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Nursing Education in an Era of Health Care Reform
School of Nursing • 2012
Teaching, practice and research
2 | Nursing Momentum
ENDEAVORS IN SCIENCE LESSONS IN LEADING PROFILES IN PRAC TICE
Over the past few months, I’ve enjoyed working in
collaboration with our School of Nursing faculty to
examine the current and future state of the school. I’m
constantly reminded that our university’s unique identity
as a place for innovation comes from the dynamic interplay
of its schools, and the special way our campus serves to
foster new ideas. Our School of Nursing has led the nation
in creating new paradigms for nursing curricula at both the
undergraduate and graduate levels, and its high national
rankings are a signifi cant part of the reason OHSU now
enjoys such national prominence as well.
Th e interaction between the School of Nursing and
the broader OHSU community creates a richness of
experience that is unrivaled. Our nursing students benefi t
from learning in the context of a cutting-edge research
and clinical setting that is the equal of any academic
environment in this country. Likewise, our campus benefi ts
from all that our School of Nursing brings. Today, drawing
upon their pioneering work in deploying simulation as
a fundamental learning
tool, our nursing faculty is
leading OHSU’s eff orts to
create an interdisciplinary
simulation curriculum for
all professional students.
Th e vibrancy of our school
arises from many factors:
the students who come to us
hungry for the knowledge
and experiences that will
open their personal paths to nursing; the teachers who
inspire and mentor them; and the graduates, our alumni,
who carry our mission forward through their life’s work as
caregivers, teachers and leaders.
Each era presents a unique set of challenges for those of
us in health care, and this era is no exception. Th e systems
and models on which our current health care system is
based are being challenged as never before, and never
This past October, it was my great honor to join OHSU as its provost. OHSU is a special institution,
whose commitment to the health of Oregonians is widely evident. It is also a treat to return to the
Northwest, where I have strong family ties and academic roots.
Experts Come Together to
Talk About PAIN
Direction for Rural
Practitioner Education
Transitional Care Model
Off ers Hope for Vulnerable
Elders
Latina Reproductive Health
Respect for Patients’
End-of-Life Choices
Publications and Grants
12
13
14
15
4
6
8
10
11
35
Donna Shalala’s Message to
Nurses: The Time is Now to
Infl uence Health Care Reform
OHSU Student Named to
International Council of
Nurses
Student Nurse Uses Film to
Teach about Chronic Illness
Universal Themes in Nursing
Situational Scenarios
Improve Nursing
Education—Case by Case
Leading Nurses in Elder Care
Collaboration Yields Unique
Health Care Clinic
16
18
19
Contents
Message From the Provost
RESPLENDENCE IN TEACHING SHARING AND CARING
Poverty Simulation Changes
Attitudes
Redefi ning the Scope and
Practice of Public Health
Nursing
20
22
Foundation Honors Nurse
Nursing Students in the
Community
Alumni Volunteers Build Archive
Alumni Reminders
My First-Year in Nursing School
Centennial Celebration
Recognition, Awards and
Honors
24
25
26
28
29
30
33
before has nursing had such an important role in defi ning
the context for health care delivery. From the clinical
setting to advocacy and leadership, it is clear that nursing
holds the key to our nation’s ability to deliver the sort of
health care that our communities demand and deserve.
Last year’s Centennial Celebration off ered our school a
grand point of reference for our past accomplishments,
our present path, and our future opportunities. Each year
is a continuing celebration of all that has and will defi ne
us. Th is year, a new class will matriculate and a new class
will graduate. Faculty and staff will continue to explore the
best ways to learn, teach and advance health through their
research. Classmates and longtime friends will gather again
and again to refl ect on their experiences and share the
lessons of their journeys. In the center of it all is the place
we call our school. What a pleasure to share it with you!
Jeanette Mladenovic, M.D., M.B.A., M.A.C.P.
Provost and Vice President for Academic Aff airs
Nursing Momentum is published
annually by Oregon Health & Science
University Offi ce of the Dean
Story ideas and correspondence:
Nursing Momentum
Mail code SN-ADM
3455 S.W. U.S. Veterans Hospital Road
Portland, Oregon, 97239-2941
or contact Jennifer Anderson @ andersje@
ohsu.edu or 503 494-7725
Address changes, additions or removal
from Momentum mailing list:
[email protected] or 503 494-7725
Alumni Association:
Mark Kemball, director, Alumni Relations
503 552-0667, [email protected]
Charitable giving information:
Russ Levin, director, Annual Giving
503 494-7525, [email protected]
www.ohsufoundation.org
To be excluded from fundraising mailing:
OHSU Foundation
1121 S.W. Salmon Street, Suite 200
Portland, Ore. 97205
Momentum staff
Editors: Jennifer Anderson, Lee Lewis-Husk
Designer: Charlotte Woodward
Photo editor: Christi Richardson
Writers: Sami Ewers, Kathleen Finn, Nancy
Hackleman, Lee Lewis-Husk, Bill Kettler,
Genevieve Long, Jim Newman, Susan
Rich, Catherine Rutledge and staff of the
OHSU School of Nursing
Photographers/contributors: Kim Bosley,
Caitlin Carlson, Dan Carter, Tanya Chard,
Jerry Gildemeister, Stephen Johnson,
Steve Hambuchen, Michael McDermott,
Christi Richardson, Shanda Tice
Printer: Precision Graphics
You may also read all issues of Nursing
Momentum and other School of Nursing
publications at www.ohsu.edu/son
OHSU is an equal opportunity, affi rmative action institution.
Nursing Momentum | 3
By Sami Ewers
“A large number of patients at OHSU and everywhere suff er from chronic pain,” says Kim Jones,
Ph.D., F.N.P., R.N. Jones has studied chronic pain, particularly fi bromyalgia, for three decades and
helped launch the fi rst annual OHSU PAIN (Pain Awareness and Information Network) Day conference,
which took place on Feb. 22, 2011.
Th is event was established to provide a collaborative
framework for improving the understanding and treatment
of chronic pain. “To move forward, we need to have
researchers from multiple disciplines work together,”
says Jones.
Th e PAIN Day conference began at noon in the poster area
of the School of Nursing building, where OHSU faculty and
students, community members,
partners, stakeholders and
researchers from multiple
disciplines gathered, quickly fi lling up the room and fi ltering
into the auditorium for OHSU President Joe Robertson’s
opening words. Promoting the best practice of pain
management “matters to us as a society and as individually
treated patients,” he said, setting the tone for the conference
by addressing the reason for it: “Pain aff ects everybody—it is
the No. 1 reason that people seek medical attention.”
Experts Come Together to Talk About PAIN
4 | Nursing Momentum
Keynote speaker Howard Fields, M.D.,
Ph.D., scientist and professor of neu-
rology at the University of California,
San Francisco, spoke of the essential
need for physicians and patients to
understand chronic pain better.
Michael Bleich, Ph.D., R.N., F.A.A.N.,
presented the Pain Awareness Award to U.S. Attorney
Dwight Holten for his eff orts as a social change agent. “Four
hundred people die from an overdose of pharmaceutical
drugs compared with 80 who die of homicide in Oregon,”
Holten said. “Learning to better treat pain will drastically
reduce the number of people who improperly use pain
medication.” Prescribing the right drug to the right patient at
the right dose is how to eff ectively manage pain and reduce
diversion and adverse events.
Journalist, teacher and author of the book Th e Pain Chroni-
cles: Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans,
Healing, and the Science of Suff ering Melanie Th ernstrom,
addressed the many common misunderstandings of
pain. She delved into her own multiple-year battle with
chronic pain, and concluded that, “You don’t have to be
pain-free to have a good life.”
ENDEAVORS IN SCIENCE
Th e take-away message for providers is “You can’t make
(chronic) pain go away but you can dampen it enough so
that you can go on and have a life,” Jones said. “Th at helps
providers deal with the disappointment of inadequately
relieving their patient’s pain.”
Th e aft ernoon concluded with a book signing with
Th ernstrom, aft er which PAIN Day attendees broke off
into panel discussions. According to Jones, the success of
this year’s event lends itself naturally to the continuation
of annual PAIN Day conferences which, in collaboration
with continued interdisciplinary research and education,
will further both the understanding and management for
suff erers of chronic pain. PAIN Day returns to OHSU
Feb. 28, 2012 with national speakers and relevant break-
out sessions to meet the needs of providers, researchers
and educators.
“Learning to better treat pain will drastically reduce the number of people
who improperly use pain medication.
– Dwight Holten, U.S. Attorney
Above: Howard Fields, M.D., Ph.D.
Opposite: (left to right) Jau-Shin Lou, M.D., Ph.D., Robert Chou,
M.D., Beth Darnall, Ph.D. and Kim Jones, R.N.C., Ph.D., F.N.P.,
fi eld questions aft er the PAIN presentation.
Nursing Momentum | 5
But do these skills match what NP programs teach? Associate
Professor Gary Laustsen, Ph.D, F.N.P., R.N., of the OHSU
School of Nursing at La Grande, recently completed a
study of clinical skills used by Oregon NPs. His goal:
guide curriculum development, part of the OHSU School
of Nursing’s aim to improve the quality of care through
education. As nurse practitioners play expanded roles in a
changing health care environment, education based on real-
world evidence will make them more eff ective.
“Th e literature says little about skills used by rural NPs,”
Laustsen says. “I wasn’t sure faculty were basing courses on
the needs of practicing NPs. Education is part of nursing
practice, and we should do evidence-based pedagogy.”
Bite wounds vs. Pap smears. Emergency departments a few hours—or minutes—away. The
conditions nurse practitioners treat and their practice settings determine the skills they use most.
for Rural Practitioner Education
6 | Nursing Momentum
By Genevieve Long
ENDEAVORS IN SCIENCE
Nursing Momentum | 7
What is Rural Practice?“Th ere are at least fi ve or six defi nitions of ‘rural,’” says Gary
Laustsen, associate professor at the OHSU School of Nursing
in La Grande. In Laustsen’s recent study of skills used by
Oregon nurse practitioners, respondents self-identifi ed as
urban, suburban, rural or frontier. “As a researcher, I had to
decide if I would defi ne those terms for respondents. I didn’t
want to force practitioners into categories that might not fi t.”
At the International Rural Nursing and Health Conference
last October, Laustsen heard one presenter defi ne rural
as fewer than 1,000 people per square mile. “In Oregon, a
general guideline for rural practice is 10 people per square
mile. Frontier is sometimes defi ned as six or fewer people per
square mile.”
Defi nitions have consequences for federal health care
funding. Who should qualify for rural health dollars—an
Oregon clinic 100 miles from the nearest cardiologist or a
New York practice 50 miles from Manhattan? As OHSU
faculty transform nursing education, preparing students for
broader roles in the health system, defi ning what counts as
rural is another research-worthy question.
“Schools shouldn’t be responsible for teaching every single skill. But if we have
to choose, which are used most frequently and are critical for NP practice?”
— Gary Laustsen, Ph.D., A.P.R.N.-C.N.P., R.N.
Laustsen sent questionnaires to 1,450 Oregon practitioners,
with 452 responses (31 percent). Questions included practice
location and clinical skills used. Practitioners were asked
how oft en they used each skill and whether they learned it in
school or elsewhere (e.g., on the job).
“Rural NPs use many more skills, on average, than urban
practitioners,” Laustsen says. “Where specialty care isn’t
available, rural practitioners need to be generalists.”
Rural and urban diff erences include injury types. “I suspect
there are more environmental-related injuries in rural areas,”
Laustsen says. “Skin closures, tick removal and bites. With agri-
culture and logging, the risk of injury is higher in rural areas.”
Proximity to emergency departments and specialists makes
a diff erence. “For a bite wound, urban dwellers tend to visit
an ED or urgent care facility. For heart care, they might
self refer to a cardiologist. Rural EDs might not be staff ed
by physicians, so patients visit the nurse practitioner they
already know, and there might not be a cardiologist.”
Rural practitioners rated some clinical skills, including
electrocardiograms and chest X-ray interpretation, critically
important even if seldom used. Given the growing number
of older adults with chronic conditions, Laustsen says, “rural
NPs have to decide: yes, I can do that procedure, but should
I do it or send the patient to a hospital?” In developing
courses, nursing faculty must consider the importance of
specifi c skills to the practitioners they train.
Many respondents learned skills outside NP programs.
“Schools shouldn’t be responsible for teaching every single
skill,” Laustsen says. “But if we have to choose, which are
used most frequently and are critical for NP practice?”
Th e School of Nursing’s Doctor of Nursing Practice
program includes a rural track that supports OHSU’s goal of
improving health for all Oregonians. “With the family nurse
practitioner and mental health nurse practitioner programs
available statewide, we’ll see more students focusing on rural
health care,” Laustsen says. Th is will increase the number of
NPs in rural communities—a good thing in a community
where quality care can be scarce.
Th e School of Nursing’s Doctor of Nursing Practice Rural
Health Track and OHSU School of Medicine’s Rural Health
Track were developed to fi ll the urgent need for care in
rural communities. “It’s a ‘grow your own’ philosophy,” says
Laustsen. Th anks to Laustsen’s study, NPs will learn the skills
that they need to use and practice.
For more information on the study, contact Gary Laustsen at
By Genevieve Long
Transitional Care Model Off ers Hope for Vulnerable Elders
8 | Nursing Momentum
Mr. Jenkins (a patient that agreed to share his
information) has seven chronic conditions, takes
12 medications and sees six specialists — and his
primary physician just retired. At 76, Jenkins feels
downright elderly.
Fortunately, Jenkins has access to a new team-based model
for elder care. Developed by Mary Naylor, Ph.D., R.N.,
F.A.A.N., and her University of Pennsylvania research
team, transitional care serves older adults at high risk for
poor health outcomes. Naylor discussed the model and its
implications for health care policy at the annual Henrietta
Doltz Puhaty Lecture on Nov. 8, 2011.
“We help older adults at their most vulnerable time by
changing how they receive care,” Naylor told an audience of
nursing faculty, students and administrators. “A master’s-
prepared registered nurse follows individual patients from
hospital to home, making sure they get the care they need.”
Th e nurse makes home visits, attends doctor visits and
consults with patients and families to “give them the best
quality of life that meets their goals,” Naylor said.
A Costly Crisis
Naylor described how current elder care does not serve
elders, caregivers – whom Naylor called “the invisible
workforce” – and society. “Many people who thought they
achieved the American dream fi nd that old age is a night-
mare,” Naylor said.
In the United States, adults are living longer, but many have
multiple chronic conditions. Depression and health literacy
defi cits complicate the picture. “We’re facing a tsunami of
older adults,” Naylor said. “Th is is a health care crisis, and it’s
a costly one.” She noted that 10 percent of elders consume 75
to 80 percent of health care costs.
In the current acute care model, patients are hospitalized
with acute problems but returned home or to care facilities
with minimal follow-up. Naylor said nearly 70 percent of
elders transitioning from hospital to home encounter dif-
fi culties with the continuity of their care. Hospital readmis-
sions cost up to $17 billion per year, and 25 to 50 percent
of hospitalized elders could receive care elsewhere. “Many
people would love to stay in their homes,” she said. “We want
to help them do that.”
