Columbia Nursing Fall 2021 by Columbia University School of Nursing

Nursing Columbia

The Magazine of Columbia University School of Nursing

RESEARCH ON LGBTQ HEALTH IS SOLE FOCUS OF NEW CENTER

Fall-Winter 2021

SEEKING TO EMPOWER THE NP WORKFORCE

Shot in the Arm Vaccine clinics address fears by meeting patients where they are

HELP INSPIRE COLUMBIA NURSING’S NEXT GENERATION

LEAVING A LEGACY Patricia Riley, BS ’76, is a member of the Columbia University School of Nursing Board of Advisors and chair of the Columbia Nursing 1754 participation drive. Five years ago, nearing retirement from a multidecade federal career, Pat decided to “pay it forward.” In recognition of the education and career opportunities provided to her by Columbia Nursing, Pat arranged to allocate a portion of her federal annuity retirement plan to Columbia Nursing’s building and student scholarship fund. In her own words:

“ I really want to thank Columbia for the opportunity to attend nursing school, which gave me this career. I am really happy with the training and exposure to the health-care community that Columbia gave me.” — Patricia Riley, BS ’76 Columbia University School of Nursing Board of Advisors

Columbia Nursing Chair for the 1754 participation drive

TO LEARN MORE ABOUT PAT’S STORY, GO TO

columbia.giftplans.org For more information, please contact Janice Rafferty Grady, assistant dean, development and alumni relations, at 212-305-1088 or jar2272@columbia.edu.

From the Dean

Working to Understand and Eliminate Health Disparities

ast year, as COVID-19 surged, we observed that those most vulnerable to the coronavirus are largely underserved by the health-care system. They include people of color, LGBTQ individuals, and other minority communities who lack access to reliable health care as well as equity in housing, education, and income. Even now, despite the availability of three safe, effective, free vaccines, substantial segments of these communities remain unvaccinated, contributing to the current increase in infections. Pundits attribute the disappointing vaccination rate to “vaccine hesitancy,” but this term is in many cases a misnomer: It overlooks the deep, collective mistrust of a health-care system that has discriminated against Black and other minority populations, fueling wariness of vaccines along with disparities in health and health care. The pandemic exposed and exacerbated these disparities, which Columbia Nursing has been addressing in several ways. We’ve been conducting vigorous educational outreach and holding vaccination clinics in and around Northern Manhattan. We’ve also launched two new centers of excellence: the Center for Sexual and Gender Minority Health Research (CSGMHR) and the Center for Healthcare Delivery Research and Innovations (CHDRI). The health disparities in the LGBTQ community, like those in communities of color, did not originate with the pandemic. Rather, they stem from historic, widespread stigma and bias that dissuade sexual and gender minority (SGM) individuals from seeking health care, putting them at greater risk than heterosexual, cisgender people of cardiovascular disease, certain cancers, depression, and other conditions. The only way to truly reduce such disparities is to understand the dynamics behind them. This is why we created the CSGMHR, the first (and as yet only) center dedicated solely to SGM health research at any nursing school, anywhere in the world. Its executive director is Tonda Hughes, PhD, the Henrik H. Bendixen Professor of International Nursing and associate dean of global health. The center will inform nursing practice and public policy by studying—and training the next generation of SGM health researchers to study—the associations for LGBTQ individuals among marginalization, stigma, discrimination, and poor health outcomes, as well as the effects of resilience. Further supporting our commitment to the health of marginalized populations, Columbia Nursing also established the first

Certificate in Professional Achievement in Transgender/Gender Non-Binary Health Care for nurse practitioners (NPs). This two-semester program, entirely virtual and thus accessible to NPs anywhere, aims to increase the pool of primary-care clinicians with expertise to care for trans people. We have long known that NPs are instrumental in expanding access to high-quality primary care. But adding that imperative—plus the aging of the U.S. population and the fact that chronically ill patients now live longer—to the need to reduce health disparities means that NPs will be stretched even thinner. Our challenge is to improve NPs’ working environment so they will want to stay on the job. To meet this challenge, we opened the CHDRI in March 2021. Its executive director is Lusine Poghosyan, PhD, the Stone Foundation and Elise D. Fish Professor of Nursing and Professor of Health Policy and Management. This center will support multidisciplinary research, mentor the next generation of nurse-researchers, and gather evidence to help NPs flourish. The CHDRI has already launched several studies involving patients cared for by NPs, including a five-year, $3.6 million National Institute on Aging-funded study of racial disparities in care among patients with dementia. As the pandemic continues to roil our country and the world, Columbia Nursing will continue doing what we’ve always done: harness our scientists, scholars, and clinicians to identify, understand, and eliminate inequities in health care. Finally, I’d like to take the opportunity offered by a recent retirement from the Columbia Nursing leadership team to remind our constituents of the important role fund-raising plays in our ability to respond to societal imperatives like those described above. Reva Feinstein retired in September from her position as associate dean for development and alumni relations after nearly 15 years of service to the Columbia Nursing community. The impact of her efforts on our work may be behind the scenes but is substantial. She will be missed.

LORRAINE FRAZIER, PhD, RN, FAAN Dean, Columbia University School of Nursing Mary O’Neil Mundinger Professor of Nursing Senior Vice President, Columbia University Irving Medical Center

Columbia Nursing is the magazine of the Columbia University School of Nursing and is published twice a year

Nursing Columbia

Lorraine Frazier, PhD, RN, FAAN Dean, Columbia University School of Nursing Mary O’Neil Mundinger Professor of Nursing Senior Vice President, Columbia University Irving Medical Center

Produced by the Office of Strategic Communications and Marketing

Linda Muskat Rim, Editor-in-Chief Associate Dean, Strategic Communications and Marketing

Eson Chan

Janine Handfus Associate Director, Annual Fund

DESIGN AND ART DIRECTION:

ALUMNI NEWS EDITORS:

Janice Rafferty Grady Assistant Dean, Development and Alumni Relations

Fall-Winter 2021 Contents

CONTRIBUTING WRITERS:

Anne Harding Andrea Kott Kenneth Miller

4 Research Roundup · More COVID-19 Cases and Deaths in Nursing Homes with More Black Residents

Sharon Sobel Assistant Director, Alumni Relations

· NIH Awards Columbia Nursing Over $6 Million for Asthma Trials

BOARD OF ADVISORS:

· Columbia Nursing Receives $1.9 million from HRSA to Expand Mental Health Care for Young People

Brenda Barrowclough Brodie, BS ’65 Durham, NC Paul Coyne, DNP ’16, MBA President & Co-Founder, Inspiren; Assistant Vice President, Clinical Practice, & Chief Nursing Informatics Officer, Hospital for Special Surgery New York, NY

Wilhelmina Manzano, MA Senior Vice President, Chief Nursing Executive, & Chief Quality Officer, NewYork-Presbyterian Hospital and Regional Hospital Network New York, NY Duncan V. Neuhauser, PhD Blue Hill, ME

Delphine Mendez de Leon, BS ’78, MBA, MPH Director, Innovaccer, Inc. New York, NY

Janet Ready, BS ’81, MBA, MPH Chief Operating Officer, St. Joseph’s Hospital Health Center Syracuse, NY

Angela Clarke Duff, BS ’70 Forest Hills, NY

Patricia Riley, BS ’76, MPH Captain (Retired), U.S. Public Health Service Atlanta, GA

Marjorie Harrison Fleming, BS ’69 Chair Seabrook Island, SC Susan Fox, BS ’84, MBA President & CEO, White Plains Hospital White Plains, NY Susan Furlaud, MS ’12 New York, NY Ellen Gottesman Garber, BS ’76 New York, NY Karen Hein, MD Jacksonville, VT Mary Turner Henderson, BS ’64 San Francisco, CA

Susan Salka, MBA President & CEO, AMN Healthcare San Diego, CA Sara Shipley Stone, BS ’60, MS Brooksville, ME Edwidge J. Thomas, DNP ’05 Vice President of Clinical Solutions, Northwell Holdings & Ventures New York, NY Jasmine L. Travers, PhD ’16 Assistant Professor, NYU Rory Meyers College of Nursing New York, NY

22 Alumni

· Getting to Know Your Columbia Nursing Alumni Association Board

24 School News · Government and Private Research Funding · Selected Faculty Publications

Please address all correspondence to: press.nursing@columbia.edu

Alumni are invited to update their contact information by emailing sonalumni@columbia.edu or calling 212-305-5999

Subscribe to our monthly e-newsletter: nursing.columbia.edu Like us on Facebook: @ColumbiaNursing Follow us on Instagram: @columbianursing Follow us on Twitter: @ColumbiaNursing Follow us on LinkedIn: Columbia University School of Nursing Subscribe to us on YouTube: Columbia University School of Nursing

A Shot in the Arm By Andrea Kott, MPH Vaccine clinics address patients’ fears by meeting them where they are, taking their concerns and questions seriously.

Bridging a Gap in Knowledge By Kenneth Miller A new research center at Columbia Nursing aims to deepen our knowledge of the challenges facing LGBTQ patients—and identify their sources of resilience.

Empowering NPs By Anne Harding Columbia Nursing sets a new focus on how to best use the growing workforce of nurse practitioners— and improve their patients’ health outcomes.

ON THE COVER: A volunteer vaccinator gives a COVID shot at one of many Columbia-run clinics; photograph by Eileen Barroso

Fall-Winter 2021

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Research

Roundup

G E T T Y IM A G E S

More COVID-19 Cases and Deaths in Nursing Homes with More Black Residents

ursing homes (NHs) with Black residents had higher rates of COVID-19 infection and death during the first wave of the pandemic compared to those with no Black residents, according to new research from Columbia University School of Nursing. “It is likely that attributes of place, such as resources, services, and providers, important to equitable care and health outcomes are not readily available to counties where NHs have greater proportions of Black residents,” wrote Patricia Stone, PhD, the Centennial Professor of Health Policy and the director of Columbia Nursing’s Center for Health Policy, and her colleagues in their report. “Structural bias may underlie these inequities,” the authors concluded. The pandemic has disproportionately affected nursing homes with a high proportion of Black residents, Stone and her team noted. To further investigate the relationship between a nursing home’s share of Black residents and its burden of COVID-19 illness and death, they looked at nearly 11,600 nursing homes that reported data to the Centers for Disease Control and Prevention and that were also included in publicly available long-term-care databases covering the period from mid-January to mid-June 2020. Nursing homes with any Black residents had higher rates of infection and death due to COVID-19 compared to those with no Black residents, the researchers found. Rates were highest in nursing

Columbia Nursing Fall-Winter 2021

homes with at least 50% Black residents. The differences were more pronounced in rural areas than in urban areas. Facilities with higher percentages of Black residents were more likely to be for-profit institutions, to have staffing shortages, and/or to have at least 75% of residents on Medicaid. In addition, the amount of registered nurse and aide time per patient decreased as the proportion of Black residents increased. When the researchers took county-level factors into account— such as COVID-19 mortality rates within a given county, along with whether it was in a rural or urban setting—these differences nearly disappeared, suggesting that some local factor or factors explain the worse outcomes for nursing homes with more Black residents. To address these disparities, Stone and her colleagues say, it will be necessary to invest in “infrastructure, social services, healthcare, education, housing, and neighborhoods” in Black communities where nursing homes are located. They also recommend increasing Medicaid reimbursement levels, making sure these funds go toward resident care, as well as making more qualified medical and nonmedical staff available, particularly in rural areas. The findings were published in the April 2021 issue of the Journal of the American Medical Directors Association.

