C AROLINA - UNC WELCOMES 7TH DEAN NENA PERAGALLO MONTANO, DRPH, RN, FAAN
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Carolina Nursing Fall2017 COVER v3.qxp_Layout 1 9/29/17 10:09 AM Page 3 C A RO L I N A NURSING UNC Welcomes 7th Dean Nena Peragallo Montano, DrPH, RN, FAAN FAL L/ WI NT E R 20 17
D e a r A l u m n i a n d Fr i e n d s , It’s hard to believe I’m nearing the end of my first year at Carolina Nursing. As I take time to reflect on all the work we’ve done in this short period of time, I’m struck again with the warmth, hospitality, and intellectual vibrancy I’ve met with from so many here. From students to alumni to faculty to campus colleagues, my welcome has been enthusiastic and supportive— a great encouragement to a new dean ushering in a time of growth and change. I came to UNC well acquainted with its reputation for academic rigor, scientific productivity, and emphasis on service to the people of North Carolina, all of which were great attractions for me, and none of which have disappointed. The ethos to serve and improve the lives of the people of this state is very real at the SON, and I am proud of the work our faculty and students undertake each day to further that service, especially for our underserved and rural populations. From Hurricane Matthew relief efforts to mobile health clinics, to new faculty practice sites, to furthering mental health care in our rural communities, to improving the diversity of the state’s nursing workforce, our faculty and students train their sights and best efforts on relieving the needs of our fellow citizens and neighbors. Our mission to serve is thriving. Likewise in full vigor are our missions to educate and discover. 2017 has seen the start of a thorough, faculty-led curriculum review and revision; the hiring of a new executive dean and associate dean for academic affairs in Peggy Wilmoth (see page 11 for more on Dr. Wilmoth); and the introduction of a new academic structure. Meanwhile our research enterprise has been busy and productive under the direction of Dr. Ruth Anderson, our associate dean for research, who was recently honored by the University with an endowed Kenan Distinguished Professorship, one of the highest honors that can be bestowed on a faculty member by their colleagues here. continued on next page 1
This summer also saw the launch of a much-needed new website for the School (nursing.unc.edu), as well as the launch of the all-new SON Portal, a searchable, easy-access, online information hub for current students, faculty, and staff (sonportal.unc.edu). Indeed, it is an exciting time to be at Carolina Nursing! But of course there’s more work to do. 7 YEARS / GOAL: $ 22 MILLION This month, we join the University in kicking off the Campaign for Carolina, a $2 billion $4.25 effort billion to raise effort private to raise dollars private to secure dollars thethe to secure University’s andand University’s The UNC School of Nursing remains one of the world’s very best, but now SON’s place among the best academic institutions in the nation. more than ever, we need the help of friends and supporters to strengthen our position against challenges facing schools of nursing across the country, challenges that lead to increased competition to recruit and retain the best For the SON, this will mean a $22 million effort to ensure our ability to compete for faculty and students for Carolina: a nationwide shortage of nursing faculty, and retain the best of the scarce resource of nursing faculty and students, through leaner federal budgets for scientific discovery, rising tuition, and aging facilities. endowed professorships and scholarships, as well as resources to upgrade facilities and to support our local and global outreach. It’s a significant sum for a School of Nursing to raise, but with the extraordinary support this School enjoys among you, its alumni, friends, and the community, we’re excited to get started! Four key ways you can help: We’re also excited to know that even with a history as full of highlights as the School’s 1 has been, its best days are ahead. Thank you for all you do to make that true. Warmly, Nena Faculty Support — to ensure the strength of our educational offerings, research enterprise, and service to the public, we need 2 Student Support — to ensure that the best and brightest nursing students can study, practice, and advance health endowed professorships, faculty care in North Carolina, we need development, and seed and travel scholarships, emergency funds, funds. travel funds, and externship and “Our vision is to become the number clinical training funds. one public School of Nursing in the United States to ensure the highest-quality nursing education, science, and practice for the people of North Carolina. The talent is here to get us there; we just 3 Facilities Support — to ensure that the School of Nursing keeps pace with the latest advancements in nursing education and science, we 4 Global and Local Outreach — to ensure our mission of service to the people of North Carolina and beyond, we need faculty need the resources to retain what we have of the need funds to update our clinical service professorships, global skills labs, improve our classrooms and local travel awards, mobile best and brightest in our field, and to attract more and technology, and renovate clinic support funds, and such talent to our faculty and student ranks.” Carrington Hall. research funds. 2 3
Contents 5 F E AT U R E You Can Call Her Nena 11 School News She is 23 Development Dr. Nilda Peragallo Montano, but you can call her Nena. 32 Honor Roll of Giving She is a force. Energetic, decisive, attentive, thoughtful. She wears the mantle of leadership comfortably and she gets things done. She is 48 Alumni News motivated to act by a mission to care, and she means to change things for the better. She is propulsive and real, plainspoken and warm. She is a nurse, in other words. 4 5
Her internationally recognized research “I did my first big study at the University of Illinois career grew out of a single moment of in Chicago—it included 780 women and focused on sexually transmitted infections and HIV. It was profound empathy. called SEPA, which means ‘you know’ in Spanish, and it included demonstrations, role-playing, “I was doing clinical work with students many and skills building. The intervention has been years ago at the start of the AIDS epidemic extremely successful. We did a second study in when there was a lot of fear and stigma and Miami where we looked at the intervention’s misinformation surrounding the disease. One effects on violence prevention. When President of my students and I walked into the room of a Obama issued his statement to establish a patient, and it was immediately clear he had been working group on the intersection of HIV/AIDS, neglected. There were trays everywhere that no violence against women and girls, and gender- one had picked up; his curtain was drawn, his related health disparities, the only nursing study room was dark, and he was entirely alone. I felt he cited was ours.” terrible for him. We cleaned