SPRING/SUMMER 2018
MINNESOTA
NURSING A publication of the University of Minnesota School of Nursing
What FAMILIES can TEACH us Learning about everyday life with complex health conditions
10 Finding patterns to improve liver transplant care
18 New nurse scientist role bridges research, practice
SPRING/SUMMER 2018
06 Stopping the transmission of trauma Creating a family-centered intervention for Karen families
ON THE COVER
12 What families can teach us Learning about everyday life with complex health conditions
16 A better start for babies with substance exposure Care coordination helps moms, babies
38 An ethics authority Alum Martha Turner’s work on ethics guides nurses
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16
SECTIONS 04
From the Dean
06
Research
12
Education
18
Outreach
23
Center News
26
School News
37
Alumni News
43
Development News
FOLLOW US University of Minnesota School of Nursing @UMNNursing Flickr: SCHOOLOFNURSING RSS: www.nursing.umn.edu/rss
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Read Minnesota Nursing online at www.nursing.umn. edu/magazine. To receive a notice when the current issue is posted on the school’s website, send an email to nursnews@umn.edu. This publication is available in alternative formats upon request. Direct requests to the managing editor at nursnews@umn.edu. The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance, veteran status, or sexual orientation. The University of Minnesota is an equal opportunity educator and employer.
UNIVERSITY OF MINNESOTA SCHOOL OF NURSING OUR MISSION To generate knowledge and prepare nurse leaders who create, lead and participate in holistic efforts to improve the health of all people within the context of their environments. OUR VISION The School of Nursing envisions a world where nurses lead collaborative efforts to attain optimal health for all people. DEAN Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP
Pulitzer Prize-winning author visits campus
SENIOR EXECUTIVE ASSOCIATE DEAN FOR RESEARCH Ann Garwick, PhD, RN, LMFT, LP, FAAN ASSOCIATE DEAN FOR ACADEMIC PROGRAMS Christine Mueller, PhD, RN, FAAN, FGSA ASSOCIATE DEAN FOR FACULTY PRACTICE, PARTNERSHIPS AND PROFESSIONAL DEVELOPMENT Tom Clancy, PhD, MBA, RN, FAAN BOARD OF VISITORS Clara Adams-Ender, chief nurse executive, Army Nurse Corp. (ret.); Michael Bird, national consultant to AARP on Native American/Alaska Native communities; June Cook-Lapidus, president, School of Nursing Foundation; Melanie Dreher, dean emeritus, Rush University College of Nursing; David Durenberger, former United States senator; Richard Norling, senior fellow, Institute for Healthcare Improvement; Laura Reed, DNP, MBA, RN, chief nurse executive and president of acute care hospitals, Fairview Health Services; Jeannine Rivet, executive vice president, UnitedHealth Group; Peter H. Vlasses, PharmD, DSc (Hon), FCCP, executive director, Accreditation Council for Pharmacy Education; Charlotte Weaver, former senior vice president and chief clinical officer, Gentiva Home Health & Hospice; and Jonathan M. Zenilman, chief, Infectious Diseases Division, Johns Hopkins Bayview Medical Center and professor at Johns Hopkins Bloomberg School of Public Health DIRECTOR OF STRATEGIC COMMUNICATIONS Barb Schlaefer SENIOR EDITOR Brett Stursa PHOTOGRAPHERS Scott Streble, Tom Steffes DESIGNER Tammy Rose CONTACT US Minnesota Nursing University of Minnesota School of Nursing 5-140 Weaver-Densford Hall 308 Harvard Street S.E. Minneapolis, MN 55455
The School of Nursing hosted Matthew Desmond, PhD, to discuss his ethnographic research and Pulitzer Prize-winning book Evicted: Poverty and Profit in the American City. Dean Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP, introduced the event, with Executive Vice President and Provost Karen Hanson, PhD, facilitating the discussion at Northrop in October.
Email: nursnews@umn.edu Website: www.nursing.umn.edu Minnesota Nursing is published semi-annually by the University of Minnesota School of Nursing for alumni, faculty, students and friends of the school. ©2018 Regents of the University of Minnesota. All rights reserved.
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FROM THE DEAN
Raising our voices for health Dear Friends, Consider our collective impact when 3 million nurses speak with one voice to transcend challenges together. Through research, education and service, we can strategically expand our influence on social and environmental issues that can profoundly impact health. The key is to recognize and seize opportunities to unite around common principles. A recent example of leveraging our role as a force for good was the American Academy of Nursing’s call for Congress to launch a bipartisan National Commission on Mass Shootings. Nearly 100 organizations have since signed onto this statement. The nursing perspective is both powerful and credible in advancing the cause of social justice, health equity, scientific discovery and education for health professionals around the world. On these Minnesota Nursing pages, you will learn about an intervention study to halt the transmission of trauma from one generation to the next within the Karen refugee population from Burma. In this issue we also invite you to discover two School of Nursing initiatives to enhance health education. Our cover story is about a program that pairs our pediatric nurse practitioner and clinical nurse specialist students with a child with complex health needs and their family for a semester.
This low-tech, high-touch experience gives our students a deeper patientcentric and family perspective on living with a child with special health care needs and navigating care through multiple providers and systems. Not all of the skills it takes to be an advanced practice nurse can be taught online. And here we interview national ethics leader and double alumna Martha Turner about her experience updating the Nursing Code of Ethics for the American Nurses Association in 2015. Recently four national nursing organizations publicly reaffirmed nursing’s professional obligation to serve all patients regardless of our differences by issuing a proclamation on nursing civility. This bold action reminds us why nursing is the most trusted profession in the nation. Our school affirmed the proclamation, reminding us that we all share the responsibility to create environments that are healthy and safe for everyone. Let us raise our collective voices for health.
Connie White Delaney Professor and Dean
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The feeling is mutual by Barb Schlaefer
When children turn 18, their health care experience can change abruptly.
“As a pediatric practitioner I often work with the school, the family, the community and the case manager,” said Peterson, who is a clinical assistant professor at the University of Minnesota School of Nursing. “When our patients turn 18, we can lose these relationships. And unfortunately, these young adults then sometimes do not return to the clinic until they are in crisis.” Peterson says this is why she and her colleagues are taking a more intentional approach to transitioning patients to adult care at CUHCC. She credits chief psychiatrist, Madhuri Kasat Shors, MD, MPH, for what she says is a greatly improved communications process for moving patients to their adult provider team. “Madhuri is a strong team person,” said Peterson. “She values all our
Photo: Scott Streble
The transition to new providers and expectations of greater patient independence can be especially daunting to a young person with mental health needs, says mental health nurse practitioner Barb Peterson, PhD, APRN, PMHCNS-BC, who practices at the Community University Health Care Center in south Minneapolis.
Chief Psychiatrist Madhuri Kasat Shors, MD, MPH, and Clinical Assistant Professor Barb Peterson, PhD, APRN, PMHCNS-BC, say team-based care at CUHCC helps transition a patient to adult care.
perspectives and she knows we are most effective when we are able to collaborate, holding all our different skills and expertise to determine the best care plan for each patient.” Now, planning begins with young mental health patients often a full year before their 18th birthday. Team-based care is the norm at CUHCC, says Shors, and the recent focus on care transitions for mental health is just part of the clinic’s mission to serve patients seamlessly.
“We are extremely interprofessional here,” said Shors. “Everyone brings something unique to the team and Barb’s background in nursing and mental health gives her a deep understanding of the many systems in which patients navigate. She recognizes that building a trusted provider relationship can take years. We are all working together as a team to ensure that the entire relationship, and the progress made, is not lost.”
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RESEARCH
HEALTH PROMOTION
Stopping the transmission of trauma Creating a family-centered intervention for Karen families by Brett Stursa
For decades, military rule in Burma led to the systematic rape, beating and forced labor of Karen people, causing them to flee to refugee camps in Thailand. From there, more than 10,000 Karen refugees have resettled in Minnesota, making it home to the largest Karen community in the United States.
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University of Minnesota School of Nursing researcher Sarah Hoffman, PhD, MPH, RN, is studying how trauma is passed down to the next generation, in hopes of developing an intervention to prevent the intergenerational transmission of trauma. “Trauma has a profound impact on human health. So to understand it, to intervene effectively, is important,” said Hoffman. FAMILY-CENTERED SOLUTIONS While extensive research has been conducted regarding intergenerational trauma, little has been published in relation to refugee migration. “Within the context of torture and within the context of refugee migration, there are relatively few studies that look at intergenerational trauma,” said Hoffman, adding that none of continued on page 8
Photo: Scott Streble
The Karen people who have resettled in Minnesota bring with them the physical and emotional scars of their life in Burma, which the military government renamed Myanmar in 1989. The physical reminders of torture can include chronic pain and respiratory problems, and the psychological impact can mean living with fear, depression and panic attacks. Research shows that the negative mental health effects caused by war trauma and torture
can extend to people who didn’t experience the torture themselves, as children of traumatized parents have higher levels of depression and anxiety.
RESEARCH
Sarah Hoffman, PhD, MPH, RN, University of Minnesota School of Nursing researcher, listens to a mother participating in a focus group at the Karen Organization of Minnesota. www.nursing.umn.edu | 7
RESEARCH
•••
“ Torture happens to individuals, but it’s a tactic of war that’s intended to degrade and demean groups. Torture is an assault on collective identity.” –S arah Hoffman, PhD, MPH, RN, University of Minnesota School of Nursing researcher
continued from page 6 the studies report findings specific to refugee mothers who have experienced torture. “Limited research considers the effectiveness of familycentered interventions to interrupt generational trauma and facilitate healing for women refugee survivors of torture and their children.”
women. The data will be analyzed to determine the associations between a mother’s exposure to torture or trauma, the perceived severity of these experiences, whether and how a mother chooses to communicate these experiences to her children, and how collectively the family functions.
Hoffman sees a family-centered intervention as critical to the holistic recovery of the family. “Torture happens to individuals, but it’s a tactic of war that’s intended to degrade and demean groups. Torture is an assault on collective identity,” said Hoffman. “The interventions that we have to support recovery from experiences of torture, while effective and meaningful, are more individually focused. The idea is to develop a family-centered approach that facilitates collective recovery. As a public health nurse, my lens is the family and the community.”
Hoffman is partnering with the Center for Victims of Torture, an international nonprofit agency headquartered in St. Paul. The center found the prevalence of torture and war trauma was extremely high in the local Karen community, with 27 percent reporting being tortured and 86 percent reporting experiencing war trauma.
Hoffman’s mixed methods pilot study will first collect quantitative data to compare patterns of family function and youth adjustment in 100 Karen refugee families where mothers have experienced torture or war trauma. The next step will be qualitative, with in-depth interviews of 30 Karen
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Center staff are eager to understand Hoffman’s research findings. “Among the populations we work with, family and community well-being are often perceived as being as important or more important than one’s own health and well-being,” said Maria Vukovich, PhD, research associate at the center. “Although there is a central role for specialized individual care, familycentered interventions are greatly needed and may be more aligned with values and backgrounds of many resettled refugees and immigrants.”
BUILDING ON PREVIOUS RESEARCH Hoffman’s current research builds on research she conducted in refugee camps on the Thailand-Burma border for her PhD dissertation. The work there and additional interviews with Karen refugees who resettled in Minnesota informed a series of ethnographic case studies. “A really prominent experience women talked about was mothering,” said Hoffman. “It was an important part of their narrative from the beginning. Their children were often the reason for migration and pursuing resettlement.” Hoffman then developed a parenting intervention for Karen parents with adolescent children in partnership with the Karen Organization of Minnesota. She analyzed the physical correlates of torture using cross sectional data collected during the initial refugee health screening exams. Hoffman recently received Grant in Aid funding to expand this inquiry to a five-year retrospective analysis of Karen refugee health. Hoffman’s current project, focused on maternal style of communication posttrauma, is the first time she will focus on the intergenerational component of trauma. She expects to have the
RESEARCH
research findings needed to inform an intervention completed in 2019 and will seek additional funding to develop the intervention. Funding for the research is provided through University of Minnesota Building Interdisciplinary Research Careers in Women’s Health award. The research is supported through the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health. “Women are so influential to the ways in which their children witness trauma
and how collective memory plays out,” said Hoffman. “While we would like to interrupt the transmission of trauma, collective cultural memory is very important. One of the things I think about, as I watch women interact with their children and as I watch younger interpreters interact with an older generation that was impacted by the war, is how it is also important not to forget—so that the narratives of those who survived war are honored and not brushed away.”
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RESEARCH
INFORMATICS & SYSTEMS INNOVATION
Finding patterns A big data model to improve liver transplant care
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RESEARCH
by Barb Schlaefer
While working as a multi-organ transplant surgery coordinator at a major medical center in Brazil, Lisiane Pruinelli, PhD, RN, found she had a growing number of questions without answers. She noted that survival and quality of life varied widely for patients who had similar transplant procedures. Her curiosity and desire to optimize outcomes for patients drove her to learn more. “I wondered what we could learn about the modifiable health characteristics that patients bring prior to transplant that predict outcomes,” said Pruinelli, assistant professor and OptumLabs visiting fellow. “I recognized there were some factors we could not change. So I began to ask what conditions and symptoms patients bring that we can actually influence prior to surgery to maximize outcomes.” Liver transplantation became a viable and common treatment in the 1980s for people with diseased or damaged livers. While the majority of people survive the complex transplant surgery today, survival rates and patients’ post-operative well-being vary widely. STRENGTH IN NUMBERS Today, equipped with access to data on 25,000 liver transplant patients through the School of Nursing’s partnership agreement with OptumLabs, Pruinelli is developing a promising framework to identify risk factors prior to liver transplant surgery that are predictive of better outcomes.
model is comprehensive, including 175 possible health problems including mental health, frailty and conditioning, musculoskeletal, psychosocial, behavioral, environmental, pain and neurologic conditions that have seldom been considered as impacting liver transplant outcomes.” IMPROVING SURVIVAL RATES Pruinelli is working with the Liver Transplantation Program at University of Minnesota Health to gain insights and continuously refine her research. “Lisiane’s program of research uses a unique methodology of clustering that is useful in helping us think in patterns,” said Timothy Pruett, MD, professor and chief of the Division of Transplantation at the University of Minnesota. “This novel approach, combined with the statistical power of the data, could give practitioners in disparate disciplines more refined predictive capacity to learn how we might better allocate resources or change care to improve survival rates for specific patients in the future.” This study is aimed at generating evidence that can drive effective nursing interventions and ultimately decrease health care costs, Pruinelli said. “If we discover, for example, that patients entering transplantation with optimal nutrition and lower pain scores have a much higher likelihood of thriving after surgery than those who don’t, we have a case for investing in greater nutrition therapy and pain management,” she said.
Building on methodology from Pruinelli’s earlier study and existing literature, the team is grouping patients into clusters that are algorithmically derived subgroups. Using this method, liver transplant patients with similar combinations of problems can be assessed over time to identify which problems influenced outcomes most, either positively or negatively.
