opkins education - Johns Hopkins University School of Nursing

Transcription

Spring 2012
Volume X, Issue I
1. Remove scope-ofpractice barriers.
2. Expand
opportunities for
nurses to lead and
diffuse collaborative
improvement efforts.
Nursing’s
Blueprint
for the
Future
3. Implement nurse residency programs.
4. Increase the proportion of nurses with a baccalaureate
degree to 80 percent by 2020.
5. Double the number
of nurses with a
doctorate by 2020.
6. Ensure that nurses engage in lifelong learning.
7. Prepare and enable nurses to lead
change to advance health.
8. Build an infrastructure for the collection and analysis
of interprofessional healthcare workforce data.
Inside:
2
6 Doubling the Number of
Nurses with Doctorates
32 Interprofessional Education
Initiatives at Hopkins
J O H N S
H O P K I N S
Volume X, Issue I
Spring 2012
A publication of the Johns Hopkins University School of Nursing,
the Johns Hopkins Nurses’ Alumni Association,
and the nursing departments of the Johns Hopkins-affiliated hospitals
Features
26 Higher Education
by Jennifer Walker
The data is compelling. The American
Association of Colleges of Nursing
predicts the country will lose 260,000
nurses by 2025, including thousands
of nursing faculty needed to educate
new nurses. In response, the Institute
of Medicine recommends universities
double the number of doctoral-prepared
nurses. How are nursing schools and
doctoral programs across the county—
including many led by Johns Hopkins
alumni—mobilizing to attract and
prepare tomorrow’s nurse educators,
practitioners, and researchers?
Interprofessional Education—Today
Nursing student Lauren McGivern, Accelerated ’12 (right), and
medical student Emily Miller (center), join pediatric resident
Stephanie Chin-Sang, MD, on rounds at the Harriet Lane Clinic.
32 From Silos to Synergy:
Interprofessional Education
Initiatives Find Warm
Welcome at Hopkins
by Rebecca Proch
As part of the Doctor-Nurse Alliance, a student interest group at
Johns Hopkins University, students from the Schools of Nursing
and Medicine shadow nurses and doctors to learn how healthcare
professionals from different disciplines provide care.
[Photo by Christopher Myers]
Departments
4 Hill’s Side
Dean Martha Hill invites Susan
Hassmiller, Robert Wood Johnson
Foundation senior adviser for nursing,
to share her thoughts on the top
priorities facing nursing today.
8 On the Pulse
Amazing nurse receives honor, spit
sampling gets easier, Sandra Angell says
goodbye, and more.
18 Bench to Bedside
Nursing research article is AHA
journal editor’s pick, saliva testing
helps identify patients at risk, and best
practices can lower “multiplier risks.”
20 Global Nursing
Volunteerism opens eyes and text4baby
messages moms around the world.
!
22 Jhpiego New
Jhpiego assists Lesotho to strengthen
nursing education.
25 Live from 525
Gina Colaizzo’s art offers an outlet for
creation and healing.
36 Hopkins Nurse
Preparation pays off for JHH nurses,
Suburban Hospital takes big steps to
avert patient falls, and other news from
the Johns Hopkins Hospitals.
50 Vigilando
Eye-opening. Important. Exciting.
Innovative. Barrier-breaking. “A-ha!”
moments. When the Hopkins community
talks about interprofessional education,
enthusiasm and energy pour forth. This
is no dry mandate; this is synchronicity,
ideas cropping up across campuses and
departments and blooming in the fertile
soil of emerging alliances and innovative
partnerships. Throughout the School of
Nursing and the School of Medicine, new
and expanding initiatives are bringing
fruitful transformation to Hopkins
healthcare education.
News from the Johns Hopkins Nurses
Alumni Association.
Johns Hopkins Nursing
|
magazine.nursing.jhu.edu
1
Contributors
A recovering health-policy wonk turned
freelance science and medical writer, Teddi
Fine still harbors a childhood dream to be a
simultaneous translator. But today, instead of
studying Urdu or Kanji, she’s opted to be a
not-very-simultaneous translator of science,
as seen in “Bench to Bedside” (page 18).
When she’s not poring over nursing research
(as some read a good mystery novel) or
crafting press releases about Hopkins nurses,
she keeps her creative engine humming by
designing and fabricating fanciful art jewelry.
With more than a decade of experience
in healthcare, Whitney L.J. Howell is
a freelance reporter who writes about all
aspects of the industry, from policy to
practice to research. She enjoys writing
about the interplay among all providers,
highlighting how each contributes to and
bolsters patient care. It’s always satisfying,
she says, to inform audiences, in both
trade and mainstream publications, about
new advancements or system changes that
will affect both scope of practice and how
services are provided.
Rebecca Proch is a freelance writer and
regular contributor to Johns Hopkins Nursing.
As a writer, her two specialties have been
healthcare and the arts. The best thing
about both, in her opinion, is that she gets
to talk to passionate people who love what
they do. Proch also manages technology
and multimedia resource projects for the
arts education programs at the Wolf Trap
Foundation for the Performing Arts.
Editor
Pamela McComas
Managing Editor
Lynn Schultz-Writsel
Art Director
Pam Li
Editorial and Design Staff
Jacquelin Gray
Vigilando Editorial Assistant
David Biglari
Online Editor
Mfonobong Umana
Graphic Review
Advisory Board
Terry Bennett
Director of Nurse Recruitment
Johns Hopkins Bayview Medical Center
JoAnn Coleman
Postmaster’s, CRNP ’95
Deborah Dang
Director of Nursing Practice,
Education, and Research
The Johns Hopkins Hospital
Marian Grant, BSN ’00, MSN ’05
Karen Haller
VP for Nursing and Patient Care
Services
Sandy Reckert-Reusing
Director of Communications
and Public Affairs
Johns Hopkins Bayview Medical Center
Leslie Kemp, BSN ’95
Robert Rosseter
Director of Public Affairs
American Association of
Colleges of Nursing
Sharon Sopp
Sr. Communications Manager
Howard County General Hospital
Editorial Mission
Johns Hopkins Nursing is a
publication of the Johns Hopkins
University School of Nursing,
the Johns Hopkins Nurses’
Alumni Association, and the
nursing departments of the Johns
Hopkins-affiliated hospitals. The
magazine tracks Johns Hopkins
nurses and tells the story of
their endeavors in the areas of
education, practice, scholarship,
research, and national leadership.
For advertising, contact:
Jon Eichberger
410.614.4695
[email protected]
Send correspondence to:
Editor
Johns Hopkins University
School of Nursing
525 N. Wolfe Street
Baltimore, MD 21205
410.614.4695
Fax: 410.502.1043
[email protected]
For general inquiries, call:
410.955.4788
Eco Box
Jennifer Walker loves writing stories
about inspiring people. For this issue’s
“Higher Education” feature (page 26), she
had the privilege of talking to doctoral
nursing students who will educate the next
generation of nurses. They are incredibly
passionate people who, as researchers,
are also poised to make a tremendous
impact on patient care in their respective
specialties, she says. As a Baltimore-based
freelance writer, Walker specializes in
health, business, and lifestyle topics.
Paper Requirements: 54,039 pounds
Using this combination of papers saves the following each year:
Wood Use: 6 tons
Total Energy: 21 million BTUs
Greenhouse Gases: 7,235 lbs
Wastewater: 17,225 gallons
Solid Waste: 1,915 pounds
The spring 2012 issue of Johns Hopkins Nursing is
printed on Sterling Matte paper.
Environmental impact estimates were made using the
Environmental Defense Paper Calculator at
www.papercalculator.org.
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Spring 2012
Hill’sSide
Education, Leadership, and Collaboration
Three components that will help transform nursing and improve patient care
I
David Aaron Troy
t’s not easy to improve healthcare and
outcomes for patients and families. But
as nurses, our knowledge, resiliency, and
experience on the front lines of providing
care position us well to evaluate what
is working, what isn’t, and to make the
changes needed to achieve this goal.
As we tackle transforming healthcare,
we also need to transform nursing. The
recent Institute of Medicine report,
The Future of Nursing: Leading Change,
Advancing Health and its “blueprint for
action” is a powerful guide. The eight
recommendations listed within the
blueprint break down what must be done
to help us improve how we lead, educate,
practice, build infrastructures, and partner
with other healthcare professionals.
In this issue and the upcoming two
issues of Johns Hopkins Nursing magazine,
we will look internally and externally—
calling upon our faculty, students,
alumni, staff, fellow nurses, partners,
and friends—and show how nursing is
implementing the recommendations
and working toward transforming
our profession.
To start, I reached out to Robert
Wood Johnson Foundation senior
advisor for nursing, Susan Hassmiller,
PhD, RN, FAAN, and asked what she
views as nursing’s top priorities. Her
thoughts on education, leadership, and
collaboration follow.
Martha N. Hill, PhD, RN, FAAN, ’64
Dean
Professor and Nursing, Medicine and
Public Health
Editor’s note: The eight recommendations from the IOM’s Future of Nursing report are listed below. Look for these icons
throughout the magazine to see how Hopkins Nursing is addressing the recommendations.
IOM Future of Nursing Recommendations
Recommendation 1:
Remove scope-of-practice
barriers.
Recommendation 2:
Expand opportunities for nurses
to lead and diffuse collaborative
improvement efforts.
Recommendation 3:
Implement nurse residency
programs.
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Spring 2012
Recommendation 4:
Increase the proportion of nurses
with a baccalaureate degree to
80 percent by 2020.
Recommendation 5:
Double the number of nurses
with a doctorate by 2020.
Recommendation 6:
Ensure that nurses engage in
lifelong learning.
Recommendation 7:
Prepare and enable nurses to
lead change to advance health.
Recommendation 8:
Build an infrastructure for
the collection and analysis of
interprofessional healthcare
workforce data.
N
urses play such a critical role
in improving the health and
healthcare for all Americans. With this
understanding the Robert Wood Johnson
Foundation (RWJF) was proud to have
sponsored the Institute of Medicine’s
(IOM) report, The Future of Nursing:
Leading Change, Advancing Health.
Though all of the recommendations need
to be advanced to transform nursing
and improve patient care, RWJF is
taking the lead in nursing education,
nursing leadership, and interprofessional
collaboration—areas that provide the
best fit with the Foundation’s mission,
priorities, assets, and resources.
Nursing Education: The IOM report
emphasizes that if nurses are to be
as effective as possible in helping to
provide high-quality patient care,
they’ll need to be better prepared as
care becomes more complex and shifts
to the home and community. We also
need more nurses with advanced degrees
to provide primary care and teach the
next generation of nurses. A bachelor’s
degree in nursing (BSN) best prepares
nurses to take on increasingly complex
roles. RWJF is starting a new National
Nurse Education Progression initiative
that will help more nurses to earn a BSN
degree or higher and help to advance the
IOM recommendation to increase the
proportion of nurses with a baccalaureate
degree to 80 percent by 2020. We’re
also helping to advance the IOM
recommendation to double the number
of doctorates by 2020 through our Nurse
Faculty Scholars’ program and our New
Jersey Nursing Initiative.
Nursing Leadership: Nurses bring an
important voice and point of view to
management and policy discussions. We
need to prepare more nurses to help lead
improvements in healthcare quality,
safety, access, and value, whether at the
bedside, in the community, or in the
boardroom. RWJF has long promoted
nursing leadership through our Executive
Nurse Fellows program, and through
our Nurse Leaders in the Boardroom and
Transforming Care at the Bedside programs.
Interdisciplinary Collaboration:
Studies have demonstrated how effective
coordination and communication among
health professionals can enhance the
quality and safety of patient care. Health
professionals working collaboratively as
integrated teams draw on individual and
collective skills and experience across
disciplines. They seek input and respect
the contributions of everyone involved.
That allows each person to practice at a
higher level. The result is inevitably better
patient outcomes, including higher levels
of patient satisfaction. We also need to
foster interprofessional education, training
and practice. RWJF is holding meetings
with physician and nursing stakeholders
to find common ground on the roles that
each profession plays in healthcare and
to move beyond differences that divide
nurses and physicians.
Susan B. Hassmiller, PhD, RN, FAAN, is the
Robert Wood Johnson Foundation senior adviser
for nursing, where she is tasked with shaping and
leading the Foundation’s strategies to address the
nurse and nurse faculty shortages in an effort
to create a higher quality of patient care in the
United States.
Susan B. Hassmiller, PhD, RN, FAAN
Senior Advisor for Nursing
Robert Wood Johnson Foundation
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5
Nursing Assessment
Letters to the Editor
I
want to compliment you on the Winter
issue of Johns Hopkins Nursing, which
featured several of our practice track
faculty members in the Department of
Acute and Chronic Care: Anne Belcher,
Shawna Mudd, Julie Stanik-Hutt, Beth
Sloand, and Joyce Vazzano. I especially
appreciated your focus on their practices.
This lets our readers know about the
exciting things that our faculty members
are doing, highlights how we value
faculty practice, and shows how faculty
practice informs our teaching mission.
Well done!
Marie T. Nolan, PhD, RN
Professor and Chair, Department
of Acute and Chronic Care
Johns Hopkins University School
of Nursing
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Editor, Johns Hopkins Nursing
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The House, Room 107
Baltimore, MD 21205
Letters will be edited for length
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On the Pulse
News from Around the School
Will Kirk
became the cause célèbre at the School
of Nursing,” Nolan says. “We were really
behind her nomination and we wanted
her to win.”
Shockney made the next cut to five
finalists and was then selected as the
top winner by a panel of five national
nursing experts. n
To post congratulations or to view the
“Amazing Nurse” video featuring
Shockney, visit www.nursing.jhu.edu/
shockney.
Half a Dozen for the
Hall of Fame
by Kelly Brooks
Lillie Shockney hopes her “Amazing Nurse” honor will inspire more people to consider nursing as a career.
An Amazing Nurse
Lillie Shockney Honored by
Johnson & Johnson
by Jon Eichberger
People within the Johns Hopkins
community have long known that
Lillie Shockney, MAS, RN, is an amazing nurse. Now she’s got the moniker to
prove it.
Shockney, administrative director
of the Johns Hopkins Avon Breast Center
since 1997, was selected as this year’s
“Amazing Nurse” in the Johnson
& Johnson Campaign for Nursing’s
Future national contest to celebrate
and reward nurses’ value. Shockney’s
work with breast cancer patients was
recognized by Johnson & Johnson
during the 2011 CNN Heroes: An
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All-Star Tribute show in Los Angeles on
December 11, 2011.
“The title really made me feel good,”
Shockney says. “I hope one of the
outcomes is that more people making a
career decision will consider nursing.”
Shockney, a two-time breast cancer
survivor and registered nurse who has
been employed by Johns Hopkins since
1983, has worked tirelessly to improve
the care of breast cancer patients around
the world. She is responsible for the
quality-of-care and patient-education
programs; the survivor volunteer team;
community outreach at a local, regional
and national level; and the Breast
Center’s Website and patient advocacy.
Shockney is also a guest lecturer
and distinguished speaker at the Johns
Hopkins University School of Nursing.
Marie Nolan, PhD, RN, School of
Spring 2012
Nursing professor and chair of the
Department of Acute and Chronic Care,
has known Shockney for 25 years and
nominated her for the award. She says as
soon as she learned of the competition
she thought of Shockney, who has
exhibited exceptional leadership skills
throughout her career.
“She is a phenomenon, an unstop
pable force, a living example of how
good can come from suffering and how
much good can be accomplished,” Nolan
wrote in her nomination letter. “Like a
whirlwind, she has changed breast cancer
treatment and survival at Johns Hopkins,
in the U.S., and globally.”
Shockney initially was selected as one
of 20 semifinalists from several thousand
nominees. Johnson & Johnson asked
voters to pick their favorite nominee
on their contest’s Facebook page. “It
When told that six of the fourteen
inductees to the 2012 International
Researcher Hall of Fame were Johns
Hopkins University School of Nursing
faculty, dean Martha Hill, PhD, RN,
said, “It demonstrates how exceptional
our nursing faculty is,” and called it “an
impressive achievement.”
The prestigious International
Researcher Hall of Fame award honors
nurses whose research has influenced the
profession, benefitted patients, and
achieved significant professional recog
nition. “It takes extraordinary dedication,
intellect, ingenuity, and perseverance to
become a successful researcher, and the
bar is set even higher to be inducted into
the Hall of Fame,” Hill added.
The six School of Nursing Hall of
Fame inductees include:
• Jerilyn K. Allen, ScD, RN, associate
dean for research and M. Adelaide
Nutting Professor
• Patricia Mary Davidson, PhD, MEd,
RN, adjunct professor
• Deborah Gross, DNSc, RN, professor
and Leonard and Helen Stulman
Endowed Chair
• Pamela Jeffries, PhD, RN, ANEF,
associate dean for academic affairs
• Miyong Kim, PhD, RN, professor and
chair of the Department of Health
Systems and Outcomes
• Marie Nolan, PhD, MPH, RN,
professor and chair of the Department
of Acute and Chronic Care
They will be honored at Sigma Theta
Tau International’s 23rd International
Nursing Research Congress on August 2,
2012, in Brisbane, Australia. Covering the
Spectrum
Adult NP Programs Increase Expertise
by Jon Eichberger
Students enrolled in adult primary
and adult acute care nurse practitioner (NP) programs at the Johns Hopkins University School of Nursing will
soon focus on every aspect of adult care,
from post-adolescent to older adult. The Adult Acute Care NP curriculum,
renamed Adult-Gerontology Acute Care
Nurse Practitioner, will transition in the
spring 2012 semester to a format that
integrates the full range of gerontology
expertise. In the fall 2012 semester, the
Adult Nurse Practitioner program will
become the Adult-Geriatric Primary
Care Nurse Practitioner. “The changes will prepare NP
graduates to provide acute, critical, and
chronic care services across the entire
spectrum of adult health,” says associate
professor Julie Stanik-Hutt, PhD,
ACNP/GNP, director of the master’s
program. “Graduates will continue
to focus their practice on the care of
individuals who are physiologically
unstable, technologically dependent and
requiring frequent monitoring and/or
interventions, and those who are highly
vulnerable for complications.” These
modifications reflect nursing’s need for
increased depth of expertise in addressing
the expanding population of older adults.
