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Spring 2012 Volume X, Issue I 1. Remove scope-ofpractice barriers. 2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Nursing’s Blueprint for the Future 3. Implement nurse residency programs. 4. Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. 5. Double the number of nurses with a doctorate by 2020. 6. Ensure that nurses engage in lifelong learning. 7. Prepare and enable nurses to lead change to advance health. 8. Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data. Inside: 2 6 Doubling the Number of Nurses with Doctorates 32 Interprofessional Education Initiatives at Hopkins J O H N S H O P K I N S Volume X, Issue I Spring 2012 A publication of the Johns Hopkins University School of Nursing, the Johns Hopkins Nurses’ Alumni Association, and the nursing departments of the Johns Hopkins-affiliated hospitals Features 26 Higher Education by Jennifer Walker The data is compelling. The American Association of Colleges of Nursing predicts the country will lose 260,000 nurses by 2025, including thousands of nursing faculty needed to educate new nurses. In response, the Institute of Medicine recommends universities double the number of doctoral-prepared nurses. How are nursing schools and doctoral programs across the county— including many led by Johns Hopkins alumni—mobilizing to attract and prepare tomorrow’s nurse educators, practitioners, and researchers? Interprofessional Education—Today Nursing student Lauren McGivern, Accelerated ’12 (right), and medical student Emily Miller (center), join pediatric resident Stephanie Chin-Sang, MD, on rounds at the Harriet Lane Clinic. 32 From Silos to Synergy: Interprofessional Education Initiatives Find Warm Welcome at Hopkins by Rebecca Proch As part of the Doctor-Nurse Alliance, a student interest group at Johns Hopkins University, students from the Schools of Nursing and Medicine shadow nurses and doctors to learn how healthcare professionals from different disciplines provide care. [Photo by Christopher Myers] Departments 4 Hill’s Side Dean Martha Hill invites Susan Hassmiller, Robert Wood Johnson Foundation senior adviser for nursing, to share her thoughts on the top priorities facing nursing today. 8 On the Pulse Amazing nurse receives honor, spit sampling gets easier, Sandra Angell says goodbye, and more. 18 Bench to Bedside Nursing research article is AHA journal editor’s pick, saliva testing helps identify patients at risk, and best practices can lower “multiplier risks.” 20 Global Nursing Volunteerism opens eyes and text4baby messages moms around the world. ! 22 Jhpiego New Jhpiego assists Lesotho to strengthen nursing education. 25 Live from 525 Gina Colaizzo’s art offers an outlet for creation and healing. 36 Hopkins Nurse Preparation pays off for JHH nurses, Suburban Hospital takes big steps to avert patient falls, and other news from the Johns Hopkins Hospitals. 50 Vigilando Eye-opening. Important. Exciting. Innovative. Barrier-breaking. “A-ha!” moments. When the Hopkins community talks about interprofessional education, enthusiasm and energy pour forth. This is no dry mandate; this is synchronicity, ideas cropping up across campuses and departments and blooming in the fertile soil of emerging alliances and innovative partnerships. Throughout the School of Nursing and the School of Medicine, new and expanding initiatives are bringing fruitful transformation to Hopkins healthcare education. News from the Johns Hopkins Nurses Alumni Association. Johns Hopkins Nursing | magazine.nursing.jhu.edu 1 Contributors A recovering health-policy wonk turned freelance science and medical writer, Teddi Fine still harbors a childhood dream to be a simultaneous translator. But today, instead of studying Urdu or Kanji, she’s opted to be a not-very-simultaneous translator of science, as seen in “Bench to Bedside” (page 18). When she’s not poring over nursing research (as some read a good mystery novel) or crafting press releases about Hopkins nurses, she keeps her creative engine humming by designing and fabricating fanciful art jewelry. With more than a decade of experience in healthcare, Whitney L.J. Howell is a freelance reporter who writes about all aspects of the industry, from policy to practice to research. She enjoys writing about the interplay among all providers, highlighting how each contributes to and bolsters patient care. It’s always satisfying, she says, to inform audiences, in both trade and mainstream publications, about new advancements or system changes that will affect both scope of practice and how services are provided. Rebecca Proch is a freelance writer and regular contributor to Johns Hopkins Nursing. As a writer, her two specialties have been healthcare and the arts. The best thing about both, in her opinion, is that she gets to talk to passionate people who love what they do. Proch also manages technology and multimedia resource projects for the arts education programs at the Wolf Trap Foundation for the Performing Arts. Editor Pamela McComas Managing Editor Lynn Schultz-Writsel Art Director Pam Li Editorial and Design Staff Jacquelin Gray Vigilando Editorial Assistant David Biglari Online Editor Mfonobong Umana Graphic Review Advisory Board Terry Bennett Director of Nurse Recruitment Johns Hopkins Bayview Medical Center JoAnn Coleman Postmaster’s, CRNP ’95 Deborah Dang Director of Nursing Practice, Education, and Research The Johns Hopkins Hospital Marian Grant, BSN ’00, MSN ’05 Karen Haller VP for Nursing and Patient Care Services The Johns Hopkins Hospital Sandy Reckert-Reusing Director of Communications and Public Affairs Johns Hopkins Bayview Medical Center Leslie Kemp, BSN ’95 Robert Rosseter Director of Public Affairs American Association of Colleges of Nursing Sharon Sopp Sr. Communications Manager Howard County General Hospital Editorial Mission Johns Hopkins Nursing is a publication of the Johns Hopkins University School of Nursing, the Johns Hopkins Nurses’ Alumni Association, and the nursing departments of the Johns Hopkins-affiliated hospitals. The magazine tracks Johns Hopkins nurses and tells the story of their endeavors in the areas of education, practice, scholarship, research, and national leadership. For advertising, contact: Jon Eichberger 410.614.4695 [email protected] Send correspondence to: Editor Johns Hopkins University School of Nursing 525 N. Wolfe Street Baltimore, MD 21205 410.614.4695 Fax: 410.502.1043 [email protected] For general inquiries, call: 410.955.4788 Eco Box Jennifer Walker loves writing stories about inspiring people. For this issue’s “Higher Education” feature (page 26), she had the privilege of talking to doctoral nursing students who will educate the next generation of nurses. They are incredibly passionate people who, as researchers, are also poised to make a tremendous impact on patient care in their respective specialties, she says. As a Baltimore-based freelance writer, Walker specializes in health, business, and lifestyle topics. Paper Requirements: 54,039 pounds Using this combination of papers saves the following each year: Wood Use: 6 tons Total Energy: 21 million BTUs Greenhouse Gases: 7,235 lbs Wastewater: 17,225 gallons Solid Waste: 1,915 pounds The spring 2012 issue of Johns Hopkins Nursing is printed on Sterling Matte paper. Environmental impact estimates were made using the Environmental Defense Paper Calculator at www.papercalculator.org. 2 Johns Hopkins Nursing | Spring 2012 Hill’sSide Education, Leadership, and Collaboration Three components that will help transform nursing and improve patient care I David Aaron Troy t’s not easy to improve healthcare and outcomes for patients and families. But as nurses, our knowledge, resiliency, and experience on the front lines of providing care position us well to evaluate what is working, what isn’t, and to make the changes needed to achieve this goal. As we tackle transforming healthcare, we also need to transform nursing. The recent Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health and its “blueprint for action” is a powerful guide. The eight recommendations listed within the blueprint break down what must be done to help us improve how we lead, educate, practice, build infrastructures, and partner with other healthcare professionals. In this issue and the upcoming two issues of Johns Hopkins Nursing magazine, we will look internally and externally— calling upon our faculty, students, alumni, staff, fellow nurses, partners, and friends—and show how nursing is implementing the recommendations and working toward transforming our profession. To start, I reached out to Robert Wood Johnson Foundation senior advisor for nursing, Susan Hassmiller, PhD, RN, FAAN, and asked what she views as nursing’s top priorities. Her thoughts on education, leadership, and collaboration follow. Martha N. Hill, PhD, RN, FAAN, ’64 Dean Professor and Nursing, Medicine and Public Health Editor’s note: The eight recommendations from the IOM’s Future of Nursing report are listed below. Look for these icons throughout the magazine to see how Hopkins Nursing is addressing the recommendations. IOM Future of Nursing Recommendations Recommendation 1: Remove scope-of-practice barriers. Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Recommendation 3: Implement nurse residency programs. 4 Johns Hopkins Nursing | Spring 2012 Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. Recommendation 5: Double the number of nurses with a doctorate by 2020. Recommendation 6: Ensure that nurses engage in lifelong learning. Recommendation 7: Prepare and enable nurses to lead change to advance health. Recommendation 8: Build an infrastructure for the collection and analysis of interprofessional healthcare workforce data. N urses play such a critical role in improving the health and healthcare for all Americans. With this understanding the Robert Wood Johnson Foundation (RWJF) was proud to have sponsored the Institute of Medicine’s (IOM) report, The Future of Nursing: Leading Change, Advancing Health. Though all of the recommendations need to be advanced to transform nursing and improve patient care, RWJF is taking the lead in nursing education, nursing leadership, and interprofessional collaboration—areas that provide the best fit with the Foundation’s mission, priorities, assets, and resources. Nursing Education: The IOM report emphasizes that if nurses are to be as effective as possible in helping to provide high-quality patient care, they’ll need to be better prepared as care becomes more complex and shifts to the home and community. We also need more nurses with advanced degrees to provide primary care and teach the next generation of nurses. A bachelor’s degree in nursing (BSN) best prepares nurses to take on increasingly complex roles. RWJF is starting a new National Nurse Education Progression initiative that will help more nurses to earn a BSN degree or higher and help to advance the IOM recommendation to increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. We’re also helping to advance the IOM recommendation to double the number of doctorates by 2020 through our Nurse Faculty Scholars’ program and our New Jersey Nursing Initiative. Nursing Leadership: Nurses bring an important voice and point of view to management and policy discussions. We need to prepare more nurses to help lead improvements in healthcare quality, safety, access, and value, whether at the bedside, in the community, or in the boardroom. RWJF has long promoted nursing leadership through our Executive Nurse Fellows program, and through our Nurse Leaders in the Boardroom and Transforming Care at the Bedside programs. Interdisciplinary Collaboration: Studies have demonstrated how effective coordination and communication among health professionals can enhance the quality and safety of patient care. Health professionals working collaboratively as integrated teams draw on individual and collective skills and experience across disciplines. They seek input and respect the contributions of everyone involved. That allows each person to practice at a higher level. The result is inevitably better patient outcomes, including higher levels of patient satisfaction. We also need to foster interprofessional education, training and practice. RWJF is holding meetings with physician and nursing stakeholders to find common ground on the roles that each profession plays in healthcare and to move beyond differences that divide nurses and physicians. Susan B. Hassmiller, PhD, RN, FAAN, is the Robert Wood Johnson Foundation senior adviser for nursing, where she is tasked with shaping and leading the Foundation’s strategies to address the nurse and nurse faculty shortages in an effort to create a higher quality of patient care in the United States. Susan B. Hassmiller, PhD, RN, FAAN Senior Advisor for Nursing Robert Wood Johnson Foundation Johns Hopkins Nursing | magazine.nursing.jhu.edu 5 Nursing Assessment Letters to the Editor I want to compliment you on the Winter issue of Johns Hopkins Nursing, which featured several of our practice track faculty members in the Department of Acute and Chronic Care: Anne Belcher, Shawna Mudd, Julie Stanik-Hutt, Beth Sloand, and Joyce Vazzano. I especially appreciated your focus on their practices. This lets our readers know about the exciting things that our faculty members are doing, highlights how we value faculty practice, and shows how faculty practice informs our teaching mission. Well done! Marie T. Nolan, PhD, RN Professor and Chair, Department of Acute and Chronic Care Johns Hopkins University School of Nursing Survey Says! Looking for security? Look at Johns Hopkins’ Charitable Gift Annuity Program Letters to Johns Hopkins Nursing We welcome all letters regarding the magazine or issues relating to Hopkins Nurses. Email 200 words or less to [email protected] or send to: Editor, Johns Hopkins Nursing 525 N. Wolfe Street The House, Room 107 Baltimore, MD 21205 Letters will be edited for length or clarity. 6 Johns Hopkins Nursing | Share Your Views about the e-News Hopkins Nursing 2011 Grads Our e-News brings Hopkins Nursing headlines right to your inbox. We want to know what you think of it. Give us the scoop and take our e-News survey! What’s your employment status? Let us know about today’s job market! Take both surveys at www.nursing.jhu.edu/surveys. Spring 2012 Make a gift and receive guaranteed, fixed income for life. OnE-LiFE CHaRitabLE GiFt annuity RatES Fund a Charitable Gift annuity with a minimum gift of $10,000 (cash or securities) and enjoy the following benefits: As of January 1, 2012 age rate • guaranteed, fixed payments for life to you and/or a loved one • partially tax-free income • a charitable deduction • a lasting contribution to the mission of the Johns Hopkins School of nursing 90 85 80 75 70 65 9.0 7.8 6.8 5.8 5.1 4.7 Seek advice from a tax professional before entering into a gift annuity agreement. Johns Hopkins gift annuities are not available in all states. Contact us or visit our website to calculate your benefits and learn more: Richard J. Letocha, Esq., CFP® Office of Gift Planning 410-516-7954 or 800-548-1268 [email protected] giving.jhu.edu/giftplanning On the Pulse News from Around the School Will Kirk became the cause célèbre at the School of Nursing,” Nolan says. “We were really behind her nomination and we wanted her to win.” Shockney made the next cut to five finalists and was then selected as the top winner by a panel of five national nursing experts. n To post congratulations or to view the “Amazing Nurse” video featuring Shockney, visit www.nursing.jhu.edu/ shockney. Half a Dozen for the Hall of Fame by Kelly Brooks Lillie Shockney hopes her “Amazing Nurse” honor will inspire more people to consider nursing as a career. An Amazing Nurse Lillie Shockney Honored by Johnson & Johnson by Jon Eichberger People within the Johns Hopkins community have long known that Lillie Shockney, MAS, RN, is an amazing nurse. Now she’s got the moniker to prove it. Shockney, administrative director of the Johns Hopkins Avon Breast Center since 1997, was selected as this year’s “Amazing Nurse” in the Johnson & Johnson Campaign for Nursing’s Future national contest to celebrate and reward nurses’ value. Shockney’s work with breast cancer patients was recognized by Johnson & Johnson during the 2011 CNN Heroes: An 8 Johns Hopkins Nursing | All-Star Tribute show in Los Angeles on December 11, 2011. “The title really made me feel good,” Shockney says. “I hope one of the outcomes is that more people making a career decision will consider nursing.” Shockney, a two-time breast cancer survivor and registered nurse who has been employed by Johns Hopkins since 1983, has worked tirelessly to improve the care of breast cancer patients around the world. She is responsible for the quality-of-care and patient-education programs; the survivor volunteer team; community outreach at a local, regional and national level; and the Breast Center’s Website and patient advocacy. Shockney is also a guest lecturer and distinguished speaker at the Johns Hopkins University School of Nursing. Marie Nolan, PhD, RN, School of Spring 2012 Nursing professor and chair of the Department of Acute and Chronic Care, has known Shockney for 25 years and nominated her for the award. She says as soon as she learned of the competition she thought of Shockney, who has exhibited exceptional leadership skills throughout her career. “She is a phenomenon, an unstop pable force, a living example of how good can come from suffering and how much good can be accomplished,” Nolan wrote in her nomination letter. “Like a whirlwind, she has changed breast cancer treatment and survival at Johns Hopkins, in the U.S., and globally.” Shockney initially was selected as one of 20 semifinalists from several thousand nominees. Johnson & Johnson asked voters to pick their favorite nominee on their contest’s Facebook page. “It When told that six of the fourteen inductees to the 2012 International Researcher Hall of Fame were Johns Hopkins University School of Nursing faculty, dean Martha Hill, PhD, RN, said, “It demonstrates how exceptional our nursing faculty is,” and called it “an impressive achievement.” The prestigious International Researcher Hall of Fame award honors nurses whose research has influenced the profession, benefitted patients, and achieved significant professional recog nition. “It takes extraordinary dedication, intellect, ingenuity, and perseverance to become a successful researcher, and the bar is set even higher to be inducted into the Hall of Fame,” Hill added. The six School of Nursing Hall of Fame inductees include: • Jerilyn K. Allen, ScD, RN, associate dean for research and M. Adelaide Nutting Professor • Patricia Mary Davidson, PhD, MEd, RN, adjunct professor • Deborah Gross, DNSc, RN, professor and Leonard and Helen Stulman Endowed Chair • Pamela Jeffries, PhD, RN, ANEF, associate dean for academic affairs • Miyong Kim, PhD, RN, professor and chair of the Department of Health Systems and Outcomes • Marie Nolan, PhD, MPH, RN, professor and chair of the Department of Acute and Chronic Care They will be honored at Sigma Theta Tau International’s 23rd International Nursing Research Congress on August 2, 2012, in Brisbane, Australia. Covering the Spectrum Adult NP Programs Increase Expertise by Jon Eichberger Students enrolled in adult primary and adult acute care nurse practitioner (NP) programs at the Johns Hopkins University School of Nursing will soon focus on every aspect of adult care, from post-adolescent to older adult. The Adult Acute Care NP curriculum, renamed Adult-Gerontology Acute Care Nurse Practitioner, will transition in the spring 2012 semester to a format that integrates the full range of gerontology expertise. In the