nurses in Taiwan

44 Pages·2017·29.24 MB·English

FALL/WINTER 2017
MINNESOTA
NURSING
A publication of the University of Minnesota School of Nursing
KIDS BEING KIDS
during chemotherapy
Research discovers what helps children
thrive after cancer treatment
11 25 35
Exercise covered: A breakthrough Clinic care goes Advancing the role of
for less invasive interventions beyond its walls nurses in Taiwan
FALL/WINTER 2017
ON THE COVER
06 Kids being kids during chemotherapy
Research discovers what helps children thrive after cancer treatment
12 Leaders in integrative health
As the first DNP program, the specialty is a national draw
20 The price of unaffordable housing
Pulitzer Prize-winning author Matthew Desmond comes to campus
39 The colonel in the classroom
Collier is proud she was in the first-ever graduating DNP class of
06 Bentson Scholars
SECTIONS
04 From the Dean
06 Research
12 Education
20 Outreach
12 26 Center News
30 School News
34 Alumni News
38 Development News
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2 | MINNESOTA NURSING
UNIVERSITY OF MINNESOTA
SCHOOL OF NURSING
OUR MISSION
To generate knowledge and prepare nurse
leaders who create, lead and participate in
holistic efforts to improve the health of all
people within the context of their environments. Data evolution
OUR VISION
The School of Nursing envisions a world where
nurses lead collaborative efforts to attain
optimal health for all people.
DEAN
Connie White Delaney, PhD, RN, FAAN, FACMI,
FNAP
SENIOR EXECUTIVE ASSOCIATE DEAN
FOR RESEARCH
Ann Garwick, PhD, RN, LMFT, LP, FAAN
ASSOCIATE DEAN FOR ACADEMIC
PROGRAMS
Christine Mueller, PhD, RN, FAAN, FGSA
ASSOCIATE DEAN FOR FACULTY PRACTICE,
PARTNERSHIPS AND PROFESSIONAL
DEVELOPMENT
Tom Clancy, PhD, MBA, RN, FAAN
BOARD OF VISITORS
Clara Adams-Ender, chief nurse executive,
Army Nurse Corp. (ret.); Michael Bird, national
consultant to AARP on Native American/Alaska
Native communities; June Cook-Lapidus,
president, School of Nursing Foundation; Melanie
Dreher, dean emeritus, Rush University College
of Nursing; David Durenberger, former United
States senator; Richard Norling, senior fellow,
Institute for Healthcare Improvement; Laura Reed,
DNP, MBA, chief nurse executive, Fairview Health
Services; Jeannine Rivet, executive vice president,
UnitedHealth Group; Peter H. Vlasses, PharmD,
DSc (Hon), FCCP, executive director, Accreditation
Council for Pharmacy Education; Charlotte
Weaver, former senior vice president and chief
clinical officer, Gentiva Home Health & Hospice;
and Jonathan M. Zenilman, chief, Infectious
Diseases Division, Johns Hopkins Bayview
Medical Center and professor at Johns Hopkins
Bloomberg School of Public Health
DIRECTOR OF STRATEGIC Rebecca Freeman, PhD, RN, PMP, chief nursing
COMMUNICATIONS
Barb Schlaefer officer of the Office of the National Coordinator
SENIOR EDITOR
for Health Information Technology within the
Brett Stursa
PHOTOGRAPHERS US Department of Health and Human Services,
Tom Steffes, Scott Streble
gave the keynote address at the fifth-annual
DESIGNER
Tammy Rose
Nursing Knowledge: Big Data Science Conference
CONTACT US
Minnesota Nursing hosted by the school in June. She called on nurse
University of Minnesota School of Nursing
5-140 Weaver-Densford Hall leaders to embrace standardized terminology in
308 Harvard Street S.E.
Minneapolis, MN 55455 all settings.
Email: [email protected]
Website: www.nursing.umn.edu
Minnesota Nursing is published semi-annually
by the University of Minnesota School of
Nursing for alumni, faculty, students and friends
of the school.
