xt7bvq2s7h6j https://exploreuk.uky.edu/dips/xt7bvq2s7h6j/data/mets.xml University of Kentucky College of Nursing Kentucky -- Lexington University of Kentucky College of Nursing 2014  newsletters  English University of Kentucky College of Nursing  Contact the Special Collections Research Center for information regarding rights and use of this collection. University of Kentucky College of Nursing publications Nursing In Step, Spring 2014 text In Step, Spring 2014 2014 2014 2019 true xt7bvq2s7h6j section xt7bvq2s7h6j UK
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Spring 2014

In
This is our

MISSION:

PAT I E N T

PROFESSIONAL

Feature story:

for the

Commonwealth

“To

CARE

nursing

By the Letter
336658_Cover.indd 2

provide

while

and

leading-edge

ADVANCING

practice.”

A patient letter sparks the revitalization of UK HealthCare
Nursing’s mission, vision, values and professional practice
model to better reflect the role of the nurse at the bedside.

6/4/14 11:52 AM

* In Step
for the Commonwealth

New Dean for the
UK College of Nursing!
E. Janie Heath, PhD, APRN, ACNP-BC, FAAN,
has accepted the University of Kentucky’s
offer to become the next dean of the College
of Nursing as well as holder of the Warwick
Professorship in Nursing.
Dr. Heath, who is currently the associate dean of
Academic Programs and the Thomas Saunders
III Endowed Professor at the University of Virginia
School of Nursing, will take over as dean at UK on
Aug. 1, pending the UK Board of Trustee’s approval.
As associate dean at UVA’s School of Nursing,
Dr. Heath is the chief academic officer responsible
for the quality and integrity of education of the
Commonwealth of Virginia’s flagship nursing program.
She also has a long and distinguished scholarly
record at Virginia and other notable institutions
of higher learning in Georgia, South Carolina and
Washington over a nearly 40-year career.
She is a widely recognized national leader in nursing
education, tobacco control and health care outreach.
That emphasis and quality, as well as many other
attributes, make her an ideal fit for the college and its
continued leadership in health care and service.
Watch for the full story in the next issue of
Opportunities magazine, which will be released
this fall.

Thank you for picking up the 2014 issue
of In Step magazine, a forum for telling
our story of collaboration—both across the
health care professions and between the
College of Nursing and UK HealthCare
Nursing. In the pages that follow you will
encounter highlights of collaborative efforts
to enhance our mutual goals in advancing
research, practice and education. We also
emphasize how patients and families have
influenced these endeavors.
One of our feature articles describes how a
patient turned to the Palliative Care Consult
Team at UKHC to access care at home. In
another, “a simple, heartfelt letter” from a
family member prompted UKHC Nursing to
revitalize its overall core values, mission, vision
and professional practice model. These efforts
at UKHC Nursing had a ripple effect on the
college, resulting in a serious evaluation of
ways we prepare nursing students to enter the
health care field whether at basic or advanced
practice levels.
We are incorporating emerging concepts
of Interprofessional Education and Practice
Collaboration (IPEPC) and designing
strategies to enhance both the clinical
leadership model at UKHC and curriculum
development in the college. Simultaneously,
we continue to emphasize evidence-based
practice to foster quality care as shown in
the partnership efforts that resulted in the
development of two College of Nursing

elective courses—perioperative nursing and
emergency trauma nursing.
These efforts and others are intentionally
selected to prepare us for the future; and what
does the future portend? A glimpse of it is
found in the Institute of Medicine’s (IOM)
summary of its work of the past two years
(IOM, 2013. Informing the Future Critical
Issues in Health, 7th ed.; Washington, DC).
The IOM continues to emphasize health
reform and its impact on public and
private health care systems in the U.S. We
understand the premise that the current
systems are complex and costly. So we
continue to nurture collaboration among
providers, as well as use of technology in our
efforts to offer safe, accessible, affordable care
for a variety of populations of all ages across
the Commonwealth. Specific conditions that
we address include pre-term birth, childhood
obesity, heart disease, cancer and addictions,
as well as the impact of environmental
conditions on health.
We are optimistic about our future and
our continuing collaborative efforts, as well
as partnerships with others at UK, including
those at the nationally designated Markey
Cancer Center, the Center for Clinical and
Translational Science and the new Eastern
State Hospital, where we are developing a
psychiatric nurse intern option.

