The COLLEGE OF NURSING - Wayne State University

Dean: Barbara Redman, Ph.D.Mission:The College of Nursing is committed to research and scholarly activity to contributeto the discipline of nursing: the body of knowledge of care and the human healthexperience in diverse environmental contexts.Total enrollment as of Fall 2009: 757 (342 Undergraduate, 415 Graduate)Faculty: 63 full-timeAcademic ProgramsUndergraduateBachelor of Science in NursingTraditionalSecond Degree/Second CareerGraduateMaster of Science in NursingDoctor of Philosophy in NursingDoctorate of Nursing PracticeBoard of VisitorsKate Kohn Parrott, chair — KKP Consulting, LLCTracy Beyersdorf, vice chair — Fifth Third BankSheila Atkinson — Synergy RehabilitationSystems, Inc.Joy Baxt — alumniJune Blackwell-Hatcher — Wayne County ProbateCourtKathy L. Bledsoe — Community VolunteerConnie Cronin — alumniKimberly L. Dickens — Cooper Standard AutomotiveBeth Foster — AlumniMichael Gillet — Health Partners, Inc.Val Gokenbach — William Beaumont HospitalsHerman B. Gray — Children’s Hospitalof MichiganDamon R. Green — CYBERNETVeronica Hall — Henry Ford Health SystemMarc Keshishian — Blue Care NetworkGloria Lawson — Detroit Edison Credit UnionMado Lie — Community VolunteerSean Mahone — Great Lakes Medical SupplyPhyllis D. Meadows — University of MichiganSchool of Public HealthBarbara Medvec — Oakwood Healthcare SystemsFred M. Mester — community volunteerPatricia E. Natale — Detroit Medical CenterFrank D. Stella — F.D. Stella Products CompanyDeborah Lantzy-Talpos — AETNACynthia Taueg — St. John HealthIris Taylor — Detroit Receiving HospitalJesse Thomas — Molina Healthcare MichiganBarbara Jean Zonca — Henry Ford Health SystemTina Abbott, vice chairRichard Bernstein, chairDebbie DingellBoard of GovernorsEugene DrikerDiane L. DunaskissPaul E. MassaronAnnetta MillerGary S. PollardJay Noren, ex officioAIM HIGHERnursing.wayne.edu

Ba Campus Health center AbMary White’s dream jobEarly on a recent winter morning,faculty member Mary White hadbarely arrived at work for the daywhen a seriously injured studentstepped into her office. Her “office”is the Campus Health Center, anurse-managed clinic that providesa wide variety of health servicesto thousands of WSU studentsevery year. In this case, thestudent had fallen and hit herhead while walking into her classbuilding.“We never know what’s goingto happen from one minute tothe next,” said White, RN, MSN,ANP-BC. She is both the directorof the Campus Health Centerand a clinical instructor in theCollege of Nursing, but she isknown simply as Nurse Mary tostudents and colleagues alike.And that’s fine with her. With alaugh, she added, “There’s evena cartoon character of NurseMary floating around campus.”“The bestposition”Although White’s three-plus decadesin the field have provided a diversebackground as a practicing nurse andsince 1997 as a WSU instructor, shedescribes her current role of CampusHealth Center director as her dreamjob. “I realize that this is where Ishould have started and stayed myentire career,” she said. “This isprobably the best position I’ve everheld.”That opinion stems from her affectionfor the adolescent/young adultpopulation and from her enjoymentof the fast pace of the office. “Thestudents keep me jumping. I learnsomething new every day,” she said.“And instead of dealing with a lot ofchronic illness, although we do seesome of that, we’re usually dealingwith acute things that are in and outfairly quickly. We never know what’scoming in next,” she said.She is partial to the health-advisoraspect of the job as well. “We havean opportunity to provide healtheducation and health direction toDirector Mary White, a.k.a. Nurse Mary,helps a student at the Campus Health Centerthe students before they go out intothe world and develop all of the badhabits that we all do as we grow up,so we can maybe have an impact onhow they are going to hang ontotheir health as they get older.”Education is a bit tricky with thispopulation, but White has madethe necessary adjustments. “Youcan prepare so many PowerPointpresentations and plan so many focusgroups, but the kids won’t cometo group events like that. Instead, Ialways have some type of interactiveevent. We play bingo games, likeboozer bingo. We play ‘Sex in theDark,’ where we turn off the lightsand the students can ask questionswithout anyone knowing who isdoing the asking,” she said. Theevents turn out to be fun but stillcarry a message, she said.On an individual level, her approachvaries by student and by healthissue. “It’s a matter of presentingthe health information in a mannerthat’s appropriate to that individual’sparticular learning level,” she said.The approach seems to beworking. She noted, “We’ve seenpeople lose weight. We’ve seenpeople quit smoking. We’ve seenpeople deal with stress better,”she said.A different kindof centerNurse-managed health clinics arenot unusual on U.S. campuses,but the WSU Campus HealthCenter does stand out for a fewreasons.One is that it has combinedelectronic records, meaning thatit not only has computerized itsregistration, insurance, billingand scheduling processes, butit also has added integrated patienthealth records. “For instance, fromthe exam room I can order a streptest and a vaccine, which is thenautomatically uploaded into thebilling piece, and I can schedule afollow-up visit,” she said, notingthat only 1 percent of all ambulatorypractices in the country have suchcombined electronic records.Eventually, she hopes to add softwareso she can easily compare data fromthe WSU clinic with data from otherclinics nationally to identify and toremain on top of health trends.Another atypical feature of the WSUCampus Health Center is that it isactually managed by a corporationthat is comprised predominantly ofnursing faculty, many of whom spenda few hours every week providinghealth services at the clinic. “Ourmission is to both provide healthservices for students, and augment2 Wayne State University College of Nursing