OptumLabs is an open, collaborative research and innovation center founded in 2013. Its core linked data assets include de-identified claims data for privately insured and Medicare Advantage enrollees and de-identified electronic health record data from a nationwide network of provider groups. The database contains longitudinal health information on enrollees and patients, representing a diverse mixture of ages, ethnicities, races and geographical regions across the United States. The EHR data reflects all payers, including uninsured patients.
“The research to date is primarily disease-focused,” said Pruinelli. “So we bring a holistic approach for data modeling that encompasses more. Our
The research is funded by a Grant in Aid. Led by Pruinelli, the research team includes Gyorgy Simon, PhD, and Timothy Pruett, MD.
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E D U C AT I O N
Treynor Smith, 7, and Shawn Wedlund, who graduated from the DNP program, at a horse therapy appointment.
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E D U C AT I O N
What families can teach us Learning about everyday life with complex health conditions
by Brett Stursa
Treynor Smith was only 7 days old when he underwent his first open heart surgery for a congenital heart defect, truncus arteriosus. Essentially, he was born without a pulmonary artery. He has since had a second open heart surgery, at 16 months, which resulted in the surgeon stitching Smith’s aorta to his chest wall to prevent it from collapsing. Hospital stays, appointments with specialists and visits with therapists were a frequent part of his life for the first three years. Now as a 7 year old, Smith’s visits have tapered down to a weekly therapy appointment and doctors’ appointments every few months. “For the first time in his life he’s about as normal a kid as you could get,” said his mother Amy Smith. Getting there wasn’t easy. Smith navigated a complex web of appointments with cardiologists, GI
specialists, pediatricians and others, quickly learning to lean on nurses when she had the chance. “If I didn’t get enough time to talk with the surgeon, had a question pop up or was just scared, the nurse was one of the people I could pull aside and talk to,” said Smith. “I know the value of really solid people in those roles.” When the opportunity came up to participate in a program that gives nurse practitioner students insight into what it’s like living with a complex health condition, Smith didn’t hesitate. “I was absolutely willing to be involved,” she said. The program, Families as Teachers, was created by the School of Nursing to connect advanced practice nursing students with families that have children with complex health conditions so students can gain deeper insight into families’ everyday lives. “There are so many factors that go into raising a medically complex kid that I think sometimes, if health professionals aren’t patient and family focused, they continued on page 14
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E D U C AT I O N
•••
“ A focus on the child isn’t enough. It’s really supporting families in the context of communities.” – Ann Garwick, PhD, RN, LMFT, LP, FAAN, director of the Center for Children with Special Health Care Needs
Treynor Smith and his mother Amy talk with Shawn Wedlund.
continued from page 13 don’t get the big picture and they only treat based on what they see in the medical records,” said Smith. STUDENTS ASKED TO LISTEN Family-centered care is particularly important for families with children who have complex health care needs, as families are typically the primary caregivers. “A focus on the child isn’t enough,” said Professor Ann Garwick, PhD, RN, LMFT, LP, FAAN, who leads the school’s Center for Children with Special Health Care Needs. “It’s really supporting families in the context of communities.” The program got its start at the school in 1993, when the Center for Children with Special Health Care Needs was established. All pediatric clinical nurse specialist and nurse practitioner students participate in the program, which pairs a student with a family. Students meet families four or five times, in their home, during doctor’s
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appointments, school meetings and recreational outings. “They meet children outside of the four walls of a clinic room or hospital so the children can really just be themselves without feeling intimidated or in fear of their surroundings,” said Garwick. Students aren’t given background information about the child’s condition, so they can focus on what families want them to learn. “We’re asking students to listen,” said Garwick. “The goal here is hearing and learning from the family.” Sometimes that can be uncomfortable for students, who are used to meeting patients in a clinical setting where there are protocols and checklists, and they are responsible for teaching children and family caregivers. “The flipped role of learning from families has transformed how they plan and coordinate care with families in clinic and hospital settings,” said Garwick.
E D U C AT I O N
••• ASKING MORE QUESTIONS As a pediatric nurse practitioner student, Shawn Wedlund was paired with the Smith family. Wedlund met them at their home and joined them for an Individualized Education Program meeting at Treynor’s school, a t-ball game, and a horse therapy appointment, which helps Treynor with focus, core strength and muscle control. “Shawn saw that we try to allow Treynor to have as normal of a childhood as we can,” said Smith. “We don’t want to put false limits and barriers up that don’t necessarily need to exist. At the same time, we are cautious. For example, even in t-ball, he wears a chest protector.” Wedlund said it was valuable to see how a family copes with challenging circumstances. “The experience helped me see what it’s like to be a family with a child who has chronic health conditions and is able to adapt it to
“ The experience helped me see what it’s like to be a family with a child who has chronic health conditions and is able to adapt it to their lifestyle and live the best lifestyle they can.” –S hawn Wedlund, pediatric nurse practitioner student their lifestyle and live the best lifestyle they can,” said Wedlund. Wedlund graduated last spring and is now working as a pediatric nurse practitioner in the neurosurgery department at Gillette Children’s Specialty Healthcare. There, the majority of his patients have complex neurological conditions, like hydrocephalus or genetic syndromes. “The families that we see, we usually follow them for a lifetime, so there is a lot of relationship building,” said Wedlund. The experience with the Smith family makes Wedlund ask more questions as a practitioner. “We’re so focused
on what medications they are on, what treatments they are undergoing and what we can do medically to make them as happy and as healthy as possible. We don’t always focus on those other factors, as far as what the child is doing in terms of recreation, their friends, their perspectives on life that are really valuable to their happiness and health. I’m not always able to touch on those in a clinical visit, but I try harder to ask more questions,” said Wedlund. “It leads to an overall better relationship with families when we partner with them. It also leads to better care and better outcomes.”
MN students learn from community teachers Nurse practitioner students aren’t the only ones learning directly from community partners. Students in the Master of Nursing program are paired with a community teacher, who is someone with a chronic medical condition willing to share the experience of navigating the health care system. Each community teacher works with a team of three or four students from the Medical School, College of Pharmacy, School of Nursing and the Occupational Therapy program. The students go to the community teacher’s home three times over the course of two semesters. At each visit, students practice basic interviewing skills to understand the community teacher’s health care history and current needs, using suggested questions to steer the conversation. “It has been an excellent program for our students to appreciate the perspectives and contributions of different disciplines within the health care system,” said Carol Flaten, DNP, RN, director of pre-licensure programs. “It is also important for students to think about how people with chronic conditions live in their own homes. After learning from the community teachers, students begin to appreciate the impact of the environment and living conditions on their health.”
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E D U C AT I O N
A better start
for babies with substance exposure Care coordination helps moms, babies by Brett Stursa
As nursing director of The Family Birth Center at Park Nicollet Methodist Hospital, Allysia Jenkins, RN, had a concern about the care provided to mothers and babies with intrauterine substance exposure. Research shows that care coordination and early intervention improve outcomes for infants with substance exposure. But the birth center did not have a care coordination program or a dedicated care coordinator to assist new moms. Adding to the challenge, there was no standardized documentation when infants were born with exposure and the communication between in-patient and out-patient care was lacking. “I was interested in how we could better serve these patients and do it in a way that didn’t stigmatize them, by giving them empathetic, compassionate care,” said Jenkins, who is a student in the Doctor of Nursing Practice program’s health innovation and leadership specialty. IMPLEMENTING MEANINGFUL CHANGE Jenkins knew that if she was going to be successful at implementing meaningful change, she needed supportive colleagues. “A lot of my role in the project was really helping to build the stakeholder team and then advocating to senior leaders to get resources to implement this project,” said Jenkins. Ultimately, the team developed a care coordination program and advocated for the hiring of a social worker to help ensure the program was sustainable. “The ability to partner with a social worker was a huge win,” said Jenkins. “Adding her to the team, it was an immediate success. No one was falling through the
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cracks.” Now, when a cord blood toxicity screen is ordered to identify substance use, a care coordination referral is made automatically. If the test is positive, the social worker initiates a meeting with the family and an out-patient consult order is included in the discharge summary. An alert was added to the electronic health record to notify providers they need to add the diagnostic code for intrauterine drug exposure on the problem list when appropriate. This ensured the information was easily accessible for all providers. “It’s a flag so these families don’t fall through the cracks,” said Jenkins. Adding the code to the problem list resulted in improved communication between the clinics and birth center. “This quality improvement project improved the care for these patients by standardizing the methods for identifying exposed infants and developing clear communication channels that supported care coordination services for infants and their families,” said Jenkins. Jenkins’ work to address the challenge exemplified the DNP program requirement to develop and implement a system-level change. “Allysia took a systems approach to her project. Her team recognized a gap between in-patient and out-patient follow up as well as a lack of consistent support for mothers with substance use and abuse problems. Many health care systems consider their work complete when the patient is discharged from the hospital, but Allysia’s project recognized the ongoing risks and challenges that can impact the lives of infants and mothers,” said Clinical Associate Professor Teddie Potter, PhD, RN, FAAN, who was Jenkins’ adviser.
E D U C AT I O N
As nursing director of The Family Birth Center, Allysia Jenkins led a team that implemented a care coordination program.
A BIGGER FOOTPRINT Jenkins sought a DNP degree in health innovation and leadership after realizing she wanted to pursue leadership positions. “I felt like if I was going to do it, I needed skills and resources so that I could do it to the best of my ability,” said Jenkins, who earned a bachelor’s degree in nursing from the University of Minnesota and will graduate with a DNP degree this spring. Jenkins recently accepted a position as a provider engagement executive at the health
insurance company Humana. She supports provider groups throughout the nation by sharing data and partnering with them to identify opportunities for improvement. “Up until now, my focus in my career has been very traditional health care, which I absolutely love,” said Jenkins. “This program expanded my perspective that we are a piece of this global puzzle of health care. It is really important for me to have a bigger imprint, a bigger footprint.”
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OUTREACH
As both an associate professor and nurse scientist, Mary Fran Tracy, PhD, APRN, CNS, bridges academic and clinical systems.
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OUTREACH
Double duty New nurse scientist role bridges research and practice by Barb Schlaefer
Mary Fran Tracy, PhD, APRN, CNS, is a metaphor on the move. As a nurse scientist with dual appointments at the School of Nursing and University of Minnesota Health/Fairview Health Services, she can be spotted walking through the skyway connecting the facilities multiple times a week. “I’m a connector in this role,” Tracy said. “It’s important for me to immerse myself in both worlds so that I can bridge the gaps, improve the infrastructure for nursing research and identify opportunities for collaboration.” Creation of the new joint position was one strategy in a multifaceted partnership between the school and its largest clinical partner. The Nursing Collaboratory integrates the leadership of the organizations to advance their collective educational, research and practice goals. An early project for Tracy was developing a framework for connecting the health system’s needs for clinical solutions with doctoral students who are seeking real world capstone projects. As a tenured associate professor, she understands the essential characteristics of a sound student project. Likewise, her 32 years in practice equip her with the ability to shape clinical system challenges into questions that can be answered through a research-based approach. EMPOWERING THE COLLABORATION “People approach me with their ideas and questions, and that is when I can facilitate and open doors,” said Tracy. “Our aim is to empower the collaboration and continuously evolve and optimize the partnership.” The health system recognizes the value this position brings. “Mary Fran is foundational to helping our nurses better recognize the value of research and identify how they might be involved,” said Laura
Reed, DNP, MBA, RN, Fairview Health Services chief nurse executive and president of acute care hospitals. “She is doing so much to build research capacity, mentor nurses and empower them to ask questions and be part of a team to solve problems using an evidence-based or research framework.” One of Tracy’s objectives is to create a culture of research and an infrastructure that does not rely on one person’s contacts and knowledge, but rather exists and expands organically. Connie White Delaney, PhD, RN, FAAN, FNAP, dean at the School of Nursing, believes the new level of collaboration facilitated by the joint position will accelerate the translation of discoveries to practice. “When clinicians and researchers can ask and answer questions in real time, the velocity of research translation can be accelerated,” said Delaney. “We are forging a new model and look forward to co-creating a national network of similar partnerships so that we can share what we’ve learned with other academic health centers.” Tracy says she has already facilitated several projects. She is overseeing projects that involve evaluating the effectiveness and reliability of a new holistic pain assessment tool in adults, identifying best practices in self-administered injections for patients in the hospital and at home, and, with medicine, pharmacy and nursing colleagues, exploring the use of melatonin for elderly hip fracture patients in the hospital. The process of discovery is not, or should not be, linear, she said. Rather, clinicians and academicians are working in a continuous loop, informing one another’s work and sharing their expertise to benefit patients. “The two worlds are very different,” she said. “When we integrate, we can be very effective.”
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OUTREACH
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CENTER NEWS CENTER DIRECTORS: Jean Wyman, PhD, APRN, GNP-BC, FGSA, FAAN Kristine Talley, PhD, APRN, GNP-BC
CENTER FOR
AGING SCIENCE AND CARE INNOVATION
Innovative incontinence care Incontinence associated skin damage is an inflammation of the skin due to irritation and maceration. It is the most common physical complication of incontinence affecting patients in all settings, from critical care to those living in the Professor Donna Bliss, community. IASD causes PhD, RN, FAAN, FGSA discomfort and pain for the patient, increases the risk of other skin damage, such as pressure injury, and raises health care costs. Professor Donna Bliss, PhD, RN, FAAN, FGSA, and her colleagues have developed a scoring instrument to assist nurses assessing IASD and its severity. In addition to the severity scoring tool, the incontinence associated skin damage severity instrument includes instructive information for nurses. The information includes images of the color changes and other signs of IASD, a diagram of the body areas where IASD can occur, and word descriptions of the signs and location of IASD. Bliss and her research team have tested the instrument with several groups of nurses using photograph cases and shown it has good validity and reliability. It is the first such instrument for assessing skin that has been tested for use on light, medium and dark skin tones. The IASD instrument is licensed by the University of Minnesota and is available at z.umn.edu/IASDassessment. Its use for educational and non-commercial research purposes is free. Bliss currently has a grant from MN-REACH, funded by the National Institutes of Health Research Evaluation and Commercialization Hub program, to assess the commercialization potential of the instrument.
CENTER DIRECTOR: Daniel J. Pesut, PhD, RN, PMHCNS-BC, FAAN
KATHARINE J. DENSFORD INTERNATIONAL CENTER FOR
NURSING LEADERSHIP
Foresight leadership
Nursing foresight is the ability to forecast what will happen or be needed in the future considering emergent health care trends that have consequences for population and planetary health. Foresight and futures literacy is essential to the profession’s purpose, definition, professional scope and standards of practice. In September, the School of Nursing and the Densford Center hosted the Nursing Foresight Summit. Thought leaders were invited to discuss the creation of an initiative to enhance the future thinking capacity, wisdom and anticipatory leadership skill set of nurses and health care professionals. The objectives of the Summit were to: 1. E xamine the value, key drivers and stakeholders related to a Foresight Leadership initiative to advance health care, innovation and learning that support vibrant communities and sustainable planetary health. 2. E stablish and affirm a blueprint, strategies, principles and evaluation criteria that outline a road map for a Foresight Leadership initiative. 3. A rticulate the synergy of the Foresight Leadership initiative with the school’s innovation trajectory and the Densford Center’s mission to develop next generation leaders. The Densford Center is committed to developing resources and networks of people who are invested in learning more about the application and evaluation of future thinking models and methods.
