Voice magazine, spring 2021 by Boston College

Spring 2021

A dean’s enduring impact

from the dean susan gennaro

Dear friend,

dean Susan Gennaro

This year will be seared into our memories for many reasons. In my case, in addition to the challenges, triumphs, and enduring spirit of hope, this is my last year serving as dean of the Connell School.

editor Maureen Dezell

managing editor

Stepping down as dean is something I’ve been considering for a while. In 2017, when I received an R01 research project grant from the National Institutes of Health/National Institute on Minority Health and Health Disparities to design an intervention that reduces the emotional distress that pregnant Photograph: Caitlin Cunningham minority women experience, my time became an increasingly valuable commodity. And when my second grandchild was born last year, it became clear it was time to step down.

Tracy Bienen

I like smooth transitions, and I started preparing early for what matters most to me: doing everything I can to leave the school in the best shape possible while helping recruit a terrific new dean to guide the Connell School into the future.

Alice Lesch Kelly

This academic year has been a challenging one. I have been totally engaged with the faculty, staff, and students as we problem-solve in the dynamic way that only CSON can. And while we can’t vanquish COVID, we certainly can assure that the excellent education and research that are the hallmarks of the Connell School of Nursing continue unabated. I look forward to joining the faculty during the 2021–2022 academic year. But I will miss being your dean, and all the challenges and joys that entails. I want to thank each and every one of you for all of the help you have provided during the past 13 years. It truly has been a pleasure. I’m excited for the new dean’s arrival and wish her all the best. Yours,

Susan Gennaro Dean

art director Diana Parziale

graphic designer Monica DeSalvo

contributors Timothy Gower Debra Bradley Ruder Kathleen Sullivan

photographers Caitlin Cunningham Peter Julian Lee Pellegrini

Voice is published by the William F. Connell School of Nursing and the Boston College Office of University Communications. Address letters and comments to: csonalum@bc.edu Assistant Director, Marketing and Communications William F. Connell School of Nursing Maloney Hall 140 Commonwealth Ave. Chestnut Hill, MA 02467

cover Photograph: Caitlin Cunningham

2 voice | spring 2021

contents

10 Clockwise from top: Katherine Gregory is named CSON’s eighth dean / Photograph: Susan R. Symonds Artwork: Monica DeSalvo Artwork: Monica DeSalvo Dean Susan Gennaro / Photograph: Caitlin Cunningham

Spring 2021 news

New CSON dean named Katherine Gregory becomes the new dean of the Connell School of Nursing in July; CSON during COVID-19; faculty, alumni, and student honors and accolades.

Features

6 An uncommon calling

achievements

16 Teaching in a pandemic

Assistant Professor Andrew Dwyer advocates for people with rare diseases.

CSON transforms clinical learning and hands-on teaching into digital experiences.

10 First responder: A dean’s enduring impact Nurse scientist and educator dean Susan Gennaro reflects on 13 years as the dean of the Connell School of Nursing.

18 Faculty publications

Baccalaureate and direct entry master’s degree programs have full approval by the Massachusetts Board of Registration in Nursing. CCNE Accredited 2018–2028

www.bc.edu/voice

boston college william f. connell school of nursing

news New CSON dean named Katherine E. Gregory, the associate chief nursing officer for women’s and newborn health, research, and innovation at Brigham and Women’s Hospital and an assistant professor of pediatrics at Harvard Medical School, will become the eighth dean of the Connell School of Nursing on July 1. She succeeds Dean Susan Gennaro, who is stepping down this summer after 13 years of dedicated service. A visionary nurse leader, educator, and researcher, Gregory is returning to Boston College, where she received a Ph.D. in nursing in 2006 and served on the faculty from 2006 to 2014. At Brigham and Women’s, the largest birth hospital in Massachusetts, Gregory led a division comprising approximately 700 Katherine Gregory nurses and clinical staff, and oversaw clinical operations and research and innovation efforts within the Department of Nursing. She also served as the senior nurse executive on Brigham and Women’s Executive Advisory Council for Diversity, Inclusion, Health Equity, and Community Health.

Photographs by Peter Julian except Katherine Gregory image by Susan R. Symonds, and Lin Zhan, courtesy of UCLA

CSON During COVID-19 With knowledge and experience in handling infectious disease control, patient and provider safety, and clinical care, the Connell School faculty and staff played a critical role in planning and executing Boston College’s efforts to keep students safe on campus during the 2020–21 academic year. • Associate Dean for Undergraduate Programs Colleen Simonelli served on the University’s COVID task force and worked with CSON’s clinical partners to ensure that nursing students were in compliance with official COVID protocols. • Nine CSON faculty members and 57 graduate students conducted COVID testing of BC students, faculty, and staff throughout the 2020–21 academic year. • Clinical Assistant Professor Patricia Underwood, working with University Health Services, enlisted nurse practitioner (NP) students to make twice-weekly telehealth support and wellness check-ins with COVID-positive BC students. • Clinical Associate Professor Carol Anne Marchetti oversaw two graduate students who ran a therapeutic support group for undergraduates referred by University Counseling Services. • Connell School faculty also served as informal COVID experts for colleagues from other disciplines, offering advice, information, and resources to colleagues across campus. • Graduate Programs and Admissions Specialist MaryBeth Crowley coordinated the “swabber schedule” of CSON’s community members who conducted COVID-19 testing at BC.

Scan this code to read more about Gregory’s work as a scholar, researcher, and innovator.

Colleen Simonelli conducts a COVID-19 test

Policy

Event

On January 1, the Commonwealth of Massachusetts became the 23rd state in the nation to grant full-practice authority (FPA) to NPs—a landmark legislative effort spearheaded by the Massachusetts Coalition of Nurse Practitioners. CSON faculty, students, and alumni, including doctoral candidate Amy Delaney, Julianne Nemes-Walsh, M.S. ’86, and Clinical Assistant Professor Laura White, were instrumental in crafting and advocating for the legislation.

Outgoing Connell School Dean Susan Gennaro presented her own talk, “Lighting the Way So Others Will Follow,” at the March Pinnacle lecture. The dean discussed what she has learned about leadership, service, and the spirit of nursing in her 13-year tenure at Boston College. View video at bc.edu/pinnacle

4 voice | spring 2021

Clinical service trip Clinical Assistant Professor Donna Cullinan, Associate Dean for Undergraduate Programs Colleen Simonelli, Clinical Instructor Maureen Connolly, and Clinical Assistant Professor Kellie LaPierre led 19 undergraduates and five graduate students to the northernmost part of Maine for a week in April. Their goal was to provide care and health education to the residents of Aroostook County. Working in partnership with Catholic Charities Maine and the Maine Department of Public Health, they assisted with vaccine clinics, blood drives, and oral health assessments, and conducted health education classes.

Alumni

Massachusetts Governor Charlie Baker temporarily waived physician supervision of NPs in March 2020. Assistant Professor Monica O’Reilly-Jacob says, “The Massachusetts waiver of NP supervisory requirements granted during the beginning of the pandemic presented a unique opportunity to examine whether a temporary removal of one layer of restrictions would make a meaningful difference in the day-to-day work of the NPs.” The findings were published in the journal Medical Care.

Danielle Grimm, M.S. ’12, was named to the Nurse Practitioners in Women’s Health Board of Directors.

Doctoral degree student Katie Jones coauthored the article “Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients with Serious Illness” in the American Journal of Hospice and Palliative Medicine. She also coauthored “Confronting Stigma from Opioid Use Disorder in Cancer Care,” a blog post in Pallimed, which promotes evidence-based substance use disorder care for patients with serious illness. Monica O’Reilly-Jacob

Diverse Issues in Higher Education named Assistant Professor Nadia Abuelezam one of its 15 2021 Emerging Scholars—professionals under age 40 who are making their mark in the academy through teaching, research, and service. Clinical Professor Stacey Barone earned additional specialty concentration as a board-certified adult-gerontology NP.

Research

The federal government could acknowledge sacrifices nurses have made during the pandemic by forgiving student loans, DNP candidates Sara Bowen and Emily Bower write in “Fortifying Future Supply,” published in the American Healthcare Journal.

