Oermann Authors “Writing for Publication in Nursing”

Dr. Marilyn Oermann, professor and division chair in the UNC Chapel Hill School of Nursing,  has another new book: Oermann, M.H., & Hays, J.C. (2011). Writing for Publication in Nursing (2nd ed.). New York: Springer.  This is Marilyn’s 19th book.

Writing for Publication in Nursing was prepared for beginning and experienced authors, for nurses who want to write for publication, and for graduate students who need to write research reports, clinical articles, systematic reviews, and other types of articles. The book describes the process of writing, beginning with an idea through developing the final paper, submitting it to a journal, and responding to peer reviews. A chapter is devoted to writing research articles, and other chapters describe how to write papers on reviews of research evidence, clinical practice topics, and case reports, among others.

Marilyn has a lot of experience in writing for publication:  she is author of more than 170 articles in peer reviewed journals, chapters, and editorials, and is editor of a nursing journal. From this experience she is able to offer many suggestions to authors.

Soltis-Jarrett Joins NC Board of Nursing Advisory Committee

Kudos to associate clinical professor Victoria Soltis-Jarrett, PhD, who has been been appointed to the North Carolina State Board of Nursing Advanced Practice Registered Nurses (APRN) Advisory Committee. She has been chosen to represent APRNs and also our school on this important committee. Soltis-Jarrett heads the psychiatric mental health nurse practitioner program.

Havens Named to National Commission on the Magnet Recognition Program

SON professor Donna Havens has just been notified that the Executive Committee of the American Nurses Credentialing Center Board of Directors has appointed her to serve as the academic member of the National Commission on the Magnet Recognition Program.  Her term runs till July 2014. Congratulations, Donna, for the important contribution you will make to this major standard-setting commission.

Nursing Student Minh Nguyen Receives First Cronenwett Global Study Award

It is with great joy we announce the first  UNC Chapel Hill School of Nursing Cronenwett Global Health Scholar award! It is fitting that the Global Nursing Advisory Council selected Minh Nguyen, a student in our baccalaureate program to receive this first award based on his plans for a summer experience in his native Vietnam to work with a rural hospital on quality and safety. Minh is enrolled in our N489 this summer with faculty Chris Harlan and will be in Vietnam for about one month working with a rural hospital through a liaison with a local organization. He hopes to foster quality and safety by helping with hand hygiene and infection control. He has agreed to share some of his experiences upon his return.

The Cronenwett Global Health Scholars Fund was established through our Office of Advancement by one of our donors who wanted to assure that undergraduate students had an opportunity to expand their world view through a global health experience. This is the first year we have been able to fund an award, which we hope will occur annually. The Fund remains open and active for on-going growth to expand opportunities for our undergraduate students. Named to honor Dean Emeritus Linda Cronenwett, we are pleased this first award goes to a project that reflects her passion for improving quality and safety in health care.

Psychiatric Mental Health Nurse Practitioners Meet NC Health Care Needs

A Note of Thanks From Dr. Victoria Soltis-Jarrett

Yesterday we welcomed a new class for pre-orientation and I realized that I wanted to share some important facts with our alumni and friends.
With scholarship support and assistance from our State Legislature,  we have been able to graduate 28 PMHNP students who utilized the state monies as of this summer (2010).  All 28 students benefited from the scholarship funds ($125,000 allocated per year) that was made available to them by the Great State of NC and who, without its support, would not have been able to attend graduate school at The University of North Carolina at Chapel Hill.

Of the 28 students, 23 come from severely medically underserved counties such as Beauford, Buncombe, Carrabus, Cleveland, Davidson, Gaston, Nash, New Hanover, Onslow, Pitt, Rutherfordton, and Stanly.  These students are returning/or have returned to their communities and are beginning to provide services for those citizens who have had limited access to mental health care.  Our UNC-CH graduates are caring for NC citizens from childhood through late life and are able to provide holistic mental health care and treatment including diagnostic assessments, prescribing psychiatric medications and implementing psychotherapy.

These UNC-CH graduates are also able to access citizens in NC who may feel intimidated by the travel to a larger county or city and who trust someone they call “nurse”.  The stories from my students are rich in terms of their actualized hard work and ability to see the fruits of their education at UNC-CH come to a fruition of a much needed service to their communities.

Thanks to everyone who is making this support possible.

