Volume 12│Issue 2│Summer 2021 Carilion Clinic, 1906 Belleview Ave, Roanoke, VA 24014 https://www.insidecarilion.org/hub/nursing -research-evidence-based-practice nursingresearch@carilionclinic.org (540)266 -6216
Reflections on 40 Years of Nursing
Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC Listening to Dr. Kim Carter’s presentation about nursing history in Roanoke1 for the Week of the Nurse made me start thinking about all the changes in nursing since I became a nurse. I graduated from Virginia Baptist Hospital School of Nursing (VBH SON) in Lynchburg on June 21, 1981, making this year my 40th anniversary as a nurse. VBH SON was a hospital-based diploma program. By the time I started my education, VBH SON was being phased out. Lynchburg College (now University of Lynchburg) was starting its BSN program. I was in the next to the last graduating class of VBH SON. Students were not used as staff for the hospital as they had in earlier years. All the students except those who were married lived in the dorm. Our uniforms were light blue dresses with a white pinafore. Our caps were different depending on our year – freshman had plain white caps, juniors had a light blue stripe across the top of the cap, and seniors had a black stripe across the top. Graduates had a small diagonal black stripe on the right side of the cap with a VBH pin. We took anatomy, chemistry, microbiology, sociology, and psychology at Lynchburg College. The school had a bus that we called the Blue Goose that took us to Lynchburg College for the classes there. Our nursing classes included medical-surgical, obstetric, psychiatric, critical care, pediatrics, and leadership. We did not have any classes in nursing research or evidence-based practice. Clinical experience was a huge component of the nursing classes. We received 24 hours of clinical time weekly. Values were instilled in me that have followed me throughout my nursing career – the patient comes first, advocating for your patients, and nurses provide non-judgmental care to everyone. My first job as a new grad was 3 – 11pm charge nurse (!) on a 60 bed skilled care unit at a nursing home. I was responsible for all the treatments on my unit. I was also a relief supervisor, and sometimes the only RN in the building. After a year I went to work 3 – 11p on a 36 bed med-surg unit and have stayed in the med-surg specialty since then. When I first started at the hospital, we practiced functional nursing. One nurse was the charge nurse, one nurse gave medications for the entire unit, and the other nurses and nursing assistants provided patient care. Nothing was computerized. We did not have medication carts or even a MAR. The patient’s name, room number and medication were written on small cards. The med nurse poured all the meds for the unit, put them on a Styrofoam medication tray, and then moved through the unit passing meds. Heaven forbid if you bumped the tray or tripped! The 1980s were a difficult time to be a nurse. There was a nursing shortage, so staffing was challenging. I routinely had 8 patients to care for on the 3 – 11pm shift. After we started working 12- hour shifts, it was not uncommon to have 12 patients on 11pm – 7am or to be the only RN working with LPNs. HIV/AIDS emerged in 1981 just as I was starting my nursing career. Similar to the beginning of the Covid pandemic there was a lot of uncertainty, misinformation, and fear about HIV. Universal precautions started because of the HIV epidemic. Prior to that, we did not wear gloves for procedures like starting IVs. The one constant in nursing over the past 40 years has been change. There is always something new to learn. Technological advances improved patient safety and put information at our fingertips. Nurses continue to rise to the challenge of embracing these changes, adapting to new and uncertain situations, always learning and striving for better patient care. I’m happy to celebrate my nursing anniversary and proud to be a nurse!
~ Cindy 1. You can view Dr. Carter’s presentation “The History of Nursing in the Roanoke Valley: 1880-1920” on Inside Carilion/Departments & Services/Nursing Services/Main page/click the drop down “read more”.
Carilion Clinic Roanoke Campus
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ARTICLES/NOTIFICATIONS 1 Reflections on 40 years of Nursing 3 4
Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC Carilion New River Valley Medical Center awarded ANCC Pathway to Excellence
Article Critique: Training interval in cardiopulmonary resuscitation Brittany Spence, BSN, RN, CEN 6 Prevalence of diabetes distress in adolescents Vanessa Hedge, MSN, CPNP-AC 12 Community Hospital School of Nursing - A lesson of a lifetime Donna Bond, DNP, RN, CCNS, AE-C, CTTS, FCNS
RECOGNITION/EVENTS 16 Recognitions 22 Carilion Shine Awards - Nursing Highlights 24 Carilion Healthcare with a Human Touch Awards 25 Governor’s EMS Award - Dan Freeman 26 2021-2022 Carilion Nursing Research Fellows 27 Week of the Nurse Art & Science of Nursing Showcase Summary/Winners 30 Citations and Additional Recognitions 31 Classes and Events 32 See Where Our Nurses Have Presented Their Work 33 Nursing Research Hub Information
**If you are interested in becoming a member of the Carilion Nursing Research Editorial Board, please email your CV or Resume to Kim Carter (kfcarter@carilionclinic.org) for review!**
Carilion Nursing Research Editorial Board: Kim Carter, PhD, RN, NEA-BC - Editor-in-Chief Deirdre Rea, DNP, RN-BC, PMH-CNS - Co-Editor Reviewers Nancy Altice, DNP, RN, CCNS, ACNS-BC Brandie Bailey, DNP, RN, NEA-BC Desiree Beasley, MSN, RN, CCRN, CCNS Ann Beheler, ADN, RN Sarah Browning, DNP, RN-BC Charles Bullins, DNP, RN, AGACNP-BC Monica Coles, DNP, RN-BC, ACNS -BC Sarah Dooley, MPH, BSN, RN Christine Fish-Huson, PhD, RN, CNE
Donna Goyer, BSN, RN, CPAN, CAPA Cindy W. Hodges, BSHS, RNC, FCN James Ingrassia, MSN, RN Pam Lindsey, MSN, RN Margaret Perry, MSN, RN-BC Laura Reiter, MSN, RN, CCRN, CNRN Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC Vivian Wilson, BSN, RN, CCRP
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®
ANCC Pathway to Excellence CONGRATULATIONS! CARILION NEW RIVER VALLEY MEDICAL CENTER ACHIEVES ANCC PATHWAY TO EXCELLENCE® DESIGNATION!
Nurses operate on the front line of health care, dedicating their working lives to protecting, promoting, and improving health care for all. To do this to the best of their ability they need to operate in an environment that supports their own needs and promotes high standards. The American Nurses Credentialing Center (ANCC) believes every nurse deserves to be working in such an environment. The Pathway to Excellence Program® – the premier designation for healthy work environments – recognizes health care organizations that demonstrate a commitment to establishing the foundation of a healthy workplace for staff.
