CAROLINA N U R S I N G

SUMMER 2018

To the Class of 2018, UNC School of Nursing Spring Commencement

— Donna Shalala, PhD

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Dear Alumni and Fr iends,

“Little by little, a little becomes a lot” says a Tanzanian proverb, and you needlook no further than the first half of 2018 at Carolina Nursing for proof.

Indeed, the hundreds of hours put in this spring byfaculty, staff and students to attend meetings, answersurveys and give thought to the School’s futuredeveloped into the first comprehensive strategic planfor the School in more than a decade. And while theplan won’t be fully rolled out until later this fall, it strikesan impressive balance of visionary thinking with a clearlydefined path forward for the School. I look forward tosharing more about the plan with you in the comingmonths. (See page 16 for more information.)

At the same time, teams of faculty have worked tirelesslyto transform our curriculum to maintain the highest

standards in nursing education with an eye toward innovation and nimblemodes of delivery at a time of rapid change in technology and health care, aswell as in the needs of nursing students at all levels. (See page 16.)

While these two projects required the energies and expertise of many in ourcommunity, the work of teaching, research and service was by no meansneglected! This spring brought more than $3 million in grant funding forimportant nursing research and education projects, leading to a total of nearly$11 million in research and other grants for the academic year.

The School likewise moved steadily up in national and international rankings —from 17th to 14th for our MSN and from 20th to 13th for our DNP programsaccording to US News and World Report; and from 10th overall to an impressive6th in ShanghaiRanking’s Academic Rankings of World Universities — a greatcredit to the sterling work of our educators and scientists. (See page 23.)

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Dean NenaPeragalloMontano

In February, the School joined IntraHealth International to serve as the U.S. launch site of the worldwide Nursing Now campaign to raise thestatus and profile of the profession. (See page 20.) In May, we hostedformer U.S. Secretary of Health and Human Services, Donna Shalala,PhD, as our commencement speaker and graduated 279 outstandingnew Carolina Nurses. (See page 18.) And just as this magazine wasgoing to print, we celebrated the invitation of two of our faculty tobecome fellows in the American Academy of Nursing, Dr. Lixin Songand Dr. Eric Hodges. We look forward to highlighting them in our next issue.

Throughout all of this activity, we have seen awonderful outpouring of support from alumni andfriends like you, who have responded most generouslyto our Campaign for Carolina Nursing, which we kicked off inOctober 2017. I am pleased to report that as of June 15, we hadreceived nearly $18 million of our $22 million goal, and 2,619 alumnihad contributed. THANK YOU.

Little by little, a little becomes a lot — and at the UNC School ofNursing, we have a lot to be proud of and a lot to be thankful for, andwe are.

On behalf of our faculty, staff and students, thank you for all you do tosupport Carolina Nursing and to keep us at the forefront of nursingeducation and science!

Warmly,

Nena

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GOAL: $22 MILLION by end of 2022

The UNC School of Nursing remains one of the world’s very best, but now more than ever, we need the help of friends and supporters to strengthen our position against challenges facing schools of nursing across the country,challenges that lead to increased competition to recruit and retain the bestfaculty and students for Carolina: a nationwide shortage of nursing faculty,leaner federal budgets for scientific discovery, rising tuition and aging facilities.

Four key ways you can help:

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3 4Facilities Support — to ensure thatthe School of Nursing keeps pacewith the latest advancements innursing education and science, weneed funds to update our clinicalskills labs, improve our classroomsand technology, and renovateCarrington Hall.

Faculty Support — to ensure the strength of our educationalofferings, research enterprise, andservice to the public, we needendowed professorships, facultydevelopment, and seed and travelfunds.

Student Support — to ensurethat the best and brightestnursing students can study,practice and advance healthcare in North Carolina, we needscholarships, emergency funds,travel funds, and externship andclinical training funds.

Global and Local Outreach — to ensure our mission of serviceto the people of North Carolinaand beyond, we need facultyservice professorships, globaland local travel awards, mobileclinic support funds, andresearch funds.

OUR PURPOSE“There is no such thingas a menial task in caringfor a human being.” — Elizabeth Kemble, founding dean

Indeed, there is not.

And since its founding,the UNC School of Nursing has held thisview, purposefully andproudly answering thehigh calling of caring forhuman beings throughour teaching, researchand service.

And we do it well.Ranked in the top 15 of two world rankingsfor schools of nursing,Carolina Nursing excelsat advancing the art andscience of nursing care,first for our neighborshere at home, and thenaround the world.

OUR PROMISEAt Carolina Nursing, we will be, and prepare,exceptional nurse lead-ers who advance healthcare to improve lives.

We will drive the state of nursing science andtranslate our discoveriesinto better practice andsystems of care.

We will serve the needsof our neighbors, andexport our expertise tonurse educators, scien-tists and practitionersaround the globe.

We will promote the profession of nursing forthe greater good.

$18 millionas of June 15, 2018

$0

$22 millionGOAL

82%

October 2017

2,619ALUMNI HAVECONTRIBUTED

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Like Mother, Like ChildOne in nine new moms struggles with depression — but single moms,immigrants and those in low socioeconomic situations are even moresusceptible. And their children, whose brains triple in size and makenearly 1,000 nerve connections in the first three years of their life, aredirectly affected. To combat this, UNC nurse scientist Linda Beeber hasspent the past two decades developing mental health interventionsthat treat both the mother and the child as a unit, or “dyad.”

BY ALYSSA LAFARO

Contents

FEATURES

Like Mother, Like ChildHelping Patients and Their Caregivers

Transition to Care at HomeThere’s an App for That

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10

12

School News16

Development32

Alumni News42

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Beeber was interested in using interpersonalpsychotherapy (IPT) to treat maternal depressivesymptoms, particularly among vulnerable groups,including low-income populations, mothers whohave little to no social support, single parents,and Latina moms. IPT specifically addressesinterpersonal issues — often characterized byfeelings of isolation and insecurities about how to create meaningful, emotionally intimateconnections with others.

In 1997, she began testing this idea within EarlyHead Start programs in the southeastern andnortheastern United States. The mothers in thestudy struggled with severe depressive symptomsaccompanied by other health problems,interpersonal conflicts, financial stressors, andoverwork. She and her team of psychiatric mentalhealth nurses visited their homes to not onlytest the IPT intervention, but also to helpreduce the stigma these womenoften feel by seeking outsidemental health care and to offerflexibility around their verybusy schedules.

During these early interventions, Beeber realizedthat for these moms to really benefit the childthey needed more than IPT. So she developedparenting strategies to reinforce each mother’sindividual strengths, as well as their vigilancetoward not letting their symptoms compromisethe safety and development of their children.

A nurse-mother dyadBefore Beeber or one of her nurses beginsassessing a mother, they must first develop onevital cornerstone: trust. If the mother, for example,misses her first appointment, Beeber will simplyreschedule until they finally connect. “The key isaccepting the mother for who she is and whereshe’s at in life,” Beeber says. “These women are

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Linda Beeber, PhD, PMHCNS-BC, FAAN standsin a trailer home in Durham and looks out thewindow. A 6,000-square-foot mansion sits withinview. She’s taken aback by the proximity.

Eventually, she snaps out ofher reverie and refocuses herattention on the situation infront of her — a mom whosuffers from depression andher very young child.

Nearly 50 percent of motherswho face economic hardship,resource challenges orimmigrant struggles in theUnited States have a high riskfor developing depressivesymptoms. For women

confronting more than one of these variables,that number rises to 64 percent. And while thesemoms become more and more susceptible todepression, the developmental milestones oftheir small children — whose brains developrapidly for each minute that ticks by — are put at risk.

For more than 20 years, Beeber has studied themental health of more than 1,800 mothers ofinfants and toddlers. She was one of the firstpeople in the nation to utilize the mother-childdyad in her studies on maternal depression.

“The dyad means that you cannot treat the childwithout treating the mother and vice versa,”Beeber explains. “They’re seen as a unit. And youwork with the observable phenomenon thatcomes out of the unit.”

How often does the mother look at the baby andthe baby at the mother? When a toddler starts todo something dangerous, how does the motherrespond? And how does the child react to thatresponse?

“If you have a mother who isn’t very energetic,doesn’t talk much, and has one emotional state all the time — that severely impacts the child,”Beeber says. “Sharing things like interesting toys and emotional expressions lay down thepathways for language and brain development.”But depression gets in the way of these things.

“One of the biggest stressors in families witheconomic hardship in the United States is that nomatter how hard they work, they cannot getahead,” Beeber adds. “They cannot imaginewealth, and they cannot get their lives to bestable and predictable. And when you continuallyfail over and over again, it’s almost certain in mymind that you’ll be depressed.”

Observations from the groundWomen are twice as likely to suffer fromdepression as men — a statistic that Beeber knewall too well from her time as a psychiatric nurse at Virginia Commonwealth University. “I servedmany women, young and old, who would talkabout their depression,” Beeber says. “Someadmitted they’d been depressed their entire life,and some would talk about their peers beingdepressed as well.”

After seeing the trend continue in hospitals acrossWashington, D.C. and New York, Beeber decidedto move into the world of academia and research.She became an instructor at Syracuse University in1980.

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Nearly 50 percent of mothers who face economic hardship,resource challenges or immigrant struggles in the UnitedStates have a high risk for developing depressive symptoms.For women confronting more than one of these variables, thatnumber rises to 64 percent.

not easy to engage. It takes a lot of skill on behalfof the nurse to build trust.”

