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Nursing Life Magazine Vol. 2 Summer/Fall 08
USF Health College of Nursing - Nursing Life Magazine
LI FE UNIVERSITY OF SOUTH FLORIDA Veteran Nurse + Prevention Messages + Panama + Legacy in Love & Learning NURSING LIFE MAGAZINE | Summer/Fall 2008 Volume 2 As the Dean of the College of Nursing at the University of South Florida, I see young women and men following their dreams everyday as they embark on a path to a successful and fulfilling career in the ever-expanding world of healthcare. I see veteran healthcare professionals returning to the USF College of Nursing to further their educations and, ultimately their career. Leading all of them is a group of talented educators who generously share their knowledge, experience and support. To all of these remarkable people, nursing is more than their job, it is their life. These bright individuals are dedicated every day to the art and science of nursing because within them lies the inherent desire to help, to heal, to nurture, to explore. When I was a student considering my own future in healthcare, my dreams and goals were, and still are, the same as those who have chosen to pursue their education and careers in nursing at USF today. Nursing is my life. While you explore the pages of Nursing Life, you will find testaments to the college's dedication to nursing education, research and excellence in patient care. I encourage you to remember that at the USF College of Nursing, our passion is for life, making it better for all, now and for the future. Patricia Burns, PhD, RN, FAAN Sr. Associate Vice President, USF Health Dean, USF College of Nursing MICHAEL HEAPE 02 04 05 THAI VISITING SCHOLAR EXPERIENCES USF AND MOFFITT STUDENT NOTES VETERAN NURSE L I F E Published for faculty, students, staff, alumni and the community of USF Health. Editor Ashlea Hudak firstname.lastname@example.com Managing Editor Monica Matos Contributing Writers Ashlea Hudak, Lissette Campos, Anne DeLotto Baier, Mandelyn Hutcherson Art Director Klaus Herdocia Photographers Eric Younghans, Luis Battistini, Joseph Gamble, Afriyie Johnson, Michael Heape, John Lofreddo, Lissette Campos President University of South Florida Judy Genshaft, PhD Sr. Associate Vice President, USF Health Dean, USF College of Nursing Patricia Burns, PhD, RN, FAAN University of South Florida College of Nursing 12901 Bruce B. Downs Boulevard, MDC 22 Tampa, FL 33612 P. (813) 974-2191 health.usf.edu USF Health is a partnership of the University of South Florida's colleges of medicine, nursing, and public health; the schools of basic biomedical sciences and physical therapy & rehabilitation sciences; and the USF Physicians Group. It is a partnership dedicated to the promise of creating a new model of health and health care. One of the nation's top public research universities and one of 39 community engaged public universities as designated by the Carnegie Foundation for the Advancement of Teaching. USF received more than $360 million in research contracts and grants last year. It is ranked by the National Science Foundation as one of the nation's fastest growing universities for federal research and development expenditures. R E S E A R C H 06 07 08 09 COLLEGE OF NURSING HOSTS PSYCHONEUROIMMUNOLOGY CONFERENCE MCKNIGHT FELLOW STUDIES PREVENTION MESSAGES AWARD WINNING RESEARCH POSTER PRESTIGIOUS FELLOWSHIP WITH INSTITUTE OF MEDICINE AND AMERICAN ACADEMY OF NURSING L I F E LI FE C O M M U N I T Y 10 14 16 18 20 24 26 31 USF HEALTH INTERNATIONAL FOUNDATION IN PANAMA A CLOSER LOOK: USF COLLEGE OF NURSING'S COMMUNITY HEALTH IN PANAMA HOLA TO BABIES IN PANAMA CANDLE SHINES LIGHT ON NURSING LIFE SHIRLEY TURNER: A LEGACY IN LOVE AND LEARNING REMEMBRANCE BENEFITS THE FUTURE MYANMAR: A TRIP INTO DESPAIR MAKING A DIFFERENCE L I F E A L U M N I P.06 32 34 36 HOME HEALTH BULL NURSE PASSION FOR NURSING ALUMNI CLASS NOTES NURSING DISTINGUISHED LECTURE SERIES + 37 USF Nursing students witnessed the delivery of baby girl, Kimberly, born at 11:44am. Student Jessica Dorey posed for this photo while nurses tended to mother's needs post partum and recorded information for the baby's birth certificate. Cover photo by Lissette Campos LI FE UNIVERSITY OF SOUTH FLORIDA Veteran Nurse + Prevention Messages+ Panama + Legacy in Love & Learning NURSING LIFE MAGAZINE | Summer/Fall 2008 Volume 2 C o n t e n t s Nursing Life Magazine is produced by USF Health Office of Communications 12901 Bruce B. Downs Boulevard, MDC 47 Tampa, FL 33612 P. (813) 974-3300 F. (813) 974-5422 01 S T U D E N T L I F E 02 S t u d e n t s " It's very difficult to get a scholarship to leave Thailand " LI FE THAI VISITING SCHOLAR EXPERIENCES USF AND MOFFITT Story by Ashlea Hudak The College of Nursing extended an invitation to international nursing faculty member, Khiewu Waree, to serve as a visiting scholar from January – June 2008. Waree is from Bangkok, Thailand where she is a member of the nursing department faculty of medicine at Ramathibodi Hospital in Mahidol University. She holds a bachelors degree in Nursing and a Masters in Business Administration from Mahidol University. In Thailand, Waree is a registered nurse in the oncology eye, ear, nose and throat (EENT) ward and serves on the pain in EENT committee of Ramathibodi Hospital. Her research interests include the study of knowledge, attitude, and practices of spiritual care as well as pain assessment and drug management. Waree's research interests are similar to those of College of Nursing faculty, Susan C. McMillan, PhD, ARNP, FAAN. Waree read a journal article by Dr. McMillan while studying in Thailand. This prompted her to search on the internet for information about Dr. McMillan and her Nursing web site, and after exchanging a few emails, the dialogue to bring Waree to USF began. GETTYIMAGES research. She found Dr. McMillan on the USF College of 03 The water markets in Thailand are west of the capitol city of Bangkok and are one of the most photographed locations in the culturally rich country of Thailand. "It's very difficult to get a scholarship to leave Thailand," said Waree. "I am the first this year from Thailand to leave."It took less than a year to arrange Waree's visit and get support from her university to travel to USF for this unique experience. Appropriately, Susan C. McMillan, PhD, ARNP, FAAN has been mentoring Waree during her stay at USF. Waree's main goal is to increase her knowledge of the management of head and neck cancers, as practiced in the United States. To accomplish this goal, she participated in numerous learning activities including attending the symptom management course taught to USF oncology graduate nursing students. In addition, Waree observed nurses and physicians of all specialties as they interacted with patients in the Head and Neck Oncology Program at Moffitt Cancer Center. Waree has also had the opportunity to attend Tumor Board meetings and other appropriate conferences in the Head and Neck Oncology Program at Moffitt Cancer Center. Furthermore, Waree spent time observing the chemotherapy infusion area where Moffitt Cancer Center patients receive therapy. She also interacted with the nurses in the Radiation Oncology program at Moffitt Cancer Center and observed treatment of patients. Tapan Padhya, M.D., Director, Division of Head and Neck Oncology and Assistant Professor in the education department at Moffitt, also mentored Waree and arranged her experiences in the Cancer Center. She plans to share her experiences and new knowledge when she returns to Thailand. "I will compare my country with the University of South Florida" said Waree. "I want to apply what I've learned to my hospital." Waree sought to identify differences between the U.S and Thailand in the rates of occurrences of various cancers of the head and neck as well as study the clinical approaches of nurses, surgeons, medical and radiation oncologists at Moffitt Cancer Center. Waree compared the knowledge, attitudes, and practices of nurse and physicians in the US and Thailand regarding the management of commonly occurring symptoms in patients with head and neck cancers. Waree is interested in the mission and vision of the USF College of Nursing and the Moffitt Cancer Center and Research Institute. In January, Waree participated in the College of Nursing's strategic planning retreat. Waree hopes to help further the relationship between USF and Thailand by establishing a sharing of knowledge. "Thai are very friendly", said Waree. "I invite others to come to Thailand." NL GETTYIMAGES 04 S t u d e n t s STUDENT NOTES Story by Ashlea Hudak We wanted to get an idea of what some of our students thought about their experiences at the USF College of Nursing and about the Nursing