YBCSN collaborators Karen Meneses, PhD, RN, FAAN, Louis Josof, and Madeline Harris, MSN, RN, OCN; photograph by Mike Strawn
News for aNd about the uab school of NursiNg Spring | 2013
Throughout the UAB Health System, multidisciplinary teams are working together, not just to deliver care, but to transform it. As a full partner in this mission, the School of Nursing plays a collaborative, leadership role in improving the future of health care, here in Alabama and around the globe. Those of us committed to health care will spend our entire careers asking one central question: How can we improve health? That question, of course, leads to many more. How do we engage and empower the diverse patient populations we serve? How do we shift our focus from treating disease to promoting wellness? How do we ensure safe, quality, patient-centered care for all? The UAB School of Nursing partners with one of the premier academic health centers in the country and a world-class health system. We join our colleagues in asking those questions daily as we also explore potential solutions. We recognize that, for all the great strides made in health care, there are just as many new hurdles to overcome. According to the Centers for Disease Control and Prevention, such chronic diseases as cancer, diabetes, obesity, and heart disease account for 70 percent of all deaths in the U.S. The consequences are significant for patients, families, and communities, and yet, in many cases, these diseases are preventable. We face the Triple Aim challenges, also referred to as the “iron triangle,” of cost, access, and quality. The entire health care community must work together to contain sky-rocketing costs, dramatically improve access, and significantly enhance both the quality and coordination of care. Successful care coordination means health care providers need to engage and effectively communicate with patients, as well as each other. “Our system is so complex that only very skilled, highperforming teams can deliver positive outcomes for patients and ensure their safety during treatment—or, better yet, avoid treatment altogether by successfully preventing illness and promoting wellness,” said Dean of Nursing Doreen C. Harper, PhD, RN, FAAN. “We are committed to producing the kind of nurse leaders who can team with their colleagues across disciplines to transform health care at the highest levels—highly educated, talented, nurses who discover and use knowledge to change the world for the better.”
SUSTAINABLE SCHOLARSHIP
Our nurse scientists believe that creating a healthier population has as much to do with prevention as treatment, and that education and communication are just as critical as advanced technology. The buzzword “high-touch” (as opposed to high-tech) was featured in a recent CNN documentary called Escape Fire: The Fight to Rescue American Healthcare. The newest outreach program from the UAB School of Nursing— the Young Breast Cancer Survivors Network (YBCSN)—represents a marriage of high-touch and high-tech, combining internet and telephone information delivery with personal, targeted support for young survivors, their families, and their communities. This new network grew out of sustained interprofessional research by Karen Meneses, PhD, RN, FAAN, who is the associate dean for research at the School of Nursing and co-leader of the Cancer Control and Population Sciences Program at the UAB Comprehensive Cancer Center. Meneses has been an oncology nurse specialist and scientist for more than 30 years. Specializing in survivorship, she had personally observed a trend toward younger breast cancer survivors. A recent study published in the Journal of American Medicine brought that trend to the forefront, citing a small but statistically significant increase in advanced breast cancer survivors ages 25-39 over the past three decades. The YBCSN is developing partnerships among providers, advocates, and organizations that (1) offer pre-menopausal survivors education and support; (2) increase public and family awareness about the special needs of young survivors; and (3) facilitate networking and education by developing a website for the YBCSN. Part of a collaborative effort directed by the School of Nursing, the YBCSN is supported by the Women’s Breast Health Fund of the Community Foundation of Greater Birmingham. It is a prime example of how treatment and education go hand-in-hand to promote health and wellness. “Treatment lasts a year, at most, but these women are survivors for the rest of their lives,” Meneses said. “The more prepared they are—and the more prepared their families are—the better their lives will be. It was very gratifying to see all the resources we have at UAB, as well as those available through our community partners, come together to make this happen.”