Depression interrupts thinking and focus, soBeeber offers the mom some immediate aids tohelp with that. These types of interventions mightinclude creating reminders, reaching out to othersfor help, breaking big projects into smaller stepsto reduce fatigue, and setting reasonable goals.“This creates opportunities for success, whichbuilds a sense of self-efficacy — a key antidote todepression.”

Then, Beeber helps the mother assess her ownstressors to identify the cause of her depression.She starts with the symptoms that bother themother most and interfere with her developmentalsupport of the child. “We focus on a major lifestressor and help her develop solutions to theproblem so that she can achieve success in turningaround that stressor in her life,” Beeber says.

One mother, for example, shared how her child’stantrums kept her from going places andsocializing with others. To combat this, the nursedeveloped a self-affirming statement for themother to utilize: “My nurse told me stick with theplan, other people will understand, my child isgrowing up.” Then, she asked the mom to practiceselectively ignoring the child when he was havinga tantrum — which gave her confidence toattempt the strategy on her own, in social settings.

After conquering some stressors, Beeberencourages better and more mother-childinteractions — the “fun part” of this research,according to Beeber. “Kids are just amazing,” shesays. “They turn around and reward the motherwith more vocalization or a smile. It’s like aninstant reward system for the mother.”

The final step involves a health plan withinformation on proper exercise, diet, and sleep.And in just eight to 12 weeks — a time frame well-suited to the hectic schedule of a low-income

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parent, according to Beeber — most mothers areable to reduce and better manage theirdepression.

In less than 12 weeks, Spanish-speaking Latinamothers who received the intervention reducedtheir depressive symptoms below clinicallysignificant levels. And just six months later, theyhad more positive attitudes toward their childthan mothers receiving standard care servicesfrom Early Head Start.

Low-income English-speaking mothers, on the other hand, demonstrated more child-directed speech, stimulating play and positiveinvolvement with their infant/toddler than those who received only a health educationintervention. The results also point to in-homeinterpersonal psychotherapy as a more cost-effective method than office-based cognitivebehavioral therapy, and at least as cost-effectiveas medication.

Care across the countryLast November, Beeber was recognized for herresearch by the American Academy of Nursing,which awarded her with an Edge Runnerdesignation for her work with low-income and

newly immigrated mothers of infants andtoddlers. The Edge Runner program celebratesnurses with innovative ideas that transform thehealth care system.

“This was an amazing award to get because itrecognizes that you’ve made a difference inhealth care,” Beeber shares. “And you’ve beenable to demonstrate not only interventions thatwork, but interventions that are cost-effective. And that’s hard to do.”

Today, Beeber is using a grant from the HillmanInnovations in Care program to add a depressionand anxiety care component to the Nurse FamilyPartnership, a national nurse home visitingprogram to treat, support and refer women acrossacross 43 states.

“The more mental health skills we put in thehands of nurses,” she says, “the more mentalhealth we’ll have nationally.”

Linda Beeber is a professor and assistant dean of the PhD division and program within the UNCSchool of Nursing. She is an ANCC-certifiedpsychiatric mental health advanced practice nurseand nurse scientist.

“Kids are just amazing.They turn around and

reward the mother with more vocalizationor a smile. It’s like an instant reward system

for the mother.”

“The more mental health skillswe put in the hands of nurses,the more mental health we’ll have nationally.”—LINDA BEEBER

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As the research team sought partners to improveoutcomes for patients, they collaborated withpartners in a local nursing home chain, LutheranServices Carolinas, to implement Connect-Homein Hickory, Salisbury and Winston-Salem. “Wewould never have figured out ways to improvepatient outcomes without our partners atLutheran Services Carolinas,” said Toles. “We had our model of care and the skills to measureoutcomes, but they had the nursing homes andwere already caring for patients and their familiesevery day.”

A sustainable designToles and his team recently showed that nursinghomes that adopted Connect-Home successfullysustained it over time and were able to do so withtheir own resources. “This was a critical step assustaining Connect-Home is where the greatestimpact will emerge,” Toles said. For example, theteam is now working with Lutheran Services ofAmerica to bring Connect-Home to more NorthCarolina nursing homes and others in Maryland,Michigan and New Jersey.

“We are striving to improve the quality of life forolder adults and caregivers,” said Toles. “We’remaking progress, taking our first steps to care for older adults with serious illnesses at home.”

Research conducted by Toles’ team has beensupported by The John A. Hartford Foundation,the National Institutes of Health, Lutheran Servicesof America, The Harry and Jeanette WeinbergFoundation, and the UNC Chapel Hill School ofNursing.

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After acute hospital care, one in five older adults transfers to a nursing home for three tofour weeks of rehabilitation and nursing carebefore returning home. These frail older adultsexperience very high risk for poor outcomes at home, and are frequently rehospitalized forrecurring medical problems. SON AssistantProfessor Mark Toles, PhD, RN, and hiscolleagues developed Connect-Home — a group of innovative tools and strategies tosupport older adults and their caregivers duringtransitions from the nursing home to home.

A signature trait of Connect-Home is the designto prepare older adults and their caregivers tomanage the patient’s serious illnesses. Forexample, patients must learn new ways to safelymove around the house, to care for healingwounds and fractures, and to work with a largehealth care team. Owing to the complexity of carefor multiple illnesses, family members must alsolearn to participate. For example, both the patientand their caregivers must understand advancecare plans, administering medications, scheduledhome health care visits, and key questions toexplore with the patient’s physicians.

Connect-Home provides tools and training for the staff in nursing homes, who have the ultimateresponsibility to help the patient and caregiverprepare for continuing care at home. Forexample, Connect-Home introduces tools inelectronic health records systems that nurses,rehabilitation therapists and social workers use todeliver care. As Toles explained, “We have tried to stay as close to the actual nursing homes aspossible and learn anything we can from peoplewho are involved in giving and receiving thiscare.” He added, “With Connect-Home, we canprovide the right tools in nursing homes for staffto use and help patients recover at home.”

Connect-Home is an evolving model of care. Firstdesigned in 2014, Connect-Home is currentlyused in five nursing homes in North Carolina, and others in three additional states. The earlyevidence of intervention impact is promising.Patients and their caregivers who were supportedwith Connect-Home resources report having theskills and support to successfully manage thetransition to home. Staff working in nursinghomes report the intervention is helpful andshould be used in the future. Toles added,“Caregivers sometimes have a stressful job. Wehave made progress but still have a ways to go tobe able to help them learn ways to support theirloved ones over time and handle any hardships as they come along.”

Understanding the problemIn 2014, Toles and his colleagues published astudy that looked at health outcomes of 55,000older adults in North and South Carolina whowent home after a nursing home stay. The studydescribed the risk older adults confront — within90 days of returning home, more than 50 percentof these older adults were readmitted to thehospital, visited an emergency department or hadpassed away. “These findings were a strong signalto us that care at home was a serious challenge,and that we needed to find ways to reduce thehigh risk for complications,” said Toles.

Helping Patients and TheirCaregiversTransition to Care atHome

Within 90 days of returning homefrom nursing home rehabilitation,more than 50 percent of olderadults were readmitted to thehospital, visited an emergencydepartment or had passed away.

Toles explains thetools and trainingprovided throughhis projectConnect-HomeBY NANCY LAMONTAGNE

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With a $2.58 million grant from the NationalInstitute for Nursing Research (NINR), AssociateProfessor Lixin Song, PhD, RN, FAAN, isstudying the efficacy of a couples-focused,tailored, symptom self-management mHealth(mobile health) intervention for prostate cancerpatients and their partners. This randomizedclinical trial is testing the usefulness of aninnovative web-based program, Prostate CancerEducation & Resources for Couples (PERC). PERC is tailored to the needs of men of diversebackgrounds who have recently been diagnosedwith localized prostate cancer, as well as theneeds of their intimate partners. The five-yearstudy, which began in September 2017, willrecruit men and their intimate partners from 36counties in the state of North Carolina that havethe highest prostate cancer incidence rate anddiverse populations of low income and loweducation.

Professor Song knows firsthand how challengingit is to be a family caregiver. “When my mom wasvery sick, even though I am very knowledgeableand have a lot of resources, I was extremelystressed out by helping her,” says Song,Beerstecher-Blackwell Distinguished TermScholar, Adult Health, Family, Research. “As aresearcher, I want to take advantage of newtechnology to address the needs of patients and family caregivers.”

To achieve that goal, Song is utilizing the nearly$3 million in total research grant funding she hasreceived from the NINR and the National CancerInstitute (NCI). She and her research team aretesting two web-based programs to improve post-treatment supportive care for prostate cancerpatients and their families. “I am interested in howcancer patients and their caregivers cope withstress and manage symptoms and other relatedissues that can impact health outcomes,” saysSong. “We hope to provide a model that will workfor patients with other types of cancer and illness.”

“We wish to not only improve participants’knowledge and enhance their skills for symptommanagement, but to also provide social supportfrom different sources,” says Song. “We want topromote communication between patients andtheir partners so that they are on the same pagein terms of understanding what’s going on andare able to talk about the issues they are facing.”

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BY MICHELLE LYNN

There’s an App for ThatSON researchers develop online app to addressneeds of prostate cancer patients and caregivers

“Because of the natureof the symptoms and side effects of prostate cancer and treatment, patients often don’t feelcomfortable talking about this with others.”— LIXIN SONG

Beerstecher-BlackwellDistinguished Term Scholarand Associate ProfessorLixin Song discusses thedevelopment of her appwith a team member.

