xt7kd50fxv1m https://exploreuk.uky.edu/dips/xt7kd50fxv1m/data/mets.xml University of Kentucky College of Nursing Kentucky -- Lexington University of Kentucky College of Nursing 2003 2004 newsletters English University of Kentucky College of Nursing Contact the Special Collections Research Center for information regarding rights and use of this collection. University of Kentucky College of Nursing publications Nursing CONnections, Winter 2003-2004 text CONnections, Winter 2003-2004 2003 2003 2004 2019 true xt7kd50fxv1m section xt7kd50fxv1m * Editor M. Claire Baker Contributors Patricia Burkhart, Ph.D., R.N. Diane Chlebowy, Ph.D., R.N. Terry Green Jeffery Johnson, M.S.N. Lynne Hall, Dr.P.H., R.N. Nancy Mangrum Julie Sebastian, Ph.D., A.R.N.P., F.A.A.N. Eula M. Spears, M.S.N. Peg Teachey Carolyn Williams, R.N., Ph.D., F.A.A.N. Design M. Claire Baker Photography M. Claire Baker Jeffery Johnson, M.S.N. Nancy Mangrum UK Medical Arts and Photography Carolyn Williams, R.N., Ph.D., F.A.A.N. is published annually by the University of Kentucky College of Nursing. Carolyn A. Williams, R.N., Ph.D., F.A.A.N. Dean University of Kentucky College of Nursing 315 College of Nursing Bldg. Lexington, KY 40536-0232 Visit us on the Web at www.mc.uky.edu/nursing From the dean What a year this has been! It has been full of numerous challenges and many, many successes for the College. The most recent indication of the success of our educational programs is that in February three of the six finalists for the student poster awards at the 2004 meeting of the Southern Nursing Research Society were UK College of Nursing students! Yes, out of a field of 120 posters we had three of the finalists! This is an outstanding tribute to our students and to our faculty. The majority of the entrants are doctoral students, but one of the finalists was Megan Popielarczyk, a junior in our undergraduate program. She was selected for her poster which described the work she has been doing with Dr. Debbie Reed and her team, Children’s and Parental Response to an Educational Farm Safety Intervention.” Brooke Bentley, a Ph.D. student in the college, received second prize for her work on “Factors Related to Nonadherence to a Low Sodium Diet in Heart Failure Patients.” Another Ph.D. student, Major Marla J. De Jong, received honorable mention for her poster on “Anxiety Is not Manifested by Elevated Heart Rate and Blood Pressure in Acutely Ill Cardiac Patients.” Both Brook and Marla are working with Dr. Debra Moser and her team. It was a thrilling moment when these investigators were honored by the Society and received their certificates. We are working hard to enrich the educational experience of all students in the College. Within the last year we have acquired considerable new space on the fourth floor to expand the clinical laboratory space, more than doubling the original space, and have been renovating the area for use in both our baccalaureate and master’s programs. This past fall we moved into part of this space and in January we moved back into the original area which has been renovated. We have also acquired considerable new space on the fifth floor, which represents a significant expansion of our research space. We are currently busy renovating this area for use by faculty, staff, and students in all programs engaging in research. The College has also acquired new space on the second floor, previously the AHEC area. It has been refurbished and reconfigured and now houses Dr. Julie Sebastian, assistant dean for advanced practice nursing, the office for our Master of Science in Nursing and Doctor of Nursing Practice programs, offices for our clinical practices, and some of the faculty that work with these programs. We are excited about the launch of our Second Degree B.S.N. Program for individuals who already hold a baccalaureate in another field and wish to enter nursing. We will begin the program in the fall, enabled by some financial support from University of Kentucky Hospital and Saint Joseph Hospital of Lexington. We are grateful for the support of these two institutions and for the leadership their nursing executives are providing, Karen Stefaniak at UK Hospital and Christine Mays at Saint Joseph. There are many opportunities for students in our undergraduate program to be engaged with faculty in various forms of scholarship through the undergraduate Honors Program, the Nurse Scholars Program, and the undergraduate Clinical Interest Groups in cardiovascular and oncology nursing, and caring for the diabetic patient. Also we hope to expand our “study abroad” offerings. All of these initiatives and the continuing need to