Colleen Swartz,
DNP, MBA, RN, NEA-BC
Chief Nurse Executive,
UK HealthCare
chswar2@email.uky.edu
Patricia B. Howard,
PhD, RN, NEA-BC, FAAN
Professor and Interim Dean,
UK College of Nursing
pbhowa00@email.uky.edu

CON_InStep_Spring2014_CVR.indd 3

6/3/14 5:05 PM

* Table of
Contents

At the Starting Gate

8

With the promising results of a new pilot study
in hand, two nurse leaders are off and running

5th Tuesday: A Great Day for Nurse Leaders
Evidence-based practice is changing the way nurse
managers are building quality practice environments

Elective2
Electives in perioperative and emergency department nursing now offered
SPOTLIGHT STORY

Go Team!
Interprofessional Teamwork
SPOTLIGHT STORY

Providing a Peaceful Passing
UK HealthCare and the College of Nursing focus on improving end-of-life care
Q&A

Interview with the New UK Provost
Dr. Christine Riordan

UK HealthCare Nurses’ Scholarly Activities
UK HealthCare Promotions and Transitions
Academic Partnership Announcement
23rd Annual Nursing Research Papers Day
Black Nurses Association
UK College of Nursing Events

22 By the Letter

FEATURE STORY

A patient letter sparks the revitalization
of UK HealthCare Nursing’s mission,
vision, values and professional practice
model to better reflect the role of the
nurse at the bedside.

1 / In Step for the Commonwealth

10
12
14
18
28

2
4
5
6
30
31

* A Publishing Support System Helps
Nurse Clinicians Share Their Successes
The continuing partnership between the College of Nursing and
UK HealthCare has fostered an environment of clinical inquiry
and innovation. Numerous practicing nurses, alone or as members
of interprofessional teams, are very active in scholarship—asking
relevant and contemporary clinical questions—and disseminating
that knowledge. We would like to recognize their contributions to
the continuing evolution of evidence-based practice and our dynamic
leadership model. This is a sampling of their work.

UKHC Department of
Nursing Publications
Patricia K. Howard, PhD, RN
Penne Allison, MSOM, BSN, RN
Matthew Proud, BSN, RN
Roger Humphries, MD
Brandy Mathews, MSN, MHA, RN
Hollis Hilty, MD
“The Impact of a Collaborative City-wide Nodiversion Trial.” Journal of Emergency Nursing.
Available online March 21, 2013 www.jenonline.org
and search by article title.
Gordon Gillespie, PhD, RN
Sharon Farra
Donna Gates, PhD
Patricia K. Howard, PhD, RN
Kristy Atkinson
“The Qualitative Learning Experience of Health
Care Workers Completing a Hybrid Workplace
Violence Educational Program.” Journal of Nursing
Education and Practice 3(11): 54-64, 2013
Patricia K. Howard, PhD, RN
Susan Shapiro, PhD, RN
“What Is Known about Patients with Low Back
Pain?” Advanced Emergency Nursing Journal, 35(1):
3-7. 2013

Completed Research
Amanda Green, DNP, RN
“Evaluation of Discharge Readiness for Stroke
Patients”
Kathy Isaacs, PhD, RN
“Developing the Mother Role While in the
Neonatal Intensive Care Unit”
Patricia K. Howard, PhD, RN
Brandy Mathews, MSN, RN
Charles L. Campbell, MD
“Faculty and Staff Attitudes and Beliefs About
Family Presence During Resuscitation”
Kenneth Parker BSN, RN
“Improving Patient Satisfaction Through
Utilization of Ultrasound-Guided Peripheral
Intravenous (USGPIV) Access: An Evidencebased Practice Study”

2 / In Step for the Commonwealth

Presentations
Patricia K. Howard PhD, RN
“Working Models for SBIRT in the ED, Effective
Approaches to Addressing Patients With
Substance Use Disorders in the Emergency
Department: A Knowledge Exchange.” American
College of Emergency Physicians/National Institute
on Drug Abuse, Centers for Disease Control, Seattle
Patricia K. Howard PhD, RN
“Utilizing Data to Improve In-Hospital Codes”
American Heart Association Strive to Revive
Conference, Lexington, Ky.
Patricia K. Howard PhD, RN
“Advocacy, a Legislative Update”
Kentucky Emergency Nurses Association State
Conference, Frankfort, Ky.
Patricia K. Howard PhD, RN
“Pain, Perceptions and Perceived Conflicts: An
Investigation Into How ED Staff Manage Pain”
Kentucky Emergency Nurses Association State
Conference, Frankfort, Ky.
Patricia K. Howard PhD, RN
“Keeping Focus on the Front End”
Emergency Nurses Association Leadership
Conference, Ft. Lauderdale, Fla.
Patricia K. Howard PhD, RN
Proud, Matthew, BSN, RN
“Turning your ED Around: Achieving Excellent
Outcomes” Emergency Nurses Association
Leadership Conference, Ft. Lauderdale, Fla.
Patricia K. Howard PhD, RN
Matthew Proud, BSN, RN
“Leading to Lantern”
Emergency Nurses Association Leadership
Conference, Ft. Lauderdale, Fla.
Patricia K. Howard PhD, RN
“What Makes Emergency Nursing Unique?”
Emergency Nurses Association Leadership
Conference, Ft. Lauderdale, Fla.
Gwen Moreland, MSN, RN
Kerry Bradford
“HPPDE … Creating a Common Language to
Promote Quality” UHC (University HealthSystem
Consortium)

