Voice magazine, fall 2021

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Fall 2021

Charting a Path Forward Dean Katherine Gregory’s Vision for CSON’s Future


from the dean katherine e. gregory

Dear friends and colleagues, As the calendar year quickly winds down, there’s so much to reflect on from the Connell School of Nursing’s 2021 fall semester. In the pages that follow, you will read about impressive achievements of our students, faculty, and alums; about new traditions, such as our Grand Rounds lecture series; and about our continued support of global and local communities through partnerships with Léogâne, Haiti, and Cristo Rey High School, Boston. Photograph: Caitlin Cunningham

This constant hum of innovation and activity makes CSON unique. It’s what defines us as a community—our feet grounded in Jesuit traditions and our minds focused on changing the world. It’s also a large part of what drew me back to Boston College as the Connell School’s eighth dean. As you may know, my formation as a nurse is due a great deal to my experiences here at Boston College—both as a student and a faculty member. It’s where I learned to become a critical thinker, to confront challenges, to advance nursing science, and to lead in the Jesuit tradition of service to others. I’m honored to be returning to this community as dean. This is an exciting time for nursing. The future of our field has never been brighter. And although there will be challenges tied to the opportunities ahead, I’m confident that together we will rise to meet them. I am grateful to the deans who came before me: for their exceptional community building, outstanding stewardship of our resources, and depth of legacy that we will build on for years to come. And I am grateful to you for taking this journey with me. Sincerely,

katherine e. gregory Dean

dean Katherine Gregory

editor John Shakespear

managing editor Tracy Bienen

art director Diana Parziale

graphic designer Monica DeSalvo

contributors Timothy Gower Nathaniel Moore Debra Bradley Ruder Kathleen Sullivan

photographers Caitlin Cunningham 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 Associate Director, Marketing and Communications William F. Connell School of Nursing Maloney Hall 140 Commonwealth Ave. Chestnut Hill, MA 02467

cover Artwork: Monica DeSalvo Photograph: Lee Pellegrini

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contents In memory of Denise Testa Three new manikins for CSON’s Certified Registered Nurse Anesthetist program honor its cofounder. CSON Clinical Associate Professor Susan Emery holding photos of the late Denise Testa; nurse anesthetist Cathleen Price; CSON Clinical Instructors Caitlin Vitale and Allan Thomas; nurse anesthetists Elisabeth Compagnone and Patricia Petrous; Dr. James English ’74, B.S.N. ’79, former president of Anaesthesia Associates of Massachusetts (AAM); and Mary Ellen Erlandson ’72, the former risk management attorney for AAM.

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14 10 6 Fall 2021 news

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The American Heart Association honors Associate Dean for Research Christopher Lee for his mentorship, an alum and a student are named Academy Jonas Policy Scholars, faculty and students study health disparities for vulnerable populations.

Features

6 Finding the balance

achievements

14 A homecoming

Dean Katherine Gregory discusses her background, research, and views on the future of nursing.

Three alumnae— Catherine Conahan, Sabianca Delva, and Brittney van de Water— join CSON’s faculty.

10 Helping babies feed stress-free Assistant Professor Jinhee Park is on a mission to improve the care of preterm infants.

17 Faculty publications www.bc.edu/voice

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

Photographs: Lee Pellegrini

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news Research COVID-19’s Effect on Arab Americans Assistant Professor Nadia Abuelezam, an epidemiologist who studies health disparities for vulnerable populations, spoke to CNN.com and CBS Chicago about her 2020 study on COVID-19’s tragic—and often overlooked—impact on Arab American communities. Two CSON faculty members are on teams that received Exploratory Collaborative Scholarship Grants from BC’s Schiller Institute for Integrated Science and Society: Professor Andrew Dwyer’s team will develop interventions to enable more effective health screenings for at-risk Latinx and Black populations.

▪ Assistant

Professor Monica O’Reilly Jacob’s team will explore telehealth’s impact on patient-clinician trust and the overuse of health care services.

▪ Assistant

As part of Boston College’s McNair PostBaccalaureate Achievement Program, which prepares underrepresented and firstgeneration students for graduate school, Karen Aldana ’23 presented her research on racial disparities in prenatal care. Associate Dean for Undergraduate Programs and Clinical Professor Colleen Simonelli was Aldana’s McNair mentor.

EVENTS At the November Pinnacle lecture, Dean Katherine Gregory presented “Babies, Biomes, and Boston: A Journey in Leadership,” where she discussed her background as a clinician, scientist, and leader; her research on preterm infants’ gut health; and her vision for nursing’s future. View video at bc.edu/pinnacle. At a virtual event on June 1, Terry Fulmer, M.S. ’77, Ph.D. ’83, an international leader in the field of geriatrics, received the 2021 Dean Rita P. Kelleher Award and discussed “Age-Friendly Health Systems: The Role of Nursing Leadership.”

Faculty At the 2021 NANDA International Conference, held in collaboration with the Connell School in June: Susan Gennaro received a Founder’s Award in recognition of her lasting contribution to the field.

▪ Professor

Dean for Finance and Administration Christopher Grillo received a Unique Contribution Award.

▪ Associate

▪ Dorothy

Jones, who directs CSON’s Marjory Gordon Program, received the Editor’s Award for her contribution to NANDA-I’s International Journal of Nursing Knowledge.

CSON Department Chair and Associate Professor Allyssa Harris ’94, M.S. ’99, Ph.D. ’08, was named dean of Prairie View A&M University’s College of Nursing after nearly 15 years at the Connell School.

Honored for mentorship Associate Dean for Research Christopher Lee received the American Heart Association’s 2021 Kathleen A. Dracup Distinguished Lecture and Exemplary Career in Mentoring Award after being nominated by several nurse scientists he has mentored. He accepted the award, which was sponsored by the AHA’s Council on Cardiovascular and Stroke Nursing, at the association’s annual Scientific Sessions in November, where he also delivered the lecture “Coach, Colleague, Counsel, Friend: A New Era of Scientific Mentoring.”

Christopher Lee

Assistant Professor Monica O’Reilly-Jacob received the New Investigator Award at Academy Health’s Interdisciplinary Research Group on Nursing Issues Conference, where she presented the paper she co-authored in Medical Care, “The Effect of Supervision Waivers on Practice: A Survey of Massachusetts Nurse Practitioners During the COVID-19 Pandemic.” Karen Aldana

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Professor Susan Gennaro spoke to the Washington Post about how COVID-19 has revealed areas where care is currently insufficient, including mental health.


Community This fall, CSON launched Grand Rounds— lectures by renowned speakers on a variety of topics, such as medicine, research, clinical care, and the current state of nursing. Speakers thus far have been Northeastern University Associate Professor Lichuan Ye and Marilyn Hammer, who directs DanaFarber Cancer Institute’s Cantor Center for Research in Nursing and Patient Care Services.

Students and Alumni Academy Jonas Policy Scholars Rachel French ’17 and Ph.D. student Katie Fitzgerald Jones were named 2021–22 American Academy of Nursing Jonas Policy Scholars. Each will spend two years focusing on mentorship, engagement, and nursing policy. French is a postdoctoral research fellow through the National Clinician Scholars Program at the University of Pennsylvania.

