william f. connell school of nursing spring/summer 2009 a sense of community: service-driven clinical placements looking for answers: creating change in haiti from the dean bc Susan Gennaro nursing spring/summer 2009 news 4 dean, faculty on nih study sections This issue of the Voice highlights some of our many clinical partnerships. I am sure you will agree with me that the work our faculty and students are doing in the community is outstanding and that some of our models for community health clinical experiences are truly innovative. C learly, community health doesn’t just occur in this country and so we are glad to also highlight the work of our community health faculty in other countries, such as Clinical Assistant Professor Donna Cullinan’s work in Haiti (p. 26). As you will read, Mrs. Cullinan provides many services while in Haiti, including working with families in Léogâne to help identify mothers who are able to keep their children well nourished, and then having these successful mothers teach others with equally limited resources who are having more difficulty in keeping their children fed. Whether they are working in Boston or around the world, our community health faculty members bring the ability to listen to the community in developing models of care that work. 2 Boston College Nursing Voice Susan Gennaro and Barbara Wolfe asked to serve on NIH study sections; Wolfe named chair of the nursing science section 4 harvard catalyst grant for gregory Katherine Gregory receives grant from Harvard Catalyst to study necrotizing enterocolitis in premature infants 9 new diversity board 18 Nursing leaders make up the newly formed Diversity Advisory Board features 18 a sense of community Clinical placements that build skills and give back to the community 26 looking for answers Working to improve care and create lasting change in Haiti Other collaborations I’d like to bring to your attention include research partnerships such as Assistant Professor Katherine Gregory’s work with the Harvard Catalyst (p. 4). Dr. Gregory’s research is a ground-breaking project that partners Boston College with Brigham and Women’s Hospital and Harvard Medical School in conducting translational research that has the potential to improve the health of our youngest patients—preterm infants in the neonatal intensive care unit. We highlight our clinical and research partnerships in order to recognize the collaborative, interdisciplinary nature of nursing. You will see this focus continue as the Connell School strengthens existing collaborative partnerships and builds new ones, both in Boston’s top-notch healthcare community and around the globe. I am also pleased that so many alumnae/i have sent in updates. Since I came to the Connell School in July, I’ve had the opportunity to connect personally with many of you. I look forward to creating more opportunities to celebrate your successes. I hope that many of you will join us on Alumni Weekend at the Connell School of Nursing where we will celebrate each other, our past and our future. I will look forward to seeing you then. voices 13 faculty publications 32 student voice: kristen padulsky ’08 5 33 26 The new peer-led freshmen seminar program 33 donor profile: debbie hoffman ’79 How one alum knew Boston College was the place for her 34 alumnae/i voice 42 dialogue Jennifer Allen and Danny Willis: Nursing as a service profession dean Susan Gennaro editor Joshua J. Jensen Susan Gennaro, RN, DSN, FAAN Dean and Professor 28 art director and associate editor Kirsten Erwin contributors Jennifer Dacey Allen Kristen Padulsky ’08 Danny G. Willis The Boston College Nursing Voice is published twice a year by the Boston College William F. Connell School of Nursing, Office of Marketing and External Relations. We welcome letters and comments from readers at: photography Kerry Burke Donna Cullinan Kirsten Erwin Lee Pellegrini Stephen Vedder Office of Marketing and External Relations William F. Connell School of Nursing Boston College 140 Commonwealth Avenue Chestnut Hill, MA 02467 or by email: nursing.alums@bc.edu On the cover: Jonathan Babiarz ’09, Afua Serwaah ’09, Clinical Instructor Lynn Finn, and Julie McDermott ’09 take a break from their clinical placement at a health fair run by Cathedral Cares, a parish nursing program led by Finn at the Church of the Holy Cross in Boston’s South End. spring/summer 2009 3 news gennaro and wolfe to serve on nih study sections; wolfe named chair Connell School Dean Susan Gennaro and Associate Dean for Research Barbara Wolfe have both been asked to serve on study sections for the Center for Scientific Review at the National Institutes of Health (NIH). Susan Gennaro was appointed to the Nursing Science: Children and Families Study Section. Barbara Wolfe was named chair of the Nursing Science: Adults and Older Adults Study Section, on which she has served since 2006. Study sections review grant applications submitted to the NIH, make recommendations on these applications to the appropriate NIH national advisory council or board, and survey the status of research in their fields of science. The study sections are concerned with preventing, delaying the onset, and slowing the progression of disease and disability within a certain population. The Children and Families Study Section focuses on preconception to young adulthood, while the Adults and Older Adults Study Section is concerned with mid-life and older adults. Members are selected on the basis of demonstrated expertise in their scientific discipline as evidenced by the quality of research accomplishments, publications in scientific journals, and other significant scientific activities and achievements. Study section membership is a prestigious honor which represents a major commitment of professional time and energy, as well as a unique opportunity to contribute to the national biomedical research effort. 4 Boston College Nursing Voice amar receives excellence in nursing award Angela Amar, assistant professor of nursing at the Connell School, was honored with the Excellence in Nursing Award from the New England Regional Black Nurses Association (NERBNA) at their annual Excellence in Nursing Celebration on February 6th. The award recognizes nurses making a difference in their communities. Amar is the force behind the new forensic nursing program at Boston College, designed to meet the demand for advanced practice nurses to provide care for victims of crime. Her research is focused on understanding traumatic experiences, particularly violence, and mental health responses in adolescent and young adult females. Connell School Dean Susan Gennaro comments, “Dr. Amar has taken her passion for improving the lives of vulnerable young women and has harnessed this to research, education, and practice initiatives. She is clearly a leader in education, research and nursing practice, and she motivates others and demonstrates her passion by taking caring and excellence to another level every day.” Amar also leads the STARS program at the Connell School, a project whose goal is to create an academic and supportive infrastructure to promote success in nursing students who are academically at risk, many of whom are racially/ethnically diverse, speak English as a second language, or are economically disadvantaged. The New England Regional Black Nurses Association is part of a national effort to unify, educate, and increase the number of African American nurses. The organization advocates for and provides optimum health services to African Americans and to other underserved communities. gregory receives harvard catalyst pilot grant Assistant Professor Katherine Gregory, along with her investigative team, was awarded a Harvard Catalyst Pilot Grant to study the microbiome aspects of necrotizing enterocolitis (NEC) in premature infants. NEC is one of the most serious complications of premature infant birth, a life-threatening gastrointestinal disease associated with malnutrition, growth failure, neurodevelopmental delay, and prolonged neonatal hospitalization among survivors. As an investigator on this multidisciplinary project, Gregory will assess the usefulness of stool samples obtained from premature infants to develop a microbiome profile that will predict NEC in a population of extremely low gestational age infants. The use of stool samples for this type of research is advantageous because obtaining stool is noninvasive, and will not deplete the premature infant of a limited blood volume. Gregory believes that defining the intestinal microbiota in premature infants at risk for NEC will lead to a better understanding of the pathogenesis of the disease, and eventually an improved ability to develop disease prediction strategies and clinical interventions that will prevent it. Harvard Catalyst is a Harvard University enterprise funded by the National Institutes of Health. It offers a systemic way for investigators from disparate disciplines and institutions to find each other and form teams, to gain open access to tools and technologies, and to obtain seed funding to embark upon new areas of investigation. In addition to Boston College, Harvard Catalyst includes the 10 schools and 18 academic healthcare centers that are part of the Harvard system, including MIT, the Cambridge Health Alliance, Harvard Pilgrim Health Care, and numerous community partners. leadership for advancing nursing science and transforming care Alumnae/i, students, faculty, and local and national healthcare leaders came together on October 21, 2008 for a day-long celebration welcoming Susan Gennaro as the new dean of the Connell School. From top left to right • Judith S. Mitiguy ’65 and Dean Susan Gennaro • Inge Corless, professor at the MGH Institute of Health Professions with keynote speaker Beverly Malone, CEO of the National League for Nursing • Connell School Associate Professor Nancy Fairchild and Director of the Nurse Anesthesia Program Susan Emery • Steven Freedman, associate dean for clinical and translational research at Harvard Medical School and Dean Gennaro at the roundtable discussion • Former Boston College President Fr. J. Donald Monan, S.J. introduces the panel discussion • Cathy Read, undergraduate program associate dean, talks with Kathy Barrett ’73 at the reception spring/summer 2009 5 news Gregory will work with Allan Walker from Massachusetts General Hospital and Linda Van Marter from Brigham and Women’s Hospital and Children’s Hospital, Boston. The research team exemplifies the aim of the multi disciplinary Harvard Catalyst: to speed the reduction of human illness. faculty members receive awards for education, research The Massachusetts Association of Registered Nurses (MARN) has honored Susan Emery, assistant professor and director of the nurse anesthesia program, and Dorothy Jones, professor of nursing, with awards recognizing their contributions to the field of nursing. The awards were presented at MARN’s annual awards dinner on April 3 in Dedham, MA. Emery received the Excellence in Nursing Education Award. She developed, and now directs, the nurse anesthesia program at Boston College in collaboration with Anesthesia Associates of Massachusetts. Her interests include chemistry and physics of nurse anesthesia practice, the pharmacology of anesthetics, anesthesia for geriatric patients, and endocrine and renal physiology. Jones was presented the Excellence in Nursing Research Award. Her research includes an NIH-funded study focusing on patients’ recovery at home following ambulatory surgery, theory development related to Margaret Newman’s “Health as Expanding Consciousness,” evaluation research, and instrumentation development. Jones is also a senior 6 Boston College Nursing Voice nurse scientist at Massachusetts General Hospital in Boston, and currently serves as president of the Eastern Nursing Research Society. MARN bestowed Living Legends in Massachusetts Nursing Awards upon Professor Emeritus Marjory Gordon and alumna Mary Ellen Doona ’67, MS ’69. Living Legends Awards are given annually to recognize nurses who have made significant contributions over the course of their careers, who have exhibited creativity and innovation in their practices, and who serve as inspirations to other nurses. students raise over $4,000 for diabetes research The Connell School chapter of the national Student Nurses Association (SNA) raised over $4,000 for the Juvenile Diabetes Research Foundation during the Walk for Diabetes in October, the most the SNA has raised for any event to date. The SNA has participated in a diabetes walk for the past three years; last year they chose to walk for the American Diabetes Association Step Out Walk to Fight Diabetes. “Diabetes is an issue that affects many people and as nursing stu- dents, we want to show our support for fighting it,” says Kristin Ferguson, president of the Boston College SNA chapter. Each student worked on an individual basis to solicit donations for the event. The average amount raised per walker was between $50 and $100, but Amanda Fabian and Sarah Belden were the top contributors for the team, with respective totals of $2,020 and $625. “Some of the girls who participated have diabetes or roommates with diabetes, so they felt particularly strongly about the issue of raising money,” notes Ferguson. As many as three million Americans have type 1 diabetes, a disease most often diagnosed in childhood. Diabetes lasts a lifetime and carries with it the threat of serious complications including heart disease, stroke, blindness, kidney failure, and amputation. The Walk for Diabetes draws people together to raise money in order to help find a cure for diabetes and its complications through research. The walk was held on October 4, 2008 at the Boston DCR Hatch Shell around the Charles River. Students who participated were Kristin Ferguson ’09, Sarah Belden ’11, Laura Bloomer ’11, Jacquelyn Clancy ’11, Erin Engstrom ’12, Kristin Gambardella ’12, Kelly Leonard ’12, Elizabeth Long ’10, Lauren MacQueen ’12, Camille Maddox ’10, Christine Mahoney ’11, Cristina Manzano ’12, Caroline McEnery ’12, Amy McGinty ’11, Megan Neuberger ’11, Lauren Nicolosi ’12, Nicole Poulos ’11, Meghan Reading ’12, Katherine Reicher ’10, Allison Sandler ’12, Hillary Seniuk ’12, Amanda Terzian ’12, Catherine Walker ’11, Amanda Fabian ’11 (School of Education), Bridget O’Donnell ’12 (College of Arts and Sciences), Katharine Starrett ’12 (School of Management), and Laura Belden (sister of Sarah Belden). krozy honored with hispanic service award Ronna Krozy, recently retired associate professor, is the first faculty recipient of the Hispanic Service Award recognizing her commitment to the Hispanic community. The award was given by the John A. Dinneen, S.J. Hispanic Alumni Committee on March 28, 2009. Krozy joined the nursing faculty at Boston College in 1973, and has been committed throughout her career to placing her students with diverse and underserved populations. In 1990, she developed a collaborative project with the medical missionary group Por Cristo, which provided students with the opportunity to learn through immersion about social justice and health disparity. Through this program, Krozy led her students to one of the poorest areas of Ecuador where they conducted classes, cared for patients, and helped construct houses and latrines. In 1996, she was awarded a Fulbright scholarship for her work in Ecuador, and also received the Por Cristo Foundation’s Volunteer of the Year award. In 2005, Krozy helped launch the Connell School of Nursing Global Health Initiative, an immersion trip which serves as an undergraduate community clinical