Shannon Turbeville Johnson, BSN
“The Impact of Palliative Care Education on
End of Life Nursing Care” 2013 UHC Annual
Conference, San Diego

Posters
Patricia K. Howard PhD, RN
“Chaos to Collaboration, Creating a Healthy
Workplace” Sigma Theta Tau, Indianapolis, 2013
Leslie Cumming-Kinney, BSN, RN
“Decreasing Heart Failure Readmissions:
Using a Patient and Family Centered Approach
in Teaching Self-management Skills From
Admission to Discharge” Nursing Management
Conference, Chicago
Scottie B. Day, MD
Philip Bernard, MD
Lori A. Shook, MD
Cheri Landers, MD
Shelly R. Marino, MHA, BSN, RN
“Development of a Quality and Safety Dashboard
for Pediatric and Neonatal Transport”
American Association of Pediatrics
Vickie H. Mock, ADN, RN
“Mobility. CVT Is on the Move”
UKHC Nursing Practice Improvement Poster Day, 2013
Louis Bezold, MD
Suzanne Springate, BSN, RN
Ann Smith, MPA
“Collaborative Administration in a Children’s
Hospital Within a Hospital or System” Children’s
Hospital Association, Creating Connections
Conference Reimagining Care in 2013: Courage
Required

BSN Residents’ Posters
Trauma Services Pavilion A
Shannon Turbeville Johnson, BSN
“The Impact of Palliative Care Education on End
of Life Nursing Care”

* Rebecca Cooksey-Stauber, BSN
Brittany Kellum, BSN
Kelli Curry, BSN
“Disposable Penlights in Neurosciences Intensive
Care Units: Implications for Nosocomial Infections”
First-place poster at 2013 UHC Annual Conference,
San Diego
UK HealthCare Good Samaritan
Megan Crane, BSN
Allison Danesi, BSN
Katie Fryman, BSN
Victor McGhee, BSN
Kim Stuart, BSN
“Importance of Acuity Tools in Nursing
Assignments”
Catherine A. Brozek, BSN, 6 South
Jessi J. Campbell, BSN, 2 MICU
Derek C. Florence, BSN, NS Prog T2
Rachel R. Klaiber, BSN, 2 MICU
Sarah Feldmann, BSN, 1 MICU
Erin D. Lake, BSN, NSICU T1
James N. Morris, BSN, NSICU T1
Ashleigh P. Parker, BSN, T&AACU PRO T2
Mary C. Reed, MSN, Good Samaritan
Laura A. Stewart, BSN, NSICU T2
“Tracheostomy Related Skin Breakdown”
Cardiovascular and Thoracic ICU
Amanda Coffey, BSN
Rachelle Mattingly, BSN
Laura True, BSN
“Early Ambulation”
Justin Davis, BSN
Rick Eckerle, BSN
Matthew Kuhl, BSN
“Post-Op Electrolyte Monitoring in the ICU”
Shelby Dotsey, BSN
Brandt Miller, BSN
Jennifer Ulliman, BSN
“Negative Effects of Soda Consumption”
Katie Burns, BSN
Jimmy Grau, BSN
Julie Reinstatler, BSN
Shannon Tuemler, BSN
Ashley Jeanmougin, BSN
“CTVICU Layout”
Emergency Service Line
Celena Condon, BSN
Bethany Glasgow, BSN
Erin Morris, BSN
Clay Pagan, BSN
“Intra-facility Orientation in the Emergency
Department”
Natalie Arrowood, BSN
Emily Duncan, BSN
Mandy Pearce, BSN
“Locating Supplies and its Relationship to
Efficiency in the Emergency Department”

