Daniel K. Inouye Graduate School of Nursing

Uniformed Services University of the Health Sciences

Annual Report

January 1 – December 31, 2014

Carol A. Romano, Ph.D., RN, FAAN

Dean and Professor

ContentsIntroduction......................................................................................................................................3

Education and Training....................................................................................................................3

Accreditation Activities...........................................................................................................................3Transition to the Doctor of Nursing Practice (DNP) Degree..................................................................3

Curriculum Initiatives..............................................................................................................................4Interprofessional Education.....................................................................................................................5

Faculty Status..........................................................................................................................................5 Faculty Numbers...............................................................................................................................5

Number of Faculty with Doctoral Degrees.......................................................................................6

GSN Student Matriculation and Enrollment...........................................................................................6

Anticipated 2015 GSN Admissions .................................................................................................6

Anticipated 2015 Graduates..............................................................................................................6

Research and Scholarship................................................................................................................7

Leadership........................................................................................................................................7

National Security and Global Health Engagement..........................................................................8

Service.............................................................................................................................................8

Future Directions.............................................................................................................................9

Attachments..............................................................................................................................10

Attachment I: GSN Academic Program Initiatives...........................................................................12

Attachment II: Student Scholarship...................................................................................................29Attachment III: GSN Student and Alumni Publications, Presentations, Abstracts, Posters and Awards...............................................................................................................................35Attachment IV: Faculty Scholarship and Grants.................................................................................39

Attachment V: Faculty Publications and Presentations.....................................................................43Attachment VI: Selected Faculty Awards/Recognition......................................................................55

Attachment VII: GSN Faculty and Staff..............................................................................................59

2

Daniel K. Inouye Graduate School of NursingAnnual Report: Calendar Year 2014

Introduction

The year 2014 was another extremely productive year for the Daniel K. Inouye Graduate School of Nursing (GSN). All programs, faculty, and students have continued to pursue excellence in academics, scholarship and research, contributing in numerous ways to the uniformed service and federal communities that we serve and the nursing profession. This year’s GSN annual report with accomplishments is organized to reflect the Uniformed Services University of the Health Sciences (USU) critical mission domains: education/training, research/scholarship, leadership, national security/global health engagement, and service defined in the USU Strategic Framework. The GSN respectfully submits this annual report of accomplishments that support our mission of providing the highest quality advanced practice nurse clinicians, scientists and scholars dedicated to Federal health service.

Education and Training

Accreditation Activities

In May 2014, the GSN was awarded full, maximum accreditation for the Doctor of Nursing Practice (DNP) Program by the Commission on Collegiate Nursing Education (CCNE). Two substantive change notifications were submitted to CCNE to initiate the Women’s Health Nurse Practitioner program option and to expand the DNP degree to the Clinical Nurse Specialist program option. The GSN implemented and enculturated the 2014 Council on Accreditation of Nurse Anesthesia Educational Program’s (COA) new trial accreditation standards, a full 6 months ahead of the mandated due date. Many faculty members participated in one of several university task forces that addressed recommendations of the 2013 Middle States Commission on Higher Education accreditation review (e.g. university evaluation process, integrated university registration and student information system).

Transition to the Doctor of Nursing Practice (DNP) Degree

The Nurse Anesthesia and all three Nurse Practitioner program options completed the transition to the DNP program, a full year earlier than initially projected. The first student cohort (21 Nurse Practitioner students) arrived at their Phase II clinical sites (Ft. Lewis, Ft. Bliss, Ft. Hood, Ft. Bragg and Travis AFB) and began acquiring approximately 1000 additional clinical hours and completing their Scholarly Inquiry Projects (SIP) aligned with the goals of the Military Treatment Facilities (MTFs). The students in this first DNP graduating class will return to USU in May 2015 for commencement, and to present and defend their portfolios and projects.

In collaboration with the Nursing Corps Chiefs, Phase II clinical site director faculty were defined and assigned to each of the DNP supporting MTFs. The GSN initiated a focused faculty development process to support clinical faculty members who are critical to the success of the DNP program. A four week immersion orientation on the Bethesda campus was implemented and provided opportunity to mentor students before they transferred to the clinical sites. All site

3

directors are given faculty appointments. In addition, an annual “Phase II Clinical Site Director” evaluation and planning meeting on the Bethesda campus was implemented to discuss successes, challenges and future direction. MTF site visits, monthly teleconferences with faculty and continuation of the GSN-Nursing Service DNP Transition Team meetings with the Deputy Nursing Corps Chiefs provided ongoing feedback and evaluation. Assignment of clinical site faculty to USU with “duty at” the MTF is being explored with services. Faculty evaluated the curriculum and implemented improvements via the Curriculum Committee; evaluations of the program and student feedback have been was very positive.

Curriculum Initiatives

Several curriculum initiatives/improvements were made this year across all program options (Attachment 1). The pathophysiology and pharmacology courses have been realigned and re-sequenced to support integrated student learning. The nurse anesthesia program refined its admission processes to maintain consistency from applicant to applicant across years and realigned coursework to improve student acquisition of specialty content.

In response to the request of Air Force Nurse Corps, a Women’s Health Nurse Practitioner (WHNP) program curriculum was developed and the first students matriculated. At the request of the Army Nurse Corps, the Adult-Gerontology Clinical Nurse Specialist (CNS) program curriculum was designed to offer a DNP option concurrent with the master’s degree program; the first Army student will matriculate in 2015. At the direction of the Federal Nursing Corps Chiefs, the GSN completed a feasibility assessment for initiating a Nurse Midwifery program at USU; continued discussions are in process.

The GSN has creatively harnessed the use of information technology to support its programs. In collaboration with the USU Information Technology staff and through the learning management system of Saki, the GSN developed and implemented an electronic Portfolio solution to meet the needs of the DNP students for documenting completion of the DNP degree requirements. A more robust custom software program for clinical E-logs documentation was created to support and align with the clinical nurse specialist program requirements. Online courses were implemented and evaluated positively.

To prepare students for nurse practitioner board certification examination, GSN faculty developed of a series of predictive (or ‘mock’) certification board examinations and defined a process for using results to initiate weekly study plans. Internally developed test item banking for the nurse anesthesia program was improved to better reflect didactic content and include the most recent evidence available; all test pools were recoded and restructured to mirror Council on Accreditation of Nurse Anesthesia Programs (COA) content mandates and to enhance psychometrics of exams. Anesthesia faculty have also enhanced use of the Video Teleconferencing (VTC) for clinical case-based seminars to standardize processes and content across seven clinical training sites.

In response to changes in curriculum and challenges with evaluating students in the simulation environment, the GSN developed a new standardized process for evaluating student performance in high stakes Objective Structured Clinical Evaluations (OSCE). The data generated is aligned with earlier faculty and preceptor evaluations from “live” clinical settings, to facilitate a more robust and reliable remediation program for struggling students. To improve competency of

4

psychiatric mental health nurse practitioner students the GSN implemented an Interpersonal Process Recording initiative for student retrospective self- examination of client interactions and designed a medical improvisation course to address interpersonal skills in unpredictable situations with a variety of client encounters. Substantive revisions were made to substance abuse course content to reflect current evidence.

Interprofessional Education

Consistent with the philosophy that inter-professional education (IPE) improves health care teams and patient outcomes, the GSN co-chaired with the School of Medicine (SOM) an interprofessional taskforce to identify current IPE activities across the USU. Concurrently several inter- and intra-disciplinary initiatives were launched. The PhD curriculum includes five interdisciplinary courses focused on military-relevant areas of science as well as advanced methodological approaches and statistical analyses. Collaborative faculty relationships model team approaches to basic science, neuroscience, genetics and bio-behavioral investigations. In the advanced practice nursing (APRN) programs, behavioral health content was added to core and specialty courses to improve student competency in caring for these highly complex patients. The nurse practitioner students were integrated into a foundational course in the SOM’s Reflective Practice curriculum.

In response to an identified capabilities gap at the Army Postgraduate Dental School of the USUHS Postgraduate Dental College (PDC), the GSN designed and conducted an interdisciplinary seminar at the Ft. Bragg, NC that addressed the process of conceiving, conducting, and completing student research and evidence-based practice. Students developed a research/EBP project during ongoing interactive breakout sessions with GSN and PDC faculty.-GSN has been asked to teach the course in additional locations around the country.

Faculty Status

With the departure of the Associate Dean for Faculty Affairs in August, recruiting efforts focused on filling this critical position. In the interim, senior faculty served to temporarily address the GSN faculty orientation and development needs. Congruent with the University revisions to the 1100 Instruction on Appointment, Promotion and Tenure administrative procedures and criteria, the GSN updated Appendix B of that document to address faculty concerns and ensure consistency with USU.

Faculty Numbers

Faculty* 2002 2014Military 12 26Civilian 15 16Contractor 0 1Total 27 43* Billeted Faculty and Contracted Faculty

5

Number of Faculty with Doctoral Degrees

Faculty* Completed Doctoral Degree Attending Doctoral ProgramMilitary 22 3Civilian 15 0Total 43 3* Billeted Faculty and Contracted Faculty

GSN Student Matriculation and Enrollment

Anticipated 2015 GSN Admissions (50 Total)

FNP RNA AGCNS PMHNP WHNP PhDArmy 7 0 1 4 0 0Navy 5 16 0 2 0 0Air Force 7 4 0 2 2 0US Public Health Service 0 0 0 0 0 0

Total 19 20 1 8 +1 recycle 2 0All 2014 APRN graduates successfully passed National Board Certification Examinations

Anticipated 2015 Graduates (50 Total)

FNP RNAAGCNS

Perioperative Option

PMHNP PhD

ArmyDNP 11

-- 6 -

MSN - 2 - -PhD - - - 1

NavyDNP - -

- --

MSN 2 11* -PhD - - 1

Air ForceDNP - - - 3

-MSN 2 7* 1 -PhD - - - -

US PHSDNP

--

- --

MSN 1* -PhD - 1

VA (PhD) PhD - - - - 1Total 15 19* 3 9 4

*RNA MSN graduation December, 2014 included in total

6

Research and Scholarship

Several important new research and scholarship initiatives occurred in 2014. Fourteen (5 PhD and 9 DNP) GSN students were recognized as 2014-2016 Veterans Healthcare Jonas Scholars, by the Jonas Nursing Center Foundation collaboration with the American Colleges of Nursing with a $70,000 grant to the GSN to support leadership development, networking and financial support for scholarly inquiry and dissertation projects that focus on priority areas for veteran’s health. A Center of Excellence for Military Families was established via an Inter-Agency Agreement with the Health Resources and Service Administration (HRSA) Agency of the Department of Health and Human Services and USU to explore the unique features of the military family to establish a research agenda and platform for future policy and services. PhD and CRNA faculty initiated development of a comprehensive research agenda focused on issues important to the anesthesia community using the NIH model of Centers of Excellence.

In response to requests from Federal agencies, we continue to explore partnerships with the Bureau of Prisons in the Department of Justice and Indian Health Service; for potential student clinical placement for nurse practitioner programs. Adjunct faculty appointments for partners were established

2014 was a productive year for our faculty and students with regard to their scholarship. Faculty and students have a combined total of: 63 professional journal publications with 2 in review 87 professional podium or poster presentations 4 evidenced based protocols 16 active grants 22 faculty are involved as journal reviewers or on editorial boards for 45 professional

publications

Selected Awards and Honors included:

Dr. Sandra Bibb was the 10th GSN nurse inducted as a nominated fellow in the American Academy of Nursing (AAN), an honor bestowed on less than 1% of nurses nationally.

Dr. Diane Seibert received the International Society of Nurses in Genetics Founders in Education Award.

Dr. Linda Wanzer was appointed to the Board of Directors for the Competency & Credentialing Institute (CCI).

7

Leadership

The GSN continues to play a main role in the strategic planning initiatives of the Federal Nursing Service Corps Chiefs. A workgroup to assess federal nursing contribution to alleviating the national nursing faculty shortage was chaired by the GSN. A nurse preceptor primer was developed and made available to MTFs and an assessment of clinical faculty support to civilian nurse education in federal and military settings was completed. GSN also provided consultation on initiatives to clarify the scope and function of clinical nurse specialist role in the military health system and to the post baccalaureate competency requirements for clinical psychiatric nurses across the services.

The GSN provided leadership in collaboration with the SOM and Graduate Dental College. for the development, implementation, and evaluation of a technology mediated Military Sexual Assault Course to increase awareness and knowledge regarding best practice when caring for victims of sexual assault. Course outcomes focus on the interaction between the victim, the offender, forensics, and treatment options. This is the first, evidenced-based, multidisciplinary uniformed service Sexual Assault Course offered at USUHS and incorporates experts from across the federal health system as well as national experts in the civilian community.

National Security and Global Health Engagement

In 2014, the GSN was actively engaged in both national security and global health engagement activities. GSN senior leaders participated in a Congressional visit to inform selected nursing caucus members, staff and committees about the work of the FNSC and the strategic initiatives focused on advanced practice nursing regulation and the APRN role in increasing access to care for veteran and citizens.

This year the GSN led initiatives to shape the operational curriculum at the annual SOM/GSN Bushmaster Field Training Exercise (FTX). PMHNP program faculty expanded the role of the PMHNP students to include completion of a Unit Behavioral Health Needs assessment on each platoon throughout the exercise to provide a realistic experience germane to operational and garrison missions. The GSN also coordinated the addition of a series of strategically placed sexual assault scenarios into the FTX to include response coordinator referral options and navigating the complexities of an operational setting. Nurse anesthesia faculty involvement was also increased in the field exercises.

The GSN hosted a delegation from the South Korea Military Nursing Academy to share information across programs and to discuss the potential for faculty and students exchanges between both organizations. An MOU between USU and the Korea Armed Forces Nursing Academy was signed and a summer 2015 follow up is planned at USU. Additional international interactions were supported with visitors from Thailand.

Service

The GSN provided clinical and professional service to the military, federal and professional communities. In concert with the Unity of Effort between USU and Walter Reed National Military Medical Center (WRNMMC), the GSN initiated efforts to streamline the student

8

clinical placement and credential process, established membership on the WRNMMC APRN Committee with GSN faculty presentations of evidence based practices to clinical providers, and played a leadership role in the integration of the USU community in the successful fundraising, planning and participation in the annual holiday ball. Faculty maintain their board certifications by providing patient care services to the MTFs in the National Capital Area. In addition, behavioral health faculty served as consultants to the Veteran Health Administration (VHA) in developing VA residency program criteria for advanced practice psychiatric nurse practitioners. The GSN also championed efforts with the VHA to create a standard Memorandum of Understanding (MOU) template for use in each of the VHA facilities that includes language to comply with USU, GSN and SOM accreditation requirements. Multiple faculty members serve on numerous national and professional committees and boards and support accreditation organization initiatives.

