Newsletter Issue 18: February 2015

In this Issue:

New Jersey Summit Hits High Points in Academic Progression Journey
NJNI Begins New Pilot Project With Planning Grants
Alumni and Scholars Update
Did You Know…?

New Jersey Summit Hits High Points in Academic Progression Journey

Action Coalition Highlights Importance of Alliances with NJNI and others.

Speakers at the New Jersey Action Coalition Seamless Academic Progression Summit II included, from left, Marianne Markowitz, MS, RN, CNE, vice president and dean of St. Joseph’s College of Nursing, and Susan Bastable, EdD, RN, nursing department chair and professor at Le Moyne College, both in New York state, and Ann Hubbard, DNP, EdD, ARNP, CNE, associate dean of nursing at Indian River State College in Florida.

Speakers at the New Jersey Action Coalition Seamless Academic Progression Summit II included, from left, Marianne Markowitz, MS, RN, CNE, vice president and dean of St. Joseph’s College of Nursing, and Susan Bastable, EdD, RN, nursing department chair and professor at Le Moyne College, both in New York state, and Ann Hubbard, DNP, EdD, ARNP, CNE, associate dean of nursing at Indian River State College in Florida.

The New Jersey Action Coalition (NJAC) Seamless Academic Progression Summit II drew more than 60 attendees to hear local and national perspectives on advancing education transformation, a key recommendation in the landmark Institute of Medicine (IOM) report The Future of Nursing: Leading Change, Advancing Health.

After NJAC Co-Lead Edna Cadmus, PhD, RN, NEA-BC, FAAN, welcomed the crowd assembled at the New Jersey Hospital Association in Princeton in late November, she introduced Pat Polansky, RN, MS, co-director of the Center to Champion Nursing in America, an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation (RWJF) that serves as national headquarters for the Future of Nursing: Campaign for Action. The Campaign is working to implement the IOM’s future of nursing recommendations through Action Coalitions it has created in all 50 states and the District of Columbia, and at the national level.

Polansky challenged attendees to view health care’s rapid evolution as a “race” that nurses must embrace. “If nurses don’t elevate and integrate,” she said, “we will remain mid-level providers.”

New Jersey Nursing Initiative (NJNI) Program Co-Director Susan Salmond, EdD, RN, ANEF, FAAN, executive vice dean and professor at the Rutgers School of Nursing, and Maria LoGrippo, PhD, RN, MSN, NE-BC, a New Jersey Nursing Scholar alumna and project director for NJAC’s academic-progression-focused State Implementation Program grant from RWJF, reported on NJAC’s Academic Progression Pilot Project.

“Education in New Jersey has a history of being siloed,” Salmond observed. “The changes we’re experiencing are very exciting—realizing that we’ve had to come out of our silos and work together. It’s fantastic to see the commitment to collegiality and collaboration in the state now.”

As the project shifts its focus from gap analysis to model design, LoGrippo said, priorities include alliances such as working with RWJF’s New Jersey Health Initiatives and NJNI programs; optimizing in-kind support from the New Jersey Hospital Association; providing “navigators” who will promote seamless academic progression models to both associate degree RNs and non-nurses in practice settings who are interested in pursuing bachelor of science in nursing (BSN) degrees; increasing diversity among aspiring nurses; and developing an online tool that provides guidance for students on nursing education and financial aid.

“We may not have consensus on one model in New Jersey,” LoGrippo added, “but we want there to be transparency about the models that do work.”

Mary Baroni, PhD, RN, professor of nursing and health studies at the University of Washington, Bothell, highlighted efforts to enhance curricular alignment between two- and four-year institutions and streamline a statewide associate degree in nursing (ADN)-to-BSN curricular pathway.

Sharon Gavin Fought, PhD, RN, director and associate professor of nursing at the University of Washington, Tacoma, and Gerianne Babbo, RN, MN, professor and associate dean for nursing at Olympic College, a two-year institution, shared their process for building an RN-to-BSN partnership. A crucial aspect, Fought said, was committing “to a new level of communication and trust. We had a lot of conversations that we were building on the ADN program, not replacing it. Now we don’t hear that concern anymore.”

Ann Hubbard, DNP, EdD, ARNP, CNE, associate dean of nursing at Indian River State College in Florida, discussed her institution’s successful online RN-to-BSN program, while Susan Bastable, EdD, RN, nursing department chair and professor at Le Moyne College, and Marianne Markowitz, MS, RN, CNE, vice president and dean of St. Joseph’s College of Nursing, talked about their efforts in New York state to establish a Dual Degree Partnership in Nursing.

“This model would not work without both partners,” Bastable said. “They can’t do it alone. One or the other is not going to disappear.”

“We can’t emphasize the importance of practice partners enough,” Markowitz added. “They’re crucial for clinical placements, and it’s important for them to recognize the value of these students.”

The summit also devoted time to a panel on workforce needs in acute care, home health nursing, and long-term care.

Magnet hospitals have been a driving force in increasing the number of nurses with BSNs, said panelist Robyn Begley, DNP, RN, NEA-BC, vice president of nursing and chief nursing officer for AtlantiCare Regional Medical Center. She added that with health care shifting away from acute care settings, “we are looking at innovative approaches across the continuum—hospice, telehealth, palliative care and more.”

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NJNI Begins New Pilot Project With Planning Grants

Three nursing programs have been chosen to receive New Jersey Nursing Initiative (NJNI) Redesigning Nursing Education to Address the Challenges and Opportunities and Population Health Planning Grant Awards. Each grantee will receive $50,000 to plan a pilot project that brings academic and practice partners together on innovative curricular issues.

The grant recipients are:

  • The College of New Jersey, Using an Academic-Practice Partnership to Enhance Population-Focused Health Care in BSN Education: Planning for the Future;
  • Rutgers (Newark/New Brunswick), Redesigning Nursing Education to Address the Challenges and Opportunities of Elder Population Health; and
  • Rutgers (Camden), Redesigning Nursing Education to Address the Challenges and Opportunities for Population Health.

These grantees will be considered for implementation grants for the 2015-16 academic year.

NJNI had a successful experience with earlier Innovations in Clinical Education pilot projects. This latest effort reflects NJNI’s shift from faculty preparation to faculty development, and its enhanced focus on encouraging nursing educators in the Garden State to transition curricula and clinical experience in order to help prepare nurses to meet the emerging demands of community-based care and population health.

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Alumni and Scholars Update

  • New Jersey Nursing Scholar alumna Maria LoGrippo, PhD, RN, MSN, NE-BC, was one of 10 recipients of the new Breakthrough Leaders in Nursing award created by the Future of Nursing: Campaign for Action, a joint initiative of AARP and the Robert Wood Johnson Foundation (RWJF). The award celebrates nurse leadership and the importance of efforts by nurses to improve health and health care.

LoGrippo, who teaches nursing at Rutgers and Seton Hall University and serves as project director for the New Jersey Action Coalition’s academic-progression-focused State Implementation Program grant from RWJF, and her fellow award recipients were recognized during the Campaign for Action Summit in November in Phoenix.

  • Lisa Heelan, MSN, FNP-BC, ANP-BC, who is pursuing her PhD at Seton Hall University as a New Jersey Nursing Scholar, has given several presentations since the current academic year began. Her poster abstract, “Patient Advocacy: The Role of Research and Power to Participate Knowingly in Change,” was selected by Seton Hall for the Rising Stars in Nursing invited poster program at Sigma Theta Tau International’s Leadership Connection event, which was held in September in Indianapolis.

Also, Heelan’s abstract for the oral presentation “Human Dignity and Power in Childbirth” and her poster presentation “Human Dignity and Patient Advocacy as Mutual Process” were accepted by the Rogerian Society for a conference held in October in Knoxville, Tenn.

If you are a New Jersey Nursing Scholar alumna or alumnus, or a current Scholar, please let NJNI know what’s new with you, so you can be featured in the next Alumni and Scholars Update section of the newsletter. Send your news about new jobs, research progress, publications, and more to info@njni.org.

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Did You Know…?

  • The next Collaborative Learning Community (CLC) event is the February 12 webinar, Ongoing Professional Development: How to Bring Value to Your Organization, Community and Profession. The webinar will provide guidance on self-presentation and self-marketing, building a professional portfolio, effectively presenting that portfolio to various audiences, networking to build a career, building leadership skills, and more. It is intended to help Scholars prepare for their careers as leaders in nursing, research and academia.
  • A CLC graduation event will be part of the New Jersey Nursing Initiative Annual Meeting on April 9 and 10. Stay tuned for additional details.
  • The New Jersey Nursing Initiative (NJNI) is active on social media, and wants to connect with you! Be sure to follow @NJNIprogram on Twitter, and keep up with NJNI on Facebook at www.facebook.com/NewJerseyNursingInitiative.