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The social support component of PERC providesonline peer discussion forums and professionalseminars on topics such as sexual dysfunctionand living with uncertainty after a cancerdiagnosis. “Because of the nature of thesymptoms and side effects of prostate cancer andtreatment, patients often don’t feel comfortabletalking about this with others in public or withhealth care providers,” says Song. “We think thatthis online intervention tool can support thesemen while maintaining privacy and having apositive impact on their quality of life.”

“Making this web-based application availablenow puts these tools directly into the hands of the patient and the spouse or partner so they can manage their own symptoms and moreimmediately address the issues going on,” saysRuth Anderson, RN, PHD, FAAN, Associate Deanfor Research and Kenan Distinguished Professor. “It will give people more of a sense of controlover what’s happening with their bodies.”

In a separate research study, Song is testing thefeasibility of adding PERC to the survivorship careplan of participating prostate cancer patients.This document is recommended by the Instituteof Medicine and mandated for at least 50 percentof a cancer center’s patients in order to be

accredited by the Commission on Cancer. Songreceived a $364,000 grant from NCI to examinewhether it is practical and acceptable to use asurvivorship care plan that is enhanced by eitherthe National Cancer Institute online resources or a web-based symptom management program.

“Scientific data haven’t yet shown anyeffectiveness of the survivorship care plan, andthere is resentment from clinicians in having tocreate it because they are so busy,” says Song.“My team proposed using mobile devices, whichmakes it easy for doctors and nurses to use andfor patients to go online to see the post-treatmentcare part on their own whenever they have time.”

Song says that it was important to her to includefamily caregivers in this post-treatment careintervention and to help physicians and nurses by creating a systematic and easy way to supportpatients. “The idea is to be helpful to bothclinicians and to patients and families instead of being an additional burden,” she says.

“The survivorship care program will help bridgethat gap between treatment in the hospital, wherethere is an abundance of care, to the time whenpatients are at home,” says Song. “I believe thatby extending nursing care beyond the hospital tohome settings we cannot only improve patients’satisfaction but also strengthen the quality ofcare.”

Song’s colleagues recognize her commitment and talent. Barbara Mark, PhD, RN, FAAN, SarahFrances Russell Distinguished Professor, has

mentored Song and played a critical role insupporting her work and helping her get funded.“Lixin is absolutely dedicated to her research andpassionately cares about the men that she dealswith,” says Mark. “Her commitment, persistenceand willingness to do the hard work make her an outstanding researcher.”

Song says that she enjoys research because shelikes the freedom of creative thinking and herinteractions with patients. “All of my research isrooted in patients’ input,” she says. “That’s whereresearch ideas should come from.” She says that she is honored and humbled to receive thefunding for her research. “My shoulders feel veryheavy because there’s a tremendous amount of trust placed in me and my team,” she says. “I know we can’t help everyone, but it’s nice when we interview people that we hear, ‘What you do is so important and impressive and wereally need this.’”

She says that it takes a village to create asuccessful research project. “Differentperspectives are so critical,” says Song. Shecredits a multidisciplinary team — includingnurses, clinicians, surgeons, radiation oncologists,programmers and web designers — along with

patients and their partners for her success. “Wecan’t do everything perfectly, but we can do ourpart to find a way to move things in the rightdirection,” she says.

Anderson says to look for great things from Song.“She’s just getting started, and she already hastwo NIH grants,” says Anderson. “She is verypersistent and is always striving for the bestproduct she can produce. The quality of what sheproduces and her funding record demonstratehow outstanding she is. She’s someone to watchin the future.”

“We want to promote communicationbetween patients and their partners so thatthey are on the same page ... and are able

to talk about the issues they are facing.”

To guide the School in thisimportant endeavor, DeanNena Peragallo Montanocontracted Dr. Paul Friga of theUNC Kenan-Flagler BusinessSchool, an expert in the field ofstrategy and entrepreneurship. Heand his team of MBA students andbusiness school undergraduates guided theSON through a three-month-long planning process ledby an in-house task force and overseen by an AdvisoryCommittee of internal and external constituents.

At Dr. Friga’s direction, the 11-member task force wasmade up of faculty, staff and students of the School of Nursing. Members of the task force and advisorycommittee were nominated by SON associate deansand assistant deans of each division and sent to theSchool’s leadership team for final selection.

The task force met weekly with Dr. Friga’s team onThursdays for two hours, beginning February 22, 2018,and ending on May 10, 2018. Their role was to makerecommendations, provide guidance and offer input on the strategic planning process, as well as tocommunicate updates to broader constituencies andserve as intermediaries for the concerns and interests of those constituencies.

The SON community was involved in the planningprocess as much as possible, with regular updates anddedicated forums for offering feedback. The outcomesof the strategic plan will be rolled out formally in the fall.

Dean Peragallo Montanoappointed a curriculumcommittee that includedthree task groups (BSN, MSN and DNP) with a

faculty member appointed as the chair. The steering committee

consisted of program area experts from all programs (including PhD), the Health

Sciences Library SON liaison, as well as the executivedean/associate dean for academic affairs serving as ex-officio.

Dean Peragallo Montano directed the steeringcommittee to make recommendations based on her vision to foster innovation in education anddelivery, transform education, integrate research toimprove health outcomes, and maximize quality ofstudent/faculty interaction and community resources.As health care delivery is rapidly changing, there iswide consensus that nursing education needs toadapt to improve the health of the public.

The steering committee began its work on March 7,2017, by examining the task and determining an action plan for how to achieve the task. Thecommittee developed a four-phase plan, the firsttwo of which — Needs Analysis & Planning andDesign & Development — have been completed.Phase III, Dissemination & Implementation, is currently underway and will last until Fall 2019, when the final phase, Evaluation, will begin. Phase IVwill take place over the course of 2019–2020.

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SCHOOL N

EWS

Ambitious Year

The QSEN Institute announced at its 2017National Conference Forum that the UNC Schoolof Nursing will serve as a QSEN regional site. Assuch, the School will advance the integration ofquality and safety competencies across nursingeducation and practice.

QSEN, which stands for Quality and SafetyEducation for Nurses, holds roots at UNC. In 2007Dean Emerita Linda Cronenwett, PhD, RN, FAAN,spearheaded the launch of a seven-year qualityand safety initiative, made possible through aseries of four grants, totaling $4.2 million, from the Robert Wood Johnson Foundation.Cronenwett served as principal investigator, andGwen Sherwood, PhD, RN, FAAN, served as co-PI. Carol Fowler Durham, EdD, RN, ANEF,FAAN, was a simulation consultant.

In their resulting paper, which has been citedmore than 500 times since it was published, theinvestigators outlined six core competencies that nursing education curricula must address to ensure quality and safety in patient care. The competencies, along with the resulting 162 knowledge, skill and attitude objectivestatements, have been adopted by accreditingorganizations for all U.S. nursing schools and are spreading globally.

Sherwood said hospitals both nationally andglobally use those six competencies in trainingtheir employees, and some nursing schools useQSEN standards as the organizing framework fortheir curriculum.

“It has changed nursing curriculum everywhere as faculty have integrated these competencies,”she said. “QSEN has helped revitalize nursingbecause faculty have really embraced the changeand integration.”

Now centered at Case Western ReserveUniversity, the QSEN Institute seeks to createregional centers to emphasize quality and safetyat the local level. With the School of Nursing asone of the regional sites, Sherwood and Durhamwill co-lead faculty and staff development, hostconferences and sponsor projects that will attractsurrounding education centers and health careinstitutions and assist in integrating the QSENcompetencies into their practice.

“I get excited about making a differencethrough this work, because we really do seeoutcomes in the reduction of health careerrors,” said Sherwood.

Those results are seen nationally: hospitals andeducation centers in China, Korea, Sweden,Taiwan, and Thailand actively abide by QSENstandards in their nursing and educationpractices. And at the local level, Sherwood and Durham integrate the QSEN work into the Education Excellence Summer Institute forwhich faculty from around the region come toparticipate in presentations, didactic teaching and simulations, led by Durham.

Durham said being a regional site provides theUNC-Chapel Hill School of Nursing continuedvisibility in this important quality and safety work.“Since our school was the birthplace for QSEN, wewant to honor that past and also link to the futureby having this platform for being able to bringemphasis to improving patient care,” she said.

“Being able to have a center here to further thiswork is like coming home again.”

UNCSON Selected

as Regional QSEN Siteof Strategic Planning, Curriculum Revision for the SON

In February, the Schoolof Nursing embarkedon its first organizedstrategic planningprocess in more than a decade.

The SON has also beenbusy undertaking the first wholesale

curriculum revision innearly two decades.

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Wisconsin-Madison (1987–1993) and president ofHunter College of the City University of New York(1980–1987) — for a total of 27 years.

One of the most honored academics of hergeneration, she has been elected to sevennational academies, including the AmericanAcademy of Arts and Sciences and the NationalAcademy of Education; is a Fellow of the Instituteof Medicine and National Academy of Sciencesand has received more than four dozen honorarydegrees.

A recognized expert in health and social policy,she was selected by President George W. Bush toco-chair the Commission on Care for ReturningWounded Warriors and in 2008 was awarded thePresidential Medal of Freedom, our nation’shighest civilian award.