©2017 Regents of the University of Minnesota.
All rights reserved.
www.nursing.umn.edu | 3
FROM THE DEAN
Our impact in tumultuous times
Social determinants of health
Dear Friends, Johnson Foundation in which she calls
on doctoral students to get involved
As nurses, we understand how the
in environmental and social justice
air we breathe, the water and food
issues outside the clinic or hospital.
we consume, our homes, families,
We describe a program evaluation
relationships, employment and much
of a school district’s restorative
more shape our ability to thrive. Nurses
justice program aimed at reducing
design and deliver care for patients,
school violence and discrimination.
families and communities within the full
Another story highlights the value of
context of their lives.
physical activity in promoting healthy
Are we really doing all we can to development for kids being treated
affect health and well-being in these for cancer.
unsettling times? Reflecting on recent
In this issue, we also discuss the
events here and across the country,
toll that unstable housing and
we are reminded of fear and hostility’s
discrimination take on health as
affect on our well-being. In Minnesota
observed by our guest, Pulitzer Prize-
— a state that leads the nation on
winning author, Matthew Desmond in
indicators of health, education and
his book Evicted: Poverty and Profit in
quality of life — hate crimes were
the American City.
up 25 percent over the previous
year. A suburban mosque was As members of the most trusted
recently bombed. profession in America, we can bear
witness as practitioners, speak truth,
In this issue of Minnesota Nursing we
share knowledge and honor the dignity
lift up our unique integrative health
of all. We can focus our research on
and healing specialty of the Doctor of
the cost of an unhealthy culture on
Nursing Practice program, which affords
patients and communities. We commit
nurses emerging and ancient methods
to working together to advance a
for addressing stress, anxiety, chronic
culture of health.
pain and well-being. We hosted a
session on Asian Wisdom for a Western
World by artist and philosopher
Chungliang Al Huang made possible
by Ruth Stricker in partnership with The
Marsh, a center for balance and fitness. Connie White Delaney
We highlight a recent discussion with Professor and Dean
Susan Hassmiller of the Robert Wood
4 | MINNESOTA NURSING
The feeling is mutual
by Barb Schlaefer
“Melissa has an amazing
amount of energy
and skill in education,
interprofessional education
specifically. I enjoy
the collaboration with
midwifery education
as much as I do on the
clinical level,”
said Professor Phillip Rauk, MD,
Professor Phillip Rauk, MD, director of the OB/GYN residency program at the University
director of the OB/GYN residency of Minnesota and Professor Melissa Avery, PhD, CNM, FACNM, FAAN, who leads the
program at the University of Minnesota Doctor of Nursing Practice specialty in nurse-midwifery at the School of Nursing.
of his collaborating partner, Melissa
Avery, PhD, CNM, FACNM, FAAN, who come up with new and creative ways to The pair is charged with developing
leads the Doctor of Nursing Practice help our learners understand the value new interprofessional standards for
specialty in nurse-midwifery at the of both professions and learn how they national accreditation metrics for the
School of Nursing. can work together to achieve the best two professional programs. The ultimate
Rauk and Avery are working together outcomes for women and newborns.” goal is to increase the number of
to create a new curriculum including Minnesota is one of four demonstration nurse-midwifery graduates to address
team-based simulation experiences sites nationally advancing this a projected maternity care provider
designed to give their learners a interprofessional model of education shortage, improve outcomes and reduce
deeper understanding and respect and clinical care. As a former president costs in maternity care.
for one another’s capabilities. Their of the American College of Nurse- The project is funded with a $375,000
objective is to prepare new nurse- Midwives, Avery is co-leading this grant from the Josiah Macy Jr.
midwives and OB/GYN physicians to initiative with John J. Jennings, MD, a Foundation.
work together in ways that complement past president of the American College
each profession’s strengths. of Obstetricians and Gynecologists and
“We have so much fun working professor of Obstetrics and Gynecology
together,” said Avery. “Phillip is so at Texas Tech University.
