Voice magazine, fall 2020

Fall 2020

On the Same Page Associate Professor Karen Lyons’s research on how partners in a caregiving relationship can benefit from their shared experience

from the dean susan gennaro

Dear friend, During our current health crisis, many of our alumni, faculty, students, and staff have witnessed firsthand how discrimination disproportionately affects the health care of our most vulnerable populations—particularly people of color. That is why we at the Connell School of Nursing (CSON) are reaffirming our commitment to confronting and dismantling systemic racism and oppression while strengthening our support for the students and colleagues most adversely affected by it.

CSON was proud this fall to host Camara Phyllis Photograph: Caitlin Cunningham Jones, a family physician, epidemiologist, and senior fellow at the Morehouse School of Medicine, who talked about “Tools for Becoming a Racial Justice Warrior” at a virtual event co-sponsored with Boston College’s Forum for Racial Justice in America.

dean Susan Gennaro

editor Maureen Dezell

managing editor Tracy Bienen

art director Diana Parziale

graphic designer Monica DeSalvo

This spring, CSON will bring New York Times best-selling author Ijeoma Oluo (So You Want to Talk about Race) to the Connell School, continuing an ongoing conversation among faculty and staff who read the book as part of CSON’s book club. Faculty who read Oluo’s book together last year will read The Racial Healing Handbook, which outlines how to identify racism and take steps to engage in collective healing.

contributors

I am very proud of how our school has recognized the health problems in our midst and changed our curriculum to address them. Take, for example, Examining Diversity in Nursing and Health Care, a new graduate-level course taught online last summer by Assistant Professor and CSON Diversity Advisory Board Chair Nadia Abuelezam and Research Scholar Cherlie Magny-Normilus. Students learned inclusive leadership strategies that will be important in their advanced practice nursing careers.

photographers

We are also supporting CSON students through our Seacole Scholars program—a living-learning community for select first-year nursing students to help them transition smoothly to Boston College and increase their sense of belonging—and the new Mary Mahoney program, which provides mentorship, community, and academic support for all graduate students of color.

We are proud of the work we have accomplished. We also recognize that this work is ongoing and that there is still much to be done. Onward.

Yours,

Susan Gennaro Dean

2 voice | fall 2020

Timothy Gower Debra Bradley Ruder Madeleine Schwartz

Caitlin Cunningham Peter Julian Lee Pellegrini Tony Rinaldo

Voice is published by the William F. Connell School of Nursing and the Boston College Office of University Communications.

Address letters and comments to: csonalum@bc.edu Assistant Director, Marketing and Communications William F. Connell School of Nursing Maloney Hall 140 Commonwealth Ave. Chestnut Hill, MA 02467

cover Artwork: Image by Trudi Finniss of Pixabay and adapted for use by Monica DeSalvo

contents

12 4 Camara Phyllis Jones, senior fellow at the Morehouse School of Medicine, and CSON Associate Professor Allyssa Harris at Jones’s talk “Tools for Becoming a Racial Justice Warrior.” Photograph: Peter Julian

DNP candidate Sherri St. Pierre on a Zoom call discussing a practice change project with fellow students and faculty. Artwork: Monica DeSalvo

8 Image by Trudi Finniss of Pixabay; adapted for use by Monica DeSalvo

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CSON welcomes new faculty members Lindsey Horrell, Cherlie Magny-Normilus, Patricia Underwood, Erin Murphy-Swenson, and Melissa Uveges. Photographs: Peter Julian and Lee Pellegrini

Fall 2020 Features

news

4 CSON confronts COVID-19

8 On the same page: Family care dyad Associate Professor Karen Lyons’s research on how partners in a caregiving relationship can benefit from the shared experience.

Dean Gennaro to step down in June; CSON in the age of COVID-19; faculty, students, and alumni awarded grants and honors.

achievements

12 Projects with a purpose The inaugural Doctor of Nursing Practice cohort aims to invent pandemicera nursing.

16 Welcoming our new faculty The five clinicians and researchers who join the Connell School faculty this fall share an interest in the social determinants of health.

21 Faculty publications

Baccalaureate and direct entry master’s degree programs have full approval by the Massachusetts Board of Registration in Nursing.

CCNE Accredited 2018–2028

www.bc.edu/voice

boston college william f. connell school of nursing

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news Britt Pados Photograph: Lee Pellegrini

Connell School of Nursing Dean to step down Dean and Professor Susan Gennaro, an internationally recognized nurse scientist who has led the Boston College Connell School of Nursing (CSON) since 2008, announced in July she would step down as dean at the end of the 2020–21 academic year. She will remain a member of the Connell School faculty.

Gennaro’s standout achievements are many, and include the advancement of academic excellence and curricular change at CSON, notably in the establishment of the Doctor of Nursing Practice program in fall 2019.

A vital part of a University grounded in Jesuit ideals, the Connell School under Dean Gennaro has focused on nurturing the whole person and using knowledge in service to others. Initiatives that promote social justice range from the KILN program, which supports students who are the first in their families to attend college or whose backgrounds are underrepresented in nursing; to educational partnerships with university affiliates in Europe, South America, and Australia; to international service trips to care for and provide health education to local and indigenous communities.

Gennaro is co-principal investigator of a major study, funded at the NIH’s National Institute of Minority Health and Health Disparities, of a prenatal care intervention for pregnant minority women experiencing emotional distress. She also is editor of the highly ranked Journal of Nursing Scholarship.

After retiring from her deanship, Gennaro plans to focus on her research, the journal, and on other scholarly and teaching activities.

Susan Gennaro Photograph: Tony Rinaldo

Faculty and staff Nursing Research Librarian Wanda Anderson received the inaugural Appreciation Award from the North Atlantic Health Sciences Libraries, a regional chapter of the Medical Library Association.

Mei Fu, who holds the Barry Family/Goldman Sachs Endowed Professorship in Nursing at Boston College, received the 2020 Connie Henke Yarbro Excellence in Cancer Nursing Mentorship Award from the Oncology Nursing Foundation.

Michele Hubley, the administrative assistant in the Office for Nursing Research, was inducted into Alpha Sigma Nu, the national honor society of Jesuit colleges and universities.

Clinical Associate Professor Carol Anne Marchetti and Clinical Assistant Professor Victor Petreca received a Boston College Teaching, Advising, and Mentoring Expense Grant for an enhanced simulation experience for their psychiatric/mental health nurse practitioner students.

Assistant Professor Britt Pados was elected a 2020 fellow of the American Heart Association.

Assistant Professor Jinhee Park was awarded a Boston College Ignite Grant for her study “Splanchnic and Cerebral Oxygenation During Oral Feeding near Discharge as an Early Biomarker of Problematic Feeding in High-risk Infants.”

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Research

Ariana Chao ’10, M.S. ’11, received the 2020 Eastern Nursing Research Society’s Rising Star Research Award, which recognizes a junior investigator who has shown promise in establishing a program of health and/or nursing research. Chao is an assistant professor at the University of Pennsylvania School of Nursing.

Doctoral candidate Amy Delaney was awarded a Clinical Research Grant from the Alpha Chi chapter of Sigma Theta Tau for her research project “Parents’ Perspectives on the Care for Their Children with Congenital Heart Disease Across the Lifespan.”

Assistant Professor Andrew Dwyer and his team were awarded an R03 grant from the National Institutes of Health/National Center for Advancing Translational Sciences for their project “Identifying

Associate Dean for Research Christopher Lee, a cardiovascular nurse scientist, was appointed to the National Advisory Council for Nursing Research and joined the new National Institute for Nursing Research Strategic Plan Working Group, which helps set the agenda for the next five years of science sponsored by the institute. Lee also received the 2020 Mathy Mezey Excellence in Aging Award from the American Heart Association Council on Cardiovascular and Stroke Nursing.