Developing a New Model of Care
Naylor traces transitional care’s origins to a program
developed by Dorothy Brooten, Ph.D., R.N., F.A.A.N., at the
University of Pennsylvania. Advanced practice registered
nurses provided continuing care for very low-birth-weight
infants and at-risk mothers aft er they left the hospital.
Naylor was inspired to adapt the model for elders by
Pennsylvania Sen. John Heinz’s comment that Medicare
patients were discharged from hospitals “quicker and sicker,”
aft er payment rules changed. “Transitional care worked for
vulnerable infants,” Naylor said. “Could it work for elders?”
“Many people would love to stay in their homes.
We want to help them do that.”
– Mary Naylor, Ph.D., R.N., F.A.A.N.
ENDEAVORS IN SCIENCE
Results Based on Research
Th e transitional care protocol is evidence-based. For example,
Naylor said research shows patients reach a low point about
two weeks aft er hospital discharge, so nurses check in with
them then. Rates of 30-day readmission have dropped with
transitional care, but Naylor said, “We focus on the long haul
– not just getting readmit rates down.
“Transitional care improves physical function and quality
of life,” she said. Researchers are now studying why patients
with certain conditions, such as heart failure, have poorer
outcomes than those with other diseases.
In addition, Naylor’s team is conducting the fi rst major
observational study of elders with cognitive impairment. Th e
study has funding from the National Institute of Aging and
includes 500 English- and Spanish-speaking families. “We
don’t yet know much about the population with functional
defi cits,” Naylor said.
Federal adoption of transitional care could aff ect costs nation-
wide. Th e U.S. Center for Medicare and Medicaid Innovation
now encourages health systems and community organizations
to cooperate to prevent repeat hospitalizations. Aetna and
Kaiser Permanente have piloted transitional care, and the
University of Pennsylvania Health System has adopted it.
New Challenges, New Hope for Elders
In October 2011, Naylor and her team launched a study of
patient-centered medical homes. “Does transitional care add
value?” she asked. “Providers might lose track of someone
who’s admitted to the hospital, but transitional care can prevent
hospitalization or keep patients connected to medical homes.”
Naylor closed her Puhaty lecture with words of challenge and
hope. “We’re on the verge of a revolution in care delivery,”
she said. “Achieving better outcomes and reducing costs
won’t be simple. Transitional care is multidimensional
because humans are complex.”
During her visit Naylor met with and praised OHSU’s
nursing students for their commitment to change. “It was
tremendously exciting to be with students here,” she said.
“One student said, ‘I want to be the next innovator.’ Th ese
students’ energy and passion convinced me we’re very lucky
they will be taking care of us.”
Nursing Momentum | 9
Factors in Poor Elder Care Outcomes
• Five or more active chronic conditions.
• Functional defi cits – unable to get up, get through the day.
• Depression – depressive symptoms present in 40
percent of elders.
• Poor general health behaviors.
• Self-perception of poor health.
• Lack of social or fi nancial support.
• Cognitive impairment — oft en misdiagnosed or poorly
managed.
• Language, literacy and cultural barriers.
Health Systems – Part of the Elder Care Problem
• Poor communication between specialists, hospitalists
and primary care providers.
• Lack of information elicited from family members.
• Reimbursement challenges that limit access to care.
• Systems that limit nurses’ accountability to “door to
door” – from the time patients arrive at the hospital to
the time they leave.
• Little help with transitions, e.g., from hospital to skilled
care facility or from skilled care to home.
Community stakeholders, including OHSU, formed the Jack-
son County Latina Health Coalition in 2009 with support
from the Northwest Health Foundation. Its mission is clear:
To involve the local community in examining the reproduc-
tive health disparities that exist for Latinas in Jackson County
and the underlying causes for these disparities, using collab-
oration, community involvement and research. Th e result of
this research will be an implementation plan to reduce or end
these disparities. Th e researchers plan to focus on actions
to reduce teen pregnancies, prevent cervical cancer and
improve birth outcomes for Latina women.
Additional funds were awarded by Northwest Health Foun-
dation in 2010. Th e coalition sponsored a successful fi rst
annual Latina Health Fair, with more than 300 in attendance.
Th e coalition members patterned their academic-community
partnership on the community-based participatory research
model. In this model the community is a full partner, sharing
all aspects of the research process with partners attending the
training and beginning to collect data.
Six junior-class members in the population-based care,
course researched the level of the community’s readiness to
address unintended teen pregnancies. Th ey interviewed 15
key community informants and presented their fi ndings to
community agencies.
One of those students, Malena Fitting, now a senior OHSU
nursing student in Ashland, found participatory research to
be empowering: “I discovered I have real skills connecting
with people and fi nding out what is going on in a commu-
nity” she says. “I’m learning about the importance of this
information in the process of change.”
Two more years of funding will allow the coalition to expand
and continue its research. Two high-school students and two
college students, selected from a pool of 29 applicants, joined
the coalition. Th ey will receive educational stipends and help
lead a photovoice project, using photographs as a research
tool to document strengths and weaknesses of the community.
Noone says it is challenging and exciting to be working with
a participatory project of this size, scope and mission. “It also
makes OHSU visible and demonstrates that we are interested
in helping the community,” she says.
Nursing students assist the local
Jackson County Latina Health
Coalition explore teen pregnancy
and Latina reproductive health
disparities in Jackson County.
From left : Colette Davis, Kati
Stanislawski, Jolene Williams,
Malena Fitting and Robert Rheault.
10 | Nursing Momentum
By Nancy Hackleman
Latina Reproductive HealthIn the fall of 2011, Joanne Noone, Ph.D., F.N.P., C.N.E., received the good news: the Northwest Health
Foundation awarded the Jackson County Latina Health Coalition a two-year, $100,000 grant to
address Latina reproductive health. Planned Parenthood of Southern Oregon is the lead community
partner for this OHSU-community action research partnership, and Noone is co-investigator and lead
academic representative. She is an associate professor and academic director for the OHSU School of
Nursing in Ashland.
ENDEAVORS IN SCIENCE
Sarah Shannon, Ph.D., M.S.N, B.S.N., delivered the Betsy
LaSor Lecture on “Disparate Views on End-of-Life – From
Right to Die to Right to Live.” She said the disparity in
End-of-Life Choices
views about end-of-life care may ultimately be traced to a
health care system in which minorities, the poor and the
disenfranchised oft en do not receive quality care during the
course of their lives. She challenged nurses to work toward “a
culture of equality, not just because it’s the right thing to do,
but so that we can go to the families (of the dying) and say
‘trust us’ and they really can.”
Shannon is associate professor of biobehavioral nursing
and health systems in the School of Nursing, University
of Washington, and adjunct professor of bioethics and
humanities, School of Medicine. She has published numerous
papers and lectured across the nation on topics such as
communicating with dying patients and their families.
Th e LaSor Lecture honors the memory of Betsy LaSor, a
pioneering psychiatric nurse practitioner in Jackson County
who died from cancer in 1991. She wanted Southern Oregon
nurses and nursing students to meet a variety of prominent
nursing leaders, and her family endowed the lecture that
bears her name.
Shannon said care providers need to accept that there are
multiple defi nitions of “the good death” and diff ering views
of what is benefi cial treatment. While many Americans
defi ne a good death as one with minimal pain that occurs
outside a hospital, surrounded by loved ones, others expect
the end-of-life to include “the good fi ght,” in which no stone
was left unturned in pursuit of survival.
Shannon said the number of patients who seek aggressive
end-of-life care has doubled during her three decades in
nursing – to somewhere between 8 and 16 percent – and
today about 20 percent of Americans die in intensive care
units. She said medical providers need to improve their
communication skills to care for these patients and recognize
that it will take time for the nation to acquire the wisdom to
accept patients who seek a right to live, just as it took decades
for the medical community to acknowledge a right to die.
By Bill Kettler
Sarah Shannon, Ph.D., M.S.N, B.S.N.
Patients’ right to refuse end-of-life treatments gained acceptance in the medical community
over the past 40 years. But a nurse scientist who visited the School of Nursing in Ashland in March
2011 told students, faculty, alumni and community members that a growing number of dying
patients are actively seeking life-extending treatments.
Nursing Momentum | 11
Donna Shalala’s
Message to Nurses:
The Time is Now to
Infl uence Health
Care Reform
By Lee Lewis Husk
Shalala was the nursing school’s fi nal guest speaker in its
yearlong centennial lecture series. Th e plain spoken, 70-year-
old political scientist and nursing advocate who won the
Presidential Medal of Freedom in 2008 created a buzz
on campus as she met university offi cials, local reporters,
moderated a panel discussion and attended a private
reception hosted by the OHSU Foundation.
Her visit centered around the Institute of Medicine (IOM)
report, Th e Future of Nursing: Leading Change, Advancing
Health (www.iom.edu/Reports/2010/Th e-Future-of-Nursing-
Leading-Change-Advancing-Health), released October 2010.
She chaired the Institute of Medicine’s two-year eff ort to
create the report — a blue-print for nursing’s future. Former
Dean Michael Bleich was a member of the IOM committee
and hosted Shalala’s visit.
Several hundred people attended the panel discussion led
by Shalala at the OHSU Old Library Auditorium and many
more participated through a live video feed streamed around
the state. In his introduction, Bleich called Shalala, “One
of my heroes.” Th e audience gave her a standing ovation as
Bleich awarded her the School of Nursing’s Centennial Medal
of Honor for Distinguished Service to Nursing.
In her opening remarks, she praised Oregon’s overall
leadership in nursing, including its role in the creation of the
Oregon Consortium for Nursing Education. “Oregon has
never lost its pioneering spirit – the spirit of service and the
spirit of courage,” she said.
She and the 11-member panel of community leaders
discussed specifi c recommendations of the report. Several
themes recurred as panelists one-by-one discussed the
report, including the need to remove scope of practice
barriers and achieving partnership status with other
professionals during residency education.
An oft repeated comment was that nurses must be at the
table as health care reform unfolds and must play a greater
role in the nation’s future health care. Lani Doser, a panel
member and student in OHSU’s Doctor of Nursing Practice
program, said that “if we want to encourage leadership, there
needs to be one extra place at the table for students.”
Fellow panelist Christine Tanner, Ph.D., R.N., F.A.A.N., AB
Youmans Spaulding Distinguished Professor, said that “Dr.
Shalala reminded us of the very signifi cant role we as nurses
have in shaping health policy that is informed by the patient’s
experience; nurses hold the key to this understanding.”
Above: Donna Shalala, Ph.D.; president, University of Miami and
former secretary of Health and Human Services
The 21st Century is calling out to America’s 3 million nurses: Use your power and infl uence to
transform health care. And do it now while the country braces to serve 32 million Americans through
the Aff ordable Care Act. Donna Shalala, Ph.D., president of the University of Miami and the longest
serving secretary of Health and Human Services (1993 to 2001) in U.S. history, drove that message
home while visiting OHSU in March 2011.
12 | Nursing Momentum
LESSONS IN LEADING
OHSU Student Named to International Council of Nurses
By Lee Lewis Husk
Scanlon, R.N., works part time at
Portland’s Southwest Community
Health Center, a clinic for the
uninsured, and is a full-time
student in the School of Nursing’s
post-baccalaureate program leading
to a Doctor of Nursing Practice
(DNP) degree. Th e three-year
program will allow Scanlon to
become a family nurse practitioner
on her way to achieving a DNP degree.
One of her roles on the international steering committee has
been to pull together and edit stories for a newsletter, a role
she’s well prepared for. She earned a bachelor’s degree from
the Art Institute of Atlanta and worked for an ad agency
from 1995 to 2000. From 2010 to 2011, as a senior nursing
student, she served on the board of directors of the National
Student Nurses Association (NSNA) as student editor of its
magazine, Imprint.
Th is past year the ICN has sponsored key initiatives
important to nurses around the world, such as the Global
Health and Climate Summit and the Global Strategy for
Women’s and Children’s Health report. Although Scanlon
was not able to attend this year’s steering group meeting in
the Mediterranean island nation of Malta, she’s saving up
to attend the 2013 meeting in Australia which will focus on
issues of equity and access to health care. Th e use of email
and Skype helps keep her in touch with her fellow council
members, and she’s had the opportunity to talk with them
about the diff erences and similarities of nursing education
and advocacy in their diff erent countries.
If you would like more information about the International
Council of Nurses go to: www.icn.ch/ or connect with Kindra
Scanlon through OHSU by emailing [email protected].
“How do I stay not pregnant?” asked an indigenous
Mayan woman of Jennifer Buchanan, an American
student nurse working in a Guatemalan village with
the nonprofi t, Pueblo Partisans. Buchanan was there
for fi ve weeks in July 2011 to teach courses on female
health and leadership, nutrition and poultry husband-
ry. “Her question was pivotal in our interaction,” she
recalls. “I was given the opportunity to explain to her
what fertility, menstrual cycle and birth control were.”
Like many OHSU student nurses, Buchanan is de-
voted to giving disadvantaged people, whether in the
United States or abroad, the tools to promote health
through education. “Just a spark of education liber-
ates people, gives them worth and frees them from
being burdened with a lack of knowledge,” she says.
Buchanan, 24, a senior at OHSU in Ashland, heads
the local chapter of Nursing Students Without
Borders (NSWB). She says the group provides
volunteer services for local seasonal farmworkers,
Mexican migrants, college students at Southern
Oregon University and at community events. Th e
goal with NSWB is not to swoop in and deliver aid,
but to give disadvantaged people the tools to promote
their own health, she says.
Students interested in joining the NSWB group on
the Ashland campus or starting a similar group on
their campus can contact Jennifer Anderson, assistant
dean of Student Aff airs at [email protected] or
503 494-7725.
Kindra Scanlon’s passion for serving underserved populations in the United States and abroad
has been given a voice at the international level. She is one of just two North American student nurses
selected for the Student Core Steering Group of the International Council of Nurses (ICN). The seven-
member group includes student nurses from Egypt, Ghana, Denmark, the Philippines and Puerto Rico.
Its purpose is to represent nursing students worldwide and facilitate communication and enhance
cultural awareness among student nurses. She received notice of her two-year appointment in
February 2010 from ICN consultant and steering group liaison Jean Berry, headquartered in Geneva.
Nurses without Borders
Kindra Scanlon, R.N.
Nursing Momentum | 13
14 | Nursing Momentum
But it was her work at a forward-thinking assisted-living
center that cemented her decision to become a nurse. Th e
owners of Oatfi eld Estates in Milwaukie, Ore., hired Nicker-
son to help them design a community where people would
want to live when they’re older. She liked the philosophy and
place so well that she and her young son moved in and spent
fi ve years among the residents, many of whom suff ered from
dementia or feelings of isolation. “People in these settings
don’t need quiet, they need life!” she says.
Nickerson left the job in 2007 to enroll in nursing school.
Now, at 40, Nickerson has her bachelor’s degree from
OHSU’s School of Nursing.
“Some people weren’t quite getting the gist of what chronic
illness does to patients and how nurses can provide better
care,” she observed during coursework on chronic illness. So
she decided to bring people together through the power of
fi lm. She organized a Chronic Film Festival to give students a
realistic portrayal of living with a chronic illness and making
tough ethical decisions.
