Transformations FA L L 2 0 1 8
I N N U R S I N G A N D H E A LT H
THE
NEWLY ENDOWED
MARTHA S. PITZER CENTER
IS ALREADY
TRANSFORMING LIVES P. 1 4
INAUGURAL NATIONAL SUMMIT COMBATS CLINICIAN BURNOUT P. 2 2
DEAN'S MESSAGE Dear alumni, colleagues and friends,
DREAM, DISCOVER, DELIVER.
Almost 50 years ago, a young mother enrolled at our College of Nursing with a dream. She already had earned her RN, but had been waiting to further her education until her three young children were all in school. She went on to become Dr. Martha S. Pitzer, a well-loved professor at the College of Nursing and an advocate for women, children, and youth. Today we have been blessed with a transformational gift – the second largest in the college’s history – from the Pitzer Family Foundation in her name. You can find out more about Martha S. Pitzer, her extraordinary family, and how the gift is being put to use in the newly-dedicated Martha S. Pitzer Center for Women, Children and Youth on page 14. The College of Nursing, in collaboration with the other six health sciences colleges and the college of social work, continued to make history by co-hosting the inaugural National Summit on Promoting Well-being and Resilience in Healthcare Providers, an event targeting the national epidemic of clinician burn-out (page 22). On page 26, we examine how our trailblazers at the Helene Fuld Health Trust National Institute for Evidence-based Practice (EBP) in Nursing and Healthcare are helping to define the role of Doctor of Nursing Practice as EBP expert – and how they helped one DNP spread EBP in rural Idaho. Research thrives at the College of Nursing. We’re thrilled to bring you the news of several new substantial NIH grants to fund studies that will transform healthcare as we know it (see page 11). Find out how Sonia Duffy convinced a group of outdoor construction workers to protect their skin and prevent skin cancer with a ground-breaking intervention on page 31. We take a look at the burning questions that drove two new faculty members to become scientists on page 28. Our terrific new Director of Development, Courtney Shaul, is ready to meet you – see her story on page 36. And, for a little Buckeye inspiration from our students, read about students Maddy Davies, a Health and Wellness Innovation in Healthcare major, and Angela Humbel, who wanted to be a Buckeye Nurse, just like her mom. Your outstanding, unwavering support means so much to us here at the College of Nursing, where we are dedicated to translating research rapidly into real-world outcomes that improve healthcare both locally and globally, and to educating world-class nurses and healthcare professionals. Be well, and go Bucks! Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN Vice President for Health Promotion University Chief Wellness Officer Dean and Professor, College of Nursing Professor of Pediatrics & Psychiatry, College of Medicine Executive Director, the Helene Fuld Health Trust National Institute for EBP
Vice President for Health Promotion, University Chief Wellness Officer, Dean Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN
Associate Dean for Academic Affairs and Educational Innovation Cindy Anderson, PhD, RN, APRN-CNP, ANEF, FAHA, FNAP, FAAN
Vice Dean Margaret Graham, PhD, APRN-CNP, FAANP, FNAP, FAAN
Associate Dean for Research and Innovation Mary Beth Happ, PhD, RN, FGSA, FAAN Assistant Dean for Baccalaureate Programs Wendy Bowles, PhD, RN, APRN-CNP
Chief of Strategic Partnerships & Special Projects Laurel Van Dromme, MA Senior Director of Marketing and Communications Phil Saken, MSJ
CONTENTS
38
14
49
14 COVER STORY Martha S. Pitzer: A transformational gift. A fitting tribute.
36
GIVING Connect with Courtney Shaul
38
SERVICE Barbers and Beauticians Who Care
46
TEACHING FAANtastic!
54
WELLNESS Buckeye Summit Slow down
20 INNOVATION A day in the life of an HWIH student 22 OUTREACH The inaugural National Summit on Promoting Well-being and Resilience in Healthcare Providers 26 EVIDENCE-BASED PRACTICE DNP = EBP expert EBP education for DNPs EBP comes to rural Idaho 28 RESEARCH Two new Ohio State nurse scientists Sun solutions
DEPARTMENTS College News Faculty Focus Student Life Alumni
34 BUCKEYE INSPIRATION Just like Mom: Barb and Angela Humbel
Transformations in Nursing and Health is a publication of The Ohio State University College of Nursing ©2018. Editor: Susan Neale Design: Sandhya Elango, Troy Huffman Writers: Joe Ashley, Zachary Leven, Bernadette Melnyk, Susan Neale, Laura Newpoff, Colleen Pelasky, Anna Ripken, Laura Wise-Blau Photography: Maddy Davies, Jodi Miller, Andrew Weber Cover photo and other family photos courtesy of the Pitzer family.
1585 Neil Ave., Columbus, OH 43210 • (614) 292-8900 Send change of address to nursingalumni@osu.edu. To make a gift to the College of Nursing, contact us at nursingadvancement@osu.edu.
COLLEGE NEWS
Gawlik recognized by AANP Kate Gawlik, DNP, RN, ANP-BC, FNP-BC, was inducted as a Fellow into the American Association of Nurse Practitioners at the 2018 AANP conference. Gawlik, an assistant professor of clinical nursing, teaches advanced practice and leadership courses and serves as a clinical preceptor for advanced practice nursing students. She is certified by the American Nurses Credentialing Center as an adult and family nurse practitioner with experience in family practice, urgent care and reproductive care. Her clinical interests include population health, preventative medicine, clinician health and well-being, health professionals’ education and cardiovascular disease prevention. As a Fellow of the AANP, Gawlik represents highly distinguished nurse leaders in areas ranging from education, management and practice, to policy and research.
Jaeger to receive Lifetime Achievement Award Carol Jaeger, DNP, RN, NNP-BC, has been selected to receive this year’s Lifetime Achievement Award from the National Association of Neonatal Nurses. Jaeger is an assistant professor of clinical practice for The Ohio State University College of Nursing’s neonatal nurse practitioner program. The Lifetime Achievement Award recognizes individuals with a longstanding commitment to and impact on the field of neonatal nursing. Jaeger’s primary areas of study include assessing and improving the workload of neonatal nurse practitioners in NICUs and developing standards and competencies for collaborative health teams providing developmental, family-centered integrative care to babies and families in ICUs.
Wright receives Nurse Researcher of the Year for NBNA Kathy Wright, PhD, RN, GCNS-BC, PMHCNS-BC, was recognized as Nurse Researcher of the Year by the National Black Nurses Association (NBNA). The award recognizes a nurse researcher who has completed outstanding research study and has excellent potential to develop and implement a program of research that contributes to the wellbeing and healthcare of minorities. Wright is assistant professor and chief diversity officer in the College of Nursing, and is part of The Ohio State University Discovery Themes Chronic Brain Injury Initiative. Her research centers on improving mental health and blood pressure self-management in African American older adults with Alzheimer’s disease and related disorders, cognitive impairment and hypertension. Kathy Wright receives award during the NBNA’s 46th Annual Institute and Conference.
Anderson receives Outstanding Nurse Researcher Award Cindy Anderson, PhD, RN, APRN-CNP, ANEF, FAHA, FNAP, FAAN, received the Outstanding Nurse Researcher Award at the National Organization of Nurse Practitioner Faculties (NONPF) annual conference in April. The award recognizes nurse practitioners who contribute to knowledge development for nurse practitioner practice, education and policy. Anderson is associate dean for academic affairs and educational innovation and an associate professor at the College of Nursing. 2
nursing.osu.edu
Timiya Nolan awarded research grant Timiya Nolan, PhD, ANP-BC, was one of 14 faculty winners of the 2018-2019 Coca-Cola Critical Difference for Women Research Grant for her project “Life After Breast Cancer: Stories from Black Women,” a video that targets young, African American breast cancer survivors. Nolan’s study, following previous work that identified age and cultural concerns among survivors, proposes to develop videos that aim to improve young African American survivors’ quality of life. Stories of life after breast cancer are predominantly told by white women, and few studies have described or attempted to improve quality of life among young African American survivors, her proposal noted.
Melnyk recognized for pioneering EBP The American Association of Critical-Care Nurses (AACN) honored Bernadette Mazurek Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, College of Nursing dean, vice president for health promotion and university chief wellness officer at Ohio State, with a 2018 AACN Pioneering Spirit Award for extraordinary contributions to critical care and the AACN’s mission and vision. The award recognized Melnyk’s involvement with evidence-based practice (EBP) adoption, education and dissemination nationally and globally. “Thanks in large part to Dr. Melnyk’s work, nursing has become more supported by modern scientific knowledge and less rooted in traditions that may be outdated,” said AACN Board President Christine S. Schulman, MS, RN, CNS, CCRN-K. “She has inspired nurses around the world to provide more effective care and improve healthcare quality and patient outcomes through evidence-based practice.” Melnyk’s work spans EBP, intervention research, child and adolescent mental health and health and wellness. A frequent keynote speaker at national and international conferences, Melnyk has consulted with hundreds of healthcare systems and colleges worldwide on implementing and sustaining EBP. The presentation of the award took place at the AACN’s National Teaching Institute & Clinical Care Exposition in Boston in May.
Sharon Tucker speaks at Masterminds At Spring Masterminds 2018, an event in which endowed professors are invited to give TED talk-style presentations, Sharon Tucker, PhD, RN, FAAN, spoke on the benefits of adding more movement into each day. Physical activity, she explained, is like a “miracle drug” in that “it reduces the risk of diabetes, cardiovascular disease, cancer, osteoporosis, anxiety, depression and impaired cognition over time, and it brings joy and happiness.” Studies show that many people don’t get the exercise they need. Tucker collaborated with James Levine, MD, PhD, professor of medicine at Mayo Clinic, who studies Non-Exercise Activity Thermogenesis (NEAT), to investigate ways to introduce more movement into everyday life and bring “NEAT-friendly environments” to a variety of workplaces. After conducting four different studies, they found that reducing sedentary behavior in ways as simple as using standing desks, taking the stairs instead of the elevator or walking more throughout the day can contribute greatly to improving overall health.
COLLEGE NEWS
3
Giurgescu, Jones and Tubbs Cooley recognized by AAN Carmen Giurgescu, PhD, RN, WHNP, FAAN; Carolynn Thomas Jones, DNP, MSPH, RN, FAAN; and Heather Tubbs Cooley, PhD, RN, FAAN, were selected for the 2018 class of the American Academy of Nursing Fellows. Giurgescu is an associate professor whose study funded by the National Institutes of Health examines pathways by which social stressors and systemic inflammation can lead to preterm From left: Carmen Giurgescu, Carolynn Thomas Jones and Heather Tubbs Cooley births among African American women. Jones is an associate professor of nursing and a lead faculty member of The Ohio State University’s Master of Applied Clinical and Preclinical Research program. Tubbs Cooley is an associate professor whose research focuses on understanding the factors that impede or enhance the quality and reliable delivery of core nursing care in the neonatal intensive care unit and other pediatric settings. Giurgescu, Jones and Tubbs Cooley were inducted as AAN Fellows along with 192 other highly distinguished nurse leaders. Representing all 50 states, the District of Columbia and 29 countries, the Fellows are nurse leaders in education, management, practice, policy and research. AAN Fellows include hospital and government administrators, college deans and renowned scientific researchers.
AWHONN highlights College of Nursing research in new video The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) produced a video about the College of Nursing, “Translating cutting edge research into real world settings at The Ohio State University College of Nursing.” The video reports on the cutting-edge research the college is translating into real-world settings for the health of pregnant women and newborns. The College of Nursing is working to improve outcomes for vulnerable populations of women and children by researching solutions for pregnant women in stressful circumstances who might experience depression and anxiety during or after pregnancy. AWHONN is a nonprofit membership organization that promotes the health of women and newborns. Its mission is to improve the health of these populations and strengthen the nursing profession through the delivery of superior advocacy, research, education and other professional and clinical resources to nurses and other healthcare professionals. Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN; Shannon Gillespie, PhD, RN; and Carmen Giurgescu, PhD, RN, WHNP, were interviewed and featured in the video. You can find it at: go.osu.edu/awhonnpic.
College of Nursing recognized for diversity efforts with HEED Award The Ohio State University College of Nursing received the 2017 Health Professions Higher Education Excellence in Diversity (HEED) Award from INSIGHT Into Diversity magazine. The college was selected based upon its work to increase inclusiveness in the health professions and provide unparalleled support for underserved students, such as the Summer Institute for Discovering Nursing. (For more information on the Summer Institute, see page 5.) From left: Rachel Choto, Holly Mendelson of HEED, and Kathy Wright
4
nursing.osu.edu
The HEED Award is a national honor, recognizing United States health professional schools that demonstrate an outstanding commitment to diversity and inclusion.
New faculty: Susie Breitenstein Welcome to Susie Breitenstein, PhD, RN, FAAN, associate professor in the Martha S. Pitzer Center for Women, Children and Youth and new director of community engagement for the College of Nursing. Breitenstein comes to us from Rush University, where she earned her BSN, MSN and PhD, and served as associate professor. An accomplished researcher with a strong record of scholarly productivity, Breitenstein is a nationally recognized expert in evidence-based parenting and interventions that have greatly improved outcomes for high-risk, underserved children. She developed the Fidelity Checklist for the Chicago Parenting Program, now widely used in NIH and CDC studies.
New faculty: Karen Moss Welcome to new faculty member Karen Moss, PhD, RN, CNL, who joined the college as an assistant professor in the tenure track in August in the Center of Excellence in Critical and Complex Care. Moss is currently completing a two-year post-doctoral fellowship at Case Western Reserve with a research focus on symptom management and palliative care research in adults with advanced disease. Moss received her BSN from Adventist University in Orlando, Florida, and earned a master’s as a clinical nurse leader and PhD at the University of Virginia. Moss recently received the Emerging Scholar Award from the Decision-Making Research Interest Group at the Midwest Nursing Research Society (MNRS) conference.
Study abroad trip to Nicaragua achieves service learning designation Education Abroad in Nicaragua, a College of Nursing trip led by Lizzie Fitzgerald, EdD, APRN-CNS, PMH-BC, has been officially designated a service learning experience by the university. (See Transformations Fall 2017 for a story about the college’s study abroad trip to Nicaragua and Fitzgerald’s dedicated efforts to achieve this designation.) This year, Fitzgerald also received the 2018 Emerging Service Learning Award from The Ohio State University Office of Outreach and Engagement for The Jubilee House Community CDCA Service Learning Partnership in Nicaragua. The award included $1,000, which Fitzgerald donated to The Jubilee House community.
Summer Institute for Discovering Nursing In June, the Summer Institute for Discovering Nursing introduced underrepresented high school students to the possibility of pursuing an academic career in nursing. The institute allowed students to engage with College of Nursing faculty in skills-training sessions and explore nursing professions. Forty students attended and participated in facultyled workshops in the Technology Learning Complex and the Center for Nursing Research. This year’s program partnered with the Innovation Studio to educate students about healthcare innovation and the power that nurse-inventors have in improving health outcomes.