Rachel French

Katie Fitzgerald Jones

In addition, French and Jones each received a Ruth L. Kirschstein National Research Service Award from the National Institutes of Health. French was awarded a postdoctoral fellowship (F32) from the National Institute on Drug Abuse for her project “Improving Opioid Use Disorder Treatment for Hospitalized Patients with Endocarditis.” Jones received a predoctoral award (F31) from the National Institute for Nursing Research for her project “A Multimethod Approach to Understanding the Biopsychosocial Underpinnings of Chronic Cancer Pain.” At the June 2021 NANDA International Conference, Frances Foster ’88, M.S. ’94, was inducted as a NANDA-I Academy Fellow and a team that included Heather Herdman, M.S. ’91, Ph.D. ’98, was presented with the Rosemary Carroll Award for best paper. Jamarii Johnson ’22 and Jacqueline Rojas ’23 were recognized with scholarships through the U.S. Department of State’s Benjamin A. Gilman International Scholarship Program, which enables students of limited means to study or intern abroad. Michelle Li ’23 received a Freeman Award for Study in Asia from the Institute of International Education. Kristina Italiano ’21 and Christiana Roszik, M.S. ’21, ran the 125th Boston Marathon this October. Italiano supported Dana-Farber Cancer Institute in memory of her father, Richard Italiano, Jr. A survivor of acute lymphocytic leukemia, Roszik ran as part of the Beth Israel Deaconess Medical Center Marathon team to support its Healthcare Heroes Fund.

Photographs courtesy of: Karen Aldana, Rachel French, and Jamarii Johnson

Although students and faculty were unable to travel to Léogâne, Haiti, for the Connell School’s annual community health clinics this year, CSON maintained its support with a Haitian team of translators, a community health worker, and medical staff coordinated by Clinical Assistant Professor Donna Cullinan. They established mobile clinics in Léogâne to provide care and distribute needed medications to underserved communities. CSON’s Certified Registered Nurse Anesthetist (CRNA) program has three new medical manikins thanks to donations made in memory of Clinical Assistant Professor Denise Testa, a nurse anesthetist and CRNA program cofounder who died in 2020. The manikins—humanshaped models used to teach students basic and advanced airway management— were unveiled in September.

IN MEMORY Jane Hanron, who was a School of Nursing faculty member from 1961–88 and served as director of continuing education, died on May 15 at the age of 98. Jamarii Johnson

Mary Kate O’Malley ’14, M.S. ’18, a labor and delivery nurse practitioner at Cambridge Health Alliance who was also a part of Massachusetts’s Sexual Assault Nurse Examiner (SANE) program, died on August 18 at the age of 29.

Photographs of Christopher Lee and Katie Fitzgerald Jones by Lee Pellegrini

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Katherine Gregory:

Finding the Balance by Timothy Gower 6 voice | fall 2021


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Using Science to Solve Problems

Shortly after being named dean of the Connell School of Nursing (CSON), Katherine Gregory was intrigued to learn that she is the eighth person to assume the role since the school’s founding in 1947. “Eight is considered a fortuitous number in many cultures of the world,” says Gregory. “It’s a sign of good luck and a sign of balance. Coming out of the pandemic, I think we really need both for our school, and in the profession of nursing.” While she can only hope for good luck, Gregory has a vision for the future of nursing and a diversity of experience as a clinician, scientist, and leader that make her uniquely qualified to promote a sense of balance and equanimity as she guides CSON through the time of change that lies ahead. She succeeds Susan Gennaro, who stepped down as dean last spring after 13 years. But Gregory’s arrival to Chestnut Hill is really a return: she received a doctorate in nursing at CSON in 2005 and taught on the school’s faculty from 2006–2014. “I’m really excited to be back in this wonderful and vibrant place,” says Gregory, seated in her Maloney Hall office at a table decorated with orchids in a vase, a welcome gift from the school. “The faculty and staff are highly engaged and we have the best students anyone could ask for.” Gregory’s dedication and her spirit of collaboration make her an exceptional leader. “Kate has just the right combination of ‘head and heart,’” says Madelyn Pearson, chief nursing officer and senior vice president for patient care services at Boston’s Brigham and Women’s Hospital (BWH), where she oversaw Gregory’s work. “She cares deeply about people and builds wonderful relationships—with physicians, nurses, and patients.” As dean, Gregory will apply that spirit of collaboration to help future nurses adapt in a changing profession. “One of the most important things we can do as we educate the next generation of nurses is teach them to be resilient and evolve in a changing environment,” she says.

ou could say that nursing is in Gregory’s blood, as one grandmother and five of her aunts worked in the profession. Growing up in Syracuse, New York, she was a good student who enjoyed science. Every summer during junior high and high school, she donned the familiar “candy striper” pinafore and volunteered at Crouse-Irving Memorial Hospital. “I saw what nurses did at the bedside and how they took care of patients,” she recalls. “I thought that would be a great way to satisfy my love of people, but also use science to solve problems.” After earning a bachelor’s degree in nursing from SUNY-Binghamton in 1996, Gregory got her first nursing job: the second shift in the neonatal intensive care unit (NICU) of that same hospital. Her love for the work inspired her to pursue a master’s degree in nursing administration at the University of Pennsylvania, where she had what she calls a “life-changing” discovery as a research assistant for Professor Barbara Medoff-Cooper, an expert in the care of high-risk and preterm infants. “It was the first time I saw that nurses could lead research,” Gregory says. “It made me realize that what I really wanted to do was get a Ph.D., be a scientist, and have an academic career.” Gregory found something worth studying while working in the NICU at New England Medical Center after completing the master’s degree. More than once, she came into work to discover that a baby had developed a catastrophic gastrointestinal disease overnight. “What did I miss?” she recalls wondering. “How did we not know this baby was going to become so ill?” These questions led her to want to know more about the condition called necrotizing enterocolitis (NEC), which would soon become a focus of her research.

Dean Katherine Gregory meets with Jason Luu ’24 and Sabrina Ng ’23 in CSON’s student lounge. Photo: Lee Pellegrini

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A Collaborative Vision for the Future of Nursing

Gregory believes tomorrow’s nurses must be prepared to fill five critical roles:

1. Nurses as clinicians Assessment skills and critical thinking are essential, but tomorrow’s nurse must be ready to embrace technology and adapt to ever-changing practice environments.

2. Nurses as educators Nurses will always teach other nurses, in the classroom or clinic. In addition, Gregory notes, “a huge part of our practice is teaching patients and families how to live with a chronic condition or the need for acute care.”

3. Nurses as scientists “It’s about making sure nurses are developing science for practice and patient care, and doing that in an interdisciplinary and collaborative way.”

4. Nurses as innovators “Nurses innovate all day long. Every patient has unique needs, and nurses must be able to modify or innovate in the moment to take care of that patient.”

5. Nurses as leaders The COVID-19 pandemic highlighted the importance of nursing leadership, Gregory says. “The nurse was the person in the room with the patient. That made leadership critically important, because we had to advocate for the resources to meet not only patients’ needs, but nurses’ needs.”