wo Columbia Nursing professors have received grants from the National Institutes of Health to test innovative treatments aimed at reducing disparities in care for racial or ethnic minority adults and adolescents with asthma. Maureen George, PhD, was awarded $2.45 million by the National Institute of Nursing Research (NINR) to study a primary-care intervention for Black adults with poorly controlled asthma. And Jean-Marie Bruzzese, PhD, received $4 million from the National Heart, Lung, and Blood Institute to evaluate an interactive, web-based program for urban adolescents with uncontrolled asthma. Both projects are fiveyear studies. George, a professor of nursing, is studying an approach called BREATHE (BRief intervention to Evaluate Asthma THErapy) in 200 men and women enrolled through four Federally Qualified Health Centers in the New York metropolitan area. The study’s title is “BREATHE: An Efficacy Implementation Trial of a Brief Shared Decision-Making Intervention among Black Adults with Uncontrolled Asthma in Federally Qualified Health Centers (FQHC).” NINR has provided an additional grant to George and Bruzzese, her co-principal investigator on the trial, to study BREATHE in adolescents. “It’s a feasibility grant,” George says. “It will support us doing focus groups to adapt the intervention to adolescents and to do a small pilot trial, which we are partnering with an FQHC in the Bronx to do.” Bruzzese’s study, “The Efficacy of CAMP Air, a Web-Based Asthma Intervention Among Urban Adolescents with Uncontrolled Asthma,” will test the efficacy and cost-effectiveness of CAMP Air, an interactive learning and health management program, with 370 adolescents. It will also examine barriers to and ways of facilitating the intervention’s adoption and implementation in high schools. Bruzzese is a professor of applied developmental psychology. Asthma is poorly controlled in 60% of adult patients overall, George notes, while the percentage is even higher among people of color and those living below the poverty level. “If you think about the school’s mission in terms of social justice, this work really speaks to developing an intervention that can overcome the lack of resources in primary-care settings,” George adds. BREATHE “has great opportunity for scalability and sustainability, because if you can do it in resource-limited settings, then it should be able to be translated, adopted, and implemented in settings without those limitations—and [that] raises the bar for everyone.”

G E T T Y IM A G E S

NIH Awards Columbia Nursing Over $6 Million for Asthma Trials

Columbia Nursing Receives $1.9 million from HRSA to Expand Mental Health Care for Young People

aura Kelly, PhD, an associate professor at Columbia Nursing, has received a $1.9 million, four-year grant from the Health Resources and Services Administration (HRSA) to improve mental health care for young people in underserved areas. The grant will train Columbia students in how to provide evidencebased care. It will support 10 psychiatric nurse practitioner students in Columbia Nursing’s doctor of nursing practice (DNP) program and six students in the occupational therapy (OT) master’s degree program at Columbia’s Vagelos College of Physicians and Surgeons. It is part of HRSA’s Behavioral Health Workforce Education and Training (BHWET) Program for Professionals, which awarded a total of $22 million in grants to 56 organizations this year. To date, BHWET has granted $66 million to 168 organizations to expand the behavioral health care work force. Young people who experience trauma often have little or no access to evidence-based mental health care, which can help them heal and begin to thrive, Kelly notes. “The purpose of the grant is twofold. The first is to increase the mental health workforce in underserved areas,” she explains. “The second is to integrate interprofessional competencies into OT and nursing education, which will be accomplished with an interprofessional seminar where students learn and practice trauma-informed care interventions.” Students will receive training in interprofessional collaborative practice, trauma-informed care, and violence assessment and prevention—all with a focus on children, adolescents, and young adults. “Childhood trauma increases the risk of serious mental health concerns as children grow,” Kelly says. “Early identification and treatment will allow clients to have the tools to help them cope with their difficult experiences. The grant will also allow preceptors, faculty, and other interested students to attend the trainings.”

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EIL E E N B A RR O S O

Columbia Nursing Fall-Winter 2021

Shot Arm in the

By Andrea Kott, MPH

Vaccine clinics address patients’ fears by meeting them where they are, taking their concerns and questions seriously.

T OPPOSITE PAGE: One of many volunteer vaccinators practices the technique for filling a syringe. BELOW: The simulation center was a perfect venue for training the volunteers.

he patient had swallowed enough of his fear of the COVID-19 vaccine to come to the Armory in Washington Heights for his first shot. Still, he felt uneasy, recalls MDE student Ian Irwin, one of more than 100 Columbia Nursing students who trained to be a vaccination volunteer. “He wanted to know how the three major vaccines (Moderna, Pfizer-BioNTech, and Johnson & Johnson) compared to each other and how their clinical trials had been conducted,” Irwin says. “He wanted to know which vaccine President Joseph Biden and Vice President Kamala Harris had received. As a Black American, he was especially concerned about whether taking the vaccine would make him the subject of an experiment.” Such questions and fears reflect those of many unvaccinated Americans—a sizable portion of whom are people of color—according to the Centers for Disease Control and Prevention (CDC). As of mid-July, for instance, only 25% of Black Americans and 31% of Hispanics were fully vaccinated, compared with 34% of white Americans. And the nation as a whole missed the vaccination target set in May by the White House: having 70% of adults receive at least one shot by July 4 (about 67% of adults had received at

least one shot by that date, and the goal was achieved a month later, on August 2). Pundits blame too-low vaccination rates on “vaccine hesitancy.” But this term does not capture the deep, collective mistrust of a health-care system that has historically discriminated against, underserved, and in other ways mistreated communities of color—and continues to do so today, say public health experts like Columbia Nursing’s Kellie Bryant, DNP, an associate professor, the assistant dean for clinical affairs and simulation, and the executive director of the Helene Fuld Health Trust Simulation Center. “Some people of color don’t trust the vaccine,” Bryant says. “They believe it has not been fully tested, they don’t trust the government because of past unethical research studies, they don’t want to be a guinea pig, or they are afraid of side effects,” she explains. To address this mistrust and increase vaccination uptake, particularly among the Black, Latinx, and LGBTQ communities in and around its Northern Manhattan neighborhood, Columbia Nursing has been conducting vigorous educational outreach, running clinics, and training a cadre of students not only how to inoculate patients but also how to provide the empathy and understanding that many need before rolling up their sleeves.

P H O T O S BY J UA N G O N Z A L E Z

Columbia Nursing Fall-Winter 2021

A history of mistreatment Conversations about mistrust of the health-care system commonly point to the 40-year-long Tuskegee Study of Untreated Syphilis in the Negro Male, which the United States Public Health Service launched in 1932 to examine the natural course of untreated syphilis. Participants included 600 Black men, mostly poor and illiterate sharecroppers, 399 of whom had syphilis. The disease had no proven cure when the study began, and although penicillin became the standard of care in 1947, researchers withheld it as a part of the experiment, leaving dozens of men to die while infecting their wives, children, and countless others. Nearly a century later, wide-ranging mistrust in the health-care system persists, largely because of discrimination and other barriers that fuel disparities in health and health care among communities of color and sexual and gender minorities, says Julian Watkins, MD. Watkins is a senior clinical advisor and the leader of the Immunization Justice Workgroup at the New York City Department of Health and Hygiene; he sits with Bryant and other healthcare providers of color on a committee known as the NYC Black and Latinx Providers Collective, which develops strategies for increasing vaccination rates in Black and Latinx communities. Such disparities appear in the treatment and outcomes of Black hospital patients, who are less likely than whites to receive adequate pain relief; in Black and Indigenous women, who are three to four times more likely than white women to die in childbirth, regardless of education or socioeconomic factors; and in LGBTQ individuals, who routinely face stigmatization and therefore avoid interacting with the health-care system. “Often, when LGBTQ folks go to a doctor, they’re discriminated against,” Watkins says, pointing to a growing body of legislation that allows medical providers to ask for religious exemptions from caring for people who identify as queer or trans. “They go in seeking care and end up facing a judge and jury,” he says. “This has a chilling effect when it comes to getting vaccinated,” he adds. Barriers to COVID testing and treatment The “visceral reaction to the mismanagement of health care” in their communities has played a major role in preventing people of color and other minority groups from getting vaccinated, notes Robert Fullilove, EdD, a professor of sociomedical sciences at Columbia University Medical Center and the associate dean of community and minority affairs at Columbia’s Mailman School of Public Health. “Look at how poorly we did at the beginning of the pandemic,” Fullilove says. “People needed a car just to get tested and then got turned away after standing in line for hours. When they showed up for their appointment, they had to present a bar code on their phone. What if you don’t have a

Wide-ranging mistrust in the health-care system persists, largely because of discrimination and other barriers that fuel disparities in health care.

phone? In Washington Heights, many folks don’t have access to the internet. Think about all the kids who did their schoolwork at McDonald’s just so they could get an internet signal.” These structural barriers, in addition to a long history of discrimination and abuse at the hands of the medical system, have deepened people’s mistrust of the COVID vaccines and those providing them. “You have folks saying, ‘Where were you at the beginning when it was hard to get access to testing and treatment? You’ve never demonstrated that you’ve had my best interest at heart. Why should I trust you now?’” Fullilove says. “It’s not that people aren’t fully informed. It’s that the mistrust is deep.” Because of this mistrust and other barriers, the pandemic has hit communities of color hardest, exacerbating socioeconomic inequities as well as those involving health and health care. Indeed, Black and Latinx people are both 2.8 times more likely to be hospitalized with COVID-19 than whites, while death from COVID-19 is 2.0 times more likely for Blacks and 2.3 times more likely for Latinx people than it is for whites.

Meeting patients where they are As last winter’s vaccine rollout began in New York City, Columbia Nursing seized a critical opportunity: getting shots into as many arms as possible. This was no easy task, since the initial number of people wanting the shot quickly exceeded the number of qualified vaccinators. To meet the demand, the NYC Department of Health (DOH) put out a call for volunteer vaccinators. Immediately, hundreds of Columbia students

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answered the call. “We initially had 200 students who wanted to help because the need was so great,” Bryant recalls. She and her colleagues at the simulation center selected as many students as they could train—116. To qualify, students had to meet the NYC DOH requirements: completion of at least one year of clinical practice, CPR certification, and four online training modules. Then they had to successfully complete the school’s own two-hour, online training course, which included reviewing simulations about administering injections and dealing with vaccine-related medical emergencies. After completing these prerequisites, students could administer vaccines under the supervision of a nurse or nurse practitioner. In addition to preparing volunteers, Bryant and Stephen Ferrara, NP, an associate professor of nursing and the associate dean of clinical affairs, conducted webinars on COVID vaccine hesitancy for Columbia Nursing’s staff, faculty, and students. Under Bryant’s leadership, students first administered vaccinations at the Armory in Washington Heights. “We had faculty there to supervise the volunteers, who gave vaccinations two

“It was such a positive experience for the students to be on the front line administering the vaccine,” says Columbia Nursing faculty member Kellie Bryant.