Th e festival occurred over three nights in the winter of
2010 at the OHSU student media center. Attendees saw a
fi lm and then heard outside experts discuss the fi lm and
subject matter. Th e fi rst evening was small and intimate,
with the next one bigger and the third night fi lling the house.
Nickerson says the next series of fi lms will occur in 2012 at
the McMenamins Kennedy School which has a large movie
theater, food and capacity to include community members.
She hopes the chronic fi lm festival idea can go nationally.
“It’s too powerful to stay in Oregon,” she says. “Everybody
needs to see it and touch it and be inspired in some form.”
For her creation of the fi lm festival and as a senior class
senator and activity coordinator for the Student Nurses
Association, Nickerson won the coveted OHSU Student 2010
Educator Award — an honor that goes to only one OHSU
student.
Like many great ideas, they oft en fade away when the creator
moves on. Nickerson wanted to share her event planning so
“other student nurses wouldn’t have to work as hard as I did.”
She created a web site with a template for creating events.
She says forms, invitations, letters and other items will be
available through the nursing school’s website.
As for Nickerson’s future, she found a love for mental health
and hopes to work in a hospital emergency department.
“Th e emergency department is a gateway to the community,
and even if for a just moment I am able to touch someone’s
life, that fulfi lls me.”
By Lee Lewis Husk
Student Nurse Uses Film to
Teach about Chronic Illness
Above: Kelly Nickerson, graduated with a B.S. in nursing in 2011.
Life’s experiences can profoundly aff ect our decisions. For Kelly Nickerson, it was the death of her
brother and the birth of her son. In both instances, nurses played pivotal roles. Her brother, who took
his own life, struggled for many years, in and out of psychiatric units, according to Nickerson.
“Nurses helped me through this diffi cult time and showed me how I could give back to my community.”
When her son was born with asthma, nurses taught her how to care for him.
LESSONS IN LEADING
Hosted by the World Aff airs Council of Oregon, the group
spent an aft ernoon with key leaders at the nursing school and
hospital. Former Dean Michael Bleich, Ph.D., R.N., F.A.A.N.,
welcomed the group of 15 Syrian nurses, their two translators
and Associate Dean Peggy Wros, Ph.D., R.N. Each of the
visitors was nominated as an emerging health care leader by
the U.S. Embassy in Syria to participate in the three-week,
cross-country International Visitor Leadership Program.
Th e goal of the International Visitor Leadership Program
(sponsored by the U.S. Department of State’s Bureau of
Educational and Cultural Aff airs) is to increase mutual
understanding between the people of the United States and
people of other countries through person-to-person contact,
according to Mariko Gilman, program offi cer at the World
Aff airs Council of Oregon. “Th is group of nurses from Syria
came to Oregon to explore the various roles that nurses play
in American society and learn more about the education and
training of nurses in Oregon.”
Members of both groups were curious about how the
practice of and educational preparations for nursing are laid
out in each country. For example, in Syria, nursing education
moved to the university setting only seven years ago. In
Oregon, where nurses have been part of a university for more
than 100 years, nurses are key players on interdisciplinary
teams. “OHSU is committed to fostering a collaborative and
interdisciplianry educational environment,” Bleich said.
Th ough two languages were spoken in the room that day,
as well as during the group tours of the OHSU Hospital’s
intensive care units, there was one collective recognition of
and respect for nursing as one of the world’s most signifi cant
and powerful professions.
As Deborah Eldredge, Ph.D., R.N. put it, “Th e visitors were
very engaged with staff on the tour of units.” Eldredge is
OHSU Hospital’s nurse director of research and quality
outcomes. “A post-operative heart patient returned to the
unit while we were there, and several nurses commented on
the well-coordinated handover from anesthesiology to the
inpatient team and collegial relationships with nurses and
physicians. Th e charge nurse ‘narrated’ the steps of admitting
this patient, and discussed physiology, technology, pharma-
cology–and the Syrian nurses were quite impressed. I felt
proud of our teamwork.”
By Sami Ewers
Above: Syrian health care professionals join OHSU School of Nursing faculty in conversations about the nursing profession.
Wednesday, July 27, 2011, was one of those warm, sunny summer days that Portlanders wait for all
year long. But the sense of warmth that fi lled the sixth fl oor conference room in the School of Nursing
that afternoon wasn’t a result of the season; it came from the common understandings and shared
experiences between a group of Syrian health care professionals and School of Nursing faculty as they
conversed about the universality of the nursing profession.
Nursing Momentum | 15
Universal Themes in Nursing
Situational Scenarios Improve Nursing Education—Case by Case
OHSU’s School of Nursing aims to help students meet these
challenges. Assistant Professor Mary Cato, M.S.N., R.N., is
among four simulation experts writing scenarios for ACES,
a collaboration of the National League for Nursing (NLN)
and the Community College of Philadelphia. “Th e NLN
identifi ed a need to prepare nurses to care for older adults in
a range of settings,” Cato explains.
ACES provides a framework for teaching about care of older
adults. It off ers faculty development and student learning
tools, including simulation cases and curriculum resources.
Initial funding came from the John A. Hartford Foundation,
Laerdal Medical Corporation and Th e Independence
Foundation.
Each ACES case includes fi rst-person patient monologues
and assessment tools. In a poignant twist, students describe
likely outcomes for each elder’s story. ACES materials are free
to all nursing faculty through the NLN faculty development
web site, www.nln.org/ACES.
Like real cases, the scenarios unfold unpredictably. Settings
range from a rehabilitation facility to a farmhouse and
dramatize elders’ responses to aging syndromes such as
functional decline and incontinence. “We introduce students
to the complexities they’ll face in practice,” Cato says.
Cato authored the case of Julia Morales and Lucy Grey,
partners coping with Julia’s lung cancer. “In some states, Lucy
An 80-year-old farmer with diabetes lives 20 miles from town. A 73-year-old woman struggles to
cope with her partner’s death. These scenarios are from the Advancing Care Excellence for Seniors
(ACES) program to improve geriatric nursing education. Education based on realistic situations helps
nursing students enter practice with the experience and fl exibility demanded by health care reform
and a burgeoning older population.
16 | Nursing Momentum
PROFILES IN PRAC TICE
cannot make legal decisions for Julia,” Cato says. Students
help the couple assess end-of-life options. When the grieving
Lucy visits the ER aft er her partner dies, Cato says, “Lucy is
more than just her blood pressure. ACES encourages looking
at the whole life picture.”
It’s no surprise that ACES chooses experts like Cato, an
OHSU faculty member, as part of the team. “Th e School
of Nursing has put time and energy into expanding its
simulation program,” Cato says. When she arrived in 2004,
simulation was used in only one course. Today every campus
has a simulation facility, and simulation is fully integrated in
the curriculum. Th e new Collaborative Life Science Building
on OHSU’s South Waterfront campus will include an
interprofessional simulation facility to be shared by several
Oregon universities.
ACES helps students develop sound clinical judgment,
critical for nurses playing broader roles under health care
reform. Th ey experience situations they might not otherwise
see until they practice. When 65-year-old Julia dies in
Cato’s scenario, they must assess, comfort and support Lucy.
“Students are rarely present at a death,” Cato says. “Th is
lets them see how they might react and manage their own
feelings.” ACES and other School of Nursing simulations help
students practice communicating with health care providers
they’ll meet in practice.
In July 2011, the Hearst Foundation awarded the NLN
$400,000. “Th e funds will facilitate ACES’s national
expansion,” Cato says. “We’re beginning to off er all-day
workshops, and this will help us off er them around the
United States.” In Oregon, the fi rst ACES workshop is
planned for spring 2012.
Th e scenarios help students understand their important
role in elder care. “With ACES, students get to be decision-
makers,” Cato says. “Th ey learn they have the power to make
things better for people.” It’s essential training for helping real
patients live out their stories.
By Genevieve Long
Nursing Momentum | 17
18 | Nursing Momentum
Leading Nurses in Elder Care
By Jim Newman
Factor in improved access to improved health care for longer
lives, and this becomes a question that demands a response:
Who will care for people as they age, become increasingly
frail, and experience chronic illness conditions?
Juliana Cartwright, Ph.D., R.N., associate professor, knows
that nurses are the answer to addressing this critical need.
Since 2005 she has written four grants that have been funded
to help establish and grow the Enriched Clinical Learning
Environments through Partnerships (ECLEPs) project. In
short, ECLEPs helps schools locate partner care agencies
throughout the state and provides educational and partner-
building activities for nurses on both the academic and
service sides. As a result, expert nurses in partner agencies
work with faculty and students to advance critical knowledge
for managing chronic care conditions.
ECLEPs also provides a way for nursing students to consider
an area of nursing that they may not have identifi ed other-
wise. Th e initial grant was funded by the Northwest Health
Foundation, and in 2009 the Health Resources and Services
Administration provided additional funds to expand the
project into rural Oregon schools. Th ese grants have been
instrumental in developing nurses with the expertise they
need to support older adult patients.
“Many students enter nursing school with plans to work in
a hospital, and traditionally, hospitals are the places where
students have most of their clinical training,” explains
Cartwright. “Our goal is to make sure students recognize
and appreciate the specialized needs and unique strengths of
older adults where they live. Gerontologic nursing practice is
a wide-open fi eld that will only grow in coming years.”
Specifi cally, nurses taking part in the program:
• Gain experience in caring for older adults with chronic illness.
• Gain an understanding of the stereotypes and
misconceptions that surround working with older adults.
• Develop a comprehensive understanding of how to support
independence and dignity for older people.
• Recognize the impact of discharge aft er hospitalization
to home or an alternative setting, and develop skills in
providing transitional care during this time.
• Improve their communication skills with older adults.
• Gain experience working with individuals who have
dementia and other disorders that impact communication.
Currently, the ECLEPs program has been integrated into the
curriculum for baccalaureate and associate-degree schools at
both OHSU and community colleges participating in the Ore-
gon Consortium for Nursing Education (OCNE). Th e following
communities are benefi tting from these unique partnerships:
Portland metropolitan area, Wilsonville, Coos Bay, Florence,
Ashland, Medford, Klamath Falls, Eugene and Roseburg.
With 19 long-term and community care agencies participating
throughout rural and urban communities in Oregon, 134
nursing students have had the opportunity to work with
older adults in non-hospital settings. “We are off ering experi-
ences that enrich what it means to be a nurse,” Cartwright
says. “We have discovered that students enjoy the chance to
bond with older adults while they learn to manage chronic
illnesses and frailty. We’ve learned they enjoy caring for older
adults and families over a longer period of time.”
For more information about ECLEPs, visit www.ecleps.org.
For more information about OCNE, visit www.ocne.org.
Who will care for the elderly? More than 10,000 people will turn 65 every day for the next 19 years.
The Oregon Offi ce of Economic Analysis predicts that by 2030, 25 percent of Oregonians will be 60 or
older, and the fastest growing segment of that population is 85 and above.
PROFILES IN PRAC TICE
Collaboration Yields Unique Health Care Clinic
By Susan Rich
Muriel Shaul, Ph.D., R.N., associate professor,
administrative director, EOU campus.
More than 20 years ago, the two institutions agreed to create
a School of Nursing program on the EOU campus, plus
provide students with a health care clinic.
“It’s a unique setup, the only one like it in the state,” says
Carrie Lane, M.S., F.M.T., R.N., family nurse practitioner and
clinic director. While every university off ers an on-campus
health clinic, the one at EOU is run by a staff of nurse
practitioners who are also faculty members.
“It’s a great partnership because it allows all EOU students
to receive quality health care at a reduced cost, and provides
the nurse practitioners with an outlet to both treat and teach
students,” Lane says. It also gives OHSU’s student nurses the
opportunity to perform supervised clinical rotations, plus
course-required health promotion projects that encourage
them to connect with the campus population.
Th e clinic is run by three nurse practitioners and faculty
members: Lane; Ginny Elder, F.N.P., M.N., R.N., assistant
professor; and Gary Laustsen, Ph.D, F.N.P., R.N., associate
professor.
For students carrying at least six credit hours, the cost of
the health care program is rolled into the fees they pay each
term. Aft er that, they have access to a wide range of services,
including wellness exams and episodic care.
Th e goal of the university clinic – as with every other – is
to create a healthy student population. “It means students
are more successful academically, and episodic illnesses are
treated without incurring additional expense,” says Muriel
Shaul, Ph.D., R.N., associate professor, administrative
director for the EOU campus.
Nursing in era of health care reform
One of the distinct diff erences between today’s student
nurses and those of 30 years ago is the way they are taught
to think, Shaul notes. While nurses of every generation have
always been committed to patient care and advocacy, today’s
curriculum encourages students to think in terms of preven-
tion and health promotion.
It’s a broader outlook than was ever conceived when Shaul –
or others of her generation – were in school.
“When I graduated, they were just beginning to talk about
health promotion,” Shaul recalls. “Now we teach students to
think critically, to analyze the situation, to look more closely
at alternatives.”
Th e result is a new wave of nurses who are going to help lead
the nation’s health care reform by advocating for the needs of
the individuals.
A commitment to student health – and the next generation of nurses – has created an enduring
partnership between Eastern Oregon University (EOU) and OHSU.
Nursing Momentum | 19
20 | Nursing Momentum
Joanne Noone, Ph.D., R.N., C.N.E., administrative director,
Ashland campus, brought the simulation to Oregon aft er
seeing it presented at a nursing conference. Developed by the
Missouri Association for Community Action, the experience
aims to educate and sensitize participants to the realities
of living with poverty. It also helps nurses understand how
poverty aff ects health.
Th e simulation is held in a large room, such as a gymnasium.
Th e center of the room represents neighborhoods. Around
the perimeter are 20 resources, such as schools, employers,
grocery stores, child care, pawn shops and social service
agencies, which are staff ed by volunteers. Th e organizers
randomly assign students to play a role within a lower
middle-class family. Th e task for students is to keep their
families housed and fed, and to maintain the highest
possible quality of life. Th e three-hour experience includes
orientation, simulation and debriefi ng.
Fourth-year nursing student Robin Sanders, a civil engineer
before entering nursing school, thought that if she got into a
diffi cult situation, such as poverty, she’d fi nd a way to get out
of it. Aft er an hour into the simulation in which she assumed
the identity of a 39-year-old single parent with two children and
a grandchild, she found that she couldn’t escape the system.
“No matter how hard I tried or the number of skills I applied,
I couldn’t get enough resources to feed my family,” she
recalls. “I resorted to things that were morally and ethically
wrong. I stole to get enough money, and I justifi ed that.” Th e
experience not only blew her away but “rattled me.” Part of
her junior-year population-based course, the simulation
taught her how diffi cult poverty can be.
“Our society has become somewhat desensitized to the
plight of our fellow human beings,” says Heather Voss,
M.S.N., R.N., assistant professor in Ashland and a simulation
facilitator. “Th e simulation aims to re-sensitize us to the
human condition of people living on the edge.” For example,
the experience may help nurses understand that when
patients miss an appointment or don’t take their meds, it may
be because they’re unable to fi nd transportation or don’t have
money for a co-pay, she says. “Instead of thinking they’re not
compliant, simulation helps nurses understand that there’s
more to the story.”