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9
On the Pulse
Stepping It Up
Hopkins Nursing Starts
Fitness Program
by Jon Eichberger
Between promises made at New
Year’s and with beach season around
the corner, many people have resolved to
lead a healthier, more active life. To help
turn those resolutions into results, the
Johns Hopkins University School of
Nursing P30 Center of Excellence for
Cardiovascular Health has a fitness
program in place.
The “SON Fit” program, which
includes yoga, Zumba, a “Biggest
Loser” competition, and a stairclimbing club called “Step it Up!,”
was launched by the Center of
Excellence for Cardiovascular
Health in fall 2011 in response to
a school-wide survey of School of
Nursing faculty, staff, and students.
Respondents (n=304) reported that
their workload as a student, faculty,
or staff “definitely” affected their level
of stress (78%) and health (47%).
Furthermore, 60% of respondents
reported gaining some weight over
the past year, with about half of
those respondents gaining more
than five pounds.
These results duplicate much
of the evidence shown in the
longitudinal Nurses’ Health Study,
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Spring 2012
No More Swabbing
New Leader for Hopkins Nursing
Spit Sampling Gets a Whole
Lot Easier
by Jon Eichberger
by Jon Eichberger
Researchers are constantly finding
new ways to figure out what makes
us human beings tick, and one of the
newer methods makes you want to
spit—literally.
Saliva is full of analytes and
biomarkers that create a biological
journal of exposure to chemicals and
disease, and of genetic variability.
However, the collection of oral fluid
has always proved cumbersome, with
researchers depending on swabs or
collection cups.
A new tool developed by the
Johns Hopkins University School of
Nursing Center for Interdisciplinary
Salivary Bioscience Research (CISBR)
in collaboration with SalivaBio, LLC,
improves the ease of oral fluid collection,
while maintaining the integrity of
the biospecimen. “Our studies show that swabs used
to collect saliva can retain analytes,
cause interference with assays, result in
inaccurate estimates of saliva flow rates,
and may even produce inaccurate assay
results,” explains Douglas A. Granger,
PhD, director of CISBR and professor of
Medicine, Nursing, and Public Health at
Johns Hopkins University.
The Whole Saliva Collection Device
is a small polypropylene collection tube
with an integral adapter that comes
individually wrapped in a clean foil
pouch with ready-to-go instructions, and
it is a universal fit with common cyro
vials. “It’s not rocket science,” Granger
says, “it’s a practical solution that will
enable saliva analytes to be integrated
effectively into basic and clinical studies
and consumer applications.” n
For more information about the
Whole Saliva Collection Device visit
www.nursing.jhu.edu/saliva.
As the new chair of the Johns
Hopkins University School of
Nursing’s Department of CommunityPublic Health, Christine Savage, PhD,
RN, CARN, enjoys working with
a motivated and talented team of
nurse educators.
Savage joined the School of Nursing
on January 1, 2012, replacing Phyllis
Sharps, PhD, RN.
“The [School of Nursing] faculty finds
her to be passionate and enthusiastic
about public health nursing, with
an exciting and clear vision for the
Department and for advancing the
School’s role in community nursing,”
says dean Martha N. Hill, PhD, RN.
“I wholeheartedly agree with them.”
Savage has worked with vulnerable
populations for a majority of her career,
beginning as a community maternal
child health nurse in the 1970s and
1980s. Based on these experiences,
she became interested in the role
alcohol and drugs played in increasing
vulnerability in certain populations.
She later became involved in the field
of addictions nursing and was president
of the International Nurses Society
on Addictions from 2003-2006. She
has conducted funded research related
WiLL Kirk
which suggests that nurses tend to put
their own health and well-being second
to the care of others and/or professional
development. Over time, this makes
them increasingly vulnerable to
cardiovascular disease.
“People are well aware of the risks
of cardiovascular disease, but a large
percentage still don’t take active steps to
reduce that risk,” notes doctoral student
Tam Nguyen. “The idea of SON Fit was
to give people with busy schedules a
chance to engage in physical activities
that were both fun and healthy. It’s been
a tremendous success.”
The SON Fit program serves as a
catalyst toward improving not only
the culture of wellness in the SON,
but also creating lifelong commitment
toward becoming living ambassadors
of health and well-being. Through
support from the University and the
School, all the activities are free of
charge for all participants. n
Cathy Gendron
Recent policy changes regarding the
role and population focus for certified
registered nurse practitioners have been
identified in the new NP competencies
and outlined in the Consensus Model
for APRN Regulation: Licensure,
Accreditation, Certification, and
Education (2008). The new model has
been endorsed by over 45 national nursing
organizations and provides the framework
for these new population foci. n
(l to r) In their new positions, Christine Savage leads the Department of Community-Public Health and
Phyllis Sharps is the associate dean for community and global programs and the director of the Center
for Global Nursing.
to alcohol use during pregnancy and
management of health for the solitary
homeless adult, and she was on the
National Quality Forum’s steering
committee related to best practices
for substance abuse prevention and
treatment. Currently she is editor of the
National Institute on Alcohol Abuse and
Alcoholism (NIAAA) BSN curriculum
on alcohol and health and is working
with NIAAA in promoting the inclusion
of alcohol and health content in
nursing curricula.
Prior to Hopkins, Savage was a
professor in the College of Nursing and
in the College of Medicine, Department
of Public Health Science, at the
University of Cincinnati and was the
director of the master’s program in public
health nursing. She was also the associate
director of the University Hospital
Institute of Nursing Research. n
Sharps Leads Community and Global Programs
Phyllis Sharps, PhD, RN, successfully led the Department of
Community-Public Health for four years. She is now the School of
Nursing’s associate dean for community and global programs. In
an email sent to Department of Community-Public Health faculty
and staff, she reflected upon her time as the Department’s chair:
Together, over the four years we have accomplished a lot.
We have formed a department with a unique identity and
culture. We have created a mission, objectives, and a vision.
We have at least accomplished one of our goals—to be the
#1 School of Nursing for Public Health Nursing. We have
implemented several signature events and activities unique
to this Department and we can be very proud of that. I have
thoroughly enjoyed serving as your department chair over
these past four years, sharing with you your accomplishments,
achievements, your challenges and sometimes your sadness
and losses. . .I am looking forward to working with and
supporting our new chair, Dr. Christine Savage, as well as
being fully committed to my new role as associate dean for
community and global programs.
Thank you all for the privilege of providing leadership
and guidance.
—Phyllis Sharps, PhD, RN
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11
On the Pulse
Hopkins Nursing Ranks No. 4
for NIH Funding
by Pamela McComas
Critical research conducted by
of Nursing faculty and doctoral students
earned the School a No. 4 national ranking among schools of nursing receiving
federal research funding awarded by the
NIH for 2011.
“What a wonderful accomplishment
for our faculty and PhD students,” says
associate dean for research Jerilyn Allen,
ScD, RN. “Congratulations to the nurse
researchers whose funding directly
contributed to our total dollars.”
Over the past several years, the School
has climbed in the rankings from seventh
in 2006 and 2007 to No. 6 in 2008, to
No. 5 in 2009, and then to No. 4 in 2010.
For 2011, the School’s faculty and
doctoral student researchers received more
than 6.5 million dollars to fund research
about cardiovascular health, violence
prevention, end-of-life care, symptom
management, effective parenting, cancer
prevention, and elder care. n
From Idea to
Intervention
Summer Institute Offers Research
Training for Older Adult Care
by Kelly Brooks
One in every eight Americans is
aged 65 years or older and, by 2030,
it is expected to be one in five. As the
number of older Americans increases,
healthcare providers and researchers must
understand and address the needs of this
growing population.
A new, three-day training program
at Johns Hopkins University School of
Nursing, the Summer Research Institute
12
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on Developing Behavioral Interventions,
does just that. The program, offered
by the School of Nursing’s Center for
Innovative Care in Aging, is June 14–16,
2012, in Baltimore, Maryland.
At the Institute, researchers will
create and test novel interventions—
efforts that change patient behavior,
improve self-management, and promote
better health and quality of life—and
can eventually be implemented in
diverse healthcare environments for
older adults. They will also learn from
intervention experts through lectures,
small-group consultation, and one-onone collaboration.
“The program is designed for
researchers and health professionals from
any discipline who seek to create and
test an intervention to help older adults,
their family members, or communities
live healthier lives,” says Laura N.
Gitlin, PhD, director of the Center for
Innovative Care in Aging. She notes
that junior faculty, post-doctoral
students, researchers, or investigators
with limited experience in health-related
Spring 2012
behavioral intervention research will
benefit most from participating. n
For more information, including a
day-to-day overview of the training
and a list of the experts, visit www.nursing.
jhu.edu/aginginstitute.
At Your Service
Interprofessional Expertise
Creates New “Retail” Care
Team Partnerships
by Kelly Brooks
The growing demand for
“retail” clinics—walk-in clinics
conveniently located in shopping
areas and other easily accessible
sites—is offering new opportunities for
interprofessional teamwork and corporate
partnerships at Johns Hopkins.
Working with Walgreens, the largest
drug retailing chain in the United
States, an interprofessional Johns
Hopkins HealthCare team is providing
guidance and consultation on the
existing evidence-based guidelines at
the company’s Take Care Clinics—sites
that are more and more frequently being
used now to treat common illness like
respiratory infections, ear aches, sore
throats, and flu symptoms.
School of Nursing assistant professors
Kathleen Becker, DNP, CRNP, and
Andrea Parsons Schram, DNP, CRNP—
with Hopkins Medicine colleagues Fred
Brancati, MD, chief of the Division of
General Internal Medicine, and Madhav
Goyal, assistant professor—are currently
reviewing guidelines for the conditions
most often treated at Walgreens Take
Care Clinics. The Hopkins team’s role
is to utilize evidence-based research and
national care standards in their reviews
and to recommend additional best prac
tices for management and treatment of
conditions such as influenza and sinusitis.
Take Care Clinics at select Walgreens
have a healthcare delivery model pri
marily provided by nurse practitioners.
“With our shared mission, we can
promote this model of care delivery and
impact standards of care delivered through
this Walgreens channel,” says Schram.
Since 2005, more than 6.5 million
patients have been treated at the more
than 360 Take Care Clinics nationwide.
Operated by Take Care Health Systems,
a wholly owned subsidiary of Walgreens,
the Clinics are walk-in, professional
healthcare centers where board-certified
family nurse practitioners and physician
assistants treat patients 18 months
and older for common illnesses, offer
preventive services such as vaccines
and physicals, and are licensed to write
prescriptions. The Clinics have followed
evidence-based guidelines for quality
patient-care delivery since they opened,
and in 2009 Take Care Health Systems
received full certification from the
Jefferson School of Population Health
for adhering to the Convenient Care
Association’s quality and safety standards
for retail clinics.
Becker sees the partnership as a winwin for both organizations. “Walgreens
is looking to Hopkins to provide bestpractice guidance for the clinics, and
Hopkins sees this as an opportunity to
engage with a proprietary organization
and influence best-care practices,” she
says. “There’s a big future for partnership
here, and this is one of the first steps.”
Members of the Hopkins team also
see their work as an opportunity to
improve care for millions—and one that
is only expected to grow. A recent study
released by the Rand Corporation showed
that the use of walk-in retail clinics is on
the rise—having increased ten-fold in
the past two years.
“Working closely with a prestigious
and respected institution such as Johns
Hopkins helps to further the role that
retail clinics can play in providing positive
patient outcomes in today’s healthcare
system,” says Sandra Ryan, RN, MSN,
CPNP, FAANP, chief nurse practitioner
officer for Take Care Health Systems.
“The partnership also continues to further
Take Care Health’s goal of ensuring nurse
practitioners have the ability to practice
quality care to the full extent of their
education and expertise.” n
The Johns Hopkins University
School of Nursing extends a
special thanks to Johns Hopkins
Federal Credit Union for
participating in Accepted Students
Day held on March 2, 2012, at the
School of Nursing.
Johns Hopkins Federal Credit Union
jhfcu.org
Your support is greatly appreciated.
Dear School of Nursing Community,
As my retirement date of June
30, 2012, nears, I look back
on my 27 years at the Johns
Hopkins University School of
Nursing with great fondness
and tremendous gratitude.
I’ve had the amazing
opportunity to participate
in both the early history of
this wonderful School and
to revel in its current status
as a premiere institution for
education, research, and
nursing practice. It has been my good fortune to work with
three deans—Carol Gray, Sue Donaldson, and Martha Hill—
Will Kirk
Istockphoto.com
Go Team!
each of whom has created an enviable legacy on which future
leaders can build. I’ve worked with wonderful faculty, staff, and
alumni who have been dedicated to providing the best possible
experience for our students.
And what can I possibly say about the students that ade
quately captures what they mean to me? They are the heart of
the School. Their accomplishments, sacrifices, hard work, and
contributions to the future of the nursing profession are a source
of great pride and inspiration. I look forward to continuing my
contact with them through the Alumni Association.
Thank you for all that each of you has done to make life at
Hopkins such an enjoyable and enriching experience. I wish
you every success and will remain a #1 fan!
—Sandra Angell, MLA, RN, ’69
Associate Dean for Student Affairs
|
13
On the Pulse
by Chanel D. Newsome
School of Nursing donors experienced firsthand the impact their philanthropy
in support of financial aid is making at the Johns Hopkins University School
of Nursing’s Scholar-Donor Luncheon. On March 6, 2012, 75 donors and scholars
attended the annual event which celebrates the achievements of the School’s outstanding scholars and recognizes the generosity of its donors. Student recipients of named
scholarships and their donors were able to meet, learn about one another, and share
their experiences.
Grace Ho, a second-year doctoral student and one of the speakers at the event, said,
“The donors’ support plays a crucial role in building character and preparing future
nurse leaders.” Ho also expressed her appreciation for the opportunity to participate in
research projects made possible by the financial support she receives through the Ellen
Levi Zamoiski Doctoral Fellowship. n
Maryland’s Nurse Educators Get
High-Tech at Hopkins
by Kelly Brooks
Sue Schlenger, scholarship donor
Doctor of Nursing Practice student Godfrey Katende and Advisory Council member
Mary Jo Wagant
Catherine Ogunsola, Accel. ’12
Emily Pavetto, Trad. ’13; dean Martha N. Hill ’64; Steven Wright, Trad. ’13; Mary-Ann
Pinkard, Advisory Council chair Walter (Wally) Pinkard, Jr.; Rachel Witter, Accel. ’12; and
Kate Kloss, Trad. ’12
14
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Spring 2012
Teaching the
Teachers
Will Kirk
PHotos by Will Kirk
Celebrating Scholarship
Mary Ellen DuPont, Accel. ’12 and Frances
Trimble SPH ’66
To secure a state-of-the-art
education for tomorrow’s nurses,
Maryland’s nurse educators must become
masters of simulation technology.
Faculty from 10 Maryland nursing
schools learned how to incorporate
simulation training in their teaching
at the Maryland Faculty Academy
for Simulation Teaching in Nursing
(M-FAST), held on January 9–13, 2012,
at the Johns Hopkins University School
of Nursing.
“Simulations provide students a
safe, simulated clinical environment to
hone their skills, develop their problemsolving abilities, and get experience
within their scope of practice,” says
Pamela R. Jeffries, PhD, RN, associate
dean for academic affairs at the School of
Nursing. “It’s absolutely an essential part
of today’s nursing education.”
Simulated patient scenarios are most
effective when facilitated by an educator
who understands the technology, the
pedagogy, and the way that students
learn—and all of these topics are taught
to faculty who attend the M-FAST
Academy. They learn to facilitate
the student learning experience and
then share their knowledge, becoming
faculty trainers for their own schools
and universities. In this way, M-FAST
continues to improve simulation
education throughout the state long
after the Academy is over.
The result, says M-FAST principal
investigator Linda Rose, PhD, RN, will
be a cadre of nursing graduates who
are well-prepared for the rigors of a
nursing career. The techniques taught at
M-FAST “are great for assessing student
competencies, so teachers can better
Simulation not only provides a safe learning environment, it can also enable schools to accept and
graduate more nurses.
identify student strengths and weaknesses
and develop targeted teaching to address
them,” she says. The results are better
rates of student retention, graduation,
and passing licensure exams.
An added benefit of the program,
according to M-FAST project manager
Jennifer Haire, is easing the state’s
nursing shortage. Nursing schools often
limit their student enrollment—and
therefore the number of new nurses
entering the workforce each year—based
on the number of clinical assignment
positions available. When students spend
some of their clinical time in simulation
scenarios instead of real-time clinical
care of patients, schools can potentially
accept more students and graduate more
qualified nurses.
The 10 M-FAST schools represent a
wide range of nursing schools: small- and
large-enrollment programs, associate
and baccalaureate degree programs,
and programs with varying levels of
simulation expertise and resources. As
they move forward, implementing new
technology and pedagogy, the schools will
continue to collaborate with one another
and have continuing support from
M-FAST instructors. Schools will also
have access to aggregated data showing
the impact of simulation training across
the participating institutions.