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CENTER NEWS
CENTER DIRECTOR: Renee Sieving, PhD, RN, FSAHM, FAAN
CENTER DIRECTOR: Bonnie Westra, PhD, RN, FAAN, FACMI
CENTER FOR
CENTER FOR
Partnering for healthy student outcomes
Nursing and data science
ADOLESCENT NURSING
Barb McMorris, Mabel Wafula Etchinson (from Makerere University in Uganda) and Monrudee (Chin) Chokprajakchad (from Mahidol University in Thailand) attended an open house explaining the program to parents.
What happens when both middle school students and teachers are engaged in efforts to promote positive youth development? As principal investigator for Partnering for Healthy Student Outcomes, Barb McMorris, PhD, associate professor in the School of Nursing and Department of Pediatrics, is addressing this important question. McMorris and her team are testing a socialemotional learning program for students in combination with a professional development program for teachers in Twin Cities area middle schools. The study is core research of the Healthy Youth Development-Prevention Research Center. Partnering for Healthy Student Outcomes aims to improve teens’ academic and health outcomes during middle school, a time of rapid psychosocial and physical change. The study strives to increase teachers’ capacities to engage students in learning through training in positive youth development and educational equity. The program helps students develop skills to engage with their teachers and peers, manage their own emotions and make healthy decisions.
NURSING INFORMATICS
The need to educate nurses about data science drove the nursing informatics faculty to develop an online continuing education course on Data Science Methods for Clinicians. The course provides an overview of new data analytic methods and application in health care. It also covers methods for reuse of big data in the context of health care for quality improvement and research, from an interprofessional team perspective. In partnership with researchers, clinicians generate and ensure quality of data, identify research questions, foster reuse of clinical data for research and interpret results. Clinicians are the domain experts, working alongside researchers, informaticians and computer scientists. The online course provides clinicians flexibility in time to participate and 60 contact hours accredited for nursing, with interprofessional accreditation pending. For future offerings go to https://z.umn.edu/ datascience2. Valid and reliable results from data science research rely on the integration of standardized data from patients, nurses and the interprofessional team. Nurses need to know how to implement standardized data, advocate for health policies inclusive of all health care members and participate in data science research teams. The Nursing Knowledge: Big Data Science Conference addresses these issues. This sixth-annual national conference will be held June 13-15 in Minneapolis and is open to all. The actionoriented conference aims to share achievements of 10 virtual working groups and plans for future activities.
With the study at its mid-point, McMorris is optimistic. “Teachers describe positive personal and professional growth,” she said. “For example, a teacher recently noted that training on the importance of student-teacher relationships and strategies for keeping stress levels down have had big impacts in her classroom.” This summer, McMorris’ team will examine student surveys and school records to analyze whether the program promotes students’ academic success and reduces risky behaviors, including bullying and substance use. “Providing training to adults who work daily with youth not only supports teachers as educators, it also helps them build stronger relationships with their students — which we know leads to healthier youth,” said McMorris. 24 | MINNESOTA NURSING
Learn about major milestones achieved toward sharable and comparable data at the Nursing Knowledge: Big Data Science Conference.
CENTER NEWS
CENTER DIRECTOR: Jayne Fulkerson, PhD
CENTER DIRECTORS: Ann Garwick, PhD, RN, LMFT, LP, FAAN Wendy Looman, PhD, APRN, CPNP
CENTER FOR
CENTER FOR
Big data reveals family-level problems
Connecting smiles
CHILD AND FAMILY HEALTH PROMOTION RESEARCH
Team members Chih-Lin Chi, Brady Alsaker, Anne Chevalier McKechnie, Karen Monsen and Sasank Maganti.
Assistant Professor Anne Chevalier McKechnie, PhD, RN, is leading an innovative big data collaboration that could pave the way for new understandings of family health. With Associate Professor Karen Monsen, PhD, RN, FAAN, McKechnie is examining the feasibility of using big data techniques to identify patterns within families with young children. Monsen invited McKechnie and her long-time mentor from the University of Wisconsin-Madison, Karen Pridham, PhD, RN, FAAN, to join a research team that already included University of Minnesota staff, students and faculty, including Brady Alsaker, MN, RN, University of Minnesota Medical Center; Sasank Maganti, a master’s degree student in the College of Science and Engineering, and Assistant Professor Chih-Lin Chi, PhD, MBA. Together, they are conducting a study with the Omaha System Data Collaborative, a practice-based research network. Data analyzed were collected by public health nurses during routine home visits with 8,638 families (10,332 individuals) across Minnesota. The families received 843,603 interventions (including teaching, guidance and counseling) for 39,080 problems (like parenting, growth and development). In addition to new and compelling observations about the relationships among three family outcomes (parent/child knowledge, parent/ child behavior or improved condition), data visualization showed intervention pattern variations by problem. Moreover, family level analysis revealed more than double the number of problems compared to the individual level, including parental problems that were not identified for a child (like income). These and other unexpected findings regarding family level problems, interventions and outcomes were featured in the symposium Family Nursing Needs Big Data and Big Data Needs Family Nursing at the 42nd-annual Midwest Nursing Research Society Conference in April.
CHILDREN WITH SPECIAL HEALTH CARE NEEDS The birth of a child with a cleft lip, palate or other facial anomaly can be particularly challenging for parents, who now must navigate multiple surgeries and specialists, feeding challenges, therapies and worries about how their child will be accepted by others. The collaboration with the School of Nursing and the Center for Children with Special Health Care Needs, the School of Dentistry, and the Craniofacial and Cleft Clinics team at the University of Minnesota addresses this challenge. Two Doctor of Nursing Practice students in the pediatric nurse practitioner specialty are developing a support program for parents of children with cleft lip, palate or other facial anomalies. Caitlin Giesen and Liza Beilke began working with key stakeholders in the clinics in 2016 to complete a needs assessment and develop an evidence-based process through which the clinic could connect new and experienced parents of children with craniofacial anomalies. The resulting program, Connecting Smiles, was implemented in 2017. The program includes a mentor parent training session, a web-based enrollment process and tools for ensuring a successful parentto-parent match. Once a new parent is matched with a mentor parent, the parents connect via phone and email for informal support. The program has been well-received by clinic leadership, families and providers. Cleft and craniofacial programs around the country have been reaching out to the University of Minnesota program to learn about how they might implement a similar program.
DNP students Liza Beilke and Caitlin Giesen
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SCHOOL NEWS
BRIEFLY New associate dean for research named
Spillane receives advocacy award
Professor Diane TreatJacobson, PhD, RN, FAAN, was named the School of Nursing’s associate dean for research, beginning in July. Professor Ann Garwick, PhD, RN, LMFT, LP, FAAN, the current senior executive associate dean for research, began a two-year phased retirement in January.
School receives PracticePartnership award The American Association of Colleges of Nursing selected the University of Minnesota School of Nursing and Fairview Health Services/University of Minnesota Health to receive the 2017 AACN Exemplary Academic-Practice Partnership Award. The award is in recognition of the accomplishments of the Nursing Collaboratory, which is a partnership of the three organizations recognized by a memorandum of understanding.
School earns diversity award The School of Nursing was awarded the 2017 Health Professions Higher Education Excellence in Diversity Award from INSIGHT Into Diversity magazine. This is the second time the school has received this award, which recognizes schools with an outstanding commitment to diversity and inclusion.
John Spillane, of Wayzata, received the school’s Richard Olding Beard Award. The award recognizes a non-nurse whose foresight, wisdom and advocacy for the nursing profession have led to better health care for all. Spillane, a School of Nursing Foundation Board member and business executive, has served as a tireless advocate and volunteer helping the school remain at the forefront of nursing education. His work with the school began with the establishment of the Elva Walker Spillane Leadership and Innovation Fund in honor of his late wife.
Visiting scholars from Taiwan, South Korea Bi-Lian Chen joins the school as a visiting scholar from Taiwan. She is an informatics nursing specialist at the Taichung Veterans General Hospital Nursing Department and a PhD candidate at the National Yang-Ming University Institute of Nursing. While at the School of Nursing, she is engaged in the project Prediction Inpatient Re-admission on Discharge Plan and Nursing Care Plan. Yeoungsuk Song joins the school as a visiting scholar from South Korea. Song is an associate professor at Kyungpook National University College of Nursing and will work to advance her research and scholarship in the areas of cardiovascular nursing and complementary therapies.
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SCHOOL NEWS
AWARDS AND HONORS
NEW APPOINTMENTS
Clinical Assistant Professor Jane Anderson, DNP, APRN, ANP-BC, FNP-BC, was a recipient of a Courage Award from the Women’s Health Leadership Trust.
Robyn Birkeland, PhD, joined the school as a study counselor on the Residential Care Transition Module study, working with Professor Joesph Gaugler, PhD. She provides counseling and psychoeducational coaching services to families with loved ones in long term care facilities. Birkeland earned a bachelor’s degree from Rollins College and a master’s degree and PhD in clinical psychology from the University of South Florida. She completed a Leadership Education in Adolescent Health Postdoctoral Fellowship at the University of Minnesota.
Professor Melissa Avery, PhD, APRN, CNM, FACNM, FAAN, received a media award from the American Association of Birth Centers for the book Freestanding Birth Centers: Innovation, Evidence and Optimal Outcomes. In addition the book won an American Journal of Nursing Book of the Year Award in the maternal-child health category. Professor Donna Bliss, PhD, RN, FAAN, FGSA, accepted an appointment to the editorial board of Applied Nursing Research. Bliss was also reelected as chair of the Nursing Committee of the International Continence Society, and she was appointed to the Board of the Rhoads Research Foundation of the American Society for Parenteral and Enteral Nutrition. Dean Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP, was elected president-elect of Friends of the National Institute of Nursing Research. She is also serving as the Women’s Health Leadership Trust president. Clinical Associate Professor Diana Drake, DNP, APRN, WHNP-BC, was elected chair-elect of the national Nurse Practitioners in Women’s Health.
Assistant Professor Martin Michalowski, PhD, was awarded senior member status within the Association for the Advancement of Artificial Intelligence.
Associate Professor Susan O’Conner-Von, PhD, RN, was selected to receive the American Society for Pain Management Nursing’s The Dr. Jo Eland, Excellence in Pediatric Nursing Award.
Clinical Professor Jeanne Pfeiffer, DNP, MPH, RN, CIC, FAAN, received The Sioux Award, which is the highest honor given by the University of North Dakota Alumni Association & Foundation for achievement, service and loyalty. Professor Jean Wyman, PhD, APRN, GNP-BC, FAAN, FGSA, was named the Rodney Appell Continence Care Champion 2017 by the National Association for Continence.
Eilon Caspi, PhD, joined the school as a research associate, working with Professors Christine Mueller, PhD, RN, FGSA, FAAN, and Joseph Gaugler, PhD, on research and education related to care provided to elderly people living with dementia in long-term care homes. Caspi’s specialty is in psychosocial strategies for prevention of various forms of behavioral expressions in this population. Caspi completed a postdoctoral fellowship at the VA Geriatric and Extended Care Data & Analysis Center. He earned a bachelor’s degree in social work at Tel Aviv University, a master’s degree in gerontology at Haifa University and PhD in gerontology at University of Massachusetts Boston. Kimberly Moore, DNP, APRN, FNP, joined the school as a clinical assistant professor. Moore has experience in primary care, urgent care and integrative primary care. She earned a Doctor of Nursing Practice degree from St. Catherine University, a master’s degree in nursing leadership and education from Regis University, bachelor’s degrees in nursing and exercise science/wellness at the University of Central Missouri and completed her family nurse practitioner preparation through the Minnesota State University/Mayo School of Health Sciences post-master’s program. Moore will be practicing at the University of Minnesota Health Nurse Practitioners Clinic.