fall 2012 semester, the Adult Nurse Practitioner program will become the Adult-Geriatric Primary Care Nurse Practitioner. “The changes will prepare NP graduates to provide acute, critical, and chronic care services across the entire spectrum of adult health,” says associate professor Julie Stanik-Hutt, PhD, ACNP/GNP, director of the master’s program. “Graduates will continue to focus their practice on the care of individuals who are physiologically unstable, technologically dependent and requiring frequent monitoring and/or interventions, and those who are highly vulnerable for complications.” These modifications reflect nursing’s need for increased depth of expertise in addressing the expanding population of older adults. Johns Hopkins Nursing | magazine.nursing.jhu.edu 9 On the Pulse News from Around the School Stepping It Up Hopkins Nursing Starts Fitness Program by Jon Eichberger Between promises made at New Year’s and with beach season around the corner, many people have resolved to lead a healthier, more active life. To help turn those resolutions into results, the Johns Hopkins University School of Nursing P30 Center of Excellence for Cardiovascular Health has a fitness program in place. The “SON Fit” program, which includes yoga, Zumba, a “Biggest Loser” competition, and a stairclimbing club called “Step it Up!,” was launched by the Center of Excellence for Cardiovascular Health in fall 2011 in response to a school-wide survey of School of Nursing faculty, staff, and students. Respondents (n=304) reported that their workload as a student, faculty, or staff “definitely” affected their level of stress (78%) and health (47%). Furthermore, 60% of respondents reported gaining some weight over the past year, with about half of those respondents gaining more than five pounds. These results duplicate much of the evidence shown in the longitudinal Nurses’ Health Study, 10 Johns Hopkins Nursing | Spring 2012 No More Swabbing New Leader for Hopkins Nursing Spit Sampling Gets a Whole Lot Easier by Jon Eichberger by Jon Eichberger Researchers are constantly finding new ways to figure out what makes us human beings tick, and one of the newer methods makes you want to spit—literally. Saliva is full of analytes and biomarkers that create a biological journal of exposure to chemicals and disease, and of genetic variability. However, the collection of oral fluid has always proved cumbersome, with researchers depending on swabs or collection cups. A new tool developed by the Johns Hopkins University School of Nursing Center for Interdisciplinary Salivary Bioscience Research (CISBR) in collaboration with SalivaBio, LLC, improves the ease of oral fluid collection, while maintaining the integrity of the biospecimen. “Our studies show that swabs used to collect saliva can retain analytes, cause interference with assays, result in inaccurate estimates of saliva flow rates, and may even produce inaccurate assay results,” explains Douglas A. Granger, PhD, director of CISBR and professor of Medicine, Nursing, and Public Health at Johns Hopkins University. The Whole Saliva Collection Device is a small polypropylene collection tube with an integral adapter that comes individually wrapped in a clean foil pouch with ready-to-go instructions, and it is a universal fit with common cyro vials. “It’s not rocket science,” Granger says, “it’s a practical solution that will enable saliva analytes to be integrated effectively into basic and clinical studies and consumer applications.” n For more information about the Whole Saliva Collection Device visit www.nursing.jhu.edu/saliva. As the new chair of the Johns Hopkins University School of Nursing’s Department of CommunityPublic Health, Christine Savage, PhD, RN, CARN, enjoys working with a motivated and talented team of nurse educators. Savage joined the School of Nursing on January 1, 2012, replacing Phyllis Sharps, PhD, RN. “The [School of Nursing] faculty finds her to be passionate and enthusiastic about public health nursing, with an exciting and clear vision for the Department and for advancing the School’s role in community nursing,” says dean Martha N. Hill, PhD, RN. “I wholeheartedly agree with them.” Savage has worked with vulnerable populations for a majority of her career, beginning as a community maternal child health nurse in the 1970s and 1980s. Based on these experiences, she became interested in the role alcohol and drugs played in increasing vulnerability in certain populations. She later became involved in the field of addictions nursing and was president of the International Nurses Society on Addictions from 2003-2006. She has conducted funded research related WiLL Kirk which suggests that nurses tend to put their own health and well-being second to the care of others and/or professional development. Over time, this makes them increasingly vulnerable to cardiovascular disease. “People are well aware of the risks of cardiovascular disease, but a large percentage still don’t take active steps to reduce that risk,” notes doctoral student Tam Nguyen. “The idea of SON Fit was to give people with busy schedules a chance to engage in physical activities that were both fun and healthy. It’s been a tremendous success.” The SON Fit program serves as a catalyst toward improving not only the culture of wellness in the SON, but also creating lifelong commitment toward becoming living ambassadors of health and well-being. Through support from the University and the School, all the activities are free of charge for all participants. n Cathy Gendron Recent policy changes regarding the role and population focus for certified registered nurse practitioners have been identified in the new NP competencies and outlined in the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education (2008). The new model has been endorsed by over 45 national nursing organizations and provides the framework for these new population foci. n (l to r) In their new positions, Christine Savage leads the Department of Community-Public Health and Phyllis Sharps is the associate dean for community and global programs and the director of the Center for Global Nursing. to alcohol use during pregnancy and management of health for the solitary homeless adult, and she was on the National Quality Forum’s steering committee related to best practices for substance abuse prevention and treatment. Currently she is editor of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) BSN curriculum on alcohol and health and is working with NIAAA in promoting the inclusion of alcohol and health content in nursing curricula. Prior to Hopkins, Savage was a professor in the College of Nursing and in the College of Medicine, Department of Public Health Science, at the University of Cincinnati and was the director of the master’s program in public health nursing. She was also the associate director of the University Hospital Institute of Nursing Research. n Sharps Leads Community and Global Programs Phyllis Sharps, PhD, RN, successfully led the Department of Community-Public Health for four years. She is now the School of Nursing’s associate dean for community and global programs. In an email sent to Department of Community-Public Health faculty and staff, she reflected upon her time as the Department’s chair: Together, over the four years we have accomplished a lot. We have formed a department with a unique identity and culture. We have created a mission, objectives, and a vision. We have at least accomplished one of our goals—to be the #1 School of Nursing for Public Health Nursing. We have implemented several signature events and activities unique to this Department and we can be very proud of that. I have thoroughly enjoyed serving as your department chair over these past four years, sharing with you your accomplishments, achievements, your challenges and sometimes your sadness and losses. . .I am looking forward to working with and supporting our new chair, Dr. Christine Savage, as well as being fully committed to my new role as associate dean for community and global programs. Thank you all for the privilege of providing leadership and guidance. —Phyllis Sharps, PhD, RN Johns Hopkins Nursing | magazine.nursing.jhu.edu 11 On the Pulse News from Around the School Hopkins Nursing Ranks No. 4 for NIH Funding by Pamela McComas Critical research conducted by Johns Hopkins University School of Nursing faculty and doctoral students earned the School a No. 4 national ranking among schools of nursing receiving federal research funding awarded by the NIH for 2011. “What a wonderful accomplishment for our faculty and PhD students,” says associate dean for research Jerilyn Allen, ScD, RN. “Congratulations to the nurse researchers whose funding directly contributed to our total dollars.” Over the past several years, the School has climbed in the rankings from seventh in 2006 and 2007 to No. 6 in 2008, to No. 5 in 2009, and then to No. 4 in 2010. For 2011, the School’s faculty and doctoral student researchers received more than 6.5 million dollars to fund research about cardiovascular health, violence prevention, end-of-life care, symptom management, effective parenting, cancer prevention, and elder care. n From Idea to Intervention Summer Institute Offers Research Training for Older Adult Care by Kelly Brooks One in every eight Americans is aged 65 years or older and, by 2030, it is expected to be one in five. As the number of older Americans increases, healthcare providers and researchers must understand and address the needs of this growing population. A new, three-day training program at Johns Hopkins University School of Nursing, the Summer Research Institute 12 Johns Hopkins Nursing | on Developing Behavioral Interventions, does just that. The program, offered by the School of Nursing’s Center for Innovative Care in Aging, is June 14–16, 2012, in Baltimore, Maryland. At the Institute, researchers will create and test novel interventions— efforts that change patient behavior, improve self-management, and promote better health and quality of life—and can eventually be implemented in diverse healthcare environments for older adults. They will also learn from intervention experts through lectures, small-group consultation, and one-onone collaboration. “The program is designed for researchers and health professionals from any discipline who seek to create and test an intervention to help older adults, their family members, or communities live healthier lives,” says Laura N. Gitlin, PhD, director of the Center for Innovative Care in Aging. She notes that junior faculty, post-doctoral students, researchers, or investigators with limited experience in health-related Spring 2012 behavioral intervention research will benefit most from participating. n For more information, including a day-to-day overview of the training and a list of the experts, visit www.nursing. jhu.edu/aginginstitute. At Your Service Interprofessional Expertise Creates New “Retail” Care Team Partnerships by Kelly Brooks The growing demand for “retail” clinics—walk-in clinics conveniently located in shopping areas and other easily accessible sites—is offering new opportunities for interprofessional teamwork and corporate partnerships at Johns Hopkins. Working with Walgreens, the largest drug retailing chain in the United States, an interprofessional Johns Hopkins HealthCare team is providing guidance and consultation on the existing evidence-based guidelines at the company’s Take Care Clinics—sites that are more and more frequently being used now to treat common illness like respiratory infections, ear aches, sore throats, and flu symptoms. School of Nursing assistant professors Kathleen Becker, DNP, CRNP, and Andrea Parsons Schram, DNP, CRNP— with Hopkins Medicine colleagues Fred Brancati, MD, chief of the Division of General Internal Medicine, and Madhav Goyal, assistant professor—are currently reviewing guidelines for the conditions most often treated at Walgreens Take Care Clinics. The Hopkins team’s role is to utilize evidence-based research and national care standards in their reviews and to recommend additional best prac tices for management and treatment of conditions such as influenza and sinusitis. Take Care Clinics at select Walgreens have a healthcare delivery model pri marily provided by nurse practitioners. “With our shared mission, we can promote this model of care delivery and impact standards of care delivered through this Walgreens channel,” says Schram. Since 2005, more than 6.5 million patients have been treated at the more than 360 Take Care Clinics nationwide. Operated by Take Care Health Systems, a wholly owned subsidiary of Walgreens, the Clinics are walk-in, professional healthcare centers where board-certified family nurse practitioners and physician assistants treat patients 18 months and older for common illnesses, offer preventive services such as vaccines and physicals, and are licensed to write prescriptions. The Clinics have followed evidence-based guidelines for quality patient-care delivery since they opened, and in 2009 Take Care Health Systems received full certification from the Jefferson School of Population Health for adhering to the Convenient Care Association’s quality and safety standards for retail clinics. Becker sees the partnership as a winwin for both organizations. “Walgreens is looking to Hopkins to provide bestpractice guidance for the clinics, and Hopkins sees this as an opportunity to engage with a proprietary organization and influence best-care practices,” she says. “There’s a big future for partnership here, and this is one of the first steps.” Members of the Hopkins team also see their work as an opportunity to improve care for millions—and one that is only expected to grow. A recent study released by the Rand Corporation showed that the use of walk-in retail clinics is on the rise—having increased ten-fold in the past two years. “Working closely with a prestigious and respected institution such as Johns Hopkins helps to further the role that retail clinics can play in providing positive patient outcomes in today’s healthcare system,” says Sandra Ryan, RN, MSN, CPNP, FAANP, chief nurse practitioner officer for Take Care Health Systems. “The partnership also continues to further Take Care Health’s goal of ensuring nurse practitioners have the ability to practice quality care to the full extent of their education and expertise.” n The Johns Hopkins University School of Nursing extends a special thanks to Johns Hopkins Federal Credit Union for participating in Accepted Students Day held on March 2, 2012, at the School of Nursing. Johns Hopkins Federal Credit Union jhfcu.org Your support is greatly appreciated. Dear School of Nursing Community, As my retirement date of June 30, 2012, nears, I look back on my 27 years at the Johns Hopkins University School of Nursing with great fondness and tremendous gratitude. I’ve had the amazing opportunity to participate in both the early history of this wonderful School and to revel in its current status as a premiere institution for education, research, and nursing practice. It has been my good fortune to work with three deans—Carol Gray, Sue Donaldson, and Martha Hill— Will Kirk Istockphoto.com Go Team! each of whom has created an enviable legacy on which future leaders can build. I’ve worked with wonderful faculty, staff, and alumni who have been dedicated to providing the best possible experience for our students. And what can I possibly say about the students that ade quately captures what they mean to me? They are the heart of the School. Their accomplishments, sacrifices, hard work, and contributions to the future of the nursing profession are a source of great pride and inspiration. I look forward to continuing my contact with them through the Alumni Association. Thank you for all that each of you has done to make life at Hopkins such an enjoyable and enriching experience. I wish you every success and will remain a #1 fan! —Sandra Angell, MLA, RN, ’69 Associate Dean for Student Affairs Johns Hopkins Nursing | magazine.nursing.jhu.edu 13 On the Pulse News from Around the School by Chanel D. Newsome School of Nursing donors experienced firsthand the impact their philanthropy in support of financial aid is making at the Johns Hopkins University School of Nursing’s Scholar-Donor Luncheon. On March 6, 2012, 75 donors and scholars attended the annual event which celebrates the achievements of the School’s outstanding scholars and recognizes the generosity of its donors. Student recipients of named scholarships and their donors were able to meet, learn about one another, and share their experiences. Grace Ho, a second-year doctoral student and one of the speakers at the event, said, “The donors’ support plays a crucial role in building character and preparing future nurse leaders.” Ho also expressed her appreciation for the opportunity to participate in research projects made possible by the financial support she receives through the Ellen Levi Zamoiski Doctoral Fellowship. n Maryland’s Nurse Educators Get High-Tech at Hopkins by Kelly Brooks Sue Schlenger, scholarship donor Doctor of Nursing Practice student Godfrey Katende and Advisory Council member Mary Jo Wagant Catherine Ogunsola, Accel. ’12 Emily Pavetto, Trad. ’13; dean Martha N. Hill ’64; Steven Wright, Trad. ’13; Mary-Ann Pinkard, Advisory Council chair Walter (Wally) Pinkard, Jr.; Rachel Witter, Accel. ’12; and Kate Kloss, Trad. ’12 14 Johns Hopkins Nursing | Spring 2012 Teaching the Teachers Will Kirk PHotos by Will Kirk Celebrating Scholarship Mary Ellen DuPont, Accel. ’12 and Frances Trimble SPH ’66 To secure a state-of-the-art education for tomorrow’s nurses, Maryland’s nurse educators must become masters of simulation technology. Faculty from 10 Maryland nursing schools learned how to incorporate simulation training in their teaching at the Maryland Faculty Academy for Simulation Teaching in Nursing (M-FAST), held on January 9–13, 2012, at the Johns Hopkins University School of Nursing. “Simulations provide students a safe, simulated clinical environment to hone their skills, develop their problemsolving abilities, and get experience within their scope of practice,” says Pamela R. Jeffries, PhD, RN, associate dean for academic affairs at the School of Nursing. “It’s absolutely an essential part of today’s nursing education.” Simulated patient scenarios are most effective when facilitated by an educator who understands the technology, the pedagogy, and the way that students learn—and all of these topics are taught to faculty who attend the M-FAST Academy. They learn to facilitate the student learning experience and then share their knowledge, becoming faculty trainers for their own schools and universities. In this way, M-FAST continues to improve simulation education throughout the state long after the Academy is over. The result, says M-FAST principal investigator Linda Rose, PhD, RN, will be a cadre of nursing graduates who are well-prepared for the rigors of a nursing career. The techniques taught at M-FAST “are great for assessing student competencies, so teachers can better Simulation not only provides a safe learning environment, it can also enable schools to accept and graduate more nurses. identify student strengths and weaknesses and develop targeted teaching to address them,” she says. The results are better rates of student retention, graduation, and passing licensure exams. An added benefit of the program, according to M-FAST project manager Jennifer Haire, is easing the state’s nursing shortage. Nursing schools often limit their student enrollment—and therefore the number of new nurses entering the workforce each year—based on the number of clinical assignment positions available. When students spend