1 Creative solutions to the nursing shortage All aboard the USNS Comfort Finding nursing at the end of your rainbow A tribute for Dr. Koldjeski
2 A message from the dean Phyllis N. Horns, R.N., DSN, FAAN As our state and nation battle the on-going nursing shortage, the faculty at East Carolina University is committed to taking a multi-faceted approach to solving the different challenges that face us. Over the past few years, we have increased our class sizes for our pre-licensure program as well as creating new opportunities in our RN-BSN program through distance learning. Today, ECU produces more first-time nurses than any other university in North Carolina. We re very proud of this achievement and plan to continue to grow our undergraduate programs as we look to the future workforce needs across eastern North Carolina, our state and nation. A key element in the School of Nursing s mission is our commitment to educational excellence in the preparation of professional nursing leaders. We know that the next 10 years will be a crucial period in the replacement of retiring faculty at nursing schools, including ECU. To help address this pending need, our first students began their doctoral degree studies in August. With this new Ph.D. program, our goal is to increase the number of nursing professionals entering academic or research-focused careers. We also want to encourage our outstanding students who demonstrate a talent for teaching to enter their graduate and Ph.D. training programs earlier in their careers so they will be able to spend many years in the classroom or conducting research. Traditionally, nurse educators or doctoral students have waited until the twilight of their careers to pursue their doctoral degrees. While we are thankful for these individuals, we want to begin a system of encouragement that enables nurses to view research and teaching as valuable endeavors. If we are to fill the future nursing employment ranks, we must also continue to provide exemplary faculty. In January, we saw the beginning of our master s concentration in nurse anesthesia. We are thrilled to have such a well-qualified and enthusiastic first class of students enrolled in this much-needed advance practice discipline. Throughout this issue, you will read about the many different collaborations and solutions ECU is pursuing in order to turn the tide of the nursing shortage. We also hope you enjoy reading about our school s strong connection with the United States military through the conversation with one of our graduates who is proudly serving our nation at a time of war. Our thoughts and support go to all members of the military and their families. We are also thrilled to announce the results of our reaccreditation by the National League for Nursing Accrediting Commission Inc., with a special note of thanks to Drs. Frances Eason and Phyllis Turner for their leadership during this thorough review process for our undergraduate and graduate programs. You will also learn of a new lectureship that has been established to honor a long-time faculty member, Dr. Dixie Koldjeski, who has contributed so much to our school. As always, we thank our alumni, faculty, students and friends for your continued support as we share our visions of the future in teaching, research and service. With your help we can continue to meet our goal to provide quality nursing professionals to serve the citizens of North Carolina. Phyllis N. Horns, R.N., DSN, FAAN Dean, ECU School of Nursing
3 1 Table of contents 3 Crafting solutions cover story East Carolina University attacks the nursing shortage on multiple fronts 7 A lamp for others Meet two nurse educators who inspire their students 9 Nursing a second career ECU hopes to tap a new cadre of individuals whose path to the profession is less direct 10 A nurse at sea A conversation with naval nurse Rachel Edelson, BSN 01, as she treats casualties of Operation Iraqi Freedom aboard the USNS Comfort 13 Healing the elderly and poor Alumni profile: Dr. Debra Wallace, MSN 85, is the director of nursing research at the University of North Carolina at Greensboro School of Nursing 14 A pioneer in nursing ECU honors veteran faculty member Dr. Dixie Koldjeski, establishing a lectureship in her name The first class of CRNA students began their studies in January. From left are Jan Cannon, Nancy Lane and Jennifer Hill. 16 News briefs 17 Lessons from Duke Highlights from the 12th Annual Collaborative Research Day ECU nursing programs earn reaccreditation 18 Rising to the challenge Philanthropy advice in a tight economy 19 Lawler tapped for alumni relations 23 Beta Nu highlights 24 ECU welcomes seven new faculty members On the cover: Michelle Cooper Piscorik, R.N., BSN, prepares an IV for a patient at the SurgiCenter in Greenville. Piscorik graduated from ECU in 1992.
