Spring/ Summer 2009 Duke Nursing Volume 4, No. 1 magazine

08 Alumni Association Awardees 19 Empowering Cancer Survivors Translating Research into 28 A Better Health Care System Better Care for Children pg 24

Duke Launches New DNP Degree pg 21 “We wanted to do what we could to help people who really want to be nurses afford a great nursing education.” ­­ —Mary Shepard

A DUKE CHARITABLE GIFT ANNUITY

Mary McFarland was a senior in high school in 1953 when a chance encounter A Sound Investment for You— changed her life. a Dream Come True for Mary was visiting Annapolis, Md., but her date, Jack, a student at the U.S. Naval Tomorrow’s Nursing Leaders Academy, was in sick bay with pneumonia. Jack asked his cousin and fellow Naval Academy midshipman Rolf Shepard to entertain Mary, and “the rest is history,” Mary says.

She graduated from high school and was accepted at Duke University. She completed freshman and sophomore years, but then decided to marry Rolf, and the couple moved to California.

Mary went on to earn a degree in nursing from a community college and worked as a nurse for 20 years—in physician practices specializing in surgery, pediatrics, and OB-GYN. Rolf retired from the Navy after 20 years and then served as the Kern County veterans’ service officer in Bakersfield, Calif., for 22 more years, helping veterans and their dependents claim benefits. In 2005 the couple moved to Chocowinity, N.C., on the Pamlico River, to be closer to Mary’s family.

Even though she did not graduate from Duke, Mary maintained an allegiance. As a nurse herself, she chose to support the School of Nursing through the Annual Fund.

After more than three decades of loyal annual giving, the couple recently decided to make a gift through their estate. The gift will establish an endowment to provide scholarship support for nursing students. They have also established three charitable gift annuities totaling $30,000, also for nursing scholarships. Mary and Rolf Shepard “We wanted to do what we could to help people who really want to be nurses afford a great nursing education,” says Mary. Sample Duke Annuity Rates The couple attended a Duke men’s basketball game in 2008. It was their first Single Person Married Couple time back to Duke’s campus since Mary left in 1955. They enjoyed meeting Age Rate Age Rate Dean Catherine L. Gilliss, BSN’71, DNSc, RN, FAAN, and her husband for dinner. In February they returned to watch the Duke Blue Devils play Miami and 65 5.3% 65/65 4.9% to tour the School of Nursing’s building. 70 5.7% 70/70 5.2%

Mary says she is happy to support Duke nursing, and she and Rolf feel that charitable 75 6.3% 75/75 5.6% gift annuities are a safe place to invest in the current economic climate. 80 7.1% 80/80 6.1%

For more information please contact Joseph W. Tynan, JD, director of gift and endowment planning for Duke Medicine, at [email protected] or 919-667-2506. Visit us on the Web at dukemedicine.org/giving. Dean’s WELCOME

Dear Friends, In this issue of Duke Nursing, you will see how the Duke University School of Nursing is making a difference.

Among the many initiatives, our Technology Integration in the hospital, managing care for heart failure, and oversee- Program for Nursing Education and Practice prepares ing recovery from breast cancer. nursing faculty to integrate new educational and clinical Our growing portfolio of community outreach and technologies into the curriculum. The Innovative Nursing international work makes a difference in Durham and Education Technology initiative facilitates exchange of beyond. Students work among the underserved residents of educational innovations, teaching tools, and resources on Durham providing health education and screening. the latest distance-learning technologies. Our new Doctor Our Office of Global and Community Health Initiatives has of Nursing Practice Program, offered in executive format, established a relationship with colleagues in the Caribbean employs online technologies to make the program available that will build nursing capacity and improve the care of to working nurses. Our faculty members and students are older persons with heart disease. excited about these education innovations, and faculty in The Duke nursing tradition continues. We continue to peer institutions have expressed appreciation for what they educate leaders who will transform health care and discover have learned from us. better ways to improve health for all people. Our work is Our faculty members are making a difference for made possible because of the support of our many friends. patients and their families through their scientific work. I hope you will enjoy this annual report and hope to hear We are studying new models of care to improve outcomes from you about your impressions of our work. for people with chronic illness and their caregivers. Our work helps to support the transition from hospital to home and reduces the length of time people stay in acute care settings. These improvements save money and improve the quality of life for our patients. Catherine Lynch Gilliss, BSN’71, DNSc, RN, FAAN Dean and Professor Our faculty members are also engaged in the practice Vice Chancellor for Nursing Affairs

of nursing. They are demonstrating innovations that make a 2009 difference in the lives of our patients, such as preventing falls SPRING/SUMMER NURSING DUKE 1 21 A Higher Degree of 25 Nursing Research 29 How Nurses Can Lead Change Agent Translates Into Better the Way to a Better Care for Children Health Care System

Duke Nursing magazine ALSO IN THIS ISSUE Spring/ Summer 01 Dean’s Welcome 2009 Volume 4, No. 1 03 In the News

DukeNursing Magazine Gilliss Reappointed as Dean is published once a year by the Duke Nursing Alumni Association. Issues are available online at ABSN Program Earns Accreditation nursealum.duke.edu. Your comments, ideas, and letters Harriet Cook Carter Speaker to the editor are welcome. Please contact us at: Bailey Helps Develop ABSN Competency Standards DukeNursing Magazine 512 S. Mangum St., Suite 400 Durham, NC 27701-3973 Men in Nursing Stick Together [email protected] Nursing Students Named University Scholars Duke Nursing Alumni Affairs Staff Fran Mauney, Interim Executive Director, Improving Care for the Chronically Ill Development and Alumni Relations Sallie Ellinwood, Director 08 Alumni Association Awards of Development Amelia Howle, Director, Alumni 10 Gifts to Nursing Relations and Annual Programs Ginger Griffin, Staff Assistant 12 Four New Leaders Appointed

Editor 14 New Faculty Appointments Marty Fisher Copy Editor Stefanie Conrad 16 From Where I Stand—A Patriotic Student Contributing Writers Serves Her Country Jim Rogalski, Bernadette Gillis, Bryan Gilmer Graphic Designer 18 Engineering Better Nursing Care David Pickel Photography 19 Cancer Survivors Take Charge Jon Gardiner, Jared Lazarus, Megan Morr, Les Todd, and Jim Wallace 32 Faculty Awards and Recognition

Produced by the Office of Creative 33 Faculty Publications Services and Marketing Communications. 36 Research and Training Grants Copyright Duke University Health System, 2009. MCOC-6348

in the news

Gilliss Reappointed as Dean Victor J. Dzau, MD, Duke University chancellor for health affairs, Duke University, and president and chief executive officer, Duke University Health System, in September of- ficially reappointed Catherine L. Gilliss, BSN’71, DNSc, RN, FAAN, to a second term as dean of the School of Nursing and vice chancellor for ABSN Program Earns 10-Year Accreditation nursing affairs, Duke University. “I can say the state of the School of In November the Accelerated BSN degree program received its first 10-year Nursing is healthy, thriving, and on the accreditation, the maximum accreditation an established program can receive. move with energy, enthusiasm, and The accreditation by the Commission on Collegiate Nursing Education came with leadership,” said Dzau during remarks no recommendations for improvements or focus areas of concern and is good at the dean’s annual State of the School through December 2018. of Nursing address. “It’s a vital, integral The credential signifies that the ABSN program is meeting the essentials part of Duke Medicine, very much in the of baccalaureate nursing education as identified by the American Association of forefront of what we’re trying Colleges of Nursing. Accreditation also signifies that the ABSN programs are at to accomplish.” the highest level and that the continuous quality-improvement program estab- During Gilliss’s tenure, the school’s lished for the ABSN curriculum meets the rigorous criteria for ongoing evaluation. number of students has grown 25 The accreditation is a voluntary, self-regulatory process. The commission percent, and the number of applications proclaims that it “ensures the quality and integrity of baccalaureate and graduate continues to rise. The faculty is 40 education programs preparing effective nurses” and “serves the public interest by percent larger. The school also jumped assessing and identifying programs that engage in effective educational practices.” from 29th in the 2004 U.S.News & Soon after it launched, the Duke ABSN program was accredited for a shorter World Report rankings to 15th in 2007. period beginning in 2003—also with no recommendations for improvement. This Dzau first appointed Gilliss as dean is the first time the program was eligible for a 10-year accreditation. The Duke and vice chancellor in 2004. She nursing master’s degree program is also CCNE accredited, through 2013. previously served as a professor and dean of the nursing school at Yale University. She holds a bachelor’s de- Harriet Cook Carter Speaker gree in nursing from Duke, a master’s Applies Evidence to Chronic Illness Care degree in psychiatric nursing from Barbara Paterson, PhD, MEd, BN, RN, a professor and Tier The Catholic University of America, One Canada Research Chair in chronic illness at the University an adult nurse practitioner certificate of New Brunswick, gave the 2009 Harriet Cook Carter from the University of Rochester, and Distinguished Lecture on January 28. 2009 a doctorate in nursing science from Paterson has conducted funded research studies in the the University of California-San self-management of diabetes and other chronic illnesses. Francisco, where she also completed a Her first research study in diabetes self-management was postdoctoral fellowship. She is nation- published in the Canadian Journal of Diabetes Care and ally known for her research on families won the Novo Nordisk Award for her acknowledgment that SPRING/SUMMER and chronic illness, is the author of people with chronic illness have much to teach health care professionals two books and numerous journal about living with disease. articles, and is the president-elect of the

The School of Nursing holds its annual Harriet Cook Carter Lecture to NURSING American Academy of Nursing. commemorate the life of Harriet Cook Carter and her work on behalf of the

Duke and Durham communities. DUKE 3 in the news

Bailey Helps Develop National ABSN Competency Standards Associate professor Chip Bailey, PhD, RN, helped The 61-page result (aacn.nche.edu/ to develop the latest national set of competency Education/pdf/BaccEssentials08.pdf) details nine standards to help bachelor’s degree nursing essential themes as fundamental to baccalaureate programs prepare graduates to provide safe, nursing education: high-quality patient care. • A solid base in liberal education provides the Deans and directors from the nation’s senior cornerstone for the practice and education nursing schools approved the new “Essentials of nurses. of Baccalaureate Education for Professional • Skills in leadership, communication, quality Nursing Practice” in October at the semi-annual improvement, and patient safety are necessary meeting of the American Association of Colleges to providing high-quality health care. of Nursing. • Professional nursing practice is grounded in For the past two years, Bailey represented the the analysis and application of evidence. perspective of accelerated bachelor’s programs • Knowledge and skills in information and on the national task force that developed the patient-care technology are critical to the essentials, serving with six nursing deans and delivery of quality patient care. directors, two other faculty members, and one • Health care policies, including financial and other nurse in clinical practice. regulatory, directly and indirectly influence “It was a huge honor to be invited by the nature and functioning of the health care the association to serve on this national task system. force because these essentials are important to • Collaboration among health care professional nursing and the public that have professionals is critical to delivering high- entrusted us with their care, so I was glad to do quality and safe patient care. it,” Bailey says. “The nine essentials emerged • Health promotion and disease prevention through stakeholder meetings as the task force at the individual and population levels are necessary to improve population health. shaped the final document with the support of association staff.” • Professionalism is fundamental to the discipline of nursing. • Integration of knowledge and skills is critical to practice. Practice occurs across the lifespan and in the continuum of health care environments. The baccalaureate graduate demonstrates clinical reasoning within the context of patient-centered care to form the basis for nursing practice that reflects ethical values. School of Nursing leadership has long played a national role in defining the essential themes of baccalaureate nursing education. Bailey notes that Mary Champagne, PhD, RN, FAAN, professor and former dean, served on the panel that produced the association’s original document, “Essentials of College and University Education for Professional Nursing” in 1986. That was the first national effort to define essential knowledge, values, and professional behaviors of baccalaureate-prepared nurses. in the newS

John Brion (front row, far right) with the Men In Nursing Stick Together Duke Men in Nursing group

Men are an under-represented group in both the School of to begin a mentoring program for students. That will also help Nursing, at 10 percent of total students, and in the Duke to connect the school even more tightly with the medical center University Health System, where they make up 11 percent of and health system. nurses. So a nursing professor and four men in the Accelerated “We want to try to create a program where students can BSN program have started a Duke chapter of the American look to male staff for the support and career advice of someone Assembly for Men in Nursing. working in the clinical setting,” Brion says. “The payoff for the The group is working to increase visibility of men’s school is that connecting students with staff through mentoring contributions to nursing and to offer support and solidarity will hopefully help them to feel more connected to the profes- to male students at the school and to nurses within the health sion and prevent the isolation that causes some to leave before system. Women who are interested in the group’s mission are graduating. And when they do graduate, if they stay in the welcome to join. Duke system for work, the networking and sense of inclusion “Under-represented groups of students and nurses have started during school will hopefully serve as a retention tool a high attrition rate,” says John Brion, PhD, RN, assistant for the hospital.” clinical professor. “One of the reasons for that is that they can The group’s abbreviated name—DAAMN—often gets feel isolated. DUSON has done a tremendous job of recruiting a laugh, Brion says. students from under-represented groups. We wanted to help “Everybody seems to think it’s fun,” he says. “It is catchy make sure we retain those students. We already have a good, and a little edgy, but not too bad. With the extra A in there, strong core of 25 people and interest from close to 100 more it’s not technically anything other than an acronym. We have 2009 who say they want to participate in some way.” talked about printing T-shirts, and a lot of people from the The group led a university-wide Red Cross blood drive late hospital said they would love to wear them. I guess it allows in the fall and enjoyed a friendly competition with a University people to feel like they’re being just a little bit of a rebel.” of North Carolina-Chapel Hill blood drive.

