Research
Chronicle
2006–2007
Y E O
M A Y E R
S W I F T - S C A N L A N
H A M I L T O N
O E R M A N N
The UNIVERSITY of NORTH CAROLINA at CHAPEL HILL
H O D G E S
B E E B E R
From the Dean
Dear Alumni and Friends,
will stay on at the school to work on
various grants and advise other student
Carolina Nursing is published by
The University of North Carolina at Chapel Hill
School of Nursing for the
School’s alumni and friends.
Dean
Linda R. Cronenwett, PhD, RN, FAAN
Sandra G. Funk, PhD, FAAN, Associate Dean for Research
Executive Content Editor
Jennifer Leeman, DrPH, MDIV
Research Assistant Professor
Managing Editor
Whitney L. J. Howell
Contributing Writers
Jennifer Leeman
Whitney L. J. Howell
Images and Photography
Catherine Carter
Dan Sears
Whitney L. J. Howell
istockphoto
Research Support Center Staff
Greg Workman, Administrative Assistant
Lindsay Baird, RSC Processing Assistant
Annie Skilton, RSC Processing Assistant
Design and Production
Duncan Design
This year marks the beginning of
and faculty research. Over the years, we
a transition phase for the School of
have been fortunate to have their strong
Nursing. With the construction of new
leadership and have benefited from their
observation and genetics lab resources in
ground-breaking studies and determined
the Biobehavioral Lab and the addition
efforts to secure consistent, sizeable grant
of seven new faculty who will conduct
financing for the school. We will always
research, a new era of nursing research is
be grateful for their work.
dawning at the School!
Over the past several decades, the
To carry on their important legacy,
seven nurse investigators—some new
SON has built and maintained a stel-
professionals and some veterans—joined
lar reputation as a world-class nursing
our School family this year. Combining
research institution. The School has
this new fount of intellect and research
ranked as one of the top five recipients of
facilities with the strong research tradi-
National Institutes of Health funding since
tions that already exist in the SON will
1994. As federal funding dollars continue
ensure that the School’s reputation as an
to wane, our consistent ability to capture
institution that fosters creative investiga-
a large portion of NIH dollars speaks
tion and produces expert nurse research-
highly of the quality of both our research
ers is secure for years to come.
and our researchers.
That firm research foundation is
These many changes hold great
promise for a year filled with growth and
Office of Advancement
Norma Hawthorne, Director
Anne Webb, Associate Director,
Alumni Affairs and Annual Fund
Whitney L. J. Howell, Associate Director,
Public Relations and Communications
Talat Qazi, Assistant to the Director
expanding this year. Construction on
development. In this issue, you’ll also read
an observation lab will allow some new
about the School’s research accomplish-
and veteran researchers to conduct more
ments over the past year. Please celebrate
studies on campus, including ones look-
with me the School’s incredible scientific
ing at depression and infant feeding
achievements.
School of Nursing
The University of North
Carolina at Chapel Hill
Carrington Hall, CB# 7460
Chapel Hill, NC 27599-7460
(919) 966-4619
E-mail: [email protected]
http://nursing.unc.edu
patterns. You’ll read more about the
The University of North Carolina at Chapel Hill
is open to people of all races, is
committed to equality of educational opportunity and does not discriminate against
applicants, students or employees based
on age, race, color, sex, national origin,
religion, or disability. It is the policy of the
University of North Carolina at Chapel Hill
that sexual orientation be treated in the
same manner. Any complaints alleging
failure of the institution to follow this policy
should be brought to the attention of the
General Counsel and the Assistant to the
Chancellor and Director for Minority Affairs.
observation lab and some of the work
Sincerely,
to be conducted there in this issue. In
addition to the observational facilities,
a new genetics lab will further expand
Linda R. Cronenwett, PhD, RN, FAAN
and enhance the resources that the
Dean and Professor
Biobehavioral Lab already offers, including
sleep study and physiological research.
But, the changes don’t stop with
our building. The face of Carolina nursing research is also transforming. At the
end of this academic year, two faculty
who helped fashion the SON’s research
efforts will retire. We are fortunate that
both Barbara Germino and Joanne Harrell
Contents 2006–2007
Features
2
6
Welcoming New
Faculty Researchers
The Cutting Edge of
Observational Research
The SON embarks on a
new era of research
The SON is creating a state-of-the-art
biobehavioral observation lab
15
Beginning Five New
Research Studies
18
New Research
Findings
Faculty recieve external
funding for new work
Research
Chronicle
THE UNIVERSITY OF
NORTH CAROLINA AT CHAPEL HILL
SCHOOL OF NURSING
2006–2007
9
Expanding Research on
Cancer and Cancer Care
21
Doctoral Student Grants
A banner year for funding
the future of nursing research
Summer Institutes 24
Faculty Research Activities ’06-’07 25
Faculty Research Grants 25
Educational and Professional Grants 27
Faculty Publications 27
Faculty Grant Review Activities 32
Faculty Editorial and Abstract Review Activities 33
Faculty Distinguished Professorships 34
Faculty Honors and Awards 34
Doctoral Student and Postdoctoral Fellow Activities 35
Welcoming
New Faculty Researchers
The University of North Carolina at Chapel Hill
School of Nursing (SON) has embarked on a
new era of nursing research. This year, seven
new faculty members who conduct research
began their work at the SON. While some
are just beginning their professional careers,
others come to the school with many years
of research experience.
WOW!
C
arolina’s the place to be!
Anna Song Beeber, PhD, RN Assistant Professor
Anna Beeber’s background is geriatric nursing, and her primary interest is in helping older adults and their
families get the resources they need so that older adults can continue to live in the community. She also has
clinical practice experience in geriatric acute, primary and long-term care, as well as in the Program of AllInclusive Care for the Elderly (PACE), a comprehensive program that provides interdisciplinary community care
for nursing home-eligible older adults.
In her dissertation, Beeber explored how elders, families and staff view the process of enrolling in the PACE
program and the barriers that arise during enrollment. As a post-doctoral fellow at the SON, she continued her
research on older adults and use of community-based long term care services by studying roadblocks to service
access and identifying patterns of service use. The National Institute of Nursing Research, National Institutes
of Health (NINR, NIH) funded her post-doctoral research through an Institutional National Research Service Award. She also received
funding from a John A. Hartford Foundation Building Academic Geriatric Nursing Capacity Fellowship.
She currently collaborates with Joshua Thorpe, PhD, MPH, at Duke University School of Nursing and with Sheryl Zimmerman, PhD,
in the UNC-Chapel Hill School of Social Work.
Vitals:
PhD, Nursing, University of Pennsylvania
MSN, Adult and Geriatric Nurse Practitioner Programs, University of Pennsylvania
BSN, Nursing, Hartwick College
2
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
beeber ~ hamilton ~ hodges
Jill Hamilton, PhD, RN Assistant Professor
Healthcare in the African American community is the focus of Jill Hamilton’s research. In particular, she is
interested in how older African Americans handle cancer survivorship, and as a three-time SON graduate, Hamilton
has returned to the School to conduct her work.
Hamilton’s goal in her current study, “Helping Older African American Cancer Survivors Cope,” is to evaluate
a questionnaire to measure coping strategies used by older African American cancer survivors. She received R01
funding from the NINR and National Center for Minority Health and Health Disparities, NIH, for the study. One of
Hamilton’s long-term goals is to develop a culturally sensitive measure of coping to evaluate the effectiveness of
interventions with older African American cancer survivors.
After earning a BSN from the SON, she took positions as a staff nurse at Duke University Medical Center and,
then, Emory University Hospital. She also completed post doctoral work at Oregon Health and Science University.
As a faculty member, Hamilton has held positions at the North Carolina Central University Department of Nursing, the Nell Hodgson
Woodruff School of Nursing and UNC-Chapel Hill.
Vitals:
PhD, Nursing, University of North Carolina at Chapel Hill
MSN, Nursing, University of North Carolina at Chapel Hill
BSN, Nursing, University of North Carolina at Chapel Hill
Eric Hodges, PhD, APRN, BC Assistant Professor
Nutrition during childhood has been a longtime interest for Eric Hodges. For the past 10 years, he has honed his
skills as a nurse, family nurse practitioner and child nutrition expert at academic institutions nationwide. Now, he
focuses on mother-child feeding cues and patterns, specifically how a mother or guardian responds to a child’s
hunger and fullness signs.
Hodges is studying childhood nutrition in an effort to stave off the rising trend of obesity in children. One of
the long-term goals of his research is to teach mothers and guardians how to readily identify feeding cues so they
can respond appropriately.
While advancing his education, he also taught human development courses with an emphasis on children and
adolescents. He received funding from the NINR, NIH, the Nurses Educational Fund Inc., and the Northwest Health
Foundation for his doctoral research. Funding for his post doctoral work came from the National Institute for Child Health and Human
Development, NIH.
Vitals:
PhD, Family Nursing, Oregon Health & Science University
MSN, Family Nurse Practitioner, George Mason University
BSN, Nursing, University of Tennessee-Memphis
BA, International Studies, University of North Carolina at Chapel Hill
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
3
mayer ~
Deborah Mayer, PhD, RN, AOCN, FAAN Associate Professor
Improving cancer care and studying the needs of cancer survivors have fueled Deborah Mayer’s 30-year career.
Her passion is developing the next generation of nursing strategies for this area, including applying healthcare
strategies online.
As a research scientist at Tufts-New England Medical Center, she joined a NIH-funded research project
to create a Web site for families with children undergoing bone marrow transplant. The site offers help and
information that can positively affect the child and family’s quality of life. Mayer also wants to develop a Web site
for adults that will provide details about the long-term effects of cancer treatment and ways to decrease the risk
of cancer recurrence or the development of new cancers.
Mayer is a past Oncology Nursing Society president and was recently appointed editor of the ONS
Clinical Journal of Oncology Nursing. Before joining the SON faculty, she was co-founder and chief medical officer of Cancer Source,
www.cancersource.com, a comprehensive and personalized source of cancer-related information.
In addition to her faculty appointment with the SON, Mayer is also affiliated with North Carolina Memorial Hospital and the
Lineberger Comprehensive Cancer Center.
Vitals:
PhD, Nursing, University of Utah
MSN, Medical-Surgical Nursing (Oncology), Yale University
BSN, Nursing, Excelsior College
NP certificate, Nursing, University of Maryland
Diploma, Nursing, Pennsylvania Hospital
Marilyn Oermann, PhD, RN, FAAN Professor and Chair, Division of Adult and Geriatric Health
Marilyn Oermann has had a prolific career studying and writing about nursing education and ways to
improve teaching strategies. Currently, her work centers on how research reports, Web sites and other
sources are used in clinical nursing literature.
With so much information available in the Internet age, one goal of Oermann’s research is to
encourage nurse authors to carefully weigh the information they use when writing, especially since more
researchers are choosing to glean information online. In a recent study, she determined that 33 percent
of Web site citations are defunct after five years, and 20 percent disappear within a year of publication.
Oermann has also written many books, chapters and articles on nursing education topics.
She is the editor of the Journal of Nursing Care Quality and past editor of the Annual Review of
Nursing Education.
Vitals:
PhD, Curriculum and Instruction, University of Pittsburgh
MSNEd, Medical Surgical Nursing/Nursing Education, University of Pittsburgh
BSN, Nursing, Pennsylvania State University
4
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
oermann ~ swift-scanlan ~ yeo
Theresa Swift-Scanlan, PhD, RN Assistant Professor
Swift-Scanlan’s road to researching the epigenetics of breast cancer began far from any nursing school. She began
her career working in marine biology, became interested in healthcare during her work with the Peace Corps and
slowly wound her way to study genetics and nursing.
Swift-Scanlan is studying the genetics and molecular biology of breast cancer with the goal of advancing
cancer prevention and early detection. Throughout her career, she has received funding from several institutions.
Her doctoral studies were funded by a National Research Service Award from the NINR, NIH, and a Doctoral
Scholarship in Cancer Nursing from the American Cancer Society.
Swift-Scanlan plans to build on the findings from her epigenetics research to improve risk assessment
and, hopefully, assist women in making decisions regarding screening and risk-reduction measures, such as
mastectomy and chemoprevention.
Vitals:
PhD, The Johns Hopkins University School of Nursing
BSN, Nursing, The Johns Hopkins University School of Nursing
MS, Marine Molecular Biology, University of Maryland
BS, Biology (focus in marine biology), Old Dominion University
SeonAe Yeo, PhD, RNC, FAAN Associate Professor
SeonAe Yeo’s career as a nurse midwife, nurse practitioner, researcher and educator has moved her frequently
between the United States and Japan. She is a women’s health researcher focused on physical activity and exercise
among pregnant women.
With funding from Blue Cross and Blue Shield and the NINR, NIH, Yeo tested the effect that walking had on a
woman’s risk of preeclampsia as compared to the effect of stretching. In addition, she has studied the relationships
among overweight/obesity, physical activity and the incidence of depression among pregnant women.
Yeo plans to continue to focus her research on interventions to reduce risk of preeclampsia in high-risk women.
Vitals:
MSN, Nursing, University of Illinois
PhD, Health Science, Tokyo University
MS, Health Science, Tokyo University
BSN, Nursing, St. Luke’s College of Nursing
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
5
On the Cutting Edge of
Observational Research
Behaviors can greatly affect the risk for
behavior and measure the effect inter-
many chronic illnesses. Physical activity
ventions have on behavior change. To
and eating a healthful diet, for example,
help researchers study behavior, the SON
can decrease the risk for a range of
is creating a state-of-the-art observa-
chronic diseases, such as cardiovascu-
tion lab in its Biobehavioral Lab (BBL).
lar disease, cancer and diabetes. How
Researchers using observational
caregivers behave can also influence the
research methods typically videotape
health and well being of the individuals
individual behavior or interactions
for whom they provide care. A mother’s
between two or more people, such as
responses to her infant can affect the
a mother and child. Videotaping may
child’s development. Likewise, the way
occur at the SON or at an off-site loca-
certified nursing assistants interact with
tion, including the subject’s home or a
nursing home residents may be central
healthcare setting. Researchers review
to residents’ emotional well being.
the videotapes and code and analyze
Researchers in the School of Nursing
(SON) use observational research methods to better understand human
the behaviors, often using software
specially designed for that purpose.
“We have an explosion of
observation-related research
going on among researchers
studying mental health and
among those studying children
and infants,” said BBL director
Virginia Neelon, PhD, RN.
The new BBL observation lab will
include an observation room, video and
audio recording equipment and computers for data coding and analysis. The
observation room will be soundproofed
to ensure privacy and will be equipped
with multiple video cameras, allowing investigators to view behavior from
more than one angle. Researchers will
be able to observe subjects of all ages
from very young infants to older adults.
A dedicated set of computers in the
lab has the software necessary to code
and analyze observational data. The
BBL’s biomedical engineer, Brant Nix,
continues to be one of its most valuable
resources. Nix trains faculty and their
research teams to use the coding software and to transfer and store videos.
He also provides advice on which recording equipment to purchase and use.
A sketch of the layout for the new observation lab
that will be part of the Biobehavioral Lab. This facility
will give study participants privacy, but will also allow
researchers to gather data in a controlled environment.
6
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
School of Nursing Faculty using
Observational Methods
Suzanne Thoyre, PhD, RN, was among
study the feeding interaction between
the first faculty members to use obser-
parents and their 1- to 3-year-old chil-
vational methods in the SON. She ini-
dren with Down Syndrome. Close to half
tially studied the behavior of premature
of children with Down Syndrome have
infants and nurses during bottle feed-
difficulty making the transition to foods
ing in the hospital. Premature infants’
that require chewing. Children who don’t
irregular breathing during feeding can
learn to chew foods have lifelong food
cause hypoxemia and may lead to neu-
restrictions and are at greater risk for gas-
rologic injury, dysfunctional feeding
trointestinal problems and malnutrition.
patterns and poor growth. By better
In a pilot study, Thoyre and Van Riper
understanding feeding behaviors, Thoyre
videotaped mothers feeding their infants
hopes to train nurses and parents to
either a bottle or breastfeeding. Mothers
minimize episodes of respiratory dis-
were then interviewed about their work-
tress and hypoxemia during feeding.
ing model of feeding, using a video play-
To study infant and nurse behav-
back interview strategy. Parent and child
iors, Thoyre videotaped feedings with a
close-up of the infant and developed a
behaviors were observationally coded.
“Many of the same principles apply to
A research assistant observes and codes research
footage from Sue Thoyre’s feeding study.
“What you see with depressed mothers is that the infant cues her, and the
coding system for the feeding interaction.
feeding both infants born prematurely and
mother may not respond, over responds
Swallowing and respiratory sounds were
young children with Down Syndrome,”
or may respond inappropriately.”
transmitted to the videotape from a small
Thoyre said. “In both cases, parents have
microphone placed on the infant’s neck.
difficulty when their child responds in an
A research assistant coded the feeder’s
unexpected way during feeding. Through
interaction is disrupted, children are at
behaviors, such as when the nurse put
my research, I hope to help parents bet-
greater risk for developmental and psy-
the bottle in the mouth, moved the
ter adapt to the needs of their child.”
chological problems. Beeber is testing
nipple back out to encourage breathing,
Linda Beeber, PhD, RN, CS, is using
skills-based intervention that partners
as well as the infant’s state and readi-
observational methods to study interac-
master’s-prepared psychiatric nurses with
ness for feeding. A speech pathologist
tions between mothers with depres-
mothers for five months. Beeber uses
then coded the infant’s responses to
sive symptoms and their infants and
observational methods to determine
the feeding, specifically when the infant
toddlers. Depressive symptoms can
how sessions with the nurse affect the
became behaviorally disorganized or
impair mother-child interactions.
mother’s interactions with her child.
nipple to encourage sucking or took the
the effectiveness of an interpersonal and
demonstrated swallowing or respiratory
dysregulation. In addition to observational
data, oxygenation, heart rate, respiratory and sucking data were collected
using a system custom-made in the BBL.
Mother-child interactions are central
to a child’s development. When this
A data collector goes to participants’
“There has to be an integrated
dance between mother and child
that involves a reciprocal cuing
and responding,” Beeber said.
homes and videotapes 45 minutes of
unstructured interchange between
the mother and child. Expert coders
then view the tape and code differ-
In more recent research, Thoyre is partner-
ent aspects of the child and mother’s
ing with Marcia Van Riper, PhD, RN, to
behaviors and their interaction with
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
7
A child participates in Linda Beeber’s study of Hispanic
mothers living with depression. Beeber is studying
mother-child interactions and how depression can
affect how a mother responds to her child’s cues.
Eric Hodges, PhD, APRN, BC,
each other, such as eye contact, physical
devoted much of his early career to
10-minute span immediately before an
pediatric healthcare, and he will con-
infant feeds until the minute immedi-
tinue that research using observational
ately following to assess how engaged
methods to study mother-child feed-
both parties are in the feeding process.
ing cues and patterns in the BBL.
Through these interactions, Hodges
closeness, teaching and touching. They
“Childhood obesity is a growing
can see when the infant first presents
also assess the mother’s overall sensitiv-
problem that could gain its foundation
hunger cues and how long it takes for
ity and responsiveness to the child.