upgrade and add the latest equipment and supplies to the clinical labs involve finding funds to keep the good things going. We all know that the state budget for education is not close to keeping pace with the needs of the universities. The UK budget is especially stretched and each of the colleges, including the College of Nursing, is experiencing a budget cut. We are concerned about continuing to maintain the high quality of our programs and invite you to team with us through a monetary investment in the College. This is an investment in the future of nursing in central Kentucky and beyond. There are a number of ways to do this: through the annual phonathon which is coming up; simply putting a check in the mail; or by calling our development officer, Terry Green, at (859) 323-6635 so she can share with you the many options for making a contribution and making a difference in the College. In closing I am pleased to let you know that the Health Sciences Learning Center, the building that we have been occupying since the late 70s, has been renamed the College of Nursing Building! I also want to thank each of you who have stepped forward and provided support for the College. We appreciate your interest, your trust, and your investment in the College’s mission. Carolyn A. Williams, R.N., Ph.D., F.A.A.N. Dean * Contents 2 From the dean The College 4 6 6 7 An evolution: from lab to Clinical Simulation Facility Recently published books and chapters New faculty Dean, assistant dean visit nursing programs in Uzbekistan College development 9 10 12 13 13 Good news times two: Marion McKenna and Dorothy endowments Making a difference – thank you for your support Please say “yes” to student callers Student scholarship recipients Pamela Kidd scholarship update 4 An evolution Undergraduate program 14 14 15 16 Know someone who wishes they’d gone into nursing? Undergraduate interest groups spark desire to learn about state’s common illnesses Ah...a day at the spa All in the family: These students have nursing coursing through their veins Graduate programs 18 Psychiatric Nurse Practitioner Track added to M.S.N. Program 18 D.N.P. Program students have international practice experiences 18 Ph.D. students receive national honors and awards Research and published scholarship 19 20 21 21 Planting research seeds early Research briefs Research team receives $1.6 million from NIH to help persons with heart failure Published scholarship 16 All in the family Alumni 22 24 24 25 1200 patients, mosquitoes, and malaria...but what an incredible experience 2003 alumni awards presented an annual luncheon Alumni recognize graduating students Nurses continue to receive high ratings: a message from your alumni association president 25 College of Nursing Alumni Association Board of Directors, 2003-2004 Clinical practice activities 26 Clinical practice is model for integrating practice, education, and research 26 Good Samaritan Nursing Center celebrates 10 years of service 27 A “sense-sational” event for kids 22 Incredible experience * The College An evolution from lab to Clinical Simulation Facility Since you last read about the old College of Nursing “lab,” there have been 10 months worth of pulling out, tearing down, jack hammering, refacing, wiring, painting, negotiating, tweaking of plans, squeezing of inpatient beds through narrow hallways, looming deadlines, and a legal pad or two full of the myriad details that come with a major renovation. After the February 2003 completion of the nearby Health Sciences Building, the College was able to reclaim substantial real estate adjacent to the existing lab space. The old space totaled 2650 square feet. Students and instructors now work in a much more comfortable 6,650 square feet. In Phase I’s Clinical Simulated Health Assessment Center, four individual exam rooms look as if they’ve been plucked straight from a primary care facility. Each will be equipped with two video cameras for validation of student clinical performance skills. With video, the faculty instructor can observe the student in real time or choose to tape the session for later viewing. Students will be more relaxed with this arrangement as well. The lion’s share of this space holds a flexible and adaptable classroom area that comfortably accommodates 40 students. Tables and chairs are all on wheels so they can easily be rearranged to fit any configuration needed for a day’s activities. Electrical and computer connections in the floor accommodate portable computer terminals provided by the College or for the students’ own laptops. A media center serves as a base for the instructor, containing a complete PC setup