ECONNECTIONS MARCH | 2013
I N S I D E NEWS.............................. P. 2 CALENDAR................... P. 3 ACADEMICS................. P. 4
It’s all in the name
RESEARCH.................... P. 5
By Dean Gail Stuart, PhD, RN, FAAN
PRACTICE..................... P. 6 FACULTY........................ P. 7
PUBLISHED BY: Medical University of South Carolina College of Nursing 99 Jonathan Lucas Street MSC 160 Charleston, SC 29425 SEND INQUIRIES TO: firstname.lastname@example.org
With all due respect to the Bard, I take issue with Shakespeare’s comments that “a rose by any other name would smell as sweet” or “what matters is what something is, not what it is called.” This might work well for flowers but it does not work for nurses. What I am referring to is the names that are ascribed to nurses by others—both health care providers and the media. Let’s start with other health care providers. Our colleagues too often refer to advanced practice nurses as: • “Allied health care providers” – my question is, so who exactly are we “allied” with – patients, families or other clinicians? • “Mid-level providers” – my question is, so who among our nursing community is only voluntarily practicing to the “mid-level” of their skills? • “Non-physician providers” – my question here is, who defines oneself by what one is not? If this is typical, then perhaps I should describe myself as a non-lawyer or non plumber or non-movie star! The “non” list is endless, as is my imagination of all the careers I could have pursued. But is that really how I, as a nurse, should be defined? Perhaps physicians should then be described as “non-nurses”? I also have objection to the names conferred upon us by the media. Of these the most objectionable is “former nurse.” I ask you to join with me in critically evaluating this issue. Consider this. When Dr. Frist was elected to Congress no one referred to him as a “former doctor” or “ex doctor” even though he was no longer practicing medicine. So too, when lawyers move on to other careers such as those in service of their country, no one refers to them as “former lawyers.” Yet when nurses move out of the direct care-giving role, such as by becoming legislators or business entrepreneurs, they are referred to as “former nurses” or “ex nurses.” What is happening here? Talk to nurses who have expanded their roles out of direct patient care and they will tell you that their education and work as nurses continues to inform their many decisions, whether they are in business, politics or any other line of work. They are not “former nurses” they are simply nurses not in direct patient care. So let’s tackle this issue head on. The next time you see any of these names correct the speaker or the source because it really is all in the name….Gail
NEWS & NOTES
AACN releases Joining Forces faculty tool kit
Stuart Co-Chairs Tool Kit Task Force
More men pursue nursing career According to a new study, more men are pursuing a career in nursing. The study, released February 25, presents data from the 2011 American Community Survey. The study finds that from 1970 to 2011, the proportion of male registered nurses has more than tripled. An increasing number of males are pursuing a career in nursing in a profession that historically has been largely made up of women. The percentage of registered nurses who are male jumped from 2.7 percent in 1970 to 9.6 percent in 2011, according to the national study. The study’s author, Liana Christin Landivar, BREAKDOWN OF reports the demand EMPLOYED NURSES: for long-term care and end-of-life services is • 78% were registered nurses growing because of the • 19% were licensed practical nation’s aging population. and licensed vocational nurses “A predicted shortage has led to recruiting • 3% were nurse practitioners and retraining efforts • 1% were nurse anesthetists to increase the pool of nurses. These efforts have included recruiting men into nursing,” says Landivar, a sociologist in the Census Bureau’s Industry and Occupation Statistics Branch. “Men [also] are more likely to be in the subfields with higher earnings—nurse practitioners and nurse anesthetists.” “The more diverse our Karen Daley, president of the American profession gets, the better Nurses Association, adds that the nursing profession is attractive for an array of it is for patients. It’s reasons. The work is rewarding and very important that our versatile. “This is a career with job security, diversification reflects and the salaries are very competitive,” she says. Daley also believes gender what is happening in the stereotypes are breaking down as more larger population.” men enter the profession. ~ Karen Daley, In 2011, there were 3.5 million employed American Nurses Assocation nurses. While women made up 91 percent of the nursing workforce, men had higher earnings. On average, men earned $60,700 a year, compared to women who earned $51,100 a year. 2
In summer 2012, the American Association of Colleges of Nursing (AACN) joined with the Department of Veteran Affairs in an effort to enhance the resources of nurses working with veterans TAKING ACTION TO SERVE A M E R I C A’ S M I L I TA R Y F A M I L I E S as part of the Joining Forces initiative, with a particular focus on nursing education. Dean Gail Stuart, PhD, RN, FAAN, co-chaired the Task Force that developed the Enhancing Veterans’ Care (EVC) Tool Kit. The task force included a wide range of representatives of the Veterans Administration, the U.S. Military, and professional nursing education. The Tool Kit describes resources and exemplars that can assist faculty with the implementation of curriculum elements that will appropriately address the unique needs of the veterans and their families.