One cliché the simulation aims to dispel is that if people just
work hard, they can pull themselves up by the bootstraps.
Noone says that we oft en believe that our behavior makes
us poor or sick. “It’s not really individual behavior that is
linking poverty and health but structural things in society,”
Poverty Simulation Changes Attitudes“Blown away” is how participants describe their experience in the School of Nursing’s new poverty
simulation. With poverty levels reaching new peaks, the experience is timely and, according to those
who’ve completed it, packs a big wallop.
RESPLENDENCE IN TEACHING
La Clinica in Medford, which provides clinical
experience for about 30 OHSU nursing students a year,
closed for a day last year and sent 200 employees to the
poverty simulation. “Th e simulation transformed us,
even though we already have a high level of sensitivity
to low income and vulnerable people,” says Brenda
Johnson, M.B.A., La Clinica CEO and an OHSU School
of Nursing graduate.
“It reminded us of what our patients experience every
day and shift ed how we think about our patients.” As a
result, the clinic created a work group from physicians
to receptionists to determine ways to improve service
and enhance patient-centered care.
Th e nursing school will conduct simulations for medical
and physician-assistant students in March 2012, and
perhaps in the future for organizations such as CareOre-
gon, the state’s Medicaid managed care program.
“Our hunch is that the experience will be valuable for
bigger groups,” says Mathews of OHSU’s simulation
faculty. “My dream would be to get more community
groups involved in joining us in this experience as well
as students in other health-related professions.”
Says fourth-year student Sanders, “Th e simulation was
powerful not just for me but everyone around me. It left
us with empathy and for me, a desire to improve our
systems for patient-centered care and support.”
she says. Th e simulation highlights how quickly life events
or stressors, such as getting sick or not being able to pay the
bills, can lead to poverty.
Is it Worth the Eff ort? Research Study Found Out
Staging the simulation involves recruiting and training a
large number of volunteers and is a huge undertaking logisti-
cally. Noone and other faculty members conducted a survey
to learn whether the poverty simulation changed under-
graduate nursing students’ attitudes toward poverty and its
impact on health. Th e sample included a total of 178 nursing
students: 75 controls and 103 simulation participants.
Th e results showed that students who had poverty simulation
moved a lot in their understanding of the link between
poverty and health due to living conditions rather than
behavior. “Th ose who didn’t have simulation didn’t have that
movement,” Noone said. Other members of the research
team included Voss, Launa Rae Mathews, M.S., R.N.,
C.O.H.N.-S., Stephanie Sideras, Ph.D., R.N., and Paula
Gubrud-Howe, Ed.D., R.N.
“We found it is worth the eff ort,” sums up Mathews, who is a
simulation facilitator on the Portland campus. “It’s a way to
give all students the same kind of experience, similar to send-
ing them into the community.” Th e school held pilot simula-
tions in Ashland and Portland. Th is year the simulation is
required for all OHSU nursing juniors as part of a popula-
tions course and will be conducted on all fi ve campuses.
By Lee Lewis Husk
Nursing Momentum | 21
Simulation Spreading
22 | Nursing Momentum
Th e eff ort is sponsored by the American Nurses Association
(ANA).
One major focus of the ANA is to defi ne the standards of
nursing education, whether it’s for nurses who work in emer-
gency rooms, intensive care units, or focus on public health.
Th is complex process is accomplished by inviting select med-
ical professionals to serve on a committee that fi rst defi nes
these education standards, and second, “outlines the breadth
of how far nurses can practice, how creative they can be with
any one individual position,” Northrup-Snyder says. “We are
a group of people asking ourselves, ‘What do we believe are
the standards we should be educating students toward?’”
It’s a question that leads to plenty of discussion, because
public health nursing itself is a broad fi eld. “It encompasses
any nursing professional who works with a population or a
It’s one honor among many received for one
of OHSU’s respected faculty members. Last
March, Kathlynn Northrup-Snyder, Ph.D, C.N.S,
R.N., assistant professor in the RN to BS program
was invited to join a committee of nursing
professionals to help revise the document Public Health Nursing: Scope and Standards for Practice.
Health disparities, inequalities and inequities are
indicators of a community’s health and provide
critical information for decision making for
public health interventions. Gaps in health, aging,
chronic disease, inadequate and unhealthy housing,
environmental hazards and poverty are increasing
the demand for creative solutions to address these
issues. Public health professionals trained in these
areas are key to fulfi lling this demand. “Poor health
and social inequity are linked to economic disparity,
said program director Deborah Messecar, Ph.D.,
M.P.H., R.N. As a result, the most recent global
economic upheavals have been disproportionately felt
by the poor and the sick. Understanding how health
inequities impact our communities is critical for
setting our nation’s future health priorities.”
Th e Master of Public Health online track in Primary
Health Care & Health Disparities is a program
that prepares students to identify and address the
social determinants of health inequities. Students
are encouraged to identify and explore the social
determinants of health and to deploy and use several
tools and techniques to track progress in addressing
local health and socially desired outcomes. “Our
faculty is deeply committed to providing leadership
in this area” said Messecar.
Th e Master of Public Health is an online program
open for anyone with a bachelor’s degree from an
accredited U.S. institution in any fi eld and can be
completed in two years. A Graduate Certifi cate
in Public Health is also available for those with
a bachelor’s degree in another fi eld and can be
completed in four terms. Get more information
about our programs at www.ohsu.edu/son or contact
the Offi ce of Admissions at [email protected] or
503 494-7725.
OHSU Master of
Public Health Program
“We are very proud of Kathlynn’s
appointment to the ANA’s
Committee on Public Health.”
— Deborah Messecar,
Ph.D., M.P.H., R.N.
Nursing Momentum | 23
RESPLENDENCE IN TEACHING
Redefi ning
the Scope and
Practice of
Public Health NursingBy Susan Rich
community,” she says. “Th ere are some basic disagreements
as to what public health nursing means. It’s kind of the other
half of nursing. Th ere’s the acute care side, and then we have
community nursing. Primary care sits between the two. So it
depends on what the clinician is actually doing,” she adds.
As challenging as the committee work is, it’s an exciting
opportunity for Northrup-Snyder. She has more than 30 years
of experience as a public health nurse and has been educating
student nurses for the past 12 years on the subjects of health
promotion and behavioral theories. It’s a unique skill set and
one that adds to her credibility on this committee.
Her role with this committee is to engage in forward
thinking. “I want to try as much as possible to project the
issues and trends (that defi ne public health nursing) so that
the document does not become invalid three years down the
road,” she says.
Public Health Nursing and Health Care Reform
Even without this committee work, Northrup-Snyder is
focused on demonstrating the value of public health nursing
during this era of health care reform.
“Public health nursing has been my mantra for 30 years. I see
things from a community health perspective that few people get
when they work in the acute or primary care world,” she says.
What public health nursing addresses is peoples’ ability to
be well. If the goal is to control health care costs, hospital
visits, the expense of chronic disease, then an emphasis
must be given to managing individual health care before it
becomes a problem.
“Most people would agree that it’s about prevention,”
Northrup-Snyder says. “For me, the fl ip side is health
promotion.”
She is referring in part to education and behavior
modifi cation that helps people make informed choices that
improve their health in the long run.
Behavior is about making a series of choices that eventually
have a desired result, she says. For example, behavior is not
the goal to lose weight, behavior is the accumulation of steps
taken to make it happen.
Raise that simple idea to the global level and you have a need
for change in the way health care is perceived. It’s less about
management and more about prevention. And that can be
linked back to the work being done by the ANA committee.
Th e decision to rewrite the scope and standards for public
health nursing is the fi rst step among many to make sure
today’s public health nurses are in-line to manage tomorrow’s
emerging health care needs.
The Promise of One Award
Above: Christine McDonald, chief executive offi cer of the
Susan G. Komen Foundation, presents the Promise of One
Award to Ann Reiner, R.N.
Th e Promise of One award specifi cally thanks Reiner for
her extraordinary eff orts that make a signifi cant impact
on the Komen promise: To save lives and end breast
cancer forever by empowering people, ensuring quality
care for all and energizing science to fi nd the cures.
Commitment, Conviction
“Why do I keep showing up? I’m not a runner, but I
wanted to be involved with Race for the Cure. It’s a really
exciting event, there are thousands of people walking
in the same direction for the same purpose,” Reiner
says. “What I love about Komen is their focus across the
disease. How they’re looking at risk reduction eff orts, how
they teach you to be your own advocate,” Reiner says.
Reiner is not the only one from OHSU who volunteers
her time outside of race day. Lillian Nail, Ph.D, R.N.,
F.A.A.N., Rawlinson professor, senior scientist, and Gail
Houck, Ph.D., P.M.H.N.P., R.N., director, Doctor of
Nursing Practice program, both serve on the board of
directors of the Oregon/Southwest Washington affi liate.
Nail co-chairs the Medical Advisory Committee.
Reiner, M.N., R.N., O.C.N., instructor, undergraduate
programs, became a Race for the Cure volunteer quite
by accident. Years ago she answered a random telephone
call from an event organizer who asked, “Can you off er
medical support?”
“I said yes,” Reiner recalls, without giving it a second
thought. To this day, Reiner, along with a changing
group of OHSU faculty and staff members, have helped
out at every Portland race.
Following that fi rst event, she was hooked, and the
Susan G. Komen Foundation became her top volunteer
priority. Aft er countless planning meetings, summits
and race days, she has seen it all – and cherished every
minute of it. Now, she jokes, her biggest conundrum
is “estimating the Band-Aid supply. We need more on
sunnier days than we do on cool and cloudy ones.”
Th e Promise of One award recognizes Reiner in part for
her volunteer time and committee work for the Oregon
and SW Washington affi liate. She plays an ongoing role
in the public education eff ort, and since 2007 has served
as co-chair for the Breast Cancer Issues Conference, now
in its 13th year. She helped plan and launch a primary
care practitioner education event last year, and serves on
the Medical Advisory Board (no other Komen affi liate
has such an entity).
By Susan Rich
Ann Reiner is honored by the local affi liate of the Susan G. Komen Foundation for her 15 years
of commitment to helping fi ght breast cancer.
24 | Nursing Momentum
SHARING AND CARING
By Sami Ewers
Nursing Students in the Community
counseling, eye and hearing exams, foot exams and
diabetes education. Belford adds that the week is “extremely
interdisciplinary.” Students in all schools—medical, dental,
pharmacy, etc.—participate in it. Th e interdisciplinary
approach, says Belford, refl ects the importance of a whole
health care model. “We all give a diff erent perspective on
how we care for people and we all have diff erent training, so
by making Cover Th e Uninsured Week interdisciplinary, we
really make it more holistic,” Belford says.
Nursing students serve their community in other ways
too. Student Melissa Ozmore spent several months caring
for individuals with chronic mental health illnesses at the
residential treatment facility Alberta Plaza in northeast
Portland. Ozmore remembers the residents thanking her and
her classmate for simple acts like taking them to the doctor
or having conversations with them. “I feel like we made them
feel like they were somebody. Th e things we were doing
seemed so little—but to them it was huge,” Ozmore says.
Left : An OHSU medical student
performs an eye-screen as part of
Cover the Uninsured Week activities.
“We all give a diff erent perspective
… so by making Cover Th e
Uninsured Week interdisciplinary,
we really make it more holistic.”
– Kristin Belford, vice president,
OHSU Student Council
Th e weeklong aff air aims to raise awareness about the
uninsured and underinsured community nationwide. It
includes daily speakers who tackle topics surrounding
insurance coverage and health care reform. In addition to
presentations and policy debates, Cover the Uninsured Week
always off ers a free Health Screening Fair for uninsured
Portlanders, during which nursing students off er basic health
care needs such as blood pressure screenings, medication
As a nursing student, there are ample opportunities in which one can serve the community,
whether through classes or volunteer events. One of the most prominent opportunities for students
to practice nursing care in the community is through OHSU’s schoolwide Cover The Uninsured Week.
School of Medicine students started the annual event fi ve years ago, but over the past two years, all of
the school’s disciplines have become involved in it, says vice president of the OHSU Student Council,
Kristin Belford, who helped plan last year’s event.
Nursing Momentum | 25
26 | Nursing Momentum
SHARING AND CARING
M. Patricia Redlin Huff man, BS, ’60, and Ann Mautz Uphoff ,
BS ’60, recall the fi rst time they encountered the photos,
yearbooks, uniforms and so much else that was scattered
throughout various locations in the School of Nursing.
Elaine (Garner) Mahoney BS, ‘61, formed an archive
committee around the time of the 75th anniversary of the
school to organize and catalog the many items that Carol
(Pearson) Storer, BS ‘49, Barbara Gaines, Martha Watson
and others had assembled over the years. “Th ere were
commencement and convocation programs, photos, books,
scrapbooks, hospital registers, clothing, pins and a great
deal of what Barbara Gaines later memorably christened
‘ephemera.’”
Huff man and Uphoff —friends for more than 55 years—start-
ed to whittle away at what was to turn into an organizational
task spanning two decades.
“Th e loose photos were a big headache,” said Uphoff . “Noth-
ing was labeled, so we had to do a lot of detective work to
sort them roughly by decade based on hairstyles, uniforms
and other clues.” Th is work was made easier by the careful
work of Mahoney, who had cataloged and dated the uniform
collection. “At least we had that to go on when we were sort-
ing the photos,” said Huff man.
Th ey received help in their quest from colleagues and
classmates, and quickly found that displaying some of the
collection at annual reunions yielded valuable information.
“Sometimes we had as many as eight tables set up in the
main lobby,” said Uphoff . “People’s reactions were extraor-
dinary – you could see the memories coming back as they
handled the glass syringes and enamel bedpans that they
had worked with in the County Hospital and other places
so many years ago. We were able to capture some of their
responses and memories in journals that we provided.”
Seeing the display and hearing about the work encouraged
many alumni to expand the archive through the donation of
additional pieces. Some items, however, remain tantalizingly
out of reach. “We are still looking for yearbooks from World
War II,” said Huff man. “We don’t know for sure that they
were published, but if there are any out there we would love
to fi ll that gap.”
Although the archive now houses a very comprehensive
uniform collection, Huff man and Uphoff are also hoping
to fi nd a hat to complete a summer-weight cadet uniform
that was previously donated. “We’d love to know if there is
a winter-weight uniform somewhere out there as well,” said
Huff man.
Now, aft er close to 25 years and the countless volunteer hours
that Huff man and Uphoff have devoted to the project, the
cataloging and organization is complete. “We’d love to think
that the details of the collection could be made available
online, for historical and research interest,” said Huff man.
“We also need to be looking to the future,” said Uphoff . “We
hope current students and recent alumni will want to start to
contribute to the archives now.”Opposite page: (left to right): M. Patricia Redlin Huff man,
BS ’60, and Ann Mautz Uphoff , BS ’60.
“Basically we were collecting and sorting through old boxes in storage rooms, dusty cupboards,
wherever we discovered them.”
