Establishing Global Partnerships - University of Pennsylvania ...

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Establishing Global Partnerships - University of Pennsylvania ...

Penn

Nursing

U N I V E R S I T Y O F P E N N S Y L V A N I A S C H O O L O F N U R S I N G

W I N T E R 2 0 0 3 • V O L U M E 6 • N U M B E R 1

Establishing

Global Partnerships


International Mission Statement

Penn Nursing’s involvement in international activities is based

on the belief that an exchange of ideas, knowledge, resources,

experience, and formal educational programs in all areas of

nursing leads to enrichment for everyone involved in such

exchanges.We are committed to extending the influence of

nursing by forming and/or supporting coalitions of indigenous,

volunteer, and professional health care workers. In keeping

with nursing’s commitment to expand the knowledge

base of nursing and health, Penn Nursing seeks to expand

interdisciplinary research efforts that are cross-cultural and

include collaboration with global centers in health research.

School of Nursing

Board of Overseers

Henry Baer, Esquire

The Honorable Phyllis Beck

Mr. Mark Baiada

Mrs. Carolyn Bennett

Mr. Cornelius Bond

Dr. Lillian Brunner

Mr. Anthony Buividas

Dr. Joseph Carver

Mrs. Eleanor Graham Claus

Mrs. Ruth Colket

Mrs. Eleanor Davis

Ms. Vernice D. Ferguson

Ms. Carol Ware Gates

Ms. Rosemarie Greco

Mrs. Hannah Henderson

Stephen Heyman, Esquire

Mrs. Ellen Kapito

Mrs. Norma P. Killebrew

Mrs. Sallie Korman

Mrs. Andrea Laporte

Mr. Harvey S. Shipley Miller

Dr. Ann O’Sullivan

Mrs. Vivian Piasecki

The Honorable Marjorie Rendell

Mr. Robert D. Roy

Dr. Marie Savard

Rear Admiral Jessie Scott

David W. Sweet, Esquire

Mr. Michael Wert

On the Cover:

From left to right, Penn Nursing students

Joanna Merz, Doris Chan, and Shoshana Bialik

Cohen visit the city of Acco in northern Israel.


U N I V E R S I T Y O F P E N N S Y L V A N I A S C H O O L O F N U R S I N G

W I N T E R 2 0 0 3 • V O L U M E 6 • N U M B E R 1

Contents

Building Bridges for International Peace 2

Global Health – Going beyond the usual and expected 4

5 From the Village to the Developing World

6 Milestones

Influencing Global Policy through Scholarship 8

Fresh Faces of Leadership 10

13 Students Making a Difference: Fulbright Scholar

Established Leaders & Alumni Abroad 14

14 Creating the Future: Miriam Rom

15 Influencing Educational Goals: Carol Tishelman

16 HIV/AIDS Education: Loretta Jemmott

17 International Collaboration: Afaf Meleis

International Office 18

In Tribute 22

In Memoriam 22

Selected Publications 24

Editor: Joy McIntyre

Contributing Editors: Ken Bookman, Jennifer Conway,

Marguerite F. Miller

Contributing Photographers: I. George Bilyk, Barry

Kinsella

Design: The Creative Department, Inc.

Grants 28

Fellows,Awards, Endowed Chairs 32

Living Legends 33

Editorial Advisory Board: Linda H.Aiken, PhD, FAAN,

FRCN, RN; Julie A. Fairman, PhD, FAAN, RN;

Susan Gennaro, DSN, FAAN, RN; Anne Keane,

EdD, FAAN, RN; Dean Afaf I. Meleis, PhD, FAAN;

Kathleen McCauley, PhD, FAAN, CS, RN; Neville E.

Strumpf, PhD, FAAN, C, RN; Terri E.Weaver, PhD,

FAAN, CS, RN

C3


Building Bridges for

International Peace

Our world is expanding,

even as our

distances are shrinking

and our communication

is increasing. It has become

easier and more feasible to

connect, partner, network,

and develop coalitions with

our international colleagues.

In the next few pages, you will able to

review the breadth and depth of our

international commitment and contribution.

But why should we be going

global? Some may ask:Why invest in

international nursing when we have

not been able to solve our own national

health care problems? Have we succeeded

nationally in solving our own

ethno-political conflicts, health care

disparities, or all the inequities in our

own country? Fair questions.There’s

still much work to do at home, but we

also want to educate citizens of the

world who value differences and can

help bring more equity and fewer disparities

in our country as well as the

rest of the world.We want our science

to reflect diversity of philosophies, and

we want to create models of care that

are culturally competent.And that can

happen only by going global.

Our graduates – future leaders –

must understand different health care

systems, debate the merits of the different

theories of illness and recovery

driven by different value systems and

cultures, select care practices based on

evidence that is tested in different

countries, value diversity of thought

and interpretations, and be enriched by

different perspectives.

Just as important, we want our

nursing science to influence and be

influenced by fundamental and translational

research conducted in other

countries. Imagine what we could learn

from studying how the elderly experience

and respond to declining memory

in different countries; how informal/

family caregivers can cope with the

2


increasing demands of an ill person in

their lives; what strategies are used to

prevent, cope with, or eliminate violence

in families and communities

around the globe. Or, we might examine

the consequences of sleep disorders

within the context of socio-cultural differences.

Imagine how rich our science

could be, how effective our interventions

might become? Similarly, comparing

the historical development of disciplines

internationally could provide

benchmarks for those who are trying to

build and advance knowledge.

Here at the University of

Pennsylvania School of Nursing, we

have enhanced our global perspective

through different means.We are privileged

to be among the first institutions

to be designated a World Health

Organization (WHO) Collaborating

Center, which then grew into a network

of 15 Centers in the United States

and 34 internationally.The Center and

its goals are featured in the next few

pages. In addition to the Center, which

provides us with access to many countries

that are members in the WHO

global network, we have contractual

agreements with leading universities in

Sweden,Thailand, Hong Kong, and the

United Kingdom. Relationships with

Chul Hong, PhD, president

of the University

of Incheon in Korea

and president of the

Penn Club of Korea

discusses the importance

of nursing’s

global agenda with

Dean Meleis who

visited Korea to attend

the 13th International

Congress on Women's

Health Issues as

Council General. Her

most recent book, at

left, was published in

2002.

tors from many distant lands.They

come to learn from us and to expand

our horizons.These are experiences

that inform our educational objectives,

make it possible to achieve our scholarly

mission, and support our goals.

Our graduates – future leaders – must understand

different health care systems…

these institutions provide for a focused

exchange of faculty and students.

Our international students are true

assets to our educational program.

Seeing them excel in spite of many

hardships is a humbling experience for

their classmates.As their professors, we

observe their progress to leadership

positions in their countries, filling us

with pride and joy.You will share in

our excitement as you read the stories

about our international students and

graduates in this issue. Our national

students travel to Thailand, Israel,

Mexico, Switzerland,Thailand, and the

United Kingdom to participate in

exchange programs and leadership

forums.They return to us transformed

personally and professionally.They

become strong advocates for international

programs and better critical

thinkers about our national policies.

Educating our students to be wellinformed

citizens who appreciate globalization

requires faculty members who

have international experiences and a

university that values our global mission.

Our faculty is called upon to present

research, to review manuscripts in

international journals, to consult in

international institutions, and to partner

in conducting research with colleagues

in other countries. Our University is

rich with visiting scholars from around

the world, and our School attracts visi-

By building on our history in international

nursing, we are forging forward

in building our international presence,

decreasing suffering, fostering peaceful

coexistence, and thus, in small ways,

bringing peace to the world. Nursing

matters in our foreign policy.

Afaf I. Meleis

3


In 1990, then dean Claire Fagin secured more than

$1.1 million in funding from the Rockefeller Foundation

to launch the first in a series of collaborative educational

outreach programs.At that time, it was a remarkable sum

of money for this purpose from a foundation to a school of

nursing.The first site was one of the poorest countries in

Africa, Malawi.

Over the past two decades, that

“Women for Women’s Health” initiative,

has grown, evolved, and served as a

model for what might be called “collaborative

intervention” elsewhere,

notably Uganda.

However, Penn’s international outreach

efforts have expanded since that

time to involve student and faculty

exchanges, enrichment through the

sharing of knowledge by visiting lecturers,

and keynote addresses delivered

in faraway locales prompting debate

and creating new insight.

Some international fieldwork has

sprung from research, notably the genesis

of the magnet-hospital concept.

Finding that hospitals better able to

attract and retain nurses also reported

better patient outcomes, Penn refined,

repeated, and expanded studies. Now,

South African adolescents

complete Penn

research survey

instruments seeking

strategies to reduce

the spread of HIV.

Global Health –

Going beyond the

usual and expected

4


the concept is a nationally-recognized

accreditation program. Current studies

seek to determine its applicability to

countries with different health care systems

with varying levels of available

resources.There may be core elements

of nursing care that translate across cultures

and divides of economic

resources.

In Malawi, a key reason for the

success of its “Safe Motherhood” program,

an outgrowth of the original

“Women for Women’s Health” initiative,

is that Penn has worked to include

Malawian women who identify with

and relate to the villagers, understand

their mores, and can interact with the

villagers in ways they understand and

appreciate.That appreciation has been

critical in helping village women recognize

problems early so that they

come to the district hospital for help in

time, not when it is too late. In a related

program educating midwives to

train community-based health workers,

there are reports of improved midwifery

knowledge and skills, heightened

critical thinking and more appropriate

midwifery decision-making, better

identification of at-risk patients, and

increased and more prompt referrals

from traditional birth attendants, health

centers, and district hospitals.

Penn’s model has been applied in

Uganda.The difference there is that

rather than needing to build the program

from the ground up, Penn works

with an already established community

health-worker program that includes

both men and women. Current

Family-Focused Safe Motherhood

Community Health Workers are given

an option for additional training to further

empower women, through safe

motherhood advisor programs.

Penn now has about 79 active

community-based safe motherhood

advisors in Malawi, with many working

to open up other areas of empowerment

through literacy and income-generating

projects. Malawi has been the

most extensive and longest-running

project, and other programs, such as the

Safe Motherhood Trainer of Trainers

Program, have been introduced along

the way.

After a number of years working

with a country, true partnerships coalesce

as each side of the equation works

to clearly define, and revisit, needs.

From the Village to the

Developing World

By Jennifer Conway

most remarkable developments

in nursing policy and patient care

today. When one thinks of nurs-

going beyond the usual and

expected by working to change

the very character of hospitals.

reinforced by accreditation has

worked elsewhere in the world to

improve hospital quality. There is

Many people and organizations

have dedicated their lives to nursing

and midwifery across America

and around the world. They have

responded to untold global health

needs, particularly for vulnerable

and marginalized populations

where care is most urgent.

Effective action can be anything

from one nurse reaching out as a

volunteer through the World

Health Organization, the Peace

Corps, or Project Hope, to countless

other entities, such as Penn

Nursing offering help through sustained

educational outreach,

direct patient care, and research.

It is this last area –

research – that is one of the

ing’s contributions to international

health care, research typically

doesn’t even come to mind.

Indeed, some major international

organizations have not even considered

nursing a global issue

with trends worth measuring.

Penn Nursing is changing that –

in hundreds of hospitals for thousands

of nurses and hundreds of

thousands of patients in communities

around the globe. Through

the work of Penn Nursing’s

International Hospital Outcomes

Consortium and its magnet-hospital

research (see story,

“Influencing Global Policy

Through Scholarship,” page 8),

Penn Nursing researchers are

Because of their magnethospital

research, Penn scholars

are now routinely invited by ministries

of health in developed and

developing countries to study

ways to improve hospital care. In

Russia and Armenia, for example,

Penn scholars are developing an

intervention to improve health

care quality by rebuilding the very

foundation of hospital care using

evidence-based best practice

standards of nursing as the cornerstone.

Indeed, their work is

unique in explicitly recognizing

that nursing is pivotal in establishing

quality inpatient care.

Much of the hospital reform

in the former Soviet Union has

focused on reducing excess hos-

no history of accreditation in the

Newly Independent States of the

Former Soviet Union. Penn

Nursing’s Hospital Quality

Improvement Initiative is of major

interest because it represents

one of the first efforts to introduce

the concept of accreditation

in the form of American

Nurses Credentialing Center’s

magnet hospital standards of

excellence.

At Penn Nursing, what started

more than a decade ago with

empowerment programs for village

women is today many international

outreach efforts in teaching,

research, and clinical care.

Lasting health care reform cannot

happen in isolation, outside

pital capacity. It is not unusual to

the context of a country’s eco-

have 2,500-bed hospitals with lit-

nomic and sociopolitical impera-

tle equipment, few supplies, and

tives, without developing and

fewer interventions, including

maintaining partnerships with the

underdeveloped nurse resources.

local communities themselves

Interest is now beginning to shift

through the ministries of health,

to strategies that can improve

nurses and midwives councils,

quality, which remains consider-

hospitals, universities, and health

ably lower than Western standards.

Strengthening nursing

care clinics.

World Health

5


MILESTONES

At Penn Nursing, what started more

than a decade ago with empowerment

programs for village women is today

many international outreach efforts in

teaching, research, and clinical care.

1988: Penn

Nursing is

designated

a WHO

Collaborating

Center, one of

the first schools

of nursing in

the AMRO/PAHO

Region to be

so named.

1988-

1989

1990: Rockefeller

Foundation

awards Penn

Nursing

$1.1 million to

support Penn-

Malawi Women

for Women’s

Health Project.

1990: Penn goes

to China in a

collaborative

agreement. Other

consultations

involve colleagues

in Italy, Japan,

Australia, and

England.

1992: Center

for Nursing

History leads

collaborative

project to

develop a history

of the formation

of organized

nursing for the

International

Council of Nurses

Centennial

History Project

(published in

1999).

1992: The

International

Classification for

Nursing Practice

on behalf of the

International

Council of

Nurses begins.

1994: Penn

Nursing is

redesignated

a WHO

Collaborating

Center.

1995: Safe

Motherhood

activities are

extended to

Kenya, Lesotho,

Zambia, and

Uganda.

1990 1991 1992 1993 1994 1995 1996

1989: Penn

Nursing hosts

historic Bellagio

conference,

“International

Nursing

Development

for the 21st

Century,” Lake

Como, Italy.

1989:

International

students arrive

from Greece,

Canada, Jordon,

Korea, The

Netherlands,

Taiwan, and

Thailand.

1990: Penn

formalizes

coursework

on comparative

health care

systems.

1991: Penn

Nursing’s Center

for Health

Outcomes and

Policy Research

completes a

three-year study

on “Nursing

Interventions to

Prevent AIDS in

Chile.”

1992: Center for

Low Birthweight

conducts skills

research workshop,

including

professional

women with

nurse-midwives

as teams, in

Malawi.

1992: Faculty

and student

exchange

expands to Israel,

Austria, Australia,

and Japan. In

addition, a senior

professional

officer in the

Johannesburg,

South Africa

Health

Department visits

the School for

four months

under the auspices

of the South

African Career

Development

Program.

1993: Ethics

and Bioethics

National Seminar

is conducted

in Bogotá,

Colombia, while

Curriculum

Development

Workshops are

conducted in

Malawi.

1993:

Presentations of

faculty research

are conducted

in Botswana,

Ireland, Germany,

Malaysia,

Seychelles,

Singapore, South

Africa, Spain,

Sweden, Thailand,

Uganda, United

Kingdom, and

Venezuela.

1996:

Community-

Based Safe

Motherhood

Advisor Program

is launched in

rural Malawi, with

new funding from

the Rockefeller

Foundation.