In addition to offering community-service projects such as SPRING/SUMMER the blood drive and a venue for networking, the group hopes NURSING DUKE 5 in the news

Two Pediatric Acute Care Students nurse practitioners with the one between physicians and Named University Scholars registered nurses to see whether there are any differences in the willingness to collaborate in each case. She hopes Two Duke nursing graduate students—including one who that work will inspire the development of interventions so far has taken all of her classes online—were honored that can improve collaboration and therefore the quality as Duke University Scholars in 2007 and 2008. The of patient care. She is beginning her search for a position program selects one student from each Duke graduate as a clinical specialist. and professional school annually. Winder, a pediatric intensive care nurse and infant- Stephanie Becherer just finished her master’s of unit charge nurse in Salt Lake City, has so far been science in pediatric acute and chronic care nursing degree. And Melissa Winder, a student studying to be a nurse practitioner in the same program, is participating remotely while continuing to work as a nurse in Utah. “Graduate and professional school University Scholars are outstanding, innovative students who have exhibited wide interdisciplinary inter- ests and commitments,” according to the program guidelines. “They show evidence of profiting by intellectual collaboration and interchange at the very highest levels. They are good communicators who can share their specialized knowledge. They are Stephanie Becherer excited by ideas and are capable of seeing how ideas from other fields can be translated into their own course of study.” University Scholars also receive financial support that covers their tuition, funding to support a presentation at an interdisciplinary conference or one outside their

Melissa Winder discipline, and “intellectual support” including seminars, coffees, and other gatherings where the scholars share ideas and network communicating with the other University Scholars mainly across the academic disciplines. through an e-mail group. That has worked surprisingly “When I got the call from [Director of Admissions, well, she’s found. She will be on campus next fall. Student Services] Bebe Mills saying that I had been “I feel like when I get out to Duke next fall, I’ll be chosen, I was elated,” says Becherer. “I couldn’t believe prepared to jump right in and help contribute a little bit I had been selected for this incredible opportunity. I was, more,” she says. “I’ve loved being a Duke student so far. I of course, thrilled about the scholarship, but the program just completed two classes online, and they were wonderful.” seemed to fit my interests perfectly. My research area is Winder is interested in improving holistic palliative interprofessional collaboration, primarily between nurses care for terminally ill children and their families, and she and physicians, but the program has given collaboration hopes to make connections with scholars at the Duke a whole new meaning.” Institute on Care at the End of Life, which is based at She adds that she would now like to compare and Duke Divinity School. contrast the relationship between registered nurses and in the newSs

Improving Quality of Life and Care for the Chronically Ill Three School of Nursing faculty in the School of Medicine. on an informal basis but can be skipped members have just begun a five-year, Bailey is studying an uncertainty- when nurses are busy. $3.3 million National Institute of management intervention developed at Steinhauser will study whether Nursing Research study on innovative the University of North Carolina-Chapel quality of life is improved for patients fac- and cost-effective ways to help patients Hill. He wants to learn whether it can ing the end of life if they receive coaching and their family caregivers better help patients with end-stage liver disease, about life review, forgiveness, and leaving manage serious chronic illnesses at home. many of whom are awaiting transplants. a legacy. The hope is to develop and test new The intervention involves a nurse Because the studies were designed ways to avoid unpleasant and damaging calling each patient once a week to help in tandem, Tulsky’s team will be able symptoms that require hospitalization or them solve problems and deal with the to compile the data into a single system expensive emergency care. uncertainty of their illness and the wait and analyze it together to quantify James Tulsky, MD, a professor of for a liver transplant. It has already been how much, if any, the interventions medicine with a dual appointment at the proven effective for breast- and prostate- helped. He will then consider how this School of Nursing, is overseeing the set cancer patients. The study is unique new knowledge can be applied to other of three related randomized controlled because the training will be given to chronically ill patients. trials, which are funded by an NIH patients and caregivers at the same time. “We’ll also interview participants to program project grant. Hendrix will study the effectiveness understand more about what worked, “Our goal is to learn how to apply of having a nurse educate both cancer what didn’t, and why so that we can the principles of self-management to patients and their caregivers about learn how to improve interventions,” the care of patients with life-limiting symptom management, home care, and says Tulsky. illnesses,” Tulsky says. “These are all in- stress-management strategies before terventions that can be implemented by patients are discharged from the hospital. nurses, and we hope they will improve Hendrix says this happens sometimes patient and caregiver quality of life.” Chip Bailey, PhD, RN, associate professor, and Cristina Hendrix, DNS, CFNP, CCRN, assistant professor, are each leading a trial, as is Karen Steinhauser, PhD, a sociologist and associate professor

Cristina Hendrix, Karen Steinhauser, James Tulsky, Chip Bailey 2009 SPRING/SUMMER NURSING DUKE 7 AWARDS

School of Nursing Honors Two 2009 Duke University School of Nursing Alumni Association Awardees

Distinguished Alumna Award Margarete Lieb Zalon, BSN’69, PhD, RN, ACNS-BC

Committed to serving and advancing nursing through science and advocacy, Margarete Lieb Zalon, BSN’69, PhD, RN, ACNS-BC, has taken on leadership roles throughout her 40-year career that have impacted nursing on local, state, and national levels. Zalon is currently a professor of nursing at the University of Scranton in Pennsylvania and also serves as chair of the university’s Institutional Review Board. She began her career as a volunteer nurse with a Duke service program in Tasbapouni, Nicaragua, during the sum- mer of 1969. After holding positions at New York University Medical Center, Lutheran Medical Center, Queensborough Community College, and Mt. Sinai Medical Center, she went on to Community Medical Center in Scranton, where as director of the school of nursing, her accomplishments included helping the school maintain a 96 percent RN licensure examination rate for six years and initiating plans for transition to an associate degree program. For the past 20 years Zalon has been at the University of Zalon was instrumental in establishing the Nurse Scranton, where she now teaches registered nurses, licensed Educators Consortium of Northeastern Pennsylvania in practical nurses, and traditional undergraduate students. 1982 and served as the group’s first vice president and sec- She also teaches graduate-level courses. She was the first ond president. She has held appointed and elected positions faculty member at the university to teach a course via video in state nursing associations and served numerous times conferencing and received a $70,000 grant from the Helene in the ANA House of Delegates. In 2000 she was elected Fuld Health Trust to facilitate computer-assisted instruction president of the Pennsylvania State Nurses Association, for students. Zalon also established a research agenda on and in that role she provided testimony for key legislative pain, pain management, and the recovery of elderly patients initiatives affecting nursing. after surgery and has been funded by the National Institute Zalon earned a nursing degree from Duke University in of Nursing Research. More recently she has partnered with 1969. She received a U.S. Public Health Service traineeship for the staff of a community hospital to measure outcomes for a graduate education and earned a master’s degree in nursing program designed to prevent cognitive decline in the elderly. with a major in biophysical pathology and a minor in teaching Zalon currently serves as president of the American from New York University in 1973. In 1989 she returned to Nurses Foundation (ANF) and director-at-large for the New York University to earn a PhD in nursing research. American Nurses Association (ANA). As ANF president, she has been instrumental in enhancing the foundation’s visibility, investigating its history, and increasing its fundraising initiatives. She also serves on the board of the northeast Pennsylvania affiliate of the Susan G. Komen for the Cure Foundation. HONORS Distinguished Contributions to Nursing Science Award Linda Lindsey Davis, PhD, RN, ANP, FNAP, FAAN

Linda Lindsey Davis, PhD, RN, ANP, FNAP, FAAN, is the Ann Henshaw Gardiner Professor of Nursing and a senior fellow in the Center for the Study of Aging and Human Development at Duke. She is also chair of the School of Nursing’s PhD program. As an adult nurse practitioner, Davis spent much of her career practicing in elder-care settings in New York, Oregon, Virginia, and Alabama. She has teaching and administrative experience in baccalaureate, master’s, and doctoral nursing programs. Before coming to Duke in 2005, she held academ- ic appointments at the University of Alabama-Birmingham, including serving as associate dean of undergraduate studies and interim associate dean for research. Davis’s research focuses on aging, and she is the author of numerous papers and book chapters on family and elder-care issues. Currently, she is the principal investigator of a study funded by the National Institutes of Health/ National Institute of Nursing Research on strategies that will help family caregivers provide home care for frail elders with Alzheimer’s or Parkinson’s disease. a PhD from the University of Maryland. She completed Davis was one of the first Robert Wood Johnson a primary care faculty fellowship at the University of Nurse Fellows in primary care and was elected to the Rochester and postdoctoral studies on family research national Academies of Practice (Nursing) in 1989 and the methods at the University of California-San Francisco. American Academy of Nursing in 2007. She has held leadership positions with organizations that include the national Alzheimer’s Association, the TriServices Military Research Panel, and the American Nurses Foundation. She is a member of the scientific review panel of the National Institute of Nursing Research. She is also a

member of Sigma Theta Tau International Honor Society of 2009 Nursing and the Gerontological Society of America. A native of Dallas, Texas, Davis earned a bachelor’s degree from Old Dominion University, a master’s degree from the University of North Carolina-Chapel Hill, and SPRING/SUMMER NURSING DUKE HONORS 9 DEVELOPMENT NEWS

Cullmans Support Global Health Scholarships

Nan and Hugh Cullman of Beaufort, while hiking in Switzerland. They have N.C., have given $50,000 to their both been patients at Duke Hospital, existing scholarship endowment at the and they feel that excellent nursing care School of Nursing—for a total pledge helped them have successful recoveries. of $250,000—to create an endowed “After hearing from many sources scholarship fund to support global about the national nursing shortage, health experiences for Duke nursing we decided that the Duke School of students. Their gift was matched Nursing was an important part of Duke through the Duke University Financial Medicine,” says Hugh. “We are happy Aid Initiative for a total of $500,000. to contribute to its success.” The Cullmans, who have a great interest Hugh and Nan Cullman in international travel, are shown here

Financial Aid Nursing Annual Fund, which provides American, 4 percent Asian, and 5 Initiative a Success student scholarships. percent Hispanic—and about 18 “I am very pleased to support the percent males. The School of Nursing exceeded its annual fund and its agenda, especially goal of raising $4 million for financial Susan Glenn scholarships,” said Susan Meister. aid for nursing students as part of the Takes Children’s “As the chair of the Board of Advisors, university-wide Duke Financial Aid Development Post I am well aware of the great advances Initiative (FAI). When the three-year the school has made with the leader- Susan Glenn, who has served as initiative ended on December 31, the ship of our exceptional dean. I consider executive director of development school had raised a total of nearly it an honor to join in these efforts.” and alumni affairs for the School of $4.5 million, 112 percent of its goal. “This is a wonderful show of Nursing since April 2007, has accepted The total includes $2.2 million support for our students,” said Dean a new position as executive director in matching funds the school received Catherine L. Gilliss, BSN’71, DNSc, RN, of development for Duke Children’s from a generous pool of matching FAAN. “We are very grateful to Susan Hospital & Health Center. During her funds contributed by The Duke and Paul Meister for their support and tenure at the School of Nursing, many Endowment and four Duke families. commitment to our school.” new scholarship funds were established, A total of 114 individual donors the Nursing Annual Fund reached made gifts to the Nursing Financial Aid record highs, and the nursing alumni Initiative, and 19 scholarships were RWJF Grant Aims to relations program has flourished. established from gifts to the FAI. Diversify Nursing “Susan has done a great deal to The Robert Wood Johnson Foundation build new networks of support for our Faculty-Staff has granted $70,000 for the New school among alumni and friends, and Campaign Meets Goal Careers in Nursing Program, aimed she will be greatly missed,” said Dean at recruiting students from groups Faculty and staff at the School of Catherine L. Gilliss, BSN’71, DNSc, under-represented in nursing. Syvil S. Nursing succeeded in meeting its RN, FAAN. “We are glad that she Burke, MSN, B’97, RN, assistant dean goal of raising $50,000 through the will continue to work for Duke and in for admissions and student services, Faculty-Staff Campaign. The campaign support of Duke Children’s.” is principal investigator on the grant. received a boost with a challenge gift Fran Mauney, MEd, RN, associate Currently the Duke Accelerated BSN from Susan Meister, PhD, RN, FAAN, dean for clinical affairs, will serve as program includes about 16 percent chair of the school’s national Board of interim executive director of develop- ethnic minorities—7 percent African Advisors, and her husband Paul. The ment and alumni affairs. money raised will go to the School of naturally to both Emersons, and John says he “tumbled around several ideas” before he decided on a meaningful way to leave a lasting legacy of his own at Duke. “There are so many areas at Duke that you could contribute to—the research they are doing is a great thing. But nurses meant so much to Nancy and to me. They contribute so much to the healing process—I hold them very dear to John Emerson my heart,” says John. Emerson Gift Supports a Future Nurse His legacy gift will support future nurses, with preference given to students Nancy Emerson fought breast cancer for Nancy lost her hard-fought battle who plan a career in oncology nursing. 21 years. And her husband John Emerson five and a half years ago, but it wasn’t Emerson has given $100,000 for a nurs- was by her side every step of the way. long before John found himself drawn ing scholarship, which will be matched Nancy was one of the first back to Duke and to helping people by the Duke Financial Aid Initiative for a volunteers with Duke’s Cancer Patient struggling with cancer. He comes every total of $200,000. Support Program and chaired its board. Thursday, with a warm smile and the Emerson says he looks forward to She and John befriended hundreds of trademark bananas that he shares with meeting the student who receives the first patients, nurses, and doctors at the patients and families in the waiting room funds from his endowment this fall. Duke Comprehensive Cancer Center of Duke’s Morris Cancer Clinic. “There’s a genuine need for new over the years. Giving of themselves just came nurses,” he says.