Pictured left (from left): Nurse Anesthesia students Hollie Gray, Krista Miller, and Jeff Mathe with faculty member Laura Wright PhD, MNA, CRNA; photography by Rob Culpepper
Graduate Nurse Anesthesia Program
INNOVATIVE PROGRAMS
The School of Nursing lays the foundation for effective teamwork from the beginning and continues it through advanced degrees, with both the undergraduate and graduate education of nursing students. At UAB, a key component of education and training—both graduate and undergraduate—involves interprofessional simulations with high-fidelity mannequins. “Health professionals are expected to work as a team when they graduate,” said Jacqueline Moss, PhD, RN, FAAN, professor and chair of the Adult/Acute Health, Chronic Care and Foundations Department at the UAB School of Nursing. “It’s better to educate students as a team so they have a clear understanding of the roles and responsibilities of other team members, particularly during an emergency situation.”
Interprofessional Clinical Simulation
Though advanced technology makes simulations possible, the goal is to teach students to focus on the patient, not the technology itself. Students learn to pay close attention to subtle physical changes simulated by their mannequin-patients and to communicate effectively, not only with fellow members of the health care team, but also with emotional “family members,” sometimes portrayed by nursing faculty. These clinical simulations teach students to treat people, not just diseases, and to think and work as a patient-centered team. Nursing students at UAB participate in simulated scenarios with students from the schools of Medicine and Health Professions. They have access to three simulation labs: one in the UAB Learning Resources Center, one
at Children’s of Alabama (available to students primarily during pediatric clinical rotations there), and one at UAB Hospital, which offers an operating suite, a large classroom, a debriefing room, and five simulated hospital rooms. “I’m passionate about this,” said Marjorie White, MD, MPPM, MEd, medical co-director of the Pediatric Simulation Center at Children’s and acting co-director of the Office of Interprofessional Simulation at UAB. “We practice in teams, and many of the medical errors and other problems in health care happen because we don’t communicate well as a team. Physicians and nurses are trained differently and think differently. The simulation setting is the perfect environment for medical and nursing students to learn how to communicate before they’re responsible for a patient. Those team experiences need to begin early and continue throughout their training.” “When we bring students from Nursing and Medicine together for a simulation, there’s a great divide between them, initially,” said Penni Watts, MSN, RN, CHSE, director of simulation and training for the schools of Nursing and Health Professions. “But by the fourth scenario together, they’re very comfortable with each other and communicate much more freely and effectively.” As part of the School of Nursing’s global outreach, Watts has helped the schools of Medicine and Nursing at the University of Zambia strengthen their clinical simulation and skills lab to provide better educational opportunities for health professional students there.
The simulation lab at UAB Hospital is especially helpful to students in the nurse anesthesia program, which recently moved to the School of Nursing from the School of Health Professions. Interprofessional education for these students includes perioperative simulations designed by nurse anesthesia faculty Chad Epps, MD, and Laura Wright, PhD, MNA, CRNA, in collaboration with the School of Medicine’s Department of Anesthesiology. Epps and Wright frequently team with Watts. “Simulations offer on-demand experience,” Epps explained. “In the clinical environment, you could go months or years without exposure to a specific critical event, whereas we can make it happen immediately. By digitally streaming live video of the simulations into a classroom, we enable more students to participate in the debriefing that follows.” Debriefings like this allow our nurse anesthesia students to hone their clinical reasoning, technical, and team skills with other students, physician assistants, nurse practitioners, anesthesiologists, and anesthesia residents.
"We have to work together across all health care professions, pooling our interprofessional resources and knowledge, always centered on improving health care delivery for patients and families. That's what sets UAB apart and attracts nurse leaders." -Dean Doreen C. Harper, PhD, RN, FAAN
As our students and faculty study and train with their colleagues from other health care professions, they learn, throughout their careers, about the critical need for teamwork and communication, developing the knowledge, skills, and confidence to lead. “The stakes are higher than ever before,” said Dean Harper. “Nurses must be willing to do things differently, to be a partner in redesigning clinical care, to be innovative and open-minded. Our nurse leaders want to play a meaningful role in shaping the future of health care—understanding that interprofessional collaboration is critical. Working together, we know that we truly can transform health—and not just locally, but globally.”
