I N S I D E

It’s all in the nameBy Dean Gail Stuart, PhD, RN, FAAN

E C O N N E C T I O N S

PUBLISHED BY:Medical University of South

Carolina College of Nursing

99 Jonathan Lucas Street

MSC 160

Charleston, SC 29425

SEND INQUIRIES TO:khane@musc.edu

NEWS ............................. P. 2

CALENDAR .................. P. 3

ACADEMICS ................ P. 4

RESEARCH ................... P. 5

PRACTICE .................... P. 6

FACULTY ....................... P. 7

With all due respect to the Bard, I take issue with Shakespeare’s comments that “a rose by any

other name would smell as sweet” or “what matters is what something is, not what it is called.”

This might work well for flowers but it does not work for nurses. What I am referring to is the

names that are ascribed to nurses by others—both health care providers and the media.

Let’s start with other health care providers. Our colleagues too often refer to advanced

practice nurses as:

•“Alliedhealthcareproviders”–myquestionis,sowhoexactlyarewe“allied”with–

patients, families or other clinicians?

•“Mid-levelproviders”–myquestionis,sowhoamongournursingcommunityis

onlyvoluntarilypracticingtothe“mid-level”oftheirskills?

•“Non-physicianproviders”–myquestionhereis,whodefinesoneselfbywhatoneis

not?Ifthisistypical,thenperhapsIshoulddescribemyselfasanon-lawyerornon-

plumberornon-moviestar!The“non”listisendless,asismyimaginationofallthe

careersIcouldhavepursued.ButisthatreallyhowI,asanurse,shouldbedefined?

Perhapsphysiciansshouldthenbedescribedas“non-nurses”?

I also have objection to the names conferred upon us by the media. Of these the most

objectionable is “former nurse.” I ask you to join with me in critically evaluating this issue.

Consider this. When Dr. Frist was elected to Congress no one referred to him as a “former

doctor”or“exdoctor”eventhoughhewasnolongerpracticingmedicine.Sotoo,when

lawyers move on to other careers such as those in service of their country, no one refers to

themas“formerlawyers.”Yetwhennursesmoveoutofthedirectcare-givingrole,suchas

by becoming legislators or business entrepreneurs, they are referred to as “former nurses” or

“exnurses.”Whatishappeninghere?

Talktonurseswhohaveexpandedtheirrolesoutofdirectpatientcareandtheywill

tell you that their education and work as nurses continues to inform their many decisions,

whether they are in business, politics or any other line of work. They are not “former nurses”

they are simply nurses not in direct patient care.

Solet’stacklethisissueheadon.Thenexttimeyouseeanyofthesenamescorrectthe

speaker or the source because it really is all in the name….Gail

M A R C H | 2 0 1 3

NEWS & NOTES

MARCH 2013 eCONnections2

More men pursue nursing careerAccordingtoanewstudy,moremenarepursuingacareerinnursing.

The study, released February 25, presents data from the 2011 American

Community Survey.Thestudyfindsthatfrom1970to2011,the

proportionofmaleregisterednurseshasmorethantripled.Anincreasing

number of males are pursuing a career in nursing in a profession that

historically has been largely made up of women.

Thepercentageofregisterednurseswhoaremalejumpedfrom2.7

percentin1970to9.6percentin2011,accordingtothenationalstudy.

The study’s author,

Liana Christin Landivar,

reports the demand

forlong-termcareand

end-of-lifeservicesis

growing because of the

nation’s aging population.

“Apredictedshortage

has led to recruiting

and retraining efforts

to increase the pool of

nurses. These efforts

have included recruiting men into nursing,” says Landivar, a sociologist

in the Census Bureau’s Industry and Occupation Statistics Branch. “Men

[also]aremorelikelytobeinthesubfieldswithhigherearnings—nurse

practitioners and nurse anesthetists.”