COLLEGE NEWS
5
Faculty and staff walked, stretched, participated in an inventive scavenger hunt and even got back massages at Transformation Day.
Transformation Day Faculty and Staff of the College of Nursing enjoyed a day at the Boathouse at Confluence Park. Dean Bern Melnyk presented the 2018-2019 State of the College of Nursing,
breakout sessions included yoga, urban zen and walking, and everyone participated in inventive and fun teambuilding play lead by Chris Clyde of Nuhop.
Teams of university faculty and staff get a fun work out, thanks to the College of Nursing
Amazing Race to Wellness The Amazing Race to Wellness at Lincoln Tower Park on May 16 encouraged teams of four to embrace their inner adventurers, using teamwork and problem-solving skills to compete in wellness obstacles and light physical activity challenges based on the nine dimensions of wellness.
6
nursing.osu.edu
Each dimension of wellness – career, creative, emotional, environmental, financial, intellectual, physical, social and spiritual – was represented at the obstacle stations. Thanks to wellness program assistant Nicole Johnson, BS, CHES, for orchestrating this event! Over 100 people participated.
Faculty and Staff Ultimate Dodgeball Tournament The Faculty and Staff Ultimate Dodgeball Tournament in August was another success! The tournament, held in the RPAC Upper Gym, encouraged faculty and staff to put together teams and let out some friendly competitive edge, dodging and delivering intense throws on the court.
The first-place team, College of Dentistry, won Ohio State lawn chairs, CTMO Wrecking Crew earned second place and Ohio State duffel bags, and in third place was the Prancin’ Parrots, who received Buckeye Wellness duffel bags and goodies. Special thanks to those who participated!
Family Wellness Expo Buckeyes banded together for another successful Family Wellness Expo in August, gearing up for a healthy school year.
Families found fun in a variety of activities, ranging from carnival games to bouncy houses to healthy food demonstrations.
COLLEGE NEWS
7
Faculty Focus COMPILED BY ANNA RIPKEN
National Awards and Honors Anderson, Cindy. Served as president-elect of the Midwest Nursing Research Society. Received the Outstanding Nurse Researcher Award from the National Organization of Nurse Practitioner Faculties. Spoke at the Preeclampsia Foundation Promise Walk in Cincinnati. Inducted as a Fellow of the Academic Leadership Development for the Big 10 Academic Alliance. Served as a member on the Medical Advisory Board of the Preeclampsia Foundation. Served on the National Advisory Committee for the Robert Wood Johnson Foundation’s Harold Amos Medical Faculty Development Program. Served on the special emphasis review panel for the National Institutes of Health/National Institute of Digestive, Diabetes and Kidney Disease (NIH/ NIDDKD) Extramural Loan Repayment Program for Pediatric Researchers. Served on the special emphasis panel for the National Institutes of Health/Population Sciences and Epidemiology (NIH/PSE) Integrated Review Group. Served as a member of the 2018-2019 Ohio State Sesquicentennial Student Scholar Leadership Program Committee. Presented a symposium at the Congress for Advancing Nursing Science, “Epigenetic indicators of biological age: state of the science and future directions in precision health promotion.” Blake, Patricia. Received the American College of Cardiology People’s Choice Award from The American College of Cardiology-National Cardiovascular Data Registry. Bochenek, Jeanie. Served as an evidence-based practice representative of the Professional Practice Committee for the Ohio Association of Nurses. Buffington, Brenda. Served on the American College of Sports Medicine Exercise Medicine International Committee. Served as chair of the Health, Fitness & Wellness Coaching Interest Group for the American College of Sports Medicine. Represented the College of Nursing at the 2018 American College of Sports Medicine Annual International Meeting.
8
nursing.osu.edu
Casler, Kelly. Represented Ohio State and the University of Kansas at the American Association for the Study of Liver Diseases meeting. Chipps, Esther. Inducted as a Fellow of the American Association of Nurse Practitioners. Received the State Award of Excellence from the American Association of Nurse Practitioners. Received 2017 Paper of the Year from the American Journal of Health Promotion. Received the Mentorship Award from the Sigma Theta Tau-Central Ohio Chapter. Served as vice president of the research committee for the Administration in Nursing Council on Graduate Education. Served as a member of the Nurse Executives Advisory Committee for the American Association of Critical-Care Nurses. Gawlik, Kate. Inducted as a Fellow of the American Association of Nurse Practitioners. Received the State Award of Excellence from the American Association of Nurse Practitioners. Received 2017 Paper of the Year from the American Journal of Health Promotion. Gillespie, Shannon. Presented a symposium at the Congress for Advancing Nursing Science, “Epigenetic indicators of biological age: state of the science and future directions in precision health promotion.” Served as chair of the Communications and Engagement Committee for the Midwest Nursing Research Society. Received the 2018 New Investigator Award from the Midwest Nursing Research Society Women’s Health and Childbearing Research Interest Group. Received the 2017 Research Publication Award from the Midwest Nursing Research Society, Women’s Health and Childbearing Research Interest Group. Giurgescu, Carmen. Selected for the 2018 class of the American Academy of Nursing Fellows. Fitzgerald, Elizabeth. Received the Emerging Service Learning Award from The Ohio State University Office of Outreach and Engagement. Received the Educator Award in Recognition of Excellence in Education from the Sigma Theta Tau International Epsilon Chapter. Served as a member of the Board of Control Board of Directors for The Ohio State University Faculty Club. Received the Foundation, Impact,
Transformation Program Faculty Mentor Award from The Ohio State University Institute for Teaching and Learning. Received the Mid-Career and Senior Faculty Learning Community Member Award of Ohio State Teaching Enhancement Programs from the University Center for the Advancement of Teaching. Happ, Mary Beth. Represented New York University Langone Medical Center at the 22nd Annual Nursing Research Conference. Hardy, Lyn. Served as a member of the AcademyHealth Data and Methods committee. Presented a symposium at the Congress for Advancing Nursing Science, “Epigenetic indicators of biological age: state of the science and future directions in precision health promotion.” Represented the American Nursing Informatics Committee – Nursing Informatics Working Group at the American Medical Informatics Association Annual Symposium. Jaeger, Carol. Selected to receive the Lifetime Achievement Award from the National Association of Neonatal Nurses. Jones, Carolynn Thomas. Selected for the 2018 class of the American Academy of Nursing Fellows. King, Tara Spalla. Served on the nominating committee for the Commission on Collegiate Nursing Education. Melnyk, Bernadette. Received the 2018 Pioneering Spirit Award from the American Association of Critical-Care Nurses. Received the 2018 Research Through AcademicClinical Partnerships Research Interest Group Outstanding Partnership Award from the Midwest Nursing Research Society. Elected to Women of Impact. Served as a member of the National Academy of Medicine’s Action Coalition on Clinician Well-being and Resilience. Moss, Karen. Received the Emerging Scholar Award from the Decision-Making Interest Group of the Midwest Nursing Research Society. Served as co-chair of the Decision-Making Research Interest Group of the Midwest Nursing Research Society. Served as a representative of the nominations committee for the Gerontology Society of America's Emerging Scholar and Professional Organization. Served as a junior representative of the executive committee for the health sciences section of the Gerontological Society of America's Emerging Scholar and Professional Organization.
O’Brien, Tara. Served as chair of the Education Pamphlet Taskforce for the International Transplant Nurses Society. Pickler, Rita. Served on the External Research Advisory Committee for the Mayo Clinic of Rochester, MN. Received the Suzanne Smith Mentoring Editors Award from the International Academy of Nursing Editors. Thompson, Kathrynn. Received the 2018 Pain Management App of the Year from The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute. Tubbs Cooley, Heather. Served on the editorial board for Hospital Pediatrics. Inducted as a Fellow of the American Academy of Nursing.
Tucker, Sharon. Chosen to speak at Masterminds. Tussing, Todd. Received the William Osler Award from Medicine and the Arts. Served as a member of the Board of Medicine and the Arts. Wright, Kathy. Received Nurse Researcher of the Year from the National Black Nurses Association. Zellefrow, Cindy. Served as co-chair of the Doctor of Nursing Practice and Leadership committee for Quality and Safety Education for Nurses (QSEN). Zeno, Rosie. Served as member at large on the Board of Directors for the Association of Faculties of Pediatric Nurse Practitioners. Served as the president-elect of the Board of Directors for the National Association of Pediatric Nurses and Practitioners – Ohio Chapter.
Faculty Promotions Tondi Harrison, associate professor with tenure Jackie Loversidge, associate professor – clinical Janine Overcash, professor – clinical and reappointment Loren Wold, professor
FACULTY FOCUS
9
By The Numbers Rankings
1 # 2 #
Ohio State’s online bachelor’s programs, including RN to BSN
in the country for online MS in nursing
Grants and research NIH ranking
20
#
in NIH Funded awards nearly $7M in external awards for research and development (includes foundations and training grants) for fiscal year 2018
NCLEX Pass Rate
95%
(for traditional bachelor’s)
COLLEGE RESEARCH NEWS
9
The College of Nursing received over $9 million in MILLION research funding this fall.
$
Monroe awarded $3.3 million NIH/NIA R01 grant The National Institutes of Health/National Institute on Aging (NIH/NIA) awarded a fiveyear, $3.3 million R01 grant to fund the study titled, “Sex Differences in Pain Reports and Brain Activation in Older Adults with Alzheimer’s Disease.” The grant was awarded to Todd Monroe, PhD, RN-BC, FNAP, FGSA, FAAN, (PI) associate professor in the College of Nursing. Monroe’s interdisciplinary team will include faculty from the College of Nursing, the Departments of Neurology and Geriatrics, and the Wright Center of Innovation in Biomedical Imaging at Ohio State, as well as collaborators from Vanderbilt University. “Older adults with Alzheimer’s disease (AD) are at risk of having their pain undertreated,” Monroe stated in the proposal. “Poorly treated pain in older adults with AD is a critical public health problem and understanding sex and AD-related differences in pain function is an NIA priority area.” The proposal stated that when compared to healthy adults, and in the presence of similarly known painful conditions, older adults with AD receive less pain medication. Reasons for this discrepancy are poorly understood. Meanwhile, inadequately treated pain negatively impacts quality of life and increases health care costs. Examining baseline differences in pain between males and females with and without AD will provide a foundation for understanding factors that may contribute to untreated pain risk, as well as for developing sex-specific novel assessment, prevention and treatment strategies in the older population with AD. Read more about Monroe and his research on page 29.
McDaniel awarded $2.8 million NIH/NIA R01 grant The National Institutes of Health/National Institute on Aging (NIH/NIA) awarded a fiveyear, $2.8 million R01 grant to fund the study, “Impact of Omega-3 Fatty Acid Oral Therapy on Healing of Chronic Venous Leg Ulcers in Older Adults.” The grant was awarded to Jodi McDaniel, PhD, RN, (PI), who is an associate professor and the graduate studies committee chair at The Ohio State University College of Nursing. Co-investigators include Alai Tan, MD, PhD, of the College of Nursing, and College of Medicine faculty Guibin Li, MD, PhD, Narasimham Parinandi, PhD, and Sashwati Roy, PhD. The project addresses the global problem of chronic venous leg ulcers (CVLUs), recurring wounds causing considerable infirmity for an estimated 9.7 million people every year, mainly older adults with comorbidities. CLVUs can cause disability, hospitalization and death among older adults. The project tests a new oral nutrient therapy containing the bioactive elements of fish oil, eicosapentaenoic acid and docosahexaenoic acid for targeting and reducing the high numbers of activated polymorphonuclear leukocytes in ulcer microenvironments that keep CVLUs “trapped” in a chronic inflammatory state and prevent healing. The project findings are expected to advance wound healing science and lead to a new low-risk adjunct oral therapy to stimulate the healing of CVLUs.
COLLEGE NEWS
11
Giurgescu and colleagues awarded $1.8 million NIH/NINR R01 grant The National Institutes of Health/National Institute of Nursing Research (NIH/NINR) awarded a $1.8 million R01 grant to fund the study titled, “Paternal Role in Adverse Birth Outcomes in Black Families.” The multiple-PI grant was awarded to Carmen Giurgescu, PhD, RN, WHNP, associate professor in The Ohio State University College of Nursing, Cleopatra Caldwell, PhD, of the University of Michigan and Dawn Phillips Misra, PhD, at Wayne State University. The study aims to add another dimension to efforts to reduce racial disparities. “This information can serve as the foundation for recommendations aimed at family-centered interventions to reduce adverse birth outcomes,” Giurgescu stated.
Kue receives $1.7 million grant from the American Cancer Society The American Cancer Society awarded $1.7 million, five-year grant to fund the “Intergenerational Refugee and Immigrant Cancer Screening Project.” The grant was awarded to Jennifer Kue, PhD, (PI) who is an assistant professor in the Center of Excellence in Critical and Complex Care and director of the Office of Global Innovations at The Ohio State University College of Nursing. Co-investigators include Maryam Lustberg, MD, MPH, medical director of survivorship at The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute; and Usha Menon, PhD, RN, FAAN and Laura Szalacha, EdD, both of University of South Florida. “Early detection of breast and cervical cancer through regular screening is critical to reducing cancer morbidity and mortality rates and remains a significant national public health priority,” Kue stated. “Breast and cervical cancers are the leading causes of cancer death in Southeast Asian refugee and immigrant women living in the U.S. Our intervention study will be the first to be implemented with Southeast Asian refugee and immigrant women in Ohio.” This multi-faceted intervention, combining culturally tailored messages and navigation from community health advisors in community and health clinic settings, has high potential for scalability across settings and diseases for hard-to-reach populations.