1996: The

Center for Health

Outcomes and

Policy Research

hosts international

conference on

hospital

restructuring in

Bellagio, Italy.

6


1997: Funded

by NIH, Penn

Nursing leads

five-country

study of the

impact of nurse

staffing and

practice

environment

on hospital

outcomes.

1997:

Certificates as

Community-

Based Safe

Motherhood

Advisors are

awarded to 21

village women

in Malawi.

1997: Penn

Nursing launches

a Safe

Motherhood

Training of

Trainers

Workshop for 15

registered nursemidwives

in

Uganda at the

request of the

Ministry of Health

and Eastern

Central Southern

Africa College of

Nursing.

1998: Penn

Nursing is

redesignated

as a WHO

Collaborating

Center.

2001: Penn

Nursing’s Center

for Health

Outcomes and

Policy Research

is designated by

American

International

Health Alliance to

lead the four-site

Hospital Quality

Improvement

Initiative in

Russia and

Armenia.

2002: Maricel

Manfredi, former

Regional Advisor

for Nursing for the

WHO Region of

the Americas,

guest lectures at

Penn Nursing on a

panel addressing

Global Health

Nursing and the

School of Nursing

Mission.”

2002: Dr. Amelia

Maglacas, who

played a major

role in the

development

of the WHO

Collaborating

Centers for

Nursing and

Midwifery,

presents

“Collaborating &

Networking: An

Agenda for

International

Nursing” at the

Dean’s Lecture

Series.

2002: Dr. Siriorn

Sindhu, dean of

Walailak University,

Thailand presents

“A New Direction

for Health Care

Reform in

Thailand.”

2002: An

International

Academic

Enrichment

Program is established

enabling

international visitors

and scholars

to have periods of

individualized programs

based on

identified goals.

Additional visitors

arrive from

Australia, England,

France, Germany,

Israel, Japan, The

Netherlands,

Nepal, Singapore,

Switzerland, and

Thailand.

2003: Penn

Nursing’s Center

for Health

Outcomes and

Policy Research

begins

collaboration with

Organization of

Economic

Cooperation and

Development to

study global

nurse shortage

and nurse

migration.

2003: Penn

establishes the

International

Scholar in

Residence Award

to recognize

researchers

outside the U.S.

The first scholar

will be invited in

2004 to

collaborate for

one week and

deliver a public

lecture.

1997 1998 1999 2000 2001 2002 2003

1997: Penn, at

invitation of the

Japan Academy

of Midwives,

conducts two

workshops on

“How to Teach

Ethics in Japan.”

1997: Two

interactive videoconferences

on

Nursing

Management and

Safe Childbirth

between nurses

in Moscow and

the Penn Nursing

Videoconference

Center.

1997: Hadassah

Hebrew University

Collaborative

Research Project

on nutritive

sucking in a

multicultural

environment

begins.

1999: Student

Internship/

Exchange Student

Pilot Program with

University of

Witten/Herdecke

begins. Studyabroad

programs

continue with

Oxford Brookes

and Instituto

Cultural de

Oaxaca.

1999:

Consultations

begin in India,

Canada, Puerto

Rico, Australia,

Thailand, and

Toronto with

additional international

forays made

through keynote

presentations.

1999:

International

Center for

Families, Women

& Children is

established.

2000: Penn

begins a

partnership at

Hôpital Albert

Schweitzer in

Haiti. Papers are

presented in

Australia,

Germany, Israel,

Norway, Ireland,

Japan, Greece,

India, and the

U.K., while many

countries are the

sites of ongoing

consultation.

2002: Penn

begins an

international

evidence-based

resource center

in partnership

with PAHO and

WHO.

2002:

International

consultations,

keynote

addresses, and

presentations

occur in Austria,

Brazil, England,

France, Finland,

Israel, Toronto,

Oslo, Thailand,

Hong Kong,

Korea, including

a strong presence

at the 8th Pan

American

Research

Colloquium in

Mexico. Fellow

WHO Collaborating

Centers also

participate.

2002: Students

participate in

organized

summer activities

in addition to the

exchange

programs in

Ecuador, Mexico

City, Switzerland,

and Sweden.

2002: A global

health for women

initiative is

launched with a

multi-disciplinary

team supported

by the deans of

the nursing and

medical schools.

2002: Penn

Nursing is

redesignated

as a WHO

Collaborating

Center.

2003: Penn

begins an

educational

and research

partnership with

Singapore.

2003: Penn hosts

the board of

directors for the

International

Council of

Women’s Health

Issues.

7


Influencing

lobal Policy

through

Scholarship

Svetlana Antonova,

chief Nurse of Central

Clinical Hospital in

Moscow celebrates

the introduction of

the magnet hospital

pilot program.

8


The Center for Health

Outcomes and Policy Research

began a series of studies more

than a decade ago that together have

made a substantial impact on public and

private actions to improve the quality of

hospital care within the United States

and internationally.

The Center’s landmark research

showed those hospitals attracting and

retaining nurses, since designation as

“magnet hospitals” by the American

Academy of Nursing, also had lower

risk-adjusted mortality.The next study

of innovation in hospital AIDS care

showed that “magnet hospitals” achieved

excellent outcomes by having lower

patient-to-nurse ratios and providing

nurses with greater autonomy, providing

good support from administration, and

facilitating positive doctor-nurse relationships.

Further, they showed that

dedicated AIDS units had many of the

same organizational features of magnet

hospitals. Patient-care outcomes were

better than those achieved in conventionally

organized hospitals.

As a result, these findings prompted

the Center to direct an international

study of hospital outcomes, funded by

the National Institutes of Health, which

encompassed more than 700 hospitals,

45,000 nurses, and hundreds of thousands

of patients in the United States,

Canada, England, Scotland, Germany,

and New Zealand.

Now the Center, partnering with

the Institute of Nursing Science at the

University of Basel, is replicating this

hospital outcomes study in Switzerland.

The collaboration followed a nursing

policy research paper given by Linda H.

Aiken, PhD, FAAN, FRCN, RN, Claire

M. Fagin Leadership Professor in

Nursing, Professor of Sociology, and

Director of the Center for Health

Outcomes and Policy Research, at the

University of Leuven, Belgium, persuading

the health minister there to add one

additional nurse per shift to improve

patient outcomes and increase retention

of nurses.The results of the Center’s

international research validate

nurses’ claims that reasonable

patient-to-nurse ratios and organizational

features that promote

professional nursing practice lead to

better outcomes for patients and the

opportunity to retain more nurses in

hospital practice.

Evaluating the applicability of

American Nurses Credentialing Center’s

(ANCC) magnet-hospital standards in

the United Kingdom, the ANCC

launched a successful pilot program,

evaluated by the Center, at the

Rochdale National Health Service Trust

in England that became the first magnet

hospital recognized outside the United

States.The Center’s research on magnet

hospitals has created the evidence base

showing that professional nurse practice

models have better patient and nurse

outcomes (as summarized in “Magnet

Hospitals Revisited”) and contributed

substantially to domestic and international

interest in magnet hospitals (as

evidenced by the establishment of the

ANCC International Advisory Board).

Dr.Aiken is a founding member.

In Armenia, Penn launches the Magnet Project Yerevan with Dr. Aiken (center) and the ANCC team.

The American International Health

Alliance, with funding from the United

States Agency for International

Development, is now conducting a

four-hospital demonstration in Russia

and Armenia that represents the first

application of magnet-hospital standards

in a developing world context. Led by

the Center, the demonstration includes a

before-and-after study of nurses and

In the first study of its kind,

researchers from the Center for

Health Outcomes and Policy

Research found that patients

undergoing common surgeries

have up to a 31 percent

increased chance of

dying when four patients

are added to the responsibilities

of a nurse already caring for four.

The research team, led by Linda H. Aiken,

PhD, FAAN, FRCN, RN, Claire M. Fagin

Leadership Professor in Nursing, Professor

of Sociology, and Director of the Center for

Health Outcomes and Policy Research,

published its findings in The Journal of the

American Medical Association in October

to headlines around the world.

The Penn researchers found that every

additional patient in an average hospital

nurse’s workload increased the risk of

death in surgical patients by 7 percent.

The findings were also related to increases

in patient complications, failure by the

hospital to rescue patients in trouble, and

greater job stress for nurses.

“Nurses report greater job dissatisfaction

and emotional exhaustion when they’re

responsible for more patients than they

can safely care for. Hospitals’ failure to

retain nurses contributes to avoidable

patient deaths,” Dr. Aiken said.

patients to determine whether the

introduction of magnet standards

strengthens professional nursing and

improves patient outcomes. If successful

there, the magnet concept is likely to be

replicated elsewhere internationally, particularly

in the developing world, where

nursing is the key to improving quality

of care.

Cover reproduced with permission of The

Journal of The American Medical Association.

9


Fresh Faces of

Leadership

In the words of Florence Nightingale,“Unless we are making

progress in our nursing every year, every month, every

week, take my word for it, we are going back.”The question

for nurses – both nationally and internationally – is how

to achieve such progress.

For some, it means coming to the

United States to study with nursing scientists

in order to create new knowledge

and hone research skills.Yet, for this new

generation of researchers, the path to

progress involves interweaving science

with the demands and concerns of many

cultures to create truly global solutions.

“Science must be applicable everywhere

in the world,” said Korean doctoral

student Eunhee Choi.“Nursing

science that is true only in America is

not true science. Nursing science

should be everywhere, but nursing art

is culturally dependent.”

In freewheeling roundtable discussions,

54 international students from

countries as diverse as Pakistan, Israel,

10


Korea, Singapore, and the Bahamas

outlined plans for their futures, which

included implementing what they have

learned, becoming change agents, and

expanding the role of nursing here and

in their home countries.

“Taking the useful knowledge and

applying it where it fits is the most

critical decision. . . ,” said Antoinette

Sabapathy of Singapore,“. . . and the

most difficult decision because it is easier

to fit in my own comfort zone,”

said Salimah Meghani of Pakistan, finishing

the thought.

Such collaborative thinking figures

in the plans of many students and

involves the stewardship of change on

several levels: becoming politicians to

influence local health care policy, managing

the evolution of the role of nursing

in their home country by importing

a new discipline, teaching state-ofthe-science

research skills, or working

to incorporate the best practice models

within the societal demands and cultural

mores of their country.

Penn’s doctorally prepared nurses

expect to work at macro and micro

levels by negotiating policy shifts in

their countries’ health care systems

while promoting the status of nurses as

individuals. Nursing knowledge is

influenced by American research, yet

applying research acquired at Penn

requires viewing it through the lens of

the home country.

Xiaotao Lang of China expects to

help her colleagues institute a doctoral

program in nursing to correct what she

perceives as a lack of power in the

health system in her country. Going

into government may also be an option

for tomorrow’s doctorally prepared

nurses. Ms. Lang perceives government

service as a way to “get more power to

change the situation. I hope to improve

nursing in China,” she said.

As the family structure changes in

Korea, the demands for long-term

health care continue to expand.What

was formerly within the strict domain

of the family, such care is becoming a

nursing challenge as more women

work outside the home and once

closely entwined families disperse.“I

will learn how American home care

agency and nursing-home systems are

organized, learning the data set for

ongoing research. Hopefully, I can contribute

to setting up long-term-care

settings in Korea where none now

exists,” said Ms. Choi.

Ms. Meghani, as the first Pakistani

nurse to attend an Ivy League university,

expects to return to a country

where there are currently only four

doctorally prepared nurses.

International drug laws designed to

stem the flow of opiates also constrict

the availability of pain medication in

Pakistan to nearly inhumane levels.

“Disparities in cancer pain relief globally

have given me a different perspective,”

said Ms. Meghani, who intends to

produce a dissertation on the topic and

to influence both policy and practice

in Pakistan.

“For example, we need hospice

care in Pakistan, but it cannot be institution-based

as in the United States,

where most deaths and acute care

occur in hospitals.There is a big taboo

against institution-based care – the only

people who would use it would be

very poor, disenfranchised, and alone.

So a different model taking the best of

the U.S. while adapting it to another

culture needs to be developed,” said

Ms. Meghani.

Other students expect to make a

difference in clinical practice, sometimes

effecting change not through

policy but through the gift of their

presence. Ms. Sabapathy expects to

return to Singapore with experience

gained here to encourage her colleagues

to be comfortable with being

autonomous nurse practitioners.“We

need to be seen to be practicing in the

clinical arena as well as with students.

Physicians have trouble with nurses

being autonomous. It’s a slow process,”

International Students Pursue Degrees

Bachelor of Science in Nursing 18

Master of Science in Nursing 21

PhD candidates 15

Where they come from:

Bahamas

Canada

China

Denmark

Great Britain

Guatamala

India

Israel

Jamaica

Japan

Kenya

Malawi

Malaysia

Nigeria

Philippines

Sierra Leone

Singapore

South Korea

Taiwan

Thailand

Trinidad and Tobago

Ukraine

Vietnam

Zimbabwe

she said. However, broadening the role

of nurses to include just that type of

independent thinking will be part of

her ongoing career, as she puts it, to

“see the need and meet the need.”

Many students pursuing advanced

degrees will count themselves among

only a handful of similarly advanced

practice nurses in their home country

providing opportunities for advancing

nurses in their generation and perhaps

the next.“We may have no more than

10 nurse practitioners in the entire

country,” said Rebecca Johnson, a dual

major candidate from the Bahamas.

“When I return, I will sit down with the

other neonatal nurse practitioner as we

try to find our way.We will need to be

staff advocates for patients and faculty.”

Students agree that often an

advanced degree is necessary to obtain

influence, particularly if they decide to

pursue a political path with the power to

11


Top, left to right:

Esther Polen, Hannah

Megacz, and Elana

Blivaiss participate in

an investigational

exchange program

with a particular

emphasis on

community-based

hospitals in Wales

and England.

change health care policy.“I know that I

will be listened to if I have a PhD,” said

doctoral student Ms. Meghani. Several

students expressed political aspirations as

a means of achieving change at home to

embrace the full panoply of nursing

contributions.

Politics, education, and science

influence the future of nursing.

“Nursing research is so rich in this

country. I hope such research can be

set up at home to continue the

exchange of knowledge.Through the

acquisition of new knowledge and

sharing best-practice models, we can

change the self-esteem of nurses,” said

Hsin-Tzu Lee of Taiwan.

“We are the pioneer batch of

nurse practitioners in Singapore. It is

really eye-opening for us.We might be

changing the future because we are

talking in Singapore about changing

the degree program,” said Clair Khoo,

noting that Singapore is considering

implementing a master of nursing

degree in advanced clinical practice.

Many students now enrolled in

advanced programs will be responsible

for establishing or revamping the curriculum

in addition to teaching. Some of

them speak of adopting the Penn model

which relates theory to practice in an

integrated approach. Students first hear

about a technique in the classroom and

then apply what has been learned in

clinical practice. Students from Canada to

Singapore mention the difference it

made in their learning, retention, and

excitement for nursing, indicating that

curriculum changes at home might follow

the Penn experience.“You learn

something in class and then you can

immediately apply it. It’s more complete,”

said Melissa Vigneault of Canada.“It’s a

major benefit to learn it in advance

here,” said Daniel Chilvers of England.

In Israel, change may not be due

to policy or practice, but through

parental influence.“In order to institute

change in Israel, consumer demand is

key.Thus, in my research, I will always

take into account the perspective of the

parent,” said Rachel Yaffa Zisk.

