Faculty of Health Disciplines News Brief by Athabasca University

SPRING 2019 News Brief celebrates the many achievements of alumni, students and faculty from the Faculty of Health Disciplines. Share your story! Please send a note to fhdnews@athabascau.ca.

Exploring a ‘suite’ of new doctoral programs The possibility of offering five new doctoral programs is being investigated, as the Faculty of Health Disciplines finds innovative ways to respond to the evolving needs of working professionals, a changing health care landscape and calls for better patient and client care.

Starting with culture, ending with social change A new e-book by Dr. Sandra Collins helps future and practicing counsellors see culture through a different lens. Changing the focus enables counsellors to respond to clients’ needs by going beyond helping them cope — to supporting them as they make changes in their environment.

New online Prescribing PD course debuts

e-Learning gets its game on

Legislative changes are creating new opportunities for RNs and Registered Health Care Professionals to have limited prescriptive authority. The Faculty of Health Disciplines’ new online Prescribing course builds the knowledge needed to meet practice standards.

Virtual simulations bring together AU’s teaching and IT expertise to create new opportunities to augment knowledge through enriched clinical experiences. Winning the “game” of e-learning means improved patient health and continued evolution of health care practice.

Getting more mindful about mental health

Walking together towards conciliation

MN Alumnus Derek Luk encourages health care professionals to get more mindful about their mental health. His company, Mimentra, offers in-person and online training that can enable people to better handle work’s inevitable stresses and pressures.

Honouring the perspectives of Indigenous peoples is essential for health care education and practice to move forward. Three Indigenous alumni are helping to open avenues for conversation, enriching the Faculty of Health Disciplines’ conciliation journey.

Alumni, students and faculty news What’s new? Are you proud of a recent accomplishment or achievement? Have some thoughts or ideas to share with former classmates? Or just want to check in with the gang? Send an e-mail to fhdnews@athabascau.ca and share with the FHD community.

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Advances and innovations across the health disciplines are driving the need for higher levels of knowledge and practice — and AU’s Faculty of Health Disciplines is exploring options for meeting this growing need. “We regularly receive many queries about doctoral programming in all health fields,” says Dr. Margaret Edwards, Dean. “We know there is strong societal, health care and learner need and interest, so are keen to investigate opportunities to offer advanced credentials.” The Faculty has recommended the development of a Learn more about suite of doctoral programs, and has been granted approval to explore the potential and possibility of proposed doctoral programs offering five new doctoral programs:

and ‘stackable’ credentials

Check out the Backgrounder on the FHD website: fhd.athabascau.ca

POSTDOCTORAL DBA DPsych DNP DHS PhD EdD As currently envisioned, all would be offered digitally Health Health Admin Ed CERTIFICATE OF ADVANCED GRADUATE STUDY and in community, removing many of the time-andPMD:C PMD:NP place barriers inherent in traditional programs. MN:MBA MC MHS:MBA MHS MN FHD’s approach to these programs is new and novel. PD BHS BN BA BPA BSc Human (BHAD) AI ACP HPC LPN RN All would be intentionally designed to “stack” onto master’s and post-master’s programs, and on the innovative new Certificate of Advanced Graduate Study. The CAGS would be the common first year for all doctoral programs (and could be completed as a standalone). “Our goal is to enable learners to begin their doctoral journey with a manageable one-year commitment — the doctoral certificate — that ends with a credential and also forms the foundation of further doctoral work,” Edwards explains. Professional doctorates, well-established globally but new in Canada, are research based and practice oriented. They enable working professionals to balance advanced education with career or family commitments. Current/new/collaborative programs – external

Current/new programs – FHD Postdoctoral Doctoral CAGS Post-masters

PD/electives

Certificate of Advanced Graduate Study (CAGS) Doctor of Health Studies (DHS) Doctor of Nursing Practice (DNP) Doctor of Psychology (DPsych) Doctor of Philosophy in Health Disciplines (PhD)

Masters Baccalaureate PD/electives

all AU Faculties/FHD collaboration certificates/diplomas from partner institutions

