THE UNIVERSITY
OF
NORTH CAROLINA
AT
CHAPEL HILL SCHOOL
OF
NURSING • Fall 2004
arolina
CNURSING
FROM THE
Associate Dean
Dear Alumni and Friends,
It has been another great year
for research at The University of
North Carolina at Chapel Hill
School of Nursing. Faculty and staff
made significant efforts to increase
funding support, and I am happy to
announce—the hard work has
paid off. The SON is ranked number three, up one from last year, by
the National Institutes of Health
with a total of $8,886,900 in NIH
research funding. Scientific endeavor is an integral part of the SON
and its programs. At any one time,
50-60 studies are being conducted
by nursing faculty and their interdisciplinary teams. Study topics are
as diverse as nursing itself, often
focusing on "care" rather than
"cure." Special emphasis is placed
on meeting the needs of vulnerable
populations and reducing the
health disparities experienced by
minority ethnic groups.
This year’s issue of the Research
Chronicle is focused on research
findings related to healthcare needs
of vulnerable populations and
health disparities experienced by
minorities. This issue brings to the
forefront some of the challenging,
sensitive, and controversial issues
nurses and researchers face everyday. Inside, you will learn how the
SON is helping incarcerated
females reduce their risk for contracting HIV and helping female
drug abusers cope with sexual
assault. You will learn about cutting edge research identifying factors affecting immune system
response to chemical weapons, new
ways of helping pregnant women
who have stopped smoking to
remain smoke free post-partum,
and resources being created to help
women with HIV decide when, how
and to whom they should disclose
their health status.
As nurses and researchers, we
strive to address important issues in
health care. The steps we take today
will improve health care tomorrow.
Sincerely,
Sandra G. Funk, PhD, FAAN
Professor and Associate Dean for
Research
arolina
CNURSING
Research Chronicle Edition
IN THIS EDITION
2
Addressing Sexual Health and Risks
3
A Window of Opportunity: Helping women in prison reduce
their risk of HIV infection
5
Understanding Post Sexual Assault Care
7
Catch & Release: How SON researchers are generating knowledge and making it available to those with the most need
Carolina Nursing is published by The University
of North Carolina at Chapel Hill School of
Nursing for the School’s alumni and friends.
9
Latino Culture and Sexual Influences
Dean
Linda R. Cronenwett, PhD, RN, FAAN
10
Smoking Cessation: A motivating factor
Executive Content Editor
Sandra G. Funk, PhD, FAAN
Professor and Associate Dean for Research
12
Health Disparities: Exploring racial discrimination & stress
Managing Editor
Amanda Dindino
14
A New Defense
Contributing Writers
Jennifer Mallory
Amanda Marzbani
Jim Vickers
15
CHIC Beyond American Borders
16
Profiles in Research: Carolina alumni continue the tradition
18
Ethnicity and Diabetes
Design and Production
Alison Duncan Design
19
In Brief
Research Support Center Staff
Katherine Emmett
Kimberly Williams
Gregory Workman
20
Faculty Research Activity 2003-2004
20 Faculty Research Grants
22 Educational and Professional Grants
22 Faculty Publications
26 Faculty Grant Review Activities
27 Faculty Editorial and Abstract Review Activity
28 Doctoral Student and Post-Doctoral Fellow Activities
Photography
Peggy Barker
Tammy Bulger
Jeffery Carlson
Janice Roach
Preston Soward
Office of Advancement
Norma Hawthorne, Director
Anne Webb, Associate Director,
Alumni Affairs and Annual Fund
Amanda Dindino, Associate Director,
Public Relations and Communications
Amanda Marzbani, Public Information Assistant
Jennifer Mallory, Health Affairs
Communications Intern
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
On the cover: As part of her research study, SON Assistant Professor Dr. Noreen
Esposito interviewed women who had been sexually assaulted to learn whether
they sought health care after being attacked.
Addressing Sexual
Health and Risks
WHERE DID YOU LEARN ABOUT SEX?
What about the risks associated with sex? Too
often, people receive little or no sexual health
education, and important sexual health issues
such as contraception methods, pregnancy
and sexually transmitted diseases including
HIV, are talked about in whispered voices,
behind closed doors.
Several researchers at the SON have taken
on the challenge—tackling these tough issues
among high risk populations including
women prisoners, drug abusers, sexual assault
victims, and women living with HIV/AIDS.
Their findings have overcome taboos and
cultural obstacles to be on the cutting edge of
sexual health research.
2
CAROLINA NURSING RESEARCH CHRONICLE
A Window of Opportunity:
Helping women in prison reduce
their risk of HIV infection
by Amanda Dindino
As of June 30, 2003, the U.S.
Department of Justice reported that
more than two million people were
incarcerated in federal, state, or
local prisons—nearly 100,000 of
them female. Female prisoners generally receive shorter sentences than
males and have a tendency to fall
back into previous patterns of risky
behavior when they are released.
Recidivism is common among
female prisoners resulting in frequent movement between prisons
and the community. This recurrent
movement makes the community
more susceptible to the health problems common among female prisoners, including risk of HIV infection.
According to SON Professor Dr.
Catherine Fogel, who has been
working with incarcerated women
for nearly two decades, "a constellation of factors contribute to their
increased HIV risk, including a history of promiscuity, prostitution,
exchange of sex for drugs, and
exposure to numerous sexually
transmitted diseases.” Motivated by
economic desperation and a lack of
education and job skills, many of
these women learn to view sex as a
commodity with which to barter.
The short-term trade pays off, but
ultimately leaves the women at
increased risk for contracting HIV.
Furthermore, the women’s ability to
reduce their risk of HIV infection is
complicated by high levels of
depression, poor social support
systems, past and current physical,
sexual, and emotional abuse, and
substance abuse.
Fogel, in collaboration with
the staff of the North Carolina
Department of Correction, the
School of Nursing and the Center
for AIDS Research at The University
of North Carolina at Chapel Hill,
developed and piloted a primary
prevention Women-Centered Risk
Reduction Intervention (WCRRI)
for incarcerated women. “The
intervention program, which is
designed to raise HIV awareness,
reduce risky behaviors and enhance
sexual protective practices, takes
advantage of the unique window of
opportunity created by incarceration to reach out to at-risk
women,” said Fogel.
Few prisons currently have programs or interventions in place to
educate female prisoners about HIV.
Those prisons that do have programs in place are usually giving
incarcerated women the option of
viewing an informational video.
The WCRRI is designed to go
beyond this basic step. “The women
are engaged in informational
group sessions where they are
taught how to reduce their risk,”
said Fogel. “In addition, we follow
up with each of the women individually to address their specific needs.
And, we continue the intervention
by interviewing the women over the
phone after they are released to
reinforce what they have learned.”
The WCRRI intervention framework used in the study, “Helping
Women Prisoners Reduce HIV Risk
After Release,” is based on preliminary research which suggested that
women respond better to information that is personally relevant.
The framework is adjusted for delivery within a prison setting and
modified by factors and experiences
common to female prisoners.
Funding for the study is made
possible by a grant from the
National Institute of Mental Health.
A three-group randomized
control design is being used to
evaluate WCRRI’s effectiveness. One
of the control interventions, NIDA
(National Institute on Drug Abuse)
Standard Intervention for HIV
Prevention, will allow Fogel to
examine WCRRI’s content for
relevancy. A second control group,
Staying Fit and Healthy, allows
Fogel to examine the amount
of time and attention the WCRRI
subjects receive.
The WCRRI group receives
eight group sessions designed to
reduce HIV risks, follow-up group
and individual sessions before
release, and telephone booster
sessions at two, six and ten weeks
after release from prison. The NIDA
intervention group receives two
individual sessions that constitute
the educational and counseling
intervention. The Staying Fit placebo
2003–2004 3
“…we follow up with
each of the women
individually to
address their specific
needs. And, we continue
the intervention by
interviewing the
women over the phone
after they are released
to reinforce what they
have learned.”
Windows
of Opportunity:
THE HOPE STUDY DIAGRAM
Women-Center
Risk Reduction
8 Group Sessions
Phone Call
+10 Weeks
Booster
Group
Booster
Group
Booster
Group
NIDA Standard
HIV Prevention
Intervention
Weight
Management
8 Group Sessions
Release
Randomize
Phone Call
+6 Weeks
Booster
Group
Individual Session
Intake
Phone Call
+2 Weeks
Booster
Group
Individual sessions
Booster
Group
Booster
Group
Booster
Group
Data
Collection
T1
T2
T3
Baseline
Immediate
Post Interview
+1 Mo.
T4
T5
Figure illustrates the flow of the study for participants.
group receives the same number of
group and individual sessions as
the WCRRI group. All women are
re-interviewed within two weeks
after the in-prison intervention and
at one, three, six and nine months
post-release.
“Sometimes the women are difficult to communicate with, particularly after release,” said Fogel.
“They are often returning to unstable environments.” Future WCRRI
interventions will be modified to
address communication obstacles
to ensure positive experiences for
the women. Fogel is awaiting
4
results from her initial intervention
and is hopeful they will show the
women are becoming more aware
of behavior that puts them at-risk
for HIV, and that they are motivated
or developing the motivation to
change their actions.
WCRRI has the potential to be
used in prisons across the
Southeast. Its long-term goal is to
reduce HIV infection in vulnerable
women, thus saving lives, decreasing chronic illness, reducing family
disruption and decreasing healthcare costs. This study focuses on
incarcerated women, but could
CAROLINA NURSING RESEARCH CHRONICLE
T6
+3 Mo. +6 Mo. +9 Mo.
address a much broader population
with whom they share similar life
circumstances including poor sexual communication and problem
solving skills, high prevalence of
depression and substance abuse,
experiences of violence, survival
concerns, relationship inequities,
and inadequate social supports.
Interventionists could seek out
windows of opportunity to tailor
personally relevant programs that
address the needs of a particular
at-risk population.
Understanding
Post Sexual Assault Care
by Jim Vickers
While completing post-doctoral courses
in Tampa, FL, Dr. Noreen Esposito, SON
researcher and assistant professor,
worked in a sexual assault response
program providing treatment for victims
of sexual assault. That experience gave
Esposito, a women’s health expert, the
valuable insight she needed to recruit
and work with participants in her study,
“Women Drug Abusers and Post Sexual
Assault Care,” funded by the National
Institute of Drug Abuse (NIDA).
STOCK PHOTO: PHOTOS.COM
As principal investigator,
Esposito conducted in-depth interviews with participants to learn
whether they sought health care
after being sexually assaulted.
Esposito used a series of instruments to better understand participant’s substance use and emotional
state. Forty-three participants were
interviewed, and another 11 participants shared information during
focus group sessions.
Esposito’s findings showed that
the majority of participants did not
seek health care following sexual
assault. Of the victims who did seek
care, some viewed the sexual
assault exam as a means of learning about sexually transmitted
infections, HIV screenings, postcoital contraception and prevention
of post-traumatic stress. For those
who did not seek care, the stigma of
sexual assault was a powerful influence. “Most considered post sexual
assault exams useful only for the
legal procedures involved in prosecuting their assailants.”
Esposito’s recruitment methods
and extensive data collection also
helped her to identify participants
who were drug abusers, many of
whom did not seek treatment following forced sexual encounters.
The reasons drug abusers did not
seek treatment were somewhat
different from the reasons for nonsubstance abusing participants.
"For drug users, a negative experience with the police, fear of being
arrested, fear of the assailant, or the
need for more drugs deterred them
from seeking health care. They
assumed that treatment was connected with police," said Esposito.
2003–2004 5
Post Sexual Assault Care
Understanding
“It’s [sexual assault] such a disturbing
experience, that women don’t want to
go for care,” Esposito explained.
The study further found that
women are rarely questioned about
sexual assault during routine
healthcare visits and that many
healthcare providers, including
mental health therapists, seldom
mention sexual assault to their
patients. Many survivors walk
around for years without ever
telling anyone. “We know that
pushing victims to talk about something they’ve just experienced is not
beneficial,” said Esposito, who
pointed to recent research controversies about critical incident
debriefing (CID), a post trauma
treatment originally used for WWI
soldiers and most recently with victims of 9/11. “CID is not beneficial,
and when misused by untrained
counselors, may actually be harmful,” said Esposito. “The timing has
to be right and the situation has to
be supportive and safe for victims to
tell. Of all trauma-causing events,
sexual assault is a leader in producing post-traumatic stress disorder—because it’s so internally and
deeply devastating," said Esposito.
Presently, Esposito is using the
data to gather insights into participants’ experiences with healthcare
providers. Her immediate goal is to
STOCK PHOTO: PHOTOS.COM
6
study supportive and non-supportive behaviors and interactions during a sexual assault examination.
Esposito plans to develop an
intervention to prevent or interrupt
the development of post-traumatic
stress disorder. Offering an intervention that decreases long-term
emotional trauma may increase a
woman’s willingness to seek care.
“I want to educate the general
public about the purpose of sexual
assault care and help to de-stigmatize sexual assault. It’s not impossible, but it is a challenge.”
CAROLINA NURSING RESEARCH CHRONICLE
Catch & Release:
How SON researchers are generating
knowledge and making it available
to those with the most need.
by Jim Vickers
Unfortunately, most research
findings never reach those who
would benefit the most from them.
Drs. Betty Woodard and Margarete
Sandelowski of UNC School of
Nursing, and Dr. Julie Barroso of
Duke University School of Nursing,
are doing something about the
problem. In a recent NIH-funded
study, "Analytic techniques for
qualitative metasynthesis,"
Sandelowski and Barroso integrated
the findings from numerous qualitative studies on women with HIV.
They found that the stigmatization
associated with HIV infection was
almost universal, and that a great
deal of energy was devoted to managing stigma to preserve social relations and obtain needed services.
Sandelowski and Barroso further
learned that decisions involving
disclosure, particularly to their
children, were among the most
difficult decisions women with HIV
had to make.
Woodard, who had recently
completed a dissertation on how
women with HIV use spirituality to
manage the disease and its associated stigma, was interested in
focusing her next research efforts
on developing evidence-based protocols to guide practice. Woodard,
Sandelowski and Barroso decided to
collaborate on a study to transform
the research synthesis of stigma and
disclosure findings into a medium
that might be more accessible to
and meaningful for patients.
With funding from the SON Center
for Research on Chronic Illness
and Boshamer funds, Woodard,
Sandelowski, and Barroso enlisted
the help of an eight-member expert
panel of practitioners from the HIV
Care Team affiliated with New
Hanover Regional Medical Center
in Wilmington, NC, to determine
the best method for helping practi-
tioners incorporate the research
findings into their practice, while
creating a resource that was accessible and meaningful to patients.
In early July, the panel decided
that the best way to transform the
findings would be through a film
on DVD for patients. "They [the
panel] believed that seeing the
video in privacy, then having the
opportunity to discuss it with the
provider immediately afterwards,
would be a beneficial way to
PHOTO COURTESY OF TAMMY BULGER
2003–2004 7
UNC School of Nursing Clinical
Assistant Professor Dr. Betty
Woodard, (left), and UNC
Wilmington Chair of
Communication Studies Frank
Trimble (right) ensure that the
DVD is relevant and appealing to
women dealing with issues of
HIV stigma and disclosure.
Catch & Release
address stigma and disclosure
issues,” said Woodard. “Disclosure
is never over. New relationships and
situations arise almost daily requiring the women to make decisions
about sharing their diagnosis.
Discussing stigma is not a one-time
event, but one that needs to be continuous.” A film medium presented
a unique and entertaining vehicle
to apply the research findings in
practice as opposed to providing
another educational brochure or
printed publication, of which there
are countless, to read.
With consultation from Frank
Trimble, chair of communication
studies at the UNC Wilmington, and
Dr. Bill Bolduc, associate professor
of communication studies at UNC
Wilmington, arrangements were
made for actors, a production crew
and time in a media production
studio. Trimble took on the additional responsibilities of drafting a
script and directing the film.