Books, Boxes and Bedpans: Alumni Volunteers Build Archive
By Mark Kemball, director, OHSU Alumni Relations
Nursing Momentum | 27
Alumni Reminders
Stay in Touch
Share your news electronically. Class notes are now on
the Web. Let us know what’s been going on in your life.
www.ohsu.edu/son/classnotes
Giving
Gift s of any size help the OHSU School of Nursing
advance the cause of nursing education. Together we can
continue the tradition of academic excellence and innova-
tion that make us all proud to be part of this great place.
Please consider making your annual gift of support today.
www.ohsu.edu/son/giving
Learn More
We’re on Facebook. Visit us to connect to events, news
updates and all things OHSU School of Nursing.
www.facebook.com/ohsuson1
Upcoming Events
As we go to press events are being planned in Portland
in February and June, in Monmouth in February and
in Bend in May. Contact us at 503 552-0745 or at
[email protected] to learn more.
It’s time to rebuild an offi cial alumni presence
to support the School of Nursing, and the new
Alumni Relations program team would love
to hear from you. Do you have suggestions or
ideas? Are you interested in joining our advisory
network? Itching to plan that class reunion?
Let us know your thoughts and get involved
by contacting us at 503 552-0745 or at
Mark Kemball, director, has worked at OHSU since 1991,
serving in a variety of positions involving outreach to
student and faculty groups as well as OHSU neighborhood
and regional communities. He holds a masters degree from
Cambridge University and an MBA from Portland State
University, and was proud to recently see a letter to his
maternal grandmother from a grateful patient she had cared
for as a theater nurse during World War I.
Lauren Shatz, assistant director, came to the OHSU
Foundation from YWCA Clark County where she worked
as the events and development specialist. Lauren received
her master’s degree in public administration with a focus on
nonprofi t management from the University of Washington
Evans School and upon graduation relocated to Portland. She
has been fortunate enough to work with two of the largest
charity wine auctions in Washington and Oregon.
Aimee Bloom, administrative assistant, is a recent graduate
from Oregon State University, receiving her bachelor’s in
human development and family sciences with a double
option in human services and family consumer science.
In her previous employment, Aimee worked as a social
service assistant for Community Outreach, Inc., providing
emergency and transition housing services to those in need.
Alumni Relations staff (pictured from left ):
Lauren Shatz, Mark Kemball, Aimee Bloom.
SHARING AND CARING
First-Year Refl ections
Practice I learned how to draw up and administer
intramuscular injections. Th e more comfortable I get with
this, the less intimidating it will be when it comes time for
action. I like how we practiced it every day in class before
giving fl u shots to the elementary school students.
When I come home from class, fi nish my reading, go over
the modules, I start to have those “nursing-thoughts” linger
in my mind. I feel that transition of beginning to “think like a
nurse,” and it’s only the second week of class.
New Role People notice when you wear scrubs and an
OHSU nametag. When folks see us, they oft en share their
enthusiasm and appreciation for nurses in general.
Going into the elementary school gave me a glimpse of my
responsibility to off er reassurance and guidance. I am used to
running the show in my own home, with my three children.
But I am not used to being that solid, confi dent person that
the rest of the community relies on. It is both fl attering and
frightening. Trust the process; that’s my mantra.
My goals are to fi nd my footing in this new role as a nurse
and to become a secure, competent professional that
elementary school children can rely on.
I Can Do This At the elementary school, I immunized real
people! I can do this. It not only validated my abilities,
but gave me confi dence and an unexpected, new-found
eagerness to “take nursing action.”
My biggest challenge was quieting my nerves, but once I
realized the students saw me as some sort of professional…
well, the idea rubbed off .
Confrontation Th is week I found a medical error at the
retirement village. I confronted the charge nurse about it, but
felt frustrated that I was more concerned with how the staff
viewed me (nosey, inexperienced and naive), than for the
welfare of the patient.
By Amber Hilgert, junior OHSU-SON, Monmouth
Edited by Catherine Rutledge-Gorman, M.Div., B.S.N., R.N.
As part of our fi rst year of nursing coursework, we were asked to refl ect on what we learned about
ourselves and the material that we covered each week. Looking back, I see how much I have grown as
a person, a student and most especially a nurse.
Self-Care My goals are to “knock it out of the park” with my
health promotion project and my own exercise goals. I need
to remember that the time it takes to exercise returns two-
fold with improved concentration and productivity.
Summer Break When I refl ect on my fi rst year of nursing
school, the most important thing I learned was to maintain
balance. Th is consists of rising early to run with my sister,
making time in the evenings to make a healthy meal for
my family, taking the kids bike riding, visiting the library,
enjoying an occasional date with my husband AND still
completing homework and reading assignments. It seemed
overwhelming at times, but I am living proof it is possible. I
even trained for and completed a marathon while learning
the complexities of pharmacology. Moments of doubt? Sure.
Times of extreme stress? Yes. A few extra pounds? Certainly.
Is it all worth it? Absolutely. I am going to be a nurse!
How’s the new graduate RN job treating you?
I didn’t realize that when you graduate you are just the BETA version of a nurse.
I can perform basic nursing functions but need ongoing updates, additional
upgrades to add new features…I am essentially a PC right out of the box…
Not great…
So if you freeze up does your boss get a new version?
Nursing Momentum | 29
30 | Nursing Momentum
Centennial CelebrationWith lectures, presentations and performances, the School of Nursing community came together
to celebrate the school’s 100th anniversary in 2011. The yearlong series of events culminated in a two
day celebration in April. Thanks to all who came to share these special centennial events with us.
32 | Nursing Momentum
PL ATINUM SPONSORS
GOLD SPONSOR SILVER SPONSOR
BRONZE SPONSORS
CENTENNIAL SUPPORTERS
ANONYMOUS • KATHERINE BRADLEY • JEAN CALDWELL • LINDA DENSMORE • BONNIE DRIGGERS
GAUMARD SCIENTIFIC • VIVIAN GEDALY-DUFF • AMY GOLTZ • TERESA GOODELL • DENA HASSOUNEH
CAROL HOWE • JAMES HUNTZICKER • KIM JONES • RUSS LEVIN • KRISTIN LUTZ • ANN NIELSEN
JOANNE NOONE • TANYA OSTROGORSKY • ANNE ROSENFELD • TERRY ROSS
STEPHANIE SIDERAS • CHRIS TANNER • PEGGY WROS
A HEARTFELT THANKS TO THE CENTENNIAL SPONSORS
2011 culminated 100 years of nursing education at OHSU. Th anks to many sponsors, we were able to engage the
entire region in our yearlong centennial celebration. Activities included nationally known guest speakers, musical performances
by students and renowned artists, tours of the school, off -campus events around Portland and a gala dinner.
We deeply appreciate the generosity of the individuals and organizations that made it all possible.
PORTLAND VA MEDICAL CENTER
MICHAEL BLEICH
MARK AND ELLEN RICHARDSON
Recognition, Awards
and Honors
Faculty Honors
and Promotions
Those promoted from lecturer to instructor:
Karen Bean, M.S.
Jesika Gavilanes, M.A.
Roseann Kendall, M.A.T., B.S.N., R.N.
Jacque Mutch, R.N.
Catherine Rutledge-Gorman, M. Div. B.S.N.
Teresa Stenlund, F.N.P., M.S.N., R.N.
Wendy Zolczynski, E.D., M.S.N.
Those promoted from instructor
to assistant professor:
Linda Brown, M.S., R.N.
Linda Callahan, Ph.D., P.M.H.N.P.
Mary Cato, M.S.N., R.N.
Mary Anna Gordon, D.N.P., R.N.
Abby Laughlin, M.S., R.N.
Bret Lyman, Ph.D., R.N., C.N.E.
Launa Rae Mathews, M.S., R.N.
Cynthia McDaniel, M.S.N., R.N.
Claire McKinley, M.S., C.N.E., R.N.
Ann Nielsen, M.N., R.N.
Carla Pentecost, M.S., R.N.
Ruth Tadesse, M.S., R.N.
Heather Voss, M.S.N., R.N.
Those promoted from assistant professor
to associate professor:
Frances Lee-Lin, Ph.D., R.N.
Joanne Noone, Ph.D., R.N., C.N.E.
Emeritus Faculty
New Emeritus Faculty Member:
Sheila Kodadek, Ph.D., R.N.
Nursing Momentum | 33
Centennial Award Recipients
Th ese citizen trailblazers supported and advanced nursing
for our school, the state and nation.
Th omas Aschenbrener president of the Northwest Health
Foundation for his exceptional advocacy in nursing, nursing
education and public health
David Gilbert president of Eastern Oregon University, for
championing the nursing Ph.D. program
John and Betty Gray philanthropists for supporting
construction of the Portland campus School of Nursing
building, funding nursing scholarships and professorships
and advancing Oregon rural health care
Mark Hatfi eld governor and U.S. senator, for advancing the
health sciences, including nursing
Gretchen Kafoury a political leader for her fi erce champion-
ship of nurse practitioners’ prescriptive authority in Oregon
John Kitzhaber governor for his advocacy of nursing and
work in the Archimedes movement
Jeff Merkley senator for initiating the nursing caucus in the
U.S. Senate and advocacy of nursing and nursing education
Susan Pasarow community activist and benefactor for
advancing scholarship in nursing education
George Passadore banking executive and OHSU foundation
board member for contributing to and inspiring others to
envision the Portland campus School of Nursing building
Donna Shalala secretary of Health and Human Services and
president of the University of Miami for leading the Institute
of Medicine report Th e Future of Nursing: Leading Change,
Advancing Health and supporting the American Academy of
Nursing’s Edge Runner campaign
Continued on page 34
Recognition, Awards and Honors
Dena H. Hassouneh, Ph.D., A.N.P., has been named a Macy
Faculty Scholar, a prestigious award that comes with annual
salary support over two years. Th e award from the Josiah
Macy Jr. Foundation will give Hassouneh protected time
to conduct research exploring new methods for increasing
diversity in the health care workforce. Hassouneh was
chosen on the strength of her proposed new research, career
accomplishments, and past work examining inequalities in
nursing education and disparities in delivering mental health
care to women with physical disabilities.
New fellows inducted into the prestigious the American
Academy of Nursing are faculty members Carol Howe,
D.N.Sc., C.N.M., F.A.C.N.M., Dena Hassouneh, Ph.D.,
A.N.P., and Helen Turner, D.N.P., R.N., P.C.N.S. Others
inducted by the AAN include Karen Greco, who earned
her M.N. and Ph.D. degrees at OHSU; Susan King, who
completed both her B.S.N. and M.N. degrees at OHSU and
currently works as executive director of the Oregon Nurses
Association.
Lorretta Krautscheid, M.S., R.N., received the Novice
Faculty Excellence in Didactic Teaching Award from the
American Association of Colleges of Nursing for 2011.
Th e award honors excellence and innovation in teaching
by novice faculty. Krautscheid earned a M.S. degree in
innovative leadership and management in nursing from
OHSU in 2003 and has taught undergraduate and graduate
courses at the University of Portland since 2010.
John Mallos, M.S., R.N., has been promoted to the rank of
commander in the U.S. Public Health Service Commissioned
Corps, a part of the Health Resources and Services
Administration in the U.S. Department of Health & Human
Services. He is stationed in Rockville, Md., and earned his
B.S. degree from OHSU in 1998.
Kathlynn Northrup-Snyder, Ph.D., R.N., has been
appointed to an American Nurses Association task force that
is revising the document, “Public Health Nursing: Scope and
Standards for Practice.” She was nominated by the leadership
of the Public Health Nursing Section of the American Public
Health Association.
Connie Kim Yen Nguyen-Truong, Ph.D., R.N., P.C.C.N.,
received the Carol A. Lindeman Award for a New Researcher
from the Western Institute of Nursing. She presented her
work on the psychometrics of Pap smear testing in Vietnam-
ese women at the institute’s 44th Annual Communicating
Nursing Research Conference. Nguyen-Truong completed
her Ph.D. in 2011 and is currently a post-doctoral fellow
with a focus in research for Individual and Family Symptom
Management.
Abby Laughlin, M.S., R.N., and Vivian Gedaly-Duff ,
D.N.Sc., R.N., received Red Rose Awards in February 2011.
Th e ROSE (Recognizing Outstanding Service Excellence)
award is given by the university to honor employees for
outstanding service. Laughlin is an assistant professor and
Gedaly-Duff an associate professor in the nursing school.
Th e Oregon Center for Nursing has given $1,000 to each of
the following recipients to produce educational modules that
address cultural competence and diversity: Joanne Noone,
Ph.D., R.N., C.N.E., “Caring for the People of Oregon:
Developing Cultural Diff erences;” Jesika Gavilanes, M.A.,
and Glenise McKenzie, Ph.D., M.N., R.N., “Integration of
Cultural Competence into Simulation/Developing Cultural
Learning Activities within an Undergraduate Nursing
Curriculum;” and Isabelle Soule, Ph.D., R.N., “Cultural
Competence Training for Nursing Faculty.”
Special Recognition
Continued from page 33
34 | Nursing Momentum
Active Publications and Grants 2011
Baggs, Judith
Baggs J.G. (2011). Safe patients, smart hospitals: how
one doctor’s checklist can help us change health care from
the inside out. (book review) Journal of Interprofessional
Care, 25, 457-458.
Baggs J.G. (2011). Th e dissertation manuscript option,
internet posting, and publication. (editorial) Research in
Nursing & Health, 34, 89-90.
Principal Investigator: End-of-life decision making
in ICUs: roles and relationships of key players; National
Institute of Nursing Research R15-AREA; March 25, 2010-
Feb. 28, 2013.
Bennett, Jill
Winters-Stone K.M., Dobek, J., Bennett J.A., Leo M.,
Nail L., Schwartz A. (in press). Th e eff ect of resistance
training on muscle strength and physical function in older,
postmenopausal breast cancer survivors: a randomized
controlled trial. Journal of Cancer Survivorship.
Winters-Stone K.M., Dobek J, Nail L., Bennett J.A., Leo
M.C., Naik A., Schwartz A. (2011). Strength training stops
bone loss and builds muscle in postmenopausal breast cancer
survivors: a randomized, controlled trial, Breast Cancer
Research and Treatment, 127(2), 447-456. DOI 10.1007/
s10549-011-1444. (published erratum 127(2), p 1. DOI
10.1007/s10549-011-1507).
Bennett J.A., Winters-Stone K. (2011). Motivating older
adults to exercise: What Works? (Invited editorial) Age and
Ageing, 40(2),148-149.
Bennett, Robert
Spaeth M., Bennett R.M., Benson B., Wang Y.G., Lai C.,
and Choy E. (in press). Sodium oxybate therapy provides
multidimensional improvement: results from an internation-
al Phase 3 trial. Annals of the Rheummatic Diseases.
Jones K.D., Sherman C., Mist S., Carson J., Bennett
R.M., Fuzhong L. A. (in press). Randomized controlled
trial of 8-form Tai Chi improves symptoms and functional
mobility in fi bromyalgia patients. Clinical Rheumatology.
