This newsletter in electronic and print format comes to you as the result of the efforts of BSN Community Health Students under the direction of their faculty, Dr. Phyllis G. Cooper. This volume and subsequent editions are the result of the students’ Community Health Nursing Community Education project. We hope you enjoy the readings and updates from the School of Nursing. Please feel free to communicate your input to us. Thank you for your continued interest in and support of the CSULB, School of Nursing.

Dr. Phyllis G. Cooper, RN, PHN, CNS, Editor

Susanne Cohen Stephanie Purnell

Healther Dalrymple Marie Gabriel Quinsay

Sonam Dattani China Schmidt

Ericson Fernando Emanuel Sevilla

Debbie Garcia Hyman Shia

Alissa Nguyen Gina Yan

Dear Alumni, Friends, Students, Staff & Faculty of CSULB School of Nursing,

WelcomeWelcome School of Nursing NewsletterVolume 1, Issue 2

Dear Alumni and Friends of CSULB School of Nursing:

Greetings to all of you!

As we start our new 2013-14 academic year, I want to keep you abreast of the milestones we have achieved. Since you are an integral part of our School of Nursing at CSULB, we want you to know about the goals and challenges we are eagerly waiting to undertake this coming year. In the 2012-13 Academic Year, we graduated 213 BSN graduates and 117 MSN graduates. The MSN graduates were nurse practitioners, clinical nurse specialists and nurse leaders. As you know, there is no other profession or discipline on our campus whose impact in our community is as immediate and of such significance in terms of touching lives, caring for sick patients and promoting the health of the community, than nursing!

Currently, we have 1028 students enrolled in our programs. It is exciting to see our programs grow and make significant positive impact on our community. However, this growth has created a big challenge for us in terms of lack of physical classroom and laboratory spaces for our students. Two small classrooms in the older section of the nursing building are currently being renovated to become simulation laboratories. The vacated, outdated administrative offices are also being renovated to become three faculty offices and a faculty workroom. These renovations are being funded by the generous donation of Dr. Marvin Zamost and his wife Ms. Linda Haley in memory of their mother, Mrs. Regina Zamost, and from Dr. Beth Keely’s Song Brown grant from the Office of State Health Planning and Development.

I am pleased to let you know that the Chancellor’s Office has also approved the concept of building four more classrooms in the large parking lot, west of the current nursing building. This building plan is contingent upon funding from private donations. It is tentatively estimated that it will cost about $5 million dollars. We are now starting a capital campaign to raise the necessary monies for these additional four classrooms. As you can see, this time is both exciting and challenging. For us, this building plan is a dream come true. We invite you to be a part of shaping our future. Only through your economic generosity and commitment to Nursing at CSULB can this dream become reality.

Cordially,

Loucine M. HuckabayLoucine M. Huckabay, PhD, RN, PNP, FAANDirector and Professor CSULB School of NursingLong Beach, CA 90840

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Established in 1996, Health on Wheels provides health care services for children at ten schools in the Norwalk - La Mirada Unified School District. The clinic also serves as a clinical training facility for CSULB pediatric nurse practitioners (PNP) and family nurse practitioners (FNP) students during their clinical preceptorships. The clinic coordinator, Dr. Natalie Cheffer, CSULB School of Nursing alumni and Associate Professor of Nursing, describes Health on Wheels as a much needed program that benefits both the children and families lacking access to health care and nurse practitioner students in need of a place to learn how to provide culturally competent, quality health care to this vulnerable population. She believes that Health on Wheels is one way to “alleviate the shortage” of primary care providers that work in medically underserved areas, because when nurse practitioners train in these areas they are often motivated to seek employment in these areas after graduation.