Despite the cultural differences and

sensitivities in countries around the

world, there is possibly much in nursing

that is universal. Studying nursing

workforce issues, Marianne Baernholdt

of Denmark, a doctoral student, considers

reviewing “what is the same in

nursing [in international research]

workforce issues.These issues, even in

countries with socialized medicine, are

much the same for all nurses.”

The experiences of the international

students underscore the direction

of nursing at Penn whereby faculty and

students learn from visiting scholars,

speakers, and each other, and they from

us, to create an international dialogue.

Exchange Programs, Old and New

In the fourth year of an exchange program

with Oxford Brookes University

in Oxford, England, four undergraduates

from each University were placed

this year. Since 1997, Penn students

have studied nursing care of adults and

older adults through modules on acute

and chronic care and clinical hours on

the wards and in the operating theater.

In addition, they enroll in a variety of

electives, including art, music, sociology,

and comparative health care systems.

“It’s an extremely valuable experience

as we seek to understand various

cultures, the vagaries of different health

systems, and how to operate within

them,” said Associate Professor Sarah

Kagan, PhD, RN, who serves as the

faculty advisor.

Cultural diversity colors the experience

on both sides of the equation.

Oxford Brookes exchange students say

they hadn’t realized the full benefit of

socialized medicine in their home

countries, indicating that the boundaries

of care are not dictated by the

quality of the insurance.“It’s easier to

say you’re doing everything you can for

the patient because quite literally you

are,” said Sally Ward, of England.

At the same time, cultural differences

raise issues, even for native English

12


Students Making a

Difference

Under a Fulbright grant, recent graduate

Nicole Vujan is spending one year

studying at la Universidad Nacional

Autónoma de México in Mexico City.

She writes:

Penn undergraduates studying health care in Thailand pose with mentor Dr. Brown (rear, third from

left) and Tassana Boontong, Thailand’s chief nursing officer (front row, third from right).

speakers.“I tell my patients I speak

English, but not American,” said Ms.

Ward of Oxford Brookes, noting that in

a hospital setting, certain terms taken for

granted at home are confusing abroad.

Elsewhere in the United

Kingdom, Barbara Medoff-Cooper,

PhD, FAAN, CRNP, RN, Helen M.

Shearer Term Professor in Nutrition,

and Director of the Center for Nursing

Research, secured site visits in small,

rural community-based hospitals in

Wales to investigate the possibility of

further involvement, possibly including

student exchange.

It’s a far different situation than we

find in our clinical sites in the United

States, where the hospitals are large,

urban, modern, technologically

advanced, and culturally diverse.

Everything that could be opposite is

opposite in Wales, where the culture is

homogeneous and the culture of the

health care institutions is less driven by

technology even though it is widely

available.“In a culturally specific way,

we can learn from each other and

round out the student perceptions of

nursing,” said Dr. Medoff-Cooper.

However, Mary Hughes, PhD,

CPNP, RN, observes that international

colleagues of Dr. Medoff-Cooper,

her dissertation chair and advisor,

“completely changed my program and

saved me years. I’ve had access to the

world’s experts on my research into

infant crying.”

“How do we develop leaders and

how do we promote cultural diversity

among people of color?” asked Miriam

Stirl Professor in Nutrition Linda P.

Brown, PhD, FAAN, RN, who recently

completed a term as undergraduate

dean.“Many advanced fellowship programs

involve nurses at mature stages of

their careers. I seek to include younger

nurses in culturally diverse learning

environments in order to maximize

their influence on the profession.”

“It makes a huge difference

whether someone is learning something

at 25 rather than 45 – there are 20 more

productive and informed years to use

what you know and obtain the benefits

of collegial interaction,” said Dr. Brown.

To this end, Dr. Brown has recently

developed an advanced-level course

in Asian culture, now specifically Thai

culture, which includes fieldwork in

Thailand. Last year, field activities

included a wide range of clinical sites

including alternative therapy clinics and

a visit with the head of the Thailand

Nursing Council,Tassana Boontang,

PhD, and a member of the Ministry of

Health.

This year, the program is linked

with nursing students from Boston

College. Plans are underway to establish

a collaborative relationship next with a

historically black college to further

expand the role of cultural diversity

and respect for disparate viewpoints in

education.

“The nurses of today need to

work hard at helping the nurses of

tomorrow form lifelong interconnections

at younger ages so that we can

break down cultural barriers and foster

a meaningful exchange of ideas,” said

Dr. Brown.

Research shows that Mexican women

living in Mexico have surprisingly

favorable perinatal outcomes in the

face of economic disadvantage and

underutilization of medical services.

Unfortunately, however, research also

suggests that women of Mexican

descent who become acculturated to the

United States lifestyle are at higher risk

for adverse birth outcomes, including

miscarriages, low birthweight deliveries,

and infant mortality, despite relatively

higher levels of medical care. The

relationship between acculturation to the

United States and increased maternal

risk factors, including poor nutrition,

more prenatal stress, less support from

the baby’s father, depression, and

substance abuse, begins with a study of

the prenatal care experiences of women

immersed in the Mexican culture.

Through my research in an urban clinic

in Mexico City and in the rural state of

Chiapas, working with indigenous women

and traditional midwives, I hope to gain

a better understanding of the pregnancy

experiences of women living in Mexico

and use the information I’ve gathered to

improve the nature and the quality of

prenatal care for Hispanic women in the

United States.

13


Established Leaders

Alumni Abroad

The importance of nursing care cannot

be underestimated, but must continue

to be fostered. Such is the case in

Israel, where the health care system

was founded by nurses and continues

to be re-energized by the commitment

of academic nursing.

Sensing an opportunity to inspire the

role of nursing in health care in Israel,

Professor Barbara Medoff-Cooper, PhD,

CRNP, FAAN, RN, holder of the Helen

M. Shearer Term Professor in Nutrition,

Director of the Center for Nursing

Research, and Anne Keane, EdD, FAAN,

RN, Associate Professor of Nursing,

and Interim Associate Dean for

Graduate Studies and Professional

Development, have assisted in the

development of a new clinical masters

program for advanced nursing practice

in Israel based on their extensive experience

with the Penn Nursing clinical

masters program. This program has

been recently launched at the Henrietta

Szold School of Nursing, Hadassah

Medical Organization, Hebrew

University. For their work, Drs. Keane

(who first began her role at the school

30 years ago) and Medoff-Cooper (who

joined her in 1996) recently received a

certificate of commendation from the

Israeli government.

In a visit to Penn, Miriam Rom, PhD,

RN, Henrietta Szold Hadassah Hebrew

University School of Nursing Director

and Associate Dean said, “Our view of

our mission with Penn is that we wanted

the school to be able to advance, create

a program of advanced studies and

advanced degrees. That is what has

happened.”

“Despite the ongoing political turmoil in

the region, we need to ensure that the

nursing agenda moves forward for the

sake of the quality of care for our

patients and to secure the future for our

young students. For me, this work

strengthens the long-standing exchange

program we have at Penn and a number

of other universities as well as restoring

master’s level nursing in Israel,” said Dr.

Medoff-Cooper who is also serving as a

visiting professor.

14

MIRIAM ROM, PHD, RN

CREATING THE FUTURE

“Participating in the first annual review

of the first integrated clinical masters

nursing program in Israel was a landmark

event for this School as well as

theirs,” said Dr. Keane. “Students have

completed their first year in a program

preparing advanced practice nurses in

critical care, oncology or gerontology.

Advanced nursing is becoming important

in Israel where this year the School

of Nursing celebrated its fiftieth

anniversary.”


CAROL TISHELMAN, PHD, RN

INFLUENCING EDUCATIONAL GOALS

“At Hadassah and ultimately through

my advanced studies at Penn, I have

created a network with faculty and students

and we are really working together

in key professional and personal

relationships,” said Dr. Rom. “Penn faculty

have really served as role models

in all levels of practice.”

Born and raised in the Bronx, Carol

Tishelman, PhD, RN, first went to

Sweden as an undergraduate in women’s

studies, considered a medical career,

and stayed in Sweden working in a longterm

health care facility. That cemented

her interest in nursing. A Penn Nursing

alum, she is now associate professor,

senior lecturer, and acting dean at

Karolinska Institute, having just been

named to a prestigious senior

researcher position for six years by the

Swedish National Research Council.

Speaking of her expatriate status, Dr.

Tishelman noted, “I’ve felt comfortable in

Sweden in the national commitment to

equal access to health care with the

commitment to vulnerable populations

that implies. That leads to less dissonance

for me in terms of the values I’ve

been socialized to at Penn. But the

health care system in Sweden now

needs to adapt to be better able to support

very diverse populations with very

diverse needs,” said Dr. Tishelman.

Nursing in Sweden, as elsewhere around

the world, has undergone radical change

in the past few decades. Whereas a

decade ago there were still few doctorally

prepared nurses, Dr. Tishelman now

presides over an institution with 40 doctoral

students. The process is quite rigorous

in Sweden, requiring four or five

published articles and a thesis tying

them all together within four years.

Her current work includes an action

research project, attempting to close

some of the gaps that exist between

cancer nursing research, practice, and

education in people with advanced cancer.

Under her influence, undergraduate

education now includes problem-based

learning with increased input from and

feedback to nurses in clinical settings.

For doctoral students, there is a different

emphasis, specifically, “How is your

education relevant to advance the

knowledge base of nursing?” Dr.

Tishelman asked. This is one of the

questions she hopes students will be

able to answer. To share knowledge and

advance the science, Karolinska Institute

and Penn have signed a letter of intent

to form a collaboration to enhance

knowledge on both sides of the Atlantic.

As nursing proceeds towards global

influence, Dr. Tishelman posits that nurses

operating within different cultures

need to recognize how much they can

learn from each other. “If there is a

common denominator in nursing, what is

it?” asks Dr. Tishelman.

15


HIV/AIDS EDUCATION

JOHN JEMMOTT, PHD & LORETTA SWEET JEMMOTT, PHD, FAAN, RN

of Health as a member of its Behavioral

Scientist Delegation to South Africa. The

goal was to discuss HIV prevention

needs and strategies for South Africa. At

this historic meeting, Dr. Jemmott presented

her ongoing work on HIV prevention

needs and risk strategies for African

Americans with special emphasis on

possible adaptation to South African

youth, respecting cultural and language

differences. Upon returning to the United

States, Dr. Jemmott, along with her husband

and colleague, John Jemmott,

PhD, a professor in the Annenberg

School of Communications, formalized

their commitment, designing a randomized,

controlled trial grant proposal

aimed at reducing HIV-risk sexual behavior

among South African youth.

Associated with more than $74 million in

research grants in her career, Professor

Loretta Sweet Jemmott, PhD, FAAN, RN,

Director of the Center for Urban Health

Research, is one of the leading HIV-prevention

researchers in the United States.

Her work discerning and validating strategies

for curricula to prevent the spread of

HIV among high-risk adolescents has

recently been selected by the U.S.

Centers for Disease Control and

Prevention to be replicated nationwide. As

her influence has spread, Dr. Jemmott’s

strategies are being internationally recognized,

particularly in Africa, as she works

on both the governmental level and in the

field to help stop the spread of HIV that is

threatening the continent.

One strategic goal of Dr. Jemmott’s evidence-based

curricula is to convince

inner-city youth to take control of their

futures and to make proud and responsible

decisions. “I am committed to assuring

that youth grow and live long,

healthy, and productive lives,” said Dr.

Jemmott. Two new curricula, “Making

Proud Choices: An Abstinence-Based

Approach to Preventing HIV, STDs, and

Teen Pregnancy” and “Making a

Difference: A Safer Sex Approach to

Preventing HIV, STDs, and Teen

Pregnancy” are being nationally disseminated.

An earlier curriculum is the continuing

focus of research. “Be Proud! Be

Responsible! Strategies to Empower

Youth to Reduce Their Risk for AIDS,”

also a national model, is currently being

translated into Spanish and being adapted

for use in Puerto Rico, by Native

American organizations, and in rural

communities in an ongoing effort to stop

the spread of HIV among adolescents.

The question being investigated now is

how to replicate the success of a curriculum

culturally sensitive to American

life to Africa, where the need to counteract

the meteoric rise in the infection

rates for HIV/AIDS is so great.

“We cannot underestimate the importance

of slowing the spread of AIDS on

the African continent. It is one of the

most serious threats to the health and

economic well being of a nation that

exists today. As nurses, we are in a

unique position to offer structure and

support to both assist those with the disease

and to start to slow its spread,”

said Dr. Jemmott.

In 1999, Dr. Jemmott was one of 12

leading HIV-prevention behavioral scientists

selected by the National Institutes

As part of this effort, they returned to

South Africa twice to build partnerships

with South African researchers, graduate

students, and local community-based

organizations. The goal was to begin

focus groups with adolescents, teachers,

parents, and adolescent service

providers from various community-based

organizations and schools in the communities

of East London, Cape Town, Port

Elizabeth, as well as Mdensante.

With this feedback, the Drs. Jemmott and

their team pilot-tested a questionnaire

with 390 Xhosa-speaking South African

youth to determine predictors of HIV riskassociated

behaviors. The data have

been analyzed and since have served as

the basis for that RO1 grant application

to the National Institute of Mental Health

(NIMH) which was recently awarded.

“If you want to save the people of Africa,

the time to do it is now,” said Dr.

Jemmott. “What we have learned about

adolescents in America can help us find

the means to give support and prevention

strategies to adolescents in Africa

so that teens of many cultures can maximize

their years of productive living.”

Strong team-building with professionals

in Africa is part of a plan to continue this

research for some time. “Nurses, teachers,

school, and community leaders

have already given us permission to do

this on school time. To make a difference

you have to go where the kids

are,” said Dr. Jemmott.

16


Dean Afaf Meleis, PhD, FAAN, has long

been known as a citizen of the world. She

has obtained prominence on the world

stage through internationally-based

research, collaborations with colleagues

in other nations, research, keynote

addresses and planning conferences

around the world. In a fresh vision of leadership,

visitors from the universities of the

world come to Penn to both impart knowledge

and to learn.

Critical roles played at Penn include Dr.

Meleis’ role as the Council General of

the International Council of Women’s

Health Issues, keynote addresses and

presentations at health conferences

around the world, an ongoing partnership

with the Pan American Nurse

Midwifery Collaborating Center and the

World Health Organization Collaborating

Center for Nursing and Midwifery

Leadership, and a strengthened Office

of International Programs coordinating

activities for the School of Nursing.

This year, Dr. Meleis was elected to the

Institute of Medicine recognizing a lifetime

of achievement researching the

role of women, the nature of women’s

work, and disparities in health care.

“Imagine how much more effective nurses’

voices would become if we formed

teams and acted collaboratively in multinational

groups. Collaboration among

international colleagues can generate

nursing knowledge that is increasingly

reflective of diversity and leads to new

strategies alleviating suffering, enhancing

healing, and promoting wellness and

quality of life,” wrote Dr. Meleis in The

Journal for Nursing Scholarship.

She believes that nursing can be made

more visible internationally by enhancing

access to care, promoting functioning,

improving the quality of people’s lives,

supporting their health goals, providing

options, and mobilizing resources. It is

her view that what is needed in nursing

is a collective voice for change, a voice

that mandates nurses’ presence at key

policymaking tables and propels nurses

to leadership positions internationally.

Associate Professor

Sally Chan, PhD,

RMN, of the

Nethersole School of

Nursing at the

Chinese University of

Hong Kong with Dean

Meleis during the

Second Pan-Pacific

Nursing Conference.