Researchers and film-makers
worked together to plan the content
and tone of the film. The key mandate was to represent accurately the
syntheses of findings Sandelowski
and Barroso had produced in a way
that would appeal to women dealing with issues of stigma and disclosure, as well as satisfy the imperatives of good script-writing and
film-making. Woodard explained
that "it is challenging to take
…to determine the
best method for helping
practitioners incorporate
the research findings
research findings, move them into
a completely new medium, and
then find the right vehicle and
voice to make them useful to those
they were intended to help. This
requires juggling artistry with clarity and truthfulness.” In July, the
final script was sent to the expert
panel, and their feedback was
enthusiastic.
Soon, actors will be auditioned
and hired, and decisions about sets
and lighting will be made. Filming
will take place in a studio at UNC
Wilmington in late November. The
expert panel will be reconvened for
a screening soon after the DVD has
been filmed and thereafter begin
incorporating it into their practice.
Lastly, Woodard will evaluate the
effectiveness of the film from the
perspectives of healthcare providers
and a sample of their women
patients with HIV. Once the film’s
effectiveness has been evaluated,
decisions will be made about more
general distribution of the DVD to
others providing care and services
for women who are living with HIV.
The project will serve as a template
for future work on how to artfully
incorporate research findings into
practice.
into their practice, while
creating a resource
that was accessible and
meaningful to patients…
UNC Cary C. Boshamer
Professor of Nursing Dr.
Margarete Sandelowski
(right) and Duke University
Assistant Professor of
Nursing Dr. Julie Barroso
(left) found that stigmatization associated with HIV
infection was almost
universal among women
with HIV and that decisions
involving disclosure were
some of the most difficult
decisions for women with
HIV to make.
8
CAROLINA NURSING RESEARCH CHRONICLE
Latino Culture and
Sexual Influences
by Jim Vickers
SON Professor Dr. Chris McQuiston studied
migrant use of commercial sex workers.
Migrant Use of
Commercial Sex Workers
by Amanda Marzbani
PHOTO COURTESY OF KIM LARSON
SON doctoral student, Kim
Larson, is collaborating with UNC
Associate Professor of Nursing Dr.
Chris McQuiston and Winston
Salem State University Shelton
Professor of Nursing Dr. Lenora
Campbell to investigate Latino
adolescents’ and their parents’
understanding of sexual risk
behavior; their views on whether or
how migration, culture and gender
influence sexual risk behaviors; and
the usefulness of a school setting as
an environment for implementing
interventions to reduce sexual
risk behaviors among Latino
adolescents.
“I have worked with Latino
families for over 20 years both in
Latin America and in the United
States, but it was always in a clinic
situation in which I was providing
services that I deemed important,
said Larson. “What is different
about this research is the effort to
foreground the cultural meaning
of sexual risk behaviors from the
perspective of Latino adolescents
and their parents.”
Larson is focusing her efforts at
a high school near Wilson, NC, in
which 23% of the students in grades
seven through nine are Latino. She
has interviewed 25 Latino students,
as well as their parents and 12 of
their teachers. The children are
mainly of Mexican heritage, and
over 80% of the students are firstgeneration immigrants.
Preliminary findings generated
insight into some of the problems
Latino adolescents must overcome
in adjusting to their new American
environment, including a struggle
to learn English and to progress
academically— a struggle exacerbated by the close knit Latino
neighborhoods in which they primarily intermingle with other
Spanish speakers.
Larson further uncovered sexual
issues specific to female adolescents
including el quinceanero, a transition for 15-year-old Latina girls
from girlhood to womanhood. In
Latin America, this transition
allows girls greater independence
from their parents and the permission to have a boyfriend. This ritual
is practiced primarily in families
with adequate resources and a
strong social support network. “For
immigrant families these criteria
are difficult to achieve,” said
Larson, who will continue to study
how el quinceanero may influence
sexual risk behaviors as the practice
is sometimes used as a form of
social control—a ritual reserved
only for a girl who is a virgin.
Larson, who will receive her
PhD in May 2005, is continuing to
explore Latino culture and its influences on sexual behavior. She and
her colleagues hope to better understand the role of el quinceanero
and how migration affects this rite
of passage. Funding for Larson’s
research is made possible by the
Center for Innovation in Health
Disparities Research (CIHDR).
In a recent study, SON Associate Professor
Dr. Chris McQuiston and a research team interviewed migrant men from Mexico and Central
America about their use of commercial sex
workers to gain a better understanding about
male migrants’ sexual risk behaviors.
Data were collected from 442 randomly
selected migrant Hispanic men. The men were
asked questions regarding their use of commercial sex workers and condoms. Researchers
collected detailed demographic information,
social and economic status information, and
information on migration experience and family
arrangements.
The data indicate that 28% of the men
surveyed used the services of a commercial sex
worker during the previous year. Among those,
92% reported always using condoms.
However, if the men felt that the sex worker
had a good reputation or if they knew her well
then this number dropped significantly, posing
a health threat to the migrants, commercial sex
workers, and to non-commercial partners, as
condom use in primary relationships is relatively
low. The findings indicate the need for more
effective strategies to reduce commercial sex
worker use and promote condom use among
migrants while they reside in the United States.
You can read more about McQuiston’s
study in “Use of Commercial Sex Workers
Among Hispanic Migrants in North Carolina:
Implications for the Spread of HIV,” in the
July/August 2004 issue of Perspectives on
Sexual and Reproductive Health. This study
was funded by the National Institute of
Nursing Research, NIH.
SON doctoral student, Kim Larson, talks with
Latino adolescents about how culture and
gender influence sexual risk behaviors.
2003–2004 9
Smoking Cessation:
A motivating factor
by Amanda Dindino
There is no question that smoking is harmful to the health of a
pregnant woman and her child.
Smoking has been linked to underweight babies, preterm labor, miscarriages and more. Many women
find they are able to kick the habit
during the nine months they are
pregnant, but how long can they
remain smoke free? According to
an article published in 2002 in the
American Journal of Public
Health, nearly 70% of women in
the United States who stop smoking
during pregnancy resume by 12
months postpartum. SON Associate
Professor Dr. Pamela Pletsch was
prompted to explore the reasons why.
Pletsch, a women’s health
specialist for over 15 years, focuses
on health promotion and conducts
tobacco control research using
qualitative and quantitative
approaches. Previous research
revealed factors associated with a
woman’s risk for resumption such
as how much she smokes per day,
how long she has been smoking,
and even her own confidence in her
ability to quit. For this study,
Pletsch conducted interviews during
and after pregnancy with a diverse
group of women to learn what factors motivated them to stop smoking while they were pregnant, and
what helped them to continue
abstinence or caused them to
resume smoking postpartum.
“Many women are motivated to
quit smoking during pregnancy
because of health concerns and
social pressures," said Pletsch. “But
our research uncovered a previously
unrealized motivating factor—a
physiological aversion to the taste
and smell of cigarettes.” During
interviews, women reported changes
in the taste and smell of smoking
after they became pregnant. These
comments are in line with research
which suggests that pregnant
women experience biochemical and
hormonal changes that affect their
senses of taste and smell during
10
pregnancy as an instinctive measure
to protect the embryo from toxins.
The women Pletsch interviewed
also reported that the aversion to
smoking disappeared postpartum.
“These findings indicate that
some women quit smoking during
pregnancy because of factors other
than an actual intention to change
behavior,” said Pletsch. The findings help to better define and identify sources that motivate women to
quit smoking during pregnancy.
The findings also revealed previously unrealized risk for resumption—
a physiological aversion to smoking
that disappears postpartum.
This knowledge will be used
to help health professionals assess
a woman’s risk for resumption
postpartum. Pletsch is currently
conducting a pilot study, funded by
the SON Center for Research on
Chronic Illness and the Robert
Wood Johnson Foundation, in
which a woman’s risk for resumption is assessed, based on a number
of characteristics, and an intervention is tailored to her specific risk
factors. “Women visit with their
healthcare providers regularly
during pregnancy, providing us
with an opportunity to assess risk
and intervene,” said Pletsch.
“Eventually, we plan to integrate
intervention programs such as ours
into a woman’s regular prenatal
care.”
Currently, Pletsch along with
Dr. Kathryn Pollak, assistant
research professor at Duke
University, are studying sensory
changes during pregnancy with a
sample of 300 women to identify a
more comprehensive list of sensory
changes that occur. This study was
made possible by grant from the
Center for Tobacco Research and
Intervention at the University of
Wisconsin-Madison Medical School.
More information about Pletsch’s
study can be found in the January
2004 journal of Health Care for
Women International.
CAROLINA NURSING RESEARCH CHRONICLE
2 0 0 3 – 2 0 0 4 11
Health Disparities:
Exploring racial discrimination
and stress
by Amanda Dindino
“…Stress contributes
to physiological changes
in the human body that
can lead to elevated
blood pressure in
addition to other
disease conditions.”
r a c i a l
School of Nursing Assistant
Professor and FNP Coordinator Dr.
Debra Brown is also an accomplished health disparities
researcher. Her study, “Everyday Life
for Black American Adults: Stress,
Emotion, and Cardiovascular
Disease,” explored relationships
among Black Americans’ chronic
stressors including their emotional
cardiovascular response to stressors.
“In conceptualizing my research,
I realized that in terms of chronic
stressors for Blacks, perceived racial
discrimination is a major factor
that needs to be considered, along
with daily hassles and financial
strain,” said Brown. “Stress influences the health status of Blacks
and for historical, social and political reason, Blacks have had numerous additional stressors in their
daily lives. Stress contributes to
physiological changes in the
human body that can lead to
elevated blood pressure in addition
to other disease conditions.”
Consequently, Brown developed
a socio-psycho-physiological conceptual framework that incorporates the three major traditions of
exploring stress: environmental,
psychological, and physiological.
“I devised a model based on
research, scholarly literature and
common sense that tries to explain
how stress contributes to increased
blood pressure over time as a result
of everyday experiences for Black
people. I looked at how variables
such as socioeconomic position,
chronic stress, BMI, age, and
gender affect blood pressure.”
Brown collected data from middle class black men and women
between 25 and 79 years of age.
Four measures were used to collect
information about emotional reactions to stressors, daily hassles, economic strain, and perceived racism.
A questionnaire was used to collect
information about BMI, blood
pressure, and other demographics.
Brown’s findings revealed
that socioeconomic position was
significantly related to participants’
stress levels, with individuals with
lower annual incomes experiencing
greater stress than those with
higher annual incomes. However,
financial stress itself was not
strongly related to blood pressure.
When analyzing the data by gender,
Brown got mixed results. Women
showed a higher negative affect,
meaning they reflected greater
d i s c r i m i n a t i o n
12
CAROLINA NURSING RESEARCH CHRONICLE
amounts of “distress, fear, irritability, hostility and nervousness” when
dealing with many of the common
stressors in the Black community.
Black men, however, had higher
diastolic blood pressure than
women, although men reported
lower negative affect scores. “This
was interesting because higher negative affect has been associated with
higher blood pressure,” said Brown.
Ultimately, Brown found that
perceived racial discrimination
“was not significantly related to
blood pressure as many other
studies have reported, however it
was significantly related to negative
emotions.”
Brown’s study served as the basis
for two related pilot study applications. The SON Center for Research
on Chronic Illness funded Brown’s
pilot study, “Perceived Stress,
Cortisol and Cardiovascular
Responses during Sleep in Black
Women.” Brown, working with
UNC School of Medicine Professor
Dr. Kathleen Light, is examining
the relationships between chronic
stressors and various biological
responses, such as cortisol levels,
heart rate variability, and blood
pressure in Black women during
sleep. Brown has also received
grant funding from UNC’s Program
on Ethnicity, Culture, and Health
Outcomes to study stress and
cardiovascular responses in Black
men during sleep and the period
following waking.
SON Assistant Professor and FNP Coordinator Dr. Debra Brown’s research
aims to better understand and eliminate racial health disparities.
“My goals are to better understand the disparities in health,
including blood pressure, for Black
people,” said Brown. Research has
shown great health disparities
between Black Americans and other
races. All of Brown’s studies seek to
understand how psychological and
physiological aspects of a person’s
everyday life affect health outcomes, in turn assisting nurses
and other healthcare providers
to implement interventions to
eliminate racial disparities in
health. Brown took the first step
in her initial study by working with
middle class Black Americans, a
group that is rarely studied, to
gather information on a subject
that needed more attention.
You can read more about
Brown’s work in Western Journal
of Nursing Research, published by
SAGE Publications, 2004, volume
26, number 5, pages 499-514.
2 0 0 3 – 2 0 0 4 13
A New Defense
PHOTO COURTESY OF PEGGY BARKER
by Amanda Dindino
UNC School of
Nursing Associate
Professor Dr. Pamela
Johnson Rowsey,
conducts research at
her lab in Research
Triangle Park, NC.
The war on terrorism brings to
life the all-too-real threat of potential biological and chemical
weapons attacks against our country. In the past, troops and
soldiers charged with protecting our country took
measures to defend their
health against potentially
threatening biological and
chemical agents. We are
now learning that some of
those measures, including
combinations of vaccines,
anti-nerve gas tablets, and
various other warfare inoculations, many of them
administered by the
government and intended to
protect our troops, may
actually have caused unrealized and harmful side effects.
Some of these harmful side effects
are believed to be associated with
Gulf War Syndrome.
SON Associate Professor Dr.
Pamela Johnson Rowsey is conducting research to help identify
ways to protect and defend our
health against biological and
chemical agents. She is the principal investigator in a five-year study
nearing completion funded by the
National Institute of Nursing
Research (NINR). The study,
“Beneficial Effects of Exercise on
Health and Disease,” analyzed how
changes in body temperature
resulting from exercise can affect
the immune system of lab animals
when they are exposed to neurotoxins and bacterial endotoxins—
toxins similar to biological and
chemical agents military persons
might have been exposed to during
the Gulf War.
“We’re building on the basics,”
said Rowsey, whose study will help
14
scientists to better understand the
effects elevated core body temperature, resulting from exercise, have
on human immune system
responses. When your body has an
infection, you usually get a fever,
indicating your body’s natural
defense system has kicked in. Like a
fever, exercise can cause your core
body temperature to rise and remain
elevated for a period of time, even
after you have finished exercising,
suggesting that natural inflammatory agents in your body may be
activating your immune system.
These inflammatory agents
trigger your body’s nonspecific
immune response. A nonspecific
immune response is responsible for
protecting your body against foreign invaders, such as a biological
or chemical agent, that your body
has never come into contact with
before. Most of us are more familiar
with our body’s specific immune
response which is responsible for
the production of antibodies and Tcell receptors. Antibodies and T-cell
receptors protect your body against
foreign invaders it is already familiar
with, like the flu or common cold.
The similarity between elevated
core body temperature caused by
fever and elevated core body temperature caused by exercise prompted Rowsey to compare and analyze
the change in core body temperature and inflammatory agent levels
induced by toxins, to those induced
by exercise. “I wanted to know,
specifically, if exercise could trigger
a nonspecific immune response,”
said Rowsey who suggests that "the
elevation in core temperature and
release of inflammatory agents may
be part of an adaptive, nonspecific
immune response that enhances
our resistance to foreign invaders."
Similarities between rats’
immune systems and humans’
immune systems, as well as rats’
CAROLINA NURSING RESEARCH CHRONICLE
predisposition for running extended
periods of time, provided Rowsey an
ideal candidate for the study. “Rats
will run up to six or seven kilometers at a time,” said Rowsey, who
had the nocturnal animals set on a
12-hour sleep/wake schedule. “As
soon as they wake up, they’ll head
to their running wheels.” Rowsey
monitored temperature changes in
the long-term exercising rats for six
to eight weeks before exposing them
to toxins.
“Initially, upon being exposed
to the toxins, the sedentary rats and
the exercise rats experienced a drop
in body temperature,” said Rowsey.
“Then over the next several days,
both groups of rats developed fevers.