Ba FACULTY PROFILES AbFocus onresearchAn important focus of researchat the College of Nursing ison symptom management invulnerable populations. Fourfaculty members have placed aspecial emphasis on this work:n April Vallerand, Ph.D., R.N.,FAAN, Associate Professor, hasdeveloped an interventiondirected toward patients,caregivers and/or nurses to helpmanage pain, particularly painassociated with cancer.n Judi Fouladbakhsh, Ph.D. APRN,BC, AHN-BC, CHTP, AssistantProfessor, is using complementaryand alternative medicine toassist very different populations,including lung-cancer patientsand people who are homeless.n Meg Campbell, Ph.D., R.N.,FAAN, is studying breathingdifficulty, called dyspnea,among terminally ill patientswho often cannot report theirrespiratory distress. She holds ajoint appointment as Directorof Nursing Research at DetroitReceiving Hospital and AssistantProfessor-Research in the Collegeof Nursing’s Center for HealthResearch.n Horng-Shiuann Wu, Ph.D., R.N.,Assistant Professor, is investigatingthe unstudied and undescribed,but very common phenomenonof sudden-onset, extreme fatiguein cancer patients.April Vallerandand the “Power OverPain” interventionFor the last 10 years, Vallerand hasbeen developing an interventionprogram, which she has namedPower Over Pain. She has designeddifferent versions of the interventionto help homecare nurses, patients andcaregivers to manage pain at homeand to assist patients in going abouttheir daily activities outside the house.She is currently planning to begin afive-week Power Over Pain coachingintervention to improve the ability ofambulatory outpatients to managetheir cancer pain. The interventionincludes three, in-home, personalconsultations between a trained nurseand the patient and caregiver. Thenurse visits during weeks one, threeand five, and telephones during weekstwo and four. In addition, the patientcan call the nurse or a member of thenursing team at any time during thefive weeks if their pain flares and theyneed additional guidance.The intervention begins withmedication management, Vallerandsaid. “In this component of theintervention, we help them tounderstand the medications theyhave, to take them more effectively,April Vallerandto get past any barriers they mayhave to taking medications for pain,to manage their side effects, andother related topics.”The next component of the PowerOver Pain coaching intervention isone of pain advocacy, which involvesteaching the patient and caregiverto communicate with one another,with their family members, and withtheir healthcare providers about theirpain. Most importantly, she said,“This gives them the language to telltheir providers what’s going on, sothe providers can be more effective inmanaging their pain.”Treatments can rarely eliminatecancer pain altogether, so she hasincluded a final component thatinstructs the patient on how to livewith it. “This helps them to learnhow to cope with the pain withoutbecoming overly distressed andhow to manage it as it comes. Italso encourages them to live theirlives and do the things that are soimportant to them.”As this program begins, Vallerandhopes to target African-Americancancer patients. In that study, sheexamined pain, distress over pain andfunctional status caused by pain. “Inaddition, we looked at the concept ofperception of control over pain, or thebeliefs of patients that they know what4 Wayne State University College of Nursing

to do when their pain occurs so theycan continue their regular activities,”she said. For example, some patientsreported that they had stoppedgoing to the mall not because theyhad pain at the time that preventedit, but because they were afraid thatthey might have a pain flare-up whilethey were out, and they wouldn’tknow what to do to alleviate it orwould be unable to get home. “Thatperception of pain control can be veryimportant,” she said.When she and her research groupwere analyzing the data, theydiscovered a disparity. “We weredistressed to find that our African-American patients had significantlyhigher pain levels, more pain-relateddistress and lower functional statusthan our Caucasian patients did.When we statistically controlled forperception of control over pain,however, the differences in distressand functional status disappeared.”It was clear that the lower perceptionof control over pain in this populationwas at least partly coloring the otherpain factors. With this evidence, theydecided that their African-Americanpatients might have the most to gainfrom the intervention. “We thinkeveryone could use the intervention,but the disparity we found gave us agood rationale for starting with theAfrican-American population.”In addition to this coachingintervention, she and her researchgroup have found significantdisparities among other minoritygroups. “We completed a study lastyear looking at Arab-American patientsand we found similar increases inpain and distress, as well as decreasedfunctional status.” As a result, shesaid, “I’m hoping in the future tobe able to apply this interventionto various minority groups andvulnerable populations so we cantarget those who really need it, andthen individualize the intervention to aspecific person’s needs.”She also believes her Power Over Painintervention program can extendeven further. She said, “I envision thisintervention to be used with all typesof pain and all types of patients.”Judi FouladbakhshJudi Fouladbakhshand CAM therapiesMore and more people in the UnitedStates, and indeed around the world,are turning to complementary andalternative, or CAM, therapies to treattheir ailments. Cancer survivors areno exception. In fact, according toFouladbakhsh, cancer survivors aremore likely to use CAM therapiesthan the general population (44percent vs. 37 percent).In her most recent research study,she analyzed National Center forHealth Statistics data to identify howcancer survivorsused specificCAM practices,such as yoga, taichi, meditation,relaxation and deepbreathing, to treattheir symptoms.Symptoms rangedfrom pain andfatigue to insomniaand depression.An especially usefultool in her analysiswas the CAMHealthcare Model,which she developed in2007-2008 as an extensionof the long-standingBehavioral Model for HealthServices Use. “The CAMHealthcare Model can tellus what therapies differentpopulations are morelikely to use for differentsymptoms,” she said. Themodel has not only beenvery helpful to her, but shereported that it is also nowbeing used by researchersin both Canada and in theU.K.In her study of CAM useamong cancer survivors,she and her research groupfound some interestingtrends: CAM practices arewidely used among cancersurvivors, particularlyamong women. In addition,race, age and educationlevel also made a difference,with middle-aged, Caucasian, welleducatedwomen being the mostcommon users.“Once we got that data, wethen organized a 14-week pilotstudy, which we just completed inDecember, on the impact of yoga onlung-cancer survivors here in metroDetroit at Gilda’s Club,” she said.That study received funding fromSigma Theta Tau and the AmericanHolistic Nurses Association. Duringthe study period, she collected suchdata as salivary cortisol, respiratoryrates and strength of exhalation,continued on page 62009 Annual Report5

