Nursing Education in an Era of Health Care · PDF fileNursing Education in an Era of Health...

Nursing Education in an Era of Health Care Reform

School of Nursing • 2012

Teaching, practice and research

2 | Nursing Momentum

ENDEAVORS IN SCIENCE LESSONS IN LEADING PROFILES IN PRAC TICE

Over the past few months, I’ve enjoyed working in

collaboration with our School of Nursing faculty to

examine the current and future state of the school. I’m

constantly reminded that our university’s unique identity

as a place for innovation comes from the dynamic interplay

of its schools, and the special way our campus serves to

foster new ideas. Our School of Nursing has led the nation

in creating new paradigms for nursing curricula at both the

undergraduate and graduate levels, and its high national

rankings are a signifi cant part of the reason OHSU now

enjoys such national prominence as well.

Th e interaction between the School of Nursing and

the broader OHSU community creates a richness of

experience that is unrivaled. Our nursing students benefi t

from learning in the context of a cutting-edge research

and clinical setting that is the equal of any academic

environment in this country. Likewise, our campus benefi ts

from all that our School of Nursing brings. Today, drawing

upon their pioneering work in deploying simulation as

a fundamental learning

tool, our nursing faculty is

leading OHSU’s eff orts to

create an interdisciplinary

simulation curriculum for

all professional students.

Th e vibrancy of our school

arises from many factors:

the students who come to us

hungry for the knowledge

and experiences that will

open their personal paths to nursing; the teachers who

inspire and mentor them; and the graduates, our alumni,

who carry our mission forward through their life’s work as

caregivers, teachers and leaders.

Each era presents a unique set of challenges for those of

us in health care, and this era is no exception. Th e systems

and models on which our current health care system is

based are being challenged as never before, and never

This past October, it was my great honor to join OHSU as its provost. OHSU is a special institution,

whose commitment to the health of Oregonians is widely evident. It is also a treat to return to the

Northwest, where I have strong family ties and academic roots.

Experts Come Together to

Talk About PAIN

Direction for Rural

Practitioner Education

Transitional Care Model

Off ers Hope for Vulnerable

Elders

Latina Reproductive Health

Respect for Patients’

End-of-Life Choices

Publications and Grants

12

13

14

15

4

6

8

10

11

35

Donna Shalala’s Message to

Nurses: The Time is Now to

Infl uence Health Care Reform

OHSU Student Named to

International Council of

Nurses

Student Nurse Uses Film to

Teach about Chronic Illness

Universal Themes in Nursing

Situational Scenarios

Improve Nursing

Education—Case by Case

Leading Nurses in Elder Care

Collaboration Yields Unique

Health Care Clinic

16

18

19

Contents

Message From the Provost

RESPLENDENCE IN TEACHING SHARING AND CARING

Poverty Simulation Changes

Attitudes

Redefi ning the Scope and

Practice of Public Health

Nursing

20

22

Foundation Honors Nurse

Nursing Students in the

Community

Alumni Volunteers Build Archive

Alumni Reminders

My First-Year in Nursing School

Centennial Celebration

Recognition, Awards and

Honors

24

25

26

28

29

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before has nursing had such an important role in defi ning

the context for health care delivery. From the clinical

setting to advocacy and leadership, it is clear that nursing

holds the key to our nation’s ability to deliver the sort of

health care that our communities demand and deserve.

Last year’s Centennial Celebration off ered our school a

grand point of reference for our past accomplishments,

our present path, and our future opportunities. Each year

is a continuing celebration of all that has and will defi ne

us. Th is year, a new class will matriculate and a new class

will graduate. Faculty and staff will continue to explore the

best ways to learn, teach and advance health through their

research. Classmates and longtime friends will gather again

and again to refl ect on their experiences and share the

lessons of their journeys. In the center of it all is the place

we call our school. What a pleasure to share it with you!

Jeanette Mladenovic, M.D., M.B.A., M.A.C.P.

Provost and Vice President for Academic Aff airs

Nursing Momentum is published

annually by Oregon Health & Science

University Offi ce of the Dean

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Nursing Momentum

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or contact Jennifer Anderson @ andersje@

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Address changes, additions or removal

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Alumni Association:

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Charitable giving information:

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503 494-7525, [email protected]

www.ohsufoundation.org

To be excluded from fundraising mailing:

OHSU Foundation

1121 S.W. Salmon Street, Suite 200

Portland, Ore. 97205

Momentum staff

Editors: Jennifer Anderson, Lee Lewis-Husk

Designer: Charlotte Woodward

Photo editor: Christi Richardson

Writers: Sami Ewers, Kathleen Finn, Nancy

Hackleman, Lee Lewis-Husk, Bill Kettler,

Genevieve Long, Jim Newman, Susan

Rich, Catherine Rutledge and staff of the

OHSU School of Nursing

Photographers/contributors: Kim Bosley,

Caitlin Carlson, Dan Carter, Tanya Chard,

Jerry Gildemeister, Stephen Johnson,

Steve Hambuchen, Michael McDermott,

Christi Richardson, Shanda Tice

Printer: Precision Graphics

You may also read all issues of Nursing

Momentum and other School of Nursing

publications at www.ohsu.edu/son

OHSU is an equal opportunity, affi rmative action institution.

Nursing Momentum | 3

By Sami Ewers

“A large number of patients at OHSU and everywhere suff er from chronic pain,” says Kim Jones,

Ph.D., F.N.P., R.N. Jones has studied chronic pain, particularly fi bromyalgia, for three decades and

helped launch the fi rst annual OHSU PAIN (Pain Awareness and Information Network) Day conference,

which took place on Feb. 22, 2011.

Th is event was established to provide a collaborative

framework for improving the understanding and treatment

of chronic pain. “To move forward, we need to have

researchers from multiple disciplines work together,”

says Jones.

Th e PAIN Day conference began at noon in the poster area

of the School of Nursing building, where OHSU faculty and

students, community members,

partners, stakeholders and

researchers from multiple

disciplines gathered, quickly fi lling up the room and fi ltering

into the auditorium for OHSU President Joe Robertson’s

opening words. Promoting the best practice of pain

management “matters to us as a society and as individually

treated patients,” he said, setting the tone for the conference

by addressing the reason for it: “Pain aff ects everybody—it is

the No. 1 reason that people seek medical attention.”

Experts Come Together to Talk About PAIN


Keynote speaker Howard Fields, M.D.,

Ph.D., scientist and professor of neu-

rology at the University of California,

San Francisco, spoke of the essential

need for physicians and patients to

understand chronic pain better.

Michael Bleich, Ph.D., R.N., F.A.A.N.,

presented the Pain Awareness Award to U.S. Attorney

Dwight Holten for his eff orts as a social change agent. “Four

hundred people die from an overdose of pharmaceutical

drugs compared with 80 who die of homicide in Oregon,”

Holten said. “Learning to better treat pain will drastically

reduce the number of people who improperly use pain

medication.” Prescribing the right drug to the right patient at

the right dose is how to eff ectively manage pain and reduce

diversion and adverse events.

Journalist, teacher and author of the book Th e Pain Chroni-

cles: Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans,

Healing, and the Science of Suff ering Melanie Th ernstrom,

addressed the many common misunderstandings of

pain. She delved into her own multiple-year battle with

chronic pain, and concluded that, “You don’t have to be

pain-free to have a good life.”

ENDEAVORS IN SCIENCE

Th e take-away message for providers is “You can’t make

(chronic) pain go away but you can dampen it enough so

that you can go on and have a life,” Jones said. “Th at helps

providers deal with the disappointment of inadequately

relieving their patient’s pain.”

Th e aft ernoon concluded with a book signing with

Th ernstrom, aft er which PAIN Day attendees broke off

into panel discussions. According to Jones, the success of

this year’s event lends itself naturally to the continuation

of annual PAIN Day conferences which, in collaboration

with continued interdisciplinary research and education,

will further both the understanding and management for

suff erers of chronic pain. PAIN Day returns to OHSU

Feb. 28, 2012 with national speakers and relevant break-

out sessions to meet the needs of providers, researchers

and educators.

“Learning to better treat pain will drastically reduce the number of people

who improperly use pain medication.

– Dwight Holten, U.S. Attorney

Above: Howard Fields, M.D., Ph.D.

Opposite: (left to right) Jau-Shin Lou, M.D., Ph.D., Robert Chou,

M.D., Beth Darnall, Ph.D. and Kim Jones, R.N.C., Ph.D., F.N.P.,

fi eld questions aft er the PAIN presentation.


But do these skills match what NP programs teach? Associate

Professor Gary Laustsen, Ph.D, F.N.P., R.N., of the OHSU

School of Nursing at La Grande, recently completed a

study of clinical skills used by Oregon NPs. His goal:

guide curriculum development, part of the OHSU School

of Nursing’s aim to improve the quality of care through

education. As nurse practitioners play expanded roles in a

changing health care environment, education based on real-

world evidence will make them more eff ective.

“Th e literature says little about skills used by rural NPs,”

Laustsen says. “I wasn’t sure faculty were basing courses on

the needs of practicing NPs. Education is part of nursing

practice, and we should do evidence-based pedagogy.”

Bite wounds vs. Pap smears. Emergency departments a few hours—or minutes—away. The

conditions nurse practitioners treat and their practice settings determine the skills they use most.

for Rural Practitioner Education


By Genevieve Long



What is Rural Practice?“Th ere are at least fi ve or six defi nitions of ‘rural,’” says Gary

Laustsen, associate professor at the OHSU School of Nursing

in La Grande. In Laustsen’s recent study of skills used by

Oregon nurse practitioners, respondents self-identifi ed as

urban, suburban, rural or frontier. “As a researcher, I had to

decide if I would defi ne those terms for respondents. I didn’t

want to force practitioners into categories that might not fi t.”

At the International Rural Nursing and Health Conference

last October, Laustsen heard one presenter defi ne rural

as fewer than 1,000 people per square mile. “In Oregon, a

general guideline for rural practice is 10 people per square

mile. Frontier is sometimes defi ned as six or fewer people per

square mile.”

Defi nitions have consequences for federal health care

funding. Who should qualify for rural health dollars—an

Oregon clinic 100 miles from the nearest cardiologist or a

New York practice 50 miles from Manhattan? As OHSU

faculty transform nursing education, preparing students for

broader roles in the health system, defi ning what counts as

rural is another research-worthy question.

“Schools shouldn’t be responsible for teaching every single skill. But if we have

to choose, which are used most frequently and are critical for NP practice?”

— Gary Laustsen, Ph.D., A.P.R.N.-C.N.P., R.N.

Laustsen sent questionnaires to 1,450 Oregon practitioners,

with 452 responses (31 percent). Questions included practice

location and clinical skills used. Practitioners were asked

how oft en they used each skill and whether they learned it in

school or elsewhere (e.g., on the job).

“Rural NPs use many more skills, on average, than urban

practitioners,” Laustsen says. “Where specialty care isn’t

available, rural practitioners need to be generalists.”

Rural and urban diff erences include injury types. “I suspect

there are more environmental-related injuries in rural areas,”

Laustsen says. “Skin closures, tick removal and bites. With agri-

culture and logging, the risk of injury is higher in rural areas.”

Proximity to emergency departments and specialists makes

a diff erence. “For a bite wound, urban dwellers tend to visit

an ED or urgent care facility. For heart care, they might

self refer to a cardiologist. Rural EDs might not be staff ed

by physicians, so patients visit the nurse practitioner they

already know, and there might not be a cardiologist.”

Rural practitioners rated some clinical skills, including

electrocardiograms and chest X-ray interpretation, critically

important even if seldom used. Given the growing number

of older adults with chronic conditions, Laustsen says, “rural

NPs have to decide: yes, I can do that procedure, but should

I do it or send the patient to a hospital?” In developing

courses, nursing faculty must consider the importance of

specifi c skills to the practitioners they train.

Many respondents learned skills outside NP programs.

“Schools shouldn’t be responsible for teaching every single

skill,” Laustsen says. “But if we have to choose, which are

used most frequently and are critical for NP practice?”

Th e School of Nursing’s Doctor of Nursing Practice

program includes a rural track that supports OHSU’s goal of

improving health for all Oregonians. “With the family nurse

practitioner and mental health nurse practitioner programs

available statewide, we’ll see more students focusing on rural

health care,” Laustsen says. Th is will increase the number of

NPs in rural communities—a good thing in a community

where quality care can be scarce.

Th e School of Nursing’s Doctor of Nursing Practice Rural

Health Track and OHSU School of Medicine’s Rural Health

Track were developed to fi ll the urgent need for care in

rural communities. “It’s a ‘grow your own’ philosophy,” says

Laustsen. Th anks to Laustsen’s study, NPs will learn the skills

that they need to use and practice.

For more information on the study, contact Gary Laustsen at

[email protected].

By Genevieve Long

Transitional Care Model Off ers Hope for Vulnerable Elders


Mr. Jenkins (a patient that agreed to share his

information) has seven chronic conditions, takes

12 medications and sees six specialists — and his

primary physician just retired. At 76, Jenkins feels

downright elderly.

Fortunately, Jenkins has access to a new team-based model

for elder care. Developed by Mary Naylor, Ph.D., R.N.,

F.A.A.N., and her University of Pennsylvania research

team, transitional care serves older adults at high risk for

poor health outcomes. Naylor discussed the model and its

implications for health care policy at the annual Henrietta

Doltz Puhaty Lecture on Nov. 8, 2011.

“We help older adults at their most vulnerable time by

changing how they receive care,” Naylor told an audience of

nursing faculty, students and administrators. “A master’s-

prepared registered nurse follows individual patients from

hospital to home, making sure they get the care they need.”

Th e nurse makes home visits, attends doctor visits and

consults with patients and families to “give them the best

quality of life that meets their goals,” Naylor said.

A Costly Crisis

Naylor described how current elder care does not serve

elders, caregivers – whom Naylor called “the invisible

workforce” – and society. “Many people who thought they

achieved the American dream fi nd that old age is a night-

mare,” Naylor said.

In the United States, adults are living longer, but many have

multiple chronic conditions. Depression and health literacy

defi cits complicate the picture. “We’re facing a tsunami of

older adults,” Naylor said. “Th is is a health care crisis, and it’s

a costly one.” She noted that 10 percent of elders consume 75

to 80 percent of health care costs.

In the current acute care model, patients are hospitalized

with acute problems but returned home or to care facilities

with minimal follow-up. Naylor said nearly 70 percent of

elders transitioning from hospital to home encounter dif-

fi culties with the continuity of their care. Hospital readmis-

sions cost up to $17 billion per year, and 25 to 50 percent

of hospitalized elders could receive care elsewhere. “Many

people would love to stay in their homes,” she said. “We want

to help them do that.”