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SCHOOL NEWS
EXTERNAL FACULTY GRANTS FACULTY PRINCIPAL INVESTIGATORS CALENDAR YEAR 2017 Avery, Melissa ACNM-ACOG Maternity Care Education and Practice Redesign American College of Nurse Midwives / Josiah Macy Jr. Foundation Bliss, Donna Augmented Reality System for the Education of Clinical Caregivers of Older Adults (SBIR) Innovative Design Labs / National Institutes of Health Bliss, Donna Skin Damage Severity Assessment Instrument: Voice-of-Customer to Product Development for Practice MN-REACH / National Institutes of Health Chi, Chih-Lin Predictive Optimal Anticlotting Treatment for Segmented Patient Populations (R01) Harvard University / National Institutes of Health / National Library of Medicine Clancy, Thomas Workflow Study for Cardiac Implantable Devices Boston Scientific Corporation Fulkerson, Jayne Future of Nursing Scholars 2016-2018 Robert Wood Johnson Foundation Fulkerson, Jayne Jonas Nurse Leaders Scholarship Program 2016-2018 Jonas Center for Nursing Excellence Fulkerson, Jayne New Ulm at HOME (NU-HOME) (R01) National Institutes of Health / National Heart, Lung, and Blood Institute Fulkerson, Jayne Parents and Kids Prevent Diabetes University of Minnesota Foundation / Olafson Trust Fulkerson, Jayne School Nurse-Directed Secondary Obesity Prevention for Elementary School-Aged Children (R01) Temple University / National Institutes of Health / National Institute for Nursing Research Fulkerson, Jayne Virtual Role Plays to Reduce the Occurrence of Childhood Obesity (Phase II) (SBIR) SIMmersion, LLC / National Institutes of Health Gaugler, Joseph A Proactive Health Monitoring Intervention for Dementia Cargegivers: The eNeighbor (R18) Agency for Healthcare Research and Quality / US Department of Health and Human Services
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Gaugler, Joseph Improving Outcomes for Family Caregivers and Older Adults with Complex Conditions: The Adult Day Service Plus Program (R01) Johns Hopkins University / National Institutes of Health / National Institute on Aging Gaugler, Joseph Minnesota Memory Care Management Center Minnesota Board on Aging Gaugler, Joseph Social Support Aid for People with Dementia (SBIR) Advanced Medical Electronics Corp / National Institutes of Health Gaugler, Joseph The Residential Care Transition Module (R01) National Institutes of Health / National Institute on Aging Gaugler, Joseph The Personal Health Record for Persons with Dementia and their Family Caregivers (R21) National Institutes of Health / National Institute for Nursing Research Hoffman, Sarah Parenting Adolescent Refugees PostResettlement in Minnesota: A Pilot Intervention Targeting Karen Family Cohesion Clinical and Translational Science Institute (CEARCH) / National Institutes of Health Hooke, Casey Phenotypic and Genotypic Associations with Symptom Clusters During Childhood Leukemia Treatment (R01) Duke University / National Institutes of Health / National Cancer Institute Hooke, Casey KAM: Kids are Moving; An Exercise Program for Children with Cancer Alex’s Lemonade Stand Foundation Hooke, Casey Physical Activity in Children Completing Treatment for Leukemia: How Does it Relate to Other Symptoms? University of Minnesota Foundation / Olafson Trust Kaas, Merrie PMHNP and FNP DNP Student Readiness to Provide Integrated Care to Persons with Mental Illness and Complex Medical Needs Who are Typically Underserved in Urban and Rural Communities Health Resources and Services Administration / US Department of Health & Human Services
Kreitzer, Mary Jo Medical Cannabis Symposium and Research Roundtable Minnesota Department of Health / State of Minnesota Mays, Ryan A Community-Based Exercise Program to Improve Walking Outcomes in Patients with Peripheral Artery Disease (K01) National Institutes of Health / National Heart, Lung, and Blood Institute McKechnie, Anne Preparing Heart and Mind: A Mobile and Web Application for Expectant Parents and Health Care Providers After Fetal Heart Disease Diagnosis MN-REACH / National Institutes of Health McMahon, Siobhan Community-Based Intervention Effects on Older Adults’ Physical Activity and Falls (R01) National Institutes of Health / National Institute for Nursing Research McMahon, Siobhan SHIFT the BALANCE Minnesota Board on Aging McMahon, Siobhan STRIDE Randomized Trial of a Multifactorial Fall Injury Brigham & Women’s Hospital / National Institutes of Health / National Institute on Aging McMorris, Barbara Fostering Healthy Habits for Youth Participating in Big Brothers and Big Sisters of the Greater Twin Cities Community Based Mentoring Program Clinical and Translational Science Institute (CEARCH) / National Institutes of Health McMorris, Barbara Healthy Youth Development Prevention Research Center Core Research Project: Partnering for Healthy Student Outcomes Centers for Disease Control & Prevention Mueller, Christine Evaluation of Home and CommunityBased Performance Improvement Program Minnesota Department of Human Services / State of Minnesota Mueller, Christine Nurse Anesthetist Traineeship Program Health Resources and Services Administration / US Department of Health & Human Services Mueller, Christine Nurse Faculty Loan Program Health Resources and Services Administration / US Department of Health & Human Services
SCHOOL NEWS
Mueller, Christine Nursing Restorative Care in Minnesota Nursing Homes Minnesota Department of Human Services / State of Minnesota
Sieving, Renee Making Authentic Connections Evaluation Project Minnesota Department of Health / State of Minnesota
Mueller, Christine VA Nursing Academic Partnership Minneapolis VA Healthcare System / US Deptment of Veterans Affairs
Sieving, Renee State Adolescent and Young Adult Health Capacity Building Program University of California San Francisco / Health Resources and Services Administration
Wyman, Jean University of Pennsylvania + PLUS Clinical Center University of Pennsylvania / National Institutes of Health / National Institute of Diabetes and Digestive and Kidney Diseases
Sieving, Renee Understanding the Context of Northern Plains American Teen Pregnancy (P20) Sanford Health / National Institutes of Health / National Institute on Minority Health and Health Disparities
Yu, Fang Aerobic Exercise in Alzheimer’s Disease: Cognition and Hippocampal Volume Effects (R01) National Institutes of Health / National Institute on Aging
Sieving, Renee 2016 Minnesota Adolescent Health Report Women’s Foundation of Minnesota
Yu, Fang Building a Workforce to Provide Exercise to People with Alzheimer’s Disease: The FIT-AD Certification Program Minnesota Board on Aging
Porta, Carolyn A Kabul Medical University and University of Minnesota Collaborative Workforce Development Project FHI 360 / US Agency for International Development Porta, Carolyn Reducing Stigma, Promoting Resilience: Population Health Interventions for LGBTQ Youth University of British Columbia / Canadian Institute of Health Research Porta, Carolyn Sexual Assault among College Students: New Insights for Prevention Health Resources and Services Administration / US Department of Health & Human Services Potter, Teddie The National Implementation of Team STEPPS Health Research & Educational Trust / Agency for Healthcare Research and Quality Saftner, Melissa Exploring Adolescent Risk in Ugandan Fishing Communities: Phase 1 Sigma Theta Tau International Zeta Chapter Saftner, Melissa Exploring Risk Behaviors in Ugandan Adolescents Living in Rural Fishing Communities: Phase 2 Sigma Theta Tau International Sieving, Renee Confidential Adolescent Sexual Health Services Centers for Disease Control & Prevention Sieving, Renee Healthy Youth Development Prevention Research Center Centers for Disease Control & Prevention
Sieving, Renee 2017 Minnesota Adolescent Health Report Women’s Foundation of Minnesota Treat-Jacobson, Diane Healthy Aging and Mobility Initiative Margaret A. Cargill Philanthropies Treat-Jacobson, Diane Low InTensity Exercise Intervention for Peripheral Artery Disease: The LITE Trial (R01) Northwestern University / National Institutes of Health / National Institute of Diabetes and Digestive and Kidney Diseases
Wyman, Jean Jonas Nurse Leaders Scholarship Program 2016-2018 Jonas Center for Nursing Excellence
Yu, Fang Concurrent Aerobic Exercise and Cognitive Training to Prevent Alzheimer’s in At-Risk Older Adults (SBIR) Moai Technologies / National Institutes of Health Yu, Fang Memory Matters: A Mobile Aid to Stimulate Reminiscing in Persons with Memory Loss (SBIR) Moai Technologies / National Institutes of Health
Treat-Jacobson, Diane Patient Centered Home Exercise Program for Peripheral Artery Disease Northwestern University / PCORI Westra, Bonnie, (Co-PI) SCH: EXP: Collaborative Research: GroupSpecific Learning to Personalize EvidenceBased Medicine National Science Foundation Wyman, Jean (Co-PI) Building Interdisciplinary Research Careers in Women’s Health National Institutes of Health / National Institute of Child Health and Human Development
Sieving, Renee Leadership Education in Adolescent Health Health Resources and Services Administration / US Department of Health & Human Services
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SCHOOL NEWS
FACULTY PUBLICATIONS CALENDAR YEAR 2017 Abbott, L., & Hooke, M. C. (2017). Energy through motion©: An activity intervention for cancer-related fatigue in an ambulatory infusion center. Clinical Journal of Oncology Nursing, 21(5), 618-626. Ahmed Mohammed, H., Yang, J., Giama, N., Choi, J., Ali, H., Mara, K., … Roberts, L. (2017). Factors influencing surveillance for hepatocellular carcinoma in patients with liver cirrhosis. Liver Cancer, 6(2), 126–136. Ally, A., Balasundaram, M., Carlsen, R., Chuah, E., Clarke, A., Dhalla, N.,… Giama, N.… Laird, P. W. (2017). Comprehensive and integrative genomic characterization of hepatocellular carcinoma. Cell, 169(7), 1327–1341.e23. Anderson, L. C., & Krichbaum, K. E. (2017). Best practices for learning physiology: combining classroom and online methods. Advances in Physiology Education, 41(3), 383–389. Anderson, M., Barták, R., Brownstein, J. S., Buckeridge, D. L., Eldardiry, H., Geib, C., …Michalowski, M,… Zhu, J. (2017). Reports of the workshops of the 31st AAAI conference on artificial intelligence. AI Magazine, 38(3), 72-82. Andresen, M. L., & Potter, T. (2017). Improving primary care with humancentered design and partnership-based leadership. Journal of Partnership Studies, 4(2), Article 8. Austin, R., Monsen, K. A., & Schultz, C. (2017). An informatics approach to interprofessional management of low back pain: A feasibility study using the Omaha System. Journal of Innovation in Health Informatics, 24(3), 929. Avery, M. D. (2017). The role of birth centers in promoting physiologic birth. In L. Cole & M. D. Avery (Eds.), Freestanding birth centers: Innovation, evidence, optional outcomes (1st ed., pp. 249–2062). New York, NY: Springer. Baird, M., Demorest, S., Kerr, R., Menzel, M., Potter, T., Peterson, P., Roberts, W. O., & Snyder, B. D. (2017). Climate change: What every physician should know. MN Physician, 31(9), 1, 18–19, 40. Barger, M., Avery, M. D., & Luyben, A. (2017). A needs assessment for recognizing midwifery educational programs that meet the ICM Global Educational Standards. International Journal of Childbirth, 7(2), 60–66.
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Beeckman, D., Bliss, D., Buckley, B., Cottenden, A., Fader, M., Kitson-Reynolds, E., … Ostaszkiewicz, J., Turner, D., Watson, J. & Wilde, M. (2017). Management using continence products. In P. Abrams, L. Cardoso, A. Wagg, & A. Wein (Eds.), Incontinence (6th ed., pp. 2303–2426). Arnheim, The Netherlands: ICUD EAU Publishers. Betesh, L., Comunale, M. A., Wang, M., Liang, H., Hafner, J., Karabudak, A., Giama, N. … Mehta, A. (2017). Identification of fucosylated Fetuin-A as a potential biomarker for cholangiocarcinoma. PROTEOMICS Clinical Applications, 11(9–10), 1600141. Bhimani, R. H., Cross, L. J. S., Taylor, B. C., Meis, L. A., Fu, S. S., Allen, K. D., … Burgess, D. J. (2017). Taking ACTION to reduce pain: ACTION study rationale, design and protocol of a randomized trial of a proactive telephone-based coaching intervention for chronic musculoskeletal pain among African Americans. BMC Musculoskeletal Disorders, 18(1), 15. https://doi.org/10.1186/s12891-0161363-6 Bhimani, R. H., Gaugler, J. E., & Skay, C. (2017). Understanding symptom experiences of muscle tightness from patients’ and clinicians’ perspectives. Journal of Clinical Nursing, 26(13–14), 1927–1938. Bhimani, R., & Carney-Anderson, L. (2017). Lived experiences of muscle tightness symptoms from patients’ perspectives. Journal of Neuroscience Nursing, 49(5), 280–285. Bhimani, R., Palluck, H., Mathiason Moore, M. A., & Anderson, L. C. (2017). A continuing education conference about patients with Parkinson’s disease and their caregivers. Journal of Continuing Education in Nursing, 48(6), 270–275. Bliss, D. Z., Bland, P., Wiltzen, K., Gannon, A., Wilhems, A., Mathiason, M. A., & Turnbaugh, R. (2017). Incontinence briefs containing spiral-shaped fiber acidify skin pH of older nursing home residents at risk for incontinence-associated dermatitis. Journal of Wound, Ostomy and Continence Nursing, 44(5), 475–480. Bliss, D. Z., Gurvich, O. V., Eberly, L. E., Savik, K., Harms, S., Wyman, J. F., … Wiltzen, K. (2017). Racial disparities in primary prevention of incontinence among older adults at nursing home admission. Neurourology and Urodynamics, 36(4), 1124–1130.
Bliss, D. Z., Gurvich, O. V., Mathiason, M. A., Eberly, L. E., Savik, K., Harms, S., … Virnig, B. (2017). Prevention of incontinence-associated skin damage in nursing homes: Disparities and predictors. Western Journal of Nursing Research, 39(5), 643–659. Bliss, D. Z., Gurvich, O., Savik, K., Eberly, L. E., Harms, S., Mueller, C., … Wiltzen, K. (2017). Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Archives of Gerontology and Geriatrics, 72, 187–194. Bliss, D. Z., Mathiason, M. A., Gurvich, O., Savik, K., Eberly, L. E., Fisher, J., … Larson, R. (2017). Incidence and predictors of incontinence-associated skin damage in nursing home residents with new-onset incontinence. Journal of Wound, Ostomy and Continence Nursing, 44(2), 165–171. Bliss, D. Z., Toshiki, M., Berghmans, B., Bharucha, A., Chiarioni, G., Emmanuel, A., … Rockwood, T. Santoro, G., Taylor, S., & Whitehead, W. E. (2017). Assessment and conservative management of faecal incontinence and quality of life in adults. In P. Abrams, A. Cardoso, A. Wagg, & A. Wein (Eds.), Incontinence (6th ed., pp. 1443–1628). Arnheim, The Netherlands: ICUD-EAU Publishers. Bliss, D., Harms, S., Eberly, L. E., Savik, K., Gurvich, O., Mueller, C., … Virnig, B. (2017). Social engagement after nursing home admission: Racial and ethnic disparities and risk factors. Journal of Applied Gerontology, 36(11), 1306–1326. Brewer, L. C., Balls-Berry, J. E., Dean, P., Lackore, K., Jenkins, S., & Hayes, S. N. (2017). Fostering African-American improvement in total health (FAITH!): An application of the American Heart Association’s Life’s Simple 7TM among Midwestern African-Americans. Journal of Racial and Ethnic Health Disparities, 4(2), 269–281. Brody, A. A., Farley, J. E., Gillespie, G. L., Hickman, R., Hodges, E. A., Lyder, C., … Pesut, D. J. (2017). Diversity dynamics: The experience of male Robert Wood Johnson Foundation nurse faculty scholars. Nursing Outlook, 65(3), 278–288. Champlin, B. E., & Kunkel, D. E. (2017). Implementing a veteran-centered community health clinical experience in a baccalaureate nursing program. Journal of Nursing Education, 56(3), 186–190.
SCHOOL NEWS
Champlin, B., Linck, R., Darst, E., Foley, B., Reuer, B., & Hammill, C. (2017). Veteran-centered exemplars in a prelicensure nursing program curriculum. Nurse Educator, 42(5), 255–258. Chesney, M. L., & Duderstadt, K. G. (2017). States’ progress toward nurse practitioner full practice authority: Contemporary challenges and strategies. Journal of Pediatric Health Care, 31(6), 724–728. Cheung, C., Wyman, J. F., Bronas, U., McCarthy, T., Rudser, K., & Mathiason, M. A. (2017). Managing knee osteoarthritis with yoga or aerobic/strengthening exercise programs in older adults: A pilot randomized controlled trial. Rheumatology International, 37(3), 389–398. Cheville, A. L., Rhudy, L., Basford, J. R., Griffin, J. M., & Flores, A. M. (2017). How receptive are patients with late stage cancer to rehabilitation services and what are the sources of their resistance? Archives of Physical Medicine and Rehabilitation, 98(2), 203–210. Chi, C.L., Wang, J., Clancy, T. R., Robinson, J. G., Tonellato, P. J., & Adam, T. J. (2017). Big Data cohort extraction to facilitate machine learning to improve statin treatment. Western Journal of Nursing Research, 39(1), 42–62. Chlan, L. L., Skaar, D. J., Tracy, M. F., Hayes, S. M., Hetland, B. D., Savik, K., & Weinert, C. R. (2017). Safety and acceptability of patient-administered sedation during mechanical ventilation. American Journal of Critical Care, 26(4), 288–296. Clancy, T. R. (2017). A closer look at enabling technologies and knowledge value in Big Data-enabled nursing: Education, research, and practice. In C. Weaver, C. W. Delaney, J. J. Warren, T. R. Clancy, & R. L. Simpson (Eds.), Big Dataenabled nursing (1st ed., pp. 63–78). New York, NY: Springer International Publishing. Clancy, T. R. (2017). How information drives complexity. Journal of Nursing Administration, 47(7–8), 364–366. Clancy, T. R. (2017). Technological complexity: Have we reached a tipping point? Journal of Nursing Administration, 47(4), 195–197.