5 3 Crafting ECU attacks nursing shortage By Jane Martin The forecast is gloomy. At times it seems overpowering. Yet, health care has weathered nursing shortages and cyclical downturns in graduation rates in past decades. There was even a time in the 1980s when we seemed to be awash in nurses. Oh, for the good ol days. With the arrival of the 21st century and the graying of the Baby Boomers, demand for health care resources and for trained professionals is growing exponentially. Just as the population is aging, so are registered nurses and educators. Graduation rates for nursing students haven t kept pace with workforce demands. With a horizon ripe for mass retirements, the void will deepen. This shortage is different from what we ve experienced historically, said Dr. Phyllis N. Horns, dean. This time we re facing multi-faceted problems and issues at all levels of the profession. Numbers talk Nationally since 1995, nursing undergraduate enrollments have been dropping. Though enrollments were up by 3.7 percent nationwide from 2000 to solutions 2001, total enrollment in all baccalaureate nursing (BSN) programs was still down by 17 percent or 21,126 students from 1995, the year enrollments began to dip, reports the American Association of Colleges of Nursing (AACN). Despite the slight increase, trend analysis shows that enrollments in entry-level baccalaureate programs in nursing are decreasing. On average over the past seven years, the number of enrollees and graduates have declined by 2,293 and 837 each year, respectively, AACN states. In addition, the association found a continued decline in the number of registered nurses enrolled in RN-to-BSN degree programs. The national drop was 3.9 percent compared to 2.7 percent in the south. While the educational pipeline isn t producing Senior nursing students Sarah Prescott, center, and Nicole Ringgold care for Walter F. Bell in the surgical intermediate unit at Pitt County Memorial Hospital during one of their clinical rotations. At left, ECU senior Heather O Neal listens to the heart of PCMH patient Judith Anderson.
6 4 The first class of CRNA students at ECU received training on a new computerized anesthesia simulator, Sim Man. From left are students Jason Annis, CRNA program director Dr. Maura McAuliffe, Nancy Lane and Marvin Pearson. A computerized chart from the anesthesia simulator provides patient data for students. as many nurses as it once did, age is another factor creeping into the shortage equation. According to Dr. Peter Buerhaus, R.N., FAAN, of Vanderbilt University, by 2020 there will be a shortage of 800,000 R.N.s in the United States. Buerhaus spoke at a recent nursing workforce conference in Charlotte. He cites several demographic factors. The average age of the R.N. workforce is increasing more than twice as fast as all other occupations in the United States workforce. In 2001, 60 percent of the R.N.s were over age 40 while 11 percent were under 30. Traditionally, R.N.s retire between 53 and 56 years of age, Buerhaus reported. Registered nurses aren t the only nurses looking to retire. The average age of nursing faculty is 51, AACN reports. Higher education is scrambling to fill faculty vacancies in order to sustain their enrollment levels or expand their nurse education programs. The Association of Academic Health Centers recently released data projecting a 7.4 percent vacancy rate among nursing faculty with the nation reaching a retirement peak in 2009, said Dr. Michael J. Lewis, vice chancellor for health sciences at ECU. That isn t that far away. A pirate attack To solve the impending crisis will take creativity, community partnerships and collaboration among health providers, universities and community agencies. ECU is strategically addressing the shortage on several fronts. Admissions to its pre-licensure nursing program are the highest in the school s history. ECU has a long history of responding to the needs of our region by providing quality health care workers and nurses, Horns said. We want to help to the greatest extent that we can to place as many new nurses in the field. Over the past three years, the number of BSN admissions has increased from 80 per semester to 100, with an annual pre-licensure BSN enrollment of 200 students. In accomplishing this enrollment growth, we are fortunate to have the support of our major clinical partner, UHS (University Health Systems of Eastern Carolina), Horns said. The ECU School of Nursing is the largest provider of new nurses in the state of North Carolina. While we have worked to increase the number of undergraduate students we enroll, we are also committed to maintaining the quality of our graduates. Our goal is for all of our graduates to become fully functioning members of the profession as soon as they can, she said. In addition to increasing its pre-licensure enrollments, over the past two years ECU has seen a 40 percent growth in its BSN training for registered nurses. Off-campus sites for the RN-BSN program are provided throughout eastern North Carolina to reach working nurses in rural areas. ECU has also expanded the RN-BSN program through the distance learning option. This allows licensed nurses to earn their bachelor s degrees over the Internet while being able to stay at home and continue working. The School of Nursing tries to make nursing education as close as the nearest computer, said Belinda Lee, RN-BSN program director. We also support students with a technology staff that examines student hard drives and recommends updates where necessary. Nursing faculty To head off the premonition of faculty shortages, ECU began a Doctor of Philosophy (Ph.D.) in nursing degree program in