Photographs: Catilin Cunningham and Peter Julian

Ariana Chao

Courtesy: University of Pennsylvania School of Nursing

Ph.D. candidate Melissa Capotosto, M.S. ’12, and Associate Professor Corrine Jurgens were awarded third place in the early Ph.D. poster category at the 2020 Eastern Nursing Research Society student poster awards for their project “Fertile Ground: Exploring Fertility Awareness Practices Among Women Seeking Pregnancy.”

Melissa Capotosto and Corrine Jurgens

Predictors of Reversible Congenital Hypogonadotropic Hypogonadism.”

Dwyer was also awarded a Boston College Research Expense Grant for his project “Elucidating Patient Decision-making for Testing of Common and Rare Genetic Conditions.”

Christopher Lee

Photograph: Lee Pellegrini

Assistant Professor Nadia Abuelezam and her team from the Harvard T.H. Chan School of Public Health received an R56-Bridge award from the National Institute of Allergy and Infectious Diseases for their project “Modeling the Role of Pre-exposure Prophylaxis (PrEP) in Getting to Zero.” Many U.S. cities have set a goal to reduce the number of new HIV infections to zero. To support this, Abuelezam’s team will use a mathematical model to help city officials, specifically in Miami, better understand the levels of PrEP use that will be necessary to reduce HIV transmissions and new infections.

Research Scholar Cherlie Magny-Normilus and her team were awarded a K99/R00 grant from the National Institutes of Health/National Institute of Nursing Research for their project “Self-Management and Glycemic Control in Adult Haitian Immigrants with Type 2 Diabetes.”

Doctoral candidate Kate McNair was awarded a Clinical Research Grant from the Alpha Chi chapter of Sigma Theta Tau for her research “The Inf luence of #MeToo on Sexual Assault Survivors’ Decision Making and Health Behaviors: A Qualitative Study.”

David Zulewski ’22 and Colleen Simonelli, associate dean for undergraduate programs, were awarded second place in the bachelor of science poster category at the 2020 Eastern Nursing Research Society student poster awards for their project “Quantitative Research: Changes in Neurofilament Light, a Marker of Axonal Damage in Breast Cancer Patients Receiving Taxane-Based Chemotherapy.”

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news CSON in the age of COVID-19

Community and events

Students returned to Boston College in late August to begin the fall semester, and found a campus and community immersed in protocols and practices aimed at protecting against the coronavirus.

The American Academy of Nursing (AAN) inducted Assistant Professor Andrew Dwyer and alumni James Dionne-Odom, Ph.D. ’13; Patricia Reidy ’72, M.S. ’89; Ellen Robinson, M.S. ’83, Ph.D. ’97; and Lisa Wolf, Ph.D. ’11, as fellows at AAN’s virtual conference in October.

All faculty, staff, and undergraduate and graduate students were tested for COVID-19 before fall classes began, and random testing continued through the semester.

The pandemic brought signal changes to teaching and learning: Courses were taught in-person, online, or in a hybrid mode. Classrooms, limited to 50 percent capacity, were reorganized to ensure social distancing.

Face masks were required in classrooms and common areas throughout the campus.

The Massachusetts Board of Registration in Nursing clarified its requirements for licensure, extending the policy for undergraduates that simulation and virtual simulation can be used to meet objectives in lieu of direct patient care for the academic year.

In a Boston College Beacon Leadership Conversation in June, Dean Susan Gennaro discussed how she and CSON faculty have been called upon to serve as advocates and experts during the pandemic, and Aristotle Boslet ’18 and Adelene Egan ’18 discussed their thoughts on how Boston College prepared them for nursing during a challenging time.

▪

Photograph: Tony Rinaldo

With anxiety rising and accurate information about COVID in high demand, epidemiologist and Assistant Professor Nadia Abuelezam was sought out for comment by more than a dozen major news outlets. She weighed in on: ▪ States

“reopening” in the Washington Post, the Wall Street Journal, and on MSNBC’s Morning Joe, MSNBC’s AM Joy, and WBUR News

▪ Changes

▪ COVID-19

tracing apps for the Associated Press

▪ “Leaky”

▪ Herd

Photograph: Lee Pellegrini

social distancing on CNN.com

▪ Mask-wearing ▪ Safety

Nadia Abuelezam

effects in the New York Times and Boston Globe

considerations on Marketplace and WBUR News

immunity in the Wall Street Journal

▪ Testing

in Sports Illustrated and the Boston Globe

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Photograph: Lee Pellegrini

in how cases are counted in the Boston Globe

Andrew Dwyer

Camara Phyllis Jones

TELL US YOUR NEWS csonalum@bc.edu

#27

Student awards

Best Graduate Schools

U.S. News & World Report 2021

Exceptional students are typically recognized at Commencement, but Boston College was forced to cancel its 2020 Commencement ceremony due to the pandemic. These are the names of outstanding undergraduates and graduate students and the honors they received for their academic, clinical, and scholarly achievements.

Nursing Schools, Master’s Programs The Connell School of Nursing’s graduate program rose to #27 in the U.S. News & World Report rankings. The Family Nurse Practitioner program is #9 in the clinical specialty rankings.

undergraduate recipients Taylor Elizabeth Sadowski Alumni Award

Brandon Wu Patricia M. Ibert Scholars Award

Erinma Ifegwu Anya Physician and epidemiologist Camara Phyllis Jones, who is a senior fellow at Morehouse School of Medicine’s Satcher Health Leadership Institute and Cardiovascular Research Institute, spoke virtually at Boston College in October about structural racism, health care, and how students can act as anti-racism change agents.

Patricia Davidson, dean of Johns Hopkins University School of Nursing, gave the firstever virtual Pinnacle lecture in November on “COVID-19: Lessons Learned and a Call to Action.”

Marie S. Andrews Clinical Performance Award

Erin Flaherty, Ph.D., RN, APRN, FNP-BC Ann W. Burgess Award

Daniela Catarina Went

Dorothy A. Jones Award

Cathy Jean Malek Award

Doctoral Dissertation Award

Sarah Ann Murphy

Anna Sobocinski

William F. Connell Award Undergraduate Nominee

Magaw-Hodgins Nurse Anesthesia Award

Emily Sage Maulucci Recognition for clinical excellence in specialty concentration

Edward H. Finnegan, S.J., Award Nominee

Heena Nissaraly

Cassandra Soffron

Reverend Edward J. Gorman, S.J., Leadership Award

Kelly Ma

Petrena Antoinette Sommerville Courtesy: Johns Hopkins University School of Nursing

Adult-Gerontology Primary Care Nurse Practitioner

Genevieve Ohemeng

Susan E. Donelan Inclusive Community Award

Patricia Davidson

graduate student recipients

Jean A. O’Neil Achievement Award

Shannon Cathleen Conley Maureen A. Eldredge Leadership and Volunteer Service Award

Family Nurse Practitioner

William Harrington Nurse Anesthesia (CRNA)

Julia A. Quistorff Pediatric Primary Care Nurse Practitioner

Mikayla McAdams Psychiatric/Mental Health Nurse Practitioner

Maria Meyer Women’s Health Nurse Practitioner

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On the Same Page

Associate Professor Karen Lyons and the Family Care Dyad

By timothy gower

8 voice | fall 2020

Karen Lyons is convinced that older adults with chronic illness and their family caregivers can enjoy harmony and better health.