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Newsletter Issue 17: September 2014

In this Issue:

Curriculum Changes Emerge as a New Priority for NJNI
Deans and CNOs: Together by Design
Four N.J. Nursing Scholars Complete Advanced Degree Programs
A New Year for the Collaborative Learning Community
Alumni and Scholars Update
Did You Know…?

Curriculum Changes Emerge as a New Priority for NJNI

Over the past year since they were appointed co-directors of the New Jersey Nursing Initiative (NJNI), Aline M. Holmes, DNP, MSN, RN, and Susan W. Salmond, EdD, RN, ANEF, FAAN, have launched a new phase of the program’s work. Building on its legacy of faculty preparation, NJNI now focuses on faculty development and encouraging nursing educators in the Garden State to transition curricula and clinical experiences. Doing so will help prepare nurses to meet the emerging demands of community-based care and population health.

“Innovation is the key,” says Salmond, who is also executive vice dean of the Rutgers School of Nursing. “Career success for our graduates requires the state’s nursing programs to teach the relevant skills for the health care landscape of today and—more importantly—tomorrow.”

Several NJNI events this year, including a thought leaders’ summit, a conference of deans and chief nursing officers, and the annual meeting, have targeted hot topics relating to population health, the Triple Aim, interprofessional education, and partnerships between academia and clinical practice. NJNI will be supporting this shift in priorities through a request for proposals for up to eight planning grants that will receive up to $50,000 each to bring academic and practice partners together on innovative curricular issues.

“We’re trying to establish the idea that curriculum has to change,” says Holmes, DNP, MSN, RN, who is also the New Jersey Hospital Association’s senior vice president for clinical affairs. “Programs can’t prepare nurses for hospital jobs only.”

“Acute care is still the glamorous setting,” adds Salmond, “but skill sets have to reflect both acute care and population health.”

For example, Holmes explains, the vast majority of children are never hospitalized. “Yet nursing programs emphasize inpatient pediatrics, when there’s a pressing need to make sure nurses have the skills and confidence to practice where children are. Nurses need to be up to speed on issues like well-baby visits, immunizations, diabetes and substance abuse. Health care needs are changing very quickly.”

Salmond and Holmes see momentum for curricular evolution starting to build, especially since NJNI has started to provide what Holmes calls a “safe table” where leaders from academia and clinical practice can come together to talk about the direction health care is taking.

“We are excited about the conversations that are occurring and anticipate New Jersey programs will take a lead in influencing new and innovative curricula,” she says.

“Practice and education have a lot to do to get students where they need to be,” Salmond adds, “but we are absolutely optimistic that nurses will be leaders in where health care is going, if the curriculum changes happen.”

Reproduced with permission of the Robert Wood Johnson Foundation, Princeton, N.J.

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Deans and CNOs: Together by Design

The New Jersey Nursing Initiative (NJNI) convened a Design Thinking Retreat in June at the Robert Wood Johnson Foundation, bringing together more than 60 nursing school deans, chief nursing officers, and key stakeholders as part of NJNI’s ongoing efforts to bring academic and practice leaders to work together to move nursing education forward.

The day-long retreat explored ideas for pilot projects geared toward population health objectives, and provided a forum for discussing gaps between nursing education and practice. Eight groups worked on designs for curricula, student experience, and faculty support and development that would prepare students for the future of population health.

Several common themes emerged, including:

  • Interprofessional training and skill building;
  • Increasing clinical experience;
  • Clinical mentorship;
  • Data and technology skills;
  • Professionalism and patient engagement skills; and
  • Increased specialization for nurses.

As participants reflected on the retreat, one wrote that “being able to sit together to share needs from both sides to improve what we both do is a win-win, especially when resources become tighter, both financial and human. More communication … will benefit the nursing profession and can really lead to positive future growth.”

Another pointed out the need for “easier access to other clients outside of acute care. A great deal of ‘community’ or ‘public health experience’ winds up being observational. How do we give our students meaningful experience when not in an acute care setting? Observation is a valuable tool in learning, but hands on enhances the learning much more.”

“We have many goals but need to work together,” wrote another participant. “We need access to services, fewer barriers to practice, support onward to share resources, and human resources to improve population health outcomes.”

NJNI has incorporated ideas exchanged at the retreat into an upcoming request for proposals for pilot projects that bring academic and practice partners together on innovative curricular issues.

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Four N.J. Nursing Scholars Complete Advanced Degree Programs

With the support of the New Jersey Nursing Initiative (NJNI), four more highly educated nurses are prepared to assume faculty roles and help meet the educational needs of New Jersey’s nursing workforce in a rapidly evolving health care landscape.

Three of NJNI’s Faculty Preparation Program participants, known as New Jersey Nursing Scholars, recently completed their doctorates at the Rutgers School of Nursing:

  • Shanda Johnson, PhD, MS, RN, APN-C, FNP, of Scotch Plains;
  • Aleesa M. Mobley, PhD, RN, APN-C, of Williamstown; and
  • Catherine Jirak Monetti, PhD, MA, RN, of Mountain Lakes.

One scholar earned her master’s degree at the Rutgers School of Nursing:

  • Karon Branch, MSN, RN, FNP, of Willingboro.

Additionally, Jenee Skinner-Hamler, DNP, RN, FNP, of Mays Landing, who had completed her master’s degree at the Rutgers School of Nursing in 2011 as a New Jersey Nursing Scholar, received alumni incentive funding from NJNI and completed her doctor of nursing practice degree at Wilkes University in Wilkes-Barre, Pa.

The Robert Wood Johnson Foundation launched NJNI in 2009, and it has now supported 51 New Jersey Nursing Scholars who have completed master’s or doctoral degrees qualify them for nurse faculty positions. NJNI’s final cohort of scholars—10 PhD students—continue in their programs.

“The New Jersey Nursing Scholars are a vital part of NJNI’s legacy, and a reflection of its future,” said NJNI Program Co-Director Susan W. Salmond, EdD, RN, ANEF, FAAN. “We’re proud to help fuel the pipeline of nurse faculty needed to educate the next generation of nurses.”

“NJNI’s initial focus on the state’s nurse faculty shortage has helped us better understand where to go next,” added NJNI Program Co-Director Aline M. Holmes, DNP, MSN, RN. “Now we’re encouraging the state’s nursing programs to teach the relevant skills that will help students succeed in meeting emerging health care needs.”

“Without the support of the Robert Wood Johnson Foundation and the New Jersey Nursing Initiative, the prospect of pursuing doctoral studies was daunting,” said Monetti. “This experience gave me so much more than teaching credentials.”

Mobley, who holds an adjunct faculty position at Rowan University and is pursuing a full-time tenure-track position there, said that NJNI “encouraged and enhanced better teaching skills. I plan on giving my professional best in return.”

“I’ve always loved the profession, and I’m eager to teach other nurses in the future,” said Branch, a family nurse practitioner who hopes to become a primary care provider and teach part time.

Johnson, a family nurse practitioner who plans to teach part time this fall, said that the scholarship supported her research on adolescent obesity, enhancing both her clinical and academic skills. “I’d like to eventually serve as a dean or in a similar leadership role,” she said. “It’s important to have nurses in those positions.”

NJNI’s priorities now include:

  • An Online Faculty Development Program;
  • Enhanced partnerships with other organizations, including a key role with the New Jersey Action Coalition, which helps the Future of Nursing: Campaign for Action implement recommendations from the Institute of Medicine’s landmark 2010 nursing report as part of a nationwide effort to transform nursing and the delivery of health care in America;
  • Promoting educational initiatives and pilot projects that will attune nursing education to community-based and population health; and
  • Encouraging curricular and instructional changes in nursing to better reflect health care trends.

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A New Year for the Collaborative Learning Community

The Collaborative Learning Community (CLC) will get underway for the new academic year with a conference on October 10 at the Robert Wood Johnson Foundation: “Health Care in the Community: Developing Academia/Practice Partnerships for Care Coordination and Managing Care Transitions.”

The session will focus on health care’s shift from inpatient to outpatient settings, where care coordination and accountability can be challenging. The presentation will identify the dimensions of care coordination and transition management; describe the associated competencies, including knowledge, skills and attitudes; and offer strategies to educate nursing students in support of developing team-based collaborative ambulatory practice environments that deliver quality and safe care that is patient- and population-centered.

NJNI congratulates two CLC participants who have recently been inducted as Fellows of the American Academy of Nursing: Karen D’Alonzo, PhD, RN, APN-C, and Tony Forrester, PhD, RN, ANEF, both of whom are professors at the Rutgers School of Nursing. D’Alonzo is NJNI’s Faculty Preparation Program director at Rutgers, and Forrester has served as a panelist and presenter for several CLC sessions.

