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In

for the

Commonwealth

Feature story:

It’s Sink or Swim

One of the first nationally accredited nurse residency
programs provides first-year nurses the support and
confidence they need to succeed.

* Nursin

In Step
for the Commonwealth

Without a moment’s hesitation I can say
that it has been an honor to serve as the
fourth dean of the University of Kentucky
College of Nursing. My husband, Bob
Flick, and I decided to relocate to Baltimore,
where I am now serving as dean of the
School of Nursing and university director of
Interprofessional Education at the University
of Maryland.
I am extremely proud of the outstanding
alumni from the BSN, MSN, DNP and PhD
programs, who truly make a difference
every day in the lives they touch in the
Commonwealth, nation and world;
current students, who are expanding
their knowledge and skills to shape health
care; the exceptional contributions of the
UK nursing faculty across the university’s
missions of teaching, research and service;
the unwavering dedication of the staff, who
consistently “go the extra mile”; and UK
HealthCare’s nurses and other health care
providers, who work tirelessly to provide high
quality care. It truly has been an honor …
thank you for the opportunity!

Jane Kirschling
DNS, RN, FAAN

An interesting African proverb was
shared recently: “If you want to go fast,
go alone. If you want to go far,
go together.”
The growth and partnership between
the UK College of Nursing and UK
HealthCare (UKHC) continue to mature.
We share many common goals and a vision
for excellence in nursing in every practice
venue. From baccalaureate-prepared nurses
to nurses prepared at the doctoral level,
superior practice is the expected outcome.
The nurse leaders of tomorrow will require
a skill set we could not have imagined 20
years ago. Our partnership is providing the
commitment, education, practice venue and
role modeling to produce outstanding care
providers and coordinators to lead in our
complex health care system.
The college and UKHC continue to partner
on implementing the recommendations
contained in the 2012 Institute of Medicine
Future of Nursing report. We are beginning
to see some positive shift in our proportion
of baccalaureate-prepared nurses, along
with associate degree-prepared nurses
making the commitment to complete their
baccalaureate degrees.
In addition, some foundational work has
been done around our model for evidencebased practice, which is yet another

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

construct for the college and UKHC
to share and strengthen one another’s
productivity.
Our unique partnership is one that is
garnering attention across the nation,
related to our BSN Residency Program,
the SNAP (Summer Nurse Academic
Practicum) Program, and the innovation
around elective courses in perioperative
and emergency/trauma practice areas. We
are also working to leverage the acute care
nurse practitioner specialty by providing a
rigorous clerkship in our clinical laboratory.
The excitement around our growth at
UKHC and our clear improvement in
the areas of quality, safety and service
is contagious. Our faculty and students
in the college have provided fuel for the
excitement and ideas for innovation,
continuous application and the creation of
best practice. Our staff and nurse leaders at
UKHC have provided a translational outlet
for many of the best practices created.
Our intent is to continue to go far …
together. This fourth edition of In Step
again highlights some of our best work
and innovation at the University of
Kentucky. We hope you enjoy reading
about the work as much as we are enjoying
the journey … together.

* Table of
Contents

Following the Yellow Brick Road
UK Good Samaritan Hospital earns ANCC Pathway to Excellence © designation

8

A Parent’s Worst Nightmare Is
Witnessing a Desperately Ill Child

10

SPOTLIGHT STORY

12

Anne Hickey’s story

Working the Night Shift
Clinical nurse experts support nurses at the bedside to deliver advanced training
SPOTLIGHT STORY

Four Brand-New BSN Nurses

16

And the remarkable people, places and programs that helped shape them

Nurses Helping Nurses
They’re coaches. They’re mentors. They’re preceptors.
PROFILE STORY

Extraordinary Nursing Is Required to
Provide High-Quality, Cost-Efficient Care

26
28

Dr. Michael Karpf

How a Quilt Helps a Rural Community Breathe Easier
Folk art gets a message across