7 August 2002 with a class of two students. Horns sees the Ph.D. program as a catalyst for attracting younger students to post-graduate studies. Traditionally, individuals in their late 40s or 50s pursue doctorates, which can limit the length of their academic and research careers. Our Ph.D. program will train individuals who plan to move into university faculty positions, research posts, health administration positions or as health policy analysts and leaders, Horns said. ECU began with two students and expects five additional doctoral students this fall. Incremental growth will increase the ranks to 30 students over the next five years with an average annual enrollment of six to eight Ph.D. students. In addition to the Ph.D. program, ECU has added a master s degree concentration in nursing instruction. This graduate program is designed specifically to address the shortage of nursing faculty for universities and community colleges, Horns said. To make this even more accessible, we re offering this full option on-line. In January ECU tackled another shortage area, adding a master s degree concentration in nurse anesthesia. The certified registered nurse anesthesia (CRNA) concentration is the result of a partnership between ECU, University Health Systems of Eastern Carolina (UHS) and Pitt Anesthesia Associates. As the university expands its enrollments and graduate degree offerings, additional classroom and research space is also a pressing need. In late 2002, site preparation began for the 37,000-square-foot expansion of the Rivers Building. Groundbreaking for The Learning Village on the medical campus is slated for spring The School of Nursing will receive a new 84,000-square-foot building, aiding ECU as it works to alleviate the nursing shortage. Finding solutions to the diverse and growing nursing shortage will take even more strategies and collaborations. Horns, Valerie Gatlin, (RN- BSN 98), Diane Poole, (RN-BSN 81, MSN 88) and other health care leaders from across the state are serving on the N.C. Institute of Medicine Nursing Workforce Task Force, funded by The Duke Endowment. This is an exceptional group of professionals who are committed to understanding and finding solutions to this complex issue, said Poole, UHS chief planning officer. By putting our heads together, we hope to discover the best practices that exist and develop additional solutions to address some of the problems we re all experiencing. Second from right, Molly Corbett Broad, president of the University of North Carolina system, leads ECU Board of Trustees in a Founder s Day ceremony honoring the Rivers Building expansion. From left are trustees Betty S. Speir, vice chairman James R. Talton Jr., Margaret C. Ward, Founder s Day keynote speaker Phil Kirk, Broad and Charles S. Franklin, trustee chairman.
9 7 Inspiring nurse educators shape the future By Marion Blackburn Name a great nurse and chances are you ll name a great teacher, too. Serving as clinical faculty, administrators or education program directors, nurse educators help mold young students into compassionate, professional caregivers. These roles allow them to make a lasting impact for years to come, for their students and for the profession. Nurse educators give others the keys to successful nursing. Moreover, they keep the profession viable. It s a crucial piece in solving the nursing shortage puzzle. Projections over the next decade depict an alarming trend in diminishing educator ranks. The American Association of Colleges of Nursing reports that the average age for nursing faculty in the U.S. in was 51 years. By 2015, many experienced faculty across the nation are expected to retire without replacements. At ECU, the School of Nursing has expanded its master s degree programs and now offers a doctoral degree in hopes of turning the tide to fill nursing education vacancies at the university and community college level with qualified, inspiring educators. They re constantly on the lookout for exceptional students who also demonstrate a talent for teaching. Teaching offers nurses a priceless chance to learn from others, said Gina Woody, (BSN 96, MSN 00), a clinical instructor in adult health at ECU. I love it, she said about teaching. My students motivate me. They re enthusiastic and teach me things everyday. Woody first taught as a graduate student and was asked to continue after she completed her master s degree. In addition to working fulltime as a clinical instructor, she continues to work as a staff nurse on weekends in a supplemental nursing pool at Pitt County Memorial Hospital. She generously shares her love of nursing with students and helps them wend through the difficult first days of patient care. I want them to be proud to be a nurse, and to get out there and like their job, she said. We hear about the nursing shortage and that nursing is hard work. But nurses can enjoy it more by becoming comfortable with their skills and being proud of their profession. We can t let our students get out while they re still afraid. Another critical role for nurse educators is to oversee the training programs that create tomorrow s associate degree nurses. Rhonda B. Ferrell, nursing and allied health department chair at James Sprunt Community College in Kenansville, coordinates training programs between her school and area hospitals and colleges. She also teaches. She works with students and faculty, helping to A lamp for others advance their knowledge and professionalism. I like seeing them accomplish things, said Ferrell, (BSN 69, MSN 86). I enjoy mentoring students and faculty, seeing faculty become excited about teaching. Students come back and tell me that they ve finished a master s degree or that they re in charge of the ER. Those stories are rewarding for me. Her most important lesson is to remember the patient, a lesson she learned personally as she battled breast cancer. Through her disease, which was successfully treated, she gained new insight. It s important to have a sense of professionalism when you take care of people, but you must also have humanity, she said. I talk about my breast cancer with the students and explain, Here s what I was feeling and here s what a nurse is feeling. If our students can do that, they ve done a good job. Rhonda Ferrell, R.N., loves teaching nursing students at James Sprunt Community College. At left, ECU clinical instructor Gina Woody assesses PCMH patient Walter F. Bell as two nursing students observe.