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Alumni and Scholars Update

  • Rahshida Atkins, PhD, APN, FNP-BC, is doing postdoctoral research at the University of Pennsylvania.
  • Karon Branch, MSN, RN, FNP, attended a learning session, Nurses in the Boardroom, hosted by the New Jersey Hospital Association. The program was designed to engage nurses in assuming leadership roles on advisory and governance boards, where policy decisions that impact health care are made. Maryjoan Ladden, PhD, RN, FAAN, senior program officer at the Robert Wood Johnson Foundation, was the guest speaker.
  • Emilia Iwu, MSN, RN, APN-C, FWACN, PhD(c), has received the 2014 Global Nursing Research Grant from Sigma Theta Tau International for her dissertation research proposal, “Shifting HIV Management Tasks from Physicians to Nurses in Africa.”
  • Tracy Perron, PhD, RN, CNE, CSN, has been named an assistant professor at the College of New Jersey.

If you are a New Jersey Nursing Scholar alumna or alumnus, or a current Scholar, please let NJNI know what’s new with you, so you can be featured in the next Alumni and Scholars Update section of the newsletter. Send your news about new jobs, research progress, publications, and more to info@www.njni.org.

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Did You Know…?

Edna Cadmus, PhD, RN, NEA-BC, FAAN, clinical professor at the Rutgers School of Nursing, has been appointed executive director of the New Jersey Collaborating Center for Nursing (NJCCN). Cadmus has more than 30 years of clinical and administrative experience and has been the recipient of numerous awards. Her extensive background in leadership positions includes: co-lead of the New Jersey Action Coalition, past president and current board member of ONE/NJ, and current vice chair-commissioner for Pathways to Excellence, American Nurses Credentialing Center. She is the specialty director for the graduate leadership tracks at Rutgers University. Learn more about NJCCN at www.njccn.org.

 

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Newsletter Issue 16: May 2014

In this issue:

The Future Unfolds at NJNI’s Annual Meeting
Ideas Worth Exploring: NJNI’s First Thought Leaders Summit|
Journeys Continue for Two ICE Pilots
Action Coalition Update: E-Newsletter Launches, and More
Did You Know…?

The Future Unfolds at NJNI’s Annual Meeting

 

Nursing scholars, mentors, educators, and other health care leaders took their seats at the Robert Wood Johnson Foundation (RWJF) for two days in March for the 2014 New Jersey Nursing Initiative (NJNI) Anuual Meeting. But standing still, it was clear, was not an option.

From the meeting’s theme, Fast Forward: Shaping Nursing Education and Practice in the 21st Century, to the messages offered by the speakers, attendees were encouraged to let go of the status quo and lead the way in navigating New Jersey’s rapidly evolving health care landscape. They also had a shining example of adaptability in NJNI itself.

When RWJF launched NJNI in 2009, the program focused on fueling the nurse faculty pipeline in the Garden State so that there will be enough educators to teach the next generation of nurses. Today, with accomplishments that include supporting 61 New Jersey Nursing Scholars in their pursuit of master’s or doctoral degrees that prepare them for nurse faculty roles, NJNI has a new priority: encouraging the state’s nursing programs to teach the relevant skills that will help students succeed in meeting emerging health care needs.

“Some things haven’t changed since I was a student in the ’60s and ’70s,” NJNI Program Co-Director Susan W. Salmond, EdD, RN, ANEF, told attendees as the meeting got underway. “We have to prepare nurses for the new world of health care. That’s why we’re here.”

Since they were appointed last year, guiding NJNI into a new phase has been a priority for Salmond, who also serves as dean of the Rutgers School of Nursing, and for Program Co-Director Aline M. Holmes, DNP, MSN, RN, who is also the New Jersey Hospital Association’s senior vice president for clinical affairs. The Initiative’s priorities now include an Online Faculty Development Program; enhanced partnerships with other organizations; promoting educational initiatives and pilot projects that will attune nursing education to community-based and population health; and encouraging curricular and clinical pedagogical changes in nursing to better reflect emerging and future health care trends.

‘We Have to Look Outward’

George E. Thibault, MD, president of the Josiah Macy Jr. Foundation, was one of several speakers at the meeting who reinforced NJNI’s focus on synchronizing nursing academics and practice. “We won’t have enduring reform without changes in education,” he said. “We’ve used a curriculum derived from academic leaders’ heads. Instead of looking inward, we have to look outward. Have we achieved societal goals, not just curricular goals? That’s a paradigm shift.”

In his keynote address, noted consultant James E. Orlikoff, MA, emphasized the stark economic realities of health care that make change inevitable. “We cannot afford the product we are producing,” he said. “What does that mean? Reduce your cost or go out of business.”

Judith F. Karshmer, PhD, PMHCNS-BC, dean of the School of Nursing and Health Professions at the University of San Francisco, and Kathleen Gallo, PhD, MBA, RN, FAAN, senior vice president and chief learning officer at North Shore-LIJ Health System, both highlighted the need for disruptive innovation in education. Gallo zeroed in on the importance of interprofessional education and team-based care, while Karshmer discussed several academic areas ripe for rule-breaking, especially the standard approach to nursing competencies.

“We must stop treating hours of clinical time as equal,” Karshmer said. “It’s not about the hours, it’s about the competency. We have to rethink what the competency is. Right now, it’s like telling a patient, ‘You got healthy in two days, but you have to stay for four.’ That’s how we’re treating competency-based education.”

The Spirit of Collaboration

NJNI devoted the second day of the meeting to the Collaborative Learning Community (CLC), originally scholar-focused but now expanded to include a broader audience, explained CLC Facilitator Diane Billings, EdD, RN, FAAN.

Robyn Begley, DNP, RN, NEA-BC, chief nursing officer at AtlantiCare Regional Medical Center, discussed trends and challenges in nursing, including the shift from acute to chronic and primary care; the shift to population care; and overcoming barriers to change. “I believe the future is very bright for nurses,” she said.

She was followed by Susan Hendricks, EdD, RN, CNE, the associate dean for undergraduate programs at the Indiana University School of Nursing, whose message to current and aspiring faculty was that “we can’t afford to be behind change. We have to get in front of it.”

“Everyone owns curriculum,” Hendricks added, “not just the few people who’ve traditionally developed it.”

Thinking Outside of Silos

As the meeting wound down, Hendricks said that she was happy to not only have shared her perspective, but to be taking away new ideas as well. “There are a number of leaders in New Jersey who are poised to move the state and the nation forward,” she said. “It was great to see a lot of people from practice engaging during the meeting, and there weren’t just questions put out there. There were some answers, too. This is what needs to happen—academia and practice sitting side by side.”

Marie Foley, PhD, RN, chair of the Graduate Department at the Seton Hall University College of Nursing, agreed. “It’s wonderful to have the perspective of practice,” she said. “The whole economic piece was fantastic. So eye-opening. We don’t often hear that. We have to look outside of our silos, and the meeting really reinforced that.”

In her parting words to attendees, Holmes said, “It’s been a great couple of days with very creative ideas. I challenge you all to go home and put these ideas into action.”

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Ideas Worth Exploring: NJNI’s First Thought Leaders Summit

Attendees at the NJNI Thought Leaders Summit meeting in February 2014 included, clockwise from left, NJNI Program Co-Director Aline Holmes; CFAR consultant Carey Gallagher; Executive Director NJ Board of Nursing George Hebert; NJNI Program Co-Director Susan Salmond; NYU Director of Education and Program Development Linda Bub; CNO/COO NYU Medical Center Margaret McClure; CFAR Consultant Jennifer Tomasik; North Shore LIJ Chief Learning Officer Kathleen Gallo; CareCam Health Systems Chief Clinical Officer Sandra Ryan; Thomas Jefferson University, School of Nursing Dean and Professor Beth Ann Swan; Aetna Vice President and National Medical Director Medical Strategy Randall Krakauer; RWJF Senior Program Officer Maryjoan Ladden; NJNI Program Coordinator Nina Raoji; Visiting Nurse Service of New York President and CEO Mary Ann Christopher; Rutgers University Director of DNP Leadership Program Edna Cadmus; NJHA Vice President Post- Acute Care Policy & Special Initiatives Theresa Edelstein; Mississippi Hospital Association HRET President/CEO Marcella McKay; NJNI Projects Coordinator Hazelene Johnson; Jersey City Medical Center ACO Vice President Community Medicine Susan Walsh; NJNI Deputy Director Jennifer Polakowski. Attendees not pictured above include Meridian Health Vice President of Clinical Integration Maureen Bueno; Robert Wood Johnson University Hospital Director of Clinical Integration Lois Dornan; Princeton University Director of State Health Reform Implementation Program Heather Howard; PR Solutions Consultant Jonathan Padget.