the room, raised the blinds, sat down on the bed, and held his hand and talked with him. It was a terribly affecting She asks, and listens to the answers. experience. It was then I got interested in research on HIV/AIDS. My first study was a “I’ve spent this early time at the School getting random survey of nurses’ knowledge of the to know as much about it and our history as disease and their attitudes and potential bias possible; likewise, our faculty, students, the toward AIDS patients. I found a connection, but University, and other schools in the university. it wasn’t that nurses didn’t want to take care of I have been meeting with our alumni and want patients—it wasn’t a true bias—there just wasn’t to get to know our state legislators. I also want enough knowledge in the ’80s about the AIDS to know more about our clinical partners, as I epidemic. I wanted to take part in changing that.” believe collaboration with them is critical to meeting the educational needs of our students and ultimately the health care needs of the state Her research is a change-maker. we serve and patients beyond it. “Once a nurse, always a nurse,” she says, and her Until you meet her in person, here’s a sneak peek “As an outcome of that first project, Florida face crinkles and her eyes light up as she does at our School’s new leader: changed its licensing renewal requirements for so. She understands the value of this collective nurses to include HIV education. I was very proud identity. At the bedside or in the clinic, classroom, She greatly respects the reputation of of that outcome, but mostly it’s an excellent “I love that the mission lab, or office, she believes all nurses share her UNC and the School of Nursing. example of the very real value of nursing research same passion for care and manifest it through a to patient care. Our science isn’t an ivory tower of Carolina is so uniquely unique and valuable set of skills. They look for “Carolina is an exceptional university. It is well exercise—far from it. Our science is so patient- solutions, create a culture of support, and most of all, effect change. recognized and has a long heritage of prestige. centric it can effect real, on-the-ground change tied to the people of the And it’s a Research 1 university, which means a lot in health care. As a nurse, educator, scientist, and administrator, of important and useful research activity is taking state. ‘Of the people, for place here, and the School of Nursing is a vital “From there, I went on to focus on what was Nena brings all these attributes and more to the School of Nursing’s dean’s suite. They inform the contributor to that. We have really talented faculty and students at the School, and so much potential happening with Latinas and HIV. At the time, the people’ is a beautiful attention was almost solely focused on drug users choices she makes as our seventh dean and inspire her leadership as she seeks new to grow our research activity for the betterment of patients in and beyond North Carolina. I am and male-to-male sex, with no attention given to and resonant ethos.” women. So, when I went for my postdoc at the opportunities, weighs possibilities, defines incredibly proud to be the seventh dean of this University of Pennsylvania (which she attended as options, and sets new standards for creativity fine School and motivated to do a job worthy a Robert Wood Johnson Clinical Nurse Scholar), and innovation in an increasingly global arena. of it.” I focused my research on women and HIV. continued on next page 6 7
She encourages diversity as a path to the future. “North Carolina has a diverse population—rural and urban populations, a wide range of races and ethnicities, many vulnerable and underserved populations. I would like to see the diversity of our faculty and students mirror that of our state’s population, and I’d particularly like to see more men enter the profession. “We’re well on our The public we treat is diverse, and we should have nurses who look like, identify with, and talk way to effecting like the people they’re taking care of. I want to diversify what we are doing in research to ensure real, positive change that certain populations aren’t overlooked or ignored. We have interesting projects and a broad portfolio of funding grants on both the for the profession teaching and research fronts, and we’re well on our way to effecting real, positive change for the profession and for patients the world over.” and for patients Her leadership is grounded in a passion the world over.” for nursing. “I’ve always loved nursing. I worked in a hospital at the bedside, and then grew into academia from clinical nurse to teacher, researcher, and “I love that the mission of Carolina is so uniquely administrator. I have practiced in Chile, in tied to the people of the state. ‘Of the people, for Germany, and other points on the globe. There the people’ is a beautiful and resonant ethos, and are so many opportunities in this profession to I think it behooves the School to conduct an in- do and be what you want. depth assessment of what is needed in our state so we can direct our efforts to meet those needs. “We are the largest segment of the health care community, and we should be proud. When you “We know there is a shortage of nurses in North look at the top jobs for growth, health care is at Carolina, especially in rural areas. What can our the top. The Institute of Medicine’s Future of faculty, alumni, and clinical partners tell us about Nursing Report asks nurses to take an even that shortage or other health care needs facing greater role in our changing and complex health our neighbors? This kind of information is care system. It’s important for the School to look essential to helping us map out our direction and at how we are aligned with that effort. Carolina leverage our resources to shift focus, expand or Nursing has a powerful reputation for excellence contract programs, raise funds for new initiatives and visionary thinking—we’re in our rightful place or facilities, and so on. Everything is dependent when we’re leading the profession into the 21st on assessing the needs of the state.” century.” continued on next page 8 9
