27 minute read

Cooking with Gas in Guatemala

BETTER AIR, HEALTHIER FAMILIES

By Leslie Church

While cooking your dinner over an open flame may sound nice for a camping trip, imagine having that fire permanently located inside your house; the throatchoking smoke, the stinging, watery eyes, the walls blackened with soot. And those are just the problems you can see.

Inside the body, smoke from a cooking fire wreaks havoc on the lungs and cardiovascular system. Those most affected are the ones doing the cooking—usually women—and the young children staying close to their mothers. Almost half of the world’s population cooks over solid fuels like wood, dung, and coal.

Pollutants from the smoke damage the body’s immune system response and more than double the chances of getting sick with a lung infection like pneumonia, the leading killer of young children in low-resource parts of the world.

Main photo: A new gas cookstove in a kitchen in Guatemala. Inset: Lisa Thompson poses with some of the team in Guatemala. Courtesy of Lisa Thompson.

Photo by Kay Hinton.

What can be done? That’s a question Associate Professor Lisa Thompson RN FNP-BC MS PhD FAAN has been investigating for the past 20 years. Starting in rural Guatemala, she initially focused on chimney stoves. Her research currently looks at trial use of gas stoves in mountain communities. “At first we thought that chimney stoves would stop the household air pollution problem,” says Thompson. “But we found that all that smoke just goes up and outside and creates pollution outdoors, where people also work and play.”

The HAPIN (Household Air Pollution Intervention Network) trial is looking at the effect of having a gas cookstove and free fuel for 18 months on 3,200 pregnant women and their babies in Rwanda, Peru, India, and Guatemala. The study, led by Professor Thomas Clasen from the Rollins School of Public Health, is the first randomized control trial of its kind.

Thompson and a team of 20 Guatemalan nurses developed a standardized assessment of the infants in the trial. In addition to surveillance for pneumonia, they are evaluating the effects of cleaner household air on birth weight, preterm birth, child development and growth. They’re also looking at cardiovascular outcomes in pregnant women and older adult women living in the homes.

“Respiratory problems are common here,” says Flor Esteban Jiménez, clinical supervisor for the field team of nurses. “I am sure the study will have a big impact on our communities since there are 400 families participating.” Looking at behaviors and incentives Thompson, who co-leads the Guatemalan research site with investigators from Universidad del Valle de Guatemala, is the only nurse investigator on the trial.

“One of the strengths of being a nurse on this study is we think a lot about behavior,” Thompson says. “Before we implemented the gas stoves, we looked at how household decisions are made about cooking, and what barriers might exist.” Thompson and her team ran exercises like a role-playing scenario where women pretended to ask their husbands for money to refill the gas tanks. They also did taste tests with local women on beans and porridge cooked over gas. They found the beans were softer and more evenly cooked, and the porridge was preferable because it didn’t have ash in it.

But the biggest incentives were time and convenience. Traditional stove users spend hours each week chopping and gathering wood. With gas stoves, women can turn on the flame and have breakfast ready for their families in minutes.

“During our focus groups, one woman jokingly said, ‘I feel so lazy now. I get up at six in the morning instead of four,’” Thompson says. Visible progress The HAPIN trial began in 2017 and will assess more than 7,000 participants over the course of five years. The final question is, what will happen when the families are no longer receiving the free gas? Thompson and her team hope that evidence on the health benefits of clean cooking will motivate government officials to subsidize the stoves and gas for low-income families. “It just takes one interested politician to put that on the agenda,” she says.

India and Peru have already begun gas stove programs that benefit low-income families, and Rwanda’s government appears open to the idea, according to Thompson. The Guatemalan government hasn’t made it a priority, yet. But Thompson is hopeful. “I think we put a spark there,” she says. “Less than 20 years ago, in another region, our research project built over 500 chimney stoves. That created a groundswell and now most people there have a chimney stove. A whole industry has built up around them.” In the meantime, the women participating in the study are seeing the short-term benefits of clean cooking.

“They’re breathing easier, their clothes don’t smell like smoke—people can feel very stigmatized by that,” Thompson says. “And they’ve rebuilt their kitchens, painted the walls. Kitchens are no longer black from soot; progress is visible.”

