DukeNursing Creating Pathways for - 4 Creating New Pathways 14 Powering Innovative Connections - Duke University School of Nursing
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SUMMER 2019 VOLUME 15 NO. 2
DukeNursing
Advancing Nursing Education, Research and Clinical Practice
Creating Pathways for
Innovation
4 Creating New Pathways
for Innovation
14 Powering Innovative Connections
32 2019 Alumni Awards
DukeNursing magazine
SUMMER 2019 VOLUME 15 NO. 2
DUKE NURSING DEVELOPMENT AND ALUMNI AFFAIRS STAFF
Anita Stallings WRITING TEAM
Associate Dean, Development Cristina Smith
and Alumni Affairs LaWanda McCreary
Diana Staples Stephanie Scheller
Senior Director, Development Marla Gregg
Marla Gregg Bernadette Gillis
Director, Alumni and Development Aliza Inbari
Programs
CREATIVE DESIGN
Sarah Blumig
Director, Annual Giving and Hopkins Design Group
the Bessie Baker Society PHOTOGRAPHY
Kara Cockerell Ken Huth and Andrew Buchanan
Development Associate
Cheryl Belcher PRODUCED BY DUKE UNIVERSITY
Staff Assistant SCHOOL OF NURSING
Marketing and Communications
4 Creating New Pathways EDITORIAL STAFF Department
for Innovation Amy Baskin Copyright Duke University
Assistant Director, Marketing School of Nursing
and Communications
LaWanda McCreary
Communication Strategist
Creating Pathways for Stephanie Scheller
Public Relations Specialist
Innovation
NURSING BOARD OF ADVISORS JANUARY 2019 – DECEMBER 2019
4 Creating New Pathways for Innovation
Bimal R. Shah, MD‘01, MBA’01 EMERITUS MEMBERS
14 Powering Innovative Connections Chair Christy W. Bell
Gale Adcock Charles C. McIlvaine, T’87
Guy Cole Arnall, Jr., T’85 Sheppard Zinovoy
Daniel T. Blue III, T’95, L’01, B’01
32 2019 Alumni Awards Michele Chulick, BSN’77
Lynn K. Erdman
L. Sue Frederick, N’77, MD’83
School News Ruby G. Holder, E’88, B’93
Norma Marti
20 New Faculty, Recent Grant Awards Joanne L. Mazurki, T’74
and Promotions Bettye M. Musham, N’54
Orit Szulik
23 Accomplishments & Honors James E. Vanek Jr., T’01
Brett. T. Williams, T’81
40 Class Notes
44 Obituaries NURSING ALUMNI COUNCIL JULY 1, 2018 – JUNE 30, 2019
OFFICERS Kathleen V. Gallagher, BSN’75
On the cover: Innovation@ DUSON graphic - Marianne Tango Williams, BSN’81 Laura T. Gantt, BSN’79
2019 Ryan Shaw, PhD, RN and Duke University School of Nursing President V. Laurie Griggs, BSN’80
Elizabeth A. Lee, BSN’82 Aliki H. Martin, DNP’13
Vice President
Christine S. Pearson, BSN’84
Duke Nursing Magazine is published by M. Christine Fulgencio, MSN’99 Louisa Soler-Greene, DNP’14, MSN’13
the Duke University School of Nursing. Issues Secretary
are available online at nursing.duke.edu. Joan M. Stanley, BSN’71
Your comments, ideas and letters to the MEMBERS Judith A. Thorpe, BSN’77
editor are welcome. Please contact us at: Karen Jacobus Baxter, BSN’84 S. Celeste Toombs, MSN’00, GNC’02
Duke Nursing Magazine, c/o Marketing and
Communications Department, DUMC 3322, Susan Beck Davis, BSN’77 Constance E. Vaught, BSN’73
307 Trent Drive, Durham, NC 27710, Andrew R. Benson, MSN’09 Mary Ellen Wright, BSN’81
919-684-9356, michael.evans2@duke.edu.
Ellen G. Donaldson, BSN’81 K. Becky Zagor, BSN’80
Dean’s Welcome
Innervating Innovation
T hroughout my career, I have firmly
believed that if you bring a team of
nurses with diverse backgrounds
together in a room, that they can solve
Each of us gets out of bed every morning
with a passion for at least one aspect of
nursing. It might be a passion for clinical
practice, or for research or for education.
any problem you give them. Any problem If we as nursing leaders can focus the
at all. That is what real innovation is passion that each of our organizations
about. As nurses, we don’t innovate possess, and encourage it towards creative
just to innovate, we innovate to create problem solving today, while building
solutions that address the problems and capacity for solving tomorrow’s problems,
challenges we face. then we have created a true culture of
innovation.
Innervating means “to stimulate to action”
and “to supply with energy.” It requires I invite you to learn how we at Duke are
a new way of thinking and new, exciting attempting to innervate innovation within
collaborations with others. At DUSON, education, research, clinical practice and
we are creating a culture in which faculty health care policy. I sincerely hope some
and staff are encouraged, stimulated and of our experiences will spark a new
even expected to develop new, creative idea or two for your nursing community,
ways to address challenges in education, or stimulate a conversation about how
research and clinical practice. together we can build upon the best of
our profession and prepare for a very
Nursing and health care innovation does
exciting future.
not necessarily require a lot of resources
(although they certainly help), but it Sincerely,
does require focus, a willingness to open
ourselves up to new ways of thinking
about our profession, exploring new
collaborations with colleagues with who
we may not have traditionally worked,
D U K E N U R S I N G S U M M E R 2 019
Marion E. Broome, PhD, RN, FAAN
and to accept the risk of failure. Dean and Ruby Wilson Professor of Nursing,
Duke University School of Nursing
Vice Chancellor for Nursing Affairs, Duke University
Associate Vice President for Academic Affairs for Nursing,
Duke University Health System
1
Behind
the Scrubs
Following a presentation of a device
for repositioning immobile patients in
acute and long-term care at the 2017
Duke Innovation Jam, an annual event
created and managed by the Duke
Institute for Health Innovation, a
partnership evolved between DUSON,
Duke Health and Seneca Devices.
The product is designed to improve
caregiver productivity, reduce caregiver
back strain and reduce life-threatening
patient complications. The device
automates the patient turning and
boosting process, allowing one
caregiver to reposition the patient at
the push of a button.