days a week until May,” she says. By then, the students had helped to vaccinate more than 150,000 people, including Columbia, Cornell Medicine, and NewYork-Presbyterian employees. “It was such a positive experience for the students to be on the front line administering the vaccine,” Bryant says. One of the participants in the initiative was MDE student Britt McNamara. “This is probably the only time in my life I was going to see people excited about getting a shot,” McNamara says. “We also provided patients with education associated with vaccination,” she adds. “We explained what ‘full immunity’ means, described the side effects they could expect, gave them information about taking Tylenol or Advil for pain at their injection site, and told them how to schedule their second shot,” she explains. “Having this information gave patients a little agency.” Although some people were eager for their jab, others needed a bit of encouragement and happily accepted the t-shirts and masks that students offered at their next vaccination site: a pop-up wellness clinic in Manhattanville. At this clinic, Bryant, her students, and nurses from NewYorkPresbyterian Hospital vaccinated some 700 people—many of whom were either homeless or living in public housing. “We chose Central Harlem because it had low vaccination rates,” Bryant says. The wellness center staff took advantage of the idle post-vaccination rest period, when students

P H O T O S C O U R T E SY O F K E L L IE B RYA N T

Columbia Nursing Fall-Winter 2021

and nurses observed patients for any negative reactions, to enroll interested patients in health insurance programs. “We wanted to address at least one other social determinant of health to provide some kind of lasting effect on the community,” Bryant says. After volunteering at the pop-up clinic for four weekends, Columbia Nursing students traveled to the Harlem Children’s Zone school, where they vaccinated eligible tweens and teens. Then, to make the most of their people power—and to avoid wasting leftover vaccine—they offered remaining shots to anyone who expressed an interest. “We went out to the street to see who wanted the vaccine,” Dr. Bryant says. “We were able to find many people willing to be vaccinated.” Bryant knows that the decision to receive the vaccine is a personal one and that a percentage of individuals will choose not to, which troubles many public health officials, given the current increase in COVID-19 cases that the Delta variant is likely causing. Yet eliciting and understanding people’s concerns regarding the vaccine is critical, she says. “There were early adopters who couldn’t wait for the vaccine, others who took a wait and see approach, and some who did not want the vaccine for various reasons. We’ve had people who were still unsure about the vaccine as they sat in the chair,” she says. “The best we can do is meet them where they are, find out why they don’t want the vaccine, and address their specific concerns.” One way of doing this is to acknowledge people’s concerns about the rapid development of the vaccine. “We tell patients, ‘Yes, atrocities happened and were horrible, but because of those unethical studies, a lot of checks and bal-

ances have been built into research to prevent them from happening again,’” she says. Bryant has presented more than 20 vaccine education webinars to state and national organizations (like the New York State Black Caucus and the National Association for the Advancement of Colored People [NAACP]); has conducted community forums with Fullilove, including one at the Williamsbridge branch of the NAACP; and sits on the National Nurse-Led Care Consortium’s Vaccine Confidence Advisory Committee. She tries to calm patients’ fears by describing her own positive experience with the vaccine. She also emphasizes that the vaccine research trials included people from all racial and ethnic backgrounds. “I provide factual knowledge to address patients’ concerns directly,” she says. “I don’t push the vaccine on people, and I don’t use fear tactics to convince them to receive the vaccine.” Columbia Nursing student Irwin took a similarly empathic approach with his willing but nervous patient. “I told him that I had gotten the Pfizer vaccine, which is what he was going to receive that day,” Irwin explains. “I described my experience and that of people I know. Then I walked him through all of the potential side effects and complications, their likelihoods, and what I knew about the studies and efficacy rates of the various vaccines,” he says. Together, he and his patient even looked up which vaccines President Biden and Vice President Harris had received (Pfizer for Biden, Moderna for Harris). “My taking his concerns seriously and addressing them to the best of my ability in a calm, non-judgmental manner,” says Irwin, “was enough for him to feel comfortable with receiving the vaccine that day.” 

Fall-Winter 2021

ABOVE: More than 150,000 people were vaccinated at the Armory, pictured here. OPPOSITE PAGE: Kellie Bryant, front left, oversaw the selection and training of volunteer vaccinators.

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Columbia Nursing Fall-Winter 2021

BRIDGING A GAP IN

KNOWLEDGE BY KENNETH MILLER

A NEW RESEARCH CENTER AT COLUMBIA NURSING AIMS TO DEEPEN OUR KNOWLEDGE OF THE CHALLENGES FACING LGBTQ PATIENTS—AND IDENTIFY THEIR SOURCES OF RESILIENCE.

ILLUSTRATIONS BY DAVIDE BONAZZI

ver the past decade, a great deal has changed for sexual and gender minority (SGM) individuals in the United States, from the legalization of same-sex marriage to the unprecedented visibility of transgender TV stars, pro athletes, fashion models, and government officials. Mainstream support for the rights of lesbian, gay, bisexual, trans, nonbinary, queer, and other nonheterosexual or gender-diverse people to live as they choose has grown exponentially. Some things, however, have remained stubbornly constant. SGM individuals (also known as LGBTQ) continue to face widespread bias—evident, for example, in the surge of proposed state laws aimed at curtailing gender-affirming care for transgender youth. In addition, they still experience worse physical and mental health outcomes than heterosexual, cisgender people, including an increased risk of cardiovascular disease, certain cancers, substance use disorders, depression, self-harm, and suicidal thoughts and behaviors. Many still lack access to respectful, affirmative health care. And research into the connections among all these factors is still scarce. “While recognition of SGM people’s unique needs is growing, we lack solid evidence for how marginalization, stigma, and discrimination affect health,” says Tonda Hughes, PhD, the executive director of Columbia University School of Nursing’s new Center for Sexual and Gender Minority Health Research (CSGMHR). “To reduce disparities, we’ve got to understand the dynamics behind them,” adds Hughes, who is also the Henrik H. Bendixen Professor of International Nursing and associate dean of global health. Launched in June, the CSGMHR is the first research center at any nursing school, anywhere in the world, that is devoted exclusively to this area of investigation. (It is also one of three centers of excellence established this year at Columbia Nursing, along with the Center for Research on People of Color and the Center for Healthcare Delivery Research and Innovations.) The initiative, Hughes explains, will support “rigorous interdisciplinary research on the social, political, and economic determinants of health for SGM populations, which will ultimately inform nursing practice and public policy.” “Dr. Hughes and her colleagues are conducting groundbreaking research that embodies our school’s commitment to health equity and social justice,” says Lorraine Frazier, PhD, the dean of Columbia Nursing and a senior vice president of Columbia University Irving Medical Center. “Under her leadership, the center will transform our knowledge in this vital field, while training both new and experienced investigators to contribute to that mission.” To understand where this bold enterprise is heading, it helps to know what led to its creation—and what some of its founding researchers bring to the table. An Urgent Need for Knowledge The CSGMHR builds on Columbia Nursing’s longtime leadership in SGM-related research, exemplified by the school’s Program for the Study of LGBT Health. Founded in 2012—in partnership with the Columbia University Department of Psychiatry and the Division of Gender, Sexuality, and Health at the New York State Psychiatric

Columbia Nursing Fall-Winter 2021

Institute—that program embraces research but also clinical practice and curriculum development. Over the years, the need for a center focused solely on research has grown increasingly apparent. “Nursing lags behind medicine, psychology, and even social work in terms of incorporating research on SGM health into guidelines for care,” Hughes says. “The problem is that very few nurses are doing this kind of research.” To illustrate her point, she cites a study she led with Kasey Jackman, PhD ’17, then a postdoctoral fellow and now an assistant professor of nursing, which was published in Nursing Outlook in 2018. Reviewing articles in the top 20 nursing journals between 2009 and 2017, the team found that only 0.19 percent directly addressed issues related to SGM health. That proportion was barely higher than the 0.16 percent reported in a similar study published in 2010. Hughes herself has specialized in such research for nearly three decades. The daughter of a coal-miner father and a “Jill-of-all-trades” mother, neither of whom attended college, she earned a BSN in mental health nursing at the University of Eastern Kentucky and an MSN in community mental health at the University of Kentucky. While completing her master’s degree, she participated in a program to help nurses who had problems related to alcohol or drug use. That experience inspired Hughes to study substance abuse in women when she began her PhD studies at the University of Illinois at Chicago (UIC) and then to do a postdoctoral fellowship funded by the National Institute on Drug Abuse. Along the way, she discovered that almost nothing was known about substance use among lesbian women. As a member of that community, Hughes felt driven to fill the gap. “Some of my advisers worried that focusing on this topic could ruin my career,” she recalls with a laugh. Undaunted, she embraced her

It is the first research center at any nursing school, anywhere in the world, devoted to this area of investigation. role as a pioneer. In one of her early studies, she found that a widely cited statistic—that one-third of lesbians were alcoholic—was wildly exaggerated; the original research, it turned out, had relied on participants recruited at gay bars, but their behaviors did not match those of the broader lesbian population. In 1999, as a faculty member at UIC, Hughes launched the Chicago Health and Life Experiences of Women (CHLEW) study—now the longest-running study of SGM women’s health in existence, with ongoing support from the National Institute on Alcohol Abuse and Alcoholism. Later, she began probing the health of SGM women in other countries, from Australia to Rwanda. And after joining Columbia Nursing in 2017 as the director of global health research, she started pondering ways to help the profession learn more about SGM people of all genders. One result was the first National Nursing LGBTQ Health Summit, held at Columbia Nursing in November 2019—an event that

Hughes conceived and led. The two-day conference drew leaders from nursing schools all across the country, as well as representatives from organizations such as the American Academy of Nursing, the American Association of Colleges of Nursing, and the National Institutes of Health. Participants discussed strategies for advancing the field’s awareness of SGM health, with the eventual aim of developing a national action plan to address those issues through nursing research, education, and practice. The summit helped solidify Hughes’s vision of a center devoted to SGM health research and situated entirely within the School of Nursing. With the support of Dean Frazier, she and her faculty team designed the CSGMHR to pursue three main goals: to promote research aimed at reducing SGM-related health disparities and at improving the health of SGM individuals across their lifespan; to train the next generation of SGM health researchers and to increase the number drawn from underrepresented groups; and to educate established researchers about the health impacts of SGM status and how to incorporate relevant measures into their studies. The center will pursue those objectives by a variety of means. Plans include providing pilot funds for early-stage studies; offering statistical and methodological support for faculty and trainees conducting SGM health research; and producing seminars and speaker series. Hughes envisions a week-long “boot camp” for pre- and postdoctoral fellows, as well as an annual SGM Health Research Day for the larger nursing community. She also hopes to launch a visiting professorship, a visiting scholar program, and strategic partnerships with faculty from other parts of the CUIMC campus.

