Fall 2015
william f. connell school of nursing
DETECTING BULLIED YOUTHS THROUGH CLINICAL SCREENING
from the dean susan gennaro
Dear Friends,
dean
I am pleased to write to you from
Susan Gennaro
Maloney Hall, the Connell School
editor
of Nursing’s new home on Boston
Maureen Dezell
College’s Lower Campus. We have
managing editor
unpacked our offices, settled into our
Tracy Bienen
state-of the-art labs and classrooms, and become accustomed to our bright, airy, and spacious quarters. As I look around our School, I am reminded of ways in which the teaching, learning, research, and collaboration that goes on here Photograph: Gary Wayne Gilbert
voice
contribute to our collective strength.
art director Diana Parziale
graphic designer Christine Hunt
contributors Patti Hartigan Judy Rakowsky John Shakespear
This issue of Voice showcases our strengths as well. It introduces you to
photographers
our exciting new colleagues, and brings you up to date on faculty who
Caitlin Cunningham Gary Wayne Gilbert Josh Levine Lee Pellegrini
are conducting vital research in areas from bullying detection to sleep quality to caring for people with dementia. It covers student successes and honors that our faculty and alumni have received.
Tony Rinaldo
Paging through this edition of our magazine makes me all the more grateful to have moved to a space that supports doing, learning, and collaborating in new, exciting, and meaningful ways. We hope you will come and visit—or work with us—in the not-too-distant future.
Yours,
Susan Gennaro Dean
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Voice is published by the William F. Connell School of Nursing and the Boston College Office of Marketing Communications. Letters and comments are welcome: csonalum@bc.edu Communications Specialist William F. Connell School of Nursing Boston College 140 Commonwealth Avenue Chestnut Hill, MA 02467
contents
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6 Clockwise from above: Sabrina Padilla ’18 Photograph: Tony Rinaldo
Karlee Rajaniemi ’15, Kaitlin Hildreth ’15, and Colleen McGauley ’15 Photograph courtesy: Karlee Rajaniemi
Jinhee Park
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Photograph: Lee Pellegrini
Artwork: Christine Hunt Photograph: Gary Wayne Gilbert
Fall 2015 news
Features
faculty publications
4 Wounded Warrior Project funds
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16 Improving patient and family
Collegiate Warrior Athlete Program, faculty receive awards and research grants, alumni inducted into the American Academy of Nursing, students care for patients and
Our new home: Maloney Hall
10 Singled out: Detecting bullied youths through clinical screening
14 New faculty
outcomes while lowering costs Pain is linked to psychological well-being for dementia sufferers Educating future nurses about sleep and sleep disorders
conduct research from France to Ghana, Coca-Cola Company and Foundation funds CSON’s KILN leadership program. www.bc.edu/voice
boston college william f. connell school of nursing
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news by john shakespear
Faculty Professor Ann Wolbert Burgess received the 2015 Outstanding Professional Award from the American Professional Society on the Abuse of Children during its annual July colloquium.
Above: Lichuan Ye Photograph: Tony Rinaldo
Above, right: Cecilia McVey Photograph: Caitlin Cunningham
Below, right: Sonia Chiamaka Okorie (taking notes) learns about antenatal care at Ghana’s Bibiani Government Hospital. Photograph courtesy: Sonia Chiamaka Okorie
The Wounded Warrior Project, a nonprofit organization that provides programs and services for injured service members and their families, awarded Burgess and Visiting Scholar Sue Sheehy ’69, Ph.D. ’10, funding for the Collegiate Warrior Athlete Program, a physical and psychological wellness program that pairs veterans with Boston College students. Burgess and Sheehy also received approval for Warriors in Transition, a three-credit college course in which students learn about military culture, signature injuries, disability rights, and transitions to civilian life. The Association of Women’s Health, Obstetric and Neonatal Nurses presented Assistant Professor Joyce Edmonds with its 2015 Award of Excellence in Education at its national conference this summer. Edmonds also received a Boston College Ignite Award—which provides pilot funding to spur initial research—to collect preliminary data studying the link between individual labor-and-delivery nurses to mode of delivery outcomes. Associate Professor Jane Flanagan received a research grant from the American Holistic Nurses Association for her project “Bringing Yoga Home: Exploring the Use of a Web-based Yoga Intervention for Breast Cancer Survivors.”
TELL US YOUR NEWS csonalum@bc.edu
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voice | fall 2015
The Massachusetts chapter of the March of Dimes named Associate Professor Melissa Sutherland the 2015 Nurse of the Year in the category of Community and Public Health, recognizing Sutherland’s research on interpersonal violence and its influence on the health of adolescent girls and young women. Associate Professor Lichuan Ye was awarded funding from the Agency for Healthcare Research and Quality (a division of the US Department of Health and Human Services) for her two-year project “A Sleep Promotion Tool Kit for Hospitalized Patients.”