AFAF MELEIS, PHD, FAAN

INTERNATIONAL COLLABORATION

The International Council on Women's

Health Issues (ICOWHI) is an international

nonprofit association dedicated to the

goal of promoting the health, health

care, and well-being of women throughout

the world through participation,

empowerment, advocacy, education, and

research. Dean Meleis currently serves

as Council General of the worldwide

organization.

17


International Office

In the past year, the School

launched an intensive international

effort bringing scholars from

around the world to both lecture and

be informed through special enrichment

programs, expanding upon a

long and productive legacy of international

research and presentations

around the world.

Spearheading this international

effort is Norma M Lang, PhD, FAAN,

FRCN, RN, Lillian S. Brunner

Professor of Medical Surgical Nursing,

Director of the PAHO/WHO

Collaborating Center for Nursing and

Midwifery Leadership & Office of

International Programs.

Here is a sample of work around

the world.

Latin America

“In Latin America, we

are improving core

competencies for nurse

midwives on a regional

level, offering hands-on

expertise in work

pioneered by Professor

Emeritus Joyce

Thompson, who now

leads Penn’s first affiliate

at Western Michigan

University,” said Dr.

Lang. “Ongoing activities

include activities of

faculty in many countries

of the world.”

Europe

Susan Gennaro, DSN, FAAN, RN,

Director of Doctoral and Postdoctoral

Studies and Director of the

International Center of Research for

Women, Children, and Families, served

as a visiting professor in Basel,

Switzerland, in December and is part

of an ongoing relationship with the

Institute of Nursing.

As part of an ongoing collaboration

with researchers of low birthweight

infants from Canada, Holland,

and South Bavaria,Associate Professor

Jennifer Pinto-Martin, PhD, MPH, and

Director of the Center for Excellence

in Autism, has worked on two publications

using data from all four cohorts.

The first publication examined similarities

in behavioral outcome across the

four cohorts, published in the prestigious

British journal, the Lancet.

Deborah B. McGuire, PhD,

FAAN, RN is involved in an international,

interdisciplinary effort by the

Multinational Association for

Supportive Care in Cancer (MASCC)

to improve the management of

mucositis (or sore mouth) in cancer

patients.This side effect of treatment is

a major source of distress and poor

medical outcomes.A member of

MASCC’s Mucositis Study Section, she

contributed to evidence-based guidelines

for mucositis management at the

recent annual scientific meeting held in

Boston in June 2002.The same month,

Dr. McGuire participated in the

International Union Against Cancer’s

quadrennial scientific meeting in Oslo,

Norway, in June 2002, speaking on the

impact of culture across the trajectory

of cancer care.

Carol Helen Wood, a Paediatric

Nursing Sister at the Royal Albert

Edward Infirmary in England, visited

Penn as part of her ongoing collaboration

with Associate Professor Janet

Deatrick, PhD, RN, with a cadre of

advanced practice nurses through a

program at Lancaster University in

Cumbria to assure appropriate health

care for children in rural regions of

northern England.

Associate Professor Therese

Richmond, PhD, RN, served on the

2002 Annual Program Committee of

the International Society for Traumatic

Stress Studies and co-authored a paper

presented at Trauma 2002 in Oslo,

Norway, in May, 2002 entitled “Non-

Intracranial Fatal Firearm Injuries in

Children: Implications for Treatment.”

18


Asia

Sarah Kagan, PhD, RN, the Doris

R. Schwartz Associate Professor in

Gerontological Nursing, MEd,

PRDHCE, DNA, RTN, RSCN,

RGN, RN, collaborated with Sophia

Chan, PhD, at the University of Hong

Kong Department of Nursing in a collaboration

around undergraduate clinical

education.This work developed into

a review of their revised master’s curriculum

and a video conference on

advanced-practice nursing, which

included Penn Associate Professor

Eileen Sullivan-Marx, PhD, RN, and

Therese Narzikul, MSN, CRNP in

Hong Kong. Next, they intend to

implement a new undergraduate

exchange emphasizing traditional and

complementary therapies.

Dean Meleis was the keynote

speaker at the second pan-Pacific nursing

conference,“Advancing Nursing

Science in the Pan-Pacific Region,”

held in Hong Kong, and at the fifth

Nursing Academic International

Congress,“Cultural Diversity in

Alternative Health Care and Nursing

Therapeutics” in Bangkok. She also

attended the thirteenth International

Congress on Women’s Health Issues in

Seoul as Council General.

“Cultural Diversity in Alternative

Health Care and Nursing Therapeutics”

was the keynote address delivered by

dean Meleis in Thailand in December

at the Fifth Nursing Academic

International Congress.

Middle East

Anne Keane, EdD, FAAN, RN, associate

professor and Interim Associate

Dean for Graduate Studies and

Professional Development and Barbara

Medoff-Cooper, PhD, FAAN, CRNP,

RN the Helen M. Shearer Professor in

Nutrition, participated in the annual

review of the first integrated clinical

masters nursing program in Israel.

Students have completed their first year

in a program preparing advanced prac-

WHO Collaborating Center for Nursing

and Midwifery Leadership

A WHO Collaborating Center is a national

institution that the director general of the

World Health Organization designates to

form part of an international collaborative

network for carrying out WHO’s mandate

for international health work and its program

priorities. Today, 34 collaborating

centers make up the WHO Nursing and

Midwifery Global Network. Fifteen of these

are in the Americas/Pan American

(AMRO/PAHO) Region: Brazil, Canada, Columbia, Mexico, and the United States.

The University of Pennsylvania School of Nursing is one of these 15.

tice nurses (APN) in critical care,

oncology, or gerontology.

The Americas

Associate Professor Terri E.Weaver,

PhD, FAAN, CS, RN, Co-Director of

the Center for Urban Health Research,

presented the poster “Differences in

Treatment Outcomes among Sleepy,

Non-Sleepy,And Discordant Sleepiness

Groups” at the International

Symposium on Sleep and Breathing in

Reykjavik, Iceland.Additionally, the

University of Western Ontario serves as

a data collection site for ongoing

research,“Multisite Study of the

Functional Outcomes of CPAP Use.”

Dean Meleis was the keynote

speaker at both the eighth Nursing

Research Pan-American Colloquium,

“Nursing: Contributing to Health by

Constructing Networks” in Mexico

City, and the International Nurse

Educator Conference of the Registered

Nurses Association of Ontario,

“Embracing the Future: Educating

Tomorrow’s Nurses” held in Toronto.

Upon request from the Canadian

Armenia

Photo courtesy of the American

International Health Alliance

associations for the History of Nursing

and Medicine, Karen Buhler-

Wilkerson, PhD, FAAN, RN, Professor

of Community Health Nursing and

Director of the Center for the Study of

the History of Nursing, delivered the

Hannah Lecture in Toronto.“Simply

put, the United States has no realistic

system of support for the families of

those who need extensive or long-term

care.Today, a significant but largely

invisible group of “informal caregivers”

provides most care for the sick at home

– managing on their own as best they

can. Such care is challenging, exhausting,

and inconvenient and interrupts

daily patterns of living and work.

Providing care and the essentials of

daily living (food, shelter, and housekeeping

services) required tremendous

effort. For those living alone, illness is

even more challenging.”The lecture, in

part, examined nearly two centuries of

caring for the sick at home in the

United States as examined in Dr.

Wilkerson’s acclaimed book, No Place

Like Home:A History of Nursing and

Home Care in the U.S.

Nurses in the newly

independent states

of the former Soviet

Union participate in

an ongoing project

introducing the concept

of accreditation.

19


Collaborations in Thailand

Collaboration and networking are the

hallmarks of an ongoing relationship

between Penn and Mahidol University

of Bangkok,Thailand. During a recent

trip to Penn, Mahidol Dean Kobkul

Phancharoenworakul, PhD, and Somchit

Hanurcharurnkul, PhD, director of

Mahidol’s doctoral program, set forth

working parameters for the launch of a

new working relationship regarding

sending Mahidol students to Penn for

one year of their doctoral education.

“The main purpose of our trip is

to seek further collaboration between

our universities to enhance capabilities

of research for both doctoral students

and others.We are looking forward to

seeing some collaborating research

efforts among faculty members as

well,” said Dr. Phancharoenworakul.

The research agenda in Thailand is

in many respects surprisingly similar to

health care issues in the United States.

“Women are particularly vulnerable to

stress now because of their multiple

roles in a changing society,” said Dr.

Hanurcharurnkul.“This is a general

phenomenon. Our focus right now is

on health care reform.”

Both Deans Meleis and

Phancharoenworakul agree that sharing

experiences between the two cultures

can only enhance outcomes.“We seek

to learn modern technology and technical

applications from this country, but

Penn can learn much from Eastern

culture,” said Dr. Phancharoenworakul.

Another significant problem is the

paucity of linen to dry neonates.“We

introduced a problem-solving dialogue

with nurses and helped them to find

sustainable solutions,” said Dr. Gennaro.

Penn in Africa

Professor Susan Gennaro, DSN, FAAN,

RN, Director of International Center of

Research for Women, Children, &

Families, conducted two research projects

in Malawi,Africa.They involved the

health of the tiniest patients, those who

cannot be advocates for themselves and

who, in the direst of circumstances, may

not be able to make a cry for help on

their own.

“Basic Neonatal Resuscitation” is a

research project designed to reduce poor

birth outcomes by training all nurses

who care for laboring women in one

hospital in Blantyre in neonatal resuscitation

techniques. Early indications are

that the intervention decreased infant

mortality by 40 percent indicating that

in experienced hands much can be

done with a relatively modest grant, in

this case, awarded by the University of

Pennsylvania Provost Fund to Kent

Bream, MD, a family physician, and Dr.

Gennaro.“The beauty of this is you can

do something so that you don’t have an

ill child,” said Dr. Gennaro.“People are

alive due to our efforts.”

Former Penn doctoral

student Usavadee

Praditkul Asdorwised

now acts as faculty

collaborator with Penn

Nursing for a comparative

health care

course in Thailand.

She is shown with her

daughter Nathawan

Asdorwised, known as

Nathy, who was born

in the U.S. during the

final days of her

mother’s dissertation.

In other work in Africa, Penn

Nursing trained the trainer to expand

the reach of information given to nursemidwives

in Malawi that was later replicated

in Uganda. Early indications are

that this project that replicates information

and education from group to group

of indigenous people in extremely rural

communities is a low-cost, sustainable

intervention that has improved the

health of women and their infants.

Penn in Hong Kong

Sarah H. Kagan, PhD, RN,Associate

Professor of Gerontological Nursing,

and Doris R. Schwartz Term Professor

in Gerontological Nursing, delivered

the nursing keynote address at

“Frontiers in Biomedicine,” the annual

scientific meeting of the University of

Hong Kong Faculty of Medicine prior

to the 9th Annual Hong Kong

International Cancer Congress held at

the University of Hong Kong (HKU).

20


Dr. Kagan’s topic, cancer and aging

research in nursing, transcended cultural

boundaries. Hong Kong’s age demographics

are similar to those of the

United States.About 12% of the

region’s residents are older than 65,

prompting Dr. Kagan to share regional,

national, and global information on

gero-oncology nursing research.The

audience – comprising nurses and

nursing faculty from across Hong Kong

offered commentary and questions

from their varied clinical backgrounds.

Analyzing the challenges presented

by the intersections of aging nursing

workforces and populations, and chronic

illness worldwide was the topic of the

Medicine and Health Research

Network Seminar Dr. Kagan offered for

the HKU Faculty of Medicine.The

seminar, which was the first in the series

offered by a nurse, attracted officials for

the Hong Kong Department of Public

Health and the Hospital Authority.

Her growing collaboration with

Sophia Chan, PhD, MEd, PRDHCE,

DNA, RTN, RSCN, RGN, RN, head

of the Department of Nursing Studies

in the Faculty of Medicine at HKU,

stemmed from an initial consultation in

undergraduate curriculum development

in 2001.“We are both committed

to educating and mentoring ‘thinking

nurses,’ ” said Dr. Kagan. During a

visit to Queen Mary Hospital in Hong

Kong, Dr. Kagan collaborated with the

nursing staff of the Head and Neck

Surgery Ward, performing joint nursing

rounds in wards for patients with special

symptom management needs.

Following those nursing rounds at

the Queen Mary Hospital, Dr. Kagan

coincidentally received an e-mail from a

nurse colleague who practices in head

and neck cancer surgery at

Södersjukhuset (the South Hospital) in

Stockholm.Within minutes, ideas for a

cross-national clinical research project in

head and neck cancer symptom management

were being traded across time

zones, creating new possibilities and a

team of colleagues in three countries.

“When considering international

work in nursing, we must remember

that nursing education, research, and

evidence-based care are translatable but

not transplantable,” said Dr. Kagan.

“None of us is going to have a single

right answer, but we are able to work

together toward solutions.”

Top:

Dr. Sarah Kagan, PhD,

RN, confers with

colleague Sophia

Chan, PhD, MEd,

PRDHCE, DNA, RTN,

RSCN, RGN, RN.

Center and Bottom:

Dr. Kagan delivers the

nursing keynote

address at “Frontiers

in Biomedical

Research” at the

University of Hong

Kong.

21


In Tribute

Professor Joyce Thompson, DrPH,

FAAN, CNM, FACNM, RN, former

Associate Dean for Graduate Studies

and Professional Development and

Director of the WHO Collaborating

Center in Nursing and Midwifery

Leadership retired from the University

of Pennsylvania in spring 2002.

“Let us not use the R-word,” said

Dean Meleis as Dr.Thompson’s many

achievements were celebrated by staff

and faculty. Dr.Thompson worked to

established and directed the first basic

nurse-midwifery program in

Pennsylvania, the master’s program in

health leadership, the Teacher Education

Program which prepared advanced

practice nurses and midwives to teach in

both classroom and clinical settings. In

her international work, she headed the

Penn-Malawi “Women for Women’s

Health” project from 1990-2002.

Indeed not retired, Dr.Thompson

continues as the Bernadine M. Lacey

Professor of Community Health

Nursing at Western Michigan

University, having moved closer to her

family and her roots. Continuing her

ties to Penn, Dr.Thompson directs

“Safe Motherhood” efforts for WHO’s

global network through an affiliate site

at Western Michigan.

But perhaps more important was

the respect and recognition of many

colleagues who feted Dr.Thompson.

“As I look around the room, I see

many of us who owe our careers to

‘Dr. Joyce’ who believed in us and supported

us,” said William F. McCool,

PhD, CNM, RN, associate professor of

Nurse Midwifery.

In Memoriam

Sadly, the School of Nursing lost three

of its most prominent researchers and

voices to illness in the last year.

Barbara Bates, M.D.

A former clinical professor of nursing,

Barbara Bates, MD, who achieved

recognition for writing the leading

textbook on physical examination died

of Alzheimer's in December 2002.

In the late 1960s, Dr. Bates helped

conceive and develop the then new

role of nurse practitioner, working to

improve public access to health care by

encouraging greater collaboration

between physicians and nurses and

expanded practice opportunities for

nurses. Her best known book, A Guide

to Physical Examination and History

Taking, first published in 1974, and

continuing under her direction for

seven editions, became, and still is, the

leading text in its field, published in 11

languages. Her expertise in diagnosis,

ability to help novices comprehend the

skills of examination and clinical thinking,

and influence on improving education

for health professionals are probably

her most enduring contributions.

“Dr. Bates was an exquisite interviewer

and appreciated the personal

meaning of illness.That insight no doubt

informed her analysis of the framework

and language of nursing and medicine,

and their collective impact on patients.

