History of Military Medicine Essay Award. two-volume series on the history of the Army Nurse Corps. Over the next two decades, Sarnecky continued to work The Army supported her doctoral study at USD’s Hahn on the history of the Army Nurse Corps, and the recognition School of Nursing from 1987 to 1990. By the time she arrived for her contribution grew. In 1993 and again in 1994 her at Hahn, she’d served in a variety of clinical assignments, project was awarded Department of Defense Tri-Service including community health nurse in rural Missouri, head Nursing Research grants. In 2000, the American Journal of nurse on an orthopedic unit in a hospital in Denver, and Nursing designated the initial volume as their Book of the Year. assistant director of a Practical Nurse school; and she’d Also in 2000, the initial volume won the American Association come to value the Army Nurse Corps’ culture of flexibility for the History of Nursing’s Lavinia L. Dock Award. and versatility. In 2006, the University of Virginia honored Sarnecky She’d also developed a taste for research, and she with its Agnes Dillon Randolph Award, based on her welcomed the opportunity for further intellectual growth. collective body of historical research. In 2008, the Hahn She credits Dean Emerita Irene Palmer and a number of School bestowed a final accolade on Sarnecky, the Author other committed nurse faculty for facilitating her passage E. Hughes Career Achievement Award for her lasting toward competence as a nurse historian. Palmer and others contribution to the Army and to the profession by researching encouraged her to carve out her own unique research and publishing the history of the Army Nurse Corps. program. “They instilled me with the vision, discipline, and Sarnecky, now retired, writes, “I am forever grateful to rigor to pursue scholarly research,” she recalls. Her disserta- the , the University of San Diego, and to tion was a biography of Army nurse Julia Stimson, who in my family, all of whom nurtured my dreams and aspirations. World War I became chief nurse of the Red Cross in France, Any success achieved in my professional pursuits represents and then chief nurse of the American Expeditionary Force, the interactive sum of all these benefactors.”

20 “I Don’t Want to See Lives Wasted” In 2006 Air Force Major Linda Stanley RN, BSN, was assigned to the 332nd Battle Group in Balad, north of Baghdad, in the heart of the Sunni Triangle. It was the military’s chief medical air staging facility, the place where the worst casualties, including all the head injuries, were stabilized before they were flown out. Violence in Iraq was at its height; her hospital saw over 330 trauma admissions in a month.

and children—the looks on faces, their pain and terror and helplessness that haunted her. After Balad, she was posted to a clinic in Korea where the work was routine, the hours were predictable, and there was no mortar fire. She couldn’t sleep. She felt a pervasive sadness. In dreams she was back in Balad, at the landing pad, in the triage bay, the same wounded soldiers over and over. Awake, the sound of choppers made her stiffen with fear. A young colleague died in a car crash, and she felt numb. It took her two years to realize that she was suffering from Post Traumatic Stress Disorder. She sought psychological help. The first month of desensitization therapy “felt like I had a broken leg and every week I’d go to the doctor to have it rebroken and reset.” Her psychologist recommended that she look at the photos she’d taken during her Iraq tour. It was trauma healing 101: find a way to remember the overwhelming experience in manageable doses. Stanley didn’t stop with looking. She researched and read everything she could find about PTSD. She was especially impressed with the neurobiology of trauma, the ways in which traumatic memories are encoded and brain structure is changed. She knew how pervasive PTSD is, and she knew the barriers, internal and systemic, that prevent service members from seeking treatment. She knew she had something to contribute. She used her research, her photos, and her own experience to make a video, a powerful teaching tool about PTSD. Air Force mental health providers have told her how Retired Air Force MAJ Linda Stanley with patient useful it’s been for them, and for their patients. Since her own healing, Stanley’s professional goals very night the choppers landed, sometimes with as changed. She retired from the Air Force in May 2010, and in many as 20 stretchers. The hospital tents sat just the fall she joined the inaugural class of the Psychiatric E inside the blast wall. Mortar shells landed around Mental Health Nurse Practitioner program at Hahn. “My them every day. passion is to educate veterans and those who care for our Stanley felt challenged, and intensely alive. She was military about PTSD, and about what they face as they doing the work she’d trained to do. The wounds and the reintegrate into society,” she said. “My wish is that no one gore didn’t upset her, not even the night she mopped the face this problem alone.” trail of blood that led from the chopper pad to the triage bay The San Diego Psychiatric Nursing Society recognized her to the OR. Those things came with the job. work, and invited her to speak at the Society’s annual dinner It was her patients, service members and Iraqis, adults in May.

21 FROM TOP GUN TO ER

22 Retired US Navy Commander Steven Lee, MSN, RN, works two jobs, flying for Delta Airlines and working in Grossmont Hospital’s emergency department. His Master of Science in Nursing (MSN) from Hahn was the bridge between two careers. He explains:

was recently on a flight to Honolulu when an elderly man developed trouble breathing. He was pasty, diaphoretic and starting to panic. A flight attendant made a request over the PA system for a I nurse or a doctor. As an RN working in the emergency department at a busy San Diego hospital I frequently treat people with these symptoms. That day I stayed in my seat and did not volunteer to get up and help. Another nurse responded and assisted the passenger. I couldn’t get up because I was flying the aircraft. As both a veteran airline captain and a new emergency room nurse I lead a very busy life. I started flying professionally 32 years ago in the Navy. At Miramar Naval Air Station I flew F-14s as an based fighter pilot, and then in the Naval Reserve as an A-4 adversary pilot teaching post graduate fighter pilots how to dogfight. In the mid 80’s I went to work for Delta Airlines, and in September 2010 I finished my 25th year as an airline pilot. Flying for an airline provides considerable downtime. I wanted to use my days off in an intellectu- ally stimulating manner and serve the general public. In 2005, as Delta was filing for bankruptcy, and my youngest daughter was finishing high school I knew that I’d be retiring in just a few years. I felt even more motivated to acquire a skill set different from flying. Nursing seemed like a good fit. My mother and sister are nurses and my dad is a retired dentist, so I was familiar with the problem set. My wife gave her blessing to my new endeavor. I had a Bachelor of Science degree in aerospace engineering from UCLA and had never taken any life science courses. At Miramar College I signed up for Biology and Chemistry, and kept an eye on USD’s Master Entry Program in Nursing (MEPN) program. I was accepted at USD. I studied in hotel rooms on my airline layovers, used my wife, my daughters, and my dog as standardized patients, and earned an MSN and an RN license. I was privileged to give the speech representing the ENL/MEPN graduates at the Nursing Honors Convocation Ceremony. I was hired into Sharp Grossmont Hospital’s New Grad Residency program in the Emergency Department. Sharp Grossmont’s ER has the largest catchment area in San Diego County, and the pace in the ER is very fast. We regularly see 250 patients per day and have seen as many as 300 in one 24-hour period. I turned 58 this year, and my colleagues are in their mid twenties. I work very hard to be as quick and efficient as my energetic peers. Teamwork is encouraged and expected. We have each other’s backs. I feel lucky to work in such an environment, and to continue my crazy, adrenalin junkie life balancing my family, my nursing job, and flying.

23 Reilly joined the Navy at 19 as a hospital corpsman, one LT James Reilly Wants of four brothers who were all in the military. He’d tried college, and describes himself then as “a bit of a project, to Build the Future of academically.” He knew that he wanted to be an officer, and he was deeply impressed by the Nurse Corps officers he Navy Healthcare worked with. He began to see a career path for himself. He was selected for a commissioning program, and went to nursing school at Molloy College in New York. In 2005-06, Reilly served 6 months at a field hospital in Kuwait, where the MedEvac helicopters came in so fast and so close that the hospital tents flapped. “I did everything, from triage to the OR,” he remembers. With injured soldiers and Marines he did what was needed. “Sometimes we joked. Sometimes we prayed. Sometimes I wrote a letter with them. I came to appreciate how fragile life is. When we left, I felt we’d done only good. Everyone could go home with their head high.” He now serves as the Tissue Consignee officer for the Naval Medical Center San Diego. He’s also webmaster for the Nurse Corps Navy Knowledge Online website. The Nurse Corps site was a single page when he took on the job as a LT James Reilly, left, and his brother Joe Reilly volunteer project; now it’s over 100 pages, available to Nurse Corps personnel posted around the world, with 24 subject hen Lieutenant James Reilly, MSN, RN, was matter experts contributing and ten staff maintaining it. ready to take the next step in his career, he Reilly wants to learn more about disaster management. Wwanted to learn management and leadership He’d like to develop a tool to assess training readiness for skills. He was serving at Naval Medical Center San Diego, and, combat and for humanitarian missions for the entire Nurse he explained, “I looked around at the medical center, and the Corps. He’d like to learn more about robotics. He believes a senior officers; the people who had those skills were PhD in nursing will help him achieve his goals, and he USD graduates.” knows that he wants to study at Hahn. “I wanted an elite school,” he said. “I looked at the senior leadership across the Navy Nurse Corps, and a lot of those people had gone to USD. They had a vision of the future, and I wanted to be part of it.” He calls his student program in Executive Nurse Leadership life changing. He learned skills in accounting, computer application, and statistics that he’s been able to use in his own work teaching colleagues. “People come to me now. I can show them things I’ve learned. It gave me the confidence to work with executive grade officers.” He was especially pleased with the faculty- student ratio and the quality of the mentoring at Hahn. His faculty mentors knew who he was, and tailored their approach to his needs. The program whetted his interest in research. LT James Reilly

24 CAPT Jaqueline Rychnovsky, PhD, center CAPT JACQUELINE RYCHNOVSKY PHD ’04: A Year on the Hill

enator Daniel Inouye of Hawaii lost his right arm in grants, and for residencies for new Family Nurse Practitioners World War II, and he credited the military nurses in community health centers, which would allow them to Sin rehab with helping him recover and to remake expand their knowledge and experience. his life. As a US Senator, Inouye found a way to give back, Following her fellowship year, she applied what she’d creating a year-long health policy fellowship in his office, learned as Assistant Director, Nurse Corps Policy and awarded each year to a military nurse. In 2009, Hahn Practice, advising the Navy Nurse Corps Director and Navy graduate Captain Jacqueline Rychnovsky, PhD, RN, was that Surgeon General at the Bureau of Medicine and Surgery, and nurse. Health care reform was in the works, and Inouye, as developing nursing policy and practice for the Nurse Corps. chairman of the Senate Appropriations Committee, was in In June 2011 she left that position for assignment to Naval the thick of the action. “It was the most fascinating year to Hospital Yokosuka, Japan where she serves as the hospital’s spend on Capital Hill,” she said. Executive Officer. Although Rychnovsky’s professional focus has been exec- Rychnovsky is clear about the benefit of her time at utive medicine, she wanted to learn more about how health Hahn. “Every day I’m grateful that I chose Hahn to pursue policy is made. Senator Inouye saw to it that she did. He my doctoral studies,” she said. “I learned a balance of sci- asked her to draft two pieces of legislation involving nurses ences and attunement to people. When I work with other for the Senate’s Patient Protection and Affordable Care Hahn alumni, I feel that spirit: the science is important, Act. She wrote the proposals for support of nurse-managed but there’s always that focus on the person as well. It’s an community health centers, with $50 million in competitive ingrained part of the thinking in a Hahn graduate.”

25 CAPT SANDRA BIBB: Researcher, Professor, Three-Time Hahn Graduate

andra C. Garmon Bibb, DNSc, Doctor of Nursing Science (DNSc) of Health Systems, Risk, and RN, has served the Navy with degree in 1999, each time with a Contingency Management. Sdistinction since 1974, and the Duty Under Instruction (DUINS) Her research interest and teaching Hahn School of Nursing has been an Scholarship from the Navy. In 2004 expertise is in population health and integral part of her career. Bibb holds after 30 years of active duty, she retired analytic methods, with emphasis on three degrees from Hahn. She completed as a Captain in the Navy Nurse Corps access to care, health and health care her Bachelor of Science in Nursing and joined the faculty of the Graduate disparity, and secondary data analysis. degree in 1983, came back for her School of Nursing at the Uniformed After her MSN, she helped design Master of Science in Nursing (MSN) Services University in Bethesda, and implement a comprehensive health degree, graduating with a focus in Family Maryland, where she’s now an associate maintenance program in Gaeta, Italy for Health in 1991, and completed her professor and Chair of the Department over 800 military health care beneficia- ries. Back in San Diego, she served as Coordinator of Health Promotion for Region Nine TRICARE, where she completed the first-ever epidemiological assessment of over 200,000 military health system beneficiaries. In the doctoral program, Bibb conducted a secondary data analysis of the relationship between access to care and diagnostic stage of breast cancer in African American and Caucasian women in the military health system. Two publications from her study, one in Military Medicine and one in Oncology Nursing Forum have been cited widely by other authors examining research or research reviews in multi- disciplinary journals. After completing her DNSc, Bibb became Command Research Coordina- tor at Naval Hospital Camp Pendleton (NHCP), where she conducted a comprehensive Population Based Needs Assessment that resulted in the establishment at NHCP of the Navy’s first-ever Population Health Department. As the new department’s first chief, Bibb led a team of multi-disciplinary health care professionals in conducting numerous population health studies Retired CAPT Sandra Bibb DNSc, RN that resulted in comprehensive