In 2010, she received the Nelson Mandela Award for Health and Human Rights, whichrecognizes individuals for outstanding dedicationto improving health and life chances ofdisadvantaged populations in South Africa andinternationally. In 2011, she was inducted into theNational Women’s Hall of Fame and in 2014 wasrecognized by the Harry S. Truman Presidential

Library and Museum with the Harry S. TrumanLegacy of Leadership Award.

Today, Dr. Shalala has returned to her post astrustee professor of political science and healthpolicy at the University of Miami following a two-year stint serving as president of the ClintonFoundation, which she left in March 2017.

By the close of the ceremony, the School claimed167 new BSN graduates, 78 new master’sgraduates, 21 new DNPs and nine new PhDs.

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On Saturday, May 12, the UNC School of Nursinghosted its 63rd Spring Commencement ceremonyin the Dean E. Smith Center on a beautiful, if warm, spring evening in Chapel Hill. Dean NenaPeragallo Montano presided over the ceremony,which featured Donna Shalala, PhD, former

U.S. secretary of health and human servicesduring the Clintonadministration, askeynote speaker.“I strongly believea golden age ofnursing is right infront of us if we seize this moment,”Shalala told the 279graduating studentsand their lovedones. “It will notbe given to us.

All of you must go forth and get the future ofnursing. It will take guts, and heart, and a lot of skill.

“Leadership and first-class citizenship also meansembracing the unknown,” she said. “Your degreesactually empower you. My advice to you is not tohold back. If a door looks closed, push it open, it’s not locked. Invite yourself to represent yourprofession. We need you to be in the room.Frankly, we need you to give the profession a littleswagger.”

Though perhaps best known as the U.S. secretaryof health and human services for eight yearsduring the Clinton Administration, Dr. Shalala’scareer has nevertheless held academia as itscenter. An accomplished scholar, teacher andadministrator, she has led three institutions of

higher education — as president of theUniversity of Miami (2001–2015),

chancellor of the University of

Shalala Offers SON’s 2018 SpringCommencement Address

“Invite yourself to representyour profession. We needyou to be in the room.Frankly, we need you togive the profession a littleswagger.”

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The UNC School of Nursing was pleased andproud to join IntraHealth International on themorning of February 27 as the U.S. launch site of the global health campaign Nursing Now.

The three-year campaign aims to raise the statusand profile of nursing worldwide. With thecollaboration of the World Health Organizationand the International Council of Nurses, thecampaign will work to empower nurses, throughinvestments in education, training and advocacy, to work to their full capacity to address thechallenges of health care in the 21st century.

Nursing Now was based on the 2016 UK reportThe Triple Impact of Nursing, which explained howdeveloping nursing will improve health, promotegender equality and support economic growth,and launched with live-streamed events in Londonand Geneva, and with satellite events in ChapelHill, Jordan and South Africa, among otherlocations.

Carolina Nursing Joins IntraHealth International for U.S. Launch of

Nursing Now Global Campaign

The day’s events were kicked off in London byLord Nigel Crisp, co-chair of Nursing Now, whointroduced an impressive slate of speakers,including nurse leaders from around the globe,and was highlighted by remarks from Her RoyalHighness the Duchess of Cambridge, KateMiddleton, who is serving as the campaign’spatron.

“This campaign means a lot to me personally,” said the duchess, “My great-grandmother and my grandmother were both volunteer nurses.From what I’ve seen in my visits to hospices andhospitals around the world, nurses are alwaysthere. You care for us in our happiest and saddesttimes. And for many, you look after us and ourfamilies at the end of our lives.

“In some parts of the world, nurses are perhaps theonly qualified health care professionals in theircommunities, so your work is all the more vital.

Sadly, however, many people still don’t haveaccess to regular health care, and it is in thiscontext that a global campaign to raise the profileand status of nursing worldwide is so important.

“I was surprised to learn that to keep pace with the rising global demand the world will need anadditional 9 million nurses by 2030. In simpleterms, that’s about 2,000 more nurses every day forthe next 12 years. This shows that we must act nowto support and develop nurses with the skills andtalent to cope with the future global health needs.”

Closer to home, Dean Nena Peragallo Montanogreeted a group of nursing leaders, educators and students from around the United States whogathered at IntraHealth International in Chapel Hillto celebrate the launch.

“Obviously this is a very important global initiative,and we are pleased to support and promote it inany way we can,” she said.

Due to rising global

demand the world will need

by 2030.That’s about 2,000 more nurses every

day for the next 12 years.

9million additional nurses

For more on NursingNow, please visit:nursingnow.org

Deans unite to support NursingNow! Former Interim Dean DonnaHavens (now Dean of the VillanovaSchool of Nursing) and Dean NenaPeragallo-Montano celebrate thelaunch of the global campaign.

Hillman Scholar and PhDstudent Leah Morgan and Jonas Scholar and PhD Student Allie Tran also participated.

Professors Gwen Sherwood(L) and Cheryl Jones (center)join IntraHealth International’sU.S. launch.

2322

In November 2017, the UNC School of Nursing, in collaboration with theNorth Carolina Area Health Education Centers (AHEC) and the William and Ida Friday Center for Continuing Education, rolled out the Primary Care

RN Certificate, an online course that will educateregistered nurses to work in a primary care or ambulatory care setting. The course is self-paced, internet-based, and will reward 50 contact hours to those who complete it.

Mary Schuler, RN, MSN, EDD, CNE, the School’s statewide AHEC liaison, oversaw allaspects of the course’s creation. She designedthe curriculum and created course materials,

both written and online, with assistance from Betty Nance-Floyd, PhD, RN, CNE, CNL; and Jean Davison, DNP, RN, FNP-C. NC AHEC nursesprovided invaluable curriculum input, and Dawn Cole provided assistancewith policy and procedural elements.

Schuler also collaborated tirelessly with the Friday Center in negotiating one of the course’s most appealing aspects: its affordable cost of $250.

“We did it on purpose,” Schuler said of the cost. “We know that there is amajor need in the state for this.”

That need comes in the form of a new model of approaching nursingeducation, Schuler said, one that focuses on keeping the patient healthy forthe long term, as opposed to nurses predominantly focused on learning acute care.

“It’s unique because the focus of health care has changed from an illness-focused type of approach to a preventive model. Patients need to have aperson who coordinates their care on an ongoing basis: educating them,monitoring them, doing assessments, following up. We want people toremain healthy.”

The course teaches nurses how to uphold that new model of care, asSchuler said many of these skills are not taught in nursing schools today.These concepts include triaging over the phone; care management on an outpatient basis and learning concepts such as finance, billing andcoding. Schuler said these skills will allow RNs to rise to a higher level ofprimary care and therefore fill the need for a more robust nurse in today’shealth care landscape.

But while many schools don’t offer a similar course, Schuler said she ishopeful they soon will — with UNC’s Primary Care RN Certificate leadingthe way.

“Looking around, there doesn’t seem to be a program quite like it,” shesaid. “I’d like ours to be the best, and I’d like to see it as a model for others.”

Schuler said a course like this one has been a dream of the NC AHEC andfaculty at UNC for more than three years. It is a dream that has finally cometo fruition, with financing for program development coming from an AHECgrant and in-kind support from the William and Ida Friday Center to helpaddress the lifelong health of North Carolinians.

It all begins with an affordable, accessible course that can be taken from thecomfort of one’s home. From there, Schuler said, she hopes it will inspireother schools and organizations to adopt something similar, ultimatelyrestructuring the health care system and expanding the role of the nurse as one who supports all aspects of patient care in the primary care setting.

For more information on the Primary Care RN Certificate program, please visit:primarycare.web.unc.edu

SON Offers New Online Primary Care RN Certificate Carolina Nursing has

climbed in the U.S. News & World Reportrankings for 2019:

◆ Self-paced

◆ Internet-based

◆ 50 contact hours

◆ Affordably priced at $250

ONLINEPRIMARY CARE RN CERTIFICATE

14thMSN program

13th

12th

DNP program

Family NursePractitionerprogram (tie)

12th

Nursing Administrationprogram (tie)

9th

Psychiatric Mental HealthNurse Practitionerprogram (tie)

UP7SPOTS

UP3SPOTS

“Looking around, theredoesn’t seem to be a programquite like it. I’d like ours to be

the best, and I’d like to see it as a model for others.”

2524

with UNC Health Care and its network of clinics.SON faculty direct the clinic’s operations andprovide care without an appointment atconvenient hours, including evenings andweekends.

The clinic is directed and staffed by AssistantProfessor Eugene Farrug, DNP, FNP-BC, as well as Associate Professor Jean Davison, DNP,RN, FNP-C and Assistant Professor Irene Beale,DNP, FNP-BC. All three maintain teachingresponsibilities at the School.

“The collaboration with the School of Medicineand NC’s independent pharmacies is both natural and highly beneficial. For the School ofNursing’s part, it affords an excellent opportunityto promote faculty practice while supporting ourmissions of education and clinical scholarship,”said Tom Bush, DNP, FNP-BC, FAANP, theSchool’s assistant dean for practice. “We lookforward to opening more clinics to help mitigatehealth disparities between urban and rural areasof our state.”

For more information on the Carolina Community Clinic,please visit: carolinacommunityclinic.web.unc.edu

First SON-managedFaculty PracticeClinic Opened in

Hillsborough

The UNC School of Nursing opened its first-everfaculty practice in the state. The CarolinaCommunity Clinic opened its doors on November7, 2017, in Hillsborough, North Carolina, the resultof a collaboration between UNC Family Medicine,the UNC School of Nursing, and HillsboroughPharmacy and Nutrition.