DUSON’s Health Innovation Lab
assisted with simulated field tests to
assess the device’s safety, effectiveness
and ease-of-use.
Shown here testing the device in the
DUSON Simulation lab are current Pratt
Engineering Student Venice Leone,
inventor Samuel Fox E’18, Michele
Kuszajewski, DNP, RN, CHSE,
assistant director, Center for Nursing
Discovery, Nashonda Thomas, staff
assistant, Center for Nursing Discovery
D U K E N U R S I N G S U M M E R 2 019
and DUSON associate professor and
Director of DUSON’s Health Innovation
Lab, Ryan Shaw PhD’12, RN.
2
3 D U K E N U R S I N G S U M M E R 2 019
4 D U K E N U R S I N G S U M M E R 2 019
Creating New
Innovation
Pathways for
5 D U K E N U R S I N G S U M M E R 2 019
F
undamentally, nursing is about solving since many students may not yet have the knowledge
problems, whether it’s in a clinic, a to effectively interpret them. “The best teachers
classroom or a lab. At Duke University can translate knowledge in a way that users can find
School of Nursing (DUSON) we understand accessible,” Broome says.
this and strive to educate our students in Being innovative in instruction is critical to keeping
ways that support creativity and innovation, up with the dynamic and increasingly digital age of
core skills for problem-solving. In a digital health care because that is what practitioners and nurse
world, where access to information is scientists are dealing with every day, and their learning
virtually limitless, teaching and curricula must assume processes must reflect that reality. It’s natural to teach
the added challenge of capitalizing on new ideas and how one has learned, but because the world of science
approaches to health care while continuing to honor and information has changed so much, faculty have to
proven nursing practices and traditions. acknowledge and adjust to those changes in not just
To Dean Marion E. Broome, PhD, RN, FAAN, and what we know, but how we access and translate that
Ruby Wilson Professor of Nursing, nurses are natural knowledge, Broome says. “Younger generations have
innovators. Especially when they come from a variety different ways of looking at information that sometimes
of perspectives and experiences, she says, the sky is includes data, but also includes their impressions of other
the limit. “My observation has been you can give me people’s assessments of that data. It’s more a ‘group
any challenge, and if I can put a group of nurses in a think’,” she says. “They trust their intuition more than I
room together, who are very different and come from did when I was a nurse scientist. I always wanted data
different backgrounds, we can make huge strides and more data to make decisions.”
toward solving the problem. I don’t care what it is.” Even though a quick Google search can render almost
Because today’s practitioners and researchers rely every bit of information on a topic, that information
so much on readily available digital health information, becomes much more powerful and complex in the hands
faculty must continually adapt their approach to of someone who has years of deep study and learning,
teaching, mentoring and guiding their students, she heightening the importance of savvy instructors. “It
adds. An important task they have is helping students takes a certain kind of thinking to really be innovative.
filter through the mass of information and resources, I think almost everybody is innovative in some parts
“Nurses are
natural innovators.”
D U K E N U R S I N G S U M M E R 2 019
6
“Being
innovative
in instruction is
critical to keeping up
with the dynamic
and increasingly digital
age of health care.”
of their life. But innovation truly takes somebody who’s “When those students go out into practice and a
okay about failing at certain times and also is able to problem arises on their unit, they’re going to think about
then re-conceptualize their approach and see new solutions in an entirely different way,” Broome says,
possibilities in order to move forward,” Broome says, noting that this type of teaching gives students the room
noting that technology is one tool of innovation, but not and support to collaborate and expand their thinking.
the ultimate one. “It’s one mechanism to use, but it’s not One question faculty should be asking, Broome says, is
the be all end all. Innovators rely on data, intuition and “How do we really pull out the very best of our students
cues from disparate sources, combined with their vision and let them take their ideas and talents way beyond
of what could be.” what we thought they could?”
Teaching students how to think creatively by
structuring classes in new ways is another way of being Health Care Innovation
innovative. A class can be broken up into smaller groups DUSON will be offering a new course on health care
and given a case or problem to solve, Broome says. For innovation, created by Associate Professor Ryan
instance, an observation about a consistent increase in Shaw, PhD‘12, RN, and director of the Duke Health
no-shows at pediatric and prenatal appointments among Innovation Lab (HIL). The class will be situated within
certain groups of women should signal a need for an inter-professional education framework, Shaw
change. Students may be tasked with researching and says, with the goal to teach not only nurses, but also
gathering data about what has been happening, hearing physicians, physical therapists and engineers to work as
D U K E N U R S I N G S U M M E R 2 019
from providers and the women about their perspectives a group to create change.
of the problem. They might also observe a typical clinic “We’re trying to empower nurses to be able to act
visit from beginning to end or even take transportation upon their ideas and unmet needs to improve health and
women typically take to clinic. Then they collaborate health outcomes,” Shaw says, noting that collaboration
in small groups to puzzle out what social, political or with other disciplines enhances problem-solving skills.
economic issues might be driving the increase and also “We will educate our students to think in different ways
to look at the downstream effects of more no-shows. so that when they do graduate and they go into their
Each group could come up with different viable own practice, they have the skills and knowledge to be
solutions for how to reverse the trend or deal with its empowered to innovate.”
ramifications, thus giving the class as a whole a broader The HIL provides the support and resources for
and more complex view of problem-solving. students, faculty and practitioners at Duke who want
7
“Innovators rely on data,
intuition and cues
from disparate sources,
combined with
their vision of
what could be.”
to improve processes and patient care through learning that acknowledges different approaches
innovative thinking and ideas. Whether it’s testing and perspectives on health care produces students
the viability of a new product or brainstorming about who are better prepared to be critical and innovative
changing how data are collected, stored and used, thinkers, and ultimately better nurses when they
the goal is to support creative potential, Shaw says. graduate,” she added.