As part of its transition into a new phase, the New Jersey Nursing Initiative (NJNI) held its first Thought Leaders Summit in February at the Robert Wood Johnson Foundation. The Summit provided an opportunity for brainstorming and discussion on a number of ways NJNI can tackle pressing challenges. The ideas exchanged will undoubtedly influence future pilot projects. NJNI is grateful to the following participants for sharing their time and expertise:

Linda Bub, MSN, RN, GCNS-BC, director of education and program development at New York University College of Nursing’s Nurses Improving Care for Healthsystem Elders program;

Maureen Bueno, PhD, RN, vice president for clinical integration at Meridian Health;

Edna Cadmus, PhD, RN, NEA-BC, FAAN, professor and director of the doctor of nursing practice leadership program at the Rutgers College of Nursing;

Mary Ann Christopher, MSN, RN, president and chief executive officer of the Visiting Nurse Service of New York, and NJNI national advisory committee chair;

Lois Dornan, MSN, RN, CPHQ, director of clinical integration at Robert Wood Johnson University Hospital;

Theresa Edelstein, MPH, LNHA, vice president for post-acute care policy and special initiatives at the New Jersey Hospital Association;

Kathleen Gallo, PhD, MBA, RN, FAAN, senior vice president and chief learning officer at North Shore-LIJ Health System;

George Hebert, MA, RN, executive director of the New Jersey Board of Nursing;

Heather Howard, JD, BA, director of the State Health Reform Assistance Network and lecturer in public affairs at Princeton University, and NJNI national advisory committee member;

Randall Krakauer, MD, national medical director at Aetna;

Margaret McClure, RN, EdD, FAAN, professor at New York University and former chief nursing officer and chief operating officer at New York University Medical Center;

Marcella McKay, PhD, MSN, MEd, RN, chief operating officer of the Mississippi Hospital Association, president and chief executive officer of the Mississippi Hospital Association Health, Research & Educational Foundation, and NJNI national advisory committee member;

Sandra Ryan, MSN, CPNP, FCPP, FAANP, FAAN, chief clinical officer at CareCam Health Systems;

Beth Ann Swan, PhD, CRNP, FAAN, dean and professor at Thomas Jefferson University; and

Susan Walsh, MD, vice president for community medicine and accountable care organization medical director at Jersey City Medical Center.

Also at the Summit, eight thought leaders participated in video interviews, answering four questions about the direction of nursing and its importance. The videos will be featured later this year on NJNI’s website. Here are four excerpts that capture the spirit of the conversations.

What is the greatest challenge that needs to be tackled in nursing education today, in order to help nurses succeed in the health care landscape of tomorrow?

As a geriatric clinical nurse specialist, I think the greatest challenge in nursing education is identifying and meeting the needs of the older adult. Integrating geriatrics into programs, transitions of care for this population, working with long-term care, assisted living, and home care—we really have to broaden the range of nursing practice outside of the acute care setting. —Linda Bub

As people talk about the evolution of nursing and health care, and what it will take to move forward, are there issues that haven’t come up yet or that need to be emphasized more?

The future of nursing is going to be extraordinarily independent. It’s clear that there are not going to be as many jobs in inpatient settings. But inpatient settings provide students and brand-new nurses with the opportunity to practice in situations where they have people to turn to for help. The community setting is much different when it comes to learning. We have to plan for this more autonomous setting.—Margaret McClure

How different will nursing, and nursing education, look 10 years from now?

The hope would be that in 10 years, it’s the same in the sense that we’re still teaching nurses how to be a key part of our health care system. But it’s different in the sense that we’re teaching them to prevent, treat, and manage chronic diseases, and teaching them how to be a critical part of promoting population health.—Heather Howard

Why does nursing matter to you, and how do you see yourself moving nursing forward?

Nursing matters to me tremendously on many different levels. It’s a profession that’s grounded in patient-centeredness, and making sure the right things are done for the patient, in the right context. Also, because of my own path toward becoming a chief clinical officer for a mobile health technology company, I find it amazing how the boundaries in nursing are coming down. Nurses need to look at how they can play a bigger-picture role and have influence across all sectors, and I will continue to work on having a positive influence in people’s lives.—Sandra Ryan

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Journeys Continue for Two ICE Pilots

 

NJNI’s Innovations in Clinical Education (ICE) program included four pilot projects, one of which has been sustained since the program concluded more than a year ago. “We’ve continued basically all aspects of the project,” said Minerva Guttman, EdD, RN, NP, director of the nursing school at Fairleigh Dickinson University (FDU). FDU’s participation in the ICE program included partnering with Holy Name Medical Center on preceptor strategies for community health nursing and hospice care.

“The nurses really enjoyed it, and we saw that it was making a difference. The student evaluations show they’re learning a lot,” Guttman continued.

To sustain the project, she said, the university incorporated preceptor training into the workload of the community health nursing faculty. Also, preceptors qualify for free tuition in RN-to-BSN and master’s programs. “It’s a good model that’s working well for us,” Guttman added.

Another ICE pilot will soon share its dedicated education unit (DEU) experience with a national audience. Julie Bliss, EdD, RN, chair of the William Paterson University Department of Nursing, which partnered with St. Joseph’s Regional Medical Center, has written an article that will be published in conjunction with a July conference celebrating the 10th anniversary of the Portland Model DEU, considered by many experts to be an exemplary model for preparing the next generation of nurses.

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Action Coalition Update: E-Newsletter Launches, and More

The New Jersey Action Coalition (NJAC), which helps the Future of Nursing: Campaign for Action implement recommendations from the Institute of Medicine’s landmark 2010 nursing report, is now publishing an e-newsletter that provides quarterly updates on NJAC’s progress, as well as important nursing news. The goal of the Campaign’s work is that everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health. View the NJAC newsletter online at www.njactioncoalition.com, and sign up to receive it directly by sending a request to info@njactioncoalition.com.

NJAC also invites nurses to visit its website to share their stories about how they are contributing to health care’s transformation through one of the Institute of Medicine’s Future of Nursing recommendation areas: expanding scope of practice, advancing education, leadership, and workforce data. Selected stories will be featured online and shared with Action Coalition partners across the nation.

Additionally, NJAC is recruiting speakers to give presentations on its work, and needs to know if there are nurse leaders who’ve recently taken on board roles. Contact info@njactioncoalition.com to learn more about speaking opportunities, and to share any updates.

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Did You Know…?

May brings a milestone for NJNI Program Co-Director Aline Holmes, DNP, MSN, RN,

who received her doctor of nursing practice degree from the Rutgers College of

Nursing. “It was on my bucket list,” she recently told Rutgers Today. “And I figured if

I am going to help transform nursing education, I should walk the walk.”

– NJNI is piloting six faculty development modules with current scholars and alumni: Meeting the Challenges of the Educational System as a New Faculty; Transitioning to a Tenure-Track Position at a Research-Intensive University; Effective Teaching Strategies; Evidence-Based Teaching; Civility in the Academic Environment; and Online Learning in Nursing Education. NJNI plans to introduce a sustainable, comprehensive Online Faculty Development Program that will support the needs of up-and-coming New Jersey nurse faculty.

– If you are a New Jersey Nursing Scholar alumna or alumnus, please let NJNI know what’s new with you, so you can be featured in the next Alumni Update section of the newsletter. Send your news about new jobs, research progress, publications, and more to info@www.njni.org.

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Newsletter Issue 15: December 2013

In This Issue

NJNI’s Future Takes Shape at National Advisory Committee Meeting
NJNI Scholar Helps Address Social Isolation Among the Mentally Ill
Alumni Update
Collaborative Learning Community Gets Underway for 2013-2014
Did You Know..?

NJNI’s Future Takes Shape at National Advisory Committee Meeting

Attendees at the NJNI national advisory committee (NAC) meeting in October 2013 included, clockwise from left, NAC members Heather Howard and Susan Walsh; NJNI Program Director Susan Salmond; NAC members Dana Egreczky, Arnold Speert, Sonia Delgado, Ruben Fernandez, and Peter Inverso; NJNI Deputy Director Jennifer Polakowski; NAC Chair Mary Ann Christopher; RWJF Senior Program Officer Maryjoan Ladden; and NJNI Program Director Aline Holmes. Also serving on the NAC are Catherine Alicia Georges, Penelope Lattimer, Marcella McKay, Mary Sibley, and Mary Wachter.

Leaders of the New Jersey Nursing Initiative (NJNI) gathered in October at the Robert Wood Johnson Foundation (RWJF) to discuss what the future holds for the Initiative in its “NJNI 2.0” phase.

