Innovations Spring 2010 in nursing & health Promoting Teen Health Through Research dream • discover • deliver In this issue... 3 6 Joining Forces with the FDA: The College of Nursing & Health Innovation and an FDA center work together to launch a unique academic program. 1 Dean’s Message – Why Research Counts 10 Healthy Lifestyles – From Classroom to Conference 15 Using Culture and Literacy to Battle Cancer Disparities Tackling Teen Health Disparities: NIHR01 study focuses on health disparities in teen obesity and mental health. 21 Better Health, One Step at a Time 23 World Takes Center Stage at ASU 24 Health System – By Design 11 18 26 ASU Nursing & Health Lives and Breathes Innovation Who Cares for the Caregivers?: Five U.S. Administration on Aging grants to Arizona and Nevada fund research to assist the helpers of Alzheimer’s and dementia patients. Healthcare Returns Home: NINRfunded study on telehealth brings new dimension to home care. 29 Dream • Discover • Deliver / A Tradition Grows 32 New Health Sciences Programs Offer Alternative Paths 36 Student of Excellence: Elaine Clayton 38 Scholarships and Annual Giving 41 NP Healthcare – What’s in a Name? 42 Appointments, Achievements, News, Alumni Report On the Cover: U.S. adolescents today, especially Hispanics, face two of the most serious and rapidly increasing health problems – overweight/obesity and depression. An NIH-funded study seeks an intervention. Innovations in Nursing & Health Innovations in Nursing & Health is published twice a year by the College of Nursing & 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 & Health Innovation to its key audiences. WEBSITE http://nursingandhealth.asu.edu COLLEGE OF NURSING & 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 Contributing Editor, Graphic Design Juliana Murphy Campbell Contributing Writer Latezia Fletcher The College of Nursing & Health Innovation at Arizona State University operates under a 10year 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. © 2010 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 Why Research Counts W hat would each of us do in the next professionals and nurse-managed health could reduce its healthcare spending by 3 to 5 years to improve healthcare centers will play an even greater role in ac- 30 percent if patients received evidence- quality and safety if we knew we could not cess to and the delivery of care, especially based healthcare. At our college, we have fail? That is a key question that I continually in lieu of fewer physicians choosing to launched several initiatives to address the ask myself and our faculty and students enter the field of primary care. Therefore, challenges of healthcare quality and safety, here at ASU as well as colleagues across we must accelerate the pace at which some of which you will read about in this the nation. we produce more nurse practitioners and edition of Innovations in Nursing & Health. With the recent passage of the healthcare reform bill, there will be many striking changes and challenges in our healthcare system into the future that will demand a health promotion professionals if the quality and safety in our healthcare system is not to be further compromised. Every year, poor quality healthcare costs We are very excited about our new collaborative partnership with the Food and Drug Administration to implement an innovative master’s program in regulatory higher level of innovation than ever before the United States about $720 billion dollars science and health safety that will enroll in both healthcare and academic institu- and wasteful healthcare spending costs professionals from various disciplines, tions that prepare health professionals. the healthcare system $1.2 trillion annually. including nurses, physicians, pharmacists Nurse practitioners, health promotion Furthermore, the U.S. healthcare system and dentists. Our college continues to Spring 2010 1 n Better Health Through Research accelerate its innovations at all levels and, of their concentrations. A major area of Each year, Arizona universities pump almost for the first time in our history, we received research across our centers targets the $1 billion into the Arizona economy from the ASU President’s Award for Innovation number #1 killer of Americans, that is, their their research, most of which is funded this spring for our Center for Healthcare behaviors that lead to obesity and cardio- by the federal government and entities Innovation & Clinical Trials. vascular disease. Our researchers also are from outside the state. Most importantly, conducting rigorous intervention studies to patients and their families benefit from reduce growing health disparities. research-based interventions that promote We continue to accelerate the pace at which we are conducting research that will have a direct impact on enhancing the We must remember though that it is their health and assist them in leading a higher quality of life. Students also benefit care that we deliver and improving pa- not enough to generate evidence alone. tients’ outcomes. As a result of building an The evidence generated from research exceptionally strong research infrastructure must be translated into clinical practice to over the past five years, tremendous efforts improve patient outcomes. Unfortunately, by our wonderful faculty and staff, and the there continues to be a tremendous time recruitment of several additional talented lag between the generation of research I am so very grateful for your ongoing researchers, we are now 11th in the nation findings and their translation into clinical support and enthusiasm for our important in National Institutes of Health (NIH) fund- practice. In fact, a large number of findings work and invite you to learn more about the ing among colleges of nursing. Our grant from research never reach the clinical arena incredible innovations happening at our col- awards for 2005-2009 totaled $22.9 to improve patient outcomes. At our col- lege by taking the time to read through this million compared to $11 million in the lege, through our Center for the Advance- edition of Innovations in Nursing & Health. previous five years. In the current year, we ment of Evidence-based Practice, we Our deeply rooted philosophy of dreaming, have already brought in $10 million of new have accelerated our work with healthcare discovering and delivering has been key to grant funding, of which nearly $7 million is systems, health providers and academic our successes and it will continue to pave new awards from the NIH. Our college’s institutions throughout the state, nation and the way for pioneering initiatives that will success has contributed to Arizona State globe to speed the translation of research create a brighter future for all of us. University breaking into the Top 20 list findings into clinical practice to improve for research expenditures for universities the quality and safety of healthcare. without medical colleges. Furthermore, some of our researchers are The establishment of core research and evidence-based practice centers focused on state, national and global priorities has been part of our college’s key strategy. Our centers of excellence cover the lifespan with their studies and target the achieving huge breakthroughs by having tremendously by learning how their burning clinical questions can be answered through research and evidence-based practice projects that also can transform healthcare. Fondly, their interventions that have been rigorously tested through research adopted in clinical practice by hospitals, healthcare systems and insurers. The successful research and evidence- Bernadette Mazurek Melnyk, PhD, RN, most pressing morbidities facing our nation based practice focus of ASU Nursing & and globe. These centers also provide Health also is an example of the economic mentorship to faculty as well as students benefit a research university can bring to Dean and Distinguished Foundation and generate evidence to improve quality its state. In this case, the benefit has short- Professor in Nursing healthcare and patient outcomes in each and long-term positive consequences. 2 Innovations in Nursing & Health CPNP/PMHNP, FNAP, FAAN dream • discover • deliver Unique FDA Partnership Launched T he College of Nursing & Health Innovation at Arizona State sumers and healthcare practitioners with accurate drug informa- University is one of only two programs in the U.S. to form a tion. This requires a continued demand for scientists and health partnership with the Food and Drug Administration (FDA), Center professionals trained in regulatory science,” said Russ Abbott, for Drug Evaluation and Research (CDER), Center Academic Col- Deputy Commissioner for Administration at the FDA. “Working laboration Program (CACP), the first partnership with a College of closely with a graduate health educational program like the one Nursing. This association is designed to prepare professionals for at ASU is one important way in which the agency can continue to careers in regulatory science and health safety. These disciplines achieve its regulatory and scientific goals.” are integral to the college whose curriculum is evidence-based to produce and improve quality health outcomes. “The academic partnership between the FDA Center for Drug Evaluation and Research and College of Nursing & Health Innovation to launch the Master’s Degree in Regulatory Science and Health Safety (RSHS), reflects the college’s commitment to collaboration, an innovative spirit, and transdisciplinary education and research,” said Dean Bernadette Melnyk. “Working collaboratively with academia, industry and other partners is key in advancing regulatory science,” said Capt. Greg Wood, Director of the CDER Academic Collaboration Program. “This will assist the agency in meeting its mission and goals. In the development of the Master of Science in Regulatory Science and Health Safety (RSHS) program curriculum, we were pleased that input from the FDA/CDER/CACP was strongly considered and incorporated by ASU and the college. This program will provide valuable knowledge and experience in preparing students to work in settings such as the FDA, regulated industry and beyond.” “The federal agency’s public health directive and mission are to review for approval safe and effective drugs and to provide con- Need and Opportunity The U.S. and global bioscience research and medical products industries increasingly require individuals with graduate level degrees who can conduct business in accordance with regulatory requirements. Scrutiny of the development of new health products has increased with the explosion of new products every year. To protect the public health, line staff and managers are needed who can interpret the regulations, verify that they were followed, evaluate research data, and assure the safety and effectiveness of products throughout their lifecycle. The clinical research industry is growing at a 5-9 percent annual rate, with the largest employment need for high level clinical research managers, auditors, inspectors and regulatory oversight personnel. This degree program provides the credentials to serve as an entry- or mid-level associate in a broad range of regulatory affairs positions. Above: Leaders of the FDA Center for Academic Collaboration and the College of Nursing & Health Innovation have formed the first educational partnership between the FDA and a college of nursing in the United States. Spring 2010 3 n Better Health Through Research Program Overview The Master of Science in Regulatory Science and Health Safety courses are classroom-based. Students will develop skills that incorporate an evidence-based approach to decision-making, (RSHS) is designed as a full-time in-classroom degree that will analysis of clinical research, evaluation of health products (drugs, be completed over two years. The purpose of this new gradu- biologic products, medical devices and food) and develop leader- ate MS degree is to prepare students for careers in the field of ship and project management skills. Regulatory Affairs with an emphasis on safety, risk management, partnership development and leadership. The program will build on course work in the field of clinical research, regulatory affairs and healthcare project management and will develop communication skills such as creating, delivering and defending presentations program highlights Features of the MS, Regulatory Science and Health Safety include: • mer internship and learning regulatory writing techniques. Core courses for the new RSHS program are primarily offered by ASU College of Nursing & Health Innovation, including courses from the Master of Healthcare Innovation and Master of Clinical • Courses in clinical research and regulatory affairs, regulatory writing, project management, and FDA regulation • Integrates principles of leadership and innovation, product safety, and science-based decision-making Research Management programs. Other courses are housed in the Sandra Day O’Connor College of Law and the Ira A. Ful- 39-credit hour program over four (4) semesters and a sum- • Internship or field experience opportunity will expose ton Schools of Engineering. FDA/CDER staff also will serve as students to real work experience in the field of regulatory adjunct faculty and special guests for the program. Thanks to this science association, students in the program will benefit from speakers who can deliver the most up-to-date information. The RSHS degree uses a multidisciplinary approach to meet the unique needs of regulating bodies as well as the regulated • Geared to scientists, nurses, physicians, dentists, pharmacists, engineers, life sciences and healthcare professionals, statisticians, quality assurance professionals and others who want to work in the field of regulatory science or advance their career in this field. • Applies an interdisciplinary approach to provide a curriculum that will develop leaders • Capstone project (3 credit hours) that builds on the internship experience and integrates core course competencies. Value for Prospective Students Healthcare professionals and students from diverse science fields may enter the program. It is expected that students will represent a variety of backgrounds as listed in the preceding sumFaculty and administrators from the ASU College of Nursing & Health Innovation discuss the educational partnership with FDA representatives. industry. It encompasses course work in clinical research, ethics, mary. This is the only current degree program developed in collaboration with FDA/CDER in the Southwest. Students enrolled in the program will develop an in-depth quality systems, quantitative methods and statistics, leadership, understanding of existing regulatory practices and the context in and project management in the regulatory field. All RSHS core which regulations evolve. Students will develop leadership and 4 Innovations in Nursing & Health dream • discover • deliver employment with a regulatory agency or with regulated industry upon completion of the degree. Sandra Shire, DMD, MPA and Capt. (Retired) U.S. Public Health Service, has been named director of the program. Dr. Shire has extensive experience in the regulatory field, including 15 years with the FDA. Her career at FDA included work as a scientific reviewer and as a field investigator. She served in the Commissioned Corps of the USPHS for more than 25 years, working in Regulatory Sciences professionals hold hearings and make inspections to assess the safety of medical products and equipment. both clinical and regulatory assignments. “The MS in Regulatory Science and Health Safety is an ideal degree for students with a background in the sciences or health- project management skills that incorporate an evidence-based ap- care,” Shire said. “Our innovative curriculum is designed to meet proach to decision-making as they will build on course work in the the ever-changing needs of government agencies and the regu- field of Clinical Research and apply their knowledge to evaluate lated industries in order to develop and promote products that are the development, testing and marketing of products in the regula- safe and effective, protecting the public health. The ASU College tory arena. of Nursing & Health Innovation is well-positioned to provide lead- Graduates will be prepared to lead complex regulatory reviews, manage projects and evaluate clinical research to determine that ership in this emerging field.” For more information, contact Dr. Sandra Shire, Director, Regu- health products are safe and effective. They will qualify for posi- latory Science and Health Safety Program, at 602-496-1694 or tions in regulatory science such as scientific reviewers, project Sandra.Shire@asu.edu, or you may visit http://nursingandhealth. managers, and regulatory affairs specialists. asu.edu/regulatory. The FDA/CDER Academic Collaboration Program is fully funding up to 10 students, or half of the first cohort, which starts fall Looking ahead Health product providers must design, evaluate, and continually semester in August 2010. Students selected for this program will improve the context within which their products are used to deliver be full-time students at ASU as well as active duty officers in the care by healthcare providers. Based upon the growing complexity Commissioned Corps of the U.S. Public Health Service (USPHS). of healthcare compounded by an escalating demand for products, Participants in the FDA Academic Collaboration Program will burgeoning growth in scientific knowledge, and the accelerating receive tuition, housing allowance, and a competitive salary with advance in technology, the importance of regulatory science to active duty benefits while in training. In return, the student must ensure patient safety is more critical than ever. That is why the agree to work for FDA/CDER for two years for each year of paid health product suppliers, regulators and healthcare providers tuition as a USPHS Commissioned Corps officer. The college must be prepared to work closely to achieve their common goal of also will recruit up to 10 non FDA-funded students who may seek positive patient outcomes and better health. n Spring 2010 5 n Better Health Through Research Teen Health Disparities Investigated NIH/NINR Funded Research Study Focuses on Teen Obesity and Mental Health O verweight/obesity and mental health are two of the most Emotions, Exercise, and Nutrition) Program, consists of 15 ses- serious and rapidly-increasing health disorders among U.S. sions presented during their semester long regular health class. adolescents, especially among Hispanics. Without effective The educational and cognitive skills-building sessions (CBSB) intervention and prevention, these health problems can lead to focus on empowering teens to engage in healthy lifestyle serious lifelong diseases that entail even higher costs to the U.S. behaviors such as good nutrition, physical activity, and positive healthcare system. strategies to cope with stress, among other topics. In response to this growing threat to public health, the In the COPE program, the teens are taught how to restruc- National Institutes of Health/National Institute of Nursing ture their thinking when negative events/interpersonal situations Research (NINR) has funded a study with a $2.3 million grant arise that tend to lead them into negative thought patterns, and by the College of Nursing & Health Innovation at Arizona State how to turn that thinking into a more positive interpretation of the University to focus on prevention of and intervention for these situation/interpersonal interaction so that they will emotionally disorders. Dean Bernadette Melnyk, PhD, RN, CPNP/PMHNP, feel better and act in more healthy ways. FNAP, FAAN is principal investigator. “There are few intervention studies that have focused on Emphasis is placed on how patterns of thinking impact behavior and emotions. Goal setting to promote engagement in improving both healthy lifestyle behaviors and mental health in healthy lifestyle behaviors and problem-solving for typical teen adolescents,” Dean