The National Institute of Mental Health,
during infancy,” Hodges said. “To help
the caregiver to respond with food.
control this epidemic, we need to deter-
Additionally, he can determine when the
National Institutes of Health (NIMH, NIH)
mine whether certain patterns of caregiver
infant gives cues that he or she is full
and the U.S. Department of Health and
responses to infant feeding cues undercut
or when the caregiver stops feeding.
Human Services (DHHS), Administration
the child’s ability to self-regulate eat-
for Children and Families provided fund-
ing, setting them up for obesity later.”
ing for most of Beeber’s research. Beeber
So far, Hodges has determined that
“The videotapes also help capture the
tone of the feeding interactions between
the caregiver and infant through atten-
has done her research in close partner-
infants present far fewer hunger cues
tion to things like positive or negative
ship with Early Head Start, a nationwide
than they do fullness cues. However,
vocalizations,” Hodges said. “We also
program that provides childcare and
mothers or caregivers seem to recog-
asked the caregivers how they interpret
other services for low-income families.
nize and react to the hunger cues faster
or think about the cues they receive from
than the ones that indicate fullness.
infants when deciding when to feed.”
In 2005, the Early Head Start branch
of DHHS awarded Beeber funding to
To determine how infants indicate
Hodges said he hopes to develop
develop and test a curriculum that
they are hungry, how caregivers respond
tools for use during infancy and toddler-
teaches Early Head Start employees how
and how those reactions affect the
hood, that will help parents and other
to support depressed parents. Beeber
infant’s feeding, Hodges videotapes
caregivers correctly interpret feeding cues.
and her team spent a year developing
these interactions, most often between
Sharing this knowledge could help infants
the curriculum and then another year
develop enduring healthy eating patterns.
using the curriculum to train employ-
With funding from the Alzheimer’s
ees. Now in their third year, they tape
Association, Mary Lynn Piven, PhD,
structured interactions among Early Head
APRN, BC, is using observational methods
Start staff, the depressed parent and
to study the emotional care that certified
the child to evaluate how well the Early
nursing assistants (CNAs) give to nurs-
Head Start workers support the parent.
ing home residents with dementia. Using
“I really think observational meth-
the computerized coding system in the
ods are state-of-the-art. I use paper and
BBL, Piven and a research assistant are
pencil questionnaires and interviews, too,
reviewing 50 tapes of CNA’s interactions
because they’re the best way to learn
with nursing home residents. Through
what someone thinks or believes,” Beeber
this review, they will isolate and code the
said. “But if you really want to look at outcomes, particularly for things like interventions that involve behaviors, there is nothing better than observational methods.”
8
mother and child. He analyzes the
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
behaviors that constitute emotional care.
Kai eats watermelon, representing infant
feeding patterns seen in Eric Hodges observational study, looking at how mothers and
caregivers read and interpret infants’ cues
for hunger and fullness.
Piven’s research is described in greater
depth in the article on newly-funded
faculty research studies on page 17.
Building the School’s Programs of
Research on Cancer and Cancer Care
In 2006, approximately 1.4 million men and women in the United
States were diagnosed with some form of cancer, according to
Faculty who conduct research at the School of Nursing (SON)
are actively studying the science of cancer, the relationships cancer
the American Cancer Society. Last year alone, nearly 565,000 men
patients have with their healthcare providers and how survivors
and women died from the disease. Cancer cuts across sex, race
approach their lives and activities after successful treatment. These
and age, but every year, providers are able to detect it earlier and
efforts are doing much to improve the quality of life these patients
provide more effective treatments. As a result, there are a grow-
have both during and after treatment.
ing number of cancer survivors.
Managing the Uncertainty Younger Breast Cancer Survivors Experience
More than 210,000 women are diagnosed with breast cancer
ment will be enrolled in the study, called “Managing Uncertainty
annually, based on American Cancer Society statistics. Most
Day to Day.” As part of the study, participants are paired
often, it is postmenopausal women who hear this frightening
with nurse interveners who call them weekly for a month to
news, but a small group of women under age 50 get the same
help them use new skills to manage worries about a recur-
scare every year. For them, survival means a life spent coping
rence. Nurse interveners function as a sounding board for the
with treatment side effects and worrying about recurrence.
participants while offering methods for how best to handle
These younger survivors have a set of concerns that are
distinctly their own: young children, fertility and premature
menopause. Like older breast cancer survivors, they also worry
about sexual function and body image. Nearly every day, they
encounter something that elicits worry about a relapse, such as
a doctor’s appointment or a symptom reminiscent of their can-
difficult situations, such as expressing fears to loved ones.
“We can already see that we’re meeting a need for these
women, even if it’s not obvious to them that they have
these needs,” Germino said. “You can hear the relief in the
voices of the women as they get information and strategies they can use in their daily lives.”
cer. Many women need some way or someone to help them
manage this stress while juggling their daily responsibilities.
School of Nursing faculty members Merle Mishel, PhD, RN,
In addition to phone calls, women in the intervention
group also receive a CD and a manual. The CD offers strate-
FAAN, and Barbara Germino, PhD, RN, FAAN, have developed
gies to effectively communicate thoughts and feelings as well
an intervention designed to meet those coping needs. Their goal
as strategies for identifying positive life events. The CD also
is, through nursing care, to help women manage the uncertainty
includes information on self-calming techniques to avoid
of their condition, handle the symptoms of cancer survivor-
succumbing to anxiety when facing an event that prompts
ship and improve their psycho-social well being. A study test-
recurrence concerns. The manual includes details about
ing this intervention is funded through the National Institute of
various issues breast cancer survivors face, including hot
Nursing Research, National Institutes of Health (NINR, NIH).
flashes, hormonal changes, weight gain and body image.
“Younger breast cancer survivors have a different out-
Mishel and Germino hypothesize that women who receive
look on life than older survivors do,” Mishel said. “We
the uncertainty management intervention will manage their
wanted to give them a way to manage those feelings so
concerns better, experience less symptom distress and have
they don’t feel trapped by the overwhelming number of
more positive psycho-social well being compared to the women
stimuli that can trigger worries about a recurrence.”
who do not receive the CD portion of the intervention.
More than 120 white and 120 African American women
across North Carolina who are two- to four-years past treat-
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
9
Coping in Older African American Survivors
Turning to God, helping others and getting assistance from fam-
have expressed feelings and shared information about how they
ily and friends. These are all ways cancer survivors choose to cope
cope that family members present during the interviews said they
with the diagnosis. No one handles living through cancer in the
had not previously known.
same fashion, and little information exists about how older African
Americans manage survivorship.
For African American cancer survivors over age 55, turning to God
is often the preferred support mechanism, according to research
conducted by SON faculty member Jill Hamilton, PhD, RN.
“Many say that their relationship with God provides the kind
African American survivors use social support to cope with their
experience,” she said. “We need this information to coach family
members on ways to provide better support.”
Hamilton does not intend to use the results of her
questionnaire to tell people what type of coping strategies or
of support that is not available from family members and friends,”
support mechanisms they need. Rather, she sees the goal of her
Hamilton said about her research findings thus far. “God is there
research as helping both family members and survivors identify
when no one else is.”
ways they can better provide support to themselves and each
With funding from the NINR and the National Center for
other. Older African Americans are often reluctant to ask for help,
Minority Health & Health Disparities (NCMHD), NIH, Hamilton is
and Hamilton said she hopes her questionnaire will provide a way
evaluating a questionnaire she developed to assess coping
for them to communicate their needs to family members or others
strategies of older African American cancer survivors. Part of her
who can provide assistance.
research will focus on support provided from God and from family
and friends.
In the questionnaire, Hamilton asks survivors about
the support they receive from family and friends,
aspects of their spirituality and how they give
back to others. So far, she said, many survivors
“We have needed a better
measure to determine how older
African American survivors use
social support to cope with
their experience,” Hamilton
said. “We need this
information to coach
family members on
ways to provide
better support.”
10
“We have needed a better measure to determine how older
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Healthy Behaviors Not More Prevalent in Cancer Survivors
As modern medicine improves, the number of cancer survivors
continues to increase – roughly 3.5 percent of the U.S. population,
or 10 million people, have survived a cancer diagnosis. They are,
however, at increased risk for a recurrence or new cancer. It
would be reasonable to anticipate that this group would engage
in more healthy lifestyle behaviors than the general population.
But, that would be a bad bet.
According to research conducted by SON faculty member
Deborah K. Mayer, PhD, RN, AOCN, FAAN, cancer survivors do
not smoke less, eat more fruits and vegetables, engage in more
exercise or control their weight any more than people who have
never had cancer. Mayer conducted her research as part of a predoctoral National Research Service Award funded by the NINR, NIH.
“This isn’t what we expected to find,” Mayer said. ”We anticipated that cancer survivors, having experienced a life-threatening
disease, would take pains to live a healthier life by eating better,
not smoking and remaining active. The findings are disconcerting,
and we need to understand more to work
with survivors regarding health promotion.”
Mayer analyzed data from the National
Cancer Institute’s Health Information
National Trends Survey (HINTS), which
includes information from telephone interviews with 6,369 people, 619 of whom previously had cancer. The control group consisted of 2,141 other respondents without a
personal or family history of cancer.
Eighty-two percent of survivors and 85.1 percent of participants without a history of cancer reported eating less than five
According to research…cancer survivors do not
smoke less, eat more fruits and vegetables, engage
in more exercise or control their weight any more
than people who have never had cancer.
fruits or vegetables a day. More than 22 percent of survivors currently smoked, as did 18.4 percent of those without a history of
cancer. Close to 55 percent of cancer survivors and almost 47 per-
Mayer said she hopes these findings will prompt nurses to be
cent of those without a history of cancer did not participate in
more vigilant in assessing the smoking levels, dietary habits, exer-
regular physical activity, though the rates of regular activity varied
cise routines and weight management efforts of their cancer
by type of cancer. The mean body mass index (BMI) for both
patients. As the healthcare providers with the most contact with
groups was virtually the same – 27 for survivors and 26.5 for
patients, she said, nurses should be prepared to provide additional
those without a history of cancer – with more than half of both
information and resources to promote healthy lifestyle behaviors
groups being overweight or obese. A healthy BMI is considered
in cancer survivors.
less than 25.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
11
Doctoral Students’ Research on
Cancer Survivors and Cancer Care
Health Disparities in Physician-Patient Relationships
Current statistics indicate that African Americans are more likely
study, entitled “Decision Making Under Uncertainty in Men
to die from breast, colorectal and prostate cancer than other
with Prostate Cancer.” Wall looked at how often and in what
ethnic groups. An open channel of communication between
situations physicians use partnership behaviors and information-
doctor and patient is one way to combat health disparities and
giving, such as encouraging a patient to ask questions and
get patients the information they need to be knowledgeable
whether those behaviors vary with the patient’s race.
about their own health and course of treatment. Previous
The transcripts indicated that physicians welcomed white patients
research shows that when physicians use partnership-building
to ask more questions and express their desires about treatment.
behaviors, patient outcomes improve, but the degree of the
African American patients, Wall said, did not receive the same
partnership changes based on patient demographics. Physicians
level of encouragement.
tend to behave differently with white patients, giving them
more information and opportunities to express their feelings
than patients from other racial or ethnic minority groups.
With funding from the SON’s CIHDR, SON doctoral
student, Yolanda Wall, MSN, RN, BC, conducted a small
pilot study to determine the types of partnership-building
“These findings mirror what is already in the literature,
and they are what I expected,” Wall said. “The results can
potentially increase our knowledge about the healthcare
encounters between minority patients and their physicians.”
Her findings are particularly important to nursing
because these data alert nurses working in cancer-
behaviors and information-giving behaviors that physicians
related settings that they need to help patients increase
use when talking with men seeking treatment for early
their level of participation during medical visits.
prostate cancer. She looked at physician partnership-building
behaviors by race, age and education of the patient.
Wall analyzed transcripts of doctor-patient interactions
for 10 white and 10 African American
randomly-selected participants in Merle
Mishel and Barbara Germino’s
“I see nurses as being in the middle of patient
communications,” Wall said. “As nurses, we can make
an impact and, hopefully, help develop good, productive
patient-provider communication patterns.”
In the future, Wall hopes to expand her research to
include breast cancer and colorectal cancer patients.
Yolanda Wall, MSN, RN, BC, is studying doctorpatient interactions to determine if doctors treat
white and African American patients differently.
Partnering With the Lineberger Comprehensive Cancer Center
The University of North Carolina at Chapel Hill is home to
control and prevention and to improve treatment and care
the Lineberger Comprehensive Cancer Center, one of 39
for cancer patients and survivors.
National Cancer Institute-designated Comprehensive Cancer
12
Faculty members and doctoral students in the SON
Centers and one of only two Specialized Programs of
are actively involved in the Center’s programs of research
Research Excellence (SPORE) in breast cancer and in gastroin-
and research training. Merle Mishel, PhD, RN, FAAN, and
testinal cancers nationwide. The Center’s 250 faculty from
Deborah Mayer, PhD, RN, FAAN, are two of the SON’s
across the disciplines have more than $120 million in fund-
faculty that have joint appointments in the Lineberger
ing to conduct basic science and clinical research on cancer
Comprehensive Cancer Center. Both are also part of
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Assessing Women’s Lifestyle Choices in The Context of Their Perceived Breast Cancer Risk
Approximately 30 percent of all breast cancers are related to a
consumption and smoking to determine what relationship, if
family history of the disease, and a woman who has an affected
any, existed between the behavior and breast cancer risk.
first-degree relative is about two times more likely to contract it
herself. But family history is only one factor contributing to breast
Through interviews with a subset of women from the larger
study, Spector discovered many inaccurately perceived their own
cancer risk. Physical inactivity, obesity and excessive alcohol intake
risk for the disease. More than half felt they were at low or slightly
all increase the likelihood a woman will develop the disease, so con-
elevated risk. In addition, most of these women did not consider
trolling these lifestyle behaviors can be very important. Not every-
several unhealthy lifestyle behaviors, such as physical inactiv-
one, though, recognizes that these behaviors increase their risk.
ity, alcohol use, and obesity, to be factors in breast cancer risk
In a study that combines secondary data analysis with in-depth
interviews, SON doctoral student, Denise Spector, NP, MSN, MPH,
and saw very little cause for concern over their own actions.
“As a whole, many of the women interviewed thought
is analyzing data on 20,000 women who had at least one sister
they were already leading a healthy lifestyle and had little con-
with breast cancer to see if a relationship between family factors
trol over factors affecting their breast cancer risk,” she said.
and lifestyle exists. She also interviewed a subset of women to
assess their perceptions of risk.
Spector received her funding from the SON’s Center
for Innovation in Health Disparities Research (CIHDR) and
Overall, the majority of women interviewed believed that
family history and exposure to harmful environmental factors contributed to the disease. However, less than half saw
stress, unhealthy diet, inactivity, obesity and smoking as risk
the American Cancer Society. CIHDR is funded through
factors. Only a minority of white women and none of the
a grant from the NINR, NIH, and the NCMHD, NIH.
African American women interviewed thought obesity was
Spector’s dataset came from the National Institute of
Environmental Health Science’s Sister
Study: A Study of the Environmental and
Genetic Risk Factors for Breast Cancer. She
a risk factor. The white women interviewed also were much
more likely to view smoking as contributing to risk.
Educating women about their actual breast cancer risk and
disseminating information about what they can do to affect that
focused on current dietary practices, activ-
risk is the goal of Spector’s future intervention, with a focus
ity levels, body mass index (BMI), alcohol
on encouraging women to engage in healthier behaviors.
Doctoral student Denise Spector, NP, MSN, MPH, is
studying how white and African American women who
have a close female relative with breast cancer view
their own risk of developing the disease.
Lineberger’s Lance Armstrong Survivorship Program
Leadership Team. Mishel has taught in the Center’s cancer
courses and partnered on research projects. She is one of
seven reviewers for intramural grant submissions seeking
funding from the center. Mishel and Mayer are collaborating with the Center as it develops new research proposals.
Mishel
Mayer
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
13
Cancer Survivors and Cancer Care
The School of Nursing’s new Epigenetics Lab
process called polymerase chain
reaction. Subsequent experiments using
The Biobehavioral Lab (BBL) is creating an epigenetics lab where
a “real-time” Thermocycler will enable
Theresa Swift-Scanlan, PhD, RN, will continue studying the
Swift-Scanlan to quantify DNA
epigenetics of breast cancer. The new lab will include several
methylation in each breast tissue sample
Work conducted in the
Biobehavioral Wet Lab will
support Swift-Scanlan’s
work with the epigenetics
of breast cancer.
pieces of equipment so Swift-Scanlan can extract, replicate and
with sensitivity and specificity. She also will have access to
measure genetic samples from women with breast cancer.
specialized ovens that will continuously mix her samples while
A nanodrop spectrophotometer will let her measure the very
small quantities of nucleic acids (DNA, RNA) and proteins
extracted from breast tissue. Many of the biological samples
collected in breast cancer research are available in very small
simultaneously heating them to the optimal temperature.
Virigina Neelon, PhD, RN, BBL director, is enthusiastic about
the new lab’s potential.
“The lab is expanding to allow us to look at more DNA and
quantities that can only yield very small amounts (picograms) of
molecular factors,” she said. “In particular, we’re interested in
DNA. Because samples are so small, the lab will be outfitted with
factors that might not only have the potential to put you at risk
several Thermocyclers, which Swift-Scanlan will use to make
for cancer but also the potential to be reversed and thereby
multiple copies of specific DNA target sequences through a
diminish risk.”
Epigenetics and Cancer
Theresa Swift-Scanlan, PhD, RN, is studying the epigenetics
of breast cancer. Breast cancer is the second leading cause of
Often, women must make decisions about whether
cancer death in women—one in eight women will be diagnosed
to elect chemical treatments, such as chemotherapy or
during her lifetime. Extensive research has established a strong
tamoxifen, both of which can have serious side effects.
relationship between a woman’s breast cancer risk and her
Some women also must decide whether to have surgical
genetic makeup and exposure to environmental risk factors.
treatments, such as mastectomy or removal of their ovaries.
However, little is known about how interaction between
genetics and environmental exposure affects a woman’s risk.
The science of epigenetics studies molecular modifications,
In their decision making, women balance the effects of
the treatment against what is known about the risk that their
cancer will progress or recur in the future. The more information
such as DNA methylation, that alter gene expression without
providers have about the risks associated with different types
altering the primary sequence of DNA. Recent studies
of breast cancer, the more information women will have to
have shown positive associations between some types of
make their decisions. By identifying differences at the level
epigenetic changes and environmental exposures, such
of modifications in specific genes, providers may be able to
as smoking, dietary folate and alcohol intake. Epigenetic
help women make more informed treatment decisions.
modifications to DNA may be one of the mechanisms that
explain why these exposures increase a woman’s risk.
“One exciting aspect of this research is that many epigenetic
changes are reversible, which means they are potentially
amenable to treatment and intervention,” Swift-Scanlan said.
Epigenetics also offers the potential to more accurately
14
cancer can have profound effects on a woman’s life.
Through the use of epigenetics, Swift-Scanlan seeks to
identify different breast cancer subtypes and to explore the
relationship of those subtypes to environmental and behavioral
exposures. She studies breast tissue from women with cancer
to analyze molecular modifications to specific strands of DNA.