In bringing together those themes,

Barbara subtlety, yet powerfully, radicalized

and transformed the conversation

about health care. Dr. Bates was a gener-

ous colleague and friend to faculty, students,

and the School,” said Neville

Strumpf, PhD, FAAN, C, RN, Edith

Clemmer Steinbright Professor in

Gerontology, and Director of the Center

for Gerontologic Nursing Science and

Hartford Center of Geriatric Nursing

Excellence.

Dr. Bates began teaching at Penn

Nursing in 1980 and also held appointments

in the School of Medicine and

at the Medical College of Pennsylvania.

In addition to her famous textbook,

she also published an award-winning

study, Bargaining For Life:A Social

History of Tuberculosis, 1876-1938.

Barbara J. Lowery, EdD, FAAN, RN

Barbara Lowery, EdD, FAAN, RN,

Associate Provost and Independence

Professor of Nursing, died at Penn

Medical Center October 10 at age 64.

“Everything about her was imbued

with dignity, grace, and eloquence,” said

Judith Rodin, PhD, President of the

University of Pennsylvania, at a campuswide

memorial service.“She was a calming

and reassuring presence. I miss her.”

A member of Penn’s faculty since

1970, Dr. Lowery had been a tireless

leader in the School of Nursing, having

served as chair of Psychiatric Mental

Health Nursing (1978-1984), Director

of the Center for Nursing Research

(1986-1994), and Director of the

Robert Wood Johnson Clinical Nurse

Scholars Program (1986-1991), and as

Associate Dean for Research in the

School (1990-1993).A longtime fellow

of the American Academy of Nursing

and the College of Physicians of

Philadelphia, Dr. Lowery was elected in

1991 to the National Academy of

Sciences’ Institute of Medicine.

Dr. Lowery was chair of the

National Council of Nurse Researchers

(1987-89); a member of the

Philadelphia Mayor’s Commission on

Mental Health (1982-83); chair of the

22


Invitational Conference on Directions

in Care of the Chronic Mentally Ill,

National Institute of Mental Health

(NIMH)(1983); chair of the Mental

Health Behavioral Sciences Research

Review Committee, NIMH (1990); and

a member of the Search Committee for

the Director of NIMH (1990-91).

Author of more than 40 papers,

member of several editorial boards, and

participant in more than 20 funded

research and training projects, Dr.

Lowery was also the associate editor of

Nursing Research (1978-83), on the

editorial review board of Archives of

Psychiatric Nursing (1985-present), an

editorial consultant to Advances in

Nursing Science (1985-present), and on

the editorial review board of Nursing

Research (1978-present).

“The School of Nursing mourns

the loss of Barbara Lowery, who was

known for her role in advancing psychiatric

nursing science but was better

known by her nursing colleagues as a

voice of reason, great integrity, and

compassion as an innovative thinker and

problem-solver. Known as a committed

mentor for researchers, teachers, and clinicians,

both inside and outside the

University, we will miss her scholarship

and her warm wisdom for a long time

to come. However, she left with us a

legacy that will always remain. She will

never be forgotten,” said Dr. Meleis.

Margaret D. Sovie, PhD, FAAN, CRNP, RN

Margaret D. Sovie, PhD, FAAN,

CRNP, RN, the Jane Delano Professor

of Administration at the School of

Nursing, died August 16 of pulmonary

fibrosis.

Dr. Sovie was a nationally known

authority in the field of nursing administration.

She graduated from the St.

Lawrence State Hospital School of

Nursing in 1964 and served as a nursing

supervisor at the Good Shepherd

Hospital, then as education director for

nursing services at Upstate Medical

Center, both in Syracuse.After serving

as Director of Nursing at the University

of Rochester, Dr. Sovie became Chief

Nursing Officer at the Hospital of the

University of Pennsylvania in 1988, a

position she held until 1996. From

1996 until her death, she was the Jane

Delano Professor of Nursing

Administration as well as a nurse practitioner

at Penn’s Health Annex at the

Francis J. Myers Recreation Center, a

health care facility located in an underserved

section of Philadelphia.

At her memorial service, Dr. Linda

Aiken recounted Dr. Sovie’s most

recent research, published shortly

before her death, noting that Dr. Sovie

“developed the idea of the magnet

hospital, which was the most important

idea in the field of nursing in 20 years.”

Other colleagues, notably Lois K.

Evans, DNSc, FAAN, RN,Viola

MacInnes/Independence Professor in

Nursing credited Dr. Sovie for being

“crisp and courageous in sharing her

ideas” and having the courage to return

to school, sitting among her own students

in the classroom, as she acquired

a master’s degree in order to dispense

state-of-the-art nursing care.

“Dr. Sovie was a fearless researcher.

She meticulously gathered and analyzed

data to advance the science, providing

information to help nurses and hospitals

do a better job caring for patients.

Never straying far from the care of the

patient, Dr. Sovie provided direct

patient care herself while maintaining a

research agenda,” said Dean Meleis.

At the time of her death, as part of

a $1.6 million NIH-funded grant, Dr.

Sovie had recently published in the

Journal of Nursing Administration her

findings on the impact of hospital

restructuring, including nurse staffing

on outcomes of care. Dr. Sovie’s final

study analyzed data from 29 university

teaching hospitals across the United

States. It described the restructuring

and re-engineering activities that have

taken place in these hospitals and their

impact on patients, including their satisfaction

with pain management, fall

rates, and other factors.

Dr. Sovie was a member of the

American Academy of Nursing and

was elected to the Institute of

Medicine, serving on several editorial

boards, and contributing many articles

on nursing and hospital management

to national health care journals.

23


Selected

Publications

Aiken, L. H. (2002). Commentary on nursing

staff reductions in Pennsylvania hospitals. Medical

Care Research and Review, 59, 215-222.

Aiken, L. H. (2002). Evidence of our instincts:

An interview with Linda H.Aiken. Interview by

Alison P. Smith. Nursing Economics, 20, 58-61.

Aiken, L. H. (2002). Hospital organization and

culture. In M. McKee & J. Healy (Eds.), Hospitals

in a changing Europe. (pp. 265-278). London:

Open University Press.

Aiken, L. H. (2002). Superior outcomes for

magnet hospitals:The evidence base. In M. L.

McClure & A. S. Hinshaw (Eds.), Magnet hospitals

revisited:Attraction and retention of professional nurses.

(pp. 61-81).Washington, DC:American Nurses

Publishing.

Aiken, L. H. (2001).Allied health professions.

In International encyclopedia of the social and behavioral

sciences (pp. 6591-6598). New York:

Pergamon.

Aiken, L. H. (2001). Evidence-based management:

key to hospital workforce stability. Journal

of Health Administration Education, 117-124.

Aiken, L. H. (2001). More nurses, better patient

outcomes:Why isn’t it obvious? Effective Clinical

Practice, 4, 223-225.

Aiken, L. H., Clarke, S. P., Sloane, D. M., &

Sochalski, J. A. (2001).An international perspective

on hospital nurses’ work environments:

The case for reform. Policy, Politics and Nursing

Practice, 2, 255-263.

Aiken, L. H., Clarke, S. P., Sloane, D. M., &

The International Hospital Outcomes Research

Consortium (2002). Hospital staffing, organization,

and quality of care: cross-national findings.

International Journal for Quality in Health Care,

14, 5-13.

Cooper, R.A. & Aiken, L. H. (2001). Human

inputs: the health care workforce and medical

markets. Journal of Health Politics, Policy & Law,

26, 925-938.

Flynn, L. & Aiken, L. H. (2002). Does international

nurse recruitment influence practice values

in U.S. hospitals? Journal of Nursing

Scholarship, 34(1): 67-73

Rafferty,A. M., Ball, J., & Aiken, L. H. (2001).

Are teamwork and professional autonomy compatible,

and do they result in improved hospital

care? Quality in Health Care, 10, Suppl-7.

Barnsteiner, J. & Prevost, S. (2002). How to

implement evidence-based practice. Reflections on

Nursing Leadership, 28, 18-21.

Bowles, K. H. & Dansky, K. H. (2002).

Teaching self-management of diabetes via televideo.

Home Healthcare Nurse, 20, 36-42.

Bowles, K. H., Naylor, M. D., & Foust, J. B.

(2002). Patient characteristics at hospital discharge

and a comparison of home-care referral

decisions. Journal of the American Geriatrics Society,

50, 336-342.

Bowles, K. H., Peng,T., Qian, R., & Naylor,

M. D. (2001). Informatics application provides

instant research to practice benefits.

Proceedings/AMIA Annual Symposium, 66-70.

Dansky, K. H. & Bowles, K. H. (2002). Lessons

learned from a tele-homecare project. Caring,

21, 18-22.

Martin, K. S. & Bowles, K. H. (2002). Nursing

diagnoses, interventions, and outcomes of care:

The Omaha System. In I. Martinson,A.Widmer,

& C. Portillo (Eds.), Home health care nursing.

Philadelphia: Saunders.

Buhler-Wilkerson, K. (2001). No place like

home:A history of nursing and home care in the

United States. Baltimore: Johns Hopkins

University Press.

Clarke, S. P., Rockett, J. L., Sloane, D. M., &

Aiken, L. H. (2002). Organizational climate,

staffing, and safety equipment as predictors of

needlestick injuries and near-misses in hospital

nurses. AJIC:American Journal of Infection Control,

30, 207-216.

Clarke, S. P., Sloane, D. M., & Aiken, L. H.

(2002). Effects of hospital staffing and organizational

climate on needlestick injuries to nurses.

American Journal of Public Health, 92, 1115-1119.

Compher, C., Kinosian, B. P., Stoner, N. E.,

Lentine, D. C., & Buzby, G. P. (2002). Choline

and Vitamin B-12 deficiencies are interrelated in

folate-replete long-term total parenteral nutrition

patients. Journal of Parenteral and Enteral

Nutrition, 26, 57-62.

Cotroneo, M. & Zimmer, M. (2001).

Integrative Zukuntsstratrgien-

Familienorientierte Pflege-Eine Strategie zur

Verbesserung der Pflegequalitat und zur

Weiterentwicklung der Profession Pflege.

Integrative strategies for the future: Family nursing.A

strategy for advancing the profession of

nursing. Die Schwester/Der Pfleger, 40, 809-813.

Cotroneo, M., Kurlowicz, L., Outlaw, F. H.,

Burgess, A.W., Evans, L.K. (2001).

Psychiatric-mental health nursing at the interface:

revisioning education for the specialty. Issues

in Mental Health Nursing, 22, 549-69.

Cotroneo, M. (2001). Seeking balance in complexity.

Issues in Mental Health Nursing, 22, 457-

459.

Knafl, K.A. & Deatrick, J. A. (2002).The challenge

of normalization for families of children

with chronic conditions. Pediatric Nursing, 28,

49-53, 56.

Santacroce, S. J., Deatrick, J. A., & Ledlie, S.W.

(2002). Redefining treatment: How biological

mothers manage their children’s treatment for

perinatally acquired HIV. AIDS Care, 14, 247-

260.

Deatrick, J., Angst, D., & Moore, C. (2002).

Parents views of their children’s participation in

Phase 1 oncology clinical trials. Journal of Pediatric

Oncology Nursing, 19(4), 114-121.

Feetham, J. & Deatrick, J. (2002). Expanding

science policy regarding research with vulnerable

families. Journal of Family Nursing, 8(4), 371-382.

Talerico, K.A., Evans, L. K., Strumpf, N. E.,

& Maislin, G. (2002). Mental health correlates of

aggression in nursing-home residents with

dementia. Gerontologist, 42, 169-177.

Fagin, C. (2001). Revisiting Treatment in the

Home. Archives of Psychiatric Nursing XV1, pp 3-9.

24

Linda Aiken Jane Barnsteiner Kathryn H. Bowles Linda Brown Sean P. Clarke Charlene W.

Compher

Margaret Cotroneo

Janet Deatrick


Fagin, C. (2002).The Role of Nursing

Research in Obtaining Third Party

Reimbursement for the Care Provided by

Advanced Practice Nurses. International Nursing

Review. 49, 1, pp 57-63. (In Japanese, translated

by Takehana Tomiko)

Fairman, J. A. (2002).The roots of collaborative

practice: Nurse practitioner pioneer stories.

Nursing History Review, 10, 159-174.

Fairman, J. A. & Mahon, M. (2001). Oral history

of Florence Downs:The early years. Nursing

Research, 50, 322-328.

Gilder, K., Mayberry, L. J., Gennaro, S., &

Clemmens, D. (2002). Maternal positioning in

labor with epidural analgesia: Results from a

multi-site survey. AWHONN Lifelines, 6, 40-45.

Gennaro, S., & Kershbaumer, R. (2002).

Health promotion in childbearing women in

Rubanda, Uganda. Journal of Perinatal Neonatal

Nursing, 16, 39-50.

Medoff, E. & Houldin, A. (2001).

Communicating challenges in a young man

with Hodgkin’s disease. Cancer Practice, 9, 272-

276.

Zorrilla, E. P., Luborsky, L., McKay, J. R.,

Rosenthal, R., Houldin, A., Tax,A. et al.

(2001).The relationship of depression and stressors

to immunological assays:A meta-analytic

review. Brain, Behavior, & Immunity, 15, 199-226.

Hutchinson, M. K. (2002). Sexual risk communication

with mothers and fathers. Family

Relations, 51, 238-247.

Hutchinson, M. K., Jemmott, J. B., Jemmott,

L. S., Braverman, P., & Fong, G. (2002).

Mother-daughter communication about condoms:

influence on unprotected sexual intercourse

among urban adolescent females. Annals

of Behavioral Medicine, 24, 289.

Jemmott, L. S., Jemmott, J. B., & McCaffree,

K. (2002). Making proud choices:A safer sex

approach to STDs, teen pregnancy, and HIV/AIDS.

New York: Select Media.

Jemmott, L. S., Jemmott, J. B., & McCaffree,

K. (2002). Making a difference:An abstinence- based

approach to STDs, teen pregnancy, and HIV/AIDS.

New York: Select Media.

Jemmott, L. S., Jemmott, J. B., & Villarruel,A.

(2002). Predicting intentions and condom use

among Latino college students. Journal of the

Association of Nurses in AIDS Care, 13, 59-69.

Kagan, S. H. (2002).The experience of cancer

for older adults and their families: Managing

cancer treatment and symptoms. Coping

Magazine, 40.

Kagan, S. H., Chalian,A.A., Goldberg,A. N.,

Rontal, M. L.,Weinstein, G. S., Prior, B. et al.

(2002). Impact of age on clinical care pathway

length of stay after complex head and neck

resection. Head & Neck, 24, 545-548.

Kagan, S. H., Puppione,A.A., Beeber,A. S.,

Fillman, M.,Adler, J., & Chalian,A.A. (2002).

Pressure ulcers. In V.T. Cotter & N. E. Strumpf

(Eds.), Clinical guidelines for advanced practice nursing

with older adults. New York: McGraw-Hill.

Beeber,A. S. & Kagan, S. H. (2002). Chronic

wound management. In M. J. Goolsby (Ed.),

Nurse practitioner secrets. Philadelphia: Hanley &

Belfus.

Chalian,A.A., Kagan, S. H., Goldberg,A. N.,

Gottschalk,A., Dakunchak,A.,Weinstein, G. S. et

al. (2002). Design and impact of intraoperative

pathways for head and neck resection and

reconstruction. Archives of Otolaryngology – Head

& Neck Surgery, 128, 892-896.

Happ, M. B., Kagan, S. H., Strumpf, N. E.,

Evans, L. K., Sullivan-Marx, E., Minnick,A.

et al. (2001). Elderly patients’ memories of physical-restraint

experiences in intensive care units.