Melnyk said. “Physical and mental health challenges is part of the CBSB component of the program tend to be separated in the U.S. healthcare system. What is (e.g., peer pressure for fast food and unhealthy snacks, being often not realized is that teens with a poor self-concept as well ostracized by peers, unhealthy behaviors to cope with stress, as elevated depressive and anxiety symptoms will probably not conflicts with parents). be able to engage in healthy behaviors until they first feel better about themselves. The uniqueness of our program is combining cognitive-behavioral skills building (CBSB), a strategy that has been successful in reducing depressive and anxiety symptoms, with nutrition education and physical activity.” The four-year RO1 study, which was funded in September 2010, is a randomized controlled trial to test the short- and long-term efficacy of teaching teens cognitive-behavioral skills to improve healthy lifestyle behaviors and reduce depressive/ The program also includes educational content to increase teens’ knowledge of how to lead a healthy lifestyle and homework activities to reinforce skills that are being learned in the classroom, which assists them with putting into daily practice what they are learning. Physical activity of 20 minutes also is part of the 15 sessions to assist the teens in raising their beliefs/ confidence in their ability to engage in daily activity. Ultimately, engaging in healthy lifestyle behaviors should lead anxiety symptoms. The research sample consists of 800 culturally to the prevention of overweight in normal weight teens and less diverse adolescents, ranging in age from 14-16, who are enrolled weight gain in teens who are overweight at baseline. in Phoenix public high schools. Findings from prior COPE intervention pilot studies have had Building Skills Empowers Teens for Healthier Lifestyles promising short-term positive physical and mental health out- The program, named the COPE (Creating Opportunities for behaviors, decreases in weight, and decreases in depressive Personal Empowerment) /Healthy Lifestyles TEEN (Thinking, comes among adolescents, such as increases in healthy lifestyle symptoms, commented Dean Melnyk. dream • discover • deliver Factors in other Adverse Teen Health Outcomes The incidence of teens who are overweight has increased dramatically to 17.1 percent, triple the number of teens now overweight or obese compared to 1980. Key factors influencing the obesity epidemic include an increase in sedentary activities and food consumption. While 30 years ago teens were more likely to eat home-cooked meals and participate in physically active pastimes, today’s teens consume more high-fat/low nutritive value fast-food and spend more time in sedentary activities, like playing video games and watching television. Being overweight predisposes adolescents to adverse health outcomes compared to their non-overweight counterparts, including Type 2 diabetes, hypertension, dyslipidemia, sleep apnea, increased asthma symptoms, and a shortened life span. Overweight and obese adolescents, in comparison to normal Seated l. to r., Dr. Krista Oswalt, post-doctoral fellow; ASU Dean Bernadette Melnyk, principal investigator; Dr. Judith O’Haver, co-investigator. Back row l. to r., Meghan Mills, research assistant; Kimberly Weberg, project coordinator; Alan Moreno, research specialist; Dr. Diana Jacobson, co-investigator. Health Disparities Prevalent in Teen Obesity While the 17.1 percentage of overweight/obese adolescents nationwide is serious, it is important to note that there are significant health disparities related to childhood overweight/obesity in Hispanic youth. For example, the combined prevalence of overweight and obesity for Mexican-American adolescents is 34 percent. weight adolescents, also have a higher prevalence of mental health Beyond obesity, these youth are more insulin resistant than their problems, expressed through poor academic performance and Caucasian counterparts and they exhibit lower cardio-respiratory lowered self-esteem, depressive disorders, and a greater number fitness levels, which may contribute to the high incidence of pre- of reported suicide attempts. diabetes and metabolic syndrome in this population. Approximately 15 million children and adolescents in the U.S. Substantial disparities also exist in child and adolescent mental have a mental health problem that is interfering with their func- health among minority groups in Arizona and across the U.S., which tioning at home or at school, but less than 25 percent receive make the location of the study ideal. Data on mental health dispari- treatment for this disorder, according to researchers. Depression ties indicate that depression and suicide are more common among among adolescents is associated with disabling morbidity, sig- some minorities compared to whites and less common among nificant mortality, and substantial healthcare costs, Dean Melnyk other groups. The prevalence rates of obesity and mental health noted. Recent annual prevalence data from a national survey of problems co-existing are even higher for Hispanic teens. high school students (9th to 12th graders) indicate that depressive symptoms severe enough to impair daily functioning are reported by 37 percent of girls and 20 percent of boys. Depressed adolescents also typically have altered psychosocial and academic functioning, even after these conditions resolve. Teacher Russell Stovall (standing) and ASU COPE team member Alan Moreno (seated) talk with students about the value of nutrition and exercise in a health class at a Phoenix high school. Spring 2010 7 n Better Health Through Research Disparities Echoed in Prevalence of Teen Mental Health Disorders According to the Institute of Medicine (IOM), more than 2.5 million of the 42 million children and teens in the U.S. have suffered from clinical depression in the last year. Due to a critical shortage of child psychiatrists, only 20-25 percent of children with mental health and behavioral problems receive treatment. An IOM and National Research Council report in 2009 found these disorders cost the U.S. $247 billion annually and has become as common as fractured limbs among children and teens. Despite the rapidly increasing incidence and adverse health outcomes associated with both overweight and mental health problems, very few theory-based intervention studies have been conducted with adolescents to improve both their healthy lifestyle behaviors and mental health outcomes. Physical and mental health services continue to studies with teens in the past eight years. Co-investigators for this study include Diana Jacobson, PhD, RN, PNP-BC, Judith O’Haver, PhD, RN, CPNP, Stephanie Kelly, PhD, RN, FNP-BC, Leigh Small, PhD, RN, PNP-BC, Gabe Shaibi, PhD, Michael Belyea, PhD, Krista Oswalt, PhD, and Flavio Marsiglia, PhD. Progress of Study to Date Kimberly Weberg, BS, Family Resources and Human Development, is the project coordinator for the grant. Prior to joining ASU, Weberg served as program director for a non-profit organization in Arizona that focuses on providing Substance Abuse and Violence Prevention Programming to a diverse low income, high minority populations, including youth, parents and community members. As coordinator for the COPE/Healthy Lifestyles TEEN Program grant, Weberg is re- be largely separated sponsible for oversee- instead of integrated in ing the implementation the nation’s healthcare of all aspects of the system, which often project in accordance leads to inadequate with the grant’s core identification and principles and under treatment of these the oversight of the significant adolescent local IRB. “In its health problems. first three months, the COPE grant has Dean Melnyk, the already seen many principal investigator, is successes,” Weberg an experienced pedi- said. “We have a atric nurse practitioner strong partnership with and child-family psychi- Phoenix Union High atric nurse practitioner, School District which whose specialty area has allowed us to work is high-risk teens. She with four of their high has practiced with and schools during the conducted research with high-risk adolescents in primary care practices, schools and mental health settings. Dr. Melnyk and her research team have completed five related Part of the COPE/Healthy Lifestyles TEEN program includes scheduled physical activity, as shown by this group of students and their teacher taking a brisk walk together around their campus. 8 Innovations in Nursing & Health first semester. With our goal of enrolling 800 youth into the program over the life of the grant, it has been a huge accomplishment to already have 258 youth enrolled after only one semester, as well as having enrolled more than 180 parents -- an almost 70 percent participation rate from the parents.” In May, research assistants will gather data from the more than dream • discover • deliver “We are in the process of recruiting our next four schools into the program from Phoenix Union High School District where we will be implementing the program in the fall semester of 2010,” Weberg said. Up to 16 high schools will be involved by the end of the four-year study. In Conclusion Our nation has never faced the threat that the prevalence of teen obesity and mental health pose. These health problems have a significant financial and social burden on families and society in terms of distress, cost of treatment and disability. Combine the incidence of teen obesity with youth mental health problems and you can see the exhorbitant cost of these two diseases. According to the American Academy of Child and Adolescent Psychiatry, the annual cost to society for obesity is estimated at nearly $100 billion. The National Adolescent Health Information Center reported in 2008 that 1 in 5 teens experience significant symptoms of emotional distress and nearly 1 in 10 (11.6 percent of the 12-17 age group) are emotionally impaired. Research such as the school-based COPE/Healthy Lifestyles TEEN study is not just of importance today. It is about the longterm need to decrease and prevent controllable adolescent behaviors before they become lifelong and lead to serious illnesses and early death in adulthood. n On this page: Kim Weberg (above) and Alan Moreno (kneeling, right) of the ASU COPE team work with teens in their school setting, taking height and weight measurements as part of the program. 250 youth who are participating in the study as follow up post 15-week intervention, as well as gathering data on the parents post intervention. Weberg said the next steps for the research team include continued follow up at 6 and 12 months post intervention with the current participants, and the recruitment of our next set of program participants for the second semester of implementation. Spring 2010 9 Better Health Through Research n C Building Healthy Lifestyles onference W hat could be more interesting than food? How about a conference on nutritious foods that help lessen the risk of “The conference is unique in that it is mainly for students to provide them research first hand by experts who may be of both chronic diseases, such as heart attacks and cancer? More than professional and personal value,” said Glenn Gaesser, PhD, 220 health providers, educators and students certainly agreed with Director of the Exercise and Wellness Program and Healthy the latter opportunity in late February. Lifestyles Research Center. “In other words, they can learn about That is how many persons attended the 5th Annual Building Healthy Lifestyles Conference (BHLC) hosted by the Exercise and Wellness and Nutrition Programs within the College of Nursing & Health Innovation. The theme for the conference was “Functional Foods” and featured speakers from Hershey Corporation, Yakult Yogurt, Innocent Indulgence, the University of Florida, Banner Good Samaritan Medical Center, and Exercise and Wellness and Nutrition faculty and other faculty from ASU colleges, such as the W.P. Carey School of Business. things they have not learned about in class, basically ‘hot off the press’ findings that they would otherwise not get in the classroom. It allows them to get information that they can use in their personal lives.” Caleb Stodghill, a senior in Exercise and Wellness, observed that he learned something from almost every speaker. “I feel that the BHLC is an important event for students in my field to attend because it gives you insight on new research,” Stodghill said. A competitive swimmer, Stodghill also found Rick Hall’s lecture on functional foods in endurance events beneficial to his own sport. “I found Professor Hall to be the most interesting speaker to me Keynote addresses by three prominent speakers focused on the conference theme. Professor Susan Percival, PhD, Food Sciences and Human Nutrition, University of Florida, spoke about how nutritious food choices support the immune health and reduce the risk of cancer and infectious diseases. Dr. Ralph Felder, MD, PhD, Director because I compete athletically,” Stodghill noted. “He definitely gave me a lot of useful tips on how to plan my own diet.” The annual conference’s purpose is to link physical activity, exercise and wellness, and nutrition to translate research and practice into skills for building healthy lifestyles. Professors Gaesser and Carol Johnston, PhD, RD, Director of of Cardiac Nutrition, Banner the Nutrition Program, chaired the conference planning commit- Good Samaritan Medical tee. Third-year doctoral students in the Interdisciplinary Physical Center, and author of “The Activity, Nutrition, and Wellness PhD Program organized and Bonus Years Diet,” discussed executed the conference while first and second-year doctoral foods that can add years to students provided additional support. life. Amy Griel Preston, PhD, RD, Senior Nutrition Scientist, Hershey Corporation, guided attendees through a virtual The 6th annual Building Healthy Lifestyles Conference will focus on topics and research on “Weight Management” and is scheduled for early spring 2011, tentatively in downtown Phoenix. journey of the world of cocoa to learn the process of how Conference speaker Dr. Keith Martin addresses the audience. 10 chocolate is created and its benefits for the human body. Innovations in Nursing & Health Shannon Smith, MS, RD, and Jenelle Walker, MS, GFI, second-year doctoral students in the Exercise and Wellness Program, were major contributors to this report. n dream • discover • deliver “The Forgotten” of Healthcare: Care for the Caregivers O ut of sight, out of mind...” Nothing could be more true than for Partners Reaching Out; NevadaCARE; Lifespan Care Respite those who care in homes for the aged spouses or family with Program; and EPIC: Early-stage Partners in Care. serious physical or cognitive limitations, due to Alzheimer’s disease or related dementias (ADRD). It is one major reason why the U.S. Administration on Aging funds state units to provide care for the aging. Arizona State University, its College of Nursing & Health Innovation, and Professor David W. Coon are fortunate to be involved in grants spanning two states to help those who give the help and often are forgotten until it is too late. Professor Coon, PhD, Acting Associate Dean for Research and Professor, College of Nursing & Health Innovation, is ASU’s principal investigator for five grants awarded by the U.S. Administration on Aging to improve support services to family caregivers of persons with serious physical or cognitive limitations, such as Alzheimer’s disease. The $3 million in funding has been awarded through the state units on aging for Arizona and Nevada. These grants require state units on aging to be the primary The impact on the national healthcare system will soar as Boomers age. In 2010, the U.S. Administration on Aging reported that the United States was home to 40 million people age 65 or older. By 2030, the agency projects the total to reach 72 million. Caregivers used to only be wives and daughters - more than two-thirds of caregivers are women - but the problems they suffer are becoming so widespread that experts consider it a public-health issue. About 34 million caregivers provided unpaid help valued at $375 billion to family and friends in 2007, up from $350 billion in 2006, according to a Wall Street Journal story quoting AARP, the large advocacy group for older Americans. The typical U.S. caregiver is a 46-year-old woman who works outside the home and spends more than 20 hours a week providing unpaid care to her mother, the report says. Those tasks include personal care applicant and that they partner with other organizations. Research and everyday tasks as well as health-related interventions such as institutions such as colleges, community-based organizations, and administering medications. area agencies for aging are typical partners with state units on aging in this category of grant. Professor Coon’s projects have names such as CarePRO: Care The estimated $375 billion in care is based on approximately 34 million caregivers providing an average 21 hours a week of care to adults with limitations in daily activities at an average cost Spring 2010 11 Better Health Through Research n of $10.10 an hour. The estimates were derived from five nationally representative surveys. Arizona Addresses Problem for existing programs. According to the AARP, there are about 610,000 family and other informal caregivers in Arizona who are providing an estimated $6.9 More than $2 million of the total has been awarded to the Arizona billion in unpaid home-care each year. Many of those are caring for Department of Economic Security, Division of Aging and Adult Ser- the more than 97,000 Arizonans who are expected to be diagnosed vices (ADES-DAAS) to improve support services to family caregiv- with Alzheimer’s disease by 2010 — a number projected to rise to ers throughout the state over the next three years. The funding, in 130,000 by 2025. the form of four grants “It is very exciting to from the U.S. Depart- have the opportunity ment of Health and to work collaboratively Human Services, will with the grant part- be focused on the indi- ners to implement viduals in need of care evidence-based as well as loved ones programming for and family members caregivers,” said David who provide their care. Besst, Caregiver In addition to ADES- Support Specialist, DAAS, CarePRO and Division of Aging & EPIC project partners include the Adult Services. “We Desert are currently getting Southwest Chapter of ready to expand Care- the Alzheimer’s Asso- ciation, the local area Dr. Coon meets with members of the Alzheimer’s Association of Southwest Arizona. agencies on aging, and ASU. The Arizona Caregiver Coalition and the Foundation for Senior Living join ADES-DAAS, local area agencies on aging, and ASU on the Lifespan Care Respite Program. Project activities include: • Translating into the community an evidence-based skill- building intervention for family caregivers of people with ADRD called CarePRO that was developed by Dr. Coon and colleagues; • Developing and implementing an innovative approach named EPIC to deliver care to people diagnosed in the early stage of ADRD and their care partners; • 12 PRO outside of Pima County, adding Area Agencies on Aging as new project partners in Maricopa County, Coconino and Yavapai Counties in the north, Mohave and Yuma Counties out west, and south in Santa Cruz County.” The Spiral Down for Caregivers Caregiving exacts a heavy toll on many families. Studies have found that the stress from caregiving cascades into depressive symptoms, anxiety, anger, poor health, social isolation and even heightened rates of mortality. It is not unusual to learn of a family caregiver that dies before the person for whom they are caring — deaths often associated with the burdens of caregiving. The unremitting stress can lead to high blood pressure, diabetes, a compromised immune system, susceptibility to heart attacks and arthritis. Raising public awareness to help family caregivers regard- less of family members’ diseases or disorders to find respite Alzheimer’s disease and other dementias