Hillman Foundation awards College of Nursing two innovation grants The Rita & Alex Hillman Foundation awarded two 2018 Hillman Emergent Innovation grants to projects proposed by the College of Nursing. POP (Pet Owner and Pet) Care creates an inter-professional team consisting of a nurse practitioner, a veterinarian and a social worker to address the healthcare needs of homebound older adults and their pets. The expectation is that the improved health of the person-pet dyad will correlate with better health and well-being outcomes for the pet owner. Bernadette Melnyk, PhD, RN, APRNCNP, FAANP, FNAP, FAAN, College of Nursing dean and university chief wellness officer is principal investigator of this project, with co-investigators Rick Petosa, PhD, The Ohio State University College of Education and Human Ecology and Abigail Shoben, PhD, The Ohio State University College of Public Health. The second grant went to principal investigator Laureen Smith, PhD, RN, FAAN, of the College of Nursing for her project, “Peer mentoring middle school youth in Appalachia to improve lifestyle behaviors and health outcomes.” This initiative teaches tenth-grade mentors to help guide other middle school students, leveraging the power of peer group dynamics and social networking. 12
nursing.osu.edu
Two new HRSA grants will boost education of nurses in primary care BY JOE ASHLEY Two recent grants awarded to the College of Nursing by the federal Health Resources and Services Administration (HRSA) focus on the education of RNs, nursing students and advanced practice nursing (APN) students for roles in providing primary care services in a variety of settings, including clinics serving rural and other underserved populations. The grants, totaling over $4 million, were secured by Margaret Graham, PhD, APRNCNP, FAANP, FNAP, FAAN, vice dean and associate professor. Graham is directing the grant projects with the help of Wendy Bowles, PhD, RN, APRN-CNP, assistant dean for baccalaureate programs and assistant professor of clinical nursing, and Cindy Anderson, PhD, RN, APRN-CNP, ANEF, FAHA, FNAP, FAAN, associate dean for academic affairs and educational innovation and associate professor. Graham has secured other HRSA grants for the college in the past, including those to establish Total Health and Wellness clinics and promote nurse practitioner practices in rural and underserved areas. One of the grants provides $2.76 million over four years to increase the number of RNs working in primary care by recruiting and preparing nursing students for primary care positions, as well as by providing additional education to current RNs to enhance their knowledge and skills in various areas of primary care. “Traditionally the majority of RNs work in acute care settings,” said Bowles, co-director of the four-year program. Acute care is provided in hospitals and other facilities where patients receive shortterm care for illnesses or injuries. Bowles said the new program will enable RNs to earn workforce development certificates to include a focus on substance use disorders, case management, chronic disease management, post-hospital care and other areas more associated with primary care, the type of routine care provided by healthcare professionals in offices, clinics and community health centers. This education “will help elevate their level of practice and enable them to practice to the full scope of their license on an inter-professional team,” she added. The four-year grant will also provide education for current and future nursing students to prepare them for work in primary care settings. The students will receive education in areas of primary care similar to that being made available to current RNs, enabling them to earn a primary care academic certificate. Classroom instruction will be supported by experiences in community-based health clinics, including those located in rural and underserved areas. Bowles said that over the course of the grant’s four years, primary care instruction will be integrated into the College of Nursing’s general curriculum to better prepare the RNs of the future for expanded roles in primary care. The second HRSA grant, for $1.39 million over two years, will also boost education in primary care. The grant makes possible an innovative program for advanced practice nursing students that partners the College of Nursing with the Ohio Association of Community Health Centers, which represents Ohio’s Federally Qualified Health Centers (FQHCs). “By partnering with these centers, we can establish an educational program that will support our advanced practice nursing students in primary care for rural and underserved populations,” said Anderson, co-director of the two-year program. Anderson said the centers will provide those in the program with the immersive clinical education experiences they need to become certified in such advanced practice specialties as family nurse practitioner, adult gerontology nurse practitioner, certified nurse midwife, women’s health nurse practitioner and pediatric nurse practitioner. The grant will fund education for 15 students each year. Participants are nurses in master’s or DNP programs who hope to work in primary care for underserved populations. The grant will also provide education and support for the advanced practice nurses employed in the centers who will oversee the education of the nursing students, Anderson added. “By placing students in the FQHCs for their clinical experience, we are increasing the capacity of the centers to serve the underserved both now and in the future,” she stated.
COLLEGE NEWS
13
At the reception in Newton Hall, the College of Nursing celebrates with many members of the Pitzer family. From left: Bern Melnyk, Noah Pitzer, Joy Pitzer, Elizabeth Pitzer, David Pitzer, Mary Lynn Pitzer, Russell Pitzer, Susan Pitzer, Kenneth Pitzer, Karen Patricia Williams, John Pitzer and Claire Pitzer.
The Martha S. Pitzer Center is already transforming lives BY JOE ASHLEY At the reception for the new Martha S. Pitzer Center for Women, Children and Youth, held September 17th, the College of Nursing celebrated the second-largest gift in its history, $3 million from the Pitzer Family Foundation. The Martha S. Pitzer Center was already off to a grand start: In August, two weeks after the College of Nursing had announced the establishment of the Martha S. Pitzer Center, the center held its first summit: “Flip the Script: Understanding African American Women’s Resilience in the Face of Allostatic Load.” The event brought together a select group of researchers, healthcare practitioners, community stakeholders and policy makers to discuss positive factors that enable African American women to cope, in an effort to find ways to narrow health disparity gaps in the United States.
Director of the new Martha S. Pitzer Center Karen Patricia Williams unveils the Newton Hall directional signage for the center.
14
nursing.osu.edu
Karen Patricia Williams, PhD, Nursing Distinguished Professor of Women’s Health and director of the new Martha S. Pitzer Center, says that plans are in the works for other summits to address other health issues currently
being studied at the Martha S. Pitzer Center for Women, Children and Youth, such as obesity among Appalachian adolescents in southern Ohio. If it seems that faculty researchers at the College of Nursing have hit the ground running following the $3 million gift that endowed the Martha S. Pitzer Center, it’s because they were already in motion. Now this transformational gift will provide new support and a new home for their research, greatly increasing the work they are accomplishing. Funds from the gift will be used to support faculty and PhD student pilot studies and for space enhancements that will allow faculty, PhD students and post-doctoral Fellows involved in research through the center to be brought together in a central location. The Pitzer Family Foundation’s generous donation “adds a different prestige to the center and enhances our national visibility,” noted Williams. Bernadette Melnyk, vice president for health promotion, university chief wellness officer and dean of the College of Nursing, explained that the gift “will provide support to our world-class nurse scientists and PhD students for their innovative research that seeks to develop realworld solutions for some of the most prevalent health and well-being problems affecting women, children and adolescents.” Williams said the gift also will enable the college to bring in scholars from other universities to consult with the College of Nursing faculty, help attract funding for other research projects, and help doctoral student researchers move their projects forward. The new Martha S. Pitzer Center is now home to quite a few cutting-edge research projects dedicated to the health issues of women, children and youth. Assistant Professor Shannon Gillespie, PhD, RN, and Associate Professor Carmen Giurgescu, PhD, RN, WHNP, both nationally recognized for their research on maternal health, are studying depression and anxiety among pregnant women, especially minority women living under chronic stress. They both are funded by the National Institutes of Health for their research. Melnyk and Susan Gennaro, PhD, RN, FAAN, dean and professor of the William F. Connell School of Nursing at Boston College, are co-principal investigators on a recently funded study by the National Institutes of Health/National Institute of Minority Health and Health Disparities to determine the effects of a six-session cognitive-behavioral healthy lifestyle program on the health and well-being outcomes of nearly 400 pregnant minority women with depression, anxiety and/or elevated stress levels and their infants. It is estimated that up to 50 percent of pregnant women experience anxiety and depression, which often go undetected and can lead to pre-term deliveries and health problems for their newborns. The intervention being used in this study was adapted from other evidencebased cognitive-behavioral therapy based programs that Melnyk has developed throughout her career. If the
Dean Bern Melnyk, Ohio State President Michael V. Drake and Martha S. Pitzer Center Director Karen Patricia Williams spoke at the reception.
program is found to be effective in improving maternal and infant outcomes, the goal is to translate it quickly to other healthcare settings across the country to improve the health and well-being of a vulnerable population of women and children. Another study, led by Cindy Anderson, PhD, RN, APRN-CNP, ANEF, FAHA, FNAP, FAAN, associate dean for academic affairs and educational innovation and associate professor, focuses on preeclampsia, a serious and potentially fatal pregnancy complication that affects about 200,000 women in the U.S. each year. Anderson and colleagues’ research is aimed at developing methods of screening women, even before pregnancy, to determine risk of developing preeclampsia. Studies like these have helped the College of Nursing develop a national reputation for research on women and children’s health. The gift from the Pitzer Family Foundation establishing the Martha S. Pitzer Center promises to further establish the college as a leader in this important field.
COVER STORY
15
Martha began her nursing education in California, then earned three degrees from Ohio State.
Martha S. Pitzer Professor Martha S. Pitzer, PhD, RN, (’74, ’76 MS, ’84 PhD) began life in 1938 as Martha Ann Seares in Pasadena, California. After graduation from high school, she entered Bishop Johnson College of Nursing in Los Angeles, receiving her RN in 1959. Three years earlier she had met a young man named Russell "Russ" M. Pitzer, a freshman at Caltech from Berkley. It was New Year’s Day and a friend named Fritz had invited Russ to an open house at his parents’ home on the Rose Bowl Parade route. “Stop by and meet my sister,” Fritz had said. “I think you’d like each other.” Fritz was right, and Martha and Russ were married on September 3, 1959. Like all newlyweds, they had no idea what was ahead for them, but it was to be a wonderful life.
16
All who knew her were enriched by her presence.
Russ’s education and academic career meant many crosscountry moves for the young couple, but that didn’t stop them from starting the family they wanted. Soon after they married, Russ and Martha set off for Cambridge, Massachusetts for Russ to attend graduate school at Harvard University. In Cambridge, Martha gave birth to their first child, Susan. Once Russ had earned an AM in physics and PhD in chemical physics, they moved back to California, and Russ joined the Caltech faculty.
By the early ‘70s, with all three Pitzer children in school, Martha had time to focus on her own career ambitions. She did so with enthusiastic determination. She entered the College of Nursing – the School of Nursing at that time – and received her BS in nursing in 1974, graduating cum laude. She was awarded her MS in nursing in 1976 and a PhD from Ohio State in Family Relations and Human Development in 1984, the same year the School of Nursing became the College of Nursing.
The family continued to grow with the birth of sons Ken and David. In 1968, with three children under the age of 10, the Pitzers became Buckeyes, moving to Columbus, where Russ accepted a position with The Ohio State University Department of Chemistry.
Martha loved teaching nursing students and served as an assistant professor at the College of Nursing during 198590 and an assistant professor at Otterbein College in Westerville during 1978-79.
nursing.osu.edu
Martha with former students and coleagues from the College of Nursing and Nationwide Children's Hospital.
She was a dedicated caregiver and held several nursing positions, including perinatal clinical nurse specialist at The Ohio State University Wexner Medical Center, before retiring in 2002. Her volunteer work included posts at OhioHealth Riverside Methodist Hospital and Nationwide Children’s Hospital. A certified childbirth educator, Martha taught Lamaze classes and was a certified lactation educator and lactation consultant. She attended and presented to breastfeeding conferences around the globe. She was a charter member of The Ohio State University Medical Center Service Board, a member of the nursing honor society Sigma Theta Tau, and the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN).
In her 78th year, Martha passed away peacefully on June 22, 2016, at Ohio State University Hospital. Over the course of her life, she fulfilled many roles. She was a devoted wife, a loving mother and grandmother, a caring nurse, dedicated teacher, trusted counselor and faithful friend. Whatever she did, she did with a fullness of spirit, with compassion, kindness, intelligence and love. All who knew her, especially her family and the Ohio State community, were enriched by her presence.
Whatever she did, she did with a fullness of spirit, with compassion, kindness, intelligence and love.
COVER STORY
17
Martha was dedicated not only to her profession, but also to her family.
A transformational gift. A fitting tribute. What better way to honor a passionate advocate for women and children’s health than to lend her name to a research center focused on that cause? It’s easy to understand why the family of Martha S. Pitzer was eager to keep her memory alive through the establishment of the Martha S. Pitzer Center for Women, Children and Youth at the College of Nursing. Ohio State emeritus professor Russell "Russ" M. Pitzer, PhD, Martha’s husband of 56 years, knew firsthand how devoted she was to motherhood and children. Pitzer retired in 2008, after 40 years with the Ohio State Department of Chemistry and Biochemistry, serving as department chair during 1989-94. In 2004, he received the Faculty Award for Distinguished University Service. He was a co-founder of the Ohio Supercomputer Center in 1986 and of the Ohio Academic Resources Network, which provides a wide range of online technology services to governmental and educational institutions, healthcare facilities and public broadcasting outlets around the state. A California native, Russ came from a family of educators. His father, Kenneth S. Pitzer, a chemistry professor at the University of California, Berkeley, was described as "one of the most influential physical chemists of his era,” and later served as president of Rice University and Stanford University. His grandfather, Russell K. Pitzer, an attorney and highly successful orange grove owner, founded Pitzer College in 1963 in Claremont, California, and was well known for his philanthropy. Russ served as a trustee of the college from 1988 to 2012, and in 2003 received an honorary degree in recognition of his service. Russ and his mother, Jean M. Pitzer, joined his father, Kenneth S. Pitzer, in forming the Pitzer Family Foundation (PFF) in 1995 to manage the family's philanthropy. Participation and support of the PFF has spanned three generations of Pitzers, with a fourth generation waiting in the wings. The present endowment gift is the second PFF gift to the College of Nursing, the first being the Martha S. Pitzer Nursing Scholarship, established in 2016. 18 18
nursing.osu.edu
Martha enjoyed collecting art, especially prints of her favorite subject: mothers and babies. Several pieces from her collection can now be found on campus, including one in Newton Hall’s lactation room.
Dean Melnyk presented the family with a box of letters from Martha's former students and coleagues. The Pitzer family (David Pitzer, Russ Pitzer, Susan Pitzer, Ken Pitzer) holding the new sign for the center.
Russ and his children believe the family’s gift to the College of Nursing is a fitting tribute to the woman who was the heart of their family. “She would really appreciate and be happy about it,” said Ken, the older of the two sons, who lives in Burlingame, California, and is senior vice president of product strategy and commercial planning for Theravance Biopharma, Inc. He praised the way his mother went about earning her degrees: “She was a great example of quiet persistence in knowing what she wanted to do and achieving her goals.” David, a Columbus resident and construction superintendent managing multifamily projects, believes his mother’s focus on health issues affecting women and children evolved over time. “I’m sure her interest in women and children’s health was spurred by raising our family,” he said. “Of all the areas she taught in nursing, she really enjoyed working with new mothers the most.” That interest and expertise became more than academic when David’s wife, Mary Lynn Pitzer, became pregnant with triplets. While Mary Lynn spent 10 weeks on bedrest at The Ohio State University Wexner Medical Center, her mother-in-law was right by her side.
Pierre-Auguste Renoir. (1893 – 1894). A Woman Nursing a Child
Pablo Picasso. 1909. Maternity.
R. C. Gorman. (1972). Navajo Madonna.
“She was amazing!” Mary Lynn said. “Encouraging me, being there, giving me that peace and calm that I needed.” It helped too, Mary Lynn added, that many of the nurses had been Martha’s students. Martha continued her constant support when the triplets came home, often sleeping on a cot in their room. “Her patience and love came through in everything she did,” Mary Lynn affirmed with deep gratitude. Martha was among the first generation of women to try to balance a professional career with being a wife and mother. All three Pitzer children said she did it well. “She had thought this through and always made sure we were well cared for,” said Susan, a retired AT&T systems engineer in Carlisle, Pennsylvania. Susan described her mother as “warm and friendly, nonjudgmental, a very empathetic listener.” Her parents, she said, were a good team. “We were a very fortunate family,” she said. “We still are.”
Charles West Cope. (1845). The Young Mother.
COVER STORY
19 19
INNOVATION
A day in the life of an HWIH student BY LAURA NEWPOFF
Maddy Davies starts the day with a cat cuddle.
