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Volume 92

Number 2

Frontier Nursing University to Establish New Campus in Versailles, Kentucky

TABLE OF CONTENTS Introduction to FNU................................................................................1 The Journey – Dr. Susan Stone.................................................................2 Alumni Spotlight......................................................................................6 Student Spotlight......................................................................................8 Courier Corner.........................................................................................9 Courier Spotlight....................................................................................10 Field Notes ..............................................................................................12 Beyond the Mountains...........................................................................16 Notes........................................................................................................21 Wendover Report....................................................................................23 Footprints................................................................................................25 Tributes....................................................................................................27 In Memoriam..........................................................................................28 Trustees...................................................................................................30 Board of Directors..................................................................................31 Your Gifts at Work..................................................................................32 Ways to Give............................................................................................33

US ISSN 0016-2116 Frontier Nursing Service Quarterly Bulletin (USPS 835-740, ISSN 00162116) is published at the end of each quarter by Frontier Nursing Service, Inc., 132 FNS Dr., Wendover, KY 41775. Periodicals Postage Paid at Hyden, KY, and at additional mailing offices. Subscriptions: $5 per year. POSTMASTER: Send address changes to Frontier Nursing Service Quarterly Bulletin, 132 FNS Dr., Wendover, KY 41775. Copyright FNS, Inc. All Rights Reserved. Frontier does not share its donor mailing list.


Introduction to Frontier Nursing University


ary Breckinridge spent her early years in many parts of the world — Russia, France, Switzerland and the British Isles. After the deaths of her two children, she abandoned the homebound life expected of women of her class to devote herself to the service of families, with a particular focus on children. Mrs. Breckinridge founded the Frontier Nursing Service in 1925 after several years of studying and practicing nursing and midwifery in the United States, England, Scotland and France. It was the first organization in America to use nurses trained as midwives collaborating with a single medical doctor, based at their small hospital in Hyden. Originally the staff was composed o  f nurse-midwives trained in England. They Our aim has always been traveled on horseback and on foot to provide to see ourselves surpassed, quality primary care, including maternity care, to families in their own homes. In 1928, and on a larger scale.” she recruited young people to serve as Couriers –Mary Breckinridge, and help the Frontier staff and nurse-midwives in Wide Neighborhoods, 1952 all manner of efforts. In 1939, Mrs. Breckinridge established a school of nurse-midwifery. The school provided graduates, many of whom stayed to offer care to families in Leslie County, Kentucky.

Today, Mrs. Breckinridge’s legacy extends far beyond Eastern Kentucky through Frontier Nursing University (FNU), which offers a Doctor of Nursing Practice degree and a Master of Science in Nursing degree with tracks as a Nurse-Midwife, Family Nurse Practitioner and Women’s Health Care Nurse Practitioner. FNU has students and graduates serving all 50 states and many countries.

How to Reach Us The Office of Development and Alumni Relations: Please direct questions, comments or updates to Denise Barrett, Director of Development, at (859) 899-2828 or send an e-mail to The Wendover Bed & Breakfast Inn: The Big House, Mary Breckinridge’s home, is a licensed Bed & Breakfast Inn located at Wendover. For reservations or to arrange a tour, call Michael Claussen, Development Officer, at (859) 899-2707 or e-mail Group tours can be arranged, and we are always happy to set up tours for organizations and educational programs with an interest in nursing history and Appalachian studies.



the journey

Frontier Nursing University to Establish New Campus


e would like to share with you important updates on the Versailles Campus expansion of Frontier Nursing University. Frontier Nursing University has reached a pivotal time in our 78-year history. When Mary Breckinridge founded the Frontier Nursing Service she had a vision that her work could be replicated throughout the country and the world. Mary Breckinridge’s vision of increasing access to healthcare and improving lives of families is now accomplished worldwide through the work of FNU graduates. To best meet the needs of our current and future students, as well as the national need for more advanced practice nurses and midwives, FNU will move the campus to a new location in Versailles, Ky., in 2018.

We will continue to expand our enrollment and program offerings in order to meet the growing demand for access to quality healthcare nationwide, especially in rural and underserved areas. We have the opportunity to continue the Frontier traditions of learning and excellence in education with expansion to a larger and more conveniently located campus. As we announced in 2016, Frontier is purchasing a campus in Versailles, Ky. While this location continues to keep our university in a rural county, it is also less than 10 minutes from the Lexington Bluegrass Airport and accessible from major highways. The Versailles Campus has the buildings needed to operate a campus with teaching and learning facilities and lodging for students and faculty. This purchase will not require any additional tuition increases or financial burdens passed on to students.


QUARTERLY BULLETIN At the April 2017 Board of Directors meeting, the board reviewed a design and renovation proposal from a consulting firm engaged to help us with renovation plans for the new campus. The detailed plans determined that the campus at Versailles will allow us to have increased office and administrative space, increased housing capacity and expanded education and simulation facilities. While the timeline is tentative, our target is to move all student orientations (Frontier Bound and Bridge Bounds) and Clinical Bounds to the Versailles campus in the fall of 2018. The Courier Program will continue to be based in Wendover, Ky. We may need to adjust this timeline based on the progress of the construction plans. This decision was made by the Board of Directors after closely analyzing all of the options.

We will never lose sight of our history and tradition. The legacy of Frontier Nursing University will always be rooted at Wendover.

Our vision is that the opening of the Versailles Campus will permanently establish Frontier as the leader in advanced nursing and midwifery education, as a national model of excellence for distance learning for advanced nursing, as the heart of the nurse-midwifery profession for the United States and as the new center of the Frontier education community. In addition to hosting our students, we envision gathering leaders in the field for national and regional meetings, hosting supporters of the mission to see their contributions “in action�, and being a home for demonstration projects in our fields.

left: Architectural rendering of the new entrance to Frontier Nursing University

right: The new guard house at the entrance to FNU



The proposed new campus and dormitory space at Frontier Nursing University

We will never lose sight of our history and tradition. The legacy of Frontier Nursing University will always be rooted at Wendover, the original home of Mary Breckinridge. As we move forward, we will continue operations of the Wendover campus including the Bed and Breakfast Inn for overnight guests, tours, retreats, Courier operations and many group meetings. Plans are not yet finalized for the Hyden campus. We plan to offer new and returning students optional tours to Hyden during their campus visits. In the coming months, we will add FAQs, images and updates regarding the Versailles campus to our website. We value everyone in our Frontier Nursing community and encourage you to ask questions and share your thoughts. Please direct feedback and questions to me or Denise Barrett, Director of Development.

