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TheUniversityofNorthCarolina atWilmington • School ofNursing Our Changing World Volume 2, Number2 • Fall 1997 NURSING SCHOOL RECEIVES TWO GRANTS To Educate Nurses with Advanced Skills for Rural and Urban Areas Messagefrom the Dean Health and Human Services. Itprovides funding fora As UNCW celebrates its 50th anniversary, the School of master's degreeprogramto educate nurses with advanced Nursing hasjust graduated its 10th baccalaureate degree class skills forrural andurban areas. Thus as we begin the next 50 years to- The grant, from the department's Bureau gether, I am very excited about our future ofHealthProfessions HealthResources and in a changing world. However, the way ServicesAdministrationNurse Practitioner health care is delivered and financed is Programs, will provide $234,633 the firstyear undergoingprofound, market-driven toplanamaster's degree program forrural reshaping. Primary care andhealthpromo- andurban familynurse practitioners. In tionhave new emphasis; health care technol- addition, the Cape FearMemorial Foundation ogyhasbecome increasinglymore common; awardeda $25,000 grant forthis program andmanagedcare has continuedto be designedto delivercost-effective health care complex. In short, nurses are integralto to high-risk, vulnerable andunderserved healthprofessions andthe ability ofhealth populations. Once planning is completed, the careplans to offeraffordable, quality care. proposedprogramwill be submittedto the Just as medical education must evolve to UNC Board ofGovernors forapproval. meetthe challenges ofnew, integrated Following approval, an additional $485,566 in delivery systems, so too mustnursing grantmoney is availableto fund implementa- education. tion duringthe next two years. School'sVision for Growth Graduate Program Provides LocalAccess The School ofNursing continues to Announcingrecentgrantsfor TheUNCWmaster'sprogramwould strive towards its vision andto strengthen Master'sProgram are: (L-R) Dean providemore accessibleadvancededucation the undergraduate program. The School of Adams,AssociateDeanBomar, forareahealthcareprofessionals. Currently Nursingprograms will continue to reflect ChancellorJamesR.Leutze. the closestnursepractitionergraduatepro- excellentteaching, scholarly endeavors, grams are offeredatEastCarolinaUniversity, facultypractice, collaborative communitypartnerships and approximately 120miles awaybyruralroads, DukeUniversity professional communityservice. Our long-term vision, as andUNC-CH, whichare 150miles away. indicated in our five-year strategic plan, is directedtowards Although still intheplanning stages, theproposed50-credit- developing a college ofhealth professions and graduate hour, four-semesterprogramwillprepare studentstotakethe programs innursing. Ourplan is to createa center ofexcel- AmericanNursesAssociation's certificationexam andapplyfor lence innursing. NorthCarolinalicensure as familynursepractitioners. Two additional components oftheprogramwillbe a competence in Generous Grants Make Master's Program Possible Spanishandapproximately 700 hours ofclinicalpracticetime At a recent press conference, Chancellor James R. primarily inrural andurbanhealthsettings underfaculty Leutze announced a $720,199 grant award to the School of supervision. Abilityto converse in Spanishwouldprepare the Nursing. The competitive grant authored by Dr. Perri familynursepractitionerstoprovide culturally sensitive health • Bomar, Associate Dean, came from the Department of caretothegrowing Hispanicpopulation. 