learning Together to Improve Care - University of Virginia School of
Transcription
learning Together to Improve Care - University of Virginia School of
Also Inside: The Tools to Lead Annual Report 2008–09 Fall 2009 Learning Together to Improve Care From the Dean Creating Resilient Practitioners A kind mentor once shared with me that all new deans are anthropologists. Studying the culture of their institutions and learning the customs is always a first step. So after one year at the School of Nursing, what have I discovered? At the University of Virginia School of Nursing, the rich tradition of excellence in nursing education, practice, research, and service is celebrated with an eager eye on the future. Dean Dorrie Fontaine But what traditions do we expand upon and strengthen as we forge new ones? Preparing students to be part of the solution to the demands of health care reform and to engage with their health care colleagues is essential. To that end, our faculty has focused on enticing students to a life of creating nursing science, even as they learn the skills of caring for our most vulnerable patients, families, and communities. We are embracing the calls to create a new generation of nursing leaders who will stand shoulder to shoulder with their fellow health professionals. Building on our 108-year legacy of excellence, we will graduate nurses who enthusiastically engage in the “big team science” called for by the NIH. Our nurses will join and lead teams to change the future of health care. In this issue of Legacy, you will read about emerging traditions that align well with the work of the University’s Commission on the Future. We will strengthen the undergraduate experience by expanding research and service opportunities, assisted by generous support from the Jefferson Trust. Our students will catch the enthusiasm of our faculty for creating science and making discoveries. Since science is created and patient care is delivered in teams, you will read about our new culture of interprofessional education and our goal that every student can take advantage of all the resources of this great university. Recently, I spent eight days at a Upaya Institute Zen Buddhist Retreat, learning better care for the dying. Through a generous gift from a friend of the School of Nursing, several faculty and nurses from the UVA Health System joined 40 other nurses, physicians, and chaplains in a program called “Being with Dying.” As I practiced mindfulness and learned the value and the art of contemplative practices with my colleagues, I came to greater clarity about what we can all do together when our intention remains to end suffering. A first step is creating resilient practitioners. With our goal of adding mindfulness training along with these new traditions of engaging undergraduates in creating science and encouraging interprofessional education, we will be doing just that. We thank you for your continued support and rely on your encouragement for our future work together. Please let me know your thoughts at dorrie. [email protected]. Dorrie Fontaine Sadie Heath Cabaniss Professor of Nursing and Dean News 2 Fall 2009 Worth Noting Find up-to-date news from the School of Nursing. Editor Julie Goodlick Communications Editor Dory Hulse 7 Read the latest updates on Nursing Alumni Association members, awards, and activities. Managing Editor Lynn Woodson Editorial Advisers Victoria Brunjes (BSN ’98), Reba Moyer Childress (BSN ’79, MSN ’91, FNP ’92), Emily Drake (BSN ’85, MSN ’93), Randy Jones (BSN ’00, MSN ’02, PhD ’05), Lisa Kelley (BSN ’99), Traci Kelly (BSN ’10), Emily Kusiak (BSN ’10), Emma McKim Mitchell (MSN ’08, PhD ’10), Dorothy Tullmann Class Notes & News Editor Elisangela Blevins From the Nursing Alumni Association Features 12 Learning Together to Improve Care UVA’s Interprofessional Education Initiative promotes joint educational experiences for nursing and medical students. 17 New Tools to Lead Undergraduate research brings renewed vibrancy to the School of Nursing. Design Roseberries Contributing Writers Anna Tubbs Emery, Julie Goodlick, Dory Hulse, Kathleen Valenzi Knaus, Lynn Woodson; proofing by Gail Wiley Photographers Dan Addison, Elisangela Blevins, Anna Tubbs Emery, Dory Hulse, Coe Sweet Virginia Legacy is published two times a year by the University of Virginia School of Nursing and Nursing Alumni Association. University of Virginia School of Nursing Alumni and Development Office P.O. Box 800826 Charlottesville, VA 22908-0826 (434) 924-0138 (434) 982-3699 FAX e-mail: [email protected] 20 Impact: Nursing Research See how research at UVA is effecting change in nursing models for prevention, practice, and policy. 28 Giving Summary and Annual Report for 2008–09 We thank our generous donors for the past year and offer a snapshot of the year’s finances. In Every issue 5 Student in Focus 24 Philanthropy Sadie Heath Cabaniss Professor of Nursing and Dean Dorrie Fontaine, RN, PhD, FAAN 25 Class Notes and News University of Virginia School of Nursing Established in 1901 26 Alumni in Action Main Switchboard: (434) 924-2743 Admissions & Student Services Toll-free: (888) 283-8703 33 Virginia Moments Visit us on the web at www.nursing.virginia.edu. Feedback Welcome! Please let us know what you think about this issue of Virginia Legacy by writing to us at [email protected] or the address above. Virginia Legacy is published using private funds. Printed on 10% postconsumer recycled paper Cert no. SW-COC-002370 On the cover: Nursing student Michael Mercer and medical student Harmony Caton collaborate in the clinic. At right: Student Jess Keim Virginia Legacy 1• The Kluges’ gift will support two collaborative professorships— one in the School of Nursing and one in the School of Medicine. Worth Noting News from the School of Nursing Fostering Compassion in End-of-Life Care F or many patients nearing the end of their lives, the experience brings profound moments of self-reflection and, too often, unnecessary pain. Nurses caring for these patients need to know how to provide John and Tussi Kluge are supporting new compassionate care initiatives. •2 compassionate support during this challenging time. A generous new $3 million gift from Tussi and John Kluge will help the School of Nursing better prepare caregivers to support patients through complex end-of-life issues. The Kluges’ gift will support two collaborative professorships—one in the School of Nursing and one in the School of Medicine. A $2 million portion will fund the Tussi and John Kluge Professorship in Contemplative End-of-Life Care in the School of Nursing. Virginia Legacy This professorship will provide instructional resources for assisting students in building the appropriate knowledge, skills, and attitudes needed to address end-of-life issues among patients and their families. According to Dean Dorrie Fontaine, the professorship will support the integration of compassionate, contemplative care into clinical practice, education, research, and policy. Relevant educational content may include ethics, end-of-life decision making, caregiver resiliency, cross-cultural beliefs surrounding death, and the exploration of traditional medicine and emerging integrative therapies for coping with pain, suffering, and grief. Additional activities may include new course development, colloquia and lecture support, and financial assistance for related workshops and conferences. “A major focus will be teaching and learning in interprofessional formats with faculty and students from nursing and medicine and other schools across the University,” says Fontaine. “We expect the professorship to bring about changes in care across the lifespan and throughout UVA and the Health System.” Tussi Kluge has a longstanding relationship with the School of Nursing. She has worked with faculty to foster a growing nursing resiliency program and opened her home for nursing faculty and student retreats. Recently, she funded the renovation of a reflection/resilience room in McLeod Hall, where she frequently joins a weekly meditation group. “Tussi Kluge is an inspiring woman, a health care provider herself, who is committed to holistic care that takes into account the Fall 2009 worth noting physical and psychological well-being of both patients and their caregivers,” says Fontaine. “I look forward to the meaningful work our collaboration will make possible.” “This initiative is an essential step toward reclaiming the heart of health care,” says Kluge. “Through the collaboration of nursing and medicine, dying people will receive mindful, compassionate care and clinicians will receive support to keep alive their calling to service.” A NASDAQ Salute to Nursing L ast May, in celebration of National Nurses Week, Dean Dorrie Fontaine rang the closing bell at NASDAQ. Speaking before the group assembled, Fontaine recognized the contributions of nurses in clinical practice, education, research, and health policy. A video highlighting UVA nursing played on the NASDAQ MarketSite Tower at Times Square. The event was made possible thanks to Don Johnson (BSN ’80), a recently retired NASDAQ managing director. Better Designs for Health Care? New Course Offers Fresh Ideas S olving complex problems in the health care setting can take a multitude of skills. And such issues aren’t always solved by the nurses and doctors who work there. A graduate elective bio-innovation course in the School of Nursing, now in its second year, is teaching nursing students and their peers from across Grounds how to resolve problems in the health care environment using an interdisciplinary approach. Take, for example, the problem of reducing possible contaminates in UVA’s operating rooms. One team in the bio-innovation class— representing students from the UVA Schools of Nursing, Architecture, Engineering, and Business—set out to tackle this issue. They began by defining the scope of the problem, doing a literature search about the issue, then analyzing all of the personnel activity patterns, and the various supply pathways coming into and going out of the OR. Together, they worked to come up with creative solutions, including painting doors www.nursing.virginia.edu Faculty and friends gathered in New York to celebrate NASDAQ’s salute to nursing. connected to sterile areas either red or green by a grant from the Robert Wood Johnson indicating whether or not they should be Foundation. accessed. They also suggested moving some “This is a relatively new area,” notes team members out of the sterile area and Conway, “but UVA has an exciting program. substituting an intercom system as a means Our program differs from the others in several of sharing information instead. In addition, ways. We include a business element to our they recommended a reconfiguration of each studies, and we have two MBA-educated OR suite to keep surgical patients farther away professors working on the faculty team. What from doorways, where pathogens are most is most important, our students work to solve likely to enter. A number of these suggestions real clinical problems, not ones developed by may be implemented. The class brought an faculty.” enthusiastic response from the students, who enjoyed having real-life problems to solve, as well as from the staff, who were eager to have assistance in improving patient outcomes and their workplace. Course instructor Deborah Conway and her colleagues from UVA’s architecture and bioengineering programs were recently asked to present their program at a national Interprofessional E d u c a t i o n i n He a l t h Virginia Commissioner of Health Karen Remley, MD, (center, in white) is joined Care Design Think Tank by family of the late Catherine Strader McGehee after speaking at McLeod o r g a n i z e d by E m o r y Auditorium last spring as the 2009 Catherine Strader McGehee Memorial University and Georgia Lecturer. Remley addressed infant mortality and childhood obesity as key challenges within the Commonwealth. Te c h a n d s u p p o r t e d Virginia Legacy 3• worth noting Faculty Achievements R eba Moyer Childress (BSN ’79, MSN ’91, FNP ’92) presented at the 8th Annual International Nursing Simulation/Learning Resource Centers Conference, where she also received the Sigma Theta Tau International Nursing Honor Society, Beta Kappa Chapter’s, Re s e a rc h Di s s e m i n a t i o n Aw a rd . He r presentation focused on collaborative work between the UVA Schools of Nursing, Medicine, and Engineering to design, build, and test a computerized prostate simulator that can be used for teaching how to conduct prostate examinations. Childress was also invited to speak at an Advanced Initiatives in Medical Simulation conference on nursing education and medical simulation. Enrollment Snapshot: 2009–10 358 Undergraduate students First-year students: 61 Second-year students: 74 Third-year students: 91 Fourth-year students: 92 RN to BSN students: 40 197 Master’s program students Nurse Practitioner: 92 Clinical Nurse Leader: 51 Clinical Nurse Specialist: 27 Community and Public Health Leadership/Health Systems Management: 27 15 Post-master’s students 36 Doctor of Nursing Practice (DNP) students 39 Doctor of Philosophy (PhD) students See the School of Nursing website at www.nursing.virginia.edu for a complete listing of all programs. •4 Virginia Legacy Barbara Parker, Sarah