some of their clinical time in simulation scenarios instead of real-time clinical care of patients, schools can potentially accept more students and graduate more qualified nurses. The 10 M-FAST schools represent a wide range of nursing schools: small- and large-enrollment programs, associate and baccalaureate degree programs, and programs with varying levels of simulation expertise and resources. As they move forward, implementing new technology and pedagogy, the schools will continue to collaborate with one another and have continuing support from M-FAST instructors. Schools will also have access to aggregated data showing the impact of simulation training across the participating institutions. The consortium includes the nursing programs of: • Bowie State University • Carroll Community College • Coppin State University • Harford Community College • Howard County Community College • Johns Hopkins University • Montgomery College • Stevenson University • Towson University • Wor-Wic Community College M-FAST is a three-year program, funded by the Maryland Higher Education Commission in 2010. n Learn more about simulation at www.nursing.jhu.edu/simulation. Johns Hopkins Nursing | magazine.nursing.jhu.edu 15 On the Pulse News from Around the School In the News Istockphoto.com Faculty member Jerilyn Allen, ScD, RN, comments that “All healthcare professionals, especially nurses, need to become more aware of opportunities to use social media and technology to promote healthy behaviors and the prevention of cardiovascular disease,” in the article “Success with support.” The article published in Nurses.com News on November 28, 2011, discusses a recent research study which found that a remote weight-loss counseling program with Website and email support was as effective as one delivered in person. The article “Keeping victims of domestic violence safe,” credits faculty member Jacquelyn Campbell, PhD, RN, for determining a number of high-risk factors that may have common traits and might be indicators as to whether a domestic violence case presents factors of lethality. The article was published in Wicked Local Stow on January 20, 2012. Faculty member Doug Granger, PhD, is making news around the globe. Recent research by Granger and colleagues reveals surprising findings about how the hormone cortisol affects babies versus adults. The research also Faculty, Student, and Staff News Diane Aschenbrenner, MS, APRN, RN, is leading a group of faculty and students dedicated to ensuring ethical behavior as the Johns Hopkins University School of Nursing’s new chair of the Academic Ethics Committee. Deborah E. Jones, PhD, RN, was appointed dean of Hampton University School of Nursing located in Hampton, VA. Laura Taylor, PhD, RN, is the Johns Hopkins University School of Nursing’s All-School Curriculum chair, heading a nine-member committee. Johns Hopkins Nursing | In the February 24, 2012, edition of Medical News Today, associate dean for academic affairs and faculty member Pamela Jeffries, PhD, RN, comments on how schools of nursing are addressing the faculty shortage problem by reexamining how to provide clinical education to undergraduate students. Jeffries says she sees “the integration of clinical simulations to combat the nursing faculty shortage as one of most impactful new models on the forefront of addressing the Future of Nursing Education report.” n Faculty—Community–Public Health Faculty—Acute & Chronic Care 16 shows a correlation between mother and baby cortisol levels. Publications in Belgium, Canada, India, and the United Kingdom carried the news, in addition to two media outlets in the United States: Bio Medicine and Science Codex. Jodi Shaefer, PhD, RN, was the distinguished speaker for the third Annual Nursing Research Conference held on November 3 at Shepherd University in Shepherdstown, WV. Her topic was “Johns Hopkins Nursing Evidence-Based Practice Model: Excitement in Clinical Practice.” She also presented a poster at the 2012 Prematurity Prevention Symposium on January 19 in Washington, DC. Nicole Warren, PhD, MPH, CNM, received one of nine faculty grants in global health from the Johns Hopkins Center for Global Health for the 2011– 2012 cycle. The study will be co-funded by The Bill and Melinda Gates Institute for Population and Reproductive Health. The study aims to improve Spring 2012 Nicole Warren’s study aims to improve family planning services for survivors of sexual and gender-based violence and their partners. access, knowledge, and utilization of family-planning services for survivors of sexual and gender-based violence and their partners in the Eastern Democratic Republic of Congo. Faculty—Health Systems & Outcomes Laura Gitlin, PhD, spoke about “Living at Home with Dementia: Practical Strategies that Can Make a Difference in Quality of Life,” at the National Association of Professional Geriatric Care Managers Mid-Atlantic Chapter 2011 Conference in Philadelphia, PA, on November 8. Team Efforts Faculty members Laura Gitlin, PhD, Nancy Hodgson, PhD, RN, Sarah Szanton, PhD, CRNP, and Elizabeth (Ibby) Tanner, PhD, MS, RN, traveled to Boston, MA, to present at the Gerontological Society of America meeting from November 18–22. Presentation topics included depression, innovative collaborative trial methodologies, dementia care, family caregiving, and function in older adults. In early February, faculty members Diane Aschenbrenner, MS, APRN, RN; Pam Jeffries, PhD, RN; Sharon O’Neill, JD, MSN, CRNP; and doctoral student Christine Keenan visited La Source School of Nursing in Lausanne, Switzerland. Jeffries delivered a pre sentation about the challenges, issues, and future direction of simulation while Aschenbrenner, Keenan, and O’Neill conducted a faculty development institute on implementing simulations and debriefing. Faculty member Betty Jordan, DNSc, RNC, staff member Rachel Breman, and students Teresa Pfaff and Samantha Schneider attended the mHealth Summit in Washington, DC, in December. The Summit featured conference sessions discussing the benefits and challenges of mobile healthcare technology. n Students Postdoctoral student Jeanne Alhusen, CRNP, MSN, received a 2012 Travel Award from the Hon. Ruth D. Vogel Fund for Professional Development. Traditional and accelerated students Bethany Ackerman, Emily Bisker, Heather Coleman, Lesley Dokes, Christina Dorsey, and Daniel Mertz, participated in the Maryland Independent Higher Education Day in Annapolis on February 9. Matthew Palmer, associate director of State Affairs for the Hopkins Government, Community and Public Affairs Office, said, “The students were amazing and did a great job of putting a human face on the issues that our office advocates for each day.” Graduate students Joahnna Fournier, Lea Marineau, Jacqueline O’Connell, and Emily Spede won awards at the annual Nurse Practitioner Student Poster Presentation on December 8. Traditional 2013 students Kristen Butt and Hilary Rabuck have been elected to the Maryland Association of Nursing Students 2012-2013 Board of Directors. Kristen is the secretary and Hilary is the Breakthrough to Nursing director. Patricia Abbott (left) has a long history of involvement in national and international informatics initiatives. Patricia Abbott, PhD, RN, associate professor, Department of Health Systems and Outcomes, received a personal invitation from William E. Kennard, U.S. Ambassador to the European Union, for the High-Level Workshop on Innovation in Healthcare on November 16 in Brussels, Belgium. Policymakers and academic and private-sector representatives from both sides of the Atlantic attended the Workshop to produce a set of concrete policy recommendations on healthcare and remote monitoring for cure and prevention. The recommendations from the Workshop will be shared with relevant transatlantic policymakers to ensure rapid uptake of health technology for the benefit of patients around the world. Johns Hopkins Nursing | magazine.nursing.jhu.edu 17 BENCH to Bedside Study Shows NP Intervention Proves Valuable by Jon Eichberger Direct intervention by nurses with cardiovascular disease patients has a positive effect on improving cardiovascular care in underserved populations. group. The NP/CHW team focused on lifestyle changes based on behavioral interventions and the prescription of appropriate medications. Strategies to improve adherence were also integrated. After 12 months, the NP/CHW patients had a significantly greater reduction in total cholesterol, bad LDL cholesterol, triglycerides, systolic and diastolic blood pressure, and HbA1c— Istockphoto.com “Community Outreach and Cardiovascular Health (COACH) Trial: A Randomized, Controlled Trial of Nurse Practitioner/Community Health Worker Cardiovascular Disease Risk Reduction in Urban Community Health Centers,” was an editor’s pick in the November 2011 issue of the American Heart Association (AHA) journal, Circulation: Cardiovascular Quality and Outcomes. The COACH trial, funded by the National Institutes of Health, was led by associate dean for research and M. Adelaide Nutting Chair Jerilyn Allen, ScD, RN, and included fellow Johns Hopkins University School of Nursing researchers Cheryl Dennison Himmelfarb, PhD, RN; Sarah Szanton, PhD, CRNP; dean Martha N. Hill, PhD, RN; and Mary Donnelly-Strozzo, DNP, MPH. The study shows that direct inter vention by nurses with cardiovascular disease (CVD) patients has a positive effect on improving cardiovascular care in underserved populations. The trial randomly assigned patients with documented CVD, type-2 diabetes, high cholesterol, or hypertension into two groups: a nurse practitioner/ community health worker (NP/CHW) group and an enhanced usual care 18 Johns Hopkins Nursing | Spring 2012 a test that measures sugar in the blood. The NP/CHW patients also had an improved perception of the quality of their chronic illness care. “Our results demonstrate the value of nurse practitioner interventions and add to the collective research that has already been done in nurse case management in cardiovascular care,” Allen notes. “It is time to translate these effective strategies into practice to improve the cardiovascular health of high-risk populations in urban settings across the country.” n No Blood Needed Saliva Testing Helps Identify Patients at Risk for Heart Disease by Teddi Fine Due to the popularity of forensic crime-lab television shows, a vast majority of Americans know that bodyfluid samples can put criminals behind bars. What most people don’t know is that measuring a certain protein, called C-reactive protein (CRP), also may help save lives. CRP in the blood is a well-established general measure of inflammation in the body. CRP levels above an American Heart Association cut-off level, are suggestive of significant risks for cardiovascular disease. CRP blood tests are invasive, take time, and can be costly. However, Dorothée Out, postdoctoral fellow at the Center for Interdisciplinary Salivary Bioscience Research (CISBR); Douglas A. Granger, PhD, professor and CISBR director; professor Gayle G. Page, DNSc, RN, and other colleagues from the University of Akron found that a saliva test might be just as effective and cost less. [“Assessing Salivary C-reactive Protein: Longitudinal Associations with Systemic Inflammation and Cardiovascular Disease Risk in Women Exposed to Intimate Partner Violence,” Brain, Behavior, and Immunity, in press] According to Granger, “If CRP can be measured accurately in saliva, sampling would be stress- and pain-free, minimally invasive, and could be self-collected, lowering the barriers to having it checked for many individuals.” In a two-year, longitudinal exploration of more than 100 women seeking help from domestic violence shelters and community agencies, the researchers collected and compared CRP samples from saliva and blood. They found that saliva CRP measurement was accurate and precise, and that salivary and blood CRP levels were stable across a period of two years. Also, the pattern of correlations with body mass index was identical for both blood and saliva CRP measurements. Moreover, the saliva test measured women with low levels of CRP—low risk for heart disease—with the same precision as the comparable blood test. It was not as accurate as the blood test when measuring high CRP levels. Nonetheless, the implications are tantalizing. If you test with low CRP levels in oral fluid it is pretty certain you are in the “low-risk” group, but if you test high, then you would need a follow-up blood test. n Managing Diabetes Best Practices Can Lower “Multiplier Risks” by Teddi Fine Nearly 17 percent of U.S. adults are affected by chronic kidney disease (CKD), a significant underlying cause of cardiovascular disease in the United States. CKD also accounts for nearly 28 percent of Medicare expenditures. Adults with diabetes are at increased risk for both CKD and high blood pressure. Any Istockphoto.com Nursing Research Article is AHA Journal Editor’s Pick The Latest in Nursing Research Controlling high blood pressure can slow the progression of diabetesrelated chronic kidney disease and decrease the incidence of heart attack, stroke, and the progression to endstage renal disease. one of these problems can be serious; together they exponentially raise the likelihood of cardiovascular and cerebrovascular morbidity and mortality. The good news is that controlling high blood pressure can slow the progression of diabetes-related CKD and decrease the incidence of heart attack, stroke, and the progression to end-stage renal disease. Unfortunately, best practices for diagnosing and managing chronic kidney disease and blood pressure often are not followed by primary care providers. A study by doctoral graduate Bernadette Thomas, DNP ’11, MPH, APRN, reports on the use of individualized action lists and electronic health record (EHR) technology to help boost provider adherence to best practices. [“Improving Blood Pressure Control Among Adults with CKD and Diabetes: Provider-focused Quality Improvement Using Electronic Health Records,” Advances in Chronic Kidney Disease, November 2011] The study tracked 3,137 diabetic patients across 6,781 separate clinician visits. EHR-based scorecards and realtime feedback significantly increased doctor and nurse practitioner adherence to best practices in screening, diagnosis, and treatment. “Using reminders and action lists helps keep evidence-based guidelines on a provider’s radar screen and increases our capacity to deliver quality chronic disease management,” Thomas notes. n Johns Hopkins Nursing | magazine.nursing.jhu.edu 19 News from Around the World Opening Eyes Through Volunteering Graduate Students Provide Care in Haiti by Jon Eichberger The life of a graduate nursing student is busy. It’s so busy that one might not expect students to think about anything besides getting through their clinicals and classes without collapsing in exhaustion. Yet, for one week this past October, four Johns Hopkins University School of Nursing graduate students paused to look outside of their studies and East Baltimore. The group traveled to a remote part of Haiti as volunteers, offering vital medical care to more than 1,000 patients. While much relief work has been done since the January 2010 earthquake wreaked havoc in south-central Haiti, most Haitians in rural areas still lack good medical care and many necessities of life. School of Nursing faculty member Elizabeth “Beth” Sloand, PhD, CRNP, a veteran of numerous trips to provide clinical assistance and student experiences, organized the trip and encouraged students who were eligible to participate. Four graduate nurse practitioner students—Katherine Philips, Kearstyn Leu, Lea Marineau, and Tresa Schumann—joined the multidisciplinary team with faculty members Phyllis Mason, MS, RN, CANP, and Shawna Mudd, DNP, CRNP, three physicians and other professionals. Through funding from a private donor and contributions from the participants themselves, the volunteers left on October 15 for Leon, a small 20 Johns Hopkins Nursing | Phyllis Mason treats the wound of a Haitian resident who lacks access to good medical care. village about one hour away from the coastal city of Jérémie in southwest Haiti. During their week in Haiti, the students faced the reality that “the resources were incredibly limited there,” said Lea Marineau. While much relief work has been done since the January 2010 earthquake wreaked havoc in south-central Haiti, most Haitians in rural areas still lack good medical care and many necessities of life. After setting up the small amount of equipment they had brought from Baltimore to supplement the clinic’s basic supplies, the volunteers offered primary care to members of the local community. In some cases, the group provided emergency care as well. By giving their time and skills to the residents of Leon, the students also gained valuable clinical practice. Marineau described the work as “definitely the best clinical experience I have ever had. It was eye-opening to experience Spring 2012 firsthand their healthcare system and living conditions.” n Read more about students’ experi ences in Haiti at www.nursing.jhu. edu/haitiblogs. Messaging New Moms Around the World Text4baby Joins Global mHealth Initiative by Kelly Brooks More than 300,000 pregnant women and new moms are giving their babies a healthy start in life using text4baby, the first free health text-messaging service in the United States. In a new partnership, text4baby is now working with the Johns Hopkins University Global mHealth Initiative to reach out to mothers worldwide. Text4baby’s first international initiative launched in November 2011, reaching out to Russian moms. “I believe text4baby can benefit women worldwide,” says Betty Jordan, DNSc, RNC, Johns Hopkins University School of Nursing assistant professor and text4baby program evaluator. “Partnering with the mHealth Initiative, which includes both domestic and international mHealth programs, is a great first step.” Text4baby is a perfect example of the mHealth Initiative’s work to improve global health using mobile information and communications. Pregnant women and new moms who sign up (by texting BABY or BEBE to 511411) receive three text messages each week full of health tips and resources. In the two years since text4baby began, Jordan has been the program evaluator, working to measure text4baby’s impact. “We recognize that doing scientifically rigorous program evaluation and research is critical,” says Jordan, who is also the deputy director of the mHealth Initiative. The lessons learned from text4baby could help the mHealth Initiative develop more successful projects worldwide. “Whether international or domestic, we need evidence to move forward with implementing mHealth technologies.” A recent evaluation of text4baby in San Diego, California, found that mothers who receive the text messages are more likely to take action—calling hotlines or talking with their doctor— than other mothers. And 96 percent of text4baby users would refer the service to a friend. Text4baby is so popular that the Centers for Medicare & Medicaid Services have partnered with text4baby to drive enrollment in the Children’s Health Insurance Program, Medicaid, as well as text4baby. Since February 2010, text4baby has reached out to women in all 50 states, Will Kirk Global Nursing Betty Jordan (center) shows Global mHealth Initiative student leaders, Teresa Pfaff ’12 (left) and Samantha Schneider ’13 (right) how text4baby can reach more moms around the world using mobile devices. the District of Columbia, and U.S. territories such as the Virgin Islands, where Johns Hopkins nursing students conduct public health practicums each year. In February 2012, Jordan traveled to St. Croix where Eleanor Hirsh