NURSES ON THE COVID-19 FRONT LINES - NYU Rory Meyers ...
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3 SPRING 2020 28 CELEBRATIONS 4 VOLUME 18, NUMBER 2 GIVING LEADERSHIP 3 Why I give: Sean Clarke Executive Vice Dean 36 Leadership and Dean’s Circles Emerson Ea Assistant Dean for Clinical and NEWS Adjunct Faculty Affairs Kimberly Glassman 4 Faculty & staff achievements Associate Dean for Partnership Innovation Ellen Lyons 6 COVID-19: NYU Meyers cares Associate Dean for Finance 5 and Administration 7 Faculty notes Gail Melkus 8 Staff achievements Vice Dean for Research 8 Staff profile: Meet Jamie Chiappetta, James Pace Senior Associate Dean for Academic Associate Director of Finance Programs 9 Staff profile: Meet Tamara Tobee, Eileen Sullivan-Marx Administrative Assistant for Dean Operations EDITOR-IN-CHIEF 10 Nurses sleep less before shifts, Meredith Barges imperiling patient safety and care Communications Coordinator 10 Through NICHE program, nearly EDITORS 3,000 nursing home residents in 6 Keith Olsen Washington State to see quality Director for Communication care improvements Hank Sherwood 11 Prof. Janet Van Cleave receives Associate Director for Communication Oncology Nursing Foundation grant to improve patient outcomes in DESIGN head and neck cancer Carabetta Hayden Design, Inc. nyunursing nyunursing nyumeyers nyu-meyers 28
Owing to the fast-moving and historic nature of COVID-19, the theme of this issue of NYU Nursing shifted in the middle of production to highlight the College’s efforts to combat the virus. We salute all of our faculty, alumni, students, and staff who are on the front lines and behind the scenes, whose NURSES ON THE COVID-19 FRONT LINES selflessness abounds and care for humanity is limitless. FEATURES 12 COVID pandemic proves again “there is no single role of the nurse” 14 College course: Disaster nursing: Saving lives during outbreaks, floods, fires, & spills 12 14 15 Lataijah Beadle BS ’20: “I’m on Capitol Hill” 17 Popular new clinical simulation focuses on LGBTQ patients 18 Lim shows why everyone needs a role model 20 Seeing double? The Paradis sisters score the twin advantage 21 Inspired by nursing 22 Faculty Q & A: Meet Mary Brennan, Clinical Assoc. Prof. & Adult-Gerontology Acute Care NP 18 20 Program Director 23 Faculty Q & A: Meet Donna Hallas, Clinical Prof. & Pediatrics NP Program Director 24 New prescriptions for a disease multiplier 22 23 26 Celebrating Estelle Massey Osborne: A nurse trailblazer ALUMNI 32 Greetings from the Alumni Association President 26 32 24 33 Alumna profile: Robin Schafer, 33 35 DNP ’21, BS ’99 34 In memoriam: Kious Kelly BS ’12 34 Class notes 35 Grads on the job NYU NURSING SPRING 2020 1
DEAN’S CORNER Follow me on Twitter @EileenSullivanM for the latest news from the College and in nursing. Dear all, The COVID-19 public health crisis has families during one of the most unnerv- THE DEAN’S LIST upended our lives in quite literally every ing times in modern history. way possible in a very short amount For many of our students and young of time. With just a few days’ notice in For this Dean’s List, I want to commend alumni, this is the first time that a March, NYU Meyers moved to remote the entire Meyers community for its national or global emergency has dis- instruction and remote work as the virus rupted daily life in such a pervasive way. ability to adapt to uncertain conditions quickly spread through New York City As someone who has lived through a few with agility. I am proud to work and and NY State. NYU will continue to oper- of these traumatic events, I want to leave learn alongside all of you and cannot ate remotely through the summer. you all with a question to ruminate on wait until we can reunite in person. The virus has particularly affected New in the days, weeks, and months ahead. In particular, I want to commend our York City, with more than 142,000 cases Once the world ceases to be consumed clinicians who have treated COVID-19 and 15,000 deaths as this magazine by this virus’s rapid spread, Which future patients and/or volunteered during goes to press. Our city is the hallmark of will we choose for our loved ones, our this crisis: an NYU Meyers education, and when it patients, and, of course, ourselves? Life grieves, we grieve. We mourn the passing will almost certainly be different once of friends, neighbors, and loved ones. the pandemic abates, and that is okay. Ab Brody, Assoc. Prof. COVID-19 has robbed us of warm But we, the members of the Meyers embraces from family and friends, nights community, can make the world a better Theresa Bucco, Clinical Asst. Prof. at the movie theater to unwind, and visits place through knowledge, transparency, to favorite local restaurants and coffee and kindness. Leon Chen, Clinical Asst. Prof. shops for simple indulgences — all of which we likely took for granted before. Together, Maya Clark-Cutaia, Asst. Prof. Of course, being a nursing institution, so many of our faculty, alumni, and graduate Jeff Day, Clinical Asst. Prof. Dean Eileen students have been on the front lines of this crisis, including KP Mendoza BS ’18, Caroline Dorsen, Asst. Prof. whose face is on our cover, after a shift Brian Fasolka, Clinical Asst. Prof. from the Surgical & Transplant ICU at Mt. Sinai Hospital. We dedicate this issue to Selena Gilles, Clinical Asst. Prof. all of you who selflessly gave more than Eileen Sullivan-Marx, PhD, RN, FAAN most can imagine for patients and their Dean & Erline Perkins McGriff Professor John Merriman, Asst. Prof. Jennifer Morrison-Nahum, Clinical Asst. Prof. Jen Pettis, Assoc. Dir., Program Development, NICHE Gina Robertiello, Asst. Dir., Simulation Center Dorothy Wholihan, Clinical Assoc. Prof. Fay Wright, Asst. Prof. 2 NYU NURSING SPRING 2020
Did you know there are creative ways to support GIVING NYU Meyers in which the College, you, and your loved ones all benefit at the same time? Are we already in your will, trust, or other estate plans? If you have named NYU Rory Meyers College of Nursing in your will, please let us know WHY I GIVE because it helps us plan for the future. It also allows us to thank you for your generosity and to honor your loyalty to the College. If you have already included NYU Meyers in your will, call or email Karen Wenderoff, director of development, and she will add ALICIA GEORGES MA ’73 your name as a member of the Society of the Torch. The Society of the Torch is a special group of alumni, faculty, and friends HONORING A NURSING PIONEER THROUGH PHILANTHROPY of NYU who have recognized the impor- Nearly five decades have passed, but tance of planning their philanthropy by Alicia Georges can still recall how was able to succeed — and break down providing for the University and its schools inspired she was by Estelle Osborne. countless barriers for Black women and and colleges through their wills and estates. “Estelle and I were in the same sorority, Black nurses. Through bequests in wills, trusts, and other Alpha Alpha Kappa,” she says. “She By supporting the scholarship fund, arrangements, these donors have found was one of the stateliest, put-together Georges, who serves on the NYU Meyers a satisfying way to leave a meaningful women I have ever met. She had so Dean’s Council, is also giving back to the legacy. Or if you would like, your gift may much confidence — she knew she was