Anderson, and Jamela Martin (seated, with baby) traveled to the Congo to research health issues of women and children. Dean Dorrie Fontaine participated in a live radio interview with Montel Williams while attending the American Association of Critical Care Nurses’ National Teaching Institute last spring. She also unveiled the ninth edition of Critical Care Nursing: A Holistic Approach, which she co-edited. Beth Merwin and Marianne Baernholdt presented on rural health issues at the third annual Hong Kong Nursing Forum, Promoting the Health of Well and At Risk Populations: Policy, Practice, and Research. Arlene Keeling (BSN ’74, MSN ’87, PhD ’92) has been selected to become a fellow of the American Academy of Nursing. Karen Rose (PhD ’06) was recently named chair-elect of the Southern Nursing Research Society’s Research Interest Group on Aging. This past summer, Rose was selected, through a highly competitive process, to attend the National Institute on Aging’s Summer Research Institute. She is working with third-year nursing student Denise Landers on a related research project, with funding from UVA’s Institute on Aging. Anita Thompson-Heistermann won the 2009 International Society of PsychiatricMental Health Nurses poster award for Lighting the Way to Better Sleep: The Effects of Red Filter Flashlights on Sleep on an Inpatient Psychiatric Service. See related story on page 21. Barbara Parker, the Theresa A. Thomas Professor of Nursing; Sarah Anderson (BSN ’92, MSN ’97, PhD ’07), nursing professor and a forensic nurse in UVA’s Department of Emergency Medicine; and nursing doctoral student Jamela Martin (BSN ’04) traveled to the Democratic Republic of Congo, where they conducted interviews regarding the health of the women and children living there. Clay Hysell received a grant award of $98,898 from the U.S. Department of Health and Human Services to support 2009–10 graduate scholarships through the Advanced Education Nurse Traineeship program. Scholarships provided through these grants benefit students pledging to work in underserved areas, including the Tidewater region of Virginia, the Shenandoah Valley, southside Virginia, southwest Virginia, and West Virginia. This year’s grant represents an approximate increase of 5 percent from 2008. Cathy Campbell and Marianne Baernholdt received the Oscar and Ruth Lanford Research Award for their study comparing patient and family satisfaction with hospice care and examining associations between satisfaction and patient demographics, rural/urban location, and content of hospice care. This is a joint venture with Haven Hospice in Gainesville, Fla. Marianne Baernholdt has been appointed to the core steering group for the International Council of Nurses (ICN) Rural and Remote Nurses Network. The core steering group has 14 members, averaging only two members from each country represented. Baernholdt also presented at ICN’s Congress in Durban, South Africa. The presentation was funded in part by the International Research Collaboration Fall 2009 worth noting Award from the School of Nursing’s Lancaster Fund for Faculty Excellence. Former faculty member Barbara Brodie has been named one of four Living Legends for 2009 by the American Academy of Nursing (AAN). The Living Legend designation recognizes extraordinary AAN Fellows who have demonstrated impressive and sustained contributions to nursing and health care throughout their careers. Connie Lee was recently named to a twoyear appointment as Director of Diversity Initiatives for the UVA Medical Center and the School of Nursing. Marilu Dixon (BSN ’77, PNP ’81), part of UVA’s wound, ostomy, and continence team, received the Nurse of Distinction Award from the University of Virginia Health System during National Nurses Week. Diane Boyer (BSN ’80, DNP ’12) and Cathy Campbell were chosen as Academic Community Engagement Faculty Fellows for their proposal Appalachian Partnership for Pain Management. They will be developing a course based on their proposal. Student in Focus Jess Keim (CNL ’08, PhD ’12) After earning her master’s in Public Health Science from UVA in 2005, Jess Keim found herself at a crossroads. She knew she wanted to pursue advanced studies in the field of health care, but wasn’t sure whether medicine or nursing would be a better fit. After graduation, she worked in the UVA Clinical Trials office, and it was her exposure to Jess Keim nurses in this setting that helped her find her path. “Nurses were able to spend more time with the patients,” says Keim. “Often, they acted as navigators, helping patients through their cancer journey.” Keim went on to complete the clinical nurse leader (CNL) program and then entered directly into the School’s PhD program. An unusual path, Keim acknowledges, but one that made sense for her. Her dissertation focuses on patients with advanced stage melanoma, a population that faces a five-year survival rate of 15 percent or less. She hopes to learn what factors affect their treatment decisions. The decision-making process is particularly relevant for nurses, who often “walk into situations where patients are trying to process facts and treatment options given by their physicians,” says Keim. “Helping patients understand how their values and goals can help them make decisions is a natural role for a nurse.” Students Write from Experience K risti Glakas (BSN ’09) took first place in this year’s Creative Writing Contest for UVA Nursing Students with her essay “Growing Pains.” She read her essay for broadcast on the regional National Public Radio station. Eleanor Bergland (BSN ’09) took second place with her essay “A Warm Hand to Hold,” while Amy Nylund (BSN ’09) took third place honors for her essay “As Simple As A Bath,” and first place for her poem “Leaving Free.” You can read the winning pieces online at www.nursing.virginia.edu/CreativeWriting. Assistant professor Jeanne Erickson established the contest in 2002 to encourage nursing students to use writing as a tool to help process, understand, and share their clinical experiences. The contest is supported by the Nursing Annual Fund. What’s Up in McLeod? Excerpt from “Growing Pains” There is a language going on in my head that only belongs to these hours, that I can only understand when I lay hands on a patient. I hear it when I’m doubled over the dressing on a pressure sore, or when I’m massaging cream onto an open facial rash. I hear it when a patient cries because she wants to go home and I’m the one she cries to. It speaks to me the most clearly when I am leaning over her chest, all noise shut out completely, and I hear the entrancing lub-lub of her heart, the swishing, humming that I love. Lots of activity. Renovations began last summer, with plans for a new food commons. For up-todate information, visit our website at: www.nursing.virginia.edu/ expansion. —Kristi Glakas, first-place essay 2009 Creative Writing Contest for UVA Nursing Students www.nursing.virginia.edu Virginia Legacy 5• worth noting Faculty and Students Step Up to Support RAM T hanks to a host of capable volunteers, the 2009 Remote Access Medical (RAM) Clinic in Wise, Va., set a new patient record. By 5:30 a.m. on Friday, July 24, some 1,600 people were already waiting in line with various health care needs. Dean Dorrie Fontaine, nursing and medical faculty, 17 nursing students, and 18 medical students were among the 1,746 volunteers, many from UVA, who provided care to 2,715 patients in 5,598 treatment encounters. This marks a 21 percent increase over last year’s clinic. For patients who are uninsured or living in areas that are medically underserved, the RAM Clinic may offer the only health care they receive this year. Some of the nursing students joined medical students in preparing for RAM by participating in classes co-taught by Audrey Snyder, assistant professor of nursing, and Scott Syverud, professor of emergency medicine. The students rotated through various services on site, including assessment, client education, and advocacy roles. “The nurses, physicians, nurse practitioners, and other health system volunteers participating in the RAM event provide ex- Audrey Snyder consults with a nursing student on next steps. cellent role models for service learning and interdisciplinary collaboration to the nursing and medical students who participate,” says Snyder. Five nursing students enrolled in the Exploring Culture and Healthcare Access elective course and completed special •6 Virginia Legacy Nursing faculty and students work together with patients at the annual RAM clinic. patient education projects through RAM. One created laminated dental education cards, two developed a smoking cessation poster, and two collaborated on a nutrition board game and coloring books. For children and adults waiting in long lines, the game helped to pass the time while raising awareness of nutrition issues. “All students should attend a RAM event,” wrote one nursing student in a follow-up evaluation. “It is an opportunity to practice skills and assessments, e x p e r i e n c e a d i f f e re n t culture, and look at health care reform issues firsthand. I truly valued mixing nursing and medical students in the learning environment. I now feel like I have a partnership with medical students that I have never experienced before.” “The most beneficial part was in meeting the patients,” wrote another student. “I saw how they stood in line for hours, often not having eaten, and with many small children in tow. They slept in fields, in cars, overnight, some in wheelchairs, some with babies. They were so desperate to receive care.” Unrestricted Giving Bridges the Gap M ost giving to the School of Nursing is designated, or restricted, for specific purposes, such as funding a program or center. These gifts usually address specialized priorities and provide essential support for vital School needs. To meet broader, overarching goals, the School seeks a certain amount of unrestricted support. These flexible gifts are a meaningful way to drive innovation, providing pilot funding for novel teaching projects, special aid for students, or seed money for new research efforts. Unrestricted funds serve as a hedge against uncertainty, bridging national and state funding gaps and weathering economic shifts. The Nursing Annual Fund is the largest source of unrestricted support for the School. This year, 1,496 individuals contributed $307,403 to the Nursing Annual Fund. All gifts to the Nursing Annual Fund are valuable because they provide the dean with flexibility to meet the emerging needs of students and faculty. You can see a breakdown of annual fund giving over the years on page 31. To make an annual fund gift for this year, please use the envelope enclosed or give online at campaign. virginia.edu/supportnursing. Fall 2009 From the Nursing Alumni Association From the President M Members of the 2009–10 Alumni Council (l to r) Sharon Cumby Fay, Carolyn Jones DuVal, Marisa Kozlowski Paul, Patricia Booth Woodard, Fran White Vasaly, Lisa Kelley, David Strider, Mary Eckenrode Gibson, and Amanda Cunningham y first spring semester as Alumni Council president was filled with School of Nursing events that were both joyous and inspiring. In May at Final Exercises, I had the pleasure of welcoming 117 BSN and 106 graduate students into our ranks as alumni. They have received a top notch education and are wellprepared to start their new careers. But I was reminded of the challenges they face, especially those in their first positions as RNs, when I read an article about the nursing shortage in our local newspaper. Some of these graduates are fortunate to be in residency programs, but those who are not will especially need support as they learn to care for multiple patients and make critical decisions. I encourage each of you working in health care to seek out firstyear nurses and offer them your support and encouragement. You could make a real difference in their careers. I also had wonderful experiences in welcoming back several hundred of our fellow nursing graduates at the Thomas Jefferson Society Reunion in May and at Reunions Weekend in June. Though I am fortunate to spend time on Grounds regularly, I was able to see through the eyes of those farther away when I celebrated my own 40th Reunion in June. I was thrilled to visit with some classmates I had not seen since our days together in McKim Hall! I can’t tell you how much I enjoyed reconnecting with old friends and meeting new ones, visiting with our earliest alumni at the T.J. Society luncheon and welcoming the Class of 2009 at Pinning. Seeing the continuum of Virginia nursing excellence confirmed for me why I enjoy being active with the Alumni Association. Won’t you, too, share in the joy and the pride our School offers us? I hope to see many of you next year at Reunions—or at any of the other activities that bring us together to cherish our shared experiences and honor the School that gave us so much. Patricia Booth Woodard (BSN ’69) Virginia Beach www.nursing.virginia.edu Virginia Legacy 7• from the NAA midwifery at UVA, Shenandoah University, and Salisbury University. She “retired” to the Bahamas, where she has dedicated her time and energy to working with the local hospital while teaching nursing at the College of the Bahamas. Recently, she has worked with pregnant