She also collects information on the women’s exposure to a
define breast cancer subtypes and give women and their
broad range of risk factors, such as age at menarche, smoking
providers the information they need to guide decision-
and alcohol consumption. Through her research, she hopes to
making. There are many different types of breast cancer.
identify molecular and environmental predictive factors that
Some types are very responsive to treatment while others
nurses and physicians may eventually use to guide screening,
are more likely to progress or recur. Treatment for breast
therapeutic and prevention practices for breast cancer.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Faculty Awarded External Funding to
Begin Five New Research Studies
During the 2006-2007 academic year, School of Nursing (SON)
received its first grant from the National Library of Medicine. In
faculty were awarded funding for five new research studies. The
addition, the Alzheimer’s Association awarded the school funding
National Institute of Nursing Research, National Institutes of
for a faculty member’s research project. As described below, the
Health (NINR, NIH) funded two new studies, and the Agency for
five new studies explore a broad range of topics of importance to
Healthcare Research and Quality funded one. The school also
nursing.
Protecting the Privacy of Participants in Genetics Research
Every year, thousands of people volunteer to participate in clinical
data interchange, a person’s own genetic code can betray him or
trials and medical studies to advance science and improve
her. Some elements of the genome, such as single nucleotide
healthcare. Most of these individuals expect that their health
polymorphism (SNPs), provide just enough information to void a
information will be shared but their identities will remain private.
study participant’s privacy.
However, with the completion of the Human Genome Project
SNPs are inherited genetic variations that can occur in a
and advances in genome sequencing techniques, scientists can
person’s DNA. They are ubiquitous and stable in the human
now share whole genome sequence data online instantly. In this
genome, making them very good markers in understanding the
genetic basis of disease and drug responses. Yet a handful of
them can lead to an accurate identification between samples.
Zhen Lin, PhD, MS, RN, SON research assistant professor
with funding from the National Library of Medicine, is currently
developing a database that includes the location of SNPs that
pose a risk to privacy and information about how frequently they
occur. Scientists can use this “risk map” to identify SNP datasets
that pose a privacy threat and treat them with extra caution when
releasing data to the public, Lin said.
De-identified data sets in which “high risk” SNPs have been
scrubbed can be made freely available in the public domain.
“To achieve personalized medicine in the future, we need a
better way to share information for research today,” Lin said.
“With increasing computing power, it is much easier to link
information and more difficult to keep data private. In terms of
genomic sequences, we are handing over the natural fingerprints
of someone’s identity and much more.”
Some groups who gain access to shared genetic information
could use it in harmful ways, such as insurance providers who
may seek to deny coverage based on a preexisting genetic marker
or disease tendency. Implementing the risk map, Lin said, could
reduce the risk of information abuse.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
15
Nurse Staffing levels, Hospital Financial Performance and Quality of Care
Nurse staffing has become an important
Project and from California’s Office of Statewide Health Planning
topic in a number of states, with
and Development. California instituted its minimum staffing law in
California leading the way as the only
2004. Mark and her colleagues are analyzing data from 2001
state with legislation requiring minimum
through 2006 to paint a before and after comparison of the effect
staffing levels for registered nurses and
of mandated nurse staffing levels.
licensed vocational nurses.
Barbara Mark, PhD, RN, FAAN, with
funding from the Agency for Healthcare
Research and Quality, is analyzing data from California and 12
other states to determine the effect that minimum staffing levels have on the quality of care, hospital financial performance,
Many states are currently considering nurse staffing legislation,
and Mark said she hopes lawmakers will find the outcomes of the
study useful when designing such laws or even when deciding
whether to enact legislation.
“This study will help legislators make the determination if minimum nurse staffing level laws will improve quality of care while
amount of uncompensated care provided and educational pro-
not having a negative impact on hospital financial performance,”
grams. The study will also assess the impact that minimum staffing
said Mark, the Sarah Frances Russell Professor in the SON. “It will,
laws have on nurse wages.
hopefully, provide information to help those making these decisions
The data come from the Healthcare Cost and Utilization
balance nurse pay levels with other hospital financial expenditures.”
Intervention Aims to Help Parents and Children Manage Weight Together
Obesity is an epidemic in the United States, affecting both adults
and children. Roughly 65 percent of adults are either overweight
study learn new
or obese, and 16 percent of children between ages 6 and 19 are
nutrition, exercise
overweight with another 15 percent at risk for becoming over-
and coping skills
weight. This battle against excess weight has placed today’s chil-
from an interdisci-
dren in line to be the first generation in several decades that has a
plinary team, and
lower life expectancy than the previous generation.
they practice the
The findings of other researchers suggest that tackling exercise
new skills during
or weight loss with a partner increases the odds of success. Diane
weekly meetings for
Berry, PhD, CANP, SON assistant professor, is banking that the
three months.
same positive outcomes will occur if parents and children help
Advanced practice
each other manage their weight and exercise more.
“Parents influence children by serving as role models, and we
nurses stay in close
Parents and children participate in Diane Berry’s study to
learn how to manage their weight together.
contact with the families for an additional nine months, giving
can see this in the close correlations between the health behaviors
them an opportunity to discuss problems they encounter. Berry’s
and weight status of children and their parents,” she said. “But
team checks in with the families six months after the intervention
parents often lack the coping skills necessary to change their own
ends to gauge how well they’ve maintained the new behaviors.
behavior, so we need to give them the knowledge and capacity
to change their behaviors along with their children’s.”
Berry developed an intervention delivered in community set-
Berry hypothesizes that families involved in the intervention
will experience significant improvements in health behaviors and
weight loss. Seeing their parent’s dedication to practicing healthy
tings that targets overweight or at-risk for overweight African
behaviors will help children determine if they want to change their
American, Latino and Caucasian children, as well as their over-
behaviors to manage their weight, she said.
weight or obese parents. The NINR, NIH funded the study.
16
Families in the
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Exploring Certified Nursing
Assistants Provision of
Emotional Care
With funding from the Alzheimer’s
Association, Mary Lynn Piven, PhD, APRN,
BC, is studying the emotional care that
certified nursing assistants (CNAs) give to
nursing home residents with dementia.
“Even though we don’t have very
clear ideas about the emotional needs of
patients with dementia, we operate on the
assumption that they have the same emotional needs as the rest of us,” Piven said.
CNAs provide up to 80 percent of
the day-to-day care for nursing home
residents, but little is known about the
emotional care they provide. In an effort
to better understand the emotional
care provided by CNAs, Piven is studying videotaped interactions between
CNAs and nursing home residents to
develop a coding system to operational-
Above: Mary Lynn Piven reviews video with a reseach assistant. Observational software helps identify
behavior/response patterns in this study of the emotional care CNAs give to nursing home residents.
ize emotional care. Using a computerized coding system in the Biobehavioral
Lab, Piven and a research assistant are
analyzing 50 tapes to capture CNAs’ verbal and nonverbal
behaviors that communicate connection, concern and caring, as
well as behaviors that maximize resident function and control.
“In addition to CNA verbalizations, we are looking at
Piven said she hopes, over the long term, to develop
e in nursand test interventions to improve emotional care
ing homes. She plans to use the coding system she
ns
develops to measure the effect her interventions
have on the emotional care CNAs provide.
nonverbal behaviors, specifically touch, smiling and eye con-
der as a way of connecting with them on a nonverbal level,
Younger Breast Cancer Survivors:
Managing Uncertainty
letting them know they are there, they are present.”
School of Nursing faculty members Merle Mishel,
tact,” Piven said. “We are looking for the times when the
CNA strokes the residents arm or pats them on the shoul-
Based on her previous research, Piven said that CNAs provide emotional care that is not formally recognized by the nurs-
AAN
PhD, RN, FAAN, and Barbara Germino, PhD, RN, FAAN,
are testing an intervention for women under age 50 who have sur-
ing home. “Unlike physical care, they are providing emotional
vived breast cancer. Their study is described in greater detail in the
care without direction or supervision of that care, which is what
article on the School’s programs of cancer research, page 9.
caused me to want to study what they are doing,” she said.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
17
SON Faculty Research Advances
Health, Health Care and Nursing Practice
This past year, School of Nursing (SON) faculty published more
tice and research. Four recent publications by SON faculty exem-
than 115 articles, books and book chapters. Through their publi-
plify the contributions that the school’s faculty are making to both
cations, faculty are continually advancing nursing education, prac-
research and practice.
Nurse staffing levels make a difference to the health of hospitalized children
In a recent article in the journal Policy, Politics, & Nursing Practice,
data on 3.65 million pediatric patients cared for in 286 California
Barbara Mark, PhD, RN, FAAN, and colleagues report the
hospitals. After controlling for differences in levels of patient risk
findings from their research on the relationship between nurse
and a range of other factors across hospitals, Mark and colleagues
staffing and adverse events in hospitalized children. They note
found that more hours of registered nurse staffing were
that children, especially infants, are particularly vulnerable during
associated with lower rates of postoperative cardiopulmonary
hospitalizations due to their “dependence on adult caregivers,
complications, post-operative pneumonia and post-operative
their inability to voice concerns about their care and their need for
septicemia and other infections.
close supervision.”
Increases in staffing had the greatest potential to reduce
When staffing levels are sufficient, nurses can monitor
complications at hospitals with the lowest levels of staffing. The
children’s medical conditions and intervene early, playing a critical
findings indicate that with increased staffing hours at the
role in averting adverse events. Mark’s study is the first large-scale
California hospitals included in the study, between 425 and 596
research study examining the relationship between nurse staffing
children could have avoided a cardiopulmonary complication after
and quality of care
surgery. In addition, between 719 and 787 could have avoided
for hospitalized
septicemia and between 95 and 124 might not have gotten
children.
pneumonia.
Funded by the
“The results provide evidence that children, like adults,
Agency for
experience more positive results when registered nurses provide
Healthcare
more care,” Mark said. “Steps should be taken to ensure that
Research and
hospitals have enough nurses to provide optimal care to our
Quality, Mark and
youngest patients.”
her team analyzed
When staffing levels are sufficient, nurses can monitor
children’s medical conditions and intervene early, playing a
critical role in averting adverse events… Increases in staffing
had the greatest potential to reduce complications at hospitals
with the lowest levels of staffing.
18
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Exploring what Certified Nursing Assistants know about depression in nursing home residents
As the U.S. population ages, the number of older adults living in
wanting to do anything and sleep changes. The signs CNAs
nursing homes will continue to grow. Depression is one of the
identified correspond to several mood screening and diagnostic
most treatable mental disorders in later life, but the prevalence of
criteria that signal the presence of depression.
undetected and undertreated depression among nursing home
residents is high.
Although, the findings suggest that CNAs can identify
depression symptoms, they indicate that CNAs may have difficulty
Certified Nursing Assistants (CNAs)
referring residents for additional
provide most of the direct care to
evaluation and treatment. CNAs perceived
nursing homes residents and may be
that some nursing staff were unresponsive
an important resource for detecting
to their input.
depression. However, little is known
“They don’t come and look at the
about how CNAs understand depression
situation at the time,” said one CNA,
in nursing home residents and how
describing nurses’ reactions to her concerns
they communicate their concerns
about residents. “Maybe later, down the
to supervising staff. To address this
road they’ll notice it themselves. It’s like
knowledge gap, Mary Lynn Piven,
you didn’t say anything. You know the
PhD, APRN, BC, conducted a qualitative
things the CNA says don’t matter.”
study with 18 CNAs at two nursing
The findings further suggest that CNAs
homes to learn how they conceptualized
could benefit from additional training
depression in residents. She conducted
about depression and the range of
her research as part of a post-doctoral
resident responses to life in a nursing
fellowship funded by the National
home. A number of the CNAs viewed
Institute of Nursing Research, National
depression as a “normal” response to
Institutes of Health (NINR, NIH). Together
nursing home placement, and others
with co-authors Cathleen Colon-Emeric,
described it as transient, lasting only
MD, Ruth Anderson, PhD, RN, FAAN
minutes or hours. Either perception could
and Margarete Sandelowski, PhD, RN,
lead CNAs to discount their observations
FAAN, Piven’s findings will be published
and not share them with nursing staff.
in an article in the Western Journal of
CNAs hold potential to provide
Nursing Research.
Piven’s research findings suggest that
nursing home CNAs have the capacity to
play a key role in identifying residents
with depression. The CNAs accurately
identified the following symptoms of
depression: crying, loss of appetite,
irritability, withdrawal from others, not
observations important to depression
Piven’s research findings suggest that
nursing home CNAs have the capacity
to play a key role in identifying
residents with depression.
assessment, as well as help meet residents’
emotional needs. Educating CNAs could
help unlock the capacity of CNAs to
influence depression assessment and
subsequent care.
The findings further suggest that
CNAs could benefit from additional
training about depression and the
range of resident responses to
life in a nursing home.
THE UNIVERSITY
THE UNIVERSITY
OF NORTHOF
CAROLINA
NORTH CAROLINA
AT CHAPELATHILL
CHAPEL
SCHOOL
HILLOFSCHOOL
NURSING
OF
RESEARCH CHRONICLE 2006–2007
NURSING
RESEARCH CHRONICLE 2006–2007
19
Measuring Quality from the Nursing Perspective
Recent reports have identified serious concerns with the quality of
the care delivered in U.S. hospitals. In response to these reports,
Therefore, Lynn used funding from the NINR, NIH to create a
measure of how nurses evaluate the care delivered. She first asked
nurses nationwide are leading efforts to improve the way care is
nurses to define quality. In interviews with 20 nurses, she learned
delivered. In order to assess the impact of these efforts, nurses
that nurses identify caring, technical skill and characteristics of the
need tools to fully capture what constitutes quality nursing care.
care team and environment as the central components of quality
In a Journal of Nursing Care Quality article, Mary Lynn, PhD,
nursing care. In describing the importance of caring, nurses talked
RN and colleagues report a new instrument they developed to
about the value of getting to know their patients, being mindful
measure nursing care quality. The measure Lynn introduced is
of their distinct needs and nurturing them.
unique – it measures quality from the perspective of the nurse
Nurses described the technical aspect of nursing as being both
who delivered the care. Prior measures of nursing care quality
organized and skillful. Lynn used the information from the
assessed patients’ perceptions of quality or audited the process of
interviews to develop a 138-item questionnaire that she tested
care recorded in the medical record.
While the patients’ perspective is critical, patients often lack
with nurses in seven hospitals. To create the final measure, she
analyzed questionnaires completed by 923 nurses from 46 general
the expertise necessary to evaluate the technical skill of the care
and specialized medical-surgical units. The final measurement tool,
provided. Medical record audits capture only those processes the
The Nurse’s Assessment of Quality Scale - Acute Care Version
nurse recorded and do not assess how the work team and environment
(NAQS-ACV), has 87 items. As nurses work together to improve
affect care quality. In assessing quality, nurses can speak to both
care and work environments, the NAQS-ACV will provide a tool to
the interpersonal and technical aspects of care, as well as the
assess how their efforts affect the way nurses evaluate the quality
effect of the broader environment in which care was delivered.
of their work.
Self-Care Education Improves Outcomes for Adults with Arthritis
In a recent article in the journal Arthritis & Rheumatism, Jean
Arthritis Self-Help Course to the CDSMP, which helps individuals
Goeppinger, PhD, RN, FAAN, and colleagues report the findings
manage many different chronic illnesses.
from a Centers for Disease Control and Prevention-funded study,
Two trained, chronically-ill lay persons co-led both programs
comparing the effectiveness of two community-based arthritis self-
over a series of six two-hour group sessions held in a community
care interventions—the Arthritis Self-Help Course and the Chronic
setting. The 416 participants in the study were predominantly older,
Disease Self-Management Program (CDSMP).
rural African Americans. Goeppinger and colleagues found that
Although both interventions have been tested previously,
both interventions led to significant improvements at four months,
Goeppinger is one of a few researchers to compare their
but not at 12 months. They also found that participants in the
effectiveness with African Americans. Arthritis is the leading cause
CDSMP experienced improvements in their pain and disability,
of disability among adults in the United States, and the rates of
while participants in the disease-specific intervention did not.
disability are disproportionately higher among African Americans.
African Americans have a higher prevalence of most chronic
diseases, and many live with multiple chronic conditions.
The practice of developing disease-specific interventions, such
as the Arthritis Self-Help Course, may not be the most effective or
efficient way to provide community-based support for individuals
with multiple different chronic illnesses and conditions. Therefore,
Goeppinger compared the effectiveness of the disease-specific
20
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Participants and
organizers in
Jean Goeppinger’s
study, comparing
the effectiveness of
two interventions
with older African
Americans who
have arthritis.
Funding the Future of Nursing Research:
Doctoral Student Grants
The School of Nursing (SON) doctoral students had a banner year for
(NINR, NIH), the American Association of Critical Care Nurses, Sigma
funding awards. Support for the studies comes from a variety of
Theta Tau, and the Center for Innovation in Health Disparities
places – the American Nurses Foundation, Aspect Medical, Inc., the
Research (CIHDR). This plethora of grants funds work in intensive
National Institute of Nursing Research, National Institutes of Health
care, palliative care, cancer care and medication error research.
Study On When Medication Errors Occur Yields Interesting Results
As many as 98,000 people die in U.S. hospitals each year due to
The findings are important,
medical errors, according to the 2000 report from the Institute of
Chang said, because they highlight
Medicine, “To Err is Human: Building a Safer Health System.” Two
the need to rethink how medication
out of every 100 hospital admissions experiences a medication-
errors are classified and measured
related mistake, the report’s results also state, and these medication
and the need to develop better
errors account for roughly 7,000 error-related deaths annually.
reporting systems. With new
Protecting patients’ safety is a high priority. Yun Kyung Chang,
classifications and measurements in
PhD, MPH, a recent doctoral graduate, conducted an American
place, there can be better analysis of
Nurses Foundation-funded study on the circumstances that lead
the causes of and factors related to
nurses to identify and report medical errors.
medication mistakes.
Accurate identification and reporting of errors is essential to
Chang blended portions of two
improving care systems and reducing future errors. Chang found
different theoretical models, the human error model and the
that more medication errors were reported in work environments
organizational learning model, for her study. The human error
where nurses believed they could admit their mistakes without fear
model focuses on fixing systems that both permit mistakes and
than in those workplaces where they faced reprisal. Medication
make them more difficult to detect and correct. The organizational
errors also were reported more frequently in work environments
learning model concentrates on managing mistakes after they
where nurses faced fewer distractions.
“Rather than just seeing underreporting of errors when nurses
happen, and a part of this model looks at the learning climate.
Chang integrated part of the organizational learning model with the
keep their mistakes secret, I believe we are seeing underdetection
human error model to create a new model that tests the role the
where nurses can’t report a mistake because they aren’t aware
learning environment plays in the relationship between work
they’ve made one,” Chang said. “Substantial underdetection could
environment and medication errors.
be possible when nurses are working in busy, stressful environments.
Project (ORNA-II), a study funded by the NINR, NIH that identifies
Assessing How Women Live Based on Their
Perceived Risk of Breast Cancer
critical hospital and nursing unit variables that must be considered
SON doctoral student, Denise Spector, BS, MS, MPH, is looking
when organizing and delivering care. The information collected
at how white and African American women with close female
This is something we need to monitor.”