Developing a New Model of Care

Naylor traces transitional care’s origins to a program

developed by Dorothy Brooten, Ph.D., R.N., F.A.A.N., at the

University of Pennsylvania. Advanced practice registered

nurses provided continuing care for very low-birth-weight

infants and at-risk mothers aft er they left the hospital.

Naylor was inspired to adapt the model for elders by

Pennsylvania Sen. John Heinz’s comment that Medicare

patients were discharged from hospitals “quicker and sicker,”

aft er payment rules changed. “Transitional care worked for

vulnerable infants,” Naylor said. “Could it work for elders?”

“Many people would love to stay in their homes.

We want to help them do that.”

– Mary Naylor, Ph.D., R.N., F.A.A.N.


Results Based on Research

Th e transitional care protocol is evidence-based. For example,

Naylor said research shows patients reach a low point about

two weeks aft er hospital discharge, so nurses check in with

them then. Rates of 30-day readmission have dropped with

transitional care, but Naylor said, “We focus on the long haul

– not just getting readmit rates down.

“Transitional care improves physical function and quality

of life,” she said. Researchers are now studying why patients

with certain conditions, such as heart failure, have poorer

outcomes than those with other diseases.

In addition, Naylor’s team is conducting the fi rst major

observational study of elders with cognitive impairment. Th e

study has funding from the National Institute of Aging and

includes 500 English- and Spanish-speaking families. “We

don’t yet know much about the population with functional

defi cits,” Naylor said.

Federal adoption of transitional care could aff ect costs nation-

wide. Th e U.S. Center for Medicare and Medicaid Innovation

now encourages health systems and community organizations

to cooperate to prevent repeat hospitalizations. Aetna and

Kaiser Permanente have piloted transitional care, and the

University of Pennsylvania Health System has adopted it.

New Challenges, New Hope for Elders

In October 2011, Naylor and her team launched a study of

patient-centered medical homes. “Does transitional care add

value?” she asked. “Providers might lose track of someone

who’s admitted to the hospital, but transitional care can prevent

hospitalization or keep patients connected to medical homes.”

Naylor closed her Puhaty lecture with words of challenge and

hope. “We’re on the verge of a revolution in care delivery,”

she said. “Achieving better outcomes and reducing costs

won’t be simple. Transitional care is multidimensional

because humans are complex.”

During her visit Naylor met with and praised OHSU’s

nursing students for their commitment to change. “It was

tremendously exciting to be with students here,” she said.

“One student said, ‘I want to be the next innovator.’ Th ese

students’ energy and passion convinced me we’re very lucky

they will be taking care of us.”


Factors in Poor Elder Care Outcomes

• Five or more active chronic conditions.

• Functional defi cits – unable to get up, get through the day.

• Depression – depressive symptoms present in 40

percent of elders.

• Poor general health behaviors.

• Self-perception of poor health.

• Lack of social or fi nancial support.

• Cognitive impairment — oft en misdiagnosed or poorly

managed.

• Language, literacy and cultural barriers.

Health Systems – Part of the Elder Care Problem

• Poor communication between specialists, hospitalists

and primary care providers.

• Lack of information elicited from family members.

• Reimbursement challenges that limit access to care.

• Systems that limit nurses’ accountability to “door to

door” – from the time patients arrive at the hospital to

the time they leave.

• Little help with transitions, e.g., from hospital to skilled

care facility or from skilled care to home.

Community stakeholders, including OHSU, formed the Jack-

son County Latina Health Coalition in 2009 with support

from the Northwest Health Foundation. Its mission is clear:

To involve the local community in examining the reproduc-

tive health disparities that exist for Latinas in Jackson County

and the underlying causes for these disparities, using collab-

oration, community involvement and research. Th e result of

this research will be an implementation plan to reduce or end

these disparities. Th e researchers plan to focus on actions

to reduce teen pregnancies, prevent cervical cancer and

improve birth outcomes for Latina women.

Additional funds were awarded by Northwest Health Foun-

dation in 2010. Th e coalition sponsored a successful fi rst

annual Latina Health Fair, with more than 300 in attendance.

Th e coalition members patterned their academic-community

partnership on the community-based participatory research

model. In this model the community is a full partner, sharing

all aspects of the research process with partners attending the

training and beginning to collect data.

Six junior-class members in the population-based care,

course researched the level of the community’s readiness to

address unintended teen pregnancies. Th ey interviewed 15

key community informants and presented their fi ndings to

community agencies.

One of those students, Malena Fitting, now a senior OHSU

nursing student in Ashland, found participatory research to

be empowering: “I discovered I have real skills connecting

with people and fi nding out what is going on in a commu-

nity” she says. “I’m learning about the importance of this

information in the process of change.”

Two more years of funding will allow the coalition to expand

and continue its research. Two high-school students and two

college students, selected from a pool of 29 applicants, joined

the coalition. Th ey will receive educational stipends and help

lead a photovoice project, using photographs as a research

tool to document strengths and weaknesses of the community.

Noone says it is challenging and exciting to be working with

a participatory project of this size, scope and mission. “It also

makes OHSU visible and demonstrates that we are interested

in helping the community,” she says.

Nursing students assist the local

Jackson County Latina Health

Coalition explore teen pregnancy

and Latina reproductive health

disparities in Jackson County.

From left : Colette Davis, Kati

Stanislawski, Jolene Williams,

Malena Fitting and Robert Rheault.


By Nancy Hackleman

Latina Reproductive HealthIn the fall of 2011, Joanne Noone, Ph.D., F.N.P., C.N.E., received the good news: the Northwest Health

Foundation awarded the Jackson County Latina Health Coalition a two-year, $100,000 grant to

address Latina reproductive health. Planned Parenthood of Southern Oregon is the lead community

partner for this OHSU-community action research partnership, and Noone is co-investigator and lead

academic representative. She is an associate professor and academic director for the OHSU School of

Nursing in Ashland.


Sarah Shannon, Ph.D., M.S.N, B.S.N., delivered the Betsy

LaSor Lecture on “Disparate Views on End-of-Life – From

Right to Die to Right to Live.” She said the disparity in

End-of-Life Choices

views about end-of-life care may ultimately be traced to a

health care system in which minorities, the poor and the

disenfranchised oft en do not receive quality care during the

course of their lives. She challenged nurses to work toward “a

culture of equality, not just because it’s the right thing to do,

but so that we can go to the families (of the dying) and say

‘trust us’ and they really can.”

Shannon is associate professor of biobehavioral nursing

and health systems in the School of Nursing, University

of Washington, and adjunct professor of bioethics and

humanities, School of Medicine. She has published numerous

papers and lectured across the nation on topics such as

communicating with dying patients and their families.

Th e LaSor Lecture honors the memory of Betsy LaSor, a

pioneering psychiatric nurse practitioner in Jackson County

who died from cancer in 1991. She wanted Southern Oregon

nurses and nursing students to meet a variety of prominent

nursing leaders, and her family endowed the lecture that

bears her name.

Shannon said care providers need to accept that there are

multiple defi nitions of “the good death” and diff ering views

of what is benefi cial treatment. While many Americans

defi ne a good death as one with minimal pain that occurs

outside a hospital, surrounded by loved ones, others expect

the end-of-life to include “the good fi ght,” in which no stone

was left unturned in pursuit of survival.

Shannon said the number of patients who seek aggressive

end-of-life care has doubled during her three decades in

nursing – to somewhere between 8 and 16 percent – and

today about 20 percent of Americans die in intensive care

units. She said medical providers need to improve their

communication skills to care for these patients and recognize

that it will take time for the nation to acquire the wisdom to

accept patients who seek a right to live, just as it took decades

for the medical community to acknowledge a right to die.

By Bill Kettler

Sarah Shannon, Ph.D., M.S.N, B.S.N.

Patients’ right to refuse end-of-life treatments gained acceptance in the medical community

over the past 40 years. But a nurse scientist who visited the School of Nursing in Ashland in March

2011 told students, faculty, alumni and community members that a growing number of dying

patients are actively seeking life-extending treatments.


Donna Shalala’s

Message to Nurses:

The Time is Now to

Infl uence Health

Care Reform

By Lee Lewis Husk

Shalala was the nursing school’s fi nal guest speaker in its

yearlong centennial lecture series. Th e plain spoken, 70-year-

old political scientist and nursing advocate who won the

Presidential Medal of Freedom in 2008 created a buzz

on campus as she met university offi cials, local reporters,

moderated a panel discussion and attended a private

reception hosted by the OHSU Foundation.

Her visit centered around the Institute of Medicine (IOM)

report, Th e Future of Nursing: Leading Change, Advancing

Health (www.iom.edu/Reports/2010/Th e-Future-of-Nursing-

Leading-Change-Advancing-Health), released October 2010.

She chaired the Institute of Medicine’s two-year eff ort to

create the report — a blue-print for nursing’s future. Former

Dean Michael Bleich was a member of the IOM committee

and hosted Shalala’s visit.

Several hundred people attended the panel discussion led

by Shalala at the OHSU Old Library Auditorium and many

more participated through a live video feed streamed around

the state. In his introduction, Bleich called Shalala, “One

of my heroes.” Th e audience gave her a standing ovation as

Bleich awarded her the School of Nursing’s Centennial Medal

of Honor for Distinguished Service to Nursing.

In her opening remarks, she praised Oregon’s overall

leadership in nursing, including its role in the creation of the

Oregon Consortium for Nursing Education. “Oregon has

never lost its pioneering spirit – the spirit of service and the

spirit of courage,” she said.

She and the 11-member panel of community leaders

discussed specifi c recommendations of the report. Several

themes recurred as panelists one-by-one discussed the

report, including the need to remove scope of practice

barriers and achieving partnership status with other

professionals during residency education.

An oft repeated comment was that nurses must be at the

table as health care reform unfolds and must play a greater

role in the nation’s future health care. Lani Doser, a panel

member and student in OHSU’s Doctor of Nursing Practice

program, said that “if we want to encourage leadership, there

needs to be one extra place at the table for students.”

Fellow panelist Christine Tanner, Ph.D., R.N., F.A.A.N., AB

Youmans Spaulding Distinguished Professor, said that “Dr.

Shalala reminded us of the very signifi cant role we as nurses

have in shaping health policy that is informed by the patient’s

experience; nurses hold the key to this understanding.”

Above: Donna Shalala, Ph.D.; president, University of Miami and

former secretary of Health and Human Services

The 21st Century is calling out to America’s 3 million nurses: Use your power and infl uence to

transform health care. And do it now while the country braces to serve 32 million Americans through

the Aff ordable Care Act. Donna Shalala, Ph.D., president of the University of Miami and the longest

serving secretary of Health and Human Services (1993 to 2001) in U.S. history, drove that message

home while visiting OHSU in March 2011.


LESSONS IN LEADING

OHSU Student Named to International Council of Nurses

By Lee Lewis Husk

Scanlon, R.N., works part time at

Portland’s Southwest Community

Health Center, a clinic for the

uninsured, and is a full-time

student in the School of Nursing’s

post-baccalaureate program leading

to a Doctor of Nursing Practice

(DNP) degree. Th e three-year

program will allow Scanlon to

become a family nurse practitioner

on her way to achieving a DNP degree.

One of her roles on the international steering committee has

been to pull together and edit stories for a newsletter, a role

she’s well prepared for. She earned a bachelor’s degree from

the Art Institute of Atlanta and worked for an ad agency

from 1995 to 2000. From 2010 to 2011, as a senior nursing

student, she served on the board of directors of the National

Student Nurses Association (NSNA) as student editor of its

magazine, Imprint.

Th is past year the ICN has sponsored key initiatives

important to nurses around the world, such as the Global

Health and Climate Summit and the Global Strategy for

Women’s and Children’s Health report. Although Scanlon

was not able to attend this year’s steering group meeting in

the Mediterranean island nation of Malta, she’s saving up

to attend the 2013 meeting in Australia which will focus on

issues of equity and access to health care. Th e use of email

and Skype helps keep her in touch with her fellow council

members, and she’s had the opportunity to talk with them

about the diff erences and similarities of nursing education

and advocacy in their diff erent countries.

If you would like more information about the International

Council of Nurses go to: www.icn.ch/ or connect with Kindra

Scanlon through OHSU by emailing [email protected].

“How do I stay not pregnant?” asked an indigenous

Mayan woman of Jennifer Buchanan, an American

student nurse working in a Guatemalan village with

the nonprofi t, Pueblo Partisans. Buchanan was there

for fi ve weeks in July 2011 to teach courses on female

health and leadership, nutrition and poultry husband-

ry. “Her question was pivotal in our interaction,” she

recalls. “I was given the opportunity to explain to her

what fertility, menstrual cycle and birth control were.”

Like many OHSU student nurses, Buchanan is de-

voted to giving disadvantaged people, whether in the

United States or abroad, the tools to promote health

through education. “Just a spark of education liber-

ates people, gives them worth and frees them from

being burdened with a lack of knowledge,” she says.

Buchanan, 24, a senior at OHSU in Ashland, heads

the local chapter of Nursing Students Without

Borders (NSWB). She says the group provides

volunteer services for local seasonal farmworkers,

Mexican migrants, college students at Southern

Oregon University and at community events. Th e

goal with NSWB is not to swoop in and deliver aid,

but to give disadvantaged people the tools to promote

their own health, she says.

Students interested in joining the NSWB group on

the Ashland campus or starting a similar group on

their campus can contact Jennifer Anderson, assistant

dean of Student Aff airs at [email protected] or

503 494-7725.

Kindra Scanlon’s passion for serving underserved populations in the United States and abroad

has been given a voice at the international level. She is one of just two North American student nurses

selected for the Student Core Steering Group of the International Council of Nurses (ICN). The seven-

member group includes student nurses from Egypt, Ghana, Denmark, the Philippines and Puerto Rico.

Its purpose is to represent nursing students worldwide and facilitate communication and enhance

cultural awareness among student nurses. She received notice of her two-year appointment in

February 2010 from ICN consultant and steering group liaison Jean Berry, headquartered in Geneva.

Nurses without Borders

Kindra Scanlon, R.N.



But it was her work at a forward-thinking assisted-living

center that cemented her decision to become a nurse. Th e

owners of Oatfi eld Estates in Milwaukie, Ore., hired Nicker-

son to help them design a community where people would

want to live when they’re older. She liked the philosophy and

place so well that she and her young son moved in and spent

fi ve years among the residents, many of whom suff ered from

dementia or feelings of isolation. “People in these settings

don’t need quiet, they need life!” she says.

Nickerson left the job in 2007 to enroll in nursing school.

Now, at 40, Nickerson has her bachelor’s degree from

OHSU’s School of Nursing.

“Some people weren’t quite getting the gist of what chronic

illness does to patients and how nurses can provide better

care,” she observed during coursework on chronic illness. So

she decided to bring people together through the power of

fi lm. She organized a Chronic Film Festival to give students a

realistic portrayal of living with a chronic illness and making

tough ethical decisions.