connected to the University’s Intranet with the instructor’s preloaded PowerPoint lecture files and M-Net access. The next room holds the Clinical Simulated Family Care Center with a bed each for obstetrics, newborn nursery, newborn intensive care, neonate intensive care and pediatrics, along with a scaled-down version of nurses’ station. Adjacent to this space is classroom space that will hold up to 18 students including the same flexible classroom features and instructor media center. (Previous to the renovation the College had a few pediatric models but no space dedicated to working with obstetric and pediatric patients.) The space that contained the old lab has been remodeled to become the Adult Critical Care and Basic Nursing Care Adult Clinical Care Simulation Centers. Privacy curtains separate 4 CONnections inpatient “rooms.” Each will contain an inpatient-style bed, headwall, and over-bed table – convenient for spreading out books and notes. All the headwalls will have electricity but due to budget constraints, only one will be fully functional with oxygen, suction, and monitor. Accordion-style wall dividers previously separated the two original lab rooms. Those dividers have been resurfaced and will remain in place so the space remains flexible to accommodate large groups if necessary. Mary Jayne Miller, B.S.N., clinical simulation lab instructor, has served as project manager for the renovation. Miller and the entire “Dream Team” that designed the new space are very pleased with progress thus far but know there is much work remaining. Assistant Professor Melanie Hardin-Pierce, M.S.N., one of the Dream Team members, says, “The new facility adds much to our curriculum by providing a place where students can practice and apply their clinical problemsolving skills in a safe, supportive environment. Simulation takes learning beyond mere passive engagement, to a place where they are in the moment and are ‘learning by doing.’” Phase III, which the College does not yet have the funds to renovate, physically divides Phases’ I and II spaces. This area will provide a regular “home” for the College’s computerdriven human patient simulator, SimMan. The plan for this area includes a fully functioning headwall and video cameras for validation of student skills with an adjacent anteroom with a monitor for real- time viewing. Another area of Phase III will contain a Community Care Center (a home-like setting) and an area dedicated to research, where researchers can bring subjects for lab work or interviews. Teaching assistants will have space to work as well and will be accessible for student questions and guided intensive practice or tutoring if needed. Though the new facilities are already a huge improvement over the old, the first two phases don’t have all the amenities the faculty had hoped to provide students. The budget for equipment was divided equably among programs so that each faculty group could make decisions about how to best allocate its share. Miller, along with Karen Minton, the College’s business officer, did much negotiating with vendors and tweaking of Winter 2003-2004 * the plans to obtain the absolute essentials. For example, some laminate cabinets were refaced rather than purchasing new ones. UK Hospital donated a used pediatric bed and privacy curtains. A large portion of the new equipment was purchased from one company, but the same vendor also donated or greatly discounted prices on the beds for obstetrics, neonatal, acute care and critical care. The company representative is also assisting the College in finding a refurbished NICU bed. Another company donated four automated external defibrillators (AEDs) used in conjunction with CPR for sudden cardiac arrest victims. Claudia Diebold, M.S.N., lecturer, says, “These new and improved clinical simulation areas have greatly enhanced our education program at UK and it is only the beginning. We are all very excited about the numerous endeavors that are now possible as we strive to create innovative learning opportunities for our students.” Approximately $150,000 is needed to complete Phases I and II and another $650,000 is needed to build and furnish Phase III. In these times of decreasing state financial support, we’ve grown to depend more and more on donations from friends of the College. Please consider joining our other donors in helping to fund the education of future nurses. Mail your check (made payable to University of Kentucky College of Nursing; note on the check that it is for the Clinical Lab), to: University of Kentucky, College of Nursing, Attn: Development Office, 315 College of Nursing Bldg., Lexington, KY 