Future Directions

In January 2015 the President of the University announced Former Chief Nurse Officer for the United States Public Health Service, and former Associate Dean for Academic Affairs in the GSN, Carol A. Romano, Ph.D., RN, BC, NEA, FAAN, FACMI, as the new Dean of the Daniel K. Inouye Graduate School of Nursing at the Uniformed Services University of the Health Sciences. She succeeds Dr. Ada Sue Hinshaw, who retired in August 2014.

Building on the rich 21 year history of excellence of the school, future direction of the GSN will include implementation of a new strategic plan consistent with the USU newly defined strategic framework. Focus will be on building innovation in education, research and policy to transform practice; forging strategic partnerships with multiple stakeholders; providing increased opportunities for interprofessional collaborations; enhancing leadership development in our students and faculty; and creating unity through respect for diverse perspectives as the GSN pursues its mission of creating the next generation of nurse leaders for federal service.

9

Attachments

10

Appendix I Placeholder

11

Attachment I: GSN Academic Program Initiatives

GSN Accreditation ActivitiesPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: January 2013-December 2014Description: GSN was awarded full accreditation of the Doctor of Nursing Practice (DNP) Program from the Commission on Collegiate Nursing Education (CCNE) for the maximum of five years for a new program. Substantive change notifications were submitted for opening the Women’s Health Nurse Practitioner (WHNP) and Clinical Nurse Specialist (CNS) program options for the DNP. The GSN participated in the follow up university task force for an integrated university registration and student information system identified in response to Middle States accreditation recommendation.

Doctor of Nursing Practice (DNP) TransitionPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: January 2014-presentDescription: The first cohort of 21 students completed year two of the 36 month program and 53 matriculated students completed year one. All 2014 matriculating nurse practitioner and nurse anesthetist students entered the DNP program; and the transition from the master’s degree to the DNP was completed one year ahead of schedule with all services participating. The first cohort initiated their Phase II internships at the MTF sites, and an annual Phase II Clinical Site Director evaluation and planning meeting was conducted at the GSN in November; clinical site visits and MTF briefings are ongoing. Site directors were given GSN faculty appointments with the FTE assigned to the MTF. Navy clinical sites and directors were identified and Navy plans to move FTE to the University are in process. Transition Team meetings with the Deputy Nursing Corps Chiefs continues as valued feedback and planning forums.

Collaboration with School of Medicine for Interprofessional EducationPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: June 2013-PresentDescription: Discussions with School of Medicine for opportunities for interprofessional collaborations were initiated and a proposal developed to charge an interprofessional team to assess current status and future opportunities to expand interprofessional education and collaboration. Initial pilot of GSN student interfaces in SOM ethics course was positive. GSN expanded involvement in joint curriculum participation in military sexual assault and human context of care. Secondary appointments for SOM faculty increased.

Jonas Veterans Healthcare Scholar ProgramPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: January 2014-PresentDescription: GSN received a $70,000 grant from a collaborative initiative between the Jonas Center for Nursing Education and the American Association of Colleges of Nursing to support 5 PhD and 9 DNP scholars in a program (2014-2016) that provides leadership development, networking support and financial support for scholarly inquiry and dissertations with the goal of increasing the number of doctorally prepared faculty and advanced practice nurses to address priority clinical areas for veterans health. Faculty mentors were identified and scholars are pursuing leadership projects in addition to their curriculum requirements.

12

Initiation of Women’s Health Nurse Practitioner (WHNP) track in the Family Nurse Practitioner (FNP) Program OptionPOC: Dr. Diane Seibert (diane.seibert@usuhs.edu 301-295-1080)Dates: January 2013-presentDescription: The GSN matriculated the first student cohort in a women’s health NP track in response to the Air Force Nursing Corps need for DNP nurse practitioners prepared to meet the specific workforce demands in the military. Air Force will pilot this program and clinical faculty, site director and Phase II site were identified.

Feasibility Assessment for a Nurse Midwifery DNP ProgramPOC: Dr. Diane Seibert (diane.seibert@usuhs.edu 301-295-1080)Dates: January 2014-presentDiscussion: Preliminary discussion with Federal Nursing Corps Chiefs was initiated by Army need for military midwives and request for GSN to explore feasibility. Definition of need across service to maintain a student census of 8 per year is under discussion. Cost analysis presented to Nursing Corps Chiefs. A specialty program pre-accreditation is required before admitting students.

NP DNP Navy Phase II Site Director billets to be assigned to USUHSPOC: Dr. Diane Seibert (diane.seibert@usuhs.edu, 301-295-1080)Dates: January 2014 - presentDescription: In parallel with the way RNA faculty billets are assigned, the Navy Nurse Corps plans to assign Phase II faculty to USU with Duty at their Phase II sites

Center of Excellence for the Study of the Military FamilyPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu, 301-319-0662)Dates: October 2013 – PresentDescription: Center of Excellence for Military Families established via an Interagency Agreement signed by HRSA and USU. HRSA and the GSN will work together to strategically capitalize on these initiatives with the goal of providing family-centered access and care to our beneficiaries. Funding transferred ($100,000) to USU and program assistant hired.

GSN Partnership with Federal Nursing Service Corps Chiefs (FNSC)POC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: January 2014-presentDescription: Bimonthly meetings with Chief Nurses from Army, Navy, Air Force, Veterans Administration, US Public Health Service and Red Cross were held to discuss areas of mutual concern to federal nursing. The GSN participated in a Congressional visit to inform selected nursing caucus members, staff and committees about the work of the FNSC and the strategic initiatives focused on advanced practice nursing regulation. The GSN chaired a strategic work group to address federal nursing contributions to alleviating the national nursing shortage and completed an assessment of civilian nursing student preceptorships in federal facilities by federal nurses (1400 Federal and Red Cross preceptors at 90 different Federal sites that support over 7300 students annually from 314 different schools of nursing across 46 states), and developed an instructional document for distribution to preceptors. Faculty serving as subject matter experts on work group related to psychiatric nurse training and clarification of clinical nurse specialist role..

13

Revised GSN Appointment, Promotion & Tenure ProcessPOC: Dr. Marguerite Littleton-Kearney (marguerite.littleton-kearney@usuhs.edu, 301-319-0663)Dates: January 2013-December 2014 Description: The appointment, promotion and tenure administrative procedures and criteria were extensively revised and approved to address faculty concerns and streamline the administrative processes consistent with the University’s new administrative policy.

Evaluation of Student Information Systems and Evaluation ProcessesPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: January 2013-presentDescription: GSN requirements for an integrated USU registration system for admissions, course registration and grading, and transcript management were defined, evaluation of vendor proposals completed and active participation in new system implementation is in process.

Strategic PlanningPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: December 2013- PresentDescription: GSN actively participated in the University Strategic Framework and Performance Assessment initiative. The GSN Strategic Plan was reviewed and reorganized to reflect a mapping to the University five critical domains of education/training, research/scholarship, leadership, national security/global health engagement, and service. GSN tasks mapped to University critical tasks and performance metrics are in the process of development.

International CollaborationPOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: July 2014-PresentDescription: On July 9th a delegation from the South Korea Military Nursing Academy toured USU and met with Dean Hinshaw and the Associate Deans in the GSN. BG Kyung-Hye Choi, Superintendent, Armed Forces Nursing Academy, and her staff discussed interest in sending Korean Army nurses to the USU PhD in Nursing program and selected faculty to participate in Operation Bushmaster. An MOU between USU and the Korea Armed Forces Nursing Academy has been signed and a Summer 2015 follow up planning meeting scheduled at USU.

Military Sexual Assault CoursePOC: Dr. Carol Romano (carol.romano@usuhs.edu, 301-295-9004)Dates: July 2014-PresentDescription: An online, interprofessional course was developed spearheaded by GSN visiting Professor, Dr. Ann W. Burgess, D.N.S., RNCS, FAAN and Lt. Col. Wendy Lee as well other GSN and SOM faculty. The GSN implemented a pilot course in November for GSN students and the online course units were integrated into the SOM curriculum modules. Identification and treatment of military sexual assault was incorporated in a Bushmaster exercise in October 2014 and received positive evaluations. Students from the SOM and the GSN will participate in an interactive patient sessions at the Simulation Center as part of the instruction in spring 2015. They will interview a simulated patient with a history of recent sexual assault, perform the exam and begin to process a rape kit. After the exam, the students will discuss, in small interprofessional groups, the approach they take to the patient and areas that need improvement.

14

Expansion to WRNMMC Simulation CenterPOC: Lt Col Wendy Lee (wendy.lee@usuhs.edu, 301-295-1159)Dates: May 2014-August 2014Description: In the first semester core class, the nurse practitioner students learn new assessment skills explained through lecture in the classroom, which is immediately followed by hands-on training. These new physical exam skills are applied in a laboratory setting while practicing on each other guided by professional educational training assistants. The laboratory setting was once in a lecture hall but through collaborative efforts with WRNMMC, an 8 room laboratory setting was made available. The WRNMMC simulation center offers a realistic clinic environment for the students to apply their history assessment and physical exam skills.

ePortfolio and Matrix developmentPOC: Lt Col Wendy Lee (wendy.lee@usuhs.edu, 301-295-1159)Dates: January 2013-December 2014Description: For the past year, the GSN has been working with the Information Technology staff at USU and with a contractor to develop a Sakai Portfolio solution to meet the needs of the DNP students. The Matrix has been in use since June 2014, and the first Portfolio draft was constructed by a DNP student in November 2014. Additional adjustments are being made to the Portfolio interface, and by February 2015, all 2015 DNP graduates should have begun creating their final Portfolio.

First DNP Phase II faculty brought to USU for in depth orientation and immersive experiencePOC: Dr. Diane Seibert (diane.seibert@usuhs.edu; 301-295-1080)Dates: September 1-30 2014Description: New Phase II faculty will spend at least three years in a Military Treatment Facility serving as the GSN’s “offsite” faculty. Although some of the new DNP Phase II faculty are GSN Alumni, and fairly familiar with the GSN’s educational philosophy, to date, all have received their DNP degrees from a different University and none have served in a faculty role prior to this assignment. Maj(P) Brian Kittelson, the new Phase II site director for Wilford Hall Ambulatory Care Center (WHACC) was the first faculty member brought USU for a 1 month immersion to spend time with the faculty, the students and the curriculum prior to assuming his new role. Although he was familiar with our Master in Nursing Science (MSN) curriculum (he was a 2006 graduate of the FNP program), many times he commented on how valuable the immersion experience was. It helped him understand the philosophy of our DNP program (which is very different from his own DNP program), he had a chance to interact and begin mentoring the students who would be coming to WHACC in April of 2015, and had the opportunity to visit 4 of the 5 Phase II sites to observe how the site directors had set up their environments, and ask questions about who he should contact at WHACC, and how to advocate for GSN students and our DNP program.

USU IPE TaskforcePOC: Dr. Diane Seibert (diane.seibert@usuhs.edu, 301-295-1080)and Dr. Adam Saperstein (adam.saperstein@usuhs.edu, 301-295-9473)Dates: December 2014Description: Interprofessional Education (IPE) has been recognized as a needed component of medical education since the early 1970's, when the Institute of Medicine published their report, "Educating for the Health Team" in 1972. Over the past decade, IPE has received increasingly

15

more attention, in great part due to evidence that inter-professional practice has the potential to improve patient outcomes. Despite these findings and the generally accepted belief that excellence in the delivery of health care depends heavily on the health care team’s ability to work together and communicate in effective and reliable ways, most undergraduate and post-graduate programs provide only limited educational opportunities for intentionally designed interactions with students of other disciplines. In December 2014, the President, USU, launched a multi-disciplinary taskforce charged with 1) describing the current status of IPE at USU (Due in March 2015) and 2) describing a “future state” for IPE at USU (Due in September 2015).

Restructure & resequence Pathophysiology & Pharmacology POC: Lt Col Wendy Lee & Dr. Laura Taylor (wendy.lee@usuhs.edu; laura.taylor@usuhs.edu; 301-295-1080)Dates: August 2014-December 2014Description: In an effort to maximize students’ understanding of pathophysiology and the pharmaceutical agents that impact those pathologies, pathophysiology and pharmacology were rearranged to run concurrently. The course presents the pathophysiology in the first half of the day followed immediately by the pharmaceutical agents related to those conditions. Students apply critical thinking and problem-solving skills when they are asked to integrate newly acquired pathophysiology knowledge with the pharmacological principles. In this way, topics discussed in one class reverberate through the other classes at the same time. This allows for in-depth presentation and understanding of information from various perspectives.

Integration of Sexual Assault Scenarios into BushmasterPOC: Lt Col Wendy Lee (wendy.lee@usuhs.edu, 301-295-1080)Dates: October 2014 Description: Bushmaster incorporates another Inter-Professional Education perspective which involves students from the School of Medicine and the Graduate School of Nursing. Both the SOM and the GSN participated in applying sexual assault assessment skills in the Bushmaster setting. Part of the simulation was for students to assess, treat any injuries, respect a patient’s privacy, offer combat stress counseling, and educate the patient on their reporting options. The student was challenged to locate the nearest Sexual Assault Response Coordinator for referral options. The goal was to establish a foundation for how to ask the key questions associated with military sexual assault and apply them to a more challenging Bushmaster setting.

Curriculum Committee accomplishmentsPOC: Dr. Heather L Johnson (heather.johnson@usuhs.edu, 301-295-1089)Dates: May-Dec 2014 Description: The curriculum of the GSN belongs to the faculty under shared governance. Curriculum development is a joint process that involves the Program Directors/Chairs, the Curriculum Committee (CC) with ultimate approval by the All-Faculty Council. The Curriculum Committee provides oversight, guidance, and recommendations to the All-Faculty Council. The committee developed a new Curriculum Committee Academic Policy Statement for open publication and is in the process of developing a new SOP to more fully address the tasks of the CC. The only permanent subcommittee of the CC, the Admissions Advisory Group developed a new Academic Policy Statement clarifying admissions requirements and processes. The CC commissioned an ad hoc task force to oversee the development, implementation and maintenance of the ePortfolio and Matrix sites in Sakai. The committee will continue until processes and procedures are seamlessly integrated into the curriculum.

16

Inter-professional Education: Advanced Wound Management/Suture LabPOC: Dr. Linda Wanzer (linda.wanzer@usuhs.edu, 301-295-1507)

Dr. Catherine Ling (catherine.ling@usuhs.edu, 301-319-0604)Dates: Jun 2014 – November 2014Description: Over the past 1 ½ years (3 sessions), Dr. Welling and Dr. McNamee have integrated teaching assistants (volunteers from the Surgical Interest Group) to facilitate these sessions, making this an inter-professional learning experience between the SOM and GSN. The third order effect of this interaction and sharing of unique skill sets between disciplines and students added to the professional development of all involved (SOM and GSN students) and proved to be invaluable and integral to the successful accomplishment of the learning objectives established for this program.