placement and an opportunity for nurse practitioner students to earn supervised practice hours. Students bring donated medicines and supplies, provide one-onone nursing care, and teach health promotion strategies in Spanish to a group of volunteer health promoters from the community. A staunch advocate for recruitment of diverse and underrepresented students, Krozy has consistently put her knowledge and experience to work for populations dominated by the inequality of healthcare. Connell School alumna T. Heather Herdman (MS ’91, PhD ’95) presented Jones and Gordon with the award, noting that she considers herself lucky to count both women as her own mentors. NANDA International is a global network of professional nurses that seeks to improve the healthcare of all people by developing, refining, and promoting terminology that accurately reflects nurses’ clinical judgments. The organization provides the world’s leading evidence-based nursing diagnoses for use in practice and to determine interventions and outcomes, and also funds research through the NANDA-I Foundation. international organization honors faculty with mentorship award Professor Dorothy Jones and Professor Emeritus Marjory Gordon both received the Mentor’s Award, the highest honor presented by the North American Nursing Diagnosis Association (NANDA International). The award is dedicated to a NANDA International member who has shown a commitment to mentoring other nurses in the pursuit of their careers, in the advancement of standardized nursing language, and in the leadership of the NANDA International organization. NANDA International Executive Director and phd candidate awarded grant for neonatal research Connell School PhD candidate Kim Francis has been awarded a Foundation for Neonatal Research and Education (FNRE) grant to support her dissertation research. Francis’s area of interest is infant pain assessment and management, and she is currently developing a pain assessment instrument for the extremely low gestational age (ELGA) infant. A neonatal intensive care spring/summer 2009 7 news unit nurse for 14 years and an assistant nurse manager for two years at Women and Infants Hospital, Francis is currently the neonatal clinical nurse specialist for the obstetrical service at MGH. The FNRE seeks to promote the development of expertise in the neonatal profession and prepare neonatal nurses for the future. They do this by funding research and programs to strengthen neonatal nursing, evaluating neonatal nursing interventions and patient outcomes, and promoting neonatal education. The foundation offers research grants to neonatal nurses who are actively engaging in a service, research, or educational role that contributes directly to the healthcare of neonates or to the neonatal nursing profession. coat drive helps hundreds stay warm in mattapan Hundreds of coats were distributed to Haitian families last November at the Voice of the Gospel Church in Boston’s Mattapan neighborhood as part of a coat drive organized by Connell School faculty member Jennifer Allen and Master’s Entry students Ashley Younger, Dana Mars, and Maki Ishida. Over a period of two days, all the coats found owners as families in the community heard about the event on the radio or through word of mouth. Thanks to the Boston College students, faculty, and staff, as well as staff at the DanaFarber Cancer Institute who donated coats, many people in this underserved community stayed warmer this past winter. 8 Boston College Nursing Voice research findings, and stimulating translation of research into practice. Carol Ferrans, professor and associate dean for research, College of Nursing at the University of Illinois at Chicago, acted as Butt’s conference mentor. new diversity board at the connell school The Connell School has renewed its commitment to developing and nurturing a diverse nursing workforce through the formation of a Diversity Advisory Board. Associate Dean of the Undergradute Program Cathy Read states, “As part of a university whose mission is to unite high academic achievement with service to others, the Connell School is uniquely positioned to provide leadership for change. The Diversity Advisory Board will provide insight and guidance as the school plans and implements programs that reflect a commitment to advancing and sustaining an organizational culture that fully welcomes diversity and inclusiveness.” connell school professor, alumna corecipients of excellence in research award doctoral student awarded scholarship to attend oncology nursing research conference Clare Butt, second-year doctoral student at the Connell School, was selected as one of the recipients of an Oncology Nursing Society (ONS) Foundation Scholarship for the ONS 10th National Conference on Cancer Nursing Research, held February 12-14 in Orlando, Florida. Butt was grateful for the opportunity to hear about the latest research in cancer nursing, to network with fellow nursing researchers, and to learn more about hope and quality of life. Under the guidance of her advisor, Associate Dean of Graduate Programs Patricia Tabloski, Butt plans to study hope in cancer survivors for her dissertation, and to publish the results of this research at a future Oncology Nursing Research Conference. As a doctoral fellow in the Office for Nursing Research, Butt is currently working on the office’s website under the direction of Associate Dean for Research Barbara Wolfe. The conference is dedicated to oncology nursing research, providing a forum for the dissemination of The American Psychiatric Nurses Association (APNA) honored Professor June Horowitz and Connell School alumna Nancy Hanrahan MS ’92, PhD ’03 with the Award for Excellence in Research at their 22nd annual conference on October 17, 2008. A professional organization of over 5000 members, APNA is committed to the specialty practice of psychiatric-mental health nursing, health and wellness promotion through identification of mental health issues, prevention of mental health problems, and the care and treatment of persons with psychiatric disorders. Horowitz is an expert in postpartum mood and anxiety disorders. She has made outstanding contributions to the knowledge of postpartum depression and women’s mental health, due in part to her meticulous attention to method in her research. Through her work, she hopes to decrease the devastating effects of postpartum depression on mothers and their infants. Hanrahan’s research provides one of the only comprehensive surveys of the psychiatric workforce. Her most recent research examines the quality of care in psychiatric inpatient units. phd student receives grant for simulation scenario development PhD student Brian French, along with his team of nurse researchers from the Institute for Patient Care at Massachusetts General Hospital, has been awarded a grant for simulation scenario development. The grant was given by the Massachusetts Department of Higher Education as part of a statewide initiative to address the nursing shortage and better prepare nurses and nursing educators. French will serve as program manager for the Knight Simulation Program, which will fund the development of a simulation scenario—a critical learning situation using simulation manikins. These manikins are increasingly valuable tools allowing nurses to practice skills with no risk to patients. The Knight Simulation Program’s proposed scenario will incorporate broad principles of geriatric and palliative care, specifically the delivery of patient- and family-focused care to a patient of color at the end of life. Through this simulation scenario, French and his team hope to improve nurses’ knowledge, skills, From top left to right • Linda Battle, MSN, PHCNS-BC, manager of academic partnerships and nursing workforce development, Cambridge Health Alliance, adjunct faculty at Regis College • Eva Gomez, RN, MSN, staff development specialist, Children’s Hospital Boston, facilitator for the Multi-Cultural Nurses Forum, member of the Children’s Hospital Diversity and Culturally Competent Care Council • Norma Martínez Rogers, PhD, RN, FAAN, associate professor/clinical, University of Texas Health Science Center at San Antonio • Rolando Perea, RN, MSN, CS, clinical director, Emergency Department at Fatima Hospital, clinical director of provider services for medical strategies and management systems • Angelleen Peters-Lewis, RN, PhD, director, women and newborn’s nursing and clinical services, Brigham and Women’s Hospital • Deborah Washington, RN, MSN, director, diversity patient care services, Massachusetts General Hospital spring/summer 2009 9 news and attitudes related to the care of geriatric patients. Boston College is French’s academic partner on the project proposal, and Associate Dean of Graduate Programs Patricia Tabloski and Associate Professor of Nursing Rita Oliveri will be providing content expertise and serving as a review panel for the finished scenario. demarco honored with family research award Rosanna DeMarco, associate professor, is the 2009 recipient of The Suzanne Feetham Nurse Scientist Family Research Award, given by the Eastern Nursing Research Society (ENRS). The award is presented annually to a nurse researcher whose program of research and scholarship focuses on the study of family and familyrelated research. The award acknowledges outstanding contributions to family research in its broadest context such as research relevant to individuals, families and their communities, and social and healthcare policy. DeMarco’s work is focused on women, marginalization, and health behaviors including women living with HIV/AIDS and nurses in the workplace. Her research seeks to advance health policy using her model of collaborative communitybased knowledge. She is the coproducer of the film Women’s Voices Women’s Lives, which she uses in her intervention research. The film is used by AIDS service organizations across the United States and has been translated into Spanish and Vietnamese. 10 Boston College Nursing Voice doctoral student receives grants for genetic research Doctoral student Patricia Underwood was awarded two grants for her work to find genetic markers for insulin resistance in patients with hypertension. She received a National Research Service Award (NRSA) from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), as well as a grant from the International Society of Nurses in Genetics (ISONG). Underwood’s project sponsors include Catherine Read, associate dean of the undergraduate program, and Gordon Williams, professor of medicine at Harvard Medical School, director of the Center for Clinical Investigation at Brigham and Women’s Hospital, and research professor at Boston College. Underwood received her undergraduate degree in molecular biology at Lehigh University and completed an accelerated BSN program at the University of Pennsylvania before coming to Boston College. An MS/PhD student, she finished her master’s degree last year and is currently in the third year of her PhD program. In 2007, she also attended the Summer Genetics Institute at NINR/NIH, an intensive two-month summer research training program designed to provide a foundation in molecular genetics for use in research in clinical practice. Underwood describes the Summer Genetics Institute as instrumental in getting the grant, as it provided her with an additional foundation in genetics and how to use that knowledge in clinical research. Underwood will train at Brigham and Women’s Hospital to identify genetic markers associated with insulin resistance among patients with hypertension by using DNA sequencing techniques and a candidate gene approach. She then plans to work with an interdisciplinary team to develop individualized prevention and treatment plans for patients based on their genetic markers. With the help of her two grants, Underwood will be able to continue this work for the next three and a half years. eldredge honored at football game as nominee for community service award Maureen Eldredge, undergraduate program assistant at the Connell School, was honored as the Massachusetts State Lottery Community Champion for the community service work that she has done at Boston College. The Massachusetts State Lottery and Boston College Athletics have a partnership, and within this partnership the lottery selects a person at each home Boston College football game who has given back to the community and made Massachusetts a better place. Eldredge was honored between the third and fourth quarters at the Boston College vs. Notre Dame game on Saturday night, November 8th. Eldredge, who has been at Boston College for 17 years, was also given the 2008 Community Service Award by Boston College President William P. Leahy, SJ this past May. nursing degree programs that use the Roy Adaptation Model in theory teaching. Their poster was entitled “Nursing Theory-Based Research: Useful or Passé?” The three Elizabeths are all participants in the Undergraduate Research Fellows Program, which enables selected students to gain firsthand experience in scholarly work by participating with a faculty member on a research project. undergraduate student publishes article in nursing for women’s health connell school undergraduates take part in research symposium On February 6, three Connell School students participated in the annual Boston College Undergraduate Research Symposium. Elizabeth Ryan, Elizabeth Johnson, and Elizabeth Long (pictured from left to right) all displayed posters and gave presentations. Ryan, who won the award for best student poster for her work entitled “High Frequency Problems in Patients Hospitalized for the First Time with Chronic Obstructive Pulmonary Disease,” worked with Assistant Professor Jane Flanagan. Johnson and Long worked with Professor Callista Roy to update the literature review of accredited Connell School sophomore Kimberly Pomerleau recently published an article in Nursing for Women’s Health. Pomerleau attended the 2008 conference of the Association of Women’s Health, Obstetric, and Neonatal Nurses (AWHONN) in Los Angeles in June of 2008. AWHONN is the specialty organization for neonatal, obstetrical, and women’s health nurses and provides professional resources and support to nurses who are caring for or developing knowledge to improve the care of women and infants. The article, “Attracting students to professional organizations: One student’s thoughts after attending the AWHONN convention,” highlights the benefits of participation in professional organizations. In addition to the scientific knowledge she gained and the cutting-edge technology she encountered, Pomerleau says she felt a “sense of belonging and connection to the field” and inspiration from the nurse leaders she met. international discussion on gerontology and ethics held at the connell school On September 22, the Connell School hosted an important dialogue about gerontology and ethics with a leader in the UK nursing community. Derek Sellman is a mental health nurse, editor of the international peer-reviewed journal Nursing Philosophy, and faculty member at the School of Health and Social Care at the University of the West of England in Bristol, United Kingdom. Researching under the Winston Churchill Travel Fellowhip, Sellman engaged faculty members and students studying gerontology in a discussion examining nurse preparation for ethical care of the elderly in hospital and residential settings. The focus of his interest has two parts: how nurses in the US are prepared ethically in relation to care of the older person, and whether ethics taught to nurses and in general distinguishes between “normal” and “elderly” adult patients. Sellman engaged the students in conversation, asking each what brought her into gerontology. Students spoke about their experi- spring/summer 2009 11 ences with palliative care and the misconceptions that still surround the topic, even within the nursing community, as limited to end-oflife care. Sellman talked about the difficulties in deciding who will be best served by care, asking, “Is age a good indicator?” Students responded with examples of patients in their 40s whose quality of life was significantly lower than those in their 80s. All seemed to be in agreement that determining who is deserving of care is generally not about the number of years, that people’s lives are beneficial in their own terms at any age. Discussion also centered around the nurse’s role in supporting families, especially when preparing for death. Associate Dean of Graduate Programs Patricia Tabloski shared a story about caring for an elderly woman who was close to the end of her life. The family informed her that other relatives were planning to fly in for the funeral, to which she responded, “Why don’t they come now, while she’s here? Have them spend time with her, share stories— don’t wait for the funeral.” If family members are able to adopt this attitude, they are more likely to let the loved one go peacefully in an environment surrounded by memories and love, and nurses play a part by offering support to the family members as well as the patient. The discussion raised by Sellman and the Connell School faculty and students was beneficial to everyone involved, and a fascinating opportunity to better understand issues surrounding gerontologic ethics and the approaches taken to teaching them in both the United States and the United Kingdom. 