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Article Critique: Training interval in cardiopulmonary resuscitation Brittany Spence, BSN, RN, CEN - Carilion Roanoke Memorial Hospital Emergency Department
Article Review of: Oermann, M.H., Krusmark, M.A., Kardong-Edgren, S., Jastrzembski, T.S., & Gluck, K.A. (2020). Training interval in cardiopulmonary resuscitation, PLoS ONE, 15(1), e0226786. https://doi.org/10.1371/journal.pone.0226786 Cardiac arrests can occur unexpectedly in any type of setting, and having providers that are competent with Basic Life Support (BLS) is especially important in the healthcare setting. This article describes a research study that compares four different cardiopulmonary resuscitation (CPR) retraining intervals for nursing students for best impact on high quality compressions and ventilations. The study was conducted with first year prelicensure nursing students who were re-certified in the same BLS option by the American Heart Association or the American Red Cross. The study was approved by The Institutional Review Boards (IRBs) from 4 universities, while the remaining schools participated through a collaborative agreement with Duke University. A sample of 475 students from 10 United States schools of nursing were randomly selected for this study. Students were then randomly assigned to different CPR training intervals: 101 nurses were selected for daily training, 116 for weekly training, 108 for monthly training, and 150 for quarterly training. The rationale for these groupings was not described, although this would have been helpful to understand the methodology. Laerdal Resusci Anne QCPR adult manikins were used for CPR training within a Resuscitation Quality Improvement (RQI) mobile simulation station, and outcomes were measured by compression and ventilation quality defined by the RQI program (Oermann et al., 2020). A strength of this study was the use of the same standardized manikin with feedback technology and the same quality scale for each student, ensuring that all feedback obtained was measured consistently. Using a percentage scale of 0-100%, seven scores were obtained for each student: overall compression score, percentage of compressions with adequate depth, rate, release, volume, correct hand placement and overall ventilation score. The data collected from the students in each area were analyzed using the R statistical software. Regardless of the specific training interval, each area showed improvements from the beginning to the end of the study. All of the students were tested in the compression categories with their previous BLS certification, and all students scored under 75% before further training. After the last training session, students in all training increments showed improvements. The combined compression areas of scoring showed a mean improvement ranging from 80.6% - 90%, the most improvement being in those that were trained daily. The combined ventilation areas of scoring showed a mean of 18.4% prior to more frequent training, and the mean improvement percentage ranged from 68.1% - 88.1%, the most improvement also being in those that were trained daily. It was noted that the lowest area of improvement was shown in those that had the least frequent – quarterly - training. An improvement to 80.6% was noted for quarterly trained students in combined compression areas, and an improvement to 68.1% was noted for quarterly trained students in combined ventilation areas. Receiving daily training resulted in the most favorable outcomes in this study, meaning that more frequent practice of CPR showed improved results.
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Conclusions One of the limitations to this study is all participants in this study were nursing students. It could be possible that older, more experienced healthcare workers could yield different findings. Healthcare workers who use BLS skills on a more frequent basis may already be profficient in all of the compression and ventilation areas tested, and healthcare workers who work in other settings may be more comparable to the students in this study. Another limitation highlighted in this article was that of extra training for some students. It was stated that 47 participants were able to experience an extra training session during the time of the study. This was not factored into the overall results of the study. It is possible that those 47 students were more improved than others because of this additional training, which could have altered the results of the study. Although BLS certification renewal is required every two years, based on this study, more frequent training may be needed to assure that the necessary skills can be carried out proficiently. One barrier to such implementation in hospitals and other healthcare settings may be cost and availability. Training staff at significantly more frequent intervals will be costly for companies. This would also mean that more staff time taken from the care of patients would be needed for the additional training, at least for staff in areas with less regular use of BLS skills on a daily basis. Areas such as emergency departments or intensive care units may require less training than ambulatory areas. It is important that BLS skills training frequency be based on the best available evidence. A more complete examination of the literature is warranted to make evidence-based practice decisions. However, this review provides an essential first step for analyzing the evidence and determining need for further study.
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Prevalence of diabetes distress among adolescents
Vanessa Hedge, MSN, CPNP-AC - Radford University/Carilion Pediatric Endocrinology Clinic Introduction Diabetes distress is an "emotional state where people experience feelings such as stress, guilt, or denial that arise from living with diabetes and the burden of self-management" (Kreider, 2017, p. 1). Diabetes distress increases over time, does not go away on its own, and, if left unaddressed, can become chronic (Fisher, Polonsky, & Hessler, 2019, p. 806). Left unchecked, emotions and behaviors may spiral into worsening diabetes self-management and health outcomes (Pallayova & Taheri, 2014). Adolescents with type 1 diabetes mellitus (T1DM) are at increased risk for psychological effects, including diabetes distress, associated with the social and emotional stressors of adolescence and constant demands of chronic disease management. Evaluation of impacts of disease management, including diabetes distress, are often not addressed during routine endocrinology visits. The prevalence of diabetes distress among adolescents with T1DM is, therefore, currently unknown. This study identified the prevalence of diabetes distress among adolescents with T1DM managed at the Carilion Clinic Pediatric Endocrinology Clinic. Background Managing T1DM in adolescents is challenging and multifaceted for patients, caregivers, and the healthcare team. Developmentally, adolescents are in a transitional stage, attempting to gain more independence and less reliance on parents. Trying to keep up with the demands of daily diabetes management mixed with developmental concerns and everyday life often leads to diabetes distress (Iturralde, Weissberg-Benchell, & Hood, 2017). A systematic review revealed that, like adult studies, many adolescents report diabetes distress, with nearly one-third indicating significant distress levels (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016, p. 10). A few studies revealed that females tend to have avoidant coping styles leading to higher diabetes-related distress scores than males, while others revealed no significant differences (Iturralde et al., 2017; Hagger et al., 2016). Also, adolescents aged 14 to 18 years of age reported higher levels of diabetes-related distress than younger counterparts, placing this group at increased risk (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016, p. 9). Experts recommend that diabetes distress evaluation be considered even among those not experiencing significant signs of distress (Fisher, Polonsky, & Hessler, 2019). Unfortunately, there are limited self-rating scales addressing diabetes distress in the adolescent population, with mixed results (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016). Tools supported by the Behavioral Diabetes Institute (BDI) offer various scales for evaluating diabetes distress in type 1 and type 2 diabetes, yet few target adolescents (BDI, n.d.). The Diabetes Distress Scale (DDS) is a helpful scale for evaluating the level of overall diabetes distress and additional factors associated with diabetes management in adults with type 2 diabetes (Fisher, Polonsky, & Hessler, 2019). The DDS provides a consistent and generalizable factor structure along with good internal reliability (α > 0.87) and criterion (instrument) validity with the Center for Epidemiological Studies Depression Scale across several studies using adults (Polonsky et al., 2005, p. 630).). The DDS measures a baseline of total diabetes distress and four subscales to categorize specific concerns: 1) Emotional burden reflecting the level of diabetes distress such as feeling overwhelmed, frightened, or fearful about the management of diabetes over time 2) Regime distress reflecting the level of diabetes distress related day to day management, including meal planning and exercise