KarenDaley,presidentoftheAmerican

NursesAssociation,addsthatthenursing

profession is attractive for an array of

reasons. The work is rewarding and

versatile. “This is a career with job security,

and the salaries are very competitive,”

she says. Daley also believes gender

stereotypes are breaking down as more

men enter the profession.

In 2011, there were 3.5 million employed

nurses. While women made up 91 percent

of the nursing workforce, men had higher earnings. On average, men

earned$60,700ayear,comparedtowomenwhoearned$51,100ayear.

AACN releases Joining Forces faculty tool kitStuart Co-Chairs Tool Kit Task ForceInsummer2012,theAmericanAssociation

ofCollegesofNursing(AACN)joinedwith

the Department of

VeteranAffairsinan

effort to enhance the

resources of nurses

working with veterans

as part of the Joining

Forces initiative, with

a particular focus on nursing education. Dean

Gail Stuart, PhD, RN, FAAN,co-chairedtheTask

Force that developed the Enhancing Veterans’

Care(EVC)ToolKit.Thetaskforceincludeda

wide range of representatives of the Veterans

Administration,theU.S.Military,andprofessional

nursing education.

The Tool Kit describes resources and

exemplarsthatcanassistfacultywiththe

implementation of curriculum elements that will

appropriatelyaddresstheuniqueneedsofthe

veterans and their families.

Whelan to retire April 1 After10years

of service, Carol

Whelan is set to retire

from the College of

Nursing. She began

her time at CON as

an administrative

assistant. Three

years later, she joined the Office of Practice

and managed the continuing nursing education

program. Most recently, she has assisted CON

withfinancialactivitiesincludingprocurement

and grants purchasing. Her attention to detail

and her critical thinking skills made her a perfect

fitforthatposition.Herwillingnesstogobeyond

theexpected,herhumorandcommunityservice,

made her such a joy to have around the college.

During her retirement, Carol will be enjoying

the game of golf and traveling the country with

her husband in her new recreational vehicle. She

also may be spotted as a docent in Charleston

Historic Homes. We wish her the best in her well

deservedretirement!

“The more diverse our

profession gets, the better

it is for patients. It’s

very important that our

diversification reflects

what is happening in the

larger population.”

~ Karen Daley, American Nurses Assocation

BREAKDOWN OF EMPLOYED NURSES:

•78%wereregisterednurses

•19%werelicensedpractical andlicensedvocationalnurses

•3%werenursepractitioners

•1%werenurseanesthetists

T A K I N G A C T I O N T O S E R V E A M E R I C A ’ S M I L I T A R Y F A M I L I E S

6 WEDNESDAY Regalia Day 9 a.m. - 4 p.m. Colbert Education Bldg.

11-15 MONDAY-FRIDAY Spring Break

25 MONDAY Retirement Party for Peggy Sires & Carol Whelan 4 p.m. CON - HOT, 10th Floor

3 MONDAY Earl B. Higgins Achievement in Diversity Award Reception 4 - 6 p.m. Wicliffe House, 178 Ashley Ave. Hosted by the Office of Student Diversity Contact: Willette Burnham 792-2146, burnham@musc.edu

11-12 THURSDAY-FRIDAY MUSC Board of Trustees Meeting

22 MONDAY Administrative Professionals Breakfast 9 a.m. CON - HOT, 10th Floor

CALENDAR OF EVENTS

3eCONnections MARCH 2013

M A R C H

BULLETIN BOARD

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A P R I L

CATTSFaculty and staff: Please begin

working on your annual training

anddisclosurerequirementsfor

2013.Also,youmustcomplete

an annual conflict of interest

disclosurestatement.All

compliance training and

discloser statements must be

completed by June 15, 2013.

LINKS

Conflict of interest disclosure

CATTS modules

OFFICE OF ACADEMICS

Regalia DayThe Office of Enrollment

ManagementwillhostRegalia

Day on March 6 from 9 a.m. until

4 p.m. at the Colbert Education

Buidling. Members of the Class

of May 2013

may pick up

their cap and

gown, as well

as tickets for

graduation.