as institution where she earned her Master’s remain anonymous. good as anyone else. As a Black nurse degree in nursing. Don’t have a will? and a fellow AAK, that motivated me.” “Meyers gave me a grounding that was You are not alone! Now is a great time to Georges went on to a distinguished more than how to care for sick people,” start planning. Please consider including career as a nurse, educator, and admin- she says. “I learned about the importance NYU Meyers in your will. Contact Karen for istrator. She currently serves as chair of of public health — of knowing what’s suggested bequest language and NYU’s tax the Department of Nursing at Lehman going on in the community. And while ID to share with your attorney. College of the City University of New it wasn’t easy getting a Master’s degree York and the national volunteer president as a Black woman in the early 1970s, Have you ever wished you of the American Association of Retired NYU was different. It was one of the first could do more for NYU Meyers? Persons. She is determined to extend institutions to embrace diversity. I met By including us in your long-term financial Osborne’s legacy to future generations faculty I really admired, like Claire Fagin, plans, you may be able to: by including NYU Meyers in her estate Martha Rogers, Erline McGriff, and Dee planning — and specifically, by allocating Krieger — leaders who never hesitated to • Create a gift that benefits you and your funds to the Estelle Osborne Scholarship reach out if they thought I needed help.” loved ones; Fund, which supports high-achieving Through her philanthropy, Georges • Provide immediate or tax-deferred tax Bachelor’s degree nursing students from hopes to help students “who would advantages to yourself and your heirs; underrepresented communities. never otherwise get the opportunity • Generously support future generations of “I wanted to have an effect on a legacy to take advantage of the world-class nursing professionals. that needs to remain at NYU forever,” education at NYU Meyers” while she explains. honoring a nursing pioneer who was her Osborne came of age when state- personal role model. sanctioned racial discrimination was “Too many people are not aware of pervasive in American society and what Estelle Osborne accomplished,” nursing was one of countless professions she says. “We can’t forget her role in the that severely restricted opportunities history of America and in the history of for African Americans. But through her Black America. I don’t want to let this To learn more about this giving talent, hard work, and determination, she legacy die.” opportunity, please contact Karen at 212-992-5924 or kmw2031@nyu.edu. NYU NURSING SPRING 2020 3
Our faculty and students regularly attend elite confer- NEWS ences, travel abroad to con- FACULTY & STAFF ACHIEVEMENTS duct important research and collaborate with colleagues, and give back to our com- munity. Here is a snapshot of their latest work. A Prof. Selena Gilles served in Ghana as part of the Annual Amazing Grace Children’s Foundation Medical Mission and Antimicrobial Resistance Symposium. B Prof. Sally Cohen received the prestigious Lois Capp Policy Luminary Award, at the 2019 Academic Nursing Leadership Conference. C Dean Eileen Sullivan-Marx spoke at the NAHN Latino Leadership Institute, also attended by Profs. Michele Crespo-Fierro and Karla Rodriguez. D Prof. Donna Hallas, an AANP board A member, went to Austin, TX, to celebrate the grand opening of the AANP’s new building. E Sullivan-Marx with participants from Fudan University Stomatology Hospital/ Shanghai Stomatology Hospital attended a training program sponsored by the NYU Aging Incubator, “An Interdisciplinary Approach to Improve Oral Health.” B C D F Faculty, students, and staff gathered at the 2019 United Hospital Fund Annual Gala to honor Sullivan-Marx, who received a special tribute award for promoting nursing through policy, education, and clinical excellence. E F F 4 NYU NURSING SPRING 2020
G H I G Many Meyers faculty were celebrated at an NYU Faculty Honors Reception. H The Teaching Oral-Systemic Health program, a simulation and case study experience, brought together 780 NYU dental, medical, nurse practitioner, and midwifery students and Long Island J K University pharmacy students. I Prof. Allison Squires moderated a session on the National Academy of Medicine’s Global Roadmap for Healthy Longevity, in Singapore. J Meyers faculty attended a performance of “Novenas for a Lost Hospital.” K Prof. Emerita Madeline Naegle was honored at the Nurses Educational Funds L L 2019 Gala Reception, where a scholarship M was established in her honor. L Profs. Selena Gilles, Sandy Cayo, Larry Slater, Beth Latimer, and Judith Haber attended the NLN Education Summit. M The College agreed to partner with Central South University, in China. NYU NURSING SPRING 2020 5
Here are some ways the Meyers community is helping. NEWS COVID-19 NYU MEYERS CARES A E Clinical Asst. Prof. Jennifer Morrison-Nahum Clinical Assoc. Prof. Mary Brennan, Clinical is a pediatric nurse practitioner in an ED at a Asst. Prof. Leon Chen, and Executive Director children’s hospital in the Bronx. She has treated of Clinical Simulation Natalya Pasklinsky COVID+ patients as young as 10 months old. developed online training modules about COVID-19 and acute-care nursing for Asst. Prof. Maya Clark-Cutaia wrote an opinion the United States Public Health Service piece for CNN about the sadly predictable Commissioned Corps nurses, which is helping higher COVID-19 disease burden in commu- to staff the temporary hospital in New York nities of color. She called on policymakers to City’s Javits Center. B add plans and investments in these high-risk communities, such as delivering free prescrip- Asst. Prof. Tina Sadarangani developed a list tions and assuring access to affordable foods of tips for caring for older adults at higher A The College joined NYU Dentistry and for those on restricted diets. risk during the pandemic. It emphasizes other NYU departments to donate over 9,500 maintaining healthy habits, reducing stress, face masks, 70,000 gloves, 3,000 gowns, and After Assoc. Prof. Ab Brody was redeployed and general preparedness. 400 face shields to NYC hospitals. as a nurse practitioner at NYU Langone Orthopedic Hospital in Manhattan, he shared Clinical Asst. Prof. Stacen Keating and B Dean Eileen Sullivan-Marx was inter- a moving account of the many difficult deci- Research Scientist Gary Yu participated in a viewed about COVID-19 on CNN, MSNBC, sions that front line clinicians are grappling podcast on Voice America about the need Yahoo! Finance, and Newsmax. with in treating COVID patients. for nurses to have epidemiology content and C Clinical Asst. Prof. Leon Chen, Eunhye to work collaboratively with scientific inputs Newman MS ’13, and Carol Leong MS ’14 have Jin Jun PhD ’18 co-wrote a piece in the Detroit from both the East and West. been treating COVID-19 patients in the Critical Free Press thanking hospital clerks, cafeteria staff, and social workers on the front lines. David Frank, Behavioral Science Training Care Center at Memorial Sloan Kettering. Program post-doctoral research fellow, was D Clinical Asst. Prof. Theresa Bucco is More than 230 NYU Meyers nursing students quoted in Gizmodo about the pandemic educating nurses about the new IV flow in the Leadership & Management course turning daily methadone pick-up into an regulator extension tubing being introduced and 20 faculty, led by Clinical Asst. Prof. acute public health crisis. into practice during the pandemic, as a per Sandy Cayo, sprung into action to provide COVID-19 tests results via phone and assist Alums joined Clinical Asst. Prof. Robin Klar diem ED clinical educator at Northwell Health with remotely monitoring patients. to explore lessons learned from nurses and Staten Island. midwives in Sub-Saharan Africa during the The NYU Aging Incubator held a webinar titled Ebola outbreak, to inform nurses during the “International perspectives of the COVID-19 COVID pandemic. pandemic: Insights from China, England, and Korea,” moderated by Prof. Bei Wu. 6 NYU NURSING SPRING 2020