profession. Here is what we found… LI FE " Nursing is not solely a profession, it is a calling that requires perseverance and dedication. " - Mary Anne Sabarre " " My favorite experience occurred during my community health course where I was able to assist at a Hillsborough County Health Department with pediatric and family planning, and it really opened my eyes up to other aspects of nursing I had never experienced before, - Matthew Evans, RN, BA, CCRN " I have made life-long friends that know what it takes to get through the nursing school experience, and I can easily relate too. It's great to know that when I have a certain question I know exactly who to go to whether it be about a job, something from class, graduate school, or upcoming events. - Melissa Calton " " Nursing has infinite possibilities and opportunities with alternative methods of achievement. Continue to educate yourself in order to educate your patients and cohorts, thus producing a more efficient healthcare system. " - Tanika Vivien, R.N.. C.H.E.S. Master of Nursing Science, Spring 2008 USF Nursing Faculty - Erica Craig JOSEPH GAMBLE " Do not stress out because it all comes together in the end. " 05 NEW COLLEGE OF NURSING STUDENT COUNCIL EXECUTIVE BOARD LEADERS New members of the CNSC Executive Board represent the best and brightest students at College of Nursing has to offer and comprise a wide spectrum of nursing students from across many semesters. They are excited and ready to lead the organization over the upcoming year. EXECUTIVE BOARD PRESIDENT: Allyson Radford Since becoming a member of student council, we have had the opportunity to participate in many community service events that I believe is the best, most rewarding aspect of this organization. VICE PRESIDENT: LUIS BATTISTINI Tania Cruickshank Member of the UCH Clinical Team, Cruickshank is the current Vice President of Semester III Student Council. She was this year's USF College of Nursing Team's Relay For Life Captain and helped the College of Nursing win "Top Team Fundraiser". She has worked as a Nurse Tech in Labor & Delivery at University Community Hospital since February 2008. In the upcoming 2008-2009 academic school year, she looks forward to increasing the USF College of Nursing's involvement in community service events. VETERAN NURSE Story by Ashlea Hudak Recent Spring 2008 College of Nursing baccalaureate graduate Benjamin Bell was in the Army for five years and served as a Military Policeman and as a Sentinel at the Tomb of the Unknown Soldier in Arlington National Cemetery before making the decision to become a nurse. Two of Bell's sisters-in-law are nurse practitioners and helped get the ball rolling on Bell's new career. Nursing would allow him to help people directly and hands on, one of his main reasons for wanting to become a nurse. While at USF, Bell participated in the VA Learning Opportunities Residency SECRETARY: Cristina Penzabene Graduated from the Medical Magnet Program at Palm Harbor University High and has been an active member of the Nursing Student Council. TREASURER: Melissa Skrzypek Skrzypek is a member of the Semester III UCH team, and works as a nurse tech at UCH on the cardiac floor. She enjoys supporting the Bulls and attending all the sports events, especially football. " I'm excited to work at the VA as a veteran myself (VALOR) program at the James A. Haley Veterans' Hospital. The VALOR program provides the opportunity for exceptional registered nursing students enrolled in baccalaureate programs to experience clinical nursing while at an approved VA health care facility. "I'm excited to work at the VA as a veteran myself", said Benjamin Bell. "I worked with the vets that I love and I plan to work there after graduation. The College of Nursing and USF Health have made great strides to bring interdisciplinary experiences together." " SOCIAL CHAIR: Summer Fiddes Fiddes in Semester IV, has school spirit, enjoys USF sporting events and is excited to build networking connections. SENATOR/ PUBLIC RELATIONS: Christine Doherty Doherty is a Semester III student and excited to serve as the public relations senator. 06 R e s e a r c h LI FE COLLEGE OF NURSING HOSTS NATIONAL PSYCHONEUROIMMUNOLOGY CONFERENCE Story by Ashlea Hudak Top PNI scholars from across the nation traveled to Tampa to share their research through presentations, and discussions when the USF College of Nursing hosted a National conference for the Center for Psychoneuroimmunology, entitled "Frontiers in Psychoneuroimmunology: The Emotional Interface", September 18-21, 2008 at Saddlebrook Resort in Tampa, FL. "Frontiers in Psychoneuroimmunology 2008: The Emotional Interface", brought together the nation's top researchers who are examining the bi-directional pathways between the brain and immune system and the subsequent connections with health and disease. Topics included all aspects of the field from stress and immunity to the global health implications of PNI research. Conference topics included the links between emotions and cancer, the involvement of the immune system in fibromyalgia, and the impact distress, sleep and fatigue have upon the immune system. New research revealing that infection and inflammation can trigger changes in the brain—and significant behavioral and health consequences, including depression, were discussed. "The symposium provides what nurses and front-line health care providers have asked for: a national symposium beginning with a full day pre-conference training program in meditation, before two days of evidence based research revealing the extensive links between the brain and immune system" said Director of the USF College of Nursing Center for Psychoneuroimmunology, Dr. Nick Hall. "This program impacted participant health as well as that of their patients and clients. Conference attendees are charter members of one of the most relevant annual symposiums ever offered to nurses on the subject of mind and body." Guiding the symposium, the Center for Psychoneuroimmunology advisory board brings together experts in the field of PNI. Prestigious members include Peter Bourne, former health advisor to President Jimmy Carter, and Dr. Lydia Temoshok, author of the well-known 1992 book, The Type C Connection: The Behavioral Links to Cancer and Your Health (NY: Random House). Disseminating cutting edge information is just one purpose of hosting this unique gathering of scientists. Another is to bring national attention to the USF College of Nursing Center for Psychoneuroimmunology, and the fact a valuable resource is now available to individuals and corporations. NL ERIC YOUNGHANS 07 MCKNIGHT FELLOW STUDIES PREVENTION MESSAGES Story by Ashlea Hudak Rasheeta Chandler graduated from the USF College of Nursing in August 2008 with her PhD. While at USF she served as a graduate teaching assistant and graduate research assistant with Dr. Evans and Dr. Canty-Mitchell in the College of Nursing and Dr. Ellen Daley in the College of Public Health. Chandler was certified as a Family Nurse Practitioner in January 2008. Chandler is also a McKnight Doctoral Fellowship recipient. This scholarship program seeks to increase the number of African Americans awarded a Ph.D. in historically underrepresented disciplines, including nursing. Chandler's dissertation focuses on Human Immunodeficiency Virus (HIV) prevention in the adolescent female population. She is interested in what medium is most effective for communicating HIV prevention messages. Data for her dissertation was collected from December, 2007February, 2008 through an electronic survey, which targeted 18-21 year-old females at the University of South Florida and Florida A & M University. Currently she has completed the dissertation document and is reformatting the manuscript for publication. Chandler will debut her research results in an oral presentation at Association of Nurses in AIDS Care annual conference in November, 2008. Through her research, Chandler hopes to learn more about the best ways to convey messages about HIV to adolescents. Interested in health communication, Chandler will also complete a Social Marketing certificate in fall, 2008 through the College of Public Health. " "I want to marry media and marketing with HIV prevention," said Rasheeta Chandler. After graduation, Chandler hopes to transition into an HIV intervention study that has a social marketing framework. To further expand her research experience, Chandler would like to pursue a post-doc experience at an HIV institute. "I would like to become a better researcher and cultivate Chandler. "I like what I'm doing. I've learned so much about who I am and what I want to do in life…I have a career, not just a job." NL GETTYIMAGES I've learned so much about