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The Faculty is currently investigating all facets of program development, including conducting market assessments, creating curricula and engaging with regulatory and government bodies. The launch of the new doctoral programs is contingent upon many approvals outside FHD’s control. It is possible that the Certificate of Advanced Graduate study could be offered in 2021. The professional doctorates and PhD could launch one year later. News about program development progress will be published on the FHD website and in News Brief. As a group, the programs would be an important addition to learning options for working professionals who wish to expand their knowledge and practice to provide better care for patients and clients. “Across the health disciplines, there is growing emphasis on ‘health care’ instead of ‘sick care,’” Edwards says, explaining FHD’s strategic approach. “At the same time, we are seeing an expanded role of counselling in health, mental health and well-being, in practice implications stemming from a wealth of research worldwide, and in the desire of governments to control rising health spending costs through more-effective management. “As a leader in online health education, and with graduates across Canada knowing firsthand how having flexibility in learning makes acquiring an advanced credential possible, the Faculty is clearly in a strong position to respond in an exciting and innovative way.”

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To say that the world of counselling has changed over the last decade is an understatement. Of particular note is the major shift in the understanding of and approach to culture. In the last decade, there has been a growing emphasis on social justice and on seeing culture in the context of people’s lives. At the same time, the siloed learning about different cultures and the practice of group-centred counselling is giving way to counselling that recognizes each individual as a unique cultural being. Dr. Sandra Collins, a professor in the AU’s Master of Counselling program, has written a new book — Embracing Cultural Responsivity and Social Justice: Re-Shaping Professional Identity in Counselling Psychology — to help people deepen their knowledge about and navigate this evolving cultural landscape. “AU is on the leading edge of counsellor education by making a conscious decision to infuse social justice and cultural responsivity throughout the Master of Counselling program,” Collins says. “In the past, the tendency has been to look at problems as being ‘within’ the client, but there is more realization today that many stresses are environmental. This changes the focus of counsellors from helping someone to cope, to coming alongside someone to facilitate change in the broader environment in which they live.” Case-study based, interactive and interlinked, Collins’s e-book functions much like a self-contained website. Theory chapters centre on 16 core competencies, and people can drill down to see how the principles and concepts play out in practice. A free, open-source teaching and learning guide forms a companion resource, providing additional self-study and group learning activities and discussion questions. Collins hopes to inspire students, counsellors and instructors alike to “think outside the book.” “It’s challenging to move self-reflection out of our heads and into our hearts,” Collins notes. “I’m hoping the book and guide have a real emotional impact on students and counsellors — and that they are able to offer safer, more-effective therapy for clients.” Collins’s book is available from Counselling Concepts. ç RETURN TO FRONT PAGE

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New online Prescribing PD course debuts Legislative changes are creating new opportunities for RNs and Registered Health Care Professionals to have limited prescriptive authority. The Faculty of Health Disciplines’ new online Prescribing course builds the knowledge needed to meet practice standards.

The role of all health care professions is changing quickly, and with change comes exciting new opportunities. One of the most recent is the granting of limited prescriptive authority, currently in Alberta and Manitoba and likely to expand to other provinces. The Faculty of Health Disciplines’ new Registered Nurse/Registered Health Care Professional Prescribing online professional development course enables practicing registered nurses, psychiatric nurses and health care professionals to acquire new knowledge needed to meet approved standards of practice set by the College and Association of Registered Nurses of Alberta. “It’s exciting to have the opportunity to expand NEW! the scope of practice,” says Debbie Fraser, Program Director. “It opens the doors to better Registered Nurse/ client care in specialized areas, and to serve Registered Health Care Professional patients more fully.” Prescribing The RN/RHCP Prescribing course comprises two online modules that prepare practicing individuals ONLINE PD COURSE to meet the competencies for prescribing drugs fhd.athabascau.ca and ordering diagnostic tests. Module 1, Competencies, Requirements and Standards is self-paced. Module 2, Knowledge-based Practice – Prescribing Medications and Ordering Diagnostic Tests is 13-week paced learning as part of a larger group. Both incorporate assignments and quizzes. Initially, only those working in three specific areas — sexually transmitted diseases, travel health, and First Nations and Inuit health — and at three pilot sites will be able to prescribe. Employers will sponsor individuals to take the course. Everything, including the course, will be evaluated to inform future expansion. Enabling RNs, RPNs and RHCPs to prescribe is just one way Canada’s health care system — and the Faculty of Health Disciplines — is responding to rapidly changing health needs. “Our population is growing older, and we are also being called to provide more complex care,” Fraser notes. “With PD opportunities like this, we’re on the leading edge of health care education, and enabling practicing professionals to respond to these challenges.” Learn more about the Prescribing course and all FHD PD opportunities at fhd.athabascau.ca.