Grey Worm and Daenerys
A little over three years ago, Maddy Davies applied to the College of Nursing's Bachelor of Science in Health and Wellness Innovation in Healthcare (HWIH) program. In 2019, she’ll be in the first graduating class.
newest addition. He’s grey with white paws, white chin and a white triangular mark on his chest. He loves to cuddle and play with Daenerys.”
“The way Megan Amaya and Brenda Buffington were talking to us about the program, the way they were homing in on prevention, made me passionate about this career path and taking care of people by stopping the problem before it happens,” Davies said. “Wellness is so important to me – finding ways not just through exercise and nutrition, but all dimensions of wellness, to improve the quality of life.”
on a little bit of makeup, Davies makes a strawberryraspberry smoothie and avocado toast that she eats while driving her red Ford Escape to a COTA stop on First Avenue. She takes the bus east toward the College of Nursing.
Co-directors of the HWIH program Brenda Buffington, EdD, MS, ACSM, NBC-HWC, EP-c, EIM, assistant professor of clinical practice, and Megan Amaya, PhD, CHES, assistant professor of clinical practice and director of health promotion and wellness, launched the program in 2016. The coursework prepares students to support health and wellness across the lifespan, in all states of health, as a health promotion professional. The curriculum focuses on topics such as health literacy, health coaching, healthcare technology and dimensions of wellness and resilience and concludes with a hands-on practicum experience. After graduation, students seek careers in areas like worksite wellness, community health promotion and health and wellness coaching.
6:30 a.m. It’s a chilly spring morning when Davies’ alarm clock starts ringing at her apartment in Grandview. She describes it as “the noise you would hear if a building were being evacuated.” Her first order of business is to feed her two cats – Daenerys and Grey Worm – named after characters in the smash hit HBO series “Game of Thrones.” “Daenerys, an Egyptian Mau, acts as though she is queen of the castle, very wild, and is brown with black markings, and piercing green eyes,” Davies says. “Grey Worm is the 20
nursing.osu.edu
7:30 a.m. After showering, getting dressed and putting
This protein-packed avocado toast is a part of Davies' healthy breakfast routine.
9 a.m. Davies’ first class is a three-hour block called
Technology-Based Health Promotion Strategies. “Sometimes the classes are taught in-person and sometimes we do them as a video chat.” Today, Assistant Professor Lisa Militello, PhD, MPH, RN, CPNP, is in person and the discussion focuses on ways to use technology to support health interventions. “We talk about how apps are becoming very popular for creating interventions to get people to exercise more, eat better, floss more and make
regular appointments to see the doctor,” Davies says. “We put together a layout of what we can do to help somebody in a specific situation.”
Noon. Davies heads to another three-hour class and has just a few minutes beforehand to sit on the lawn in front of the College of Nursing building and eat a packed lunch of clementine slices, almonds and peanut butter celery. This class, Wellness in Chronic Conditions, is taught by Buffington. Today they discuss how a person with diabetes can use exercise as medicine to improve his or her quality of life. “This class is really meaningful,” Davies says. “I’m very passionate about prevention and wellness is important to me. This class helps you find ways to make a disease more manageable through things like exercise and nutrition. And we also talk about exercise as a way to prevent some diseases as well.”
dimensions of wellness. The board meets for a half hour before the meeting to plan future events and to discuss guest speakers. After, she joins her peers and listens to today’s speaker, a personal trainer at the Recreational and Physical Activity Center (RPAC), who talks about the importance of physical fitness and shows the group the proper form for doing a squat, an ab crunch and a bicep curl.
7:30 p.m. Davies takes the 10-minute walk back to the COTA stop to return to Grandview, listening to an inspirational “TED Talk” podcast. Her apartment complex has a gym on-site where she meets a friend to get in a quick workout. Tired from a long day, tonight Davies squeezes in 10 minutes on the elliptical machine and 10 minutes on the Stairmaster, alternating back and forth between watching the news on CNN and glancing at GRE prep videos on her iPhone – she hopes to earn a master’s in public health one day. She finishes with a quick “leg day” workout consisting of squats, dead lifts, calf raises and some mat work before heading home.
Brenda Buffington, co-director of HWIH, discusses the importance of nutrition in wellness.
3 p.m. Davies has three hours to spare before a
Buckeyes for Wellness meeting, so she walks to Prior Library on the medical campus to study for an upcoming Coaching for Health Improvement class that concentrates on the nine dimensions of wellness. She prepares for a role-playing exercise in which she’ll act as a coach while another student plays the client. “My physical wellness client wants to exercise more, but he’s not sure where to fit it into his schedule,” she says. “So, we’ll use SMART (specific, measurable, attainable, reasonable, timely) goals to help him create a plan specifically tailored to him.” She prepares to help the client map out a schedule to go to the gym three days a week. His workouts initially will consist of 20 minutes of cardiovascular exercise along with 40 minutes of weight lifting. During a study break, Davies takes a walk around campus and strolls past Bruegger’s Bagels, Hang Over Easy, her old home at Mack Hall and Mirror Lake. She grabs a French vanilla cappuccino and an energy bite at Thompson Library.
6 p.m. Davies goes to Campbell Hall for a Buckeyes for Wellness meeting. She serves as executive board treasurer of the small group of students who work to champion university-wide wellness initiatives to advance the nine
After a full day, Davies and her boyfriend Tyler enjoy spending time together and talking about the day.
8:15 p.m. Davies takes a quick shower and then joins Tyler, her boyfriend, who’s pulled all of the ingredients out of the fridge to prepare one of their favorite dishes, shrimp scampi. “I love to cook,” Davies says, and the two enjoy cooking together and talking about their days. After dinner, it’s time to relax with “Stranger Things.” 10 p.m. Davies settles into bed with Daenerys and Grey Worm purring at her feet. These days are too hectic to read for fun so she logs into her BuckeyeMail account from her iPhone and scans through a dozen unread emails. She takes the time to respond to group members from a Public Health Epidemiology class about an upcoming case study project that’s due. “I also usually text my mom to check in, ask about her day, and then I’ll scroll through social media – Instagram, Twitter, Snapchat – before putting on a guided evening meditation to fall asleep.”
INNOVATION
21
OUTREACH
The inaugural National Summit on Promoting Well-being and Resilience in Healthcare Providers BY LAURA WISE-BLAU How The Ohio State University health science colleges and College of Social Work banded together to address the epidemic of clinician burnout with dynamic speakers, evidence-based research, practical advice, workshop sessions and special guests: leaders from the National Academy of Medicine.
22
nursing.osu.edu
Ohio State Chief Wellness Officer Bern Melnyk and President Michael V. Drake presented the National Award for Outstanding Leadership in Support of Clinician Well-being to National Academy of Medicine leaders Victor Dzau, Darrell Kirch and Thomas Nasca.
Workplace burnout, compassion fatigue and depression are common in many professions. For those who work in healthcare, the consequences are not only personal, but also affect patient care, safety and outcomes. In an effort to provide leadership in addressing healthcare burnout and curbing its effects, The Ohio State University health sciences colleges and College of Social Work brought together healthcare professionals from throughout the U.S. to host the inaugural National Summit on Promoting Wellbeing and Resilience in Healthcare Providers in September at the Hyatt Regency in Columbus. In 2016, Ohio State’s College of Nursing and College of Medicine partnered to host a symposium for its health sciences professionals. That success led co-chairs Dan Clinchot, MD, vice dean for medical education in the College of Medicine and professor of physical medicine and rehabilitation at The Ohio State University Wexner Medical
Center and Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, vice president for Health Promotion, university chief wellness officer, and dean and professor at Ohio State’s College of Nursing to recreate the event on a broader scale. The 2018 summit was a two-day event with six keynote speakers, three experiential workshops, 32 oral presentations and 30 poster presentations. This year’s summit sought to help participants enhance their personal well-being and resilience and develop healthy lifestyle behaviors. “Our agenda was filled with the latest evidence to provide attendees a holistic view of clinician well-being through multiple perspectives, impactful approaches that have improved well-being in healthcare providers across a spectrum of healthcare organizations and educational institutions, and workshops that offered handson training focused on stress-reduction techniques that work for clinicians,” said Melnyk, who was among the summit’s keynote speakers and organizers.
“This is a critically important issue … It’s an epidemic for trainees and for those in practice.” VICTOR DZAU, MD President of the National Academy of Medicine OUTREACH
23
Clockwise from top: Bernadette Melnyk speaks on the epidemic of clinician burnout; Jack Groppel, who spoke about how clinician well-being affects patient health engagement, enjoys a laugh; Amishi Jha leading the audience in evidence-based mindfulness techniques and Tait Shanafelt delivering statistics on organizational wellness approaches.
The statistics on healthcare professionals and their emotional well-being are sobering. The National Academy of Medicine (NAM) reports that more than 50 percent of U.S. physicians report significant burnout. Other healthcare professionals are equally at risk. According to the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, the emotional intensity of clinical work puts clinicians at high risk. It found burnout ranges from 10–70 percent among nurses and 30–50 percent among nurse practitioners and physician assistants. “Burnout has potential serious professional and personal consequences,” said Cynthia Kreger, MD, professor of Clinical Internal Medicine at Ohio State’s Wexner Medical Center and a speaker at the summit. “As educators, and leaders in academic medical centers, we have an obligation to ensure high quality patient-centered care, but we also have a moral and ethical obligation to care for our caregivers. Conferences such as this serve importantly as a call to action.” Before two days of speakers, activities and workshops, organizers held an evening pre-summit celebration, which introduced the inaugural National Award for Outstanding Leadership in Support of Clinician Well-being, presented by President Michael V. Drake and Vice President and Chief Wellness Officer Bernadette Melnyk.
24
nursing.osu.edu
Honors went to Victor Dzau, MD, president of the NAM; Darrell Kirch, MD, president and CEO of the Association of American Medical Colleges; and Thomas Nasca, MD, MACP, CEO of the Accreditation Council for Graduate Medical Education. The three were recognized for their efforts to address solutions to enhance well-being in healthcare professionals. Together, they initiated and spearhead the NAM’s Action Collaborative on Clinician Well-being and Resilience, a network of more than 60 organizations committed to reversing trends in clinician burnout. Melnyk represents Ohio State on this action collaborative. “I would like to commend Ohio State,” Dzau stated. “You have been a key player to advance this issue.” He pointed out that Ohio State was the first American university to appoint a Chief Wellness Officer, demonstrating our commitment to wellness. The NAM collaborative seeks to identify evidence-based strategies to improve clinician well-being. Results of the groups have produced a number of valuable resources, including an online knowledge hub, discussion papers, an all-encompassing conceptual model that illustrates issues affecting clinician well-being, and a common set of definitions to discuss well-being. “The collaborative is working to improve baseline understanding of challenges to clinician well-being, raise the visibility of clinician stress and burnout, and elevate evidence-based, multidisciplinary
Clockwise from top: Attendees enjoyed healthy snacks from the smoothie bike and a trail mix bar; Tim Cunningham of the Compassionate Care Initiative at the University of Virginia speaks about promoting self-care and creating a compassionate workplace; Victor Dzau listens to Bern Melnyk; Scott Holliday of The Ohio State College of Medicine tries a leg lift with a stretchy band; presenters discuss their posters; Cynthia Clark explains how vital workplace civility is to workplace health.
solutions that will improve patient care by caring for the caregiver. We know there is more work to be done, and we remain firmly committed to these efforts for supporting current and future physicians,” Dzau, Nasca and Kirch said in a statement to The Washington Post. After an early morning Tai Chi class, poster presentations and exhibits, the summit opened with a keynote address by Tait Shanafelt, MD, director of the Stanford WellMD Center, chief wellness officer for Stanford Medicine and founding director of the Mayo Clinic Department of Medicine Program on Physician Well-being. For the past ten years, Shanafelt has overseen multiple national surveys that included some 40,000 physicians and healthcare workers. His studies have found that burnout can contribute to physician errors, higher mortality among hospitalized patients and less compassionate care. It is a trend, Shanafelt said that is “eroding the soul of medicine.” The summit also featured keynote speeches from Cynthia Clark, PhD, RN, ANEF, FAAN, professor emeritus at Boise State University, strategic nursing advisor for ATI Nursing Education and the founder of Civility Matters®; Amishi Jha, PhD, neuroscientist, researcher and associate professor at the University of Miami; and Bernadette Melnyk, among others. At its conclusion, summit participants created an action plan to improve well-being outcomes for those in healthcare professions.
“I have practiced and studied health promotion and wellness for decades as I believe prevention and self-care are the keys to living well, finding satisfaction and having positive relationships, and a vast body of evidence supports this. I believe this is a journey that we all need to commit to for life for not only ourselves, but for our families, friends, colleagues and patients,” said event speaker Sharon Tucker, PhD, RN, FAAN, Grayce Sills Endowed Professor in Psychiatric-Mental Health Nursing and director of the translational research core of the Helene Fuld Health Trust National Institute for EBP in Nursing and Healthcare. “I find the more I commit to my own self-care and wellness, the more I can give to others and feed my soul. I wouldn’t have missed this summit.” “We want to thank all of the nationally acclaimed interprofessional speakers, workshop presenters, and wonderful attendees for making our inaugural summit a great success,” said Melnyk. "Yet there is still much work to do. More than half of practicing clinicians in America exhibit at least one symptom of burnout, and these clinicians experience suboptimal physical and mental health, increased depression, and higher medical error rates. Ohio State is dedicated to supporting the well-being of healthcare providers across all disciplines and positively impacting our clinicians’ lives. Planning has already commenced for our second National Summit on Promoting Well-being and Resilience in Healthcare Providers in 2020.”
OUTREACH
25
EVIDENCE-BASED PRACTICE
DNP = EBP expert BY SUSAN NEALE
EBP education for DNPs: Cindy Zellefrow and QSEN “The doctor of nursing practice’s (DNP’s) role is to be an evidencebased practice expert,” says Cindy Zellefrow, DNP, MSEd, RN, LSN, PHNA-BC, director of the academic core in the Helene Fuld Health Trust National Institute for Evidence-based Practice (EBP) in Nursing & Healthcare and assistant professor of practice at the College of Nursing. “The DNP’s job is to consistently implement and lead evidence-based healthcare. Our goal is that EBP isn’t just a project to be done, but rather the way we approach decision-making in everything we do. That’s an important step to getting to ‘quality and safety in healthcare,’ the goal of the QSEN Institute.” This shared vision is what led Zellefrow to join the Quality and Safety Education for Nurses Institute (QSEN), a national organization housed at the Frances Payne Bolton School of Nursing at Case Western Reserve University. Zellefrow has been working with QSEN on initiatives to help define and guide appropriate DNP education, preparing DNPs to lead EBP in clinical settings. “The DNP degree is relatively new,” Zellefrow explained. The first DNP program was created in 1999. Since then, its popularity has grown rapidly, leading to new programs at institutions across the country. As director of the academic core of the Fuld Institute for EBP, Zellefrow wants to ensure that EBP education in these programs is consistent, so that DNP students can gain the skills needed to lead EBP. QSEN has designated EBP as one of their six core competencies for nurse education. As part of QSEN’s DNP taskforce, Zellefrow has been working with a team to create a roadmap for the DNP scholarly project. This roadmap is intended to guide faculty who are teaching and advising DNP students through an evidence-based quality improvement scholarly project (at one time called a“capstone” project). The task force conducted a national survey on DNP projects, from which Zellefrow and colleagues gained perspective on what these projects look like nationwide, how they are being taught, and the where opportunities lie moving forward to bring them in line with the American Association of Colleges of Nursing’s 2015 white paper on the DNP degree.
