Innovations Fall 2009 in nursing and health Dawn of a New Era dream • discover • deliver In this issue... 3 9 17 27 Dawn of a New Era: The College of Nursing and Health Innovation has experienced a multitude of changes that have transformed it in the past year. 1 Dean’s Message 13 Research Path to Healthier Lifestyles 15 New Child-Teen Mental Health Center Health Promotion Changes Mission: Health promotion programs have been integrated into the college and have expanded its traditional mission. Study Targets Health Disparities Among Latinos: A multi-site NIH funded study looks at reasons and solutions to asthma disparities within the same minority population. 21 Hispanic Mothers for Health 25 National Leader Speaks on Healthcare Reform 32 New Program Profiles: RN-to-BSN Online and MS in Nutrition 31 Common Bonds Form Shared Legacy 33 Alumni Reflections 35 New Appointments 37 Professional Achievements Healthcare Reform Needs to Look to NPs as Primary Care Solution: The nurse practitioner workforce is growing and can help avoid a primary care provider shortage. 43 Publications and Presentations 47 News That Matters On the Cover: The exterior of the newly constructed College of Nursing and Health Innovation Building 2, completed just 16 months after groundbreaking, stands as a symbol of the new beginnings for the College—the dawn of a new era of innovation and forward-thinking in nursing and health-related fields. Innovations in Nursing and Health Innovations in Nursing and Health is published twice a year by the College of Nursing and Health Innovation at Arizona State University for alumni, friends of the college, national nursing and health promotion leaders, students, faculty, and the media. MISSION Our mission is to produce a publication of high-quality editorial news content and creative design to communicate the educational, research, and evidence-based initiatives of the College of Nursing and Health Innovation to its key audiences. COLLEGE OF NURSING AND HEALTH INNOVATION Dean and Distinguished Foundation Professor in Nursing Bernadette Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN Editor R. Terry Olbrysh Director of Marketing 500 N. 3rd Street Phoenix, AZ 85004-0698 Terry.Olbrysh@asu.edu 602-496-0877 Design Juliana Murphy Campbell Website http://nursingandhealth.asu.edu The College of Nursing and Health Innovation at Arizona State University operates under a 10-year accreditation through June 2014 granted by the Commission on Collegiate Nursing Education for its baccalaureate and master’s degree programs and also is approved by the Arizona Board of Nursing. The Dietetic Concentration of the BS in Nutrition has been granted Accreditation by the Commission on Accreditation for Dietetics Education of the American Dietetic Association (ADA). The Dietetic Internship program also is currently Accredited by the Commission on Accreditation for Dietetics Education of The American Dietetic Association (ADA), 120 S. Riverside Plaza, Suite 2000. Chicago, IL 60606-6995, 312/899-0040 ext. 5400. © 2009 Arizona Board of Regents. All rights reserved. The sunburst logo is a registered trademark, and the word mark is a trademark of Arizona Board of Regents. All other brands, product names, company names, trademarks and service marks used herein are the property of their respective owners. Information in this document is for informational purposes only and is subject to change without notice. dream • discover • deliver Dean’s Message W e are bombarded daily by the latest bia and Health and Human Services study The Robert Graham Center and National news on healthcare reform. The in 2008 predicts a shortage of 35,000- Association of Community Health Centers debate rages on and it is truly anyone’s 44,000 primary care physicians by 2025. estimate that more than 15,500 primary guess regarding the final outcome. An American Academy of Family Physi- care providers would be needed to serve cians 2008 report forecasts a shortfall of 30 million new patients. No matter how heated the political debate has become, there are at least two good things that have resulted from the discussions, including: (1) the recognition of the spiraling shortage of primary care providers in the U.S., and (2) the acknowledgement that nurse practitioners (NPs) can play a key role in reducing the shortage and enhancing access to quality healthcare services. The primary care provider statistics are daunting. A University of Missouri-Colum- 40,000 general practitioners by 2020. Finally, the Association of American Medical Colleges predicts a shortage of 124,000 of all doctors by 2025. These shortage forecasts are likely to become reality due to the lack of medical students currently entering family medicine. In 2008, only 2 percent of medical students planned to enter family practice compared to 14 percent in 2000, in large People often ask me: “What do we do as a nation that spent $2.4 trillion on healthcare last year?” and “Who will treat the millions of uninsured patients if universal healthcare is adopted?” My answer is that we can improve this situation dramatically with greater use of nurse practitioners in our healthcare system. The 145,000 nurse practitioners in the part due to substantially higher salaries for nation provide quality care comparable to specialists versus primary care providers. physicians, according to patient surveys Fall 2009 1 n Dawn of a New Era and the American College of Physicians. increase in Federal and state funding teamwork and collaborative decision-mak- Approximately 80,000 nurse practitioners for education programs to attract and ing, critical strategies to achieve safe, high practice in primary care settings and place increase faculty for the nation’s 343 NP quality care across healthcare settings. emphasis on health promotion and chronic programs is needed in order to prepare disease risk reduction, which is vital in an nurse practitioners to meet the need for era where the number 1 killer of Ameri- more primary care providers. cans is their behaviors (e.g., smoking, overeating, lack of physical activity), which Our faculty and staff are excited about all of the new opportunities that this merger provides to enhance our educational At ASU, with the highest enrollment programs along with our cutting-edge re- that we have ever had in our NP educa- search and clinical practice initiatives. We tional programs, we are doing our part are continually asking ourselves, “What to increase the number of NPs who will can we do in the next five years if we know provide the highest quality of evidence- we cannot fail?”, which fuels even bigger remote or underserved areas of the U.S. based healthcare services to the public. In dreams and more innovations. Their malpractice rates also are less than addition, our five NP managed health cen- 1.5 percent. Nurse practitioners are the ters provide outstanding educational sites fastest growing segment of the healthcare for our students and deliver quality care to workforce. Even with a new requirement nearly 7,000 patients on an annual basis, that NPs be doctorally prepared by 2015, many of whom would not receive care if it they can enter practice in 6 to 7 years were not for our clinics. With support from compared to 8 to 12 years for physicians. United Healthcare, we also are launching leads to morbidities such as obesity, hypertension, and cardiovascular disease. Twenty percent of NPs practice in One of the least expensive reforms we can make in our healthcare system is to empower nurse practitioners to play a leading role in providing primary care, including serving as directors of healthcare homes. However, barriers to NP practice must be removed in all states. For example, nurse practitioners only have full or independent practice authority in 22 states and the District of Columbia. The remaining states must change their regulations to grant the same authority. In a new Southwest Health Center for the Prevention and Treatment of Child and Adolescent Depression and Anxiety Disorders, which you will read about in this edition of our new Innovations in Nursing and Health magazine. With one out of four children having a mental health disorder and less than 25 percent receiving any treatment, we must do more to provide A new era has dawned for the ASU College of Nursing and Health Innovation. We have a new marquee building—our faculty, staff and students are energized—our extramural grant funding has reached record levels —and our new 2010-2015 strategic plan is nearing completion. Our future is indeed bright. The keys to our college’s many successes are our ability to stay focused on our innovative dreams, a continued willingness to take risks to discover solutions, and being able to persevere until those dreams are delivered. Fond Regards, access to badly needed mental health services for both children and adults. The recent merger of the departments addition, insurers in many states reimburse of exercise/wellness and nutrition along NPs at a lower rate than what primary care with health sciences programs into our Bernadette Melnyk, PhD, RN, CPNP/ physicians receive for the same services. college provides us with a tremendous PMHNP, FNAP, FAAN Parity on reimbursement is critical for opportunity to “walk the talk” of inter-pro- Dean and Distinguished Foundation NPs to be able to establish independent fessional education and transdisciplinary Professor in Nursing practices that will ensure greater access collaboration, which has been a hot na- to healthcare for Americans. Lastly, an tional topic and touted as a necessity for 2 Innovations in Nursing & Health dream • discover • deliver Dawn of a New Era Fall 2009 3 n Dawn of a New Era A new name, a broader mission, and new inter-professional programs uniquely position the ASU College of Nursing and Health Innovation to deliver cutting-edge solutions to health issues. T he College of Nursing and Health Innovation at Arizona State have ever had,” said Dean Melnyk. “The additional building pro- University is experiencing the most momentous change in its vides much needed space to continue to offer the highest quality 52-year history. Change has impacted every part of the col- of educational programs and the most cutting-edge research to lege—faculty and staff, leadership, curriculum, name, strategic guide best practices, as well as the opportunity to continue to mission, and facilities. Some of the change was planned, some launch innovative initiatives that will improve the health of Arizona born of the difficult economic times for the University, and some residents.” opportunistic. The new facility provides new classrooms for students. Serv- “Change is evitable everywhere today, and without change, ing as the northern gateway to the new ASU Downtown Phoenix there is no innovation,” Dean Bernadette Melnyk said in reflect- Campus, the glass and copper structure includes a 200-seat ing on the past year. “Most people fear change, but not here auditorium, student facilities, and faculty office and research at ASU. We see change as a huge opportunity for innovation space. The building includes several sustainable elements. and building strength. Our recent changes mark the dawn of a Public spaces outside the building provide shaded green areas. new era for our college and multiply opportunities for students, Silver LEED certification will be sought from the United States faculty and staff.” Green Building Council now that the building has been com- Bricks and Mortar An impressive new five story 84,000 square foot building is the most visible of the changes in the college. Construction of the building was completed in only 16 months in time to open for fall semester. “This expansion provides our college the best facilities we 4 Innovations in Nursing & Health pleted and occupied. The City of Phoenix and ASU partnered to build the campus and the new nursing building as part of a city bond issue that voters passed in 2006. Program and People Changes The new building represents the largest physical change in the dream • discover • deliver College of Nursing and Health Innovation, but it is by no means professional organization can serve as a national model, which the most dramatic. supports the work of contemporary faculty that want to solve The deep U.S. recession and concurrent decline in state tax revenues were the initial drivers of some of the recent fundamental changes in the college. Arizona’s $3 billion revenue shortfall required reductions in public university budgets, which impacted all colleges at ASU with budget reductions. Growth amid Cutbacks In early 2009, ASU Administration responded to the budget crisis by eliminating 48 degree programs and restructuring the organization to make the University more efficient. As a part of this process, several health-related programs of the former School of Applied Arts and Sciences were merged into the ASU nursing college. The Exercise and Wellness and Nutrition departments along with the pending Health Sciences program that includes the pre-med, pre-dental and pre-veterinary programs became part of the College of Nursing and Health Innovation on April 30. “Our mission has been broadened to include the other health focused disciplines that now are part of our college,” Dean Melnyk said. “This merger of these departments and programs allows us to accelerate inter-professional education and initiatives that will result in exciting academic programming for our students, innovative transdisciplinary research, and more comprehensive health services that will benefit the public. The college serves as a new national model for transdisciplinary collaboration, education, research and clinical practice while continuing to produce the highest caliber of nurses and health professionals who will transform healthcare and promote the highest level of health for the community, nation and globe.” The integration of these programs has increased the breadth and depth of collaborations that already existed among these programs in student education, externally funded research, peerreviewed publications, and in community and global initiatives. Advancing the existing collaborations among the healthcare and health promotion programs provides more unique educational opportunities for undergraduate and graduate students, enhanced research opportunities for faculty, and increased opportunities for community and global outreach. This new inter- major health challenges. The College had already moved to a more inter-professional model with the hiring of transdisciplinary faculty and the creation of new academic programs enrolling both nurses and non-nurses, so the merger was a natural strategic move. A new Healthy Lifestyles Research Center also is part of the new nursing and health college. The center’s mission is to integrate basic and translational research aimed at understanding the causes for pathologies, correlates and behaviors associated with lifestyle choices. The center also will implement and evaluate health promotion intervention programs in practice. From this foundation, which will include faculty from a diverse range of disciplines, a social ecological model of chronic disease prevention and health promotion is formed, Dean Melnyk explained. Dr. Glenn Gaesser, an internationally renowned NIH-funded researcher who investigates the roles of exercise and diet in cardiometabolic health, has been appointed director of the new center. The consolidation increases the college’s undergraduate enrollment by more than 8 percent from 2,478 to 2,682 and graduate/doctoral enrollment by more than 69 percent from 242 to 409 for a total of 3,015 students. Enrollment in the newly integrated health promotion programs has grown by 42 percent to 956 compared to 672 in fall 2008. Overall enrollment in the nursing programs is 2,057 due to an increase in graduate and doctoral students. As a result of the consolidation, the name of the college also changed from the College of Nursing and Healthcare Innovation to the College of Nursing and Health Innovation to reflect its expanded mission. Growth Requires New Leadership Structure The growth in faculty and student enrollment along with the integration of new programs has led to the need for a new organizational structure. Fall 2009 5 n Dawn of a New Era is responsible for assisting her with strategic planning and in administering the operations of the college, as well as ensuring the successful integration of the consolidated programs . “Our new organization enables a transdisciplinary approach to health and wellness,” Dr. Thatcher said. “It eliminates the silos in health education as it will create a new generation of health providers and promoters who will work closely together to produce evidence-based quality outcomes for the public.” In the new structure, Dr. Julie Fleury (associate dean for research) oversees the Healthy Lifestyles Research Center as well as both of the College’s PhD programs, including the PhD in Nursing & Healthcare Innovation and the PhD Seated, l. to r.: Dean Bernadette Melnyk, Dr. Linda Vaughan. Standing, l. to r.: Dr. David Hrabe, Dr. Craig Thatcher, Dr. Julie Fleury, Dr. Denise Link. in exercise/wellness and nutrition. Dr. David Hrabe, associate dean for academic affairs oversees all academic programs and student affairs. Dr. Linda Vaughan, assistant dean for academic affairs, Craig Thatcher, former dean of the School of Applied Arts and Sciences, joined the College of Nursing and Health Innovation as its first-ever executive dean. Dr. Thatcher received his MS, DVM and PhD (Nutritional Physiology) from Iowa State University in 1977, 1981 and 1982, respectively. He is a Diplomate of the American College of Veterinary Nutrition. Craig joined the faculty at the Virginia-Maryland Regional College of Veterinary Medicine at Virginia Tech in 1983 and was on the faculty for 25 years. He headed the College’s Large Animal Clinical Sciences Department from 1992-2004. At Virginia Tech, Craig was the Co-Director of an NSF-IGERT award titled “Macromolecular Interfaces with Life Sciences: Oxidative Processes”. In 2008, he joined the School of Applied Arts and Sciences at the Polytechnic Campus, Arizona State University as Professor and Dean. His research interest is comparative nutrition and the role of antioxidant nutrients in health and disease. In the new structure, Dr. Thatcher reports to Dean Melnyk and 6 Innovations in Nursing & Health has overall administrative responsibility for the nutrition, exercise/ wellness and health sciences programs. Dr. Denise Link is the associate dean for clinical practice and community partnerships. Nursing Undergraduate Curriculum Restructured In spring 2008, the undergraduate nursing faculty started an extensive 16 month process to redesign the prelicensure BSN curriculum to meet the American Association of Colleges of Nursing 2008 “Baccalaureate Essentials” accreditation criteria, and to be responsive to changes in the healthcare and educational systems, as well as to respond to feedback from students, community partners and nursing faculty. The final phase or the process was completed in the summer of 2009 to take effect in August for the fall semester. The new curriculum uses a learner centered, concept based approach to actively engage student learning. Clinical hours were reduced to maximize strengths and reduce inefficiencies. dream • discover • deliver The delivery model for most theory courses enhanced reusable of community, state, national, and international professional learning objects for online delivery while face-to-face meeting organizations. time has been dedicated to facilitated discussions. Range of Research Projects Broad The range of faculty research in the College of Nursing Therefore, the faculty re-conceptualized the clinical learning experience by identifying what learning must take place in a and Health Innovation is as broad as it is diverse. clinical environment and what learning can occur in other educational settings. Through this assessment faculty determined that the number of clinical