Chang analyzed data from the Outcomes Research in Nursing
comes from 286 nursing units in 146 randomly selected JCAHO-
relatives who have breast cancer view their own risk for the
accredited hospitals across the country. SON faculty member
disease. She is also studying what, if any, lifestyle behavior
Barbara Mark, PhD, RN, FAAN, is the principal investigator on the
changes they make to potentially reduce their risk. Her work is
ORNA-II project.
described in greater detail on page 13.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
21
Ramsay Tool Found to be an Undependable Scale for Evaluating Sedation Levels
Almost every intensive care nurse
Unfortunately, according to recent SON doctoral
has stories about patients who
graduate, DaiWai Olson, BSN, RN, CCRN, the most widely-
they thought were fully sedated
used tool to evaluate a patient’s sedation level, the Ramsay
suddenly pulling out their intravenous
Sedation Scale, is unreliable. It is based on a nurse’s personal
medications or jumping out of bed
perception of how actively a sedated patient responds to
to leave the unit. The tales make for
stimuli. However, the Ramsay Scale does not come with
great storylines in television medical
a standardized guide to help nurses determine to what
dramas, but these incidents also make
degree sedated patients respond to those stimuli.
a strong case for knowing how well a patient is sedated.
Oversedation can prolong the time patients need
“The Ramsay Sedation Scale doesn’t give any concrete
information about what constitutes a fully-alert patient and what
intensive interventions, but undersedation can increase
constitutes one that is properly sedated for their condition,” said
pain and discomfort. Nurses must be able to accurately
Olson, who received funding from Aspect Medical, Inc. “We have
gauge whether a patient’s level of sedation is optimal.
to make sure we’re not under- or over-medicating people, and
Hospice Services Underutilized by Racial and Ethnic Minorities
Hospice is considered the gold standard in end-of-life care. Across
or too early to qualify based on hospice’s
the country, however, the patient population in most hospices
strict six-month prognosis criteria.
is predominately white. Very few racial and ethnic minorities
utilize this end-of-life option, and scant data exist detailing why
this is the case and what can be done to reverse this trend.
Only about 40 percent of terminally-ill patients use hospice, and
too early – it could be a result of racial and
ethnic disparities in health and healthcare use
Jill Forcina Hill, BSN, RN, OCN, a SON doctoral student, recently
in general,” Hill said. “Minority groups don’t
discovered possible barriers that could prevent non-white groups
utilize the healthcare system at the same rate
from entering the system. Through her analysis, Hill, who is funded
whites do, and we need to make sure they’re
through a National Research Service Award from the NINR, NIH,
able to take advantage of these services if they want or need to.”
determined that non-whites are often referred to hospice at an
inappropriate time during their illness or they refuse the services.
Once her data analysis is complete, Hill said she plans
to develop an intervention that will help African Americans
Hill gathered three years of data from two hospices in
and Latinos find hospice care more attractive and make it
North Carolina – one large, privately-operated facility and
an option they will more readily consider, even if it means
another affiliated with a tertiary-care hospital – to determine
modifying hospice in some yet-to-be determined way that
what patient, contextual and institutional factors were
makes it a more acceptable choice for those groups.
associated with a patient enrolling in hospice after a referral.
According to her research, non-white patients are
frequently referred either too late to benefit from the services
22
“If we do have a prognostic problem – if
non-whites are being referred too late or
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
right now, we don’t have a good system for making that call.”
To test the six-level scale’s reliability, Olson and his colleagues
about how well sedation is working on a patient.”
Olson said he hopes that this research will eventually lead to
first videotaped patients in intensive care units to create six
the Ramsay scale being abandoned as a tool for observing and
30-second tapes that experts agreed represented each of the
evaluating sedation. In the meantime, however, he said other
six sedation levels. More than 240 nurses each viewed one of
tools based on the Ramsay Scale must also be critiqued for their
the six videos three times and rated the patient’s sedation level
reliability, as they are rooted in a flawed observation instrument.
based on the Ramsay Scale, the Sedation Agitation Scale (a
derivative of the Ramsay Scale) and the Global Scale (a scale
created for this study). Results varied widely, Olson said.
“Evaluations were all over the board – there was no
Physician Communication and Relationship
Building with Minority Patients
uniform rating for any of the six videos,” he said. “Nurses
SON doctoral student, Yolanda Wall, MSN, RN, BC, is
would score the same video at any of the six levels. We had
using transcripts from doctor-patient interactions to
to conclude that the Ramsay scale tells us almost nothing
determine if doctors treat patients differently based on
race. Her work is described in greater detail on page 12.
End-of-Life Care in the Intensive Care Unit
Making decisions about care at the end-of-life is always hard. It
end-of-life care. The American Association of Critical Care
often involves negotiations among family, care providers and the
Nurses (AACN) and Sigma Theta Tau funded her research.
individual who is nearing death. Twenty percent of Americans
die in an intensive care unit (ICU), a setting that adds further
challenges to end-of-life decision making.
The ICU can be a noisy, frenetic and
seemingly disorganized place. Families
feel isolated from relatives in the ICU who
“One of the main goals for nurses working with dying patients
in the ICU is to provide a peaceful death through compassionate
care of the patient and the family,” Zomorodi said. “Right now,
there is a huge gap between what the family sees as good care and
what the nurse believes. We need to find a way to close that gap.”
To develop her instrument, Zomorodi interviewed nine critical
are often unresponsive, on mechanical
care nurses about their experiences providing end-of-life care in the
ventilation and surrounded by monitors.
intensive care setting. She analyzed the interview data to identify
Many also believe that the nurses do
nurses’ attitudes, knowledge and perceptions of skill. Over the next
not offer them much support. Nurses
two years, up to eight experts from academic medical centers and
who work in the ICU are well trained
to provide highly-technical, life-saving care. However, they
traditionally have not been taught to deliver palliative care.
To lessen the frustrations some families feel over ICU experiences,
nurses need guidance on how to provide quality nursing care in
hospitals will review those nurse responses and select the attitudes
and behaviors they view as most important to quality end-of-life care.
Zomorodi will incorporate the interview findings and expert
recommendations into an instrument that she will test online
with 20 participants from UNC Hospitals, Duke University
an end-of-life situation. Having that information could increase
Medical Center, Durham Regional Hospital and Duke Raleigh
a nurse’s confidence that he or she is meeting both hospital and
Hospital and with up to 400 active ICU nurses through the
family expectations for providing dying patients with the best care.
AACN. The responses gleaned from these tests will help
School of Nursing doctoral student Meg Zomorodi, BSN,
Zomorodi fashion her final assessment tool. Ultimately, Zomorodi
RN, is developing an instrument to measure the attitudes,
plans to use the instrument to guide and test interventions to
knowledge and skills of ICU nurses related to providing
improve the end-of-life care that nurses provide in ICUs.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
23
Carolina Summer Research Institutes
J
Join
other faculty members, post-doctoral fellows, doctoral
s
students,
practitioners and healthcare professionals who
come to the University of North Carolina at Chapel Hill School of Nursing
N
every year to either brush up on old research skills
or learn new ones. Check out the research institutes offered every summer and get a taste for the continuing education the
School of Nursing has to offer. Nationally and internationally-known faculty lead these sessions, offering their expertise to
all attendees. As an additional benefit, attending counts for AACN hours and /or UNC-Chapel Hill CEUs!
Get Guidance on Developing Instruments and Measuring Outcomes.
Outcomes Measurement: Want to develop outcome measures or design outcome studies? Mary Lynn, PhD, RN, and Richard Redman, PhD, RN, teach
doctorally-prepared researchers and educators, postdoctoral fellows and doctoral students to develop and test outcome measures. Attendees also learn to
create outcome models, linking delivered care to outcomes measurement and other issues that affect outcomes measurement.
Instrument Development: Mary Lynn, PhD, RN, teaches classical measurement theory, traditional instrument development and adaptation, scaling methods
and other tactics used to create instruments suited for specific studies. Attending doctorally-prepared researchers, post doctoral fellows and doctoral students
will also discuss exploratory and confirmatory factor analysis, the concepts of reliability and validity and critiques of existing instruments.
Gain Expertise in Qualitative Analysis.
Qualitative Analysis 1: Empirical/Analytical Methods: Margarete Sandelowski, PhD, RN, FAAN, focuses on the general principles of and generic
techniques for qualitative analysis in this workshop. In addition, she emphasizes empirical/analytical and naturalist methods. Faculty and doctoral students in
nursing, medicine and public health who attend will practice techniques associated with these methods, using a provided data set.
Institute in Qualitative Research: Mixed Methods Research: Margarete Sandelowski, PhD, RN, FAAN, continues her workshops by teaching course
participants the contemporary landscape of mixed methods research and how to choose the appropriate research design to fit their research objectives.
Participants, including nursing, medicine and public health faculty and doctoral students, will learn to use techniques for combining sampling and data
collection strategies and for analyzing data.
Qualitative Analysis 2: Phenomenological & Narrative/Discourse Methods: In her third qualitative research institute, Margarete Sandelowski, PhD, RN,
FAAN, focuses on phenomenological/hermeneutic and narrative discourse methods of analysis. Faculty and doctoral students in nursing, medicine and public
health will practice techniques associated with these methods with a provided data set.
Learn Effective Writing Skills for Research Proposals and Publication.
Asian Scholars Writing for Publication: SeonAe Yeo, PhD, RN, FAAN, and Elizabeth Tornquist, MA, FAAN, conduct this workshop that
addresses specific problems non-native English speakers face when writing in English. Yeo and Tornquist prepare participants to write and
edit effectively in English, as well as use literature productively. The seminar is designed for faculty, practitioners and post-doctoral fellows
who are native Asian-language speakers.
Writing Research Grants: Sandra Funk, PhD, FAAN, and Elizabeth Tornquist, MA, FAAN, teach nursing faculty, post-doctoral fellows and others interested
in executing successful National Institutes of Health-style grant applications how to write competitive proposals and successfully navigate the NIH grant
submission process.
Writing for Publication: Learn how to write for publication correctly the first time. Elizabeth Tornquist, MA, FAAN, teaches health professions faculty and
clinicians how to prepare and write a manuscript, how to use literature productively and how to revise and edit for resubmission. Participants who come to the
workshop with an idea for a manuscript will have the chance to write the manuscript and receive critiques and edits.
Develop New Methods for Designing and Conducting Research.
Longitudinal Methods & Analysis: Mark Weaver, PhD, will instruct participants on longitudinal study design and provide an introduction to the analysis of data
from longitudinal studies. Attendees will learn about the appropriate choice of design for the research question, power, randomization, missing data and data
management. Weaver will also cover linear mixed model, generalized estimating equations and survival analysis methods.
Developing Theory-Based Interventions: Merle Mishel, PhD, RN, FAAN, and Sue Thoyre, PhD, RN, help doctorally-prepared nurses understand the relationship
between the theory of a problem and the theory of the intervention that targets the problem. Two days of this workshop will focus on a theory of a problem, and
three days will focus on the intervention. Attendees will address the connection between these theories and also how to identify mediators and moderators of the
intervention.
Legal Research Methods: Diane Kjervik, JD, RN, FAAN, leads workshop attendees through the analysis of qualitative aspects of legal research and the
examination of legal research methods that address the intersection of nursing phenomena and the law. Participants will synthesize legal and nursing phenomena
and apply legal research methods to work on their dissertation or other research projects.
24
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Faculty Research Grants 2006–2007 Academic Year
PREVENTING AND MANAGING MAJOR
HEALTH THREATS AND CHRONIC ILLNESS
Beeber, L., Principal Investigator; Canuso, R., Holditch-Davis,
D., Mishel, M., Schwartz, T., Co-Investigators. Reducing
Depressive Symptoms in Low-Income Mothers. National
Institute of Mental Health, National Institutes of Health,
2003-2008.
Beeber, L., Principal Investigator; Schwartz, T., Statistician.
Xtria E-PRIC Common Dataset Ancillary Study. Xtria, LLC,
Administration for Children and Families, Administration for
Children, Youth, and Families, 2007.
Berry, D., Principal Investigator; Ammerman, A., McMurray,
R., Schwartz, T., Co-Investigators; Skelly, A., Senior Research
Advisor. Children and Parents Partnering Together to Manage
Their Weight. National Institute of Nursing Research, National
Institutes of Health, 2007-2012.
Berry, D., Co-Investigator; Ammerman, A., Principal
Investigator. Primary Care and Communities Tackling Obesity
in Kids. National Institute of Child Health and Human
Development, National Institutes of Health, 2005-2010.
Black, B., Scholar; Sandelowski, M., Mentor. Perinatal Care
Options Study. Building Interdisciplinary Research Careers in
Women’s Health (BIRCWH), National Institute of Child Health
and Human Development, National Institutes of Health,
2006-2007.
Fogel, C., Principal Investigator; Adimora, A., Weaver, M.,
Fishel, A., Stephenson, B., Co-Investigators. Helping Women
Prisoners Reduce HIV Risk After Release. National Institute of
Mental Health, National Institutes of Health, 2003-2008.
Fogel, C., Principal Investigator; Wohl, D., Sandelowski, M.,
Co-Investigators; Weaver, M., Statistician. Reducing Sexual
Risk in Southern HIV-Positive Women. Centers for Disease
Control and Prevention, 2005-2009.
Fogel, C., Principal Investigator; Wohl, D., Scheyett, A.
M., Weaver, M., Co-Investigators. Incarcerated Women,
Parenting and HIV Risk. National Institute of Mental Health,
National Institutes of Health, 2006-2008.
Goeppinger, J., Principal Investigator; Lorig, K., CoInvestigator; Schwartz, T., Gizlice, Z., Statisticians. MailDelivered Arthritis Self-Management Education. Centers for
Disease Control and Prevention, 2004-2007.
Goeppinger, J., Principal Investigator; Lorig, K., CoInvestigator; Schwartz, T., Biostatistician; Ritter, P.,
Statistician. Arthritis Self-Management Education – Dose
Response. Centers for Disease Control and Prevention,
2005-2008.
Harrell, J., Principal Investigator; McMurray, R., Bangdiwala,
S., Hackney, A., Beese, J., Co-Investigators. Physical Activity
in Youth -- Preventing Type 2 Diabetes. National Institute of
Diabetes & Digestive & Kidney Diseases, National Institutes of
Health, 2002-2009.
Holditch-Davis, D., Principal Investigator; Miles, M.,
Co-Principal Investigator; Beeber, L., Thoyre, S., CoInvestigators; Weaver, M., Statistical Investigator; Pedersen,
C., Biddle, A., Consulting Investigators; Hubbard, C.,
Wereszczak, J., Clinical Investigators. Nursing Support
Intervention for Mothers of Prematures. National Institute of
Nursing Research, National Institutes of Health, 2001-2007.
Miles, M., Co-Investigator; Docherty, S., Principal Investigator.
Maternal Caregiving of Children Post Stem Cell Transplant.
National Institute of Nursing Research, National Institutes of
Health, 2004-2007.
Mishel, M., Principal Investigator; Germino, B., Porter, L.,
Co-Principal Investigators; Weaver, M., Gil, K., Baucom, D.,
Co-Investigators. Younger Breast Cancer Survivors: Managing
Uncertainty. National Institute of Nursing Research, National
Institutes of Health, 2006-2010.
Mishel, M., Principal Investigator; Germino, B., Co-Principal
Investigator; Beeber, L., Gollop, C., Mohler, J., Weaver,
M., Co-Investigators. Decision Making Under Uncertainty
in Prostate Cancer. National Institute of Nursing Research,
National Institutes of Health, 2002-2006.
Mishel, M., Principal Investigator; Interventions for
Preventing and Managing Chronic Illness. Institutional
National Research Service Award, National Institute of Nursing
Research, National Institutes of Health, 1996-2011.
Palmer, M., Principal Investigator; Hardin, S., Madigan, C.,
Co-Investigators; Carlson, J., Co-Investigator, Statistician.
Urinary Incontinence and Overactive Bladder in Chronic Heart
Failure Patients: An Exploratory Study. Pfizer, Inc. 2005-2007.
Palmer, M., Site Principal Investigator & Co-Investigator;
Baumgarten, M., Principal Investigator. Locus of Care and
Pressure Ulcers After Hip Fracture. University of Maryland,
National Institute of Arthritis and Musculoskeletal and Skin
Diseases, National Institutes of Health, 2002-2006.
Pletsch, P., Principal Investigator; Schwartz, T.,
Biostatistician. A Smoking Resumption-Prevention
Intervention for Pregnant and Postpartum Women. Robert
Wood Johnson Foundation, 2005-2007.
Pletsch, P., Site Principal Investigator and Co-Investigator.
Pharmacological Therapies for Pregnant Smokers. Duke
University, National Cancer Institute, National Institutes of
Health, 2003-2005.
Skelly, A., Principal Investigator; Burns, D., Carlson, J.,
Hoerger, T., Leeman, J., Co-Investigators. Symptom
Focused Diabetes Care for African American Women.
National Institute of Nursing Research, National Institutes
of Health, 2003-2007.
Yeo, S., Principal Investigator; Neelon, V., Leeman, J.,
Weaver, M., Co-Investigators. Effect of Walking and
Stretching Exercise on Oxidative Stress in Women at Risk for
Preeclampsia and Pregnancy Induced Hypertension: A Pilot
Study. Faculty Research Opportunity Grant, School of Nursing,
The University of North Carolina at Chapel Hill, 2007-2008.
Color Key
Preventing and Managing Major
Health Threats and Chronic Illness
Reducing Health Disparities
Improving Healthcare Quality and
Patient Outcomes
Understanding Biobehavioral and
Genetic Bases of Health and Illness
Developing Innovative Approaches
to Enhance Science and its Translation
to Practice
Beeber, L., Principal Investigator; Holditch-Davis, D.,
Schwartz, T., Co-Investigators. Alumbrando El Camino/
Bright Moments: A Curriculum for Staff Working with EHS
Parents with Depressive Symptoms. Administration for
Children and Families, Department of Health and Human
Services, 2005-2008.
Berry, D., Principal Investigator; Balderas, B., Colindres, C.,
McCurley, M., Co-Investigators. A Feasibility Study to Test
a Community Based Participatory Weight Management
Intervention for Latina Mothers and Their 3 to 10 Year Old
Children. The Center for Innovation in Health Disparities
Research, School of Nursing, The University of North Carolina
at Chapel Hill; National Institute of Nursing Research,
National Institutes of Health, 2006-2007.
Lunsford, V., Principal Investigator. A Faith-Based Program
for Cardiovascular Risk Factor Reduction. The Center for
Innovation in Health Disparities Research, School of Nursing,
The University of North Carolina at Chapel Hill; National
Institute of Nursing Research, National Institutes of Health,
2007-2008.
McQuiston, C., Site Principal Investigator; Parrado, E.,
Co-Investigator. Gender, Migration, and HIV Risks Among
Hispanics: A Trinational Study. Duke University, National
Institute of Nursing Research, National Institutes of Health,
2005-2009.
Miles, M., Principal Investigator; Roland, J., Campbell, L.,
Co-Principal Investigators; Rowsey, P., Goeppinger, J.,
Berry, D., Core Directors. Center for Innovation in Health
Disparities Research. National Institute of Nursing Research,
National Institutes of Health, 2002-2007.
REDUCING HEALTH DISPARITIES
Barksdale, D., Principal Investigator. Enhancing Knowledge
of Cardiovascular Research in Black Americans. Junior Faculty
Development Award, The University of North Carolina at
Chapel Hill, 2007.