The consortium includes the nursing
programs of:
• Bowie State University
• Carroll Community College
• Coppin State University
• Harford Community College
• Howard County Community
College
• Johns Hopkins University
• Montgomery College
• Stevenson University
• Towson University
• Wor-Wic Community College
M-FAST is a three-year program,
funded by the Maryland Higher
Education Commission in 2010. n
Learn more about simulation at
www.nursing.jhu.edu/simulation.
|
15
On the Pulse
In the News
Istockphoto.com
Faculty member Jerilyn Allen, ScD,
RN, comments that “All healthcare
professionals, especially nurses, need
to become more aware of opportunities
to use social media and technology to
promote healthy behaviors and the
prevention of cardiovascular disease,” in
the article “Success with support.” The
article published in Nurses.com News on
November 28, 2011, discusses a recent
research study which found that a
remote weight-loss counseling program
with Website and email support was as
effective as one delivered in person.
The article “Keeping victims of
domestic violence safe,” credits faculty
member Jacquelyn Campbell, PhD, RN,
for determining a number of high-risk
factors that may have common traits
and might be indicators as to whether a
domestic violence case presents factors
of lethality. The article was published in
Wicked Local Stow on January 20, 2012.
Faculty member Doug Granger, PhD,
is making news around the globe.
Recent research by Granger and
colleagues reveals surprising findings
about how the hormone cortisol affects
babies versus adults. The research also
Faculty, Student,
and Staff News
Diane Aschenbrenner, MS, APRN, RN,
is leading a group of faculty and students
dedicated to ensuring ethical behavior
as the Johns Hopkins University School
of Nursing’s new chair of the Academic
Ethics Committee.
Deborah E. Jones, PhD, RN,
was appointed dean of Hampton
University School of Nursing located in
Hampton, VA.
Laura Taylor, PhD, RN, is the Johns
Hopkins University School of Nursing’s
All-School Curriculum chair, heading a
nine-member committee.
|
In the February 24, 2012, edition of
Medical News Today, associate dean for
academic affairs and faculty member
Pamela Jeffries, PhD, RN, comments
on how schools of nursing are addressing the faculty shortage problem by
reexamining how to provide clinical
education to undergraduate students.
Jeffries says she sees “the integration
of clinical simulations to combat the
nursing faculty shortage as one of most
impactful new models on the forefront
of addressing the Future of Nursing
Education report.” n
Faculty—Community–Public Health
Faculty—Acute & Chronic Care
16
shows a correlation between mother
and baby cortisol levels. Publications in
Belgium, Canada, India, and the United
Kingdom carried the news, in addition
to two media outlets in the United
States: Bio Medicine and Science Codex.
Jodi Shaefer, PhD, RN, was the
distinguished speaker for the third
Annual Nursing Research Conference
held on November 3 at Shepherd
University in Shepherdstown, WV.
Her topic was “Johns Hopkins Nursing
Evidence-Based Practice Model:
Excitement in Clinical Practice.” She
also presented a poster at the 2012
Prematurity Prevention Symposium on
January 19 in Washington, DC.
Nicole Warren, PhD, MPH, CNM,
received one of nine faculty grants in
global health from the Johns Hopkins
Center for Global Health for the 2011–
2012 cycle. The study will be co-funded
by The Bill and Melinda Gates Institute
for Population and Reproductive
Health. The study aims to improve
Spring 2012
Nicole Warren’s study aims to improve family
planning services for survivors of sexual and
gender-based violence and their partners.
access, knowledge, and utilization of
family-planning services for survivors of
sexual and gender-based violence and
their partners in the Eastern Democratic
Republic of Congo.
Faculty—Health Systems
& Outcomes
Laura Gitlin, PhD, spoke about “Living
at Home with Dementia: Practical
Strategies that Can Make a Difference
in Quality of Life,” at the National
Association of Professional Geriatric
Care Managers Mid-Atlantic Chapter
2011 Conference in Philadelphia, PA,
on November 8.
Team Efforts
Faculty members Laura Gitlin, PhD,
Nancy Hodgson, PhD, RN, Sarah
Szanton, PhD, CRNP, and Elizabeth
(Ibby) Tanner, PhD, MS, RN,
traveled to Boston, MA, to present
at the Gerontological Society of
America meeting from November
18–22. Presentation topics included
depression, innovative collaborative trial
methodologies, dementia care, family
caregiving, and function in older adults.
In early February, faculty members
Diane Aschenbrenner, MS, APRN,
RN; Pam Jeffries, PhD, RN; Sharon
O’Neill, JD, MSN, CRNP; and doctoral
student Christine Keenan visited La
Source School of Nursing in Lausanne,
Switzerland. Jeffries delivered a pre
sentation about the challenges, issues,
and future direction of simulation while
Aschenbrenner, Keenan, and O’Neill
conducted a faculty development
institute on implementing simulations
and debriefing.
Faculty member Betty Jordan, DNSc,
RNC, staff member Rachel Breman, and
students Teresa Pfaff and Samantha
Schneider attended the mHealth Summit
in Washington, DC, in December. The
Summit featured conference sessions
discussing the benefits and challenges of
mobile healthcare technology. n
Students
Postdoctoral student Jeanne Alhusen,
CRNP, MSN, received a 2012 Travel
Award from the Hon. Ruth D. Vogel
Fund for Professional Development.
Traditional and accelerated students
Bethany Ackerman, Emily Bisker,
Heather Coleman, Lesley Dokes,
Christina Dorsey, and Daniel Mertz,
participated in the Maryland Independent
Higher Education Day in Annapolis on
February 9. Matthew Palmer, associate
director of State Affairs for the Hopkins
Government, Community and Public
Affairs Office, said, “The students were
amazing and did a great job of putting a
human face on the issues that our office
advocates for each day.”
Graduate students Joahnna Fournier,
Lea Marineau, Jacqueline O’Connell,
and Emily Spede won awards at the
annual Nurse Practitioner Student Poster
Presentation on December 8.
Traditional 2013 students Kristen Butt
and Hilary Rabuck have been elected
to the Maryland Association of Nursing
Students 2012-2013 Board of Directors.
Kristen is the secretary and Hilary is the
Breakthrough to Nursing director.
Patricia Abbott (left) has a long history of involvement in national and international
informatics initiatives.
Patricia Abbott, PhD, RN, associate professor, Department of Health Systems
and Outcomes, received a personal invitation from William E. Kennard, U.S.
Ambassador to the European Union, for the High-Level Workshop on Innovation
in Healthcare on November 16 in Brussels, Belgium. Policymakers and academic
and private-sector representatives from both sides of the Atlantic attended the
Workshop to produce a set of concrete policy recommendations on healthcare
and remote monitoring for cure and prevention. The recommendations from the
Workshop will be shared with relevant transatlantic policymakers to ensure rapid
uptake of health technology for the benefit of patients around the world.
|
17
BENCH to Bedside
Study Shows NP Intervention
Proves Valuable
by Jon Eichberger
Direct intervention by nurses
with cardiovascular disease
patients has a positive effect on
improving cardiovascular care in
underserved populations.
group. The NP/CHW team focused on
lifestyle changes based on behavioral
interventions and the prescription of
appropriate medications. Strategies to
improve adherence were also integrated.
After 12 months, the NP/CHW
patients had a significantly greater
reduction in total cholesterol, bad LDL
cholesterol, triglycerides, systolic and
diastolic blood pressure, and HbA1c—
Istockphoto.com
“Community Outreach and Cardiovascular Health (COACH) Trial:
A Randomized, Controlled Trial of Nurse
Practitioner/Community Health Worker
Cardiovascular Disease Risk Reduction in
Urban Community Health Centers,” was
an editor’s pick in the November 2011
issue of the American Heart Association
(AHA) journal, Circulation: Cardiovascular Quality and Outcomes.
The COACH trial, funded by the
National Institutes of Health, was led
by associate dean for research and M.
Adelaide Nutting Chair Jerilyn Allen,
ScD, RN, and included fellow Johns
Hopkins University School of Nursing
researchers Cheryl Dennison Himmelfarb,
PhD, RN; Sarah Szanton, PhD, CRNP;
dean Martha N. Hill, PhD, RN; and Mary
Donnelly-Strozzo, DNP, MPH.
The study shows that direct inter
vention by nurses with cardiovascular
disease (CVD) patients has a positive
effect on improving cardiovascular care
in underserved populations.
The trial randomly assigned patients
with documented CVD, type-2 diabetes,
high cholesterol, or hypertension
into two groups: a nurse practitioner/
community health worker (NP/CHW)
group and an enhanced usual care
18
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Spring 2012
a test that measures sugar in the blood.
The NP/CHW patients also had an
improved perception of the quality of
their chronic illness care.
“Our results demonstrate the value
of nurse practitioner interventions
and add to the collective research that
has already been done in nurse case
management in cardiovascular care,”
Allen notes. “It is time to translate
these effective strategies into practice
to improve the cardiovascular health of
high-risk populations in urban settings
across the country.” n
No Blood Needed
Saliva Testing Helps Identify
Patients at Risk for Heart Disease
by Teddi Fine
Due to the popularity of forensic
crime-lab television shows, a vast
majority of Americans know that bodyfluid samples can put criminals behind
bars. What most people don’t know is
that measuring a certain protein, called
C-reactive protein (CRP), also may help
save lives.
CRP in the blood is a well-established
general measure of inflammation in the
body. CRP levels above an American
Heart Association cut-off level, are
suggestive of significant risks for
cardiovascular disease.
CRP blood tests are invasive, take
time, and can be costly. However,
Dorothée Out, postdoctoral fellow at
the Center for Interdisciplinary Salivary
Bioscience Research (CISBR); Douglas
A. Granger, PhD, professor and CISBR
director; professor Gayle G. Page, DNSc,
RN, and other colleagues from the
University of Akron found that a saliva
test might be just as effective and cost
less. [“Assessing Salivary C-reactive
Protein: Longitudinal Associations
with Systemic Inflammation and
Cardiovascular Disease Risk in Women
Exposed to Intimate Partner Violence,”
Brain, Behavior, and Immunity, in press]
According to Granger, “If CRP can be
measured accurately in saliva, sampling
would be stress- and pain-free, minimally
invasive, and could be self-collected,
lowering the barriers to having it checked
for many individuals.”
In a two-year, longitudinal exploration
of more than 100 women seeking help
from domestic violence shelters and
community agencies, the researchers
collected and compared CRP samples
from saliva and blood.
They found that saliva CRP
measurement was accurate and precise,
and that salivary and blood CRP levels
were stable across a period of two years.
Also, the pattern of correlations with
body mass index was identical for both
blood and saliva CRP measurements.
Moreover, the saliva test measured
women with low levels of CRP—low
risk for heart disease—with the same
precision as the comparable blood test.
It was not as accurate as the blood
test when measuring high CRP levels.
Nonetheless, the implications are
tantalizing. If you test with low CRP
levels in oral fluid it is pretty certain you
are in the “low-risk” group, but if you test
high, then you would need a follow-up
blood test. n
Managing Diabetes
Best Practices Can Lower
“Multiplier Risks”
by Teddi Fine
Nearly 17 percent of U.S. adults are
affected by chronic kidney disease
(CKD), a significant underlying cause
of cardiovascular disease in the United
States. CKD also accounts for nearly 28
percent of Medicare expenditures. Adults
with diabetes are at increased risk for
both CKD and high blood pressure. Any
Istockphoto.com
Nursing Research
Article is AHA
Journal Editor’s Pick
The Latest in Nursing Research
Controlling high blood pressure can
slow the progression of diabetesrelated chronic kidney disease and
decrease the incidence of heart attack,
stroke, and the progression to endstage renal disease.
one of these problems can be serious;
together they exponentially raise the
likelihood of cardiovascular and cerebrovascular morbidity and mortality.
The good news is that controlling
high blood pressure can slow the
progression of diabetes-related CKD and
decrease the incidence of heart attack,
stroke, and the progression to end-stage
renal disease.
Unfortunately, best practices for
diagnosing and managing chronic kidney
disease and blood pressure often are not
followed by primary care providers. A
study by doctoral graduate Bernadette
Thomas, DNP ’11, MPH, APRN, reports
on the use of individualized action lists
and electronic health record (EHR)
technology to help boost provider
adherence to best practices. [“Improving
Blood Pressure Control Among Adults
with CKD and Diabetes: Provider-focused
Quality Improvement Using Electronic
Health Records,” Advances in Chronic
Kidney Disease, November 2011]
The study tracked 3,137 diabetic
patients across 6,781 separate clinician
visits. EHR-based scorecards and realtime feedback significantly increased
doctor and nurse practitioner adherence
to best practices in screening, diagnosis,
and treatment.
“Using reminders and action lists
helps keep evidence-based guidelines on
a provider’s radar screen and increases our
capacity to deliver quality chronic disease
management,” Thomas notes. n
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19
News from Around the World
Opening Eyes
Through
Volunteering
Graduate Students Provide
Care in Haiti
by Jon Eichberger
The life of a graduate nursing
student is busy. It’s so busy that one
might not expect students to think about
anything besides getting through their
clinicals and classes without collapsing
in exhaustion. Yet, for one week this past
October, four Johns Hopkins University
School of Nursing graduate students
paused to look outside of their studies
and East Baltimore. The group traveled
to a remote part of Haiti as volunteers,
offering vital medical care to more than
1,000 patients.
While much relief work has been done
since the January 2010 earthquake
wreaked havoc in south-central
Haiti, most Haitians in rural areas still
lack good medical care and many
necessities of life.
School of Nursing faculty member
Elizabeth “Beth” Sloand, PhD,
CRNP, a veteran of numerous trips to
provide clinical assistance and student
experiences, organized the trip and
encouraged students who were eligible
to participate. Four graduate nurse
practitioner students—Katherine Philips,
Kearstyn Leu, Lea Marineau, and Tresa
Schumann—joined the multidisciplinary
team with faculty members Phyllis Mason,
MS, RN, CANP, and Shawna Mudd,
DNP, CRNP, three physicians and other
professionals. Through funding from a
private donor and contributions from the
participants themselves, the volunteers
left on October 15 for Leon, a small
20
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Phyllis Mason treats the wound of a Haitian resident who lacks access to good medical care.
village about one hour away from the
coastal city of Jérémie in southwest Haiti.
During their week in Haiti, the
students faced the reality that “the
resources were incredibly limited there,”
said Lea Marineau. While much relief
work has been done since the January
2010 earthquake wreaked havoc in
south-central Haiti, most Haitians in
rural areas still lack good medical care
and many necessities of life. After setting
up the small amount of equipment
they had brought from Baltimore to
supplement the clinic’s basic supplies,
the volunteers offered primary care
to members of the local community.
In some cases, the group provided
emergency care as well. By giving
their time and skills to the residents
of Leon, the students also gained
valuable clinical practice. Marineau
described the work as “definitely the
best clinical experience I have ever
had. It was eye-opening to experience
Spring 2012
firsthand their healthcare system and
living conditions.” n
Read more about students’ experi
ences in Haiti at www.nursing.jhu.
edu/haitiblogs.
Messaging New
Moms Around
the World
Text4baby Joins Global
mHealth Initiative
by Kelly Brooks
More than 300,000 pregnant
women and new moms are
giving their babies a healthy start
in life using text4baby, the first free
health text-messaging service in the
United States. In a new partnership,
text4baby is now working with the
Johns Hopkins University Global
mHealth Initiative to reach out to
mothers worldwide. Text4baby’s first
international initiative launched in
November 2011, reaching out to Russian
moms. “I believe text4baby can benefit
women worldwide,” says Betty Jordan,
DNSc, RNC, Johns Hopkins University
School of Nursing assistant professor and
text4baby program evaluator. “Partnering
with the mHealth Initiative, which
includes both domestic and international
mHealth programs, is a great first step.”
Text4baby is a perfect example of the
mHealth Initiative’s work to improve
global health using mobile information
and communications. Pregnant women
and new moms who sign up (by texting
BABY or BEBE to 511411) receive three
text messages each week full of health tips
and resources.
In the two years since text4baby
began, Jordan has been the program
evaluator, working to measure
text4baby’s impact. “We recognize that
doing scientifically rigorous program
evaluation and research is critical,”
says Jordan, who is also the deputy
director of the mHealth Initiative. The
lessons learned from text4baby could
help the mHealth Initiative develop
more successful projects worldwide.
“Whether international or domestic,
we need evidence to move forward with
implementing mHealth technologies.”
A recent evaluation of text4baby
in San Diego, California, found that
mothers who receive the text messages
are more likely to take action—calling
hotlines or talking with their doctor—
than other mothers. And 96 percent of
text4baby users would refer the service
to a friend. Text4baby is so popular that
the Centers for Medicare & Medicaid
Services have partnered with text4baby
to drive enrollment in the Children’s
Health Insurance Program, Medicaid, as
well as text4baby.
Since February 2010, text4baby has
reached out to women in all 50 states,
Will Kirk
Global Nursing
Betty Jordan (center) shows Global mHealth Initiative student leaders, Teresa Pfaff ’12 (left)
and Samantha Schneider ’13 (right) how text4baby can reach more moms around the world using
mobile devices.
the District of Columbia, and U.S.
territories such as the Virgin Islands,
where Johns Hopkins nursing students
conduct public health practicums each
year. In February 2012, Jordan traveled
to St. Croix where Eleanor Hirsh from
the Island’s Family Connection program
was promoting text4baby at Agrifest, an
annual agriculture and food festival. With
terrain that makes text messages easier
to receive than phone calls, the Virgin
Islands are fertile ground for text4baby,
and today, more than 320 women there
are enrolled. n
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21
Jhpiego
Jhpiego Assists
Lesotho to
Strengthen
Nursing Education
by Ann LoLordo
Jhpiego, an international health
non-profit and affiliate of Johns
Hopkins University, has partnered with a
faith-based health organization in Lesotho to strengthen nursing education and
increase the numbers of these essential
health workers who provide lifesaving
care to women and families.