The Carolina Community Clinic serves as a pilotfor embedding School of Nursing faculty nursepractitioners in practices created withinindependent pharmacies across the state. Theaim is to improve access to care, assist withtransitions in care, and better fulfill the Universityand School’s mission to serve the needs of thepeople of the state.

Similar in scope to nurse practitioner-staffedclinics in large chain pharmacies, the model forcare in the Carolina Community Clinic is toprovide convenient, low-cost health screenings,diagnostic services and treatment of minorillnesses and injuries in a facility fully integrated

“The collaboration with the School of Medicineand NC’s independent pharmacies ... affords anexcellent opportunity to promote faculty practicewhile supporting our missions of education andclinical scholarship.” Assistant

Professor andClinic DirectorGene Farrug (L)and AssociateProfessor Jean

Davison

27

Fleming said the former undergraduate site placement coordinator, Hilary Mendel,approached her, Rachael Lorenzen and Janet Chadwick on behalf of UNC Hospitals,expressing concern that newly graduated nursing students weren’t interested in careers in the OR. They wanted to change that.

The first step was creating a track focused around the patient surgical experience — andthe perioperative pilot project was born. Next came crafting the curriculum: Fleming saidno one in the School of Nursing had ever constructed a perioperative experience like thisone, built in such a way that students are able to see the experience a patient has fromadmission to recovery. And from there, Fleming said, the OR pilot has blossomed.

Now, BSN and ABSN students enrolled in Nursing 591, Nursing Care of Adults with MajorHealth Problems II, have the option to sign up for the perioperative clinical experiencethrough a lottery system. They spend several shifts in pre-op, the operating room, PACUand on a postsurgical floor.

“They really see the full patient transition this way. Even though they may not havefollowed the same patient through, they are now exposed to the entire process. We’rededicated to making it an objective for them to see the multiple roles of the nurse,”Fleming said.

ABSN students KaRae Carey, Aimee Podraza and Allison Schmidt are the lucky studentswho were selected for the launch of the program. They spoke of the pressing need for OR nurses that this course addresses.

26

In August, the School of Nursing rolled out its Transitions in Care Clinical ImmersionExperience. The first installment of this pilot project was created to fulfill a need, one thatweighs on hospital operating rooms across the country: OR nurses are in short supply.

Assistant Professor Louise Fleming, who was influential in initiating this OR-focusedclinical experience, said this shortage can be traced back to the education student nursesare — or aren’t — receiving when it comes to the operating room.

“It creates a system of a lot of new graduates not considering a job in the OR becausethey’re not sure what it’s like,” said Fleming. The UNC School of Nursing was no different:she said students would observe in the operating room for one day — six total hours —out of the entire curriculum.

The Transitions experience works to rectify that.

SON Pilots Program to Meet Need

for Operating Room Nurses

Taking toTransitions

“[Students] are now exposed to the entire process. We’re dedicated to making it an objective for them to see the multiple roles of the nurse.”—Louise Fleming

continued on next page

2928

“Too often, nurses do not get the full picture of their patients’ stay while inthe hospital,” said Podraza. “But with this program I am able, as a futurecirculator, to have experience in pre-care, pre-op, the OR and PACU, whichwill assist me in better understanding the care my patient needs.”

Schmidt said she felt the same. “We can see the care and treatment apatient receives in the many steps throughout the hospital system whencoming in for surgery. This allows an opportunity to experience morenursing roles and make connections between units.”

Beyond providing the visualization of transitions among patient care, thisperioperative track provides yet another advantage to those who partake init: professional marketability.

Podraza said the track will be invaluable to her during the interview process. In that way, theperioperative track addresses two needs: the need for more OR nurses and the needamong nursing students to have more choices in where they’ll someday work.

“If our students don’t have that operating room experience, it can decrease theircompetitiveness for entry-level jobs associated with the surgical services,” Fleming said.

This benefits not only the students, but the hospitals looking to receive more OR nurses as well.

“It’s a win-win for everyone. The nurse managers have a pool of new grads like they’venever had, and the students have an opportunity to explore. It gives them a unique abilityto look at all the different roles of the nurse and how they interact with different patientpopulations,” said Fleming.

Currently, this perioperative section of the Adult Health course is in high demand. Only

three students of the more than 100 enrolled in the course were initially selected for theperioperative track. But Fleming said thisdemand will only help support and grow theprogram.

And this spring, the program has already seengreat expansion. Along with the perioperative

track, students may now sign up to partake in a cardiac track as well. Much like theperioperative track, they’ll spend shifts in the emergency department, cardiac ICU, cardiacstep-down unit, and cardiac rehabilitation. The course has added a similar neurology trackas well.

Fleming said they don’t plan to stop there. She said she’d like to see tracks with a focus onthe military, critical care, women’s health, pediatric oncology and even some rotationsoutside of the hospital setting.

“I think there is a lot of potential to grow and be diverse, to offer students the ability to seenurses in multiple roles working with the same patient population, and to really appreciatethe patient experience in a deeper way than we’ve been able to show them before,” saidFleming.

She also said she hopes the niche tracks will soon become their own capstone course,rather than being housed within the Adult Health course. But for now, funding is a priority:Fleming and her colleagues hope to write a grant next year to further expand the program— not only to give it its own course, but also to allow more students to participate than thelimited number who are currently able to.

“We want to be able to expose students to the OR environment and other focused areas ina richer way so that students would consider new opportunities after graduation,” Flemingsaid. In turn, she hopes this will start a trend to get more nurses in the operating room.

But beyond that, Fleming said, “How great is it for students to now be able to see the entirepatient experience?”

“There is a lot ofpotential to ... reallyappreciate the patientexperience in a deeperway.” —Louise Fleming

“I am able, as a future circulator, to haveexperience in pre-care, pre-op, the ORand PACU, which will assist me in betterunderstanding the care my patientneeds.” —Aimee Podraza

3 1

Sara Hubbell received a 2018–19 NC Area HealthEducation Center Campus Innovation grant.

Saif Khairat received an NC TraCS grant to studypotential ways to overcome barriers to clinicaltrial enrollment.

Rebecca Kitzmiller submitted the winningproposal to become the inaugural Bill and MaryLou Booth Community Service and OutreachAward recipient for a project aimed at improvingcare for veterans treated in civilian ambulatorycare settings.

Rhonda Lanning was named the UNC MedicalCenter Nursing Faculty of the Year for 2018.

Deborah Mayer has been appointed to anadvisory role on cancer survivorship issues withthe National Cancer Institute’s Division of CancerControl and Population Sciences. She likewisecoauthored The Lancet Oncology Commission on Future Research Priorities in the USA, whichprioritized areas of focus for the $2 billion givento the National Cancer Institute as part of the 21st Century Cures Act.

Betty Nance-Floyd received a 2018–19 NC AreaHealth Education Center Campus Innovationgrant.

Nilda (Nena) Peragallo Montano was appointedby the U.S. secretary of health and humanservices to a four-year term on the NationalAdvisory Council for Nursing Research of theNational Institutes of Health.

Leslie Sharpe received a two-year appointmentto the Commission on Graduates of ForeignNursing Schools International Sub-Committee onAdvanced Practice Nursing Professional NurseCredentials and Standards Committee.

Gwen Sherwood received first place in theAmerican Journal of Nursing’s Book of the YearAwards for Nursing Education/ContinuingEducation/Professional Development for the second edition of Quality and Safety in Nursing: ACompetency Approach to Improving Outcomes.

Lixin Song received $2.95 million in R01 and R21 grants to assist prostate cancer patients and their partners, and she was appointed theBeerstecher-Blackwell Distinguished Term Scholarin January 2018.

Marcia Van Riper was selected to receive the2018 Faculty Mentoring Award sponsored by the Carolina Women’s Leadership Council.

Mark Toles was awarded $75,000 in grantfunding from Lutheran Services in America toadvance his work with the Connect-Homecollaborative.

Julie Jacobson Vann was featured on NPR’sMorning Edition in January for her systematicreview of means to improve immunization rates.

Peggy Wilmoth served as the keynote speaker at UNC’s Veteran’s Day Ceremony and was apanelist in the “One Voice Against Cancer” panelon Capitol Hill to advocate for appropriations forthe National Institutes of Health/National CancerInstitute.

Jessica Zegre-Hemsey was awarded $50,000 ingrant funding to study the feasibility of deliveringautomated external defibrillators by drone to rural areas.

Meg Zomorodi was named UNC’s first-everassistant provost for interprofessional educationand will lead Carolina’s newly formed Office forInterprofessional Education and Practice.

30

Anna Beeber was appointed an investigator inthe Translating Research in Elder Care researchcollaborative at the University of Alberta inCanada. Closer to home, she was appointed toserve on the Charles House AssociationCommunity Advisory Council, advising CharlesHouse Center for Community Eldercare in ChapelHill and Carrboro, and received grant fundingfrom Carol Woods Retirement Community tocontinue her project aimed at improving thequality of care in longterm care settings.

Linda Beeber received a Hillman Innovation inCare Program grant to support the nationallaunch of a newly developed Mental HealthInitiative (MHI), as part of the Nurse-FamilyPartnership®.

Tom Bush has been appointed to a renewablethree-year term on the Blue Cross Blue Shield ofNorth Carolina Provider Advisory Group.