Holt Honors Sister’s Selfless Spirit with Nursing Scholarship Endowment

Trela Christine Holt was the type of nurse to her legacy of never hesitating to help who would do whatever she could to others no matter what the circumstances.” help people, no matter where or when, The fund will provide full and partial according to her older brother Terrance scholarships to DUSON students, with “Terry” K. Holt. preference given to candidates first from “Once I was traveling with her on the state of Tennessee, then to those from an interstate and someone had pulled Illinois. The Holt family has roots in over and couldn’t get their car started,” Tennessee and a strong presence in Illinois. he remembers. “Trela volunteered to Terry is president of Red Barn Terry and Virginia Holt keep their dog until they got their car Investments of Northbrook, Ill., the firm fixed. She was the kind of person who ness and giving spirit in some way. that manages the Holt family estate, and never hesitated to help someone.” Although his sister never attended is a former member of the Duke Medicine Trela enjoyed a successful and varied the Duke University School of Nursing Board of Visitors. In the past he has given nursing career working as a life-flight (DUSON), Terry and his wife Virginia money to Duke Medicine for Parkinson’s chose to give $250,000 to the school

nurse, a hyperbaric nurse, a prison disease research. He and Virginia have a 2009 nurse, an intensive care unit nurse, and a to establish The Trela Christine Holt daughter, Amanda, T’07, who graduated nursing teacher. School of Nursing Scholarship Fund. from Duke with a degree in public policy. “She was always doing something With 100 percent matching funds from “I’ve had many positive experiences that was not your classic run-of-the-mill the school’s Financial Aid Initiative, the working with Duke,” he says. nursing,” says Terry, 53. “She did a lot of fund will launch this spring with an initial In addition to Amanda, Terry and state-of-the-art stuff.” $500,000 endowment. Virginia have a daughter Laura—a SPRING/SUMMER When Trela lost a six-month battle “This is a way for me to promote the sophomore at the University of Denver; with pancreatic cancer on Thanksgiving quality, state-of-the-art nursing education and twins John and Jenna—both high Day 2006 at the age of 48, Terry vowed that she would have enthusiastically school sophomores. The family lives in NURSING to honor his sister’s unwavering selfless- endorsed,” Terry says. “It’s a donation Kenilworth, Ill. DUKE 11 NEW LEADERShip Associate Dean for Clinical Affairs

Fran Mauney, MEd, RN, sees a future in which advanced- practice nurses provide more and more of patients’ primary care, a goal she’s working toward in her new role at the School of Nursing. She wants to increase the number of nurse practitioners and is investigating the feasibility of “nurse-first clinics,” as well as looking at new and innovative nursing models of care. Education University of Cincinnati, BSN Washington University, MEd Professional Mission Hospital, Asheville, N.C., Vice President of Operations Durham Regional Hospital, Durham, N.C., Interim CEO

Associate Dean for Academic Affairs

Dori Taylor Sullivan, PhD, NE-BC, CNL, CPHQ, is working with faculty and staff to attract top students and offer innovative curricula. She oversees the Office of Admissions and Student Services as well as the Center for Nursing Discovery (CND) and the new Institute for Educational Excellence.

Education University of Connecticut, BSN, MSN-Administration, PhD, educational psychology Professional University of Connecticut Health Center, Farmington, Conn., Assistant Vice Chancellor for Performance and Quality Improvement, faculty researcher Independent Health Care Consultant Sacred Heart University, Fairfield, Conn., Chair of Nursing Q: Why is there a need for more non-physician Q: What’s your main focus in your new position at Duke? practitioners? A: The heart of my job is to work with faculty and others A: There’s a shortage of primary care physicians all to make sure we continue to have innovative curricula that over the country, and right here in Durham County include the best pedagogical strategies. It’s really about there’s a void in primary care where patients can’t get an supporting the faculty in our educational programs and in all appointment. As we look at addressing the shortage, we of the activities that allow learning to happen in the highest- know practitioners such as physician’s assistants and nurse quality manner. That includes all four levels: Accelerated practitioners can also ably care for patients. We as nurse Bachelor’s of Science in Nursing, master’s, PhD, and doctor of practitioners can manage patients with chronic illnesses nursing practice. We also want to be able to offer significant such as diabetes and hypertension and take the lead on expertise to nursing education at large. things like wound care. Q: There’s a growing demand for online education, and there Q: It’s clear how this innovation will benefit patient care. also seems to be a trend toward using simulation and game- But how will it help our nursing students? like experiences. How do you think of these technologies? A: We have a nurse practitioner program and a doctor A: We must use these technologies strategically to enhance of nursing practice program, and as we develop these student learning for both on- and off-campus students. programs, we need sites like these for the students to Simulation and CND-type facilities are expensive, and we achieve what they need to meet the criteria for their must ensure we are not merely doing something because certifications. Plus, I think these new clinical settings it’s different and trendy. The latest evolution is to employ will be excellent venues for a lot of research into how simulation and technology where evidence shows they are to improve and integrate practice. the best instructional tools for a given situation. Director, Institute for Educational Excellence

Terry Valiga, EdD, RN, FAAN, is helping nursing faculty apply evidence-based practice concepts to revise curricula, teach students, and evaluate learning. Valiga brings a career-long passion for teaching and decades of experience to the role.

Education Teachers College of Columbia University, MEd, EdD Professional Trenton State College, Seton Hall University, Georgetown University, Villanova University, and Fairfield University, faculty member Fairfield University, Fairfield, Conn., Dean of Nursing National League for Nursing, Chief Program Officer

Assistant Dean for Undergraduate Education

Michael Relf, PhD, RN, is working to strategically grow Duke’s Accelerated BSN program.

Education South Dakota State University, BSN Georgetown University, MSN-Administration Johns Hopkins University, PhD Professional Marymount University, Arlington, Va., faculty member Arlington Hospital, Arlington, Va., Critical Care Unit Nurse Manager Whitman-Walker Clinic (HIV/AIDS treatment and prevention), Washington, D.C., Nursing Services Director Q: How do you rate the School of Nursing’s commitment to Georgetown University School of Nursing and Health Studies, instruction and educational research? Washington, D.C., Chair, Department of Nursing A: We are one of a handful of nursing schools investing resources Q: How well do you think Duke’s undergraduate nursing in and making the commitment to building creativity, innovation, program is positioned today? and excellence in teaching. Many faculty members at Duke are A: We have a great product. We have an exceptional faculty, already very innovative in how they design learning experiences curriculum, and resources. At many schools, traditional for and with students. With this kind of foundation and history, baccalaureate programs are constant or shrinking in size. I think we can move the School of Nursing into a strong position Meanwhile, accelerated programs like ours are growing. of leadership in nursing education. We have really leveraged the opportunity to partner with the Duke University Health System to develop a top-notch Q: Isn’t having good instruction just a matter of hiring program to address the nursing shortage. Now I’m working to knowledgeable people to teach our students? ensure the program continues to grow strategically. A: Just because you are a good clinician doesn’t mean you are 2009 a good teacher or know about curriculum development. Quite Q: What are some of the main challenges in doing that? frankly, students can get signs and symptoms of a litany of A: The biggest challenge the whole health care industry is illnesses from books or Web sites. What they can’t get so easily having right now is determining how to close the gap between is learning how to think through the complexity of clinical discovery and the application of that knowledge. What we situations. When you are working with real people with teach students today is probably going to be outdated five SPRING/SUMMER complex health problems in real-life situations, there is a lot of different times over their career. So we have the chance to uncertainty. That’s really the essence of education: It’s the ways help students develop a set of basic competencies to enter the of thinking, the insights, the values one integrates after careful nursing work force with and become lifelong learners. NURSING reflection, not just taking on the values or information the teacher tells you to take on. DUKE 13 New SON Faculty Appointments

Shulamit “Shula” James Lester Robin B. Knobel, Janet Levy, PhD Bernard, PhD, RN Harmon, PhD, RNC, NNP MSN’97, RN, ANP-BC, AAHIVS

Shulamit “Shula” Bernard, PhD, RN, tional research. She and her husband their odds of survival and reduce has joined the faculty as director of Stephen live in Chapel Hill. their risk of mental and physical

the Clinical Research Management James Lester Harmon, MSN’97, RN, handicaps. Her techniques for Program. She earned a bachelor of ANP-BC, AAHIVS, a clinical instructor maintaining correct body tem- science in nursing degree from City and research assistant for the past perature in babies 23 to 28 weeks’ College of the City University of two years, joined the school’s regular gestational age have improved the New York; a master’s degree from rank faculty in August 2008. As a national standard of care. Knobel Rochester University in Rochester, faculty member, he currently teaches worked for 14 years in neonatal N.Y., specializing as a family health in the Nurse Practitioner Program intensive care units after earning an nurse clinician with a focus on and assists associate professor Julie associate’s degree from the University older adults; and a PhD in public Barroso in her study of HIV-related of Nevada-Las Vegas in 1981. In health policy and administration fatigue. Harmon also cares for pa- 1995 she graduated from East with a minor in epidemiology from tients part time at an HIV outreach Carolina University as a neonatal University of North Carolina-Chapel clinic in Henderson, N.C., which nurse practitioner and earned a Hill. She also completed postdoctoral he helped found along with other master’s degree in nursing from ECU training in health services research at Duke nurse practitioners. He came in 2000. Afterward she began her the Cecil G. Sheps Center for Health to nursing as a second career more temperature-regulation research and Services Research at UNC. Prior to than 15 years ago and has focused became a doctoral student at the coming to Duke, she worked from on treating and improving the quality University of North Carolina-Chapel 1999-2008 at the Research Triangle of life for HIV patients. He earned Hill while continuing to practice Institute in Research Triangle Park, a bachelor’s degree in architecture clinically at Pitt County Memorial N.C., most recently as senior director from the University of North Hospital in Greenville, N.C. She of the Research Program in Health Carolina-Charlotte in 1977 and earned a PhD from UNC in 2006. Care Quality and Outcomes. Prior to later moved to San Francisco, where Janet Levy, PhD, has been appointed that, she spent three years at UNC- he worked in architectural design, as faculty statistician. She has Chapel Hill as a research associate graphic design, and mapmaking. decades of experience and expertise at the UNC Institute on Aging; In 1991 he earned a bachelor’s de- in data analysis, with the past six acting executive director and project gree in nursing from the University of years focused on clinical trials at director for the UNC Commission on San Francisco’s accelerated program. the National Institutes of Health’s Professional and Hospital Activities; In 1997 he earned a master’s degree National Institute on Drug Abuse. and research assistant professor in in nursing from Duke. At the NIH she worked with the Department of Health Policy and Robin B. Knobel, PhD, RNC, NNP, joined investigators across the country Administration. Her areas of interest the School of Nursing in May as an to set up clinical trials for new include health care quality, patient assistant professor. Her research aims substance-abuse interventions. At safety, health care, delivery models to help premature babies weighing Duke, in addition to helping faculty for chronic illness, and transla- only one or two pounds improve members apply for new funding, Karen F. Ricker, Allison A. Kathryn A. Wood, MSN, CRNA, RRT Vorderstrasse, PhD, RN DNSc, APRN

Levy works with faculty to analyze data Carolina-Greensboro School of Nursing diabetes management—particularly from already-funded studies and trials. and as director of clinical education self-management—and rheumatology, Her strengths include knowing what the and research for the Raleigh School of especially rheumatoid arthritis. She is NIH seeks in proposals for clinical trials. Nurse Anesthesia. Her research interests a member of the American Diabetes She says her new post at the School of include treating obstructive sleep apnea Association and the Behavioral Nursing is her first teaching experience, in outpatient settings, productivity and Research in Diabetes Group. She and which she is excited about. Levy earned its impact on anesthesia care, use of her husband Greg previously lived in an undergraduate degree in psychology the simulation lab in teaching critical South Riding, Va. incidence to student-registered nurse from the University of Kansas and a Kathryn A. Wood, PhD, RN, joined the master’s in educational psychology from anesthetists (SRNA), and education School of Nursing in August and the University of Missouri-Kansas City. of SRNA clinical preceptors using the currently serves as an assistant professor. She returned to the University of Kansas novice-to-expert theory. Ricker earned She previously worked as a clinical to earn a doctoral degree in educational bachelor’s and master’s degrees in nurs- specialist in arrhythmia-patient research research, focusing on measurement ing from UNC-Greensboro. She received at academic medical centers in Georgia, and statistics as applied to problems in nurse anesthetist certification at the Alabama, Hawaii, California, and Ohio, education. Following that, she returned Raleigh School of Nurse Anesthesia. She in addition to spending five years in the to the University of Missouri-Kansas has been accepted into Duke’s Doctorate cardiac medical-device industry. Her City to take 21 hours in mathematics, six of Nursing Practice degree program and research interests include symptoms of which were in mathematical statistics. will begin her studies in the fall. and quality of life in arrhythmia Levy and her husband James K. Desper Dori Taylor Sullivan, PhD, NE-BC, patients, gender differences in symptoms live in Durham. CNL, CPHQ (see page 12) and access to care for patients with Michael Relf, PhD, RN (see page 13) Terry Valiga, EdD, RN, FAAN (see page 13) supraventricular arrhythmias, outcomes of ablation, and device treatment in Karen F. Ricker, MSN, CRNA, RRT is cur- Allison A. Vorderstrasse, DNSc, APRN, has rently an assistant professor of nursing been appointed assistant professor. She patients with atrial fibrillation. Last fall and clinical education coordinator for was most recently an assistant she taught courses in Duke’s master’s degree cardiovascular nurse practitioner the Nurse Anesthesia Specialty. Since professor at Marymount University 2009 1994 she has worked as a clinical certi- School of Nursing in Arlington, Va. program, and this spring she is teaching fied registered nurse anesthetist (CRNA) Vorderstrasse earned a bachelor of in the Doctor of Nursing Practice faculty member and nurse anesthesia science in nursing degree at Mount program. A native of Savannah, Ga., faculty member and administrator. Her St. Mary’s College and master of nursing Wood holds a master’s degree in cardio- previous clinical positions have included and doctor of nursing science degrees vascular nursing from the University of working as a CRNA and clinical precep- from the Yale University School of Alabama-Birmingham. She earned a PhD SPRING/SUMMER tor at Davis Ambulatory Surgical Center Nursing. She was a research assistant in physiological nursing and completed a and as a CRNA at UNC Hospitals. at Yale from 2002-05, and is a certified postdoctoral fellowship at the University She also served as an adjunct faculty adult nurse practitioner. Vorderstrasse’s of California-San Francisco. NURSING member at the University of North interests include behavioral research in DUKE 15 Friends and family, classmates and citizens, but not everyone participates in professors, strangers on the street— presidential elections—and even fewer From everyone asks me why, after earning a participate in congressional, state, and bachelor’s degree from the Duke University local elections. I think many people don’t School of Nursing in December, I’m joining vote because they have little personally Where the U.S. Army Nurse Corps. invested in the system, the nation, and the “Muscles in uniform,” I say with a coy common good. smile. That’s the only answer I’m willing But perhaps the young man who spends I Stand to give to most people. But I tell my fellow two years cleaning up a Florida estuary nursing students that it’s a great work will champion water conservation and environment, and the Army will repay my sustainable land stewardship when he’s 40. By Rebecca Tom, ABSN’09 loans. They’ll certainly understand that. Perhaps the young woman who teaches in But the answer that I’ve never given, an inner city school or staffs a rural primary my true answer, is that I’m a patriot. Not health clinic will help reform the crumbling only do I believe serving my country is my education and health care systems. Perhaps duty, I think it’s everyone’s. as a young person, a future president will Do I think that every man, woman, experience firsthand the horror of war and and child in the United States should join fight passionately for peace during his or the Army? No. But I don’t believe that our her tenure in office. patriotic duty as Americans ends with a trip But enough idealism—let me answer to the mall or even by paying our taxes on some more of the questions I get from my time. This is why I believe that when they fellow students. turn 18, everyone should spend two years Aren’t you afraid you’ll get sent to in some form of public service. Iraq? Anyone who joins the armed services In our land of democracy, only 64 now should be prepared for deployment percent of people who were eligible to vote overseas. If and when my time comes, I actually cast ballots in the 2004 presidential hope I can serve my country (and yours) election. Voting is one of our most basic to the best of my ability rights and responsibilities as American I didn’t think “your type” joined the Army. By “my type” she meant an upper Oh, and ladies—remember all those middle-class born, New England-raised, beautiful muscles you’ll see in uniform! “But the answer that prep school-educated, liberal Democrat, In December 2008, Rebecca Tom was as if all soldiers are poor, uneducated I’ve never given, my pinned along with her ABSN classmates. Republicans with nothing better to do true answer, is that In the photo, at left, she wears the purple with their time. I’ve done nothing but I’m a patriot. Not cord signifying membership in Sigma benefit from my U.S. citizenship, and I feel Theta Tau International Honor Society of only do I believe I should repay that debt. Nursing. Following the pinning ceremony, serving my country is What do your parents think about Tom’s twin brother, Andrew Tom, a U.S. my duty, I think this? My parents told me when I was Navy Ensign, commissioned her as a growing up that parents can give their it’s everyone’s.” 2nd lieutenant in the U.S. Army Nurse children only two things—an education Corps. She reported to Officer Basic and and morals—and that I could be anything as long as I was contributing to society Leadership Course on March 22nd at in some way. I’m sure they thought that Fort Sam Houston in San Antonio, Texas. meant becoming a scientist like my father There she plans to “overcome her Girl or protesting the Vietnam War like my Scout-inspired aversion to camping, learn mother, but they’ve paid for my education, about Army culture, and acclimate herself given me my morals, so now it’s my turn to the Army health care system. Following to give back. Don’t think I imagine my training she will report to her first duty life will be all heroics and fancy marching station, Womack Army Medical Center at or that I believe the Army is a perfect Fort Bragg in Fayetteville, N.C. institution; I have read about the poorly maintained facilities at Walter Reed Army Medical Center and the country’s overwhelmed mental health system. But Rebecca Tom, with her twin brother, Andrew Tom I never thought imperfection was a valid excuse for sitting at home and doing nothing at all. 2009 SPRING/SUMMER NURSING DUKE 17 FEATURE story