NEWS FACULTY NOTES Clinical Asst. Prof. Karyn Boyar presented Asst. Prof. Caroline Dorsen received the Asst. Prof. Susan Malone co-authored an at the 2020 Carol Carfang Nursing & NYU Martin Luther King, Jr. Faculty Award op-ed in the New York Daily News urging Healthcare Ethics Conference on the integra- for “outstanding faculty who exemplify the lawmakers to end daylight saving time. tion of design thinking into contemporary spirit of Dr. King through teaching excel- healthcare issues. lence, leadership, social justice activism and Asst. Prof. Ann-Margaret Navarra community building.” She is the first Meyers was appointed to serve on the ENRS Assoc. Prof. Ab Brody was named one of professor to receive this award. Communications Committee. America’s Top NPs by Point of Care Network Clinical Asst. Prof. Linda Herrmann released Clinical Asst. Prof. Karla Rodriguez presented at Clinical Asst. Prof. Sandy Cayo will be a new pathophysiology book, Advanced NYU Faculty Urban Research Day on “Exploring recognized by the UN as a nurse with global Physiology and Pathophysiology: Essentials Healthcare Perceptions of a Plant-Based Diet.” impact on International Nurses Day 2021. for Clinical Practice, which is intended for Asst. Prof. Tina Sadarangani presented on future healthcare providers who will diag- Asst. Prof. Maya Clark-Cutaia was chosen the role of adult day services in improving nose, manage, and prescribe. as a Multiple Chronic Conditions Scholar health and quality of life for persons with by the NIH-funded Health Care Systems Clinical Assoc. Prof. Fidel Lim became dementia at the National Institutes of Health Research Network and Older Americans a member of the interprofessional NYU National Research Summit on Care, Services, Independence Centers. She also received Medical Humanities Working Group. and Supports for Persons with Dementia and the Outstanding Alumni Award from the their Caregivers. University of Pittsburgh School of Nursing Prof. Audrey Lyndon’s study on maternal complications during childbirth was selected Assoc. Prof. Allison Squires was appointed the Clinical Asst. Prof. Michele Crespo-Fierro from 64 submissions to compete in STAT 2020 Chair of the Global Health Nursing Expert was inducted as a fellow in the New York Madness 2020. Panel for the American Academy of Nursing. Academy of Medicine. She also assumed the She also was reappointed as a research editor role of president for the National Association Asst. Prof. Chenjuan Ma presented a poster of the Journal of Nursing Regulation. of Hispanic Nurses – New York Chapter. on “Patterns of Performance on Quality of Care in US Home Health Agencies, 2016- Vice Dean for Research Gail D’Eramo 2018” at the Gerontological Society of Melkus was honored with the 2020 ENRS America Annual Scientific Meeting. Distinguished Contributions to Nursing Research Award. C D E NYU NURSING SPRING 2020 7
NEWS STAFF ACHIEVEMENTS & PROFILES A Undergraduate students took a tour of NYC. B Ann Williams, director of Global Health Initiatives, was named an honorary professor at the Xiangya Nursing School at Central South University. C Asst. Dean Amy Knowles appeared on Doctor Radio to A promote breast cancer awareness and the Making Strides Against Breast Cancer walk through Central Park. B C Meet Jamie Chiappetta | Associate Director of Finance by Meredith Barges Jamie Chiappetta is when she was 12 years old to complete high program for NYU staff. “For our capstone, the associate director school. But she missed the city. “I always told we come up with ideas for how to generate of finance at NYU my parents, I’m going back to New York . . . So I more revenue or cost savings areas — like Meyers. “Anything came back when I was 17.” The next four years maybe having more people telecommute.” that involves money at Pace University were extremely busy: she When Chiappetta is not crunching num- goes through our juggled coursework, a job, an internship, and bers at the College, she, her husband, Luigi, office,” she explains. motherhood, welcoming her daughter, Crystal, and her 11-year-old son, Jeremy, can be “We pretty much her senior year. found cheering on the New York Red Bulls handle all of the financial transactions, reim- When she graduated, Chiappetta became the at Red Bull Arena, where they have sea- bursements . . . the annual budget submission first person in her family to earn a degree. Now son tickets. for the college, operating budgets, gift she has two: a BS and an MBA! “Both times I had Chiappetta is a celebrity in her own right. accounts, and endowments.” young kids, but the second time around I had a Last year, the NY Red Bulls announced they A math whiz and finance virtuoso, she was husband. That was a totally different experience.” were selecting one super fan to put on a hired from Langone Medical Center as a finan- Chiappetta has been part of several big initia- can of Red Bull, and she and Luigi were cial analyst back in 2008, when the College tives at the University. Through the APII Budget invited in for a photo shoot. “They put us was at its Greene Street location. Over the Management Improvement Group, she helped up in a suite and gave us free food, drinks. years, her title and the College’s facilities have develop new University-wide budget reports, We were introduced to their eMLS player. upgraded twice. “I just love my job. I love work- which show available balances more accurately. It was a really cool day . . . While we were ing with numbers — as crazy as that sounds.” “I use them all the time.” being interviewed, they handed us over the Born and raised in New York City, she moved In March, she will be one of the first gradu- can. When I looked at it, I screamed. My with her parents to the Dominican Republic ates of NYU’s Finance Academy, a new diploma husband and I are on the can!” 8 NYU NURSING SPRING 2020