40536-0232. after before www.mc.uky.edu/nursing University of Kentucky College of Nursing 5 * Recently published books and chapters Books Fundamentals of Nursing Research, 3rd edition Dorothy Young Brockopp, R.N., Ph.D., professor and assistant dean for the undergraduate program, and Marie T. Hastings-Tolsma. Copyright 2003, Jones and Bartlett Publishers. Home Health Care for Children Who Are Technology Dependent Juanita W. Fleming, R.N., Ph.D., F.A.A.N., professor emeritus. Copyright 2003, Springer Publishing Company. Microbiology, 6th edition. English, French, Spanish editions. Lansing Prescott, John P. Harley, Ph.D., visiting assistant professor, and Donald Klein. Copyright 2004, McGraw-Hill Publishing Company. Zoology, 6th edition. Steven Miller and John P. Harley. Copyright 2004. McGraw-Hill Publishing Company. Leptospirosis John P. Harley. Copyright 2004, McGraw-Hill Yearbook of Science and Technology. Caring for the Heart Failure Patient Simon Stewart, Debra K Moser, D.N.Sc., R.N., F.A.A.N., professor and Linda C. Gill Chair of Nursing, and David Thompson. Copyright 2004, Martin Dunitz Publishing. Community and Public Health Nursing, 6th edition Marcia Stanhope, R.N., D.S.N., F.A.A.N., associate dean and professor, and Jeanette Lancaster. Copyright 2004, Elsevier. Loan, T.D. (2004). Respiratory disorders. In M.A. Hogan & T. Madayag (eds.), Medical-Surgical Nursing. Upper Saddle River, NJ: Prentice Hall Health. Moser, D.K., Lennie, T. A., & Doering, L.V. (2004). Nonpharmacologic management of heart failure. In S. Stewart, D. K. Moser, & B. Riegel (eds.), Caring for the heart failure patient, Martin Dunitz: London, England. Moser, D. K., & Riegel, B. (2004). Management of heart failure in the outpatient setting. In D. Mann (ed.), Heart Failure: A Companion to Braunwald’s Heart Disease, Elsevier. Prevost, S. S. (2004, in press). Relieving pain and providing comfort. In Hudak, Gallo, Morton and Fontaine (eds.), Critical Care Nursing: A Holistic Approach (8th ed.), Lippincott. Sebastian, J.G. (2004). Vulnerability and Vulnerable Populations: An Overview; and The Advanced Practice Nurse in the Community. In Stanhope, M. & Lancaster, J., Community and Public Health Nursing (6th ed.), St. Louis: Mosby. Wagner, K.D., Hardin-Pierce, M. (2004). Acute Pancreatic Dysfunction; and Acute Hepatic Dysfunction. In P.S. Kidd, K.D. Wagner, High Acuity Nursing, (4th ed.). Upper Saddle River, NJ; Prentice Hall Health. In press. Williams, C.A. (2004). Community-Oriented PopulationFocused Practice: The Foundation of Specialization in Public Health Nursing. In Stanhope, M. & Lancaster, J., Community and Public Health Nursing (6th ed.), St. Louis: Mosby. Fundamentals of Nursing Research, with Dorothy Brockopp as first author, was awarded a Book of the Year Award in the nursing research category by the American Journal of Nursing, the official journal of the American Nurses Association. New faculty Kristin Ashford, M.S.N., R.N., lecturer Teaches in the undergraduate program Area of interest: women’s health and highrisk obstetrics Chapters Anderson, D. G., & Allen, Kacy (2004, in press). Families and public health nursing. In Hanson, S. M., Family health care nursing: Theory, practice and research. 3rd ed., Philadelphia: FA Davis. Anderson, D. G., Ward, H. J., Hatton, D. C. (2004). Family health risks. In Stanhope, M. & Lancaster, J., Community and Public Health Nursing (6th ed.), St. Louis: Mosby. Kristin Ashford Hardin-Pierce, M. (2004). Gastrointestinal Dysfunction; and Nursing Care of Gastrointestinal Dysfunction. In P.S. Kidd & K.D. Wagner, High Acuity Nursing, (4th ed.). Appleton & Lange, Stamford, Connecticut. In press. Kaiser, L. M., Hatton, D. C., & Anderson, D. G. (2004). Women’s health. In Stanhope, M. & Lancaster, J., Community and Public Health Nursing (6th ed.), St. Louis: Mosby. 6 CONnections Terry Lennie, Ph.D., R.N., associate professor Teaches in the graduate program Area of interest: illness-related changes in appetite and nutritional status Donna Robinson, M.S.N., R.N., lecturer Teaches in the undergraduate program Area of interest: antepartum-maternal/ newborn nursing Terry Lennie Winter 2003-2004 * Dean, assistant dean visit nursing programs in Uzbekistan Dean Carolyn Williams and Assistant Dean for Advanced Practice Nursing Julie Sebastian consulted with two nursing programs in the central Asian country of Uzbekistan in September 2003. They were asked to provide an initial assessment and consultation for these programs by the University of Kentucky School of Public Health. Principle investigator Tom Samuels, School of Public Health, and his team hold a grant with the American International