However, the fever response generated in the sedentary group persisted
for about three days after exposure
to the toxins, while the fever
response in the exercise group
persisted for just half-a-day after
exposure to the toxins.” The study
demonstrated that the increase in
body temperature and circulating
inflammatory agent levels caused
by exercise were indeed triggering a
non-specific immune response, in
turn lessening the sickness effects
of toxins. “The study helps us to
understand how humans can
defend against exposure to toxins
by analyzing how changes in body
temperature affect the immune
system,” said Rowsey, who plans to
use the results of her research in
her upcoming study, “Chemical
Vulnerability: Understanding the
Gulf War Syndrome.”
“Understanding the interactive
effects of drugs our soldiers are
exposed to may provide insight into
the effects of chemical agents used
by terrorists on civilian populations,” Rowsey concluded.
CHIC Beyond American Borders
by Jim Vickers
SON Professor Dr. Joanne
Harrell began her CHIC
(Cardiovascular Health in
Children) studies in 1990 with a
grant from the National Institute of
Nursing Research (NINR). Harrell
oversaw a field research team that
collected data from approximately
2,200 third- and fourth-graders at
schools in 15 North Carolina counties. Team members measured the
children’s height, weight, skinfolds,
blood pressure, and aerobic fitness.
They drew blood for extensive
laboratory tests, and questioned the
children about their health behaviors, including diet and exercise
habits. From parents, they gathered
demographic data, information
about the children’s health habits
at home, and family histories of
heart disease.
The purpose of CHIC was to test
an eight-week intervention that
employed physical activity and
increased health knowledge to elicit
changes in risk factors for heart disease. The success of the intervention was remarkable in reducing
body fat and serum cholesterol in
the children and in increasing their
fitness, physical activity, and knowledge of health matters. Harrell and
her colleagues began to publish
their findings in 1993, leading to a
continuation of the research with
NINR’s funding of CHIC II in 1994
and CHIC III in 1999.
During the past decade, the
CHIC scientists have published
dozens of journal articles reporting
CHIC results. They have made
scores of national and international
presentations and appeared routinely in national media coverage.
Harrell has traveled the globe, conferring with researchers interested
in duplicating and complementing
the CHIC studies. Still, the CHIC
folk’s conditioned celebrity
demeanor could not hide their
surprise on March 2, 2004, when
former CHIC Project Manager
Chyrise Bradley received an
unanticipated email message from
Dr. Young Ran Tak, associate professor in the College of Medicine,
Department of Nursing, Hanyang
University in Soeul, South Korea.
Bradley forwarded the email
to Harrell, with the message,
“Joanne…have a look at this.”
Tak stated that she would like to
visit UNC’s School of Nursing to discuss whether Harrell would be willing to mentor a project in Korea,
inspired by and based on the CHIC
studies. Tak noted that little is
being done in Korea to prevent
Cardiovascular Disease (CVD) in
children, and she was conducting
pilot CVD preventive research,
“Developing general intervention
project (we call this CHIC-Korea)
for 5th and 6th grade children in
urban city of Korea.”
Although Tak had studied at
The University of Alabama—
Birmingham from 1987 to 1991
and had received her doctorate
from The University of Wisconsin
at Madison in 1994, she preferred
to communicate in Korean.
Consequently, SON doctoral
student, HyunJu Park, acted as
translator in ensuing electronic
communications.
Assisted by Young A. Kim, a
doctoral candidate at Hanyang
University in Soeul, Tak was studying 240 fifth-graders in Gulee-City,
near Seoul. Her project team had
spent three months creating a
booklet promoting cardiovascular
health for children. They were
interviewing children to measure
knowledge and attitudes, and duplicating tests used in CHIC measuring blood pressure, height, weight,
skinfold, total cholesterol, HDL,
LDL, triglyceride, and fasting blood
sugar. Four team members were
conducting a four-week intervention providing students with information on the cardiovascular system, physical activities
and health, nutrition,
diet, smoking and
smoking-related issues.
Finally, as in CHIC,
researchers were gathering information from
parents about their
child’s health history
and lifestyle at home.
Tak and Kim made
plans to arrive in Chapel Hill in
May and spend four days discussing
the project’s future plans with
Harrell, including “a comparative
study between U.S. and Korea.” She
especially wanted Harrell’s advice
concerning the research design, the
intervention protocol, measurement
methods, research instruments,
data analysis processes, and project
management.
The visit could hardly have been
more successful. Harrell explained
in detail the CHIC procedures and
offered the use of the CHIC datacollection instruments. Dana
Creighton, current CHIC project
coordinator, demonstrated data collection procedures, and Biostatistics
Research Professor Shrikant
Bangdiwala reviewed CHIC data
analysis plans. Encouraged by
Harrell’s information and willingness to cooperate, Tak submitted
“Proposal for CHIC-Korea” to the
Korea Research Foundation listing
Harrell as a co-investigator. Tak
requested that other CHIC team
members join in the Korean study,
and in response, Bangdiwala will be
visiting Korea later this year.
2 0 0 3 – 2 0 0 4 15
UNC School of Nursing
Biobehavioral Laboratory
Manager Brant Nix (left),
speaks with Young Ran Tak,
PhD, RN (center) and Young
Kim, MS, RN (right), from
Hanyang University in
Seoul, South Korea.
Profiles in Research:
Carolina alumni continue the tradition
by Amanda Dindino and Jim Vickers
Carolina scientists have a strong tradition of passing on skills
and lessons learned to inspire the next generation of
researchers to value the knowledge gained through artfully
crafted research. Many of the School’s alumni, including Drs.
Charlene Krueger, Barbara Speck, Janet Stewart, and Robin
Bartlett are exploring new territory with the desire to
improve health care across the nation and around the globe.
Dr. Charlene Krueger, PhD ’01
PHOTO COURTESY OF DR. CHARLENE KRUEGER
Charlene Krueger,
PhD ‘01, is studying
the heart rate and
learning capabilities
of premature infants.
Krueger, an assistant professor
at the University of Florida College
of Nursing, is conducting a pilot
study examining the
heart rate and learning
capabilities of premature
infants. Funded by the
National Institute of
Nursing Research, her
study is an expansion of
the dissertation research
she conducted at
Carolina under the
direction of SON Professor and
Director of Doctoral and Post
Doctoral Programs Dr. Diane
Holditch-Davis. Krueger is monitoring the heart rate variability and
learning capabilities of 28 low-risk
premature infants during their 2834 weeks post-conception age. She
hopes to determine whether the
sound of the mother’s voice interacting with the infant’s other senses
augment development and learning. She has divided the infants
16
into two groups, exposing each
group to a recording of the mother
reading a nursery rhyme at a different week in development. By analyzing heart rate variability and
cardiac responses to the readings,
Krueger is able to determine the
point at which small heart rate
decelerations indicate the infant
has become familiar with the
nursery rhymes.
More about Krueger’s study will
appear in, “Recurring Auditory
Experiences in the 28- to 34Week-Old Fetus,” an article to be
featured in Infant Behavior and
Development.
investigator of a clinical trial being
conducted in two low-income
neighborhoods of Louisville, KY.
Funded by the National Institute of
Diabetes & Digestive & Kidney
Diseases, the study seeks to reduce
environmental barriers to physical
activity by medically underserved
women.
Dr. Barbara Speck, PhD ‘97
Speck, who wrote her dissertation under the guidance of SON
Professor Dr. Joanne Harrell, now
teaches at the University of
Louisville. Harrell’s influence is
clearly evident in Speck’s current
research activity as the principal
CAROLINA NURSING RESEARCH CHRONICLE
PHOTO COURTESY OF JANICE ROACH
Barbara Speck, PhD ’97, talks to
study participants about opportunities for physical activity at the local
community center. (From left to right:
LaQuana Persley, Patricia Persley,
Ouida Persley, Diane Persley, and
Barbara Speck)
PHOTO COURTESY OF DR. JANET STEWART
Janet Stewart, PhD ‘03, a faculty
member at University of
Pittsburgh, has her hands full conducting three research studies.
Each week, study participants,
who are either part of an intervention or control group, have opportunities for physical activity such as
walking through the neighborhood
or exercising at the community
center. Speck and her team collect
measurements of cholesterol, blood
sugar, blood pressure, percent body
fat, height, and weight when participants enter the program and again
six months later. The data will be
analyzed to determine whether the
group exposed to the physical activity opportunities has increased their
level of activity, and whether the
health of each group member has
improved because of the activity.
Last year, Speck co-authored
an article about the work,
“Maintaining Regular Physical
Activity in Women: Evidence to
Date,” published in the September
2003 Journal of Cardiovascular
Nursing.
Stewart, now a faculty member
at University of Pittsburgh (Pitt)
SON, is on research rampage as
the principal investigator in three
studies and a co-investigator of
another. UNC Kenan Professor
of Nursing Dr. Merle Mishel was
Stewart’s dissertation advisor.
The American Nurses Foundation
is funding Stewart’s investigation,
“Parents of Children with Cancer:
Experiences with Treatment
Decision Making,” which uses data
from interviews with parents of
children with cancer who have
recently had to make major treatment decisions in an effort to identify decision-making processes.
A two-year grant from Pitt’s
Central Research Development
Fund is supporting her continuation of investigations started at
Carolina. Stewart is interviewing
children aged 9-17 to determine
whether their understanding of and
response to uncertainty regarding
their disease varies by developmental level. Her goal is to identify
effective strategies children can
use to adjust to their disease.
Stewart also has funding from
Pitt’s Center for Research in
Chronic Disorders to study the conflict adolescents with cancer experience when their natural desire to
exert independence clashes with
their dependence on the decisions
made by adult caregivers.
Finally, Stewart is co-investigator of a study, supported by a twoyear Oncology Nursing Society
Foundation grant that examines
the decision-making processes of
parents of severely ill children.
Stewart will develop and test a web-
based electronic data collection
method designed to gather information from parents of children
being treated for cancer.
Dr. Robin Bartlett, PhD ’03
Bartlett, an assistant professor
at The University of North Carolina
at Greensboro School of Nursing,
is continuing the dissertation
research she conducted under the
direction of SON Professor and
Director of Doctoral and Post
Doctoral Programs Dr. Diane
Holditch-Davis, in which she
categorized adolescents at risk
for problem behaviors into three
groups—exhibiting “normal”
behavior, exhibiting problematic
behavior such as thievery and
marijuana use, and exhibiting
multiple-problem behaviors. The
study is funded by a grant from
UNC Greensboro. In this study
Bartlett analyzes data from The
National Longitudinal Study of
Adolescent Health to identify adolescents at risk for problematic
behavior and identifies related risk
and protective factors with the goal
of developing an intervention to
prevent or reduce the severity of
such behavior.
More of Bartlett’s work can be
found in the April 2003 Journal of
Obstetric, Gynecologic, and
Neonatal Nursing, where she and
Holditch-Davis co-authored the
recently published article,
“Posttraumatic Stress Symptoms in
Mothers of Premature Infants.”
2 0 0 3 – 2 0 0 4 17
PHOTO COURTESY OF JEFFERY CARLSON
Dr. Janet Stewart, PhD ‘03
Robin Bartlett, PhD ‘03, is
a professor at The
University of North
Carolina at Greensboro
School of Nursing.
Ethnicity & Diabetes
Scientists explore type 2 diabetes by ethnicity
to identify understanding and need
by Jim Vickers
Scenes from rural North Carolina
PHOTOS COURTESY OF PRESTON SOWARD
SON Associate Professor Dr.
Anne Skelly was the principal investigator of “Ethnic Variations in
Type 2 Diabetes,” a study aimed at
identifying accessible locations to
provide the greatest number of ethnicities with relevant and factual
information about type 2 diabetes.
Her co-investigators were Dr. Molly
Dougherty, a professor at UNC SON,
and Drs. Will Gesler and Althea
Carvey from UNC’s Department of
Geography.
The study was conducted in
Siler City, NC, a rapidly growing
town of some 7,500 residents about
35 miles southwest of Chapel Hill.
Caucasians and Hispanics each
make up about 40% of the popula-
tion, while African Americans
account for almost 20%.
Trained interviewers collected
data from 120 low-income participants aged 18-50 about their
knowledge and beliefs about the
causes, symptoms, treatments, and
preventions of type 2 diabetes. The
interviewers also sought to gain a
better understanding of the locations around town the participants
visited regularly that could serve as
effective locations to distribute
informational materials about type
2 diabetes.
Analysis of the data allowed the
researchers to distinguish attitudes
toward and knowledge about diabetes by ethnicity. For example, all
participants believed that heredity
contributed to the onset of diabetes.
However, none of the participants
Standard Deviational Ellipses by Ethnicity Weighted by Time
18
CAROLINA NURSING RESEARCH CHRONICLE
perceived lack of exercise to be a
contributing factor.
Hispanics placed greater
emphasis on strong emotions as a
cause of diabetes. African
Americans suggested poor diet,
including consumption of excessive
sugar, salt, and fried foods as contributing factors. Caucasians sometimes attributed type 2 diabetes to
amputations. Analysis revealed a
clear lack of knowledge by all ethnicities about the causes, symptoms, treatments and preventions of
type 2 diabetes.
From the data collected, Skelly
and her team were further able to
locate potential sites for distributing
informational materials about type
2 diabetes or hosting educational
activities by identifying locations
frequently visited around town. The
researchers developed a map detailing the most popular locations visited by the various ethnic groups.
African-American participants, who
tended to live in more clustered
neighborhoods, experienced movement over the smallest area while
Caucasians experienced movement
over the largest area. For all the
ethnic groups, the male range of
movement exceeded the female
range, by 20% for Hispanics, by 40%
by African Americans, and by a
striking 300% for Caucasians.
The data were used to identify a
Wal-Mart in a popular shopping
center where informational
brochures about type 2 diabetes
could be distributed to the greatest
number of people from various ethnic groups as well as a frequently
visited library ideal for presenting
educational videos.
IN BRIEF
UNC Professors Host Conference
In May, SON Assistant Professor
Dr. Cheryl Jones and Sarah Frances
Russell Professor Dr. Barbara Mark
hosted “The Intersection of Nursing
and Health Services Research,”
a national conference aimed at
addressing issues in nursing and
health services, in Chapel Hill, NC.
Conference participants focused on
developing an agenda to address
gaps in five main areas: access to
and utilization of care, health and
healthy behaviors, quality of care,
cost and cost-effectiveness of care,
and organization and delivery of
care. An outlined agenda summarized the participants recommendations.
“Dr. Mark and I are broadly
disseminating the research agenda
from this conference to shape the
future of nursing and health services research,” said Jones who will
present overviews of the conference
with Mark this fall in Washington,
D.C., at the National Congress of
the State of the Science in Nursing
Research and at the 31st annual
conference of the American
Academy of Nursing.
The conference was sponsored
by Agency for Healthcare Research
and Quality, the Center for Research
on Chronic Illness at UNC SON,
and the Cecil G. Sheps Center for
Health Services Research at UNC.
funding will support a variety of
research projects about health and
healthcare workers.
“The center is in an ideal position to provide timely information
to policymakers about critical
health workforce issues to assure
access to the full range of healthcare
providers, particularly for our country’s
most vulnerable populations,” said
Mark. “This is especially important
given projections for burgeoning
needs for health care as the baby
boomers reach retirement age."
Mark will co-direct the facility
with Dr. Thomas C. Ricketts, deputy
director of Cecil G. Sheps Center for
Health Services Research. For more
information, visit
http://www.healthworkforce.unc.edu.
Mark to Co-Direct
Sarah Frances Russell Professor
Dr. Barbara Mark will co-direct the
Southeast Regional Center for
Health Workforce Studies.
The Health Resource and
Services Administration Bureau of
Health Professions awarded a cooperative agreement providing just
over $1 million to UNC’s Cecil G.
Sheps Center for Health Services
Research over three years. The
2 0 0 3 – 2 0 0 4 19
Faculty Research Grants 2003–2004 Academic Year
ARTHRITIS
Goeppinger, J., Principal Investigator; Schwartz, T.,
Statistician. Comparing ASHC and CDSMP
Outcomes in Arthritis. Centers for Disease Control
and Prevention, 2002-2004.