enthusiastic and together we’re able to
www.nursing.umn.edu | 5
RREESSEEAARRCCHH
Kids being kids
during chemotherapy
Research discovers what helps children
thrive after cancer treatment
by Barb Schlaefer
When parents first learn energy to be kids, whether it’s playing
outside or being social or going to
their child has cancer, shock
school,” she said.
and fear can overwhelm
This has been Hooke’s passion since
them, says Associate completing her PhD dissertation on
fatigue in childhood cancer patients in
Professor Casey Hooke,
2007. Her earliest research pointed to
PhD, APRN, PCNS-BC,
the importance of children remaining
CPON, who has worked physically active during treatment,
which she demonstrated helped to
as an advanced practice
reduce fatigue.
oncology nurse for more
One of the early discoveries was that
than 30 years. it was often the most active families
who volunteered for her studies about
“The focus is on survival, naturally,”
physical activity. In contrast, in her
said Hooke. “Parents only want to
current study she works directly with
protect their child.”
advanced practice nurses to remove
With the vast majority of young cancer this self-selection bias.
patients now surviving the disease,
WHEN AND HOW TO COACH
Hooke says more research is needed to
FAMILIES
understand what helps these children
Her most recent pilot study delivered
thrive developmentally, emotionally
education and resources to pediatric
and cognitively during and after cancer
oncology nurse practitioners to help P
treatment. h
them effectively coach patients and o
to
“oIn w haonwt ttoo dgiisvceo kviedrs a wnidth s hcaanrec eerv tidheen ce finacmluildieesd o an cplahsyss ifcoarl paectdiviaittyr.i cT nhuer ssetu dy s: Sc
o
tt S
continued on page 8 tre
b
le
6 | MINNESOTA NURSING
RESEARCH
Sam Mayland, 5, was diagnosed
with leukemia this spring.
www.nursing.umn.edu | 7
RESEARCH
continued from page 6
practitioners and tracked when physical of the diagnosis gave her a sense of
activity was discussed at their patient helplessness. “But knowing we can
appointments. Nurse practitioners encourage him to be active through his
• • •
coached patients as part of their usual treatment is a good feeling,” she said.
“ Sammy loves to ride care. Patients then took part in a “Sammy loves to ride his bike, swim,
study that measured physical activity play games and run around with his
his bike, swim, play
and fatigue levels and used activity brother. We are working with his nurse
games and run around monitors to determine whether their practitioner to make sure he does not
activity levels decreased, increased or miss important events, like the first
with his brother. We
stayed the same. week of kindergarten.”
are working with his “Casey’s class was excellent,” said Hooke is not prescribing exercise
Alexis Maciej, MS, APRN, CNP, a nurse programs for kids. Rather, she believes
nurse practitioner to
practitioner who cares for patients the evidence indicates that kids do
make sure he does not at the Masonic Children’s Hospital’s better simply being kids. “I’m not
oncology clinic in Minneapolis. “It encouraging a regimen of workouts
miss important events,
provided a framework for assessing on treadmills or stationary bikes,” she
like the first week of activity level in patients and said. “The work of staying engaged
implementing an individualized plan. in the activities of childhood, to the
kindergarten.”
I felt very energized about integrating extent kids feel well enough, is what is
– Amanda Mayland, this into the care for all my pediatric important.”
oncology patients.”
Sam’s mother
TAKING IT NATIONAL
Amanda Mayland’s son Sam was
Hooke is also a co-investigator for a
diagnosed with leukemia in April
multi-site national study of children with
2017. She says that the initial shock
leukemia that is exploring relationships
8 | MINNESOTA NURSING
RESEARCH
between the chemotherapy side Alexis Maciej, MS, APRN, CNP, left, discusses a treatment plan with Casey Hooke, PhD,
effects experienced during the APRN, PCNS-BC, CPON.
first nine months of treatment and
• • •
patients’ biologic markers and genetic
characteristics. The goal of this National
“ I want to discover and share evidence on how to give
Institutes of Health-funded study, led
by Marilyn Hockenberry, PhD, RN, PNP, kids with cancer the energy to be kids, whether it’s
FAAN, at Duke University, and Michael
playing outside or being social or going to school.”