Faculty

Lin Zhan, Ph.D. ’93, was named dean of the UCLA School of Nursing, effective August 1. Currently dean of the University of Memphis Loewenberg College of Nursing and an expert on health equity, Zhan is the chief academic officer for the college’s programs on two campuses. Prior to her appointment at the University of Memphis in 2010, Zhan served as dean of the School of Nursing at Massachusetts College of Pharmacy and Health Sciences, leading the school’s programs on three campuses.

Professor Ann Wolbert Burgess, who has studied the phenomenon of fetal abduction, discussed the case of the first female federal death row inmate executed in 67 years in interviews published in international and online media including The Straits Times and Latin Post. The woman was convicted of murdering a pregnant woman and abducting the fetus. CSON family nurse practitioner faculty members Rosemary Byrne, Catherine Conahan, and Patti Underwood developed a wellness program to provide care for the underserved community of students, faculty, Allyssa Harris and staff—many of whom are uninsured— at Boston’s Cristo Rey High School. Department Chair and Associate Professor Allyssa Harris was named to the Nurse Practitioners in Women’s Health Board of Directors.

Lin Zhan

After a combined 150 decades of service to the University, four dedicated faculty members— Associate Professor Jane Ashley, Professor Dorothy Jones, Associate Professor Ellen Mahoney, and Assistant Dean of Continuing Education Jean Weyman—will retire from the Connell School on June 30.

Connell School faculty Karen Lyons, Luanne Nugent, and Laura White were promoted this spring. Lyons is now a full professor and Nugent and White are clinical associate professors. Assistant Professor Jinhee Park received the Award of Excellence in Research from the Association of Women’s Health, Obstetric and Neonatal Nurses in November. Clinical Assistant Professor Laura White, a certified pediatric NP, received board certification in psychiatric-mental health nursing.

boston college william f. connell school of nursing

An Uncommon Calling Andrew Dwyer’s quest to help people with rare diseases

By Timothy Gower

6 voice | spring 2021

Rare diseases occupy a lonely space in the world of medicine. “They’re often called ‘orphan’ diseases because they’re neglected and forgotten about,” says Andrew Dwyer, Ph.D., RN, FNP-BC, an assistant professor at the Connell School of Nursing. The National Institutes of Health recognizes about 7,000 rare diseases, which are conditions that afflict fewer than 200,000 people in this country. Dwyer has focused much of his research on one, congenital hypogonadotropic hypogonadism (CHH), which prevents the normal onset of puberty. But his ultimate goal is to use the knowledge he acquires studying CHH to develop tools and strategies that support people with a wide range of rare diseases. His mission could have a broad impact. While the prevalence of any given rare disease is exceedingly small, the collective community of people who live with these uncommon conditions in the United States totals 25–30 million, or roughly the population of the state of Texas. “These patients face health disparities, much like many other marginalized groups,” says Dwyer. “They have difficulty accessing care. They often go without treatment or cure.” To be sure, patients with rare diseases frequently experience what’s known as a “diagnostic odyssey,” he says, wandering from one puzzled specialist to another, who misdiagnose their condition or throw up their hands. It can take years for a person with a rare disease to find a physician who identifies the source of his or her mysterious symptoms. Worsening matters, people who have uncommon chronic conditions usually don’t know anyone else with the same (or a similar) diagnosis, and that can cause a profound sense of isolation. Dwyer’s goal is to help patients with rare diseases find care and make informed treatment decisions. And, in fact, CHH is a rarity among rare diseases, since therapy can correct the hormonal deficiency that causes it. However, Dwyer’s research has found that patients and their doctors don’t always agree on the definition of success in treating CHH.

Artwork: Monica DeSalvo

In his research, Dwyer collaborates with clinicians and researchers around the world. But he also seeks the voices and views of patients, including one who has become a collaborator on several journal articles. “I might understand the genetics and the pathophysiology and the pharmacology of treating CHH,” says Dwyer, “but I don’t know what it’s like to live with it.”

○○○ Dwyer grew up in upstate New York and attended Cornell University, where he received a Bachelor of Science degree in Human Development and Family Studies in 1992. He later moved to Boston and, in 2000, obtained a master’s degree in nursing at the MGH Institute of Health Professions, which last year named him the recipient of its annual Bette Ann Harris Distinguished Alumni Award. A newly minted family practice nurse practitioner, he next applied for a job as a research assistant/coordinator for Massachusetts General Hospital’s Reproductive Endocrine Unit. “They had never heard of a nurse practitioner. I had to explain what that was,” he says, recalling a memory that never fails to get a laugh from his students. Dwyer got the Mass General job and worked closely with William F. Crowley Jr, MD, chief of the unit and one of the world’s leading experts on CHH. Normally, puberty starts when the brain begins producing gonadotropin-releasing hormone (GnRH), which sets off a cascade of events resulting in the release of testosterone and estrogen, the hormones that are necessary for transforming children into grown-ups. People with CHH are deficient in GnRH; as a result, the process of morphing from child to adult either doesn’t happen or, less often, it starts but soon halts. However, because there is wide variation in the age at which natural puberty begins, young people with CHH are often dismissed as “late bloomers” and go undiagnosed. “These patients are often identified when they’re 18 or in their early 20s, and they look like they’re 12,” says Dwyer. CHH occurs in one out of every 4,000 to 10,000 births. For some reason, males are four times more likely than females to be diagnosed with the disorder. Roughly half of people born with GnRH deficiency have total or partial loss of their sense of smell, and are classified as having Kallmann syndrome. boston college william f. connell school of nursing

“A lot of these patients are still trapped by the psychosocial impact of being totally different for their whole lives. You can correct the hormone level, but it doesn’t make the patient all better.” —Andrew Dwyer, assistant professor

Living with undiagnosed CHH can be scarring. Young people who don’t mature sexually are often teased and can feel like social outcasts. And failure to produce sex hormones results in lack of libido and infertility. “The cumulative effects can be really traumatic,” says Dwyer. At MGH, Dwyer cared for patients with reproductive endocrine conditions while also playing a pivotal role in groundbreaking research on CHH. “Dr. Dwyer is an extraordinary team player and leader,” says reproductive endocrinologist Ravikumar Balasubramanian, MBBS, who treats CHH patients at MGH and worked closely with Dwyer, a collaboration that continues. Dwyer coordinated research by an interdisciplinary team that discovered a number of genes associated with the conditions (there have been about 40 identified to date). He was also the lead author of a 13-year study (published in the Journal of Clinical Endocrinology and Metabolism in 2013) that discovered a new, effective pharmacological regimen for inducing fertility in men with CHH. “We are here to alleviate human suffering,” says Balasubramanian, “and I think Andrew truly has been a torchbearer of that mission.”

○○○ In that pursuit, Dwyer has worked not only to help patients with rare diseases help themselves but also to mine their experience to better understand their conditions. “My goal is to partner with patients and co-create robust solutions together,” Dwyer adds. Dwyer’s focus on that work became more acute in 2010, when an MGH colleague, Nelly Pitteloud, MD, was named chief of endocrinology at the University Hospital of Lausanne, Switzerland. Dwyer agreed when Pitteloud invited him to help her start a clinic for young people transitioning from pediatric to adult care and do research. “It was supposed to be 18 months and ended up being seven years,” says Dwyer, who made the trans-Atlantic move with his wife, Krista Chavez (also a nurse practitioner), and their then-toddler daughters, Julia and Mia. While in Switzerland, Dwyer and his colleagues received a grant from the European Cooperation in Science and Technology (COST) organization to establish a consortium of 130 scientific investigators and clinicians from 26 countries who were interested

8 voice | spring 2021

in CHH and Kallmann syndrome, along with a goal of promoting collaboration among researchers. Through his work with the COST network, Dwyer met Neil Smith, a Briton from just outside London who has Kallmann syndrome and had become an advocate for others with the disorder. A partnership, and friendship, was born. “Andrew is so in tune with patients” who have CHH and Kallmann syndrome, says Smith. “He understands how patients feel about having the condition. He listens. He tries to find ways to help people cope.” Working with his colleagues in the COST network, Smith, and other patients, Dwyer led the development of a patient-empowerment “toolkit” for people with CHH. Translated into 20 languages, the kit contains materials that explain the disorder in lay language, information on finding treatment and genetic testing, and links for peer-to-peer support. Dwyer hopes that the toolkit, available online and through providers, will become a “roadmap” for others who hope to create patient-education materials for other rare diseases. Smith also helped Dwyer find 105 men with CHH who agreed to take an online survey that asked them about their unmet health needs. The results of the survey formed the basis of Dwyer’s dissertation—he received a doctorate in nursing from the University of Lausanne in 2014—as well as a paper published that year in the Orphanet Journal of Rare Diseases. The survey found that many CHH patients are frustrated by their care. To an endocrinologist, hormone-replacement therapy used to treat CHH may appear to be a success if the patient develops the hallmarks of puberty, such as enlarged genitals and muscles, growth of body hair, a deeper voice, and a heightened libido. What’s more, 75 to 80 percent of men with CHH can father children. Yet about one-third of people with CHH struggle with moderateto-severe depression. “A lot of these patients are still trapped by the psychosocial impact of being totally different for their whole lives,” says Dwyer. “You can correct the hormone level, but it doesn’t make the patient all better.” Doctors who treat CHH patients must be aware that many will benefit from mental health counseling, he says.