are among some of the programs that help them cope with the challenges and burnout most challenging conditions for which to provide care in the home. associated with caregiving; providing a caregiver statewide ho- The patients often “shadow” their caregivers, repeat questions tline and partnering with Adult Protective Services and others constantly, become possessive of their possessions, refuse to eat to provide respite assistance to caregivers who do not qualify or bathe and, worst of all, wander off. Innovations in Nursing & Health dream • discover • deliver With the award of these grants, caregivers will be assisted in other informal caregivers in Nevada who provide an estimated developing the skills necessary to better cope with the stresses $3.3 billion in unpaid homecare each year. Nevada is one of five of caregiving as well as gaining access to respite services which other states projected to experience at least a doubling of their can provide much needed relief for loved ones and family members populations age 65 and older with Alzheimer’s disease between who provide care. 2000 and 2025, according to the 2010 Alzheimer’s Disease Facts Nevada Forges Community-based Program The U.S. Administration on Aging Services also awarded two and Figures from the Alzheimer’s Association. Many of those are caring for the more than 29,000 Nevadans who are expected to be diagnosed with Alzheimer’s disease by grants to the Nevada Aging and Disability Services Division 2010 - a number projected to rise to 42,000 by 2025. Like similar (ADSD) totaling $1 million for Alzheimer’s programming and Arizonans, these people will seek to stay in their own homes and respite. Both awards will help family caregivers cope with the communities as long as possible. daily sacrifices and challenges they make to keep their loved ones at home. The $1 million awarded for these Alzheimer’s disease grants “Nevada is delighted to have received this funding and for the opportunity to work with our partners on such cutting-edge activities,” said ADSD Administrator Carol Sala. “These grants will enables ADSD and its project partners to forge Dr. Coon’s greatly enhance our goal of enabling caregivers to keep their loved evidence-based program, CarePRO, into an overall community ones living at home independently, as long as possible. Stress based program, NevadaCARE. This program will serve diverse reduction for caregivers is a fundamental need, and planning for populations of family caregivers of persons suffering from the respite care across the full spectrum of chronic and debilitating affects of ADRD. Just as in Arizona, it will provide them with vital disease will maximize available resources.” coping strategies caregivers need. ADSD partners in the NevadaCARE project include the Cleveland Clinic Lou Ruvo Center for Brain Health; the local Alzheimer’s Association Chapters in Northern and Southern Nevada; and Arizona State University (ASU). The AARP estimates that there are about 280,000 family and Helping the helpers David Coon has a favorite maxim drawn from former First Lady Rosalynn Carter, that assures caregivers, personal and professional, that they are in good company: “All people have been, currently are, will be, or will need caregivers.” According to the ASU professor, more caregivers than ever are needed since people live longer and with more chronic conditions. “Caregivers are the backbone of healthcare in the home for our transient society,” Dr. Coon said. “They often must balance work and caregiving in a very stressful environment.” Dr. Coon has studied caregivers from an interdisciplinary perspective for 15 years. His methodology has been to develop, implement and evaluate interventions, and then to translate evidence-based interventions into the community by “training the trainers” in local social service agencies such as the Alzheimer Association regional staff to offer these interventions to caregivers. For example, Dr. Coon is training Alzheimer’s Association staff to deliver CarePRO to family caregivers of people with ADRD across both Arizona and Nevada. CarePRO participants are provided workshops and telephone coach calls to learn coping skills for Dr. David Coon Spring 2010 13 Better Health Through Research n maintaining their own physical and emotional well-being while caring for a patient with a devastating disease. They also participate in telephone interviews with Coon’s graduate student research assistants before the workshops and then at 3, 6 and 12 months after the initial interview, to assess how well the techniques worked. The interviews measure the caregivers’ state of well-being in terms of mood, health, burden, thought patterns and their levels of frustration and anger, two common symptoms of caregiving stress. The local area agencies on aging in Arizona and the Alzheimer’s Association in Nevada help set up respite services so that Graduate research associates Terrance Walker and Vitae Felix analyze data from studies on care for caregivers. CarePRO participants can have someone to stay with their care recipients while they attend CarePRO workshops. Coon’s workshops for the grant have started in the Southern Region of the Desert Southwest Chapter of the Alzheimer’s Association and will spread to other Alzheimer’s Association regions throughout Arizona and Nevada, giving communities a way to help the helpers. There are nearly 130,000 people today with Alzheimer’s disease in Arizona and Nevada. According to Deborah Schaus, MSW, Executive Director of the Alzheimer’s Association Desert Southwest Chapter, the southwest has one of the highest expected rates of increase in prevalence in the nation. Ms. Schaus indicated that the needs of caregivers of persons with Alzheimer’s and related dementia are significant. “The new federal grants and Dr. Coon’s work with our staff and volunteers A Research Career Dedicated to Care Partners A professor of psychology, Coon joined the faculty of the Division of Social and Behavioral Sciences in New College at Arizona State University in 2004 and transferred to ASU’s College of Nursing & Health Innovation in January 2009. Prior to coming to Arizona, he served as associate director of the Older Adult & Family Center of the VA Palo Alto Health Care System and Stanford University School of Medicine and Senior Research Scientist at UCSF/Mt. Zion Institute on Aging in San Francisco. A Fellow of the Gerontological Society of America, Professor Coon received the Gwen Yeo Award for Excellence in Research, Education and Community Service in Ethnogeriatrics presented by Stanford University School of Medicine Geriatric Education Center for his work with patients and caregivers from diverse communities. are making a tremendous difference in building out the chapter’s capacity to help the growing number of families impacted by this devastating disease,” Ms. Schaus said. David Coon’s work has shown that if caregivers can learn to manage their own stress and moods, bring sources of pleasure into their lives, communicate and ask for help effectively, they are less likely to fall into depression, frustration, and anxiety. One of the harder skills he teaches is to stop the chain of negative thinking, a circular pattern of thought that leads to depression, frustration and guilt. If the caregiver takes the time to keep her/himself, healthy in mind and spirit, that person will be a better caregiver. In a very real sense, finding ways to balance taking care of themselves while caregiving is often the best gift caregivers can give their loved ones, Coon said. 14 Innovations in Nursing & Health A Beginning that Hasn’t Ended The genesis of David Coon’s career interest in research to help caregivers for the aged with chronic physical and cognitive conditions was in his own family. A caring grandmother who was trained as a missionary and parents who demonstrated a strong ethic of care for their family, their neighbors, and their community influenced David greatly. At Stanford, he then engaged in programs to improve the quality of life for patients and care partners with his colleagues, Dr. Dolores Gallagher-Thompson and Dr. Larry Thompson. Now Coon’s area of research expertise and the fruits of his labors are of benefit to ASU, the states of Arizona and Nevada and their departments of aging, local social service agencies, and most importantly, those who give the care to those who need it to stay in their homes as long as possible. n U sha Menon, PhD, RN, is the first Pamela Kidd Distinguished Research Professor at the College of Nursing & Health Innovation and visiting Scientist at the Department of Research-Health Disparities at Mayo Clinic in Arizona. Despite her current rank and affiliation Using Culture and Literacy to battle cancer dream • discover • deliver and women who have inadequate or no health insurance coverage are more likely to be diagnosed with cancer at later stages, when survival times are shorter. According to the U.S. Census Bureau, Hispanic Americans now constitute the largest minority in the United States at 15 with Mayo Clinic, she did not launch her percent of the total population and 30 per- professional career as a nurse or cancer cent of Arizona’s population. Statistically, researcher. One could say she arrived where she is in a roundabout way. After growing up in India, Menon traveled to Greenwood, South Carolina to study English Literature. She worked her way through school (including teaching redirect her focus to cancer research and associated health disparities. Refining a Research Focus Over the years, Menon has centered her their populations have high rates of poverty as well as low education and job classification levels. The American Cancer Society reports that breast cancer is the most commonly diagnosed cancer among Latinas and cervi- research on the development and testing cal cancer incidence rates are about 70 of tailored interventions to improve cancer percent higher than for non-Hispanic white screening behavior. She has placed an women. Consequentially, breast cancer is emphasis on the reduction of health dis- the leading cause of cancer deaths and parities and an increase in early detection cervical cancer death rates in the U.S. are among underserved and minority popula- about 50 percent higher among Latinas. tions. It is this foundation of knowledge that Low screening rates for breast and cervical has led her to refine her research focus to cancer are significant contributors to these cancer survivorship, screening and care disturbing statistics as almost 80 percent become a 95 percent curable disease. among minority populations in Arizona. of deaths from cervical cancer can be pre- A heightened awareness regarding this Disparities in healthcare continue to problem is what inspired Dr. Menon to impact cancer survival. Low-income men English at the local prison) and completed her undergraduate degree. She began her professional career enthusiastically but soon decided to return to school to pursue what she hoped to be a more lucrative profession as a nurse practitioner. It did not take long for Menon to realize that a significant number of women were dying of breast cancer then, which today has vented by regular Pap screening coupled with patient follow-up for treatment. Spring 2010 15 Better Health Through Research n and treatment of cancer. Although these numbers sound promising, only about 68 percent of people diagnosed with cancer are expected to live more than five years following diagnosis. Cancer survivors are at a greater risk for recurrence and for developPatient/provider communications are key to understanding the barriers and cultural factors related to cancer screening. Culture Goes Beyond Language One research initiative put forth by Dr. Menon and Mayo Clinic, is to develop interventions by first understanding the barriers, facilitators and cultural factors related to breast and cervical cancer screening among Latinas. According to Menon, “This research will inform the development and testing of a culturally-responsive, ecological model of care for breast and cervical health in commu- ing second cancers due to the effects of treatment, unhealthy lifestyle behaviors, underlying genetics or risk factors that contributed to the first cancer. It is evident that the cancer experience extends far beyond the completion of treatment as survivors may not only face physical problems, but they may also encounter emotional, social, spiritual and financial challenges as a result of their cancer diagnosis and treatment. Issues with the coordination of care, patient-provider communications and health literacy are only some things to be considered when attempting to identify the underlying causes of this growing public health concern. nity-centered primary care settings.” Culture is not restricted to language. It also includes family and social norms, beliefs, religion/ spirituality, perceived discrimination and trust in the healthcare system. These cultural influences are critical in understanding how to motivate the Latina population to not only show up for their appointments but also to follow up after the fact. As part of the research study, a number of focus groups are being conducted collaboratively with the Mountain Park Clinics in Arizona. The objective of the focus groups is to develop a relationship with different Latina communities to better understand their cancer screening barriers and facilitators. Groups include both older and younger individuals with an exploratory focus group methodology. Menon brings a significant amount of practice and knowledge to this study as she has extensive experience Menon works with her team to prepare for a focus group meeting to developing and testing tailored and targeted interventions to help understand cancer-screening barriers and facilitators. increase cancer screening for disadvantaged populations. There is ample opportunity to further her research here in Arizona as healthcare disparities continue to challenge minority and underserved populations, underscoring the need for studies to not only understand the reasons for cancer disparities but also to develop, test and refine culturally appropriate interventions to reduce these disparities. Strength of Partnership: 1+1= ∞ Cancer survivorship encompasses the entire cancer experience, from the initial diagnosis through the remainder of a cancer patient’s life. It is focused on the distinct phase of cancer care following active cancer-directed treatment and extends over a range of issues faced by survivors, including the physical, mental and social aspects of the cancer experience. Menon and Mayo Clinic have been working on the development of a Cancer Survivorship Care Initiative designed to create a sustainable culturally responsive model of care Menon also is partnering with Mayo Clinic to address cancer that can be implemented both at Mayo as well as in community set- survivorship. According to the Centers for Disease Control and tings. This model of care will be developed and tested for feasibility Prevention, there are an estimated 11 million cancer survivors and acceptability among cancer survivors, their caregivers and living in the United States due to advances in the early detection providers. It is designed to be proactive in anticipating and meeting 16 Innovations in Nursing & Health dream • discover • deliver the comprehensive lifestyle underserved patients often have needs of patients and fami- difficulty understanding medical lies as they go through the language and interpreting direc- cancer survivorship experi- tions given by providers,” said ence. The model will be Professor Menon. It is critical designed as a menu of pos- that providers adapt their lan- sible options that patients guage so that it is more under- and families can select from standable. By doing this, they to fit their unique individual not only improve their patient experiences. A focal point communications but patients of this program is educating Menon’s focus includes improved patient education. and engaging oncologists, tend to be more committed to their care. Levey believes that “it primary care physicians and non-physician providers in the cancer is important for providers to be excellent listeners and to not make survivorship care plan model, as well as developing avenues for assumptions. They need to clarify needs and often have patients implementing such a model in diverse communities. share their interpretation of what has been communicated.” It is The Arizona Native American tribal communities have provided Mayo with a culturally diverse community rooted in spirituality, tradition and heritage where environmental issues and perceptions can make providing effective healthcare a challenge. A strong sense of tribal identity has kept culture and social cohesiveness not uncommon for patients to repeat or nod in agreement without really understanding what is being said. A technique that Levey has found effective is to ask the patient to tell her what they will communicate to their family members. By doing this, it becomes clear what is or isn’t understood and what the patient is actually intact, despite the many changes of the last century. A cultural willing to share with their family. understanding is essential in developing a trusting relationship that Collaboration Brings Much to Table allows for a uniquely tailored approach to survivorship care. Menon and Mayo are exploring the need for and the desire to collaborate on the care of cancer survivors in these communities. Making the Impossible Possible Barriers such as environment and daily life can present numerous challenges when working with underserved communities. It is important to consider these barriers when assessing care as difficulties in reaching providers is critical and at times can be physically impossible. Another significant concern is the lack of sanitary and care centered environments for patients. As stated by Teri Britt Pipe, PhD, RN, Director of Nursing Research and Innovation at Mayo Clinic and adjunct faculty at the ASU College of Nursing & Health Innovation, said, “The partnership between Professor Menon and Mayo allows for a unique collaboration between research, practice and education.” Since this collaboration brings varying perspectives and experience to the table, a sense of broader understanding across disciplines has developed and an atmosphere has been established that facilitates new ideas and creativity while fostering necessary dialogue. By developing a cancer survivorship care plan and addressing Sharon Levey, RN, BSN, OCN, Co-Director of Cancer Outreach health disparities in cancer screening and treatment, Menon and at Mayo Cliinic, “It may be a routine task to gather wood or feed Mayo are leveraging culture and literacy so care providers can hay to the livestock but, for a cancer patient, daily tasks such as develop a platform to deliver effective health interventions. These these can be very problematic.” By addressing these daily tasks, research objectives will enable providers to better serve patients providers can do a better job of communicating risks to patients and their families in culturally diverse, disadvantaged and/or minor- and developing a tailored treatment plan. It is much easier for the ity communities. patient to understand what they can do to stay healthy if risks are made clear by addressing daily life. Health literacy is another critical component of survivorship care to tackle. “Socio-economically disadvantaged and/or medically Menon’s initial intentions may not have been to pursue a career in nursing, but her numerous and ongoing contributions to the field are clear indicators that there is a demand for the energy and passion that she brings to cancer research. Spring 2010 n 17 n Better Health Through Research Studying TELEHEALTH to Improve Patient Outcomes make the best decisions for the patient to assure the best possible outcome? The purpose of her research is patient-oriented; to challenge standard thinking on telehealth delivery to find the best method of providing feedback to the patient. By coming to a better