All they have to do is get on the same page.

“I’m a psychologist, so I’m very interested in the implications when people do or don’t see things similarly,” says Lyons, an associate professor at the Connell School of Nursing (CSON). Lyons has devoted much of her professional life in the past two decades to studying the unique relationship between “care partners,” which is her term for an adult with a chronic or life-limiting illness and his or her family caregiver, usually a spouse. Her research has shown repeatedly that when both people in such a pair don’t see things the same way—if they disagree over how much pain or fatigue the patient feels, or how much effort a caregiver is putting in to managing doctors’ appointments, for example—both are likely to experience discord and worsened health.

Lyons broke with convention to study this phenomenon. While caregiving researchers have long focused on the health of the patient or the caregiver, she studies the two as a single entity, which she calls a “family care dyad.” “If you prioritize either the patient’s or the caregiver’s health, I really believe you miss the boat,” says the native of Dublin, Ireland, who arrived at CSON in 2018 from Oregon Health & Science University (OHSU), where she was an associate professor. “Because you could have one care partner who’s doing great. But if they’re not both doing great, the dyad is not a success.”

Lyons is the first nursing theorist at CSON since Sr. Callista Roy retired in 2017. “The Connell School has always valued theory—it’s part of the legacy and history of the school— and that was very important to me when I interviewed,” says Lyons. “I believe that theory is kind of like our handrail when we do research. We have to hold on to something or we will never be able to tell the story.”

How two partners in a caregiving relationship appraise the shared experience is a foundational concept in Lyons’s theory of dyadic illness management, which she developed with her long-time collaborator, Christopher Lee, Ph.D., RN, a professor and the associate dean for research at the Connell School.

Lyons grew up in Dublin, where she attended University College Dublin (UCD). After receiving a bachelor of science degree in psychology in 1993, she volunteered at a nursing home, where she spent hours talking to the residents. “Some of these people were extremely unhappy. Somebody even attempted suicide,” she recalls. “I also got really interested in the other part of the equation, which was the family members and caregivers.”

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Dyadic Illness Management: A Glossary Care partner A member of a care dyad.

Lyons prefers it to “care recipient” and “caregiver,” since it suggests equity in the relationship.

Concealment Hiding worries and

“If you prioritize either the patient’s or the caregiver’s health, I really believe you miss the boat.”

Karen Lyons associate professor

concerns from others to protect their feelings; also called “protective buffering.”

Dyadic appraisal How two people in a dyad perceive an aspect of the illness, such as the severity of the patient’s symptoms.

Incongruence A gap in how two care partners appraise circumstances.

By the end of that summer, Lyons had abandoned plans to become a clinical psychologist. “I realized I didn’t want to change one person at a time—that if I really wanted to have an impact, I needed to do research,” she says. But after receiving a master’s degree at UCD and moving on to Penn State to pursue a doctoral degree, she says she hit a wall. Lyons initially studied caregiver strain, but something was missing. “I felt like I was losing the story,” she says. Soon, her concept of patient and caregiver as a single unit began to take shape.

Lyons received a doctoral degree in 1999. Her dissertation, which would form the basis of an inf luential, widely cited 2002 paper published in the Journal of Gerontology: Psychological Sciences (JGPS), assessed 63 care dyads and found, among other things, that caregivers often perceived the challenges of their roles differently than patients did. More importantly, it was the first paper to focus on the care dyad instead of the patient or caregiver. The paper, says Lyons, “was literally the foundation for my entire career.”

By the time the JGPS paper appeared in print, Lyons was an assistant professor at OHSU’s school of nursing. In addition to teaching, she eventually took on the role of directing the school of nursing’s doctoral program, a natural fit for someone who feels a responsibility to guide young scholars. “The mentoring that I received in college was hugely important and I have spent my career trying to give that back,” says Lyons.

“Karen is extremely generous in providing experiences for students that are beyond the ‘look over my shoulder and I’ll put you on the paper as a coauthor’ experience. She wanted me to do the work myself, with her guidance,” says Lyndsey Miller, Ph.D., RN, an assistant professor at OHSU’s school of nursing, who was one of Lyons’s advisees. The pair eventually coauthored a half dozen papers together and are currently at work on a study of care dyads coping with dementia.

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Lyons met Lee soon after he arrived at OHSU in 2010. A cardiovascular nurse scientist, Lee was researching ways to improve self-management of heart failure. They shared an interest in using complex new mathematical models to analyze data. Soon, a team was born.

In an early collaboration, published in the International Journal of Nursing Studies in 2013, Lyons and Lee studied 509 heart failure patients and their caregivers. Using questionnaires, they determined that about one-fifth of the dyads collaborated effectively on care, and had good relationships. The caregivers reported low levels of strain.

Lyons’s subsequent research with Lee (who joined the Connell School faculty in 2018) and other investigators has more frequently found that dyads disagree in their appraisals of the patient’s symptoms. That’s particularly true with regard to subjective symptoms, such as pain, fatigue, or shortness of breath. This incongruence can create tension and interfere with management of a chronic illness. “If I don’t think you have a lot of pain or fatigue or if I think you have more than you do, we don’t see eye-to-eye,” says Lyons. “How can we start thinking about how to manage [the illness] when we don’t even see it in the same way?”

Conf licting perceptions can also tax the health of both people in a dyad, Lyons has found.

In a study published in February 2020 in the Journal of Family Nursing, conducted over the course of a year, she and Lee tracked the physical and mental health of 109 care dyads living with lung cancer. They found that pairs whose appraisal of the patient’s symptoms diverged over time reported worse overall health on standardized surveys.

Lyons has studied dyads dealing with heart failure, dementia, chronic pain, lung cancer, stroke, and Parkinson’s disease, among other conditions. Significantly, she has identified factors—most of them modifiable—that interfere with shared appraisal. In a 2020 paper published in the European Journal of Cardiovascular Nursing, Lyons, Lee, and undergraduate research fellow Taylor Sadowski ’20 found that patients with heart failure who tended to hide or conceal worries about their health had greater levels of depression than others; they were also more likely to be hospitalized over the course of the 12-month study.

While no one can say how many family care dyads exist in the United States, AARP estimated earlier this year that 53 million Americans provide care for someone over 50.

By identifying the role that concealing symptoms and other modifiable factors—such as poor communication, depression, and lack of support from other family members—can play, Lyons has become confident that dysfunctional dyads can be fixed. That conviction has led the theorist to become involved in a series of intervention studies in recent years.

In early September, the National Institutes of Health/National Institute on Aging announced that Lyons and her team had been awarded a highly competitive R21 grant for her project “Taking Care of Us: A Dyadic Intervention for Heart Failure.”

Lyons taught two courses for Ph.D. students this fall while continuing to develop her Theory of Dyadic Illness Management—and feels like she’s in the perfect place to do just that. “I wanted to be somewhere for the second half of my career that integrated stellar research with excellence in teaching,” says Lyons. “I’m excited to be starting a new chapter at Boston College.”