Libny Monroy Alarcón believes some of the study’s health impacts will likely remain, even if the gas stoves are no longer used. Monroy Alarcón, a nurse sonographer who conducts ultrasounds on the infants and mothers, says “As part of the study, we educate participants on pneumonia and the importance of visiting health services to avoid complications. Now they'll be able to detect the signs and symptoms of pneumonia more easily.”

“One of the strengths of being a nurse on this study is we think a lot about behavior.” — Lisa Thompson

New master’s degree

Emory University’s Nell Hodgson Woodruff School of Nursing is launching a Master of Nursing degree program (MN) for students who hold a bachelor’s degree in another discipline and want to pursue a career in nursing. The MN degree offers a graduate curriculum to prepare a “population-ready graduate” with an emphasis on nursing leadership, evidence-based practice, and interprofessional education. Students will have clinical and simulated experiences in hospitals, ambulatory care settings, clinics, and other community health settings, which may be local, regional, and international. Students who graduate from this dynamic program will be prepared to sit for the National Council Licensure Examination (NCLEX) and will have advanced nursing knowledge that will accelerate their careers in health care. “The need for more RNs has never been greater,” said Linda McCauley, PhD, RN, FAAN, the dean of Emory’s School of Nursing. “We are excited to offer the MN degree. This program will allow students to enter the workforce in 15 months with the knowledge and training to provide extraordinary patient care in a variety of clinical settings.” The School of Nursing is currently accepting applications to the MN program. Applications for the new MN program will be accepted during the Fall, Spring, and Summer terms. To apply to this program, please visit nursing.emory.edu.

Faculty Spotlight | Associate Professor Jill Hamilton PhD RN FAAN

Dr. Hamilton earned her BSN, MSN, and PhD in nursing from the University of North Carolina at Chapel Hill, a BS in Accounting from North Carolina Central University, and postdoctoral training in the nursing care of older adults at the Oregon Health & Science University. She previously held faculty positions at Johns Hopkins University and the University of North Carolina at Chapel Hill where she was tenured associate professor. Hamilton’s research interests include health disparities, social and cultural factors that influence health, and the coping strategies used among older African American cancer survivors and their families. She has developed measures of coping and spirituality and has conducted research to examine ways sociocultural factors influence how older African Americans use social support and spirituality.

Briefly, tell us about a research project you’re working on...

I am currently working on a compilation of stories that document the personal experiences of African Americans and ways that Black Sacred Music is used in response to current day struggles.

What is one thing you hope your work can offer humanity by the end of your career?

I hope that my work will be recognized as making a significant contribution to the body of historical and cultural literature on the religious tradition of African Americans.

If you could go back in time and offer yourself some advice early in your career, what would you say?

Don’t seek permission to follow your passion.

What do you enjoy most about being at Emory Nursing?

I am permitted to engage in work that is meaningful to providing optimal health care of an underserved population. We take this for granted but not all our nursing colleagues have this freedom.

McCabe wins prestigious Emory Medal

Currently the director of the Cancer Survivorship Program, the nation’s first survivorship initiative as well as the Ethics Committee Chair at New York's Memorial Sloan Kettering Cancer Center, Mary S. McCabe 72BSN has spent her career in oncology. She launched the program, developed a nurse-led patient care model, Mary S. McCabe 72BSN and led the efforts to make the program the largest in the nation. During her career, McCabe has been a pioneer in survivorship care following adult onset cancers. Her papers and protocols are read and studied around the world, and her research in health protocols has been a major influence on national health care policy.

The field of medicine was a natural choice for McCabe. Her father was a physician, her mother was a nurse, and she married a doctor. When it was time for her husband’s residency, they chose Emory, not only for its excellence, but also because of its nursing school. Since she already had a four-year degree in biology, the administration set up a specific curriculum for her. “When I think about my affinity for Emory, I keep going back to the unique mentorship and focus on what were my needs and not just making me fit into the cookie cutter of what other students needed,” says McCabe.

About the Emory Medal

The Emory Medal is the highest university award given to alumni. It honors distinguished service to Emory or the Emory Alumni Association, service to the community, or outstanding professional achievement.

Meeting NeLL™

Data Science Symposium shows off analytics

Dozens of undergraduates came together for February’s Data Science Symposium to hear about the need for health scientists to integrate data analytics into their work. Hosted by Rose Hayes RN BSN MA, senior manager of Executive Communications, and Masato Yoshihara MPH, database engineer at the School of Nursing, the event gave attendees a glance at the future of healthcare and the innovations taking place at the nursing school.