from the Island’s Family Connection program was promoting text4baby at Agrifest, an annual agriculture and food festival. With terrain that makes text messages easier to receive than phone calls, the Virgin Islands are fertile ground for text4baby, and today, more than 320 women there are enrolled. n Johns Hopkins Nursing | magazine.nursing.jhu.edu 21 Jhpiego Jhpiego Assists Lesotho to Strengthen Nursing Education by Ann LoLordo Jhpiego, an international health non-profit and affiliate of Johns Hopkins University, has partnered with a faith-based health organization in Lesotho to strengthen nursing education and increase the numbers of these essential health workers who provide lifesaving care to women and families. Known as the Kingdom in the Sky, the southern African country of Lesotho has the third-worst HIV prevalence rate in the world—23.6 percent. The average life expectancy is 41 for men and 39 for women. The World Health Organization estimates that this landlocked nation of 2 million people has only 43 percent of the nurses and midwives that it needs. To address this dearth of frontline health workers, Jhpiego has launched a multipronged effort to ensure that more nurses are educated and nursing students receive a quality education and the hands-on clinical experience they need The World Health Organization estimates that this landlocked nation of 2 million people has only 43 percent of the nurses and midwives that it needs. to provide competency-based care. This action plan focuses on developing the skills of preceptors, providing continuous supportive supervision to ensure the integration of skills into their teaching, upgrading skills labs and equipment, updating learning materials, and establishing a monitoring and evaluation system for nursing education. Jhpiego 22 Johns Hopkins Nursing | Lastina Lwatula (left), a regional Preservice Training Advisor based in Jhpiego’s Zambia office, provides supportive supervision for two participants at a training session in Lesotho. Jhpiego is working with four schools and the Lesotho Nursing Council to help strengthen nursing education in the southern African country. is working in collaboration with the Christian Health Association of Lesotho (CHAL) and its four nursing schools. “In Lesotho, Jhpiego is committed to helping our partners strengthen nursing education and develop a growing work force of skilled nurses who will deliver care competently and humanely,’’ says Leslie Mancuso, PhD, RN, Jhpiego’s CEO and president, who began her career as a pediatric intensive care nurse. “The people of Lesotho deserve no less.” Jhpiego staff have trained 71 preceptors thus far. Of those, eight are receiving additional training and mentoring to become “qualified trainers”—proficient providers who are able to train others in clinical skills. Nursing instructor Isabel Nyangu, a participant in the training, says the course gave her new insights into Spring 2012 preparing lesson plans and adapting different teaching methods to her courses. She finds the emphasis on providing feedback to students and the supportive supervision by Jhpiego staff both critically important. “Our knowledge base is going to improve and we will maintain our teaching skills up to standards,” she says. In its efforts with CHAL to graduate competent nurses and keep them qualified, Jhpiego is helping the Lesotho Nursing Council strengthen regulatory and educational standards and improve professional development. Jhpiego’s work in Lesotho has the support of the Ministry of Health and Social Welfare and is funded by the U.S. Agency for International Development’s global flagship Maternal and Child Health Integrated Program (MCHIP). n Johns Hopkins Nursing | magazine.nursing.jhu.edu 23 Robert McClintock LIVE from 525 A Forum for Student Expression An Ambassador of Nursing Chris Hartlove The Class of 1944 Scholarship was established in 1994 by members of the class in honor of their 50th reunion, through the leadership of Kathryn Holman O’Connor of Alexandria, Virginia. The Power of a Paintbrush Art Offers an Outlet for Creation and Healing by Gina Colaizzo Nursing school can be stressful. To deal with stress, I turn to my paintbrush. I’m inspired by my love of artistic creativity and mesmerized by the beauty of scientific structures viewed through the microscope. Upon leaving a research lab, I have always found a way to incorporate and amplify these images into my artwork. Doing so not only allows me to share the artistic beauty of science with others, it also serves as a healthy coping mechanism and an emotional outlet when I’m stressed. With time and “Even in the sophisticated hospitals tussle, I began of this nation, patients suffer from compiling some of afflictions that cannot be relieved by my illustrations and technology or pharmacology. For those thoughts into an organized format. patients, compassion and creativity in As my literary any form should be called into play.” prose transformed —Hunter Doherty “Patch” Adams, MD into rhythmic verse, my passion for children and healthy living resulted in the creation of How to Be a Winner for Dinner. This children’s book takes the reader on a journey with a young boy whose mission is to make his mother’s dinner vegetables taste better so that he can enjoy eating them and follow his doctor’s recommended daily diet. Understanding how I have personally benefitted from the artistic process, I want to share my experience and show others how artistic expression can in fact be therapeutic. This is particularly true for those who are confined to the hospital setting and dealing with long-term illnesses. In 1977, Dr. George L. Engel proposed the biopsychosocial model; the theory proposes that psychological and social aspects of life influence wellness and disease to the same effect that biological factors do. I found my own experiences in artistic creations and the associated psychological benefits to be in full support of this theory. My book allows me to send a positive message about healthy diet to the pediatric population and also demonstrates how stress can manifest into positive outcomes if it is dealt with in a constructive and productive manner. As I continue through my career, I hope to produce a series of children’s books to integrate the creative process of art as a form of holistic therapy within my nursing practice. n Read more about Gina’s passion for art and nursing on her blog: www.nursing.jhu.edu/ginablog. Will Kirk Thaissa Davila was always fascinated with how the body works, but it took a tragedy to “seal the deal” for her nursing career. Growing up in Brazil, Davila says she did not have much exposure to nursing within her culture. Becoming a doctor was her idea of being involved in the medical field. Upon moving to the United States, she interacted more with nurses and found she identified with them. Then, out of a tragedy came a defining decision. “My husband was involved in a car accident and was hospitalized for a few weeks,” she explains. “The way the nurses treated us and the experiences during such a difficult time sealed the deal. I realized nursing would fulfill me.” She was accepted into the Johns Hopkins University School of Nursing, but with a growing family and a mortgage, finances were a concern. Thanks to the Class of 1944 Scholarship, Davila, a student in the Traditional 2012 class, can focus on her education without the worry. “It takes a huge amount of stress and burden off of my shoulders, and allows me to focus on school,” she says. “It also gives me time to take care of myself and my family.” After graduation, she plans to work in an adult critical care unit and aspires to eventually hold a leadership position within a hospital. Pursuing an advanced nursing degree is also a long-term goal. However, Davila’s goals extend beyond credentials and career path. Her limited exposure to nurses during her childhood and the experience of her husband’s hospitalization resonate in her higher aspirations. “I want to give back by being an ambassador of the nursing profession to patients and their families. I want to provide emotional support for patients, as well as their family members, in a time when they are vulnerable and sometimes even lost. I want to utilize my life experiences to pioneer a cultural change about diversity within the nursing profession.” After graduation, Gina Colaizzo plans to seek publication for her book, How to Be a Winner for Dinner. Johns Hopkins Nursing | magazine.nursing.jhu.edu 25 Higher Education In response to the IOM’s fifth recommendation to double the number of nurses with a doctorate by 2020, deans and directors of doctoral nursing programs focus on attracting and preparing the next wave of nurse educators and researchers. by Jennifer Walker Illustration by Mike Austin 26 Johns Hopkins Nursing | Spring 2012 As the respective directors of the Johns Hopkins University School of Nursing’s Doctor of Philosophy (PhD) and Doctor of Nursing Practice (DNP) programs, Hae-Ra Han, PhD, RN, and Mary Terhaar, DNSc, RN, see a Catch-22 in nursing’s future. The field is paced to have 260,000 fewer nurses than it needs by 2025, according to the American Association of Medical Colleges of Nursing (AACN). Yet, if universities continue to graduate doctoral nursing students at the same rate, there will be a dearth of faculty to teach potential new nurses who could fill the gap. “We’ve got to get schools producing more nurses,” Terhaar says. “But we know that one of the reasons schools can’t accept all of the applicants is because they don’t have enough faculty.” Han agrees, pointing out that many current nursing faculty members will retire in the next 10 years. “Without more doctorally prepared faculty, schools cannot expose a larger class of students to the health sciences, translational research, and evidence-based practice that will prepare them to become frontline health professionals,” she adds. The Institute of Medicine (IOM) issued a recommenda tion for universities to double the number of nurses with a doctorate by 2020 as part of its 2010 report, The Future of Nursing: Leading Change, Advancing Health. Accordingly, nursing schools should strive to matriculate 10 percent of their undergraduate students into master’s or doctoral programs within five years of graduation. Johns Hopkins Nursing | magazine.nursing.jhu.edu 27 To meet this recommendation, Han says the School of Nursing works to facilitate undergraduate students’ transition into advanced nursing programs. Through the Research Honors program, baccalaureate nursing students are exposed to research early by working with faculty on an ongoing research project. After they receive their undergraduate degree, registered nurses can enroll directly in the PhD program without obtaining their master’s degree first. In the School of Nursing’s DNP program, enrolling more students is not currently an option. Each year the program fills to capacity with experienced clinicians who can become innovators in healthcare systems. “We’re focused on the quality, the rigor, and the scholarship of our program,” Terhaar says. “We’re producing scholarly DNPs who will be experts in their area of specialization and, while they’re there, be mentors for all those nurses who are going into practice. Our graduates go out with an impressive new skill set and will be able to make practice better.” Three Johns Hopkins University School of Nursing alumni—who have gone on to become deans of other nursing schools—are also responding to the IOM’s recommendation. At the University of Colorado College of Nursing, dean Patricia Moritz, PhD, BS ’75, RN, is expanding her faculty to attract more students to the school’s PhD and DNP programs. “It’s a combination of adding additional faculty for more depth in our existing science and specialty areas in the programs that enables broader opportunities for students,” she says. In Oklahoma, Lazelle Benefield, PhD, RN ’72, dean of the University of Oklahoma Health Science Center College of Nursing, wants to increase the speed at which students complete their doctoral degrees. “Often, it takes seven years for people to finish,” she says. “That’s much too long.” To help, the college offers scholarship opportunities to support students who want to study full-time, and the school provides an online PhD program. The College of Nursing at Villanova University in Villanova, Pennsylvania, is looking for alternative funding opportunities to help students finance their education. “We’re going to have to look to the private sector,” says dean M. Louise Fitzpatrick, EdD, BS ’63, RN, FAAN. Independence Blue Cross, for example, has contributed funding to support scholarships for doctoral nursing students in the greater Philadelphia area. The Jonas Nurse Leaders Scholar Program recipients are expected to accomplish three goals: 1) be prepared to teach nursing in metropolitan New York; 2) integrate new research findings from clinical sites with theory, knowledge, and practice skills taught in the classroom; and 3) maintain collaborative relationships in the clinical settings, serving from the outset as an advocate for clinical orientation programs that aim to retain nurses by increasing their job satisfaction. The past and current Ellen Levi Zamoiski Fellows and Jonas Scholars are living up to the expectations set for them. From helping vulnerable populations to providing practitioners with access to research, they are recognizing problems, asking tough questions, making a difference, integrating research, advocating, and educating future nurses. The next wave of nurse educators and researchers the Ellen Levi Zamoiski Doctoral Fellowship in her honor. “My mother was always impressed by the quality of student chosen to receive the Ellen Levi Zamoiski Fellowship,” says Clair Segal. “She knew each of them would ultimately improve patient care and outcomes because they had been given the opportunity to continue their studies, to recognize problems, to ask the tough questions, and to be the best-equipped to make a difference.” Chris Hartlove Jessica Roberts Williams, PhD ’08, MSN/MPH ’05, RN Ellen Levi Zamoiski Fellow, 2005-2006 From the moment a healthcare researcher decides on a topic of study, it takes an average of 10 years before the results will impact patients, says Jessica Roberts. “That’s too long,” she continues. “So how can we shorten this gap and help make findings more relevant for the patient population?” As a consultant with MANILA Consulting Group in McLean, Virginia, Williams is currently synthesizing research literature on topics such as HIV/AIDS prevention and reproductive health, and testing strategies for dissemination so that this information can be seamlessly distributed to practitioners in the field. Williams first became interested in evidence-based practice while she was in the PhD program. Her dissertation focused on the relationship between relational aggression and dating violence among urban middle school youth, a part of an arts-based initiative for the prevention of dating violence funded by the Centers for Disease Control and Prevention. 28 Johns Hopkins Nursing | Spring 2012 Sara Rosenthal, MSN ’08, BS ’04, RN Ellen Levi Zamoiski Fellow, 2006-2007 REnee Fischer Money matters when it comes to furthering education. At the Johns Hopkins University School of Nursing, many full-time PhD students are 100% funded with a stipend for the first two years of study. The School also offers additional support—such as the Ellen Levi Zamoiski Doctoral Fellowship and Jonas Nurse Leaders Scholar Program. In 2005, Ellen Levi Zamoiski’s daughter and son-in-law, Clair Zamoiski Segal and Thomas (Tommy) Segal, established As an undergraduate in the Johns Hopkins University School of Nursing Research Honors Program, Sara Rosenthal learned that the observations a nurse makes in her work can also become fascinating research questions. “That opened me up to the possibility of research,” she says. “After I graduated and I entered the field, I started thinking about what I was seeing in my practice.” As a neonatal intensive care (NICU) nurse, Rosenthal was struck by the way parents make decisions in highstress situations. Some wanted to maintain control over how their baby was treated, while others preferred to let the hospital staff take charge. For her dissertation she studied the factors that influence parent decision-making in the NICU, from education and race to the amount of trust that parents have in their healthcare providers. It’s a topic that continues to fascinate her. Rosenthal is expected to receive her PhD this coming May and plans to teach. She also wants to further investigate parent decision-making in the NICU. Johns Hopkins Nursing | magazine.nursing.jhu.edu 29 Will Kirk Yvonne Commodore-Mensah, RN Jonas Scholar, 2010-2012 Christine Keenan, MSN, RN Jonas Scholar, 2010-2012 Bryan Hansen, RN Jonas Scholar, 2010-2012 Yvonne Commodore-Mensah wants to educate the next generation of nurses about cardiovascular health in vulnerable populations. Her research centers on cardiovascular disease risk factors and behaviors among West African immigrants. Your patient is crashing. Quick—what do you do? Christine Keenan is using simulation technology to investigate how clinicians make decisions in time-sensitive situations. In addition to teaching after graduation, she plans to continue looking at simulation’s impact on patient outcomes. Bryan Hansen wants to “straddle the line” between research and direct practice. Currently a part-time forensic nurse examiner at Mercy Medical Center in Baltimore, Maryland, his research focuses on preventing pressure ulcer development among older adults who are vulnerable to neglect. He also hopes to impact U.S. policy development that can improve this population’s quality of life. Read more about Hansen online at www.nursing.jhu.edu/bryanhansen. 