Dr. Cheffer credits Dr. Bonnie Kellogg, Professor Emeritus, for collaborating with Kaiser Permanente, the Norwalk-La Mirada Unified School District and the City of Norwalk to develop a partnership that established the Health on Wheels school based clinic. A needs assessment determined that many children within the Norwalk La Mirada Unified School District were uninsured or underinsured and had difficulty accessing health care services. Dr. Cheffer played a major role in the initial phase of the collaboration and its every day operations. She now serves as the project director coordinating the nurse practitioner students that rotate through the clinic with

the two PNP faculty that provide the health care services, Ms. Olivia Lara, CPNP and Ms. Veronica Torres, CPNP. Ms. Lara and Ms. Torres have worked at the clinic since its inception and are fluent in Spanish, which helps the families feel comfortable.

The children at Health on Wheels are diagnosed with a variety of health care problems. Significant outcomes include free access to health care services for the uninsured or underinsured, well child examinations and screenings, management of common illnesses, immunizations, laboratory services, health promotion and prevention. Because the mobile clinic visits school sites, families that may have had difficulty with transportation can have their child seen at the clinic on their school campus. Often children seen at the Health on Wheels clinic will be eligible for the 30 day Medi-cal provision, allowing families to receive care from other health care providers such as dentists, ophthalmologists or even cardiologists free of charge.

Health on Wheels school based clinic puts CSULB School of Nursing on the forefront of community relations. The program’s continued success depends on private donations and grants for funding. With the assistance of generous donors, Dr. Cheffer would like to increase the days of service from 3 ½ to 5 days per week, and expand the program further by developing innovative strategies within the community to manage childhood obesity. Any donations provided will be matched by CSULB, College of Health and Human Services.

Health on Wheels Mobile Clinic with Dr. Natalie Cheffer

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Dianne Leever has been working at CSULB for 14 years as the level coordinator and lecturer for the undergraduate Psychiatric/Mental Health Nursing course.

In 2007, the School of Nursing received a Song-Brown grant from the State of California, which Ms. Leever used to develop The Student Success Program. Ms. Leever stated that, “when the grant was received, we made the decision to develop a program for students who were at high risk for unsuccessful completion of the nursing program.” The goal of the Student Success Program is to facilitate the successful completion and graduation of our student population into the professional practice of nursing.

Relationships were created with the faculty and staff in the Learning Assistance Center, Disabled Student Services, and Counseling and Psychological Services (CAPS) to identify the challenges the students might face. The referral process includes assessment of challenges and barriers as well as interdisciplinary referrals and collaboration with the student for access to needed services. The faculty member can make referrals for the services, or the students can self-refer. The program has a mechanism for tracking the referral and getting feedback. Interventions may include recommendations for psychological assistance, tutoring, learning assessment, accommodation and often mentoring from California Nursing Students’ Association (CNSA). In addition, a process of assessing communication skills as a component of the school admission process was developed and

Professor Dianne Leever, SON Faculty: The Student Success Program

continues to be a valuable tool for applicant evaluation. It assesses a candidate’s basic written and verbal communication skills in a variety of ways that are specific to those in basic nursing interactions.

The Board of Registered Nursing and the American Association of Colleges of Nursing acknowledged these interventions and outcomes during their program accreditation visits. The program is funded by Song-Brown grants from the State of California.

Professor Dianne Leever, School of Nursing Lecturer and Director of Student Success Program

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Joy Goebel began her career as an ICU nurse, working at St. Mary’s in Long Beach. She returned to school to obtain her Master’s from UCLA as a clinical nurse specialist. Subsequently, she traveled to Asia for a year to work at a clinic in the Himalaya Mountains. Upon her return to the United States, she continued her clinical practice and began her career in teaching. She later returned to UCLA to get her Ph.D., which began her trajectory into research centered on palliative care.

Her research led to collaboration with the Greater Los Angeles Veterans Healthcare Administration on the Comprehensive End of Life Care Initiative. She currently is developing health informatics tools to improve the quality of palliative and end of life care for veterans. The centers first informatics tool is in the process of implementation at 153 VA medical centers throughout the country.