12 Boston College Nursing Voice “I’ve received more joy from combining my nursing and research skills than I ever would have thought.” faculty publications allen, jennifer Allen JD, Mohllajee AP, Shelton RC, Drake BF, & Mars DR. A computertailored intervention to promote informed decision making for prostate cancer screening among African-American men. American Journal of Men’s Health 2008; DO1: 101177/1557988308325460 [Epub ahead of print]. Allen JD, Mohllajee AP, Shelton RC, Othus M, Fontenot HB, & Hanna R (2009). Stage of adoption of the human papillomavirus vaccine among college women, Preventative Medicine, 1-6. [Epub ahead of print]. amar, angela Amar AF (in press). Violence education: critical reflection on personal stories of victims. Journal of Forensic Nursing, 4(1), 12-18. Amar AF & Burgess AW (in press). Rape and its impact on victims. In: Hazelwood & Burgess. Practical Rape Investigation (4th ed.). Are you ready to solve emerging challenges in nursing and health care? earn a phd in nursing at boston college. Get involved with leading-edge nursing research being conducted at the Connell School. Our faculty includes leaders in nursing science, who are conducting major federally funded research projects, editing and publishing in top-ranked research journals, reviewing grants for NIH study sections, and partnering with Harvard-affiliated teaching hospitals and scientists. These leaders will mentor you in the development of your research potential, and help you build your own national and international research network. Learn more about the PhD program at bc.edu/nursing/programs/doctoral.html PhD candidate Patricia Underwood conducts her research at Boston’s Brigham and Women’s Hospital, looking at genetic markers for insulin resistance in patients with hypertension. To fund her work, Underwood has received a National Research Service Award (NRSA) from the National Institute of Nursing Research (NINR) and a research grant from the International Society of Nurses in Genetics (ISONG). Amar AF & Clements PT (2009). The intersections of violence, crime, and mental health. Journal of the American Psychiatric Nursing Association, 14(6) 410-412 (Guest Editorial). aruda, mary Aruda MM, McCabe M, Burke P, & Litty C (2008). Adolescent pregnancy diagnosis and outcomes: a six-year clinical sample. Journal of Pediatric and Adolescent Gynecology, 21, 17-19. Aruda MM, Waddicor K, Cole JCM, & Burke P (in press). Early pregnancy in adolescents: diagnosis, assessment, options counseling, and referral. Journal of Pediatric Health Care. barone, stacey Barone SH, Roy CL, Frederickson KC (2008). Instruments used in roy adaptation model-based research: review, critique, and future directions. Journal of Nursing Science Quarterly, 21(4), 353-362. burgess, ann wolbert Alexy EM, Burgess AW, & Prentky RA (2009). Pornography use as a risk marker for an aggressive pattern of behavior among sexually reactive children and adolescents. Journal of the American Psychiatric Nurses Association, 14(6), 442-453. Lewis-O’Connor A, Burgess AW, Nugent-Borokove E, & Fanflik P (in press). The Evolution of SANE/ SART—are there differences? Journal of Forensic Nursing. Burgess AW, Mahoney M, Visk J, & Morgenbesser L (2008). Cyber child sexual exploitation. Journal of Psychosocial Nursing and Mental Health Services, 46, 38-45. Roberts AR & Burgess AW (in press). Victimology: past, present and future. New Jersey: Prentice Hall, Inc. Burgess AW, Regehr C, & Roberts A (in press). Victimology: theory and practice. Philadelphia: Jones & Bartlett. demarco, rosanna DeMarco RF, Roberts SJ, Norris AE, & McCurry M (2008). The development of the nurse workplace scale (NWS): self-advocating behaviors and beliefs in the professional workplace. Journal of Professional Nursing, 24(5), 296301. Vessey JA & DeMarco RF (2008). The undergraduate research fellows program: a unique model to promote engagement in research. Journal of Professional Nursing, 24(6), 358-363. Roberts S, DeMarco RF, & Griffin M (in press). The effect of oppressed group behavior on the culture of the nursing workplace: a review of evidence and interventions for change. Journal of Nursing Management. DeMarco RF, Pulcini J, & Haggerty L. (in press). The doctorate in nursing practice: a survey of Massachusetts nurses. Journal of Professional Nursing. DeMarco RF, Kendricks M, Dolmo Y, Dolan Looby S, & Rinne K (in press). The dffect of prevention messages and self-efficacy skill building with inner city women at risk for HIV infection. Journal of Association of Nurses in AIDS Care. flanagan, jane Abdallah L, Remington R, Devereaux Melillo K, & Flanagan J (2008). Nursing management of the nursing home patient on antipsychotic medications. Nursing, 38(10), 28-31. Flanagan J (2009). Patient and nurse experiences of theory-based nursing care. Journal of Nursing Science Quarterly, 22(2), 160-172. Flanagan J (2008). Ethical issues for advanced practice nurses caring for the adult health population. In: Grace P. Nursing Ethics and Professional spring/summer 2009 13 faculty publications Responsibility in Advanced Practice. Sudbury, MA: Jones and Bartlett. Flanagan J & Jones DA (2009). Evaluation of the advanced practice nurse: cost efficiency, accomplishments, trends and future development. In: Joel L. Advanced Practice Nursing: Essentials for Role Development. Philadelphia: F.A. Davis. fontenot, holly Hawkins J & Fontenot H (2008). Cognitive dissonance in faculty roles: lots of questions, few answers. Journal of the American Academy of Nurse Practitioners, 20, 289-290. Fontenot H & Harris A (2008). Latest advances in hormonal contraception. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 37, 369-374. Fontenot, H (in press). A thank you [letter]. BMJ. Allen JD, Mohllaje A, Shelton R, Othus M, Fontenot H, & Hanna R (2009). Stage of adoption of the human papillomavirus vaccine among college women. Preventative Medicine, 1-6 [Epub ahead of print]. Hawkins J, Fontenot H, & Harris A (2008). Fertility control: Chapter 16. In: Fogel C & Woods NF (Ed.s). Women’s Health Care in Advanced Practice. New York: Springer Publishing Company. Gennaro S (2008). Sing of significance [Editorial]. Journal of Nursing Scholarship, 40, 99. Gennaro S (2008). Celebrating 40 years of disseminating knowledge that improves global health [Editorial]. Journal of Nursing Scholarship, 40, 1-2. Gennaro S (2008). The shadow of your smile [Editorial]. MCN, 33, 6. grace, pamela Haggerty LA & Grace PJ (2008). Clinical wisdom: the essential component of ‘good’ nursing care. Journal of Professional Nursing, 24(4), 235-240. Grace PJ (2008). Genetics, aging, and primary care: ethical implications for clinicians. In Read CY, Green RC, & Smyer MA (Ed.s). Aging, biotechnology and the future. Baltimore, MD: Johns Hopkins University Press. Chapter 17. Grace PJ, & Hardt E (2008). Ethics Column: I don’t trust hospitals and I don’t want strangers in my home! Should Mrs. Rosario be permitted to refuse assistance? American Journal of Nursing, 108(8), 36-38. Grace PJ (2008). Nursing ethics and professional responsibility in advanced practice. Sudbury, MA: Jones & Bartlett Publishers. gregory, katherine gennaro, susan Gennaro S, Shult, J, & Garry D (2008). Stress and preterm labor and birth in Black women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 37, 538-545. 14 Boston College Nursing Voice Gregory KE (in press). Necrotizing enterocolitis: findings from a retrospective medical record review. Newborn and Infant Nursing Reviews. harris, alyssa jones, dorothy Harris AL (2008). Practice week at a glance. Director of operations and advanced practice nurse. Nursing Forum, 43(3), 162-167. Erickson JI, Ditomassi MO, & Jones DA (2008). Interdisciplinary institute for patient care: advancing clinical excellence. Journal of Nursing Administration, 38(6), 308-314. Fontenot H & Harris A (2008). Latest advances in hormonal contraception. Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(3), 369-374. Hawkins J, Fontenot H, & Harris A (2008). Fertility control: Chapter 16. In: Fogel C & Woods NF (Ed.s). Women’s health care in advanced practice. New York: Springer Publishing Company. horowitz, june andrews Vessey JA, Horowitz JA, Duffy M, & Carlson KL (2008). Psychometric evaluation of the CATS: Child Adolescent Teasing Scale. Journal of School Health, 78, 344-350. Horowitz JA & Marchetti C (in press). Mood disorders in childhood and adolescence. In: Jackson Allen PL, Vessey JA, & Schapiro N (Ed.s). Primary Care of the Child with a Chronic Condition (6th ed.). St. Louis: Mosby, Inc. Horowitz JA (in press). Stress management. In Edelman CL & Mandle CL (Ed.s). Health Promotion Throughout the Lifespan (7th ed.). St. Louis: Mosby. Horowitz JA (in press). The therapeutic relationship. In: Edelman CL & Mandle CL (Ed.s). Health Promotion Throughout the Lifespan (7th ed.). St. Louis: Mosby. new books by connell school faculty kelly-weeder, susan Kelly-Weeder S (2008). Binge drinking in college-aged women: framing a gender-specific prevention strategy. Journal of the American Academy of Nurse Practitioners, 20(12), 577-584. pulcini, joyce Tourse R, Mooney JF, ShindulRothschild J, Prince J, Pulcini J, Platt S, & Savranski H (2008). The university/community partnership: transdisciplinary course development. Journal of Interprofessional Care. Ann Wolbert Burgess: Practical Aspects of Rape Investigation DeMarco R, Pulcini J, Haggerty L, & Tang T (2009). The doctorate in nursing practice: a survey of Massachusetts nurses. Journal of Professional Nursing, 25(2), 75-80. Joyce Pulcini: Manual of Ambulatory Pediatrics Sheetz A, Pulcini J, & DeSisto M (2008). Establishing a primary care practice-based research network for school nurses: the Massachusetts experience. Journal of School Health, 78, 172-174. read, catherine Underwood PC & Read CY (2008). Genetic association studies in nursing practice and scholarship. Journal of Nursing Scholarship, 40(3), 212-218. Sister Callista Roy: The Roy Adaptation Model, 3rd ed. roy, callista, sr. Barone SH, Roy CL, & Frederickson KC (2008). Instruments used in Roy Patricia Tabloski: Gerontological Nursing, 2nd ed. spring/summer 2009 15 clinical research certificate Give back to the nursing profession... precept a BC graduate student. continuing education program adaptation model-based research: review, critique, and future directions. Journal of Nursing Science Quarterly, 21(4), 353-362. Roy CL, Whetsell MV, & Frederickson, K (in press). The Roy adaptation model and research: global perspective. Journal of Nursing Science Quarterly. “I’ve been a preceptor for BC ever since I finished my first full year of practice. I love to take students from that initial insecurity to confidence in their skills.” katherine forbes-smith, ms, aprn, bc Graduate Preceptor Benefits Boston College offers graduate preceptors a choice of the following benefits as a thank you for precepting a student eight (8) hours per week for one semester or four (4) hours per week for the academic year: v A Continuing Education voucher. This option gives you a $100 discount toward a course offered through our Continuing Education Division. v Registration discount toward the Northeast Regional NP Conference. A $100 credit will be applied toward your registration fee. v One semester hour of tuition credit toward a credit-bearing course in the Connell School of Nursing. This benefit can be accrued for a maximum of three years, to cover the tuition costs for a three-credit graduate nursing course. Preceptors also have access to: v Boston College libraries v Campus cultural events and museums v Networking and research opportunities For more information, contact Chris Benson at 617-552-1558 or at christine.benson.1@bc.edu 16 Boston College Nursing Voice Roy CL, & Zhan L (in press). Sister Callista Roy’s adaptation model and its applications. In Parker M & Smith M. Nursing Theories and Nursing Practice (3rd ed.). Philadelphia: F.A. Davis. shindul-rothschild, judith Tourse R, Mooney JF, ShindulRothschild J, Prince J, Pulcini J, Platt S, & Savranski H (2008). The university/community partnership: transdisciplinary course development. Journal of Interprofessional Care. Shindul-Rothschild J (2009). Nursing care (Chapter 8, 135-156), In: Rothschild AJ (Ed.). Clinical Manual for the Diagnosis and Treatment of Psychotic Depression. Washington, DC: American Psychiatric Publishing, Inc. siefert, mary Siefert ML, Williams A, Dowd MF, Chappel-Aiken L, & McCorkle R (2008). The caregiving experience in a racially diverse sample of cancer family caregivers. Cancer Nursing: An International Journal for Cancer Care, 31, 399-407. McCorkle R, Dowd M, Ercolano E, Schulman-Green D, Willimans AL, Siefert ML, Steiner J, & Schwartz P (2009). Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. PsychoOncology, 18(1), 62-70. tabloski, patricia Tabloski PA (2009). Gerontological Nursing, 2nd Edition. Upper Saddle River, NJ: Pearson. vessey, judith Vessey JA, Horowitz JA, Duffy M, & Carlson, KL (2008). Psychometric evaluation of the CATS: ChildAdolescent Teasing Scale. Journal of School Health, 78, 344-350. Allen PJ, Vessey JA, & Schapiro NA (Eds.). (in press). Primary Care of the Child with a Chronic Condition (5th ed.). St. Louis: Mosby-Yearbook. willis, danny Willis DG (2008). Male-on-male rape of an adult man: a case review and implications for interventions. Journal of the American Psychiatric Nurses Association, 14(6), 454-461. ye, lichuan Ye L, Liang Z, & Weaver TE (2008). Predictors of health-related quality of life in patients with obstructive sleep apnea. Journal of Advanced Nursing, 63(1), 54-63. Ye L, Pien GW, & Weaver TE (in press). Gender differences in the clinical manifestation of obstructive sleep apnea. Sleep Medicine. Our Clinical Research Certificate Program includes a rigorous curriculum to prepare you for today’s competitive marketplace. The Clinical Research field—including careers as a Clinical Research Associate (CRA) or a Clinical Research Coordinator (CRC)—is a new, stimulating, and innovative career choice for nurses. As a result of the recent movement to speed drug and medical device development, the need for scientifically trained professionals to coordinate research studies has increased. The U.S. Department of Labor reports that the demand for qualified CRAs and CRCs is expected to double over the next ten years. Professionals trained for these demanding careers are currently in short supply. Nurses have traditionally prepared for these roles through on-thejob training with physicians and scientists conducting pharmaceutical research. The Boston College School of Nursing, Continuing Education Office now has a program for these positions. want to learn more? attend a free information session/clinical research open house. for details, please call 617-552-4256 or visit us at www.bc.edu/ce spring/summer 2009 17 a sense of COMMUNITY Clinical placements that build skills and give back to the community by Joshua J. Jensen 18 Boston College Nursing Voice spring/summer 2009 19 “C ommunity health is fundamentally about community context. Thus, we owe it to our students to put them in a context where they are poised to contribute as well as learn,” begins Clinical Assistant Professor Adele Pike, who, along with Clinical Instructor Judith Pirolli, organizes the community health clinical courses that undergraduate nursing students take their senior year. “Boston College’s Jesuit mission pushes us to take on a social justice perspective. This perspective demands that we find a pathway to meaningful involvement in the community,” adds Pirolli. For Boston College nursing students, the clinical experience is an opportunity to apply theory in the areas of health promotion, disease prevention, continuity and coordination of case, and long-term care. But according to Pike, student-learning outcomes are only half of the equation for a successful community health program. An ideal placement, she says, is one where students are contributing to the mission of the organization and making a lasting positive impact on the individuals and communities that they are serving. To achieve this, Pike and Pirolli are building long-term, sustainable partnerships with the community organizations where they place Boston College students. Pike is an experienced partnership builder: in 2004, she established the Center for Excellence in Home Care Practice and Education, a collaborative effort between the Connell School and the Visiting Nurse Association of Boston (VNAB). Pike’s work on this effort has resulted in benefits for both organizations, including access to clinical placements for Boston College students, and access to cutting-edge nursing knowledge for VNAB staff. It is this partnership that is serving as a model for new and existing clinical health sites. The three partnerships presented here—Cathedral Cares, Casa Myrna Vazquez, and Carelink— are examples of the range of organizations with which the community health faculty are building new models of learning—models where giving back to the local community is as important a goal as student learning outcomes. Right: Francisco Rodriguez gets his cholesterol checked by Michelle Bruno ’09 at a Cathedral Cares health fair, while Clinical Instructor Lynn Finn looks on. Previous page: As part of the Carelink program, Samantha Shortell ’09 visits patient Rita Carmichael, a former nurse, in her home. 20 Boston College Nursing Voice spring/summer 2009 21 cathedral cares C linical Instructor Lynn Finn runs Cathedral Cares, a parish nursing outreach program at the Church of the Holy Cross in Boston’s South End. This program offers community health services to parishioners and other members of the community surrounding the cathedral. Many think of the South End as an affluent neighborhood, home to Boston’s trendiest restaurants and nightlife, but the reality is quite different. Many of the cathedral’s parishioners come from nearby Villa Victoria, a subsidized housing complex with a predominantly Latino population. Finn reports that 90% of the students that attend the nearby Blackstone School are below the poverty line. While Finn does plan some traditional wellness programs that she cites as “typical parish nursing” fare, she is also committed to providing strong clinical services to the community. “We screen for blood sugar, cholesterol, anemia. We do a lot of health education around these topics.” Regular services are available in the cathedral, but Finn knows the value of getting into the community, so she also runs regular programs at Villa Victoria and the Irish Immigration Center. From Finn’s perspective, she couldn’t accomplish this without Boston College students. Finn places three students each semester at Cathedral Cares, as well as additional students at the Blackstone School and nearby Boston Medical Center. The students work hand-in-hand with Finn, organizing the Cathedral Cares programs and advocating on behalf of their clients. The students do a significant amount of the work, as virtually all of the Cathedral Cares staff—including Finn—are volunteers. Finn operates with the help of approximately 10 nurses, one physician’s assistant, and a small team of non clinical volunteers. Finn is quick to point out the concrete impact her students have on the community. They have helped organize health clinics at various sites, including a large-scale flu vaccination effort where students administered over 600 vaccinations. While this type of work may seem straightforward at first, Finn notes that in practice, many of the cases are quite complex and can require untangling. “It’s not uncommon for the students to encounter someone who for one reason or another just isn’t taking their medication. Either they don’t have the money or they don’t have the appropriate dose. The students will get on the phone and follow the patient’s 22 Boston College Nursing Voice experience through the medical system until they figure out where the knot is. Their role is to untangle it and try to get the person back on course.” Students experience the challenges of working with patients for whom English is not their primary language— approximately 50% of the Villa Victoria residents are Spanish-speaking, and a significant number speak primarily Chinese, Portuguese, or Haitian Creole—which further complicates the work, but also provides a real-world context that many students haven’t experienced before this placement. In addition to the clinical work, students also have the opportunity to understand the challenges of running a community health program such as Cathedral Cares. Many of the challenges that Finn faces are budget and logistics related, but end up having a real impact on her ability to reach the community. Finn notes, “The winter was so bad this year in Boston. Father O’Leary met with us and said, ‘I’ve spent over $40,000 clearing sidewalks and I’m out of money.’ Of course, people can’t come and see us if they can’t make their way safely.” Finn’s students also learn the challenges and costs of outreach. She wrestles with basic costs such as printing signs for health fairs and taking out small ads in the local newspaper. For Finn, these challenges are simply another learning opportunity for her students. This past November, a Boston College connection led Finn and her students to CatholicTV, which is based in Boston. Students Sarah Zumsande and Alexandra Dziama were guests on This is the Day, where they shared information about flu prevention, and promoted an upcoming flu clinic at the cathedral. Finn explains the importance of the CatholicTV audience. “When I was a visiting nurse, in nearly every house that I went into, CatholicTV was on. And people would say, ‘Don’t come to give me my insulin during Mass.’ We were always trying to work around the Mass, so I know it’s very, very popular in a lot of households. I thought that if we could get health teaching on the TV, that’s a lot of households that you’re going to reach.” For Finn, her students, and her colleagues at Cathedral Cares, it’s the impact of their community outreach that is the reward. casa myrna vazquez G rassroots organizers founded Casa Myrna Vazquez in the 1970s in response to stories of local South End women experiencing abuse by their husbands or partners. lenges accessing other forms of healthcare. “Everyone is Today, the organization has evolved into a key resource for talking about improving access to health insurance, which survivors of domestic violence seeking emergency shelis an important step. But even if an individual or family has ter, transitional housing, and other supportive services, insurance, there is no guarantee they will have the ability including legal advocacy, counseling, and housing search to access appropriate care. If you’re moving around a lot assistance, as well as education and outreach about domesbecause you’ve lost your apartment or are in a shelter, do tic violence. Additionally, Casa Myrna operates the 24/7 you even have a pediatrician or primary care physician?” toll-free, multilingual, statewide hotline SafeLink (877Crouse sees community health nurses, including student 785-2020). Just this past year, Judith Pirolli and Adele Pike nurses from Boston College, as advocates and educators for approached Casa Myrna Vazquez, seeking creative ways to the survivors and families who need these vital services. partner with the organization. Even with this potential, Crouse still faces a large barThis spring, a clinical pilot was launched. Clinical rier that makes this placement different from all others: Instructor Nancy Crouse was recruited to work with the because of issues of safety and confidentiality, she is not staff at Casa Myrna Vazquez to find a meaningful role for able to go to the placement with the students, or observe nursing students. An expert in psychiatric nursing in the their work directly. For this reason, Crouse planned for a community setting, Crouse immediately saw the value of lot of time outside of the placement to check in with the this partnership as a learning students, and has many quesexperience for her students. tions: “What have you seen? “All kinds of light bulbs What’s going on? What do were going off in my head. you think the needs are? What Domestic violence affects have people been saying to many different systems you?” In addition, Crouse is in related to an individual. How regular communication with does it affect just their genthe students’ supervisor at Casa eral health? Then how does it Myrna Vazquez, and thus is affect socioeconomic status? able to provide the guidance How does it affect emotional that is a key component of a status?” strong clinical placement. — Nancy Crouse Seeing a clear learning Laura Flaherty and Mary potential for their students, Crouse, Pirolli, and Pike were Kelly are the two students placed with Casa Myrna Vazquez eager to explore how to craft a partnership that would this semester. Each completed 40 hours of training, orgabenefit Casa Myrna Vazquez. They met with Casa Myrna’s nized by the Greater Boston Domestic Violence Volunteer Education and Prevention Specialist, Amanda Wolfe, to Consortium, to ensure their safety and effectiveness in the explore the value nursing students could bring to the orgadomestic violence setting. Flaherty was positive about the nization, even at a very basic level. Crouse explains, “She experience. “I learned so much about domestic violence, was interested in how the students might work with the crisis intervention, and empowering survivors. The trainchildren in the shelter, who need extra support given what’s ing that I received will certainly impact my nursing career. I going on with their parents. They have been uprooted from wish that my fellow nursing students would have the opporfamiliar surroundings and faces, and their school life may tunity to undergo the same training.” have been disrupted. They may have issues with nutrition. Following this intensive training, Flaherty and Kelly went Their mothers often don’t have time to think about these to work in a Casa Myrna Vazquez shelter, educating chilthings because their energies are going in so many different dren and families on issues like the importance of hand directions.” washing and nutrition—seemingly small-scope issues but Crouse also emphasizes the importance of community with a significant health impact. Crouse put much thought health in a shelter or transitional setting, because of chalinto choosing the right issues for her students to address. These relationships offer us an opportunity to show agencies and organizations what community nursing is about and how community health nurses can contribute, both as student nurses and as professionals. spring/summer 2009 23 “I did question what kinds of things the clients there would most benefit from, as well as how the nursing role fits into the health of these individuals and the health of the overall community in a domestic violence shelter setting.” Crouse, Pirolli, and Pike are already thinking about building this partnership for long-term success, and they aren’t afraid to think outside the traditional framework of clinical placement. For example, early on in their conversations with Boston College, Casa Myrna noted an interest in having a nursing presence year-round, possibly bringing in additional nursing schools or incorporating nurses into their regular staff. The community health clinical faculty are supportive of these goals, and have expressed a willingness to help the organization use the Boston College relationship as a way to explore their broader goal of expanding their services to the community. Crouse sees this type of creative partnering as a unique benefit that Boston College can offer to the sites where community health students have their clinical placements. “These relationships offer us an opportunity to show these agencies and organizations what community nursing is about, and how community health nurses can contribute to their organizations, both as student nurses and as professionals. It’s exciting to start something new.” carelink C linical Instructor Mary McColgan runs a Carelink program at Catholic Charities’ Visiting Nurse Services (VNS) at the Labouré Center in South Boston. Carelink allows elders with chronic diseases to remain safely in their homes, often after a hospitalization. McColgan explains, “Medicare and health insurance only offer home care reimbursement up to a certain point, and then, many elders are left on their own even though they aren’t quite ready. Carelink fills that gap.” McColgan’s program director at Catholic Charities, Priscilla Green, came up with the idea for starting a Carelink program at Labouré, based on programs developed by the Visiting Nurse Association of Central Connecticut and the Neighborhood Visiting Nurses Association of Chester County, Pennsylvania. Green contacted Adele Pike asking for BC’s help in establishing the program. She, Adele Pike, and McColgan worked together and piloted the idea with a group of graduate students last year. The program was a success. Mary McColgan, a nurse in the employ of Labouré’s Home Care, was recruited, hired, and oriented to the Boston College clinical faculty last fall. Unlike more traditional clinical placements, the Carelink program is highly autonomous, and students are the core service providers. While McColgan starts the semester going with the students, the goal by the end of the semester is for them to feel comfortable going on a home visit by themselves. Students are nervous at first, but McColgan reminds them that she is just a phone call away if they have a question or a concern. Students work with patients to help them manage their chronic diseases and avoid relapse or hospitalization. They address issues such as dietary management and when and how to take medications. They also address issues of home safety, such as fall risk, and how to get up and change positions slowly. Many of the issues that the Boston College students address would be minor for most healthy individuals, but are potentially life threatening for their patients. McColgan tells a story of a woman who couldn’t open her pill bottle because of severe arthritis. “She kept calling the pharmacy to give her a twist-off bottle cap, and it just wasn’t happening. One of the students took this on, and was able to make it happen. This patient is a nurse, completely capable of advocating for herself. There are many others who aren’t as capable who need this kind of help.” The Carelink placement has proved as transformational for the students as it has for their patients. The home care setting offers a different experience than the students have had in their previous clinical placements. McColgan highlights the differences. “They’re not in a structure of a hospital. The patient is in total control. They’re using Working in a personal environment, students see the financial struggles and other barriers that some of the patients face. Left: Clinical Instructor Nancy Crouse meets regularly to discuss issues with the students placed at Casa Myrna Vazquez, Mary Kelly ’09 and Laura Flaherty ’09. Due to confidentiality, Crouse cannot accompany them to the placement site—she doesn’t even know where the shelter is located—but she plays an active role in helping the students plan visits, such as putting together lessons on hand washing and basic sanitation for the children living there. 