Good Samaritan Service Line
Bridget Wisniewski, BSN
Whitney Bauer, BSN
Nikki Cornett, BSN
Sara Hedges, BSN
Kristin Six, BSN
Lauren Wilson, BSN
Christy Smith, BSN
“Burn Out—A Nurse’s Influence on
Nicotine Withdrawal”
Medicine and ICU
Rachel Pace, BSN
“Delirium in the ICU”
Katherine Cox, BSN
Scott Flinchum, BSN
Dan Garrison, BSN
Jillian Kouns, BSN
Megan Meador, BSN
Rachel Pace, BSN
Mara Rice, BSN
Patrick Richardson, BSN
Steve Trimble, BSN
“The Benefit of Checklists”
Oncology Service Line
Alex Bowlds, BSN
Kristina Robertson, BSN
Lauren Zutt, BSN
“Battling Compassion Fatigue and Burnout Among
Oncology Staff”
Brandon Cook, BSN, 5 Main
Kara Gowan, BSN, MCC2
Jessica Morrison, BSN, MCC 3
Katie Rust, BSN, 5 East
Kylie Jo Virgin , BSN, 5 Main
“Prevention of CLABSIs by Use of Central Line
Care Specialist”
Pavilion A Service Line
Anna LeMaser, BSN
Emily Marion, BSN
“Delirium Assessment in the ICU Using CAM”
Lydia Cheeks, BSN
Nikki Watts, BSN
Jeremy Bussey, BSN
“Rapid Admission Trial”
Clinton Bollinger, BSN
“Prevention of Tracheostomy Device Related
Pressure Ulcers”

Montessia Landrum, BSN
Jessica Barnett, BSN
“PIV Labeling and Documentation Audit”
Pavilion A Stroke Progressive
Alex Robinson, BSN
Lauren Manning, BSN
“Peer to Peer Nursing Care Audits”
Pavilion A Trauma/Surgical
Heather Ridgway, BSN
Erin Leedy, BSN
“ICU Readmissions”
James Laber, BSN
Todd Talley, BSN
“IV, Graduates and Dressing Change Audit”
Pediatric Service Line
Meg Hovenkamp, BSN
Melissa McCann, BSN
Cori Morgan, BSN
Karolyn Tye, BSN
Nicole Wilson, BSN
Brittany White, BSN
Erin Kays, BSN
“What is a Pediatric Progressive Care Unit?”
Kylee Greer, BSN
Stephanie McCaw, BSN
Cheryl Cleveland, BSN
Jess Hoehn, BSN
Bridget Shepherd, BSN
“Alcohol Impregnated Caps for Central Lines”
Carrie Burks, BSN
Megan Davis, BSN
“Promoting Breastfeeding in Preterm Infants”
Kristyn Mickley, BSN
Joey Rotundi, BSN
Brandi Woodrum, BSN
Tiffany Kelly, BSN
Jeremy Gayheart, BSN
“Dangers of Second (and third) Hand Smoke”
Katie Burch, BSN
Megan Hedden, BSN
Hiral Patel, BSN
Kevin Pinto, BSN
Katy Richardson, BSN
“Team-Centered Rounds”

Keegan Stewart, BSN
Annie Hansel, BSN
Blakeley McClellan, BSN
Mary Davenport, BSN
“Got Sleep?”

Marian Bolton, BSN
Kim Langen, BSN
Ashlee Ponchillia, BSN
Kelley Vandekoppel, BSN
Autumn Witty, BSN
“Best Fed Beginnings at the University of Kentucky
Birthing Center”

Mike Compton, BSN
Christa Hauck, BSN
Megan Neal, BSN
Alex Olson, BSN
“Nursing Tasks Checklist”

Peri-Operative Service Line
Jessica Landham, BSN
Claire Piester, BSN
Alex Fisher, BSN
“Handoff Communication: Preop to OR to PACU”

Spring 2014

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3

6/4/14 11:49 AM

* UK HealthCare Nurse Promotions and
Transitions to Leadership Positions

Anna Adams, BSN, RN
Staff Development Specialist
UK HealthCare Chandler
Nursing Practice Improvement

Verna Allara, BSN, RN
Nurse Coordinator Clinical/
Patient Transfer Facilitator
UK HealthCare
Hospital Command Center

Jitana Benton-Lee,
MSN, MBA, MHA, CNML
Patient Care Manager
UK Chandler Hospital
Acute Care Services
(8 West, 8 South and 8 East)

Lara Blake, BSN, RN
Hospital Operations
Administrator
UK HealthCare
Hospital Command Center