Victoria Soltis-Jarrett, PhD, PMHCNS/NP-BC

Clinical Associate Professor and Coordinator of the MSN Program in

Psychiatric Mental Health Nursing (PMHN)

UNC-Chapel Hill School of Nursing

SON’s Third Dean, Laurel Archer Copp, Passes Away in Chapel Hill

From Dean Kristen Swanson, RN, PhD, FAAN:

It is with great sadness that I share with you the news that Nursing
Dean Emerita, Dr. Laurel Archer Copp, passed away last evening (May 25, 2010).
This last year Dr. Copp’s health had been failing; she chose to be at home to
die in the midst of her family. Blessedly, her daughter, Lisa,  two her
of her grandsons, and her personal assistant, Wilhelmina, were with her.

Dr. Copp served as Dean of the School of Nursing at the University of
North Carolina at Chapel Hill  for 15 years, serving from August of 1975
to August of 1990.  During her tenure, the School’s emphasis on
scholarship emerged.  Her focus set the groundwork for the  School’s
national reputation for excellence in nursing research.  The first
nursing PhD program in North Carolina was launched under Dean Copp’s
leadership.   Dean Copp believed in and saw to it that faculty
participation in scholarship became the expected norm. She shifted a
culture by introducing research topics into discussion and highly
encouraged faculty to write, publish, and obtain their doctorates.

Her own background was in psychiatric nursing; her research focused on pain
management.  Dr. Copp’s writing abilities were highly regarded and along
with Dr Elizabeth Tornquist, Dean Copp created opportunities for faculty
and students to live up to her motto “Thou shall write!”  In fact, Dean
Copp has funded “The Laurel Archer Copp Literary Award”, a highly
esteemed award given annually to a nursing faculty member whose writing
is deemed scholarly by his or her peers.  Scholarly, in this
circumstance being defined as the “creative use of words to achieve
insight or impact on patient care, teaching, research or service.”

Dean Copp’s many contributions to the School of Nursing at the University of
North Carolina at Chapel Hill are cherished. While we are saddened to
say good by to a true pioneer in nursing, we celebrate the gift of Dean
Copp having dreamed big, having set the bar high, and for creating
structures that enabled the School to achieve her vision for
excellence.  Because of Dean Copp’s foresight and commitment, we are all
better prepared to serve society as faculty, staff, students, and nurses.

Back Then: Alumni Panel From the 50′s Talk About Carolina Nursing

History of Carolina Nursing Introduced to First Year Nursing Students

When Geraldine (Geri) Snider Laport, BSN `55, Barbara Hedberg Self, BSN `57 and Frances Ader Read, BSN `58 took Right to Left Barbara Self, '57, Geri Laport, '55, and Frances Read, '58 the stage in Carrington Hall Room 15, the one hundred fifty students in their first year of the baccalaureate program at the School of Nursing fell silent.   There was a sense of awe and respect for the women who came to speak to them on Tuesday, May 25, 2010.  More than fifty years had passed since their graduation and a lot had changed, in nursing, at the school, in the curriculum, at the University.  Yet, the bond between them was strong and solid.  They were all Carolina nurses.

Professor Meg Zomorodi, RN, CNL, PhD organized the program with

With faculty members Meg Zomorodi '01, '08 and Anne Webb, associate director of advancement

Anne Webb, associate director of advancement, to introduce the history of the SON and create continuity between then and now, a link between past and future.   The three alumnae shared their personal stories and memories , then students had an opportunity to ask questions.  At the end, students and alumnae gathered together for photos.  The class ran well beyond the allotted time because students were wholly engaged and didn’t want to leave!  Students posed for the camera with our guests as others took their photos with their cell phones.   Dr. Zomorodi reports that she heard one student say , “I hope to have the same passion about nursing fifty years from now.  It is wonderful to be in Chapel Hill.”

In 1955, Geri Laport stood tall in the third row of her class photo, which she proudly handed out to the assembly.  Of

Geri Laport, BSN '55

course she has changed over the years, and she was still the stately, beautiful and intelligent blonde who stood before us today.  While twenty-seven young women were admitted to the first class, sixteen made it through the four-year curriculum and graduated.   They arrived in September 1951, eager, hand-picked by Dean Elizabeth Kemble, to be models for the future of baccalaureate degree nursing.    First, the class moved into Smith Hall, which was a dorm then.  The hospital and the School of Nursing were not yet completed.  It was a quiet life on campus, though punctuated with occasional panty raids which Geri describes as being “exciting, but nothing happened.”    In September of the second year, the group moved into the fourth floor of Memorial Hospital because the nurses’ dorm was not yet completed.  At that time, a private hospital room was twenty-seven dollars a day.