understanding of how patients react to different types of feedback, Shea hopes to motivate patients to perform self-care that will decrease the reoccurrences of disabling symptoms from chronic illnesses, like congestive heart failure (CHF). Education + Research The purpose of a K23 grant is to allow new PhD researchers to further develop their research interests and develop their research careers. The grant provides the opportunity for a researcher to identify components within his or her background/education that Q uestioning, learning, and searching for ways to achieve best possible patient outcomes—is there a better way for a nurse researcher/educator to spend time? ASU College of Nursing & Health Innovation Assistant Professor Dr. Kimberly Shea Kimberly Shea does not think so. Shea, a nurse who holds a PhD from the University of Arizona, has received a federally funded K23 grant from the National Institutes of Health/National Institute of Nursing Research. The grant provides her the opportunity to study how telehealth can be effectively used in the home to monitor patients with congestive need further development and design a process over a three-year time span that focuses on progressing in those components. A key element in this development process is working closely with a strong senior research mentor. Dr. Shea is working with two mentors, both biomedical engineers. One mentor, Professor Robert Greenes, BA, MD, PhD is chairman of the Biomedical Informatics Department at ASU. One of Greenes’ area of particular research interest that comes into play with Shea’s research is human-computer interaction, particularly with respect to the use of clinical information systems by providers and patients, the improved capture of clinical data and the incorporation of individualized, context-specific decision support. Shea’s other mentor is Patricia Brennan, PhD, Professor, Departments of Biostatistics and Medical Informatics, Nursing and Industrial Engineering at the University of Wisconsin (UW) in Madison. Brennan’s research investigates the use of computer technologies in the homecare of persons with complex health problems. Dr. Shea meets regularly with Dr. Greenes, discusses the heart failure (CHF), motivate self-care, and ultimately improve research and learns from the many research endeavors at ASU’s patient outcomes. Biomedical Informatics Department. She will spend the summer Shea’s particular interest is looking at the patient and computer interaction with respect to nursing care. Her research questions examine patients’ reactions to their remotely monitored vital signs and what type of feedback is needed with Dr. Brennan at UW observing and learning cognitive work analyses processes. Benefits and Potential Dr. Shea’s research project has large potential implications. to motivate them to use this information to perform self-care. When patients with CHF are discharged from the hospital, they She wonders how a patient interacts with the technology in are often provided with monitoring equipment for their home. This their home. How does a nurse interact with that information to equipment is used to track the patient’s daily progress, via an uplink through a standard telephone line to a telehealth monitor- 18 Innovations in Nursing & Health dream • discover • deliver ing station. Data that is sent from the patient’s home typically includes blood pressure, weight, oxygen saturation and blood sugar level readings. A telehealth nurse in a remote office analyzes the data sent from the patient’s home, and if the data indicates a potential problem, the nurse then notifies the patient by telephone. Benefits of a home health telehealth program are the ability to provide adequate monitoring of a patient’s condition while minimizing the expense of traveling home health nurses, as well as reducing the need for expensive hospitalizations by early identification of potentially threatening changes in the patient’s condition. By analyzing how patients react to the feedback provided in response to the telehealth data, Shea hopes to identify a process Shea (left) and her research assistant Cathy Lalley, RN, MHI work together to identify a process to analyze patient reactions to feedback. that will improve patient self-care and quality of life and ultimately reduce readmissions to the hospital. Approximately one million Americans experience a heart attack each year; 76 percent of people who experience an initial heart the need to be studied to be certain that we are using telehealth technology as effectively as we can.” Answering Important Questions In looking at questions such as “Does the telehealth monitoring attack will progress into one of the stages of heart failure within help patients with self-care? Can patients act on the information five years. Industrialization, improved treatment, and earlier onset that they are receiving from the technology? Does it motivate increase the prevalence of people living with CHF. Telemonitoring them? Does it encourage them to be engaged in promoting their is becoming increasingly important as a means to assist CHF own health?,” Shea examines research areas within the science patients to manage their own care and use professional resources of biomedical informatics. She will be developing a program of more efficiently and effectively. It is projected that remote telemoni- study using human-computer interaction and cognitive science toring will be used in seven million homes by 2012. Yet, despite to translate technological input into action that positively affects its increasingly widespread use, little is known about how to use patient outcomes. She believes that the nurse and patient are a telemonitoring to improve patient’s adherence to recommended team when using technology in home healthcare; each with spe- behaviors. Presently, there is minimal research on how CHF cific roles that contribute to outcomes. Each plays a part of the patients relate to telemonitoring and the impact of different feed- process but in order to achieve the best outcomes from the team back interventions. Dr. Shea’s research focuses on filling that gap. effort, we must first understand the details of each interaction with Clearly, Kimberly Shea is committed to getting some practical, evidence-based data to improve patient care. When asked what she hopes to learn from the study, Shea responds, “There are many pieces of the human to computer interaction process that we don’t yet understand, especially in healthcare. The primary goal of this research is to provide insight into the interaction components that will influence patients’ motivation to deal with their daily health struggles.” Dr. Shea continues, “Basic interaction that occurs when technology comes between the patient and the nurses questions the technology. Training activities and scientific research timelines will coincide during the grant’s three year period. This research is being done in partnership with Banner Home Health, working with discharge planners, home health nurses, and a telehealth nurse. In Phase I of the research study, Shea will recruit a small sample group of CHF patients who will be studied using a cognitive task analysis process. The study is designed to measure patient’s response to feedback given to them based on the information the patients transmit Spring 2010 19 Better Health Through Research n Real-time Applications to Produce Best Outcomes Results will be analyzed to determine the relationship between reactions, feedback and patient outcomes, addressing questions such as: Do patients that receive positive feedback have better medication adherence? Are they more actuated to take better care of themselves when they receive immediate feedback? “This study is a foundational step in understanding how home telemonitoring feedback can supplement nurses’ practice to produce best outcomes,” Dr. Shea observed. “Post-acute hospitalization is a critical time of transformation for patients living with Banner telehealth nurse Susan Salo, RN communicates with patients by telephone when their telehealth data indicates the need. chronic illnesses and should include interventions targeted to motivate the individual.” through Banner’s telehealth monitoring system. Previous research It is Shea’s goal to lay the groundwork for continued study in indicates that patients who receive monitored information about testing applications of technology designed for best practice meth- their health react one of four ways: 1) accept 2) worry 3) actu- ods and persuasive interventions for chronic illness. She hopes to ate (are motivated to do something ) or 4) evaluate the results. demonstrate the means to successfully motivate patient adherence Shea will do a pretest of the subjects, including a questionnaire to medication and treatment protocols, in keeping with her passion with this small sample of patients, to evaluate and validate the for finding the best possible patient outcomes. four reactions. Resarch Process For the first 30 days of the study, the patients receive usual care, meaning that they upload their health data daily, and only receive contact from the telehealth monitoring nurse if data indicates something outside their expected range. During the usual care, patients’ reactions will be evaluated such as; Do they worry? Accept? Evaluate? or Are they actuated? At the end of the 30 days, patient’s outcomes are measured to determine behaviors such as medication adherence, vital sign maintenance and daily self care activities. For the next 30 days, patients will continue to upload their data, but rather than receiving feedback in the form of a phone call from the telehealth nurse if something is wrong, the patients will receive positive feedback from the telestations regarding the vital signs that have been monitored. The telestations will be programmed to transmit positive responses and encouraging feedback when data indicates that the patient’s vital signs are maintained within the prescribed range. Again, the patient’s reactions will be evaluated. At the end of receiving the usual care plus the positive feedback, Kimberly Shea works with a telehealth patient in his home, training the patient behavioral outcomes will be measured. him in the use of the monitoring equipment. 20 Innovations in Nursing & Health n dream • discover • deliver Building Better Health One Step at a Time I t is such a simple concept: better health is achieved by defined as a level of less than 3000 steps per day. Step counting increased physical activity. Yet in reality, the simple steps that was accomplished by use of pedometers issued to each partici- can be taken to achieve the goal of better health remain untaken by far too many. Physical inactivity is a major risk factor for chronic disease, and it is believed that as many as two million deaths per year worldwide can be attributed to sedentary lifestyles. The ASUKI Step project, a joint effort of the Karolinska Institutet pant in the study. Participants recorded their steps in a website maintained by Select Wellness, a Swedish company. At ASU, New Lifestyles Pedometers, Inc. provided pedometers for participants. Four locations at ASU and two locations at KI were used to perform fitness (KI), Stockholm, Sweden, and the ASU College of Nursing & testing in a sample of subjects. Project coordinators, graduate Health Innovation in Phoenix, brought together over 2,000 partici- students and undergraduate students helped to collect data to pants from both institutions in a nine-month collaborative research assess the physical fitness for one person on each team. effort to increase physical activity levels among employees, to improve their health and well-being. The Karolinska Institutet is one of the leading neuroscience facilities in Europe. 10,000 Steps and Counting… Participants in the two locations that are more than 5400 miles Faculty, staff and graduate student employees were eligible to enroll as a team in groups of three or four, and winning teams from each institution were awarded a trip to Arizona or Sweden. Interest in the ASUKI Step was high: 1377 participants at KI and 713 at ASU at the outset. Most participants were female (approximately apart were challenged to walk 10,000 steps per day for 185 days 75 percent) and nearly 1 billion steps were taken by study partici- over the course of the study. The project measured how helpful pants over the course of the study. walking in a university setting can be with regard to self-perceived health and stress levels, anthropometric measures, and fitness. The ASU individual award winner, Connie Pangrazi, from ASU’s The effort was designed to reduce the number of inactive days by Above: ASU’s winning team of Linda Larkey (l.), Julie Gonzalez and 20 percent in employees at both institutions. Inactive days were Brian Sillanpaa walk briskly on ASU’s Downtown Phoenix campus. Spring 2010 21 Better Health Through Research n mance, and enjoyment during the contest, as well as good will and increased social support for the healthy activity. Swedish winners visited Arizona in February and their trip included sightseeing in Phoenix and Sedona, a visit to the Grand Canyon, and a congratulatory dinner with their ASU counterparts. Arizona winners will travel to Stockholm in June where plans include a city tour, a boat ride touring the Archipelago around Stockholm, and a countryside tour during the Swedish holiday called Midsummer, which celebrates the first day of summer. Principal Investigators from ASU are Barbara Ainsworth, MPH, PhD, FACSM and Pamela Swan, PhD, FACSM of the ASU College of Nursing & Health Innovation. Karolinska Institutet Principal Investigators are Agneta Yngve, PhD, and Patrik Emanuelsson. Analysis of the findings of the study is in process. ASU’s PI Barbara Ainsworth noted, “While the weather for outside activities in Stockholm and Phoenix will never be optimal at the same time, we learned that it is feasible to conduct incentivebased worksite health promotion projects internationally with few ASU Principal Investigator Barbara Ainsworth (seated) and co-investi- difficulties. While the Karolinska Institutet won the overall contest gator Pam Swan. by having more participants walk 10,000 steps per day, many ASU Polytechnic campus, averaged 26,069 steps per day and the ASU weight.” What better result can there be from taking simple steps winning team of Linda Larkey, Brian Sillanpaa, and Julie Gonzalez, averaged 21,000 steps/day for every team participants reported having fun, improving their health, and losing to build better health? member each day of the competition (approx. 7.5 miles/day). On average, KI recorded more steps per day than ASU (13,051 vs. 10,975) and earned the top places for teams with the most days over 10,000. Challenges and Rewards The project created some challenges, notably the difficulties inherent in walking, an essentially outdoor activity, in two disparate climates, for a defined length of time. The cold and rain of Stockholm presented challenges for Swedish participants, while the heat in Arizona provided a different kind of challenge. Despite the difficulties, however, ASUKI Step was a large success with participants. Some reported significant weight loss, improved work perfor- 22 Innovations in Nursing & Health The Karolinska Institutet’s winning team on their February visit to Arizona. n dream • discover • deliver W ith chronic non- by the center will expand ASU’s communicable capacity to improve health and diseases currently reduce disease at the accounting for 60 individual, interpersonal, percent of all deaths organizational, community worldwide, 80 percent of which occur in low- and middleincome countries, the demand for a healthcare workforce Th e at A e World Takes Center Stag on ti SU Nu rsing & Health Innova and cutting-edge research in • foreign countries is growing. The Center objectives include: Conducting trans-disciplinary to reduce and prevent the morbidity and newly established Center for World Health Promotion mortality associated with chronic diseases and Disease Prevention is taking the lead in addressing this 21st • Obtaining research funding to develop culturally, regionally and globally responsive health promotion and disease Under the leadership of Director Carol Baldwin, PhD, RN, prevention interventions AHN-BC, FAAN, the center builds on two and a half years of achievements by the Office of World Health Promotion professor noted. research with local and global partners College of Nursing & Health Innovation’s century global challenge. and policy levels worldwide,” the ASU associate • Testing and integrating innovative, cost-effective, and Disease Prevention. Baldwin also serves as the college’s evidence-based health promotion/risk reducing products first Southwest Borderlands Scholar. The ASU Southwest and processes to improve quality of care and quality of life Borderlands (SWB) initiative addresses the regional needs in developed and developing countries in the presence and shifting demographics throughout Arizona and its borders and absence of natural and human-made disasters (i.e., and includes health, education, business and other issues with earthquakes and war). respect to academics, research and policy. CREDO (Collaboration, Research, Education, Dissemination “To achieve these objectives, the center will draw from faculty expertise across the college and partner programs,” added and Outcomes) is the acronym utilized to focus major activities, Baldwin. Representatives from other colleges and programs projects and programs integral to the center’s mission. The within Arizona State University also have indicated their willing- center is actively engaged with the UnitedHealth Group Global ness to participate in various center research initiatives. Focal Health Initiative in London and has developed collaborations with areas will include interventions for obesity and obesity-associated their Centers of Excellence in Latin America, the U.S. Mexico illnesses (diabetes and cardiovascular disease), sleep disorders, Border and China. According to Baldwin, the U.S. Mexico Border asthma, mood disorders (particularly depression and anxiety), and Health Office regional division of the World Health Organization/ cancer screening/prevention across the lifespan. Pan American Health Organization (WHO/PAHO) has agreed to be an immersion site for International Health for Health Professionals graduate certificate students. Faculty collaborations also have been established to reduce the rates of childhood obesity in the region. Diverse faculty, staff and collaborators provide a broad foundation to achieve center objectives. “The partnerships facilitated Dean Bernadette Melnyk and Maria Teresa Cerqueira, PhD, U.S. Mexico Border Health Office WHO/PAHO Regional Director, have already outlined the terms of agreement for the college to be designated as a Collaborating Center for Health Promotion and Behavior change. “The center expands our capacity as healthcare scholars, leaders, collaborators, and providers through worldwide collaboration,” the Dean noted. Spring 2010 n 23 n Better Health Through Research A Health System By Design N Contributed by Denis Cortese, MD and Robert Smoldt, MBA, BS avigating the healthcare The core elements include: labyrinth while you’re sick is • Individualized healthcare focus on the individual patient: like trying to traverse Boston’s The needs of the patient must come first. The science of streets when you’re late for a individualized medicine, which helps providers tailor thera- meeting—an exercise rife with pies to a person’s genetic composition, will reinforce the frustration and roadblocks. need to build a healthcare system that is patient-centered. With its lack of street signs, • Teams of professionals: Dr. Will Mayo, one of the found- numerous one-way streets and constant construction, driving ers of the Mayo Clinic, said patient care is best delivered in Beantown can be extremely stressful for the uninitiated. And by teams. This is even truer today. Patients are best it’s no wonder. Rather than being designed to accomplish served when teams function in an integrated way with the the smooth flow of traffic, many of the city’s streets are simply patient at the center. The teams can function best when paved 18th-century cattle trails. they include a variety of pertinent backgrounds — physicians, nurse practitioners, nurses, patient educators and Healthcare suffers from the same problem. It is built on an other allied health personnel. old infrastructure and paradigm. We have myriad professionals and organizations provid- • care: Individual medical records, medication lists and the ing healthcare, but no vision of what we should collectively most up-to-date clinical trial information must be avail- accomplish. In discussing this problem with colleagues across able at the touch of a computer key, allowing all types of the country, one physician remarked, “Healthcare is a loose col- providers over vast geographic spans to collaborate and lection of independent services with a specific vested interests. coordinate evidence-based care for patients. In addi- These groups come at the customer only with their little piece tion, decision support tools should be embedded in the of the pie.” electronic systems to encourage the most effective and We must abandon this cobbled approach and begin to efficient use. design an effective healthcare system for the citizens of the U.S. Our vision is that all U.S. citizens will have access to Information technology to coordinate evidence-based • Systems engineering/science of healthcare delivery: high-value healthcare through a dynamic learning system in The healthcare industry must commit to using systems’ which teams of professionals use information technology and engineering principles to analyze outcomes and processes systems engineering to learn from each other and quickly of care—a key step to improving healthcare quality; iden- disseminate and assimilate new evidence that can benefit tifying innovative ways to care for patients; and reducing individual patients. waste and inefficiencies. 