“I think it’s important for us to create a strategy so “The Accelerated Bachelor of Science in Nursing
that the School has direction for how to create new (ABSN) programs are perfect for this type of
opportunities for both our students and faculty. And approach because these students all come with
we also want to collaborate with practicing clinicians previous degrees. So they already come with different
who identify real-world problems within health perspectives and approaches to problem solving—
care and to be able to make a difference.” maybe one’s an engineer, one’s a sociologist,” Broome
Duke not only has the resources to innovate— says. “They’re going to learn much more from each
through its faculty, funding sources, and state-of-the other and it will be a deeper learning experience.”
art labs and tools—it also has a tradition of altruism. And that’s what innovation is all about, Broome
“The beauty of being at Duke is that’s what we are all says. “I look at DUSON and the intellectual and social
about: knowledge in the service of society,” Broome capital here, it’s pretty amazing. We have people
D U K E N U R S I N G S U M M E R 2 019
said. Creating new ways to teach so that the new who are incredibly strong researchers, incredibly
generation of nurses learn in a way that will serve strong practitioners, incredibly strong educators. And
them in a digital age can be a daunting task, but it’s when they bring it to bear on a challenge or an issue,
necessary to the pursuit of excellence, she says. But there’s very little stopping them.”
innovation doesn’t mean change for change’s sake, Broome encourages other schools to find ways
Broome warns. It must be methodical and thoughtful. to foster innovation and creative problem solving.
Her advice is to start with one course. “You don’t “Innovation doesn’t have to be expensive,” Broome
need to reinvent the entire curriculum, start with just said “Regardless of where you are, there is never
one course. Present students with a set of challenges enough time and never enough resources. It’s really
in health care and let them try to solve them,” Broome about identifying new ways of thinking and doing
said. “The outcomes could be exciting. Alternative what nurses already do so well.” n
8INNOVATION @ DUSON
+ Current need/problem? + Brainstorm + Prototype + Test devices + Cost + Business plan
+ Health Implications? + List potential + Mockups + Test processes + ROI + Product development
+ Data collection solutions + Iterate + Get feedback + Clinical evidence + Investment
+ Prioritize ideas + Improve design + Clinical trial
+ STUDENT SCHOLARS + STUDENTS
INPUTS OUTPUTS
+ FACULTY - MARKETABLE SKILLS
- CAPSTONE / DISSERTATIONS
+ CLINICIANS
- CAREER OPPORTUNITIES
+ INTERDISCIPLINARY PARTNERS
+ PRODUCTS
+ CARE DELIVERY MODELS
+ ENTREPRENEURSHIP
+ GRANT FUNDING
This model provides a human-centered framework
+ INVESTORS
D U K E N U R S I N G S U M M E R 2 019
to identify and solve complex unmet needs in nursing.
+ SCHOLARSHIP
By breaking down the process into iterative steps,
+ REPUTATION
this approach strengthens the potential for innovation.
+ LEADERSHIP
Adapted from the Design Thinking model at the
+ HEALTH/HEALTH CARE
Hass-Plattner Institute of Design at Stanford University.
+ POLICY
© 2019 Ryan Shaw, PhD, RN and Duke University School of Nursing
9NEW PATHWAYS FOR
Clinical Innovation
DUSON and Duke Heath System Partner to Launch
DNP Quality Improvement Scholars Program
A
cross the country, there is
significant demand within health
care organizations to improve
the quality of individual patient care
and the health of populations, while
reducing costs. Clinically, DNP-prepared
nurses are well qualified to lead entity
or system-wide quality and safety
improvement initiatives, but may lack
some of the specific knowledge in the
areas of data analytics and implementa-
tion science.
The DUSON-DUHS Quality
Implementation Scholars Program, Broome Fuchs Reynolds
a unique three-year pilot program
between DUSON and Duke Nursing, quality of care for our patients and their hold a variety of roles in administration
was created through a collaboration families who we serve, said Broome. and advanced practice. They serve
led by Marion E. Broome, PhD, RN, “At DUSON, we are creating innovative as formal and informal leaders who
FAAN, dean of Duke University School partnerships that can change the can, with the additional knowledge
of Nursing and Mary Ann Fuchs, trajectory of the role of nursing in major gained through the program, provide
DNP’10, MSN’90, RN, NEA-BC, FAAN, health systems.” the practical expertise and leadership
vice president of patient care and “The initial cohort is rich with to affect organizational change on a
system chief nurse executive for Duke experience and expertise. These nurse larger scale.”
University Health System. leaders will be on the cutting edge of Scholars will participate in courses
The first cohort of four DUSON- implementing new quality processes focused on analytic, methodologic and
DUHS Quality Implementation Scholars that will have a significant impact on the leadership competences associated with
began a 12-month certificate program patients that our health system serves,” implementation science. In addition
D U K E N U R S I N G S U M M E R 2 019
this summer. The students selected said Fuchs. to their full-time responsibilities in the
are already leaders in their field and will “DNP-prepared nurses within the health system, scholars will implement
continue to grow as quality improve- Duke Health System are an untapped a quality improvement project utilizing
ment experts. resource as we explore ways to data from existing databases and/
“This partnership is the first of improve the quality of care and patient or the electronic medical record to
its kind, and will allow senior-level outcomes,” said Staci Reynolds, PhD, evaluate the effectiveness of a change
DNP-educated nurses to develop the RN, ACNS-BC, CCRN, CNRN, SCRN, on quality, safety, cost and patient
skills necessary to provide solutions and lead faculty for this Program. “In our outcomes. n
implementation plans for improving health system, DNP-prepared nurses
10NEW PATHWAYS FOR
Policy Innovation
A Nursing Perspective Enhances Health Policy Discussions
A
dvocacy has always played a reforms, as well as improving models
central role in nursing. Whether for drug access and development.
advocating for a single patient Initially, the cohorts included Duke
or on a larger public health issue, students representing public policy and
nurses can provide a unique voice and law. However, in 2018 two nursing
perspective to health care discussions students—one DNP and one PhD—
at the local, state and national level. were added to the program, and in
“Our roots in advocacy go as far 2019 the cohort is being expanded to
back as the early 1900s when nurses include medical and business students.
worked with underserved populations “I am thrilled to have nurses repre-
to push for public health and health sented among our Margolis Scholars,”
care policy changes, said Dean Marion said Mark McClellan, MD, MPH,
E. Broome PhD, RN, FAAN. “Today director of the Duke-Margolis Center
it is more than just advocacy, nurses for Health Policy and Robert J. Margolis,
must be able to incorporate evidence MD, professor of business, medicine
into their advocacy. Given that many and health policy. “As someone who
people who work in health policy aren’t has studied and worked on methods to
clinicians, nurses can help bring that expand the role of nurses in alternative
perspective to conversation.” payment models and care delivery
Through an innovative partnership models, I am deeply committed to
and program at the Margolis Center enhancing the role of nurses in improv-
for Health Policy at Duke, nurses’ ing health outcomes,” McClellan said.
experiences as both researchers and PhD in Nursing student Michelle
clinicians are being brought into health Franklin and Lauren Arrington from
care discussions in a very unique way. the Doctor of Nursing Practice Program Margolis Scholars Lauren Arrington (l)
The Margolis Scholars Program in were selected as DUSON’s first students and Michelle Franklin (r) join
Dean Marion E. Broome in Washington D.C.