Rare Diseases by the Numbers

7.6

Average number of years it takes a person with a rare disease to get the proper diagnosis in the United States; in the United Kingdom, it’s 5.6 years.

○○○ In 2017, Dwyer and his family returned to the United States when he joined the faculty at the Connell School. He quickly found collaborators on campus. Dwyer is currently working with Min Zhao, an associate professor at the Carroll School of Management, to develop a decision aid that uses behavioral economics to help people with inherited conditions make choices about undergoing genetic testing, work funded by a University Research Across Departments and Schools grant. Such a tool could benefit patients with CHH and other rare diseases, says Dwyer, as well as more common hereditary diseases, such as certain forms of breast and ovarian cancer. In addition, Dwyer has received a grant from the National Institutes of Health to investigate a mystery: Why do some CHH patients undergo spontaneous reversal of the condition? Dwyer and colleagues at MGH first discovered in the 2000s that about 10 to 20 percent of patients can stop taking hormone-replacement therapy and maintain normal levels of sex hormones (though some relapse). Identifying predictors of reversal, such as specific gene mutations, for instance, could dramatically alter how CHH is treated. “We could potentially trigger reversal, rather than put people on lifelong therapy,” says Dwyer. Dwyer still works with Smith, though the coronavirus pandemic has forced some changes in their advocacy efforts. In the past, Smith frequently traveled to Massachusetts, staying with Dwyer and his family, and the two would co-lead meetings for CHH patients. That’s not possible today, but Dwyer notes a silver lining in the move away from in-person meetings to gatherings held via video conferencing: their last three virtual meetings had 62 participants from 14 countries, while their previous six live events attracted a total of 54 attendees. “We’re leveraging the power of the internet,” says Dwyer, “to reach these geographically dispersed rare disease patients.”

Average number of physicians a person with a rare disease consults before getting an accurate diagnosis—four primary care doctors and four specialists.

2–3

Number of times a rare condition is typically misdiagnosed.

60%

Portion of people with rare diseases in the United States who say they received conflicting information about treatment options from physicians.

83%

Portion of people with rare diseases who worry about the lack of information available on their condition.

50%

Quality-of-life ratings are half as high for people with rare diseases as for others.

Andrew Dwyer Photograph: Lee Pellegrini

Source: Rare Disease Impact Report: Insights from Patients and the Medical Community, Shire Human Genetic Therapies

boston college william f. connell school of nursing

First responder: A dean’s enduring impact Nurse scientist and leader Dean Susan Gennaro reflects on shaping the Connell School

By Debra Bradley Ruder

Susan Gennaro never questioned her life’s calling. Her mother was a nurse and so were her two aunts. And her Jesuit, Catholic education inspired her to live a life of service. But the shape her nursing career would take—what type of educator and leader she would become— took longer to determine. So for nearly two decades, Gennaro focused on her work as a faculty member at the University of Pennsylvania and at New York University. She built an international reputation as a nurse scientist and a standout professor and mentor. She received nationally funded research grants and published in peer-reviewed journals. But as her professional career flourished, she became increasingly aware she needed to nourish what she was called to do. And in 2008, when Gennaro received an offer to become dean of the Connell School of Nursing (CSON) at Boston College, she saw an opportunity to reconcile her vocational and spiritual ideals with an institution that shared them. Now, after 13 years as CSON dean, Gennaro will step down from the post on June 30, with Katherine Gregory starting in July as the new dean. She will take a sabbatical to spend time with family (including her husband of 40-plus years, retired CSON faculty member William Fehder), then return to the nursing school faculty to teach and continue her scholarly research. She spoke with Voice this winter about her tenure and key concerns of the nursing profession. 10 voice | spring 2021

Photograph: Caitlin Cunningham

Voice: Congratulations on your success and accomplishments as dean. Can you take us back to the beginning of your time at CSON? How does your story begin?

Gennaro: For the longest time, I said I didn’t want to be a dean. I was never going to be a dean. And my husband, if he were sitting next to me right now, would say, “Except if it were Boston College.” That’s true. I was coming from elite research institutions, so that level of academic excellence was important to me. But the missing piece was the mission and values that I’d grown up with and that were a defining part of my Jesuit, Catholic education. I’d always seen Boston College as a place that could bring those two pieces together.

Q: What do you take pride in from those early days as a new dean?

A: I’m proud that I came in as a stranger and sat down with faculty and asked them three key questions: What do you value so much that you’d like it to remain? What would you like changed? What resources do you need to do your job? At the time, the University had just gone through a strategic planning process to map out the next 10 years. So—after listening to the faculty and ref lecting on my strengths in diversity, global health, and research—I thought about how CSON could fit into and advance the greater University strategy. I knew I needed to use the skills that God gave me to bring the Connell School together as a community before we

could move forward. Addressing the concerns of faculty was critical to that process, because one can’t lead where no one will follow.

Q: One of your strategic goals is to educate nurses to lead in a global world. The Connell School has expanded opportunities for students to train in South America, the Caribbean, and Europe and to study global health issues on campus. Why are these international experiences so important?

A: Global experiences expose our students to new perspectives. Through dialogue and debate, our students have an opportunity to engage in novel ways of thinking. These types of interactions are a vital component in educating the next generation of nurse leaders. When we started our global strategic effort, we had one trip—to Nicaragua. We’ve since expanded the number of international service and community health learning experiences to seven. All students get some academic credit—course credit for undergraduates and clinical hours for graduate students—for what they’re doing abroad. We purposely did that so there would be undergraduate and graduate students working together and learning from each other. I’ve been able to go with other Boston College faculty to Ecuador, Jamaica, Lourdes, and other places I wouldn’t have otherwise. The trip to Nicaragua I took through Intersections [a University Mission and Ministry program] in 2014 was life changing. I was able to talk with women who had been illiterate and who, with the

Connell School highlights during Dean Gennaro’s tenure

Being someplace where my personal values match the institution’s values, and where we really believe in humanity, matters to me. —Susan Gennaro, dean

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great literacy campaign there, were taught to read. The historic changes that this movement made were incredible.

Q: Another of your priorities has been to foster a diverse and culturally sensitive faculty, staff, and student body. Under your watch, Connell launched KILN (Keys to Inclusive Leadership in Nursing), the Seacole Scholars program (for first-year students from diverse racial, ethnic, and socioeconomic backgrounds), and the Diversity Advisory Board. Is CSON more demonstrably inclusive today?

A: When I started on July 1, 2008, I learned that the National Association of Hispanic Nurses (NAHN) had scheduled a meeting in Boston later that month, and I said, “Great. We’ll have a reception.” The Connell School didn’t yet have a tradition of this type of community engagement. But the idea was accepted and we did have a reception. And through that small step, we went on to build and maintain an important relationship with NAHN that became the catalyst for our KILN program, which prepares students from backgrounds underrepresented in nursing. In fact, one of the new assistant professors we’ve hired this year is a fabulous funded researcher and a KILN graduate. So, although we have much more to do, we are proud to see some of our early work coming full circle. We’ve also moved forward on diversity and inclusion through an ongoing process of self-ref lection. We take the time to look at ourselves objectively, improve our

2020–21 The Connell School starts the Mary Mahoney program to provide mentorship, community, and academic support for graduate students of color.