Whelan to retire April 1 After 10 years of service, Carol Whelan is set to retire from the College of Nursing. She began her time at CON as an administrative assistant. Three years later, she joined the Office of Practice and managed the continuing nursing education program. Most recently, she has assisted CON with financial activities including procurement and grants purchasing. Her attention to detail and her critical thinking skills made her a perfect fit for that position. Her willingness to go beyond the expected, her humor and community service, made her such a joy to have around the college. During her retirement, Carol will be enjoying the game of golf and traveling the country with her husband in her new recreational vehicle. She also may be spotted as a docent in Charleston Historic Homes. We wish her the best in her well deserved retirement! MARCH 2013
CALENDAR OF EVENTS
Regalia Day 9 a.m. - 4 p.m. Colbert Education Bldg.
Retirement Party for Peggy Sires & Carol Whelan 4 p.m. CON - HOT, 10th Floor
Earl B. Higgins Achievement in Diversity Award Reception 4 - 6 p.m. Wicliffe House, 178 Ashley Ave. Hosted by the Office of Student Diversity Contact: Willette Burnham 792-2146, email@example.com
MUSC Board of Trustees Meeting
BULLETIN BOARD CATTS
ease begin Faculty and staff: Pl nual training working on your an irements for and disclosure requ t complete an 2013. Also, you mus interest disclosure annual conflict of pliance training statement. All com ments must be and discloser state 15, 2013. completed by June LINKS disclosure Conflict of interest CATTS modules
Administrative Professionals Breakfast 9 a.m. CON - HOT, 10th Floor
Click He Like Us re to Facebooon k
OFFICE OF ACADEMICS
Regalia Day The Office of Enrollment Management will host Regalia Day on March 6 from 9 a.m. until 4 p.m. at the Colbert Education Buidling. Members of the Class of May 2013 may pick up their cap and gown, as well as tickets for graduation. All graduates planning to attend graduation will be issued nine tickets for guests. Graduation will take place on Friday, May 17 at 9 a.m. at The Citadel’s McAlister Field House. Students who are unable to participate should look for information about pick up from the CON Office of Student Services or contact Mardi Long at firstname.lastname@example.org.
Student Services For the next two years, the College of Nursing’s Student Services and Office of Academics (Robin Bissinger, Carolyn Page, Peggy Sires, Mardi Long, Arly Douglas, and Yolanda Long) will be located in the College of Health Professions “B” building (151 B Rutledge Ave.) The offices are located on the building’s first floor. Anette Hebebrand-Verner, student compliance manager, is situated on the 10th floor of Harborview Office Tower building (HOT), 19 Hagood Ave. All phone numbers remain the same. All students are welcome to come by or call if you have any student service needs. All other CON faculty and staff are located in the HOT on the 10th and 3rd floors. 4 eCONnections
AACN appoints DNP student to national leadership council Congratulations to Michaela Lewis, DNP student, for her appointment to serve on the American Association of Colleges of Nursing (AACN) Leadership Council of the Graduate Nursing Student Academy (GNSA). Following a national call for nominations, only 10 nursing students from around the country were selected to serve on the newly formed leadership council. Michaela will begin her term on the Council March 1.
