Minnesota Nursing Spring/Summer 2020

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MINNESOTA

NURSING A publication of the University of Minnesota School of Nursing

SPRING/SUMMER 2020

PUSHING THE BOUNDARIES At Indian Health Service, four nurse-midwifery alumni thrive

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Informatics researchers eye community strengths to address opioid epidemic

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Premier adolescent health research center receives renewed CDC funding

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Tillman Scholar Bridget Gehrz wants to help military families live healthy lives


SPRING/SUMMER 2020

06 A groundbreaking understanding of sexually-exploited students New study is the first ever to estimate the prevalence of sex trading among high school-aged youth in Minnesota

18 Climate conscious BSN student Zoë Kondes partners with future health care professionals to plan for a changing environment

ON THE COVER

24 Pushing the boundaries At Indian Health Service, four nurse-midwifery alumni thrive

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47 The ‘founding mother of eating disorder treatment’ passes away at the age of 94

Vivian Meehan graduated from the School of Nursing in 1947

SECTIONS 04

From the Dean

06 Research 17 Education 26 Outreach

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32

Alumni News

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School News

46

Development News

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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 nursenews@umn.edu. This publication is available in alternative formats upon request. Direct requests to the managing editor at nursenews@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 VISION Optimal health and wellbeing for all people and the planet. OUR MISSION To generate knowledge and educate leaders to shape the future of nursing and advance health care to improve the health and wellbeing of all. DEAN Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP

University president participates in health care escape room

SENIOR EXECUTIVE ASSOCIATE DEAN FOR ACADEMIC PROGRAMS Christine Mueller, PhD, RN, FAAN, FGSA ASSOCIATE DEAN FOR RESEARCH Diane Treat-Jacobson, PhD, RN, FAAN BOARD OF VISITORS Clara Adams-Ender, chief nurse executive, Army Nurse Corp. (ret.); Jeannine Bayard, United Health Group (ret.); Michael Bird, past national consultant to AARP on Native American/Alaska Native communities; 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, chief nurse executive and COO, Fairview Health Services; Jeannine Rivet, executive vice president, UnitedHealth Group (ret.); Franklin Shaffer, president and chief executive officer, CGFNS; Dee Thibodeau, senior executive, Information Technology Industry; Peter H. Vlasses, executive director, Accreditation Council for Pharmacy Education (ret.); 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 Steve Rudolph SENIOR EDITOR Brett Stursa PHOTOGRAPHERS Scott Streble, Tom Steffes, Darin Kamnetz 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

University of Minnesota President Joan T.A. Gabel joined an interprofessional team of students in an innovative health care escape room at the School of Nursing during the weeklong celebration leading up to her official inauguration in September.

Email: nursenews@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. ©2020 Regents of the University of Minnesota. All rights reserved.

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FROM THE DEAN

Celebrating impact in the Year of the Nurse and the Midwife Dear Friends,

Dear Friends,

The World Health Organization (WHO) has declared 2020 the Year of the Nurse and the Midwife. While we view every year as one to celebrate the nation’s most trusted profession, the WHO designation offers us an opportunity to share the impact of nursing and midwifery now and into the future with you.

Working in partnership is a tenet of the School of Nursing and is evident in our faculty’s research. In collaboration with the Minnesota Department of Health, Associate Professors Lauren Martin and Barb McMorris led a first-of-its-kind study on sexual exploitation among Minnesota youth. This research will soon pave the way for the state and school nurses to provide at-risk young people with the services and support they need.

As you’ll soon see, nurse-midwifery is prominent in this spring issue of Minnesota Nursing magazine. The School of Nursing has been educating midwives to provide culturally-sensitive women’s primary care and advancing midwifery for more than 45 years. Our cover story introduces you to four graduates from the Class of 2018 who joined Indian Health Service and are now practicing at the highest level of their scope to provide the highest quality of care to women in New Mexico and Alaska. The WHO 2020 celebration invites us to secure the future of nursing and midwifery through the next generation of students. We introduce you to one of our amazing BSN students, Zoë Kondes. Zoë has recognized how nursing provides a platform to address some of society’s most pressing issues, particularly climate change. Another amazing student, Bridget Gehrz, shares how she plans to use what she’s learned in the Doctor of Nursing Practice Integrative Health and Healing specialty to partner with military families to help them manage the effects of PTSD and thrive.

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We also share how informatics faculty members Karen Monsen and Robin Austin are teaming with a local organization to address the opioid epidemic and health disparities. We invite you to join in celebrating the Year of the Nurse and the Midwife and enjoy reading Minnesota Nursing. As always, we look forward to your thoughts and comments. I Am — We Are. In gratitude

Connie White Delaney Professor and Dean


PARTNERING FOR HEALTH by Brett Stursa

The Mayo Clinic has served as a critical partner in providing clinical education since the School of Nursing first began educating Bachelor of Science in Nursing students in Rochester in 2002. All School of Nursing students in Rochester complete their clinical education at Mayo Clinic hospitals and learn from clinical instructors and preceptors who are Mayo nurses. “Mayo Clinic has been right there from day one and that’s pretty significant. Their commitment has never wavered,” said Christine Mueller, PhD, RN, FGSA, FAAN, senior executive associate dean for academic programs at the School of Nursing. Students’ clinical education includes learning from clinical instructors, who are graduate-prepared staff nurses with a joint appointment at both the school and Mayo. In the final semester of their program, students work one-on-one with a Mayo Clinic preceptor to further develop clinical skills and reasoning. “It is a beautiful partnership in which we bring our strengths of great patient care and expert nurses at the bedside to support their learners, and they bring an educational and scholarship lens into the dynamic,” said Jane Foote, EdD, MSN, RN, CNE, program director for Mayo Clinic Midwest Nursing Academic Affairs. More recently, the school and Mayo have collaborated to provide clinical education

Christine Mueller, senior executive associate dean for academic programs at the School of Nursing, and Jane Foote, program director for Mayo Clinic Midwest Nursing Academic Affairs.

in ambulatory care settings with a new clinical education model, a dedicated education unit. “Mayo is very interested in transforming health care and health care delivery, and one of their opportunities is leveraging the role of the registered nurse in ambulatory care settings,” said Mueller. Mayo’s quest is to increase the number of nurses in ambulatory care who are practicing at full scope — where nurses not only obtain health history information, but also discuss health promotion and disease prevention that can result in a more efficient visit with the provider and better outcomes. “They put a call out to all the schools of nursing that affiliate with them about using the dedicated education unit model and applying that model to ambulatory care. We raised our hands, said yes, we’re interested. This last academic year we completed the co-planning together,” said Mueller.

In a dedicated education unit, nursing students are assigned to a unit, where they work with nurses who have completed clinical teaching training. In this model, the nurses work shoulder to shoulder with students at the point of care, while the university faculty are responsible for evaluation and assisting staff nurses to become confident clinical teachers. “I don’t know if anybody in the country has done a DEU model with ambulatory care. We’ll be writing about this once we have outcome data,” said Mueller. Foote added, “This is an innovation for us, and it’s deepened our relationship with the University in ways that are exciting and innovative.”

PARTNERING FOR HEALTH is a recurring feature that highlights a school partnership working to advance health care to improve the health and wellbeing of all.

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RESEARCH

Associate Professor Lauren Martin answers questions at a press conference about the prevalence of young people in Minnesota who have traded sex for something of value as Jan Malcolm, commissioner of the Minnesota Department of Health, looks on.

A GROUNDBREAKING UNDERSTANDING OF SEXUALLY-EXPLOITED STUDENTS New study is the first ever to estimate the prevalence of sex trading among high school-aged youth in Minnesota

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by Brett Stursa

In a groundbreaking study, researchers at the University of Minnesota have been able to estimate the prevalence of sexual exploitation among high school-aged young people.

In 2019, the Minnesota Student Survey (MSS), a statewide survey that asks high school students about health risk-taking behaviors, added a question about sex trading to the 9th and 11th grade survey. The question was, “Have you ever traded sex or sexual activity to receive money, food, drugs, alcohol, a place to stay, or anything else?” with yes/no response options.

“I’ve been researching sex trading and trafficking for over 15 years. The single biggest question I get is how many victims are there, how many people are involved? Until now, we haven’t been able to say how many young people are involved in trading sex. This is a significant moment for the state of Minnesota,” said Associate Professor Lauren Martin, PhD.

Of the 71,000 students who answered the question, 1.4 percent answered yes. Researchers used that proportion and census data to estimate that at least 5,000 youth in Minnesota have traded sex for something of value. “Though this number is likely an underestimate, it provides a critical foundation for how our state will continued on page 8

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AT LEAST 5,000 HIGH SCHOOLAGED YOUTH HAVE TRADED SEX IN MINNESOTA Have you ever traded sex or sexual activity to receive money, food, drugs, alcohol, a place to stay or anything else?

1.4%

of students answered yes

continued from page 7

identify, serve, work with and build on the assets and strengths of young people involved in trading sex,” said Associate Professor Barb McMorris, PhD, an expert on adolescent health, youth violence and risk prevention with extensive experience analyzing MSS data, who partnered with Martin on the research. FIRST IN THE NATION Minnesota is the first state in the nation Barb McMorris to estimate the prevalence of sexual exploitation among high school-age youth. The data analysis, which was funded by a grant from the Women’s Foundation of Minnesota, shows that some groups of young people are more likely to be affected by trading sex and sexual exploitation. Youth in juvenile correctional facilities, foster care and unstable housing all reported higher levels of sexual exploitation.

Young people across the state say they have traded sex, with slightly higher levels in northern Minnesota. Youth of all gender identities and races reported sexual exploitation, with girls and boys at approximately the same rate. Transgender students and students unsure about their gender identity reported much higher levels of trading sex. “With this new data, it’s clear that we must raise awareness about sexual exploitation of youth. We need to tell young people about the dangers and offer hope, help and a path to a brighter future for young victims,” said Jan Malcolm, commissioner of the Minnesota Department of Health, which was a research partner. Minnesota has a history of being a national leader in responding to the needs of sexually exploited youth. Minnesota’s Safe Harbor program is a statewide initiative designed to give young people the tools they need –

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•••

“ In my very first research project, what I learned from people who are victims of trafficking is that nurses make a huge difference. Nurses are people that victims turn to when they need help.” – Lauren Martin, associate professor

housing, education and support from trusted adults – to leave sexual exploitation and human trafficking and live healthy lives. Minnesota is the only state that has invested money into its Safe Harbor legislation, which Martin’s research helped inform when it was first passed in 2011. A RESEARCH INTEREST IN GENDER, OPPRESSION AND COMMUNITY WELLNESS This new data is a profound discovery that can be used to shape future research, policy and practice, according to Martin, whose expertise is in community-based, participatory and action research on sex trading and trafficking in the community context with a focus on health promotion and wellness.

Some may consider it an unlikely research focus for someone with a doctoral degree in anthropology and historical studies, whose dissertation was The Devil and the Domestic: Witchcraft, Women’s Work and Marriage in Early Modern Scotland. “My strong interests were always in gender, oppression, roots of oppression and understanding community wellness,” said Martin. “Those are the themes that have gone through my work forever.” Martin’s first opportunity to conduct research in partnership with the community was in 2004 after community members said they were concerned about prostitution in the neighborhood. From there, she continued to explore questions regarding sex trading and trafficking in north Minneapolis. “I got to know people and I really care about the neighborhood,” said Martin. “People share their stories and once people start to share their stories with you it becomes a whole different ballgame.”

and Outreach Engagement Center at the University of Minnesota. For Martin, the move to the School of Nursing made sense because of the school’s focus on population health and partnering with communities to improve health. “In my first research project, what I learned from people who are victims of trafficking is that nurses make a huge difference. Nurses are people that victims turn to when they need help,” said Martin. “I’ve always known that there is a special relationship that nurses can have with people who are marginalized.” PREVENTION, INTERVENTION OPPORTUNITIES Martin and McMorris are now turning their attention to identifying prevention and intervention opportunities with a recent grant award from the Carlson Family Foundation. As they connect with communities across the state they will develop community-tailored strategies that prevent youth from being exploited and identify pathways out of risky behavior.