Drawing on the expertise of administrative, faculty, and student leaders from across the College, the Meyers COVID-19 Task Force was established NEWS to handle the many challenges the pandemic poses for our community. D COVID-19 Task Force, from top left: Tanisha Johnson-Campbell, Keith Olsen, Amy Knowles, Susan Lippman, Cy Preposi MS ’20, Prof. Emerson Ea, Chair Kimberly Glassman, Thomas Freedman, Brittany Taam BS ’20, Profs. Larry Slater and Robin Klar, Ellen Lyons, Lance Irving, Natalie Hellmers PhD ’22, David Resto. D Meet Tamara Tobee | A dministrative Assistant for Operations by Meredith Barges Flowers anoint her Even though she has building engineers and cli- The next big change for Tobee will be buy- workspace. Framed ent services on speed dial, Tobee makes it a point ing a new home with her fiancé, Shawn, in inspirational quotes to get to know all of her colleagues: “I feel like I Westchester, where she grew up and still hang beside her, know everyone in this building . . . I always build lives. “I’m just saving, saving, saving to get announcing to all, some kind of relationship with each person that our condo, so that next year we can focus on “Good vibes only” I encounter.” These connections come in handy getting married and we can start a family.” and “Be the change when she wears her many hats, like coordinating Quiet days spent at home in the calm, you want to see in the annual Thanksgiving potluck. tranquil oasis she has created in Ossining the world.” Tamara Tobee is the welcoming “People don’t just want to talk about work, are key to recharging her megawatt bat- face and operations dynamo of the sixth floor. because it helps us deal with the stress of it all, tery. “A lot of people don’t think this about As the administrative assistant for opera- to be human, to not be robots,” she says, wishing me because of their first impressions, but tions, Tobee helps with all of the daily opera- more staff took opportunities to get know each I actually really just enjoy being at home.” tions and facilities for the College. “It can range other. “Let’s just open up a bit. Let’s be a bit more Shopping for shoes with her mom and role from a light bulb being out to a leak in the free spirited. Life is too short and too serious.” model, Toni Matthews, helps too. bathroom to someone locked themselves out Joining NYU Meyers was a leap. Before this, The sparkling enthusiasm Tobee brings to of a room ,” she explains. “It’s really random.” Tobee was a professional makeup artist and retail work every morning makes her a sought- Tobee skillfully combines her flair for peo- manager working for famous brands like MAC and out friend and appreciated colleague: “There ple with operational know-how: “I like to help NARS. “I like the fact that you can express yourself may be a day when you’re not feeling great people solve their issues . . . Something went with makeup. It helps you feel good. And when and I’m in such a great mood, I might rub off wrong and they need to resolve it, that’s you look good, you feel good.” But what Tobee on you — and you’ll say, ‘You know what, I’m where I come in.” did not like were the long hours and missed birth- glad I ran into her.’” days and family events. She wanted a change. NYU NURSING SPRING 2020 9
A key component of the NYU Meyers mission is to generate new knowledge and demonstrate the NEWS highest standards of excellence in research and scholarship for a global society. Our faculty have expanded the scope and number of our research projects, earning us the distinction of 5th in funding from the NIH. Nurses sleep less Nursing is dominated by shift work, with 12-hour shifts common. Add to that commute hours (497 minutes) prior to a non-work day — a difference of 83 minutes. “Average before shifts, imperiling times and day-to-day responsibilities, nurses sleep times only tell part of the story. We patient safety and care often have limited hours to sleep before or between shifts. Research shows this takes a also found that 11.4% nurses slept a mere five hours or fewer before work,” added toll on their circadian rhythms and can impair Witkoski Stimpfel. by Rachel Harrison | Associate work performance. According to the study, less sleep was Director, Research Communications Sleep deprivation, in general, lowers our associated with lower measures of patient ability to handle complex, stressful tasks and safety and quality of care, suggesting a link make us more prone to accidents. In health- between sleep, fatigue, and patient care. “It Nurses sleep almost an hour and a half less care, fatigued nurses may be at risk of making is in everyone’s interest to have nurses well before work days compared to days off, critical mistakes in duties from performing rested so they can perform their important which can hurt patient care and safety, finds diagnostics to administering medications. function and keep patients safe,” said a new study by researchers at NYU Rory To better understand nurses’ sleep behav- Christine Kovner, Mathey Mezey Professor of Meyers College of Nursing. iors and patient outcomes, Witkoski Stimpfel Geriatric Nursing and the study’s coauthor. “When nurses work long shifts, their sleep and her colleagues studied sleep duration The study, supported by the Robert opportunity shrinks considerably, espe- and work characteristics among registered Wood Johnson Foundation, called for more cially when shifts are consecutive,” said nurses using data from surveys of 1,568 nurses research on nurses’ sleep. In the interim, Amy Witkoski Stimpfel, assistant professor conducted in 2015 and 2016. healthcare leaders can take steps to help and the study’s lead author. “This can have The nurses had reported getting, on prevent human errors by ensuring nurses profound effects for behavior, health, and average, under 7 hours (414 minutes) of have adequate time off between shifts and work performance.” sleep prior to a work day and more than 8 fully staffing workplaces. Through NICHE program, “Nursing homes play an important role in ensuring the health and safety of frail elders The three-year NICHE project will specially train nurses and certified nursing assistants in nearly 3,000 nursing home with complex needs,” said Jennifer Pettis, 30 nursing homes across the state to imple- residents in Washington associate director of the NICHE Long-Term Care Program. “We are thrilled to collaborate ment evidence-based care for older adults. It has the potential to reach more than 3,000 State to see quality care with the Washington State Department of Washingtonians living in nursing homes. improvements Social and Health Services to arm nurses with Through the grant, nurse leaders will complete evidence-based practices allowing them to an eight-week online leadership training, they provide the best possible care for the state’s will develop plans for quality improvement by Rachel Harrison | Associate aging population.” projects on two clinical areas for their nursing Director, Research Communications As Americans live longer and face more homes. NICHE’s mentors and faculty will then complicated medical issues that come with support teams in implementing their action aging, the number of residents in nursing plans. Nursing staff at all 30 nursing homes In December, NICHE received a $644,000 homes is projected to rise dramatically over will also complete specialized continuing grant from the Washington State Department the next decade. To keep up, nursing homes education courses on the care of older adults. of Social and Health Services to improve the need to provide more complex services. NICHE has partnered with Comagine quality of care for older adults living in nursing Yet, nurses working in long-term care Health, the Washington Quality Improvement homes in Washington State. Funded by the settings often lack the knowledge of evidence- Organization, to evaluate the resident Centers for Medicare & Medicaid Services’ Civil based care necessary to best meet the needs outcomes associated with this program. Money Penalty Reinvestment Program, the of older adults. For example, caring for older Research shows that NICHE organizations have project is part of a national effort to reduce adults requires specialized assessment skills to improved patient outcomes, decreased costs, adverse events, improve staffing quality, and differentiate normal changes related to aging and reduced hospital readmissions, leading to enhance dementia care in nursing homes. from signs of diseases like dementia. higher older adult and staff satisfaction. 10 NYU NURSING SPRING 2020