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A Search for Answers regory enrolled in the doctoral program at CSON in 2002. The school’s faculty and proximity to Boston’s renowned academic medical centers were important draws, she says, as well as “the

Jesuit commitment to preparing the whole person.” Not long after arriving, she began searching for answers to her questions about NEC. A potentially fatal condition brought on by sudden inf lammation in the intestines, NEC kills tissue and can produce dangerous perforations. Survivors are at risk for long-term health problems, including impaired growth and neurodevelopment. Any baby can develop NEC, but it’s far more common in preterm infants: more than 11 percent of babies born at 750 grams (about 1.65 pounds) or less are diagnosed with the condition. Gregory’s doctoral dissertation led to a 2008 Nursing Research paper that showed that premature infants who don’t receive enteral feedings of human breast milk are at significantly increased risk for the disease. While teaching at CSON, Gregory began working in the lab of pioneering pediatric gastroenterologist W. Allan Walker at Massachusetts General Hospital. With Walker and others, she started exploring the link between NEC and the gut microbiome—the trillions of bacteria and other microorganisms that colonize the intestinal tract. The microbiome helps regulate the immune system, and uncontrolled inf lammation can cause NEC.


“One of the most important things we can do as we educate the next generation of nurses is teach No two gut microbiomes are alike, and Gregory’s research explores how microbiome makeup inf luences inf lammation and the risk for NEC. She obtained support to study babies’ biomes at Brigham and Women’s Hospital through several clinical research programs, including one started by University Trustee Kathleen Haley and her husband Steven, who named her the inaugural Haley Nurse Scientist in 2009. Studying preterm babies’ microbiomes requires specimens, including stool samples. “I was affectionately known as the ‘poopy diaper nurse’ at Brigham and Women’s,” says Gregory, who estimates that a freezer at the medical center holds approximately 15,000 fecal, urine, blood spot, and breast milk samples she has collected for study. By analyzing those samples, Gregory and her colleagues identified a key marker of NEC: infants with high intestinal fatty acid binding protein in their urine have a significantly increased risk for developing the condition within a week. Their current research, funded by the National Institutes of Health (NIH), analyzes the microbiomes of breast milk from mothers of preterm infants to determine how their composition is affected by factors including maternal diet, body mass index, and gestational age at birth. The next step will be looking at how the composition of human milk alters infants’ gut microbiomes. “Perhaps there’s something in the milk that optimizes intestinal biology and protects against NEC, or there’s something lacking in the milk that’s putting the baby at risk for NEC,” Gregory explains.

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Departure and Return n 2014, she made the decision to leave CSON for a new dual role at BWH as research scientist and director of newborn care redesign, improvement, and analytics. In 2018, she was named the associate chief nursing officer for women’s and newborn health, overseeing 600 nurses and 100 support staffers as well as all research and innovation for the department of nursing. Amid all her responsibilities,

them to be resilient and evolve in a changing environment.”

—Katherine Gregory, Dean

she also earned the rank of assistant professor at Harvard Medical School. Her collaborators say she has a natural gift for lab work. “Research takes a lot of stamina, and Kate has it,” says reproductive immunologist Raina Fichorova, distinguished chair of BWH’s Department of Obstetrics and Gynecology, who mentored Gregory and is collaborating on her current NIH-funded study. “Kate is unbiased and never follows one idea just because it was her first. And she does not give up.” As she prepares students to be clinicians, educators, scientists, innovators, and leaders, Gregory is cognizant of evolving challenges around equity and access in health care. “How do we educate nurses to understand that health disparities are often a function of race and ethnicity?” she asks. “The courses we teach to future nurses should address issues such as health equity, social determinants of health, and racism.” The COVID-19 pandemic has posed other new challenges. For example, telemedicine seems to be here to stay. “We’re going to have to teach nurses to provide virtual care,” says Gregory. In spite of these hurdles, she believes nurses can overcome any challenge through collaboration. “Nursing is a team sport. My hope for the Connell School is that—by collaborating with one another and our colleagues across campus and throughout Boston—we will have a positive impact on human health.”

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Helping Babies Feed Stress-Free Jinhee Park’s mission to improve the care of preterm infants Just because feeding is one of the first things we do in life doesn’t mean it’s simple. To the contrary, feeding is a feat of such complexity and skill that many healthy newborns struggle to feed at all. For babies born prematurely at less than 37 weeks of gestation, that struggle is more prevalent, consequential, and enduring: the stress and nutritional deficiency that feeding difficulties frequently produce can hinder neurological development and inflict long-lasting harm. Luckily, Jinhee Park, Ph.D., RN, an assistant professor at the Connell School of Nursing, is working to help these babies and their families. “Throughout my career,” she explains, “my research has focused on understanding feeding problems in infants and young children to improve their health.” That career started more than two decades ago, when Park, then a Assistant Professor Jinhee Park

master’s student in nursing, was working in one of the largest newborn intensive care units (NICU) in Seoul, South Korea. From there she moved to the University of North Carolina at Chapel Hill for her doctoral work and, in 2015, to Boston College to join the faculty at the Connell School. This summer, her years of effort paid off in a satisfying way: she received an R21 Exploratory/Developmental Research Grant Award from the National Institutes of Health (NIH)

By Nathaniel Moore 10 voice | fall 2021

and National Institute of Nursing Research (NINR).


BY THE NUMBERS 10 % of American births that are preterm

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This prestigious R21 grant, which supports exploratory

% of expenditure on infant care at American hospitals going to preterm infants

research, will allow Park and her collaborators at the University of North Carolina and Boston’s Beth Israel

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Deaconess Medical Center to investigate the

% of preterm infants who will develop feeding problems that continue into childhood

“Biobehavioral Efficacy of the Semi-Elevated Side-Lying Position for Feeding Preterm Infants.” In other words: will a preterm infant’s health improve if she feeds while lying on her side instead of in another position? The stakes are high. The problems infants experience while feeding often persist into childhood, with consequences for the child’s long-term growth and neurodevelopment. Park, however, is optimistic that this simple feeding intervention may not only improve children’s health but also reduce the strain on caregiving families and the health care systems supporting them.

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The Problem “To feed safely and efficiently,” Park says, “infants must develop certain anatomical structures and neurological capacities.” The physical challenge of feeding demands complex musculature: forming a seal around the nipple takes healthy lips, while drawing out milk requires strong cheeks. The neurological challenge of feeding involves intense self-control: to swallow, infants must stop breathing, so they must learn to alternate the two in a steady “suck-swallow sequence.” Such a complex process can go wrong in many ways. The child born with a cleft lip will be unable to form a seal around the nipple. Preterm infants, who must breathe 60 to 70 times a minute to maintain their oxygen levels, have a particularly hard time regulating breathing while feeding. Some infants are so overwhelmed with milk they turn blue from oxygen deprivation. Other infants, however, are too weak to draw enough milk from the nipple; these children go hungry if forced to rely on oral feeding. Even when preterm infants manage to feed successfully, Park observes, it is such an intense process that an infant’s delicate balance is easily upset. She recalled one father who paid a visit to his preterm daughter while she was feeding in a NICU. “He gently reached out to his daughter’s hand while she ate,” Park says, “but that extra touch proved too much: the infant became too exhausted to continue feeding. She was already using all her energy for feeding, so extra stimulation overwhelmed her.” Her research indicates that it is essential to support infants during feeding by minimizing unnecessary stimulation as much as possible. These feeding struggles can result in a host of consequences beyond the stunted neurological development ongoing hunger causes. If a child repeatedly experiences stress while feeding, she may form an enduring association of stress with feeding, and she may later refuse to swallow, insist on a bribe each time she feeds, or refuse to feed at all. These behaviors can put caregivers under tremendous strain and harm the child. This is why, Park says, it is critical to intervene before a child’s feeding problems become chronic.