Goeppinger, J., Principal Investigator; Schwartz, T.,
Statistician. Comparing ASHC and CDSMP
Outcomes in Arthritis - supplement. Centers for
Disease Control and Prevention, 2004.
CANCER
Mishel, M., Principal Investigator; Germino, B., CoPrincipal Investigator; Gil, K., Carlton-LaNey, I., &
Belyea, M., Co-Investigators. Managing
Uncertainty in Older Breast Cancer Survivors.
National Cancer Institute, National Institutes of
Health, 1999-2004.
Mishel, M., Principal Investigator; Germino, B., CoPrincipal Investigator; Beeber, L., Belyea, M.,
Gollop, C., Mohler, J., Co-Investigators. Decision
Making Under Uncertainty in Prostate Cancer.
National Institute of Nursing Research, National
Institutes of Health, 2002-2006.
CARDIOVASCULAR DISEASE
Brown, 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, 2004-2005.
Brown, D., Principal Investigator; Light, K., CoInvestigator. Perceived Stress, Cortisol and
Cardiovascular Responses During Sleep in Black
Women. Center for Research on Preventing/Managing
Chronic Illness in Vulnerable People, School of
Nursing, The University of North Carolina at Chapel
Hill. National Institute of Nursing Research, National
Institutes of Health, 2003-2005.
Harrell, J., Principal Investigator; McMurray, R.,
Bangdiwala, K., & Davenport, M., Co-Investigators.
Cardiovascular Health in Children and Youth
(CHIC III). National Institute of Nursing Research,
National Institutes of Health, 2000-2004.
CHRONIC ILLNESS
Dieckmann, J., Principal Investigator; Hall, J. & Rasin, J.,
Co-Investigators. Nursing Care for the Chronically
Ill: An Oral History of Nurses and Nursing
Assistants, 1950-1970. Center for Research on
Preventing/Managing Chronic Illness in Vulnerable
People, School of Nursing, The University of North
Carolina at Chapel Hill. National Institute of Nursing
Research, National Institutes of Health, 2002-2004.
Goeppinger, J., Operations Committee Member; Cross, A.,
Principal Investigator. Prevention Research Centers
Program. Centers for Disease Control, 2000-2004.
Harrell, J., Principal Investigator; Funk, S., Co-Principal
Investigator; Leeman, J., Co-Investigator; HolditchDavis, D., Mishel, M., & Dougherty, M., Core
Directors. Preventing/Managing Chronic Illness in
Vulnerable People. National Institute of Nursing
Research, National Institutes of Health, 1994-2004.
20
DEPRESSION
Beeber, L., Principal Investigator; Holditch-Davis, D.,
Perreira, K., Belyea, M., Co-Investigators. EHS
Latino Mothers: Reducing Depression and
Improving Infant/Toddler Mental Health.
Department of Health and Human Services –
Administration for Children, Youth, and Families,
2002-2006.
Beeber, L., Principal Investigator; Canuso, R., HolditchDavis, D., Mishel, M., Belyea, M., Co-Investigators.
Reducing Depressive Symptoms in Low-Income
Mothers. National Institute of Mental Health, National
Institutes of Health, 2003-2008.
DIABETES
Harrell, J., Principal Investigator; McMurray, R.,
Bangdiwala, S., Hackney, A., Chapman, J., Vu, M.,
& West, V., Co-Investigators. Studies to Treat or
Prevent Pediatric Type 2 Diabetes (STOPP-T2D).
National Institute of Diabetes & Digestive & Kidney
Diseases, National Institutes of Health, 2002-2009.
Skelly, A., Site Principal Investigator & Co-Investigator;
Quandt, S., Principal Investigator. Rural Elders’
Diabetes Self-Management: Ethnic Variations. Wake
Forest University, National Institute on Aging,
National Institutes of Health, 2001-2004.
Skelly, A., Principal Investigator; Dougherty, M., Arcury,
T., Cravey, A., and Gesler, W., Co-Investigators. Type 2
Diabetes: Ethnic Variation in Knowledge and
Beliefs. National Institute of Nursing Research,
National Institutes of Health, 2000-2004.
Skelly, A., Principal Investigator; Burns, D., Carlson, J.,
Biddle, A., & Leeman, J., Co-Investigators. Symptom
Focused Diabetes Care for African-American
Women. National Institute of Nursing Research,
National Institutes of Health, 2003-2007.
Skelly, A., Co-Investigator; McNeil, J., Principal
Investigator; Dixon, T., & Martin, J., Co-Investigators.
Depression, Cardiovascular Disease Risk, and
Diabetes Self-Management in Middle Age and
Older African American Women with Type 2
Diabetes. 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, 2003-2004.
ELDERS
Carlson, B., 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, 2002-2006.
Carlson, B., Principal Investigator; Neelon, V., Carlson,
J., & Rowsey, P., Co-Investigators. Core Body
Temperature Rhythm, Cytokines and Respiratory
Periodicity During Sleep in Older Adults with and
Without Age-Associated Memory Impairment.
Center for Research on Preventing/Managing Chronic
Illness in Vulnerable People, School of Nursing, The
University of North Carolina at Chapel Hill. National
Institute of Nursing Research, National Institutes of
Health, 2002-2004.
CAROLINA NURSING RESEARCH CHRONICLE
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, 2002-2005.
Rasin, J., Principal Investigator; Kautz, D., Co-Investigator.
Perceptions and Meanings of Dementia Among
Assisted Living Caregivers. 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, 2002-2004.
GENETICS
Van Riper, M., Principal Investigator; Knafl, K.,
Magnuson, T., Juengst, E., Grabowski, G., & Gregory,
P., Mentors. Family Experience of Genetic Testing:
Ethical Dimensions. National Institute of Nursing
Research, National Institutes of Health, 2001-2004.
Van Riper, M., Principal Investigator. Families making
sense of and using genetic testing results. Faculty
Research Opportunity Grant, School of Nursing, The
University of North Carolina at Chapel Hill, 20042005.
Van Riper, M., Principal Investigator; Dowell, J., CoInvestigator. Minority families being screened for
and living with genetic conditions. 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, 2003-2004.
HEALTH DISPARITIES
Esposito, N., Principal Investigator; Canzona, C.,
Co-Investigator. Experiencing Discrimination:
Instrument Development. 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, 2002-2004.
McQuiston, C., Principal Investigator; Dennis, B., Flack, S.,
Co-Principal Investigators; Leeman, J., Co-Investigator;
Miles, M., Rowsey, P., Goeppinger, J., and Eaves,
Y., Core Directors. Center for Innovation in Health
Disparities Research. National Institute of Nursing
Research, National Institutes of Health, 2002-2007.
Miles, M., & Carlson, J., Co-Investigators; Campbell, L.,
Principal Investigator. Mental Health Care for LowIncome African American Youth. 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, 2002-2004.
HIV/AIDS
Fogel, C., Principal Investigator; Adimora, A., Belyea, M.,
Campbell, J., Fishel, A., & Kaplan, A., Shain, L.,
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., Co-Investigator; Wohl, D., Principal Investigator.
HIV+ Releasees’ Access to HIV Care and Services.
National Institute on Drug Abuse, National Institutes
of Health, 2003-2008.
McQuiston, C., Principal Investigator; Parrado, E., CoInvestigator. Gender, Migration, and HIV Risks
Among Mexicans. National Institute of Nursing
Research, National Institutes of Health, 2001-2005.
INCONTINENCE
Kincade, J., Principal Investigator; Dougherty, M., CoPrincipal Investigator; Carlson, J., Co-Investigator
and Statistician; Busby-Whitehead, J., Wells, E., CoInvestigators. Efficacy of Biofeedback to Treat UI in
Women. National Institute of Nursing Research,
National Institutes of Health, 2000-2004.
Kincade, J., Principal Investigator; Dougherty, M., CoPrincipal Investigator; Carlson, J., Co-Investigator
and Statistician; Busby-Whitehead, Co-Investigator.
Effectiveness of Self-Monitoring to Treat UI in
Women. National Institute of Nursing Research,
National Institutes of Health, 2001-2004.
INFANTS AND CHILDREN
Brunssen, S., Principal Investigator; Moy, S., & Toews, A.,
Co-Investigators; Harry, J., Collaborating Investigator.
Developmental outcomes of perinatal IL-6 exposure
in the CD-1 mouse. Center for Research on
Preventing/Managing Chronic Illness in Vulnerable
People, School of Nursing, The University of North
Carolina at Chapel Hill, National Institute of Nursing
Research, National Institutes of Health, 2004-2005.
Holditch-Davis, D., Principal Investigator; Miles, M., CoPrincipal Investigator; Beeber, L. & Thoyre, S., CoInvestigators; Belyea, 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, 2001-2006.
Holditch-Davis, D., Principal Investigator; Chapple, T.
Graduate Student. Nursing Support Intervention for
Mothers of Prematures – Minority Supplement.
National Institute of Nursing Research, National
Institutes of Health, 2003-2006.
Thoyre, S., Principal Investigator; Holditch-Davis, D.,
Sponsor; Carlson, J., Statistical Investigator; VenessMeehan, K., Consulting Investigator. Contingent
Feeding of Preterms to Reduce Hypoxemia.
National Institute of Nursing Research, National
Institutes of Health, 2002-2005.
Thoyre, S., Co-Principal Investigator; Van Riper, M., CoPrincipal Investigator; Brackett, K., Co-Investigator.
Feeding Issues for Young Children with Down
Syndrome and Their Families. Center for Research
on Preventing/Managing Chronic Illness in Vulnerable
People, School of Nursing, The University of North
Carolina at Chapel Hill. National Institute of Nursing
Research, National Institutes of Health, 2002-2004.
Thoyre, S., Principal Investigator. Decreasing the Effect
of Variability in a Test of Contingent Feeding for
Preterm Infants. Faculty Research Opportunity
Grant, School of Nursing, The University of North
Carolina at Chapel Hill, 2002-2003.
NURSING SYSTEMS and OUTCOMES
Cronenwett, L. R. Steering Committee Member; Roper, W,
Principal Investigator. Program on Health Outcomes,
School of Public Health, UNC-Chapel Hill, GlaxoWellcome Foundation, 1999-2004.
Mark, B., Principal Investigator; Jones, C., Eck, S., &
Belyea, M., Investigators. A Model of Patient and
Nursing Administration Outcomes. National
Institute of Nursing Research, National Institutes of
Health, 1995-2007.
Esposito, N., Principal Investigator; Beeber, L.,
Psychiatric Nurse; Schwartz, T., Statistician. Women
Drug Abusers and Post Sexual Assault Care.
National Institute on Drug Abuse, National Institutes
of Health, 2001-2003.
Mark, B., & Jones, C., Investigators; Rickets, T., Principal
Investigator; Belyea, M., Statistician. Regional
Center for Health Workforce Studies. Health
Resources and Services Administration, 2000-2006.
Foley, B., Principal Investigator; Bingham, M., Kee, C.,
Minick, P, & Harvey, S., Co-Investigators; Schwartz,
T., Statistician. Nursing Processes and Patient
Outcomes in U.S. Army Hospitals, Triservice Nursing
Research Program, 2002-2004.
Havens, D., Principal Investigator. Why and How Do
Hospitals Pursue Magnet Recognition? The Robert
Wood Johnson Foundation, 2003-2004.
Hughes, L., Principal Investigator. Development of
Psychometric Properties of Four Instruments to
Measure Hospital Nurses’ Use of Discretion. Faculty
Research Opportunity Grant, Sarah Frances Russell
Professorship Funds, School of Nursing, The University
of North Carolina at Chapel Hill, 2003-2004.
Jones, C., Principal Investigator; Mark, B., CoInvestigator. The Intersection of Nursing and
Health Services Research. Agency for Healthcare
Research and Quality, 2003-2004.
Jones, C., Principal Investigator; Mark, B., Belyea, M., &
Gates, M., Co-Investigators. Differential Nursing
Employment Patterns: A Region IV Analysis of
Race and Ethnicity. 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, 2003-2006.
Jones, C., Co-Investigator; McGillis Hall, L., Principal
Investigator. An Understanding of CanadianTrained Nurses in the U.S. Ontario Ministry of
Health and Long Term Care, 2004-2006.
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.
Lynn, M., Principal Investigator; Redman, R.,
Co- Principal Investigator. Canaries in the
Coalmine: A View of the Nursing Shortage from the
Trenches. Faculty Research Opportunity Grant, School
of Nursing, The University of North Carolina at
Chapel Hill, 2003-2004.
Lynn, M., Co-Investigator; Konrad, T., Principal
Investigator. STEP UP NOW for Better Jobs and
Better Care: Supporting Training, Education and
Payment to Upgrade Performance of Nurse Aides
and Other Workers. Robert Wood Johnson
Foundation, 2003-2004.
Mark, B., Principal Investigator; Berman, W., & Harless,
D., Co-Investigators. Nurse Staffing, Financial
Performance, and Quality Care. Agency for
Healthcare Research and Quality, 1999-2005.
Mark, B., Co-Sponsor; Radwin, L., Principal Investigator.
Testing a Model of Quality Care in Home Health.
University of Massachusetts at Boston, Agency for
Healthcare Research and Quality, 2001-2006.
Redman, R., Principal Investigator; Lynn, M., Co-Principal
Investigator. Development of an Instrument to
Assess Patient Expectations and Evaluation of Care
Experiences. Program on Health Outcomes, University
of North Carolina at Chapel Hill, 2002-2004.
RESEARCH SYNTHESIS
Sandelowski, M., Principal Investigator; Barroso, J., CoPrincipal Investigator. Analytic Techniques for
Qualitative Metasynthesis. National Institute of Nursing
Research, National Institutes of Health, 2000-2005.
Woodard, B., Principal Investigator; Sandelowski, M., &
Barroso, J., Co-Investigators. A Pilot Study to
Transform Qualitative Research Findings for Use
in Evidence-based Practice. Center for Research on
Preventing/Managing Chronic Illness in Vulnerable
People, School of Nursing, The University of North
Carolina at Chapel Hill. National Institute of Nursing
Research, National Institutes of Health, 2003-2004.
RESEARCH TRAINING
Mishel, M., Principal Investigator; Holditch-Davis, D.,
Co-Principal Investigator. Interventions for
Preventing and Managing Chronic Illness.
Institutional National Research Service Award,
National Institute of Nursing Research, National
Institutes of Health, 1996-2006.
SMOKING CESSATION
Pletsch, P., Principal Investigator. Taste Changes and the
Smoking Cessation Experience of Spontaneous
Quitters: Informing the Next Generation of
Cessation Interventions for Pregnant Women.
Center for Research on Preventing/Managing Chronic
Illness in Vulnerable People, School of Nursing, The
University of North Carolina at Chapel Hill. National
Institute of Nursing Research, National Institutes of
Health, 2002-2004.
Pletsch, P., Site Principal Investigator & Co-Investigator.
Testing Pharmacological Therapies for Pregnant
Smokers. Duke University, National Cancer Institute,
National Institutes of Health, 2003-2004.
THERMOREGULATION
Rowsey, P.J., Principal Investigator. Beneficial Effects of
Exercise on Health and Disease. National Institute
of Nursing Research, National Institutes of Health,
1999-2004.
2 0 0 3 – 2 0 0 4 21
Educational and Professional Grants and Activities 2003–2004 Academic Year
Barlow, J., Principal Investigator, Early Intervention for
Hospitalized Children. The Duke Endowment, 20032005.
Foley, B., Co-Investigator. Smith, E., Principal
Investigator and Lynn, M., Co-Investigator.
Evaluating the Effectiveness of a Certificate in
Clinical Leadership Program on the Performance
of Nurse Managers. American Organization of Nurse
Executive (AONE) Institute for Patient Care Research
and Education, 2004-2005.