Informing these efforts is a philosophy that has long guided Hughes’s work. “SGM health research has traditionally emphasized health risks and deficits and the individual determinants of those vulnerabilities—factors like substance use and sexual behavior,” she explains. “Our approach includes the conditions in which people are born, grow, work, and age. We try to follow participants over time, rather than draw conclusions based on a single snapshot. And we look for factors that increase resilience, not just risk. By developing a holistic view of the populations we study, we can be more effective at enhancing their well-being.” Making a Mark on Nursing—and on Patients’ Health “This initiative creates a dedicated home for sexual and gender minority health research in nursing, both within our school and in the field at large,” says the CSGMHR’s co-director, Walter Bockting, PhD, a professor of medical psychology in psychiatry and nursing and the director of the Program for the Study of LGBT Health. “It will allow us to make a mark on the profession and ultimately on the health of the people we care for.” Along with Hughes, Jackman, and Bockting, the CSGMHR’s core faculty members include Billy Caceres, PhD, an assistant professor of nursing, and Cindy Veldhuis, PhD, an associate research scientist and research psychologist. In addition, six pre- and postdoctoral fellows are associated with the center. The CSGMHR has not yet launched any research projects of its own. But the kinds of studies it will eventually support can be inferred from a sampling of those that its faculty and fellows are

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currently conducting. Bockting, for example, is an internationally known expert in gender-affirming health care as well as the mental health of trans, nonbinary, and gender-diverse children, adults, and their families. He is the principal investigator of two large NIHfunded studies: Project AFFIRM, a multiyear study of transgender identity development being conducted among close to 400 participants in New York, San Francisco, and Atlanta; and Convoy Q, which examines the role of social support networks in the cognitive

Certificate in Transgender Health Care Is the First of Its Kind

n September, Columbia Nursing launched the first-ever Certificate in Professional Achievement in Transgender/ Gender Non-Binary Health Care for nurse practitioners (NPs). The two-semester program is conducted entirely online, so that NPs nationwide can attend without the need to travel to New York. “In most of the country, there’s a scarcity of clinicians trained in treating trans people,” explains program director Laura Kelly, PhD, an associate professor of nursing, who is also director of the school’s Psychiatric Mental Health Nurse Practitioner Program. “Many of my clients who don’t have access to specialized clinics end up buying hormones on the street.” Kelly designed the program to address this shortage. It consists of three didactic courses and one clinical practicum. Participating NPs will learn how to do the following: •P erform a history and physical assessment of transgender patients. • Describe primary-care needs specific to such patients. •S tart and manage hormonal interventions and monitor their side effects. • I dentify how transgender patients will be incorporated into current clinical practices. •M ake changes in clinical practices to create a more trans-inclusive environment. The program’s four instructors are seasoned nurse practitioners—and all are transgender themselves. “We felt it was important to have faculty who’d had the experience of transitioning and utilizing health care as a trans individual,” Kelly says. “That will help those who take the course get a better understanding of their future patients.”

Columbia Nursing Fall-Winter 2021

aging of New York-area LGBTQ adults and their heterosexual, cisgender counterparts. Bockting is also leading a study in partnership with the Visiting Nurse Service of New York on transgender patients’ experiences during the first 18 months after they have gender-affirming surgery. “This is the first study that conducts an in-depth investigation of the postsurgical period and how surgery affects people’s well-being and their relationship with the health-care system,” he explains. “One of the issues that contributes to health disparities among transgender people is a lack of trust in care providers. So we’ll be looking at how trust is built in that very important moment after surgery and how to facilitate an improved relationship with the system going forward.” Caceres’s research focuses on identifying psychosocial risk factors for cardiovascular disease in SGM people and other marginalized populations and then intervening to address them. Since 2019, he has led a study funded by a career development grant from the National Heart, Lung, and Blood Institute, examining the associations among sexual identity, adverse life experiences, and cardiovascular health in lesbian and bisexual women and their sisters who are heterosexual. (Participants in this study were drawn from Hughes’s CHLEW study.) Caceres recently launched another study, supported by the Columbia University Data Science Institute, which examines how “minority stressors”—factors such as anticipated or actual incidents of discrimination—affect sleep and blood pressure in SGM individuals who are Black or Latinx. Participants keep electronic diaries of their experiences, wear Fitbit devices to assess their sleep, and complete daily blood pressure tests. “We’re trying to see if there’s a link between stressful episodes, people’s sleep that night, and their blood pressure the following day,” he says. “This is the first study of its kind that’s been done in any population, as far as we can tell.” Veldhuis, who worked with Hughes while earning her PhD in psychology at UIC and her postdoc at Columbia, is leading an NIHfunded investigation called the Study on Queer Intimate Relationships (SOQIR, pronounced “so queer”), which is examining health behaviors among women in same-sex couples. Through online surveys of over 500 couples, plus interviews with more than 50 of them, she and her team are collecting data on their relationship dynamics, mental health, and health behaviors, such as drinking and marijuana use. The team’s initial paper, recently submitted for publication, focuses on sources of stress among interracial and monoracial couples. “Even though there’s a higher proportion of interracial couples in the SGM community, there’s been next to no research on those couples,” Veldhuis observes. Her group found that the greatest differences in stressors were not between monoracial and interracial couples, but between couples in which one or both members were white and interracial couples in which both members were women of color. The latter, she reports, “experienced significantly higher levels of safety concerns than did other couples. They also experienced far higher levels of rejection and were less likely to be integrated with their families.” The CSGMHR’s fellows are also doing creative and ambitious research. For example, third-year PhD student April Ancheta, BSN,

recently co-authored (with Tonda Hughes and Jean-Marie Bruzzese, PhD, a professor of applied developmental psychology at Columbia Nursing) a systematic review in the Journal of School Nursing on the impact of a positive school climate on suicidality and mental health among LGBTQ adolescents. The study was inspired by an appalling statistic: the fact that lesbian, gay, and bisexual students are 2.92 times more likely to report suicidal ideation, suicide plans, and/or suicide attempts than their heterosexual peers. “I’m interested in the intersection of school health and education policy,” says Ancheta. “I wanted to see whether school climate—the quality of teaching and learning, interpersonal relationships, safety, and physical environment, as reported by students, staff, and administrators—could make a difference for these kids.” After sifting through more that 1,000 peer-reviewed articles related to the topic, Ancheta and her colleagues found just six that met their criteria for relevance and risk of bias. Of these, five showed that risk of suicidal thoughts and actions, as well as depressive symptoms, were significantly lower for LGBTQ students in schools with more positive climates. What remains unclear, however, is whether specifically LGBTQ-friendly policies played a protective role. “There’s a dearth of that kind of research in the literature right now,” Ancheta notes. “That’s one of the things I’d like to examine in the future.” Mentoring the Next Generation Ancheta also worked with Caceres to create a new mentorship program in LGBTQ health for pre-licensure nursing students—a joint venture between Columbia Nursing and the National Student

Nurses’ Association (NSNA). The idea emerged during the 2019 National Nursing LGBTQ Health Summit, whose scholarship and research work group Caceres co-led. “Besides being a wonderful student, April was very active with the NSNA,” he explains, “so I immediately invited her to help develop the project.” The program’s goal is to increase knowledge of SGM health among participants through one-on-one mentorship, bimonthly workshops, and completion of a final project on an LGBTQ health topic, which will be submitted as a poster to the NSNA Annual Convention. This past June, the first six students were chosen from over 30 applicants, based on essays articulating their interest in LGBTQ health, their leadership potential, their proposed final project ideas, and a letter of recommendation from a faculty member. Although the program is not geared specifically toward research, it may inspire some participants to explore the field further. Ancheta herself was drawn to this line of inquiry by her own experiences. Growing up outside of Newark, New Jersey, the daughter of a registered nurse and a factory worker, she came out as lesbian in her early 20s. Her parents were supportive, and she remembers encountering little overt discrimination. While studying for her BSN at Rutgers, she assisted with a study of energy-drink use among adolescents and found she loved doing research. Like most nursing schools, however, hers offered little instruction on SGM-related concerns. It wasn’t until after graduation, when she attended a talk on the subject at an NSNA convention, that she learned about the health disparities associated with being LGBTQ. “I was just blown away,” Ancheta recalls. “I thought of myself as a proud member of the community. But I was shocked at how much I didn’t know.”

“Our profession has an ethical obligation to learn much more about SGM health.” — Tonda Hughes That epiphany led her to the PhD program at Columbia Nursing. “The education I’ve gotten here has been amazing,” Ancheta says, “and I feel like I’ve really lucked out having Dr. Hughes as a mentor. She has always believed in my potential, even when I didn’t think my research ideas made much sense. She’s always there to talk it out with me and try to make things work.” Making things work for SGM researchers—and bringing more of them into the field—is what the CSGMHR is all about. “Nurses are the largest health profession by far,” Hughes points out. “We spend more time with patients than physicians do. Yet nursing schools provide, on average, just two and a half hours of training on SGM issues, versus five hours at medical schools. Our profession has an ethical obligation to learn much more about SGM health, so that we can pass on that knowledge to our students and clinicians. My hope is that the center will contribute greatly to that effort, and that we’ll serve as a role model for other schools across the country.” 

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EMPOWERING

NPs Photographs by Jörg Meyer

Columbia Nursing sets a new focus on how to best use the growing workforce of nurse practitioners—and improve their patients’ health outcomes. By Anne Harding

ealth policy leaders agree: Nurse practitioners (NPs) are key to expanding access to high-quality primary care across the United States, especially in underserved communities and as the population ages. But how can the growing NP workforce help meet the demand for care, reduce health disparities, and increase access to health care? Can the workplace climate for NPs be improved, encouraging them to stay on the job? What’s the best way to support nurses, who are already being asked to do so much? These are the kinds of questions that Lusine Poghosyan, PhD, and her colleagues are investigating at Columbia Nursing’s new Center for Healthcare Delivery Research and Innovations (CHDRI). The center, launched in March 2021, is dedicated to producing evidence to strengthen health care delivery, both within the United States and internationally, with a focus on unlocking the full potential of NPs to provide safe, high-quality care. Poghosyan, the center’s executive director and the Stone Foundation and Elise D. Fish Professor of Nursing and Professor of Health Policy and Management, has tapped colleagues from various disciplines to collaborate on research and to mentor the next generation of nurse-researchers in the field. CHDRI currently supports five PhD students and two postdoctoral research fellows, with faculty collaborating from Columbia Nursing, Columbia’s Mailman School of Public Health and Vagelos College of Physicians and Surgeons, ColumbiaDoctors, and NewYorkPresbyterian Hospital, plus other leading institutions across the U.S. and in Canada, Germany, and the United Kingdom. “The center helps us come together to develop new projects—it helps us share our mentorship of students,” Poghosyan says. “It’s easy for us to pull people together from different teams within the center to create a new team.” Though she’s been collaborating with colleagues for years, she notes, the center “brings all of us together in a more organized and systematic way.” Poghosyan and her team are planning an international conference to be held soon at Columbia Nursing, and they just submitted a grant proposal to the National Institutes of Health on NPs and home care for patients with dementia. “We know that one million patients with dementia never leave their homes, and these patients need regular pri-

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Lusine Poghosyan, PhD

mary care,” she explains. “We want to see how we can build teams around nurse practitioners with aides, social workers, and therapists, so that they can go to the homes of patients and deliver care.”

What’s been learned so far? Several federally funded research projects are already underway at CHDRI. Poghosyan is the principal investigator for three large R01 grants, including a five-year, $3.6 million National Institute on Aging-funded study of racial disparities in care through NP practices for people with dementia. “Little is known about how to optimize primary-care practices employing nurse practitioners, which often lack the organization and structure needed to ensure continuity of care and better outcomes for minority people with dementia,” Poghosyan notes. “And there’s little guidance on how to improve access to community resources to help.” Other ongoing studies under the auspices of CHDRI are looking at racial disparities in care among people with chronic illnesses who receive their care from NP practices, at how primary-care social networks in medical homes affect patient outcomes, at validating a tool to measure the creativity of primary-care teams, and more. With funding from the Agency for Healthcare Research and Quality, Poghosyan developed and validated a survey instrument known as the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ). It measures features of a clinic’s work climate, including the quality of NPs’ relationships with physicians and administrators and the practice’s structural capabilities, such as whether or not it has electronic health records. Now, she and her colleagues are using the tool to investigate whether these features influence not only NP job satisfaction and burnout, but patient outcomes like emergency room visits and hospitalizations. “The consistent pattern that we’re seeing is that we need a robust nurse practitioner workforce, we need a good policy environment,

Columbia Nursing Fall-Winter 2021

Amelia Schlak, PhD

and we need a favorable work environment. We have to learn how to design good teams,” Poghosyan says. Expanding NPs’ scope of practice is also key, she adds, noting that NPs must have access to the same resources, support, and information as other primary-care providers do to be able to deliver high-quality, safe care to patients. What’s so exciting about Poghosyan’s research is that some clinic characteristics can be modified to change workplace climate regardless of an organization’s financial situation, says Amelia Schlak, PhD, a core CHDRI member, a nursing outcomes researcher, and a postdoctoral research fellow in a Columbia Nursing fellowship program known as CER2 (Comparative and Cost-Effectiveness Research) Training for Nurse Scientists. “She focuses on these clinic-level features that they can really harness and change.” For example, many clinics could tap other community resources more than they do. Teasing out which differences drive variations in quality is essential, Schlak adds. “We need to understand those because the difference in quality translates into patient outcomes, including things like mortality.” Schlak points out that Poghosyan maintains a focus on health equity and disparities in care in her research—and urges her students to do the same. “We need to have health equity be a central part of all of our research and all of our work,” Schlak says. “Lusine has always challenged us as her mentees to consider issues from a health equity lens and a health equity framework.”