“This new data combined with community wisdom is going to shed new light on what we need to do in this state to prevent youth from getting involved in sex trading and then to intervene in those instances where they have been involved,” said Martin. They see a significant opportunity for school nurses to learn about the issue and be better equipped to help serve victims of trafficking and young people who are involved in trading sex. “Youth who trade sex are in our classrooms, they’re are in our clinics, but we don’t yet know who they are. They are a population that is hidden in plain sight,” said McMorris. “This data is going to help us better identify, reach out and support them to thrive.”

She joined the School of Nursing last year as an associate professor, after serving as director of the Urban Research

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Karen Monsen, left, and Robin Austin created the MyStrengths+MyHealth app and are using it to identify community strengths that can be leveraged to address the opioid epidemic.

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INFORMATICS RESEARCHERS EYE COMMUNITY STRENGTHS TO ADDRESS OPIOID EPIDEMIC Research aims to address the health disparities caused by social stigma, structural bias by Brett Stursa Community members from the Hue-MAN Partnership and researchers from the University of Minnesota School of Nursing are collaborating on research to help racial and ethnic minority communities better understand how to leverage community strengths to address the opioid epidemic. The research aims to address the health disparities caused by social stigma and structural bias and shift the conversation from stigma to strengths. School of Nursing Professor Karen Monsen, PhD, RN, FAMIA, FAAN, and Assistant Professor Robin Austin, PhD, DNP, DC, RN-BC, with R. Clarence Jones, MEd, CPH, CHW, CPE, and additional Hue-MAN colleagues, engaged with community members across the state at lunch-andlearns, conferences, health fairs and other community meetings. Over 350 participants at 13 meetings shared information and ideas about ways to address the opioid crisis from the community’s perspective. “It was an authentic community engagement and that’s what we need,” said Jones, the community engagement liaison for Hue-MAN Partnership, which includes health care, community and professional organizations and seeks to reduce health disparities among men in the community. “Knowing the history of how other epidemics have been described for our communities, we decided we needed to have our own narrative,” said Jones. “It is important for the community to have a narrative about these kinds of issues because if other people explain it without having a context or having additional information it’s going to be inaccurate.” Community members completed surveys to understand opioid-related information from the community perspective. The majority of community members said they, a family member or friend were affected by opioids misuse.

“These meetings have been a great opportunity to learn from community members how to share valuable community data to support their planning and engagement in policy around opioids,” said Monsen. The research team was invited to present the data to the Minnesota Department of Health Epidemiology State Work Group. “It’s community-level data and the voice of the community saying this is what we need, so they were very receptive,” said Austin. The next phase in the research aims to use the MyStrengths+MyHealth application for community members to self-report strengths, challenges and needs so that communities will have their own comprehensive, holistic data from which to launch opioids initiatives. The aim is to survey 1,000 people throughout the state with the app. The app, created by Austin and Monsen, will provide rich data to understand community strengths around the opioid issue. “The app is based on the Omaha System that looks at whole person health, including health-related behaviors and social determinants of health data. It’s a broader perspective. From that data, we’re trying to determine where their community strengths are and how to leverage them to shift from a deficit model to a strengths-based approach,” said Austin. The Center for Nursing Informatics at the School of Nursing is home to the research arm of the Omaha System, which defines the whole person in 42 health concepts. This project was funded by the National Institutes of Health Clinical and Translational Science Award at the University of Minnesota.

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PREMIER ADOLESCENT HEALTH RESEARCH CENTER RECEIVES RENEWED CDC FUNDING Core research to improve confidential adolescent preventive health services by Brett Stursa

The Healthy Youth DevelopmentPrevention Research Center, one of the premier sites in the country for adolescent health research, received renewed funding from the Centers for Disease Control and Prevention (CDC) to continue its focus on developing and disseminating evidence-based programs and practices to promote health and healthy development among all adolescents. The center, directed by Professor Renee Sieving, PhD, RN, FAAN, FSAHM, was one of 25 prevention research centers around the country to receive CDC funding. “Investments in adolescent health have the potential to deliver a ‘triple dividend’ for health: during adolescence itself, across the life course and – because adolescents are the next generation of parents – in a healthy start for the next generation,” said Sieving. The center is based in the Medical School’s Division of General Pediatrics and Adolescent Health and has been continuously funded by the CDC since 1996. With renewed funding, the center will launch a new core research project to develop and test a primary care clinic-level intervention to enhance the quality of confidential adolescent preventive services. This study will

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address substantial gaps between professional guidelines regarding adolescent preventive services and practice. “One goal we have is to develop practical ways for primary care providers and clinics to encourage parent-teen communication and engage youth in taking ownership of their health and health care,” said Sieving. In addition, the center will continue to offer a range of community-engaged activities to promote adolescent health and healthy development. Findings from the 2014-2019 core research project Partnering for Healthy Student Outcomes (PHSO), based in Twin Cities area middle schools and led by Barb McMorris, PhD, associate professor in the School of Nursing, will be shared with relevant audiences. The PHSO professional development program, Whole Learners, will continue to grow. Developed with school partners in rural, suburban and urban areas of Minnesota, Whole Learners includes strategies to assist teachers, administrators and school staff build authentic connections with students. The center will also continue to offer training, technical assistance and evaluation services to individuals and organizations invested in adolescent health and development. “We are excited to continue working with state and local health departments, youth-serving clinics, K-12 schools, and community organizations to create opportunities and supports that our young people need to thrive,” said Sieving. To learn more about the center’s array of research and resources, visit www.prc.umn.edu.


Center Director Renee Sieving discusses the Healthy Youth Development-Prevention Research Center’s renewed CDC funding at an event in November.

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FIRST-OF-ITS-KIND STUDY IN THAILAND ASSESSES IF WEARABLE TECH PROMOTES PHYSICAL ACTIVITY Global research targets improving the health of Thai people with diabetes

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University of Minnesota School of Nursing Assistant Professor Erica Schorr, left, and Mahidol University Assistant Professor Wantana Maneesriwongul are collaborating to understand the impact of wearable devices on physical activity.

by Brett Stursa A global research partnership between University of Minnesota School of Nursing Assistant Professor Erica Schorr, PhD, RN, and Mahidol University Assistant Professor Wantana Maneesriwongul, DNSc, MPH, RN, seeks to understand the feasibility of a study using a wearable device to examine the relationship of physical activity, sedentary time and glycemic control in adults with type 2 diabetes in Thailand.

“There is widespread interest in fitness tracking devices in Thailand, but they have not been tested and utilized for health promotion purposes. To our knowledge, no one has tried to use them to improve or change health behavior,” said Schorr. “This study is a starting point for the implementation of physical activity interventions to prevent the development of cardiovascular disease in patients with diabetes who are at an elevated risk.”

“Our research team is excited to work together to assess the feasibility of applying available technology to enhance the health of the local people,” said Maneesriwongul.

The pilot study was awarded a grant from the University of Minnesota’s Center for Global Health and Social Responsibility.

The study will evaluate the feasibility of using a wearable activity-tracking device, specifically the Xiaomi Amazfit Bip, to measure physical activity and sedentary time continuously for four weeks among adults in Bangkok, Thailand with diabetes. The study also aims to understand wearable activity-tracking devices from the perspective of the user to inform future physical activity interventions.

The results of the pilot study will help shape the design and implementation of a large randomized controlled trial focused on primary cardiovascular disease prevention that compares physical activity, sedentary time and glycemic control among those who use the activitytracking device to monitor and regulate physical activity with those who rely on self-evaluation.

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PUTTING CONSUMERS IN CONTROL COULD INCREASE DATA SHARING, IMPROVE CARE by Steve Rudolph

The sharing of electronic health records and patient information has the potential to help care teams coordinate and improve the quality and safety of patient care, and often identify issues before they are obvious and plan interventions accordingly. But what happens if patients decide to withhold or suppress their information over security or privacy fears? “An individual’s choice to share or not share their data is a fundamental underpinning of everything we do in health care,” said Clinical Assistant Professor Lisa Moon, PhD, RN, LNC, CCMC. “It’s an under-recognized and underappreciated issue that is affecting all the downstream work health care is trying to do.” In her PhD dissertation at the School of Nursing, Moon found 14% of people surveyed said they withhold data. In the U.S., that withholding of information would equate to 45 million people missing from a dataset.

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“You can dismiss the 14% because you’ve got 86% of the data, but what we don’t understand is why they choose to withhold. And we don’t know if that suppression of information affects frontline staff and the people working on population health when they believe that they are working from a full set of information,” said Moon. In addition to patients withholding consent to having their information shared, Moon’s research showed that many are concealing important details about their health over fear of losing insurance coverage or how their information might be used. She cites defense contractors she has worked with who were reticent to mention mental health issues to a professional out of fear that information could be disclosed and result in the loss of a security clearance or future job opportunity. The solution is to give consumer’s ownership of their information and control over who can access that data, rather than the status quo of having data reside with who collected it. In her research, Moon developed a framework to show the relationships between information privacy, data security and the preference to share or withhold data. The framework is based on a

Lisa Moon

national data set. The model showed that individuals expect their data to be shared with their health care providers, and they want both control and access to their protected health information. She hopes her work will guide policy changes and further development to allow consumers to have full control of their information and to manage how their protected health information is shared, while providing a complete dataset to guide public health efforts. Moon knows it won’t be easy to transform the system, but she’s undaunted in her efforts to operationalize consumer choice in data sharing. She thinks nurses can and should be playing a more pivotal role in transforming health care’s technological infrastructure. “Nurses look at problems differently,” said Moon. “I look at distributed networked ecosystems and see an adaptive system ready for disruption.”


E D U C AT I O N

WELCOMING STUDENTS TO THE NURSING PROFESSION Inaugural ceremony had a distinctive School of Nursing perspective by Brett Stursa The School of Nursing hosted its inaugural Welcome to the Nursing Profession ceremony in September to celebrate nursing students’ entry into the nursing profession. “Congratulations on joining a community dedicated to excellence and advancing our legacy of trust of the people we serve,” said Dean Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP. “This acknowledges your commitment to build your scientific knowledge, clinical acumen, problemsolving capabilities, and your passion and ability to provide unparalleled patient care and central obligation of caring.” Laura Reed, DNP, RN, chief nursing executive and chief operating officer at Fairview Health Services, reflected on the nursing practice and what it takes to create a strong clinical nursing team. “It’s a big job. And you know what’s great about it? People trust us to do it and to do it

well,” said Reed. While white coat ceremonies are becoming more common for nursing students, the School of Nursing preferred to focus on the community students are entering and the competencies the profession requires. Christine Mueller, PhD, RN, FGSA, FAAN, senior executive associate dean for academic programs, spoke about the three documents that frame the profession, the Nursing’s Social Impact Statement, Code of Ethics for Nurses, and Scope and Standards of Nursing Practice as well as the 10 competencies that faculty identified as core to the nursing profession, including personcentered care, leadership, evidence-based practice and clinical reasoning. “We want you to be fully aware of these competencies and through reflective practice, regularly assess how you are developing and growing in the context

of these competencies,” said Mueller. She added that the school is providing all nursing students with a membership to the National Student Nurses Association, which is dedicated to fostering the professional development of nursing students. With the Dean’s National Board of Visitors and faculty looking on, sophomore students in the Bachelor of Science in Nursing program and first-year Master of Nursing students read a commitment to the profession. It stated, in part, “As a future professional nurse dedicated to providing the highest quality care and service, I am committed to act in a compassionate and trustworthy manner in all aspects of my care to patients, families and communities. I commit to apply knowledge, experience and skills to the best of my ability to assure optimal outcomes for those in my care.”

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CLIMATE CONSCIOUS BSN student Zoë Kondes partners with future health care professionals to plan for a changing environment

by Tom Ziemer

Before arriving on the University of Minnesota campus as a first-year student, Zoë Kondes made a vow to herself: Rather than merely believing in and talking about environmentalism, she was going to take action and live out her values. “It was always something I had been passionate about but hadn’t actually done a lot of concrete projects or activism around,” she said. Kondes has stuck to her personal pledge. Now a junior, the Bachelor of Science in Nursing (BSN) student is a nursing co-chair for Health Students for a Healthy Climate, a campus organization of health sciences students dedicated to raising awareness of climate change and its implications across health care.