Health Policy and Management is an to be admitted to the Margolis Scholars
D U K E N U R S I N G S U M M E R 2 019
interdisciplinary cohort approach for Program.
graduate and professional students For Franklin, a pediatric nurse practi- Margolis Program, by bringing diverse
to engage in real-world public health tioner, the Margolis Scholars Program disciplines together, provides a rich
policy advocacy. The two-year program is helping to change how nursing opportunity for real world application.
combines academic and experiential is viewed in broader health policy The coupling of health policy education
training in health policy and manage- discussions. “We gain health policy in an interdisciplinary setting is crucial
ment working on practical challenges exposure in our individual programs and for translating knowledge into action.”
including Medicare and other payer disciplines,” said Franklin. “However, the continued on page 12
11NEW PATHWAYS FOR
Patient Care Innovation
Health Policy Discussions Transition to Home Care Innovations Reduces
continued from page 11
Readmissions—Improves Patient Outcomes
The Margolis Scholars Program is
meeting both personal and profes-
sional aspirations for Arrington. “I
became a nurse-midwife so that
I could develop clinical skills to
serve my community and under-
stand their needs and experiences,”
she said. “Most graduate students
are siloed in their particular
discipline. Through the Margolis
Scholars Program, we establish
a precedent for interdisciplinary
collaboration that will follow us
throughout our careers. We have a
seat at the table.”
“Working with Mark McClellan
and the Margolis Center has provided
a wonderful opportunity for our
DNP and PhD students to work DEFT Center Creator, Cristina Hendrix conducts a training class for family caregivers
on high-powered interdisciplinary prior to their patient’s discharge.
research teams,” said Broome. “They
W
can hone their articulation skills to hen an older patient is Research by DEFT founder Cristina
lend a voice as well-educated nurse discharged from the hospital, Hendrix, DNS, CNP-BC, FNP, FAAN,
researchers and clinicians that will everyone is hopeful the patient associate professor at DUSON, shows
help ground health policy in the real continues to recover and rehabilitate. that training and direct follow-up
world.” Avoiding hospital readmission is a with a patient’s support group post
The Robert J. Margolis, MD, Center top priority—not just from the patient hospitalization are keys to avoiding
for Health Policy was established in and their family’s perspective, but readmission. “The involvement of family
January 2016 with a $16.5 million gift also from a financial one. It’s costly on and friends is critical to preventing those
D U K E N U R S I N G S U M M E R 2 019
from Duke medical school alumnus many fronts when a patient returns for adverse events from occurring in elderly
Robert J. Margolis and his wife Lisa, hospitalization. For the past two years, patients as a result of not knowing what
through the Robert and Lisa Margolis the Duke Elder Family/Caregiver Training to do when they’re recovering at home,
Family Foundation. The Center's (DEFT) Center has been uniquely or not fully following post-hospitalization
mission is to improve health and the addressing this issue, improving 30-day instructions,” Hendrix said. “We want
value of health care through practical, readmission rates through an innovative to increase the level of confidence
innovative and evidence-based policy approach to post-hospitalization and preparedness in home caregiving
solutions. n support of elderly patients. and minimize preventable 30-day
12readmissions among the patients.” that I gained from my exposure to the to understand the situation.” Providing
The DEFT program, funded for three Duke Elder Family/Caregiver program was information that can be absorbed and
years by The Duke Endowment, brings the caring and genuine concern for the acted upon is an important aspect of the
together case managers, physicians patient, as well as the care and concern DEFT approach.
and nurses to broaden care protocols for me the caregiver,” he said. “No one Looking beyond DEFT, Hendrix
to include what happens after a patient else seemed to know what struggles that envisions caregiver support and training
is released from the hospital. Providers I was a going through as a caregiver and being employed for other situations,
identify family or friends who will help it was so good to talk to someone who such as for chronic disease management
the patient at home and refer them to would listen and offer help as needed.” with an aim of preventing the first
DEFT. Before the patient is discharged, Hendrix said after closely assessing hospitalization, or during the transition
their caregivers receive training, including the program since its launch in spring to end-of-life palliative care. “We started
learning how to do simple procedures. 2017, she has additional ideas for with post-hospital or the hospital-to-
The training also educates caregivers on improving the training and expanding home transition. Our intent is not to stop
managing follow-up appointments and it beyond post-hospitalization. For there, “Hendrix said.
prescriptions, and identifying red flags instance, making it easier for caregivers At DUSON, Hendrix has created an
that would signal the need for immediate to access training is one area for possible elective course on caregiver training.
medical intervention. In addition to the improvement. Hendrix said some Pre-licensure ABSN students also have
training, caregivers also receive follow-up caregivers face obstacles with scheduling the opportunity to observe the graduate
phone calls during the first 14 days after or transportation to their assigned students as they train caregivers, to enrich
a patient’s discharge to answer questions training sessions. She believes it’s their education outside the classroom,
and ensure better compliance with possible to overcome these barriers by Hendrix said.
discharge instructions. providing some of the training digitally, Hendrix believes DEFT has proven
According to one caregiver, “the DEFT using a closed system where information itself clinically, and she is now focused
program was introduced to me when my is downloaded for the caregiver to access on creating a business plan that is
wife was in Duke suffering from kidney at home on a mobile tablet. cost-effective and sustainable so that
failure. I participated in the training “Caregivers are thirsty for knowledge this innovative approach may reach its
session while my wife was just starting of certain points in time along the full potential, not only at Duke, but
D U K E N U R S I N G S U M M E R 2 019
dialysis. The support from the DEFT staff chronic illness trajectory. If everything is elsewhere.
was superb. Once discharged from Duke, going well, the caregivers may not be as “If we can demonstrate to the other
the DEFT staff kept in contact with me, interested. But if there’s a crisis—during hospitals and schools of nursing how
asking what resources that I needed.” hospitalization, during an initial diagnosis we were able to put an idea into action
Looking beyond simply training or after discharge—that’s when they and with good outcomes,” Hendrix said,
caregivers, the impact the DEFT program need the knowledge and will absorb as “then it might interest them to replicate
makes is tremendous. “The greatest thing much as they can because they want us.” n
13Innovation in nursing happens
at multiple levels, but it all starts
with an idea. Some ideas are
simple and grow from a practical
need a nurse might face in
clinical care. Other ideas may be
more complex, and involve
the use of technology or computer
Powering Innovative algorithms and databases to
assist the research of a nurse
Connections scientist. In all cases at Duke
School of Nursing (DUSON) ,
ideas have fertile ground in which
to flourish in large part because
of a supportive environment
and multi-disciplinary collaboration.
