NurseTHE VOLUNTEER - Year of the Nurse: Vols on the Front Lines - FALL 2020
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Nurse OUR MISSION We are catalysts for optimizing health THE . . . . . . . . . . . . .VOLUNTEER ............................... through nurse-led care by integrating education, practice, research, and Dean’s technology. We define health broadly and impact it by addressing policy and social issues through advocacy and FA L L 2 0 2 0 Message leadership. Fueled by our commitment 2020 ADVISORY BOARD to communities, families, and individuals, Jeannie Dulaney, Chair Randy Jenkins, Vice Chair we seek partnerships to create innovative solutions that improve health for all. IN THIS ISSUE Dean’s Message.......................................................Inside Cover Laura Barnes OUR VISION College & Faculty News Cindy Bresee Leading Care. Creating Partnerships. Improving Health. TRIP Recieves CARES Act Funding.......................................2 Savannah Brueher Precious Prints Expands Beyond East Tennessee...............2 Vicky Carwein Graduate Program Earns National Ranking..........................2 Doc Claussen COLLEGE OF NURSING Betsey Creekmore A D M I N I S T R AT I O N Niederhauser Appointed to New Leadership Roles............3 ____________________ Dear colleagues, alumni, and friends: Bruce Hartmann Victoria Niederhauser UT Nursing Welcomes…..........................................................3 I Kelly Henderson Dean; Professor Hutson Takes on New College Leadership Role................. 4 8 n recognition of Florence Nightingale’s 200th birthday and in honor of the work nurses have Teresa Levey Brown & Kojima Receive DAISY Faculty Award.................. 4 done over the past two centuries, the World Health Organization named 2020 the Year Sadie Hutson Carlton Long Accolades..................................................................................6 of the Nurse and Midwife! Today more than ever, as nurses serve on the front lines of the Executive Associate Dean COVID-19 pandemic, the world recognizes the tremendous impact nurses have on care. The Jason Long Year of the Nurse: Vols on the Front Lines..............................8 for Academic Affairs; Professor pandemic has had unprecedented effects on all of us—our college, our alumni, and, most Becky Duncan Massey I Am a Nurse Campaign............................................................. 11 importantly, our students. Joe Mont McAfee Tami Wyatt The Possibility of a Brighter Future....................................... 12 Janice McKinley Associate Dean for Research; The world has changed drastically over the past several months due to COVID-19. Spring semester Creating a Hospital Out of Thin Air........................................ 14 Torchbearer Professor courses, including simulation and experiential training, shifted to online delivery immediately after Peggy Pierce On a Mission to Care for Terminally Ill Children................... 16 spring break for most students. Our learning and simulation labs packed up extra PPE and delivered Lisa Reed Nan Gaylord Study Shows New Nursing Skills Emerging it to a local hospital in need. Our faculty members provided information to the community through Avice Reid Associate Dean for Practice and amid the Pandemic................................................................ 18 radio shows, op-eds, and other sources. Several students and alumni also stepped up to the plate in Ian Schnur Global Affairs; Professor true Vol spirit and volunteered to serve. Twelfth Annual NightinGala.................................................... 20 Dean Skadberg 23 Shelia Swift Dr. Sylvia E. Hart Distinguished Alumni Award................. 20 As you will see in this edition of The Volunteer Nurse, our students, faculty, and alumni—nurse scholars Robin Smith Assistant Dean of Undergraduate Volunteer Nursing Champion Award................................... 21 and aspiring nurse scholars—are committed to leadership, service, and improving health. I invite you Alan Solomon Programs; Clinical Assistant Lauren and Thomas Rhett Akins Surprise to learn about a few of the many ways they are moving forward through this pandemic and how their Martha Weeks Professor leadership and service will leave a lasting impact on our world. Nursing Students....................................................................23 Lesa Whitson Terrica Durbin Meet the Advisors: Randy Jenkins......................................... 24 The College of Nursing remains committed to meeting health care challenges and addressing critical Wendy Wortham Interim Assistant Dean of Notes of Gratitude.....................................................................27 health needs by preparing nurses who have a broad understanding of the profession, public policy, EMERITI Graduate Programs Student Spotlight: Paige Clark............................................... 28 leadership, and health care systems. The work of our faculty, students, and alumni is advancing science in our region, state, and world. Once again, I extend my gratitude to you for your loyal support of the Leonard & Gail Brabson C O N T R I B U TO R S College of Nursing and our endeavors to advance science and answer the call of the nation during Larry Burkhart ____________________ this time. Alvin Gibson Editor Margaret Heins Laning Kara Clark We will continue to actively communicate on Facebook, Instagram, and Twitter to students, faculty and staff, and friends. I hope you will to stay up to date with the activities of the college by following Rita Silen 28 us on social media. Copy Editor Linda Vaughn ON THE COVER Donna Spencer College of Nursing graduates Erin Anderson, left, and Abby Delisi, Lydia Weathersby right, on the front lines of COVID-19 in New York City. Thank you for making a Volunteer difference in the lives of those you touch. Graphic Designer FACULTY REPRESENTATIVES Sincerely, Laura Barroso Tom Berg The University of Tennessee is an EEO/AA/Title IX/ CONTACT US Section 504/ADA/ADEA institution in the provision of Terrica Durbin its education and employment programs and services. Writers All qualified applicants will receive equal consideration Carole Myers The Volunteer Nurse is published by the UT College of Nursing. for employment without regard to race, color, national Victoria Niederhauser DrPH, RN, PPCNP-BC, FAAN Kara Clark origin, religion, sex, pregnancy, marital status, sexual Comments and letters can be sent to the editor at DEAN AND PROFESSOR | TWITTER: @VOLNURSINGDEAN Victoria Niederhauser Tyra Haag orientation, gender identity, age, physical or mental UT College of Nursing, Communications, 1200 Volunteer Blvd., disability, or covered veteran status. The university Whitney Heins name and its indicia within are trademarks of the Knoxville, TN 37996, volnurse@tennessee.edu. University of Tennessee. A project of the College of University of Tennessee College of Nursing utknursing @utknursing Diane Carr Tolhurst Nursing. PAN E01-3010-054-001-21.