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3) Interpersonal distress reflecting the level of diabetes distress related to support for their diabetes from family and friends 4) Physician distress reflecting the level of diabetes distress related to health care and obtaining enough expertise, support, and direction from their healthcare provider A systematic review of studies targeting adolescents using scales other than the DDS revealed reports of diabetes distress (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016). However, Hagger et al., question the validity of those scales as cut-offs for the scores are based on adult measures. With limited data available for scales aimed for use with children and adolescents, the DDS is the best available option due to its internal reliability and validity in several adult studies and survey questions adaptable to adolescents (Polonsky et al., 2005). Methods This descriptive research study used the DDS (with permission) to determine the prevalence of diabetes distress among adolescents with T1DM at the Carilion Clinic Pediatric Endocrinology Clinic, which serves children and adolescents within a 150-mile radius of Roanoke, VA. The Carilion Clinic Institutional Review Board (IRB) approved this study. There are an estimated 350 patients with T1DM receiving care from the clinic. Study information flyers were displayed in the waiting areas and exam rooms to recruit participants. Clinicians within the practice also discussed eligibility with patients during routine office visits. Participants received study information in-person or via telephone consent, including study purpose and overview, procedure, the required time for participation, and participant eligibility. The inclusion criteria included English-speaking teenagers ages 13 through 17 with a diagnosis of T1DM and Internet access for survey completion. Carilion Clinic's REDCap software was used for secure data storage. Participants were invited by email to complete the survey using individualized links to the surveys in REDCap. Reminder emails were automatically generated for non-responders through REDCap during the second week and before the end of the study at eight weeks. Those choosing to participate self-ranked their perception of diabetes distress over the previous two months using the DDS. The DDS includes a 17-item Likert-type scale from one to six, with one indicating no distress and six showing significant distress. Mean scores were determined for total distress and the four subscales. Scores ranged from minimal (<2.0), moderate (2.0-2.9), to significant (>3.0) risk. Additional variables included gender, age, type of insulin (i.e., insulin pump vs. injections), and glucose monitoring type (i.e., glucometer vs. continuous glucose monitor). Additional data analyses involved frequencies, measures of central tendency and variation, and t-tests. Due to small sample size, a Bonferroni correction was used to adjust the p-value to 0.0125 for statistical significance with two-sided tests when appropriate. Following the survey, participants received an email link if they desired to complete the DDS online, review their scores, and discuss results with their diabetes providers. Participants scoring high levels of distress were encouraged to seek psychological services for further evaluation and treatment. If high scores resulted in critical concerns for participants' immediate health and safety, the researcher encouraged an immediate intervention. Results/Discussion This study estimated the prevalence of diabetes distress and demographics among adolescents receiving care in Carilion Clinic Pediatric Endocrinology Clinic. A total of 41 survey invitations were emailed to participants verbally expressing interest, with 28 participants responding (66%). Participants’ overall mean level of diabetes distress was in the moderate range (m=2.409; SD=0.853). Of the participants, 39% reported minimal diabetes distress, 36% reported moderate
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distress, and 25% reported significant levels of diabetes distress. Combined results of moderate and significant diabetes distress among all participants included an overwhelming 61%. These findings suggest that most adolescents with T1DM seeking care at Carilion Clinic Pediatric Endocrinology Clinic may have diabetes distress that warrants further evaluation and assistance to improve future health outcomes. The participants' age distribution was divided into groups: Group A (13 through 15 years) and Group B (16 through 17 years). Among participants in Group A, the mean diabetes distress level was 2.04 (SD = 0.76) and Group B of 2.84 (SD = 0.77). There was evidence to suggest a significant difference in mean overall distress for age categories (p = 0.01), with older adolescents reporting higher levels of distress. Also, there was evidence to suggest a significant difference in the mean level of emotional distress among age groups (p = 0.01) (Group A m = 2.55, SD= 1.27; Group B m=3.98, SD= 1.28). These subcategory results indicated that among adolescents completing the survey study, older teens reported not only a higher degree of total diabetes distress but significant emotional distress as well. Participants were primarily female (n= 20, 71.43%) with only eight males (28.57%). The mean diabetes distress levels were higher among females (m=2.62, SD= 0.86) than males (m=1.87, SD=0.58) yet insignificant with the Bonferroni Correction (p = 0.0332). There was a significant difference in gender related to level of interpersonal distress (females: m = 2.95, SD= 0.64; males m= 1.58, SD= 0.64; p = 0.0029). Females reported an increased difficulty regarding interpersonal relationships compared with males, consistent with a Lithuanian-Swiss study that demonstrated increased diabetes distress among adolescent T1DM females (Lasaite et al., 2016). In Sweden, more than half of female respondents ages 15 through 18 years indicated moderate to significant levels of diabetes distress (Forsander, Bogeland, Haas, & Samuelsson, 2016, p. 651). The reason for increased distress reported among females is not well understood, which questions whether results are an actual increase or a result of different coping styles among genders (Morrissey, Casey, Dinneen, Lowry, & Byrne, 2020). This study supported prior studies revealing diabetes distress differences among adolescents with T1DM relative to age. Older adolescents ages 16 through 17 years reported higher levels of diabetes distress than their younger counterparts. Adolescents have increased pressure to feel "normal" and struggle with gaining independence in preparing for early adulthood. Although it is unclear as to the cause of increased distress among older adolescents in this study, the stage of development may be a contributing factor. The limited studies suggest that older adolescents and those entering early adulthood reported higher distress than younger individuals (Lasaite et al., 2016). The interpersonal distress subscale revealed the highest mean score (m= 2.916, SD = 0.406), in the moderate range. More work is needed to understand interpersonal relationship distress. Common problems during adolescence include feeling less heard while attempting to gain independence from parents. Responses regarding interpersonal relationships included feeling that family and friends were unsupportive and didn't appreciate how difficult living with diabetes can be. This is consistent with other studies, where adolescents reported higher levels of diabetes distress when they perceived reduced support from family members (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016). Overall emotional burden among all participants completing the study was also considered moderate (m = 2.543) and was the second highest area of concern. Participants reported feeling that diabetes takes up too much mental and physical energy and being overwhelmed with feeling diabetes controls their lives. These findings support prior studies with overall levels of diabetes distress among adolescents with T1DM in moderate to significant ranges (Hagger, et al., 2017;