Alumni Four Connell School alumni were inducted into the American Academy of Nursing as fellows in October. • Jeffrey Adams, Ph.D. ’08, nurse scientist, Massachusetts General Hospital • Ruth Palan Lopez ’82, Ph.D. ’04, professor of nursing and director of the Doctor of Nursing Practice Program, MGH Institute of Health Professions • Victoria Niederhauser, M.S. ’86, dean and professor, University of Tennessee College of Nursing • Jacqueline Somerville ’80, Ph.D. ’09, senior vice president of Patient Care Services and chief nursing officer, Brigham and Women’s Hospital The Association of Women’s Health, Obstetric and Neonatal Nurses gave Heidi Collins Fantasia, M.S. ’97, Ph.D. ’09, its 2015 Award of Excellence in Research at the association’s national conference this summer.
Students Three members of the Class of 2015—Kaitlin Hildreth, Colleen McGauley, and Karlee Rajaniemi—traveled on the Order of Malta international pilgrimage to the Grotto of Massabielle in Lourdes, France, where they cared for people journeying to the healing waters. The site is significant because it is said that in 1858 the Blessed Virgin Mary appeared 18 times to a girl named Bernadette. Since then, the Catholic Church has recognized 69 miracles that took place after patients bathed in the waters. Carolina Lopes, M.S. ’16, is one of 10 students selected by Nurse Practitioners in Women’s Health (NPWH) for its Student Reporter Program. In October, Lopes— a homecare nurse case manager—attended NPWH’s annual conference. Adult oncology nurse practitioner and Ph.D. student Debra Manning Lundquist ’85 received a scholarship from the Oncology Nursing Society.
Philanthropic gifts
Ph.D. student Aimee Milliken is one of four finalists in the American Society for Bioethics and Humanities’ student paper award competition. Milliken presented her paper, “Nurse Ethical Sensitivity: An Integrated Review,” at the society’s annual meeting in October.
The Coca-Cola Company and Foundation awarded $100,000 to the Connell School’s Keys to Inclusive Leadership in Nursing (KILN) program, which prepares nurse leaders for a multicultural society. The grant supports stipends for 55 nursing students for one year as well as the costs associated with presenting at and attending professional conferences, meetings and workshops, and course reviews for nursing licensure exams.
Sonia Chiamaka Okorie ’17 received an Amanda V. Houston Traveling Fellowship from Boston College to travel to Ghana, where she conducted research on malaria prevention. Volunteering with the Ghana Health and Education Initiative, a nongovernmental organization, she gathered evidence for an independent research project, “Perceived Susceptibility to Malaria: An Evaluation of Bed Net Usage of Ghanaian Mothers and Children under Five.” In March, Okorie and Nina Wujech, M.S. ’15, attended the Unite for Sight Global Health and Innovation Conference at Yale University. Ph.D. student Kathryn Post, M.S. ’07, was awarded the Peggy Lou Chaffin Fellowship for Advanced Practice Nursing in Oncology from the Massachusetts General Hospital Cancer Center.
Events Dean Susan Gennaro presented the 2015 Dean Rita P. Kelleher Award to Cecilia McVey ’72 at the Connell School’s annual reunion. The event also marked the opening of CSON in its new location in Maloney Hall. Margaret Grey, Yale School of Nursing’s Annie W. Goodrich Professor, delivered the fall Pinnacle Lecture. A pediatric nurse practitioner with an expertise in diabetes, Grey discussed the hurdles that families face and resources available to them when self-managing chronic conditions. The Pinnacle Lecture Series brings widely recognized nursing leaders to campus to address issues at the forefront of health care today.
boston college william f. connell school of nursing
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OUR NEW HOME: MALONEY HALL
The Connell School of Nursing moved in May to our new home in Maloney Hall. We’ve unpacked and settled in, and the academic year is in full swing. These photos show scenes of a day in our life.
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voice | fall 2015
Left: Dean Susan Gennaro meets with Minna Wang ’19 in her office overlooking Campanella Way. Photograph: Tony Rinaldo
Above: Our second-floor reception area is among many large, open, and well-lit spaces in Maloney Hall. Photograph: Tony Rinaldo
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Clockwise from top: Nurse Anesthesia Clinical Instructor Allan Thomas and Chelsea Hough, M.S. ’16, in one of four new simulation labs. Thomas in the sim lab control room. Jill Pallotta, M.S. ’16, and Sean Smith, M.S. ’16, debrief following a simulation session. Photographs: Lee Pellegrini
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Top to bottom: Five stained glass panels from the Cushing Hall chapel are now on display in Maloney Hall. (clockwise from left) Assistant Professor Kyung Hee Lee, Maggie Vatcher ’18, Gabi Rufo ’18, and Karolina Rusiecki ’18 in the Brown Family Clinical Learning Laboratory. Kimberly Monestime, M.S. ’17, in the student lounge. Photographs: Tony Rinaldo
boston college william f. connell school of nursing
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SINGLED OUT:
DETECTING BULLIED YOUTHS THROUGH CLINICAL SCREENING by judy rakowsky
When an 11-year-old girl appears in an emergency room with a broken foot, treating nurses and doctors routinely ask the obvious: How did this happen? But rarely do they follow up with questions that might lead to the discovery she is being bullied. That could change as a result of a
afflicts at least 20 percent of youths—
study led by Connell School of Nursing
with many as both instigator and
Professor Judith A. Vessey, a leading
victim—according to multiple studies
youth bullying expert and senior scien-
cited by Vessey and her co-investigators
tist at Boston Children’s Hospital. She is
Rachel DiFazio, M.S. ’96, Ph.D. ’13, a
developing a screening tool to be called
pediatric nurse practitioner and nurse
CABS—the Child-Adolescent Bullying
scientist at Boston Children’s Hospital,
Screen—a concise list of questions to be
and Tania Strout, Ph.D. ’11, director
asked in clinical settings to detect ado-
of research for Maine Medical Center’s
lescent bullying.