Page 9: Associate Professor Karen Lyons Photograph: Peter Julian Illustrations: Image by Trudi Finniss from Pixabay; adapted for use by Monica DeSalvo

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CSON Doctor of Nursing Practice candidates met regularly via Zoom conference calls to discuss their safe N95 mask reuse project. From top left: Jacqueline Sly, Nanci Haze, Allan Thomas, and Beth McNutt-Clarke

PROJECTS WITH A PURPOSE NEW DNP COHORT AIMS TO INVENT PANDEMIC-ERA NURSING By debra bradley ruder

12 voice | fall 2020

Artwork: Monica DeSalvo

Nurses like Jacqueline Sly vividly recall the early days of the COVID-19 pandemic, when little was known about the seemingly relentless

Nursing Practice (DNP) program, educational materials are available to teach clinicians and caregivers how best to conserve previously worn, contaminated N95 masks.

infection, testing was limited, and shortages

“That’s what we know about nurses. Give us a problem, and we’ll fix it,” says Connell School Associate Dean for

of personal protective equipment (PPE) made

Graduate Programs Susan Kelly-Weeder.

caregiving both fraught and frightening.

Witnessing their patients’ fear and suffering, nurses worried in particular about being forced to reuse equipment like N95 respirators—the highly sensitive filtering masks normally discarded after each patient encounter. What’s more, information and guidance on how to handle the equipment safely was scant.

“It was really distressing when I had to take on and off my mask [between patients],” recalls Sly, a certified family nurse practitioner who provides same-day urgent care as part of a family practice. “I was concerned about getting COVID myself and bringing it home to my family.”

But now, thanks to Sly and a small, stand-out team of innovator nurses in the Connell School’s new Doctor of

ADVANCING NURSING PRACTICE Sly is one of eight students in the DNP program’s inaugural cohort, all of them advanced practice nurses who are pursuing a rigorous degree program that aims to improve individual patient practice and advance the field of clinical nursing. The students, all of whom teach at CSON, will graduate in December 2020. At that point, they will become certified Doctors of Nursing Practice, the highest advanced practice nursing degree recognized in the U.S. Candidates for the DNP, one of two doctoral programs Connell offers, are expected to develop both clinical expertise and a comprehensive understanding of epidemiology, organizational leadership, and health care systems.

Rather than writing a dissertation that generates new research—a Ph.D. requirement at the Connell School and in most other nursing programs—students in the DNP program apply existing research findings, along with their clinical and classroom experience, to an evidence-based “practice change project” dedicated to improving health care outcomes for a particular patient population.

Because Connell’s DNP program launched only in fall 2019, these are the first students who have undertaken these projects. At the turn of 2020, a small group was working with Hebrew SeniorLife (which provides care, housing, research, and teaching) on projects involving music and memory and person-centered care. But as the number of COVID-19 cases rose in Massachusetts in mid-March, the students’ in-person clinical visits to health facilities were suspended.

So, the DNP cohort regrouped and picked practice change topics they could study remotely.

NEW WAYS OF NURSING Working from home, CSON’s first DNP candidates communicated using Zoom, email, texts, and phone calls. They learned to use statistics software programs and other tools and went through the rigorous process of obtaining approval to conduct their research from Boston College’s Institutional Review Board. While juggling the demands of boston college william f. connell school of nursing

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work, school, and family responsibilities, the colleagues also enjoyed collaborating.

“It was a lot of work,” says Allan Thomas, a certified registered nurse anesthetist on the N95 respirator project team.

“But there was a lot of laughter and learning and feeling really good about making a difference.”

THE CHALLENGES OF SELF-MONITORING Clinical placements—the hospitals, clinics, and other health care settings in which students acquire firsthand experience in their fields—are a critical part of nursing education. To safely enter these sites and avoid spreading the coronavirus, Connell students must check themselves for COVID-19 symptoms.

“You have to be able to demonstrate that you’re monitoring for symptoms and are symptom-free before you can go in [to clinical settings],” says DNP candidate Maureen Connolly, a certified adult nurse practitioner. “Nursing is unique in that we’re so physically close to our patients.

We’ve got to figure out a way to do this.”

So, when choosing a topic for a practice improvement project to pursue for the rest of the semester, Connolly’s DNP team of four decided to explore whether a group of nursing students could regularly check themselves for COVID-19 symptoms twice a day.

With help from the University’s Research Services staff, they created a symptom self-monitoring tool and then recruited student participants from Connell’s Direct Entry Master’s program. The 16 who volunteered received an email twice a day (at 7 a.m. and 7 p.m.) with a link to an anonymous survey that asked respondents to document whether they were experiencing any COVID-19 symptoms, such as feeling feverish or experiencing a headache, shortness of breath, or new loss of smell. (The team used a secure web platform to record its responses.) Participants could fill out the assessment by smartphone or computer; it took only a few minutes. Anyone who felt unwell was advised to seek medical help.

To the surprise of the DNP candidates, only half of the 16 participant volunteers fully completed the symptomtracking survey during the 10-day study period. The other eight missed one or more of their symptom checks.

“In this highly motivated group of students, we thought the completion rate would be higher than 50 percent,” says project group member Sherri St. Pierre, a certified pediatric primary care nurse practitioner.

“Our feasibility study showed that 10.8 percent of the symptom survey was not completed, and a total of 38 instances of symptom monitoring was not documented,” notes team member Catherine Conahan, a certified nurse practitioner and oncology certified nurse.

What accounted for the lapses? The team found that technology glitches and changing daily schedules kept some study participants from consistently checking for symptoms twice a day. Another factor, the DNP candidates concluded, is that students need a compelling reason to self-assess— which some may not have felt during the study. In contrast, if they miss a day of symptom screening during the semester, “they may not be able to go to their clinical placements, and then they could not finish the program,” notes team member Donna Cullinan, a certified family nurse practitioner. She says their project shed light on some of the challenges nurses face when encouraging behavior change among their patients: “As nurses, we’re always telling people to change behavior.”

With the help of Sly’s son and daughter, they produced their own three-minute video and created a simple illustrated guide on how to properly don, doff, redon, and store a respirator for extended use during shortages.

To test the materials’ effectiveness, the doctoral degree candidates recruited 15 graduate nursing students to participate in a mask-handling simulation, conducted virtually because of the pandemic. Using their video and guide as an intervention, the DNP group set up individual Zoom sessions and asked each participant to create a clinic-like space in their home. Team member Nanci Haze, a certified pediatric nurse practitioner, then talked each student through a scenario that involved caring for an 87-year-old COVID-positive patient with only one N95 mask to last all weekend.

(Counterclockwise from top left) DNP candidates Catherine Conahan, Maureen Connolly, Sherri St. Pierre, and Donna Cullinan discussed their COVID-19 behavior monitoring project during a Zoom conference call.

“They go in [to the virtual room] and I prompt them, ‘Begin the process of donning a brand new N95,’” Haze explains.

Each student donned, doffed, and redonned the respirator once, watched and read the group’s video and pamphlet, then repeated the process. Team members scored how well each step was performed, according to Beth McNutt-Clarke, a clinician who specializes in pressure injury prevention and wound management.

After the exercise, the DNP group discussed with each participant how the simulation went. They reviewed N95 tips, such as wearing a well-fitting respirator when caring for several patients with the same respiratory infection instead of removing it between encounters to limit the times one touches the mask.

Connell students aren’t using the monitoring instrument this fall; instead, those on campus are expected to check for COVID-19 symptoms once a day using Boston College’s official health-assessment tool for students, faculty, and staff. Some CSON students may also have to follow specific screening guidelines at the clinical sites where they do hands-on training.

TEACHING SAFE RESPIRATOR REUSE To develop their project on teaching safe N95 mask reuse, Sly and three fellow DNP candidates watched hundreds of instructional videos on mask wearing available through many health organizations. At the time, they found none that showed viewers how to redon a contaminated respirator.

The team found that after viewing their educational materials, all of the participants improved their maskhandling skills.