30

UK HealthCare Nurses’ Scholarly Activities

2

College of Nursing Upcoming Events

5

UK HealthCare Promotions and Transitions

6

Interim Dean of the College of Nursing

6

College of Nursing Promotions and Transitions

7

FEATURE STORY

It’s Sink or Swim

Nurse Residency Program

1 / In Step for the Commonwealth
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Spring 2012

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

Posters
Penne Allison, MSOM, BSN, RN, NE-BC
“The Patient Experience: Improving Outcomes and
HCHAPS Scores”
American Organization of Nurse Executives Annual
Meeting, 2012
Roseann Bertone, BSN, RN
Dreama Brannock, BSN, RN
Megan Carter, BSN, RN
Katherine Willard, BSN, RN
“A Smooth Transition – Improving PICU to Acute
Care Transfers”
UHC/AACN Nurse Residency Program™
National Conference, 2012
Jeanne Bouvier, MSN, RN, ACNS-BC
“Transdermal Patches: A Tracking Challenge”
UHC/AACN Nurse Residency Program™
National Conference, 2011
Korinne Callihan, BSN, RN
“The H.E.A.R.T. of the Matter: Communication
Tool for Multidisciplinary Communication”
Children’s Hospital of Pennsylvania Cardiology
Conference, 2012
Leslie Cumming-Kinney, MSN, RN, RNC-AWHC
“Clinical Nurse Expert”
American Organization of Nurse Executives
Annual Meeting, 2011
Jennifer Donselman, BSN, RN
Brittany Vandecar, BSN, RN
Linda Thomas, BSN, RN
Kendra Murray, BSN, RN
Katherine Caddle, BSN, RN
Lauren Wiggishoff, BSN, RN
“Phone Etiquette in the Neonatal Intensive
Care Unit”
21st Annual Nursing Research Papers Day, 2011

2 / In Step for the Commonwealth

Emily Dunn, BSN, RN
Caitlin Midkiff, BSN, RN
Sarah Price, BSN, RN
Amy Scandrani, BSN, RN
Sarah Strong, BSN, RN
“Integrating the Use of Standardized Assessment
Scales Into Hospice Care”
21st Annual Nursing Research Papers Day, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Penne Allison, MOSM, BSN, RN, NE-BC
“Moving an Emergency Department:
Lessons Learned”
21st Annual Nursing Research Papers Day, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Penne Allison, MSOM, BSN, RN, NE-BC
“The Impact of Emergency Department Pain
Management on Patient Satisfaction”
Emergency Nurses Association Leadership
Conference, 2011
Kathleen Kopser, MSN, RN, NE-BC
“The Implementation of a Clinical
Leadership Model”
American Organization of Nurse Executives
Annual Meeting, 2011
Kathleen Kopser, MSN, RN, NE-BC
Colleen Swartz, DNP, RN, MBA, NEA-BC
Lisa Fryman, MSN, RN
Rita Bush, MSN, RN, NE-BC
Phillip Chang, MD
“A Transformational Leadership Model for
Managing the New Face of Patient Care”
American Organization of Nurse Executives
Annual Meeting, 2011
Valerie Krementz, BSN, RN
Carolyn Hall, ADN, RN
Janice Bugg, ADN, RN
Carrie Silvey, ADN, RN
Gayle Plank, BSN, RN
“To Believe It You Have 2CIT”
Center for Care Innovation and Transformation
Conference, 2012