26 population health improvement initia- tives for over 70,000 beneficiaries. A recognized subject matter expert in Population Health in the Navy, Bibb served on the Navy’s Bureau of Medicine and Surgery Population Health Improvement Training Team from 2000 through 2004, where she co-authored and taught the population health curriculum. In 2002, she established a joint Naval Hospital Camp Pendleton-Naval Medical Center CDR John Whitcomb, Specialty Advisor to CDR Whitcomb at Camp Coyote, Kuwait in 1993 San Diego Population Health Office. At the Surgeon General the Uniformed Services University she has developed curriculum for teaching CDR JOHN WHITCOMB PHD 05: principles of research, population health, and epidemiological and Lessons Learned in Kuwait population based assessment. Bibb has been recognized with ommander Whitcomb is an America, “Skill Set Requirements for numerous professional achievement expert in critical care research Nurses Deployed with an Expedition- awards. In 1996, she received the Cand practice. He has served as ary Medical Unit Based on Lessons Outstanding Military Woman of the specialty advisor to the Navy Surgeon Learned” that chronicles the stressors Achievement Award from the San General for critical care nursing, and he and his personnel faced (fierce Diego County Women’s Council Navy on the faculty for the Navy’s advanced sandstorms, temperatures of 110 League. In 2000, she was a Minority cardiac life support education program. degrees, primitive equipment), and the Access, Inc Alumna National Role In 2010 he was honored with the training he and senior staff offered to Model Citation recipient and the Author E. Hughes Career Achievement bring staff up to speed and help them Mary Nielubowicz Award Winner for Award from the Hahn School. Now manage their own anxiety. the essay “Population Based Needs retired from the Navy, Whitcomb is Navy Nurse Corps officers led by Assessment in the Design of Patient an assistant professor of nursing at example. They never asked a lower- and Family Education Programs.” Clemson University. ranking officer or enlisted person to do In 2003, she received the Author E. In 2003, as Operation Iraqi Free- anything they would not do them- Hughes Career Achievement Award dom launched into Iraq, Whitcomb’s selves. The nursing leadership of the from the University of San Diego. unit, the 4th Health Services Battalion 4th HSB planned for the worst-case The Navy awarded her its Legion of set up a field hospital at Camp Coyote scenarios, and this planning prepared Merit for her contributions to the in Kuwait. The 4th HSB provided them to be resilient and flexible Navy during her tour of duty at NHCP. emergency resuscitation and definitive throughout the deployment. Personnel This May Sigma Theta Tau’s Howard surgery, saving lives and limbs, and understood that plans could change at University Chapter honored her as offered general medical care under a moment’s notice. The term ‘day off’ one of 100 Extraordinary Nurses in the field and combat conditions. did not apply. When casualties arrived, Washington DC metropolitan area. Whitcomb co-authored a paper for everyone joined in to support those Critical Care Nursing Clinics of North on duty.

27 Grace Angus-Amersbach, MSN, FNP with husband CDR Amersbach, CDR Patrick Amersbach MSN, ENL

CDR PATRICK AMERSBACH: MP to Director of Clinics

ommander Patrick K. Amersbach, Director of Branch Division Officer for Medical Surgical Unit 5 North. In a later Services at Naval Hospital Camp Pendleton, knows deployment with 1st Medical Battalion, Iraq, he provided Cthe military from the ground up. He enlisted in the direct patient care and served as a casualty evacuation nurse. Army in 1982, and served eight years with the Airborne and Now a Lieutenant Commander, he was selected for Duty Under as an MP before transferring to the Reserves so that he could Instruction (DUINS) and completed a Master of Science in go to nursing school. He was selected by the Navy for officer Nursing (MSN) degree in Executive Nurse Leadership at the training, and when he graduated, he joined the Navy Nurse Hahn School of Nursing and Health Science in 2008. Corps as Ensign Amersbach BSN. After graduation he was assigned to Naval Hospital Camp At Naval Hospital Bremerton, Washington, he gained Pendleton, where he now serves as Director of Branch Clinics, experience in med/surg, ICU and endoscopy, and began overseeing the work of 500 health care professionals. training for wartime assignments. He then served in Bahrain Amersbach is also completing a Doctor of Nursing Practice as a medical liason officer, and in Yemen in support of a (DNP) degree at George Washington University. His wife Grace United Nations humanitarian mission. Angus-Amersbach served in the Navy Nurse Corps 2001- Now Lieutenant Amersbach, he transferred to the Naval 2005, and in May 2011 she received her MSN from Hahn’s Medical Center San Diego in 2003 and deployed first as the Family Nurse Practitioner Advanced Practice Program.

28 LCDR DEBORAH ROMERO, FNP: Sigma Theta Tau Clinical Practice Award

ieutenant Commander Deborah Romero graduated seas to provide basic care to child and adult populations, from the Family Nurse Practitioner (FNP) program in some of whom had had no prior access to western medicine. L1998, and joined the Navy Nurse Corps as a reservist. She was recalled to active duty from 2005 to 2007, She has supported medical clinics as a Nurse Practitioner at working at Naval Medical San Diego as a Nurse Practitioner. Naval Medical Center San Diego, Pearl Harbor, Naval In that period she also served as a Nurse Practitioner on the Hospital Guam, Naval Hospital Yokosuka, Japan and Naval USS Nimitz. Hospital Oak Harbor, Washington. In 2010 she received the She now works as a civilian Nurse Practitioner at the Sigma Theta Tau Clinical Practice Award. Navy Medical Center San Diego in the General Surgery She has also served on the USNS Mercy, providing care in Clinic specializing in Bariatric Surgery. Her team, which , one of the 10 poorest countries in the world. includes four surgeons and a dietician, performs approxi- She traveled by helicopters and in small boats on rocking mately 125 surgeries per year with 90% weight loss success.

LCDR Deborah Romero, FNP

29 Bringing Patient-Centered Medical Homes to Navy Medicine

ommander Assanatu Savage objectives of Navy Medicine. One of came to the Family Nurse those objectives was the development CPractitioner (FNP), Doctor of of patient centered medical homes, and Nursing Practice (DNP) program with during her tenure at the NTC, her clinic a strong background in primary care. successfully launched patient centered Her previous assignment was Senior medical homes as the model for primary Nurse Corps Officer for the Primary care delivery for all Tricare beneficiaries. Care Clinic at the Naval Training The Patient-Centered Medical Center, San Diego, where she was Home provides a long-term holistic involved in the daily operational relationship between patient and management and leadership of the providers and is increasingly recognized clinic, working with the clinical as the optimal model of care in primary management team in providing care. The National Committee for direction and meeting the strategic Quality Assurance has recognized that CDR Assanatu Savage, DNP

30 LT SHEREE SCOTT: Corpsman to Clinical Nurse Specialist

n 1995, Sheree Scott’s work Nurse Corps, enrolled in the Clinical routine was bed baths, vital signs, Nurse Specialist program at Hahn, with Iand nursing notes. She was 20, a a specialization in adult and geronto- hospital corpsman at Navy Hospital logical practice. Through the Navy’s Pensacola, Florida, and she thought Duty Under Instruction Program her work was “absolutely the best (DUINS), she draws her salary and thing I could be doing.” She remem- allowances while she goes to school full bers a charge nurse who trusted her time. In return she has agreed to serve and taught her. Her mentor’s trust was after graduation for a specified period of the inspiration that helped her to see a time. The DUINS program benefits larger future for herself; her first Navy medicine by producing more version of that future was “someday highly educated staff and developing I’m gonna’ be her.” Scott applied to leaders, and benefits nurses by enabling nursing school and was selected for them to pursue advanced degrees and the Seaman to Admiral program, which broaden their professional options. enabled her to pursue a commission. Scott will graduate in 2012, and She did in fact become a charge nurse, looks forward to deploying her skills in in the same hospital where her mentor evidence-based practice and teaching Bringing Patient-Centered Medical was then the director of nursing. in support of the Navy’s missions, Homes to Navy Medicine She’s now Lieutenant Scott, Navy wherever they may take her.

CDR Assanatu Savage with patient

advanced practice nurses are well suited to lead, coordinate, and manage the care of patients in medical homes. Savage believes that medical homes are an approach to health care delivery equally relevant in garrison and in the field. Savage entered the DNP program on a Duty Under Instruction (DUINS) assignment, with the goal of preparing herself for wider leadership roles in the coordination and delivery of compas- sionate patient and family-centered medical care. LT Sheree Scott

31 JULIE JARL: Honored to serve our military Doctor of Nursing Practice student Julie Jarl is a civilian family nurse practitioner at Naval Hospital Camp Pendleton. She writes about the military members and families she serves:

aily I witness patients navigating through their lives as encouragement and support when their loved one is deployed. their loved one faces deployment, is gone during One 25-year-old had survived several deployments to Ddeployment, or has recently returned from deploy- Iraq and now was medically retired because of severe PTSD. ment. One minute I’ll be renewing blood pressure medica- He’d had very hard time sleeping and concentrating in tion for a retired Navy Captain and in the next room a new school. He followed our collaborative treatment plan so well mother brings in a two-month-old for a well baby check. In that he was sleeping through the night, had successfully another room is a twenty-something here for asthma follow completed his first semester of college, and recently had up evaluation. Her husband sitting beside her has a lower become engaged. At each visit, his kind eyes and warm smile leg prosthesis, a casualty from his last deployment. displayed such appreciation and thankfulness for the care Patients depend on me for more than just medical care. he’d received. I looked at this young man with such great For some, I’m not just their primary care provider, but also admiration. He was so proud to have served his country, yet have become a friendly face in a strange new town, the person wanted no special recognition. I truly consider it an honor who will sit down and listen to them, who will provide to provide care to this patient population.

Julie Jarl, MSN, APRN

32 Martha Suarez, Psychiatric APRN student, Civilian Duty Suarez with son, CTA3 Luke Joseph Ryan, who died on active duty in 2005 Under Instruction MARTHA SUAREZ: Career at a Crossroads The e-mail Martha Suarez received in May 2010 put her at a crossroads in her life. The message announced that the Hahn School’s Psychiatric/Mental Health Nurse Practitioner Program was accepting applications for its inaugural class.

Suarez was winding up a five-year recall to active duty, the program with a clear vision of the work she could do and would return to civil service at Naval Medical Center as an advanced practice nurse. San Diego. Her 20-year-old son had died on active duty in Suarez will return to Naval Medical Center San Diego 2005, and lately she’d begun to think about the grief and to work on raising awareness within the military of the loss that are an inevitable part of military service: not only pervasiveness of loss, its impact on service members and deaths, but life-changing injuries, and their impact on their families, and the urgent need to address these service members and their families. concerns in Navy medicine. Thousands of military families There was the matter of how she would pay for school. experience primary and secondary losses related to the Her timing was good. The Navy’s Bureau of Medicine and rigors of military life. “There’s really no choice,” Suarez says. Surgery had created a scholarship opportunity for civil “We must acknowledge and integrate grief and loss in service nurses in Navy medicine. She applied and was our intervention strategies for active duty members and selected for one of five civil service Duty Under Instruction their families.” (DUINS) scholarships awarded nationwide. She applied to

33 Las Vegas, NV April 13-16, 2011 Western Institute of Nursing Research Conference with 35 Hahn Presentations!

USD PhD(c) Crisamar Anunciado, Dr Patricia Roth, Alumna Dr Terry Larsen, PhD student Dr Joseph Burkard, DNSc, APRN, Robin Tyler, DNP Dale Todicheeney, Dr Wendy Hansbrough

Tarry Wolfe, DNP, Dr Susan Instone

Kathryn Ginn, DNP

Dr Patricia Quinn, Crisamar Anunciado, PhD(c), Dean Sally Brosz Hardin Maria Elsa Rodriguez, DNP student

34 Las Vegas, NV April 13-16, 2011 Western Institute of Nursing Research USD Graduate Research Day May 5, 2011: Conference with 35 Hahn Presentations! Nursing Research Saves Lives!

USD Doctoral students and 2011 graduates

Crisamar Anunciado, PhD(c), WIN Red Ribbon Winner for her study, “Inpatient Glycemic Management: Traditional Care versus Glycemic Management Team.”

Maria Elsa Rodriguez, DNP student

35 FACULTY SPOTLIGHT

Jonas Scholar Mentor Joe Burkard, DNSc, CRNA, Practices What He Teaches

After 31 years in the Navy, Joseph American Association of Colleges of At the Naval Medical Center San Burkard, DNSc, CRNA, was looking for Nursing fellowship with a “partnering Diego, Dr. Burkard served as Program a teaching position in which he could classroom to clinical” focus. and Research Director of the Nurse work with doctoral students and He started his Navy career as a Anesthesia Program, and as assistant continue to train nurse anesthetists. hospital corpsman, and was commis- chairman of the Institutional Review He joined the Hahn faculty as an sioned as a Nurse Corps officer Board. He has been adjunct faculty for associate professor in time to help plan through the Medical Enlisted Commis- Kaiser Permanente’s Nurse Anesthesia the DNP program, and he continues to sioning Program. He earned his DNSc Program, and served as president of teach in that program. A number of in acute/critical care at the University the California Association of Nurse Navy nurse anesthetists have come to of Tennessee, Memphis. His deploy- Anesthetists. the DNP and PhD programs because of ments included service as a critical care His research interests includes their prior connection with Burkard. nurse in Operation Desert Storm in post-traumatic stress in returning Dr. Burkard maintains his anesthe- 1991, and a four month humanitarian veterans, post-operative nausea and sia clinical practice at UC San Diego mission on hospital ship USNS vomiting, stress management and crisis Medical Center, and is currently Comfort in 2007 to 13 Central and management simulation training. completing a one year post-doctoral South American countries.