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Lasaite, et al., 2016). These results indicated that adolescents receiving care in the Carilion Clinic Pediatric Endocrinology Clinic are at risk for ineffective coping mechanisms leading to suboptimal diabetes management due to increased emotional burden related to diabetes management. The third-highest scoring subscale involved regime-related distress. The biggest concern involved feelings of low confidence in maintaining day-to-day diabetes self-management. Adolescents also reported not feeling motivated to keep up with diabetes self-management. Prior studies suggested that diabetes distress reduction isn't always reflected as improved self-management behaviors or glycemic control, as diabetes distress alone may be a barrier for motivation (Fisher, Polonsky, & Hessler, 2019, p. 807). This finding supports the need to identify underlying levels of diabetes distress and barriers to diabetes management in reducing distress for improving outcomes. Respondents indicated minimal distress regarding physician-related distress. Interestingly, the biggest concern reported within this subscale involved feeling that their physician didn't provide clear enough directions on managing their diabetes. This finding indicates the need for providers to engage adolescents in the care plan and ensure that realistic goals are established and communicated. In addition, evidence in the limited adolescent studies suggests this population feels that talking to their providers about diabetes distress is impactful and should be incorporated into routine care (Morrissey, Casey, Dinneen, Lowry, & Byrne, 2020, p. p537). Conclusion Management of T1DM involves complex and regimented care to reduce the development of associated complications. Complications associated with poorly controlled diabetes include both physical and psychological problems, many of which are preventable. Diabetes distress is an often-overlooked psychological complication linked with poor self-care behaviors, and when prolonged, can lead to irreversible physical complications, including vision and kidney damage (Holt, de Groot, & Golden, 2014). Adolescents are at increased risk for depression, even without underlying chronic medical conditions such as diabetes (Virginia Department of Health [VDH], 2017-2018). The ADA guidelines for diabetes management recommend screening for diabetes distress “at diagnosis and during routine follow-up care, (to) assess psychosocial issues and family stresses that could impact diabetes management and provide appropriate referrals to trained mental health professionals, preferable experienced in childhood diabetes” (ADA, 2020, Recommendation 13.9). Despite recommendations and efforts for improved diabetes management, diabetes-related complications still occur due to limited resources, time, or clinician confidence in addressing diabetes distress during routine office visits (Pallayova & Taheri, 2014). Evidencebased management of the disease is challenging, particularly in vulnerable populations such as adolescents. Therefore, incorporating the evaluation of barriers into diabetes management, leading to diabetes distress, allows clinicians to meet recommended guidelines of evidence-based care. Before interventions at reducing diabetes distress can be achieved, the prevalence of underlying diabetes distress among adolescents must first be identified.
This study provides valuable information regarding the prevalence of diabetes distress among adolescents with T1DM receiving care at the Carilion Clinic Pediatric Endocrinology Clinic. Evaluation and screening of diabetes distress among patients with T1DM is not included during routine endocrinology visits. Findings revealed that 61% of adolescents reported moderate to significant diabetes distress, which may lead to long-term complications and worsening health outcomes. The DDS is a promising tool in identifying diabetes distress concerns among adolescents, supported by previous studies. Through routine evaluation of diabetes distress, efforts at reducing distress can be made, leading to long-term outcomes of improved HbA1c and health outcomes and reduced diabetic ketoacidosis (DKA) hospitalization rates medical costs. Based on this study's Continued on next page
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66% response rate, an online survey is effective for reaching the adolescent population and may be preferable to face-to-face interaction (Hagger, Hendrieckx, Sturt, Skinner, & Speight, 2016). More research with a larger sample size is needed to determine whether a change in practice addressing diabetes distress is warranted for the Carilion Clinic Pediatric Endocrinology Clinic. References American Diabetes Association. (2020). Children and adolescents: Standards in medical care in diabetes. Diabetes Care, 43, s163–s182. https://doi.org/doi:2337/dc20S013 Behavioral Diabetes Institute. (n.d.). Scales and measures. Retrieved April 9, 2021, from https//www.behavioraldiabetes.org/scales-and-measures/ Diabetes Distress Scale. (2005). (measurement scale) [Apparatus]. Fisher, L., Polonsky, W. H., & Hessler, D. (2019). Addressing diabetes distress in clinical care: A practical guide. Diabetic Medicine, 36, 803–812. https://doi.org/10.1111/dme.13967 Forsander, G., Bogeland, M., Haas, J., & Samuelsson, U. (2016, December 22). Adolescent life with diabetes - Gender matters for level of distress. Experiences from the national TODS study. Pediatric Diabetes, 18(7), 651–659. https://doi.org/10.1111/pedi.12478 Hagger, V., Hendrieckx, C., Cameron, F., Pouwer, F., Skinner, T. C., & Speight, J. (2017). Diabetes distress is more strongly associated with HbA1C than depressive symptoms in adolescents with type 1 diabetes: Results from Diabetes MILES Youth Australia. Pediatric Diabetes, 19, 840–847. https://doi.org/10.1111/pedi.12641 Hagger, V., Hendrieckx, C., Sturt, J., Skinner, T. C., & Speight, J. (2016). Diabetes distress among adolescents with type 1 diabetes: A systematic review. Current Diabetes Reports, 16(9), 1–14. https://doi.org/10.1007/s11892-015-0694-2 Holt, R. G., de Groot, M., & Golden, S. H. (2014). Diabetes and depression. Current Diabetes Reports, 14, 1–17. https://doi.org/doi:10.1007/s11892-014-0491-3 Iturralde, E., Weissberg-Benchell, J., & Hood, K. K. (2017). Avoidant coping and diabetes related distress: Pathways to adolescents' type 1 diabetes outcomes. Health Psychology, 36(3), 236–244. https://doi.org/https://dx.doi.org/10.1037/hea0000445 Kreider, K. E. (2017). Diabetes distress or major depressive disorder? A practical approach to diagnosing and treating psychological comorbidities of diabetes. Diabetes Therapy, 8, 1–7. https://doi.org/doi.10.1007/s13300-017-0231-1 Lasaite, L., Dobrovolskiene, R., Danyte, E., Stankute, I., Raizanskaite-Virbickiene, D., Schwitzbegel, V., Marcuilionyte, D., & Verkauskiene, R. (2016). Diabetes distress in males and females with type 1 diabetes in adolescence and early adulthood. Journal of Diabetes and Its Complications, 30, 1500–1505. https://doi.org/10.1016/j.jdiacomp.2016.08.013 Morrissey, E. C., Casey, B., Dinneen, S. F., Lowry, M., & Byrne, M. (2020, March 14). Diabetes distress in adolescents and young adults living with type 1 diabetes. Canadian
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Journal of Diabetes, 44, P537–540. https://doi.org/10.1016/j.jcjd.2020.03.001 Pallayova, M., & Taheri, S. (2014). Targeting diabetes distress: The missing piece of the successful type 1 diabetes management puzzle. Diabetes Spectrum, 27(2), 143–149. https://doi.org/10.2337/diaspec.27.2.143 Polonsky, W. H., Fisher, L., Earles, J., Dudl, J., Lees, J., Mullan, J., & Jackson, R. A. (2005). Assessing psychosocial distress in diabetes. Diabetes Care, 28(3), 626–631. https://doi.org/doi.org/10.2337/diacare.28.3.626 Virginia Department of Health. (2017-2018). Diabetes Burden Report in Virginia [Statistical Report]. vdh.virginia.gov/content/uploads/sites/75/2016/12/Diabetes-Burden Report.pdf