Five SON Faculty Elected S C H O O L N E WS Dr. Nena Peragallo Montano Doctor of Public Health, the University of Texas to Fellowship in American Master of Science in Nursing, the University of West Virginia Bachelor of Science in Nursing, the University of Chile Fellow, the American Academy of Nursing Academy of Nursing Inductee, Sigma Theta Tau International Nurse Researcher Hall of Fame In June 2017, the American Academy of Nursing announced its selection Dr. Peragallo Montano is internationally known for her of 173 highly distinguished nurse leaders for its 2017 class of Academy research in health disparities, cultural competency, and fellows, five of whom are UNC School of Nursing faculty. We are delighted the recruitment and retention of minorities in nursing. to congratulate Drs. Anna Beeber, Beth Black, Cheryl Giscombe, Coretta Jenerette, and Julee Waldrop on this significant achievement! This class marks the first time the UNC School of Nursing has had five faculty selected Beeber to fellowship in the Academy in one year. She believes alumni turn knowledge She will push the envelope. Selection criteria for fellowship include evidence of significant contributions into action. to nursing and health care, and sponsorship by two current Academy fellows. “It’s a priority to grow research here at Carolina Applicants are reviewed by a panel consisting of elected and appointed fellows, “Our alumni are a critical part of the makeup of Nursing—it’s a useful source of much-needed and selection is based, in part, on the extent to which the nominee’s nursing the School of Nursing and integral to our identity. funding, but more importantly, it’s a direct career has influenced health policies and the health and well-being of all. They know the school. They’re so proud of being reflection of our mission, and a way for the Carolina nurses and they’re such an asset: they School to effect real, lasting change in health Black are our representatives, our public image, and care and improve the lives of humankind. The Class of 2017 joins this impressive list of School of Nursing faculty: our ambassadors. I love meeting our alumni face to face and hearing the School’s history “We have a great and talented faculty who are G. Rumay Alexander, EdD, RN, FAAN direct from the source. doing a terrific job and want to do more to Ruth Anderson, PhD, RN, FAAN advance good health and well-being. Linda Beeber, PhD, PMHCNS-BC, FAAN “I want to understand our alumni’s thoughts, opinions, and vision for their alma mater. I want “And we’re in the midst of conducting a thoughtful Diane Berry, PhD, ANP-BC, FAANP, FAAN them to have a close relationship with the environmental scan because health care is Giscombe Linda Cronenwett, PhD, RN, FAAN School and vice versa, so they can lead us to changing daily, and nurses are important to all Carol Durham, EdD, RN, ANEF, FAAN opportunities and relationships they have the changes. We need to communicate with our Donna Sullivan Havens, PhD, RN, FAAN cultivated. clinical partners and ask, ‘What are you looking Cheryl Jones, PhD, RN, FAAN for, and how can we meet those needs?’ We need Kathleen Knafl, PhD, FAAN “We have a lot of work to do together: we need to respond by evaluating our programs based on to feed the pipeline for retiring nurses and nurse those needs and updating our curriculum. Barbara Mark, PhD, RN, FAAN faculty; we need to advance the discipline; we Deborah K. Mayer, PhD, RN, AOCN, FAAN Jenerette need to diversify our resources—and they can “I want to see Carolina Nursing go to the very top Mary H. Palmer, PhD, RN, AGSF, FAAN help us prepare the next generation to serve. of nursing school rankings—not because rankings Nilda (Nena) Peragallo Montano, DrPH, RN, FAAN Their input is integral to the advancement of are important in and of themselves, but because Gwen Sherwood, PhD, RN, FAAN our agenda, and it is a win-win for everyone who they’re a measure of our success in bringing the Suzanne Thoyre, PhD, RN, FAAN is engaged and invested in the School.” best in nursing education, research, and service to people in and beyond North Carolina. It may take Marcia Van Riper, PhD, RN, FAAN us a little time, but we will do it.” ■ Margaret “Peggy” Wilmoth, PhD, RN, FAAN Waldrop SeonAe Yeo, PhD, RNC, WHNP, FAAN 10 11
The The infants generate good suction.” Feeding problems can Feeding be exacerbated or facilitated by external factors. Breathe. Suck. Swallow. Even in healthy infants, Babies in the NICU are fed about eight times a the sequence requires a delicately coordinated day by multiple feeders: nurses rotating on or dance of efforts. To suck, the baby must organize off a shift, parents or grandparents, speech or Flock its oral-motor functions. To swallow, its airway occupational therapists. “You can think of the size must close to let fluid go down the esophagus. and shape of a person’s body—each person To breathe, the esophagus must close and the holds the baby a different way—and this changes airway open. Babies challenged by pre-term the feeding dynamic,” Thoyre said. “Feeding birth, complex medical conditions, genetic strategies make a difference. Someone might irregularities, structural abnormalities, or think it’s best to hurry the baby through a feeding Nourishing research for neuromuscular disorders are already fragile: missteps in feeding are common and further so the baby doesn’t tire. Consistent strategies from feeder to feeder can support the infant’s childhood feeding disorders threaten their abilities to thrive. “Although premature infants do swallow amniotic fluid and breathing and make a big difference. “And of course, breastfeeding for all vulnerable infants is Eating: more than 30 nerves and muscles must engage in near-perfect make breathing movements in utero, they’re not the most optimal feeding strategy that can be sequence to perform this act critical to growth, strength, brain development, expected to coordinate sucking, swallowing, and offered,” Thoyre added. and behavior. Most children never give it a second thought; but for more breathing until at least 32 weeks,” Thoyre said. than 1 million U.S. children under the age of 5 and their families*, it’s “If born before that date, they’re fed through a feeding tube into their stomachs, and as they a difficult, daunting, and life-altering challenge. The Feeding Flock at the The children UNC School of Nursing exposes barriers to feeding for infants and young are ready, start on oral feeding in the Neonatal children and informs interventions for families and the medical community Intensive Care Unit (NICU). We watch the Some children have difficulty eating from birth. who care for them. And they’re making a difference. unfolding of their feeding skills across time, and For others, feeding problems arise when they try it can be very challenging for these babies.” Bad to manage more complex foods or if they timing of the suck-swallow-breathe sequence experience developmental delays. Underlying can result in aspirating fluid into the lungs, gastrointestinal differences, such as reflux or The team predisposing babies to pneumonia or reactive constipation, can mean a child will have a low The Feeding Flock research team grew out of shared interests. In 2009, PhD airway disease, a potential precursor to asthma. appetite or eat only small quantities of food at a students Jinhee Park, Britt Pados, and Hayley Estrem joined their mentor, Other infants with medical complexities face their time. Sensory impairments can lead to issues Francis Hill Fox Distinguished Term Professor Sue Thoyre, PhD, RN, FAAN, own unique set of challenges. “Skill in feeding is with food textures, taste, or temperature: some to develop ways to measure feeding problems during infancy and built on practice,” Thoyre said. “We have this children will accept only mild foods, and others childhood and build a stronger evidence base for care. As team members period of time in the NICU when we can help prefer strong flavors. “A child might only respond