Known as the Kingdom in the Sky,
the southern African country of Lesotho
has the third-worst HIV prevalence
rate in the world—23.6 percent. The
average life expectancy is 41 for men
and 39 for women. The World Health
Organization estimates that this
landlocked nation of 2 million people
has only 43 percent of the nurses and
midwives that it needs.
To address this dearth of frontline
health workers, Jhpiego has launched a
multipronged effort to ensure that more
nurses are educated and nursing students
receive a quality education and the
hands-on clinical experience they need
The World Health Organization
estimates that this landlocked nation of
2 million people has only 43 percent of
the nurses and midwives that it needs.
to provide competency-based care. This
action plan focuses on developing the
skills of preceptors, providing continuous
supportive supervision to ensure the
integration of skills into their teaching,
upgrading skills labs and equipment,
updating learning materials, and
establishing a monitoring and evaluation
system for nursing education. Jhpiego
22
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Lastina Lwatula (left), a regional Preservice Training Advisor based in Jhpiego’s Zambia office,
provides supportive supervision for two participants at a training session in Lesotho. Jhpiego is working
with four schools and the Lesotho Nursing Council to help strengthen nursing education in the southern
African country.
is working in collaboration with the
Christian Health Association of Lesotho
(CHAL) and its four nursing schools.
“In Lesotho, Jhpiego is committed
to helping our partners strengthen
nursing education and develop a growing
work force of skilled nurses who will
deliver care competently and humanely,’’
says Leslie Mancuso, PhD, RN, Jhpiego’s
CEO and president, who began her
career as a pediatric intensive care nurse.
“The people of Lesotho deserve no less.”
Jhpiego staff have trained 71
preceptors thus far. Of those, eight
are receiving additional training
and mentoring to become “qualified
trainers”—proficient providers who are
able to train others in clinical skills.
Nursing instructor Isabel Nyangu,
a participant in the training, says the
course gave her new insights into
Spring 2012
preparing lesson plans and adapting
different teaching methods to her
courses. She finds the emphasis on
providing feedback to students and
the supportive supervision by Jhpiego
staff both critically important. “Our
knowledge base is going to improve and
we will maintain our teaching skills up to
standards,” she says.
In its efforts with CHAL to graduate
competent nurses and keep them
qualified, Jhpiego is helping the Lesotho
Nursing Council strengthen regulatory
and educational standards and improve
professional development.
Jhpiego’s work in Lesotho has the
support of the Ministry of Health and
Social Welfare and is funded by the U.S.
Agency for International Development’s
global flagship Maternal and Child
Health Integrated Program (MCHIP). n
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23
Robert McClintock
LIVE from 525
A Forum for Student Expression
An Ambassador of Nursing
Chris Hartlove
The Class of 1944 Scholarship was established
in 1994 by members of the class in honor of
their 50th reunion, through the leadership
of Kathryn
Holman
O’Connor of
Alexandria,
Virginia.
The Power of a Paintbrush
Art Offers an Outlet for Creation and Healing
by Gina Colaizzo
Nursing school can be stressful. To deal with stress,
I turn to my paintbrush. I’m inspired by my love of artistic
creativity and mesmerized by the beauty of scientific structures
viewed through the microscope. Upon leaving a research lab,
I have always found a way to incorporate and amplify these
images into my artwork. Doing so not only allows me to share
the artistic beauty of science with others, it also serves as a
healthy coping mechanism and an emotional outlet when
I’m stressed.
With time and
“Even in the sophisticated hospitals
tussle,
I began
of this nation, patients suffer from
compiling some of
afflictions that cannot be relieved by
my illustrations and
technology or pharmacology. For those thoughts into an
organized format.
patients, compassion and creativity in
As my literary
any form should be called into play.”
prose transformed
—Hunter Doherty “Patch” Adams, MD into rhythmic
verse, my passion
for children and healthy living resulted in the creation of How
to Be a Winner for Dinner. This children’s book takes the reader
on a journey with a young boy whose mission is to make his
mother’s dinner vegetables taste better so that he can enjoy
eating them and follow his doctor’s recommended daily diet.
Understanding how I have personally benefitted from
the artistic process, I want to share my experience and show
others how artistic expression can in fact be therapeutic. This
is particularly true for those who are confined to the hospital
setting and dealing with long-term illnesses. In 1977, Dr.
George L. Engel proposed the biopsychosocial model; the
theory proposes that psychological and social aspects of life
influence wellness and disease to the same effect that biological
factors do. I found my own experiences in artistic creations and
the associated psychological benefits to be in full support of
this theory.
My book allows me to send a positive message about healthy
diet to the pediatric population and also demonstrates how
stress can manifest into positive outcomes if it is dealt with in
a constructive and productive manner. As I continue through
my career, I hope to produce a series of children’s books
to integrate the creative process of art as a form of holistic
therapy within my nursing practice. n
Read more about Gina’s passion for art and nursing on her
blog: www.nursing.jhu.edu/ginablog.
Will Kirk
Thaissa Davila was always fascinated with how the body
works, but it took a tragedy to “seal the deal” for her
nursing career.
Growing up in Brazil, Davila says she did not have much
exposure to nursing within her culture. Becoming a doctor was
her idea of being involved in the medical field.
Upon moving to the United States, she interacted more
with nurses and found she identified with them. Then, out
of a tragedy came a defining decision. “My husband was
involved in a car accident and was hospitalized for a
few weeks,” she explains. “The way the nurses treated
us and the experiences during such a difficult time
sealed the deal. I realized nursing would fulfill me.”
She was accepted into the Johns Hopkins
University School of Nursing, but with a growing
family and a mortgage, finances were a concern.
Thanks to the Class of 1944 Scholarship, Davila, a
student in the Traditional 2012 class, can focus on
her education without the worry. “It takes a huge
amount of stress and burden off of my shoulders,
and allows me to focus on school,” she says. “It also
gives me time to take care of myself and my family.”
After graduation, she plans to work in an adult
critical care unit and aspires to eventually hold a
leadership position within a hospital. Pursuing an
advanced nursing degree is also a long-term goal.
However, Davila’s goals extend beyond credentials
and career path. Her limited exposure to nurses during
her childhood and the experience of her husband’s
hospitalization resonate in her higher aspirations. “I
want to give back by being an ambassador of the
nursing profession to patients and their families.
I want to provide emotional support for
patients, as well as their family members,
in a time when they are vulnerable and
sometimes even lost. I want to utilize
my life experiences to pioneer a
cultural change about diversity
within the nursing profession.”
After graduation, Gina Colaizzo plans to seek publication for her book,
How to Be a Winner for Dinner.
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25
Higher
Education
In response to the IOM’s
fifth recommendation to
double the number
of nurses with a doctorate
by 2020, deans and
directors of doctoral
nursing programs focus on
attracting and preparing
the next wave of nurse
educators and researchers.
by Jennifer Walker
Illustration by Mike Austin
26
|
Spring 2012
As
the respective directors of the
of Nursing’s Doctor of Philosophy
(PhD) and Doctor of Nursing
Practice (DNP) programs, Hae-Ra Han, PhD, RN, and
Mary Terhaar, DNSc, RN, see a Catch-22 in nursing’s future.
The field is paced to have 260,000 fewer nurses than it needs
by 2025, according to the American Association of Medical
Colleges of Nursing (AACN). Yet, if universities continue
to graduate doctoral nursing students at the same rate, there
will be a dearth of faculty to teach potential new nurses who
could fill the gap.
“We’ve got to get schools producing more nurses,”
Terhaar says. “But we know that one of the reasons schools
can’t accept all of the applicants is because they don’t have
enough faculty.”
Han agrees, pointing out that many current nursing
faculty members will retire in the next 10 years. “Without
more doctorally prepared faculty, schools cannot expose a
larger class of students to the health sciences, translational
research, and evidence-based practice that will prepare them
to become frontline health professionals,” she adds.
The Institute of Medicine (IOM) issued a recommenda
tion for universities to double the number of nurses with a
doctorate by 2020 as part of its 2010 report, The Future of
Nursing: Leading Change, Advancing Health. Accordingly,
nursing schools should strive to matriculate 10 percent
of their undergraduate students into master’s or doctoral
programs within five years of graduation.
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27
To meet this recommendation, Han says the School of
Nursing works to facilitate undergraduate students’ transition
into advanced nursing programs. Through the Research
Honors program, baccalaureate nursing students are exposed
to research early by working with faculty on an ongoing
research project. After they receive their undergraduate degree,
registered nurses can enroll directly in the PhD program
without obtaining their master’s degree first.
In the School of Nursing’s DNP program, enrolling more
students is not currently an option. Each year the program
fills to capacity with experienced clinicians who can become
innovators in healthcare systems. “We’re focused on the
quality, the rigor, and the scholarship of our program,” Terhaar
says. “We’re producing scholarly DNPs who will be experts in
their area of specialization and, while they’re there, be mentors
for all those nurses who are going into practice. Our graduates
go out with an impressive new skill set and will be able to make
practice better.”
Three Johns Hopkins University School of Nursing
alumni—who have gone on to become deans of other nursing
schools—are also responding to the IOM’s recommendation.
At the University of Colorado College of Nursing, dean
Patricia Moritz, PhD, BS ’75, RN, is expanding her faculty to
attract more students to the school’s PhD and DNP programs.
“It’s a combination of adding additional faculty for more depth
in our existing science and specialty areas in the programs that
enables broader opportunities for students,” she says.
In Oklahoma, Lazelle Benefield, PhD, RN ’72, dean of
the University of Oklahoma Health Science Center College
of Nursing, wants to increase the speed at which students
complete their doctoral degrees. “Often, it takes seven years
for people to finish,” she says. “That’s much too long.” To
help, the college offers scholarship opportunities to support
students who want to study full-time, and the school provides
an online PhD program.
The College of Nursing at Villanova University in
Villanova, Pennsylvania, is looking for alternative funding
opportunities to help students finance their education. “We’re
going to have to look to the private sector,” says dean M.
Louise Fitzpatrick, EdD, BS ’63, RN, FAAN. Independence
Blue Cross, for example, has contributed funding to support
scholarships for doctoral nursing students in the greater
Philadelphia area.
The Jonas Nurse Leaders Scholar Program recipients
are expected to accomplish three goals: 1) be prepared to
teach nursing in metropolitan New York; 2) integrate new
research findings from clinical sites with theory, knowledge,
and practice skills taught in the classroom; and 3) maintain
collaborative relationships in the clinical settings, serving from
the outset as an advocate for clinical orientation programs that
aim to retain nurses by increasing their job satisfaction.
The past and current Ellen Levi Zamoiski Fellows and Jonas
Scholars are living up to the expectations set for them. From
helping vulnerable populations to providing practitioners
with access to research, they are recognizing problems, asking
tough questions, making a difference, integrating research,
advocating, and educating future nurses.
The next wave of nurse educators and researchers
the Ellen Levi Zamoiski Doctoral Fellowship in her honor.
“My mother was always impressed by the quality of student
chosen to receive the Ellen Levi Zamoiski Fellowship,” says
Clair Segal. “She knew each of them would ultimately improve
patient care and outcomes because they had been given the
opportunity to continue their studies, to recognize problems,
to ask the tough questions, and to be the best-equipped to
make a difference.”
Chris Hartlove
Jessica Roberts Williams, PhD ’08,
MSN/MPH ’05, RN
Ellen Levi Zamoiski Fellow, 2005-2006
From the moment a healthcare researcher
decides on a topic of study, it takes an
average of 10 years before the results will
impact patients, says Jessica Roberts. “That’s
too long,” she continues. “So how can we
shorten this gap and help make findings
more relevant for the patient population?”
As a consultant with MANILA Consulting
Group in McLean, Virginia, Williams is
currently synthesizing research literature on
topics such as HIV/AIDS prevention and
reproductive health, and testing strategies for
dissemination so that this information can
be seamlessly distributed to practitioners in
the field. Williams first became interested in
evidence-based practice while she was in the
PhD program. Her dissertation focused on the
relationship between relational aggression and
dating violence among urban middle school
youth, a part of an arts-based initiative for the
prevention of dating violence funded by the
Centers for Disease Control and Prevention. 28
|
Spring 2012
Sara Rosenthal, MSN ’08, BS ’04, RN
REnee Fischer
Money matters when it comes to furthering education. At the
Johns Hopkins University School of Nursing, many full-time
PhD students are 100% funded with a stipend for the first two
years of study. The School also offers additional support—such
as the Ellen Levi Zamoiski Doctoral Fellowship and Jonas
Nurse Leaders Scholar Program.
In 2005, Ellen Levi Zamoiski’s daughter and son-in-law,
Clair Zamoiski Segal and Thomas (Tommy) Segal, established
As an undergraduate in the Johns Hopkins
University School of Nursing Research
Honors Program, Sara Rosenthal learned
that the observations a nurse makes in her
work can also become fascinating research
questions. “That opened me up to the
possibility of research,” she says. “After I
graduated and I entered the field, I started
thinking about what I was seeing in my
practice.” As a neonatal intensive care
(NICU) nurse, Rosenthal was struck by
the way parents make decisions in highstress situations. Some wanted to maintain
control over how their baby was treated,
while others preferred to let the hospital
staff take charge. For her dissertation she
studied the factors that influence parent
decision-making in the NICU, from
education and race to the amount of trust
that parents have in their healthcare
providers. It’s a topic that continues to
fascinate her. Rosenthal is expected to
receive her PhD this coming May and
plans to teach. She also wants to further
investigate parent decision-making in
the NICU.
|
29
Will Kirk
Yvonne Commodore-Mensah, RN
Jonas Scholar, 2010-2012
Christine Keenan, MSN, RN
Bryan Hansen, RN
Yvonne Commodore-Mensah wants to educate the next
generation of nurses about cardiovascular health in vulnerable
populations. Her research centers on cardiovascular disease
risk factors and behaviors among West African immigrants.
Your patient is crashing. Quick—what do you do? Christine
Keenan is using simulation technology to investigate how
clinicians make decisions in time-sensitive situations. In
addition to teaching after graduation, she plans to continue
looking at simulation’s impact on patient outcomes.
Bryan Hansen wants to “straddle the line” between research
and direct practice. Currently a part-time forensic nurse
examiner at Mercy Medical Center in Baltimore, Maryland,
his research focuses on preventing pressure ulcer development
among older adults who are vulnerable to neglect. He also
hopes to impact U.S. policy development that can improve
this population’s quality of life. Read more about Hansen
online at www.nursing.jhu.edu/bryanhansen.
30
|
Spring 2012
Chris Hartlove
When Vinciya Pandian became an intensive care
unit nurse practitioner, she saw many clinical
problems that were not yet being studied. “I decided
I needed to go back to school to learn research skills
if I really wanted to affect how patients are cared
for,” she says. Pandian focuses on helping healthcare
providers and patients’ family members understand
the benefits of tracheostomy. “For patients who get a
tracheostomy, their quality of life improves because
now they are able to talk,” she says. “Tracheostomy
is actually a step forward that can help patients
get off of the ventilator.” Pandian has interviewed
patients who are still able to communicate while
on a ventilator and developed a quality-of-life
questionnaire geared specifically toward patients
who are both intubated and who receive a
tracheostomy. After she receives her PhD in 2013,
she plans to pursue a combination of clinical work,
research, teaching, and administration.
Chris Hartlove
“The most horrible thing is for a mother to be
separated from her newborn, whether you’re a
prisoner or not,” says Jan Kaminsky, a part-time
pediatric intensive care unit nurse at Saint
Barnabas Medical Center in New Jersey and a
clinical instructor at Hunter College in New
York City. For her dissertation Kaminsky is
part of a Columbia University research project
that focuses on attachment issues between
incarcerated mothers and their babies at
Bedford Hills Correctional Facility in Bedford
Hills, New York—a prison that allows mothers
to keep their babies with them in a special part
of the facility for up to 18 months. Kaminsky
uses a conflict tactics scale to research child
discipline tactics among mothers after their
release from the facility. After she graduates in
August, she hopes to start a full-time tenure
track position at a New York university.
Chris Hartlove
Chris Hartlove
Vinciya Pandian, MSN ’04, CRNP
Will Kirk
Jan Kaminsky, Accel. ’04, RN
Grace Ho, BS ’09, RN
Jonas Scholar, 2010-2012 and
After volunteering in two child abuse clinics, Grace Ho found
her clinical and research interests: child abuse and corporal
punishment. For her dissertation she is examining the way
parents differentiate physical discipline from child abuse and
anticipates that this topic will continue to inform her research.
Then, as a clinician, Ho wants to use her research to educate
parents about child abuse. Read more about Ho online at
www.nursing.jhu.edu/graceho.
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31
From
Silosto
Synergy
Interprofessional Education Initiatives
Find Warm Welcome at Hopkins
Eye-opening. Important. Exciting. Innovative. Barrier-breaking. “A-ha!”
moments. When Hopkins students and faculty talk about their experiences
with interprofessional education, they describe it in game-changing terms.