The group brings together future professionals from a variety of health science fields to foster monthly discussions around how a changing climate will influence their careers. Kondes and her groupmates also advocate for public policy concerning climate health, amplify sustainability efforts within the health sciences and work with other campus sustainability groups on broader campaigns. Their overarching message: Climate change will shape our health, so health care students need to be prepared to act and lead as they start their careers. “I know I will do work involved with the environment and with climate health going into my future practice, because it’s projected to be one of the biggest determinants of health in the next 10, 20, 30 years,” said Kondes, who’s particularly interested in the ways the effects of climate change exacerbate health inequities. “It’s going to be there and it’s going to be there for all of us. I will see it as a nurse, my peer will see it as a doctor and so on.” continued on page 20

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•••

continued from page 19 OPTIONS APLENTY IN NURSING Initially, Kondes was skeptical about pursuing nursing. She looked up to her grandmother, who worked as an oncology nurse for more than 30 years, and loved biology and working with people. But the naturally-curious south Minneapolis native was afraid she would miss out on exploring her other interests, such as social justice, art, English and advocacy work.

By the end of her first year on campus, she realized nursing could bring together all of her eclectic passions. “Nursing incorporates working with people, it incorporates the biological sciences, it incorporates advocacy and principles of social justice—that’s absolutely inherent. Giving good care is recognizing how people have not been cared for as well,” she said. “Nursing incorporates people’s stories, it incorporates narrative, and that is honestly so key to understanding the overall health of the patient and to giving them holistic care.” TAKING ACTION At the same time Kondes was solidifying her nursing choice, she was making good on her promise to herself to act on environmentalism. She joined the Minnesota Student Association, the undergraduate student government, first as an intern and then as an elected representative, and co-authored a resolution asking the University to increase education around the topic of environmental justice.

After connecting with the organizers of Health Students for a Healthy Climate, “I realized the best place for me to do that work was by starting with my home base, talking to my peers and that meant doing more work with the nursing program,” she said.

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“ Nursing incorporates people’s stories, it incorporates narrative, and that is honestly so key to understanding the overall health of the patient and to giving them holistic care.” – Zoë Kondes, Bachelor of Science in Nursing junior

Kondes has talked with Teddie Potter, the School of Nursing’s inaugural director of planetary health, about potential collaborations across the health science programs. Kondes is also serving on the school’s first student leadership advisory committee, a capacity in which she hopes to further encourage the school’s expanded focus on planetary health and the impact of environment on health. Her personal priority, though, is closer to home. She points to Minnesota’s troubling health disparities across racial, ethnic and geographic lines and how the effects of climate change—diminished air and water quality, extreme temperatures and more—are intertwined with those systemic issues. “I think the most revolutionary part about learning about environmental justice, about getting involved with climate change and health, is realizing that the impact isn’t just about the planet or nations,” she said. “I’m talking about my neighbors, I’m talking about the people that I’ve grown up living around. It’s really about looking out for my community and empowering the different people that are in my community to take that knowledge for themselves and do something with it, and to be empowered in their health.”


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www.nursing.umn.edu www.nursing.umn.edu Contact us us at atGopherNursing@umn.edu GopherNursing@umn.edu Contact

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Director of Simulation Cynthia Bradley and BSN student Natalie Stopfer ask Alex, a state-of-the-art patient simulator powered by artificial intelligence, health history questions.

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MANIKINS GET SMARTER WITH ARTIFICIAL INTELLIGENCE Alex speaks several languages, is gender fluid and shows patient’s point of view by Brett Stursa Sophomores in the Bachelor of Science in Nursing program are learning how to take a patient’s health history and provide patient care with the assistance of artificial intelligence and the latest technology. Alex is a state-of-the-art patient simulator that speaks, recognizing hundreds of topics with a patient-specific response. “The artificial intelligence is new for us,” said Cynthia Bradley, PhD, RN, CNE, CHSE, director of simulation. “I am excited to be bringing mixed realities into the learning experiences of our students here, and working with faculty to create more immersive experiences for the students of our diverse programs.”

Alex is gender fluid, which means it can be male, female or transgender, and speaks several languages, allowing for a variety of learning experiences. “We intend to use Alex for transgender and non-English speaking scenarios to give sophomore students patient experiences in unfamiliar situations prior to encountering these with patients in their clinical experiences,” said Bradley. Alex also has an iris cam, so that students can see the patient’s point of view and understand what they look like when they are talking to a patient and providing care to a patient.

WATCH ALEX Watch a student take Alex’s health history at https://z.umn.edu/ Alexhealthhistory

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LEARNING TO HEAL Tillman Scholar Bridget Gehrz wants to help military families live healthy lives by Tom Ziemer

No cure exists for post-traumatic stress disorder (PTSD). No medicine or treatment can comprehensively vanquish the painfully persistent condition. “But you can learn to live with it,” said Bridget Gehrz, a Doctor of Nursing Practice (DNP) student at the School of Nursing who hopes to help military families manage the effects of PTSD and thrive. Through the DNP program’s Integrative Health and Healing specialty, Gehrz is learning a holistic approach to promoting health and wellness while preventing and managing disease. And, as the widow of a former U.S. Navy corpsman who died by suicide, assisting veterans and their families is her priority. “As I’ve experienced this grief journey and suicide loss, my eyes have opened to a whole bunch of different things and different ways of healing,” said the mother of three. In June, Gehrz earned a place in the Pat Tillman Foundation’s 2019 class of Tillman Scholars, a prestigious honor for active duty service members, veterans and military spouses that comes with financial support, professional development and an expansive network. After reading about the scholars program and previous winners, Gehrz nearly didn’t apply. “It was so intimidating,” said Gehrz, who grew up in Starbuck, Minnesota, a town of 1,300 in western Minnesota. “I still see myself as this teeny-tiny little small town girl, and this, to me, is just a huge network that I have

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never had access to before. And so I hope it will provide me with some mentorship opportunities.” SUPPORTING FAMILIES Gehrz has worked in intensive care units, burn centers, cardiovascular floors and the emergency room over the course of a career that’s included serving in Boston and North Carolina. She had always planned to return to school for an advanced degree, but marriage, a move back to Minnesota, motherhood and her husband’s reacclimation to civilian life shelved those aspirations.

Michael Gehrz medically retired in 2008, having sustained traumatic brain injuries while serving in Iraq. He contended with chronic migraines and PTSD and was less than a year away from getting his degree from Metro State University in St. Paul when he died in 2014. Rather than focusing explicitly on suicide prevention in her work, Bridget Gehrz wants to help veterans manage their PTSD symptoms and to promote holistically healthy lifestyles among military families. “I am more drawn at this point to the families, to the other wives, husbands or partners, and to the kids,” she said. “As I’ve helped my kids through this and I’ve met other kids on this journey, there are so many amazing things, and they really are super resilient. Giving them these skills, whether there’s trauma or not, is important to me.” HOLISTIC HEALTH The DNP program’s integrative health and healing specialty, the first of its kind in the United States and one of 12 specialty tracks in the DNP program, teaches personalized care that draws on evidence-based therapies and empowers patients as partners.


As the widow of a former U.S. Navy corpsman who died by suicide, assisting veterans and their families is a priority for Bridget Gehrz, who is a student in the Integrative Health and Healing DNP program.

The three- or four-year program includes coursework in traditional nursing topics like physiology and pharmacology, as well as topics such as botanical medicines, wellbeing and resiliency, meditation and healing imagery. That holistic nature was a large part of the appeal for Gehrz when she first heard an advertisement for the program on Minnesota Public Radio in 2016.

“It’s been a lot about self-discovery and self-growth, and realizing, I think, how much I needed this to learn these skills for me,” she said.

The benefits have extended beyond her professional pursuits; courses like Food Matters and Reiki Healing have influenced her daily life. Her 6-year-old son, Aksel, regularly asks her to practice Reiki, an alternative Japanese energy therapy, on him.

“I try to bring my whole self to everything that I do,” she said, “and despite all of the challenges in my life right now, I still take a positive outlook to it and I believe that we can do good, and I can do good.”

Gehrz said she’s frequently asked how she balances raising three kids—ages 5, 6 and 7—with school. Her answer? Schoolwork is a joy, not a burden, and it fuels her to keep going.

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O U T R E AC H

Mariann Johnson, a mindfulness and wellbeing instructor, leads a discussion at the Wellbeing Leadership Retreat Series.

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RETREATING FOR WELLBEING New series aims to help leaders develop personal, organizational strategies for balance of mind, body and spirit By Suzy Frisch

As a regular practitioner of mindfulness techniques, Wendy Looman, PhD, APRN, CPNP-PC, knows how far these practices go to reduce stress and make self-care a way of life. She wanted to find a way to support colleagues in the School of Nursing along the same journey. Looman, a professor and chair of Nursing’s Child and Family Health Cooperative, was thrilled to discover ways to bring a mindfulness and wellbeing approach to the school through the Earl E. Bakken Center for Spirituality & Healing’s new Wellbeing Leadership Retreat Series. “The series has helped me think about faculty and staff and their needs for growth, development and wellbeing,” said Looman. “How we can be more intentional about creating a community in the School of Nursing and supporting the wellbeing of others through words, policies and actions.” During three retreats at Charlson Meadows in Victoria, Looman and other participants , including School of Nursing’s Cheri Friedrich and Breanne Krzyzanowski, spent time on their personal wellbeing, including self-assessments and experiential activities. They explored ways to engage colleagues in reflecting on organizational strengths, gaps and

challenges, and learned how to develop strategies to improve personal and organizational wellbeing. The Bakken Center launched its inaugural series with 36 faculty and staff from the University’s health sciences, aiming to give leaders tools and inspiration to address the stress and burnout in health care fields. Mary Jo Kreitzer, PhD, RN, FAAN, Bakken Center director and School of Nursing professor, said such work is key because wellbeing forms the foundation of clinical and organizational excellence. The quadruple aim of health care highlights the importance of care team wellbeing. Without it, Kreitzer said, it’s difficult to achieve the other aims of improving population health, enhancing patient experiences and reducing the cost of care. “There is a growing recognition that wellbeing in the workplace is critical. Yet many leaders aren’t clear on the steps required to lead a culture change,” she said. TAKING AIM AT STRESS AND BURNOUT In developing the series, Bakken Center leaders wanted to take action on persistent concerns about stress, burnout and fading engagement in the workplace. They also responded to leaders who frequently ask for help with these issues, said Sue Nankivell, director of business development and community relations. “We want to give people tools to evolve and support the wellbeing of their employees, patients and the organization itself,” Nankivell said.

ROLE MODELING WELLBEING Dianne Neumark-Sztainer, a professor and head of the Division of Epidemiology and Community Health, found that the series validated her personal and professional commitment to taking care of herself through yoga and researching its effects on body image and weight issues. As the leader of a large School of Public Health division, Neumark-Sztainer often feels torn between supporting roughly 400 faculty, staff and graduate students in their wellbeing while advocating for them to work hard, pursue grants and produce strong research. Hearing participants talk about similar struggles and ways they approach these concerns was helpful.

“I try to role model it by talking about taking time in the morning to do yoga or going on vacation,” Neumark-Sztainer said. “When people have a stronger sense of wellbeing, they are more engaged. And when they are more engaged, they are more productive. I will be sharing with faculty that these concepts aren’t contradictory and that they go together.” And that’s what the retreat series is all about — fostering conversations and supporting wellbeing for people who are devoted to helping others and leading the way. Learn more about this series by contacting Sue Nankivell, director of Business Development and Community Relations, at sue@umn.edu or 612-626-2395.

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O N T H E C OV E R

Anjali Madeira, right, makes rounds on mom Erika Tippin, a few days after her son Suluk was born, with papa Andrew Oktollik looking on. The family is from Point Hope, Alaska, a village of about 700 people on the Chukchi Sea north of the Arctic Circle.

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PUSHING THE BOUNDARIES At Indian Health Service, four nurse-midwifery alumni thrive By Brett Stursa

Jessica Thienes, DNP ‘18, APRN, CNM, doesn’t assume her patients go home to running water or electricity.