graduated, they continued to work together to advance the science. Pados, children develop functional feeding patterns to foods that remain consistent meal to meal,” an assistant professor at UNC who lives in Boston, and Park, an assistant and avoid compensatory strategies. “ Thoyre said. “For example, Goldfish crackers professor in the Connell School of Nursing at Boston College, collaborate always look and feel the same. Yogurt tends to be remotely. Estrem is currently a postdoctoral fellow with Carolina’s Center Some infants with fast respiratory rates hold consistent in how it feels in the mouth. Some for Developmental Science. “By 2012, we knew we were productive their breath to do multiple sucks or swallows, children learn to trust these ‘safe’ foods and together and would continue to work together throughout our careers,” essentially uncoupling sucking and swallowing become really selective or restrictive in the foods Thoyre said. As the initiative grew in reach and scope, The Feeding Flock from breathing. For the tiniest babies, holding they will eat.” Parents of children with feeding added team members Eric Hodges, a faculty fellow in the Center for their breath for even five seconds can result in a difficulties turn to their health care providers to Developmental Science and associate professor in the School’s Family decline in oxygenation and a compensatory spike talk about strategies that help eating go more Health Division, and Cara McComish, a speech-language pathologist and in their respiratory rate as they recover. Other smoothly. “We’ve found research is not very assistant professor in the Division of Speech and Hearing Sciences. Clinician infants compensate by letting the milk drip strong to guide clinicians as to whether a problem and pediatric speech pathologist Krisi Brackett, MS, CCC-SLP, rounds out forward out of their mouths. “That’s a functional is transient and will resolve on its own, or if that the team. Together, they reflect the knowledge and talents of neonatal and short-term behavior for them because it prevents same problem will become chronic and need a family nurses, nurse researchers, speech and hearing science research, them from aspirating,” Thoyre said, “but it’s a very team approach to care,” Thoyre said. family research, and speech pathology. atypical way for them to eat, and it doesn’t continued on next page 12 13
Eating requires more reflect what their child is willing to do about revised, and a reading level sixth grade or below eating and the biological symptoms they observe is maintained to make sure parents use these related to food or mealtime. ChOMPS looks at tools as intended, and they measure what we aim than 30 nerves and feeding skills as well as all the skills that enable a child to eat more complex foods—the ability to to measure.” After a questionnaire is complete, it’s sent out to a wider audience to test its muscles to engage in hold his or her body, sit up, and even run or walk. The final questionnaire in the toolkit is the Family reliability. In the most recent study, more than 600 families from 43 states and nine countries near-perfect sequence. Management Measure of Feeding (FaMM Feed), participated to test the reliability of PediEAT and which looks at how parents manage family life ChOMPS. when their child has a feeding problem. Ashley Collier of Greensboro participates in The FaMM Feed is an adaptation of the FaMM the registry and contributes to questionnaire questionnaire developed by Frances Hill Fox development. Her daughter, Macie, now 9, The toolbox Distinguished Professor Kathy Knafl, who is a stroke survivor. researches how families manage when their child To improve care and develop a stronger research has a chronic health condition. “The FaMM Feed “Doctors discharged Macie knowing she was base, The Feeding Flock team has developed scales responses to statements such as ‘Feeding going to have feeding delays,” Ashley said. “The multiple ways to measure feeding problems for our child is often overwhelming because of the professionals saw the red flags, but they didn’t babies in the NICU up to children 7 years of age. way he/she eats’ and ‘In the future we expect our know how to identify them, explain them to us, “We focus on these ages because this is the time child will be able to feed him- or herself without or educate us about them. They also didn’t period in which most children, parents, and help from us,’” said Thoyre. “These answers help know what to do about them or where to send health care providers are in need of help,” Thoyre us understand how much this problem is the us to get help. It was beyond frustrating. Macie said. “All of our questionnaires provide parents center of family life, how well parents feel they was three when we finally found The Feeding and health care providers information and can are managing feeding, and their outlook for the Team at UNC Hospitals.” be used to develop and track child response to future. It is helpful in assessing what support feeding interventions.” Once a preterm infant families need.” An interdisciplinary unit of pediatric has started eating, NICU nurses, clinicians, and gastroenterologists, nurse practitioners, researchers use the Early Feeding Skills (EFS) pediatric speech pathologists, and assessment to profile a baby’s ability to engage The research registry nutritionists, The UNC Pediatric in feeding, suck efficiently, and remain Feeding Team collaborates with physiologically stable. This assessment More than 300 families who have a child with researchers from The Feeding Flock documents any accommodations the baby may an eating difficulty agreed to join The Feeding to discover and implement best use to coordinate swallowing with breathing, Flock’s research registry. Their experiences inform practices. Ashley was introduced to The and measures the baby’s progress. the development of the NeoEAT, PediEAT, Feeding Flock through Macie’s caregivers. ChOMPS, and FaMM Feed questionnaires. “We “What I like about The Feeding Flock is The next assessment, NeoEAT, tracks the start out with parents telling us what they see that they’re identifying these red flags, progress of both bottle- and breast-fed infants and develop their descriptions into items for the quantifying them, and publishing their from birth to age 6 months. Team member Britt questionnaire,” Thoyre said. “For example, an item research so professionals can now know what Pados developed NeoEAT with a research grant might say, ‘My child won’t eat lumpy food,’ and to do,” said Ashley. “Their research informs from the American Academy of Nursing through then the parent scales that statement from my feeding team, and vice versa. Other the Academy of Neonatal Nursing and the ‘always’ to ‘never.’ We take parent responses back parents starting out on this journey will Foundation for Neonatal Research and Education. to clinical and research experts who give us have much better resources.” ■ feedback on the relevance and clarity of each The PediEAT and ChOMPS assessments focus on item. We then resubmit the questionnaire to If you or someone you know would like more children aged 6 months to 7 years. PediEAT parents and ask them what each item means to information about The Feeding Flock registry or enables parents to document behaviors that them. Through each step, the questionnaire is research, please contact feedingflock@unc.edu. *www.feedingmatters.org 14 15