Engineering Better Nursing Care

“[Holt] is innovative and knows how to use the technology to strengthen patient care.” HELEN GORDON

mproving the way things work is the tive and knows how to use the technology nurse dealing with a bedside crisis. Ispecialty of an engineer, and Jo Ellen Holt, to strengthen patient care.” “The dean thought it would be a ABSN’08, is putting those principles to Holt is a co-chair of Duke’s chapter of good outlet for my engineering skills and work to help her patients and fellow nurses. the Institute for Healthcare Improvement said, ‘How about you try to live there?’” Holt, who has an undergraduate engi- Open School, an effort to unite health care Holt recalls. “I said, ‘That’s a great place neering degree and four years of experience professionals at Duke to improve care. fostering problem solving and good design.’ as a chemical process engineer, is working She is particularly interested in streamlining So I figured out how and applied.” as a surgical/trauma/transplant step-down and standardizing nursing processes and The building has resource-efficient nurse at Duke Hospital while pursuing a in using new technologies to provide better systems, including one that collects master’s degree in nursing focusing on adult patient care and better working conditions rainwater for household uses like flushing critical care. for nurses. toilets. The home is constructed with She recently encountered a patient “What I am trying to figure out is how renewable resources such as cork flooring. who needed to learn to change his own to become a nursing process engineer,” And solar units heat the home’s water and wound dressing after leaving the hospital. says Holt. generate electricity. Holt used the patient’s Apple iPhone to She is one of only two graduate Her nursing skills have come in handy record step-by-step photographs and audio students living in the Duke Smart Home, at the Smart Home. While she was leading instructions of the complex dressing change. an eco-friendly dormitory on Duke’s a recent tour of the home for visitors, a She later delivered a presentation to her Central Campus that also serves as a woman fell into cardiac distress, and Holt fellow students and faculty at the School of laboratory for researching green technolo- helped other medical professionals who Nursing to show others how to apply the gies. She became interested in the Smart happened to be present stabilize the woman technique to help their own patients. Home after talking with Dean Catherine L. and summon medics. Now Holt is working “Give this young woman and great Gilliss, BSN’71, DNSc, RN, FAAN, about to obtain an automated external defibrilla- nurse a high five,” said colleague Helen how an engineer’s problem-solving and tor for the home. Gordon, MS, CNM, RN. “[Holt] is innova- critical thinking skills parallel those of a “The focus is on keeping you healthy; it’s not, ‘You’re so sick.’” Martha Hall, PATIENT Cancer Survivors Take Charge of Their Health

ne morning each week the waiting Trotter, who is an assistant clinical pro- multiple practitioners and wastes no Oroom of the Duke Breast Cancer fessor in the School of Nursing, designed time. Because of the convenience and cost Survivors Clinic fills up with half a dozen the clinic format based on an existing model savings—since most insurance doesn’t cover women. They make their way to the she had used with pregnant patients in her nutrition consults or some of the other blood-pressure gauge, pumping, listening, nurse midwifery practice and in well-baby services—patients receive a higher level of and writing down their own readings. They care for parents in her family practice. She comprehensive care and education. take their own pulses, check their weight. believes this is the first of its kind February marks the one-year They even use notepad computers to answer in the nation to combine both anniversary of the Breast Cancer questions about their physical, emotional, group and individual support, Survivors Clinic, and Trotter and psychological well-being. The one assessment, and education within looks forward to beginning thing the women don’t do in that waiting a single visit. outcomes research. She says room is wait. “I love the Centering patient-satisfaction statistics have “It’s so nice to talk to other people who Healthcare Institute’s group- been excellent after seeing 180 are going through similar things,” says visit model, and when I was patients in the first year. “I’d also Martha Hall, who’s been cancer-free for asked by medical and surgical like to look at personal empow- four years and recently attended the clinic oncology to develop a follow-up erment levels, financial benefits for her annual checkup. What’s more, after clinic for their patients, I knew Kathy Trotter for the health system, and other the women fill out their materials, instead of it could be adapted to benefit cancer wellness indicators,” she adds. hanging around avoiding eye contact, they patients,” says Trotter. Trotter hopes the new clinic format will meet with nurse practitioner Kathy Trotter, After their assessment and group serve as a national model. “It’s designed MSN’08, CNM, FNP, as a group. They meeting, the women go on to individual to empower survivors, and they love it,” discuss issues they face as cancer survivors: appointments, whether for mammograms, she says. She has received inquiries from 2009 low bone density, depression, weight gain, bone-density scans, blood work, nutrition other cancer centers interested in the model proper nutrition and exercise, and what consults, physical therapy, or one-on-one and will give a presentation about it at the they can do to take care of themselves. The time with Trotter. Working with Trotter, national Oncology Nursing Society meeting Survivors Clinic represents a new, empower- patients complete a long-term care plan in May. This article is a revised version of ing model of care—very different from to share with their primary care providers. SPRING/SUMMER the suspense-filled annual mammogram When needed, they can schedule an appoint- the article “A New Normal” by Scott surrounded by two hours of waiting that ment with their oncologists for the same day. Huler, originally published in DukeMed

most survivors are familiar with. “The focus Each woman ends up spending the Magazine, Summer 2008. Photographs by NURSING is on keeping you healthy; it’s not, ‘You’re same number of hours she would have Jared Lazarus.

so sick,’” says Hall. devoted to her checkup, but she sees DUKE 19 FEATURE story DegreeDDegDegr egregre gregree Nursing Leadersa with a patient at Duke’s Pickett ree student in the DNP program, Bigger Toolbox William “Michael” Scott, a Offers Clinical By JimRogalski ee New DNP Road Clinic e

A Hig A A oF ChangeAGENT Ahead ofaNationalTrend

(AACN)—with inputfromtheNationalAcademyofSciences—thatnursing decade tomeetthenation’s colossalhealthcareneeds.Averitableseaof doctorate. DUSONbeganofferingaDoctorofNursingPractice(DNP)degree prospective nursingstudentsisturnedawayeachyearbecausetherearen’t in Fall2008,thefirstnursingschoolNorthCarolinatooffernew maybe fourorfivecollegesofferingtheDNPdegree.Nowthereareatleast90, recommendation fromtheAmericanAssociationofCollegesNursing DNSc, RN,FAAN, thechairofDuke’s DNPprogram.“In2004therewere terminal nursingdegree,andadmitted25students. these, theDukeUniversitySchoolofNursing(DUSON)hasembraced to effectivelytakeitbedside. the benchbecauseofalackhealthcareadministratorswithknow-how enough facultytoteachthem.Somecutting-edgenursingresearchstallsat schools wouldbewellservedbydevelopinganewnon-researchclinical n estimatedonemillionnewandreplacementnursesareneededinthenext “This isanationaltrend,andwe’reatthebeginning,”saysBarbaraTurner, To helpmeetcurrentandfuturehealthcarenursingchallengeslike h er er

21 DUKENURSING SPRING/SUMMER2009 FEATURE story

with 140 more schools planning to.” ricula from myriad nursing schools and says The AACN recommends that by 2015 DUSON’s program “is well situated to stand DegreeDDeDegregegreggrgreerreeeee all advanced-practice nurses be prepared out. Duke is so well established in the health at the doctoral level—with either a PhD or care community in terms of recognition DNP degree. for its research-intensive programs. People “The people in our program will be look to Duke for leadership and innovative change agents, there’s no question,” says ideas and [DUSON’S] program has a strong Turner. “DNPs will assess research findings, emphasis on the translational piece. I can’t and if applicable, implement them into think of a better university to take research practice. We’re giving nurses a new tool kit and translate it, particularly when it comes to so they understand the business of health nursing care.” care, how policy is developed and imple- Scott came to Duke with 14 years of “We’re giving nurses mented, how to implement research into practice as a family nurse practitioner and a new tool kit so practice, and how to evaluate it. Graduates currently is enrolled in the largely online DNP they understand the need to understand what an ROI [return program at Georgia Southern University. He on investment] is, how to make a budget sees patients as a nurse practitioner several business of health and a business plan, and have expertise in days a week at Duke’s Pickett Road Clinic. care, how policy financial management.” He said the concept of the DNP degree is not is developed and Plus, Turner adds, “The DNP is a new but reworked from previous attempts implemented, how to new stream where we can get much-needed to mainstream practice doctorates in nurs- implement research faculty. The PhD degree is research-oriented, ing, namely the now-remodeled Doctor of whereas the DNP is practice-focused. Some Nursing (ND) program. into practice, and [DNP degree recipients] will choose to be “The difference with the DNP is that is how to evaluate it.” clinical-track faculty in schools of nursing has more of a translational research focus— while others will chose to be active practicing getting new research to clinics and bedsides,” Barbara Turner chair of Duke’s DNP Program nurses. Still others will combine practice and Scott says. “In addition to providing direct teaching. These individuals know patient patient care, this level of nursing demands a scenarios and will be good teachers.” solid knowledge base in systems management. The four-point mission of the DUSON The DNP-prepared nurse will be on the program is: to teach post-baccalaureate cutting edge of health care policy, health and post-master’s degree nursing students care-delivery approaches, bioethical decision how to translate research into practice, well making, and organizational theory.” beyond the level that they were taught for their master’s or baccalaureate degrees; to A Program for Working People teach students how to transform the health DUSON’s current cohort of 25 DNP care industry by affecting policy; to create students holds post-master’s degrees and is the next wave of health care leaders; and to enrolled in five semesters of study, taking two advance the quality of patient care. or three courses per semester. “Structuring the program as online Translating Research into Better Care with on-campus intensives once a semester William “Michael” Scott, FNP, the was done on purpose because we want director of clinics for DUSON and a member the students to continue to work in their of the school’s DNP Steering Committee, advanced-practice nursing specialties and also serves on the executive committee of take courses when it is convenient for them,” the Commission on Collegiate Nursing Turner says. “We wanted to start with just Education in Washington, D.C., the accredit- the post-master’s students; this year we have ing body for baccalaureate and higher-degree begun recruiting post-baccalaureate students.” nursing programs. He has reviewed DNP cur- The length of the post-baccalaureate DNP program depends on the students’ when it’s convenient for her. tion,” Scott says. clinical advanced-practice specialty, such “I was really worried about the time Brown’s capstone project will focus on as nurse anesthesiology or nurse midwifery. commitment but am finding that I am now care for the uninsured with chronic disease. Turner says the average length is three years more productive with my time,” Brown says. “It will use research to investigate the of full-time study. Her husband Michael is very supportive, theory that chronic-disease patients who Rosemary Brown, MSN, RN, NEA-BC, she says, and with her children now college become aligned to a medical home have is chief nursing officer at Duke Raleigh graduates, she has fewer obligations at improved outcomes,” Brown says. Hospital with clinical and operational home. The syllabus for the entire semester is Duke is a champion of the patient- oversight duties for the Department of available, so it’s easy to stay on target and centered medical home model of care that Nursing and several ancillary departments. even get ahead, she says. relies on a central repository for all health She is one of DUSON’s 25 DNP students “Duke really has created a program for and socially relevant patient information to and likes the program because it allows her working people,” Brown says. “Yes, it’s be shared by all of the patient’s health care to directly focus on nursing practice while challenging, but in the long run it will help providers. Physicians, nurses, and social giving her new skills and knowledge around me to be a better health care leader.” workers monitor patients’ activities to make health care leadership and advanced- Earning the DNP degree requires sure they are keeping appointments, taking practice competencies. completion of a clinical immersion project their medications, and not going to the “Ultimately it will make a difference that demonstrates a student’s ability to emergency room for routine care. with outcomes for our patients,” Brown says. synthesize what he or she has learned “[Medical homes] improve their lives “I especially like the focus on translating in terms of its translational application, and the hospital’s ability to help them. research to direct practice. That is a huge then implement the practice change in the Having them go to the emergency room all opportunity for students in this program.” clinical setting, and then evaluate the effects of the time is not ideal for them, and it’s not She takes two courses per of that change. ideal for us,” says Turner. semester—mostly online—each with “It must demonstrate positive outcomes Turner says she hopes to have another 40 papers and assignments with set deadlines. that lead to changes in the clinical practice DegreeDDeDegrDNP students—includingegegreggrgree post-baccalaureaterreeeee Occasionally there are specific times for setting, either from a staffing perspective or students—enrolled for this fall. an online class, but most studying is done for a particular patient or patient popula-

“Duke really has created a program for working people. Yes, it’s challenging, but in the long run 2009 it will help me to be a better health care leader.”