Th e festival occurred over three nights in the winter of

2010 at the OHSU student media center. Attendees saw a

fi lm and then heard outside experts discuss the fi lm and

subject matter. Th e fi rst evening was small and intimate,

with the next one bigger and the third night fi lling the house.

Nickerson says the next series of fi lms will occur in 2012 at

the McMenamins Kennedy School which has a large movie

theater, food and capacity to include community members.

She hopes the chronic fi lm festival idea can go nationally.

“It’s too powerful to stay in Oregon,” she says. “Everybody

needs to see it and touch it and be inspired in some form.”

For her creation of the fi lm festival and as a senior class

senator and activity coordinator for the Student Nurses

Association, Nickerson won the coveted OHSU Student 2010

Educator Award — an honor that goes to only one OHSU

student.

Like many great ideas, they oft en fade away when the creator

moves on. Nickerson wanted to share her event planning so

“other student nurses wouldn’t have to work as hard as I did.”

She created a web site with a template for creating events.

She says forms, invitations, letters and other items will be

available through the nursing school’s website.

As for Nickerson’s future, she found a love for mental health

and hopes to work in a hospital emergency department.

“Th e emergency department is a gateway to the community,

and even if for a just moment I am able to touch someone’s

life, that fulfi lls me.”

By Lee Lewis Husk

Student Nurse Uses Film to

Teach about Chronic Illness

Above: Kelly Nickerson, graduated with a B.S. in nursing in 2011.

Life’s experiences can profoundly aff ect our decisions. For Kelly Nickerson, it was the death of her

brother and the birth of her son. In both instances, nurses played pivotal roles. Her brother, who took

his own life, struggled for many years, in and out of psychiatric units, according to Nickerson.

“Nurses helped me through this diffi cult time and showed me how I could give back to my community.”

When her son was born with asthma, nurses taught her how to care for him.

LESSONS IN LEADING

Hosted by the World Aff airs Council of Oregon, the group

spent an aft ernoon with key leaders at the nursing school and

hospital. Former Dean Michael Bleich, Ph.D., R.N., F.A.A.N.,

welcomed the group of 15 Syrian nurses, their two translators

and Associate Dean Peggy Wros, Ph.D., R.N. Each of the

visitors was nominated as an emerging health care leader by

the U.S. Embassy in Syria to participate in the three-week,

cross-country International Visitor Leadership Program.

Th e goal of the International Visitor Leadership Program

(sponsored by the U.S. Department of State’s Bureau of

Educational and Cultural Aff airs) is to increase mutual

understanding between the people of the United States and

people of other countries through person-to-person contact,

according to Mariko Gilman, program offi cer at the World

Aff airs Council of Oregon. “Th is group of nurses from Syria

came to Oregon to explore the various roles that nurses play

in American society and learn more about the education and

training of nurses in Oregon.”

Members of both groups were curious about how the

practice of and educational preparations for nursing are laid

out in each country. For example, in Syria, nursing education

moved to the university setting only seven years ago. In

Oregon, where nurses have been part of a university for more

than 100 years, nurses are key players on interdisciplinary

teams. “OHSU is committed to fostering a collaborative and

interdisciplianry educational environment,” Bleich said.

Th ough two languages were spoken in the room that day,

as well as during the group tours of the OHSU Hospital’s

intensive care units, there was one collective recognition of

and respect for nursing as one of the world’s most signifi cant

and powerful professions.

As Deborah Eldredge, Ph.D., R.N. put it, “Th e visitors were

very engaged with staff on the tour of units.” Eldredge is

OHSU Hospital’s nurse director of research and quality

outcomes. “A post-operative heart patient returned to the

unit while we were there, and several nurses commented on

the well-coordinated handover from anesthesiology to the

inpatient team and collegial relationships with nurses and

physicians. Th e charge nurse ‘narrated’ the steps of admitting

this patient, and discussed physiology, technology, pharma-

cology–and the Syrian nurses were quite impressed. I felt

proud of our teamwork.”

By Sami Ewers

Above: Syrian health care professionals join OHSU School of Nursing faculty in conversations about the nursing profession.

Wednesday, July 27, 2011, was one of those warm, sunny summer days that Portlanders wait for all

year long. But the sense of warmth that fi lled the sixth fl oor conference room in the School of Nursing

that afternoon wasn’t a result of the season; it came from the common understandings and shared

experiences between a group of Syrian health care professionals and School of Nursing faculty as they

conversed about the universality of the nursing profession.


Universal Themes in Nursing

Situational Scenarios Improve Nursing Education—Case by Case

OHSU’s School of Nursing aims to help students meet these

challenges. Assistant Professor Mary Cato, M.S.N., R.N., is

among four simulation experts writing scenarios for ACES,

a collaboration of the National League for Nursing (NLN)

and the Community College of Philadelphia. “Th e NLN

identifi ed a need to prepare nurses to care for older adults in

a range of settings,” Cato explains.

ACES provides a framework for teaching about care of older

adults. It off ers faculty development and student learning

tools, including simulation cases and curriculum resources.

Initial funding came from the John A. Hartford Foundation,

Laerdal Medical Corporation and Th e Independence

Foundation.

Each ACES case includes fi rst-person patient monologues

and assessment tools. In a poignant twist, students describe

likely outcomes for each elder’s story. ACES materials are free

to all nursing faculty through the NLN faculty development

web site, www.nln.org/ACES.

Like real cases, the scenarios unfold unpredictably. Settings

range from a rehabilitation facility to a farmhouse and

dramatize elders’ responses to aging syndromes such as

functional decline and incontinence. “We introduce students

to the complexities they’ll face in practice,” Cato says.

Cato authored the case of Julia Morales and Lucy Grey,

partners coping with Julia’s lung cancer. “In some states, Lucy

An 80-year-old farmer with diabetes lives 20 miles from town. A 73-year-old woman struggles to

cope with her partner’s death. These scenarios are from the Advancing Care Excellence for Seniors

(ACES) program to improve geriatric nursing education. Education based on realistic situations helps

nursing students enter practice with the experience and fl exibility demanded by health care reform

and a burgeoning older population.


PROFILES IN PRAC TICE

cannot make legal decisions for Julia,” Cato says. Students

help the couple assess end-of-life options. When the grieving

Lucy visits the ER aft er her partner dies, Cato says, “Lucy is

more than just her blood pressure. ACES encourages looking

at the whole life picture.”

It’s no surprise that ACES chooses experts like Cato, an

OHSU faculty member, as part of the team. “Th e School

of Nursing has put time and energy into expanding its

simulation program,” Cato says. When she arrived in 2004,

simulation was used in only one course. Today every campus

has a simulation facility, and simulation is fully integrated in

the curriculum. Th e new Collaborative Life Science Building

on OHSU’s South Waterfront campus will include an

interprofessional simulation facility to be shared by several

Oregon universities.

ACES helps students develop sound clinical judgment,

critical for nurses playing broader roles under health care

reform. Th ey experience situations they might not otherwise

see until they practice. When 65-year-old Julia dies in

Cato’s scenario, they must assess, comfort and support Lucy.

“Students are rarely present at a death,” Cato says. “Th is

lets them see how they might react and manage their own

feelings.” ACES and other School of Nursing simulations help

students practice communicating with health care providers

they’ll meet in practice.

In July 2011, the Hearst Foundation awarded the NLN

$400,000. “Th e funds will facilitate ACES’s national

expansion,” Cato says. “We’re beginning to off er all-day

workshops, and this will help us off er them around the

United States.” In Oregon, the fi rst ACES workshop is

planned for spring 2012.

Th e scenarios help students understand their important

role in elder care. “With ACES, students get to be decision-

makers,” Cato says. “Th ey learn they have the power to make

things better for people.” It’s essential training for helping real

patients live out their stories.

By Genevieve Long



Leading Nurses in Elder Care

By Jim Newman

Factor in improved access to improved health care for longer

lives, and this becomes a question that demands a response:

Who will care for people as they age, become increasingly

frail, and experience chronic illness conditions?

Juliana Cartwright, Ph.D., R.N., associate professor, knows

that nurses are the answer to addressing this critical need.

Since 2005 she has written four grants that have been funded

to help establish and grow the Enriched Clinical Learning

Environments through Partnerships (ECLEPs) project. In

short, ECLEPs helps schools locate partner care agencies

throughout the state and provides educational and partner-

building activities for nurses on both the academic and

service sides. As a result, expert nurses in partner agencies

work with faculty and students to advance critical knowledge

for managing chronic care conditions.

ECLEPs also provides a way for nursing students to consider

an area of nursing that they may not have identifi ed other-

wise. Th e initial grant was funded by the Northwest Health

Foundation, and in 2009 the Health Resources and Services

Administration provided additional funds to expand the

project into rural Oregon schools. Th ese grants have been

instrumental in developing nurses with the expertise they

need to support older adult patients.

“Many students enter nursing school with plans to work in

a hospital, and traditionally, hospitals are the places where

students have most of their clinical training,” explains

Cartwright. “Our goal is to make sure students recognize

and appreciate the specialized needs and unique strengths of

older adults where they live. Gerontologic nursing practice is

a wide-open fi eld that will only grow in coming years.”

Specifi cally, nurses taking part in the program:

• Gain experience in caring for older adults with chronic illness.

• Gain an understanding of the stereotypes and

misconceptions that surround working with older adults.

• Develop a comprehensive understanding of how to support

independence and dignity for older people.

• Recognize the impact of discharge aft er hospitalization

to home or an alternative setting, and develop skills in

providing transitional care during this time.

• Improve their communication skills with older adults.

• Gain experience working with individuals who have

dementia and other disorders that impact communication.

Currently, the ECLEPs program has been integrated into the

curriculum for baccalaureate and associate-degree schools at

both OHSU and community colleges participating in the Ore-

gon Consortium for Nursing Education (OCNE). Th e following

communities are benefi tting from these unique partnerships:

Portland metropolitan area, Wilsonville, Coos Bay, Florence,

Ashland, Medford, Klamath Falls, Eugene and Roseburg.

With 19 long-term and community care agencies participating

throughout rural and urban communities in Oregon, 134

nursing students have had the opportunity to work with

older adults in non-hospital settings. “We are off ering experi-

ences that enrich what it means to be a nurse,” Cartwright

says. “We have discovered that students enjoy the chance to

bond with older adults while they learn to manage chronic

illnesses and frailty. We’ve learned they enjoy caring for older

adults and families over a longer period of time.”

For more information about ECLEPs, visit www.ecleps.org.

For more information about OCNE, visit www.ocne.org.

Who will care for the elderly? More than 10,000 people will turn 65 every day for the next 19 years.

The Oregon Offi ce of Economic Analysis predicts that by 2030, 25 percent of Oregonians will be 60 or

older, and the fastest growing segment of that population is 85 and above.

PROFILES IN PRAC TICE

Collaboration Yields Unique Health Care Clinic

By Susan Rich

Muriel Shaul, Ph.D., R.N., associate professor,

administrative director, EOU campus.

More than 20 years ago, the two institutions agreed to create

a School of Nursing program on the EOU campus, plus

provide students with a health care clinic.

“It’s a unique setup, the only one like it in the state,” says

Carrie Lane, M.S., F.M.T., R.N., family nurse practitioner and

clinic director. While every university off ers an on-campus

health clinic, the one at EOU is run by a staff of nurse

practitioners who are also faculty members.

“It’s a great partnership because it allows all EOU students

to receive quality health care at a reduced cost, and provides

the nurse practitioners with an outlet to both treat and teach

students,” Lane says. It also gives OHSU’s student nurses the

opportunity to perform supervised clinical rotations, plus

course-required health promotion projects that encourage

them to connect with the campus population.

Th e clinic is run by three nurse practitioners and faculty

members: Lane; Ginny Elder, F.N.P., M.N., R.N., assistant

professor; and Gary Laustsen, Ph.D, F.N.P., R.N., associate

professor.

For students carrying at least six credit hours, the cost of

the health care program is rolled into the fees they pay each

term. Aft er that, they have access to a wide range of services,

including wellness exams and episodic care.

Th e goal of the university clinic – as with every other – is

to create a healthy student population. “It means students

are more successful academically, and episodic illnesses are

treated without incurring additional expense,” says Muriel

Shaul, Ph.D., R.N., associate professor, administrative

director for the EOU campus.

Nursing in era of health care reform

One of the distinct diff erences between today’s student

nurses and those of 30 years ago is the way they are taught

to think, Shaul notes. While nurses of every generation have

always been committed to patient care and advocacy, today’s

curriculum encourages students to think in terms of preven-

tion and health promotion.

It’s a broader outlook than was ever conceived when Shaul –

or others of her generation – were in school.

“When I graduated, they were just beginning to talk about

health promotion,” Shaul recalls. “Now we teach students to

think critically, to analyze the situation, to look more closely

at alternatives.”

Th e result is a new wave of nurses who are going to help lead

the nation’s health care reform by advocating for the needs of

the individuals.

A commitment to student health – and the next generation of nurses – has created an enduring

partnership between Eastern Oregon University (EOU) and OHSU.



Joanne Noone, Ph.D., R.N., C.N.E., administrative director,

Ashland campus, brought the simulation to Oregon aft er

seeing it presented at a nursing conference. Developed by the

Missouri Association for Community Action, the experience

aims to educate and sensitize participants to the realities

of living with poverty. It also helps nurses understand how

poverty aff ects health.

Th e simulation is held in a large room, such as a gymnasium.

Th e center of the room represents neighborhoods. Around

the perimeter are 20 resources, such as schools, employers,

grocery stores, child care, pawn shops and social service

agencies, which are staff ed by volunteers. Th e organizers

randomly assign students to play a role within a lower

middle-class family. Th e task for students is to keep their

families housed and fed, and to maintain the highest

possible quality of life. Th e three-hour experience includes

orientation, simulation and debriefi ng.

Fourth-year nursing student Robin Sanders, a civil engineer

before entering nursing school, thought that if she got into a

diffi cult situation, such as poverty, she’d fi nd a way to get out

of it. Aft er an hour into the simulation in which she assumed

the identity of a 39-year-old single parent with two children and

a grandchild, she found that she couldn’t escape the system.

“No matter how hard I tried or the number of skills I applied,

I couldn’t get enough resources to feed my family,” she

recalls. “I resorted to things that were morally and ethically

wrong. I stole to get enough money, and I justifi ed that.” Th e

experience not only blew her away but “rattled me.” Part of

her junior-year population-based course, the simulation

taught her how diffi cult poverty can be.

“Our society has become somewhat desensitized to the

plight of our fellow human beings,” says Heather Voss,

M.S.N., R.N., assistant professor in Ashland and a simulation

facilitator. “Th e simulation aims to re-sensitize us to the

human condition of people living on the edge.” For example,

the experience may help nurses understand that when

patients miss an appointment or don’t take their meds, it may

be because they’re unable to fi nd transportation or don’t have

money for a co-pay, she says. “Instead of thinking they’re not

compliant, simulation helps nurses understand that there’s

more to the story.”