601 South College Road • Wilmington, North Carolina28403-3297 anesthetists (CRNAs), nurse practitioners, and FUNDING clinical nurse specialists. PRIORITIES Funding Going to Hospital Programs The primary source offederal funding for nurse Are they keeping pace with the changing education is that provided by Medicare, supposedly to finance institutions with patients whose care is role ofthe registered nurse ? paid for by Medicare. However, over the years a — disproportionate amount has been channeled into hospital-based diploma nursing programs. Though two-thirds of tlff/ll L * L As an example ofthe inequity, nurse researcher » registered nurses work- Linda Aiken reports in theJournal oftheAmerican ing today are employed MedicalAssociation that 66% ofMedicare nurse by hospitals, the total training funds, totaling $1 14 million in 1991, went number ofnurses to 145 hospitals who operate diploma nursing working outside of the programs. These programs produce less than 10% traditional hospital ofthe nation's nurse graduates. Additionally, only setting has increased three states (Pennsylvania, New Jersey, and Ohio) greatly in recent years. received about halfofthese funds due to the RNs in health mainte- ^*W "*-^ concentration ofthe few remaining hospital nance organizations and L-R:Dr.PerriBomar,AssociateDean,Dr.P.Allen diploma programs in these states. The result is that in physician-based or Gray,Jr.,DirectorofRNACCESSProgram and institutions ofhigher education, the two and four- nurse-based group year colleges and universities, are not receiving the CoordinatorofMaster'sProgram, reviewplanning practices rose 15 percent schedulewithDr. VirginiaAdams,Dean. federal funding that reflects their status ofeducat- between 1988 and 1992, ing 90% ofthe current RN students. according to the U.S. Dept. ofHealth Services. Those in public and community health settings increased by 38 percent as home Demand for Higher EducationWill Increase health carejobs almost doubled. More recent reports of In the current climate oftightening ofstate funding of hospital inpatient workforce restructuring indicate that the education in general, nursing schools in state universities are trend away from hospital inpatient care toward other settings is examined closely for their low ratios ofstudents to instructors. continuing at an even faster rate. Due to the necessity for training in small clinical groups, nursing programs may not seem as "cost effective" as educa- Changes in Education tional programs for other disciplines in the university. The The education ofnurses for hospital positions serving in- financial squeeze is a difficult one foruniversity-based nursing patients is different from that needed to prepare RNs fornurse- educational programs, yet the demands of our society for the managed settings. The difference in the type ofeducation kinds ofskills developed in the higher education setting call needed is reflected in the shift in numbers over the last few for an expansion ofthe role ofthe university in nursing decades from hospital-based three-year diploma programs to education rather than a shrinking ofthat role. the four-year baccalaureate degree programs. In 1960, 80% of While fewer patients may be admitted to hospitals today, registered nurses were trained in diploma programs versus only those who are have more severe conditions and have a greater about 10% in 1990, according to the National League for need for nurses with critical care skills. Outside the hospital, Nursing. Schools ofnursing in universities and two-year nurses are being required to screen and manage basic health associate degree programs in community colleges now prepare care needs. As the trend toward managed care accelerates and most RNs. the need for nurses with capability for exercising independent clinicaljudgment increases, the demand for higher education Shortage ofDegreed Nurses will increase. Despite the change in educational levels ofnurses over the The implication ofthis increased demand for a more highly years, there are still predictions that the numbers ofdegreed skilled nursing force and the challenge for financial resources nurses will not be enough to keep pace with national needs. to keep pace is that all individual citizens and institutions The U.S. Health Services and ResearchAdministration pre- should examine opportunities for influencing the funding of dicted in 1990 that the nation