Goebel’s research uses a holistic approach to understanding pain and suffering. Specifically, she is interested in how certain variables, such as disease type and spiritual beliefs, affect patients with life limiting diseases. Her experiences with heart failure patients led to her passion to improve palliative care in nonmalignant diseases.

Her career has reached a national level where she serves on the Boards of the American Academy of Hospice and Palliative Medicine and the Hospice and Palliative Nurse’s Association. She recently received a research grant from the Hospice and Palliative Nurses Foundation

Dr. Joy Goebel, SON Faculty: The End of Life Initiative Grant

to investigate how professional certification affects quality of care in palliative care settings. Goebel is also teaching in the DNP program located at CSUF where she teaches evidence based practice for the next generation of nurse clinical leaders.

Dr. Joy Goebel, Associate Professor of Nursing at CSULB

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CSU Nursing in Excellence

A video produced by the CSU Chancellor’s Office to showcase CSU nursing programs features CSULB students in the BSN, MSN and DNP programs.

You can view the video here:http://youtu.be/LUw8FZAIf98

California Nursing Student Association (CNSA) is a non-profit organization for students enrolled in associate, baccalaureate, diploma, and generic graduate nursing programs. It is dedicated to fostering the professional development of nursing students in the State of California. The organization has numerous local chapters formed by various nursing schools.

Vision and MIssionAt California State University, Long Beach, the local CNSA chapter has its own unique vision: A united student body devoted to cultivation of a stronger and brighter future of nursing.

CNSA at California State University, Long BeachIts mission is to maintain and improve the cohesiveness of the CSULB nursing program through the enhancement of interactions with current and prospective students and faculty, as well as promotion of active involvement in the nursing department, college, university, community, and world. The Executive Board of CNSA are students elected by the general members to serve in leadership positions and collaborate with each other in carrying out the essential functions in order to achieve CNSA’s mission.

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The CSULB Avon Breast Cancer Walk team at the beginning of the race.

Overview of 2012-2013 yearThe 2012-2013 academic year has been a productive year for CNSA. Thanks to the passion and dedication of the CNSA Executive Board, the committees of CNSA: Student Support, Community Services, Breakthrough to Nursing, Professional Growth and Development, Student Faculty Relations, University Involvement, and Fundraising were able to organize and coordinate numerous events and functions. Under the exceptional leadership of Natalie Adame, the Community Service committee has done an amazing job last year by allowing CSUBLB nursing students to serve and contribute to the community.

CNSA Member Emily Purdy at the end of the Avon Breast Cancer Walk, with an award commemmorating the funds she helped raise.

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Featured events• Breast cancer walk fundraising--Oct 21st, 2012 o Emily Purdy is a member of the Community Service committee and a passionate advocate in the fight against breast cancer. She took the initiative of organizing CNSA’s participation in the 2012 Avon Breast Cancer walk. Emily worked tirelessly to coordinate apparel and accessory sale and was able to raise over $2000 in donation to the Breast Cancer programs. • Ronald McDonald House Dinner Service—December 16, 2012 o A group of CNSA members and the faculty advisor Professor Sharon Konrad volunteered to make dinner for the residents at the Ronald McDonald House in Long Beach. Ronald McDonald House is a place where families with hospitalized children can stay and be close to the children at no cost to the families. The volunteer group made dinner and pastries for the families in addition to food donations to the facility. The families and the students celebrated the upcoming Christmas together and enjoyed a wonderful evening.

CNSA Advisor Sharon Konrad (back row, far left) with some CNSA members at the Ronald McDonald House.

Susan James Carr, RN, BSN, MPH, is a 1969 CSULB nursing graduate who has continued to foster the growth and development of the CSULB nursing program through her charitable contributions to the school throughout the years. For many years, she has made yearly donations to assist students with books, uniforms and incidentals. More recently, she helped fund the furnishing of the student intake room in the new nursing building “in honor of yesterday’s today’s and tomorrow’s nurses.” Susan commented, “I’ve always been grateful for the quality education and excellent foundation in nursing I received during my studies at CSULB. I had professors along the way who inspired and prepared me well for my nursing career,” which is one of the reasons she continues to support her alma mater as an alumnus.