COLLABORATIVE PARTNERSHIPS
Collaboration is a cornerstone of signature programs at UAB's School of Nursing, and it permeates every aspect of nursing education, research, and clinical practice. In 2011, the School of Nursing partnered with M-POWER Ministries to create a nurse-managed PATH (Providing Access to Healthcare) Clinic, spearheaded by Cindy Selleck, DSN, RN, FNP, associate dean for clinical affairs and partnerships at the School of Nursing. The school recently received a three-year, $1.4 million grant from the Health Resources and Services Administration (HRSA) to expand services at the clinic, located in an underserved Birmingham community. With this new funding, clinic hours have expanded, patient volume has dramatically increased, and a collaborative, team-based practice model is being fully developed. This innovative model involves interprofessional UAB faculty—as well as clinical and nonclinical providers—from nursing, social work, nutrition, optometry, medicine, informatics, and health information management. As faculty delve into the elements of highperforming teams, they serve as role models and educate their students in chronic disease management and care coordination. And as they deliver high-quality care here locally, they will be developing a model that can be translated, transforming care in other underserved communities globally. Already, the clinic has had a powerful impact on the Birmingham community and on the UAB Health System. More than 1,500 uninsured diabetes patients received treatment at UAB Hospital in 2011, which was costly—about $70,000 per hospitalization. And because these patients lacked access to follow-up care after discharge, their health suffered, and many of them were readmitted, often multiple times. A partnership with UAB Hospital and a contribution to help support additional clinicians, supplies, and pharmaceuticals make it possible for the PATH Clinic to treat many of those patients in a more cost-effective, enterprise-wide, and personal way. Now, these patients have access to nurse practitioners and other health care professionals who see them frequently, building a relationship and educating them about lifestyle changes that will help manage their chronic disease and prevent others.
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2 Pictured above (from left): 1. Michael Rambin, BSN, and faculty member Loretta Lee, PhD, CRNP, FNP-BC, practicing at the nurse-managed PATH Clinic at M-POWER Ministries in Birmingham, Alabama. 2. Cindy Selleck, DSN, RN, FNP, associate dean for clinical affairs and partnerships at UAB, pictured at M-Power Ministries; photography by Rob Culpepper
SUSTAINABLE SCHOLARSHIP Our nurse leaders believe that creating a healthier population has as much to do with prevention as treatment, that education and communication are Celebrating 40 Years of Doctoral Education just as critical as advanced technology. The UAB School of Nursing will be hosting the 40th Anniversary Celebration of our doctoral nursing programs in Fall 2013. We hope all of our doctoral nursing alumni will be able to join us here at the School to help us celebrate this special milestone and reflect on the rich history of the DSN, PhD, and DNP programs. Details of the events are forthcoming. Please contact the Office of Development and Alumni Relations with any questions you may have at (205) 975-8936 or nursealum@uab.edu.
Events Deliver record suPPort One great success often leads to another, and that’s exactly what’s happening with two annual events created by our Board of Visitors (BOV) and Junior Board of Visitors ( JBOV). Every year, these fundraisers heighten awareness of UAB nursing and make it possible for the school to attract and financially support the best and brightest nursing students. In 2011, the BOV replaced its annual MASH (Make Another Scholarship Happen) fundraiser with an event featuring a variety show with live performances in music and dance—Applause for the Cause: Educate a Nurse. Held at UAB’s Alys Robinson Stephens Performing Arts Center on April 26, 2012, Applause netted $90,000 for the Endowed BOV Scholarship Fund. UAB Medicine was the lead sponsor for this event, with a $25,000 gift from a coalition of donors, including BOV member Nancy Watts, BSN, RN, and her husband, UAB President Ray L. Watts, MD, former Senior Vice