Refined over the summer, the video and guide are now being used to help Connell students prepare for PPE use in various situations, including before they begin their clinical placements. And the materials are extending the school’s reach beyond campus: in late September, an article the DNP students co-wrote with their CSON faculty mentors about proper handling of N95 respirators was published in the online journal American Nurse, and the authors were awaiting publication of another article in Nursing Management.

Hoping to reach nurses practicing in a range of settings, from home care to rural communities, the team posted their video on YouTube in late summer “so anyone can benefit,” says Sly, who adds: “It’s a way to keep nurses safe.”

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Welcoming our

new faculty

By Madeleine Schwartz

Lindsey Horrell { Assistant Professor

Lindsey Horrell, Ph.D., MPH, RN, is interested in how we can communicate better about health. Most immediately, she’s seeking strategies to appeal to adolescents and young adults (AYAs) who have survived rare and virulent forms of cancer, and who are “trying to build independence for the first time,” Horrell explains.

AYAs are often left out of the culture of traditional care, in which they are classified as children or adults, she says. “You’re either on a bed you don’t fit on with Mickey Mouse on the wall, or with a lot of really aging patients.

It can be a very isolating time.”

Horrell, who is teaching Principles of Evidence-based Nursing and Population Health Theory this year, received an MPH and a Ph.D. from the University of North Carolina at Chapel Hill. She comes to Boston College from UNC’s Gillings School of Global Public Health, where she was most recently a postdoctoral fellow in the Cancer Health Disparities Training Program. There she explored particular complications faced by young adults with cancer, from grappling with transitions in the American health care system, such as losing coverage under their parents’ health insurance plans, to changes in their personal lives, such as starting a new romantic relationship or heading off to college.

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The study of AYAs is an emerging field, Horrell says.

But recruitment can be a challenge, as teens are ready to move on. “Our current work is doing focus groups and interviews virtually, so that we don’t have to rely on participants within an immediate radius,” she says.

Health communication is a long-time area of interest for Horrell. As a graduate student, she worked with researchers at the Gillings School and the UNC-Chapel Hill School of Media and Journalism to enhance public messaging about chronic health conditions. At Boston College, she says, “I am looking forward to expanding my collaboration circle, and also continuing my collaborations with my team at UNC.”

The five researchers who joined the Connell School faculty this fall share an interest in the social determinants of health: how outside factors from access to information to economic disparity affect the way that bodies process illness. These new faculty members work in areas that range from communication about cancer among young adults to the best ways to talk about genetic indicators of health, and from health disparities among immigrants to high-risk pregnancies.

Melissa Uveges { Assistant Professor

When Melissa Uveges, Ph.D., M.A., RN, worked as a nurse in neonatal intensive care units, she sometimes found herself fixated on how decisions are made.

Watching parents make wrenching choices on behalf of babies undergoing treatment for birth defects, or thinking about what makes it easier or harder to determine whether infants with congenital abnormalities should undergo surgery are questions that helped shape her career.

Uveges earned a bachelor’s degree in chemistry from Berry College, a B.S. in nursing from the University of Florida, and an M.S. in nursing and an M.A. in religion with an ethics concentration from Yale before she was chosen for a two-year fellowship in clinical ethics at Montefiore-Einstein Center for Bioethics in N.Y. She received her Ph.D. in nursing in 2018 from Johns Hopkins University, where she focused her dissertation on decision-making among parents of infants who were receiving treatment in neonatal intensive care units for major congenital anomalies.

Currently a member of Boston Children’s Hospital’s Ethics Advisory Committee, Uveges was most recently a postdoctoral research fellow at the Harvard Medical School Center for Bioethics, where she studied decisionmaking for pediatric populations and their families.

“Genetics specialists are involved in communicating genetic information to families,” she says, “but nurses are at the bedside.” Learning how best to communicate information—about best practices or the specific legal

Photographs: Peter Julian and Lee Pellegrini

and privacy aspects of genetic information in the United States—is an expanding area of her research.

This fall, she is teaching Ethical Issues in Advanced Practice Nursing.

Uveges thinks of nurses as translators of information.

“A lot of times, nurses are…answering questions and helping [patients and families] understand what it means for them,” she explains. “Nurses tend to build close relationships with the families,” she adds. “Sometimes we’re the first ones to learn about their concerns.”

Boston College’s sense of mission drew her to the school.

“The focus around social justice really aligns well in terms of my background,” she says. She is looking forward to “thinking about how we can...prevent things like discrimination from happening when we learn new information, in genetics or other areas of health care.”

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Cherlie Magny-Normilus { Research Scholar

Shortly after Cherlie Magny-Normilus, Ph.D., FNP-BC, arrived at the Connell School, she learned that she and her research team had been awarded a timely and impressive research grant. The accomplished scholar received a K99/R00 grant from the National Institutes of Health/National Institute of Nursing Research for her project Self-Management and Glycemic Control in Adult Haitian Immigrants with Type 2 Diabetes.

Magny-Normilus’s research looks at social determinants of health care. “If you don’t have access to affordable housing and if you don’t have access to a decent environment in which to live, how can you afford good quality health care?” she observes. The COVID-19 pandemic, which has disproportionately affected communities of color, further highlights the significance of the question driving her research.

She was a young nurse working at Brigham and Women’s Hospital when she began to notice health disparities among her patients. “I saw patients here in Boston from minority groups who were having by far the worst health outcomes,” she recalls. She now researches these health disparities, focusing on Haitian immigrants with type 2 diabetes.

Magny-Normilus comes to her work from personal experience. She emigrated from Haiti to the United States at age 13 and maintains a close connection with

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her native country. In addition to conducting signal research, she has worked to help implement a collaborative nursing project in Haiti between Regis College in Weston, Mass., and Haiti’s Ministry of Health.

“I wanted to be able to contribute to what I was seeing in the community and hopefully be able to improve their overall health,” says Magny-Normilus, who taught a newly developed course called Examining Diversity in Nursing and Health Care during the summer.

Magny-Normilus is expected to transition to a tenuretrack position in 2022, once the innovative grant mechanism that funds the training portion of her funded research is completed. And she continues her research and collaboration with other faculty and staff.

“I’ve always wanted to find a voice...to help those in need,” she says. “And nursing is that voice.”

Erin Murphy-Swenson { Clinical Assistant Professor

Erin Murphy-Swenson, DNP, MSN, BSN, was working in Rwanda in 2013 when she experienced what felt like a revelation. She had traveled with four fellow midwives to Nyagatare (a town in the country’s northeast) to train birth attendants and student midwives to perform basic techniques such as episiotomy reduction, management of postpartum hemorrhage, and neonatal resuscitation.

Rwanda lacks technology such as continuous fetal monitoring devices and ultrasound machines, considered standard technology in American labor and delivery settings. Its absence gave Murphy-Swenson and her colleagues an opportunity to become more in tune with the laboring women. They had to rely solely on their skills as midwives to find indicators many doctors look for with machines.

Caring for women during pregnancy has been a centerpiece of Murphy-Swenson’s career as a registered nurse, nurse midwife, and instructor. “A lot of times people think of pregnancy as a normal healthy process,” she says. But in the United States, that’s not necessarily always the case. The maternal mortality rate in the United States is very high: 17.4 per 100,000 live births, and even higher for Black women—the worst rate in the developed world. Her work centers on “the warning signs” of a faulty pregnancy and pregnancy complications such as preeclampsia. Nurses are “the first ones to recognize that something is not going right,” she says.