COLLEGE & FACULTY NEWS Precious Prints Expands Beyond East Tennessee Niederhauser Appointed to New Leadership Roles The Precious Prints Project, an initiative of To date, more than 1,000 Knoxville-area College of Nursing Dean Victoria at the University of Tennessee, Knoxville, and a new dean mentor, and as a leader of the U.S. UT’s Student Nurses Association, has welcomed families have received a sterling silver charm Niederhauser has been selected to serve on the to our vision: Every Leader a Servant Leader,” News and World Report rankings advisory group. its first academic partner. Following months of bearing the fingerprint of their child, made board of directors for East Tennessee Children’s said Samantha Edwards, director of strategic planning, nursing students at Union University by Knoxville-based company Precious Hospital, Leadership Knoxville, and the American partnerships and initiatives at Leadership Since joining Hendersonville will implement the project in the Metal Prints. The charms provide a lasting Association of Colleges of Nursing. Knoxville. “Through Dean Niederhauser’s the College of Nashville area in collaboration with their peers in memory for parents. Fundraising and project work at UT and in the community, we know Nursing in 2011, UT’s College of Nursing. management are handled by the Student Nurses “Dr. Niederhauser is a recognized leader who that she will make a wonderful addition to our Niederhauser has Association. The students collect donations is passionate about helping Children’s Hospital board of directors. We look forward to the year demonstrated her through events like the Sprint for the Prints 5K, continue to provide the best possible expert ahead as our community continues to develop a commitment to which had more than 300 participants in its care to our community’s children,” said Joe continuum of leaders from youth to seniors.” improving access seventh annual race in September 2019. Childs, the hospital’s chief medical officer. “She to education, also understands the importance of educating Leadership Knoxville Scholars takes an advancing diversity This development comes after Dean Victoria tomorrow’s nurses about the complexities of innovative approach to leadership education and inclusion Niederhauser and Lynne Miller, clinical pediatric medicine. She is a great addition to our through community partnerships. The intensive initiatives, and TRIP Receives instructor and director of the Precious Prints board of directors.” two-year leadership development and community creating innovative Victoria Niederhauser Project, created a plan to expand the project to immersion program targets the best and brightest solutions to address CARES Act Funding nursing schools and health care facilities across The hospital is one of four certified comprehensive student leaders at the university and connects challenging issues in nursing education. “I am the nation. regional pediatric centers in Tennessee and is them to impactful community leaders. The thrilled to serve the community through these In 2018, the College of Nursing, in accredited by the Joint Commission. Its board of program operates under the core values of board appointments” she said. “As a nurse and partnership with Cherokee Health Nursing faculty and student representatives directors is composed of 21 community leaders servant leadership, community building, and academic leader, I believe I can bring a helpful Systems, received $2.6 million from from Union University recently visited UT who are committed to the hospital’s mission social change. perspective and learn ways to support these two the US Department of Health and Precious Prints, which offers free fingerprint to learn implementation strategies, best of improving the health of children through wonderful organizations.” Human Services for Transforming RN charms to families who have lost a child, practices, and how to conduct staff education exceptional comprehensive family-centered care, In addition, Niederhauser was elected to the Roles in Community-Based Integrated launched at East Tennessee Children’s Hospital in and training. They also visited one of UT’s wellness, and education. Niederhauser is one of board of directors of the American Association Niederhauser is a board-certified pediatric nurse Primary Care through Academic January 2012. The charms are now available at partnering hospitals to learn about the four new members selected to join the board. of Colleges of Nursing. AACN, founded in practitioner, a Robert Wood Johnson Executive Partnership, or TRIP. The program all major hospitals in Knox County. process firsthand. 1969, is the national voice for academic nursing. Nurse Fellow, and a Fellow of the Academy of trains BSN students in primary care Niederhauser was also selected to join the With a membership of more than 800 schools, Nursing. In 2019 she was named to the Sara settings serving culturally diverse rural board of directors of Leadership Knoxville. She AACN establishes quality standards for nursing Rosenbalm Croley Endowed Dean’s Chair, and underserved populations. In June, will serve as the chair of the Leadership Knoxville education, assists schools in implementing those the first endowed dean’s chair for the college. TRIP received an additional grant of Scholars Committee during her time on the board. standards, influences the nursing profession to The focus of her scholarly activity is in the $78,000 through the Coronavirus Graduate Program Earns National Ranking improve health care, and promotes public support area of child and adolescent health promotion Aid, Relief, and Economic Security “Victoria Niederhauser, a graduate of the for professional nursing education, research, and and disease prevention with an emphasis on (CARES) Act. Funds will be used in The Doctor of Nursing Practice program While U.S. News ranks programs in business, Leadership Knoxville Class of 2014, was chosen to practice. Niederhauser is an active participant in immunizations and childhood obesity. partnership with Cherokee Health climbed eight spots in U.S. News and World education, engineering, law, medicine, and serve because of her commitment to the students AACN and has served on several committees, as Systems to advance telehealth related Report’s 2021 Best Graduate Schools ranking. The nursing every year, programs in the sciences, to COVID-19 in rural and underserved program is now 27th among social sciences and humanities, communities. TRIP students and public universities nationwide health fields, and other areas practicing RNs will develop their and 38th overall. are ranked only periodically. telehealth digital literacy and communication skills as well as their UT Nursing FACULTY Welcomes… In late 2019 and early 2020, “These rankings are a direct Jennifer Smith, Assistant Professor Mary Barton, Clinical Assistant Professor knowledge of COVID-19. Jennifer Miller, Assistant Professor April Bryant, Clinical Instructor U.S. News sent statistical result of the hard work and Cassie Fishbein, Clinical Assistant Professor Chris Brown, Clinical Instructor surveys to administrators at dedication of our amazing Faculty and staff hires since Chisa Huffman, Clinical Assistant Professor Robert Cornette, Clinical Associate Professor more than 2,000 graduate nursing students as well as August 2019 Samia Dutra, Clinical Assistant Professor Clea McNeely, Research Professor programs and compared them our faculty and staff, who | FALL 2020 | FALL 2020 Melissa Hessock, Clinical Assistant Professor Maureen Groer, Visiting Professor with reputational surveys work tirelessly to support completed by more than 24,000 academics and excellence in nursing education,” said Dean STAFF professionals to derive the rankings. Victoria Niederhauser. Laurel Cox, RN to BSN Administrative Specialist Holly Hauck, Research Administrative Specialist Laura Crowe, HR Specialist Carla Orsburn, Part-Time Simulation Coordinator 2 3