department of emergency medicine. In
“If you don’t ask the next question,
two-thirds of school shootings, long-
‘Why were you running?’ you won’t
standing bullying was a major motiva-
learn she really was running away from
tion for the attack, according to studies
friends, or that other kids stole or were
Vessey cited in a review of bullying
playing keep-away with her posses-
scholarship published in Nursing
sions,” says Vessey, who holds the Leila
Outlook in 2013.
Holden Carroll Chair in Nursing at the Connell School.
stemming the tide The rising tide of youth bullying is
Much research has blamed bullying for higher rates of a host of short- and long-term health maladies, both medical and psychosomatic, Vessey says, including anxiety and depression, headaches,
linked to an increasing toll of suicides,
stomachaches, and upper respiratory
homicides, and other youth violence,
problems as well as obesity and
Judith Vessey
and is recognized as a critical public
substance abuse.
Photograph: Lee Pellegrini
health problem. Bullying annually
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“We know bullying victims have an increase in physical health problems from the chronic stress that suppresses the immune system, that’s why it’s something we need to focus on in the primary care arena,” says Vessey. The ill effects of bullying aff lict instigators and recipients alike, and they also manifest in a full range of psychological challenges and academic performance issues that can last well into adulthood, Vessey and fellow researchers have found. It is no surprise, then, that reducing youth bullying is a major objective of state and federal legislation, and that in 2012, HealthyPeople 2020, a major US Department of Health and Human Services initiative, set a goal to reduce it by 10 percent.
bullying defined Not every mean remark or act is bullying, Vessey points out. According to seminal research by Norwegian expert Dan Olweus (which she cited in Nursing Outlook), scientists generally agree that bullying is characterized by three factors: a persistent pattern of verbal, nonverbal, or cyber-aggression that one or more youths inflict on another; deliberate intent to inf lict physical, verbal, or emotional harm; and a real or perceived difference in power between instigators and recipients. Traditional, in-person confrontation and indirect bullying (spreading rumors, for example) have been augmented and amplified by cyber-bullying, where the power differential is increased exponentially by exposure on social media. Bystanders, Vessey has noted, play a significant role, providing the audience that ensures shame of the victim. Passive recipients of bullying behavior “become more submissive, insecure, live in fear, restrict their activities, and do not readily defend themselves when they feel threatened,” Vessey’s research shows. But sorting out bullying situations can be complicated, she says. Bullying increases in middle school, when 32 percent of students experience it on a weekly basis—in part because that’s when students start to move from one classroom to another to change classes, increasing opportunities for anyone who is different to be bullied, Vessey observed in a 2014 article, “Measuring the Bullying Experience,” that appeared in the Journal of School Health. What’s more, she observes, “There’s a huge group of kids who are bullies and victims— a number of the kids who are bullies have parents who are bullies.”
traditional focus on school settings In the past decade, 49 states have instituted anti-bullying laws, according to Vessey. Research on the problem has grown substantially, as has the number of anti-bullying programs in schools. But as Vessey sees it, there is little improvement to show for all the effort. The focus of state and local government efforts has been to define and outlaw behavior associated with bullying, mandate anti-bullying school programs, and create specific criminal statutes with punishment ranging from school suspension to jail time. The drawback, Vessey says, is that most school programs are group oriented and designed to encourage empathy; they have had little effect on the prevalence of bullying, which produces high rates of absenteeism and diminished academic performance. Even the most effective anti-bullying school programs don’t offer practical solutions. “You can build awareness but you don’t necessarily teach kids strategy: what to do when bullying is happening in front of their face.” Even when students can Artwork: Christine Hunt Photograph: Gary Wayne Gilbert
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20
%
turn to a school nurse (or a school
of youths are annually afflicted by bullying— many are both instigators and victims
“Addressing bullying within a health
Hence the need for a screening tool
psychiatrist in some wealthier schools and
context across health care settings is
aimed at finding the kids who most likely
systems), Vessey says, “Kids don’t
a nursing imperative,” Vessey’s article
are being bullied and most likely to suffer
feel there is privacy.” They fear that word
concluded.