HRSA Awards SON $2M to Support Wilmoth Appointed Executive Dean, MENTORS Program Associate Dean for Academic Affairs The UNC School of Nursing received a grant from With a primary emphasis on mentoring through Margaret C. “Peggy” Wilmoth, PhD, RN, FAAN became the new executive the Human Resources and Services Administration peers, success and wellness coaches, faculty, and dean and associate dean for academic affairs for the UNC School of Nursing on (HRSA) in the amount of $1,997,082* over four nurses from across the professional spectrum, the August 7, 2017. years to support a key program developed and program aims to provide individualized support directed by Associate Professor Shielda Rodgers, and strategies to improve academic outcomes for An experienced oncology nurse with a program of research in psychosocial entitled “Meeting Educational these student populations within the UNCSON, oncology, Dr. Wilmoth is noted for having established highly distinguished dual Needs Through Optimization of and ultimately to fill a much-needed pipeline of careers in academia and the military for more than 35 years. Retention Strategies for nurses of diverse ethnicities and backgrounds to Students,” or MENTORS2. serve the population at large. Dr. Wilmoth previously served on the faculty at Georgia State University’s Byrdine F. Lewis School of Nursing and Health Professions, a school she earlier led The MENTORS2 program is “We aim to provide the diverse people of North as dean; and she retired May 1 from a decorated military career, having reached designed to increase the Carolina and beyond the very best educated the rank of major general and deputy surgeon general for the U.S. Army Reserve, percentage and retention of nurses,” said Nena Peragallo Montano, dean and the first nurse and woman to fill the role. She UNC School of Nursing students professor of Carolina Nursing. “To do so, we also served on the Army Reserve Forces Policy from underrepresented ethnic believe it is crucially important that those nurses Committee, having been appointed by the minority groups and represent the populations they will care for, so we secretary of the Army, where she most recently disadvantaged backgrounds are thrilled to have this important project funded served as deputy chair. through a multi-pronged to better serve the needs of our students and approach aimed at minimizing the negative ultimately of their patients.” “We are thrilled to have Dr. Wilmoth join the impact of social determinants on academic administration and faculty of Carolina Nursing,” success. Faculty members involved with the The MENTORS2 program began on July 1, 2017, said Nena Peragallo Montano, dean of the UNC program include Ashley Leak Bryant, Bev and is funded through June 30, 2021*. School of Nursing. “Her proven leadership, Foster, Cheryl Giscombe, Coretta Jenerette, military service, experience, in interprofessional 4 Tarshe Johnson, Mary Lynn, Kathy Moore, and education and training, and impressive Hudson Santos. *Subject to the availability of funds and satisfactory progress of the project. contributions to nursing science uniquely qualify her to lead the School’s academic programs “With new leadership, and special projects as we work to become the leading public school of nursing in the nation.” curriculum revisions, capital th The executive dean and associate dean for campaigns, and new practice academic affairs is responsible for planning, American Health Council Ranks SON Fourth Among U.S. Schools of Nursing initiatives just getting administering, evaluating and improving the School’s academic programs, and assists the dean underway, it’s an exciting as needed with operations and special projects. The American Health Council, a nationwide collective time to be joining the UNC “With new leadership, curriculum revisions, capital of health leaders and innovators, announced its rankings of the nation’s best nursing schools in School of Nursing.” campaigns and new practice initiatives just getting underway, it’s an exciting time to be joining the May, 2017, and Carolina Nursing ranked fourth! — DR. WILMOTH UNC School of Nursing,” said Wilmoth. 16 17
Soltis-Jarrett Awarded $1.1M from HRSA to Advance Mental Health Nursing in NC’s Rural Areas SON Offers Goshen Medical Center has locations in Clinton, Faison, First Study With $1.1 million in new funding from the Human Resources and Services Administration, Ross Distinguished Professor Victoria Soltis-Jarrett Garland, Goldsboro, and Wallace Abroad and the UNC School of Nursing will help meet the pressing psychiatric–mental health needs of Studies show that 70 percent of people Opportunity rural and underserved populations of North who go to primary care Carolina. facilities for treatment present with a mental health or substance abuse issue, but The funding will be used to partner with Goshen don’t receive adequate assessment or treatment Medical Center, North Carolina’s largest rural for those issues. Soltis-Jarrett believes nurses are The School of Nursing broadened its global footprint federally qualified health center, to educate 12 uniquely positioned to address this gap: this year, offering its first study abroad opportunity to new primary care nurse “Primary care NPs can learn to effectively screen, students in the undergraduate nursing program. practitioners NPs to assess, and treat many common psychiatric implement integrated illnesses and substance abuse disorders to BSN students Harry Adams, Maddie Lewis, and (mind/body) health remission and increase the quality of life for Savannah Samuel were selected as the Cronenwett care for patients in NC’s patients and their loved ones. One of my current Global Health Scholars for 2017, and on May 8 rural and underserved projects is already demonstrating remarkable traveled to Jonkoping University in Sweden with counties. outcomes to this effect.” Dr. Eric Hodges to begin their five-week global health program and earn nine credits toward their “An exciting outcome “The School of Nursing has long taken the lead in nursing degrees. of this new project is meeting the psychiatric–mental health needs of that it will also enrich vulnerable populations in North Carolina, and As part of the exchange program, Jonkoping and expand the nurse this grant allows us to extend our impact,” said University will send two students to the SON in practitioner curriculum Dr. Nena Peragallo Montano, dean of the UNC fall 2017. across all practice areas School of Nursing. “We’re very proud of the work at the School of Nursing to include advanced of Dr. Soltis-Jarrett and her team. They are directly Named to honor Dean Emeritus Linda Cronenwett, psychiatric–mental health concepts, including answering Carolina’s call to our faculty to engage the