Ba FACULTY PROFILES AbFocus on research continuedand is now analyzing it to determineyoga’s effect on insomnia, stressand anxiety, breathing difficultiesand other symptoms, as well as onquality of life. Once she has the dataanalyzed, she hopes to approach areahospitals and physicians to see if theywould like to participate in futureCAM programs.Besides this pilot study, Fouladbakhshis also working in nearby OaklandCounty with people who arehomeless. She is involved with twoagencies: South Oakland Citizensfor the Homeless, which sheltersindividuals during the day in a facilitycalled the Welcome Inn; and theSouth Oakland Shelter, which providesovernight shelter and helps its clientsfind more permanent homes.“I started this as a grassroots projectwith the students about five yearsago. We do health assessments,health screenings, and healtheducation or health promotion, andwe try to get the uninsured into somehealth services and health care,” shesaid. In addition to this conventionalcare, she also integrates a holisticapproach by bringing in healingtouchpractitioners and offering yoga,and hopes to introduce additionaltherapies soon.On the research side, she and herstudents are undertaking descriptivework to identify which patientsare willing to participate in CAMtherapies and, of those who do,which therapies are effective. Shealready has some preliminary,anecdotal reports that healingtouch is useful in helping to imparta calming effect on the clients, whosometimes become anxious andrestless during the winter monthswhen shelters are especially full.One of her overall goals in her workis to espouse the value of holisticcare. “With vulnerable populations,oftentimes they have lack of access toor lack of availability of conventionalcare,” she said. They can, however,tap into low-cost or no-costcomplementary therapies, such asmeditation or deep breathing, butthey often do not, she said. “It is apopulation that could use a moreholistic approach to care.”In summary, she said, “I believe thatthe holistic, integrative approach andcombined therapies can be usefulfor vulnerable populations, but thestudies on this have just not beendone. There is a need for them.”Meg Campbelland dyspnea“As people get closer and closer todeath, they lose their ability to thinkclearly and then eventually becomeunconscious. What is not known iswhat they are still experiencing,”explained Campbell. “My researchattempts to fill thatgap by describing andunderstanding theexperience that terminallyill patients have withdyspnea when they are socognitively impaired thatthey are unable to give aself-report.”The need for this researchbecame clear to Campbellin her clinical work asa palliative care nursepractitioner. “BecauseI wear both hats as apractitioner and as aresearcher, I am ableto close that circle: Thequestions come from thebedside and inform myresearch, and my researchthen comes back to thebedside to inform clinicalpractice.”She began herstudies by performingvarious physiologicmeasurements, includingheart rate; respiratoryrate; peripheral oxygensaturation, which is theamount of oxygen in theblood; and exhaled carbon dioxide.At the same time, she videotapedpatients who may have beenexperiencing shortness of breath, andthen coded the videotape accordingto a theoretical model she developed.That model provided a collectionof observable behaviors that onewould expect to find or not expectto find in patients with dyspnea. Thisallowed her to test the effectivenessof the model, and determine whethercertain observations could indeedprovide some evidence that a patientwas experiencing dyspnea.Since then, she has gone on todevelop an instrument, whichshe calls the Respiratory DistressObservation Scale. She and herresearch group have already testedthe instrument and verified itsMeg Campbell (right)6 Wayne State University College of Nursing

effectiveness in two research studies,and are so pleased with their resultsthat they have released it as arecommended clinical tool. “It’s theonly scale of its kind for measuringrespiratory distress when the patientscannot self-report dyspnea,” she said.She and Thomas Templin, Professor-Research at the College of Nursing,are currently seeking funding toconduct yet another study of theinstrument. “The scale is ready forclinical and research use, but we’replanning to do one final study torefine it a little bit,” she said.Her scale could have a significantimpact on clinical care, becausenurses today have no real criterionfor determining whether cognitivelyimpaired patients need oxygen, sothey typically give oxygen to all ofthem, she said. This blanket use ofoxygen may be understandable butis not always suitable. “If oxygenis running at too high a flow or ifit’s not humidified, it can dry thenasal membranes. Also, just havingthe nasal prongs in the nose canbe irritating to the person who iswearing them, and he or she may betoo weak to pull them off,” she said.“If the patient is in care at home,people must come into the hometo replace the tanks, so there is afinancial cost. Plus, the compressorsthat are used in the home settingmake a lot of noise.”Campbell is currently conductinga double-blind, repeated-measuresstudy of near-death patients inwhich she is testing three conditions:flowing oxygen through a nasalcannula, flowing medical air, androom air. The Blue Cross Blue ShieldFoundation of Michigan is fundingthe study. “I’m going to alternatebetween those three conditionsand observe the patients to see ifthere are any differences in theirbehaviors,” she said, explainingthat the behaviors may include thecontraction of different muscles in thechest and abdomen, a change in therate or quality of breathing, or certaintelltale facial expressions. “This studywill help clinical staff identify whenthey should put oxygen on particularpatients, rather than just routinelyputting it on,” she said.“Most of thestudies that havealready beenconducted aboutoxygen use havebeen done withpatients who canstill tell us, ‘I’mshort of breathand the oxygenmakes me feelbetter,’ but nostudies have beendone with thepatient who isnear-death untilnow.”Horng-ShiuannWuand sudden-onsetcancer fatigueHorng-Shiuann Wu (left)Everyone has experienced fatigue,but cancer-related fatigue is muchmore intense and extreme in qualityand quantity, according to Wu. “Forinstance, one patient told me thatshe was hungry, but was just too tiredto chew. Cancer-related fatigue is adebilitating kind of tiredness that isvery different from simply being tired,going to bed and feeling better thenext day.”Wu began her research into fatigueas a doctoral student, when sheconducted a methodological studyfocusing on cancer patients, anddeveloped a tool for measuringfatigue. “I interviewed patients, whoshared their stories of being tiredall the time. That is where I beganhearing from patients about a uniqueexperience, which many describedas ‘hitting the wall’ or feeling as iftheir battery ran out,” she said. Thepatients told of doing some everydaytask, and suddenly being so utterlyexhausted that they could notcontinue. “They described it as a verystressful moment, and some even saidthey thought they were going to die.”The reported phenomenon of suddenand extreme fatigue stayed withWu. She presented some preliminaryinformation about the symptomat an Oncology Nursing ResearchConference last year. “It interesteda lot of researchers because whilethey know it exists, nobody had everinvestigated it,” she recalled.That work led her to her currentstudy with WSU alumna MarilynDodd on what they have come tocall “sudden-onset fatigue.” They arenow gathering data on the prevalenceof sudden-onset fatigue amongbreast-cancer patients receivingchemotherapy, and are developing adescription of the symptom. They areworking with patients at the nearbyKarmanos Cancer Institute in Detroit.“Although we haven’t finished thedata collection yet, it appears thatmore than 50 percent of breast cancerpatients receiving chemotherapy atKarmanos have the symptom,”Wu said.Through this research, which isfunded by the Oncology NursingFoundation, she hopes to learnmore about sudden-onset fatigueand cancer-related fatigue overall.“Cancer-related fatigue is chronicand debilitating, but it fluctuates overtime, even within a day. We need toknow what’s going on in the body,so that we can start to understandthe cause of cancer-related fatigue,including sudden-onset fatigue,”she said. “My ultimate goal is to findout the mechanism underlying thesephenomena, because that will helpus to treat it and/or to help patientslearn how to cope with it.”continued on page 162009 Annual Report7

