Climate Champions – School of Nursing. In their first highlight of Climate Champions on campus, the CWRU Office for Sustainability recognized the Frances Payne Bolton School of Nursing, their Human Resources Manager Kathleen O’Linn, and the school’s Green Team for their dedication to sustainability throughout their programming. Learn about some of the FPB sustainability efforts on the Sustainable CWRU blog
CWRU gets $1.6 million grant for nursing program to increase patient participation in clinical cancer trials. The National Cancer Institute is giving Case Western Reserve University researchers $1.6 million over five years to develop and nationally test a program designed to help oncology nurses educate cancer patients about clinical trials. The researchers, from CWRU's School of Medicine and Frances Payne Bolton School of Nursing, will be testing two components: educational materials in the form of texts, and a web-based program called Oncology Nurse IMPACT. They will see how effective each is, and which has the most impact in increasing the number of qualified cancer patients who participate in clinical trials. "Patients have fears about trials and researchers in general," said Barbara J. Daly, PhD, RN, FAAN, the Gertrude Perkins Oliva Professor in Oncology Nursing and Clinical Ethics Director at University Hospitals of Cleveland. "Even if they don't end up enrolling in one, [the program] helps to reassure people when they come into these big academic centers that it's OK to talk about clinical trials." Read more in The Plain Dealer
Support Team Aiding Caregivers of Cancer Patients Shows Success. Researchers from the Frances Payne Bolton School of Nursing devised and tested an intervention that quickly integrates a cancer support team to guide caregivers and their patients through difficult end-of-life treatment and decisions. In the study, funded by the National Institute of Nursing Research and the National Cancer Institute, caregivers reported a high degree of satisfaction from having a team comprised of an advance practice nurse, social worker, a spiritual advisor and the patient's oncologist explain what was happening and why during the dying process. The intervention's support team got involved in end-of-life conversations with the patient and caregiver at the first diagnosis of a late-stage cancer. "We owe it to the patients and caregivers to start earlier and think the choices through," said Sara Douglas, PhD, RN, associate professor at the School of Nursing and lead author. She conducted the research with colleague and principal investigator, Barbara Daly, PhD, RN, FAAN, professor of nursing. Read more in The Plain Dealer
Raising Grandchildren: When you’re a grandparent, childrearing brings extra challenges. Carol Musil, PhD, RN, FAAN, FGSA, The Marvin E. and Ruth Durr Denekas Professor of Nursing at Case Western Reserve University’s Frances Payne Bolton School of Nursing, was recently featured in U Magazine for her study on grandmothers as primary caregivers to their grandchildren. She says grandmothers who are the primary caregivers are at higher risk for depression and stress than other grandmothers are.
Improving Patient Care With Interprofessional Collaborative Oncology Practice. To meet the complex healthcare demands of today’s patients, healthcare professionals need to learn how to practice as members of an interprofessional collaborative team. Here at the Frances Payne Bolton (FPB) School of Nursing, we have placed a priority on advancing interprofessional collaborative practice in oncology through several interprofessional education (IPE) initiatives, says Polly Mazanec, PhD, ACNP, AOCN, FPCN, assistant professor at the School of Nursing. Read more in Oncology Nursing News.
5 questions with…infection prevention, control expert Irena Kenneley. Irena L. Kenneley, PhD, RN, APRN-BC, CIC, associate professor in the School of Nursing and an infectious disease expert, shares how a curiosity in the sciences led to a career in nursing. This weekend, Kenneley will teach a microbiology workshop for the next generation of infection preventionists at APIC’s annual educational conference in California. Learn more about Kenneley in this week’s five questions. Read more in The Daily.