2019

strategies, and have conversations that are not always easy. In 2016–2017, we conducted a faculty and staff examination of institutional diversity. It found that as a school, we weren’t so comfortable talking about race. We wanted everybody to love each other. But what we learned is that we have to have those difficult conversations—because you can’t know somebody else’s experience if you’re not willing to talk about it. And of course, it’s not just about race; it’s about all kinds of ways in which we categorize people as “other.” We may always have been welcoming and loving at the Connell School, but we didn’t know a lot of the nittygritty of what it takes to be inclusive. We have many students who are less advantaged than others. I had to ask myself, What do I need to put in place so that their intelligence can shine and they’re not facing barriers that other students don’t? Now we have great programs to help everyone succeed, and to support our students who need help with time management, tutoring, and class expenses.

Q: How has the school encouraged nursing research and other ways of developing and disseminating knowledge?

A: We have put in place so many resources to make sure faculty have financial support and time for research. For example, we created start-up packages for new faculty and new assistant professors that include money to do that first study. We also provide six paid summer months after you come so you don’t have to

2018

The school inaugurates its newest advanced degree program, the Doctor of Nursing Practice (DNP).

The National League for Nursing names the Connell School a Center of Excellence in Nursing Education.

CSON launches Seacole Scholars, a supportive living and learning program for first-year nursing students from backgrounds underrepresented in the nursing field.

The school holds its first-ever graduate student retreat, called VITALS.

2017 CSON celebrates the 70th anniversary of its founding. Dean Gennaro and her research team receive a $3.3 million grant from NIH’s National Institute on Minority Health and Health Disparities to study a prenatal care intervention developed to reduce anxiety, depression, and stress among pregnant minority women.

boston college william f. connell school of nursing

write grant proposals over the summer on your own time. CSON decreased teaching responsibilities in the first years so you have time to start a research team and seek out collaborators. We started funding our doctoral students so they can work with faculty who are conducting research. And we have hired lots of great people. Our faculty members are doing very important, clinically focused research that is helping people make better choices and live healthier lives. There is more research happening now than when I started, and the discipline as a whole has changed to value research more. I think being a role model and continuing to do my own research has been important too.

Q: How have nurses’ roles evolved since 2008? A: They’ve changed tremendously—and for the better. One of my early jobs as a nurse was in South Carolina, in a hospital neonatal intensive care unit. When physicians came into the room, you got up and gave them your seat. Those days are long over. The fact that Massachusetts Governor Baker on New Year’s Day signed legislation allowing nurse practitioners to practice independently says a lot. I don’t know if people were as comfortable with nurse practitioners 13 years ago, but now you see on advertisements, “Talk to your provider.” They don’t say, “Talk to your doctor” all the time. That’s a huge, huge change. People like nurses, but they have never fully understood what nurses do. I think that with COVID-19, people see us in a very different light. They see nurses working as part of a team in the ICU and being the ones on the phone with the family as somebody is dying. They see

2016 SCRUBS, the inaugural CSON sophomore retreat developed with Boston College’s Center for Student Formation, is held. The school’s Comparative Global Health Care course takes place at Pontificia Universidad Católica in Santiago, Chile, for the first time, hosting American, Swiss, and Chilean students. 14 voice | spring 2021

how smart you have to be as a nurse. It’s not considered just a “handmaid” role anymore.

Q: What significant challenges does nursing continue to face?

A: We’re still a very homogenous profession; approximately 12–13 percent of all U.S. nurses are men. We have a lot of men at the Connell School, and we want to support them. This is another question of diversity and inclusivity, right? Nurses need to mirror the populations they serve. Another challenge is thinking about how we standardize the baseline for entering nursing practice. Research shows that hospitals with more baccalaureate-prepared nurses [compared to RNs without a college degree] have better outcomes. At the Connell School, we consistently ensure that our baccalaureate curriculum prepares our graduates well. In addition, we began our Doctor of Nursing Practice program in 2019 to equip nurse practitioners with the skills they’ll need for the future. It’s not just about improving your own clinical practice, it’s about leading change in health care systems. Nursing must also take a deep look at our clinical models of teaching. Our profession is unique because so much of it requires experiential learning. We have to educate nursing students in a way that truly prepares them for the range of scenarios they’ll face in their careers. The days in which you could have a preceptor to follow around aren’t going to last. There’s just so much efficiency built into systems now, and taking time to teach students—regardless of how important that is—slows down that efficiency. There will be new

2015

2014

CSON moves from Cushing Hall, its home for 55 years, to larger and updated quarters in Maloney Hall.

The number of Connell School alumni nears 10,000 from 54 U.S. states and territories and 17 countries.

2013 Dean Gennaro is inducted into Sigma Theta Tau’s International Nurse Researcher Hall of Fame.

2012 CSON establishes Global Health Care: Meeting Challenges and Making Connections, an elective course, with Switzerland’s University of Applied Sciences.

models for clinical training. That’s part of why I was thrilled when CSON moved from Cushing to Maloney Hall in 2015. We have a much better simulation center along with beautiful meeting spaces, offices, and common spaces. We’re adapting to the best models of education and experiential learning so that our students will be ready to navigate complex health systems and effect change in ethical and meaningful ways.

Q: How has working at a Jesuit, Catholic institution, along with your attending a Jesuit college, Le Moyne College in Syracuse, N.Y., helped shape your experience? understand the organization’s mission and values. I had a very good friend from my days at Penn whose husband died. So I went down to spend some time with her. She said, “Susan, how can you be here? You’re a dean.” And I said, “Let me tell you something. If [Boston College President] Father Leahy called my administrative assistant and asked where I was and she said, “She’s comforting a grieving widow,” he would say, “Good.” Because that’s what you’re supposed to do. Being someplace where my personal values match the institution’s values, and where we really believe in humanity, matters to me.

and the year of COVID-19. What will you remember most about leading the Connell School during the pandemic?

A: I will always remember the resilience everyone has shown, but also the toll that the pandemic has taken—

2011 Connell faculty and students take the school’s first weeklong clinical service trip to Haiti, site of one of CSON’s seven international programs that promote global understanding.

2010 CSON establishes the Pinnacle Lecture Series to bring nursing leaders to campus to address key health care issues.

I also remember the pervasive fear last spring, and driving around to deliver KN95 masks to our faculty who were working in clinical settings in Boston. Nurses worked in places around the country where there was no PPE [personal protective equipment], and you were just expected to do what you needed to do. You were putting your life on the line. We are happy to be your heroes, not happy to be your martyrs.

Q: Was stepping down as dean a hard decision? A: Yes, but 13 years is a good amount of time. We know

A: If you’re going to be a leader anywhere, you have to

Q: The year 2020 was both the “Year of the Nurse”

especially on mental health. It has certainly been stressful, and isolation and stress have a cost.

that organizations do well with changes in leadership, because people bring different strengths and ideas and strategies. It was a very deliberative process, thinking about what was best for the school, for me personally, and for my family. Being a dean is very time-consuming. You are a first responder. When something happens, you get called first and have to deal with it. Being a dean with an R01 [her ongoing NIH-funded study on prenatal care for minority women] is even more time-consuming. I’m also editor of the Journal of Nursing Scholarship. I will continue to do research. I will continue to write. I will continue to teach. I want to mentor young faculty. But I will not have to spend a huge amount of time working on the weekends when my grandchildren want to go to the zoo. I believe the world is a better place because of Boston College. I really hope that the next dean enjoys her time as much as I’ve enjoyed mine. It has been the most fun.

2009 Susan Gennaro is awarded a $1.53 million grant from NIH’s National Institute of Nursing Research to study mechanisms underlying preterm birth in minority women. Keys to Inclusive Leadership in Nursing (KILN) program, developed to help prepare students to become nurse leaders in underserved communities, launches.

2008 Susan Gennaro, Ph.D., RN, FAAN, the Florence and William Downs Professor of Nursing Research at New York University, becomes Boston College’s seventh nursing school dean.

First meeting of the Diversity Advisory Board, established to help CSON plan and implement programs that foster a culture of inclusion.

boston college william f. connell school of nursing

Teaching in a pandemic

By alice Lesch Kelly

In the spring of 2020, when the COVID-19 pandemic forced a shift from in-person instruction to remote teaching and learning in classroom settings from K through college, the Connell School faculty faced an enormous challenge: how to provide high-quality digital experiences in their field, which relies significantly on clinical learning and hands-on teaching. Academic experts offered all educators plenty of advice for successful online learning, but little of it seemed consistently useful to teaching and learning nursing. So CSON faculty, employing the kind of ingenuity for which nurses are known, adapted.