practice hours could be reduced and that some previous clinical learning could now occur in theory courses. Dr. Brenda Morris, EdD, RN, CNE and Clinical Associate Active research projects range from childhood obesity to Spanish Translation and Validation of Sleep Measures to mental and behavioral problems among children to removing barriers to exercise and physical activity among adolescents and older Hispanic women. Other grants focus on a wide range of topics, including the effects of bean, mushroom and vinegar consump- Professor Barbara White MS, RN, CNE led prelicensure un- tion on cardiovascular and metabolic health, vitamin D regula- dergraduate nursing faculty in the curriculum redesign process. tion of inflammatory bowel disease, nutrition education for food Inter-professional Faculty Fusion bank recipients, as well as weight control interventions. Faculty of the ASU College of Nursing and Health Innova- Many of the college’s research initiatives focus on reduc- tion are highly talented, dedicated and diverse. Their transdis- ing health disparities among minority populations in Arizona ciplinary nature and broad expertise cover the life span from and the Southwest. nursing and healthcare in a range of specialties to health promotion and chronic disease risk reduction through exercise and wellness, nutrition and health science programs, according to Assistant Dean for Academic Affairs Linda Vaughan, PhD, who The college’s research and educational extramural funding has soared over the past few years. Currently, there is a combined total of $20 million in active grants by faculty. joined the college in the merger. While their expertise is in multiple disciplines, faculty share a strong commitment to provide excellence in teaching for students, evidence-based outcomes to accelerate research into practice, and dedicated service and advocacy to achieve healthy lifestyles and outcomes for the community and nation. As the only college in the U.S. to merge health promotion Enhanced Opportunities The measure of the success of an organizational merger of this magnitude is that it provides enhanced benefits for its key constituent audiences—students, faculty and the community. Enhanced Opportunities for Students: • Provides a wide array of transdisciplinary undergraduate and graduate courses on a variety of topics within the and science disciplines into an existant college of nursing, healthcare and health promotion fields, such as medical/ faculty work closely on research and education programs that healthcare ethics and cultural aspects of health, integrate evidence-based treatment, prevention and promotion to address conditions such as obesity, diabetes, depression • Creates opportunities for Exercise and Wellness, Nutri- and anxiety. This inter-professional organizational model and tion, and Health Sciences students to use the Col- culture inspire faculty to share their expertise with colleagues lege’s five Nurse Practitioner Managed Health Clinics as well as students and the communities they serve. as sites for supervised field experience, The 105 full-time faculty in the college also apply their expertise and experience to serving as leaders in a wide variety • Promotes transdisciplinary clinical simulations for students such as physical examination, body composition Fall 2009 7 Dawn of a New Era n assessment, bone density measurement, balance and strength measurement in a variety of clinical settings, • Allows for shared undergraduate and graduate level courses providing for inter-professional interactions of students in the classroom, • Creates faculty efficiency by consolidating graduate courses in statistics and research methods courses, which introduce graduate students to research models used across discipline boundaries. Enhanced Research Opportunities for Faculty • Creates new transdisciplinary research opportunities between the College research centers of excellence, which result in more comprehensive subject assessment by expanding the scope of outcome data collected and reported, • Provides opportunities for Nutrition, Exercise and Wellness, and Health Science faculty to utilize nursing faculty for clinical evaluations, biological sample collection, and interpretation of health data, • Creates opportunities for graduate students to collaborate with each other and their faculty on clinical, nutrition, physical activity interventions and treatment studies to reduce chronic disease, and • Results in stronger and more comprehensive college research grant applications for transdisciplinary healthcare, health promotion, and health education programs. • The college’s community healthcare centers will be able to offer a broader range of services in health promotion. These benefits will transform faculty and students from the College of Nursing and Health Innovation to better address future challenges and opportunities in healthcare and health promotion, which will ultimately make a positive impact on society. Values for Prospective Students The College of Nursing and Health Innovation is a very special and different place today than it was a few months ago. As the only nursing college not part of an academic medical center to have integrated healthcare as well as health promotion and science programs, it now provides students with more career choices in an environment dedicated to improving healthcare outcomes and healthy lifestyles. Innovation is a core principle of the college. Faculty, students and staff are encouraged to envision cutting-edge solutions to complex healthcare, health promotion and science challenges before others see them. Students are encouraged and mentored to take risks to achieve these solutions. Educational programs take an evidence-based approach to care and prevention in a transdisciplinary culture that fosters change and innovation. Unique degree programs such as the RN-to-BSN Online program, Master of Healthcare Innovation, Master’s of Nutrition in Dietetics, Master’s of Clinical Research Management, and Interdisciplinary PhD in Physical Activity, Nutrition and Health Sciences are examples of the college’s recent innovative program additions. Community Outreach and Service • Clinical partners that host College of Nursing and Health Innovation students now can address a broader range of health services, • Students enrolled in the college’s residential colleges will have the opportunity to volunteer and engage in community service activities under the direction of college faculty and staff, and 8 Innovations in Nursing & Health Conclusion According to Dean Melnyk, 2009 was a momentous year for the college. “Despite many character-builders and complex issues, our students, faculty and staff are thriving and looking forward to a bright future filled with many new opportunities.” n dream • discover • deliver New Unit Profiles Integration of Health Promotion Units Expand the College’s Traditional Mission N Nutrition: The Old and the New utrition is one of the new health promotion programs recently integrated into the College of Nursing and Health Innovation. It may be new to the college two strongest areas: Child Development and Family Studies and Foods and Nutrition. Because of the focus on building strength in the child development and food and nutrition areas, the programs in Textiles/Clothing and Consumer Economics were phased out. but that is where its relative newness ends. It actually is nearly In spring 1999, the title of the general master’s degree was double the age of its nursing program counterparts and traces changed to Master of Science in Human Nutrition. In November its history before Arizona State University adopted its name. 1999, the Arizona Board of Regents approved the transfer of the The Nutrition program has a long history at ASU. In 1909, the program was a part of Domestic Science at Tempe Normal School with the first degrees granted in 1915. During the Nutrition program to the Department of Nutrition in the School of Applied Arts & Sciences at ASU’s Polytechnic campus. On April 30, 2009, the Board of Regents approved the 1930s, Home Economics Education was the primary depart- transfer of the Nutrition program to the College of Nursing mental career emphasis, and by this time, Home Economics and Health Innovation at the Downtown Phoenix campus to graduates could earn a master’s degree in education. Subse- centralize ASU’s health-related programs at the Downtown quently, a new building was constructed to house the Child Phoenix campus. Development Laboratory and a Home Management Residence program was added to department facilities. By 1974, the preschool evolved from a nursery school to today’s Child Development Laboratory. In 1951, a new Home Economics building was completed and dedicated, and in 1990, this building’s name was changed to the Cowden Family Resources Building. Students Prepared for Diverse Careers Students completing nutrition degrees are uniquely trained to work in food and nutrition-related businesses and industries, working in communications, consumer affairs, public relations, marketing, or product development; sports nutrition and In the early 1980s, research and scholarly productivity corporate wellness programs, educating clients about the con- increased, as the priorities at the department, college and nection between food, fitness, and health; and private practice, university levels became focused on programmatic research as working under contract with healthcare or food companies. a condition for tenure and promotion. At this time, the name of Graduates also can have their own businesses, which provide the department was changed from Home Economics to Family services to foodservice or restaurant managers, food vendors, Resources and Human Development. Consequently, a deter- and distributors, athletes, nursing home residents, or company mination was made to focus on achieving excellence within the employees, as well as in community and public health set- Fall 2009 9 Dawn of a New Era n tings teaching nutrition tion with the nationally ranked Cronkite School of Journal- monitoring, advising ism and Mass Communications, is a unique opportunity for the public, and help- undergraduates to develop marketable skill sets for securing ing to improve quality challenging jobs in mass media. of life. Students who continue in the dietetics field ultimately becoming registered dietitians Program Director Dr. Carol Johnston and work in hospitals, HMOs, nursing-care or other health care facilities, educating patients about nutrition and administering medical nutrition therapy as part of the healthcare team. They may also manage the foodservice operations in these settings, as well as in schools, day-care centers, and correctional facilities, overseeing everything from food purchasing and preparation to managing staff. Carol Johnston, PhD, RD, director of the Nutrition program, said the community and general public benefit from ASU nutrition programs because a large segment of the nutritionists and registered dietitians who work in healthcare and for food service enterprises in the Valley are educated locally. In addition, nutrition faculty conduct many hours of community service in the Valley, including speaking engagements for various public and private agencies/programs and serving on advisory boards or other local committees to promote healthy lifestyles. In addition, several faculty members hold national leadership roles in prestigious professional organizations. New Innovative Offerings A new professional MS degree targeting working registered Nutrition Research Initiatives Complement Nursing ASU nutrition researchers focus on practical aspects of healthy diets and have developed intervention strategies that can be implemented immediately by individuals to reduce disease risk. In this respect, Johnston said nutrition research is complementary to the preventive objectives of nursing science. Research in the nutrition program focuses on practical aspects of healthy diets, such as simple food substitutions to enhance diet quality and reduce risk for disease: pinto beans for reducing blood cholesterol, vinegar or almonds for reducing blood glucose concentrations in diabetics, mushrooms for reducing cancer risk, and cherry juice consumption for reducing blood triglyceride concentrations. Vitamin C research at ASU has demonstrated the antihistamine properties of supplemental vitamin C (useful for reducing cold and allergy symptoms) as well as the ability of vitamin C supplements to promote the oxidation of body fat, a property that may influence weight loss success and exercise tolerance. Strategies to improve diet and nutrition knowledge among underprivileged Phoenix residents represent another focus of nutrition research, and one ASU investigator is currently funded by the U.S. Department of Agriculture to develop a farmers market network across Arizona to promote local foods. Nutrition enrollment has increased to 570 undergraduate and dietitians, the Masters in Human Nutrition Dietetics Concentra- graduate students in fall 2009, a 43.5 percent increase since tion, was added soon after the integration into the College of fall 2008. Fifty-one graduate students are included in current Nursing and Health Innovation. This program is designed to enrollment, an increase of 21 compared to the previous year. update working professionals on current research in clinical nutrition culminating in an applied project to develop or enhance professional skill sets to advance careers. (See page 25 for article.) Nutrition Communications is another innovative offering for undergraduate students. The program, conducted in associa- 10 Innovations in Nursing & Health For the Future Program director Johnston expects the Nutrition program to continue its growth. “Promotion of knowledge and strategies to reduce risk for disease and optimize health via diet presents even more opportunities for our program in the future,” Dr. Johnston said. n dream • discover • deliver I Exercise and Wellness: A Tradition of Successful Changes f ever a program was prepared to accept and adapt well to change, it is Exercise and Wellness (EXW). The program started as the “Physical Culture” department in the Normal College of Arizona in Tempe, the predecessor of ASU, in the 1880’s and has gone through various homes, organizational structures, and names since then. EXW became an independent program in 2001 when it moved to the ASU Polytechnic campus from Tempe and now has been become part of the College of Nursing and Health Innovation. Glenn Gaesser, PhD, joined the Exercise and Wellness faculty at ASU from the University of Virginia last year. He was appointed director of the Healthy Lifestyles Research Center upon its final approval in early 2009 and then also named to direct the EXW program this past summer. Given his extensive responsibilities, Dr. Gaesser has come to rely upon Pamela Swan, PhD, FACSM, for leadership support because of her 15 years experience with the EXW program at ASU. and mentoring; research, scholarship and practice by creating, synthesizing and disseminating knowledge; and service and outreach to local and global communities. The Exercise and Wellness program offers students a full complement of educational programs from baccalaureate through doctoral, according to Dr. Swan. “Our undergraduate program is strongly competency based on professional certification standards thanks to Rick Eberst, our program lecturer and a nationally recognized health promotion expert who developed them,” Dr. Swan added. “Our master’s program adds leadership and management skills to the competencies gained in the undergraduate program. The doctoral program is interdisciplinary and brings physical activity, nutrition and health together.” Enrollment Continues to Grow Enrollment has grown to more than 300 from 25 in 2001 and is expected to continue to increase given the need for qualified, educated professionals in the areas of exercise and wellness and healthy lifestyle promotion. Based on enrollment growth, the curriculum seems to be meeting the needs of students. Dameon Hahn, a graduate student who also earned his EXW undergraduate degree at ASU likes the comprehensive nature of the program. “The knowledge and skills with which the ASU Exercise and Wellness program has equipped me have been invaluable, allowing me to start ...continued on page 25 “The changes that our program has gone through over time are common to other peer programs,” Dr. Swan noted. “However, while other programs have been diminished or eliminated, our EXW program has remained intact due to the strong focus on health promotion first taken in the 1980’s.” The current EXW program mission reflects the focus on optimal health and wellness through the life span — a logical complement to the focus on prevention that nursing takes. The mission includes promotion of active living, healthy body weight, stress management, risk factor reduction, and successful aging. Dr. Swan said the mission is achieved by providing students learning experiences in classrooms, laboratories, advisement Dr. Gaesser mentors doctoral student Siddhartha Angadi. Fall 2009 11 Dawn of a New Era n H ealth Sciences is the smallest program of the three educational units to be integrated into the College of Nursing and Health Innovation. In fact, the program Health Sciences: A Critical Collaborative Link various antioxidant levels. In other studies, her lab is exploring how increased body fat leads to cardiovascular disease. Collaboration is key To foster collaboration with basic science researchers in other ASU colleges and schools, Dr. Sweazea’s lab and office are located in the School of Life Sciences (SOLS) at the Tempe campus. Her location and research enables her to works with other research scientists in the SOLS, the Department of Kinesiology, as well as her newest collaboration with the School of Biological and Health Systems Engineering. “I see Health Sciences building on the current understand- still requires ASU Curriculum and Academic Programs Commit- ing of how the body works through interdisciplinary collabora- tee (CAPC) approval before it can be built out. However, Health tions designed to examine complex physiological pathways,” the Sciences’ small stature contradicts its great potential for the ASU assistant professor said. “As new faculty are hired into the future, according to Dean Bernadette Melnyk. program, this focus will be broadened to include their expertise “Our college has not traditionally focused on bench research until now,” Dr. Melnyk said. “The integration of Health Sciences provides new opportunities for bench research and further fuels our efforts in transdisciplinary research within one college.” Karen Sweazea, PhD, assistant professor, is the first tenure track faculty to join the budding program. A graduate of the University of Arizona, Sweazea examines animals in her research to find pathways to prevent chronic diseases in humans. She is currently studying birds’ ability to tolerate their normally high blood As the basic science research progresses, I look forward to applying our findings in clinical studies with nursing and health researchers in the college.” Dr. Sweazea discovered her own path to Health Sciences in a unique way. “As a dance major, I always had a strong interest in how the body functioned and enjoyed anatomy and physiology classes in high school and college,” she explained. “I gained a passion for obesity and diabetes-related research in graduate school because of my mentor’s enthusiasm about the topic.” photo: Jacob Mayfield sugar levels without developing diabetes by characterizing their which will add to the interdisciplinary nature of the program. Maintaining Momentum Courses cannot be offered yet under the Health Sciences prefix until CAPC reviews and approves them. However, a selected number can and will be offered in spring semester 2010 as part of the Nutrition and Exercise and Wellness curricula. They will be taught by Dr. Sweazea and Dr. Bruce Oberstein, a lecturer in Health Sciences. The courses are: “Complementary Health Care” and “Cultural Aspects of Health”, which will be taught by Dr. Oberstein, and “Applied Medical/Health Care Ethics” and “Evaluation of Health Sciences Research”, which will be taught by Dr. Sweazea. 