Ba Student experiences AbThere are many paths to acareer in nursing, and thisintroduction to four College ofNursing students shows just howvaried those paths can be.“Nurses touchedmy life”Nurses have been a big part of RachelDick’s life since she was little. She hada rare bone disease that resulted innumerous hospitalizations, as wellas the loss of a leg when she wastwo-and-a-half years old. “I wentto a summer camp for amputees,and there were always nurses onstaff there. That really helped,” sherecalled. “When you’re a kid andsomething is different about you, youhave to work at accepting yourself,and the nurses played a big role inthat. They touched my life.”Now, she hopes to touch others’lives. “I just think nursing is a veryhonorable profession. And I believethat when you go through somethinglike I did, of course you want to giveback to other people who are goingthrough the same thing.”She is close to earning her bachelor ofscience degree in nursing. Actually, theBSN will be her second WSU degree.She also has a degree in psychology,which she completed before enrollingin the CD2 (Second Career/SecondDegree) nursing program.During school, she is working in thebrain-imaging lab of Dr. Jeffrey Stanleyat the WSU School of Medicine. There,she is conducting research on childrenand adolescents with psychiatricdisorders. She said, “I really likeresearch, but I also really like workingwith people so I think a career innursing will give me a good crossoverso I can do both.”Wayne State has been a good choice,she added. “I like the university. It’svery diverse and it’s a very goodlearning environment. So far, myexperience at the College of Nursinghas also been really good, too. Theprofessors are all very experienced intheir fields and they’re very willingto help.”She was the CD2 recipient of theGertrude E. Skelly Scholarship, whichis making a large contribution to hertuition. The assistance is welcome tothis busy student, who is also marriedand has a toddler. How does she do itall? She replied, “An object in motionstays in motion. At least that’s what Ikeep telling myself!”Across the border“I can’t remember a time when Iwasn’t interested in the medical field.Then I found I really enjoyed beingwith patients and getting to knowthem as people, not just conditions,”said Keisha Lovence.It was her interest in people thatdrew her into nursing. She beganher career in Toronto, but found shewanted more. “Of course, I liked themedical aspect, but the most pleasurecame from the opportunity to helppatients and to form a relationshipKeisha Lovencewith them,” she said. She saw theperfect blend in the profession ofadvanced nurse practitioner.Because the nurse-practitionerprofession is still in its infancy inCanada, she broadened her scopeand found just what she was seekingat the WSU College of Nursing. “Thenurse practitioner role in the U.S. hasbeen established for years, and hereat Wayne State, not only do mostof my instructors have advanceddegrees, but they have worked in thefield as well. They have a great senseof their role, so I can have a bettersense of mine,” she said. “That reallyencourages me.”A member of Sigma Theta Tau andthe recipient of a scholarship fromthe Women of Wayne, Lovence iscurrently enrolled in a dual track forher master’s of science in nursing:nursing education and acute care.The area of acute care was a naturalfor her because she had alreadyworked in that field in Toronto. Sheadded the education aspect to herprogram because she would like tobecome a nursing instructor oneday. In further support of this, she isalso serving as a graduateteaching assistant.Proceeding toward hergoal, she has just started herfirst placement in generalmedicine at Harper Hospital.“That is exactly what Iwant to do in my career,”she said. Toward that end,she has recently appliedfor the college’s doctor ofnursing practice program, inaddition to its geriatric nursepractitioner program.Overall, she said, “Theprogram at the College ofNursing is terrific, and theprofessors are very helpfuland supportive, both in andout of the classroom. It’sclear I’ve found my niche,both for now and in theyears to come.”8 Wayne State University College of Nursing

