HCS Alumni Change the System through Nurse Leadership

HCS Alumni Panelists

A group of Health Care Systems alumni returned to Carrington Hall on April 24, 2012 to share their professional experiences with current HCS students. Their message: big changes are happening in health care, and nurses are leading the way.

The alumni panel, organized by the SON Office of Advancement and Associate Professor Cheryl B. Jones, brought in almost two dozen HCS alumni dating back to the graduating class of 2004. Nurse graduates came in from across the country, many with remarkable reports on what they’re doing now.

The SON’s Health Care Systems Program offers master’s and post-master’s training for nurses who want to further their expertise in administration, education, informatics, quality and outcomes management, and clinical leadership. Often these nurses have extensive clinical backgrounds and seek to influence health care on a system-wide level. According to a recent article in The Atlantic Magazine, now is a good moment for nurses to effect change by rising to leadership positions.

“Our current students already have successful careers, but it’s amazing to think of the expanded roles and opportunities that lie ahead,” said Dr. Jones, who referenced the Atlantic article. Proof of this trend was all around the room and shared by former HCS students.

Take HCS ’09 grad Angela Newman, nurse manager at WakeMed Cary, who was asked to help improve the oncology unit at her hospital. After observing oncology staff, Newman had the idea of expanding her unit’s operations by opening an outpatient clinic for blood transfusions.

“I put a proposal together, sent it to my VP, and within minutes he sent it to finance,” Newman said. It was Newman’s story of creating a medical day treatment unit that inspired Jones to bring the HCS students back to share their stories.

Susy Koruth, ’10, the SON’s first Clinical Nurse Leader certified graduate, is having a big impact in a clinical setting.

“As you can see, I’m completely clinical,” Koruth said, wearing scrubs for her position as CNL of the main surgical floor at the VA Medical Center in Durham. Koruth is not only the first SON CNL graduate, but also the first CNL to work at the Durham VA.

“At first the hospital didn’t really know exactly what the CNL role meant,” Koruth said. “But now it’s taking shape.” Koruth’s duties include monitoring performance improvement indicators for all the patients on her floor as well as serving as a support resource and educator. She has found an easy way to explain what she does: “You know the attending doctor? I’m the attending nurse.”

Another nurse whose career speaks directly to the nurse leadership trend outlined in the Atlantic is Lindsay Gaynor, ’04. Gaynor, who pursued the administration track with a focus on health care policy, is now director of clinical services and innovation for a multi-specialty physicians group in Massachusetts. Gaynor’s group is preparing to act as a pioneer Accountable Care Organization with Medicare. As an ACO, the group will work together as a network of hospitals, physicians, and other providers, sharing responsibility for the health of a specific population, in this case, of Medicare recipients. In ACO formations, providers are rewarded with increased pay when their populations show measured signs of good health, like decreased hospital visits.

“This is my first time at the executive level and I feel like we’re really having an impact on national health care reform,” Gaynor said. “It’s the team-based, multi-disciplinary care the U.S. health system has been talking about.”

Trent Praytor, ‘09 and Dustin Williams, ‘09

Dustin Williams, ‘09, spoke about the expanded roles in informatics that are and will become more available to nurses in the future.  These roles include the chief nursing information officer who leads and guides informatics operations; serving on teams to facilitate and coordinate the adoption of electronic health record technologies and the achievement of “meaningful use,” and leading efforts to implement a variety of electronic documentation systems.

Panelist Nancy Gleason, ’08, uses her HCS training in her role as a supervisor in the pre-anesthesia clinic at UNC. “I was learning something that I really needed to know in my current role as nurse manager from the get-go,” Gleason said of the HCS program. Gleason’s subsequent work and research have focused on patient safety, nurse empowerment in decision making, and nurse managers’ job satisfaction. “At this point in my career I’m looking to advance the legacy of nursing,” Gleason said.

“The one thing that I am learning, thanks to this program, is how to be a director,” said Beth Hutchinson, HCS ’10, administration, director of the Duke Birthing Center. Hutchinson spent 25 years as a nurse manager in pediatrics before taking on the role of director at Duke.