Newly appointed program directors Aline M. Holmes, MSN, RN, and Susan W. Salmond, EdD, RN, ANEF, FAAN, were joined by members of the national advisory committee (NAC) for the day-long meeting. It was devoted to strategic planning as NJNI builds on its support for 61 New Jersey Nursing Scholars who are pursuing, or have completed, master’s or doctoral degrees at  nursing programs in the state. They are now poised to assume nurse faculty roles in New Jersey.

RWJF and the New Jersey Chamber of Commerce Foundation launched NJNI in 2009 to address the state’s nurse faculty shortage and help avert the projected shortage of more than 23,000 nurses in New Jersey in less than two decades.

NAC Chair Mary Ann Christopher, MSN, RN, FAAN, welcomed attendees, who were then introduced to Holmes and Salmond by RWJF Senior Program Officer Maryjoan D. Ladden, PhD, RN, FAAN, setting the stage for the program directors and their deputy, Jennifer Polakowski, MPA, to lead a discussion of NJNI 2.0 priorities, including:

  • Communications efforts such as a website redesign and social media outreach;
  • A toolkit for the Faculty Preparation Program that disseminates lessons learned;
  • A Faculty Development Program that can provide sustainable professional development opportunities for nurse faculty in New Jersey;
  • Enhanced partnerships with other organizations to advance NJNI goals; and
  • Academic leadership that will attune nursing education to community-based and population health.

“What skills do nurses need now, and five years from now?” Holmes asked. “We’re figuring out dedicated education units, but we need to figure out how to create community education units, because that’s where so many nurses are going to be practicing.”

“We’re embracing the reality of health care,” Salmond added. “What does nursing education need to do? We’re teaching in traditional ways. As an educational community in New Jersey, NJNI needs to lead the shift to the educational needs of tomorrow, which is already here today.”

NAC members weighed in with expert perspectives on a number of topics, including efficiency and safety issues, interdisciplinary approaches to care, new core competencies for front-line nurses, cultural dimensions of care, encouraging a more responsive regulatory system, and incorporating leaders from the insurance industry and other business fields into NJNI’s work.

“Ultimately, we want to create a brain trust to look at all of these issues and help move nursing to a new realm,” said Salmond.

After the meeting, Christopher said she sensed “a lot of momentum from the group. All of the ideas discussed represent an opportunity to transform the health care system at a time when it’s critically important to do so.”

NAC member Sonia Delgado, MGA, said, “It was exciting to see people thinking outside of the box, getting ahead of the curve, and thinking about the value nurses bring to health care. I’m glad that people understand the need to think big.”

“The group was engaged on bridging the gap between academia and practice, and developing new competencies,” Holmes said. Salmond added, “There was recognition that the future is a different health care world. We’re going to have to redesign education. We want to build on the past and look at where nursing education must be.”

Ladden called the NJNI 2.0 objectives “a perfect next step. They build on what NJNI did with the Faculty Preparation Program, and really take the Initiative where it needs to go.”
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NJNI Scholar Helps Address Social Isolation Among the Mentally Ill

Front-line experience leads RWJF Scholar to warn that failing to focus on social integration and interaction may put mental health patients at risk.

“People with mental illness have much more going on in their lives than just their mental illness.”

It was a realization Sheila Linz had early in her nursing career, she said, because she spent many years working closely with people struggling with severe cases of schizophrenia, bipolar disorder, and other mental health problems. But as the treatment system shifted its emphasis from institutional settings to independent living, Linz, PhD, PMHNP-BC, RN, began to worry that a critical component of mental health was getting lost along the way: social interaction.

That concern led her to choose social isolation in the severely mentally ill as her research focus when she started her PhD program at Seton Hall University as a Robert Wood Johnson Foundation New Jersey Nursing Initiative (NJNI) New Jersey Nursing Scholar.

“When I was younger, I worked in a facility where a lot of people lived, and we had social groups, entertainment, and things for people to do on weekends,” Linz recalled. “But the model is moving away from that. People like to live in their own apartments, and it’s also more affordable. As a nurse and a nurse practitioner, I went into the homes of people with severe mental illness, and they looked very lonely to me. They would always be sitting in their apartments, watching television by themselves. It seemed to me that this was not good for their mental health, and it also left a whole lot more time for their delusions and for responses to their voices.”

Midway through her PhD work, Linz collaborated with Bonnie A. Sturm, EdD, RN, an associate professor of nursing at Seton Hall University, on “The Phenomenon of Social Isolation in the Mentally Ill,” a paper that consolidates a number of scholarly perspectives and analyses. It was published in the October issue of Perspectives in Psychiatric Care.

“In one way, more people are getting services, because you’re bringing services to the home,” said Linz, who graduated in May—among the first group of New Jersey Nursing Scholars to complete their PhD programs—and now teaches at Seton Hall. “But because of that, people don’t have any real need to leave their homes. There was a situation being created that I thought was pretty serious, especially since it’s so difficult for people with mental illness to be accepted into any kind of community activity, because there’s so much stigma about mental illness.”

A Link Between Social Isolation and Physical Health

Linz said her PhD work was also shaped by research showing that people with severe mental illness live 25 years less, on average, than the general population. “And this was not because of suicide,” she said. “There were a lot of metabolic disorders, and it could not be explained totally by their medications. I also saw that there was a lot of research about the general population having early morbidity and mortality due to social isolation. A lot of studies showed that social isolation was as much of a predictor of mortality, or a risk factor, as smoking or drinking.”

“I came to see social isolation as a problem not only affecting mental health, but also physical health, which is another huge problem,” Linz said.

The paper offers solutions, and describes the implications of implementing them for nursing practice. “It talks about successful methods to help people with severe mental illness engage with the outer world and have a better sense of who they are,” Linz said. “There are also suggestions for what the practitioner can recommend, such as volunteering, or seeking out activities, like art classes or poetry readings, that engage the patients around their interests and their cultural identification.”

“A lot of people with severe mental illness don’t even think they’re sick,” Linz added. “Those are the people who don’t go to medical appointments and end up homeless, or they’re back and forth between hospitals. These are the people who have treatment teams going to their homes. For them, there isn’t enough value placed on the role of social interaction and social integration in the healing of mental illness.”

Much of the information in the paper became part of Linz’s literature review for her dissertation, which explored how the problem of social isolation manifested itself in a group of people being served by the mental health care delivery system known as assertive community treatment, or ACT.

“These are multidisciplinary teams, including a nurse, and the team meets every morning to discuss each of their clients before individually going to the clients’ homes,” Linz said. “These teams have done well keeping people out of the hospital, but there are areas such as social integration where they have not done as well. It’s not a priority.”

Speaking to workers on seven different ACT teams from three agencies in two states gave Linz “a front-line perspective on how they define social integration, how they facilitate it, the barriers they face, how they overcome barriers, and what their own ideas are about ways the model could be changed. I got a lot of very interesting information.”

Read the study. Learn more about the New Jersey Nursing Initiative.

Reproduced with permission of the Robert Wood Johnson Foundation, Princeton, N.J.
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Alumni Update

Welcome to the first installment of the new Alumni Update feature. Here’s what several New Jersey Nursing Scholars have been doing since graduation:

  • Tony Malek (2012 alumnus), MSN, RN, CBN, is working in Newark at Beth Israel as an observation unit nurse practitioner to expedite discharge and lower 30-day readmission rates. He recently attended the American Association of Nurse Practitioners leadership conference in Las Vegas.
  • Tracy Perron (2013 alumna), PhD, MSN, RN, published an article, “Peer Victimization: Strategies to Decrease Bullying in Schools,” in the February issue of the British Journal of School Nursing. She also worked with the New Jersey State Nurses Association on presentations in May about the impact of the state’s new anti-bullying law on school nursing, and served over the summer with Collaborative Learning Community Facilitator Diane Billings, EdD, RN, FAAN, on a Sigma Theta Tau International task force on faculty skills development programs.
  • Shelby Pitts (2012 alumna), MSN, RN, has a full-time faculty position in Newark at Rutgers School of Nursing. She is teaching Community Health Nursing and Foundations.
  • Latoya Rawlins (2011 alumna), MSN, RN, served as a panelist for the Collaborative Learning Community webinar on choosing a doctoral program. She is pursuing a doctor of nursing practice degree at Rutgers School of Nursing.

If you are a New Jersey Nursing Scholar alumnus, please let NJNI know what’s new with you, so you can be featured in an upcoming issue of the newsletter. Send your news to Deputy Director Jennifer Polakowski via email:info@www.njni.org.
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Collaborative Learning Community Gets Underway for 2013-2014

NJNI’s Collaborative Learning Community (CLC), facilitated by Diane Billings, EdD, RN, FAAN, has gotten off to a busy start in the new academic year, with webinars on promoting a spirit of inquiry in academic nurse educators, choosing a doctoral program, and workplace bullying, as well as a two-day workshop devoted to the National League for Nursing Certified Nurse Educator (CNE) exam.