Susan E. Stone, DNSc, CNM, FAAN, FACNM President

Dr. Susan Stone, President: Denise Barrett, Director of Development:



Top: The proposed "tranquil space" at FNU; right: Proposed social gathering space

Top: The new space will include a ravine and bridge across the current creek; right: Proposed space for the campus quad



alumni spotlight

Jana Esden, DNP, APNP, FNP-BC; Associate Professor, DNP Class 06


chose Frontier for my family nurse practitioner education in part due to its mission in serving the underserved. At the time of my graduation, I felt well prepared to serve this population. Over the last eight years as faculty at FNU, I have continued to serve in a clinical practice role. I have worked in a few different settings from volunteering at evening clinics with long lines and very little resources, to providing care to patients with chronic conditions at a hospital-sponsored free clinic. My most recent work has been by far the most challenging but also incredibly rewarding. I currently work in a community clinic, serving homeless men at a transitional housing complex. I also see patients transported over from a local warming shelter, which is a facility that provides dinner, breakfast and a sleeping mat for both men and women in our homeless community. These patients have many times not seen a health care provider in years and have multiple uncontrolled chronic conditions. Additionally, most all have a history of adverse childhood experiences (ACEs). ACEs, which include various types of childhood abuse and household dysfunction, are actually very common. Over half of the U.S. population has suffered at least one ACE. Health literature has repeatedly linked ACEs with unfavorable adult health outcomes including mental illness, substance abuse, various chronic illnesses, disability and early death. Toxic stress resulting from ACEs affects brain development in young children and changes the architecture of the brain. These changes influence behavior, learning and overall health. Toxic stress also affects the nervous system, hormone regulation, and even causes alterations in DNA. In order to provide appropriate care to ACE survivors, it is important for nurse practitioners to be aware of the detrimental effects of childhood trauma on adult health. My role involves preventative care and the management of chronic conditions, but one of my most important jobs is to build trust with patients. Evidence 6


My sincere hope is that all of our students are able to find a niche – a certain population or a specific focus – that really calls to them. I have found this in my work with the underserved.

suggests that patients are not offended when asked about past trauma and actually feel relieved to discuss these experiences. I screen all of my patients specifically for ACEs and educate them on how these experiences have influenced their journey into adulthood and have impacted their current situations and overall health. I screen all patients for anxiety, depression, and substance abuse, and I encourage them to attend cognitive behavioral therapy with one of our trauma-informed counselors.

I have discovered that many of my patients have not had a provider whom they felt really cared about them prior to coming to our small clinic. If we build relationships and trust with our patients, we have more opportunity to help them in improving their health. Caring for these patients has been professionally fulfilling for me, and I am privileged to have the opportunity to pass on my knowledge of caring for underserved populations to my students. My sincere hope is that all of our students are able to find a niche — a certain population or a specific focus — that really calls to them. I have found this in my work with the underserved.



student spotlight

Captain Stefanie Schwarz, CNEP Class 145


s a labor and delivery nurse for the United States Army, Frontier Nursing University (FNU) student Stefanie Schwarz enjoys serving active duty military members and their families. She is also currently pursuing her Master of Science in Nursing degree and is projected to graduate as a certified nurse-midwife in 2018 (Class 145). In her newest duty station in Woodbridge, Va., Captain Schwarz has quickly implemented an important tool she learned in her previous duty stations: the postpartum hemorrhage kit. “By creating the postpartum hemorrhage kits for my staff, we are able to pull the kits during an emergency to have access to all the necessary supplies and medications in one convenient place,” said Schwarz. In the past, medication that needed to be refrigerated was often thrown away unnecessarily once it sat out too long. Now the kits are being placed back into the refrigerator if not used, which means that the medication in the kits is being preserved. Not only does this save the pharmacy and the hospital thousands of dollars every month, it is instrumental in helping to improve patient safety. Schwarz is a Captain in the Army and was recently honored with a “good catch” award from her unit for developing this tool. The Frontier community is proud to have students like Schwarz who are not only great health care workers, but also look to immediately improve their health care setting. According to Schwarz, choosing FNU as her university for the next step in her education wasn’t a difficult decision. “FNU has a great reputation of bringing a unique set of people together to become nurse-midwives, and I wanted to be a part of that,” she said. Thank you, Captain Schwarz, for all that you are doing to care for those serving our country. 8


courier corner


he last two years I have had the privilege of working as the Courier Coordinator for FNU. Through this position, I have met some very bright and talented young people who have come to serve in Appalachia for the summer as Couriers. I have met phenomenal Courier Alumni whose stories, triumphs and lives after Frontier have personally inspired me. The phenomenal site mentors, community partners and Hyden community leaders who have taken up the charge to tirelessly work alongside our Couriers to share, teach and inspire them have been nothing short of amazing. I have sincerely enjoyed working on this program of which I have become deeply invested and committed to over the last two years. After much consideration, I have decided it is time for me to answer my own personal call. As such, I have started a new journey as a nursing student beginning this fall. I will leave FNU at the beginning of August 2017. I have truly enjoyed my last seven years of service to FNU and look forward to the new adventures ahead of me! Best, Mandy Hancock, Courier Coordinator

Americorps VISTA We would like to thank Kiersten White for her one-year service to Frontier as our Americorps VISTA volunteer and welcome Austyn Caudill as our 20172018 VISTA volunteer! The VISTA program provides support to the Courier program and leads community health projects in southeastern Kentucky. We wish Kiersten and Mandy the very best in their new ventures!