From Army toautos to nursingLife has thrown a few curves at TimCorcoran, but instead of complaining,he considers himself lucky.He started his story with a stint inthe military that ended in 1990.“My original plan was to get out,get into nursing school and get mydegree, and then go back into theArmy,” he said. He explained that theArmy would not only pay his way tobecome a nurse practitioner, but thedegree would help him move up inthe ranks as an officer. “Plus, I wouldhave a trade, so I could jump rightinto the civilian world when I got out.It was an absolute perfect thing forme to do.”Shortly after starting his classes,however, he had to put school on holdto serve in the first Gulf War. “WhenI returned home, however, my futurewife got pregnant right away, so Icouldn’t go back to school. Instead,I had to start working,” he said.Corcoran took a job in tool-and-dierepair and then engineering at GeneralMotors. “I worked in engineering allthe way through the GM layoffs in2008,” he said. Fortunately, he and hiswife, who also worked in engineering,were prepared. “I had talked to mywife beforehand and said, ‘One ofus has to get out, because we’ve gotall of our eggs in one basket.’” Theydecided he should go back to school.“I got all of my pre-reqs towardnursing out of the way, applied tothe College of Nursing at WayneState, and was lucky enough to beaccepted about a month or two afterI was laid off. It worked out prettygood, huh?” he said with a laugh. Hischoice of schools was a simple one.He explained, “Everybody said WayneState was the best.”A recipient of a BeaumontScholarship and the “No WorkerLeft Behind” program, Corcoran iscurrently about a quarter of the waythrough the BSN program. When he’snot in school, this Clinton Townshipresident has his hands full with histhree children, aged 17, 14 and 9.Despite the sometimes-crazy schedule,he still feels lucky. “Everybody told meI had to at least try to get in the WSUnursing program, and I am just happyto be in the program that was my firstchoice.”“Something wasnagging me”Ta’Kiesha Broom was working in afactory, like many other metro Detroitresidents, but it just didn’t feel right.“Something was kind of nagging methat this was not what I wanted to dowith my life. This was not my purposehere,” she said.She began some introspection andkept coming back to her experiencesin the hospital when she gave birth toher son. “I was sick, really sick. I hada fever of 104, and I had congestiveheart failure and pulmonary edema,”she recalled. “I spent four days in theICU, and the care that I received fromthe nurses was just overwhelming.They brought me back, because Ithink I was on my way out of here.”The more she reflected, the more shewanted to pursue nursing. So shequit the factory and enrolled at WSU.Broom said the reason she chosethe WSU was not only because herTa’Kiesh Broommother was a graduate of the Collegeof Nursing and has had a successfulcareer, but also because of both therecognition the university receives andits convenience. “I’m from Detroit,so it’s right here in the community.I wanted to stay close to further myeducation, because this is where myfamily is and my resources are.”The choice turned out to be agood one, she said. One of herfavorite things about the universityis its diversity. “There are so manydifferent cultures here. You can’t bein your own little shell where you’recomfortable, because the world is somuch bigger than that. For that alone,I’m appreciative of Wayne State.”Besides her studies, this SigmaTheta Tau member also serves asa mentor for the college’s FutureNurse Professional program. “I talkto students who are interested in orwho are pursuing a career in nursingin WSU’s program, and I guide themthrough the process, such as helpingthem with scheduling and choosingcourses,” she said. “I’m working withthree students now, and two of themare single moms, so I also put them intouch with community resources thatmay help with child care, fundingand financial aid.”In addition, Broom is amember of SNAAPS (StudentNurses Achieving Academicand Professional Success),a program offered throughthe college to assist firstyearnursing students. “In itsbasic sense, it is a tutoringprogram,” she said, notingthat “As a result of thisprogram, more students areprogressing to the secondyear.”Once she finishes her degreeprogram, Broom hopes torelocate to Arizona or Texas,find a position in telemetryin an intensive care unit andpossibly pursue a master’sdegree in anesthesia. In herfuture career, she added,“I’d like to travel around theworld, and I believe thatnursing can help me dothat.” n2009 Annual Report9

Ba Maggie Lynn Busch AbEndowed Memorial Scholarship“We feel herpresence, her joy”The Maggie Lynn Busch EndowedMemorial Scholarship both honorsthe memory of a bright youngwoman who was preparing for hernursing education, and helps othersattain their dream of a nursing careerby assisting students in financingtheir education in the College ofNursing.Maggie’s storyWhen Maggie Lynn Busch set hermind to a task, she did it. As ateen, she had the inner resolve tobattle and overcome anorexia. Incollege, she decided to combine herstudies with time spent volunteeringto tutor a child with ADHD andworking with Planned Parenthood.She accomplished it all while stillmaintaining her love of learning andof life.In 2005, then at 23 years old, sheopted to pursue a career in nursingat the WSU College of Nursing, andsubmitted her application along withher personal statement to the SecondCareer/Second Degree program.In that statement, she wrote, “Ibelieve that a career in nursing willbe an awesome responsibility thatwill provide fulfilling intellectualand personal experiences. Themedical field is constantly changingand expanding as new studies andfindings come to light. Althoughthis excites and fascinates me, manyindividuals do not understand, or areeven frightened by, the newness andcomplexities of medicine.”She continued, “By providing theopportunity to help, educate andcounsel others during distressingtimes, nursing will allow me toengage in emotionally rewardingexperiences. I intend to take fulladvantage of my training to becomean extremely competent, well-trainedand respected nurse.”Maggie learned of her acceptanceinto the program in June 2005at about the time that she wasenjoying her 24th birthday. On June29, however, she died in a trafficaccident. Her family did not wantMaggie’s story to end there, and theyestablished the Maggie Lynn BuschEndowed Memorial Scholarship soher light could continue to shine.In celebration of Maggie“Education has always been apriority for our family. To watch ourchildren grow and experience thejoy of learning has given us muchdelight,” said Maggie’s parents Patand Paul Busch. “We have establishedan endowed memorial scholarshipin memory of Maggie to fulfill herdesire to work directly with peopleand make a difference in their livesthrough a career in nursing.”They added, “Being able topersonally award the MaggieLynn Busch Endowed MemorialScholarship, we feel her presence,her joy — we know that she willlive on not only in our hearts butalso in the opportunities that thisaward provides. Maggie’s life andmemory supports and encouragesnursing students in their effortsto serve others through thisremarkable profession. Our family iscomforted and finds happiness in thisopportunity.”Scholarship requirementsThe Maggie Lynn Busch Endowed Memorial Scholarship is open tostudents who are in the College of Nursing’s Second Career/SecondDegree program and have a minimum grade point average of 3.5.Recipients are selected based on scholastic achievement, demonstratedfinancial need, and interest in community service or women’s health.10 Wayne State University College of Nursing