When the Class of 1955 graduated – the first class at the School of Nursing — they walked across the stage at Kenan Stadium (much smaller than it is today), shook hands with the governor, and were each given a bible.  They were proud, and justifiably so.

Geri reminded us that at the time the state desperately needed schools of medicine, nursing, pharmacy, dentistry and public health, and these schools were chartered after World War II by the state legislature to address the health care needs of returning veterans and rural communities with limited access to care.  She recounted that in the 1940’s North Carolina men were rejected by draft boards because of poor health; the rejection rate was one of the highest in the nation.   The state invested in a collaborative health affairs campus, an innovative approach at the time.

Barbara Hedberg Self remembers that she and her classmates were required to sign in and sign out each time they entered and exited the dorm.  The weekday curfew was ten o’clock and the weekend curfew was eleven at night.  Once in a while, Dean Kemble would give permission to stay out later and this was a big deal.  She remembers garters that held nylon stockings, starched uniforms, and how proud she and her classmates were of their Carolina nursing caps.  They started clinicals in the hospital as soon as they learned to take vital signs.  She was instrumental in designing the School of Nursing pin that all students receive when they graduate.  There was a contest in the SON and she ordered a half gallon of lime sherbet from the Dairy Bar, invited classmates to join her on her dorm bed and asked for their ideas before she went ahead and put pencil to paper to design the school’s pin.

About one-third to one-half of the class didn’t make it because of chemistry, Barbara recalls.  The professor didn’t think that women belonged on campus and he let them know that.  After graduation, Barbara worked in the operating room (OR), and then after she married Bill Self, they lived in Japan as part of his military service.  When they got married before she graduated, Bill had to promise Dean Kemble that she would graduate.  Dean Kemble had a lot invested in these first nursing students, since they were examples of the kind of quality program she was trying to build.

Barbara was out of the workforce for seventeen years during the period she raised her children, but she went back to nursing.  For twenty-five years she practiced geriatric nursing before recently retiring.  “It’s a wonderful thing to have a degree and this type of education,” she said.

Frances Ader Read felt special to be part of the Carolina nursing program.  She applied to both Duke and Carolina and went to visit both.  At the time, Duke’s program was five years and Carolina’s was four.  The Carolina program was welcoming, receptive and the curriculum in pubic health nursing was exactly what she was looking for.  She was a public health nurse for over twenty-five years.  She remembers that VD (veneral disease, now called STDs or sexually transmitted disease) was rampant then.  The county health director had the power to put people in jail for not getting treatment for tuberculosis or VD.  The people diagnosed with VD had to give the names of those they had been in contact with or risk legal action.  She remembers patients who had relationships with a dozen people and each one of those needed to be tracked down.

Because she had a BSN degree, which was considered “advanced,” she was tapped to teach.  Nursing schools needed baccalaureate educated instructors in the classroom in order to get accreditation.  Frances taught at the Medical University of South Carolina in Charleston for twenty years.

“I loved nursing then.  I love it now.  I still keep my license so I can give flu shots.  I’m not ready to give it up,” she says.

Q & A:  Students and Alumni Ask and Reply

Q:  Do you remember your first clinical patient?

A:  We all did case studies and we were apprehensive.  There was one patient I remember who had a total body burn who was suspended on a striker frame between sterile sheets.  He was in a lot of pain and I was very careful when I turned him.

We had iron lungs then; lots of people had polio since this was before the vaccine.

We were concerned as new nurses; we didn’t have a lot of clinical training.  We valued the hospital orientation, the ability to ask questions.  Our critical thinking skills came in handy and we were able to listen to patients concerns.

Q:                  Where people turned away from admission then?

A:                  We had to pass a rigorous entrance examination.  Everyone was hand-picked by Dean Kemble or by faculty members who traveled the state to recruit students.  A faculty member came to my high school in Charlotte to recruit me.

Dean Kemble had high standards and she got us off to a strong start.  She set the bar high.  She was never mean.  She had a deep, commanding voice and you paid attention when she spoke.

I remember that Dean Kemble came in when we were studying to take the state boards.  She asked us who the president of the National League of Nursing was and we couldn’t answer.  She was definitely disgusted with us for not knowing this.  We learned the answer and no one failed the state boards.

There are profound changes in nursing.  Then, medical doctors gave orders.  Now, they respect women and nursing.  They ask us for advice now and respect us for our knowledge and professionalism.

Men are respected in nursing now; there is definitely a place for men in managing care.