Cronenwett Global Health Scholars Fund was psychiatric assessment, management, and in real, serviceable ways toward producing a established in 2010 to help undergraduate students psychopharmacology,” said Soltis-Jarrett. healthier North Carolina.” to expand their worldview through a global health “Offering a graduate curriculum that prepares experience. And it’s especially fitting that this first NPs working in non-psychiatric mental health Our thanks and congratulations to Dr. Soltis- study abroad experience should be at Jonkoping. settings in NC—particularly primary care, acute, Jarrett and her team for their efforts to provide Dean Cronenwett established a special relationship and extended care settings—to provide whole whole health care to patients in North Carolina, with the university during her time at UNC, and the health care, and specifically behavioral health and for strengthening Carolina Nursing’s Quality and Safety Education for Nurses (QSEN) care, to patients will meet a pressing need in our programs to better prepare our graduates to framework she developed has been adopted by the state.” care for the state’s most vulnerable communities. Swedish Nursing Society. 18 19
Faculty News and Accomplishments Rumay Alexander assumed the presidency of PMHCNS-BC, FAAN, of the Gunderson Health Linda Cronenwett, professor and dean emerita, was named a the National League for Nursing in October 2017. System, and Patricia Wright, PhD, CRNP, ACNS-BC, Living Legend by the American Academy of Nursing for having She was also appointed to the board of directors CHPN, CNE, of the University of Scranton. demonstrated extraordinary, sustained contributions to nursing for the Nurse-Family Partnership. In July she and health care. She was honored at a special ceremony in became UNC’s associate vice chancellor for Washington, DC, on October 5. diversity and inclusion. Ashley Leak Bryant was recognized at the Oncology Nursing Society Congress with the Victoria Mock New Investigator Award, which Ruth Anderson, associate dean for research, was acknowledges the contributions of new named a Kenan Distinguished Professor by the investigators in building a scientific foundation for University in July. oncology nursing practice. Dr. Bryant presented the award lecture, The Impact of Patient Reported Outcomes on Functional Status and Quality of Anna Beeber was elected to fellowship in the Life in Adults with Acute Leukemia. American Academy of Nursing in June. She Donna Havens was elected to a second two-year Deborah Mayer was invited to serve as a panelist also received a $10,000 grant to help fund an term as chairperson of the American Nurses at a community oncology event hosted at the ongoing, collaborative project between the Carol Durham received a Presidential Citation Credentialing Center’s International Magnet White House on January 11, 2017. The event, School of Nursing and The Carol Woods from the Society for Simulation in Healthcare Recognition Program. She was also inducted into which was part of the White House “Making Retirement Community, aimed at improving the for her work in advancing simulation in Sigma Theta Tau International’s Nurse Researcher Health Care Better” Series and held on behalf of quality of care in long-term care settings and interprofessional education. She was honored Hall of Fame at the International Nursing the Cancer Moonshot, focused on improving increasing the workforce of geriatric and long- at the International Meeting for Simulation in Research Conference in Dublin, Ireland in July innovation and access to quality cancer care in term care nursing experts. Healthcare in early 2017. 2017. The University of Toronto invited her to the community health setting. serve as the Frances Bloomberg International Visiting Professor in the Lawrence S. Bloomberg Faculty of Nursing from November 1, 2016, to Rebecca Kitzmiller was awarded a position in Beth Black was elected to fellowship in the Cheryl Giscombe was elected to fellowship October 1, 2017. Over the course of this the NC TraCS KL2 program. As a KL2 scholar, Dr. American Academy of Nursing in June. Her book in the American Academy of Nursing in June. professorship, Dr. Havens made four week-long Kitzmiller will advance her knowledge and skills Perinatal and Pediatric Bereavement for Nursing She was likewise recognized by her alma mater, visits to lead a program of study that engaged in data science, statistics, and machine learning and Other Health Professions (Springer Press) Stony Brook University, at its annual 40 Under faculty, students, and academic partner while conducting research to develop an won a 2016 American Journal of Nursing Book Forty award ceremony, and served as the healthcare facilities in the area of Shaping improved method for the early detection of sepsis of the Year award, claiming first place in the commencement speaker for Stony Brook’s Systems to Promote Desired Outcomes. using continuously streaming physiologic data. Palliative Care/Hospice category. Dr. Black psychology department at its spring graduation co-edited the book with Rana Limbo, PhD, RN, exercises. Sara Hubbell was selected to receive the Sonda Oppewal received the APPLES Teaching American Association of Nurse Practitioners Excellence Award. The award recognizes the (AANP) 2017 State Award for Nurse Practitioner contributions of faculty members in integrating Advocate. She was honored at an awards academic coursework with community service for ceremony in June 2017 in Philadelphia. The undergraduate students. Sonda also created the Linda Beeber was designated an American Academy of Advocate Award recognizes a nurse practitioner course “Health Care in Global Context,” in which Nursing Edge Runner for her model of care, Reducing from each state who has made a significant she leads a group of students to spend a week in Depressive Symptoms and Enhancing Parenting in Low- contribution toward increasing awareness and Tyrell County, North Carolina, examining Income and Newly Immigrated Mothers of Infants and recognition of nurse practitioners. residents’ health. Toddlers. The Edge Runner initiative recognizes nurse- designed models of care that impact cost, improve quality, and enhance patient satisfaction. She was Coretta Jenerette was elected to fellowship in Shielda Rodgers was awarded $2 million in grant likewise appointed to the U.S. Department of Health the American Academy of Nursing in June. She funding from the Human Resources and Services and Human Services Interdepartmental Serious Mental was likewise selected to receive the 2017 Association for her project MENTORS2, which Illness Coordinating Committee, which reports to Southern Nursing Research Society Award for aims to promote diversity in the nursing Congress and federal agencies. Research in Minority Health for her highly workforce in North Carolina through focused esteemed work with individuals living with sickle mentorship of students from underrepresented cell. The award was presented at the SNRS ethnic minority groups or disadvantaged Annual Conference Awards Luncheon on backgrounds. February 24, 2017. 20 21