30 Johns Hopkins Nursing | Spring 2012 Chris Hartlove When Vinciya Pandian became an intensive care unit nurse practitioner, she saw many clinical problems that were not yet being studied. “I decided I needed to go back to school to learn research skills if I really wanted to affect how patients are cared for,” she says. Pandian focuses on helping healthcare providers and patients’ family members understand the benefits of tracheostomy. “For patients who get a tracheostomy, their quality of life improves because now they are able to talk,” she says. “Tracheostomy is actually a step forward that can help patients get off of the ventilator.” Pandian has interviewed patients who are still able to communicate while on a ventilator and developed a quality-of-life questionnaire geared specifically toward patients who are both intubated and who receive a tracheostomy. After she receives her PhD in 2013, she plans to pursue a combination of clinical work, research, teaching, and administration. Chris Hartlove “The most horrible thing is for a mother to be separated from her newborn, whether you’re a prisoner or not,” says Jan Kaminsky, a part-time pediatric intensive care unit nurse at Saint Barnabas Medical Center in New Jersey and a clinical instructor at Hunter College in New York City. For her dissertation Kaminsky is part of a Columbia University research project that focuses on attachment issues between incarcerated mothers and their babies at Bedford Hills Correctional Facility in Bedford Hills, New York—a prison that allows mothers to keep their babies with them in a special part of the facility for up to 18 months. Kaminsky uses a conflict tactics scale to research child discipline tactics among mothers after their release from the facility. After she graduates in August, she hopes to start a full-time tenure track position at a New York university. Chris Hartlove Chris Hartlove Vinciya Pandian, MSN ’04, CRNP Ellen Levi Zamoiski Fellow, 2008-2009 Will Kirk Jan Kaminsky, Accel. ’04, RN Jonas Scholar, 2008-2012 Grace Ho, BS ’09, RN Jonas Scholar, 2010-2012 and Ellen Levi Zamoiski Fellow, 2010-2011 After volunteering in two child abuse clinics, Grace Ho found her clinical and research interests: child abuse and corporal punishment. For her dissertation she is examining the way parents differentiate physical discipline from child abuse and anticipates that this topic will continue to inform her research. Then, as a clinician, Ho wants to use her research to educate parents about child abuse. Read more about Ho online at www.nursing.jhu.edu/graceho. Johns Hopkins Nursing | magazine.nursing.jhu.edu 31 From Silosto Synergy Interprofessional Education Initiatives Find Warm Welcome at Hopkins Eye-opening. Important. Exciting. Innovative. Barrier-breaking. “A-ha!” moments. When Hopkins students and faculty talk about their experiences with interprofessional education, they describe it in game-changing terms. Interprofessional education, or IPE, is a collaborative approach to healthcare education that brings together students from across disciplines to interact with each other before entering their respective professions. It’s an approach that has been gaining widespread attention and international interest. The World Health Organization addressed the subject with a study group for global practice that convened in 2007, and the Institute of Medicine’s 2010 report on the future of nursing laid out recommendations that included IPE as well as increased partnerships with other healthcare professions. When the Hopkins community talks about IPE, enthusiasm and energy pour forth. This is no dry mandate; this is synchronicity, ideas cropping up across campuses and departments and blooming in the fertile soil of emerging alliances and innovative partnerships. Throughout the School of Nursing and the School of Medicine, new and expanding initiatives are bringing fruitful transformation to Hopkins healthcare education. A Fitting Tribute by Rebecca Proch Illustration by Mike Austin 32 Johns Hopkins Nursing | Spring 2012 The phrase “working in silos” comes into almost any conversation with Hopkins students or faculty about the value of IPE. For Elizabeth (Ibby) Tanner, PhD, RN, associate professor in the School of Nursing’s Department of Community Public Health and School of Medicine’s Division of Geriatric Medicine and Gerontology, it’s how she describes the earliest challenges facing the cross-disciplinary faculty group that eventually envisioned the Daniels Initiative. “We [medical and nursing faculty] met to discuss how we might jointly educate prelicensure nursing and medical students, as well as advanced practice nursing students and residents about caring Johns Hopkins Nursing | magazine.nursing.jhu.edu 33 Shiv Gandhi Will Kirk In the Dean’s Words Paul B. Rothman, MD, arrives in July as the new CEO of Johns Hopkins Medicine and the incoming dean of the School of Medicine. He succeeds dean Edward Miller, MD, who retires in June. Rothman shared his thoughts about the role of IPE within Hopkins and in the field of healthcare. As healthcare moves into a new era, we want to collaborate across the professions to provide safe, high-quality patient care. That needs to begin when our future professionals are students. Hopkins has the top nursing school in the country, and as we look at ways to incorporate interprofessional education, I look to the School of Nursing and the School of Medicine to work closely together to provide these important opportunities to our students. From the start of each student’s education, we need to teach them how to coordinate care and how to build and work in teams. That’s going to be increasingly vital to delivering top-quality healthcare to the American people. Dean Martha Hill [of the School of Nursing] and I are already discussing the future of IPE at Hopkins, and I look forward to working together to ensure that Hopkins continues to be a national leader in healthcare education. —Paul B. Rothman, M.D. A Collaborative Effort for complex older adults,” she recalls. “But, we found that we had very little practical understanding of each other’s curricula and educational models. We had learned and worked in silos ourselves, so we had to learn from each other first in order to figure out how to teach collaboratively.” The Daniels Initiative grew out of a five-year gift from the family of Worth B. Daniels Jr., MD. Now in its second year, it teaches the skills of interprofessional collaboration to nursing and medical prelicensure students, as well as nurse practitioner and medicine residents, through partnered learning. This includes learning to collaborate by working together to provide home-based care to low-income older adults living in the community, and participating in problem-based learning sessions. The students also examine the perspectives of their colleagues from different health professions by discussing the assumptions they have about each other’s discipline, training, experience, and practice. “These experiences give students time to learn and grow together,” says Dr. Laura Hanyok, MD, School of Medicine assistant professor. Hanyok, along with School of Nursing assistant professor, Kathleen Becker, DNP, RN, CRNP, are founding faculty members of the Daniels Initiative. “Our residents say they wish they’d had this chance sooner, so we’re looking at ways to integrate this approach throughout the entire three-year residency program.” 34 Johns Hopkins Nursing | Spring 2012 Training the Messenger Finding a need for a better way to train students to work together to conduct quality family meetings, Rebecca Aslakson, MD, assistant professor in the Department of Anesthesiology and Critical Care Medicine in the School of Medicine, approached School of Nursing dean Martha Hill, PhD, RN, with an idea to do simulated experiences. Dean Hill brought together Aslakson and Pam Jeffries, PhD, RN, School of Nursing associate dean for academic affairs. Jeffries’ expertise in developing and deploying simulations provided the remaining pieces. “I had the idea, and Pam had the methodology,” says Aslakson. In October of 2010, together with a group of roughly 30–40 nurses, physicians, social workers, chaplains, and faculty and students from the Schools of Medicine and Nursing, Aslakson and Jeffries spent two days developing four scenarios in which a patient-care team meets with family members to deliver bad news. Since then, Aslakson has run the scenarios monthly for interdisciplinary groups of students who take turns playing the roles of the care providers and the family members. “This is new ground for us,” she says. “It’s a hands-on way to learn, and it creates camaraderie. Each group brings in different strengths, and each group is always impressed with what the others bring.” Student Leadership Christopher Myers Prelicensure Daniels scholars and Geriatric Interest Group (GIG) members hosted the GIG’s annual Senior Prom, held at the Apostolic Towers, a housing complex for low-income older adults. This intergenerational event of Hopkins students from the Schools of Nursing, Medicine, and Public Health brings together healthcare students and healthcare recipients in a meaningful experience for all. and graduate education and practice. The entire group meets monthly, and the sub-groups meet regularly as well. Pat Thomas, MD, School of Medicine associate dean for curriculum and one of the leaders of the undergraduate curriculum group, points out that the work of the faculty development group is key to their success. “We need to train faculty in these competencies. How do you learn to co-facilitate well?” For the collaborative, their first step was a faculty development workshop that took place in March. Jeffries has also been on the front lines of the formation of a faculty group that has come to be known as the Johns Hopkins Interprofessional Collaborative. “We want to create a sustainable model for interprofessional education here,” she says. “It’s important worldwide, and it’s something we can’t take lightly.” With dean Hill’s assistance, the collaborative held a retreat this past January to talk about the challenges of an IPE approach, to hear from keynote speakers from other schools with IPE programs in place, and to break into four professionalservice groups that would each focus on a key area: culture and infrastructure, undergraduate curriculum, faculty development, Getting ready for paired shadowing. (l to r) Medical student and DoctorNurse Alliance co-president Brent Pottenger meets with medical student Harita Shah; nursing student Kenny Chen, Accelerated ’12; and attending physician Maria Trent, MD, MPH. “Students drive change,” Jeffries believes. Indeed, throughout Hopkins’ IPE work, there is a strong student voice and presence. Students from both Schools have been included in the Collaborative’s curriculum group as advisors, and student leaders joined panel discussions at the March faculty development workshop to share their experiences and views. “It’s imperative to have students involved at this level,” says Tanner. The success of the Daniels Initiative also inspired a student interest group devoted to IPE. Under the leadership of medical student Brent Pottenger and nursing student Paige Griffith as co-presidents and also Daniels Scholars, the Doctor-Nurse Alliance was formed. The Alliance’s first meeting in October 2011 brought 70 students from both Schools, and has been producing events and creating opportunities for its members from the start. Pottenger sees this student interaction as a way to build momentum to help them prepare for their professional environments, and hopes that their programs can be replicated in other schools to innovate healthcare education. “Because of the way our campus buildings are laid out, the analogy we’ve used is that medical and nursing students are on different sides of the dome,” he says. “But in our professions, everyone interacts. We’ve all been really excited about crossing that divide, literally and metaphorically. I think this global perspective can change healthcare.” Johns Hopkins Nursing | magazine.nursing.jhu.edu 35 HOPKINSNurse Preparation Pays for Hopkins Nurses by Elizabeth Heubeck Almost a decade ago, before blueprints were completed and walls erected for the Sheikh Zayed Tower and The Charlotte R. Bloomberg Children’s Center, The Johns Hopkins Hospital’s (JHH) leaders gave nurse managers the go-ahead to begin planning. “We were told to start piloting new processes before the move,” recalls Joan Diamond, MS, RN, NEA-BC, prenatal nurse manager and a member of JHH’s Transition Monitoring Team, a team created to help guide nurses through the transition to the new building. The charge was intended to jumpstart preparations for the JHH nurses—more than 2,800—who would be affected, either directly or indirectly, by the spring 2012 opening of the new building. Since then, nurse managers have worked relentlessly to ensure their nurses feel a sense of control over their new situation. After absorbing recommendations by consultants with expertise in hospital moves and implementing a renowned training program called “Managing Organizational Transition,” which seeks to empower employees confronting change, nurse managers got to work. “We expect everything to be up and running before the first patient is admitted to the building. We simulated everything ahead of time,” Diamond says. In some cases, nurses practiced new models of care well in advance of the move. Consider the obstetrics unit. Its current 36-bed nursery will shrink to 16 beds in the new space. This intentional shift will open space for a six-bed obstetrics triage area; it also encourages mothers to spend more time with their newborns—a practice called mother-baby couplet care. Nurses are already using 36 Johns Hopkins Nursing | fewer beds in the existing nursery by supporting couplet care. “That was a huge shift in the way we practice,” Diamond says. Having started the new practice already, nurses will be accustomed to it when they move to the new building. “We expect everything to be up and running before the first patient is admitted to the building. We simulated everything ahead of time.” Twenty hours of mandatory training prior to the move have prepared nurses to demonstrate competency with other new practices and equipment. “They won’t be working in the new building with anything they haven’t touched, seen, or experienced,” Diamond says. That’s also the idea behind “A Day in the Life.” Debra Case, MS, RN, ’72, director of clinical education, calls the carefully orchestrated practice strategy “the best thing we’ve done.” Just as it sounds, “A Day in the Life” simulates an actual work shift. Drawing expertise from the Hospital’s existing Simulation Center and training more than 200 facilitators—mostly nurses—to conduct practice sessions, participants are familiarizing staff with new locations, work processes, and technologies. Staff members can choose other tactics to familiarize themselves with the new building based on learningstyle preferences. “We are using a multi-modal approach,” Case says. They can watch a series of orientation videos; sign up for a guided tour of the new building; carry a 4 x 7-inch pocket guide of the new layout; and place a Web application on their mobile device that offers maps, directories, and information about the building. Each tool, developed in concert with JHH’s Marketing and Communications staff, familiarizes nurses with their future workspace. But nurse managers have gone even further to empower staff members. “We looked at what we could do to give nurses some control. Scheduling was one idea,” says Kristina Hoerl, MSN, RN, CRN, a nurse clinician III in radiology. Listening to nurses’ requests, the Radiology Department implemented scheduling changes. Some nurses wanted more four-day weekends; others wanted more Fridays off. Where possible, the department is making equitable schedule changes. Another plus is the creation of predictable scheduling patterns, which allow nurses to see whether they’re scheduled on a given day a year from now. Efforts like these let nurses know that despite the unknown, there is consistency and control. “Hopkins has put forth a lot of effort to ensure the staff feels comfortable and is educated,” Diamond says. Prenatal nurse clinician Logan Garland, BSN, RNC-OB, agrees. “Because we’ve experienced so much in the new building, I’ve become acclimated to the space. That helps make the transition easier and smoother,” she says. “I already feel like I know my new unit.” n Preventing Disruptive Behavior in Patients Nurses Collaborate and Champion Programs by Sara Michael Activities such as scavenger hunts provided fun opportunities for nurses to become familiar with the new building. Spring 2012 Three years ago, a nurse and a security guard from The Johns Hopkins Hospital’s (JHH) Psychiatric Emergency Department were assaulted by a patient. That attack—and the nurse’s insights into a solution—set into motion a hospital-wide plan to help prevent disruptive behavior. Istockphoto.com Ready, Set, Move! News from the Johns Hopkins Hospital Department of Nursing With the Behavioral Alert program, a patient who has exhibited concerning behaviors in the past is immediately flagged for triage staff through the electronic patient record. “We wanted to find a solution to help empower staff to keep the environment safe to the extent that we can,” says Michelle Patch, MSN, RN, ACNS-BC, safety officer for the Department of Emergency Medicine. In the 2009 incident, Patch recalls, the patient wasn’t acting unpredictably but did have a significant history of behavioral issues. The nurse who was attacked, Patch says, suggested that it would be helpful to have notification early in the intake process that a patient might pose a risk. “If we have this information, it’s buried in a chart. How helpful is that for the front-line receivers in the emergency setting?” Patch questions. To provide front-line staff with a quick way to know if an incoming patient has a history of violence or disruptive behavior, Emergency Department (ED) nursing staff collaborated with several other hospital departments and disciplines to develop an ED Behavioral Alert program. With the Behavioral Alert program, a patient who has exhibited concerning behaviors in the past is immediately flagged for triage staff through the electronic patient record. An icon alerts staff, directing them to a note in the electronic record. “The note describes the behavior and the team’s recommendations for safety at the next visit,” Patch says. For example, if a patient presented a weapon before, the note would recommend that Security search the person and his or her belongings. It’s information already in the chart, much like data that a patient has diabetes or a fall risk, Patch adds, but it wasn’t readily available before. To determine who Johns Hopkins Nursing | magazine.nursing.jhu.edu 37 HOPKINSNurse News from the Johns Hopkins Hospital Department of Nursing 38 Johns Hopkins Nursing | the eighth floor of the Nelson building before fatally shooting his mother, a patient on the unit, and himself. That incident thrust staff safety into the spotlight, prompting Hospital leadership to reach out to all sectors of the Hospital to find ways to prevent such an event in the future. The ED’s program, heralded by the nursing staff, laid the foundation for a hospital-wide program. The Hospital leadership expanded the ED’s alert efforts and formed a Behavioral Alert Group. This multi-disciplinary team is led by the Risk Management Department, and goes into action once a clinician contacts Security regarding a patient. The Behavorial Alert Group decides when to place an alert flag in a disruptive patient’s record. As with the ED leadership, this group is similarly challenged with making sure that only the most critical cases receive the alert. In the last year, the Behavioral Alert Group has already received about two dozen requests to flag disruptive patients, says Jeff Natterman, RRT, MA, JD, risk manager for The Johns Hopkins Hospital and an attorney for the hospital system. These are the “extreme cases” that are identified, Natterman explains, and about 15 or so have received alerts. The hospital-wide program’s implementation is currently being finalized by the Risk Management Department. Such programs often start within an individual unit before being expanded through the Hospital, explains Karen Haller, PhD, RN, NEA-BC, JHH’s vice president for nursing and patient care services. “We are decentralized,” she adds. “This problem became apparent to the Emergency Department, and they wanted to do something, so they got a group together and developed a program.” She adds, “That’s why we have a common saying at the Hospital: Listen to the front lines. They had been working on this problem locally, and created a best practice that the rest of the institution could adopt.” n Spring 2012 Remember, Honor, and Share Sacred Ground Pays Tribute to the PICU by Elizabeth Heubeck A few years ago, when Pediatric Intensive Care Unit (PICU) staff members realized the move to The Charlotte R. Bloomberg Children’s Center would soon become a reality, colleagues Tricia Nace, BSN, RN, and Laura Lefkowitz, BSN, RN, decided there was one thing they didn’t want lost or forgotten in the shuffle: the memories of the critically ill patients they’d treated in the old building. They also wanted to share how these patients had drawn together each member of the PICU staff—nurses, physicians, child life specialists, respiratory therapists, and more—as an exceptionally strong, caring, and resilient team. To preserve the legacy, share the cherished memories, and honor the children and families whose lives were forever changed by their experiences in the PICU, the two nurses engaged PICU staff—past and present—to write a book named Sacred Ground—A Tribute: Johns Hopkins Pediatric Intensive Care Unit. From the start, their idea to produce a book for and by the members of the PICU’s interprofessional team was well received by their colleagues. “No one ever hesitated. Everyone said, ‘You must do this.’ It gave us momentum,” Nace says. That support evolved into a substan tial written body of work, which includes around 40 heartfelt entries from various PICU team members based on their experiences on the unit. The stories range from uplifting to heartbreaking to hilarious, and certain themes surface throughout—resilience, commitment, teamwork among them. If there’s a single passage that sums up the book’s significance, perhaps it can be found in Nace’s introduction: “How do we remember all that we have done for these children and all the times we’ve stood by one another year after year? We have built a camaraderie second to none, forged bonds that can never be shattered, mysteriously read each other’s minds and every move, and worked to an unvoiced rhythm that never misses a beat.” n “We always prefer human milk to formula, so I introduced evidence-based information about supplementing at the breast to obstetricians, midwives, and neonatologists,” she says. “Now, we’re the state’s only hospital with a specified supplemental feeding policy.” JHH lactation specialists complete 20 hours of basic breastfeeding training through courses offered twice annually. In addition, Dixon mentors one nurse toward international board certification in lactation every semester and accepts lactation consultant interns from other education programs. Under Dixon, the number of breastfeeding mothers has skyrocketed. Previously, only 26 to 42 percent of mothers at JHH initiated breastfeeding. Today, thanks to seven-day-a-week lactation coverage, between 60 and 92 percent do so. Dixon also collaborates with JHH’s pediatric nurse practitioners to establish specific feeding plans. Recently, she and pediatric nurse practitioner Suzanne Rubin, DNP ’11, MPH, MS ’97, CRNP-P, devised breastfeeding plans for late preterm infants and infants with hyperbilirubinemia. Lactation guidance isn’t limited to post-delivery days. Mothers can attend bi-monthly prenatal breastfeeding classes. After birth, lactation specialists also call mothers at one-week, one-month, and three-month intervals to assess progress. Weekly new-mother meetings also let women discuss concerns. Lactation specialists offer free con sultations to all JHH staff members too. “If a new mom is having a problem, she can make an appointment to see us,” Dixon explains. An employee pump room within the Hospital is also available. “We’ve made a huge impact,” Dixon says. “We’re teaching moms to let babies lead the dance. It makes breastfeeding so much easier.” n Jennifer Bishop receives the alert icon, a collaborative Adult ED and Psychiatric ED team of nurses and doctors reviews cases based on an algorithm Patch championed. Finding better ways to manage disruptive patients has been a priority among emergency and psychiatric nurses for many years. ED nurses are particularly vulnerable to incidents with disruptive patients. “Patients are coming right off the street,” says Patricia Sullivan, MSN, BSN ’77, RN, nurse manager for the Psychiatric Emergency Department, adding that some patients can be agitated, sociopathic, or have a history of disruptive behavior. “We knew it would be important to identify them from the get-go, even before the patients got in the [care area]. We wouldn’t turn them away, but we needed to manage them.” A national trend has emerged to reduce restraint and seclusion of these patients, in favor of a more welcoming and calming environment, Sullivan says. Psychiatric Emergency Department nurses took on this challenge in 2005, developing a set of interventions for disruptive patients to ensure their safety and that of the staff. The nurses make a point of letting patients know what to expect while they are at the Hospital and educating staff about how to help the patients, Sullivan says. On the inpatient side, they imple mented family-style cafeteria meals where patients and staff dine together and patients can choose their food, so they feel more in control. “This was a big culture change for our units,” Sullivan says. “It used to be that seclusion was a necessary part of treatment.” Similarly, the Behavioral Alert program demonstrates nurses’ initiative to better plan and prepare for patients with certain behavioral management needs. The ED was just implementing the Behavioral Alert program when the September 2010 shooting occurred. A man shot and wounded a physician on Mentoring Moms Lactation Specialists Offer Help by Whitney L. J. Howell Whether it’s her first child or third, breastfeeding can be difficult for any mother. When something just isn’t working right, Deborah Dixon, BSN, RN, IBCLC, or one of her five board-certified colleagues steps in. As The Johns Hopkins Hospital’s (JHH) lactation consultant coordinator, Dixon helps mothers and babies master breastfeeding or use supple mentation strategies. Since arriving in 2007, she’s enhanced the lactation support program to assist mothers with low milk supply. Lactation consultant coordinator Deborah Dixon helps a new mother with breastfeeding. Johns Hopkins Nursing | magazine.nursing.jhu.edu 39 HOPKINSNurse News from the Johns Hopkins Hospital Department of Nursing Christopher Myers WICU Wins Beacon Award Second Unit at JHH Honored by Whitney L. J. Howell The Johns Hopkins Hospital’s Weinberg Intensive Care Unit (WICU) is shining with excellence. The WICU, in the Department of Surgery, received the Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN) in November, becoming the only unit in Maryland to receive the award in 2011. The honor, coupled with the Beacon Award won by the Department of Med icine’s Medical Intensive Care Unit in 2010, recognizes individual units that distinguish themselves by improving every aspect of patient care. It also demonstrates the clinical nurses’ dedication to their work says Sam Young, MS, RN, ACNPC, CCNS, CCRN, the WICU’s clinical nurse specialist. The AACN’s report recognized the strengths of the unit as its proven interdisciplinary practice, culture of excellence, and leadership. The WICU’s cultivation of shared govern‑ance and patient- and-family-centered care is unique. “The unit’s open culture sets us apart,” Young says. “Nurses have opportunities to grow, to be autonomous, and to collaborate with others.” To facilitate that freedom, WICU nurse manager Donna Prow, BSN, RN, started group meetings. Up to 14 nurses meet for team-building, practice updates, and idea-sharing. “The entire staff has a voice,” says nurse clinician III Carol Maddrey, BSN, RN. “That breeds pride within our unit and gives everyone the confidence that we can make a difference.” The most significant change has been embracing patient-centered care. The WICU expanded visiting hours to 20 hours a day, making it easier for family and friends to visit. A new “family involvement menu” lets visitors choose ways to help, such as assisting the patient with grooming. Having loved ones nearby also improves patientnurse-family communication. “Visitors can report subtle personality or behavior changes nurses might not notice,” Young explains. Young says the WICU receives many thank-you letters, and “performance star” boards posted in the unit allow patients and visitors to recognize staff. “It shows our customers we like what we’re doing,” she says. “The WICU is a good experience for them.” n Experience the Possibilities… through Johns Hopkins University faculty opportunities Kelly Hendrix gets hands-on rebuilding a deck. Building Better Lives Hopkins Nurse Heals Patients and Houses by Whitney L. J. Howell If you ask Kelly Hendrix, RN, her work as a general contractor isn’t too different from her work as a nurse in The Johns Hopkins Hospital’s Emergency Department. Both use a healing touch. “You must also be a people person.” Hendrix adds. “As a nurse, you listen to what your patient needs and use your skills to help them. As a contractor, 40 Johns Hopkins Nursing | you aren’t trying to make people feel physically better, but you’re trying to make them feel better emotionally by giving them a lovely home.” Hendrix and her husband created their home improvement company, Building Solutions, five years ago. They focus on renovating older homes, reclaiming each structure’s former beauty. “I love taking something that has been completely wrecked and turning it into something amazing,” she says. As long as a house has a solid foundation, they can make any other repairs, including framing, plumbing, and electrical work. Much of her role includes talking with the customer to determine preferences and pricing out each job. Spring 2012 It’s also been fun for her to watch the Hospital’s new clinical building come together. In fact, one of the building’s most interesting features parallels one of her favorite parts of contracting—the tile. Made partially from recycled glass, the tiles in the new building sparkle. “When you come across a lot of tile, the shimmer is just a nice touch to see,” she observes. While Hendrix enjoys working as a contractor, she hopes other women will be inspired by her success. “I want women to stop saying, ‘I can’t do it.’ Watch HGTV. You can do it. It’s easy,” she says. “You don’t have to worry about calling someone to take care of things. You can look it up online and figure it out.” n Now seeking full-time CNS and APN faculty and researchers with expertise in adult health, psychiatric nursing, informatics, and community public health. Visit www.nursing.jhu.edu/joinfaculty to learn more. Johns Hopkins University School of Nursing is an equal opportunity employer—and a place where exceptional people discover possibilities that forever change their lives and the world. Johns Hopkins Nursing | magazine.nursing.jhu.edu 41 HOPKINSNurse News from Johns Hopkins Bayview Medical Center CICU Reaches Patient Safety Milestone Will Kirk Making History Hopkins Nurse Receives Rare Honor by Sara Baker The cardiac intensive care unit (CICU) at Johns Hopkins Bayview Medical Center reached a significant milestone on January 18, 2012—one year without a central line-associated bloodstream infection (BSI). To recognize this accomplishment, CICU nursing staff and physicians received the first Group Patient Safety Star Program Award at the Johns Hopkins Bayview Quality & Patient Safety Council meeting also held on January 18. The CICU has been participating in a statewide collaborative effort focusing on reducing central line infections. The initial goal of the project was to reduce the number of infections statewide by 50 percent. In a 2011 to 2010 calendaryear comparison, the CICU reduced its rate by 68 percent. Nurses and physicians took early ownership of the effort. Their focus was to ensure that the BSI bundle—a set of evidence-based measures shown to reduce by Sara Baker Carol E. Ball, MAS, RN, made history on November 18, 2011, when she became the first nurse within Johns Hopkins Medicine to have an inpatient unit named in her honor. At a special dedication, the Bridgeview Unit in the John R. Burton Pavilion was renamed the Carol Ball Medicine Unit in recognition of Ball’s 47 years of service to the Johns Hopkins Bayview Medical Center. “People have often asked me, ‘how can you stay at the same hospital for 47 years?’ I tell them that this is not the same hospital. There have been remarkable transformations through the years, and I feel privileged to have played a role in those changes.” Ball is the senior director of nursing and administration at Johns Hopkins Bayview and holds a reputation among colleagues and patients for being caring, genuine, collegial, loyal, and innovative. “She epitomizes what makes Johns Hopkins Bayview such a special place,” says Richard G. Bennett, MD, president of the Medical Center. “It’s more common that a unit is named after a donor, a retiree, or some one who is deceased,” explains Ronald R. Peterson, president of The Johns Hopkins Hospital and the Johns Hopkins Health System, and executive vice president of Johns Hopkins Medicine. “It is a special and rare occasion that we honor a beloved colleague who is still working with us.” Ball began her nursing career in 1964 at Johns Hopkins Bayview (then Baltimore City Hospitals). Through 42 Johns Hopkins Nursing | To honor Carol Ball’s commitment to providing the best possible care for patients, and for her leadership and many Center named one of its inpatient units the Carol Ball Medicine Unit. the years, she held many different positions, including staff nurse, head nurse in the emergency department, nursing supervisor, and director of nursing and support services. In each of these roles, Ball has upheld an unyielding principle—to provide the best care to patients. “Johns Hopkins Bayview’s commitment and dedication to nursing started with Carol’s leadership,” says Maria V. Koszalka, EdD, RN, vice Spring 2012 president of patient care services at the Medical Center. In addition to living out her passion of mentoring young nurses and managers, Ball also has collaborated with other disciplines to develop a team approach to patient care at Johns Hopkins Bayview. During her many years at the Medical Center, she remained nursing’s foundation through the transitions from Baltimore City Hospitals to Francis Scott central line-associated bloodstream infections—was always followed. Those measures include: • Use of the BSI checklist during insertion of the central line • Appropriate selection of the insertion site, avoiding femoral lines whenever possible • Full body draping of the patient during the insertion to maintain the sterile field • Appropriate hand hygiene for all people involved in any way with the procedure • Gowns, gloves, masks and eye protec tion for staff involved in the procedure • Daily review of the need for the line, and removal when the line is no longer required To continue the effort to reduce infections, nursing staff is empowered to stop the line insertion when there are concerns that the bundle is not being followed. n years of service, Johns Hopkins Bayview Medical Key Medical Center to today’s Johns Hopkins Bayview Medical Center. “People have often asked me, ‘how can you stay at the same hospital for 47 years?’” says Ball. “I tell them that this is not the same hospital. There have been remarkable transformations through the years, and I feel privileged to have played a role in those changes. This tribute is for all of nursing.” n CICU members accept their award at the Quality & Patient Safety Council meeting. Johns Hopkins Nursing | magazine.nursing.jhu.edu 43 HOPKINSNurse News from Howard County General Hospital, A Member of Johns Hopkins Medicine Psychiatry Unit Launches Speakers Bureau by Elizabeth Heubeck Health education has become a widely popular subject in recent years, but there’s one area of the health sector that remains somewhat of a taboo topic: psychiatry. That hasn’t prevented Tom Schmidt, BSN, RN, nurse manager of Howard County General Hospital’s (HCGH) Psychiatry Inpatient Unit, from establishing both community- and hospital-based speakers bureaus on the topic. In fact, it’s fueled his ambition. “Psychiatry always has been behind closed doors. Nobody really knows what we do or how we do it. My group is very experienced; most have been here 20 or more years. I thought, let’s share our experience,” Schmidt explains. Combining his expertise as a public speaker with his desire to promote the knowledge of HCGH’s psychiatry unit staff members, Schmidt decided about a year and a half ago to launch the hospital/community speakers bureau. It’s been well-received by community members and HCGH staff alike. To date, inquiries for lectures by the community speakers bureau have varied greatly by subject and audience. Two senior groups affiliated with local church organizations have requested and heard lectures on topics relevant to their demographic: sleep disturbances and spirituality in aging. On the other side of the spectrum, the community speakers bureau also has responded to inquiries from school groups. For parents of middle school students at an area public school, Sue Morseman, RN, staff nurse in HCGH’s psychiatry department, led a talk about growth and development among adolescents. She addressed tough topics on the minds of parents, explaining why adolescents tend to make impulsive choices—their brains aren’t fully developed yet—and how to guide them to make good ones. “It’s fun to be out in the community. That’s the people we serve,” Morseman says. But it’s not the only group the bureau serves. HCGH staff members have benefited from guest lecturers too. “We started with one of the hottest, most dangerous topics: alcohol-withdrawal seizures, which can be fatal,” says Schmidt. Alternate addiction counselor, Sheryl Dulsky, RN, discussed the topic with HCGH staff members during three separate shifts so that all employees had an opportunity to attend. Schmidt’s inclusive attitude inspires his in-house bureau topics. For instance, he explains that while some might look at medical-surgical nurses as requiring a completely different skill set from Johns Hopkins Nursing: “Psychiatry always has been behind closed doors. Nobody really knows what we do or how we do it. My group is very experienced…I thought, let’s share our experience.” Many Faces. Countless Opportunities. psychiatric nurses—the former thrive on task completion, the latter on relationships with patients—Schmidt sees room for crossover. “Medical-surgical nurses need to know how to assess behavioral change, aggression, cognitive decline, things like that,” Schmidt says. Schmidt and other members of the Psychiatric Unit step in to bridge that gap. “I’ve always been a public speaker. I’m happy to get back into the role,” Schmidt says. n CAREERS ARE MADE AT JOHNS HOPKINS NURSING. START YOURS TODAY. Will Kirk Spreading the Word Our patients come from all over the country. And so do our nurses. They come to be part of the most professional, diverse, and reputable nursing teams. They come to work beside the unequaled talent of Johns Hopkins physicians, nurses and staff. And they come for the benefits and unlimited opportunities for personal and professional growth. Join our team. Be the next face of Johns Hopkins. For additional information or to apply online, visit www.workingathopkins.org THE JOHNS HOPKINS HOSPITAL JOHNS HOPKINS BAYVIEW MEDICAL CENTER JOHNS HOPKINS INTRASTAFF JOHNS HOPKINS HOME CARE GROUP HOWARD COUNTY GENERAL HOSPITAL Tom Schmidt, Susan Morseman, and Phyllis Lamiano review class outlines for an upcoming in-service program schedule. EOE/AA,M/F/D/V 44 Johns Hopkins Nursing | Spring 2012 HOPKINSNurse News from Sibley Memorial Hospital, A Member of Johns Hopkins Medicine Stephen Voss Leading on the Front Line and the other Frontline nurses received mentoring and guidance from coaches like staffing manager Meg Kriss, RN, who found herself “inspired by the nurses’ The Crucial Role of Leadership creativity, their determination, and at the Bedside support for one another.” Each coaching group was formed with by Kelly Brooks nurses from different clinical specialty units, giving them new opportunities to Amy Peterson, RN, takes extremely form such strong relationships with their good care of her patients and is full colleagues that “now they’re resources to of creative ideas to make improvements each other,” says Susan Ohnmacht, MSN, on her Neonatal Intensive Care Unit. In MS, RN, associate chief nursing officer 2010, she says, “I had reached a point in and director of critical care and senior my career where I wanted to be a part of coordinator for the Frontline program. the solution and step outside the box.” Kalaris, Peterson, and 44 other nurses Inspired by Peterson and other nurses graduated from the program in January like her, Joan Vincent, MSN, MS, RN, 2012, earning continuing education Sibley Memorial Hospital’s senior vice units and certification in the Center for president of patient care services and Frontline Leadership. The program was chief nursing officer, envisions a greater so successful that it’s been enhanced— role for Sibley’s nurses: women and men the curriculum now extends over two who strongly advocate for patients, years, and other professional disciplines collaborate with physicians, role-model are invited to join. As the first cohort for other staff, and hold themselves and of nurses continues its training in others accountable for their practice. 