Why did nurses need a BSN then?  It is important to remember Mrs. Elizabeth Scott Carrington, who was a nurse.  She was a strong supporter and formed Mrs. Carrington’s Committee.  At the time, there was a strong movement for the hospital to grant a diploma degree and not establish a School of Nursing that would award a BSN.  The influential support from Mrs. Carrington and her committee with the state legislature is what made the difference in establishing this school.

Q:                  What was your commitment to nursing and social justice?

A:                  I always wanted to be a nurse and defined myself that way.  This was my calling.

We wanted to help others and make a difference.  You feel you made a difference in the world.  I always knew at the end of the day that I felt good and did something meaningful.  You never know what you are going to come up againt and reach back to pull out what you learned.

As soon as anyone found out I had a BSN degree from Carolina, I was offered a job.

The ICU (intensive care unit) than was on Ward 3 West.  It was eight beds.

There was lots of discipline in that era, in schools and in families.  Most of us came from small towns across North Carolina and this structure gave us security.

Q:                  What was the social life like?

A:                  It was vibrant.  I ran for University office.  There were parties, intramural competitions.  We were involved in everything on campus, incuding the Beat Duke Parade, Miss Modern Venus, skiats, the Sigma Chi Derby, and the Hillbilly Willers.  We were pretty dignified.

It wasn’t a disposable society then.  We cleaned and sterilized needles and equipment and reused them.  We reused everything.  It’s not like it is today.

Cronenwett Participates in National Teaching Quality, Patient Safety Conference

MEDIA ALERT  from the Robert Wood Johnson Foundation

CONTACT: Gretchen Wright or Matt Freeman

May 18, 2010                                                                          202/371-1999

Leading Nurse Educators to Meet in Denver to Discuss Latest Innovations in Teaching Quality, Patient Safety

Dean Emerita and Beerstecher-Blackwell Professor Linda Cronenwett, PhD, RN, FAAN, the principal investigator for QSEN (Quality and Safety Education for Nurses), a national intiative, announces the following:

In 2003, the Institute of Medicine (IOM) released a groundbreaking report which identified quality and safety competencies that all health professionals should master. Nurses’ mastery of these competencies is crucial, because they represent the largest group of health professionals and their role is being recognized as increasingly important as more people gain access to health care. The Quality and Safety Education for Nurses project (QSEN), funded by the Robert Wood Johnson Foundation, has identified appropriate knowledge, skills and attitudes (KSAs)  for nursing students to achieve based on the IOM competencies and is fostering the development and dissemination of approaches and techniques  nursing schools can adopt to effectively incorporate them into their curricula.

Leading faculty from nursing schools across the country will meet in Denver next month to discuss innovations in curricular design and teaching strategies that help students master the QSEN competencies. The QSEN national forum, Climbing from Good to Great, will be held:

June 2-4, 2010

Westin Westminster Hotel

10600 Westminster Boulevard

Westminster, Colorado

The QSEN competencies are: patient-centered care; teamwork and collaboration; evidence-based practice; quality improvement; informatics; and safety.

Sessions will address integrating the competencies into and across nursing school curricula, assessing and evaluating the impact of teaching the QSEN competencies, creating successful academic-practice partnerships, teaching competencies through simulations, multidisciplinary and inter-professional approaches to teaching the competencies and much more.

The keynote speaker is Rosemary Gibson, M.Sc., writer and thought leader in U.S. health care, author of Wall of Silence: The Untold Story of the Medical Mistakes that Kill and Injure Millions

of Americans and the 2010 book, The Treatment Trap, which puts a human face on the overuse of unnecessary medical treatment. Other speakers will include several nursing faculty who ran or participated in pilot sites at nursing schools across the country to develop methods for teaching the knowledge, skills and attitudes related to the QSEN competencies.

A complete conference schedule is available online at http://www.qsen.org/conferences/2010/QSEN%202010%20Conference%20Schedule.pdf.This event is open to media.

#    #   #    #

The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to improving the health and health care of all Americans, we work with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years we’ve brought experience, commitment and a rigorous, balanced approach to the problems that affect the health and health care of those we serve. When it comes to helping Americans lead healthier lives and get the care they need, we expect to make a difference in your lifetime.

Transitional Care: Improving the Health of Acutely Ill Elders

What is transitional care?  It is how the health care system moves a vulnerable, high risk older adult from hospital to home or facility in a way that assures a seamless system for continuity of high quality care.