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The Intervention Park and her team hypothesize that one source of stress may be the position in which preterm infants are fed. “The supine position has been the norm for feeding preterm infants for a long time,” she explains, “but there are many reasons that this might not actually be ideal.” One is the effect gravity has on milk f low: if an infant is lying on her back with the bottle aimed straight down at her, the milk f lows to her mouth with little resistance. This position may therefore make it more difficult for her to regulate milk f low. If she is feeding on her side, however, she does not have to contend with gravity to take a breather. Another reason to change feeding position also concerns the effects of gravity, this time on respiration: if an infant is on her back, gravity is pushing down on her chest, impeding each inhalation. Given how many preterm infants already struggle to breathe, making it as easy as possible for them to do so while they feed may reduce the stress they experience. Park also suggests that the side-lying position may be helpful preparation for when the infant leaves the NICU. “Most mothers want to breastfeed their children,” she says. “Because the side-lying position is similar to the position in which infants will later nurse, feeding them in this position while they’re in the NICU may lead to a smoother transition to breastfeeding.”


The Study Thanks to the R21 grant from NIH and NINR, Park will be able to start testing her hypothesis. In collaboration with her team, she has designed a trial that will compare the effects of side-lying and supine feeding. Dozens of infants from Beth Israel’s NICU will be evaluated while feeding in the two different positions. To control for confounding factors that make causality difficult to discern, the team has designed a randomized crossover trial: every infant will be fed once in each position, in a randomized sequence. Every feeding will be filmed, and each infant will be monitored for 30 minutes before and after they feed. In addition to tracking how they manage milk f low by sucking and swallowing, researchers will place electrodes on the babies’ chests to monitor heart rate; a band around the chests to track respiration; and sensors at the fingertips, below the belly button, and on the forehead to track oxygen levels throughout the body. These measurements will not only track how much and how efficiently the infant is feeding but how much stress the experience is causing. “When you’re eating, blood should f low to the gut to help,” Park explains. “Being stressed diverts blood to the critical organs to support them. So, if the oxygen level at the stomach declines while it increases at the forehead, that suggests the baby is feeling stressed.” This study was designed in part with the help of Park’s onetime Ph.D. advisor at the University of North Carolina, Suzanne Thoyre. “She helped me develop the metrics we’ll use to analyze the video of each infant’s feeding for stress cues,” Park explains. “She has extensive experience in this area of research.” More than an experienced nurse researcher, Thoyre is a national leader in the field of child development—and a long-term research partner of Park’s. Over the years, the two have collaborated on numerous projects and papers investigating the care of infants, including several about feeding.

THE TEAM’S QUESTIONS FOR EVALUATING INFANTS’ FEEDING STRESS 1. How well is the infant regulating respiration? 2. How well is the infant controlling the muscles involved in feeding? 3. How well is the infant swallowing? 4. How well is the infant able to maintain physical stability? 5. Is the infant able to feed for a complete session?

For her part, Thoyre is delighted to be collaborating once more with her former student as a senior researcher. “Professor Park is really top-notch,” she says. “Plus, this research is really important. There are more children surviving from NICUs, so we have more children with developmental disabilities. Families of kids with feeding problems are looking for help, and I think that with more research we can better support them.” Park couldn’t agree more. Though this project will likely take a couple of years to finish, she already has an eye to the future. “With this project, I’m only looking at the short-term effects of these feeding positions,” she says. “But if the results are promising, I plan to do more research to determine more definite and long-term effects of the side-lying position with a larger and more diverse population of infants.” Indeed, if the proposed intervention benefits children, Park hopes that she and her team will help develop a new standard of care. “Changing the feeding position is something any caregiver can do,” she concludes, “so the research could make a big difference for so many babies.”

Images: p. 10 Jinhee Park, Lee Pellegrini p. 11 Courtesy of Pixabay p. 12 Courtesy of Jinhee Park

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A Homecoming for New Faculty By debra bradley ruder

As a faculty member, Catherine Conahan, D.N.P., NP-BC, brings her extensive experience and passion for teaching, research, and caring for patients with complex medical situations to the Connell School. Conahan staffs the nursing office at Cristo Rey Boston High School, which serves families of limited resources. There, she performs physicals, assists with COVID-19 protocols, addresses conditions from asthma to injuries, and helps connect teens with medical specialists when needed. Working with Connell School nurse practitioner (NP) students, Conahan provides care for adolescents who, she says, tend to need more care than those who come from more privileged backgrounds. “One student came in with a stomach ache, and after an assessment, we found out it was because he hadn’t eaten for two days,” Conahan recalls. “Health inequities are real, and we are trying to help.” Conahan received a bachelor of science in nursing from Georgetown University and realized she wanted to become a nurse practitioner while working at Memorial Sloan Kettering Cancer Center in New York. “[The NPs] were very well respected and seemed to be the ultimate collaborators,” she says. In 2015, Conahan earned a master of science degree from New York University to become an adult-gerontology primary care nurse practitioner. After returning to Boston (her hometown), she spent several years in oncology care and research at Beth Israel Deaconess Medical Center. Wanting to stay competitive and pursue a teaching career, she enrolled in CSON’s Doctor of Nursing Practice program. She especially valued its courses in leadership and quality improvement, and the opportunity to co-lead a clinical scholarship project, aimed at improving practice, with several colleagues. She graduated from the program in December 2020. Conahan, who is married with two young children, became a part-time faculty member last spring and helped develop the nursing office at Cristo Rey, which previously had no school nurse. Now full time, she continues to precept the Connell NP students who help out at Cristo Rey and support D.N.P. candidates conducting clinical scholarship there. She has also begun studying the impact of the nursing office’s services.

Catherine Conahan Clinical Assistant Professor

This fall, Conahan is teaching Role of the Advanced Practice Nurse at CSON. “I am very excited to be teaching at BC,” Conahan says. “I often had Connell NP students working with me at Cristo Rey [last spring], and it was always the highlight of my day to teach them something new, or watch them pick up a new skill or interview technique.”

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The Connell School of Nursing (CSON) is delighted to welcome three outstanding alumnae as new full-time faculty this fall: Catherine Conahan, Sabianca Delva, and Brittney van de Water. All three are grateful for their Boston College mentors and education. And, in the Jesuit, Catholic tradition, they’re all working to improve health services in disadvantaged communities, from Boston to South Africa.

After moving to the U.S. from Haiti at age eight and having grown up in a Haitian immigrant community, Sabianca Delva, Ph.D., RN, knows that ethnic minority groups often encounter cultural, economic, and other barriers to accessing health care. She also knows that mobile technology holds promise for helping lower those barriers. Delva has been studying ways to motivate ethnic minorities to use mobile health tools, such as smartphone apps and fitness trackers, to manage their cardiometabolic diseases. For example, these “digital health assistants” might empower users to count their steps, take their medication, check blood sugar levels, or connect with providers—ultimately helping to reduce health disparities. She joins the Connell faculty after earning a Ph.D. in 2020 from Johns Hopkins School of Nursing, where she took part in its Nurse Faculty for the Future fellowship program. For her dissertation, Delva conducted a mixedmethod study—during the COVID-19 pandemic and while pregnant with her daughter—among 101 Latinos in Maryland with cardiometabolic risk factors such as high blood pressure. Her investigation, supported by a predoctoral research grant from the National Institutes of Health, concluded that mobile health technology needs to be affordable, culturally tailored, and user-friendly.