The daughter of a doctor and a nurse, Susan attributes her “public health gene” to her parents who met while working in the U.S. Public Health Service. After graduating in 1969, she was hired by the Whittier Public Health center as a district public health nurse (PHN). After a few

CSULB Nursing Alumni: Where Are They Now?

Susan James Carr, RN, BSN, MPH

years, Susan knew that preventing disease and improving health in families, communities and populations were the areas that she wanted to continue in with her career. She took a leave of absence to study at the UCLA School of Public Health, where she received her Master of Public Health (MPH).

As a PHN, Susan’s work took her to neighborhoods in diverse areas of Los Angeles County. Not only did she make home visits, but she also visited schools, churches, restaurants, day care centers, nursing homes, homeless shelters, businesses and even prisons – anywhere that the community’s health might be in jeopardy. She developed a strong practice base from working in health districts in Whittier, Compton, Southeast Los Angeles, and North Hollywood. Over the next 20 years, she became a public health nursing supervisor, a nurse epidemiologist at LAC+USC Medical Center, a program specialist in the Acute Communicable Disease Program and Director of Public Health Nursing for Los Angeles County Department of Public Health. She also directed Nursing

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“I was told nursing was a calling. I never knew it would be mine and I was fortunate enough to build my foundation at California State Long Beach’s nursing program.” These are the words of CSU Long Beach alumna, Patricia Villanueva, during a recent interview at Children’s Hospital Los Angeles. Upon graduation from CSULB School of Nursing in 2008, she moved to Brownsville, Texas to pursue a position in a level II neonatal intensive care unit at Valley Baptist Medical Center, a hospital serving one of the poorest counties in the United States. “I knew things were going to be different being in a specialty and serving the population of Brownsville but I was confident in knowing I had the clinical skills I gained during my pediatric and OB rotations and the cultural sensitivity I strengthened during the nursing program to provide safe, quality, compassionate care.” Two years ago, Patricia was given the opportunity to return to California where she was offered a NICU position at one of the top five children’s hospitals in the nation, Children’s Hospital of LA. Inspired by the passion and dedication of the CSULB nursing faculty, she is plans to return to CSU Long Beach to obtain her Master’s Degree to expand her nursing career.

Patricia Villanueva, RN, BSN

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Professional Practice at Olive View - UCLA Medical Center and her final position was Director of Organizational Development and Training for the Los Angeles County Department of Public Health.

Writing has always been a passion of Susan’s. Throughout her career, she wrote about her public health work and disease investigations and they were published in the American Journal of Infection Control, American Journal of Public Health, MMWR, Nurse Week, Nursing Outlook, Management, and Physical Therapy Today.

Although she has retired after a long career, she occasionally consults on public health issues, volunteers for non-profits and causes she believes in and is a freelance writer focusing on health issues and other stories that interest her. For the past six years she has been a volunteer on the Board of Directors for the Glendale - Crescenta Valley Chapter of the American Red Cross. She has recently joined the Resource Development Workgroup for the National Association of Public Health Nursing. She has also served on the Board of Directors for the Public Health Foundation Enterprises, been a member of Soroptimist International of Glendale, and was a docent at the Natural History Museum of Los Angeles County.

With all of her experience and knowledge, Susan’s greatest advice to nursing students is to find work that they love and are passionate about. She advises students to “stretch yourself and seek opportunities that will help you grow in your career and life.” She believes nurses need to retain “high touch and heart” to compliment the “high tech” environment they’re working in because down the line, that is what people you care for will remember.

We are proud to have Susan James Carr as a School of Nursing graduate, active donor and supporter of nursing.