36 DONOR SPOTLIGHT Jonas Foundation Funds Five Merit Scholarships for Military Nurses to Obtain the PhD

Mary Vann, Rydell Todicheeney, Lourdes Januszewicz, Shari Jones, Karen Reavis

of nursing in all 50 states. Twenty-five their collection netted $44 million. scholarships, including the five at the They focused their funding efforts on Hahn School, will support members of healthcare, especially nursing. Barbara and Donald Jonas the military. “Nurses are the backbone of the Darlene Curley, MSN, executive healthcare system, but they are ean Sally Brosz Hardin announced director of the Jonas Center, said, underappreciated by the public and Dthat the Barbara and Donald “Veterans with emergency medical the philanthropic community,” said Jonas Foundation at the Center for experience have a strong foundation of Barbara Jonas. “We have a responsibility Nursing Excellence in New York will health knowledge and the skills as a society to support nurses and fund five PhD scholarships at the needed to be excellent nurses and provide the tools and education so they Hahn School for meritorious military educators. Each educator trains can continue in their vital roles at the nurses who are planning a career in thousands of nurses over a career so height of their potential and capabili- academia. The Jonas Military Merit Scholars will receive a $10,000 per “Nurses are the backbone of the healthcare system, year stipend for their PhD studies. The but they are underappreciated by the public and Center also will provide a stipend for the Jonas Faculty Fellow who will the philanthropic community,” mentor the scholars. Dr. Joseph Burkard, who joined the Hahn faculty each slot we fill will have considerable ties. Essentially, we need to care for after 31 years of service in the Navy patient impact. But we’re especially them so they will continue to care for us.” Nurse Corps, will be the inaugural excited that this new element of the In addition to doctoral scholar- Jonas Faculty Fellow. program allows us to be of service to ships, the Jonas Center has convened a Since 2006 the Jonas Center has those who have served our country.” number of high-level interdisciplinary funded scholarships for doctoral study Barbara and Donald Jonas had discussions on health workforce educa- in nursing, with the goal of addressing collected post-World War II American tion and staffing. Through these the nation’s critical shortage of nursing art for many years; their collection was meetings the Center has become an faculty. At a celebration of the Center’s renowned as small, but top-notch. increasingly influential advocate for fifth anniversary in April 2011, They had intended to donate the works nurses’ role in healthcare. founders Barbara and Donald Jonas to charity after their death, but decided In announcing the Jonas Military announced an expansion of the Jonas instead that they wanted the pleasure Merit Scholarships for the Hahn Nurse Leaders Scholars program. By of making a difference in their own School, Dean Hardin praised the 2012 the Center will fund an addition- lifetimes. In 2005, at the height of the Jonases, saying, “It’s been wonderful al 100 doctoral scholarships at schools art market, a sale at Christie’s of half to find such champions of nursing.”

37 DONOR SPOTLIGHT

MANY OF THE HAHN SCHOOL’S DONORS ALSO SERVED IN THE MILITARY

DR. ROBERT BEYSTER, a physicist, business leader, and philanthropist, has provided scholarship funding for the Hahn School of Nursing and Health Science through the Beyster Family Foundation. Dr. Beyster joined the Navy after finishing high school. World War II was under way, and the Navy needed officers. It sent Beyster to the University of Michigan, where he graduated with majors in math and physics. “I probably never would have done that without the U.S. Navy,” Beyster observed. “They made that decision for me; I had been headed in other directions.” Beyster served on a destroyer on the East Coast through the end of the war. He returned to Michigan for graduate school in engineering, and completed his PhD. In 1969, he founded Science Applications International Corporation, now a Fortune 500 Company renowned as one of the most successful scientific and technology companies in the world, with $10.8 billion in revenues. The US government has reaped the rewards of its investment in Dr. Beyster through the scientific contribu- tions of SAIC to the military, space program, environment, aviation, national security, communications, and countless other areas of national and international concern.

RICHARD CHARLTON, a retired engineer and successful businessman, is a long time friend and donor of the Hahn School of Nursing and Health Science. He has generously given financial support since 1999 through a scholarship in honor of his deceased wife, Mary Jane, who was trained as a nurse during World War II. Mr. Charlton volunteered in World II, and fought in the South Pacific from 1944-1945 aboard a combat destroyer in the 3rd and 7th fleets. He saw action --some of the most intense battles in the Pacific, including the Battle of the Sea, the invasion of the Philippines with General MacArthur, and landings in Guam, Iwo Jima, Okinawa, and Saipan. Although he was rated as a Radar Tech, during battles his job was loading ammunition for firing on the kamikazes and Japanese-held land bases. During battles, which could last for more than a month, sailors slept at their battle-stations. Meals were haphazard; often they’d fight all day before they’d have a chance to eat. He remembers the fragrance of the South Pacific islands, which was so strong that he could smell the islands long before he could see them. “I was a lucky man” Charlton remembers. “Not one man on my destroyer was killed in battle.”

38 MARTIN DICKINSON, a successful businessman and dedi- cated philanthropist, has been an important contributor to the Hahn School of Nursing and Health Science since 1999. The Dickinson Family Foundation has supported the initiation and development of the Master’s Entry in Nursing Program (MEPN), the highly competitive Master’s program for students with baccalaureate degrees in fields other than nursing. Dickinson served in the Navy from 1957 to 1961. He attended Officer Candidate School in Newport Rhode Island, and Supply Corps School in Athens, Georgia. He served as Supply Officer and Crypto Officer aboard the USS Cogswell for two West Pacific tours; later he was stationed at the Naval Supply Base in Stockton California. He left the Navy as a Lieutenant Junior Grade and enrolled in Stanford University’s MBA program, where many of his classmates were also ex-military.

RICHARD WOLTMAN, who has given generously to the Hahn School, served during the Korean War. He joined the Reserve Officers Training Corps (ROTC) at Indiana University, and when he graduated in 1952, he was commissioned as a Second Lieutenant in the Army. He was shipped to Korea, five miles south of the 38th Parallel, now known as the Demilitarized Zone. He commanded a supply unit responsible for supplying the 10th Corp with fuel. His fuel supply depot was an open field, and required continual protection. As commanding officer, Woltman could sleep only four hours at a time. Woltman’s family had a tradition of military service. His father had been a seaman in World War I, and an older brother had served in World War II. When his tour in Korea ended, Woltman returned home to start his business career. He remembers that in contrast to World War II, military returning from Korea were not accorded any recognition for their service. Although his active duty service lasted only two years, Woltman gained important lessons about leadership and organization and motivating people. He especially remembered that he Army taught officers that the care of enlisted personnel serving under them was their first responsibility.

39 MILITARY ALUMNI

The University of San Diego Hahn School of Nursing salutes our graduates who were members of the armed forces before or during their coursework here. Below is a list of their names, branch of service, degree, and graduation dates. The information contained in this list is from existing school records and reflects the information at the time the graduate was a student at Hahn. We apologize for any graduate we have inadvertently left off the list.

UNITED STATES AIR FORCE CAPT Suzanne Robertson, PhD, 2007 CAPT Jerome Boltz, MSN, 2001 E6 Joys Sanders, MSN, 2003 E4 Helene Henager, MSN, 2006 COL Mary Sarnecky, PhD, 1990 E4 Susan Lessani, MSN, 2003 E4 Dale Todicheeney, MSN, 2007 Patricia Montgomery, MSN, 2002 E5 Christie Santos, MSN, 2008 UNITED STATES ARMY RESERVE SGT Kim Spencer, MSN, 2006 CAPT Teri Arruda, DNP, 2010 CAPT Select Dawn Elders, MSN, 2003 RESERVE CAPT Dudley Elmore, MSN, 2008 CAPT Cleddhy Arellano, DNP, 2010 CAPT Carole Fraley, MSN, 1999 LT Arlene Brady, BSN, 2001 WO1 Jessica Heinicke, MSN, 2009 CAPT Monsita Brown, MSN, 2006 LT Lorie Judson, PhD, 2002 CAPT Arlene Esquibel, MSN, 2005 CPL Jennifer Martin, MSN, 1998 LT Laura Laws, MSN, 1999 LT Margaret Stern, MSN, 1998 LT Sharon Sullivan, MSN, 1998 UNITED STATES ARMY SPC 4 Jon Bongolan, MSN, 2010 UNITED STATES MARINE CORPS SGT Jose Carranza, MSN, 2010 SGT Star Lewis, BSN, 2000 CAPT Amy Coopersmith, MSN, 2003 CAPT Megan Rice, MSN, 2010 LT Jerald Coopersmith, MSN, 2002 CAPT Laura Desnoo, MSN, 2005 O2P Karla Mclachlan, MSN, 2002 E4 Nickolas Aguiree, MSN, 2005 Patricia Montgomery, MSN, 2002 LCDR Robin Akins, MSN, 2001

40 CDR Angelica Almonte, PhD, 2007 LTCDR Daniel Kinstler, PhD, 2002 LT Vorachai Sribanditmongkol, MSN, 2005 LCDR Paterick Amersbach, MSN, 2008 ENS LisaMarie Kovacevic, MSN, 2005 LTCDR Kathleen Stacy, PhD, 2010 LCDR Jennifer Barker, MSN, 2007 HM2 Mark LaHaye, MSN, 2010 LTCDR Lavencion Starks, MSN, 2005 LT Louise Barker, MSN, 2003 CDR Steven Lee, MSN, 2010 LT Susan Steiner, MSN, 1998 LT Brian Beale, MSN, 2009 LCDR Ruth Longenecker, MSN, 2000 CDR Lisa Stephens, MSN, 1998 CDR Mary Beckman, MSN, 2003 LT Katherine Loveless, MSN, 1997 LT Christina Tellez, MSN, 2010 CDR Denise Boran, PhD, 2001 LTCDR Karen Macdonald, MSN, 1997 LTjg Stephen Thompson, MSN, 1999 LT Thomas Broadway, MSN, 2008 CDR Martha Mangan, MSN, 1999 LTCDR Cynthia Turner, MSN, 2002 LCDR Traci Brooks, MSN, 2007 LT Michelle McCurdy, MSN, 2007 LTCDR Marci Valenciano, MSN, 2010 LT Annelise Brown, MSN, 2004 CDR Robin McKenzie, PhD, 2000 LCDR Lynn John Volgalesang, MSN, 2004 LT Jeffrey Budge, MSN, 2003 LT Amanda McNeil-Hall, MSN, 2001 LTJG Catherine Vrabel, MSN, 2002 LT Ramon Caladcad, MSN, 2010 E5 Charles Medina, DNP, 2010 LT Paula Vuckovich, PhD, 2003 LT Victoria Callihan, MSN, 2006 LT Xanthe Miedema, MSN, 2002 CPO Christopher Waggoner, MSN, 2000 LT Noelle Colletta, MSN, 2005 LT Barbara Mullen, MSN, 2002 LT Kurtt Walton, MSN, 2005 LT Martha Cutshall, MSN, 2001 LT Rebecca Navarrete, MSN, 2010 LT Tammy Weinzatl, MSN, 2002 LT Lisa Dobison, MSN, 2010 LT So Newton, MSN, 2010 CDR John Whitcomb, PhD, 2005 LCDR Andrew Fernandez, DNP, 2010 LT Stacy Nilsen, MSN, 2009 O3E Kimberly Whitehill, MSN, 2010 CDR Judith Fidellow, MSN, 1997 LT Trisha Ofstad, MSN, 2006 LT Jacqueline Williams, MSN, 2009 LTCDR Cynthia Gantt, PhD, 2002 CDR Min Chung Park, PhD, 2005 LCDR Michelle Williams, MSN, 1999 LT Julie Ginoza, MSN, 2004 LT Zoe Peek, MSN, 2008 LT Cynthia Wolfe, MSN, 1999 CAPT Kriste Grau, MSN, 2004 CDR Sandra Peppard, MSN, 2003 LT Noel Delizo Ysip, MSN, 2008 LT Jerri Gray, MSN, 2006 CAPT Cynthia Perry, PhD, 2005 E1 Felipe Gutierrez, MSN, 2003 LT Joanne Petrelli, MSN, 2002 UNITED STATES NAVAL RESERVE LT James Haffner, MSN, 2010 LT Lynn Phillips, MSN, 1997 LT Lourdes Januszewicz, MSN, 2008 LT Kelly Hamon, MSN, 2004 LT Apryl Pidding, MSN, 2010 O4 Leslie McGraw, MSN, 2001 LT Detrik Harmeyer, MSN, 2008 LT James Reilly, MSN, 2009 LCDR Barbara Rose, PhD, 2010 LTCDR Judy Harris, MSN, 1998 CDR Jacqueline Rychnovsky, PhD, 2004 Colleen Shiroff, MSN, 2001 LT Diane Hite, MSN, 2008 LT Michelle Sanders, MSN, 2008 LTCDR Jeffrey Huff, MSN, 2009 LTCDR Sherrie Santos, MSN, 2001 UNITED STATES PUBLIC E4 William Jacko, MSN, 2009 LT Sherri Schweer, MSN, 2006 HEALTH SERVICE CDR Dennis Jepsen, MSN, 1998 E7 Theodore Scott, MSN, 1997 LCDR Loretta Mitch-Lynn, MSN, 2002 LCDR Patricia Johnson, MSN, 2009 HM Frank Serio, MSN, 2008 E4 Robert Jones, MSN, 2003 LCDR Linda Sexauer, MSN, 1997 LCDR Monica Joynt, MSN, 1999 LT Elizabeth Shaubell, MSN, 2010 CDR Patricia Kane, MSN, 1997 LT Anita Smith, PhD, 2003 ENS Gloria Kascak, MSN, 2005 LT Felecia Smith, MSN, 2007 LT Duane Kemp, MSN, 2003 LT Christine Snowden, MSN, 2003 LT Sharon Kingsberry, MSN, 2004 LT Carmen Spalding, MSN, 2002

41 AUTHOR E. HUGHES 2011 CAREER ACHIEVEMENT AWARD WINNER FROM HAHN SCHOOL OF NURSING

“The quest for excellence that I saw and experienced in my program at USD impressed me and I’d like to believe that that’s what I brought to Dalhousie.” Marilyn T. Macdonald, PhD, 2005 Associate Director, Graduate Programs and Associate Professor of Nursing at Dalhousie University in Halifax, Nova Scotia.