12 Innovations in Nursing & Health ...continued on page 32 dream • discover • deliver Healthy Lifestyles Research Center Builds Healthier Future and continues to increase. Physical inac- transdisciplinary and their research foci health problems are at the root of most include basic and translational research of the top ten causes of death. Unhealthy at the individual and community levels. As lifestyles are the genesis of many chronic such, faculty members will come from dis- diseases including coronary heart disease, ciplines such as Exercise and Wellness, type 2 diabetes, hypertension, stroke, Nutrition, Health Sciences, and Nursing. osteoporosis, and certain cancers. T the HLRC target the role of physical ac- background of tough economic times and chronic disease risk reduction. These life- he establishment of the Healthy Lifestyles Research Center (HLRC) came at a tumultuous time. Amidst a budget reductions, the new center was born when the Arizona Board of Regents approved it a few weeks before the Nutrition and Exercise and Wellness programs of the School of Applied Arts & Sciences were integrated into the College of Nursing and Health Innovation. Despite the circumstances of its birth, the center’s purpose stands the test of any time. Its goal is to integrate basic and translational research to understand the underlying causes for pathologies, correlates and behaviors associated with lifestyle choices, and implement and evaluate health promotion programs in practice. Glenn Gaesser, PhD, center director, said the goal of the HLRC is to develop a national center of excellence for the study and promotion of healthy lifestyles in an effort to reduce the impact of chronic, lifestyle-related diseases on The faculty affiliated with the HLRC is tivity, poor nutrition, and related behavioral The research and outreach functions of tivity, nutrition, and behavioral change on style modalities are cost-effective, with a 5-to-15-fold rate of return on investment. They are evidence-based, with a strong and consistent portfolio of data documenting the effectiveness of lifestyle interventions, and they are virtually risk free. There is no other center within the State of Arizona that bridges basic laboratory research and community implementation. “Lab bench to bedside” (for secondary and tertiary prevention) and “lab bench to park bench” (for primary prevention) accurately describe the unique scope and mission of the HLRC. Researchers share Common Purpose Center faculty come from diverse The overarching goal of the HLRC is to facilitate interactions among faculty that promote collaborative research into diverse aspects of how daily lifestyle habits and actions impact both short- and long-term health, chronic disease risk, and quality of life. Specific areas of expertise that represent some of the synergistic areas with nursing research include reduction in risk for coronary heart disease, diabetes, and metabolic syndrome; prevention of falls in older adults; weight management and energy balance; health behavior change strategies; and community health behavior change adoption. Organizationally, the Healthy Lifestyles Research Center reports to Julie Fleury, PhD, RN, FAAN, Associate Dean for Research. “The HLRC is becoming an integral and vital part of our research strategy and initiatives,” Dr. Fleury said. “It expands the scope and reach of our research.” disciplines but share a common purpose of chronic disease prevention and health promotion. The HLRC is guided by the social ecological model that Focus on Health Challenges The center’s focus is primarily on the identifies healthy lifestyles as intercon- challenges that face the nation with nected among individual health status and regard to critically important health-risk behaviors, social interactions and cultural behaviors, namely physical inactivity and traditions, community and institutional poor diet, and on understanding how the Above: A student prepares to enter a resources, and policies and ordinance interaction of aging, health status, and BOD POD™ which measures body com- decisions that influence individual and race/ethnicity impact physical inactivity position through air displacement. community health. and dietary behaviors. the U.S. population. The cost of healthcare in the United States now exceeds $2.4 trillion annually Fall 2009 13 Dawn of a New Era n The HLRC is developing, implementing, and evaluating pro- sources amounting to approximately $1 million in present value. grams to improve the lifestyles of Arizonans. In response to the Lab equipment used by the center faculty borders on the exotic state’s goal of reducing health disparities among its citizens and to the layperson. Spectrophotometers, a liquid scintillation ana- ASU’s commitment to community embeddedness, the HLRC is lyzer, Gamma counters, centrifuges, a bioelectrical impedance targeting underserved populations such as Native Americans, analysis machine, a DEXA machine [dual energy X-ray absorp- Hispanics, African-Americans, and older Arizonans. tiometry], a gradient thermocycler, and a BOD POD™ Whole Impact of Activities, Projects, and Programs HLRC faculty conduct basic science research into the effects of diet and exercise on cardiovascular function and metabolism, applied research in the efficacy of physical activity and dietary programs to modify disease processes, and effectiveness trials of evidence-based programs with community populations designed to translate research into practice. The coordination of these activities makes use of the unique diversity of expertise of the HLRC and other ASU faculty to put into practice a broad scope of evidence-based research which supports lifestyle interventions for effectively lowering chronic disease risk and healthcare costs. funding and infrastructure While the Arizona Board of Regents approved the Healthy Lifestyles Research Center, new funding was not available due to budget constraints. Consequently, HLRC faculty are pursuing extramural funding to support the center’s mission as it begins operation. Current awards to HLRC faculty, either as Principal- or Co-Investigators, are more than $4 million. Eleven grant applications are pending, totaling in excess of $2 million. The HLRC is currently located at the ASU Polytechnic Cam- Body Air Displacement Plethysmograph are but a few examples of the technology embedded in the center. Progress Made in Year One While the growth timeline for the HLRC has been impacted by funding limitations, Dr. Gaesser said the center is making progress. He pointed to a U.S. Department of Agriculture grant to form a farmers market in Arizona to increase consumption of local healthy foods as an encouraging accomplishment. Sonia VegaLópez also became the first HRLC faculty to have a published article under the center name in a professional journal on diabetes. “We also have planned our third annual national Healthy Lifestyles Conference to be held February 25 26, 2010 at the Polytechnic Campus,” the center director said. “It is our signature event to build national awareness as a center of excellence.” Ralph Felder, MD, PhD, Banner Good Samaritan Medical Center, is keynote and will speak on the“Bonus Years Diet.” More information on the conference may be obtained at http:// buildinghealthylifestyles.asu.edu, or by calling (480) 727-1945. To become a successful, self-sustaining center, the HLRC is carefully monitoring progress and setting ambitious benchmark goals for the future. Dr. Gaesser said the center seeks to double extramural funding within five years, expand collaborative, crossdisciplinary funding with ASU faculty and other research centers, pus in Mesa, Arizona, and has approximately 3,500 square feet establish a world-class external advisory board, and study fee- of dedicated space for labs and offices. When space is identi- for-service opportunities to generate new revenue streams. fied, the center will move to the ASU Downtown Phoenix campus. The equipment currently available provides HLRC-affiliated faculty with substantial reA doctoral student (left) conducts a metabolic evaluation while a client exercises on a treadmill. 14 Innovations in Nursing & Health n dream • discover • deliver Filling a Critical Gap T Southwest Health Center for Child-Teen Mental Health Disorders Established he College of Nursing and Health Innovation of Arizona The Southwest Health Center has a team of highly experi- State University has established a health center which enced psychiatric/mental health child-family nurse practitioners specializes in the treatment and prevention of child and ado- and psychologists to help address this critical healthcare need. lescent mental health disorders, Dean Bernadette Melnyk said. The center offers: The center, which is located on the ASU Downtown Phoenix campus, opened in early November. According to the Institute of Medicine (IOM), more than 2.5 million of the 42 million children and teens in the U.S. have suf- • teens for depression and/or anxiety disorders, • skills building, shortage of child psychiatrists, only 20-25 percent of children An IOM and National Research Council report in 2009 said these disorders cost the U.S. $247 billion annually and have become as common as fractured limbs among children and adolescents. Dean Melnyk, a pediatric and child-family psychiatric mental health nurse practitioner, said primary care providers (PCPs) see 75 percent of children with mental health and behavioral problems and are in a unique position to manage their cases. “However, heavy case loads limit their capacity and time to treat all patients in need,” Dr. Melnyk said. “In Arizona, five of the 15 counties do not have child psychiatrists to whom PCP’s can refer their patients.” The new center, named the Southwest Health Center for the Prevention and Treatment of Child-Adolescent Depression and Anxiety Disorders, is located within the ASU Health Center on the downtown Phoenix campus. It is funded in part by a grant from United Healthcare. Comprehensive evidence-based treatment, including cognitive behavior therapy and cognitive-behavioral fered from clinical depression in the last year. Due to a critical with mental health and behavioral problems receive treatment. Comprehensive mental health evaluation of children and • Medication management and monitoring, • Family and group therapy, and • Preventive intervention programs for children and teens with high stress levels and those at risk for depression and anxiety disorders. Dean Melnyk said plans call for tele-health services to be established at the center in the future for families who live a long distance from Phoenix. Sheila Mehlem, RN, FNP, coordinator of the Glendale (Arizona) Union District School-based Clinics, believes the center helps fill a gap in child-teen mental health and behavioral care. She manages three clinics located in Glendale high schools. “There is a shortage of child-teen mental health providers and a need for primary care providers to screen for behavioral problems,” Mehlem said. “Ten percent of adolescents experience depression often associated with other behavioral issues at least ...continued on page 22 Fall 2009 15 Dawn of a New Era n NIH Funded Study Focuses on Unexplained Asthma Disparities among Latino Populations and Alternative Medicine (NCCAM), a T formed with The Albert Einstein College practice site in Phoenix, Arizona serving center of the National Institutes of Health, of Medicine at Yeshiva University in New primarily Mexican families, and two inner- he National Center for Complementary Consortium agreements have been based health clinics and one clinical has awarded a $2.5 million grant for re- York, Phoenix Children’s Hospital, and city hospital asthma clinics in the Bronx, search of asthma disparities among Latino Scottsdale Healthcare in the Phoenix area New York serving predominantly Puerto children to the College of Nursing and to conduct the 4.5 year study. The field Rican families. Health Innovation at Arizona State Univer- research will be conducted at two school- sity, Dean Bernadette Melnyk announced. The grant is the largest in the history of the college. The NIH R01 grant is titled “Asthma Disparities in Latino Children: Acculturation, Illness Representation & Complementary Alternative Medicine (CAM).” Kimberly Sidora-Arcoleo, PhD, MPH, is Principal Investigator. Dr. Sidora-Arcoleo is an assistant professor in the Center for Children, Teens & Families at the College of Nursing and Health Innovation, the Associate Director of the Center for Healthcare Innovation & Clinical Trials, and an Early Career Faculty Fellow in the Southwest Interdisciplinary Research Center of Excellence for Health Disparities Research & Training. 16 Innovations in Nursing & Health dream • discover • deliver Asthma Disparities Increasing Racial and ethnic disparities in asthma health outcomes have ated treatment decisions (CAM and controller medication use) are two factors that need additional study. been increasing in the United States, resulting in researchers and public health officials focusing on studies to determine the causes. Compared with majority population children, minority children use controller medication less often, have less continuity of care, and visit emergency departments more frequently. Puerto Rican children have a lifetime prevalence of 19 percent compared with only 6 percent for the Mexican children, according to the Centers for Disease Control. Puerto Rican children also have the highest mortality due to asthma among all ethnic groups (40.9 per million). In contrast, Mexican American children have the lowest mortality rate (9.2 per million). The prevalence of asthma among Latino children has been Alternative Medicine Use CAM use in the U.S. has shown a marked increase in recent years, particularly among individuals with chronic illnesses, including asthma. Complementary and alternative medicine, as defined by the National Center for Complementary and Alternative Medicine (NCCAM), is a group of diverse medical and healthcare systems, practices, and products that are not presently considered to be part of conventional medicine. NCCAM groups CAM therapies into five broad domains: (1) alternative medical systems (e.g., homeopathic, naturopathic, Ayurveda, traditional Chinese medicine); (2) mind-body interventions such as meditation, prayer, and spiritual healing; (3) biologically-based increasing, primarily among Puerto Rican children. Individuals therapies (e.g., herbs, dietary supplements, and mega-vitamins); of Mexican and Puerto Rican origin constitute 73 percent of the (4) manipulative and body-based methods such as chiroprac- Latino population in the U.S. Researchers have tended to study tic or osteopathic manipulation and massage; and (5) energy Latinos as a single group but recent descriptive asthma research therapies. has confirmed differences among Latino subgroups (particularly between Mexicans and Puerto Ricans) related to prevalence, mortality and morbidity, illness beliefs, and asthma healthcare practices. Puerto Rican children exhibit the highest rates of asthma prevalence and mortality among all ethnic groups while Mexican children have the lowest rates. Perhaps of critical importance, but not extensively researched, is the role that culture, acculturation, and illness representations (i.e., the way the parent interprets health and illness which influences how he/she manages the child’s asthma) may play in parents’ asthma treatment decisions. Parental illness representations (IR) may account for the differences in the use of complementary and alternative medicine (CAM), inhaled or oral corticosteroids, and leukotriene antagonists that have been observed between Puerto Rican and Mexican families. The factors leading to asthma health disparities between Mexican and Puerto Rican children are complex, yet little research has been conducted that integrates, in one explanatory model, the multitude of factors that can lead to these disparities among Latino children. Illness representations and the associ- Little research has been conducted on the prevalence of CAM use among children and adolescents with asthma. Significant predictors of CAM use are minority status, parental poverty, immigrant status, low parental education, children with persistent symptoms, older child age, poor symptom control, higher number of doctor visits, and a family member who used CAM. Longitudinal Design The research will take the form of a longitudinal study of parental illness representations and CAM and controller medication use among a diverse sample of 300 Latino parents, primarily Mexican and Puerto Rican, and 300 children with asthma aged 5-12. This age range was selected because children in this age group typically have not assumed daily control for managing their asthma. Interviews and child spirometry assessments will be conducted at five time periods: enrollment, and 3, 6, 9 and 12 months after enrollment, for a total data collection period of 12 months. The study will address two key questions: 1) Are there differences in illness representations between Mexican and Puerto Rican parents due to social and contextual Fall 2009 17 Dawn of a New Era n factors (i.e., acculturation, education, parental age, poverty, percent of children in New York have had a lifetime diagnosis of child’s illness duration, household members with asthma, and asthma compared with 13 percent nationally. Current asthma parent-healthcare provider relationship)? prevalence among this same group has been reported as 9 2) Are disparities in asthma control between Mexican and Puerto Rican children due to differences in parents’ treatment decisions (CAM and controller medication use) and changes in illness representations over a one year period after controlling for the effects of acculturation, social and contextual factors, environmental triggers, and advice received from others? Innovation According to Dr. Sidora-Arcoleo, the study is innovative because the project moves the research from descriptive studies to a longitudinal test of a theoretically-based model. “Targeted interventions, aimed at reshaping illness representations, can be developed and implemented that integrate the family’s cultural health beliefs into the biomedical model,” the study’s principal investigator noted. “The proposed interdisciplinary multilevel study will address gaps in the evidence base and expand the framework for assessing disparities in asthma health outcomes among Latino children.” Study Sites Asthma has become one of the most chronic childhood diseases in Arizona and is the most common cause of school absenteeism due to chronic disease. Children’s hospital visits for asthma increased from 921.8 per 100,000 in 2004 to 955.2 per 100,000 in 2007. In 2003, 6 percent of children in Maricopa County received care for asthma, higher than the 4 percent national rate, yet data from two counties (Yuma and Cochise) note that Hispanic students were less likely to report having asthma (lifetime and current), than non-Hispanic whites. Arizona has the fifth largest Hispanic population: 28.6 percent of the state’s population is Hispanic or Latino (vs. 14.5 percent in the nation) and the majority is of Mexican origin (nearly 1.5 million). Arizona has higher rates for children under 18 living in poverty (28 percent) and being uninsured (16 percent) than for the nation overall: 23 and 11 percent, respectively. Asthma prevalence rates in New York City are higher than the national averages for lifetime and current diagnoses. Seventeen 18 Innovations in Nursing & Health percent compared with 5 percent nationally. Asthma is the leading cause of absences from school and the most common cause of hospitalization in children 14 and under in NYC. The Puerto Rican Latino population in New York State is