2012, they are joined by 20 new participants from nursing, imaging, laboratory, pharmacy, and nutrition services. With the Frontline program in place, the Hospital is seeing improvements in patient safety and satisfaction, nurse-physician relations, and nursing engagement. Eight Frontline nurses achieved recognition through the Hospital’s Professional Advancement in Clinical Excellence (PACE) program. The improvement is obvious to Vincent, who sees that Sibley nurses are now “more engaged in their practice and have a vision for their profes On March 9, 2012, Meg Kriss, Jill Kalaris, and Joan Vincent attended “Leading Change,” a training session part of the sional development.” n Frontline Leadership Development program. 46 Johns Hopkins Nursing To help achieve her vision, Vincent became the executive champion for the Frontline Nursing Leadership Program, and in February 2011, 50 Sibley nurses launched into a year of specialized leadership training. The schedule included four full-day intensive classroom sessions, regular meetings with a leadership coach, and undertaking a project to improve safety and patient care. “I’ve been a nurse for a long time. [The Frontline Leadership Program] reenergized me,” says operating room (OR) nurse Jill Kalaris, RN. After observing OR physicians mixing an intra-articular injection, she launched a Frontline project to have the mixture made by the pharmacy instead. She worked diligently for a year to have the procedure changed. “Nothing is as quick of a fix as you think it is,” she says. But Kalaris’s persistence will pay off in saved time, improved safety, and decreased potential for error or contamination. Along the way, Kalaris, Peterson, | Spring 2012 Your career will take flight at A refreshing environment…a challenging role…an opportunity to take your career to the next level – you’ll find it all at Sibley Memorial Hospital. Sibley is a widely respected, premier 318-bed community hospital located in a lovely residential neighborhood of Northwest DC. With our recent affiliation with Johns Hopkins Medicine, Sibley has expanded our resources and capabilities, providing you an even more dynamic environment. It’s a supportive environment complete with ongoing education and a mentor who’s perfectly matched to your goals to help you grow and advance in your field. In addition, we offer competitive wages and comprehensive benefits, plus free parking! Sibley currently has opportunities in the following areas: Labor & Delivery RNs Bring your exceptional skills and nurturing spirit to Sibley. We are the area’s premier destination for expecting moms (with over 3,500 births annually) and we are currently expanding to include more LDRP rooms and a larger Special Care Nursery. Currently, Sibley offers state-of-the-art delivery rooms, three fully equipped operating rooms able to accommodate multiple births and two triage rooms. Childbirth Educator Must be licensed as an RN in DC with 3+ years of experience in maternity nursing and/or childbirth education. Attendance at a Childbirth Education training seminar of at least 18 hours duration also required. Lactation Consultant RN preferred with license to practice in DC. Requires certification by the International Board of Certified Lactation Consultants and 3+ years of experience in counseling breastfeeding mothers. OR/PACU RNs Sibley needs experienced OR/PACU RNs for our main operating facility. Sibley’s surgical services are expanding with the recent opening of our Ambulatory Surgery Center, featuring three operating rooms, high-definition video systems and new endoscopic equipment. ER RNs Work in an ER that practices leading-edge emergency medicine in a patient satisfying environment. The 24/7/365 ER at Sibley treats nearly 30,000 patients each year. The department is divided into two areas: major treatment and a Fast Track area for minor complaints. Nursing Informatics Specialist You will coordinate the overall assessment, planning, implementation and maintenance of EPIC inpatient clinical documentation systems for patient care services. Positions require a DC license. Learn more about our opportunities by visiting: www.sibley.jobs EOE/AA HOPKINSNurse News from Suburban Hospital Healthcare System, A Member of Johns Hopkins Medicine ContinuingEducation | from the Institute for Johns Hopkins Nursing Blood Transfusion Reactions: What nurses need to know Averting Patient Falls Suburban Hospital Takes Big Steps The goal of this continuing education activity is to provide nurses and nurse practitioners with knowledge and skills to recognize and manage blood transfusion reactions. Below is an introduction of the topic. Read the article in full online. After reading this article you will be able to: by Susan Middaugh n Identify risk factors, signs, and symptoms of blood transfusion 48 Johns Hopkins Nursing | To receive contact hours, visit www.nursing.jhu.edu/ce. Register for this activity online, read the article in its entirety, and complete the post-test and evaluation. reaction n Describe goals of care for a patient with a blood transfusion reaction n Describe evidence-based nursing and medical management of a Or, call 443-287-4745 to request materials in the mail. blood transfusion reaction IStockphoto.com Patients wearing yellow socks or yellow gowns. A yellow sign outside a patient’s room. These “flags” remind nurses and staff at Suburban Hospital that these patients, most age 65 and over, are at great risk of falling. The signs and accessories represent just one dimension of a recent initiative by Suburban’s bedside nurses to reduce their inpatient fall rate. Before the policy change, “we reviewed falls on a retrospective basis in committee,” says LeighAnn Sidone, MSN, RN, OCN, CENP, director of professional practice and nursing quality. “We didn’t always have all the information we needed and lost an opportunity to teach.” Now, a group of responders called the Morse Team goes to the unit where a fall has happened within minutes of an occurrence. The team—a registered nurse, a nursing assistant, and a nursing supervisor from a different unit—speaks with the patient and the patient’s nurse and nursing assistant to find out what happened and what corrective steps might avert a future mishap. “The goal is to assess the situation, look for opportunities to improve, and educate their peers on the spot,” says Sidone. The team, which also includes a pharmacist, gathers data to identify potential contributing factors such as the patient’s mental status and medications; hazardous conditions, such as lighting and floor surface; staffing; interventions made or not; and caregivers’ awareness of the patient’s risk level. The data is recorded on a form and shared with the unit director and with that group’s representative to the Nursing Quality Safety Service Council (NQSSC). The Council has the responsibility for identifying trends. Receive FREE contact hours! Morse Team members and unit nurses respond to a patient fall. Pictured from left to right: Jessica Larsen, Rosemarie Gurion, Carolee Beckford, Huratu Savage, Jennifer Morfino. Prevention is also intrinsic to the nurses’ agenda. Finding solutions to help prevent falls and to better understand why falls happen was shared by Suburban’s four nursing councils. The councils included bedside nurses every step of the way. What emerged was a need for education across a spectrum of caregivers. “Nurses wanted to better understand the circumstances leading to a patient fall. The Morse Team evaluation provides that information,” explains Sidone. Each nursing unit also had to recommend an action plan. One unit, for example, found that falls were more likely during a shift change. Now nurses help their patients with toileting the hour before. Sidone considers the new policy a success. Since it began last August, Spring 2012 Suburban’s inpatient fall rate has been below the national benchmark for five straight months. She credits Intensive Care Unit nurse Carolee Beckford, RN, CCRN, who chairs the NQSSC, with spearheading the change, implementing the new protocol, and making tweaks, such as rotating the staffing responsibility for the Morse Team throughout the hospital. “At first some of the bedside nurses were tentative about taking a leadership role and uncomfortable with peer-topeer review,” says Beckford. Recently, they’re “learning to critique each other constructively. It’s a culture shift and the first major undertaking by bedside nurses relative to patient safety and front-line accountability. With the Morse Team we learn every day.” n Author: Rebekah M. Zonozy, MSN, CRNP, RN B lood transfusion therapy can be a life-saving measure for patients; however, there are a variety of complications that can occur both during and after a transfusion that pose serious risk to the patients receiving this therapy. Some of the risks associated with blood transfusions can be life-threatening, and it is for this reason the Food and Drug Administration, the American Association of Blood Banks, and the Joint Commission regulate how blood products are procured, stored, prepared and administered to the recipient. Historically the largest risk posed to a patient receiving a blood product transfusion was the potential for an infectious disease being transmitted. However, with the implementation of nucleic acid testing (NAT) and other advanced infectious disease screening methods, this risk has significantly decreased1. Currently, the risk of Hepatitis B virus (HBV) transmission is estimated to be 1 in 282,000 to 1 in 357,000; the risk of Hepatitis C virus (HCV) transmission is estimated to be 0.03–0.5 in 1,000,000; and for Human Immunodeficiency virus (HIV) the transmission risk is estimated to be 1 in 1.5 to 1 in 4.3 million2. With the decline in the infectious disease transmission risks, the focus on blood transfusion therapy complications has shifted to those of a non-infectious nature, such as blood transfusion reactions. The role of nursing in the identification and management of non-infectious complications related to blood transfusion therapy is absolutely crucial. The Institute for Johns Hopkins Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. This 1.0 contact hour Educational Activity is provided by the Institute for Johns Hopkins Nursing. The Institute for Johns Hopkins Nursing is approved as a provider of nurse practitioner continuing education by the American Academy of Nurse Practitioners: AANP Provider Number 061216. This program has been granted 1.0 contact hours of continuing education (which includes 0.2 of pharmacology hours). Contact hours will be awarded until April 15, 2014. Johns Hopkins Nursing | magazine.nursing.jhu.edu 49 VIGILANDO News from the Johns Hopkins Nurses’ Alumni Association Alumni Update Tina Cafeo, MSN ’97, RN President, JHNAA I am pleased to report that Lindsay Dorrance is the new director of alumni relations for the School of Nursing. In the near future, she will work with the Alumni Association to form a strategic planning group to determine our future direction and goals. Our alumni weekend event in 2012 will remain similar to past years with a few minor and exciting schedule changes. The Alumni Weekend Committee is also in the early stages of exploring several new events to engage alumni. Some ideas include a community project with students (“A Day of Service”) and an event to coincide with the University’s alumni weekend in May 2012. This year, the Johns Hopkins Alumni Association announced a strategic decision to eliminate annual dues across the entire University. It is our hope that you, our nursing alumni, will remain active and generous in supporting our School and students. We continue to seek nursing graduates, both past and present, to join our efforts to lead our alumni association into the future. Those of you who live and work in the Baltimore and the mid-Atlantic region can be especially helpful by offering your time and talents. We are looking for committee members and chairs to lead initiatives and assist in the engagement of alumni and students. The Membership Committee will continue to work with the Alumni Office to present networking events for students. These events allow graduates to participate in an informal panel and discuss their post- graduation professional experiences, offer advice, and answer questions. Let us know if you are interested in participating in any of these panels. The Membership Committee’s other important initiatives include sponsoring the pinning ceremonies for our nursing graduates as well as supporting the work of regional alumni groups. Please continue to submit your current information, such as contact details and your nursing specialty, to the Alumni Office. This enables the office to provide contacts for students in various cities. It also expands our nursing community, provides resources and mentors to students, and keeps you informed about events and updates from the School. You may send your information and offer comments and suggestions to [email protected] or call 410-955-4285. Be a mentor, a regional alumni leader, or committee member. Most important, be an active member of JHNAA. CLASSNews ’46 Our deepest sympathy is extended to the family of Laura Brautigan June who died Feb. 12, 2012. Mrs. June was one of our most faithful class reporters—always sending us information about her classmates and keeping everyone up to date on the congressional bill regarding cadet nurses. She will definitely be missed. ’47 Rally forth ’Tis the year For our 65th Celebration Calling on all The well tuned With priceless wisdom To hear and see The rewards of our journey The Johns Hopkins University School of Nursing Tops in the nation! September 27-29, 2012 —Elsie Peyton Jarvis, Feb. ’47 50 Johns Hopkins Nursing | ’50 Class Reporter—Betty Borenstein Scher, (443) 449-5934, [email protected]. Cora Jane Lawrence has a new address, having moved to a retirement community for a “wonderful new home and life.” She is still active, sings in the vesper choir, and enjoys a fabulous view of the mountains and bay nearby. She says, “This is the best decision I ever made.” Marion Bee is still enjoying retirement with family, pets, gardening, reading, game shows, and relaxation. She is glad she lives up and away from the Mighty Mohawk River and was able to escape the floods a few months ago. Janey Shutts Pinkerton still enjoys life in NC, where she and Pinky spent the holidays with family. Jo McDavid Hubbard sends greetings from KY, where she is doing well, though Stan has had severe circulation problems in both legs, had to have one leg amputated, and is now confined to a wheelchair. But, they enjoyed having their children and grandchildren for the holidays. Ella Ruth Stilz Whitmore has been traveling, spending one week in Aruba with one daughter Spring 2012 and her family, then visiting a son on the lake in IN. She then flew to Phoenix to visit another daughter, but promises to get back to Baltimore for a visit soon. Mary Agnes Hull Stewart is now living in an Alzheimer’s unit in a skilled nursing home. Her daughter-in-law writes that the “only thing she speaks of is Johns Hopkins, and she keeps a small photo album of your nursing class in her pocket.” A few “class husbands” have also sent news of their families. Charlie Royer writes that he is doing well, visits family and neighbors, and keeps busy. Bob Hunter is enjoying life and sends greetings from himself and wife, Jo. As for me, Betty Borenstein Scher, I’m not as good as I used to be, but I’m doing quite well anyway, and continue to do volunteer work, read, do jigsaw puzzles, visit with my children, and exercise. ’54 Dr. Dick Reynolds sent word of the death of his wife of 56 years, MJ Beck Reynolds on November 5, 2011. They met when both were students at Hopkins and married upon her Hopkins Engages Nursing Alumni in Florida by Jon Eichberger T In Memoriam Helen Cunningham Crocker ’40 Rosanna Deaderick Bounds ’41 Evelyn Conran Purdy ’44 Beatrice Copeland ’45 Darthea Bell Keith ’45 Wilma Jean Palmer Bloom ’46 Laura Brautigan June ’46 Jean Douglas McNab ’46 Lela Cornett Souders ’47 Miriam Haugh Conner ’48 Mary Moseley McDowell ’53 Mary Jane Beck Reynolds ’54 Kathleen McCormick Daughtry ’55 Robert Steinberg, husband of Sandy Harvey Steinberg ’55 Franchelle Wilkinson ’55 Son of Shirley Carenbauer Reischman ’67 Mildred K. Thornton ’75 Bessie Flowers Barranger ’77 Maria Ebbe Sliwinski ’77 Robin Wantz, MSN ’97 graduation. She worked to help him through medical school, and he had been her chief caregiver for the last 2½ years, increasing greatly his regard for the nursing profession. A Center of Nursing Excellence is being planned at the Ohio hospital in which she had been a patient several times, and he and daughter Karen, who has spent 15 years as a nurse there, were among those chosen in the planning. ’55 Class Reporter—Margie Barber Trever, (410) 822-0479, [email protected]. Art Brecher, husband of Laura Lyman Brecher, one our most faithful correspondents, sent word that she would no longer be able to write us, now being in a care facility, the victim of vascular dementia. She had worked as a homecare nurse before her retirement and had spent time since volunteering to help former patients so they could remain in their homes. Their two adopted children, a son—an opera tenor, and daughter— opportunity to address the critical hree top nursing schools—Johns issues that currently face our nation’s Hopkins University, University healthcare system,” said Hill. “Medical of Alabama at Birmingham, and Duke advancements have changed healthcare University—visited southwest Florida and made nurses more essential than ever in January to mix and mingle with before. People are living longer and are alumni and to present current views living with chronic illnesses that just a about the changing role of nurses in few decades ago would have shortened disease prevention and coordination their life span. More and more, nurses of healthcare. and nurse practitioners are the healthcare At networking luncheons in professionals caring for these patients.” Naples and Tampa, the three deans— The deans also led a panel discussion Hopkins’ Dr. Martha Hill, Alabamaand a Q&A session during the event. Birmingham’s Dr. Doreen Harper, and The panels comprised current students Duke’s Dr. Catherine Gillis—updated and recent graduates from each of the alumni on issues facing nurses and nursing schools today. They noted that three schools. James Kelley, Johns Hopkins School of as baby boomers age and the need for Nursing associate dean for development more healthcare providers grows, and and alumni relations, said the events were as healthcare reform takes shape, it is such a success that the School of Nursing