42 SUBMIT NOMINATIONS NOW FOR NURSING’S 2012 AUTHOR E. HUGHES CAREER ACHIEVEMENT AWARD

Nomination form:

Print Nominee’s Name

Credentials

Current Position

E-mail Address Phone

Address

*Attach nominee’s recent professional vita *Attach nominee’s three-page summary statement of professional career *Submit digital copy of nominee’s professional photo

Name of Person Submitting Nomination (can be nominated by self or others):

Nominator’s E-mail Address Phone

Nominator’s Address

Return to: Dean Sally Brosz Hardin USD Hahn School of Nursing and Health Science 5998 Alcalá Park San Diego, CA 92110

43 Faculty and Alumni SCHOLARLY REVIEW

HONORS AND AWARDS 2011 Nurse Excellence Award for Dr. Karen Macauley was a finalist [FACULTY AND ALUMNI] Mentor and the Sigma Theta Tau nominee for San Diego’s “Athena” Dr. Sandra Bibb (PhD, 1999) was International: Zeta Mu Chapter 2011 Pinnacle Award. selected as one of the 2011 “100 Extra Excellence in Nursing Research Award. Ordinary Nurses in the Washington Dr. Marilyn Macdonald (PhD, 2005) Metropolitan Area” by Sigma Theta Dr. Jane Georges’ published work was received the University of San Diego Tau International, Honor Society of selected by Advances in Nursing Science as Hahn School of Nursing and Health Nursing, Gamma Beta Chapter, one of the top ten most influential articles Science 2011 Hughes Career Achieve- Howard University. in nursing philosophy, 2000-2010. ment Award.

Dr. Joseph Burkard was appointed to Dr. Lois C. Howland was selected to Dr. Jonathan Mack completed an 18 the Western Institute of Nursing Poster attend the National Institute of Nursing month Post-Doctoral Fellowship in Award Committee for 2010-2013. Research 2011 Summer Genetics Health Care Informatics for the West Institute at the National Institutes of Wireless Health Care Institute and will Dr. Cynthia D. Connelly was an Health, Bethesda, MD. assume a new role as the Institute’s invited participant on an interdisciplin- Director of Research and Development. ary expert panel at the National Dr. Kathy James was an invited Institutes of Health-National Institute participant on an interdisciplinary Akemi Martin (MSN, 2011) was of Mental Health on “Fresh Perspec- panel of experts on a Medscape CME/ selected as one of the Urban League of tives in Perinatal Depression Research: CE-certified Audio Webcase for San Diego County’s “Forty under 40 Psychosocial Interventions and Mental Medscape Diabetes & Endocrinology, Inspired Leaders of Tomorrow.” Health Services.” on “Aiming for Success in Childhood Obesity Intervention: Family-based Dr. Ann Mayo was invited to be a Dr. Laurie Ecoff (PhD, 2009) received Approaches to Care.” Fellow in the American Academy of the Sharp Metro campus “Nursing Nursing. In addition, she was elected Excellence Award for Leadership.” Dr. Shirley Jett (PhD, 2011) received Chair of the Interagency Collaborative the 2011 Irene Palmer Scholarship on Nursing Statistics (ICONS). Dr. Willa Fields (DNSc, 1990) was Award. elected as Vice Chair Elect on the Dr. Jason McGuire (PhD, 2011) won Board of Healthcare Information and Jamie Johnson (MSN, 2011) received the regional Navy Medical Center San Management Systems Society (HIMSS). the Julia Wilkinson Scholarship Award. Diego Academic Research competition (1st place) and placed 3rd in the Dr. Brenda Fischer (PhD, 2008) has Dr. Peggy Kalowes (PhD, 2007) has nationwide Navy Research Competition been named to the Board of the South- been appointed to the research com- held in Portsmouth, VA. In addition, he ern California Cancer Pain Initiative, a mittee of the American Association of won the Researcher of the Year Award, foundation of the City of Hope. Heart Failure Nurses (AAHFN) for the Mary Hanna Memorial Journalism 2011-2013. In addition, Dr. Kalowes Award, and the Navy Nurse Corp’s Dr. Ana-Maria Gallo (PhD, 2003) was inducted as a Fellow in the Mary F. Hall Writing Award for his received the Sharp Grossmont Hospital American Heart Association (FAHA). dissertation research, “Risk Factors for

44 Emergence Delirium in US Military [STUDENTS] Active-Duty Military Members with Members.” Ayman Alnems was awarded the Irene Combat Experience.” He also received S. Palmer Research Award for “The the 2011 Rear Admiral Mary F. Hall Dr. Roberta Rehm (MSN, 1986), Relationship of Oncology Nurses’ Award for Nursing Publication for his currently an Associate Professor at Professional Quality of Life to Knowl- study, “Biphasic Dosing Regimen of UCSF, was invited to be a Fellow in the edge and Attitudes Toward Cancer Pain.” Meclizine for Prevention of Postopera- American Academy of Nursing. tive Nausea and Vomiting in a High- Crisamar J. Anunciado was awarded Risk Population.” Dr. Patricia Roth was selected as a a red ribbon at the Western Institute of USD “University Professor” and will be Nursing Research Scientific Conference Elizabeth Ciaccio was awarded the honored at the USD Fall Convocation for her study, “Inpatient Glycemic Irene S. Palmer Research Award for in September. Management: Traditional Care versus “Grounded Theory of Parental Caring for Glycemic Management Team.” Well Controlled Type-1 Diabetic School Dr. Linda Urden was appointed as Age Children as Evidenced by HgA1c.” Chair of the Research Task Force for Mary Ann Anziano received the the Council on Graduate Education in Achievement Rewards for College Elizabeth Cianci received the Julia Administration Nursing (CGEAN). She Scientists (ARCS) for $22,500 for “A Wilkinson Scholarship Award. was also appointed to the Future of Retrospective Analysis: Predicting Nursing California Regional Action Diabetic Foot Ulcers with Routine Jackie Close was the recipient of an Coalition (RAC). She is also a work- Diabetic Foot Care.” individual Southern California Cancer group member of the Action Commit- Pain Initiative (SCCPI) Award for tee (CAC) for the Future of Nursing in Melinda Bender was selected by the “Excellence in Pain Management.” California and a member of the Nurse CTSA Consortium- Child Health Leadership Development Committee Oversight Committee (CC-CHOC) to Lindsay Cosco was awarded the for the Association of California Nurse be one of four Child Health Research Robert V. Piemonte Scholarship from Leaders (ACNL). Fellows to present their work to the the Nursing Economics Foundation. leading child health researchers at Dr. Pablo Velez (PhD, 2006) CEO and CTSA sites across the country, at the Lee Ann Hawkins was notified that Senior Vice President, Sharp Chula 2011 Pediatric Academic Societies her abstract, “Is Cognitive Impairment Vista Medical Center-San Diego, was meeting. She was also awarded an Associated with Medication Adherence awarded the Excellence in Leadership “Achievement Reward for College in Outpatients with Heart Failure?” for San Diego by the Association of Scientists” (ARCS) Scholarship. was chosen for the Nursing Research California Nurse Leaders. Award at the Heart Failure Society of Miriam Bender was appointed by the America Annual Scientific Meeting. Dr. John Whitcomb (PhD, 2005) will Commission on Nurse Certification to She was also awarded an “Achievement be inducted into the American College the CNL Job Analysis Committee Reward for College Scientists” (ARCS) of Critical Care Medicine (a physician beginning in May 2011. Scholarship. association) as a Fellow of Critical Care Medicine. Dr. Whitcomb will be one of Deborah Bird received the Kyle LCDR Heather King received the 2011 only three nurses in South Carolina O’Connell Memorial Scholarship Rear Admiral Mary F. Hall Award for who carry this distinction. from the University of San Diego Nursing Publication for her manu- Alumni Association. script, “Pacific Partnership 2008: The Surgical Mission, Surgical Screening LCDR Eric Bopp was awarded the Process, and the Anesthetic Manage- Dean’s Research Scholar Award for ment of Uncontrolled, Untreated “The Preoperative Stress Response in Hypertensive Patients.”

45 Sheryl Leary was appointed to the Nation Conference Award, which was Bradley, P. (2009-2011). Evaluating Board of Directors for the Certification presented at the Western Institute of eligibility through a PLAR process tor Corporation for the American Associa- Nursing’s Scientific Conference Awards internationally educated nurses. Canada tion of Critical Care Nurses (AACN). Luncheon. Ministry of Citizenship and Immigration Grant Award for $800,225. Jason McGuire and faculty member Lucy R. Van Otterloo was awarded the Dr. Joseph Burkard won first place in Doris A. Howell Foundation Research Bradley, P., & Singh, M. (2008-2011). the Academic Research Competition for Award and the Dean’s Research Scholar Test for success: Multifaceted program to their presentation on “Post Traumatic Award for “Risk Appropriate Maternal promote internationally educated nurse Stress in the Combat Surgical Patient.” Care: Identifying Risk Factors that success on the Canadian registered nurse Effect Maternal Outcome.” exam. Canada Ministry of Citizenship Merlie Ramira was awarded a scholar- and Immigration Grant Award for ship from the Philippine Nurses Fatima Velasco was awarded a $703,625. Association of America. 2010-11 DNP Dean’s Scholar Award. Bradley, P., Singh, M., & Page-Cutrara, Linda Schaffer received the Doris K. (2009-2012). Building internationally Howell Foundation Research Award, GRANTS educated nurses’ intercultural competence Cheryl A. Wilson Nursing Scholarship Anunciado, C., Velez, P., & Wikoff, through technologically enhanced learning. for $3,000 for “Relaxation Guided K. (2011). Diabetic nursing care. Sharp Canada Ministry of Citizenship and Imagery: A Stress Reduction Interven- Chula Vista Medical Center Research Immigration Grant Award for tion for Hospitalized Pregnant Women.” Grant Award for $105,000. $1,109,959.

Bridget B. Sellars was awarded the Anziano, M. (2008-2012). Retrospective Burkard, J. F. (2011). Perioperative Dean’s Research Scholar Award for analysis: Predicting diabetic foot ulcers outcomes? Hahn School of Nursing Faculty “Transformational Leadership Practices with routine diabetic foot care. Achieve- Research Incentive Grant for $4,000. of Nurse Managers in Magnet and ment Rewards for College Scientists Non-Magnet Facilities.” (ARCS) for $22,500. Burkard, J. F. (2011). Will the inclusion of a PONV-PDNV risk assessment tool Linda Stanley was selected as the Avila, M. (2011). The foundational devel- improve PONV measureable outcomes? speaker at the San Diego Society Nurse opment of the concept of the “common University of California San Diego of the Year Award dinner where she good” from a Judeo-Christian perspective. Innovations in Patient Safety and presented a paper on the “Treatment of Dean’s Scholar PhD Research Grant Quality Improvement Research Grant Post-Traumatic Stress Disorder.” Award for $5,000. Application for $20,000.

Amy Stuck was awarded the Dean’s Baclig, J. (2011). Nurse practice environ- Clark, M. J. (2011). Promoting mam- Research Scholar Award for “The ment and PIV infiltrations in a pediatric mography among Thai American women. Relationship between Night-Time hospital on the magnet journey. Dean’s California Breast Cancer Research Interruptions and ICU Delirium.” Scholar PhD Research Grant Award for Program Research Grant Application $5,000. for $560,997. Denise Thompson was awarded the Dean’s Research Scholar Award for “Public Bender, M. (2008-2011). Childhood Clark, M. J., Instone, S., Mueller, M. Health Nurse Factors Associated with obesity intervention in Hispanic pre-school R., Mayo, A., & Skerrett, K. (2011). Decision-Making in Closing Cases to children. Achievement Rewards for Phase II: DNP preparation for advanced Postpartum Home Visitation Services.” College Scientists (ARCS) for $22,500. practice leadership: A longitudinal research study of the first graduating Dale Todicheeney was selected as the Boone, B. (2011). Work of nurses in cohort. Hahn School of Nursing Faculty recipient of the 2011 Ann M. Voda interventional radiology. Dean’s Scholar Research Incentive Grant for $4,000. American Indian/Alaskan Native/First PhD Research Grant Award for $5,000.