Engaging students in the online classroom Clinical Instructor Sheila Tucker had used the Canvas learning management system before the pandemic. But it was only after classes moved online that she realized that taking full advantage of the system’s learning tools and distinguishing features would help her and her students make smooth transitions from in-person to online learning. In summer 2020, Tucker and Jacqueline Sly, assistant department chair and clinical instructor, cotaught a graduate-level class, Pharmacology and Nutrition, entirely online. They used Canvas to help teach, taking advantage of its “f lipped learning” method, in which students do readings, view recorded lectures, and answer questions on their own before the material is covered in class. “Students would take a quiz to show where the learning gaps were. Then, we’d spend our class time teaching to the gaps and doing active learning activities and case studies to build their understanding to a higher level,” Tucker says. Tucker and Sly made sure to break up video lectures into short segments. “We know that after about eight minutes of watching something, people need a mental break,” Tucker says. On the plus side, recorded lectures gave students an opportunity for easy review. “I had students who would download them and listen to them on their phones while they were running,” said Tucker. They also used two apps, Poll Everywhere and Kahoot!, to create game-like quizzes for students. As Tucker explains, “We wanted to keep students engaged while making sure they were learning.”

16 voice | spring 2021

Artwork: Monica DeSalvo

Getting real with virtual simulation Simulation, an essential part of nursing education for more than 100 years, uses medical manikins and human actors to help nursing students learn as they experience scenarios ranging from routine primary care appointments to life-threatening medical emergencies. When the pandemic began, Christine Repsha, a clinical instructor and director of the Connell Clinical Learning and Simulation Centers, was determined to make sure students would gain as much from online simulation programs as they would learning in person. Repsha collaborated with lab staff and colleagues at the Connell School and at a consortium of colleagues at colleges throughout New England. After identifying a comprehensive list of virtual simulation resources (including programs associated with textbooks already used in CSON courses), Repsha and her team evaluated a variety of options. “For programs we were not familiar with, my graduate student lab teaching assistants and I went in and did the simulations ourselves,” Repsha says. “Then we looked at each course individually to see what fit best for them based on their course objectives.” Repsha also made sure students, after taking part in virtual simulations, met with their clinical instructors on Zoom or another online platform to debrief. “That’s probably the most vital part of the process,” Repsha says. “A student really needs to talk through what they were doing in a scenario in order to process it. That’s when the real learning takes place.”

Caring for patients in a virtual clinic In a typical academic year, nursing students gain essential practical experience during clinical rotations in hospitals and other real-world settings in which they may give medication, check patients’ vital signs, and provide wound care and dressing changes. But when the pandemic rendered many of these on-site clinical learning opportunities off limits, CSON classes such as the Nursing Synthesis Clinical Laboratory—better known as the Synthesis course—were tapped to replace in-person experiences with virtual programs. In fall 2020, senior Jasmin Addai began her Synthesis clinical placement at Beth Israel Deaconess Medical Center in Boston. Addai performed a range of nursing duties in the hospital, including monitoring blood sugar and administering insulin in patients with diabetes, assisting patients with activities of daily living, preparing patients for discharge, and adding information to clinical documentation records. But after 60 in-person hours, she switched to electronic learning for the second half of her placement. Addai worked closely with teaching assistant Christina Dunn, who used case studies to design Addai’s virtual “clinical days” caring for patients. “Each case study would focus on a patient with a particular problem, such as heart failure, and would give me the patient’s backstory and what I would expect to see if I walked into the patient’s room,” Addai says. After familiarizing herself with the case studies, she would answer questions about the care she would provide to her patients. “Jasmin had to use the clinical knowledge that she’s learned through four years of education,” Dunn says. “She was really put on the spot to make decisions and explain what she thought was going on, what she would do next, and what she would prioritize. It was a different experience than in person, but it was really enriching to have her test her own decision-making and knowledge in this way.”

boston college william f. connell school of nursing

faculty publications Nadia Abuelezam Jungquist, R.-M., & Abuelezam, N. N. (2021). Disparities in Influenza Vaccinations: Arab Americans in California. BMC Public Health, 21(1), 443. DOI: 10.1186/s12889-021-10476-7 Abuelezam, N. N., El-Sayed, A. M., Galea, S., & Gordon, N. P. (2021). Differences in Health Characteristics of Geographic Subgroups of Arab Americans in a Northern California Health Plan. Journal of Racial and Ethnic Health Disparities. DOI: 10.1007/s40615-021-00970-4 Abuelezam, N. N., Cuevas, A. G., El-Sayed, A. M., Galea, S., & Hawkins, S. S. (2021). Infant Health for Arab and Non-Arab Mothers Identifying as White, Black, or Other in Massachusetts. American Journal of Preventive Medicine, 60(1), 64–71. DOI: 10.1016/j.amepre.2020.06.032 Abuelezam, N. N., Castro Samayoa, A., Dinelli, A., & Fitzgerald, B. (2020). Naming Racism in the Public Health Classroom. PLOS One. DOI: 10.1371/journal.pone.0243560 Allen, J., Abuelezam, N. N., Rose, R., & Fontenot, H. B. (2021). Factors Associated with the Intention to Obtain a COVID-19 Vaccine among a Racially/Ethnically Diverse Sample of Women in the USA. Translational Behavioral Medicine, ibab014. DOI: 10.1093/tbm/ibab014

Ann Wolbert Burgess Tidrick, M., Brucato, G., Petreca, V. G., Burgess, A. W., & Stone, M. (2020). The Insanity Defense in Cases of Homicide Involving Post-mortem Dismemberment. Forensic Science International: Mind and Law, 1, 100033. DOI: 10.1016/j.fsiml. 2020.100033

Melissa Capotosto Capotosto, M. P., & Jurgens, C. Y. (2020). Exploring Fertility Awareness Practices among Women Seeking Pregnancy. Nursing for Women’s Health, 24(6), 413–420. DOI: 10.1016/ j.nwh.2020.09.002

Julie Dunne Dunne, J., Flores, M., Gawande, R., & SchumanOlivier, Z. (2021). Losing Trust in Body Sensations: Interoceptive Awareness and Depression Symptom Severity among Primary Care Patients. Journal of Affective Disorders, 282, 1210–1219. DOI: /10.1016/j.jad.2020.12.092

18 voice | spring 2021

Schuman-Olivier, Z., Trombka, M., Lovas, D. A., Brewer, J. A., Vago, D. R., Gawande, R., Dunne, J., … Fulwiler, C. (2020). Mindfulness and Behavior Change. Harvard Review of Psychiatry, 28(6), 371– 394. DOI: 10.1097/HRP.0000000000000277

Flanagan, J. M., Post, K., Hill, R., & DiPalzzao, J. (2021). Feasibility of a Nurse Coached Walking Intervention for Informal Dementia Caregivers. Western Journal of Nursing Research. DOI: 10.1177/01939459211001395

Andrew Dwyer

Dickins, K., Philpotts, L., Flanagan, J. M., Bartels, S., Baggett, T., & Looby, S. (2020). Physical and Behavioral Health Characteristics of Aging Homeless Women in the United States: An Integrative Review. Journal of Women’s Health. DOI: 10.1089/jwh.2020.8557

Dwyer, A. A., Au, M. G., Smith, N., Plummer, L., Lippincott, M. F., Balasubramanian, R., & Seminara, S. B. (2020). Evaluating Co-Created Patient-Facing Materials to Increase Understanding of Genetic Test Results. Journal of Genetic Counseling. DOI: 10.1002/jgc4.1348

Joyce Edmonds McCloskey, L., Bernstein, J., … Lachange, C. (2021). Bridging the Chasm between Pregnancy and Health over the Life Course: A National Agenda for Research and Action. Women’s Health Issues. DOI: 10.1016/j.whi.2021.01.002 Edmonds, J. K., Declercq, E., & Sakala, C. (2021). Women’s Childbirth Experiences: A Content Analysis from the Listening to Mothers in California Survey. Birth. DOI: 10.1111/birt.12531 Edmonds, J. K., Weiseth, A., Neal, B. J., Woodbury, S. R., Miller, K., Souter, V., & Shah, N. T. (2020). Variability in Cesarean Delivery Rates among Individual Labor and Delivery Nurses Compared to Physicians at Three Attribution Time Points. Health Services Research, 56(2), 204–213. DOI: 10.1111/1475-6773.13546