11 9 By Jane Martin Gail Gouty s academic career spans the scope of the Rivers Building. This time around she s in nursing labs and classrooms instead of her former haunts down the hall in the School of Human Environmental Sciences. After I earned my degree in nutrition and hospitality management, I spent six years working in a health department setting doing health inspections, said Gouty, age 42, of Fremont. I liked my job, but it just wasn t fulfilling. Gouty valued protecting the public s health, but the reception she received on her inspections didn t quite match her personality. She wanted people to be happy to see her when she walked through the door. I just wanted that good feeling that I was doing something worthwhile, she said. Next came motherhood. When her youngest son entered kindergarten, she became a teacher s assistant and later looked into teacher certification. That s when the number 65 and a nudge from her husband led her to nursing. I always felt it was beyond my reach (to become a nurse), she said. It was going to take me 65 hours of credit to earn my teacher s certificate; the same to earn a nursing degree. Yet I knew that I would always regret it if I didn t try to earn my nursing degree. Now a few thousand odometer miles later, she has no regrets. I ve just learned Nursing a second so much in such a short period of time, she said. It s amazing how intricate the human body is and how it works. Watching a baby being born was amazing. It was emotional and exhilarating at the same time. Gouty also has an extra incentive to do well in school. My sons, (ages 13 and 17), tell everyone my grades, she said, laughing. So, I d better do well. For Gouty s classmate, Kenneth Gregory, discovering nursing as a second career has fallen perfectly in line with the dreams of this former soldier. After spending six years in the U.S. Army as a medic and lab technician, Gregory knew if anything could compare to his love for the Army it would be caring for patients. During his three years in the blood bank at Landstuhl Regional Medical Center near Ramstein Air Base in Germany, Gregory saw how different health professions work together. Initially, he thought he might follow in his brother s footsteps and become a physician assistant. That s when nursing caught his eye. Nursing seemed to be so friendly, something that I would really enjoy, he said. There are three things in this life that I love, my wife (Heather), nursing and the Army. Gregory also has a desire career to work in a rural setting. Heart disease, diabetes, hypertension are so prevalent for patients here, he said. And, many of them don t have insurance. I m really interested in rural care and in helping people. The Army and his medical laboratory science associate s degree gave Gregory, age 30, a strong foundation for nursing. When you take the confidence that the military instills in you and blend it with the quality of the education that I m receiving at ECU, then your anxiety level just drops, he said. Nursing is like this big wheel with so many different options. You give it a spin and it will take you anywhere. You ll be a success as long as you re willing to work for it. Dr. Josie Bowman, left, demonstrates to junior Gail Gouty how to splint a patient s arm during lab class in the Rivers Building. At left, junior Kenneth Gregory enjoyed a career as a medic and laboratory technologist in the U.S. Army before becoming a nursing student at ECU.