Pamela Branson,
MSN, CNS, RN
Clinical Nurse Specialist
UK Chandler Hospital and
Pavilion A
Neurosciences Administration

Amy Brassfield,
MSN, RN, C-NPT
Clinical Nurse Specialist
Kentucky Children’s Hospital
Pediatric Administration

Christina Burton,
MSN, RN, CCRN
Patient Care Manager
UK HealthCare Pavilion A
Trauma and Acute Care
Surgical Services

Goldrena Butler,
MSN, RN, CCRN
Clinical Nurse Specialist
UK Chandler Hospital
Nursing Administration

4 / In Step for the Commonwealth

Robyn Cheung,
PhD, RN, APRN
Director of Nursing
Professional Practice and
Innovation
UK HealthCare Enterprise
Nursing Administration

Lindsey Clark,
BA, ADN, RN, CEPN
Nurse Coordinator Clinical/
Pediatric Sedation
Kentucky Children’s Hospital
Pediatric Sedation and
Procedures

Monica Cox, BSN, RN
Hospital Operations
Administrator
UK HealthCare
Hospital Command Center

Candy Crawford,
ADN, RN

June 2012–
June 2013

Lauren Hay, ADN, RN
Patient Care Manager
UK Chandler Hospital
Progressive Care
(7 East and 6 South)

Shannon Haynes,
BSN, RN
Patient Care Manager
Assistant
Kentucky Children’s
Hospital
NICU/3 Neonatal

Courtney Howard,
MSN, RN, APRN,
RNC-OB, ACNS-BC
Nurse Coordinator Clinical
UK HealthCare Chandler
OB Administration

Mary Catherine King,
ADN, RN

Nurse Coordinator Clinical
UK HealthCare Chandler
Endoscopy

Nurse Coordinator Clinical
UK HealthCare Good
Samaritan
Good Samaritan Surgery

Elizabeth Crossley,
BSN, RN

Amanda Martin,
BSN, RN

Nurse Coordinator Clinical
UK HealthCare Chandler and
Pavilion A
Perioperative Services

Nurse Coordinator Clinical
UK HealthCare Pavilion A
Trauma and Acute Care
Surgical Services

Celia “Nikki” Curtis,
BSN, RN

Deeanna McCallie,
BSN, RN, CCRN

Staff Development Specialist
UK HealthCare Chandler and
Pavilion A
Nursing Practice Improvement

Manager of Nursing
Excellence and Support
UK HealthCare Enterprise
Nursing Practice
Improvement

Kelley Elkins, BSN, RN
Nurse Coordinator Clinical/
Stroke Coordinator
UK HealthCare
Neurosciences Administration

Heather Morton,
ADN, RN
Nurse Coordinator Clinical
UK HealthCare Good
Samaritan
Good Samaritan Nursing
Administration

* Academic Partnership
Announcement

Mareshah Priddy,
BSN, BS, RN
Nurse Coordinator Clinical
UK HealthCare Chandler and
Pavilion A
Perioperative Services (PACU)

Julian Steele. ADN, RN

College of Nursing and
Norton Institute for Nursing
Academic Partnership
Announcement

Informaticist
UK HealthCare Enterprise
UK HealthCare Information
Technology

Jessie Woolley,
ADN, RN, CNOR
Nurse Coordinator Clinical
UK HealthCare Chandler and
Pavilion A
Perioperative Services
(Operating Room)

Raymond Young, BSN,
BBA, RN, CPAN, CAPA
Patient Care Manager
UK HealthCare Chandler and
Pavilion A
Perioperative Services (PACU)

In April 2013, a highly competitive request for proposal (RFP) for an academic
partnership was widely disseminated by the Louisville-based Norton Healthcare
(NHC) Institute for Nursing. The RFP called for the preparation of bachelor’sprepared registered nurses at the Doctor of Nursing Practice (DNP) level with
eligibility to sit for advanced practice registered nurse (APRN) certifications.
The competitive review process resulted in the selection of the proposal submitted
by Patricia B. Howard, PhD, RN, NEA-BC, FAAN, and Sharon Lock, PhD, RN,
APRN, of the UK College of Nursing.
Look for the fall 2014 issue of Opportunities to learn more about the $7.5 million,
seven-year partnership plan for enrolling five cohorts (150 total students) of NHC
BSN-DNP applicants who meet the college’s admission criteria for the existing
three-year accredited DNP Program.
Standing: Dr. Sharon Lock, interim dean
for MSN and DNP Studies

Spring 2014

336658_Text.indd 5

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6/4/14 11:49 AM

* UK HealthCare and the UK College of Nursing
23rd Annual Nursing Research Papers Day
PHOTOGRAPHS BY