consequences, so health care providers can
will get around or they will be seen report-
detection through primary care providers
flag the right patients and refer them for
ing to school administrators. But while schools and legislatures have actively targeted the problem, organized
The fact that 90 percent of adolescents
fuller assessment. Good tools exist for detecting signs of domestic violence and alcoholism, and the
health care, particularly nursing, has done
visit their primary care provider at least
success of those instruments fuels hope
little, according to Vessey. Indeed, while
once a year recommends the clinical set-
for greater bullying detection. However,
exploring the topic for Nursing Outlook,
ting as the best venue to administer
Vessey is mindful that screening for these
Vessey says she found scant attention paid
screening questions about bullying, Vessey
and other public health imperatives—
to bullying in pediatric nursing. Her 2013
says. “Adolescents are more willing to con-
from prevalence of sexual activity to
study pointed to a critical need for health
fide in their primary care provider or nurse
tobacco, alcohol, and drug use to depres-
care providers to take as active and system-
practitioner,” she adds. Some primary care
sion to immunizations—is crowding the
atic a role in screening for youth bullying
providers say they are already screening
very brief time allotted to most routine
as they do for other health concerns.
for bullying by simply asking, “Are you
clinical visits.
Stepped-up efforts by health care providers
being bullied?” But Vessey says that the
are essential to identifying high-risk
nature of bullying leads young patients to
nentially, and the time for the visits has
youths, detecting victims earlier, and
give overly subjective answers, under- or
been cut shorter and shorter,” Vessey says.
curbing bullying’s cascading ill effects.
overreporting incidents.
“To tell any provider that you have to
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voice | fall 2015
“The volume has just increased expo-
of adolescents visit their primary care provider at least once a year and are more willing to confide in that person or a nurse practitioner than a school official
screen for one more thing is enough to make you go cross-eyed.” Any screening tool devised to detect bullying must be developed with that reality in mind. “If we want uptake by primary care providers it needs to be done in such a way that it is reliable, simple to administer, free, doesn’t take much time, and is acceptable to providers, parents, and kids,” she says. Vessey wants to be sure that the CABS screen will be effective across cultural and socioeconomic groups. That’s why the study includes a range of adolescent participants from diverse cultural and socioeconomic backgrounds. Data is being collected throughout the Boston metropolitan area, Portland, and rural Maine.
3 improving intervention and prevention Vessey is principal investigator of the CABS scale, which is funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. The three-part mixed methodological study focuses on groups of young participants, asking what it means to be bullied and how they would feel if their primary care provider questioned them about it. The most illuminating responses will be vetted by an interdisciplinary group of clinical experts, principals, and counselors, then analyzed and winnowed further. The remaining questions will be put to 300 to 400 youths in a written questionnaire. Those results will be further analyzed and boiled down to four questions that can be quickly and
The goal of the screening questions is to identify youths involved in bullying earlier—even before the physical signs are clear—and intervene with medical and mental health treatment to curb harmful effects. Vessey’s aim is to reach victims as early as possible, at the annual trip to the doctor or in an emergency room visit, possibly sparing millions of adolescents further suffering. “I want to focus on the middle group that is probably being bullied at school some, but hasn’t shared it with anyone yet.” Missing an opportunity to help them means a critical lag in identifying and intervening before negative effects develop. Vessey says, “We know that the earlier you come upon a problem, the easier it is to have success.”
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easily incorporated in a doctor or nurse practitioner visit.
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New faculty by patti hartigan Photographs: Lee Pellegrini
They come with a wide breadth of clinical skills, teaching talent, and research interests, ranging from disease prevention to weight loss to the care of preterm infants. Meet the four new members of the Connell School of Nursing faculty. carol marchetti
alison marshall
Clinical Associate Professor
Clinical Instructor
For the past 11 years, Carol Marchetti, M.S. ’02, Ph.D. ’10, RN,
Alison Marshall ’00, M.S.N., RN, FNP-C, came to nursing in
PMHNP-BC, SANE, has worked as a sexual assault nurse
a roundabout way. Initially a pre-med student as an undergraduate
examiner—a trained professional who responds to calls from any
at Boston College, she switched her major to sociology and took
one of seven different hospitals in the Boston area when a
a course in the medicalization of childbirth. That summer, she
victim is admitted. Typically, she
got an internship at a Veterans Administration hospital in her
spends three to four hours alone
hometown of Denver, and
with each patient she sees. “It is
when she watched the nurse
incredibly powerful,” she says.
practitioners at work, she was
“I get to say that I will be with her as
hooked. “I knew that was what
long as she needs.”
I wanted to do,” she says.
As the only nurse in the room
Marshall, who holds a
with a patient, Marchetti conducts
master’s degree from Yale
forensic exams and prepares rape
University’s School of Nursing,
kits, which are sometimes used in
has worked as a family nurse
court. It is a stressful job, but she
practitioner at the South
says she feels honored to help her
Boston Community Health
patients during a difficult time.