estimated to be 35 percent, an increase of 30 percent over the past 10 years. Latinos fared the worst compared to other ethnic groups on 12 of 49 health indicators, according to the Minority Health Surveillance Report. This report also noted that Latinos fare the worst on 3 of 5 measures of healthcare access citing costs of healthcare visits and lack of a HCP and health insurance. The 2000 Census indicated that the largest Puerto Rican population (319,000) in the mainland U.S. lives in the Bronx. It has been reported that South Bronx, NY, has one of the highest prevalence rates for asthma for school-aged children (20-25 percent) in the country. In central Harlem and several Bronx neighborhoods, asthma affects an estimated one in four children. The period prevalence of asthma among children in the Bronx is twice the national rate (8.6 vs. 4.3 percent, respectively). A multisite study is necessary because neither site alone has sufficient numbers of both Mexican and Puerto Rican families to conduct this research independently. Approximately 300 parent/ child dyads will be recruited and enrolled from the asthma/allergy and general pediatric clinics and ER at Jacobi Medical Center and North Central Bronx Hospital (N= 150), Phoenix Children’s Hospital Breathmobile (N= 75), and the two school-based health clinics in Phoenix (N= 75). Collaborative research Principal Investigator Kimberly Sidora-Arcoleo, PhD, MPH, has formed an interdisciplinary, inter-institutional team of established, funded researchers from the fields of maternal and child health, social work, nursing, psychology, community health, and pediatric pulmonology. This collaboration integrates the team’s collective expertise in health disparities, cultural diversity and health, and CAM use for treating asthma, IRs and asthma management, community-based asthma interventions with minority populations, psychological traits associated with discrepancies dream • discover • deliver between objective and subjective assessment of asthma, and the socio-behavioral aspects of parenting as well as their experience in recruiting and retaining subjects from the proposed study sites. Dr. Sidora-Arcoleo, Assistant Professor at Arizona State University’s College of Nursing and Health Innovation is Principal Principal Investigator Investigator for the study. Dr. Sidora-Arcoleo has been part of Kimberly Sidora-Arcoleo an established program of research (the Nurse Family Partnership) over the past 19 years focusing on the socio-behavioral aspects of parenting that, in turn, have an impact on child health outcomes. Dr. Sidora-Arcoleo has been part of the Childhood Asthma Project for the past 11 years, serving as the research manager responsible for survey instrument design, data management, and statistical analyses. Co-Investigators for the study include: Flavio Marsiglia, PhD, the Distinguished Foundation Professor of Cultural Diversity and Health at ASU’s School of Social Work and the Director of the Southwest Interdisciplinary Research Center (SIRC), a national exploratory Center of Excellence on Health Disparities Research and Training Susanne Cook, PhD, RN, Assistant Professor, ASU College of Nursing and Health Innovation, Research Consultant, Arizona Asthma Coalition and the Phoenix Children’s Hospital Breathmobile program Jonathan Feldman, PhD, Assistant Professor of Psychology, Ferkauf Graduate School of Psychology, Yeshiva University and Director, Behavioral Medicine Clinic, Max and Celia Parnes Family Psychological and Psychoeducational Services Clinic at Yeshiva University Denise Serebrisky, MD, Assistant Professor of Pediatrics, Implications for Clinical/Public Health The findings from this study will contribute to knowledge of the similarities and differences that exist between Mexican and Puerto Rican families regarding asthma illness beliefs and management strategies, and how acculturation influences these factors. Healthcare providers, regardless of their practice setting, can best treat children with asthma if they understand what beliefs parents hold about what causes asthma, the nature of asthma symptoms, its course of action (chronic versus episodic), medications and alternative therapies used in treatment, and expectations for symptom resolution. If parents’ beliefs are discordant with the healthcare provider’s beliefs and are not addressed when devising the management plan, there is increased risk for non-adherence. Healthcare providers also can educate themselves as to what CAM therapies parents are using to treat their children’s asthma. By doing so, they can then take the lead in eliciting information on CAM use during their contacts with parents to ensure safety when these therapies are used, to educate parents about the advantages and disadvantages of individual CAM therapies, to provide culturally competent care, and to improve adherence to the prescribed medication regimen. If parents feel that they Yeshiva University, Director of the Jacobi Asthma and Allergy are part of the decision-making process regarding treatment of Center for Children their children’s asthma, they may be more likely to adhere to the Peggy Radford, MD, Pediatric Pulmonologist and Director of the Infant Pulmonary Function Lab and Breathmobile program at Phoenix Children’s Hospital Barbara Martindale, MS, RN, Manager of Community Health, Scottsdale Healthcare. prescribed medication regimen. Healthcare providers have an opportunity to intervene at the individual level to effect changes aimed at improving adherence to the prescribed treatment regimen through improved communication, education (both parents and themselves), and partnership with the families. Fall 2009 n 19 Dawn of a New Era n Madres para la Salud (Mothers for Health) NIH Grant Funds Study of Obesity in Hispanic Women T he National Institute of Nursing Research has awarded a $1.2 obesity-related risk and illness. For many women, the postpar- million grant to the College of Nursing and Health Innova- tum period is characterized by a decrease in physical activity and tion to study interventions to address increasing obesity among increase in the likelihood of postpartum depression (PPD) symp- Hispanic women that increases their risk of major diseases. The toms. Although physical activity has well-established beneficial study is titled “Madres para la Salud” or Mothers for Health. effects on weight management and depression, women tend to An Increasing Problem Obesity is a major public health problem among Hispanic women in the U.S. with more than 65 percent categorized as overweight or obese. Data from the National Health Interview Survey showed that overweight was 1.36 times higher in Hispanics, with Hispanics 2.09 times more likely to report inadequate levels of physical activity, compared with non-Hispanic whites. The increasing prevalence of obesity in recent decades is troublesome because overweight and obesity substantially increase the risk of chronic diseases such as cardiovascular disease (CVD) and type 2 diabetes. Among Hispanic women, under participate or decrease physical activity during childbearing years. Research Team Strengths The project brings together multi-disciplined investigators using translational research strategies focused on the reduction of health disparities. The collaborative team includes a family nurse practitioner investigator, an obstetrical nurse researcher, a basic research scientist, a physical activity scientist, a physician, as well as a biostatistician. Colleen Keller, PhD, RN-C, FNP, Professor, Arizona State the prevalence of overweight and obesity is greater than 70 University College of Nursing and Health Innovation is Principal percent as is a sedentary lifestyle. Although birthrates are falling Investigator. Other members of the research team include: in most developed countries, the birth rate among US Hispanics has risen dramatically in the last decade according to the Center for Disease Control and Prevention, which indicates the need for risk reduction efforts in a growing subgroup. Failure to lose pregnancy weight following childbirth contributes to obesity in this subgroup, with subsequent impact on 20 Innovations in Nursing & Health • Kathryn Records, PhD, RN, Co-Investigator, Associate Professor at the Arizona State University (ASU) College of Nursing and Healthcare Innovation; • Barbara Ainsworth, PhD, MPH, Professor, ASU Polytechnic Campus, Department of Physical Activity and Wellness, Co-Investigator; dream • discover • deliver • Dean Coonrod, MD, Co-Investigator, Chair of the Obstet- Allison Nagle, MSW, has been named project director for rics and Gynecology Clinic, Maricopa Medical Center; the Mothers for Health study. She most recently worked on the • Paska Permana, PhD, Co-Investigator, Research Health Scientist, Carl T. Hayden Veterans Affairs Medical Center in Phoenix; internatal partnering program at the Southwest Interdisciplinary Research Center. Data collection for the study starts in January. “Previous research has identified correlates of physical activity • Michael Belyea, PhD, Co-Investigator, Research Professor in the College of Nursing and Health Innovation. Dr. Keller has expertise conducting culturally appropriate research targeting the effects of a moderate-intensity walking dose on cardiovascular outcomes, including body fat, regional fat distribution, and blood lipids among Mexican American women. Her work has given her unique experience in recruitment, retention, measurement, and maintenance of intervention integrity in urban-dwelling minority women and has included the use of a social support model and community promotoras in program development and evaluation. Dr. Records’ also brings her years of clinical experience working in obstetrics and with postpartum women to the project. Dr. Ainsworth brings additional expertise in the study of physical activity and women, particularly women of diverse ethnicities, and will help refine the intervention. Dr. Permana’s work on fat tissue inflammation provides translational evaluation of the link between obesity and physical activity, bringing together areas of knowledge not generally combined in previous studies. Dr. Coonrod will facilitate access to subjects and conduct follow-up interventions for women with depression. Dr. Belyea will ensure timely, high-fidelity data collection, analysis, and dissemination of results. in Hispanic women, but some limitations are apparent,” Dr. Keller said. “This research addresses gaps in four areas: 1) examining the behavioral setting of the walking protocol in a communitybased setting, 2) using a culturally specific social support mechanism for increased walking effectiveness in Hispanic women, 3) testing the mechanisms for improvement in critical outcomes related to overweight and obesity in a vulnerable group, and 4) testing the dose-response of movement from sedentary activity to moderate intensity activity on critical outcomes.” According to Professor Keller, the research team will use a theory-based social support intervention program, “Madres para la Salud” (Mothers for Health), to explore the effectiveness of increased physical activity and a culturally specific intervention using physical activity “bouts” to effect changes in specific health parameters in Hispanic women following childbirth. Researchers have not determined the dose of The Research Team Kathryn Records Barbara Ainsworth Dean Coonrod Colleen Keller Paska Permana Michael Belyea Fall 2009 21 Dawn of a New Era n Allison Nagle, project director physical activity within the range recommended by the American College of Sports Medicine and the Centers for Disease Control and Prevention (ACSM and CDC) that will reduce body fatness and systemic and fat tissue inflammation in postpartum women. The effectiveness of accumulation of physical activity by performing multiple short bouts (10 minutes each) throughout the day has been the basis of major guidelines since 1995 but has not been sufficiently tested among postpartum women. The project will advance the understanding of the relationship between moderate increases in physical activity and consequent body fat loss in sedentary Hispanic women during the postpartum period and explore the relationship between PPD symptoms, physical activity, and inflammatory processes in body fat tissue. The study helps explain the mechanisms of physical activity in improving metabolic conditions in one subgroup at particularly high-risk—Hispanic women. Research DEsign and promotoras sedentary daily lives. The intervention group will benefit from an improvement of body fat levels, decrease in systemic and fat tissue inflammation, and reduction of PPD symptoms. They may have an increased awareness of walking as a way to reduce cardiovascular and diabetes risk, an opportunity for group support and fellowship, and increased awareness of community resources. Women who develop significant PPD symptoms will benefit from a thorough assessment and intervention by their primary care physician. Potential benefits to the subject include a review of the risk factors for developing obesity-associated metabolic disorders that may lead to further risk evaluation by their care providers. Southwest Health Center n ...continued from page 15 once in a given year. There simply are not enough mental health providers to which to refer them.” The school-based clinic coordinator said she welcomes the additional resources the Southwest Health Center provides and plans to refer cases to it. The holistic approach taken by nurse practitioners to care for children and adolescents with mental health disorders is especially important to her. This study uses a prospective, randomized, controlled ex- School district administrators are very concerned about the perimental design with assessments prior to and following the increased need for mental health care for students but lack the intervention. The intervention group will receive a weekly walking resources to provide care in school-based settings, Mehlem intervention for 12 months while the attention-control group will said. “However, we believe that a child that is not healthy can- receive a weekly attention-control newsletter. The women in the not learn,” she added. study will be habitually sedentary Hispanic women, age 18-35, between 6-weeks and 6-months post childbirth and who are physically able to participate in moderate intensity walking. The intervention will use promotoras to facilitate the social and group support specificity. A promotora – a peer counselor or lay health educator – is a member of the community to whom other community members turn for care, advice, information, Janet Cooper, MSN, CPNP-PC, Psych MHNP-BC has been appointed director of the center. She is a pediatric and childfamily psychiatric nurse practitioner with 27 years experience in working with children of all ages with physical and mental health disorders. Her current interests are children with depression, ADHD and anxiety disorders. The College of Nursing and Health Innovation has one of the and support. The use of peers or natural helpers has enhanced few Family Psychiatric Nurse Practitioner educational programs the cultural relevance and acceptability of health-promoting in the U.S. The program is one of eight advanced practice spe- interventions. cialties offered in its Doctor of Nursing Practice program. It also The Bottom Line Benefit The benefit to the subjects for participation in this study is learning about how to integrate walking into their previously 22 Innovations in Nursing & Health offers a graduate certificate for Mental Health Intervention Specialsm ists and the self-paced online KySS Fellowship Mental Health continuing education program. n dream • discover • deliver Prosumer Mujeres promotes Latinas’ health in Arizona communities Over the past two years, a research group in the Center for Healthy Outcomes in Aging of the College of Nursing and Health Innovation has worked with a local network of older Latina women from Mountain Park Health Center to discuss the strengths, resources, and barriers to physical activity, including acceptable types of physical activity and to develop intervention programs. Partnership with this exceptional group of women has resulted in effective recruitment and retention strategies throughout metropolitan Phoenix neighborhoods. The group’s Community Advisory Board chose the Adriana Perez, project director dinner held in late April was an exciting introduction to the board’s efforts, accomplishments and our commitment to Latina health, and an opportunity to discuss the four areas of the Advisory Board’s participation: 1) monitoring re- name, Prosumer Mujeres to reflect “empowered consumer search relevance for Latinas, 2) resource development for women.” Prosumer Mujeres also have corroborated cultur- Latina health, 3) community integration for research and ally and contextually relevant strategies and theoretical service-learning opportunities, and 4) participatory roles in support for employing a social support model to guide two forming research directions for Latina health. studies, Mujeres en Accion (Walking in Hispanic Women) and IMPACTO: Intervencion de Motivacion Para Actividad Fisica (IMPACT: Intervention to Motivate Physical Activity). Eight founding members of the board for Prosumer Prosumer Mujeres will continue to meet annually for a business dinner, where current health issues affecting Latina women can be discussed and will include a series of newsletters to communicate initiatives and activities of Mujeres recently worked with worked with local community board members in order to remain connected throughout activist Judy Butzine to support two other board members’ the year. The advice, guidance and support of Prosumer entries into an on-going art exhibit in downtown Phoe- Mujeres is evidence that community members are dem- nix. The exhibit of 20 works of art, titled Practical Acts onstrating support for Arizona State University College of of Peace Building: Recognizing the International Day of Nursing and Health Innovation in the interest of sustaining Peace and Mind-Body Wellness, will continue until Janu- integrity in Latina healthcare as community partners. ary 11, 2010 at University Center on the ASU Downtown Phoenix Campus. Prosumer Mujeres has expanded to include local and The results of their work and the importance of Latina health were showcased on NBC Nightly News (http://nursing.asu.edu/ors/aging/mujeres_video.htm), KAET Channel national community leaders with diverse professional 8 Horizonte program, the NPR Phoenix affiliate station backgrounds to help raise the visibility of the board’s KJZZ-FM, and through Radio Campesina, serving His- mission and goals in promoting Latina health, accord- panic communities of Yuma and Phoenix, Ariz.; Bakersfield, ing to Adriana Perez, project director. The first inaugural Salinas, Visalia, Calif.; and Tri-Cities, Wash. n Fall 2009 23 Dawn of a New Era n Healthcare Reform: Keeping the Patient at the Center of Care By Pat Ford-Roegner, MSW, RN, FAAN Chief Executive Officer American Academy of Nursing W ith the public, Congress and the Obama administration houses of Congress. The system’s current gaps and efforts to fill having recognized that the healthcare system is both inad- them via reform require that the nursing community be prepared equate for much of the population’s needs as well as financially unsustainable, the American Academy of Nursing (AAN) views healthcare reform as an opportunity for nursing to present the solutions it has known—and often created—for years. Innovation has always been at the center of the Academy’s ef- to promote other such innovations. Among the many valid issues that the House and Senate committees have taken on and resulting proposals address, AAN believes that nursing can have the greatest potential impact on—and could be greatly impacted as a profession by—particu- forts. While no one can yet identify exactly how the new system lar areas. In the Partnership to Fight Chronic Disease’s 2008 will work, AAN has used this need and desire for change to Almanac of Chronic Disease, past President Pamela Mitchell, promote the innovations that nurses have been developing to PhD, RN, FAHA, FAAN, underscored the human toll chronic meet the needs of the population where the system has failed. disease exacts and that nurses witness firsthand. Given the bur- Through our Raise the Voice campaign, funded by the Robert den that it imposes on individuals’ quality of life and the system’s Wood Johnson Foundation, AAN highlights “Edge Runners,” the financial viability, chronic disease must be addressed through nurse innovators who have designed and/or lead models of care policies that educate the public, offer affordable access to care, that have proven clinical outcomes for patients and cost savings and encourage coordination among providers and caregivers. for the system. Perhaps the most prominent of our Edge Run- Incidental policies such as reimbursement and interdisciplin- ners within the context of health reform is Mary Naylor, PhD, RN, ary teams must be carefully considered. Additionally, AAN is FAAN, designer of the Transitional Care Model for Frail Elderly encouraged by the bills’ increased attention to health disparities, at the University of Pennsylvania School of Nursing. Thanks to and specifically, the effort to improve data collection on these Dr. Naylor’s testimony before the Senate Finance Committee patient populations. While nurses are frequently the front-line last spring and AARP’s advocacy, legislation allowing Medicare healthcare providers working with these individuals, it is impera- to cover the model and similar transitional care services that im- tive that all providers have the resources they need to collect the prove quality and cost effectiveness have been proposed in both data relevant to the reduction of disparities. 