Rosemary Brown SPRING/SUMMER chief nursing officer at Duke Raleigh Hospital NURSING

DNP student Rosemary Brown on duty at DUKE Duke Raleigh Hospital 23 FEATUREF EstAToUryRE story

Robin Knobel with a baby in the Duke Hospital Neonatal Intensive Care Unit Children Better Care for Research Translates Into By Bernadette Gillis Bernadette By Nursing The nursesatthesmallhospitalhaddone Carolina hospitaltoalevelIIIhospital. Eight yearsago,RobinKnobel,PhD,RNC, NNP, wasamemberof teamtransporting day technologyhaseveryone focused on doing, thenhemighthavelived. Modern- degrees Fahrenheittoanormaltemperature. Knobel isconvincedthatnotregulatinghis level IIIhospital.Whilehisdeathcould body temperaturefromadangerous91 a prematurebabyfromsmallNorth high-tech things tosavethesebabies. all theotherhigh-techthings they were him abettershotatsurvival. have beencausedbyanynumberofreasons, almost everythingtheyshouldhaveto cardiac concerns,andotherproblems.But care forthefrailbaby’s respiratoryfailure, remembered tokeephimwarm alongwith the ventilators, thedrips,andallof the DukeSchoolofNursing. “If theyhad temperature playedamajorrole.Sheknew the radiantwarmerstoincreasebaby’s they forgotonesimplething—toturnon says Knobel,nowanassistantprofessorat she hadtodosomethinggiveotherslike “It wassooverwhelmingforthenurses,” The babydiedfivedayslateratthe After thepilotstudyiscomplete,Knobel with 60babies. will useinfraredcamerastomeasure MD; BobGunther, PhD;andDiane Warm Bodies,BetterOutcomes or movedthroughouttheday. Knobelsays observe howoftenthebabiesaretouched Intensive CareNursery. Like reptiles, plans tomoveonanexpandedstudy premature babiesweighingless than1,000 in turncouldhelppreventbraininjury. infants. Theywillalsousevideocamerasto fellow DukeresearchersDavidTanaka, at waystokeepbabieswarm as theyare moved fromthedeliveryroom tothe grams, orabout twopounds,donothave times toavoidstimulatingthebabies,which they hopetodiscoverthemostimportant the temperaturesofhands,feet,and Holditch-Davis, BSN’73,PhD,RN,FAAN , the abilitytoshiver, meaningtheycannot stomachs of10extremelylowbirth-weight youngest, mostfragilepatientsaresurviving we don’t keep[thebabies]warm.” I thinktemperatureregulationisoneof overlooked orforgotten—standardsof Knobel, it’s alsoimportanttoinvestigate pay thatmuchattentiontoanymore,andit premature babiesduringthosecrucialfirst few daysoflifeinthehopespreventing investigator ofapilotstudythateventu- its cutting-edgeresearchandqualitypatient brain injuryanddeath. ally willgivehealthcareworkersbetter and thriving. really canstillhavedevastatingoutcomesif care. Butfornursingresearcherslike care. Andthankstoherefforts,someofthe guidance onhowtowarmandhandle those simplethingsthatpeoplejustdon’t ence inneonatalnursing,istheprincipal new waystolookatold—andsometimes In apreviousstudy, Knobellooked In thepilotstudy, Knobel,alongwith Duke isknownaroundtheworldfor Knobel, whohas30yearsofexperi-

25 DUKENURSING SPRING/SUMMER2009 FEATURE story

keep themselves warm by shunting blood to (SIDS) and also has been linked to attention- the center of their bodies and brains. And deficit/hyperactivity disorder (ADHD) and as they’re being moved, their temperatures depression among children and adolescents. fall significantly. Knobel found that cover- Blood-Siegfried, an associate clinical ing the babies with plastic bags up to their professor in the School of Nursing, hopes to necks could enable them to retain heat. learn even more about the implications of Once the babies make it to the maternal smoking by investigating the effects “I think temperature regulation is Intensive Care Nursery, exposure to of nicotine exposure on the developing fetus. one of those simple things that people numerous procedures can cause their body In one study, Blood-Siegfried uses a rat temperatures to again fall to as low as 93.2 model she created to mimic what happens just don’t pay that much attention to degrees Fahrenheit. Knobel hopes her new when mothers expose their unborn children anymore, and it really can still have study will discover exactly when these babies to nicotine. This involves inserting small devastating outcomes if we don’t keep develop the ability to constrict and dilate osmotic pumps into pregnant rats in order [the babies] warm.” their blood vessels and generate their own to continually expose them to nicotine. After Robin Knobel heat in order to keep their brains and central birth she will challenge the rat pups’ ability organs warm, a state also known as mature to respond to a mild drop in blood pressure. vasomotor tone. This is similar to what appears to be happen- “We think immature vasomotor tone in ing in some infants who die of SIDS. the first few weeks of life might be related Normally when a person’s blood to why these infants get brain hemorrhages, pressure drops, the body produces which can have very devastating results, catecholamines, which help restore blood like cerebral palsy or death,” Knobel says. pressure to a normal level, known as the “So we’re hoping if we know the time when fight or flight response. However, nicotine their vasomotor tone is mature, we can exposure during pregnancy can change that guard them against the things that cause the response at an age when infants are most brain hemorrhages—things like ventilator susceptible to SIDS. pressures that cause pressure changes in the A second study, which she hopes will brain. We can make sure we don’t do these be funded soon, will use human tissue things during that vulnerable time.” to look at the effects of nicotine on fetal membranes in the placenta to better Jane Blood-Siegfried and nursing graduate The Complicated—and understand how maternal smoking may student Katie M. Kerrigan in the laboratory Deadly—Effects of Nicotine trigger premature labor. Even in a society that has become “We know that women who smoke increasingly intolerant of smoking, Jane have a higher risk of preterm rupture of Blood-Siegfried, DNSc, CPNP, says self- membranes, which is one of the causes reported smoking among pregnant women of premature delivery,” she says. is as high as 20 percent. And if researchers Blood-Siegfried hopes both studies will were to factor in the pregnant mothers who “give stronger evidence of what we already are too ashamed to admit they smoke, the know—that smoking during pregnancy is number could be much higher. not a good thing. The more we know about “That’s a lot of infants exposed,” says it, the more ammunition we have to encour- Blood-Siegfried. “Some will be born age pregnant women to stop smoking.” prematurely and have complications from She hopes results from both studies that, but there are other risks caused by will be used to better educate providers as smoking during pregnancy.” well. “If you ask a lot of health care workers Maternal smoking is now the leading about smoking during pregnancy, they are Sharron Docherty counsels new parents Seth and Leslie Carter about caring for their risk factor for sudden infant death syndrome likely to say that it affects the baby’s size and daughter Cameron weigh possible treatment benefits against the weigh possibletreatmentbenefitsagainstthe Neonatal NursePractitionerSpecialty. Nurse PractitionerSpecialty, andBrandon Nurses play a key role in helping parents Nurses playakeyroleinhelping parents Docherty and Brandon, they found that Docherty andBrandon,theyfoundthat Docherty isanassistantprofessorwho Debra Brandon,PhD,RN,CCNS,have directs Duke’s PediatricAcute/Chronic-Care days aweek,says Docherty. Making Tough DecisionsEasier parents make decisions to move from parents makedecisionstomovefrom physical, emotional, social, and economic physical, emotional,social,andeconomic is an associate professor and director of the is anassociateprofessoranddirectorofthe uncertain. Parents, with assistance from uncertain. Parents,withassistancefrom under incrediblestress.Thesedecisions understand thecircumstances of aninfant’s increases thechanceofpretermdelivery, but in an illness when there is no more hope or in anillnesswhenthereisnomorehopeor include whetherandwhentoinitiate illness and treatments because the nurse is illness andtreatmentsbecause thenurseis Sharron DochertyPhD,RN,CPNP, and at theinfant’s bedside24hours aday, seven health careproviders,includingnurses,must curative care to palliative care since the point curative caretopalliativesincethepoint care, andtowithholdorwithdrawtreat- curative caretosymptom-focusedpalliative costs totheinfantandfamily, saysDocherty. care providersandparentsoftenhaveto most donotunderstandthedeepramifica- reported it was difficult for them to help reported itwasdifficultforthemtohelp ment. Asapediatricnursepractitionerand make extremely difficult decisions about make extremelydifficultdecisionsabout receiving highly complex treatments to cure receiving highlycomplextreatmentstocure tions ofwhat[smoking]cando.” treatment decisions in their clinical practice. treatment decisionsintheirclinicalpractice. experienced the difficulty of making the child is “definitely going to die” is often the childis“definitelygoingtodie”often treatment, intensifyshiftfrom the courseoftreatmentintighttimeframes, their illnesses or prolong their lives. Health their illnessesorprolonglives.Health nurses and other health care providers nurses andotherhealthcareproviders neonatal clinicalnursespecialistrespectively, nesses who earlier would have died are now nesses whoearlierwouldhavediedarenow In preliminary research conducted by Infants withlife-threateningill- will helpidentifykeypointsintheprogres- where you look back through the chart to where youlookbackthroughthechartto with them. we’re asking parents as they are living Docherty and Brandon will follow the Docherty andBrandonwillfollowthe Docherty and Brandon hope that the study study the that hope Brandon and Docherty decisions aremade.Theparentsand determine what happened or you have a of theparentsoremotionssuchastrustin difficult treatmentdecisions.Forexample, discussed, aswellhelpparentstomake describe whatdecisionsaremadeandthe decisions—from theverybeginningof often madebecauseparents,doctors,or parent think back to when they first made parent thinkbacktowhentheyfirstmade infants withlife-threateningillnessesto illnesses andtreatmentcoursesof40 factors thatinfluencethedecisionmaking. interviewed overaperiodof12monthsto better understandhowandwhytreatment it isimportantthatwediscover howto up hope,”theyadd.“Childrenarenot interview parentsatthetimedecisionsare health careprovidersoftheinfantswillbe health care providers influence how they they how influence providers care health help parentsmakedecisions theywill a decision,”saysDocherty. “[Inthisstudy] and parentsastheymakeallkindsof make decisions? results inthedeath orthesurvivalofan made, DochertyandBrandonhavefound that parents want to discuss their experience that parentswanttodiscusstheirexperience the decision.”Whileitcanbedifficultto them tosufferunnecessarily.” treatment allthewaytoendoflife,if the studywillhelphealthcareproviders says Docherty, dopersonalcharacteristics sion ofillnesswhendecisionsshouldbe not laterregret—whetherthe decision supposed todie,yetwealsodonotwant giving they’re like feel to want don’t nurses necessary. “Decisionstocontinuecareare “Many studiesaredoneretrospectively, For both the infants and their parents, parents, their and For boththeinfants Docherty andBrandonsaytheyhope In afive-year, $1.9-millionstudy, To beabletositdownwiththefamily and works closely with premature babies and works closelywithprematurebabiesand of the time children with this problem don’t don’t problem of thetimechildrenwiththis delivering badnewstoparents. Exposing StudentstoResearch poignant.” patients, but they’re also learning how to patients, butthey’realsolearninghowto provided for premature babies and critically provided forprematurebabiesandcritically into theircoursework,”saysBrandon. from ourresearch,we’vetriedtointegrate infants andtheirfamilies,sowhatwelearn families badnews,”Bradshawsays.“That’s learning theclinicalsideofcaringforthese ill children in the future, students at the ill childreninthefuture,studentsat in achildren’s hospitaltodayandnotbe infant, saysBrandon.“You can’t work School ofNursingarealreadybenefiting. advanced-practice nurses and PhD students. advanced-practice nursesandPhDstudents. and demonstratethesesituations.It’s really have aclassonitwhereactorscomein cope with the emotional aspects, such as cope withtheemotionalaspects,suchas master’s studentswhoarestudyingtobecome cases she encounters in the nursery as cases sheencountersinthenurseryas going to be working with these children and going tobeworkingwiththesechildrenand research willhaveanimpactonthecare , an assistant clinical professor who PNP, anassistantclinicalprofessorwho examples during lessons. examples duringlessons. their familiesintheIntensiveCareNursery, touched bythistopic.” survive’—how doyouthat?We actually say, ‘Your childhasX,Y, andZ,most not taughtalotoftimesatotherschools. nurse practitioner students. She often uses nurse practitionerstudents.Sheoftenuses shares herexperienceswithneonatal “The students we are educating are “The studentsweareeducating “We teachourstudentshowtotell While much of Duke’s pediatric nursing Wanda Bradshaw, MSN’96,RNC,NNP, Brandon and Docherty work with Brandon andDochertyworkwith Bradshaw saysthestudentsaren’t just