12 10 A nurse The 1,000-bed USNS Comfort is the largest floating hospital deployed in the Middle East. At right, 2001 ECU graduate Rachel Edelson takes a break on the deck of the USNS Comfort. Edelson, an ensign, has treated Americans and Iraqis injured in combat. atsea By Marion Blackburn The military, like the nation, has a great need for nurses; and never more than in a time of war. ECU has strong ties with the armed services, especially the Army and Navy, to help train nurses in its bachelor s and master s programs. In recent weeks, the School of Nursing has been especially proud of graduate Rachel Edelson (BSN 01), a young ensign serving on the USNS Comfort, the largest floating hospital in the Middle East. With nearly 1,000 beds, 12 operating rooms, a 50-bed trauma unit and a staff of about 1,000, the Comfort has treated several war-injured combatants in recent weeks, including Iraqi soldiers arriving as prisoners of war. Comfort is one of two U.S. Navy hospital ships operated by the Military Sealift Command. On the Comfort, Edelson is in charge of 16 wards, able to hold 40 patients. In addition to a daily eight-hour shift, she spends hours caring for wounds and responding to new arrivals and many non-medical duties. She recently turned 24 on the ship, where she has been since Jan. 6. Edelson made time in her rare off-duty hours to answer several questions via . : Describe your days aboard the Comfort. Edelson: I get up to muster at about 6:45 a.m. and muster at 7:30 a.m. every morning. I do wound care all morning long. Most dressing changes here are BID (twice daily). I am a part of a 3-person wound care team, and we do all the complex wounds. Most of the Americans are wet/dry surgical wounds but most of the Iraqis have deep, open penetrating wounds that need packing. Then I do patient care from 3 p.m.-11 p.m. During that shift I do most of the evening dressing changes as well. I usually pick up a couple of dressing changes after my shift is over. I usually get to bed between 2 and 4 a.m. and average about 2-4 hours of sleep a night. You sleep and eat whenever you can. I take a nap after morning dressing changes and before my 3-11 shift. : When do you relax? Edelson: I usually relax after my dressing changes at night and watch a movie with friends. I also run and work out for about 40 minutes after my shift and dressing changes are done at night. On Sunday, we can sleep until noon. : What kinds of wounds do you see? Edelson: We can t say much about our patient load but it s a lot different than the things you see in regular hospitals. Some of the people we see have been out in the desert for a while before they get here so the wounds are not exactly the most sterile. We do a lot of I&D (incision and drainage) and debridement. We see ground injuries, air injuries, MVC (motor vehicle crash) and training injuries, pretty much everything. The patients come in groups brought to us by helicopter. They come anytime during the day or night. We have people staffed around the clock. : What other responsibilities do you have? Edelson: We have a lot of training, plus cleaning, stocking, that sort of thing. We don t have non-medical personnel to take care of those things for us. So we must inventory supply rooms, stock our supplies and meds, clean the wards and many other things you would never think of having to do at a regular hospital. continued on page 22
15 13 Alumni profile: Healing the elderly and poor By Marion Blackburn Serving the community has taken Debra C. Wallace, Ph.D., (MSN 85) to the University of North Carolina at Greensboro, where she is director of research. She has helped faculty and students develop projects that focus on the needs of vulnerable populations women, children, the elderly, the poor and has helped develop programs to better reach them. We are finding that a lack of health care knowledge and lack of access to health care is evident in many populations in our area, she said. There are many things that affect nutrition, cardiovascular disease, diabetes, mortality and morbidity, and we are working to meet goals that will bring better health to this area. Formerly an instructor at ECU ( ), Wallace, 47, also has served as coordinator for the adult health master s program at the University of Tennessee. In addition, she incorporates strong clinical experience, having worked for 14 years in cardiac intensive care as well as trauma, medical and surgical intensive care units. Originally from Mississippi, Wallace received her BSN from Atlantic Christian College, now Barton, in Wilson. She went on to earn her Ph.D. at the University of South Carolina. She especially values her graduate experience at ECU because of the specialized training and skills she received here. My graduate education at ECU gave me a strong foundation on which I have based my academic career, she said. Moreover, her master s program provided excellent training in medical and surgical nursing and education, which were her concentrations. She arrived in Greensboro in August 2001 to assist faculty and students in conducting research and in preparing grant proposals as part of the new position. Among her projects is overseeing research dedicated to finding how to keep experienced nurses in the workplace, a growing issue in light of the ongoing nursing shortage. In addition to working with the nursing faculty at UNC-G, she has helped the university reach out to the community by coordinating programs with off-campus agencies. After her first year in the new post, during which the research office was established, applications for funding increased by 50 percent and research dollars increased by 50 percent, as well, she said. The program has obtained funding for student scholarships and fellowships and curriculum grants. Many of those research projects target the same illnesses prevalent in eastern North Carolina. Obesity, diabetes and heart disease are enormous problems in the region. Though it is metropolitan, the 10 counties surrounding Greensboro are rural, isolated and often medically underserved, she said. Whether you re in Greensboro, Greenville or Raleigh, the services are in town and many people are in outlying areas. Financial issues, transportation those issues are similar for everyone, she said. Projects at the university are also reaching out to the elderly and underserved and center on the national health objectives called Healthy People 2010 issued by the U.S. Department of Health and Human Services and the Surgeon General s office. She continues to maintain ties with ECU, said Judy Bernhardt, Ph.D., interim associate dean for graduate programs at the ECU School of Nursing. She sees Wallace each year at the annual consortium for doctoral programs in nursing. She s very dedicated and very well known, Bernhardt said. A lot of people at ECU have worked with her. She still has a lot of connections here. Wallace is also a former president of the Southern Nursing Research Society, ECU alumnae Dr. Debra C. Wallace oversees research at the UNC-Greensboro School of Nursing.