Janine Lindgreen, MSN, APRN, CCRN, RN
Carol Noriega, MSN, RN, CEN
“Rounding Checklist for Trauma and Acute Care
Surgery Patients”
21st Annual Nursing Research Papers Day, 2011
Janine Lindgreen, MSN, APRN, CCRN, RN
Carol Noriega, MSN, RN, CEN
“Evaluating Techniques to Improve Education
and Collaboration Within the BSN Residency
Program”
21st Annual Nursing Research Papers Day, 2011
Carrie Makin, BSN, RN
Sarah Heck, MBA
Cheri Landers, MD
“Development of Quality and Safety Dashboard
for Pediatric Sedation”
21st Annual Nursing Research Papers Day, 2011
Shelly Marino, MSN, RN, NE-BC, C-NPT
“Lights and Sirens in Neonatal/Pediatric Critical
Care Transport in a Rural Setting”
Transport Medicine Conference, 2012
Gwen Moreland, GSN, RN, NE-BC
Rebecca L. Collins, MD
“A Quality Improvement Project Focused on
Promoting a Baby-Friendly Environment at an
Academic Medical Center”
21st Annual Nursing Research Papers Day, 2011
Maureen Piening, BSN, RN
Amanda Toler, BSN, RN
Diana Rodriguez, PhD, RN
“Evidence-Based Practice: Fall Risk Assessment
for Kentucky Children’s Hospital Patients”
21st Annual Nursing Research Papers Day, 2011
Jamie Raglin, BSN, RN
Macy Young, BSN, RN
“Oral Endotracheal Tube (OETT) Securement”
UHC/AACN Nurse Residency Program™
National Conference, 2012

* Alicia Raulinaitis, BSN, RN
Jamie Roberts, BSN, RN
Lorraine Stephens, MSN, RN
Tani Davis, BSN, RN
Michelle Branham, ADN, RN
Theresa Williams, ADN, RN
Lola Thomason, MSN, RN
Tina Salyer, MSN, RN
Roger Yankey, ADN, RN
Stacy Richey, BSN, RN
Norma Childers, ADN, RN
“Markey and Hospice Hand in Hand”
21st Annual Nursing Research Papers Day, 2011
Rachel Scott, BSN, RN
Megan Butler, BSN, RN
“Nurse-Led Central Telemetry Monitoring”
21st Annual Nursing Research Papers Day, 2011
Katie Shreve, BSN, RN
“The Development of a Multidisciplinary Champion
Team to Improve the Care of Infants with Neonatal
Abstinence Syndrome in the Kentucky Children’s
Hospital NICU”
21st Annual Nursing Research Papers Day, 2011
Colleen Swartz, DNP, RN, MBA, NEA-BC
Paul DePriest, MD
“Using Nurse/Physician Partnerships to Drive
Quality, Safety and Operational Improvements”
American Organization of Nurse Executives Annual
Meeting, 2011
Nora Warshawsky, PhD, RN
Donna Havens, PhD, RN, FAAN
“Nurse Manager Job Satisfaction and Retention:
An Exploratory Study”
21st Annual Nursing Research Papers Day, 2011

Presentations
Penne Allison, MSOM, BSN, RN, NE-BC
“UK Chandler Hospital ED Case Study”
Center for Health Design, 2011
Penne Allison, MSOM, BSN, RN, NE-BC
“Front-End Process Redesign: A Tale of Two
Emergency Departments”
University HealthCare Consortium Webinar, 2011
Penne Allison, MSOM, BSN, RN, NE-BC
Jamie Fraley, MSN, RN
“Impact of Front-End Redesign in a Community
Emergency Department”
21st Annual Nursing Research Papers Day, 2011
Penne Allison, MSOM, BSN, RN, NE-BC
“Design Meets Process: The Emergency
Department of the Future”
Harvard Medical School and School of
Graphic Design, 2012

Mary Rose Bauer, MSN, RN
Carrie Makin, BSN, RN
Heather Morton, BSN, RN
“Nurses Conducting Research in the Clinical
Setting”
21st Annual Nursing Research Papers Day, 2011

Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Keeping Patients Vertical: A Chair-Centric Model
for Low Acuity Patients”
Emergency Nurses Association Leadership
Conference, 2011

Jeanne Bouvier, MSN, RN, ACNS-BC
“Crucial Conversations”
Nursing Grand Rounds, February 2011

Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Paying It Forward”
Nursing Alliance Leadership Academy, 2011