Bennett R.M., Russell I.J., Choy E., Spaeth M., Mease
Daniel Kajdasz, Walker D., Wang F., Chappell A. R.M. (in
press). Evaluation of Patient-rated stiff ness associated with
On August 3, 2011, Deanne
Rowley McAdams, graduate
of the Master of Public
Health program and former
employee of the School of
Nursing passed away at the
age of 37. A dedicated and
engaging colleague, Deanne
joined the OHSU School
of Nursing in September
of 2006 and supported
the Nurse Anesthesia, Psychiatric Mental Health and
Midwifery programs. Her colleagues knew Deanne to
be hardworking, good spirited and fun to be around.
She entered the MPH program in 2009 and was a stellar
student who graduated with honors in June of 2011.
Long-time friends and colleagues will miss her deeply.
She will not be forgotten and will live on in the memories
of all who knew her. Deanne leaves behind her husband
Jim McAdams and son Lennon McAdams.
In Remembrance
Ann Reiner, M.N., R.N., O.C.N., received the “Promise
of One” award from the national Susan G. Komen
Foundation for her extraordinary eff orts as a volunteer.
Since 1996, she’s organized fi rst aid teams for the Race for
the Cure and has served on many committees, task forces
and public education eff orts with the local affi liate.
Edited By Lee Lewis Husk
Deanne Rowley McAdams
Nursing Momentum | 35
Edited by Christi Richardson
36 | Nursing Momentum
fi bromyalgia: a pooled analysis from 4 randomized clinical
trials of duloxetine. Clinical Th erapeutics.
Bennett R.M. (2011). Fibromyalgia, chronic fatigue
syndrome and myofascial pain. In Goldman and Ausiello
(Eds.), Cecil Textbook of Medicine, 24th Edition, Chapter 282
pp 1743-1747. W. B. Saunders Co.,Philadelphia, Penn.
Bennett R.M. (2011). Scleroderma, Infl ammatory
myopathies and overlap syndromes. In Gary S. Firestein,
Ralph Budd, Iain McIness, Shaun Ruddy, John S. Sergent
(Eds), Textbook of Rheumatology, 9th Edition. W. B. Saunders
Co., Philadelphia, Penn.
Friend R. and Bennett R.M. (2011). Distinguishing
fi bromyalgia from rheumatoid arthritis and systemic
lupus in clinical questionnaires: an analysis of the revised
Fibromyalgia Impact Questionnaire (FIQR) and its variant,
the Symptom Impact Questionnaire (SIQR), along with pain
locations. Arthritis Research & Th erapy, 13:R58.
Bennett R.M. and Goldenberg D.L.(2011). Fibromyalgia,
myofascial pain, tender points and trigger points: splitting or
lumping? Arthritis Research & Th erapy, 13,117.
Jones K.D., Bennett R.M., Ward R.L., Deodhar A.A.
(2011). Description of a half-day interprofessional fi bromyal-
gia clinic, with an evaluation of patient satisfaction. Ameri-
can Journal Physical Medicine & Rehabilitation, 10, 825-33.
Kindler L.L., Bennett R.M., Jones K.D.(2011). Central
sensitivity syndromes: mounting pathophysiologic evidence
to link fi bromyalgia with other common chronic pain
disorders. Pain Management Nursing Mar;12(1):15-24.
Jones K.D., King L.A., Mist S.D., Bennett R.M., Horak F.B.
(2011). Postural control defi cits in people with fi bromyalgia:
a pilot study. Arthritis Research & Th erapy, Aug 2;13(4):R127.
Mease P.J., Clauw D.J., Christensen R., Croff ord L.J.,
Gendreau R.M., Bennett R.M.(2011). Toward development
of a fi bromyalgia responder index and disease activity
score: OMERACT module update. Journal of Rheumatology,
38(7):1487-95.
Crawford B.K., Piault E.C., Lai C., Bennett R.M. (2011).
Assessing fi bromyalgia-related fatigue: content validity and
psychometric performance of the Fatigue Visual Analog
Scale in adult patients with fi bromyalgia. Clinical Experience
Rheumatology. (Epub ahead of print).
Principal investigator: A feasibility study to compare the
nociceptive fexion refl ex (NFR) in a cohort of fi bromyalgia
patients and matched healthy controls; Forest Laboratories,
Inc.; Aug. 19, 2010-Dec. 31, 2012.
Principal investigator: A 14-week, randomized, double-
blind, placebo-controlled, multicenter study of (S,S)-Rebox-
etine (PNU-165442G) administered once daily in patients
with fi bromyalgia; Pfi zer, Inc.; Sept. 4, 2008-Sept. 30, 2011.
Principal investigator: Multicenter, long-term, open-
label extension study of [S,S]-Reboxetine (PU-165442G)
administered once daily in patients with fi bromyalgia; Pfi zer,
Inc.; Oct. 3, 2008-Oct. 31, 2011.
Bleich, Michael
Bleich M., Orsolini-Hain L., Gonzalez-Guarda R. (2011).
Th e leadership fusion factor: academic/service partnerships
in action. Nurse Leader, pg. 3-7.
Bleich M. (2011). Institute of Medicine Report, Th e fu-
ture of nursing: leading change, advancing health: milestones
and challenges in expanding nursing science. (guest edito-
rial). Research in Nursing & Health, 34(3), 169-170.
Bleich M. (2011). Th e Institute of Medicine
Report,Education’s role in serving the public’s interest. (guest
editorial). Journal of Nursing Education, 50(6), 303-304.
Bleich M. (2011). Providing nursing care in a complex
health environment. In Davidson A., Ray,M., Turkel M.
(Eds.), Nursing, Caring, and Complexity Science: For Human-
Environment Well-Being, 253-266. New York:Springer Publishing.
Bleich M. (2011). Measuring the value of projects within
organizations. In Harris J., Roussel L., Walters S., Dearman
C. (Eds.), Project Planning and Management: A Guide for
CNLs, DNPs, and Nurse Executives, 147-160. Sudbury, MA:
Jones & Barlett Learning.
Bleich M. (2011). Leading, managing and following. In
P. Yoder-Wise (Ed.), Leading and managing in nursing, 5th
Edition, 3-24. St. Louis: Mosby Inc., an affi liate of Elsevier Inc.
Cartwright, Juliana
Cartwright J., Hickman S., Nelson C., Knafl K.,
Bankowski S. (2011). Ethical concerns in end-of-life research:
perspectives and experiences of researchers. Western Institute
of Nursing: Communicating Nursing Research Conference
Proceedings, 44(5): 211.
White D., Cartwright J., & Lottes J. (2011). Long-term
care nurse role models in clinical nursing education: the
ECLEPs experience. Journal of Gerontological Nursing, 37(9).
Principal investigator: Rural replication of an academic
clinical partnership to enrich nursing student learning in
long-term care settings; DHHS, HRSA, Comprehensive
Geriatric Education Program; July 1, 2009-June 30, 2012.
Principal investigator: RNBS ECLEPS Expansion-15580;
Northwest Health Foundation; Nov. 1, 2010-March 3, 2012.
Cook, Kathy
Principal investigator: Nurse Anesthetist Traineeship
Program; HRSA, Bureau of Health Professions; July 1, 2011-
June 30, 2012.
Daniels, Richard
Daniels R., Nicoll L. (2012). Contemporary Medical-Sur-
gical Nursing, 2nd ed. New York: Cengage Delmar Learning.
Docherty, Angie
Docherty A., Bugge C., Watterson A. (2011).
Engagement: an indicator of diff erence in the perceptions
of antenatal care for pregnant women from diverse
socioeconomic backgrounds. Health Expectations. doi:
10.1111/j.1369-7625.2011.00684.x.
Eckstrom, Elizabeth
Principal investigator: Oregon Geriatric Education Cen-
ter; HRSA, Bureau of Health Professions – Div. of Diversity
& Interdisciplinary Education; July 1, 2010-June 30, 2015.
Eldredge, Deborah
Principal investigator: Productive Ward – Staff
Champions; CareOregon; July 1, 2010-Dec. 31, 2011.
Emeis, Cathy
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Obstetric, Gynecologic & Neonatal
Nursing, 40(6), 765-772.
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Midwifery & Women’s Health, 56(6), 639-
645.
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Obstetric, Gynecologic & Neonatal
Nursing, 40(5), 595-600.
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Midwifery & Women’s Health, 56(5), 507-
511.
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Obstetric, Gynecologic & Neonatal
Nursing, 40(4), 464-467.
Emeis C. (2011). Current resources for evidence-based
practice. Journal of Midwifery & Women’s Health, 56(4), 400-
403.
Donabel M., Emeis C., Fu R., Guise J., & Schelonka
R.(2011). Fetal and neonatal morbidity and mortality
following delivery aft er previous cesarean. Clinics in
Perinatology, 38 (2) 311-319.
Emeis, C. (2011). Current resources for evidence-
based practice. Journal of Obstetric, Gynecologic & Neonatal
Nursing, 40(3), 329-334.
Emeis, C. (2011). Current resources for evidence-based
practice. Journal of Midwifery & Women’s Health, 56 (3),
308-312.
Principal investigator: Breastfeeding outcomes of
women with a history of prior cesarean delivery; OHSU,
School of Nursing; Aug. 9, 2010-June 30, 2011.
Ewing, Danita
Ewing D. (2011). Information technology and pharma-
cology. In Wynne A., and Woo T. (Eds.) Pharmacotheraputics
for Nurse Practitioner Prescribers (3rd ed.). FA Davis:
Philadelphia.
Felver, Linda
Felver L. (in press). Acid-base balance. In Giddens
J.(Ed.), Concept-Based Nursing. Philadelphia: Mosby Elsevier.
Felver L. (in press). Fluid and electrolyte balance. In
Giddens J. (Ed.), Concept-Based Nursing. Philadelphia:
Mosby Elsevier.
Felver L. (in press). Fluid, electrolyte, and acid-base
balance. In Potter P, & Perry A. (Eds.), Fundamentals of
Nursing (8th Ed.). Philadelphia: Mosby Elsevier.
Felver L. (in press). Online art galleries and clinical
stories. In Faculty Colloquium on Excellence in Teaching
(Eds.), Quick hits: teaching with technology. Indianapolis:
Indiana University Press.
Findholt, Nancy
Findholt N., Michael Y., Jerofk e L., Brogoitti V. (2011).
Environmental infl uences on children’s physical activity and
eating habits in a rural Oregon county. American Journal of
Health Promotion, 26(2), e74-e84.
Findholt N., Michael Y., Davis M. (2011). Photovoice
engages rural youth in childhood obesity prevention. Public
Health Nursing, 28 (2), 186-192.
Principal investigator: Strengthening community
capacity for childhood obesity prevention in Union County,
Oregon; Northwest Health Foundation; Aug. 1, 2009-April
30, 2012.
Gavilanes, Jesika
Principal investigator: Cultural Competence Network–
Curriculum Creation; Oregon Center for Nursing’s
Nurturing Cultural Competence in Nursing Program; Nov. 7,
2011-Nov. 31, 2013.
Gedaly-Duff , Vivian
Principal investigator: Chemotherapy, pain, sleep,
fatigue in children and parents; National Institute of Nursing
Research R01; July 22, 2005-May 31, 2011.
Gerlt, Teral
Gerlt T. (2011). Contraception. In Woo T.M. and Wayne
A.L. (Eds.), Pharmacotherapeutics for Nurse Practitioner
Prescribers (3rd Ed), 891-904. Philadelphia: F.A. Davis.
Goodell, Teresa
Denfeld Q. E., Goodell T. T., Staff ord K. N., Kazmierczak
S. (in press). Precision and accuracy: comparison of point-of
care and laboratory glucose concentrations in cardiothoracic
surgery patients. Journal of Cardiovascular Nursing.
Principal investigator: Skin oxygenation and perfusion
in critically ill elders; John A. Hartford Fund; Sept. 1, 2010-
Aug. 31, 2012.
Principal investigator: Sacral skin oxygenation during
turning in critically ill elders: potential for pressure ulcer
prediction, Collins Medical Trust, Nov. 1, 2009-Aug. 1, 2011.
Nursing Momentum | 37
38 | Nursing Momentum
Gubrud-Howe, Paula
Principal investigator: CCWD support of sustained
OCNE administration and enhanced statewide faculty, and
curriculum development; community colleges and workforce
development; Oct. 1, 201-June 30, 2012.
Principal investigator: OCNE enhanced faculty and
curriculum development; community colleges and workforce
development; April 22, 2010-June 30, 2011.
Hansen, Lissi
Hansen L., Mularski R., Leo M. (2011). Nursing’s specifi c
contributions to quality palliative care within the context
of interdisciplinary intensive care practice. Robert Wood
Johnson, Interdisciplinary Nursing Quality Research Initiative
(INQRI) Annual Meeting, Princeton, NJ.
Hansen L. (2011). Palliative care: thinking beyond
the advance directive. 28th Annual Oregon Rural Health
Conference, Bend, Ore.
Hanse L. (2011). Living with hepatocellular carcinoma:
the patient and family perspective. 5th Annual Kathleen
M. Foley Palliative Care Retreat and Research Symposium.
Quebec, Canada.
Grover V, Mularsk R. A., Leo M., Hansen L. (2011).
Shared decision making in the intensive care unit. Adult
Critical Care – End-of-Life Care at the American College of
Chest Physicians (ACCP-CHEST) meetings in Hawaii.
Benzar E., Hansen L., Kneitel A., Fromme E. (2011).
Discharge planning for palliative care patients: a qualitative
analysis. Journal of Palliative Medicine, 14(1), 65-69.
Principal investigator: symptoms and quality of life
in patients with advanced liver cancer; American Cancer
Society; July 1, 2010-June 30, 2012.
Principal investigator: Measuring nursing’s contributions
to quality palliative care in intensive care units; Robert Wood
Johnson Foundation; Sept. 1, 2009-Aug. 31, 2011.
Harvath, Th eresa
Smith K.A., Goy E., Harvath T.A. & Ganzini L. (2011).
Quality of death and dying in patients who request physician
assisted death. Journal of Palliative Medicine, 14(4), 445-450.
Principal investigator: Northwest Health Foundation
Scholar at Hartford Center for Geriatric Nursing Excellence;
Northwest Health Foundation; Oct. 1, 2010-Sept. 30, 2012.
Principal investigator: Hartford Center for Geriatric
Nursing Excellence; John A. Hartford Foundation; Jan. 1,
2011-Dec. 31, 2012.
Hassouneh, Dena
Principal investigator: Promoting adoption and
implementation of the healing pathways program to reduce
depressive symptoms in WPD; Oct. 1, 2011-Sept. 30, 2014.
Principal investigator: Josiah Macy Foundation Faculty
Scholar Program; Josiah Macy Jr. Foundation; Sept. 1, 2011-
Aug. 31, 2013.
Principal investigator: INSIGHT-WPD: Development
of a cognitive behavioral therapy intervention for women
with physical activity limitations who experience depression;
National Institute on Disability and Rehabilitation Research
– DOE; Oct. 1, 2007-Sept. 30, 2012.
Principal investigator: Women, physical disability,
and depression: Communities Responding Now!; National
Institutes of Mental Health R01; May 1, 2008-Jan. 31, 2012.
Hickman, Susan
End-of-life research ethics: concerns, approaches, and
impact; National Institutes of Health; Sept. 26, 2008-July 31,
2011.