26
nursing.osu.edu
An evidence-based DNP scholarly project, Zellefrow says, often begins with a burning question, a healthcare issue for which the student has a passion. Once the DNP candidate identifies a clinical issue, the next step is to create a very targeted, searchable question that identifies key words to find the best evidence on the topic, and then critically appraise the literature and synthesize the body of evidence. Zellefrow says, “It’s during that synthesis that the body of evidence comes to life and reveals a way to improve the quality and safety of care.” “Once you know what the right thing to do is, then our job, as DNPs, is making sure that it’s being done the best way every time. We measure the outcomes of care … and we’re responsible for disseminating the findings of our work.” The new DNP scholarly project roadmap will help ensure that a DNP scholarly project includes all of these important elements of EBP. Zellefrow and the Fuld Institute for EBP are involved in other projects to advance EBP through collaboration with QSEN. Zellefrow served on the planning committee of QSEN’s 2018 International Forum, “Oceans of Opportunity: Evidence-based Practice to Improve Quality and Safety in Education and Practice,” held in Bonita Springs, Florida in May, and gave a half-day workshop there on integrating EBP into academic programs. QSEN collaborated with the Fuld in the first national research study to explore academics’ EBP beliefs, knowledge, competency and integration into academic programs. Zellefrow lauds QSEN’s “desire to be collaborative,” which allows her to work with member nurse leaders across the country to advance safety and quality through EBP. “We’re doing some great work together in academia to ultimately improve the quality and safety of healthcare so that all people can experience great outcomes,” Zellefrow says. “It’s really exciting.”
EBP comes to rural Idaho, thanks to Deena Rauch, DNP Last summer, Deena Rauch, DNP, got a phone call: Would she be interested in filling in for four months at Weiser Memorial Hospital as Chief Nursing Officer? Weiser (pronounced “WEE-zur”), was a far cry from her home in the city of Moscow, Idaho. The Snake River runs through this mostly agricultural area, which grows sugar beets, onions, and corn. The small critical access hospital (CAH) has only about a 16-bed capacity. Rauch flew out
Ohio State. It seemed to have everything she needed to learn more about EBP. “I got really bold and emailed Lynn Gallagher Ford, PhD, RN, NE-BC, DPFNAP, FAAN, senior director of the Fuld Institute for EBP, who provided me with tools, resources and surveys to use in my project.” A grant from the Idaho Alliance of Leaders in Nursing allowed her to attend an EBP immersion at the Fuld Institute for EBP in May of 2017. “So,” Rauch added, “I set off for Columbus, Ohio, with this grand idea.” The five-day EBP immersion gave her an in-depth understanding of EBP and gave her what she needed to launch her DNP scholarly project. “It was, for me, an awakening,” Rauch says. “I had heard about EBP, but prior to my DNP program, it had never been taught. It was the key to the lock: this is it! This is how you know that what you’re doing is going to make a positive change.” Rauch’s dream is to help Idaho’s remote hospitals adopt and maintain EBP.
to visit. After a quick look around, she fell in love with the place. More than a year later, she’s still there. The CNO position at Weiser created the perfect opportunity to complete her DNP scholarly project, serve in a rural leadership role, and follow her passion: spreading EBP to CAHs in Idaho. “You don’t always have an opportunity in your career to do what you love to do and work with an administrative team you respect,” Rauch shared. Rauch’s dream is to help Idaho’s remote hospitals adopt and maintain EBP, and to find approaches to adopting EBP that work with their needs. “Rural communities are unique and individual,” Rauch explains. “They have their own personalities. It takes a tailored, individualized approach. What works in urban cities might not work in a small, rural community hospital. For instance, a rural hospital might have such a small staff that they can’t have someone leave the organization for five days in a row for an EBP immersion, much less send their whole staff. But if we could do that remotely, using mentors, while providing face-to-face support and university support, such as online learning modules and databases, a big idea like EBP becomes doable.” While Rauch has been a nurse executive for over 20 years and served as the executive director of Nurse Leaders of Idaho, her status as a DNP is relatively new: she completed her DNP through Boise State University in May, 2018. While working towards her DNP, Rauch discovered the Helene Fuld Health Trust National Institute for Evidencebased Practice in Nursing and Healthcare (then CTEP) at
Now Rauch is working to promote her dream of EBP education, not just in Weiser, but for all rural CAH hospitals. She presented her project, “An Evidence-based Practice Assessment and Quality Improvement Initiative in Idaho’s Critical Access Hospitals,” at Nurse Leaders of Idaho’s Leadership in Education and Practice (LEAP) conference in September and is hoping to partner with other groups and organizations to gather funds and resources to spread EBP education to other CAHs. “Like most nurses, I just want to make a difference,” says Rauch. She is indeed making a positive impact with her EBP work.
Inaugural grants awarded by the Fuld Institute for EBP The Helene Fuld Health Trust National Institute for Evidence-based Practice awarded its inaugural round of grants to advance evidence-based practice and science in nursing to: Linda Quinlin, DNP, APRN-CNS, ACHPN, for “Quality Improvement Project: Incorporating Evidence-based Practice into the Nursing Culture at Ohio's Hospice Inc." Kerry A. Milner, DNCs, RN, for “Visitation Practices in Magnet and Pathway to Excellence Facilities with Adult Intensive Care Units”
EVIDENCE-BASED PRACTICE
27
RESEARCH
Heather Tubbs Cooley
Two new Ohio State nurse scientists Two associate professors open up about their lives and career paths: the mentors, aha! moments, and healthcare issues that spurred them to become cutting-edge researchers. BY SUSAN NEALE
Associate Professor Heather L. Tubbs Cooley, PhD, RN Cincinnati ties: Tubbs Cooley comes to us from Cincinnati Children’s Hospital, where she was a nurse scientist and faculty member at the University of Cincinnati Colleges of Nursing and Medicine.
conducted research for her honors thesis. “These experiences helped me see, very clearly and very early, the scale of impact one can have though rigorous, wellcommunicated research.”
Current research project: “Systems Analysis of Guideline Adherence in Neonatal Intensive Care” funded by the Eunice Kennedy Shriver National Institute for Child Health and Human Development.
Her research interests crystalized during her early years as pediatric nurse at C.S. Mott Children’s Hospital at the University of Michigan. “I was a new nurse during a difficult time for the organization, and it seemed that we were often short on staff. Some days it felt like an exciting challenge and other days were difficult, where you knew you didn’t provide great care.” Tubbs Cooley attended the University of Pennsylvania as a BSN-to-PhD student and a T32 Fellow in the Center for Health Outcomes and Policy Research led by Linda H. Aiken, PhD, RN, FAAN, FRCN, a renowned expert in nurse staffing and patient outcomes research. Tubbs Cooley trained as a health services researcher, studying effects of nurse staffing ratios on pediatric readmission.
On being a nurse scientist: “My identity is rooted in both nursing and science,” says Tubbs Cooley. “I’ve always excelled at science and writing, and I enjoy the human aspect of applying science to clinical practice. There are so many problems to solve in healthcare and nurses are key to defining both the questions and the testable solutions.” How it began: As an undergraduate student she worked as a research assistant on a federally funded study of fetal exposure to environmental toxins and, separately,
continued on page 30 28
nursing.osu.edu
Todd Monroe
Associate Professor Todd Monroe PhD, RN-BC, FNAP, FGSA, FAAN Previously, in Nashville: Monroe comes to us from Vanderbilt University in Nashville, Tennessee, where he was an assistant professor of nursing and medicine (psychiatry and behavioral health) since 2013. Monroe also completed a three-year post-doctoral fellowship (20102013) at Vanderbilt in nursing and neuroimaging. Current research projects: PI, “Pain Reports and Brain Activation in People with Alzheimer’s Disease” NIH/NIA K23 and “Differences in Pain Between Alzheimer’s Disease and Vascular Dementia in Older Females” NIH/NIA R21. On being a nurse scientist: “There’s a beauty in mixing these two worlds,” Monroe says. “As a nurse, we can bring really practical problems to something very complex.” Monroe recalls the astonishment and disbelief of the other researchers in the Imaging Institute the first time he brought in a frail, older adult with dementia. Many imaging scientists are not clinicians, and many were used to studying healthy, younger subjects. “I had years of clinical experience and comfort, so I was perfectly OK. I knew how to assess those patients and how to determine their safety in research participation.” It was a first at Vanderbilt. How it began: “I was doing work in the fields of pain and substance abuse, and pain systems with a focus on patient safety and nurse-wellness policy,” in his PhD program at the University of Tennessee Health Science Center, Monroe
said, when he first noticed that patients with dementia were treated differently for pain. “I became very interested after a staff person in a nursing home said, ‘Well, they have dementia. They don’t feel pain.’ That was an aha! moment for me.” Monroe was aghast to find that it was common practice in many hospitals and nursing homes for people with dementia to receive little or no pain medication, even when they have a known painful diagnoses. “Where’s the evidence that people with dementia don’t feel pain? I started to thoroughly search the literature, and there was no evidence that dementia just stops people from feeling pain.” Meanwhile, his grandmother, who was 95 and had endstage Alzheimer’s Disease, was diagnosed with breast cancer. “Even as an experienced ICU nurse, I was awestruck in my difficulty to recognize pain in someone I loved, someone who could really no longer speak.” Frustrated that pain-related symptoms in patients with dementia were often misinterpreted as acting out, or treated with antipsychotic medication instead of pain relief, Monroe wanted to figure out: “How can we determine how dementia impacts the central pain system and the experience of pain so that we can begin to address this problem?”
continued on page 30 RESEARCH
29
Associate Professor Heather L. Tubbs Cooley, PhD, RN
Associate Professor Todd Monroe PhD, RN-BC, FNAP, FGSA, FAAN
Continued from page 28
Continued from page 29
Today, her work focuses more broadly on nurse workload and work design to understand how these influence nurses’ capability to deliver timely, thorough, high-quality care to hospitalized infants and children. “What is it about how institutions and nurses resource, organize, and deliver nursing services that produces the outcomes we consistently see across studies? What is happening inside that black box of care delivery at the bedside and how can we measure and model it?”
Functional neuroimaging, which can show complex brain responses to pain, might hold the key. But could he learn how to conduct experiments using MRI? “I don’t have a degree in neuroscience,” he said. “finding a mentor was extremely difficult, and I got very lucky.”
Best career advice: “Get the PhD sooner rather than later,” advised her undergraduate professors. This is advice Tubbs Cooley now gives to students who are interested in nursing science. “We have a pipeline problem in nursing, where too many wait until midcareer to begin a second act in research. At that point, it becomes difficult to build and sustain a program of research that will maximally benefit society, grow through your trainees and hopefully outlast you.” On teamwork: Tubbs Cooley stresses the importance of skills and thought diversity on research teams. “I work with nurses, physicians, informaticists, psychologists and human factors engineers. We all have a different lens when considering questions. It makes the science better and much more interesting than anything I could think up on my own. And, we have fun.” Ohio State connection: Tubbs Cooley’s long-time collaborator and mentor, Rita Pickler, PhD, RN, FAAN, transitioned to the Ohio State University in 2015. “I recognized what an incredible nursing science expert Rita is, so I adapted my work to fit her expertise. We have an outstanding partnership.” Pickler is a co-investigator on Tubbs Cooley’s current NIH study. Very excited about: Teaching Advanced Methods for Nursing Research this spring, a new PhD program core course. “It’s right in my line of expertise.” Making the move: Tubbs Cooley, husband Derek, sons Jude (10), Elliot (7) and Foster (4), and labradoodle Packer are now looking for a home in Columbus, perhaps near a park. They’re outdoors people, “always looking for a new trail to hike.”
30
nursing.osu.edu
Best career move: Monroe sent requests to various scientists throughout the country who conducted MRI research. The response from most of them was, “Good idea. You’re a nurse. Sorry, you don’t have the right training.” Determined, he kept firing away, until he emailed John Gore, PhD, university professor and director of the Vanderbilt University Institute of Imaging Science. “Naivete can be such a good thing sometimes,” Monroe jokes now. “Little did I know he’s in the National Academies of Science, one of the world’s most renowned MRI physicists.” Monroe found out much later that Gore, who became his mentor and friend, was married to a nurse midwife. He was glad to bring Monroe on board at Vanderbilt. On teamwork: “It’s a team approach, what I do. I have to have multiple disciplines such as psychiatry, imaging, anesthesiology and physics, so it’s truly a translational group approach to solving a problem.” From this team approach, Monroe developed a close personal and professional friendship with Ronald Cowan MD, PhD, Professor of Psychiatry. “Dr. Cowan and I have worked closely on several funded projects and we have plans to work collaboratively between OSU and Vanderbilt.” Ohio State connection: When Monroe applied to Vanderbilt’s PhD program, he met Lorraine Mion, who became his nurse mentor, and who is now at Ohio State. Very excited about: working on an innovation with the help of the Innovation Studio. We can’t reveal what it is just yet, but it could help those affected by the opioid crisis. Finding a home: Monroe is enjoying exploring the villages of Columbus (Italian, German, Victorian) while looking for a house. As is evidenced by his research, family is very important to Monroe, who often makes the trip home to Brinkley, Arkansas, to be with his 90-year-old father, 78-year-old mother and his sister.
Sun solutions An intervention designed to convince outdoor construction workers to prevent skin cancer is gaining national attention. BY ANNA RIPKEN “When I was a kid, it was not common to use sunscreen, so I burned through much of my childhood,” says Sonia Duffy, PhD, RN, FAAN. “Now I have grandkids, and I just lather them.” Her grandchildren aren’t the only ones Duffy is working to protect against sunburn and skin cancer. “The Sun Solutions Intervention for Operating Engineers: A Randomized Controlled Trial,” investigated ways to improve the sun-protection habits of outdoor construction workers who operate heavy equipment. The study was recently published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research (AACR), with coauthors Stephanie V. Hall, Alai Tan, Andrea H. Waltje, Samantha A. Cooper and Carolyn J. Heckman. Duffy is the Mildred E. Newton Endowed Chair and professor at the College of Nursing. The interventions Duffy devised and tested had very favorable results, and Duffy and others have begun to explore ways to modify them for other populations. Duffy’s interest in the health of this group of operating engineers in Michigan began with a tobacco intervention she was testing. She also assessed other health behaviors in the subjects of the intervention, because many health behaviors are related, and she noticed something: “Many of them spend long hours in the sun, and many of them burn every summer. I saw this opportunity to intervene, and I thought it would be easier than treating tobacco use because tobacco is an addiction,” Duffy said.