Pam Branson, MSN, RN
Susan Frazier, PhD, RN
“The Effect of a Protocol on Delivery of GoalDirected Therapy and Mortality in Patients
With Sepsis”
21st Annual Nursing Research Papers Day, 2011
Krysta Clark, BSN, RN
Misty Ellis, MSN, APRN, RN
Jan Coyle, CCRN, RN
Deborah Dobbelhoff, ADN, CCRN, RN
Donna Dennis, ADN, RN
“Nurses Take Center Stage:
Nurse-Driven Bedside Rounds”
21st Annual Nursing Research Papers Day, 2011
Donna Dennis, ADN, RN
Cassie Degener, BSN, RN
“A Multidisciplinary Approach to Ambulatory
ECMO in Lung Transplant Recipients: A Nursing
Perspective”
International Transplant Nurses Society, 2012
Glenn Evans, MSN, RN, NR-BC, CCRN-CMC,
CEN, NE-BC, CNML
“Evidence-Based Standardized Management
of Alcohol Detox Patients: Outcomes of a Medicine
and Nursing Collaborative”
21st Annual Nursing Research Papers Day, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Define a Mentor-Facilitator Implementation
Plan for the Evidence-Based SBIRT Procedure”
Emergency Nurses Association Alcohol Screening,
Brief Intervention and Referral to Treatment Mentorship
Web Series, 2010-2012
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Can a City-Wide Diversion Policy Succeed?”
Society of Academic Emergency Medicine Atlantic
Regional Meeting, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Keeping Patients Vertical: Translating Evidence
Into Practice”
Western Baptist Hospital Research Papers Day, 2011

Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Module 1: Define a Mentor-Facilitator
Implementation Plan for the Evidence-Based
SBIRT Procedure”
Emergency Nurses Association Alcohol Screening,
Brief Intervention and Referral to Treatment Mentorship
Web Series, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Penne Allison, MSOM, BSN, RN, NE-BC
“Do We Need Triage?”
Emergency Nurses Association Leadership
Conference, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Penne Allison, MSOM, BSN, RN, NE-BC
“Do We Need Triage?”
ENCORE Webinar Series, 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“The Impact of the Future of Nursing Report on
Emergency Nursing”
Kentucky State Council Annual Conference, 2012
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Module 5: Evaluate SBIRT Progress and
Make Process Improvements”
Emergency Nurses Association Alcohol Screening,
Brief Intervention and Referral to Treatment Mentorship
Web Series, 2012
Lisa McGee, MSN, RN, CCNS
“Utilizing the Evidence to Improve Neonatal
Outcomes”
Twenty-First Annual Nursing Research
Papers Day, 2011
Laura Murphy, MSN, RN
“Nursing Care of the Cardiac Catheterization and
EP Patient”
Kentucky Children’s Hospital Cardiac Nursing
Education Days, 2012

Spring 2013

/

3

* Hender Rojas, MSN, APRN, RN, ANCP-BC
“Life After Liver Transplant: What You Need to
Know to Provide TLC—True Liver Care”
1st Annual Hematology and Liver Transplant
Review, 2011

Wendy Gravitt, PhD, RN
“God’s Ruthless Embrace: Religious
Constructs of Three Women With Borderline
Personality Disorder”
Issues in Mental Health Nursing, May 2011

Rob Sutter, BSN, RN
“A Silent Killer of a Silent Population”
21st Annual Nursing Research Papers Day, 2011

Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Prioritizing Patients With Acuity 3”
Journal of Emergency Nursing, May 2011

Colleen Swartz, DNP, RN, MBA, NEA-BC
“Implement and Evaluate an Early Warning
System: An Effective Counter Measure in the
Battle Against Clinical Deterioration”
21st Annual Nursing Research Papers Day, 2011
Nora Warshawsky, PhD, RN
“The Influence of Interpersonal Relationships
on Nurse Manager Work Engagement and
Proactive Work Behavior”
21st Annual Nursing Research Papers Day, 2011