24 Innovations in Nursing & Health dream • discover • deliver While much of the debate has turned to insurance reform— Exercise and Wellness and justly so—the Academy has continued to make the case continued from page 11 for population health and delivery reform, promoting the many alternatives to traditional care settings. Community health teams my own fitness company as I work my way through the are already in place in several states, and have the attention of masters program and towards my ultimate goal of obtaining U.S. Health and Human Services Secretary Kathleen Sebelius. a PhD so that I can conduct research and teach at the col- Expanding these models and tailoring them to communities can legiate level.” foster and improve care coordination through interdisciplinary teams that include nurses, physicians, social workers, dietitians, pharmacists, and community outreach workers, among others. universities offer PhD programs in EXW. “We have the only PhD program among the member colleges of the Southwest Nurse-managed centers and school-based health centers are Regional Chapter of the American College of Sports Medi- other settings which are gaining traction and credibility as they continue to provide quality preventative and primary care, including behavioral healthcare, to underserved adults and children. cine,” Dr. Gaesser noted. “Most of the PhD programs that focus on Exercise and Health Promotion are at East Coast universities.” The PANW program is the only program of its Regardless of the setting or method of delivery, though, it is critical that all health professionals be allowed to practice to the full extent of their training, licenses, and abilities if the public is to receive the best care possible and when it is needed. kind in Arizona. Dr. Swan credits faculty emeriti Chuck Corbin, Chris Wells and Bill Stone and former Chair and Graduate College For all of the complexities of the legislative process, however, it has become clear to the Academy and each of the hard-working coalitions of which AAN is a part that passing a substantive bill is only one (albeit significant) piece of the puzzle. Once Dean Jerry Thomas as the founders and builders of the Exercise and Wellness program. “Their achievements continue to inspire and guide us today,” Dr. Swan said. Change in EXW’s Future states and local authorities attempt to implement whatever law Program Director Gaesser said the Exercise and Wellness is passed, financing and regulatory issues will surface, many unanticipated. In the face of these challenges, all providers must be prepared to keep patients and their families at the center of the care delivered. ASU has a significant edge in that few West Coast n program will remain located at the Polytechnic campus until the students who started the program there are graduated. Plans call for the program to be moved in the future to the ASU Downtown Phoenix campus where the College of Nursing and Health Innovation is located. Pat Ford-Roegner is CEO of the American Academy of Nursing. Drs. Gaesser and Swan agree the transition into the Col- She has more than 30 years experience in national health policy lege of Nursing and Health Innovation has gone well due to and governmental affairs. She is known for her work to engage the sensitivity and support of Dean Bernadette Melnyk in in- nurses, physicians and other health professionals to be heard tegrating EXW into the college. They see a tremendous op- by policy makers at the national, state and local levels, including portunity to become lifestyles experts of national excellence the White House and Congress. Pat was a founding member that combine physical and behavioral healthcare prevention, of the National Health Policy Council, a non-profit group that health promotion and nutrition in one college. hosted presidential candidate forums on healthcare in the 1980s and 1990s. In the spirit of its tradition of change, Dr. Gaesser said, “Whatever the change…Bring it on!” n Fall 2009 25 Nurse Practitioners Key Element in Healthcare Reform to Expand Access to Primary Care N urse Practitioners can play a larger has declined. Eighty thousand nurse role in expanding access to primary practitioners practice in primary care set- healthcare services in U.S. healthcare re- tings according to the American College form if limits to their practice are resolved, of Nurse Practitioners. according to Dean Bernadette Melnyk of the Arizona State University College of “With NP enrollment and graduates up Nursing and Health Innovation. Dr. Melnyk 55 percent since 2004, we have a window made these remarks in an invited plenary of opportunity to strengthen the healthcare speech at the recent Summit on the Future workforce,” Dean Melnyk said. “We need of Primary Care in Rural and Urban Amer- to take steps to take advantage of this op- ica, sponsored by the Health Resources portunity at a time it is critically needed.” and Services Administration (HRSA). Primary Care Window of Opportunity According to the Josiah Macy, Jr. Foundation, the number of physicians who practice family or internal medicine Dean Melnyk noted that the total has declined 37 percent compared to 50 of nurse practitioners in the U.S. has years ago and only 30 percent of medical increased 27 percent to 145,000 since students today are choosing to practice in 2000 and is one of the few segments of those areas. Only two percent of students the healthcare workforce that is growing currently in medical school who respond- while the total of primary care physicians ed to another survey said they planned to 26 Innovations in Nursing & Health enter primary care practice. Thirty percent of Americans today lack a regular source of primary care and the 70 percent report they cannot obtain same day appointments with their primary care providers. Seventy million Americans, or 23 percent, are un- or under-insured, which further limits access to primary care, Dr. Melnyk added. Nurse practitioners (NP’s), who are registered nurses prepared with masters and doctoral degrees and provide a wide range of services as well as chronic and acute healthcare, can help to meet primary care needs of Americans. Research indicates that patients rate the quality of healthcare services received from NP’s as comparable to primary care physicians. Mary K. Wakefield, HRSA Administra- dream • discover • deliver tor, opened the conference attended by for NP educational programs by the gov- in Scottsdale, Arizona. The center was more than 600 healthcare professionals ernment and private foundations. established in 1977. from across the nation by focusing on the need to build and sustain the primary care workforce. “If prevention and health promotion are key to containing costs and keeping people healthy over the long run, primary care becomes the essential bedrock of healthcare reform,” Wakefield Nurse Managed Centers Key Existing nurse-managed health centers Long-term funding for NMHCs is a continuing challenge, Dean Melnyk said. Sixty-five percent of NMHC funding (NMHCs) also should be a key part of comes from grants and gifts, according to healthcare reform strategy to close the the NNCC. “A key strategy of healthcare access gap to care, Dr. Melnyk said. reform should be to increase permanent funding of these centers said. “And it has to become commonplace and to insure more equi- care for all those Americans who, instead, table insurance reimburse- depend so heavily on emergency rooms ment,” Dean Melnyk added. for care today.” NP’s Must Be Part of Health Reform In addition to her presentation at the HRSA Summit, Despite the important role in primary Dr. Melnyk has been very care that NP’s already play, Dean Melnyk active in advocating for a said they could make a larger contribution larger role in the healthcare if certain limits were resolved. She listed system for nurse practitio- the barriers as: ners with recent visits to • Capitol Hill to meet with Only 53 percent of managed care insurance providers credential NPs as primary care providers and pro- Sen. John McCain and Sen. Dean Bernadette Melnyk vide equal payment to PCP’s. • Only 22 states and the District of Columbia authorize full or indepen- • • a recent healthcare reform There are more than 250 NMHCs in 40 states serving more than 2.5 million dent practice authority for NPs. patients annually in community and col- Only 12 states and the District of the National Nursing Centers Consortium Columbia permit NPs to have full (NNCC). They provide a full range of prescription privileges. healthcare services to mostly low-income, NP-managed Health Centers are not included in Centers for Medicare and Medicaid Services demonstration projects to provide data on their patient outcomes. The ASU dean called for these barriers to be removed, as well as for more funding John Kyle’s chief health policy advisors as well as at leges of nursing settings, according to uninsured, and underinsured clients. In university settings, they provide excellent educational and practice sites for health professionals, including students of nurse practitioner programs. ASU has the oldest continuously town hall with Sen. McCain. Dean Bernadette Melnyk is a certified pediatric and child psychiatric nurse practitioner. She is one of two nursing leaders who serve on the U.S. Preventive Services Task Force which sets evidence-based screening and behavioral counseling recommendations to guide primary care practice for the nation. Dr. Melnyk also has served on the Institute of Medicine’s Healthcare Provider Sector for the Roundtable on Evidence-Based Medicine. n operating nurse managed health center Fall 2009 27 Dawn of a New Era n New Program Profiles: T RN-to-BSN Online he College of Nursing and Health Innova- tion at Arizona State University has expanded its undergraduate educational offerings starting fall semester 2009 to help associate-degree or diploma Registered Nurses obtain a Bachelor’s of Science in Nursing degree completely online. ASU Nursing is launching the RN-to-BSN program online option to support the delivery model that optimizes the mix of asynchronous online class ASU initiative to expand access to education. schedules, as well as face to face class sessions. Morris said the According to Brenda Morris RN, EdD, CNE, senior director, baccalaureate programs, the new program is designed to provide new program is primarily asynchronous with students being able to participate in classes on their own schedules. flexibility for RNs demanding schedules or for those who prefer The ASU College of Nursing and Health Innovation and the online to classroom-based learning. Dr. Morris said the degree Maricopa County Community Colleges District (MCCCD) have can be completed in 16 months of full-time, year-round study. an established Nursing Alliance. The alliance establishes the “ASU Nursing has extensive experience in delivering a quality RN-to-BSN program designed to meet the unique educational needs of the returning RN student,” Dr. Morris said. “Evidencebased practice, which is known to improve the quality of care and patient outcomes, is woven throughout our curriculum. The value of this additional educational credential to AD and diploma RN’s comes in the form of more significant job responsibilities, increased career advancement and compensation potential, as well as preparation to pursue graduate education if desired.” Diann Muzyka, PhD, RN, has been named associate director of the new program. Despite only a few weeks for fall semester enrollment, Muzyka said 23 students were admitted. The application deadline for spring semester 2010 enrollment is November 20. According to the American Association of Colleges of Nursing (AACN), there are 660 RN-to-BSN programs in the U.S., but only 96 are offered completely online. The existing ASU Nursing RN-to-BSN program uses a hybrid 28 Innovations in Nursing & Health MCCCD transfer to ASU credit limit from 64 credit hours to “up to 75” credit hours for application toward the ASU Bachelor of Science in Nursing (BSN) degree for individuals holding an unencumbered Arizona RN license or who have completed the Associate of Applied Science (AAS) in Nursing degree from MCCCD. The agreement promotes seamless articulation from MCCCD to ASU while not jeopardizing ASU program requirements and standards. The ASU College of Nursing and Health Innovation provides more baccalaureate-prepared nurses than other Arizona colleges of nursing. The college has more than 1,700 students enrolled in its baccalaureate nursing programs. With the consolidation of Exercise and Wellness, Nutrition and Health Sciences degree programs into ASU Nursing, the college has more than 2,600 undergraduate students. The ASU College of Nursing and Health Innovation is ranked in the top 8 percent of graduate nursing programs in the 2008 U.S. News & World Report rankings of nursing programs. n dream • discover • deliver E xpansion of MS in Nutrition Building out the Nutrition Curriculum with a Master Stroke said Linda Vaughan, PhD, assistant dean Dr. Vaughan served as the inaugural the Nutrition program was one of the for academic affairs. “Designed with chair of the Department of Nutrition first developments after the integration working professionals in mind, the goal when ASU established it as an indepen- of health promotion programs into the is to have a range of dietetics-concen- dent program in 2000. In her current College of Nursing and Health Innova- tration courses that will be offered one position, Vaughan coordinates the health tion. The program introduced an innova- evening a week or online, and students promotion programs on the ASU Poly- tive MS degree in Human Nutrition with a can enroll part- or full-time.” technic campus and works to integrate concentration in Dietetics. Designed for experienced registered dietitians (RDs) with more than one year of experience, the new program offers to advance skill sets within the practice of dietetics. With the increasing demand for healthier eating among Americans, the field of dietetics is a rapidly evolving and continuously advancing area with 57,000 dietitians in the U.S. That total is expected to increase to 62,000 by 2016, according to Bureau of Labor Statistics projections. Dietitians often work in healthcare settings such as hospitals, nursing care facilities and medical practices but also work in the food and pharmaceutical industries, higher education, government agencies and private practice settings. “This 30 credit degree program provides RDs with the opportunity to advance their knowledge and skills within Assistant Professor of Nutrition Keith Martin discusses the health benefits of functional foods a flexible and personalized framework,” such as wines with students during a class. Fall 2009 29 tional professional competencies that are readily applied to significant problems and issues within the field of dietetics. Objectives Tailored to Student Goals The objectives of the MS in Human Each student is required to conceptualize, design, and implement a 6 credit applied project in an area of nutrition/dietetics practice of interest to the student, according to Carol Johnston, PhD, RD, Nutrition, Dietetics Concentration are Nutrition program director. The supervis- highly individualized and tailored to each ing committee for a student in the MS in student’s goals and interests and may Human Nutrition, Dietetics Concentration include: is composed of three members, at least • Demonstrate competence in research design, statistical methods and ethical conduct in research studies Linda Vaughan, Assistant Dean for Applied Project in Area of Practice two of whom are from the Nutrition faculty. The remainder of the supervisory committee is selected by mutual agreement of the student, applied project committee chair, and program director. Dr. Johnston Integrate knowledge of mac- anticipates that nursing faculty in the col- ronutrient and micronutrient lege will participate in the applied project the new programs into the nursing and metabolism into the development committees to ensure an interdisciplinary health college. of dietary recommendation for committee. Students will be encouraged populations and individuals in to publish and/or present their findings to health and disease an appropriate professional audience. Academic Affairs • The new degree is based on the scientific foundations of nutrition and prepares students to have strong com- • Design and evaluate nutrition munication skills, computer literacy, interventions utilizing knowledge interpretive expertise, and problem- and skills in nutrition assessment solving skills. With the ongoing empha- and chronic disease risk reduc- sis on evidence-based practice within tion, prevention, and/or treatment medical nutrition therapy and other areas of dietetics, the need for RDs with • nutrition programs and interven- advanced skills has increased. Students tions and develop an understand- in this non-thesis graduate program will ing of program development develop competencies in research methods and advanced-practice knowledge Evaluate current U.S. and global • Augment student-specific in their chosen area of study that will practitioner skill sets to promote enhance their abilities to practice within expanded individual career goals. the new constructs of healthcare and health promotion. The skills and knowledge acquired during the program will enable each student to develop addi- 30 Innovations in Nursing & Health The next application deadline is April 15, 2010 for fall semester. n dream • discover • deliver Common Bonds Form Shared Legacy C limate, geographical location and environment may have been part of Daniel found himself in the bitter eration. Upon his return from Vietnam, cold of a Boston winter upon returning Daniel served in the Army Reserve, at- what brought them to Arizona years ago, from Vietnam and soon concluded that tained the rank of Colonel, and retired in but their alumni connection to the Col- warmer climates were beckoning. After 1990. He held many positions including lege of Nursing and Health Innovation is researching several BSN programs, he teaching, in-service, mobilization plan- what keeps them engaged. The legacy of decided on ASU. Being the only