Miller, M., Project Director. Helene Fuld Undergraduate
Scholarship Endowment. Helene Fuld Health Trust,
2003-2006.
Cockroft, M., Principal Investigator. School Health
Preceptor and Site Development. AHEC grant for
development of new clinical training sites for nursing,
2003-2004.
Harlan, C., Principal Investigator. Dieckmann, J., CoInvestigator. ¡HOLA-NC! Health Opportunities for
Latino Awareness in Nursing Curricula. AHEC
grant for development of new clinical training sites
for nursing, 2003-2004.
Palmer, M., Principal Investigator & Page, J., Project
Coordinator. Improving the Nursing Care of Acutely
Ill Elders. Division of Nursing Health Resources and
Services Administration, 2003-2006.
Dieckmann, J., Principal Investigator. Harlan, C., CoInvestigator. Building Healthy Communities
Globally. University Center for International Studies,
University of North Carolina at Chapel Hill, 20032004.
Henderson, M., Principal Investigator. Transitions: A
New Model of Care for Frail Elderly Facing the
Final Phase of Life, Warner Dannheisser
Testamentary Trust, 2002-2004.
Barlow, J., Principal Investigator. Community
Transition Coordinator/Discharge Planning. NC
Department of Health and Natural Resources, Division
of Maternal and Child Health Section, 2003-2004.
Fishel, A. & Fogel, C., Faculty Liaisons. Curtis, P.
Principal Investigator. Integrating CAM into Health
Professions Education. National Institute of Health,
2000-2005.
Fogel, C., Principal Investigator. Increasing Access to
Advanced Nursing Education: Developing Elearning Modules on Pharmacological and
Complementary Therapies for Women’s Health,
Office of the Provost, University of North Carolina at
Chapel Hill, 2003-2004.
Kjervik, D., Project Director. Building Effective Women
Leaders Through Positive Mentorship. Robertson
Scholars Collaborative Fund. University of North
Carolina at Chapel Hill/Duke University, 2003-2004.
Miller, M., Project Director. Advanced Education Nurse
Traineeship. Bureau of Health Professions Health
Resources and Services Administration, 2003-2004.
Miller, M., Project Director. Nurse Faculty Loan
Program. Bureau of Health Professions Health
Resources and Services Administration, 2003-2004.
Rasin, J., Principal Investigator. Building Capacity in
the Nursing Workforce: Caring for Diverse Elders.
John A. Hartford Foundation, 2001-2004.
Redman, R., Principal Investigator. Moore, K., CoInvestigator. Ueltschi Service-Learning Course
Development Grant. University of North Carolina at
Chapel Hill APPLES Service Learning Program, 20022004.
Thompson, D., Principal Investigator. Alternative
Paradigms for Nursing Practice. Office of the
Provost, University of North Carolina at Chapel Hill,
2003-2004.
Faculty Publications 2003–2004 Academic Year
Alden, Kathryn, Clinical Assistant Professor
Alden, K. R. (2004). Newborn nutrition and feeding. In D.
Lowdermilk & S. Perry (Eds.), Maternity and
women’s health care (8th ed., pp. 755-788). St.
Louis: Mosby.
Alden, K. R. (2004). Nursing care of the newborn. In D.
Lowdermilk & S. Perry (Eds.), Maternity and
women’s health care (8th ed., pp. 708-753). St.
Louis: Mosby.
Alden, K. R. (2004). Physiology and physical adaptations of
the newborn. In D . Lowdermilk & S. Perry (Eds.),
Maternity and women’s health care (8th ed., pp.
682-707). St. Louis: Mosby.
Barlow, Jane, Clinical Instructor
Boone, H. A., Freund, P. J., Barlow, J. H., VanArk, G., &
Wilson, T. K. (2004). Community pathways: Hospital
based early intervention services that individualize
supports for families and children. Young
Exceptional Children, 7(2), 10-19.
Beeber, Linda, Professor
Beeber, L. S., Holditch-Davis, D., Belyea, M. J., Funk, S. G.,
& Canuso, R. (2004). In-home intervention for
depressive symptoms with low-income mothers of
infants and toddlers in the United States. Health Care
for Women International, 25, 561-580.
Beeber, L.S., Miller, M.M., & Raphael-Grimm, T. (2004).
Mental health reform (Letter). North Carolina
Medical Journal, 65, 181-182.
Belyea, Michael, Research Associate Professor
Beeber, L. S., Holditch-Davis, D., Belyea, M. J., Funk, S. G.,
& Canuso, R. (2004). In-home intervention for
depressive symptoms with low-income mothers of
infants and toddlers in the United States. Health Care
for Women International, 25, 561-580.
22
Cho, J., Holditch-Davis, D., & Belyea, M. (2004) Gender
and ethnicity and the interactions of prematurely
born children and their mothers. Journal of
Pediatric Nursing, 19(3), 163-175.
Gil, K. M., Mishel, M. H., Belyea, M. J., Germino, B., Porter,
L. S., LaNey, I. C., et al. (2004). Triggers of uncertainty
about recurrence and long term treatment side effects
in older African American and Caucasian breast cancer survivors. Oncology Nursing Form, 31(3), 1-7.
Harris, L. Belyea, M. J., Mishel, M. H., & Germino, B.
(2003). Issues in revising research instruments for use
with southern populations. Journal of National
Black Nurses Association, 14(2), 44-50.
Boyington, Alice, Assistant Professor
Boyington, A. R., Dougherty, M. C. & Liao, Y. (2003).
Analysis of interactive continence health information
on the Web. Journal of Wound, Ostomy, and
Continence Nursing, 30(5), 280-86.
Kincade, J. E., Boyington, A. R., Lekan-Rutledge, D.,
Ashford-Works, C., Dougherty, M. C., & BusbyWhitehead, J. (2003). A bladder management program for adult care homes in North Carolina.
Journal of Gerontological Nursing, 29(10), 30-36.
Brunssen, Susan, Assistant Professor
Holditch-Davis, D., Cox, M. F., Miles, M. S.,& Belyea, M.
(2003). Mother-infant interactions of medically fragile
infants and non-chronically ill premature infants.
Research in Nursing and Health, 26(4), 300-11.
Brunssen, S. H., Morgan, D. L., Parham, F. M., & Harry, G.
J. (2003). Carbon monoxide neurotoxicity: Transient
inhibition of avoidance response and delayed
microglia reaction in the absence of neuronal death.
Toxicology, 194, 51-63.
Mew, A. M., Holditch-Davis, D., Belyea, M., Miles, M. S., &
Fishel, A. (2003). Correlates of depressive symptoms
in mothers of preterm infants. Neonatal Network,
22(5), 51-60.
Levin, E., Brunssen, S. H., Wolfe, G., & Harry, G. J. (2004).
Neurobehavioral assessment of mice after developmental AZT exposure. Neurotoxicology and
Teratology, 26(1), 65-71.
Porter, L. S., Mishel, M., Neelon, V., Belyea, M., Soo, M., &
Pisano, E. (2003). Cortisol levels and responses to
mammography screening in breast cancer survivors: A
pilot study. Psychosomatic Medicine, 65(5), 842-848.
Miles, M. S. & Brunssen, S. H. (2003). Psychometric properties of the parental stressor scale: Infant hospitalization. Advances in Neonatal Care, 3(4), 189-196.
Porter, L.S., Mishel, M.H., Belyea, M., Clayton, M., Germino,
B, Gil, K.M., et al. (2004). Predicting psychological
distress and well being in older long term breast cancer survivors. Annals of Behavioral Medicine, 27S,
180.
Carlson, B. W. & Mascarella, J. J. (2003). Changes in usual
sleep patterns: The "sixth" vital sign in the management of persons with chronic obstructive pulmonary
disease. American Journal of Nursing, 103(12), 7174.
Black, Beth, Clinical Associate Professor
Rubin, D. A., McMurray, R. G., Harrell, J. S., Carlson, B. W.,
& Bangdiwala, S (2003). Accuracy of three dry-chemistry methods for lipid profiling and risk-factor classification. International Journal of Sports Nutrition
and Exercise Metabolism, 13(3), 358-368.
Miles, M., Holditch-Davis, D., Eron, J., Black, B. P.,
Pedersen, C., & Harris, D. (2003). An HIV self-care
symptom management intervention for African
American mothers. Nursing Research, 52(6), 350-360.
CAROLINA NURSING RESEARCH CHRONICLE
Carlson, Barbara, Assistant Professor
Carlson, John, Research Associate Professor
Davis, Leslie, Clinical Assistant Professor
Dougherty, Molly C., Fox Professor
Dalton, J. A., Keefe, F. J, Carlson J., & Youngblood, R.
(2004). Tailoring cognitive-behavioral treatment for
cancer pain. Pain Management Nursing, 5(1), 3-18.
Davis, L. (2004). Beta-blockers and current evidence-based
guidelines. New concepts in increasing heart efficiency: Using evidence in clinical practice. CE-TODAY for
Nurse Practitioners, 3, 3.
Arcury, T., Skelly, A., Gesler, W., & Dougherty, M. (2003).
Diabetes beliefs among Latinos without diabetes:
Clues for prevention. Diabetes, 52(1), A2464.
Thoyre, S. M., & Carlson, J. R. (2003). Preterm infants'
behavioural indicators of oxygen decline during bottle
feeding. Journal of Advanced Nursing, 43(6), 631-641.
Cronenwett, Linda, Dean & Professor
Cronenwett, L.R. (2004). The challenge for nursing. In
A.R. Kovner & D. Neuhauser (Eds.), Health Services
Management: Readings, Cases, and Commentary
(8th ed., pp. 204-210). Washington, DC: AUPHA Press.
Currence, Beverly, Research Assistant Professor
Currence, B. V., Pisano, E. D., Earp, J .A., Moore, A., Chiu, Y.
F., Brown M. E., et al. (2003). Does biopsy, aspiration
or six-month follow-up of a false-positive mammogram reduce future screening or have large psychosocial effects? Academic Radiology, 10(11), 1257-1266.
Dalton, Jo Ann, Professor
Dalton, J. A., Keefe, F. J, Carlson J., & Youngblood, R.
(2004). Tailoring cognitive-behavioral treatment for
cancer pain. Pain Management Nursing, 5(1), 3-18.
Davis, Gayle, Associate Professor
Davis, G. T. (2003). Hemolytic disorders and congenital
anomalies. In D. Lowdermilk & S. Perry, (Eds.),
Maternity and women’s health care. (8th ed.,
pp.1082-1111). St. Louis: Mosby.
Davis, G. T., Foley, B. J, Horn, E.,. Neal, E., Redman, R., &
Van Riper, M. (2003). Creating a comprehensive faculty development program. The Journal of Faculty
Development, 19(1), 19-28.
Foley, B. J., Redman, R., Horn, E., Davis, G. T., Neal, E, and
Van Riper, M. (2003). Determining nursing faculty
development needs: One school of nursing’s experience. Nursing Outlook, 51(5), 227-232.
Davis, L. & Smith, D. (2004). Myocardial infarction. In L.
Davis (Ed.), Cardiovascular nursing secrets (1st ed.,
pp. 99-114). St. Louis: Elsevier/Mosby.
Boyington, A. R., Dougherty, M. C. & Liao, Y. (2003).
Analysis of interactive continence health information
on the Web. Journal of Wound, Ostomy, and
Continence Nursing, 30(5), 280-86.
Dunn, P. & Davis, L. (2004). Cardiovascular disease and
diabetes. In L. Davis (Ed.), Cardiovascular nursing
secrets (1st ed., pp. 479-482). St. Louis:
Elsevier/Mosby.
Dougherty, M. C., Lin, S., McKenna, H. P., & Seers, K.
(2004). International content of high ranking nursing journal in the year 2000. Journal of Nursing
Scholarship, 36(2), 174-180.
Harrell, J. & Davis, L. (2004). Cardiac rehabilitation. In L.
Davis (Ed.), Cardiovascular nursing secrets (1st ed.,
pp. 435-444). St. Louis: Elsevier/Mosby.
Gesler, W. M., Dougherty, M. C., Arcury, T. A., Skelly, A. H. &
Nash, S. (2003). The importance of obtaining information from community service providers for a disease prevention program. Journal of Multicultural
Nursing and Health, 9(2), 14-21.
Smith, D. & Davis, L. (2004). Thrombolytic therapy. In L.
Davis (Ed.), Cardiovascular nursing secrets (1st ed.,
pp. 309-318). St. Louis: Elsevier/Mosby.
Smith, D. & Davis, L. (2004). Antiplatelet and antithrombin therapy. In L. Davis (Ed.), Cardiovascular
nursing secrets (1st ed., pp. 319-330). St. Louis:
Elsevier/Mosby.
Sullivan, C. & Davis, L. (2004). Cardiovascular disease
and the elderly. In L. Davis (Ed.), Cardiovascular
nursing secrets (1st ed., pp. 463-470). St. Louis:
Elsevier/Mosby.
Vitale, K., Gearing, P. & Davis, L.. (2004). Arrhythmias. In
L. Davis (Ed.), Cardiovascular nursing secrets (1st
ed., pp. 135-150). St. Louis: Elsevier/Mosby.
Dieckmann, Janna, Assistant Professor
Dieckmann, J. L. (2004). The history of public health and
public/community health nursing. In M. Stanhope &
J. Lancaster (Eds.), Community health nursing:
Promoting health of aggregates, families, and individuals (6th ed., pp. 22-49). St. Louis: Elsivier.
Major Research Project Sites
July 2003–June 2004
Gesler, W., Hayes, M., Nash, S., Skelly, A., Arcury, T., &
Dougherty, M. (2003).Using geographic information
systems (GIS) to inform community-based diabetes
prevention programs. Diabetes, 52(1), A889.
Kincade, J. E., Boyington, A. R., Lekan-Rutledge, D.,
Ashford-Works, C., Dougherty, M. C. & BusbyWhitehead, J. (2003). A bladder management program for adult care homes in North Carolina.
Journal of Gerontological Nursing, 29 (10), 30-36.
Durham, Carol, Clinical Associate Professor
Rutherford-Hemming, T., Hudson, M. F., Durham, C., &
Richuso, K. (2003). Effective resuscitation by nurses:
Perceived barriers and needs. Journal for Nurses in
Staff Development, 19(5), 258-263.
Fishel, Anne, Professor
Fishel, A. (2004). Mental health disorders and substance
abuse. In D. Lowdermilk & S. Perry (Eds.), Maternity
and women's health care (8th ed., pp. 960-982). St.
Louis: Mosby.
Mew, A. M., Holditch-Davis, D., Belyea, M., Miles, M. S., &
Fishel, A. (2003). Correlates of depressive symptoms in
mothers of premature infants. Neonatal Network,
22(5), 51-60.
Virginia A. Henderson and John D. Thompson, available on AAHN website,
http://www.aahn.org/gravesites/graves.html.
Accessed 15 June 2004.
Flippen, Chenoa, Research Assistant Professor
Harlan, Chris, Clinical Instructor
Flippen, C. A. (2004). Unequal returns to housing investments? A study of real housing appreciation among
Black, White, and Hispanic households. Social Forces,
82(4), 1527-1555.
Mack, J., Tolman, E., Harlan, C., Bender, D., Henshaw, R.,
Trester, A., et al. (2004). ¡A su salud! Spanish for
health professionals. Yale University Press.
Fogel, Catherine, Professor
Fogel, C. I. (2004). Common reproductive concerns. In D.
Lowdermilk & S. Perry (Eds.), Maternity and women’s
health care (8th ed., pp. 155-184). St. Louis: Mosby.
Fogel, C. I. (2004). Sexually transmitted diseases and other
infections. In D. Lowdermilk & S. Perry (Eds.),
Maternity and women’s health care (8th ed. Pp.
185-219). St. Louis: Mosby.
Foley, Barbara Jo, Clinical Associate Professor
Davis, G., Foley, B. J., Horn, E., Neal, C., Redman, R., & Van
Riper, M. (2003). Creating a comprehensive faculty
development program. The Journal of Faculty
Development, 19(1), 19-28.