Esther Gallegos-CabrialesWhen Esther C. Gallegos-Cabrialescame from her native Mexico to earnher Ph.D. in nursing from WayneState in 1997, she started a stringof “firsts.” The College of NursingAlumni Association acknowledgedher many accomplishments with the2009 Alumnus of the Year Awardduring its LifeLine Awards last year.Of receiving the award, she said,“I was surprised, and at the sametime feeling very honored for sucha distinction.”Gallegos-Cabriales came to WayneState after earning her nursing degreefrom the National University Schoolof Nursing in Bogotá, Colombia(South America). Since Mexico hadno nursing doctorate program at thetime, she had to look outside thecountry to continue her educationand arrived at Wayne State. Whenshe completed her studies, shebecame not only the first Mexicobasedstudent to receive a Ph.D. innursing from Wayne State, but alsothe first Mexican citizen ever to earna Ph.D. in nursing.Sheila Atkinson, Esther Gallegos-Cabriales,and Dean Barbara Redman at the LifeLine Awards ceremonyAlumna of the yearShe remarked, “Recalling the timeI spent in Wayne as a doctoralstudent, two things that I reallyenjoyed come to my mind: thesupport and encouragement Ireceived from my professors andclassmates to accomplish the goalof getting the Ph.D. (while) workinghard summer by summer; and thestrong orientation of the curriculumon nursing science, which gave methe bases for better understandingthe health-illness situation of peopleliving in underserved communities.”With her degree in hand, Gallegos-Cabriales returned to her homecountry to embark on what wouldbecome one of her most notablecontributions to nursing education:her instrumental role in thedevelopment of a nursing doctorateprogram, the first of its kind inMexico. She is currently a professorof nursing and doctoral programsecretary (the director of the nursingdoctoral program) at UniversidadAutonoma de Nuevo Leon inMonterrey, Mexico. She is also amember of the School of NursingResearch Commission and the Schoolof Nursing Technical ConsultingCouncil there.Her research, some of which iscollaborative with other Americanuniversities, has extended into thefields of diabetes, obesity, nursingeducation and sexual education, andshe has many often-cited publicationsin these areas. Currently, she isfocusing her research on reducingthe risk of HIV/AIDS in adolescentsof marginalized communities inMonterrey, Mexico.Her tireless work has not goneunnoticed. The State Governmentof Nuevo Leon, through the HealthSecretariat, as well as numerousorganizations across the UnitedStates and Latin America, haverecognized her many contributionsto health care. In the fall of 2009,she was inducted into the prestigiousAmerican Academy of Nursing, oneof the profession’s highest honors. n2009 Annual Report11

Ba Sean mahone Abdonor and board memberSupport for thecollege was “anatural fit”Sean Mahone is both a major donorto the College of Nursing and amember of its Board of Visitors,but he is neither an alumnus nor anurse. Rather, his connection to thecollege and to nursing in generalstems from his appreciation of thewomen and men in the nursing field,and from his desire to contributeto an organization that itself makesa positive contribution to thecommunity.Mahone is president and co-ownerof Great Lakes Medical Supply Inc. ofWarren, Michigan, a 120-employeecompany that is the largest homedelivery,diabetes-supply company inMichigan and the largest minorityowned,home-delivery, diabetessupplycompany in the nation. Thecompany provides diabetes supplies,prescription medications and othermedical supplies to more than 50,000individuals throughout the UnitedStates.The College of Nursing and Mahoneshare a similar interest, but hesaid that is not what started hisassociation with the college. “I sit onthe board of the American DiabetesAssociation, and the company is veryactive in the area of diabetes. WayneState also has that level of focus interms of enhancing diabetes careand education. However, it was reallysomebody at the college finding outwhat we were doing at Great LakesMedical Supply and inviting me toattend a meeting that got me toWayne State,” he said. “Afterward,when the college asked me to makethe relationship more permanent bybecoming a member of the Boardof Visitors and helping to identifyopportunities to bring resources andprograms that further support theCollege of Nursing, I took advantageof it.” Mahone’s current term on theboard extends from August 2008 toSeptember 2011.Once he started his associationwith the college, he decided tobecome a donor, too. “Nurses havebeen important in my personallife, because unfortunately I’ve hadsome losses in my family. I think thedifference-maker in terms of beingable to provide a level of comfortfor my family was the caregivers —the unbelievable nurses,” he said.“So I have a strong sensitivity andappreciation for what nurses havedone for me and my family.”From the business perspective, adonation to the college also madesense. “Education is something nearand dear to our heart here at GreatLakes Medical Supply,” he said,noting that education is the “onlyway to change behavior” and thosebehavioral shifts can have a greatimpact on diabetes. “It was a nobrainerthat a company like ours thatfocuses on education should have arelationship with an institution thathas a foundation in education. Theopportunity to work with the WSUCollege of Nursing and help peopleto both further their education andbecome gainfully employed justseemed like a natural fit.”He added, “I think in life, you haveto give back. At Great Lakes MedicalSupply, we’ve chosen to do that bysupporting organizations that we feelwill also contribute.” The college isa perfect example, he asserted. “Bygiving back to a teaching institutionthat is itself providing people withan opportunity to be degreed andto become caregivers, it’s an ideal,never-ending cycle.” n12 Wayne State University College of Nursing

$475Covers a student’s cost oftextbooks and suppliesfor one semester.Wayne State University has a strong tradition as a place wherestudents from all walks of life come to build a better future. Thecurrent economic situation that pervades this nation, our stateespecially, leaves increasing numbers of students searching forways to stay in school.Wayne State is upholding its promise as a university ofopportunity with an urgent appeal to our alumni and friends— the Aim Higher for Students campaign.The effort will increase our ability to fund both need-basedand merit-based scholarships, as well as student opportunitiesthrough technology and targeted experiences such as internshipsand service-learning. The goal is to increase annual scholarshipsand new endowed funds, creating resources that will have asignificant and direct impact for Wayne State students.The Aim Higher for Students campaign seeks to meet the needsof our students whose contributions we depend on to create aviable future for our community.Your gift to the Aim Higher For Students campaign canassure Wayne State University, College of Nursing studentsthe opportunity to pursue their dreams.Every dollar you give helps Wayne State University; Collegeof Nursing students meet their critical needs.$800Covers a student’s costof textbooks for oneacademic year.$950Covers a student’s cost oftextbooks and suppliesfor one academic year.$1,325Provides a 15 meals/week plan for a studentfor one semester.$2,650Provides 15 meals/weekplan for a student for anacademic year.$4,175Gives one studenthousing in a residencehall for two semesters.Costs are estimates.The need is now:nnnFinancial straits were the primary reason fora 4.1% enrollment drop in winter 2009.70% of WSU students rely on financial aid ofsome form to cover their educational expenses.24.6% of WSU students fall below 100% of thepoverty level.“Adopt-a-Student”With these amounts, you can fully support anundergraduate student at the College of Nursing.1 year = $18,0002 years = $36,0003 years = $54,0004 years = $72,000Estimates of lower and upper division tuitionand fee charges.2009 Annual Report13