“It’s exciting that the CNE workshop was open to broader audiences—scholars, faculty, and university leaders,” Billings said during a break between sessions, held in October at RWJF.

Presentation materials from the fall webinars are available online. The next CLC event will be a workshop on integrating nursing informatics into the curriculum. The workshop will be held on February 7, 2014, from 9 a.m. to 4 p.m. at RWJF.

CLC participants should also mark their calendars for webinars on March 7 (technology in learning) and April 23 (helping the “challenging student”), as well as NJNI’s annual meeting, March 12-14 at RWJF, which will include a CLC session on curriculum redesign.
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Did You Know..?

NJNI has a key role in the New Jersey Action Coalition (NJAC), which helps the Future of Nursing: Campaign for Action implement recommendations from the Institute of Medicine’s landmark 2010 nursing report as part of a nationwide effort to transform nursing and the delivery of health care in America.

NJAC recently announced that it has received funding of $1.6 million from the Centers for Medicare and Medicaid Services (CMS) to develop, implement, and evaluate an RN transition-into-practice residency model for long-term care (LTC) facilities in New Jersey. Working with the Health Care Association of New Jersey and volunteers from NJAC’s education pillar, NJAC will recruit 50 preceptors and 50 new nursing graduates for this 12-month residency.

NJAC hopes that the effort will improve care for LTC residents and help stabilize the state’s RN workforce. New Jersey’s readmission rates for geriatric adults with chronic diseases are among the highest in the country, and the 2010 turnover rate for staff nurses in New Jersey LTC facilities was 37.7 percent—higher than in other sectors of health care.

NJAC co-lead Edna Cadmus, PhD, RN, NEA-BC, FAAN, and NJNI Program Director Susan W. Salmond, EdD, RN, ANEF, FAAN, who is also co-chair of NJAC’s education pillar, will serve as co-investigators for the residency project, with the Rutgers College of Nursing in Newark taking the lead in overall management of the CMS funding.

“With a prestigious interdisciplinary team, along with others who will be participating with us over the next 30 months, we are excited about the impact we can make for long-term care residents in New Jersey,” Salmond said.

Learn more about NJAC online.
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Newsletter Issue 14: July 2013

In This Issue:

New Leadership for NJNI
A ‘Watershed Moment’ for the New Jersey Nursing Initiative
Moving Words as Susan Bakewell-Sachs Moves On
Treating Depression in Single Black Mothers
Academic Resource Center of New Jersey Celebrates Its Accomplishments
In Memoriam: Rich Hader
Coming Soon: Alumni Update
Did You Know…?

New Leadership for NJNI

The New Jersey Nursing Initiative (NJNI) welcomed Aline M. Holmes, MSN, RN, and Susan W. Salmond, EdD, RN, ANEF, FAAN, on July 1 as program directors following the departure of Susan Bakewell-Sachs, PhD, RN, PNP-BC, who had served in that position since NJNI’s inception. The Robert Wood Johnson Foundation (RWJF) and the New Jersey Chamber of Commerce Foundation launched NJNI in 2009 to address the state’s nurse faculty shortage and help avert the projected shortage of more than 23,000 nurses in New Jersey in less than two decades.

“Aline Holmes and Susan Salmond bring exceptional skills and experience to NJNI,” said RWJF’s senior adviser for nursing, Susan B. Hassmiller, PhD, RN, FAAN. “Their passion for promoting the health and well-being of New Jersey’s citizens is apparent in their work, and that translates beautifully to the mission of NJNI: ensuring that a nurse will be there for you.”

Holmes is the senior vice president for clinical affairs at the New Jersey Hospital Association (NJHA) in Princeton, as well as the director of the NJHA Institute for Quality & Patient Safety. She also serves as a principal investigator/project director for several patient safety improvement initiatives funded by RWJF and the Healthcare Foundation of New Jersey, and directs NJHA’s efforts under a Centers for Medicare & Medicaid Services contract to serve as a Hospital Engagement Network in the Partnership for Patients national initiative.

A U.S. Navy Nurse Corps veteran, Holmes completed her undergraduate studies in nursing at the University of Massachusetts and received her master’s of science in nursing from the Catholic University of America in Washington, D.C. She is pursuing a doctorate in nursing leadership at Rutgers University. Her hospital background includes leadership roles in nursing administration, patient care services, and operations. She has also served as an advanced practice nurse, worked in long-term care and managed care, and held faculty appointments in New Jersey, Chicago, and Washington, D.C.

“As a nurse and as an administrator, I’ve long known the fundamental role that nurses have in providing care and promoting health,” Holmes said. “I’m eager to tackle the challenges in New Jersey that NJNI has focused on so tirelessly for four years.”

Salmond is dean and professor at Rutgers School of Nursing (formerly the University of Medicine and Dentistry of New Jersey). She spearheaded development of New Jersey’s first doctor of nursing practice (DNP) degree program, which was launched at the school in 2006. Under her leadership, the school has also established new master’s programs in clinical leadership, advanced community health nursing, advanced emergency nursing, and nursing education. Salmond serves as co-chair of the New Jersey Action Coalition’s Academic Progression Committee and has been a member of NJNI’s Leadership Council.

She received her bachelor’s of science in nursing from the Villanova University College of Nursing, which in 2012 presented her its highest honor, the College of Nursing Medallion. She is a 2012 inductee into the Hall of Honor at the Seton Hall University College of Nursing, where she received her master’s of science in nursing with a specialization in chronic illness management. She earned her doctor of education degree from Teachers College, Columbia University.

“NJNI has made remarkable progress in fueling the pipeline of nurse faculty in the state,” said Salmond. “It’s an honor to assume the leadership of NJNI, with Aline Holmes, and build on its success.”

Bakewell-Sachs, who also until recently was interim provost of The College of New Jersey, has been appointed dean of the School of Nursing and vice president for nursing affairs at Oregon Health & Science University in Portland.

NJNI’s Faculty Preparation Program has supported 61 New Jersey Nursing Scholars who are pursuing, or have completed, master’s or doctoral degrees in New Jersey nursing programs. These nurses are now poised to assume nurse faculty roles in the state.

NJNI launched WeTeachNursingNJ.com, a website dedicated to nurse faculty career information. NJNI has also led the development of several clinical innovations projects across the state to more closely link nursing education and practice, including dedicated education units and renewed education for clinical preceptors. It has a key role in the New Jersey Action Coalition, which helps the Future of Nursing: Campaign for Action implement recommendations from the Institute of Medicine’s landmark 2010 nursing report as part of a nationwide effort to transform nursing and the delivery of health care in America.

Promoting leadership is a high priority for NJNI, Salmond and Holmes both agreed.  “There are many parallels between NJNI and the New Jersey Action Coalition, in terms of education and faculty preparation, and I’d like to see those activities coordinated,” said Holmes. “One of the Action Coalition’s pillars is leadership, and I see NJNI having an increasingly vital role in developing future leaders. There is a great opportunity for professionals in this health care environment, with factors such as chronic conditions and community-based care. NJNI can cultivate leaders in this environment, but we have to provide people with the right skills.”

“I also see a focus on leadership in academia,” said Salmond. “What do future leaders need in their schools and communities in order to thrive? By engaging alumni scholars as well as new people, NJNI can move academic goals forward. It’s also important for NJNI to look at its success and see how it can be replicated elsewhere. Highlighting our partnerships and promoting awareness of curriculum innovations is a big part of what needs to happen going forward.”
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A ‘Watershed Moment’ for the New Jersey Nursing Initiative

Innovative program’s first PhD scholars graduate, joining pipeline of nurses prepared to fill faculty positions in the Garden State.