Center since 2005. “I believe
This work enables her to combine
that health care is a right, not
her two specialties, forensic and psychiatric nursing. She received
a privilege,” she says. Many
a master’s degree in psychiatric nursing from Boston College in
of her patients at the clinic
2002, and went on to earn a doctoral degree from the University
presented with sexually trans-
in 2010. Her dissertation focused on regret and decision-making
mitted infections, and she took a course with the Massachusetts
about police reporting in cases of sexual assault. As a clinical
Department of Public Health to learn more about prevention. She
associate professor, she teaches the direct-entry psychiatric mental
went on to become an instructor at the Sylvie Ratelle STD/HIV
health students in clinical settings. She relishes the role a teacher
Prevention Training Center of New England and lectures widely
plays in education. “I love learning myself, I really do,” she says.
on prevention and contraception.
Since 2011, Marchetti has been an assistant professor at
For the past year and a half, she has been associate professor
Northeastern University’s School of Nursing, and she views
of practice and director of the Family Nurse Practitioner
her new post as a homecoming. “A large percentage of my
Program at Simmons College. Teaching, she says, rejuvenates
family went to Boston College, and I got my master’s and doctor-
her. As a clinical instructor at Boston College, she wants to instill
ate there,” she says. “I am excited about coming back.”
in her students a love of the profession. “I want my students to
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voice | fall 2015
understand that we are coming from this gorgeous, long tradition
yaguang zheng
of nursing, and we are going to do this tough thing and do it
Assistant Professor
our way. “I want them to understand the beauty of the human body and how it works and how it can fail us, but that those failures can be recognized and fixed. I want them to be secure that the best medicine is prevention,” she says.
When Yaguang Zheng, Ph.D., RN, was a teenager growing up in China, she spent a lot of time with her grandmother, who suffered from chronic heart failure. That experience—and her concern for her grandmother’s health—led her to the nursing profession. “I wanted to help people recover from their suffering,” she says. While she was studying for a master’s degree at the Chinese
jinhee park Assistant Professor
PLA Postgraduate Medical School, Zheng researched interven-
After studying nursing at the Catholic University of Korea, Jinhee
interested in using mobile technology to study the problem of
Park, Ph.D., RN, spent three and a half years working as a neona-
obesity. Drawn to the United States because the technology here
tal nurse in Seoul, South Korea. While she was in the NICU, she
was more advanced than it was in China at the time, she received
tions to help patients decrease their glucose levels and became
saw preterm infants who had difficulty feeding, and
a doctoral degree from the University of Pittsburgh. In her dissertation research, she studied patients who weighed
she became determined to
themselves every day on a Wi-Fi-enabled scale that made it
research ways to improve
possible for both
their outcomes. “Most peo-
participants and
ple think feeding is simple,
researchers to access
but it is very complex for a
the data in real time.
preterm infant,” Park says.
She found that
That interest ultimately
patients who
led her to the United States,
weighed themselves
where she received a doc-
every day had better
toral degree from the
weight-loss outcomes
University of North Carolina
than those who
at Chapel Hill in 2012. She
used the scale
wrote her dissertation on
sporadically. “It
the best feeding positions
helps people to get feedback and information for their real
for preterm infants, exploring findings that suggest that lying
situation in their real environment,” she says. “The data can help
preemies on one side leads to better outcomes than feeding
participants increase their awareness of their patterns and how
them while they are held upright. As a postdoctoral student at
these patterns factor into their weight change.”
Duke University, Park coauthored “Relationship between
Zheng comes to Boston College as a tenure-track assistant
Developmental Trajectory of Sleep-Wake States and Feeding
professor. She plans to further her research, studying behavior
Progression in Preterm Infants,” an abstract that posits that
and why some people did well with the daily weight tracking and
delayed sleep-wake state development may be linked to feeding
others did not. She teaches pathophysiology, and creates a vibrant
problems and that interventions may be necessary to improve the
classroom in which her students are encouraged to share their
sleep environment. The abstract earned an award at the 2014
thoughts and ask questions.
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Council for the Advancement of Nursing Science’s State of the Science Congress on Nursing Research. Park comes to Boston College as a tenure-track assistant professor, and she plans to continue her research about the feeding challenges of preterm infants. She is a firm believer in active learning, she says, and plans to build a bridge between clinical practice and academics in her classroom.