The crowd got a sneak peek at the Center for Data Science’s flagship product: Project NeLL™. This revolutionary research tool makes big data accessible and easy to use for students and health scientists alike. NeLL offers unprecedented access to 800+ million Emory Healthcare records, including nurse’s notes—a largely untapped and underappreciated source of bedside data.

After the NeLL demo, a multi-disciplinary panel of experts weighed in on data science in healthcare. Health analyst Kathleen Adams PhD, informatician and data scientist Rishi Kamaleswaran PhD, and research manager Karen Lindsley RN MSN discussed how to promote diversity in the data sciences, the ways big data is influencing hiring and promotion practices today, and other topics submitted by students. To learn more about Project NeLL, please visit bit.ly/2VSaWEq and follow the Center for Data Science at bit.ly/2TwAyFv. – Ema Perez

Congratulations to Alexis Dunn

Congratulations to NHWSN Research Assistant Professor, Alexis Dunn, for being an honoree at this year’s Atlanta Black 40 Under 40 ceremony. Dunn earned her spot on this prestigious list through her outstanding work in research and community outreach.

Downes helps Fiji develop new degree

Elizabeth Downes served as a consultant to the School of Nursing, in the College of Medicine, Nursing & Health Science of Fiji National University to the review the current Post-Graduate Diploma in Nursing (Nurse Practitioner) curriculum and develop the new Masters of Science in Nursing degree. Downes had worked with the WHO in Fiji for 3 years previously to initiate the first NP program. The program is now led by former students who over the past 18 years have prepared over 100 FNPs for Fiji. In that time, the program expanded to other island nations including Tonga, Cook Islands, the Marshall Islands and Kiribati.

Fijian NPs teach through the use of Zoom technology and travel to the island nations to lead face-to-face courses and assessments. The transition to the MSN follows patterns common throughout the world where NP education starts with a diploma-level RN getting a certificate as a NP then the programs transition to a BSN + certificate and then BSN + MSN. Presently, the program has a primary care focus and, like many other countries. Fiji is looking to expand the roles for Advanced Practice Nurses into the hospital setting.

New Faculty

Wonshik Chee

PhD Research Professor

Ethan Cicero

PhD RN Assistant Professor, Tenure Track

Ingrid Hopkins Duva

PhD MN RN Assistant Professor, Clinical Track

Nicholas Giordano

PhD RN Assistant Professor, Tenure Track

Eun-Ok Im

PhD MPH RN CNS FAAN Professor, Senior Associate Dean for Research and Innovation

Shaquita Starks

PhD APRN PMHNP FNP Assistant Professor, Clinical Track

Beth Ann Swan

PhD CRNP FAAN Clinical Professor, Associate Dean and Vice President for Academic Practice Partnerships

JOIN THE CONVERSATIONJO

Visit emry.link/interactSON to connect with Emory’s nursing community and learn the latest news via our social networking sites.

ViewVi Emory Nursing online @ emorynursingmagazine.emory.edue

Alexis Dunn CMM Sara Edwards PhD MN MPH

Calli Cook DNP APNR FNP-C Trisha Sheridan DNP WHNP-BC SANE-A CFN Paula Tucker DNP FNP-BC ENP-C

New fellows in the American College of Nursing and Midwifery

The American College of Nurse-Midwives (ACNM) has selected Alexis Dunn PhD CNM and Sara Edwards PhD MN MPH as Fellows. This designation allows them to expand their research of nurse-midwifery with the resources and platforms available to Fellows.

The ACNM is dedicated to honoring nurse-midwives and their efforts to improve the care of women, infants and families. To be accepted as a Fellow for the ACNM, nursing professionals have demonstrated consistent leadership and impactful contributions to the nurse-midwifery community and within an ACNM affiliate or related program. It is a Fellow’s responsibility to help further the ACNM mission by speaking, mentoring and advancing the midwifery profession.