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e-Learning gets its game on Virtual simulations bring together AU’s teaching and IT expertise to create new opportunities to augment knowledge through enriched clinical experiences. Winning the “game” of e-learning means improved patient health and continued evolution of health care practice.

Getty Images photo

Half-way through your online module it hits you: You’re having way more fun than you expected. You’re expanding your knowledge, practicing skills and can’t wait to see where the “game” takes you next. Scenarios like this make Dr. Barbara Wilson-Keates happy. The Academic Coordinator, Bachelor of Nursing, blends her extensive nursing, clinical and research background with expertise in e-learning to work on the leading edge of health care education: virtual gamification. Her 10–15 minute virtual simulation “game” starts with a scenario detailing a patient’s situation, and asks what priority actions should be taken for that particular patient. Students have several options, each leading to a different outcome. Make the right choice and the game continues; choose wrong and it ends. At every point, students learn why their choice was right or wrong. “Whether you call it e-learning, virtual simulation or virtual gamification, this kind of approach is particularly effective in nursing education,” Wilson-Keates says. “It augments clinical teaching — it doesn’t replace it — and ensures students are exposed to many different situations. “It’s particularly useful for high-risk, low-frequency or emergency events, ensuring that all students have the same clinical experience.” The power and pull of virtual simulations lies in their accessibility and increased student engagement. Games can be completed any time, from anywhere, at students’ convenience. Because patients are never at any risk, students are more inclined to act more quickly and decisively. — continued —

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“Research has shown that you learn most effectively by being actively engaged,” Wilson-Keates says. “Virtual simulations enrich learning by doing.” They can also help nurses respond to rapidly emerging health issues. Addressing vaccine PLAY A VIRTUAL SIMULATION GAME hesitancy, for example, Wilson-Keates and See how gamification works in action! FHD colleague Kristin Petrovic are Barbara Wilson-Keates acted in and helped write this developing an audio scenario in which a Conflict Resolution game for the Canadian Alliance of community health nurse discusses the issue Nurse Educators Using Simulation (CAN-Sim). with parents. “In the real world, it might be hard to have that conversation, but if students have heard it, when the situation arises, they’ll be better prepared.” Gamification’s ultimate winners are patients and health care practitioners. “Patients receive better, safer care when nurses better understand them and their needs,” Wilson-Keates says. “And because nursing is constantly changing and expanding, this helps open up new career pathways.”

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Getting more mindful about mental health MN Alumnus Derek Luk encourages health care professionals to get more mindful about their mental health. His company, Mimentra, offers in-person and online training that can enable people to better handle work’s inevitable stresses and pressures.