How we transform patient care, assure continuity of care and improve quality of care is the focus of nurse researcher Mary Naylor’s work.  She was with us at UNC Chapel Hill School of Nursing as part of a three-day residency as the 2010 Duke-Carolina Visiting Professor in Geriatric Nursing underwritten by Blue Cross Blue Shield of North Carolina.  Her research team at the University of Pennsylvania School of Nursing has developed a health care model that promotes faster hospital discharge for high-risk older patients who have been diagnosed with four or five acute chronic illnesses and transition them to home or medical homes under the supervision of a highly skilled nurse practitioner.   By using this model, their research demonstrates that patients stay healthier longer, there are lower health care costs, the quality of patient care is higher, and there is greater satisfaction by patients and caregivers for the health care they receive.  Patients want and need a relationship and trust with one caregiver point-person.  This is central to their having a high level of satisfaction.

Mary Naylor, PhD, FAAN, RN, began her career in Washington, D.C. as a health care policy expert working with the U.S. Senate Committee on Aging chaired by the late Pennsylvania Senator John Heinz.   In the course of her career, she has asked important questions that will help shape better patient outcomes.  This is especially important to us as the baby-boomer generation ages and there will be a greater need for nurse practitioners to provide primary care.

The biggest question Naylor and her team ask is “What kind of life do you want for however long you are alive?”  Twenty percent of people consumer 75-80% of Medicare dollars, and with very high rates of hospital readmissions, the system can do a better job of transitioning the patient out of the hospital to prevent these high rates of readmissions.  Naylor says that 20-40% of Medicare beneficiaries should not be readmitted and with prevention, this number can be significantly reduced.

How?  By improving the hand-off from the hospital to the home or skilled nursing facility, she says, by assigning a nurse practitioner who will provide a holistic approach to health care and medication management.  (Research shows that the average person with three or four chronic illnesses is taking fourteen to fifteen different medications, three of which will negatively interact with each other.)  Nurse practitioners can manage complex services for the “whole” patient, and offer a systems-savvy, efficient model for care.  The idea is for nurses to implement a plan of care and follow a patient for two months, starting within twenty-four hours after discharge.

Nurses provide a safety net for high risk patients.  Studies show that after hospital discharge, people are at a low ebb for ten to fourteen days.  During this time, they can develop depression and one or more of the other illnesses they have (which they were not treated for during their last admit) can be triggered.  A nurse practitioner who is monitoring a patient will be part of a system that values preventive health care and provide an intervention to lower the readmission rate.

Naylor says our care system culture is not conducive to implementing translational care.  The acute care model doesn’t work, but it is how our system is organized.  We need a system that values prevention, she advocates.  We can do this by becoming advocates for a higher standard of health care and prepare the next generation of new researchers who will carry these efforts forward.   We must match the right services to patients and family needs.  We see high risk populations such as acutely ill elders moving from multiple chronic illnesses to major disability.   It is a failure of our system to not have responded and tie risk to prevention.  Care coordinators can help people with high risk on a downward health trajectory to do comprehensive assessments and interrupt the health decline to get people to a point of stability.

In the conversation with School of Nursing faculty, the question was raised about the value of having health care specialists when they can diagnose and treat only one of three, four or five chronic illnesses.  Another commented that we need a way to change the approach to chronic care when there are multiple medical issues.  Nurses, it was noted, are innovators and holistic health care providers.

We are moving into an era of teams:  patient, family, home health aide, pharmacist, occupational therapist, etc.  It is beneficial to the patient when the nurse is there to oversee the total health care environment.

How can we implement transitional care into our undergraduate curriculum? asked another faculty member.  We need to revolutionize the way we think about preparing the next generation, answers Naylor.  She referred the group to the Mitch Heflin framework.  We ought to be thinking about how to prepare students to use evidence in practice.  BSN graduates are beginning beginners, and we must continually invest in them so they grow and evolve.  Students need balanced clinical experiences beyond hospitals.  They need to go into home care, primary care, and health clinics for their practice.

Naylor summarized that health reform has put in play many great opportunities, including those for nurse led primary care practices.  Hospitals are mandated to reduce readmissions or they will be financially penalized.  And … patients come to us for symptom management.  We want to manage their diseases.  That is our challenge and this model helps us do this.

Resources:

www.transitionalcare.info

WUNC Radio Report: Nurse Practitioners Fill the Gap in NC

Rose Hoban, health news editor for WUNC radio, interviewed SON faculty member Tom Bush, alumna Gale Adcock, and UNC Hospitals CEO Bill Roper last week about the nurse practitioner shortage in NC.  Here is the link to the audio file.  We hope you have a chance to download it and listen.  It is a great feature story.

http://wunc.org/programs/news/audio-archive-2/NRH0423.mp3/view

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