courier spotlight

2017 Couriers Leave a Lasting Impact in the Communities They Served


hile they were only here for a mere eight weeks, the 2017 Couriers were able to accomplish and experience many things this summer. Couriers spent an average of 35-40 hours a week at their clinical sites and with community partners. Their work spanned across Leslie, Perry, and Clay Counties in Kentucky as well as Wise, Va. Prior to starting their experiences, seven Couriers had the opportunity to attend FNU’s annual Diversity Impact Weekend. They learned about diversity in healthcare and also attended a session about the history of Appalachia. Outside of their sites, Couriers have also had the opportunity to have meals with FNU Dean Dr. Julie Marfell and pioneer graduate Jean Fee. In July, seven Couriers assisted with Red Bird Mission’s annual health fair. They also spent a weekend at the largest Remote Area Medical (RAM) event in the country. In addition to all of this service, Couriers assisted with six student dinners at the Big House. As part of their clinical work, each Courier led a special project created for their site. Ronnie Sloan and Brigid Horan assisted with the organization of the Red Bird Health Fair. Calla Michalak helped acquire pedometers for patients at Hometown Clinic. Brie Belz worked on informative literature dispelling myths about needle exchange programs, and Matt Hodges assisted with the introduction of Narcan®



into local clinics. Claire Gasparovich served with Health Wagon and Camp Bethel in Wise, Va. She created systems to provide more efficient development for next year’s interns working on Health Wagon’s Remote Area Medical (RAM) event. Brittany Imel served with Mary Breckinridge ARH Hospital, the Leslie County Public Library, and the Stinnett Community Center. She worked with Dr. Haas, the hospital’s new pediatrician, to create and present health programming for youth attending Big Creek Missions’ summer camp. Zandy Stovicek served with Kentucky River District Health Department, Stinnett Community Center, and Bluegrass Care Navigators. She worked with the health department to revamp prenatal care within Leslie County.

Couriers Attend Remote Area Medical (RAM) Event in Partnership with Health Wagon The Couriers attended the Remote Area Medical (RAM) event in Wise, Va. The Remote Area Medical’s mission to prevent pain and alleviate suffering is fueled by donors and volunteers who support the operation of mobile medical clinics that deliver free, high-quality vision, dental, and medical services to children, individuals, and families who do not have access or cannot afford a visit to a doctor. Since 1985, RAM’s Corps of more than 100,000 Humanitarian Volunteers, comprised of licensed dental, vision, veterinary, and medical professionals, have treated more than 700,000 individuals and 67,000 animals, delivering $112 million worth of free health care services.

One of the highlights of the Courier experience this year was the Remote Area Medical event. The Couriers supported the operation of a mobile medical clinic, delivering free medical services to those without access or means to visit a doctor.



field notes

Outstanding speakers highlight FNU’s Diversity Impact Conference


ur 2017 Diversity Impact Student Conference, hosted by the FNU Diversity PRIDE Program student organization, was held June 1-4 at our campus in Hyden, Ky. Keynote speaker Dr. Eric Williams, DNP RN CNE, President of the National Black Nurses Association, headlined our distinguished roster of speakers. Other speakers included Capt. James Dickens, DNP NP FAANP, US Dept. Health & Human Services; Shane Barton, Community and Economic Development Initiative of Kentucky (CEDIK), University of Kentucky; Dr. Vernellia Randall, JD MSN, author of Dying While Black; Dr. Susan Stone, DNSc, CNM, FAAN, FACNM, President of FNU; Dr. Trish McQuillin Voss, ND/ DNP, MSN, CNM, FNU Faculty; Essence Williams, RN, BSN, CBC, CCE, CNEP Class 140; and Heidi Carter, RN ADN, CNEP/Bridge Class 129. Diversity Impact 2017 welcomed participants who have a desire to join FNU’s legacy of providing culturally competent care to rural and underserved communities. Students engaged in cross-cultural and intercultural workshop activities, along with leadership strategies on current diversity healthcare trends as it relates to patient-provider care. We would like to offer a special thanks to our sponsors, who made this conference possible: Silver Sponsor:

Bronze Sponsors:

Individual Sponsors: Mickey Gillmor-Kahn; Diane John; Phyllis Leppert; Kerri Schuiling; Maria Valentin-Welch



Attendees of the Diversity Impact Conference were treated to a roster of high-level speakers as well as cross-cultural and intercultural workshops.



Frontier Nursing University Awarded $1,998,000 Nursing Workforce Diversity Grant Frontier Nursing University (FNU) has been awarded the Nursing Workforce Diversity grant from the Health Resources and Services Administration (HRSA). The grant totals $1,998,000 in funding in support of a four-year project that will be led by FNU with assistance from several key partner organizations. The goal of the Nursing Workforce Diversity program is to increase access to high quality, culturally-aligned advanced practice nurses and midwives that reflect the diversity of the communities in which they serve. The grant, which provides $499,500 per year, supports a proposed project in which FNU will implement a comprehensive systems approach to implementing five evidence-based strategies to support disadvantaged advanced practice nursing students from recruitment through graduation. The social determinants of education will be used as a framework to assess student needs and guide activities throughout the course of the project. The overall aim of the program is to increase the recruitment, enrollment, retention, and graduation of students from disadvantaged backgrounds. Through education and training in Frontier Nursing University’s advanced nursing and midwifery programs, these students will be prepared to provide advanced practice nursing and midwifery health care services across the U.S. Findings from an American Association of Colleges of Nursing policy brief (2016) found that racial and ethnic minority groups accounted for 37% of the country’s population, yet minority nurses represent only 19% of the total registered nurse workforce (National Council of State Boards of Nursing Survey, 2013). As minority population growth rises, so does the likelihood of these populations experiencing greater health disparities such as increased rates of maternal morbidity and mortality related to childbirth, infant mortality, chronic diseases, and shorter life spans compared to the majority of Americans. There is growing evidence that greater racial diversity in the healthcare workforce is an important intervention to reduce racial health disparities. “We are extremely proud and excited to receive this grant and to be a part of such an important project,” said FNU president Dr. Susan Stone. “We are deeply committed to the goals of the NWD program and helping to overcome barriers that 14


The overall aim of the program is to increase the recruitment, enrollment, retention, and graduation of students from disadvantaged backgrounds.

hinder the success of our underrepresented students, from recruitment through graduation.� The project’s primary objectives are: 1) to achieve minimum of 30 percent minority student enrollment by June 2021, the end of the project period; 2) to increase the racial and ethnic minority retention rate and 3) to graduate an average of 100 new nurse-midwives and nurse practitioners representing racial and ethnic minorities underrepresented in nursing each year of the project period.