IPE Initiative: Military Sexual AssaultPOC: Lt Col Wendy Lee (wendy.lee@usuhs.edu, 301-295-1159)Dates: July 2014 – December 2014Description: Preventing sexual assaults and caring for sexual assault victims are top priorities for all military services. Introducing joint forces advanced nurse practitioner and medical students how to assess and treat sexual assault victims will prepare them for helping the victims when the need arises in the military setting. The focus of this course is on the interaction between the victim (who suffered the trauma), the offender (who committed the sexual harassment/aggression), forensics (the evidence found), the outcome (the justice system), and treatment options. The interdisciplinary component is achieved by medical and nursing students participation in a facilitator guided discussion of small groups involving the GSN and SOM after a Simulation Center event caring for victims and suspects.

First DNP students transition to Phase IIPOC: Dr. Diane Seibert (diane.seibert@usuhs.edu, 301-295-1080) and Dr. Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092)Dates: April 2014 – December 2014Description: The first cohort of FNP/DNP students departed USU in April 2014 headed for their new duty stations to begin Phase II of the DNP curriculum. All DNP students were Army, so PCS’d to one of 5 Phase II locations: Ft Lewis, Ft Bliss, Ft Hood, Ft Bragg and Travis AFB. The 21 students quickly settled into their new assignments and have been working on their Scholarly Inquiry Projects directly aligned with both GSN and MTF goals Students will return to the USU campus in May 2015 for graduation.

IPE Initiative: Human Context in Healthcare (HCHC)POC: Dr. Diane Seibert (diane.seibert@usuhs.edu, 301-295-1080), Dr. Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092) and Dr. Adam Saperstein (adam.saperstein@usuhs.edu, 301-295-9473)Dates: August - December 2014Description: HCHC explores the non-cognitive human elements present in every clinical encounter, and examines how these non-cognitive elements may impact a provider’s cognitive processes and may influence healthcare outcomes. HCHC has been a foundational course in the School of Medicine (SOM) Reflective Practice curriculum for over 3 decades. In August 2014 the course was offered for the first time, to 1st year SOM and GSN NP students. To date, the 2 groups of students have been separate, because the first step toward full integration was to orient the faculty by creating collaborative GSN/SOM faculty pairs that could work together to

17

facilitate separate SOM and GSN student cohorts. In March 2015, the first student/student interprofessional small group sessions will be launched.

First iteration of the Phase II courses (801/802/803)POC: Dr Catherine Ling (catherine.ling@usuhs.edu, 301-319-0604)Dates: May 2014 – December 2014Description: Expanding the curriculum into a 3rd year offered opportunities to expand and capture content that would not fit into a 2 year restriction. The students were able to thoroughly explore their Phase 2 clinical site services, identify and document clinical case narratives, do deep dives into nutrition, disability and pain topics while adding to their clinician toolkits. Course materials created include departmental survey sheets, content modules on mobility disability, undernutrition, narcotic contracting and palliative care and several pain case studies that were filmed with live patients. Specific deliverables included in these courses are clinical case studies, Community assessments, photovoice pictorial narratives, and case group studies.

Advanced Trauma Life Support (ATLS): Integration of GSN students into the SOM ATLS CoursePOC: MAJ Daniel Blaz: (daniel.blaz@usuhs.edu, 301-295-1764)Dates: January 2014 – December 2014Description: In 2014 the School of Medicine restructured their curriculum for their CPR Module. As part of this restructuring process the ATLS Course that was traditionally given in the Summer Semester was moved to the Spring Semester (March). This provided a significant challenge in the GSN curriculum. A pilot initiative was started and GSN FNP students were placed into the March 2014 ATLS class with the SOM students. This was the first time that the GSN students had this course integrated into the middle of their semester. Overall the GSN had a 75% pass rate of ATLS in March. The course went so well and we had positive feedback that this training was integrated on a permanent basis into the students Spring 2015 schedule. GSN FNP/WHNP/RNA students will now be taking this course with the SOM students during their Spring semester.

Memorandums of Agreements (MOU) POC: MAJ Daniel Blaz: (daniel.blaz@usuhs.edu, 301-295-1764)Dates: January 2014 – December 2014Description: Expanding the military medical facilities that the GSN students can perform clinical rotations in, is a critical component for the GSN. Without the support of these facilities it would be extremely difficult for our students to obtain all of their clinical hours that are need to sit for national board certification. Each year Memorandums of Agreements (MOU) are completed between USU and the military medical facilities. Seven new MOUs were established in 2014 that provide support for the FNP/WHNP/AGCNS programs. The facilities are: Aviano Air Base, Fort Drum, Fort Jackson, Naval Health Clinic Charleston, Naval Hospital Okinawa, Naval Medical Center San Diego and Shaw Air Force Base.

18

Adult Gerontology Clinical Nurse Specialist (AGCNS) Program Information and Initiatives

Transition of the AGCNS MSN program to the DNP for the ArmyPOC: Dr. Linda Wanzer (linda.wanzer@usuhs.edu, 301-295-1507)Dates: July 2014 – December 2014Description: The Army leadership has requested the development of the AGCNS DNP program for purposes of pilot-testing the program for the Army student matriculating May 2015. The AGCNS DNP curriculum has been drafted, content re-aligned to enhance learning and eliminated redundant content, new courses have been identified to support the 3rd year of the program, credit hours are being reviewed, and old course titling revised to better reflect the content being taught. January 2015 is the target date for submission of this new curriculum to the Curriculum Committee.

Information AGCNS MSN program to the DNP for the ArmyPOC: Dr. Linda Wanzer (linda.wanzer@usuhs.edu, 301-295-1507)Dates: July 2014 – December 2014Description: In response to the Navy leadership’s request for information related to our BSN to MSN and DNP programs for the CNS APRN role. An information brief was sent along with a power point document that summarizes and compares the MSN and DNP CNS curriculum for each year of the program, as well as separately displaying the clinical hours and the curriculum as a whole and by semester just for the DNP. In addition, the word document summarizes the DRAFT plans for the DNP CNS curriculum inclusive of the unique roll-out of the Scholarly Inquiry Project that is designed in three phases targeting an organizational systems problem (focus area) impacting quality patient outcomes. As this process is rolled out, the initial focus of the projects will be on infection prevention.

Patient Safety Indicators (PSI) to be integrated into CNS programPOC: Dr. Linda Wanzer (linda.wanzer@usuhs.edu, 301-295-1507)

Maj Mary Hillanbrand (mary.hillanbrand@usuhs.edu, 301-319-0605)MAJ Gregory Lara (gregory.lara@usuhs.edu, 301-295-1201)

Dates: December 2014 – February 2015Description: In an effort to “take action” related to the 90-day review of the Military Health System (MHS), DHA identified several Patient Safety Indicators developed by Agency for Healthcare Research and Quality (AHRQ) that will serve as the platform by which quality of care is measured across all healthcare delivery systems within DoD. Seventy–five percent of these measures are directly related to the perioperative continuum which aligns perfectly with the role of the CNS to analyze healthcare systems and processes to optimize patient outcomes and guide change for organizational success in the provision of evidence-based/quality patient care. This content will be added to our courses along with a hands-on experience with the Patient Safety Analysis Center in DHA where the collection and analysis of the data occurs.

19

E-Logs Software Customization for CNS programsPOC: Dr. Mary Hillanbrand (mary.hillanbrand@usuhs.edu, 301-319-0605)Dates: December 2013 – December 2014Description: Continued work with programmers for E-Logs to customize and modify content to existing software in support of clinical requirements for CNS students. Modifications included addition of content, restructuring/re-formatting content for ease of capturing information desired, redesign of clinical reports, and consolidation of documentation for ease of data entry, and the addition of narrative sections to capture specific information to align activities performed with reflections supporting spheres of influence of CNS practice. System modifications were tested with the students this past clinical rotation (Fall 2014) with suggestions being forwarded to fine-tune the system in regards to final summary clinical reports and CNS role category elements. These changes to the content software will create a more robust software program in support of the clinical role of the CNS and facilitate student “growth” as an advanced practice nurse.

NEW Course - Outcomes Management for CNS PracticePOC: Dr. Mary Hillanbrand (mary.hillanbrand@usuhs.edu, 301-319-0605)Dates: April 2014 – December 2014Description: Outcomes management is a foundational skill-set for CNS practice and yet the AGCNS Program was lacking an introduction to this core principle in the curriculum. The requirement to measure outcomes by federal and state regulatory agencies has spurred organizations to actively monitor outcomes as a means for evaluation and as a requirement for accreditation and certification. As such, management of outcomes in CNS practice is critical to assessing interventions, identifying effective practices, and identifying practices that need improvement in organization. This 1 credit course was developed and delivered during the Fall semester (2014) to provide the foundation for measuring outcomes related to CNS competencies and the three spheres of influence (patient/client, nurse, and organization/system) of CNS practice. After review of the course and assessing changes to the curriculum in support of the transition to the DNP, additional content will be added next iteration making it a 2 credit course next Fall.

Family Nurse Practitioner (FNP) Program Information and Initiatives

Launch of the WHNP curriculumPOC: Dr. Diane Seibert (diane.seibert@usuhs.edu, 301-295-1080)Dates: July 2014 – December 2014Description: In response to the request of Air Force leadership for an additional track, the inaugural class of 3 WHNP students began their coursework in May 2014, with the FNP class of 2017. Unique courses are in development, including Drugs in Pregnancy and Lactation, Advanced Concepts in Women’s Health and Embryology, slated to kick off in Summer 2015 for both FNP and WHNP students. The course development is in collaboration with the Chief Nurse of the Bureau of Prisons, and an AFIT DNP CNM student at the University of Central Florida and will involve various guest lecturers for their expertise.

20

Certification Board PreparationPOC: Dr. Catherine Ling (catherine.ling@usuhs.edu, 301-319-0604)Dates: August 2014 – December 2014Description: The third year of the curriculum is conducted at Phase 2 sites and away from classroom didactic instruction. Therefore, to keep students engaged with clinical didactic material in order to be prepared for board certification, we partnered with Advanced Practice Education Associates (APEA). At the end of the first semester at their Phase 2 sites, students take a predictive mock board exam administered by APEA. Students pass this exam by achieving a score determined by APEA’s predictive value as correlated with passing the Certification board exam. If he or she fails, the student will need to pay for retake exams until a passing score is achieved. During the second semester, students use the results from that examto self design a weekly study plan. At the end of the second semester, students take another and different predictive exam with a passing score determined by APEA’s predictive value as correlated with passing the Certification board exam. If he or she fails, the student will need to pay for retake exams until a passing score is achieved.

New evaluation process for OSCEsPOC: Dr. Heather Johnson (heather.johnson@usuhs.edu, 301-295-1089)Dates: Sep 2014 – December 2014Description: In response to changes in curriculum and challenges with simulation data, developed a new standardized process for Objective Structured Clinical Evaluation (OSCE) at the Simulation Center for clinical courses. During OSCE, faculty observe one clinical encounter and complete and grade a standardized tool developed specifically for this purpose. Students are provided with feedback and specific recommendations for improvement. Students who did not meet minimum standards are identified for additional remediation. If students perform below expectations, extra faculty available during the OSCE observe the struggling student during at least 1 additional encounter. Students receive feedback from the additional encounter, as well. Students receive an overall graded score for the OSCE which encompasses 25% from feedback from the communication tool from the simulated patients, 25% from scores on quizzes/other written, 50% from faculty evaluation.

Psych-Mental Health Nurse Practitioner (PMHNP) Program Information and Initiatives

Interpersonal Process RecordingPOC: LTC Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092) Maj. Regina Owen (regina.owen@usuhs.edu, 301-295-1213) Dr. Teresa Combs (teresa.combs@usuhs.edu, 301-295-1169)Dates: May-Dec 2014Description: This initiative was implemented to provide the Psychiatric Mental Health Nurse Practitioner (PMHNP) student an opportunity to retrospectively examine and analyze their communication skills, therapeutic use of self, and the clients response throughout the interaction. This training provides an opportunity for both the PMHNP student and PMHNP faculty to identify individualized student areas of improvement and progression.

21

Medical Improvisation CoursePOC: LTC Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092) LCDR Eric Pauli (eric.pauli@usuhs.edu, 301-295-1109) Maj Regina Owen (regina.owen@usuhs.edu, 301-295-1213)Dates: Aug-Dec 2014Description: The development of this initiative focused on the expansion of the PMHNP students communicative, cognitive and interpersonal skills in unpredictable situations while interacting with a variety of client encounters. The students engaged in this specialized training enhancing their principles of spontaneity, adaptability, collaboration and skilled listening. This exercise provided a variety of unique educational needs that are essential in the field of behavioral health.

Bushmaster and the Role of the PMHNPPOC: LTC Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092) LCDR Eric Pauli (eric.pauli@usuhs.edu, 301-295-1190)Dates: May-Oct 2014Description: This initiative was implemented to facilitate a multidimensional approach to learning for the PMHNP student and to enhance interprofessional collaboration with the School of Medicine (SOM) during Operation Bushmaster Field Training Exercise. PMHNP students were active in many roles to include serving in the Combat Stress Control (CSC) role, pairing with SOM students to provide education preparing them for their role as CSC casualties, and the completion of a Unit Behavioral Health Needs assessment for the first time at Bushmaster. This exercise provided a realistic experience that is germane to both the operational and garrison missions of behavioral health providers.

Interprofessional education between FNP, CNS, RNA, and PMH studentsPOC: LTC Jess Calohan (jess.calohan@usuhs.edu, 301-295-1092) Maj Regina Owen (regina.owen@usuhs,edu, 301-295-1213)Dates: Mar-Nov 2014Description: This initiative was implemented to provide behavioral health training to all GSN students in a variety of courses (GSN 701 Advanced Practice Role, GSN 703 Ethics and Policy in Federal Health Systems, Advanced Physiology, Advanced Pharmacology and Advanced Pathophysiology). Faculty from the PMH and FNP programs continue to expand specialty specific content for each cohort (e.g. PMH faculty providing specific training on psychotherapeutic interventions that used in the primary care setting and Administrative Behavioral Health issues).

Substance Abuse Course Changes POC: LCDR Eric Pauli (eric.pauli@usuhs.edu, 301-295-1190)Dates: Aug-Nov 2014Description: This initiative was developed to ensure the most current educational training from interprofessional substance abuse treatment experts for the PMHNP students. Clinical experts from The Virginia Association of Addiction Professionals presented numerous lectures on a variety of substance abuse treatment topics. In addition, the Substance Abuse Rehabilitation Program at Naval Medical Center Portsmouth served as the primary clinical immersion experience for the PMHNP students. This educational training allowed for skillful experiences that will assist the students in their assessment and intervention plans prescribed to their clients.

22

Registered Nurse Anesthetist (RNA) Program Information and Initiatives

Implementation of the RNA research program and transition to the Scholarly Inquiry projects for the DNPPOC: CDR Kenneth Wofford (kenneth.wofford@usuhs.edu, 301-295-1011)Dates: May 2014 - presentDescription: The RNA program completed the adaptation of its research and evidenced based leadership structure. The change meet the demands of the current program and facilitate transition to the scholarly inquiry and portfolio system for the Doctor of Nursing Practice (DNP) program.