Clinics poorly prepared to care for dementia patients Vaneh Hovsepian, MS ’18, is a PhD student and a core member of CHDRI. Born and raised in Iran in an Armenian family, she became interested in improving the quality of care for older adults with dementia after seeing the less-than-optimal treatment her grandmother with Alzheimer’s disease received in Iran. “When I moved to the U.S., I noticed the same pattern,” she says.

Vaneh Hovsepian, MS ’18

Primary care is the first point of contact for patients with dementia, she notes, most of whom live independently and receive care in their community. Her research looks at the availability of structural capacities in primary-care settings (such as care coordination) and their influence on patient outcomes (such as hospitalizations among older adults with dementia). So far, she’s found that while most primary-care practices have electronic health records, “other structural capabilities, such as care coordination, community resources, and reminder systems, are not widely available in primary-care settings where the dementia population receives care.” For example, research shows that community resources offered by local Alzheimer’s Association chapters can be very helpful to patients and their caregivers, Hovsepian notes, but she’s found that few clinics take advantage of community resources. “The primarycare settings are not well prepared to provide care to the dementia population,” she explains. By fostering collaboration and mentorship, the new center will support the search for effective approaches to training NPs to care for patients with dementia, while also accelerating research on these and other key questions in health services research, Hovsepian says. “CHDRI will give us a bigger opportunity to network and potentially collaborate with people who have the same research interests. I am thrilled and grateful to be part of the CHDRI.”

Helping the highest-need, highest-cost patients Ani Bilazarian, BS, another PhD student who is a core member of CHDRI, combines her research with a full-time job as an ER nurse— which she calls “an unbelievable add-on to my work and to hypothesis generation.” She decided to pursue a PhD after she saw patients and providers facing the same challenges over and over again in the ER and realized that “the only way for me to make sustained and system-level change was to conduct research.”

Ani Bilazarian, BS

“ To advance our profession . . . we need continued advocacy supported by evidence and expertise.” — PhD student Ani Bilazarian Her dissertation is on primary-care practices where NPs deliver care to older patients with complex health-care needs, and her research has already shown that one-size-fits-all approaches don’t improve outcomes for all—and may even be harmful to some. “Nurses can be an incredible asset, as we are trained in holistically treating patients, and the most costly and chronically ill patients in the U.S. require interventions that are targeted to their unique medical, behavioral, social, and economic needs,” Bilazarian says. “We need clinicians that take the time to sit with patients to understand how chronic conditions impact their life.” This type of tailored care may require more up-front investment, she adds, but offers the prospect of finding ways to more effectively manage care for these patients at a lower ultimate cost, due to likely savings as a result of reduced emergency room visits and hospitalizations. “In reducing costs, we actually improve care,” Bilazarian says. “I am so excited for the new Center for HDRI for so many reasons,” she continues. “To advance our profession and to continue to expand scope of practice for NPs, we need continued advocacy supported by evidence and expertise. “Dr. Poghosyan has assembled a brilliant multidisciplinary team with expertise across disciplines,” Bilazarian adds. “Dr. Poghosyan personally has extensive experience and a passion for issues surrounding primary care, the nurse practitioner workforce, and expanding high-quality care for older adults and minority populations. I am so excited to see what will come out of this center and from her leadership.” 

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GETTING TO KNOW YOUR COLUMBIA NURSING ALUMNI ASSOCIATION BOARD WHY DO YOU STAY CONNECTED TO COLUMBIA NURSING?

Columbia nursing produces forward thinkers, innovators, influencers, and leaders. We are on the cutting edge. Who wouldn’t want to be connected to that?

It was an important ticket in my life. I became a certified nurse midwife. I want to help others find that ticket. Rosalind Kendellen, MS ’74

Kevin Browne, MS ’92 (President)

To this day, Columbia Nursing faculty remain important mentors for me. Since I work at Columbia, I’m also constantly interacting with colleagues I met at school, which provides a very reassuring sense of community and camaraderie.

It’s important to me to stay connected to the place where my nursing career began and where I took on the expectations of being a committed professional, qualities that were encouraged in us. Christa Heinsler, BS ’76 (Secretary)

Nicolas Burry, DNP ’20

I was able to take advantage of many amazing opportunities during my time as a student, which I know will be important for the rest of my career. My hopes are to make sure that all students and alumni have the same, if not more, opportunities as well. Kenrick Cato, PhD ’14

WHAT ADVICE WOULD YOU GIVE TO RISING GRADUATES?

Think broadly. There’s so much you can do as a nurse and so many places where nurses’ voices are needed. Olivia Velez, PhD ’11

Your education will allow you to help patients and the healthcare system in many ways. Use it in the way that best suits you, and recognize that may change over the course of your career. Denise Houghton, BS ’78

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Hang in there! Know that you will draw from the knowledge that you are gaining from your courses and experiences at Columbia for years to come. Marjorie Salas Weis, DNP ’17

Every day is an opportunity for you as a student at Columbia, whether in the classroom, simulation room, or at clinical. Embrace each day and strive to innovate, challenge, and move this profession forward. Hilda Haynes Lewis, MS ’99

The connection you will share with the countless patients entrusted to you is sacred. Make each encounter meaningful. Mollie Finkel, MS ’12 (Nominating Chair)

WHAT IS YOUR FAVORITE COLUMBIA NURSING MEMORY?

The day after I had my twins, I had a postpartum visit by a team of enthusiastic and amazing MDE students on their OB rotation. It felt as though my Columbia education had come full circle, and I felt blessed.

Meeting amazing lifelong friends and experiencing clinical opportunities with them. These friends are the people I go to still about everything, and I don’t know what I would do without them!

Watching the Fourth of July fireworks from the terrace of 50 Haven Ave. with my fellow students. Matthew Jenison, MS ’12

Julie Yoshimachi, DNP ’20

Remembering when a professor told us that we’d all make at least one lifelong friend, and looking around at graduation and seeing several people I felt that way about! Connie Yip, MS ’13

Laura Ardizzone, DNP ’10 (Ex Officio)

The advice my class got from one of our faculty members, who helped us relax by stating that “a nurse does not spring forth fully formed.” I recall thinking because we were a highly motivated group with lives already lived that it was OK to feel awkward in this new role. Kevin Hook, BS ’98

WHAT DOES IT MEAN TO YOU TO BE A COLUMBIA NURSE?

I am so proud to be a Columbia nurse because it means that I am prepared with the proper skills and superior knowledge to provide the best care to my patients. Kimberly Lanfranca, MS ’06

To be an example of excellence in nursing. A role model to those who wish to follow in our footsteps. Paige Bellinger, MS ’12

I am confident that I am prepared to take on challenges and be a role model for my colleagues. Nothing makes me prouder than to see Columbia Nursing students walking the halls of my hospital. I will always welcome them and give them a word of encouragement.

Pride, pride, pride! I received a stellar education at Columbia, and I know that I possess the skill set to accomplish any goal I set. Felesia Bowen, PhD ’10

There are many ways for Columbia University School of Nursing alumni to remain active in the Columbia Nursing community. For more information, please contact Sharon Sobel, assistant director, alumni relations, at ss5560@cumc. columbia.edu.

Daniel Billings, DNP ’18

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Government and Private Funding for

Research and Training July 1, 2020–June 30, 2021

G E T T Y IM A G E S

Principal Investigator: Cilgy Abraham, BSN Project Title: Practice Environments and Electronic Health Records Use in Primary Care: Reducing Nurse Practitioner Burnout R36HS027290 Program Funding Source: AHRQ Total Budget: $42,913 Project Dates: 1/1/2020–8/31/2020

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Principal Investigator: Gregory Alexander, PhD Project Title: A National Report of Nursing Home Quality Measures and Information Technology R01HS022497 Program Funding Source: AHRQ Total Budget: $742,785 Project Dates: 3/1/2020–7/31/2022

Principal Investigator: Adriana Arcia, PhD Project Title: Validity of Functional Assessment Staging by Caregivers AARGD-20-684358 Program Funding Source: Alzheimer’s Association Total Budget: $149,938 Project Dates: 8/1/2020–8/1/2023

Principal Investigator: Adriana Arcia, PhD Project Title: Validity of Functional Assessment Staging by Caregivers AARGD-20-684359-Supplement Program Funding Source: Alzheimer’s Association Total Budget: $49,618 Project Dates: 2/1/2021–10/31/2021 Principal Investigator: Suzanne Bakken, PhD Project Title: Precision in Symptom Self-Management Center (PriSSM) P30NR016587 Program Funding Source: NIH-NINR Total Budget: $2,722,457 Project Dates: 8/16/2016–5/31/2022 Principal Investigator: Suzanne Bakken, PhD Project Title: Reaching Communities through the Design of Information Visualizations (ReDIVis) Toolbox for Return of COVID-19 Results 3P30NR016587-05S1 Program Funding Source: NIH-NINR Total Budget: $1,252,027 Project Dates: 11/16/2020–11/15/2022 Principal Investigator: Suzanne Bakken, PhD Project Title: Reducing Health Disparities Through Informatics (RHeaDI) T32NR007969 Program Funding Source: NIH-NINR Total Budget: $1,939,614 Project Dates: 7/1/2017–6/30/2022 Principal Investigator: Suzanne Bakken, PhD Project Title: Reducing Health Disparities Through Informatics (RHeaDI) T32NR007969-19S1 Program Funding Source: NIH-NINR (NHGRI Supplement) Total Budget: $170,807 Project Dates: 7/1/2020–6/30/2022

Principal Investigator: Jean-Marie Bruzzese, PhD Project Title: Translating an Evidence-Based Urban Asthma Program for Rural Adolescents: Testing Effectiveness and Cost-Effectiveness and Understanding Factors Associated with Implementation R01HL136753 Program Funding Source: NIH-NHLBI Total Budget: $3,620,591 Project Dates: 7/5/2017–6/30/2023 Principal Investigator: Jean-Marie Bruzzese, PhD Project Title: Multi-Component Technology Intervention for African American Emerging Adults R01HL133506 Program Funding Source: NIH-NHLBI (Wayne State University Subcontract) Total Budget: $165,081 Project Dates: 9/1/2016–6/30/2021 Principal Investigator: Jean-Marie Bruzzese, PhD Project Title: Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools R01MD012225 Program Funding Source: NIH-NIMHD (Rhode Island Hospital Subcontract) Total Budget: $136,006 Project Dates: 9/25/2017–6/30/2022 Principal Investigator: Jean-Marie Bruzzese, PhD Project Title: Development and Pilot Testing of Sleeping Healthy/Living Healthy, a Comprehensive Sleep Intervention for Adolescents in Urban SBHCs R21MD013991 (Multiple PI: Samantha Garbers [Contact]) Program Funding Source: NIH-NIMHD Total Budget: $459,766 Project Dates: 8/3/20–2/28/22 Principal Investigator: Kellie Bryant, DNP Project Title: Hearst Simulation Lab Proposal HEARSTCU19-2045 Program Funding Source: William Randolph Hearst Foundation Total Budget: $500,000 Project Dates: 7/1/2019–06/30/2022