Student ovations Congratulations to Hollie Caldwell, PhD student, for her research award of $2,500 from Sigma Theta Tau - Alpha Kappa Chapter-at-Large for her study, “Elder abuse screening in the primary care environment.” a
Dru Riddle, PhD student, gave three presentations in February at the Alaska Association of Nurse Anesthetists Annual Meeting in Anchorage, AK. The topics of her presentations were “Pharmacogenomics in Anesthesia Care,” “Neuroanesthesia 101,” and “Evidence Based Practice for the Bedside Clinician.” a
PhD student, Shannon Marie Hudson defended her final dissertation on February 12 (Marilyn Laken is her chair). The title of her defense was “Risk and protective factors for hospital admissions and emergency departments visits in children with complex chronic conditions.” a
At the Delma M. Woods and Aleta McLeod-Bryant Health and Wellness Fair, over 100 people were assessed by health professionals free of charge. Over 20 College of Nursing students helped evaluate these participants, however, one student, led the charge. Kelly Corbett, a second semester BSN student, used her connections as the volunteer coordinator for CON’s Minority Student Nurses Association (MSNA) to reach out to student voluteers in both Student Nurses Assocation and MSNA. Kelly was also intrumental in coordinating and assigning duties to the students when they arrived. The event , held February 23, was hosted by the Tri-County Black Nurses Association. a
Student Services’ Sires to retire next month After 20 years of dedicated service, Peggy Sires will retire from the College of Nursing on April 1. Originally assisting in student recruitment, Peggy’s role expanded to include all of student services admissions, enrollment management, reporting, and graduation (her favorite activity of the academic year). No matter how the role changed, the one constant was her unbridled passion for people and meeting their needs. Working with Peggy has been a joy. Her ability to see the humor of life and her infectious laughter helped maintain an environment that was open and fun. The College of Nursing and many others on and off campus will miss her greatly. Stop by her office in the CHP building (see story left) or drop her line at 792-8515 or email@example.com. She would love to hear from you. MARCH 2013
OFFICE OF RESEARCH
Gregoski awarded fellowship Mathew Gregoski, PhD, was awarded a $50,000 Post Doctoral Fellowship in Adherence Improvement by the Pharmaceutical Research and Manufacturers of America Foundation. He will use this award to continue his work to test a low-cost, novel medication adherence program for uncontrolled hypertensive patients using a modified mobile health (mHealth) platform, i.e., mobile phones.
Grant submissions Sally Kennedy PhD, APRN, FNP-C, CNE submitted an application to the Health Resources and Services Administration (HRSA) for the Advanced Education Nursing Training Program titled, “Game on: Interprofessional education in a virtual world.” This project will engage Advanced Practice Nursing (APN) students enrolled in the MSN or DNP programs as members of an interprofessional health team in an online environment with the goal of improving quality of care and outcomes for individuals with Multiple Chronic Conditions. To accomplish this, pharmacy and medical students will join APN students enrolled in the family and adult/gerontology nurse practitioner programs in the virtual world.
MUSC Office of Research and Sponsored Programs news: New Facilities & Administrative (F&A) Rates
MUSC has received the new facilities and administrative rate agreement from the Department of Health and Human Services (DHHS) which can be found on the Grants & Contracts Accounting web page. All new proposals with a start date in FY13 (July 1, 2012 - June 30, 2013) must utilize the 49 percent F&A rate. New proposals with a start date in FY14 and beyond must utilize the 49.5 percent F&A rate. (NOTE: New proposals with a proposed start date in FY13, but extending on into FY14 and beyond must accommodate both the 49 percent AND the 49.5 percent rates respectively per the negotiated rate agreement with DHHS.) For information on the other types of F&A rates at MUSC (i.e. other sponsored activities and instruction), click here.
Direct costs vs. indirect funds > > > >
DIRECT COSTS Salaries, wages, related fringe benefits Supplies and materials Publications (project specific) Scientific equipment and software
> > > >
INDIRECT (F&A) COSTS Admin and clerical salaries Computer software and computer supplies Office supplies Dues and memberships
REMEMBER: Each grant has its own regulations. In some cases, costs that are usually considered an indirect cost may qualify as a direct cost with correct justification and prior approval.