Ba student profiles AbDoctoral program opensnew career pathsAll of the doctoral students in theCollege of Nursing already are inthe nursing profession and lookto the doctoral program as away of enhancing their careers.That includes Karyn Butler andToni Dawson-Grant. Each hopesto complete her doctorate in2011, but the similarity betweenthe two ends there.Karyn Butler: Frompainter to practitionerButler already had a fine arts degreewhen she switched her life path.“When you’re an artist, it’s a veryisolating activity. I had a need to workwith people, and I didn’t find thatbeing a painter,” she said. In addition,she wanted to find a good job thathad flexible hours so she could raiseher two daughters without a need fordaycare.She began looking at nursing as aclear possibility and enrolled in oneof the WSU College of Nursing’sfirst Second Career/Second Degreeprograms. In just 13 months, she hadher bachelor’s degree in nursing, aswell as a job waiting for her at theDetroit Medical Center.She soon earned her M.S. degree andobtained her certification as a nursemidwife, and also took an interestin research. That interest led her tothe WSU College of Nursing’s Ph.D.program. She chose the programfor several reasons, including theuniversity’s reputation as a premierresearch institution and its Detroitlocation, which presented theprospect of doing research on urbanpopulations, a particular interestof hers.Now working under the direction offaculty member Jean Davis, Ph.D.,R.N., Butler’s doctoral researchcenters on cortisol and estradiolconcentrations in women, and howthe rise and fall of the two hormonescan affect mood, energy levels andsleep quality, all of which are thoughtto be part of the inflammatoryresponse. “Along with pain, this is atriad that a lot of women experienceKaryn Butler started at the CoN as a student in the Second Career/Second Degree programand is now a doctoral student doing research on inflammatory disorders in women.14 Wayne State University College of Nursing

Toni Dawson–Grant, director of nursing practice at the DMC, appreciates the blend ofpractice and research she found in the CoN’s Doctor of Nursing Practice program.in depression, fibromyalgia,rheumatoid arthritis and otherinflammatory disorders,” she said. “Ifwe can find an underlying patternto these disorders, perhaps we candevelop interventions.”As her study gears up, she isanticipating working in the college’snew biophysical laboratory, which willprovide faculty and students with thespace and equipment necessary tomake biological and physical measuresthat support their behavioral studies.“This is unique, and I’m very excitedabout it, because it’s going to openup a whole lot of opportunities forbiological research, which is wherenursing is going.”As her work progresses, she is keepingan eye to the future. She hopes to oneday become a faculty member at oneof Michigan’s major universities, whereshe will continue doing her researchand also teach the next generation ofaspiring nurses.Toni Dawson-Grant:Research and thebedsideDawson-Grant already holds aprominent nursing position. She isthe director of nursing practice at theDetroit Medical Center (DMC). Whileshe enjoys the challenges of the job,her goal is to work in a position thatmarries the academic and healthcareworlds, and she believes a doctorateis the way to achieve it.This native Detroiter had alreadycompleted her MSN and receivedcertifications as both acute carenurse practitioner and clinical nursespecialist from WSU’s College ofNursing, so when it came time tocheck out doctoral programs, sheagain looked to her alma mater. Shewanted something a little differentfrom a traditional doctorate thatconcentrated on lab research, andbegan looking for a program thatbridged research findings and thebedside.She found it in the college’s newDoctor of Nursing Practice program(DNP). Started in 2008 as one ofthe first such programs in the state,it has a strong research-to-practiceconnection. “It was a perfect fit,” shesaid, adding that it was especiallywelcome since it was just a matter ofblocks from the DMC, and also closeto home, where she lives with herhusband and son.As of winter 2010, she is in the lastsemester of her coursework and ispreparing for her oral qualifyingexams. “Unless my doctoralcommittee redirects me, my researchwill be on health literacy in thediabetic population,” she said. “Iwant to see how we in the hospitalcan prepare and teach our patientsbetter before we discharge them, sothey can have better outcomes.” Shewould like to center her work on thediabetic population because diabetesis so prevalent. In fact, it is the sixthleading cause of death in the UnitedStates. She said, “We need to makesure that the information we provideallows patients to do the self-caremanagement they need to keepthemselves out of the hospital.”So far, she is very happy withher decision to enroll in the DNPprogram at Wayne State. “I think thecollege really paid attention to whatthe actual degree is supposed toprovide the community practitioner.They made sure that the content isincluded in the coursework, and thatthis doctoral program is as highlyesteemed as their Ph.D. program. Iknow I made the right choice.” n2009 Annual Report15