Beeber, L., Principal Investigator; Holditch-Davis, D., Perreira,
K., Schwartz, T., Co-Investigators. EHS Latina Mothers:
Reducing Depression and Improving Infant/Toddler Mental
Health. Administration for Children and Families, Department
of Health and Human Services, 2002-2007.
Miles, M., Co-Investigator; Campbell, L., Principal
Investigator. Development of a Self-Care and Parenting
Intervention for African American Grandmothers Rearing
Grandchildren. Center for Innovation in Health Disparities
Research, School of Nursing, The University of North Carolina
at Chapel Hill, National Institute of Nursing Research,
National Institutes of Health, 2006-2007.
Miles, M., McQuiston, C., Garrett, J., Wohl, D., CoInvestigators; Corbie-Smith, G., Principal Investigator.
Increasing Access to HIV Trials for Rural Minorities. National
Institute of Allergy and Infectious Disease, National Institutes
of Health, 2006-2010.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
25
Mishel, M., Principal Investigator; Mohler, J., Consortium
Director. Cultural and Demographic Predictors of Interaction
with the Health Care System and Prostate Cancer
Aggressiveness. In: Racial Differences in Prostate Cancer:
Influence of Health Care and Host and Tumor Biology. School
of Medicine, The University of North Carolina at Chapel Hill,
Department of Defense, 2003-2009.
Waldrop, J., Principal Investigator. Factors affecting the
decision of Hispanic/Latino Mothers to Both Breastfeed and
Formula Feed Their Infants. Faculty Research Opportunity
Grant, School of Nursing, The University of North Carolina at
Chapel Hill, 2007-2008.
IMPROVING HEALTHCARE QUALITY
AND PATIENT OUTCOMES
Eaves, Y., Principal Investigator; Dilworth-Anderson,
P., Palmer, M., Co-Sponsors; Carlson, J., Statistician.
A Caregiving Intervention for Rural African Americans.
National Institute on Aging, National Institutes of Health,
2005-2010.
Havens, D., Principal Investigator. Building Hospital Capacity
for Better Work and Better Care. Health Resources and
Services Administration, 2004-2009.
Jones, C., Principal Investigator; Mark, B., Holmes, M.,
Co-investigators. A Model of Access for Nursing Care.
Southeastern Regional Center for Health Workforce Studies,
Cecil G. Sheps Center for Health Services Research, The
University of North Carolina at Chapel Hill, Health Resources
and Services Administration, 2005-2007.
Jones, C., Principal Investigator; Mark, B., Belyea, M.,
Gates, M., Co-Investigators. Population Characteristics and
Nursing Employment Patterns. Southeastern Regional Center
for Health Workforce Studies, Cecil G. Sheps Center for
Health Services Research, The University of North Carolina at
Chapel Hill, Health Resources and Services Administration,
2004-2007.
Jones, C., Principal Investigator; Mark, B., Co-Investigator.
The Intersection of Nursing and Health Services Research.
Agency for Healthcare Research and Quality, 2003-2006.
Lin, Z., Principal Investigator. Protecting Genetic Privacy
through Risk Assessment. National Library of Medicine,
2006-2009.
Lynn, M., Principal Investigator; Mark, B., Nursing Systems
Analyst; Bollen, K., SEM Analyst; Morgan, J., Data Analyst.
Testing a Model of Quality Care in Home Health. National
Institute of Nursing Research, National Institutes of Health,
2002-2007.
Mark, B., Principal Investigator; Berman, W., Harless,
D., Pink, G., Reiter, K., Spetz, J., Co-Investigators. Nurse
Staffing, Financial Performance, and Quality Care. Agency for
Healthcare Research and Quality, 1999-2010.
Mark, B., Principal Investigator; Jones, C., Belyea, M., CoInvestigators. A Model of Patient and Nursing Administration
Outcomes. National Institute of Nursing Research, National
Institutes of Health, 1995-2007.
Mark, B., Principal Investigator; Leatt, P., Carey, T.,
Co-Investigators. Research Training in Quality Health Care
and Patient Outcomes. Institutional National Research Service
Award, National Institute of Nursing Research, National
Institutes of Health, 2004-2009.
Piven, M. L., Principal Investigator; Sloane, P.,
Zimmerman, S., Co-Investigators. Developing a Measure
of Emotional Care in Nursing Homes. The Alzheimer’s
Association, 2006-2008.
Travers, D., Co-investigator; Wetterhall, S., Principal
Investigator. The BioSense Initiative to Improve Early Event
Detection. Centers for Disease Control and Prevention,
2005-2008.
Travers, D., Co-investigator; Waller, A., Principal Investigator.
Evaluation of the Emergency Severity Index for Pediatric Triage.
Health Resources and Services Administration, 2005- 2008.
Travers, D., Principal Investigator. Analysis of Vital Sign Data
for Prediction of Pediatric Patient Acuity in the Emergency
Department. University Research Council, The University of
North Carolina at Chapel Hill, 2007-2009.
Travers, D., Co-Investigator; Haas, S., Principal Investigator.
Chief Complaint Symposium. National Library of Medicine,
National Institutes of Health, 2005-2007.
UNDERSTANDING BIOBEHAVIORAL
AND GENETIC BASES OF HEALTH AND ILLNESS
Barksdale, D., Principal Investigator; Clarke, M., &
Light, K., Co-Investigators; Skelly, A., Advisor. Stress and
Cardiovascular Responses in Black Men. Program on Ethnicity,
Culture, and Health Outcomes, The University of North
Carolina at Chapel Hill, 2004-2007.
Barksdale, D., Principal Investigator; Carlson, B., CoInvestigator. Assessing Central Aortic Blood Pressure Using
SphygmoCor: Methodology and Feasibility. University
Research Council, The University of North Carolina at Chapel
Hill, 2007-2009.
Brunssen, S., Principal Investigator. Alterations in Myelin and
GABA Receptors Gene Expression in Mouse Cortex Following
Exposure to Hyper-Interleukin-6. Junior Faculty Development
Award, IBM Fund Distinguished Prize, The University of North
Carolina at Chapel Hill, 2006.
Brunssen, S., Principal Investigator. Exploring the Effects of
Perinatal Exposure to Hyper-Interleukin-6 on Developmental
Regulation of Neurotransmitter Receptors in the Mouse
Cerebral Cortex. University Research Council, The University of
North Carolina at Chapel Hill, 2005-2007.
26
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Carlson, B. W., Principal Investigator; Neelon, V., Hartman,
M., Dogra, S., Carlson, J., Co-Investigators. Respiratory
Periodicity and Cognitive Decline in Elders. National
Institute of Nursing Research, National Institutes of Health,
2002-2007.
Rowsey, P., Carlson, B., Brunssen, S., Principal
Investigators. A Pilot Study of the Effect of Hypertension and
Ambient Room Temperature on the Degree of Brain Injury
During Intermittent Hypoxemia in Rats. Faculty Research
Opportunity Grant, School of Nursing, The University of
North Carolina at Chapel Hill, 2006-2007.
Van Riper, M., Co-Principal Investigator; Bailey, D., Principal
Investigator. ELSI Scale-up: Large Sample Gene Discovery
and Disclosure. The Ethical, Legal, and Social Implications
Research Program, National Human Genome Research
Institute, National Institutes of Health, 2004-2007.
Van Riper, M., Principal Investigator; Bailey, D., Henderson,
G., Nelson, D., Rothschild, B., Skinner, D., Co-Investigators.
Researching ELSI Research Training. National Human Genome
Research Institute, National Institutes of Health, 2006-2008.
Van Riper, M., Principal Investigator. Minority Families Being
Screened for and Living with Genetic Conditions. Center
for Innovation in Health Disparities Research, School of
Nursing, University of North Carolina at Chapel Hill, National
Institute of Nursing Research, National Institutes of Health,
2003-2006.
Van Riper, M., Bailey, D., Co-Principal Investigators. ELSI
Scale-up: Large Sample Gene Discovery and Disclosure.
Ethical, Legal, and Social Implications Research Program,
National Human Genome Research Institute, National
Institutes of Health, 2004-2007.
DEVELOPING INNOVATIVE APPROACHES
TO ENHANCE SCIENCE AND ITS
TRANSLATION TO PRACTICE
Leeman, J., Co-Investigator; Ammerman, A., Principal
Investigator. Center of Excellence in Training and Translation
for the Wisewoman and Obesity Prevention Programs.
Center for Disease Control and Prevention, 2004-2009.
Sandelowski, M., Principal Investigator; Barroso, J., Voils,
C., Co-Principal Investigators. Integrating Qualitative &
Quantitative Research Findings. National Institute of Nursing
Research, National Institutes of Health, 2005-2010.
Schwartz, T., Biostatistician; Jordan, J., Principal Investigator.
NIAMS Multidisciplinary Clinical Research Center for
Rheumatic Diseases: Methodology Core. National Institute
of Arthritis and Musculoskeletal and Skin Diseases, National
Institutes of Health, 2003-2007.
Sherwood, G., Co-Investigator; Thomas, E., Principal
Investigator. Centers of Excellence for Patient Safety Research
and Practice: Translating Safety Practices from Aviation to
Healthcare. Agency for Healthcare Research and Quality,
2001-2006.
Zimmerman, S., Palmer, M., and Busby-Whitehead, J.,
Principal Investigators. ICARUS, Interdisciplinary Center for
Aging Research: Uniting Scientists. The Hartford Foundation,
2006-2008.
Educational and Professional Grants and Activities 2006–2007 Academic Year
Beeber, L. (Principal Investigator). Psychiatric Nurse
Practitioners: Meeting the Needs of the Underserved in
NC. Department of Health and Human Services, Bureau
of Health Professions, 2004 – 2007.
Beeber, L. (Principal Investigator). Psychiatric Mental Health –
MSN/PMSN Student Support, North Carolina Department
of Health and Human Services, 2005-2009.
Cockroft, M. (Principal Investigator). Clinical Site
Development Grant: Orange County Schools. Greensboro
Area Health Education Centers, 2006 – 2007.
Cronenwett, L. (Principal Investigator), Sherwood, G.
(Co-investigator). Quality and Safety Education
for Nurses: Phase I, Robert Wood Johnson Foundation,
2005-2007.
Cronenwett, L. (Principal Investigator), Sherwood, G.
(Co-Investigator) Quality and Safety Education for Nurses:
Phase II. Robert Wood Johnson Foundation,
2007 – 2008.
Cronenwett, L. (Project Director); Gilliss, C., Co-Project
Director. Duke/Carolina Visiting Professorship in Geriatric
Nursing, Blue Cross/Blue Shield of North Carolina,
2004 – 2010.
Dieckmann, J. (Principal Investigator). Clinical Site
Development Grant: Clinical Education Using a Small
Group Model: Health Promotion for University Students
(Part II). Wake Area Health Education Centers, 2
006 – 2007.
Dieckmann, J. (Principal Investigator). Clinical Site
Development Grant: Clinical Education Using a Small
Group Model: Prevention of Alcohol and Substance
Abuse for Children, Youth and Young Adults (Part II).
Wake Area Health Education Centers, 2006 – 2007.
Dillon, R. (Principal Investigator). Clinical Site Development
Grant: Council for Senior Citizens/Center for Senior Life.
Wake Area Health Education Centers, 2006 – 2007.
Foster, B. (Principal Investigator). PRIDE in Nursing,
Department of Health and Human Services, Bureau of
Health Professions, 2004-2007.
Hawthorne, N. (Project Director). Interdisciplinary Service
Trip. Strowd Roses, Inc, 2006 – 2007.
Miller, M. (Project Director). Advanced Education Nurse
Traineeship. Department of Health and Human Services,
Bureau of Health Professions, 2006 – 2007.
Miller, M. (Project Director). Nurse Faculty Loan Program.
Department of Health and Human Services, Bureau of
Health Professions, 2006 – 2007.
Oermann, M. (UNC-CH Project Team Leader) Evaluating the
Outcomes of Nursing Education: Accelerated Bachelor
of Science in Nursing. (Hays, J., Principal Investigator).
Helene Fuld Health Trust, 2007 – 2008.
Oppewal, S. (Principal Investigator). Nursing Student
Summer Externships in Rural and Underserved Settings,
Kate B. Reynolds Charitable Trust, 2005 – 2007.
Oppewal, S. (Project Director). Durham Senior Life:
Coordinating Council for Senior Citizens and Community
Life Adult Day Care Center, Council for Senior Citizens,
2006 – 2007.
Palmer, M. (Principal Investigator). Improving Nursing Care
for Acutely Ill Elders. Department of Health and Human
Resources, Division of Nursing, 2006 – 2009.
Soltis-Jarrett, V. (Principal Investigator) Educational Mobility
Grant: Off Campus Post Masters Certificate Program:
Advanced Practice Registered Nurse in Psychiatric
Mental Health Nursing, Mountain Area Health Education
Centers, 2006 – 2008
Wagner, J., (Project Director). North Carolina Nurse Refresher
Program Contract. Friday Center for Continuing
Education and Statewide Area Health Education Center
Program, 2007 – 2008.
Faculty Publications 2006–2007 Academic Year
Alden, Kathryn, Clinical Associate Professor
Alden, K. R. (2007). Newborn nutrition and feeding. In D. L.
Lowdermilk & S. E. Perry (Eds.), Maternity and women’s
health care (9th ed., pp. 709-742). St. Louis, MO: Mosby/
Elsevier.
Alden, K. R. (2007). Nursing care of the newborn. In D. L.
Lowdermilk & S. E. Perry (Eds.), Maternity and women’s
health care (9th ed., pp. 662-708). St. Louis, MO: Mosby/
Elsevier.
Alexander, Rumay, Clinical Associate Professor
Alexander, G. R. (2007) Nursing sensitive databases: their
existence, challenges and importance. Medical Care
Research and Review, 64(2 Suppl.), 44S-63S.
Barksdale, Debra, Assistant Professor
Barksdale, D. J., & Blevins, L. (2007). The clinical portfolio. The
Journal for Nurse Practitioners, 4(6), 420.
Prussian, K., Barksdale-Brown, D. J., & Dieckmann, J. (2007).
Racial and ethnic differences in the presentation of
metabolic syndrome. The Journal for Nurse Practitioners,
3(4), 229-239.
Beeber, Linda, Professor
Bartlett, R., Holditch-Davis, D., Belyea, M., Halpern, C. T., &
Beeber, L. (2006). Risk and protection in the development
of problem behaviors in adolescents. Research in Nursing
& Health, 29(6), 607-621.
Beeber, L. S., Chazen-Cohen, R., Squires, J., Harden, B. J.,
Boris, N., Scott-Heller, S., et al. (2007). The early
promotion and intervention research consortium (E-PIRC):
Five approaches to improving infant/toddler mental
health in early head start. Infant Mental Health Journal,
28, 130-150.
Beeber, L. S., Cooper, C., Van Noy, B. E., Schwartz, T. A.,
Blanchard, H. C., Canuso, R., et al. (2007). Flying under
the radar: Engagement and retention of depressed
low-income mothers in a mental health intervention.
Advances in Nursing Science, 30(3), 221-234.
Malik, N., Boris, N., Scott-Heller, S., Jones-Harden, B., Squires,
J., Beeber, L. S., et al. (2007). Risk for maternal
depression and child aggression in early head start
Families: A test of ecological models. Infant Mental
Health Journal, 28, 171-191.
Black, B. (2007). The science of nursing and evidence-based
practice. In K. Chitty & B. Black (Eds.), Professional
nursing: Concepts and challenges (pp.270-290). St.
Louis, MO: Saunders/Elsevier Press.
Berry, Diane, Assistant Professor
Berry, D. (2006). Linking theory, research and clinical practice
in weight management. In C. Roy & D. Jones (Eds.).
Nursing knowledge development and clinical practice
(pp. 287-294), New York: Springer.
Berry, D., Grey, M., Savoye, M., & Melkus, G. (2007). An
intervention for multiethnic overweight and obese
parents and their overweight children. Applied Nursing
Research, 20(2), 63-71.
Berry, D., & Melkus, G. (2006). Epidemiological perspectives
and risk for developing diabetes. Nursing Clinics, 41(4),
487-498.
Black, Beth, Assistant Professor
Black, B. (2007). Nursing theory: The basis for professional
nursing. In K. Chitty & B. Black (Eds.), Professional
nursing: Concepts and challenges (pp. 328-348). St.
Louis, MO: Saunders/Elsevier Press.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
27
University of North Carolina at Chapel Hill School of Nursing
Annual Level of Extramural Research Funding
$10,196,079
$9,919,474
$8,572,823
$8,622,870
$7,926,625
$6,256,523
’01–’02 (n=45)
’02–’03 (n=48)
’03–’04(n=48)
’04–’05(n=61)
’05–’06 (n=64)
’06–’07(n=59)
For the Period 2001– Present [State Fiscal Year July 1– June 30]
Black, B. & Chitty, K. (Eds.) (2007). Becoming a nurse:
Defining nursing and socialization into professional
practice. In K. Chitty & B. Black (Eds.), Professional
nursing: Concepts and challenges (pp. 139-160). St.
Louis, MO: Saunders/Elsevier Press.
Black, B. & Chitty, K. (2007). Critical thinking, the nursing
process and clinical judgment. In K. Chitty & B. Black
(Eds.), Professional nursing: Concepts and challenges (pp.
188-210). St. Louis, MO: Saunders/Elsevier Press.
Black, B. & Chitty, K. (2007). Professional nursing:
Concepts and challenges (5th ed.). St. Louis, MO:
Saunders/Elsevier Press.
Black, B., Holditch-Davis, D. Schwartz, T., & Scher, M. (2006).
Effects of antenatal magnesium sulfate and corticosteroid
therapy on sleep states of preterm infants. Research in
Nursing and Health, 29, 269-280.
Holditch-Davis, D., Schwartz, T., Black, B., & Scher, M. (2007).
Correlates of mother-premature infant interactions.
Research in Nursing and Health, 30(2), 333-346.
Bush, Tom, Clinical Assistant Professor
Bush, C. T. (2006). The new model for medicine is nursing.
NP News, 15(4), 3.
Bush, C. T. (2007). NP, PA, MD - What’s the difference?
NP News, 16(1), 3.
Bush, C. T. (2007). NP practice changes lives, lives change
NP practice. NP News, 16(2), 3.
Canuso, Regina, Research Instructor
Beeber, L. S., Cooper, C., Van Noy, B. E., Schwartz, T. A.,
Blanchard, H. C., Canuso, R., et al. (2007). Flying under
the radar: Engagement and retention of depressed
low-income mothers in a mental health intervention.
Advances in Nursing Science, 30(3), 221-234.
Carlson, Barbara, Assistant Professor
Carlson, B. W., Neelon, V. J., Carlson, J. R., Hartman,
M., & Dogra, S. (2007). Respiratory periodicity and
electroencephalogram arousals during sleep in older
adults. Biological Research for Nursing, 8(4), 249-260.
Carlson, John, Research Associate Professor
Carlson, B. W., Neelon, V. J., Carlson, J. R., Hartman,
M., & Dogra, S. (2007). Respiratory periodicity and
electroencephalogram arousals during sleep in older
adults. Biological Research for Nursing, 8(4), 249-260.
Cronenwett, Linda, Dean & Professor
Aspden, P., Wolcott, J. A., Bootman, J. L., & Cronenwett, L.
R. (Eds). (2007). Preventing medication errors: Quality
chasm series. Washington, DC: Institute of Medicine of
the National Academies, Committee on Identifying and
Preventing Medication Errors.