With the use of new technology and the vast health demands, the practice of nursing is always evolving. To meet these requirements, continuing one’s education beyond the Baccalaureate level is expected. California State University of Long Beach is leading the charge with providing highly skilled advanced practice nurses to the work force. In May, the Master of Science in Nursing, Class of Spring 2013 graduated with “49er” pride. From this group, nine nurses concluded their semester with a day of presentations and a forum to display their research projects. The group’s posters were on display in the Nursing building’s courtyard during the Master’s Celebration reception. The RNs and research topics are noted:

Ebere Abanobi BSN, MSN/MPH (below)Prevalence of Hypertension in African American Women Being Exacerbated by Overweight Obesity. Chair: Savitri Singh-Carlson Ph.D.;

MSN Graduates Display Their Posters

Mercedes Guilliaum MSN/MPH; Karen Munoz MSN/MPHFindings: Hypertension is more prevalent in African American women than any other ethinc group in the US. Overweight and obesity is another risk factor that puts this population at a disadvantage. Health promotion is stalled when there is a lack of perceived threat. Renee Katz BSN, RN, MSN/MPH (above)Graduate Nursing Students Perspective on Caring for Patients with HIV/AIDS. Chair: Savitri Singh-Carlson Ph.D; Mohammed Forouzesh Ph.D; Javier Zetina PhD, MAFindings: Expected results will show Graduate student’s views on people living with HIV/Aids are shaped by a number of different variables. Another aspect of this research showed the correlations that are predictive of care given depending on the graduate student’s knowledge of HIV transmission, experience of having cared for someone with HIV/AIDS, and if the student knew someone with HIV/AIDS.

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Loan Nguyen-Pryor MSN/MPH (above)Assessing Knowledge of Exclusive Breastfeeding Guidelines and Benefits among Nursing StudentsChair- Geraldine Perry-Williams MSN, PHN; Selena Nguyen-Rodriguez Ph.D; Savitri Singh-Carlson Ph.DFindings: Over half of the students scored below the mean on breastfeeding knowledge. A major finding of this project was a significant lack of knowledge related to health benefits, weaning recommendations, and outcomes related to introduction of liquids other than breast milk. The data found may reflect a need for improved curriculum within these areas.

Veronica Okwuosa RN, BSN, BPH, MSN/MPH Obesity Among Latino Children: 17 years and under. Chair: Dr. Savitri Singh-Carlson BSN, MSN PhD; Mercedes Guilliaum MSN, MPH; David E. Kumrow Ed.D

Evelyn Scott BSN, MSN/MPH Effects of Cultural Nutritional Education among Hispanic Women with Diabetes. Chair: Savitri Singh-Carlson Ph.D.; Mercedes Guilliaum MSN/

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MPH; Gino Galvez Ph.D.

Lindsey Taylor RN, BSN, PHN, MSN/MPH Evaluation of On-Site Stress Management Coping Mechanisms Among Southern California Emergency Department Health Professionals.Chair: Savitri Singh-Carlson PHD, RN; Phyllis Cooper DNP, RN, PHN, CNS; Claire Garrido-Ortega MPH, CHES

Alina Rayamajhi BSN, MSN/MPH (below)Assessment of Public Health Nurses Knowledge on Methicillin-Resistant Staphylococcus Aureus and Effectiveness of and Educational Intervention. Chair: Savitri Singh-Carlson Ph.D.; Mercedes Guilliaum MSN/MPH; Mohammed R. Forouzesh Ph.D.Findings: It was evident that there is low baseline knowledge among PHN’s regarding MRSA in the community setting. Significant increase in knowledge score post intervention suggests the need for more similar approaches in future. Well-informed PHNs will be an important asset in campaigns to educate patients and community members about prevention and management of MRSA.