D U K E N U R S I N G S U M M E R 2 019
14Health Innovation Lab
Three years ago Ryan Shaw, PhD‘12, RN, process to follow through on ideas being
associate professor and Elizabeth C. Clipp generated by nurse faculty and clinicians.
Term Chair of Nursing and director of the “There was no pathway if you did invent
Duke Health Innovation Lab (HIL) at DUSON, something, or you found a new way to “It’s a place to
needed a place to test new technology in a deliver care to know what to do next. If be able to ideate,
clinical environment. He created the HIL to your concept was successful, then what prototype
provide structure and a physical home for did you do? Who could you talk with for and test concepts.”
clinicians, nurses, doctors and even engineers advice about whether or not you could
Ryan Shaw, PhD‘12, RN
and computer scientists to explore their ideas move forward with a patent prototyping or
in a practical setting. feasibility testing in the hospital?”
“It’s a place to be able to ideate, prototype The HIL, in conjunction with the School’s
and test concepts,” Shaw said, noting that Business Development Office and resources
before the lab, there was a limited support like the Duke Innovation & Entrepreneurship
Ryan Shaw, PhD’12, RN, works with ABSN students on TRINA, a collaborative robotics project
between the DUSON’s Health Innovation Lab and the Pratt School of Engineering
D U K E N U R S I N G S U M M E R 2 019
15Marybeth Tetlow, MSN’17 explains her invention, Line Snugglers to Duke University President Vincent E. Price.
Line Snugglers was tested and refined through DUSON’s Health Innovation Lab.
Initiative (Duke I&E), the Office of License in bed if they do slide, a common problem
and Ventures (OLV) and the Global Digital that can cause complications such as skin
Health Science Center at Duke, now facilitate abrasions or unnecessary discomfort for
that pathway not just for students and faculty patients. (see Behind the Scrubs, page 2)
at DUSON, but for scholars and practitioners With this concept, nurses came into the
across Duke as well. HIL to provide the engineer with direct
“It was a simple The lab helps test viability by assisting with feedback on his idea, so that he could then
setting up clinical trials of innovative ideas. refine and further test the product.
concept, but it was
One such idea, the Line Snuggler, has reached Collaboration across disciplines, a Duke
something that the patent pending stage with Shaw’s help. tradition, becomes important when the
really needed to be A Duke pediatric nurse, Marybeth Tetlow, innovation moves into other phases of
shared across MSN‘17, created a waterproof sleeve to development, Shaw said. “For example, I
D U K E N U R S I N G S U M M E R 2 019
the entire hospital house the multiple lines and tubes that would might point you to the DUSON Business
often get tangled or soiled by young ICU Development Office for additional
and across the
patients. “It was a simple concept, but it was support, or to Duke I&E or OLV for
country.” something that really needed to be shared more advanced business planning or
Ryan Shaw, PhD‘12, RN across the entire hospital and across the to identify possible funding sources,”
country,” Shaw said. he said. Both offices are sources
Shaw is currently working with Samuel of educational support, such as
Fox, E’18, who is creating an improved bed instructions about the process
with special fabric that will help keep inclined of how to get a patent, or what
patients from sliding down. The device also it means to license intellectual
is a mechanism to help move the patient up property.
16Through DUSON, the HIL and Duke In a similar vein, he hopes to help
I&E are currently working to create a create a course at DUSON that would
graduate certificate in innovation and bring teams from different schools
“…to help create something
entrepreneurship, which already exists at together to work on focused projects.
the undergraduate level at Duke, that One such example is the Duke Elder
that’s potentially
can be offered to nursing students. Family/Caregiver Training (DEFT) Center, more effective, and
“As a campus-wide initiative, Duke created by Cristina Hendrix, DNS, test those ideas in a
I&E helps form relationships that might GNP-BC, FNP, FAAN, associate professor research setting.”
be more difficult for faculty and those at at DUSON that facilitates caregiver
Dori Steinberg, PhD, MS, RD
individual schools to create themselves,” training for elderly patients’ post-hospi-
said I&E director Jon Fjeld, PhD, who talization (see story on page 12). Fjeld
teaches in the Fuqua School of Business envisions this innovative program as the
and is also executive director of the type of project that would be useful for
School’s Center for Entrepreneurship students in his course. Digital Health
and Innovation. “Bringing people from outside One of DUSON’s largest areas of
“The School of Nursing has always nursing into the School of Nursing to innovation and collaboration revolves
seemed very interested in the subject of help identify problems, imagine solutions around the trend of digital health and
innovation and entrepreneurship,” Fjeld and then push those solutions forward— data management. DUSON works
said, noting that he recently used TAMS, that’s what engagement should look closely with Duke’s Global Digital
a data-driven teaching management like,” Fjeld said. Health Science Center, whose mission
system born at DUSON and part of the Duke I&E also supports the efforts includes how best to leverage mobile
School’s business development efforts, of an annual event, the Innovation Jam, technologies, and Dori Steinberg,
that is now used at nearly two-dozen created and managed by the Duke PhD, MS, RD, associate professor at
schools nationwide, as a class project in Institute for Health Innovation (DIHI) DUSON, is associate director of the
the MBA program. in which DUSON participates. “[The center. Mobile technologies can be as
Innovation Jam] is a way to stimulate simple as a website, mobile apps, text
enthusiasm for innovation and also messaging or using connective devices
identify some early funding and advice like blood pressure cuffs, glucose
for promising projects,” Fjeld said. He monitors, and scales, Steinberg said.
is optimistic about what those future “A lot of what our Center is trying
projects might be, as DUSON and Duke to do is to work with the market as it
I&E develop their collaboration. “If we currently is to help create something
have this conversation in two years, I (with those technologies) that’s
believe we’ll be talking about lots of potentially more effective, and test
exciting things that we’ve done together.” those ideas in a research setting,”
Steinberg said.