Clancy, T. R., & Warren, J. J. (2017). Informatics. In G. Sherwood & J. Barnsteiner (Eds.), Quality and safety in nursing: A competency approach to improving outcomes (2nd ed., pp. 173– 196). Hoboken, NJ: John Wiley & Sons.
Dykes, K., Sarkinen, K., Louwagie, K., & Gaugler, J. E. (2017). Respite care, current status and future of. In N. A. Pachana (Ed.), Encyclopedia of geropsychology (1st ed., pp. 2043–2050). Singapore: Springer Singapore.
Cole, L. J., & Avery, M. D. (Eds.). (2017). Freestanding birth centers: Innovation, evidence, optimal outcomes (1st ed.). New York, NY: Springer.
Eisenberg, M. E., Gower, A. L., McMorris, B. J., Rider, G. N., Shea, G., & Coleman, E. (2017). Risk and protective factors in the lives of transgender/gender nonconforming adolescents. Journal of Adolescent Health, 61(4), 521–526.
Crown, W., & Clancy, T. R. (2017). Working in the New Big Data World: Academic/ Corporate Partnership Model. In C. W. Delaney, C. A. Weaver, J. J. Warren, T. R. Clancy, & R. Simpson (Eds.), Big Dataenabled nursing (1st ed., pp. 157–180). New York, NY: Springer International Publishing. Delaney, C. W., & Simpson, R. (2017). Why Big Data?: Why Nursing? In C. W. Delaney, C. A. Weaver, J. J. Warren, T. R. Clancy, & R. Simpson (Eds.), Big Data-enabled nursing (1st ed., pp. 3–10). New York, NY: Springer International Publishing. Delaney, C. W., & Weaver, C. A. (2017). Nursing knowledge and the 2017 Big Data science summit. CIN: Computers, Informatics, Nursing, 35(12), 615–616. Delaney, C. W., & Westra, B. (2017). Big Data: Data science in nursing. Western Journal of Nursing Research, 39(1), 3–4. Delaney, C. W., Weaver, C. A., Warren, J., Clancy, T., & Simpson, R. (Eds.). (2017). Big Data-enabled nursing (1st ed.). New York, NY: Springer International Publishing. Demorest, S. L., Potter, T., Anderson, J., Funk, K., Napral, M., & Wagner, A. (2017). Building a leadership culture for environmental health in a nurse-led clinic. Interdisciplinary Journal of Partnership Studies, 4(3). https://doi.org/https://doi. org/10.24926/ijps.v4i3.174 Doty, J. L., Gower, A. L., Rudi, J. H., McMorris, B. J., & Borowsky, I. W. (2017). Patterns of bullying and sexual harassment: Connections with parents and teachers as direct protective factors. Journal of Youth and Adolescence, 46(11), 2289–2304. Duckett, L. J. (2017). Commentary: “Validation of a Theory of Planned Behavior-Based Questionnaire to Examine Factors Associated with Milk Expression” by Y. K. Bai & L. M. Dinour. Journal of Human Lactation, 33(4), 666–669.
Elraiyah, T., Jerde, C. R., Shrestha, S., Wu, R., Nie, Q., Giama, N. H., … Diasio, R. B. (2017). Novel deleterious dihydropyrimidine dehydrogenase variants may contribute to 5-fluorouracil sensitivity in an East African population. Clinical Pharmacology and Therapeutics, 101(3), 382–390. Elwell, J., & White, K. (2017). Integrative practitioner. In M. Zaccagnini & K. White (Eds.), The doctor of nursing practice: A new model for advanced practice nursing (3rd ed., pp. 416–438). Sudbury, MA: Jones & Bartlett. Farshidfar, F., Zheng, S., Gingras, M.-C., Newton, Y., Shih, J., Robertson, A. G., … Giama, N.,… Zmuda, E. (2017). Integrative genomic analysis of cholangiocarcinoma identifies distinct IDH-mutant molecular profiles. Cell Reports, 18(11), 2780–2794. Fish, J. N., Watson, R. J., Porta, C. M., Russell, S. T., & Saewyc, E. M. (2017). Are alcohol-related disparities between sexual minority and heterosexual youth decreasing? Addiction, 112(11), 1931– 1941. Fogel, K. F., Martin, L., Nelson, B., Thomas, M., Fritz Fogel, K., … Porta, C. M. (2017). “We’re automatically sex in men’s eyes, we’re nothing but sex…”: Homeless young adult perceptions of sexual exploitation. Journal of Child & Adolescent Trauma, 10(1), 151–160. Forster, M., Gower, A. L., Borowsky, I. W., & McMorris, B. J., (2017). Associations between adverse childhood experiences, student-teacher relationships, and nonmedical use of prescription drugs among adolescents. Addictive Behaviors, 68, 30–34. Freitag, L., Liaschenko, J., & Holding, A. (2017). Holding Ashley (X): Bestowing identity through caregiving in profound intellectual disability. Journal of Clinical Ethics, 28(3), 189–196.
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FACULTY PUBLICATIONS CALENDAR YEAR 2017 Fu, H., McMahon, S. K., Gross, C. R., Adam, T. J., & Wyman, J. F. (2017). Usability and clinical efficacy of diabetes mobile applications for adults with Type 2 diabetes: A systematic review. Diabetes Research and Clinical Practice, 131, 70–81. Gams, B., Popp, K., Cramer, J., George, T., Rauk, P., Sommerness, S., & Sublette, J. (2017). How to engage your team to implement delayed cord clamping. Nursing for Women’s Health, 21(6), 489498. Garrigues, L. J., Cartwright, J. C., & Bliss, D. Z. (2017). Attitudes of nursing students about pressure injury prevention. Journal of Wound, Ostomy and Continence Nursing, 44(2), 123–128. Gaugler, J. E. (2017). Intergenerational scholarship: A foundation of applied gerontology. Journal of Applied Gerontology, 36(3), 251–253. Gaugler, J. E. (2017). Managing health conditions in older adulthood: Barriers, facilitators, and solutions. Journal of Applied Gerontology, 36(9), 1051–1053. Gaugler, J. E. (2017). Primary, specialty, and coordinated care: Gerontological perspectives. Journal of Applied Gerontology, 36(4), 383–385. Gaugler, J. E. (2017). Translation and implementation: Essential applied gerontology. Journal of Applied Gerontology, 36(5), 515–518. Gaugler, J. E. (2017). Understanding and supporting persons with memory loss and their families across the spectrum of dementia. Journal of Applied Gerontology, 36(7), 779–781. Gaugler, J. E., Jutkowitz, E., Shippee, T. P. P., & Brasure, M. (2017). Consistency of dementia caregiver intervention classification: An evidence-based synthesis. International Psychogeriatrics, 29(1), 19–30. Gerhard-Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., … Treat-Jacobson, D.,…Walsh, M. E. (2017). 2016 AHA/ACC guideline on the management of patients with lower extremity peripheral artery disease: Executive summary: A Report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines. Circulation, 135(12), e686–e725.
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Gloppen, K. M., Gower, A. L., McMorris, B. J., & Eisenberg, M. E. (2017). Associations between peer harassment and school risk and protection profiles. Journal of School Health, 87(11), 832–841. Gross, C. R., Reilly-Spong, M., Park, T., Zhao, R., Gurvich, O. V., & Ibrahim, H. N. (2017). Telephone-adapted mindfulnessbased stress reduction (tMBSR) for patients awaiting kidney transplantation. Contemporary Clinical Trials, 57, 37–43. Hadidi, N. N., Wagner, R. H. L. H., & Lindquist, R. (2017). Non-pharmacological treatments for poststroke depression: An integrative review of literature. Research in Gerontological Nursing, 10(4), 182–195. Halper, A., Hooke, M. C., GonzalezBolanos, M. T., Vanderburg, N., Tran, T. N., Torkelson, J., & Sarafoglou, K. (2017). Health-related quality of life in children with congenital adrenal hyperplasia. Health and Quality of Life Outcomes, 15(1). https://doi.org/10.1186/s12955-0170769-7 Hetland, B., Lindquist, R., Weinert, C. R., Peden-McAlpine, C., Savik, K., & Chlan, L. (2017). Predictive associations of music, anxiety, and sedative exposure on mechanical ventilation weaning trials. American Journal of Critical Care, 26(3), 210–220. Hobday, J. V., Gaugler, J. E., & Mittelman, M. S. (2017). Feasibility and utility of online dementia care training for hospital staff: The CARES® dementia-friendly hospitalTM program. Research in Gerontological Nursing, 10(2), 58–65. Hockenberry, M. J., Hooke, M. C., Rodgers, C., Taylor, O., Koerner, K. M., Mitby, P., … Pan, W. (2017). Symptom trajectories in children receiving treatment for leukemia: A latent class growth analysis with multitrajectory modeling. Journal of Pain and Symptom Management, 54(1), 1–8. https://doi.org/10.1016/j. jpainsymman.2017.03.002 Hoffman, S. J., Robertson, C. L., & Tierney, J. D. (2017). “What about the next generation that’s coming?”: The recontextualization of mothering postrefugee resettlement. Advances in Nursing Science, 40(2), 122–153. Hoffman, S. J., Robertson, C. L., Shannon, P. J., Cook, T. L., Letts, J., & Mathiason, M. A. (2017). Physical correlates of torture exposure in Karen refugees. Journal of Loss and Trauma, 22(2), 135–149.
Hoffman, S. J., Tierney, J. D., & Robertson, C. L. (2017). Counternarratives of coping and becoming: Karen refugee women’s inside/outside figured worlds. Gender, Place and Culture, 24(9), 1346–1364. Holland, D. E., Vanderboom, C. E., Dose, A. M., Delgado, A. M., Austin, C. M., Ingram, C. J., … Monsen, K. A. (2017). Describing transitional palliative nursing care using a standardized terminology. Journal of Hospice and Palliative Nursing, 19(3), 275–281. Horning, M. L., Fulkerson, J. A., Friend, S. E., & Story, M. (2017). Reasons parents buy prepackaged, processed meals: It is more complicated than “I Don’t Have Time.” Journal of Nutrition Education and Behavior, 49(1), 60–66.e1. Horning, M. L., Schow, R., Friend, S. E., Loth, K., Neumark-Sztainer, D., & Fulkerson, J. A. (2017). Family dinner frequency interacts with dinnertime context in associations with child and parent BMI outcomes. Journal of Family Psychology, 31(7), 945–951. Horning, M.L. Liden, G., & McMorris, B.J. (2017). Sprouting seeds of connectedness: Associations between gardening and cooking skills and youth connections to peers, adults, and community. Children, Youth and Environments, 27(1), 1. https:// doi.org/10.7721/chilyoutenvi.27.1.0001 Huard, R. J.C., & Monsen, K. A. (2017). Standardized nursing terminology use in electronic health records in Minnesota. Modern Clinical Medicine Research, 1(1), 13–19. Isaacson, K., & Looman, W. S. (2017). Strategies for developing family nursing communities of practice through social media. Journal of Family Nursing, 23(1), 73–89. Johnson, S. G., Speedie, S., Simon, G., Kumar, V., & Westra, B. L. (2017). Quantifying the effect of data quality on the validity of an eMeasure. Applied Clinical Informatics, 8(4), 1012–1021. Jutkowitz, E., Kane, R. L., Dowd, B., Gaugler, J. E., MacLehose, R. F., & Kuntz, K. M. (2017). Effects of cognition, function, and behavioral and psychological symptoms on Medicare expenditures and health care utilization for persons with dementia. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 72(6), 818–824.
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Jutkowitz, E., Kane, R. L., Gaugler, J. E., MacLehose, R. F., Dowd, B., & Kuntz, K. M. (2017). Societal and family lifetime cost of dementia: Implications for policy. Journal of the American Geriatrics Society, 65(10), 2169–2175.
Lee, J., Song, Y., Lindquist, R., Yoo, Y., Park, E., Lim, S., … Mathiason, M. A. (2017). Nontraditional cardiac rehabilitation in Korean patients with coronary artery disease. Rehabilitation Nursing, 42(4), 191–198.
Matney, S. A., Settergren, T., Carrington, J. M., Richesson, R. L., Sheide, A., & Westra, B. L. (2017). Standardizing physiologic assessment data to enable Big Data analytics. Western Journal of Nursing Research, 39(1), 63–77.
Jutkowitz, E., Kuntz, K. M., Dowd, B., Gaugler, J. E., MacLehose, R. F., & Kane, R. L. (2017). Effects of cognition, function, and behavioral and psychological symptoms on out-of-pocket medical and nursing home expenditures and time spent caregiving for persons with dementia. Alzheimer’s and Dementia, 13(7), 801–809.
Lewis, B. A., Billing, L., Schuver, K., Gjerdingen, D., Avery, M., & Marcus, B. H. (2017). The relationship between employment status and depression symptomatology among women at risk for postpartum depression. Women’s Health, 13(1), 3–9.
Mayberry, L. J., Avery, M. D., Budin, W., & Perry, S. (2017). Improving maternal and infant outcomes by promoting normal physiologic birth on hospital birthing units. Nursing Outlook, 65(2), 240–241.
Jutkowitz, E., MacLehose, R., Gaugler, J. E., Dowd, B., Kuntz, K., & Kane, R. L. (2017). Risk factors associated with cognitive, functional, and behavioral trajectories of newly diagnosed dementia patients. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 72(2), 251–258. Kerr, M. J., Neitzel, R. L., Hong, O., & Sataloff, R. T. (2017). Historical review of efforts to reduce noise-induced hearing loss in the United States. American Journal of Industrial Medicine, 60(6), 569–577. Koithan, M. S., Kreitzer, M. J., & Watson, J. (2017). Linking the unitary paradigm to policy through a synthesis of caring science and integrative nursing. Nursing Science Quarterly, 30(3), 262–268. Kreitzer, M., & Klatt, M. (2017). Educational innovations to foster resilience in the health professions. Medical Teacher, 39(2), 1531–59. Kubik, M. Y., Gurvich, O. V., & Fulkerson, J. A. (2017). Association between parent television-viewing practices and setting rules to limit the television-viewing time of their 8-to 12-year-old children, Minnesota, 2011-2015. Preventing Chronic Disease, 14(1), 160235. http://dx.doi.org/10.5888/ pcd14.160235
Lindquist, R. (2017). Is the old-age practice of meditation a complement to comprehensive patient cardiovascular risk reduction? Science News, 1–4, e002218. https://doi.org/ 10.1161/ JAHA.117.002218 Long, S., Monsen, K., Pieczkiewicz, D., Wolfson, J., & Khairat, S. (2017). An evaluation of overcoming barriers to engage consumers in the use of health care information technology. Journal of Consumer Health on the Internet, 21(4), 369–388. Loth, K. A., Horning, M., Friend, S., Neumark-Sztainer, D., & Fulkerson, J. (2017). An exploration of how family dinners are served and how service style is associated with dietary and weight outcomes in children. Journal of Nutrition Education and Behavior, 49(6), 513–518. e1. Lutfiyya, M. N., Schicker, T., Jarabek, A., Pechacek, J., Brandt, B., & Cerra, F. B. (2017). Generating the data for analyzing the effects of interprofessional teams for improving triple aim outcomes. In C. W. Delaney, C. A. Weaver, J. J. Warren, T. R. Clancy, & R. Simpson (Eds.), Big Dataenabled nursing (1st ed., pp. 103–114). New York, NY: Springer International Publishing.