24 Innovations in Nursing & Health dream • discover • deliver • High-value healthcare: Healthcare professionals must work diligently to provide patients with high-value healthcare—a quality outcome and a satisfied patient at the lowest possible cost. To realize this vision, stakeholders within the system—providers, patients, insurers, employers and the government—must commit to two fundamentals. First, as the central figure within healthcare systems, the patient must have more decision-making power and responsibility. This includes choosing a healthcare provider and insurance plan from multiple options; working with providers to select treatments for illnesses; adopting healthy lifestyles; following treatment plans; accepting more financial responsibility for his or her medical care. Second, competition based on value—a quality outcome and a Denis Cortese, MD satisfied patient at the lowest possible cost—is the best way to drive improvement in healthcare. Provider payments should be Laying the foundation for a new healthcare system based on value, rather than on completing processes or perform- requires attention to many intersecting, complicated issues: ing discrete services alone. That value must be made apparent insurance design, care coordination and payment reform, through transparency of quality and price of care. among others. All of these elements must converge if we In such a system, the role of government would change fundamentally — from an insurance company to an enabler of innovation and a coordinator/ financier of private are to reach our final destination—a healthcare system in which disparate organizations and professionals work together, learn from each other and coordinate care for people who are sick. n health insurance, based on need. The government should coordinate a market-based insurance model (similar to the Federal Employees Health Benefit Program) to ensure fair, universal Denis Cortese, MD is the Director of ASU’s Health Care Delivery and Policy Program and a Foundation Professor in the Department of Biomedical Informatics, Ira A. Fulton Schools of Engineering. He also is the Emeritus President & CEO of Mayo Clinic and Professor of Medicine. Robert Smoldt is the Associate Director of ASU’s Health access to private Care Delivery and Policy Program and the Emeritus Chief insurance. Administrative Officer of Mayo Clinic. Robert Smoldt, MBA, BS Spring 2010 25 ASU Nursing & Health News n Making Innovation a Reality: The ASU President’s Award for Innovation for 2010 ‘I nnovation’ is a word commonly used proud of the recognition of today. Some critics would quickly say the center’s work, which it is ‘overused.’ However, the College of was launched in 2006. “The Nursing & Health Innovation takes the word Center should be held as a so seriously that it is part of its name. But model exemplar of innova- a word is just a word until it stands for tion and entrepreneurship accomplished facts. The word in the col- for ASU, as well as other lege’s name became even more meaningful universities throughout the when its Center for Healthcare Innovation nation and globe,” she said. & Clinical Trials (CHICT) recently received “In this time of cutbacks the ASU President’s Award for Innovation at universities, the Center for 2010. for Healthcare Innovation The President’s Award for Innovation recognizes Arizona State University faculty and staff who have worked as departmental, interdepartmental or transdisciplinary teams that have made significant contributions to ASU and higher education through innovation. This award recognizes the & Clinical Trials created a win-win-win solution which Linda Mottle, ASU President Michael Crow, and Kim Arcoleo enabled stakeholders to collaboratively accomplish re-engineer the community-based clinical its goals.” research enterprise in Arizona arose in A Necessity, Not a Need Awards are impressive but positive creation, development and implementation impact beyond your own walls is the bot- of innovative projects, programs, initiatives, tom line of innovation. Phoenix is the largest services and techniques. standard metropolitan statistical area in the ASU President Michael Crow presented U.S. with the least clinical research activ- the award to Linda Mottle, director of the ity. That was the case until CHICT seized center, in April at a ceremony in Tempe. In the opportunity to lead a transformation accepting, Mottle recognized Kim Arcoleo, of Arizona’s clinical research enterprise by Sharon Goldsworthy, Fran Rees, Kimberly identifying and integrating the community’s Shea, Denise Link, Susan McGarity, Terry goals and needs with the aspirations of Olbrysh, Priyank Jasani of the College the ”New American University.” The center of Nursing & Health Innovation, Carl became the catalyst for the coordination Yamishiro of the BioDesign Institute, and and formation of new partnerships among community clinical research partners for community-based clinical research enti- their contributions. ties, university researchers, and global Bernadette Melnyk, Dean of the College of Nursing & Health Innovation, is especially 26 Innovations in Nursing & Health industry sponsors. The opportunity to enhance and 2007 when ASU received the “University as Entrepreneur” Kauffman Foundation grant. The grant supports ASU’s vision of the New American University to use knowledge and encourage innovation and entrepreneurship. A portion of this funding supports the Center for Healthcare Innovation & Clinical Trials within the ASU College of Nursing & Health Innovation. It Started with Community In a grassroots effort, CHICT met with community clinical research leaders to identify their needs and goals, break down silos, and leverage community and university strengths. Representatives from hospitals, healthcare research facilities, contract research organizations, the bio- dream • discover • deliver medical industry, and ASU came together Participation by Advisory Board members to identify key initiatives that would benefit “builds community involvement and collabo- ago, significant results have been achieved all stakeholders. Many commented that ration by demonstrating ASU’s community in the four CORE challenge areas. Center this was the first time they had ever met commitment, and increases competencies Director Mottle said the results speak for and talked with their competitors and to achieve progress in healthcare.” themselves and include: colleagues in the industry. They quickly embraced the challenge to become a Toby Anchie, RN, MAEd, CHRC, Since the center’s inception four years Collaboration — Designed, developed, and launched unified force to enhance and re-engineer Executive Director, Research & Arizona’s clinical research enterprise. The Development, St. Joseph’s Hospital and center mission became a shared mission— Medical Center and Barrow Neurological to foster excellence in collaboration, out- Institute and also a member of the CHICT reach, research and educational (CORE) Advisory Board Executive Committee, activities to support and promote clinical agreed with Vaughn. “CHICT has given advisory board of 30 members representing research that advances healthcare through birth to a unique, non-competitive, support- 18 organizations, innovative products, processes and edu- ive and collaborative ecosystem unlike any cational programs. other with a mission of healthcare innovation and service to our community,” Anchie Over the course of the year, advisory said. “The center provided an innovative board members developed a five-year and unique opportunity to diverse individu- strategic plan that continues today to be als and companies to network and work the operating guide and the key measure closely together to develop and discover for center initiatives. The Center Advisory new ways to provide healthcare services, Board used a reciprocal process model to information and support to the communities build consensus among the stakeholders, of Arizona.” to drive the structure and the Arizona’s first clinical research searchable directory, with over 1,100 listings compiled from nine databases, — Established a diverse clinical research — Established internal partnerships within ASU to develop operational infrastructure to support clinical trials and establish the center as ASU’s support hub for biomedical clinical research. Outreach — Launched the first national health innovation online competition -- Rise to the Challenge: Health Innovation 2010 for students. This is the first process, and set goals that served university-sponsored, health oriented, the diverse group, the community, inter-disciplinary team challenge. state and ASU. The Challenge, which is in process, focuses on utilizing Health 2.0 to “The center has innovatively improve patient outcomes with the leveraged the membership of its winning team to be selected by a advisory board to simultaneously panel of independent judges. make advances in multiple areas — Standardized approximately of healthcare, education, and clinical research,” said Glen 100 available operational templates Vaughn, DBA, Chair of the and tools for use by clinical research CHICT Advisory Board Executive practitioners that will be posted on a Committee, and retired Director, website this summer. Tools included Technology Development, templates for budgets, contracts, site Medtronic Microelectronics Clinical Research Coordinator Sharon Goldsworthy works with a feasibility assessment, and standard Center, Medtronic, Inc. participant in a clinical trial of neurological medical equipment. operating procedures. Spring 2010 27 ASU Nursing & Health News n — Formed strong relationships for the Health Innovation community-based health drug inventory system at a major aca- center with existing Downtown Phoenix centers, with substantial revenues. The demic and research medical center; in (biomedical) Campus strategic partners: trials were sponsored by Arizona-based collaboration with a Sun Health neurology University of Arizona College of Medicine, medical device companies, including researcher, developing and submitting an Pharmacy, and Engineering; ASU Bio- CardioLert, Kinetic Muscles, and Guided NIH research grant for adjunctive spinal Therapy. These network analysis for Parkinson’s patients; were the first ever and developing the first Arizona clinical FDA regulated, research publicly available and searchable industry and NIH directory with ongoing support from the sponsored clinical University of Arizona College of Medicine trials conducted and Bioinformatics Departments. at ASU. — Received a $360,000 NIH subcontract under Yale University to conduct the first-ever drug clinical trial on the ASU campus. Linda Mottle (right) consults with team members Fran Rees (left) and Sharon Goldsworthy on the CHICT projects. Looking to the Future In Linda Mottle’s view, the future looks bright for the center. It is currently in the final stages of forming a strategic alliance with a large global clinical research organization. This alliance will result in an ASU and community oriented network to enhance clinical trials and research, that is Education expected to bring approximately 100 new — Developed studies to Arizona research providers over new graduate level the next three years. The model for this Informatics, College of Public Programs; professional education programs that drew alliance supports multiple ASU units (e.g., and TGen, as well as with Northern Arizona students from multiple disciplines. These Biodesign Institute, Ira A. Fulton Schools University College of Health Sciences. programs integrate principles of innovation, of Engineering, School of Life Sciences, Mottle said this trans-disciplinary network- entrepreneurship, and organizational design College of Nursing & Health Innovation, ing is driving new strategic initiatives, to re-engineer the clinical research industry. SkySong). including a tri-university graduate certificate in Clinical and Translational Science and research grant submissions in complementary and alternative medicine (CAM) educational programs. — Consulted student-formed businesses (e.g.; STAX System, InnovateLife) being launched through ASU SkySong in regulatory and commercialization pathways for medical product development and clinical testing. Research — Successfully conducted three medical device trials at College of Nursing & 28 Innovations in Nursing & Health — Online graduate certificate in Clinical Research Management (CRM), launched in spring 2008. — Online MS CRM degree launched If you want an honest assessment on innovation and what the Center of Healthcare Innovation & Clinical Trials has done, ask an innovator. Joshua Tong, CEO, in fall 2009, with an initial cohort of 26 co-founder of Innovate Life @ SkySong, students from 16 disciplines. quickly gave this assessment, “The Center — Arizona tri-university online graduate certificate program in Clinical and Translational Science targeted for community-based, multidisciplinary investigators and clinical research professionals. The certificate program starts fall 2010. — CRM students completed capstone projects such as: improving the research for Healthcare Innovation & Clinical Trials is a critical link in the ASU chain of innovation and entrepreneurship. By leveraging internal expertise as well as community resources, the center ensures that ASU discoveries and developments have a clear pathway from the lab bench to the marketplace.” Enough said…For now! n dream • discover • deliver Don’t Miss a Chance to Dream, Discover, and Deliver in 2010! Details at a Glance Mark your calendars now for November 9, 2010, — the date of the college’s annual Dream • Discover • Deliver Awards Luncheon. Now in its third year, the 2010 program is an annual affair featuring three stellar honorees dedicated to improving healthcare or the health of the American public, each of whom pursue big dreams, lead innovative changes, and achieve their goals. The first awards program was held at the gala dinner in 2007 celebrating the 50th anniversary of the college. Dream-Discover-Deliver Awards Luncheon November 9, 2010 Sheraton Phoenix Downtown Hotel 11:30 – 1:00 pm $60/person Complimentary valet parking The 2010 event will be held at the Sheraton Phoenix Downtown Hotel, a block remarks by our three honorees (See pages away from the Nursing & Health Innovation 30-31 of this issue for the names of the complex on the ASU Downtown Phoenix 2010 award winners.). Campus. Attendees will receive complimentary valet parking at the Sheraton, a healthy nutritional lunch, and lively, inspiring The goal for the 2010 Dream • Discover • Deliver Awards Luncheon is to raise funds to support the college and its initia- tives. Examples of items supported by this fund include student leadership travel to professional conferences, pilot studies, and financial support for other student, alumni and faculty activities and initiatives. Whether you are a graduate of our college, healthcare leader, or interested community member, we encourage your attendance at the luncheon November 9th. Last year, approximately 250 guests joined us for the luncheon that featured Dr. Richard Carmona, MD, MPH FACS (17th Surgeon General of the United States), Michelle King Robson (philanthropist and founder of EmpowHer — a website dedicated to women’s health and well-being) and Marla Weston, PhD, RN and CEO, American Nurses Association. She is a 1988 graduate of the college. Sponsorship opportunities begin at $2,500 and individual tickets are $60/ person. If you cannot attend but would like to support a student’s attendance at the luncheon, we welcome your generous gift. See page 39 of this issue for more information on the advantages of giving. For more information regarding sponsorship opportunities or tickets, please contact Pamela Lowe, Assistant Development Officer at 602.496.1498 or pamela.lowe@ asu.edu. n From left to right: Dean Bernadette Melnyk with 2009 winners Richard Carmona, Michelle King Robson and Marla Weston. Spring 2010 29 n A Tradition Grows ASU Nursing & Health News Dream • Discover • Deliver Awards Recognize Excellence and Encourage Leadership T hree years go by quickly. However, in that short time the Dream·Discover·Deliver Awards program of the College of Nursing & Health Innovation has developed into a tradition that recognizes healthcare leaders accomplishments and inspires future leaders. According to Dean Bernadette Melnyk, the name of the awards Dream Award – Captain William G. Wood, RN, MSN, FNP Captain Greg Wood, RN, MSN, FNP, has fulfilled many diverse career dreams in his more than 30 years of extensive public health experience in administration and direct healthcare delivery. His broad professional accomplishments and education have focused program was not chosen by accident. “It is the tagline of our col- on research, administration, education, epidemiology, special minor- lege and guides our culture in how we act and what we expect ity populations, budget, grants management, program planning/ from each other,” Dean Melnyk explained. “I believe dream, dis- evaluation, public health, hospital/ambulatory care nursing, advance cover, deliver describes the qualities the college always has had in practice nursing, and regulatory science. His accomplishments its 53 years,” Dean Melnyk said. Proceeds from the 2010 Dream • in regulatory science include device and drug evaluation, drug Discover • Deliver Awards Luncheon will be used to support the marketing advertising, and quality improvement/customer service. College’s Investment Fund. He currently serves as the Director of the FDA Center for Drug The 2010 celebration will be held November 9, 2010 at the new Downtown Sheraton Hotel in Phoenix from 11:30 a.m. to 1 p.m. The event this year recognizes three health professionals, which brings the total of award winners to nine since the launch of the program. The scope of the awards encompasses professionals in all health disciplines who have set high standards and made major accomplishments that have positively impacted their professions. Honorees usually have established connections to Arizona and the