Sabianca Delva Assistant Professor

Delva began her career by enrolling in Boston College’s Pre-Health Program. She fell in love with nursing while working as a nursing assistant at Brigham and Women’s Hospital to help cover family and school expenses, was accepted at Connell, and received her B.S. in nursing in 2011. Through the school’s Keys to Inclusive Leadership in Nursing (KILN) program, she met peers from disadvantaged backgrounds who also aspired to lead efforts to improve health care in underserved communities. Participating in KILN, she recalls, “gave me a place of belonging.” Delva was a full-time RN at Massachusetts General Hospital for three years before pursuing her doctorate. She’s excited to return to the Heights and eager to be a role model for students from ethnic minority communities. “I feel like I’m coming back home. I decided to get my doctorate because I felt I owed my success to the mentorship I received from professors as an undergraduate at BC,” notes Delva, who is teaching Advanced Physiology and Pathophysiology Across the Lifespan this fall. “I want to pay it forward and mentor future generations of nurses.”

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new faculty

Brittney van de Water, Ph.D., RN, CPNP, witnessed the devastating toll of tuberculosis (TB), a leading cause of death worldwide, as a Connell School undergraduate studying abroad in South Africa. While volunteering on the pediatric ward of a hospital, she befriended a young boy who had been treated for TB. “I would come and we both would just light up,” recalls van de Water. Their special bond helped shape her career path. Today, van de Water is a global health delivery researcher examining ways to provide high-quality TB care in low-resource settings. With a K23 Career Development Award from the National Institute of Nursing Research, she is working with colleagues to reduce tuberculosis transmission among high-risk populations (children, people with HIV, and close contacts of TB patients) in rural Eastern Cape, South Africa. The program they are developing involves going to people’s homes, screening household members, treating active TB, and providing treatment to prevent infections from becoming active disease. “[Our goal is] to create an intervention that is sustainable, culturally appropriate, and will be acceptable to the community we’re serving and adopted by clinicians,” says van de Water, a practicing pediatric nurse practitioner who has lived in both South Africa and the U.S. with her husband and two children. Van de Water joins the Connell School faculty after four years at Harvard Medical School, where she was a postdoctoral research fellow and then an instructor in the Department of Global Health and Social Medicine. A Massachusetts native, van de Water earned bachelor of science and master of science degrees in nursing from CSON in 2009 and 2010, respectively. In addition to studying abroad in South Africa, she volunteered in Honduras annually and completed her community health clinical training in Nicaragua. After several years of clinical practice in Massachusetts and a year teaching pediatric nursing in Malawi through Seed Global Health and the Peace Corps, she received a doctorate in nursing from Duke University in 2017, where she was selected to participate in the Robert Wood Johnson Foundation Future of Nursing Scholars Program.

Brittney van de Water Assistant Professor

This fall, van de Water is co-teaching Public Health in a Global Society with Associate Professor Joyce Edmonds and looks forward to sharing her passion for global health and research with her students. “There are so many career avenues in nursing,” van de Water says. “I want to harness their passion, no matter what it is.”

16 voice | fall 2021


faculty publications Nadia Abuelezam Abuelezam, N. N., El-Sayed, A. M., Galea, S., & Gordon, N. P. (2021). Health Risks and Chronic Health Conditions among Arab Americans and White Adults in Northern California. Ethnicity & Disease, 31(2), 235–242. DOI: 10.18865/ed.31.2.235

Ann Burgess Burgess, A. W., & Constantine, S. M. (2021). A Killer by Design: Murderers, Mindhunters, and My Quest to Decipher the Criminal Mind. Hachette Books.

Lindsey (Horrell) camp Lazard, A., Collins, M., Hedrick, A., Horrell, L., Varma, T., Valle, C. G., … Benedict, C. (2021). Initiation and Changes in Use of Social Media for Peer Support Among Young Adult Cancer Patients and Survivors. Psycho-Oncology. Advance online publication. DOI: 10.1002/pon.5758 Valle, C. G., Pinto, B. M., LaRose, J. G., Diamond, M., Horrell, L., Nezami, B., … Tate, D. (2021). Promoting Physical Activity in Young Adult Cancer Survivors Using mHealth and Adaptive Tailored Feedback Strategies: Design of the Improving Physical Activity after Cancer Treatment (IMPACT) Randomized Controlled Trial. Contemporary Clinical Trials, 103, 106293. DOI: 10.1016/ j.cct.2021.106293 Horrell, L., Hayes, S., Herbert, L., MacTurk, K., Lawhon, L., Valle, C., & Bhowmick, A. (2021). Telemedicine Use and Health-Related Concerns of Patients with Chronic Conditions During COVID-19: Survey of Members of Online Health Communities. Journal of Medical Internet Research, 23(2), e23795. DOI: 10.2196/23795

Melissa Capotosto Pérez Capotosto, M., & O’Reilly-Jacob, M. K. (2021). Promoting Fertility Awareness to Improve the Appropriate Use of Infertility Treatment: Considerations for the “Access to Infertility Treatment and Care Act.” Women’s Healthcare: A Clinical Journal for NPs.

Julie Dunne Dunne, J. P., Shindul-Rothschild, J., … White, L., Lee, C. S., & Wolfe, B. E. (2021). Mindfulness in Persons with Anorexia Nervosa and the Relationships between Eating Disorder Symptomology, Anxiety and Pain. Eating Disorders, 29(5), 497–508. DOI: 10640266.2019.1688009/10.1080

Andrew Dwyer Kocher, A., Ndosi, M., Denhaerynck, K., Simon, M., Dwyer, A. A., Distler, O., … Nicca, D. (2021). A Rare Disease Patient-Reported Outcome Measure: Revision and Validation of the German Version of

the Systemic Sclerosis Quality of Life Questionnaire (SScQoL) Using the Rasch Model. Orphanet Journal of Rare Diseases, 16(1), 356. DOI: 10.1186/ s13023-021-01944-9 Dwyer, A. A., Zeng, Z., & Lee, C. S. (2021). Validating Online Approaches for Rare Disease Research Using Latent Class Mixture Modeling. Orphanet Journal of Rare Diseases, 16(1), 209. DOI: 10.1186/ s13023-021-01827-z Dwyer, A. A., Shen, H., Zeng, Z., Gregas, M., & Zhao, M. (2021). Framing Effects on Decision-Making for Diagnostic Genetic Testing: Results from a Randomized Trial. Genes, 12(6). 941. DOI: 10.3390/genes12060941 Escagedo, P. D., Deal, C. L., Dwyer, A. A., & Hauschild, M. (2021). Insulin-Like Growth Factor 1, but Not Insulin-Like Growth Factor-Binding Protein 3, Predicts Central Precocious Puberty in Girls 6-8 Years Old: A Retrospective Study. Hormone Research in Paediatrics, 94(1-2), 44–51. DOI: 10.1159/000516361 Kocher, A., Simon, M., Dwyer, A. A., Blatter, C., Bogdanovic, J., Künzler-Heule, P., … Nicca, D. (2021). Patient and Healthcare Professional eHealth Literacy and Needs for Systemic Sclerosis Support: A Mixed Methods Study. RMD Open, 7(3). DOI: 10.1136/rmdopen-2021-001783 Dwyer, A. A., & Greenspan, D. L. (2021). Endocrine Nurses Society Position Statement on Transgender and Gender Diverse Care. Journal of the Endocrine Society, 5(8), bvab105. DOI: 10.1210/ jendso/bvab105