Jean Davison was honored with the AmericanAssociation of Nurse Practitioners 2018 StateAward for Excellence in July and received a 2018Office of the Provost Engaged Scholarship Awardfor Engaged Teaching.

Carol Durham was named the director ofinterprofessional education for the School ofNursing in March. And last fall, she continued her mission to raise awareness about sepsis, thelife-threatening illness from which she battledback in 2010. She told her story to Peoplemagazine online.

Louise Fleming was awarded a multi-centerresearch grant from the Pediatric EndocrinologyNursing Society for her project “Development ofan Adrenal Crisis Prevention Mobile HealthApplication — A Pilot Study.”

Faculty News and Accomplishments

Cheryl Giscombe coauthored the report “Stress and Health Disparities: Contexts, Mechanisms andInterventions among Racial/Ethnic Minority and Low Socioeconomic Status Populations,” published by theAmerican Psychological Association. She was featured on an episode of Because Facts online on the effectsof the “strong black woman” stereotype, receiving more than 3.3 million views on Facebook, and shereceived the Jeanette Chamberlain Psychiatric Leadership Award at the International Society of PsychiatricNurses 2018 annual conference.

through June 15, 2018

3332

The third annual Charles and Colleen Astrike Symposium on Health Care Solutionswas held Monday, May 7, with speakers Joanne Disch, PhD, RN, FAAN, and JaneBarnsteiner, PhD, RN, FAAN, leading an engaging discussion on fair and just culture in nursing — a culture that encourages and rewards people for speaking up aboutsafety-related concerns, thus allowing the information to be used for systemimprovement. Drs. Disch and Barnsteiner are internationally acclaimed experts inquality and safety in nursing.

The symposium was established by the family of Charlie and Colleen Astrike to honorthe lives and memory of their parents and to inspire high-level discussion aboutpatient safety among nurses. Their motivation is highly personal: following Colleen’shospitalization in 2012, the family struggled to get the nurses or doctors in charge ofher care to see that her pain was worsening and her condition deteriorating.

A thoughtful question and answer session preceded the moving video testimony ofthe Astrike family’s experience with their mother’s nursing care — a tragic case, withconsequences all the more grievous for having been due to errors in health care, andavoidable for her and her loved ones.

Sincere thanks to Jane BSN ’95 and Lucien Ellison, who pledged their intent tomatch dollar for dollar up to $15,000 to support any fund at the School of Nursingin honor of #GiveUNC on April 10 of this year!

#GiveUNC launched April 10, 2018 as a one-day drive to encourage and promotesupport for the Campaign for Carolina, the University’s $4.25 billion capitalcampaign that launched in the fall of 2017. With the help of the Ellisons, the Schoolraised $10,245 from 42 donors over the 24-hour period!

“Once you or a loved one needs a nurse, you begin to understand how critical anurse’s impact and collaboration is on health care,” Jane said. “Having a state-of-the-art nursing school at UNC is essential simply because nurses literally save lives!We must come together to ensure that our School of Nursing bests any other.

“Often, nurses are unable to contributefinancially the way they can to those in needof their time, compassion, and expertise. I am supporting the UNC School of Nursingbecause it is where I learned the skills thatled to my own personal growth, happiness,confidence as a human being who caresdeeply … for all people. So, don’t wait! Give what you can both today and anychance you get.”

Though #GiveUNC is over for 2018, we hopeyou’ll join the Ellisons and many other alumniand friends in supporting Carolina Nursing aswe seek to advance health care to improvelives. To make your gift today, please visit:give.unc.edu/nursing.

SON Hosts 3rd Annual Charlesand Colleen Astrike Symposium

Ellison BSN ’95 Pledges $15,000Matching Grant to SupportSON on #GIVEUNC Day

DEVELOPMENT

The goal of the AstrikeSymposium is to promotehigh-leveldiscussion andproductivedialoguesabout patientsafety amongnurses. “Once you or a

loved one needs a nurse, you beginto understand how critical anurse’s impact and collaborationis on health care.”—Jane Ellison

Dean PeragalloMontano visits withmembers of theAstrike family

following the 3rdannual Symposium.

35

Amy Hauser, BSN, MBA, MHA, RN, BEA-BC, has named the UNC School of Nursingas a beneficiary of her retirement accounts. With the funds, she has established TheAmy Hauser School of Nursing Scholarship Endowment, which will provide financialsupport to undergraduate students at the School of Nursing.

Hauser graduated with a BSN fromthe School of Nursing in 1988.After graduation she worked atChildren’s Healthcare of Atlantafor 18 years. Today, she is theadministrator of children’s andwomen’s health and interimexecutive director of nursing forthe Medical University of SouthCarolina. She is also an activemember of the alumni board at the UNC School of Nursing.

She said her experiences both as a working nurse and as anadministrator have allowed her to see the transformative impactgiving has on institutions and their mission. It’s one of the mainreasons she decided to create the Hauser Endowment.

“I wanted to look at a way I could combine several principles important to me and be able to pay forward to others,” she said. “This scholarship is the perfect way tomake that happen.”

One of those principles is education, which she believes is one of the bestinvestments someone can make for him or herself. She said she hopes her gift willgive students the ability to receive an education without the burden of loans or other financial commitments.

“They can focus on the student experience, like learning and campus life. They canreally enjoy the experience that will launch them into the fulfilling profession ofnursing,” said Hauser.

Some of the funds will also bolster the School of Nursing’s Dean’s DiscretionaryCarrington Endowment Fund.

“It’s important for the dean and the School of Nursing to have unrestricted funds tobe able to respond to and meet the needs of the School,” Hauser said, emphasizingthat these funds can both fulfill basic needs and provide exciting opportunities tostudents and faculty. Ultimately, she said, the addressing of these basic needs willstrengthen the position of the School of Nursing and prepare it for the future.

While varied in their allocation, Hauser’s giftshave one singular purpose, she said: to providea foundation for continued growth within theSchool of Nursing.

“I want to encourage others to give back to theSchool that has given us and others so much,”Hauser said. “I’m proud to be a Tar Heel and am honored to share my gratitude with theUniversity and with future Tar Heel nurses.”

34

Hauser BSN ’88 Endows Scholarship, Supports Dean’s Fund

War Heroes Luncheon — The School of Nursing hosted its annual War Heroes NursingScholarships Luncheon this spring. The luncheon recognizes the scholars who have receivedthe five merit scholarships established by Thomas N. P. Johnson III.

FRONT ROW: Executive Dean Peggy Wilmoth; Jasmine Levy; Ginger Walton ‘81, ‘86; AssistantProfessor Becky Kitzmiller / MIDDLE ROW: Nickolai Detert; Jaimie Joseph; Sherita House;Chris Riggan; Tim Kelly / BACK ROW: Tom Johnson; Preston Smith; Ike Grainger; Bill Klutz

“I want to encourageothers to give back to the School that has given us andothers so much.”

3736

us to expand the number of PhD-prepared nurse scientists that enter theworkforce, and positively impact healthcare locally and nationally.”

The Hillman Scholars Program at UNCprovides a seamless educational trackthat bridges the traditional boundariesbetween undergraduate and doctoral-level programs. Students who areaccepted to the highly competitiveprogram embark on an integrated planof study that focuses on both clinicalpractice and research. They workclosely with mentors beginning in the undergraduate program andthroughout the PhD program, whichpromotes scholars’ development. The program also emphasizes thedevelopment of scholars as leaderswho will become the next generation of nurse researchers to realign healthcare to become more effective, patient-centered, accessible, equitable andaffordable.

The renewal award will allow UNC’s HillmanScholars Program to continue growing bybringing on new scholars, adding four a year forthe life of the award. Jones said that the ultimategoal of the program is to prepare nurses for along career in research to design a health caresystem that works.

This award helps to fund research practicums andseminars that focus on innovations, a cornerstoneof the Hillman Program. The award also allows the

To Esita Patel and Alasia Ledford,the Hillman Scholars Program inNursing Innovation is not a traditionaleducational experience, it’s apathway to success. For them, theprogram provides a way to advance,a space that encourages ingenuityand mentorship, and access toopportunities they would not haveotherwise had.

With that in mind, the School ofNursing is pleased to announce the receipt of $3 million in renewalfunding for the Hillman ScholarsProgram in Nursing Innovationthrough 2022. UNC is one of onlytwo schools of nursing in the UnitedStates to receive a second awardfrom the Rita and Alex HillmanFoundation. Through this award, the School of Nursing distinguishesitself as an institution that is bothinnovative and creative in itsapproach to preparing PhD nurseresearchers and scientists for the future.

“Nurses prepared in an integrated BSN-PhDprogram advance more quickly through theireducational experience, which allows them tolaunch a research career early, and to havegreater impact on health care. Support receivedthrough the Hillman Foundation gives the Schoolexpanded opportunities to cultivate scholars’preparation as they develop as researchers,” said Dr. Cheryl Jones, director of the HillmanScholars Program at UNC. “This award also allows

For both of them, though, it has provided theopportunity to pursue a PhD, without having toworry about finances, and to focus strictly on their PhD studies. Studies that are undoubtedlydifficult and rigorous, said Patel, but thatultimately represent an incredible opportunity.

And just as it provides an opportunity to Patel andLedford that they feel they wouldn’t otherwise

have, it provides the same to theSchool of Nursing.

“Because of this award we’ve been ableto build this community of scholars thatis like a family. Our scholars supportone another, care about one another,are committed to helping each othersucceed,” said Jones.