Foley, B. J., Redman, R., Horn, E., Davis, G., Neal, E., & Van
Riper, M. (2003). Determining nursing faculty development needs: One school of nursing’s experience.
Nursing Outlook, 51(5), 227-232.
Hawley, J. M., & Foley, B. J. (2004). Being refreshed:
Evaluation of a nurse refresher course. Journal of
Continuing Education in Nursing, 35(2), 84-88.
Funk, Sandra, Professor
Beeber, L. S., Holditch-Davis, D., Belyea, M. J., Funk, S. G.,
& Canuso, R. (2004). In-home intervention for
depressive symptoms with low-income mothers of
infants and toddlers in the United States. Health Care
for Women International, 25, 561-580.
Germino, Barbara, Beerstecher Blackwell Professor
Corless, I., Germino, B., Pittman-Lindeman, M. (Eds.)
(2003). Dying, death and bereavement: A challenge for living, (2nd ed.). Boston: Jones & Bartlett.
Germino, B. (2003). Dying at home. In I. Corless, B.
Germino & M. Lindeman-Pittman (Eds.), Dying,
death and bereavement: A challenge for living,
(2nd ed., pp. 105-116). Boston: Jones & Bartlett.
Gil, K. M., Mishel, M. H., Belyea, M. J., Germino, B., Porter,
L. S., LaNey, I. C., et al. (2004). Triggers of uncertainty
about recurrence and long term treatment side effects
in older African American and Caucasian breast cancer survivors. Oncology Nursing Form, 31(3), 1-7.
Harris, L. Belyea, M. J., Mishel, M. H., & Germino, B.
(2003). Issues in revising research instruments for use
with southern populations. Journal of National
Black Nurses Association, 14(2), 44-50.
Porter, L. S., Mishel, M. H., Belyea, M., Clayton, M.,
Germino, B, Gil, K. M., et al. (2004). Predicting psychological distress and well being in older long term
breast cancer survivors. Annals of Behavioral
Medicine, 27S, 180.
Goeppinger, Jean, Professor
Kulbok, P. A., Laffrey, S. C., & Goeppinger, J. (2004).
Integrating multilevel approaches to promote community health. In M. Stanhope & J. Lancaster (Eds.),
Community health nursing: Process and practice
for promoting health (6th ed., pp. 318-339).
St. Louis: Mosby.
Halloran, Edward, Associate Professor
Halloran, E. (2004) American Association for the History of
Nursing, Gravesites of Prominent Nurses Project,
24
Harrell, Joanne, Professor
Harrell, J. & Davis, L. (2004). Cardiac rehabilitation. In L.
Davis (Ed.), Cardiovascular nursing secrets (1st ed.,
pp. 435-444). St. Louis: Elsevier/Mosby.
Mew, A. M., Holditch-Davis, D., Belyea, M., Miles, M. S., &
Fishel, A. (2003). Correlates of depressive symptoms
in mothers of preterm infants. Neonatal Network,
22(5), 51-60.
Miles, M., Holditch-Davis, D., Eron, J., Black, B. P.,
Pedersen, C., & Harris, D. (2003). An HIV self-care
symptom management intervention for African
American mothers. Nursing Research, 52(6), 350-360.
Symons, F.J., Sperry, L., Holditch-Davis, D. & Miles, M.
(2003). Early stereotyped and self-injurious behavior
in young children born at-risk and medically fragile:
A preliminary analysis. Developmental Medicine &
Child Neurology, 45, 844-846.
McMurray, R. G., C. Baggett, C., Pennell, M., Bangdiwala,
S. I., & Harrell, J. S. (2003). Gender differences in
ventilatory responses of youth are related to exercise
intensity. Revista Portuguesa de Ciencias do
Desporto, 3, 101-102.
Horn, Eileen, Clinical Instructor
McMurray, R. G., Harrell, J. S., Bangdiwala, S., & Hu, J.
(2003). Tracking of physical activity and aerobic power
from childhood through adolescence. Medicine and
Science in Sports and Exercise, 35(11), 1914-1922.
Foley, B. J., Redman, R., Horn, E., Davis, G., Neal, E., & Van
Riper, M. (2003). Determining nursing faculty development needs: One school of nursing’s experience.
Nursing Outlook, 51(5), 227-232.
Pearce, P. F., Harrell, J. S., McMurray, R. G. & Pennell, M. L.
(2003). Energy expenditure of sedentary activities in
youth [Abstract]. Revista Portuguesa de sciencias do
desporto: 22nd European Pediatric Work
Physiology Meeting, 3,135-137.
Hughes, Linda, Research Associate Professor
Mark, B. A., Hughes, L. C., & Jones, C. B. (2004). The role
of theory in improving patient safety and quality
health care. Nursing Outlook, 52(1), 11-16.
Rubin, D. A., McMurray, R. G., Harrell, J. S., Carlson, B. W.,
& Bangdiwala, S. (2003). Accuracy of three dry
chemistry methods for lipid profiling and risk factor
classification. International Journal of Sports
Nutrition and Exercise Metabolism, 13(3), 358-368.
Mark, B. A., Hughes, L. C., & Jones, C. B. (2004). The role
of theory in improving patient safety and quality
health care. Nursing Outlook, 52(1), 11-16.
Havens, Donna, Professor
Havens, D. S., & Brewer, C. (2003). Promoting nursing
involvement in health services research. Nursing
Outlook, 51(6), 285-286.
Davis, G., Foley, B. J., Horn, E., Neal, E., Redman, R., & Van
Riper, M. (2003). Creating a comprehensive faculty
development program. The Journal of Faculty
Development, 19(1), 19-28.
Jones, Cheryl, Associate Professor
Stone, P. W., Tourangeau, A. E., Duffield, C. M., Hughes, F.,
Jones, C. B., O’Brien-Pallas, L., & Shamian, J. (2004).
Evidence of nurse working conditions: A global perspective. Policy, Politics, & Nursing Practice, 4(2), 120-130.
Kaufman, Jane, Clinical Assistant Professor
Havens, D. S., & Vasey, J. (2003). Measuring staff nurse
decisional involvement: The decisional involvement
scale (DIS). The Journal of Nursing Administration,
33(6), 331-336.
Kaufman, J. S. (2004). Smoking cessation. In L. Davis
(Ed.), Cardiovascular nursing secrets (1st ed., pp.
399-412). St. Louis: Mosby.
Kellogg, V. A., & Havens, D. S. (2003). Adverse events in
acute care: An integrative review of the research literature. Research in Nursing & Health, 26(5), 398-408.
Kaufman, J. S. & Cheek, D. J. (2004). Men’s cardiovascular
and pulmonary health. Nursing Clinics of North
America. 39(2), 283-300.
Hawley, Jennifer, Clinical Assistant Professor
Kincade, Jean, Research Associate Professor
Hawley, J. M., & Foley, B. J. (2004). Being refreshed:
Evaluation of a nurse refresher course. The Journal of
Continuing Education in Nursing, 35(2), 84-88.
Kincade, J. E., Boyington, A. R., Lekan-Rutledge, D.,
Ashford-Works, C., Dougherty, M. C., & BusbyWhitehead, J. (2003). A bladder management
program for adult care homes in North Carolina.
Journal of Gerontological Nursing, 29(10), 30-36.
Hoffman, Sandy, Clinical Assistant Professor
Hoffman, S. (2003). Sleep in older adults: Implications for
nurses. Geriatric Nursing, 24(4), 210-216.
Holditch-Davis, Diane, Professor
Beeber, L., Holditch-Davis, D., Belyea, M., Funk, S. G., &
Canuso, R., (2004). Home-visiting intervention for
depressive symptoms in low-income mothers of
infants and toddlers in the United States. Health Care
for Women International, 25, 561-580.
Cho, J., Holditch-Davis, D., & Belyea, M. (2004) Gender
and ethnicity and the interactions of prematurely
born children and their mothers. Journal of
Pediatric Nursing, 19(3), 163-175.
Holditch-Davis, D., Brandon, D. H., & Schwartz, T. (2003).
Development of behaviors in preterm infants: Relation
to sleeping and waking. Nursing Research, 52(5),
307-317.
Holditch-Davis, D., Cox, M. F., Miles, M. S., & Belyea, M.
(2003). Mother-infant interactions of medically fragile infants and non-chronically ill premature infants.
Research in Nursing and Health, 26 (4), 300-311.
CAROLINA NURSING RESEARCH CHRONICLE
Kjervik, Diane, Professor
Brooke, P., Badzek, L., Auton, L, Killion, S., Kjervik, D., &
Weaver, J. (2003). Model Curriculum of Legal
Content in Nursing Education (2nd ed.). Pensacola,
FL: The American Association of Nurse Attorneys.
Kjervik, D. K. (2003). Therapeutic jurisprudential analysis
of the impact of policy decisions on nursing. Nursing
and Health Policy, 2(1), 35-42.
Kjervik, D. K. (2003). APN testifies on physician treatment.
[Column]. Journal of Clinical Systems
Management, 5(6), 6.
Kjervik, D. K. (2003). Diagnosis or failure to assess.
[Column]. Journal of Clinical Systems
Management, 5(4), 6.
Kjervik, D. K. (2003). Duty to report child abuse in schools.
[Column]. Journal of Clinical Systems
Management, 5(10), 7.
Kjervik, D. K. (2003). Malpractice defense using the statute
of limitations requirement. [Column]. Journal of
Clinical Systems Management, 5(11), 7.
Kjervik, D. K. (2003). Nursing expert names nursing home
as defendant. [Column]. Journal of Clinical
Systems Management, 5(8 & 9), 6.
Kjervik, D. K. (2003). Patients' rights and the evolution of
the standard of care for health professionals.
[Column]. Journal of Nursing Law, 9(2), 5.
Kjervik, D. K. (2003). Physicians are not experts on nursing
care of falls. [Column]. Journal of Clinical Systems
Management, 5(3), 6.
Kjervik, D. K. (2003). Pre-operative nursing notes to be
checked by anesthesiologist. [Column]. Journal of
Clinical Systems Management, 5(5), 6.
Kjervik, D. K. (2003). Protection of privileged communication. [Column]. Journal of Clinical Systems
Management, 5(7), 7.
Kjervik, D. K. (2003). The politics of NIH research.
[Column]. Journal of Clinical Systems
Management, 5(12), 6.
Kjervik, D. K. (2003). Using ethics and science to change
law. [Column]. Journal of Nursing Law, 9(1), 5.
Kjervik, D.K. (2004). Confidentiality and the duty to disclose high risk drivers. [Column]. Journal of
Clinical Systems Management, 6(1), 12.
Kjervik, D.K. (2004). Nurse attorneys argue for nurse
expert witness. [Column]. Journal of Clinical
Systems Management, 6(5/6), 13.
Kjerivk, D.K. (2004). Inadequate CV disqualifies nurse
expert witness. [Column]. Journal of Clinical
Systems Management, 6(4), 13.
Kjervik, D.K. (2004). Collaboration versus supervision of
nurse anesthetists. [Column]. Journal of Clinical
Systems Management, 6(3), 12.
Kjervik, D.K. (2004). Ordinary negligence, malpractice &
expert testimony. [Column]. Journal of Clinical
Systems Management, 6(2), 12.
Valimaki, M. K., Kaltiala-Heaino, R. & Kjervik, D. K.
(2003). The rights of patients with mental problems
in Finland. Journal of Nursing Law, 9(2), 17-28.
Lowdermilk, Deitra, Clinical Professor
Lowdermilk, D., & Perry, S. (2004). Maternity and
women's health care (8th ed.). St. Louis: Mosby.
Lowdermilk, D. L. (2004). Anatomy and physiology of
pregnancy. In D. Lowdermilk, & S. Perry (Eds.),
Maternity and women's health care (8th ed., pp.
348-368). St. Louis: Mosby.
Lowdermilk, D. L. (2004). Labor and birth processes. In D.
Lowdermilk, & S. Perry (Eds.), Maternity and
women's health care (8th ed., pp. 468-487).
St. Louis: Mosby.
Lowdermilk, D. L. (2004). Postpartum complications. In D.
Lowdermilk, & S. Perry (Eds.), Maternity and
women's health care (8th ed., pp. 1036-1050). St.
Louis: Mosby.
Lowdermilk, D. L. (2004). Structural disorders and neoplasms of the reproductive system. In D. Lowdermilk,
& S. Perry (Eds.), Maternity and women's health
care (8th ed., pp. 289-326). St. Louis: Mosby.
Mark, Barbara, Russell Professor
Lang, N., Mitchell, P., Hinshaw, A., Jennings, B., Lamb, G.,
Mark, B., et al. (2004). Measuring and improving
quality. Medical Care 42(2), 1-3.
Mark, B., Harless, D., McCue, M. & Xu, X. (2004). A longitudinal examination of hospital registered nurse
staffing and quality of care. Health Services
Research. 39(2), 277-298.
Mark, B. A. (2003). Code Green: Money driven hospitals
and the dismantling of nursing. [ Review of book
Code green: Money driven hospitals and the dismantling of nursing.] Journal of the American Medical
Association, 290(16), 2196-2197.
Mark, B. A., Hughes, L. C. & Jones C. B. (2004). The role of
theory in improving patient safety and quality health
care. Nursing Outlook. 52(1), 11-16.
Mazzocco, Gail, Clinical Assistant Professor
Bacon, T. J., Mazzocco, G. O., & Stallings, K. D. (2004). The
North Carolina’s Area Health Education Center’s role
in addressing nursing workforce issues. North
Carolina Medical Journal, 65(2), 104-106.
Coyle, S., Dotson, S., Doucette, L., Fertman, C. E., Foeller, C.
S., Fuller, P., Mazzocco, G., Morano, C., Muir, B., Patton,
E. M., Pecukonis, E., Pistella-Ley, C., Reitz, M. & Wright
B. (2003). Obesity Prevention: Interdisciplinary
Health Promotion Module. Retrieved July 8, 2004,
from http://www.allconet.org/ahec/rihp.
Miles, Margaret S., Professor
Beeber, L., & Miles, M. S. (2003). Poverty and the child:
The protective effects of maternal mental health.
Annual Review of Nursing Research, 21, 303-331.
Neelon, Virginia, Associate Professor
Porter, L. S., Mishel, M., Neelon, V., Belyea, M., Soo, M., &
Pisano, E. (2003). Cortisol levels and responses to
mammography screening in breast cancer survivors, A
pilot study. Psychosomatic Medicine, 65(5), 842-848.
Oppewal, Sonda, Clinical Associate Professor
Edwards, J. B., Oppewal, S., & Logan, C. L. (2003). Nursemanaged primary care: Outcomes of a faculty practice
network. Journal of the American Academy of
Nurse Practitioners, 15(12), 563-569.
Palmer, Mary, Umphlet Professor
Palmer, M. [Review of Promoting continence: A clinical
resource (2nd ed.)] Doody’s Review Service, available:
http://www.doody.com . (Accessed May 14, 2003).
Palmer, M. & Johnson, T. (2003). Quality of Incontinence
Management in US Nursing Homes [Guest Editorial].
Journal of the American Geriatrics Society, 51(12),
1810-1812.
Palmer, M. (2003). An ounce of prevention. In D. Newman &
M. Palmer (Eds.) State of the science on urinary incontinence. American Journal of Nursing 3[Suppl], 18.
Palmer, M. (2003, July). Urinary incontinence in long-term
care. Business Briefing: Long-Term Healthcare
Strategies, pp. 1-2.
Holditch-Davis, D., Cox, M. F., Miles, M. S., & Belyea, M.
(2003). Mother-infant interactions of medically fragile infants and non-chronically ill premature infants.
Research in Nursing and Health, 26(4), 300-311.
Palmer, M. (2004). Managing urinary incontinence after
prostate cancer surgery. Coping, 18(1), 30.