Interprofessional education, or IPE, is a collaborative approach to healthcare
education that brings together students from across disciplines to interact with
each other before entering their respective professions. It’s an approach that has
been gaining widespread attention and international interest. The World Health
Organization addressed the subject with a study group for global practice that
convened in 2007, and the Institute of Medicine’s 2010 report on the future of
nursing laid out recommendations that included IPE as well as increased partnerships
with other healthcare professions.
When the Hopkins community talks about IPE, enthusiasm and energy pour
forth. This is no dry mandate; this is synchronicity, ideas cropping up across
campuses and departments and blooming in the fertile soil of emerging alliances
and innovative partnerships. Throughout the School of Nursing and the School
of Medicine, new and expanding initiatives are bringing fruitful transformation to
Hopkins healthcare education.
A Fitting Tribute
by Rebecca Proch
Illustration by Mike Austin
32
|
Spring 2012
The phrase “working in silos” comes into almost any conversation with Hopkins
students or faculty about the value of IPE. For Elizabeth (Ibby) Tanner, PhD, RN,
associate professor in the School of Nursing’s Department of Community Public
Health and School of Medicine’s Division of Geriatric Medicine and Gerontology, it’s
how she describes the earliest challenges facing the cross-disciplinary faculty group
that eventually envisioned the Daniels Initiative. “We [medical and nursing faculty]
met to discuss how we might jointly educate prelicensure nursing and medical
students, as well as advanced practice nursing students and residents about caring
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33
Shiv Gandhi
Will Kirk
In the Dean’s Words
Paul B. Rothman, MD, arrives in July as the new CEO of Johns Hopkins Medicine and the incoming
dean of the School of Medicine. He succeeds dean Edward Miller, MD, who retires in June.
Rothman shared his thoughts about the role of IPE within Hopkins and in the field of healthcare.
As healthcare moves into a new era, we want to collaborate across the professions to
provide safe, high-quality patient care. That needs to begin when our future professionals
are students.
Hopkins has the top nursing school in the country, and as we look at ways to incorporate
interprofessional education, I look to the School of Nursing and the School of Medicine to
work closely together to provide these important opportunities to our students. From the
start of each student’s education, we need to teach them how to coordinate care and how
to build and work in teams. That’s going to be increasingly vital to delivering top-quality
healthcare to the American people.
Dean Martha Hill [of the School of Nursing] and I are already discussing the future of IPE
at Hopkins, and I look forward to working together to ensure that Hopkins continues to be
a national leader in healthcare education.
—Paul B. Rothman, M.D.
A Collaborative Effort
for complex older adults,” she recalls. “But, we found that we
had very little practical understanding of each other’s curricula
and educational models. We had learned and worked in silos
ourselves, so we had to learn from each other first in order to
figure out how to teach collaboratively.”
The Daniels Initiative grew out of a five-year gift from the
family of Worth B. Daniels Jr., MD. Now in its second year, it
teaches the skills of interprofessional collaboration to nursing
and medical prelicensure students, as well as nurse practitioner
and medicine residents, through partnered learning. This
includes learning to collaborate by working together to
provide home-based care to low-income older adults living in
the community, and participating in problem-based learning
sessions. The students also examine the perspectives of their
colleagues from different health professions by discussing the
assumptions they have about each other’s discipline, training,
experience, and practice.
“These experiences give students time to learn and grow
together,” says Dr. Laura Hanyok, MD, School of Medicine
assistant professor. Hanyok, along with School of Nursing
assistant professor, Kathleen Becker, DNP, RN, CRNP, are
founding faculty members of the Daniels Initiative. “Our
residents say they wish they’d had this chance sooner, so
we’re looking at ways to integrate this approach throughout
the entire three-year residency program.”
34
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Spring 2012
Training the Messenger
Finding a need for a better way to train students to work
together to conduct quality family meetings, Rebecca
Aslakson, MD, assistant professor in the Department of
Anesthesiology and Critical Care Medicine in the School of
Medicine, approached School of Nursing dean Martha Hill,
PhD, RN, with an idea to do simulated experiences. Dean
Hill brought together Aslakson and Pam Jeffries, PhD, RN,
School of Nursing associate dean for academic affairs. Jeffries’
expertise in developing and deploying simulations provided
the remaining pieces. “I had the idea, and Pam had the
methodology,” says Aslakson.
In October of 2010, together with a group of roughly
30–40 nurses, physicians, social workers, chaplains, and faculty
and students from the Schools of Medicine and Nursing,
Aslakson and Jeffries spent two days developing four scenarios
in which a patient-care team meets with family members to
deliver bad news.
Since then, Aslakson has run the scenarios monthly for
interdisciplinary groups of students who take turns playing
the roles of the care providers and the family members.
“This is new ground for us,” she says. “It’s a hands-on way to
learn, and it creates camaraderie. Each group brings in different
strengths, and each group is always impressed with what the
others bring.”
Student Leadership
Christopher Myers
Prelicensure Daniels scholars and Geriatric Interest Group (GIG) members hosted the GIG’s annual Senior Prom, held at the Apostolic Towers, a housing
complex for low-income older adults. This intergenerational event of Hopkins students from the Schools of Nursing, Medicine, and Public Health brings
together healthcare students and healthcare recipients in a meaningful experience for all.
and graduate education and practice. The entire group meets
monthly, and the sub-groups meet regularly as well.
Pat Thomas, MD, School of Medicine associate dean
for curriculum and one of the leaders of the undergraduate
curriculum group, points out that the work of the faculty
development group is key to their success. “We need to
train faculty in these competencies. How do you learn to
co-facilitate well?” For the collaborative, their first step was a
faculty development workshop that took place in March.
Jeffries has also been on the front lines of the formation
of a faculty group that has come to be known as the Johns
Hopkins Interprofessional Collaborative. “We want to create
a sustainable model for interprofessional education here,”
she says. “It’s important worldwide, and it’s something we
can’t take lightly.”
With dean Hill’s assistance, the collaborative held a
retreat this past January to talk about the challenges of an IPE
approach, to hear from keynote speakers from other schools
with IPE programs in place, and to break into four professionalservice groups that would each focus on a key area: culture and
infrastructure, undergraduate curriculum, faculty development,
Getting ready for paired shadowing. (l to r) Medical student and DoctorNurse Alliance co-president Brent Pottenger meets with medical student
Harita Shah; nursing student Kenny Chen, Accelerated ’12; and attending
physician Maria Trent, MD, MPH.
“Students drive change,” Jeffries believes. Indeed, throughout
Hopkins’ IPE work, there is a strong student voice and
presence. Students from both Schools have been included
in the Collaborative’s curriculum group as advisors, and
student leaders joined panel discussions at the March faculty
development workshop to share their experiences and
views. “It’s imperative to have students involved at this level,”
says Tanner.
The success of the Daniels Initiative also inspired a student
interest group devoted to IPE. Under the leadership of medical
student Brent Pottenger and nursing student Paige Griffith
as co-presidents and also Daniels Scholars, the Doctor-Nurse
Alliance was formed. The Alliance’s first meeting in October
2011 brought 70 students from both Schools, and has been
producing events and creating opportunities for its members
from the start.
Pottenger sees this student interaction as a way to build
momentum to help them prepare for their professional
environments, and hopes that their programs can be replicated
in other schools to innovate healthcare education. “Because of
the way our campus buildings are laid out, the analogy we’ve
used is that medical and nursing students are on different
sides of the dome,” he says. “But in our professions, everyone
interacts. We’ve all been really excited about crossing that
divide, literally and metaphorically. I think this global
perspective can change healthcare.”
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35
HOPKINSNurse
Preparation Pays for
Hopkins Nurses
by Elizabeth Heubeck
Almost a decade ago, before
blueprints were completed and
walls erected for the Sheikh Zayed
Tower and The Charlotte R. Bloomberg
Children’s Center, The Johns Hopkins
Hospital’s (JHH) leaders gave nurse
managers the go-ahead to begin planning.
“We were told to start piloting new
processes before the move,” recalls Joan
Diamond, MS, RN, NEA-BC, prenatal
nurse manager and a member of JHH’s
Transition Monitoring Team, a team
created to help guide nurses through
the transition to the new building.
The charge was intended to jumpstart
preparations for the JHH nurses—more
than 2,800—who would be affected,
either directly or indirectly, by the spring
2012 opening of the new building.
Since then, nurse managers have
worked relentlessly to ensure their
nurses feel a sense of control over
their new situation. After absorbing
recommendations by consultants
with expertise in hospital moves and
implementing a renowned training
program called “Managing Organizational
Transition,” which seeks to empower
employees confronting change, nurse
managers got to work.
“We expect everything to be up and
running before the first patient is admitted
to the building. We simulated everything
ahead of time,” Diamond says. In some
cases, nurses practiced new models of care
well in advance of the move.
Consider the obstetrics unit. Its
current 36-bed nursery will shrink to 16
beds in the new space. This intentional
shift will open space for a six-bed
obstetrics triage area; it also encourages
mothers to spend more time with their
newborns—a practice called mother-baby
couplet care. Nurses are already using
36
|
fewer beds in the existing nursery by
supporting couplet care.
“That was a huge shift in the way we
practice,” Diamond says. Having started
the new practice already, nurses will be
accustomed to it when they move to the
new building.
“We expect everything to be
up and running before the first
patient is admitted to the building.
We simulated everything ahead
of time.”
Twenty hours of mandatory training
prior to the move have prepared nurses to
demonstrate competency with other new
practices and equipment. “They won’t
be working in the new building with
anything they haven’t touched, seen, or
experienced,” Diamond says.
That’s also the idea behind “A Day
in the Life.” Debra Case, MS, RN, ’72,
director of clinical education, calls the
carefully orchestrated practice strategy
“the best thing we’ve done.” Just as it
sounds, “A Day in the Life” simulates
an actual work shift. Drawing expertise
from the Hospital’s existing Simulation
Center and training more than 200
facilitators—mostly nurses—to conduct
practice sessions, participants are
familiarizing staff with new locations,
work processes, and technologies.
Staff members can choose other
tactics to familiarize themselves with
the new building based on learningstyle preferences. “We are using a
multi-modal approach,” Case says.
They can watch a series of orientation
videos; sign up for a guided tour of
the new building; carry a 4 x 7-inch
pocket guide of the new layout; and
place a Web application on their mobile
device that offers maps, directories,
and information about the building. Each tool, developed in concert with
JHH’s Marketing and Communications
staff, familiarizes nurses with their
future workspace. But nurse managers
have gone even further to empower
staff members.
“We looked at what we could do to
give nurses some control. Scheduling was
one idea,” says Kristina Hoerl, MSN, RN,
CRN, a nurse clinician III in radiology.
Listening to nurses’ requests, the
Radiology Department implemented
scheduling changes. Some nurses
wanted more four-day weekends;
others wanted more Fridays off. Where
possible, the department is making
equitable schedule changes. Another
plus is the creation of predictable
scheduling patterns, which allow
nurses to see whether they’re scheduled
on a given day a year from now. Efforts
like these let nurses know that despite
the unknown, there is consistency
and control.
“Hopkins has put forth a lot of effort
to ensure the staff feels comfortable and
is educated,” Diamond says. Prenatal
nurse clinician Logan Garland, BSN,
RNC-OB, agrees. “Because we’ve
experienced so much in the new building,
I’ve become acclimated to the space.
That helps make the transition easier and
smoother,” she says. “I already feel like I
know my new unit.” n
Preventing
Disruptive Behavior
in Patients
Nurses Collaborate and
Champion Programs
by Sara Michael
Activities such as scavenger hunts provided fun opportunities for nurses to become familiar with the
new building.
Spring 2012
Three years ago, a nurse and a security guard from The Johns Hopkins
Hospital’s (JHH) Psychiatric Emergency
Department were assaulted by a patient.
That attack—and the nurse’s insights into
a solution—set into motion a hospital-wide
plan to help prevent disruptive behavior.
Istockphoto.com
Ready, Set, Move!
News from the Johns Hopkins Hospital Department of Nursing
With the Behavioral Alert program, a patient who has exhibited
concerning behaviors in the past is immediately flagged for triage staff
through the electronic patient record.
“We wanted to find a solution to help
empower staff to keep the environment
safe to the extent that we can,” says
Michelle Patch, MSN, RN, ACNS-BC,
safety officer for the Department of
Emergency Medicine.
In the 2009 incident, Patch recalls,
the patient wasn’t acting unpredictably
but did have a significant history of
behavioral issues. The nurse who was
attacked, Patch says, suggested that it
would be helpful to have notification
early in the intake process that a patient
might pose a risk.
“If we have this information, it’s
buried in a chart. How helpful is that for
the front-line receivers in the emergency
setting?” Patch questions.
To provide front-line staff with a quick
way to know if an incoming patient has a
history of violence or disruptive behavior,
Emergency Department (ED) nursing
staff collaborated with several other
hospital departments and disciplines to
develop an ED Behavioral Alert program.
With the Behavioral Alert program,
a patient who has exhibited concerning
behaviors in the past is immediately
flagged for triage staff through the
electronic patient record. An icon
alerts staff, directing them to a note
in the electronic record. “The note
describes the behavior and the team’s
recommendations for safety at the next
visit,” Patch says. For example, if a patient
presented a weapon before, the note
would recommend that Security search
the person and his or her belongings. It’s
information already in the chart, much
like data that a patient has diabetes or a
fall risk, Patch adds, but it wasn’t readily
available before. To determine who
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37
HOPKINSNurse
38
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the eighth floor of the Nelson building
before fatally shooting his mother, a
patient on the unit, and himself.
That incident thrust staff safety
into the spotlight, prompting Hospital
leadership to reach out to all sectors of
the Hospital to find ways to prevent such
an event in the future. The ED’s program,
heralded by the nursing staff, laid the
foundation for a hospital-wide program.
The Hospital leadership expanded the
ED’s alert efforts and formed a Behavioral
Alert Group. This multi-disciplinary
team is led by the Risk Management
Department, and goes into action once
a clinician contacts Security regarding
a patient. The Behavorial Alert Group
decides when to place an alert flag in a
disruptive patient’s record. As with the
ED leadership, this group is similarly
challenged with making sure that only
the most critical cases receive the alert.
In the last year, the Behavioral Alert
Group has already received about two
dozen requests to flag disruptive patients,
says Jeff Natterman, RRT, MA, JD, risk
manager for The Johns Hopkins Hospital
and an attorney for the hospital system.
These are the “extreme cases” that are
identified, Natterman explains, and
about 15 or so have received alerts. The
hospital-wide program’s implementation
is currently being finalized by the Risk
Management Department.
Such programs often start within an
individual unit before being expanded
through the Hospital, explains Karen
Haller, PhD, RN, NEA-BC, JHH’s vice
president for nursing and patient care
services. “We are decentralized,” she adds.
“This problem became apparent to the
Emergency Department, and they wanted
to do something, so they got a group
together and developed a program.”
She adds, “That’s why we have a
common saying at the Hospital: Listen to
the front lines. They had been working
on this problem locally, and created
a best practice that the rest of the
institution could adopt.” n
Spring 2012
Remember, Honor,
and Share
Sacred Ground Pays Tribute
to the PICU
A few years ago, when Pediatric
Intensive Care Unit (PICU)
staff members realized the move to The
Charlotte R. Bloomberg Children’s
Center would soon become a reality,
colleagues Tricia Nace, BSN, RN, and
Laura Lefkowitz, BSN, RN, decided
there was one thing they didn’t want
lost or forgotten in the shuffle: the
memories of the critically ill patients
they’d treated in the old building. They
also wanted to share how these patients
had drawn together each member of the
PICU staff—nurses, physicians, child
life specialists, respiratory therapists, and
more—as an exceptionally strong, caring,
and resilient team.
To preserve the legacy, share the
cherished memories, and honor the
children and families whose lives were
forever changed by their experiences in
the PICU, the two nurses engaged PICU
staff—past and present—to write a book
named Sacred Ground—A Tribute: Johns
Hopkins Pediatric Intensive Care Unit.
From the start, their idea to produce
a book for and by the members of the
PICU’s interprofessional team was well
received by their colleagues. “No one
ever hesitated. Everyone said, ‘You
must do this.’ It gave us momentum,”
Nace says.
That support evolved into a substan
tial written body of work, which includes
around 40 heartfelt entries from various
PICU team members based on their
experiences on the unit. The stories
range from uplifting to heartbreaking
to hilarious, and certain themes surface
throughout—resilience, commitment,
teamwork among them.
If there’s a single passage that sums up
the book’s significance, perhaps it can be
found in Nace’s introduction: “How do
we remember all that we have done for these
children and all the times we’ve stood by
one another year after year? We have built
a camaraderie second to none, forged bonds
that can never be shattered, mysteriously
read each other’s minds and every move, and
worked to an unvoiced rhythm that never
misses a beat.” n
“We always prefer human milk to
formula, so I introduced evidence-based
information about supplementing at the
breast to obstetricians, midwives, and
neonatologists,” she says. “Now, we’re
the state’s only hospital with a specified
supplemental feeding policy.”
JHH lactation specialists complete
20 hours of basic breastfeeding training
through courses offered twice annually.
In addition, Dixon mentors one nurse
toward international board certification
in lactation every semester and accepts
lactation consultant interns from other
education programs.
Under Dixon, the number of
breastfeeding mothers has skyrocketed.
Previously, only 26 to 42 percent of
mothers at JHH initiated breastfeeding.
Today, thanks to seven-day-a-week
lactation coverage, between 60 and
92 percent do so.