American Journal of Critical Care, 10, 367-369.

Keane, A., Houldin, A. D., Allison, P. D.,

Jepson, C., Shults, J., Nuamah, I. F. et al. (2002).

Factors associated with distress in urban residential

fire survivors. Journal of Nursing Scholarship,

34, 11-17.

McMenamin, E., Keane, A., & Polomano, R.

(2002). Pain:The fifth vital sign. In D.

Ignatavicius & M. L.Workman (Eds.), Medical

surgical nursing: Critical thinking for collaborative care.

(pp. 61-94). Philadelphia: Saunders.

Kurlowicz, L. H. (2002). Delirium and depression.

In V.T. Cotter & N. E. Strumpf (Eds.),

Clinical guidelines for advanced practice nursing with

older adults. New York: McGraw-Hill.

Kurlowicz, L. H., Outlaw, F. H., Evans,

L. K., & Marcus, S. M. (2001). Depression

among older African American users of an academic

outpatient rehabilitation program

(Abstract). Gerontologist, 41, 156.

Kurlowicz, L. H., Evans, L. K., Strumpf, N.

E., & Maislin, G. (2002).A psychometric evaluation

of the Cornell Scale for depression in

dementia in a frail, nursing-home population.

American Journal of Geriatric Psychiatry, 10, 600-608.

Lake, E.T. (2002). Development of the practice

environment scale of the Nursing Work Index.

Research in Nursing & Health, 25, 176-188.

Lang, N. M., Evans, L. K., & Swan, B.A.

(2002). Penn Macy Initiative to Advance

Academic Nursing Practice. Journal of Professional

Nursing, 18, 63-69.

Lang, N. M. & Clark, J. (2002). Kangokiroku ni

okeru kangojitsuzenkokusaibunrui no yuuyousei.

Nursing documentation:The usefulness of

the International Classification for Nursing

Practice (ICNP). International Nursing Review

(Japanese Edition), 25, 44-47.

Lang, N. M. & Jennings, B. M. (2002). Nurses

and nursing in the health care quality policy

arena. Journal of Professional Nursing, 18, 60, 112.

Swan, B.A., McGinley,A. M., & Lang, N. M.

(2002).Ambulatory care nursing practice:

Developing and contributing to the evidence

base. Nursing Economics, 20, 83-87.

Lipman T.H., Hench, K.D., Benyi,T., Delaune,

J., Shorkey, D., Gilluly, K., et.al. (2001). Effect of a

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Hench, K.D, Lipman,T.H., Benyi,T., Clow, C.,

Delaune, J., Gilluly, K., et.al. (2001). Effect of a

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linear growth measurements. Program and

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Lipman,T.H., Deatrick, J.A., Lischner, H.,

Treston, C.S., Hassey, K., Hale, P.M., et.al. (2002).

Assessment of growth and immunological status

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Abstracts of the Pediatric Endocrinology Nursing

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Sarah Kagan

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Lipman,T.H. Type 1 Diabetes. In L.L.

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Lipman,T.H., Deatrick, J.A., Treston, C.S.,

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Journal of the Association of Nurses in AIDS Care,

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Lipman,T.H. (2001-2).Toward evidence based

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Lipman,T. H., Deatrick, J. A., Treston, C. S.,

Lischner, H.W., Logan, J., Hassey, K. et al. (2002).

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Katz, L. E. L., Jawad,A. F., Ganesh, J., Lipman,

T. H., Hunter, J.,Weinzimer, S.A. et al. (2001).

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Lipman,T.H., Jawad,A., Murphy, K., Katz,

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from 1995-2000: Epidemic or misclassification?

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Miller, K. L., Bradley, C., Jones, R.,

McCausland, M. P., Potempa, K., Rendon, D.

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practice environment.Washington, DC:

American Association of Colleges of Nursing.

McGuire, D.B., Peterson, D.E., Muller, S.,

Owen, D.C., Slemmons, M., & Schubert, M.M.

(2002).The 20-item Oral Mucositis Index:

Reliability and validity in bone marrow and

stem cell transplant patients. Cancer Investigation,

20, 893-903.

McGuire, D. B. (2002). Mucosal tissue injury

in cancer therapy: More than mucositis and

mouthwash. Cancer Practice, 10, 179-191.

Bellm, L.A., Cunningham, G., Durnell, L.,

Eilers, J., Epstein, J. B., Fleming,T., Fuchs, H.J.,

Haskins, M.N., Horowitz, M.M., Martin, P.J.,

McGuire, D.B., Mullane, K., & Oster, G.

(2002). Defining clinically meaningful outcomes

in the evaluation of new treatments for oral

mucositis: Oral mucositis patient provider advisory

board. Cancer Investigation, 20, 793-800.

Kimble, L. P., Dunbar, S. B.,Weintraub,W. S.,

McGuire, D. B., Fazio, S., De,A. K. et al.

(2002).The Seattle Angina Questionnaire:

Reliability and validity in women with chronic

stable angina. Heart Disease, 4, 206-211.

Sonis, S.T., Peterson, D. E., McGuire, D. B., &

Williams, D.A. (2001). Prevention of mucositis

in cancer patients [Editorial]. Journal of the

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Sonis, S.T., Peterson, D. E., McGuire, D. B., &

Williams, D.A. (2001).Tissue injury in cancer

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Journal of the National Cancer Institute.

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Strickland, O. L., Jackson, G., Gilead, M.,

McGuire, D. B., & Quarles, S. (2001). Use of

focus groups for pain and quality of life assessment

in adults with sickle-cell disease. Journal of

National Black Nurses Association, 12, 36-43.

Medoff-Cooper, B., Bilker,W., & Kaplan, J.

(2001). Sucking behavior as a function of gestational

age:A cross-sectional study. Infant Behavior

and Development, 24, 83-94.

Medoff-Cooper, B., McGrath, J. M., & Shults,

J. (2002). Feeding patterns of full-term and preterm

infants at forty weeks post-conceptual age.

Journal of Developmental and Behavioral Pediatrics,

23, 231-236.

Meleis, A. I. (2002).Whither international

research? [Editorial]. Journal of Nursing Scholarship,

34, 4-5.

Meleis, A. I. & Im, E. O. (2002). Grandmothers

and women’s health: From fragmentation to

coherence. Health Care for Women International,

23, 207-224.

Jones, P. S., Zhang, X. E., Jaceldo-Siegl, K., &

Meleis, A. I. (2002). Caregiving between two

cultures:An integrative experience. Journal of

Transcultural Nursing, 13, 202-209.

St. Hill, P., Lipson, J., Meleis, A. I. (Eds.). (2002).

Caring for women cross-culturally:A portable guide.

Philadelphia: F.A. Davis.

Meleis, A. I. (Ed.) (2001). Women’s work, health

and quality of life. Binghamton, NY: Haworth

Medical Press.

Meleis, A. I. (2001). Scholarship and the R01.

Journal of Nursing Scholarship, 33, 104-105.

Meleis, A. I. & Lindgren,T. (2001).World

health. Show me a woman who does not work!

Journal of Nursing Scholarship, 33, 209-210.

Im, E. O. & Meleis, A. I. (2001).An international

imperative for gender-sensitive theories in

women’s health. Journal of Nursing Scholarship, 33,

309-314.

Naylor, M. D. (2002).Transitional care of older

adults. In P.Archbold & B. Stewart (Eds.), Annual

Review of Nursing Research, v. 20 (pp. 127-147).

New York: Springer.

Brooten, D., Naylor, M.,York, R., Brown, L.,

Munro, B., Hollingsworth,A., Cohen, S., Finkler,

S., Deatrick, J. & Youngblut, J. (2002). Lessons

learned from testing the quality-cost model of

advanced practice nursing transitional care.

Journal of Nursing Scholarship, 369-375.

Johnston Taylor, E. & Outlaw, F. H. (2002). Use

of prayer among persons with cancer. Holistic

Nursing Practice, 16, 46-60.

Ment, L. R., Bada, H. S., Barnes, P., Grant, P. E.,

Hirtz, D., Papile, L.A., Pinto-Martin, J.,

Rivkin, M. & Slovis,T.L. (2002). Practice parameter:

Neuroimaging of the neonate. Report of

the Quality Standards Subcommittee of the

American Academy of Neurology and the

Practice Committee of the Child Neurology

Society. Neurology, 58, 1726-1738.

Hille, E., den Ouden,A.L., Saigal, S.,Wolke, D.,

Lambert, M.,Whitaker,A., Pinto-Martin, J., et

al. (2001). Behavioral problems in children who

weighed 1000 g or less at birth in four countries.

The Lancet, 357:1641-1643.

Mandell, D., & Pinto-Martin, J. (2002) Race

differences in the age at diagnosis among

Medicaid-eligible children with autism. Journal of

American Academy of Child and Adolescent

Psychiatry, 41, 1447-1453

Lenore Kurlowicz Eileen Lake Norma Lang Terri Lipman Zoriana Malseed Kathleen McCauley Maureen

McCausland

William McCool

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A. B. Peitzman, M. Rhodes, C.W. Schwab, D. M.

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Williams & Wilkins.

Richmond,T. S., Kauder, D., Strumpf, N. E.,

& Meredith,T. (2002). Characteristics and outcomes

of serious traumatic injury in older

adults. Journal of the American Geriatrics Society, 50,

215-222.

Richmond,T. S., Schwab, C.W., & Branas, C.

C. (2002). Firearm availability and childhood

death. [Editorial commentary]. Journal of Trauma:

Injury, Infection, and Critical Care, 52, 274-275.

Richmond,T. S. & Thompson, H. J. (2002).

Quality care in challenging circumstances:A

patient with a spinal cord injury. Journal of

Neuroscience Nursing, 34, 44-48.

Schwab, C.W., Richmond,T. S., Cheney, R.

A.,Weiner, J., & Duney, M. (2002). Risk factors

for violent death in children. [Letter to the

Editor]. JAMA: Journal of the American Medical

Association, 287, 983.

Riegel, B. & Carlson, B. (2002). Facilitators and

barriers to heart failure self-care. Patient Education

and Counseling, 46, 287-295.

Riegel, B., Carlson, B., Kopp, Z., Le Petri, B.,

Unger,A., & Glaser, D. (2002). Effect of a standardized

nurse case management telephone

intervention on resource use in chronic heart

failure patients. Archives of Internal Medicine, 162,

705-712.

Riegel, B., Carlson, B., Kopp, Z., Glaser, D., Le

Petri, B., & Romero,T. (2002). Is standardized

telephonic case management as effective in a

Latino heart failure population? Disease

Management and Health Outcomes, 10, 241-249.

Carlson, B., Riegel, B., & Moser, D. (2001).

Self-care abilities of patients with heart failure.

Heart & Lung, 30, 351-359.

Schumacher, K. L., Koresawa, S.,West, C.,

Hawkins, C., Johnson, C.,Wais, E. et al. (2002).

Putting cancer pain management regimens into

practice at home. Journal of Pain and Symptom

Management, 23, 369-382.

Schumacher, K. L., Koresawa, S.,West, C.,

Hawkins, C., Johnson, C.,Wais, E. et al. (2002).

Pain management autobiographies and reluctance

to use opioids for cancer pain management.

Cancer Nursing, 25, 125-133.

Schumacher, K. L. & Portillo, C. J. (2002).

Advanced practice nursing in home care. In I.

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532). Philadelphia: Saunders.

Miaskowski, C., Dodd, M. J.,West, C., Paul, S.

M.,Tripathy, D., Koo, P., & Schumacher, K.

(2001). Lack of adherence with the analgesic

regimen:A significant barrier to effective cancer

pain management. Journal of Clinical Oncology, 19,

4275-4279.

Miaskowski, C., Mack,A., Dodd, M. J.,West, C.,

Paul, S. M.,Tripathy, D., Koo, P., Schumacher,

K., & Facione, N. (2002). Differences in pain

outcome measures between oncology outpatients

who took pain medicine on an aroundthe-clock

basis versus on an as needed basis.

Journal of Pain, 3, 12-20.

Sochalski, J. A. & Mark, H. D. (2001).

Response to “Health service utilization patterns

among homeless men in transition: Exploring

the need for on-site, shelter-based nursing care.”

Scholarly Inquiry for Nursing Practice, 15, 155-159.

Spratley, E., Johnson,A., Sochalski, J. A., Fritz,

M., & Spencer,W. (2001). The registered nurse population

March 2000: Findings from the National

Sample Survey of Registered Nurses. Rockville,

MD: Division of Nursing, Bureau of Health

Professions, U.S. Health Resources and Services

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Pugh, L., Milligan, R., Frick, K., Spatz, D., &

Bronner,Y. (2002). Breastfeeding duration, costs,

and benefits of a support program for lowincome

breastfeeding women. Birth, 29, 95-100.

Stringer, M. & Essner, B. (2002). Embryonic and

fetal evaluation during pregnancy. New York: March

of Dimes Birth Defects Foundation.

Stringer, M. (2002). Evidence based practice

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Philadelphia:W.B. Saunders.

Bourbonniere, M., Strumpf, N. E., Evans,

L. K., & Maislin, G. (2001). Organizational variables

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Capezuti, E., Maislin, G., Strumpf, N. E., &

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Cotter,V.T. & Strumpf, N. E. (2002). Advanced

practice nursing with older adults. New York:

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Happ, M. B., Capezuti, E., Strumpf, N. E.,

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(2002).Advance-care planning and end-of-life

care for hospitalized nursing-home residents.

Journal of the American Geriatrics Society, 50, 829-

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Lavizzo-Mourey, R., Cox, C., Strumpf, N. E.,

Lavizzo-Mourey, R.W., Stinemon, M., & Grisso,

J.A. (2001).Attitudes and beliefs about exercise

among elderly African Americans in an urban

community. Journal of the National Medical

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Sullivan-Marx, E., Kurlowicz, L. H.,

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restraint among hospitalized nursing-home residents:

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Tkacs, N. C. (2002). Hypoglycemia unawareness:Your

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Tulman, L. (2001).Test vs. tables: how to summarize

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Umlauf, M. G., Chasens, E. R., & Weaver, T. E.

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Weaver, T. E. (2002).Adherence to CPAP

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Medoff-Cooper

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27


Grants

School of Nursing Research Grants

2001-2002

University of Pennsylvania Center for AIDS Research

National Institutes of Health

1999-2004

Principal Investigator: James Hoxie

Co-investigators: Linda Aiken, Loretta

Jemmott, Robert Hornick, Martin Fishbein,

George Woody, Paul Allison, M. Katherine

Hutchinson

Evidence-Based Nurse Executive Program on

Solutions to Nursing Shortage

The Robert Wood Johnson Foundation

2002-2003

Principal Investigator: Linda Aiken

Evidence-Based Executive Nurse Practice Conference:

The Evidence and the Action

The Robert Wood Johnson Foundation

2000-2001

Principal Investigator: Linda Aiken

Evaluating a Hospital Quality Improvement Model

for Developing Countries

University of Pennsylvania

University Research Foundation

2002-2003

Principal Investigator: Linda Aiken

Center for Nursing Outcomes Research

National Institutes of Health

2000-2005

Principal Investigator: Linda Aiken

Co-investigators: Julie Sochalski, Barbara

Medoff-Cooper, Susan Gennaro,

Loretta Jemmott

Nursing Shortage, Medical Error, Uneven Quality of

Hospital Care: Dissemination of Findings

The Commonwealth Foundation

2000-2001

Principal Investigator: Linda Aiken

Hospital Restructuring: Implications for Patient

Outcomes and Workforce Policy

The Robert Wood Johnson Foundation

1999-2002

Principal Investigator: Linda Aiken

International Evaluation of Variation in Hospital

Outcomes

National Institutes of Health

1997-2001

Principal Investigator: Linda Aiken

How Nursing Affects the Volume-Outcomes

Relationship

National Institutes of Health

2001-2004

Principal Investigator: Linda Aiken

Co-investigators: Julie Sochalski, Doug

Sloane, Sean Clarke

Advanced Training in Nursing Outcomes Research

National Institutes of Health

1999-2004

Principal Investigator: Linda Aiken

Co-investigators: Julie Sochalski, Loretta

Jemmott

Environmental Health and Nursing Project

Association of Occupational and Environmental

Clinics

2001-2002

Principal Investigator: Kay Arendasky

Evaluating the Impact of Strength for Caring and

Social Functioning among Elderly Hospice Caregivers

Ortho Biotech, Inc.