16 14 A pioneer in nursing From left, Dr. Angela B. McBride, Dr. Dixie Koldjeski and Dr. Phyllis N. Horns, dean, share a moment at the inaugural Koldjeski Lectureship. Koldjeski honored with lectureship By Marion Blackburn The inaugural lecture honoring Dr. Dixie Koldjeski drew faculty, family and peers. Tributes flowed, as did memories of working with Dr. Dixie, who is known for her high standards in educating nurses as healers, researchers and teachers. From her early days at East Carolina University, Koldjeski has been an advocate for research among faculty and students, while calling for professional advancement of nurses. She oversaw the school s establishment of the master s degree in 1977, and later served as adviser to the proposal and establishment of a Ph.D. program in Research has become part and parcel of the faculty work and of every course s content, said Dr. Phyllis N. Horns, dean. She has always reminded us of the importance of research and scholarship. Guest lecturer for the event was Dr. Angela B. McBride, professor and dean of the Indiana University School of Nursing. She was chosen, in part, because Koldjeski received her degrees in nursing bachelor s in 1960, master s in 1962 and Ph.D. in 1973 from Indiana University, Bloomington campus. Koldjeski, a Grifton native, first joined the ECU faculty in A portrait of Koldjeski, to hang in the School of Nursing, was unveiled at the event, held in March at the Greenville Country Club. Koldjeski said she was deeply moved by the presentation. I am virtually speechless, she said. She recalled times that were far different than today for women and gave thanks to her husband for his understanding and support. She described marching in a women s liberation rally in the late 1960s in Indianapolis that ended in her arrest. It was my first encounter with a policeman, she said. She also said she was grateful for her experiences at ECU. The school is fulfilling its promise and vision of becoming recognized for research, as well as clinical, work, she said. You ve got to keep pushing beyond what is. McBride s message, Orchestrating a Career in Nursing, emphasized the importance of growth, challenge and risk-taking in nursing. What makes this job a career is the notion that
17 through service to others, you will be changed, she said. As you bear witness to birth, death and the struggles of your patients, you will be changed. Learning must be tempered with real-world experiences, she said. Rarely does reality match the ideals of textbooks. Nurses learn to navigate the ambiguities of day-to-day care while developing abilities to negotiate, compromise and find solutions by themselves. Later, career nurses begin to make long-term contributions to their organizations through program development, mentoring, teaching and curriculum development. They may also make substantive contributions by helping to shape national ideas, plans and standards. Having earned respect, the nurse can, in late career, become a sought-after adviser unbound to any institution. It s important for the field to have individuals who have paid their dues and don t have to worry about promotion and tenure, McBride said. They can speak and write provocatively about the issues of the day. Above, at right, the portrait of Dr. Dixie Koldjeski will hang in the Rivers Building in honor of the lectureship established by the School of Nursing in her name.