27 DUKENURSING SPRING/SUMMER2009 FEATURE story How Nurses Can Lead the Way to a Better Health Care System How Nurses Can With a new U.S. president and administration in place, national Lead the Way dialogue about how to fix the country’s ailing health care system is ratcheting up, and members of the nursing profession are mobilizing to be heard. to a Better In an effort to improve outcomes and increase awareness of successful nurse-driven initiatives that address issues of inaccessible, costly, and fragmented care, the American Academy of Nursing (AAN) Health Care System has produced a promotional video and advertising campaign called “Raise the Voice: Transforming Health Care Policy and Practice Through Nursing Solutions.” The goal is to find critical “Nurses are answers as the country struggles to care for an increasingly older particularly skillful population prone to multiple chronic illnesses. at building relation- For instance, says Dori Taylor Sullivan, PhD, NE-BC, CNL, ships with patients CPHQ, a clinical professor and associate dean for academic af- and then drawing fairs at the Duke University School of Nursing, “there is growing national recognition of the importance of nurse practitioners upon those because of the evolving shortage of physicians.” relationships to get Duke is demonstrating a number of ways that nurse them engaged in practitioners, registered nurses, and other nursing specialists are their health care.” Duke is improving health care by leading community-based, patient- Ellie McConnell demonstrating centric programs. a number of One of its most storied successes is the Just for Us Program ways that nurse in the Division of Community Health, which nursing faculty were practitioners, instrumental in developing. Just for Us brings together a diverse registered nurses, team of providers that includes registered nurses, nurse practitioners, and other nursing community health workers, dieticians, pharmacists, physician’s specialists are assistants, occupational therapists, and social workers to coordinate improving health care around elderly and disabled patients’ medical, physical, and social care by leading needs. The impact on enrolled patients has been undeniable: Home community-based, visits, phone calls to and from patients, and regular communication between the various providers has decreased the hospitalization rate patient-centric by 68 percent, cut the need for ambulance transport by 49 percent, programs. and decreased emergency room visits by 41 percent. “Nurses are particularly skillful at building relationships with

patients and then drawing upon those relationships to get them

engaged in their health care,” says Ellie McConnell, PhD, RN, 2009 GCNS-BC, an associate professor and director of the Gerontological Nursing Specialty at Duke. “Nurses have a rich tradition of doing that, but we haven’t always called it out as something that our discipline specializes in.” At the Duke Heart Center, Margaret “Midge” Bowers, MSN, RN, APRN, BC, a nurse practitioner, assistant clinical professor, and director SPRING/SUMMER of the Adult Cardiovascular Acute Care and Critical Care Specialty, leads the pioneering Heart Failure Disease Management Program that NURSING DUKE DUKE NURSING SPRING/SUMMER 2009 29 FEATURE story

“We have more time to spend with [patients] doing counseling, dietary management, and checking on medical adherence and fluid intake...Heart failure is a ‘forever illness,’ and big part of it is learning how to deal with it.”

Midge Bowers

Ellie McConnell Dori Taylor Sullivan

Midge Bowers, director of the Adult Cardiovascular Acute Care and Critical Care Specialty, counsels a patient in the Duke Heart Failure Disease Management Program

helps to manage care for nearly 500 counseling, dietary management, and care options for older adults, they are chronic heart failure patients. It began checking on medical adherence and fluid well positioned to serve as caregivers nine years ago and was one of the nation’s intake. We encourage them to call or when patients transition from one first nurse practitioner-run programs. page us when they have questions. Heart situation to another, such as moving from Its mission is to improve length and failure is a ‘forever illness,’ and a big part acute care to rehab to home- or assisted- quality of life for patients by shifting the of it is learning how to deal with it.” living care. If deployed in this manner, focus from crisis management to continu- With the oldest of the country’s 79 they could enhance patient and family ous care. Patients receive care based on million Baby Boomers having turned education about what to expect during scientifically proven models of care. 62 last year, the demographics of the disease progression and how to provide Each patient is assigned to an advanced- American population is shifting signifi- better management of medications and practice nurse who teaches them how to cantly toward the elderly. The state of the communication between providers. manage their own care. Patients are given health care industry demands specialized “Transitions are a potential high- the tools to self-monitor their symptoms, training for providers to address the risk time for medication mistakes,” which improves their quality of life and specific needs of the elderly. The School McConnell says. “The patient might prevents recurrent hospitalizations. of Nursing now offers Geriatric Resource be prescribed something that the next “We are up on the latest therapies Nurse (GRN) training to do just that. provider might not be aware of, or and can anticipate problems because GRNs bring specialty geriatric expertise patients themselves might not know we know how diseases progress and we to the bedside of hospitalized older adults everything they are taking.” know the patients,” Bowers says. “We and those receiving home care. Because A number of Duke University Health have more time to spend with them doing GRNs gain broad perspectives on various System nurses have earned GRN recogni- with interactiveonlinemodulesanda with Yvette West, MSN,GCNS,aDuke GRN recognition. University HealthSystemclinicalnurse over athree-monthperiodto earnthe pathophysiology, McConnellsays. project. Thetrainingemphasizesclinical precepted clinicalpracticeimprovement program inlateMarchwillbe educated leadership—not justknowledgeabout hours ofcontinuingeducationinamodel are applyingtheirnewknowledgeand cohort ofGRNstudentsthat beganthe refining thecurriculumincollaboration that combinesthreeclassroomsessions tion fromtheSchoolofNursingand the SchoolofNursing’s OfficeofGlobal skills atDukeHospital.Theyreceived39 specialist ingeriatrics.Thesecond As partofitsglobal healthmission, The SchoolofNursingisnow the JustforUsprogram,visitspatientAndrewWhitley’s Colleen Wojciechowski, a Duke nurse practitioner with apartment totakehisbloodpressure (OGACHI) iscollaboratingwiththe Caribbean Communitytoconduct FAAN, founding directorofOGACHI Pan AmericanHealthOrganization prevent somanyhospitaladmissions and planned forthisfallinMiami. prevention andmanagementstrategies long-term staysamongtheCaribbean for elderswithcardiovascularandother focused onnurse-led,community-based and associatedean forglobaland and CommunityHealthInitiatives advanced-practice nursesasa wayto and Antigua—withathirdconference and theRegionalNursingBodyof chronic diseases.OGACHIhashosted continuing educationconferences elderly,” saysDorothyPowell, EdD,RN, to testintimeistheuseofgeriatric two suchconferences—inBarbados “One ofthethingswe’rehoping Catherine L. Gilliss, Duke University Provost Peter Lange, Catherine L.Gilliss,DukeUniversityProvostPeterLange, E. Nigel Harris, Duke University Chancellor for Health E. NigelHarris,DukeUniversityChancellorforHealth Affairs Victor J.Dzau,andAssociateDeanforGlobal Vice Chancellor of the University of the West Indies and CommunityHealthInitiativesDorothyPowell University of the West Indies are, from left, Dean understanding between Duke University and the work onthechallengesthatboth North AmericaandtheCaribbean University oftheWest Indies(UWI) UWI SchoolofNursingtodevelopand other countrieswithfewerresources Powell says. face, andreducehealthdisparities in implement ageriatricadvanced-practice School ofNursingwillpartnerwiththe both, especiallyinregardto aging and has enteredintoapartnershipwiththe as theU.S.hastoteachthem.Heroffice about resource-efficientpreventivecare community healthinitiatives.Shebelieves chronic non-communicablediseases,” might haveasmuchtoteachtheU.S. to jointlystudythepossibilities.The nursing program. Witnessing the signing of a memorandum of “At Duke,webelievecan

31 DUKENURSINGNURSINGSPRING/SUMMERSPRING/SUMMER20092009 Duke University School of Nursing

Awards & Recognitions 2007–2008

Julie Barroso, PhD, ANP, APRN, BC, FAAN Sharron L. Docherty, PhD, CPNP Holly Lieder-Parker, MSN, RN, CPNP-AC, PC Inducted into American Academy of Nursing Elected Executive Board Member, Association of Selected as First Annual Critical Care Pediatric Faculties of Pediatric Nurse Practitioners Nurse Practitioner Visiting Scholar, Medical College Debra Brandon, PhD, RN, CCNS of Wisconsin, Children’s Hospital of Wisconsin in Received National Association of Neonatal Nurses Appointed Co-chairperson, Program Review Milwaukee, September 10-12, 2007 2007 Research Award for “Effects of cycled light on Committee, Pediatric Nursing Certification Board short term health outcomes” Paper Eleanor S. McConnell, PhD, RN, GCNS, BC Received Pediatric Nursing 2008 Donna L. Wong Received Ewald W. Busse Award, N.C. Department Delivered Keynote Lecture “The Role of the Clinical Writer’s Award for “Searching for ‘The dying point’: of Health and Human Services Division of Aging and Nurse Specialist and Outcomes Research,” Chiba Providers experiences with palliative care in pediatric Adult Services University School of Nursing, Graduate Education acute care” Manuscript Syposium, Chiba, Japan, March 16, 2008 Received 2007 American Journal of Nursing Book Catherine L. Gilliss, DNSc, RN, FAAN of the Year Award in the Gerontological Nursing Received Pediatric Nursing 2008 Donna L. Wong Received Triangle Business Journal’s Health Care category for Gerontological Nursing Textbook Writer’s Award for “Searching for ‘The dying point’: Heroes Award, Health Care Manager category [A. Linton & H. Lach (Eds). Matteson & McConnell’s Providers experiences with palliative care in pediatric Gerontological Nursing: Concepts and Practice acute care” Manuscript Diane Holditch-Davis, PhD, RN, FAAN (3rd ed.). St. Louis: Saunders, Elsevier, Inc.] Appointed Marcus Hobbs Distinguished Professor Elizabeth C. Clipp, PhD, RN, FAAN (deceased) of Nursing, Duke University Inducted into National Academy of Practice Inducted into American Academy of Nursing Invited Expert Participant, Psychosocial and Awarded Congressional Medallion as Distinguished Kirsten Corazzini, PhD Behavioral Considerations Work Group for U.S. Practitioner of Nursing, National Academy Appointed Ad Hoc Member, Education & Practice Surgeon General’s Conference on Prevention of of Practice Committee, North Carolina Board of Nursing Preterm Birth Dorothy Powell, EdD, RN, FAAN Linda L. Davis, PhD, RN, ANP, DP-NAP, FAAN Appointed Member of Association of Women’s Received Department of Health and Human Services Inducted into American Academy of Nursing Health, Obstetric and Neonatal Nurses Late Preterm Centers for Disease Control Conference Cooperative Infant Research-based Practice Project Science Team Agreement Award Named Distinguished Alumnus, Old Dominion University, 2007 Susan M. Schnedier, PhD, RN, AOCN, FAAN Mary E. Holtschneider, MPA, RN, BC, NREMT-P Elected Director-at-Large, National Oncology Wendy Demark-Wahnefried, PhD, RD, LDN Elected to N.C. League for Nursing Board Nursing Society Delivered Keynote Lecture, U.S. Department of of Directors Defense Prostate Scientific Conference, Atlanta, Ga., Barbara Turner, DNSc, RN, FAAN September 5-8, 2007. Constance M. Johnson, PhD, RN Delivered Keynote Lecture “B5:R2 for Military Received Best Poster Award for “A novel approach Nursing Research? (Bench to Bedside to Battlefield to building cancer risk models predictive of cancer to Beneficiaries and Back: Right Roadmap for incidence, “ 60th Annual Symposium on Cancer Military Nursing Research?),” 15th Biennial Phyllis Research, University of Texas M. D. Anderson Cancer J. Verhonick Nursing Research Conference, San Center, Houston, Tx., October 11-13, 2007 Antonio, Tx., May 12-15, 2008 Duke University School of Nursing

Faculty Publications 2007–2008

Ruth A. Anderson, PhD, RN, FAAN G. C., O’Connor, C. M., & Felker, G. M. (2008). Bradshaw, W. (2008). Health Promotion and Colon-Emeric, C., Lekan-Rutledge, D., Utley- Discordance between patient-predicted and Maintenance. In M. Hurst (Ed.) NCLEX-RN review. Smith, Q., Ammarell, N., Bailey, D., Corazzini, model-predicted life expectancy among New York: McGraw-Hill. K. N., Piven, M. L., & Anderson, R. A. (2007). ambulatory patients with heart failure. Journal Barriers to and facilitators of clinical practice of the American Medical Association, 299(21), Debra Brandon, PhD, RN, CCNS guideline use in nursing homes. Journal of the 2533-2542. Harbaugh, K. E., & Brandon, D.H. (2008). American Geriatrics Society, 55, 1404-1409. Family-centered care: An essential component Shah, M. R, Whellan, D. J., Peterson, E. D., of neonatal care. Early Childhood Services, 2(1), Paparone, C. R., Anderson, R. A., & McDaniel, R. Nohria, A, Hasselblad, V., Xue, Z., Bowers, M. T., 33-42. R. (2008). Where military professionalism meets O’Connor, C. M., Califf, R. M., & Stevenson, L. W. complexity science. Armed Forces & Society, (2008). Delivering heart failure disease manage- Brandon, D. H., Ryan, D., & Barnes, A. (2007). 34(3), 433-449. ment in three tertiary care centers: Key clinical Effect of environmental changes on noise in the components and venues of care. American Heart neonatal intensive care unit. Neonatal Network, Donald E. Bailey, PhD, RN Journal, 155(4), 763.e2-764.e5. 26(4), 213-218. Colon-Emeric, C., Lekan-Rutledge, D., Utley- Smith, Q., Ammarell, N., Bailey, D., Corazzini, Jane Blood-Siegfried, DNSc, CPNP Brandon, D. H., Docherty, S., & Thorpe, J. (2007). K. N., Piven, M. L., & Anderson, R. A. (2007). Blood-Siegfried, J., Rambaud, C., Nyska, A., Infant and child deaths in acute care settings: Barriers to and facilitators of clinical practice & Germolec, D. (2008). Evidence for infection, Implications for palliative care. Journal of guideline use in nursing homes. Journal of the inflammation and shock in sudden infant death: Palliative Medicine, 10(4), 910-918. American Geriatrics Society, 55, 1404-1409. Parallels between a neonatal rat model of sud- Harrell, S., & Brandon, D. H. (2007). Retinopathy den death and infants who died of SIDS. Innate of prematurity: An overview of the disease pro- Julie Barroso, PhD, ANP, APRN, BC, FAAN Immunity, 14(3), 145-152. cess, classifications, screening, treatment, and Harmon, J. L., Barroso, J., Pence, B. W., Leserman, outcomes. Neonatal Network, 26(6), 371-378. J., & Salahuddin, N. (2008). Demographic and Blood-Siegfried, J., Short, N., Hill, E., Rapp, C., illness-related variables associated with HIV- Talbert, S., Skinner, J., Campbell, A., & Goodwin, Docherty, S., Miles, M. S., & Brandon, D. H. related fatigue. Journal of the Association of L. (2008). A rubric for improving the quality of (2007). Searching for “The dying point”: Nurses in AIDS Care, 19(2), 90-97. online courses. International Journal of Nursing Providers experiences with palliative care in Education Scholarship, 5(1), Article 1. pediatric acute care. Pediatric Nursing, 33(4), Barroso, J., Pence, B. W., Salahuddin, 335-341. N., Harmon, J. L., & Leserman, J. (2008). Blood-Siegfried, J. (2008). Animal Models of Physiological correlates of HIV-related fatigue. Sudden Unexplained Death. In M. Conn (Ed.), John Brion, PhD, RN Clinical Nursing Research, 17(1), 5-19. Sourcebook of models for biomedical research Brion, J., & Menke, E. (2008). Perspectives regard- (pp. 583-590). Totowa, NJ: The Humana Press. ing adherence to prescribed treatment in highly Voils, C. I., Barroso, J., Hasselblad, V., adherent HIV infected gay men. Journal of the & Sandelowski, M. (2007). In or out? Blood-Siegfried, J. (2008). Boils. In A. Chang (Et. Association of Nurses in AIDS Care, 19(3), 181–191. al.), Magill’s medical guide (4th rev. ed.,