One cliché the simulation aims to dispel is that if people just

work hard, they can pull themselves up by the bootstraps.

Noone says that we oft en believe that our behavior makes

us poor or sick. “It’s not really individual behavior that is

linking poverty and health but structural things in society,”

Poverty Simulation Changes Attitudes“Blown away” is how participants describe their experience in the School of Nursing’s new poverty

simulation. With poverty levels reaching new peaks, the experience is timely and, according to those

who’ve completed it, packs a big wallop.

RESPLENDENCE IN TEACHING

La Clinica in Medford, which provides clinical

experience for about 30 OHSU nursing students a year,

closed for a day last year and sent 200 employees to the

poverty simulation. “Th e simulation transformed us,

even though we already have a high level of sensitivity

to low income and vulnerable people,” says Brenda

Johnson, M.B.A., La Clinica CEO and an OHSU School

of Nursing graduate.

“It reminded us of what our patients experience every

day and shift ed how we think about our patients.” As a

result, the clinic created a work group from physicians

to receptionists to determine ways to improve service

and enhance patient-centered care.

Th e nursing school will conduct simulations for medical

and physician-assistant students in March 2012, and

perhaps in the future for organizations such as CareOre-

gon, the state’s Medicaid managed care program.

“Our hunch is that the experience will be valuable for

bigger groups,” says Mathews of OHSU’s simulation

faculty. “My dream would be to get more community

groups involved in joining us in this experience as well

as students in other health-related professions.”

Says fourth-year student Sanders, “Th e simulation was

powerful not just for me but everyone around me. It left

us with empathy and for me, a desire to improve our

systems for patient-centered care and support.”

she says. Th e simulation highlights how quickly life events

or stressors, such as getting sick or not being able to pay the

bills, can lead to poverty.

Is it Worth the Eff ort? Research Study Found Out

Staging the simulation involves recruiting and training a

large number of volunteers and is a huge undertaking logisti-

cally. Noone and other faculty members conducted a survey

to learn whether the poverty simulation changed under-

graduate nursing students’ attitudes toward poverty and its

impact on health. Th e sample included a total of 178 nursing

students: 75 controls and 103 simulation participants.

Th e results showed that students who had poverty simulation

moved a lot in their understanding of the link between

poverty and health due to living conditions rather than

behavior. “Th ose who didn’t have simulation didn’t have that

movement,” Noone said. Other members of the research

team included Voss, Launa Rae Mathews, M.S., R.N.,

C.O.H.N.-S., Stephanie Sideras, Ph.D., R.N., and Paula

Gubrud-Howe, Ed.D., R.N.

“We found it is worth the eff ort,” sums up Mathews, who is a

simulation facilitator on the Portland campus. “It’s a way to

give all students the same kind of experience, similar to send-

ing them into the community.” Th e school held pilot simula-

tions in Ashland and Portland. Th is year the simulation is

required for all OHSU nursing juniors as part of a popula-

tions course and will be conducted on all fi ve campuses.

By Lee Lewis Husk


Simulation Spreading


Th e eff ort is sponsored by the American Nurses Association

(ANA).

One major focus of the ANA is to defi ne the standards of

nursing education, whether it’s for nurses who work in emer-

gency rooms, intensive care units, or focus on public health.

Th is complex process is accomplished by inviting select med-

ical professionals to serve on a committee that fi rst defi nes

these education standards, and second, “outlines the breadth

of how far nurses can practice, how creative they can be with

any one individual position,” Northrup-Snyder says. “We are

a group of people asking ourselves, ‘What do we believe are

the standards we should be educating students toward?’”

It’s a question that leads to plenty of discussion, because

public health nursing itself is a broad fi eld. “It encompasses

any nursing professional who works with a population or a

It’s one honor among many received for one

of OHSU’s respected faculty members. Last

March, Kathlynn Northrup-Snyder, Ph.D, C.N.S,

R.N., assistant professor in the RN to BS program

was invited to join a committee of nursing

professionals to help revise the document Public Health Nursing: Scope and Standards for Practice.

Health disparities, inequalities and inequities are

indicators of a community’s health and provide

critical information for decision making for

public health interventions. Gaps in health, aging,

chronic disease, inadequate and unhealthy housing,

environmental hazards and poverty are increasing

the demand for creative solutions to address these

issues. Public health professionals trained in these

areas are key to fulfi lling this demand. “Poor health

and social inequity are linked to economic disparity,

said program director Deborah Messecar, Ph.D.,

M.P.H., R.N. As a result, the most recent global

economic upheavals have been disproportionately felt

by the poor and the sick. Understanding how health

inequities impact our communities is critical for

setting our nation’s future health priorities.”

Th e Master of Public Health online track in Primary

Health Care & Health Disparities is a program

that prepares students to identify and address the

social determinants of health inequities. Students

are encouraged to identify and explore the social

determinants of health and to deploy and use several

tools and techniques to track progress in addressing

local health and socially desired outcomes. “Our

faculty is deeply committed to providing leadership

in this area” said Messecar.

Th e Master of Public Health is an online program

open for anyone with a bachelor’s degree from an

accredited U.S. institution in any fi eld and can be

completed in two years. A Graduate Certifi cate

in Public Health is also available for those with

a bachelor’s degree in another fi eld and can be

completed in four terms. Get more information

about our programs at www.ohsu.edu/son or contact

the Offi ce of Admissions at [email protected] or

503 494-7725.

OHSU Master of

Public Health Program

“We are very proud of Kathlynn’s

appointment to the ANA’s

Committee on Public Health.”

— Deborah Messecar,

Ph.D., M.P.H., R.N.


RESPLENDENCE IN TEACHING

Redefi ning

the Scope and

Practice of

Public Health NursingBy Susan Rich

community,” she says. “Th ere are some basic disagreements

as to what public health nursing means. It’s kind of the other

half of nursing. Th ere’s the acute care side, and then we have

community nursing. Primary care sits between the two. So it

depends on what the clinician is actually doing,” she adds.

As challenging as the committee work is, it’s an exciting

opportunity for Northrup-Snyder. She has more than 30 years

of experience as a public health nurse and has been educating

student nurses for the past 12 years on the subjects of health

promotion and behavioral theories. It’s a unique skill set and

one that adds to her credibility on this committee.

Her role with this committee is to engage in forward

thinking. “I want to try as much as possible to project the

issues and trends (that defi ne public health nursing) so that

the document does not become invalid three years down the

road,” she says.

Public Health Nursing and Health Care Reform

Even without this committee work, Northrup-Snyder is

focused on demonstrating the value of public health nursing

during this era of health care reform.

“Public health nursing has been my mantra for 30 years. I see

things from a community health perspective that few people get

when they work in the acute or primary care world,” she says.

What public health nursing addresses is peoples’ ability to

be well. If the goal is to control health care costs, hospital

visits, the expense of chronic disease, then an emphasis

must be given to managing individual health care before it

becomes a problem.

“Most people would agree that it’s about prevention,”

Northrup-Snyder says. “For me, the fl ip side is health

promotion.”

She is referring in part to education and behavior

modifi cation that helps people make informed choices that

improve their health in the long run.

Behavior is about making a series of choices that eventually

have a desired result, she says. For example, behavior is not

the goal to lose weight, behavior is the accumulation of steps

taken to make it happen.

Raise that simple idea to the global level and you have a need

for change in the way health care is perceived. It’s less about

management and more about prevention. And that can be

linked back to the work being done by the ANA committee.

Th e decision to rewrite the scope and standards for public

health nursing is the fi rst step among many to make sure

today’s public health nurses are in-line to manage tomorrow’s

emerging health care needs.

The Promise of One Award

Above: Christine McDonald, chief executive offi cer of the

Susan G. Komen Foundation, presents the Promise of One

Award to Ann Reiner, R.N.

Th e Promise of One award specifi cally thanks Reiner for

her extraordinary eff orts that make a signifi cant impact

on the Komen promise: To save lives and end breast

cancer forever by empowering people, ensuring quality

care for all and energizing science to fi nd the cures.

Commitment, Conviction

“Why do I keep showing up? I’m not a runner, but I

wanted to be involved with Race for the Cure. It’s a really

exciting event, there are thousands of people walking

in the same direction for the same purpose,” Reiner

says. “What I love about Komen is their focus across the

disease. How they’re looking at risk reduction eff orts, how

they teach you to be your own advocate,” Reiner says.

Reiner is not the only one from OHSU who volunteers

her time outside of race day. Lillian Nail, Ph.D, R.N.,

F.A.A.N., Rawlinson professor, senior scientist, and Gail

Houck, Ph.D., P.M.H.N.P., R.N., director, Doctor of

Nursing Practice program, both serve on the board of

directors of the Oregon/Southwest Washington affi liate.

Nail co-chairs the Medical Advisory Committee.

Reiner, M.N., R.N., O.C.N., instructor, undergraduate

programs, became a Race for the Cure volunteer quite

by accident. Years ago she answered a random telephone

call from an event organizer who asked, “Can you off er

medical support?”

“I said yes,” Reiner recalls, without giving it a second

thought. To this day, Reiner, along with a changing

group of OHSU faculty and staff members, have helped

out at every Portland race.

Following that fi rst event, she was hooked, and the

Susan G. Komen Foundation became her top volunteer

priority. Aft er countless planning meetings, summits

and race days, she has seen it all – and cherished every

minute of it. Now, she jokes, her biggest conundrum

is “estimating the Band-Aid supply. We need more on

sunnier days than we do on cool and cloudy ones.”

Th e Promise of One award recognizes Reiner in part for

her volunteer time and committee work for the Oregon

and SW Washington affi liate. She plays an ongoing role

in the public education eff ort, and since 2007 has served

as co-chair for the Breast Cancer Issues Conference, now

in its 13th year. She helped plan and launch a primary

care practitioner education event last year, and serves on

the Medical Advisory Board (no other Komen affi liate

has such an entity).

By Susan Rich

Ann Reiner is honored by the local affi liate of the Susan G. Komen Foundation for her 15 years

of commitment to helping fi ght breast cancer.


SHARING AND CARING

By Sami Ewers

Nursing Students in the Community

counseling, eye and hearing exams, foot exams and

diabetes education. Belford adds that the week is “extremely

interdisciplinary.” Students in all schools—medical, dental,

pharmacy, etc.—participate in it. Th e interdisciplinary

approach, says Belford, refl ects the importance of a whole

health care model. “We all give a diff erent perspective on

how we care for people and we all have diff erent training, so

by making Cover Th e Uninsured Week interdisciplinary, we

really make it more holistic,” Belford says.

Nursing students serve their community in other ways

too. Student Melissa Ozmore spent several months caring

for individuals with chronic mental health illnesses at the

residential treatment facility Alberta Plaza in northeast

Portland. Ozmore remembers the residents thanking her and

her classmate for simple acts like taking them to the doctor

or having conversations with them. “I feel like we made them

feel like they were somebody. Th e things we were doing

seemed so little—but to them it was huge,” Ozmore says.

Left : An OHSU medical student

performs an eye-screen as part of

Cover the Uninsured Week activities.

“We all give a diff erent perspective

… so by making Cover Th e

Uninsured Week interdisciplinary,

we really make it more holistic.”

– Kristin Belford, vice president,

OHSU Student Council

Th e weeklong aff air aims to raise awareness about the

uninsured and underinsured community nationwide. It

includes daily speakers who tackle topics surrounding

insurance coverage and health care reform. In addition to

presentations and policy debates, Cover the Uninsured Week

always off ers a free Health Screening Fair for uninsured

Portlanders, during which nursing students off er basic health

care needs such as blood pressure screenings, medication

As a nursing student, there are ample opportunities in which one can serve the community,

whether through classes or volunteer events. One of the most prominent opportunities for students

to practice nursing care in the community is through OHSU’s schoolwide Cover The Uninsured Week.

School of Medicine students started the annual event fi ve years ago, but over the past two years, all of

the school’s disciplines have become involved in it, says vice president of the OHSU Student Council,

Kristin Belford, who helped plan last year’s event.


SHARING AND CARING

M. Patricia Redlin Huff man, BS, ’60, and Ann Mautz Uphoff ,

BS ’60, recall the fi rst time they encountered the photos,

yearbooks, uniforms and so much else that was scattered

throughout various locations in the School of Nursing.

Elaine (Garner) Mahoney BS, ‘61, formed an archive

committee around the time of the 75th anniversary of the

school to organize and catalog the many items that Carol

(Pearson) Storer, BS ‘49, Barbara Gaines, Martha Watson

and others had assembled over the years. “Th ere were

commencement and convocation programs, photos, books,

scrapbooks, hospital registers, clothing, pins and a great

deal of what Barbara Gaines later memorably christened

‘ephemera.’”

Huff man and Uphoff —friends for more than 55 years—start-

ed to whittle away at what was to turn into an organizational

task spanning two decades.

“Th e loose photos were a big headache,” said Uphoff . “Noth-

ing was labeled, so we had to do a lot of detective work to

sort them roughly by decade based on hairstyles, uniforms

and other clues.” Th is work was made easier by the careful

work of Mahoney, who had cataloged and dated the uniform

collection. “At least we had that to go on when we were sort-

ing the photos,” said Huff man.

Th ey received help in their quest from colleagues and

classmates, and quickly found that displaying some of the

collection at annual reunions yielded valuable information.

“Sometimes we had as many as eight tables set up in the

main lobby,” said Uphoff . “People’s reactions were extraor-

dinary – you could see the memories coming back as they

handled the glass syringes and enamel bedpans that they

had worked with in the County Hospital and other places

so many years ago. We were able to capture some of their

responses and memories in journals that we provided.”

Seeing the display and hearing about the work encouraged

many alumni to expand the archive through the donation of

additional pieces. Some items, however, remain tantalizingly

out of reach. “We are still looking for yearbooks from World

War II,” said Huff man. “We don’t know for sure that they

were published, but if there are any out there we would love

to fi ll that gap.”

Although the archive now houses a very comprehensive

uniform collection, Huff man and Uphoff are also hoping

to fi nd a hat to complete a summer-weight cadet uniform

that was previously donated. “We’d love to know if there is

a winter-weight uniform somewhere out there as well,” said

Huff man.

Now, aft er close to 25 years and the countless volunteer hours

that Huff man and Uphoff have devoted to the project, the

cataloging and organization is complete. “We’d love to think

that the details of the collection could be made available

online, for historical and research interest,” said Huff man.

“We also need to be looking to the future,” said Uphoff . “We

hope current students and recent alumni will want to start to

contribute to the archives now.”Opposite page: (left to right): M. Patricia Redlin Huff man,

BS ’60, and Ann Mautz Uphoff , BS ’60.

“Basically we were collecting and sorting through old boxes in storage rooms, dusty cupboards,

wherever we discovered them.”