who I am and what I want to do in life " those skills, while continuing to provide patient care," said 08 R e s e a r c h AWARD WINNING RESEARCH POSTER Story by Ashlea Hudak USF Health Research Day 2008's College of Nursing Outstanding Poster Award and the Sigma Theta Tau Nursing Honor Society Outstanding Poster Award was presented to nursing education masters student, Toni Dobson, RN, BSN, for her research poster entitled, "Adroit and Maladroit Caregivers of Cancer Patients with Pain". "It was an exciting day, to see everyone's research," said Toni Dobson, RN, BSN. "When they called my name for the awards, I was flabbergasted." Dobson's affinity for nursing education began when she went to recertify her Advanced Cardiac Life Support Certification and realized she wanted to serve as a nurse educator. As an Emergency Room nurse for many years, Dobson has witnessed the need for social workers. This work experience led her to become a part of Dr. Susan McMillan's funded research study, "Caregiver Interventions for Pain and Coping". "There's so many different caregiving roles, and there are an estimated 44 million caregivers, which is a huge population," said Dobson. Caregivers are not well supported by the health care delivery system. Working with Nursing's Dr. Susan McMillan and Dr. Brent Small from the USF College of Aging Studies, Dobson's research suggests that patients may not have good outcomes as a result of the skill of the caregiver. "There are plans to develop an educational module which utilizes the results of the research and translates this knowledge into information that benefits practice," said Dobson. Dobson plans to complete the research paper on which the winning poster was based and submit it for publication. Upon graduation, Dobson plans to teach and continue researching. "This study was a 'snapshot' of the situation at one moment in time, and now I would like to look at data collected over time," said Dobson. NL LI FE 09 Nursing, Medicine and Public Health, participate in the poster presentations. The next USF Health Research Day is scheduled for February 2009. AMERICAN ACADEMY OF NURSING & INSTITUTE OF MEDICINE Mary E. Evans, RN, Ph.D, FAAN, Associate Dean for Research and Doctoral Study at the USF College of Nursing received a Scholar in Residence joint Fellowship with the American Academy of Nursing and Institute of Medicine for 2008-2009. The program prominently engages nursing leaders in health policy development at the national level, and allows Dr. Evans to pursue interests in implementation of recommendations to improve the mental health of Americans. "My work will provide information on factors that could facilitate the timely and effective implementation of recommendations from recent IOM committee reports and, hopefully, by implication other work underway at the IOM as well as in other scientific venues across the nation," said Dr. Mary Evans. Obtaining information on factors, particularly social, economic and political factors, could lead to more effective implementation of IOM recommendations. The project will also codify strategies to better prepare the legislative environment at the national level ERIC YOUNGHANS for implantation of IOM recommendations, and will be completed in cooperation with Mental Health America (MHA), the largest and oldest mental health advocacy and public education organization in the United States. NL ERIC YOUNGHANS 10 C o m m u n i t y LI FE USF HEALTH INTERNATIONAL FOUNDATION IN PANAMA Story by Lissette Campos City of Knowledge, Panama – On June 2, 2008 the USF Health International Foundation officially opened its doors in the country of Panama. Their mission: to increase collaboration in education, research and patient care between USF faculty and students and Panama, as well as other health professionals and organizations throughout the region. "It is fitting that we do this here in Panama, the site of some of the most profound discoveries in public health in the last 200 years," said Donna Petersen, ScD, dean of the USF College of Public Health. "General William Gorgas had a job to do. A canal needed to be built to provide a much needed trade route from East to West and back again, but that job could not be done until he had completed an almost more daunting task - keeping thousands of people alive … in an environment stacked entirely in favor of the diseases," Dr. Petersen explained. "By accomplishing this task, the general not only completed the original job he was sent to do, he launched a revolution in disease control that has saved millions of lives for more than 100 years." Overlooking the Panama Canal, the USF Health International Foundation LISSETTE CAMPOS 11 " It is fitting that we do this here in Panama, the site of some of the most profound discoveries in public health in the last 200 years " The USF Health International Foundation is the only health sciences academic center with a presence on the City of Knowledge campus in Panama City, Panama. sits on the old Fort Clayton built by the U.S. military to protect the canal´s strategic Miraflores locks which guard canal access to the Pacific Ocean. The base is known today as "Ciudad del Saber," the City of Knowledge in English. The historic site sits on approximately 300 acres of land — the USF Health International Foundation stands as the only health sciences academic center, to date. With neighbors the likes of the International Red Cross, United Nations UNESCO, Organization of American States, Nature Conservancy and Spanish Embassy, the re-purposed fort serves as a hub to a growing number of international organizations. "This is one of the most beautiful examples of hammering swords into plow shares that I´ve ever seen," said Ann De Baldo, PhD, associate vice president of international programs, USF Health, and associate dean of international programs, USF College of Public Health. The foundation´s hopes extend beyond students and faculty at USF Health to reach researchers, scientists, educators and health professionals across South and Central America. Among its ambitious goals, leadership development programs for participants in the private and public health sectors, as well as non-profit organizations. "When we look, together, at establishing best practices, we can make life better for countless numbers of people," said USF President Judy Genshaft. Drawing her inspiration from seven words engraved on the Panama Canal´s museum, Genshaft told Panamanian officials gathered for the inaugural "They were words that made all the difference in their efforts: hope, effort, courage, determination, perseverance, spirit and tenacity. The same applies to USF Health. Together, we can make a difference for the future." Serving as president of the foundation, Deborah Sutherland, PhD, described the foundation´s official opening after three years of efforts between USF Health, USF and Panamanian officials in the City of Knowledge. "To see this dream come true has been a very exciting time for all of us," Dr. Sutherland said. The USF Health Associate Vice President and Associate Dean for Continuing Professional Development said talks are already underway to create courses, conferences, and other resources to bring continuing professional education within reach of more health professionals than ever before in Latin and Central America. "We have met with the University of Panama and with the Universidad Latina de Panama to discuss their needs for short courses," she explained. "Specifically, we´ve spoken about family practice — family medicine with a focus on emergency LISSETTE CAMPOS 12 medicine. We´ve spoken with representatives from departments of general surgery, orthopedics, and obstetrics and gynecology. Our 'short courses' will initially focus on those specialty areas." "We're hoping to improve the performance of physicians who practice in Panama by offering courses right here in this country," Dr. Sutherland said. "Presently, the physicians are usually taken outside the country and they are industry-sponsored courses and provide training in industry specific labs there. If we can offer those courses here in Panama, collaborating with Panamanian faculty, it not only helps improve the performance of the practicing physician but we'll reach more physicians. By reaching more physicians we hope to have an impact on the quality of care that is provided here. Plus it helps them establish countrywide prominence for their universidades and their specialties. They get recognized as the experts in training other Latin American physicians." For Steven Klasko, MD, MBA, senior vice president of USF Health and dean of the USF College of Medicine, Panama sets the stage for innovations with far reaching implications