Grant funding will support personnel, consultants, and diversity training for faculty and staff. Retention activities, including mentor programs and writing support, will also be funded. FNU students will also benefit from substantial scholarship support and professional development opportunities. To achieve the goals of the program, FNU will formally partner with the American Association of Colleges of Nursing (AACN); the American College of Nurse-Midwives, Midwives of Color Committee (ACNM-MOCC); the National Black Nurses Association (NBNA); and Mona Wicks, a multicultural sensitivity and diversity training expert consultant.



beyond the mountains

FNU’s Dr. Susan Stone inducted as president-elect at ACNM Conference


rontier Nursing University (FNU) attended the American College of Nurse-Midwives (ACNM) annual conference May 20-24 in Chicago. As always, Frontier had a significant presence at the conference, and it was even larger this year as FNU President Susan Stone was inducted as ACNM president-elect. We also had many students, alumni and faculty members receive awards and recognition for their hard work.

FNU board members and faculty joined FNU President Susan Stone (top) at this year's conference, where she was inducted as the ACNM president-elect.

PRIDE Student Ambassadors Attend ACNM FNU’s Diversity PRIDE Program awarded two students with an expense-paid trip to the ACNM annual meeting. The two PRIDE student ambassadors were Essence Williams and Shoba Monteserin Narayana. The ambassadors attended many sessions and the Midwives of Color Committee (MOCC) reception where Essence Williams was awarded the first ever Midwives of Color Committee Student Appreciation Award. FNU PRIDE students Heidi Carter and Paris Maloof-Bury both received a stipend to attend the conference via the Varney Participant Award. It is a tremendous honor to have both recipients of this prestigious award and mentorship program be FNU students. 16


FNU Honors Student Awards •H  eidi Carter - Varney Award Recipient, PAC student representative, GlaxoSmithKline Consumer Healthcare Scholarship •P  aris Maloof-Bury - Varney Award Recipient •E  ssence Williams - Midwives of Color Committee (MOCC) Student Appreciation Award • J eanine Valrie-Logan - Midwives of Color Watson Scholarship recipient •K  aren Ojeda - Midwives of Color Watson Scholarship recipient •A  ndrea Phillips-Hall - PAC student representative •N  ancy Reinhart- Student/New Midwives Section representative •A  ndrew Youmans- ACNM Board of Directors Faculty Awards •N  iessa Meier - Immunization Champion Award •B  ecky Faye - ACNM Exemplary Affiliate Award for Region 4 - Arkansas •K  im Baraona - Teaching Excellence Award •K  athryn Schrag - Distinguished Service Award •E  ileen Thrower- Program Committee for 2018 ACNM Annual Meeting •T  onya Nicholson- Chair, ACNM Nominating Committee •K  atie Moriarty- ACNM, Board of Directors • J oani Slager, ACNM, Board of Directors •S  usan Stone, ACNM- President- Elect

Inducted as Fellows • J ill Alliman, Alumnus and Faculty •M  ayri Leslie, Alumnus •L  eslie Rathbun, Preceptor •K  ate Fouquier, Alumnus •S  herilyn Gibbs, Alumnus

Alumni Awards •N  adene Brunk - Distinguished Service Award, founder of Midwives for Haiti • Mary  Bradish - Distinguished Service Award, author of a beautiful book

of memoirs. She practiced full scope until she was 78. •M  elody Shambley - Outstanding Preceptor Award • J essica Brumley - FNU Outstanding Preceptor Award



Frontier Nursing University attends the American Association of Nurse Practitioners (AANP) National Conference held June 20-25 in Philadelphia We were excited to see so many FNU students, alumni, faculty, preceptors and friends at this event. FNU hosted our annual alumni reception as a breakfast event on Friday, June 23rd. During the event attendees heard updates from FNU Dean of Nursing Julie Marfell and Associate Director of Alumni Relations Angela Bailey. The special guest for this event was our very own Kitty Ernst who also spoke to all nurse practitioners in attendance about the value of being a preceptor and the care that nurse practitioners provide. As a big surprise for everyone in attendance, Kitty bestowed her honorary purple hat to FNU graduate, Kelly Thayer, CNM, FNP. A longstanding tradition among midwives, the purple hat is a special honor as it is awarded to one midwife every year. This year marks the first year that a purple hat has also been awarded to a nurse practitioner. We hope to continue this as an annual tradition among our FNU nurse practitioners. Another special guest we were honored to have attend our breakfast was Captain James LaVelle Dickens, DNP, RN, FNP-BC. Captain Dickens serves in the U.S. Department of Health and Human Services Regional Office (HHS), Office of the Secretary, Region VI Dallas, Texas, as a Senior Public Health Advisor for the Office of Minority Health (OMH). He recently was the premier speaker at the FNU 2017 Diversity Impact event.



FNU’s Diversity PRIDE Program awarded two students with an expense-covered trip to the AANP National Conference. The two PRIDE student ambassadors were Rachel Lien and Stefanie Anderson.

FNU Honors Student Awards •R  achel Lien and Stefanie Anderson - PRIDE Ambassador AANP Essay Contest Winners •A  ANP student volunteers selected from FNU included Heidi Bickford, Wesley Davenport, Margaret Galvez, Kathleen Henderson, Sarah Jenik, Rachel Lien, Erin Lyons, Apryl Moss, Nichole Nolan, Tina Olson, Brandy Robertson, Mandi Ruscher, Bethney Seifert, Angela Seigler, Rebekah Simmons, Regina Steele, Shelly Truhe, Deborah Young Inducted as Fellows •V  icki Stone-Gale - Faculty •K  athleen Schachman - Alumnus



FNU Students attend AACN Conference Nearly 200 students representing 92 schools in 38 states across the nation attended the American Association of Colleges of Nursing (AACN) 2017 Student Policy Summit in March, including two Frontier Nursing University (FNU) students, Mai-Lin Rollon and Chloe Haney. The AACN Student Policy Summit was a three-day conference held in Washington, DC, open to baccalaureate and graduate nursing students enrolled at an AACN member institution. Up to four students per institution were invited. Those in attendance were immersed in didactic program sessions focused on the federal policy process and nursing’s role in professional advocacy.