24 Boston College Nursing Voice manual blood pressure cuffs; we don’t have any automated equipment. We’re right back to the basics.” McColgan coaches the students on their communication skills, helping them become more at ease talking with people about their health issues. Working in a personal environment, students see the financial struggles and other barriers that some of the patients face. Some situations illustrate the value of a good support system family and friends can provide, and others show the challenges faced by those without strong supports. The Boston College students also bring creativity to the work, notes McColgan. “People have trouble reading because they can’t see that well. One student drew a picture to illustrate a no-salt diet, showing things the patient should avoid as a reminder. I’m planning on taking that example to some of the other nurses to see if we can use it for home visits.” In addition to learning valuable skills, McColgan notes that the students find hope in their work. “Many students don’t realize that people can live at home independently, even with some fairly severe disabilities. One woman couldn’t even stand up straight; she was bent over at an almost 90 degree angle and uses a cane to walk. She inspired the students, because she is still extremely independent and lives at home safely.” Given initial success, McColgan is hopeful that she will be able to expand the Carelink program. She says that word is already spreading in the South Boston community. “Initially patients were a bit reluctant to take advantage of Carelink, because they were worried I was trying to put them into a nursing home. Once I talked a couple of them into it, they’ve been telling their friends, and interest has expanded.” McColgan is interested in examining the data, to understand objectively how the Carelink program is making a difference. She’s interested in understanding how many of their clients have stayed healthy, how they are doing with medication compliance, and if they are avoiding falls. As for the students, she can already see the impact. “To see them so hesitant at first, and then to see them at the end of their placement, when they are able to do a home visit on their own . . . it’s really amazing.” spring/summer 2009 25 nursing service For the past six years, Clinical Assistant Professor Donna Cullinan has taken a week out of her busy life to travel to Léogâne, Haiti—a small city 18 miles outside of Port au Prince—as part of a medical mission team. looking for answers working to improve care and create lasting change in haiti By Joshua J. Jensen 26 Boston College Nursing Voice Cullinan and her close friend, Susan Daoust, had always talked about doing some kind of international service work, but for years were busy with their work and family lives. That all changed six years ago when Daoust heard that her church—Christ Church in Needham, Massachusetts—was putting together a medical mission team to Haiti. “When Susan asked me if I was interested, I realized that the timing was perfect. My kids were finally old enough that I was comfortable leaving them.” For Cullinan, Haiti is an ideal place for a medical mission, because of the extreme need. “I really wanted to go on a medical mission, so I probably would have gone anywhere. But we are really needed in Haiti. It is the poorest of the poor. They have so little, but we’re able to provide them with some measure of comfort, and they are very appreciative of that.” Emilie Hitron, a physician at St. Elizabeth’s Hospital, organized the original mission from Christ Church, and is the team leader. Each year, around 12 healthcare professionals, including Cullinan, travel to Haiti. Around eight of the team members are previous participants. Both physicians on the team bring medical residents with them, and Cullinan brings a Connell School graduate student or recent alumna as well. This year, Nora Sheehan ’08 joined the trip. “I jumped at the chance when Donna offered me the opportunity to be a part of the team,” recalls Sheehan, who participated in the Connell School’s Global Health Initiative trip to Nicaragua last year. “Traveling to Haiti was an amazing experience and another exposure to the disparities that are generated from limited access to healthcare.” Over the years, Cullinan has formed a strong bond with the other members of the team. “We have a wonderful friendship, even though many of us don’t see each other outside of planning meetings.” The team gets together once each month for planning. After the trip, they come together with their families to share pictures at a potluck dinner. Cullinan explains that the mission team is part of a loose network of groups across the United States that travel to Haiti. Their goal is to coordinate well enough to ensure somewhat regular visits from medical professionals in each visit. While independent of each other, the teams share information through conferences and informal networking and make use of mutual local connections in Haiti. According to Cullinan, there is almost an entire local industry set up for the purpose of supporting these mission groups. Their team employs drivers and trucks for transportation, hires donkeys to carry their supplies, employs local translators, and pays for their meals to be prepared as well as for lodging at a guesthouse on the hospital grounds. All of this helps support the local economy. Building long-term relationships with the local support people is part of the reward for Cullinan. “I got a really nice email this week from one of my translators, Mario. I taught him a lot when he was translating for me, because he was very interested. He’s just been accepted to med school, and wrote to thank me for helping to give him this opportunity.” Cullinan’s group stays on the grounds of the local hospital in Léogâne, where there is a guesthouse frequented by mission groups. They rise as early as 5:30 to learn about Haitian history and culture or simply take in their surroundings with a historical walk, traveling as a group for safety. This part of the day is an opportunity to satisfy their curiosity about the culture in which they are immersed, but also provides valuable cultural context for their work. “We have to understand local values and beliefs to practice effective healthcare,” explains Cullinan. “If a parent believes that their diabetic child has the devil in them, we need to spring/summer 2009 27 know that so we can address it, in addition to ensuring the child gets insulin or other appropriate treatment.” By 7:00, the group is ready to go to work. They travel from their base of operations in Léogâne to a remote village. Often they start the trip in trucks, then, depending on their destination, they may hike the final distance with their supplies carried by donkey. They set up their clinic wherever they can: in homes, schools, and churches, on mountainsides, even in chicken pens. In most cases, local community health workers have already spread the word about the clinics in advance. So when Cullinan’s group arrives in a village at 7:30 or 8:00 in the morning, there may be hundreds of people already lined up and waiting for medical care. The people wear their finest clothes for the doctors and nurses, a sign of their respect and appreciation. The nurses on the team triage the patients, and then Cullinan and the other providers on the team see patients one at a time, about 1500 people Left: This man was able to see clearly for the first time in his life after receiving a pair of glasses. “We’ve questioned whether bringing glasses is worth the time and effort,” says Cullinan, “But one person like this makes it worthwhile. He couldn’t stop smiling.” Right: Nora Sheehan ’08, who participated in the trip for the first time this year, treats a baby in one of the clinics. over the course of the week. “We do all kinds of care, from head to toe,” Cullinan says. “We have little privacy for pelvics and personal exams, but we make do. We see lots of scabies, fungal infections, STDs, urinary tract infections, hypertension, diabetes, and a lot of malnutrition. Sometimes we’ll do incision and drainage of bad wounds. We’ve seen terrible burns and we distribute dressing supplies, and teach people how to keep their wounds clean.” Scabies in particular is rampant among all ages, including children. Cullinan notes, “We don’t want them to put their dirty clothes back on after treatment, so now we’re fundraising to buy underwear and little undershirts for all the kids, and we send them home in that. They’re so proud of their new underwear.” The team sets up a pharmacy as part of the clinic. They provide vitamins for women who are pregnant and nursing. They also provide medicine to treat hypertension for 3-6 months, write out prescriptions, and—through a translator—try to stress the importance of the medication and the risk and consequences of a stroke. While her patients do have access to local pharmacies, many won’t have the financial means to purchase medications. Cullinan sees both hope and frustration as the mission team think longer-term. “We’re trying to work with other mission teams to get continuity of care, but the unrest in Haiti has made this challenging. In the past, a team would visit each village approximately every three months. Last year, we went to villages where they hadn’t 28 Boston College Nursing Voice seen healthcare providers in well over a year.” Even when they are able to provide appropriate medications, it’s a challenge to communicate instructions for taking the medications. They use stickers depicting the sun and moon to indicate what time of day medications should be taken. Even with the deluge of work, they are careful to take their time at the pharmacy, instructing the translator to speak slowly and ensure their instructions are communicated effectively. Cullinan also talks about the stigma facing people with HIV/AIDS. Because their team does not have medication to treat HIV/AIDS, they don’t test for the virus. Still, they encounter individuals that they know are HIV positive. “The village health workers have told us not to tell them because of the stigma. We have done comfort care to the extent possible.” A recent addition to the team’s services is offering basic eye exams and eyeglasses. In 2008, they brought a selection of eyeglasses in various strengths, matching them to the needs of individuals as closely as possible. This year, they are piloting a system of mailing eyeglasses to individuals for whom they couldn’t provide appropriate glasses on the spot. While most of their patients don’t read, reading spring/summer 2009 29 Top left: Cullinan with two children at a local orphanage, which the team visits every year to bring supplies. “The kids look healthy, but there isn’t enough food. There are days they don’t eat,” says Cullinan. Her group continues to support the orphanage throughout the year. Top right: Team members also buy new toys to bring to the children at the orphanage. Cullinan taught this boy how to play Barrel of Monkeys, one of her own childhood favorites. research ideas have always been in the back of my mind. I have received a lot of support from faculty members and Bottom left: Nursing students at the school where Cullinan is helping to from the dean to start exploring these possibilities, so now develop a research class in partnership with the Connell School. Cullinan I’m starting to do that.” brings them BC folders containing anatomy charts in French, and BC umbrellas, which they use as parasols for the intense sun. There is no shortage of possibilities in Cullinan’s mind. Bottom right: A family waits to be seen at one of the mobile clinics. “I’ve been reading up on the Hearth Model, a positive deviance approach that identifies families that are flourishing where others are failing. By studying these families and glasses are useful for those who make a living doing sewunderstanding what behaviors are leading to this success, ing and needlework and often make the difference between we can understand how to work with other families to being able to earn money and not. improve outcomes.” Cullinan explains that the strength of For Cullinan, the most difficult cases are the ones where this model is its emphasis on effective uses of the resourcshe isn’t able to help. “These people come all this way, and es already present in an impoverished community, rather have such faith in us. It is hard for them to understand that than reliance on external altruism. there are things that even we can’t make better. We had one Cullinan is also interested in studying ways to improve lady—she wasn’t very old at all—whose sons brought her in continuity of care in the Haitian villages. Her team has dison a donkey. She had suffered a stroke months before and tributed medical records as a pilot in one village. The local her sons thought we would be able people are already familiar with the to fix her. They came miles and records because children who parmiles, through the mountains.” ticipate in a local nutrition program The team works straight through receive medical records until age the day, often without a break for five. Cullinan hopes to expand this lunch. “I’ll eat peanut butter crackeffort, working with other mission ers and drink bottled water to keep teams and local organizations to promy energy up and stay hydrated, mote use of the records. “People are but I don’t have time for a real proud of their records and hold on to break.” At around 5:00, they stop them,” Cullinan says. “In the future, work and head back to Léogâne. I’d like for everyone in Léogâne to — Donna Cullinan The team eats dinner together and have one.” works late into the night packaging medication for the next Cullinan has also begun to build a relationship with the day. “I’ve been collecting medicine bottles all year from local nursing school in Léogâne, hoping in time to create a the BC faculty. We used to put everything into baggies, but partnership that she can leverage for help with her research found out that its common for rats to get into the vitamins, activities in Haiti. She visited the school during her recent because of the sugar.” trip, teaching an interactive class, and bringing some of the At the end of the night, the team fits in a few hours of students with her to the villages. “I told the student nurses sleep before another long day. They know that the new day that they are the hope of Haiti. I really believe that they can will bring much of the same, although always with surprismake a lasting impact in their own country.” es and new experiences. Cullinan is building the relationship by reaching out to To date, Cullinan’s focus has been to alleviate suffering the Haitian nursing school’s dean via email. She is also and improve health in the short term, on a micro level. talking to the Haitian nurses about their research interShe cites lack of funding and resources, as well as political ests and helping them to develop their research capacity. unrest in Haiti, as the primary barriers to more sustainable, Cullinan believes that connecting these resources will bear systemic improvement. Cullinan sees nursing research fruit. By increasing knowledge about Haitian health issues as a promising tool for change. “For most of my career, through nursing research, she hopes to create lasting I’ve focused on clinical practice,” Cullinan explains, “but change in the villages near Léogâne. We have to understand local values and beliefs to practice effective healthcare. 