New fellows of the American Association of Nurse Practitioners

Nursing faculty Calli Cook DNP APRN FNP-C, Trisha Sheridan DNP WHNP-BC SANE-A CFN and Paula Tucker DNP FNP-BC ENP-C have been elected as Fellows in the American Association of Nurse Practitioners (AANP). The 2020 Fellowship in the American Association of Nurse Practitioners (FAANP) is an honor bestowed upon a group of leaders whose scholarly contributions have led to significant improvements to healthcare and the nurse practitioner role. The Academy is composed of more than 2,000 of the nation's most accomplished nurse leaders in education, management, practice, policy and research, and selection for fellowship is one of the highest professional honors in the field of nursing.

“This recognition places Cook, Sheridan, and Tucker among a global cohort of nurse practitioners making a positive impact on healthcare, dedicated to advancing the profession and developing our future leaders,” says Dean Linda McCauley PhD RN FAAN FAAOHN. “The exceptional contributions that these Fellows make to our profession and field exemplify the hours and hours of hard work that go into an acceptance.”

Established in 2000 to impact national and global health by engaging recognized nurse practitioners to lead new initiatives, the AANP inducts fewer than 100 fellows annually. – J. Michael Moore

Emory nursing workforce report details shortage of nurses in Georgia

Georgia has one of the lowest densities of registered nurses in the nation, according to a decadelong report recently published by the School of Nursing.

Led by Associate Professor Jeannie Cimiotti PhD RN, the 10-year longitudinal study details nurse demographic and employment characteristics. The study includes data from 2009-2018.

Estimates from the study suggest that Georgia has seen little growth in its registered nurse workforce, roughly 3% annually, over the past decade, despite a surge in the state’s population. While the report showed a larger increase of nurse practitioners, registered nurses provide most of the hands-on nursing care statewide.

A yearly increase of nurses aged 65 and older further complicates the shortage, as this cohort that soon retire, leaving vacancies.

“It is imperative that we understand the dynamics of Georgia’s nurse workforce to enhance future nurse workforce planning,” the authors said.

School of Nursing Dean and Professor Linda McCauley PhD RN is senior author on the report. Contributing authors include Vicki Hertzberg PhD, professor and director in the Center for Data Science; Yin Li PhD, assistant research professor; and Masato Yoshihara MPH, data analyst. – Catherine Morrow

CLASS NOTES

1980s

The Alumni Board of the Nell Hodgson Woodruff School of Nursing presented NANCY AGEE 80MN with the Distinguished Nursing Achievement Award. This honor is presented to a NHWSN alumnus whose career has demonstrated continuous and exemplary contributions to the profession of nursing.

FEE PEE ANSHER 82N of Columbia, Maryland was awarded a 2019 NIH Clinical Center CEO Award in the Administration category in recognition of her tireless efforts as an exceptional leader and role model in representing “all that is good at NIH”. Ansher currently serves as the Neurology Clinic Coordinator at the Clinical Center at NIH.

TANYA M. SUDIA ROBINSON 86MN 94PHD became dean of the College of Nursing at Augusta University in Augusta, Ga., on Jan. 1, 2020. She is an accomplished nursing leader with more than 30 years of experience in higher education, administration, nursing, and health care research. She was an instructor at Tuskegee University School of Nursing, spent 19 years teaching at Emory University School of Nursing, and seven years as a tenured professor at Mercer University’s Georgia Baptist School of Nursing before joining Baylor University as associate dean for research and scholarship at the Louise Herrington School of Nursing. 1990s MARY (MOLLY) K. JONES BACHTEL 99MSN received the American Association of Nurse Practitioners Advocate State Award for Excellence for the state of Georgia at the association’s national conference in June. This award is presented to a dedicated advocate in each state who has made significant contributions to the nurse practitioners field. Bachtel advocated to improve access to care and remove barriers to practice for Georgia’s APRNs at the capitol. SB 321 passed the GA Legislature this June and will remove the current restrictions on APRNs ordering radiological imaging. Georgia was the only state in the country imposing this restriction on APRNs. Bachtel also serves as the current APRN Director for the Georgia Nurses Association. She is a clinical assistant professor at the School of Nursing. 2000s ANDY GISH 06N was given the Excellence in Nursing Award by the School of Nursing Alumni Board. This honor is presented to an alumnus who has demonstrated exceptional contributions to the profession of nursing in research, education, clinical practice, management and leadership in public health and community service.