RNA program Phase II exam pool and didactic testing program restructuringPOC: Lt.Col. Alan Todd (larry.todd@usuhs.edu, 301-295-1039); CDR Chris Crerar (christopher.crerar@usuhs.edu, 904-542-7856)Dates: July 2014 - presentDescription: As part of on-going efforts to improve and update didactic testing during phase II clinical training, the entire test bank has been updated and revised to better reflect didactic content and include the most recent evidence available. The test pools were recoded and restructured to mirror Council on Accreditation of Nurse Anesthesia Programs (COA) content mandates. Exams have been changed from 100 questions per to 50 questions per (three exams per semester). Additionally, 10 “trial” questions are included with each exam in an effort to glean statistical information that may strengthen future exam content. The RNA program continues to research item banking software that will improve test bank management and tracking.

Implementation of the RNA Phase II seminar.POC: Lt.Col. Alan Todd (larry.todd@usuhs.edu, 301-295-1039)Dates: August 2014 - presentDescription: As a part of standardization of processes and content delivery across all 7 principle Uniformed Services training sites, the RNA program regularly uses a case-based seminar approach via Video Teleconferencing (VTC) to all sites. These case scenarios are used to facilitate dialog between students and faculty in key areas of anesthetic management and to reinforce didactic learning for those students in Phase II training. This also provides standardized content delivery across all sites where none had before existed.

Transition of monthly RNA faculty meeting using teleconference and DCO technologiesPOC: Lt.Col. Alan Todd (larry.todd@usuhs.edu, 301-295-1039)Dates: January 2014 - presentDescription: As a result of restricted travel authority and in an effort to improve communication, the monthly RNA faculty meetings are conducted using teleconference and Defense Connect Online (DCO) technologies. This allows faculty at all geographically separated sites to be included in programmatic discussions while minimizing travel costs.

23

Clinical site shift from Nellis AFB to Eglin AFBPOC: Lt.Col. Alan Todd (larry.todd@usuhs.edu, 301-295-1039)Dates: January 2013 - presentDescription: The RNA program has shifted an AF clinical site from Nellis AFB to Eglin AFB. This change is complete and has saved TDY costs and reduced student travel away from main MTF clinical site. Nellis AFB graduated their last students in December of 2014. Eglin AFB received their first students in September of 2014.

RNA Navy student billet transfer from NMPDC to USUHSPOC: CDR Justice Parrott (justice.parrott@usuhs.edu, 301-295-1199)Dates: January 2014 - presentDescription: An MOA between BUMED and USUHS has been established that allows the transfer of funds and billets from NMPDC to USUHS. This change streamlines administrative functions and aligns military and academic chains of command. The estimated annual amount of budget transfer is $250,000. Final MOA signatures are expected by the end of January 2015.

Transition to Trial Standards for the Practice Doctorate from the Council on Accreditation of Nurse Anesthesia Programs (COA).POC: CDR Justice Parrott (justice.parrott@usuhs.edu, 301-295-1199)Dates: January 2014 - July 2014Description: The Council on Accreditation of Nurse Anesthesia Educational Programs (COA) accredits nurse anesthesia programs within the United States and Puerto Rico that award post-master's certificates, master’s, or doctoral degrees, including programs offering distance education. The COA establishes practice standards that are designed to prepare graduates with competencies for entry into anesthesia practice. In January 2014, the COA released trial standards that provided changes that were to be in place by January 2015. In order to continue to stay programmatically current, the RNA program implemented and enculturated the standards ahead of the mandated due date.

Creation of the RNA Director of Simulation positionPOC: Lt.Col. Alan Todd (larry.todd@usuhs.edu, 301-295-1039); LTC Paul Johnson (paul.johnson@usuhs.edu, 571-231-4560)Dates: August 2014 - presentDescription: As the use of simulation grows as an instructional and evaluation method, the RNA program created a position that dedicates resources for the continuation and improvement of the medium in Phase II training. The Director of Simulation, in conjunction with the Director of Academics, is responsible for the creation, evaluation, and implementation of Phase II simulation training. Currently, all simulation scenarios are being rewritten to expand their use, incorporate the latest evidence, and to improve use at the clinical sites.

RNA admissions policyPOC: LTC Danette Cruthirds (danette.cruthirds@usuhs.edu, 301-295-1107).Dates: August 2014 - presentDescription: The RNA program continues to refine its admission process in keeping with the USUHS GSN admission requirements. In an effort to maintain consistency from applicant to applicant and from year to year, statistical analysis of academic benchmarks (GPA, GRE), interviews, and scenario based questioning are being used to ascertain minimum standards for

24

acceptance to the program. The RNA program is creating a policy to standardize the way in which this data is used to offer seats to potential candidates.

Integration of anesthesia and science curriculumPOC: Dr. Matt D’Angelo (matthew.dangelo@usuhs.edu, 301-319-0657)Dates: May 2014 - present

Description: In an effort to maximize student understanding of content and concepts, the RNA program aligned its anesthesia specific courses with the science based courses throughout the curriculum. In this way, topics discussed in one class reverberate through the other classes at the same time. This allows for in-depth presentation and understanding of information from various perspectives.

PhD Program Initiatives

PhD in Nursing Science Program Interdisciplinary OptionsPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu, 301-319-0662)Dates: January 2011 – Ongoing December 2011Description: In an effort to capitalize on the strengths of the USUHS faculty as well as senior scholars and scientists in the National Capital Region, the GSN PhD Program developed is developing three Interdisciplinary Options. These interdisciplinary relationships between the GSN and other USU units are designed to provide comprehensive programs of study in areas where we have the strongest and, potentially, the most productive collaborations. A PhD faculty task force is currently working on identifying those areas that have the greatest potential in terms of faculty expertise and also address the expressed needs of GSN constituents. Initial areas of study have been identified and include: Biobehavioral Health and Illness, Health Services Research, and Health Policy, Ethics and Leadership. The Biobehavioral Health and Illness option developed a new interdisciplinary course, PhD 851 Stress and Trauma in the Military Context, which is the first cross-listed course with Psychology at USU. The Health Services Research option has developed three courses and the Health Policy, Ethics and Leadership option includes two courses and will be developing a third in the coming year. The GSN currently enjoys strong collaborative relationships with faculty in the basic sciences, neuroscience, and genetics, to name a few. These developing Interdisciplinary Options will strengthen academic opportunities for GSN students and faculty to study collaboratively with senior scientists and scholars in other disciplines across the university. This initiative will be on-going throughout 2012.

PhD in Nursing Science Professional Development CurriculumPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu. 301-319-0662)Dates: June 2012 – 2013 [Completed]Description: The PhD core curriculum initiative has been completed with the development of 29 core courses and 9 Interdisciplinary Option courses. Evaluations of the core curriculum are ongoing. New courses will be added to the curriculum as identified by students and faculty as necessary.

25

Create a Comprehensive Research Agenda for CRNA faculty in the PhD Program using the NIH model of Centers of ExcellencePOC: Dr. Penny Pierce (penny.pierce@usuhs.edu. 301-319-0662), CAPT Lisa OsborneDates: October 2013 - PresentDescription: At this time we have a critical number of CRNA faculty who are charged with developing a comprehensive research agenda using the NIH model of Centers of Excellence. This initiative will benefit our PhD CRNA students as well as providing a structure to support developing programs of research in this scientific area.

PhD in Nursing Science Program Structure and ProcessesPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu, 301-319-0662)Dates: July 2013 - PresentDescription: With the development of a new PhD curriculum, the need for a variety of academic processes has emerged. This academic initiative focuses on the development of an administrative structure that clearly communicates academic processes to students and faculty in a clear and efficient manner. Specifically, this initiative includes developing the following: (1) academic advisement and registration processes, (2) guidelines for the Qualifying Examination and Dissertation, (3) revision of the PhD Student Handbook, and (4) development of a Dissertation Handbook. The objective of this initiative is to have a singular source for policies and procedures that is clear and comprehensive.

PhD in Nursing Science Program Interdisciplinary OptionsPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu), 301-319-0662)Dates: January 2011 – Present [Completed]Description: In an effort to capitalize on the strengths of the USUHS faculty as well as senior scholars and scientists in the National Capital Region, the GSN PhD Program developed three Interdisciplinary Options. These interdisciplinary relationships between the GSN and other USU units are designed to provide comprehensive programs of study in areas where we have the strongest and, potentially, the most productive collaborations. A PhD faculty task force is currently working on identifying those areas that have the greatest potential in terms of faculty expertise and also address the expressed needs of GSN constituents. Initial areas of study have been identified and include: Biobehavioral Health and Illness, Health Services Research, and Health Policy, Ethics and Leadership. The Biobehavioral Health and Illness option developed a new interdisciplinary course, PhD 851 Stress and Trauma in the Military Context, which is the first cross-listed course with Psychology at USU. The Health Services Research option has developed three interdisciplinary courses and the Health Policy , Ethics and Leadership option includes two courses and the relevant faculty will be developing a third in the coming year. The GSN currently enjoys strong collaborative relationships with faculty in the basic sciences, neuroscience, and genetics, to name a few. These developing Interdisciplinary Options will strengthen academic opportunities for GSN students and faculty to study collaboratively with senior scientists and scholars in other disciplines across the university. This initiative will be on-going throughout 2013.

26

Explore the Feasibility of Establishing a Center of Excellence for the Study of the Military FamilyPOC: Dr. Penny Pierce (penny.pierce@usuhs.edu, 301-319-0662)Dates: January 2014 – PresentDescription: This initiative captures the expertise of several faculty members to collaborate in the exploration of issues relevant to military families who have experienced over a decade of deployments, separations and reintegration processes. The goals of this initiative are to: (1) identify collaborating faculty and organizations outside the GSN to comprise an effective steering committee, (2) design a strategic research agenda based on the identification of problematic areas experiences by military families, and (3) identify sources of funding to conduct pilot, preliminary and feasibility studies upon which to build more comprehensive programs of research.

Constitute a Task Force to Establish Broader Collaborations Between the Services and the GSN to Coordinate Recruitment, Utilization, and Development of Military Nurse Scientists.POC: Dr. Penny Pierce (penny.pierce@usuhs.edu, 301-319-0662) and COL Susan PerryDates: October 2013 – PresentDescription: The active duty PhD faculty from their respective services has identified several procedural decision points where greater collaboration between the GSN and the services could be enhanced. The following areas are the most emergent areas requiring attention: (1) collaborate with the services in the appropriate selection of potential PhD applicants and faculty members, (2) provide guidance in the first assignment of PhD graduates where the services gain the benefit of their area of expertise while receiving continued mentoring as a developing scientist, and (3) increase communication between the PhD Program and military nurse researchers in the field to provide continued collaboration, mentoring, and academic support. The intent of this initiative is to coordinate these currently independent activities into a seamless process that maximizes the potential impact and productivity of military nurse scientists.

27

Appendix II Placeholder

28

Attachment II: Student Scholarship

PhD Students: Summaries for Research Completed in 2014

Title: ADOPTION OF A COMPREHENSIVE EMERGENCY MANAGEMENT PROGRAM: VA EMPLOYEES’ PERCEPTIONSPrincipal Investigator: Mary Patricia CouigDescription: Understanding Department of Veterans Affairs (VA), nurses’ perceptions and experiences related to the adoption of the VA’s Comprehensive Emergency Management Program (CEMP) could potentially improve the health care of Veterans affected by disasters. The purpose of this study was to explore and describe VA nurses’ perceptions of the CEMP. A qualitative ethnographic methodology was used. Forty-nine clinical staff nurses and nurse managers from a large, university affiliated VA Medical Center were interviewed. Six themes were identified: 1) Lack of Familiarity with CEMP, 2) Communication, 3) Emergency and Disaster Experiences, 4) Education and Training for CEMP, 5) Leadership Engagement and 6) Preparedness (System and Personal). Major findings include: a lack of familiarity with the name of the overall program (CEMP); a lack of coordinated communication about the CEMP and related areas (drills, disasters, unit/facility emergency operations plans); a lack of a cohesive education and training program; a desire for more integration of the CEMP and stronger engagement of the nursing department and the need for nurses to develop personal preparedness plans. The findings provide an understanding of factors contributing to an overall lack of knowledge about the VA’s CEMP and suggest areas for improvement in nursing practice, education, policy and research.

Title: NEUROPATHIC PAIN: CHARACTERIZATION AND MODULATION OF MACROPHAGE/MICROGLIAL ACTIVATIONPrincipal Investigator:   Ann Kobiela Ketz, Maj, USADescription: Neuropathic pain is a common, debilitating disorder and effective treatments are limited. Persistent activation of macrophages/microglia along ascending somatosensory nerve pathways following peripheral nerve injury contributes to neuropathic pain, though the role of polarization of pro- and anti-inflammatory macrophage/microglial phenotypes in neuropathic pain is not well understood. Photobiomodulation treatment has been used to decrease neuropathic pain, has an anti-inflammatory effect in models of spinal cord injury and wound healing, and has modulated microglial polarization in vitro. The aim of this study was to characterize the activation and polarization of macrophages/microglia after peripheral nerve injury and modulate the response using photobiomodulation.Adult male Sprague-Dawley rats were assigned to Sham surgery (n=37), Spared Nerve Injury (SNI) (n=37) or SNI with photobiomodulation treatment groups (n=22). Mechanical allodynia was assessed with an electronic Von Frey. Photobiomodulation (980 nm wavelength light) was applied to affected hindpaw, dorsal root ganglia (DRG), and spinal cord regions every other day from day 7 to day 30 post-operatively. Macrophage/microglial activation was characterized with immunohistochemistry and gene expression. Injured groups demonstrated increased mechanical allodynia from day 1-30 post-operatively. Photobiomodulation-treated animals began to recover after two treatments; at day 26 mechanical allodynia reached baseline levels. Peripheral nerve injury caused significant, region-specific, general activation of macrophages/microglia along ascending somatosensory pathways. Pro-inflammatory microglial marker expression was increased in the spinal cord of SNI rats

29

compared to photobiomodulation-treated and sham group. Photobiomodulation-treated DRG macrophages expressed increased anti-inflammatory markers. In summary, photobiomodulation effectively reduced mechanical allodynia, potentially through modulating macrophage/microglial activation to an anti-inflammatory phenotype.