Gwen Sherwood received the Mary Tolle Wright Lisa Woodley was named the UNC School of DEVELOPMENT Award for Excellence in Leadership, a Founders Nursing Faculty of the Year for 2017 by nursing Award of the Sigma Theta Tau International Honor Society of Nursing. She will be recognized colleagues at UNC Health Care for “consistently exemplifying excellence in customer service, New Nursing Professorship at the biennial convention held in October 2017. communication, safety, professionalism, innovation, stewardship, teamwork and support of Honors Jane Sox Monroe, BSN ’56 the nursing profession.” Victoria Soltis-Jarrett received more than $2 million in grant funding for projects that The professorship will honor a distinguished teacher contribute to the psychiatric and mental health SeonAe Yeo had her study “What Characteristics and scholar at the School who upholds the work ethic needs of North Carolina. The projects aim to of Nutrition and Physical Activity Interventions Are increase access to psychiatric services, engage Key to Effectively Reducing Weight Gain in Obese and altruistic ideals Jane possessed. the community with the School of Nursing’s and Overweight Pregnant Women? A Systematic strategies, and improve health literacy in the state Review and Meta-Analysis” published in Obesity in order to de-stigmatize mental health issues. Reviews. To honor his late wife, a Carolina alumnus, W. Paul Monroe endowed The Jane Sox Monroe Professorship in Nursing within the UNC School of Nursing Foundation. The professorship will honor a distinguished teacher and scholar at the School who Julee Waldrop was elected to fellowship in the Jessica Zegre-Hemsey presented her study upholds the work ethic and altruistic ideals Jane possessed. American Academy of Nursing in June. “Pulse oximetry parameters to augment detection of myocardial ischemia—a feasibility study” to an Jane Sox Monroe was a member of the second graduating class of the School of international audience at the International Society Nursing in 1956. This group of women were pioneers in nursing education, setting Hugh Waters visited Washington, DC, at the for Computerized Electrocardiology annual an example and becoming role models for generations of future Carolina nurses. invitation of the Centers for Disease Control and conference in April. Prevention. He was a participant in a panel discussion on the Economic Burden of Obesity: Jane used her nursing education in many ways. She Implications for Productivity and Competitiveness Meg Zomorodi was selected to direct the new started her career as a public health nurse, helped begin at an event organized by the Obesity Care UNC Rural Interprofessional Health Initiative, the nursing program at Lenoir Rhyne University, served Advocacy Network. Additionally, his article linking funded by a $1.5 million grant from the William R. as chairman of the Catawba Country Board of Health, indoor tanning devices and their financial impact Kenan Charitable Trust. The initiative gives UNC and worked in the area of geriatric nursing, a patient on U.S. health care was published in the Journal health professions students interprofessional population that was very special to her. of Cancer Policy in February 2017 and was clinical experiences in rural areas of North featured on CBSNews.com. Carolina. In 1994, Paul honored his wife by creating the Jane Sox Monroe Endowed Scholarship, which provides scholarships to nursing students each year on the basis of meritorious achievements. P RO M O T I O N S N E W A D M I N I S T R AT I V E TENURE TRACK: APPOINTMENTS In 2002, the couple donated $250,000 to the School of Jia-Rong Wu to Associate Professor Anita Tesh Nursing to fund the building of the W. Paul and Jane Sox Lixin Song to Associate Professor Assistant Dean, Undergraduate Division Monroe Human Patient Simulator Laboratory for Clinical Diane Berry to Professor Cheryl Giscombe Care Skill Development. The patient simulator, nicknamed “Stan,” continues to FIXED TERM: Assistant Dean, MSN Division equip Carolina nursing students with the clinical skills they need before working Jean Davidson to Cl Associate Professor with patients. Jennifer D’Auria Bev Foster to Cl Professor Assistant Dean, DNP Division Theresa Raphael-Grimm to Cl Professor Jane died in April 2016, but her accomplishments and enduring legacy continue to Linda Beeber set the standard for nursing at Carolina. The establishment of this professorship Assistant Dean, PhD Division Ruth Anderson to Kenan Distinguished Professor aims to further this legacy by supporting, in Jane’s name, the teaching and research Rumay Alexander to Associate Vice Chancellor Tom Bush of a distinguished professor who will impact future generations of nursing students. for Diversity and Inclusion Assistant Dean for Practice Shielda Rodgers Assistant Dean for Diversity and Inclusion 22 23
“Reverence for Life” Photo courtesy of Hôpital Albert Schweitzer Haiti B E FO R E H I S D E AT H I N 2 01 6 , D R . A RT H U R C . M A I M O N E S TA B L I S H E D T RU S T O U T O F R E S P E C T FO R N U R S E S “Reverence for life” were words Dr. Arthur After Maimon was discharged, he established his “In his practice, which was patient-centered care, “Reverence for life” were words Dr. Arthur After Maimon was discharged, he established “They were the key to his practice, and the key Maimon Maimon lived by. They lived werewere by. They also also the words the words private practice his private in Rockford, practice wherewhere in Rockford, he—muchhe— like he to relied the heavily quality upon hishis of care nursing staff,” patients said received.” emblazoned in bronze on the façade emblazoned in bronze on the façade of Hôpital of Hôpital his aunt and uncle—served the local community. much like his aunt and uncle— served the local Faucette. “They were the key to his practice, and Albert Schweitzer Albert in Haiti, Schweitzer where in Haiti, Maimon where Maimon He ran the practice community. He ran forthemore than 30 practice foryears, moreandthan 30 theThe key fund to thewill quality of care provide aidhis to patients doctoral periodically periodicallyspent twotwo spent months at a time months over over at a time the ityears, was during this time that Maimon made and it was during this time that Maimon his received.” candidates who are conducting research course of 30 years. the course of 30 years. frequent trips to Haiti began making to practice his frequent medicine trips to Haiti to relating to the fields of neurological nursing or The fund will provide aid to doctoral candidates alongside his mentor and friend Albert practice medicine alongside Dr. Mellon and stroke diagnosis and care. who are conducting research relating to the fields HeHewould wouldtemporarily close temporarily his private close practice his private practice Schweitzer. visiting American physicians. of neurological nursing or stroke diagnosis and in Rockford, Illinois, venture to the island in Rockford, Illinois, venture to the island nation, One recipient will be chosen each year, with Upon his retirement in