FNU to Attend Miles for Midwives Event in October Frontier Nursing University is proud to sponsor the 15th Annual Miles for Midwives 5K Fun-Run and Birth Fair on October 7 in New York. Miles for Midwives is a fundraiser that brings together the birth and midwifery community, runners, families and midwifery supporters for a day to recognize and celebrate the contribution of midwives in New York City and the families they serve. FNU is not only sponsoring the event, but will also be there to participate. If you would like to join the FNU group, please contact Angela Bailey, Associate Director of Development and Alumni Relations, at 859-899-2533 or angela.bailey@frontier. edu. Event Information: When: Saturday, October 7th, 8:30a-1p (rain or shine) Where: Grecian Shelter, 96 Parkside Avenue, Brooklyn, NY All proceeds go towards New York City midwives. The event is just one part of National Midwifery Week. As part of the celebration, FNU will be at the Today Show on Friday, October 6. Please join us or look for us on television! We will also be holding a case day. Please watch more details for the time and place. All alumni and students are welcome to attend! 20


NOTES The 5th edition of the book Caring for the Vulnerable is now in revision, with a scheduled publication date of August 2018. deChesnay, M. and Anderson, B (eds) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice, 5th ed Burlington, MA: Boston: Jones and Bartlett Learning. There will be eight FNU DNP graduates and one current midwifery student contributing to this book.

Frontier Alumni and Faculty Contribute to First Ever Textbook Published on U.S. Birth Centers The book, Freestanding Birth Centers, is expected to influence the future of maternal care with the most comprehensive documentation to date of the birth center model. Five Frontier Nursing University (FNU) faculty members and several Frontier alumni contributed to a new textbook for graduate students and professionals set for exhibition and a book signing at the American Association of Birth Centers’ (AABC) conference in October. Co-authored by Linda Cole, DNP, RN, CNM, Assistant Professor, Course Coordinator, Course Faculty, and Regional Clinical Faculty at FNU, and Melissa Avery, PhD, RN, CNM, FACNM, FAAN, the textbook is the first of its kind. A number of Frontier alumni, including Alisha Wilkes, DNP, CNM, ARNP and Autumn Versace Vergo, MSN, CNM, CPM, as well as alumna and current Frontier Course Faculty Jill Alliman, CNM, DNP, contributed to chapters pertaining to their professional specialties. FNU Senior Instructor Kathryn Schrag, MSN, CNM, FNP co-authored the book’s first chapter, “Organizing for Change: History, Pioneers, and the Formation of a National Organization.” Diana Jolles, CNM, MSN, FACNM, PhD(c), a Frontier instructor and Course Coordinator, also made contributions to the new book. The foreword was co-written by Ruth Watson Lubic, an FNU honoree, with Kitty Ernst, CNM, FCH, FACNM, instructor and Mary Breckinridge Chair of Midwifery at Frontier.



As part of a new partnership between University of Kentucky HealthCare and Womankind Midwives, JoAnne Burris, MSN, Nurse - Midwifery, Class 130, will empower women throughout Central Kentucky as part of the the UK Midwife Clinic. Kerry Dixon, MSN, Nurse - Midwifery, Class 41, joined the women’s health team at Western Wisconsin Health in July 2017. Western Wisconsin Health opened a birth center in July 2016 and expects to reach over 200 births this year. Katie Watkins, APRN, BSN, MSN, NP-C, Master Science Nursing, Family Nurse Practitioner, Class 128, has joined the team at One Health Cardiology Muhlenberg. The staff at Bloomin’ Babies Birth Center has delivered 115 babies since certified nurse-midwife Patty Kandiko, MSN, Nurse - Midwifery, Class 70, and her husband, Dick, began offering expectant mothers an alternative location to give birth nearly four years ago. The Grand Junction-based facility continues to grow, gaining access to St. Mary’s Hospital at the end of last year and adding a third certified nurse-midwife last month. Shannon Witt, MSN, Family Nurse Practitioner, Class 106, has joined Turner Medical Arts in Santa Barbara, bringing with her 26 years of medical experience. Witt specializes in well-women’s exams and infertility. She is also experienced in aesthetic nonsurgical vaginal rejuvenation, the O-Shot, and other aesthetic procedures including laser hair removal, ThermiSmooth and Botox. After experiencing difficulty conceiving her own son, Witt became interested in educating women about alternative methods to conceive, including artificial insemination, IVF and donor surrogacy.



wendover report Michael Claussen, Development Officer

Summertime at the Historical Headquarters


n addition to this summer’s FNU Couriers and our FNU students, Wendover has hosted many guests and groups. Nursing students and faculty from Indiana Wesleyan University and Eastern Kentucky University and a group of ladies from Women in Service to Our Communities, a non-profit organization based in Illinois, visited us for a guided historical tour and our hearty homecooked lunch. The flowers of the Jane Leigh Powell Garden were a welcome sight to this summer’s Wendover highlights and the upcoming fall colors will soon appear to celebrate the natural scenery that our little place in the Appalachian mountains has to offer. With 19 rooms for lodging and a delicious variety of family-style meals to indulge in from our melt-in-your-mouth meatloaf to our famous chicken and dumplings (and don’t forget to save room for our signature desserts), the Wendover Bed and Breakfast is a destination that can’t be missed.

Wendover Advisory Committee Notes In May, Dr. Susan Stone, Barb Gibson, Beulah Couch, Michael Claussen and members of the Wendover Advisory Committee including Hyden Mayor Carol Joseph, Angela Feltner and Janet Scott met with Barbara Napier and her staff at her B&B, Snug Hollow Farm Bed and Breakfast. Snug Hollow is one of Kentucky’s best Inns and it was a pleasure to learn from this award-winning business. Everyone enjoyed the magnificent dinner at their outdoor patio.



Handmade Items Continue To Be Requested Homemade baby caps, blankets, and scarves continue to be very needed for our FNU Students. Frontier nurse-midwifery students present a baby cap to the family of a baby whose birth they attend, and our nurse practitioner students present lap quilts or scarves to their patients. As our university continues to grow, we will need more and more of these wonderful items. The size needed for lap quilts is approximately 40 by 42 inches. Yarn should be worsted weight. We greatly appreciate the many knitting groups and friends who send items to us. These baby caps, scarves and blankets are circling the globe as our students pass them on to women and families and share the story of Mary Breckinridge and the Frontier Nursing Service. It’s such a special way to pass on the vision and mission of Frontier! Thank you to the following individuals who have recently sent items to Wendover: Amy MacDonald Harriet Palmer Carmen Maria Richardson Irene Shearer



footprints This article was taken from the Spring 1967, Quarterly Bulletin. It is interesting to read about the role of a Frontier nurse in Hyden fifty years ago.