Principal Investigator: Kellie Bryant, DNP Project Title: The Hyde and Watson Foundation Grant 2020 HYDE9216127 Program Funding Source: Hyde and Watson Foundation Total Budget: $9,000 Project Dates: 4/14/2020–4/13/2021 Principal Investigator: Billy Caceres, PhD Project Title: Examining Associations of Sexual Identity, Life Experiences, and Cardiovascular Disease Risk in Sisters K01HL146965 Program Funding Source: NIH-NHLBI Total Budget: $854,887 Project Dates: 7/1/2019–06/30/2024 Principal Investigator: Kenrick Cato, PhD Project Title: Communicating Narrative Concerns Entered by RNs (CONCERN) R01NR01694101 (Multiple PI: Sarah Collins, PhD [Contact]) Program Funding Source: NIH-NINR Total Budget: $2,415,488 Project Dates: 5/1/2018–1/31/2022 Principal Investigator: Kenrick Cato, PhD Project Title: Homecare-CONCERN: Building Risk Models for Preventable Hospitalizations and Emergency Department Visits in Homecare R01HS027742 Program Funding Source: AHRQ (VNSNY Subcontract) Total Budget: $23,352 Project Dates: 9/30/2020–7/31/2024 Principal Investigator: Kenrick Cato, PhD Project Title: IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) R03HS027006 Program Funding Source: AHRQ (RF-CUNY Subcontract) Total Budget: $4,050 Project Dates: 4/1/2020–3/31/2021

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Government and Private Funding for Research and Training Principal Investigator: Leah Estrada, BSN Project Title: Health Policy Research Scholars Cohort Four- 2020 RWF77840 Program Funding Source: RWJF Total Budget: $124,000 Project Dates: 9/1/2020–8/31/2024 Principal Investigator: Stephen Ferrara, DNP Project Title: Collaborative Access for LGBT Adults (CALA) UD7HP29872 Program Funding Source: HRSA Total Budget: $488,062 Project Dates: 7/1/2019–9/29/2020 Principal Investigator: Stephen Ferrara, DNP Project Title: HRSA Advanced Nursing Education Nurse Practitioner Residency (ANE-NPR) Program BASSETTCU19-0741 Program Funding Source: HRSA (Bassett Subcontract) Total Budget: $353,672 Project Dates: 7/1/2019–6/30/2023 Principal Investigator: Lorraine Frazier, PhD Project Title: Jonas Nursing and Veterans Healthcare at Columbia University JCHCU16-0569 Program Funding Source: Jewish Communal Fund/Jonas Nursing and Veterans Healthcare Total Budget: $11,082,858 Project Dates: 12/28/2017–12/27/2027 Principal Investigator: Lorraine Frazier, PhD Project Title: Ladies Christian Union (LCU) Fund for Women’s Education LCUCU20-0076 Program Funding Source: Ladies Christian Union (LCU) Total Budget: $100,000 Project Dates: 7/1/2020–6/30/2021 Principal Investigator: Lorraine Frazier, PhD Project Title: Dr. Scholl Foundation Scholarship Fund SCH0LLCU19-3903 Program Funding Source: Dr. Scholl Foundation Total Budget: $10,000 Project Dates: 1/1/2020–12/31/2020

Columbia Nursing Fall-Winter 2021

Principal Investigator: Lorraine Frazier, PhD Project Title: Dr. Scholl Foundation Scholarship Fund SCH0LLCU20-0745 Program Funding Source: Dr. Scholl Foundation Total Budget: $10,000 Project Dates: 1/1/2021–12/31/2021 Principal Investigator: Maureen George, PhD Project Title: BREATHE: An EfficacyImplementation Trial of a Brief Shared Decision Making Intervention among Black Adults with Uncontrolled Asthma in Federally Qualified Health Centers (FQHC) R01NR019275 Program Funding Source: NIH-NINR Total Budget: $2,447,470 Project Dates: 5/6/2020–2/28/2026 Principal Investigator: Amanda Hessels, PhD Project Title: Impact of Patient Safety Climate on Infection Prevention Practices and Healthcare Worker and Patient Outcomes K01OH011186 Program Funding Source: CDC Total Budget: $324,000 Project Dates: 9/2/2016–8/31/2020 Principal Investigator: Amanda Hessels, PhD Project Title: Simulation to Improve Infection Prevention and Patient Safety: The SIPPS Trial R18HS026418 Program Funding Source: AHRQ Total Budget: $1,860,798 Project Dates: 3/1/2019–2/29/2024 Principal Investigator: Judy Honig, DNP Project Title: Nurse Faculty Loan Program 2E01HP270120200 Program Funding Source: HRSA Total Budget: $276,516 Project Dates: 7/1/2020–6/30/2021 Principal Investigator: Vaneh Hovsepian, MSN Project Title: The Influence of Primary Care Structural Capabilities on Hospitalizations among Older Adults with Dementia R36AG071946 Program Funding Source: NIH-NIA Total Budget: $48,191 Project Dates: 6/15/2021–5/31/2022

Principal Investigator: Tonda Hughes, PhD Project Title: Impact of Supportive Policies on Minority Stress, Drinking, and Health Among Women R01AA013328 Program Funding Source: NIH-NIAAA (University of Illinois at Chicago Subcontract) Total Budget: $958,320 Project Dates: 2/1/2017–7/31/2021 Principal Investigator: Tonda Hughes, PhD Project Title: Sexual Orientation Differences: Prevalence and Correlates of Substance Use and Abuse R01DA036606 Program Funding Source: NIH-NIDA (Public Health Institute Subcontract) Total Budget: $137,725 Project Dates: 2/1/2017–8/31/2021 Principal Investigator: Tonda Hughes, PhD Project Title: Sexual Orientation, Discrimination, and Health Disparities in DSM-5 Alcohol Use Disorder R01AA025684 Program Funding Source: NIH-NIAAA (University of Michigan Subcontract) Total Budget: $65,390 Project Dates: 4/1/2018–1/31/2021 Principal Investigator: Tonda Hughes, PhD Project Title: Stress, Hazardous Drinking, and Intimate Partner Aggression in a Diverse Sample of Women and Their Partners R01AA027252 Program Funding Source: NIH-NIAAA Total Budget: $2,750,690 Project Dates: 9/10/2019–6/30/2024 Principal Investigator: Tonda Hughes, PhD Project Title: Role of Stress in Shaping Maternal, Infant, and Child Outcomes R01HD091405 Program Funding Source: NIH-NICHD (University of Utah Subcontract) Total Budget: $63,586 Project Dates: 9/14/2018–5/31/2021

Principal Investigator: Tonda Hughes, PhD Project Title: National Nursing Summit on LGBT Health MACYJJCU19-3257 Program Funding Source: Josiah Macy Jr. Foundation Total Budget: $10,000 Project Dates: 9/1/2019–8/31/2020

Principal Investigator: Allison Norful, PhD Project Title: Optimizing the Use of Primary Care Provider Workforce During Chronic Disease Care: The Measurement and Impact of Provider Co-Management RFUCU18-1324 Program Funding Source: RFU Total Budget: $25,000 Project Dates: 7/1/2018–6/30/2022

Principal Investigator: Haomiao Jia, PhD Project Title: Mental Health Burden on the U.S. Population, Including Workers in the Wake of the COVID-19 Pandemic 20IPA2014150-M01 Program Funding Source: DHHS-CDCNIOSH-SSTRB Total Budget: $65,000 Project Dates: 9/1/2020–8/31/2022

Principal Investigator: Lusine Poghosyan, PhD Project Title: Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner Practice R01MD011514 Program Funding Source: NIH-NINR Total Budget: $2,558,012 Project Dates: 6/13/2017–1/31/2022

Principal Investigator: Elaine Larson, PhD Project Title: Flu SAFE: Flu SMS Alerts to Freeze Exposure R01AI127812 (Multiple PI: Lisa Saiman, MD, Melissa Stockwell, MD [Contact]) Program Funding Source: NIH-NIAID Total Budget: $798,011 Project Dates: 9/1/2016–8/31/2020

Principal Investigator: Lusine Poghosyan, PhD Project Title: Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner Practice Administrative Supplement R01MD011515-03S1 Program Funding Source: NIH-NINR Total Budget: $393,934 Project Dates: 2/1/2019–1/31/2021

Principal Investigator: Elaine Larson, PhD Project Title: Nursing Intensity of Patient Care Needs and Rates of HealthcareAssociated Infections (NIC-HAI) R01HS024915 Program Funding Source: AHRQ Total Budget: $1,350,476 Project Dates: 9/1/2016–8/31/2020

Principal Investigator: Lusine Poghosyan, PhD Project Title: Nurse Practitioner Supply, Practice, and Economic Efficiency to Benefit the Underserved and Medicaid Patients R101016 Program Funding Source: NCSBN Total Budget: $256,416 Project Dates: 3/1/2018–8/31/2020

Principal Investigator: Maribeth Massie, PhD Project Title: Nurse Anesthetist Traineeships A22HP33098 Program Funding Source: HRSA Total Budget: $183,297 Project Dates: 7/1/2020–6/30/2023

Principal Investigator: Lusine Poghosyan, PhD Project Title: Social Networks in Medical Homes and Impact on Patient Care and Outcomes R01HS025937 Program Funding Source: AHRQ Total Budget: $2,123,805 Project Dates: 2/1/2019–1/31/2024

Principal Investigator: Shazia Mitha, MSN Project Title: Breast Cancer and Cardiotoxicity Program Funding Source: American Cancer Society Total Budget: $30,000 Project Dates: 9/1/2020–8/31/2022

Principal Investigator: Lusine Poghosyan, PhD Project Title: Influence of Nurse Practitioner Practice Restrictions on Chronic Disease Health Disparities R101047 Program Funding Source: NCSBN (University of Pennsylvania Subcontract) Total Budget: $44,678 Project Dates: 1/1/2019–12/31/2020