in medicine, nursing and public health. "We believe the Center of Knowledge can be a base for us to build a true clinical simulation lab in this part of the world," Dr. Klasko said. With the potential for more simulation labs like the one developed in Tampa, the foundation hopes to work with medical societies and associations to establish universally recognized metrics in simulation to help train physicians in new and emerging treatments and technology, as well as assess technical competencies. "We can use simulation technology to improve the capacities of physicians, nurses and ALL health professionals. This isn´t just something that we do, we´re PASSIONATE about it," Dr. Klasko said. Joining Dr. Klasko and President Genshaft was Dr. Sterling Williams, vice president for education for the American College of Obstetricians & Gynecologists (ACOG). USF nursing students, including Jason Merry and Christine Doherty, conducted a Community Clinical Experience course in Panama where they visited a maternity ward and observed births. The students were guests of honor at the foundation's inaugural ceremony. Among the guests of honor at the foundation´s inaugural ceremony, were 15 students from the USF College of Nursing already in Panama for their Community Clinical Experience Course. For Patricia Burns, PhD, dean of the USF College of Nursing, Panama has served as a classroom for her students since 2006 thanks to its exchange program with the nursing school at the Universidad de Panama. "The students and faculty who have participated in 2006 and 2007 could not say enough about the quality of the experience they had and the wonderful people they worked with during their stay in Panama!" said Dr. Burns, visibly proud of her students who handily stole the show, so to speak, during the foundation's inaugural ceremony. Their charm and enthusiasm bolstered the aspirations of academics, scientists and health professionals representing several countries. Nursing students Shadae Llewelyn and Caitlin Brock received a big round of applause, speaking on behalf of the students, they delivered a message of thank you in Spanish, holding tight to their note cards written in big letters, all in Español. Taking it all in, the City of Knowledge´s Executive Director declared "USF not only excels in sports — we follow the Bulls from Panama — USF excels in its scientific research and its contributions to health in the community and society," Dr. Jorge Arosemena said. NL LISSETTE CAMPOS 13 14 C o m m u n i t y LI FE USF COLLEGE OF NURSING'S COMMUNITY HEALTH IN PANAMA Story by Lissette Campos Balboa, Panama -- The USF College of Nursing exchange program with the University of Panama is now in its third year. To date, three delegations of USF nursing students, nearly 45 in total, have participated in the program. Traveling to Panama during the summer months, our students, faculty and/or instructors are hosted by various representatives of the University of Panama during their stay. The focus: Community Health. The "home base" for USF nursing students there is the Hostal Amador Familiar in Balboa, a neighborhood near the Panama Canal which was formerly controlled by and home to U.S. military forces operating the famed canal. During students' month long stay in Panama, they're accompanied by faculty members from the Escuela de Enfermeria , Universidad de Panama,– the University of Panama's Nursing School. LEARNING COMMUNITY HEALTH IN TRADITIONAL & NON-TRADITIONAL WAYS USF students experience community health education in a variety of settings – from pediatric, maternity and mental health hospitals; to the mountain villages of Panama's native Indian tribes, as well as the more traditional settings at Panama's university and its National Nurses Association. For Assistant Professor Versie Johnson-Mallard, PhD, WHNPc; and Instructor Debra Gottel, MHS, BSN, the course abroad is no vacation. The day long excursions and activities end with "class" in the hostal's kitchen. Surrounded by pots & pans, ripe bananas, and table-top salt & pepper shakers, the assistant professor and instructor go over lessons on a variety of subjects. On any given night, the discussion centers on topics like the care of vulnerable populations, communicable diseases and immunizations, school health, community LISSETTE CAMPOS A CLOSER LOOK: 15 mental health, the role of the public health nurse, making community assessments and referrals, just to name a few. "The desire for more was infectious," says Johnson-Mallard. "The eagerness spread among the students, even after a long day, they wanted to talk and attempt to understand. They wanted to hear from other students, their thoughts and experiences. By the end, they were completing each others sentences with wide eyes and eager faces." "Sharing this experience with the students has been a wonderful opportunity for me as an instructor," says Gottel. "I have seen the students enthusiastically and competently engage in activities that challenged them in many ways. They left Florida with trepidation and returned feeling confident - confident in their abilities to practice beginning nursing, communicate with people who did not speak their language, navigate new surroundings, make friends and think in new ways." The group of students consisted of 14 females and one male, all in their senior year. Their names are Lindsay Bechtel, Caitlin Brock, Tara Casimir, Tania Cruickshank, Christine Doherty, Jessica Dorey, Alexandra Henry, Shadae Llewelyn, Jessica Meerbott, Jason Merry, Lydia Pendino, Cristina Penzabene, Courtney Rice, Melissa Skrzypek and Erin Smith. EDUCATIONAL PROGRAM BEARING FRUIT Sandra Cadena, PhD, ARNP, is the College of Nursing's Assistant Dean of Undergraduate Programs and Director of Global Health. Traveling with students in prior years, she describes the program as one that bears fruit – many and varied, all equally important. "From an educator's perspective, it's interesting to watch the growing pride our students feel for their profession. They can make an incredible difference in people's A FIRST FOR DEAN OF NURSING A first since the launch of the exchange program, this June, USF students were joined in Panama by Patricia Burns, PhD, RN, FAAN, Senior Associate Vice President of USF Health and Dean of the College of Nursing. Dean Burns traveled to the City of Knowledge where the USF Health International Foundation inaugurated its offices. Nursing students, already in country since May 19th, joined Dean Burns during the foundation ceremony. Their excitement and school pride was shining bright on an important night for USF and the future of its exchange programs in Panama. Students weren't shy about sharing their opinions with the Dean about Panama's health disparities, medical protocols, infection control and more. It's music to her ears. Dean Burns happily detecting upon returning to USF, providing a vicarious, cultural nursing experience for all of our nursing students to learn from and enjoy." "I feel that the students gained an appreciation for cultural diversity in health care and a sincere appreciation for procedure and policy differences," says Johnson-Mallard. "They spoke of noting appreciation by the people for their professional knowledge & skills and how well, comparatively, they are compensated and appreciated for their profession." "I have always been impressed with the students at the College of Nursing," says Gottel, now home from Panama. "…but I now have an even greater respect for the dedication and competence that these young adults bring to the profession of nursing. It certainly was a privilege for me to be able to share this experience with such a capable group of students!" says Gottel. NL Group photo with USF College of Nursing delegation at the City of Knowledge, Panama during June 2, 2008 inaugural of USF Health International Foundation. LISSETTE CAMPOS lives, no matter what corner of the world they choose to nurse in," says Dr. Cadena. "It also heightens their sensitivity to cultural diversity. I think the immersion can increase a student's awareness of his/ her own cultural identity and, in turn, helps make them more sensitive to a growing culturally diverse patient population in our own country." students' enthusiasm and passion for the nursing profession. "This experience for our nursing students is invaluable because it gives them the opportunity to see a culturally different community health model in a foreign country," says Dean Patricia Burns, USF College of Nursing. "The students present their experiences to their fellow classmates 16 C o m m u n i t y " I was very teary. I didn't expect to get so emotional to see the baby born. " LI FE HOLAP B TO ABIES IN Story by Lissette Campos USF NURSING STUDENTS VISIT PANAMA'S BUSIEST LABOR & DELIVERY ROOM incredibly busy at the Hostal Amador ANAMA in mid May, but on this particular morning something feels different. Their quick steps and increased back & forth to rooms are a dead give away that something new, something extraspecial will be happening on this day. The anticipation in the air is palpable. "I hope we see a baby today," says one student. "I hope we see a couple of babies!" says another. Then, a rapid exchange on the topic of scrubs: "Do you have your scrubs? I have mine…don't forget to bring yours…mine are dirty?!