Dixon also collaborates with JHH’s
pediatric nurse practitioners to establish
specific feeding plans. Recently, she and
pediatric nurse practitioner Suzanne
Rubin, DNP ’11, MPH, MS ’97,
CRNP-P, devised breastfeeding plans
for late preterm infants and infants with
hyperbilirubinemia.
Lactation guidance isn’t limited to
post-delivery days. Mothers can attend
bi-monthly prenatal breastfeeding classes.
After birth, lactation specialists also call
mothers at one-week, one-month, and
three-month intervals to assess progress.
Weekly new-mother meetings also let
women discuss concerns.
Lactation specialists offer free con
sultations to all JHH staff members too.
“If a new mom is having a problem, she
can make an appointment to see us,”
Dixon explains. An employee pump room
within the Hospital is also available.
“We’ve made a huge impact,” Dixon
says. “We’re teaching moms to let babies
lead the dance. It makes breastfeeding so
much easier.” n
Jennifer Bishop
receives the alert icon, a collaborative
Adult ED and Psychiatric ED team of
nurses and doctors reviews cases based on
an algorithm Patch championed.
Finding better ways to manage
disruptive patients has been a priority
among emergency and psychiatric nurses
for many years. ED nurses are particularly
vulnerable to incidents with disruptive
patients. “Patients are coming right off
the street,” says Patricia Sullivan, MSN,
BSN ’77, RN, nurse manager for the
Psychiatric Emergency Department,
adding that some patients can be
agitated, sociopathic, or have a history of
disruptive behavior.
“We knew it would be important
to identify them from the get-go, even
before the patients got in the [care area].
We wouldn’t turn them away, but we
needed to manage them.”
A national trend has emerged to
reduce restraint and seclusion of these
patients, in favor of a more welcoming
and calming environment, Sullivan
says. Psychiatric Emergency Department
nurses took on this challenge in 2005,
developing a set of interventions for
disruptive patients to ensure their safety
and that of the staff. The nurses make a
point of letting patients know what to
expect while they are at the Hospital and
educating staff about how to help the
patients, Sullivan says.
On the inpatient side, they imple
mented family-style cafeteria meals
where patients and staff dine together
and patients can choose their food, so
they feel more in control. “This was a big
culture change for our units,” Sullivan
says. “It used to be that seclusion was a
necessary part of treatment.”
Similarly, the Behavioral Alert
program demonstrates nurses’ initiative to
better plan and prepare for patients with
certain behavioral management needs.
The ED was just implementing the
Behavioral Alert program when the
September 2010 shooting occurred. A
man shot and wounded a physician on
Mentoring Moms
Lactation Specialists Offer Help
by Whitney L. J. Howell
Whether it’s her first child or third,
breastfeeding can be difficult for
any mother. When something just isn’t
working right, Deborah Dixon, BSN, RN,
IBCLC, or one of her five board-certified
colleagues steps in.
As The Johns Hopkins Hospital’s
(JHH) lactation consultant coordinator,
Dixon helps mothers and babies
master breastfeeding or use supple
mentation strategies. Since arriving
in 2007, she’s enhanced the lactation
support program to assist mothers with
low milk supply.
Lactation consultant coordinator Deborah Dixon helps a new mother with breastfeeding.
|
39
HOPKINSNurse
Christopher Myers
WICU Wins
Beacon Award
Second Unit at JHH Honored
The Johns Hopkins Hospital’s
Weinberg Intensive Care Unit
(WICU) is shining with excellence. The
WICU, in the Department of Surgery,
received the Beacon Award for Excellence from the American Association
of Critical-Care Nurses (AACN) in
November, becoming the only unit in
Maryland to receive the award in 2011.
The honor, coupled with the Beacon
Award won by the Department of Med
icine’s Medical Intensive Care Unit in
2010, recognizes individual units that
distinguish themselves by improving every
aspect of patient care. It also demonstrates
the clinical nurses’ dedication to their
work says Sam Young, MS, RN, ACNPC,
CCNS, CCRN, the WICU’s clinical
nurse specialist.
The AACN’s report recognized
the strengths of the unit as its proven
interdisciplinary practice, culture of
excellence, and leadership. The WICU’s
cultivation of shared govern‑ance and
patient- and-family-centered care is
unique. “The unit’s open culture sets
us apart,” Young says. “Nurses have
opportunities to grow, to be autonomous,
and to collaborate with others.”
To facilitate that freedom, WICU
nurse manager Donna Prow, BSN,
RN, started group meetings. Up to
14 nurses meet for team-building,
practice updates, and idea-sharing.
“The entire staff has a voice,” says nurse
clinician III Carol Maddrey, BSN, RN.
“That breeds pride within our unit and
gives everyone the confidence that we
can make a difference.”
The most significant change has
been embracing patient-centered care.
The WICU expanded visiting hours
to 20 hours a day, making it easier
for family and friends to visit. A new
“family involvement menu” lets visitors
choose ways to help, such as assisting
the patient with grooming. Having
loved ones nearby also improves patientnurse-family communication. “Visitors
can report subtle personality or behavior
changes nurses might not notice,”
Young explains.
Young says the WICU receives many
thank-you letters, and “performance
star” boards posted in the unit allow
patients and visitors to recognize staff. “It
shows our customers we like what we’re
doing,” she says. “The WICU is a good
experience for them.” n
Experience the Possibilities…
through Johns Hopkins University faculty opportunities
Kelly Hendrix gets hands-on rebuilding a deck.
Building
Better Lives
Hopkins Nurse Heals
Patients and Houses
If you ask Kelly Hendrix, RN, her
work as a general contractor isn’t
too different from her work as a nurse
in The Johns Hopkins Hospital’s
Emergency Department. Both use a
healing touch.
“You must also be a people person.”
Hendrix adds. “As a nurse, you listen to
what your patient needs and use your
skills to help them. As a contractor,
40
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you aren’t trying to make people feel
physically better, but you’re trying to
make them feel better emotionally by
giving them a lovely home.”
Hendrix and her husband created
their home improvement company,
Building Solutions, five years ago.
They focus on renovating older homes,
reclaiming each structure’s former beauty.
“I love taking something that has been
completely wrecked and turning it into
something amazing,” she says. As long
as a house has a solid foundation, they
can make any other repairs, including
framing, plumbing, and electrical work.
Much of her role includes talking with
the customer to determine preferences
and pricing out each job.
Spring 2012
It’s also been fun for her to watch the
Hospital’s new clinical building come
together. In fact, one of the building’s
most interesting features parallels one of
her favorite parts of contracting—the tile.
Made partially from recycled glass, the
tiles in the new building sparkle. “When
you come across a lot of tile, the shimmer
is just a nice touch to see,” she observes.
While Hendrix enjoys working as
a contractor, she hopes other women
will be inspired by her success. “I want
women to stop saying, ‘I can’t do it.’
Watch HGTV. You can do it. It’s easy,”
she says. “You don’t have to worry
about calling someone to take care of
things. You can look it up online and
figure it out.” n
Now seeking full-time CNS and APN faculty and researchers with expertise in
adult health, psychiatric nursing, informatics, and community public health.
Visit www.nursing.jhu.edu/joinfaculty to learn more.
Johns Hopkins University School of Nursing is an equal opportunity employer—and a place
where exceptional people discover possibilities that forever change their lives and the world.
|
41
HOPKINSNurse
News from Johns Hopkins Bayview Medical Center
CICU Reaches Patient Safety Milestone
Will Kirk
Making History
Hopkins Nurse Receives
Rare Honor
by Sara Baker
The cardiac intensive care unit
(CICU) at Johns Hopkins Bayview
Medical Center reached a significant
milestone on January 18, 2012—one year
without a central line-associated bloodstream infection (BSI). To recognize this
accomplishment, CICU nursing staff
and physicians received the first Group
Patient Safety Star Program Award at
the Johns Hopkins Bayview Quality &
Patient Safety Council meeting also held
on January 18.
The CICU has been participating in
a statewide collaborative effort focusing
on reducing central line infections. The
initial goal of the project was to reduce
the number of infections statewide by
50 percent. In a 2011 to 2010 calendaryear comparison, the CICU reduced its
rate by 68 percent.
Nurses and physicians took early
ownership of the effort. Their focus was
to ensure that the BSI bundle—a set of
evidence-based measures shown to reduce
by Sara Baker
Carol E. Ball, MAS, RN, made
history on November 18, 2011,
when she became the first nurse within
Johns Hopkins Medicine to have an
inpatient unit named in her honor.
At a special dedication, the Bridgeview
Unit in the John R. Burton Pavilion
was renamed the Carol Ball Medicine
Unit in recognition of Ball’s 47 years of
service to the Johns Hopkins Bayview
Medical Center.
“People have often asked me, ‘how
can you stay at the same hospital for
47 years?’ I tell them that this is not
the same hospital. There have been
remarkable transformations through
the years, and I feel privileged to have
played a role in those changes.”
Ball is the senior director of nursing
and administration at Johns Hopkins
Bayview and holds a reputation among
colleagues and patients for being caring,
genuine, collegial, loyal, and innovative.
“She epitomizes what makes Johns
Hopkins Bayview such a special place,”
says Richard G. Bennett, MD, president
of the Medical Center.
“It’s more common that a unit is
named after a donor, a retiree, or some
one who is deceased,” explains Ronald
R. Peterson, president of The Johns
Hopkins Hospital and the Johns Hopkins
Health System, and executive vice
president of Johns Hopkins Medicine.
“It is a special and rare occasion that we
honor a beloved colleague who is still
working with us.”
Ball began her nursing career in
1964 at Johns Hopkins Bayview (then
Baltimore City Hospitals). Through
42
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To honor Carol Ball’s commitment to providing the best possible care for patients, and for her leadership and many
Center named one of its inpatient units the Carol Ball Medicine Unit.
the years, she held many different
positions, including staff nurse, head
nurse in the emergency department,
nursing supervisor, and director of
nursing and support services. In each of
these roles, Ball has upheld an unyielding
principle—to provide the best care to
patients. “Johns Hopkins Bayview’s
commitment and dedication to nursing
started with Carol’s leadership,” says
Maria V. Koszalka, EdD, RN, vice
Spring 2012
president of patient care services at the
Medical Center.
In addition to living out her passion
of mentoring young nurses and managers,
Ball also has collaborated with other
disciplines to develop a team approach
to patient care at Johns Hopkins
Bayview. During her many years at the
Medical Center, she remained nursing’s
foundation through the transitions from
Baltimore City Hospitals to Francis Scott
central line-associated bloodstream
infections—was always followed. Those
measures include:
• Use of the BSI checklist during
insertion of the central line
• Appropriate selection of the insertion
site, avoiding femoral lines whenever
possible
• Full body draping of the patient
during the insertion to maintain the
sterile field
• Appropriate hand hygiene for all
people involved in any way with
the procedure
• Gowns, gloves, masks and eye protec
tion for staff involved in the procedure
• Daily review of the need for the line,
and removal when the line is no
longer required
To continue the effort to reduce
infections, nursing staff is empowered
to stop the line insertion when there
are concerns that the bundle is not
being followed. n
years of service, Johns Hopkins Bayview Medical
Key Medical Center to today’s Johns
Hopkins Bayview Medical Center.
“People have often asked me,
‘how can you stay at the same hospital
for 47 years?’” says Ball. “I tell them
that this is not the same hospital.
There have been remarkable
transformations through the years,
and I feel privileged to have played a
role in those changes. This tribute is
for all of nursing.” n
CICU members accept their award at the Quality & Patient Safety Council meeting.
|
43
HOPKINSNurse
News from Howard County General Hospital, A Member of Johns Hopkins Medicine
Psychiatry Unit Launches
Speakers Bureau
Health education has become a
widely popular subject in recent
years, but there’s one area of the health
sector that remains somewhat of a taboo
topic: psychiatry. That hasn’t prevented
Tom Schmidt, BSN, RN, nurse manager
of Howard County General Hospital’s
(HCGH) Psychiatry Inpatient Unit,
from establishing both community- and
hospital-based speakers bureaus on the
topic. In fact, it’s fueled his ambition.
“Psychiatry always has been behind
closed doors. Nobody really knows what
we do or how we do it. My group is very
experienced; most have been here 20
or more years. I thought, let’s share our
experience,” Schmidt explains.
Combining his expertise as a public
speaker with his desire to promote the
knowledge of HCGH’s psychiatry unit
staff members, Schmidt decided about
a year and a half ago to launch the
hospital/community speakers bureau.
It’s been well-received by community
members and HCGH staff alike.
To date, inquiries for lectures by
the community speakers bureau have
varied greatly by subject and audience.
Two senior groups affiliated with local
church organizations have requested and
heard lectures on topics relevant to their
demographic: sleep disturbances and
spirituality in aging. On the other side of
the spectrum, the community speakers
bureau also has responded to inquiries
from school groups.
For parents of middle school students
at an area public school, Sue Morseman,
RN, staff nurse in HCGH’s psychiatry
department, led a talk about growth and
development among adolescents. She
addressed tough topics on the minds of
parents, explaining why adolescents tend
to make impulsive choices—their brains
aren’t fully developed yet—and how to
guide them to make good ones. “It’s fun
to be out in the community. That’s the
people we serve,” Morseman says.
But it’s not the only group the bureau
serves. HCGH staff members have
benefited from guest lecturers too. “We
started with one of the hottest, most
dangerous topics: alcohol-withdrawal
seizures, which can be fatal,” says
Schmidt. Alternate addiction counselor,
Sheryl Dulsky, RN, discussed the topic
with HCGH staff members during three
separate shifts so that all employees
had an opportunity to attend.
Schmidt’s inclusive attitude inspires
his in-house bureau topics. For instance,
he explains that while some might look
at medical-surgical nurses as requiring
a completely different skill set from
Johns Hopkins Nursing:
“Psychiatry always has been behind
closed doors. Nobody really knows
what we do or how we do it.
My group is very experienced…I
thought, let’s share our experience.”
Many Faces.
Countless Opportunities.
psychiatric nurses—the former thrive
on task completion, the latter on
relationships with patients—Schmidt
sees room for crossover. “Medical-surgical
nurses need to know how to assess
behavioral change, aggression, cognitive
decline, things like that,” Schmidt says.
Schmidt and other members of the
Psychiatric Unit step in to bridge that gap.
“I’ve always been a public speaker.
I’m happy to get back into the role,”
Schmidt says. n
CAREERS ARE MADE AT JOHNS HOPKINS NURSING. START YOURS TODAY.
Will Kirk
Spreading the Word
Our patients come from all over the country. And so do
our nurses. They come to be part of the most professional,
diverse, and reputable nursing teams. They come to work
beside the unequaled talent of Johns Hopkins physicians,
nurses and staff. And they come for the benefits and unlimited
opportunities for personal and professional growth.
Join our team. Be the next face of Johns Hopkins.
For additional information or to apply
online, visit www.workingathopkins.org
THE JOHNS HOPKINS HOSPITAL
JOHNS HOPKINS BAYVIEW MEDICAL CENTER
JOHNS HOPKINS INTRASTAFF
JOHNS HOPKINS HOME CARE GROUP
HOWARD COUNTY GENERAL HOSPITAL
Tom Schmidt, Susan Morseman, and Phyllis Lamiano review class outlines for an upcoming in-service
program schedule.
EOE/AA,M/F/D/V
44
|
Spring 2012
HOPKINSNurse
News from Sibley Memorial Hospital, A Member of Johns Hopkins Medicine
Stephen Voss
Leading on the
Front Line
and the other Frontline nurses received
mentoring and guidance from coaches
like staffing manager Meg Kriss, RN, who
found herself “inspired by the nurses’
The Crucial Role of Leadership
creativity, their determination, and
at the Bedside
support for one another.”
Each coaching group was formed with
by Kelly Brooks
nurses from different clinical specialty
units, giving them new opportunities to
Amy Peterson, RN, takes extremely
form such strong relationships with their
good care of her patients and is full
colleagues that “now they’re resources to
of creative ideas to make improvements
each other,” says Susan Ohnmacht, MSN,
on her Neonatal Intensive Care Unit. In
MS, RN, associate chief nursing officer
2010, she says, “I had reached a point in
and director of critical care and senior
my career where I wanted to be a part of
coordinator for the Frontline program.
the solution and step outside the box.”
Kalaris, Peterson, and 44 other nurses
Inspired by Peterson and other nurses
graduated from the program in January
like her, Joan Vincent, MSN, MS, RN,
2012, earning continuing education
Sibley Memorial Hospital’s senior vice
units and certification in the Center for
president of patient care services and
Frontline Leadership. The program was
chief nursing officer, envisions a greater
so successful that it’s been enhanced—
role for Sibley’s nurses: women and men
the curriculum now extends over two
who strongly advocate for patients,
years, and other professional disciplines
collaborate with physicians, role-model
are invited to join. As the first cohort
for other staff, and hold themselves and
of nurses continues its training in
others accountable for their practice.
2012, they are joined
by 20 new participants
from nursing, imaging,
laboratory, pharmacy, and
nutrition services.
With the Frontline
program in place, the
Hospital is seeing
improvements in patient
safety and satisfaction,
nurse-physician relations,
and nursing engagement.
Eight Frontline nurses
achieved recognition
through the Hospital’s
Professional Advancement
in Clinical Excellence
(PACE) program.
The improvement is
obvious to Vincent, who
sees that Sibley nurses
are now “more engaged
in their practice and have
a vision for their profes
On March 9, 2012, Meg Kriss, Jill Kalaris, and Joan Vincent attended “Leading Change,” a training session part of the
sional development.” n
Frontline Leadership Development program.