Health Alliances to work with two of the medical universities in Uzbekistan around public health management issues. Williams’ and Sebastian’s visit followed a visit to the UK College of Nursing by four Uzbek physicians in early September 2003. Physicians serve as the primary faculty members in Uzbek nursing programs right now because so few nurses are prepared to do so. These physicians expressed their commitment to facilitating nursing education and their desire to have well prepared nurses take over the roles as faculty members in these programs. The four physician visitors sat in on undergraduate and graduate nursing classes while at UK, and visited several clinical agencies and clinical sites with faculty and students. Numerous College faculty members, students, and clinical colleagues participated in the visits and helped the physicians get a picture of nursing practice, education, and research in the United States. Uzbekistan is one of the former Soviet republics and is in the process of establishing baccalaureate-level nursing education in the country’s institutes, which are comparable to universities. Some of the issues related to nursing in countries in the former Soviet bloc are described in a recently published paper in Sigma Theta Tau International’s Reflections on Nursing Leadership by Sharon Weinstein and Ann Marie Brooks (2003). Prior to 1999, all nursing education was provided at a level similar to high schools in the U.S. In 1999, the Uzbekistani government decided to move nursing education into the institutes for higher education. Williams and Sebastian consulted with deans and faculty members at ToshMI-I and ToshMI-II, the two medical institutes in Tashkent, Uzbekistan. As part of their visit, they learned that all ten baccalaureate nursing programs in Uzbekistan use the same curriculum. Because of this any changes that ToshMI-I and ToshMI-II might adopt would also be adopted at the other schools. One cohort of B.S.N. students has graduated so far from ToshMI-I and ToshMI-II. These graduates are working www.mc.uky.edu/nursing primarily in hospitals supervising nurses prepared at the high school level. The nurses and physicians in both schools expressed great interest in higher education for nurses and a real desire to learn more about nursing in western countries. The situation in Uzbekistan is unique in that the country is still developing its own infrastructure and shifting its social, political, and economic processes to a market model. Williams and Sebastian were impressed by the extent to which people in this country wish to improve the quality of life in Uzbekistan but the degree to which they lack many basic resources to do so. For example, the deans of the two schools requested assistance with obtaining up-to-date nursing texts. However, few Uzbekistani students read or speak English, so textbooks, journal papers, and other learning materials must be translated into Russian or Uzbek. The country itself is beautiful and has a rich cultural history. People told Williams and Sebastian that multiculturalism is valued and that the country includes people of more than 120 nationalities and ethnic backgrounds. The most prevalent religion is Muslim, with Christianity and Judaism also represented. The country is agrarian and relies heavily on the production of cotton. Although the climate was described as a sharp continental climate with dramatic shifts between hot and cold, farmers are able to grow a wide range of fruits and vegetables. It was harvest time during Williams’ and Sebastian’s visit and the fruits and vegetables were beautiful and abundant. Families seem to be large and quite close. Many family members live in the same house, which often includes more than one small building surrounding a central courtyard. The population is much younger on average than the population in the U.S The question now is how the nursing community in the Western world can help colleagues in these countries. Uzbek society, like the other former Soviet bloc countries, is undergoing major social and economic change. The nursing profession likewise is attempting major change in structure, function, and interdisciplinary relationships with physicians in particular. Reference: Weinstein, S.M. & Brooks, A.M.T. (2003). Nursing in the NIS/CEE region: It’s changing face. Reflections on Nursing Leadership, 29(4): 16-19, 44. University of Kentucky College of Nursing 7 * Cardiovascular Nursing and Doctor of Nursing Practice Program Faculty Positions Join us in the heart of the beautiful Kentucky Bluegrass – rated by Forbes magazine as one of the nation’s Top 20 places for business and