Focus on researchcontinuedThis information is important,because no overarching treatment isavailable for cancer-related fatigue,she stated. “Some nursing studiessuggest exercise or distractionto help with the cancer-relatedfatigue, but the study findings areinconsistent. There is no one studythat is definitive, and while we havemedications for cancer patients touse for nausea or for pain, there isno medication prescribed to treatcancer-related fatigue.”Simply the characterization ofsudden-onset fatigue will be veryconstructive to patients, too, shesaid. “Our patients have reportedthat while their nurses told themthey would get very tired oncethey started chemotherapy, thequantity and quality of the fatiguewas beyond their imagination, andit was very frightening.” If nurseshad a better description of the hitthe-wallphenomenon, she asserted,they could more effectively preparethe patients so they know what toanticipate as they proceed throughtheir treatment. “Hopefully, we canincrease patients’ understanding ofwhat to expect, so we can enhancetheir sense of control and reduce theiruncertainty,” she said. “That is one ofour primary aims.”In addition, she noted that thiswork on fatigue may be importantfor other cancer patients, as well ascancer survivors. “Fatigue is not onlypresent in breast cancer patientsand is not only limited to thosegoing through chemotherapy. It cancross different cancers and differenttreatments, and may even affectcancer survivors up to 10 years aftertreatment,” she said.The need for this research is evident,she added. “Fatigue is very frustratingand stressful for the patient.Some of the literature reports thatcancer patients often say it is moredistressing than cancer pain. Fatigueis therefore a significant clinicalproblem in cancer, especially insymptom management, and one weneed to learn more about.” n16 Wayne State University College of Nursingba con announcements AbLast year was another busyone for college faculty, whoaccepted numerous awards andother honors. The followinglist includes a sampling of theiraccomplishments.Fulbright scholarFeleta L. Wilson, Ph.D., R.N.,Associate Professor, was selectedas a 2009-2010 Fulbright Scholarto Jamaica. She spent the fall 2009semester at the University of theWest Indies. There, she promotedher research in patient educationand patient health literacy at localcommunity health centers and healthdistricts, conducted a research projecton childhood immunizations, servedas a research/scholarship consultantand instructed public health in theschool’s undergraduate program. Shealso conducted a research study onchildhood immunization knowledgewith pregnant women.HonorsNancy T. Artinian, Ph.D., R.N.,FAHA, FPCNA, was inducted as aFellow in the American Academyof Nursing at the association’s 36thAnnual Meeting and Conference inAtlanta, Ga. on Nov. 7. The FAANdesignation represents one of thehighest honors in nursing. Artinian’sinduction recognizes her manyaccomplishments, which include asustained program of funded researchand very active leadership roles inthe profession. Artinian is AssociateDean for Research and Director of thecollege’s Center for Health Research.Stephen J. Cavanagh, R.N., Ph.D.,NNP-BC, was one of only 20 nursesnationally to be named a RobertWood Johnson Foundation ExecutiveNurse Fellow. As part of the threeyearfellowship program, he will“develop new ways of using portableelectronic devices, such as cellphones, to assist WSU students tomonitor their own health, interactwith their personal health recordsmaintained by the Campus HealthClinic and develop lifelong healthmaintenance behaviors.” Cavanaghis professor and Associate Dean forAcademic and Clinical Affairs.AwardsA research poster of Professor HeleneJ. Krouse, Ph.D., ANP-BC, CORLN,FAAN, won the 2009 Poster ofDistinction Award at the AmericanAcademy of Nursing 36th AnnualMeeting and Conference held inAtlanta, Ga. Nov. 5-7.The American Society for PainManagement Nursing honoredAssociate Professor April Vallerand,Ph.D., R.N., FAAN, with the society’sNurse Exemplar Award at its 2009national conference. The awardrecognizes her leadership to thepractice of pain management nursing.Grant awardsThe Robert Wood JohnsonFoundation awarded one of just15, three-year, $350,000 NurseFaculty Scholar awards to Jesus“Jessie” Casida, Ph.D., R.N., CCRN-CSC, APN-C, Assistant Professor.This goes to junior faculty whoshow outstanding promise asfuture leaders in academic nursing.Casida’s research will focus onsleep disruption, depression andimpaired cognitive function thatafflicts patients with advanced heartfailure, as well as the development ofstrategies for nurses to help patientshave a better quality of life.Assistant Professor CarolynHerrington, R.N., Ph.D., NNP-BC,received a Sigma Theta TauInternational/Council for theAdvancement of Nursing Scienceresearch grant award for herstudy titled “Comparison of SkinConductance and Salivary Cortisolas Indicators of Pain Response inPremature Infants Undergoing HeelStick for Necessary Blood Sampling.”Visit nursing.wayne.edu for a full list of faculty publicationsand research awards.

Ba A historic perspective AbHonoring our humblebeginningby CoN student Clare TylerThere was a time when our esteemed College of Nursing was inits beginnings; operating out of an old brown house on Cass Ave,with no more than five staff members. No PAL lab, no ResearchDay, no Center for Health Research. It is difficult to imagine sucha time now, but it is important to remember and honor ourhumble beginnings.This is the goal behind the project started by student ClareTyler, with the help of M. Kay Cresci and Dawn Hameister. Inher fourth semester in the program, Tyler, who has a naturalinterest in history and writing, was approached by Dr. Crescifor the project. She has spent the past three semesters pouringthrough old videos, interviews, books, photographs and archivesto assemble a comprehensive history of the College of Nursing.Once finished, the information will be presented as a learningmodule for the students in Nursing 2995 for semesters to come.Additionally, further projects using the annals are also beingdiscussed.The project covers a variety of topics including prominentfigures from the college, curriculum changes throughout theyears, advancements in technology, and the many standards theCollege of Nursing has set and gone beyond.“The history of the college is really fascinating, and thephotographs we have are beautiful. It’s been fun to work on andI’m happy that our school’s history is now going to be moreeasily accessible,” says Tyler. As the 65th anniversary of thecollege approaches, the project is an appropriate celebration thatcan be shared by students and faculty alike. n2009 Annual Report17

College of NursingCohn Building5557 CassDetroit, MI 48202NON-PROFITUS POSTAGEPAIDDETROIT MIPERMIT NO 3844kCOLLEGE OF NURSINGh 2009 hANNUAL REPORTCreative Ways You Can Make a DifferenceGifts by alumni and friends can make a positive impact in many ways on theCollege of Nursing and its students. Carefully planning your investment inNursing can stretch the value of your gift, enabling you to do much morefor the academic program and its students and faculty than you may thinkpossible.A carefully planned gift also can benefit you and your family. Your tax savingscan be substantially increased, and some planned gifts can provide incomefor your lifetime or the lifetime of another individual.Ways to give:n A cash gift or checkn Publicly traded stocks or bondsn A bequest in a will or trustn Life-income giftsn Retirement fund assetsn Life insurancen Charitable lead trustsn Other assetsPlease contact Director of Development and Alumni Relations Meg Callow at(313) 577-6967 or eb2396@wayne.edu for more information and assistancein finding the gift that is right for you.Visit nursing.wayne.edu to view a full list of donors.