Variety is the Spice… by Marie Sullivan, R.N. “Why do you want to go all the way down to Kentucky?” everyone asked me. I had several good offers for work, which people pointed out to me. “But I want to be a nurse-midwife,” I would reply. The Frontier Nursing Service told me I must have six months experience in rural district nursing, first. Experience I have had and experience I am having. Let me tell you a little about it… I didn’t have much of an idea of what was in store for me, but it certainly sounded interesting. I drove to Kentucky during a great snowstorm. The roads were so slick that I found the sight of abandoned cars over the embankments and in the creeks quite disconcerting. Signs warning of falling rocks made me certain I’d be caught in a landslide. When I finally reached the FNS Hospital at Hyden, I found a cozy living “I can remember room and dining room—where we spent much time setting aside a urine together. The girls were my age and very friendly. specimen to be sent The next day I began work in the hospital. It was to the lab — only to quite unlike any other hospital I’d ever worked in. be told that if that It is divided into two sections—obstetrics and genurine was to be tested eral. I was to work on the general side. Here there I would be the one usually were six to eight patients with no one but a to do it.” single R.N. to run the floor. There was no tension in the work. Whatever was not completed by one nurse could easily be picked up by the next nurse. Patient care came first and then any housekeeping or whatever might come up was done. I can remember setting aside a urine specimen to be sent to the lab—only to be told that if that urine was to be tested I would be the I one to do it. Then there was the time when I was hunting all over for the extension number to the diet kitchen only to realize that I also held the position of dietitian. I found that I played many other roles in this unique hospital: head nurse, staff nurse, aide, central service-where I did all the sterilizing of whatever needed to be sterilized, formula nurse for any infants in my care, physical therapist, lab technician, occupational therapist, inhalation therapist, circulating nurse in surgery, telephone operator. In short, just about 25


any duty that had a department head in a large city hospital was relegated to this one R.N. at Hyden Hospital. Yet the work was not overwhelming and it was quite fun to learn to do these things and then truly to give total patient care. One of my worst problems when I arrived was that of communication. The problem of semantics was great. For example, who would ever guess that when a patient said he wanted to “go out,” he wasn’t planning on going anywhere but wanted the bedpan! If I had a difficult time, I noticed that the people had an equally difficult time understanding my New England accent. Well, we patiently communicated with each other until we finally were able to understand each other quite easily. After several months of hospital work I was introduced to another facet in the care of the people in the Hyden Clinic. Here we (generally two R.N.s and the Medical Director) would see about fifty patients a day. Their problems would vary from an accident to wanting a refill of pills. Here in the clinic, I learned to evaluate a patient and to arrive at a plan of action as set forth by the Medical Director, and then to decide whether the patient could be best cared for by the nurse or if he should be seen by the doctor. Therefore, the clinic was a training ground for learning to care for sundry complaints and for learning to explain so the patient could understand the course of treatment. Finally I was introduced to district nursing which is most challenging. In this facet of our work I meet the people as a family unit and learn of the love and true hospitality of these people. Here, too, it was a challenge to adapt a simple nursing procedure-remembering all the principles behind it-to a particular home situation. It was most interesting work and I was most happy in it.



tributes The following people gave contributions to Frontier in memory of their friends or loved ones. The names in bold are the deceased. Dorothy Ehrp Sandra Krier

Gertrude Longstreth Beverly Friel

Dorothy Lee Vey Henry Vey

Dr. Thomas C Howald and Mrs. D.J Snell Howald Mr.and Mrs.Edward and Carolyn Coolidge Godfrey

Ardemis Kalousdian Sona Kalousdian and Ira Lawrence

Bernice Washburn Elizabeth Bradburn

Jane H. Hope Jane Tyrrell Kate Ireland William Leach

Dorothy Shortman John and Rosie Standish Jane Cheever Talbot Peter Talbot

Jean Perrin Wood Susan Wood Samantha Huff Wooton Joyce Fortney Hamberg

The following people gave contributions to Frontier in honor of their friends or loved ones. The names in bold are the honorees. Rosie Adle Ann Hinkhouse

Debbie Corder James Corde

Liz Almond Elizabeth Quill

Kitty Ernst Victoria Burslem Richard Geyer Susan Stone

Rene Beninger Kasia Mannix Theresa Brosius John and Rosie Standish

Harriet Frohlich Marybeth Gorke-Felice

Geovana Brown John and Rosie Standish

Helen Goodroad Charlotte Cheston Betancourt

Evelyn Chanler Leslie Chanler Brooks

Emily Hillerson John and Rosie Standish

Elia Cole Kathleen Gavin

Mary Kathryn Havcombe Susan Graham


Barbara Hoffman Amy Ford Joyce Hubbard Connie Hubbard Elizabeth Huffman Molly B. Kaylor Patricia Lawton Mary Keuther John and Rosie Standish Jeri Lake Stephen Rayburn Margaret Lambert Margaret Bruno Barbara Lemon Michael and Nancy Rust


Linda Roach Mariana Marye

Zelpha Thompson Bonnie Litorja

Patricia Nachowicz Gregory and Mary Gutgsell

Kathy Schmidt John and Rosie Standish

Robert Tyrrell Stephen Spanyer

Rebecca Pollack Ruth and Bill Lubic

Leslie Starkey John and Rosie Standish

in memoriam Bettina S. Bernard, Nurse – Midwifery, Class 04 passed away on Tuesday, February 28,