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Community Hospital School of Nursing - A lesson of a lifetime Donna Bond, DNP, RN, CCNS, AE-C, CTTS, FCNS (Class of 1981)
Community Hospital of the Roanoke Valley School of Professional Nursing (CHRV SON) was in existence less than 20 years but graduated 428 students eligible to take nursing boards. The school was established in 1965 with students from Jefferson Hospital School of Nursing and Lewis-Gale Hospital School of Nursing after the respective schools chose to consolidate when the hospitals planned to close. According to a history written by Donna Mathews in 1967, the administration at Jefferson Hospital and Lewis-Gale Hospital made the decision in November of 1959 to consolidate the services of the two hospitals to form Community Hospital of the Roanoke Valley (CHRV). The target date of completion was the fall of 1965. As part of the consolidation the two nursing schools were combined. Later, possibly because of construction delays and courting by the then city of Salem, Lewis-Gale joined the Healthcare Corporation of America (HCA) in 1968 and began construction of their hospital in Salem, completed in 1972. The new Lewis Gale hospital did not have an associated nursing school. The newly formed CHRV School of Nursing graduated the first class of nurses in 1968. The diploma nursing program was 33 months in length, which included college classes at Roanoke College in Anatomy and Physiology, Chemistry, and Microbiology. All other classes were in the Carlton Terrace building located on Jefferson street. The nurses lived on the eighth through tenth floors with classes held on the seventh floor. The curriculum changed in 1967 from the approach that student nurses were treated as staff, which was typical of diploma nursing schools at the time, to students being treated as learners. The first year was comprised of basic nursing classes and academic classes. The first summer the students started clinical rotations. For psychiatric experiences the students would rotate through Catawba and Western State Hospital, where they also lived, and later at the Veteran’s Administration Medical Center and Lewis-Gale Psychiatric Center. After 1966 their medical, surgical, pediatrics and mother-baby rotations were all at Community Hospital of the Roanoke Valley (CHRV).
Being a new school there were several “firsts” for the students.1969 was the first class to spend all three years at the Carlton Terrace dorm. The first male student was Richard Cowling who graduated in 1969. The first class to spend all three years of nursing clinicals at CHRV was the class of 1971. Linda Gardner (Class of 1967) was married in the chapel of the then uncompleted CHRV. During the 1960’s and early 1970’s, students who wanted to marry had to ask permission of the school administration. If a student became pregnant, she had to leave the program. In 1969 a set of twins graduated, Brenda and Linda Dickinson. According to Brenda, the administration was fearful of admitting both sisters to the program in case one would excel, the other not, and cause family problems. Both sisters graduated in 1969. Along with the marriage and pregnancy rules, the diploma program also retained more traditional practices that were not in tune with the general college age students. Until the 1980’s if the student walked towards downtown, they were required to wear a dress. This included anytime they went to the hospital cafeteria for meals. There was a 10-minute limit on phone calls (from a pay phone). Lights out occurred at 11 pm nightly, students were required to sign in and out of the dorm, and no men were allowed in the dorm until the mid-80’s, except for a few hours on Saturday and Sunday. Male students lived on a separate floor. When a male did visit, including fellow students, brothers, fathers, or dates, the door had to remain open 12 inches. House mothers were on duty around the clock to enforce dorm rules. Several traditions identified as unique to diploma nursing schools continued at CHRV SON. Three items identified the CHRV nursing students from other nursing schools - their uniform, pin, and cap. The first Nursing Director of CHRV SON was from Lewis Gale School of Nursing. To avoid favoritism from Jefferson or Lewis-Gale students, new uniforms, pins and caps were developed by a committee formed from both schools. A pale yellow one-piece dress was chosen for the uniforms. The school administration made the decision to not require an apron over the uniform. Pant uniforms were first allowed in 1980. The school pin was circular in design with the words “Community Hospital of the Roanoke Valley School of Nursing inscribed around the circle. A cut-out of the state of Virginia was in the center of the pin. A star representing Roanoke was added to the southwest part of the state cut-out. The colors were blue and gold
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adopted from the merging schools. The Nightingale Pledge was recited at the time the students received their cap at the completion of the first year of study, prior to clinicals. The cap originally was a flat nine-inch square that was brought together to form a triangle in the front. Each corner represented the merging school while the center represented the coming together of the schools to form CHRV SON. The class of 1967 was the first class to wear the new cap. When the members of the class of 1967 became alumni, they contacted the school’s educational director and requested to redesign the cap with input from the current students. The cap they designed remained in use until the school converted over to an associate degree program. The cap retained the three points, but the point of the cap was in the back, a wide brim, and the initials CHRV were added to the side. The official debut was May 24, 1968 at graduation. The CHRV diploma school maintained many fun traditions of the founding schools of nursing. Upper class students were paired with freshman as a big sister (brother)/little sister (brother), softball and basketball teams played the rival across town - Roanoke Memorial School of Nursing. There were cheerleaders, choirs, newspaper staff, annual staff, a fellowship club and a chapter of the Student Nurses Association. In 1965 the National League of Nursing (NLN) and the American Nurses Association (ANA) released guidelines recommending baccalaureate education for beginning nursing practice. Beside setting off fireworks in nursing education, the recommendations led to the eventual closing of most diploma nursing programs. In the early 1960’s, 75% of nursing schools were diploma programs. In 1984 the number had decreased to 18%. Now there are less than 100 diploma nursing programs in the United States representing less than 4% of nursing schools. CHRV SON followed this trend. The last class of diploma graduates received their pins in 1984. The school became the Community Hospital College of Health Sciences offering an Associate Degree in Nursing, later to become Jefferson College of Health Sciences, with a baccalaureate degree. So why are these memories important? CHRV SON, like most diploma programs, is gone. The classrooms and dorm are now an empty lot on Jefferson Street. The guidance provided by instructors fortyeight weeks a year for three years are gone. The friendships and relationships that could only develop by living together, studying together, eating together, playing together, and going through three years of life as a young person cannot be duplicated in other programs. The traditions of a diploma nursing program capping, pinning, care plans, intense clinicals covering all shifts, white shoes and hose - other nursing students may never experience. It was a world all in its own and like no other college experience. While I have grown and learned, the foundation of my adulthood was formed in those 33 months of nursing school, and that should never be forgotten. This article was written from personal recollections of former students, a historical perspective of Community Hospital of the Roanoke Valley and Community Hospital of the Roanoke Valley School of nursing written by Donna Mathews, RN, Assistant Educational Director in September 1967, CHRV SON annuals (COHOROVA), History of Healthcare in the Roanoke and New River Valleys Volume III (published May 1, 2012 https://issuu.com/ourhealthvirginia/docs/rnrv_historyiii2013) and information obtained from the O. Winston Link Museum (History Museum of Western Virginia, Jefferson Hospital) archives.