Trent Praytor, ‘09, also spoke about leadership opportunities for nurses in non-traditional settings.  After graduating from the HCS program, Trent took a position as a director of critical and progressive care at MedWest Haywood Hospital in Clyde, NC.  This step gave him the opportunity to help the organization achieve critical patient and organizational outcomes.  More recently, he has taken on the role of chief nursing officer at AnMed Health and Rehabilitation Hospital in Anderson, SC.  This position enables him to put his education to work by leading nursing services outside of acute care, and to ensure that patients who need rehabilitation services get high-quality care.   This was the perfect opportunity for Trent to take the next step in his leadership journey.
Before wrapping up, Jones asked the HCS grads what they wish they had more experience in.  The same words kept coming up: finance, marketing, facilities design, law, data analysis, project management. Their remarks reflect the increasing duties being undertaken by nurses who graduate from the HCS program and have opportunities to move above and beyond the jobs they first trained for.

Dean Swanson attended the panel and offered this in her closing remarks: “Never underestimate the lens through which you ask questions as a nurse.”  Our current HCS students and our graduates will do this as they continue to expand the boundaries of health care change, innovation, and leadership.

UNC Provides Care, Supplies on Service Learning Trip to Honduras

A group of 22 students and volunteers from UNC School of Nursing and UNC School of Pharmacy went to Honduras on a service learning trip during spring break 2012. The group joined the efforts of Compassion Med International in providing medical screenings, care, and supplies to local populations.

The group was led by SON’s Jean Davison, clinical assistant professor and family nurse practitioner. Volunteers included SON’s Rhonda Lanning, clinical instructor and nurse midwife, Elizabeth Prata, family nurse practitioner from UNC Center for Latino Health, and Christine Walko, PharmD from the School of Pharmacy.

The group conducted over 100 health screenings on local children before seeing over 150 patients per day at four different clinical sites. In addition, triage staff cared for minor complaints and handed out anti-parasitic treatments and vitamins. All told, the group saw more than 1,000 patients over the course of their trip, and distributed 20 food packets that could feed a family of five for one week.

UNC’s MedWorld helped provide the group with medical supplies to distribute to local hospitals and clinics. One hospital received endotracheal intubation equipment while its pediatric ward received beanie babies and toys.  Other supplies and medications were donated to Dr. Elmor Mejia, who is the only doctor with a hyperbaric chamber for treating injured Miskito lobster divers.

Before leaving Honduras, the group met with US Attorney David Arizmendi, vice consul of the US Embassy, who expressed appreciation for the group’s service.

View photos from their trip here.

Meg Zomorodi selected for Nurse Faculty Leadership Academy

Dr. Meg Zomorodi

SON clinical associate professor Meg Zomorodi, RN, CNL, PhD, was chosen to participate in the 2012-13 Nurse Faculty Leadership Academy. By pairing new nurse educators with mentors and NFLA expert faculty members, this 20-month intensive program seeks to develop leadership skills in new nurse faculty. Dr. Zomorodi will work with Dr. Judith Halstead, PhD, RN, ANEF, FAAN, from the Indiana University School of Nursing to enhance her leadership capabilities and SON’s Clinical Nurse Leader curriculum.

Dr. Zomorodi chose Dr. Halstead as her mentor because of her expertise in online education. The two will work together to develop ideas for an innovative, engaging online CNL program and revise two core CNL courses. They will receive additional guidance from Dr. Carol Winters of East Carolina University.

“I was so surprised by the first meeting and the wealth of knowledge that was in the room,” Dr. Zomorodi said. “It was in the first 5 minutes of meeting my mentor that I knew I had made the right decision.”

The Honor Society of Nursing, Sigma Theta Tau International’s Leadership Institute developed the NFLA with a grant from the Elsevier Foundation. The academy promotes faculty retention and high performing, supportive work environments through a challenging learning experience that gives new nurse educators the leadership skills necessary for their transition into the faculty role. The Academy chose 16 fellows from all over the nation to participate in its 2012-13 program.

By participating in the program, Dr. Zomorodi will gain unbiased perspectives from schools that face similar challenges, giving her valuable insight into leadership and course curriculum development. Dr. Zomorodi believes that her participation in the program will benefit not only her but the School as a whole.