Jane Flanagan Flanagan, J. M. (2021). Lessons We Are Learning. International Journal of Nursing Knowledge, 32(1), 3. DOI: 10.1111/2047-3095.12314 Flanagan, J. M. (2020). Defining Who We Are. International Journal of Nursing Knowledge, 31(4), 231. DOI: 10.1111/2047-3095.12306 Flanagan, J. M., Boltz, M., & Ji, M. (2020). A Predictive Model of Intrinsic Factors Associated with Long-Stay Nursing Home Care after Hospitalization. Journal of Clinical Nursing Research. DOI: 10.1177/1054773820985276 Coakley, A., Annese, C., Empoliti, J., & Flanagan, J. M. (2020). The Experience of Animal Assisted Therapy on Patients in an Acute Care Setting. Journal of Clinical Nursing Research. DOI: 10.1177/1054773820977198

Flanagan, J. M., Read, C. E., & Shindul-Rothschild, J. (2020). Factors Associated with the Rate of Sepsis after Surgery. Critical Care Nurse, 40(5), e1–e9. DOI: 10.4037/ccn2020171

Mei Fu Mastick, J., Smoot, B. J., Paul, S. M., Kober, K. M., Hamolsky, D., Madden, L. K., … Fu, M. R., & Miaskowski, C. (2021). A Comparison of Supine Versus Stand-On Bioimpedance Devices to Assess Breast Cancer-Related Lymphedema. Lymphatic Research and Biology. DOI: 10.1089/ lrb.2020.0058 Mastick, J., Smoot, B. J., Paul, S. M., Kober, K. M., Cooper, B. A., Madden, L. K., … Miaskowski, C. (2021). Assessment of Arm Volume Using a Tape Measure Versus a 3D Optical Scanner in Survivors with Breast Cancer-Related Lymphedema. Lymphatic Research and Biology. DOI: 10.1089/lrb.2020.0119 Kurnat-Thoma, E., Fu, M. R., Henderson, W. A., Voss, J. G., Hammer, M. J., Williams, J. K., … Coleman, B. (2021). Current Status and Future Directions of U.S. Genomic Nursing Health Care Policy. Nursing Outlook. DOI: 10.1016/j.outlook. 2020.12.006 Delaney, A. E., Qiu, J. M., Lee, C. S., Lyons, K. S., Vessey, J. A., & Fu, M. R. (2021). Parents’ Perceptions of Emerging Adults with Congenital Heart Disease: An Integrative Review of Qualitative Studies. Journal of Pediatric Health Care. DOI: 10.1016/j.pedhc.2020.11.009 Li, Y., Fu, M. R., Fang, J., Zheng, H., & Luo, B. (2021). The Effectiveness of Transitional Care Interventions for Adult People with Heart Failure on Patient-Centered Health Outcomes: A Systematic Review and Meta-Analysis Including Dose-Response Relationship. International Journal of Nursing Studies, 117, 103902. DOI: 10.1016/ j.ijnurstu.2021.103902

Li, Y., Fu, M. R., Luo, B., Li, M., Zheng, H., & Fang, J. (2021). The Effectiveness of Transitional Care Interventions on Health Care Utilization in Patients Discharged from the Hospital with Heart Failure: A Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association, 22(3), 621–629. DOI: 10.1016/ j.jamda.2020.09.019 Van Cleave, J. H., Fu, M. R., Bennett, A. V., Concert, C., Riccobene, A., Tran, A., … Egleston, B. L. (2021). The Usefulness of the Electronic Patient Visit Assessment (ePVA) as a Clinical Support Tool for Real-time Interventions in Head and Neck Cancer. mHealth, 7(7). DOI: 10.21037/ mhealth-19-250 Wei, A.-L., Li, M., Li, G.-Q., Wang, X., Hu, W.-M., Li, Z.-L., … Fu, M. R. (2020). Oral Microbiome and Pancreatic Cancer. World Journal of Gastroenterology, 26(48), 7679–7692. DOI: 10.3748/wjg.v26.i48.7679 Kilmartin, L., Denham, T., Fu, M. R., Yu, G., Kuo, T.-T., Axelrod, D., & Guth, A. A. (2020). Complementary Low-Level Laser Therapy for Breast Cancer-Related Lymphedema: A Pilot, Double-Blind, Randomized, Placebo-Controlled Study. Lasers in Medical Science, 35(1), 95–105. DOI: 10.1007/s10103-019-02798-1 Park, J. H., Merriman, J., Brody, A., Fletcher, J., Yu, G., Ko, E., … Fu, M. R. (2020). Limb Volume Changes and Activities of Daily Living: A Prospective Study. Lymphatic Research and Biology. DOI: 10.1089/lrb.2020.0077 Fu, M., Aouiserat, B. E., Yu, G., … Zagzag, D. (2020). Model-Based Patterns of Lymphedema Symptomatology: Phenotypic and Biomarker Characterization. Current Breast Cancer Reports, 13, 1–18. DOI: 10.1007/s12609-020-00397-6

Susan Gennaro Gennaro, S. (2020). 2020: The Year of the Nurse, COVID-19, and Systemic Discrimination and Racism. Journal of Nursing Scholarship, 52(6), 597–598. DOI: 10.1111/jnu.12606 Gennaro, S., OʼConnor, C., McKay, E. A., Gibeau, A., Aviles, M., Hoying, J., & Melnyk, B. M. (2020). Perinatal Anxiety and Depression in Minority Women. MCN. The American Journal of Maternal/ Child Nursing, 45(3), 138–144. DOI: 10.1097/ NMC.0000000000000611 Melnyk, B. M., Gennaro, S., Szalacha, L. A., Hoying, J., O’Connor, C., Cooper, A., & Gibeau, A. (2020). Randomized Controlled Trial of the COPE-P Intervention to Improve Mental Health, Healthy Lifestyle Behaviors, Birth and Post-Natal Outcomes of Minority Pregnant Women: Study Protocol with Implications. Contemporary Clinical Trials, 98, 106090. DOI: 10.1016/j.cct.2020.106090

Simonelli, M. C., Gennaro, S., O’Connor, C., & Doyle, L. T. (2020). Women Construct Their Birth Narratives and Process Unplanned Cesarean Births Through Storytelling. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 50(1), 30–39. DOI: 10.1016/j.jogn.2020.09.157

Allyssa Harris Banister, G. E., Harris, A. L., Townsend, C., Raymond, N., Masson, P. R., & Dzurec, L. (2020). African American Nurses’ Perspectives on a Leadership Development Program. The Journal of Nursing Administration, 50(7-8), 414–418. DOI: 10.1097/NNA.0000000000000909 Harris, A. L., & Fantasia, H. C. (2020). Overview of the Diagnosis and Management of Uterine Fibroids. NP Women’s Healthcare, 8, 38–43.

Nanci Haze McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01.NUMA.0000719392. 56384.46

Lindsey Horrell Ginex, P. K., Backler, C., Croson, E., Horrell, L. N., Moriarty, K. A., Maloney, C., … Morgan, R. L. (2020). Radiodermatitis in Patients with Cancer: Systematic Review and Meta-Analysis. Oncology Nursing Forum, 47(6), E225–E236. DOI: 10.1188/ 20.ONF.E225-E236 Horrell, L., Knafl, G. J., Brady, T., Lazard, A., Linnan, L., & Kneipp, S. (2020). Communication Cues and Engagement Behavior: Identifying Advertisement Strategies to Attract Middle-Aged Adults to a Study of the Chronic Disease SelfManagement Program. Preventing Chronic Disease, 17, 190413. DOI: 10.5888/pcd17.190413

Elizabeth Howard Murphy, K. J., Swaminathan, S., Howard, E., Altschuler, A., Rogan, J., Beauchet, O., … Hasher, L. (2020). Accessible Virtual Arts Recreation for Wellbeing Promotion in Long-Term Care Residents. Journal of Applied Gerontology. DOI: 10.1177/0733464820967195 Strout, K., Crittenden, J., O’Brien, L., & Howard, E. (2020). Assessing Older Adult Wellness: An Assessment of the Psychometric Properties of the Lifestyle Survey. Journal of Nursing Measurement, 28(3), 598–614. DOI: 10.1891/JNM-D-19-00030 Brady, J. A., Underhill-Blazey, M. L., Burke, P. J., Lee, C. S., Howard, E. P., & Duffy, L. V. (2021). Experiences of School Nurses Caring for Newly Arrived Immigrant and Refugee Children. International Journal of Educational Reform. DOI: 10.1177/1056787921991512