Thank you to Linda McManaway Gardner (Class of 1968), Brenda Dickenson Rechtman (Class of 1969, Cindy White Hodges (Class of 1984), Shirley Hoback Overstreet (Class of 1976), Beth Wiley Elkins (Class of 1977), Debbie Carr Meacham (Class of 1983), Sherrie Andrew (Class of 1977), Clement Brock (Class of 1978), Terrie Dickenson Goins (Class of 1977, and Kathy Robertson (Class of 1975), for their shared memories.
For a glimpse of the memories Donna evokes in her article, turn the page for some historical pictures!
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“The newly formed CHRV School of Nursing graduated the first class of nurses in 1968. The diploma nursing program was 33 months in length, which included college classes at Roanoke College in Anatomy and Physiology, Chemistry,” and Microbiology. All other classes were in the Carlton Terrace building located on Jefferson street. The nurses lived on the eighth through tenth floors with classes held on the seventh floor. “ CHRV SON pin
~ Donna Bond, Class of 1981
CHRV SON cap, lamp, diploma, and pin 1981
“It was a world all in its own and like no other college experience. While I have grown and learned, the foundation of my adulthood was formed in those 33 months of nursing school and that should never be forgotten. “ ~ Donna Bond Class of 1981
Carlton Terrace Building - Home of CHRV SON and dorm
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First male graduate of CHRV SON 1969
Practical Applications of Nursing Inquiry
1st wedding in CHRV chapel before opening of hospital 1976 - Linda and Hartford Gardner
“Being a new school there were several “firsts” for the students. 1969 was the first class to spend all three years at the Carlton Terrace dorm. The first male student was Richard Cowling who graduated in 1969. The first class to spend all three years of nursing clinicals at CHRV was the class of 1971. Linda Gardner (Class of 1967) was married in the chapel of the then uncompleted CHRV. During the 1960’s and early 1970’s, students who wanted to marry had to ask permission of the school administration.” “The cap originally was a flat nine-inch square that was brought together to form a triangle in the front. Each corner represented the merging school while the center represented the coming together of the schools to form CHRV SON. The class of 1967 was the first class to wear the new cap. “ ~ Donna Bond, Class of 1981
First CHRV SON cap 1967
CHRV SON cap 1968-1984
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Commitment! Ellen Harvey, DNP, RN, ACNS-BC, CCRN, TCRN, FCCM Carilion Roanoke Memorial Hospital - Trauma Services Society of Critical Care Medicine Presidential Citation 2020 Ellen was selected as one of the recipients of the Presidential Citation for her extraordinary contributions of time, energy, and resouces to the Society of Critical Care Medicine (SCCM) during 2020. The Society established the Presidential Citation Award in 1995 to honor SCCM members who have made outstanding contirbutions to the organization.
Curiosity! Leigh Anne Nordt, BSN, RN Carilion Roanoke Memorial Hospital - Case Management Innovation While Responding to the Pandemic! Leigh Anne saw an unmet need to improve safety procedures to address unintended administration of medication through IV lines. Using her duties as a nurse as a springboard, Leigh Anne designed a device that will act as an additional layer of protection combined with current safety procedures. Her efforts will prevent unintentional drug administration accidents. She is collaborating with Virginia Tech on prototype development. More than 70 inventions have been presented to Carilion Clinic Innovation (CCI) to prototype, test and determine if they can improve our work, be licensed to an industry partner or be spun off as a private entity.
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Compassion & Commitment! Sandy Sayre, DNP, RN, ACNS-BC, CCRN, TCRN, FCCM Nursing Senior Director, CVI Surgery Carilion Shine Awards Presidents Award President and CEO, Nancy Agee, awarded Sandy Sayre the Presidents Award at the 2021 Carilion Shine Awards. Nancy celebrated Sandy for her 31 year career as a professional nurse and her dedication to patients and colleagues. The Carilion CEO recognized Sandy’s committment to the community for her goal of obtaining her nurse practitioner’s degree in order to be able to develop a free clinic for the homeless at the Roanoke Rescue Mission.
Commitment! DeEtta Ray, DNP Carilion Clnic Cardiology - New River Valley Carilion Shine Awards Provider Excellence Award - Award for Advanced Clinical Practitioners Dr. Patrice Weiss, Carilion Chief Medical Officer awarded DeEtta Ray the Provider Excellence award for exemplifying excellence to patients, families, staff and providers. DeEtta has been an advanced care practitioner for 24 years and initiated the CNRV Heart Failure Program and the on-site pharmacy for outpatient visits. Her leadership and innovation impact many in the New River Valley.
See additional Shine Awards on pages 22-23
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Curiosity! Cheryl Bennett, MSN, RN, CNOR, Karen Kline, BSN, RN, CNOR, Cathy Jennings, DNP, RN, ACNS-BC, Kim Carter, PhD, RN, NEA-BC, Ellen Lockhart, Mariana Salamoun. Carilion Vascular OR - 2017 Carilion Nursing Research Fellowship - Health Analytics Research Carilion Shine Awards - 2021 Quality Awards Pioneer Award This 2017 Nursing Research Fellowship Team was awarded the Pioneer Award, which is an award for projects that have a smaller, focused scope.The project was titled, Enhanced Communication to Reduce Intraoperative Surgical Site Antibiotics for Vascular Surgery Patients. Reducing unnecessary antibiotics prior to surgery allowed for lowered costs for both patients and Carilion.This measure comes after 2 years of research.
Courage! Ghislaine Cady, BSN, RN, Karrie Moses, MSN, RN, NE-BC, Lisa Osborne, BSN, RN, Ross Cleaveland, MBA, Jane Colwell, MSN, RN, Patrick Randolph, BS, ASRC Carilion Pediatrics Carilion Shine Awards - 2021 Quality Awards Enterprise Award The Enterprise Award recognizes cross disciplinary team projects with a larger scope. The Carilion Children’s team project was titled Journey Towards Zero Harm. The team recognized a need to restructure the quality program to shift from a reactive to proactive approach. They increased weekly quality huddles, benchmarked with other children’s hospitals across the country and have adopted a just culture approach by awarding event reporting.