NEWS Prof. Janet Van Cleave receives Oncology Nursing Foundation grant to improve patient outcomes in head and neck cancer by Rachel Harrison | Associate Director, Research Communications Janet H. Van Cleave, assistant professor The Oncology Nursing Foundation award “We believe that the use of the ePVA at NYU Meyers, was awarded a $24,352 will support research to establish the value enhances patient-provider communication research grant from the Oncology Nursing of the ePVA as a communication tool to about symptoms and function limitations Foundation to fund a randomized study using improve clinical decisions in symptoms and for patients with head and neck cancer. This the Electronic Patient Visit Assessment (ePVA) function management in head and neck enhanced communication, in conjunction with to improve outcomes for patients with head cancer. Participants with head and neck the practitioner’s collection of data through and neck cancer. cancer undergoing radiation therapy with or history, physical exam, and patient’s electronic Patients with head and neck cancer expe- without chemotherapy will be randomized health record data, should lead to a higher rience painful, debilitating symptoms and to either the ePVA intervention or usual care. quality of evidence, improved clinical decision function limitations that can interrupt cancer Participants randomized to the ePVA inter- making, and improved patient outcomes in treatment or occur after treatment. These vention will complete the ePVA every other head and neck cancer,” said Van Cleave. symptoms and limitations can decrease week during radiation therapy, then 4, 12, and “Receiving the Oncology Nursing patients’ health-related quality of life. In an 24 weeks after they complete radiation. Foundation Research Grant is very important effort to better capture patient-reported The mHealth tool will generate automated and meaningful to me,” Van Cleave continued. symptoms and function limitations during reports of patient responses, including “In addition to providing support for my and after head and neck cancer treatment, assessment of pain severity and pain medi- research to establish the value of the ePVA for Van Cleave and her colleagues developed cation use that will be sent to the head and symptom management of patients with head the ePVA as a web-based clinical support neck cancer team to inform their clinical and neck cancer, the ONF Research Grant tool. Patients answer questions using touch decisions. For instance, reports may prompt also represents validation from my peers of screens—for instance, on an iPad—prior to referrals to palliative and rehabilitation the scientific merit of my work.” appointments, and the information is trans- services or changes in pain medications. mitted to their care team. NYU NURSING SPRING 2020 11
FEATURE , “ PANDEMIC PROVES AGAIN THERE IS NO SINGLE ROLE OF THE NURSE ” By Ab Brody | Associate Professor, Nursing & Medicine I n March, I was redeployed as a is a huge shift in mindset when you are As we think of the nurse specifically and nurse practitioner at NYU Langone primarily responsible. I’m also working nights, our role during this pandemic, I’ve grown Orthopedic Hospital after the geriat- when there are fewer staff, because my wife to understand, there is no single role of the rics section of the NYU Department is also a clinician on the front line and one of nurse. Nurses, just like in other times, take of Medicine, where I am associated faculty, us has to be home with our kids. on many roles. In this case, we have our was tasked with hospitalist service. In a Almost everyone is playing a different ER and ICU nurses providing care to the short period of time, there have been so role than normal and handling it with grace hardest-hit patients, often in very trying many experiences in helping patients in their and professionalism — the cleaning and conditions. Our med-surg nurses have to healing, making difficult decisions about engineering staff, patient care technicians, monitor patients who are very labile and clinical care, and supporting each other in a nurses and other nurse practitioners, rehab one minute may look fine and the next are truly unparalleled time in recent history. therapists, respiratory therapists, physi- not. We have also seen nurses and nurse As part of our inpatient medicine team, I am cians, physician assistants, clerical staff, practitioners drafted into ER/ICU/Med-Surg instituting changes to patients’ plan of care, administrators, and otherwise. What is not settings or become outpatient COVID ensuring effective day-to-day management different, however, is that we are all working testers or telehealth screeners. and responding to physiologic changes. This as a team. It is amazing how everyone has There are so many ways for nurses to help, is a completely different role for me from pitched in, come together, and done their whether on the front line or in a supportive geriatric and palliative care consultant; there best to help each other and our patients. role. Given their front-row view of what is 12 NYU NURSING SPRING 2020
Ab Brody is an associate pro- fessor, associate director of the Hartford Institute for Geriatric Nursing, the founder of Aliviado Health, and the pilot core lead of the NIA IMPACT Collaboratory. FEATURE His work focuses on the inter- section of geriatrics, palliative care, quality, and equity. going on, we need nurses in all these places to help advocate for our patients and the attack, and my rapid-response muscle memory from when I was a bedside “ Given their health system, to be on television, in the newspaper, and on social media advocating nurse kicked in, assessing and ordering labs — an ABG, EKG, and all the other front row view of for safe, effective care and caregiving. care that comes with a potential cardiac event pathway. But about five minutes in, what is going on, This novel virus I stepped back. This patient had “do not COVID-19 is unlike any other virus or flu we resuscitate/do not intubate” (DNR/DNI) have seen in the past century. It is so much orders, but the rest of their care goals had we need nurses more readily spread, with no vaccine, only not been fully established. treatments of unknown efficacy. That means I called the healthcare proxy who had in all these places we have limited avenues other than contain- already been discussing with her family ment and supportive interventions. what we should do in this type of situation, We are already seeing that in this country and they had an answer. Their loved one to help advocate Black and Brown people are having dispro- had always said that if they did not have portionately worse outcomes — and that the ability to be independent (which this for our patients men