Thienes. “We’re not hyper-focused on dealing with some of the abnormalities of births. I really get to know a woman and be there for whatever that means for her. It’s establishing that relationship and I think that’s one of the best things about our profession.”

As a nurse-midwife at the Gallup Indian Medical Center (GIMC) in New Mexico, many of the women she sees live without those conveniences.

Thienes is one of four nurse-midwives who graduated in 2018 from the University of Minnesota Doctor of Nursing Practice program’s specialty in nurse-midwifery who now practices with Indian Health Service. While Thienes practices at GIMC with Anna Jacobsen, Anjali Madeira and Jennifer Godbold practice at the Southcentral Foundation Alaska Native Medical Center. The alumni say being a nurse-midwife at Indian Health Service challenges them to practice at the highest levels of their scope of practice, with the support of interprofessional teams that excel at providing evidence-based care.

“It affects how you provide care,” said Thienes. “In the Twin Cities, I would just encourage all my patients to take warm baths to soothe their aching, pregnant muscles. But here, if a woman doesn’t have running water, then I move to other things, like ice or heat packs, a massage or Tylenol. Before I make a recommendation, I have to keep in mind if it is a resource that’s accessible.”

Photo by Dawn Taylor

Thienes says her practice at GIMC, which sits on the edge of the Navajo Nation reservation two hours west of Albuquerque, is challenging and can be exhausting, but is also rewarding and a privilege to provide. “I think getting to be there for such a significant and intimate moment in a family’s life is such an honor,” said

NURSE-MIDWIFERY AS A STANDARD OF CARE In both the New Mexico and Alaska practices, nurse-midwifery is the standard of care for pregnancy. “Our practice model allows us to provide hands-on care for all vaginal deliveries with collaboration and consultation if the need arises. This continued on page 30 www.nursing.umn.edu | 29


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“ It’s really accepting that childbirth is pretty normal and even for women with complications that midwives can co-manage with a physician and provide that care safely,” – Jessica Thienes, DNP ‘18, APRN, CNM

continued from page 29

model gives our patients the benefits of midwifery care with the expertise of the OB/GYN physicians as needed,” said Jacobsen, DNP ‘18, APRN, CNM.

transferred to her team because they developed complications or have complex needs, like gestational hypertension or a history of a postpartum hemorrhage.

This model is not standard midwifery practice throughout the United States. In this model, nurse-midwives manage care for women with complex needs like an anxiety disorder or gestational diabetes, which effects 30% of their patients in New Mexico.

Generally, women are transferred to Anchorage about a month before their due date. Once a mom is transferred, with rare exception, she is there until she delivers, living onsite, in hotel-style accommodations with up to three family members.

“It’s really accepting that childbirth is pretty normal and even for women with complications that midwives can comanage with a physician and provide that care safely,” said Thienes. “We practice at the top of our scope. Physicians practice at the top of their scope. Everyone is pretty well utilized.”

“Because we are caring for such high-risk women, it is not a traditional midwife practice,” said Madeira. “We’re practicing within our scope of care but it’s at the very highest level.”

In Anchorage, Madeira, DNP ‘18, MPH, APRN, CNM, sees Alaska Native women from rural villages whose care was

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There are still many aspects of traditional nurse-midwifery care that the alumni say they carry into their practice. “I love answering questions, providing education and being by their side throughout their journey,” said Godbold, DNP ‘18,

APRN, CNM, who practices in a primary care setting in Wasilla. “For me, it was really important to practice within the Indigenous community. It’s through my learning of my own family history and learning from my grandparents, mom and community members that I’ve come to understand the importance of me being a part of the community.” At the center of their practice is building relationships with women to be able to provide personalized care. For Madeira, her ability to build those relationships is made easier with 30 minutes for prenatal visits, double the time many providers around the country are permitted. “In a 15 minute return prenatal visit, I talk about all of the critical things. But with that extra 15 minutes, I get to delve so much deeper and it improves the care quality and our relationship so much,” she said.


Jessica Thienes, left, and Anna Jacobsen, practice at the Gallup Indian Medical Center, which sits on the edge of the Navajo Nation reservation in New Mexico.

A COLLABORATIVE PRACTICE The nurse-midwives say the collaborative practice model they have with obstetricians is critical. While obstetricians are required for cesareans or a vacuum extraction, they also are available for consult or a second opinion. “I think one of the best parts of practicing here is the practice model,” said Jacobsen. “It’s incredibly supportive. Midwives can practice at the very top of their scope but also feel well supported.”

In New Mexico, the nurse-midwives and obstetricians hold bi-weekly meetings to discuss high-risk patients and regular meetings are scheduled involving social workers, diabetes educators, clinical nursing staff, pediatricians, infectious disease physicians and public health nursing. “All of those specialties play a really critical role in caring for our patients. Having a team-based model is extremely important for our patients to get the care that they need,” said Thienes.

Both Thienes and Jacobsen say they felt prepared for collaboration after their experience at the School of Nursing, where they both attended the Master of Nursing and Doctor of Nursing Practice programs. “There was a big push for interprofessional collaboration,” said Jacobsen. “From the different simulations that we participated in with OB-GYN residents to our clinical sites where we would engage in interprofessional rounds, it was clear that interprofessional collaboration was a critical element to communication and optimizing patient outcomes.” It’s a model that Madeira and Godbold say they experience in Alaska. “The care model is one of the reasons why I came here. It is a collaborative team of physicians, nurse-midwives and nurses, and we offer integrative services such as a dietician, lactation, behavioral health, complementary medicine, exercise education and traditional healing. We

practice in a holistic way by providing resources and care for the whole person,” said Godbold. EVIDENCE-BASED CARE AND QUALITY IMPROVEMENTS Quality improvement is a key component to their practices and the education they received about evidence-based practice prepared them well.

While Jacobsen is part of an interprofessional team that runs quarterly drills involving obstetrical emergencies, like postpartum hemorrhage or breech delivery, Thienes leads a quarterly journal review to discuss the most recent literature, which leads to updated or new policy. A recent review focused on failed inductions, which lead to cesareans. “About 40 percent of our patients are induced, so we really took a deep dive into the evidence to see what criteria need to be met and what protocol should be in place to make sure that we’re reviewing continued on page 32 www.nursing.umn.edu | 31


•••

“ It was really important to practice within the Indigenous community. It’s through my learning of my own family history and learning from my grandparents, mom and community members that I’ve come to understand the importance of me being a part of the community.” – Jennifer Godbold, DNP ‘18, APRN, CNM

continued from page 31

all those things for our patient before we recommend a C-section,” said Thienes. “We’re pretty comfortable reviewing articles and critically thinking about the evidence. I think the University of Minnesota prepared us really well.” Godbold is a member of a Plan Do Study Act team looking at two-week postpartum visits, while Madeira is on the quality assessment committee. “It’s a very active committee of obstetricians and nurse-midwives that keeps my focus on evidence-based care and on quality improvement,” said Madeira. The committee recently reviewed shoulder dystocia, which is a significant obstetric complication when the baby’s head is born but the shoulders become impacted against the pelvis and require special maneuvers to deliver the baby. If the baby is not delivered within 5 minutes, permanent brain damage or death often results. “It is something that we see at a

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much higher rate here because we have a higher rate of gestational diabetes and moms with higher BMIs, both risk factors for shoulder dystocia. It’s not unusual for us to have a mom with a BMI in the 40s and sometimes in the 60s, so we have a lot of risk factors within our demographic,” said Madeira. “Shoulder dystocia happens more often in our practice and we work really hard on managing it as a team. I think we’re really good at it, but you can always get better.” At the core of Madeira’s growth as a nursemidwife are the women who come to her for care. “Our moms are tough as nails, and this has been an incredibly special community to work with,” said Madeira. “They have taught me a lot about grace, resilience and what it looks like to blend culture and tradition with evidence-based care. I know that there’s so much more to learn from them.”


WHO designates 2020 the Year of the Nurse and the Midwife The World Health Assembly, the governing body of the World Health Organization (WHO), designated 2020 the Year of the Nurse and the Midwife. The designation honors the 200th anniversary of Florence Nightingale’s birth. This year WHO is leading the development of the first-ever State of the World’s Nursing report, which will be launched prior to the 73rd World Health Assembly. The report will describe the nursing workforce in WHO Member States. WHO is also a partner on The State of the World’s Midwifery 2020 report, which will also be launched around the same time. The NursingNow! Campaign, a three-year effort (2018-2020) to improve health globally by raising the status of nursing, will culminate in 2020 by supporting country-level dissemination and policy dialogue around the State of the World’s Nursing report. Nurses and midwives are essential to the achievement for universal health coverage, a goal of WHO, given that nurses and midwives constitute more than 50% of the health workforce in many countries. The world needs 9 million more nurses and midwives if it is to achieve universal health coverage by 2030.

READ MORE Interprofessional Education Between Midwifery Students and Obstetrics and Gynecology Residents: An American College of Nurse-Midwives and American College of Obstetricians and Gynecologists Collaboration, by Melissa Avery, PhD, APRN, CNM, FACNM, FAAN, program director of the nursemidwifery specialty, was published in the Journal of Midwifery and Women’s Health. Read it at https://z.umn.edu/ MidwiferyInterprofessionalEducation

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ALUMNI SPOTLIGHT

A NURSE INNOVATION LEADER In her new role with ANA Enterprise, Oriana Beaudet, DNP ’17, is empowering nurses to transform health care

by Meleah Maynard When Oriana Beaudet, DNP, RN, PHN, was named vice president of Nursing Innovation for ANA Enterprise in December, she already knew that her top priority would be to support and empower nurses working at the bedside and others who want to participate in, design and lead health care innovation. At a time when the complexities and politicization of the health care system are increasingly creating obstacles for caregivers and patients, Beaudet believes nurses are exceptionally well positioned to think about health care in ways that can shift the system for the better. It should not be a surprise, she said, that the World Health Organization named 2020 as Year of the Nurse and the Midwife. “Nurses are the ones who tie health teams together and naturally act as a bridge between the complexity of the medical and science world and the human experience,” said Beaudet, who earned her Doctor of Nursing Practice degree in health leadership and innovation from the School of Nursing in 2017. Nurses are also working as intrapreneurs within organizations as CEOs and entrepreneurs in health care, as well as in the community and other industries like law, business, technology and research. The problem, she explained, is that the potentially transformative things nurses are doing often go unrecognized.

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“Nurses are building extraordinary new care and delivery models, and their work is intimately tied to the people and communities they serve,” she said. “In my new role, I want to bring their work into the spotlight and connect nurses and nursing leaders with academia, industry, research- and health care systems, and organizations in the U.S. and globally.” The goal, she said, is to build a collaborative network across the ANA Enterprise and beyond to create a strategic national framework for nurse-led innovation. Beaudet’s passion for health care innovation is longstanding. Before joining ANA Enterprise, which includes the American Nurses Association, American Nurses Credentialing Center and American Nurses Foundation, she spent more than 15 years as an innovative change leader in the health care field. Most recently, she served as vice president of transformation with Array Advisors,


•••

“ Nurses are the ones who tie health teams together and naturally act as a bridge between the complexity of the medical and science world and the human experience.” – Oriana Beaudet, DNP, RN, PHN where she led strategic change management and business development for national health system clients. It was her early work as an acute care nurse and nurse supervisor that inspired Beaudet to address organizational- and system-level challenges faced by patients and health care staff. She chose the University of Minnesota’s DNP program because the health innovation and leadership specialty aligned with the transformation and design needed to address industry-wide change. And she focused her doctoral studies on building nurse-led innovation to shift organizational cultures, which became the foundation for the launch of the Planting Seeds of Innovation Conference in 2015.

Still ongoing as a project of the Nursing Collaboratory, a joint project of the University of Minnesota School of Nursing and M Health Fairview, Planting Seeds of Innovation’s annual conference has a different theme every year, each one designed to equip nurses with the tools and resources they need to put their innovative ideas into action. “A recent conference was all about foresight and how we can innovate into the future needs of health care,” Beaudet said, explaining that situations aren’t static. “People are trying to find solutions to address the complexity and challenges in their work environments and across systems. Without a doubt nurses are capable of transforming the future of health care and our profession.”