46 Connelly, C. D. (2008-2013). Collab- Hardin, S. B., Mumper, C. M., & Pedro, L. W. (2010-2013). Rural orative model addressing mental health in Johnston, L. (2011). Scholarships for long-term cancer survivors and contextual the perinatal period. National Institute disadvantaged students. U.S. Department health-related quality of life. The National of Mental Health Research Grant of Health and Human Services Human Institute of Nursing Research Grant Award for $3,059,622. Resources and Services Administration Award for $229,688. Bureau of Health Professions for Gahagan, S., James, K., & Bender, M. $12,823. Roth, P. (2008-2011). Nurse faculty loan (2009-2011). Vida saludable research program. U.S. Department of Health pilot project. National Institutes of Hardin, S. B., Mumper, C. M., & and Human Services, Health Resources Health, U.S. Department of Health and Johnston, L. (2011). Advanced educa- and Services Administration, Bureau Human Services, Public Health Services, tion nursing traineeship. U.S. Depart- of Health Professions Grant Award for National Center on Minority Health ment of Health and Human Services $3,110,150. and Health Disparities Comprehensive Human Resources and Services Research Center in Health Disparities Administration Bureau of Health Rouse, M. (2011). Undiagnosed diabetes Research Grant Award for $47,817. Professions for $52,880. and prediabetes in the ED--a missed opportunity for early referral and treat- Gallo, A. (2011). The effect of an Hunter, L. P. (2010-2013). San Diego ment. American Association of Critical educational sleep program on new State University School of Nursing nurse Care Nurses Research Grant Award for graduate night shift nurse. By Sigma midwifery education program. California $2,500. Theta Tau International Zeta Mu Department of Health Services, Chapter-at-Large Research Utilization Maternal Child Health Branch Training Sarter, B. (2011). Community based in Nursing Practice Award for $750. Grant for $225,000. clinical trial of a homeopathic protocol for treatment of dengue fever in rural India. Gonzales, L., Koci, A., Gee, R. M., James, K., Connelly, C., & Gracia, L. International Council for Homeopathic Magno, F. A., Nogovitsun, A. P. (2011). (2011). Linda Vista obesity pilot preven- Research Grant Application for Language translation and psychometric tion program: Ways to enhance children’s $150,000. evaluation of standardized measures to activity and nutrition [WE CAN]. Supple- test cardiac health in midlife and elder mental Educational Development Skerrett, K., & Mayo, A. (2011). Russian, Filipina, and Ukrainian women. Award for $2,281 for Linda Vista Optimal development across the life span. Hahn School of Nursing Faculty Elementary School. Hahn School of Nursing Faculty Research Incentive Grant for $4,000. Research Incentive Grant for $15,000. Jett, S. A. (2011). The post deployment Hardin, S. B. (2011). PhD nurse faculty lived experience of U.S. troops after Tregunno, D., Bradley, P., Beagrie, L., training. Jonas Foundation Grant for combat-related blast exposure. Dean’s Crozier, A., & Landry, S. (2011). Health $60,000. Scholar PhD Research Grant Award for outcomes for better information and care: $5,000. Understanding the linkages with best Hardin, S. B., Macauley, K., & practice guidelines to improve patient Martin, J. (2011). Simulation and Madani, C., & Kerr, K. (2011). The outcomes. Ministry of Health standardized patient nursing laboratory effects of palliative care consults and and Long Term Care Nursing Research equipment and supplies. San Diego education on ICU nurses’ moral distress Grant Award for $306,000. County Grant for $20,000. and compassion fatigue. UC Center for Health Quality and Innovation Grant Tung, H. H., Wei, J., & Tsay, S. L. Hardin, S. B., & Martin, J. (2011). Application for $35,000. (2010-2012). Efficacy of self management Master’s entry student training. Dickinson intervention on quality of life in post Foundation Grant for $100,000. Mayer, B. (2010-2011). The use of focus CABG diabetic patients. Taiwan Nation- groups for data collection in qualitative al Science Council Research Grant research. Irene S. Palmer Research Award for $47,000. Grant Award for $2,945.

47 PUBLICATIONS: Chen, J. Y. & Clark, M. J. (2010). Georges, J. M. (2011). Evidence of the Allen, J. & Close, J. (2010). The NCHE Family resources and parental health in unspeakable: Biopower, compassion, geriatric resource nurse model: Improv- families of children with Duchenne and nursing. Advances in Nursing ing the care of older adults with muscular dystrophy. Journal of Nursing Science, 34(2), 130-135. Alzheimer’s disease and other demen- Research, 18, 239-248. tias. Geriatric Nursing, 31(2). Gonzales, L., Fields, W., & McGinty, Connelly, C., Baker, M., Hazen, A., J., & Gallo, A. (2010). Quality improve- Alperson, S. & Berger, V. W. (2011). Landsverk, J., & Horwitz, S. (2010). A ment in the Cath Lab: Redesigning Opposing systematic reviews: The effects model for maternal depression. Journal patient flow for improved outcomes. of two quality rating instruments on of Women’s Health, 19(9), 1747-1757. Critical Care Nurse, 30(2), 25-32. doi: evidence regarding T’ai Chi and bone 10.4037/cnn2010832 mineral density in postmenopausal Conrad, C., Fields, W., McNamara, T., women. The Journal of Alternative and & Cone, M. (2010). Medication room Howland, L. C., Pickler, R. H., McCain, Complementary Medicine, 17(5), 1-7. madness: Calming the chaos. Journal of N. L., Glaser, D., & Lewis, M. (2011). Nursing Care Quality, 25(2), 137-144. Exploring biobehavioral outcomes in Asia, M., Georges, J. M., & Hunter, A. doi: 10.1097/NCQ.0b013e3181c3695d mothers of preterm infants. The American J. (2010). Research in conflict zones: Journal of Maternal Child Nursing, 36(2), Implications for nurse researchers. Ecoff, L., & Brown, C. (2010). Evi- 91-97. Advances in Nursing Science, 33(2), dence-based architectural and space 94-100. design supports Magnet empirical Hyden, R., & Fields, W. (2010). Improv- outcomes. Journal of Nursing Adminis- ing the acute myocardial infarction rapid Bender, M., Mann L., & Olson J. tration, 40(12), 505-508. rule out process. Journal of Nursing Care (in press). Leading transformation: Quality, 25(4), 313-319. Implementing the clinical nurse leader Faller, M., Gates, M., Georges, J., & in an acute care setting. Journal of Connelly, C. (2011). Work-related Hunter, L. (2011). A poetic hermeneutic Nursing Administration. burnout, job satisfaction, intent to phenomenological analysis of midwives leave, and nurse-assessed quality of ‘being with woman’ during childbirth. Brown, C. & Ecoff, L. (2011). A system- care among travel nurses. Journal of In G. Thomson, F. Dykes, & S. Downe atic approach to the inclusion of evidence Nursing Administration, 41(2), 71-77. (Eds.), Qualitative research in midwifery in healthcare design. Health Environ- and childbirth: Phenomenological ments Research and Design, 4(2), 7-16. Fields, W., McCullough, S., & Jacoby, approaches (pp. 172-192). New York, J. (in press). The effect of computerized NY: Routledge, Taylor & Francis. Brown, C., Ecoff, L., Kim, S., Wickline, physician order entry on nurses and M., Rose, B., Klimple, K., & Glaser, D. nurses’ work. Journal of Health Informa- Hunter, L., & Yount, S. (2011). Oral (2010). Multi-institutional study of tion Management. health needs assessment of low-income barriers to research utilization and pregnant women in San Diego County. evidence-based practice among hospital Fuhrman, J., Sarter, B., Glaser, D., & Journal of Midwifery and Woman’s Health, nurses. Journal of Clinical Nursing, Acocela, S. (2010). Changing perceptions 56(2), 103-109. 19(13-14), 1944-1951. of hunger on a high nutrient density diet. [Designated “Highly Accessed” by Instone, S., & Hardin, S.B. (2011). Brown, C., Kim, S., Stichler, J., & the Biomed Central Publishing Group.] Response to “The Doctor of Nursing Fields, W. (2010). Predictors of Nutrition Journal, 9(51). Practice: A national workforce perspec- knowledge, attitudes, use and future tive.” Letter to the Editor. Nursing use of evidence-based practice among Gallo, A. (2011). Beyond the classroom: Outlook, 59(3), 130-131. baccalaureate nursing students at two Using technology to meet the educa- universities. Nurse Education Today. tional needs of multigenerational James, K., Connelly, C., Gracia, L., Advance online publication.doi:10.1016/ perinatal nurses. Journal of Perinatal Mareno, N., & Baietto, J. (2010). j.nedt.2009.10.021 and Neonatal Nursing, 25(2),195-199. Ways to enhance children’s activity and

48 nutrition (WE CAN): A pilot project McGuire, J. & Burkard, J. (2010). Skerret, K. (2010). Extending family with Latina mothers. Journal for Special- Risk factors for emergence delirium in nursing: Concepts from positive ists in Pediatric Nursing, 15(4), 292-300. U.S. military members. Journal of psychology. Journal of Family Nursing, PeriAnesthesia Nursing, 25(6), 392-401. 16(4), 487-502. Jett, S. (2010). Combat-related blast- induced neurotrauma: A public health Mueller, M. R., Roussos, S., Hill, L., Skerrett, K. (2010). Good enough problem? Nursing Forum, 45, 237–245. Salas, N., Villarreal, V., Baird, N., & stories: Helping couples invest in one doi: 10.1111/j.1744-6198.2010.00195. Hovell, M. (2011, in press). Medical another’s growth. Family Process, 49(4), interpreting by bilingual staff whose 503-516. Kent, N., & Fields, W. (in press, primary role is not interpreting: available online). Early recognition of Contingencies influencing communica- Snyder, R., & Fields, W. (2010). A sepsis in the emergency department: tion for dual role interpreters. Research model for medication safety event An evidence based project. Journal of in the Sociology of Health Care, 29. detection. International Journal for Emergency Nursing. doi:10.1016/j. Quality in Health Care, 22(3), 179-186. jen.2010.07.022 Nolan, S., Burkard, J., Clark, M. J., doi:10.1093/intqhc/mzq014 Davidson, J. E., & Agan, D. (2010). Kim, H. K., Pears, K. A., Fisher, P. A., Effect of morbidity and mortality peer Stichler, J., Fields, W., Kim, S., & Connelly, C., & Landsverk, J. A. review on nurse accountability and Brown, C. (2011). Faculty knowledge, (2010). Trajectories of maternal harsh ventilator-associated pneumonia rates. attitudes and perceived barriers to parenting in the first 3 years of life. Journal of Nursing Administration, 40, teaching evidence-based nursing. Child Abuse & Neglect, 34(12), 897-906. 374-383. Journal of Professional Nursing, 27(2), 92-100. Kjonegaard, R., Fields, W., & King, M. Revello, K., & Fields, W. (in press). A (2010). Current practice in airway performance improvement project to Stuck, A., Clark, M. J., & Connelly, management: a descriptive evaluation. increase nursing compliance with skin C. (in press). A patient-centered American Journal of Critical Care, 19(2), assessments in a rehabilitation unit. approach to reducing sleep disruption. 168-174. doi: 10.4037/ajcc2009803 Rehabilitation Nursing. Dimensions in Critical Care Nursing.