Kuiper, R., O’Donnell, S. M., Pesut, D. J., & Turrise, S. L. (2017). The essentials of clinical reasoning for nurses. Indianapolis, IN: Sigma Theta Tau International.
Luyben, A., Barger, M., Avery, M., Bharj, K. K., O’Connell, R., Fleming, V., … Sherratt, D. (2017). Exploring global recognition of quality midwifery education: Vision or fiction? Women and Birth, 30(3), 184–192.
Lai, A. M., Hsueh, P. S., Choi, Y., & Austin, R. R. (2017). Present and future trends in consumer health informatics and patient generated health data. 2017 IMIA Yearbook of Medical Informatics, 26(1), 152–159.
Martin, K. S., & Kessler, P. D. (2017). The Omaha System: Improving the quality of practice and decision support. In M. D. Harris (Ed.), Handbook of home health care administration (6th ed., pp. 235–248). Burlington, MA: Jones & Bartlett.
Mays, R. J., & Regensteiner, J. G. (2017). Understanding sex differences in health status: A frontier in the field of vascular medicine. Vascular Medicine, 22(2), 110–111. McCauley, L., & Delaney, C. W. (2017). What Big Data and data science mean for schools of nursing and academia. In C. W. Delaney, C. A. Weaver, J. J. Warren, T. R. Clancy, & R. Simpson (Eds.), Big Dataenabled nursing (1st ed., pp. 373–398). New York, NY: Springer International Publishing. McKissick, H. D., Cady, R. G., Looman, W. S., & Finkelstein, S. M. (2017). The impact of telehealth and care coordination on the number and type of clinical visits for children with medical complexity. Journal of Pediatric Health Care, 31(4), 452–458. McMahon, S. K., Lewis, B., Oakes, J. M., Wyman, J. F., Guan, W., & Rothman, A. J. (2017). Assessing the effects of interpersonal and intrapersonal behavior change strategies on physical activity in older adults: A factorial experiment. Annals of Behavioral Medicine, 51(3), 376–390. McPherson, S., Zaccagnini, M., & White, K. (2017). Nurse informaticist. In M. Zaccagnini & K. White (Eds.), The doctor of nursing practice: A new model for advanced practice nursing (3rd ed., pp. 427–438). Sudbury, MA: Jones & Bartlett. Meghani, N., Tracy, M. F., Hadidi, N. N., & Lindquist, R. (2017). Part II: The effects of aromatherapy and guided imagery for the symptom management of anxiety, pain and insomnia in critically ill patients: an integrative review of the current literature. Dimensions in Critical Care Nursing, 36(6), 334–348. Meghani, N., Tracy, M. F., Hadidi, N., & Lindquist, R. (2017). Part 1: The effects of music for the symptom management of anxiety, pain and insomnia in critically ill patients. Dimensions in Critical Care Nursing, 36(4), 234–243.
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FACULTY PUBLICATIONS CALENDAR YEAR 2017 Mehus, C. J., Watson, R. J., Eisenberg, M. E., Corliss, H. L., & Porta, C. M. (2017). Living as an LGBTQ adolescent and a parent’s child: Overlapping or separate experiences. Journal of Family Nursing, 23(2), 175–200. Molinari, V., Hobday, J.V, Roker, R., Kunik, M. E., Kane, R., Kaas, M. J., … Dobbs, D. (2017). Impact of serious mental illness online training for certified nursing assistants in long term care. Gerontology and Geriatrics Education, 38(4), 359–374. Monsen, K. A., & Martin, K. S. (2017). Report of the 2017 Omaha system international conference: A vision for the future. CIN - Computers Informatics Nursing, 35(9), 440–441. Monsen, K. A., Brandt, J. K., Brueshoff, B. L., Chi, C.L., Mathiason, M. A., Swenson, S. M., & Thorson, D. R. (2017). Social determinants and health disparities associated with outcomes of women of childbearing age who receive public health nurse home visiting services. Journal of Obstetrics, Gynecologic, and Neonatal Nursing, 46(2), 292–303. Monsen, K. A., Kang, Y. J., Maki, T. A., Stromme, A. E., Weirich, E. G., & Lawrence, E.C., Schneider, R.N., & Martinson, B. E. (2017). Evaluation of the Omaha System prototype icons for global health literacy. Informatics, 4(2), 1–13. https://doi.org/10.3990/ informatics4020013 Monsen, K. A., Le, S. E., Handler, H. & Dean, P. (2017). We can be more caring: A theory for enhancing the experience of being caring as an integral component of pre-licensure nursing education. International Journal of Human Caring, 21(1), 9–14. Monsen, K. A., Peterson, J. J., Mathiason, M. A., Kim, E., Votava, B., & Pieczkiewicz, D. S. (2017). Discovering public health nurse-specific family home visiting intervention patterns using visualization techniques. Western Journal of Nursing Research, 39(1), 127–146. Monsen, K. A., Swenson, S. M., Klotzbach, L. V., Mathiason, M. A., & Johnson, K. E. (2017). Empirical evaluation of the changes in public health nursing interventions after the implementation of an evidence-based family home visiting guideline. Kontakt, 19(2), e75. https://doi.org/10.1016/j. kontakt.2017.03.002
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Monsen, K. A., Vanderboom, C. E., Olson, K. S., Larson, M. E., & Holland, D. E. (2017). Care coordination from a strengths perspective: A practice-based evidence evaluation of evidence-based practice. Research and Theory for Nursing Practice, 31(1), 39–55. Newman, D. K., Wyman, J. F., & Welch, V. W. (Eds.). (2017). Core curriculum for urologic nursing (1st ed.). Pittman, NJ: Society of Urologic Nurses and Associates. Olsen, J. M., Baisch, M. J., & Monsen, K. A. (2017). Interpretation of ecological theory for physical activity with the Omaha System. Public Health Nursing, 34(1), 59–68. Olsen, J. M., Thorson, D., Baisch, M. J., & Monsen, K. A. (2017). Using Omaha System documentation to understand physical activity among rural women. Public Health Nursing, 34(1), 31–41. Pesut, D. J. (2017). An introduction to integral philosophy and theory: Implications for quality and safety. In G. Sherwood & S. Horton-Deutsch (Eds.), Reflective practice: Transforming education and improving outcomes (2nd ed., pp. 315–331). Indianapolis, Indiana: Sigma Theta Tau International Press. Pesut, D. J. (2017). Reflecting as a team: Issues to consider in interprofessional practice. In G. Sherwood & S. HortonDeutsch (Eds.), Reflective practice: Transforming education and improving outcomes (2nd ed., pp. 331–354). Indianapolis, Indiana: Sigma Theta Tau International Press. Pfrimmer, D. M., Johnson, M. R., Guthmiller, M. L., Lehman, J. L., Ernste, V. K., & Rhudy, L. M. (2017). Surveillance: A nursing intervention for improving patient safety in critical care environment. Dimensions of Critical Care Nursing, 36(1), 45–52. Porta, C. M., Corliss, H. L., Wolowic, J. M., Johnson, A. Z., Fritz Fogel, K., Gower, A. L., … Eisenberg, M. E. (2017). Go-along interviewing with LGBTQ youth in Canada and the United States. Journal of LGBT Youth, 14(1), 1–15. https://doi:10.1080/19 361653.2016.1256245 Porta, C. M., Gower, A. L., Mehus, C. J., Yu, X., Saewyc, E. M., & Eisenberg, M. E. (2017). “Kicked out”: LGBTQ youths’ bathroom experiences and preferences. Journal of Adolescence, 56, 107–112.
Porta, C. M., Mathiason, M. A., Lust, K., & Eisenberg, M. E. (2017). Sexual violence among college students: An examination of individual and institutional level factors associated with perpetration. Journal of Forensic Nursing, 13(3), 109–117. Porta, C. M., Singer, E., Mehus, C. J., Gower, A. L., Saewyc, E., Fredkove, W., & Eisenberg, M. E. (2017). LGBTQ youth’s views on gay-straight alliances: building community, providing gateways, and representing safety and support. Journal of School Health, 87(7), 489–497. Potter, T. (2017). Improving the patient experience: Lessons from home. MN Physician, 31(6), 20–22. Prendergast, L. E., Leung, R. K., Toumbourou, J. W., Taft, A., McMorris, B. J., & Catalano, R. F. (2017). Sexual behaviour in early adolescence: A crossnational comparison of Australian and United States youth. Australian Journal of Psychology, 69(1), 3–11. Pruinelli, L., Monsen, K. A., Gross, C. R., Radosevich, D. M., Simon, G. J., & Westra, B. L. (2017). Predictors of liver transplant patient survival: A critical review using a holistic framework. Progress in Transplantation, 27(1), 98–106. Ramstad, S., & Potter, T. (2017). One world, one standard for burn care: Nursing’s role in global health. Interdisciplinary Journal of Partnership Studies, 4(2). https://doi.org/https://doi. org/10.24926/ijps.v4i2.163 Rich, K., Treat-Jacobson, D., DeVeaux, T., Fitzgerald, K., Kirk, L., Thomson, L., … Hill, D. (2017). Society for Vascular Nursing— carotid endarterectomy (CEA) updated nursing clinical practice guideline. Journal of Vascular Nursing, 35(2), 90–111. Riegel, B., Moser, D. K., Buck, H. G., VaughanDickson, V., B.Dunbar, S., Lee, C. S., … Treat-Jacobson, D. J. ,…Webber, D. E. (2017). Self-care for the prevention and management of cardiovascular disease and stroke: A scientific statement for healthcare professionals from the American Heart Association. Journal of the American Heart Association, 6(9), e006997.
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Roberts, K., Boland, M. R., Pruinelli, L., Dcruz, J., Berry, A., Georgsson, M., … Brennan, P. F. (2017). Biomedical informatics advancing the national health agenda: the AMIA 2015 year-in-review in clinical and consumer informatics. Journal of the American Medical Informatics Association, 24(e1), e-185-e109. https:// doi.org/10.1093/jamia/ocw103 Ronquillo, C., Topaz, M., Pruinelli, L., Peltonen, L., & Nibber, R. (2017). Competencies recommendations for advancing nursing informatics in the next decade: International survey results. In J. Murphey, W. Grossen, & P. Weber (Eds.), Forecasting informatics competencies for nurses in the future of connected health (pp. 119–129). Netherlands: IOS Press BV. Rowan, M., Flaten, C., Rhudy, L., & Salehi, (2017). Improving performance and reflective learning through video technologies. In I. Alexander & R. Poch (Eds.), Innovative learning and teaching: Experiments across the discipline (1.0, pp. 111–123). Minneapolis, MN: University of Minnesota Libraries Publishing. Rowan, M., Steffes, M., Flaten, C., Rhudy, L., & Salehi, N. (2017). Planning, development, and implementation nursing telehealth simulation. In I. Alexander & R. Poch (Eds.), Innovative learning and teaching: Experiments across the discipline (1.0, pp. 32–38). Minneapolis, MN: University of Minnesota Libraries Publishing. Sabo, J. A., Chesney, M., Tracy, M. F. & Sendelbach, S. (2017). APRN consensus model implementation: The Minnesota experience. Journal of Nursing Regulation, 8(2), 10–16. Saftner, M. A., Neerland, C., & Avery, M. D. (2017). Enhancing women’s confidence for physiologic birth: Maternity care providers’ perspectives. Midwifery, 53, 28–34. Saliares, E., Wilkerson, J. M., Sieving, R. E., & Brady, S. S. (2017). Sexually experienced adolescents’ thoughts about sexual pleasure. Journal of Sex Research, 54(4–5), 604–618. Schenk, E., Jones, C., Fincham, S. J., Daratha, K., Schleyer, R., & Monsen, K. A. (2017). Time motion analysis of nursing work in ICU, telemetry, and med-surg units. Journal of Nursing Management, 25(8), 6640–646.
Schorr, E. N., & Mays, R. J. (2017). Patient perspectives on claudication: An opportunity to improve the adoption and adherence of exercise therapy. Vascular Medicine (United Kingdom), 22(5), 385–386. Schorr, E. N., Treat-Jacobson, D., & Lindquist, R. (2017). The relationship between Peripheral Artery Disease symptomatology and ischemia. Nursing Research, 66(5), 378–387. Secor-Turner, M., McMorris, B. J., & Scal, P. (2017). Improving the sexual health of young people with mobility impairments: Challenges and recommendations. Journal of Pediatric Health Care, 31(5), 578–587. Shah, K. N., Lin, F. V., Yu, F., & McMahon, J. M. (2017). Activity engagement and physical function in old age sample. Archives of Gerontology and Geriatrics, 69, 55–60. Sheldon, P. S., Newman, D. K., & Wyman, J. F. (2017). Neurogenic lower urinary tract dysfunction. In D. K. Newman, J. F. Wyman, & V. W. Welch (Eds.), Core curriculum in urologic nursing (1st ed., pp. 503–518). Pittman, NJ: Society of Urologic Nurses and Associates. Shippee, T. P., Henning-Smith, C., Gaugler, J. E., Held, R., & Kane, R. L. (2017). Family satisfaction with nursing home care: The role of facility characteristics and resident quality-of-life scores. Research on Aging, 39(3), 418–442. Sieving, R. E., Allen, M. L., Galvan, A., Rodriguez-Hager, R., Beckman, K., Castillo, M., … Svetaz, M. V. (2017). Encuentro: Feasibility, acceptability, and outcomes of a culturally tailored teen–parent health promotion program. Health Promotion Practice, 18(5), 751–762. Sieving, R. E., McRee, A.L., McMorris, B. J., Shlafer, R. J., Gower, A. L., Kapa, H. M., … Resnick, M. D. (2017). Youth–Adult connectedness: A key protective factor for adolescent health. American Journal of Preventive Medicine, 52(3S3), S275–S278. Sigurdardottir, A. O., Garwick, A. W., & Svavarsdottir, E. K. (2017). The importance of family support in pediatrics and its impact on healthcare satisfaction. Scandinavian Journal of Caring Sciences, 31(2), 241–252.