SHOW YOUR SCHOOL OF NURSING PRIDE IN STYLE The University of Minnesota Bookstore is the official supplier of School of Nursing apparel and merchandise. View the latest items in person at Coffman Memorial Union or shop online at nursing.umn.edu/store

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SCHOOL NEWS

GARWICK, ASSOCIATE DEAN FOR RESEARCH, RETIRES Ann Garwick, PhD, RN, LMFT, LP, FAAN, senior executive associate dean for research and professor, retired after 30 years with the University. Garwick was named associate dean for research in 2008 and transformed a research infrastructure that was underdeveloped into one that delivers unparalleled support for School of Nursing faculty. The school saw a marked increase in National Institutes of Health funding during her tenure as associate dean for research. Her core focus in research and teaching was to keep family at the center of care, promoting a culturallyrelevant, strengths-based approach to caring for children and youth with chronic conditions and disabilities and their families. She led or contributed to more than 31 funded research grants and was project director for a training grant with the Center for Children with Special Health Care Needs that spanned two decades. During that time, the center supported 225 pediatric nursing graduate students. Ann Garwick

Garwick is a founding member of the International Family Nursing Association and has been a member of the board of directors. She was inducted as a Fellow into the American Academy of Nursing and is a recipient of a Midwest Nursing Research Society Senior Pediatric Researcher Award.

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SCHOOL NAMES NEW NURSE ANESTHESIA PROGRAM DIRECTOR Joanne Donnelly, DNP, APRN, CRNA, joined the school as a clinical assistant professor and program director of the Doctor of Nursing Practice nurse anesthesia specialty. Donnelly has been in practice as a nurse anesthetist since 1997, most recently at the Minneapolis VA Medical Center, where she held an affiliate faculty appointment with the school. Donnelly has served in clinical and administrative roles as a CRNA during the past 22 years, including responsibilities for clinical and didactic education for nurse anesthesia students and staff. She held academic appointments in schools of nursing and medicine and served as the associate program director for the nurse anesthesia program at Wake Forest Baptist Health in Winston-Salem, North Carolina. Her scholarship focuses on standardized communication, patient safety and airway management. She has been recognized as an outstanding instructor through two certificates of recognition from the Evanston Northwestern Healthcare School of Nurse Anesthesia and was a Nightingale Luminary Nominee from the Colorado Nurses Foundation.

Joanne Donnelly

Donnelly earned a Doctor of Nursing Practice degree from Vanderbilt University, a master’s degree in nursing from Columbia University and a Bachelor of Science in Nursing degree from Bradley University. The school’s Doctor of Nursing Practice nurse anesthesia program recently was granted the maximum 10-year accreditation from the Council on Accreditation of Nurse Anesthesia Educational Programs. The University of Minnesota School of Nursing was the first school in the nation to offer the Doctor of Nursing Practice specialty in nurse anesthesia.

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BRIEFLY School of Nursing climbs to 10th in NIH research funding

Conference explores climate change’s impact on health

The University of Minnesota rose to 10th in the latest Blue Ridge Institute for Medical Research (BRIMR) ranking of National Institutes of Health (NIH) funding to schools of nursing. With nearly $6 million in NIH awards to the School of Nursing and Earl E. Bakken Center for Spirituality & Healing in 2019, the School of Nursing tops the list of Big Ten schools of nursing and is 4th among public universities.

The School of Nursing is sponsoring Health Professionals for a Health Climate’s Code Blue for Patient Earth. The conference, on April 4 at McNamara Alumni Center, will focus on climate change’s impact on health, and how health professionals and health care institutions can take action to meet these challenges. The keynote speaker is Christina Manning, from Macalester College, who will discuss the psychology of climate change. Learn more at z.umn.edu/codeblue.

School receives award for diversity excellence For the fourth consecutive year, the school was recognized with the Health Professions Higher Education Excellence in Diversity (HEED) Award from INSIGHT Into Diversity Magazine. The HEED Award honors U.S. nursing, medical, dental, pharmacy, osteopathic, veterinary, and other health schools and centers that demonstrate an outstanding commitment to diversity and inclusion. The school’s first-of-its kind interprofessional simulation experience with standardized patients who are transgender and non-binary, its educational efforts around gender-affirming approaches to health care, and the conversation of healing and repair regarding a 1929 decision to deny enrollment to a student because of her race contributed to the award selection.

Commencement address to be delivered by AACN president Deborah Trautman, PhD, RN, FAAN, president and chief executive officer of the American Association of Colleges of Nursing (AACN), will deliver the spring commencement address on May 15 in Northrop auditorium. Formerly the executive director of the Center for Health Policy and Healthcare Transformation at Johns Hopkins Hospital, Trautman has held clinical and administrative leadership positions at the University of Pittsburgh Medical Center and the Johns Hopkins Medical Institutions. She also served as the vice president of patient care services for Howard County General Hospital and as director of nursing for emergency medicine at the Johns Hopkins Hospital. She has held a joint appointment at the Johns Hopkins University School of Nursing.

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School hosts ‘research collision’ with Carlson School of Management Partnering with Medical Industry Leadership Institute and Management Information Systems Research Center at the Carlson School of Management, the School of Nursing’s Center for Nursing Informatics hosted a “research collision.” Facilitated by the University’s Strategic Partnerships and Research Collaborative, the event aimed to create interdisciplinary project ideas in response to FDA’s Broad Agency Announcement for research and regulatory science.


AWARDS AND HONORS Professor Melissa Avery, PhD, APRN, CNM, FACNM, FAAN, was appointed associate editor of the Journal of Midwifery and Women’s Health.

Assistant Professor Melissa Horning, PhD, RN, PHN, received the Junior Investigator Award from Public Health Nursing section of the American Public Health Association.

Assistant Professor Cynthia Bradley, PhD, RN, CNE, CHSE, received the Ruth Donnelly Corcoran Research Award from the National League for Nursing. She received the award at the NLN Education Summit in Washington, D.C.

Measurement of Adolescent Quality of Life as a Dynamic Construct: Novel Methods and Associations with Wellbeing by Professor Wendy Looman, PhD, APRN, CPNP-PC, was selected as a Distinguished Abstract by Midwest Nursing Research Society.

Adjunct Faculty Eilon Caspi, PhD, was invited to serve on the editorial board of the Journal of Elder Abuse & Neglect.

Assistant Professor Ryan Mays, PhD, MPH, FSVM, was elected a fellow of the American Heart Association, conferred by the Council on Peripheral Vascular Disease.

Clinical Assistant Professor Mary DeGrote Goering, PhD, RN-BC, was accepted to Sigma’s Experienced Academic Leadership Academy.

Professor Karen Monsen, PhD, RN, FAAN, FAMIA, gave the keynote address at the conference Meaningful use of the Omaha System to support practice, research, and policy in the Netherlands. In addition, she was named a vice chair of AMIA 2020.

Clinical Associate Professor Diana Drake, DNP, APRN, WHNP-BC, is chair of the Nurse Practitioners in Women’s Health Board of Directors.

Minneapolis & Saint Paul Magazine presented the Award for Outstanding Nurse Educator to Associate Professor Susan O’ConnerVon, PhD, RN-BC, CNE.

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AWARDS AND HONORS (CONTINUED) Planetary Health Director Teddie Potter, PhD, RN, FAAN, spoke on the panel Climate Crisis or Opportunity? Nursing Actions for a Healthy Future during the United Nations Civil Society Conference. Potter also testified before the Minnesota Climate Action Caucus’ Public Health and Climate Conversation.

Professor Carolyn Porta, PhD, MPH, RN, SANE-A, FAAN, was inducted into the Academies for Excellence in Clinical Practice, which is the premier recognition given to faculty members at the University of Minnesota for clinical care.

Assistant Professor Lisiane Pruinelli, PhD, RN, participated in the panel Nursing Knowledge Big Data Science: A National Collaborative to Achieve Sharable and Comparable Nurse-Sensitive Data in Lyon, France at the 17th World Congress of Medical and Health Informatics.

Professor Cheryl Robertson, PhD, MPH, RN, FAAN, received the 2020 Distinguished Investigator Award from the Midwest Nursing Research Society’s Population Health Research Interest Group.

ON THE BOOKSTANDS The Doctor of Nursing Practice Essentials: A New Model for Advanced Practice Nursing, fourth edition, edited by Clinical Associate Professor Judith Pechacek, DNP, RN, CENP, and Clinical Assistant Professor ad Honorem Mary Zaccagnini, DNP, APRN, ACNS-BC, was published by Jones & Bartlett Learning. Faculty and alumni contributors include Sandra Edwardson, Stephanie Breckenridge, Sarah Held, Amberly Hess, Roberta Huna Wagner, Katelyn Erickson, Anne LaFlamme, Jeanne Pfeiffer, Deborah Ringdahl, Melissa Saftner, Denise Felsenstein and Carol Flaten.

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The Alzheimer's Rx: Aerobic Exercise: Use the Approach AD S.A.F.E.ly™ Protocol to Engage Purposefully, written by Professor Fang Yu, PhD, RN, GNP-BS, FAAN, Assistant Professor Dereck Salisbury, PhD, and Exercise Interventionist Kaitlin Kelly, MSE, ATC, was published.


CENTER DIRECTORS: Karen Monsen, PhD, RN, FAAN, FAMIA Connie White Delaney, PhD, RN, FAAN, FACMI, FNAP

CENTER DIRECTOR: Jayne Fulkerson, PhD

CENTER FOR

NURSING INFORMATICS

CHILD AND FAMILY HEALTH PROMOTION RESEARCH

AIME 2020 draws leading researchers in AI to Minneapolis

Do organized activities, like sports, interfere with family meals?

The School of Nursing recognizes the power of artificial intelligence (AI) that will increasingly impact patients, families and communities as well as nurses, nursing education and nursing research. The uses of AI and other technologies are directly related to the Quadruple Aim, and are accelerating innovation and processes, affecting clinical decision-making and impacting costs. While nurses should Martin Michalowski understand how AI is utilized in patient care, evidence points to only 15% to 20% of end users are using it to drive changes in the delivery of patient care.

In order to better understand whether parents perceive child participation in organized activities, like sports, as interfering with family meals, Center Director Jayne Fulkerson, PhD, collaborated with researchers in the School of Public Health and School of Medicine.

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Are you prepared? Is nursing prepared? Leading researchers in the field will be attending the 2020 International Conference on Artificial Intelligence in Medicine (AIME 2020) in Minneapolis, Aug. 26-29, hosted by School of Nursing. Assistant Professor Martin Michalowski, PhD, conference co-chair and chair of the local organizing committee, led the effort to bring this conference to North America for the first time. Artificial Intelligence in Medicine (AIME), a leading international society on the theory, methodology and applications of AI to solve difficult problems in medicine and health, has held bi-annual conferences in Europe for over 35 years. The AIME 2020 conference in Minneapolis will consist of invited speakers from academia and the private sector, paper presentations, workshops and a doctoral consortium that will cover a broad range of topics including big data analytics, machine learning, data mining, natural language processing and workflow management. This pioneering AIME conference will be a transformative moment in unifying the AI in medicine communities from North America and the rest of the world, as well as lifting up the University of Minnesota and state of Minnesota as research leaders in the field and as an innovation hub in transforming health care. For more information, visit z.umn.edu/AIME.

Jayne Fulkerson

Family meals have been shown to be associated with healthier dietary intake and stronger academics among children. Survey data collected in 2015-2016 as part of the Project EAT (Eating and Activity in Teens and Young Adults) study were analyzed. Specifically, the survey data of 389 parents who had one or more children involved in an organized activity was analyzed. Approximately 33% of households included a child ages 2-5 years and no older child; two-thirds of households had at least one school-aged child (6-18 years). Findings showed organized activity interference was associated with greater difficulty scheduling family meals, lower family meal frequency and more fast food intake among parents. Parents who reported child involvement in both sport and non-sport activities were more likely to report moderate to high activity interference in family meals. Participation in organized activities represented a barrier to family meals for more than 1 in 5 families with a school-age child. More research is needed to identify factors of child participation in organized activities such as scheduled time of day that specifically interfere with family meals; qualitative research might be particularly useful. Do Parents Perceive That Organized Activities Interfere with Family Meals? Associations between Parent Perceptions and Aspects of the Household Eating Environment was accepted in the Journal of the Academy of Nutrition and Dietetics. Read it at https://z.umn.edu/interferfamilymeals

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CENTER DIRECTOR: Kristine Talley, PhD, APRN, GNP-BC, FGSA

CENTER DIRECTOR: Renee Sieving, PhD, RN, FSAHM, FAAN

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Leading symptom science by improving spasticity

Delivering confidential adolescent sexual health services

Finding innovative solutions to improving symptoms is an important area of research in the Center for Aging Science and Care Innovations. Center member and Assistant Professor Rozina Bhimani, PhD, DNP, APRN, FNP-BC, CNE, is a leader in changing how we manage Rozina Bhimani the poorly understood symptom of spasticity in people with movement disorders.