Maiden, J., Georges, J., & Connelly, C. Roussos, R., Mueller, M. R., Hill, L., Urden, L., & Stacy, K. (2011). Clinical (in press). Moral distress, compassion Salas, N., Hovell, M., & Villarreal, V. nurse specialist orientation: Ready, set fatigue, and perceptions about medica- (2010). Some considerations regarding go! CNS Journal, 25(1),18-27. tion errors in certified critical care nurses. gender when a healthcare interpreter is Dimensions in Critical Care Nursing. helping providers and their limited Zamora, Z., Clark, M. J., Winslow, B., English proficient patients. Research in Schatzschneider, M., & Burkard, J. Mareno, N., & James, K. (2010). the Sociology of Health Care, 28, 217-229. (2011). Orthotopic neobladder irriga- Further validation of the body-mind- tion: Competency through simulation, spirit wellness behavior and character- Rutkowski, E., & Connelly, C. Urologic Nursing, 31(2), 113-120. istic inventory for college students. (2011). Obesity risk knowledge and Southern Online Journal of Nursing physical activity in families of adoles- Research, 10(4), Article 5. cents. Journal of Pediatric Nursing, 26, 51–57. doi: 10.1016/j.pedn.2009.12.069 McCoy, T., Fields, W., & Kent, N. (in press, available online). Evidence- Schreiber, M., Foran-Lee, L., Ross, T., based practice protocols to prevent & Gonzales, L. (2010). How simula- ventilator-acquired pneumonia in tion can help assess nursing compe- the emergency department. Journal tency. Nursing2010 Critical Care, 5(6), of Nursing Care Quality. doi:10.1097/ 43-45. NCQ.0b013e318221224dc

49 PHD DISSERTATIONS Izu, R. (2011). Fibromyalgia self-care Van Niekerk, R. (2011). California school Browning, A. (2011). The relationship management: Use of essential oils. nurse survey (Unpublished doctoral between psychological empowerment and (Unpublished doctoral dissertation). dissertation). University of San Diego, CA. moral distress in critical care nurses University of San Diego, CA. caring for adults during end of life (Unpublished doctoral dissertation). Jett, S. (2011). The post deployment lived INTERNATIONAL AND KEYNOTE University of San Diego, CA. experience of US military troops after PRESENTATIONS combat-related blast exposure (Unpub- Connelly, C., Hazen, A., & Baker, M. Burdette-Taylor, S. (2011). Feasibility lished doctoral dissertation). University (2011, April). Perinatal mental health study among military personnel with of San Diego, CA. model: Design, implementation, and traumatic amputation during military acceptability of a community cased combat or training (Unpublished doctoral Kennett. J. (2011). Communication collaborative care intervention. Paper dissertation). University of San Diego, CA. patterning and diabetic outcomes: Advanc- presented at the 1st International ing research into practice (Unpublished Symposium – Nursing Intervention Burnell, L. (2011). Compassionate care: doctoral dissertation). University of Research: Development, Evaluation, and The patient perspective (Unpublished San Diego, CA. Exchange, Montreal, Quebec, Canada. doctoral dissertation). University of San Diego, CA. Landis, B. (2011). Breastfeeding and James, K. (2010, July). Ways to enhance mothers with chronic health conditions children’s activity and nutrition [we can Carr, I. (2011). Cord blood collection in (Unpublished doctoral dissertation). ]– a pilot project with Latina mothers. pregnant women for stem cell research University of San Diego, CA. Poster presented at the 1st International (Unpublished doctoral dissertation). Diabetes and Obesity Forum, Athens, University of San Diego, CA. McGuire, J. (2011). Emergence delirium Greece. in US military combat veterans (Unpub- Finocchiaro, D. (2011). Spiritual lished doctoral dissertation). University Kanacki, L., Roth, P., Georges, J., well- being and quality of life among persons of San Diego, CA. & Herring, P. (2010, October). Shared with paraplegia. (Unpublished doctoral presence: Caring for a dying spouse. dissertation). University of San Diego, CA. Moreno, K. (2011). Mother-son connect- Paper presented at the Qualitative edness, substance use, and young men’s Health Research Conference, Vancouver, Fuller, K. A. (2011). A retrospective criminal justice system involvement British Columbia, Canada. study of substance use and mental health (Unpublished doctoral dissertation). disorders in a sample of Urban American University of San Diego, CA. Madani, C. (2011, June). Incidence of Indian and Alaska natives (Unpublished reperfusion pulmonary injury in patients doctoral dissertation). University of Nespor, S. (2011). Nutritional status who have undergone pulmonary endarter- San Diego, CA. and clinical outcomes of residents admitted ectomy: Distal versus proximal disease. to a nursing home (Unpublished doc- Invited podium presentation to the Hansbrough, W. (2011). Examining toral dissertation). University of San 21st World Congress of The World nursing presence in the acute care setting Diego, CA. Society of Cardio-Thoracic Surgeons, as an indicator of patient satisfaction with Berlin, Germany. nursing care (Unpublished doctoral Piyasut, C. (2011). Thai patients’ dissertation). University of San Diego, CA. experiences of end-stage renal disease: A Reiner, G. (DNP student) (2011, May). path through an unknown world (Unpub- Pinning speaker at the RN graduation Hickman, D. (2011). Relationship between lished doctoral dissertation). University of Southwestern Community College, self-stigma and personal empowerment of San Diego, CA. Chula Vista, CA. among people who have severe mental illness (Unpublished doctoral disserta- Quinn, P. (2011). A critical reflection on Reiner, G. (DNP student) (2011, May). tion). University of San Diego, CA. advanced practice nursing (Unpublished Promoting behavioral change. Presenta- doctoral dissertation). University of tion to the Family Centred Care San Diego, CA. 50 Medical and Support Staff, PASADA, Burkard, J. (2010, July). Pain and Clark, M. J., Instone, S., & Mueller, Dar Es Salaam, Tanzania. sedation management: State of the art M. R. (2010, September). DNP prepara- 2010. Podium presentation at University tion for advanced practice leadership: A Sarter, B. (2011, March). Banerji of California San Diego, San Diego, CA. longitudinal research study of the first protocols: Disease-specific treatment graduating cohort. Paper presented at with homeopathic medicines. Paper Burkard, J. (2010, October). Evidence the Third National Doctors of Nursing presented at the Berlin Academy of based practice: Fostering nursing scholar- Practice Conference, San Diego, CA. Homeopathy, Berlin, Germany. ship through nursing scholarship. Poster presented at the National Doctors of Connelly, C. (2010, October). Fresh Urden, L. (2011, March). The sixth role Nursing Practice Conference, San perspectives in perinatal depression of the clinical nurse specialist. Invited Diego, CA. research: Psychosocial interventions and keynote at the National Association of mental health services. Invited panel Clinical Nurse Specialists Annual Burkard, J. (2011, January). Preventing presentation to the National Institutes Meeting, Baltimore, MD. and treating PONV: An evidence ap- of Health-National Institute of Mental proach. Podium presentation at the Health, Washington, DC. University of California San Diego, San NATIONAL AND REGIONAL Diego, CA. Connelly, C. (2010, October). Perinatal PRESENTATIONS depression and mental health service use: Bender, M., Glaser, D., & Connelly, Burkard, J. (2011, March). Innovation Design, implementation, and acceptability C. (2011, April). Interrupted time series in anesthesia practice. Podium presen- of a community based collaborative care design evaluating CNL intervention effect tation at the California Association of intervention. Paper presented to the on patient outcomes. Podium presenta- Nurse Anesthetists Spring State National Institutes of Health-National tion at the 44th Annual Western Conference, Huntington Beach, CA. Institute of Mental Health, Washing- Institute of Nursing Research Confer- ton, DC. ence, Las Vegas, NV. Burkard, J. (2011, April). Perioperative outcomes analysis phase one analysis Crawford, L. (2010, June). Improved Bender, M., Nader, P., James, K., project. Poster presented at the Western hearing screening. Poster presented at Dolgonos, O., & Gahagan, S. (2011, Institute of Nursing Research Confer- the National Association of School March). Vida Saludable - Effectiveness of ence, Las Vegas, NV. Nurses Conference, Chicago, IL. a childhood obesity intervention for Latino pre-school children and their mothers. Clark, M. J. (2010, February). Prepar- Dobratz, M., & Primomo, J. (2011, Poster presented at the Academic Rewards ing for accreditation of your Master’s April). An analysis of master of nursing For College Scientist (ARC) Scientist of program. Paper presented at the students’ scholarly projects. Paper the Year Dinner, San Diego, CA. American Association of Colleges of presented at the Western Institute of Nursing Master’s Education Confer- Nursing Research Conference, Las Bonnell, S. (2011, April). Psychometric ence, New Orleans, LA. Vegas, NV. evaluation of advanced practice nursing student competencies using standardized Clark, M. J. (2010, June). Evaluator Eckhardt, J., Burkard, J., & Sawrey, P. patients. Paper presented at the Nation- training workshop. Workshop presented (2011, April). Observation unit efficacy in al Organization of Pediatric Nurse at the Commission on Collegiate decompensated heart failure patients. Practitioners Annual Meeting, Albu- Nursing Education, Arlington, VA. Poster presented at the Western querque, NM. Institute of Nursing Research Confer- Clark, M. J., & Bulaporn, N. (2010, ence, Las Vegas, NV. Boone, B. (2011, March). Evolution of September). Factors influencing mam- the APN role in imaging services. Paper mography screening among Thai Ameri- Ecoff, L. & Brown, C. (2011, Febru- presented at the Association of Radio- can women. Poster presented at the ary). Community consortium promotes logic and Imaging Nurses Annual 2010 California Breast Cancer Research evidence-based practice. Podium presen- Convention, Chicago, IL. Symposium, Oakland, CA. tation at the Association of California