2017 at West Penn Hospital, Pittsburgh, Pa. She was born February 18, 1960 in Indiana, Pa. In September of 2002, Bettina Bernard, CNM, joined Nason OB/GYN. She completed her nurse midwifery training at the Frontier School of Midwifery & Family Nursing in Hyden, Ky. She had practiced full-scope nurse midwifery for more than six years, following 12 years of obstetrical nurse experience. With a bachelor’s degree in nursing from Indiana University, she is also a member of the American College of Nurse Midwives and the National Association of Childbearing Centers. She had worked at Indiana Hospital, Brookville Hospital and most recently at Nason Hospital in Roaring Springs. Tina was a 1978 graduate of Blairsville High School where she excelled in basketball and volleyball. She attended Mt. Aloysius College and was a graduate of IUP School of Nursing. It was very important to Bettina to maintain her relationships with all of her patients and watch their families grow. She had attended the Christian & Missionary Alliance Church of Blairsville. She enjoyed gardening and traveling. She enjoyed spending time with her family, especially her son, Elliot. Maureen Ann May, CNM, PhD of Albuquerque died unexpectedly June 18 in Barcelona, Spain, at the age of 65. Maureen was a Women’s Health Nurse Practitioner graduating from the University of Rochester and Nurse-Midwife graduating from Frontier Nursing University. From her early years, when she helped to organize a rape crisis center in Michigan to the end of her life, she advocated for the health and safety of women and their children. While she loved clinical practice, she had a burning desire to contribute to the scholarly work concerning women’s health and chose to continue her academic career in social science earning her PhD from the Maxwell School at Syracuse University in 2014. Earlier in 2017, Maureen published her first book, the culmination of life-long dedication to women and children, entitled Epiduralized Birth and Nurse Midwifery: Childbirth in


QUARTERLY BULLETIN the United States – A Medical Ethnography. This important work provides a cultural and social analysis of maternity care through the lens of nurse-midwifery in one community hospital. Maureen and her husband of 39 years Kurt Krumperman were planning their retirement in Spain to be near their son Bill and his wife Beatriz Hernandez Sanchez who had a marvelous wedding in Jerez de la Frontera Spain on June 3rd of this year. Maureen had never been happier. Maureen is remembered for her fierce advocacy for truth and justice, her wit, her willingness to help others and her big laugh. Jane Cheever Talbot, a longtime resident of Westwood and Wareham, died peacefully at

her home on March 12, 2017, surrounded by her loving family. Known as “Janie” to all who loved her, she was famous for her ability to make friends with essentially everyone she met. Her generosity of spirit, combined with her deeply curious nature, led to honest and lifelong connections. Janie was born February 28, 1945 in Boston to Jane Garfield Cheever and Charles Ezekiel Cheever. She grew up in Medfield and attended Charles River School and Milton Academy. She continued her education at Bradford Junior College, Mills College, where she majored in Art History, and then at UCLA, where she earned her teaching credential. Before starting a family with her high school sweetheart, Peter Haines Talbot, she taught fourth grade in Dover. She was a member of the Dedham Country Club, where she enjoyed playing on the tennis and golf teams, and was also an active member of the Fox Hill Garden Club. For over ten years, Janie was a gallery instructor at the Museum of Fine Arts, where her gift of teaching benefited many. She proudly served on the board of trustees at Riverview School in Sandwich. Janie will be remembered for her passionate love of nature, horses, gardening, art, travel, bridge, and above all, spending time with family and friends. In her last days, while admiring the flowers in her bay window, she let us know that she had led a full life with no regrets, knowing she was loved. Janie served as a Courier for the Frontier Nursing Service in 1964.



trustees Mrs. Mary Carol Joseph, Mayor, City of Hyden Ms. Deborah M. King, Westport, MA Mrs. Patricia Lawrence, Westwood, MA Mrs. Henry Ledford, Big Creek, KY Mrs. Marian Leibold, Cincinnati, OH Mrs. Joan Lambert McPhee, Potomac, MD Mr. Wade Mountz, Louisville, KY Mrs. Barbara Napier, Hyden, KY Dr. Spencer Noe, Lexington, KY Mrs. Frank O’Brien, Boston, MA Mr. Dean Osborne, Hyden, KY Mrs. Helen Rentch, Midway, KY Mrs. John Richardson, Washington, DC Mrs. Linda Roach, Lexington, KY Mrs. Georgia Rodes, Lexington, KY Mrs. Sandra Schreiber, Louisville, KY Mrs. Sherrie Rice Smith, Franklin, WI Mrs. Austin Smithers, Lyme, NH Mrs. Robert Steck, Arlington, MA Mrs. Mary Clay Stites, Louisville, KY Mr. Richard Sturgill, Paris, KY Ms. Mary Frazier Vaughan, Lexington, KY Mrs. LouAnne Roberts Verrier, Austin, TX Dr. Patience White, Bethesda, MD Mr. Harvie Wilkinson, Lexington, KY

Mrs. Tia Andrew, Hamilton Parish Ms. Sarah Bacon, Brooklyn, NY Mrs. Andrea Begley, Hyden, KY Mrs. Heather Bernard, Hamilton, NY Gov. Steven Beshear, Lexington, KY Mrs. Betty Brown, Louisville, KY Dr. Timothy Bukowski, Chapel Hill, NC Dr. Wallace Campbell, Berea, KY Miss Anna Carey, Hyden, KY Ms. Carlyle Carter, Evanston, IL Mrs. Jean Chapin, Oldwick, NJ Dr. Holly Cheever, Voorheesville, NY Mrs. Lois Cheston, Topsfield, MA Mrs. Julia Breckinridge Davis, Winston-Salem, NC Mrs. John Dete, West Liberty, OH Mrs. Selby Ehrlich, Bedford, NY Mrs. Robert Estill, Raleigh, NC Mrs. Angela Feltner, Hyden, KY Mrs. Noel Smith Fernandez, Pomona, NY Mr. John Grandin, Chestnut Hill, MA Dr. Joyce Fortney Hamberg, Southgate, KY Dr. Horace Henriques, Lyme, NH Mr. & Mrs. John Hodge, Berwyn, PA Mrs. Robin Frentz Isaacs, Lincoln, MA

Frontier Nursing University Susan Stone, DNSc, CNM, FAAN, FACNM, President

Shelley Aldridge, BA, Chief Operations Officer

Julie Marfell, DNP, FNP-BC, FAANP, Dean of Nursing

Denise Barrett, MBA, Director of Development and Alumni Relations

Anne Cockerham, PhD, CNM, WHNP, Associate Dean of Academic Affairs

Angela Bailey, MA, Associate Director of Development

Tonya Nicholson, DNP, CNM, WHNP-BC, CNE, Associate Dean of Midwifery and Women’s Health