Vietnam ning and nursing administration. two Vietnam-era veterans and Bachelor veteran in his class, Daniel found that of Science in Nursing (BSN) alumni will “the change in environments from the war remain far beyond their years. Dr. Steven to ASU was unsettling and disconcert- Heaston, PhD, MPH, RN who is a retired ing.” Fortunately, he was able to connect Army Lieutenant Colonel (ASU class with several faculty members, including of 1978) and Daniel MacDonell, BSN, Bernita Steffl, who understood his public MHEd, CARN (ASU class of 1970) were health background. His survival skills among the first Vietnam-era veterans kicked in and he narrowed his focus to to enroll in the college’s BSN program. his studies and employment, often work- While each has a different story, the men ing evenings and weekends. share several common bonds. In 1963, Daniel MacDonell launched After graduation, Daniel focused his career on addictions and mental health his nursing career by obtaining an as- counseling for veterans and has spent sociate’s diploma from McLean-Massa- the majority of his career in Gainesville, chusetts General Hospital. Soon after, Florida, where he currently resides. he joined the Army as an officer and was Among his many career accomplish- eventually transferred to El Paso, Texas, ments Daniel became the first Certified where he developed a liking for warmer Addictions Registered Nurse (CARN) in Steve Heaston was drafted during the Vietnam War immediately after graduating with an undergraduate degree in education from Ball State University in Indiana. He was commissioned from Infantry Officer Candidate School at Ft. Benning. After his initial tour of active duty, he too decided to further his education. Arizona’s geographical location and his curiosity regarding a place he had yet to visit appealed to him, so he packed his two suitcases and traveled west to Tempe, Arizona. The public health focus at ASU immediately attracted him and provided him with his first taste of working with diverse populations. Steve graduated from the college with climates and completed a two-month Florida. He went on to obtain a Master’s a BSN in 1978 and returned to active crash course in tropical medicine. degree in Health Education and has duty in 1979. After serving a number of Finally, he set sail for Vietnam to serve committed his time to public service in years in Europe and Korea, he returned as a triage officer dressing wounds, and various capacities over the years. In his to the United States and continued to coordinating with physicians for pre- retirement he runs a group for people age specialize in public health, including a operative and post-operative care; an 50 and over who need social integration stint as the public health officer for the experience that would later differentiate and a group for people who have serious military prison at Ft. Leavenworth and him from his classmates. vision problems such as macular degen- ongoing work as an HIV/STD consul- Fall 2009 31 ASU Nursing and Health News n tant. His military duties afforded him the opportunity to return to school for a Master’s degree in Public Health from the University of Minnesota and a PhD in Public Health from Walden University. After retiring from the Army, he switched to working for the Navy as program manager for disease metrics, clinical preven- Alumni survey results are in! A first-ever alumni survey was emailed to over 3,400 Nursing alumni from the College of Nursing and Health Innovation and the results are here! We asked you to tell us what inspired you as a student, and how we can better serve your needs now as alumni. Out of the 3,400 surveys sent, 211 responded. • Nearly 60 percent indicated that it’s the compassion and commitment tive services, and deployment health for to the nursing/healthcare profession that you value most as well as active duty military. the pride of being an ASU alumnus. Steve has turned into a lifelong student • and enjoys learning on both a profes- 60 percent would like to have more networking opportunities and 49 percent of responders would like to mentor students or new graduates. sional and personal level. He takes pleasure in knowing that education helps people not only improve their career, but also sharpen their critical thinking. He is • 37 percent want to know more about evidence-based practice. • Almost half would like to go on a tour of the new Nursing and Health Innovation Building 2. a practical person but eschews dogma • and bias, preferring to remain open to new ideas, learning from experience and observation, and retaining a sense of adventure. “The PhD experience really stressed critical thinking and enabled me to see the bigger picture.” 42 percent give back to the College because of their commitment to the College AND to ensure the success of current and future students. Thank you to everyone who participated! We will do our best to select programs and special events that would be meaningful to you. If you don’t use e-mail but would like to take the survey, please call Pamela Lowe, Assistant Development Officer, at 602.496.1498. Daniel MacDonell and Dr. Steven Heaston have shared both a commitment to the military community and to education in their lives. Their experiences have given them perspective and inspired Health Sciences ...continued from page 12 and research agendas and remain them to give back. They appreciate the Linda Vaughan, PhD, assistant value of higher education and share a dean for academic affairs, has been strong desire to assist future generations instrumental in the development in their pursuit of education. Both men of the Health Sciences program. have chosen to give unrestricted sup- “Whether in football or academics, ences program is long with more port to the college via their estate plans. the key is to keep momentum going distance yet to travel. However, its In doing so, they are building their own strong,” Dr. Vaughan said. “It is new home in the College of Nursing legacy while carrying on the legacy of challenging to maintain momentum and Health Innovation and its spirit college leadership in appreciating flexibil- with ASU’s budget situation, but of innovation make for a strong base ity and change while helping to educate we are focused on advancing the from which it can continue to grow future generations. Health Sciences educational and mature. 32 n Innovations in Nursing & Health confident that the program will fulfill its potential.” The road for the Health Sci- n dream • discover • deliver Alumni Reflections Looking Back 5 Years: Nursing and the Military Robert J. Lucero RN, PhD, MPH 2nd Lt. John Schumacher RN, BNS W ow! It’s only been five years since I last graduated from ASU (BSN 00’, MPH 03”, MSN 04’), and there W hy nursing? Why the Army? These were questions people asked me when I told them I signed up for nursing school and joined the U.S. have been many changes for ASU Nursing and me. The Army. Why would I become a nurse when I can become a doctor and why four and one-half years I spent at ASU added much to my join the military, especially in a time of war? growth from an Associate Degree (95’) prepared nurse to my current standing as a nurse with a PhD (08’). During my first semester at ASU, rather than delving immediately into upper level undergraduate basic science courses, we were introduced to the professional nursing role and nursing theory. The faculty was instrumental to my understanding of the professional nursing role and “intellectual nursing practice.” During my time at ASU, nursing theory was a strong focus in the MSN program. The faculty who I connected with most seemed to be influenced strongly by nursing theory. They also had active programs of research. Their passion for teaching and most of all mentorship cultivated my knowledge, skills, and confidence to develop and conduct a research study, which has been published in the Journal of Rogerian Nursing Science. I give credit to the ASU faculty, many of who continue to teach and mentor students in the College of Nursing and Health Innovation, for helping me establish a firm foundation in research. I have no doubt that the emphasis on theory and nursing knowledge played a significant role in my decision to pursue a PhD in Nursing. After graduating from Columbia, one of the top three schools of nursing in the U.S., as the first Hispanic ever to receive a PhD in the 30 year history of its program, I began a new phase of my professional nursing career as a Postdoctoral Fellow at the Columbia University School of Nursing in New York. I look forward to representing ASU’s tradition of nursing excellence in my role as a researcher and educator. Though doctors are the ones who prescribe medicine, determine treatments, and perform surgeries; nurses are truly the face of medicine. I wanted to be there for my patients the way my nurses in the past were there for me. I believe that a nurse plays a vital role in helping patients heal holistically not just physically. I felt that pursuing a career as a medical doctor would not allow me to help my patients on a more intimate scale that I felt they deserved. Since I was a little boy, I always knew I would find myself in some kind of military uniform, not sure which one though, but I felt the call to serve at a young age. In high school I was going to enlist in the Marines but my father, prior enlisted Navy, stressed to me the importance of a college education first and to join after college as an officer. Not knowing what I should do I followed his advice and enrolled in college. Many months and hard decisions later I found myself at Arizona State University and enrolled in the Army ROTC (Reserve Officers’ Training Corps) program with a designated degree of political science. Sophomore year I had a change of heart and decided to switch my major to nursing. After reading articles and watching documentaries about the medical care injured soldiers were receiving on the battlefield, en route, and at the medical treatment facilities, I knew this was what I wanted to do. Being a soldier and serving your country is one of the greatest honors and it’s my privilege and opportunity to be able to take care of them and their families in their times of need. Following graduation from the College of Nursing and Health Innovation in December 2008, I took time off to study for my nursing boards Fall 2009 33 ASU Nursing and Health News n From the Alumni President F before I began the Officer Basic Leader- irst, I want to extend my personal appreciation to the Alumni Chapter Board of Di- ship Course at Fort Sam Houston, Texas. rectors for an outstanding, busy and productive 2008-2009 year. Special thanks The Army Medical Department (AMEDD) to Carol Rogers our now, past-president for her support, commitment and elegant officer basic course was 9 weeks long in leadership. In addition, we are saying farewell to a number of highly committed, which all of the newly commissioned army hard-working, lifetime supporting officers, Fran Johnson, Nancy Tucker, and Kath- medical officers (nurses, doctors, dentists, leen Lupone. Dr. Denise Link is leaving her long held position as Faculty Liaison. The social workers, PA’s, etc.) were trained on new board roster is posted on our website http://nursingandhealth.asu.edu/alumni. basic soldiering and officer skills. This past May, the Alumni Chapter initiated a new social and fundraising activity My first duty station is at Landstuhl A Celebration of Nursing, which will be held during Nurses’ Week each spring. In Regional Medical Center (LRMC) in Land- honor of Florence Nightingale’s birthday, we snacked on tea and biscuits and had stuhl, Germany where I work alongside the opportunity to bid on and purchase over 40 silent auction items. It was a lovely other Army, Air Force, Navy, Marines, mid-morning event and an opportunity for alumni, students, faculty and families to and American and German civilians. The gather, visit and enjoy each other. The proceeds will support our new partnership hospital is the primary medical treat- with the School of Nursing in Vietnam, our scholarships and future chapter activi- ment facility for casualties injured during ties. We wish to thank Dean Bernadette Melnyk for her support of this and our other Operation Enduring Freedom in Afghani- chapter initiatives and for being able to join us at our Celebration of Nursing. stan and Operation Iraqi Freedom along The Alumni Chapter has ‘adopted’ the new BSN program at the Ho Chi Minh with other soldiers and their dependents throughout Europe, Southwest Asia, and the Middle East. I am still in my first weeks here at LRMC and getting adjusted and University of Medicine & Pharmacy in Vietnam. We donated $500 from our Celebration of Nursing fundraiser to the School of Nursing and they plan to use the money to add hand-washing stations to their student learning laboratory and to create individual learning stations within their student lab. These funds were presented to the in processing to the hospital and to the Director of Nursing by Roxena Wotring and me. Another Alumni Chapter member, medical/surgical ward on which I will be working. In the next couple of weeks I will begin the nurse preceptor program, which includes rotations to various units around the hospital and a one-to-one preceptorship on my home unit. My goal is to attend the ICU or ER course the Army offers at Fort Sam Houston and eventually become a flight nurse. The knowledge and experiences that I gained at the ASU College of Nursing and Health Innovation have set me up for suc- Dr. Susan Mattson (emeritus), also was in Vietnam with the Vital Links for Humanity Medical Mission and she worked with the nurses in the maternity unit and mentored nurses in current research-based practice. All have agreed to return next summer to continue this mission. With the fall semester underway, the Alumni Chapter will be planning a holiday celebration, setting dates for our (Nursing) Movie Matinees and preparing for student scholarship applications and Alumni Award nominations. We look forward to meeting alumni from the Exercise/Wellness, Nutrition and Health Sciences programs. As always, we want to provide a cadre of activities that will invite, intrigue and involve our membership and we would welcome suggestions, participation and support. All of the Board of Directors sends wishes for an exciting 2009-2010 year. cess as an Army RN and future endeav- Best Wishes, ors. I want to thank the nursing faculty, Rojann Alpers staff, and ROTC cadre that made my time at ASU a success, because without them I would not be where I am today. 34 Innovations in Nursing & Health n Rojann R. Alpers, PhD, RN, Class of 1977 and 1983 • Email: rojann@asu.edu Office: 602.496.0813 • ASU Faculty Senate President’s Office: 480.965.9243 dream • discover • deliver new appointments Menon named Pamela Kidd Distinguished Research Professor Usha Menon, PhD, RN has joined the College of Nursing and Health Innovation as the Pamela Kidd Distinguished Research Professor. Prior to joining ASU, Dr. Menon was a tenured associate professor at the University of Illinois - Chicago (UIC) College of Nursing Gilbert Named Director of Entrepreneurial Program Jack Gilbert has been named director, Master of Healthcare Innovation (MHI) Program at the College of Nursing and Health Innovation at ASU, Associate Dean for Academic Affairs David Hrabe announced. and served as co-director of the Community A noted expert in organizational ethics and Engagement & Research Core of the Center integrity, an award-winning author, presenter, for Clinical Translational Sciences and Co-PI entrepreneur and consultant, Gilbert joins of the Cancer Education and Career Develop- ASU from New Page Consulting, Inc. for ment Program to train pre- and post-doctoral which he served as president since 2002. fellows across biological and behavioral His career has focused on issues of leader- cancer control research. ship, organizational and personal integrity, Her NIH funded research focuses on the and large-scale change for clients in health- development and testing of tailored interven- care and other industries. The new direc- tions to increase cancer screening behavior. A tor also was responsible for management major emphasis of this research has been on engineering at a 600 bed hospital in Canada the reduction of health disparities in cancer earlier in his career. prevention and increasing early detection among vulnerable populations. Dr. Menon, a nationally recognized expert in behavior change theory and interventions, is a frequent consultant and speaker to international groups of researchers, clinicians, and community members. She also serves as a Visiting Scientist at Mayo Clinic Arizona in the Department of Research-Health Disparities where she will develop cancer disparities research and Usha Menon MHI offers a futuristic, multidisciplinary, educational approach to the development of healthcare leaders who base decisions upon the best evidence available. The graduate program provides students new processes to develop innovative, immediate solutions to existing or potential healthcare problems in both traditional and non-traditional healthcare organizations. assist with advancement of nursing research. Gilbert has an EdD degree from George Pamela Kidd, PhD, ARPN, CEN, for whom Washington University, where his disserta- the professorship is named, was a highly tion focused on the role of ethics in the respected professor, researcher and associate decision-making processfor senior execu- dean who worked as a nurse and nurse prac- tives. He is a fellow of the American College titioner while she taught at the College from of Healthcare Executives and a recipient of 2000 until her untimely death in 2003. its Service Award. Jack Gilbert Fall 2009 35 n ASU Nursing and Health News Statistician Joins College Laura Szalacha, EdD, joined the College of Nursing and Health Innovation as Statistician and an associate research professor in the Office of Research & Scholarship. She was most recently Biostatistician and Assistant Research Professor at the College of Nursing at the University of IllinoisChicago where, in addition to research activities, she developed and taught the core Laura Szalacha statistics sequence for doctoral students. Szalacha was trained in human development and psychology as well as research methodologies, both quantitative and qualitative, earning her doctorate from Harvard University in 2001. She has extensive experience as a statistician on several longitudinal studies of health disparities, working particularly with underserved minority and marginalized populations. Her intervention study experiences include studies of breast, cervical and colon cancer screening among South Asian immigrants, Korean Americans, Dan Weberg Manuela Vital 36 and American veterans; nurse-managed care and STIs with low-income African Szalacha is presently studying relationships among sexual identity, substance use and childhood sexual abuse among adult lesbians and is examining various physical and mental health issues in the Australian Longitudinal Study of Women’s Health. Weberg Named to Continuing Education Post Dan Weberg, RN, CEN, MHI has been named director of the Academy for Continuing Education (ACE) for the college. Weberg brings an entrepreneurial spirit to the continuing education program. ACE’s mission is to facilitate life-long learning by continuing to meet the educational needs of professional healthcare providers by offering conferences, workshops and short non-credit courses on a wide variety of topics. Weberg attended the College of Nursing and Health Innovation at Arizona State University and was graduated with his Bachelor of Science in Nursing in 2005 and a Master of Healthcare Innovation degree in August 2008. After earning his BSN degree, he worked as an emergency room and trauma nurse at both UCLA and Scottsdale Healthcare. In June 2006, Weberg earned his national Certification in Emergency Nursing. American females, and acculturation among In other appointments... immigrants from the former Soviet Union. Manuela Vital has joined the Center for the Advance- As a developmental psychologist, her work ment of Evidence-based Practice as the Coordinator of has a concentrated focus on adolescent the Pan American Health Organization (PAHO) Technical development, particularly marginalized Agreement.