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Introducing Connie Delaney - School of Nursing - University of ...

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esearch<br />

Linda Bearinger, PhD, RN, FAAN<br />

• Public health needs <strong>of</strong> adolescents<br />

• Adolescents’ health education needs for nurses<br />

• Adolescent sexual behavior<br />

• Multiethnic issues in adolescent health<br />

linda bearinger:<br />

pioneering adolescent health<br />

BY MAME OSTEEN<br />

Adolescence can be a rocky and sometimes risky road. When it<br />

comes to health, teenagers’ behavior—rather than disease—is the<br />

major predictor <strong>of</strong> their survival. Bad choices <strong>of</strong>ten send young<br />

people down the path to substance abuse, violence or even death.<br />

Good choices, achieved through guidance, support or early<br />

intervention, can carry them through to successful adulthood.<br />

For the last 10 years, the unique problems associated with<br />

adolescent health have garnered the special study they deserve,<br />

thanks to Linda Bearinger, Pr<strong>of</strong>essor and Director <strong>of</strong> the Center for<br />

Adolescent <strong>Nursing</strong>, in the <strong>School</strong> <strong>of</strong> <strong>Nursing</strong>. The only adolescentspecific<br />

nursing center <strong>of</strong> excellence in the world, Bearinger and<br />

colleagues are bridging the gap between childhood and adulthood<br />

through groundbreaking research on promoting the health <strong>of</strong> teens.<br />

The problem is that health strategies that work well for others<br />

<strong>of</strong>ten don’t work with adolescents. “They need to be developmentally<br />

tailored,” said Bearinger, “because they’re not little adults, and<br />

as any parent would readily say, they are not children—they have<br />

their own unique style.”<br />

NAVIGATING TROUBLED WATERS<br />

Considering the significant problems facing today’s youth, the quest<br />

for understanding is critical. “Fifty years ago if you asked young<br />

people to name their biggest worries, they answered, getting caught<br />

chewing gum, being late for school and getting good grades,” said<br />

Bearinger. “Today, it’s still getting good grades, but it’s now getting<br />

an STD, HIV, or pregnant, and being a victim <strong>of</strong> violence.”<br />

The stress kids face shows in the statistics. Car accidents—twothirds<br />

<strong>of</strong> them alcohol-related—are the leading cause <strong>of</strong> death<br />

among teenagers. Homicide ranks second, followed by suicide.<br />

Strong personal connections are the key to healthy outcomes,<br />

Bearinger says: “It’s about school, it’s about family, and it’s about<br />

peers, and the way communities <strong>of</strong>fer opportunities for young<br />

people. In fact, if I had to only ask one question—it would be about<br />

connection to school. It’s very powerful in <strong>of</strong>fsetting risk.” Knowing<br />

that promoting strong connections is at the core <strong>of</strong> kids doing well,<br />

in all aspects <strong>of</strong> their growing up, Bearinger and colleagues focus<br />

on ways that parents, adults, teachers and youth leaders can<br />

connect effectively with young people during their adolescence.<br />

PLAYING CATCH-UP<br />

Understanding adolescents and passing that knowledge on to<br />

nurses and other health pr<strong>of</strong>essionals is a major objective <strong>of</strong> the<br />

center. An adolescent specialty, which now exists in medicine and<br />

psychology, for example, is newer to nursing—and it shows.<br />

Surveys indicate that more than half the country’s nurses feel ill<br />

equipped to address even common adolescent problems. Since the<br />

center was founded in 1993, Bearinger and her adolescent nursing<br />

faculty colleagues have worked hard to alleviate that problem.<br />

“We’re trying to bridge the gap between nurses’ skills and<br />

knowledge and the health problems <strong>of</strong> youth,” said Bearinger.<br />

As the only federally funded graduate and post-graduate<br />

program focusing on adolescent health for nurses, the center has<br />

expanded knowledge <strong>of</strong> the field through the research <strong>of</strong> its<br />

growing faculty and research scientists, who now number six. The<br />

center’s resources support stipends and tuition for its master’s and<br />

doctoral students and post-doctoral research fellows. The center<br />

just welcomed its eighth doctoral student; three graduates who<br />

have joined faculties in schools <strong>of</strong> nursing are, in turn, teaching<br />

other nurses about effective way to work with teens.<br />

The center’s outreach efforts connect nurses around the country<br />

and around the world to issues in adolescent care. More than a<br />

thousand health care providers worldwide receive the center’s<br />

16 minnesota nursing

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