ANNA HESS HIPPCHEN 00OX 02C 03BSN is a nurse practitioner at the Miriam Hospital RISE Tuberculosis Clinic in Providence, R.I. Hippchen pursued a career in emergency nursing and public health after graduating from Emory. She worked as an emergency department nurse at St. Joseph’s Hospital and volunteered with Mercy Corps. Later she served with Doctors without Borders in South Sudan, Uganda, Nepal, and Turkmenistan where she found her calling to care for patients with tuberculosis. She returned to the U.S. for graduate school and to work as a public health nurse in a TB and Refugee Health program before joining the RISE Tuberculosis Clinic. Hippchen was an Emory University School of Nursing Woodruff Scholar and was included in a slideshow during Emory’s Homecoming and Reunion Weekend in October 2019. CORINNE BRAENDER OLIVER 02OX 04BSN 10MSN and Jeffrey Oliver II announce the birth of a daughter, Emilia Anne, on Nov. 16, 2019. They have another daughter named Isabella. Oliver, who serves on the Nurses Alumni Association Board for the Emory University School of Nursing, is a pediatric nurse practitioner at Children’s Healthcare of Atlanta. JOANNE MCDOUGAL PATTERSON 04MSN, an assistant professor of health care informatics and nurse entrepreneur, recently opened Dr. Joanne Psychiatry, LLC (drjoannepsychiatry.com), a telepsychiatry practice specializing in reproductive mental health, children, and adolescent mental health. She treats patients in Maryland, Nevada and Georgia via telemedicine and plans to expand to other states and U.S. territories. Patterson is also the national volunteer director of the Stork’s Nest Prenatal Education and Incentive Program, which assists more than 6,500 underserved each year. She was also a 2018 March of Dimes Georgia Nurse of the Year finalist. In late May, she was a panelist on the March of Dimes’ Maternal Facebook Live webinar. MINDI M. FRY 08BSN 09MSN is a nurse practitioner who specializes in cardiology at Virginia Cardiovascular Consultants in Fredericksburg, Va. She worked in Harrisburg, Pa., from 2010-2019 at the University of Pittsburgh Medical Center Pinnacle Health Cardiovascular Institute. Fry was an Emory University School of Nursing Woodruff Scholar and Woodruff Fellow and was included in a slideshow during Emory’s Homecoming and Reunion Weekend in October 2019. 2010s GABRIELLE L. BLOCH 16BSN is a registered nurse on the hematology-oncology and bone marrow transplant floor at St. Louis University Hospital. Bloch was an Emory University School of Nursing Woodruff Scholar and was included in a slideshow during Emory’s Homecoming and Reunion Weekend in October 2019. DENNIS FLORES, 12MSN was awarded the Recent Graduate Award by the School of Nursing’s Alumni Board. This award goes to a graduate from the past ten years who has contributed exceptional service to the Nurses’ Alumni Association, the School of Nursing, and to the profession of nursing. 2020s TIMOTHY R. MACCHI 20BSN was featured as the first fall 2019 ESNA Student Spotlight. As an undergrad student at George Washington University where he earned a bachelor’s degree in public health, Macchi volunteered for an ambulance company in the District of Columbia, serving at marches, marathons, and rallies. He also worked one year at an emergency medicine consulting group that dealt with telemedicine and disaster management, and one semester as a tech at George Washington Hospital Emergency Room. Macchi loves emergency medicine and disaster management and hopes to work in an intensive care unit after graduation from Emory. KATHRYN K. MOORE 15BSN 20MSN, a Woodruff Fellow, gave birth to a healthy boy, Isaac Victor Moore, in June. Moore has also been selected for promotion to Major in the Georgia Army National Guard.