are far worse off with almost 50% patient was unlikely to achieve, given the higher hospitalization, ICU, and mortality complicated nature of their stay), they rates. Older adults are also disproportion- would not want a wheelchair or bedbound and the health ately affected, with reports of 50–90% life. Therefore, we pulled back and imple- dying if hospitalized and intubated. Also, mented a comfort care pathway. system, to be on fever does not seem to be the leading Within an hour the patient looked much indicator if patients are healing or not, it is more comfortable and we were able to oxygenation requirements. Of those who peacefully care for her symptoms without television, in do recover, many need long hospitaliza- extensive additional, potentially uncom- tions because they are debilitated as they regain their lung function. The question fortable workup and procedures. If we had continued down the cardiac event pathway, the newspaper, becomes, where do they get rehab? They the patient could have ended up with a can spend weeks in a “limbo” sort of state, lot of aggressive care, short of intubation, and on social healthy enough not to need full acute care, which would not have been congruent with yet not able to transition to rehab until they have the oft-required two COVID-19 her goals. Instead, she died peacefully and compassionately in inpatient hospice. In media advocating negative tests. the end, we were meeting the patient and family wishes and supporting a seriously for safe, effective Patients’ goals first ill individual at the end of their life to have What stands out for me the most, as a geri- their care match their goals. atric and palliative care NP by training, is Sometimes patient goals are around care and how we, in the thick of an emergent issue, maximal curative treatment, and it is automatically do the default, all-curative important to honor that just as it is caregiving. measures that may not be in the patient’s important to honor when it is somewhere ” goals or interest. I had a COVID+ patient in between or fully comfort care. What is who came back with a concerning lab value most important is to match those goals for cardiac damage and potential heart with the care we provide. NYU NURSING SPRING 2020 13
STUDENTS Disaster COLLEGE COURSE: The COVID-19 crisis has provided a huge opportunity to harness the knowledge and skills we have learned throughout the semester and apply the information to real-life situations as they happen at hospitals just down nursing the street. Our class has covered information on pan- demics, personal protective equipment (PPE), the phases of a disaster, and hospital emergency preparedness. Through a combination of dynamic lectures, guest speakers, and hands-on activities, Prof. Theresa Bucco has designed the Disaster Nursing course to improve our level of comfort in making the tough decisions involved in treating victims of emergencies. Our class participated in activities like “Stop the Bleed,” which simulates a disaster scenario, such as a tornado or an earthquake, in which a patient has sustained a traumatic injury and is rapidly losing blood. This skill is vital in the early stages of an emergency response, with the potential to save many lives in a short amount of time. SAVING Just before we shifted to remote learning, our class had the opportunity to explore the different PPE LIVES DURING levels and practice the process of safely donning and doffing the gear. We learned about the PPE used when OUTBREAKS, caring for a patient with Ebola as well as the equip- ment utilized in a chemical disaster. I had the chance FLOODS, FIRES, to demonstrate the use of a yellow hazmat suit for chemical disasters, which included a self-containing & SPILLS breathing apparatus and respirator. The experience was surreal; the intensity of the equipment felt almost as if we were in the middle of a chemical war zone. by Mackenzie Stelljes BS ’20 Many members of the NYU community, including Prof. Bucco, are now on the front line caring for patients A with COVID-19. During class, we heard from many guest fter finding out that NYU Meyers offers a Disaster speakers and fellow students about their personal experi- Management and Hospital Preparedness course, I ences of treating COVID-19 patients. Our discussions have enrolled as soon as registration opened. For years included the harsh reality that nurses cannot save every patient in this pandemic. I have aspired to be an RN in the emergency department, The Disaster Nursing course has taught me about the with the knowledge and skills to treat patients in a time of work entailed in emergency nursing and the challenges crisis. The class incorporates both my love of nursing and surrounding healthcare administration during times of heightened physical and emotional stress. I now have a my passion for acute care. better understanding of the challenges that healthcare When we started the course this spring, we could professionals are facing day in and day out at hospitals never have imagined that we would be studying disease throughout New York City and around the world. There outbreak in the midst of a pandemic. COVID-19 has proven is no telling when or where the next disaster will strike, but I know I will be capable and confident in my ability to be unlike anything medical professionals have ever seen to administer nursing care when it does. before, as the death toll continues to climb worldwide by the day. We are witnessing events, research, and ethical Above, l to r: © 2018 CBS Interactive Inc. All Rights Reserved; debates unfold before our eyes. Gerald Herbert/AP; Mark Wilson; Seyllou/AFP/Getty Images 14 NYU NURSING SPRING 2020
The BSNA’s mission is to foster NYU Meyers ideals through leadership, academic excellence, service, and partnership; while supporting the development of social and cultural awareness among Black nursing students. “We “ I’M ON CAPITOL HILL ” pride ourselves on engaging in community outreach while also building a by Lataijah Beadle BS ’20 | President, Black Student Nurses Association safe space for students to network and ensure that In early February 2020, eight NYU nursing students, including myself and two they feel a sense of ‘home’ other members of the Black Student Nurses Association (BSNA), were delighted while on campus.” Each to join the National Black Nurses Association’s Greater New York Chapter year BSNA aims to host (NBNAGNYC) on their annual “Trip to Capitol Hill.” For students involved in the three events: A Faculty of BSNA, events are a way for us to set our books aside for an hour or more and Color Round Table, Different reconnect with other students, faculty, and non-faculty nurses. Most importantly, Pathways of Nursing, and a they allow us to engage in conversation on topics and policies that are near and mental health event. dear to our hearts, affecting our local communities. First stop, the Washington Court Second stop, Capitol Hill, for Last stop, Washington Court Hotel Hotel Grand Ballroom, for the a 10:30 am appointment with Grand Ballroom, for a debrief. National Black Nurses Association’s Congressman Hakeem Jeffries, Each NBNA chapter spoke on their experience and “Day on Capitol Hill.” 8th District of New York. the topics they lobbied for. Chapters from across the States were all Our group divided into