Michael Claussen, BA, Development Officer

Lisa Chappell, DNP, FNP-BC Associate Dean of Family Nursing

Beulah Couch, Human Resources/Site Manager

Jacquelyne Brooks, DNP, MS, ADN-MSN Bridge Director

Barb Gibson, Facilities Manager

Michael Steinmetz, CPA, CMA, Vice President of Finance



board of directors Chair Michael Carter, DNSc, DNP, FAAN, FNP, GNP-BC, Tumbling Shoals, AR Vice Chair Michael T. Rust, Louisville, KY Secretary Wallace Campbell, PhD, Berea, KY Treasurer Della Deerfield, CPA, Richmond, KY Board Members Peter Coffin, Chair, Frontier Nursing Service, Inc. Foundation Chestnut Hill, MA Eunice (Kitty) Ernst, CNM, MPH, Perkiomenville, PA Nancy Hines, Shepherdsville, KY Jean Johnson, PhD, RN, FAAN, Cabin John, MD Phyllis Leppert, MD, PhD, Salt Lake City, UT Robert Montague, JD, Urbanna, VA Kerri Schuiling, PhD, CNM, FAAN, FACNM, Marquette, MI Peter A. Schwartz, MD, Wyomissing, PA Nancy Fugate Woods, PhD, RN, FAAN, Seattle, WA May Wykle, PhD, Cleveland, OH Board Members Emeritus John Foley, Lexington, KY Marion McCartney, CNM, FACNM, Washington, D.C. Kenneth J. Tuggle, JD, Louisville, KY

Pictured l to r: Ken Tuggle, Wallace Campbell, Marion McCartney, Della Deerfield, Phyllis Leppert, Jean Johnson, Nancy Fugate-Woods, Michael Carter, and Peter Schwartz Not pictured: Michael Rust, John Foley, Kitty Ernst, Nancy Hines, Kerri Schuiling, May Wykle, and Robert Montague



your gifts at work

Leave a Lasting Legacy with Your Planned Gift


rontier Nursing University relies on gifts from our generous donors to keep tuition for our students affordable, fund innovative project development and provide scholarships to our students. The impact of these gifts is immeasurable, as our students go on to touch countless lives throughout their healthcare careers. Simply put, the work of Frontier Nursing University could not continue without the support of our donors. Every gift has a lasting impact, but none more so than a planned gift. A planned gift can be made by making a provision in your will to provide a specific bequest to FNU, or by providing for some or all of your remaining estate to be given to FNU upon your death. These testamentary gifts are vital to FNU’s ability to continue to fulfill its mission to educate nurses to become competent, entrepreneurial, ethical and compassionate nurse-midwives and nurse practitioners who are leaders in the primary care of women and families with an emphasis on underserved and rural populations. Each of these gift avenues has specific tax implications. Please contact your attorney or financial advisor for further information. For additional information on making a gift to FNU, please visit or contact Denise Barrett, Director of Development, We would like to recognize the following members of the Banyan Tree Legacy Society who have included Frontier in their estate plans: Mrs. Eleanor Earle Ms. Marybeth Gorke-Felice Rev. and Mrs. Andrew Kilpatrick Mr. Thrygve Meeker Mrs. Elizabeth Miner Mr. Robert Montague Dr. Jane Owens

Ms. Kendra Adkisson Ms. Joselyn Bacon Ms. Connie Becker Ms. Carlyle Carter Ms. Charlotte Clark Mrs. Anne Collins Mrs. Laurie Coursin

If you have included Frontier in your estate plans, please let us know by checking the box on the enclosed reply envelope and returning to us. We would like to recognize you as a member of the Banyan Tree Legacy Society. Thank you for your ongoing support of FNU!



Ways to Give: A Lasting Investment Your investment in Frontier Nursing University is an investment in quality healthcare for all. There are many ways you can support FNU. Gifts ranging from donations for operations to trust instruments to testamentary gifts each provide much needed support for our work. Some of the more common methods are: • A  nnual Fund Donations: Gifts may be made by check or credit card and can support the general operations of FNU, or be restricted to particular programs. You can use the enclosed remittance envelope or make a gift online at online-giving. • S  tock Gifts: You can donate your appreciated stock directly to FNU. Please call the Office of Development for instructions. • C  haritable Remainder Trusts: These gift instruments allow you and/or your loved ones to benefit from monies placed in the trust during your/their lifetime. Upon the death of the named beneficiary, the remaining balance in the trust is transferred to FNU. • P  erpetual Income Trusts: These gift instruments allow the income from monies you place in trust to benefit FNU in perpetuity. The principal of your gift remains intact for the life of the trust, and the income it generates is transferred periodically to FNU. • Life Insurance: You can name FNU as the beneficiary of your life insurance policy, or transfer ownership of the policy directly to FNU. • Charitable Gift Annuity: You can give a one-time gift to FNU in exchange for fixed, recurring payments over the balance of your life. Upon your death, the balance of your original gift is maintained by FNU for its general use. • Testamentary Gifts: You may make provision in your will to provide a specific bequest to FNU, or provide for some or all of your remaining estate to be given to FNU upon your death. Each of these gift avenues has specific tax implications. Please contact your attorney or financial advisor for further information. For additional information on making a gift to FNU, please call 859-899-2828 or email Denise Barrett, Director of Development at



FRONTIER NURSING SERVICE, Inc. Its motto: “He shall gather the lambs with his arm and carry them in his bosom, and shall gently lead those that are with young.� Isaiah 40:11 Its object: To safeguard the lives and health of mothers and children by providing and preparing trained nurse-midwives and nurse practitioners for rural areas where there is inadequate medical service; to give skilled care to women in childbirth; to give nursing care to the sick of both sexes and all ages; to establish, own, maintain and operate hospitals, clinics, nursing centers, and educational programs for nurse-midwives and nursepractitioners; to carry out preventive public health measures; to educate the rural population in the laws of health, and parents in baby hygiene and child care; to provide expert social service; to obtain medical, dental and surgical services for those who need them, at a price they can afford to pay; to promote the general welfare of the elderly and handicapped; to ameliorate economic conditions inimical to health and growth, and to conduct research toward that end; to do any and all other things in any way incident to, or connected with, these objects, and, in pursuit of them to cooperate with individuals and with organizations, private, state or federal; and through the fulfillment of these aims to advance the cause of health, social welfare and economic independence in rural districts with the help of their own leading citizens.

From the Articles of Incorporation

of the Frontier Nursing Service. Article III as amended April 1999


Summer 2017 FNU Quarterly Bulletin Volume 92, Number 2  

The official publication of Frontier Nursing University.

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