51 Nurse Leaders (ACNL) Annual practice. Paper presented at the Sigma at the Contemporary Forums, San Program, Sacramento, CA. Theta Tau International Conference, Francisco, CA. Grapevine, TX. Ecoff, L. & Sitzer, V. (2010, October). Kalowes, P. (2011, May). Withdrawal of Professional nurse development: A critical Hansbrough, W., & Georges, J. M. implantable cardiac devices: Strategies for to quality approach. Podium presenta- (2011, April). Examining nursing nurses during the deactivation process. tion at the American Nurses Creden- presence in the acute care setting as an Invited paper presentation at the tialing Center National Magnet Confer- indicator of patient satisfaction with American Association of Critical Care ence, Phoenix, AZ. nursing care. Paper presented at the Nurses, National Teaching Institute Western Institute of Nursing Research (NTI), Chicago, IL. Falk, M., Zhang, Z., Place, E., Tsuki- Conference, Las Vegas, NV. kawa, M., Polyak, E., Ostrovsky, J., Kalowes, P. (2011, June). Improving Clarke, C., Reiner, G.,…Haas, R. Hardin, S.B. (2011, February). Three patient outcomes in heart failure: Assess- (2011, March). Mitochondrial respira- theories concerning decreasing medical ment of nurses’ knowledge of heart failure tory chain dysfunction has a common errors. Paper presented at the Sigma self management. Research presentation expression signature in human muscle Theta Tau Zeta Mu Induction, San at the American Association of Heart and fibroblasts at the level of multiple Diego, CA. Failure Nurses 7th Annual Heart biochemical and transcription factor Failure Nursing Conference, Seattle, target pathways. Poster presented at the Hickman, D. (2011, April). Self stigma WA. National Society of Inherited Meta- as a barrier and personal empowerment bolic Disorders conference, Pacific as a gateway to recovery. Paper present- Kalowes, P. (2011, August). Symptom Grove, CA. ed at the Psychiatric Nurses Associa- burden at end of life in patients with tion California Chapter Annual life-threatening illness in intensive care Faller, M., Gates, M., Georges, J. M., Conference, Mountain View, CA. units. Research poster presentation at & Connelly C. (2011, April). Attitudes the NIH, National Institute of Nursing and motivations of travel nurses. Paper Howarth, P., James, K., & Burkard, Research (NINR), and Partners Summit presented at the Western Institute of J. (2011, April). Obesity. Poster pre- on The Science of Compassion Future Nursing Research Conference, Las sented at the Western Institute of Directions in End-of-Life and Palliative Vegas, NV. Nursing Research Conference, Las Care, Bethesda, MD. Vegas, NV. Garner, C. & Burkard, J. F. (2011, Kanacki, L., Roth, P., Georges, J., & April). Applying the evidence: Using Hyacinth, O., Sarter, B., & Burkard, Herring, P. (2010, May). Shared pres- research based guidelines in treating J. (2011, April). Weight management ence: Caring for a dying spouse. Paper patients with diabetes. Poster presented during pregnancy utilizing the IOM presented at the Loma Linda University at the Western Institute of Nursing guidelines. Poster presented at the 12th Annual Nursing Research Confer- Research Conference, Las Vegas, NV. Western Institute of Nursing Research ence, Loma Linda, CA. Conference, Las Vegas, NV. Ginn, K., Williams, H., Sarter, B., & Landis, B. (2011, April). Breast feeding Burkard, J. (2011, April). The relation- Instone, S. (2011, March). DNP and mother’s with chronic health condi- ship of a diabetes flow sheet on the preparation for APRNs. Panel presented tions. Poster presented at the Western adherence to national standards in an at the California Association of Nurse Institute of Nursing Research Confer- internal medicine office. Poster present- Practitioners Annual Conference, San ence, Las Vegas, NV. ed at the Western Institute of Nursing Francisco, CA. Research Conference, Las Vegas, NV. Larsen, T. (2011, April). Quality of life, James, K. (2011, May ). Obesity religious/spiritual coping, demoralization Gonzales, L., Koci, A., & Gee, R. treatment and prevention; pediatric and depression in hear failure patients. (2011, October). Making key assessment obesity intensive: An action plan for Paper presented at the Western Insti- tools accessible for global nursing motivating change. Workshop presented tute of Nursing Research Conference, Las Vegas, NV. 52 Macauley, K. (2010, April). Warfarin Mayo, A. (2011, March). Resources to presented at the Western Institute of therapy management in the primary care facilitate the implementation of adult-gero Nursing Research Conference, Las setting. Paper presented at the Western competencies: geriatric CNS-specific Vegas, NV. Institute of Nursing Research Confer- web-based case studies. Panel presented ence, Las Vegas, NV. at the National Association of Clinical Nespor, S. (PhD Student) (2011, April). Nurse Specialists Annual Conference, Early identification of nutritional status in Macauley, K. (2010, June). Warfarin Baltimore, MD. older residents admitted to nursing homes. therapy management in the primary care Poster presentation at the Western setting. GME Grand Rounds Presenta- Mayo, A. (2011, March). Submitting Institute of Nursing Research Confer- tion at Scripps Mercy Hospital, San manuscripts for review. Panel presented ence, Las Vegas, NV. Diego, CA. at the National Association of Clinical Nurse Specialists Annual Conference, Quinn, P. (2011, April). Just a nurse Macauley, K. (2011, January). Health Baltimore, MD. – Critical reflections on advanced practice care reform: What does it mean for our nursing. Paper presented at the Western seniors. Paper presented at the Univer- Mayo, A. (2011, May). Resourcefully Institute of Nursing Research Confer- sity of the Third Age, University of San enhancing aging in specialty nurses ence, Las Vegas, NV. Diego, San Diego, CA. (REASN): Seven CNS geriatric web-based case studies produced for National Reiner, G. (November, 2010). Lesch- Macauley, K. (2011, January). Integrat- Association of Clinical Nurse Specialists Nyhan disease: A reason for restraints. ing innovative simulation strategies in and the John A. Hartford Foundation. Paper presented at UCSD Nursing nursing academia, trauma, and acute Grand Rounds, San Diego, CA. care. Paper presented at the Interna- McPherson, J., & Burkard, J. (2011, tional Meeting on Simulation in Health- April). Implementation of high fidelity Reiner, G. (2011, April). Cancer: care, New Orleans, LA. simulation to enhance critical thinking Prevention, early detection and treatment. skills. Poster presentation at the Paper presented at the VFW Auxillary, Macauley, K. (2011, April). Psychometric Western Institute of Nursing Research Logan Heights, San Diego, CA. evaluation of advanced practice nursing Conference, Las Vegas, NV. student competencies using standardized Roussos, S., Hill, L., Mueller, M. R., patients. Paper presented at the National Mueller, M. R. (2010, May). Changes in Salas, N. S., & Hovell, M. (2010, Organization of Nurse Practitioner health care legislation, changes in clinical October). Improving shared decision Faculties, Albuquerque, NM. practice. Paper presented at the Scripps making during interpreted health Mercy Hosptial 21st Annual Code, visits. Paper presented at the Diversity Mack, J., & Connelly, C. (2010, Trauma & Critical Care Nursing Rx Conference, Baltimore, MD. November). A healthcare system architec- Symposium, San Diego, CA. ture for delivery and management of Rutkowski, E. (2011, February). emerging wireless devices. Paper present- Mueller, M. R. (2011, February). Childhood obesity: What’s a pediatric ed to the American Academy of Highlights of the patient protection and nurse to do? Invited speaker at the Nursing Preconference: Advancing affordability care act of 2010. Paper Orange County Society of Pediatric Practice Through Innovation Technol- presented at the Institute for Health- Nurses, Children’s Hospital of Orange ogy, Washington, DC. care Improvement (IHI) Open-School County, Orange, CA. University of San Diego Chapter, San Mack, J., Connelly, C., Georges, J., & Diego, CA. Rutkowski, E. (2011, March). Making Urden, L. (2010, November). The nurse an impact with families concerned with engineer role in healthcare systems and Nader, P., James, K., Dolgonos, O., childhood obesity. Invited speaker at the technology integration. Paper presented Gahagan, S., & Bender, M. (2011, Orange County Chapter of the National at the American Academy of Nursing April). Vida saludable: Intervention Association of Pediatric Nurse Practi- Preconference: Advancing Practice effectiveness:targeting Latino pre-school tioners, Children’s Hospital of Orange Through Innovation Technology, children and their mothers. Poster County, Orange, CA. Washington, DC. 53 Rutkowski, E., & Connelly, C. (2010, DNP EVIDENCE BASED lished DNP evidence based clinical October). Validating a measure for CLINICAL PROJECTS project). University of San Diego, CA. obesity risk knowledge in adolescents. Arellano, C. (2010). The use of simula- Poster presented at the Nursing Odyssey tion in improving the readiness skills of us Hyacinth, O. (2011). Weight manage- 2010 Conference, San Diego, CA. air force reserve medical technicians in the ment during pregnancy utilizing the IOM care of chest tube drainage (Unpublished guidelines (Unpublished DNP evidence Rutkowski, E., & Connelly, C. (2011, DNP evidence based clinical project). based clinical project). University of April). Making progress: A measurement University of San Diego, CA. San Diego, CA. tool for obesity risk knowledge in adoles- cents. Poster presented at the Western Bowles, S. (2011). Using the evidence to McPherson, J. (2011). Implementation Institute of Nursing Research Confer- develop a noise mitigation program for the of high fidelity simulation to enhance ence, Las Vegas, NV. neonatal intensive care unit (Unpub- critical thinking skills (Unpublished lished DNP evidence based clinical DNP evidence based clinical project). Rutkowski, E., & Connelly, C. (2011, project). University of San Diego, CA. University of San Diego, CA. May). Development of a measure for obesity risk knowledge in adolescents/teens. Crawford, L. (2010). Improved hearing Tyler, R. (2011). Stop bang tool usage to Poster presented at Contemporary screening results with difficult to test detect undiagnosed obstructive sleep Forums Obesity Treatment & Preven- children (Unpublished DNP evidence apnea for the anesthesia provider (Un- tion Conference, San Francisco, CA. based clinical project). University of published DNP evidence based clinical San Diego, CA. project). University of San Diego, CA. Sarter, B. (2010, June). Enjoying salt as it is found in nature. Educational video Daniels, D. (2011). ADHD: Extensively Wolfe, T. (2011). Long acting injectables produced for the Nutritional Education researched and misunderstood (Unpub- to improve medication adherence in Institute, Flemington, NJ. lished DNP evidence based clinical psychotic disorders (Unpublished DNP project). University of San Diego, CA. evidence based clinical project). Skerret, K. (2011, July). The develop- University of San Diego, CA. ment of a resilience model for couples. Eckhardt, J. (2011). Observation unit Paper presented at the International efficacy in decompensated heart failure Association for Positive Psychology (Unpublished DNP evidence based Conference, Philadelphia, PA. clinical project). University of San Diego, CA. Urden L., & Stacy, K. (2011, March). Clinical nurse specialist orientation. Garner, C. (2011). Applying the evi- Paper presented at the National dence: Using research based guidelines in Association of Nurse Specialists Annual treating patients with diabetes (Unpub- Meeting, Baltimore, MD. lished DNP evidence based clinical project). University of San Diego, CA. Wolfe, T., Burkard, J., & Skerrett, K. (2011, April). Long acting injectables to Ginn, K. (2011). The relationship of a improve medication adherence in psychot- diabetes flow sheet on the adherence to ic disorders. Poster presentated at the national standards (Unpublished DNP Western Institute of Nursing Research evidence based clinical project). Conference, Las Vegas, NV. University of San Diego, CA.

Howarth, M. (2011). The evaluation of WECAN on enhancing parental role modeling in Latina mothers (Unpub-

54 [THE FACTS] Hahn School of Nursing and Health Science: Re-Accredited 2010 through 2020 with No Issues of Compliance

Top 10% of U.S. Graduate Nursing Schools • Doctoral- and Post-Doctoral-Level Faculty • Four American Academy of Nursing Fellows on Faculty • Over 2,000 Alumni, including 225 with Doctorates • Alumni direct Hospitals, Nursing Schools, and the Armed Services, including one of the First Nurse Admirals and First Nurse Deputy Surgeon General Degree Programs: - Master’s Entry Program in Nursing - Advanced Practice Master’s - Executive Nurse Leader — MSN/PhD - Doctorate of Philosophy in Nursing (PhD) - Doctor of Nursing Practice Program (DNP) Exceptional Program Scope and Excellence • One of only five PhD Nursing Programs in California • One of only six DNP Programs in California and the only DNP Program in San Diego • Only Nursing Program in U.S. to receive Achievement Rewards for College Scientists from the ARCS Foundation • First Migrant and Latino Health Care Programs in Southern California • First Master’s Entry Program in Nursing in Southern California • Palliative Care Program through partnership with San Diego Hospice Health Science • Office of Nursing Research with Focus on Clinical Nursing Research • $3.1 million NIH Grant to Study Depression in Post-Partum Women: Largest Research Grant in University History • Proposed new Institute for Nursing Research, Advanced Practice, and Simulation Nursing Practice • Unique International Nursing Program Serving Vulnerable Populations in Mexico, Dominican Republic, Haiti, India, and the Pacific Rim • State-of-the-Art Simulation and Standardized Patient Nursing Laboratory • Preceptor Program including more than 200 Nurse Practitioners and Physician Preceptors

55 HAHN SCHOOL OF NURSING AND HEALTH SCIENCE

Largest Graduating Nursing Class in USD History 121 Graduate Nurse Scientists, Executives, Practitioners, and Clinicians, 2011

56 DOCTOR OF PHILOSOPHY IN Leslie Lee Dela Cruz-Torio, MSN, RN Melinda Ehren, MSN NURSING SCIENCE Rachel Gomez, MSN, RN Katherine Emmert-Kozo, MSN Annette Browning, PhD, APRN Yvette Goodridge, MSN, APRN Rebecca Filson, MSN Shelly Burdette-Taylor, PhD, RN Lydia Haase, MSN, APRN Nichole Fischbach, MSN Lori Burnell, PhD, RN Evangeline Howard, MSN, RN William Flores, MSN Irene Carr, PhD, APRN Bethany Jodoin, MSN, APRN Kimberly Fong, MSN Darlene Finocchiaro, PhD, APRN Susan Julien, MSN, RN Allison Garcia, MSN Kathryn Aimee Fuller, PhD, APRN Heidi Kallestad, MSN, APRN Patricia Gialamas, MSN Wendy Hansbrough, PhD, RN Robert Krejci, MSN, APRN Jaspal Gill, MSN Diane Hickman, PhD, APRN Amanda Lampa, MSN, APRN Claudia Guzman, MSN Regina Izu, PhD, APRN Brian Lokar, MSN, APRN Mary Harris, MSN Shirley Jett, PhD, RN Patricia Loomis, MSN, APRN Heidi Hermann, MA, MSN James Kennett, PhD, APRN Christine Lopez, MSN, RN Honore Hershon, MSN Blanche Landis, PhD, RN Catherina Madani, MSN, RN Jacqueline Iseri, MSN Jason McGuire, PhD, APRN Deborah Martinez, MSN, RN Mary Jacklin, MSN Kim Moreno, PhD, RN Kevin Maxwell, MSN, APRN Jamie Johnson, MSN Sheryl Nespor, PhD, APRN Ricardo Mera, MSN, APRN So Ya Lee, MSN Chuleeporn Piyasut, PhD, RN Sonya Megert, MSN, APRN Desiree Lozada, MSN Patricia Quinn, PhD, APRN Patience Onyegbule, MSN, APRN Jessica Mann-Condon, MSN Rachel Van Niekerk, PhD, APRN Brian Piatkowski, MSN, APRN Katherine Marquis, MSN JoAnn Pun, MSN, APRN Akemi Martin, MSN DOCTOR OF NURSING PRACTICE CDR Assanatu Savage, MSN, APRN Alan McNichols, MSN Susan Bowles, DNP, APRN Patrick Schenck, MSN, APRN Conrado Perales, MSN Diane Daniels, DNP, APRN Donna Stachowicz, MSN, APRN Sherae Quattrocchi, MSN Jody Eckhardt, DNP, APRN Damian Storz, MSN, APRN Alexander Ramos, MSN Cyndee Garner, DNP, APRN Lianne Teruya, MSN, APRN Jocelyn Rosero, MSN Kathryn Ginn, DNP, APRN Geoffrey Van den Brande, MSN, APRN Jessica Scaglione, MSN Margaret Howarth, DNP, APRN Jennel Vendola, MSN, APRN Jennifer Schick, MSN Octavia Hyacinth, DNP, APRN Hannah Weiss, MSN, APRN Andrea Shoukair, MSN Jennifer McPherson, DNP, APRN Victoria Wheaton-Young, MSN, APRN Hunter Strong, MSN Robinette Tyler, DNP, APRN Judy White, MSN, RN Halley Vitullo, MSN Tarry Wolfe, DNP, APRN Gisenyi Wansor, MSN MASTER OF SCIENCE IN NURSING, Michele Warmerdam, MSN MASTER OF SCIENCE IN NURSING ENTRY INTO THE NURSING Jessica Wilson, MSN Mohammad Abu Dari, MSN, RN PROFESSION Michelle Wohler, MSN Diana Alcova, MSN, RN Mary Algiers, MEd, MSN Grace Angus-Amersbach, MSN, APRN Alberto Amezquita, MS, MSN BACHELOR OF SCIENCE IN NURSING Grace Basa, MSN, APRN Homera Amiri, MBA, MSN FOR REGISTERED NURSES Kaitlin Brasier, MSN, APRN Michael Baumgardner, MSN Andrea Bianco, BSN, RN Natalie Capacci, MSN, APRN Kristin Bertrand, MSN Alison Harrison, BSN, RN Fabiola Carapia, MSN, APRN Sabrina Boone, MSN Christine Lopez, BSN, RN Joseph Carroll, MSN, APRN Abigail Chua, MSN Audrey Sanico, BSN, RN Mari Dee Sandra Cid, MSN, RN Catherine Chung, MSN Amanda Cuellar, MSN, APRN Kimberly Clifford, MSN Stephanie Cunningham, MSN, APRN Mallorie Croal, MSN Twanna Davis-Arnold, MSN, APRN Christine Cutrufelli, MSN

57 Philanthropy Corner Military Nursing: Another Reason to Give

nd so it has been throughout history that our A military nurses have provided comfort, care, and compassion to soldiers on the battlefield. The “Lady with the Lamp,” Florence Nightingale, is renowned for her tireless nursing of British soldiers during the Crimean War. Today, the military nurses, who are treating the wounded on the front in Afghanistan and Iraq, or in military hospitals, such as the Naval Medical Center, San Diego, are equally heroic and deserve our Joan Katherine Martin, support. The Hahn School of Nursing and Health Science Director of Development has a long history of providing graduate nursing education to military nurses, who have successfully served on the battlefield and in the highest ranks of our armed forces. Most recently, we established the first Psychiatric Nursing Advanced Practice Program in Southern California for military nurses, who are treating our soldiers with post- traumatic stress syndrome. We ask that you continue to support our military nurses through a contribution to our school.