careers. The University of Kentucky College of Nursing offers a full range of programs: B.S.N., M.S.N., Ph.D. and D.N.P. It is part of a dynamic academic health center that also includes the Colleges of Dentistry, Health Sciences, Medicine, and Pharmacy, as well as the School of Public Health. Cardiovascular nursing faculty position We are seeking a cardiovascular researcher and educator, with experience in advanced adult or critical care nursing, to join a team of scientists committed to research, scholarship, and mentorship of graduate students. Doctor of Nursing Practice program faculty position We are seeking an educator with experience in clinical nursing leadership at the executive or top clinical level, who has a commitment to scholarship, innovation, research, and evidence-based practice. This position involves major responsibilities teaching in the D.N.P. program, our newest doctoral program focusing on clinical leadership and executive management. Qualifications: • Earned doctorate in nursing or a related field • Master’s degree in nursing • Demonstrated commitment to scholarship Rank and salary are commensurate with experience. Salary is competitive. Excellent benefits. For cardiovascular position, please send curriculum vitae to: For D.N.P. Program position, please send curriculum vitae to: Carolyn A. Williams, R.N., Ph.D., F.A.A.N. Dean and Professor University of Kentucky College of Nursing 315 College of Nursing Bldg. Lexington, KY 40536-0232 E-mail: cawill00@uky.edu Juliann G. Sebastian, A.R.N.P., Ph.D., F.A.A.N. Assistant Dean for Advanced Practice Nursing University of Kentucky College of Nursing 202 College of Nursing Bldg. Lexington, KY 40536-0232 Phone: (859) 323-3304 FAX: (859) 323-1357 E-mail: jgseba00@uky.edu www.mc.uky.edu/nursing An Equal Opportunity University * College development Good news times two: McKenna and Luther endowments funded Two of the College’s great educators of the past – Marion McKenna, second dean of the College, and Dorothy Luther, associate professor – both made a difference during their lifetimes and continue to make a difference long after their passing. The College of Nursing is proud and pleased to announce that the UK Board of Trustees approved matching funds for the Marion McKenna Endowed Professorship in Nursing Leadership and the Dorothy Luther Nursing Fellowship. The matching money, which will come from the Research Challenge Trust Fund, brings both of these endowments to well over $100,000 each. Dean Carolyn Williams said, “This is enormously important for our program and we are so very grateful to all those who have made this possible.” Because these funds were endowed, the principle will be invested and remain as long as the University exists, and the income generated will continue to benefit the College year after year. The McKenna professorship will help position the College to be highly competitive in recruiting and retaining a faculty member of distinction. The Luther fellowship will help attract the best and brightest to our adult nursing program. The establishment of the McKenna professorship was announced at the College’s 40th anniversary celebration with former Dean McKenna in attendance. She was most pleased and honored. What is unusual about this particular professorship is that there were an unprecedented 281 donors who made this possible. Many of these donors gave multiple gifts and a few have pledged over time. Every donation was important as we strived for the $50,000 minimum required for the match from the Research Challenge Trust Fund. Dean McKenna’s sister, Joan Jarvis, was a major donor to this fund. She said, “My sister’s entire career was guided by two ideals: education and service. Her dedication to service was exemplified both by her career as an educator and her military service. Her profession in academia was a manifestation of her belief in the value of education as well as commitment to service. “It is nearly impossible to express the thanks our family feels to those who contributed to realize her dream. I am sure Marion would be both pleased and honored, as her family is, to have her vision and name live on through the guardianship of the University of Kentucky.” www.mc.uky.edu/nursing Pictured are Marion McKenna, second dean of the College, Terry Green, College development officer, and Dorothy Luther, former associate professor, at the 1989 opening of the UK Markey Cancer Center. The Luther fellowship came about after her death in 1999 when the College learned she had bequeathed a portion of her estate to the College. The decision to honor Luther’s memory with a fellowship in her name was made