teens. DeLashmutt has volunteered countless hours to provide free in-service training to local nurses, consult with nursing administrators, provide childbirth classes to families, and serve as a doula for many childbirths. She is recognized as a role model to nurses and others in her community and a positive influence on island health care. Young Alumni Award Dean Dorrie Fontaine congratulates outstanding alumni Mary DeLashmutt and Peter Hill. Recognizing Outstanding Alumni E verywhere you find them, UVA nursing alumni are making a difference in the lives they touch. Many are leaders in clinical practice, teaching, research, or other aspects of the nursing profession. Two of these outstanding graduates received 2009 Nursing Alumni Association Awards during Reunions Weekend last spring. Distinguished Alumni Award This award is presented to an alumna or alumnus who has demonstrated outstanding contributions in scholarship and teaching, leadership, clinical practice, research, and/or contributions to the nursing profession. After receiving her nursing degree from UVA, this year’s recipient, Mary B. DeLashmutt (BSN ’67), earned masters degrees in science and moral theology from Columbia University and Mount St. Mary’s Seminary, and a PhD in nursing from George Mason University. Her research on the spiritual needs of homeless mothers raising children led her to develop clinical experiences for nursing students in homeless shelters. DeLashmutt practiced as a certified nurse midwife in eastern West Virginia and western Virginia, providing care to an underserved population of women needing both family planning and pre-natal services. She went on to practice in labor and delivery nursing at hospitals in Northern Virginia for over 30 years. DeLashmutt also taught maternity nursing and This award is presented to an alumna or alumnus who has graduated within the last ten years and who has provided significant contributions to clinical nursing practice, teaching, research, or leadership. This year’s recipient, Peter G. Hill (BSN ’01, MSN ’04), established a solo nurse practitioner family practice, the Elkton Family & Children’s Medical Clinic, in the small town of Elkton, Va. He was nominated for “his warm and embracing welcome to the patients within his waiting room” and applauded as “a champion in advanced nursing practice who provides excellence in care to the most needy in his community regardless of time, effort, or personal cost.” Hill has also offered clinical learning opportunities to UVA nursing students, allowing them hands-on experience in the challenges of a vulnerable, socio-economically distressed rural population. Hill originally came to UVA through the RN-to-BSN program. In June, ABC News aired Questions for the President: Prescription for America, a program focused on health care reform that featured a question-and-answer exchange with President Obama. Fay Raines (BSN ’71, MSN ’74), president of the American Association of Colleges of Nursing (AACN), was invited to participate. Raines was joined by various experts in health care, including a nursing student, Hershaw Davis, who has been accepted to UVA to begin work on his MSN in 2010. •8 AACN Representatives attending the White House event (from left): Dr. Janet Allan, Dr. Vernell DeWitty, Fay Raines, Lauren Underwood, and Suzanne Begeny. Virginia Legacy Fall 2009 from the naa Honoring Exceptional Faculty T Innovative Teaching Awards he School of Nursing Alumni Association sponsors annual awards to recognize faculty members for superior accomplishments in teaching, research, and service. Nominations are reviewed by a committee of nursing alumni with input from faculty. Award winners receive a cash award and are recognized at several events throughout the year. Each year, the Nursing Alumni Council funds creative projects that enhance and improve the curriculum and the learning experiences of nursing students. For 2009–10, the following awards were made: n “Using Simulation Technologies to Enhance Acute Care Performance and Management”— Sarah Delgado, Audrey Snyder, Reba Moyer Childress The Distinguished Professor Award went to Patricia Hollen. n “What Is It That I Hear? Enhancing Acquisition of Physiologic Organ Sounds Through Use of Innovative Teaching”—Randy Jones, Reba Moyer Childress Sarah Farrell received the Faculty Leadership Award. Faculty Leadership Award The Faculty Leadership Award recognizes School of Nursing faculty who have distinguished themselves as leaders in the nursing profession through their outstanding contributions in research, legislative influence, clinical service, or scholarly work. This year’s recipient is Sarah Farrell (BSN ’81, MSN ’83), associate dean for academic programs. T he a wa rd s sel ection com mittee commends Farrell as “an amazing faculty leader who serves as a role model for the professional nursing discipline, mentoring others, advocating for clinical research, and supporting a robust information technology infrastructure.” David Strider (BSN ’89, MSN ’92, ACNP ’97), awards committee chair, adds: “The University of Virginia School of Nursing has benefitted from her many contributions and commitment to high quality nursing education.” Distinguished Professor Award The Distinguished Professor Award recognizes superior accomplishments in teaching, research, or service that directly benefit the School of Nursing and UVA. This year’s recipient, professor Patricia Hollen (BSN ’67, PNP ’71), is honored www.nursing.virginia.edu n “Healthy Appalachia: Advanced Practice Nursing Preceptorships in the Virginia Coalfields”—Elke Zschaebitz n “Utilizing Experiential Learning to Foster Communication, Leadership and Peer/ Faculty Relationships in the Clinical Setting”—Kristi Gott Marianne Baernholdt was recognized for excellence in teaching. n “Resilience for Nursing Students: Developing for her kind and professional mentoring of students and her ability to inspire nursing scholars. As principal investigator for several large, federally funded research projects, Hollen has become known for her high expectations of herself and others and for engendering a high level of respect and fostering effective team building in her groups. Program Excellence”—Gina DeGennaro, Edie Barbero, Cynthia Brown n “Combining Interactive Computer Instruction with Lecture for Teaching Congenital Heart Defects”—Mary O’Laughlen n “Connecting Student Learning and Evidence- Based Practice Through Implementation and Evaluation of a Health Fair for Members of Blue Ridge Clubhouse”—Anita ThompsonHeisterman, Rebecca Harmon, Reba Moyer Childress Excellence in Teaching Award The Excellence in Teaching Award recognizes superior teaching at the undergraduate level. Assistant professor Marianne Baernholdt, this year’s recipient, is recognized for her commitment to “curricular excellence.” One student also commended her “ability to distill complex ideas and broaden the idea of nursing as a practice that extends beyond direct patient care to encompass the health care system, policy decisions, and the community.” Nominations for both the alumni and faculty awards are accepted at any time of year. Find nomination guidelines online at www. nursing.virginia.edu/alumni/awards. n “Let’s Play: Teaching Students and Parents How to Encourage Play to Promote Healthy Development”—Vickie Southall n “Pharmacology Field Trips”—Elizabeth Epstein Virginia Legacy 9• from the NAA Reunions 2009 Reunions 2009 Memories Made and Shared Attendance and enthusiasm ran high at School of Nursing reunions last spring. In May, nearly 140 alumni and guests attended the Thomas Jefferson Society Reunion luncheon. Members of the Class of 1959 were welcomed into the T.J. Society, while they also celebrated the completion of 10 years of fund raising to fully endow the Anne Pollok Hemmings Clinical Excellence Fund. At June Reunions, the School of Nursing set a new record for attendance. Across all activities—Saturday luncheon, building tours, and Sunday brunch—the School welcomed back 186 alumni and their families and guests. Virginia “Gib” Pulley shares a laugh with Jane Trevillian Nott at their 45th reunion. The BSN Class of 1959, then (above), and at this year’s T.J. Reunion (left). Joan Eubank Decosmo and Sue Fishel Ramzy, Class of 1974, sample the barbecue at the Nursing Reunions luncheon. Amy Alderman enjoys reconnecting with fellow members of the Class of 2004 at their five-year reunion. Do you have photographs, letters, or other memorabilia from your time as a UVA nursing student or from the early days of your nursing career? Consider donating these items to the Center for Nursing Historical Inquiry to add to your Reunion experience and to help preserve nursing history. For more information, contact the CNHI staff at [email protected] or (434) 924-0083. • 10 Virginia Legacy Fall 2009 Reunions 2010 Reunions 2010 Looking Ahead Save the Dates Thomas Jefferson Society Reunion May 17–19, 2010 Welcoming the Class of 1960 into the society and honoring all current Thomas Jefferson Society members Visit www.virginiareunions.com for details from the UVA Alumni Association. UNDERGRADUATE CLASS Reunions June 4–6, 2010 Celebrating the classes of 1965, 1970, 1975, 1980, 1985, 1990, 1995, 2000, and 2005. Above: From the class of 1999, celebrating their 10-year reunion: Kristi Kimpel, Lisa Kelley, Carey Lowe Waters, and Marisa Kozlowski Paul. Do We Have Your Email Address? Help us achieve our goals to be “greener” and leaner. Every additional email address from alumni and friends allows us to be better stewards of our environment and our financial resources. As we increase our use of electronic communications, we want to make sure to keep you informed and educated about happenings at the School of Nursing. You can provide us with your email address and update all other information, as well as submit a news note, at www.nursing.virginia.edu/ alumni/update. www.nursing.virginia.edu Sign Up Now! Host a 2010 ’Hoos Coming to Dinner Do you love to entertain or plan events? Or just love to visit with other UVA nursing grads? If so, consider signing on to help the Nursing Alumni Association gather groups together across the country to celebrate Mr. Jefferson’s birthday in April. We are looking for hosts and co-hosts to plan and implement a “birthday event” to be attended by fellow nursing alumni in your area. It doesn’t have to be dinner. Hosts may plan lunches, cocktail receptions, backyard barbecues, breakfasts, or coffee/dessert gatherings. Or, you may prefer to arrange a small dinner reservation at a restaurant, a cookout in a local park, a casual happy hour at a local bar, or a wine and cheese reception at an elegant lounge. You could even set up an on-site lunch or coffee break in a conference room at your workplace with other UVA nurses. Whatever you choose is fine—as long as it brings together UVA nursing alumni in a shared celebration. Your gathering should take place between April 13 and 18. You (and any cohosts you invite to join you) handle the location and any local logistics. You may choose to cover the expenses for your gathering, or you may ask your attendees to pitch in (such as dutch-treat or potluck meals). The School’s alumni office will help you with the invitation process and some UVA materials and prizes. Please sign up to host by February 1, 2010. An online form is available at www.nursing. virginia.edu/alumni/hoosdinner/, or you may e-mail [email protected]. If you’d like to get more information or brainstorm event ideas, please call Amanda Cunningham (BSN ’05), event chair, at (804) 337-2830, or Julie Goodlick, director of alumni affairs, at (434) 924-0084. Virginia Legacy 11 • Learning Together to Improve Care UVA’s Interprofessional Education Initiative promotes joint educational experiences for nursing and medical students By K at h l e e n Va l e n z i K n au s were making an emergency landing at Chicago’s notoriously busy O’Hare airport and discovered that the air traffic controller didn’t speak the same language you did? How would you assure a safe and healthy landing of the people on your airplane? According to UVA’s Valentina “Tina” Brashers, MD, this hypothetical situation is no less troubling than being a young doctor—trained in the specialized language and skills of your profession—and finding yourself with a patient whose care requires the language and skills of a nurse. If you were that young doctor, would you know what to do? For Brashers, the question is not rhetorical. Years ago, on her first day of work at a family medicine clinic in rural Virginia, she faced a challenge that her fellowship in pulmonary disease had not prepared her to handle: a 14-year-old having an asthma attack arrived after the nurses had gone home for the day. While her pulmonary training prepared Brashers to order the correct medications, she didn’t know how to actually administer them because nurses had always handled that task for her. Nursing professor Tina Brashers (center) and nursing and medical students (clockwise from left) Alicia Dean, Michael Mercer, Harmony Caton, Tara Albrecht, Allison Rowe, and Jim Edwards Virginia Legacy 13 • The next day, a woman came to the clinic complaining of chest pain, shortness of breath, and nausea. Brashers immediately began traditional medical evaluation and treatment for a presumed heart