Mew, A. M., Holditch-Davis, D., Belyea, M., Miles, M. S., &
Fishel, A. (2003). Correlates of depressive symptoms in
mothers of preterm infants. Neonatal Networks,
22(5), 51-60.
Wallace, S., Roe, B., Williams, K., & Palmer, M. (2003).
Bladder training for urinary incontinence in adults.
(Cochrane Review). In: The Cochrane Library, Issue 4,
2003. Oxford: Update Software.
Miles, M. S. & Brunssen, S. H. (2003). Psychometric properties of the parental stressor scale: Infant hospitalization. Advances in Neonatal Care, 3(4), 189-196.
Pierce, Susan, Professor
Miles, M. S., & Pelosi, K. (2003). Grieving the loss of a
newborn. In D. Lowdermilk & S. Perry (Eds.).
Maternity and women’s health nursing (8th ed., pp.
1150-1171). St. Louis: Mosby.
Miles, M., Holditch-Davis, D., Eron, J., Black, B. P.,
Pedersen, C., & Harris, D. (2003). An HIV self-care
symptom management intervention for African
American mothers. Nursing Research, 52(6), 350-360.
Pierce, S. F. (2004) Are you ready to roll? Tar Heel Nurse,
66(1), 3.
Pierce, S. F. (2004). It's time to move On. Tar Heel Nurse,
66(2), 3.
Pierce, S. F. (2004). We band of angels. Tar Heel Nurse,
66(3), 3.
Pierce, S., Contributor. (2003). Nursing’s social policy
statement (2nd ed.). Washington, D.C.: American
Nurses Association.
Symons, F.J., Sperry, L., Holditch-Davis, D. & Miles, M.
(2003). Early stereotyped and self-injurious behavior
in young children born at-risk and medically fragile:
A preliminary analysis. Developmental Medicine &
Child Neurology, 45, 844-846.
Pierce, S., Contributor. (2004). Nursing scope and standards of practice. Washington, D.C.: American Nurses
Association.
Miller, Margaret, Clinical Assistant Professor
Pletsch, P.K. (2004). Commentary on "The influence of
symptoms on quality of life among HIV infected
women." Western Journal of Nursing Research,
26(1), 24-27.
Beeber, L.S., Miller, M.M., & Raphael-Grimm, T. (2004).
Mental health reform (Letter). North Carolina
Medical Journal, 65, 181-182.
Mishel, Merle, Kenan Professor
Gil, K. M., Mishel, M. H., Belyea, M. J., Germino, B., Porter, L.
S., LaNey, I. C., et al. (2004). Triggers of uncertainty
about recurrence and long term treatment side effects
in older African American and Caucasian breast cancer
survivors. Oncology Nursing Form, 31(3), 1-7.
Harris, L. Belyea, M. J., Mishel, M. H., & Germino, B. (2003).
Issues in revising research instruments for use with
southern populations. Journal of National Black
Nurses Association, 14(2), 44-50.
Porter, L. S., Mishel, M., Neelon, V., Belyea, M., Soo, M., &
Pisano, E. (2003). Cortisol levels and responses to
mammography screening in breast cancer survivors: A
pilot study. Psychosomatic Medicine, 65(5), 842-848.
Porter, L. S., Mishel, M. H., Belyea, M., Clayton, M., Germino,
B, Gil, K. M., et al. (2004). Predicting psychological distress and well being in older long term breast cancer
survivors. Annals of Behavioral Medicine, 27S, 180.
Pletsch, Pamela, Associate Professor
Pletsch, P.K., Morgan, S., Pieper, A. F. (2003). Context and
beliefs about smoking cessation. American Journal
of Maternal Child Nursing, 28(5), 2-7.
Pulido, Karen, Adjunct Clinical Instructor
Pulido, Karen P. (2004). Labwork. In L. Davis (Ed.)
Cardiovascular Nursing Secrets, (pp. 43-49). St.
Louis: Elsvier/Mosby.
Raphael-Grimm, Theresa, Clinical Assistant Professor
Beeber, L.S., Miller, M.M., & Raphael-Grimm, T. (2004).
Mental health reform (Letter). North Carolina
Medical Journal, 65, 181-182.
Redman, Richard, Professor
Davis, G.T., Foley, B.J, Horn, E.,. Neal, E., Redman, R., &
Van Riper, M. (2003). Creating a comprehensive faculty development program. The Journal of Faculty
Development, 19(1), 19-28.
2 0 0 3 – 2 0 0 4 25
Foley, B. J., Redman, R., Horn, E., Davis, G. T., Neal, E. &
Van Riper, M. (2003). Determining nursing faculty
development needs: One school of nursing’s experience. Nursing Outlook, 51(5), 227-232.
Rutherford-Hemming, Tonya, Clinical Instructor
Rutherford-Hemming, T., Hudson, M. F., Durham, C., &
Richuso, K. (2003). Effective resuscitation by nurses:
perceived barriers and needs. Journal for Nurses in
Staff Development, 19(5), 258-263.
Sandelowski, Margarete, Boshamer Professor
Sandelowski, M., & Barroso, J. (2003). Motherhood in the
context of maternal HIV infection. Research in
Nursing & Health, 26, 470-482.
Sandelowski, M. (2003). La prueba esta en la alfareria:
Hacia una poetica de la investigacion cualitativa. In J.
M. Morse (Ed.), Asunto criticos en los metodos de
investigacion cualitativa (pp. 56-77). Sage: Facultad
de Enfermeria de la Universidad de Antioquia,
Colombia. (Spanish translation of "The proof is in the
pottery: Toward a poetic for qualitative inquiry." In J.
Morse (Ed.), Critical issues in qualitative research
methods (pp. 46-63). Thousand Oaks, CA: Sage.
Hamilton, J., & Sandelowski, M. (2004). Types of social
support in African Americans with cancer. Oncology
Nursing Forum, 31, 792-800.
Sandelowski, M., Lambe, C., & Barroso, J. (2004). Stigma
in HIV-positive women. Journal of Nursing
Scholarship, 36, 122-128.
Schwartz, Todd, Research Instructor
Schwartz, T. A., & Denne, J. S., (2003). Common threads
between sample size recalculation and group sequential
procedures. Pharmaceutical Statistics, 2, 263-271.
Dunlap, S. H., Mallemala, S., Sueta, C. A., Schwartz, T. A.,
& Adams, Jr., K. F. (2003). Survival rates are similar
between African American and white patients with
heart failure. American Heart Journal, 146, 265-272.
Holditch-Davis, D., Brandon, D. H., & Schwartz, T. (2003).
Development of behaviors in preterm infants: Relation
to sleeping and waking. Nursing Research, 52(5),
307-317.
Skelly, Anne H., Associate Professor
Arcury, T., Quandt, S., Bell, R., Mellen, B., Skelly, A., Smith,
S., et al. (2003). Physical activity among rural older
adults with diabetes. The Gerontologist, 43, 58.
Arcury, T., Skelly, A., Gesler, W., & Dougherty, M. (2003).
Diabetes beliefs among Latinos without diabetes:
Clues for prevention. Diabetes, 52(1), A2464.
Bell, R., Quandt, S., Arcury, T., Mellen, B., Smith, S., Skelly,
A., et al. (2003). Gender and ethnic disparities in
glycemic control among rural older adults with type 2
diabetes. Diabetes 52(1), A2148.
Carter-Edwards, L., Skelly, A., Cagle, C. & Appel, S. (2004).
They care, but they don’t understand: Social support
of African American women with type 2 diabetes. The
Diabetes Educator, 4(30), 1-21.
Gesler, W. M., Dougherty, M. C., Arcury, T. A., Skelly, A. H. &
Nash, S. (2003). The importance of obtaining information from community service providers for a disease prevention program. Journal of Multicultural
Nursing and Health, 9(2), 14-21.
Gesler, W., Hayes, M., Nash, S., Skelly, A., Arcury, T., &
Dougherty, M. (2003).Using geographic information
systems (GIS) to inform community-based diabetes
prevention programs. Diabetes, 52(1), A889.
Gesler, W., Hayes, M., Arcury, T., Skelly, A., Soward, A., &
Nash, S. (2004). Use of mapping technology in health
intervention research. Nursing Outlook , 52(3), 142-6.
Quandt, S., Arcury, T., Bell, R., Mellen, B., Skelly, A., Smith, S.,
et al. (2003). Diabetes education and dietary selfmanagement practices of rural older adults in multiethnic population: Results from the ELDERS study.
The Gerontologist, 43, 48.
Quandt, S., Arcury, T., Bell, R., Smith, S., Mellen, B., Skelly,
A., et al. (2003). Dietary fat reduction practices of
rural older adults with type 2 diabetes in a multi-ethnic population. Diabetes, 52(1). A492.
Thoyre, Suzanne, Associate Professor
Thoyre, S. M. (2003). Techniques for feeding preterm infants
- Education calms parents’ fears regarding proper
care. American Journal of Nursing, 103(9), 69-73.
Thoyre, S. & Carlson, J. (2003). Preterm infants’ behavioural indicators of oxygen decline during bottle feeding. Journal of Advanced Nursing, 43, 631-641.
Arcury, T. , Quandt, S., Bell, R.,Mellen, B., Shannon, S.,
Skelly, A., et al. (2003). Gender-ethnic differences in
the use of CAM for treating diabetes among rural
older adults. Diabetes, 52(1), A1778.
Van Riper, Marcia, Associate Professor
Davis, G., Foley, B. J., Horn, E., Neal, E., Redman, R., & Van
Riper, M. (2003). Creating a comprehensive faculty
development program. Journal of Faculty
Development, 19(1), 19-28.
Foley, B. J., Redman, R., Horn, E., Davis, G. T., Neal, E., &
Van Riper, M. (2003). Determining nursing faculty
development needs: One school of nursing’s experience. Nursing Outlook, 51(5), 227-232.
Van Riper, M. (2003). Genetics. In L. Davis (Ed.),
Cardiovascular nursing secrets. (1st ed., pp. 503510). St. Louis: Elsevier/Mosby.
Van Riper, M. (2003). Genetics. In D. Lowdermilk & S.
Perry (Eds.), Maternity and women’s health care
(8th ed., pp. 52-71). St. Louis: Mosby.
Van Riper, M. (2004). Genetic testing for breast and ovarian cancer susceptibility: A family experience. Journal
of Midwifery and Women’s Health, 49, 210-219.
Van Riper, M. (2004). What families need to thrive. Down
Syndrome News, 27, 18-22.
Vu, Maihan, Research Assistant Professor
Steckler, A., Ethelbah, B., Martin, C. J., Stewart, D., Pardilla,
M., Vu, M., et al. (2003). Pathways process evaluation
results: A school-based prevention trial to promote
healthful diet and physical activity in American
Indian third, fourth and fifth grade students.
Preventive Medicine, 37, S80-S90.
Davis, S., Clay, T., Smyth, S., Gittelsohn, J., Arviso, V., Vu,
M., et al. (2003). Pathways curriculum and family
interventions to promote healthful eating and physical activity in American Indian schoolchildren.
Preventive Medicine, 37, 24-34.
Waldrop, Julee, Clinical Assistant Professor
Waldrop, J.B. (2003). EPocrates Rx Online: New web-based
drug reference brings added value to healthcare.
http://image.epocrates.com/headlines/story/10125.html.
Waldrop, J.B. (2003, August 25). Eat omega-3 oils, live
longer. The Clinical Advisor, 98.
Waldrop, J.B. (2003, October 25). Uncovering hidden CAD.
The Clinical Advisor, 110.
West, Vivian, Research Assistant Professor
Simmons, S., West, V., Chimiak, W. (2003).
Telecommunications and Videoconferencing for
Psychiatry. In R. Wootten, P. Yellowlees, & P. McLaren
(Eds.). Telepsychiatry and e-Mental Health (pp.xxx).
London, UK: The Royal Society of Medicine Press.
Faculty Grant Review Activities 2003–2004 Academic Year
Belyea, Michael, Research Associate Professor
Reviewer, International and Cooperative Projects (ICP)
Study Section, National Institutes of Health, 2003.
Carlson, Barbara Waag, Assistant Professor
Member, Clinical Research Advisory Committee,
General Clinical Research Center, The University
of North Carolina at Chapel Hill, 2001-present.
Eaves, Yvonne, Assistant Professor
Reviewer, Alzheimer’s Association, Research Grants
Program, Investigator Initiated Research Grants, 2003.
Havens, Donna, Professor
Reviewer, Council on Graduate Education for
Administration in Nursing Awards, 2003.
Harrell, Joanne, Professor
Reviewer, Behavioral Science, Epidemiology, &
Prevention Grants, American Heart Association, 2003.
Reviewer, Special Emphasis Panel, ZRG1 HOP-H (90),
National Institutes of Health, 2004.
26
Holditch-Davis, Diane, Professor
Member, National Institute of Nursing Research
Initial Review Group, National Institutes of
Health, 2002-2006.
Collateral Reviewer, Sigma Theta Tau Research
Committee, January 1991-present.
Lynn, Mary, Associate Professor
Reviewer, American Association of Spinal Cord Injury
Nurses Grant Program, 2003.
Member, Grant Review Committee, American Nurses'
Foundation, 2003-2006.
Mazzocco, Gail, Clinical Assistant Professor
Reviewer, Bioterrorism Training and Curriculum
Development Grants, BHPr, HRSA, Department of
Health and Human Services, Washington, DC, 2003.
McQuiston, Chris, Associate Professor
Reviewer, Research Proposals for El Centro Hispano,
2003-present.
CAROLINA NURSING RESEARCH CHRONICLE
Mishel, Merle, Kenan Distinguished Professor
Reviewer, Special Emphasis Panel, National Cancer
Institute, National Institutes of Health, 2004.
Pletsch, Pamela, Associate Professor
Reviewer, Tobacco Control Grants, National Cancer
Institute of Canada, 2004.
Sandelowski, Margarete, Boshamer Distinguished
Professor
Member, External Review Committee, University of
Minnesota Academic Health Center Academy for
Excellence in Health Research, 2004.
Skelly, Anne, Associate Professor
Reviewer, Special Emphasis Panel ZRG1-RPHB-3,
Center for Scientific Review, National Institutes of
Health, 2004.
Reviewer, American Diabetes Association/Novo Nordisk
Behavaioral/Educational RFA, 2004.