Title: THE CLASSIFICATION AND FUNCTIONAL CHARACTERIZATION OF RYR1 SEQUENCE VARIANTS ASSOCIATED WITH MALIGNANT HYPTERTHERMIA SYSCEPTIBILITY IDENTIFIED THROUGH EXOME SEQUENCING. Principal Investigator: Stephen George Gonsalves, CDR, USPHSDescription: Malignant hyperthermia susceptibility (MHS) is a life-threatening, inherited disorder of muscle calcium metabolism, triggered by anesthetics and depolarizing muscle relaxants. Exome sequence (ES) data from 870 ClinSeq® participants were screened to identify putative pathogenic MHS variants in the RYR1 and CACNA1S genes. To study the effects of RYR1 variants on channel function, we selected benign and pathogenic variants for comparison, using an in-vitro assay measuring calcium rel Malignant hyperthermia susceptibility (MHS) is a life-threatening, inherited disorder of muscle calcium metabolism, triggered by anesthetics and depolarizing muscle relaxants. Exome sequence (ES) data from 870 ClinSeq® participants were screened to identify putative pathogenic MHS variants in the RYR1 and CACNA1S genes. To study the effects of RYR1 variants on channel function, we selected benign and pathogenic variants for comparison, using an in-vitro assay measuring calcium release from participant-derived lymphoblasts. The primary goal was to determine if incidental MHS-associated variants identified from ES showed abnormal calcium release from lymphoblasts.Design: Functional analysis of gene variants identified through exome sequencing.Methods: Annotation of 870 exomes for RYR1 and CACNA1S variants used an algorithm that filtered results based on genotype quality, allele frequency, mutation type, and information from mutation databases. Sixty-three RYR1 and 41 CACNA1S variants passed the quality and frequency metrics and were scored on a four-point pathogenicity scale (2-5). Three RYR1 class 5 (p.RArg614C, p.S1728F, p.D3986E) and one class 3 (variant of uncertain significance) p.R1667C, were selected for functional testing. Pharmacological sensitivity of the RyR receptor type-1 in lymphoblasts derived from four ClinSeq® participants were tested and compared to MH-negative controls. RYR1 p.R614C (with published functional data) was selected as a positive control. Lymphoblastoid cell lines were used to study the transient peak calcium release induced by the ryanodine receptor agonist 4-chloro-m-cresol (4-CmC). Calcium release (area under curve) was averaged from 8 replicates. Differences in calcium release between cell lines were analyzed by t-test.Results: Three RYR1 putative pathogenic variants (p.Arg614Cys, p.Ser1728Phe, p.Asp3986Glu), and one variant of uncertain significance p.Arg1667Cys, were selected for functional testing. Pharmacological sensitivity of RYR1 in lymphoblasts derived from four ClinSeq® participants were tested and compared to RYR1 wild type (WT) controls. The transient peak calcium release induced by the RYR agonist 4-chloro-m-cresol (4-CmC) was studied. Calcium release (area under curve) was averaged from 8 replicates. Differences in calcium release between were analyzed by

30

t-test. Lymphoblasts from putative pathogenic variants showed increased sensitivity of calcium release to 4-CmC compared to normal controls. Elevated calcium release was observed in RYR1 p.Arg614Cys, p.Asp3986Glu, and p.Ser1728Phe, (P <0.05) at progressive doses (from 0.4 mM to 1.0 mM) of 4-CmC. RYR1 p.Arg1667Cys was similar to WT.Conclusions: Three RYR1 variants identified through ES showed significantly altered calcium release. RYR1 channel function can be successfully assayed using a biochemical assay on participant-derived lymphoblasts, without resorting to muscle biopsy for in vitro contraction testing.

Masters Degree Student Scholarly Projects

Class of 2014 MSN Clinical Inquiry Project Titles

Registered Nurse Anesthetist Program

LT Brandon Rudy, NC, USN,LT Cody Gremore, NC, USN

Perioperative Do-Not-Resuscitate Orders: An EBP project to increase perioperative team member understanding of current recommendations and local policies regarding DNR orders in the perioperative period.

LT Meredith Keller, NC, USN,LT Katherine Kidde, NC, USN,LT Steven Starr, NC, USN

A Comparison of Epidural Infusion Strategies for Labor Analgesia: The purpose of this randomized controlled trial is to compare the effectiveness of three different epidural infusion strategies for labor analgesia with the primary outcome measures being maternal pain score and hourly average analgesic solution consumption. Secondary outcome measures will include demand/delivery epidural pain pump data and requests for supplemental analgesia, modified bromage scale assessment and mode of delivery.

Captain Sean Amport USAF, Captain Jeremy Holzberger USAF

An Evaluation of the Impact of a Perioperative Hypothermia/Warming Protocol on Time-to-Extubation in an Orthopedic Surgical Population. The objective of this evidence-based practice project is to determine if the implementation of a perioperative warming protocol reduces the Time-to-Extubation in an orthopedic surgical population at a military treatment facility.

Maj Sparkle Graham, USAF;Capt Chris Green, USAF

Perioperative Do-Not-Resuscitate Orders: The purpose of this EBP project is to increase perioperative team member understanding of current recommendations and local policies regarding DNR orders in the perioperative period

31

Capt Lynn Velasco USAF;Maj Darrell Saylor USAF

An Evidence Based Review of the Literature identifying commonalities and incongruities among risk factors for emergence delirium applicable to the adult population: To review recent literature and identify the commonalities and incongruities among risk factors for emergence delirium applicable to the adult population.

LCDR Kelly Trout, NC, USN;LT Trent Sassman, NC, USN;LT Kimberly Tozer, NC, USN

A randomized controlled trial evaluating the effect of the addition of bicarbonate to a local anesthetic mixture for Bier Blocks: The purpose of this research study is to determine if the addition of sodium bicarbonate to a lidocaine local anesthetic admixture reduces pain during injection or decreases the time to achieve complete anesthesia in subjects receiving intravenous regional anesthesia of the forearm.

LT David Good, USPHS An evaluation of the process improvement process initiated in the endoscopy suite at the Alaskan Native Medical Center: The purpose of this quality assurance project is to determine whether Nurse Administered Propofol (NAP) for sedation during endoscopic procedures at ANMC has produced a measurable difference in safety, cost, and sedation quality for patients 18-70 years old who are not pregnant or incarcerated

LT Kimberly Gerber, NC, USN;LT Jonathan Hamrick, NC, USN

Effectiveness of Dexmedetomidine in the Treatment of Pediatric Emergence Delirium: An Evidence-Based Literature Review: The purpose of this literature review is to determine if dexmedetomidine plus sevoflurane anesthesia reduced the incidence of emergence delirium during recovery in Phase I PACU when compared with the use of sevoflurane alone In pediatric patients undergoing surgery

32

Adult Gerontology Clinical Nurse Specialist Program

CPT Scott Coleman, USA Risk for Surgical Smoke Inhalation Injury Related to Type of Surgical Mask Worn by the Surgical Team (*article published in OR Nurse 2014)

MAJ Dahlia Pacheco, USA Preventing Hypothermia in SurgeryCPT Jose Rodriquez, USA Corticosteroid versus Platelet-Rich Plasma Injection in

Lateral Epicondylitis (*article published in Journal of Orthopedic Nursing 2014)

MAJ Duane Zaricor, USA Effects of Greening the Operating Room on a Healthcare Facility’s Operations (*article published in OR Nurse 2014)

Family Nurse Practitioner Program

Capt Jason Blair, USAF Management of Hereditary Angioedema

Capt Randall Hicks, USAF Testosterone replacement therapy effects on insulin resistance and glycemic measures

LCDR Carolyn Howard, USN The use of procalcitonin-guided antibiotic therapy in promoting antiobiotic stewardship in Primary Care:

Maj Christopher Kelly, USAF Delaying the Onset of Type II Diabetes in Adults with Prediabetes

Capt Jana McBurney Treatment of H. pylori: Triple Therapy vs Sequential Therapy

Capt Daniel Queen The Association Between Bacterial Infection and Chronic Lower Back Pain – A Review of the Literature

LCDR Jennifer Studer The Relationship Between Vitamin D and Cardiovascular Risk Factors

Capt June Yi Sports Related Concussions: Gender Differences in High School Athletes

33

Appendix III Placeholder

34

Attachment III: GSN Student and Alumni Publications, Presentations, Abstracts, Posters and Awards

Student and Alumni National Publications

Adult Gerontology Clinical Nurse Specialist Program _

Rodriguez, J. (2014). Corticosteroid versus platelet-plasma injection in epicondylitis. Journal of Orthopedic Nursing, 33(5), 257-265. This was made into a CE offering.

Roberson, A. (2014). Vaginal prep in the operating room. OR Nurse 2014, 8(6), 43-47.Coleman, S. (2014). Protecting yourself against surgical smoke. OR Nurse 2014, 8(2), 40-46.Zaricor, D. (2014 – accepted for publication). Effects of greening the operating room on a

healthcare facility’s operations”. AORN Journal.

Psychiatric Mental Health Nurse Practioner Program

Duprey, R.P.,Buttar, G., Smith, C.M., Jones, K. & Webb-Casero, K. (2014). Clinical case series: The use of Desvenlafaxine and Duloxetine for combat related post traumatic stress disorder among Operation Iraq Freedom and Operation Enduring Freedom combat veterans. Medical Student International 4(1).

PhD in Nursing Science Program

Abanes, J. J., & Adams, S. (2014). Using a web-based patient-provider messaging system to enhance patient satisfaction among active duty sailors and marines seen in the outpatient clinic: A pilot study. The Nursing Clinics of North America, 49(1), 91-103. doi:10.1016/j.cnur. 2013.11. 005.

National Presentations

Registered Nurse Anesthetist Program

Kidde, K. “ A comparison of Epidural Infusion Strategies for Labor Analgesia”, AANA National Congress, Orlando, FL. (14 September 2014).

Cabigas, L. & Saylor, D. ”Adult Emergence Delirium: A Literature Review”, Air Force Meeting, AANA National Congress, Orlando, FL. (September 2014).

PhD in Nursing Science Program

Killian, J. M. (September, 2014). Reliability of Two Portable Heart Rate Measurement Devices. Presented at the Tri-Service Nursing Research and Evidence Based Practice Dissemination Course, San Antonio, TX.

35

Ketz, A.K. (September, 2014). Characterization and Modulation of Macrophage/Microglial activation in an Animal Model of Neuropathic Pain. Presented at the Tri-Service Nursing Research Program and Evidence Based Practice Dissemination Course, San Antonio, TX.

Ketz, A.K. (September, 2014). Establishment of an Effective Photobiomodulation Treatment Protocol in an Animal Model of Persistent Neuropathic Pain, Presented at the North American Association of Laser Therapy/World Association of Laser Therapy Joint Conference, Arlington, VA.

Migliore L. (September, 2014). The Military Identity Project: A Self-Schema Approach to Investigate the Properties and Formation of Military Identity. Presented at the Tri-Service Nursing Research Program and Evidence Based Practice Dissemination Course, San Antonio, TX.

Pierce, P. F., Lewis, P., Kasper, C. Migliore L., & W. Danchanko. (2014, December). Educating Warrior Scholars for Research Careers in Military and Federal Service. Presented at the 2014 AMSUS Continuing Education Meeting, Washington, DC.

National Abstracts and Posters

Cabigas, L. & Saylor, D. (September 2014). ”Adult Emergence Delirium: A Literature Review”, Poster presented at the AANA National Congress, Orlando, FL.

Kidde, K. & Tverdosi, M. (September 2014). “ A comparison of Epidural Infusion Strategies for Labor Analgesia”, Poster presented at the AANA National Congress, Orlando, FL.

Graham, S. & Green, C. (September 2014). “Perioperative Do-Not-Resuscitate Orders”, Poster presented at the AANA National Congress, Orlando, FL.

Rudy, B. & Greemore, C. (September 2014). “Perioperative Do-Not-Resuscitate Orders”, Poster presented at the AANA National Congress, Orlando, FL.

Trout, K., Sassman, T., & Tozer, K. (September 2014). “A Randomized controlled Trial Evaluating the Effect of the Addition of Bicarbonate to a Local Anesthetic Mixture for Bier Blocks”, Poster presented at the AANA National Congress, Orlando, FL.

Good, D. (September 2014). “Effectiveness of Dexmedetomidine in the Treatment of Pediatric Emergence Delirium”. Poster presented at the AANA National Congress, Orlando, FL.

Westmark, A. (September 2014). “Measuring Competency in Regional Guided Anesthesia”. Poster presented at the AANA National Congress, Orlando, FL.

36

Student Awards

Adult Gerontology Clinical Nurse Specialist Program

2014 USU Board of Regents Award: CPT Jose Rodriquez

PhD in Nursing Science Program

2014 Military Outstanding Volunteer Service Medal: MAJ Christopher Stucky

2014 Tiina Karu Basic Photmedicine Young Investigator Award North American Association of Laser Therapy: MAJ Ann Kobiela Ketz

2014 Rear Admiral Betsy Niemeyer AwardEvidence-Based Practice: LCDR Jane Abanes

37

Appendix IV Placeholder

38

Attachment IV: Faculty Scholarship and Grants

Faculty or PhD Students Funded/Submitted/Completed Research

Faculty or Student

AcademicRank

Grant Title Role Sponsor Award Amount

YearsFunded

Bibb, S.C. Assoc Professor

Using Behavioral Risk Factor Surveillance System Data to Study the Relationship between Access and Total Force Fitness (2012-2014)

PI Triservice Nursing Research Program (TSNRP)

$227,925 2

Cruthirds, D Asst Prof BDNF Signaling in a Rat Model of PTSD PI Faye G. Abdellah pilot grant $2,000 1

Gibbons S. Asst Prof Caregiver Stress & Coping PI USUHS Intramural $100,000 3Gibbons S. Asst Prof Dietary Supplements: Knowledge and

Adverse Event Reporting Practices of Healthcare Professionals

AI Center Alliance for Dietary Supplement Research sub-grant

$4,000 1

Gibbons S. Asst Prof Human-Dog Interactions: Neuroendocrine and Physiological Alterations in Service Members with PTSD Who Train Service Dogs

AI Defense Medical Research and Development Program (DMRDP)Clinical Research Initiative Intramural Investigator-Initiated Research Award (CRIII-IRA)

$803,000 3

Kasper, C. Professor “Pilot Study of Fatigability and Eccentric Injury Comparison bet. Skeletal Muscle or Heavy Metal (W, Ni, CO). Embedded F344 Rats & Non-Heavy Metal Imbedded Rats”

Co-I VA Office of Nursing Svcs. $75,000 1.5

Kasper, C.E. Professor Genomic Nursing Competency Assessment Tool

Co-I Dept. of Veterans Affairs $54,633 1

Ling, C. Asst Prof “Load and Dual Tasking with Executive Function and Mobility: Implications for Injury Prevention in Military Service” Members”

PI USUHS Intramural Start Up $75,000 3

Ling, C. Asst Prof Using Behavioral Risk Factor Surveillance Co-I TSNRP $227,925 2

39

System Data to Study the Relationship between Access and Total Force Fitness (2012-2014)

Pierce, P. Professor Center of Excellence for the Military Family   (HRSA)

PI Health Resources and Service Administration

$100,000 1

Pierce, P. Professor Enroute Care Patient Safety Study Co-I Command Directed Air Force Headquarters