November 2013

Lee Thomas

Dorothy Brockopp Nursing
Research Award
This award is given for the most highly judged
nursing research proposal. Presented by Dorothy
Brockopp, PhD, RN, the winning proposal was
by a group of staff nurses with Kentucky
Children’s Hospital.
PROJECT: Healthy Work Place Communication
Improvement Research Project
PRINCIPLE INVESTIGATOR:
Bridget Shepherd, BSN, BA, RN

Abraham Armah, BSN, RN, BS
Staff nurse, UKHC Good Samaritan Hospital
Jenny Miller, RN
Staff nurse and chair, Acute Care Council, UKHC
Good Samaritan Hospital
“Skin Care Champions Pulling Evidence to
the Bedside”
Demetrius Abshire, MSN, RN, ACNS-BC
Part-time faculty, UK College of Nursing
“Regional Differences in Cardiovascular Disease
Risk Factors Among Emerging Adults Attending
College in Kentucky”

Poster Presentations

Bridget Shepherd, BSN, BA, RN
Nicole Hobbs, ADN, RN
Joey Burke, BSN, RN
Horton, Donna, BSN, RN
Tracy Roser, ADN, RN
Jess Washburn, ADN, RN
Staff nurses, Kentucky Children’s Hospital
“Healthy Workplace Communications”

Maricon Dans, MSN, RN
Staff nurse, UKHC Good Samaritan Hospital
“Video Monitoring Sitter Pilot”

Marissa Hibbs, BSN, RN
Staff nurse, UKHC Good Samaritan Hospital
“Pocket Change”

CO-INVESTIGATORS:
Joey Burke, BSN, RN
Nicole Hobbs, ADN, RN
Donna Horton, BSN, RN

6 / In Step for the Commonwealth

Stefanie Bull, BSN, RN
Staff nurse, UKHC Trauma and Critical Care
Services
“An Evaluation of Evidence-based Blood
Conservation Education for ICU Nurses”
Megan Butler, BSN, RN
Staff nurse, UKHC Central Monitoring Station
“Health Care in the 21st century: Lesbian,
Gay, Bisexual, and Transgender (LGBT) Health
Care Issues”
Sami Al-Rawashdeh, MSN, RN, CNS
“Psychometrics of the Zarit Burden Interview in
Caregivers of Patients With Heart Failure”
Tracey Vitori, MSN, MS, RN, ACNP
Cardiothoracic Services, Mercy Health,
Cincinnati, Ohio
“Hostility Does Not Predict Recurrent Acute
Coronary Syndromes or Mortality in Patients
With Coronary Heart Disease”

* Carrie Nichols, RN, CCRN
Staff nurse, CTVICU
Sally Quigley, BSN, RN
Staff nurse, CTVICU
“Step Up for Ambulation”
Carrie Nichols, RN, CCRN
Staff nurse, CTVICU
Sally Quigley, BSN, RN
Staff nurse, CTVICU
“Communication: The Key to Recovery”
Korinne Callihan, BSN, BA, RN
Outcomes manager, UKHC Palliative Care and
Hospice, Patient and Family Services
“Compassion Fatigue: The Cost of Caring”
Literature Review and Implications for Continued
Caring in Nursing Practice
Nora Warshawsky, PhD, RN
Assistant professor, UK College of Nursing
“Creating Environments to Support Nurse
Managers’ Practice”
Amy Brassfield, MSN, C-NPT, CNS
Kentucky Children’s Hospital and UK HealthCare
“Modeling In-hospital Prevention Strategies to
Reduce Sudden Unexpected Infant Death (SUID)
and Unintentional Falls in Infants Less Than One
Year of Age”
Lisa McGee, MSN, CCNS
Neonatal CNS, UKHC Department of Nursing,
Kentucky Children’s Hospital
“Neonatal Drug Withdrawal and
Associated Concerns”

Podium Presentations
Sharon Barton, PhD, PCNS-BC, RN
Assistant Vice President, Nursing
The Children’s Hospital of Philadelphia
“The Magnet Attraction for Nursing Research and
Evidence-Based Practice”
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Operations Manager, Emergency Services,
UKHC
“What We Know: Presenting the Option for
Family Presence During Resuscitation at
UK HealthCare”
Debra Novak, DSN, RN
Senior Service Fellow, CDC/NIOSH/NPPTL
“Respiratory Protection: How to Best Protect
From Workplace Exposures”
Melinda Brizendine, RN-C
Clinical Nurse, Behavioral Health, UKHC Good
Samaritan Hospital
Nora Warshawsky, PhD, RN
Associate Professor, UK College of Nursing
Debra Moser, DNSc, RN, FAAN
Professor, UK College of Nursing
Terry Lennie, PhD, RN, FAHA, FAAN
Professor and Associate Dean for PhD Studies,
UK College of Nursing
“Getting Your Evidence Published:
Novice to Expert”