Allgraduates

planning

to attend

graduation will be issued nine

tickets for guests. Graduation will

takeplaceonFriday,May17at

9a.m.atTheCitadel’sMcAlister

Field House. Students who are

unable to participate should look

for information about pick up

from the CON Office of Student

Services or contact Mardi Long

at longm@musc.edu.

Student ServicesForthenexttwoyears,the

College of Nursing’s Student

ServicesandOfficeofAcadem-

ics(RobinBissinger,Carolyn

Page, Peggy Sires, Mardi Long,

ArlyDouglas,andYolandaLong)

will be located in the College of

Health Professions “B” building

(151BRutledgeAve.)Theoffices

arelocatedonthebuilding’sfirst

floor.AnetteHebebrand-Verner,

student compliance manager, is

situated on the 10th floor of Har-

borview Office Tower building

(HOT),19HagoodAve.Allphone

numbersremainthesame.All

students are welcome to come

by or call if you have any student

service needs.

AllotherCONfacultyand

staff are located in the HOT on

the 10th and 3rd floors.

eCONnections FEBRUARY 2012 MARCH 2013 eCONnections4

AACN appoints DNP student to national leadership council

Congratulations to Michaela Lewis, DNP student, for

herappointmenttoserveontheAmericanAssociation

ofCollegesofNursing(AACN)LeadershipCouncilofthe

GraduateNursingStudentAcademy(GNSA).Following

a national call for nominations, only 10 nursing students

from around the country were selected to serve on the

newly formed leadership council. Michaela will begin her term on the Council March 1.

Student ovationsa Congratulations to Hollie Caldwell, PhD student, for her research award of $2,500

fromSigmaThetaTau-AlphaKappaChapter-at-Largeforherstudy,“Elderabuse

screening in the primary care environment.”

a Dru Riddle,PhDstudent,gavethreepresentationsinFebruaryattheAlaskaAssocia-

tionofNurseAnesthetistsAnnualMeetinginAnchorage,AK.Thetopicsofhispresenta-

tionswere“PharmacogenomicsinAnesthesiaCare,”“Neuroanesthesia101,”and“Evi-

dence Based Practice for the Bedside Clinician.”

a PhD student, Shannon Marie HudsondefendedherfinaldissertationonFebruary12

(MarilynLakenisherchair).Thetitleofherdefensewas“Riskandprotectivefactorsfor

hospitaladmissionsandemergencydepartmentsvisitsinchildrenwithcomplexchronic

conditions.”

a AttheDelmaM.WoodsandAletaMcLeod-BryantHealthandWellnessFair,over100

people were assessed by health professionals free of charge. Over 20 College of Nursing

students helped evaluate these participants, however, one student, led the charge. Kelly

Corbett, a second semester BSN student, used her connections as the volunteer coor-

dinatorforCON’sMinorityStudentNursesAssociation(MSNA)toreachouttostudent

voluteersinbothStudentNursesAssocationandMSNA.Kellywasalsointrumentalin

coordinating and assigning duties to the students when they arrived. The event , held

February23,washostedbytheTri-CountyBlackNursesAssociation.

Student Services’ Sires to retire next monthAfter20yearsofdedicatedservice,Peggy Sires

willretirefromtheCollegeofNursingonApril1.

Originally assisting in student recruitment, Peggy’s

roleexpandedtoincludeallofstudentservices-

admissions, enrollment management, reporting, and

graduation(herfavoriteactivityoftheacademicyear).

No matter how the role changed, the one constant

was her unbridled passion for people and meeting

their needs.

Working with Peggy has been a joy. Her ability to see the humor of life and

her infectious laughter helped maintain an environment that was open and

fun. The College of Nursing and many others on and off campus will miss her

greatly.StopbyherofficeintheCHPbuilding(seestoryleft)ordropherlineat

792-8515orsiresp@musc.edu.Shewouldlovetohearfromyou.