D U K E N U R S I N G S U M M E R 2 019
Accessible technology can be a
double-edged sword, with endless
information that can often be over-
whelming and difficult to manage,
“The School of Nursing but at the same time, can also help
has always seemed individuals with their self-care needs.
very interested in the “As technologies become more
Fjeld available, health care is rapidly moving
subject of innovation and
entrepreneurship.”
Jon Fjeld, PhD
17into the hands of all types of consum- real-world problems to solve,” she said.
ers, said Marion E. Broome, PhD, “That’s why we have interdisciplinary
RN, FAAN, DUSON Dean and Ruby F. collaboration, in order to identify those
Wilson Professor of Nursing. clinical examples,” Broome said. “At
“At Duke, we With almost half of the nation’s Duke, we want to give our students
population suffering from a chronic and faculty opportunities to solve very
want to give our
disease, each person must actively complex kinds of issues. That’s why
students and faculty manage their illnesses. As technology faculty in other schools here at Duke
opportunities to evolves, health care professionals may often come to DUSON.”
solve very complex not always fully understand all of the Mobile phone apps are a common
kinds of issues.” technology patients and families could and excellent way to connect with un-
be using to monitor and improve their derserved populations who need help
Marion E. Broome,
health and illnesses, Broome said. with daily management of their chronic
PhD, RN, FAAN
“Those people who are developing health conditions, such as diabetes,
devices and technology day in and day hypertension and obesity. Steinberg
out are engineers and programmers,” has a background in nutrition and her
she said. “This is why reaching out research focuses on using these apps
to other disciplines is important to to improve health outcomes.
nursing innovation, and the reverse “(With apps) patients are tracking
can be true as well, for engineers and their steps and they’re tracking their
programmers who are looking for diet,” she says of the population that
uses fitness or nutrition apps. “But
they don’t know what to do with that
information. So the innovation here
is that we help those patients make
better sense of the data they are
collecting and provide them with the
support to really make the effective
life changes they need to achieve and
sustain their results.”
Using a technology platform known
as “Prompt” to gather the data from
the various personal devices, the Global
Digital Health Science Center creates
logic algorithms that make use of the
data in different ways. For example,
D U K E N U R S I N G S U M M E R 2 019
a participant who has increased their
number of steps they take each day
might receive automated text messages
congratulating them for their results
and encouraging them to continue their
progress. Or, if a participant using a
diet app that logs a meal that is high in
Dori Steinberg, PhD, MS, RD, associate professor
and associate director of the Duke Global Digital
Health Science Center
18fat, the algorithm could offer healthier
food options for the next meal in order
to better balance the patient’s nutrition.
“The innovation is not necessarily
the creation of a new tool that can
collect your data, but really how to
take that data and make it effective for
actual change. The next stage is where
we can implement that data into
systems so it’s really useful to patients
and their health care providers,” she
said. Resources like the HIL can help
with that process.
“What I’m doing is trying to help the
individual better change their behaviors
Health Innovation Lab Director,
and make the apps they are using more Ryan Shaw, PhD’12, RN and Glenn
useful to them. We don’t necessarily Masty, Project Manager, Duke
need to make more apps that collect Health Facility Planning, Design
and Construction, review the future
data, we need to do better with the home of the Health Innovation Lab
data that we already have.” housed in the new Interprofessional
Beyond proliferation of various Education and Care Center building
which will be connected to the current
apps, another concern for Steinberg is School of Nursing.
that many health apps aren’t approved
by the FDA. Currently, there is a push
to have more scientists and health M A K E YO U R M A R K O N
care professionals working on the
development teams for these new
technologies. And while there are
certainly areas where new apps and
technologies are waiting to be discov-
Health Innovation
A naming opportunity is available in the new education building,
ered, Steinberg believes a big part of which is scheduled to open this fall.
nursing innovation is taking what’s
already there and launching new ideas The Health Innovation Lab will be located on the second floor
from that platform. of the new building and will sit adjacent to the Interprofessional
The ultimate goal in any health care Education space. The lab will serve as the home base for collabo-
innovation, no matter how simple or rations among students and faculty from DUSON and across Duke
as they develop and test new products and innovative ideas.
D U K E N U R S I N G S U M M E R 2 019
complex, is improved health outcomes
for patients. Digital technologies that Alumni and friends have the chance to be a part of these
help patients help themselves, while innovations by making a gift to name the lab.
gathering data for electronic health
A gift of $1 million will name the lab and will support research
records so caregivers can access it
that creates new ideas, innovations, products, procedures, or
more effectively, brings the process full
interventions and health system changes to benefit the health
circle, Steinberg said. “There’s a lot of
of individuals and populations.
initiative at Duke to try and do that to
help people make sense of the data For more information, contact Anita Stallings, associate dean for
and to make it easier for the physician development and alumni affairs, at (919) 684-8862.
or nurse to access it.” n
19New Faculty Appointments
Mulawa Reynolds
Marta Mulawa, PhD, MHS, is an assistant Staci Reynolds, PhD, RN, ACNS-BC, CCRN,
professor. She is a behavioral scientist CNRN, SCRN , has held a joint position
whose research focuses on improving between Duke University School of
population health by examining and ad- Nursing (DUSON) and Duke University
dressing social and behavioral determinants Hospital (DUH) since 2015. Reynolds isn’t
of HIV treatment and prevention outcomes new to Duke. She taught in our ABSN
in global settings. As a postdoctoral and DNP programs, coordinated the Duke
U.S. NEWS & WORLD REPORT 2020
scholar in the Duke Global Health Institute, Advance of Nursing, Center of Excellence
2
funded through Duke’s T32 Interdisciplinary (DANCE) academic-practice partnership,
# Research Training Program in AIDS, she
contributed to research implementing and
evaluating social and behavioral HIV treat-
and is a clinical nurse specialist (CNS) at
Duke Hospital. In July 2019, as a new
member of the regular rank faculty, she
ment and prevention interventions in South will continue as the coordinator of DANCE
Best Graduate Africa and Tanzania. Mulawa’s research and will also split her time as a CNS in
Nursing School also aims to improve our understanding of the Duke University Hospital Infection
how social networks influence HIV-related Prevention Department. Reynolds research
behaviors in these contexts. She is engaged interests include implementation science,
in a new research collaboration in Cape quality of care, evidence based practice,
Town, South Africa to collect and analyze and infection prevention. Currently,
social network data among a cohort of she is the Principal Investigator (PI) for
perinatally HIV-infected adolescents and a stepped-wedge cluster randomized
she received a Bass Connections award to implementation science trial that aims to
customize a software tool to collect these improve compliance with chlorhexidine
complex network data among participants gluconate bathing in adult and pediatric
in this setting. Her most recent line of ICUs and Bone Marrow Transplant (BMT)
research is focused on the use of mobile units to decrease central line-associated
health (mHealth) interventions for HIV bloodstream infections. Before coming
treatment and prevention in both global to Duke, Reynolds was a neuro critical
and domestic settings. Mulawa is inter- care nurse and a neuroscience clinical
ested in developing innovative mHealth nurse specialist at Indiana University
interventions that engage social networks Health Methodist Hospital. She received
D U K E N U R S I N G S U M M E R 2 019
to improve HIV-related outcomes. She a bachelor of nursing in science degree,
received her MHS in International Health a Master’s degree as a clinical nurse
from Johns Hopkins Bloomberg School specialist, and completed her PhD from
of Public Health and her PhD in Health Indiana University.