Sponsored by the Blue Cross Blue Shield of Michigan Foundation, the trial tested the efficacy of four sunprotection interventions. Those interventions included education only; education and mailed sunscreen; education and text-message reminders; and education, mailed sunscreen and text-message reminders. For the education portion of the interventions (which everyone received), a 30-minute PowerPoint presentation was offered to the engineers during their annual safety trainings, covering information on skin-cancer prevalence, types of skin cancer, sunburn and more. Duffy said the operating engineers were shown pictures of skin cancer to help them recognize the different types, ranging from nonmelanoma to melanoma. “A lot of them just didn’t really realize how at-risk they were for skin cancer.” “I knew that education would help, but sometimes education alone isn’t enough,” Duffy said. “People will know that they shouldn’t smoke, but they still smoke. Likewise, people know that they burn, but they still don’t put on sunscreen. So some groups received additional interventions, like text-message reminders and mailed sunscreen [because] if you mailed the sunscreen, they’ve got it in their hands and they don’t have to go to the store and buy it, decreasing barriers to putting it on.” The text messages, such as, “Your family and friends love you – put on sunscreen!” reminded them to use it.
RESEARCH
31
While conducting the trial, Duffy learned from the operating engineer’s responses that men and women might respond differently to the products. The male participants reported that they did not like the smell of scented sunscreen, and lotion made their hands greasy on the steering wheel. “Some prefer the spray and the wipes compared to the lotion,” Duffy said. “Lotion is more of a female thing.” While sunscreen is available in other forms, lotion provides more thorough protection and coverage and is less expensive, so Duffy stuck with lotion for the study and hoped that the education and interventions would be enough to convince the operating engineers to use it. No-Ad, a scent-free lotion, was mailed in large bottles, and Coppertone Sport was mailed in small bottles attached to key chains, easy for reapplication.
Ninety-seven percent of respondents reported in the post-intervention survey that they found the interventions helpful, 96 percent said they were satisfied with the intervention and 84 percent expressed future intent to use sunscreen. Based on these self-reported results, it was concluded that the intervention significantly improved selfefficacy in the use of sunscreen and preventing sunburn. “We saw quite a bit of difference in all four groups, with education providing the most bang for the buck, but mailed sunscreen and text messages improved sunscreen use and reduced sun burn even further,” Duffy said. Now she is working with Ohio State’s agriculture department to flip the intervention for farmers and their families, who are also at high risk for skin cancer. “I think sunscreen is wonderful,” Duffy said, and she hopes that bringing her intervention techniques to Ohio State will provide her with the opportunity to continue to make positive changes in people’s sun-protection behaviors.
COLLEGE OF NURSING
TOTAL AWARDS DOLLARS Research funding at the College of Nursing continues to grow.
$8,000,000 $7,000,000 $6,000,000
This chart shows the growth of our total awards dollars by fiscal year. In 2018, the college moved from #31 to #20 in NIH funding ranking, making it #14 among public colleges of nursing. From July 2017 to May 2018, the college received 48 awards, totaling $6.9 million, compared to $4.3 million in 2017-2018.
$5,000,000 $4,000,000 $3,000,000 $2,000,000
Our team of researchers and support staff continue to focus on producing high-quality grant proposals that achieve results. Grant funds support research and also contribute to salary recovery.
$1,000,000 $0
32
FY 2013
nursing.osu.edu
FY 2014
FY 2015
FY 2016
FY 2017
FY 2018
Learn to excel in research and scholarly activities in our Doctor of Philosophy (PhD) in Nursing program. Transform healthcare knowledge, nursing science and the nursing profession while studying with expert mentorship from highly experienced, well-known, award-winning nursing scientists, with a broad range of focus areas across all stages of life, settings and health conditions. Priority admission deadline: December 15, 2018. Final deadline: January 2, 2019.
nursing.osu.edu/phd
ARE YOU READY TO MAKE REAL CHANGE? Applications for Autumn 2019 are now open for both programs.
Reach the highest level of nursing practice and administration in our online Doctor of Nursing Practice (DNP) program. Through customized learning opportunities in core coursework, electives and clinical immersion experiences, you will develop the skills to become an expert evidence-based practitioner or healthcare administrator. And don’t forget, when you enroll in our online DNP program, you’ll pay in-state tuition no matter where you live! Post-master's DNP priority deadline: January 15, 2019. Final deadline May 15, 2019.
nursing.osu.edu/dnp
BUCKEYE INSPIRATION
Just like Mom: Barb and Angela Humbel BY ANNA RIPKEN
Being a Buckeye nurse means being able to inspire those around you. But where do Buckeye nurses find their own inspiration for their careers? That’s an easy question to answer for Angela Humbel, College of Nursing sophomore: “With my mom being a nurse, I always had curiosities about the human body that I would ask her about. That fueled my interest in the medical field and science since I was very young.” Angela was convinced she wanted to go into healthcare since her early childhood, and the same was true for her mother, Barb Humbel, RN, CCM, (’79), a case manager at University Hospitals Parma Medical Center who also has experience as a traveling nurse and critical-care nurse, and is on the Board of Governors for the College of Nursing Alumni Society. Still, Barb wanted Angela to make an informed choice. “When she was younger, I brought her to work for ‘Bring your Daughter to Work Day,’ but I told her, 'Look around you. See the different roles, whether it be doctor, nurse, pharmacist, speech therapist, you name it,’ because I wanted her to pick what she felt would be the best option for her. I’m delighted that she chose nursing.” Even though the family lives in North Royalton, Ohio, about two hours away from Ohio State, Angela grew up going to alumni events and Ohio State football and hockey games, and started saying that she would go to Ohio State by age 10. A high school college-day visit to Ohio State sealed the deal. “I was amazed with the technology and prestige the College of Nursing had,” Angela said. She was determined to go to Ohio State and follow in her mother’s footsteps. Barb and her husband, Jim Humbel, an analyst at PNC Bank, were there for Angela every step of the way, helping her decide what high school classes she needed to take, what internships were available to her and what schools to apply to (with Ohio State at the top of the list). When Angela was accepted, the hard work continued. “This past year, I worked harder than I ever had before,” Angela said. “My parents would call every Sunday night to see how I was doing and [were] always there with words of encouragement and support.” Then last summer, the anticipated college decision arrived: Angela and her mother had become a Buckeye nurse legacy. “This was the biggest accomplishment of my life,” Angela said. “It was the moment I had waited for since I was a freshman in high school on that career day. My family continues to be very supportive, and my mom and I are so excited to attend nursing events together and share our experiences. Having her there to help me along this path was one of the best blessings I could have had. I cannot wait to see what else we will share in these next few years.” “We love this school!” Angela added. “Ohio State means so many things in our family. It means fun football Saturdays, exciting alumni events and most importantly an excellent education ... Everyone I meet at Ohio State is enthusiastic about what they’re doing and genuinely loves their efforts at Ohio State. I couldn’t imagine myself anywhere else!”
34
nursing.osu.edu
Proud parents Jim and Barb Humbel with their daugher Angela, a sophomore in the College of Nursing
COLLEGE STUDENT NEWS LIFE
35
36
nursing.osu.edu
GIVING
Connect with Courtney Shaul The new director of development can’t wait to meet you. BY SUSAN NEALE Courtney Shaul has a lot going on: the new director of development of the College of Nursing is working on a master’s degree in public administration and management at the John Glenn College of Public Affairs and raising two children – Lucy (3) and Tanner (1) – with her husband, Matt, a Grove City high school teacher and football coach. Sit down with her to talk, though, and you’ll feel as if she has all the time in the world for you. What’s the secret to her mixture of energy and calm? “I really love my job,” she explains. “I love connecting alumni to help support the growth of the college, to transform the way we’re serving and supporting our students and the community and to further research.” And she can quickly tell you several things she loves about the College of Nursing. For instance, Bern’s momentum and vision: “She doesn’t let anything stand in her way.” Or the college’s focus on evidence-based practice, which she says is “very inspiring” and relates closely to what she’s learning in her master’s degree program. Shaul’s favorite thing about the college, though, is what she calls our “positive culture.” “Everyone here is so nice and welcoming,” she says. “Most people seem to just love their jobs and love being here. And that’s a good feeling." Now she’s looking forward to sharing the college’s story with our alumni and with the world. With her impressive background in development and fundraising, Shaul is a natural fit for the position. Shaul graduated with a BA in English from Ohio State in 2007 and landed a job at Abercrombie & Fitch corporate in the community relations and philanthropic arm as home office development coordinator. There, she got a chance to learn about organizing corporate fundraising, such as the A&F Challenge 5k run and bike tour, raising approximately $1 million for the Wexner Medical Center. Her next career move was to become associate director of annual giving for Nationwide Children’s Hospital, where she worked on events with close to 100 community partners. From there, she made the leap to Ohio State’s College of Dentistry, where, as director of development for four years, she started a successful capital campaign for their new building. In her free time, Shaul likes to “do everything and anything outside,” including family walks in the park with their dogs Haley and Molly, playing golf and going to the beach. She enjoys cooking and baking oatmeal butterscotch cookies. And she admits she’s putting off finishing her master’s degree until next spring because there’s so much going on this fall, from her first Homecoming at the College of Nursing to her husband’s football coaching schedule. “Fall is crazy for my family,” she says, smiling. It’s clear she wouldn’t have it any other way.
Grab a cup of coffee with Courtney while you chat about everything from her new role with the college to her love for baking. GIVING
37
The Barbers and Beauticians Who Care program began three years ago to help residents of the second-poorest neighborhood in Central Ohio develop an awareness of their health risk factors. 38
nursing.osu.edu
SERVICE
Barbers and Beauticians Who Care BY LAURA NEWPOFF “It truly was an amazing story of how education and outreach can make a difference,” said Elizabeth "Lizzie" Fitzgerald, EdD, RN, APRN-CNS, PMH-BC, associate professor of clinical nursing at the college. “It reinforced the value of doing these screening programs in the Mount Vernon and Near East Side community.”
Filling a need
On a sunny April afternoon, in between haircuts at an inner-city salon that sits in the shadow of Ohio State University Hospital East, Mary James took a break to address what is known as a silent killer: her high blood pressure. She sat down at a small table in the corner of the salon and let a young man in scrubs strap a blood pressure cuff on her right arm. James is Detiffanise’s salon manager and has health insurance, but the free blood pressure, blood sugar and stress screenings provided by the Ohio State College of Nursing through the Barbers and Beauticians Who Care program ease her mind in between doctor visits. For many of her clients, it’s a different story. The salon is in an underserved, economically disadvantaged area. For her customers who don’t have health insurance, and therefore don’t see the doctor regularly, the screenings are a life saver, she said.
The Barbers and Beauticians Who Care program began three years ago to help residents of the second-poorest neighborhood in central Ohio develop an awareness of their health risk factors. It is part of the university’s ongoing commitment to improve the quality of life on the Near East Side, where its 190-bed hospital is located. Of the six salons that participate in the program, five are in the 43203 ZIP code, where 43 percent of residents live below the poverty line. The program was launched by Jennifer Kue, assistant professor and director of the Office of Global Innovations at the college, in partnership with Al Edmondson of Making a Difference Inc., a nonprofit that addresses community issues. Edmondson is also the owner of a Cut Above the Rest salon.
Turns out, truer words have never been spoken.
The roots of the initiative actually go back 15 years. That’s when Edmondson – whose salon is in the Mount Vernon neighborhood and has as neighbors a Baptist church, a pawn shop and an Ethiopian social services center – realized some of his male clients were dying from diabetes.
During the two-day screenings at six salons in Columbus' Near East Side, Emergency Medical Services had to be called for one person who was transported to the hospital for follow-up care. She had been on blood pressure medication, but didn’t realize she needed to keep taking it.
“My customers were older and not taking care of their health,” Edmondson said. “There was no education around diabetes in our community and I started seeing some of my clients drop off. It was an education issue. Also, men don’t like to go to the doctor and would rather do home remedies, but if you bring it to us we’re likely to get checked.” He originally partnered with the American Heart Association before teaming up with Ohio State. continued on page 40 SERIVCE
39
Wanda Dillard, director of community development at Ohio State’s Wexner Medical Center, said the area where the six salons do business is vulnerable for health inequities for a number of reasons. “The areas where we have health disparities, infant mortalities, large numbers with diabetes and cancers are in the neighborhoods that were redlined,” Dillard said. “There’s been a lack of investment for a long time in those communities.” Redlining was a federal refinancing program in the 1930s designed to deny mortgages and business loans to many minorities. Redlining devastated many neighborhoods across the nation like the Near East Side of Columbus, Dillard explained. Now the area is susceptible to poverty, high unemployment rates, food insecurity, poor educational systems, environmental racism and poor health outcomes. To make matters worse, the Near East Side was cut off from downtown Columbus when the Interstate 70-71 split was built in the 1960s, isolating the neighborhood and increasing the health risks of children whose schools were close to the freeways. To emphasize why access to healthcare is so important to these residents, Dillard pointed to the Franklin County HealthMap2016. It was a collaborative effort coordinated by the Central Ohio Hospital Council, intended to help hospitals better understand the health needs of Franklin County residents. The map shows that the area within the 43203 ZIP code has: • the second-lowest median household income in Central Ohio, at $18,100 • the highest percentage of households using food stamps, at 48.2 percent • the fourth-highest rate of violent crime, at 11.5 per 1,000 • the third-highest rate of emergency department visits, at 1,095.8 per 1,000 There are other factors that make the free screenings so important to this neighborhood where nearly 70 percent of the residents are African American. According to the American Heart Association, more than 40 percent of African American men and women have high blood pressure. African Americans also have higher rates of diabetes than other groups.
Helping thousands Fitzgerald said the screenings – done by students and supervised by faculty – found a high number of people with elevated blood pressure levels. Educational materials and referrals were provided. She organized the 2018 program with Deborah Dawson, instructor of clinical practice at the College of Nursing, and said 110 people were screened on April 6 and 7.
40
nursing.osu.edu
The area within the 43203 ZIP code in Franklin County has the second-lowest median household income in Central Ohio and the third-highest rate of emergency department visits.
The college has performed screenings for several years as part of its Making A Difference: Ask a Buckeye Nurse program and Million Hearts initiative that is held every other Friday during the academic year at Edmondson’s shop. Since that started, 1,171 adults have been screened. Edmondson wants to add more salons to the program, which he says will help a population that he thinks is only 40 percent health-insured. Many people come to his salon specifically for the screenings because they don’t see a clinician regularly. Frederica Willis also wants to help her clients who don’t have a healthcare provider. She sees the program as a way to give back to her customers and help the elderly. Willis went to school in the neighborhood, has co-owned Detiffanise for 40 years and feels that many in the community are in desperate need of the health education and information the screenings provide.