… Linda Searcy has joined the HR/Payroll/ groups, such as LGBT youth and children Facilities team at the college...Debra Fisher has been from immigrant families in schools. These promoted to Senior Research Advancement Specialist in studies include cross-cultural analyses of the Office of Research and Scholarship…Cammy Cecil, normative development of Puerto Rican, research advancement accountant, has joined the Busi- Dominican, Cambodian and Portuguese ness Services team...Pamela Lowe joined the college youth, and developmental milestones of as assistant development officer to oversee the Annual young Puerto Rican adults. Giving Society and manage scholarships. Innovations in Nursing & Health n dream • discover • deliver professional achievements grants David Coon, PhD received grants from the Department of Health and Human Services (HHS) to improve support services to family caregivers of persons with Barbara Ainsworth, PhD, MPH received funding from the American College of Sports Medicine Foundation (ACSM) for a study “Descriptive Epidemiology of Physical Activity Space.” Stephen Herrmann, an Exercise and Wellness graduate stu- serious physical and cognitive limitations, such as Alzheimer’s disease. He is ASU’s principal investigator for the five grants funded by the HHS U.S. Administration on Aging. The grants involve other agencies and healthcare providers. dent, is co-investigator. Cheryl DerAnanian Kimberly Arcoleo, PhD, MPH and co-investigator, Susanne Cook, PhD, Cheryl DerAnanian, PhD, MS is prin- RN, received funding from NIH, NCCAM cipal investigator of the “Interdisciplin- for her research on Asthma Disparities ary Community-Based Falls Prevention in Latino Children: Acculturation, Illness Program” study funded by the American Representations & CAM. This study is College of Sports Medicine Founda- a multi-level examination of co-varying tion (ACSM). Melanie Mitros (student) influences (sociodemographic, cultural, serves as co-investigator on this grant. experiential, environmental, and healthcare Cheryl DerAnanian, PhD, MS, princi- system) on disparities in asthma control pal investigator, was funded through the among Mexican and Puerto Rican children. (See article on page 16.) Kimberly Arcoleo, PhD, MPH was awarded a Southwest Interdisciplinary Research Center grant for her study David Coon American College of Sports Medicine Foundation (ACSM) for her study “Using Facebook to Promote Physical Activity Evelyn Cesarotti, PhD, RN-C, FNP, GNP received a HRSA grant for her and Fruit and Vegetable Intake in College Students”. Shannon Smith (student) is a Advanced Education Nursing Traineeship co-investigator for this study. ment Decisions, and Successful Manage- (AENT). Shannon Dirksen, PhD, RN, principal in- ment Strategies among Latino Parents”. Angela Chia-Chen Chen, PhD, RN, vestigator, and Michael Belyea, PhD, co- This qualitative study will explore the PMHNP-BC is principal investigator of similarities and differences in Mexican “Intergenerational acculturation conflicts and Puerto Rican parents’ asthma illness and parent-perceived discrimination representations, examine the impact of among Chinese American families: Links ters Among Prostate Cancer Patients”. acculturation on illness representations to supportive parenting and adolescent Bronwynne Evans, PhD, RN received a and treatment decisions, and identify suc- depressive symptoms” recently funded NIH/NNR grant for “The Caregiving Tra- cessful strategies for overcoming barriers by Sigma Theta Tau International Beta jectory for Community-Dwelling Mexican to obtaining optimal asthma healthcare for Upsilon Chapter Nancy Melvin Research American Elders” study and Ebere Ume, their children. Grant. first-year PhD student and co-investigator, “Asthma Illness Representations, Treat- investigator, received a National Institutes of Health/National Cancer Institute grant for their study, “Profile of Symptom Clus- Fall 2009 37 n ASU Nursing and Health News received a Diversity Supplement. by Women & Philanthropy. It supports nel costs for one year to perform 400 HIV Colleen Keller, PhD, RN-C, FAHA and healthcare services provided by nurse tests. co-investigator, Nelma Shearer, PhD, practitioners on the Wellness On Wheels – Title X Family Planning Program funding. RN secured a HRSA grant for their study (WOW) van. “Geriatric Nursing in Rural Arizona”. – The Cook’s Tour Grant from Valley Pres- ily Planning Council and Grace Lutheran byterian women. The women of the Valley Church in central Phoenix, this funding Presbyterian church in Paradise Valley supports the Breaking the Cycle clinic. annually sponsor a house tour that includes Uninsured men and women are able to a meal. Funds raised by the event are obtain free or low cost reproductive health provided to a variety of organizations. This services. They contract with AFPC to pro- award was used to pay for cancer screen- vide these services to a minimum of 1600 ing tests in men at Community Health Ser- unduplicated clients each year. In collaboration with the Arizona Fam- vices in Scottsdale and women at Breaking The Cycle Health Center in Phoenix. Colleen Keller and Nelma Shearer Colleen Keller, PhD, RN-C, FNAP received a NIH/NNR grant for her study “Madres para la Salud (Mothers for Health)”. Co-investigators include Kathie Records, PhD, RN, Michael Belyea, PhD, Barbara Ainsworth, PhD, MPH and Mary Mays, PhD. (See article on page 21.) Denise Link, PhD, RNP, WHNP – Principal Investigator for a grant from the Arizona Department of Health Services to expand access to primary care through Keith Martin, PhD and Carol Johnston, PhD, RD, co-investigator, received a grant – Arizona Health Facilities Authority from Mannatech, Inc. for their research on Primary Care Grant funding to support the effect of a polysaccharide supplement primary care for underserved vulnerable with aloe on the bioavailability of dietary populations. The award is being used to antioxidants in healthy adults. fund clinical staff salaries at the North Tempe Community Center nurse-managed health center. Bernadette Melnyk, PhD, RN, CPNP/ PMHNP, FNAP, FAAN received a NIH/ NNR grant for the “COPE/Healthy Life- – Centers for Disease Control & Preven- styles for Teens: A School-Based RCT” tion funding for an HIV Integration Project. project. Co-investigators on the project are The award is provided by the CDC/Office Michael Belyea, PhD, Diana Jacobson, of Population Affairs to provide universal RN, MS, CPNP, Mary Mays, PhD, Judy rapid HIV testing in family planning clinics. O’Haver, PhD, RN, CPNP, Gabe Shaibi, The funds pay for supplies and person- PhD, PT and Leigh Small, PhD, RN, CPNP-PC. multigenerational community centers. Adriana Rivera, MSN, RN, ANP was – United Healthcare continued funding funded through the American Academy to support efforts to increase access to of Nursing for the “Building Academic healthcare in underserved communities Geriatric Nursing Capacity Post-doctoral and neighborhoods. This award is being Fellowship.” used to fund salaries for clinical staff at Kimberly Shea, PhD, RN secured an North Tempe Community Center nurse- NIH/NNR grant for her study, “Individual- managed health center. ized Feedback Effectiveness in Heart Failure Home Telemonitoring.” Co-inves- – Women & Philanthropy Cathy Dickey tigators include Kimberly Arcoleo, PhD, Leadership Award. The funding from the award is the largest amount ever given 38 Innovations in Nursing & Health Denise Link MPH and Gerri Lamb, PhD, RN, FAAN. dream • discover • deliver Gabriel Shaibi, PhD, PT was awarded a two-year grant to study the impact of a community-based lifestyle education program on metabolic health and quality of life of obese Latino youth. The interdis- achievements & awards ciplinary project includes faculty from the College of Nursing and Health Innovation, the Department of Psychology, with community collaborators at the Lincoln Family YMCA, and the St. Vincent dePaul Medical and Dental Clinic in Phoenix. Funding is provided the Southwest Interdisciplinary Research Center at ASU through a P20 grant from the National Center for Minority Health and Health Disparities at NIH. strate their caring support and commitment to others.” Maureen Campesino, PhD, RN, PsyNP received the College of Nursing and Health Innovation Outstanding Nurse Researcher award and also was invited to serve as Rojann Alpers, PhD, RN received several grant and abstract reviewer for the NIH awards in the past year, including the Challenge Grants Special Emphasis Panel, College of Nursing and Health Innovation the NIH Centers for Population Health Joyce Finch Outstanding Faculty Award, & Health Disparities (CPHHD) and the the Beta Upsilon: Sigma Theta Tau Interna- DHHS/Center for Disease Control, 20th tional Mentor Award and the Global Car- National Conference on Chronic Disease ing Nurses Foundation: Forces of Change Prevention and Control. Award. Angela Chia-Chen Chen, PhD, RN, Kimberly Arcoleo, PhD, MPH was PMHNP-BC was invited to attend the 8th named Faculty Affiliate, Southwest Interdis- Summer Research Institute for the Center ciplinary Research Center of Excellence for for Health Promotion & Disease Preven- Health Disparities Research & Training. tion Research in Underserved Populations, Carol Baldwin, PhD, RN, CHTP, AHN- which was held at the University of Texas BC has been selected as a new Fellow of the American Academy of Nursing. Installation took place at the AAN annual meeting in November 2009 She also was selected at Austin School of Nursing. She also received the ASU College of Nursing and Health Innovation Research Dissemination Award. as the Best Podium Presentation award recipient, “Individual and Institutional Barriers to Implementing EBP in Clinical Practice in Latin America” at the 10th Annual Evidence Christopher Wharton Christopher Wharton, PhD was awarded a US Department of Agriculture’s Farmers’ Based Practice Conference in Glendale, Arizona. Gary Brown, MSN who passed away in Market Promotion Program grant entitled, May 2009, received the Gary Brown Hu- “Modernizing Arizona’s Farmers’ Markets manitarian Award, the Civilian Foundation’s through New EBT Projects: Expanding and newest award, for his work with Quivira Evaluating Access”. This is the second of Farms. This award was created “to honor two grants received from this program, and Gary’s life and his work as an inspirational Cristi Coursen, PhD, WHNP was hon- the thrust of the work is to improve access leader within special communities.” This ored by DNP students with an “Excellence to farmers’ markets for consumers, espe- will become an annual award given to in Education” Award. Tyke Hanisch, repre- cially those of low income utilizing SNAP celebrate other “passionate and inspiring senting the first graduating class of Post (formerly Food Stamps) and WIC. leaders in our community, who demon- Master’s DNP students, presented Cristi Coursen Fall 2009 39 n ASU Nursing and Health News flowers and a beautiful framed certificate of cation. They join the 65 fellows, who, since David Hrabe, PhD, RN received the appreciation for Dr. Coursen’s profession- the academy’s establishment in 2007, have Arizona Nurses Association Excellence in alism and passion as a nurse practitioner proudly borne the credential ANEF. Selec- Mentoring Award. The award was pre- and educator. She also has been appoint- tion is competitive, with applications re- sented at the Arizona Nurses Association ed to the Advance for Nurse Practitioners viewed by a panel of fellows that makes its 67th Biennial Convention in September in Editorial Board. recommendation to the NLN Board of Gov- Tempe. David Coon, PhD was nominated and selected as an ASU professor of the year finalist. These professors are described as unafraid to blaze new paths of discovery and expose their students to dynamic ways of thinking and discoveries. They are known for significant contributions to undergraduate education. Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN was named Distinguished Alumnus by the University of Texas Medical Branch at Galveston College Nursing Alumni Association. Debra Hagler PhD, RN, ACNS-BC, CNE was elected as a Fellow of the National League for Nursing Academy of Nursing Education. Debra was part of the National League for Nursing’s third class of 21 fellows, representing 20 schools of nursing throughout the United States as they were inducted into the Academy of Nursing Edu- ernors, the oversight body for the academy. Evaluations take into account applicants’ contributions to innovative teaching and/ or learning strategies; nursing education research; faculty development; academic leadership; promotion of public policy that advances nursing education; and/or collaborative educational, practice or community partnerships. Fellows are chosen for their sustained and significant contributions to the field of nursing education. Dr. Hagler also was competitively selected to join the National League for Nursing/ Johnson & Johnson Faculty Leadership and Mentoring Program. Rick Hall, MS, RD was appointed as a foundational member of the Council for Future Practice by the House of Delegates 40 Innovations in Nursing & Health stein, RN, MN received the College’s Alumni Chapter Outstanding Alumni and Distinguished Faculty awards. Katherine Kenny, RN, MS, ANP, CCRN received the Outstanding Practice Abstract Award at the American Academy of Nurse Practitioners, AANP National Conference in Nashville, Tennessee. Pauline Komnenich, PhD, RN was appointed as the ASU NEXus Executive Board Faculty Representative and elected Treasurer to the Board. Denise Link, DNS, RNP was selected as the Regional Nurse Practitioner Leader, Region 8, American Academy of Nurse Practitioners. of the American Dietetic Association. Marianne McCarthy, PhD, RN was se- The purpose of the council is to identify lected from a panel of competitive nomina- and address future practice needs for tions to serve on the Building Academic the profession of dietetics and to monitor Geriatric Nursing Capacity Expert Panel emerging practice roles, opportunities, and which will validate AP and CNS competen- educational needs of dietitians. Hall also cies in Geriatric Nursing Practice. She was recognized with the Excellence in Ser- also served as the 2009 Expert Panel vice Award from the Dietitians in Integrative Representative for the American Associa- and Functional Medicine Dietetic Practice tion of Colleges of Nursing (AACN) and Group of the American Dietetic Associa- the Hartford Foundation national project, tion for his continued service and volunteer Transitioning to Adult-Gerontology APRN leadership at the national level of dietetics. Education: Ensuring the APRN Workforce Kimberly LaBronte, PhD, RNC, NNP re- Debra Hagler Kay Jarrell, MSN and Barbara Fargot- is Prepared to Care for Older Adults. ceived the March of Dimes, Arizona Chap- Susan Mattson (faculty emeritus), PhD ter Distinguished Nurse of the Year Award, received the Trans-cultural Nursing Scholar presented at the March of Dimes gala. Award from the Trans-cultural dream • discover • deliver Nursing Society. Practitioners and elected to the National Bernadette Melnyk, PhD, RN, CPNP/ Academies of Practice as a Distinguished PMHNP, FNAP, FAAN was appointed to the honorary editorial board for the new Journal of Healthcare Leadership and also invited to speak at “Healthy Development: A Summit on Children’s Mental Health” held at the University of Denver. Diane Nunez, MS, RN, ANP, BC was awarded the Lattie and Elva Core Fellowship. Practitioner. This is a highly competitive process, with membership of only 150 nurses nationwide. Dr. Smalls’ other achievements include the Outstanding Educator Award from The Association of Faculties for Pediatric Nurse Practitioners, the Outstanding Researcher Award from the ASU College of Nursing and Health Innovation and the Association of Facul- Karen Sweazea ties of Pediatric Nurse Practitioners’ Edu- Usha Menon, PhD, RN was invited to cator Award at the National Association Christopher Wharton, PhD was ap- present at the CANS special topics con- of Pediatric Nurse Practitioners’ annual pointed as the first “Young Member” of ference. The biennially held Special Topics conference in San Diego. the Board of Directors for the American Conferences have proven to be beneficial to their attendees and provide a wellrespected platform for nurse researchers to network with recognized experts, nursing research funders, policy makers and academic leaders. Kathryn Records, PhD, RN won the Research/Advancing the Profession Award at the 2008 March of Dimes Nurses of the Year Awards gala. Carol Stevens, RN, MS received the Arizona Nurses Association (AzNA) Outstanding Member Award for her professional commitments and dedication to the Arizona nursing community. Carol has been a member of the nursing community in Arizona for many years. She has dedicated herself to the promotion of nursing Dietetic Association, a new position for the ADA. It is part of a broader initiative of the ADA to increase its relevance and engage new generations of dietitians. The Academy for Continuing Education (ACE) team achieved ‘approved provider status’ through the Arizona Nurses Association and the American Nurses through many professional commitments. Credentialing Center. During her term as second vice president, The 2009 Academic Bowl team for the Graciela Silva, PhD, MPH, MT received Carol chaired the professional issues the American Academy of Sleep Medicine steering committee which implemented Young Investigator in Research award, the action proposal on safe staffing initia- 2009. The object of this award is to foster tive which included acuity workshops, career development of promising young survey and results. She has represented investigators in clinical and translational AZNA at the ANA House of Delegates sleep research. Selection was highly and presented at the last two lead confer- competitive with applicants selected on ences for the Center of American Nurses. the basis of research productivity, career Carol also volunteers for medical missions goals, and promise for future success and in Mexico. The award was presented at contribution to the field. the Arizona Nurses Association 67th Bien- Leigh Small, PhD, RN, CPNP-PC was nial Convention in September 2009. selected, following a blind peer review, Karen Sweazea, PhD was elected as a Joe Koestner, Safaria Abugour, Katie as a clinical expert panel member for the Member of the American Physiological So- DeKing, Tacy Oberan, and Molly National Association of Pediatric Nurse ciety (APS) Communications Committee. McPadden. College of Nursing and Health Innovation took second place in their bracket at this year’s ASU Academic Bowl competition. After not placing last year, the team had two wins against an excellent College of Sustainability team, which put them into the finals for their bracket. The Ira A. Fulton School of Engineering team then defeated the college’s team, to qualify for the competition finals. Academic Bowl team members were John Plummer, Lewis Mitchell, Alexandra Orletsky, Fall 2009 41 n ASU Nursing and Health News selected publications/presentations Airriess, C., Li, W., Leong, K. J., Chen, A.C.C., & Keith, V. (2008). Church-based social capital, networks and geographical scale: Katrina evacuation, relocation, and recovery in a New Orleans Vietnamese American community. Geoforum, 39, 1333-1346. Alpers, R.R., Brown, G., Jarrell, K., & Wotring, R. (2008). Asking ‘odd’ questions. Journal of Teaching & Learning in Nursing Education, 3(2), 81-82. Baldwin, C.M., Grant, M., Wendel, C., Hornbrook, M.C., Herrinton, L.J., McMullen, C., Krouse, R.S. (2009). Gender differences in sleep disruption and fatigue on quality of life among persons with ostomies. Journal of Clinical Sleep Medicine, 5, 335-343. Baldwin, C.M., Grant, M., Wendel, C., Rawl, S., Schmidt, C. M., Ko, C., Krouse, R. S. (2008). Influence of intestinal stoma on spiritual quality of life of U.S. veterans. Journal of Holistic Nursing, 26(3), 185-194. Baldwin, C.M., Mays, M. Z., MarquezGamino, S., Caudillo-Cisneros, C., Reynaga-Ornelas, L., Quan, S. F. (2009). Correlation versus agreement of the Spanish and English versions of the SHHS Sleep Habits Questionnaire insomnia subscale. [Abstract]. Sleep, 32, A375. Becvarova, I. & Thatcher, C.D. (2009). Nutritional Management of the Starved Horse. In E. Robinson & K. Sprayberry (Eds.), Current Therapy in Equine Medicine (6th ed. pp. 53-58). St Louis, Missouri: Elsevier Becvarova, I., Pleasant, R.S., & C.D. Thatcher. (2009) Clinical Assessment of Nutritional Status and Feeding Programs in Horses. Veterinary Clinics of North America: Equine Practice, 25(1), 1-21. Braun, E.J., Sweazea, K.L. (2008). Invited review: Glucose regulation in birds. 