… I may have extra…" The conversation is critically important because having scrubs will be the key to the something special happening today. No scrubs, no delivery room. No delivery room, no babies. "Profesora" Lucero de Estrada, RN, of the University of Panama's Nursing School has arranged for a three-hour-tour of the Santo Tomas Maternity Hospital in the capitol, and these Bulls are hoping to witness at least one delivery during the visit. With interests as varied as their personalities and backgrounds, this year's group is pursuing nursing specialties in cardiac care, geriatrics, neurology, oncology, anesthesiology, labor & delivery – just to name a few. But on this hot, humid morning, their areas of specialties all take a backseat to "birth". Panama City, Panama June 4, 2008 It never takes long for mornings to become Familiar. Almost with the first light of day, come the sounds of showers running, hairdryers blowing, coffee brewing and the microwave dinging with breakfast. First ones up always get the hot showers. No one wants to be late. No one wants to be last. It's been the same morning routine at the hostal since the arrival of 15 USF nursing students and 2 faculty members LISSETTE CAMPOS 17 Jason Merry, the only male student in the group, explains things this way. "A person once told me, there could be seven people in the (delivery) room and the next thing you know, there are eight! Ever since I heard that, it's the only way I think about birth. It's amazing…there's another life in the room…" he says. ARRIVAL AT SANTO TOMAS MATERNITY HOSPITAL… The arrival at Santo Tomas Hospital is marked by long welcomes and formal introductions. Over three hundred years old, the hospital is rich in history & tradition, and its proud nurses are brimming over with stories to share. Santo Tomas is one of only two large, public maternity hospitals in this nation of just over 3 million people. Its labor & delivery rooms, the busiest on the isthmus. Last year approximately 12,000 babies were delivered here. So far this year, the hospital is averaging 35 – 40 births a day. Women from all over the countryside travel here to delivery their babies at a cost of $25 U.S. dollars for a vaginal delivery, $50 U.S. dollars for a Cesarean- section. In modern Panama, the U.S. dollar has become the nation's currency. No patient is turned away, regardless of whether they can pay their bill in full, in part, or not at all. FINALLY IN THE SALA DE PARTO! USF students have plenty of questions, asking about immunizations, prenatal care, and HIV testing prior to delivery. While their hosts are happy to answer the steady flow of questions, word comes that the head doctor has given permission for USF students to enter the Sala de Parto – Labor & Delivery. They reach for their backpacks with scrubs tucked inside. "We were all really excited, but we didn't think that we were going to be able to see a delivery," says Alexandra "Lexa" Henry. "We were looking up at the clock and thinking 'Oh, we're going to have to go soon.' …then, all of a sudden, two ladies that came in were in labor! It was great!" Great indeed! With both patients giving the okay for USF nursing students to enter, they split into smaller groups, change into their scrubs and head for the delivery rooms. Humbled by the inclusion in such a personal moment, our students stand quietly in the corner of the delivery room - eyes wide…at times, almost holding their breath…watching everything and everyone. Caitlin Brock and Jason Merry are in the back. Caitlin inches forward on the tips of her toes to watch the final push, while Courtney Rice bends her knees and leans in to get a clearer view. Lydia Pendino and Jessica Dorey are wringing their hands, while Erin Smith keeps hers firmly planted over her heart. Erin suddenly switches over to a 'thumbs up' after seeing the baby boy's head emerge from the birth canal. In the span of only eight minutes, our students had witnessed the birth of two babies a girl born at 11:44 AM…a boy born at 11:52 AM. "I feel that giving birth is such a personal, special experience, and for us to be able to share that with her, it was really cool," says Caitlin Brock. Q: I cried a little. Did you? "I was very teary. I didn't expect to get so emotional to see the baby born. I didn't know the lady, but I definitely got emotional." "It was breathtaking, the whole experience!" says Christine Doherty. "Even from the medical perspective, it was a beautiful thing," says Jessica Meerbott, who witnessed the birth of the baby girl in the next room. "I didn't start to get emotional until I went over and looked at the baby. She was just so beautiful and peaceful, this little bundle of life and I got to be a part of that. It was just very special," she says. The Panamanian mom informs the nurse that her daughter's name is Kimberly, and with her permission, our students take out HOLDING THE BABIES… Profesora Estrada is pleased. Every single one of her USF estudiantes – students- for the day has witnessed a birth. Still in her scrubs, she leads them into the room where babies are being washed and diapered. Once inside the profesora begins helping our students hold babies and feed them milk out of an espresso-size cup. "un poquito, only a little," she says. "We don't use bottles to make it easier for the baby to breastfeed," she explains. Q: Profesora Estrada it must give you great satisfaction as you watch students and see when they are really engaged in the learning process, fully experiencing the moment? "Yes, it's a great satisfaction," she responds. "We are professionals and see deliveries all the time, but when you observe the delivery for the first time, it stays with you forever! And also, it will prepare you for the future," concludes Estrada, who's been a nursing professor in Panama for almost three decades. For Tara Casimir, the experience at the Santo Tomas Hospital is only part of a greater story she has to tell of the month long exchange program in Panama – how it's changed her perspective about life and even herself. "It's given me so much more confidence… especially with the language barrier and yet I've done so many things here…it's really tested my own abilities," she says. Q: Does this make you more certain of your choice to pursue nursing? "Yes, for sure!" says Tara without hesitation. Now home in the U.S., students share that day's anticipation & the babies with friends & loved ones, near and far. Taken in by the miracle of life, they are moments students say they will never forget. NL their cameras for the first time and take a picture. The Santo Tomas nurses stop to smile and remark, in Spanish, about the tenderness and respect exhibited by these students. 18 C o m m u n i t y CANDLE SHINES LIGHT ON NURSING LIFE Story by Ashlea Hudak LI FE The University of South Florida College of Nursing Alumni and Friends Board is excited to announce the formation of a community organization, CANDLE (Community Awareness Nursing Development Leadership Education). Through the efforts of CANDLE, the College of Nursing will have support in the area of fundraising and enhancing public awareness of nursing as a profession. "Just as a candle provides illumination, members of CANDLE will illumi- nate the community with information about nursing and USF College of Nursing," said Joanne Angel, CANDLE member and Executive Community Health Nursing Director for Children's Medical Services. "CANDLE will light the way for promoting consideration of nursing as a career," said CANDLE member Julie Perez. In June 2008, members of the newly formed group came together at the College for a brief meeting before expe- riencing a comprehensive tour of the College's facilities. CANDLE members toured the College's Blue Cross & Blue Shield of Florida, INC. Center for Advanced Nursing Education including the case method classrooms and the College's state of the art computer lab where they were exposed to distance learning technologies. During the tour CANDLE members learned about the Research Center at the College of Nursing and how it seeks to advance the science of health, improve patient care, GETTYIMAGES 19 19 19 