2000-2001

Principal Investigator: Frances Barg

Co-investigator: Deborah McGuire

Preserving Physical and Mental Health and Social

Functioning among Elderly Hospice Caregivers

Wissahickon Hospice

2000-2003

Principal Investigator: Frances Barg

Co-investigator: Deborah McGuire

Nurse Researcher for the Visiting Nurses Association

Visiting Nurses Association

2000-2003

Principal Investigator: Kathryn Bowles

Exploring the Relationships of Oasis Data to Home-

Care Outcomes

Frank Morgan Jones Fund/Hartford Center for

Geriatric Nursing Excellence

2002-2003

Principal Investigator: Kathryn Bowles

Co-investigator: John Holmes

Factors to Support Effective Discharge Decision-

Making

National Institutes of Health

2001-2004

Principal Investigator: Kathryn Bowles

Co-investigators: John Holmes, Mary Naylor,

Matthew Liberatore

National Sexual Violence Resource Center

Pennsylvania Coalition Against Rape

1999-2004

Principal Investigator: Ann Burgess

Co-investigators: Cynthia Newcomer, Kathy

Brown, Sherry Morgan, Angela Frederick

Racial Differentials in the Process and Outcomes of

Hospital Care in Pennsylvania

University of Pennsylvania

University Research Foundation

2002-2003

Principal Investigator: Sean Clarke

The Effects of Organizational Climate on Hospital

Patient and Nurse Safety

National Institutes of Health

2002-2005

Principal Investigator: Sean Clarke

Mentor/Sponsor: Linda Aiken

The Health Annex at the Francis Myers Youth Access

Center

The Patricia Kind Family Foundation

1999-2002

Principal Investigator: Margaret Cotroneo

Myers Health Annex Men’s Health Outreach

Program

Jessie Ball duPont Fund

2001-2004

Principal Investigator: Margaret Cotroneo

Community-based, Population-Focused Primary

Care:Toward a Model of Neighborhood Health

Independence Foundation

2000-2002

Principal Investigator: Margaret Cotroneo

Co-investigator: Freida Outlaw

Community-Based Violence Prevention Program

First Hospital Foundation

2002

Principal Investigator: Margaret Cotroneo

Nurse-Managed Health Care

Independence Foundation

2002

Principal Investigator: Margaret Cotroneo

Introduction to Public Health Studies

Center for Community Partnerships

2002-2003

Principal Investigator: Margaret Cotroneo

Nursing History Review

American Association for the History of

Nursing

2002

Principal Investigator: Patricia D’Antonio

Family Experiences Withdrawing Life-Sustaining

Therapy

National Institutes of Health

2000-2003

Fellow: Deborah Lynn-McHale Wiegand

Mentor: Janet Deatrick

Barbara Riegel Ann E. Rogers Cynthia Scalzi Karen Schumacher Edith Simpson Julie Sochalski Diane Spatz Marilyn Stringer

28


Geriatric Education Center

Health Resources and Services Administration

1995-2001

Principal Investigator: Risa Lavizzo-Mourey

Co-investigator: Lois Evans

Delaware Valley Geriatric Education Center

Health Resources and Services Administration

2001-2006

Principal Investigator: Mary Ann Forceia

Co-investigator: Lois Evans

The History of the Nurse Practitioner Movement,

1960 to the Present

National Institutes of Health

National Library of Medicine

2001-2002

Principal Investigator: Julie Fairman

Research on Vulnerable Women, Children, and Families

National Institutes of Health

1998-2003

Principal Investigator: Susan Gennaro

Co-investigators: Janet Deatrick, Loretta

Jemmott

Narrowing Health Disparities: Education and Outreach

National Institutes of Health

Center for Nursing Outcomes Research

2000-2005

Principal Investigator: Susan Gennaro

Co-investigators: Loretta Jemmott, Janet

Deatrick, Lorraine Tulman

Neonatal Resuscitation:An Intervention in Malawi,

Africa

University of Pennsylvania

University Research Foundation

2000-2003

Principal Investigator: Kent Bream

Co-investigator: Susan Gennaro

Mechanisms Underlying Preterm Birth

Sigma Theta Tau, Xi Chapter

University of Pennsylvania Center for Nursing

Research

University of Pennsylvania Center for Nursing

Outcomes Research

2002-2003

Principal Investigator: Susan Gennaro

Ethnic Identity and Hispanic Adolescent Sexual

Behavior

Franklin Health Trust

2001-2002

Fellow: Aida Egues

Mentor: Susan Gennaro

Graduate Education in Oncology Nursing for Minorities

National Institutes of Health

1998-2003

Principal Investigator: Arlene Houldin

Co-investigators: Deborah McGuire

Dyadic Ecological Analysis of Adolescent Sexual Risk

National Institutes of Health

2001-2003

Principal Investigator: M. Katherine

Hutchinson

Sexual Risk in Newly Single Midlife Women

Association of Women’s Health, Obstetric, and

Neonatal Nurses (AWHONN)

2000 Wyeth-Ayerst Award

2000-2002

Principal Investigator: M. Katherine

Hutchinson

Church-based Parent-Child HIV Prevention Project

National Institutes of Health

2001-2006

Principal Investigator: Loretta Jemmott

Co-investigator: John Jemmott, Freida Outlaw,

M. Katherine Hutchinson,Vivan Gadsden,

Larry Icard

HIV Sexual Risk Reduction for Black Drug-Using

Women

National Institutes of Health

2001-2006

Principal Investigator: Loretta Jemmott

Co-investigators: John B. Jemmott, David

Metzger, Erica Gollub, M. Katherine

Hutchinson, Charles Dackis

Helping Families Reduce HIV in African American

Youth

National Institutes of Health

2000-2005

Principal Investigator: Larry Icard

Co-investigators: Loretta Jemmott, M.

Katherine Hutchinson

HIV Prevention Trial Unit

National Institutes of Health

2000-2005

Principal Investigator: David Metzger

Co-Principal Investigator: George Woody

Co-investigators: Erica Gollub, John B. Jemmott,

Loretta Jemmott, Lisa Maslankowski, Daniel

Malmud,Antoine Messiah, Linda Aiken,

Martin Fishbein, Richard Landis

Research to Classroom Dissemination Project

ETR Associates

2001-2002

Principal Investigator: Loretta Jemmott

Empowering Women Drug Users to Reduce HIV Risk

National Institutes of Health

2001-2004

Principal Investigator: Erica Gollub

Co-investigators: David Metzger,Antoine

Messiah, Loretta Jemmott

The Hampton Penn Initiative

The Teagle Foundation Incorporated

1997-2001

Principal Investigator: Loretta Jemmott

Co-investigators: Lorraine Tulman, Rosalyn

Watts, Jacqueline Fawcett

Phase IV Trial of an HIV Risk Reduction

Intervention

National Institutes of Health

1999-2002

Principal Investigators: John B. Jemmott

Co-investigators: Loretta Jemmott, Hazel Spears

HIV/STD Prevention Interventions for Black

Adolescents

National Institute for Mental Health

2000-2004

Principal Investigator: John B. Jemmott

Co-investigators: Robert L. Johnson, Geoffrey

Wong,Antonia Villarruel, Loretta Jemmott

The Generalizability of HIV Risk Reduction

Strategies

National Institutes of Health

1999-2004

Principal Investigator: John B. Jemmott

Co-investigators: Loretta Jemmott, Robert L.

Johnson, Geoffrey Wong,Antonia Villarruel

HIV/STD Risk Reduction for African American

Couples

National Institutes of Health

2002-2007

Principal Investigator: John B. Jemmott

Co-investigator: Loretta Jemmott

Advanced Education Nursing Traineeships

Health Resources and Service Administration

2001-2003

Principal Investigator: Anne Keane

Nursing Expertise Measures for Outcomes Research

National Institutes of Health/National Institute

for Nursing Research

2000-2003

Principal Investigator: Eileen Lake

Mentor/Sponsor: Linda Aiken

Measuring and Improving Health-Care Quality

Agency for Healthcare Research and Quality

2001-2002

Principal Investigator: Norma Lang

Evidence-Based Practice Models: Shaping Clinical

Nursing Education in the Twenty-first Century

Joshia Macy, Jr., Foundation

1998-2002

Principal Investigator: Norma Lang

Neville Strumpf

Eileen Sullivan-

Marx

Joyce Thompson Nancy Tkacs Lorraine Tulman Terri Weaver Karen Wilkerson

29


A Multicenter Study to Evaluate Growth Monitoring

in Primary-Care Practices

Genentech Inc.

1998-2001

Principal Investigator: Terri Lipman

Assessment of Growth and Endocrine Function in

Children who are HIV-infected or Exposed

Pediatric Endocrine Nursing Society

1998-2001

Principal Investigator: Terri Lipman

Co-investigator: Janet Deatrick

Nursing History Review

American Association for the History of

Nursing

1995-2001

Principal Investigator: Joan Lynaugh

Participating in Life-Long Surveillance for Genetic

Predisposition to Cancer

Oncology Nursing Society

2001-2002

Principal Investigator: Ellen Giarelli

Co-investigator: Deborah McGuire

Nursing Research Training Psychosocial Oncology

National Institute of Nursing Research

1997-2002

Principal Investigator: Deborah McGuire

Co-investigators: Anne Keane, Neville

Strumpf, Loretta Jemmott, Lorraine Tulman

Biobehavioral Interventions for Oral Pain and

Mucositis

National Institutes of Health

1999-2002

Principal Investigator: Deborah McGuire

Co-investigators: Phyllis Gimoty, Arlene

Houldin, Martin Greenberg, Edward

Stadtmauer, Douglas Peterson, Peter Tutschka,

Susan Nolte

Doctoral Degree Scholarship in Cancer Nursing

American Cancer Society

2001-2003

Fellow: Sadie Hutson

Mentor: Deborah McGuire

Doctoral Degree Scholarship in Cancer Nursing

American Cancer Society

2000-2003

Fellow: Susan Nolte

Mentor: Deborah McGuire

Doctoral Degree Scholarship in Cancer Nursing

American Cancer Society

2002-2004

Fellow: Margaret Crighton

Mentor: Deborah McGuire

Infant Functional Status and Discharge

The Children’s Hospital of Philadelphia

National Institutes of Health

2001-2002

Principal Investigator: Jeff Silber

Co-investigator: Barbara Medoff-Cooper,

Paul Rosenbaum

The Effect of Birthweight on Blood Pressure in Late

Childhood

Thomas Jefferson University

National Institutes of Health

2000-2002

Principal Investigator: Bonita Faulkner

Co-investigator: Barbara Medoff-Cooper

Quality Cost Model Advanced Practice Nurse (APN)

Transitional Care Model for Elders

Hartford Center of Geriatric Nursing

Excellence

2001-2002

Principal Investigator: Mary Naylor

Clinical and Economic Effectiveness of a Technology-

Driven Heart Failure Monitoring System

Health Care Financing Administration

2000-2004

Principal Investigator: Mariel Jessup

Co-investigator: Mary Naylor

Transitional Care Needs of Hospitalized Elders and

Their Caregivers

The Alzheimer’s Association

2000-2001

Principal Investigator: Mary D. Naylor

Co-investigators: Sandy Schwartz, Chris Clark

Assessing Health-Related Quality of Life of Frail

Elders

The Presbyterian Foundation for Philadelphia

2000-2003

Principal Investigator: Mary Naylor

Co-investigators: Kathryn Bowles, Karen

Buhler-Wilkerson

PACE-RESEARCH/Model and Instruments

The Presbyterian Foundation for Philadelphia

1999-2001

Principal Investigator: Mary Naylor

Co-investigator: Karen Buhler-Wilkerson

PACE-RESEARCH/Pilots and Data Base

The Presbyterian Foundation for Philadelphia

1999-2001

Principal Investigator: Mary Naylor

Co-investigator: Karen Buhler-Wilkerson

Physician-Nurse Co-Management of Elders with

Heart Failure

National Institute of Nursing Research

1999-2001

Principal Investigator: Sanford Schwartz

Co-investigators: Mary Naylor, Kathleen

McCauley

Robert Wood Johnson Executive Nurse Fellows

Program

University of California San Francisco

1998-2001

Principal Investigator: Ann O’Sullivan

Child and Family Mental Health – Community

Health Status

WEB DuBois Research Collective

2001-2002

Principal Investigator: Freida Outlaw

Center for Excellence for Autism Epidemiology

Centers for Disease Control and Prevention

2001-2006

Principal Investigator: Jennifer Pinto-Martin

Co-investigators:Trevor Hadley, David Mandell,

Susan Levy, James Coplan, Nancy Spinner

Studies on the Epidemiology and Etiology of Autism

National Institutes of Health

2001

Principal Investigator: Jennifer Pinto-Martin

Epidemiology of Early CNS Injury &

Psychopathology at 13

Research Foundation for Mental Hygiene Inc.