boston college william f. connell school of nursing
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faculty publications
Marie Boltz Resnick, B., Galik, E., Wells, C.L., Boltz, M.P., & Holtzman, L. (2015). Optimizing physical activity among older adults post trauma: Overcoming system and patient challenges. International Journal of Orthopaedic and Trauma Nursing. Advance online publication. doi: http:// dx.doi.org/10.1016/j.ijotn.2015.03.007 Chippendale, T., & Boltz, M.P. (2015). Living legends: Students’ responses to an intergenerational life review writing program. Journal of the American Geriatrics Society, 63(4), 782–788. doi: 10.1111/jgs.13236 Boltz, M.P., Chippendale, T., Resnick, B., & Galvin, J.E. (2015). Testing family-centered, function-focused care in hospitalized persons with dementia. Neurodegenerative Disease Management, 5(3), 203–215. doi: 10.2217/ nmt.15.10
Stewart Bond Bryant, A.L., Brody, A.A., Perez, A., Shillam, C., Edelman, L.S., Bond, S.M., Foster, V., & Siegel, E.O. (2015). Development and implementation of a peer mentoring program for early career gerontological faculty. Journal of Nursing Scholarship, 47(3), 258–266. doi: 10.1111/ jnu.12135
Improving patient and family outcomes while lowering costs Family-centered, function-focused care can provide demonstrable benefits to patients and their families by lowering the rate of hospital readmission and thereby reducing health care costs, according to a study coauthored by Associate Professor Marie Boltz published in Neurodegenerative Disease Management in June 2015. Educating family members and involving them in care can promote recovery and help ease symptoms for the estimated 3.2 million people with dementia who enter American hospitals each year. It can also reduce family caregivers’ anxiety, the researchers found. Boltz and her coauthors led the implementation of a comprehensive educational support program for staff and family members in two US hospitals. They compared the progress of patients and family members who received the support services with that of others at the same hospitals who received standard care. Two months after discharge, patients who participated in the family-centered care program were, on average, experiencing less severe delirium and performing daily activities such as bathing, dressing, and cleaning better than patients who did not. Family caregivers who received support and guidance, meanwhile, reported that they felt more prepared to give care and less anxious both during and after hospitalization. Only 3 percent of patients in the family-centered units were readmitted within 30 days of discharge as compared with 10 percent of patients in the control groups.
Susan DeSanto-Madeya DiLibero, J., Lavieri, M., O’Donoghue, S., & DeSanto-Madeya, S.A. (2015). Withholding or continuing enteral feedings during repositioning and the incidence of aspiration. American Journal of Critical Care, 24(3), 258–261. doi: 10.4037/ajcc2015482 Willis, D.G., DeSanto-Madeya, S., Ross, S.J., R., Leone Sheehan, D., & Fawcett, J. (2015). Spiritual healing in the aftermath of childhood maltreatment: Translating men’s lived experiences utilizing nursing conceptual models and theory. Advances in Nursing Science. Advance online publication. doi: 10.1097/ ANS.0000000000000075
Joyce Edmonds Stoll, K., Edmonds, J.K., & Hall, W.A. (2015). Fear of childbirth and preference for cesarean delivery among young American women before childbirth: A survey study. Birth, 42(3), 270–276. doi: 10.1111/birt.12178
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Jane Flanagan Cronin, J., Arnstein, P., & Flanagan, J.M. (2015). Family members’ perceptions of most helpful interventions during end-of-life care. Journal of Hospice & Palliative Nursing, 17(3), 223–228. doi: 10.1097/NJH.0000000000000151 Jones, D.A., & Flanagan, J.M. (2015). Researching, mentoring, and developing postdoctoral scholars. In J.I. Erickson, M. Ditomassi, & D.A. Jones (Eds.), Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital (pp. 139–158). Indianapolis, IN: Sigma Theta Tau International.
Fontenot, H.B., & Fantasia, H.C. (2015). Longacting reversible contraceptives for adolescents. Nursing for Women’s Health, 19(3), 253–259. doi: 10.1111/1751-486X.12207 Fontenot, H.B., & Fantasia, H.C. (2015). HPV9 vaccine for the prevention of human papillomavirus-related cancers. Nursing for Women’s Health, 19(4), 365–370. doi: 10.1111/1751-486X.12223 Fantasia, H.C., Fontenot, H.B., Sutherland, M.A., & Lee-St. John, T.J. (2015). Forced sex and sexual consent among college women. Journal of Forensic Nursing. Advance online publication. doi: 10.1097/JFN.0000000000000086
Holly Fontenot
Susan Gennaro
Fontenot, H.B. (2015). Urine-based HPV testing as a method to screen for cervical cancer. Nursing for Women’s Health, 19(1), 59–65. doi: 10.1111/1751-486X.12176
Ruiz, R.J., Gennaro, S., O’Connor, C., Marti, C.N., Lulloff, A., Keshinover, T., Gibeau, A., Melnyk, B. (2015). Measuring coping in pregnant minority women. Western Journal of Nursing Research, 37(2), 257–275. doi: 10.1177/0193945914527176
Allyssa Harris Harris, A.L. (2015). Pelvic floor dysfunction and Vulvar dermatology. In J.W. Hawkins, D.M. Roberto-Nichols, & J.L. Stanley-Haney (Eds.), Guidelines for Nurse Practitioners in Gynecologic Settings, 11th ed. (pp. 154–164). New York, NY: Springer Publishing Company.
