Category Archives: Executive Nurse Fellows

Jun 13 2013
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Human Capital News Roundup: Combating compassion fatigue, the effects of poor sleep, living wills, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

Getting less than six hours of sleep a night raises levels of inflammation among women with heart disease, and therefore increases the risk of a heart attack, according to a five-year study led by RWJF Health & Society Scholars alumnus Aric Prather, PhD. The findings did not hold true for men. United Press International and HealthDay are among the outlets to report on the findings.

RWJF Community Health Leader Darleen Reveille, RN, spoke to The Record about new community gardens in Garfield, New Jersey, and a program that will give 7th-graders and their families hands-on gardening experience as a way to learn healthy eating habits. “We’re trying to raise awareness in a fun way,” she said. “By creating these activities, you’re engaging the community, not just lecturing them on what they should do.”

“Nurses are particularly at risk for becoming overwhelmed and depleted,” RWJF Executive Nurse Fellows alumna Cynda Hylton Rushton, PhD, RN, FAAN, told the Washington Post about “compassion fatigue ” She said: “When the clinician suffers, so does the patient,” which is why many hospitals are using creative arts to help nurses manage stress and re-energize. Fierce Healthcare also picked up the story.

A study led by RWJF Physician Faculty Scholars alumnus Deverick J. Anderson, MD, MPH, finds that small community hospitals have higher rates of ventilator-associated pneumonia than larger hospitals, even though they use ventilators less frequently. The researchers hypothesize the disparity could result from limited familiarity with the equipment and the on-staff availability of fewer respiratory therapists and other specialty workers, News Medical and Fierce Healthcare report.

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Jun 11 2013
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The Chicago Parent Program: An Effective Tool for Low-Income, Urban Parents

Deborah Gross, DNSc, RN, FAAN, is the Leonard and Helen Stulman Endowed Chair in Mental Health & Psychiatric Nursing at the Johns Hopkins University Schools of Nursing, Medicine, and Public Health. She is also an alumna of the Robert Wood Johnson Executive Nurse Fellows program (2006-2009).

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As a child psychiatric nurse, my mission is to make a difference in the lives of families with young children, particularly those living in low-income, urban communities. 

There is now wide consensus that early childhood is the most cost-effective time for targeting prevention and early intervention. The foundation for children’s mental health is formed during the first five years of life, when 90 percent of brain development occurs. Since parents are the primary mediators of their young children’s earliest social and learning environments, any effort to promote mental health in young children must first and foremost engage parents and help them build up their strengths and caregiving capacities.

Nearly 20 years ago, I began searching the literature for parenting programs that had a strong evidence base and demonstrated substantial and enduring effects on parenting quality and children’s behavior. What I discovered is that the strongest programs available had been originally developed and tested on White, middle-class families. As a result, their content and delivery methods were often built on values and assumptions many families I knew could not relate to. 

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Jun 6 2013
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Human Capital News Roundup: Nurse PhD scientists, shared decision making, mammogram guidelines, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

RWJF this week launched the Future of Nursing Scholars program, a $20-million initiative to support some of the country’s best and brightest nurses as they pursue PhDs. The program will provide scholarships, stipends, mentoring, leadership development, and dedicated post-doctoral research support, the Philadelphia Business Journal reports. John Lumpkin, MD, MPH, RWJF senior vice president and director of the Health Care Group, said: “The PhD-prepared nurses the Future of Nursing Scholars program supports will help identify solutions to the country’s most pressing health problems, and educate thousands of nurses over the course of their careers.” Read more about the program.

Patients who are involved in their care spend more time in the hospital and increase the cost of their hospital stays, compared to patients who delegate medical decisions to their doctors, according to a study led by David Meltzer, MD, PhD. Meltzer is an alumnus of the RWJF Generalist Physician Faculty Scholars program, and recipient of an RWJF Investigator Award in Health Policy Research. Among the outlets to report on the findings: HealthDay, Time Magazine’s Healthland blog, United Press International, and Modern Healthcare.

A study led by RWJF Nurse Faculty Scholar Jodi Ford, PhD, RN, finds that having lived in a poor neighborhood as a teen—even if the teen’s family wasn’t poor—increases the risk of having chlamydia in young adulthood by 25 percent, compared to teenagers living in wealthier settings, Science Daily reports.

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Jun 4 2013
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Diversity in Nursing Education Helps Students Learn Respect and Appreciation for Differences

Mable Smith, PhD, JD, MSN, BSN, RN, is founding dean of the College of Nursing at Roseman University of Health Sciences (formerly the University of Southern Nevada) and an alumna of the Robert Wood Johnson Foundation Executive Nurse Fellows program. This is part of a series of posts looking at diversity in the health care workforce.

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A diverse nursing student body builds the foundation for a diverse workforce that can become effective in the provision of culturally competent care to patients. Our student body at Roseman University of Health Sciences is reflective of the diversity seen in the population that consists of Caucasians, African Americans, Hispanics, Asians, Native Hawaiian and other Pacific Islanders, to name a few.  This diversity is reflected in the health care system among workers and patients. Students bring a wealth of information that is shared with each other and with faculty.