Books, Boxes and Bedpans: Alumni Volunteers Build Archive

By Mark Kemball, director, OHSU Alumni Relations


Alumni Reminders

Stay in Touch

Share your news electronically. Class notes are now on

the Web. Let us know what’s been going on in your life.

www.ohsu.edu/son/classnotes

Giving

Gift s of any size help the OHSU School of Nursing

advance the cause of nursing education. Together we can

continue the tradition of academic excellence and innova-

tion that make us all proud to be part of this great place.

Please consider making your annual gift of support today.

www.ohsu.edu/son/giving

Learn More

We’re on Facebook. Visit us to connect to events, news

updates and all things OHSU School of Nursing.

www.facebook.com/ohsuson1

Upcoming Events

As we go to press events are being planned in Portland

in February and June, in Monmouth in February and

in Bend in May. Contact us at 503 552-0745 or at

[email protected] to learn more.

It’s time to rebuild an offi cial alumni presence

to support the School of Nursing, and the new

Alumni Relations program team would love

to hear from you. Do you have suggestions or

ideas? Are you interested in joining our advisory

network? Itching to plan that class reunion?

Let us know your thoughts and get involved

by contacting us at 503 552-0745 or at

[email protected].

Mark Kemball, director, has worked at OHSU since 1991,

serving in a variety of positions involving outreach to

student and faculty groups as well as OHSU neighborhood

and regional communities. He holds a masters degree from

Cambridge University and an MBA from Portland State

University, and was proud to recently see a letter to his

maternal grandmother from a grateful patient she had cared

for as a theater nurse during World War I.

Lauren Shatz, assistant director, came to the OHSU

Foundation from YWCA Clark County where she worked

as the events and development specialist. Lauren received

her master’s degree in public administration with a focus on

nonprofi t management from the University of Washington

Evans School and upon graduation relocated to Portland. She

has been fortunate enough to work with two of the largest

charity wine auctions in Washington and Oregon.

Aimee Bloom, administrative assistant, is a recent graduate

from Oregon State University, receiving her bachelor’s in

human development and family sciences with a double

option in human services and family consumer science.

In her previous employment, Aimee worked as a social

service assistant for Community Outreach, Inc., providing

emergency and transition housing services to those in need.

Alumni Relations staff (pictured from left ):

Lauren Shatz, Mark Kemball, Aimee Bloom.

SHARING AND CARING

First-Year Refl ections

Practice I learned how to draw up and administer

intramuscular injections. Th e more comfortable I get with

this, the less intimidating it will be when it comes time for

action. I like how we practiced it every day in class before

giving fl u shots to the elementary school students.

When I come home from class, fi nish my reading, go over

the modules, I start to have those “nursing-thoughts” linger

in my mind. I feel that transition of beginning to “think like a

nurse,” and it’s only the second week of class.

New Role People notice when you wear scrubs and an

OHSU nametag. When folks see us, they oft en share their

enthusiasm and appreciation for nurses in general.

Going into the elementary school gave me a glimpse of my

responsibility to off er reassurance and guidance. I am used to

running the show in my own home, with my three children.

But I am not used to being that solid, confi dent person that

the rest of the community relies on. It is both fl attering and

frightening. Trust the process; that’s my mantra.

My goals are to fi nd my footing in this new role as a nurse

and to become a secure, competent professional that

elementary school children can rely on.

I Can Do This At the elementary school, I immunized real

people! I can do this. It not only validated my abilities,

but gave me confi dence and an unexpected, new-found

eagerness to “take nursing action.”

My biggest challenge was quieting my nerves, but once I

realized the students saw me as some sort of professional…

well, the idea rubbed off .

Confrontation Th is week I found a medical error at the

retirement village. I confronted the charge nurse about it, but

felt frustrated that I was more concerned with how the staff

viewed me (nosey, inexperienced and naive), than for the

welfare of the patient.

By Amber Hilgert, junior OHSU-SON, Monmouth

Edited by Catherine Rutledge-Gorman, M.Div., B.S.N., R.N.

As part of our fi rst year of nursing coursework, we were asked to refl ect on what we learned about

ourselves and the material that we covered each week. Looking back, I see how much I have grown as

a person, a student and most especially a nurse.

Self-Care My goals are to “knock it out of the park” with my

health promotion project and my own exercise goals. I need

to remember that the time it takes to exercise returns two-

fold with improved concentration and productivity.

Summer Break When I refl ect on my fi rst year of nursing

school, the most important thing I learned was to maintain

balance. Th is consists of rising early to run with my sister,

making time in the evenings to make a healthy meal for

my family, taking the kids bike riding, visiting the library,

enjoying an occasional date with my husband AND still

completing homework and reading assignments. It seemed

overwhelming at times, but I am living proof it is possible. I

even trained for and completed a marathon while learning

the complexities of pharmacology. Moments of doubt? Sure.

Times of extreme stress? Yes. A few extra pounds? Certainly.

Is it all worth it? Absolutely. I am going to be a nurse!

How’s the new graduate RN job treating you?

I didn’t realize that when you graduate you are just the BETA version of a nurse.

I can perform basic nursing functions but need ongoing updates, additional

upgrades to add new features…I am essentially a PC right out of the box…

Not great…

So if you freeze up does your boss get a new version?



Centennial CelebrationWith lectures, presentations and performances, the School of Nursing community came together

to celebrate the school’s 100th anniversary in 2011. The yearlong series of events culminated in a two

day celebration in April. Thanks to all who came to share these special centennial events with us.


PL ATINUM SPONSORS

GOLD SPONSOR SILVER SPONSOR

BRONZE SPONSORS

CENTENNIAL SUPPORTERS

ANONYMOUS • KATHERINE BRADLEY • JEAN CALDWELL • LINDA DENSMORE • BONNIE DRIGGERS

GAUMARD SCIENTIFIC • VIVIAN GEDALY-DUFF • AMY GOLTZ • TERESA GOODELL • DENA HASSOUNEH

CAROL HOWE • JAMES HUNTZICKER • KIM JONES • RUSS LEVIN • KRISTIN LUTZ • ANN NIELSEN

JOANNE NOONE • TANYA OSTROGORSKY • ANNE ROSENFELD • TERRY ROSS

STEPHANIE SIDERAS • CHRIS TANNER • PEGGY WROS

A HEARTFELT THANKS TO THE CENTENNIAL SPONSORS

2011 culminated 100 years of nursing education at OHSU. Th anks to many sponsors, we were able to engage the

entire region in our yearlong centennial celebration. Activities included nationally known guest speakers, musical performances

by students and renowned artists, tours of the school, off -campus events around Portland and a gala dinner.

We deeply appreciate the generosity of the individuals and organizations that made it all possible.

PORTLAND VA MEDICAL CENTER

MICHAEL BLEICH

MARK AND ELLEN RICHARDSON

Recognition, Awards

and Honors

Faculty Honors

and Promotions

Those promoted from lecturer to instructor:

Karen Bean, M.S.

Jesika Gavilanes, M.A.

Roseann Kendall, M.A.T., B.S.N., R.N.

Jacque Mutch, R.N.

Catherine Rutledge-Gorman, M. Div. B.S.N.

Teresa Stenlund, F.N.P., M.S.N., R.N.

Wendy Zolczynski, E.D., M.S.N.

Those promoted from instructor

to assistant professor:

Linda Brown, M.S., R.N.

Linda Callahan, Ph.D., P.M.H.N.P.

Mary Cato, M.S.N., R.N.

Mary Anna Gordon, D.N.P., R.N.

Abby Laughlin, M.S., R.N.

Bret Lyman, Ph.D., R.N., C.N.E.

Launa Rae Mathews, M.S., R.N.

Cynthia McDaniel, M.S.N., R.N.

Claire McKinley, M.S., C.N.E., R.N.

Ann Nielsen, M.N., R.N.

Carla Pentecost, M.S., R.N.

Ruth Tadesse, M.S., R.N.

Heather Voss, M.S.N., R.N.

Those promoted from assistant professor

to associate professor:

Frances Lee-Lin, Ph.D., R.N.

Joanne Noone, Ph.D., R.N., C.N.E.

Emeritus Faculty

New Emeritus Faculty Member:

Sheila Kodadek, Ph.D., R.N.


Centennial Award Recipients

Th ese citizen trailblazers supported and advanced nursing

for our school, the state and nation.

Th omas Aschenbrener president of the Northwest Health

Foundation for his exceptional advocacy in nursing, nursing

education and public health

David Gilbert president of Eastern Oregon University, for

championing the nursing Ph.D. program

John and Betty Gray philanthropists for supporting

construction of the Portland campus School of Nursing

building, funding nursing scholarships and professorships

and advancing Oregon rural health care

Mark Hatfi eld governor and U.S. senator, for advancing the

health sciences, including nursing

Gretchen Kafoury a political leader for her fi erce champion-

ship of nurse practitioners’ prescriptive authority in Oregon

John Kitzhaber governor for his advocacy of nursing and

work in the Archimedes movement

Jeff Merkley senator for initiating the nursing caucus in the

U.S. Senate and advocacy of nursing and nursing education

Susan Pasarow community activist and benefactor for

advancing scholarship in nursing education

George Passadore banking executive and OHSU foundation

board member for contributing to and inspiring others to

envision the Portland campus School of Nursing building

Donna Shalala secretary of Health and Human Services and

president of the University of Miami for leading the Institute

of Medicine report Th e Future of Nursing: Leading Change,

Advancing Health and supporting the American Academy of

Nursing’s Edge Runner campaign

Continued on page 34

Recognition, Awards and Honors

Dena H. Hassouneh, Ph.D., A.N.P., has been named a Macy

Faculty Scholar, a prestigious award that comes with annual

salary support over two years. Th e award from the Josiah

Macy Jr. Foundation will give Hassouneh protected time

to conduct research exploring new methods for increasing

diversity in the health care workforce. Hassouneh was

chosen on the strength of her proposed new research, career

accomplishments, and past work examining inequalities in

nursing education and disparities in delivering mental health

care to women with physical disabilities.

New fellows inducted into the prestigious the American

Academy of Nursing are faculty members Carol Howe,

D.N.Sc., C.N.M., F.A.C.N.M., Dena Hassouneh, Ph.D.,

A.N.P., and Helen Turner, D.N.P., R.N., P.C.N.S. Others

inducted by the AAN include Karen Greco, who earned

her M.N. and Ph.D. degrees at OHSU; Susan King, who

completed both her B.S.N. and M.N. degrees at OHSU and

currently works as executive director of the Oregon Nurses

Association.

Lorretta Krautscheid, M.S., R.N., received the Novice

Faculty Excellence in Didactic Teaching Award from the

American Association of Colleges of Nursing for 2011.

Th e award honors excellence and innovation in teaching

by novice faculty. Krautscheid earned a M.S. degree in

innovative leadership and management in nursing from

OHSU in 2003 and has taught undergraduate and graduate

courses at the University of Portland since 2010.

John Mallos, M.S., R.N., has been promoted to the rank of

commander in the U.S. Public Health Service Commissioned

Corps, a part of the Health Resources and Services

Administration in the U.S. Department of Health & Human

Services. He is stationed in Rockville, Md., and earned his

B.S. degree from OHSU in 1998.

Kathlynn Northrup-Snyder, Ph.D., R.N., has been

appointed to an American Nurses Association task force that

is revising the document, “Public Health Nursing: Scope and

Standards for Practice.” She was nominated by the leadership

of the Public Health Nursing Section of the American Public

Health Association.

Connie Kim Yen Nguyen-Truong, Ph.D., R.N., P.C.C.N.,

received the Carol A. Lindeman Award for a New Researcher

from the Western Institute of Nursing. She presented her

work on the psychometrics of Pap smear testing in Vietnam-

ese women at the institute’s 44th Annual Communicating

Nursing Research Conference. Nguyen-Truong completed

her Ph.D. in 2011 and is currently a post-doctoral fellow

with a focus in research for Individual and Family Symptom

Management.

Abby Laughlin, M.S., R.N., and Vivian Gedaly-Duff ,

D.N.Sc., R.N., received Red Rose Awards in February 2011.

Th e ROSE (Recognizing Outstanding Service Excellence)

award is given by the university to honor employees for

outstanding service. Laughlin is an assistant professor and

Gedaly-Duff an associate professor in the nursing school.

Th e Oregon Center for Nursing has given $1,000 to each of

the following recipients to produce educational modules that

address cultural competence and diversity: Joanne Noone,

Ph.D., R.N., C.N.E., “Caring for the People of Oregon:

Developing Cultural Diff erences;” Jesika Gavilanes, M.A.,

and Glenise McKenzie, Ph.D., M.N., R.N., “Integration of

Cultural Competence into Simulation/Developing Cultural

Learning Activities within an Undergraduate Nursing

Curriculum;” and Isabelle Soule, Ph.D., R.N., “Cultural

Competence Training for Nursing Faculty.”

Special Recognition

Continued from page 33


Active Publications and Grants 2011

Baggs, Judith

Baggs J.G. (2011). Safe patients, smart hospitals: how

one doctor’s checklist can help us change health care from

the inside out. (book review) Journal of Interprofessional

Care, 25, 457-458.

Baggs J.G. (2011). Th e dissertation manuscript option,

internet posting, and publication. (editorial) Research in

Nursing & Health, 34, 89-90.

Principal Investigator: End-of-life decision making

in ICUs: roles and relationships of key players; National

Institute of Nursing Research R15-AREA; March 25, 2010-

Feb. 28, 2013.

Bennett, Jill

Winters-Stone K.M., Dobek, J., Bennett J.A., Leo M.,

Nail L., Schwartz A. (in press). Th e eff ect of resistance

training on muscle strength and physical function in older,

postmenopausal breast cancer survivors: a randomized

controlled trial. Journal of Cancer Survivorship.

Winters-Stone K.M., Dobek J, Nail L., Bennett J.A., Leo

M.C., Naik A., Schwartz A. (2011). Strength training stops

bone loss and builds muscle in postmenopausal breast cancer

survivors: a randomized, controlled trial, Breast Cancer

Research and Treatment, 127(2), 447-456. DOI 10.1007/

s10549-011-1444. (published erratum 127(2), p 1. DOI

10.1007/s10549-011-1507).

Bennett J.A., Winters-Stone K. (2011). Motivating older

adults to exercise: What Works? (Invited editorial) Age and

Ageing, 40(2),148-149.

Bennett, Robert

Spaeth M., Bennett R.M., Benson B., Wang Y.G., Lai C.,

and Choy E. (in press). Sodium oxybate therapy provides

multidimensional improvement: results from an internation-

al Phase 3 trial. Annals of the Rheummatic Diseases.

Jones K.D., Sherman C., Mist S., Carson J., Bennett

R.M., Fuzhong L. A. (in press). Randomized controlled

trial of 8-form Tai Chi improves symptoms and functional

mobility in fi bromyalgia patients. Clinical Rheumatology.