Methodological considerations for including 2009 and excluding findings from a meta-analysis of pp. 346-347). Pasadena, CA: Salem Press. Elizabeth C. Clipp, PhD, RN, FAAN predictors of antiretroviral adherence in HIV- (deceased) positive women. Journal of Advanced Nursing, Wanda Bradshaw, MSN, RNC, NNP, PNP Demark-Wahnefried, W., Clipp, E. C., Lipkus, 59(2), 163-177. Bradshaw, W. (2007). Fetal alcohol syndrome. I. M., Lobach, D., Snyder, D. C., Sloane, R., In A. Chang (Et. al.), Magill’s medical guide (4th Peterson, B., Macri, J. A., Rock, C. L., McBride, Voils, C., Sandelowski, M., Barroso, J., ed., pp. 990-992). Pasadena, CA: Salem Press. C., Kraus, W. E. (2007). Main outcomes of the & Hasselblad, V. (2008). Making sense of qualita- FRESH START trial: A sequentially-tailored diet SPRING/SUMMER tive and quantitative findings in mixed research Rhoderick, J. A., & Bradshaw, W. T. (2008). and exercise mailed print intervention among synthesis studies. Field Methods, 20(1), 3-25. Transient myeloproliferative disorder in a breast and prostate cancer survivors. Journal of newborn with Down syndrome. Advances in Clinical Oncology, 25, 2709-2719. Margaret Bowers, MSN, RN, APRN, BC Neonatal Care, 8(4), 208-218. NURSING Allen, L. A., Yager, J. E., Jonsson Funk, M., Levy, W. C., Tulsky, J., Bowers, M. T., Dodson, DUKE 33 Duke University School of Nursing

Faculty Publications 2007–2008 continued

Arroyave, W. D., Clipp, E. C., Miller, P. E., Implications for palliative care. Journal of Jones, L., Ward, D. S., Bonner, M. J., Rosoff, P. Palliative Medicine, 10(4), 910-918. M., Snyder, D. C., & Demark-Wahnefried, W. Childhood cancer survivors’ perceived barriers Catherine L. Gilliss, DNSc, RN, FAAN to improving exercise and dietary behaviors. Schneider, S. M., Turner, B. T., Califf, R. M., Oncology Nursing Forum, 35(1), 121-130. Burks, W., McHutchinson, J. G., & Gilliss, C. L. (2008). Academic research units: Opportunities Kirsten Corazzini, PhD and challenges for nursing practice. Research Colon-Emeric, C., Lekan-Rutledge, D., Utley- Practitioner, 9(5), 175-184. Smith, Q., Ammarell, N., Bailey, D., Corazzini, K. N., Piven, M. L., & Anderson, R. A. (2007). Judith C. Hays, PhD, RN Barriers to and facilitators of clinical practice Hays, J. C., & Hendrix, C. C. (2008). The role guideline use in nursing homes. Journal of the of religion in bereavement. In M. S. Stroebe, American Geriatrics Society, 55, 1404-1409. R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of Bereavement Research and Wendy Demark-Wahnefried, PhD, RD, LDN Practice: Advances in Theory and Intervention Snyder, D. C., Sloane, R., Haines, P. S., Miller, P., (pp. 327-348). Washington, DC: American Clipp, E., Morey, M. C., Pieper, C., Cohen, H., & Psychological Association. Demark-Wahnefried, W. (2007). The diet quality index-revised (DQI-R): A tool to promote and Hays, J. C. (2008). Reaching east. Public Health evaluate dietary change among older cancer Nursing, 25(1), 1. survivors enrolled in a home-based interven- tion trial. Journal of the American Dietetic Hays, J. C. (2008). The daunting complexity of a Association, 107, 1519-1529. data point. Public Health Nursing, 25(3), 201-202.

Demark-Wahnefried, W., Clipp, E. C., Lipkus, Hays, J. C. (2008). Surge capacity of public I. M., Lobach, D., Snyder, D. C., Sloane, R., health nurses. Public Health Nursing, 25(4), Peterson, B., Macri, J. A., Rock, C. L., McBride, 293-294. C., Kraus, W. E. (2007). Main outcomes of the FRESH START trial: A sequentially-tailored diet Cristina C. Hendrix, DNS, APRN-BC, GNP, FNP and exercise mailed print intervention among Hendrix, C. C., Heflin, M., Twersky, J., Knight, C., breast and prostate cancer survivors. Journal of Payne, J., Bradford, J., & Schmader, K. (2008). Clinical Oncology, 25, 2709-2719. Post-hospital clinic for older patients and their family caregivers. Annals of Long-Term Care: Sharron L. Docherty, PhD, CPNP Clinical Care and Aging, 16(5), 20-24. Docherty, S., Miles, M. S., & Brandon, D. H. (2007). Searching for “The dying point”: Hays, J. C., & Hendrix, C. C. (2008). The role Providers experiences with palliative care in of religion in bereavement. In M. S. Stroebe, pediatric acute care. Pediatric Nursing, 33(4), R. O. Hansson, H. Schut, & W. Stroebe (Eds.), 335-341. Handbook of Bereavement Research and Practice: Advances in Theory and Intervention Docherty, S. L., Lowry, C., & Miles, M. S. (2007). (pp. 327-348). Washington, DC: American Poverty as context for the parenting experience Psychological Association. of low-income, Lumbee Indian mothers with a medically fragile infant. Neonatal Network, Diane Holditch-Davis, PhD, RN, FAAN 26(6), 361-369. Cho, J., Holditch-Davis, D., Miles, M. S., & Belyea, M. (2008). Maternal depression and infant Brandon, D. H., Docherty, S., & Thorpe, J. (2007). gender effects on the interactions between Infant and child deaths in acute care settings: mothers and their medically at-risk infants. Journal of Obstetric, Gynecologic, and Neonatal design, and baseline characteristics of random- Susan M. Schneider, PhD, RN, AOCN, FAAN Nursing, 37(1), 58-70. ized trial. Journal of Rehabilitation Research & Gosselin-Acomb, T. K., Schneider, S. M., Clough, Development, 45(1), 31–42. R. W., & Veenstra, B. A. Nursing advocacy in Holditch-Davis, D. (2007). Outcomes of prema- North Carolina. Oncology Nursing Forum, 34(5), turity and neonatal intensive care unit care. Whitson, H. E., Hastings, S. N., Lekan, D. A., & 1070-1074. Journal of Obstetric, Gynecologic, and Neonatal McConnell, E. S. (2008). Project CHAT: A quality Nursing, 36(4), 364-365. improvement program to enhance after-hours Nancy M. Short, DrPH, MBA, RN telephone communication between nurses and Short, N. M. (2008). Applied health care Holditch-Davis, D., Merrill, P., Schwartz, T., & physicians in a long-term care facility. Journal of economics for the noneconomics major. In J. Scher, M. (2008). Predictors of wheezing in the American Geriatrics Society, 56(6), 1080-1086. Milstead (Ed.) Health policy and politics: prematurely born children. Journal of Obstetric, A nurse’s guide (3rd ed., pp. 231-244). Boston: Gynecologic, and Neonatal Nursing, 37(3), Kathy Pereira, MSN, FNP Jones & Bartlett. 262-273. Pereira, K., & Brown, A. (2008). Postpartum thyroiditis: Not just a worn out Mom. Journal Deirdre Thornlow, PhD, RN Cho, J., Holditch-Davis, D., & Belyea, M. (2007). for Nurse Practitioners, 4, 175-182. Thornlow, D. (2008). Nursing patient safety Gender and ethnic differences in looking research in rural health care settings. Annual and talking behaviors of mothers and their Marva Mizell Price, DrPH, RN, FAANP, FAAN Review of Nursing Research, 26, 195-218. 3-year-old prematurely born children. Journal of Price, M. M., Hamilton, R. J., Robertson, C. N., Pediatric Nursing, 22(5), 356-367. Butts, M. C., & Freedland, S. J. (2008). Body mass Thornlow, D. (2008). Relationship of index, prostate-specific antigen, and digital patient safety practices to patient outcomes. Mary E. Holtschneider, MPA, RN, BC, NREMT-P rectal examination findings among participants Saarbrucken, Germany: VDM Publishing. Holtschneider, M. (2007). National nursing staff in a prostate cancer screening clinic. Urology, development organization. Journal for Nurses in 71(5), 787-791. Joshua Thorpe, PhD, MPH Staff Development, 23(6), 309-311. Brandon, D. H., Docherty, S., & Thorpe, J. (2007). Schroeck, F. R., Krupski, T. L., Sun, L., Albala, D. Infant and child deaths in acute care settings: Holtschneider, M. (2007). Better communication, M., Price, M. M. , Polascik, T. J., Robertson, C. N., Implications for palliative care. Journal of better care through high-fidelity simulation. Tewari, A. K., & Moul, J. W. (2008). Satisfaction Palliative Medicine, 10(4), 910-918. Nurse Management, 38(5), 55-57. and regret after open retropubic or robot- assisted laparoscopic radical prostatectomy. Kathryn Trotter, MSN, CNM, FNP Holly Lieder-Parker, MSN, RN, CPNP-AC, PC Urology, 54(4), 785-793. Trotter, K. J. (2008). Group prenatal care: McGahey-Oakland, P. R., Lieder, H. S., Young, A., Centering pregnancy. In S. D. Ratcliffe et. & Jefferson, L. (2007). Family experiences during Carla Gene Rapp, PhD, RN, CRRN al.(Eds.), Family medicine obstetrics (pp. 127- resuscitation at a children’s hospital emergency Rapp, C. G. (2008). Person-directed care: 129). Philadelphia: Mosby Elsevier. department. Journal of Pediatric Health Care, Sustaining interactions through offering the 21(4), 217-225. needed level of assistance. In A. L. Barrick, J. Barbara Turner, DNSc, RN, FAAN

Rader, B. Hoeffer, P. D. Sloane, & S. Biddle (Eds.) McGraw, L. K., Turner, B. S., Stotts, N. A., Dracup, 2009 Eleanor S. McConnell, PhD, RN, GCNS, BC Bathing without a Battle: Personal-directed care K. A. (2008). A review of cardiovascular risk Hastings, S. N., Whitson, H. E., White, H. K., of individuals with dementia (2nd ed., factors in US military personnel. Journal of Sloane, R., MacDonald, H., Lekan, D. A., & pp. 65-74). New York: Springer. Cardiovascular Nursing, 23(4) 338-344. McConnell, E. S. (2007). After-hours calls from long-term care facilities in a geriatric medicine Thrush, C. R., Vander Putten, J., Rapp, C. G., Queen Utley-Smith, EdD, RN training program. Journal of the American Pearson, L. C., Berry, K. S., & O’Sullivan, P. S. Colon-Emeric, C., Lekan-Rutledge, D., Utley- Geriatric Society, 55(12), 1989-1994. (2007). Content validation of the Organizational

Smith, Q., Ammarell, N., Bailey, D., Corazzini, SPRING/SUMMER Climate for Research Integrity (OCRI) survey. K. N., Piven, M. L., & Anderson, R. A. (2007). Morey, M. C., Peterson, M. J., Pieper, C. F., Sloane, Journal of Empirical Research on Human Barriers to and facilitators of clinical practice R., Crowley, G. M., Cowper, P., McConnell, Research Ethics, 2(4), 35-52. guideline use in nursing homes. Journal of the E., Bosworth, H., Ekelund, C., Pearson, M., & American Geriatrics Society, 55, 1404-1409. NURSING Howard, T. (2008). Project LIFE—Learning to Improve Fitness and Function in Elders: Methods, DUKE 35 Duke University School of Nursing

Funded Research and Training Grants* Active during Fiscal Year ‘07–’08 (7/1/07–6/30/08)