Publications
Bryan Boling, BSN, RN, CCRN, CEN
Kathryn Moore, DNP, RN, CCRN, CEN,
ACNP-BC, GNP-BC
“Tranexamic Acid in Trauma”
Journal of Emergency Nursing, September 2012
Dee Deakins, MS, BSN, RN, CDE
Raymond Reynolds, MD, FACP, FACE, ECJU
“Obstacles to Optimal Management of
Inpatients, Hyperglycemia in Non-Critically
Ill Patients”
Hospital Practice, April 2012
Amanda Fallin, PhD, RN
Lindsay Parker, BSN, RN
Janine Lindgreen, MSN, APRN, CCRN, RN
Carol Riker, MSN, RN
Sarah Kercsmar, PhD
Ellen Hahn, PhD, RN, FAAN
“Secular Trends and Smoke-Free Policy
Development in Rural Kentucky”
Health Education Research, May 2011
Gordon Gillespie, PhD, RN, PHCNS-BC,
CEN, CPEN, SAEN
Donna Gates, EDD, MSPH, MSN, RN, FAAN
Margaret Miller, EDD, CNS, RN
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Emergency Department Workers’ Perceptions
of Security Officers’ Effectiveness During
Violent Events”
WORK: A Journal of Prevention, Assessment,
and Rehabilitation, Volume 42, Number 1, 2012

4 / In Step for the Commonwealth

Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Susan E. Shapiro, PhD, RN
“What Is Effective Migraine Treatment
in the Emergency Department?”
Advanced Emergency Nursing Journal,
July-September 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Susan E. Shapiro, PhD, RN
“Diagnosing and Treating Mild Traumatic Brain
Injury in Children”
Advanced Emergency Nursing Journal,
October-December 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
“Do We Need Triage?”
Journal of Emergency Nursing, November 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Susan E. Shapiro, PhD, RN
“Does Gender and Ethnicity Impact Initial
Assessment and Management of Chest Pain?”
Advanced Emergency Nursing Journal,
July/September 2011
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Susan E. Shapiro, PhD, RN
“When Should Magnetic Resonance Imaging
Be Considered With Neck Pain?
Advanced Emergency Nursing Journal,
April/June 2012
Patricia K. Howard, PhD, RN, CEN, CPEN,
NE-BC, FAEN, FAAN
Penne Allison, MSOM, BSN, RN, NE-BC
Matthew Proud, BSN, RN, CEN
Roger Humphries, MD
“Moving an Emergency Department:
Lessons Learned”
Journal of Emergency Nursing, November 2012

Eileen Lake, PhD, RN
Douglas Staiger, PhD
Jeffrey Horbar, MD
Robyn Cheung, PhD, RN
Michael Kenny, MS
Thelma Patrick, PhD, RN
Jeannette Rogowski, PhD
“Association Between Hospital Recognition for
Nursing Excellence and Outcomes of
Very Low-Birth-Weight Infants”
The Journal of the American Medical Association,
April 2012
Nora Warshawsky, PhD, RN
Donna Havens, PhD, RN
George Knafl, PhD
“The Influence of Interpersonal Relationships
on Nurse Manager Work Engagement and
Proactive Work Behavior”
The Journal of Nursing Administration,
September 2012
Nora Warshawsky, PhD, RN
Donna Havens, PhD, RN
“Global Use of the Practice Environment Scale
of the Nursing Work Index”
Nursing Research, January-February 2011

* 2013

LEARN MORE!

UK College of Nursing
Upcoming Events

Throughout 2013

Friday, May 3

College of Nursing Phonathon

May BSN Pinning Ceremony

You may be wondering why you received a phonathon call to
support the College of Nursing at a different time of year. The
UK Call Center has moved from calling for the colleges by date to
calling all alumni year-round. This change enables the call center to
phone more alumni and increase overall efficiency. So if you have
already received your call and given— thank you! If you have not,
you will hear from them soon. We hope you’ll give generously to
support future nurses! The college was able to award more than 100
scholarships this academic year thanks to the support of alumni and
friends like you. We appreciate you!

Singletary Center for the Arts

Throughout 2013

Singletary Center for the Arts

Continuing Education Opportunities

Interim Dean Patricia B. Howard, faculty and staff invite you
to attend the hooding ceremony and reception in honor of the
December 2012 and May 2013 MSN, DNP and PhD graduates.
Please feel free to join us for this special event. Visit our news
page at www.uknursing.uky.edu in April for the event time.