Principal Investigator: Lusine Poghosyan, PhD Project Title: Care for Persons with Dementia in Nurse Practitioner Practices and Racial and Ethnic Health Disparities 5R01AG069143 Program Funding Source: NIH-NIA Total Budget: $3,616,936 Project Dates: 9/15/2020–5/31/2025 Principal Investigator: Lusine Poghosyan, PhD Project Title: Advancement of Research on Nurse Practitioners (ARNP): Setting a Research Agenda R13HS027726 Program Funding Source: AHRQ Total Budget: $49,836 Project Dates: 9/30/2020–9/29/2021 Principal Investigator: Rebecca Schnall, PhD Project Title: Video Information Provider for HIV-Associated Non-AIDS (VIP-HANA) Symptoms R01NR015737 Program Funding Source: NIH-NINR Total Budget: $2,331,859 Project Dates: 7/16/2015–5/31/2021 Principal Investigator: Rebecca Schnall, PhD Project Title: Video Information Provider for HIV-Associated Non-AIDS (VIPHANA) Symptoms Alzheimer’s Supplement R01NR015737-04S1 Program Funding Source: NIH-NINR Total Budget: $404,982 Project Dates: 6/1/2018–5/31/2021 Principal Investigator: Rebecca Schnall, PhD Project Title: The Wise App Trial for Improving Health Outcomes in People Living with HIV/AIDS (PLWH) R01HS025071 Program Funding Source: AHRQ Total Budget: $1,989,445 Project Dates: 9/30/2016–9/29/2021 Principal Investigator: Rebecca Schnall, PhD Project Title: A Pragmatic Clinical Trial of MyPEEPS Mobile to Improve HIV Prevention Behaviors in Diverse Adolescent Men Who Have Sex with Men (MSM) U01MD011279 Program Funding Source: NIH-NIMHD Total Budget: $7,882,836 Project Dates: 9/1/2016–4/30/2022

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Government and Private Funding for Research and Training Principal Investigator: Rebecca Schnall, PhD Project Title: mLab App for Improving Uptake of Rapid HIV Self-Testing and Linking Youth to Care R01MH118151 Program Funding Source: NIH-NIMHD Total Budget: $4,090,639 Project Dates: 8/3/2018–5/31/2023 Principal Investigator: Rebecca Schnall, PhD Project Title: Mentoring and Research in Self-Management for Health Promotion and Disease Prevention K24NR018621 Program Funding Source: NIH-NINR Total Budget: $570,127 Project Dates: 4/17/2019–3/31/2024 Principal Investigator: Rebecca Schnall, PhD Project Title: Mobile Adaptation and Testing of a Uniquely Targeted HIV Intervention for Young Transgender Women R56MH113684 Program Funding Source: NIH-NINR (Brown University Subcontract) Total Budget: $58,321 Project Dates: 7/1/2018–7/31/2020 Principal Investigator: Jingjing Shang, PhD Project Title: Infection Control in Home Care and Predictive Risk Modeling R01HS024723 Program Funding Source: AHRQ Total Budget: $1,391,760 Project Dates: 7/1/2016–10/31/2020 Principal Investigator: Jingjing Shang, PhD Project Title: Infection Prevention in Home Health Care (InHOME) R01NR016865 Program Funding Source: NIH-NINR Total Budget: $2,534,014 Project Dates: 9/21/2017–6/30/2021 Principal Investigator: Jingjing Shang, PhD Project Title: Infection Prevention in Home Health Care (InHOME) Administrative Supplement R01NR016866-03S1 Program Funding Source: NIH-NINR Total Budget: $450,645 Project Dates: 7/1/2019–6/30/2021

Columbia Nursing Fall-Winter 2021

Principal Investigator: Jingjing Shang, PhD Project Title: Exploring Prevalence of Wound Infections and Related Patient Characteristics in Homecare Using Natural Language Processing VNSNY201901 (Originally Awarded to K. Woo, PhD) Program Funding Source: Visiting Nurse Service of New York Total Budget: $2,896 Project Dates: 9/1/2019–8/31/2020 Principal Investigator: Jingjing Shang, PhD Project Title: Improving Ethical Care for Patients Who Are Incapacitated with No Evident Advance Directives or Surrogates (INEADS) R21NR019319 Program Funding Source: NIH-NINR (Icahn School of Medicine at Mount Sinai Subcontract) Total Budget: $74,965 Project Dates: 8/28/2020–7/31/2022 Principal Investigator: Arlene Smaldone, PhD Project Title: Columbia University Future of Nursing Scholars (Fourth Cohort: Two Scholars) 74336 Program Funding Source: RWJF Total Budget: $150,000 Project Dates: 4/15/2017–9/1/2020 Principal Investigator: Arlene Smaldone, PhD Project Title: Columbia University Future of Nursing Scholars (Fifth Cohort: Two Scholars) 75252 Program Funding Source: RWJF Total Budget: $150,000 Project Dates: 4/1/2018–7/31/2021 Principal Investigator: Arlene Smaldone, PhD Project Title: Jonas Nurse Leaders and Veterans Scholar Program 2018–2020 JCNVHCU181060 Program Funding Source: Jonas Nursing and Veterans Healthcare Total Budget: $90,000 Project Dates: 8/1/2018–7/31/2020

Principal Investigator: Arlene Smaldone, PhD Project Title: Jonas Nurse Leaders and Veterans Scholar Program 2019–2021 JCNVHCU19-1670 Program Funding Source: Jonas Nursing and Veterans Healthcare Total Budget: $15,000 Project Dates: 7/1/2019–6/31/2021 Principal Investigator: Arlene Smaldone, PhD Project Title: Jonas-Flynn Scholarship JCNVHCU19-1670 Program Funding Source: Jonas Nursing and Veterans Healthcare Total Budget: $20,000 Project Dates: 7/1/2019–6/31/2021 Principal Investigator: Arlene Smaldone, PhD Project Title: Jonas Scholars 2020-2021 JCNE CU20-2780 Program Funding Source: Jonas Nursing and Veterans Healthcare Total Budget: $17,644 Project Dates: 8/1/2020–7/31/2021 Principal Investigator: Arlene Smaldone, PhD Project Title: Hydroxyurea Adherence for Personal Best in Sickle Cell Treatment R01NR017206 (Multiple PI: Nancy Green, MD [Contact]) Program Funding Source: NIH-NINR Total Budget: $2,938,465 Project Dates: 9/27/2017–6/30/2022 Principal Investigator: Kodiak Soled, MSN Project Title: Perinatal Social Support in Underserved and Minority Populations F31NR019203 Program Funding Source: NIH-NINR Total Budget: $91,040 Project Dates: 6/1/2020–7/31/2022 Principal Investigator: Kodiak Soled, MSN Project Title: Perinatal Social Support among Sexual and Gender Minority Childbearing Parents AWH0NNCU19-3986 Program Funding Source: AWHONN Total Budget: $10,000 Project Dates: 5/1/2020–12/31/2021

Principal Investigator: Samantha Stonbraker, PhD Project Title: Information Visualizations to Facilitate Clinician-Patient Communication in HIV Care (Info Viz: HIV) K99NR017829 Program Funding Source: NIH-NINR Total Budget: $180,672 Project Dates: 9/1/2018–8/31/2020 Principal Investigator: Patricia Stone, PhD Project Title: Comparative and CostEffectiveness Research Training for Nurse Scientists T32NR014205 Program Funding Source: NIH-NINR Total Budget: $1,503,740 Project Dates: 7/1/2017–6/30/2023 Principal Investigator: Patricia Stone, PhD Project Title: Study of Infection Management and Palliative Care at End of Life (SIMP-EL) R01NR013687 Program Funding Source: NIH-NINR Total Budget: $2,759,942 Project Dates: 7/1/2012–3/31/2021 Principal Investigator: Patricia Stone, PhD Project Title: Center for Improving Palliative Care for Vulnerable Adults with MCC (CIPC) P20NR018072 (Multiple PI: Jingjing Shang, PhD) Program Funding Source: NIH-NINR Total Budget: $2,039,992 Project Dates: 8/8/2018–5/31/2023 Principal Investigator: Patricia Stone, PhD Project Title: Impact of Financial Incentives on Setting of Care for Older Adults with Alzheimer’s Disease and Related Dementias R21AG069787 Program Funding Source: NIH-NIA (RAND Corp Subcontract) Total Budget: $20,000 Project Dates: 9/30/2020–5/31/2022

Principal Investigator: Patricia Stone, PhD Project Title: Promoting Health Equity and Eliminating Health Disparities in Nursing Home Quality Measures RA838-01 Program Funding Source: RWJF (New York University Subcontract) Total Budget: $20,889 Project Dates: 9/1/2020–8/31/2022 Principal Investigator: Jacquelyn Taylor, PhD Project Title: Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure R01NR013520 Program Funding Source: NIH-NINR Total Budget: $198,656 Project Dates: 7/13/2020–6/30/2021 Principal Investigator: Jacquelyn Taylor, PhD Project Title: Yale Transdisciplinary Collaborative Center for Health Disparities Research (YALE-TCC) YUGR109257(C0N-80002338) (5U54MD010711) Program Funding Source: NIH-NIMHD (Yale University Subcontract) Total Budget: $24,024 Project Dates: 3/1/2020–5/31/2021 Principal Investigator: Jacquelyn Taylor, PhD Project Title: Research Education in Cardiovascular Conditions (RECV) NYUF1416-01S (R25HL145323) Program Funding Source: NIH-NHLBI (New York University Subcontract) Total Budget: $12,500 Project Dates: 4/17/2020–3/31/2025 Principal Investigator: Jacquelyn Taylor, PhD Project Title: Actions to Decrease Disparities in Risk and Engage in Shared Support for Blood Pressure Control (ADDRESS-BP) in Blacks NYU 20-A1-00-1003342 (1UG3HL151310-01-1A1) Program Funding Source: NIH-NHLBI (New York University Subcontract) Total Budget: $61,464 Project Dates: 9/10/2020–8/31/2023

Principal Investigator: Jacquelyn Taylor, PhD Project Title: Whole Genome Sequencing: The Intergenerational Impact of Genetic and Psychological Factors on Body Mass Index Study on African Americans NYU Sub F1309-01 (75N98019P03309) Program Funding Source: NIH-NHLBI (New York University Subcontract) Total Budget: $17,513 Project Dates: 3/1/2020–9/22/2020 Principal Investigator: Maxim Topaz, PhD Project Title: Improving Patient Prioritization During Hospital-Homecare Transition: A Mixed Methods Study of a Clinical Decision Support Tool R01NR018831 Program Funding Source: NIH-NINR Total Budget: $2,019,591 Project Dates: 9/25/2019–7/31/2022 Principal Investigator: Cindy Veldhuis, PhD Project Title: Testing Associations Among Sexual Identity, Race/Ethnicity, Relationship Characteristics, and Hazardous Drinking F32AA025816 Program Funding Source: NIH-NIAAA Total Budget: $192,978 Project Dates: 9/1/2017–8/31/2020 Principal Investigator: Cindy Veldhuis, PhD Project Title: A Mixed-Methods Approach to Understanding Stress and Hazardous Drinking among Same-Sex Female Couples K99AA028049 Program Funding Source: NIH-NIAAA Total Budget: $315,569 Project Dates: 9/5/2020–8/31/2022 Principal Investigator: Katherine Zheng, BSN Project Title: Developmental Assets in Adolescents with Chronic Illness and Co-morbid Depression F31NR018779 Program Funding Source: NIH-NINR Total Budget: $45,016 Project Dates: 9/1/2019–8/31/2020

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Selected Faculty

Publications

G E T T Y IM A G E S

Our faculty’s research continues to create new knowledge that advances health care. Listed are selected articles published by leading peer-reviewed publications. Gregory Alexander was among the authors

Adriana Arcia and Maureen George were the

of “Enhancing Physician Relationships, Communication, and Engagement to Reduce Nursing Home Residents Hospitalizations,” published in Journal of Nursing Care Quality, and “Usability Evaluation of a Smartphone Medication Reminder Application in Patients Treated with Short-Term Antibiotic,” published in CIN: Computers, Informatics, Nursing.

authors of “Reference Range Number Line Format Preferred by Adults for Display of Asthma Control Status,” published in Journal of Asthma.