NIH news NIH has released Notice NOT-OD-13-035 to announce the effective date for required use of the Research Performance Progress Report (RPPR) for all SNAP and Fellowship progress reports. Click here to read the report.
Publications & presentations Publications
> Holmes, R.F., Davidson, M.W., Thompson, B.J., & Kelechi, T.J. (2013). Skin tears: Care and management of the older adult at home. Home Healthcare Journal, 31(2), 90-103. > Bell, C., Tamura, B., Masaki, K., & Amella, E. J. (2013). Prevalence and measures of weight loss, low BMI, malnutrition and feeding dependency among nursing home patients: a systematic literature review. Journal of the American Medical Directors Association. 14, 94-100. > Sieverdes, J.C., Wickel, E.E., Hand, G.A., Bergamin, M., Moran, R.R., Blair, S.N. (2013). Validity and Reliability of the Mywellness key Physical Activity Monitor. Clinical Epidemiology, 5, 1-8.
Book Chapter: > Chambliss, H., Sieverdes, J.C., Carpenter, R.A. (2013). ACSM Resource Manual for Guidelines for Exercise Testing and Prescription, 7th ed. Lippincott Williams & Wilkins. Chapter 47. Delivering Physical Activity Programs.
Presentation > Conner, B. “Exploring factors associated with nurses’ adoption of an evidence-based practice to reduce duration of catheterization.” American Nurses Association’s 7th Annual Nursing Quality Conference, Atlanta, GA, February 2013.
OFFICE OF PRACTICE
Educating elected officials about advanced practice nursing The groundbreaking 2010 Institute of Medicine Report (IOM) titled, “The Future of Nursing Leading Change, Advancing Health” recommends building professional alliances by establishing relationships with existing policy makers including legislators from both major political parties at the local and state level. This call to action can be realized. The Charleston area will have a primary election for the 1st Congressional District on March 19, 2013. Now is the time for nurses to contact legislators and potential legislators to inform them of the issues that affect the nursing profession and the patients that we serve. People not living in this district, may find this information helpful when contacting other elected officials to discuss the role advanced practice nurses can play in transforming health care. Dean Gail Stuart has compiled a list of bullet points that can be used when speaking to legislators or potential legislators. + S.C. and the nation are in crisis as we face a critical shortage of primary health care providers. + S.C. ranks a tragic 45th in the nation in the United Health Foundation’s health report card. + Parts or all of 46 counties in S.C. are designated as medically underserved by the South Carolina Department of Health and Human Services. + If nurse practitioners were allowed to practice without barriers they could fan out into these counties and provide greater access to care for people in these communities. + The American Association of Medical Colleges Center for Workforce Studies predicts that there will be a shortage of about 63,000 physicians by 2015, and 130,600 by 2025. + Enrollment in nurse practitioner programs is growing each year across every state in the nation. + Advanced Practice Registered Nurses (APRNs) stand ready and able to meet the critical need to increase access to high quality and safe health care for our states population. + The prestigious Institute of Medicine has recommended that nurses should practice to the full extent of their education and training. + There is overwhelming research evidence that shows that in primary care, nurse practitioners have demonstrated an effectiveness equal to that of physicians with high patient satisfaction.
+ + + + + + +
Sixteen states and the District of Columbia have removed barriers and allow APRNs to practice to the full extent of their education and training. Those states that have removed APRN barriers to practice have better health outcomes than S.C. In states where practice barriers have been removed, approximately 50 percent of nurse practitioners choose to work in rural areas. In those states where practice barriers have been removed, physicians’ incomes have not been decreased or compromised by allowing nurses full scope of practice. In S.C., APRNs must practice within 45 miles of a physician. No other state has such a mileage regulation. This regulation makes it impossible for APRNs to provide care in rural S.C. communities. If all health care providers worked to their fullest they still would not be able to meet all of the health care needs in this country. The compelling question is – why restrict the practice of any clinician who is able to provide much needed health care?