National Institute of Mental Health

1999-2004

Principal Investigator:Agnes Whitaker

Co-investigator: Jennifer Pinto-Martin

Reducing Firearm Injury through Interdisciplinary and

Community Partnerships: Empowering Medical

Professionals

The Joyce Foundation

2001-2004

Co-Principal Investigators: Therese

Richmond, C.William Schwab

Co-investigator: Charles C. Branas

Major Depression Following Minor Injury

National Institutes of Health

2002-2007

Principal Investigator: Therese Richmond

Co-investigators: Jay Amsterdam, David

Brunswick, Donald Kauder,Vincente Gracias,

Keith Robinson, Judd Hollander, Justine Shults

Management of Excessive Daytime Sleepiness in

Narcolepsy

National Institutes of Health

1997-2002

Principal Investigator: Ann Rogers

Co-investigators: Charles Cantor, Lawrence

Scrima, Jed Black, Neil Feldman, June Fry,

Helene Emsellem, Sharon Shutte

Staff Nurse Fatigue and Patient Safety

Agency for Healthcare Research and Quality

2001-2004

Principal Investigator: Ann Rogers

Co-investigators: David Dinges, Naomi Rogers,

Linda Aiken, Richard Landis

Family Caregiving Skill Measurement and Evaluation

National Institutes of Health

1999-2002

Principal Investigator: Karen Schumacher

Co-investigator: Sarah Kagan

Intergovernmental Personnel Act Agreement for Julie

A. Sochalski

Health Resources and Services Administration

2001-2002

Principal Investigator: Julie Sochalski

30


Exploring Methods to Incorporate Public-Use Data in

Aging Research Studies

University of Pennsylvania

Population Aging Research Center

2002-2003

Principal Investigator: Julie Sochalski

Impact of Geriatric Rehabilitation for Frail Elders

National Institutes of Health

1999-2001

Principal Investigator: Julie Sochalski

Co-investigators: Linda Aiken, Lois Evans,

Doug Sloane

The Program for North American Mobility in Higher

Education

University of New Mexico / FIPSE

2000-2004

Principal Investigator: Diane Spatz

Influencing Nutrition of African American Adolescent

Mothers and their Infants by Using the Maternal

Child Nutrition Support Team

University of Pennsylvania

University Research Foundation

2001-2002

Principal Investigator: Diane Spatz

Mom and Me Do BSE: Mothers and Daughters

Together for Breast Health Promotion

The Breast Health Institute

1998-2002

Principal Investigator: Diane Spatz

Homecare for Women with Preterm, Premature

Rupture of Membrances Outcomes and Cost

University Research Foundation

2001-2003

Principal Investigator: Marilyn Stringer

Co-principal Investigator: Linda Brown

Living Independently for Elders (LIFE)

Philadelphia Health Care Trust

2001-2002

Principal Investigator: Neville Strumpf

Palliative Care in Nursing Homes – Pilot Project

Hartford Center of Geriatric Nursing

Excellence

2001-2002

Principal Investigator: Neville Strumpf

Geriatric Nursing Education Project

American Association of Colleges of Nursing

2002-2005

Principal Investigator: Neville Strumpf

Palliative Care in Nursing Homes-Communications

Grant

University of Montana

The Robert Wood Johnson Foundation

2001-2002

Co-Project Directors: Neville Strumpf,

Howard Tuch

Center for Gerontologic Nursing Excellence

The John A. Hartford Foundation

2001-2005

Principal Investigator: Neville Strumpf

Co-investigators: Lois Evans, Mary Naylor

Palliative Care in Nursing Homes

The Robert Wood Johnson Foundation

1998-2002

Principal Investigator: Neville Strumpf

John A. Hartford Foundation Geriatric Nursing

Scholarship

The John A. Hartford Foundation

2001-2003

Fellow: Anna Beeber

Mentor: Neville Strumpf

Preventing Falls and Disability in Inner-City Elderly

School of Medicine

National Institutes of Health

2000-2003

Principal Investigator: Neville Strumpf

Co-investigators: Jeanne Ann Grisso, Riza

Lavisso-Mourey, Margaret Stineman, Christine

Bradway

Medicare Payments to Advanced Practice Nurses

Following the Balanced Budget Act of 1997

Hartford Center for Geriatric Nursing

Excellence

2001

Principal Investigator: Eileen Sullivan-Marx

Hospital Staffing, Physical Restraint and Patient

Outcomes

National Institutes of Health

2000-2003

Principal Investigator: Eileen Sullivan-Marx

Mentor/Sponsor: Linda Aiken, Neville

Strumpf

Forming the Building Blocks of Leadership for

Nursing Students Across Academic Levels

Helene Fuld Health Trust

2001-2003

Principal Investigator: Joyce Thompson

Community-Based Safe Motherhood Adviser

The Rockefeller Foundation

1995-2002

Principal Investigator: Joyce Thompson

Co-investigator: Rose Kershbaumer

Counterregulatory Failure and the Arcuate Nucleus

National Institutes of Health

2000-2002

Principal Investigator: Nancy Tkacs

Hypoglycemia-Associated Autonomic Failure and the

Brain

National Institutes of Health

2001-2004

Principal Investigator: Nancy Tkacs

Thermoregulatory Sequela of Traumatic Brain Injury

National Institutes of Health

Neuroscience Nursing Foundation

American Association of Critical-Care Nurses

2001-2003

Fellow: Hilaire Thompson

Mentor: Nancy Tkacs

Telephone Support and Education for Adaptation to

Breast Cancer

American Cancer Society

1998-2001

Principal Investigator: Nelda Samarel

Co-investigator: Lorraine Tulman

Obstructive Sleep Apnea Clinical Trial Group

Sleep Medicine Education and Research

Foundation

1999-2002

Principal Investigator: Terri Weaver

SCOR in Neurobiology of Sleep and Sleep Apnea

National Institutes of Health

1998-2003

Principal Investigator:Allan Pack, MD

Co-investigators: Terri Weaver, David Dinges

Complementary and Alternative Medicine Adherence

in Asthma

American Lung Association

2001-2003

Fellow: Maureen George

Mentor: Terri Weaver

Supporting LIFE into Financial Sustainability

Connelly Foundation

2001-2003

Principal Investigator: Karen Buhler-

Wilkerson

LIFE: Improving Quality of Life of Frail Elders in

West Philadelphia

The Pew Charitable Trusts

2000-2003

Principal Investigator: Karen Buhler-

Wilkerson

Co-investigator: Mary Naylor

LIFE: Integrating Mental Health Services in Care of

Frail Elders

van Ameringen Foundation, Inc.

2002-2003

Principal Investigator: Karen Buhler-

Wilkerson

Masters Education in Occupational Health

Center for Disease Control

1998-2002

Principal Investigator: Karen Buhler-

Wilkerson

Co-investigator: Kay Arendasky

Preparing Home-Care Practitioners for the Future

Hartford Center for Geriatric Nursing

Excellence

2002-2003

Principal Investigator: Karen Buhler-

Wilkerson

31


Fellows

of the Royal College of Nursing

Four current and former members of the School

have been honored by membership in the Royal

College of Nursing as tribute to their international

contributions.They are:

• Linda H Aiken, PhD, FAAN, FRCN, RN,

Claire M. Fagin Leadership Professor in

Nursing, Professor of Sociology, and Director

of the Center for Health Outcomes and Policy

Research.

• Claire Fagin, PhD, FAAN, FRCN, RN,

Dean and Professor Emeritus, former Interim

President of the University of Pennsylvania,

current Director of The John A. Hartford

Foundation national program, Building

Academic Geriatric Nursing Capacity.

• Vernice Ferguson, MS, FAAN, FRCN, RN,

Senior Fellow Emeritus, Fagin Family Chair in

Cultural Diversity, was the second American

ever admitted.

• Norma M. Lang, PhD, FAAN, FRCN, RN,

Lillian S. Brunner Professor of Medical

Surgical Nursing, Director of the WHO

Collaborating Center in Nursing and

Midwifery Leadership.

Awards

Linda Aiken

American Nurses Association Barbara Thoman

Curtis Award

Kathryn Bowles

Distinguished Alumni Award in Natural Science

from Edinboro University of Pennsylvania

Fellowship to the National Library of Medicine

Program in Medical Informatics from the

Marine Biological Laboratory.

Julie Fairman

Fellowship from the National Endowment for

the Humanities

Susan Gennaro

Doctoral Student Organization Faculty Award

Loretta Sweet Jemmott

Exemplary Substance Abuse Prevention Award

from the Center for Substance Abuse Prevention

• Women Making A Difference Award from

Citizens Bank and The Honorable Blondell

Reynolds Brown • Gloria Twine Chisum

Faculty Leadership Award from the University of

Pennsylvania • Community Award from The

Committee to End Homelessness • Davis - Sams

Distinguished Visiting Professorship Award from

Indiana University

Norma M. Lang

American Nurses Association Jessie M. Scott

Award

Terri Lipman

University of Pennsylvania Lindback Award for

Distinguished Teaching

Barbara Medoff-Cooper

Sigma Theta Tau Chiron Mentor Award

Ann O’Sullivan

Robert Wood Johnson Executive Fellow

Inaugural Lecturer and Supporter from the

National Student Nurses Association

Margaret D. Sovie

1983 Magnet Hospital Study and Magnet

Hospitals:Attraction and Retention of

Professional Nurses and its authors honored by

the American Organization of Nurse Executives

Institute for Patient Care, Research and

Education

Diane Spatz

School of Nursing Faculty Teaching Award •

State Nurses Association of Pennsylvania Faculty

Advisor of the Year

Eileen Sullivan-Marx

School of Nursing Undergraduate Advising

Award

Joyce Thompson

Honorary Alumni Award from the University of

Pennsylvania School of Nursing Society of the

Alumni

Endowed Chairs

Barbara Medoff-Cooper,PhD, FAAN,

CRNP, RN

Dr. Barbara Medoff-Cooper, has been named

the second holder of the Helen M. Shearer

Endowed Term Chair in Nutrition.

The Shearer Chair is “particularly complimentary

to Dr. Medoff-Cooper’s area of research

on the nutritive sucking patterns of smaller and

sicker neonates, building on a strong program of

clinical research focusing on the neurobehavioral

development of the neonate,” said Dean Meleis

in announcing the appointment.As a Robert

Wood Johnson Clinical Nurse Scholar, Dr.

Medoff-Cooper began investigating the interrelationship

between neurologic integrity and

neurobehavioral development. Her early work

used both brain and metabolism studies as well

as a clinical assessment tool which she developed.

Dr. Medoff-Cooper’s present work with

nutritive sucking and physiological correlates

continues the emphasis on exploring the interrelationship

between neurologic integrity and

behavioral outcomes.

“Dr. Medoff-Cooper’s work is an excellent

example of the importance of clinical research to

nursing care practices. Her work clearly demonstrates

the process of identifying a clinical problem

for research, developing techniques for investigation

of the issues, and providing data which

has clinical relevance,” added Dean Meleis.

Dr. Medoff-Cooper has been funded five

times by the National Institutes of Health to

study feeding behaviors and neurodevelopmental

outcomes in first preterm infants. Currently, she

is working with a $3 million grant, the first of its

kind involving the study of both feeding behaviors

and energy expenditure in infants with

complex congenital heart disease.These infants

are at great risk for failure to thrive even after

surgery repairing their lesions.

Mary D. Naylor, PhD, FAAN, RN

Dr. Mary Naylor has been named to the Marian

S.Ware Chair in Gerontology.

Dr. Naylor’s appointment to the Ware

Chair is made in recognition of her “stellar

achievements in advancing research, education,

and practice initiatives in gerontological nursing.”

She has garnered a national and international

reputation as a geriatric scholar reflecting

her humanistic concern for treating the elderly

with knowledge and respect.

“Dr. Naylor personifies the very best leadership

characteristics as an intellectual, scholar,

and teacher; and reflects the requisite characteristics

of an exemplar Penn professor,” said Dean

Meleis.

Dr. Naylor’s distinguished record of scholarship

has long served as a model for junior faculty

members.This appointment to the Ware

chair is particularly suited to her role as Co-

Director of the Center for Gerontologic

Nursing Science, as Faculty Co-Director of

Living Independently for Elders (LIFE), and as

the current Ralston House Term Professor in

Gerontologic Nursing.

Dr. Naylor served as Associate Dean and

Director of Undergraduate Studies from 1986

through 1998. She earned her PhD from Penn

in 1982 and her MSN from Penn in 1973. She

took her BSN in 1971 at Villanova. Since 1993

she has also been a senior fellow at the Leonard

Davis Institute of Health Economics. Before

joining the Penn faculty in 1986, Dr. Naylor was

a professional staff member and fellow for the

U.S. Senate Special Committee on Aging and

Chairman of the Department of Nursing at

Thomas Jefferson University.

The Ware Chair is a gift from Carol Ware

Gates and the Oxford Foundation to the School

of Nursing in honor of Carol’s mother, Marion

S.Ware.This chair serves to underscore the commitment

of the Oxford Foundation to improving

the delivery of quality health care through

support of innovative research, education and

practice. It also represents a complement to the

John H.Ware 3rd Endowed Professorship in

Alzheimer’s Research in the School of

Medicine.As such, appointment to the Marian

S.Ware Endowed Professorship is designated for

a faculty member of the School of Nursing with

expertise in gerontology and research interest in

the care of the frail elderly.

32


Living Legends

“Since its inception in 1973, the

American Academy of Nursing’s mission

has been to provide the nursing profession

with visionary leadership, facilitate

the contribution of nursing leaders,

advance scientific knowledge, and influence

the development of health care

policies and practices. The designation

of ’Living Legend’ is bestowed upon individuals

who have continued to make

contributions of great distinction to the

nursing profession, long after initial

induction into the Academy.”

So writes the Academy of Dr. Lillian

Brunner, HON ’85, an internationally

acclaimed nurse, honored as a “Living

Legend” in 2002.

“Lillian Sholtis Brunner is a nurse with a

lifetime of solid academic and clinical

contributions. Her internationally popular

textbook, Brunner’s Textbook of Medical

and Surgical Nursing, published in a

dozen languages, made her the best

selling author in Lippincott’s long history,”

said the Academy in announcing her

honor. Dr. Brunner’s writings have long

been considered influential works in

nursing, and the foundation for today’s

expanding field of acute care and critical

care nursing.

Under her aegis, the University of

Pennsylvania School of Nursing has

opened the Mathias J. Brunner

Instructional Technology Center one of the

most advanced teaching laboratories in

the nation, using state-of-the-art technology

and simulation mannequins to teach

students the latest advances in nursing

care. The Center is named after her late

husband, an engineer. In addition, Dr.

Norma Lang holds the Lillian S. Brunner

Medical Surgical Nursing professorship.

Dr. Brunner joins Dean Emeritus Claire

Fagin, PhD, FAAN, RN and Vernice

Ferguson, MS, FAAN, FRCN, RN, as the

most recent “Living Legends” from the

University of Pennsylvania School of

Nursing. Other “legends” include Clifford

Jordan, EdD, FAAN, RN, a Professor of

Nursing from 1972 to 1984, Jessie Scott,

DSC, MS, FAAN, RN, an emeritus member

of Penn’s Board of Overseers which she

first joined in 1979, a 1943 graduate of

the School of Education and a 1983 recipient

of an honorary degree from the

University, Connie Holleran, MSN, FAAN,

RN, an Emeritus Senior Fellow, and Penn

alumna, Shirley Chater, PhD, FAAN, RN.

Dr. Fagin is the Leadership Professor

Emeritus and Dean Emeritus of the

University of Pennsylvania School of

Nursing, and is a Consultant in

Organizational Leadership. She currently

serves as program director of the

Building Academic Geriatric Nursing

Capacity Program of The John A.

Hartford Foundation. Serving one year

from 1993 to 1994 as the Interim

President of the University of

Pennsylvania, Dr. Fagin was the first

woman to serve as Chief Executive

Officer of the University and the first

woman to head any Ivy League

University.

Vernice D. Ferguson held the Fagin

Family Chair in Cultural Diversity at

Penn Nursing from 1993 to 1997.

Before coming to Penn, Ms. Ferguson

pursued a tireless career of public service,

culminating in the position of

Assistant Chief Medical Director for

Nursing Programs and Director of

Nursing Service of the U.S. Department

of Veterans Affairs, which she held from

1980-1992. She has held leadership

positions in numerous nursing service

organizations, including the American

Academy of Nursing, Sigma Theta Tau

International, and the International

Society of Nurses in Cancer Care. Her

honors and awards are numerous,

including eight honorary doctorate

degrees, the coveted R. Louise

McManus Medal for Distinguished

Service to Nursing, the National League

for Nursing’s Jean MacVicar Outstanding

Nurse Executive Award, and the

American Nurses Association’s prestigious

Mary Mahoney Award besides

being designated as a “Living Legend”

by the American Academy of Nursing.

She is currently a member of the School

of Nursing’s Board of Overseers.

From left: Dr. Lang, holder of the Brunner Chair, “Living Legends” Drs. Brunner and Fagin, and Dean

Meleis. Drs. Fagin, Lang, and Meleis are former and current deans of Penn’s School of Nursing.

33


Penn research seeks interventions for South

African adolescents at risk for HIV infection.

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