Allison R. Jones, MSN, RN
Graduate Student, UK College of Nursing
“Increased Mortality in Adult Trauma Patients
Transfused With Blood Components Compared
With Whole Blood”
Kathy Isaacs, MSN, RNC-NIC
Director of Nursing Professional Development,
UKHC
“A Grounded Theory Model of Mother Role
Development While in the Neonatal Intensive
Care Unit”
Joanne Matthews, DNP, APRN, PMHCNS-BC
Instructor/Psychiatric Clinical Liaison Nurse
Ken Parker, RN, BSN, CEN, CPEN
Clinical Nurse, Emergency Services, UK Albert B.
Chandler Hospital
“Using Cognitive Rehearsal and Crucial
Conversations Techniques to Address Workplace
Bullying in the Hospital Setting”
Sarah Gabbard, MSN, RN
Clinical Nurse Specialist, UKHC Trauma Surgical
Services
“Nursing: Facing the Challenges With Catheter
Hospital Acquired Urinary Tract Infections”
Whitney Kurtz-Ogilvie, MFAW
Lecturer, Academic Writing Specialist, UK
College of Nursing
Robyn Cheung, PhD, RN
Director of Nursing Professional Practice, UKHC
“Writing Abstracts”

Amy Herrington, DNP, RN, CEN
Staff Development Specialist, UKHC Good
Samaritan Hospital
“Pre-Admission Assessment of Geriatric Patients
Undergoing Elective Total Joint Replacement”

Spring 2014

/

7

* At the
Starting Gate
WRITTEN BY

Sue Fay

PHOTOGRAPHS BY

Lee Thomas

Left to right: Janine Lindgreen,
Carol Noriega and Lissa Pohl

With the promising results of a new pilot study
in hand, two nurse leaders are off and running.
The Pilot Study
In 2012, 21 nurses at UK Albert B. Chandler Hospital volunteered for a
pioneering pilot study to examine the effectiveness of Equine-Assisted
Learning (EAL) activities on the development of emotional intelligence
in expert nurses. Led by researchers from the Center for Leadership
Development (CLD) in the College of Agriculture, the interdisciplinary study
was conducted in collaboration with two clinical nurse specialists from UK
HealthCare under the guidance and mentorship of Co-Principal Investigator
Robyn Cheung, PhD, RN, director, Nursing Professional Practice and
Innovation with UK HealthCare.
The project itself involved expert nurses, each with five or more years of
clinical experience in their units at Chandler. Two groups—a control group
of 10 expert nurses from the Neuroscience Surgery Service Line and an
intervention group of 11 nurse experts from the Trauma and Acute Care
Surgical Service Line—took an evidence-based online assessment to gauge
the Emotional Intelligence (EQ) of each nurse in the intervention group at the
start of the study and again after six months.
Nurses in the intervention group participated in a daylong workshop at
a Lexington horse stable for a series of exercises designed to develop
four areas of EQ competency: self-awareness, self-management, social
awareness and relationship management. Results of the pilot research
project were published in the spring 2012. While the study’s small sample
made it difficult to draw conclusions with statistical accuracy, findings
suggested a positive trend and the study provided a promising foundation for
continued research in both leadership and nursing development.

8 / In Step for the Commonwealth

Horses helping nurses develop
emotional intelligence?
The early evidence looks promising, says Carol Noriega, MSN, RN,
CEN, staff development specialist, Emergency Department, UK Albert
B. Chandler Hospital and Janine Lindgreen, MSN, RN, APRN, CCRN,
clinical nurse specialist, Trauma and Surgical Services at Chandler. The
two nurse leaders, both with an interest in nurse leadership development,
played a central role in an interdisciplinary research project led by
researchers from the Center for Leadership Development (CLD) in the
College of Agriculture. “The Effectiveness of Equine Guided Leadership
Education to Develop Emotional Intelligence in Expert Nurses,” published
in the spring of 2012, would become one of the first academic studies, if
not the very first, to investigate the development of emotional intelligence
in nurses through an equine-assisted education experience.
For Ms. Noriega and Ms. Lindgreen, a collaborative research study of
this magnitude was also a first—and it all started with a ropes course. CLD
research experts in the College of Agriculture had long been interested
in pursuing studies to document the effectiveness of Equine-Guided
Leadership Development in building leadership competencies. When they
heard about the ropes course developed for the BSN Residency Program
and the enterprising nurse leaders behind it, they were intrigued. “The BSN
Residency Program is for new nurse graduates transitioning into practice
at UK HealthCare and it’s very structured,” says Ms. Noriega. “We asked
if we could cover some of the material in a ropes course activity instead of