attack. She was interrupted by a nurse, who shared her knowledge of the patient’s medical, social, and psychological history. That day was the anniversary of the death of the woman’s husband from a heart attack. Each year on that date, she had come to the clinic with the same complaints. By sharing her compassionate and in-depth knowledge of the patient, the clinic nurse helped Brashers rule out a serious physical illness and work to reassure and support the patient. Both of these challenges gave Brashers a new, and visceral, appreciation for collaborative care—an appreciation that has guided her career, both as a scholar of collaboration across professional lines and as a teacher and practitioner of it. The Arrival of Interprofessional Education According to Brashers, a “remarkable juxtaposition of pressures and events” has led to “interprofessional education”— the term used to describe two or more professions learning with, from, and about each other to improve collaboration and quality of care—becoming a priority for institutions dedicated to educating health professionals. In 1999, the Institute of Medicine published “To Err Is Human,” a report describing interprofessional collaboration as essential to providing safe, effective, and efficient health care. In 2003 the Institute of Medicine published “Health Professions Education,” a report documenting the need for interprofessional education and citing it as the basis for developing a “collaboration-ready workforce” capable of addressing the crucial issues of increased access to health care, expansion of the health care workforce, improved quality and safety of patient care, and increased efficiency leading to cost savings. The American Association of Colleges of Nursing and the Association of American Medical Colleges also now stress the need for learning that is “interdisciplinary team-based” and that strives to educate “skilled interprofessional teams of practitioners” while promoting “interdisciplinary research teams.” Even though interprofessional education, or IPE for short, is a new and not widely recognized term, many examples of it can already be found at UVA. One of the earliest is the interdisciplinary Basic Patient Care Skills training program that IPEI Subgroups & Chairs “Administration and Development”: Christine Peterson “Building on What Is and New Proposals”: Tina Brashers “Grant Proposal Development”: Terry Saunders “Marketing and Building an Institutional Culture for IPE”: Suzanne Burns • 14 Virginia Legacy School of Medicine Dean Steven DeKosky and School of Nursing Dean Dorrie Fontaine share a commitment to interprofessional education at UVA. Brashers created in 1990 in order to pair medical students with veteran nurses, emergency medical technicians, and respiratory therapists for hands-on training in basic patient care skill areas. Another example is the Clinical Simulation Learning Center, directed by Reba Moyer Childress (BSN ’79, MSN ’91, FNP ’92), which provides a variety of health care simulations for medical and nursing students and other professionals. Yet another is the use of nurse practitioners from the Department of Obstetrics and Gynecology and from Student Health Gynecology Services to instruct medical students and residents in clinical settings. Even so, the development of IPE opportunities has been “hit or miss,” says Dorrie Fontaine, dean of the School of Nursing. They arose because isolated faculty acted on good ideas, but “if the faculty went away or funding stopped, the programs disappeared.” The interest in methodically developing and integrating IPE into the curricula and cultures of UVA’s nursing and medical schools began last fall, with the arrival of Fontaine as the new nursing dean and Steven DeKosky, MD, as the new dean of the School of Medicine. Fontaine’s career began as a trauma/critical care “teambased” nurse in Baltimore for 15 years. She went on to teach biomedical ethics to nursing and medical students at Fall 2009 Georgetown University, before being appointed associate dean for academic programs in the School of Nursing at the University of California, San Francisco. At UCSF, Fontaine played a leading role in efforts to improve educational collaboration. All of her career experiences combined have influenced her decision to make IPE a strategic priority at UVA. As Fontaine tells it, not long after moving into her new office in the Claude Moore Nursing Education Building, she made a deal with DeKosky. “I told him, ‘I really care about interprofessional education,’ and I said that if he’d support me in advancing it here at UVA, I’d support him in advancing his strategic goals.” DeKosky was a willing colleague. “In my career, I learned early on how much nurses teach doctors in the ICU and CCU,” he says. “Most of my career has involved neurodegenerative disorders, and the care and evaluation of those patients is always interdisciplinary. No one takes care of them alone. There’s no question that patients and families … expect their providers to be able to communicate with each other and know what’s going on.” According to the deans, few other institutions are providing IPE. Here and there, one can find programs and departments with IPE activities, but even though those activities are successful, “they don’t necessarily evangelize them,” DeKosky says. “The idea that everyone can learn from one another hasn’t generalized yet; it hasn’t sparked. One of the ways you can try to make the receptors more open to professional collaboration and joint learning is to train students that way.” Jessica Monroe demonstrates nursing procedures for medical students taking part in an interdisciplinary training session. IPE Initiative Takes Root The “group” that Fontaine refers to is the one she and DeKosky formed at the beginning of 2009. It is known as the UVA Interprofessional Education Initiative. “It’s hard to take a perspective on whether the Interprofessional Education Initiative is overdue at UVA or not, when it’s so germane and important,” says Christine Peterson, MD, assistant dean for medical education. “Its arrival required the right people and the right opportunities and the right technologies coalescing at the same time. … So the way I see it, IPE at UVA is less ‘overdue’ and more ‘its time has come.’” Peterson is one of four people tapped to serve as co-chairs of the initiative. The other three co-chairs are Brashers; nursing professor Suzanne Burns (BSN ’85, MSN ’88, ACNP ’96); and Terry Saunders, assistant professor of medical education in internal medicine. The co-chairs are joined by eight faculty, six students, and two administrators who serve on one of the initiative’s four work groups. Their work is supported by Madeline “Mattie” Schmitt, a leading expert on IPE in the United States and emerita professor of nursing at the University of Rochester, and recently, Frank Talbott Jr. Visiting Professor of Nursing at UVA. “Effective interprofessional education goes hand-inhand with effective interprofessional health care delivery in an institutional culture that fosters both,” says Schmitt. “There are important, unified efforts underway in the UVA Health System and the medical and nursing schools to foster a positive culture of learning about the nature of each others’ work, effective communication, cooperation, coordination, and the collaboration across professions that have natural links to interprofessional educational efforts.” The UVA team has identified five core competencies— communication, professionalism, shared problem solving, shared decision making, and conflict resolution—that IPE must impart to be considered successful. These competencies deliver a clear and concise overview of the goals for IPE at UVA, and each can be achieved using a broad range of course or experiencespecific objectives and strategies. Nursing student Denise Landers and medical student Sean Foster team up to help a patient at the annual Remote Access Medical Clinic. The same absence of systemic support for IPE has been true at UVA. “Until we started looking around, no one had any idea we were doing IPE as well as we’re already doing it,” Fontaine says. “That’s why we formed this group, to really talk about the importance of it and how to make it sustainable and integrated and something that we, at UVA, can become known for.” www.nursing.virginia.edu Virginia Legacy 15 • Eventually, IPE will be embedded in the curriculum, beginning “from year one,” Fontaine says. As envisioned, students will engage in a variety of activities—such as interactive teaching experiences, E-learning activities, role plays, and shared clinical experiences. Over time, they will master various learning levels, from Level 1 (the acquisition of knowledge about the history, basic role, values, training, and capabilities of their own and other professions and the ability to communicate with ease), through Levels 2-4 (successively, the acquisition, demonstration, and application of teamwork competencies to effective patient-centered care in multiple care systems), to Level 5 (the engagement in life-long learning and self evaluation of teamwork competencies). Student Interest Alicia Dean (BSN ’09) and Harmony Caton, a fourthyear medical student, both served on UVA’s inaugural Interprofessional Education Initiative. They are both deeply committed to the project, and say fellow students are equally interested in seeing more IPE experiences added to the curriculum. Dean, a native of Mansfield, Mass., and the first in her family to attend UVA, served on the “Building on What Is and New Proposals” work group, where she described her role as one of “listening and making suggestions,” such as “how helpful it would be for nursing students and medical students to shadow each other.” Caton, who hails from New England but came to UVA after Bice Lecture Highlights IPE Madeline Hubbard Schmitt, professor emeritus of the University of Rochester School of Nursing, was this year’s Zula Mae Baber Bice Memorial lecturer. Schmitt is a pioneer and leader in interprofessional education who has been working closely with UVA Madeline Hubbard Schmitt leadership and faculty on the Interprofessional Education Initiative. “I was struck by the variety of interprofessional learning activities for medical, nursing, and other students already under way at UVA,” says Schmitt. “I recognized a number of these as truly innovative and worthy of greater visibility, not only within UVA, but more broadly. It is a pleasure to help support the interprofessional education efforts of UVA faculty and students by connecting their efforts to national and international initiatives that foster interprofessional learning as a core part of the health profession’s education.” View Schmitt’s lecture on YouTube: www.youtube.com/user/ UVAMCH. • 16 Virginia Legacy two years in Botswana as a member of the Peace Corps, serves on the “Marketing and Institutional Culture” work group. Last spring, she served the committee by collecting anecdotes from students about times they learned something valuable from someone outside their profession. One such experience, reported by medical student Elizabeth Elliott, describes an event that occurred during Elliott’s acting internship in the Neonatal ICU: “One night, on call, the respiratory therapist pulled me and the intern aside and did a whole lecture on the types of ventilators, ventilator settings, weaning, etc. It was extraordinarily helpful.” Both Dean and Caton believe that building bridges between the professions must start in the classroom. “If nursing and medical students could get to know each other on an individual basis, it would make it easier for them to know where the other is coming from when they interact in the hospital,” Dean says. “Residents eventually figure out how a nurse’s day goes, but it seems silly to wait until you’re working as a resident to learn that,” says Caton. “It would be more valuable to learn that while you’re still a student, before it’s your first day on the ward.” Besides, Caton adds, “The nurses are so invested in patient care that they are rich in pearls of wisdom if you are willing to ask for their advice.” Next Steps This fall, the UVA Interprofessional Education Initiative’s main objective is raising awareness and interest around Grounds. Plans are under way to create marketing materials, such as posters and buttons, that define IPE and convey why it’s so important. The process of educating faculty at the Schools of Nursing and Medicine about IPE will help to embed it within the culture of the schools and foster ongoing innovation. Grants and gifts will be sought to ensure sustainability of programs over the long term. At present, there is no firm timeline yet for when IPE will be fully developed at UVA. “We came into this knowing that all the low-hanging fruit had been picked, and the hard work would fall to us,” Fontaine says. But the commitment is there, as well as the determination. “This will take time,” DeKosky admits, “but luckily, I’m not an impatient person. I’m okay working slowly. The important thing is that we make this sustainable so that it survives long after Dorrie and I are gone.” Which suits students just fine. Even though she only got a small taste of IPE while studying at UVA, Alicia Dean sees its long-term value. “As we move into the future,” she says, “IPE will become more and more important to potential nursing students evaluating where they want to go to school. They’re going to be asking questions like ‘How are you working and interacting with medical students and doctors?’ I think the answer to that question could really make or break a student’s decision to apply. The fact that UVA will be able to bring up IPE with new and prospective students is invaluable.” Fall 2009 New Tools to Lead By A n n a T u bb s E m e r y Undergraduate research brings renewed vibrancy to the School of Nursing Nursing student Michelle Dorsey interviews patients to gather firsthand research for her project. A s momentum grows to revamp, if not overhaul, the nation’s health care system, it’s difficult to predict exactly what challenges tomorrow’s nurses will face. Yet one thing will remain constant. Nursing leaders will continue to draw on research as one of their most effective and essential tools in enacting change. As the science of nursing plays a growing role in shaping practice, students within the School of Nursing are becoming engaged at much earlier stages in their education. “Undergraduates are creative, have new ideas, and see things from a different perspective,” says Beth Merwin, associate dean of research and director of the School’s Rural Health Care Research Center. “They bring energy to a project, and ask different questions. All of these qualities are essential to research.” Gaining Focus with Support of Faculty Each year, a handful of nursing undergraduates pursue their own independent research within the framework of the School’s distinguished majors program. The questions these students ask in their work are ambitious and diverse. But even those who arrive on Grounds with a natural inclination towards independent study are often unsure where to start. Nursing faculty play a pivotal role in engaging these students. Through their lectures and in more informal interactions, they help students conceptualize the role of a nursing researcher. “I knew I wanted to leave my mark on UVA,” says fourth-year student Michelle Dorsey. “Doing my own research seemed the clearest avenue.” Dorsey took an obstetrics class co-taught by Mary Gibson (BSN ’75, MSN ’86), assistant professor, that piqued her interest. She decided to focus her distinguished majors project on the relationship between prenatal health care and infant outcomes. Specifically, she wanted to investigate these themes in Cabell County, WVa. “I was born there and still have family ties,” she says. “My connection to the Appalachian culture led me to investigate why the relatively high rates of prenatal care in the area do not translate into better infant outcomes.” She turned to nursing faculty, including Merwin, for help in developing and focusing her ideas. “Dr. Merwin provided me with the resources necessary to make my research happen,” she says. “She gave me articles to read, sent me to research conferences, and directed me to different resources around Grounds.” Merwin also helped her prepare her application for the prestigious, University-wide Harrison Undergraduate Research Awards program, designed to remove the financial barriers that often exist for students who want to pursue their own research over the summer. Dorsey received a Harrison award, and spent this past summer in West Virginia, interviewing patients at a Cabell County hospital. This fall, she is again working with Merwin, Gibson, and other nursing faculty to compile and analyze the information she gathered. In the spring, she’ll formally present her findings to the University community, • 18 Virginia Legacy hopefully inspiring other nursing students to apply to the distinguished majors program. Her research helped Dorsey focus her plans following graduation. “This project is a prelude to my future career,” says Dorsey. “I want to make a difference, and with my new understanding of the topic, I’m hopeful that I will be able to reach rural Appalachian women and their families, a population poorly understood by the rest of the nation.” A Tool that Offers Insight Undergraduate nursing students at UVA are formally introduced to research in their third year of study. A required course focuses on research methodologies and critical thinking skills. Throughout the semester, students use this knowledge to uncover the evidence behind the practices they are being taught in their other courses and that they encounter firsthand in their clinicals. Sarah Farrell (BSN ’81, MSN ’83), associate dean of academic programs, knows these skills will assist students after they graduate as well. “The ability to critically evaluate information creates opportunities to improve health care,” she says. “Our students want to be agents of change in their future careers. Understanding research and the research process gives them an additional tool they’ll need.” Ellen Davis (BSN ’09) agrees. During her third year, Davis went on a mission trip to Kampala, Uganda, with a group that works with the city’s orphans. Fourth-year student Kate Bagley meets with Sarah Farrell to discuss plans for her research project. Fall 2009 Ellen Davis worked with orphaned Ugandan children for her distinguished majors project. Theresa Carroll and Emily Drake helped the School secure funding from the Jefferson Trust to support the Nursing Undergraduate Research Initiative. “It was a life-changing experience, and I came away full of questions,” she says. “Because of my nursing background, many were health related. What were the biggest threats to the health of these kids? What areas should be the focus of teaching to improve their overall health?” Davis’s questions became the subject of her distinguished majors project, and also formed the basis for a health education program in Kampala. Over the course of her fourth year, she met regularly with Farrell and other nursing faculty to conduct an indepth analysis of the factors affecting the health of the orphaned children. On a subsequent trip to Uganda, she used the principles of community-based participatory research to create medical records for over a hundred children. “Research afforded me a way to think through a very complex situation and actually gain some insight,” says Davis. “The skills and methods I used in my distinguished majors project are applicable in any setting.” Davis now works as a nurse on the adult cancer floor at Vanderbilt Medical Center in Nashville, Tenn. Between shifts, she’s planning her next trip to Uganda. “My experiences there have completely shaped what I am doing now, and what I will do in the future,” she says. Theresa Carroll, assistant dean for undergraduate admissions and student services, and Lori Cwalina, assistant vice president for development, spearheaded a new program—the Nursing Undergraduate Research Initiative—designed to encourage students to begin thinking about independent investigative study from the moment they arrive on Grounds. The initiative is multi-pronged, progressively exposing students to nursing research over their four-year undergraduate experience through team building with nursing research faculty, and roundtable discussions of hot topic issues in nursing. At its heart, the Nursing Undergraduate Research Initiative provides the framework and financial support for summer research teams, each consisting of an undergraduate nursing student, a graduate nursing student, and a faculty advisor with expertise in the student’s area of interest. “It’s a win-win-win situation,” says Farrell. “Students gain an ‘in’ to clinical settings where they might not feel totally confident on their own, graduate students learn mentoring skills, and faculty find the enthusiasm and creativity of the students energizing.” Last spring, the School of Nursing secured funding from the Jefferson Trust for the program’s first year. Managed by the UVA Alumni Association, the Jefferson Trust provides funding to new programs and initiatives that support the University’s mission. In recent years, the University as a whole has renewed its commitment to fostering undergraduate research. Drake knows that research can sometimes be a hard sell for students early in their academic career. Yet, she’s confident that earlier exposure to research will change any misperceptions. “It’s not exciting for undergraduates until they see it firsthand, or better yet, participate themselves. Then, they become passionate,” Drake says. “We knew we just needed to find a way to light that fire, and the Nursing Undergraduate Research Initiative gives us the tools to do just that.” A New Initiative The nursing undergraduate curriculum is rigorous, and many students have difficulty finding time to incorporate research. Yet, Dorsey and Davis would agree, the experience of working closely with faculty in an area of shared interest adds a deeper, richer dimension to the undergraduate experience. Emily Drake (BSN ’85, MSN ’93), director of the School’s baccalaureate program, wanted to find a way to extend this same experience to more students. Together, Drake, Farrell, www.nursing.virginia.edu Virginia Legacy 19 • Discovering new knowledge to inform and change nursing practice and education is a long-held University of Virginia tradition. In this section, we explore specific research initiatives under way by UVA nursing faculty. Nursing research begins with real health care questions aimed at improving care for patients. Impact Nursing Research Effecting Changes in Prevention, Practice, and Policy Prevention Smoking is a known contributor to life-threatening conditions such as heart disease, cancer, and respiratory diseases like asthma and emphysema. It’s imperative to discourage young people, especially those with compromised health, from using tobacco. Researchers start with the question: “How do kids decide about tobacco use?” To Smoke or Not to Smoke T Pamela Kulbok researches new ways to prevent teens from smoking. Mary O’Laughlen, Patricia Hollen, and Martha Hellems are studying an intervention aimed at teens with asthma. • 20 Virginia Legacy he Virginia Tobacco Settlement Foundation ( VTSF), a division of the Virginia Foundation for Healthy Youth, has awarded grants totaling $1.2 million dollars to two UVA School of Nursing research teams exploring interventions to prevent teen smoking. The first study is led by assistant professor Mary O’Laughlen (PhD ’06) and Patricia Hollen (BSN ’67, PNP ’71), the Malvina Yuille Boyd Professor of Nursing. Their work examines a tool designed to educate adolescents with asthma on the risks of substance abuse and influence their decision making. National surveys have reported that substance use behaviors, including tobacco use, are higher in asthmatic adolescents than the general population. The interdisciplinary team’s research will be conducted with 240 teens with persistent asthma at three clinical sites led by three co-investigators: Martha Hellems, MD, at UVA Medical Center; Anne-Marie Irani, MD, at Virginia Commonwealth University; and Albert Britto, MD, at Inova Pediatric Center. The primary interventionist at each site will be a nurse practitioner. The second study looks at tobacco use in rural areas. Not surprisingly, young people living in rural tobacco-growing areas have the highest rates of cigarette and smokeless tobacco use in the United States. But not all teens in these areas use tobacco. What makes some decide against it? Associate professor Pamela Kulbok and her co-principal investigator Peggy Meszaros at Virginia Tech are looking for answers with Partnering with Rural Youth and Parents to Design and Test a Tobacco, Alcohol and Drug Use Prevention Program Model. Co-investigators include Nisha Botchwey in UVA’s School of Architecture; Ivora Hinton, coordinator of data analyses and interpretation in the School of Nursing; and Donna Bond at Carilion Clinic. The community participatory research team also includes youth, parents, and trusted community leaders. The work will build on Kulbok and her colleagues’ previous studies with 16and 17-year-old non-smokers, including boys in rural tobacco-growing areas, to determine what factors influenced them to not smoke. Equipped with cameras, these boys photographed influences important to them as they considered their smoking decisions. Fall 2009 Impact PRACTICE What does it take to change practice to be more effective? Sometimes it’s as simple as seeing things through patients’ eyes, brainstorming with colleagues, or using a low-tech, inexpensive new piece of equipment. variety. According to a literature review, red light does not affect circadian rhythms or the production of melatonin. Thompson-Heisterman’s poster describing the study won first place at the 11th Annual International Society of Psychiatric Mental Health Nurses conference. “This has been the little poster with legs,” says Thompson-Heisterman, noting that other psychiatric nurses have been interested and team member Goodman was invited to present the study’s results to the Professional Nursing Staff Organization at UVA. Now plans are under way to implement use of the red-filtered flashlights across the UVA Medical Center. Research mentor groups, such as the one pioneering this study, are clinician teams recruited by nursing professor Suzanne Burns (BSN ’85, MSN ’88, ACNP ’96) with the goal of