Murphy-Swenson decided to pursue a career in academia to give future nursing professionals a strong educational background “so that they can go on to continue to improve the future of health care and ultimately patient outcomes,” she said. Until recently, she was an assistant professor at the Massachusetts College of Pharmacy and Health Sciences. This year, she is co-teaching the Childbearing Nursing Theory didactic course and Women’s Health Advanced Practice Nursing I, and taking on a clinical group on a labor and delivery and postpartum unit. “I am looking forward to educating the providers who will be at the bedside, continually assessing and caring for and educating patients about the importance of understanding not only the normal but also the abnormal, to help with prevention, recognition, and early intervention.”

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Patricia Underwood { Clinical Assistant Professor

Patricia Underwood, Ph.D. ’10, FNP-BC, RN, joins BC this fall from the endocrinology unit of the VA Boston Healthcare System. She runs a VA clinic in Bedford, Mass., where she cares for patients who use insulin pumps, continuous glucose monitors, and other forms of diabetes treatment technology and assistance—all in a virtual setting. Her work involves video and telephone sessions with patients, a program started about a year ago that has been expanded during the pandemic.

She was the first provider in the endocrine clinic at VA in Boston to use virtual care on a weekly basis, she says.

“We saw the benefit of providing virtual visits because many of our veterans lived in rural areas. It’s very hard for them to get into the city.”

The chronic nature of diabetes interests Underwood. For one thing, she explains, “you can work with patients throughout their lives. It’s not the kind of thing that we can treat and [it] goes away.”

She was drawn to the complex medical disorder after working in a solid organ transplant unit, where many of the patients ended up developing diabetes because of the immunosuppressant medications they were prescribed. That experience, she says, furthered her interest in “how diabetes develops in different people and during the course of different treatments.”

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Underwood has researched the genetic underpinnings of diabetes and hypertension and studied the effect of a nurse practitioner-led hospital team that aims to improve diabetes care for patients going into surgery.

At BC, she is teaching a master’s-level clinical course called Primary Care for Families/Advanced Practice Nursing I. She is also overseeing nurse practitioner students in clinic two days a week.

Underwood is looking forward to returning to Boston College, where she completed both master’s and Ph.D. degrees, and so, she says, is her family, which is made up of “big BC sports fans.”

faculty publications Nadia Abuelezam Abuelezam, N. N. (2020). Health Equity During COVID-19: The Case of Arab Americans. American Journal of Preventive Medicine, 59(3), 455–457.

DOI: 10.1016/j.amepre.2020.06.004 Abuelezam, N. N., Cuevas, A. G., Galea, S., & Hawkins, S. S. (2020). Maternal Health Behaviors and Infant Health Outcomes Among Arab American and Non-Hispanic White Mothers in Massachusetts, 2012-2016. Public Health Reports, 135(5), 658–667. DOI: 10.1177/0033354920941146 Abuelezam, N. N. (2020). Teaching Public Health Will Never Be the Same. American Journal of Public Health, 110(7), 976–977. DOI: 10.2105/ AJPH.2020.305710 White, B. P., Abuelezam, N. N., Dwyer, A. A., & Fontenot, H. B. (2020). A Sexual Health Course for Advanced Practice Registered Nurses: Effect on Preparedness, Comfort, and Confidence in Delivering Comprehensive Care. Nurse Education Today, 92. Advance online publication. DOI: 10.1016/j.nedt.2020.104506 Gilman, S. E., Arah, O. A., Bates, L., Branas, C. C., Cozier, Y. C., Datta, G. D., … Abuelezam, N. N. (2020). The Society for Epidemiologic Research and the Future of Diversity and Inclusion in Epidemiology. American Journal of Epidemiology,189(10), 1049–1052. DOI: 10.1093/aje/kwaa109 Abuelezam N. N., & El-Sayed A. M. (2020) The Health of Arab Americans in the United States: An Update. In Laher I. (Ed.), Handbook of Healthcare in the Arab World. Switzerland: Springer.

Stewart Bond Bond, S., Schumacher, K., Dietrich, M. S., Wells, N., Militsakh, O., & Murphy, B. A. (2020).

Initial Psychometric Testing of the Head and Neck Cancer Patient Self-Management Inventory (HNC-PSMI). European Journal of Oncology Nursing, 47. Advance online publication.

DOI: 10.1016/j.ejon.2020.101751

Andrew Dwyer Dwyer, A. A., & Quinton, R. (2020). Editorial: New Aspects in Hypogonadism. Frontiers in Endocrinology, 11, 426. DOI: 10.3389/fendo.2020.00426 Dwyer, A. A. (2020). Psychosexual Effects Resulting from Delayed, Incomplete, or Absent Puberty. Current Opinion in Endocrine and Metabolic Research, 14, 15–21. DOI: 10.1016/ j.coemr.2020.04.003

Dwyer, A. A., Hesse-Biber, S., Flynn, B., & Remick, S. (2020). Parent of Origin Effects on Family Communication of Risk in BRCA+ Women: A Qualitative Investigation of Human Factors in Cascade Screening. Cancers, 12(8), 2316. DOI: 10.3390/cancers12082316 White, B. P., Abuelezam, N. N., Dwyer, A. A., & Fontenot, H. B. (2020). A Sexual Health Course for Advanced Practice Registered Nurses: Effect on Preparedness, Comfort, and Confidence in Delivering Comprehensive Care. Nurse Education Today, 92, 104506. Advance online publication.

DOI: 10.1016/j.nedt.2020.104506 Mouron-Hryciuk, J., Stoppa-Vaucher, S., Busiah, K., Bouthors, T., Antoniou, M. C., Jacot, E., …

Dwyer, A., Roth-Kleiner, M., & Hauschild, M. (2020). Congenital Hyperinsulinism: Two Case Reports with Different Rare Variants in ABCC8.

Annals of Pediatric Endocrinology & Metabolism.

Advance online publication. DOI: 10.6065/ apem.2040042.021 Mosbah, H., Bouvattier, C., Maione, L., Trabado, S., De Filippo, G., Cartes, A., … Dwyer, A. A., Coutant, R., & Young, J. (2020). GnRH Stimulation Testing and Serum Inhibin B in Males: Insufficient Specificity for Discriminating Between Congenital Hypogonadotropic Hypogonadism from Constitutional Delay of Growth and Puberty. Human Reproduction, 35(10), 2312–2322. DOI: 10.1093/humrep/deaa185

Joyce Edmonds Edmonds, J. K., Ivanof, J., & Kafulafula, U. (2020).

Midwife Led Units: Transforming Maternity Care Globally. Annals of Global Health, 86(1), 44. DOI: 10.5334/aogh.2794 Stoll, K. H., Downe, S., Edmonds, J., Mechthild, M., Gross, R. M., Malott, A., McAra-Couper, J., …

ICAPP Study Team. (2020). A Survey of University Students’ Preferences for Midwifery Care and Community Birth Options in 8 High-Income Countries. Journal of Midwifery & Women’s Health, 65(1), 131–141. DOI: 10.1111/jmwh.13069 Suzuki, L. K., & Edmonds, J. K. (2020). The Community Guide: A Living Resource for Nursing Practice. The American Journal of Nursing, 120(3), 55–57. DOI: 10.1097/01.NAJ.0000656352.36531.5d

Jane Flanagan Walsh, E. P., Flanagan, J. M., & Matthew, P. (2020). The Last Day Narratives: An Exploration of the End of Life for Patients with Cancer from a Caregivers’ Perspective. Journal of Palliative Care Medicine, 23(9), 1172–1176. DOI: 10.1089/ jpm.2019.0648 Winters, L., Post, K., & Flanagan, J. M. (2020).