Cronenwett, L., & Sherwood, G. (2007). Quality and safety
education for nurses. Leader to Leader, Spring 2007: 1-2.
Available online at: www.ncsbn.org.
Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J.,
Johnson, J., Mitchell, P., et al. (2007). Quality and safety
education for nurses. Nursing Outlook, 55(3), 122-131.
Lynn, J., Baily, M. A., Bottrell, M., Jennings, B., Levine, R.
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THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
J., Davidoff, F., et al. (2007). The ethics of using quality
improvement methods in health care. Annals of Internal
Medicine, 146(9), 666-673.
Smith, E. L., Cronenwett, L., & Sherwood, G. (2007). Current
assessments of quality and safety education in nursing.
Nursing Outlook, 55(3), 132-137.
D’Auria, Jennifer, Associate Professor
Christian, B., & D’Auria, J. P. (2006). Building life skills for
children with cystic fibrosis: Effectiveness of an
intervention. Nursing Research, 55(5), 300-307.
Cole, K., Waldrop, J., D’Auria, J. P., & Garner, H. (2006). An
Integrative research review: Effective school-based
childhood overweight interventions. Journal for
Specialists in Pediatric Nursing, 11(3), 166-177.
D’Auria, J. P. (2006). Nonspecific signs & symptoms. In
J. Fox (Ed.), Pediatric and Family Practitioner
Online Review. St. Louis: Mosby/Elsevier. Available
online at EVOLVE Web: http://evolve.elsevier.com/
productPages/s_848.html.
Dieckmann, Janna, Assistant Professor
Dieckmann, J. L. (2006). The history of public health and
community health nursing. In M. Stanhope & J.
Lancaster (Eds.), Foundations of nursing in the
community: Community-oriented practice (92nd ed., pp
17-35). St. Louis: Mosby/Elvsevier.
Prussian, K., Barksdale-Brown, D. J., & Dieckmann, J. (2007).
Racial and ethnic differences in the presentation of
metabolic syndrome. The Journal for Nurse Practitioners,
3(4), 229-239.
Dix, Dustine, Clinical Instructor
Dix, D. (2007). Hypertension in pregnancy. In D. Lowdermilk
& S. Perry (Eds.), Maternity & Women’s Health (9th ed.,
pp. 784-803). St. Louis, MO: Mosby/Elsevier.
Dougherty, Molly, Professor
Gesler, W., Arcury, T., Skelly, A., Nash, S., Soward, A., &
Dougherty, M. (2006). Identifying diabetes knowledge
nodes as sites for a diabetes prevention program. Health
and Place, 12, 449-464.
Liao, Y. M., Dougherty, M. C., Boyington, A. R., Lynn, M. R.,
& Palmer, M. H. (2006). Developing and validating a
and White older breast cancer survivors: 20-month
outcomes. International Journal of Behavioral Medicine,
13(4), 286-294.
Granger, B. B., Moser, D., Germino, B., Harrell, J. & Ekman,
I. (2006). Caring for patients with chronic heart
failure: The trajectory model. European Journal of
Cardiovascular Nursing, 5, 222-227.
Gingrich, Patricia, Clinical Assistant Professor
Ginrich, P. (2007). Evidence-based practice boxes for all 41
chapters. In D. Lowdermilk & S. Perry (Eds.), Maternity
and women’s health care. St. Louis, MO: Mosby/Elsevier.
Halloran, Edward, Associate Professor
Halloran, E. (2007). Remembering Virginia Henderson. In
K. Chitty & B. Black (Eds.), Professional nursing: Concepts
and challenges, (5th ed., pp. 332-333). St. Louis, MO:
Saunders/Elsevier Press.
Welton, J., Halloran, E., & Zone-Smith, L. (2006). Nursing
intensity: In the footsteps of John Thompson. Studies in
health technology and informatics, 122, 367-371.
Welton, J., Unruh, L., & Halloran, E. (2006). Nurse staffing,
nursing intensity, staff mix, and direct nursing care
costs across Massachusetts hospitals. Journal of Nursing
Administration, 36(9), 416-425.
Chinese instrument to measure lower urinary tract
symptoms among employed women in Taiwan. Nursing
Outlook, 54, 353-361.
Durham, Carol, Clinical Associate Professor
Durham, C. F. (2006). Medication Administration. In
G. Mazzocco, J. Roth, J., & R. Dillon (Eds.), MedicalSurgical Nursing Review (pp. 8-69). Chapel Hill, NC:
University of North Carolina Chapel Hill.
Durham, C. F. (2006). On-line Simulation Module: Sexuality
in the geriatric cardiac patient. Improving the nursing
care of acutely ill elders: A case library. Department
of Health and Human Services: Health Resources
and Services Administration (HRSA) # D62HPO1913.
Retrieved online at: http://nursing.gero.unc.edu
MacMillan, J. S., Davis, L. L., Durham, C. F., & Matteson, E. S.
(2006). Exercise and heart rate recovery. Heart & Lung,
35(6), 383-390.
Esposito, Noreen, Assistant Professor
Johnston, M. & Esposito, N. (2007). Barriers and facilitators
for breastfeeding among working women in the United
States. Journal of Obstetric, Gynecological, and Neonatal
Nursing, 36, 9-20.
Fishel, Anne, Clinical Professor
Fishel, A. (2007). Mental health disorders and substance
abuse. In D. Lowdermilk, & S. Perry, (Eds.), Maternity
and women’s health care (pp. 900-924). St. Louis, MO:
Mosby/Elsevier.
Fogel, Cathie, Professor
Fogel, C. I. (2007). Sexually transmitted diseases and other
infections. In D. Lowdermilk & S. Perry (Eds.), Maternity
& women’s health care (9th ed., pp. 174-206). St. Louis,
MO: Mosby/Elsevier.
Foster, Beverly, Clinical Associate Professor
Foster, B. (2006). Legal Aspects of Nursing. In K Chitty & B.
Black (Eds.), Professional Nursing: Concepts and
Challenges (5th ed. pp. 551-578). St. Louis, MO:
Saunders/Elsevier.
Germino, Barbara, Beerstecher-Blackwell Professor
Gil, K. M., Mishel, M. H., Belyea, M., Germino, B., Porter,
L. S. & Clayton, M. (2006). Benefits of the uncertainty
management intervention for African American
Harlan, Christina, Clinical Assistant Professor
Bender, D., Harlan, C., Ko, L., & Stern, I. (2006). Spanish
for mental health professionals: A step by step
handbook. Albuquerque, NM: University of
New Mexico Press.
Harrell, Joanne, Fox Professor
Granger, B. B., Moser, D., Germino, B., Harrell, J. & Ekman,
I. (2006). Caring for patients with chronic heart
failure: The trajectory model. European Journal of
Cardiovascular Nursing, 5, 222-227.
Havens, Donna, Professor
Havens, D. S., Wood, S., & Leeman, J. (2006). Improving
nursing practice and patient care: Building capacity
with appreciative inquiry. The Journal of Nursing
Administration, 36(10), 463-470.
Hawley, Jennifer, Clinical Assistant Professor
Hawley, J. (2007). Forward. Straight A’s in fluids &
electrolytes: A review series(pp. 13-14). Philadelphia:
Lippincott Williams & Wilkins.
Kjervik, Diane, Professor
Collins, S. E., & Kjervik, D. K. (2007). 25 years of advocating
excellence. Editorial column in Journal of Nursing Law,
11(2), 67-68.
Kjervik, D. K. (2007). Intentionality and the evolution of
nursing law. Editorial column in Journal of Nursing Law,
11(1), 3.
Kjervik, D. K. (2007). Nursing law scholarship: Past, present
and future. Journal of Nursing Law, 11(2), 69-74.
Walker, P., Kjervik, D., Thompson, L. & Mazzocco, G. (2006).
Module 2: Legal and ethical aspects of nursing. In G.
Mazzocco, J. Roth, & R. Dillon (Eds.), Medical-surgical
nursing review (pp. 2.1–2.62). Chapel Hill, NC:
University of North Carolina at Chapel Hill.
Leeman, Jennifer, Research Assistant Professor
Havens, D., Wood, S., & Leeman, J. (2006). Improving nursing
practice and patient care: Building capacity with
Appreciative Inquiry. Journal of Nursing Administration,
36, 463-470.
Leeman, J. (2006). Interventions to improve diabetes
self-management: Utility and relevance for practice.
The Diabetes Educator, 32, 571-583.
Leeman, J., Baernholdt, M., & Sandelowski, M. (2007).
Developing a theory-based taxonomy of methods for
implementing change in practice. Journal of Advanced
Nursing, 58, 191-200.
Leeman, J., Jackson, B., & Sandelowski, M. (2006). An
evaluation of how well research reports support the use
of findings in practice. Journal of Nursing Scholarship,
38, 171-177.
Leeman, J. & Mark, B. (2006). The Chronic Care Model versus
disease management programs: A transaction cost
analysis approach. Health Care Management Review, 31,
18-25.
Lin, Zhen, Research Assistant Professor
Lin, Z., Altman, R.B., and Owen, A.B., (2006) Letter:
Confidentiality in genome research. Science, 313(5786),
441-442.
Lowdermilk, Deitra, Clinical Professor
Lowdermilk, D. L. (2007). Anatomy and physiology of
pregnancy. In D. Lowdermilk & S. Perry (Eds.), Maternity
and women’s health care (9th ed., pp. 333-352). St
Louis, MO: Mosby/Elsevier.
Hughes, Linda, Research Associate Professor
Chang, Y. K., Hughes, L. C., & Mark, B. A. (2006). Fitting in
or standing out: Nursing workgroup diversity and unit-level
patient outcomes. Nursing Research, 55(6), 373-380.
Jones, Cheryl, Associate Professor
Boyington, A. R., Jones, C. B., & Wilson, D. L. (2006).
Buried alive: The presence of nursing on hospital
websites. Nursing Research, 55(2), 103-109.
Finkler S. A., Kovner C. T., & Jones, C. B. (2007). Financial
Management for Nurse Managers and Executives (3rd
ed.). St Louis, MO: Saunders/Elsevier.
Kaufman, Jane, Clinical Associate Professor
Kaufman, J. S. (2007). Nursing assessment: Respiratory
system. In S. L. Lewis, M. M. Heitkemper, S. R. Dirksen, &
P. G. O’Brien (Eds.), Medical-surgical nursing: Assessment
and management of clinical problems (7th ed., pp.
509-532). St. Louis, MO: Mosby/Elsevier.
Kaufman, J. S. (2007). Nursing management: Obstructive
pulmonary diseases. In S. L. Lewis, M. M. Heitkemper, S.
R. Dirksen, P. G. O’Brien (Eds.), Medical-surgical nursing:
Assessment and management of clinical problems (7th
ed., pp. 607-663). St. Louis, MO: Mosby/Elsevier.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
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Lowdermilk, D. L. (2007). Infertility. In D. Lowdermilk &
S. Perry (Eds.), Maternity and women’s health care (9th
ed., pp. 235-254). St Louis, MO: Mosby/Elsevier.
Lowdermilk, D. L. (2007). Labor and birth processes. In
D. Lowdermilk & S. Perry (Eds.), Maternity and women’s
health care (9th ed., pp. 448-466). St Louis, MO: Mosby/
Elsevier.
Lowdermilk, D. L. (2007). Postpartum complications. In
D. Lowdermilk & S. Perry (Eds.), Maternity and women’s
health care (9th ed., pp. 975-990). St Louis, MO: Mosby/
Elsevier.
Lowdermilk D. L. (2007). Structural disorders and neoplasms
of the reproductive system. In D. Lowdermilk, & S. Perry
(Eds.), Maternity and women’s health care (9th ed., pp.
276-312). St Louis, MO: Mosby/Elsevier.
Lowdermilk, D., & Perry, S. (2007). Maternity and women’s
health care (9th ed). St Louis, MO: Mosby/Elsevier.
Lynn, Mary, Associate Professor
Lynn, M. R., McMillen, B. J., & Sidani, S. (2007).
Understanding and measuring patients’ perceptions of
quality nursing care. Nursing Research, 56(3), 159-166.
Liao, Y. M., Dougherty, M. C., Boyington, A. R., Lynn,
M.R., & Palmer, M. H. (2006). Developing and validating
a Chinese instrument to measure lower urinary tract
symptoms among employed women in Taiwan. Nursing
Outlook, 54(6), 353-361.
MacMillan, Julie, Clinical Instructor
MacMillian, J. S., Davis, L. L., Durham, C. F., & Matteson
E. S. (2006). Exercise and Heart Rate Recovery. Heart &
Lung, 35(6), 383-390.
Mark, Barbara, Russell Professor
Chang, Y. K., Hughes, L. C., & Mark, B. A. (2006). Fitting in
or standing out: Nursing workgroup diversity and
unit-level patient outcomes. Nursing Research, 55(6),
373-380.
Leeman, J. & Mark, B. (2006). The Chronic Care Model versus
disease management programs: A transaction cost
analysis approach. Health Care Management Review, 31,
18-25.
Mazzocco, Gail, Clinical Associate Professor
Walker, P., Kjervik, D., Thompson, L., & Mazzocco, G.
Major Research Project Sites July 2006 –June 2007
30
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
(2006). Module 2: Legal and ethical aspects of nursing.
In G. Mazzocco, J. Roth, & R. Dillon (Eds.), Medicalsurgical nursing review (pp. 2.1–2.62). Chapel Hill, NC:
University of North Carolina at Chapel Hill.
Miles, Margaret, Professor
Enriquez, M., Witt, J., Miles, M. S., Gore, P., & Lackey,
N.(2006). A pilot self-care group intervention for lowincome women living with HIV in the Midwestern U.S.
Journal of Health Disparities Research and Practice, 1,
1-18.
Lee. T., Holditch-Davis, D., & Miles, M. S. (2007). The
influence of paternal support and maternal and child
characteristics on maternal parenting of medically fragile
infants. Research in Nursing & Health, 30, 17-30.
Miles, M. S. (2007). Grieving and the loss of a newborn. In
D. L. Lowdermilk & S. E. Perry (Eds), Maternity &
women’s health care (pp. 1090-1114). St. Louis: Mosby/
Elsevier.
Miles, M. S., Holditch-Davis, D., Pedersen, C., Eron, J., &
Schwartz, T. (2007). Emotional distress in African
American women with HIV. Journal of Prevention and
Intervention in the Community, 33(1-2), 35-50.
Miles, M. S., Holditch-Davis, D., Schwartz, T. A., & Sher, S.
(2007). Depressive symptoms in mothers of prematurelyborn children. Journal of Developmental and Behavioral
Pediatrics, 28(1), 36-44.
Polzer, R., & Miles, M. S. (2007). Spirituality in
African Americans with Diabetes: Self-Management
Through a Relationship with God. Qualitative Health
Research, 17(2), 176-188.
Miller, Margaret, Clinical Assistant Professor
Miller, M. (2007). [Review of book] MEDLINE: A guide to
effective searching in PubMed and other interfaces.
Nursing Education Perspectives, 28(2), 99.
Mishel, Merle, Kenan Professor
Bailey, D. E., Wallace, M., & Mishel, M. H. (2006). Watching,
waiting and uncertainty in prostate cancer. Journal of
Clinical Nursing, 16(4), 734-741.
Gil, K. M., Mishel, M. H., Belyea, M., Germino, B., Porter,
L. S., & Clayton, M. (2006). Benefits of the uncertainty
management intervention for African American and
Caucasian older breast cancer survivors: 20-month
outcomes. International Journal of Behavioral Medicine,
13(4), 286-294.
Neelon, Virginia, Associate Professor
Bond, S. M., Neelon, V. J., & Belyea, M. B. (2006). Delirium in
hospitalized older cancer patients. Oncology Nursing
Forum, 33, 1075-1083.
Carlson, B. W., Neelon, V. J., Carlson, J. R., Hartman,
M., & Dogra, S., (2007). Respiratory periodicity and
electroencephalogram arousals during sleep in older
adults. Biological Research for Nursing, 8(4), 249-260.
Palmer, Mary, Umphlet Professor
Baumgarten, M., Hawkes, W., Langenberg, P., Magaziner,
J., Margolis, D., Orwig, D., et al. (2006). Pressure ulcers
in elderly hip fracture patients across the continuum of
care: Preliminary results. The Gerontologist, 46 (special
issue), 545.
Gray, M., Bliss, D., Doughty, D., Ermer-Seltun, J.,
Kennedy-Evans, K., & Palmer, M. (2007). Incontinence
associated dermatitis: A consensus. Journal of Wound,
Ostomy and Continence Nursing, 34(1), 45-54.
Liao, Y. M., Dougherty, M. C., Boyington, A. R., Lynn, M.
R., & Palmer, M. H. (2006). Developing and validating
a Chinese instrument to measure lower urinary tract
symptoms among employed women in Taiwan. Nursing
Outlook, 54(6), 353-361.
Palmer, M. (2007). Palmer, M. (2007). Managing urinary
incontinence after prostate cancer surgery, Coping with
Cancer, 21(2), 32.
Palmer, M. & Newman, D. (2007). Urinary incontinence and
estrogen. American Journal of Nursing, 107(3), 35-37.
Piven, Mary Lynn, Assistant Professor
Colón-Emeric, C., Lekan-Rutledge, D., Utley-Smith,
Q., Ammarell, N., Bailey, D., Piven, M. L., et al. (2006).
Connection, regulation, and care plan innovation: A case
study of four nursing homes. Health Care Management
Review, 31(4), 337-346.
Piven, M. L., Ammarell, N., Lekan-Rutledge, D.,
Utley-Smith, Q., Corazzini, K., Colón-Emeric, et al.
(2007). Paying attention: a leap toward quality care. The
Director, 15(1), 58-63.
Rodgers, Shielda, Clinical Associate Professor
Rodgers, S. (2007). Ethical aspects of nursing. In K. Chitty &
B. Black (Eds.), Professional nursing: Concepts and
Challenges (pp. 112-138). St. Louis, MO: Saunders/
Elsevier Press.
Rodgers, S. (2007). The history and social context of nursing.
In K. Chitty & B. Black (Eds.), Professional nursing:
Concepts and Challenges (pp. 29-68). St. Louis, MO:
Saunders/Elsevier Press.
Rodgers, S. (2007). Thomson Delmar Learning’s medicalsurgical nursing care plans. Clifton Park, NY: Thomson
Delmar.
Rowsey, Pam, Associate Professor
Gordon, C. J., Rowsey, P. J., & Mack, C. M. (2006). Toxicology
of organophosphates and carbamate pesticides. In C.
Gupta (Ed.), Temperature regulation in experimental
mammals and humans exposed to organophosphate
and carbamate agents (pp. 549-566). San Diego, CA:
Academic Press/Elsevier.
Sandelowski, Margarete, Boshamer Professor
Leeman, J., Baernholdt, M., & Sandelowski, M. (2007).
Developing a theory-based taxonomy of methods for
implementing change in practice. Journal of Advanced
Nursing, 58, 191-200.
Leeman, J., Jackson, B., & Sandelowski, M. (2006). An
evaluation of how well research reports support the use
of findings in practice. Journal of Nursing Scholarship,
38, 171-177.
Sandelowski, M., & Barroso, J. (2007). Handbook for
synthesizing qualitative research. New York: Springer.