How do you sum up four years devoted to pursuing a doctorate in nursing? “It was a remarkable opportunity that opened so many doors for the way I’ll function as a nursing educator and a researcher,” said Sheila Linz, PhD, PMHNP-BC, RN, one of eight nurses whose spring graduations represent a milestone for the New Jersey Nursing Initiative (NJNI): the first New Jersey Nursing Scholars to complete PhD degrees.
With the graduation of five PhD scholars at Seton Hall University on May 18, three at Rutgers on May 23, plus one master’s of science in nursing (MSN) scholar at the University of Medicine and Dentistry of New Jersey on May 20, NJNI has supported 47 scholars whose master’s or doctoral degrees qualify them for nurse faculty positions.
An additional 13 PhD scholars and one additional MSN scholar continue in their graduate nursing programs with support from NJNI, which was launched by the Robert Wood Johnson Foundation (RWJF) and the New Jersey Chamber of Commerce Foundation in 2009 to address the state’s staggering 10.5 percent nurse faculty vacancy rate and help avert a projected shortage of nurses in New Jersey.
“This is truly a watershed moment for NJNI,” said RWJF Senior Program Officer Maryjoan D. Ladden, PhD, RN, FAAN. “With just two nursing PhD programs in New Jersey, it’s a challenge to get 21 scholars through those institutions. The fact that the first eight PhD scholars have completed their programs in four years, when it often takes considerably longer, reflects an amazing commitment from the schools and intense mentoring from faculty. And it reflects the potential these women and men have to be dynamic forces in nursing education and practice.”
The New Jersey Nursing Scholars who graduated in May:
Seton Hall University
• Connie Kartoz, PhD, RN, FNP-BC, whose research focus is medication adherence in older adults living independently in the community;
• Sheila  Linz, PhD, PMHNP-BC, RN, whose research focus is social isolation in the severely mentally ill;
• Maria Torchia LoGrippo, PhD, RN, whose research focus is how trusting relationships between pregnant women and certified nurse-midwives lead to positive outcomes for mothers and their babies;
• Kristi Stinson, PhD, RN, APN-C, whose research focus is attitudes toward the use of physical restraints in critical care environments;
• Munira Wells, PhD, RN, whose research focus is New Jersey nurses who were born in India and faced culture shock in the United States;
Rutgers, the State University of New Jersey

• Rahshida Atkins, PhD, APN, FNP-BC, whose research focus is depression in Black single mothers;
• Tracy Perron, PhD, RN, whose research focus is school bullying;
• Robert Scoloveno, PhD, RN, whose research focus is how resilience affects the health outcomes of middle adolescents; and
University of Medicine and Dentistry of New Jersey
• Julie Aseltta, MSN, RN.
“The New Jersey Nursing Scholars are part of the legacy of NJNI,” said founding program director Susan Bakewell-Sachs, PhD, RN, PNP-BC, “but more importantly, they are part of the future of nursing in New Jersey. They were chosen because of their skills and accomplishments, but also because of NJNI’s hope for tomorrow—that these scholars will become the next generation of faculty we need to be sure we can teach the next generation of nurses. I’m so happy with the progress we’ve made.”
The nursing population is aging, with only 8 percent of New Jersey nurses younger than 30. The average age of the state’s nurses is 51, and the average age of nurse faculty is 55. A recent study projects a shortage of 23,358 nurses in New Jersey by 2030.
What’s Next
Linz and classmates Stinson and Wells will teach at Seton Hall this fall. “I’ve grown more than I expected as I pursued my PhD,” said Stinson. “It’s been a big lesson in time management. Using all the lessons that NJNI provided the scholars, I hope I can be a change agent.”
“Getting my PhD as a New Jersey Nursing Scholar has made a big difference for me,” said Wells. “It’s involved collaboration and networking not just with leaders in New Jersey, but experts from around the country. There are more opportunities open to me now.”
LoGrippo’s plans include post-doctoral research at Rutgers, part-time teaching, and serving as project director for the New Jersey Action Coalition’s State Implementation Program grant. “My PhD experience has made me committed to improving nursing education in New Jersey, and it’s made me want to continue to do research and provide evidence-based practices for the clinical environment and education,” she said.
“Being a New Jersey Nursing Scholar and working with RWJF has given me access to leaders in nursing in a way I wouldn’t have experienced otherwise,” said Kartoz, who will be an assistant professor at The College of New Jersey this fall. “I’ve been exposed to national perspectives from exceptional people, and I’ve come to believe I can follow the example of these leaders.”
Two scholars from Rutgers will soon return to the classroom as well.
“I definitely want to continue my research, because I’m passionate about my topic. Plus, I love teaching,” said Perron, who will teach full time at Kean University this fall. “This opportunity came at a perfect time for me. I had to get my PhD if I wanted to advance in academia.”
Scoloveno plans to be an assistant professor and director of clinical simulation at Rutgers School of Nursing-Camden this fall. “I’m amazed by how fast the time has gone by and how much I’ve grown in ways I didn’t expect,” he said. “The contacts I’ve made will be a great resource throughout my career.”
Atkins works as a family nurse practitioner and is looking into post-doctoral research opportunities. She called her experience as a New Jersey Nursing Scholar “a privilege.” It’s “broadened my view of nursing education and research. My vision for educational success and scholarship was enhanced by rubbing shoulders with seasoned nurse educators.”
Learn more about the New Jersey Nursing Initiative.
Reproduced with permission of the Robert Wood Johnson Foundation, Princeton, N.J.
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Moving Words as Susan Bakewell-Sachs Moves On

Words of praise for Susan Bakewell-Sachs, PhD, RN, PNP-BC, flowed freely at Eno Terra restaurant near Princeton, N.J., on June 6 as the founding program director of the New Jersey Nursing Initiative (NJNI) and her colleagues gathered for a farewell dinner. Bakewell-Sachs is relocating to Portland to serve as dean of the School of Nursing and vice president for nursing affairs at Oregon Health & Science University.
“I can’t begin to express my gratitude for the privilege of working with all of you and having your trust to do this work,” Bakewell-Sachs said. “I was initially worried about my ability to deliver, but, as true with every project, it can never be accomplished alone. It’s hard to leave. I’m hoping to make a contribution in Oregon based on what I’ve learned here. It’s been an incredible honor to be part of the Robert Wood Johnson Foundation, and to have so many partnerships supporting the work of NJNI.”
Bakewell-Sachs has made an indelible impact on nursing in New Jersey, as reflected in comments throughout the evening:
“Without Susan’s vision and dedication, we wouldn’t have 47 scholars so far who have completed advanced degrees and are prepared to teach New Jersey’s next generation of nurses. She made that happen. From the business community’s perspective, that’s a very good thing.”—Dana Egreczky, senior vice president for workforce development, New Jersey Chamber of Commerce, and president, New Jersey Chamber of Commerce Foundation
“She has been an ever-present force with a positive vision. She’s always displayed an attitude of ‘We can do it; nothing can stand in our way.’ She was able to look at all the barriers and see the possibilities beyond them. After knowing her for 20 years, she tops a long list of exceptional nurse leaders.”—Mary Wachter, MS, RN, government affairs, Genentech, and National Advisory Committee member, New Jersey Nursing Initiative
“She truly has a gift for bringing people together. She is quick to recognize people and identify their contributions to a common goal.”—Susan B. Hassmiller, PhD, RN, FAAN, senior adviser for nursing, Robert Wood Johnson Foundation
“Susan’s legacy is reflected not only in the master’s- and PhD-prepared nurses that NJNI has supported, but also in the countless number of future nurses who will benefit from the skills and insights that she helped NJNI’s scholars gain.”—John R. Lumpkin, MD, MPH, senior vice president and director of the Health Care Group, Robert Wood Johnson Foundation, and chair of the Robert Wood Johnson University Hospital Board of Directors
“She’s been able to forge partnerships between academia and practice sites in ways that people have not been able to before, and it’s due to her collaborative nature, wonderful communication skills, positive attitude, respect, and clinical expertise. She leveraged NJNI into new realms. She’s so skilled at talking to legislators, the business community, consumers, practitioners, and the academic community, and crossing into all of those places. That’s what NJNI needs, and why it’s successful.”—Maryjoan D. Ladden, PhD, RN, FAAN, senior program officer, Robert Wood Johnson Foundation
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Treating Depression in Single Black Mothers

RWJF Scholar seeks to improve mental health care for a population at risk.