Sommerness, S. A., Gams, R., Rauk, P. N., Bangdiwala, A., Landers, D. V., Avery, M. D., … Shields, A. (2017). The perinatal birth environment: Communication strategies and processes for adherence to a standardized guideline in women undergoing second-stage labor with epidural anesthesia. Journal of Perinatal and Neonatal Nursing, 31(1), 41–50. Southard, M. E., Bark, L., Erickson, M., & Monsen, K. A. (2017). Feasibility of using the Omaha System to represent nurse coaching practice. Kontakt, 19(1), e4–e11. https://doi.org/10.1016/j. kontakt.2017.01.005 Talley, K. M. C., Wyman, J. F., Bronas, U., Olson-Kellogg, B. J., & McCarthy, T. C. (2017). Defeating urinary incontinence with exercise training: Results of a pilot study in frail older women. Journal of the American Geriatrics Society, 65(6), 1321–1327. Tanner, L., Sencer, S., & Hooke, M. C. (2017). The Stoplight Program: A proactive physical therapy intervention for children with acute lymphoblastic leukemia. Journal of Pediatric Oncology Nursing, 34(5), 347–357. Topaz, M., & Pruinelli, L. (2017). Big Data and nursing: Implications for the future. In W. P. Murphy J, Grossen W (Ed.), Forecasting informatics competencies for nurses in the future of connected health (pp. 165–171). Netherlands: IOS Press BV. Tracy, M. F. & Barnsteiner, J. (2017). Evidence-based practice. In G. Sherwood & J. Barnsteiner (Eds.), Quality and safety in nursing: A competency approach to improving outcomes (2nd ed., pp. 131– 152). Hoboken, NJ: John Wiley & Sons. Wagg, A., Chen, L. K., Kirschner-Hermann, R., Kuchel, G., Johnson, T., Markland, A., & ...Wyman, J. F. (2017). Incontinence in frail older persons. In P. Abrams, L. Cardozo, A. Wagg, & A. Wein (Eds.), Incontinence (6th Ed., pp. 1309–1442). Arnheim, The Netherlands: ICUD-EAU Publishers. Webb, J., Sorenson, A., Sommerness, S., Lasater, B., Mistry, K., & Kahwati, L. (2017). Advancing perinatal patient safety through application of safety science principles using health IT. BMC Medical Information and Decision Making, 17(176). https:// dx.doi.org/10.1186%2Fs12911-017-0572-8
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Weber, E. (2017). Concerns for patients’ health and safety spurs interprofessional teamwork. MetroDoctor, 19(5), 18–19. Weber, E. (2017). What to do when a colleague is impaired. American Nurse Today, 12(9), 42. Westra, B. L., Christie, B., Gao, G., Johnson, S. G., Pruinelli, L., & LaFlamme, A. (2017). Inclusion of flowsheets from electronic health records to extend data for Clinical and Translational Science Awards (CTSA) research. In C. W. Delaney, C. A. Weaver, J. J. Warren, T. R. Clancy, & R. Simpson (Eds.), Big Data-enabled nursing (1st ed., pp. 139–155). New York, NY: Springer International Publishing. Westra, B. L., Christie, B., Johnson, S. G., Pruinelli, L., LaFlamme, A., Sherman, S. G., … Speedie, S. (2017). Modeling flowsheet data to support secondary use. CIN - Computers Informatics Nursing, 35(9), 452–458. Westra, B. L., Landman, S., Yadav, P., & Steinbach, M. (2017). Secondary analysis of an electronic surveillance system combined with multi-focal interventions for early detection of sepsis. Applied Clinical Informatics, 8(1), 47–66. Westra, B. L., Sylvia, M., Weinfurter, E. F., Pruinelli, L., Park, J. I., Dodd, D., … Delaney, C. W. (2017). Big Data science: A literature review of nursing research exemplars. Nursing Outlook, 65(5), 549–561.
White, K. (2017). The DNP nurse educator. In M. Zaccagnini & K. White (Eds.), The doctor of nursing practice: A new model for advanced practice nursing (3rd ed., pp. 375–380). Sudbury, MA: Jones & Bartlett. White, K., & Zaccagnini, M. (2017). The DNP project. In M. Zaccagnini & K. White (Eds.), The doctor of nursing practice: A new model for advanced practice nursing (3rd ed., pp. 441–496). Sudbury, MA: Jones & Bartlett. Wilk, S., Fux, A., Michalowski, M., Peleg, M., & Soffer, P. (2017). Using constraint logic programming for the verification of customized decision models for clinical guidelines. Lecture Notes in Computer Science (Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics). https://doi. org/10.1007/978-3-319-59758-4_4 Wilk, S., Michalowski, M., Michalowski, W., Rosu, D., Carrier, M., & KezadriHamiaz, M. (2017). Comprehensive mitigation framework for concurrent application of multiple clinical practice guidelines. Journal of Biomedical Informatics, 66, 52–71. https://doi. org/10.1016/j.jbi.2016.12.002 Wolowic, J. M., Heston, L. V., Saewyc, E. M., Porta, C., & Eisenberg, M. E. (2017). Chasing the rainbow: Lesbian, gay, bisexual, transgender and queer youth and pride semiotics. Culture, Health and Sexuality, 19(5), 557–571.
Wyman, J. F., & Hensley, D. (2017). Urologic nursing practice. In D. K. Newman, J. F. Wyman, & V. W. Welch (Eds.), Core curriculum in urologic nursing (1st ed., p. 18). Pittman, NJ: Society of Urologic Nurses and Associates. Wyman, J. F., & Talley, K. M. C. (2017). Incontinence and aging. In N. A. Pachana (Ed.), Encyclopedia of geropsychology (1st ed., pp. 1–11). Singapore: Springer Singapore. Wyman, J.F., Bliss, D.Z., Gurvich, O.V., Savik, K., Eberly, L.E., Mueller, C.A., … Virnig, B. A. (2017). Racial and ethnic disparities in the incidence and treatment of dual incontinence in older nursing home residents. Annals of Gerontology and Geriatrics Research, 4(1), 1047. Yu, F., Greimel, S., Kelly, K., & Wyman, J. F. (2017). Strategies to engage older adults with behavioral and psychological symptoms of dementia in exercise: A multiple case study. Applied Nursing Research, 36, 77–80. Zaccagnini, M., & White, K. (Eds.). (2017). The doctor of nursing practice essentials: A new model for advanced nursing practice (3rd ed.). Sudbury, MA: Jones & Bartlett. Zhang, R., Simon, G., & Yu, F. (2017). Advancing Alzheimer’s research: A review of Big Data promises. International Journal of Medical Informatics, 106, 48–56.
is for Feeling Better Already. Nurse Practitioners Clinic 3rd St. & Chicago, Minneapolis
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A A LL U UM MN N II N NE EW W SS
Where nursing alumni live,
practice and make an impact
The University of Minnesota School of Nursing is well represented by 10,821 living alumni across the country and round the world. There are 10,660 alumni living in all 50 states. The international reach extends to 47 countries on six continents, with 161 alumni living abroad. WA 169 OR 77
ND 113
MT 30 ID 23
NV 24
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CA 397
AZ 165
VT/9
CO 157
MN 7138
SD 73
IA 136
NE 36
MO 51
KS 33 OK 21
NM 45
WI 638
AK 11 LA 8
TX 167
NY 57
MI 91 OH 55
IN 31
IL 132
PA 51 WV 5
KY 15
AL 10
NH/10 MA/55 RI/4 CT/19 NJ/30 DE/4 MD/42 DC/9
NC / 63
TN / 28 MS 9
VA 60
ME 12
GA 54
SC 19 Alumni Population ■ 0-25
FL 171
AK 34
■ 26-50 ■ 51-75 ■ 76-100 ■ 101+
HI/24
PR/2 VI/1
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ALUMNI NEWS
An ethics authority Alumna Martha Turner’s work on ethics guides nurses by Brett Stursa
Martha Turner, PhD ’98, BSN ’75, retired from the Air Force after 30 years, achieving the rank of colonel and serving as the consultant for health care ethics to the Air Force Surgeon General. Over the years, Turner developed an expertise in health care ethics, which eventually led to her position as the associate director of the Center for Ethics and Human Rights at the American Nurses Association and her work as co-author of the 2015 American Nurses Association Code of Ethics for Nurses with Interpretive Statements. From her early work in ethics for the Oncology Nurse Society and the Minnesota Nurses Association to serving on the Journal of Nursing Staff Development editorial board and on scientific review panels for the International Congress of Military Medicine, Turner’s contributions to the nursing profession are notable for their significance and variety. We asked her about the challenges of updating the Code of Ethics, changes to ethics over time and how her University of Minnesota education shaped her career.
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Q
You’ve provided direct care as a clinical nurse, developed ethics programs, taught PhD students and sat on editorial, professional and IRB boards, among many other contributions to nursing. Are there any positions that garner your attention more than others? In my many occupations and roles, I’ve probably enjoyed most those that involved engaging with nurse interns. The energy and enthusiasm of new nursing graduates, their willingness to put into practice what they’ve learned, their eagerness to learn whatever could improve their practice and their flood of new ideas delighted me.
Q
You co-authored the 2015 American Nurses Association Code of Ethics with Interpretive Standards. What was the most challenging part of the update? The most challenging part was obtaining and incorporating the views of thousands of nurses all over the country. Because they practice and confront ethical problems in such diverse contexts, they had very different and sometimes conflicting perspectives. Reconciling these to produce a document that would be accepted and valued throughout the nursing community took much time and effort.
ALUMNI NEWS
•••
“I believe that fatigue is the biggest obstacle to U.S. nurses’ efforts to practice with integrity.”
Q
Q
Q
I believe that fatigue is the biggest obstacle to U.S. nurses’ efforts to practice with integrity. On a practical level, lack of adequate staffing and poor scheduling procedures can cause this; on a theoretical level, the need to balance ethical practice with the demands of efficiency or economy can cause long-term fatigue or burnout.
While capital punishment was abolished in Minnesota in 1911, more than a century ago, I think that, on a national level, the view of capital punishment, particularly as to the role of health care professionals, has changed dramatically during my professional lifetime.
I was honored to be invited to join a group of people who have done so much to advance the nursing profession in a great variety of settings, and I’m excited to work on expert panels with them to advance the theory and practice of nursing at local, national and global levels.
What are the biggest hurdles nurses face that make it difficult to practice with integrity?
Q
You’ve helped develop many of the American Nurses Association’s position statements on an array of difficult topics. Is there a topic that you think is most misunderstood here in the United States? I see pain management as the area most often misunderstood here in the U.S. Conflicts between patients, their families and their caregivers as to the type and quantity of pain management are frequent. Improving the ability of health care professionals to explain the positive and negative aspects or risks and benefits of pain management strategies to patients and families should be our goal.
As you think about difficult ethical issues over the years, what topic do you think we’ve seen the most dramatic change in how we think about it?
Q
You’ve worked with practitioners in India and Vietnam, as well as several other countries, to develop and expand care. What are the most noticeable differences between health care globally and here? My experiences with nursing education in Vietnam and India made me appreciate the public health care standards we enjoy in the U.S., and also the standards of nursing education. The lack of a recognized basic curriculum for nurses and of a reliable system of measuring whether content has been mastered has significant consequences for everyone involved in health care, both providers and recipients. My efforts to establish education programs in nursing and public health, while successful in themselves, made me realize how much remains to be done in this area.
You were recently inducted as a fellow in the American Academy of Nursing. What was your reaction to the recognition?
Q
How do you think your education at the University of Minnesota has shaped your thinking now? My undergraduate education at Minnesota qualified me to practice nursing and enabled me to enjoy it, decade after decade. The faculty also emphasized that learning should never end. My graduate education at Minnesota brought me into contact with the more theoretical world of nursing as I confronted the competing values and views that inform the profession.
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ALUMNI NEWS
2018
NURSING ALUMNI SOCIETY BOARD Marilyn Bach, MSN ’95, BSN ’74, RN Fairview Health Services, Organizational Development and Learning Consultant, Retired
Laura Kirk, PhD ’08, MS ’97, BSN ’95, RN University of Minnesota School of Nursing, Assistant Professor
Anya Butzer BSN Student Representative
Jaime Owens Levesque, MN ’16, BA ’10, RN, PHN Abbott Northwestern Hospital, Critical Care RN
Emma Butzer, BSN ’14, RN Boynton Health Services, Public Health Lead RN Anna Munson Carpenter, MN ’16, BA, RN Fairview Health Services, NICU RN Jean Carraher, DNP ’16, MS ’03, BSN ’95, BS ’91, RN Board Secretary Fairview Health Services, Nursing Professional Practice Leader Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP Professor and Dean Shanda Demorest, DNP ’17, BSN ’13, RN-BC, PHN University of Minnesota School of Nursing, Clinical Assistant Professor Maureen Fuchs, BSN ’92, RN, PHN Minnesota Department of Health, Maternal Child Health/Home Visiting Consultant, Retired Yumi Izumi, MN ’16, BA, RN Children’s Hospital Minneapolis, Critical Care RN Kristin Jones, BSN ’11, RN University of Minnesota Masonic Children’s Hospital, Nurse Manager
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Karen MacDonald, MSN ’87, BSN ’72, RN, CPHQ Board President Health Care and Leadership Consultant Barbara Mullikin, MS, BSDH ’78 University of Minnesota School of Nursing, Associate Development Officer Marjorie Page, DNP ’09, MSN ’95, BS ’93, RN School of Nursing Foundation Board Liaison University of Minnesota Health, Nursing Vice President in Inpatient Adult Acute Care Services, Retired Amy Priddy, DNP ’17, MSN ’03, BSN ’86, RN, PHN, CIC Park Nicollet Health Services, Senior Infection Preventionist
Sheryl Ramstad, DNP ’17, MN ’13, JD, BA ’72, RN, PHN Board President-Elect Hennepin Health System, Chief External Relations Officer Alice Sanders, MSN ’09, BSN ’05, RN, PHN Past President Medica, Director of Health Strategy and Consultation Nicole Siddons, DNP ’16, APRN, FNP-C HealthEast, Family Practice Nurse Practitioner Marc Skjervem, MSEd, BA University of Minnesota School of Nursing, Director of Student & Career Advancement Services Stephanie Tismer, BSN ’86, RN North Memorial Medical Center, Infection Preventionist Julie Vanderboom, MSN ’88, BSN, RN ANW/Allina Health System & Clinics/ Medica, Retired
ALUMNI NEWS
CLASS NOTES Carol Ann Cavouras, MS ’71, was featured in the July-August 2017 Nursing Economics special issue on staffing excellence. Her career spans over five decades as a community and acute care nurse, educator and director of schools of nursing, chief nursing officer and entrepreneur. Sandra Hoffman, BSN ’81, received the Mpls.St. Paul Magazine Outstanding Nurses Award in women’s health for her work at Abbott Northwestern Hospital. Martha Turner, PhD ‘98, BSN ‘75, was a recipient of a Courage Award from the Women’s Health Leadership Trust. Marie Manthey, PhD (hon.) ’99, MNA ’62, BSNA ’62, FAAN, FRCN, co-authored Advancing Relationship-Based Cultures. It was awarded the James A. Hamilton Award by the American College of Healthcare Executive’s Book of the Year Committee. Additionally, Manthey was a recipient of a Courage Award from the Women’s Health Leadership Trust. Melissa Fradette, BSN ’00, was honored with the Distinguished Nurse of the Year Award by March of Dimes. She is an intensive care unit nurse at St. Cloud Hospital. Rose Bergerson, BSN ‘00, received the Mpls.St. Paul Magazine Outstanding Nurses Award in intensive care for her work at Children’s Minnesota. Joan Gunderson, MS ‘00, received the Mpls.St. Paul Magazine Outstanding Nurses Award in the school nurse category for her work in the Bloomington School District.