For adolescents, access to confidential care is an essential component of quality preventive care. A recent study conducted by University of Minnesota researchers Renee Sieving, Annie-Laurie McRee and Chris Mehus and colleagues from Columbia University, University of Illinois at Chicago and the American Academy of Pediatrics examines facilitators and barriers to providing confidential adolescent sexual and Renee Sieving reproductive health (SRH) services from adolescents’, parents’ and primary care providers’ perspectives.

Spasticity is a common and distressing symptom in people who have neurological disorders, such as a stroke, cerebral palsy or multiple sclerosis. However, little is known about this symptom’s trajectory, which limits the management options for patients and clinicians. Bhimani’s groundbreaking work has identified that spasticity is a cluster of symptoms that overlaps with pain and other sensory symptoms. She was the first to report that the term “spasticity” was used incorrectly and interchangeably for muscle tightness by both clinicians and patients.

A paper exploring providers’ perspectives and practices in delivering adolescent SRH services was recently accepted by the Journal of Adolescent Health. The paper analyzes interviews with 25 primary care providers from four urban and rural communities in Minnesota with varying rates of teen pregnancy and sexually transmitted infection (STI). Through interviews, providers shared thoughts and practices around confidentiality, SRH services offered and referral practices.

AGING SCIENCE AND CARE INNOVATION

With this knowledge, she convened a group of clinicians and developed a consensus definition of muscle tightness to differentiate it from spasticity. Using her descriptions of the patients’ experiences with muscle tightness and the consensus definition, she developed and tested a Muscle Tightness Measurement Tool that clinicians can use to assess muscle tightness reliably. She currently has funding from the Association of Rehabilitation Nursing Foundation to examine how spasticity effects function in people who have had a stroke. Her work is providing patients and clinicians with important assessment tools and approaches to improve the discomfort of spasticity.

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ADOLESCENT NURSING

“Most providers endorse the importance of one-on-one time and confidentiality with adolescents, but also acknowledge that these elements are not always included in visits,” said Sieving, a School of Nursing professor and director of the Center for Adolescent Nursing. Whether a SRH topic is discussed during an adolescent’s checkup depends on providers’ comfort with a specific topic, like STIs, birth control and sexual orientation. Differences in clinic policies and protocols, availability of SRH resources, and parent engagement also lead to variations in SRH services. Findings suggest opportunities for training with providers and clinic staff. Routine communication from clinics to adolescents and their parents may garner support for one-on-one time between adolescents and their providers, and changes in clinic policies and protocols may enhance the quality of adolescent SRH services. “Barriers and facilitators noted by providers help to explain why a substantial gap exists between professional guidelines related to SRH services and real-world practice,” said Sieving.


CENTER DIRECTOR: Wendy Looman, PhD, APRN, CPNP CENTER DIRECTOR: Daniel J. Pesut, PhD, RN, FAAN

KATHARINE J. DENSFORD INTERNATIONAL CENTER FOR

NURSING LEADERSHIP

Advancing health care design and innovation Innovation in health care, and in particular the field of nursing, has become increasingly important as organizations and systems strive to improve service delivery and create programs that build on the adoption of innovations and new technologies in health care. Since 2008, the University of Minnesota School of Nursing has advanced innovation education in nursing with a post-baccalaureate certificate program in Health Care Design and Innovation. The program represents a partnership among the School of Nursing’s Densford International Center for Nursing Leadership, the Center for Spirituality and Healing and the College of Design. The program integrates principles of innovative leadership, whole systems thinking, evidence-based design, optimal healing and human factors into a curriculum that prepares health care, design and other professionals to create and promote optimal healing environments. The health care design and innovation certificate curriculum is also a core feature of the health innovation and leadership Doctor of Nursing Practice curriculum. The certificate program of study consists of four core courses that total 12 credits. If you are interested in advancing your knowledge, skills and abilities in health care design and innovation, check out z.umn.edu/healthdesign. Learn how you can create and contribute to the development of an innovation culture in your organization while advancing innovation education in nursing.

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CHILDREN WITH SPECIAL HEALTH CARE NEEDS

Honoring Garwick’s vital role in center leadership The Center for Children with Special Health Care Needs celebrated the contributions of Ann Garwick, who recently retired after 30 years of service at the University of Minnesota. Garwick’s work has always included a strong participatory action approach, with an aim to listen to and understand the needs of those we serve in the community. In 1998, Garwick and colleagues published a now-highly cited paper titled, Families’ Recommendations for Improving Services for Children with Chronic Conditions, where they reported the results of in-home interviews with 63 families of children with chronic conditions. A core recommendation from families was to improve the training that health care professionals, families and the public receive about chronic conditions and their management. These findings and Garwick’s other community-engaged studies have informed the ongoing efforts of the center over the past 27 years. Initially funded in 1993 by a Maternal and Child Health Bureau nursing training grant, the center focuses on training future nurse leaders to provide culturally-sensitive, family-centered care. As core faculty for that training grant and as director of the center from 2007-2019, Garwick had a vital role in supporting the specialized preparation of over 250 graduate students for leadership roles in the care of children and youth with special health care needs and their families. We are so grateful for her deep expertise, her unrelenting commitment to families and children, and her compassionate leadership of the center.

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EXTRAMURAL GRANT AWARDS FACULTY PRINCIPAL INVESTIGATORS CALENDAR YEAR 2019 The University of Minnesota School of Nursing is a research-intensive school of nursing. The school’s four research areas of focus are health promotion among vulnerable populations, prevention and management of chronic health conditions, symptom management, and health/nursing informatics and systems innovation. Avery, Melissa ACNM-ACOG Maternity Care Education and Practice Redesign American College of Nurse Midwives/Josiah Macy Foundation Avery, Melissa National Improvement Challenge Council on Patient Safety in Women’s Health Care Bhimani, Rozina Effects of Mobilization Patterns on Spasticity Symptom Cluster: Understanding Functional Outcomes Association of Rehabilitation Nursing Bliss, Donna Augmented Reality System for the Education of Clinical Caregivers of Older Adults (SBIR) Innovative Design Labs/National Institutes of Health/National Institute on Aging Bliss, Donna Development of a Bariatric Mannequin System to Enable Realistic Examination Simulations of Obese Patients (SBIR) Innovative Design Labs/National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases Bradley, Cynthia Measuring the Impact of Training on the Use of Debriefling for Meaningful Learning: Faculty and Student Outcomes National League of Nursing

Evans, Roni Mindful Movement for Physical Activity and Wellbeing in Older Adults (R33) National Institutes of Health/National Center for Complementary & Integrative Health Evans, Roni Testing Two Scalable, Veteran-Centric Mindfulness-Based Interventions for Chronic Musculoskeletal Pain: A Pragmatic, Multisite Trial Veterans Administration/US Department of Defense Fulkerson, Jayne Jonas Scholars 2018-2020 Jonas Nursing and Veterans Healthcare Fulkerson, Jayne NRSA Training Core (TL1) National Institutes of Health/National Center for Advancing Translational Science Fulkerson, Jayne New Ulm at HOME (NU-HOME) (R01) National Institutes of Health/National Heart, Lung and Blood Institute Fulkerson, Jayne Future of Nursing Scholars 2017-2021 Robert Wood Johnson Foundation 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 Hoffman, Sarah Interrupting Trauma: Addressing the Intergenerational Transmission of Trauma between Women Refugees who have Survived Torture and their Adolescent Children Building Interdisciplinary Research Careers in Women’s Health/National Institutes of Health

137 articles, 47 book chapters, 4 books published FY 19 Bronfort, Gert Spinal Manipulation and Patient SelfManagement to Prevent Back Pain Chronicity (PACBACK) National Institutes of Health/National Center for Complementary & Integrative Health Chi, Chih-Lin Personalized Statin Treatment Plan to Optimize Clinical Outcomes Using Big Data (R01) National Institutes of Health/National Heart, Lung and Blood Institute

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Hooke, Mary Physical Activity in Children Completing Treatment for Leukemia: How Does it Relate to Other Symptoms? University of Minnesota Foundation/Olofson Trust Horning, Melissa Twin Cities Mobile Market Expansion Amherst H. Wilder Foundation/US Department of Agriculture Horning, Melissa East Side Table Program Evaluation Partnership Stratis Health

Kaas, Merrie Enhancing 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 Leininger, Brent Cost Effectiveness of Manipulation for Spine Pain Using Individual Patient Data (K01) National Institutes of Health/National Center for Complementary & Integrative Health

$8.5 million in FY 19 grants

Lovinaria, Danilo Nurse Anesthetist Traineeship Program Health Resources and Services Administration/ US Department of Health & Human Services Martin, Lauren EAGER ISN: Modeling Human Trafficking Supply Networks to Identify Effective Interdiction Methods Operations, Organizational Features, Spatial Dynamics and Transit National Science Foundation Martin, Lauren Estimating the Prevalence of Sexual Exploitation Women’s Foundation of Minnesota Mays, Ryan Community-based Exercise to Improve Physical Functioning and Cardiovascular Health Following Revascularization for Peripheral Artery Disease University of Minnesota Foundation/Olofson Trust McKechnie, Anne Extending an eHealth Enhanced Care Approach: Development of Nurse-Guided Patient Engagement Content to Support Human Milk Feeding of Infants with Complex Congenital Heart Disease Clinical and Translational Science Institute (ODAT)/National Institutes of Health McKechnie, Anne Preparing Heart and Mind: A Mobile and Web Application for Parents and Clinicians After Fetal/Infant Heart Disease Diagnosis MN-Reach/National Institutes of Health/ National Heart, Lung and Blood Institute McMahon, Siobhan Randomized Trial of a Multifactorial Fall Injury Prevention Strategy Brigham & Women’s Hospital/National Institutes of Health/National Institute on Aging


McMahon, Siobhan Community-based Intervention Effects on Older Adults’ Physical Activity and Falls (R01) National Institutes of Health/National Institute for Nursing Research

Pruinelli, Lisiane SCH: EXP: Collaborative Research: GroupSpecific Learning to Personalize EvidenceBased Medicine National Science Foundation

10th in NIH funding for schools of nursing (2019)

McMorris, Barbara Whole School Implementation of Restorative Practices in Saint Paul Public Schools: Relationships as Key to Improvements in School Climate and Student Behavior Independent School District 625/St. Paul Public School/US Department of Education McMorris, Barbara Evaluation of Re-entry for Juveniles Using Restorative Family Group Conferencing at Schools Legal Rights Center/State of Minnesota Michalowski, Martin BrainAware: Interactive Digital Psychoeduction for Adolescents and Young Adults with Substance Use Disorder (SBIR) Andamio/National Institutes of Health/ National Institute of General Medical Sciences Michalowski, Martin Interactive Digital Psychoeducation for Adolescents and Young Adults with Substance Use Disorders (SBIR) Andamio Games/National Institutes of Health/National Institute of General Medical Sciences Mueller, Christine Nurse Faculty Loan Program Health Resources and Services Administration/ US Department of Health & Human Services

Rajamani, Sripriya Health Informatics and Electronic Laboratory Reporting Support Services Minnesota Department of Health/US Department of Health & Human Services Rajamani, Sripriya Electronic Case Reporting to Minnesota Electronic Disease Surveillance System Minnesota Department of Health/State of Minnesota Sieving, Renee Healthy Youth Development Prevention Research Center Centers for Disease Control and Prevention Sieving, Renee Leadership Education in Adolescent Health Health Resources and Services Administration/ US Department of Health & Human Services