We offer many continuing education courses online, such as
Pediatric Abusive Head Trauma, HIV/AIDS, and Advanced
Pharmacology. Check out spring 2013 CE conferences and live
events on our website—University of Kentucky College of Nursing
Continuing Education: www.ukconce.org.

Interim Dean Patricia B. Howard, faculty and staff invite you to
attend the pinning ceremony and reception in honor of the May
2013 BSN graduates. Please feel free to join us for this special
event. Visit our news page at www.uknursing.uky.edu in April for
the event time.

Friday, May 3
Graduate Student Hooding Ceremony
and Reception

Friday, June 14

Friday, March 22

MSN Celebration!

Student Scholarship Showcase

The College of Nursing is proud to celebrate our MSN
graduates, their accomplishments and their contributions to the
field of nursing and beyond. Plans are underway for the weekend
of June 14 and will include a networking reception and reunion
along with tickets to UK’s 21st Annual “It’s a Grand Night For
Singing.” Please contact Aimeé Baston at abaston@uky.edu for
more information and watch the News section of our website as
plans are firmed up.

The 9th Annual Student Scholarship Showcase will be held Fri.,
March 22 in Pavilion A of Albert B. Chandler Hospital. Visit with
undergraduate and graduate students who take classroom, clinical
and research experiences and share these important scholarly works.
More specific information about the location is on our website,
www.uknursing.uky.edu.

College of Nursing website home page:
www.uknursing.uky.edu

Spring 2013

/

5

* UK HealthCare Nurse Promotions and
Transitions to Leadership Positions

Julia Blackburn,
MSN, RN, NE-BC

Lisa Fryman, BSN, RN

Nursing Operations
Administrator
UK Chandler Hospital
and Pavilion A
Neurosciences Services

Nursing Operations
Administrator
UK Chandler Hospital and
Pavilion A
Trauma and Acute Care
Surgical Services

Pamela Branson,
MSN, CNS, RN

Kymberly Gowin,
BSN, RN

Nursing Operations
Administrator
UK Chandler Hospital and
Pavilion A Medicine and
Pulmonary Services

Practice Manager III
UK HealthCare Ambulatory
Clinic, Neurology

Melasene Cole,
BSN, RN

December 1, 2011–
November 1, 2012

Lacey Troutman,
MSN, RN, ACNP-BC

Patient Care Manager
Markey Cancer Center
Markey 3 and BMT

Patient Placement Coordinator
UK HealthCare
Capacity Command Center

Lola Thomason,
MSN, RN

Director, Inpatient
Cardiovascular Services
and Co-Director, Office
of Advanced Practice
UK HealthCare
Gill Heart Institute

Doreen Yanssens,
BSN, BA, RN
Hospital Operations
Administrator
UK HealthCare Hospital
Command Center

Patricia B. Howard
Named as Interim Dean of College of Nursing

Patricia B. Howard, PhD, RN, NEA-BC, FAAN, was named interim
dean of the College of Nursing effective December 17, 2012. She
replaced Jane M. Kirschling, DNS, RN, FAAN, who left the university
to become dean of the School of Nursing and university director of
Interprofessional Education at the University of Maryland.
Dr. Howard is a professor and the associate dean for MSN and DNP
Studies. Under her leadership, the college opened its Post-BSN-to-DNP
Option, in which BSN graduates transition into the Doctor of Nursing
Practice Program. She is also involved in research focusing on mental
health care delivery, part of Kentucky’s development of a statewide plan for
measuring outcomes of mental health care.
Her research has been published in Archives of Psychiatric Nursing,
International Psychiatry, Issues in Mental Health Nursing, and Psychiatric

6 / In Step for the Commonwealth

Services. She has presented the results of her research at regional, national
and international levels, including Sigma Theta Tau International,
the American Nurses Association Council of Nurse Researchers, the
International Society for Psychiatric Mental Health Nursing, the Southern
Nursing Research Society and the National Association of Mental Health
Program Directors Research Institute. In 2005 she was appointed to the
editorial board of Archives of Psychiatric Nursing.
In 2010, Dr. Howard was inducted as a Fellow in the American Academy
of Nursing. She is a 1991 American Nurses Foundation Scholar and a
founding board member of the International Society of Psychiatric Mental
Health Nurses. Since 1995, she has served as a research consultant and on
various committees for the Kentucky Department for Mental Health and
Mental Retardation Services.