N/A 3

Pierce, P. Professor The Lived Experience of Research participation for Warriors in Transition

Co-I TSNRP $263,286 4

Pierce, P. Professor Management of Ethical Issues in Military Nursing Practice during Wartime

Co-I TSNRP 4

Pierce, P. Professor US Army: Deployment, Resilience, and Retention. Supplemental funds for exploration of post-deployment family readjustment

PI TSNRP $682,274 5

Pierce, P. Professor Psychometric Testing of Pre-decision Measures in the Context of Breast Cancer Screening and Treatment

PI Michigan Center for Health Intervention

$20,000 2

Ramsey G. Assoc Prof “NIH Disparity in Organ Donation Between Caucasians and African-Americans” – Grant submitted

Co-I National Institute on Minority Health & Health Disparities

$1,403,969

4

Taylor, L. Assoc Prof Nurse Support Program II, Guiding Initiative for Doctoral Education Program (GuIDE),

PI Maryland Higher Education Commission and the Health Services Cost Review Commission

$199,065 3

40

Completed Research/Evidence Based Practice Protocols

Faculty Rank Project TitleJohnson, H.L. Asst Prof Project Co-Lead

Curriculum Recommendations for Disaster Health Professionals: The Elderly PopulationThe National Center for Disaster Medicine and Public Health

Johnson, H.L. Asst Prof Project LeadCurriculum Recommendations for Disaster Health Professionals: The Pediatric PopulationThe National Center for Disaster Medicine and Public Health

Ling, C.G. Asst Prof Project ParticipantCurriculum Recommendations for Disaster Health Professionals: The Pediatric PopulationThe National Center for Disaster Medicine and Public Health

Ling, C.G. Asst Prof Project Co-LeadCurriculum Recommendations for Disaster Health Professionals: The Elderly PopulationThe National Center for Disaster Medicine and Public Health

Faculty or DNP students with Completed Evidence Based Practice Protocols and/or Funded Projects

Faculty or Student

AcademicRank

Grant Title Role Sponsor Award Amount

YearsFunded

Blaz, D Assistant Professor

Weight Loss Outcomes Associated with the use of the Army H.E.A.L.T.H. Weight Management Program

PI Jonas Center for Nursing Excellence

$10,000 2

Couture, D Assistant Professor

Is the STOP-BANG Predictive of Worsening OSA in the Early Postoperative Period in Patients Undergoing Total Knee Arthroplasty?

AI NMCSD Clinical Investigation Department; TSNRP

$65,000

$107,000

2

Romano, C.Sheehy, S

ProfessorAssociateProfessor

Jonas Veterans Health Scholars (5 PhD Scholars and 2 DNP Scholar Teams @ $10,000 per scholar award)

PDCo-PD

AACN and Jonas Center for Nursing

$70,000 2

41

Appendix V Placeholder

42

Attachment V: Faculty Publications and Presentations

Journal Publications

Baptiste, D.L., Groff-Paris, L., Mark, H. & Taylor, L.A. (Nov-Dec, 2013). Heart failure education: An integrative review of the patient-centered approach. Journal of Nursing Education and Practice.

Bardack, S., Dalgard, C. L., Kalinich, J.F. and Kasper, C. E., Genotoxic Changes to RodentCells Exposed In Vitro to Tungsten, Nickel, Cobalt and Iron, Int. J. Environ. Res. PublicHealth, 11(3), 2922-2940, 2014.

Bibb, S. C., Mollah, F. N., & Morgan, B. J. (2014). Evaluation of the behavioral risk factorsurveillance System as a potential index model for total force fitness. Military Medicine,179 (5), 529-539.

Boese, M.L., Rnasom, R.K., Roadfuss, R.J., Todd, A., & McGuire, J.M. (2014). Utility of theBerlin questionnaire to screen for obstructive sleep apnea among patients receivingintravenous sedation for colonoscopy. AANA. 82(1): 38-45.

Combs, T., Witter, J. M., Pauli, E., & DeLeon, P. H. (in press). Editorial: Meeting thechallenges of training for interdisciplinary care. Archives of Psychiatric Nursing.

Combs, T, Witter, J. DeLeon, P. , P, Pauli, E. (2014) Meeting the Challenges of Training forInterdisciplinary Care. Archives of Psychiatric Nursing.

D’Angelo, M.R., Hodgen, R.K., Wofford, K., Vacchiano, C. (2014) A Theoretical Mathematical Model to Estimate Blood Volume in Clinical Practice. Biological Research for Nursing, Published online October 20, 2014. DOI: 10.1177/1099800414555410

Deleon, P. H., Cassidy, 0., Sells, J. R., & Abanes, J. J. (in press). Foreword - Exciting times. In D. D. Luxton, E. L. Nelson, & M. M. Maheu (Eds.). A practitioner's guide to telemental health: How to conduct legal, ethical, and evidence-based telepractice. Washington, DC: American Psychological Association.

Deleon, P. H., & Lewis, P. C. (in press). Foreword: An important and expanding vision. In S.S. Bush (Ed.), Psychological assessment of veterans. New York: Oxford University Press.

Donelan, K., Romano,C., Buerhaus,P., DesRoches,C., Applebaum,S., Ward,J., Schoneboom,B., Hinshaw, A. (2014) National Surveys of Military Personnel, Nursing Students and the Public: Drivers of Military Nursing Careers, Military Medicine, Vol 179, No.5, 565-572.

Gibbons, S.W., Migliore, L., Convoy, S. P., Greiner, S., & DeLeon, P. H. (2014). Military mental health stigma challenges: Policy and practice considerations. The Journal for Nurse Practitioners. 10(6), 365-372.

Gibbons, S.W., Ross, A., Bevans, M. (2014). Liminality as a conceptual frame forunderstanding the family caregiving right of passage: An integrative review. Research inNursing and Health, 37(5), 423-36.

Gibbons, S.W., Shafer, M., Aramanda, L., Hickling, E.J., & Benedek, D.M. (2014, May). Combat health care providers and resiliency: Adaptive coping mechanisms during and afterdeployment. Psychological Services , 11(2), 192-199. doi: 10.1037/a0033165

Goeren, D. & Taylor, L.A. (2014). Telehealth: Promise or peril. Online Journal Issues in Nursing.

Griffith, K.A., Couture, D.J., Zhu, S., Pandya, N., Johantgen, M.E., Cavaletti, G., et al. (2014).Evaluation of chemotherapy-induced peripheral neuropathy using current perception threshold and clinical evaluations. Support Cancer Care. 12, 1161-69.

43

Hawkins, R. J., Kremer, M. J., Swanson, B., Fogg, L., Pierce, P. F., & Pearson, J. (2014). Useof the Rasch Model for Initial Testing of Fit Statistics and Rating Scale Diagnosis for aGeneral Anesthesia Satisfaction Questionnaire. Journal of Nursing Measurement, 22(3),381-403. doi: 10.1891/1061-3749.22.3.381

Hawkins, R., Bendickson, L. Benson, P., Todd, A., McPherson, J., Snelson, J., Bruner, S.,Bohan, K. Osborne, L. A Pilot Study Evaluating the Perceptions of CertifiedRegistered Nurse Anesthetists (CRNA's) Towards Human Patient Simulation (HPS). 2014, AANA Journal, 82:5: 375-384.

Hudson, K., Taylor, L.A., Kozachik. S., Shaefer, J. & Wilson (2014). Second Life Simulation as a Strategy to Enhance Decision Making In Diabetes Care: A Case Study. Journal of Clinical Nursing.

Hudson, K., Taylor, L.A. & Jeffries, P.R. (June 10, 2013). Incorporating informatics in nursingeducation through clinical simulations. Invited white paper. HIMSS: Transforming HealthThrough IT. Retrieved at http://www.himss.org/News/NewsDetail.aspx?ItemNumber=18789.

Johnson, H, Ling, C., McBee, E, (2015). Multi-disciplinary Care for the Elderly in Disasters:An Integrative Review. Prehospital and Disaster Medicine. 30(1) 1-8.

Kalinich, J.F. and Kasper, C.E. Do metals that translocate to the brain exacerbate traumaticbrain injury? Medical Hypotheses, 82(5), 558-562, 2014.

Klontz, B. T., Bivens, A., DeLeon, P. H., Michels, S., & Tom, L. (in press). The Mokihanaprogram: The effectiveness of an integrated department of education and department ofhealth school-based behavioral health approach. Psychological Services.

Korkosz, J.A. (2014) Standardizing care for sexual assault survivors. Women’s Healthcare,2(4). Retrieved at http://npwomenshealthcare.epubxp.com

Lewis, PC (2013) Tourniquets: Translating military knowledge into civilian care. J Emerg Nurs. 2013:39(6): 595-601

Ling, C.G., McBee, E.C., Gulley, K. & Johnson, H.L. (2014). Curriculum Recommendationsfor Disaster Health Professionals: The Elderly Population. National Center for DisasterMedicine and Public Health: Rockville, MD. (Invited)http://ncdmph.usuhs.edu/Documents/GeriatricCurrRec-201407.pdf.

Marple, R., Ling, C. (2014). Clinical Case Study of Syphilis: Another Example of “The GreatImitator. Journal of Nurse Practitioner: 10(9): 729-736.

McNeill, M. M., Pierce, P. F., Dukes, S., & Bridges, E. J. (2014). En Route Care Patient Safety:Thoughts from the Field. Military Medicine, 179(85), 11-18. doi:10.7205/MILMED-D-13-00522

Miyazaki, C, Zeynalov, E.N, Koehler, R.C, Littleton-Kearney, M.T. (2014) Effects ofDelayed Estrogen Treatment and 20-HETE Synthesis Inhibition on Postischemic Pial ArteryResponse to Acetylcholine in Rats. Open Journal of Integrative and Molecular Physiology.(4), 1-10. http://dx.doi.org/10.4236/0jmip.2014.41001

Peterson-Owen, R. and Wanzer, L. (2014) Compassion Fatigue in Military Healthcare Teams, Archives of Psychiatric Nursing, Vol 28 No.1, 2-9.

Reid-Arndt, S. A., Wilkniss, S. M., DeLeon, P. H., & Frank, R. G. (in press). Public Policy. In \J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.). (R. Krishnamurthy, Associate Ed.). APA Handbook of clinical psychology Volume III: Applications and methods. Washington, DC: American Psychological Association.

44

Romano, C. and Pangaro, L. (2014) What is a Doctor, What is a Nurse? Invited Commentary onQuestion of the Year, Academic Medicine, Vol. 89, No.7 (doi:10.1097/ACM.0000000000000277).

Romano, C. and Hinshaw, A.S. (2015 in press) DNP Education for Uniformed ServicesAdvanced Practice Nurses: A Model Curriculum and Clinical Partnership, Clinical ScholarsReview: The Journal of Doctoral Nursing Practice

Shaa, K., Anderson, G., Alt-White, A.C., Kasper, C.E., and Boyd, A.M. Genomics educationfor Veterans Affairs nurses, Letter to the editor, Genetics in Medicine, 16(12), 984-985,2014.

Taylor, L.A., Mark, H., McNelis, A. & Terhaar, M.F. (2014). A “GuIDE-ing”™ initiative to increase applicants for doctoral study. Advances in Nursing Doctoral Education, 2 (2) 9-17.

Vinokur, A. D., Aizen, I., Pierce, P. F., & Lewandowski-Romps, L. (in press). Factors affecting the decision of Air Force personnel to reenlist. Military Psychology.

Watkins, T. J., Bonds, R. L., Hodges, K., Goettle, B. B., Dobson, D. A., & Maye, J. P.(2014). Evaluation of postprocedure cognitive function using 3 distinct standardsedation regimens for endoscopic procedures. AANA Journal, 82(2), 133-139.

Willis, D. J., DeLeon, P. H., Haldane, S., & Heldring, M. B. (2014). A Policy Article – PersonalPerspectives on the Public Policy Process: Making a Difference. Professional Psychology:Research and Practice, 45(2), 143-151.

Zeylanov E, Rezvani N, Miyazaki C, Liu X, Littleton-Kearney, M.T. (2014) Reproductivesenescence blunts response of estrogen receptor-ɑ expression to estrogen treatment in ratpost-ischemic microvessels. 9(7), e102194 http://dx.doi.org/10.1371/pone.2014.0102194

Books

Kasper, C.E., Schneidereith, T., and Lashley, (Eds.) F. Lashley’s Essestials of Clinical Genetics, (2nd Ed.), New York: Springer (In Press)

Book Chapters

DeLeon, P. H., & Lewis, P. C. (in press). Foreword: An important and expanding vision. In S. Bush (Ed.), Psychological assessment of veterans. New York: Oxford University Press.

DeLeon, P. H., Brown, A., & Convoy, S. P. (in press). Judicious reliance upon psychotropic medications. In N. Ainspan, C. Bryan, & W. E. Penk (Eds.).Handbook of psychosocial interventions for veterans: A guide for the non-military mental health clinician. New York: Oxford University Press.

Edwards, Q.T., Maradiegue, A. and Seibert, D. (2015) Genetic Assessment in Goolsby, M.J. and Grubbs, L: Advanced Health Assessment: Interpreting Findings and Formulating Differential Diagnoses 3rd Edition. F.A. Davis Company.

Kalinich, J.F., Vane, E.A., Centeno, J.A., Gaitens, J., Squibb, K., McDiarmid, M.A., & Kasper, C.E., Embedded Metal Fragments, Annual Review of Nursing Research, Issue Ed., Kelley, P.A., Series Ed. Kasper, C.E., “Military Innovation in War,” Vol 32, 2014, Springer, NY.

Kasper, C.E. Preface. Annual Review of Nursing Research, Series Ed. Kasper, C.E., “Military Innovation in War,” Vol 32, 2014, Springer, NY.

Kasper, C.E., Traumatic Brain Injury in Military Populations, Annual Review of Nursing Research, Issue Ed., Conley, Y., Series Ed. Kasper, C.E., “Traumatic Brain Injury,” Vol 33, 2014, Springer, NY. (In Press).

45

Kasper, C.E. Preface. Annual Review of Nursing Research, Series Ed. Kasper, C.E., “Traumatic Brain Injury,” Vol 33, 2014, Springer, NY. (In Press).

Lewis, P.C. Pre-Hospital Tourniquets: Review, Recommendations and Future Research. Annual Review of Nursing Research, Issue Ed., Kelley, P.A., Series Ed. Kasper, C.E., “Military Innovation in War,” Vol 32, 2014, Springer NY.

Ling, C. & Edwards, M. (2015). Health literacy, health care disparities and culturally responsive primary care., Buttaro, T. (Ed.) in Primary care: a collaborative practice (5th ed.) In press.