Gregoski awarded fellowshipMathew Gregoski, PhD, was

awarded a $50,000 Post Doctoral

FellowshipinAdherence

Improvement by the Pharmaceutical

ResearchandManufacturersof

AmericaFoundation.Hewillusethis

award to continue his work to test a

low-cost,novelmedicationadherenceprogramfor

uncontrolledhypertensivepatientsusingamodified

mobilehealth(mHealth)platform,i.e.,mobile

phones.

Grant submissionsSally Kennedy PhD, APRN, FNP-C, CNE submitted

anapplicationtotheHealthResourcesand

ServicesAdministration(HRSA)fortheAdvanced

Education Nursing Training Program titled, “Game

on: Interprofessional education in a virtual world.”

ThisprojectwillengageAdvancedPracticeNursing

(APN)studentsenrolledintheMSNorDNPprograms

as members of an interprofessional health team in

an online environment with the goal of improving

qualityofcareandoutcomesforindividualswith

Multiple Chronic Conditions. To accomplish this,

pharmacyandmedicalstudentswilljoinAPN

students enrolled in the family and adult/gerontology

nurse practitioner programs in the virtual world.

MUSC Office of Research and Sponsored Programs news:New Facilities & Administrative (F&A) RatesMUSC has received the new facilities and

administrative rate agreement from the Department

ofHealthandHumanServices(DHHS)whichcanbe

found on the Grants & Contracts Accounting web

page.

AllnewproposalswithastartdateinFY13(July

1,2012-June30,2013)mustutilizethe49percent

F&Arate.NewproposalswithastartdateinFY14

andbeyondmustutilizethe49.5percentF&Arate.

(NOTE: New proposals with a proposed start date in

FY13,butextendingonintoFY14andbeyondmust

accommodateboththe49percentANDthe49.5

percent rates respectively per the negotiated rate

agreementwithDHHS.)

ForinformationontheothertypesofF&Aratesat

MUSC(i.e.othersponsoredactivitiesandinstruction),

click here.

OFFICE OF RESEARCH

5eCONnections MARCH 2013

Direct costs vs. indirect fundsDIRECT COSTS

> Salaries, wages, related

fringebenefits

> Supplies and materials

> Publications(projectspecific)

> Scientificequipment

and software

INDIRECT (F&A) COSTS

> Adminandclericalsalaries

> Computer software

and computer supplies

> Office supplies

> Dues and memberships

NIH newsNIH has released Notice NOT-OD-13-035 to announce the effective

dateforrequireduseoftheResearchPerformanceProgressReport

(RPPR)forallSNAPandFellowshipprogressreports.Click here to

read the report.

Publications & presentationsPublications> Holmes,R.F.,Davidson,M.W.,Thompson,B.J.,&Kelechi, T.J.

(2013).Skintears:Careandmanagementoftheolderadultathome.

Home Healthcare Journal, 31(2),90-103.

> Bell, C., Tamura, B., Masaki, K., & Amella, E. J.(2013).Prevalence

and measures of weight loss, low BMI, malnutrition and feeding

dependency among nursing home patients: a systematic literature

review. JournaloftheAmericanMedicalDirectorsAssociation.14,

94-100.

> Sieverdes, J.C.,Wickel,E.E.,Hand,G.A.,Bergamin,M.,Moran,R.R.,

Blair,S.N.(2013).ValidityandReliabilityoftheMywellnesskeyPhysical

ActivityMonitor.Clinical Epidemiology, 5,1-8.

Book Chapter:> Chambliss, H., Sieverdes, J.C.,Carpenter,R.A. (2013).ACSMRe-

sourceManualforGuidelinesforExerciseTestingandPrescription,

7thed.LippincottWilliams&Wilkins.Chapter47.DeliveringPhysical

ActivityPrograms.

Presentation> Conner, B.“Exploringfactorsassociatedwithnurses’adoptionof

anevidence-basedpracticetoreducedurationofcatheterization.”