Faculty Editorial and Abstract Review Activities 2003–2004 Academic Year
Beeber, Linda, Professor
Reviewer, Research in Nursing & Health
Brunssen, Susan, Assistant Professor
Reviewer, Journal of Perinatology
Reviewer, Journal of Toxicology & Teratology
University of North Carolina at Chapel Hill School of Nursing
Annual Level of Extramural Research Funding
(1999–present)
Carlson, Barbara Waag, Assistant Professor
Reviewer, Biological Research for Nursing
Reviewer, Physics in Medicine and Biology
Reviewer, Physiological Measurement
Abstract Reviewer, Social Research Policy and Practice
Session, Gerontological Society of America, 2003-2004
D’Auria, Jennifer, Associate Professor
Reviewer, Journal of Pediatric Nursing
Dieckmann, Janna, Assistant Professor
Reviewer, Public Health Nursing
Reviewer, Research in Nursing & Health
Reviewer, Nursing Research
Dougherty, Molly, Fox Distinguished Professor
Editor, Nursing Research
Member, Editorial Board, International
Urogynecology Journal
Eaves, Yvonne, Assistant Professor
Reviewer, Social Problems
Reviewer, Journal of Advanced Nursing
Reviewer, Nursing Research
Esposito, Noreen, Assistant Professor
Abstract Reviewer, Injury Prevention and Control
Section, American Public Health Association
Abstract Reviewer, 2004 Southern Nursing Research
Society Meeting
Fishel, Anne, Professor
Reviewer, American Journal of Nursing
Reviewer, Journal of American Psychiatric
Nurses Association
Flippen, Chenoa, Research Assistant Professor
Reviewer, Research on Aging
Fogel, Catherine, Professor
Reviewer, Journal of Obstetric, Gynecologic and
Neonatal Nursing
Reviewer, Maternal Child Nursing
Reviewer, Journal of Marriage and Family
Reviewer, Journal of Urban Development
Foley, Barbara Jo, Clinical Associate Professor
Reviewer, Nursing Outlook
Funk, Sandra, Professor
Reviewer, Research in Nursing & Health
Geoppinger, Jean, Professor
Member, Advisory Board, Journal of Family and
Community Health
Member, Editorial Board, Chronic Illness
Reviewer, Qualitative Health Research
Reviewer, International Quarterly of Community
Health Education
Reviewer, American Journal of Public Health
Reviewer, Health Education and Behavior
Reviewer, Arthritis Care and Research
Harrell, Joanne, Professor
Abstract Reviewer, 2003 American Heart Association
Scientific Sessions
Abstract Reviewer, 2004 American Heart Association
Cardiovascular Epidemiology Meetings
Havens, Donna, Professor
Reviewer, The Journal of Nursing Administration
Reviewer, Medical Care
Holditch Davis, Diane, Professor
Member, Editorial Board, Neonatal Network
Member, Editorial Board, Journal of Perinatology
Reviewer, Research in Nursing & Health
Reviewer, Journal of Obstetric, Gynecologic, and
Neonatal Nursing
Reviewer, Journal of Advanced Nursing
Reviewer, Developmental Psychology
Reviewer, Qualitative Health Research
Reviewer, Sleep
Reviewer, Advances in Neonatal Care
Reviewer, Journal of Perinatology
Reviewer, Southern Online Journal of
Nursing Research
Reviewer, Behavioral Sleep Medicine
Abstract Reviewer, Southern Nursing
Research Society Meeting
Hughes, Linda, Research Associate Professor
Reviewer, Nursing Research
Reviewer, Journal of Nursing Scholarship
Kjervik, Diane, Professor
Editor in Chief, Journal of Nursing Law
Member, Editorial Board, Journal of Nursing Law
Reviewer, Journal of Advanced Nursing
Reviewer, The Journal of Nursing Scholarship
Reviewer, Issues in Mental Health Nursing
Palmer, Mary, Umphlet Distinguished Professor
Nursing Section Editor, Journal of the American
Geriatrics Society
Column Co-editor, Bladder Matters, American
Journal of Nursing
Member, Editorial Board, Geriatric Nursing
Member, Editorial Board, Clinical Geriatrics
Reviewer, Western Journal of Nursing Research
Pletsch, Pamela, Associate Professor
Member, Editorial Board, Journal of
Cultural Diversity: An International Journal
Reviewer, Health Care for Women International
Reviewer, Annals of Behavioral Medicine
Reviewer, Western Journal of Nursing Research
Reviewer, Nursing Outlook
Reviewer, Social Science and Medicine
Lowdermilk, Dietra, Clinical Professor
Reviewer, Mosby Publishing Company
Sandelowski, Margarete, Boshamer Distinguished
Professor
Associate Editor, Research in Nursing & Health
Associate Editor, Health Care For
Women International
North American Editor, Nursing Inquiry
Member, Editorial Advisory Board, Advances in
Nursing Science
Member, Editorial Board, Field Methods
Member, Editorial Board, Qualitative
Health Research
Lynn, Mary, Associate Professor
Reviewer, Western Journal of Nursing Research
Reviewer, Journal of Professional Nursing
Reviewer, Clinical Nursing Research
Reviewer, Journal of Nursing Measurement
Skelly, Anne, Associate Professor
Editor, Continuing Education Department,
The Diabetes Educator
Reviewer, Diabetes Care
Reviewer, Western Journal of Nursing Research
Mark, Barbara, Russell Distinguished Professor
Reviewer, Nursing Economics
Reviewer, Nursing Research
Reviewer, Canadian Journal of Nursing Research
Thoyre, Suzanne, Associate Professor
Member, Editorial Board, Journal of Obstetric,
Gynecologic, and Neonatal Nursing
Reviewer, American Journal of Maternal
Child Nursing
Reviewer, Journal of Perinatology
Reviewer, Health Care for Women International
Leeman, Jennifer, Research Assistant Professor
Column Editor, American Journal of Nursing
Miles, Margaret, Professor
Reviewer, Advances in Neonatal Care
Reviewer, Health Care for Women International
Reviewer, Journal for Specialists in Pediatric Nursing
Reviewer, Nursing Research
Reviewer, Parenting
Reviewer, Research in Nursing & Health
Reviewer, Journal of Pediatric Nursing
Reviewer, Journal of the American
Medical Women’s Association
Waldrop, Julee, Clinical Assistant Professor
Contributing Editor, The Clinical Advisor
Member, Editorial Committee, NP News,
Official Newsletter of the NCNA Council
of Nurse Practitioners
Case Study Reviewer, Sigma Theta Tau International
Honor Society of Nursing
Mishel, Merle, Kenan Distinguished Professor
Reviewer, Quality of Life Research
West, Vivian, Research Assistant Professor
Reviewer, Journal of Telemedicine and Telecare
Oppewal, Sonda, Clinical Associate Professor
Reviewer, Biosecurity and Bioterrorism
Woodard, Betty, Clinical Assistant Professor
Reviewer, Social Science and Medicine
2 0 0 3 – 2 0 0 4 27
Doctoral Student and Post-Doctoral Fellow Activities 2003–2004 Academic Year
GRANTS
Amoako, E., Principal Investigator; Skelly, A., & Funk,
S., Sponsors. Diabetes Uncertainty Management
Intervention for Older African-American Women.
Predoctoral Fellowship, John A. Hartford Foundation,
2002-2004.
Bond, S., Principal Investigator; Neelon, V., Sponsor. An
Exploratory Study of Delirium in Older Home Hospice
Patients with Advanced Cancer. Predoctoral
Fellowship, American Cancer Society, 2003-2005.
Clayton, M., Principal Investigator; Mishel, M., Sponsor.
Factors Influencing Patient-Provider
Communication Among Older breast Cancer
Survivors. Predoctoral Fellowship, Lineberger
Comprehensive Cancer Center, 2002-2003.
Enriquez, M., Principal Investigator. STAR II: An
Intervention to Enhance Readiness for Adherence.
American Nurses Foundation, 2002-2004.
Flynn, S., Co-Investigator; Perri Bomar, Principal
Investigator. Culturally Tailored Lifestyle
Management for Rural African American Men at
Risk for Prostate Cancer. American Nurses
Foundation, 2003-2004.
Larson, K., Principal Investigator; McQuiston, C.,
Sponsor. Latino Adolescents and Sexual Risk
Behaviors. 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, 2003-2004.
Lukkahatai, N., Principal Investigator; Dalton, J.,
Sponsor. The Thai Cancer Pain Experience:
Relationship among Spiritual Beliefs, Pain
Appraisal, Pain Coping, and Pain Perception and
Outcomes. Off-Campus Dissertation Award, The
University of North Carolina at Chapel Hill, 2003-2004.
Pearce, P., Principal Investigator; Harrell, J., Sponsor.
Designing with Children for Children: Activity
Recall. National Research Service Award, National
Institute of Nursing Research, National Institutes of
Health, 2002-2004.
Pearce, P., Principal Investigator; Harrell, J., Sponsor.
Designing with Children for Children: Physical
Activity Recall. American Nurses Foundation, 2003-2004.
Wang, H., Principal Investigator; Harrell, J., Sponsor.
Factors Associated with Successful Smoking
Cessation among Male Adults with Coronary Heart
Disease in Taiwan. Off-Campus Dissertation Award,
The University of North Carolina at Chapel Hill, 2004.
Weis, K., Principal Investigator. Military Families:
Psychosocial Adaptation to Pregnancy. TriServices
Nursing Research Program, 2002-2005.
Wilde, M., Principal Investigator; Dougherty, M.,
Sponsor. Sensations of Urine Flow in People with
Foley Catheters. National Research Service Award,
National Institute of Nursing Research, National
Institutes of Health, 2002-2004.
INSTITUTIONAL NRSA AWARD RECIPIENTS
PREDOCTORAL STUDENTS
Beacham, P. (Holditch-Davis, D. sponsor). Management
of Neonatal Post-Operative Pain, 2002-2004.
Carter, B. (Holditch-Davis, D. sponsor). Chronic
Complications Related to Neonatal Sepsis Investigation Into Nursing Practices that Impact
Neonatal Sepsis, 2003-2005.
Greene, N. (Harrell, J. & Skelly, A. sponsors).
Prevention of Type 2 Diabetes in African American
Families, 2002-2004.
Jessup, A. (Harrell, J. sponsor).
Prevention/Management of Obesity in Children,
2002-2004.
Lambe, C. (Germino, B. sponsor). Complimentary
Therapies, 2002-2004.
McKenzie, C. (Skelly, A. sponsor). Perception of Risk of
Cardiovascular Disease in Women with Type II
Diabetes, 2003-2005.
Olson, D. (Neelon, V. sponsor). Sleep in Critically Ill
Comatose Patients, 2003-2005.
Spector, D. (Mishel, M. sponsor). Increasing Health
Lifestyle Behaviors in Women Who Are At High Risk
of Developing Breast and Ovarian Cancer Due to
Genetic Predisposition, 2003-2005.
POSTDOCTORAL STUDENTS
Clayton, M. (Mishel, M. sponsor). The Influence of
Communication on the Emotional Well-Being of
Breast Cancer Survivors Managing Bothersome
Symptoms, 2003-2005.
Flynn, S. (Mishel, M. sponsor) Brother to Brother:
Prostate Cancer Education and Screening Project,
2003-2005.
Kim, S. S. (Pletsch, P., sponsor). A Focus Group of
Korean American Men: Personal and Sociocultural
Factors Contributing to Smoking Cessation, 20022004.
Enriquez, M. (Miles, M. sponsor). Readiness and
Adherence: A Descriptive Study Examining the
Index of Readiness" as a Predictor of Adherence in
HIV Women Beginning a New Regimen of Anti-HIV
Medications, 2002-2004.
PUBLICATIONS
Amoako, E., Richardson, L., & Kennedy-Malone, L.
(2003). Self-medication with over the-counter medications among the elderly. Journal of Gerontological
Nursing, 29(8), 10-15.
Beacham, P. S. (2004). Behavioral & physiological indicators of procedural & postoperative pain in high-risk
infants. Journal of Obstetrical, Gynecologic, and
Neonatal Nursing, 33(2), 246-255.
Boyington, A. R., Dougherty, M. C. & Liao, Y. M. (2003).
Analysis of interactive continence health information
on the Web. Journal of Wound Ostomy Continence
Nursing, 30(5), 280-6.
Cho, J., Holditch-Davis D., & Belyea, M. (2004). Gender
and ethnicity and the interactions of prematurely
born children and their mothers. Journal of Pediatric
Nursing, 19(3), 163-175.
28 C A R O L I N A N U R S I N G R E S E A R C H C H R O N I C L E
Dougherty, M. C., Lin, S. Y., McKenna, H. P., & Seers, K.
(2004). International content of high-ranking nursing journals in the year 2000. Journal of Nursing
Scholarship, 36(2), 173-179.
Enriquez, M., Gore, P. A., Jr., O’Connor, M. C., & McKinsey,
D. S. (2004). Assessment of readiness for adherence
by HIV-positive males who had previously failed treatment. Journal of the Association of Nurses in AIDS
Care, 15(1), 42-49.
Enriquez, M., Lackey, N.R., O’Connor, M.C., & McKinsey,
D.S. (2004). Successful adherence after multiple HIV
treatment failures. Journal of Advanced Nursing,
45(4), 438-446.
Galloway, J., & Therriault, R. (2004). Road trip: Nursing
team assures patient safety during transport. Advance
for Nurses, 6(6), 33-34.
Gambrell, M. Improving our image a nurse at a time.
Journal of Nursing Administration, 34(6), 273.
Kim, S.S. (2004). The experiences of young Korean immigrants: A grounded theory of negotiating social, cultural, and generational boundaries. Issues in Mental
Health Nursing, 25(5), 517-538.
Lunsford, V. (2004). Cardiovascular disease and women.
In L. Davis (Ed.), Cardiovascular nursing secrets
(pp. 455-461). St. Louis, MO: Elsevier Mosby.
Lunsford, V. (2004). Psychosocial considerations. In L.
Davis (Ed.), Cardiovascular nursing secrets (pp.
445-452). St. Louis, MO: Elsevier Mosby.
Olson, D. M., Cheek, D. J., & Morgenlander, J. C. (2004).
The impact of bispectral index monitoring on rates of
propofol administration. AACN Clinical Issues, 15(1),
63-73.
Olson, D. M., Chioffi, S. M., Macy, G. E., Meek, L. G., &
Cook, H. A. (2003). Potential benefits of bispectral
index monitoring in critical care: A case study.
Critical Care Nurse, 23(4), 45-52.
Sandelowski, M., Lambe, C., & Barroso, J. (2004). Stigma
in HIV-positive women. Journal of Nursing
Scholarship, 26, 122-128.
Spector, D., Anthony, M., Alexander, D. & Arab, L. (2003).
Soy consumption and colorectal cancer. Nutrition
and Cancer, 47, 1-12.
Weis, K. L. (2003). Asthma management across the life
span: The childbearing woman with asthma. The
Nursing Clinics of North America, 38, 665-673.
Wheeler, L. B., & Collins, S. R. (2003). The influence of
concept mapping on critical thinking in baccalaureate nursing students. Journal of Professional
Nursing, 19(6), 339-346.
Wilde, M. (2003). Urinary tract infection in people with
long-term urinary catheters. Journal of Wound,
Ostomy and Continence Nursing, 30(6): 314-323.
Wilde, M. (2003). Embodied knowledge in chronic illness
and injury. Nursing Inquiry, 10(3), 170-176.
Wilde, M. (2003). Life with an indwelling urinary
catheter: The dialectic of stigma and acceptance.
Qualitative Health Research, 13(9), 1189-1204.
For more information on
School events, contact the
Office of Advancement.
Calendar of Events
January 2005
Nursing Update RN Refresher Course
January 10–May 27
Dermatology Update in Primary Care
January 21
Leadership Skills for Charge Nurses
January 28
February 2005
Diabetes Review & Update 2005
February 3-4
History Taking & Physical Examination: Sharpening
Your Skills
February 4, 11, 25
Caring for the Critically Ill Patient
February 18
The Role of the RN in Improving the Care of Acutely Ill Elders
February 21
Pharmacology for NPs
February 23
March 2005
History Taking & Physical Examination: Sharpening Your Skills March 4, 11, 18
16th Annual PACU & Ambulatory Surgery Conference
March 5
Improving the Nursing Care of Acutely Ill Elders
March 7-9
Medical-Surgical Certification Review Course
March 10
Alternative Medicine
March 11
Fundamentals of Clinical Research for Clinical Research
Associations and Clinical Study Coordinators
March 12-April 30
Substance Abuse Update for NPs and PAs
March 18
Forensic Nurse Examiner
March 28-April 1
April 2005
History Taking & Physical Examination: Sharpening Your Skills April 1
Test Construction for Critical Thinking in Nursing Education
April 2
Diversity in the Workplace
April 7
Psychiatric Mental Health Institute
April 8
Certificate in Clinical Leadership
April 11-15
The Cutting Edge: Advances in Organ Transplantation
April 20
SON Foundation Board Meeting
April 21
Women’s Health Issues in 2005
April 22
Staff Development
April 28-29
SON New Building Dedication & Kemble Lecture
April 29
University and School of Nursing events
Continuing Education Events
E-mail: [email protected]
Phone: (919) 966-4619
Fax: (919) 843-8241
Web: http://nursing.unc.edu
For more information or to
register for a Continuing
Education program, contact
the School of Nursing Office
of Continuing Education.
E-mail: [email protected]
Phone: (919) 966-3638
Fax: (919) 966-0870
Web: http://nursing.unc.edu/
lifelong/index.html