58 Hahn School of Nursing and Health Science Donor Honor Roll 2011 (July, 2010 - June, 2011)

FLORENCE NIGHTENGALE1 DONORS Mr. John L. ’84 and Mrs. Elizabeth A. Ms. Catherine L. Costin ’94 $50,000-$100,000 (Maiwurm) ’88 Morrell Ms. Patricia A. Cribbs ’90 Donald C. & Elizabeth M. Dickinson Foundation Ms. Mary Ann (Hubbard) Napier Dr. Judith S. ’90 and Mr. Robert Dempster (Mr. Martin C. and Mrs. Carol Dickinson) Mrs. Ann N. Orwig Dr. Susan D. ’90, ’01 and Mr. Robert DeSimone Mrs. Patricia A. (Friel) ’57 and Disraeli Family Fund of the Jewish CLARA BARTON DONORS2 Mr. John M. Seiber Community Foundation $10,000-$49,999 Mrs. Beth ’85, ’93 and Dr. Michael Sise Foundation for International Cooperation ARCS Foundation Inc. Dr. Gregory J. Skarulis Ms. Ann E. Gerhart ’03 Danvera Foundation State Farm Companies Foundation (Mr. Patrick Morrin ’83 and Ms. Janice Jagelski) Dr. Jane Georges Dr. Linda D. Urden ’89 Johnson Family Trust Estate The Honorable David M. and Mrs. Marcia Gill Mrs. Laura ’86, ’02 and Dr. Ervin Wheeler Dr. Janet A. Rodgers, Dean Emerita Ms. Joanne Gribble ’09 Dr. Cynthia M. Steckel ’10 Mrs. Denise ’96, ’99 and Mr. Michael Hager 5 ISABEL HAMPTON ROBB DONORS Dr. Carole F. ’03 and Mr. Dwight Hair $500-$999 3 Dr. Kathleen L. ’91 and Mr. James R. Harr DORTHEA DIX DONORS Mr. and Mrs. Lynn Blystone $5,000-$9,999 Ms. Jennifer A. Heintz ’09 Mr. and Mrs. John D. Boyce AMN Healthcare Services, Inc. Mrs. Frances C. ’89 and Mr. Robert B. Hickman Dr. and Mrs. William P. Curran Dr. R. Donna M. (Dawkins) and Dr. Susan L. ’89, ’96 and Mr. Allen B. Baytop Mr. and Mrs. Richard A. ’89 Dunn Mr. Donald K. Instone Mr. Richard J. Charlton Dr. Caroline S. Etland Commanders Cheryl L. Kaminska ’90 and San Diego Foundation, Beyster Family Mrs. Judith ’87 and Mr. Gary Fix Dennis R. McClain Foundation Fund Mrs. Claire M. ’86 and Mr. Benedict J. Maguire Ms. Deborah L. Kaplan ’98 (Dr. and Mrs. J. Robert Beyster) Mrs. Luz E. ’58 and Mr. Todd R. Meloy Mr. and Mrs. David C. Kissell The Sence Foundation (Mr. Gary Artis) Mrs. Barbara A. ’80 and Mr. and Mrs. James M. Kessler Mr. Robert M. O’Brien Mr. and Mrs. Walter Smoyer Mrs. Susan E. ’76 and Thomas J. Linton The Rhode Island Foundation Mrs. Katherine M. ’97 and 4 Mr. Barry K. Loveless MARY ELIZA MAHONEY DONORS 6 $1,000-$4,999 VIRGINIA HENDERSON DONORS Dr. Karen M. ’95, ’10 and $100-$499 Mr. Wesley A. Macauley Actelion Pharmaceuticals US, INC. (Dr. Victor Test) Mr. Lawrence Alessio Mrs. Nikki ’00 and Mr. Mark Majernik Mrs. Nancy (Gaffrey) ’92 and Dr. Charles B. Anderson Mrs. Jo A. Malmstrom-Okita ’81 and Mr. Robert Brennan Mrs. Josephine Balestrieri Mr. Lincoln Y. Okita Caterpillar Foundation Mrs. Carla D. ’93 and Mr. Bruce J. Balog Mrs. Jean M. ’62 and Mr. Harold P. Manly Mr. Ray and Mrs. Barbara J. Craycraft Dr. Barbara A. (Allgood) ’74 and Ms. Joan Katherine Martin Mrs. Constance L. Curran ’90, ’95 Mr. Lowell M. Berry Mrs. Mary M. ’93 and Mr. Steve R. Medina Dr. Marcia R. ‘08 and Mr. Nelson Faller Dr. Denise M. ’01 and Mr. Thomas S. Boren Mrs. Sussan Morris Drs. Sally B. and Thomas L. Hardin Ms. Lori A. Burns ’88 Dr. Ann E. ’80 and Mr. John Morrison Doris A. Howell Foundation Dr. Donald J. and Mrs. Cheryl L. Butera Dr. Karen Nielsen-Menicucci ’84 and Mr. Paul W. and Mrs. Cindy S. Hubbard Ms. Carolyn S. Cassels ’78, ’80 Mr. Ben Menicucci Dr. Kathy (Shadle) ’85, ’91 and Mr. Steve Q. Chapin ’83 Mr. William K. ’78 and Mr. Ronald James Dr. Mary-Rose ’85, ’86 Mueller Mr. Rodrigo A. Cheng ’99 Mrs. Kathy ’86, ’90 and Dr. David G. Marsh Dr. Cynthia E. Perry ’05 Mrs. Phyllis J. ’84 and Mr. John E. Clancy Rear Admiral Kathleen L. Martin, USN (Ret.) ’92 Dr. Patricia Pothier ’01 Commander Melissa J. Clifford ’91 Ms. Anne T. Powers ’89

59 Mr. and Mrs. Arlin Ramira Mrs. Carlene D. Evans ’65 and Mr. Winthrop Dr. Thomas W. Oertel ’83 and Mrs. Susan A. Ms. Barbara A. Reece ’97 S. Evans Oertel ’86 Ms. Rae L. Richard ’98 Dr. Gwendolyn F. Foss ’98 and Mr. Russell O. Parkman, ’82 and Ms. Cynthia Mr. Charles S. Foss A. Parkman ’88 Dr. Patricia A. Roth Ms. Evelyn M. Fraser ’07 Mr. Mario A. Quitoriano ’10 Ms. Christie Santos ’08 Mrs. Jennifer L. Gorman ’84 Ms. Rose M. Reist ’96 Mr. and Mrs. Leonard T. Scaglione Mrs. Suzette Haack ’83 Ms. Megan R. Rice ’10 Ms. Nancy A. Schanzlin ’07 Dr. Molly K. Hahm ’07 and Mr. Young Hahm Mr. and Mrs. Jack L. Riley Ms. Shirley A. Schumacher ’94 Ms. Mary E. Hardwick ‘87 Ms. Judith A. Rivera ’96 Ms. Sharon A. Scullen ’90 Mrs. Ann M. Hayden ’94 and Mr. Jeff Hanson Mrs. Sandra A. Rodriguez ’93 and Dr. Alfonso Ms. Linda K. Sebastian ’02, ’10 Mrs. Gerilyn R. Herold ’87 and Mr. David W. Rodriguez Mrs. Veronica M. Severns ’94 Herold Dr. Elaine M. Rutkowski ’08 Drs. Roger and Karen Skerrett Ms. Colleen E. Herr ’00 and Mr. Matt C. Herr Sacred Heart Cape May Community Ms. Linda M. Soaft ’06 Mrs. Santa C. Houggard ’81, ’83 and Mr. Ms. Barbara L. St. John ’94 and Mr. Thomas Dr. Sandra L. Solem ’83 Byron Houggard A. St. John Ms. Lisa D. Stephens ’98 Ms. Judith I. Jacoby ’93 Colonel Mary T. Sarnecky ’90 Dr. Susan B. Stone ’07 Mrs. Mary J. Jenkins ’88 and Mr. John L. Ms. Michelle S. Sanders ’08 Jenkins Ms. Amelia M. Valasco ’08 Ms. Dyana L. Sandry-Woo ’83 and Mr. Mrs. Linda H. Jensen ’95 and Dr. Gerard M. Charles W. Woo Mrs. Kathleen C. ’59 and Dr. Thomas N. Volle Jensen Mrs. Ida E. Scanlon ’70 and Mr. James A. Dr. Mickie D. Welsh ’95 Mrs. Charlotte S. Johnson ’81 and Dr. R.L. Scanlon Ms. Jacqueline R. Williams ’09 Johnson Ms. Elizabeth J. Shaubell ’10 Mrs. Donna S. ’92 and Mr. Peter Worcester Mrs. Linda C. Johnston Mr. Edward R. Smith ’70 Mrs. Claire M. Kuczkowski ’76 and Mr. James Ms. Myna R. Spearman ’87 7 F. Kuczkowski DR. HILDEGARDE PEPLAU DONORS Ms. Cathleen J. Sugarman ’09 UNDER $100 Dr. John M. Lantz Mrs. Chris A. Trelease ’77, ’80 and Mr. John A. Anonymous Mrs. Karen S. Linarelli ’84 Trelease Ms. Crisamar J. Anunciado ‘01 Captain Charlene R. Mahu ’91 and Lt. Col. F. Dr. Sharon L. Taylor ‘91 P. Mahu Mrs. Bernadette M. Balestrieri-Martinez ’96 Mrs. Margret S. Timpson ’81 and Mr. Dennis and Mr. James D. Martinez Mrs. Elaine M. Manos ’79 and Mr. Steve P. Reusch Manos Ms. Mary C. Beckman ‘03 Mr. and Mrs. A. Jack Tweedy Commander Mardean E. Meier ’87, ’92 Mrs. Sharon K. Boothe-Kepple ’96 and Dr. Sharon A. Vairo ’98 Mr. Gary W. Kepple Mrs. Lauri K. Miller ’83 and Dr. Brian F. Miller Mrs. Luz O. Vega-Garcia ’91 and Mr. Royce S. Ms. Karen J. Brasfield ‘84 Mrs. Susan Mitchell ’80 and Mr. William J. Garcia Mitchell Mr. and Mrs. Albert S. Bucci Ms. Kathleen A. Warren ’88 and Mr. John L. Ms. Jessica R. Calhoun ‘07 Ms. Sally A. Murdock ’96 and Mr. Warren L. Warren Murdock Mrs. Terrie J. Cameron-Harrell ’96 and Dr. John J. Whitcomb ’05 Dr. James H. Harrell Ms. Donette B. Nelson ’93 and Dr. Jesus Sanchez Ms. Margaret M. Widman Davis ’88 and Mr. Dr. Michael Campion ’78 and Mrs. Elena Scott Davis Campion Mrs. Teresa F. Nelson ’59 and Mr. Paul J. Nelson Mrs. Elizabeth E. Wilson ’90 and Mr. Richard Commander Soren Christensen ’91 and A. Wilson Mr. James Wires Ms. Twila A. Noble ’07 Captain Patrick S. Correnti ’89 Mrs. Regina A. Noonan ’97 and Mr. Daniel J. Noonan Ms. Jacqueline M. Cotton ’87 Ms. Joan T. Craigwell ’79 Ms. Mona R. Dopp ’07 1 Florence Nightengale instituted nursing science and education Ms. Jane A. Dunmeyer ’84 2 Clara Barton founded the American Red Cross as civil war superintendent of nurses Ms. Maureen K. Edman ’09 3 Dorthea Dix reformed treatment of the mentally ill Mrs. Mary F. Edwards ’95 4 Mary Eliza Mahoney graduated as the first professional African-American nurse Mrs. Ruth Erne ’79 and Mr. David Erne 5 Isabel Hampton Robb established the American Nurses Association Ms. Marina L. Espiritu Lutz ’89 and 6 Virginia Henderson distinguished the practice of nursing from the practice of medicine Mr. Charles Lutz 7 Dr. Hildegarde Peplau defined the nurse-patient relationship and nurse psychotherapy

60 61 PAST

PRESENT

62 FUTURE

Institute of Nursing Research, Advanced Practice, and Simulation

63 Navy Nurse Corps

Photo by Lt. James Reilly

64 Vietnam War Memorial: Women’s Memorial in Washington, D.C.

Air Force MAJ Linda Stanley at Vietnam War, Womens Memorial

65 University of San Diego Hahn School of Nursing and Health Science

5998 Alcala Park San Diego, CA 92110-2492

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