A Web-Streamed Yoga Intervention for Breast Cancer Survivors. Journal of Creative Nursing, 26(3), e70–e76. DOI: 10.1891/CRNR-D-19-00005 Flanagan, J. M. (2020). Listening, Leading, Healing. International Journal of Nursing Knowledge, 31(3), 163. DOI: 10.1111/2047-3095.12297 Post, K., Berry, D., Shindul-Rothschild, J., & Flanagan, J. M. (2020). Patient Engagement in Breast Cancer Survivorship Care. Cancer Nursing.

Advance online publication. DOI: 10.1097/ NCC.0000000000000853 Flanagan, J. M. (2020). Author Guidelines and Board Updates. International Journal of Nursing Knowledge, 31(1), 3. DOI: 10.1111/2047-3095.12276 Flanagan, J. M. (2020). In a Time of Pandemic.

International Journal of Nursing Knowledge, 31(2), 86. DOI: 10.1111/2047-3095.12284

Mei Fu Armer, J. M., Ostby, P. L., Ginex, P. K., Beck, M., Deng, J., Fu, M. R., … Morgan, R. L. (2020).

ONS GuidelinesTM for Cancer Treatment-Related Lymphedema. Oncology Nursing Forum, 47(5), 518–538. DOI: 10.1188/20.ONF.518-538 Gormley, M., Ghazal, L., Fu, M. R., Van Cleave, J. H., Knobf, T., & Hammer, M. (2020). An Integrative Review on Factors Contributing to Fear of Cancer Recurrence Among Young Adult Breast Cancer Survivors. Cancer Nursing.

Advance online publication. DOI: 10.1097/ NCC.0000000000000858 Jones, K. F., Fu, M. R., Merlin, J., … Lee, C., & Wood, L. (2020). Exploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors: An Integrative Review. Journal of Pain and Symptom Management. Advance online publication. DOI: 10.1016/j.jpainsymman.2020.08.015

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faculty publications Tilley, C. P., Fu, M. R., Van Cleeve, J., Crocilla, B. L., & Comfort, C. P. (2020). Symptoms of Malignant Fungating Wounds and Functional Performance Among Patients with Advanced Cancer: An Integrative Review from 2000 to 2019. Journal of Palliative Medicine, 23(6), 848–862. DOI: 10.1089/ jpm.2019.0617

Christopher Lee

Hu, Z.-Y., Feng, X.-Q., Fu, M. R., Yu, R., & Zhao, H.-L. (2020). Symptom Patterns, Physical Function and Quality of Life Among Head and Neck Cancer Patients Prior to and After Surgical Treatment: A Prospective Study. European Journal of Oncology Nursing, 46, 101770. DOI: 10.1016/ j.ejon.2020.101770

Lee, C. S., Faulkner, K. M., & Thompson, J. H. (2020). Identifying Subgroups: Part 1: Patterns Among Cross-sectional Data. European Journal of Cardiovascular Nursing. DOI: 10.1177/1474515120911323

Susan Gennaro Gennaro, S. (2020). 2020: The Year of the Nurse as Seen Through a Coronavirus Lens. Journal of Nursing Scholarship, 52(3), 231–232. DOI: 10.1111/ jnu.12556

Allyssa Harris Fantasia, H., Harris, A. L., & Fontenot, H. B. (2020). Guidelines for Nurse Practitioners in Gynecologic Settings (12th ed.). New York, NY: Springer Publishing.

Nanci Haze Clarke, B., Haze, N., Sly, J., Thomas, A., Ponte, P. R., & Jurgens, C. Y. (2020). Proper Use of N95 Respirators. American Nurse Journal.

Corrine Jurgens Faulkner, K. M., Jurgens, C. Y., Denfeld, Q. E., Lyons, K. S., Thompson, J. H., & Lee, C. S. (2020).

Identifying Unique Profiles of Perceived Dyspnea Burden in Heart Failure. Heart & Lung, 49(5), 488–494. DOI: 10.1016/j.hrtlng.2020.03.026 Kornahrens, A., Waryold, J., & Jurgens, C. (2020).

Improving Hepatitis C Screening in the Primary Care Outpatient Setting for Individuals in Birth Cohort 1945–1965. The Journal for Nurse Practitioners. Advance online publication.

DOI: 10.1016/j.nurpra.2020.06.013 Luo, H., Lindell, D. F., Jurgens, C., Fan, Y., & Yu, L. (2020). Symptom Perception and Influencing Factors in Chinese Patients with Heart Failure: A Preliminary Exploration. International Journal of Environmental Research and Public Health, 17(8), 2692. DOI: 10.3390/ijerph17082692 Clarke, B., Haze, N., Sly, J., Thomas, A., Ponte, P. R., & Jurgens, C. Y. (2020). Proper Use of N95 Respirators. American Nurse Journal.

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Lee, C. S., Sethares, K. A., Thompson, J. H., Faulkner, K. M., Aarons, E., & Lyons, K. S. (2020).

Patterns of Heart Failure Dyadic Illness Management: The Important Role of Gender.

Journal of Cardiovascular Nursing, 35(5), 416–422.

DOI: 10.1097/JCN.0000000000000695

Denfeld, Q. E., Bidwell, J. T., Gelow, J. M., Mudd, J. O., Chien, C. V., Hiatt, S. O., & Lee, C. S. (2020).

Cross-classification of Physical and Affective Symptom Clusters and 180-day Event-free Survival in Moderate to Advanced Heart Failure.

Heart and Lung, 49(2), 151–157. DOI: 10.1016/ j.hrtlng.2019.11.004 Reading Turchioe, M., Grossman, L. V., Baik, D., Lee, C. S., … Masterson Creber, R. M. (2020).

Older Adults Can Successfully Monitor Symptoms Using an Inclusively Designed Mobile Application.

Journal of the American Geriatrics Society, 68(6), 1313–1318. DOI: 10.1111/jgs.16403 Iovino, P., Lyons, K. S., De Maria, M., Vellone, E., Ausili, D., Lee, C. S., … Matarese, M. (2020).

Patient and Caregiver Contributions to Self-care in Multiple Chronic Conditions: A Multilevel Modelling Analysis. International Journal of Nursing Studies. Advance online publication.

DOI: 10.1016/j.ijnurstu.2020.103574 Pressler, S. J., Jung, M., Lee, C. S., Arkins, T. P., O’Donnell, D., Cook, R., … Pang, P. S. (2020).

Predictors of Emergency Medical Services Use

by Adults with Heart Failure; 2009–2017.

Heart and Lung, 49(5), 475–480. DOI: 10.1016/ j.hrtlng.2020.03.002 Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., … Riegel, B. (2020). Self-care Research: How to Grow the Evidence Base? International Journal of Nursing Studies, 105, 103555. DOI: 10.1016/j. ijnurstu.2020.103555 Lyons, K. S., Johnson, S. H., & Lee, C. S. (2020).

The Role of Symptom Appraisal, Concealment and Social Support in Optimizing Dyadic Mental Health in Heart Failure. Aging and Mental Health.

DOI: 10.1080/13607863.2020.1711866

Lyons, K. S., & Lee, C. S. (2020). A Multilevel Modeling Approach to Examine Incongruent Illness Appraisals in Family Care Dyads over Time. Journal of Family Nursing, 26(3), 229–239.

DOI: 10.1177/1074840720944439 Jones, K. F., Fu, M. R., Merlin, J., … Lee, C., & Wood, L. (2020). Exploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors: An Integrative Review. Journal of Pain and Symptom Management. Advance online publication. DOI: 10.1016/j.jpainsymman.2020.08.015 Faulkner, K. M., Jurgens, C. Y., Denfeld, Q. E., Lyons, K. S., Thompson, J. H., & Lee, C. S. (2020).