Joyce Edmonds Edmonds, J. K., Woodbury, S. R., Lipsitz, S. R., Weiseth, A., Farrell, M. E., Shah, N. T., … Gregory, K. D. (2021). Comparing Methods of Identifying Outlying Nurses in Audits of Low-Risk Cesarean Delivery Rates. Journal of Nursing Care Quality. Advance online publication. DOI: 10.1097/ NCQ.0000000000000588 Heelan-Fancher, L., & Edmonds, J. K. (2021). Intrapartum Nurses’ Beliefs Regarding Birth, Birth Practices, and Labor Support. Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN. Advance online publication. DOI: 10.1016/ j.jogn.2021.07.004 Edmonds, J. K., Declercq, E., & Sakala, C. (2021). Women’s Childbirth Experiences: A Content Analysis from the “Listening to Mothers in California” Survey. Birth, 48(2), 221–229. DOI: 10.1111/birt.12531

Jane Flanagan Flanagan, J. M. (2021). Book Review: A Handbook for Caring Science: Expanding the Paradigm. Rosa, W., Horton-Deutsch, S., & Watson, J. (Eds.). Nursing Science Quarterly, 34(4), 465–467. DOI: 10.1177/08943184211031596 Flanagan, J. M., Turkel, M., & Smith, M. (2021). Nursing Knowledge in the Doctor of Nursing Practice Curriculum. Nursing Science Quarterly, 34(3), 268–274. DOI: 10.1177/08943184211010458 Flanagan, J. M., & Caldeira, S. (2021). Spiritual Distress in Cancer Patients Initiating Chemotherapy: A Cross-Sectional Study. Journal of Nursing Scholarship, 53(5), 578–584. DOI: 10.1111/jnu.12670 Flanagan, J. M., Post, K., Hill, R., & Winters, L. (2021). Findings from a Provider-Led, MindfulnessBased Internet-Streamed Yoga Video Addressing the Psychological Outcomes of Breast Cancer Survivors. Holistic Nursing Practice, 35(5), 281–289. DOI: 10.1097/HNP.0000000000000465 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

Susan Gennaro Gennaro, S. (2021). Text Recycling and Salami Slicing. Journal of Nursing Scholarship, 53(5), 531–532. DOI: 10.1111/jnu.12700 Hayes, C., Wood, L. J., Gaden, N. W., Gennaro, S., Gross, A. H., Hudson-Jinks, T. M., … Van Pelt, M. (2021). The Dual Epidemics of 2020: Nursing Leaders’ Reflections in the Context of Whole Person/Whole Systems. Nursing Administration Quarterly, 45(3), 243–252. DOI: 10.1097/ NAQ.0000000000000475 Gennaro, S. (2021). The Great Unmasking of 2021. Journal of Nursing Scholarship, 53(4), 391–392. DOI: 10.1111/jnu.12688 Gennaro, S. (2021). What a Difference a Year Makes. Journal of Nursing Scholarship, 53(2), 141–142.

Katherine Gregory Filatava, E. J., Shelly, C. E., Thai, J., Pados, B. F., Rostas, S., Yamamoto, H., … Gregory, K. (2021). Elevated Intestinal Inflammation in Preterm Infants with Signs and Symptoms of Gastroesophageal Reflux Disease. Biological Research for Nursing, 23(3), 524–532. DOI: 10.1177/1099800420987888 Pados, B. F., Briceno, G., Feaster, V., & Gregory, K. (2021). Preterm Infants Born Before 32 Weeks Gestation Experience More Symptoms of Gastroesophageal Reflux in the First 6 Months of Life

boston college william f. connell school of nursing

17


faculty publications than Infants Born at Later Gestational Ages. Pediatric Medicine, 4(12). DOI: 10.21037/pm-20-100 Reale, S. C., Lumbreras-Marquez, M. I., King, C. H., Burns, S. L., Fields, K. G., … Gregory, K. E., Huybrechts, K. F., & Bateman, B. T. (2021). Patient Characteristics Associated with SARS-CoV-2 Infection in Parturients Admitted for Labour and Delivery in Massachusetts During the Spring 2020 Surge: A Prospective Cohort Study. Paediatric and Perinatal Epidemiology, 35(1), 24–33. DOI: ​​10.1111/ppe.12743 Belfort, M. B., Qureshi, F., Litt, J., Bosquet Enlow, M., De Vivo, I., Gregory, K. E., & Tiemeier H. (2021). Telomere Length Shortening in Hospitalized Preterm Infants: A Pilot Study. PLoS One, 16(1), e0243468. DOI: 10.1371/journal.pone.0243468 Pathrose, S. P., Spence, K., Taylor, C., Psalia, K., Schmied, V., Dahlen, N., Gregory, K. E., Peters, K., & Foster, J. (2021). A Cross-Sectional Survey of Enteral Feeding Tube Placement and Gastric Residual Aspiration Practices: Need for an Evidence-Based Clinical Practice Guideline. Advances in Neonatal Care, 21(5), 418–424. DOI: 10.1097/ ANC.0000000000000822 Riley, J., Cherkerzian, S., Benjamin, C., Belfort, M. B., Sen, S., Drouin, K., & Gregory, K. E. (2021). Clinical Characteristics and Breastfeeding Outcomes in Term Dyads Following In-Hospital Supplementation with Pasteurized Donor Human Milk or Formula. Breastfeeding Medicine, 16(9), 717​​–724. DOI: 10.1089/bfm.2020.0337

Elizabeth Howard Howard, E. P., Retalic, T., Rogan, J., Murphy, K., Swaminathan, S., & Altschuler, A. (2021). ArtontheBrain: Results of Pilot Project Among Long-term Care Residents. Research in Gerontological Nursing, 14(5), 235–243. DOI: 10.3928/19404921-20210825-03 Howard, E., Morris, J. N., Schachter, E., Schwarzkopf, R., Shepard, N., & Buchanan, E. R. (2021). Machine-Learning Modeling to Predict Hospital Readmission Following Discharge to Post-Acute Care. Journal of the American Medical Directors Association, 22(5), 1067–1077. DOI: 10.1016/ j.jamda.2020.12.017

Corrine Jurgens Sandau, K. E., Lee, C. S., Faulkner, K. M., Pozehl, B., Eckman, P., Garberich, R., … Cowger, J. A. (2021). Health-Related Quality of Life in Patients with a Left Ventricular Assist Device (QOLVAD) Questionnaire: Initial Psychometrics of a New Instrument. Journal of Cardiovascular Nursing, 36(2), 172–184. DOI: 10.1097/ JCN.0000000000000774