Dorothy Jones Erickson, J.I., Ditomassi, M., & Jones, D.A. (Eds.). (2015). Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital. Indianapolis, IN: Sigma Theta Tau International. Jones, D.A. (2015). Promoting nursing research through the Yvonne L. Munn Center. In J.I. Erickson, M. Ditomassi, & D.A. Jones (Eds.), Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital (pp. 39–74). Indianapolis, IN: Sigma Theta Tau International. Adams, J.M., Erickson, J.I., Ditomassi, M., & Jones, D.A. (2015). Supporting operational effectiveness and encouraging research through innovation. In J.I. Erickson, M. Ditomassi, &
D.A. Jones (Eds.), Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital (pp. 106–125). Indianapolis, IN: Sigma Theta Tau International. Jones, D.A., & Flanagan, J.M. (2015). Researching, mentoring, and developing postdoctoral scholars. In J.I. Erickson, M. Ditomassi, & D.A. Jones (Eds.), Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital (pp. 139–158). Indianapolis, IN: Sigma Theta Tau International. Erickson, J.I., Jones, D.A., & Ditomassi, M. (2015). Concluding thoughts. In J.I. Erickson, M. Ditomassi, & D.A. Jones (Eds.), Fostering a research intensive organization: An interdisciplinary approach for nurses from Massachusetts General Hospital (pp. 219–226). Indianapolis, IN: Sigma Theta Tau International. Mason, D.J., Jones, D.A., Roy, S.C., Sullivan, C.G., & Wood, L.J. (2015). Commonalities of nurse-designed models of health care. Nursing Outlook. Advance online publication. doi: http:// dx.doi.org/10.1016/j.outlook.2015.04.009
Pain is linked to psychological well-being for dementia sufferers
Carina Katigbak Katigbak, C., Van Devanter, N., Islam, N., & Trinh-Shevrin, C. (2015). Partners in health: A conceptual framework for the role of community health workers in facilitating patients’ adoption of healthy behaviors. American Journal of Public Health, 105(5), 872–880. doi: 10.2105/ AJPH.2014.302411
Susan Kelly-Weeder Jennings, K.M., Kelly-Weeder, S.A., & Wolfe, B.E. (2015). Binge eating among racial minority groups in the United States: An integrative review. Journal of the American Psychiatric Nurses Association, 21(2), 117–125. doi: 10.1177/1078390315581923 Wysocki, K., Underwood, P.C., Kelly-Weeder, S.A. (2015). An essential piece of nursing’s future: The continued development of the nurse practitioner as expert clinician and scientist. Journal of the American Association of Nurse Practitioners, 27(4), 178–180. doi: 10.1002/23276924.12251 Kelly-Weeder, S.A., Thrush, S., & Porter, B.O. (2015). Eyes, ears, nose, throat problems. In L.M. Dunphy, J.E. Winland-Brown, B. Porter, & D. Thomas (Eds.), Primary Care: Art and Science of Advanced Practice Nursing, 4th ed. (pp. 252– 331). Philadelphia, PA: F.A. Davis Company.
Kyung Hee Lee
Under-recognized and under-treated pain can threaten the quality of life of people with dementia living in residential long-term care, Assistant Professor Kyung Hee Lee and fellow researchers wrote in a recent study published in Pain Medicine in June. People with moderate to advanced dementia, they found, are better at monitoring and communicating their own emotional states than they are sometimes thought to be—and improving pain management may enhance their psychological well-being. Lee and her coauthors observed and interviewed 185 residents from 17 nursing homes and six assisted living facilities. When the researchers asked dementia sufferers directly if they were in pain, 97 percent were able to respond “yes” or “no” to this question, and there was a clear correlation between reported pain and cues like tense body language and frowning. The researchers found that even people with advanced dementia are able to accurately report when they are in psychological pain. That has implications for care: When residents say they are in pain, nursing home staff can take this as a cue to alter their environment or medication. If caregivers are able to determine if dementia sufferers are in pain by asking simple questions, they can take steps to relieve pain when it occurs and improve residents’ quality of life.
Lee, K.H., McConnell, E.S., Knafl, G.J., & Algase, D.L. (2015). Pain and psychological well-being among people with dementia in long-term care. Pain Medicine, 16(6), 1083–1089. doi: 10.1111/ pme.12739
Tam Nguyen Nguyen, T.H., Park, H., Han, H.-R., Chan, K.S., Paasche-Orlow, M., Haun, J., & Kim, M.T. (2015). State of the science of health literacy measures: Validity implications for minority populations. Patient Education and Counseling. Advance online publication. doi: 10.1016/j. pec.2015.07.013
boston college william f. connell school of nursing
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faculty publications
Kim, M.T., Kim, K.B., Huh, B., Nguyen, T.H., Han, H.-R., Bone, L.R., & Levine, D. (2015). The effect of a community-based self-help intervention: Korean Americans with type 2 diabetes. American Journal of Preventive Medicine. Advance online publication. doi: 10.1016/j.amepre.2015.04.033 Nguyen, T.H., Nguyen, T.-N., Fischer, T., Ha, W., & Tran, T.V. (2015). Type 2 diabetes among Asian Americans: Prevalence and prevention. World Journal of Diabetes, 6(4), 543–547. doi: 10.4239/ wjd.v6.i4.543