Vi tua COLLEGE & FACULTY NEWS Hutson Takes on New College Brown, Kojima Receive RESEARCH DAY Leadership Role DAISY Award Sadie Hutson has taken on a new leadership role in the College The DAISY Award for Extraordinary Nursing Faculty was presented of Nursing. to two faculty members in 2020. Clinical Instructor Mary Lynn Brown and Clinical Assistant Professor Freddie Kojima were both Hutson is now serving as executive honored with the award in virtual ceremonies—Brown’s in April and associate dean for academic affairs, Kojima’s in August. Both recipients were among those nominated leading the college as its chief by students and fellow faculty members, with the final choices operating officer for academic made through a blind review process by a selection committee. matters. Hutson will use her leadership skills to ensure that Brown’s nominators said that every students have a positive learning time she lectures, her passion experience that results in their and excitement for teaching are becoming competent professionals apparent. Her high spirits bring who can meet the health care needs energy to the classroom, keeping of the state and nation. students engaged and active. She Sadie Hutson goes out of her way and makes Hutson has a BSN from the sacrifices to make sure she is University of Wisconsin, Madison, and both an MSN and a PhD always there for her students. in nursing from the University of Pennsylvania. Brown Kojima’s nominators said he exemplifies Since 2011, she has taught research methods across undergraduate everything an educator should be, with enthusiasm and passion for and graduate programs and served as assistant dean of graduate teaching and his students. He makes programs and coordinator of the undergraduate Nursing Honors every opportunity a learning program. Her research expertise is in the area of chronic illness opportunity, pushing students to among rural and underserved populations. Hutson studies the end- develop skills and inspiring them of-life care and service needs of persons living with HIV/AIDS as to be more curious. Students well as the human consequences of living at high genetic risk of said his impact is monumental cancer. She has been funded by the National Institutes of Health, and they will be forever grateful the American Cancer Society, and the Centers for Disease Control for the knowledge and wisdom and Prevention, among other agencies. he has imparted. Hutson is a board-certified women’s health nurse practitioner. She A collaborative program of the DAISY Kojima "Amplifying Nurses’ Voices serves as director of the hereditary cancer risk assessment program at Pikeville Medical Center in Pikeville, Kentucky, and as the Foundation and the American Association of Colleges of Nursing, the DAISY Faculty Award is a national Worldwide project lead for Appalachian Angel of Hope Inc., a community to Mitigate Public Health Threats" recognition program that honors teachers for their commitment nonprofit organization. She is also an expert consultant in the and inspirational influence on future generations of nurses. Clinical Genetics Branch of the National Cancer Institute, where she completed pre- and postdoctoral fellowships. November 2, 2020 5–7:30 pm Sue Hasmiller, presenter and panel moderator The registration link will be sent in September | FALL 2020 through email and social media. LET’S CONNECT Follow us on social media for the latest on alumni events, college news, and more. utknursing @utknursing utknursing 4
COLLEGE & FACULTY NEWS Accolades Joel Anderson received the Outstanding Lisa Davenport was promoted to clinical Sadie Hutson was a keynote presenter Mary Miles was promoted to dean’s Allison Newman transitioned to the Visit our website PhD Faculty Award in the College of Nursing associate professor. at the National Academies of Sciences, executive assistant. position of procurement specialist. nursing.utk.edu and was a nominee for the LGBTQ Advocate Engineering, and Medicine for a workshop titled Award from the Chancellor’s Commission for Terri Durbin was named interim dean of “Exploring the Current Landscape of Consumer Missy Miller is the recipient of the Torch Kathy Newnam was promoted and became LGBT People. He received funding as co- graduate programs. Genomics.” She was also appointed an expert Award. The Torch recognizes a faculty or staff a tenured associate professor. principal investigator of a Global Catalyst Award consultant to the Clinical Genetics Branch of member who exhibits a strong character of from UT’s Center for Global Engagement Nan Gaylord received the Harold Love the National Cancer Institute’s Division of selflessness, humility, and sacrifice for the Shelia Swift was promoted to clinical and Office of Research and Engagement to Outstanding Community Service Award. The Cancer Epidemiology and Genetics. Her work greater good. associate professor. strengthen an ongoing international collaboration award is sponsored by the Tennessee Higher there will focus on providing expert guidance on in Alzheimer’s disease care with colleagues at Education Commission and is named after psychosocial studies of individuals living with Phillip Moore was promoted to RN to BSN Sandra Thomas received the college’s Sara the Centre for Medicine and Aging in Stavanger, late state representative Harold Love, who was hereditary cancer syndromes. and BSN chair. and Ross Croley Professorship Award. Norway. He received funding as a co-investigator instrumental in passing legislation to create on several collaborative projects with the Tickle community service recognition programs in 1991. Jason Kiernan was selected for the Erin Morgan was selected for the PhD student Kendrea Todt and her chair, College of Engineering, Emory University, and Gaylord was one of five honorees selected by a Outstanding Undergraduate Classroom Faculty Outstanding Undergraduate Clinical Faculty Sandra Thomas, received the first- the University of Exeter. He also received the statewide task force. award by the 2020 BSN graduating class. He Award by the 2020 BSN graduating class. place Student Research Poster Award at the college’s Allison and Patrick Harrison Nursing also received the college’s Volunteer Award, She received an award from UT’s Teaching International Society of Psychiatric Mental Innovation Award. DeLyndia Green-Laughlin was which recognizes a nurse educator who has