See additional Shine Awards on pages 22-23
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Commitment! Michelle Franklin, MSN, RN, Niki Hale, BSN, RN, Karrie Moses, MSN, RN, NE-BC, Claudia Newton, MSN, RN, Dr. Lisa Andruscavage, Dr. Hirenkumar Patel Carilion Women’s Services/Carilion Pediatric Services Carilion Shine Awards - 2021 Hold the Gains Award Hold-the Gains Award is given to a team that maintains improvement efforts on a project previously submitted for quality awards.The title of the winning project is HUGS (Helping us Grow Strong) Nursery: A New Approach to Treating NAS.The HUGS model was established in 2018, opening a nursery to support minimal pharmacological treatment for infants showing symptoms of withdrawal due to prenatal drug exposure.The outcomes of this project reduced length of treatment from 90 days to 7.6 days in 2019 and just 5.8 days in 2020. This is a testament to the committment of providing the best care possible for our patients. (l-r: Karrie Moses, Michelle Franklin, Niki Hale, Claudia Newton)
See additional Shine Awards on pages 22-23
Compassion! Brooke Hickman, BSN, RN, CMSRN CRMH 11 West—Unit Director Arnold P. Gold Champions of Humanistic Care Award Brooke has been selected as one of the three VTC/Carilion Clinic recipients of an Arnold P. Gold Champions of Humanistic Care. The three honorees will receive a certificate from the Gold Foundation and will be celebrated at their Annual Gala on June 10, 2021. The names of the 3 recipients will also be listed on their website and in their digital gala program.The Gold foundation champions humanism in healthcare, which they define as compassionate, collaborative, and scientifically excellent care.
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Collaboration! Carilion Roanoke Memorial Hospital 10M PCU 2021 Sustainability Hero Awards Winner Pulse Oximeter Waste Reduction - Gold Winner 10 MPCU led a project to improve sustainability and cost savings through a pulse oximetry related product change. It was identified that pulse oximetry probes were the most expensive item in the unit’s nonbillable supply budget. Unit leadership met with a product representative, and the group identified inefficiency and waste resulting from the current process of replacing the probe whenever the probe came off the patient or it was soiled. Replacement Adhesive Tape was proposed as the solution. Implementation of the tape has saved an average of $1,711/month. In Novemeber alone, the unit reduced the number of probes they utilized by 62%, diverting an average of 6.83 lbs of waste per month.
Collaboration! Carilion Roanoke Memorial Hospital Endoscopy Department (RNs) 2021 Sustainability Hero Awards Winner Recycling Waste Reduction, Cost Savings and More Bronze Winner This team is dedicated to sustainability and has various programs in place to reduce waste and costs. These include recycling, donating soft plastics to local organizations to be recycled for park benches, educating staff on what can be recycled (specifically things you may not typically think of), energy conservation efforts, adjusting linen, food supply, and instrument supply par levels to reduce unnecessary overstocking, labeling of procedural instruments that may be commonly mistaken for other instruments to prevent accidentally opening (and then wasting) the wrong item, using washcloths instead of disposable wipes, reprocessing pulse oximeters, emailing work schedules to staff to prevent multiple printouts, using reusable monogrammed mugs provided by the director to avoid use of disposable cups, draining IV fluid bags to decrease the weight and volume of trash, wearing reusable cloth bonnets instead of disposable ones, and ongoing research for additional ways to be more sustainable.
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Commitment! Mary Dillon, RN Carilion Roanoke Memorial Hospital PICU 2021 Sustainability Hero Indiviual Award Winner Soft Plastics Recycling - Platinum Winner Mary began a soft-plastics recycling program on Peds and PICU in May of 2017. She is close to a total of 1,500 lbs of plastic that she has diverted from the landfill and recycled. She collects the plastic, weighs it, and takes it to the local retailers for recycling. Not only does this work to help keep plastics out of our landfills but also reduces costs by avoided waste disposal fees. Her passion has inspired many others to participate in this community project.
Collaboration! 2021 Sustainability Hero Awards - Honorable Mention CRMH 10 West Nonbillable Supply Cost and Waste Reduction, Soft-Plastic Recycling CRMH 9M ICU Nonbillable Supply Cost and Waste Reduction CRMH 4 West Reprocessing of Single-Use Medical Devices Sandra Hammock, LPN Southest Family Medicine Smoking Education Board
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Additional Carilion Shine Awards! Nursing Highlights Pioneer Award Award Finalist - Decreasing the Impact of Potential COVID Exposure in the Radiology Department Through Documentation. Nurse Team Member - Donna Read, RN - CRMH Radiology Department (picture not available)
Enterprise Award
Award Finalist - A Big Fish to Fry: Casting a Collaborative Net to Capture Potential Revenue. Nurse Team Member - Desiree Beasley, MSN, RN, CCRN, CCNS - Nursing Administration, Carilion New River Valley Medical Center
Excellence in Advancing Care Delivery Award
Award Finalist - Making Meaningful Connections: Implementation of a Virtual Communication Tool in the NICU. Nurse Team Members - Lisa Barrera, ADN, RN, BSW, Ghislaine Cady, BSN, RN, Karrie Moses, MSN, RN, NE-BC, Kim Ramsey, MSN, RNCNIC, ACCNS-N, Tiara Smolinski, BSN, RN - CRMH NICU/Intermediate Nursery/ Pediatric Services.