Treat-Jacobson, Diane PROmote Weight Loss in Obese PAD Patients to PreVEnt Mobility Loss: The PROVE Trial (R01) Northwestern University/National Institutes of Health/National Heart, Lung and Blood Institute Wyman, Jean University of Minnesota Building Interdisciplinary Research Careers in Women’s Health National Institutes of Health/National Institute of Child Health and Human Development Wyman, Jean National Survey of Continence and Pelvic Floor Specialist Society of Urologic Nurses and Associates Wyman, Jean University of Pennsylvania + PLUS Clinical Center (PENN + PLUS CC) (U01) University of Pennsylvania/National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases

for nursing research NIH funding (2019) Sieving, Renee Minnesota Personal Responsibility Education Program (MN Prep) Minnesota Department of Health/US Department of Health & Human Services

Pechacek, Judith Jonas Scholars Veterans Healthcare 20182020 Jonas Nursing and Veterans Healthcare

Sieving, Renee Developing Tools for Sexual and Gender Minority Youth National Opinion Research Center/Centers for Disease Control and Prevention

Porta, Carolyn Strengthening the Nursing/Midwifery Workforce in Afghanistan: A Kabul Medical University and University of Minnesota Collaborative Workforce Development Project FHI 360/US Agency for International Development

Treat-Jacobson, Diane Low InTensity Exercise Intervention for Peripheral Artery Disease: The LITE Trail (R01) Northwestern University/National Institutes of Health/National Heart, Lung and Blood Institute

1st in Big Ten

O’Conner-Von, Susan Advance Care Planning and Goals of Care for Represented and Unrepresented Older Prisoners Rita & Alex Hillman Foundation

Peden-McAlpine, Cynthia Learning How to Think from Expert Nurses: The Power of Practice Narratives Minnesota Nurses Association Foundation

Treat-Jacobson, Diane Healthy Aging and Mobility Initiative Margaret A. Cargill Philanthropies

Sieving, Renee State Adolescent and Young Adult Health Capacity Building Program University of California San Francisco/Health Resources and Services Administration/US Department of Health & Human Services

Yu, Fang Phase II Concurrent Aerobic Exercise and Cognitive Training to Prevent Alzheimer’s in At-Risk Older Adults (SBIR) Moai Technologies/National Institutes of Health/National Institute on Aging Yu, Fang Aerobic Exercise in Alzheimer’s Disease: Cognition and Hippocampal Volume Effects (R01) National Institutes of Health/National Insitute on Aging Yu, Fang Efficacy and Mechanisms of Combined Aerobic Exercise and Cognitive Training in MCI (The ACT Trial) (R01) National Institutes of Health/National Institute on Aging

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NEW APPOINTMENTS Matthew Benson, MS, joined the school as an executive office and administrative specialist in the Office of Academic Programs. Most recently, he served as a faculty development associate for Capella University. He graduated from the University of Minnesota with a bachelor’s degree in global studies and French and from Capella University with a master’s degree in higher education, leadership and administration. Khiem Duong, BA, joined the school as an administrative office assistant in the Office of the Dean. Most recently, she served as an administrator for Blackeye Roasting Co. She earned a bachelor’s degree in communications from Augsburg College.

tephanie Gingerich, DNP, RN-BC, CPN, S joined the school as a clinical assistant professor. She has over 10 years of clinical nursing and leadership experience at M Health Fairview, U of M Masonic Children’s Hospital and U of M Amplatz Children’s Hospital. Her scholarly focus includes a promotion of equitable and accessible health care systems, with an emphasis on models of international health care systems. She earned a Doctor of Nursing Practice degree with a specialty in health innovation and leadership at the University of Minnesota and a Bachelor of Science in Nursing degree at the University of Iowa. J iwoo Lee, PhD, RN, joined the school as an assistant professor. She had been a research associate at the school, with a research focus on improving children’s weight-related behaviors through increasing their parent and family support. Lee earned a PhD in Nursing with a minor in public health from the University of Minnesota. She earned master’s and bachelor’s degrees in nursing from Seoul National University. J oe St. Jacque, BS, joined the school as an academic adviser for BSN students. Most recently, he served as the director of mentorship and internship programs at Gustavus Adolphus College. He earned a bachelor’s degree in business administration and a master’s degree in leadership in student affairs from the University of St. Thomas.

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artha Scott Johnson, MA, M joins the school as a senior academic adviser for BSN students. Most recently, she served as an academic adviser in the College of Biological Sciences at the University of Minnesota. She earned a master’s degree in higher education and student affairs from the University of South Carolina and a bachelor’s degree in business administration from Appalachian State University. Russell Spafford, MS, joined the school as trial study coordinator for Exergame. He earned a master’s degree in clinical exercise physiology from University of Wisconsin River Falls and a bachelor’s degree in kinesiology from Fresno State University. mily Singerhouse, BA, joined E the school as a research professional, focused on human trafficking. She earned a bachelor’s degree in political science and global studies with a focus of human rights and a minor in leadership from the University of Minnesota. ara Stromback, BA, joined C the school as cooperative assistant in the Child and Family Health Cooperative. She previously served as a legislative assistant in the Minnesota House of Representatives. She earned a bachelor’s degree in political science and a minor in Asian languages and literature from the University of Minnesota.


Vivian Meehan graduated from the School of Nursing in 1947

ALUMNI NEWS

THE ‘FOUNDING MOTHER OF EATING DISORDER TREATMENT’ PASSES AWAY AT THE AGE OF 94

by Brett Stursa

As a nurse, Vivian Meehan understood the seriousness of her daughter’s illness when she returned from college weighing 68 pounds. But as she sought help from the medical community, she felt like her daughter’s eating disorder was minimized and information was hard to come by. With the conviction that others were struggling and that expertise was something that could be found in people without degrees, she formed a support group for people with eating disorders. From there, she launched the first helpline and referral service for people with eating disorders. Eventually she founded the first organization dedicated to eating disorders – the National Association of Anorexia Nervosa and Associated Disorders – and dedicated her life to supporting people with eating disorders.

Over the years, Meehan organized many conferences, testified before the U.S. Congress on several occasions and appeared on many national television programs. Her pioneering work garnered many accolades, including the J.P. Lippincott Creative Nursing Award presented at the White House by Rosalyn Carter, the Presidential Volunteer Action Award Citations from President Ronald Reagan, the Meehan-Hartley Leadership Award from the Academy for Eating Disorders, and the Points of Light Award from President George H.W. Bush.

“She really was the first of her kind,” said her husband Christopher Athas. Meehan, who graduated from the University of Minnesota School of Nursing in 1947, died from multiple myeloma at the age of 94. A memorial service was held in November. “She was really the founding mother of eating disorder treatment in the country,” said Stephen G. Galston, MD, who has psychiatric offices in Illinois. “She’s definitely a national figure — a motivated, passionate, warm person who cared about this patient population so much. She made the world more aware of eating disorders.”

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IN MEMORY REMEMBERED Merilys Porter Brown, BSN ’42 Helen Weyer Hartwich, BSN ’43 Renata Rolf Winsor, BSN ’43 Evelyn Kuenst Ewing BSN ’45 Marie Lann Hodgkinson, BSN ‘45 Mildred Niemi Jarnstrom, BSN ’45 Elaine Johnson Hanson, BSN ’46 June Collins Peller Moe, BSN ’46 Louise Probst Martineau, BSN ’46 Marie Renner Zdechlik, BSN ’46 Miriam Berdella McClellan, BSN ’46 Vivian Hanson Meehan, BSN ’47 Margaret Lauhala Shreffler, BSN ’48 Margaret Orth Judge, BSN ’50 Dolores Stephenson Carrier, BSN ’53 Dorothy Moe Fairbanks, BSN ’53 Marguerite Hessian-Gatz, BSN ‘54 Karen Schmidt Vorderstrasse, BSN ’59 Elaine Valdness Voss, BSN ’60 Barbara C. LaSalle Salter, BSN ’61 Ruth Schmalz VanLuven, BSN ’61 Mary Leonard Bassett, MSN ’62 Sandra Sidla Havrilla, BSN ’78 Jacquelyn Pankratz Olson, BSN ’78 Marilyn Weis Anfenson, MS ‘79

Capt. Merilys Porter Brown, BSN ’42, passed away Dec. 17, 2019, at the age of 101 years. Brown graduated from the University of Minnesota with a bachelor’s degree in nursing in 1942. After serving in the Army Nurse Corps as a Flight Nurse in WWII she returned to the University of Minnesota and completed her master’s degree in public health in 1949. From 1943-1946 she was a Flight Nurse with the 816th Medical Air Evacuation Squadron in the European Theater of Operations flying with Troop Carrier Squadrons of the 9th Army Air Corps. She evacuated wounded soldiers, including the first squadron in Normandy after D-Day and during the Battle of the Bulge. From 19511971 she was a commissioned officer in the United States Public Health Service. Her last assignment was with the Centers for Disease Control and Prevention. Renata Rolf Winsor, BSN ’43, passed away Dec. 8, 2019, at the age of 98. She graduated from University of Minnesota where she earned a bachelor’s degree in nursing in 1943. She was a nurse supervisor at Minneapolis General Hospital and often spoke of her involvement in the care of patients in 1946 during the polio epidemic.

Dorothy Moe Fairbanks, BSN ’53, passed away Oct. 16, 2019, at the age of 89 years. Fairbanks was an assistant professor at the School of Nursing from 1966 to 2002. She received the Excellence in Nursing Education Award from the Nursing Alumni Society Board in 1987. Barbara Vinson O’Grady, an influential public health leader and longtime supporter of the University of Minnesota School of Nursing and other University programs, passed away Feb. 8, 2020, at the age of 91 years. She demonstrated a commitment to improving the health and wellbeing of the broader Twin Cities community by ensuring top-quality education and collaboration among those in public health. In 1998, through a generous gift to the school, she created the Barbara O’Grady Excellence in Public Health Nursing Leadership Lecture, which supports public nursing lectures given through the School of Nursing. O’Grady served as the director of Ramsey County Public Health Nursing Service, served on the Board of Governors of the University of Minnesota Hospitals and was an assistant professor of Nursing at Gustavus Adolphus College.

Boyd Larson, BSN ’83

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CLASS NOTES Linda Fuller, DNP ’18, joined the Mayo Clinic Health System in St. Peter as a family medicine provider. Amy Hoelscher, DNP ’17, was named Retinopathy of Prematurity program manager at Children's Minnesota. Deidra Heuring, DNP ’14, was named a Fellow in the inaugural cohort of the Johnson & Johnson Nurse Innovation Fellowship. The fellowship was developed in collaboration with the Center for Creative Leadership, a top global provider of executive leadership education, and Nurse Approved, LLC, whose mission is to equip nurses with innovation and entrepreneurial skills to lead and develop products, processes and services that contribute to the betterment of health care. Heuring is a staff nurse in the Post Anesthesia Care Unit at the St. Cloud Hospital. Her DNP specialty is integrative health and healing. Kari Miller, DNP ‘14, received the March of Dimes Nurse of the Year award in the Innovative and Non-Traditional Nursing category. Miller was recognized for her achievement in driving the advancement of clinical services using technology to enhance productivity, improve member outcomes and achieve the enterprise clinical strategy. Miller is director of clinical informatics at Optum in Minneapolis. Janice Springer, DNP ’12, was awarded the 2019 Florence Nightingale Medal by the International Committee of the Red Cross, which is one of the highest international distinctions a nurse can receive. She was recognized for extraordinary service in disaster situations and in public health and nursing education. Springer co-authored the American Red Cross Disaster Health and Sheltering course, which has been used to teach more than 18,000 nursing students nationwide how to serve as Disaster Health Services volunteers. In the past 15 years she has been deployed to 15 disaster relief operations, often serving as a leader. Based in central Minnesota, Springer serves as the disaster health services advisor for the American Red Cross Minnesota Region.