Romano, C.A. (2015 in press) The Intersection of Technology and Health Care: Policy and Practice Implications. In Mason, D., Outlaw, F., Gardner, D., O’Grady, E., (Eds) Policy & Politics in Nursing and Health Care, 7th Edition, (in press)

Sheehy, S.B. (In press - 2015). Persons with special needs and disabilities. In Auerbach, P.S. Wilderness Medicine (7th ed). Philadelphia: Elsevier.

Wheeler, Schumann, Harkless, Ling, Bird and Maybee. (2014). Global Health: Dynamic Roles for the APN. K. Blair (Ed.) in Advanced Practice Nursing: Core Concepts for Professional Role Development (5th ed). In press.

Faculty Presentations

Bibb, S.C. ( 2014, September). Examining the Relationship between Potential and Realized Access to Care in a Population of Military Personnel with Universal Health Coverage. State of the Science Congress on Nursing Research, Washington, DC.

Bibb, S.C., (2014, May). Identification of Additional Barriers/Facilitators of Access to Health Services in Populations with Near Universal Health Coverage. USU Research Week: Daniel K. Inouye Graduate School of Nursing Research Colloquium, Bethesda, MD.

Blaz, D. B. (2014, June). The Emergent Role of Nurse Practitioners on the Battlefield. American Association of Nurse Practitioner’s 2014 National Conference, Nashville, TN (Invited)

Blaz, D. B. (2014). Weight Loss Outcomes Associated with the Use of the Army HEALTH Weight Management Program, University of Missouri-Kansas City, Kansas City, MO.

Calohan, J.A., (2014, October) “Prazosin for the Treatment of Combat Related Nightmares in Veterans’ with Post-Traumatic Stress Disorder,” American Psychiatric Nurses’ Association Annual Conference, Indianapolis, IN.

Combs, T., (2014, October) Simulation Pedagogy: It’s Interpersonal, American Psychiatric Nurses Association 28th Annual Conference, Indianapolis, IN.

Combs, T. (2014, October) Is he a Bully or Depressed? A Study of African American Middle School Youth, 5th Annual Rita M. McGivney Symposium: Exploring Social Justice for Vulnerable Populations, Duquesne University, Pittsburgh, PA.

D’Angelo, M.R. (2014, October) The Holy Grail: The quest to understand blood volume. Presented at WRNMMC Dept. of Cardiothoracic Surgery Meeting: November 7, 2014

DeLeon, P. H. (2014, August, 2014) Symposium: Telehealth and Health Care Reform – Benefits and Challenges.[Discussant]. 122nd A.P.A. Annual Convention. Washington, DC.

DeLeon, P. H. (2014, August) Symposium: Unlocking Psychology’s Public Policy Potential – 40 Years of APA Policy Fellowships. [Cochair]. 122nd A.P.A. Annual Convention. Washington, DC.

DeLeon, P. H. (2014, August) Symposium: Integrating RxP Psychology Into Primary Care – The Future of Prescribing Psychologists. [Discussant]. 122nd A.P.A. Annual Convention. Washington, DC.

46

DeLeon, P.H. (2014, August) Symposium: Personal Perspectives and Experiences with Retirement. [Chair].122nd A.P.A. Annual Convention. Washington, DC.

DeLeon, P. H. (2014, August) Symposium: Merging Medical Centers – Department Chief and Organization Development Practitioners Consultation. [Discussant]. 122ndA.P.A. Annual Convention, Washington, DC.

DeLeon, P. H. (2014, June) Dean Hinshaw Scholarship and Recognition Day. Uniformed Services University of the Health Sciences. Bethesda, MD.

DeLeon, P. H. (2014, May) VA Psychology: Serving Veterans through Interprofessional Care and Expanding Partnerships. Early Career Breakout Sessions; Advocacy & Unique Careers Networking Lunches. 17th Annual VA Psychology Leadership [AVAPL] Conference, San Antonio, TX.

DeLeon, P. H. (2014, April) Colloquium: A Vision of the Future: Regulation & Integration of Mental Health and Primary Care. Discussions with students from RWJF Nursing and Health Policy Collaborative and Psychology Department. University of New Mexico, Albuquerque, NM.

DeLeon, P. H. (2014, March) Colloquium: The Policy Journey. Department of Psychology, Purdue University, West Lafayette, IN.

DeLeon, P. H. (2014, January) Aloha: 30th Anniversary of the Wakefield Pediatric-EMS legislation, National Association of EMS Physicians 2014 Convention, Tucson, AZ.

Gibbons, S.W., Ross, A., Bevans, M. (2014, September), Liminality as a conceptual frame for understanding family caregiving as a rite of passage: An integrative review. Podium Presentation at Council for the Advancement of Nursing Science’s 2014 State of the Science Congress on Nursing Research, Hilton Hotel, Washington, DC.

Gibbons, S.W., Shafer, M., Aramanda, L., Hickling, E.J., & Benedek, D.M. (2014, May), Combat health care providers and resiliency: Adaptive coping mechanisms during and after deployment. Poster Presentation at Research Days 2014, USUHS, Bethesda, MD.

Goetter, M.D., Dukes, S.F., Connor, S., McNeill, M., Bridges, E.J., Maupin, G., & P.F. Pierce: (2014, December). En Route Patient Safety: Bridging the Gaps, AMSUS Continuing Education Meeting, Washington, DC.

Gonsalves, S.G, Kasper, C.E., Perry, S., Muldoon, S.M, Biesecker, L.G., (2014, October) Functional Characterization of RYR1 Sequence Variants Associated with Malignant Hyperthermia Susceptibility Identified through Exome Sequencing, 64th American Society of Human Genetics Annual Meeting, San Diego, CA.

Hillanbrand, M.A. (2014, January) Perioperative Clinical Nurse Specialist (CNS-CP) Certification Exam Preparation Course. Invited presenter, developer, and course coordinator, AORN Headquarters, Denver, CO.

Hillanbrand, M. A. (2014, February) Cleaning and Decontamination of Surgical Instruments…What You Don’t Know CAN Hurt You!! Invited speaker, Baltimore Washington Medical Center, Baltimore, MD (1.0 CEU).

Hillanbrand, M. A. (2104, April). Mentorship and Professional Development: The Future of Perioperative Nursing is in YOUR Hands! Invited speaker. AORN Surgical Conference and Expo, Chicago, IL.

Hillanbrand, M.A. (2014, April). “Perioperative Nurse’s Knowledge of the Cleaning and Decontamination Process of Surgical Instruments”. Poster presentation. AORN Surgical Conference and Expo. Chicago, IL.

47

Hillanbrand, M.A. (2014, May). Improving Patient Outcomes: Embracing a Team Approach to the Cleaning and Decontamination of Surgical Instruments. Invited speaker, Maryland Association of Sterile Processing Professionals Spring Seminar, Baltimore, Maryland (1.5 CEU)

Hudson, K., Taylor, L.A., Capustin, J. & Wilson, M. Using Second Life to improve Insulin Administration: Evaluating Simulation. Summer Institute in Nursing Informatics, podium presentation, Baltimore, MD. (Refereed).

Johnson, H.L., McBee, E.C., & Ling, C.G. (2014, May). Multi-disciplinary care for the elderly in disasters. USU Research Days, Bethesda, MD, (Invited).

Kasper, C. E. (2014, March) Metal Mediated Muscle Mayhem, University of Maryland-Baltimore, School of Nursing, Invited Seminar, Baltimore, MD.

Kasper, C.E. (2014, March), Metal Mediated Muscle Mayhem, University of South Florida, Distinguished Lecturer, College of Nursing, Invited Seminar, Tampa, FL.

Korkosz, J., (2014, December),Post sexual assault clinical practice guideline development. (2014, December), Podium Presentation at 2014 Inova Nursing Research Symposium: Improving Patient Outcomes through Quality Improvement, Evidence-Based Pracatice and Research. Inova Nursing Research and Evidence-Based Practice Council, Fairfax, VA.

Lara, G.L. (2014, March). Perspective of a Military Nurse: Deployment. 5th Annual International Summit: Perioperative Innovations Unite a Global Community, Association of periOperative Registered Nurses (AORN) Chicago, IL.

Lewis, P. (2014) Combat Explosives and Blast Injuries, 2014 Emergency Nurses Association Annual Conference, Indianapolis, IN

Lewis, P. (2014) Smoking Impacts Healing and Rehabilitation among Service Members with Amputations.

Ling, C., Kurzweil, D., Marcellas, K., Henry, B., Onufro, D., Beam, K. (2014). Preventing a Zombie Pandemic - Working with Nursing Faculty to Create Motivating Online Content, World Conference on E-Learning in Corporate, Government, Healthcare, and Higher Education, New Orleans, LA.

Ling, C.G. (2014). Building Globally to Reach New Heights. National Organization of Nurse Practitioner Faculty Annual Meeting, Denver, CO (Invited).

Michaelson, L., Muldoon, S., Perry, S., Sambuughin, N., Kasper, C.E., (2014, November) Evaluation of the Cyclic Nucleotide Gated Channel in Human B-lymphocytes From Malignant Hyperthermia Susceptible and Malignant Hyperthermia Non-Susceptible Persons. American Physiological Society, Greater Washington D.C. Area Meeting.

Osborne, L. (2014, September). Invited Lecture. State of the Navy Nurse Corps. TriService Nursing Research Dissemination Course, San Antonio, TX.

Osborne, L. (2014, February) Invited Speaker. When Bad Things Happen: The Human Side. . Virginia Association of Nurse Anesthestists Winter Workshop. Richmond, VA.

Osborne, L. (March 2014). Pharmacology of Local Anesthetics. AANA Learning Center, Park Ridge, IL

Osborne, L. (March 2014). Lower Extremity Blocks. Upper and Lower Extremity Workshop, AANA Learning Center, Park Ridge, IL.

Osborne, L. (May 2014). Clinical Conundrums in Obstetric Anesthesia. Spinal and Epidural Workshop, AANA Learning Center, Park Ridge, IL

48

Osborne, L. (August 2014). Pharmacology and Dosing Considerations of Local Anesthetics for Neuraxial Anesthesia. American Association of Nurse Anesthetists, Annual Congress, Orlando, FL.

Owen, R., (2014, October) Simulation Pedagogy: It’s Interpersonal, American Psychiatric Nurses Association 28th Annual Conference, Indianapolis, IN.

Pierce, P. F., Lewis, P., Kasper, C. Migliore L., & W. Danchanko, (2014, December). Educating Warrior Scholars for Research Careers in Military and Federal Service. Presented at the 2014 AMSUS Continuing Education Meeting, Washington, DC.

Pierce, P. F. (2014, August). Sisters of Lucretia: A Contemporary Image of Military Sexual Harassment and Assault. Presented at 2014 Annual Convention of the American PsychologicalAssociation, Washington, DC.

Pierce, P.F., & N. Webster. (2014, May) The impact of family and friends on well-being in a military context. Presented at the 26th Annual Convention of the Association for Pscychological Sciences Symposium: Family and Intergenerational Relations: Exploring Form and Function, Big Data and Small, San Francisco, CA.

Pierce, P.F., & McNeill, M.M. (2014, May). Focus group patient safety concerns and solutions: Unexpected findings. Presented at the 85th Annual Scientific Meeting of the Aerospace Medical Association 85th Annual Scientific Meeting of the Aerospace Medical Association Symposium: Patient Safety in Air Force En Route Care, San Diego, CA.

Romano, C. (2014, May). Panel Presenter, Moving Nursing Forward, US Public Health Service Annual Nurse Recognition Conference, Bethesda, MD.

Romano, C. (2014, June), USU Education Day, Long and Short Term Student Assessment & Evaluation, Bethesda, MD.

Seibert, D. (2014), Cancer Genetics Management in the Primary Care Setting, Co-sponsored by the Jackson Labs and the American Society of Human Genetics, Hartford CT.

Seibert, D. (2014), Interprofessional Collaboration and Genetics Education. The Institutes of Medicine Roundtable on Translating Genomic-Based Research for Health, Washington, DC (Invited)

Seibert, D. (2014). The Family Health History: The Key to Personalized Healthcare. The American Academy of Nurse Practitioner meeting, Nashville, TN (Invited).

Sheehy, S.B. (2014) 25th Annual Barbara Proctor Conference - Mid-Maryland Emergency Nurses Association. A3 Problem-Solving for Emergency Departments. Prince George’s County Hospital Center, MD.

Sheehy, S.B. and Lewis, P.C. (2014) ENA by the Bay: Maryland Emergency Nurses Association Annual Meeting. Trauma Lessons Learned in Iraq and Afghanistan. Linthicum, MD.

Sheehy, S.B. and Lewis, P.C. (2014) Emergency Nurses Association Annual Scientific Assembly. Trauma Lessons Learned in Iraq and Afghanistan. Indianapolis, IN.

Taylor, L.A., Mark, H., McNelis, A. & Terhaar, M.F. (2014, September) GuIDE ™ Helping Advanced practice transplant nurses in their pursuits of doctoral education. (Refereed, Podium, Accepted for 23rd Annual International Transplant Nursing Symposium, Houston, TX.

Taylor, L.A., Sahota, A. & Nolan, M.T. (2014, September). The decision to become a living kidney donor. Considering risks and benefits. Emphasis on gift giving, self perception and self esteem. (Refereed, Podium Accepted for 23rd Annual International Transplant Nursing Symposium, Houston, TX.

49

Taylor, L.A. (2014, July). Social media, e-Health and m-Health initiatives to support patient and family informed decision making in transplantation. Invited Speaker, World Transplant Congress, San-Francisco, CA.

Taylor, L. A., Bahreman, N. & Segev. D. (2014, September). Initial Success from E-Health Information and Social Support: Trending Use Across Diverse Populations in Organ Transplant at World Transplant Congress, San Francisco, CA. (Refereed, Accepted for poster presentation and white paper publication)

Taylor, L. A., Bahreman, N., Murphy, E., Valdez, J., Oakes, C., Newbold, M., Needham, J. & Segev. D. Information Technology: Addressing Barriers In Living Kidney Donation With Education and Social Support For Donor Candidates and Their Family Caregivers, International Transplant Nurses Association Annual Symposium, paper presentation, Washington, D.C. (Refereed)

Taylor, L.A., Terhaar, M., Mark, H. & McNelis, A. (2014, July). A GuIDING Initiative to Increase Applicants for Doctoral Education. Johns Hopkins University School of Nursing: DNP from Start-Up to Impact. Invited speaker.

Todd, L. A. (2014, October), Evaluating the Glycemic Control of Surgical Patients with Diabetes, University of South Florida, Distinguished Lecturer, College of Nursing, Invited Scholar, Tampa, FL.

Todd, L. A. (2014, October), Perioperative Management of Patients with Diabetes, Virginia Association of Nurse Anesthetist Fall 2014 Annual Conference, Arlington, VA.

Todd, L. A. (2014, October) Insulin Pumps in the Operating Room, Virginia Association of Nurse Anesthetist Fall 2014 Annual Conference, Arlington, VA.