Derek Luk (Master of Nursing: Generalist ’17) was studying at AU while also working as a university mental health coordinator. Hearing more and more about the potential benefits of mindfulness — consciously focusing attention on the present, through meditation and other practices — and wondered if it could also help reduce burnout in health care practitioners. That interest turned to urgency when a friend and colleague died by suicide. Something had to be done — and in 2014 he built on what he learned researching his MN thesis to found a new company, Mimentra. “I felt something was wrong with the system,” Luk says. “Health care professionals can experience high levels of stress and trauma. They’re confronted with issues that people don’t easily understand, like the fear of making an error, and dealing with death and loss. “But they don’t have the knowledge or coaching to be able to process it all. They take that trauma and stress home, and that can lead to self-soothing, and alcohol and substance abuse.” Standardized organizational employee assistance or mental health programs aren’t particularly effective for health care practitioners, given their high-pressure jobs and variable work hours. Too often, what’s learned in a program isn’t sustainable. Mimentra, on the other hand, offers in-person and digital mindfulness programs, delivered through a customdesigned app. The approach offers flexibility and also builds organizational mental health capacity by training in-house mental health champions. Companies grow a culture of mental well-being when those champions share their knowledge with colleagues. — continued —

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That Luk has developed an approach that resonates is evident in the funding he received during Mimentra’s early start-up (including from Startup Calgary, ATB Boostr’s changemaker competition and Alberta Innovates) and, most recently, with Luk being named one of the 2018 Top 40 Under 40 by Calgary’s Avenue Magazine. The business-building journey hasn’t been easy, and Luk continues to expand his knowledge and refine his approach to delver the best outcomes. He does it in addition to his full-time role as Senior Education Consultant in Quality Improvement with Alberta Health Services. “The more you persist on the path, you not only learn, you also find people to support you,” he says, crediting online learning at AU and support from thesis supervisor Dr. Caroline Park for building knowledge and insights that have proven invaluable. “This is the key to mindfulness: how you deal with uncertainty and discomfort and doubt without being washed away. Without mindfulness, I don’t think I would have had all of these opportunities.” ç RETURN TO FRONT PAGE

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Walking together towards conciliation Honouring the perspectives of Indigenous peoples is essential for health care education and practice to move forward. Three Indigenous alumni are helping to open avenues for conversation, enriching the Faculty of Health Disciplines’ conciliation journey. Health care providers and educators have a key role to play in responding to the Truth and Reconciliation Commission of Canada’s Calls to Action, and in promoting positive relationships among Indigenous people and the education and health care systems. The conciliation journey being taken by the Faculty of Health Disciplines is shared among alumni, students, faculty and staff. It is being guided by Nukskahtowin (formerly known as AU’s Centre for World Indigenous Knowledge & Research) and the FHD conciliation working group. Three Indigenous alumni are integral to the working group, providing invaluable perspective and insight:

Chelsea Crowshoe Master of Health Studies ’03 Director, Indigenous Health Program South and Senior Advisor, Indigenous Cultural Competency, Alberta Health Services

Julie Lys Master of Nursing: Nurse Practitioner ’07 Indigenous Nurse Practitioner, Northwest Territories

Norma Rabbitskin, RN Bachelor of Nursing ’16 Senior Health Nurse, Sturgeon Lake First Nation, Sask.

“Chelsea, Julie and Norma help us open the doors to different conversations and perspectives,” explains Rose Schroeder, Program Director, Bachelor of Nursing, and chair of the working group. “They do not speak for all Indigenous people, but, rather, they help us all listen. “Because they are keenly aware of health care issues — from their personal lives and their professional practice — they provide a richer foundation for our discussions and make our process better.” — continued —

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Those conversations will help open the doors to new knowledge and lead to changes in health care education and practice in systems that are well established, rigid and often resistant to change. “When educating health care professionals, it is important that they understand all perspectives,” says Lys, explaining that she has worked hard to break down silos by integrating Western and Indigenous perspectives into her own life and practice. “Historically, the Indigenous perspective hasn’t been acknowledged in the way that it should be,” she says. “Understanding the importance of culture, of spirituality, of looking at people’s life journey instead of simply seeing them as a patient or client, of seeing health from a position of strength and connection, can change practice and improve healing and wellness.” Norma Rabbitskin agrees that the educational system does little ‘Other universities need to to prepare students to work with First Nations people and communities. open doorways like this, and to invite Indigenous “People are typically trained using the bio-disease model, focusing knowledge keepers to be part on the disease and not on the person,” she says. “Our people, however, do not focus on deficit thinking. We have a more of change.’ strength-based and holistic world view.” Norma Rabbitskin FHD’s conciliation working group, she believes, is opening a doorway to learn how culture plays important role in the health and well-being of First Nations peoples. “I speak from many areas of lived experience,” Rabbitskin says. “I hope that by telling my story, and talking about our wellness model, our systems, our Indigenous world views and our ways of knowing, that people can learn. “Other universities need to open doorways of opportunities like this, and to invite Indigenous knowledge keepers to be part of change.” ç RETURN TO FRONT PAGE