college. In selecting honorees, we recognize ASU alumni but also leaders from across the nation,” Development Director Laurel Van Dromme said. The Dream • Discover • Deliver Award recipients for 2010 are: 30 Innovations in Nursing & Health Evaluation and Research Academic Collaboration Program that was founded by the agency in 2009 to advance scientific opportunities and careers in the field of Regulatory Science by collaborating with academia to co-design innovative regulatory science curricula that meet the ever-changing needs of the FDA, sister agencies, regulated industry and beyond. This will lead to development and promotion of products that are safe and effective to protect the public health of the nation. Other esteemed positions that Capt. Wood has held in his career include: Director for Scientific and Program Operations, Office of AIDS Research, Office of the Director, National Institutes of Health; Director, Centers of Excellence for HIV Disease, Oncology and Diabetes, Indian Health Service; and Associate Director, Phoenix Indian Medical Center, Indian Health Service. Captain dream • discover • deliver Recently, he was chair of the Physical Maryland and is an adjunct professor at Activity Guidelines Advisory Committee for Lakehead University, School of Public the U.S. Department of Health and Human Health, Ontario, Canada. Services. This Committee documented the scientific basis for the 2008 Physical Activity Guidelines for Americans. Since 2008, Dr. Haskell has been a scientific Capt. Wood Wood received his Bachelor of Science in Nursing degree from the University of Arizona in Tucson, and attained a Master advisor to the World Health Organization for the development of WHO Global Recommendations on Physical Activity and Health. Dr. Porter-O’Grady holds graduate degrees in clinical leadership, two earned doctorates—one in learning behavior and a second in organizational and systems leadership. In addition, he received a Doctor of Science degree, honoris causa, from the Medical University of Ohio. He completed post-doctoral work in aging and is dual board certified as a nurse of Science in Community Health Nursing executive and nurse practitioner in geron- and Family Nurse Practitioner certification tology. Porter-O’Grady also is certified from Arizona State University. by the Georgia Supreme Court’s Office of Dispute Resolution as a registered media- Discover Award - William Haskell, PhD tor and arbitrator. William L. Haskell, PhD is Professor of Dr. Porter-O’Grady has published Medicine (active emeritus) in the Stanford extensively in healthcare with over 175 Prevention Research Center and the professional journal articles and 21 Division of Cardiovascular Medicine at Stanford University. His doctoral training was in human applied physiology with postdoctoral training in chronic disease epidemiology. He has been a member of the Stanford Medical School faculty for Dr. Haskell Deliver Award - Timothy Porter- books, and is a seven-time winner of the American Journal of Nursing Healthcare Book of the Year Award. He has consult- O’Grady, DM, EdD, ScD (h), FAAN Tim Porter-O’Grady has been involved the past 38 years with primary interests in in healthcare for 40 years and has held applied and clinical research in preventive roles from staff nurse to senior executive cardiology, cardiac rehabilitation, physi- in a variety of settings. Porter-O’Grady is cal activity assessment and successful currently senior partner of an international aging. Dr. Haskell’s journey of discovery healthcare consulting firm in Atlanta spe- has included serving as an investigator on cializing in health futures, organizational numerous single and multi-center clinical innovation, conflict and change, as well trials, which have investigated chronic as complex health service delivery mod- disease prevention or management. Of els. He is noted for his work on shared particular interest to him has been the governance models, clinical leadership, ed internationally with over 500 institutions role of habitual physical activity and conflict, innovation, complex systems, and and has lectured in more than 1,000 set- related health behaviors in metabolic and health futures. As associate professor tings internationally. He has held a number hemodynamic factors contributing to the and leadership scholar for the interdisci- of offices in professional associations and development of atherothrombotic vascular plinary Master of Healthcare Innovation national and community boards such as disease. He has served on numerous and PhD in Nursing & Healthcare the vice chair of the governing board of national and international panels respon- Innovation programs for the ASU College Catholic Health East, governor with Sigma sible for developing guidelines for physical of Nursing & Health Innovation, Porter- Theta Tau International (STTI), president activity and public health, preventive O’Grady also is visiting Professor in the of AID Atlanta, and the STTI Foundation, cardiology and cardiac rehabilitation. hybrid DNP Program at University of among others. Dr. Porter-O’Grady Spring 2010 n 31 Better Health Through Research n New Degree Programs BS and Bachelor of Applied Sciences in Health Sciences Offer Choices for Change C ollege is a place filled with con- The BS in Health Sciences [HSC] degree is designed to pro- stant and unexpected change vide the academic knowledge and skills to allow students to move for everyone. Students in partic- directly into a range of employment opportunities within the health ular bear the most stress as they field and/or continue their education in discipline-specific graduate pursue educational tracks that or professional programs. Students will complete core courses can lead to successful and sat- that emphasize ethics, communication skills, critical thinking, and isfying careers. But what hap- cultural awareness. pens when a student changes his or her mind about their career path or an unexpected development necessitates a change? In these challenging and unpredictable times, the student’s best hope is to be enrolled at a college that provides multiple career paths from which to choose. The College of Nursing & Health Innovation is one such place as evidenced by its introduction of two student-focused education programs in fall 2010 — the The BS in Health Sciences offers three innovative concentrations: Pre-Professional Concentration, for students whose goal is to enter medical, dental, osteopathic, physical therapy, veterinary medicine, pharmacy, and similar professional schools; Healthy Lifestyle Coaching, for students seeking immediate BS in Health Sciences and the Bachelor’s of Applied Sciences employment in the community health education/health promotion in Health Sciences. field and/or admission to graduate studies; and The launch of the new degree programs is part of the integra- Health Policy, for students interested in the community policy tion of health promotion disciplines into one college that began at aspects of disease prevention and health promotion and/or who Arizona State University in May 2009. seek admission to graduate programs. Executive Dean Craig Thatcher, DVM, PhD, Diplomate ACVN and Assistant Dean for Academic Affairs Linda Vaughan, PhD, RD, FADA developed both new degree programs. “These new degree programs represent our focus on providing students a number of choices in terms of health career alternatives,” Dr. Thatcher said. “Our goal is to provide students with a seamless transition to various health-related career and employment options.” 32 Innovations in Nursing & Health Health Sciences Growing According to the U.S. Department of Labor, the health sciences field represents the largest single industry in the U.S., accounting for 14.3 million jobs across 200 different fields. In addition, 7 of the 20 fastest growing occupations are health related, generating 3.25 million new jobs between 2008 and 2018, a 22 percent increase or double the growth of all other industries combined. dream • discover • deliver is designed to provide cross-disciplinary and “The program interprofessional education and training.” The three concentrations offered within the BS program reflect These students will be well prepared to apply for graduate the diversity of this high demand, well-paid field. As designed, programs in many of the basic and applied sciences. Students each concentration provides both employment and post- who do not move immediately into an advanced degree program baccalaureate educational options upon completion of the BS in will be fully prepared for a range of career opportunities including Health Sciences. In addition, the program is designed to provide laboratory scientist, health officer, clinical research coordinator, and cross-disciplinary and inter-professional education and training, an sales/marketing representative for pharmaceutical and/or medical essential in today’s economy. device companies. Program Curriculum The BS in Health Sciences is a 120 credit-hour program, including first year composition, general studies, core/required Healthy Lifestyles Coaching Concentration Lifestyle intervention is an evidence-based, cost-effective, courses, program specific electives, and any additional require- low-risk approach to the prevention, risk reduction, management, ments. Core courses required in the Health Sciences program and treatment of chronic diseases such as type-2 diabetes, heart include Applied Medical/Health Care Ethics, Evaluation of Health disease, hypertension, obesity, certain types of cancer, stress, back Sciences Research, Complementary Healthcare, Practicum in pain and insomnia, among others. This approach includes diet/ Health Sciences, Medical or Technical Writing/Communications, nutrition, physical activity, stress management, smoking cessation, and Statistics, which are all three credit courses. and similar low-technology, non-pharmaceutical modalities. The Practicum in Health Sciences is a capstone experience to The Healthy Lifestyles Coaching concentration is for students be taken during the student’s senior year. It consists of a super- who have a broad interest in health education and is a possible vised placement with an individual, agency, organization, company, career track alternative for third-year College of Nursing & Health or other entity relevant to the student’s own academic and profes- Innovation students who elected not to attend or were not admit- sional goals. ted to the Upper Division Nursing program due to the highly competitive admissions setting. Non-nursing students also are The curriculum will be broadened over time with courses on expected to be attracted to this concentration because it leads such topics as Cultural Aspects of Health and Legal Issues for to clearly defined career options such as health/patient educator, Health Care Professionals. elder service/congregate program coordinator, WIC/Community Nutrition Aide, school health specialist, community health coordina- Pre-Professional Concentration The Pre-Professional Concentration is designed for students tor, HMO/insurance company client health coach, and Healthy Start coordinator. Enrollment in the Healthy Lifestyles Coaching Concentration is expected to be strong given current trends planning to attend medical, dental, veterinary medicine, physical emphasizing preventive health. If even 10 percent of the 300 nurs- therapy, pharmacy, osteopathic, and similar professional schools. ing students who are not admitted to the Professional Division in In addition to a comprehensive core of basic science courses, nursing move into the HSC program, initial enrollment estimates the concentration is unique because it provides a solid base in will be extremely competitive. ethics, communication, the evaluation of research (the cornerstone of evidence-based practice), and healthy lifestyles (the Students who do not immediately enter the workforce will be well foundation of health promotion and chronic disease risk reduction qualified for entry into graduate programs in Gerontology, Family avenues of healthcare). Sciences, Health Education, Public Health, and related areas. Spring 2010 33 Better Health Through Research n Health Policy Concentration for Non-Medical Students The continuum of healthcare now spans a diverse array of experience within their field of interest. Students also can use their electives to complete a minor in Nonprofit Administration, which requires a total of 15 credits. health providers ranging from private practices and outpatient care centers to residential care facilities and acute care hospitals. Students who do not immediately enter the workforce will be well The Bureau of Labor Statistics estimates the need for healthcare qualified for entry into graduate programs in Healthcare Innovation, service administrators in these segments of the healthcare Healthcare Administration or Health Sector Management, Business workforce to increase 19 percent between 2008 and 2018. The Administration, Law, or similar areas of study. development and implementation of innovative, cost effective, and The Net Result universally accessible programs by administrators are essential to The College of Nursing & Health Innovation strongly focuses U.S. healthcare reform from a sick-care to a more integrated wellcare based system. The Health Policy concentration is designed for those students on preparing students to advance better health outcomes, coaching others on leading healthier lives to prevent and/or lessen chronic diseases, and policy administration that helps interested in the non-medical side of the healthcare industry, make the U.S. healthcare system more integrated and efficient. preparing them for entry level positions in healthcare policy devel- To achieve these goals, the college provides multiple career opment and implementation. Students in this concentration are opportunities to students through innovative programs such as required to complete a supervised practicum, providing hands-on the BS in Health Sciences. 34 Innovations in Nursing & Health dream • discover • deliver College Integration Leads to 2-year Bachelor of Applied Sciences in Health Sciences F our-year degree programs are not degree, graduates can return to their original area of expertise in allied health [e.g., radiology, nuclear imaging, etc.] and qualify for a managerial position, or as an educator/instructor within their field of expertise, and/or a higher position grade within their current place of employment. Students who do not immediately enter or reenter the workforce will be qualified for entry into graduate programs in Gerontology, Family Sciences, Health Education, and related areas. the only programs at the College of Nursing & Health Innovation. As part of its integration of health promotion programs, the college is establishing a Health Sciences concentration for two-year degreed students to complete a Bachelor’s in Applied Sciences (BAS) degree to advance in their chosen health professions. Sixty credit hours from applicants’ AAS degrees count toward the BAS 120 credit hour requirement. The BAS program joins RN-to-BSN as the second two-year program offered by the college, according to Executive Dean Craig Thatcher. The BAS in Health Sciences [HSC] provides the academic knowledge and skills to allow students with an AAS degree from an approved health-related program to advance their employment Admission Requirements Students with a regionally accredited AAS from an approved (articulated) Health/Health Technology program are eligible to enroll in the BAS program. All courses in the AAS must have a grade of C or higher. The articulated AAS degree must contain the following lower division general studies and foundations coursework: • • • • • Health Sciences — strong market demand creating employment growth over the next decade. There are many health professionals who begin their career paths with an AAS degree in specific technical areas such as Medical Radiology, Nuclear Medicine Technology, Histology Technology, etc., and who wish to advance their career opportunities through additional education. The program provides cross-disciplinary training, an essential factor for today’s workplace. With their completion of the BAS Mathematics (0-3 hrs). If not completed in the AAS, studies requirements. Completion Requirement ments of Arizona State University. The BAS in Health Sciences on the same U.S. Department of Labor projections for the BS in Natural Sciences (Selected from AGEC list) (4 hrs) completed at ASU in order to meet the university’s general ment of general studies courses that reflect the graduation require- The economic reasons for offering the BAS program are based Social & Behavioral Sciences (selected from AGEC list) this requirement will be included as part of the 60 units program of study. All students will complete a specified comple- academic expertise of students. Humanities (selected from AGEC list) (3 hrs) (3 hrs) opportunities within the health field and/or continue into a graduate will offer a core of related courses to broaden and strengthen the First Year Composition (6 hrs) The three components to the concentration requirements include ASU General Studies courses, BAS Area Core courses, and the Health Sciences Concentration with credit hour requirements as follows: • • • ASU General Studies Sequence - 22-25 credits BAS Area Core - 9 credits Health Sciences Concentration - 26-29 credits BAS Degree Summary The concentration is designed so that 60 credits are completed at ASU. However, students seeking to complete this degree are required to earn a minimum of 30 semester hours in resident-credit courses at ASU. Spring 2010 n 35 Spotlight Student of Excellence Elaine Clayton recounted. “I was required to take a number of health and safety classes and was immediately intrigued by the profession and challenges that came with it. Throughout the years I continued to take vocational and other classes eventually becoming a foreman on construction projects, which in time led to my becoming a health and safety professional. I worked in the profession for 12 years and ultimately became a vocational instructor at a community college in the Phoenix area, teaching industrial health and safety. However, my knowledge of health was limited to occupational injuries, illnesses and routine screenings. I realized I could not answer employees’ health questions outside of the occupational scope, which I viewed as a shortcoming on my part and a disservice to the employees. I wanted to literally unite health with safety and renew the original health and safety model for which unions were historically known. I came to the conclusion that becoming an RN E was the path to do what I needed to accomplish.” between trade unions and The Crossroads, Inc. to facilitate Community College, passed her state licensing examination, and recovery for union workers who have substance addic- has been in practice as a registry nurse working in many hospitals tions. Crossroads is a system of transitional living facilities for since 2001. In 2009, she enrolled in the RN-to-BSN program at people in recovery from substance addictions. Elaine complet- the ASU College of Nursing & Health Innovation to advance her ed her Leadership Evidence-Based Project on the subject and knowledge and skills. laine Clayton, an RN-to-BSN student at the ASU College of Nursing & Health Innovation, had a vision for partnerships presented it in mid-February, as keynote speaker to Crossroads board of directors at its annual retreat. Return to the Beginning Flash back to that presentation to The Crossroads board in It was no accident that Elaine Clayton’s presentation to the early February 2010. At the retreat, Elaine Clayton presented the board was titled “Trade Unions and The Crossroads –Working leadership project she developed in her baccalaureate program. Together for Recovery.” Her diverse 30-year career had been a Everyone who attended saw the potential for a rich collaboration journey that brought her to this point and made her passionate between The Crossroads and the local unions to facilitate