Michelle James, MS ‘05, BSN ‘98, received the Mpls. St. Paul Magazine Outstanding Nurses Award in advanced practice nurse for her work at University of Minnesota Health. Sarah Pangarakis, MS ’07, BSN ’00, received the March of Dimes Nurse of the Year award. She is a critical care nurse specialist at North Memorial Health. Sandy Hagstrom, PhD ‘15, received the American Association of Critical-Care Nurses Circle of Excellence Award, which recognizes individuals who exemplify excellence in high acuity and critical care nursing practice. Hagstrom is an advanced practice nurse leader for pediatric critical care at University of Minnesota Masonic Children’s Hospital. She is among 11 recipients nationwide and the only one from Minnesota. Ada Collier, DNP ’17, is the first nurse to be the commander of the 452nd Aeromedical Staging Squadron at March Air Reserve Base in California. She leads more than 150 physicians, nurses, medical technicians and administrative personnel who are responsible for transporting patients off the plane and to a military hospital. Sheryl Ramstad, DNP ’17, MN ’13, BA ’72, is the inaugural chief external relations officer at Hennepin Healthcare. Her role is to build partnerships that will drive critical work around public policy and advocacy and better align Hennepin County with the future direction of health care.
SHARE YOUR NEWS Have you recently received a promotion, been hired for a new position or been honored with a special award? Let us know by going to www.nursing.umn.edu/alumni.
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ALUMNI NEWS
IN MEMORY Eunice Hansen Smith, BSN ’33
Verna Woodrich, MS ’62, BSN ’53
Remembering
Ardis Mudgett, BN ’40
Jeanette Brick, BSN ’56
Jean Kolbe, BSN ’42
Carol Larson Ekelund, BSN ’57
Lois Ann Shearer, BSN ’44
Warren Eldridge, BSN ’57
Barbara Jensen, BSN ’45
Ruby Hass, MNEd ’63, BSN ’58
Donna Hassel was the School of Nursing’s executive secretary in the Dean’s Office from 1980–2000. Her tenure with the school spanned the leadership of former Dean Ellen Fahy and former Dean Sandra Edwardson.
Camilla Ecklund Johnson, BSN ’45 Marilyn Uhl, BSN ’59 Donna Moore, BSN ’45 Beatrice Smith, BSN ’46
Jo Ann Brandjord Campbell, BSN ’62
Irene Bolin, BSN ’47
Judith Vierling, BSNA ’62
Doris Henley Hall, BN ’47
Sophia Gornish, MSN ’63
Ethel Regan Palmer, BSN ’47
Mary Jane Blume, BSN ’69
Dolores Flom, BSN ’48
Winifred Fossum, BSN ’73
Carol Vennes Hocking, BSN ’48
Anna Schick Fuhrmann, BSN ’73
Joanne Sletten Jacobson, BSN ’48
Mary Beth Halter, BSN ’74
Colleen Schwartz, BSN ’48
Patricia Cox, BSN ’77
Emogene Solberg, BSN ’48
Angeline Stone, BSN ’78
Dorothy Fetty Watson, BN ‘48
Jean Haspeslagh, MSN ’82
Janis W Oakes, BSN ’49
Patricia F Earle, MSN ’83
Maria Brink Mueller, BSN ’51
Gerry Gomes, MSN ’86
Harriet H Anderson, BSN ’52
Jeanne Welch, MSN ’97
Marjorie Swanson, BSN ’52
Ericka Stewart, MN ’17
Joanne Deming, BSN ’76
Janice McGladrey Wilson, BSN ’52
MEMBERSHIP
supports alumni, students and the University community. JOIN US UMNAlumni.org/join
42 | MINNESOTA NURSING
Donald Kelsey was a steadfast supporter of the University of Minnesota and the School of Nursing. He had a career at the University of Minnesota Libraries and was best known by the School of Nursing community as the good-natured cashier at the school’s annual jewelry sale. He was a great supporter of his wife Carol’s countless hours as a volunteer at the school and as the co-chair of the School of Nursing Foundation Board of Trustees. Grace Sarosi joined the faculty in 1964 specifically to design a curriculum for a new Master of Science in Medical-Surgical Nursing degree. The program began in 1965. Sarosi led and taught in the program until 1968, when she left the school. Kathryn Waud White was a clinical associate professor at the School of Nursing. White led the Doctor of Nursing Practice program nurse anesthesia specialty and was instrumental in advocating for the bill that allows advanced practice nurses to be full practice providers today. She was awarded the Lifetime Achievement Award from the Minnesota Association of Nurse Anesthetists in 2016 and was a past president of the organization. She was co-editor of The Doctor of Nursing Practice Essentials.
DEVELOPMENT NEWS
A MESSAGE FROM THE DIRECTOR OF DEVELOPMENT
Answering the what if questions There is a lot to be proud of at the School of Nursing. As an alum or friend who cares about our mission, you might know that the school: • Awarded $2 million in scholarships for the 2017-2018 academic year • Instituted a two year financial aid commitment to all full-time PhD students guaranteeing full tuition support • Shared its research discoveries in 127 scholarly articles, six books and 11 chapters last year These are a few of the many things that set our school apart. Did you know that the School of Nursing’s research discoveries are improving lives? Whether we are testing new interventions or educational programs, our findings drive the implementation of more effective, evidence-based practices. Childhood obesity, Parkinson’s disease, preventing falls in seniors, Alzheimer’s disease and refugee trauma are examples of the health challenges that our nurse scientists address. As the school looks ahead, we know our research and discovery can lead to less invasive, more effective and less costly health care. At a time when National Institutes of Health funding for research has decreased, thanks to our outstanding faculty and students, we have grown our privately-funded research efforts to impact health care. Together, we are addressing health care’s largest questions. The School of Nursing is known for asking—and answering—the question what if. What if we developed an obesity prevention program for preventing and managing type 2 diabetes? What if we developed an exercise intervention to reduce symptoms of distress in children undergoing cancer treatment? What if we developed an arm exercise intervention for patients with peripheral artery disease? I am proud of the work that our school is doing to turn these what if questions into solutions. Discovering what works in health—it’s what nursing does and it’s what the School of Nursing is doing.
Associate Professor Casey Hooke, PhD, APRN, PCNS-BC, received foundation support to conduct a pilot study with nurse practitioners to help them coach their pediatric cancer patients to move more.
John Kilbride Director of Development kilbride@umn.edu
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DEVELOPMENT NEWS
Fueling nursing leadership Joanne Disch, Jane Barnsteiner establish Leadership and Innovation Fund to support new initiatives by Meleah Maynard Joanne Disch, PhD, RN, FAAN, and her wife Jane Barnsteiner, PhD, RN, FAAN, have both been nurses for nearly 50 years and have worked together many times on initiatives to advance nursing and nursing education. While nurses have played a vital role in health care, both believe that in these turbulent times, nurses are needed now more than ever. “We bring a perspective to health care that I call the ‘nursing lens’ because it’s relationship-based, peoplefocused and pragmatic,” said Disch, professor ad honorem at the University of Minnesota School of Nursing and former interim dean. “Nurses are on the ground, so we know what the issues are, and we understand how to provide care that meets people’s needs.” These abilities, and many more, make nurses uniquely poised to influence the design of 21st-century health care models as innovators, advocates and leaders. And both Disch, who has held many academic and policy-making positions, including director of the Katharine J. Densford International Center for Nursing Leadership, and Barnsteiner, professor emerita of pediatric nursing at the University of Pennsylvania School of Nursing, want to help make that a reality.
current dean,” Disch said. “She is an incredible leader and we want her to be able to use her discretion to seed projects and initiatives as they come up. Obviously, when a successor dean is eventually named, we anticipate that the University will select an equally outstanding leader.”
That’s why the two of them recently established the Joanne Disch and Jane Barnsteiner Leadership and Innovation Fund. Included as a part of their will, the fund is intended to support initiatives deemed important by School of Nursing Dean Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP. “We set it up the way we did because we trust the judgment of the
Disch is already proud of the many ways the School of Nursing is walking the talk through cutting-edge research; innovative Doctor of Nursing Practice programs in informatics, integrative health and healing, and others; and new approaches to person- and familycentered care. Disch and Barnsteiner are looking forward to seeing the school find new ways to equip nurses
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Joanne Disch, PhD, RN, FAAN, right, and her wife Jane Barnsteiner, PhD, RN, FAAN.
with the skills they need to help today’s patients. “Health care is changing,” Disch said. “When we began our careers, most nursing was practiced in hospitals. Today we see nurses giving flu shots at gas stations in southern Minnesota, and talks are going on now about ways to offer health care at truck stops. We have to design care to fit people’s lifestyles, and nurses are especially equipped to do this well and with people and their families in mind.” Meleah Maynard is a writer and editor in Minneapolis.
DEVELOPMENT NEWS
Veteran driven to integrate health systems Scholarship makes school, life balance possible by Brett Stursa After serving in the Army Medical Corp, Ian Wolfe went on to pursue a biology degree. “I quickly decided that I did not like looking through microscopes and that I wanted to be in a profession that had a bit more hands-on patient work rather than lab science,” said Wolfe. The decision led to a nursing degree and a career as a pediatric intensive care unit nurse. As a nurse, Wolfe became frustrated by dysfunctional systems issues that led to poor patient outcomes. “This is partly because we don’t really have a health care system, more of a hospital system, loosely connected,” said Wolfe. “No matter what care issues I helped tackle in the hospital, I always seemed to come up against this larger issue.” Wolfe researched different programs of graduate study and eventually
decided to pursue a PhD in Nursing. After learning he was accepted into the program at the University of Minnesota, Wolfe learned he received a Katharine Densford Dreves Scholarship. “When I found out I was getting a scholarship, I was humbled that I would be deserving of such an award in honor of many great nurses who have come before me and from among many great nurses around me,” said Wolfe. Since that first scholarship, he has been awarded seven different scholarships, totaling over $20,000. Receiving the scholarships allowed him more flexibility with work, life and school balance. “It takes a load of stress off and allows me to focus on my degree. It allowed me to be full time and complete my program more timely,” said Wolfe.
Ian Wolfe
He is currently working on his dissertation and plans to graduate in 2019. “I hope to use my degree and experience to build better health care systems,” said Wolfe. “An equitable health care system is also one that is efficient and economical. We can better care for people.”
SCHOOL OF NURSING FOUNDATION BOARD OF TRUSTEES SPRING 2018 Jeannine Bayard, MPH, BSN ’71 United Health Care, Retired Dawn Bazarko, DNP ’10, MPH, RN, FAAN Secretary Founder and Senior Vice President, Center for Nursing Advancement, UnitedHealth Group Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP Professor and Dean, University of Minnesota School of Nursing Susan Forstrom, MSN ’79 Treasurer Consultant, Creative Health Care Management Cynthia Jurgensen, MSN, RN Clinical Review Director, UnitedHealth Group
Carol Kelsey, BSN ’60 Co-Chair North Memorial Foundation, Retired John Kilbride, MA Director of Development, University of Minnesota School of Nursing Mary Nyquist Koons, BSN ‘76 June Lapidus, MS’82, MSN ’78, CS Co-Chair Southdale Psychology Associates, Retired Lisa Moon, PhD ‘17, RN Consultant, Advocate Consulting Christine Mueller, PhD, RN, FGSA, FAAN Professor and Associate Dean for Academic Programs, University of Minnesota School of Nursing Interim Associate Vice President for Education, University of Minnesota Academic Health Center
Nancy Olson, MPH, BSN ‘61 Abbott Northwestern Hospital, Retired John Spillane Founder and Board Chair, National Purity Kathleen Ziegler, DHA, MHSA, BSN, RN, FACHE, CPXP Principal, Lifeline to Healthcare Quality Ex-Officio Member Marjorie Page, DNP ‘09 Trustee Emeriti Sandra J. Anderson Mary Lou Christensen, MPH, BSN ‘60 Patricia Kane, MSN ‘77 Marilee Miller, PhD Carolyn I. Schroeder, BSN ‘55
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SC P HH OO T O LF N I NEI W S HS
The school celebrated fall commencement, with Master of Nursing and doctoral students graduating. Jennifer Lundblad, PhD, MBA, president and chief executive officer of Stratis Health, gave the commencement address.
The Dean’s Scholarship Reception brought together more than 500 grateful students, including Holly Osborne and Alyssa O’Donnell, and generous benefactors at McNamara Alumni Center.
The third-annual Planting Seeds of Innovation Conference gave nurses the insights and resources they need to bring to scale new ideas for products and processes that will improve health.
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PHOTO FINISH
These future nurses took time for some sightseeing during a study abroad course in Ireland. Students explored the history of Irish nursing and health care as well as visited several clinical and community health settings during their visit in January.
Bioethics leader and scholar Ann Hamric, PhD, RN, led a rich discussion with Doctor of Nursing Practice students about instilling moral conversations into team-based care.
The newest inductees to Sigma Theta Tau Zeta Chapter were welcomed into the honor society in the fall. www.nursing.umn.edu | 47
Nonprofit Org. U.S. Postage PAID Twin Cities, MN Permit No. 90155 5-140 Weaver Densford Hall 308 Harvard Street S.E. Minneapolis, MN 55455 www.nursing.umn.edu
CALENDAR OF EVENTS Thursday, April 5 2018 All School Reunion Friday, April 6 Nursing Research Day Friday, April 6 Cardiac Arrhythmias Sunday, April 8 The Benefits of Narrative Medicine Thursday, April 19 Doctoral Information Session Thursday, April 26 Child Abuse Summit: Tips from the Team Friday, April 27 Integrated Behavioral Healthcare: Tough Issues in Integrating Care Friday, May 11 Commencement Ceremony
Friday, May 18 University of Minnesota Health Geriatric Trauma Conference Thursday, May 24 Bariatric Education Days Saturday, June 2 Caring for a Person with Memory Loss Conference Saturday, June 9 Nurse Anesthetists Respond: Addressing the Opioid Epidemic June 13-15 Nursing Knowledge: Big Data Science Conference Wednesday, June 20 Doctoral Information Session July 30-Aug. 1 Adolescent Health Summer Institute
For more information www.nursing.umn.edu