will face a substantial shortage nursing education. Considering the needs ofour population ofbaccalaureate and advanced practice nurses by the year across the lifespan, as the proportion ofthe elderly increases 2000. This prediction was made before the more recent escala- and the number offamilies with children who are below the tion in hospital restructuring and the accelerating growth of poverty line increases, we can anticipate more demand for community health agencies and HMOs. public and community health resources. Among the most The demand for RNs with higher levels ofeducation is also valuable ofall these resources are the educated registered reflected in the rise in demand for advanced practice nurses. nurses. Financial support for their education should be one of APNs are RNs with graduate clinical skills in a particular area. the top priorities for all individuals with an interest and a The most common specialties are nurse-midwives, nurse- responsibility for the public health. Afterthe Kenyatrip, Kim has turnedherattention to work with OTHER NEWS a young client at the United Cerebral Palsy CenterInclusion Program. She hopes to be able to continue herworkthere and at CNC during fall semester foras much time as her intensive study UNCW at School ofNursing will permit as she undertakes the demanding researchproject included in her senioryear course of Outstanding Class of1997 study. Baccalaureatedegreeswithaconcentrationinprofessionalnursing North Carolina Board ofNursingApproval wereawardedto60graduatesduringthe 1997Maycommencement, 25%ofwhomwerehonorgraduates. Includedamongthenewdegree InAprilamajorachievementforthenursingprogramwasthe awardeesweresevenregisterednurses. Ofthe 15nursinghonor continuingfullapproval ofthenursingprogrambytheNorth graduates,tenwerecumlaudegraduatesandtwoweremagnacum CarolinaBoardofNursing.VisitorsfromtheNC BoardofNursing laudegraduates.Twostudentsgraduatedwithhonorsinnursingand commendedthenursingprograminfourareas: strongstudent RussellReagan, R.N., graduatedsummacumlaude. Marsha academicsupportprogram, innovativecommunity-basedcurriculum, Schroedergraduatedbothmagnacumlaudeandwithhonorsin administrativesupportandcommittedfaculty. nursing. CeliaHarbisongraduatedwithhonorsinnursing. FeaturedspeakerforGraduationcelebrationwasDavidGamez, North Carolina Nurse Scholars Program CEO, HealthDeliveryInc. ofSaginaw,Michigan. Twenty-ninestudentswerepartoftheNorthCarolinaNurse ~z^- ScholarsProgram(NC-NSP).While 16oftheNCNurse Scholars wereupperdivisionstudents, 13 wereprenursingstudents. Collec- tively,theNC-NSPawarded$137,000toUNCWstudentsin 1997. Wm't'f'f.i NursesNightCelebration Incollaborationwith District22oftheNorth CarolinaNursesAssociation, ~?Wl r theSchoolofNursingspon- sored"NursesNight 1997." ^.,-...>.;..,., .,.. ElizabethVarnadore,of UNCWSchoolofNursing Classof1997 SoutheasternRegionalMental HealthCenterinLumberton, UNCW Fredericks Scholars Program Startedwith $87,000 Gift washonoredas SchoolofNursingOut- KimberlyJoan Flythehas beennamed as the firstHildaW. standingAlumnus.Edith UNCW Fredericks Scholarbythe School ofNursing. The SteelewasgiventheDean's Fredericks ScholarProgram awards the scholarshipto arising AwardasSchoolofNur- EdithSteelereceives Outstanding full-time seniorinthe School ofNursing who is outstanding in sing'sOutstandingFaculty. FacultyAwardfromDeanAdams. academic achievement andparticipation inprofessional and communityactivities. Kimhas beena UNCW Honors ProgrammemberandN.C. Nurse Scholar since herfreshmanyearandhasmaintainedavery Upcoming Events high standardofscholarshipthroughoutherhigh school and university career. She is an accomplishedmusician andhas sung in St. Matthews Lutheran Church choirsince ayoung age. Her November 7 - 9:00 am to 4:30 pm volunteeractivities include workwithNew HanoverCounty SigmaThetaTau "Advances in Nursing Research." schools andthe Crisis Line. For overayear shehasbeen em- KenanAuditorium. Keynote Speaker - Dr. Imogene ployedby