Anderson, R. A. (Principal Investigator). Califf, R. (Principal Investigator). Turner, B. Docherty, S. L. (Principal Investigator). Stories Bailey Jr., D. E., Corazzini, K. N., McConnell, S., Schneider, S. M. Clinical and Translational and Music for Adolescent Resilience during E. S., Utley-Smith, Q., Burton, R. Outcomes Science Institute. Funded by National Institutes Transplant (SMART) - Therapeutic Music Video. of Nursing Management Practice in Nursing of Health (UL1-RR024128), 9/30/2006-6/30/2011, Funded by Indiana University (R01-NR008583), Homes. Funded by National Institutes of $6,448,162. 11/1/2007-4/30/2008, $44,500. Health/National Institute of Nursing Research (R01-NR03178), 9/1/1994-1/31/2008, $150,953. Cohen, H./Pieper, C. (Principal Investigator). Freedland, S. J. (Principal Investigator). Landerman, L. R. Claude D. Pepper Older Demark-Wahnefried, W. Ketogenesis, Anderson, R. A. (Principal Investigator). Americans Independence Centers (OAICs). Ketogenic Diet, and Prostate Cancer Staffing Characteristics of Nursing Homes and Funded by National Institutes of Health (P30- Progression. Funded by Department of Quality. Funded by University of Pittsburgh AG028716), 9/15/2006-6/30/2011, $196,254. Defense (W81XWH-06-1-0133), 11/15/2005- (0003617-112512-1), 4/1/2007-3/31/2009, 12/14/2008, $236,447. $16,366. Colen-Emeric, C. (Principal Investigator). Anderson, R. A. Evidence-Based Medicine Freedland, S. J. (Principal Investigator). Bailey Jr., D. E. (Principal Investigator). in the Skilled Nursing Facility. Funded by Demark-Wahnefried, W. Molecular Dissection Landerman, L. R., Barroso, J., Muir, A. National Institutes of Health (K23-AG024787), of the Association Between Obesity and Uncertainty and Watchful Waiting in Chronic 7/15/2004-5/31/2009, $157,545. Aggressive Prostate Cancer. Funded by Hepatitis C. Funded by National Institutes of Department of Defense (W81XWH-06-0353), Health (1R15-NR008704), 9/30/2005-8/31/2009, Corazzini, K. N. (Principal Investigator). 4/1/2006-3/31/2011, $648,148. $150,000. Translating Nursing Systems Science into Practice in Long Term Care: The Peer-Assisted * Gilliss, C. L. (Principal Investigator). Advanced Barroso, J. (Principal Investigator). Hicks, C., Learning Strategies Intervention. Funded by Education Nursing Traineeship. Funded by Bartlett, J., Pence, B. Fatigue in HIV Positive University of Iowa (1000612739), 1/1/2007- Health Resources and Service Administration People. Funded by National Institutes of 12/31/2008, $10,000. (A10-HP00264), 7/1/2002-6/30/2008, $115,824. Health/National Institute of Nursing Research (R01-NR008681), 9/1/2004-5/31/2009, $403,498. Davis, L. L. (Principal Investigator). Landerman, Goldberg, R. N. (Principal Investigator). L. R. Project Assistance, Support, and Self- Brandon, D. Cooperative Multicenter Neonatal Barroso, J. (Principal Investigator). Integrating health Initiated through Skill Training (ASSIST) Research Network. Funded by National Qualitative and Qualitative Research Findings. for Chronic Illness Caregivers. Funded by Institutes of Health (U10-HD040492), 5/1/2001- Funded by University of North Carolina - National Institutes of Health (R01-NR008285), 3/31/2011, $310,420. Chapel Hill (5-33042), 6/3/2005-3/31/2010, 9/30/2002-12/30/2008, $320,090. $54,503. Hamilton, J. (Principal Investigator). Sikkema, Demark-Wahnefried, W. (Principal K. J. AIDS International Training and Research Bowers, M. D. (Principal Investigator). Investigator). Jones, L. W., Lipkus, I., Kimmick, Program. Funded by National Institutes of The Relationship Between Daily Weight G., Peterson, B. Daughters And MothErS Health (D43-TW006732), 7/1/2003-5/31/2012, Monitoring and Early Symptom Recognition. (DAMES) Against Breast Cancer. Funded by $267,385. Funded by American Association of Critical National Institutes of Health (R21-CA122143), Care Nurses, 3/1/2008-2/28/2009, $5,455. 6/10/2007-5/31/2009, $140,000. Hendrix, C. (Principal Investigator). Landerman, L. R., Schneider, S. M., Moore, J. Informal Brandon, D. (Principal Investigator). Demark-Wahnefried, W. (Principal Caregiver Training in Cancer Symptom Landerman, L. R. Preterm Infants: Light Effects Investigator). Morey, M., Cohen, H., Peterson, Management. Funded by National Institutes on Health and Development. Funded by B. RENEW: Reach out to ENhancE Wellness in of Health (1R15-NR009489), 3/1/2006-8/31/2009, National Institutes of Health (R01-NR08044), Older Survivors. Funded by National Institutes $125,000. 2/1/2003-1/31/2009, $130,849. of Health (R01-CA106919), 7/15/2004-5/31/2009, $315,834. Hendrix, C. (Principal Investigator). Mentor Brooks, J. (Principal Investigator). Holditch- Program: Caregiver Training in Cancer Davis, D. Interactions between Mothers and Denman, S. (Principal Investigator). Landerman, Symptom Management. Funded by University their Premature American Indian Infants. L. R., Parrado, E., Martin, M., Reyes, R. Health of Iowa, 3/1/2006-8/31/2008, $1,000. Funded by National Institutes of Health (F31- of Latino Infants: Interventions to Assure Care. NR010851), 7/1/2008-6/30/2011, $40,972. Funded by National Institutes of Health (1R15- Holditch-Davis, D. (Principal Investigator). NR008701), 9/21/2006-8/31/2009, $150,000. Landerman, L. R. Mother-Administered Burks, A. W. (Principal Investigator). Turner, Interventions for Very Low Birth Weight B. S. Duke Clinical and Translational Sciences Docherty, S. L. (Principal Investigator). Institute. Funded by National Institutes of Landerman, L. R., Kurtzberg, J., Miles, M. Health /National Center for Research Resources Parental Caregiving of Children Post Stem Cell (UL1-RR024128), 9/30/2006-6/30/2011, Transplant. Funded by National Institutes of $2,909,611. Health (1R15-NR009041), 8/1/2004-7/31/2008, $150,000. Infants. Funded by National Institutes of Health Pediatric Advanced Practice Nurse Practitioner (CARE) in Prostate Cancer. Funded by (R01-NR009418), 9/30/2005-6/30/2010, $423,383. for Family Nurse Practitioners. Funded by Department of Defense (W81XWH-07-1-0090), Health Resources and Service Administration 2/1/2007-1/31/2010, $185,000. Holditch-Davis, D. (Principal Investigator). (D09-HP07339), 7/1/2006-6/30/2009, $179,103. Brooks, J. Supplement: Mother-Administered * Schneider, S. M. (Principal Investigator). Interventions for Very Low Birth Weight * Lorimer, M. S. (Principal Investigator). Pereira, K., Nicollerat, J., Collins-McNeil, J., Infants. Funded by National Institutes of Docherty, S. L., Brandon, D. Mental Health Denman, S., Cooper, P. Advanced Diabetes Health (R01-NR009418), 9/21/2006-6/30/2008, Assessment for Pediatric Advanced-Practice Management for Nurse Practitioners. $33,974. Nurses. Funded by Health Resources and Funded by Health Resources and Service Service Administration (1D09-HP07988-01), Administration (D09-HP08059), 7/1/2007- Holditch-Davis, D. (Principal Investigator). 7/1/2007-6/30/2010, $114,804. 6/30/2010, $162,557. Nursing Support Intervention for Mothers of Preterms. Funded by University of North * McConnell, E. S. (Principal Investigator). * Short, N. M. (Principal Investigator). Carolina - Chapel Hill (5-33946 Yr05 Am #2), Anderson, R. A., McConnell, E. S., Landerman, Champagne, M., Gordon, H., Lieder, H. S., 1/1/2006-6/30/2007, $10,152. L. R. Trajectories of Aging and Care in Nursing Phillips, B., Turner, K. Simulations and Partners Holditch-Davis, D. (Principal Investigator). Science. Funded by National Institutes of Across Communities for Registered Nurse Reducing Depressive Symptoms in Low-income Health (P20-NR007795), 9/15/2001-6/30/2008, Education (SIM-PAC-RN). Funded by Health Mothers (HILDA). Funded by University $197,042. Resources and Service Administration (D11- of North Carolina - Chapel Hill (5-50245), HP08367), 7/1/2007-6/30/2010, $260,441. 4/3/2006-2/28/2009, $8,114. McConnell, E. S. (Principal Investigator). Corazzini, K. N., Hendrix, C., Bailey Jr., D. E. Sikkema, K. J. (Principal Investigator). Hoyo, C. (Principal Investigator). Demark- Evidence Based Nursing Practice in Geriatric A Coping Intervention for HIV-Infected Older Wahnefried, W. In-utero Exposure and Infant Settings. Funded by Health Resources and Adults. Funded by Ohio State University Loss of Insulin-Like Growth Factor 2 Imprinting. Service Administration (D62-HP01909), (UT12931), 11/1/2006-3/31/2008, $311,733. Funded by National Institutes of Health (R21- 9/1/2003-6/30/2009, $154,326. ES014947), 9/20/2006-8/31/2008, $121,375. Thornlow, D. K. (Principal Investigator). McConnell, E. S. (Principal Investigator). Mentoring Grant in Gerontology. Funded by Hybels, C. (Principal Investigator). Landerman, Corazzini, K. N. Partner Team for the North University of Iowa, 1/1/2008-12/31/2008, $2,500. L. R. Depression and Physical Functioning in Carolina New Organizational Vision Award (NC Older Adults. Funded by National Institutes of NOVA). Funded by North Carolina Foundation * Titch, J. F. (Principal Investigator). Duke Health (K01-MH066380), 4/1/2003-1/31/2009, for Advanced Health Programs, Inc., 3/1/2007- University Nurse Anesthesia Traineeship. $103,186. 7/31/2007, $8,000. Funded by Health Resources and Service Administration (A22-HP00079), 7/1/2003- Hybels, C. (Principal Investigator). Landerman, McConnell, E. S. (Principal Investigator). 6/30/2008, $13,362. L. R. Subtypes and Trajectories of Depression Geriatric Nursing Education Project. Funded in Older Adults. Funded by National Institutes by John A. Hartford Foundation, 7/1/2005- Tulsky, J. (Principal Investigator). Hays, J. of Health (R01-MH080311), 6/1/2007-5/31/2011, 6/30/2008, $72,854. Trajectories of Serious Illness: Patients and $100,000. Caregivers. Funded by National Institutes of Powell, D. L. (Principal Investigator). Caribbean Health (R01-NR008249), 8/1/2003-4/30/2009, Johnson, C. (Principal Investigator). Lipkus, I. Continuing Education Institute on Managing $383,947. Strategies to Help Inform Colorectal Cancer Cardiovascular Disease in the Elderly. Funded Risk Magnitudes. Funded by National Institutes by Centers for Disease Control and Prevention * Turner, B. S. (Principal Investigator). of Health (R03-CA132562), 9/30/2007-8/31/2009, (U13-DP000702), 9/30/2007-9/29/2010, $97,971. Goodwin, L. K., Turner, G. TIP-NEP: Technology $53,360. Integration Program for Nursing Education Powell, D. L. (Principal Investigator). Caribbean and Practice. Funded by Health Resources

Johnson, C. (Principal Investigator). Translation Continuing Education Institute on Managing and Service Administration (U1K-HP07713), 2009 of Computational Risk Model to Consumer- Cardiovascular Disease in the Elderly. Funded 9/1/2006-8/31/2011, $269,912. Based Information System for World Wide by Pfizer Medical Education Grants, 10/8/2007- Web. Funded by University of Texas MD 10/11/2008, $25,000. * Turner, B. S. (Principal Investigator). Titch, J. Anderson Cancer Center, 9/1/2006-8/31/2007, F., Walker, J., Taekman, J., Hawks, S. Nurse $30,625. Price, M. L. (Principal Investigator). Hoyo, C., Anesthesia Program. Funded by Health Robertson, C., July, F. Partnering Research Resources and Service Administration (D09- Jones, L. W. (Principal Investigator). Demark- Involving Mentoring and Education (PRIME) HP07359), 7/1/2006-6/30/2009, $158,238. Wahnefried, W. Post-operative Exercise in Prostate Cancer. Funded by Department SPRING/SUMMER Training for Non-small Cell Lung Cancer of Defense (W81XWH-05-1-0209), 1/15/2005- * Turner, B. S. (Principal Investigator). Turner, Patients. Funded by Lance Armstrong 8/14/2008, $190,679. G., Dren, A. Clinical Research Management Foundation, 1/1/2006-12/31/2008, $98,989. Program for Nurses. Funded by Health NURSING Price, M. L. (Principal Investigator). Powell, Resources and Service Administration (D09- * Lieder, H. S. (Principal Investigator). Docherty, D. L., Freedland, S. J., Polascik, T., Moul, J. HP07350), 7/1/2006-6/30/2009, $142,408.

S. L., Turner, B. S., Lorimer, M. S., Bradshaw, W. Collaboration Around Research and Education DUKE 37 First Class Mail U.S. Postage PAID Duke Nursing Magazine Durham, NC 512 S. Mangum Street, Suite 400 Permit No. 60 Durham, NC 27701-3973 151-7017

Raising Health, Raising Hope for Durham Elementary Students Even the best educational strategies don’t work if children aren’t feeling well. A group of students from Duke School of Nursing is “Raising Health, Raising Hope” for children and families at Durham’s Eastway Elementary School. The children and families are already participating in a Child and Family Support Team project of the N.C. Department of Health and Human Services and Department of Public Instruction. It unites families with a team of supporters—a social worker, school nurse, school guidance counselor, princi- pal, and assistant principal—to create an individualized plan for success for each at-risk student. The nursing students in Raising Health, Raising Hope Photo courtesy of Durham Herald-Sun work with the team to customize a health-education curriculum. Teams identified hygiene, mental health, violence, ADHD, nutrition, oral health, asthma, and puberty as topics that need to be addressed. The DUSON students also conducted eye screenings for the Eastway Elementary students. “Raising Health, Raising Hope is an opportunity for our Ellen Brasington, ABSN’09, covers a student’s eye to test his vision at students to assist their community…while learning how to create Eastway Elementary a support network for a diverse, underserved population,” says Rosa M. Solorzano, MD, MPH, associate director of the School of Nursing’s Office of Global and Community Health Initiatives. The Raising Health, Raising Hope effort at Eastway is supported by a $4,000 grant from the Duke University Health System Charitable Grants Fund and a $6,000 grant from the N.C. Area Health Education Centers Program. Participating nursing students also work at Genesis Home, a non-profit organization that provides shelter and transitional housing for homeless families, and the Durham Rescue Mission.