18 voice | fall 2021

Christopher Lee Bessette, H., Song, M., Lyons, K. S., Stoyles, S., Lee, C. S., Hansen, L., & Winters-Stone, K. (2021). Enrolling Caregivers in Obesity Interventions to Improve Obesity-Related Outcomes in Children. Western Journal of Nursing Research. Advance online publication. DOI: 10.1177/ 01939459211037057 Jones, K. F., Fu, M. R., Merlin, J. S., Paice, J. A., Bernacki, R., Lee, C., & Wood, L. J. (2021). Exploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors: An Integrative Review. Journal of Pain and Symptom Management, 61(2), 395–415. DOI: 10.1016/j.jpainsymman.2020.08.015 Pavlovic, N. V., Gilotra, N. A., Lee, C. S., Ndumele, C., Mammos, D., Dennisonhimmelfarb, C., & Abshire Saylor, M. (2021). Fatigue in Persons with Heart Failure: A Systematic Literature Review and Meta-Synthesis Using the Biopsychosocial Model of Health. Journal of Cardiac Failure. DOI: 10.1016/ j.cardfail.2021.07.005 Davis, M. R., Lee, C. S., Corcoran, A., Gupta, N., Uchmanowicz, I., & Denfeld, Q. E. (2021). Gender Differences in the Prevalence of Frailty in Heart Failure: A Systematic Review and Meta-Analysis. International Journal of Cardiology, 333, 133–140. DOI: 10.1016/j.ijcard.2021.02.062 Sandau, K. E., Lee, C. S., Faulkner, K. M., Pozehl, B., Eckman, P., Garberich, R., … Cowger, J. A. (2021). Health-Related Quality of Life in Patients with a Left Ventricular Assist Device (QOLVAD) Questionnaire: Initial Psychometrics of a New Instrument. Journal of Cardiovascular Nursing, 36(2), 172–184. DOI: 10.1097/ JCN.0000000000000774 Dunne, J. P., Shindul-Rothschild, J., … White, L., Lee, C. S., & Wolfe, B. E. (2021). Mindfulness in Persons with Anorexia Nervosa and the Relationships Between Eating Disorder Symptomology, Anxiety and Pain. Eating Disorders, 29(5), 497–508. DOI: 10640266.2019.1688009/10.1080 Pucciarelli, G., Lyons, K. S., Simeone, S., Lee, C. S., Vellone, E., & Alvaro, R. (2021). Moderator Role of Mutuality on the Association between Depression and Quality of Life in Stroke Survivor-Caregiver Dyads. Journal of Cardiovascular Nursing, 36(3), 245–253. DOI: 10.1097/JCN.0000000000000728 Moons, P., & Lee, C. S. (2021). One Year of Methods Corner: The Way Forward to Innovate Research in Cardiovascular Care. European Journal of Cardiovascular Nursing, 20(3), 181–182. DOI: 10.1093/eurjcn/zvab021 Iovino, P., Lyons, K. S., De Maria, M., Vellone, E., Ausili, D., Lee, C. S., … Matarese, M. (2021).

Patient and Caregiver Contributions to Self-Care in Multiple Chronic Conditions: A Multilevel Modelling Analysis. International Journal of Nursing Studies, 116, 103574. DOI: 10.1016/ j.ijnurstu.2020.103574 Bonds, K., Song, M., Whitlatch, C. J., Lyons, K. S., Kaye, J. A., & Lee, C. S. (2021). Patterns of Dyadic Appraisal of Decision-Making Involvement of African American Persons Living with Dementia. The Gerontologist, 61(3), 383–391. DOI: 10.1093/ geront/gnaa086 Pados, B. F., Hill, R. R., Yamasaki, J. T., Litt, J. S., & Lee, C. S. (2021). Prevalence of Problematic Feeding in Young Children Born Prematurely: A Meta-Analysis. BMC Pediatrics, 21(1), 110. DOI: 10.1186/s12887-021-02574-7 Faulkner, K. M., MacDonald, K., Abraham, I., Alhossan, A., & Lee, C. S. (2021). “Real-World” Effectiveness of Omalizumab in Adults with Severe Allergic Asthma: A Meta-Analysis. Expert Review of Clinical Immunology, 17(1), 73–83. DOI: 10.1080/1744666X.2020.1856658 Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., … Riegel, B. (2021). Self-Care Research: How to Grow the Evidence Base? (reprint). International Journal of Nursing Studies, 116, 103903. DOI: 10.1016 /j.ijnurstu.2021.103903 Riegel, B., Dunbar, S. B., Fitzsimons, D., Freedland, K. E., Lee, C. S., Middleton, S., … Jaarsma, T. (2021). Self-Care Research: Where Are We Now? Where Are We Going? International Journal of Nursing Studies, 116, 103402. DOI: 10.1016/j.ijnurstu.2019.103402 Winters-Stone, K. M., Lyons, K. S., Dieckmann, N. F., Lee, C. S., Mitri, Z., & Beer, T. M. (2021). Study Protocol for the Exercising Together© Trial: A Randomized, Controlled Trial of Partnered Exercise for Couples Coping with Cancer. Trials, 22(1), 579. DOI: 10.1186/s13063-021-05548-3 Hansen, L., Chang, M. F., Hiatt, S., Dieckmann, N. F., Lyons, K. S., & Lee, C. S. (2021). Symptom Frequency and Distress Underestimated in Decompensated Cirrhosis. Digestive Diseases and Sciences. DOI: 10.1007/s10620-021-07216-7 Lyons, K. S., Johnson, S. H., & Lee, C. S. (2021). The Role of Symptom Appraisal, Concealment and Social Support in Optimizing Dyadic Mental Health in Heart Failure. Aging and Mental Health, 25(4), 734–741. DOI: 10.1080/ 13607863.2020.1711866 Dwyer, A. A. A., Zeng, Z., & Lee, C. S. (2021). Validating Online Approaches for Rare Disease


Research Using Latent Class Mixture Modeling. Orphanet Journal of Rare Diseases, 16(1), 209. DOI: 10.1186/s13023-021-01827-z

within African American Dementia Dyads. Geriatric Nursing, 42, 919–925. DOI: 10.1016/ j.gerinurse.2021.05.001

Karen Lyons

Bonds, K., Whitlatch, C. J., Song, M., & Lyons, K. S. (2021). Factors Influencing Quality of Life in African-American Dementia Dyads. Aging & Mental Health, 25(4), 703–710. DOI: 10.1080/ 13607863.2020.1711865

Bessette, H., Song, M., Lyons, K. S., Stoyles, S., Lee, C. S., Hansen, L., & Winters-Stone, K. (2021). Enrolling Caregivers in Obesity Interventions to Improve Obesity-Related Outcomes in Children. Western Journal of Nursing Research. Advance online publication. DOI: 10.1177/01939459211037057 Song, M., Hayman, L. L., Lyons, K. S., Dieckmann, N. F., & Musil, C. M. (2021). Assessing Cardiometabolic Health Risk Among U.S. Children Living in Grandparent-Headed Households. Journal of Pediatric Nursing, 61, 331–339. DOI: 10.1016/j.pedn.2021.09.003 Vitale, C., & Lyons, K. S. (2021). The State of Nurse Anesthetist Practice and Policy: An Integrative Review. AANA, 89(5), 403–413. Lyons, K. S., Zajack, A., Greer, M., Chaimoy, H., Dieckmann, N. F., & Carter, J. H. (2021). Benefits of a Self-Management Program for the Couple Living with Parkinson’s Disease: A Pilot Study. Journal of Applied Gerontology, 40(8), 881–889. DOI: 10.1177/0733464820918136 Hanan, D., & Lyons, K. S. (2021). Hospice Use Among Individuals with Severe Persistent Mental Illness. Journal of the American Psychiatric Nurses Association, 27(3), 213–221. DOI: 10.1177/ 1078390320910482 Pucciarelli, G., Lyons, K. S., Simeone, S., Lee, C. S., Vellone, E., & Alvaro, R. (2021). Moderator Role of Mutuality on the Association between Depression and Quality of Life in Stroke Survivor-Caregiver Dyads. Journal of Cardiovascular Nursing, 36(3), 245–253. DOI: 10.1097/JCN.0000000000000728 Winters-Stone, K. M., Lyons, K. S., Dieckmann, N. F., Lee, C. S., Mitri, Z., & Beer, T. M. (2021). Study Protocol for the Exercising Together© Trial: A Randomized, Controlled Trial of Partnered Exercise for Couples Coping with Cancer. Trials, 22(1), 579. DOI: 10.1186/s13063-021-05548-3