18 16 News Briefs CRNA program begins East Carolina University has added nurse anesthesia as a concentration to its master s degree programs. The first class of 11 students began their studies in January. According to program director Dr. Maura McAuliffe, ECU plans to admit 12 students each year. ECU earned full accreditation in October 2002 from the Council on Accreditation of Nurse Anesthesia Educational Programs following submission of a comprehensive self-study and subsequent two-day site visit. The accreditation is effective through May 2005, when the first class will graduate. As we near the graduation date of the first students, we will begin a second self-study in preparation for reaccreditation, McAuliffe said. We re thrilled to be able to create such a quality program that has all of the right resources and support in place. ECU s program has the potential of becoming one of the premier nurse anesthesia educational programs in the country. The certified registered nurse anesthetist (CRNA) concentration is supported through a partnership between ECU, University Health Systems of Eastern Carolina and Pitt Anesthesia Associates. This partnership is the key to the program moving from concept to reality, according to Dr. Phyllis N. Horns, dean. All three of us were needed in order to make this program work and work well, Horns said. This partnership provides the right mix of resources and support to make our program a success. ECU increases the state s number of training programs to five. In addition to Greenville, the programs are located in Raleigh, Durham, Winston-Salem and Charlotte. Each of the 11 CRNA students have bachelor s degrees in nursing, are licensed as registered nurses and have at least one year of acute care experience. Students take a core set of graduate courses along with special anesthesia courses. They graduate with a master s degree in nursing and are then eligible to sit for the national certification exam. The program will take approximately 28 months to complete. Board of Governors honor Poston, Ferreira The University of North Carolina Board of Governors has recognized two nursing faculty members for exceptional teaching. Dr. Iona Poston, parent-child nursing associate professor, was presented the 2003 Board of Governors Award for Excellence in Teaching. The board awards one faculty member at each of the 16 UNC campuses with this distinction. Honored in May, awardees receive a bronze medallion and $7,500. Dr. Carol Ferreira is one of six recipients from across ECU of the 2003 Board of Governors Distinguished Professor for Teaching Award. Ferreira, a community nursing systems clinical instructor, was also nominated for the Robert L. Jones Award for Outstanding Teaching. ECU Chancellor Dr. William Muse recognized Poston and Ferreira during a ceremony April 30. Ph.D. program begins with two students The East Carolina University School of Nursing officially kicked off its doctoral degree program in August 2002 with two students. Plans are to expand to a total of 30 over the next four to five years, according to Dr. Phyllis N. Horns, dean. We re starting our program small and building each year, Horns said. This is the traditional model that is used for Ph.D. programs. We want to ensure quality and adequate faculty staffing as the program expands. Each class is estimated to average six to eight students. The Ph.D. is 54 course hours beyond master s degree level. ECU and UNC-Chapel Hill are the only N.C. schools that offer a Ph.D. in nursing. 78 students receive N.C. Nurse Scholars Merit Awards A total of 78 students enrolled at ECU are recipients of the 2002 North Carolina Nurse Scholars Awards. Upon graduation, recipients of this competitive, meritbased program commit to working for at least one year, per each year funded, as a registered nurse in North Carolina. Created by the 1989 General Assembly, this program was designed to address the shortage of trained nurses practicing in North Carolina. The first recipients were funded for the academic year. Recipients for the award are chosen on the basis of superior academics, leadership potential and desire to practice nursing on a full-time basis in North Carolina. Awards range from $3,000 to $5,000 per year.