“It is an opportunity for us to be seen on the national level and I know I will be provided with many ideas that I will share with the faculty,” she said. “It’s also an opportunity for us to build up the CNL program which will benefit our students, faculty, and the surrounding hospitals who are interested in the role.”

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Study examines NC cancer patient emergency department visits

 

Deborah Mayer, PhD, RN, AOCN, FAAN

When cancer patients experience medical problems, they may visit emergency departments, but how often and for what reasons, there is little data.

A first-ever study of emergency room use by oncology patients in North Carolina was published in the May 23, 2011 online issue of the Journal of Clinical Oncology. Authors hope the study can give them information so that they can target clinical problems to improve delivery of quality cancer care, thus avoiding emergency room visits.

Deborah Mayer, PhD, RN, AOCN, FAAN, associate professor of nursing in the UNC School of Nursing, study lead author, said, “While some cancer patients develop acute problems that do require a visit to the emergency department, some visits might be avoided with better symptom management.” Mayer is a member of UNC Lineberger Comprehensive Cancer Center.

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Merle Mishel to be Inducted into Nurse Researcher Hall of Fame

Dr. Merle Mishel

Kenan Professor of Nursing Dr. Merle Mishel will be inducted into the 2011 Sigma Theta Tau International (STTI) Nurse Researcher Hall of Fame. The Hall of Fame recognizes scholars and leaders whose funded program of research has had a long-term impact on the profession and patient/family outcomes. The nomination recognized Dr. Mishel’s more than 20 years of federally funded research and her development of the theory of uncertainty in illness. Dr. Mishel says she is pleased that this award recognizes the importance of nursing research and is honored to have an international organization recognize her work as meaningful.

The scales she developed to help investigators measure uncertainty in illness are used in 30 countries and have been translated into many languages. Dr. Mishel will be inducted into the International Nurse Researcher Hall of Fame at STTI’s 22nd International Nursing Research Congress in Cancun, Mexico, in July.

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Global Study Award Helps Students Gain World Experiences

Linda H. Cronenwett (center) with Tina Evans (left) and Rebeca Moretto (right), the 2011 recipients of the Cronenwett Global Study Award.

The Cronenwett Global Study Award was created by a private gift from a SON alumna and her husband to honor the leadership of Linda H. Cronenwett, immediate past dean of the SON, and her passion for improving quality and safety in health care. This year’s recipients are BSN students Tina Evans and Rebeca Moretto. They will both be traveling internationally this summer as part of N489, SON’s Practicum in Nursing Global Health Experience.

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Nursing in the Genomic Era Conference

The Nursing in the Genomic Era Conference was held at the School of Nursing on Friday April 8. During the conference students taking the Family-Centered Genomic Health Care class displayed poster presentations on various genetic conditions.

See a sample of the creative posters from the student in the slide show here.

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Cheryl B. Jones named Faculty of the Year by UNC Hospitals

Associate Professor Dr. Cheryl B. Jones

Associate Professor Dr. Cheryl B. Jones  has been chosen as Faculty of the Year by the UNC Hospitals  Nursing Division. She is the Research Consultant for UNC Hospitals, and one of her roles in this position is to foster research relationships between the School of Nursing and the Hospitals.

UNC Hospitals emphasizes nurses engaging in research to address critical problems in practice, and Dr. Jones is working with its nursing Research Council to develop a research agenda that guides its nursing research efforts. She also mentors teams at the Hospitals that have research ideas or are developing ideas into research proposals.

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Learn techniques for self-reflection, optimal health and life transformation

The Mind-Body Skills Group at the University of North Carolina at Chapel Hill is a meditative group process that includes a powerful and effective combination of research-based mind-body techniques to help people deal with life changes, stress and illnesses. The 10-week course, taught in a supportive group setting by Dr. Vera Moura, provides techniques for self-care, self-awareness and health promotion. Courses are offered year-round, both to health-care professionals and also to the general public, including people with chronic disease.

In the words of one participant: “What I have grown to recognize about myself is that I spend a great deal of time taking care of everyone. … This class taught me about my origin and my environment and the role it all played in how I have learned to survive and to cope with life. I feel better about my existence, and it has allowed me to engage in self-care.”

Learn more about upcoming MBSG courses through the UNC Program on Integrative Medicine, Department of Physical Medicine and Rehabilitation.

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