AmericanNursesAssociation’s7thAnnualNursingQualityConfer-

ence,Atlanta,GA,February2013.

REMEMBER: Each grant has its own regulations. In some

cases, costs that are usually considered an indirect cost may

qualifyasadirectcostwithcorrectjustificationandpriorapproval.

OFFICE OF PRACTICE

Thegroundbreaking2010InstituteofMedicineReport

(IOM)titled,“TheFutureofNursingLeadingChange,

AdvancingHealth”recommendsbuildingprofessional

alliancesbyestablishingrelationshipswithexistingpolicy

makers including legislators from both major political

parties at the local and state level. This call to action

canberealized.TheCharlestonareawillhaveaprimary

election for the 1st Congressional District on March 19,

2013. Now is the time for nurses to contact legislators

and potential legislators to inform them of the issues

that affect the nursing profession and the patients that

weserve.Peoplenotlivinginthisdistrict,mayfindthis

information helpful when contacting other elected

officials to discuss the role advanced practice nurses can

play in transforming health care.

Dean Gail Stuart has compiled a list of bullet points

that can be used when speaking to legislators or potential

legislators.

+ S.C. and the nation are in crisis as we face a critical

shortage of primary health care providers.

+ S.C. ranks a tragic 45th in the nation in the United

Health Foundation’s health report card.

+ Parts or all of 46 counties in S.C. are designated as

medically underserved by the South Carolina

Department of Health and Human Services.

+ If nurse practitioners were allowed to practice

without barriers they could fan out into these counties

and provide greater access to care for people in these

communities.

+ TheAmericanAssociationofMedicalColleges

Center for Workforce Studies predicts that there will

be a shortage of about 63,000 physicians by 2015, and

130,600 by 2025.

+ Enrollment in nurse practitioner programs is growing

each year across every state in the nation.

+ AdvancedPracticeRegisteredNurses(APRNs)stand

ready and able to meet the critical need to increase

accesstohighqualityandsafehealthcareforour

states population.

+ The prestigious Institute of Medicine has

recommended that nurses should practice to the full

extentoftheireducationandtraining.

+ There is overwhelming research evidence that

shows that in primary care, nurse practitioners have

demonstratedaneffectivenessequaltothatof

physicians with high patient satisfaction.

+ SixteenstatesandtheDistrictofColumbiahave

removedbarriersandallowAPRNstopracticetothe

fullextentoftheireducationandtraining.

+ ThosestatesthathaveremovedAPRNbarriersto

practice have better health outcomes than S.C.

+ In states where practice barriers have been removed,

approximately50percentofnursepractitioners

choose to work in rural areas.

+ In those states where practice barriers have been

removed, physicians’ incomes have not been

decreased or compromised by allowing nurses full

scope of practice.

+ InS.C.,APRNsmustpracticewithin45milesofa

physician. No other state has such a mileage

regulation. This regulation makes it impossible for

APRNstoprovidecareinruralS.C.communities.

+ If all health care providers worked to their fullest they

still would not be able to meet all of the health care

needs in this country.

+ Thecompellingquestionis–whyrestrictthepractice

of any clinician who is able to provide much needed

health care?

What needs to be done?1. Legislative regulations must remove barriers to

nursing practice.

2. Barriers to be removed include: removing miles rules,

supervisionrequirements,prescriptivelimitationsand

limitationstoprivilegesthatimpedeAPRNs’abilityto

provide care to all people in the state.

AllowingAPRNstopracticetothefullextentoftheir

education is the right thing to do and NOW is the right

time for change.

If you live in the First Congressional District, you are urged

torealizethecalltoactionbyTheInstituteofMedicine

andcontactpotentialcandidatestofindoutwherethey

stand on scope of practice for advanced practice nursing

and other issues important to both our patients and our

profession.Asthelargestworkforceinthehealthcare

industry, they need to hear from us and be educated on

the issues affecting our profession.

eCONnections FEBRUARY 2012 MARCH 2013 eCONnections6

Educating elected officials about advanced practice nursing

Find contact information for your current

House members and Senate members.