CNC, Inc., aresidential, community-basedhabilitation King, ProfessorEmeritus fromUniversity ofSouth program, where she works withmulti-handicapped children. Florida. Dr. King is anotedtheorist on goal attainment, June 1997 Kimwentto Kenya on a StudyAbroadtrip through interrelationship ofconcepts andtheprocess ofhuman Long IslandUniversity. The focus oftheprogramwas aninten- interactions innursing. Contact Doretha Stone for sive study ofthe ecological andcultural issues in some ofthe furtherinformation at, 910-962-3202 or910-962-3200. regions ofKenya as the rapidly expandingpopulationandtourist industry attempttomaintainharmonywith the environment. November 11 - 6:00 pm Duringthe three weeks travel aroundthe country fromthe Open House for registered nurses. programbase inthe coffee-producing areanearMachakosto RNACCESS Program andGraduate Program various sites ranging from LakeVictoria to Mombasa onthe coast, CameronAuditorium students learnedabout environmental problems while atthe same time keepingup anintensive study ofthe Swahili language. ITIONS SchoolAccomplishments • HildaW. Fredericks'estategave$87,000 RAN ON to endow scholarships for students. T S S • Full continuedaccreditation from the I I NationalLeagueofNursingwasawarded. • Full continuedapproval from the North Carolina BoardofNursingwith StudentAccomplishments FacultyAccomplishments commendations was awarded. • gSriaxtnytebdacdcuarlianugreMaatye d1e9g9r7eeswere • Dorf.HPeearlrtihBaonmdaHrumgaainneSderavpipcreosvaBlurferaoumtohfeHUe.aSl.thDept. • TpehremiSscshiooonlforfoNmurUsNinCgGheanserreaqluested commencement. Professions foragrantproposal toplan anddevelop a Administration to plan a graduate • Russell Reagan, RN, graduated graduateprogram innursing. program innursing. summa cum laude. • The School ofNursinghonored Edith Steele as • Funds granted inthe School of • Marsha Schroedergraduated Outstanding Faculty oftheYear. Nursing totaled $386,692. magnacum laudeandwith honors innursing. • Dr.PerriBomarcontinuesasapost-doctoralfellowwithUNC • An interdisciplinarycourse was ChapelHillSchoolofNursingforresearchonchronicillness. implementedwiththeWatson School • Celia Harbison graduatedwith ofEducation. honors innursing. • Dr. Marsha Dowellwas giventhe Outstanding Com- municationAwardfrom SigmaThetaTau. • The School ofNursingAlumni charter • Marsha SchroederandCelia was received. Harbison attendedthe President's • Doretha Stone was giventhe 1996 Southeastern Sickle • With District22, the School ofNursing NationalYouthVolunteer Summit CellAssociation ServiceAward. co-sponsoredavery successfulNurses in Philadelphia. • Doretha Stone was honoredwith the Stanley Frank Night Banquet, with over 350 partici- • Twenty-nine studentsparticipated Awardfrom LeadershipNorthCarolina andthe pants andElizabethVarnadore honored in theNorthCarolinaNurse Chancellor'sTeaching ExcellenceAward. as OutstandingAlumnus oftheYear. Scholarsprogramwith awards thattotaled$137,000. • Dr. SallyCummings completedrequirements forfamily • Co-sponsoredwithNuOmegaChapter ofSigmaThetaTauInternational Honor nursepractitioneratEastCarolinaUniversity. • Elizabeth Chickering was SocietyforNursing, aresearchconfer- recognizedandhonored forbeing • KariAnderson andDr. Susan Scheuringaccepted encewasheldthatincludedpresentations onthe Chancellor's List. facultypositions beginning Fall 1997. byfaculty,studentsandotheragencies. • In MemoryofJoanneMarkeySupples-January,1937-September,1996-OntheheelsofHurricanesBerthaandFran,theSchoolofNursinglost Dr.Joanne M. Supples. Dr. Supples was a newVisitingAssociate Professor from the University of Colorado whose tenure lasted only one month. 1,500copiesofthisdocumentwereprintedatacostof$756.44or50centspercopy.(G.S. 140-107.1) VflDA 3H1 30 3DIJ30 sNoiiviaa aino nod oa issv WVHfMINNftO A8VW rl oniiuuaj aaisanoaa Nonoaaaoo ssaaaav jTfrfr 3N'uo)8u!hj]!m £0t8ZDN 'NOIDNM1IM (HVd CIVOHH03T1CQHlflOSX09 aStnsoj Sfl DNISHflNJOlOOHDS uoijeziubSjo N01DNHAI1IMIVVNIIOHVDH1HONJOAlISHaAINfl 3H1 jyojduoN