My Bugaboo: Lyme Disease -- Can you hit the bullseye?. Irena L. Kenneley, PhD, RN, APRN-BC, CIC, associate professor in the School of Nursing and an infectious disease expert, sent out an alert about Lyme disease in her latest “My Bugaboo” column in the Association for Professionals in Infection Control (APIC) journal Prevention Strategist. She reminds the public to be particularly cautious between May and July and in the woods or backyards where wild animals like deer and field mice have been. These animals may be giving Lyme disease-infected ticks a ride from one place to another, spreading the disease. These animals can also include the family pets that might bring the ticks indoors. Read more in the Hudson Hub Times and read Dr. Kenneley's column here
Slogans sexualize breast cancer, marginalize survivors' pain. Mariah Wilson, a junior nursing student at the Frances Payne Bolton School of Nursing at Case Western Reserve University, wrote a guest column for The Plain Dealer, describing her feelings about breast cancer fundraising techniques and slogans. "I saw T-shirts that said "Stop the war on MyRaq" and "Save second base"," wrote Wilson, whose mother has undergone treatment for breast cancer. "The worst I saw was a campaign on YouTube where women paid men to grope them in the name of research. I was disgusted. Not only have these efforts sexualized breast cancer, they have also alienated survivors and the families they claim to support."Read more in the The Plain Dealer.
Local High School Students Learn About Careers in Gerontology. Students from the Upward Bound Math and Science Bridge Program visited the Frances Payne Bolton School of Nursing May 15 to learn more about careers in gerontology and the University Center on Aging and Health, directed by Diana Morris, PhD, RN, FAAN, FGSA. Bridges, coordinated through Cuyahoga Community College and led by Steven Lake and staff, is a collaborative program that connects high achieving high school students in the Cleveland Metropolitan School district with academic exposure and experiences at local universities. Latisha James, senior director of local government & community relations, helps facilitate the events at Case Western Reserve University. Nursing faculty participants included: Christopher Burant, PhD, MACTM, Colin Drummond, PhD, MBA, Evelyn Duffy, DNP, AGPCNP-BC, FAANP, Gregory Graham, PhD(c), and Camille Warner, PhD.
CWRU Researchers Profile Women's Employment, Caregiving Workloads, Efforts and Health. A study from Frances Payne Bolton School of Nursing provides a profile of women with the dual responsibilities of full-time paid work and unpaid care for an elderly family member. “We often hear caregivers talk about ‘how much time and effort it takes’ to provide care for their family members or neighbors,” said Evanne Juratovac, PhD, RN (GCNS-BC), assistant professor of nursing and the study’s lead researcher, “so we examined the experience of doing the workload on these women caregivers as the ‘workers.” She said the study is similar to how industry measures the impact of workload (including the time and difficulty of the tasks) and effort (the perceived energy it takes to do the work). Read more in the Hudson Hub Times
Addressing childhood obesity where children live, learn, and play. NHLBI-funded studies are using a variety of tactics to address the childhood obesity epidemic. The IMPACT (Ideas Moving Parents and Adolescents to Change Together) trial is a collaborative effort between multiple research and policy centers at Case Western Research University. The multi-level behavioral trial works collaboratively with community partners – parents, students, teachers, The Greater Cleveland YMCA, and the Cleveland Metropolitan School District – to implement the interventions. “Childhood obesity is a complex problem that requires complex solutions,” said Shirley Moore, R.N., Ph.D., FAAN, co-principal investigator for the IMPACT trial and professor of nursing and associate dean for research at the Case Western Reserve University School of Nursing in Cleveland. “We have learned that change is interdependent on the people you live with and your environment. In the IMPACT trial we aim to change families’ patterns.” Read more on the NIH National Heart, Lung, and Blood Institute.
Informal hospice caregiver pain management concerns. A significant portion of hospice care given at home is provided by unpaid and un-professional family caregivers. These caregivers typically experience some mixture and degree of emotional, social and psychological burden due to the demands put upon them to provide quality care. Research has previously identified that the most difficult area for the home giver to oversee is end-of-life pain management. Marjorie Kelley, PhD student, has been featured for an article in Palliative Medicine on a caregiver study. The primary purpose of the study was to, “describe and organize caregiver pain management challenges faced by home hospice caregivers of cancer patients” (Kelley, Demiris, Nguyen, Oliver, Wittenberg-Lyles). Read more.