developing evidence-based research programs at the UVA Medical Center. Taking Care of Diabetes Anita Thompson-Heisterman led a study designed to reduce sleep disturbances in hospitalized psychiatric patients. A Better Night’s Sleep T he idea for a study to benefit psychiatric patients came out of a nursing research mentor group discussion. Assistant professor Anita Thompson-Heisterman was sharing with her colleagues some of the challenges experienced with patients in the psychiatric unit of the UVA Medical Center who must be checked every 15 minutes throughout the night. For psychiatric patients, sleep disturbance is a common complaint, and the safety checks seemed to be contributing to the problem. One of the group members, a critical care nurse, observed that the nurses’ flashlights could be a sleep disrupter. A surgical nurse recalled using red-filtered flashlights when in the military, and a research study was born. A multidisciplinary psychiatric services nursing research team—including ThompsonHeisterman, Sheila Aldoost, Ana Askew, Carol Burrage, and Kim Goodman—investigated the use of red-filtered flashlights during night safety checks. In this crossover study, one psychiatric unit served as the experimental group and a second as a control group. The next month www.nursing.virginia.edu the roles were reversed. The study found that mental health patients report getting more sleep when nurses use red-filtered flashlights on their rounds instead of the usual incandescent A frican Americans suffer from type 2 diabetes at twice the rate of others in the U.S. (13 percent versus 7 percent). That rate may be underestimated because many cases go undiagnosed. About a third of those diagnosed also suffer from complications such as hypertension, arthritis, and depression. In Ishan Williams and Sharon Utz (seated, left and right) are testing a diabetes intervention program with colleagues (left to right) Kathryn Reid, Guofen Yan, Eugene Barrett, Simona Parvalescu-Codrea, Ivora Hinton, and Randy Jones. Virginia Legacy 21 • impact addition, rural African Americans may also face long distances to travel for health care, limited financial resources, and the stigma sometimes associated with the disease. Taking Care of Sugar: African Americans Deal with Diabetes is a pilot study funded through the School of Nursing’s Rural Health Care Research Center. Associate professor Sharon Utz and colleagues are testing a diabetes intervention culturally tailored to African Americans living in rural Virginia. The intervention uses story sharing as a learning method along with hands-on activities (including label reading, carbohydrate counting, meal planning, cooking, and walking exercises) and problem-solving exercises (ways to acquire less expensive or free medications and supplies, qualifying for financial assistance, etc.). In addition to Utz, the research team includes co-investigators assistant professor Randy Jones (BSN ’00, MSN ’02, PhD ’05) and Kathryn Reid (BSN ’84, FNP ’96), along with research assistant professor Ishan Williams and Ivora Hinton, coordinator of data analyses and interpretation. Content for the interventions are based on seven areas of self-management identified by the American Association of Diabetes Educators: healthy eating, being active, monitoring blood glucose, taking medication, problem solving, reducing risks, and healthy coping. The learning occurs within a supportive group atmosphere. Most of the eight, two-hour sessions begin with sharing stories related to diabetes and overcoming chronic illness led by an African-American woman using local references. Educational materials are tailored to the audience, with educators responding to the group’s priorities. After positive results with a small test group of 21 participants, the team has received additional funding to conduct a larger, more complex study. For this phase, they have added an advanced practice nurse project director and a community health worker to serve as liaison between health professionals and the African-American community. • 22 Virginia Legacy POLICY How can we assure excellent health care for people living in rural areas—especially when every minute counts? Improving Stroke Care and Rural Health Systems T he Commonwealth of Virginia has one of the nation’s highest rates of stroke incidence and death. In 2004, stroke was the state’s third leading cause of death, representing seven percent of total deaths in Virginia and almost eight percent above the national stroke mortality rate of 50 per 100,000 people. Despite these statistics, stroke care in Virginia has been highly fragmented, especially in rural and underserved communities. Nearly a quarter of Virginia residents are more than an hour’s drive from a primary stroke center, and only 14 of the state’s 247 full-time-equivalent board-certified neurologists practice in rural areas. Using federal funding, the Virginia Telehealth Network (VTN) has formed the Virginia Acute Stroke Telehealth Network (VAST) to address the problem in collaboration with the American Heart Association and the American Stroke Association. VAST is developing a systematic structure to provide more timely care for rural stroke patients. The program has three key areas of focus: educational outreach, pilot projects, and social marketing to educate the public about symptoms and the value of immediate intervention. Assistant professor Marianne Baernholdt serves in the educational outreach group Marianne Baernholdt is working to educate rural health providers on resources for stroke care. Fall 2009 Impact targeting providers and educating them on the resources available to them, including telehealth consults with specialists in major acute care hospitals. For Baernholdt, this work is a natural extension of her primary research interests: quality of care in small rural hospitals, work environments and the organization of care, and evidence-based practice. She is the primary investigator on an NIH-funded study to examine how the nurse work environment and other factors affect the quality of care in small rural hospitals in Virginia and North Carolina. She also leads a study focused on quality of care in critical access hospitals. “VAST is targeting an area where quality of care needs real improvement, including the regular use of evidence-based guidelines for stroke care,” says Baernholdt. “While everybody now knows how important time is in getting the right treatment to patients suffering from a heart attack, few people, including providers, realize that time is of the essence for stroke patients, too. Research has found that strokes cause brain damage in as little as three minutes. The goal of VAST is to increase both awareness and resources to providers, so that even rural patients who are typically far from a stroke center will get timely care.” A current pilot program in Virginia’s Bath Community Hospital links a robot at the patient’s bedside to a neurologist at UVA (through the telehealth network in the School of Medicine), Augusta Medical Center, or Rockingham Memorial Hospital. The neurologist can see the patient and interact with patients, their families, and local providers. In December 2008, VTN held a day long interactive summit with professionals in advocacy, community outreach, policy and administration, education, direct care services, public health, and technology. Strategies for Using Technology to Improve Statewide Stroke Systems of Care is assessing Virginia’s current resources, looking at systems in use throughout the country (including successful telestroke models), and discussing the accompanying infrastructure, business, legal, regulatory, and legislative issues. Last January at a Capitol Hill presentation, the VTN and VAST programs were offered as examples of how Virginia is helping to drive the national health IT strategy. www.nursing.virginia.edu Beth Merwin (left) and interns (l to r) Jack Thorman, Simona Parvulescu-Codrea, Meghan Sheeley, Premkumar Periyasamy, and Brian Andrew. Stimulus Funds Aid School Priorities T he School of Nursing has received federal stimulus funding to support five undergraduate and/or clinical nurse leader (CNL) summer interns in the Rural Health Care Research Center in 2009, and eight positions in 2010. “This funding will play an essential role in expanding our research and outreach efforts, while creating wonderful opportunities for our students,” says Beth Merwin, the Madge Jones Professor of Nursing and associate dean for research. “We were grateful for the opportunity to apply for this funding and pleased that our programs were singled out among so many applicants. Exposing students early in their careers to rural research may influence their future career choices and contributions.” In addition to providing support for the research studies, faculty members will offer weekly seminars for the interns. One intern, Premkumar Periyasamy, a second-year chemistry major who minors in global public health, is developing special maps of the United States. The maps highlight rural areas that are related to a research study led by Merwin. Another intern, Brian Andrew, holds a degree in human biology and is completing prerequisite courses for medical school. His work with Pam Kulbok on a study to prevent teen smoking aligns with his health care career objectives. Tasmin Fanning recently graduated from Virginia Tech and started a graduate program this fall. She is working with Mary O’Laughlen and Audrey Snyder. Two of the summer student research interns are linked to UVA’s CNL program. Meghan Sheely recently completed the program and is working with Marianne Baernholdt to support multiple studies, including one on rural hospital quality of care. Simona Parvulescu-Codrea is a current CNL student and is working with researchers on two studies. She is supporting Sharon Utz and Ishan Williams in their work to develop a culturally sensitive diabetes intervention for rural African Americans and also collaborates with Ishan Williams and Karen Rose on a dementia study. Overall, the School submitted nine funding applications totaling almost $13 million through the American Recovery and Reinvestment Act federal stimulus package. The requests fell into categories ranging from health and science research to administration to space and equipment. Information on the additional requests should come later this fall. Virginia Legacy 23 • Philanthropy Garland and Jean Hagen are creating scholarships for nursing and engineering students. A Legacy of Scholarships—for ‘Hoos AND Hokies F Is a Charitable Bequest Right for You? Bequests are essential to the future of the UVA School of Nursing. They are also: Tax Wise—a bequest to the School of Nursing is not subject to estate tax Flexible—funds may be directed to any School of Nursing program you choose Comfortable—bequests allow you to retain your assets throughout your lifetime Revocable—you may make changes throughout your lifetime To learn more, please contact Mary Beth Knight, director of major gifts, at [email protected]. • 24 Virginia Legacy or Garland and Jean Hagen (BSN ’66), it’s always hard to pick a favorite between UVA and Virginia Tech. So, when it came to making a legacy gift of student scholarships, they did the only thing that felt right—they gave to both institutions. UVA and Virginia Tech ties run deep for the Hagens. Jean Hagen graduated from the UVA School of Nursing, while Garland took his degree in engineering from Virginia Tech. The Hagens have two sons—one attended Virginia Tech; the other went to UVA. “I received scholarship support when I was a student at Virginia Tech,” says Garland. “And I decided that I wanted to repay the favor by supporting student scholarships.” “And then I said, if we’re doing it for Tech, we’re also doing it for UVA,” adds Jean. Generations of future nurses and engineers will reap the benefits of the Hagens’ generosity and friendly rivalry. Through a generous bequest in their estates, the Hagens will create endowed scholarships in the UVA School of Nursing and the School of Engineering at Virginia Tech. “Scholarships made a big difference to me,” says Garland. “They helped me get my foot in the door for my eventual career. I have a strong belief that colleges should be there to support the students, not just sports programs and research.” “And I’m happy that we can help more students receive a strong nursing education,” adds Jean. “It’s especially important with the growing nursing shortage.” Bequests—An Easy Way to Give To make their scholarship commitment, the Hagens used an increasingly popular option—a bequest intention in their will. Bequests and other deferred gifts, such as trusts or annuities, allow donors to make commitments now to be funded later. “We can’t forecast the future, but we knew we wanted to make a substantial gift,” says Jean. “A bequest allows you to provide a more generous gift than you might otherwise be able to make. With the current economy, this could be a good method for lots of people.” The most important thing, the Hagens agree, is helping the students of the future. “When you have had a good life and have been reasonably successful, it is a good feeling to be able to give back for others,” says Jean. Scholarships Open Doors Scholarships, such as those that the Hagens are supporting, encourage students to pursue nursing degrees and let them graduate without overwhelming debt. This allows them the freedom to choose careers in high-need areas such as public health and direct patient care. This will be increasingly important in the years ahead, as the nation faces a growing nursing shortage, reaching a 20 percent deficit in registered nurses by 2020. Fall 2009 also in Richmond. Needless to say, Brenda and Steve get back to Virginia often. Class Notes and News 1950s ’59 DIPLO Helen Pickford Daley of Rehoboth Beach, DE, volunteers for hospice and at an adult daycare facility. Helen has 4 children and 12 grandchildren. Two of her children are UVA alumni, one from the Darden School and one from the School of Nursing (Karen Daley Gallivan, BSN ’87, of Santa Barbara, CA). Her husband, Robert E. Daley, passed away in 2003. 