increasingly important for schools of plans to hold similar events in the Florida nursing to prepare nurses to effectively area next winter. He adds, “We have also lead and deliver quality healthcare. begun to explore partnering with other Each described their school peer nursing institutions to offer events as thriving by focusing on the around the country. We hope to see everchanging healthcare needs of the alumni at these events, too.” populations their graduates serve and For a list of upcoming alumni by collaborating with alumni who play events visit www.nursing.jhu.edu/ vital roles in front-line healthcare alumnievents. delivery. Their most effective nursing education programs are those in which students, faculty and alumni work together—sharing critical information and observations that often lead to new partnerships and opportunities—to make communities healthier and provide greater access for patients, from primary to critical care. “Nurses and Doctor of Nursing Practice student Godfrey Katende (center), met nurse educators Dorothy Horne, Dietician Class ’44 (left), and Kay Potter ’46 (right) at the networking luncheon held in Naples. have an incredible Johns Hopkins Nursing | magazine.nursing.jhu.edu 51 Vigilando News from the Johns Hopkins Nurses’ Alumni Association from two to 23, including grandchildren and great-grandchildren. Most are not nearby, but they still enjoy getting together when their schedules coincide. Though Parkinson’s keeps Bob, my husband, from doing what he is used to, he and I are able to walk our dog on the local Rails-to-Trails every day. He is up to 1½ miles now. Bob has learned how to access info on the Internet and enjoys watching old movies. Please take a look at Sachi’s picture on the inside back cover of the Winter 2011 Johns Hopkins Nursing magazine. She was working in the orthopaedic outpatient department at the time. Kay Smith Burr continues to wear an obturator for a hole in her upper palate. Further surgery is not advised. ’62 Charlotte Daniher Writer recently retired as a pediatric nurse practitioner in Veneta, OR. During her years of service she managed a Healthy Tomorrows grant and initiated a fluoride varnish program in the community. She would love to hear from classmates. ’65 Dr. Carol Landis, professor at University of Washington School of Nursing, received the 2011 Pathfinder Award at the annual Friends of the National Institute of Research NightinGala in November. The award recognizes a nurse researcher whose long-standing commitment has made a difference in the lives of community members and their healthcare needs. ’67 Class Reporter—Barbara Jo Glynn, (410) 243-5591, [email protected]. Patti Wilcox-Honnold was diagnosed with a rare disease called calciphylaxis in July. She is currently undergoing treatment at the Mayo Clinic and asks her classmates for their thoughts and prayers. Shirley Carenbauer Reischman lost her 36-year-old son to a heart attack early last year and also lost two close friends. She recently retired and is living at her home in Pensacola, FL, where it’s warm! Gail Gerstner Rathburn will not be able to attend the reunion but is still excited to hear from her classmates. UPCOMING EVENTS 20 12 Annual Spring Tea May 9, 1:00 pm–3:00 pm Octagon House, Mount Washington Johns Hopkins Nurses’ Alumni Association & Church Home & Hospital School of Nursing Alumni invite you to join them to renew the tradition of nurses enjoying afternoon tea and sharing special memories. RSVP by May 2, 2012 | Cost: $25.00 | Make Checks Payable to: JHNAA Mail Checks to: Jackie Gray, JHUSON, 525 N. Wolfe Street, Baltimore, MD 21205 Questions: Call Deb Kennedy at 410-893-2421. SAVE THE DATE FOR THESE EVENTS Alumni-Student Happy Hour May 8, 6:00–8:00 p.m. Baltimore, MD In honor of National Nurses Week Alumni Lunch in Portland June 29, noon Portland, Maine For more information visit www.nursing.jhu.edu/alumnievents or contact Lindsay Dorrance at 410-955-4285 or [email protected] 52 Johns Hopkins Nursing | Spring 2012 Robb Society Leadership Dinner September 29 Baltimore, MD Sponsored by the Johns Hopkins University School of Nursing for donors of $1,000 of more. (Venues TBD) 2012 Alumni Weekend September 27, 28 and 29 Baltimore, MD Whether you graduated 50 years or five years ago, from Hopkins or Church Home, come join your nursing colleagues. Sponsored by the Johns Hopkins Nurses’ Alumni. Deadline for the next issue of Vigilando: May 21, 2012. She has been living in Albuquerque since 2004 and working in IT Project Management for Clinical Computer Systems for Presbyterian Healthcare. Gail had a successful knee replacement in 2010. However, afterwards she developed a popliteal artery clot in that leg, which led to some significant health issues. Although she was not planning on leaving her job at this point, Gail is starting to settle into retirement. Anne Bienvenu Broussard retired from nursing after a 44-year-long nursing career, with the last 28 years in nursing education. She was a professor and the BSN coordinator at University of Louisiana at Lafayette for the last six years. Her retirement plans include travel, time with family and two grandchildren in Austin, as well as creative and spiritual pursuits. ’98 Master’s Sharon Ann Myers worked as the director of quality management at the King Abdulaziz Medical Center in Jeddah, Saudi Arabia, and successfully led the facility through its first Joint Commission Accreditation. She also served as senior consultant to the Makkah Region Quality Program and the Central Board of Accreditation of Healthcare Institutions (CBAHI) in Saudia Arabia, where she assisted in the development of the first Hospital Standards Manual, which has been approved by the Ministry of Health for implementation. Subsequently, she assisted CBAHI in developing their national survey process. She was the assistant director of Nursing at Johns Hopkins Continuing Care Center in Baltimore where she led nursing groups to develop a career ladder for nursing assistants in long-term care, which won the Innovations in Nursing Practice award. Ms. Myers is currently the quality management officer at Midsouth Healthcare Network in the VA and is also an adjunct associate nursing professor at Vanderbilt School of Nursing. She is a recognized international speaker on indicators and measurement, quality concepts, and patient safety. She holds numerous certifications and memberships in healthcare, quality, and risk managements, and is an author in the areas of patient safety and accreditation. She has recently published an academic book based on her clinically tested systems model for patient safety and hospital accreditation. Patient Safety and Hospital Accreditation: A Model for Ensuring Success is published by Springer and available at booksellers. New Director of Alumni Relations L indsay Dorrance, the new director of alumni relations at the Johns Hopkins University School of Nursing, joined the School in February and is now designing opportunities for alumni to remain involved with the School and to connect or reconnect with fellow Hopkins Nursing graduates and students. “Lindsay’s proven track record of engaging alumni with each other and with students through programs and events will benefit the School of Nursing and our alumni from around the country,” says James Kelley, associate dean for development and alumni relations. In the coming months Dorrance hopes to have many conversations with School of Nursing alumni. “I want to gain a sense of their needs and interests so the alumni office can serve as a resource to develop the academic and social interactions that strengthen relationships,” Dorrance notes. Among the many such opportunities she is now planning with alumni are regional networking events, social media groups, alumni-student mentorship programs, and Alumni Weekend. Prior to Hopkins, Dorrance worked for the Graduate School of Architecture, Planning, and Preservation at Columbia University in New York. At Columbia she was responsible for the strategic planning and implementation of the alumni relations programming for the school, which included seven degree programs. She holds a master of science in fundraising management and nonprofit administration as well as a master of arts in modern art from Columbia University. She earned her undergraduate degree from Trinity College in Connecticut. Dorrance can be reached at 410-955-4285 or [email protected]. Will Kirk a great mom, and five grandchildren reside on the west coast. Sandy Harvey Steinberg had a defib/pacemaker placed in June, and though she does not feel much different, her ejection fraction has improved. Her husband, Bob, whom she had cared for with Parkinson’s disease for several years, died October 20. Char Lee Williams and Bruce spent the holiday season with daughter Carol and their two talented grandchildren in San Antonio, amazed with all the outside activities in which they are engaged, and feeling very blessed. Carol Straub Guilbert is now retired but has services and other ministerial functions at the nursing homes in the area. Dick still plays tennis and keeps busy with his business. Helen Burdick Sloat has retired after 24 years as a supervisor at a long-term nursing facility and is writing her memoirs. John has just published another book, Moving Beyond the Christian Myth: The Next Step in Our Spiritual Evolution. If anyone wants a free copy, inquire at www.beyondreligion. com. Married 56 years, the Sloat clan has grown Lindsay Dorrance (center) receives a warm welcome from Deb Kennedy (left), past president of the CHH School of Nursing Alumni Association, and Paula Kent (right), past president of JHNAA. Johns Hopkins Nursing | magazine.nursing.jhu.edu 53 E GO ’00 Class Reporter—Sarah Gauger, (919) 321-8849, [email protected]. Kisten Nolan had a baby boy on Halloween 2011. Bekah Frank Kittredge is now working full-time at Dartmouth-Hitchcock in Manchester, NH, as a certified nurse-midwife and is loving it there. Jeff McFarlane is now a certified Otorhinolaryngology nurse—ARNP-C, CORLIN. He works at South Coast ENT in FL (www.otodocs.com). Jennifer Moran married in April 2011 and lives in Honolulu, HI. She works as an acute care NP in the Neuro ICU at Queen’s Medical Center. Katie Weatherbe Kotopoulos and her family sadly left East Africa (Rwanda and Eastern DR Congo) in 2011 and now live in Dhaka, Bangladesh. Her husband took a promotion within World Vision. Katie stays home with their three little boys. ’03 After three years of travel nursing, Jhodie de los Reyes Garcia Martinez returned to Washington DC in 2008 and purchased her first home in Cleveland Park. She worked at George Washington University Hospital as a team leader/charge nurse from 2008-2011. In October 2011, she became the new FEP case manager for CareFirst BlueCross BlueShield. Her new hobby is learning how to cook for her new husband, Fernando. In celebration of his Mexican heritage and her love for Hawaiian culture, they had a small private wedding on May 5, 2011, on the island of Oahu. They exchanged vows at the Ocean Crystal Chapel of the Hilton Hawaiian Village followed by an oceanfront luau at the Bayer Estate of Aina Haina. This year on Cinco de Mayo, they will renew their vows in her home country, the Philippines. ’06 Accelerated Meliza Lavin Weir is currently enrolled in the MSN/APN Adult Primary Care/Palliative Care and is working at the New York University Medical Center’s Emergency Department in NY City. In her spare time, she continues to attend theater and dance performances, running, and volunteering in the community. In 2010, she raced in the NYC Triathlon. In December 2011 Jacqueline Pareso Root earned a master’s degree in nursing from Villanova University School of Nursing. ’07 Accelerated Maura Carroll is living in rural Lichinga, Mozambique, for a year and is working with HIV/AIDS patients with a team from Doctors Without Borders. She is currently providing technical support for nurses and midwives while supervising and evaluating the quality of treatment and care of pregnant women infected with HIV. This project is a part of the United Nations Global Plan to eliminate mother-to-child transmission by 2015. ’08 Accelerated Amanda Staub Rossman is currently a CRNA student at York College of Pennsylvania and recently won the American Association of Nurse Anesthetists (AANA) student writing contest. Her paper, titled “The Physiology of the Nicotinic Acetylcholine Receptor and its Importance in the Admin istration of Anesthesia,” was published as an article in the October 2011 issue of the AANA Journal. O S E R V Vigilando/Church Notes For alumni of the Church Home and Hospital School of Nursing By Deborah Corteggiano Kennedy, ’73 Freda Creutzburg Scholar Announced I t is my pleasure to announce the 2012 recipient of the Freda Creutzburg Memorial Scholarship. Caitlin G. Weinberg is a traditional BS student who expects to graduate in May. Weinberg holds a bachelor’s degree in international affairs and spanish from James Madison University, with a minor in Russian studies. After working five years in the advertising industry, Weinberg decided to return to school to pursue her passion of becoming a nurse. In the future she hopes to specialize in pediatrics. In her letter to the CHH alumni, Weinberg expressed her sincere appreciation. “I am greatly honored and appreciative. I hope my work as a nurse honors Miss Creutzburg’s strong legacy,” she said. For more details and photos, go to www.nursing.jhu.edu/alumninews. Third Annual Tea Who is this Alumna? O Who was the first nurse in any school of nursing to be appointed as a full-time nursing instructor? By Betty Borenstein Scher ’50 n 1907, when M. Adelaide Nutting appointed Ada M. Carr, class of 1893, as a full-time instructor in the Hopkins Training School, it was an innovation in the field of Ada M. Carr: an nursing education. excellent nurse, an Previously, nursing excellent trailblazer, students were taught and an excellent and by nursing staff complete person. members—who also carried heavy administrative duties— or by physicians. This was not the first time Carr was a I 54 Johns Hopkins Nursing Istockphoto.com Vigilando | trailblazer. Upon graduation she became a head nurse, and in 1897 Nutting appointed her to assistant superintendant of the Johns Hopkins Training School for Nurses. She left Hopkins later that year to become superintendent of the Instructive Visiting Nurse Association of Baltimore and led its expansion from a single visiting nurse to six nurses who provided home care to patients. She also organized classes for poor and undereducated Baltimore residents to help them gain employment. In 1912, the National Organization of Public Health Nursing was formed. Carr joined this national movement, becoming the first editor of its magazine, The Public Health Nurse. But that, too, was not new Spring 2012 to her because Carr had also been the first editor of the Johns Hopkins Nursing Alumnae Magazine when it was created in 1901. Before her interests led her to the public health field, she gained significant nursing experience. In addition to her positions at Hopkins, Carr held superintendent of nursing positions at hospitals in New York City, Rhode Island, and New Jersey. Carr’s sister recalled that Ada was rarely seen without a book. She also wrote poetry, which frequently found its way into the alumnae magazine, along with the many other articles she wrote. For more information visit www.medicalarchives.jhmi.edu/ papers/carr.html. Deb Kennedy ’73 and Caitlin G. Weinberg ’12 stand next to the portrait of Freda Creutzburg. In Memoriam Myrtle Miller Watson, ’35 Mina B. Hansen ‘40 Mary Ann McLin ‘45 Suzanne L. Richard ‘51 Jean Frankland DeHoff ‘52 Joan Hurley Murphy ’52 Deborah J. Lewis-Miller ‘68 Vickie Dufour Saraullo, ’75 n Wednesday May 9, 2012 the Third Annual Alumni Tea will be held at “The Octagon” at Mount Washington. This is the lovely building and venue where the Church Home and Hopkins archives are kept. Please see the Upcoming Events announcement on page 52 for details and information about how to register. Please call me (Deb Kennedy, 410-893-2421) if you want to attend but are in need of transportation. I will try and assist with getting you a ride. I’m looking forward to seeing lots of hats again this year. So, get out your favorite chapeau and plan to attend. Transcripts: Quinlan Storage (888-416-5353, ext. 7550 or 3907). Contact Aniese Gentry. Send your news and address changes to: Deb Kennedy, 1990 Gulfstream Court, Forest Hill, MD 21050; 410-893-2421, [email protected]. Johns Hopkins Nursing | magazine.nursing.jhu.edu 55 DEFININGMoments Johns Hopkins University School of Nursing Advisory Council Walter D. (Wally) Pinkard, Jr.* (Chair) Chairman Cassidy Turley Leslie Mancuso, PhD, RN, FAAN President and CEO Jhpiego Marianne Andreach Senior Director, Business Development The Medicines Company Gerry Peterson, RN ’64, MA Past President JHU Alumni Association Edwin Avent Former President/CEO and Publisher Heart & Soul Magazine Judy A. Reitz, ScD Executive Vice President/COO The Johns Hopkins Hospital Deborah (Deb) Baker, DNP ’11, MSN, ’97, Accel. ’92, CRNP Director of Nursing Department of Surgery The Johns Hopkins Hospital Wayne N. Schelle, A&S ’58** Chairman Wayne N. Schelle, Ltd. Judith (Judy) Campbell-McKennis ’60 Thomas (Tim) Schweizer, Jr. President Brown Advisory Securities, LLC Gail Cassell, PhD Former Vice President, Scientific Affairs Eli Lilly and Company Clair Zamoiski Segal President Clair Zamoiski Segal, LLC Bowers Espy Retired Managing Director Merrill Lynch Mary Jo Wagandt Representing The Women’s Board The Johns Hopkins Hospital Steve Fanning President and CEO Solta Medical, Inc. Sandra L. Winfield, RN ’70, NP, Lic P, PPEMS, Chief Co-founder WinSystems, Inc. Chief PPEMS Pecan Plantation Volunteer Fire Department & EMS, Inc. Maria Boyd Fazio, BS ’87* Brent A. Hanson Founder Healthcare Management Advisors Deborah Kennedy, CH ’73, MS, RN Past President Church Home & Hospital School of Nursing Alumni Association E. Robert (Bob) Kent, Jr. Director Alex Brown Realty Mary Woolley President and CEO Research!America Honorary Members Ernest Bates, MD, A&S ’58** Chairman and CEO American Shared Hospital Services, Inc. Claire M. Fagin, PhD, RN, FAAN Professor and Dean Emerita University of Pennsylvania School of Nursing Helen Kim Interim CEO TRF Pharma, Inc. *University Trustee **University Trustee Emeritus Interprofessional Education—Yesterday Johns Hopkins nursing students participate in teaching rounds with an assistant resident physician. Nursing students spent time with medical residents in each department to learn about the complexities of various cases they could encounter as nurses. The photo, taken in 1959, was published in a recruitment brochure called “Student Nurse at Johns Hopkins.” (Pictured from left to right: Jill Ward ’59; Donna Hayes ’60; unidentified nursing student; Marlene Lowder ’60; unidentified resident physician.) Photo courtesy of The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions 56 Johns Hopkins Nursing | Spring 2012 Non-Profit Org. US Postage PAID Hanover, NH Permit No. 65 Johns Hopkins University School of Nursing 525 N. Wolfe Street Baltimore, MD 21205 www.nursing.jhu.edu Printed on paper containing 10% recycled fiber Discover Johns Hopkins doctoral nursing education The Doctor of Philosophy (PhD) for research leaders. Advance the science of nursing and healthcare. The Doctor of Nursing Practice (DNP) for clinical leaders. Advance the practice of nursing and improve health outcomes. Choose your path at the Johns Hopkins University School of Nursing—a place where exceptional people discover possibilities that forever change their lives www.nursing.jhu.edu/doctoral and the world.