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For example, in a class discussion on nutrition, students from various cultures shared how and what types of foods are used to treat certain illnesses. There were discussions on how food should be presented, such as hot versus cold, raw versus cooked.  Some students shared the significance of family presence during meals even for hospitalized patients. These discussions quickly incorporated religious practices and certain etiquettes to promote “religious correctness” when interacting with various cultural and religious groups. Students also provided insight into generational differences and changes with emphasis on the fact that many in the younger generation have not adopted the strict traditions of their parents and grandparents.

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May 23 2013
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Human Capital News Roundup: New Jersey nurses, increasing diversity in dentistry, taxes on alcohol, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

The New Jersey Nursing Initiative (NJNI), a project of RWJF and the New Jersey Chamber of Commerce Foundation, has graduated its first cohort of doctorally prepared nurses, NJ Spotlight reports. The new graduates are on track to become nursing professors, to help address New Jersey’s staggering 10.5 percent nurse faculty vacancy rate. Read more about the New Jersey Nursing Scholars who graduate this month.

In an op-ed for the Daily Journal, New Jersey Nursing Scholar Marlin Gross, MSN, APN, NP-C, writes, “I’m able to combine my love of nursing practice and education because NJNI put me on a fast track to a master’s degree in nursing… I also benefited from the program’s professional and personal development activities and its many mentoring and networking opportunities. But most importantly, NJNI helped me re-imagine my future. I now see myself as an emerging nurse leader and plan to enroll in a doctorate program in the fall to realize that vision.” Robert P. Wise, FACHE, a member of NJNI’s Leadership Council, also wrote about NJNI in an op-ed for The Times of Trenton.

Insight Into Diversity reports on the Dental Pipeline National Learning Institute, an RWJF-funded project led by the American Dental Education Association and the University of the Pacific Arthur A. Dugoni School of Dentistry. It is funding dental schools to create new recruitment projects that will help increase the number of underrepresented students at their institutions. Read a post on the RWJF Human Capital Blog by National Learning Institute Director Paul Glassman.

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May 16 2013
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Human Capital News Roundup: Oregon’s Medicaid system, ‘healthy’ fast food restaurants, primary care workforce innovation, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

RWJF Clinical Scholar Alan Teo, MD, MS, is the lead author of a study that finds the quality of a person’s social relationships influences the person's risk of major depression, regardless of how frequently their social interactions take place. “The magnitude of these results is similar to the well-established relationship between biological risk factors and cardiovascular disease,” Teo told Health Canal. “What that means is that if we can teach people how to improve the quality of their relationships, we may be able to prevent or reduce the devastating effects of clinical depression.”

RWJF recently announced the selection of 30 primary care practices as exemplary models of workforce innovation. The practices will serve as the basis for a new project: The Primary Care Team: Learning from Effective Ambulatory Practices (LEAP). Among them is CareSouth Carolina, the Hartsville Messenger reports. Learn more about the LEAP project and the practices selected for the program.

Low-income Oregonians who received access to Medicaid over the past two years used more health care services, and had higher rates of diabetes detection and management, lower rates of depression, and reduced financial strain than those without access to Medicaid, according to a study co-authored by RWJF Investigator Award in Health Policy Research recipient Amy N. Finkelstein, PhD, MPhil. The study found no significant effect, however, on the diagnosis or treatment rates of hypertension or high cholesterol levels.  Among the outlets to report on the findings: Forbes, the New York Times, the Washington Post Wonk blog, Health Day, and the Boston Globe Health Stew blog. Read more about Finkelstein’s research on the Oregon Medicaid system.

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May 10 2013
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An Innovative Nurse Residency Program Will Get Aspiring Rhode Island Nurses into the Community

Lynne M. Dunphy, PhD, FNP, is the founding nurse co-lead of the Rhode Island Action Coalition and an alumna of the Robert Wood Johnson Foundation Executive Nurse Fellows program. She is a professor and associate dean of external affairs at the University of Rhode Island’s College of Nursing, where she also holds the Routhier Chair of Practice. This is part of a series of posts for National Nurses Week, highlighting how nurses are driving quality and innovation in patient care.

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At the University of Rhode Island, I teach a graduate course in health care policy. Rhode Island Lt. Governor Elizabeth Roberts recently spoke to my class about health reform, and I showed her around our college of nursing. As we walked through rooms with high-tech simulation equipment and other labs that imitate real-life practice, she raised a question that resonated with me: Are your students getting out into the community? This is where our health care needs of the future will be.

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So many of our nursing students want to go into acute care, and I am concerned that they have not had enough exposure to the entire health care system. The following questions keep coming to mind:

  • Do they learn enough about all the settings they could work in?
  • Do they understand what their responsibilities and day-to-day activities would be in various settings, such as in a community health center or long-term care facility?
  • Do they understand how to implement population-based care?  
  • Are they ready for the challenging work of visiting patients in home care settings?  
  • Are they truly prepared?