recovery about the subject. for union members with substance addictions. She also mailed Clayton’s journey began in San Francisco in the late 1970’s. Married to the Labor Liaison for Region 9 of the Occupational Health and Safety Administration, she became aware of the many serious workplace injuries and deaths caused by employees with the presentation to every union she contacted during her clinical leadership rotation. Not even Elaine anticipated how quickly things would move after that. One week later, the RN-to-BSN student called her ASU nursing substance addictions. During the same time, she embarked on a mentor and professor Gail Hock, MS, RN to inform her of the first work career that was as diverse as it was formative. potential partner for the program she proposed in her presenta- Telling her own Story Perhaps it is best to let Elaine Clayton tell the story of this part of her journey. “I decided to make a career change in my early 30’s and traded in my office job for a job as a union laborer removing asbestos and other hazardous materials,” Elaine 36 Clayton earned an Associate Nursing Degree from Gateway Innovations in Nursing & Health tion – JBS Packerland, Local 99 United Food and Commercial Workers Union (UFCW). “Elaine had been in communication with JBS Packerland and e-mailed them the presentation we saw at the retreat,” Hock related. “They flew her to Colorado a few days later and on her return home she was offered a position at Local 99 at the JBS Packerland plant in Tolleson, Arizona. dream • discover • deliver “Our union is very excited about the possibilities of this program Crossroads and those unions. We believe this budding rela- – educating our 1,200 members at JBS to more effectively use tionship has the potential to turn into something beneficial for their health benefits, gaining better health results for the individual both Crossroads and these unions. With someone like Elaine workers, and lowering costs which keeps the benefits affordable involved, only good things can happen.” and available,” said Paul Rubin, Secretary-Treasurer, Executive Assistant to the President, Local 99. Old Can Be New Again What Elaine Clayton values most about this position is the The Next Career Step opportunity to demonstrate that this healthcare model works. In While completing her remaining general requirements and plan- the 1930’s and 1940’s Kaiser Industries did more than treat their ning to graduate this summer, Elaine Clayton is now Community employees’ occupational injuries and illnesses. They provided Case Manager at JBS Packerland. She reports to Dr. Ernie Vesta, holistic healthcare services to union construction, shipyard and MD, medical director, JBS, who developed the current healthcare steel mill workers and their families. The employees felt valued model that the plant in Tolleson and the UFCW are following. Her and became more primary responsibility is to ensure JBS Packerland employees and committed and their families get the most out of their healthcare dollar. She assists the employers had employees and often their family members from diverse cultures healthier employees in maneuvering through the red tape of the healthcare system. and families, which Clayton works with employees to secure excellent healthcare reduced healthcare providers and accompanies them to doctor’s appointments when costs. requested. She also goes to an employee’s residence to provide healthcare education to the employee and/or family members to make certain they understand their diagnosis and treatment plan. She monitors employees with chronic conditions and provides the support and encouragement necessary to help them remain compliant with their plan of care. According to Clinical Assistant Professor Gail Hock, Elaine “What was old is new again – Kaiser experienced great success using this model and I am convinced that the UFCW and JBS Clayton seized the opportunities that the ASU RN-to-BSN can replicate it and program provides. “The activities in the practice component are improve upon it,” flexible enough to allow students to pursue their personal profes- Clayton remarked. “I sional interests and build their professional networks,” Hock said. believe the UFCW “Our faculty and administration strongly believe ASU RN-BSN and JBS can and graduates are engaged, innovative professionals who utilize will set a new stan- evidence-based practice to facilitate positive change. Our gradu- dard in Arizona that RN-to-BSN nursing student Elaine Clayton ates demonstrate holistic population-based perspectives and are others will want to (sitting) takes time to rest with co-workers critical thinkers, client advocates and effective communicators. follow.” CNA Ruth Jimenez (center) and LPN Mar- Elaine Clayton is an exemplar of the edge which our RN-to-BSN program strives to provide students.” Lee Pioske, MS, LISAC, CACIII, Executive Director, Crossroads, Elaine Clayton not only brought her RN license with her vena Knowshisgua (right) and collaborative partner Executive Director Lee Pioske of Crossroads at the JBS Packerland plant in Tolleson, Arizona. first met Clayton a couple of years ago. “It was easy to see that to the RN-to-BSN she absolutely had a great affinity for those people we were trying program at ASU. She brought the experience of a 30-year jour- to help,” Pioske observed. “She had developed relationships with ney, her passion to help people, and the spirit of collaboration to various local unions and began to foster a relationship between make things happen. n Spring 2010 37 Scholarships dream • discover • deliver The Bridge to Excellence W ith the recession that started in 2007, many students and their financial aid in their first year were nearly 50 percent more likely families need help to bridge the financial gap of paying for to complete the year than students who did not receive such aid, their higher education. The College of Nursing & Health Innovation has responded to this need by providing financial support to 41 and 35 percent of its students in 2009 and 2008 respectively. However, the need continues to grow. Financial aid not only helps students afford college, it also helps according to a Chronicle of Higher Education article. Attracting students of excellence to join the ASU nursing and health family is a top priority regardless of the economic times. Today’s students are tomorrow’s healthcare and health promotion professionals and future caregivers. You have an opportunity put them on the path to success. Studies have shown that students to ensure and celebrate their success by giving back to a from lower socio-economic levels who received some form of scholarship fund at the college. A Story of Inspiration and Effort Persistence… dedication… and organization describe Andrea Johnson’s role as a mother, educator and future nurse. Before enrolling in ASU’s Nursing program, Andrea was teaching 6th grade. It wasn’t until one of her daughters became ill and needed care at Phoenix Children’s Hospital that Andrea realized her calling to become a nurse, and ultimately, an educator and mentor to future nurses. ASU’s baccalaureate nursing program is one of the most rigorous programs offered, which makes Johnson’s story so meaningful. She retained her teaching job while carrying 21 credit hours to prepare for applying to the Upper Division Nursing Program. Her role as a mother always is at the forefront of her daily life and yet, Johnson’s determination and persistence for her education remain strong. Because of her determination and work, Johnson was awarded not one, but two scholarships during the 2009-2010 school year. She was awarded the Sara Lynn Semmens Scholarship in fall 2009. The following spring semester, Andrea was awarded the Leona Whetstine Nursing Scholarship. These scholarships were donated by people who recognize the importance of giving Andrea Johnson Spring 2010 1 dream • discover • deliver Appreciation for Giving back to non-traditional students. In fact, Mrs. Whetstine’s experience Innovation Circle: $5,000 or more mirrors Johnson’s current experience of someone who decided to • Invitations to special events go back to school after she had started a family and career. • And all benefits listed below Leona Whetstine Nursing Scholarship The Leona Whetstine Nursing Scholarship was initiated by one of Mrs. Whetstine’s children, Walter Whetstine, in honor of his mother. The Leona Whetstine Nursing Scholarship is an endowed scholarship to ensure that Mrs. Whetstine’s legacy and memory live in perpetuity. Leona Whetstine is an ASU nursing alumna, who went to school in her 40’s to earn a degree to support her family. Married with three children; she graduated in 1965. Mrs. Whetstine 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 & Health Innovation Building Two • Recognition as a Dean’s Club member on the college’s website • And all benefits listed below $500 - $999 then went on to work in public health, including tuberculosis work in • Recognition on the college’s website northern Arizona, and then as assistant supervisor for public health And all benefits listed below in Yuma. She later taught in an LPN program and a nursing program in El Centro, Calif., to which she commuted. She earned a master’s degree in vocational education from the University of San Diego. $250 - $499 • Invitation to networking event with fellow alumni and faculty • And all benefits listed below Your Impact Every student deserves the opportunity to succeed in school and we invite you today to join others who have helped students like Andrea thrive. ASU’s College of Nursing & Health Innovation has three scholarship funds and you can direct your donation straight to the program of your choice: Exercise & Wellness, Nursing or Nutrition. Gifts of any size may be made to the funds. Your generosity, along with others, will add up to make a significant difference right now for excellent students enrolled in ASU. These gifts could go towards need- or merit-based awards. Because these are general scholarship funds, it gives our scholarship committees the flexibility to use your generous gift in a way that’s most needed at any given time. $100 - $249 • Recognition on donor wall in College of Nursing & Health Innovation Building 2 • Invitation to attend a “Coffee with the Dean” Gifts of $100 or more will be listed on our annual donor recognition wall and alumni will receive invitations to exclusive events and opportunities to meet the Dean and faculty of the college. You may use the reply card enclosed in this magazine or you may make a gift online at https://secure.asufoundation.org/ giving/online-gift.asp. Mail your gift to: ASU College of Nursing & Health Innovation 500 North 3rd Street Small Contribution, Big Change Phoenix, AZ 85004 Donations of all amounts are welcome. Please see the following list of how your contribution is put to use: • Gifts of $50 from 16 people will buy one semester’s books for a deserving student. • Gifts of $100 from 30 people will pay for one student’s tuition for one semester. Imagine…if 300 College of Nursing & Health Innovation alumni donated $25 each, a student of the caliber of Andrea Johnson would have his or her tuition covered for an entire year! Choose an amount you are comfortable giving, and see the impact those dollars make! n Spring 2010 39 ASU Nursing & Health News n Annual Giving Fund Launched O ctober 2009 marked the inauguration • of the College of Nursing & Health Innovation’s Annual Giving Society. Donors who gave or pledged $100 or more between January 1 and December 31, 2009 and whose gifts were designated to the Dean’s Investment Fund were honored as Founding Members and were • Founding Members gave more than For more information on the Annual Giving $10,000 in support of the Dean’s Society or to make a gift, contact Pamela Investment Fund. Lowe, Assistant Development Officer at The average gift was $75 — a 25 602.496.1498 or pamela.lowe@asu.edu. percent increase compared to gifts to the Dean’s Investment Fund during this same time frame in 2008. Above: Dean Bernadette Melnyk cuts the ribbon on the new Donor Wall while Assistant Development Officer Pamela Lowe looks on. recognized on the brand new annual donor recognition wall in the lobby of the new Nursing & Health Innovation Building Two at the ASU Downtown Phoenix Campus. On March 3, 2010, more than 50 supporters of the college celebrated the unveiling of the donor wall and enjoyed the firstever Coffee with the Dean event! The mood your legacy is the ultimate gift was festive as alumni rekindled friendships with fellow classmates and professors. Dean Melnyk thanked everyone wholeheartedly for their generosity and commitment to the College before cutting a ribbon to mark the official unveiling of the donor wall. Annual Giving Society fundraising results for 2009 follow: • 47 donors joined the Annual Giving Society as Founding Members 40 Innovations in Nursing & Health A bequest to support the College of Nursing & 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 & Health Innovation, please contact Tim Gartland, Office of Estate and Gift Planning • 800-9795225 (toll free) • 480-965-5338 • asufoundation.org/GiftPlanning dream • discover • deliver Health Centers Change Name to NP Healthcare T he health centers administered by Link explained. “In addition to providing Scottsdale center, opened in 1977, holds the ASU College of Nursing & Health outstanding healthcare services, the health the distinction as the first nurse-managed Innovation have grown over the 33 years centers must become self-sustaining. A health center at a university in the nation. since the establishment of the first center unified brand or name helps us to attract in Scottsdale in 1977. Other health centers new clients and tells our existing customers were added in Phoenix and Tempe in 1991 that they can go to any of our centers to recently expanded services by adding and North Tempe and Downtown Phoenix obtain the primary care services they need New Choices, a child-adolescent weight in 2006. from highly educated and clinically qualified management program. The new program’s nurse practitioners and other healthcare purpose is to help children and families to professionals.” obtain longer-term services on a referral As each center was established, it adopted its own unique name to identify with its community and the residents it The centers continue their traditional served. Now, the five centers have adopted mission of providing nursing and students a common name or brand, NP Healthcare, from other academic programs with clini- to better identify the nurse practitioners cal practice educational experience and who provide the care in the centers and opportunities to conduct research on what to communicate the system orientation for works to enhance patient outcomes, while the five locations. The location will be the fulfilling the college and university’s social second part of the unified name. The names responsibility to the community. The cen- of the centers now are: NP Healthcare ters provide healthcare services to more – Downtown Phoenix, NP Healthcare than 8,000 patients annually. – Grace, NP Healthcare – Scottsdale, NP Healthcare – North Tempe, and NP Healthcare – Escalante. Denise Link, PhD, WHNP, CNE, FNAP and Associate Dean for Community Practice & Partnerships, directs the health centers. “The value in our name has increased as our business model as evolved to that of an enterprise,” In addition to the new name, two of the centers have experienced their own changes. NP Healthcare – Scottsdale has moved to a more central location in the city. While convenient to existing patients, the health center is attracting new clients. The NP Healthcare – Downtown Phoenix basis by their own pediatric and family practice healthcare providers. Leigh Small, PhD, PNP and director of the new program, said the 6-week program is intended to respond to the increasing demand for healthcare services and to offer parents care for their children who are increasingly overweight or obese. More than one third of children in Arizona fall into those categories and run the risk for lifelong diseases if not treated before they reach adult age. The new program adds to the services for children and adolescents offered by the downtown center, including the Southwest Health Center for the Prevention and Treatment of Child and Adolescent Depression & Anxiety Disorders. “There is nothing more dynamic today than healthcare, especially with the passage of the new federal legislation,” Associate Dean Link said. “Many new patients will now have access to a regular source of healthcare. We must be prepared to provide the quality, effective healthcare that consumers need and deserve.” Spring 2010 n 41 ASU Nursing & Health News n new appointments Patricia Harris Joins RN-to-BSN Faculty Patricia Harris, RN, MS has joined the ber for various medical and educational organizations. She served as a member of the Governor’s Task Force on the College of Nursing & Health Innovation as Nursing Shortage, Citizens Work Group Clinical Assistant Professor in the RN-to- on the Long-Term Care Workforce, and BSN program. Harris is an RN-to-BSN currently serves as chairperson of the St. and MS in Nursing graduate of ASU. She Josephs Hospital and Medical Center most recently served as District Director Community Board. of Health Care Education for more than 10 years for the Maricopa Community Colleges District Support Center. As director, she was responsible for managing a system of approximately 45 allied health and nursing certificate and degree programs across 10 community colleges and two skill centers. During her time with Maricopa, a few of her major accomplishments included the development of a Joint Appointment program for agency employed clinical faculty, increasing healthcare program enrollment from 2,000 to over 6,000 students, the development of numerous clinical and educational partnerships, and development of the Clinical Coordination Collaborative. Prior to her work with Maricopa, Harris served as executive officer for a Joint Commission and Medicare certified, longterm acute care hospital serving adult and pediatric patients recovering from catastrophic illness, surgery or trauma. She also developed, designed and began construction of a second hospital in the metropolitan Phoenix area. Harris continues to serve as a professional and volunteer board/council mem- 42 Innovations in Nursing & Health The RN-to-BSN program entry option offers Associate Degree and Diploma Nurses the opportunity to complete upperdivision nursing course degree requirements leading to a Bachelor of Science in Nursing and allows students the opportunity to move to advanced practice arenas. Harris said that she values the importance of providing RN’s with a relevant path to BSN and graduate degrees and is excited Patricia Harris to share her own insight and experience as the program grows. She also appreciates the interdisciplinary curriculum that the college provides. “I was attracted to the RN-to-BSN program since I was a student myself and I look forward to drawing from my own student experience,” said Harris. “I also think the unique interdisciplinary focus of the college is a great approach to education for today’s healthcare professionals.” Shire Named Director of NEW Program Sandra L. Shire, DMD, MPA has been named director, of the new MS in Regulatory Science and Health Safety (RSHS) program at the College of Nursing & Health Innovation (See page 3 in this issue for an article on the program.). She brings a diversity of knowledge as a clinical Sandra Shire dream • discover • deliver The ASUN Project was established in dentist with 13 years experience in clinical note speaker at many regional and national practice in public health settings and having conferences and seminars. She also has the fall 1990 by a grant from the Indian served in the Public Health Service (PHS) received numerous Public Health Service Health Service. The purpose of the pro- for over 25 years, achieving the rank of awards, including the Surgeon General’s gram is to increase the