30 Boston College Nursing Voice spring/summer 2009 31 student voice donor profile WORDS OF WISDOM Debbie Hoffman ’79 FAMILY TREE The new peer-led freshmen seminar program How one alum knew Boston College was the place for her, and why she gives back BY KRISTEN PADULSKY ’08 BY KIRSTEN ERWIN I n the fall of 2008, freshmen in the Connell School of Nursing had Introduced to the seminar at orien- nar also provides the peer leaders a tation, students begin the academic chance to reflect on their experiences a new class on their schedules. The year by discussing the transition from as Boston College nursing students. Nursing Professional Development home to college, time management, As one peer leader said, “I had been Seminar was designed by the faculty and how to keep up with classes in a feeling overwhelmed with applying for in response to feedback from students, new environment. As they become jobs, keeping up with school work, and who wanted to feel more connected to more comfortable with their surround- worrying about what my life would be nursing earlier in their program. The ings and get to know one another, the course aims to facilitate the transition groups begin to focus on other issues. from high school to college and introduce the profession of nursing through D ebbie Hoffman got her introduc- her MBA in 1988 after five years of night tion to the Connell School at an classes. early age. “When I was in grammar school, my Today, Hoffman is a nursing supervi- Hoffman acknowledges the difficulty of giving in such uncertain financial times. “I’m right in the middle of send- sor at Tufts Medical Center, where she ing kids to college—I have one there and cousin was a nursing student at BC. has worked for her entire career. She three to go—so for me to make an sig- She brought me in for a day and I was says she still feels a strong tie to Boston nificant donation, it’s just not the right like after I graduate. The experience her patient in a skit for the School of College and despite her busy schedule, time. But with a planned gift, you’re giv- of working with the freshmen helped Nursing, a pediatric patient. I’ll never for- seeks out opportunities to stay connect- ing back, yet it’s in the future. I feel good The peer advisors share their experi- me realize how far I’ve come in just get ‘going to college’ with her, and believe ed. She was on the reunion committee at least knowing that down the road, I’ve ence with nursing clinical practice and a few years. I had the same worries it or not, this one day had a huge impact for two years and is also involved with thought about BC.” peer-led seminars. Cathy Read, the group discusses the many oppor- and concerns as they did when I first on me. I decided that’s where I wanted to the Second Helping Gathering, an annu- associate dean of the undergraduate tunities available for nursing students. came here, but now I’m the one able go, and that’s where I ended up.” al benefit for the Greater Boston Food have found the right path early on and is program, modeled the course after the The seminar also addresses topics such to answer their questions and reassure highly successful first-year professional as how to navigate course registra- them.” development seminar at the Lynch tion, and demystifies the experience School of Education. of the housing lottery. Many students networks that may be sustained The seminars also initiate social Such strength of conviction is typical Hoffman considers herself lucky to Bank. Recently, Hoffman served on the quick to credit those who inspired her, for Hoffman. The first member of her steering committee for the Shaw Society, from her cousin Linda Puzin ’71, who immediate family to go to college, she which recognizes alumni, parents, and first brought Hoffman to campus and is was told upon applying early decision friends who’ve established a legacy gift— now a nurse in Florida, to her professors indicated that the course registration throughout the students’ Boston that due to the nursing program’s a bequest or life income gift—to benefit and classmates at the School of Nursing. freshmen to the Boston College nurs- seminar was the most helpful and College careers and into their pro- popularity, she would only be accepted the University. It is gratitude for the support and prepa- ing community from their first day beneficial of the program because they fessional lives. By pairing first-year early if she changed her major to some- on campus. Seminar groups of six saw such significant and immediate students with older classmates who thing else. to 12 students are led by two to three benefits. One student explained, “My will soon be or are already in the “I was very stubborn and said no,” “If I could send a message to my class, undergraduate and graduate students. peer advisors offered to sit down with workforce, the students can be better Hoffman laughs. Her gamble paid off: or anybody my age, I would say the nice she says. “I went there at a time when, These small groups provide first-year me and help me register. This session prepared for the experiences and chal- she was accepted into the School of thing about the Shaw Society is that you compared to now, it was relatively inex- students a safe place to share with oth- helped me organize my schedule and lenges that come with being a nursing Nursing in the regular admissions cycle. don’t have to pull your checkbook out pensive, so I appreciate that today I have ers, establish friendships with peers, eliminate stress.” student in a large university. In a few She remembers the program as tough. The program is designed to expose “I’ve enjoyed my work as an ambassador of the Shaw Society,” says Hoffman. ration she received at Boston College, Hoffman says, that motivates her to give. “I feel that BC has done a lot for me,” today. Rather, it’s something that will a great career and I owe it to BC. This is short years, these same young students “It was very stressful; everyone felt bad happen down the road.” She and her my chance to give back in any small way advisors are truly what make this pro- will be the leaders who impart their for us. You’d spend the day at the hos- husband Tom, a dedicated St. Lawrence that I can.” gram a success. Each advisor brings wisdom to another generation of future pital, be assigned a patient, and have to alum, came to the decision of how to feedback—this flexibility will ensure a unique and beneficial insight to the nurses. We look forward to the contin- have everything—research, documenta- support their respective alma maters that freshmen are exposed to the most discussion. As the leaders share their ued success and development of this tion, presentation—ready for the next together: “We divvied up between the two pertinent information as they strive to personal experiences, the freshmen program as it provides such a wonder- day.” After graduation, Hoffman worked schools. Our hockey teams have played succeed in that critical first year of a realize that they are not alone during ful opportunity for freshmen nursing for four years before returning to Boston each other and all that, but I have to say rigorous nursing program. this transitional period. The semi- students at Boston College. College for graduate school. She earned he’s very supportive of BC.” and develop mentoring relationships The dedicated and dynamic peer with senior classmates. Topics will be revised each year based on student 32 Boston College Nursing Voice For more information about planned giving at Boston College, contact Susan Ramsey at 617-552-3328, or visit bc.edu/ alumni/invest/giftplanning.html. spring/summer 2009 33 alumnae/i voice 1950s Associate Professor Emeritus Jean O’Neil ’55, MS ’63, Associate Professor Rita Olivieri ’77, and Associate Professor Nancy Fairchild presented “Resolution of the Methodological Issues in a Nursing Intervention Study” at the eighth annual interdisciplinary research conference, Transforming Healthcare through Research Education and Technology, this past November at Trinity College in Dublin, Ireland. Alma G. (Pallotta) Apicella ’58 writes, “I had a ball at the reunion and loved seeing everybody. I am awful sick of the snow and hope most of you are in warm weather!” Elaine (Noiseux) Galeone ’58 is retired from her work in the family photography business, where her husband and two of her children still work full-time. Two of her other children, both high school teachers, work part-time for the family business. Elaine notes, “we have 11 grandchildren so we always have parties to attend.” She hopes to get back in touch with her Boston College classmates. 1960s Leona (Rousseau) Dolloff ’60 retired ten years ago after an enjoyable career teaching in associate’s degree nursing programs. She is the mother of five children, grandmother of 11, and great-grandmother of two. She lives with her husband, Peter, in Hudson, New Hampshire, where Peter was superintendent of schools for 32 years. They now enjoy travel and participate in Elderhostel programs. 34 Boston College Nursing Voice Rita L. Ailinger ’61 is a professor at Georgetown. In addition to research courses, she also teaches a course on vulnerable populations using social justice principles. She takes nursing students to Nicaragua each year to work with the poor in a squatter settlement in Managua. Jane (Murphy) Cunniffe ’61 is still enjoying retirement and continues to travel. She reports, “Although I had a challenging summer concerned with breast cancer, mammosite radiation has given me a new lease on life.” She hopes all of her classmates are doing well. Margaret (Shandor) Miles ’62 retired as a professor of nursing at the University of North Carolina at Chapel Hill several years ago but remains working part-time on research grants, mentoring faculty, and writing. The Southern Nursing Research Society has named the Margaret Shandor Miles MCH student poster award in her name and the Society of Pediatric Nurses is now biannually awarding the Margaret Shandor Miles Distinguished Service Award. She is thankful to Boston College for helping her complete the bachelor’s step in her career. Joan (Mullahy) Riley ’62 received the Clara Barton Service to Humanity Educator Award from the Emmanuel College Department of Nursing. She has recently co-authored an article, “Essential Elements of an Optimal Clinical Practice Environment,” in the Journal of Nursing Administration. Mary Cavanaugh ’63 retired in 2007 after 45 years in nursing and 38 years as a nurse anesthetist. She had a total hip replacement just over a year ago, and danced at her daughter Erin’s wedding this past October. Loving retirement, she has taken up beading, making silver jewelry, and learning how to use her new Viking sewing machine. She also crochets. Mary’s husband Joe retired in January 2008. Her son Sean is an emergency room physician’s assistant, and her daughter Erin works for Marsh, Inc. and is finishing up her MBA. Mary and Joe reside in Vienna, Virginia. Bobbi Keane ’63 is retired from nursing and spends most of her time traveling, playing duplicate bridge, and playing golf. She lives in Crystal River, Florida. She invites classmates to contact her at bkeane2@tampabay.rr.com. Diana M.L. Newman ’63 is a professor of nursing at the Massachusetts College of Pharmacy and Health Sciences. She enjoys professional writing and her involvement in many professional activities, as well as hobbies that include kayaking, knitting, quilting, and going to New York City for the ballet, opera, and theater. She notes, “I loved gong to my 45th reunion in 2008 and look forward to the 50th in 2013.” Ann (Carty) Thrailkill ’64 is still working at the Palo Alto VA as a nurse practitioner and as the women veterans’ program manager. She has been presenting at different VA facilities around the country on the health and mental health issues facing returning women veterans. She has recently had two articles selected for publication, in the Journal of Gynecology and in the Journal of the American Academy of Nurse Practitioners. She plans to return to Boston College this summer for reunion weekend. Gail (Sylvester) Cashman ’65 is keeping quite busy, having undertaken a master’s program in bioethics. She is also attending a week-long symposium this coming June at Mount Sinai in New York City. She notes, “It will be so interesting to note if and how their clinical issues differ from ours in Vermont.” Barbara (Browne) Elliott ’65 still lives in San Francisco, and continues to teach at the City College of San Francisco’s LVN program. Her three daughters have careers in physical therapy, acting, and environmental education. She notes to her classmates, “Let me know if you’re coming to San Francisco. There’s room to stay!” Catherine E. Graziano, MS ’65 spent 40 wonderful years as a faculty member at Salve Regina, including 20 as chair of the nursing department. She was elected to the Rhode Island State Senate, and spent 10 years as a state senator, where she made good use of her nursing background in addressing healthcare issues. Following retirement from Salve Regina in 1996 and from the senate in 2003, she has volunteered for many senior organizations and healthcare facilities serving hundreds of Rhode Island elders and disabled individuals. The Rhode Island State Nurses Association recognized Catherine for her contribution to the nursing profession with a lifetime membership to that association. She is the only individual who holds this designation. Eleanor Clifford ’66 reports that she took a nontraditional path following graduation from Boston College. “With my medical background, I was fortunate to be hired as an underwriter for the Paul Revere Life Insurance Company, which later merged with Provident and then UNUM. I had a great career in various management roles