Bennett R.M., Russell I.J., Choy E., Spaeth M., Mease

Daniel Kajdasz, Walker D., Wang F., Chappell A. R.M. (in

press). Evaluation of Patient-rated stiff ness associated with

On August 3, 2011, Deanne

Rowley McAdams, graduate

of the Master of Public

Health program and former

employee of the School of

Nursing passed away at the

age of 37. A dedicated and

engaging colleague, Deanne

joined the OHSU School

of Nursing in September

of 2006 and supported

the Nurse Anesthesia, Psychiatric Mental Health and

Midwifery programs. Her colleagues knew Deanne to

be hardworking, good spirited and fun to be around.

She entered the MPH program in 2009 and was a stellar

student who graduated with honors in June of 2011.

Long-time friends and colleagues will miss her deeply.

She will not be forgotten and will live on in the memories

of all who knew her. Deanne leaves behind her husband

Jim McAdams and son Lennon McAdams.

In Remembrance

Ann Reiner, M.N., R.N., O.C.N., received the “Promise

of One” award from the national Susan G. Komen

Foundation for her extraordinary eff orts as a volunteer.

Since 1996, she’s organized fi rst aid teams for the Race for

the Cure and has served on many committees, task forces

and public education eff orts with the local affi liate.

Edited By Lee Lewis Husk

Deanne Rowley McAdams


Edited by Christi Richardson


fi bromyalgia: a pooled analysis from 4 randomized clinical

trials of duloxetine. Clinical Th erapeutics.

Bennett R.M. (2011). Fibromyalgia, chronic fatigue

syndrome and myofascial pain. In Goldman and Ausiello

(Eds.), Cecil Textbook of Medicine, 24th Edition, Chapter 282

pp 1743-1747. W. B. Saunders Co.,Philadelphia, Penn.

Bennett R.M. (2011). Scleroderma, Infl ammatory

myopathies and overlap syndromes. In Gary S. Firestein,

Ralph Budd, Iain McIness, Shaun Ruddy, John S. Sergent

(Eds), Textbook of Rheumatology, 9th Edition. W. B. Saunders

Co., Philadelphia, Penn.

Friend R. and Bennett R.M. (2011). Distinguishing

fi bromyalgia from rheumatoid arthritis and systemic

lupus in clinical questionnaires: an analysis of the revised

Fibromyalgia Impact Questionnaire (FIQR) and its variant,

the Symptom Impact Questionnaire (SIQR), along with pain

locations. Arthritis Research & Th erapy, 13:R58.

Bennett R.M. and Goldenberg D.L.(2011). Fibromyalgia,

myofascial pain, tender points and trigger points: splitting or

lumping? Arthritis Research & Th erapy, 13,117.

Jones K.D., Bennett R.M., Ward R.L., Deodhar A.A.

(2011). Description of a half-day interprofessional fi bromyal-

gia clinic, with an evaluation of patient satisfaction. Ameri-

can Journal Physical Medicine & Rehabilitation, 10, 825-33.

Kindler L.L., Bennett R.M., Jones K.D.(2011). Central

sensitivity syndromes: mounting pathophysiologic evidence

to link fi bromyalgia with other common chronic pain

disorders. Pain Management Nursing Mar;12(1):15-24.

Jones K.D., King L.A., Mist S.D., Bennett R.M., Horak F.B.

(2011). Postural control defi cits in people with fi bromyalgia:

a pilot study. Arthritis Research & Th erapy, Aug 2;13(4):R127.

Mease P.J., Clauw D.J., Christensen R., Croff ord L.J.,

Gendreau R.M., Bennett R.M.(2011). Toward development

of a fi bromyalgia responder index and disease activity

score: OMERACT module update. Journal of Rheumatology,

38(7):1487-95.

Crawford B.K., Piault E.C., Lai C., Bennett R.M. (2011).

Assessing fi bromyalgia-related fatigue: content validity and

psychometric performance of the Fatigue Visual Analog

Scale in adult patients with fi bromyalgia. Clinical Experience

Rheumatology. (Epub ahead of print).

Principal investigator: A feasibility study to compare the

nociceptive fexion refl ex (NFR) in a cohort of fi bromyalgia

patients and matched healthy controls; Forest Laboratories,

Inc.; Aug. 19, 2010-Dec. 31, 2012.

Principal investigator: A 14-week, randomized, double-

blind, placebo-controlled, multicenter study of (S,S)-Rebox-

etine (PNU-165442G) administered once daily in patients

with fi bromyalgia; Pfi zer, Inc.; Sept. 4, 2008-Sept. 30, 2011.

Principal investigator: Multicenter, long-term, open-

label extension study of [S,S]-Reboxetine (PU-165442G)

administered once daily in patients with fi bromyalgia; Pfi zer,

Inc.; Oct. 3, 2008-Oct. 31, 2011.

Bleich, Michael

Bleich M., Orsolini-Hain L., Gonzalez-Guarda R. (2011).

Th e leadership fusion factor: academic/service partnerships

in action. Nurse Leader, pg. 3-7.

Bleich M. (2011). Institute of Medicine Report, Th e fu-

ture of nursing: leading change, advancing health: milestones

and challenges in expanding nursing science. (guest edito-

rial). Research in Nursing & Health, 34(3), 169-170.

Bleich M. (2011). Th e Institute of Medicine

Report,Education’s role in serving the public’s interest. (guest

editorial). Journal of Nursing Education, 50(6), 303-304.

Bleich M. (2011). Providing nursing care in a complex

health environment. In Davidson A., Ray,M., Turkel M.

(Eds.), Nursing, Caring, and Complexity Science: For Human-

Environment Well-Being, 253-266. New York:Springer Publishing.

Bleich M. (2011). Measuring the value of projects within

organizations. In Harris J., Roussel L., Walters S., Dearman

C. (Eds.), Project Planning and Management: A Guide for

CNLs, DNPs, and Nurse Executives, 147-160. Sudbury, MA:

Jones & Barlett Learning.

Bleich M. (2011). Leading, managing and following. In

P. Yoder-Wise (Ed.), Leading and managing in nursing, 5th

Edition, 3-24. St. Louis: Mosby Inc., an affi liate of Elsevier Inc.

Cartwright, Juliana

Cartwright J., Hickman S., Nelson C., Knafl K.,

Bankowski S. (2011). Ethical concerns in end-of-life research:

perspectives and experiences of researchers. Western Institute

of Nursing: Communicating Nursing Research Conference

Proceedings, 44(5): 211.

White D., Cartwright J., & Lottes J. (2011). Long-term

care nurse role models in clinical nursing education: the

ECLEPs experience. Journal of Gerontological Nursing, 37(9).

Principal investigator: Rural replication of an academic

clinical partnership to enrich nursing student learning in

long-term care settings; DHHS, HRSA, Comprehensive

Geriatric Education Program; July 1, 2009-June 30, 2012.

Principal investigator: RNBS ECLEPS Expansion-15580;

Northwest Health Foundation; Nov. 1, 2010-March 3, 2012.

Cook, Kathy

Principal investigator: Nurse Anesthetist Traineeship

Program; HRSA, Bureau of Health Professions; July 1, 2011-

June 30, 2012.

Daniels, Richard

Daniels R., Nicoll L. (2012). Contemporary Medical-Sur-

gical Nursing, 2nd ed. New York: Cengage Delmar Learning.

Docherty, Angie

Docherty A., Bugge C., Watterson A. (2011).

Engagement: an indicator of diff erence in the perceptions

of antenatal care for pregnant women from diverse

socioeconomic backgrounds. Health Expectations. doi:

10.1111/j.1369-7625.2011.00684.x.

Eckstrom, Elizabeth

Principal investigator: Oregon Geriatric Education Cen-

ter; HRSA, Bureau of Health Professions – Div. of Diversity

& Interdisciplinary Education; July 1, 2010-June 30, 2015.

Eldredge, Deborah

Principal investigator: Productive Ward – Staff

Champions; CareOregon; July 1, 2010-Dec. 31, 2011.

Emeis, Cathy

Emeis C. (2011). Current resources for evidence-based

practice. Journal of Obstetric, Gynecologic & Neonatal

Nursing, 40(6), 765-772.


practice. Journal of Midwifery & Women’s Health, 56(6), 639-

645.



Nursing, 40(5), 595-600.



511.



Nursing, 40(4), 464-467.



403.

Donabel M., Emeis C., Fu R., Guise J., & Schelonka

R.(2011). Fetal and neonatal morbidity and mortality

following delivery aft er previous cesarean. Clinics in

Perinatology, 38 (2) 311-319.

Emeis, C. (2011). Current resources for evidence-

based practice. Journal of Obstetric, Gynecologic & Neonatal

Nursing, 40(3), 329-334.

Emeis, C. (2011). Current resources for evidence-based

practice. Journal of Midwifery & Women’s Health, 56 (3),

308-312.

Principal investigator: Breastfeeding outcomes of

women with a history of prior cesarean delivery; OHSU,

School of Nursing; Aug. 9, 2010-June 30, 2011.

Ewing, Danita

Ewing D. (2011). Information technology and pharma-

cology. In Wynne A., and Woo T. (Eds.) Pharmacotheraputics

for Nurse Practitioner Prescribers (3rd ed.). FA Davis:

Philadelphia.

Felver, Linda

Felver L. (in press). Acid-base balance. In Giddens

J.(Ed.), Concept-Based Nursing. Philadelphia: Mosby Elsevier.

Felver L. (in press). Fluid and electrolyte balance. In

Giddens J. (Ed.), Concept-Based Nursing. Philadelphia:

Mosby Elsevier.

Felver L. (in press). Fluid, electrolyte, and acid-base

balance. In Potter P, & Perry A. (Eds.), Fundamentals of

Nursing (8th Ed.). Philadelphia: Mosby Elsevier.

Felver L. (in press). Online art galleries and clinical

stories. In Faculty Colloquium on Excellence in Teaching

(Eds.), Quick hits: teaching with technology. Indianapolis:

Indiana University Press.

Findholt, Nancy

Findholt N., Michael Y., Jerofk e L., Brogoitti V. (2011).

Environmental infl uences on children’s physical activity and

eating habits in a rural Oregon county. American Journal of

Health Promotion, 26(2), e74-e84.

Findholt N., Michael Y., Davis M. (2011). Photovoice

engages rural youth in childhood obesity prevention. Public

Health Nursing, 28 (2), 186-192.

Principal investigator: Strengthening community

capacity for childhood obesity prevention in Union County,

Oregon; Northwest Health Foundation; Aug. 1, 2009-April

30, 2012.

Gavilanes, Jesika

Principal investigator: Cultural Competence Network–

Curriculum Creation; Oregon Center for Nursing’s

Nurturing Cultural Competence in Nursing Program; Nov. 7,

2011-Nov. 31, 2013.

Gedaly-Duff , Vivian

Principal investigator: Chemotherapy, pain, sleep,

fatigue in children and parents; National Institute of Nursing

Research R01; July 22, 2005-May 31, 2011.

Gerlt, Teral

Gerlt T. (2011). Contraception. In Woo T.M. and Wayne

A.L. (Eds.), Pharmacotherapeutics for Nurse Practitioner

Prescribers (3rd Ed), 891-904. Philadelphia: F.A. Davis.

Goodell, Teresa

Denfeld Q. E., Goodell T. T., Staff ord K. N., Kazmierczak

S. (in press). Precision and accuracy: comparison of point-of

care and laboratory glucose concentrations in cardiothoracic

surgery patients. Journal of Cardiovascular Nursing.

Principal investigator: Skin oxygenation and perfusion

in critically ill elders; John A. Hartford Fund; Sept. 1, 2010-

Aug. 31, 2012.

Principal investigator: Sacral skin oxygenation during

turning in critically ill elders: potential for pressure ulcer

prediction, Collins Medical Trust, Nov. 1, 2009-Aug. 1, 2011.



Gubrud-Howe, Paula

Principal investigator: CCWD support of sustained

OCNE administration and enhanced statewide faculty, and

curriculum development; community colleges and workforce

development; Oct. 1, 201-June 30, 2012.

Principal investigator: OCNE enhanced faculty and

curriculum development; community colleges and workforce

development; April 22, 2010-June 30, 2011.

Hansen, Lissi

Hansen L., Mularski R., Leo M. (2011). Nursing’s specifi c

contributions to quality palliative care within the context

of interdisciplinary intensive care practice. Robert Wood

Johnson, Interdisciplinary Nursing Quality Research Initiative

(INQRI) Annual Meeting, Princeton, NJ.

Hansen L. (2011). Palliative care: thinking beyond

the advance directive. 28th Annual Oregon Rural Health

Conference, Bend, Ore.

Hanse L. (2011). Living with hepatocellular carcinoma:

the patient and family perspective. 5th Annual Kathleen

M. Foley Palliative Care Retreat and Research Symposium.

Quebec, Canada.

Grover V, Mularsk R. A., Leo M., Hansen L. (2011).

Shared decision making in the intensive care unit. Adult

Critical Care – End-of-Life Care at the American College of

Chest Physicians (ACCP-CHEST) meetings in Hawaii.

Benzar E., Hansen L., Kneitel A., Fromme E. (2011).

Discharge planning for palliative care patients: a qualitative

analysis. Journal of Palliative Medicine, 14(1), 65-69.

Principal investigator: symptoms and quality of life

in patients with advanced liver cancer; American Cancer

Society; July 1, 2010-June 30, 2012.

Principal investigator: Measuring nursing’s contributions

to quality palliative care in intensive care units; Robert Wood

Johnson Foundation; Sept. 1, 2009-Aug. 31, 2011.

Harvath, Th eresa

Smith K.A., Goy E., Harvath T.A. & Ganzini L. (2011).

Quality of death and dying in patients who request physician

assisted death. Journal of Palliative Medicine, 14(4), 445-450.

Principal investigator: Northwest Health Foundation

Scholar at Hartford Center for Geriatric Nursing Excellence;

Northwest Health Foundation; Oct. 1, 2010-Sept. 30, 2012.

Principal investigator: Hartford Center for Geriatric

Nursing Excellence; John A. Hartford Foundation; Jan. 1,

2011-Dec. 31, 2012.

Hassouneh, Dena

Principal investigator: Promoting adoption and

implementation of the healing pathways program to reduce

depressive symptoms in WPD; Oct. 1, 2011-Sept. 30, 2014.

Principal investigator: Josiah Macy Foundation Faculty

Scholar Program; Josiah Macy Jr. Foundation; Sept. 1, 2011-

Aug. 31, 2013.

Principal investigator: INSIGHT-WPD: Development

of a cognitive behavioral therapy intervention for women

with physical activity limitations who experience depression;

National Institute on Disability and Rehabilitation Research

– DOE; Oct. 1, 2007-Sept. 30, 2012.