Exposure for students While the screenings provide a community benefit, there’s something in it for students, too. Fitzgerald said students can learn about health inequities and the social determinants of health, but experiencing it firsthand motivates them to become advocates for those who are vulnerable. Also, “It’s a chance to get out there and put to practice some of the skills they’ve learned,” Fitzgerald said, giving them exposure to people in a neighborhood outside of the academic community. The students enjoy the chance to practice their craft in a fun setting outside of the clinical environment. “It’s a trusted environment for the customers, a great place to do health education and teaching and shows the students that community outreach is so important,” she said.
Looking for a way to give back or get involved?
The program’s first year was funded by the Ohio Commission on Minority Health. For year two, Dawson was awarded a voucher by the college’s Office of Outreach and Engagement. The 2018 program was supported by Bernadette Melnyk, Ohio State’s chief wellness officer and dean of the college. Melnyk is a champion of healthy lifestyle choices and knows how important the screenings are for the awareness of risk factors. Fitzgerald and Dawson are now looking for funds to continue the program.
Support Sharon Tucker’s work (see page 3) by giving to the Grayce Sills endowed professorship. Or consider an estate gift to endow a professorship in your name.
“An amazing story of how education and outreach can make a difference.” ELIZABETH FITZGERALD, EdD, RN, APRN-CNS, PMH-BC
Alumni support so much of what we do at the College of Nursing. Here are some opportunities to give back:
Support Sonia Duffy’s research (see page 31) by giving to the Mildred E. Newton endowed professorship fund. A gift to support the Summer Institute for Discovering Nursing helps high school students from underserved communities learn about nursing as a profession. See page 5. Transformational gifts move the college forward. See our cover story about how the Pitzer family’s gift will shape the college’s future. (page 15) Embedded psychologists Jen Smith and Tyler Rogols (page 43) help students deal with stress and other mental health issues, and you can too with a gift to the Kyle Witham Fund for Mental Health. You can give to the scholarship fund or endow a scholarship in your name to support students like those celebrating their college acceptance on page 45. Learn more about how to get involved with the Nursing Alumni Society Board like Barb Humbel, whose story is on page 34. If you are interested in learning more about any of these opportunities, contact nursingalumni@osu.edu.
SERIVCE
41
STUDENT LIFE
PhD Candidate Marliese wins Nursing Research Award The Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) presented the KimberlyClark Huggies Nursing Research Award to Marliese Nist, RNC-NIC, MS, for her work entitled, “Inflammatory Mediators of Stress Exposure and Neurodevelopment in Very Preterm Infants.” The award is supported through an educational grant from the Kimberly-Clark Corporation and was presented at the 2018 AWHONN National Convention in Tampa, Florida. Nist is a PhD candidate at The Ohio State University College of Nursing. She has also recently been awarded a 2018 grant from the National Association of Neonatal Nurses (NANN) and was one of six nurses selected nationally to receive a Heilbrunn Nurse Scholar Award, given by the Rockefeller University’s Heilbrunn Family Center for Research Nursing to support nurses while they pursue independent research projects that will make a significant contribution to the discipline of nursing.
From left: Lindsey Welch, Danielle Herman, Sabrina Jamal-Eddine.
NSPIRE awarded for leadership Nursing Students Promoting Initiatives to Reinforce Equality (NSPIRE) received several awards at the university’s 2018 Leadership Awards Ceremony in April, sponsored by the Office of Student Life. NSPIRE received two Student Organization Awards: Excellence in Citizenship and Excellence in Values and Purpose. NSPIRE member Sabrina Jamal-Eddine received the Kaplan Humanitarian Award and the Dr. Ellamae Simmons Award. NSPIRE strives to raise public awareness of and providing education about healthcare inequities in underserved populations, and provide community-based educational experiences and community service opportunities to current nursing students.
PNP students "fish for wellness" From left: Kristen Battles, Sara Grayson and Kayla McCallister.
Nursing students at ComFest These three nursing students at the Community Festival in June offered free mental health screenings and other health information to help raise awareness about suicide prevention.
42
nursing.osu.edu
PNP students helped children “fish for wellness” at the Columbus Urban League (CUL) “Fishing with Dad” event in June. The students “fished” with the children in a small pool, asking questions related to summer safety, nutrition or physical fitness and having the children partake in their choice of physical activity for 60 seconds with a friend. “Fishing with Dad” provides fathers and their children with opportunities to learn about water safety and fishing.
Embedded psychologist breaks down barriers Students in programs such as public health, dentistry and nursing often find they need additional help navigating the stress and struggles related to these demanding curriculums. Sometimes the schedules and responsibilities giving them stress also become barriers to finding time to seek psychological services. That is where Jennifer Smith, PsyD, College of Nursing embedded psychologist, comes in. Smith spends eight hours each week at the College of Nursing, making herself accessible to students who are overwhelmed with workload, personal life or mental health issues such as anxiety and depression, which Smith said are the “main presenting concerns” of Ohio State’s Career Counseling and Support Services. Smith also supports students in the Colleges of Public Health and Dentistry. Before she had her office in Newton Hall, “I had worked with some dentistry students. I definitely worked with a lot of nursing students. But I had no idea how rigorous their programs were until I was in there,” Smith said. “It’s part of my job to know the ins and outs of what, each year, the students’ stressors are. They need support, that’s for sure.”
On-site embedded counseling The College of Nursing plans to soon have an additional on-site embedded counselor, Tyler Rogols, MBA, MA, LPC. Faculty, staff and students may remember Tyler from his previous role as clinical placement coordinator.
Student ombudsperson Emily Friedman (left) and embedded psychologist Jennifer Smith (right) discuss their passions for helping students.
New student ombudsperson Emily Friedman Emily Friedman, a “born-and-raised, proud Clevelander” and fourth-year nursing student, is the new ombudsperson for the College of Nursing. “I really am all about making differences in people’s lives and impacting individual people,” she said when asked about the role. Friedman will be doing clinicals this fall and would like to one day become a nurse practitioner. The ombudsperson not only edits The Beat, the college’s student newsletter, but also acts as a liaison between students and faculty, plans finals-week stress relief activities, and sometimes accompanies Dean Bern Melnyk to meetings to be a voice for students. “I think it’s so important for professors and the administration to hear the comments and concerns of the students,” Friedman said. “Everyone benefits when there’s better communication.”
Welcome back, Tyler!
Transformation Day Transformation Day welcomed newly admitted graduate and undergraduate students on two separate days to the College of Nursing, inspiring them to LIVE WELL (Lead, Innovate, Vision, Execute and be Wellness-focused, Evidence-based Lifelong learners and Lights for the world) and providing an overview of the college’s policies and academic procedures. Dean Bern Melnyk welcomed the students and informed them of the importance of evidencebased practice and wellness. Breakout sessions for each day were tailored to the graduate and undergraduate programs, ranging from health and wellness topics to diversity and innovation. Over 300 graduate students attended, as well as over 200 undergraduate students.
STUDENT LIFE
43
Congratulations!
A look back at our graduates in May.
“Wonderful friends/family came to celebrate my graduation from The Ohio State University’s Master of Science in Nursing program. Once I pass boards (fingers crossed), I will be an adult-gerontology primary care nurse practitioner.”
Photo courtesy: Victoria Krogg Allison Branigan received her Bachelor of Science in nursing! Photo courtesy: The Columbus Dispatch
Allei’s glittered graduation cap highlights her bachelor of science in nursing accomplishment. Photo courtesy: Allei Goodyear
“I am so excited to graduate from The Ohio State University and one of the top nursing programs. Thank you to everyone who has supported me … I could not have done it without you.” Photo courtesy: Nicole Brandewie
Dean Bern Melnyk takes a selfie with her recent graduates. Photo Courtesy: Buckeye Nursing Flickr
The cap doesn’t lie; registered nurses are superheroes! Photo courtesy: Buckeye Nursing Flickr
Joe’s mom proudly posted on Facebook: “We have a nurse practitioner in the family! Joe graduated from The Ohio State University. Congratulations Joe! We love you and are beaming with pride!” Photo courtesy: Rita Hilty The college was well represented at graduation in May. Photo courtesy: The Ohio State Alumni Association
44
nursing.osu.edu
While our graduates prepared for their new careers, others were just beginning or continuing their journeys. From undergraduate acceptances to those entering graduate school with Ohio State, check out the excitement of these future nurses and healthcare professionals! “Post-graduate update: Once a Buckeye, always a Buckeye! I’m thrilled to share that I have been accepted into The Ohio State University’s Masters of Nursing Program to become a pediatric nurse practitioner. I have also accepted a nursing position at Nationwide Children’s Hospital in the pediatric intensive care unit and will begin my nursing career following graduation … Huge shout out to my amazing family and friends for all your support during this exciting time. Go Bucks!”
“I’m happy to announce that I found out I got accepted into The Ohio State University’s nursing program! It’s amazing to know that all my hard work (and many long stressful nights) paid off. I’m so excited for what the future has in store and I’m on my way to my goal of becoming a pediatric nurse practitioner. However, I couldn’t have done it without the support from my family, fiancé and some new friends made along the way. Thank you all for pushing me.”
“(Officially) ACCEPTED INTO NURSING AT OHIO STATE. I couldn’t be more excited.” Photo courtesy: Natalie Weber
Photo courtesy: Lindsey Welch
Taylor’s acceptance into the College of Nursing BSN program was announced by her father on his clinic’s Facebook page, letting his patients know how proud he was of his daughter! Photo courtesy: Schwein Foot & Ankle Clinic Photo courtesy: Katelynn Olenik
Second time’s the charm! Margaret got accepted into the undergraduate program her second time applying. Photo courtesy: Margaret Esordi
“As if this week could get any better. I got accepted into graduate school and will be continuing my education to become a family nurse practitioner at the nationally ranked nursing school, THE OHIO STATE UNIVERSITY. Look momma, I made it!” Photo courtesy: Caitlyn Byrd
“I want to give a huge thank you to Ohio State’s College of Nursing for giving me the privilege of joining their school as an OFFICIAL nursing student … Thank you so much for seeing potential in me. The opportunity means so much to me to be accepted.”
“So I start grad school today and I’m clearly being very mature about it.” Photo courtesy: Cristy Gao
Photo courtesy: Sara Gardner
STUDENT LIFE
45
TEACHING
FAANs are known for their teamwork. Here, several of the college's FAANs gather for team building at the Boathouse at Confluence Park.
FAANtastic!
The College of Nursing is proud to be home to many of the country’s Academy of American Nursing Fellows.
BY ZACHARY LEVEN
Early this summer, College of Nursing faculty members Heather Tubbs Cooley, PhD, RN, Carolyn Thomas Jones, DNP, MSPH, RN and Carmen Giurgescu, PhD, RN, WHNP found out that they had been accepted to be inducted as American Academy of Nursing Fellows (FAANs) this November. “Selection into the Academy is one of nursing’s very highest honors; less than .1% of nurses make it into the Academy,” said College of Nursing Dean Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, in praise of the college’s new inductees. While becoming an Academy Fellow is a rare honor, the College of Nursing is proud to be home to many of them. Melnyk stated that with 26 FAANs now at the College of Nursing, “45.6 percent, or nearly half of our 57 tenured/tenure track and regular clinical track faculty are Fellows of the AAN.” 46
nursing.osu.edu
That’s a statistic the college is rightly very proud of, and membership means a great deal to each individual FAAN as well. Here’s a look at what it really means to be an Academy Fellow. For Tubbs Cooley, becoming an Academy Fellow means recognition of her work studying the quality, safety and value of healthcare services and how they affect patient outcomes, focusing on neonatal intensive care. Tubbs Cooley is interested in how nurses respond under pressure when treating newborns requiring intensive care, and has been researching workload demands of NICU nurses. “Infants in the NICU are very fragile, tiny and vulnerable,” Tubbs Cooley says, “and the nurse is often a baby’s primary caregiver during hospitalization.
26 FELLOWS
Nearly half of the college tenured/tenure track and regular clinical track faculty are Fellows of the AAN. The importance of high-quality, safe, effective nursing care for these infants can’t be overstated.” Being an Academy Fellow will give Tubbs Cooley the opportunity to apply her research toward shaping national and international policy on healthcare quality issues. FAANs engage throughout the year with other experts in their fields to serve on impactful panels and author whitepapers that often are used by members of congress to produce legislation. This national and global impact can be attested to by College of Nursing Associate Professor Todd Monroe, PhD, RN-BC, FNAP, FGSA, FAAN, who has been an Academy Fellow for five years. “Being a FAAN is one of the most prestigious designations a nurse can achieve,” Monroe says, “and with that comes a responsibility to continue that work. The very senior nurses in the Academy can influence and engage with the government and have far-reaching legislative impact and the ability to network with such people is incredible. When the AAN releases a position statement, it is representing nursing. It’s not taken lightly. It’s formidable.” This opportunity to influence policy is exciting to Jones, who, as a clinical researcher, feels uniquely situated to make progress in an often unrecognized field, clinical research nursing. “Being inducted as a Fellow is particularly a big deal to me because I’m not a traditional nurse,” she says. Her work developing core competencies for clinical research professionals led to the formation of the Joint Task Force for Clinical Research Core Competencies (JTFCC), which has been widely adopted at the national and international level, improving the way institutions approach curricula, accreditations, certifications and workforce development for clinical research professionals and nurses. “Being in the Academy might bring more voice to this role,” Jones says. “All evidencebased care is rooted in the realm of clinical research, and I hope to bring to the Academy a greater awareness of this work and potential support for other researchers across roles through collaborations with other members.”