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May 9 2013
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Nurse On-Call: The Boston Marathon Bombings

Carolyn Hayes, PhD, RN, NEA-BC, is associate chief nurse for Adult Inpatient and Integrative Oncology at Dana-Farber Cancer Institute and Brigham & Women’s Hospital (BWH) in Boston, MA. She is a Robert Wood Johnson Foundation Executive Nurse Fellow (2012). Here, Hayes reflects on how nurses provided quality care to patients and others traumatized by the bombing at the Boston Marathon. This is part of a series of posts for National Nurses Week, highlighting how nurses are driving quality and innovation in patient care.

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I remember a brief report on television, just after the Newtown shootings, when an emergency department (ED) physician in Connecticut said his emotional pain started with his realization that his ED was not getting any victims. It clearly overwhelmed him not to be able to help. At the time I felt for him but on Monday, April 15, after the Boston Marathon bombing, I truly understood him. I, along with other highly-skilled members of the health care and support teams at Brigham & Women’s Hospital, had the privilege of making a difference for the victims of that tragic event.

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That Monday, I was the operations section chief—the role designed to ensure staff, materials, supplies, and systems are in place to address whatever is occurring. On Friday the 19th, the day that Boston and surrounding towns were instructed to “shelter in place,” I was incident commander.

We saved lives and limbs in our ED that day. But we also tended to the anxiety, fear, and confusion created by an attack on our city. We addressed with patients, their families, family members of unidentified marathon victims, and ourselves, the existential gap created by the “why” of it all. We lived out what we had trained for, yet couldn’t comprehend. And we did it all as a community.

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May 2 2013
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Human Capital News Roundup: Medication errors affecting children with cancer, particulate matter, the needs of urban communities, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

CBS Evening News profiled RWJF Community Health Leader Roseanna Means, MD, who founded the nonprofit Women of Means in 1988 to provide free medical care to homeless women in the Boston area. Today, 16 volunteer doctors and staff nurses provide care at the city’s shelters to women with unique sensitivities and needs. Read a post Means wrote about her nonprofit for the RWJF Human Capital Blog.

A study led by RWJF Clinical Scholars alumnus Matthew M. Davis, MD, MAPP, finds more than 40 percent of American parents give over-the-counter cough and cold medicines to children under age 4, despite product label warnings to the contrary. Health Day and the Examiner report on the findings.

Helena Hansen, MD, PhD, an alumna of the RWJF Health & Society Scholars program, is the lead author of an analysis that concludes social determinants—rather than changes in the environment or flawed diagnostic criteria—help explain the dramatic rise in the number of Americans diagnosed with mental disorders in recent years. Health Canal and MedPage Today report on the findings.

Forty-seven percent of children with cancer who receive part of their treatment at home have been exposed to at least one medication error, according to a study led by RWJF Physician Faculty Scholars alumna Kathleen E. Walsh, MD, MSc. Those errors had the potential to harm 36 per 100 patients, and actually did cause injury to four per 100, MedPage Today reports.

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Apr 25 2013
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Human Capital News Roundup: Teen moms and obesity, female lawmakers, HIV prevention, and more.

Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni and grantees. Some recent examples:

A study led by RWJF Clinical Scholar Tammy Chang, MD, MPH, finds that women who had their first child before age 20 are more likely to be obese later in life than those who were not teen moms, Health Day reports. “When clinicians care for teen mothers, we have so many immediate considerations— child care, housing, school, social and financial support—that we may fail to consider the long-term health effects of teen pregnancy,” Chang said. Caroline Richardson, MD, a Clinical Scholars alumna, and Matthew Davis, MD, MAPP, an alumnus and program site co-director at the University of Michigan, co-authored the study with Chang.

RWJF Scholars in Health Policy Research alumnus Craig Volden, PhD, was a guest on MSNBC’s The Cycle to discuss his study published in the American Journal of Political Science. Volden and his colleagues examined the sponsorship histories of 140,000 bills introduced in the U.S. House of Representatives over the last 40 years, and concluded that female lawmakers may be more effective at passing legislation than their male counterparts, particularly during times of party polarization, because they tend to work across party lines.

A study led by RWJF Executive Nurse Fellows alumna Margaret Grey, DrPH, RN, FAAN, finds that Internet-based psycho-educational intervention programs improve outcomes for young patients entering adolescence with type 1 diabetes, Monthly Prescribing Reference reports.

Medical News Today and the MinnPost report on an article written by Gary Taubes, MSE, MS, recipient of an RWJF Investigator Award in Health Policy Research, in The British Medical Journal about the non-profit he co-founded, the Nutrition Science Initiative. The Initiative will fund nutrition and obesity research, which Taubes says has been flawed and inconclusive in the past. Learn more about the Nutrition Science Initiative.

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