without hesitation. Luther, or “Dottie” as most of us knew her, taught at the College for 16 years in the adult nursing program. Many of her student and faculty colleagues’ lives were enriched because of their association with her. On a daily basis she demonstrated her commitment to providing students the best learning opportunities possible. She was a gentle and thoughtful person but always tenacious in her support of her profession and the College’s graduate program. Her bequeathal was just a few thousand dollars short of the minimum required for a Research Challenge Trust Fund match so an appeal was sent to her former colleagues. Almost immediately eight of her friends generously responded with well over the amount needed. The Luther fellowship will be awarded next year and every year after that. As we honor the memory of these two fine women, we hope others will see this and begin to think about how they want to be remembered. Please consider a gift that will keep on giving for generations to come. The pressures of shrinking revenue, expanding technologies, demands from the marketplace, and growing competition to maintain and increase our national ranking make private donations imperative. We need your support and hope that you will remember the UK College of Nursing as one of those institutions that positively affected your life. To inquire about establishing an endowment at the University in your name or in the name of a loved one or if you are considering including the College in your estate plan, please call the College of Nursing Development Office at (859) 323- 6635. University of Kentucky College of Nursing 9 * Making a difference The following people kindly and generously gave to the College of Nursing during 2003. We thank each and every one for helping to make a difference. Together we can do great things! Abbott Laboratories Ms. Anna F. Abrams Mrs. Lisa K. Adams Dr. Marsha H. Adams Mrs. Patricia A. Adams Ms. Trina L. Adkins Mrs. Debra G. Alberstadt Ms. Debrah G. Albert Ms. Paula S. Alexander Mrs. Elizabeth S. Allen Mrs. Lilli M. Allen Mrs. Cassandra J. Almy Ms. Lisa B. Amburgey Dr. Debra G. Anderson Mrs. Elizabeth A. Anderson Mrs. Cynthia G. Arbra Ashland Inc. Foundation Ms. Ruth A. Assell Mrs. Linnea P. Axman Ms. Nancy D. Bair Dr. Sharon J. Barton Mrs. Elizabeth A. Bary Mrs. Carla K. Baumann Mrs. Anne M. Baumgartner Ms. Linda C. Beers Mrs. Anne D. Bell Ms. Wilda J. Benham Ms. Laurianne K. Berles Mrs. Karen S. Bernardy Mrs. Christina V. Bethel Mrs. Cheryl Y. Biddle Ms. Kelly B. Binkley Dr. Linda K. Birk Mrs. Agnes L. Black Mrs. Anna S. Black Mrs. Rosemarie Blau Bluegrass Regional Foot and Ankle Associates Mrs. Louise H. Booth Mrs. Nancy K. Booth Ms. Ann Padgett Boss Mrs. Jenny M. Bottoms Mrs. Leona A. Box Mrs. Eulene Y. Boyle Ms. Jennifer L. Bramel Mrs. Billie H. Breeze Ms. Evelyn Briddell Ms. Janet D. Brotherson Miss Bette G. Brotherton Mrs. Catherine A. Brunker Mrs. Elizabeth Bryan Mrs. Marilyn M. Bryant Frances Shea Buckley, NC, USN, Ret. Ms. Nancy D. Butler Mrs. Kimberly F. Byrne Col. Nancy L. Caldwell Ms. Donna G. Campbell Ms. Susan A. Cannon Ms. Kristy K. Carey Ms. Elizabeth A. Carow Ms. Carol A. Carpenter Mrs. Carol A. Carroll Mrs. Robbie C. Carson Kit B. Carter Ms. Robin Carter Ms. Lyn L. Caruso Ms. Karma B. Cassidy Mrs. Lucille L. Caudill Centricity Mrs. LeeAnn D. Chambliss Mrs. Sharon B. Chandler Mrs. Hazel W. Chappell Charitable Gift Fund Mrs. Lari G. Chillag Dr. Norma J. Christman Ms. Debra H. Clark Mrs. Peggy J. Clark Mr. and Mrs. Bruce W. Cobb Dr. Henry P. Cole Mrs. Rebecca J. Cole Mrs. Lois R. Colliver Ms. Phyllis A. Combs Mrs. Ruth Anne Mattews Combs CON December 2003 Ms. Vicki L. Conaway Mrs. Sharon M. Cooksey Mrs. Leslie M. Cooper Ms. Judith L. Cornett Mrs. Jennifer B. Cowley Ms. Cynthia R. Crabtree Ms. Lois Jane Craigmyle Mrs. Rebecca L. Crosley Ms. Theresa A. Crow Ms. M. Margaret Cull Ms. Ellen M. Currey Dr. Marcia A. Dake Ms. Victoria J. Dambrocia Mrs. Carol T. Davis Ms. Katherine E. Davis Ms. Patricia A. Davis Mrs. Patricia D. Day Mrs. Jill A. Debolt Ms. Sandra S. Delaney Dr. Mary C. DeLetter Mrs. Ellen B. Demos Mrs. Charlotte C. Denny Mr. Richard L. Dickens Ms. Carol A. Dickey Mrs. Sue P. DiGiusto Mr. Larry W. Disney Mrs. Debbie J.Grubbs Dobson Mrs. Jane L. Doehnert Ms. Jenny D. Dorris Mr. and Mrs. Stell Dorsey Mrs. Suzanne P. Dozier Mrs. Melissa Hopkins Dunbar Ms. Edythe A. Egbert Elsevier Mrs. Terri Smith Elswick Mrs. Julie C. Emig Mrs. Constance Smith Enlow Mrs. Donna H. Ensor Ms. Lynda Mary Erick Mrs. Evelyn P. Evans Mrs. Kathleen M. Evans Keith Everitt Mrs. Patricia Jeffery Fallert Dr. Pamela B. Farley Mrs. Rita Farrell Mrs. Deborah A. Feldmann