The Community Health Nursing Students at California State University, Long Beach make every effort to become involved in their community and make a positive impact. Over the last year, two clinical groups collaborated with the faculty at the Beach High School on a project aimed at improving the lives of the student population at this facility. The purpose of the collaboration was to address the health needs of the student population and provide interventions to create change. The Community Health Nursing group worked with the Principal, Matt Saldana, to identify important issues impacting his students. The first clinical group conducted workshops to increase awareness and provide skills relating to issues preventing pregnancy and sexually transmitted diseases. The second clinical group focused on marijuana use, career planning, and sexually transmitted diseases. The staff and students participating in these workshops were attentive and engaged indicating a desire to learn. As part of the career-planning curriculum the students were also given a tour of CSULB to provide them with a college experience and as encouragement for them to pursue a higher education. Career planning was especially welcomed and the information provided was enlightening for the participants as many did not think that college was an option for them. While other topics like marijuana use education were met with some resistance, it is important to educate these vulnerable populations about its dangers and to provide them with the skills necessary to make knowledgeable decisions.

Community Health Nursing For Undergraduates: Beach High School in Long Beach, CA

These collaborative efforts help to strengthen the community by developing relationships and creating positive changes that benefit multiple parties. The relationship between the Community Health Nursing Students and Beach High School is in its formative stage, but it has been established and will continue to develop. The staff was excited about the initial workshops and appreciate continued partnerships with the CSULB Nursing Students to help improve the life of their students. While each clinical group may only spend a semester in Community Health, there will be a new group each semester that will continue to work with the Beach High School to target the community and public health concerns that affect this population.

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Community Health Nursing Students outside Beach High School in Long Beach, CA before speaking in classes.

Did You Know?

We are proud to share the 2-1-1 hotline for health and social services. This service, which was spearheaded by United Way and the Alliance for Information and Referral Systems, has answered and assisted more than 15.8 million telephone calls nationally in 2012. Every year the local service 211 LA County, formerly known as Info Line, has helped over 500,000 individuals and families. The array of resources referred via the 2-1-1 hotline include: assistance for training and employment, access to public benefits and subsidies, information on food pantries and shelters, assistance for aging parents, substance abuse and health care help, legal and financial assistance, domestic violence, and programs for different types of mental health issues.

The service is accessible 24 hours a day, 7 days a week for any individual living in Los Angeles County. Other counties may have different hours. Similar to how the 911 emergency hotline and the 411 directory number is accessed, the 211 hotline service can be accessed by just dialing 211 into any telephone line. Upon connecting with the service, please expect to choose between English or Spanish languages for the automated recording. There will be 4 choices of service to choose from and a final option to speak with a resource advisor. However be prepared to have some spare time while waiting to be connected.

For more information about 211 LA County please visit www.211la.org or to find a service in another county visit www.211.org.

GIVE to CSULB School of Nursing

By giving to the School of Nursing, you are contributing to the future of healthcare! Your donation will graciously help facilitate many projects; most notably the current Capital Campaign for the new classrooms, Health on Wheels, the Student Success program, the Simulation Lab, equipment and furnishings for the new classrooms, as well as new projects being developed by faculty. All donations directly affect our nursing students here at CSULB and help the School of Nursing to continue to provide quality education experiences for our students.

To make a donation:1. Checks: Please make checks payable to: CSULB 49er Foundation/School of NursingCalifornia State University, Long BeachSchool of Nursing1250 Bellflower BoulevardLong Beach, California 90840-0301Attention: Dr. Loucine Huckabay

2. Phone/Credit Card: CSULB accepts MasterCard, Visa and American Express. For personal assistance with a credit card gift, please call Mary Ann Messing at 562-985-8491. Remember to tell her the gift is specifically for the School of Nursing.

3. Online Giving: A secure online giving site is accessible at any time. Please direct your gifts to: https://giveto.csulb.edu/?fund=NUR

4. For information on naming opportunities or including the School of Nursing in your estate plans, please contact the CHHS Office of Development at 562-985-5434.

Please call Dr. Huckabay with questions at 562-985-4463.

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CSULB School of Nursing Newsletter1250 Bellflower BoulevardLong Beach, California 90840-0301

562.985.4463http://www.csulb.edu/

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