19 17 By Jane Martin Duke University spells success by making research a critical part of the School of Nursing s mission. Dr. Barbara S. Turner, R.N., FAAN, professor and associate dean for research at Duke, was the keynote speaker at the 12th Annual Collaborative Research Day held at the Monroe Eastern Area Health Education Conference Center in Greenville Feb. 28. She spoke on how to build and sustain a nursing research center. As part of her approach at Duke, Turner sets audacious goals and makes these well known so they guide the Nursing Research Center s mission. It s also important for the center s staff to make their services readily available to unit nurses. At Duke, we found that it s very hard for the unit nurse to come to our office. The National League for Nursing Accrediting Commission (NLNAC) has granted East Carolina University continuing accreditation through 2010 of its bachelor s and master s in nursing degree programs. NLNAC conducted an on-site visit Oct In a March 17, 2003, letter, the commission identified the school s leadership, quality of faculty, curriculum integrity, advisement and technology support services and program evaluation as strengths. The commission found no areas of concern. Turner shares secrets to Duke nursing research center s success So, we always go to the unit, Turner said. There we can see what they re talking about and what their interests are. When Turner first arrived at Duke in 1993, her goal was to raise $1 million in external funding within five years. A decade later, the school has 45 on-going nursing studies. Of these, half are in the hospital. Our primary function is to support, encourage and promote nursing research, she said. Our office doesn t give checks or funding to individuals. Our role is to help find funding and identify collaborators for studies. We also help individuals get their manuscripts out and published. NLNAC urged ECU to continue improvement of facilities. ECU has begun a 37,000-square-foot expansion of the Rivers Building to provide additional classrooms and office space for faculty. Site preparation began late The School of Nursing will also receive a new facility as part of the proposed Learning Village on the medical campus in Another key to Duke s success is its extensive grant review process. Duke gathers a team of university staff and faculty from across disciplines to review all grants. They basically tear it apart and give feedback so the proposal can be revised, Turner said. Next, the proposal is sent out to two outside reviewers, one with expertise in the field that the grant addresses. From this feedback, the proposal is revised and then sent to a medical editor to be formatted and sent out, she said. By having such a tough review process in the beginning, this has helped us be more successful. Once funding is secured, the research center assists with grant management. Our faculty, staff and students worked very hard to ensure that we put our best foot forward, said Dr. Phyllis N. Horns, dean. It s very reassuring given the complexity of the review process to have your colleagues from around the country issue such a strong report on our degree programs. We re ecstatic over the results of the accreditation review. Dr. Barbara S. Turner was the keynote speaker for the 12th Annual Collaborative Research Day. BSN and MSN programs receive reaccreditation
20 18 Rising to the challenge Troy Munn Director of Development ECU School of Nursing Unfortunately, the picture is getting all too familiar. We wince as we see the bottom drop out of our investments and we dread peering at our quarterly 401-(k) statements. Corporate scandals and the events of 9/11 have helped lead us into our current bear market. The war in the Middle East, as well, impedes a market turnaround. Despite times like these, Americans have historically risen above stock market and economic trends to continue providing unprecedented philanthropy to charities nationwide. The School of Nursing at East Carolina University, like other charitable organizations, continues to rely on the generosity of alumni and friends to help fulfill its mission of educating quality nursing professionals, regardless of market and economic conditions. Perhaps for many individuals, charitable giving at this time does not seem to be an option due to insecurity of parting ways with cash and the inability to make gifts of valuable stock. Fortunately, there are other means by which alumni and friends can invest in future nursing professionals without making outright gifts of cash or stock in turbulent times. Examples are: Bequests A bequest is simply a part of your will that gifts financial resources, real estate, valuable collectibles and other components of your estate to the school. By including the school in your estate plans, you not only help build the future of the school, but you reduce your taxable estate by a 100 percent estate tax deduction for the amount of a bequest of cash, or the fair market value of property. Life Insurance If you or your family have come to a point where life insurance no longer has the significance it once had, you can make a gift to the school in the amount of the policy. Again, not only will you benefit the School of Nursing at ECU, but you also will receive tax savings, regardless of whether the policy is paid up or if you continue to make premium payments. Real Estate Virtually any kind of real property can be gifted to the school. Real estate can be contributed by outright means or, again, via a bequest. Depending on how the real estate is gifted and the tax bracket you are in, you can deduct anywhere from 30 to 50 percent of your adjusted gross income. These are just a few of the methods in which we can work with you in investing in today s students and tomorrow s nursing professionals in ways that do not require immediate gifts of cash or stock. If you would like more information, please call me, locally, at , or toll free, at ECU honors 43 students with scholarships The School of Nursing held its annual scholarship awards program November 14, 2002, in Mendenhall. A total of 43 students were awarded scholarships. Below is a listing of each scholarship presented and the recipients: American Legion Post 39, $500 awarded to Levi Scott McGowan, R.N., of Greenville. Naomi Bartoe Scholarship, $1,000 awarded to Mechell Smith of Elizabeth City. Ruth Glass Bunting, $500 each awarded to Teresa Anderson of Greenville, Rebecca Lynn Faulk of Charlotte, Heather O Neal of Mt. Airy and Angela Sutton of Kinston. Pam Demaree/Mike McGinnis Memorial, $300 awarded to Marie E. Houseal of Clarkton. Gravely Foundation, $500 awarded to Martha B. Guttu of Edenton. Hospice of Tarheel, $1,250 awarded to Melissa Anne Freese of Monroe. continued on page 20