(Ghislaine Cady)
(Karrie Moses)
Hold the Gains Award
(Kim Ramsey)
(Tiara Smolinski)
(Lisa Barrera)
Award Finalist - Meds to Beds. Nurse Team Member - Kathryn Booth, MSN, RN
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Values Awards Collaboration:
Award Winner - ED Bridge to Treatment. Nurse Team Member: Deirdra Rea, MSN, RN, PMH-BC - Connect Director
Compassion:
Award Winner - COVID-19 Unit. Nurse Team Members - CRMH 8M ICU nursing staff
Commitment:
Award Winner - COVID-19 Community Hotline: An Evolution. Nursing Team Members Sarah Frazier, BSN, RN, Alison Benson, RN, Megan Huff, ASN, BASc, Deana King, BSN, RN, Sarah Kinsley, RN, Carla Markham, MSN, RN - Carilion Nursing Research, Carilion Internal Medicine, Carilion Clinic Medical Home, Carilion Plastic Reconstructive Surgery
(Sarah
(Alison Benson)
Frazier)
(Megan Huff)
(Deana King)
(Sarah Kinsley)
(Carla Markham)
Courage:
Award Winner - Patient Surgery without Lights. Nursing Team Members - Patricia (Trish) Gaither, ADN, RN, Melinda Bailey, Clinical Associate - CRMH 10S Oncology
Curiosity:
Award Winner - The Impact of the Influenza Vaccine on the Orthopedic Surgical Patient. Nurse Team Members - Ellen Dalton-Ward, MSN, RN, WCC, Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC, Kim Carter, PhD, RN, NEA-BC - Carilion Orthopaedics/Nursing Research/Nursing Quality & Safety
(Ellen Dalton-Ward)
(Cindy Ward)
(Kim Carter)
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The Governor’s EMS Award for Nurse with Outstanding Contributions to EMS
(WDBJ) By Eddie Callahan Published: Mar 20, 2021 (WDBJ) - A hometown healthcare hero was honored with a 2009 Governor’s Emergency Medical Services (EMS) Award on Saturday during a virtual presentation. Daniel Freeman, MSN, RN, Carilion Clinic earned “The Governor’s EMS Award for Nurse with Outstanding Contribution to EMS.” Dan Freeman
The honors recognize outstanding EMS providers and organizations throughout the state for their demonstrated level of excellence and dedication to the EMS system. “Congratulations to all the award winners and my sincere thanks to all the EMS providers in the Commonwealth,” added M. Norman Oliver, M.D., M.A., State Health Commissioner. “Your efforts, whether on a routine call for chest pain or in response to multi-vehichle crash requiring heroic lifesaving measures, are appreciated by families everywhere. During this pandemic, many of you have stepped in to help administer vaccines, further evidence of your dedication to your communities. You are truly Virginia’s heroes.”
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Our fellowship teams are hard at work on their studies! These exciting studies will be developed and disseminated over 1 full year of classes and events. Keep your eyes open for their presentations when their studies are completed in 2021 and 2022!
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March 2021 - June 2021 (& past presentations not noted prior to this edition) Bond, D. April 13, 2021. Counting Respiratory and Heart Rates Using New Technology. Carilion Research Day, Virtual Event. Ward, C. April 13, 2021. Impact of the Influenza Vaccination on the Orthopedic Patient. Carilion Research Day, Virtual Event.
Whitehead, P. April 13, 2021. Longitudnal StudyImpact of Schwartz Center Rounds on Moral Distress. Carilion Research Day, Virtual Event. Crandell, I., Rockwell, M., Whitehead, P., Carter, K., Hanlon, A. Examination of the Moderating Effect of Race on the Relationship between Vitamin D Status and COVID-19 Test Positivity using Propensity Score Methods. Carilion Research Day, Virtual Event.
Phillips, J. March 11-12, 2021. Palliative Care PRN Medication Assessment & Reassessment. 2021 Odyssey Critical Care Virtual Conference: Educating the Acute & Critical Care Nurse. Harvey, N., Sharp, H., Miley, L., Mitchell, T., Weisz, V., Carter, K. April 13, 2021. Stretching Beyond Conventional Treatment for Inpatients with Substance Use Disorders. Carilion Research Day, Virtual Event. Ward, C., Mitchell, T. April 13, 2021. Nursing Burnout with Substance Use Disorder Inpatients: A New Hope. Carilion Research Day, Virtual Event. Whitehead, P., Swope, M., Carter, K. April 13, 2021. Impact of Team-based, Interprofessional Clinical Ethics Immersion on Moral Resilience. Carilion Research Day, Virtual Event. Wilson, V., Lockhart, E., Defilippis, S., Carter, K. April 13, 2021. Findings Looking at Barriers in Obtaining an RN-BSN. Carilion Research Day, Virtual Event Swann, M., Johnson, A., Bendetson, J., Nowak. E., Jatta, M., Schleupner, C., Baffoe-Bonnie, A. April 13, 2021. Covid-19 Vaccine Hesitancy Among Healthcare Workers. Carilion Research Day, Virtual Event.
Harvey, N. April 13, 2021. Introducing Yoga to the Hope Pathway for Inpatients with Substance Disorders. Carilion Research Day, Virtual Event. Lakhan, S., Ushe, T., Muthukattil, R., Locklear, T., Whitehead, P., Benson, A., Ladak, A., Carter, K. April 17-22, 2021. Pain Management Consultation for Acute Pancreatitis: Impact on Length of Stay and Discharge Opioids. American Academy of Neurology Virtual Annual Meeting. Bond, D. May 21. 2021. Preventing ICU readmission by addressing inaccuracy of respiratory rate. How can technology help? American Association of Critical Care NursesNational Teaching Institute. Dalton-Ward, E., Ward, C. May 22-25, 2021. Impact of Influenza Vaccination on the Orthopedic Surgical Patient. National Association of Orthopedic Nurses (NAON) 14th Virtual Annual Congress. *Poster awarded 3rd place in the Research Track
Bath, J., Collier, B. May 2021. Commentary on "The Effects of a Novel Mindfulness-Based Intervention on Nurses' State Mindfulness and Patient Satisfaction in the Emergency Department" Journal of Emergency Nurses 47(3) 371-372.
Bond, D. May 2021. Elected to the Board of Respiratory Compromise Institute (RCI). Freeman, D. April 2021. Received the Governor’s EMS Award for Nurse with Outstanding Contribution to EMS Contact Kim Carter with your ideas so that we can find funders to support you!
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CLASSES & EVENTS
AUGUST 2021 Basic Research for the Healthcare Professional NR-CE333L August 5, 2021 - 8:00am - 12:00pm
SEPTEMBER 2021 Pre-Nursing Research Fellowship Brainstorm Session NR-CE354L September 9, 2021 - 4:00-5:00pm Data: Practical Healthcare Applications NR-CE77L September 23, 2021 - 1:00-4:00pm
OCTOBER 2021
Developing a Competitive Abstract for the Next Magnet® Conference & Similar Events NR-CE335L October 19, 2021 - 12:00-2:00pm
DECEMBER 2021 Basic Research for the Healthcare Professional NR-CE333L December 2, 2021 - 8:00am-12:00pm
*All classes and events are virtual unless otherwise noted.
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“The World is a book, and those who do not travel read only a page.” – Saint Augustine United Kingdom
Nottingham
Natl. Harbor, MD Williamsburg
Palm
Anaheim
Greenville
Lake Buena Vista
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Follow us on our Nursing Research & EBP hub at Inside Carilion for updated information about: • • •
Nursing Research Classes for 2021! Nursing Research Fellowship for 2022! Copies of our Within REACH publication!
Login to Inside Carilion/Departments & Services/Nursing Research & Evidence Based Practice/Featured Topics & Top Resources
Need editorial support to publish your work? Contact Nursing Research & EBP for: • Assistance with writing your abstract • Peer review • Manuscript submission nursingresearch@carilionclinic.org
2021 VIRTUAL NURSING CONFERENCE INFORMATION
In person or Virtual options
VIRTUAL
Carilion Clinic Roanoke Campus