Adjunct Faculty Fred Slone, MD demonstrates the latest model of human patient simulator, I-Stan (TM) for CANDLE members. Unlike other simulators, I-Stan is completely wireless and tetherless. When using the I-Stan, the instructor uses a computer to control all of the actions of the simulator, putting in the physical changes manually as the students provide treatment to the patient. establish health guidelines, and identify mechanisms of health and disease. CANDLE was given the unique privilege of viewing the over 2,000 dedicated square feet of space that is currently under development on the 3rd floor of the College which will soon be home to the Biobehavioral Laboratory. This laboratory will contain state-of-the art equipment for conducting blood assays, such as inflammatory markers, stress hormones, proteomics, and RNA ing, I am thrilled to be part of CANDLE," said Jessemyn Alvarez Giovenco, class of 1995 alum. "Enhancing community awareness of what the college does will be a benefit to the nursing profession and the community as a whole." The Biobehavioral Laboratory will also support the efforts of the USF College of Nursing Center for Psychoneuroimmunology which will pursue three avenues of During the tour of the George and Marian Miller Center for Virtual Learning, the nursing skills and simulation labs, CANDLE members were given demonstrations of the capabilities of human patient simulators. The specialized robot-mannequin, Noelle, which is capable of delivering a baby vaginally, and I-Stan (TM), the latest model of human patient simulator which is completely wireless, tether less and controlled wirelessly via computer, were demonstrated " Enhancing community awareness of what the college does will be a benefit to the nursing profession and the community as a whole. service including research, education, and the translation of knowledge into clinical practice. This will be accomplished through the creation of an environment that will facilitate the free exchange of ideas pertaining to the way psychological variables, the brain, and the immune system interact. "As a non-nurse, I was so impressed by the College of Nursing, I wanted to enroll in nursing school on the spot," said Patty Kopp, CANDLE member. for the CANDLE members. and DNA analyses. It will also contain multiple patient rooms for conducting physical examinations, clinical measurements, and treatment interventions for health care and research purposes. As presently planned, much of this activity will include provision and evaluation of complementary and alternative medicine (CAM) therapies to persons with severe emotional problems, including VA veterans and their caregivers. "As a graduate of USF College of Nurs- "I was totally fascinated by the labs and seeing how nursing students are provided hands on simulated patient care experiences," said Bobbie Crowe, CANDLE member. "Not just for nurses, CANDLE is an organization for anyone who has an interest in promoting nursing as a profession and as an integral component of the lifespan." said Joanne Angel. NL " ASHLEA HUDAK 20 C o m m u n i t y SHIRLEY TURNER: A LEGACY IN LOVE & LEARNING Story by Lissette Campos LI FE 88 years young, Shirley Marie Turner has her eye on the future and making a difference in nursing. After more than three decades of retirement she and her daughter Janis Boyd have found a way to make that happen. At the USF College of Nursing, Janis is creating a scholarship fund in her mother's name. "I just love nursing," says Shirley, now a retired nurse in Delray Beach. "…love it because you're helping people. I know sometimes it can be difficult. It was difficult for me when I was young to be able to afford nursing school, so I can understand those young people who want to go and don't have the finances to. Thank goodness my father was able to get funding for me to go." Janis, a USF graduate, Class of '73, says it's the kind of legacy that certainly "fits" her mom, a petite 4'5" woman with a Herculean passion 19 21 for nursing and kids. "My late husband Jack and I have been involved with USF scholarships for years. I thought it would be good to create a nursing scholarship in mom's name. At first she said 'I'm so not worthy!'" laughs Janis. "I said 'Mom, you raised three teenaged daughters at one time! I think that counts for something!' After it sunk in, mom thought it was really cool." Cool indeed. "I think what the USF College of Nursing is doing is so great, so I went for it," says Shirley. "It's always a great thing when you're able to give back," says Janis. colleagues as she was to her patients. "Mom often worked weekends and holidays to give nurses who were still raising kids time to spend with their families," says Janis beaming with pride. "Helping people has always been mom's first priority." "I just did what the Lord wanted me to do. I felt a calling and followed my heart," says Shirley. "I'd work my own weekends and then help other nurses if they wanted a day off for a special reason. We were a team." Daughter Sara, who lives in Palm Coast, Florida, notes that her mother first " I just did what the Lord wanted me to do. I felt a calling and followed my heart felt a calling for nursing since childhood. "Mom knew she wanted to be a nurse when she was just 10 or 11 years old. We always felt that mom had a gift. When ever one of us was sick, one of the first things mom did was to touch us. She could tell, just by touching us, what was going on," says Sara, who also attended USF. "We could NEVER fake being sick because mom could tell right away!" adds Janis. "We never got to stay home faking we were sick. Believe me, we tried!" As one might expect, Shirley's nursing memories are many and varied – stretching from Ohio to Florida. "Too many to remember in great detail," she says with a laugh. Her daughter's personal favorite is one from Ohio. "In the early days, they had large hospital rooms with 4 to 6 patients to a room. Mom was taking care of a group of men one day when one of them told her he needed something, but he was having a hard time telling her what that was. He was an older man, Looking back, it's clear that nursing allowed this family to have the best of both worlds. For the kids, it was quality time with mom at home. For Shirley, it was a rewarding career. A 1942 graduate of the Springfield City Hospital Nursing School in Ohio, then Shirley Marie Foreman, began her nursing career 'working the floor' of Springfield City Hospital. Two years later and married, Shirley faced the question new moms have struggled with for generations – whether or not to become a stay at home mom. She made the choice to put her nursing career on hold until her girls, Lois, Janis and Sara were in high school and college. "It was very fulfilling to be able to do that," says Shirley of her return after years of child rearing. "At the same time, Florida was having nursing shortages, and I wanted TURNER COLLECTION " to help." Speaking from her home in Homosassa, daughter Janis is quick to point out that Shirley was as devoted to her 22 shy and in a roomful of other men. Maybe he wasn't comfortable telling my mom, a tiny, pretty 22 year-old, what he needed," says Janis with a chuckle. "Finally he said to her 'I need…you know…one of those vases.' And my mom said 'Oh, okay. How big is your bouquet?' Well, as it turned out, what he wanted was a urinal." True story. "Oh my, yes!" says Shirley, almost blushing. Focusing on today, Shirley marvels at the increased choices nursing students have. "Back in 1942, you hit the books and from then on it was 'learn and do'" says Shirley. "And back then, you were either an operating room nurse, an emergency room nurse, or a floor nurse…and even those were limited," she recalls. "Now? My goodness, it's wide open! Unbelievable!" Re-energized by the opportunity to give back to the profession she loves, Shirley's golden years of retirement are filled with a renewed sense of optimism and hope. "There just never seems to be enough qualified nurses around and this is our way of doing our part to help," says Janis. "The College of Nursing is honored to have a scholarship memorializing Shirley Turner," says Patricia Burns, PhD, RN, Dean of nursing and Senior Associate Vice President, USF Health. "She is truly a role model for the nursing profession and her passion for nursing is infectious." Shirley has this advice for nursing students of today. "Number one, you really have to love it. You have to know in your heart that you want to do this. It may be tough sometimes, as any job would be, but if you really want to do it, hang in there! It will work out." Shirley Turner is living proof of that. NL TURNER COLLECTION " 23 " She could tell, just by touching us, what was