the late 1980s, Maimon care. and serve the nation, andpatients serve theof apatients hospitaloffounded by a hospital Upon his retirement in the late 1980s, Maimon hope that the funding will help lay the came to Chapel Hill, where he served as a guest Andrew foundedMellon and named by Larry Mellonfor andAlbert Schweitzer, his wife Gwen, came to Chapel Hill.. He was invited frequently Onefoundation for be recipient will a long career chosen eachinyear, nursing with hope attending to roundsphysician. Hecourtesy, was invited frequently research and clinical care. both of whom named were inspirations for Albert Schweitzer,tobothMaimon, two of whom out of the friendship, and that the funding will help lay the foundation for a weremany inspirations to Maimon, twoandamong to grand rounds out of the courtesy, friendship, among who shaped the doctor the many professional camaraderie that he had long career in nursing research and clinical care. who shaped the doctor and the man Maimon and professional established camaraderie among that colleagues friends and Maimon hadalike. “My hope would be that some of percentage man Maimon had become. had become. established Maimon also continued his trips to Haiti alike. among friends and colleagues in his Faucette of the said Maimon award’s pickedwill recipients up join the spirit of men nursing Both his interest in medicine and his own retirement, this time bringing young physicians like Schweitzer and Denny, and it is her hope faculties or serve in leadership roles in that Maimon also continued his trips to Haiti in his Both his personal interest for reverence in medicine and the nursing his own profession with him to encourage their career development hernursing,” husband’s she said. “He strongly endowment believed will do justice to hisin the retirement, this time bringing young physicians personal respect for the nursing profession were borne out of his teenage years, when he and teach clinical medicine by example. collaborative spirit and memory. relationship between physicians with him to encourage their career development “He relied heavily upon were borne out of his teenage years, when he and nurses.” lived with his aunt and uncle—a nurse and a and teach by example. lived with his aunt and uncle — a nurse and a Chapel Hill is also where Maimon met his future “My hope would be that some of percentage of physician. The young Maimon watched as they his nursing staff. They physician. The young Maimon watched as they wife, Betty theAs award’s recipients doctoral willwill students joincontinuously nursing faculties benefit ran a clinic out of their home, nurse and doctor Chapel Hill isFaucette, BSN also where ’98, who Maimon completed settled in with ran a clinic out of their home, nurse and doctor herwife, nursing or serve in leadership from the rolesdemonstration characteristic in nursing,” she of said. together, to care for the local populations of his Bettydegree at the Faucette, BSNUNC ’98,School of while she were the key to his together, to care for the local populations of Nursing. “Hegenerosity strongly believed in the Maimon, that defined importance of nurses today Flint and Flushing, Michigan. completed her nursing degree at the UNC School Flint and Flushing, Michigan. delivering patient-centered Faucette, along with thecare.” School of Nursing, will of Nursing. Maimon attended medical school, but was soon Maimon attended medical school, but was practice, and the key to Thus, it was out of a combined love and respect Thus, it was for his wifeout andofthe a combined countlesslove andwho nurses respect had continue to revere the man, his life, and his As doctoral students will continuously benefit career. the quality of care his deployed by the Airby Force to serve Forceinto the Korean from the characteristic demonstration of soon deployed the Air serve in the for his wife worked and the countless alongside the doctor nurses who hadhis throughout War. Upon his return in 1952, he conducted Korean War. Upon his return in 1952, he career alongside that Maimon generosity that defined Maimon, today Faucette, worked the decided to establish doctor throughout histhe patients received.” research on infectious conducted research disease at Warren on infectious Air disease at Arthurthat C. Maimon Trust at the School of Nursing. along with the School of Nursing, will continue to career Maimon decided to establish the Force Base under Floyd Denny, MD, Warren Air Force Base following Floyd who would Denny, revere the man, his life, and his career. Arthur C. Maimon Trust at the School of Nursing later MD,become a physician who would at UNC. a physician at later become “In his practice, which soon before his death inwas earlypatient-centered 2016. care, For more information about Hôpital Albert Schweitzer UNC. he relied heavily upon his nursing staff,” said For Haiti, morevisit please information about Hôpital Albert Schweitzer www.hashaiti.org. Faucette. Haiti, please visit www.hashaiti.org. 24 25
Alum de la Guerra Supports SON Military Initiatives with Scholar Award Rizza de la Guerra’s grandfather was a flight She has championed the School of Nursing’s surgeon in the U.S. Air Force. Her husband, Karl, military affiliated student program since it began served in the Air Force for 10 years. It’s with this in 2014. The program generates funds to support service in mind that Rizza and Karl decided to give military students and provides mentoring and back to veterans by creating The Karl L. and Rizza networking opportunities to ensure a smooth H. de la Guerra Veteran Health Scholar Fund in the transition from service to academia and onward UNC School of Nursing Foundation. into the profession. It is bolstered by strong clinical partnerships with area Veterans Health Rizza graduated from the School of Nursing with a Administration hospitals. BSN in 1986. Now, she sits on the School’s Foundation Board of Directors and chairs the In creating the Veteran Health Scholar Fund, Rizza Board’s Corporate and Foundation Relations and Karl take this program a step further. The Committee. Her friendship is enjoyed by students award financially supports military affiliated and faculty, and her regular donations have nursing students as they care for other veterans in sustained the School of Nursing for years. a clinical setting. “There are a lot of barriers to care when you go into the VA,” said Rizza. “We thought it would be great if there was a system where veterans could “We thought it would be great if help out other veterans.” there was a system where veterans “We want the student nurses who receive this award to know that their service doesn’t go could help out other veterans.” unnoticed, nor does the service of those they care for,” said the de la Guerras. Dean Nena Peragallo Montano agrees. “Since I am the mother of a veteran, our School’s military initiatives are dear to my heart, and we are so grateful to the de la Guerras for choosing to honor the service of our military students and to support them in this way,” she said. 26 27
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