Elizabeth Burnett Rogers, DNP ’09, opened a practice in Ahwatukee, Arizona. She is a psychiatric mental health nurse practitioner. She is also an adjunct professor at Arizona State University. M. Kathleen Murphy, DNP ’09, was elected chairperson of the Prevent Blindness Board of Directors at Prevent Blindness, the nation’s oldest volunteer eye health and safety organization. Murphy is a professor at the University of Texas Medical Branch at Galveston.

ALUMNI SOCIETY Board of Directors Marilyn Bach, MSN ’95, BSN ’74 Anya Butzer, BSN’18 DNP Student Representative Anna Munson Carpenter, MN ’16 Jean Carraher, DNP ’16, MS ’03, BSN ’95 Yumi Izumi Davis, MN’16 Connie White Delaney Dean Maureen J Fuchs, BSN ’92 Ann Gershone, DNP ’17 Laura Kirk, PhD ’08, MS ’97, BSN ’95

Ryannon Frederick, MS ’05, was named the chief nursing officer of Mayo Clinic. Previously, she was the chief nursing officer of Mayo Clinic in Florida. She began her Mayo Clinic career as part of a nursing internship program in 1999 before joining Mayo as a nurse in 2000. Since then, she's held roles as a nurse educator, manager and administrator.

Cheryl Lanigan, BSN ’73

Kuei-Min Chen, PhD ’00, MS ’96, was awarded the 2019 Distinguished Educator in Gerontological Nursing by the National Hartford Center of Gerontological Excellence. She is the first scholar in Taiwan to receive this honor. Chen has led development of five innovative exercise programs for older adults being used in over 200 community care centers and 20 long-term facilities in Taiwan. Chen is the director of Center for Longterm Care Research and master program of Long-Term Care in Aging at Kaohsiung Medical University.

Sheryl Ramstad, DNP ’17, MN ’13

Jaime Owens Levesque, MN ’16 Karen MacDonald, MSN ’87, BSN ’72 Shazia Mulla, MN ’17 Barbara Mullikin Director of Alumni Relations and Annual Giving Marjorie Page, DNP ’09, MSN ’95, BS ’93 Nicholas Schuler, BSN’18 Nicole Siddons, DNP ’16 Marc Skjervem Director, Office of Student & Career Advancement Services Julie Vanderboom, MSN ’88 Teri Verner, DNP ’12 Sara Weingartner BSN Student Representative

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D E V E LO P M E N T

SQUEEZE PLAY: KEMMETMUELLER EXCELS IN SOFTBALL AND NURSING by Tom Ziemer

As the University of Minnesota softball team’s bus rolled toward the airport to jet off for a weekend series, Katelyn Kemmetmueller was the only person aboard wearing hospital scrubs. That’s what happens when your clinical nursing rotation bumps up against a road trip. Even on one of the country’s top NCAA Division I softball teams—filled with talented, driven players—Kemmetmueller manages to stand out. The Bachelor of Science in Nursing student balances life on the diamond, in the clinic and in the classroom. Kemmetmueller, a senior, is set to become the first Gophers softball player to complete her nursing degree in four years, earning Academic All-Big Ten honors the past two years and National Fastpitch Coaches Association All-American Scholar Athlete status in her first year.

IN HER OWN WORDS Visit z.umn.edu/kemmetmueller to watch a video about Katelyn Kemmetmueller

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And she’s done all that while establishing herself as a defensive standout at third base, helping the Gophers reach the Women’s College World Series for the first time in school history in 2019. “We always talk about being where your feet are,” she said. “And so I tell myself when I’m in the classroom or when I’m in the hospital, I’m focused on the nursing aspect of my life. And I’m a 100% there and a 100% present. And then when I get to softball, I am focused on softball.” Kemmetmueller entered college determined to graduate with her nursing degree in four years, an ambition that brought plenty of words of caution from other schools during the recruiting process. “I had a lot of people tell me that you couldn’t do softball and do nursing,” recalls Kemmetmueller, who honed her work ethic growing up on her family’s three-generation dairy farm in Rogers,

Minnesota. “So it was always a big part when I was looking at schools, which nursing program and which softball team would be a fit if I could have both.” She’s found that fit at the U. As a recipient of the Helen Colby Nursing Scholarship, the John L. Rose Scholarship and the Robert L. Karlstrand Scholarship, as well as additional University-wide scholarships, she said the financial support freed her mind to focus on her academic and athletic pursuits. Kemmetmueller hopes to start her nursing career in a critical care setting at a children’s hospital and then eventually become a school nurse. And she plans to stay connected to softball through coaching. “I’ve put in a lot of work, both softball and school-wise,” she said, “but it’s definitely well worth it.”


EMPOWERING HEALTH CAMPAIGN

JOIN US IN EMPOWERING HEALTH Empowering Health — the School of Nursing’s $45 million philanthropic campaign — signifies the school’s steadfast commitment to the communities that are depending on us to educate the health care leaders of tomorrow. We are adamant in our commitment to advance nursing education and research. Your strategic investment today will empower our school to: • Meet the financial needs of our students by increasing the number and size of scholarships to ensure that the most promising and passionate students are able to choose nursing • Support research projects ranging from small-scale feasibility studies to predictive modeling that employs our school’s field-shaping expertise in big data science • Recruit and retain outstanding nurse educators who will teach hundreds of nursing students over their careers and strengthen our ability to attract funding for groundbreaking, faculty-led research

PREPARING NURSE LEADERS We aspire to increase the number and size of scholarships to remove the financial barriers that prevent promising students from applying and enrolling. Recruitment and retention of students of color and men in nursing are high priorities, and offering more scholarships to prelicensure students will support these goals.

Expanding our Doctor of Nursing Practice and PhD programs — both leading programs in the country — will ease dire shortages in primary care and address nursing faculty shortages. Scholarships for doctoral students will enable more nurses to choose graduate school, borrow and work less, and complete their degrees on time. We celebrate the generosity that has helped us reach 82% of our $33 million goal. Endowed scholarships and fellowships are investments with unlimited return — a skilled nursing workforce in the time of shortage, trusted care to patients and communities, and a perpetual partnership that impacts health care in Minnesota and around the world. continued on page 52

Accept the challenge. Empower future leaders. At the University of Minnesota and across the nation, students with the greatest financial need are experiencing lower rates of college admission, retention and graduation than their higher-income peers. The Bentson Scholarship Challenge provides significant incentive funding to encourage other donors to establish scholarship endowments that help low-income students at the School of Nursing and other areas of the university. To learn more, contact Maria McLemore at 612-625-1365 or mmclemor@umn.edu.

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EMPOWERING HEALTH CAMPAIGN

continued from page 51 TRANSFORMING RESEARCH The School of Nursing is empowering health with the discovery of new approaches, interventions and prevention strategies. As the cost of health care continues to increase, and the disparities widen, nurse scientists are well positioned to find simple solutions to complex health problems.

Increasingly, we rely on philanthropy to conduct preliminary studies to test methodology and show an approach is viable. Examples of privately-funded research currently underway at the School of Nursing include preventing diabetes in children in rural Minnesota, improving diagnosis and treatment of peripheral artery disease, and helping children thrive through their chemotherapy treatment. We are only 15% toward our $6 million goal to advance nurse-led research. Your investment will help transform ideas into groundbreaking results that not only impact our lives, but lay the path for innovation beyond our lifetimes. ENSURING FORWARD-THINKING FACULTY Outstanding faculty at the School of Nursing lead the way with their field-shaping research and their ability to inspire students and colleagues alike. As leaders in the school, they set the tone, the pace and the standard for excellence. Forty-five percent of the school’s current faculty are eligible to retire in the next five years, while our programs continue to grow. This is requiring us to redouble our efforts to recruit and retain the very best.

Recruiting and retaining top nursing and research talent is a highly competitive endeavor. Professorships and chairs are essential tools that enable academic institutions to attract and keep their most creative, driven and productive leaders. Professorships and chairs at the School of Nursing are used to support faculty in pushing the boundaries of their work, providing them with the time, thinking space and resources to excel in their field and empower health. To date, we are 49% toward our $6 million goal. Investments to ensure forward-thinking faculty will bring brilliant minds to classrooms today and ensure the education of future health care practitioners, faculty and scientists remains exemplary.

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Empowering Health The Campaign for the School of Nursing

It’s our time to lead – join us! $33M

Preparing nurse leaders

$45M

$6M

Overall goal by June 30, 2021

Ensuring forwardthinking faculty

$6M

Transforming research

December 2019 Campaign Progress: $36,987,704 from 7,422 donors Current gifts

Future commitments

58%

42%

All gifts and commitments made to the School of Nursing on or after June 1, 2012, will be included in the campaign totals.

BOARD OF TRUSTEES Bernie Aldrich Rimage Corporation, Retired Jeannine Bayard Past Chair UnitedHealth Group, Retired Cynthia Jurgensen Chair UnitedHealth Group Lisa Moon Treasurer University of Minnesota School of Nursing Consultant, Advocate Consulting Christine Mueller University of Minnesota School of Nursing Nancy Olson Abbott Northwestern Hospital, Retired David Rothenberger University of Minnesota Department of Surgery Sharyn Salmen Salmen Consulting Kevin Smith Kevin Lee Smith Consulting Secretary Jack Spillane National Purity Soap, LLC Nancy DeZellar Walsh Chair Elect DeZellar Walsh Consulting LLC

EX-OFFICIO MEMBERS (WITH VOTING PRIVILEGES)

HOW CAN I SUPPORT THE SCHOOL OF NURSING TODAY?

Make a gift online with your credit card https://z.umn.edu/makingagift Give by phone 612-624-3333 800-775-2187 (toll-free) Give by check University of Minnesota Foundation PO Box 860266 Minneapolis, MN 55486-0266 HOW CAN I IMPACT NURSING LEADERS, TEACHERS AND DISCOVERIES TOMORROW? You can make a commitment to support the School of Nursing through a planned gift by including the school in your will or trust or by designating it as a beneficiary of your retirement plan or life insurance policy. Learn more about how you can benefit the school by visiting give.umn.edu/waystogive or contact anyone from the development team.

John Kilbride Maria McLemore Barbara Mullikin 612-624-2428 612-625-1365 612-624-0103 kilbride@umn.edu mmeclemor@umn.edu westr073@umn.edu

Connie White Delaney Professor and Dean, University of Minnesota School of Nursing John Kilbride Director of Development, University of Minnesota School of Nursing Marjorie Page Nursing Alumni Representative Alumni Society Board of Directors

TRUSTEE EMERITI Sandra Anderson Dawn Bazarko Mary Lou Christensen Susan Forstrom Patricia Kane Marilee Miller Carolyn Schroeder

CAMPAIGN PROGRESS

For up to date Empowering Health Campaign progress and inspirational stories, visit https://z.umn.edu/empoweringhealth.

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PHOTO FINISH

SCHOOL NEWS

The Dean’s Scholarship Reception brought together more than 500 grateful students and generous benefactors at McNamara Alumni Center.

The newest inductees to the Zeta Chapter of Sigma Theta Tau International Honor Society of Nursing.

In December, the school welcomed visiting scholars from across the globe, including Associate Professor Ruihong Summer Yan, from The First Affiliated Hospital of Medical College, Shihezi University, Xinjiang, China and PhD student Aline Tsuma Gaedke Nomura, from the Federal University of Rio Grande do Sul, Brazil.

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SCHOOL NEWS

LEFT: Living Legend Marie Manthey at an October celebration of the Marie Manthey Professorship in Innovation Practices. RIGHT: Alex Iantaffi, a certified sex therapist, family therapist, Somatic Experiencing practitioner, clinical supervisor, writer and independent scholar, spoke to faculty, staff and students about gender liberation as healing justice.

PHOTO FINISH

Students in the Doctor of Nursing Practice program learned about genderaffirming approaches to health care during the school’s Enhancement and Enrichment Programming Day, which brings together students in all DNP specialties.

The school celebrating the graduation of Master of Nursing and Doctor of Nursing Practice students at a ceremony in December.

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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

LEADING THE WAY Founded in 1909 and recognized as the birthplace of university-based nurse education, the University of Minnesota School of Nursing continues to lead the profession into the future. With a mission to generate knowledge and educate leaders to shape the future of nursing and advance health care to improve the health and wellbeing of all, the school and its research are addressing health issues and improving health.

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