two. While Prof. Visiting Capitol Hill was amazing. I was able to dressed in red for National Wear Red Day Sandy Cayo and four students met with meet nurses and fellow nursing students from (February 7) for heart disease awareness. Jasmin Palomares, legislative aide to Sen. other states who are passionate about bringing We were greeted with breakfast and a Kirsten Gillibrand, my group — myself; two change to their communities. Prior to this trip, the welcome address by NBNA Board Member other BSNA members; Prof. Selena Gilles, the thought of speaking to government officials was and Chair Dr. Sheldon D. Fields and remarks NBNAGNYC community chair; and Dr. Julius terrifying. What do I say? How do I say it? Will they from NBNA President Dr. Martha A. Dawson. Johnson, president of the NBNAGNYC — met listen? And will they understand the message I am This year’s focus was on “Addressing the with Jeffries’s legislative assistant, Disha Banik. trying to get across? This trip helped me overcome Social Determinants of Health.” Such factors We spoke to Banik about the need to my fears. I am now more confident in advocating that disproportionately affect members of ban flavored tobacco products. E-cigarette for nurses and our community. the Black community include socioeconomic companies use strategic packaging to market In some Black communities, like my own, where status, where low-income families are not to minors. Still unaware of the current effects there is limited access to resources, we try hard able to afford quality meals, and education, of such products, we know the future effects to not become a product of our environment. As where children are not able to learn to are less likely to be positive. I have three I progress into starting my nursing career, one their best ability because they do not have younger sisters, and I understand what it’s of my goals is to spark change in our commu- nutritious meals to fuel the brain — or there like to be peer pressured and wanting to nities. We have the power, knowledge, and may be a lack of educational resources, fit in. But also, what child does not want a determination to create our own opportunities like after-school programs or libraries, in bubble-gum-, lemon-twist- or mint-flavored that will help us thrive; all it takes is for us to join the community. product they see in a store decorated with together and make that first step towards a better A panelist of speakers gave us in-depth bright colors, fruits, and cool lettering? tomorrow. As a soon-to-be nurse, there are so information and statistics on topics affecting Another student lobbied for better mental many different specialties I can go into. I have our communities, such as “Closing the Gap illness policies. She has a close friend who not figured mine out just yet, but with anything on Racial and Ethnic Health Disparities” was affected by seeing a parent struggle with I do, helping to build my community will always and “The Need to Prohibit the Sale of All mental illness. Oftentimes the focus is only be a priority. You cannot choose where you come Flavored Tobacco Products.” on the individual battling the illness, which from, but you can choose to make it better. is expected; however, we should also involve I am thankful for the opportunity that the NBNA the family members who provide care for and Profs. Cayo and Gilles gave us students to that person and think about how this might know, feel, and witness what it is like to be a be affecting them. catalyst for change. The BSNA looks forward to hopefully joining the Day on Capitol Hill in 2021 and in many years to come. NYU NURSING SPRING 2020 15
STUDENTS SHUGHLA GHAFOOR BS ’21 One of the best things about studying at Meyers is the atmo- sphere with great professors and a diverse student body. Professors at Meyers are very engaging and care about their students and their education. EMMA FINEGAN BS ’21 I am constantly surrounded by enthusiastic, empathetic, and globally engaged peers. As a group, we support each other to wake up early for clinicals or stay up late to study. It’s energizing to be around such interested, proactive, positive, and kind people. AARON COHEN BS ’21 One of my favorite things to do is to go to The best thing about NYU Meyers has museums and sometimes I imitate the art, been making such amazing friendships like I am doing in the photo from the MOMA. in such a short time. MARTA ANAIS REYES BS ’21 ELEA DAVISON BS ‘21 A happy memory I have is piling into an Uber early in the morning with my first NAVI JOHAL BS ’20 sequence clinical group and smelling all The faculty by far are the best thing the Dunkin Donuts breakfast sandwiches about NYU! They are always willing to on the way to Brooklyn. help students in the theoretical and clinical aspects of nursing and guide us towards a path to help us reach our MICHELLE ROSO MS ’20 goals. One cannot discount the esprit Since day one I’ve felt at home. Even just de corps of students who at times walking into the school, the security guards feel like friends made years ago. It’s welcome me and make me feel like family! definitely a special place! 16 NYU NURSING SPRING 2020
STUDENTS Popular new clinical simulation focuses on experts in the field of transgender healthcare. LGBTQ PATIENTS We also networked with members of New York City’s LGBTQ community to recruit for the role of patient in this scenario,” said Natalya Pasklinsky, executive director of simulation by Meredith Barges learning at NYU Meyers. “Then, that patient W collaborated with us to make the simulation as hether it is a heart attack or marginalized groups, so it’s worth including real and meaningful as possible.” a bad reaction to a blood diverse patients in sim scenarios.” In the new scenario, a 30-year old patient transfusion, the NYU Meyers In response to the feedback, the simulation presents with acute pain and nausea related Clinical Simulation Learning experts at the CSLC reviewed and revised to a severe migraine headache in an urban Center (CSLC) has likely replicated it. The CSLC simulation materials to promote gender emergency room. The patient’s name does not uses state-of-the-art simulated healthcare equity and inclusion of LGBTQ patients and match the identifiers on the patient’s identifica- environments to train NYU Meyers students families. Knowing that well-designed simu- tion or insurance card. Throughout the scenario, on how to provide world-class nursing care in lation scenarios have the potential to initiate the amount of information the patient discloses fast-paced medical settings while being alert important shifts in students’ education and depends on their assessment of their “level of for important symptoms and health histo- practice, all simulation faculty also attended a safety” in the emergency room. ries — including ones they could overlook. training to promote equity in assigning gender There is an important second layer to the Normally the CSLC conducts more than identities to healthcare provider roles — and simulation learning process — for students and 100 simulations every week for nearly in patient and family roles, to express a wider CSLC staff. After students participate in the 1,000 baccalaureate and master’s degree variety of the community. LGBTQ Healthcare simulation and practice students. Under the College’s current