Lyons, K. S., Johnson, S. H., & Lee, C. S. (2021). The Role of Symptom Appraisal, Concealment and Social Support in Optimizing Dyadic Mental Health in Heart Failure. Aging and Mental Health, 25(4), 734–741. DOI: 13607863.2020.1711866 Kalim, S., Lyons, K. S., & Nigwekar, S. U. (2021). Opioids in Hemodialysis Patients. Seminars in Nephrology, 41(1), 24–32. DOI: 10.1016/ j.semnephrol.2021.02.003 Iovino, P., Lyons, K. S., De Maria, M., Vellone, E., Ausili, D., Lee, C. S., … Matarese, M. (2021). Patient and Caregiver Contributions to Self-Care in Multiple Chronic Conditions: A Multilevel Modelling Analysis. International Journal of Nursing Studies, 116, 103574. DOI: 10.1016/j. ijnurstu.2020.103574 Bonds, K., Song, M., Whitlatch, C. J., Lyons, K. S., Kaye, J. A., & Lee, C. S. (2021). Patterns of Dyadic Appraisal of Decision-Making Involvement of African American Persons Living with Dementia. The Gerontologist, 61(3), 383–391. DOI: 10.1093/ geront/gnaa086

Monica O’Reilly-Jacob Pérez Capotosto, M., & O’Reilly-Jacob, M. K. (2021). Promoting Fertility Awareness to Improve the Appropriate Use of Infertility Treatment: Considerations for the “Access to Infertility Treatment and Care Act.” Women’s Healthcare: A Clinical Journal for NPs. O’Reilly-Jacob, M. K., Perloff, J., Berkowitz, S., & Bock, L. (2021). Nurse Practitioner-Owned Practices and Value-Based Payment. Journal of the American Association of Nurse Practitioners. DOI: 10.1097/JXX.0000000000000635

Hansen, L., Chang, M. F., Hiatt, S., Dieckmann, N. F., Lyons, K. S., & Lee, C. S. (2021). Symptom Frequency and Distress Underestimated in Decompensated Cirrhosis. Digestive Diseases and Sciences. DOI: 10.1007/s10620-021-07216-7

Britt Pados

Arring, N. M., Millstine, D., Barton, D. L., Lyons, K. S., Girardo, M., Hutson, A., & Nail, L. M. (2021). Trends in Integrative Medicine and Health Consults: Differences between Cancer Survivors and Patients without Cancer. Supportive Care in Cancer, 29(6), 3103–3112. DOI: 10.1007/s00520020-05815-0

Pados, B. F., & Feaster, V. (2021). Effect of Formula Type and Preparation on International Dysphagia Diet Standardisation Initiative Thickness Level and Milk Flow Rates from Bottle Teats. American Journal of Speech-Language Pathology, 30(1), 260– 265. DOI: 10.1044/2020_AJSLP-20-00272

Bonds, K., Epps, F., Lyons, K. S., Song, M., & Driessnack, M. (2021). Using Poetry as Data to Explore Daily and Formal Care Decision Making

Pados, B. F., & Mellon, M. (2021). Effect of Thickening on Flow Rates through Bottle Nipples. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 50(1), 78–87. DOI: 10.1016/j.jogn.2020.09.153

Pados, B. F., Repsha, C., & Hill, R. R. (2021). The Gastrointestinal and Gastroesophageal Reflux (GIGER) Scale for Infants and Toddlers. Global Pediatric Health. DOI: 10.1177/2333794X211033130

Filatava, E. J., Shelly, C. E., Thai, J., Pados, B. F., Rostas, S., Yamamoto, H., … Gregory, K. (2021). Elevated Intestinal Inflammation in Preterm Infants with Signs and Symptoms of Gastroesophageal Reflux Disease. Biological Research for Nursing, 23(3), 524–532. DOI: 10.1177/ 1099800420987888 Pados, B. F. (2021). Milk Flow Rates from Bottle Nipples: What We Know and Why It Matters. Nursing for Women’s Health, 25(3), 229–235. DOI: 10.1016/j.nwh.2021.03.006 Pados, B. F., Briceno, G., Feaster, V., & Gregory, K. (2021). Preterm Infants Born Before 32 Weeks Gestation Experience More Symptoms of Gastroesophageal Reflux in the First 6 Months of Life than Infants Born at Later Gestational Ages. Pediatric Medicine, 4(12). DOI: 10.21037/pm-20-100 Pados, B. F., Hill, R. R., Yamasaki, J. T., Litt, J. S., & Lee, C. S. (2021). Prevalence of Problematic Feeding in Young Children Born Prematurely: A Meta-Analysis. BMC Pediatrics, 21(1), 110. DOI: 10.1186/s12887-021-02574-7

Christine Repsha Pados, B. F., Repsha, C., & Hill, R. R. (2021). The Gastrointestinal and Gastroesophageal Reflux (GIGER) Scale for Infants and Toddlers. Global Pediatric Health. DOI: 10.1177/2333794X211033130

Melissa Uveges Schwartz, T. S., Christensen, K. D., Uveges, M., Waisbren, S. E., McGuire, A. L., Pereira, S., … Holm, I. A. (2021). Effects of Participation in a U.S. Trial of Newborn Genomic Sequencing on Parents at Risk for Depression. Journal of Genetic Counseling. DOI: 10.1002/jgc4.1475

Judith Vessey Vessey, J. A., Chen, A., & Kim, M. (2021). A Seat at the Table: Nursing Presence on Massachusetts Hospital Boards. Massachusetts Report on Nursing, 19(1), 5.

Laura White Dunne, J. P., Shindul-Rothschild, J., … White, L., Lee, C. S., & Wolfe, B. E. (2021). Mindfulness in Persons with Anorexia Nervosa and the Relationships between Eating Disorder Symptomology, Anxiety and Pain. Eating Disorders, 29(5), 497–508. DOI: 10640266.2019.1688009/10.1080

Lisa Wood Jones, K. F., Fu, M. R., Merlin, J. S., Paice, J. A., Bernacki, R., Lee, C., & Wood, L. J. (2021). Exploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors: An Integrative Review. Journal of Pain and Symptom Management, 61(2), 395–415. DOI: 10.1016/j. jpainsymman.2020.08.015

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A unique Commencement for an extraordinary class

S

ome 100 Connell School students from the Connell School’s Class of 2020 returned to BC in October to celebrate their achievements more than a year after their graduation. Heena Nissaraly ’20, M.S. ’23, was CSON’s representative at the main Commencement ceremony. In his talk, Commencement speaker Steve Pemberton acknowledged that Nissaraly had invited a beloved former patient to the ceremony in lieu of her parents, who were unable to travel from their home in Madagascar. “Family is not just what you are born into,” he said, “it’s also who you find along the way.” View video at bc.edu/commencement.

Heena Nissaraly ’20, M.S. ’23 (right), with former patient Mary Moran at the October Commencement Photo courtesy of Maura Cutting


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