Does counting sheep actually help you fall asleep? It's probably the oldest sleep advice in the books (right up there with sipping on a warm glass of milk), but it turns out counting sheep in your mind's eye probably won't lull you into the Land of Nod on a restless night. "The idea that it puts us to sleep is one of those old wives' tales," says Michael Decker, PhD, a sleep specialist and associate professor at Frances Payne Bolton School of Nursing. Anecdotally, one theory is that the idea originated when early sheep herders couldn't get to sleep at night because they were worried about all of the sheep in their field, according to Decker. So they'd soothe themselves by counting the herd up to make sure they were all safe. Read more.
Julie Mooney Named to Jump25.com 2014 All-Star Classic. Jump25.com has released the rosters for the 2014 All-Star Classic, which will be played on Sunday, April 13 inside the Rike Center on the campus of Otterbein University. Amongst those named to the roster was Case Western Reserve University senior guard Julie Mooney, who concluded her Spartan career with All-University Athletic Association honors this winter. In the classroom, Julie is a three-time UAA All-Academic honoree as a nursing major. Read more.
NW Ohio to play key role in chemical reform. The most recent federal laws governing toxic chemicals, contained in the Toxic Substances Control Act (TSCA), were put in place in 1976. No large-scale revisions have been made since. Proposed updates to decades-old federal legislation on chemicals in American-made consumer products are catching heat from Ohio's leading environmental advocacy group. Laura Distelhorst, MSN, RN, instructor, was quoted in the Crescent-News, as well as letters to the editor in the Ironton Tribune, and in the Salem News for her work on environmental health issues and with the Safer Chemicals, Healthy Families (SCHF) campaign. Possible connections between commonly-used chemicals and health problems like infertility and cancer have turned the public's attention to the TSCA. Some large retailers have taken it upon themselves to remove certain chemicals from their shelves in response to consumer demand for products deemed safe.
Video conferencing allows near and far caregivers to help loved ones. Of an estimated 65 million Americans who provide some type of care to an ill family member, about 7 million live at least an hour from the relative they’re caring for. The issue, then, is how to get these “distance caregivers” in the room when doctors meet with their patients and local, hands-on caregivers for exams and to discuss treatment. To combat this problem, Sara L. Douglas, PhD, RN, associate professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, recently directed a small pilot project that allowed long-distance relatives to be part of that conversation through real-time videoconferencing. Read more in The Daily.
10 Best Practices for Addressing Ethical Issues and Moral Distress. Ethical conflicts are pervasive in today’s healthcare settings, where organizations are trying to do more with less and medical advances and life-extending treatments often cause suffering. When unable to do what they consider the correct action, clinicians--nurses and other healthcare providers--may experience moral distress. “The nurse manager sets the tone, makes sure the nurses know the resources and provides the resources herself if the institution doesn’t have them,…and creates an environment that allows nurses to practice ethically,” said Barbara J. Daly, PhD, RN, FAAN, a professor at the Frances Payne Bolton School of Nursing, and director of clinical ethics at University Hospitals Case Medical Center in Cleveland, Ohio. Read more in AMN Healthcare News
Researchers developing technology to link patient records between hospitals, medical flight crews. Although trauma, heart and stroke patients benefit from being transferred from a local hospital to a higher-level care facility, it’s unclear why patients transferred with non-urgent medical conditions show at least a 30 percent higher death rate than had they stayed put, according to researchers from Case Western Reserve University’s Frances Payne Bolton School of Nursing. “We think the answer is somewhere in the medical records,” said Andrew Reimer, KL2 Scholar instructor at the Dorothy Ebersbach Academic Center for Flight Nursing at the nursing school. Reimer, working with Elizabeth Madigan, PhD, RN, FAAN, professor of nursing and associate dean for academic affairs as well as Case Western Reserve engineering and biostatistics experts, is developing technology that overcomes the communication problems and mines information from patient charts. Read more in The Daily.