curric- That same year, an LGBTQ simulation was their communication skills with a patient who ulum, undergrads typically spend half of created with the goal of creating a safer identifies as transgender, they meet as a group their clinical training hours at the CSLC doing healthcare environment for all patients, with CSLC instructors to reflect and debrief “on-campus clinicals.” irrespective of gender and sexual identity. the experience. As the CSLC has expanded over the years, so The scenario demonstrated the use of open “It’s often during these discussions that the have the different scenarios it offers, keeping and inclusive language with the patient and learning happens. In fact, sometimes we, as up with the healthcare field’s rapid changes and healthcare team — and in identifying factors instructors, learn during these discussions medical breakthroughs. It also develops special- that affect therapeutic communication and the too,” explains Pasklinsky. “Students have ized scenarios to close content gaps identified by health assessment of the patient, including the pointed out to us where we can change at the NYU Meyers nursing experts and students. presence of acute pain, prior experiences with CSLC, like updating our patient ID bands to In 2018, members of the LGBTQIA2 Nursing healthcare, and the patient’s ongoing experi- include chosen names as well as legal names, Student Association approached the CSLC ence of safety in the healthcare environment. including pronouns on the medical record, and regarding potential bias in simulations. Students “To develop the LGBTQ Healthcare scenario, improving our own communication skills in the were concerned that medical providers in CSLC staff worked with NYU Meyers under- vital area of LGBTQ healthcare.” simulations were typically male, while hospital graduate and graduate students, faculty, NYU The LGBTQ Simulation has been a huge success, staff were typically female. Students also recom- Langone staff, NYU’s LGBTQ+ Center staff, and offered six times at NYU Meyers, with full enroll- mended that LGBTQ patients and families be ment. According to the CSLC, it will continue included so that students could gain broader to be offered to students in coming semes- experience working with different populations. ters. This will help to grow a cohort of nurses “As the LGBTQIA2 NSA Board, we thought “We are being taught holistic nurs- skilled in interacting with LGBTQ patients and the Sim Center provided a really exciting ing. The faculty are adamant that families — and less likely to overlook important opportunity to create scenarios in which we take in all the patient’s aspects, aspects of patient health and wellbeing. students interact with queer and trans patients like race and ethnicity and the “NYU Meyers graduates hundreds of new and where clinicians use inclusive language communities they belong to, to give nurses per year. The way they’re trained and intentionally,” said Kaitlin Wheeler BS ’19, them the holistic care they deserve. the language they use really matters and former co-president of the LGBTQIA2 NSA, Sexual identity is one aspect of affects the way they care for their patients who helped raise the issue with the CSLC. and clients,” said Wheeler. “The fact that the the overall patient. So it’s really “Having a trans patient is likely to happen, College is doing something like this, and could important to have these especially in New York City. The potential potentially integrate it even more into the types of simulations.” for harm is so high when working with curriculum, is huge for our community.” — Nova Bernal-Portela, co-president, LGBTQIA2 NSA & vice president, LATINOS NYU NURSING SPRING 2020 17
STUDENTS LIM SHOWS WHY EVERYONE NEEDS A ROLE MODEL by Meredith Barges W hether it is a mentor with underrepresented in nursing. Says Jew, “I try “When you sit in a classroom in the Philippines a knack for classroom to act in a way that aligns with [Lim’s] teach- and it’s 105 degrees Fahrenheit, and you keep discussion or an expert ings, vision, and scope of practice, because yourself awake because you’re so excited for who serves in a medical I really respect what he does and how he your learning, to me that is inspiration.” clinic in Ghana, role models are individuals embodies nursing.” In an online questionnaire about their expe- who demonstrate the qualities that we Most people tend to learn from a wide riences at NYU Meyers, students emphasized would like to have. They offer us a vision of range of individuals who they see as admi- over and over again that what makes a faculty what is possible and affect us in ways that rable in some way. They are inspired by how member a role model is their level of expertise make us want to be better at our jobs, our they demonstrate excellence. and passion for their field. relationships, and life in general. And on a deeper level, people choose role “There’s always a little affinity, there’s Jordon Jew BS ’21 met Prof. Fidelindo Lim models based on how they perceive them- an identity thing or a practice thing,” says while serving as the secretary of the Men selves — or at least what they hope to be Lim. “So you gravitate toward people who Entering Nursing (MEN) student group, someday. As Lim explains, “When our students do the same thing you would like to do or where Lim is a co-advisor. Jew was also in come to school, they are really hungry for this because they have the same gender or the Lim’s Adult and Elder II class this semester. type of modeling they can emulate.” same background. I am from The Philippines, “How passionate Lim is about nursing Most faculty become role models because and in my opinion, the Filipino-American has impacted my views on nursing and of the particular talents they demonstrate and Filipino immigrant students gravitate how I’ve taken my career. He helped pave and how they approach their working towards me. It’s a cultural thing.” a pathway for me and put out some bread lives. They help students to reflect on what Born and raised in the Philippines, crumbs,” says Jew, who was initially unsure characteristics they consider important in a Jorelle Mae Buenviaje BS ’20 first met of what area of nursing to follow. Now, on nurse and how they might strive to acquire Lim during her First-Year Orientation in Lim’s suggestion, he is trying out the role those characteristics. 2019. “I had a hunch, this man is a Filipino,” of nurse’s aide in the Oncology Department “When I was in nursing school, I was very she says. Lim has now taught four of her at NewYork-Presbyterian and volunteering impressed by two of my teachers. We didn’t courses — Pharmacology, Complex Health in the emergency department — all new have any male teachers at the time. One Topics, and Adult and Elder Care II & III. “I like career possibilities. taught mental health, and I wanted to be a him as a professor and the way he teaches. But Jew insists that Lim did not stand out mental health nurse because of her. I was He’s very passionate about what he’s as a role model because, like himself, he is very impressed by her breadth and depth teaching and about his students — and I love male and Asian, although both groups are of knowledge. She knew A LOT,” recalls Lim. his sense of humor.” 18 NYU NURSING SPRING 2020
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