* UK College of Nursing
Promotions and Transitions

Ellen Hahn,
PhD, RN, FAAN
Ellen Hahn, PhD, RN,
FAAN, professor in the
College of Nursing and
the College of Public Health, has received an
endowed appointment, the Marcia A. Dake
Professorship in Nursing Science, established
in recognition of the college’s first dean, Marcia
Dake, and her innovative leadership. The
endowment was made possible with a donation
to the university by Linda and Jack Gill of
Houston.
The focus of this professorship is on the
development of a program of research and
service that addresses contributions nursing can
make to the care of individuals, families and/
or communities at risk for experiencing major
health problems.
These tie directly into Dr. Hahn’s program of
research and work in the area of tobacco policy.
She directs the Clean Indoor Air Partnership
and the Kentucky Center for Smoke-Free
Policy. She is co-director of the college’s NIHfunded Center for Biobehavioral Research
in Self-Management of Cardiopulmonary
Disease. She also is a faculty associate at the UK
Prevention Research Center, an associate at the
UK Center for Health Services Management
and Research, and a faculty member of the
UK Markey Cancer Center. Dr. Hahn was
awarded a fellowship from the Robert Wood
Johnson Foundation Developing Leadership
in Reducing Substance Abuse Program from
2000-2003.
Her current research focuses on promoting
smoke-free policy in Kentucky, particularly in
rural areas, and radon risk reduction.

Wanda Lovitz,
MSN, RN, APRN
Wanda Lovitz, MSN, RN,
APRN, has been promoted
from senior lecturer to
instructor. She is a certified family nurse
practitioner and clinical specialist in medicalsurgical nursing. She is both a classroom
instructor and clinical instructor for the
undergraduate program and also assists with
the graduate advanced health assessment
course.

Jessica Wilson,
PhD, RN, APRN
Jessica Wilson, PhD,
RN, APRN, has been
promoted from lecturer to
assistant professor. She was awarded a PhD in
nursing from UK in 2012. Dr. Wilson is the
coordinator for one of the primary sophomore
nursing courses, which she redesigned in
keeping with the evolving principles of teaching
and learning.

Ginny Van Horne
Deborah Reed,
PhD, MSPH, RN
Deborah Reed, PhD,
MSPH, RN, has received
an endowed appointment
as the Good Samaritan Foundation Chair
in Community Health Nursing. She holds
a joint appointment in the Department
of Preventive Medicine in the UK College
of Public Health. Her interests are in
agricultural health and safety issues, which
are reflected in her program of research.
She is the director of the recently funded
Occupational Health Nurse PhD Training
Program, funded by the National Institute
for Occupational Health and Safety
(NIOSH) as part of the Central Appalachian
Educational Research Center. Her
gerontology research gained her the Southern
Nursing Research Society’s John A. Hartford
Geriatric Research Award in 2009.

Ginny Van Horne joined
the college in August 2012
as a grant project manager.
Before coming to UK, she
was the executive director of the Lexington
Clinic Foundation. Prior to that, she served
as a consultant to the National Library of
Medicine Health Services Research Information
Central website. Other previous positions
include program manager/administrative officer
at the Henry M. Jackson Foundation for the
Advancement of Military Medicine, program
manager and director of Information Services
at AcademyHealth, research associate for the
American Association for the Advancement
of Science, and senior project assistant for the
National Academy of Sciences.

Dr. Reed has worked with many
organizations, including Agrability, the
National Farm Bureau Federation, the
Kentucky Department of Agriculture, the
Kentucky Farm and Home Safety Council,
the Kentucky Migrant Farm Worker Health
Program, and the Progressive Agriculture
Foundation. She currently serves on the
review team for the NIOSH Educational
Research Center site evaluations and is on
the Scientific Advisory Board of the National
Children’s Center for Rural and Agricultural
Health and Safety.