Scheurer, PhD, MPH, at Baylor College
of Medicine, is to understand whether – Associate Professor Casey Hooke
some children have certain biological
characteristics that put them at a higher
risk for symptoms such as fatigue, sleep
disruptions or cognitive changes during
the couch with the remote control to Nursing Foundation with a gift from
chemotherapy treatment.
watch their favorite shows,” Hooke the Arthur W. Olofson Trust and Neil
Hooke is leading a companion study, said. “But kids with cancer are going Lapidus.
following 50 of the original participants, through treatment for up to three years
Today, the survival rate for all types
as they finish their treatment for during a very important time in their
of childhood cancers combined is 83
leukemia. By tracking children after development. We need to understand
percent. Hooke credits the advances
their second and third years of how to ensure they have the energy
in survival rates largely to the work of a
maintenance chemotherapy, she and to meet important developmental
national consortium for pediatric cancer
her team will be able to determine milestones during that time.”
research called the Children’s Oncology
the longer-range effects of physical
At the end of her companion study, Group, which coordinates large clinical
activity in reducing symptoms. Using
Hooke and her team will determine trials nationwide. “I love this particular
an NIH software application, the team
whether symptoms of fatigue, sleep field because the evidence is always
is assessing children’s cognitive skills
disturbance and cognitive function at growing and changing,” she said. “It’s a
using iPads as they complete their
the beginning of chemotherapy predict joy to be part of it.”
leukemia treatment.
the level of these symptoms at the end
“If your child is sick with the flu for two of maintenance chemotherapy. This
or three days, you might put them on study is funded through the School of
www.nursing.umn.edu | 9
RESEARCH
Addressing problems
on the spot
School leads evaluation of new St. Paul Public
Schools program
by Barb Schlaefer
When St. Paul Public Schools
introduced a restorative practices
program at six schools last year, the
district turned to the School of Nursing
to help it evaluate the effectiveness of
the pilot program. If results are positive,
the district may expand it to more of its
58 schools.
The district and teachers’ union
launched the program, in response to
teachers’ concerns that the learning
environment in the district was
challenging because of an increasingly
negative and unsafe climate combined
with uneven discipline practices. Associate Professor Barbara McMorris, PhD, center, with Research Assistant Sung Tae Jang,
MA, PhD(c), and Senior Evaluator Kara Beckman, MA.
With a grant from the National
Education Association and a major evaluation, with funding from the particular, our team can focus on
funding commitment by the district, University of Minnesota’s Center for evaluation tasks, which allows district
school officials are equipping teachers, Urban and Regional Affairs. McMorris, and school staff the time to focus on
students and administrators at the pilot a sociologist by training, and her effective implementation of restorative
schools with new methods for building colleagues will conduct interviews practice plans.”
positive relationships with and among with principals and site leads and then
District and teachers’ union leaders
students. The practices introduced analyze quantitative data on school
hope they can reduce suspensions,
involve building community through climate, discipline and attendance.
boost attendance and academic
sharing circles, with all students sharing
“There is a lot of public scrutiny achievement by addressing problems
their perspectives to talk through
about funding spent by schools on when they occur, in the community
problems more intentionally and
initiatives to improve school climate,” in which they occur. The program has
reflectively than in the past. All affected
said McMorris. “Working with a third already expanded to three additional
parties then come up with solutions.
party evaluator lends credibility and schools in fall 2017.
The program is being tested, in part, as
objectivity to the project, in addition
an alternative to suspensions.
to technical expertise in research
Associate Professor Barbara McMorris, methodologies and analysis. In
PhD, and her team lead the program’s
10 | MINNESOTA NURSING