Behavior from the University of North
Carolina at Chapel Hill.
20Recent Grant Awards Promotions and Transitions
National Institutes of Health /
R01 Administrative Supplement
“Acculturation Stress, Biomarkers,
and Psychopathology Among Howard Walker Gonzalez-Guarda
Hispanic Immigrants”
PI Rosa Gonzalez-Guarda / Gabriela
Nagy Carrasquel
$331,254 (February 1, 2019 – May 21, 2021)
Nursing & Patient Care Innovations
“Line Snugglers”
PI Ryan Shaw
$16,930
(September 26, 2018 – September 30, 2019) Steinberg Cadavero Falyar
Research Triangle Institute
“Development of strategies for
Family Planning programs to enhance
service delivery for men in FP settings
in The Philippines and Ethiopia”
PI Eleanor Stevenson
$71,961
Oyesanya Tola Vacchiano
U.S. NEWS & WORLD REPORT 2020
Valerie M. Howard Christian Falyar
2
appointed as Professor, appointed as Assistant Professor,
Track II Track II
# Julia K.L. Walker
promoted to Professor
with tenure, Track I
Tolulope Oyesanya
appointed as Assistant Professor,
Track I
Rosa Gonzalez-Guarda Denise H. Tola
D U K E N U R S I N G S U M M E R 2 019
Doctor of Nursing promoted to Associate Professor appointed as Assistant Professor,
Practice Program with tenure, Track I Track II
Dori Steinberg Charles A. Vacchiano
promoted to Associate Professor, appointed as Professor Emeritus
Track I
Allen A. Cadavero
appointed as Assistant Professor,
Track II
21Global Teaching Experience
Creates New Horizons and Perspectives
by Stephanie Scheller
When Carol Bartlett, MSN‘19 was Due to a significant shortage of physicians, It was by working with student nurses
considering where to pursue her MSN in nurses in Tanzania are absolutely essential in Tanzania that she realized that nurses
Nursing Education degree, one of the to ensure adequate health care is being around the world enter the profession
factors that convinced her to select delivered throughout the country, espe- for the same reasons – to help make a
DUSON was the availability for global cially in the rural communities that KCMC difference in the communities they serve
immersion experiences for not only the serves. In many cases, students at KCMC and in the lives of their patients.
ABSN students, but also for MSN students. know that once they graduate, they may Taking advantage of this global experience
Bartlett recently put her aspirations for be the only health care professional in broadened Bartlett’s perspective of
teaching at the international level to the their community, so they must have a her own abilities as a nurse educator, a
test through a teaching practicum and comprehensive understanding of, and a perspective that will help inform and shape
working with preceptors at Kilimanjaro confidence in, their ability to handle a how she sees herself within her career.
Christian Medical College (KCMC) School multitude of cases from the routine to
the advanced. “The reasons we become nurses are
of Nursing, a 600 bed teaching hospital truly universal,” she said. “My desire to
in Moshi, Tanzania. The experience was This was a responsibility Bartlett did not care for people and help educate future
profound, and more than what Bartlett take lightly. generations of nurses is not restricted
had hoped it would be. “Planning for this experience was difficult. to my native country. I want to care for
“It was an amazing opportunity to see Not only did I have to plan a nursing communities of people and
daily life and the practice of nursing in lesson, but I had to plan it for a group of I can do this by educating
another culture,” she said. “You cannot students taking into account the cultural others and extending
fully appreciate the health care needs of differences I knew were present,” said my reach to many.” n
a community by reading about them in Bartlett. “I took great care to create a
a book or online. Being fully immersed clear foundational lesson plan after I had
in a culture allows you to truly feel like taken the time to observe the nursing
you are a part of the community and faculty at KCMC. I was very impressed
understand the difference we can make with the students’ enthusiasm and
as nurses.” receptivity to the content.”
D U K E N U R S I N G S U M M E R 2 019
22Accomplishments
& Honors
Wei McConnell Corazzini
n Nursing and Engineering n VA–Duke Selected for Health Care
Students Collaborate to Quality Improvement Fellows Program
Enhance Care Outcomes The Durham Veterans Affairs Health Care System, the
PhD student Sijia Wei recently worked Duke University Health System and the Duke University
with Pratt School of Engineering student Schools of Medicine and Nursing have been selected as U.S. NEWS & WORLD REPORT 2020
1
and Biomedical Engineering Design one of just 12 sites nationally to participate in a VA health
care quality improvement fellows program.
#
Fellow Kayla Wright-Freeman to explore
how to measure social networks in Eleanor McConnell, PhD, MSN, RN, GCNS, BC, associate
people living with dementia and their professor is leading the DUSON participation in the program
caregivers. With the data collected that uses a unique interdisciplinary approach that applies
through the initial project, Wei will devel- advanced quality improvement, clinical and research
op intervention techniques and possibly approaches to improve health care delivery systems and Adult-Gerontology
provide data to enhance wellbeing of Primary Care
patient outcomes. The program’s intent is to develop the Nurse Practitioner
those affected by dementia. next generation of leaders who will improve patient safety
This DUSON-Pratt collaboration is also and health care delivery through innovation and quality
part of a Center for Nursing Research improvement.
funded population health pilot grant
that Eleanor McConnell, PhD, MSN,
RN, GCNS, BC, associate professor,
and Kirsten Corazzini, PhD, FGSA,
associate professor, are co-principal
investigators examining how the social
networks of people who are living
with dementia and their care partners
relate to their wellbeing.