number of Native Navy Captain. Exemplary Service Award. American nursing students at ASU and the Dr. Shire has clinical practice experience The RSHS degree is designed to pre- working at an inner-city clinic in Harlem, as pare students for careers in the field with well as serving as Chief Dental Officer at an emphasis on safety, risk management, a federal prison. She shifted to the regula- partnership development and leadership. tory arena when she joined the Food and “I would like to get this exciting new program Drug Administration (FDA) at its Center up and running and have it recognized as a for Devices and Radiological Health as a quality educational experience with practical scientific reviewer. Seven years later, she value for those seeking a career in the field transferred to the FDA office in Phoenix of Regulatory Affairs,” Dr. Shire added. as a lead investigator for the Bioresearch Monitoring program reviewing clinical trials. Dr. Shire was selected to participate in the International Inspection Cadre, conducting numerous inspections in other nations. Her inspections resulted in a number of regulatory actions, including criminal and civil penalties, as well as warning letters. number of nurses providing care to Native Americans. Livingston’s appointment in this leadership role will assure the continuity of the program and help the college build on the strong foundation built by prior ASUN leaders, according to David Hrabe, PhD, RN, Associate Dean for Academic Affairs. The ASU College of Nursing & Health Innovation is one of only five nursing programs in the U.S. funded by the Indian Dr. Shire graduated from Brown University and received her dental degree from the University of Pennsylvania as a United States PHS National Health Service Health Service to provide scholarships and support to American Indian/Native Alaskan nursing students. n Corps Scholar. She received a Master’s in Public Administration from Troy State University. Consequentially, her work is often cited for case use in FDA training. Dr. Shire’s contributions as a Commissioned Officer in the Public Health Service include selection as the Chair of the Dental Professional Advisory Committee, volunteer service to remote Indian Health Service sites, service on various professional boards, and a US Naval deployment mission to provide health services in Central and South America. Most recently, Dr. Shire worked for Livingston named to ASUN Leadership PosiTion Stephen Livingston has been named Program Manager and Advisor of the American Indian Students United for Nursing (ASUN) Program at the ASU College of Nursing & Health Innovation. He has been with the ASUN program for nearly 10 years as Student Success Coordina- PaxMed International where she provided tor. Livingston is an enrolled member clinical research and regulatory advice to of Red Lake Band of the Chippewa private clients. Dr. Shire has served as key- Tribe in Minnesota. Steven Livingston Spring 2010 43 ASU Nursing & Health News n professional achievements Mercy Gilbert Medical Center has capacity in patients with heart failure with engaged the college to lead a 12-week preserved ejection fraction… Donna non-credit Innovation Leadership Program Winham, DrPH, CHES was awarded designed by the Master of Healthcare a grant from the U.S. Dry Bean Council Innovation faculty and offered through entitled Perceptions of Beans among Low- the Academy of Continuing Education. Fifteen directors at Mercy Gilbert Medical Center are going through the program which is being led by Kathy Malloch, PhD, MBA, RN, FAAN and Jack Gilbert, EdD FACHE… Shannon Dirksen, Ali Hajaig PhD, RN was inducted as a Fellow in the Health Care Innovation Award… Kay Jarrell, MS in Nursing, was awarded the Woodside Sustained Community Service Award. She will receive funding for her work with the homeless in downtown Phoenix… Kathleen LuPone, MS, CNRN, Shannon Dirksen Western Academy of Nursing and was recognized at the Western Institute of Nursing research conference in April… Bronwynne Evans, PhD, RN was competitively selected to receive the Senior Geriatric Researcher Award at the annual Western Institute of Nursing research conference in April. This is an honor that recognizes all of her outstanding research and contributions in Donna Winham FNP-C, CNE passed the Certified Nurse income Hispanic Women… Marianne Educator exam… Kathryn Records, PhD, McCarthy, PhD, RN, GNP, ANP received RN was competitively selected to receive the Gerontologist of the Year Award from the Anna Shannon Mentor Award at the the Arizona Geriatrics Society during their 2010 annual Western Institute of Nursing 21st Annual Fall Symposium, Geriatrics: conference in April… Craig Thatcher, DVM, PhD, Diplomate ACVN released the 5th edition of Small Animal Clinical Nutrition for which he is a co-editor. This book is widely used in vet schools across the nation and globe… Linda Vaughan, PhD, RD, FADA published the second edition of her book for which she is a co-editor, The Science of Nutrition by Benjamin Cummings Publishing… Glenn Gaesser, PhD, co-investigator, Chong Lee, EdD, Marianne McCarthy and doctoral student Sid Angadi were Preparing for the Future…Kimberly Shea, awarded a Mayo Clinic/ASU competitive PhD, RN was selected as co-investigator grant for their study on the effects of a of the grant Health Performance, Benefit- Clinical Practice & Community novel, high-intensity aerobic interval training Cost & Cost Effectiveness of Green Partnerships, was awarded the National program on endothelial function, vascular Retrofit Housing for Low-Income Seniors in Nursing Centers Consortium 2009 compliance, and peak cardio-respiratory Phoenix from the Stardust Center. the field of geriatrics. Ali Hajaig, Assistant Director, 44 Innovations in Nursing & Health n dream • discover • deliver news that matters... MHI Graduates Pay Forward Graduates of the Master of Healthcare Innovation (MHI) class of 2009 created a scholarship to honor program co-founders Kathy Malloch, PhD, MBA, RN, FAAN and Tim Porter-O’Grady, DM, EdD, ScD(h), FAAN. Malloch was MHI’s first director and Porter-O’Grady has been associate professor and leadership scholar for the interdisciplinary program since its inception in 2006. The presentation of the scholarship took place at the Murphy School in Phoenix for which the class had conducted a project. Malloch presented the scholarship to Nora Lopez, as a medical office assistant at the Murphy School Education and Health Center who is planning a medical career. The MHI graduates also donated a peace pole in the center in honor of A delegation from Inje University Busan Paik Hospital in South Korea met with ASU Dean Bernadette Melnyk (center) and Director Linda Mottle (to right of the Dean), Center of Healthcare Innovation & Clinical Trials for the college in Phoenix. The group signed a memorandum of understanding for a partnership exchange program starting in the fall. Sandra Davidson, former director of the interdisciplinary graduate program. Partnership Formed with Inge University in South Korea The College of Nursing & Health Innovation and Inje University College of Medicine and Busan Paik Hospital of South Korea have signed a memorandum of agreement for a partnership exchange program which launches fall 2010. The agreement includes faculty and research staff exchanges, joint editing of publications, exchanges of graduate students, and investigation of additional collaborative programs of mutual benefit. Full-time graduate students in good standing should contact the Center for Global Education Service – Study Abroad Scholarship winnter Nora Lopez (center) accepts award from Kathy Malloch, as Dr. Paul Mohr, superintendent of the Murphy School, looks on. Office (SAO) at http://studyabroad.asu. edu for more information. SAO will help Spring 2010 45 n ASU Nursing & Health News Nursing & Health Innovation Associate The study involved a secondary analysis Professor Carol Baldwin who was the of data from the Sleep Heart Health Study, lead author. The publication issued a news a multicenter study that recruited 6,441 release announcing the article before participants from seven regions of the U.S. publication of the issue. “These findings support the need for sleep The study in the April 15 issue of the clinicians to use culturally-responsive sleep Journal of Clinical Sleep Medicine shows education, assessment and intervention that having a sleep disturbance is associ- approaches, as well as depression, anxiety ated with clinically meaningful reductions and other relevant mood and socioeco- in health-related quality of life, and the nomic-status measures,” Dr. Baldwin said. magnitude of this effect varies by race and sleep disorder. Results indicate that physiASU Associate Professor Carol Baldwin discusses research findings with Stuart F. Quan, MD, University of Arizona Professor Emeritus of Medicine and a globally recognized sleep researcher. cal health-related quality of life of AfricanAmericans who snored frequently, had insomnia symptoms or reported excessive daytime sleepiness was significantly worse than Caucasians. African-Americans with insomnia also had significantly more students with passports, filling out paper work, and arrangements to apply. The partnership developed from clinical research workshops at Inje and Busan Universities in 2008 and 2009 presented by Linda Mottle, director of the college’s Center for Healthcare Innovation & Clinical Trials. The Center fosters excellence in collaboration, outreach, research, and educational activities to support and promote clinical research that advances healthcare through innovative products, processes, and educational programs. Sleep study highlighted in leading journal The Journal of Clinical Sleep Medicine, physical limitations than Hispanics. When mental health-related quality of life was evaluated, however, it was Hispanics with frequent snoring, insomnia symptoms or excessive daytime sleepiness who had and professor of Exercise and Wellness in the College of Nursing & Health Innovation has been named President Elect of the American College of Sports Medicine, a global professional association of 35,000 researchers and practitioners. Ainsworth, who also serves on the research faculty for the Healthy Lifestyles Research Center, Caucasians. African-Americans with insomnia also reported poorer mental health compared to Caucasians. “The study highlights the increased disparities among African- and Latino-Americans compared to Caucasians even in the sleep and health-related quality of life domain,” said lead author Carol M. Baldwin, PhD, RN, FAAN, Southwest Borderlands Scholar is director of the Center for World Health Promotion and Disease Academy of Sleep Medicine, featured an Prevention in the College of Nursing article contributed by ASU College of & Health Innovation. Innovations in Nursing & Health Barbara Ainsworth, PhD, MPH, FACSM significantly poorer mental health than the official publication of the American 46 Ainsworth Named ACSM President-Elect Exercise and Wellness doctoral student Stephen Herrmann looks on screen at project data with Program Director and Professor Barbara Ainsworth. dream • discover • deliver will assume the President Elect position in June this year and become ACSM alumni report President for the 2011-2012 year. ACSM membership includes professionals with many interests related to physical activity basic and applied research, sports medicine and exercise rehabilitation, physical activity and health, and exercise rehabilitation. ACSM supports two signature programs, “Exercise is Medicine” and the “American Fitness Index” and is involved in Ryan Named as Fellow of American Academy of Nurse Practitioners The American Academy of Nurse evidence-based advocacy to inform policy Practitioners (AANP) honored ASU alum- for sports medicine, preventive medicine, na Sandra Festa Ryan, RN, MSN, CPNP and exercise practice. When president, and chief nurse practitioner officer at Take Ainsworth’s role will be to support the Care Health Systems, as a 2009 Fellow organization initiatives and signature pro- of the AANP (FAANP). Ryan graduated grams and to assure that science is at the in 1993 with a MS in Nursing from the base of all decisions and actions. College of Nursing & Health Innovation. The FAANP program recognizes nurse “I look forward to serving ACSM practitioner (NP) leaders who have made in a leadership capacity,” Professor Ainsworth said. “As president, I will focus on increasing physical activity among underserved populations through ACSM’s signature “Exercise is Medicine” program and on increasing the reach of ACSM outstanding contributions to healthcare through NP clinical practice, research, education or policy, providing a forum to extend and enhance such efforts. One of six founding officers at Take internationally. I am proud to note that Care Health Systems, Ryan was the I will be the sixth female president in first chief nurse practitioner officer in the ACSM’s 60 year history.” convenient care industry. She currently Ainsworth has been an ACSM leads nearly 1,300 board certified nurse Sandra Festa Ryan member since 1982 and was elected a practitioners and physician assistants who guidelines to create a consistent and Fellow in 1991. She credits family mem- practice at Take Care Clinics – walk-in unprecedented patient-focused experi- bers in physical education for inspiring clinics located at 345 Walgreens drug- ence for those who seek treatment at Take her to study physical education. She stores in 19 states that provide access Care Clinics. also credits her post-doctoral mentor, to high-quality, convenient and affordable Dr. Arthur S. Leon, of the University of healthcare services. Ryan has played an Minnesota for guiding her professional integral role in the development and imple- Advisory Board of the Convenient Care growth in research. mentation of integrated technology, quality Association (CCA), the industry’s trade assurance programs and evidenced-based organization, where she was instrumental n Ryan serves as chair of the Clinical Spring 2010 47 ASU Nursing & Health News n in developing the CCA’s Ten Quality and ers may obtain free copies by contacting Safety Standards and implementing a Donna.Adams@asu.edu. The model has been its portability. In addition to third-party certification process for these delineates attributes of professionalism use in the U.S., the tool is being used by standards. She also sits on the associa- in nursing. It is in the shape of a wagon nurses performing research in 15 other tion’s board. To address the educational wheel where the hub depicts the essential countries, including Thailand, Turkey, needs of nurse practitioners in the con- components of a professional nurse, India and Australia. The attributes within venient care industry, Ryan helped to education in a university setting and a the Wheel and the Inventory behaviors orchestrate the first ever Retail Clinician scientific background in nursing. also have been discussed in relation Education Congress, fostering camaraderie and support within the NP community for the emerging model of healthcare. Ryan has more than 25 years of nursing Each spoke of the wheel represents related attributes. The Behavioral Inventory was developed over four years and has One advantage of the research tool to evidence-based practice in various articles and books. In addition to use as a research been found to be reliable and stable. tool, nursing management can use the experience in various clinical, management Researchers using the tool have included Inventory tool as a staff development and leadership settings. She is a nation- 1,600 staff nurses in eight states in all guide and a way for individual nurses to ally certified pediatric nurse practitioner types of work settings as well as 279 nurse evaluate their nursing professionalism. with 16 years of leadership experience in managers and executives in 10 states. It is being used in colleges, acute care the U.S. Air Force as a nurse corps offi- The tools also were used in a study of agencies, and in other nursing workplac- cer, working as a clinician, charge nurse 502 nurse practitioners conducted at an es to stimulate discussions to increase and director of ambulatory services in Academy of Nurse Practitioner Conference. staff professionalism. inpatient and outpatient settings. In 2007 Ryan received the Nancy Sharp Cutting Edge Award by the American College of Nurse Practitioners, presented to an individual who has demonstrated extraordinary belief in NPs and contributed to the efforts to improve the image and visibility of the profession. Faculty Emeriti Offer Free Tool Professor Emeriti Barbara K. Miller, RN, PhD; Donna Adams, RN, DNSc; and Lasca Beck RN, MEd, have developed a research tool to measure behaviors indicating a nurse’s level of professionalism. The instrument is called the Behavioral Inventory for Professionalism in Nursing. It was developed from a model, The Wheel of Professionalism in Nursing, created in 1984 by Dr. Miller. Alumni and other read- 48 Innovations in Nursing & Health In Memoriam Marilynn June Maunz Prins, 68, MS in Nursing, ASU College of Nursing & Health Innovation, 1986; BSN Robert Denaro,42, BSN, ASU, 1993, MSN and DNP in Nurse Anesthesia; adjunct professor in the School of Nursing at Columbia University; adjunct professor in the Columbia School of Nursing; Nurse Anesthetist in Obstetrics Marlene Louise Abbott, 74, BSN, ASU, 1984; co-founder of Tri-Nursing, Inc., Phoenix Leigh Ann (Marten) Tonkinson, 35, BSN, ASU,1998; Nurse Supervisor, Phoenix Children’s Hospital n event calendar Academy for Continuing Education MAGI Clinical Research Conference - East May 23-26, 2010, Boston, MA INDEPENDENT STUDIES (Visit aceonlinece.com/ceofferings) 11th Annual Evidence-Based Practice Conference June 9-11, 2010, Phoenix, AZ • Performing Fat and Muscle Biopsies – Didactic Instruction (Online) • KySSSM Child and Adolescent Mental Health Fellowship Online Continuing Education Program (Online) • Be Prepared: Global Disaster Response and Telemedicine (DVD) EBP Mentorship Program June 14-18, 2010, Phoenix, AZ EBP Mentorship Program September 13-17, 2010, Phoenix, AZ Ethical Wisdom: The Heart of Leadership, Influence and Power October 15, 2010 and April 15, 2011, Phoenix Metro Area Teaching Excellence in Simulation Education January 4-6, 2011, Phoenix, AZ Building Healthy Lifestyles Conference February 2011, Phoenix Metro Area Center for Improving Outcomes in Children, Teens & Families: 3rd Annual Scholarship Forum February 4, 2011, Phoenix, AZ Theory-Based Intervention Workshop February 28 – March 2, 2011, Phoenix, AZ Designing, Conducting, Analyzing & Funding Intervention Studies: A Research Intensive Workshop March 2-4, 2011, 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. For more information on any continuing education programs: Web: nursingandhealth.asu.edu/ace Email: ACE@asu.edu Phone: 602.496.7431 Non Profit Org. U.S. Postage PAID Arizona State University 500 N. 3rd Street, Phoenix, AZ 85004-0698 Cert no. SCS-COC-001210 Save the date! Dream • Discover • Deliver Awards Luncheon Tuesday, November 9, 2010 • 11:30 a.m. – 1:30 p.m. 2010 honorees dream: Captain William G. Wood, RN, MSN, FNP discover: William L. Haskell, PhD deliver: Timothy Porter-O’Grady, DM, EdD, ScD(h), FAAN Sheraton Phoenix Downtown Hotel 340 North 3rd Street • Phoenix, AZ 85004 Tickets $60/person Contact Pamela Lowe, Assistant Development Officer, at 602.496.1498 or pamela.lowe@asu.edu if you have questions or want to purchase tickets. For more information, go to http://nursingandhealth.asu.edu/luncheon discover dream William L. Haskell, PhD Professor of Medicine (active emeritus), William (Greg) Wood, Stanford Prevention RN, MSN (ASU 1991), Research Center FNP, Captain, US and the Div. of Public Health Service, Cardiovascular USFDA - Center for Medicine at Stanford Drug Evaluation and University Research. ASUN_InnovationsAd R7.indd 1 deliver Sponsorship opportunities available. Timothy PorterO’Grady, DM, EdD, ScD(h), FAAN Senior Partner, Timothy PorterO’Grady Associates 4/8/10 4:41 PM