Houck, Gail
Banta-Wright S., Shelto K.C., Lowe N.D., Knafl K.A., &
Houck G.M. (in press). Breastfeeding success among infants
with phenylketonuria. Journal of Pediatric Nursing.
Larsson L., Butterfi eld P.G., Hill W.G., Houck G.,
Messecar D.C., & Cudney S. (in press). Radon testing for
low-income Montana families. American Association of
Radon Scientists and Technologists International Radon
Symposium Proceedings.
Houck G.M., Kendall J., Miller A., Morrell P., Wiebe
G. (2011). Self-concept in children and adolescents with
ADHD. Journal of Pediatric Nursing, 26, 239-247.
Principal investigator: Nurse Faculty Loan Program;
HRSA, Bureau of Health Professions-Division of Nursing;
July 1, 2011-June 30, 2012.
Principal investigator: GAANN Fellowship Program
for Doctoral Students in Nursing; Department of Education;
Aug. 15, 2007-Aug. 14, 2012.
Howe, Carol
Principal investigator: Midwifery: effi cacy/data/dispar-
ity/education/expansion; HRSA, Bureau of Health Profes-
sions Division of Nursing; July 1, 2008-July 30, 2012.
Jones, Kim
Firestone K.A., Holton K.F., Mist S.D., Wright
C.S.Jones KD (in press, invited). Optimizing fi bromyalgia
management. Th e Nurse Practitioner.
Jones K.D., Kindler L.L., Lipton G. (in press, invited).
Self-management strategies in fi bromyalgia. Journal of
Clinical Rheumatology & Musculoskeletal Medicine.
Jones K.D., Sherman C.A., Mist S.D., Carson J.W.,
Bennett R.M., Li F (in press). A Randomized controlled trial
of 8-form Tai Chi in fi bromyalgia. Clinical Rheumatology.
Carson J.W., Carson K.M., Jones K.D., Bennett R.M.,
Wright C.L., Mist S.M. (in press). Th ree-month follow-up of
Yoga of awareness for fi bromyalgia. Clinical Journal of Pain.
Jones K.D. & Aultz M. (in press, invited, book chapter).
Fibromyalgia. In J Rippe, (Ed.), Encyclopedia of Lifestyle
Medicine and Health. SAGE Publications.
Mist S.M., Wright C.L., Carson J.W., Jones K.D.(2011).
Traditional Chinese medicine diagnoses in a population of
women with fi bromyalgia. Acupuncture in Medicine, Oct 25,
doi:10.1136/acupmed-2011-010052.
Jones K.D., King L., Mist S.D., Bennett R.M. Horak F
(2011). Postural control defi cits in people with fi bromyalgia.
Arthritis Research & Th erapy. 2;13(4):R127. PMID: 21810264.
Shillam C.R., Jones K.D., Miller L. (2011). Fibromyalgia
symptoms, physical function and comorbidity in middle
aged and older adults. Nursing Research, 60(5):309-17.
PMID:21873914.
Kindler L.L., Bennett R.M., Jones K.D. (2011).
Central sensitivity syndromes: mounting pathophysiologic
evidence to link fi bromyalgia with other common chronic
pain disorders. Pain Management Nursing, 12(1):15-24.
PMID:21349445.
Jones K.D., Bennett R.M., Ward R., Deodhar
A.A.,(2011). Description of a half-day interprofessional
fi bromyalgia clinic with an evaluation of patient satisfaction.
American Journal of Rehabilitative Medicine, 90(10):825-33.
PMID:21681062.
Jones K.D. (2011). Nordic walking in fi bromyalgia: a
means of promoting fi tness that is easy for busy clinicians
to recommend. Arthritis Research & Th erapy, 13:N. Invited
editorial. PMID: 21345243.
Principal investigator: peripheral blood genomic
biomakers for fi bromyalgia; HRSA R-21; July 5, 2011-June
30, 2013.
Lasater, Kathie
Adamson K. A., Gubrud-Howe P., Sideras S., Lasater K.
(in press). Assessing the inter-rater reliability of the Lasater
Clinical Judgment Rubric: three strategies. Journal of Nursing
Education.
Lasater K., Upval M., Nielsen A., Prak M., Ptachcinski
R. (in press). Global partnerships for professional
development:A Cambodian exemplar. Journal of Professional
Nursing.
Lasater K., Johnson E., Hodson Carlton K., Siktberg
L., Sideras S. (in press). A digital toolkit to implement and
manage a multisite study. Journal of Nursing Education.
Nielsen A., Lasater K. (in press). Clinical judgment
(concept 26). In Giddens J. (Ed.) Concept-based nursing. New
York: Elsevier.
Lasater K. (2011). Clinical judgment: Th e last frontier
for evaluation. Nurse Education in Practice, 11(2), 86-92.
doi:10.1016/j.nepr.2010.11.013.
Laustsen, Gary
Principal investigator: Rural health track for DNPs:
meeting the health needs of Oregonians; HRSA, Bureau of
Health Professions – Division of Nursing; July 1, 2009-June
30, 2012.
Principal investigator: Survey of Oregon nurse
practitioner clinical skills and procedures; School of Nursing
– Betty Gray Fund; April 1, 2010-March 31, 2011.
Lee, Christopher
Buck H.G., Lee C.S., Moser D.K., Albert N., Lennie
T., Bentley B., Worrall-Carter L., Riegel B. (in press). Th e
relationship between self-care and health related quality of
life in older adults with moderate to advanced heart failure.
Journal of Cardiovascular Nursing. PMID: 21558868.
Dickson V.V., Lee C.S., Riegel B. (in press). How do
cognition and knowledge aff ect heart failure self- care?
Journal of Mixed Methods Research, 5(2), 167-189.
Abraham I., MacDonald K., Hermans C., Aert, A., Lee
C.S., Brie H., Vancayzeele S. (2011). Real-world eff ectiveness
of valsartan on hypertension and total cardiovascular
risk: Review and implications for blood pressure and
cardiovascular risk management of a translational research
program. Vascular Health and Risk Management, 7: 209-235.
PMCID: PMC3072745.
Abraham I., Macdonald K., Song M., Ciesielski
G.,Pacheco C., Lee C.S., et al. (2011). Patient- and physician
level determinants of blood pressure response to treatment
in normal weight and overweight patients (the PREVIEW
study). Nutrition, Metabolism, and Cardiovascular Disease.
(Epub ahead of print) PMID: 21930367.
Gascon P., Aapro,M., Ludwig H., Rosencher N.,Turner
M., Song M., MacDonald K., Lee C.S., et al. (2011).
Background and methodology of MONITOR-GCSF,
a pharmaco-epidemiological study of the multi-level
determinants, predictors, and clinical outcomes of febrile
neutropenia prophylaxis with biosimilar granulocyte-colony
stimulating factor fi lgrastim. Critical Reviews in Oncology
and Hematology, 77(3); 184-197. PMID: 20189821.
Gesualdo L., London G., Turner M., Lee,C.S., MacDon-
ald K., Goldsmith D., et al. (2011). Pharmacoepidemiological
study of the multi-level determinants, predictors, and clinical
outcomes of biosimilar epoetin alfa for renal anaemia in
haemodialysis patients: background and methodology of the
MONITOR-CKD5 study. Intern Emerg Med. (Epub ahead of
print). PMID: 21590439.
Lee C.S., Moser D.K., Lennie T. A., Riegel, B. (2011).
Event-free survival in adults with heart failure who engage in
self-care management. Heart & Lung, 40(1), 12-20. PMCID:
PMC2943989.
Lee C.S., Moser D. K., Lennie T. A., Tkacs N. C.,
Margulies K. B., Riegel, B. (2011). Biomarkers of myocardial
stress and systemic infl ammation in patients who engage in
heart failure self-care management. Journal of Cardiovascular
Nursing. (PMC Journal – in progress] doi: 10.1097/
jcn.0b013e31820344be.
Nursing Momentum | 39
40 | Nursing Momentum
Lins R., Brie H., Hermans C., MacDonald K., Shen Y.,
Lee C.S., et al. (2011). Eff ectiveness of amlodipinevalsartan
single-pill combinations: hierarchical modeling of blood
pressure and total cardiovascular risk outcomes (the
EXCELLENT Study). Annals of Pharmacotherapy, 45(6); 727-
739. PMID: 21666094.
Lins R., Brie H., Coen N., MacDonald K., Hermans
C.,Shen Y., Lee C.S., et al. (2011). Modeling of blood pres-
sure and total cardiovascular risk outcomes aft er second-line
valsartan therapy: the BSCORE study. Archives of Cardiovas-
cular Diseases, 104(8-9): 428-434. PMID: 21944144.
Rathman L., Lee C.S., Sarkar S., Small R.S. (2011).Th e
critical link between heart failure self-care and intra-thoracic
impedance. Journal of Cardiovascular Nursing, 26(4); E20-26.
PMID: 21076309.
Riegel B., Lee C.S., Chung M., Albert N., Lennie
T.A.,Song E.K., Bentley B., Worral-Carter L., Heo S., Moser
D.K. (2011). From novice to expert: confi dence and activity
status determine heart failure self-care performance. Nursing
Research, 60(2): 132-8. PMID: 21317825.
Riegel, B., Lee C.S., Dickson V.V. (2011). Self-care in
patients with chronic heart failure: predictors, outcomes
public-health and policy implications (Invited Review).
Nature Reviews Cardiology. (Epub ahead of print) PMID:
21769111.
Verpooten G.A., Aerts A., Coen N., Vancayzeele S.,
Hermans C., Bowles J., MacDonald K., Abraham I., Lee
C.S. (2011). Antihypertensive eff ectiveness of aliskiren for
the “real-world” management of hypertension: multilevel
modeling of 180-day blood pressure outcomes (the Belgian
DRIVER Study). International Journal of Clinical Practice,
65(1), 54-63. PMID: 21155943.
Principal investigator: gender diff erences in multidimen-
sional symptoms experienced by adults with heart failure;
OHSU Center for Women’s Health K-12; July 1, 2010-June
30, 2012.
Lee-Lin, Frances
Lee-Lin F., Menon U., Nail L., Lutz K. (in press). What
do Chinese American immigrant women think about breast
cancer and breast cancer screening? Findings from focus
groups.
Principal investigator: Targeted Breast Health Educa-
tional Program for Chinese Americans; American Cancer
Society; Jan. 1, 2009-Dec. 31, 2013.
Lutz, Kristin
Lee-Lin F., Menon U., Nail L., Lutz K.F. (in press).
What do Chinese American immigrant women think about
breast cancer and breast cancer screening? Findings from
focus groups. JOGNN: Journal of Obstetric, Gynecologic, and
Neonatal Nursing.
Lutz K.F., Burnson C., Hane A., Samuelson A.,
Poehlmann J. (in press). Parenting stress, social support,
and mother-child interactions in families of multiple and
singleton toddlers born preterm. Family Relations.
Peace J., Valdez R.S., Lutz K.F. (in press). Data-based
considerations for electronic health history applications.
CIN: Computers, Informatics, Nursing.
Lyons, Karen
Winters-Stone, K.M., Lyons, K.S., Nail, L.M., & Beer,
T.M. (in press). Th e Exercising Together Project: design and
recruitment for a randomized, controlled trial to determine
the benefi ts of partnered strength training for couples coping
with prostate cancer. Contemporary Clinical Trials.
Carter J.H., Lyons K.S., Lindauer A., Malcom J. (in
review). Th e experience of pre-death grief in Parkinson’s
caregivers: a pilot study. Parkinson’s Disease and Related
Disorders: Supplement in Palliative Care.
Winters-Stone K.M., Lyons K.S., Nail L.M., Beer T.
(2011). Th e Exercising Together Project: design and baseline
data from a randomized, controlled trial to determine
the benefi ts of partnered strength training for couples
coping with prostate cancer. Contemporary Clinical Trials.
DOI:10.1016/j.cct.2011.10.015. NIHMSID # 337743.
McCarthy M.J., Powers L.E., Lyons K.S. (2011).
Poststroke depression: social workers’ role in addressing an
under-recognized psychological problem for couples who
have experienced stroke. Health & Social Work, 36, 139-148.
Principal investigator: Th e family living with lung
cancer: perceptions and Outcomes; American Cancer
Society; July 1, 2007-June 30, 2012.
Principal investigator: Couple perceptions of fi bromyal-
gia symptoms; National Institute of Arthritis and Musculo-
skeletal and Skin Disease R21; July, 2008-June 30, 2011.
McKenzie, Glenise
Harvath T.A. & McKenzie G. (in press). Depression
in older adults. In Mezey M.D., Fulmer T., Abraham I. and
Zwicker D. (Eds.) Evidence-Based Geriatric Nursing Protocols
(4th ed.).
Noone J., Bromley T., McKenzie G., Naumes S., Sideras
S., Voss H. (in press). Implementing cultural learning
activities through community and academic partnerships.
Nursing Education Perspectives.
Sideras S., McKenzie G., Noone. J., Markle D., Frazier
M., Sullivan M. (in press). Making simulation come alive:
standardized patient in undergraduate education. Nursing
Education Perspectives.
Teri L., McKenzie G., Logsdon R., McCurry S.,
Bollin S., Mead J., Menne H. (in press). Translation of two
evidence-based programs for improving care of persons with
dementia. Th e Gerontologist.
McKenzie G., Teri L., Salazar M.K., Farran C.J., Beck C.,
Paun O. (2011). Relationship between system-level charac-
teristics of assisted-living facilities and the health and safety
of unlicensed staff . American Association of Occupational
Health Nurses Journal. 59 (4), 173-180.
McKenzie G., Teri L. (2011). Psychosocial therapies
with older adults. In Coff ey C.E. and Cummings J.L. (Eds.),
Textbook of Geriatric Neuropsychiatry (3rd ed.). Arlington,
VA: Th e American Psychiatric Publishing.
McKenzie G., Teri L., Salazar M.K., Farran C.J., Beck C.,
Paun O. (2011). Relationship between system-level charac-
teristics of assisted-living facilities and the health and safety
of unlicensed staff , American Association of Occupational
Health Nurses Journal, 59(4), 173-180.
McKenzie G., Teri L. (2011). Psychosocial therapies
with older adults. In Coff ey C. E and Cummings J. L. (Eds.),
Textbook of Geriatric Neuropsychiatry (3rd ed.). Arlington,
VA: Th e American Psychiatric Publishing.
Principal investigator: Translating dementia interven-
tions in assisted living: a qualitative study of readiness; John
Hartford Fund; July 1, 2009-June 30, 2012.
McNeil, Paula
Principal investigator: NEXus – Th e Nursing Education
Xchange: Collaborative eff orts to resolve the nursing faculty
shortage; HRSA, Bureau of Health Professions – Division of
Nursing; July 1, 2008-June 30, 2012.
Messecar, Deborah
Messecar D. C. Family caregiver interventions. In Kluger
M. (in press). Geriatric Nursing Protocols for Best Practice, 4th
Edition. New York: Springer.
Messecar D.C., and Tanner, C.A. Evidence-based
practice (in press). In: Joel L.A. Advanced Practice Nursing:
Essentials for Role Development (3rd ed.). Philadelphia:
F.A.Davis.