FACULTY NEWS

7eCONnections MARCH 2013

Post-doctoralscholar,

John Sieverdes,

PhD was selected to

join the the South

Carolina Clinical

and Translational

ResearchCenterfor

CommunityHealthPartnerships(SCTR/

CCHP)CommunityEngagedScholars

Program. John’s application involves

the development of a mhealth dietary

andexerciseprogramfordialysis

patients. This pilot will assess barriers,

attitudes, and study the feasibility to

support dialysis patients to remain on

transplant waiting lists by engaging in

healthy activity and eating programs

using mobile health technology. John

is the academic partner on this project

andTracyAndersonfromDonateLife

serves as the community partner.

SCTR/CCHP’sCommunityEngaged

ScholarsProgram(CES)provides

training and pilot funds for community

and academic partners who have

interestsincommunity-based

participatory research.

Congratulations to

Professor Elaine

Amella PhD, RN, FAAN

who was recently

named a MUSC

Women’s Scholars

Initiative(WSI)Best

Practices Fellow along with Leonie

Gordon, MD, College of Medicine.

Together they developed a PowerPoint

presentation describing unconscious

biasandstepsdecision-makinggroups

cantaketominimizeitseffects.

They are poised to begin providing

educationtoAPTcommitteesand

high-levelsearchcommittees.

AWSIBestPracticesFellows’roleis

to educate the MUSC campus about

the effects unconscious bias has in

decision-makingrelatedtohiring,pro-

motion, and leadership opportunities.

In addition, the WSI Best Practices Fel-

lows provide education to admissions

committees, department chairs, Faculty

Senate,theSGA,andothergroupson

campus.

Gigi Smith, PhD, APRN,

CPNP, PC, assistant

professor, has been

appointed director of

MSN/DNP programs

effective March 1.

In this role she will

provide leadership in all aspects of the

MSN/DNP programs, assuring the

qualityoftheprogramsofstudy.

Brian Conner, PhD,

RN, CNE, assistant

professor, is serving as

the new chair of the

SCNANurseEducator

Chapter.

In addition, a

video on Brian’s dissertation reasearch

studyontheexplorationoffactors

associated with nurses’ adoption of

anevidence-basedpracticetoreduce

durationofcatheterizationiscurrently

featured on the JNCQ Journal of Nurs-

ing Care Quality home page.

Call for nominations - Distinguished Faculty Service awardsThe vice president for academic affairs and provost is accepting nominations for the MUSC Foundation Distinguished Faculty

ServiceAward.Nominationsfromfaculty,staffandstudentswillbeaccepted.

Thisannualawardwasenactedbytheboardoftrusteestorecognizeandhonorfaculty

membersofMUSCwho,duringasubstantialportionoftheircareers,haveprovidedexceptional

service and contributions in teaching, research, health care or public service to the university

andthecitizensofSouthCarolina.

Up to three awards may be made each year and each honoree will receive a $3,000

contribution from the MUSC Foundation.

Inordertonominatesomeone,provideawrittenjustificationtoincludeatypedorprinted

narrativeofnomorethantwosingle-spacedpagesdirectlyaddressingthecontributions

madetoMUSCandthosetheinstitutionserves.Acopyofthenominee’scurriculumvitaeor

professionalresuméshouldbeenclosed.Additionallettersofendorsementareencouragedin

order to demonstrate the breadth of the nominee’s contributions.

Thisyear’sdeadlineforreceiptofallnominationsisMonday,April22.Nominationsshould

be submitted to the attention of Mark S. Sothmann, Ph.D., vice president for academic affairs

andprovost,179AshleyAvenue,ColcockHall,MSC002,MUSC.Formoreinformation,visit

http://academicdepartments.musc.edu/provost/faculty/awards.htm

Faces, places & accolades

Dr. Ida Spruill, 2012 Developing Scholars

Award recipient