President and Dean of the School of Medicine at UAB. Dr. Watts, who coordinated Medicine’s sponsorship, said the coalition’s gift reflects “the close bond that physicians and nurses have in providing care for patients and their families.” Sue Ellen Lucas, MSN, RN, who coordinated Applause and recently completed a two-year term as BOV chair, expressed her thanks: “We are honored that UAB Medicine chose to support the School of Nursing and quality nursing education.” Another winner in 2012 was the JBOV’s annual No-Show Ball, held November 4. Rather than attending an event, donors purchase totes that include dinner for four, along with wine and treats from local businesses, all delivered to their doorsteps the afternoon of No-Show. This year’s ball sold a record 482 totes—almost twice as many as last year—and netted $108,000 from the sale of totes and sponsorships, combined with gifts. NoShow 2012 was particularly close to the hearts of JBOV members, who dedicated proceeds to establish the new Seth Houston McCoin, Jr. and Elizabeth Morgan McCoin Endowed Scholarship in Pediatric Nursing. The scholarship was created in memory of Seth and Elizabeth McCoin’s twin babies, Houston and Morgan, who, sadly, lost their lives too soon with complications from their premature birth. For Seth and Elizabeth, who is a JBOV member, the scholarship offers a way to celebrate their children by creating a legacy to support lifelong learning for nurses
who deliver the kind of outstanding care they feel their babies received. “Through this scholarship, we honor the grace that has been shown and continues to be shown by Morgan and Houston’s mother and father,” said Mary Katherine Cabaniss, founding JBOV chair and a friend of the McCoin family. “And we honor nurses. We honor those special, special nurses who cared for Houston and Morgan. We honor, too, nurses of the future who will be educated at UAB’s nursing school with the help of scholarship funds that we in the JBOV are raising in memory of these babies.” JBOV Chair Ashelynn Falkenburg Smith urged continued donations, with a goal of boosting this scholarship well beyond the $100,000 mark. (To lend your support to nursing scholarships, contact UAB School of Nursing Major Gifts Officer Andrea Cofield at 205-9967453 or acofield@uab.edu.) Pictured below (from left): 1. Seth and Elizabeth McCoin 2. Dr. Bruce Burns, Eileen Meyer, Drs. Alison and David McGiffin 3. Dr. Adam Gordon and Becky Gordon 4. Mike and Sue Ellen Lucas, Gail and Ted Mills 5. Dr. Doug Rigney and Renita Rigney 6. Barbara Eddleman, Fabian Sanchez, Bill Eddleman, and Dean Doreen C. Harper 7. UAB School of Nursing JBOV members; photography by Mike Strawn
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Alumni Night 2012 School of Nursing Celebrates Distinguished Alumni The UAB School of Nursing could have no greater ambassadors than the dedicated nurse leaders who have graduated from our programs, carrying the torch for high-quality, patient-centered care. A highlight of the school’s annual Alumni Night and awards dinner is our salute to just a few of these outstanding alumni. The school’s 2012 Distinguished Alumni Award was presented to Marcia Stanhope, DSN (’81), RN, FAAN, a national leader in public and community health nursing. (See her profile on the right flap.) Also presented during this special event, held at the UAB National Alumni Society House on October 19, were two Jo Ann Barnett Awards for Compassionate Care and three Young Alumni Merit Awards. The Jo Ann Barnett Awards went to Martin Maloney (Acute/ Chronic Care), BSN (’86), RN, and Debra P. Goswick (Administration), MSHA, BSN (’12), RN. Maloney is a nurse manager at UAB Hospital CICU, where he brought about a major culture shift by playing a key role in the effort to implement open visitation. Goswick is the administrative director of nursing at St. Vincent’s East, where she implemented the clinical nurse leader role on both the medical-surgical and medical/oncology units. Young Alumni Merit Awards were presented to three recent graduates serving in Birmingham-area hospitals: Matthew Banks, MSN (’11), BSN (’09), RN; Sharon Engle, BSN (’11), RN, BS, CCRN; and Sarah Beth Slappey, BSN (’08), RN. Banks is the executive director of nursing/operations at Shelby Baptist Medical Center, where his initiatives have dramatically improved nursing care. Engle, manager of the CICU and cardiac step-down unit at St. Vincent’s East, is committed to mentoring other nurses and advocating for improved clinical practice by promoting the value of certification in her hospital and nursing community. A hematology/oncology staff nurse at UAB Hospital, Slappey regularly volunteers with M-POWER Ministries, providing nursing services and health education to the underserved, and she consistently serves as a clinic leader and patient advocate. Please join us in congratulating all of the esteemed nurses recognized during Alumni Night 2012.