and was a VP in underwriting prior to early retirement.” Claudia (Collins) Daileader ’66 and her husband Phil (A&S ’66) are living on the eastern shore of Maryland, in Sherwood. Claudia is working parttime as staff nurse on the surgical unit of the local hospital, and Phil is retired from his career in banking. Their three children are married and they have five grandchildren. Claudia notes, “I’ve been doing my job as future-nurse recruiter. For Christmas, one granddaughter got Cherry Ames books, another a set of size 4T scrubs.” Joan Garity ’66 is an associate professor of nursing at the University of Massachusetts Boston. She teaches ethics, legal, and health policy issues to undergraduate, graduate, and RN-toBS online students. She has recently co-authored a book, Evaluating Research for Evidence-Based Nursing Practice. She will also present a paper on fostering nursing students’ use of ethical theory and decision-making models at the Oxford Round Table in March 2009. Beatrice Costagliola ’67 works for the Jesuit Refugee Service in a large detention center in El Paso, Texas. She writes, “My years as a missionary in Peru, Nicaragua, and Mexico have been invaluable experience for this position. We have detainees from all over the world and each of them has his or her personal story. It is a privilege to accompany them during this time in their lives, when they are separated from their families.” Sr. Maria Joseph Nace ’68 sends word of her recent work as a poet and artist. In recent years, she has had a number of solo exhibitions, and has shown her work at local and regional galleries (see detail of her painting above). She recently published a book of her work, from which this poem, titled “Compassion,” is taken: Nurse, / are you beyond all life lines? / Beyond life / mechanized by tube, pump / pill and shiny metal, / yours / is pulse beat that knows / heart. / Nurse, / you with eye of compassion / listen, respond, and / monitor / touch / sound / smell, / sensing that time was when / time had time enough. / And / that in waiting to die, know / we are yet / Same. spring/summer 2009 35 alumnae/i voice 1970s Patricia (Mee) Marvin ’70 reports, “I am happy to share with my classmates and the Boston College community that I have been able to fulfill a life-long dream. With the support and help of dedicated and gifted volunteers, we have created a small nonprofit charity called Bible-mates. Bible-mates are beautifully handcrafted Bible character finger puppets. The finger puppets become the ‘storytellers’ of the greatest stories ever told. The response has been very rewarding. Our greatest challenge, however, has been marketing. I sometimes think maybe I should have audited a few classes in Fulton so many years ago. Who would ever have guessed?” Gracinda (Sebastiao) Bigelow ’71 has been a professor of nursing at a New Hampshire community college since 1991, and has worked at Littleton Regional Hospital in Littleton, New Hampshire since 1977. She notes, “I have so enjoyed the nursing educator role all these years. It is so gratifying to mentor our nursing students, assuring our profession of a continued supply of qualified professionals.” Gracinda has three grandchildren. Eileen (Dart) Bolesky ’71 retired from her work as a school nurse last year to sit for her first grandchild, Charlotte, while her daughter Kristin (A&S 1998) finished her master’s degree. Kristin and her husband Scott recently had another daughter, Katie, and bought 36 Boston College Nursing Voice a lovely home in Southboro, Massachusetts. Eileen’s daughter Kara (A&S 2002) lives in Boston and works for the Weather Channel in advertising. Eileen’s husband Ed is working as a senior vice president at Phillips Lifeline in Framingham and hopes to retire at the end of 2009. Ellen (Townsend) Freeman ’73, MS ’77 was recently appointed director of nursing and allied health at Three Rivers Community College in Norwich, Connecticut, where she is also a professor of nursing. Ellen brings more than 35 years of experience in clinical practice and nursing education to her new role. Previously, she has taught at Boston College, the University of Missouri, the University of Illinois, and William Rainey Harper College. Marjorie (Johnson) Schaffer, MS ’73 has co-authored a book, Being Present: A Nurse’s Guide to End-of-Life Communication, which will be published in 2009 by Sigma Theta Tau International Nursing Honor Society. The book includes stories of nurses from Norway and the United States, and their experiences communicating about end-of-life care. Many of the stories originated with Marjorie’s research on ethical problems encountered in end-of-life decision-making. This research was conducted in Norway, as part of a Fulbright for research and teaching. Mary (Blaszko) Helming ’76 earned a PhD in nursing science and spirituality from Union Institute and University in 2007. She is pursuing scholarly work by writing articles and book chapters, giving podium presentations, and presenting posters. Her interests include spirituality/religion and health, as well as integrative medicine. She is an associate professor and family nurse practitioner track coordinator at Quinnipiac University. Her family includes her husband, a 22-year-old son, an “adopted” 15-year-old daughter from Paraguay, and two dogs. Mary lives in Cheshire, Connecticut. Sarah Modrow, MS ’76 retired in 2006 from a fulfilling career teaching nursing in Canada. Now, she and her husband spend “the rainy half of the year” in Scottsdale, Arizona, where Sarah volunteers for the Scottsdale Fire Department in a fall prevention program for seniors. She spends the other half of the year in Victoria, British Columbia, enjoying gardening and fitness activities. She writes, “My education at Boston College has really been a life changer for me. I taught nursing full-time for thirty years and I never had a boring day at work!” Elizabeth “Bett” Schaffhauser ’77 joined the U.S. Public Health Service as a commissioned officer after graduation and was stationed in Kotzebue, Alaska, a native village above the Arctic Circle, for two years. She currently lives in Fairbanks, Alaska with her husband, Gerald Walker, with whom she recently celebrated 25 years of marriage. Their twin sons are both sophomores at Montana State University in Bozeman, Montana. Bett attained a law degree from Northwestern School of Law at Lewis and Clark College in 1985 and she currently works as the employ- ment and educational opportunity director for the Fairbanks North Star Borough School District. Maryrose Coughlin ’78 writes, “After a long award-winning career in nursing administration, I am enjoying being a staff nurse in a community health center in Springfield, Massachusetts.” Maryrose is the first Baystate Medical Center nurse to achieve certification in ambulatory care nursing. Ann Kennefick ’78, MS ’81 started a private health coaching practice four years ago. With a background in metabolics/hormones/diabetes, her focus is helping individuals integrate lifestyle changes, including diet, exercise, and stress reduction. She helps individuals with ADD/ADHD develop an understanding how foods impact attention/ mood and focus, helps midlife women and men understand why previous strategies in maintaining health no longer work, and promotes cholesterol reduction through lifestyle changes as an alternative to medication. Mary (McCarthy) Paschal ’78, MS ’81 works as the program coordinator for the Joslin Clinic in Needham, Massachusetts. Valerie D. Lewis-Mosley ’79 is in a master’s degree program, studying pastoral ministry with a concentration in Christian spirituality, at the Immaculate Conception School of Theology at Seton Hall University. She plans to cultivate her expertise in Christian bioethics, modeled on the teachings of the Catholic Church, to serve in pastoral ministry to those who are suffering with chronic and terminal illnesses. Valerie is looking forward to returning to Boston College in July 2009 for the AHANA Reconnect reunion to celebrate the 30th anniversary of AHANA, as well as her 30th class reunion. Mary Jane (Healey) Scott ’79 has worked for the past 10 years in school health, at elementary, high school, and college levels. She currently works at the MGH Institute of Health Professions as program manager of their new accelerated BSN program. She also works as a nursing boards specialist, having privately tutored over 500 students for the NCLEX-RN exam, with a 95% pass rate. 1980s Eileen Burke-Klein ’80 writes, “I have fond memories of my years at BC and recall the fantastic students I met and worked so closely with. I currently live in Southern California, and am married with three children. I went on and obtained an MS in industrial hygiene/ occupational health. My work as an occupational health consultant was very interesting and I plan on re-entering the workforce as my last child will start driving shortly.” Roberta Frey, MS ’80 retired four years ago from a position in a private pediatric office. She and her husband recently returned to Massachusetts, and are looking forward to being able to visit Boston College more often. Their daughter Erin is a veterinarian in Frederick, Maryland. Lauren (McSweeney) Labreche ’80 reports that Jennifer (Guiducci) Anderson, MS ’01, Lisa Ruffy, MS ’01, and herself all work in drug safety and risk management at Biogen Idec in Cambridge, Massachusetts. She notes, “All three of us previously worked in more traditional nursing roles but found our way into this exciting and challenging field that not many nurses know about.” Lauren learned about the opportunities available in the pharmaceutical industry while earning the Clinical Research Certificate offered by the Connell School’s Continuing Education Program. Sandra (Price) Shapiro ’80 is an adjunct nursing professor at Middlesex Community College. She recently published an article, “Addressing Self-Injury in the School Setting,” in the Journal of School Nursing. Based on the current research, this article offers a plan for prevention, early detection, referral, and early access to care for those adolescents who self-injure in the school setting. Christine Carlock ’81 recently published “Ethics and the Double Bind of Palliative Sedation” in Nursing Spectrum. Carlock writes, “The article discusses the rule of double effect, which has its origin in Catholic theological teaching.” Regina (Miller) Prindle ’82 earned a PhD in education from the University of Idaho, and is currently working as an assistant professor of nursing spring/summer 2009 37 alumnae/i voice at Gonzaga University in Spokane, Washington. She teaches in both the bachelor’s and master’s programs. Karen K. Giuliano ’84, PhD ’05 has been putting her research skills to good use as a principal scientist at Philips Healthcare in Andover, Massachusetts. In her role, Karen is responsible for directing the clinical outcomes research program in physiologic patient monitoring. In addition to directing the clinical research program, Karen’s nursing experience is a valuable asset in product development, and she is an active member of the R&D team. She notes, “Ten years ago I could never have imagined leaving the bedside. However, from the time I entered critical care I have had a keen interest in the responsible use of critical care technology. Being able to impact the development of that tech- nology by working at Philips has been a very rewarding experience for me.” Cynthia C. (Schipani) Adams, MS ’85 recently earned a doctoral degree in educational leadership at the University of Hartford. Cindy earned the Regents’ Honor Award for Graduate Studies for her doctoral research. She has presented her dissertation, “Dying with Dignity in America: The Transformational Leadership of Florence Wald” at many regional conferences, and recently had an article accepted for publication in the Journal of Professional Nursing. Cindy was also chosen by Connecticut Governor Jodi Rell as the 2008 Connecticut Nurse of the Year for her contribution to educat- ing nurses from diverse backgrounds. Cindy and her husband John live in Granby, Connecticut with their children Ben and Hanna. Mark Huether ’85 is the chief nurse anesthetist at Beth Israel Deaconess Medical Center. He writes, “I am attaching a photo of myself with Kristin Cina, a Connell School senior, spending the day in the operating room with me. As part of Kristin’s clinical rotation in our PACU, she spent a full day in the operating room observing my advanced clinical practice as a Certified Registered Nurse Anesthetist (CRNA). In addition, Kristen had the opportunity to provide actual patient care by learning and administering news: alumnae/i, faculty member inducted as aan fellows Six out of the 92 American Academy of Nursing (AAN) fellows inducted in 2008 were Connell School alumnae/i, including one faculty member. Fellows are selected by their peers for outstanding contributions and achievements in nursing. The AAN has approximately 1500 fellows, leaders in nursing education, management, practice, and research. AAN fellows pledge to work toward a better healthcare system by enhancing quality of care, reducing health inequalities, promoting healthy behaviors, and integrating mental and physical care. Rosanna F. DeMarco, MS ’76 is an associate professor at the Connell School. Committed to examining marginalization and health behaviors through partnerships with women living with HIV/AIDS, she is the co-producer of an HIV prevention education film entitled Women’s Voices Women’s Lives. The film is used by AIDS service organizations across the country and has been translated into Spanish and Vietnamese. The Massachusetts Association of Registered Nurses honored DeMarco with its Research 38 Boston College Nursing Voice Award and Boston College bestowed its University Alumni Award of Excellence in Health Care to her in 2007. Deborah A. Chyun ’78 is director of the Florence S. Downs PhD Program in Nursing Research and Theory Development, as well as associate co-director of the Hartford Institute for Geriatric Nursing at the College of Nursing, at New York University. Chyun’s research is focused on cardiac-related outcomes, psychosocial and behavioral factors, and quality of life in older adults with type 2 diabetes mellitus. Her findings have made a significant contribution to knowledge of cardiac autonomic neuropathy and asymptomatic heart disease, and have been incorporated into the American Diabetes Association’s clinical practice recommendations. Elizabeth A. Henneman ’79 is an associate professor at the University of Massachusetts Amherst School of Nursing and a practicing critical care airway management to several perioperative patients. It is very gratifying for me to be able to share my experience and passion for nurse anesthesia with students.” Donna (Malone) Pleus ’85 recently obtained an MSN from Monmouth University, and has been working as a school nurse for the past five years. She lives in New Jersey with her husband Michael (A&S ’85) and their three children: Jennifer, a junior at Boston College; Michael Ryan, a high school senior; and Matthew, a 7th grade student. Ann (Fallon) Hession ’86 is a pediatric nurse practitioner, working at the Norwood, Mass. office of Dedham Medical Associates. She lives with her husband and two children in Canton, Mass. nurse. Her work is dedicated to identifying and implementing the transformative changes needed to improve patient and family outcomes. Henneman’s work has consistently recognized the need for an interdisciplinary approach to solving complex healthcare problems, and she is currently collaborating on projects that include nurses, physicians, computer scientists, engineers, pharmacists, and business operations managers. Eileen M. Stuart-Shor, MS ’74, PostMS ’92 is an assistant professor in the College of Nursing and Health Sciences at the University of Massachusetts Boston, and a nurse practitioner and cardiology research fellow at Beth Israel Deaconess Medical Center. Stuart-Shor’s clinical work focuses on health disparities and improving cardiovascular out- Wendy (Salmonson) Starkel ’86 writes, “After 22 years as a critical care nurse I have just ‘retired.’ My degree from BC has sparked countless conversations and earned me intellectual respect from many of my peers. Its reputation as an academic front-runner for nursing is well known. I’ve spent the last 18 years moving around with my army officer husband and working critical care across the country. I’ve worked in every type of critical care unit that’s out there. It’s been an awesome ride and my BC degree has never let me down. My framed diploma proudly hangs next to my husband’s Bronze Star in our office. My son likes to point out how cool his parents are: ‘My dad has a Bronze Star and my mom went to school with Doug Flutie.’ He’s just 10; we’ll forgive his misdirected point!” comes for underserved populations. Her work establishing a nurse-led model for homeless individuals was recognized with a Schweitzer Fellowship and Humanitarian Award from the City of Boston. Joseph O. Schmelz, PhD ’96 is best known for his leadership in the protection of research participants as Institutional Review Board director at UT Health Science Center in Austin, Texas. Having served in the United States Air Force Nurse Corps for more than 20 years, Schmelz worked with Elizabeth Bridges to develop a program of research focused on the unique environment of military cargo aircraft reconfigured to transport critically wounded soldiers, in which even ordinary nursing care becomes extraordinarily difficult. 1990s Rosemarie D. Carvelli, MS ’90 works in private practice doing individual therapy and psychopharmacology in Hingham, Massachusetts. Barbara E. Wolfe, PhD ’95 was recently appointed associate dean for research at Boston College’s William F. Connell School of Nursing. Kathryn M. Beasley, MS ’96 writes, “I am retiring from the United States Navy in August 2009 after a 30-year career in the military. I will be retiring in a ceremony at the National Naval Medical Center in Bethesda, Maryland. I’m not sure what I’m going to do next, but I do plan to stay in the Washington, DC area.” Their “Care in the Air” research has significantly changed nursing practice and improved outcomes of transported patients. Dianne M. Danis, MS ’81 is the director for nursing practice innovation at the University of Wisconsin Hospital and Clinic in Madison. She has made many contributions to emergency, flight, and trauma nursing, and has served in many roles including clinical nurse, trauma program manager, emergency nursing clinical nurse specialist, manager for adult and pediatric emergency departments and on the staff of a state emergency medical services agency. Danis has a long association with the Emergency Nurses Association, and was awarded its most prestigious commendation, the Judith C. Kelleher Award. spring/summer 2009 39 alumnae/i voice Katie Mancina Collum ’97 and her husband, Brian, had their first son, Charlie, this past July. She works in Kansas City, Missouri for Children’s Mercy Hospital as a nursing program coordinator and health coach for weight management with the PHIT Kids Program. Katie writes, “I’m loving every minute of motherhood! I’m keeping busy traveling, bicycling, walking, cooking, and spending time with family and friends.” Darlene (Sliva) Bingham ’98 is a certified registered nurse anesthetist (CRNA) at Northwestern Memorial Hospital in Chicago, Ill. Darlene is married to Jeff Bingham, and has an eight-month-old daughter, Piper. Beth-Ann Norton, MS ’99 is a nurse practitioner at the Massachusetts General Hospital Crohn’s and Colitis Center. Prior to this, she worked at Brigham and Women’s Hospital in the Division of Colorectal Surgery. She recently co-authored a poster presented at the Crohn’s and Colitis Foundation of America’s (CCFA) Advances in Inflammatory Bowel Disease entitled, “Communicating Information to Crohn’s Disease Patients for Treatment Decision Making.” Beth-Ann’s daughter, Meredith, is a sophomore at Boston College, majoring in psychology and English. On a sad note, Beth-Ann reports that her husband of 22 years 40 Boston College Nursing Voice passed away in November, 2005. 2000s Talin Barsoumian ’00 is a clinical practice leader at Lawrence Memorial Hospital, where she manages a 34-bed telemetry unit. She writes, “I have been there since earning an MS in nursing administration in 2005, and have enjoyed the challenges that come with a leadership position.” Talin married her husband Leon in May 2006, and lives in Arlington, Massachusetts. Jennifer Maloney ’00 is a student at NYU, earning an MSN in adult acute care advanced practice nursing. She currently works in New York City as a critical care RN. Jennifer (DeNino) Kolenda ’01 writes, “I continue to live in Atlanta and work as an acute care nurse practitioner in neurocritical care at Emory Healthcare.” Deborah D’Avolio, PhD ’03 is a geriatric specialist at Massachusetts General Hospital, creating an innovative program designed to advance the care of older adults. The initiative is part of an 18-month geriatric nursing leadership academy offered by the International Honor Society of Nursing, Sigma Theta Tau. Cynthia Moreira ’03 completed a dualdegree program in 2008, receiving an MSN from Simmons College and an MS in public health from the Harvard School of Public Health. She is now working at Northwestern Memorial Hospital in Chicago as a nurse practitioner in the area of breast cancer. Britt (Frisk) Pados ’03 had an abstract published in Cardiology in the Young entitled, “Feeding Methods and Growth Trajectories in Infants Following Norwood and Norwood-Sano Procedures.” She also had an article published in the Journal of Pediatric Healthcare entitled, “The Blue Baby Blues: A Rare Case of Cyanosis in the Newborn.” She is working on a research project, “Heart Rate Variability as a Measure of Physiologic Work of Feeding in the Preterm Infant,” and presented findings at the Southern Nursing Research Society Conference this past February. Shaama (Saber) Chahoud ’04 earned a master’s in nursing and health care administration from the University of Pennsylvania in December 2008. She continues to work at The Children’s Hospital of Philadelphia in the emergency department/trauma center, while also teaching pediatric clinical nursing for the University of Pennsylvania. Karen Daley, MS ’04 received the 2008 International Sharps Injury Prevention Award. Karen is currently conducting her dissertation research, which looks at the meanings associated with the experience of sharps injuries. She encourages nurses who have sustained a sharps injury in the past 24 months to contact her at daleykg@bc.edu for information about participating in her study. Marion (Christensen) Godin ’04 is studying in the family nurse practitioner program at Florida Atlantic University, focusing on primary care of the family and dermatology. She and her husband Vincent live in Delray Beach, Florida. Ellen Zientara, MS ’04 is the owner of Sunflower Farm, a small communitysupported farm in Wellesley, Massachusetts. She writes, “My goal is to bring the farm stand and locally grown food back to my community. This has led me to become more involved in my local community. I am also currently serving as president of the Wellesley Housing Authority community garden. The garden was started in June 2008 by myself and a group of likeminded residents who saw a need to support themselves and help families who use the food pantry by providing them access to fresh locally grown organic food. The goal of the garden is to reduce food costs and reduce health disparities through a sustainable model. I also work as a school nurse, which keeps me on a nine-month schedule so I am able to farm.” Sarah Joy Carlson ’05 writes, “I was accepted to Johns Hopkins for a dual master’s in nursing and public health, but deferred my graduate studies for one year to volunteer in Liberia with a faith-based NGO. Liberia is five years post war and healthcare is minimal. There is no electricity, no water or sewage system, and no electric stoves. Hand pumps are now being dug to prevent the many waterborne sicknesses that are killing so many. I have been able to deliver babies, treat severe hot water and hot oil burns, assess patients, give daily health talks and daily devotions in the clinics, teach workshops for the clinic staff, organize the first-ever county health fair, organize clinic renovations, and help write clinical protocols and guidelines. I am excited to start graduate school in July of this year and excited to see the way God continues to grow my heart.” Rory E. Bartok, MS ’06 recently took a new position as a nurse practitioner in a Chronic Pain Management Specialty Clinic at Butler Memorial Hospital in Butler, Pennsylvania. She notes, “This is a very challenging job but a great opportunity to expand my practice and enhance my skill set!” Rory is a member of the American Pain Management Nursing Society. Megan Godio ’07 works at Brigham and Women’s Hospital on the neurology and neurosurgery unit. Nguyet Nguyen ’07 is an officer and ensign nurse in the Navy Nurse Corps, stationed in Maryland and working on a telemetry unit at the National Naval Medical Center. She notes, “It is very rewarding to be able to serve my country and to take care of soldiers who are fighting for our safety. The Navy also has many humanitarian services and deployment opportunities that I can participate in. It is an exciting career with many different opportunities for me to develop professionally and personally.” Laura Reed, MS ’07 is a nurse practitioner in kidney and pancreas transplants at the University of Virginia Medical Center in Charlottesville, Virginia. She notes, “Although I’m not currently working specifically in geriatrics, I continue to enjoy the older adult population and look forward to future endeavors dedicated to geriatrics.” Karen Schulte, MS ’07, pictured here with Caitlin O’Callaghan Gannan, MS ’07 and Janine Zuromski, MS ’07 at Caitlin’s wedding, writes, “I have been promoted to director of clinical trials nursing operations at Dana Farber Cancer Institute. Recently, I started working at the Clinical Research Center at MGH on White 13 as a per diem nurse practitioner where I am able to utilize my research background in a clinical setting as an advanced practice nurse.” Nadine Linendoll, MS/PhD ’08 reports, “My husband Dan and I gave birth to a baby girl on December 27, 2008. Her name is Ruby May Quintiliani.” Alumnae/i news is compiled from alumnae/i submissions as well as from a variety of outside media sources. To include your news and photos in the next issue, email us at: nursing. alums@bc.edu spring/summer 2009 41 dialogue Danny Willis | Jennifer Allen endnote Nursing as a service profession The insights that I offer I knew that I wanted to be a stem from the philo- nurse by the time I was five sophical perspective that years old. Maybe it was the nursing exists to serve nursing cap and pin given the needs of persons to me by my Aunt Peg or for humane interac- seeing the many ways that tions: in health and she was able to help oth- illness, choice, quality ers. During my childhood of life, and healing in and young adult years, I living and dying. Service never questioned my deci- begins with the possibil- sion to become a nurse. I ity of altruism and the believed then, as I do now, understanding that we all have life experiences in which we that dedicating one’s life to serving people experiencing illness need the help of others. Service uses knowledge about the was among the most noble things that a person could do. I human condition and awareness, arising out of one’s own vividly recall the first time I was present for the birth of a child experiences, of what “being well” and “experiencing suffer- born to a single mother, and the first time I held the hand of a ing” might mean for individuals, families, communities, and patient who was dying alone. These experiences left me with an societies. That is, according to Donaldson, “the knowledge of indelible feeling about the sacred connection that can be forged the discipline must ultimately support service to clients and between human beings. People who are complete strangers can the health of society.” transcend the illusion of independence, and experience a deep Historically, nurses met the health needs of humans wherever they were—in their homes, in war zones, hospitals, sense of interconnectedness in these moments. Over time, my practice has shifted from a focus on individu- nursing homes, schools, mental health residential settings, als to a focus on communities and populations. This shift has etc.—and exercised their special interest in vulnerable popu- been prompted by my appreciation of the ways that social, eco- lations, or those most in need. Service involves observing nomic, and environmental forces shape health. It has become and listening to human experiences of transition, challenge, increasingly clear to me that some groups—by nature of their suffering, and healing, so that we know how to proceed most socio-economic status, race/ethnicity, sexual orientation, or effectively. Service involves recognizing both the person and other characteristics—are systematically denied the resources environmental factors that influence prospects for health necessary to maintain their health. and healing and transformation and change even when there Health disparities are undeniably an issue of social justice are bodily disruptions in biological function, psychosocial and human rights. I have struggled with the notion that, as a functional status, quality of life, and perceived health. Nurses, highly educated middle-class white woman, I have benefited with their acute observation skills, knowledge of human care, from the social systems and hierarchies of power from which and consequent conception of professional responsibility, these disparities arise. My deepening appreciation for this are the perfect collaborators. They are able to bring together aspect of interconnectedness has altered my sense of what it synoptically a view of the whole that is crucial in the contem- means to be a member of a service profession. In my work with porary world given the environmental, economic, and social communities, I do not see myself as the “provider of service,” conditions of our time. but rather a partner in pursuit of a shared agenda: health equity. There is a well-known adage: “If you want peace, work for justice.” Work in pursuit of justice is a service, and a benefit, to us all. Danny G. Willis, DNSc, MSN, RN is an assistant professor at the Connell School. 42 Boston College Nursing Voice Jennifer Dacey Allen, DSc, MPH is an assistant professor at the Connell School. malnutrition bracelet This bracelet is a simple tool used in Haiti to measure malnutrition. Nurses and community health workers measure the length of the child’s upper arm with the string, then wrap the band around the upper arm. The color bars show whether the child’s arm is too thin, indicating malnutrition. william f. connell school of nursing 140 commonwealth avenue chestnut hill, ma 02467 non profit org. u.s. postage paid boston, ma permit # 55294