Messecar D.C., (2011). New communication technolo-
gies: capacities and advantages for providing useful home
modifi cation information for caregivers. 2011 National As-
sociation of Clinical Nurse Specialists National Conference
Abstracts, Baltimore, Md., March 10 to 12.Clinical Nurse
Specialist: Th e Journal for Advanced Nursing Practice, 2011
Mar-Apr; 25 (2): 89-90 (journal article – abstract, research).
Messecar D. C. (2011). Finding their way back in: family
reintegration following guard deployment. Communicating
Nursing Research, 2011 Spring; 44: 551.
Messecar D. C., Parker-Walsch C., Lindauer A. (2011).
Family caregiving. In Hirth V. Geriatrics: a case-based
approach. Burr Ridge, IL: McGraw-Hill.
Mist, Scott
Carson J.W., Carson K.M., Jones K.D., Mist S.D.,
Bennett R.M. (in press). Follow-up of Yoga of Awareness for
fi bromyalgia: results at three months and replication in the
wait-list group. Clinical Journal of Pain.
Firestone K., Wright C., Mist S.D., Holton K., Jones K.D.
(in press, invited) Optimizing fi bromyalgia management. Th e
Nurse Practitioner.
Yohalem-Ilsley B., Mist S., Aickin M. (2011) Random-
ized controlled trials of acupuncture, 1997-2007: an assess-
ment of reporting quality with a CONSORT and STRICTA
based instrument.,” Evidence Based Complementary Alterna-
tive Medicine. pii:183910. Epub 2010 Oct 3.
Mist S.D., Aickin M., Kalnins P., Cleaver J., Batchelor
R., Th orne T., Chamberlin S., Tippens K., Colbert A.P.
(2011). Reliability of AcuGraph system for measuring skin
conductance at acupoints. Acupuncture in Medicine, doi:
10.1136/aim.2010.003012.
Jones K.D, King L.A., Mist S.D., Bennett R.M.,
Horak F.B. (2011). Postural control defi cits in people
with fi bromyalgia: a pilot study. Arthritis Research &
Th erapy,13:R127 doi:10.1186/ar3432.
Mist S.D., Wright C, Jones K.D, Carson J.W., (2011).
Traditional Chinese Medicine diagnoses in a sample of
women with fi bromyalgia. Acupuncture in Medicine. Dec;
29(4):266-9. Epub 2011 Oct 25.
Principal investigator: Traditional Chinese Medicine
for fi bromyalgia: a whole system trial; National Center for
Complementary & Alternative Medicine, NIH K23; April 1,
2011-March 31, 2016
Nagel, Corey
Nagel C. L., Michael Y. L. (in press). Environmental
determinants of physical activity. In. Avecedo E. O. (Ed.), Th e
Oxford handbook of exercise psychology. New York: Oxford
University Press.
Nail, Lillian
Winters-Stone K.M., Lyons K.S., Nail L.M., Beer T,M.
(in press). Th e Exercising Together Project: design and
recruitment for a randomized, controlled trial to determine
the benefi ts of partnered strength training for couples coping
with prostate cancer. Contemporary Clinical Trials.
Winters-Stone K.M., Dobek J., Nail L., Bennett J.A., Leo
M.C., Nail A., Schwartz A. (2011). Strength training stops
bone loss and builds muscle in postmenopausal breast cancer
survivors: a randomized, controlled trial. Breast Cancer
Research and Treatment, 27(2); 447, (published erratum
127(2); 457).
Principal investigator: Research training in individual
and family active symptom management; National Institute
of Nursing T32; July 1, 2007-June 30, 2012.
Nursing Momentum | 41
42 | Nursing Momentum
Nielsen, Ann
Lasater K., Upvall M., Nielsen A., Prak M., Ptachcinski
R. (in press). Global partnerships for professional develop-
ment: A Cambodian exemplar. Journal of Professional Nursing.
Nielsen A., Lasater K. (in press). Concept 26: Clinical
judgment. In Giddens, J. (Ed.) Concept-based nursing. New
York: Elsevier.
Noone, Joanne
Noone J., Bromley T., McKenzie G., Naumes S., Sideras
S., Voss H. (in press). Implementing cultural learning
activities through community and academic partnerships.
Nursing Education Perspectives.
Sideras S., McKenzie G., Noone. J., Markle D., Frazier
M., Sullivan M. (in press). Making simulation come alive:
standardized patient in undergraduate education. Nursing
Education Perspectives.
Principal investigator: Th e Jackson County Latina
Health Coalition: a community-academic partnership to
promote improved Latina reproductive health; Planned
Parenthood of Southern Oregon; Sept. 1, 2011-June 30, 2013.
Principal investigator: Cultural Competence Network –
Curriculum Creation; Oregon Center for Nursing’s Nurturing
Cultural Competence in Nursing Program; Nov. 7, 2011-Feb.
28, 2013.
Principal investigator: Use of interactive theater to
improve rural maternal communication on pregnancy
prevention: a feasibility study; School of Nursing – Betty
Gray Fund; Aug. 1, 2010-Oct. 31, 2011.
Northrup-Snyder, Kathlynn
Northrup-Snyder K., VanSon C., McDaniel C. (2011).
Th inking “beyond the wheelchair to the car”: RN to BS
student understanding of community/public health nursing
role. Journal of Nursing Education, 50, 226-229.
Press, Nancy
Principal investigator: Center for Genomics and Health
Care Equality; National Human Genome Research P50; May
14, 2010-March 31, 2015.
Principal investigator: Interdisciplinary Center on
Epigenetics, Science & Society; National Human Genome
Research Institute P20; May 11, 2010-April 30, 2013.
Principal investigator: Is primary care ready to utilize
the promise of genetics? A vignette study; National Human
Genome Research Institute R01; Aug. 1, 2006-July 31, 2011.
Rosenfeld, Anne
Rosenfeld A.G., Christensen V., Daya M. (in press).
Long enough to act? Symptom and behavior patterns
prior to out of hospital sudden cardiac death. Journal of
Cardiovascular Nursing.
Lee C.S., Kim A.Y., Green J., Rosenfeld A. G. (2011).
Symptom profi les in advanced heart failure with marked
diff erences in health related quality-of-life. 15th Annual
Scientifi c Meeting of the Heart Failure Society of America,
September, 2011, Boston, MA. Journal of Cardiac Failure,
17(8), S76.
Principal investigator: Project ACCESS: Accelerating
Competent Care Education through Stipend Support; HRSA,
Bureau of Health Professions – Division of Nursing; Sept. 30,
2010-September 29, 2015.
Principal investigator: Th e infl uence of gender on
symptom characteristics during acute coronary syndrome;
University of California, Davis R01; Sept. 28, 2010-June 30,
2014.
Ross, Amy
Ross D.A., Yang L., Sagher O., Ross A.M. (2011). Radical
resection of adult low grade oligodendroglioma without
adjuvant therapy: Results of a prospective treatment. Protocol
Journal of Cancer Th erapy, 2;77-84.
Salveson, Catherine
Pfi ster-Minogue K.A., Salveson C. (2010). Training and
experience of public health nurses in using behavior change
counseling. Public Health Nursing, 27(6). 544-551.
Principal investigator: ECLEPS Expansion – 15579;
Northwest Health Foundation; Nov. 1, 2010-Oct. 31, 2012.
Sideras, Stephanie
Sideras S., McKenzie G., Noone. J., Markle D., Frazier
M., Sullivan M. (in press). Making simulation come alive:
standardized patient in undergraduate education. Nursing
Education Perspectives.
Tanner, Christine
Munkvold J., Tanner C., Herinch H. (in press). Factors
aff ecting academic progression of students in the Oregon
Consortium for Nursing Education. Journal of Nursing
Education.
Herinchx H., Munkvold J., Tanner C., Winter E. (in
press) Th e development and use of the OCNE Classroom
Pedagogy Fidelity Scale.
Tanner C.A. (2011). Th e critical state of measurement in
nursing education (editorial). Journal of Nursing Education
50(9): 491-492.
Tanner C.A., Weinman J. (2011). It’s all about leadership
(editorial). Journal of Nursing Education. 50(5):239-41.
Tanner C.A., Bellack J. (2011) Th en and now (editorial).
Journal of Nursing Education, 50(1) 3-4.
Principal investigator: Evaluating the outcomes of
the Oregon Consortium for Nursing Education’s model
to address the nursing shortage in Oregon; Robert Wood
Johnson Foundation; May 15, 2008-Dec. 14, 2011.
Principal investigator: clinical education redesign
statewide evaluation; Department of Education; Oct. 1, 2008-
Sept. 30, 2012.
Weymann, Kris
Principal investigator: Characterization of post-stroke
fatigue; John A. Hartford Foundation; July 1, 2009-Dec. 31,
2011.
Winters-Stone, Kerri
Campbell K.M., Neil S., Winters-Stone K.M. (in press).
Review of exercise studies in breast cancer survivors: at-
tention to principals of training. British Journal of Sports
Medicine. (Epub ahead of print).
Loprinzi P.D., Cardinal B.J., Smit E., Winters-Stone K.M.
(in press). Physical activity and breast cancer risk: A review
of literature. Journal of Exercise Science and Fitness.
Loprinzi P., Cardinal B., Winters-Stone K.M., Smit E.
(in press). Physical activity and the risk of breast cancer
recurrence: A review of literature. Oncology Nursing Forum.
Loprinzi P.D., Cardinal B.J., Winters-Stone K.M. (in
press). Self-effi cacy mediates the relationship between
behavioral processes of change and physical activity in older
breast cancer survivors. Breast Cancer.
Winters-Stone K., Witzke,K. (2011). Osteoporosis and
bone health. In Bushman B. (Ed.), ACSM’s Guide to Fitness
(2nd ed.) (chapter 19). Indianapolis, IN: Human Kinetics.
Winters-Stone K.M., Dobek J., Nail L., Bennett J.A., Leo
M.C., Nail A., Schwartz A. (2011). Strength training stops
bone loss and builds muscle in postmenopausal breast cancer
survivors: a randomized, controlled trial. Breast Cancer
Research and Treatment, 27(2); 447, (published erratum
127(2); 457).
Winters-Stone K., Torgrimson B., Horak F., Eisner A.,
Leo M., Nail L., et al. (2011). Identifying risk factors for
falls in postmenopausal breast cancer survivors: a multi-
disciplinary approach. Archives of Physical Medicine and
Rehabilitation, 92(4):646-52.
Winters-Stone K.M., Lyons K.S., Nail L., Beer T,M.
(in press). Th e Exercising Together Project: design and
recruitment for a randomized, controlled trial to determine
the benefi ts of partnered strength training for couples coping
with prostate cancer. Contemporary Clinical Trials.
Winters-Stone K.M., Schwartz A., Hayes S.C., Fabian
C.J., Campbell K.L. (in press). A prospective model of care
for breast cancer rehabilitation: bone health and arthralgia.
Cancer.
Bennett J.A., Winters-Stone K. Motivating older adults
to exercise: what works? (invited editorial). Age and Ageing,
40(2), 148-149.
Principal investigator: Cancer Development Research
Award; OHSU Knight Cancer Institute – DRA; Cancer
Institute – DRA; Sept. 1, 2011-June 30, 2012.
Principal investigator: Comparison of Aerobic &
Resistance Exercise in Older Breast Cancer Survivors R01;
July 1, 2007-June 30, 2012.
Principal investigator: Exercising Together: An
intervention for prostate cancer survivors and spouses;
National Cancer Institute R21; Aug. 1, 2009-July 31, 2011.
Wood, Lisa
Farley S., Wood L.J., Lordanov M. (2011). An
epidermotypic model of interface dermatitis reveals
individual functions of fasligand and gamma interferon
in hypergranulosis, cytoid body formation, and gene
expression. Am. J Dermatopathol. (Epub ahead of print).
Sauter A.D., Wood L.J., Won, J., Lordanov M., Magun
B.E. (2011). Doxorubicin and daunorubicin induce
processing and release of interleukin-1β through activation
of the NLRP3 infl ammasome. Cancer Biology & Th erapy,
11(12). (Epub ahead of print).
Principal investigator: Mechanisms of cancer treatment
related symptoms; National Institute of Nursing Research
R01; Sept. 28, 2010-June 30, 2015.
Principal investigator: Cytokine response to subclinical
cytomegalovirus reactivation as a cause of severe fatigue
in women undergoing chemotherapy for breast cancer;
Department of Defense; July 1, 2011-July 31, 2013.
Principal investigator: Neuroendocrine and
infl ammatory response to exercise in fi bromyalgia, National
Institutes of Health R21; Sept. 1, 2009-Aug. 31, 2011.
Wright, Cheryl
Mist S.D., Wright C.L., Jones K.D., Carson J.W. (2011).
Traditional Chinese medicine diagnoses in a sample of
women with fi bromyalgia. Acupuncture in Medicine, acupmed-
2011-010052. (Epub ahead of print).
Wright C.L., Aickin M. Improvement of menopausal
symptoms with acupuncture not mediated by changes in
heart rate variability. Acupuncture in Medicine. 1,29:32-39.
doi:10.1136/aim.2010.003053.
Wros, Peggy
Wros P. (2011). Curriculum planning for baccalaureate
nursing programs. In Keating S.B. (Ed.), Curriculum
Development and Evaluation in Nursing (2nd ed.), 209-240.
New York, Springer.
Principal investigator: Advanced Education Nursing
Traineeships; HRSA, Bureau of Health Professions – Division
of Nursing; July 1, 2011-June 30, 2012.
Principal investigator: Advanced Education Nursing
Traineeship Program; HRSA, Bureau of Health Professions –
Division of Nursing; July 1, 2010-June 30, 2011.
Yan, Yi
Principal investigator: Building Academic Geriatric
Nursing Capacity; John A. Hartford Fund; July 2008-June 30,
2011.
Nursing Momentum | 43
Oregon Health & Science University
School of Nursing
3455 S.W. US Veterans Hospital Rd.
Portland, OR 97239
NON-PROFIT ORG.
U . S . P O S TA G E
P A I DPORTLAND, OR
PERMIT NO. 722
Grow your passion for nursingNursing Programs at OHSU
For more information go to www.ohsu.edu/son
Undergraduate programs:
• Bachelor of Science with a major in nursing
(for those without a previous bachelor’s degree)
• Accelerated Bachelor of Science in Nursing (for those
with a previous bachelor’s degree not in nursing)
• Baccalaureate Completion for RNs (an online program)
PhD in Nursing*
• Postbaccalaureate
• Postmaster’s
Master of Public Health
• Graduate Certifi cate in Public
Health
Master of Nursing or Doctor of Nursing Practice:
• Adult Gerontological Clinical Nurse Specialist*
• Family Nurse Practitioner
• Health Systems and Leadership Organization*
• Nursing Education*
• Nurse Anesthesia
• Nurse Midwifery
• Psychiatric Mental Health Nurse Practitioner
• Doctor of Nursing Practice*
Whether you’re just beginning to fi nd your passion in nursing or looking to expand your nursing practice, research
or teaching, the OHSU School of Nursing off ers you the opportunity to take the next step in your education.
*These programs are off ered with distance delivery and hybrid options.