going on... " 24 C o m m u n i t y LI FE REMEMBRANCE Story by Ashlea Hudak BENEFITS THE FUTURE Every year many of our nursing students receive scholarships from the College to help them succeed in their academic endeavors. Some of these scholarships that have been started by nursing faculty. The college scholarship fund assists students in augmenting financial support, attending professional conferences and interacting with nursing leaders. Scholarships are awarded based on criteria determined by the donor. Each year over 200 people attend the College of Nursing Scholarship Award luncheon event. "It is important to give back to new professional nursing students," said Dean Patricia A Burns. "I had support in high school and college and therefore wanted to help others in the same way." Dean Burns' scholarship assists doctoral students with research or data collection. Dr. Linda Moody's scholarship assists with dissertation activities. Dr. Ona Riggin, Emeritus Faculty, started the Ona & John Riggin Psychiatric Mental Health Nursing Scholarship to benefit full-time graduate students studying Psychiatric Mental Health Nursing. "My husband was Chief of Staff at the Tampa VA and he was especially supportive of nursing which is why I included him on the scholarship," said Dr. Ona Riggin. "This scholarship helps graduate students who have a need and show promise for the future." Dr. Riggin served as the College of Nursing's Assistant Dean for Education and Research from 1977 until 1990, and while in 25 NAMED SCHOLARSHIPS Ruth E Semmelroth Gay Memorial Scholarship Beatrice Thompson Scholarship for the College of Nursing Gwen Gregory Helmer Cardiovascular Nursing Scholarship Barbara Monsour Scholarship Ona & John Riggin Psychiatric Mental Health Nursing College of Nursing Faculty/Staff Scholarship Miami Heart Institute Cardiovascular Nursing Scholarship Linda E. Moody Doctoral Dissertation Support Fund Lunelle Allen Gassner American Indian Nursing Scholarship Else Russell-Olen Fund ERIC YOUNGHANS Sandra L. Murman Nursing Scholarship Patricia A. Burns Ph.D. Scholarship in Nursing Werner and Charlotte Gunzburger Scholarship Mary Lucille Sopkin Memorial Nursing Scholarship Vincent & Heidi Bekiempis Scholarship College of Nursing Endowed Memorial Scholarship this role she began and became Chair of the College's Psychiatric Mental Health Nursing Masters program. "There is a tremendous need for advanced nurses in the community, especially psychiatric mental health nurses," said Dr. Riggin. "With the veterans returning from war there are often untreated mental health issues, not only with the service men and women, but also their caregivers. I certainly plan to continue giving." "Starting a scholarship fund, as well contributing to an existing fund is rewarding because it not only benefits the next generation of nurses, but also helps remember those who have made a difference in your life and your career, "said Dean Burns. "It is rewarding and important to give back to nursing." NL Endowed Memorial - Sandra Holley Oncology Scholarship Minerva A. Webb Rhinehart Oncology Scholarship in Nursing Edith and Abraham Freedman Endowed Scholarship in Nursing Imogene King Scholarship in Graduate Education Gwendoline MacDonald Scholarship in Nursing Vivian Ross Scholarship in Gerontology Studies John and Leanne Scott Endowed Scholarship for Nursing Linda Hunter Memorial Scholarship in Oncology Sarah Boyd Scholarship for Minorities in Nursing Francis J. Bilisky Endowed Memorial Scholarship in Nursing Martha Townsend Longacre Endowed Scholarship in Nursing Frank Birch Memorial Fund USF College of Nursing Green Cross Scholarship Sigma Theta Tau Delta Beta Chapter Endowed Scholarship 26 C o m m u n i t y The same day he recorded an interview with WUSF-FM's Carson Cooper on disaster preparedness for the upcoming hurricane season, Steve Morris, MD, received a phone call from a long-time friend who was planning to travel to Myanmar to provide medical assistance in the aftermath of the deadly cyclone and its storm surge. Dr. Morris, codirector of Bioterrorism and Disaster Training at USF College of Nursing, spent a month volunteering in southern Mississippi in the wake of Hurricane Katrina and has extensive experience working in a variety of disasters and disaster scenarios. After some initial reservations, he agreed to accompany his friend to Myanmar. He made the trip May 11-16. So that he would not call attention to himself and possibly put his Thai friends at risk, Dr. Morris left his camera behind. His only photo was taken at an airfield in Thailand. The story of his Myanmar experience, in his own words, follows: "Call it fate; call it a coincidence; but I guess some things were meant to happen. Ironically during my interview with Carson Cooper, he asked my opinion about the situation in Myanmar. We reflected upon the devastation and the disappointment in the Myanmar governFATEFUL CALL FROM AN OLD FRIEND Later that day, a long-time friend of mine, Awing Saawat of Thailand, called me. Awing is a nurse midwife. She has provided services in the northern regions of Thailand for more than 25 years. She has a special interest in caring for the immigrant mothers who travel the sometimes dangerous routes from Myanmar (formerly called Burma) to cross the border illegally into ment for not allowing disaster relief and assistance from the international community." LI FE MYANMAR AT D RIP INTO ESPAIR Story by Anne DeLotto Baier MORRIS COLLECTION 27 Thailand. Most of these immigrants risk the travel to Thailand to find work and escape the desperate conditions in Myanmar. Awing and I are friends from my time in the country in 2002 and 2003, when I volunteered with her non-profit organization. She often calls to say hello and to get an occasional internal medicine consultation on one of her many patients. This call was no different; she and I discussed a young refugee patient who had recently crossed the border. Unfortunately, according to Awning, this patient would be quickly returned back to Myanmar. Awing told me that she was planning a trip of her own to the impacted cyclone area of Myanmar in the next week. Since she had provided service to the area for many years, she had many well established contacts and had made the journey on multiple occasions. I casually mentioned to her that I would love to share the experience, and surprisingly she responded, "Come on!" My mom always said, be careful what you ask for. I couldn't believe it. I had heard on the news about the problems foreign aid workers were having getting into the region, so, of course, I started speaking of passports and visas, which I knew would take time. Awing informed me that there were ways to expedite the process. When I expressed safety concerns, she reassured THE LONG JOURNEY TO MYANMAR With that, I packed my bags for what would turn out to be one of the most remarkable experiences of my professional career. The flight to Bangkok, Thailand, was 26 hours with stops in Detroit and Japan. I then traveled two hours by bus from Bangkok to Nakhon province, where I met up with me that her contacts were solid and that I would have no problems. Just keep your mouth shut, she told me -- an inside joke we often shared when she was allowing me to observe the birthing process years ago with her. Like then, she would do all the talking. She again reassured me that I would be fine. " I thought my relief work with Hurricane Katrina ... would have somewhat prepared me for what I about to witness in Myanmar, but I could not have imagined the incredible destruction I would see. " 28 Awing. The rain delayed our departure to northern Thailand for a day; but soon we were off on another bus ride to an area just south of the town of Chang Mai, Thailand. The next leg of our trip to Myanmar began early in the morning hours. Since there is literally a 12-hour time difference between Florida and Thailand, I was wide awake. Add the time difference to my anxiety, and I was literally on pins and needles. Travel into Myanmar was quite unofficial. My U.S. passport was left in Thailand with Awing's associate. We departed from a small airfield in two light aircraft for a 500plus mile flight from Thailand into Myanmar. We were accompanied by 10 other people. I did not know their names or what their roles on this trip would be, and following Awing's lead, I did not ask. One of the pilots was a relative of Awing's. They had long conversation prior to our departure. Their cordial manner eased my mind and I was again reassured that I would have no problems. Though the smell of insect replant permeated my clothing, Awing beared it and stayed close by my side the entire journey. It was important that I look somewhat disheveled as