46
To help achieve her vision, Vincent
became the executive champion for
the Frontline Nursing Leadership
Program, and in February 2011, 50
Sibley nurses launched into a year of
specialized leadership training. The
schedule included four full-day intensive
classroom sessions, regular meetings with
a leadership coach, and undertaking a
project to improve safety and patient care.
“I’ve been a nurse for a long time.
[The Frontline Leadership Program]
reenergized me,” says operating room
(OR) nurse Jill Kalaris, RN. After
observing OR physicians mixing an
intra-articular injection, she launched
a Frontline project to have the mixture
made by the pharmacy instead. She
worked diligently for a year to have the
procedure changed. “Nothing is as quick
of a fix as you think it is,” she says. But
Kalaris’s persistence will pay off in saved
time, improved safety, and decreased
potential for error or contamination.
Along the way, Kalaris, Peterson,
|
Spring 2012
Your career will
take flight at
A refreshing environment…a challenging role…an opportunity to take your career to the next level – you’ll find it all at
Sibley Memorial Hospital. Sibley is a widely respected, premier 318-bed community hospital located in a lovely residential
neighborhood of Northwest DC. With our recent affiliation with Johns Hopkins Medicine, Sibley has expanded our resources
and capabilities, providing you an even more dynamic environment. It’s a supportive environment complete with ongoing
education and a mentor who’s perfectly matched to your goals to help you grow and advance in your field. In addition, we offer
competitive wages and comprehensive benefits, plus free parking! Sibley currently has opportunities in the following areas:
Labor & Delivery RNs
Bring your exceptional skills and nurturing spirit to Sibley. We are the area’s premier destination for expecting moms (with
over 3,500 births annually) and we are currently expanding to include more LDRP rooms and a larger Special Care Nursery.
Currently, Sibley offers state-of-the-art delivery rooms, three fully equipped operating rooms able to accommodate multiple
births and two triage rooms.
Childbirth Educator
Must be licensed as an RN in DC with 3+ years of experience in maternity nursing and/or childbirth education.
Attendance at a Childbirth Education training seminar of at least 18 hours duration also required.
Lactation Consultant
RN preferred with license to practice in DC. Requires certification by the International Board of Certified Lactation
Consultants and 3+ years of experience in counseling breastfeeding mothers.
OR/PACU RNs
Sibley needs experienced OR/PACU RNs for our main operating facility. Sibley’s surgical services are expanding
with the recent opening of our Ambulatory Surgery Center, featuring three operating rooms, high-definition
video systems and new endoscopic equipment.
ER RNs
Work in an ER that practices leading-edge emergency medicine in a patient satisfying environment.
The 24/7/365 ER at Sibley treats nearly 30,000 patients each year. The department is divided into two areas:
major treatment and a Fast Track area for minor complaints.
Nursing Informatics Specialist
You will coordinate the overall assessment, planning, implementation and maintenance of EPIC inpatient clinical
documentation systems for patient care services.
Positions require a DC license.
Learn more about our opportunities by visiting: www.sibley.jobs
EOE/AA
HOPKINSNurse
News from Suburban Hospital Healthcare System, A Member of Johns Hopkins Medicine
ContinuingEducation |
from the Institute for Johns Hopkins Nursing
Blood Transfusion Reactions: What nurses need to know
Averting
Patient Falls
Suburban Hospital Takes Big Steps
The goal of this continuing education activity is to provide nurses and
nurse practitioners with knowledge and skills to recognize and manage
blood transfusion reactions. Below is an introduction of the topic. Read
the article in full online. After reading this article you will be able to:
by Susan Middaugh
n Identify risk factors, signs, and symptoms of blood transfusion
48
|
To receive contact hours, visit
www.nursing.jhu.edu/ce.
Register for this activity online,
read the article in its entirety,
and complete the post-test and
evaluation.
reaction
n Describe goals of care for a patient with a blood transfusion reaction
n Describe evidence-based nursing and medical management of a
Or, call 443-287-4745 to request
materials in the mail.
blood transfusion reaction
IStockphoto.com
Patients wearing yellow socks or
yellow gowns. A yellow sign outside
a patient’s room. These “flags” remind
nurses and staff at Suburban Hospital
that these patients, most age 65 and over,
are at great risk of falling. The signs and
accessories represent just one dimension of
a recent initiative by Suburban’s bedside
nurses to reduce their inpatient fall rate.
Before the policy change, “we reviewed
falls on a retrospective basis in committee,” says LeighAnn Sidone, MSN, RN,
OCN, CENP, director of professional
practice and nursing quality. “We didn’t
always have all the information we needed
and lost an opportunity to teach.”
Now, a group of responders called
the Morse Team goes to the unit where
a fall has happened within minutes of
an occurrence. The team—a registered
nurse, a nursing assistant, and a nursing
supervisor from a different unit—speaks
with the patient and the patient’s
nurse and nursing assistant to find out
what happened and what corrective
steps might avert a future mishap.
“The goal is to assess the situation,
look for opportunities to improve, and
educate their peers on the spot,” says
Sidone. The team, which also includes
a pharmacist, gathers data to identify
potential contributing factors such as the
patient’s mental status and medications;
hazardous conditions, such as lighting
and floor surface; staffing; interventions
made or not; and caregivers’ awareness
of the patient’s risk level. The data is
recorded on a form and shared with
the unit director and with that group’s
representative to the Nursing Quality
Safety Service Council (NQSSC).
The Council has the responsibility for
identifying trends.
Receive FREE contact
hours!
Morse Team members and unit nurses respond to a patient fall. Pictured from left to right: Jessica
Larsen, Rosemarie Gurion, Carolee Beckford, Huratu Savage, Jennifer Morfino.
Prevention is also intrinsic to the
nurses’ agenda. Finding solutions to help
prevent falls and to better understand
why falls happen was shared by
Suburban’s four nursing councils. The
councils included bedside nurses every
step of the way. What emerged was a
need for education across a spectrum
of caregivers. “Nurses wanted to better
understand the circumstances leading
to a patient fall. The Morse Team
evaluation provides that information,”
explains Sidone. Each nursing unit also
had to recommend an action plan. One
unit, for example, found that falls were
more likely during a shift change. Now
nurses help their patients with toileting
the hour before.
Sidone considers the new policy
a success. Since it began last August,
Spring 2012
Suburban’s inpatient fall rate has
been below the national benchmark
for five straight months. She credits
Intensive Care Unit nurse Carolee
Beckford, RN, CCRN, who chairs the
NQSSC, with spearheading the change,
implementing the new protocol, and
making tweaks, such as rotating the
staffing responsibility for the Morse Team
throughout the hospital.
“At first some of the bedside nurses
were tentative about taking a leadership
role and uncomfortable with peer-topeer review,” says Beckford. Recently,
they’re “learning to critique each other
constructively. It’s a culture shift and the
first major undertaking by bedside nurses
relative to patient safety and front-line
accountability. With the Morse Team we
learn every day.” n
Author: Rebekah M. Zonozy, MSN,
CRNP, RN
B
lood transfusion therapy can be a
life-saving measure for patients;
however, there are a variety of
complications that can occur both during
and after a transfusion that pose serious
risk to the patients receiving this therapy.
Some of the risks associated with blood
transfusions can be life-threatening,
and it is for this reason the Food and
Drug Administration, the American
Association of Blood Banks, and the
Joint Commission regulate how blood
products are procured, stored, prepared
and administered to the recipient.
Historically the largest risk posed
to a patient receiving a blood product
transfusion was the potential for an
infectious disease being transmitted.
However, with the implementation of
nucleic acid testing (NAT) and other
advanced infectious disease screening
methods, this risk has significantly
decreased1. Currently, the risk of
Hepatitis B virus (HBV) transmission
is estimated to be 1 in 282,000 to 1 in
357,000; the risk of Hepatitis C virus
(HCV) transmission is estimated to be
0.03–0.5 in 1,000,000; and for Human
Immunodeficiency virus (HIV) the
transmission risk is estimated to be
1 in 1.5 to 1 in 4.3 million2. With
the decline in the infectious disease
transmission risks, the focus on blood
transfusion therapy complications has
shifted to those of a non-infectious
nature, such as blood transfusion
reactions. The role of nursing in
the identification and management
of non-infectious complications
related to blood transfusion therapy is
absolutely crucial.
The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the
American Nurses Credentialing Center’s Commission on Accreditation.
This 1.0 contact hour Educational Activity is provided by the Institute for Johns Hopkins Nursing.
The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing
education by the American Academy of Nurse Practitioners: AANP Provider Number 061216. This program has been granted 1.0 contact hours of continuing education (which includes 0.2 of
pharmacology hours).
Contact hours will be awarded until April 15, 2014.
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49
VIGILANDO
News from the Johns Hopkins Nurses’ Alumni Association
Alumni Update
Tina Cafeo, MSN ’97, RN
President, JHNAA
I
am pleased to report that
Lindsay Dorrance is the
new director of alumni
relations for the School of
Nursing. In the near future,
she will work with the
Alumni Association to form
a strategic planning group
to determine our future
direction and goals.
Our alumni weekend
event in 2012 will remain
similar to past years with a few minor
and exciting schedule changes. The
Alumni Weekend Committee is also
in the early stages of exploring several
new events to engage alumni. Some
ideas include a community project with
students (“A Day of Service”) and an
event to coincide with the University’s
alumni weekend in May 2012.
This year, the Johns Hopkins Alumni
Association announced a strategic
decision to eliminate annual dues across
the entire University. It is our hope that
you, our nursing alumni, will
remain active and generous
in supporting our School and
students. We continue to
seek nursing graduates, both
past and present, to join our
efforts to lead our alumni
association into the future.
Those of you who live and
work in the Baltimore and
the mid-Atlantic region
can be especially helpful
by offering your time and talents. We
are looking for committee members and
chairs to lead initiatives and assist in the
engagement of alumni and students.
The Membership Committee will
continue to work with the Alumni Office
to present networking events for students.
These events allow graduates to participate
in an informal panel and discuss their post-
graduation professional experiences,
offer advice, and answer questions.
Let us know if you are interested in
participating in any of these panels.
The Membership Committee’s other
important initiatives include sponsoring
the pinning ceremonies for our nursing
graduates as well as supporting the work
of regional alumni groups.
Please continue to submit your
current information, such as contact
details and your nursing specialty, to
the Alumni Office. This enables the
office to provide contacts for students
in various cities. It also expands our
nursing community, provides resources
and mentors to students, and keeps
you informed about events and updates
from the School. You may send your
information and offer comments and
suggestions to [email protected] or call
410-955-4285. Be a mentor, a regional
alumni leader, or committee member.
Most important, be an active member
of JHNAA.
CLASSNews
’46
Our deepest sympathy is extended to
the family of Laura Brautigan June who died
Feb. 12, 2012. Mrs. June was one of our most
faithful class reporters—always sending us
information about her classmates and keeping
everyone up to date on the congressional
bill regarding cadet nurses. She will definitely
be missed.
’47
Rally forth
’Tis the year
For our 65th
Celebration
Calling on all
The well tuned
With priceless wisdom
To hear and see
The rewards of our journey
The Johns Hopkins University
School of Nursing
Tops in the nation!
September 27-29, 2012
—Elsie Peyton Jarvis, Feb. ’47
50
|
’50
Class Reporter—Betty Borenstein
Scher, (443) 449-5934, [email protected].
Cora Jane Lawrence has a new address,
having moved to a retirement community for
a “wonderful new home and life.” She is still
active, sings in the vesper choir, and enjoys a
fabulous view of the mountains and bay nearby.
She says, “This is the best decision I ever made.”
Marion Bee is still enjoying retirement with
family, pets, gardening, reading, game shows,
and relaxation. She is glad she lives up and away
from the Mighty Mohawk River and was able
to escape the floods a few months ago. Janey
Shutts Pinkerton still enjoys life in NC, where
she and Pinky spent the holidays with family.
Jo McDavid Hubbard sends greetings from KY,
where she is doing well, though Stan has had
severe circulation problems in both legs, had to
have one leg amputated, and is now confined
to a wheelchair. But, they enjoyed having their
children and grandchildren for the holidays.
Ella Ruth Stilz Whitmore has been traveling,
spending one week in Aruba with one daughter
Spring 2012
and her family, then visiting a son on the lake
in IN. She then flew to Phoenix to visit another
daughter, but promises to get back to Baltimore
for a visit soon. Mary Agnes Hull Stewart is
now living in an Alzheimer’s unit in a skilled
nursing home. Her daughter-in-law writes that
the “only thing she speaks of is Johns Hopkins,
and she keeps a small photo album of your nursing class in her pocket.” A few “class husbands”
have also sent news of their families. Charlie
Royer writes that he is doing well, visits family
and neighbors, and keeps busy. Bob Hunter is
enjoying life and sends greetings from himself
and wife, Jo. As for me, Betty Borenstein Scher,
I’m not as good as I used to be, but I’m doing
quite well anyway, and continue to do volunteer
work, read, do jigsaw puzzles, visit with my
children, and exercise.
’54
Dr. Dick Reynolds sent word of the
death of his wife of 56 years, MJ Beck Reynolds
on November 5, 2011. They met when both
were students at Hopkins and married upon her
Hopkins Engages Nursing Alumni in Florida
by Jon Eichberger
T
In Memoriam
Helen Cunningham Crocker ’40
Rosanna Deaderick Bounds ’41
Evelyn Conran Purdy ’44
Beatrice Copeland ’45
Darthea Bell Keith ’45
Wilma Jean Palmer Bloom ’46
Laura Brautigan June ’46
Jean Douglas McNab ’46
Lela Cornett Souders ’47
Miriam Haugh Conner ’48
Mary Moseley McDowell ’53
Mary Jane Beck Reynolds ’54
Kathleen McCormick Daughtry ’55
Robert Steinberg, husband of Sandy
Harvey Steinberg ’55
Franchelle Wilkinson ’55
Son of Shirley Carenbauer
Reischman ’67
Mildred K. Thornton ’75
Bessie Flowers Barranger ’77
Maria Ebbe Sliwinski ’77
Robin Wantz, MSN ’97
graduation. She worked to help him through
medical school, and he had been her chief
caregiver for the last 2½ years, increasing greatly
his regard for the nursing profession. A Center of
Nursing Excellence is being planned at the Ohio
hospital in which she had been a patient several
times, and he and daughter Karen, who has spent
15 years as a nurse there, were among those
chosen in the planning.
’55
Class Reporter—Margie Barber Trever,
(410) 822-0479, [email protected]. Art
Brecher, husband of Laura Lyman Brecher, one
our most faithful correspondents, sent word that
she would no longer be able to write us, now
being in a care facility, the victim of vascular
dementia. She had worked as a homecare nurse
before her retirement and had spent time since
volunteering to help former patients so they
could remain in their homes. Their two adopted
children, a son—an opera tenor, and daughter—
opportunity to address the critical
hree top nursing schools—Johns
issues that currently face our nation’s
Hopkins University, University
healthcare system,” said Hill. “Medical
of Alabama at Birmingham, and Duke
advancements have changed healthcare
University—visited southwest Florida
and made nurses more essential than ever
in January to mix and mingle with
before. People are living longer and are
alumni and to present current views
living with chronic illnesses that just a
about the changing role of nurses in
few decades ago would have shortened
disease prevention and coordination
their life span. More and more, nurses
of healthcare.
and nurse practitioners are the healthcare
At networking luncheons in
professionals caring for these patients.”
Naples and Tampa, the three deans—
The deans also led a panel discussion
Hopkins’ Dr. Martha Hill, Alabamaand a Q&A session during the event.
Birmingham’s Dr. Doreen Harper, and
The panels comprised current students
Duke’s Dr. Catherine Gillis—updated
and recent graduates from each of the
alumni on issues facing nurses and
nursing schools today. They noted that three schools.
James Kelley, Johns Hopkins School of
as baby boomers age and the need for
Nursing associate dean for development
more healthcare providers grows, and
and alumni relations, said the events were
as healthcare reform takes shape, it is
such a success that the School of Nursing
increasingly important for schools of
plans to hold similar events in the Florida
nursing to prepare nurses to effectively
area next winter. He adds, “We have also
lead and deliver quality healthcare.
begun to explore partnering with other
Each described their school
peer nursing institutions to offer events
as thriving by focusing on the
around the country. We hope to see
everchanging healthcare needs of the
alumni at these events, too.”
populations their graduates serve and
For a list of upcoming alumni
by collaborating with alumni who play
events visit www.nursing.jhu.edu/
vital roles in front-line healthcare
alumnievents.
delivery. Their most effective nursing
education programs
are those in which
students, faculty
and alumni work
together—sharing
critical information
and observations
that often lead to
new partnerships and
opportunities—to make
communities healthier
and provide greater
access for patients, from
primary to critical care.
“Nurses and
Doctor of Nursing Practice student Godfrey Katende (center), met
nurse educators
Dorothy Horne, Dietician Class ’44 (left), and Kay Potter ’46
(right) at the networking luncheon held in Naples. have an incredible
|
51
Vigilando
News from the Johns Hopkins Nurses’ Alumni Association
from two to 23, including grandchildren and
great-grandchildren. Most are not nearby, but
they still enjoy getting together when their
schedules coincide. Though Parkinson’s keeps
Bob, my husband, from doing what he is used to,
he and I are able to walk our dog on the local
Rails-to-Trails every day. He is up to 1½ miles
now. Bob has learned how to access info on the
Internet and enjoys watching old movies. Please
take a look at Sachi’s picture on the inside back
cover of the Winter 2011 Johns Hopkins Nursing
magazine. She was working in the orthopaedic
outpatient department at the time. Kay Smith
Burr continues to wear an obturator for a hole in
her upper palate. Further surgery is not advised.