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Alumni Honored by National Black Nurses Association Two of our graduates received high honors from the National Black Nurses Association in 2012. Stephanie Davis Burnett, DNP (’10), MSN (’09), RN, ACNS-BC, CRRN, was named Advanced Practice Nurse of the Year for clinical excellence at the advanced practice level. Burnett is advanced nurse coordinator for UAB Medicine. Valencia Vann, BSN (’09), RN, CLNC, was named staff nurse of the year, recognizing outstanding clinical nursing practice. Vann is a staff nurse at Children’s of Alabama. Congratulations to these UAB nurse leaders. Pictured right (from left): 1. Debra Goswick, Dean Doreen C. Harper, Sharon Engle, Megan Terrell, Connie Lee, and Kimberly Haun 2. Nancy Hazard, Marcia Stanhope, Melinda Rowe, and Carolyn Willians 3. Becky Hawkins and Jason Watkins 4. Martin Maloney and Ivy Cardwell 5. D’Ann Somerall, Pat Cleveland, Erica Lumpkin, Lindsey Harris, Shannon Glaze, and Rocky Caldwell 6. Karen Meneses, Patrick McNeese, Linda Moneyham, and Jeannie Horton 7. Erica Arnold and Martha Seahorn; photography by Mike Strawn
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UAB Nurse Leaders Inducted Into Hall of Fame The UAB School of Nursing is pleased to congratulate two of our nurse leaders on their 2012 induction into the Alabama Healthcare Hall of Fame:
JAMES L. RAPER,
DSN, JD, CRNP, FAANP, FAAN Alumnus and Associate Professor
RACHEL Z. BOOTH, PhD, RN Dean Emerita
Booth and Raper join a distinguished group of alumni and friends who are now members of the Alabama Healthcare Hall of Fame: JUANZETTA S. FLOWERS, DSN, RN (2004) Alumna, Associate Professor Emerita and Board of Visitors Member MADELINE G. HARRIS, MSN, RN, OCN (2010) Alumna FLORENCE A. HIXSON, EdD, RN (2010) Founding Dean JEAN A. KELLEY, EdD, RN, FAAN (1998) Alumna and Professor Emerita CHARLES A. (SCOTTY) McCALLUM, JR., DMD, MD (1999) Former UAB President, UAB Professor Emeritus, and Board of Visitors Member MARGARET I. MILLSAP, EdD, RN (2010) Alumna SURPORA S. THOMAS, MBA, BSN, RN, FAAN (2006) Alumna
2012 DISTINGUISHED ALUMNI MARCIA STANHOPE Marcia Stanhope, DSN, RN, FAAN, is a 1981 graduate of UAB and Professor Emeritus of the University of Kentucky (UK) College of Nursing. After earning her bachelor’s and master’s degrees in nursing from UK and Emory University, respectively, she came to UAB for her doctorate in public health nursing, with a minor in health policy and consultation. Among her most significant contributions to public health has been her continued work with underserved and vulnerable populations through her involvement with a highly successful nurse-managed clinic serving the homeless. The clinic evolved into the nationally acclaimed, nurse-managed Good Samaritan Nursing Center, providing primary care clinical services, health promotion, and preventive outreach. It has been sustained for over 25 years, thanks to Stanhope’s leadership. Stanhope has been extensively involved with the American Nurses Credentialing Center (ANCC) and has worked tirelessly to advocate for nurse certification. Among previous leadership roles she has held at the national level are president of the Association of Community Health Nursing Educators; Publications Board member for the American Public Health Association; and charter Editorial Board member for the American Journal of Public Health Nursing. Most recently, she served as a member of the Global Health special interest group at the American Academy of Nursing and co-authored the paper “Global Health Diplomacy: An Integrative Review of the Literature and Implications for Nursing,” which was published in the MarchApril 2013 issue of Nursing Outlook. In 2012, Stanhope retired from the UK College of Nursing, where she helped spearhead the first Doctor of Nursing Practice program in the country and was most recently Professor and Good Samaritan Chair in Community Health.
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