Principal investigator: Women, physical disability,

and depression: Communities Responding Now!; National

Institutes of Mental Health R01; May 1, 2008-Jan. 31, 2012.

Hickman, Susan

End-of-life research ethics: concerns, approaches, and

impact; National Institutes of Health; Sept. 26, 2008-July 31,

2011.

Houck, Gail

Banta-Wright S., Shelto K.C., Lowe N.D., Knafl K.A., &

Houck G.M. (in press). Breastfeeding success among infants

with phenylketonuria. Journal of Pediatric Nursing.

Larsson L., Butterfi eld P.G., Hill W.G., Houck G.,

Messecar D.C., & Cudney S. (in press). Radon testing for

low-income Montana families. American Association of

Radon Scientists and Technologists International Radon

Symposium Proceedings.

Houck G.M., Kendall J., Miller A., Morrell P., Wiebe

G. (2011). Self-concept in children and adolescents with

ADHD. Journal of Pediatric Nursing, 26, 239-247.

Principal investigator: Nurse Faculty Loan Program;

HRSA, Bureau of Health Professions-Division of Nursing;

July 1, 2011-June 30, 2012.

Principal investigator: GAANN Fellowship Program

for Doctoral Students in Nursing; Department of Education;

Aug. 15, 2007-Aug. 14, 2012.

Howe, Carol

Principal investigator: Midwifery: effi cacy/data/dispar-

ity/education/expansion; HRSA, Bureau of Health Profes-

sions Division of Nursing; July 1, 2008-July 30, 2012.

Jones, Kim

Firestone K.A., Holton K.F., Mist S.D., Wright

C.S.Jones KD (in press, invited). Optimizing fi bromyalgia

management. Th e Nurse Practitioner.

Jones K.D., Kindler L.L., Lipton G. (in press, invited).

Self-management strategies in fi bromyalgia. Journal of

Clinical Rheumatology & Musculoskeletal Medicine.

Jones K.D., Sherman C.A., Mist S.D., Carson J.W.,

Bennett R.M., Li F (in press). A Randomized controlled trial

of 8-form Tai Chi in fi bromyalgia. Clinical Rheumatology.

Carson J.W., Carson K.M., Jones K.D., Bennett R.M.,

Wright C.L., Mist S.M. (in press). Th ree-month follow-up of

Yoga of awareness for fi bromyalgia. Clinical Journal of Pain.

Jones K.D. & Aultz M. (in press, invited, book chapter).

Fibromyalgia. In J Rippe, (Ed.), Encyclopedia of Lifestyle

Medicine and Health. SAGE Publications.

Mist S.M., Wright C.L., Carson J.W., Jones K.D.(2011).

Traditional Chinese medicine diagnoses in a population of

women with fi bromyalgia. Acupuncture in Medicine, Oct 25,

doi:10.1136/acupmed-2011-010052.

Jones K.D., King L., Mist S.D., Bennett R.M. Horak F

(2011). Postural control defi cits in people with fi bromyalgia.

Arthritis Research & Th erapy. 2;13(4):R127. PMID: 21810264.

Shillam C.R., Jones K.D., Miller L. (2011). Fibromyalgia

symptoms, physical function and comorbidity in middle

aged and older adults. Nursing Research, 60(5):309-17.

PMID:21873914.

Kindler L.L., Bennett R.M., Jones K.D. (2011).

Central sensitivity syndromes: mounting pathophysiologic

evidence to link fi bromyalgia with other common chronic

pain disorders. Pain Management Nursing, 12(1):15-24.

PMID:21349445.

Jones K.D., Bennett R.M., Ward R., Deodhar

A.A.,(2011). Description of a half-day interprofessional

fi bromyalgia clinic with an evaluation of patient satisfaction.

American Journal of Rehabilitative Medicine, 90(10):825-33.

PMID:21681062.

Jones K.D. (2011). Nordic walking in fi bromyalgia: a

means of promoting fi tness that is easy for busy clinicians

to recommend. Arthritis Research & Th erapy, 13:N. Invited

editorial. PMID: 21345243.

Principal investigator: peripheral blood genomic

biomakers for fi bromyalgia; HRSA R-21; July 5, 2011-June

30, 2013.

Lasater, Kathie

Adamson K. A., Gubrud-Howe P., Sideras S., Lasater K.

(in press). Assessing the inter-rater reliability of the Lasater

Clinical Judgment Rubric: three strategies. Journal of Nursing

Education.

Lasater K., Upval M., Nielsen A., Prak M., Ptachcinski

R. (in press). Global partnerships for professional

development:A Cambodian exemplar. Journal of Professional

Nursing.

Lasater K., Johnson E., Hodson Carlton K., Siktberg

L., Sideras S. (in press). A digital toolkit to implement and

manage a multisite study. Journal of Nursing Education.

Nielsen A., Lasater K. (in press). Clinical judgment

(concept 26). In Giddens J. (Ed.) Concept-based nursing. New

York: Elsevier.

Lasater K. (2011). Clinical judgment: Th e last frontier

for evaluation. Nurse Education in Practice, 11(2), 86-92.

doi:10.1016/j.nepr.2010.11.013.

Laustsen, Gary

Principal investigator: Rural health track for DNPs:

meeting the health needs of Oregonians; HRSA, Bureau of

Health Professions – Division of Nursing; July 1, 2009-June

30, 2012.

Principal investigator: Survey of Oregon nurse

practitioner clinical skills and procedures; School of Nursing

– Betty Gray Fund; April 1, 2010-March 31, 2011.

Lee, Christopher

Buck H.G., Lee C.S., Moser D.K., Albert N., Lennie

T., Bentley B., Worrall-Carter L., Riegel B. (in press). Th e

relationship between self-care and health related quality of

life in older adults with moderate to advanced heart failure.

Journal of Cardiovascular Nursing. PMID: 21558868.

Dickson V.V., Lee C.S., Riegel B. (in press). How do

cognition and knowledge aff ect heart failure self- care?

Journal of Mixed Methods Research, 5(2), 167-189.

Abraham I., MacDonald K., Hermans C., Aert, A., Lee

C.S., Brie H., Vancayzeele S. (2011). Real-world eff ectiveness

of valsartan on hypertension and total cardiovascular

risk: Review and implications for blood pressure and

cardiovascular risk management of a translational research

program. Vascular Health and Risk Management, 7: 209-235.

PMCID: PMC3072745.

Abraham I., Macdonald K., Song M., Ciesielski

G.,Pacheco C., Lee C.S., et al. (2011). Patient- and physician

level determinants of blood pressure response to treatment

in normal weight and overweight patients (the PREVIEW

study). Nutrition, Metabolism, and Cardiovascular Disease.

(Epub ahead of print) PMID: 21930367.

Gascon P., Aapro,M., Ludwig H., Rosencher N.,Turner

M., Song M., MacDonald K., Lee C.S., et al. (2011).

Background and methodology of MONITOR-GCSF,

a pharmaco-epidemiological study of the multi-level

determinants, predictors, and clinical outcomes of febrile

neutropenia prophylaxis with biosimilar granulocyte-colony

stimulating factor fi lgrastim. Critical Reviews in Oncology

and Hematology, 77(3); 184-197. PMID: 20189821.

Gesualdo L., London G., Turner M., Lee,C.S., MacDon-

ald K., Goldsmith D., et al. (2011). Pharmacoepidemiological

study of the multi-level determinants, predictors, and clinical

outcomes of biosimilar epoetin alfa for renal anaemia in

haemodialysis patients: background and methodology of the

MONITOR-CKD5 study. Intern Emerg Med. (Epub ahead of

print). PMID: 21590439.

Lee C.S., Moser D.K., Lennie T. A., Riegel, B. (2011).

Event-free survival in adults with heart failure who engage in

self-care management. Heart & Lung, 40(1), 12-20. PMCID:

PMC2943989.

Lee C.S., Moser D. K., Lennie T. A., Tkacs N. C.,

Margulies K. B., Riegel, B. (2011). Biomarkers of myocardial

stress and systemic infl ammation in patients who engage in

heart failure self-care management. Journal of Cardiovascular

Nursing. (PMC Journal – in progress] doi: 10.1097/

jcn.0b013e31820344be.



Lins R., Brie H., Hermans C., MacDonald K., Shen Y.,

Lee C.S., et al. (2011). Eff ectiveness of amlodipinevalsartan

single-pill combinations: hierarchical modeling of blood

pressure and total cardiovascular risk outcomes (the

EXCELLENT Study). Annals of Pharmacotherapy, 45(6); 727-

739. PMID: 21666094.

Lins R., Brie H., Coen N., MacDonald K., Hermans

C.,Shen Y., Lee C.S., et al. (2011). Modeling of blood pres-

sure and total cardiovascular risk outcomes aft er second-line

valsartan therapy: the BSCORE study. Archives of Cardiovas-

cular Diseases, 104(8-9): 428-434. PMID: 21944144.

Rathman L., Lee C.S., Sarkar S., Small R.S. (2011).Th e

critical link between heart failure self-care and intra-thoracic

impedance. Journal of Cardiovascular Nursing, 26(4); E20-26.

PMID: 21076309.

Riegel B., Lee C.S., Chung M., Albert N., Lennie

T.A.,Song E.K., Bentley B., Worral-Carter L., Heo S., Moser

D.K. (2011). From novice to expert: confi dence and activity

status determine heart failure self-care performance. Nursing

Research, 60(2): 132-8. PMID: 21317825.

Riegel, B., Lee C.S., Dickson V.V. (2011). Self-care in

patients with chronic heart failure: predictors, outcomes

public-health and policy implications (Invited Review).

Nature Reviews Cardiology. (Epub ahead of print) PMID:

21769111.

Verpooten G.A., Aerts A., Coen N., Vancayzeele S.,

Hermans C., Bowles J., MacDonald K., Abraham I., Lee

C.S. (2011). Antihypertensive eff ectiveness of aliskiren for

the “real-world” management of hypertension: multilevel

modeling of 180-day blood pressure outcomes (the Belgian

DRIVER Study). International Journal of Clinical Practice,

65(1), 54-63. PMID: 21155943.

Principal investigator: gender diff erences in multidimen-

sional symptoms experienced by adults with heart failure;

OHSU Center for Women’s Health K-12; July 1, 2010-June

30, 2012.

Lee-Lin, Frances

Lee-Lin F., Menon U., Nail L., Lutz K. (in press). What

do Chinese American immigrant women think about breast

cancer and breast cancer screening? Findings from focus

groups.

Principal investigator: Targeted Breast Health Educa-

tional Program for Chinese Americans; American Cancer

Society; Jan. 1, 2009-Dec. 31, 2013.

Lutz, Kristin

Lee-Lin F., Menon U., Nail L., Lutz K.F. (in press).

What do Chinese American immigrant women think about

breast cancer and breast cancer screening? Findings from

focus groups. JOGNN: Journal of Obstetric, Gynecologic, and

Neonatal Nursing.

Lutz K.F., Burnson C., Hane A., Samuelson A.,

Poehlmann J. (in press). Parenting stress, social support,

and mother-child interactions in families of multiple and

singleton toddlers born preterm. Family Relations.

Peace J., Valdez R.S., Lutz K.F. (in press). Data-based

considerations for electronic health history applications.

CIN: Computers, Informatics, Nursing.

Lyons, Karen

Winters-Stone, K.M., Lyons, K.S., Nail, L.M., & Beer,

T.M. (in press). Th e Exercising Together Project: design and

recruitment for a randomized, controlled trial to determine

the benefi ts of partnered strength training for couples coping

with prostate cancer. Contemporary Clinical Trials.

Carter J.H., Lyons K.S., Lindauer A., Malcom J. (in

review). Th e experience of pre-death grief in Parkinson’s

caregivers: a pilot study. Parkinson’s Disease and Related

Disorders: Supplement in Palliative Care.

Winters-Stone K.M., Lyons K.S., Nail L.M., Beer T.

(2011). Th e Exercising Together Project: design and baseline

data from a randomized, controlled trial to determine

the benefi ts of partnered strength training for couples

coping with prostate cancer. Contemporary Clinical Trials.

DOI:10.1016/j.cct.2011.10.015. NIHMSID # 337743.

McCarthy M.J., Powers L.E., Lyons K.S. (2011).

Poststroke depression: social workers’ role in addressing an

under-recognized psychological problem for couples who

have experienced stroke. Health & Social Work, 36, 139-148.

Principal investigator: Th e family living with lung

cancer: perceptions and Outcomes; American Cancer

Society; July 1, 2007-June 30, 2012.

Principal investigator: Couple perceptions of fi bromyal-

gia symptoms; National Institute of Arthritis and Musculo-

skeletal and Skin Disease R21; July, 2008-June 30, 2011.

McKenzie, Glenise

Harvath T.A. & McKenzie G. (in press). Depression

in older adults. In Mezey M.D., Fulmer T., Abraham I. and

Zwicker D. (Eds.) Evidence-Based Geriatric Nursing Protocols

(4th ed.).

Noone J., Bromley T., McKenzie G., Naumes S., Sideras

S., Voss H. (in press). Implementing cultural learning

activities through community and academic partnerships.

Nursing Education Perspectives.

Sideras S., McKenzie G., Noone. J., Markle D., Frazier

M., Sullivan M. (in press). Making simulation come alive:

standardized patient in undergraduate education. Nursing

Education Perspectives.

Teri L., McKenzie G., Logsdon R., McCurry S.,

Bollin S., Mead J., Menne H. (in press). Translation of two

evidence-based programs for improving care of persons with

dementia. Th e Gerontologist.

McKenzie G., Teri L., Salazar M.K., Farran C.J., Beck C.,

Paun O. (2011). Relationship between system-level charac-

teristics of assisted-living facilities and the health and safety

of unlicensed staff . American Association of Occupational

Health Nurses Journal. 59 (4), 173-180.

McKenzie G., Teri L. (2011). Psychosocial therapies

with older adults. In Coff ey C.E. and Cummings J.L. (Eds.),

Textbook of Geriatric Neuropsychiatry (3rd ed.). Arlington,

VA: Th e American Psychiatric Publishing.

McKenzie G., Teri L., Salazar M.K., Farran C.J., Beck C.,

Paun O. (2011). Relationship between system-level charac-

teristics of assisted-living facilities and the health and safety

of unlicensed staff , American Association of Occupational

Health Nurses Journal, 59(4), 173-180.

McKenzie G., Teri L. (2011). Psychosocial therapies

with older adults. In Coff ey C. E and Cummings J. L. (Eds.),

Textbook of Geriatric Neuropsychiatry (3rd ed.). Arlington,

VA: Th e American Psychiatric Publishing.

Principal investigator: Translating dementia interven-

tions in assisted living: a qualitative study of readiness; John

Hartford Fund; July 1, 2009-June 30, 2012.