’62 Charlotte Daniher Writer recently
retired as a pediatric nurse practitioner in
Veneta, OR. During her years of service she
managed a Healthy Tomorrows grant and initiated a fluoride varnish program in the community. She would love to hear from classmates.
’65
Dr. Carol Landis, professor at University
of Washington School of Nursing, received the
2011 Pathfinder Award at the annual Friends of
the National Institute of Research NightinGala
in November. The award recognizes a nurse
researcher whose long-standing commitment
has made a difference in the lives of community
members and their healthcare needs.
’67
Class Reporter—Barbara Jo Glynn,
(410) 243-5591, [email protected]. Patti
Wilcox-Honnold was diagnosed with a rare
disease called calciphylaxis in July. She is currently undergoing treatment at the Mayo Clinic
and asks her classmates for their thoughts and
prayers. Shirley Carenbauer Reischman
lost her 36-year-old son to a heart attack early
last year and also lost two close friends. She
recently retired and is living at her home in
Pensacola, FL, where it’s warm! Gail Gerstner
Rathburn will not be able to attend the reunion
but is still excited to hear from her classmates.
UPCOMING EVENTS
20
12
Annual Spring Tea
May 9, 1:00 pm–3:00 pm
Octagon House, Mount Washington
Johns Hopkins Nurses’ Alumni Association & Church Home & Hospital School of Nursing
Alumni invite you to join them to renew the tradition of nurses enjoying afternoon tea
and sharing special memories.
RSVP by May 2, 2012 | Cost: $25.00 | Make Checks Payable to: JHNAA
Mail Checks to:
Jackie Gray, JHUSON, 525 N. Wolfe Street, Baltimore, MD 21205
Questions: Call Deb Kennedy at 410-893-2421.
SAVE THE DATE FOR THESE EVENTS
Alumni-Student Happy Hour
May 8, 6:00–8:00 p.m.
Baltimore, MD
In honor of National
Nurses Week
Alumni Lunch in Portland
June 29, noon
Portland, Maine
For more information visit
www.nursing.jhu.edu/alumnievents
or contact Lindsay Dorrance at
410-955-4285 or [email protected]
52
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Spring 2012
Robb Society
Leadership Dinner
September 29
Baltimore, MD
Sponsored by the Johns
Hopkins University School
of Nursing for donors of
$1,000 of more.
(Venues TBD)
2012 Alumni Weekend
September 27, 28 and 29
Baltimore, MD
Whether you graduated
50 years or five years
ago, from Hopkins or
Church Home, come join
your nursing colleagues.
Sponsored by the Johns
Hopkins Nurses’ Alumni.
Deadline for the next issue of
Vigilando: May 21, 2012.
She has been living in Albuquerque since 2004
and working in IT Project Management for
Clinical Computer Systems for Presbyterian
Healthcare. Gail had a successful knee replacement in 2010. However, afterwards she developed a popliteal artery clot in that leg, which
led to some significant health issues. Although
she was not planning on leaving her job at this
point, Gail is starting to settle into retirement.
Anne Bienvenu Broussard retired from nursing
after a 44-year-long nursing career, with the
last 28 years in nursing education. She was a
professor and the BSN coordinator at University
of Louisiana at Lafayette for the last six years.
Her retirement plans include travel, time with
family and two grandchildren in Austin, as well
as creative and spiritual pursuits.
’98 Master’s Sharon Ann Myers worked
as the director of quality management at the
King Abdulaziz Medical Center in Jeddah, Saudi
Arabia, and successfully led the facility through
its first Joint Commission Accreditation. She
also served as senior consultant to the Makkah
Region Quality Program and the Central Board
of Accreditation of Healthcare Institutions
(CBAHI) in Saudia Arabia, where she
assisted in the development of the first Hospital
Standards Manual, which has been approved
by the Ministry of Health for implementation.
Subsequently, she assisted CBAHI in developing their national survey process. She was the
assistant director of Nursing at Johns Hopkins
Continuing Care Center in Baltimore where
she led nursing groups to develop a career ladder
for nursing assistants in long-term care, which
won the Innovations in Nursing Practice award.
Ms. Myers is currently the quality management
officer at Midsouth Healthcare Network in the
VA and is also an adjunct associate nursing
professor at Vanderbilt School of Nursing. She
is a recognized international speaker on indicators and measurement, quality concepts, and
patient safety. She holds numerous certifications
and memberships in healthcare, quality, and
risk managements, and is an author in the
areas of patient safety and accreditation. She
has recently published an academic book
based on her clinically tested systems model for
patient safety and hospital accreditation. Patient
Safety and Hospital Accreditation: A Model for
Ensuring Success is published by Springer and
available at booksellers.
New Director of Alumni Relations
L
indsay Dorrance, the new director
of alumni relations at the Johns
Hopkins University School of Nursing,
joined the School in February and is
now designing opportunities for alumni
to remain involved with the School and
to connect or reconnect with fellow
Hopkins Nursing graduates and students.
“Lindsay’s proven track record
of engaging alumni with each other
and with students through programs
and events will benefit the School of
Nursing and our alumni from around
the country,” says James Kelley,
associate dean for development and
alumni relations.
In the coming months Dorrance
hopes to have many conversations
with School of Nursing alumni. “I
want to gain a sense of their needs and
interests so the alumni office can serve
as a resource to develop the academic
and social interactions that strengthen
relationships,” Dorrance notes. Among
the many such opportunities she is
now planning with alumni are regional
networking events, social media
groups, alumni-student mentorship
programs, and Alumni Weekend.
Prior to Hopkins, Dorrance
worked for the Graduate School
of Architecture, Planning, and
Preservation at Columbia University
in New York. At Columbia she
was responsible for the strategic
planning and implementation of
the alumni relations programming
for the school, which included seven
degree programs.
She holds a master of science
in fundraising management and
nonprofit administration as well as
a master of arts in modern art from
Columbia University. She earned her
undergraduate degree from Trinity
College in Connecticut. Dorrance can be reached at
410-955-4285 or [email protected].
Will Kirk
a great mom, and five grandchildren reside on
the west coast. Sandy Harvey Steinberg had a
defib/pacemaker placed in June, and though she
does not feel much different, her ejection fraction has improved. Her husband, Bob, whom she
had cared for with Parkinson’s disease for several
years, died October 20. Char Lee Williams and
Bruce spent the holiday season with daughter
Carol and their two talented grandchildren in
San Antonio, amazed with all the outside activities in which they are engaged, and feeling very
blessed. Carol Straub Guilbert is now retired
but has services and other ministerial functions
at the nursing homes in the area. Dick still plays
tennis and keeps busy with his business. Helen
Burdick Sloat has retired after 24 years as a
supervisor at a long-term nursing facility and
is writing her memoirs. John has just published
another book, Moving Beyond the Christian Myth:
The Next Step in Our Spiritual Evolution. If anyone
wants a free copy, inquire at www.beyondreligion.
com. Married 56 years, the Sloat clan has grown
Lindsay Dorrance (center) receives a warm welcome from Deb Kennedy (left), past
president of the CHH School of Nursing Alumni Association, and Paula Kent (right),
past president of JHNAA.
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53
E
GO
’00 Class Reporter—Sarah Gauger, (919)
321-8849, [email protected]. Kisten Nolan
had a baby boy on Halloween 2011. Bekah
Frank Kittredge is now working full-time at
Dartmouth-Hitchcock in Manchester, NH,
as a certified nurse-midwife and is loving
it there. Jeff McFarlane is now a certified
Otorhinolaryngology nurse—ARNP-C,
CORLIN. He works at South Coast ENT in
FL (www.otodocs.com). Jennifer Moran
married in April 2011 and lives in Honolulu, HI.
She works as an acute care NP in the Neuro
ICU at Queen’s Medical Center. Katie
Weatherbe Kotopoulos and her family
sadly left East Africa (Rwanda and Eastern
DR Congo) in 2011 and now live in Dhaka,
Bangladesh. Her husband took a promotion
within World Vision. Katie stays home with
their three little boys.
’03 After three years of travel nursing,
Jhodie de los Reyes Garcia Martinez returned
to Washington DC in 2008 and purchased her
first home in Cleveland Park. She worked at
George Washington University Hospital as a
team leader/charge nurse from 2008-2011. In
October 2011, she became the new FEP case
manager for CareFirst BlueCross BlueShield.
Her new hobby is learning how to cook for her
new husband, Fernando. In celebration of his
Mexican heritage and her love for Hawaiian
culture, they had a small private wedding on May
5, 2011, on the island of Oahu. They exchanged
vows at the Ocean Crystal Chapel of the Hilton
Hawaiian Village followed by an oceanfront luau
at the Bayer Estate of Aina Haina. This year on
Cinco de Mayo, they will renew their vows in
her home country, the Philippines.
’06
Accelerated Meliza Lavin Weir is
currently enrolled in the MSN/APN Adult
Primary Care/Palliative Care and is working
at the New York University Medical Center’s
Emergency Department in NY City. In her spare
time, she continues to attend theater and dance
performances, running, and volunteering in
the community. In 2010, she raced in the NYC
Triathlon. In December 2011 Jacqueline Pareso
Root earned a master’s degree in nursing from
Villanova University School of Nursing.
’07
Accelerated Maura Carroll is living
in rural Lichinga, Mozambique, for a year and
is working with HIV/AIDS patients with a
team from Doctors Without Borders. She is
currently providing technical support for nurses
and midwives while supervising and evaluating
the quality of treatment and care of pregnant
women infected with HIV. This project is a part
of the United Nations Global Plan to eliminate
mother-to-child transmission by 2015.
’08 Accelerated Amanda Staub Rossman
is currently a CRNA student at York College of
Pennsylvania and recently won the American
Association of Nurse Anesthetists (AANA)
student writing contest. Her paper, titled
“The Physiology of the Nicotinic Acetylcholine
Receptor and its Importance in the Admin
istration of Anesthesia,” was published as
an article in the October 2011 issue of the
AANA Journal.
O
S
E R V
Vigilando/Church Notes
For alumni of the Church Home and Hospital School of Nursing
By Deborah Corteggiano Kennedy, ’73
Freda Creutzburg Scholar Announced
I
t is my pleasure to announce the 2012
recipient of the Freda Creutzburg
Memorial Scholarship. Caitlin G.
Weinberg is a traditional BS student who
expects to graduate in May. Weinberg
holds a bachelor’s degree in international
affairs and spanish from James Madison
University, with a minor in Russian
studies. After working five years in the
advertising industry, Weinberg decided to
return to school to pursue her passion of
becoming a nurse. In the future she hopes
to specialize in pediatrics. In her letter to
the CHH alumni, Weinberg expressed
her sincere appreciation. “I am greatly
honored and appreciative. I hope my
work as a nurse honors Miss Creutzburg’s
strong legacy,” she said.
For more details and photos, go to
www.nursing.jhu.edu/alumninews.
Third Annual Tea
Who is this Alumna?
O
Who was the first nurse in any school of nursing to be appointed
as a full-time nursing instructor?
By Betty Borenstein Scher ’50
n 1907, when
M. Adelaide
Nutting appointed
Ada M. Carr,
class of 1893, as a
full-time instructor
in the Hopkins
Training School, it
was an innovation
in the field of
Ada M. Carr: an
nursing education.
excellent nurse, an
Previously, nursing
excellent trailblazer,
students were taught and an excellent and
by nursing staff
complete person.
members—who also
carried heavy administrative duties—
or by physicians.
This was not the first time Carr was a
I
54
Istockphoto.com
Vigilando
|
trailblazer. Upon graduation she became
a head nurse, and in 1897 Nutting
appointed her to assistant superintendant
of the Johns Hopkins Training School
for Nurses. She left Hopkins later that
year to become superintendent of the
Instructive Visiting Nurse Association
of Baltimore and led its expansion from
a single visiting nurse to six nurses
who provided home care to patients.
She also organized classes for poor and
undereducated Baltimore residents to
help them gain employment.
In 1912, the National Organization of
Public Health Nursing was formed. Carr
joined this national movement, becoming
the first editor of its magazine, The Public
Health Nurse. But that, too, was not new
Spring 2012
to her because Carr had also been the first
editor of the Johns Hopkins Nursing Alumnae
Magazine when it was created in 1901.
Before her interests led her to the
public health field, she gained significant
nursing experience. In addition to
her positions at Hopkins, Carr held
superintendent of nursing positions
at hospitals in New York City, Rhode
Island, and New Jersey.
Carr’s sister recalled that Ada was
rarely seen without a book. She also
wrote poetry, which frequently found its
way into the alumnae magazine, along
with the many other articles she wrote.
For more information visit
www.medicalarchives.jhmi.edu/
papers/carr.html.
Deb Kennedy ’73 and Caitlin G. Weinberg ’12 stand next to the portrait of Freda Creutzburg.
In Memoriam
Myrtle Miller Watson, ’35
Mina B. Hansen ‘40
Mary Ann McLin ‘45
Suzanne L. Richard ‘51
Jean Frankland DeHoff ‘52
Joan Hurley Murphy ’52
Deborah J. Lewis-Miller ‘68
Vickie Dufour Saraullo, ’75
n Wednesday May 9, 2012 the
Third Annual Alumni Tea will
be held at “The Octagon” at Mount
Washington. This is the lovely building
and venue where the Church Home and
Hopkins archives are kept. Please see
the Upcoming Events announcement on
page 52 for details and information about
how to register.
Please call me (Deb Kennedy,
410-893-2421) if you want to attend but
are in need of transportation. I will try
and assist with getting you a ride. I’m
looking forward to seeing lots of hats
again this year. So, get out your favorite
chapeau and plan to attend.
Transcripts: Quinlan Storage
(888-416-5353, ext. 7550 or 3907).
Contact Aniese Gentry.
Send your news and address changes to:
Deb Kennedy, 1990 Gulfstream Court, Forest Hill, MD 21050; 410-893-2421, [email protected].
|
55
DEFININGMoments
Johns Hopkins University School of Nursing
Advisory Council
Walter D. (Wally) Pinkard, Jr.* (Chair)
Chairman
Cassidy Turley
Leslie Mancuso, PhD, RN, FAAN
President and CEO
Jhpiego
Marianne Andreach
Senior Director, Business Development
The Medicines Company
Gerry Peterson, RN ’64, MA
Past President
JHU Alumni Association
Edwin Avent
Former President/CEO and Publisher
Heart & Soul Magazine
Judy A. Reitz, ScD
Executive Vice President/COO
Deborah (Deb) Baker, DNP ’11, MSN, ’97,
Accel. ’92, CRNP
Director of Nursing
Department of Surgery
Wayne N. Schelle, A&S ’58**
Chairman
Wayne N. Schelle, Ltd.
Judith (Judy) Campbell-McKennis ’60
Thomas (Tim) Schweizer, Jr.
President
Brown Advisory Securities, LLC
Gail Cassell, PhD
Former Vice President, Scientific Affairs
Eli Lilly and Company
Clair Zamoiski Segal
President
Clair Zamoiski Segal, LLC
Bowers Espy
Retired Managing Director Merrill Lynch
Mary Jo Wagandt
Representing The Women’s Board
Steve Fanning
President and CEO
Solta Medical, Inc.
Sandra L. Winfield, RN ’70, NP, Lic P,
PPEMS, Chief
Co-founder
WinSystems, Inc.
Chief PPEMS
Pecan Plantation Volunteer Fire
Department & EMS, Inc.
Maria Boyd Fazio, BS ’87*
Brent A. Hanson
Founder
Healthcare Management Advisors
Deborah Kennedy, CH ’73, MS, RN
Past President
Church Home & Hospital School of
Nursing Alumni Association
E. Robert (Bob) Kent, Jr.
Director
Alex Brown Realty
Mary Woolley
President and CEO
Research!America
Honorary Members
Ernest Bates, MD, A&S ’58**
Chairman and CEO
American Shared Hospital Services, Inc.
Claire M. Fagin, PhD, RN, FAAN
Professor and Dean Emerita
University of Pennsylvania
School of Nursing
Helen Kim
Interim CEO
TRF Pharma, Inc.
*University Trustee
**University Trustee Emeritus
Interprofessional Education—Yesterday
Johns Hopkins nursing students participate in teaching rounds with an assistant resident physician.
Nursing students spent time with medical residents in each department to learn about the complexities of
various cases they could encounter as nurses.
The photo, taken in 1959, was published in a recruitment brochure called “Student Nurse at Johns
Hopkins.” (Pictured from left to right: Jill Ward ’59; Donna Hayes ’60; unidentified nursing student;
Marlene Lowder ’60; unidentified resident physician.)
Photo courtesy of The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions
56
|
Spring 2012
Non-Profit Org.
US Postage
PAID
Hanover, NH
Permit No. 65
Johns Hopkins University
School of Nursing
525 N. Wolfe Street
Baltimore, MD 21205
www.nursing.jhu.edu
Printed on paper containing 10% recycled fiber
Discover Johns Hopkins
doctoral nursing education
The Doctor of Philosophy (PhD) for research leaders.
Advance the science of nursing and healthcare.
The Doctor of Nursing Practice (DNP) for clinical leaders.
Advance the practice of nursing and improve health outcomes.
Choose your path at the Johns Hopkins University School of Nursing—a place
where exceptional people discover possibilities that forever change their lives
www.nursing.jhu.edu/doctoral
and the world.

opkins education - Johns Hopkins University School of Nursing

Transcription

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