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ì LOOKING FOR MORE NEWS ABOUT THE GREAT PEOPLE FROM FHD? Check out the FHD section of AU’s news portal, The Hub, for stories about and by alumni, students and faculty. For back issues of News Brief, visit the FHD website.

Diane Brown-Demarco MN alumna

… has been enjoying her position as Executive Director of the Canadian Mental Health Association in Muskoka - Parry Sound, Ont., since December 2015. She writes that completing her MN at AU “was an integral part of my career success and was the most important part of preparing for a senior leadership position. I will always recommend the distance/online learning format for adults who need a flexible approach. I was able to complete my degree while working full-time and raising a family. I can’t think of another way I could have been successful.”

Dr. Sandra Collins MC professor

… is one of three recipients of an Outstanding Distinction Award for AU faculty, presented by the AU Graduate Students’ Association. She is joined in this honour by FHD colleague Dr. Simon Nuttgens, who also received an award. Sandra also received a silver for Best E-Book Design in the 2019 IPPY Independent Publisher Awards for her new e-book, Embracing Cultural Responsivity and Social Justice: Re-Shaping Professional Identity in Counselling Psychology (read more in this issue of News Brief).

Adrijana D’Silva MHS alumna

… was awarded a doctoral studentship from the Canadian Centre for Applied Research in Cancer Control, valued at $25,000. Adrijana received the Governor General’s Academic Gold Medal for the highest achievement among all graduate students at AU in 2017. She was profiled in the October 2017 News Brief. — continued —

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Lisa Gray MC alumna

… has been accepted into the Canadian Psychological Association-accredited PhD Counselling Psychology program at the University of Alberta — the first graduate from the MC program to be accepted into a CPA-accredited counselling psychology doctoral program. Lisa received the Governor General’s Academic Gold Medal in 2018 and was profiled in the October 2018 issue of News Brief.

Hayley Hellum MC student

… was awarded the Walker Family Master of Counselling Scholarship by AU, which is open to students in the third year of the program and are in a practicum placement that focuses on services to children or youth. More information about the many AU student awards and scholarships is available online.

Dr. Paul Jerry Associate Dean, Student Services

… attended the 2a Conferencia Internacional de Inovacao em Saude in Natal, Brazil, in October 2018, presenting an invited paper titled “The imprecise art of predicting the future of learning in health.” The paper was part of a pre-conference “Learning Analytics and Knowledge Management” symposium. This was a multinational panel discussing technology and its impact on health education and delivery. Paul spoke about how to predict trends in technology and health, and gave examples of current issues and looking to the future. Read more about the conference and Paul’s experience on AU’s news site, The Hub. … and co-authors Marlette Reed and Dr. Pamela Hawranik published “Aging individuals with Down Syndrome and dementia as teachers: Learnings from staff in a developmental disability program in long-term care” in the Journal of Gerontological Nursing. Lane is interviewed on The Hub.

Dr. Annette Lane Associate professor

Gia Lam MC student

… received the Judith L. Gibbons Award for Research on Culture and Gender, presented by the Society for Cross Cultural Research. — continued —

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Dr. Sharon Moore Professor

… retires from AU in summer 2019, after three decades as one of the leading lights in gerontological nursing teaching and research. During her career, Sharon has received myriad awards and honours, and has presented more than 150 papers, workshops and keynote addresses — on hope, aging, suicide, and distance education teaching and learning — around the world. On May 4, 2019, she received an Honorary Lifetime Membership in the Canadian Gerontological Nurses Association (pictured here with outgoing CGNA President Mollie Cole). Sharon has also built a robust research portfolio. Her most recent investigation centres on touch quilts and their potential to be simple, effective and deeply personal ways to ease anguish and improve the quality of life for people with Alzheimer’s disease or dementia. It was featured in the Fall 2018 issue of FHD News Brief.