and Learning Institute to redesign portions Health Nurses conference, which was held selected for the college’s Smokey Award. The demonstrated excellence in teaching, research, or of her health assessment in the traditional virtually in June. Carrie Bailey was certified as an adult award recognizes an adjunct faculty member who service early in their career. BSN program. sexual assault nurse examiner by the International demonstrates excellence in teaching, research, Tracey Vitori was selected for the Butler Association of Forensic Nurses. There are only 38 or service. Freddie Kojima was promoted to clinical Carole Myers was elected to the Board Williams Scholars and accepted as a scientist in nurses in the state who hold the certification. assistant professor. of Directors of the Tennessee Health Care molecular biology at the New England Biolabs, Robin Harris presented “Pharmacology Campaign and was re-appointed a Senior Fellow Smith College. Lora Beebe served as a faculty mentor Update 2019” to the Polk County, Florida, Lisa Lindley was inducted as a Fellow of the in the George Washington University School of for a student team that received the Award Advanced Practice Nurses Association and American Academy of Nursing and was selected Nursing’s Center for Health Policy and Media Andrew Ward received the Alan Solomon, for Excellence in Evidence-Based Practice at “Adaptation to Chronic Illness: Response in for the Nightingale Endowed Faculty Fellowship Engagement. She and WUOT’s Brandon MD, Faculty Oncology Award. UT’s Exhibition of Undergraduate Research Heart Failure Patients to a Home-Based Exercise in Nursing. Hollingsworth received a second-place Tennessee and Creative Achievement (EURēCA). She Program by Age, Gender, and Functional Class” Associated Press Award in the Radio Long Public Tami Wyatt received the Torchbearer also received the Education Award from the to the Florida Nurse Practitioner Network annual Derrick MacGillivray finished his EdD Affairs category for the HealthConnections episode Professorship Award. International Society of Psychiatric Nurses conference. She was accepted for and attended in teacher leadership in digital transformation at “Patching the Safety Net.” HealthConnections has and the Dean’s Puma Award, for alumni who the American Association of Colleges of Nursing Capella University in February. His doctoral study also received the Robert Meachem Beyond the have made outstanding contributions, from the and Apple Inc. 2020 Digital Innovation in was “Leveraging Double Telepresence Robots to Call Award. Myers was selected as a SheSource University of Kentucky College of Nursing. Teaching Bootcamp. She was also promoted to Conduct Clinical Nursing Site Visits.” media expert and received the college’s Gaylord clinical associate professor. Rogers Pediatric Faculty Award. Tracy Brewer was selected to receive the Lisa Merritt received a Technology Outstanding DNP Faculty Award. Maria Hurt was recently appointed to Maturation Grant from the UT Research Allyson Matney Neal was appointed the Knox County Board of Health, where Foundation for a pilot study for the eVisit the American Psychiatric Nurses Association Kimberly Brown was promoted to clinical she will play an integral role in adopting rules simulation app. She gave a presentation for representative to the National Task Force for assistant professor. and regulations to protect the general health the 25th International Mental Health Nursing Quality Nurse Practitioner Education to conduct and safety of Knox County residents. She Research Conference in London, “Building the periodic review of the Criteria for Evaluation Noelle Cooper received the college’s also received the college’s Rock Award, which Trauma Responsiveness among Nursing of Nurse Practitioner Programs. The task force Power T Award. The award goes to a staff recognizes nurse faculty members who have Providers: An Interprofessional Collaborative has achieved widespread implementation of the member who is efficient and productive and demonstrated an innovative teaching-, research-, Simulation between a Child Advocacy Center document in nurse practitioner education and | FALL 2020 | FALL 2020 exceeds expectations. or service-oriented method or approach in an and College of Nursing.” within nursing accreditation. She was selected for academic course or clinical instruction. the college’s Laura Barnes Research Award. 6 7
C OV E R S T O RY YEAR OF THE NURSE VOLS ON THE FRONT LINES By Whitney Heins | Photos courtesy alumni T his year is officially the Year of the Nurse and Midwife. “The clinical experience we have as students is exceptional and has The World Health Organization made the designation been a true advantage during this pandemic. It gave me confidence to mark 200 years since Florence Nightingale’s birth, not in my care and is something a lot of my co-workers didn’t have in knowing what loomed ahead in 2020. school,” said Anderson. COVID-19 has emphasized the pivotal “The clinical experience Amanda Noblett (’10) is a team captain for role nurses play in saving lives and we have as students a COVID-19 assessment site in Nashville. comforting patients in a time when Noblett never imagined she would be doing information about the disease is constantly is exceptional and has her work in a garage, but she was ready for changing and the ill are isolated away the task. been a true advantage from loved ones. during this pandemic. “I volunteered, per UT tradition, for this Across the country, Vols are on the front role, and I have been wearing my UT lines ready to give their best care, despite It gave me confidence nursing socks to represent my alma mater,” the challenges the virus brings, thanks to she said. “I try to provide hope to my in my care and is their time in Knoxville. patients and put a smile on their face during something a lot of this stressful time. We will overcome this and LEARNING ON THE FLY thrive!” Erin Anderson (’18) is a pediatric ICU my co-workers didn’t nurse in New York City, once ground have in school.” Erin Morgan (’05), an assistant clinical zero for the coronavirus here in the US. professor at UT, is also working at a test site. —ERIN ANDERSON Her little patients were sent to a different This one isn’t in a garage but at a Kroger | FALL 2020 | FALL 2020 location and she was suddenly tasked grocery store in Knoxville. with caring for adults suffering from COVID-19. Anderson credits her hands-on hospital experience in her clinicals and senior year “This was one small way I felt I could help in this difficult time,” practicum for allowing her to learn on the fly. she explained. Erin Morgan (’18) 8 9