Richard Ross, S.J. Willis, D.G., DeSanto-Madeya, S., Ross, S.J., R., Leone Sheehan, D., & Fawcett, J. (2015). Spiritual healing in the aftermath of childhood maltreatment: Translating men’s lived experiences utilizing nursing conceptual models and theory. Advances in Nursing Science. Advance online publication. doi: 10.1097/ ANS.0000000000000075
Sr. Callista Roy Mason, D.J., Jones, D.A., Roy, S.C., Sullivan, C.G., & Wood, L.J. (2015). Commonalities of nurse-designed models of health care. Nursing Outlook. Advance online publication. doi: http:// dx.doi.org/10.1016/j.outlook.2015.04.009
Melissa Sutherland Fantasia, H.C., Fontenot, H.B., Sutherland, M.A., & Lee-St. John, T.J. (2015). Forced sex and sexual consent among college women. Journal of Forensic Nursing. Advance online publication. doi: 10.1097/JFN.0000000000000086
Patricia Tabloski Gleason, L.J., Schmitt, E.M., Kosar, C.M., Tabloski, P., Saczynski, J.S., Robinson, T., Cooper, Z., Rogers, S.O., Jones, R.N., Marcantonio, E.R., & Inouye, S.K. (2015). Effect of delirium and other major complications on outcomes after elective surgery in older adults. JAMA Surgery. Advance online publication. doi:10.1001/jamasurg.2015.2606
Judith Vessey Vessey, J.A., McCrave, J., Curro-Harrington, C., & DiFazio, R.L. (2015). Enhancing care coordination through patient- and familyinitiated telephone encounters: A quality improvement project. Journal of Pediatric Nursing. Advance online publication. doi: 10.1016/j.pedn.2015.05.012
Educating future nurses about sleep and sleep disorders Despite the critical need for nurses to understand sleep and sleep disorders, few undergraduate nursing schools include sleep education in their curricula, according to Associate Professor Lichuan Ye and Clinical Assistant Professor Amy Smith. Ye and Smith developed and tested a sleep awareness and sleep education program at Boston College, and reported results in the October issue of the Journal of Nursing Education. The researchers’ 10-hour program addressed broad questions about healthy sleep and caring for patients with sleep disorders as well as nursing-specific issues such as building a healthy sleep schedule around shift work. They implemented the program in a core course offered to senior nursing students at the Connell School of Nursing in spring 2013. The researchers quizzed students about their sleep awareness at the beginning of the course, which consisted of in-classroom teaching and discussion, guided online self-learning, and interactive simulation-based discussion. At the end of the semester, students were quizzed again, and scored an average of 20.4 percentage points higher on sleep awareness than they had before taking the course. Some 80 percent of participants said they believed sleep education was extremely important to nursing students— a belief only approximately 40 percent of students expressed at the beginning of the course.
DiFazio, R., Vessey, J.A., Zurakowski, D., & Snyder, B.D. (2015). Differences in health-related quality of life and caregiver burden after hip and spine surgery in nonambulatory children with severe cerebral palsy. Developmental Medicine & Child Neurology. Advance online publication. doi: 10.1111/ dmcn.12872 Lulloff, A.J., & Vessey, J.A. (2015). Enough is enough. Journal of Pediatric Oncology Nursing, 32(2), 68–69. doi: 10.1177/1043454214565243
Danny Willis Willis, D.G., DeSanto-Madeya, S., Ross, S.J., R., Leone Sheehan, D., & Fawcett, J. (2015). Spiritual healing in the aftermath of childhood maltreatment: Translating men’s lived experiences utilizing nursing conceptual models and theory. Advances in Nursing Science. Advance online publication. doi: 10.1097/ ANS.0000000000000075
Barbara Wolfe Cousins, A., Freizinger, M., Duffy, M.E., Gregas, M., & Wolfe, B.E. (2015). Self-report of eating disorder symptoms among women with and without infertility. Journal of Obstetrics, Gynecologic & Neonatal Nursing 44(3), 380–388. doi: 10.1111/1552-6909.12573 Jennings, K.M., Kelly-Weeder, S.A., & Wolfe, B.E. (2015). Binge eating among racial minority groups in the United States: An integrative review. Journal of the American Psychiatric Nurses Association, 21(2), 117–125. doi: 10.1177/1078390315581923
Lichuan Ye Ye, L., & Smith, A. (2015). Developing and testing a sleep education program for college nursing students. Journal of Nursing Education, 54(9), 532–535. doi: 10.3928/0148483420150814-09
Research summaries by John Shakespear 18
voice | fall 2015
Expand your knowledge. Advance your career.
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Save the date Pinnacle Lecture Series
Connell School annual reunion
Monday, April 4, 2016
Saturday, June 4, 2016
Yawkey Center, Murray Room
www.bc.edu/csonreunion
Kathleen R. Simpson Ph.D., RNC, CNS-BC, FAAN Perinatal Clinical Nurse Specialist Editor in Chief, The American Journal of Maternal/ Child Nursing Editor, AWHONN’S Perinatal Nursing (Lippincott Williams & Wilkins, 2013) www.bc.edu/pinnacle
School of Nursing Golden Eagle Luncheon Saturday, June 4, 2016 During reunion weekend, a luncheon honoring the School of Nursing’s Golden Eagle Class of 1966 will take place in the nursing school’s new location in Maloney Hall. The reunion planning committee will contact all classmates with details. For more information, e-mail Diane Connor ’66 at dconnor14@comcast.net.