Dr. Simon Nuttgens MC associate professor

… is one of three recipients of an Outstanding Distinction Award for AU faculty, presented by the AU Graduate Students’ Association. He is joined in this honour by Dr. Sandra Collins, who also received an award.

Eileen Paluck Assistant to the Dean

… was presented AU’s Sue and Derrick Rowlandson Memorial Award for Service Excellence at an Employee Recognition Event held in Edmonton Dec. 17, 2018 (and also received her 10-year service award at the same time). Consummately professional and resourceful, Eileen is a key member of the Admin. Team which helps keep the Faculty at the top of its game. … won AU’s Three Minute Thesis competition on March 22, 2019, hosted by the Faculty of Graduate Studies. Dustin’s thesis was titled “Ethical Tensions in Sex Addiction Counselling.” Read more about the 3MT competition on The Hub. … received CARNA’s Excellence in Administration Award in May 2019. Diane is the Senior Project Manager at Corrections Health. Read more about Diane’s leadership in developing a new model of health services in the CARNA newsletter. … received CARNA’s Excellence in Research award in May 2019, recognizing her extensive investigations into helping parents face their child’s health challenges. Read more about Gwen’s research activities in the CARNA newsletter.

Dustin Purnell MC student

Diane Pyne MHS alumna

Dr. Gwen Rempel Chair, graduate programs, and associate professor

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Rose Schroeder BN program director

… and FHD colleagues Dr. Lynn Corcoran, Jacqueline Mann, Dr. Sharon Moore and Dawn Mercer Riselli were in Valencia, Spain, in March 2019, for the 13th annual International Technology, Education and Development Conference. Dawn, Rose, Lynn and Jacqueline wrote (and Dawn and Rose presented) “Getting it Right: A digital strategy to support nursing students safely administer medication” and Sharon wrote and presented “Teaching and Learning About Qualitative Research in Graduate Education.” The papers are available from the IATED Digital Library.

Nancy Sheka MC alumna

… has been accepted into the APA-accredited Clinical Psychology program at York University , where she will be researching psychotherapy process.

Caterina Valentino Sessional instructor

… has posted an article on health care leadership on Health Management Forum’s official blog site. She writes about the Fourth Revolution, the dynamic and volatile environment in which today’s health care leaders work, and how best to develop leadership competencies. Read the full blog online. She also authored “Shifting the ‘Elevator Pitch’ from what to why” in Graphic Arts magazine in April. … has been awarded a SSHRC Explore Grant for her study, “Becoming a perinatal/maternal mental health expert witness: Lived experiences of novice and veteran experts involved in maternal filicide and infanticide court cases in Canada and the United States.” She is currently analyzing the data. Gina has been very active on the publishing and presenting fronts of late. She wrote a chapter in Embracing cultural responsivity and social justice: Re-shaping professional identity in counselling psychology as well as articles in peer-reviewed journals. She also presented a paper with FHD colleagues Dr. Sandra Collins, Dr. Simon Nuttgens and Yev Yasynskyy, “Ensuring competency development in counsellor education through learning outcomes tracking, course mapping, and authentic assessment” at the Hawaii International Conference on Education in Honolulu, Jan. 4-6, 2019 … sets a whole new standard for “being on the go.” She has competed in triathlons at the national and international levels for more than nine years. In 2007, she was the Ironman Coeur d’Alene Women’s Champion and competed at the Ironman World Championships in Hawaii. In 2016, she finished the Boston Marathon (in a time of 3h10min). Most recently, in 2018, she was the second-place female finisher in the Calgary Scotiabank 50k Ultramarathon.

Dr. Gina Wong MC associate professor

Kim Young MHS student

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