What needs to be done? 1. 2.
Legislative regulations must remove barriers to nursing practice. Barriers to be removed include: removing miles rules, supervision requirements, prescriptive limitations and limitations to privileges that impede APRNs’ ability to provide care to all people in the state.
Allowing APRNs to practice to the full extent of their education is the right thing to do and NOW is the right time for change. If you live in the First Congressional District, you are urged to realize the call to action by The Institute of Medicine and contact potential candidates to find out where they stand on scope of practice for advanced practice nursing and other issues important to both our patients and our profession. As the largest workforce in the health care industry, they need to hear from us and be educated on the issues affecting our profession. Find contact information for your current House members and Senate members.
Faces, places & accolades Post-doctoral scholar, John Sieverdes, PhD was selected to join the the South Carolina Clinical and Translational Research Center for Community Health Partnerships (SCTR/ CCHP) Community Engaged Scholars Program. John’s application involves the development of a mhealth dietary and exercise program for dialysis patients. This pilot will assess barriers, attitudes, and study the feasibility to support dialysis patients to remain on transplant waiting lists by engaging in healthy activity and eating programs using mobile health technology. John is the academic partner on this project and Tracy Anderson from Donate Life serves as the community partner. SCTR/CCHP’s Community Engaged Scholars Program (CES) provides training and pilot funds for community and academic partners who have interests in community-based participatory research.
Congratulations to Professor Elaine Amella PhD, RN, FAAN who was recently named a MUSC Women’s Scholars Initiative (WSI) Best Practices Fellow along with Leonie Gordon, MD, College of Medicine. Together they developed a PowerPoint presentation describing unconscious bias and steps decision-making groups can take to minimize its effects. They are poised to begin providing education to APT committees and high-level search committees. A WSI Best Practices Fellows’ role is to educate the MUSC campus about the effects unconscious bias has in decision-making related to hiring, promotion, and leadership opportunities. In addition, the WSI Best Practices Fellows provide education to admissions committees, department chairs, Faculty Senate, the SGA, and other groups on campus.
Gigi Smith, PhD, APRN, CPNP, PC, assistant professor, has been appointed director of MSN/DNP programs effective March 1. In this role she will provide leadership in all aspects of the MSN/DNP programs, assuring the quality of the programs of study. Brian Conner, PhD, RN, CNE, assistant professor, is serving as the new chair of the SCNA Nurse Educator Chapter. In addition, a video on Brian’s dissertation reasearch study on the exploration of factors associated with nurses’ adoption of an evidence-based practice to reduce duration of catheterization is currently featured on the JNCQ Journal of Nursing Care Quality home page.
Call for nominations - Distinguished Faculty Service awards The vice president for academic affairs and provost is accepting nominations for the MUSC Foundation Distinguished Faculty Service Award. Nominations from faculty, staff and students will be accepted. This annual award was enacted by the board of trustees to recognize and honor faculty members of MUSC who, during a substantial portion of their careers, have provided exceptional service and contributions in teaching, research, health care or public service to the university and the citizens of South Carolina. Up to three awards may be made each year and each honoree will receive a $3,000 contribution from the MUSC Foundation. In order to nominate someone, provide a written justification to include a typed or printed narrative of no more than two single-spaced pages directly addressing the contributions made to MUSC and those the institution serves. A copy of the nominee’s curriculum vitae or professional resumé should be enclosed. Additional letters of endorsement are encouraged in order to demonstrate the breadth of the nominee’s contributions. This year’s deadline for receipt of all nominations is Monday, April 22. Nominations should be submitted to the attention of Mark S. Sothmann, Ph.D., vice president for academic affairs Dr. Ida Spruill, and provost, 179 Ashley Avenue, Colcock Hall, MSC 002, MUSC. For more information, visit 2012 Developing Scholars http://academicdepartments.musc.edu/provost/faculty/awards.htm Award recipient