42 Innovations in Nursing & Health Comparative Biochemistry and Physiology, 151B, 1-9. Obstetric, Gynecologic, & Neonatal Nursing, 37(1), 58-70. Brown, G., Alpers, R.R., Jarrell, K., & Wotring, R. (2008) Decisions-faculty vs. student choice: Lessons learned for a community health nursing clinical. Journal of Teaching & Learning in Nursing, 3(3), pgs. 108-109. Christmann, U., Tan, R., Witonsky, S., Elvinger, F., Werre, S., Thatcher, C., Hite, D., Buechner-Maxwell, V. (2008). Influence of age on surfactant isolated from healthy horses maintained on pasture. Journal of Veterinary Internal Medicine, 23, 612-618. Campesino, M. (2008). Beyond transculturalism: Critiques of cultural education in nursing. Journal of Nursing Education, 47(7), 1-7. Coursen, C.C. (2009). Inequalities affecting access to healthcare: A philosophical reflection. International Journal for Human Caring, 13(1), 7-15. Campesino, M. (2009). Exploring Perceptions of Cancer Care Delivery Among Elderly Mexican Americans. Oncology Nursing Forum, 36(4), 413-420. Crogan, N.L. & Evans, B.C. (2009). Utilizing predictive resident-focused problems to improve nutritional outcomes in nursing homes. European Journal of Clinical Nutrition, 63, 913-915. Campesino, M., Ruiz, E. & Uriri-Glover, J., Koithan, M. (2009). Counter-narratives of Mexican-origin women with breast cancer. Advances in Nursing Science, 32(2), E-57-67. Castro, A., & Ruiz, E. (2009). Nurse practitioner cultural competence and Latina patient satisfaction. Journal of the American Academy of Nurse Practitioners, 21(5), 278-286. Castro, F. G., Shaibi G.Q., & BoehmSmith, E. (2009). Ecodevelopmental contexts for preventing type 2 diabetes in Latino and other racial/ethnic minority populations. Journal of Behavioral Medicine. 32, 89-105. Chen, A.C.C., Morrison-Beedy, D., & Han, C-s (2009). Assessing linguistic and cultural equivalency of two Chinese-version sexual instruments among Chinese immigrant youth. Journal of Pediatric Nursing, published online 03 April 2009. Cho, J., Holditch-Davis, D., Miles, M. & Belyea, M.J. (2008). Effect of Gender on the Interactions Between Mothers and Their Medically At-Risk Infants. Journal of Dirksen, S., Belyea, M. & Epstein, D. (2009). Profile of fatigue-based clusters in breast cancer survivors with insomnia. Cancer Nursing, 32(5), 404-411. Dirksen, S.R., Epstein, D. & Hoyt, M. (2009). Insomnia, depression, and distress among outpatients with prostate cancer. Applied Nursing Research, 22, 154-158. Dodgson, J. E. (2008). The co-creating environment: A nexus between classical Chinese philosophy and current nursing theories. Advances in Nursing Science, 31(4), 356-364 Dodgson, J.E., Tarrant, M. Thompson, J. & Young, B. (2008). An analysis of infant feeding messages in the Hong Kong print media. Journal of Human Lactation, 24(3), 317-325. Evans, B.C., Crogan, N.L., & Greenberg, E. (2009). Lessons learned in clinical research: Using the MMSE with older Mexican-American nursing home residents. Journal of the American Psychiatric Nurses Association, 14(5), 373-378. Evans, B.C., Crogan, N.L., Belyea, M.J., dream • discover • deliver Coon, D.W. (2009). The utility of the life course perspective in research with Mexican-American caregivers of older adults. Journal of Transcultural Nursing, 20(1), 5-14. Henderson, T. L., Sirois, M., Chen, A.C.C., Airriess, C., Banks, D. (2009). After a disaster: Lessons in survey methodology from Hurricane Katrina. Population Research and Policy Review, 28, 67–92. Fineout-Overholt, E. (2008). Synthesizing the evidence: How far can your confidence meter take you? AACN Advanced Critical Care, 19(3), 335-9. Horn, S. S., & Szalacha, L.A. (2009). Heterosexual students’ attitudes about homosexuality and harassment based on sexual orientation and gender identity: Differences associated with school context. European Journal of Developmental Science, 3(1), 64-79. Fineout-Overholt, E. (2009). Summer 2009 Outcome Evaluation: A Key Essential for EBP Integration into the Curriculum. Podium presentation at STTI Research Congress, Vancouver, British Columbia, Canada. Gance-Cleveland, B.L. & Mays, M.Z. (2008). School-based support groups for adolescents with a substance-abusing parent. Journal of the American Psychiatric Nurses Association, 14(4), 297-309. Hoyt, M., Thomas, K., Epstein, D., & Dirksen, S. (2009). Coping style and sleep quality in men with cancer. Annals of Behavioral Medicine, 37(1), 88-93. Ilchak, D. (2009). Capturing Missed Opportunities for Chlamydia and Gonorrhea Screening. Poster Presentation at the American Academy of Nurse Practitioners National Conference, Nashville, TN. Gance-Cleveland, B.L., Mays, M. Z. & Steffen, A. (2008). Association of adolescent physical and emotional health with perceived severity of parental substance abuse. Journal of Specialists in Pediatric Nursing, 13(1), 15-25. Jarrell, K., Alpers, R.R., Brown, G., & Wotring, R. (2008). Harm reduction: Shifting instructional paradigms. The Journal of Teaching & Learning in Nursing Education, 3(1), 45-46. Hagler, D. & Brem, S. (2008). Reaching agreement: The structure & pragmatics of critical care nurses’ informal argument. Contemporary Educational Psychology, 33(3), 403-424. Jarrell, K., Alpers, R.R., Brown, G., & Wotring, R. (2008). Using BaFa’ BaFa’ in evaluating cultural competence of nursing students. The Journal of Teaching & Learning in Nursing, 3(4), 141-142. Hagler, D. (2007). A guide to diseases, skills, treatments. In Visual Nursing (Forward). Philadelphia: Lippincott, Williams & Wilkins. Juarez, G., Campesino, M., Ruiz, E., Uriri-Glover, J., Larkey, L., Koithan, M., Krouse, R., Saenz, D. (2009). Barriers in access to care among undocumented immigrant women with breast cancer. Presented at the International PsychoOncology Society 11th World Congress: Multidisciplinary perspectives in psychooncology: Interaction & integration, Vienna, Austria. Harrigan, C., Horns LaBronte, K. (2009). How to Access Evidence-Based Information on the Web: How to be Smarter than the Computer and Find the Needle in the Haystack. Podium Presentation at the Academy of Neonatal Nursing™ and Neonatal Network® 9th National Neonatal Nurses Conference, Phoenix, AZ. Keller C.S., Fleury, J., Castro, F.G. & Perez, A. (2009) Moderators of Physical activity in Hispanic Women. Healthcare for Hispanics International, 7(2), 60-71. Keller, C.S, Fleury, J., Sidani, S., Ainsworth, B. (2009). Fidelity to Theory in PA Intervention Research. Western Journal of Nursing Research, 31, 289 – 311. Keller, C.S., Records, K., Ainsworth, B. (2008). Madres para la Salud Connections. American Heart Association, 6(1), 15. Keller, C.S. & Gonzales-Cantu (2008). Camina por Salud: Walking in Mexican American women. Journal of Applied Nursing, 21(2), 110-113. Keller, C. (2009). Theory-Based Interventions for Research and Clinical Practice [Special Supplement]. Geriatric Nursing, 30(2), 1-3. Kenny, K.J. (2009). Comparison of WebBased Pre Operative Teaching with Written/Verbal Pre Operative Teaching. World Federation of Neuroscience Nurses 10th Quadrennial Meeting, Toronto, Canada. Kenny, K.J. (2009). Pre-Operative Assessment: An Innovative Role for the Nurse Practitioner. American Academy of Nurse Practitioners 24th National Conference, Nashville, Tennessee Kenny, K.J. (2009). Diagnosis and treatment of hyperhidrosis. The Nurse Practitioner, 24(7), 10-11. Kenny, K.J., Baker. L., Lanzon, M., Stevens, L.R., & Yancy, M. (2008). An innovative approach to peer review for the advanced practice nurse – A focus on critical incidents. Journal of the American Academy of Nurse Practitioners, 20(7), 376-381. Komnenich, P. & Hrabe, D. (2009). Meeting Demands for 21st Century Nurse Educators. Podium Presentation at the Western Institute of Nursing Conference, Fall 2009 43 n ASU Nursing and Health News Salt Lake City, Utah. LaBronte Horns, K.M. (2009). Evaluating and recording the neonatal history. In E. Tappero & M. E. Honeyfield (Eds.), Physical assessment of the newborn: A comprehensive guide to the art of physical examination (4th ed.) Santa Rosa, CA: NICUInk. Larkey, L.K., Greenlee, H., Mehl-Madrona, L.E. (2008). Complementary and alternative approaches to cancer prevention. In Alberts, D.S. and Hess L.M. (Eds.), Fundamentals of Cancer Prevention (2nd ed.). Berlin, Germany: Springer. Larkey, L.K., Gonzalez, J.A., Mar, L.E., Glantz. N. (2009). Latina recruitment for cancer prevention education via community-based participatory research strategies. Contemporary Clinical Trials, 30(1), 47-54. Larkey, L.K., Jahnke, R., Etnier, J. Gonzalez. (2009). Meditative Movement as a category of exercise: Implications for research. Journal of Physical Activity and Health, 6(2), 230-238. Larkey, L.K., Lopez, A.M., Minnal, A., Gonzalez, J. (2009). Storytelling for promoting colorectal cancer screening among Latinas. Cancer Control, 16(1), 79-87. Li, W., Airriess, C., Chen, A.C.C., Leong, K. J., Keith, V. & Adams, K. (2008). Surviving Katrina and its aftermath: A comparative analysis of evacuation and community mobilization by Vietnamese Americans and African Americans in an eastern New Orleans suburb. Journal of Cultural Geography, 25(3), 263-286. Link, D. (2008). Grace In The City: An Academic, Church & Government Collaborative in Urban Phoenix, Arizona. Presented at the Quality Healthcare for Culturally Diverse Populations Conference, Minneapolis, MN. 44 Innovations in Nursing & Health Link, D. (2009). The Teaching and Coaching Role of the APN. Journal of Neonatal and Perinatal Nursing, 23(3), 279-283. Link, D. (2009). Contraception. In S. Mattson and J. Smith (Eds.). AWHONN: Core Curriculum for maternal-newborn nursing (4th Ed.) St. Louis: Mosby, Inc. Link, D. (2009). Reproductive anatomy, physiology and the menstrual cycle. In S. Mattson and J. Smith (Eds.) AWHONN: Core Curriculum for maternal-newborn nursing (4th Ed.) St. Louis: Mosby, Inc. Liu. L. 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Journal of the American Academy of Nursing Practitioners, 21(2), 95-100. dream • discover • deliver news that matters First 3 PhD’s Graduate from ASU Nursing The College of Nursing and Health In- Programs, described the graduations as a milestone in the College’s history. “The PhD program started in 2005 and these First Patient Safety Officer Joins College The College of Nursing and Health Inno- novation has awarded degrees to the first students are members of the first cohort,” vation has become what is thought to be the three graduates of its PhD in Nursing & Dr. Fleury said. “They have a special place first nursing educational institution to add a Healthcare Innovation program. in our history and are exemplars for future patient safety officer (PSO) to its staff. PhD candidates.” Shannon Mead Named Ambrose Scholar Shannon Mead, an Adult Health student in the Doctor of Nursing Practice program, attended the Paul Ambrose Scholars program in Washington, DC last summer. She was among 42 students from across the nation to be selected for the scholarship, which attracted more than 400 applicants from health profession programs. Diana Jacobson, Stephanie Kelly and sertations. The three new PhD’s received their degrees at Commencement and were hooded in a special ceremony at the College’s Convocation. Each of the three graduates has an appointment with ASU College of Nursing and Health Innovation. Dr. Jacobson has accepted an appointment as Assistant Professor of Nursing in the Center for Improving Health Outcomes in Children, Teens & Families. Dr. Perez is a Hartford Foundation Post-doctoral Fellow in the Center for Healthy Outcomes in Aging, and Dr. Kelly is a post-doctoral fellow in the Center for Children, Teens & Families. Julie Fleury, PhD, FAAN, Associate Dean for Research and Director of PhD CPSO* has joined the College of Nursing and Health Innovation as its first Patient Safety Officer. “The appointment of a PSO in our college reinforces our evidencebased curriculum to improve patient outcomes through data to reduce medical errors when our students enter their careers,” Dean Bernadette Melnyk said. Olsen’s clinical background is critical care nursing, including extensive experience in acute care hospital leadership and management, including chief operating Adriana Perez received their degrees after successfully defending their doctoral dis- Joanne Olsen, PhD(C), RN, CPHQ, In Memoriam Gary Lewis Brown, 49, a clinical assistant professor at the ASU College of Nursing and Health Innovation, passed away peacefully surrounded by friends, family and fellow faculty in early May after a long courageous battle with cancer and heart disease. Born in Akron, Ohio, Brown had been a nursing faculty member since 2004. A graduate of ASU, Brown earned his MS in Nursing with an advanced practice specialty in community health/ nurse education in 2004 and his BSN in 2001. Brown received many awards during his career, most recently from The Arizona Partnership for Immunization as a “Hot Shot” for the immunization work he did with his students in downtown Phoenix at the Salvation Army and the ASU Nursing Alumni Award during the celebration of the college’s 50th anniversary. In late 2008, Brown received Civitan Foundation’s Gary Brown Humanitarian Award for his work with Quivira Farms, an award created ‘to honor Gary’s life and his work as an inspirational leader within special communities.’ Fall 2009 47 n ASU Nursing and Health News officer of a two-hospital system. For the last 10 years, Joanne has managed a quality improvement consult- Baldwin Honored as New AAN Fellow Carol M. Baldwin, PhD, RN, ing business implementing patient AHN-BC of the ASU College of safety structures and processes, Nursing and Health Innovation has and measuring outcomes in acute been selected as a Fellow of the care facilities. American Academy of Nursing. Dr. Olson’s studies and research in Baldwin is the Director of the World patient safety have been funded, Health Promotion and Disease in part, by the Don Tapia Nursing Prevention Office in the college, Fellowship and a HRSA Advanced and is one of just 98 nurses in the Education Nursing Grant. She also United States to receive the honor is a fourth-year doctoral student in this year. the College of Nursing and Health Innovation. *CPHQ=Certified Professional Healthcare Quality, CPSO=Certified Patient Safety Officer Cristina RabadánDiehl, PhD, MPH, director, Global Health Initiative, National Heart, Lung, and Blood Institute, spoke recently to faculty and staff at the College of Nursing and Health Innovation. She discussed the agency’s initiatives to prevent chronic disease to improve global health, The Academy is made up of especially in developing nations. Dr. Rabadán-Diehl’s more than 1,500 nursing leaders in presentation was arranged by the college’s Office education, management, practice, of World Health Promotion and Disease Prevention, and research. directed by Dr. Carol Baldwin. 2010 Continuing Education Programs Healthy AZ 2020 Series Beginning in January ONLINE COURSES: Teaching Excellence in Simulation Education (TESE) January 5-7, 2010, Phoenix, AZ Accepting Applications International Institute for Theory-Based Interventions: Intervention Evaluation February 22-24, 2010, Phoenix, AZ Designing, Conducting, Analyzing & Funding Intervention Studies: A Research Intensive Workshop February 24-26, 2010, Phoenix, AZ NET SMART - (Neurovascular Education and Training in Stroke Management and Acute Reperfusion Therapy) Accepting Applications (NAPNAP CNE) KySSSM Child and Adolescent Mental Health Fellowship Online Continuing Education Program For additional information, contact: Building Healthy Lifestyles Conference February 25-26, 2010, Mesa, AZ Academy for Continuing Education ASU College of Nursing and Health Innovation Phoenix Children’s Hospital Pediatric Update: Mental Health Workshop March 1, 2010, Scottsdale, AZ Web: http://nursingandhealth.asu.edu/ace Phone: 602.496.7431 E-mail: ace@asu.edu 11th Annual Evidence-Based Practice Conference June 9-11, 2010, Phoenix, AZ Summer Profession Innovation 48 Innovations in NursingNetwork & Health(SPIN) June-August, 2010, Phoenix, AZ Arizona State University College of Nursing and Health Innovation’s Academy for Continuing Education (ACE) is an approved provider of continuing nursing education by the Arizona Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Join our donor family today! The College of Nursing and Health Innovation is proud to announce its first-ever Annual Giving Society! You can make a difference in a student’s academic experience here at ASU. By giving a gift to the Annual Fund (aka – Dean’s Investment Fund), you help make students’ dreams come true! Did you know… • Annual gifts in 2008-09 made it possible for students to attend the Student Nurse Association’s Conference and present on topics such as “Breakthrough to Nursing.” • A Gift to the College in 2009-10 will help support new student events and activities and efforts to improve student retention. Advantages of joining Gifts and pledges of $100 or more made before December 31, 2009, will be recognized as “Founding Member” gifts and will be listed on the new donor recognition wall of the College of Nursing and Health Innovation Building 2. Donors will be invited to the unveiling of the donor recognition wall in Spring 2010. Innovation Circle: $5,000 or more • Invitations to special events • All benefits listed below Dean’s Club: $1,000 - $4,999 • Invitation to lunch with the Dean and fellow Dean’s Club members • Recognition as a Dean’s Club member on donor wall in College of Nursing and Health Innovation Building 2 • Recognition as a Dean’s Club member on the College’s website • And all benefits listed below $500 - $999 • Recognition on the College’s website • And all benefits listed below $250 - $499 • Invitation to networking event with fellow alumni and faculty • And all benefits listed below $100 - $249 • Recognition on donor wall in College of Nursing and Health Innovation Building 2 • Invitation to attend “Coffee with the Dean” How do you join? You may send your gift to: Annual Giving Society College of Nursing and Health Innovation Arizona State University 500 N. 3rd Street Phoenix, AZ 85004 Attn: Pamela Lowe You may make your gift online by visiting: http://nursingandhealth.asu.edu/development Or call Pamela Lowe, Assistant Development Officer, at 602.496.1498 or email pamela.lowe@ asu.edu. Non Profit Org. U.S. Postage PAID Arizona State University 500 N. 3rd Street, Phoenix, AZ 85004-0698 your legacy is the ultimate gift A bequest to support the College of Nursing and Health Innovation can fulfill your philanthropic goals without depleting your current assets. Through a bequest you may also direct your gift to a specific purpose, retain control of your assets during your lifetime and reduce estate taxes. For more information about making a bequest through the ASU Foundation to benefit the College of Nursing and Health Innovation, please contact Tim Gartland, Office of Estate and Gift Planning • 800-979-5225 (toll free) • 480-965-5338 • asufoundation.org/GiftPlanning