Corrine Jurgens Heidenreich, P. A., Fonarow, G. C., Breathett, K., Jurgens, C. Y., Pisani, B. A., Pozehl, B. J., … Ziaeian, B. (2020). 2020 ACC/AHA Clinical Performance and Quality Measures for Adults with Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Journal of the American College of Cardiology, 76(21), 2527–2564. DOI: 10.1016/j.jacc.2020.07.023 Heidenreich, P. A., Fonarow, G. C., Breathett, K., Jurgens, C. Y., Pisani, B. A., Pozehl, B. J., … Ziaeian, B. (2020). 2020 ACC/AHA Clinical Performance and Quality Measures for Adults with Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Circulation. Cardiovascular Quality and Outcomes, 13(11), e000099. DOI: 10.1161/ HCQ.0000000000000099 Heidenreich, P. A., Estes, N. A. M., Fonarow, G. C., Jurgens, C. Y., Kittleson, M. M. M., Marine, J. E., … McNamara, R. L. (2020). 2020 Update to the 2016 ACC/AHA Clinical Performance and Quality Measures for Adults with Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Circulation. Cardiovascular Quality and Outcomes, 14(1), e000100. DOI: 10.1161/ HCQ.0000000000000100 Heidenreich, P. A., Estes, N. A. M., Fonarow, G. C., Jurgens, C. Y., Kittleson, M. M. M., Marine, J. E., … McNamara, R. L. (2020). 2020 Update to the 2016 ACC/AHA Clinical Performance and Quality Measures for Adults with Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. Journal of the American College of Cardiology, 77(3), 326–341. DOI: 10.1016/j.jacc.2020.08.037 Capotosto, M. P., & Jurgens, C. Y. (2020). Exploring Fertility Awareness Practices among Women Seeking Pregnancy. Nursing for Women’s Health, 24(6), 413–420. DOI: 10.1016/j.nwh. 2020.09.002 McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01.NUMA.0000719392. 56384.46 Senecal, L., & Jurgens, C. (2020). Persistent Heart Failure Symptoms at Hospital Discharge Predicts 30-day Clinical Events. Journal of Cardiovascular Nursing. DOI: 10.1097/JCN.0000000000000767

McNutt-Clarke, B., Haze, N. J., Sly, J. R., Allan, T., Reid Ponte, P., & Jurgens, C. (2020). Proper Use of N95 Respirators. American Nurse.

Susan Kelly-Weeder

Wleklik, M., Uchmanowicz, I., Jankowska, E. A., Vitale, C., Lisiak, M., Drozd, M., … Lee, C. (2020). Multidimensional Approach to Frailty. Frontiers in Psychology, 11, 564. DOI: 10.3389/ fpsyg.2020.00564

Wolfe, B. E., Kelly-Weeder, S. A., Willis, D. G., & Leveillee, M. (2021). Characterizing Loss of Control Associated with Binge Eating in CollegeAge Men. Journal of the American Psychiatric Nurses Association. DOI: 10.1177/ 1078390320987609

Erickson, E. N., Lee, C. S., & Carlson, N. S. (2020). Predicting Postpartum Hemorrhage after Vaginal Birth by Labor Phenotype. Journal of Midwifery and Women’s Health, 65(5), 609– 620. DOI: 10.1111/jmwh.13104

Christopher Lee Hansen, L., Chang, M. F., Lee, C. S., Hiatt, S. O., Firsick, E., Dieckmann, N. F., & Lyons, K. S. (2021). Physical and Mental Quality of Life in Patients with End-Stage Liver Disease and Their Informal Caregivers. Clinical Gastroenterology and Hepatology, 19(1), 155–161. DOI: 10.1016/ j.cgh.2020.04.014 Alonso, W. W., Faulkner, K. M., Pozehl, B. J., Hupcey, J. E., Kitko, L. A., & Lee, C. S. (2020). A Longitudinal Comparison of Health-Related Quality of Life in Rural and Urban Recipients of Left Ventricular Assist Devices. Research in Nursing and Health, 43(4), 396–406. DOI: 10.1002/nur.22052 Bidwell, J. T., Lee, C. S., Higgins, M. K., Reilly, C. M., Clark, P. C., & Dunbar, S. B. (2020). Caregiver Strain and Heart Failure Patient Clinical Event Risk: An Extension of Previous Work. Journal of Cardiovascular Nursing, 35(3), 262–267. DOI: 10.1097/JCN.0000000000000665 Delaney, A. E., Qiu, J. M., Lee, C. S., Lyons, K. S., Vessey, J. A., & Fu, M. R. (2021). Parents’ Perceptions of Emerging Adults with Congenital Heart Disease: An Integrative Review of Qualitative Studies. Journal of Pediatric Health Care. DOI: 10.1016/j.pedhc.2020.11.009 Alkhatib, N., Sweitzer, N. K., Lee, C. S., Erstad, B., Slack, M., Gharaibeh, M., … Abraham, I. (2020). Ex Ante Economic Evaluation of Arg389 Genetically Targeted Treatment with Bucindolol versus Empirical Treatment with Carvedilol in NYHA III/IV Heart Failure. American Journal of Cardiovascular Drugs, 21(2), 205–217. DOI: 10.1007/s40256-020-00425-x Uchmanowicz, I., Lee, C. S., Vitale, C., Manulik, S., Denfeld, Q. E., Uchmanowicz, B., … Jankowska, E. A. (2020). Frailty and the Risk of All-Cause Mortality and Hospitalization in Chronic Heart Failure: A Meta-Analysis. ESC Heart Failure, 7(6), 3427–3437. DOI: 10.1002/ ehf2.12827 Lee, C. S., Faulkner, K. M., & Thompson, J. H. (2020). Identifying Subgroups: Part 2: Trajectories of Change over Time. European Journal of Cardiovascular Nursing, 19(5), 444–450. DOI: 10.1177/1474515120911330

Tilden, E. L., Phillippi, J. C., Carlson, N., Dissanayake, M., Lee, C. S., Caughey, A. B., & Snowden, J. M. (2020). The Association between Longer Durations of the Latent Phase of Labor and Subsequent Perinatal Processes and Outcomes among Midwifery Patients. Birth, 47(4), 418–429. DOI: 10.1111/birt.12494 Hill, R. R., Lee, C. S., & Pados, B. F. (2020). The Prevalence of Ankyloglossia in Children Aged <1 Year: A Systematic Review and MetaAnalysis. Pediatric Research. DOI: 10.1038/ s41390-020-01239-y

Karen Lyons

Delaney, A. E., Qiu, J. M., Lee, C. S., Lyons, K. S., Vessey, J. A., & Fu, M. R. (2021). Parents’ Perceptions of Emerging Adults with Congenital Heart Disease: An Integrative Review of Qualitative Studies. Journal of Pediatric Health Care. DOI: 10.1016/j.pedhc.2020.11.009

Beth McNutt-Clarke McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01. NUMA.0000719392.56384.46

Tam Nguyen Melo, P., Sousa, M. I., Dimande, M. M. M., Taboada, S., Nogueira, M. A., Pinto, C., … Martínez-Riera, J. R. (2020). Descriptive Study of Children’s Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa. International Journal of Environmental Research and Public Health, 17(17) 6108. DOI: 10.3390/ ijerph17176108

Hansen, L., Chang, M. F., Lee, C. S., Hiatt, S. O., Firsick, E., Dieckmann, N. F., & Lyons, K. S. (2021). Physical and Mental Quality of Life in Patients with End-Stage Liver Disease and Their Informal Caregivers. Clinical Gastroenterology and Hepatology, 19(1), 155–161. DOI: 10.1016/ j.cgh.2020.04.014

Estrem, H. H., Pados, B. F., Park, J., Thoyre, S., McComish, C., & Nguyen, T. (2020). The Impact of Feeding on the Parent and Family Scales (Feeding Impact Scales): Development and Psychometric Testing. Journal of Nursing Measurement, 29(3). DOI: 10.1891/JNMD-20-00008

Medysky, M. E., Dieckmann, N. F., Sullivan, D. R., Winters-Stone, K. M., & Lyons, K. S. (2021). Trajectories of Self-Reported Physical Functioning and Symptoms in Lung Cancer Survivors. Cancer Nursing, 44(2), E83–E89. DOI: 10.1097/NCC.0000000000000765