Spring 2013

/

7

* Following the
Yellow Brick Road
WRITTEN BY

Ryan Cleary

PHOTOGRAPHS BY

Richie Wireman (p. 8)

UK Good Samaritan Hospital earns
ANCC Pathway to Excellence designation
©

When UK HealthCare acquired Good Samaritan Hospital in 2007,
the leadership team wanted an effective tool to integrate the policies
and standards of Good Samaritan with those of UK Albert B. Chandler
Hospital. They were facing many of the same challenging issues as the
rest of the country.
It would take more than the simple wave of a magic wand to solve them.
The U.S. Department of Health and Human Services estimates a shortage
of 2.8 million nurses during the next decade, making staff retention a high
priority for today’s hospitals. Studies show that nurse job satisfaction is
important to delivering quality care to patients. Furthermore, the cost of
replacing a nurse can be one to four times the average nursing salary. In
short, more satisfied, professional nurses create better health outcomes and
more cost-effective hospitals.
That’s why the Texas Nurses Association (TNA) established the NurseFriendly designation in 2003 to increase nurse retention by improving
hospital work environments. In 2007, the TNA transferred the program to
the American Nurses Credentialing Center (ANCC), the largest and most
prestigious nurse credentialing organization in the world. By 2009, the
ANCC had launched the Pathway to Excellence© program, and hospitals
across the country began to embrace the 12 Pathway Practice Standards.
Beginning with standard number one, “Nurses Control the Practice
of Nursing,” Pathway strives to empower nurses by creating a shared
governance model that becomes the foundation for the remaining steps
in the process. When staff nurses are encouraged to meet in small groups
and their suggestions for improvement are thoughtfully considered and
executed, the nurses gain greater control over the practice of nursing within
their hospital. The benefits of a Pathway designation include improved
job satisfaction, the ability to retain choice nursing staff and leaders, the
cultivation of inter-professional teamwork, the power to champion quality
nursing practices and greater support for future business growth.
UK HealthCare became interested in the Pathway program during an
ANCC Magnet Conference in 2009, deciding it would be an effective
tool to help integrate the recently acquired Good Samaritan Hospital with
Chandler Hospital. By undertaking the Pathway to Excellence initiative,
Good Samaritan would create a standardized policy structure and become

8 / In Step for the Commonwealth

the first organization in Kentucky to earn such an important distinction.
Senior Nurse Administrator E. Darlene Stamper-Spalding, MSN, RN,
explains, “The Pathway to Excellence Program recognizes health care
organizations for positive practice environments where nurses excel. UK
HealthCare Good Samaritan respects nursing contributions, supports
professional development and demonstrates commitment to nursing.”
Fast-forward a year later to a chilly winter day in Lexington, and you could
have seen a Tin Man, Cowardly Lion, Dorothy and Wicked Witch crossing
in front of Good Samaritan on Maxwell Street.
“We decided to ‘follow the yellow brick road’ to a Pathway designation,” says
Ms. Stamper-Spalding, smiling. “I was the Wicked Witch of the West, and
of course, I felt typecast.”
The UK Pathway Steering Committee had created a staff-nurse-driven
implementation team (nicknamed the “Phoenix Team” for its quest to rise
from the ashes), whose main purpose was to get staff input and support for
the Pathway initiative. “People get so busy, they cannot keep up with all of
the emails and electronic communication,” says Dianne Toll, BA, ADN,
RN. “We tried to use other ways to communicate, like creating posters
and holding events and contests, handing out candy and dressing up like
characters from “The Wizard of Oz” in order to get people’s attention.”
“I was the Tin Man, which was fine by me,” says Glenn Evans, MSN, RN,
RN-BC. “We did it to initiate one-on-one conversations. Humor is a great
way to start a conversation.” But Mr. Evans reiterates that the team was
highly focused. “We wanted to prove to the Commonwealth and to the
entire country that we deserved this honor,” he says.
Ms. Toll continues, “I think t