LEARNING “We had no idea that our sweet patients would be stuck in their FROM A hospital rooms alone, not allowed visitors. We did not consider the DISTANCE possibility of running out of supplies to protect ourselves,” said Gillian Harris (’18), an oncology staff nurse at UT Medical Center. I AM A NURSE While nurses on the front lines are learning how to meet Kimberly Harvey (’15), an ICU nurse CAMPAIGN the challenges that COVID-19 brings, in Nashville, says The World Health Organization has so are UT faculty— that suddenly nurses declared 2020 the Year of the Nurse balancing the became their patients’ and Midwife. The nursing profession importance of hands- everything—their has grown from the stereotypical white on learning with support system, Ashley Cleveland left (’21, left) Courtney Burnette (’19) apron and hat to become one of the the safety of their reassurance, most diverse health care professions students. Simulation champions, in the industry. These frontline workers and experiential cheerleaders, therapists, promote health; prevent illness; care for training moved online and caretakers. the sick, disabled, and dying; foster a immediately after Gillian Harris (’18) “My teammates and I safe environment; conduct health care spring break. Senior research; educate their fellow nurses bachelor’s students have virtually talked their loved ones off the ledge. We have held the Amanda Noblett (’10, left) had the option of and other professionals; and help shape hands of our community’s husbands, wives, and children when all health care policy. staying in their clinicals or participating virtually in a simulated they could do was whisper ‘I love you’ through the phone. We have learning environment for the remainder of their time. Advanced sung ‘Happy Birthday’ through glass doors one day, and the next Florence Nightingale—“the lady with the practice graduate students remained in clinical placements if the we’ve held the hands of others who peacefully slipped away as they lamp”—was a trailblazer for the nursing facility allowed it. lost their battle with COVID-19.” profession. Known as the first nurse theorist and statistician, she devoted her “Our faculty and staff rose to these challenges with commitment, Harvey says that until now she’s known how to leave her shift at career to making hospitals a cleaner and determination, and grace as they were determined to make this a the door to preserve her own mental health, but “COVID-19 has safer place to treat patients. Marking her positive experience for students,” said Dean Victoria Niederhauser. annihilated that coping skill.” 200th birthday, 2020 is dedicated to recognizing not only her resilience and Rachael Hodges (’15), simulation coordinator for the college, is devotion to the community’s health and one of those staff members. She brought the simulations online THE STRENGTH OF COMMUNITY well-being, but also the expression of and ensured that students were competent with essential skills. In These nurses are leaning on one another and on their UT those qualities in all nurses. addition to connecting weekly via Zoom, she and her team created community to stay strong during this difficult time. Kimberly Harvey (’15) Olivia Baird (’14) and shipped skills kits to students to ensure their competency with In honor of WHO’s designation, the the basics. “Even though we don’t work in College of Nursing developed the “I Am the same hospitals, we’re still there a Nurse” campaign to spotlight a nurse “In a time such as this, instilling confidence and preparing the next for one another,” said Anderson. scholar each month over the course of wave of nurses to enter the workforce is critical to the well-being of “My friends from school are a great the year. These talented and dedicated our health care system,” said Hodges. support system, and it is really nurse researchers and scholars exhibit what has been keeping me together expertise, passion, and drive toward WALKING THE LINE BETWEEN during this time.” influencing policy, enhancing science, COMFORT AND SAFETY and improving patient outcomes. The Perhaps one of the most difficult challenges during this time for When the rate of change brought campaign hopes to demonstrate the wide nurses is the emotional strain. Nurses have always played a key on by COVID-19 has finally slowed, range of expertise our nurse scholars role in providing comfort for patients, but that role is even more two constants will remain. Vols help encompass and to encourage others to | FALL 2020 | FALL 2020 important now as patients aren’t allowed to see loved ones. Yet Vols, for life. And every year is truly learn more about their scholarship and nurses need to protect themselves from the disease. the Year of the Nurse. N Stefanie Schumacher (’19) the communities they impact. To see the campaign’s spotlights, visit nursing.utk.edu/i-am-a-nurse. 10 11 Jamie Sharpe (’93) Parker Hutson (’20)
APRN The Possibility of a Brighter Future By Whitney Heins show a vital improvement in the delivery of health care services related to the pandemic as well as mental health services and treatments for substance abuse disorders—both prominent needs in rural areas. The findings have the potential to build on an existing body of research that shows health outcomes only stand to improve with full practice authority. of 25,536 jobs and $3.2 billion in economic impact over ten years,” said Myers. Myers has written numerous opinion pieces statewide on APRN full practice authority and previously co-chaired a state task force to investigate changing the current law. I Unfortunately, the group failed to come to an agreement. BETTER HEALTH EQUALS But Myers will not give up, because she sees the almost- magine what it could look like if Tennessee weren’t ranked patients because of supervision requirements,” said Myers, who A STRONGER ECONOMY immediate positive impact this change can make. among the states with some of the worst health outcomes has dedicated her life’s work to improving health outcomes, access, The study dovetails with an economic vitality study Myers in the nation. Our state’s future could transform to one that and the utilization of available resources. conducted last year with a health care economist and NOT BACKING DOWN is brighter and healthier with one small change: allowing physician researcher from the UT Health Science Center and “This is a turf battle over the status quo between nurses to practice to the full extent of their education A GLIMPSE INTO THE FUTURE the University of Memphis. The results showed improved physicians and nurses that legislators don’t want to and effectiveness. Tennessee saw a glimpse into what the future would look like if economic vitality if the barriers to APRN practice were arbitrate. We are an outlier in having these restrictions. APRNs had full practice authority when the governor, by executive removed. The indication was that better health outcomes are But we can dramatically improve access to care, Professor of Nursing Carole order, waived physician oversight to make way for increased health good not only for people’s bodies and minds but also for their particularly in poor counties, by simply removing these Myers is on a mission to care access during the COVID-19 pandemic. Myers, along with wallets—and local economies. barriers,” said Myers. upend the longstanding colleagues at Vanderbilt University and the UT Health Science law that requires physician Center, saw an opportunity “From a 2017 baseline, the cumulative impact of granting She says the price we are paying to protect the status quo is oversight of advanced practice to investigate how APRNs Tennessee APRNs full practice