Moms of children on life-sustaining devices embrace tips for managing over-stressed lives. Many mothers with children on life-sustaining medical devices, such as ventilators and breathing or feeding tubes, suffer physical and psychological distress from the stress of juggling treatments, appointments, therapies and daily family pressures. But researchers from Frances Payne Bolton School of Nursing found that an intervention, called “Resourcefulness,” which teaches moms how to better cope, bolsters the mother’s wellbeing and, in turn, benefits the whole family. Valerie Boebel Toly, PhD, RN, CPNP Assistant Professor at Frances Payne Bolton School of Nursing, directed the study with nursing school professors Carol Musil, PhD, RN, FAAN The Marvin E. and Ruth Durr Denekas Professor of Nursing, and Jaclene Zauszniewski, PhD, RN-BC, FAAN Kate Hanna Harvey Professor in Community Health Nursing. Read more on Health Canal.
Savrin, Iannadrea Discuss CHOMP on Fox 8. Note: Interview begins at minute 43:00. Carol Savrin, who directs CHOMP and the Frances Payne Bolton School of Nursing’s MSN Graduate Program, and Jean Iannadrea, instructor in the School of Dental Medicine discuss a three-year pilot program called Collaborative Home for Oral Health, Medical Review and Health Promotion—or CHOMP. The program allows patients at Case Western Reserve's dental clinic to receive simultaneous dental and medical attention.
Can’t find nurses for your program? These surgery programs grow their own. With aging nurses, the nursing shortage can only get worse. In terms of surgical nurses, the problem is made worse by the fact that most nursing programs don’t include a perioperative curriculum. About 50 persons have expressed interest in the mandated periop course that is part of the BSN curriculum at Frances Paynce Bolton School of Nursing, says Rebecca M. Patton, MSN, RN, CNOR, FAAN, Lucy Jo Atkinson scholar in perioperative nursing. The program is one of the few mandated in the country. Students are encouraged to scrub in. Read more in Same-Day Surgery.
How to Kick Your Snooze Button Habit Those first few moments of the morning -- when we're likely to be hitting snooze -- are pretty crucial in how the rest of your day goes. "In the early-morning hours, our brain starts preparing our body to wake up before we actually are conscious," says Michael Decker, PhD, RN, RRT, Diplomate ABSM, a sleep specialist and associate professor at the School of Nursing. "The way we wake up really sets our tone for the day," he says. Luckily for chronic snoozers, our internal alarm clocks are highly trainable, says Decker. Read more on The Huffington Post.
The Benefits of a Distance Caregiver Sara L. Douglas, PhD, RN, associate professor, Frances Payne Bolton School of Nursing, Case Western Reserve University, discusses the results of a pilot study that examined the benefit of having a distance caregiver (a relative) present via live video while the cancer patient met with doctors. Douglas says the study showed a statistically significant and clinically significant reduction of anxiety for the distance caregivers before the meeting versus after the meeting.Watch more on Oncology Nursing News.
Studies: Younger HIV patients more isolated, stressed than older patients; life expectancy improving Even as more advanced antiretroviral therapies are improving the length and quality of life of people with HIV, those on the younger end of the age spectrum are dealing with more stress and isolation than their older counterparts, according to findings by researchers at Case Western Reserve University that were published in the journal AIDS Care. “If we could find a sponsor, I would love to do this for five to 10 years,” said lead author Allison Webel, assistant professor at CWRU’s Frances Payne Bolton School of Nursing. Citing a diverse demographic that includes black and heterosexual female patients, and fewer substance abusers, Webel said, “I think we have a really great population to study here.” Read more in The Plain Dealer.