McNeil, Paula

Principal investigator: NEXus – Th e Nursing Education

Xchange: Collaborative eff orts to resolve the nursing faculty

shortage; HRSA, Bureau of Health Professions – Division of

Nursing; July 1, 2008-June 30, 2012.

Messecar, Deborah

Messecar D. C. Family caregiver interventions. In Kluger

M. (in press). Geriatric Nursing Protocols for Best Practice, 4th

Edition. New York: Springer.

Messecar D.C., and Tanner, C.A. Evidence-based

practice (in press). In: Joel L.A. Advanced Practice Nursing:

Essentials for Role Development (3rd ed.). Philadelphia:

F.A.Davis.

Messecar D.C., (2011). New communication technolo-

gies: capacities and advantages for providing useful home

modifi cation information for caregivers. 2011 National As-

sociation of Clinical Nurse Specialists National Conference

Abstracts, Baltimore, Md., March 10 to 12.Clinical Nurse

Specialist: Th e Journal for Advanced Nursing Practice, 2011

Mar-Apr; 25 (2): 89-90 (journal article – abstract, research).

Messecar D. C. (2011). Finding their way back in: family

reintegration following guard deployment. Communicating

Nursing Research, 2011 Spring; 44: 551.

Messecar D. C., Parker-Walsch C., Lindauer A. (2011).

Family caregiving. In Hirth V. Geriatrics: a case-based

approach. Burr Ridge, IL: McGraw-Hill.

Mist, Scott

Carson J.W., Carson K.M., Jones K.D., Mist S.D.,

Bennett R.M. (in press). Follow-up of Yoga of Awareness for

fi bromyalgia: results at three months and replication in the

wait-list group. Clinical Journal of Pain.

Firestone K., Wright C., Mist S.D., Holton K., Jones K.D.

(in press, invited) Optimizing fi bromyalgia management. Th e

Nurse Practitioner.

Yohalem-Ilsley B., Mist S., Aickin M. (2011) Random-

ized controlled trials of acupuncture, 1997-2007: an assess-

ment of reporting quality with a CONSORT and STRICTA

based instrument.,” Evidence Based Complementary Alterna-

tive Medicine. pii:183910. Epub 2010 Oct 3.

Mist S.D., Aickin M., Kalnins P., Cleaver J., Batchelor

R., Th orne T., Chamberlin S., Tippens K., Colbert A.P.

(2011). Reliability of AcuGraph system for measuring skin

conductance at acupoints. Acupuncture in Medicine, doi:

10.1136/aim.2010.003012.

Jones K.D, King L.A., Mist S.D., Bennett R.M.,

Horak F.B. (2011). Postural control defi cits in people

with fi bromyalgia: a pilot study. Arthritis Research &

Th erapy,13:R127 doi:10.1186/ar3432.

Mist S.D., Wright C, Jones K.D, Carson J.W., (2011).

Traditional Chinese Medicine diagnoses in a sample of

women with fi bromyalgia. Acupuncture in Medicine. Dec;

29(4):266-9. Epub 2011 Oct 25.

Principal investigator: Traditional Chinese Medicine

for fi bromyalgia: a whole system trial; National Center for

Complementary & Alternative Medicine, NIH K23; April 1,

2011-March 31, 2016

Nagel, Corey

Nagel C. L., Michael Y. L. (in press). Environmental

determinants of physical activity. In. Avecedo E. O. (Ed.), Th e

Oxford handbook of exercise psychology. New York: Oxford

University Press.

Nail, Lillian

Winters-Stone K.M., Lyons K.S., Nail L.M., Beer T,M.

(in press). Th e Exercising Together Project: design and




Winters-Stone K.M., Dobek J., Nail L., Bennett J.A., Leo

M.C., Nail A., Schwartz A. (2011). Strength training stops


survivors: a randomized, controlled trial. Breast Cancer

Research and Treatment, 27(2); 447, (published erratum

127(2); 457).

Principal investigator: Research training in individual

and family active symptom management; National Institute

of Nursing T32; July 1, 2007-June 30, 2012.



Nielsen, Ann

Lasater K., Upvall M., Nielsen A., Prak M., Ptachcinski

R. (in press). Global partnerships for professional develop-

ment: A Cambodian exemplar. Journal of Professional Nursing.

Nielsen A., Lasater K. (in press). Concept 26: Clinical

judgment. In Giddens, J. (Ed.) Concept-based nursing. New

York: Elsevier.

Noone, Joanne

Noone J., Bromley T., McKenzie G., Naumes S., Sideras

S., Voss H. (in press). Implementing cultural learning

activities through community and academic partnerships.

Nursing Education Perspectives.





Principal investigator: Th e Jackson County Latina

Health Coalition: a community-academic partnership to

promote improved Latina reproductive health; Planned

Parenthood of Southern Oregon; Sept. 1, 2011-June 30, 2013.

Principal investigator: Cultural Competence Network –

Curriculum Creation; Oregon Center for Nursing’s Nurturing

Cultural Competence in Nursing Program; Nov. 7, 2011-Feb.

28, 2013.

Principal investigator: Use of interactive theater to

improve rural maternal communication on pregnancy

prevention: a feasibility study; School of Nursing – Betty

Gray Fund; Aug. 1, 2010-Oct. 31, 2011.

Northrup-Snyder, Kathlynn

Northrup-Snyder K., VanSon C., McDaniel C. (2011).

Th inking “beyond the wheelchair to the car”: RN to BS

student understanding of community/public health nursing

role. Journal of Nursing Education, 50, 226-229.

Press, Nancy

Principal investigator: Center for Genomics and Health

Care Equality; National Human Genome Research P50; May

14, 2010-March 31, 2015.

Principal investigator: Interdisciplinary Center on

Epigenetics, Science & Society; National Human Genome

Research Institute P20; May 11, 2010-April 30, 2013.

Principal investigator: Is primary care ready to utilize

the promise of genetics? A vignette study; National Human

Genome Research Institute R01; Aug. 1, 2006-July 31, 2011.

Rosenfeld, Anne

Rosenfeld A.G., Christensen V., Daya M. (in press).

Long enough to act? Symptom and behavior patterns

prior to out of hospital sudden cardiac death. Journal of

Cardiovascular Nursing.

Lee C.S., Kim A.Y., Green J., Rosenfeld A. G. (2011).

Symptom profi les in advanced heart failure with marked

diff erences in health related quality-of-life. 15th Annual

Scientifi c Meeting of the Heart Failure Society of America,

September, 2011, Boston, MA. Journal of Cardiac Failure,

17(8), S76.

Principal investigator: Project ACCESS: Accelerating

Competent Care Education through Stipend Support; HRSA,

Bureau of Health Professions – Division of Nursing; Sept. 30,

2010-September 29, 2015.

Principal investigator: Th e infl uence of gender on

symptom characteristics during acute coronary syndrome;

University of California, Davis R01; Sept. 28, 2010-June 30,

2014.

Ross, Amy

Ross D.A., Yang L., Sagher O., Ross A.M. (2011). Radical

resection of adult low grade oligodendroglioma without

adjuvant therapy: Results of a prospective treatment. Protocol

Journal of Cancer Th erapy, 2;77-84.

Salveson, Catherine

Pfi ster-Minogue K.A., Salveson C. (2010). Training and

experience of public health nurses in using behavior change

counseling. Public Health Nursing, 27(6). 544-551.

Principal investigator: ECLEPS Expansion – 15579;

Northwest Health Foundation; Nov. 1, 2010-Oct. 31, 2012.

Sideras, Stephanie





Tanner, Christine

Munkvold J., Tanner C., Herinch H. (in press). Factors

aff ecting academic progression of students in the Oregon

Consortium for Nursing Education. Journal of Nursing

Education.

Herinchx H., Munkvold J., Tanner C., Winter E. (in

press) Th e development and use of the OCNE Classroom

Pedagogy Fidelity Scale.

Tanner C.A. (2011). Th e critical state of measurement in

nursing education (editorial). Journal of Nursing Education

50(9): 491-492.

Tanner C.A., Weinman J. (2011). It’s all about leadership

(editorial). Journal of Nursing Education. 50(5):239-41.

Tanner C.A., Bellack J. (2011) Th en and now (editorial).

Journal of Nursing Education, 50(1) 3-4.

Principal investigator: Evaluating the outcomes of

the Oregon Consortium for Nursing Education’s model

to address the nursing shortage in Oregon; Robert Wood

Johnson Foundation; May 15, 2008-Dec. 14, 2011.

Principal investigator: clinical education redesign

statewide evaluation; Department of Education; Oct. 1, 2008-

Sept. 30, 2012.

Weymann, Kris

Principal investigator: Characterization of post-stroke

fatigue; John A. Hartford Foundation; July 1, 2009-Dec. 31,

2011.

Winters-Stone, Kerri

Campbell K.M., Neil S., Winters-Stone K.M. (in press).

Review of exercise studies in breast cancer survivors: at-

tention to principals of training. British Journal of Sports

Medicine. (Epub ahead of print).

Loprinzi P.D., Cardinal B.J., Smit E., Winters-Stone K.M.

(in press). Physical activity and breast cancer risk: A review

of literature. Journal of Exercise Science and Fitness.

Loprinzi P., Cardinal B., Winters-Stone K.M., Smit E.

(in press). Physical activity and the risk of breast cancer

recurrence: A review of literature. Oncology Nursing Forum.

Loprinzi P.D., Cardinal B.J., Winters-Stone K.M. (in

press). Self-effi cacy mediates the relationship between

behavioral processes of change and physical activity in older

breast cancer survivors. Breast Cancer.

Winters-Stone K., Witzke,K. (2011). Osteoporosis and

bone health. In Bushman B. (Ed.), ACSM’s Guide to Fitness

(2nd ed.) (chapter 19). Indianapolis, IN: Human Kinetics.

Winters-Stone K.M., Dobek J., Nail L., Bennett J.A., Leo

M.C., Nail A., Schwartz A. (2011). Strength training stops


survivors: a randomized, controlled trial. Breast Cancer

Research and Treatment, 27(2); 447, (published erratum

127(2); 457).

Winters-Stone K., Torgrimson B., Horak F., Eisner A.,

Leo M., Nail L., et al. (2011). Identifying risk factors for

falls in postmenopausal breast cancer survivors: a multi-

disciplinary approach. Archives of Physical Medicine and

Rehabilitation, 92(4):646-52.

Winters-Stone K.M., Lyons K.S., Nail L., Beer T,M.

(in press). Th e Exercising Together Project: design and




Winters-Stone K.M., Schwartz A., Hayes S.C., Fabian

C.J., Campbell K.L. (in press). A prospective model of care

for breast cancer rehabilitation: bone health and arthralgia.

Cancer.

Bennett J.A., Winters-Stone K. Motivating older adults

to exercise: what works? (invited editorial). Age and Ageing,

40(2), 148-149.

Principal investigator: Cancer Development Research

Award; OHSU Knight Cancer Institute – DRA; Cancer

Institute – DRA; Sept. 1, 2011-June 30, 2012.

Principal investigator: Comparison of Aerobic &

Resistance Exercise in Older Breast Cancer Survivors R01;

July 1, 2007-June 30, 2012.

Principal investigator: Exercising Together: An

intervention for prostate cancer survivors and spouses;

National Cancer Institute R21; Aug. 1, 2009-July 31, 2011.

Wood, Lisa

Farley S., Wood L.J., Lordanov M. (2011). An

epidermotypic model of interface dermatitis reveals

individual functions of fasligand and gamma interferon

in hypergranulosis, cytoid body formation, and gene

expression. Am. J Dermatopathol. (Epub ahead of print).

Sauter A.D., Wood L.J., Won, J., Lordanov M., Magun

B.E. (2011). Doxorubicin and daunorubicin induce

processing and release of interleukin-1β through activation

of the NLRP3 infl ammasome. Cancer Biology & Th erapy,

11(12). (Epub ahead of print).

Principal investigator: Mechanisms of cancer treatment

related symptoms; National Institute of Nursing Research

R01; Sept. 28, 2010-June 30, 2015.

Principal investigator: Cytokine response to subclinical

cytomegalovirus reactivation as a cause of severe fatigue

in women undergoing chemotherapy for breast cancer;

Department of Defense; July 1, 2011-July 31, 2013.

Principal investigator: Neuroendocrine and

infl ammatory response to exercise in fi bromyalgia, National

Institutes of Health R21; Sept. 1, 2009-Aug. 31, 2011.

Wright, Cheryl

Mist S.D., Wright C.L., Jones K.D., Carson J.W. (2011).

Traditional Chinese medicine diagnoses in a sample of

women with fi bromyalgia. Acupuncture in Medicine, acupmed-

2011-010052. (Epub ahead of print).

Wright C.L., Aickin M. Improvement of menopausal

symptoms with acupuncture not mediated by changes in

heart rate variability. Acupuncture in Medicine. 1,29:32-39.

doi:10.1136/aim.2010.003053.

Wros, Peggy

Wros P. (2011). Curriculum planning for baccalaureate

nursing programs. In Keating S.B. (Ed.), Curriculum

Development and Evaluation in Nursing (2nd ed.), 209-240.

New York, Springer.

Principal investigator: Advanced Education Nursing

Traineeships; HRSA, Bureau of Health Professions – Division

of Nursing; July 1, 2011-June 30, 2012.

Principal investigator: Advanced Education Nursing

Traineeship Program; HRSA, Bureau of Health Professions –

Division of Nursing; July 1, 2010-June 30, 2011.

Yan, Yi

Principal investigator: Building Academic Geriatric

Nursing Capacity; John A. Hartford Fund; July 2008-June 30,

2011.


Oregon Health & Science University

School of Nursing

3455 S.W. US Veterans Hospital Rd.

Portland, OR 97239

NON-PROFIT ORG.

U . S . P O S TA G E

P A I DPORTLAND, OR

PERMIT NO. 722

Grow your passion for nursingNursing Programs at OHSU

For more information go to www.ohsu.edu/son

Undergraduate programs:

• Bachelor of Science with a major in nursing

(for those without a previous bachelor’s degree)

• Accelerated Bachelor of Science in Nursing (for those

with a previous bachelor’s degree not in nursing)

• Baccalaureate Completion for RNs (an online program)

PhD in Nursing*

• Postbaccalaureate

• Postmaster’s

Master of Public Health

• Graduate Certifi cate in Public

Health

Master of Nursing or Doctor of Nursing Practice:

• Adult Gerontological Clinical Nurse Specialist*

• Family Nurse Practitioner

• Health Systems and Leadership Organization*

• Nursing Education*

• Nurse Anesthesia

• Nurse Midwifery

• Psychiatric Mental Health Nurse Practitioner

• Doctor of Nursing Practice*

Whether you’re just beginning to fi nd your passion in nursing or looking to expand your nursing practice, research

or teaching, the OHSU School of Nursing off ers you the opportunity to take the next step in your education.

*These programs are off ered with distance delivery and hybrid options.

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