* having students just sitting and listening in a classroom.” Ms. Noriega and
Ms. Lindgreen had been gathering data on the ropes course experience for
internal quality assurance/quality improvement purposes. This new pilot
study, however, was a horse of a different color.
When CLD research team leaders first approached Ms. Noriega and
Ms. Lindgreen about the idea for collaboration, they shared with them
the existing evidence on EAL education, as well as learning through an
experiential ropes course. Ms. Noriega was surprised to learn that while
both were being used nationwide for professional leadership development
and training, very little research had been done on their advantage over
traditional classroom training.
The pilot study would be small, but it would be a start. CLD researchers,
interested in the results from a leadership perspective, would need the
expertise of nursing professionals to ensure that the equine-guided learning
exercises would be relevant for a health care setting.
Ms. Noriega, a longtime horse lover, jumped at the chance. So did Ms.
Lindgreen, but with a few reservations. A self-described “horse novice”
with a quiet and gentle personality, Ms. Lindgreen was a little nervous.
The moment of truth came early. On her first day at the stable, while
working on an exercise, a bold and imposing horse began to bully her.
“He could tell I was scared and non-assertive and actually tried to further
intimidate me.” The lesson wasn’t lost on her. “Horses let you know right
away how they feel about you or the situation.”
Ms. Noriega, a retired military flight nurse, had a difference experience,
but it too was one where the horse didn’t hesitate to let her know how he
felt about her. One of the gentler horses, a small pony, took an instant
dislike to her. “But that little pony just loved Janine,” says Ms. Noriega.
“When I came around he’d flip his tail around and run. Ms. Noriega says
the horse’s negative reaction was probably in response to Ms. Noriega’s
more assertive style. “But that was good to know,” she says. “It showed me
I needed to moderate my approach.”
It’s that instant, unedited feedback that makes equine-guided education
so perfectly suited to nurse leadership development training, says Ms.
Noriega. Being able to read and intuit unspoken cues is a valuable skill
for nurses in clinical practice. As an example, she cites Lexington’s high
Hispanic population. “What do you do when your patient doesn’t
understand the language? Words aren’t the only way people communicate.
The ability to read and understand non-verbal cues can help you make
someone comfortable with an uncomfortable situation.”

Emotional intelligence competencies are critical for today’s nurse
leaders, says UK Chief Nurse Executive Colleen Swartz, DNP, MBA,
RN, NEA-BC, especially in a major academic medical center like
UK HealthCare, where the focus is on managing intraprofessional
teams and interdisciplinary collaborations. “Often, it’s the nurse who
is coordinating, managing and orchestrating the logistics around the
collaboration,” says Dr. Swartz. “It requires relationship and team skills
and a situational awareness to know what specialty to bring to bear
and when, so it will have the most impact on positive patient experiences
and outcomes.” Nurse experts need a new set of skills today, one that
can help them read situations, resolve conflicts and handle the countless
complexities involved in managing high performing teams. “We need
to give our nurses some skills in that area,” says Dr. Swartz on the value
of EQ competencies.
The decision to focus on the expert nurse in the pilot study was a
conscious one, says Dr. Swartz. At UK HealthCare, and nationwide, the
turnover rate for nurses with five to 10 years’ experience is relatively high.
“This is an environment that’s not for everyone, but a new practitioner
usually figures that out in the first 12 to 24 months,” she says. “Something
else is happening at that five-year mark and beyond. Is it the complexity
of the relationships? Is it the complexity of the work? What other skills
might we give our nurses to help them in today’s practice environment?
They may not necessarily be clinically based skills but those that can help
them better manage the relationships and the teams.”
Nurse leadership development is a high priority for UK HealthCare, says
Dr. Swartz. A number of innovative education and mentoring programs are
already in place at UK HealthCare and others, including an EAL program
for nurse managers, are in the planning stages. As for Ms. Noriega and Ms.
Lindgreen, they’re currently in the process of manuscript development on
the results of the study and will be submitting articles based on their data
to several nursing journals. Even more ex