IN MEMORY

Jenna Hernan

JENNA NICOLE HERNAN 19AMSN

of Riverside, Calif., on Sept. 14, 2019. Hernan died two days after the vehicle she was driving was hit during a high-speed car chase. She had moved to Riverside to join her fiancé, Holland Stewart 17L, and begin her nurse-midwifery career after graduating from Emory last May. Her sudden loss touched students, faculty, and staff throughout the School of Nursing. “Jenna wanted to pursue a career in midwifery and family practice so that she could care for women who were marginalized and disadvantaged within the health care system,” says Alexis Dunn PhD CNM, Hernan’s faculty adviser. “She was passionate about health disparities and care of minority populations. Her interests stemmed from her experiences growing up in New York as well as her interpersonal relationships.” Hernan grew up in the South Bronx, where in high school she organized a diverse group of 15 friends who called themselves the “CCs” (short for “cultural casserole”). Concerned that a new student would feel left out, Jenna invited her to join her volleyball team, and the CCs expanded to 16. “She was always concerned about other people,” says her mother, Maria Hernan. “She wanted everyone to embrace and accept themselves.” At Hunter College, Hernan majored in psychology and was accepted into the prestigious Thomas Hunter Honors Program. She also volunteered as an instructor with the Peer Health Exchange, which provided health education to students at underserved high schools. Her teaching experience, and a brief hospital stay for minor surgery, piqued her interest in women’s health. After graduating from Hunter, Hernan worked two years at Memorial Sloan Kettering Cancer Center before entering the family nurse practitioner/nurse-midwifery program at Emory. She excelled as a student once again. When her midwifery clinicals proved especially challenging, her friends provided a morale boost, as she often did for them. “Jenna had the best balance of anyone,” says Tara Noorani 18MSN. “She studied hard, but she made time for fun things. Maintaining that balance was a rare thing.” “Fun things” included visits to Hernan’s favorite coffee shop and walking her dog, Kenley, a friendly 95-pound mutt, with Sarah Warsaw 18MSN and her 13-pound dog Molly. The outings provided a respite to help Hernan complete the 20 deliveries required to qualify for licensing as a nurse-midwife. She graduated as planned in May 2019 and passed all her boards. “Jenna loved Emory. It gave her the opportunity to come to Atlanta and meet such dear, beautiful people,” says her mother Maria. “I was so proud of her when she graduated.” – Pam Auchmutey