Problem: Single Black mothers are a population at high risk for depressive symptoms. However, there is little evidence-based knowledge about how to accurately identify, appropriately treat, and prevent depressive symptoms in this vulnerable group of women to ensure that they, and their children, can lead happier, healthier, and more productive lives.
Background: Raised in a non-traditional, low-income household headed by a single mother in inner-city New Jersey, Rahshida Atkins triumphed over the challenging circumstances of her childhood, and now she’s helping other women and children do the same.
Atkins attended some of the lowest-achieving public schools in New Jersey, but she nevertheless saw education as a path out of poverty. She studied hard, became her high school’s valedictorian, earned a scholarship to Rutgers, the State University of New Jersey, and graduated with a bachelor’s degree in nursing with highest honors and a near-perfect grade-point-average.
Atkins didn’t stop there; while holding jobs as a graduate research assistant, nursing course instructor, and a registered nurse (RN), she earned her master’s degree in nursing. This led to a position as a family nurse practitioner and alternate administrator at a medical day care for children with special needs, and various university-level adjunct teaching positions. She recently completed her doctoral degree as a Robert Wood Johnson Foundation (RWJF) New Jersey Nursing Scholar, supported by the New Jersey Nursing Initiative (NJNI).
Now at the end of her long and successful educational journey, Atkins, PhD, FNP-BC, has not forgotten where she started. For her doctoral dissertation, she studied ways to alleviate depression among single Black mothers. “My mom was a single Black mother, and many female relatives and friends are as well,” Atkins says. “I saw them struggle with psychosocial and mental challenges.”
She wants to help single mothers like her mother, her relatives, and the mothers she encountered at the medical day care where she worked. Many of these women were unable to adequately care for themselves or their children. Some had difficulties keeping appointments with health care providers and adhering to medical recommendations. In one memorable case, a child was malnourished.
Atkins suspected that mental health problems—caused by factors such as poor and unstable living conditions, intermittent employment, short-term relationships, poverty, and other psychosocial challenges, including racism—were to blame. Even when women had outside supports, such as government-provided health insurance coverage or access to free transportation, depression and other mental health challenges robbed them of the motivation they needed to care effectively for themselves and their children, she says.
Identifying and treating depression, however, isn’t easy. For cultural reasons, some women in the Black community who have mental health problems may be reluctant to come forward, and others might be unaware that they may be suffering from mental illness, Atkins says. Even if they are aware, there aren’t clear, evidence-based interventions to treat and prevent the problem. in this particular population.
Solution: Atkins, however, is working to change that. As a New Jersey Nursing Scholar, Atkins studied a group of more than 200 single Black mothers in Camden and Trenton, N.J., to develop a theory about the cultural and psychosocial factors that contribute to depression. in the population.
She found that anger, stress, perceived racism, and low self-esteem were linked in different ways to the development of depressive symptoms among study participants. Atkins used the findings to develop a theory to guide nursing research and practice in the area. Health care providers, she hopes, will be able to use the theory to better understand the causes of depression in the population and make more informed recommendations for treatment and prevention.
They might, for example, talk to women who exhibit signs of depression about the effects of racism or refer them to someone who can teach them anger management strategies or cognitive behavioral techniques to help overcome stress or low self-esteem.
Atkins hopes to conduct more research on successful treatment and prevention interventions. Her research has the potential to help large numbers of women and children. The percentage of single mothers is surging, according to a May report by the U.S. Census Bureau. Black women had the highest rate of single motherhood, making them particularly vulnerable to depressive symptoms, Atkins says.
“I want to prevent depressive symptoms, or diminish them, and improve quality-of-life so these women can maintain employment, enjoy stable relationships, and become productive members of society,” she says. That, she adds, will be good for their children, and for the country, too.
RWJF Perspective: The nation’s largest philanthropy dedicated solely to improving health and health care, RWJF is committed to narrowing health disparities and improving mental health and mental health care. Atkins is helping to advance those goals as a scholar with the New Jersey Nursing Initiative, a project of RWJF and the New Jersey Chamber of Commerce Foundation.
The New Jersey Nursing Initiative runs a Faculty Preparation Program that supports master’s- and doctoral-degree scholars in New Jersey who are interested in becoming nurse faculty. For her part, Atkins plans to teach while pursuing post-doctoral research into depression in single Black mothers.
Reproduced with permission of the Robert Wood Johnson Foundation, Princeton, N.J.
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Academic Resource Center of New Jersey Celebrates Its Accomplishments

After three years of providing specialized Web tools to boost the academic writing and research skills of New Jersey nurses enrolled in graduate programs, the Academic Resource Center of New Jersey (ARC) came to a close with a luncheon, held on June 5 at the Hilton Newark Penn Station, at which supporters celebrated ARC’s achievements.

Based at the New Jersey Nursing Initiative (NJNI), ARC was launched with a grant from Partners Investing in Nursing’s Future (PIN), a partnership between the Robert Wood Johnson Foundation (RWJF) and the Northwest Health Foundation that helps regional foundations develop local solutions to nursing workforce challenges. For the ARC project, The Horizon Foundation for New Jersey served as the lead foundation in building a coalition of funders to match the $245,000 PIN grant.

“PIN was shrewd in wanting to get a drumbeat going at the local level as a way to get more funders engaged in nursing,” said Joan Hollendonner, senior program officer at The Horizon Foundation. “It worked for Horizon. We went on to fund the New Jersey Action Coalition, and we’ve integrated incentives for applicants to include nursing in other health proposals.”

Summing up ARC’s track record for the luncheon attendees, Hollendonner said, “It was designed for 1,000 students, and it wound up serving 2,000. Writing scores improved. We engaged many schools. We had to raise $245,000 in matching funds, and we raised $450,000. I hope there will be many opportunities for us all to work together in the future.”

Hollendonner praised ARC’s project administrator, Christel Perkins, MS Ed, as the “heart and soul of the program,” and they both recognized the coalition of institutions, faculty members, and local funders—including the Healthcare Foundation of New Jersey, Johnson & Johnson, the F.M. Kirby Foundation, the Provident Bank Charitable Foundation, the Edward W. and Stella C. Van Houten Memorial Fund at Wells Fargo, and the Verizon Foundation—that made ARC possible.

“I’m especially grateful to the deans and institutions,” said Perkins. “In academia, it can be difficult to get buy-in for trying something new, so their support was meaningful.” Participating institutions included the College of Saint Elizabeth, Fairleigh Dickinson University, Felician College, Kean University, Monmouth University, Ramapo College, Rutgers University, Saint Peter’s University, Seton Hall University, The College of New Jersey, Thomas Edison State College, University of Medicine and Dentistry of New Jersey, and William Paterson University.

Reflecting on the Healthcare Foundation of New Jersey’s involvement, Program Officer Marcy Felsenfeld, MPA, said, “Traditionally, the Academic Resource Center isn’t something we would fund. We did it because we were part of a bigger puzzle. In this collaboration, we learned more about the issues facing nursing and how important it is. I look for this in other grants now. I ask different questions. Now we’ve invested in a nurse-managed practice at Rutgers. New relationships have opened up.”

Funding ARC has made a difference for The Horizon Foundation, too, said Hollendonner. “We were just examining how to get into nursing when this opportunity came along. We now have a good knowledge base on the subject, with national perspective from PIN, and state perspective from NJNI. This collaboration led us to support the New Jersey Action Coalition as well, and that’s something we expect to continue. We’re eager to see what the next opportunity is.”
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In Memoriam: Rich Hader

The New Jersey Nursing Initiative (NJNI) community was saddened by the news that Rich Hader, PhD, RN, FAAN, died on March 25.

It was an honor to work with such a gifted nurse leader. Hader was a champion of NJNI and co-chair of the committee focused on increasing faculty capacity. In particular, he dedicated time to the Innovations in Clinical Education (ICE) program, helping make what began as an exciting idea a reality.

The leaders of four ICE pilot projects completed their work last year and presented their findings at an ICE forum earlier this year. Their success is a tribute to Hader’s passionate belief that academia and practice must partner to improve clinical education if we are to have the diverse, highly qualified nursing workforce that New Jersey deserves.

Hader was committed to helping the next generation strive to be the best, and spent time at NJNI annual meetings talking with and inspiring the New Jersey Nursing Scholars.

We are proud to have called Hader a colleague, and proud to see his legacy reflected in NJNI.

Read more about Hader’s life in his obituary and at Nurse.com.

Coming Soon: Alumni Update

The New Jersey Nursing Initiative (NJNI) will launch a new feature in the next issue of the newsletter: Alumni Update. We want to spread the word about all the great things New Jersey Nursing Scholars have been doing since graduation.
Have you gotten a new job or a promotion? Have you published recently? Are you exploring a new research subject? Send your news to NJNI Deputy Director Jennifer Polakowski via email:jpolakowski@njha.com.
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Did You Know…?

The Collaborative Learning Community (CLC) for the new academic year will get underway with a two-day workshop devoted to the National League for Nursing (NLN) Certified Nurse Educator (CNE) exam. Sessions will be held at the Robert Wood Johnson Foundation on October 3 from 9 a.m. to 3:30 p.m. and on October 4 from 9 a.m. to 1 p.m.

While the workshop will serve as a review for the CNE exam, it is also appropriate for faculty who are new to teaching and wish to obtain an overview of the role of the nurse educator, and for experienced nurse educators and alumni scholars who wish to reflect on their own teaching and update their competencies. The workshop is structured around the NLN scope of practice for the nurse educator and the six educator competencies that are tested on the CNE exam. The interactive sessions, led by Diane Billings, EdD, RN, FAAN, will include the following topics:

  • Facilitate Learning
  • Facilitate Learner Development and Socialization, Use Assessment and Evaluation Strategies
  • Participate in Curriculum Design and Evaluation of Program Outcomes
  • Pursue Continuous Quality Improvement in the Academic Nurse Educator Role; Engage in Scholarship, Service and Leadership; Function as a Change Agent and Leader; Engage in Scholarship of Teaching; Function Effectively Within the Institutional Environment and the Academic Community

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