1960s ’68 BSN Nancy M. Watson of Rochester, NY, received the 2008 Geriatric Nursing Faculty Champion for Excellence in Gerontological Nursing Education Award from the American Association of Colleges of Nursing and the John A. Hartford Foundation Institute for Geriatric Nursing. Nancy is the founding director of the Elaine C. Hubbard Center for Nursing Research on Aging at the University of Rochester School of Nursing. ’69 BSN Joan N. MacKechnie is a weekend staff nurse at Baptist Memorial Hospital in Memphis, where she resides. 1970s ’72 BSN Brenda Coleman Isaac of Charleston, WV, is completing her 25th year as a school nurse in Kanawha County Schools. For 15 years she has served as lead school nurse, supervising 35 other school nurses. She is married to Steve Isaac and has two grown sons, one in Charleston and one in Richmond, and an adorable granddaughter, www.nursing.virginia.edu ’74 BSN Sylvia Totten Carlson of Valencia, CA, is a school nurse for the Los Angeles Unified School District. She is a member of Sigma Theta Tau and an American Heart Association CPR instructor. Sylvia is a three-time breast cancer survivor and recently participated in a 3-day, 60-mile walk for the Susan G. Komen Breast Cancer Foundation. ’74 BSN, ’08 MSN Cheryl McPherson Rodgers was awarded the ECPI® College of Technology Teacher of the Year for 2008 at the Medical Careers Institute, Richmond West Campus. Cheryl is also a faculty advisor for the National Technical Honor Society of the Medical Careers Institute. She resides in Richmond, VA. ’75 BSN Candace Beaman Moore is currently posted to the US Embassy in London, where she is the deputy medical unit director. ’77 BSN Marye Dorsey Kellermann of Towson, MD, presented at the 10th Quadrennial Congress of the World Federation of Neuroscience Nurses on teaching neurology using right-brain techniques. Marye also presented at the national symposium for the American Academy of Nurse Practitioners. For the past 16 years, Marye has provided international continuing education and exam preparation to nurses, nurse practitioners, faculty, and students in her Necessary Workshops. (See 2000s for news about Marye’s daughter Stacye.) 1980s ’82 BSN Barbara Anne Rose of La Mesa, CA, this year received her PhD in nursing from the Hahn School of Nursing and Health Sciences at the University of San Diego. She received her MSN in trauma/critical care from the University of Maryland. Barbara is a founding member of the Consortium for Nursing Excellence, San Diego, and is a faculty member of the Evidence-Based Practice Consortium. She works as a clinical nurse specialist for critical care at the Veterans Administration San Diego Healthcare System. ’85 MSN Vickie Hopkins Southall was formally recognized by a unanimous resolution of the Louisa County (Va.) Board of Supervisors for her service as a member of the county’s Family Assessment and Planning Team (FAPT). Vickie was honored for her 15 years of service, her compassion and sincere concern for the feelings and well-being of the children and families served, and her sense of community collaboration, professionalism, and dedication to the goals of the FAPT and the betterment of the community. ’86 MSN Nancy Fitzpatrick Altice of Blue Ridge, VA, received a DNP degree in May 2009 from the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH. ’87 BSN Martha Carlstead graduated in December 2008 from Northeastern University in Boston with a master of science degree. She passed the national certifying board exam and is now a certified registered nurseanesthetist at Virginia Mason Medical Center in Seattle. ’89 BSN Dawn M. Jones is a senior associate in the Tort and Environmental Practice Group at King & Spalding, LLP, in Atlanta, where she uses her decade of critical care nursing experience in her practice defending manufacturers of pharmaceutical products and consumer goods in product liability lawsuits. Dawn received her MSN from Georgetown University and her JD from Georgia State University. She has been recognized as one of Georgia’s “Rising Stars” in the legal profession by Atlanta Magazine. 1990s ’90 BSN Christine Marie Prince joined the nursing faculty at Brown Mackie College, Indianapolis, in January. ’91 BSN Helen Marie French of Waynesboro, VA, was honored by the Beta Kappa Chapter of Sigma Theta Tau International Honor Society of Nursing as the 2009 recipient of the Distinguished Nurse Award. Helen is the founder and director of the MERCI program, which has provided supplies to people around the world and in the local community. Virginia Legacy 25 • Class notes Alumni in Action Turning Tragedy to Advocacy The middle child in a Northern Virginia ’02 BSN Mychael Dennis Mendoza of Arlington, VA, received a master’s degree from Georgetown University in December 2008 with a specialization in nurse anesthesia. He is employed by Fair Oaks Anesthesia Associates and works as a certified registered nurse anesthetist at Inova Alexandria Hospital. family of Lebanese descent, Randa Samaha (BSN ’09) describes her family as having a “strong base and feeling that we can do anything with the support of each other.” Randa Samaha (BSN ’09) That can-do attitude served her well in the ’03 BSN Stephanie Baker Lane and her husband, Charles Joseph Lane, of Dickinson, TX, welcomed their first child, Matthew Aidan, on September 26, 2008. wake of a horrible tragedy, when her younger sister, Reema, was killed in the Virginia Tech massacre in 2007. Rather than succumb to tragedy, Samaha turned her experience into something positive. Upon returning to Charlottesville after her sister’s funeral, Samaha was bolstered by the outpouring of love and support of her UVA family at the School of Nursing. Later, with a small group of friends, she created “Students for Gun-Free Schools,” an effort to raise awareness of gun laws and to promote colleges and universities as safe sanctuaries for learning. This fall, Samaha began a job at the pediatric intensive care unit at Duke Children’s Hospital and Health Center in Durham, N.C. Her own resiliency assists her in this role, as she works with infants and families in difficult situations. “I like the idea of working with the whole family,” Samaha said. “It is so important to see the positive side of nursing and to help patients go forward.” ’94 BSN Virginia “Jinny” MacLeod Buchanan lives in Greensboro, NC, where she works relief in the OR and recently completed the requirements to become an RN first assistant, which includes being a CNOR. Jinny and her husband are grooming their fourth-grader son, Campbell, as a future Wahoo. The family loves returning to Charlottesville whenever they can to visit family and to see the UVA Grounds. 2000s ’00 BSN Katie Berschback Cooper of Franklin, TN, and husband Carlos Cooper welcomed their second child, Beckett Andrew, on April 30, 2009. Beckett joins big sister Juliet Elizabeth, born September 11, 2007. Katie is a nurse anesthetist at the Williamson Medical Center in Nashville. ’03 BSN Caroline Jeanette Smith is a student of veterinary medicine at the University of Tennessee, planning to graduate in 2010. In her role as community service chair for the College of Veterinary Medicine’s governing body, she supports a program called “Josh and Friends.” Through the program, the veterinary school gives special stuffed animals (“Josh”) and books to children with life-threatening illnesses in the East Tennessee Children’s Hospital. ’04 BSN Mary Weinstein Dunn of Durham, NC, married Stephen Dunn in June 2007. Mary received her MSN in adult oncology in August 2009 from Duke University. ’04 BSN Jennifer Leigh Folks of Dumfries, VA, graduated from Virginia Commonwealth University in May 2009, with an MSN from the Women’s Health Nurse Practitioner program. A team of UVA nursing alumni was involved in the new 4th edition of Health Assessment & Physical Examination, published by Delmar Cengage Learning. The primary author and editor is Mary Ellen Zator Estes (BSN ’81, MSN ’83, FNP ’00). Other UVA School of Nursing graduates who were contributors include Jane Twenty-two students finished the Clinical Nurse Leaders program in August. CNL students come to UVA with undergraduate or graduate degrees in other fields and pursue a rigorous master’s program to become registered nurses and leaders trained to provide direct patient care. • 26 Virginia Legacy ’02 MSN Rosalind Delisser recently relocated with her family to Baumholder, Germany, where she will be providing psychiatric services to active-duty military coming from Iraq and Afghanistan, and their families. Echols (BSN ’60, PNP ’75), Tammy Cauthorne-Burnette (BSN ’83), Patti Connor Ballard (MSN ’83, PhD ’00), and Beverly Rose Bayer (BSN ’81). Fall 2009 class notes ’04 BSN Tami Levin Morgan of Reston, VA, will graduate from George Mason University in the spring of 2010 with an MSN from the Family Nurse Practitioner program. ’06 BSN Erin Allebaugh Muller married Darrell B. Muller on September 13, 2008. Erin is a labor and delivery nurse for the UVA Health System and lives in Charlottesville. ’08 BSN Mika Richardson Chorey married Hunter Chorey on September 20, 2008. The couple lives and works in Charlottesville, where Mika is a nurse at the University of Virginia Hospital, and Hunter is an intellectual property consultant. ’08 BSN Stacye Kellermann is an operating room nurse at Johns Hopkins Hospital in Baltimore. IN MEMORIAM ’38 DIPLO Mary Gilliam Smith, of Silver Spring, MD, died on April 19, 2009. ’53 DIPLO Ann Bowling Ashley of Bluefield, WV, died on August 04, 2009. ’40 DIPLO Catharine Dater VanBlarcom Callaway of Hillsborough, NC, died on February 23, 2009. ’55 DIPLO Mary Roberts Davenport of White Stone, VA, died on June 5, 2009. ’ 4 3 D I P L O Ma r t h a O. D o n e r o f Charlottesville, VA, died on June 4, 2008. ’44 DIPLO Mary Katherine Pappandreou Davis of Birmingham, AL, died on September 14, 2009. ’44 DIPLO Marion Cowherd Janney of Luray, VA, died on August 8, 2009. ’45 BSNED Peggy Bishop Turner of Charlottesville, VA, died on June 9, 2009. ’47 DIPLO Ruth Bardin of Jones, OK, died on June 13, 2008. ’50 DIPLO Elizabeth Jayne Christie McClintock of Richlands, VA, died on May 30, 2009. ’51 DIPLO Paula E. Cash of Charlottesville, VA, died on April 21, 2009. Raeanne Tatem and Danielle Petrosky, who have agreed to serve as class advocates for the Class of 2009. Class ’58 DIPLO Ruth Fariss of Hartford, WI, died on August 10, 2008. ’60 BSN Anne Landon Brosio of Los Angeles, CA, died on February 16, 2009. ’66 BSN Elizabeth M. Yates of Annandale, VA, died on January 30, 2009. ’71 BSN Elizabeth Kellogg Beninati of Downers Grove, IL, died on April 3, 2009. ’72 BSN Melinda L. Nimmer of Norfolk, VA, died on June 6, 2008. ’48 DIPLO Christine Hoover Cates of Fairfax, VA, died on September 22, 2009. Congratulations to new BSN graduates ’56 DIPLO Nancy Jo Jander of Gig Harbor, WA, died on June 3, 2008. ’73 BSN, ’87 MSN Betty Speas Milligan of Roanoke, VA, died on March 14, 2009. ’78 DIPLO Nancy A. Gordon of Annapolis, MD, died on September 20, 2009. ’98 BSN, ’07 MSN Karen Simpson Peacher of Unionville, VA, died on March 19, 2009. ’51 DIPLO Jo Sykes Runnion of Newport, TN, died on February 26, 2009. advocates help members of their class stay connected with each other and with the School of Nursing throughout the years, with special emphasis on reunion years. Both women are living in Raleigh, NC, Nurse Practitioners Win Awards and working at Duke University Hospital— Raeanne on the Pediatrics Progressive Care Unit and Danielle on the Adult Medical- UVA School of Nursing alumni distinguished themselves at the 25th annual conference of the Virginia Council of Nurse Practitioners. Mary Hope Gibson (BSN ’74) of Radford, VA, received the 2009 Educational Award, while Susan Waldrop Donckers (BSN ’67, FNP ’93) of Blacksburg, VA, was presented with the Distinguished Nurse Practitioner Award for 2009. Surgical Unit. You can reach Raeanne at [email protected], or Danielle at [email protected]. To the Class of 2009: Keep in touch with your class advocates and with the Alumni office at [email protected] or stay connected by becoming a fan of the UVA School of Nursing Alumni Facebook page. www.nursing.virginia.edu Virginia Legacy 27 • With gratitude, we thank you for Giving by the Numbers T he generosity of our donors keeps the UVA School of Nursing strong and makes a difference in the lives of our students, faculty, and alumni every day. Your gifts help to ensure a future of better health