U.S. NEWS & WORLD REPORT 2020
#
1
Family Nurse
Practitioner
Dean Marion E. Broome, PhD, RN, FAAN, received an honorary doctorate of science degree
during the University of Wisconsin-Milwaukee’s (UWM) 120th commencement ceremony.
She is the first nursing leader to receive this recognition from the university. “It was a privilege
D U K E N U R S I N G S U M M E R 2 019
to recognize your commitment and renowned expertise in the field of pediatrics and your
lifetime of research and service in the field of nursing and health care worldwide,” said UWM
Chancellor, Mark A Mone. “Your extraordinary contributions and accomplishments warrant
you being honored with this prestigious award,” he said.
23Accomplishments
& Honors
Oyesanya Richard-Eaglin
n Inspiration Behind Netflix’s Mindhunter Discusses n Oyesanya ACRM Early Career
Rape Trauma at 2019 Harriet Cook Carter Lecture Networking Group Chair-elect
Between 25 and 30 percent of females She is the inspiration behind character Tolu Oyesanya, PhD, RN, assistant professor,
and 10 percent of males will be sexually Wendy Carr in the Netflix hit TV show was recently appointed as chair-elect with the
assaulted over their life span and more Mindhunter, based on her research in Early Career Networking Group, housed under
than half will never report the crime to the 1970s when she and a colleague the American Congress of Rehabilitation Medicine
law enforcement. conducted a study based on interviews (ACRM). In her new role, Oyesanya will be
Ann Burgess, DNSc, APRN, BC, FAAN, with rape victims. When the FBI learned responsible for coordinating mentoring services
professor of psychiatric mental health of Burgess’ research, she was hired as a with ACRM, including expanding the mentoring
nursing at Boston College Connell School lecturer at the FBI Academy in Quantico, program for junior faculty, organizing mentoring-
of Nursing and professor emerita from Virginia where she helped advance their focused activities for the Early Career Development
the University of Pennsylvania shared understanding of violent sexual crimes Course and publishing content for the Early
these and other insights at the 2019 through her pioneering research on rape Career Networking Group’s quarterly newsletter.
Harriet Cook Carter Lecture. Burgess’ lec- trauma syndrome.
ture “Have We Advanced? Rape Trauma As an internationally recognized pioneer
Circa 2019” examined multiple high in the assessment and treatment of n Richard-Eaglin Selected as
profile cases throughout history and the victims of rape trauma and abuse, she 2019 FAANP Fellow
effects on the public’s view of rape. co-founded one of the first hospi- Angela Richard-Eaglin, DNP, APRN, FNP-
In her presentation, Burgess discussed tal-based crisis interventions programs BC , assistant professor, was selected as a 2019
the history of rape trauma and the for rape victims at Boston City Hospital Fellow of the American Association of Nurse
neurobiology of rape-related PTSD using before working with FBI special agents Practitioners.
cases to illustrate the types of sexual studying serial offenders and the links
She will join a group of leaders whose scholarly
trauma throughout the life cycle and between child abuse, juvenile delinquen-
and forward-thinking contributions have led to
current outlined models for victims and cy and subsequent perpetration.
meaningful improvements to health care and the
legal outcome alternatives for offenders. nurse practitioner role.
The American Association of Nurse Practitioners
fellows impact national and global health by
engaging recognized nurse practitioners to
lead new initiatives and support the American
Association of Nurse Practitioners mission.
D U K E N U R S I N G S U M M E R 2 019
U.S. NEWS & WORLD REPORT 2020
#
1
Adult-Gerontology
Acute Care
24Accomplishments
& Honors
Jackson Heflin
n DNP Student Jackson Selected as Duke - n DUSON Represented at
Johnson & Johnson Nurse Leadership Program Fellow SNRS Conference
Kina Jackson, DNP student, was recently is a partnership between Duke University A number of DUSON community members
selected as a fellow for the Duke - Johnson School of Medicine, Duke University recently presented at the 2019 Southern
& Johnson Nurse Leadership Program. School of Nursing and Johnson & Johnson. Nursing Research Society (SNRS) “Imagining
The Duke - Johnson & Johnson Nurse The program was created in 2013 to the Future through Nursing Research and
Leadership Program is a one-year provide leadership development for Innovation” Conference.
professional development experience and advanced practice nurses. Representing DUSON during conference and
pre-conference presentations were faculty
members, Debra Brandon, PhD, RN, CCNS,
FAAN, associate professor; Victoria Goode,
n Heflin to Lead Interprofessional Education and Care Center
PhD, CRNA, assistant professor; Nancy Crego,
Mitchell T. Heflin, MD, MHS, associate pillar of the 2016 Duke Health Strategic PhD, RN, CCRN, CHSE, assistant professor;
professor of medicine, has been named Framework, the center will provide an orga- Deirdre Thornlow, PhD, RN, CPHQ ,
associate dean for Interprofessional nizational home for this new initiative and assistant professor; and Michael Cary, PhD,
Education and Care and director of the will advance interprofessional education, RN, associate professor.
new Center for Interprofessional Education research, and collaborative practice across
In addition, Nicole Calhoun, PhD student;
and Care (IPEC). Duke Health. The Center will help trans-
Allison Stafford, postdoctoral associate;
With support from Chancellor Washington, form the culture and practice of patient
Eunji Cho, PhD student; Nicole Caviness-
the Schools of Nursing and Medicine and family-centered, team-based health
Ashe, Bridge Scholar; Uzoji Nwanaji, Bridge
worked collaboratively to establish the care by co-educating students from Duke’s
Scholar; and Yesol Yang, PhD student; also
Center. As a priority goal of the education four health education programs.
presented at the conference.
Congratulations to MSN student
and Duke Life Flight nurse
Edward Stene who was recently
commissioned into the United
States Army Reserve! Dean Marion
E. Broome, Lt. Col. (Ret) assisted
D U K E N U R S I N G S U M M E R 2 019
with the ceremonies. We thank
Edward for his service and share
our thanks to all of our DUSON
community, past and present, who
have served our country.
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