Sandelowski, M., Barroso, J., & Voils, C. I. (2007). Using
qualitative metasummary to synthesize qualitative and
quantitative descriptive findings. Research in Nursing &
Health, 30, 99-111.
Sandelowski, M., Voils, C. I., & Barroso, J. (2007).
Comparability work and the management of difference
in research synthesis studies. Social Science & Medicine,
64, 236–247.
Schwartz, Todd, Research Assistant Professor
Abbate L. M., Stevens J., Schwartz T. A., Renner J. B., Helmick
C. G., Jordan J. M. (2006). Anthropometric measures,
body Ccmposition, body fat distribution, and knee
osteoarthritis in women. Obesity, 14, 1274-1281.
Beeber, L. S., Cooper, C., Van Noy, B. E., Schwartz, T. A.,
Blanchard, H. C., Canuso, R., Robb, K., Laudenbacher,
C., Emory, S.L. (2007). Flying under the radar:
Engagement and retention of depressed low-income
mothers in a mental health intervention. Advances in
Nursing Science, 30, 221-234.
Black B., Holditch-Davis D., Schwartz T., Scher M. (2006).
Effects of antenatal magnesium sulfate and corticosteroid
therapy on sleep states of preterm infants. Research in
Nursing and Health, 29, 269-280.
Holditch-Davis, D., Schwartz, T., Black, B., & Scher, M. (2007).
Correlates of mother-premature infant interactions.
Research in Nursing and Health, 30(2), 333-346.
Miles, M.S., Holditch-Davis, D., Pedersen, C., Eron, J., &
Schwartz, T. (2007). Emotional distress in African
American women with HIV. Journal of Community and
Preventive Psychiatry, 33(1-2), 35-50. and HIV: Issues
with mental health and illness (ed: M.B. Blank & M.M.
Eisenberg). Haworth Press, Inc. (pp. 35-50).
Miles, M. S., Holditch-Davis, D., Schwartz, T. A., & Scher, M.
(2007). Depressive symptoms in mothers of prematurelyborn children. Journal of Developmental and Behavioral
Pediatrics, 28 (1), 36-44.
Schwartz T. A., Denne J. S. (2006). A two-stage sample size
recalculation procedure for placebo- and activecontrolled non-inferiority trials. Statistics in Medicine,
25, 3396-3406.
Sherwood, Gwen, Professor
Cronenwett, L., & Sherwood, G. (2007). Quality and safety
education for nurses. Leader to Leader, 1-2. Available
online at: www.ncsbn.org.
Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J.,
Johnson, J., Mitchell, P., et al. (2007). Quality and safety
education for nurses. Nursing Outlook, 55(3), 122-131.
Freshwater, D., Sherwood, G., & Drury, V. (2006).
International research collaboration: Issues, benefits, and
challenges of the global network. Journal of Research in
Nursing, 11(4), 295-303.
Sherwood, G. (2006). Appreciative leadership: Building
customer driven partnerships. Journal of Nursing
Administration, 36(12), 551-557.
Sherwood, G. (2006). Resource review: Management and
leadership in nursing and health care: An experiential
approach (2nd Ed.) by E. Rigolosi. Journal of Continuing
Education in Nursing, 37(4), 191.
Smith, E. L., Cronenwett, L., & Sherwood, G. (2007). Current
assessments of quality and safety education in nursing.
Nursing Outlook, 55(3), 132-137.
Skelly, Anne, Professor
Gesler, W., Arcury, T., Skelly, A., Nash, S., Soward, A., &
Dougherty, M. (2006). Identifying diabetes knowledge
nodes as sites for a diabetes prevention program. Health
and Place, 12, 449-464.
Skelly, A. (2006). Type 2 diabetes mellitus. Nursing Clinics of
North America, 41(4), 531-547.
Smith, Elaine, Clinical Assistant Professor
Day, L., & Smith, E. L. (2007). Integrating quality and safety
content into clinical teaching in the acute care setting.
Nursing Outlook, 55(3), 138-143.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
31
Smith, E. L., Cronenwett, L., Sherwood, G. (2007) Current
assessments of quality and safety education in nursing.
Nursing Outlook, 55(3), 132-137.
Thoyre, Suzanne, Associate Professor
Olson, D. M., Thoyre, S. M., Turner, D. A., Bennett, S., &
Graffagnino, C. (2007). Changes in intracranial pressure
associated with chest physiotherapy. Neurocritical care,
6(2), 100-103.
Pridham, K., Steward, D., Thoyre, S., Brown, R., & Brown, L.
(2007). Feeding skill performance in premature infants
during the first year. Early Human Development, 85(5),
293-305.
Travers, Debbie, Assistant Professor
Tanabe, P., Gilboy, N., & Travers, D. (2007). Emergency
Severity Index Version 4: Clarifying common questions.
Journal of Emergency Nursing, 33(2), 182-185.
Travers, D. A., & Haas, S. (2006). The Unified medical
language system© coverage of emergency department
chief complaints. Academic Emergency Medicine, 13,
1319-1323.
Smith, E. L. (2007). Choosing the right graduate school for
you. MODRN Nurse Career Guide, 230-234.
Smith, E. L. (December, 2006). Finding a healthy work
environment-let the forces of magnetism be your guide.
MODRN Nurse Career & Guide. Electronic publication
available at: www.modernnurse.com/coverstories/article/
healthywork-env.aspx .
Smith,E. L. (2007). Thinking about a Career in Nursing
Education: It is Never Too Soon to Get Started. MODRN
Nurse Career Guide, 130-134.
Vann, Julie, Clinical Assistant Professor
Jacobson Vann, J. C. (2006). Measuring community-based
case management performance: Strategies for
evaluation. Lippincott’s Case Management, 11(3),
147-157.
Wagner, Jennie, Clinical Instructor
Wagner, J., Jenkins, B., & Smith, J. (2006). Nurses’ utilization
of parent questionnaires for developmental screening.
Pediatric Nursing, 32(5), 409-412.
Grant Review Activities 2006–2007 Academic Year
Berry, Diane, Assistant Professor
Reviewer, The Netherlands Organisation for Health Research
and Development (ZonMw, The Hague, The
Netherlands), 2007.
Reviewer, United Kingdom Diabetes Association
(London, UK), 2006.
Brunssen, Susan, Assistant Professor
Reviewer, Sigma Theta Tau International, 2006.
Germino, Barbara, Beerstecher-Blackwell Professor
Ad Hoc Member, Nursing Science: Adults and Older Adults
Study Section (NSAA), Center for Scientific Review,
National Institutes of Health, 2007.
Harrell, Joanne, Professor
Reviewer, Center for Disease Control and Prevention, Center
Supplemental awards, 2007.
Reviewer, Center for Disease Control and Prevention
K01 awards, 2007.
Leeman, Jennifer, Research Assistant Professor
Reviewer, United Kingdom Diabetes Association
(London, UK), 2006.
Mark, Barbara, Russell Professor
Member, Health Systems Research Study Section, Agency for
Health Research and Quality, 2005-2009.
32
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
Mazzocco, Gail, Clinical Associate Professor
Reviewer, Model AHEC Grant Review/Curriculum
Development, Bureau of Health Professions, Health
Resources and Services Administration, Department of
Health and Human Services, 2007.
Reviewer, AHEC Nursing Panel, North Carolina AHEC, 2007.
Palmer, Mary, Umphlet Professor
Ad Hoc Member, Nursing Science: Adults and Older Adults
Study Section (NSAA), Center for Scientific Review,
National Institutes of Health, 2006.
Sandelowski, Margarete, Boshamer Professor
Member, Special Emphasis Panel, Center for Scientific Review,
National Institutes of Health, 2007.
Sherwood, Gwen, Professor
Reviewer, National Patient Safety Foundation, Research
Program, 2004-present.
Reviewer, Global Health Frameworks Panel, University of
North Carolina School of Public Health, 2006-present.
Travers, Debbie, Assistant Professor
Reviewer, Emergency Nursing Association Foundation,
2006-2007.
Waldrop, Julee, Clinical Associate Professor
Cole, K., Waldrop, J., D’Auria, J. P., & Garner, H. (2006). An
integrative research review: Effective school-based
childhood overweight interventions. Journal for
Specialists in Pediatric Nursing, 11(3), 166-177.
Vaughn, K. & Waldrop, J. B. (2007). Parent education key to
beating early childhood obesity. The Nurse Practioner,
32(3), 37-41.
West, E. & Waldrop, J. (2006). Risperidone use in the
treatment of behavioral symptoms in children with
autism. Pediatric Nursing, 32(6), 545-549.
Weaver, Mark, Research Assistant Professor
Raymond, E. G., Stewart, F., Weaver, M., Monteith, C., & Van
Der Pol, B. (2006). Impact of increased access to
emergency contraceptive pills: A randomized controlled
trial. Obstetrics and Gynecology, 108, 1098-1106.
Yeo, SeonAe, Associate Professor
Yeo, S. (2006). A randomized comparative trial of the efficacy
and safety of exercise during pregnancy: design &
methods. Contemporary Clinical Trials, 27, 531-540.
Yeo, S., & Kim, E. (2006). Need for more foreign educated
nurses in faculty position in the United States, Nursing
Research. Available online at http://www.nursingresearch-editor.com/documents/lte.php.
Yeo, S., Ronis, D., Antonakos, C., Roberts, K., & Hayashi, R.
(2006). Need for population specific validation of a
portable metabolic testing system: a case of sedentary
pregnant women. Journal of Nursing Measurement,
13(3), 241-252.
Yeo, S., Wells, P. J., Kieffer, E., & Nolan, G. (2007).
Preeclampsia among Hispanic women in a Detroit health
system: a paradox or conundrum? Journal of Ethnicity &
Disease, 17, 118-121.
Editorial and Abstract Review Activities 2006–2007 Academic Year
Barksdale, Debra, Assistant Professor
Member, Editorial Board and Reviewer,
The Journal for Nurse Practitioners
Reviewer, Journal of the American Psychiatric
Nurses Association
Reviewer, North Carolina Medical Journal
Reviewer. The Journal of Clinical Outcomes Management
Reviewer, Western Journal of Nursing Research
Reviewer, The American Journal for Nurse Practitioners
Reviewer, The Journal of the American Academy of
Nurse Practitioners
Barlow, Jane, Clinical Assistant Professor
Reviewer, Journal of Early Intervention
Beeber, Linda, Professor
Reviewer, Research in Nursing & Health
Reviewer, Nursing Outlook
Berry, Diane, Assistant Professor
Reviewer, Evidence-Based Nursing
Reviewer, Public Health Nursing
Reviewer, British Journal of Health Psychology
Reviewer, Journal of School Health
Reviewer, Applied Nursing Research
Reviewer, Journal of American Psychological Nurses Associate
Reviewer, Preventing and Identifying, Overweight in
Childhood Clinical Practice, Guidelines for National
Association of Pediatric Nurse Practitioners, 2006
Black, Beth, Assistant Professor
Reviewer, Health Care for Women International
Abstract Reviewer, University of North Carolina at Chapel Hill
Women’s Health Research Day, 2007
Brunssen, Susan, Assistant Professor
Reviewer, NeuroToxicology
Reviewer, Research in Nursing and Health
Reviewer, Sigma Theta Tau International
Carlson, Barbara, Assistant Professor
Member, Editorial Board, Biological Research in Nursing
Reviewer, Gerontological Society of America,
Clinical Medicine Section
Reviewer, Geriatric Nursing
Reviewer, Heart & Lung: The Journal of Acute and
Critical Care
Reviewer, Medical Science Monitor, International
Scientific Literature
Reviewer, Biological Research for Nursing
Reviewer, Physics in Medicine and Biology
Reviewer, Physiological Measurement
Abstract Reviewer, Southern Nursing Research Society
Cronenwett, Linda, Professor
Special Editor, Nursing Outlook
Reviewer, Nursing Outlook
D’Auria, Jennifer, Associate Professor
Reviewer, Research in Nursing & Health
Reviewer, Journal of Pediatric Nursing
Dieckmann, Janna, Assistant Professor
Reviewer, Research in Nursing & Health
Reviewer, Journal of Women’s History
Esposito, Noreen, Assistant Professor
Reviewer, Research in Nursing & Health
Reviewer, Qualitative Health Research
Reviewer, Advances in Nursing Science
Fishel, Anne, Clinical Professor
Reviewer, American Journal of Nursing
Reviewer, Journal of American Psychiatric Nurses Association
Fogel, Cathie, Professor
Reviewer, Western Journal of Nursing Research
Foster, Beverly, Clinical Associate Professor
Reviewer, Public Health Nursing
Funk, Sandra, Professor
Reviewer, Research in Nursing & Health
Reviewer, Western Journal of Nursing Research
Goeppinger, Jean, Professor
Member, Advisory Board, Journal of Family and
Community Health
Reviewer, Arthritis Care and Research
Reviewer, American Journal of Public Health
Harrell, Joanne, Professor
Reviewer, Pediatrics
Reviewer, Research in Nursing & Health
Reviewer, Journal of Adolescent Health
Reviewer, Nursing Research
Havens, Donna, Professor
Reviewer, The Journal of Nursing Administration
Reviewer, Medical Care
Reviewer, Nursing Outlook
Reviewer, Implementation Science
Reviewer, Western Journal of Nursing Research
Hughes, Linda, Research Associate Professor
Reviewer, Medical Care
Reviewer, Journal of Nursing Scholarship
Reviewer, Nursing Research
Kjervik, Diane, Professor
Member, Editorial Board, Journal of Nursing Law
Member, Board of Review, Issues in Mental Health Nursing
Reviewer, Research in Nursing & Health
Reviewer, Journal of Advanced Nursing
Reviewer, Image: Journal of Nursing Scholarship
Reviewer, Nursing Outlook
Reviewer, Journal of Professional Nursing
Leeman, Jennifer, Research Assistant Professor
Reviewer, Research in Nursing & Health
Reviewer, Journal of Nursing Scholarship
Reviewer, Health Policy
Reviewer, Implementation Science
Reviewer, Patient Education and Counseling
Lowdermilk, Deitra, Adjunct Professor
Reviewer, Mosby Elsevier
Lynn, Mary, Associate Professor
Reviewer, Research Nursing & Health
Reviewer, Social Science & Medicine
Reviewer, Public Health Nursing
Reviewer, Western Journal of Nursing Research
Mark, Barbara, Russell Professor
Member, Editorial Board, Medical Care Research and Review
Reviewer, Western Journal of Nursing Research
Reviewer, Nursing Research
Reviewer, Journal of Nursing Scholarship
Reviewer, Nursing Economics
Reviewer, Inquiry
Reviewer, Health Services Research
Miles, Margaret, Professor
Member, Editorial Board, Advances in Neonatal Care
Member, Editorial Board, Journal of Pediatric Nursing
Reviewer, AIDS Care
Reviewer, Advances in Neonatal Care
Reviewer, Health Care for Women International
Reviewer, Journal of Developmental and Behavioral Pediatrics
Reviewer, Journal of Pediatric Nursing
Reviewer, Journal for Specialists in Pediatric Nursing
Reviewer, Nursing Research
Reviewer, Parenting
Reviewer, Research in Nursing & Health
Mishel, Merle, Professor
Reviewer, Journal of Consulting & Clinical Psychology
Reviewer, Journal of Psycho-social Oncology
Palmer, Mary, Umphlet Professor
Associate Editor, Journal of the American Geriatrics Society
Co-Editor, American Journal of Nursing,
Bladder Matters Column
Member, Advisory Board, American Journal of Nursing
with the Gerontological Society of America
Member, Editorial Board, Research in Nursing & Health
Member, Editorial Board, Journal of Aging, Humanities,
and the Arts
Member, Editorial Board, Clinical Geriatrics
Member, Panel of Reviewers, Geriatric Nursing
Reviewer, Journal of Wound, Ostomy and
Continence Nursing
Reviewer, Journal of International Older Persons Nursing
Piven, Mary Lynn, Assistant Professor
Reviewer, Western Journal of Nursing Research,
Reviewer, Journal of Public Health Nursing,
Sandelowski, Margarete, Boshamer Professor
Associate Editor, Research in Nursing & Health
Member, Editorial Board, Sage Encyclopedia of Qualitative
Research Methods
Member, Editorial Board, Advances in Nursing Science
Member, Editorial Board, Field Methods
Member, Editorial Board, Journal of Mixed Methods Research
Member, Editorial Board, Nursing Inquiry
Member, Editorial Board, Qualitative Health Research
Sherwood, Gwen, Professor
Member, Editorial Board, International Journal
for Human Caring
Member, Editorial Board, Journal of Holistic Nursing
Reviewer, Journal of Continuing Education in Nursing
Reviewer, Nursing Outlook
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
33
Reviewer, Journal of Clinical Nursing
Reviewer, Research in Nursing and Health
Reviewer, International Journal of Nursing Education
Travers, Debbie, Assistant Professor
Member, Editorial Board, International Society for
Disease Surveillance
Schwartz, Todd A., Research Assistant Professor
Reviewer, Research in Nursing & Health
Van Riper, Marcia, Associate Professor
Reviewer, Journal of Genetic Counseling
Reviewer, Clinical Genetics
Reviewer, Genetics in Medicine
Reviewer, Journal of Family Nursing
Skelly, Anne, Professor
Editor, The Diabetes Educator, Continuing
Education Department
Reviewer, Western Journal of Nursing Research
Reviewer, Diabetes Care
Reviewer, Sage Publications
Reviewer, F. A. Davis
Reviewer, C. V. Mosby, Inc.
Smith, Elaine, Clinical Assistant Professor
Member, Editorial Advisory Board, MODRN
Reviewer, Journal of Continuing Education in Nursing
Invited Section Editor, Core Curriculum in Nursing Staff
Development 3rd ed., 2006
Thoyre, Suzanne, Associate Professor
Reviewer, Journal of Early Intervention
Reviewer, Journal of Perinatology
Reviewer, Health Care for Women International
Reviewer, Journal of Obstetric, Gynecologic, and
Neonatal Nursing
Reviewer, American Journal of Maternal Child Nursing
Tonges, Mary, Clinical Professor
Reviewer, Nursing Spectrum
Reviewer, Nurse Leader
Reviewer, Advance for Nurses
Waldrop, Julee, Clinical Associate Professor
Editor & Member, Editorial Board, NP News, Official
Newsletter of the NCNA Council of Nurse Practitioners
Contributing Editor, The Clinical Advisor
Member, Editorial Board, Ear Clinic
Case Study Reviewer, Sigma Theta Tau International
Honor Society
Weaver, Mark, Research Assistant Professor
Reviewer, The Annals of Occupational Hygiene
Woodley, Lisa, Clinical Assistant Professor
Textbook Reviewer, Kyle Essentials of Pediatric Nursing,
chapters 2, 3, & 15, First Edition,
Lippincott, Williams & Wilkins Publishing.
Textbook Reviewer, Osborn: Medical Surgical Nursing Preparation for Practice, Chapters 7, 8, 44, & 52,
Pearson Publishing/Prentice Hall.
Textbook Reviewer, Pearson’s Osborn - Surgical Nursing:
Preparation for Practice, First Edition, New York:
Prentice Hall.