authority is a projected net gain steep—a much brighter future for Tennessee. N registered nurses (APRNs), with fewer restrictions a category that includes could affect patient care in “From a 2017 nurse practitioners, certified Tennessee and beyond. registered nurse anesthetists, baseline, the certified nurse midwives, and “Our research team saw clinical nurse specialists. an important opportunity cumulative impact of FULFILL to describe and quantify Carole Myers granting Tennessee Tennessee ranks 44th in the US the impact of the current for health outcomes—meaning only six states have worse rates. It natural experiment created APRNs full practice YOUR also ranks among the 12 most restrictive states in the country in by the pandemic and regard to APRNs. These two statistics are not unrelated. executive orders issued by authority is a Tennessee Governor Bill projected net gain CHILDHOOD RED TAPE BLOCKING ACCESS TO CARE Lee and other governors Currently, some aspects of APRNs’ practice require physician to temporarily remove of 25,536 jobs and supervision—an arrangement preferred by physicians—through barriers APRNs face in site visits and chart reviews. The reviews are done long after the fact, and APRNs must pay their supervising physician. This practice is time-consuming and costly, and it limits access to care— delivering care for which they are highly qualified,” explained Myers. “We $3.2 billion in economic impact DREAM. particularly in rural and other underserved areas where physicians hope our findings will over ten years.” are in short supply. States that have removed these outdated and inform better utilization of Tennova Healthcare can help you —CAROLE MYERS unnecessary supervision requirements have seen improved access APRNs. This is so critical find your ideal nursing role. at lower costs and better outcomes than states with restricted in Tennessee, where Visit Tennova.com or email Kristie at APRN practice, explained Myers. we have an insufficient kristie.owenby@tennova.com. number of primary care and mental health professionals to “Access to care and poor health outcomes are acute issues in practice in underserved rural areas.” | FALL 2020 many areas of Tennessee. Supervision requirements are a barrier to care. It makes no sense to unnecessarily restrict APRNs when The study, which concludes this fall, is surveying thousands of they are the only primary care, women’s health, obstetric, and APRNs nationwide and interviewing Tennessee APRNs to get a anesthesia providers in many areas. But they are unable to see clear picture of changes in care and access. Preliminary results 12 FULFILL FULFILL YOUR FULFILL YOUR CHILDHOOD CHILDHOOD YOUR DREAM. DREAM. CHILDHOOD DREAM.
In March, as the pandemic was unfolding, Brown and her team with 200 beds but usually at only a quarter of its capacity. They pinpointed Nashville’s convention center, Music City Center, brought in 60 extra beds to care for COVID-19 patients. as the ACS. She and her colleagues got to work on the THE PANDEMIC’S 3,600-square-foot LONG-TERM facility, figuring out IMPACT how to convert it into Resuming her role a working hospital— overseeing Vanderbilt’s 21 including design, subsidiary entities, Brown setup, and staffing. has observed firsthand the emotional toll the pandemic PIVOT AND is having on nurses. SWITCH But as their plans “People can work through Creating a moved forward, anything while the social distancing, adrenaline is flowing,” masks, and lockdown she explained. “But when Hospital measures were put Jameson Norton, Laura Beth Brown and Matthew Bacchetta it stops, that’s when the in place, thankfully emotional toll hits. And decreasing the we haven’t had a chance to Out of Thin Air number of stop yet and reflect on the predicted cases. intensity of this pandemic.” Seeing the new data Brown, who served as an By Whitney Heins trend, Brown and oncology and bone marrow her colleagues did nurse after graduating from a pivot, surveying UT, recalls how mentors IT’S LIKE A PLOT FOR A of a three-person team, along with Jameson Norton, CEO locations where helped her as a young nurse BLOCKBUSTER FILM: a of Vanderbilt’s psychiatric hospital, and physician Matthew a hospital could and advises new graduates fatal disease is headed your way. It’s Bacchetta, charged with ensuring care for those affected by be stood up when to seek mentorship at work. incredibly contagious. And you don’t COVID-19 in Middle Tennessee. needed and shut have enough space in your local down when not. “An experienced nurse hospitals to care for the sick. CREATING A HOSPITAL OUT OF THIN AIR can provide comfort and The situation was fluid, numbers were constantly changing, “We beat the trail guidance in navigating a What do you do? and the team had just 24 days to prepare a site to care for an looking at old new job while in the midst overflow of 1,600 sick people. department stores of a global pandemic,” You call UT College of Nursing and hospitals— she said. Jameson Norton and Matthew Bacchetta alumna Laura Beth Brown (’89). “It was a daunting task,” said Brown, noting that she had put her assessing for asbestos, That’s what the governor of day-to-day leadership duties aside to focus on the COVID-19 costs to build out, and tapping into our imagination as to how to If there is a benefit to COVID-19, she notes, it’s that nurses today Tennessee did. response. “We were working day and night to set up the lay out a facility,” explained Brown. are encountering challenges never seen before in this lifetime, Laura Beth Brown facility. . . . We were the first in the state to look at an alternative bolstering skills for better patient care—including how to stand | FALL 2020 | FALL 2020 Brown, vice president of Vanderbilt Health Services, was part care site—ACS—model.” They decided on Nashville General Hospital, an active hospital up a hospital almost out of thin air. N 14 15
I t is a tragic fact that tens of thousands of children in the team to 17 researchers—a group that US die with a terminal illness each year. And we lack includes students, postdoctoral fellows, certainty on how best to care for these children in the last and co-investigators. months of their lives. “These grants help us move the Until the Patient Protection and Affordable Care Act (ACA) was science forward,” said Lindley. “And it enacted 10 years ago, there were two care choices for children showcases the college as a nationally given six months or less to live: continue treatment or cease recognized scientific learning resource On a treatment and enter hospice. on this important topic.” Lisa Lindley The ACA added a third choice by mandating that concurrent Lindley’s task now is to take a deeper dive into her data of care—continued treatment along with hospice care—be offered approximately 20,000 patients to determine where they live to patients in Medicaid and the Children’s Health Insurance geographically in Appalachia and what types of care they are Mission to Program (CHIP). There was no data, however, to support the receiving during concurrent care. effectiveness of this approach. “This is important because it helps us understand their health That’s where Lisa