“Being a Fellow in the AAN is a tremendous honor,” Giurgescu says, “and will give me opportunities to work with colleagues across the nation and globe sharing similar goals to improve maternal-child health and develop policies to decrease preterm birth rates among African American women.” Originally a labor and delivery nurse, Giurgescu has devoted her work toward identifying risk factors for preterm birth among African American women and developing evidence-based interventions that can improve pregnancy and birth outcomes among these vulnerable women. She currently acts as the principal investigator on a study at the College of Nursing examining the associations of social stressors and inflammation with preterm birth among African American women. “African American women are more likely to live in disadvantaged neighborhoods and to experience racial discrimination compared with White women. The constant, chronic stressors experienced by these women throughout their lifespan may actually put them at risk of greater systemic inflammation and risk for preterm birth,” Giurgescu says. “But we still don’t fully understand the connections.” The five-year study, funded by the National Institutes of Health/ National Institute of Minority Health and Health Disparities will enroll 1,500 pregnant African American women living in the Columbus and Detroit metropolitan areas, and will attempt to gain a better understanding of how social stressors experienced by these women increase their risk for preterm birth. FloAnn Sours Easton Endowed Professor of Child and Adolescent Health and PhD Program Director Rita Pickler, PhD, RN, FAAN, became an Academy Fellow in 2008. Dean E. Lewis, EdD, RN, FAAN, at the School of Nursing at University of North Carolina, Greensboro, where Pickler studied, was one of AAN’s founding members. “AAN was very small and quite select when it started,” Pickler recalls. “But Dean Lewis took the time to talk with students about the Academy, emphasizing its importance to the nursing profession and leadership within the discipline. When you hear that message so early in your career, it makes you continued on page 48 TEACHING
47
ALUMNI
continue to want to be a part of it. It is so good to see the Academy’s mission thrive and its integrity maintained.” The American Academy of Nursing launched in 1973 with the goal to advance new concepts in nursing and health, explore nursing-related issues in the professions and society, examine the interrelationships among the segments within nursing and identify and propose resolutions to issues and problems confronting nursing and health. Acceptance as an Academy Fellow is more than a recognition of one’s accomplishments; it is a recognition of one’s potential. FAANs have a responsibility to contribute their time and energy to the Academy and to engage with other health leaders outside of the Academy in enhancing and improving America's healthcare system. Academy Fellow applicants must be sponsored by two current Fellows who can attest to the impact that the individual has made in the field. “Nurses who are chosen for the Academy typically have made a big national and/or global impact,” says Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, vice president for health promotion, university chief wellness officer and dean of the College of Nursing. “It is a very special recognition to be selected into the Academy, and I am proud to have such a critical mass of FAANs on our faculty.” Other FAANs in the college include Cindy Anderson, PhD, RN, APRN-CNP, ANEF, FAHA, FNAP, FAAN, Michele Balas, PhD, RN, APRN-NP, CCRN, FAAN, Gerene Bauldoff, PhD, RN, FCCP, FAACVPR, FAAN, Susie Breitenstein, PhD, RN, FAAN, Mei-Wei Chang, PhD, RN, FAAN, Sonia Duffy, PhD, RN, FAAN, Lynn Gallagher-Ford, PhD, RN, DPFNAP, NE-BC, FAAN, Margaret Graham, PhD, APRN-CNP, FAANP, FNAP, FAAN, Mary Beth Happ, PhD, RN, FAAN, Lynda Hardy, PhD, RN, FAAN, Tondi Harrison, PhD, RN, FAAN, Jie Hu, PhD, RN, FAAN, Timothy Landers, PhD, RN, CNP, CIC, FAAN, Kathleen Malloch, PhD, MBA, RN, FAAN, Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, Lorraine Mion, PhD, RN, FAAN, Todd B. Monroe, PhD, RN-BC, FNAP, FGSA, FAAN, Dianne Morrison-Beedy, PhD, RN, WHNP, FAANP, FNAP, FAAN, Janine Overcash, PhD, GNP-BC, FAANP, FAAN, Rita Pickler, PhD, RN, FAAN, Laureen Smith, PhD, RN, FAAN, Sharon Tucker, PhD, RN, FAAN and Barbara Jones Warren, PhD, RN, PMHCNS-BC, FNAP, FAAN. Nancy A. Ryan-Wenger, PhD, RN, CPNP, FAAN, serves as faculty emerita. The substantial FAAN presence at Ohio State provides strong evidence that the College of Nursing is composed of world-renowned faculty who are recognized for their work, which is truly making a difference in the field, in healthcare, and in the lives of people throughout the nation and the world. 48
nursing.osu.edu
College of Nursing graduate featured in USA Today supplement The Ohio State University College of Nursing was represented by Reginald Pryear, DNP (year of graduation), in USA Today’s “Men in Nursing” supplement. Pryear was interviewed along with three other men in nursing to discuss how his education prepared him for a nursing career. “Higher education is essential to the advancement of a nursing career,” he said. “… the nurse executive track of the DNP enhanced my development of evidence-based practice and will support my leadership roles in the future. Obtaining my DNP also provided me with additional knowledge and tools to lead and empower others and guide them in fulfilling their own goals.” Pryear now works as chief nursing officer for ambulatory nursing at the Wexner Medical Center.
Newton Hall Turns 50! Help us celebrate by sending your favorite memory, photo, or story about Newton Hall to nursingalumni@osu.edu. In honor of the 50th anniversary of the dedication of Newton Hall, we will share your memories on our website during the month of February.
Over 300 alumni and friends returned to Newton Hall on October 5-7 to celebrate Homecoming Weekend 2018. On Friday, alumni and guests enjoyed breakfast with current students, tours of the college’s wet lab and the Technology Learning Complex (TLC), listened to Dean Melnyk’s annual State of the College Address, and learned about the benefits of eating nutritious meals during a cooking demonstration from The Ohio State University Medical Center’s Nutrition Services staff. Classmates and spouses from 1968 reunited for their 50-year reunion luncheon hosted by Dean Melnyk on the top floor of Thompson Library. Margaret Graham, PhD, APRN-CNP, FAANP, FNAP, FAAN, vice dean and associate professor and Alice Teall, MS, CRNP, FAANP, instructor of clinical practice and director of the family nurse practitioner online specialty track also hosted a lunch-and-learn lecture on the opioid crisis. Saturday, alumni and their families enjoyed a tailgate on the front lawn of Newton Hall before cheering the Buckeyes on to a resounding victory (49-26) over the Indiana Hoosiers. On Sunday, the class of 1968 gathered for a luncheon hosted by President Michael V. Drake in the Archie Griffin Ballroom at the Ohio Union. Save the date for next year’s Homecoming celebration: October 4-6, 2019.
ALUMNI
49
50
nursing.osu.edu
ALUMNI
51
Recent graduates and their families attended a reception hosted by the College of Nursing Alumni Society.
Akron Regional Reception: local alumni gathered at CafĂŠ Bricco to network with fellow classmates and to hear college updates.
Dayton Alumni Reception: Local alumni met at the Brio Tuscan Grille to reconnect with classmates and to hear college updates from Dean Bern Melnyk.
Alumni and guests met at Studio 614 for a Brutus themed Paint and Pour.
52
nursing.osu.edu
Over 140 alumni and friends gathered for the 12th annual Wine Tasting, hosted by the College of Nursing Alumni Society. Guests enjoyed an evening of great wine and entertainment, and raised more than $11,000 to support the college’s Scholarship Fund.
In Memoriam Donna (Simpson) Bigony, 1963 Mary (Macnamara) Connell, 1966, 1968 MS Helen Duffy, 1967 Nancy (Cummings) Gaietto, 1986 Mary Greenlee, 1990 Mary (Hutcheson) Hall, 1962 Nancy (Scibiur) Hill, 1976 Alonna (Croninger) Howell, 1947 Joyce Jones, 1958
Coletta Klug, 1961 MS Sue (Hoskin) Leidtke, 1962, 1988 MS Mary (Bigler) Lewis, 1947 Kay (Whitehead) Levin, 1963 Julie McAfooes, 1980 MS Mary Jane (Beshara) Morris, 1971 Jane (Meinen) Newland, 1959 Jessie Pergrin, 1949 Carol (Rose) Scott, 1958
Doreen Sergakis, 2013 Bette (O'Roark) Smith, 1944 Roberta Spandau, 1965 Margaret (Coy) Stradley, 1947 Mary (Agle) Troxell, 1952 Marilyn Tull, 1960, 1965 MS Joseph Ware, 1993 MS Laura Wilson, 1979 MS
ALUMNI
53
WELLNESS
Speakers including Chief Wellness Officer Bernadette Melnyk, President Michael V. Drake and 17th U.S. Surgeon General Richard Carmona addressed an audience of more than 400 people.
Buckeye Summit BY SUSAN NEALE Buckeye Summit, held in April at the Center of Science and Industry (COSI), brought together members of Buckeye Nation to address the question of how we can create healthy communities. Speakers including President Michael V. Drake, Chief Wellness Officer Bernadette Melnyk, 17th Surgeon General Richard Carmona and others addressed an audience of more than 400 people. Drake urged the audience to “start where we are, use what we have, do what we can,” toward improving health and wellness and introduced a common theme for the day: “When we speak of healthcare and the health industry, a lot of what we talk about is disease intervention. We want to emphasize prevention instead.” Bernadette Melnyk, PhD, RN, APRN-CNP, FAANP, FNAP, FAAN, presented statistics on health and wellness in the United States, offering hope and a call to action. “Wellness is not just an option,” she said. Citing some unsettling statistics about the current state of health in the United States, Melnyk pointed out that there is a lot of hope and plenty that we can do to improve health and well-being outcomes. Workplace wellness programs can reduce sick and medical costs by as much as 25 percent, and Ohio State is working toward that goal with multiple health and wellness programs available to students, faculty and staff. Ohio State experienced a healthcare spend of -1.9 percent last year, while most similar institutions report a yearly employee healthcare spend of +4.3 percent. Richard Carmona, MD, PhD, FACS, advised the group to think of new ways to disseminate complex scientific information in light of all the medical information available today. “It’s extremely important for us to understand how to individualize,” he said, in order to get the right information to people who need it, in a format they can understand. 54
nursing.osu.edu
Other speakers included President’s Prize winner Maggie Griffin and Shelley Meyer, MS, RN. After the speakers presented, an interactive exhibit in COSI’s lobby allowed conference attendees to talk further with representatives from wellness organizations connected to Ohio State. Drake reminded everyone at Buckeye Summit that each of us can do something to advance all of us forward. “One voice yelling in the Shoe can’t be heard,” he pointed out, “but put everyone together yelling, and we make a tremendous roar.” For more information and videos, visit the summit website: buckeyesummit.osu.edu. Summit attendees received a special booklet developed for the event: “9 Dimensions of Wellness: Evidence-based tactics for optimizing your health and well-being,” edited by Bernadette Mazurek Melnyk and Susan Neale. The booklet, which contains articles full of wellness information, tips and advice based around Ohio State’s Nine Dimensions of Wellness program, will be available for purchase in bulk quantities. For more information, contact Brian Keller at keller.333@osu.edu.
Building Healthy Academic Communities Fourth National Summit April 29 – May 1, 2019 The Ohio State University, Columbus, Ohio Join us for a national conference on best practices in promoting and sustaining wellness in academic settings. Academic professionals from all backgrounds will benefit from this three-day conference with tracks on faculty and staff wellness, student wellness, academic medical centers and wellness innovation.
FEATURED AND CONCURRENT SPEAKERS Ron Goetzel, PhD, senior scientist and director of the Insititute for Health and Productivity Studies at the Johns Hopkins Bloomberg School of Public Health and vice president of consulting and applied research for IBM Watson Health. Kristen Hadeed, PhD, founder of Student Maid, author of "Permission to Screw Up" Petra Kolber, fitness and wellness expert; author of "The Perfection Detox" and "Perfection Detox" podcaster; Health Magazine's "Fitness Crusader of the Year." Ja’Net Adams, CEO of EMACK Consulting. Author of "Debt Sucks University" and "The Money Attractor"
For the latest information on speakers and to register, visit: healthyacademics.org. Registration deadline: March 1, 2019
HERE, THOSE WHO DREAM ARE WELCOME. ACTUALLY, THEY ARE CELEBRATED. Do you work in a healthcare setting and aspire to launch a pioneering project to advance patient care? Or perhaps you have an innovative idea that will change the healthcare system? The Ohio State University’s Master of Healthcare Innovation program will prepare you to lead change and innovate solutions within any healthcare organization. We welcome students from various backgrounds and positions in healthcare, as well as those with a passion for advancing healthcare policy and practice through value-added change. The deadline to apply for Summer 2019 is February 1, 2019.
LEARN MORE
mhi.osu.edu
Slow down for recovery and optimal well-being BY BERNADETTE MAZUREK MELNYK Fall can be the most hectic time of the year, between school activities, sporting events and all of the planning, shopping, travel and parties of the holiday season. With so much to remember and take care of, you might feel like adding one more thing will make you explode. So try this: subtract instead. Slow down. Your body needs routine recovery from daily stressors. Take a deep breath, relax and see where you can make life easier, slower and calmer. You’ll be doing worlds for your health and well-being, and you’ll enjoy life more. When we slow down, we have time to connect to others. That’s good for our social and emotional health, and for our immune systems, too. When we stay in the present moment and take things slowly, we can concentrate on what really matters. We are able to pay deep attention to what we read and process the information better. When we slow down, we become more active listeners. That’s good for others in our lives, and for our own self-care. Try some of these slow approaches: Slow physical activity: Take a slow walk through the woods by yourself to calm your thoughts and enjoy nature, or a slow walk around the neighborhood with friends or family to chat, reconnect and get more movement into your day. Or try riding a beach-cruiser style single-speed bike: as your muscles work harder to turn the wheels, the scenery will go by slowly, giving you a chance to enjoy what you see.
Unplug to reconnect: Spend some slow time connecting with your loved ones at the end of the day without the glowing screens. Consider spending less time on social media during the holiday season to carve out a little “me” time for yourself. Slow time: Stay in the present moment and meditate. Evidence shows that when you take the time to breathe and focus on your breath, your heart rate slows down and you feel calm and able to handle stress. Time seems to slow down and become less hectic. Just 10 minutes with your eyes closed focusing on your breath and detaching from your thoughts can give you the calm you need to deal with holiday chaos. Spend less time on email: If you inbox is stuffed with sale announcements from stores, newsletters from camps your children no longer go to and the like, you may feel too overwhelmed to clean it out. Choose five to unsubscribe from today. Repeat tomorrow if needed. Soon you’ll only have email that really matters. Consider blocking off a “no email weekend” during which you will take an email vacation so that you can spend more time with friends and family and return to work refreshed! Lastly, take some time to slowly read for five to 10 minutes in a positive book to start each day. Positive information going into your brain at the beginning of every day can buffer you from the adverse effects of negativity that we often confront in our daily lives.
Roasted root vegetables Slow food: The “slow food” movement stresses healthy, locally grown ingredients, cooked at home with traditional recipes. Cooking together with a friend or family member creates time to connect, too! Try this roasted root vegetable recipe, a healthy favorite for the holidays. Choose a variety of root vegetables (about 3 pounds): carrots, potatoes, beets, red onion, parsnips, sweet potatoes, garlic. Cut all of the vegetables into 1 inch to 1.5 inch pieces. Toss all the pieces in 3T olive oil and season with salt and pepper if desired. Spread all the pieces evenly on a sheet pan in the oven (parchment paper will prevent sticking) and roast at 425 degrees, stirring occasionally until tender and golden brown, about 45 minutes to an hour. Adapted from: foodnetwork.com (recipe: Oven-Roasted Root Vegetables) WELLNESS
57
Non-Profit Org. U.S. Postage
PAID
Columbus, OH Permit No. 711
1585 Neil Ave. Columbus, OH 43210 nursing.osu.edu
SAV E
THE
DAT E
Plan to attend the
National Summit on Evidence-based Practice November 20-22, 2019 • Columbus, Ohio Hosted by the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare
Share your best practices with EBP colleagues from across the country and around the world. Watch for a request for abstracts on our website! If you missed the inaugural 2017 summit, it is available as an online, self-paced course, with 11.08 contact hours of continuing education available to nurses. To register and for a full list of speakers, program objectives and topics, visit fuld.nursing.osu.edu/online-ebp-summit.