care for all of us. What follows is a brief snapshot of the donors who are helping to shape the future of nursing. Every gift—no matter the size—is truly important. Your contributions are vital for the success of the School. Thank you! 1,496 137 individuals made donations to the School of Nursing in the last fiscal year. individuals or couples contributed $1,000 or more to the Nursing Annual Fund or another expendable purpose to become Dean’s Circle members. Current students and undergraduate alumni from the past ten years can join the Dean’s Circle with a contribution of $250 or more. The BSN Class of 1959 had the highest participation rate of giving overall, participating during their 50th Reunion year. with 55% School of Nursing donors included 68 45 122 current and former UVA faculty and staff current students. and 79 parents of current and former nursing students gave this past year. corporations, foundations, and other organizations made gifts in the past fiscal year. 100 “I choose to support the School of Nursing because I am proud of our Nearly nursing alumni and friends have designated a bequest or planned gift to provide future support for the School of Nursing. As such, they become members of the University’s Cornerstone Society. students, and I want them to have every opportunity to excel while here at UVA. I believe that my contributions to the Nursing Annual Fund and the Center for Nursing Historical Inquiry assist with providing students with the “extras” that make their UVA experiences exceptional. On a personal note, I choose to give to the School because I know that, as a lifelong citizen of the Commonwealth of Virginia, a UVA nurse has or will touch my life and the lives of my family … and I want them to be as well-prepared as possible!” —Karen Rose (PhD ’06), assistant professor, UVA School of Nursing • 28 Virginia Legacy “Dr. Brashers certainly earned my respect and inspired me as a student and that was my motivation to make a gift to the annual fund in her honor for National Nurses Week. I came to UVA with plans of obtaining my MSN with a focus on becoming a family nurse practitioner. Soon after I arrived, Dr. Brashers inspired me with a lecture in her pathophysiology class to examine a career in academia. Dr. Brashers is not only a good teacher for her knowledge of clinical application, but more for the inspiration she has given me to pursue all opportunities within nursing.” —Brenda Sawyer-Pardis (MSN ’09) Fall 2009 making gifts that make a difference. To make a tax-deductible gift to the School of Nursing, you can Giving Matters I n the next decade, the nation will face a growing shortage of nurses. This, paired with the increasingly complex health care environment, creates an urgency to prepare the next generation of nurses and nursing leaders. Private philanthropy helps the School address this need and fulfill all of its missions. Here are some examples of how giving this year has supported the UVA School of Nursing. n elped to fund the new Claude Moore Nursing Education Building, a facility designed for H collaboration in an environment of well-being. n rovided more than $71,000 in scholarship and fellowship support to UVA nursing students P to cover academic costs and allow students to continue their studies. n upplied funding for the Office of Admissions and Student Services for traveling and recruiting S top-notch students interested in pursuing their degrees at UVA. n upplemented funding for the Nurse Faculty Loan Program, which assists nurses who are S completing graduate studies to become nursing faculty. Upon completing their degrees, recipients serve as full-time nursing faculty members for four years and receive 85 percent loan forgiveness. n rovided more than $21,000 in direct support to faculty for professional development and P travel, research awards, and seed funding for innovative teaching projects. n eturn the envelope provided with R this issue of Virginia Legacy. n ontact: Alumni & Development C Office, P.O. Box 800826, Charlottesville, VA 22908-0826, (434) 924-0138, [email protected] n ive immediately and securely online: G www.campaign.virginia.edu/support uvaschoolofnursing Your gifts matter! To see a complete list of our Honor Roll of donors for 2008–09, please visit www.nursing.virginia.edu/HonorRoll. In an effort to become more environmentally responsible and cost efficient, the School of Nursing will publish this year’s full list only online. However, if you do not have web access, please contact the Alumni & Development Office at (434) 924-0138 to receive a printed copy. “Every day as an ICU nurse at Massachusetts “Jennifer Kremer was a staff member at General Hospital, I am grateful for the the time of her death. She was so giving faculty, clinical instructors, and staff at the to our students that it is only fitting she UVA School of Nursing who prepared me to be remembered by the Jennifer Kremer do my job well. Because of their hard work Emergency Fund, which assists our and dedication to my nursing education, I students in times of crisis. Jennifer am prepared to give my patients the best care possible. Giving back to the School of Nursing has been a small way for me to say ‘thank you!’ for an excellent education and careful preparation for my career as a nurse.” touched my life, so I give to the fund as a way for me to do something in memory of her that can touch a student’s life.” —Becky Bowers, audiovisual technician/facilities coordinator, —Becca Green (BSN ’08) www.nursing.virginia.edu UVA School of Nursing Virginia Legacy 29 • Annual Report 2008–09 School of Nursing Annual Report Fiscal Year 2008–09 These charts and graphs provide a snapshot of donors and dollars for fiscal year 2008–09 (the fiscal year runs from July 1 to June 30). If you have questions about any of the information included in this report, please contact the School of Nursing Alumni & Development Office at (434) 924-0138 or e-mail [email protected]. Thank you for your support! UVA School of Nursing Revenues 2008–09 UVA School of Nursing Expenditures 2008–09 Total = $12,646,425 Total = $12,632,651 Instruction (46%) State Support (49%) Scholarships & Fellowships (14%) Sponsored Programs (19%) Institutional Support (5%) Endowments & Gifts (22%) Student Services (4%) Other (4%) Academic Support (15%) Medical Center (6%) Public Service (2%) Research (14%) Market Value of School of Nursing Endowments 2008–09 Class Participation in the Annual Fund $45M $38,891,199 $40M $39,983,649 Highest in each decade: $35M $30,252,295 $30M $30,219,281 1930s 1938 at 12.50% 1940s 1944 at 31.24% 1950s 1959 at 48.24% 1960s 1960 at 32.73% 1970s 1970 at 19.44% 1980s 1989 at 22.03% 1990s 1993 at 10.31% 2000s 2008 at 14.02% Highest Participation Overall: BSN Class of 1959 (54.72%)— an excellent showing as they celebrated their 50-year Class Reunion. $26,394,388 $25M $20M $15M Congratulations to the students in the BSN Class of 2009 for achieving a record 61.50% participation rate in their class $10M $5M 0 FY ’05 FY ’06 FY ’07 FY ’08 giving campaign. Best of luck to these new nurses as they explore their opportunities in Charlottesville and beyond. FY ’09 FISCAL YEAR END (JUNE 30) Endowments created through the generosity of donors provide permanent sources of revenue for the School to draw on in perpetuity. These funds, often restricted in purpose by the donors, are invested by the University. The income earned each year is used to address many of the School’s most important priorities, including financial assistance for students, research, professional development for faculty, honoraria for guest lecturers, and many other programmatic needs. • 30 Virginia Legacy NOTE: This report captures the income and expenditures for the Rector & Visitors gift and endowment accounts. It does not include income and expenditures from accounts held at independent entities (the UVA Fund at the Alumni Association or the UVA Health System Foundation), nor does it include pledges or expenditures associated with the McLeod Hall renovation (capital expenditures). Fall 2009 Annual Report 2008–09 Annual Fund Income Past 5 Years $390,763 $400,000 1,951 2,000 $379,444 1,827 $352,549 $350,000 $300,000 Number of Annual Fund Donors Past 5 Years 1,800 1,600 $307,403 $303,529 1,686 1,448 1,496 FY ’08 FY ’09 1,400 $250,000 1,200 $200,000 1,000 800 $150,000 600 $100,000 400 $50,000 0 200 FY ’05 FY ’06 FY ’07 FY ’08 0 FY ’09 FY ’05 FY ’06 FY ’07 Annual Fund innovative teaching ideas, faculty professional development, funding for student Each year, gifts from alumni, parents, faculty, and friends made to the Nursing and alumni, outreach and so much more. Thanks to the generosity of nearly Annual Fund provide the School with an invaluable source of unrestricted income. 1,500 donors, we exceeded a revised Nursing Annual Fund goal of $300,000 and This allows the School flexibility to respond to the emerging needs of students, showed an increase in the total number of donors supporting the School. (Goal faculty, and academic programs through scholarships, fellowships, support for revised in January 2009.) School of Nursing Funding Sources Three-Year Comparison This comparison data from the past three years shows clearly the impact of declining state support on the School’s operations and highlights the value of philanthropic giving. FY ’07 FY ’08 FY ’09 100% PERCENT OF TOTAL REVENUES 90% 80% 70% 60% 50% 40% 30% 0% 20% 10% 0% STATE SUPPORT SPONSORED PROGRAMS ENDOWMENTS & GIFTS MEDICAL CENTER OTHER FUNDING SOURCES www.nursing.virginia.edu Virginia Legacy 31 • Class notes School Celebrates New Nursing Graduates L ast May, the School of Nursing granted 117 new bachelor’s degrees, 84 master’s degrees, and 12 doctorates. At the annual Hooding and Pinning ceremonies, the following members of the Class of 2009 received special honors for their achievements: Nursing Student Contributing the Most to the School of Nursing Lauren Starkey Nursing Students Contributing the Most to UVA Raeanne Tatem Kathryn Shannon Edgar F. Shannon Scholar Award Alicia Dean Anne Pollok Hemmings Clinical Excellence Award Serena Knick Distinguished Majors Awards Diana Trausch Jessica DiZio Erica Randolph Rhonda Barton-Joe earned her BSN at UVA, following in her sister’s footsteps. Mother and daughter Mary Beth White-Comstock (right) and Haley Russell walked the Lawn together last spring as BSN graduates. In addition, the following graduate students received special awards: Graduate Teaching Assistant Award Emma McKim Mitchell (MSN ’08) Barbara Brodie Scholars Doctoral Award Barbara Maling (MSN ’93) Barbara Brodie Scholars Nurse Practitioner Award Megan Ott (BSN ’06) Dean Fontaine congratulates James Sykes, an RN to BSN graduate. • 32 Virginia Legacy Fall 2009 Virginia Moments Rose Pinneo, RN, and Lawrence Meltzer, MD, of Presbyterian Hospital in Philadelphia, circa 1963. Photo courtesy of the Pinneo Collection, Center for Nursing Historical Inquiry, University of Virginia. When the first Coronary Care Units were established in the 1960s, physicians and nurses learned to interpret electrocardiograms together. Organized clinical conferences supplemented physician-nurse training. There, medical students, house staff, and nurses learned EKG interpretation, cardiac defibrillation, and cardiopulmonary resuscitation. In doing so, they learned to trust each other and their unique roles in caring for cardiac patients. Source: Keeling, A. (2004) Blurring the boundaries between medicine and nursing: Coronary care nursing, circa the 1960s. Nursing History Review, 12, 139–164. www.nursing.virginia.edu Virginia Legacy 33 • Nonprofit Organization U.S. Postage PAID Permit No. 164 Charlottesville, Virginia Claude Moore Nursing Education Building P.O. Box 800826 Charlottesville, VA 22908-0826 Change service requested Calendar of Events NOVEMBER APRIL 7 TBD Admissions Open House & Information Session 17 Nursing History Forum: Disaster in the Catherine Strader McGehee Memorial Lecture 13–18 ‘Hoos Coming to Dinner events week Mines. John C. Kirchgessner, PhD, RN, PNP, CNHI Assistant Director, Assistant Professor of Nursing, UVA School of MAY Nursing 17–19 Thomas Jefferson Society Reunions: Classes of 1960 and earlier DECEMBER 1 T.J. Society School of Nursing Luncheon 22 Pinning & Hooding Ceremonies, School of Nursing Admissions Doctoral Programs (PhD, DNP) Information Session 8 Lighting of the Lawn 18 End of Examinations, Fall Semester JANUARY 2010 20 19 Spring 2010 Semester Begins 23 Final Exercises JUNE 4–6 Reunions Weekend: Celebrations for the Class of 1965, 1970, 1975, 1980, 1985, 1990, 1995, 2000, and 2005. Save the Date! FEBRUARY 6 Alumni Council Winter Meeting MARCH 6–14 Spring Break 16 The Agnes Dillon Randolph International Nursing History Conference. Keynote Speaker Patricia O’Brien D’Antonio, PhD, FAAN, RN, Associate Professor of Nursing and Associate Director of the Barbara Bates Center for the Study of the History of Nursing, University of Pennsylvania For details on Center for Nursing Historical Inquiry events, call (434) 924-0083. For details on Admissions Information Sessions, call (888) 283-8703. For all other events, please contact the School of Nursing Alumni & Development Office at (434) 924-0138. Please check the School of Nursing website for more details as they become available: www.nursing.virginia.edu