Yeo, SeonAe, Associate Professor
Reviewer, Ethnicity & Disease
Faculty Distinguished Professors 2006–2007 Academic Year
Germino, Barbara, Carol Ann Beerstecher-Blackwell
Distinguished Professor in Thanatology
Mark, Barbara, Sarah Frances Russell Distinguished Professor
in Nursing Systems
Palmer, Mary H., Helen W. and Thomas L. Umphlet
Distinguished Professor in Aging
Harrell, Joanne, Frances Hill Fox Distinguished Professor
of Nursing
Mishel, Merle, William R. Kenan Jr. Distinguished Professor
Sandelowski, Margarete, Cary C. Boshamer
Distinguished Professor
Honors and Awards 2006–2007 Academic Year
Alden, Kathryn, Clinical Associate Professor
Selected North Carolina Great 100 Nurses, 2006
Allen, Lindsay, Clinical Assistant Professor
National Student Nurses Association Leader of Leaders
Award, 2007
Undergraduate Nursing Faculty Appreciation Award, 2007
Barksdale, Debra, Assistant Professor
American Academy of Nurse Practitioners, Inductee, 2007
National Organization of Nurse Practitioner Faculty,
Board of Directors, 2007
Dieckmann, Janna, Assistant Professor
UNC-Chapel Hill Carolina Women’s Leadership
Council Mentoring Award for Faculty-to-Faculty
Mentorship, 2007
Fogel, Cathie, Professor
Alumni of the Year, School of Nursing, UNC-Chapel Hill, 2006
Beeber, Linda, Professor
American Academy of Nursing, Inductee, 2006
Kelly, Maureen, Clinical Assistant Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Berry, Diane, Assistant Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Jones, Cheryl, Associate Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Brunssen, Susan, Assistant Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Moore, Katherine, Clinical Assistant Professor
Helping Other People Excel (HOPE) Award, School of Nursing,
UNC-Chapel Hill, 2007
UNC-Chapel Hill, School of Nursing, Undergraduate Nursing
Faculty Appreciation Award, 2007
Bush, Tom, Clinical Assistant Professor
UNC-Chapel Hill, School of Medicine Class of 2007,
Carolina Cup Award, 2007
34
Davison, Jean, Clinical Assistant Professor
National Health Service Corp, Elected Ambassador, 2006
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
McCarthy, Regina, Clinical Assistant Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Page, Julie, Clinical Assistant Professor
UNC-Chapel Hill, School of Nursing, Award for Advising
Excellence, 2007
Soltis-Jarrett, Victoria, Clinical Associate Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Pierce, Susan, Professor
Board of Trustees of the American Nurses’ Foundation
(ANF), 2007
Tornquist, Elizabeth, Editor
American Association of Critical Care Nurses,
Pioneering Spirit Award, 2007
Sherwood, Gwen, Professor
President’s Appointment: Accreditation Panel,
Macau Polytechnic Institute, Macau, 2006
Woodley, Lisa, Clinical Assistant Professor
UNC-Chapel Hill, School of Nursing, Excellence in Course
Instruction, 2006
UNC-Chapel Hill, School of Nursing, Excellence in Clinical
Instruction, 2006
Skelly, Anne, Professor
UNC-Chapel Hill, School of Nursing, Excellence in Graduate
Teaching Award, 2007
Doctoral Student and Post-Doctoral Fellow Activities
2006–2007 Academic Year
INDIVIDUAL GRANTS
Beeber, A., Principal Investigator; Zimmerman, S., Clipp, E.,
Mark, B., Mentors. Use of Community Based Long-term Care
Service by Elders and Families. John A. Hartford Foundation,
2005-2007.
Mortimer, M., Principal Investigator; Mishel, M., sponsor.
A Brief Intervention to Improve Illness Perception and
Medication Adherence in Hypertensive Older Black Women.
American Nurses Foundation, 2005-2006.
Chang, Y., Principal Investigator; Mark, B., sponsor. Testing
a Theoretical Framework for Severe Medication Errors. Sigma
Theta Tau, 2007-2008.
Olson, D., Principal Investigator, Thoyre, S., sponsor. A
Psychometric Evaluation of the Ramsay Scale for Routine
Sedation Assessment. Aspect Medical Systems, Inc.,
2005-2006.
Forcina-Hill, J., Principal Investigator; Germino, B., sponsor.
Racial and Ethnic Disparities in Hospice use After Referral.
National Research Service Award, National Institute of Nursing
Research, National Institutes of Health, 2006-2008.
Giscombe, C., Principal Investigator. Superwoman Schema
Emotional Suppression in African American Women. Center
for Innovation in Health Disparities Research, School of
Nursing, The University of North Carolina at Chapel Hill,
National Institute of Nursing Research, National Institutes of
Health, 2006-2007.
Greene, N., Principal Investigator; Miles, M., sponsor. The
Influences of Family Function on Dietary Intake. National
Research Service Award, National Institute of Diabetes and
Digestive and Kidney Diseases, National Institutes of Health,
2004-2006.
Jessup, A., Principal Investigator; Harrell, J., sponsor.
Adiponectin and Risk Factors for Cardiovascular Disease and
Diabetes in Youth. National Research Service Award, National
Institute of Nursing Research, National Institutes of Health,
2005-2007.
Jessup, A., Principal Investigator; Harrell, J., sponsor.
Adiponectin and Risk Factors for Cardiovascular Disease and
Diabetes in Youth. Small Grant Award, Alpha Alpha Chapter,
Sigma Theta Tau, 2005-2006.
Kao, H., Principal Investigator; Lynn, M., sponsor. Family
Caregiving for Mexican American Older Adults. Sigma Theta
Tau, 2007-2008.
Mortimer, M., Principal Investigator; Mishel, M., sponsor.
A Brief Intervention to Improve Illness Perception and
Medication Adherence in Hypertensive Older Black Women.
Center for Innovation in Health Disparities Research, School
of Nursing, The University of North Carolina at Chapel Hill,
National Institute of Nursing Research, National Institutes of
Health, 2005-2006.
Olson, D., Principal Investigator, Thoyre, S., sponsor. A
Psychometric Evaluation of the Ramsay Scale for Routine
Sedation Assessment. Aspect Medical Systems, Inc.,
2006-2007.
Rasmussen, S., Principal Investigator; Dalton, J., sponsor.
Acoustic Parameters of Emotion Expression of Women with
Chronic Knee Pain. Sigma Theta Tau, 2007-2008.
Roberson, T., Principal Investigator; Kjervik, D., sponsor. The
Experiences of Adolescents Consenting to Psychiatric Mental
Health Treatment, Sigma Theta Tau, 2007-2009.
Spector, D., Principal Investigator; Mishel, M., sponsor.
Breast Cancer Risk Perception and Lifestyle Factors in Women
at High Risk. American Cancer Society, 2007-2009.
Spector, D., Principal Investigator; Mishel, M., sponsor.
Breast Cancer Risk Perception and Lifestyle Behaviors
in Women with a Family History of Breast Cancer: An
Exploratory Study with White and African American Women.
Center for Innovation in Health Disparities Research, School
of Nursing, The University of North Carolina at Chapel Hill,
National Institute of Nursing Research, National Institutes of
Health, 2006-2007.
Wall, Y., Principal Investigator; Germino, B., sponsor.
Physician Partnership-Building Behaviors: Implications in
Health Disparities. Center for Innovation in Health Disparities
Research, School of Nursing, The University of North Carolina
at Chapel Hill, National Institute of Nursing Research, National
Institutes of Health, 2007-2008.
Wallace, A., Principal Investigator; Mark, B., sponsor.
Associations Between Race, Perceived Self-care Management
Support, and Diabetes Outcomes. Center for Innovation in
Health Disparities Research, School of Nursing, The University
of North Carolina at Chapel Hill, National Institute of Nursing
Research, National Institutes of Health, 2007-2008.
Zomorodi, M., Principal Investigator; Lynn, M., sponsor.
Instrument Development: Nurses’ Evaluations of End-of-life
Care in the ICU. Alpha Alpha Chapter, Sigma Theta Tau,
2007-2008.
Zomorodi, M., Principal Investigator; Lynn, M., sponsor.
Instrument Development: Nursing Competence With Endof-Life Care in the ICU. American Association of Critical Care
Nurses, 2007-2008.
INSTITUTIONAL NRSA PRE-DOCTORAL
AWARD RECIPIENTS
Pre-Doctoral Students
Adams, J. (Jones, C., sponsor). Improving the Efficiency of
Nurses in the Acute Care Setting, 2006-2008.
Allen, D. (Mishel, M., sponsor). Symptom Cluster
Description of Fatigue, Sleep Disturbances, and Cognitive
Dysfunction in the Adult Neuro-oncology Population,
2006-2008.
Bacon, C. (Mark, B., sponsor). Professional Nursing Practice
and its Impact on Organizational and Patient Outcomes in
Ambulatory Surgery, 2005-2008.
Flanagan, O. (Fogel, C., sponsor). The Stress of Chronic
Restrictive Dieting on Obese Women, 2006-2009.
Gorospe, J. (Palmer, M., sponsor). Translation Science; Use
of Evidence-based Practice, Patient Safety, 2005-2008.
Harris, N. (Fogel, C., sponsor). The Relationship Between
Experiences with Sexual and Physical Trauma and HIV
Management in Incarcerated Women, 2006-2008.
Jakub, K. (Sandelowski, M., sponsor). Nursing Interventions
to Manage Persons with Cardiovascular Disease: Particularly
Those with Cardiac Arrhythmias and Cardiomyopathy,
2005-2007.
Lee, E. (Van Riper, M., sponsor). How Parents Who Have
Undergone BRCA ½ Testing Share the Information They Have
Received With Their Children, 2005-2007.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
35
Melekwe, O. (Lynn, M., sponsor). Developing Nursesensitive Patient Outcome Measures Related to Longterm
care, 2005-2008
Nam, K.H. (Lynn, M., sponsor). Nurses’ Job Satisfaction in
Nursing Homes, 2006-2008.
VanDerBergh, D. (Jones, C., sponsor). Patient-centered
Safety Initiatives: The Characteristics of Healthcare
Organizations and Work Environments, Team Braining and its
Impact on Organizational Learning, and Healthcare Culture
Necessary For the Successful Implementation of Rapid
Response Teams, 2006-2008.
Waguespack, L. (Harrell, J., sponsor). Interventions for the
Prevention of Obesity in the School-aged Child, 2005-2007.
Wall, Y. (Germino, B., sponsor). Physician/Patient
Communication under Decision Making, 2005-2007.
Yurek, L. (Havens, D., sponsor). Hospital Systems and
Organizational Behavior, 2005-2007.
Post-Doctoral Fellows
Beeber, A. (Zimmerman, S., sponsor). Communitybased Long-term Care Service Use by Elders and Families,
2005-2007.
Cho, J. (Neelon, V., and Brunssen, S., sponsors). The Role
of Testosterone in Health, Development, and Temperament
Outcomes of Preterm Infants, 2005-2007.
Giscombe, C. (Beeber, L., and Barksdale, D., sponsors).
Conceptualizing Stress to Examine its Effects on Health in
African American Women: A focus on Stress Appraisal,
Psychological Distress, Coping, and Psychological Markers of
Stress Response, 2005-2007.
Kao, H. (Lynn, M., sponsor). Family Care-giving for Mexican
American Elders, 2006-2008.
Wallace, A. (Mark, B., sponsor). Assessing the Relationship
Between Chronic Care Model, Quality Care, and a Number
of Diabetes-related Structure and Outcome Measures,
2006-2008.
PUBLICATIONS
Chang, Y., Hughes, L. C., & Mark, B. (2006). Fitting in or
standing out: Nursing workgroup diversity and unit-level
outcomes. Nursing Research, 55(6), 373-380.
Cobb, S. L, Brown, D. J., & Davis, L. L. (2006). Effective
interventions for lifestyle changes after myocardial infarction
and coronary artery revascularization. Journal of American
Academy Of Nurse Practitioners, 18(1), 31-39.
Colon-Emeric, C., Lyles, K., Levine, D., House, P., Schenck,
A., Gorospe, J., et al. (2007). Prevalence and predictors of
osteoporosis treatment in nursing home residents with known
osteoporosis or recent fracture. Osteoporosis International,
18(4), 553-559.
Colon-Emeric, C., Schenk, A., Gorospe, J., McArdle, J.,
Dobson, L., DePorter, C., et al. (2006). Translating evidencebased falls prevention into clinical practice in nursing facilities:
Results and lessons from a quality improvement collaborative.
Journal of the American Geriatrics Society,. 54(9), 1414-1418.
Forcina Hill, J. M. (2006). Hospice utilization: Political,
cultural, and legal issues. Journal of Nursing Law, 10(4),
216-224.
King, K. J. & Olson, D. M. (2007). What you should know
about neurogenic shock. American Nurse Today, 2(2), 56-60.
Lynn, M. R., Redman, R. W., & Zomorodi, M. G. (2006).
The canaries in the coal mine speak: Why someone should
(and should not) become a nurse. Nursing Administration
Quarterly, 30(4), 340-350.
MacMillian, J. S., Davis, L. L., Durham, C. F., & Matteson, E.
S. (2006). Exercise and heart rate recovery. Heart and Lung,
35(6), 383-90.
Moyer, P., Ornato, J. P., Brady, W. J., Davis, L. L.,
Ghaemmaghami, C. A., Gibler, W. B., et al. (2007).
Development of systems of care for ST-Elevation myocardial
infarction patients. The emergency medical services and
emergency department perspective. Circulation, 116, 43-48.
Nichols, M., Roux, G., & Harris, N.R. (2007). Primigravid
and multigravid women: Prenatal perspectives. Journal of
Perinatal Education, 16(2), 21-32.
Olson D. M. (2007). Multimodal neurological monitoring. In
R. Kaplow, & S. R. Hardin (Eds.), Critical care nursing: synergy
for optimal outcomes. Sudbury, Massachusetts: Jones and
Bartlett.
Olson, D. M., Halley, N. (2007). Cerebral aneurysm rupture Are you prepared? Nursing, 37(3), 64cc1-4.
Olson, D. M., Thoyre, S. M., Turner, D. A., Bennett, S., &
Graffagnino, C. (2007). Changes in intracranial pressure
associated with chest physiotherapy. Neurocritical Care, 6(2),
100-103.
Schumacher, K. S., Beidler, S. M., Beeber, A. S., & Gambino,
P. (2006). A transactional model of family caregiving skill.
Advances in Nursing Science, 29(3), 271-286.
Smith-Miller, C. (2006). Graduate nurses’ comfort and
knowledge level regarding tracheostomy care. Journal for
Nurses in Staff Development, 22(5), 222-229.
Spector, D. (2007). Lifestyle behaviors in women with a
BRCA1 or BRCA2 genetic mutation: An exploratory study
guided by concepts derived from the Health Belief Model
[Electronic version]. Cancer Nursing, 30(1), E1-E10.
Travis, S. S., McAuley, W. J., Dmochowski, J., Bernard, M. A.,
Kao, H. S., & Greene, R. (2007). Predictors of medication
hassles experienced by family caregivers of older adults.
Patient Education and Counseling, 61, 51-57.
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF NURSING
RESEARCH CHRONICLE 2006–2007
36
Advancing Nurse Research
at Carolina
Completing doctoral or postdoctoral work at Carolina can be one of the best decisions you
make for your nursing career. It’s never too late to find out about a program that would
work for you. The School of Nursing is offering two programs with nationally-renowned
nurse scientists serving as mentors that can help you advance in the nursing profession.
Interventions to Prevent and Manage Chronic Illness
Predoctoral Fellowship: The two-year award instructs nurses in the theories
and research on chronic illness from related disciplines and in the knowledge
and skills necessary to implement a chronic illness research program. An
annual stipend, tuition assistance, health insurance, allowance for researchrelated expenses and funds for one conference trip per year are included.
Postdoctoral Fellowship: The two-year award teaches nurses to develop
their skills to conduct complex intervention studies in prevention and
management of chronic illness that require an interdisciplinary perspective,
sophisticated analytic techniques or novel conceptualizations. An annual
stipend, tuition assistance, health insurance, allowance for research-related
expenses and funds for one conference trip per year are included.
Contact
Merle Mishel, PhD, RN
Director of Doctoral and
Postdoctoral Programs
(919) 966-5294
[email protected]
— or —
Office of Admissions
& Student Services
(919) 966-4260
[email protected]
Health Care Quality and Patient Outcomes
Doctoral Fellowship: This three-year award prepares fellows to engage
in a theoretically-based program of research designed to improve
health care quality and patient outcomes. A monthly stipend, tuition
assistance, health insurance, funds for one conference trip a year and
an allowance for educational and research expenses are included. After
completing the traineeship, fellows are encouraged to apply for individual
National Research Service Awards to support their dissertation.
Postdoctoral Fellowship: This two-year award prepares postdoctoral
fellows, in a multidisciplinary environment, with knowledge of sophisticated
theoretical frameworks, complex research designs and advanced analytic
techniques that can be utilized in a program of theoretically-based research,
to improve health care quality and patient outcomes. A monthly stipend,
depending upon length of time since the completion of a doctorate,
tuition assistance, health insurance, funds for one conference trip a year
and an allowance for educational and research expenses are included.
Contact
Barbara A. Mark, PhD, RN, FAAN
Training Program Director
(919) 843-6209
[email protected]
— or —
Office of Admissions
& Student Services
(919) 966-4260
[email protected]
Carolina Summer Research
INSTITUTES AND COURSES FOR 2008 — UNC at Chapel Hill School of Nursing Continuing Education Department
june
july
august
2nd-5th
7th-11th
11th-15th
Qualitative Analysis 1:
Empirical/Analytical Methods
Margarete Sandelowski, PhD, RN, FAAN
Cost $1500
Writing Research Grants
Sandra Funk, PhD, FAAN
Elizabeth Tornquist, MA, FAAN
Cost $1500
Legal Research Methods
Diane Kjervik, JD, RN, FAAN
Cost $1500
9th-11th
14th-18th
Writing for Publication
Elizabeth Tornquist, MA, FAAN
Cost $1200
13th Annual Institute in Qualitative
Research: Mixed Methods Research
Margarete Sandelowski, PhD, RN, FAAN
Cost $1500
16th-20th
Outcomes Measurement
Mary Lynn, PhD, RN;
Dick Redman, PhD, RN
Cost $1500
14th-17th
23rd-27th
Developing Theory-Based Interventions
Merle Mishel, PhD, RN, FAAN;
Sue Thoyre, PhD, RN
Cost $1500
June 30th –July 2nd
Longitudinal Methods & Analysis
Mark Weaver, PhD
Cost $900
Asian Scholars Writing for Publication
Elizabeth Tornquist, MA, FAAN;
SeonAe Yeo, PhD, RNC, FAAN
Cost $1500
21st-25th
Instrument Development
Mary Lynn, PhD, RN
Cost $1500
We look forward
to seeing you here!
For more information call
(919) 966-3638
or visit our web site at
http://nursing.ce.unc.edu
28th-31st
Qualitative Analysis 2: Phenomenological
al
& Narrative/Discourse Methods
Margarete Sandelowski, PhD, RN, FAAN
Cost $1500
Save the Date
2008
The UNIVERSITY of NORTH CAROLINA
at CHAPEL HILL
CB# 7460 Carrington Hall
Chapel Hill, NC 27599-7460
http://nursing.unc.edu
[email protected]
Nonprofit Organization
U.S. Postage
PAID
Permit No. 177
Chapel Hill, NC 27599-1110