Patel and Ledford exemplify thissentiment.

“You become a part of this greatcommunity of scholars, and it’ssomething I thought I would neverhave in my life,” said Patel. “So manypeople rooting for you and believingin you makes you believe you’recapable of achieving greatnesssomeday.”

program to continue addressing problems in care delivery, helping nurses develop anentrepreneurial mindset and implementing new models of care that put the patient first.

But one of the things Jones is most excited aboutis that the grant renewal will support the creationof the much-anticipated Hillman Hub, dubbedthe H-Hub. This space will foster scholars’knowledge of research and innovationand aims to create immersiveexperiences that engage scholars invarious aspects of research, includingcollaboration, team science andmentorship. Ledford said she isexcited about the renewal because it provides additional support forprofessional, research and leadershipdevelopment.

“I think it will also help further ourresearch and our ability to network,”said Ledford.

And for Patel, the Hillman ScholarsProgram has come as a stress relief.

“It’s formalized a lot of the financialthings, like money for books, traveland supplies.”

SON Receives Renewal Grant forPrestigious Hillman Scholars inInnovation Program

“Because of this awardwe’ve been able tobuild this community of scholars that is like a family. Our scholarssupport one another,care about one another,are committed tohelping each othersucceed.” —Dr. Cheryl Jones

“So manypeople rooting

for you andbelieving in

you makes youbelieve you’re

capable ofachievinggreatnesssomeday.”

Esita Patel

“[The grantrenewal] will ...

help furtherour research

and our abilityto network.”

Alasia Ledford

3938

First Quality, a manufacturer of adultincontinence care products, has established anew, three-year, bladder health initiative at theUNC School of Nursing. Designed to partnerwith Umphlet Distinguished Professor Mary H.Palmer, an expert in urinary incontinence andgerontology, the initiative aims to prepare thenext generation of nurse leaders in bladderhealth education and research, and to fundinnovative scholarship to improve the quality oflife and care for people who have, or are at riskof developing, lower urinary tract symptoms.

Funded by a grant from First Quality anddirected by Dr. Palmer, the First Quality Bladder

Health Initiative will tackle issues related to lower urinary tract symptoms bypreparing graduate nursing students at UNC to lead the field in bladder healtheducation, research and practice; funding studies by UNC nursing faculty andstudents centered on bladder health; and providing financial support for anannual postdoctoral fellowship for a visiting international scholar studyingaspects of bladder health.

Already, the initiative has made Dr. Palmer’s expertise available to aninternational audience of health care providers gathered at a conference inShanghai in September to learn ways to improve geriatric care. While in China,Dr. Palmer and First Quality’s clinical director, Michele Mongillo, RN, MSN,gave addresses at multiple nursing homes and forums on the topics of urinarytract infections and incontinence.

“Our goal is to create a critical mass of nurses who are highly educated inbladder health to conduct clinical research to advance knowledge andimprove life and care for adults with incontinence,” said Palmer. “Education isthe first step to creating that critical mass, and I’m thrilled to partner with FirstQuality to develop the leadership and knowledge we need to address an issue of increasing concern as our population ages.”

The bladder health initiative marks the third formal partnership between FirstQuality and Carolina Nursing. In 2014, the company established a graduatenursing scholarship, and in 2016 the School of Nursing hosted the inauguralFirst Quality Care Summit: Advancing Quality of Life in Vulnerable Populations.

First Quality Establishes

Bladder HealthInitiative at UNCSON

The UNC School of Nursing is once again amonga select group of schools of nursing to receive agrant to increase the number of nurses holdingPhDs. The 31 selected schools comprise the fifthcohort of grantees of the Robert Wood JohnsonFoundation Future of Nursing Scholars program,which will provide financial support, mentoringand leadership development to nurses whocommit to earn their PhDs in three years. CarolinaNursing will select two nursing students toreceive this prestigious scholarship.

“Our fifth cohort of Scholars will join animpressive group of nurse researchers who arealready making significant contributions to thefield. This program is designed to empower nurseleaders to progress efficiently. The selectedscholars will complete their PhDs in an expeditedthree-year time frame,” said Julie Fairman, PhD,RN, FAAN, Future of Nursing Scholars programco-director, Nightingale professor of nursing andchair of the Department of Biobehavioral HealthSciences at the University of Pennsylvania Schoolof Nursing.

In its landmark nursing report, the Institute ofMedicine recommended that the country doublethe number of nurses with doctorates. Whileenrollment in doctorate of nursing practiceprograms has increased exponentially, PhDenrollment has seen less growth. The Future ofNursing Scholars program was designed toincrease PhD-prepared nurses. Doing so willensure that more nurses are conducting vitalresearch and will also help address the nursefaculty shortage.

The Future of Nursing Scholars program is amulti-funder initiative. For the second time, theUNC School of Nursing received critical matchingfunds from alumna Carolyn London BSN ‘56 andthe Carl S. Swisher Foundation to bring the grantto Carolina.

The SON will select two scholars, who will beginthe Future of Nursing Scholars program thissummer and their PhD studies in the fall.

“We are delighted, of course, to be among the few schools selected to participate in the final cohort of the Future of Nursing Scholarsprogram,” said Nena Peragallo Montano, dean of the UNC School of Nursing. “It is a testament to the strength of our current Future of NursingScholars and to our PhD program, and we arepleased to be able to contribute so efficiently toincreasing the pipeline of doctorally preparednurse researchers and scholars.”

“When this program concludes, we will havegraduated more than 200 PhD-prepared nurses.RWJF is thrilled to see the program succeed so well, and we are very thankful for the otherfunders who have joined us in support of thiswork,” said Susan Hassmiller, PhD, RN, FAAN, co-director of the program and RWJF’s senioradviser for nursing.

SON Receives Prestigious RWJFFuture of NursingScholars GrantOnce again, sizable matching privatedonations from Carolyn London, BSN ’56and the Carl S. Swisher Foundation helpbring the grant to Carolina Nursing

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SON Hosts Donor andAlumni Recognition Dinner

On April 20, the School of Nursing held its annual donor and alumni recognitionreception and dinner at the DuBose Houseat the Rizzo Conference Center in ChapelHill, North Carolina. The event served tokick off the Campaign for Carolina Nursing,a $22 million, seven-year fundraising effortaimed at securing much-needed privatedonations to support the School’s faculty,students, facilities and local and globalservice efforts.

The School of Nursing Alumni Associationpresented its annual alumni awards

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Carol M. Ross BSN has been named the SONAlumni Association’s 2018 Alumna of the Year forher outstanding service to the community, Schooland nursing profession.

Carol began her education at Mary WashingtonCollege before transferring to the University ofNorth Carolina at Chapel Hill, where she earned abachelor’s in religion in 1964. Her journey from areligion degree to an advanced practice nurseAPRN led Carol and her husband, Coleman Ross(UNC ’65), to more than a decade of leadershipand service in the field of psychiatric mentalhealth care.

Upon returning to North Carolina fromConnecticut and determined to make adifference, Carol teamed up with a localnonprofit, the Inter-Faith Council for SocialService, and opened a mental health clinic at the men’s homeless shelter in Chapel Hill as a volunteer. The clinic, which opened early in 2008, continues to provide psychiatric care and medications to approximately 300 peopleannually.

While working at the IFC, Carol also began herrelationship with the UNC School of Nursing. She established an endowed undergraduatescholarship to honor her mother, who was a nurseand very influential in her life. She served eightyears on the School of Nursing Foundation Boardof Directors and began working with SON facultyand students, supporting them through clinicalplacements, networking, advocacy andphilanthropy.

Her admiration and respect for ourpsychiatric mental health nursing facultyand her desire tocontinue her advocacyfor patients in NorthCarolina led her to anincredible philanthropicinvestment in the School.

In 2013, Carol and Coleman established the Carol Morde Ross Distinguished Professorship in Psychiatric Mental Health Nursing. Thisprofessorship currently supports Dr. VictoriaSoltis-Jarrett and the profession in three specificways — improving access to mental health care;ensuring the education of psychiatric mentalhealth advanced practice nursing; and furtheringhealth policy that supports psychiatric mentalhealth nursing practice.

Carol’s relationship with the School goes beyondthat of philanthropist and advocate. She is, inessence, everything an alumna could be. Sheleads in her profession and has dedicated her life to serving the needs of patients. She hasinvested so much of her time and talent into theSchool of Nursing, and she advocates for us atevery possible opportunity. When it comes toCarolina Nursing, Carol’s heart is truly in it!

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On April 21, the UNC School of AlumniAssociation posthumously conferred itsPresident’s Award upon Wayne Long, formerCEO of Well Care Home Health, who passedaway suddenly in the fall of 2017.

Wayne was born October 29, 1956, in Newberry, South Carolina. Wayne’s academic and athletic accomplishments led him to theUniversity of North Carolina at Chapel Hill, wherehe played baseball and earned a degree inbusiness administration, graduating in 1978.

A respected and visionary business leader,Wayne co-founded Well Care Home Health in1987 and Farmin’ Brands in 2011. For over 30years, Well Care Home Health, a leading providerof comprehensive home health services, has builtits reputation across North Carolina as being oneof the state’s most trusted providers of highlyspecialized, quality home health care, and itcurrently serves 60 of 100 counties in the state,especially those in rural and underserved areas.He had great pride and joy in the professionalfamilies with whom he worked and the businesssuccesses he was instrumental in creating.