Lindley, associate professor of nursing, comes care needs and how those needs are being met,” explained Care for in. For the past two years, Lindley has been deep in patient Lindley. “Due to the limited access to pediatric hospice care in data trying to uncover who received concurrent care and what rural areas like Southern Appalachia, it is possible adult hospice the outcomes were. Funded by a $1.5 million grant from the personnel not specialized in pediatric care are treating these National Institute of Nursing Research—part of the National children.” Terminally Institutes of Health (NIH)—her work had two surprising revelations: the children who received concurrent care were The ultimate goal of her research is to improve access and really sick, and they often lived in rural areas. quality of care for these sick children and help families decide what is the best course for them to take at a time that is already Ill Children “We were surprised because there can be a lot of care incredibly difficult. N coordination for very ill children, and we didn’t think families would want to add yet another provider such as hospice,” explained Lindley. “We By Whitney Heins also were surprised that many of these children lived in rural areas where there is limited access to this kind of pediatric care.” The NIH wanted to know more about these findings and awarded Lindley and her team three more grants totaling close to a million dollars, growing her research funding to | FALL 2020 | FALL 2020 over $2 million and her This publication was made possible by Grant Number R01NR017848 from the National Institute of Nursing Research. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the National Institute of Nursing Research or National Institutes of Health. 16 17
Study Shows New Dean Victoria Niederhauser, along with colleagues at Yale University; the University of California, Los Angeles; and major hospitals, interviewed nurses nationwide to capture their exemplary and novel leadership skills during the pandemic. The results were published in the Patient Experience Journal. Nursing Skills The study uncovered four key areas, summarized here, where nurse leadership skills have emerged to improve care during the COVID-19 crisis. Read the full study at tiny.utk.edu/pxjournal. Emerging amid MAKING DECISIONS The study found that nurses excel at making rapid decisions in life-and-death situations while keeping patient and family care at the forefront. For example, the Pandemic in many hospitals families aren’t allowed to see their deceased family members. Feeling a family’s pain, one nurse was able to organize a visit in the morgue which helped the grieving family have closure. By Whitney Heins ADAPTING BOLDLY Nurses’ ability to be nimble, shift priorities, and provide innovative actions promotes positive patient experiences during this difficult time. For example, nurse leaders have organized internal and external communication, including virtual visits and Zoom calls, between patients and their families. ENHANCING EMPLOYEE WELLNESS Hospital executives acknowledge that frontline nurses directly and positively influence the patient experience more than any other staff. For nurses to continue this quality of care, they take care of one another in addition to the sick and their families. Nurse leaders set up mental health hotlines, musical therapy sessions, and town hall meetings to promote mental and The COVID-19 pandemic physical wellness. is dramatically changing the way health care is administered in our country. ENGAGING STAFF & PATIENTS Working as a team during a pandemic is paramount for reliable care—and In this challenging time, nurses cultivate this team sensibility across the hospital. For example, the granddaughter of a patient and her fiancé, both first responders, were forced new nurse leadership skills to postpone their wedding due to the virus. To make sure the sick grandfather could attend the wedding, nurses employed proper safety measures and are emerging to create helped arrange for the ceremony to be held in his hospital room. Celebrations held in hospitals nationwide inject joy into a grim time and maintain patients’ and implement innovative and staffs’ emotional wellness. | FALL 2020 | FALL 2020 solutions that uphold one key principle: being the Throughout this pandemic crisis, nurse leaders are learning more than ever about how to grapple with quick and often uncertain decision-making while always putting the care of their patients first. And as they do, they’re voice of the patient. developing skills that hold the potential to further bolster the next generation of nurses. N 18 19
THE UNIVERSITY OF TENNESSEE PRESENTING SPONSOR TABLE SPONSORS COLLEGE OF NURSING Dr. Tom & Mrs. Karen Berg Dr. Stuart & Mrs. Cindy Bresee Covenant Health Ms. Betsey Creekmore Drs. Mark & Nan Gaylord SILVER SPONSORS Greater Knoxville Ear, Nose, and Throat The 2020 NightinGala is going virtual! Our annual event celebrating nurses The silent auction will open at Dr. and Mrs. Robert and Teresa Levey and the profession will look different this year, but the goal of providing 8 a.m. on Friday, November 13. The Phillips Mr. Arthur & Mrs. Carlton Long support for future Volunteer nurses remains unchanged. Family Mr. Joe Mont McAfee The livestream event will Mr. and Mrs. Rudolph and Janice McKinley This creative virtual NightinGala will feature both silent and live auctions begin at at 7 p.m. on BRONZE SPONSORS Peggy & Carl Pierce using the HandBid mobile bidding platform—just in time for holiday Friday, November 20. Mr. Greg & Mrs. Lisa Reed shopping! A livestream event will recognize the outstanding contributions Regional Neonatal Associates of two individuals with the Volunteer Nursing Champion Award and the Dr. For more information, visit Mr. Dean & Mrs. Ann Skadberg Sylvia E. Hart Distinguished Alumni Award. alumni.utk.edu/2020nightingala Mrs. Robin Smith All NightinGala proceeds support the college’s efforts to develop and UNDERWRITERS The Three Rivers Rambler UT Federal Credit Union prepare the next generation of nurse leaders through comprehensive and TRANE Heating Terri Durbin Ms. Martha Weeks innovative educational experiences. and Air Dr. Dale & Mrs. Wendy Wortham THANK YOU TO OUR SPONSORS! Nursing Champion A W A R D RT Alumni Award HA E. VO LU N T E E R LV IA DISTINGUISHED SY D R. T he 2020 recipient of the Volunteer Nursing Champion Cecil’s professional accomplishments include leading UTMC to obtain T award is Janell Cecil. This award recognizes an individual Magnet designation in 2011 and redesignation in 2016. She also led his year’s recipient of the Dr. Sylvia E. Hart Distinguished of Alabama at Birmingham Hospital, where she worked with who is committed to improving health care and has made UTMC’s journey to earn the Level 4 Excellence Award from the Alumni Award is Robin Smith, a longtime leader in her critically ill patients, participated in clinical research trials, and significant contributions to the nursing profession and an impact on Tennessee Center for Performance Excellence, a goal that was achieved community and the health care field. served as part of health team that ushered