Identifying Unique Profiles of Perceived Dyspnea Burden in Heart Failure. Heart & Lung, 49(5), 488–494. DOI: 10.1016/j.hrtlng.2020.03.026 Pucciarelli, G., Vellone, E., Bolgeo, T., Simeone, S., Alvaro, R., Lee, C. S., & Lyons, K. S. (2020).

Role of Spirituality on the Association Between Depression and Quality of Life in Stroke Survivorcare Partner Dyads. Circulation: Cardiovascular Quality and Outcomes, 13(6), e006129.

DOI: 10.1161/circoutcomes.119.006129

Karen Lyons Lyons, K. S., & Lee, C. S. (2020). A Multilevel Modeling Approach to Examine Incongruent Illness Appraisals in Family Care Dyads over Time. Journal of Family Nursing, 26(3), 229–239.

DOI: 10.1177/1074840720944439 Lyons, K. S., Johnson, S. H., & Lee, C. S. (2020).

The Role of Symptom Appraisal, Concealment and Social Support in Optimizing Dyadic Mental Health in Heart Failure. Aging and Mental Health.

DOI: 10.1080/13607863.2020.1711866 Lyons, K. S., Sadowski, T., & Lee, C. S. (2020).

The Role of Concealment and Relationship Quality on Patient Hospitalizations, Care Strain and Depressive Symptoms in Heart Failure Dyads.

European Journal of Cardiovascular Nursing, 19(2), 118–124. DOI: 10.1177/1474515119863791 Iovino, P., Lyons, K. S., De Maria, M., Vellone, E., Ausili, D., Lee, C. S., … Matarese, M. (2020).

Patient and Caregiver Contributions to Self-care in Multiple Chronic Conditions: A Multilevel Modelling Analysis. International Journal of Nursing Studies. Advance online publication.

DOI: 10.1016/j.ijnurstu.2020.103574 McCarthy, M. J., Garcia, Y. E., Dunn, D. J., Lyons, K. S., & Bakas, T. (2020). Development and Validation of a Quality of Relationship

Intervention for Stroke Survivor-Family Caregiver Dyads. Topics in Stroke Rehabilitation, 27(4), 305–315. DOI: 10.1080/10749357.2019.1690823

Feeding Symptoms in Healthy, Full-term Infants.

Journal of the American Association of Nurse Practitioners. DOI: 10.1097/JXX.0000000000000476

Dewan, M., Hassouneh, D., Song, M., & Lyons, K. S. (2020). Development of the Breast Cancer Stigma Scale for Arab Patients. Asia-Pacific Journal of Oncology Nursing, 7(3), 295–300. DOI: 10.4103/ apjon.apjon_14_20

Hill, R. R., & Pados, B. F. (2020). Symptoms of Problematic Feeding in Infants Under 1 Year of Age Undergoing Frenotomy: A Review Article.

Acta Paediatrica. DOI: 10.1111/apa.15473

Faulkner, K. M., Jurgens, C. Y., Denfeld, Q. E., Lyons, K. S., Thompson, J. H., & Lee, C. S. (2020).

Identifying Unique Profiles of Perceived Dyspnea Burden in Heart Failure. Heart & Lung, 49(5), 488–494. DOI: 10.1016/j.hrtlng.2020.03.026 McCarthy, M. J., Lyons, K. S., Schellinger, J., Stapleton, K., & Bakas, T. (2020). Interpersonal Relationship Challenges Among Stroke Survivors and Family Caregivers. Social Work in Health Care, 59(2), 91–107. DOI:10.1080/00981389.

2020.1714827 Lee, C. S., Sethares, K. A., Thompson, J. H., Faulkner, K. M., Aarons, E., & Lyons, K. S. (2020).

Patterns of Heart Failure Dyadic Illness Management: The Important Role of Gender.

Journal of Cardiovascular Nursing, 35(5), 416–422.

DOI: 10.1097/JCN.0000000000000695 Pucciarelli, G., Vellone, E., Bolgeo, T., Simeone, S., Alvaro, R., Lee, C. S., & Lyons, K. S. (2020).

Role of Spirituality on the Association Between Depression and Quality of Life in Stroke Survivorcare Partner Dyads. Circulation: Cardiovascular Quality and Outcomes, 13(6), e006129.

DOI: 10.1161/circoutcomes.119.006129

Beth McNutt-Clarke Clarke, B., Haze, N., Sly, J., Thomas, A., Ponte, P. R., & Jurgens, C. Y. (2020). Proper Use of N95 Respirators. American Nurse Journal.

Britt Pados Hill, R., Park, J., & Pados, B. F. (2020). Bottlefeeding Challenges in Preterm-born Infants in the First 7 Months of Life. Global Pediatric Health, 7, 1–14. DOI: 10.1177/2333794X20952688 Pados, B. F., & Fuller, K. (2020). Establishing a Foundation for Optimal Feeding Outcomes in the NICU. Nursing for Women’s Health, 24(3), 202–209. DOI: 10.1016/j.nwh.2020.03.007 Pados, B. F., Johnson, J., & Nelson, M. (2020).

Neonatal Eating Assessment Tool—Mixed Breastfeeding and Bottle-feeding: Reference Values and Factors Associated with Problematic

Pados, B. F., & Basler, A. (2020). Gastrointestinal Symptoms in Healthy, Full-term Infants Under 7 Months of Age. Journal of Pediatric Nursing, 53, 1–5. DOI: 10.1016/j.pedn.2020.03.011 Pados, B. F., & Davitt, E. S. (2020). Pathophysiology of Gastroesophageal Reflux Disease in Infants and Non-Pharmacologic Strategies for Symptom Management. Nursing for Women’s Health, 24(2), 101–114. DOI: 10.1016/j.nwh.2020.01.005 Pados, B. F., & Yamasaki, J. (2020). Symptoms of Gastroesophageal Reflux in Healthy, Fullterm Infants Less Than 7 Months Old. Nursing for Women’s Health, 24(2), 84–90. DOI: 10.1016/ j.nwh.2020.01.006

Jinhee Park Hill, R., Park, J., & Pados, B. F. (2020). Bottlefeeding Challenges in Preterm-born Infants in the First 7 Months of Life. Global Pediatric Health, 7, 1–14. DOI: 10.1177/2333794X20952688

Patricia Reid Ponte Clarke, B., Haze, N., Sly, J., Thomas, A., Ponte, P. R., & Jurgens, C. Y. (2020). Proper Use of N95 Respirators. American Nurse Journal.

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Allan Thomas Clarke, B., Haze, N., Sly, J., Thomas, A., Ponte, P. R., & Jurgens, C. Y. (2020). Proper Use of N95 Respirators. American Nurse Journal.

Lisa Wood Jones, K. F., Fu, M. R., Merlin, J., … Lee, C., & Wood, L. (2020). Exploring Factors Associated with Long-Term Opioid Therapy in Cancer Survivors: An Integrative Review. Journal of Pain and Symptom Management. Advance online publication. DOI: 10.1016/j.jpainsymman.2020.08.015

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2020: Year of the Nurse Throughout 2020—the Year of the Nurse—CSON alumni, faculty, and students shared their stories of what nursing means to them, and how they find purpose and a sense of place within their calling.

From a patient laboring with her second child to a family crisis in hospice, Boston College nurses treat the whole patient. Scan this code to view videos.

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