IN MEMORY

1940s FRANCES NICHOLS GARDNER 49BSN of Peachtree City, Ga., on Feb. 13, 2019. She practiced nursing in south Florida until the death of her husband, Eugene. In 1990, she moved to Tavares, Fla., to care for her mother and then later to Peachtree City. She is survived by two sons, a brother, and two sisters. 1950s MONA SCARBOROUGH CLAYTON 52BSN of Augusta, Ga., on Dec. 22, 2019, at 88. Clayton had a long and fulfilling career as a psychiatric nurse for the Veteran’s Administration. She also had a beautiful voice and sang soprano with the St. Paul’s Choir and the Augusta Choral Society and was part of the team that launched Tuesday’s Music Live Concert Series in 1987. While studying at Emory, she met her former husband, Marcus M. Clayton Jr. 55C 56L 67PHD. And although they divorced, they lovingly raised four daughters together and maintained a close bond. Survivors include four children, nine grandchildren, and two sisters. BARBRA RUCKER JONES 53BSN of Columbia, S.C., on Nov. 17, 2019. Jones worked as a surgical nurse at Orange Memorial Hospital in Orlando, Fla. After moving to Columbia, S.C. in 1962, she worked at Providence Hospital and taught health occupations and licensed practical nursing for the Richland County Schools. She loved spending time at their Edisto Beach vacation home, was active in the Ladies Golf Association at the Spring Valley Country Club, was a long-time member of the Saraband Dance Club, and belonged to two bridge clubs and two hand and foot clubs. She is survived by her husband of 67 years, C. Robert Jones Jr., three daughters, five grandchildren, and great-grandchildren. JACQUELINE SAPP TILLER 53BSN 62MN of Lyons, Ga., on July 8, 2019, at 94. Prior to attending Emory, she earned a RN diploma from the Crawford W. Long School of Nursing. She served in World War II as a 2nd Lieutenant in the Army Nurse Corps. Tiller was a nursing professor at the College of Coastal Georgia and South Georgia College. She served as chair of the Division of Nursing at King Saud University in Riyadh, Saudi Arabia, for many years, and taught the Reach to Recovery Program for the American Cancer Society. Tiller is survived by two children, five grandchildren, and five great-grandchildren. JOANN GAYLER KING 56BSN of Monmouth, Ore., on Dec. 18, 2019, at 85. King was employed as a registered nurse. Her first husband, John E. Grund, died on July, 8, 1978. She married David C. King on July 16, 1983 and they moved to Monmouth, Ore., in 1988. They were recognized for their volunteer contributions with the Monmouth-Independence Chamber of Commerce First Citizen Award in 2003. King is survived by three children, three step-children, two brothers, 16 grandchildren, and five great-grandchildren. CAROLINE SAUNDERS WALLACE 56BSN of Santa Rosa, Fla., on Sept. 29, 2019, at 94. Wallace studied nursing at Georgia Baptist School of Nursing, University of Maryland, Johns Hopkins University, Emory University, and the University of Michigan. Wallace taught nursing at Vanderbilt University, the University of Tennessee, and Gulf Coast Community College in Panama City, Fla. In 1970, she moved to Seagrove Beach, Fla., where she enjoyed painting, dogs, garden clubs, faceting and gemstones. JOAN HARTLEY LEHNHERR 58BSN of Raleigh, N.C., on Jan. 31, 2019. Lehnherr was a registered nurse who retired from Arthritis Associates. She is survived by two daughters. 1960s LAURA GEWECKE MALOOF 61BSN of Cumberland, Md., on June 14, 2019. Maloof started her nursing career as a circulating nurse at West Penn Hospital in Pittsburgh, Pa. She became a nursing instructor at Memorial Hospital School of Nursing in Cumberland before serving as a nursing instructor at Allegany College of Maryland. She was active in her church as well as area clubs and service organizations such as GFWC Cumberland Women’s Civic Club, Women’s Sport Club, and Re Temple 118 Daughters of the Nile. Survivors include her husband, Donald Maloof, a daughter, and a sister. JANET ADAMS MCPHERSON 63OX 66BSN of Marietta, Ga., on Dec. 9, 2019. After college, McPherson served as a Lieutenant in the U.S. Navy for four years. She then worked as a registered nurse on 5 West at Kennestone Hospital, retiring in 1995. She enjoyed traveling, painting, reading and working on genealogy. Most of all, she enjoyed her family. She and her husband, Pat McPherson, celebrated their 50th wedding anniversary in December 2018. She is survived by her husband, three children, five grandchildren, and a brother. 1970s PATRICIA L. MUAR 72MN of Tallahassee, Fla., on Oct. 9, 2019. Muar received a BS degree in nursing from Florida State University and a PhD degree from the University of Texas at Austin. She taught for many years at Tallahassee Community College. She and her late husband, John Buckley, were advocates for many causes that benefited their community and for the greater good of all. Survivors include a brother and his family. NORMA JEANNE GRENFELL 73BSN of Seattle, Wash., on Nov. 19, 2019, at 68. After graduation, Grenfell was commissioned as an ensign in the U.S. Navy and proudly retired as a captain after 37 years in the U.S. Navy Nurse Corps in 2010. Grenfell was also a nurse consultant for 25 years with the law firm of Gordon and Rees in San Francisco. She earned a MBA degree in health services management from Golden Gate University. She and her son, Eric, shared a love of theatre performances and she volunteered for the Oregon Shakespeare Festival which took them to Ashland, Ore., where she moved in 2010 to work for Harry & David as a nurse manager before retiring. She enjoyed hiking and camping in Alaska, loved her animals, and volunteered for the Jackson County Animal Shelter. She is survived by her son, a brother, a nephew, and a great-niece and a great-nephew. 1980s MARLOT WILSON WIGGINTON 82MN of Louisville, Ky., on Oct. 26, 2019, at 71. She worked as a registered nurse in critical care at Norton Hospital and Jewish Hospital, both in Louisville. She recently taught nursing at the University of Louisville and Spalding University, and was a member of numerous nursing societies and associations. Wigginton is survived by a brother, a niece, and a nephew. MARGARET A. RILEY 86MN of Atlanta on July 29, 2019, after a battle with cancer. Riley began her nursing career at Beth Israel Deaconess Medical Center as a head nurse manager after completing a BSN degree at Saint Louis University in 1973. While completing her master of nursing degree at Emory, she was a nurse case manager at Hospice Atlanta. Riley was director of the Oncology Program at Saint Joseph’s Hospital until 2007, worked with the Oncology Palliative Care program at Grady Health System from 2007-2010, and then at the Atlanta VA Medical Center from 2011 until her retirement in 2018. She completed a Family Nurse Practitioner degree and palliative care certification followed by a Doctor of Nursing Practice in nursing palliative care at the University of Alabama at Birmingham. Survivors include two brothers, a sister, and many other extended family members.

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