transplant patients the community. in 2016. Cecil was appointed to the Tennessee Board of Nursing in 2014 to surgery. and reappointed in 2018. She currently serves on the Tennessee Hospital Smith currently serves as the representative for Tennessee House Cecil received her BSN from Webster Association’s Council on Governmental Relations on behalf of the District 26, which includes parts of Chattanooga and Hamilton Smith launched her consulting and project management firm, University in 1984 and her MSN Tennessee Organization of Nurse Executives. Counties. She has risen quickly among her colleagues to lead, first Rivers Edge Alliance, in 2005 and continued her education from the University of Missouri in as chair of the Subcommittee on Life and Health Insurance and in the Advanced Project 1997. She began her nursing career In her role as chief nursing officer at UTMC, Cecil was a strong then as chair of the full House Insurance Committee. Management Program at at Saint Luke’s Hospital in Kansas supporter of, and collaborator with, the College of Nursing. Several Stanford University’s Center City, Missouri, where she held several initiatives launched under her leadership have strengthened the She has sponsored and supported legislation including the for Professional Development, positions, including specialty line academic–practice partnership between the two institutions. Joint research Tennessee Right to Shop Act, providing pricing transparency for graduating in 2008. Her portfolio manager for women and children, and evidenced-based practice teams have worked together to examine patients; a proposal to permit telemedicine for existing Tennessee of professional services includes clinical director for women’s services, better ways to provide nursing care that improves patient outcomes. health care clinicians with established patients to increase access professional and technical assistant patient care manager, and The college worked with UTMC to establish the Precious Prints Project, and improve outcomes; proposals to stop the “fail first” approach writing, strategic planning and clinical nurse. which provides a keepsake silver fingerprint charm to parents who to prescription drug access used by insurance companies in patients business development, and Janell Cecil lose a child. with advanced cancer; and a bill to ensure that patients’ out-of- government affairs and Cecil continued her career at Baptist Memorial Healthcare pocket costs for prescription medicines reflect pharmaceutical policy analysis. Corporation in Memphis, where she served as the system service line Cecil has served on the college’s Professional Advisory Council, helping to manufacturer rebates and not the list or highest price. Robin Smith administrator for women and children’s services from 1995 to 2002. inform academic nursing strategic direction from a practice perspective. Smith lives in Hixson, Tennessee, with her husband of almost She then joined the UT Medical Center staff, serving as vice president When UTMC decided to begin a nurse residency program, she sought Smith’s devotion to patients comes from her education, training, 34 years, Scott. They have two grown children—Callie, who | FALL 2020 | FALL 2020 of women and children’s services for six years. Cecil was named a the advice and expertise of UT’s nursing faculty. and practice as a nurse and from her childhood fight with asthma. lives in Nashville, and Caleb, who resides in Johnson City. Smith senior vice president at UTMC in 2008, becoming the first woman to She graduated in 1985 and immediately began work at the serves the College of Nursing as a member of both the Nursing ever hold the position. The promotion came a year after she was also Under Cecil’s leadership, the partnership between the college and UTMC renowned Cardiac Medicine/Transplant Program at the University Advisory Board and the Alumni Committee. named chief nursing officer, a role she held concurrently with her other has grown to become a win-win relationship—a direct reflection of her responsibilities until her retirement earlier this year. open communication and collaborative leadership style. 20 21
Nursing Graduates Choose The University of Tennessee Medical Center Hear from a few graduates of The University of Tennessee College of Nursing on why working at UT Medical Center was the right choice for them. Lauren and Thomas Rhett Akins Surprise Nursing Students By Tyra Haag SPRING 2020 looked a lot different for the UT community. Her husband then told the group, “She’s a Vol, so I’m a Vol. Thank you for all you’re doing now and everything you’re going “I’m able to provide excellent “I proudly work at one of the best medical “My unit is committed to improving our Lauren Akins, a 2012 nursing graduate, and her husband, country to do in the future.” nursing care while developing my centers in the southeast. UT Medical patients’ lives and the wellness of our singer Rhett Akins, surprised 65 nursing students during Professor career. Each day provides growth Center allows me to grow as a nurse by community. I work with a dedicated Maria Hurt’s online pharmacology class in March. Colleges across the country transitioned to online learning and learning opportunities at the participating in Shared Governance and and committed team who pushes each environments in response to COVID-19. Leaders at UT quickly medical center.” training alongside some of the best in other to be the best. At UT Medical The surprise was a part of a student-focused campaign called VFL created new ways to support students’ success and celebrate health care.” Center, I feel at home.” Class Crash, a series of online class drop-ins featuring well-known their achievements. Tennessee alumni and friends of the university. Sarah, BSN, RN Tucker, BSN, RN, CCRN Sandie, BSN, RN At the end of the call, Hurt told the class it was the singer’s 30th UT College of Nursing, Class of 2019 UT College of Nursing, Class of 2016 UT College of Nursing, Class of 2019 With about 10 minutes left in the class, Hurt told the students she birthday. Everyone unmuted and sang “Happy Birthday” as the had a surprise. She then introduced the couple, who had been couple laughed and said they hoped to thank the students in listening in on the lesson from the den of their Nashville home. person one day. • The Region’s Magnet® Dedicated Hospital • The Region’s Academic Medical Center Akins told the students how proud they should be for persevering “Thank y’all so much. This made our day, and we really • Patient-Centered Culture during this time. appreciate you,” the singer told the students before signing off. • Career Development Opportunities | FALL 2020 “I know this is so hard, and I’m sure there are a lot of unknowns, Hurt said of the surprise, “It was a very meaningful moment in a • New Graduate RN Residency Program new information, hurdles, and just a lot happening,” she said. “I just difficult time.” N • Competitive Compensation and Benefits want to encourage you all. I’m so proud you chose this profession.” Visit UTMedicalCenter.org/jobs to learn more about joining our team. 23
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