Wayne was deeply committed to giving back tothe community, including service on the board of directors of Elderhaus Inc., the North CarolinaMedical Commission, the University of NorthCarolina Board of Visitors, and the UNC School of Nursing Foundation Inc.

His philanthropic gifts supported numerouscharitable organizations. In 2016, Wayneestablished the Well Care Home Health Scholarsprogram at the UNC School of Nursing, providingfunding for graduate nursing students interestedin pursuing a degree in home health.

Additionally, heestablished a partnershipwith the UNC School of Nursing to offeropportunities to build the current nursing home health workforceand to establishinterprofessionalopportunities for

all health professions students. One suchopportunity was the creation of a hot-spottingprogram — this program pairs interprofessionalteams of students in nursing, pharmacy,occupational health and speech therapy withpatients who are high-utilizers of care and aremore at risk for multiple readmissions. Thisproject has been of great benefit to thecommunity, as it directly gives back to patientswhile also engaging students on the complexitiesof chronic illness. In addition to this work, Wayne was a committed supporter of the home care benefit and the advantages it offers thecommunity’s frailest individuals. In order to ensurethe continuation of this benefit, Wayne workedtirelessly to visit lawmakers in order to raiseawareness and maintain its support in thelegislature.

Wayne Long passed away peacefully, surroundedby his family at Duke University Hospital on September 15, 2017. He is posthumouslyawarded the UNC School of Nursing AlumniAssociation President’s Award for his commitmentand dedication to nursing and health care. Whilewe mourn his loss, we also celebrate his life andlegacy of kindness and accomplishment.

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Carol Ross Named 2018 HonoraryAlumna of the Year

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Rumay Alexander, EdD, RN, FAAN, president of the national league for nursing and associatevice chancellor and chief diversity officer at TheUniversity of North Carolina at Chapel Hill, waspresented the SON Alumni Association’s 2018Carrington Award for Community Service. Theaward recognizes individuals who have givenremarkable service to the community, state orother beneficiary organization, and who havereflected favorably on the School of Nursing as aresult of their remarkable service. Dr. Alexanderperfectly embodies the spirit of the CarringtonAward.

Dr. Alexander is a professor at the university’sSchool of Nursing. She has a compelling recordof leadership and advocacy for diversity andinclusive excellence in academia, in theworkplace, in national nursing professionalorganizations and in her consultant activities. Her passion centers on intentional efforts toresource the proper understanding and judiciousapplication of equity and multicultural conceptsfor students, faculty, personnel and the patientsserved by UNC graduates. This includes thefacilitation of system-wide efforts for givingrespect to the many dimensions of humandifference as well as the lived experience ofdifference.

Dr. Alexander is known for helping organizationssucceed in their missions. High-impact initiatives,numerous consultations and presentationsnationally and internationally, and her professionalorganization work devoted to generational equitybear witness to her game-changing works. She has guided individuals in academic, corporate,health care and religious organizations to exploremarginalizing processes, multiple perspectivesand the vicissitudes of lived experiences of

difference, and she hasauthored numerousarticles, books and bookchapters. Her passion for equity of opportunityand penchant for holdingcourageous dialogues to steward and promote

human flourishing has led to appointments onlandmark health care initiatives, including theCommission of Workforce for Hospitals and HealthSystems of the American Hospital Association andthe National Quality Forum’s steering committee forthe first national voluntary consensus standards fornursing-sensitive care. She is a two-term memberon the board of governors of the National Leaguefor Nursing and the American Organization ofNurse Executives. In 2010 she was the AmericanOrganization of Nurse Executives’ Prism Awardrecipient for workforce diversity leadership and in2013 the National Student Nurses’ Associationbestowed her with honorary membership, its mostprestigious award. In addition, she received theSouthern Regional Education Board’s M. ElizabethCarnegie Award in 2013.

Dr. Alexander holds a baccalaureate degree innursing from the University of Tennessee Knoxville,a master’s degree in nursing from VanderbiltUniversity and a doctor of education degree fromTennessee State University.

Alexander Receives 2018 CarringtonAward for Community Service

The UNCSON Alumni Association recentlyconferred the 2018 Distinguished Alumna Awardon Gwen Sherwood, PhD, RN, FAAN, ANEF(MSN ’70). Dr. Sherwood has a distinguishedrecord in leading health professions educationlocally and globally. Professor and associate deanfor global initiatives at the University of NorthCarolina at Chapel Hill School of Nursing, she is a 1970 alum of the MSN program. She alsoearned a diploma in Nursing from GeorgiaBaptist Hospital School of Nursing and an RN-BSN from North Carolina Central University and a PhD from the University of Texas at Austin.

The award commends graduates for theiroutstanding service in the area of nursing, eitherthrough their scholarly efforts, their promotion ofhealth care or their tireless service to the field ofnursing.

Much of Sherwood’s career was spent in Texas,where she moved from clinical positions to herinitial academic appointment at the University of Texas Houston Health Science Center Schoolof Nursing. There she progressed from part-time instructor to executive associate dean. Herscholarship built a model, the Houston PainOutcome Instrument, to examine patient painmanagement from a multicultural perspectiveand development of a Spanish language tool,now used in several countries. She investigatedthe impact of spiritual dimensions of care,developing a program for nurses in the TexasMedical Center, still in operation. Pursuing her passion for expanding education, she led outreach on the Texas–Mexico border,implementing the first nursing graduate programand a satellite distance education network in thisgeographically remote, underserved area. Fromthis same model, she worked with the ChinaMedical Board to design and implement the first

nursing Master’s programin China and worked withUSAID funded projects inKazakhstan and Sakhalin.

Returning to UNC, sheserved as associate deanfor academic affairs from

2005–2014, during which time the school openedthe DNP program and completed exemplary re-accreditation visits for its academic programs. Shehelped create the global mission of the school by expanding the Visiting International Scholarsprogram, advancing student learning experiencesacross the globe and fostering faculty immersionin global health.

Dr. Sherwood worked with Dean Emeritus LindaCronenwett as co-investigator/co-PI to initiateQSEN, the Quality and Safety Education for Nursesproject funded by the Robert Wood JohnsonFoundation to transform education and practice toimprove quality and safety. She was the nursinglead on the UNC and Duke University schools ofmedicine and nursing Interprofessional PatientSafety Education Collaborative to measureeffectiveness of four teaching strategies onteamwork behaviors.

Dr. Sherwood has been a partner at IntraHealthInternational to scale up health professionseducation in Kenya and is now helping to lead theNorth America hub for the global campaign forNursing Now to advance the profile of nursing. Sheis past president and a charter member of theInternational Association for Human Caring and vicepresident of Sigma Theta Tau International, a nursinghonor society. She has been visiting professor inThailand and has led workshops in China, Japan,Kenya, Sweden, Taiwan and Thailand.

Sherwood MSN ’70 Named 2018 SON Distinguished Alumna

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On a chilly evening inFebruary, Carolina Nursingstudents and alumni met at the Johnston Center forUndergraduate Excellenceon UNC’s North Campus tocompare notes on being anursing student at UNC andto offer and receive careeradvice. This event is heldannually by the AlumniAssociation and has becomea favorite of students andalumni alike!

SON Alumni AssociationHosts Mentor Mixer

Photos by Timothy Blackmon

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BACK ROW: Kathryn Robinson Kuykendal, Carol Malcolm Davis, Carolyn CresimoreFRONT ROW: Charlotte Mason Oliver, Julia Knott Prasse, Betty Ann “Bee” Forester Faunce, Susan Barber Culp

Class of 1968 Reunion

Shepeara Hall, BSN ’91, MSN ’99 received her Doctor ofNursing Practice in Executive Leadership from American SentinelUniversity on February 28, 2018

Barbara Gregory Hardin, BSN ’79 was awarded the GeorgiaNICU Nurse of the Year, presented by the March of Dimes onNovember 4, 2017. Former President of the UNC Student Nurses’Association, Barbara is in her 30th year in the NICU at Children'sHealthcare of Atlanta, Egleston.

Andrea Morrow Ingram BSN ’15 and Jennifer Powell, BSN ’15created a patient acuity tool for use on medical-surgical unitfeatured in American Nurse Today in April.

Send us your news! We’d love to hear what’s going on with you:nursing.unc.edu/alumni/inform/class-note-and-information/

ALUMNI NOTES

Save the Date

HOMECOMINGTAILGATE

NOV 3Details to come.

SUMMER 2018Carolina Nursing is published by the University of North

Carolina at Chapel Hill School of Nursing for the School’s alumniand friends. It is produced and printed with private funds.

DeanNilda (Nena) Peragallo Montano, DrPH, RN, FAAN

Executive Dean and Associate Dean for Academic AffairsMargaret “Peggy” Wilmoth, PhD, MSS, RN, FAAN

Associate Dean for ResearchRuth Anderson, PhD, RN, FAAN

Associate Dean for Global InitiativesSearch Underway

Associate Dean for Administrative ServicesLisa Miller, MBA, CPA, BGMA

Editor-in-Chief Kelly Kirby, Director of Communications

Images and PhotographyTimothy Blackmon

Leon GodwinMariah Kelleristockphoto

Graphic DesignAlison Duncan, Duncan Design

School of NursingThe University of North Carolina at Chapel Hill

Carrington Hall, Campus Box 7460Chapel Hill, NC 27599-7460

Email: sonalum@unc.edunursing.unc.edu

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