Columbia Nursing Fall-Winter 2021

Suzanne Bakken, Kenrick Cato, PhD ’14, and Maxim Topaz were among the authors of

“Artificial Intelligence in Nursing: Priorities and Opportunities from an International

Invitational Think-Tank of the Nursing and Artificial Intelligence Leadership Collaborative,” published in Journal of Advanced Nursing. Veronica Barcelona, Laura Prescott, and Jacquelyn Taylor were among the authors of

“Depressive Symptoms and Blood Pressure in African American Women: A Secondary Analysis from the Intergenerational Impact of Genetic and Psychological Factors on Blood Pressure Study,” published in Journal of Cardiovascular Nursing. Veronica Barcelona and Jacquelyn Taylor were among the authors of “DNA Methyla-

tion, Preterm Birth and Blood Pressure in African American Children: The DPREG Study,” published in Journal of Immigrant and Minority Health, and “The Association Between Neighborhood Social Vulnerability and Cardiovascular Health Risk Among Black/African American Women in the InterGEN Study,” published in Nursing Research. Lauren Bochicchio was among the authors of “‘Being There’ vs ‘Being Direct’: Perspectives of Persons with Serious Mental Illness on Receiving Support with Physical Health from Peer and Non-Peer Providers,” published in Administration and Policy in Mental Health and Mental Health Services Research.

Identity Differences,” published in Journal of Behavioral Medicine. Billy Caceres and Patricia Stone were among

Maureen George, Jean-Marie Bruzzese,

the authors of “Federal Requirements for Nursing Homes to Include Certified Nursing Assistants in Resident Care Planning and Interdisciplinary Teams: A Policy Analysis,” published in Nursing Outlook.

and Arlene Smaldone, PhD ’03, were among the authors of “Developmental Assets of Adolescents and Young Adults with Chronic Illness and Comorbid Depression: Qualitative Study Using YouTube,” published in JMIR Mental Health.

Kenrick Cato, PhD ’14, was co-author of “Extubation During Extracorporeal Membrane Oxygenation in Adults: An International Qualitative Study on Experts’ Opinions,” published in Heart & Lung: The Journal of Acute and Critical Care.

Jean-Marie Bruzzese was among the authors

Bevin Cohen, MS ’17, Jianfang Liu, Jingjing Shang, Jiyoun Song, PhD ’20, and Elaine Larson

of “Psychosocial Stress, Sleep Quality, and Interest in Mind-Body Integrative Health Sleep Intervention Among Urban Adolescents in the School-Based Health Setting,” published in Complementary Therapies in Medicine.

were among the authors of “Predicting Healthcare-Associated Infections, Length of Stay, and Mortality with the Nursing Intensity of Care Index,” published in Infection Control & Hospital Epidemiology.

Billy Caceres was among the authors of

Leah Estrada, Jingjing Shang, and Patricia Stone

“Preventing Cardiovascular Disease Among Sexual and Gender Minority Persons,” published in Heart, and co-author of “Cardiovascular Health Concerns in Sexual and Gender Minority Populations,” published in Nature Reviews Cardiology.

were among the authors of “CommunityBased Advance Care Planning Interventions for Minority Older Adults: A Systematic Review,” published in Journal of Gerontological Nursing.

Billy Caceres and Kathleen Hickey were the authors of “Examining Sleep Duration and Sleep Health Among Sexual Minority and Heterosexual Adults: Findings from NHANES (2005–2014),” published in Behavioral Sleep Medicine. Billy Caceres and Tonda Hughes were

among the authors of “Revictimization Is Associated with Higher Cardiometabolic Risk in Sexual Minority Women,” published in Women’s Health Issues. Billy Caceres, Tonda Hughes, and Cindy Veldhuis were among the authors of

“Past-Year Discrimination and Cigarette Smoking Among Sexual Minority Women: Investigating Racial/Ethnic and Sexual

Long-Term Ventilation Decision Support,” published in Pediatric Pulmonology.

Leah Estrada, Jasmine Solano, and Billy Caceres were among the authors of

“Comparative Effectiveness of Behavioral Interventions for Cardiovascular Risk Reduction in Latinos: A Systematic Review,” published in Journal of Cardiovascular Nursing. Leah Estrada and Patricia Stone were among the authors of “Assessment of Coronavirus Disease 2019 Infection and Mortality Rates Among Nursing Homes with Different Proportions of Black Residents,” published in Journal of the American Medical Directors Association. Maureen George was among the authors of “Development and Validation of a Novel Informational Booklet for Pediatric

Sophie Gloeckler, MS ’19, was co-author of “Altruism, Recklessness, or Something Else? A Summary of the Forum on Self-Experimentation in the Time of COVID-19,” published in Swiss Medical Weekly. Amanda Hessels was among the authors

of “Administrative Supervisor Stressors, Engagement, and Satisfaction,” published in Nursing Management. Kasey Jackman, PhD ’17, Joseph Belloir, and Walter Bockting were among the authors

of “Understanding the Impact of the COVID-19 Pandemic on the Mental Health of Transgender and Gender Nonbinary Individuals Engaged in a Longitudinal Cohort Study,” published in Journal of Homosexuality. Haiomiao Jia was among the authors of

“Adapted Stopping Elderly Accidents, Deaths, and Injuries Questions for Falls Risk Screening: Predictive Ability in Older Drivers,” published in American Journal of Preventive Medicine. Ariana Komaroff, MS ’04, was the author of

“Aripiprazole and Lactation Failure: The Importance of Shared Decision Making. A Case Report,” published in Case Reports in Women’s Health. Kristine Kulage, Patricia Stone, and Arlene Smaldone, PhD ’03, were the authors of “Supporting

Dissertation Work Through a Nursing PhD Program Federal Grant Writing Workshop,” published in Journal of Professional Nursing. Anna Lietz was among the authors of “Colorectal Cancer Screening: An Updated

Fall-Winter 2021

Columbia Nursing 31

Selected Faculty Publications Modeling Study for the US Preventive Services Task Force,” published in JAMA.

Regulations in New York State,” published in Nursing Outlook.

Megan Marx, DNP ’20, was the author of “Evidence-Based Guidance for Self-Administration of Injectable Contraception,” published in Journal of Midwifery & Women’s Health.

Lusine Poghosyan, Allison Norful, PhD ’17, and Jianfang Liu were among the authors

of “Psychometric Testing of Errors of Care Omission Survey: A New Tool on Patient Safety in Primary Care,” published in Journal of Patient Safety.

and Environmental Factors for Infection Risk Among Home Healthcare Patients: A Multi-Method Study,” published in Health & Social Care in the Community, and “Infection Prevention and Control Practices in the Home Environment: Examining Enablers and Barriers to Adherence Among Home Health Care Nurses,” published in American Journal of Infection Control.

Jacqueline Merrill, PhD ’06, was among

the authors of “Factors Associated with Dissatisfaction in Medical Care Quality Among Older Medicare Beneficiaries Suffering from Mental Illness,” published in Journal of Aging & Social Policy. Komal Murali was among the authors of “An Adapted Conceptual Model Integrating Palliative Care in Serious Illness and Multiple Chronic Conditions,” published in American Journal of Hospice and Palliative Medicine. Komal Murali, Patricia Stone, and Elaine Larson

were among the authors of “Association of Infection-Related Hospitalization with Cognitive Impairment Among Nursing Home Residents,” published in JAMA Network Open. Allison Norful, PhD ’17, was among the authors

of “Primary Drivers and Psychological Manifestations of Stress in Frontline Healthcare Workforce During the Initial COVID-19 Outbreak in the United States,” published in General Hospital Psychiatry. Allison Norful, PhD ’17, Jianfang Liu, and Lusine Poghosyan were among the authors of

“Primary Care Nurse Practitioner Burnout and Perceptions of Quality of Care,” published in Nursing Forum. Lusine Poghosyan was among the authors

of “Methodology for a Six-State Survey of Primary Care Nurse Practitioners,” published in Nursing Outlook. Lusine Poghosyan and Jianfang Liu were

among the authors of “State Policy Change and Organizational Response: Expansion of Nurse Practitioner Scope of Practice

Columbia Nursing Fall-Winter 2021

Amelia Schlak was among the authors

of “System-Level Improvements in Work Environments Lead to Lower Nurse Burnout and Higher Patient Satisfaction,” published in Journal of Nursing Care Quality.

Patricia Stone was among the authors of “Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?” published in Journal of Palliative Medicine.

Rebecca Schnall, PhD ’09, was among the

Jacquelyn Taylor was among the authors of

authors of “Insights from Participant Engagement with the Tuberculosis Treatment Support Tools Intervention: Thematic Analysis of Interactive Messages to Guide Refinement to Better Meet End User Needs,” published in International Journal of Medical Informatics.

“Associations Between Social Determinants of Health, Perceived Discrimination, and Body Mass Index on Symptoms of Depression Among Young African American Mothers,” published in Archives of Psychiatric Nursing.

Rebecca Schnall, PhD ’09, Haomiao Jia, and Suzanne Bakken were among the authors of

“Efficacy, Use, and Usability of the VIPHANA App for Symptom Self-Management in PLWH with HANA Conditions,” published in AIDS and Behavior. Jingjing Shang, Ashley Chastain, Uduwanage Gayani E. Perera, and Patricia Stone were

among the authors of “The State of Infection Prevention and Control at Home Health Agencies in the United States Prior to COVID-19: A Cross-Sectional Study,” published in International Journal of Nursing Studies. Arlene Smaldone, PhD ’03, was among the authors of “Antimicrobial Stewardship Interventions to Optimize Treatment of Infections in Nursing Home Residents: A Systematic Review and Meta-Analysis,” published in Journal of Applied Gerontology. Jiyoun Song, PhD ’20, and Jingjing Shang were

among the authors of “Individual, Social,

Maxim Topaz, Arlene Smaldone, PhD ’03, and Suzanne Bakken were among the authors

of “Nursing Documentation of Symptoms Is Associated with Higher Risk of Emergency Department Visits and Hospitalizations in Homecare Patients,” published in Nursing Outlook. Cindy Veldhuis was among the authors of

“Characterizing Healthcare Delays and Interruptions in the United States During the COVID-19 Pandemic: Internet-Based, Cross-sectional Survey Study,” published in Journal of Medical Internet Research. Cindy Veldhuis, Maureen George, Jianfang Liu, Tonda Hughes, and Jean-Marie Bruzzese were

among the authors of “The Association of Asthma, Sexual Identity, and Inhaled Substance Use Among U.S. Adolescents,” published in Annals of the American Thoracic Society. Courtney Vose was among the authors

of “The COVID-19 Crucible: 2 Lived Experiences at the Epicenter,” published in Nursing Administration Quarterly.

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“ The scholarship support from Columbia Nursing reduced my financial burden, which allowed me to have volunteer experiences outside of school and in the Washington Heights community. These experiences helped me be a better student and provider. I was able to see medical care being delivered in unique ways, which has driven my career to where it is today. I am the co-founder and chief medical officer for a company called YourPath. We have developed a mobile/tele-based model of care that focuses on quick, easy access to medical care for substance use and behavioral health issues. We aim to help people stabilize and assist them in finding health homes on their terms, at their pace.” — Philip Gyura, DNP ’16

For more information about giving to Columbia Nursing, visit nursing.columbia.edu/giving or contact Janice Rafferty Grady, assistant dean, Development and Alumni Relations, at 212-305-1088 or jar2272@cumc.columbia.edu