Monica O’Reilly-Jacob

Chan, J. M., Van Blarigan, E. L., Langlais, C., Zhou, S., Ramsdill, J. W., Daniel, K., … WintersStone, K. M. (2020). Feasibility and Acceptability of a Remotely Delivered, Web-Based Behavioral Intervention for Men with Prostate Cancer: Four-Arm Randomized Controlled Pilot Trial. Journal of Medical Internet Research, 22(12), e19238. DOI: 10.2196/19238 McCarthy, M. J., Sanchez, A., Garcia, Y. E., Lyons, K. S., & Bakas, T. (2020). Feasibility of the Hand in Hand Relationship Intervention for Stroke Survivor-Caregiver Dyads: A Randomized Trial. Research on Social Work Practice, 31(1), 75–89. DOI: 10.1177/1049731520961172 Gorman, J. R., Smith, E., Drizin, J. H., Lyons, K. S., & Harvet, M. M. (2020). Navigating Sexual Health in Cancer Survivorship: A Dyadic Perspective. Supportive Care in Cancer, 28(11), 5429–5439. DOI: 10.1007/s00520-020-05396-y

O’Reilly-Jacob, M. K., Mohr, P., Ellen, M., Sarkisian, C., Attipoe, S., & Rich, E. (2021). Digital Health & Low-Value Care. Healthcare, 9(2), 100533. DOI: 10.1016/j.hjdsi.2021.100533 O’Reilly-Jacob, M. K., & Perloff, J. (2021). The Effect of Supervision Waivers on Practice: A Survey of Massachusetts Nurse Practitioners During the COVID-19 Pandemic. Medical Care, 59(4), 283–287. DOI: 10.1097/ MLR.0000000000001486 Razazi, M., O’Reilly-Jacob, M. K., Perloff, J., & Buerhaus, P. (2021). Drivers of Cost Differences between Nurse Practitioner and Physician Attributed Medicare Beneficiaries. Medical Care, 59(2), 177–184. DOI: 10.1097/ MLR.0000000000001477 O’Reilly-Jacob, M. K. (2020). Editorial: The Murky Waters of Nurse Practitioners and Medicare Claims. Medical Care, 58(10), 851–852. DOI: 10.1097/MLR.0000000000001406

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boston college william f. connell school of nursing

faculty publications Continued from inside flap, page 20

Britt Pados

M. Colleen Simonelli

Marshall, J., Clarke, S., Escott, C., Walker-Smith, K., & Pados, B. F. (2020). Assessing the Flow Rate of Different Bottles and Teats for Neonates with Feeding Difficulties: An Australian Context. Journal of Neonatal Nursing. DOI: 10.1016/ j.jnn.2020.11.014

Jacqueline Sly

Hill, R. R., Lee, C. S., & Pados, B. F. (2020). The Prevalence of Ankyloglossia in Children Aged <1 Year: A Systematic Review and MetaAnalysis. Pediatric Research. DOI: 10.1038/ s41390-020-01239-y

Jinhee Park Estrem, H. H., Pados, B. F., Park, J., Thoyre, S., McComish, C., & Nguyen, T. (2020). The Impact of Feeding on the Parent and Family Scales (Feeding Impact Scales): Development and Psychometric Testing. Journal of Nursing Measurement, 29(3). DOI: 10.1891/JNM-D-20-00008

Victor Petreca Tidrick, M., Brucato, G., Petreca, V. G., Burgess, A. W., & Stone, M. (2020). The Insanity Defense in Cases of Homicide Involving Post-mortem Dismemberment. Forensic Science International: Mind and Law, 1, 100033. DOI: 10.1016/ j.fsiml.2020.100033

Patricia Reid Ponte Reid Ponte, P. (2020). Health Services Research Responding to Critical Needs: An Interview with Ulrike Muench. Journal of Nursing Administration, 50(11), 560–561. DOI: 10.1097/NNA. 0000000000000936 McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01. NUMA.0000719392.56384.46

McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01. NUMA.0000719392.56384.46

Patricia Tabloski Helfand, B. K. I., D’Aquila, M. L., Tabloski, P., Erickson, K., Yue, J., Fong, T. G., … Jones, R. N. (2021). Detecting Delirium: A Systematic Review of Identification Instruments for Non-ICU Settings. Journal of the American Geriatrics Society, 69(2), 547–555. DOI: 10.1111/jgs.16879 Racine, A. M., Tommet, D., D’Aquila, M. L., Fong, T. G., Gou, Y., Tabloski, P. A.,… the RISE Study Group. (2020). Machine Learning to Develop and Internally Validate a Predictive Model for Post-Operative Delirium in a Prospective, Observational Clinical Cohort Study of Older Surgical Patients. Journal of General Internal Medicine, 36(2), 265–273. DOI: 10.1007/ s11606-020-06238-7 Vasunilashorn, S. M., Schulman-Green, D., Tommet, D., Fong, T. G., Hshieh, T. T. T., Marcantonio, E. R., … the BASIL Study Team. (2020). New Delirium Severity Indicators: Generation and Internal Validation in the Better Assessment of Illness (BASIL) Study. Dementia and Geriatric Cognitive Disorders, 49(1), 77–90. DOI: 10.1159/000506700

Allan Thomas McNutt-Clarke, B., Haze, N. J., Sly, J. R., Thomas, A. A., Reid Ponte, P., & Jurgens, C. Y. (2020). Just-in-Time Safety Training for N95 Respirators: A Virtual Approach. Nursing Management, 51(11), 17–22. DOI: 10.1097/01. NUMA.0000719392.56384.46

Melissa Uveges Uveges, M. K., & Holm, I. A. (2021). Current Trends in Genetics and Neonatal Care. Advances in Neonatal Care. DOI: 10.1097/ anc.0000000000000834 21 voice | spring 2021

Tabari, K., Uveges, M. K., & Milliken, A. (2020). Ethical Issues When Caring for a Pregnant Patient in the Intensive Care Unit. AACN Advanced Critical Care, 31(4), 425–430. DOI: 10.4037/aacnacc2020953

Judith A Vessey Wentzell, K. M., Vessey, J. A., Laffel, L. M. B., & Ludlow, L. (2021). Diabetes Distress in Emerging Adults: Refining the Problem Areas in Diabetes—Emerging Adult Version Using Rasch Analysis. Journal of Applied Measurement, 21(4), 481–495. Delaney, A. E., Qiu, J. M., Lee, C. S., Lyons, K. S., Vessey, J. A., & Fu, M. R. (2021). Parents’ Perceptions of Emerging Adults with Congenital Heart Disease: An Integrative Review of Qualitative Studies. Journal of Pediatric Health Care. DOI: 10.1016/j.pedhc.2020.11.009 Betz, C. L., & Vessey, J. A. (2020). Testimony to Our Proud Nursing History: The International Year of the Nurse and Midwife. Journal of Pediatric Nursing, 55, A7–A8. DOI: 10.1016/ j.pedn.2020.10.017

Lisa Wood Wood, L. J., Christian, M., Perrin, N., Mirindi, A. B., … Glass, N. (2020). Acceptability and Feasibility of Using Actigraphy to Assess Habitual Physical Activity and Sleep Parameters in Men and Women Living in Rural Communities in Conflict-affected Eastern Democratic Republic of Congo. Global Mental Health, 7(33), 1–9. DOI: 10.1017/gmh.2020.25 Phillips, A. B., Sordo, M., & Wood, L. (2020). Agent-based Modeling to Examine Patient Behavior Within a Social Network: A Desire to Exercise Use Case. Computers, Informatics, Nursing, 38(12), 599–604. DOI: 10.1097/ CIN.0000000000000700 Wechsler, S., & Wood, L. (2020). The Effect of Chemotherapy on Balance, Gait, and Falls among Cancer Survivors: A Scoping Review. Rehabilitation Oncology, 39(1), 6–22. DOI: 10.1097/01.REO.0000000000000238 Bose, E., Wood, L., & Wang, Q. M. (2020). Topographical Data Analysis to Identify High-density Clusters in Stroke Patients Undergoing Post-acute Rehabilitation. Topics in Stroke Rehabilitation, 1–10. DOI: 10.1080/ 10749357.2020.1841439

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