Wanzer, L.J. (2014, March).The Pulse: The Living Module, AORN Surgical Conference & Expo 2014, Chicago, IL (Opening Ceremony).

Wanzer, L.J. (2014, March). Nursing’s Field of Dreams: Innovators, Visionaries, Leaders, and Scholars. AORN Surgical Conference & Expo 2014, Chicago, IL (Panel: Wanzer, Fernsebner, Seifert Groah).

Wanzer, L.J. & Hicks, R.: (2014, November). Piercings in the OR: Are You Prepared? Perioperative Nursing Expo 2014, Institute of Nursing: North Shore Long Island Jewish Health System, Manhasset, NY. Invited speaker.

Faculty Poster Presentations

Barba, A.J., (2014, April). Implementation of Advanced Airway management Using High-Fidelity Patient Simulation, Poster presentation at NMCSD 29th Academic Research Competition, San Diego, CA.

Bibb, S. & Ling, C. (2014, June). The Relationship between Potential and Realized Access in Military Personnel - Responding to the 2010 Behavioral Risk Factor Surveillance System Survey: Results of Analysis of Data from a Sample Population with Universal Health Coverage. Academy Health Annual Research Meeting (ARM).

D’Angelo, M.R., Hodgen, R.K., Wofford, K., Vacchiano, C. Predicting Blood Volume by Change of Hematocrit: A secondary data analysis. Poster presented at USUHS GSN Research Days 5/2014.

Johnson, H.L. (2014). Caring for Children in Disaster, Humanitarian & Civic Assistance Operations. Nurse-Tech Appreciation Week, Defense Health Headquarters, Washington, D.C. (Invited)

50

Johnson, H.L. & Ling, C.G., McBee. E.C. (2014). Elderly in Disasters: An Integrative Review. Learning in Disaster Health Workshop, National Center for Disaster Medicine & Public Health, Fort Myer, VA. (Invited) *Outstanding Poster Award

Johnson, H.L. & Ling, C.G., McBee. E.C. (2014). Curriculum Recommendations for the Elderly in Disasters. Dr. AdaSue Hinshaw Scholarship & Recognition Symposium, Bethesda, MD. (Invited)

Ling, C.G., Perry, S., Pierce, P. (2014, January).Creating Emerging Scholars to Promote Nursing Scholarship at AACN Doctoral Conference, Naples, FL (Invited).

McBee. E.C., Johnson, H.L. & Ling, C.G. (2014). Caring for the Elderly in Disasters. The Henry M. Jackson Foundation Research Week, Bethesda, MD.

Matella, T., Caon,R., Duan,A., Eason, D., Keller, A.,Martinez, G., Radoakovic, M., & Couture, D. (2014, April). The role of statins in reducing post-operative pain: A retrospective review. Navy Medicine West Academic Research Competition, San Diego, CA.

Wanzer, L. (2014, March). The Culture of Lateral Violence in Nursing. AORN Surgical Conference & Expo, Chicago, IL. (Wanzer, Nader, O’Connell) **2014 Award for Excellence in Clinical Improvement/Innovation (International Evidence-based Practice abstract/poster presentation) – Selected from 226 abstracts/posters in this category)

Wanzer, L. (2014, May). “The Culture of Lateral Violence in Nursing,” USU Research Symposium, Bethesda, MD. (Wanzer, Nader, O’Connell) (May 2014).

Poster Judge

Cruthirds, D, F. (2014) American Association of Nurse Anesthetists, Annual Meeting State of the Science Oral and Poster Session, Orlando, FL.

Ling, C.G. (2014). Walter Reed National Military Medical Center, Nurses’ Week., Bethesda, MD

Sheehy, S.B. (2014). Walter Reed National Military Medical Center, Nurses’ Week., Bethesda, MD

Sheehy, S.B. (2014). Emergency Nurses Association Annual Meeting, Indianapolis, IN.

51

Journal Editorial Board or Journal Reviewer

Journal Publication GSN Faculty ReviewersAmerican Association of Nurse Anesthesia Journal Couture, D.American Association of Nurse Anesthesia Journal D'Angelo, M.American Association of Nurse Anesthesia Journal Wofford, K.American Association of Nurse Anesthesia Journal Osborne, L. (EB)American Heart Journal Littleton-Kearney, M.American Journal of Perinatology Osborne, L.American Psychologist – Associate Editor DeLeon, P.Anesthesia eJournal Todd, A.Anesthesia eJournal Parrott, J.Annual Review of Nursing Research Kasper, C. (EB), Kelley, P. (EB)Applied Nursing Research Kelley, P.Archives of Psychiatric Nursing, Gibbons, S.British Journal of Psychiatry Gibbons, S.Critical Care Nurse Lewis, P.European Journal of Cancer Care CoutureInternational Journal of Nursing Studies WanzerInternational Student Journal of Nurse Anesthesia Crerar, C., Holmes, J., Parrott, J.Journal of Advanced Nursing, Kasper, C., Gibbons, S.Journal of American Academy of Nurse Practitioners Johnson, H., Ling, C., Lewis, P.,Journal of Family Relations Pierce, P.Journal of Healthcare, Science and the Humanities Kasper, C. (EB), Kelley, P. (EB)Journal for Nurse Practitioners Todd, A.Journal of Nurse Practitioner Johnson, H., Lewis, P., Ling, C.Journal of Nurse Practitioner Kelley, P. (EB)Journal of Peri Anesthesia Nursing McGuire, J.Journal of Professional Nursing Kasper, C.Journal of Research Administration Kelley, P. (EB)Journal of Rheumatology Kasper, C.Journal of Transcultural Nursing Ramsey, G.Journal of Traumatic Stress Gibbons, S., Pierce, P.Military Medicine Calohan, J., Gibbons, S., Kasper,

C., Lewis, P., Ling, C., Osborne, L., Pierce, P., Romano, C. (EB), Wofford, K.

Nursing Research Gibbons, S.Praeger series in Abnormal Psychology DeLeon, P. , P. (EB)Professional Psychology: Research and Practice DeLeon, P.PsychCRITIQUES-Contemporary Psychology:APA Review of Books

DeLeon, P. (EB)

52

Psychological Services DeLeon, P. (EB) (Editor)Psychological Services Pierce, P.Public Service Psychology DeLeon, P.Register Report DeLeon, P.Research in Theory & Nursing Practice Pierce, P.The Independent Practitioner DeLeon, P.The Psychotherapy Bulletin DeLeon, P.Training and Education in Professional Psychology DeLeon, P.Western Journal of Nursing Research Littleton-Kearney, M.Women & Health Pierce, P.

53

Appendix VI Placeholder

54

Attachment VI: Selected Faculty Awards/Recognition

Sandra G. Bibb, DNSc., RN (CAPT, NC, USN, Ret)Associate Professor and Associate Dean for Faculty Affairs (until Aug 2014) Inducted as a Fellow in the American Academy of Nursing (FAAN) Board of Directors Navy Nurse Corps Association Merit Review Panel 2014: Invited Member for improving methods for conducting patient-centered outcomes

research. Patient Centered Outcomes Research Institute, Washington, D.C.

Matthew D’Angelo, DNP, MS, CRNAAssistant Professor and Assistant Program Director Nurse Anesthesia Program

May 2014: Awarded the USUHS Outstanding Master’s Civilian Faculty Award

Marla DeJong, PhD, RN, Colonel, USAF, NCInterim Associate Dean for Research

University of Maryland School of Nursing Pioneer Visionary Award. One of twenty-five alumni honored on 125th Anniversary of School.

Patrick Deleon, PhD, JDDistinguished Professor Advisory Committee on Interdisciplinary, Community-Based Linkages, HRSA. Institute of Medicine and National Research Council Board on Children, Youth, and

Families (two terms) American Academy of Nursing Institute for Nursing Leadership advisory board Distinguished Alumni Award, College of Health and Human Sciences. Purdue University.

March, 2014. President’s Certificate for Outstanding Service. American Academy of Pediatrics. March,

2014.

Susanne W. Gibbons, PhD, C-ANP, C-GNPAssistant Professor PhD Program

GSN Junior Investigator Award

Robert Hawkins, PhD, DNP, MBA, MS, CDR, NC, USNAssistant Professor CRNA Program

Outstanding Master’s Faculty Award

Heather Johnson, Lt Col, USAF (Ret), DNP, FNP-BC, FAANPAssistant Professor FNP Program Outstanding Poster: 2014 Learning in Disaster Health Workshop, National Center for

Disaster Medicine and Public Health, Fort Myer, VA Scholarly Practice Award, Graduate School of Nursing, Uniformed Services University

55

Christine E. Kasper, PhD., RN, FAAN, FACSMProfessor, PhD Program Distinguished Lecturer, University of South Florida, Tampa, FL Elected to Ethics Committee of the American Academy of Nursing, Inducted into the International Nurse Researcher Hall of Fame by Sigma Theta Tau

International

Jennifer A. Korkosz, DNP, MSN, WHNP-BC (Lt Col, USAF, NC)Assistant Professor and Deputy Director Women’s Healthcare Nurse Practitioner Program

Future Leaders Program: Inaugural class, American Association of Nurse Practitioners

Paul C. Lewis, PhD, FNP-BCAssistant Professor and Army Senior Service Advisor

Faculty Leadership Esprit De Corps Award

Regina Owen, MSN, DNP, PMHNP-BCAssistant Professor, Assistant Program Director Psychiatric Mental Health Nurse Practitioner Program

Dean’s Award for Teaching Excellence, Uniformed Services University, Daniel K. Inouye Graduate School of Nursing

Carol A. Romano, PhD, RN, FAAN, FACMIProfessor and Associate Dean for Academic Affairs University of Maryland School of Nursing Pioneer Visionary Award. One of twenty-five

alumni honored on 125th Anniversary of School. Selected as Dean, Daniel K. Inouye Graduate School of Nursing

Diane Seibert, PhD, ARNP, FAANP, FAANProfessor, Chair/Director Family Nurse Practitioner Program

International Society of Nurses in Genetics Founders in Education Award

Susan Sheehy, PhD, RN, FAEN, FAANAssociate Professor/DNP Program

Appointed to the Expert Panel on Veterans’ Issues of the American Academy of Nursing

Laura A. Taylor, PhD, RN, ANEFAssociate Professor/DNP Program Inducted as a Fellow in the Academy of Nurse Educators, National League for Nursing The Diversity Leadership Council Diversity Recognition Award, The GuIDE, Johns Hopkins

University, Baltimore, MD Best Abstract of Conference, “Information Technology: Addressing Barriers In Living

Kidney Donation With Education and Social Support For Donor Candidates and Their Family Caregivers” The International Transplant Nursing Society, Washington, DC, September, 2013.

56

Linda J. Wanzer, DNP, RN, Ret (COL, AN), CNORAssociate Professor and Program Chair/Director Adult-Gerontology Clinical Nurse Specialist program Board of Directors for the Competency & Credentialing Institute (CCI). October 2014:

National selection process to fill one of two vacant Board of Directors positions. Award for Excellence in Clinical Improvement/Innovation (Evidence-based Practice

Abstract/Poster): “The Culture of Lateral Violence in Nursing” (Wanzer, Nader, O’Connell). Selected from 226 international abstracts/posters in the Evidence- based Practice Clinical Improvement/Innovation category.

57

Appendix VII Placeholder

58

Appendix VII: GSN Faculty and Staff

Dean’s Office

Name: Hinshaw, Ada Sue, PhD, RN, FAANPosition: Dean and Professor (January – September, 2014)

Name: Littleton-Kearney, Marguerite T., PhD., RN, FAAN (CAPT, NC, USN, Ret)Position: Professor and Associate Dean for Research

Director of Faye G. Abdellah Research Center (January – September, 2014) Interim Dean (September – December, 2014)

Name: Romano, Carol A., PhD., RN, FAAN, FACMI (RADM, USPHS, Ret)Position: Professor and Associate Dean Academic Affairs

Name: Bibb, Sandra C. DNSc, RN, (January – August, 2014)Position: Associate Dean for Faculty Affairs

Name: Kenney, Patricia A., MS, RN (CAPT, NC, USN, Ret)Position: Assistant Professor

Executive Assistant and Assistant Dean for Administration and Finance

Name: Munroe, Michelle L., DNP, CNM (COL, AN, USA)Position: Assistant Professor

Commandant and Assistant Dean for Student Affairs

2014 Arriving GSN Faculty:

Name: Dr. Ann Burgess, D.N.S., FAAN, Professor, Boston CollegePosition: Consultant Assigned to: GSNArrived: 02 March 2014

Name: LTC Danette Cruthirds, PhD, CRNAPosition: Assistant ProfessorAssigned to: RNAArrived: 03 March 2014

Name: Major Lonnie Hodges, USAF, NC, CRNAPosition: InstructorAssigned to: RNAArrived: 04 June 2014

Name: Lt Col Jennifer A. Korkosz, USAF, NC, DNP, WHNP-BCPosition: Assistant ProfessorAssigned to: FNP/WHNPArrived: 16 June 2014

59

Name: CDR Justice Parrott, NC, USN, DNAP, MSN, CRNAPosition: Assistant Professor & Director, CRNAAssigned to: RNAArrived: 30 September 2014

Name: Dr. Laura Taylor, PhD, RNPosition: Associate Professor, DNP ProgramAssigned to: FNPArrived: 06 October 2014

2014 Departing GSN Faculty:

Name: Sandra C. Bibb, RN, DNScPosition: Associate Dean for Faculty Affairs; Associate Professor DNPAssigned to: GSNDeparted: July 30, 2014

Name: Lt Col Shawna Greiner, USAF, NC, MSN, CRNAPosition: Assistant ProfessorAssigned to: RNADeparted: June 2014

Name: CAPT Robert Hawkins, USN, PhD, DNP, MS, MBA, CRNAPosition: Assistant Professor; Director, CRNA Assigned to: CRNADeparted: August 2014

Name: Ada Sue Hinshaw, PhD, RN, FAAN Position: Dean & Professor, GSNAssigned to: GSNDeparted: September 2014

Name: Susan Perry, Colonel, USAF, NC, PhD, CRNA Position: Assistant Professor Assigned to: RNADeparted: October 17 2014

60

2014 Arriving GSN Staff:

Name: Kevin L. Hayes, USA Position: Company Commander Assigned to: GSN Commandant TeamArrived: April 29 2014

2014 Departing GSN Staff:

Name: Ms. Christine Carter, MBA, BA Position: PMH, Program Specialist Assigned to: PMHArrived: September 24 2012Departed: August 2014

Name: Barbara MarchettiPosition: CTR-Infused Solutions-Asst Program AdministratorAssigned to: GSNDeparted: August 2014

Name: Farzana Mollah, MPHPosition: Faculty Affairs, Research SupportAssigned to: Dr. Sandra BibbArrived: September 12 2012Departed: August 2014

Name: Efther V. Samuel, CPT, USA Position: Company CommanderAssigned to: GSN Commandant TeamDeparted: April 29, 2014

61