not to stand out. She added to my blending-in process by sharing a local skin powder/insect repellant to put on my face, arms and legs. My wrist watch was left behind and replaced with a simpler watch that I kept in my pocket. It had no wrist band and a scratched dirty face. Because I am African-American, we both felt, that as long as I did not open my mouth, few if any, would know my nationality. (Don't misunderstand, I am a proud American, but in this instance, waving the U.S. flag was not an option.) Our planes were old but appeared to be in good shape. They were designed to haul cargo, but other than us, a few personal items, drinking water and the meager provisions prepared by Awing there was no other cargo. Our diet for the next three days consisted of cooked pork and rice. The cargo area of the plane was stripped and had an GREETED BY ARMED GUARDS We landed after a little more than two hours on an even more remote airfield in the mid-south region of Myanmar. Nothing was there other than a small abandoned tin-covered structure. We sat at this location for another hour and a half, before I heard the sounds of vehicles approaching. Three large short-bed trucks (the kind you would typically see livestock in) pulled up. Two or three heavily armed men exited each truck. The pilots of our planes and the people in the trucks obviously knew each other. They greeted and talked for a period of time. There was an occasional look in my direction, but I never had any indications that caused me to worry. Awing was completely at ease, so I was able to remain calm. When the time came, the men directed us to climb into the back of their trucks. Though our view was somewhat obscured by wooden boards lining the sides of the truck bed, we could easily see between them. As the early morning hours faded the heat of the day could be felt. The truck was not covered. The heat and the humidity reminded me of Florida. The terrain was extremely rough. I know I am spoiled by paved roads, but this was a difficult journey. I can see the need for the big trucks. Any organized relief mission into this area would be difficult by ground. I suppose, I thought my relief work with PATIENTS WAITING, SUPPLIES SPARSE, DAYS LONG The truck ride was about 90 minutes from the air field. We arrived at a stone-andwood structure that would be our home for the next 60-plus hours. This was a clinic. It had been built by a mission group many years ago, and withstood the test of time. Awing had worked from this location before. Surprisingly, there were a few medical supplies -- a few old stethoscopes, antiseptic and basic bandages; but no medications. Awing told me that we would be receiving a few additional supplies later. There was a generator with fuel and a few working lights, but nothing on the scale of the Disaster Mobile Assistant Team that I had worked with in Katrina. The patients were already waiting. Awing told me that our host had selected the people that we would see. How that process worked, I guess I will never really know. The intense moldy smell. There were no interior lights and no formal seats, just some tarplike material that we fashioned into seats. I expected to see large quantities of supplies. My memories of Hurricane Katrina led me to expect a tremendous outpouring of relief supplies. To my dismay, there were no medical supplies, no fresh water, no meals-ready-to-eat or food of any kind, no clothing…absolutely nothing to indicate that we were on a relief mission. Trying to bring in supplies was not an option according to Awing, whatever we would use would be provided to us by our host when we got there. Hurricane Katrina on the Mississippi Gulf Coast would have somewhat prepared me for what I about to witness in Myanmar, but I could not have imagined the incredible destruction I would see. Through the side boards of our truck, I could see vast areas laid waste by the storm. What must have once been towns looked like garbage dumps. People appeared to be sifting through these heaps of debris. Many sat hopelessly by the roadside or under improvised structures made from the debris. I saw no begging, no outstretched arms; the people just simply looked beaten. Many wore rags; some had no clothing at all. I saw all ages from the very young to the very old; however, there seemed to be many more children. Most remarkable was the horrible smell. So foul, so pungent, that at times it would cause me to gag. I have experience with death in my profession; but death, hopelessness and despair at this magnitude was just unbelievable. The pictures on television and in the newspapers could not possibly capture this suffering. 29 USF Health's Dr. Steve Morris (center back) and friend Awing Saawat (yellow shirt and glasses), a nurse midwife, pose with a group of refugees who fled to Thailand from Myanmar after the devastating cyclone. Dr. Morris and Saawat made a risky humanitarian journey into a remote southern region of Myanmar to aid cyclone survivors. people we cared for clearly had a relationship with the people who had arranged this trip. Going into the village to offer services was clearly not an option. The complexities of the problems were many. Without any necessary equipment and supplies, the task was extremely difficult. Awing translated for me promptly along with doing a million other things. No one ever seemed to complain; there was no crowd; few people even spoke unless addressed by our guards or by us. We worked continuously until the night. Awing and I took our first break after about six hours. Following her lead, I would pause for a break only when she did. We were with armed guards the entire time, though they seemed quite relaxed. There were several groups of people all around the clinic area, but we never had contact with them. I am still not sure if the guards were there to protect us or to keep us from exploring on our own, but I suppose, probably both. It's not like exploring would have been an option for me anyway. I didn't speak the language, I had no idea where I was, and I certainly did not want to get lost. We slept on the floor inside the clinic. Throughout the night, there was conversation and activity outside. THREE SMALL BOYS The next morning we awakened to see three small boys, probably ages- 8 to 10. They were asleep at the door of the clinic. Two sat up immediately when we opened the door. One child was lying on a piece of tin, which had been fashioned as a sled. I could surmise that the two other children had pulled him there on the sled. I don't know how far the children traveled, but I don't think they would have been allowed at our door if the guards had seen them. I am not even sure how they slipped past our guards. Awing began to talk with the boys as one of the guards approached to chase them away. I had already starting assessing the child on the sled. Awing argued with the guard for a bit. He backed away and left us to our work. According to Awing, the child on the sled was injured during the storm. None of the three had known one another before the storm. Two boys met immediately after the storm, and they found the injured child a few days later in a field of debris. Since he was unable to walk, they made a sled from the piece of tin to pull him around. The three had been together for many days, but they were not sure how long. They could only assume that their families were dead. There was nothing left of the village where they stayed. They lived off scraps that they found or whatever they could get by begging. The child on the sled appeared extremely ill and near death. It did not take an X-ray for me to determine that the injured boy had a compound fracture of his right tibia and fibula. Distal to the fracture his leg was cold and to a point of necrosis (decay). His eyes were sunken, jaundiced and his body was wasted. He was dying from sepsis, dehydration and malnutrition. His fate had been written when the storm struck. His needs were far beyond our capabilities and resources. Even with hospitalization, an amputation, massive doses of IV antibiotics, nutrition and hydration, I doubt he would have survived. It was simply too late; and we obviously had no way to provide any of those needed services. MORRIS COLLECTION 30 A SMALL DEGREE OF PEACE AND OVERWHELMING SADNESS Awing and I could find only a small degree of peace in the fact that at least the young child was in no pain. He could not feel the injured leg. Awing fed the boys from our provisions. The injured boy was too weak to eat very much at all. Unfortunately, we had to move on to our already waiting patients, and we did not want to upset the guards anymore than they were already. Awing reluctantly motioned for the guards and with that the boys were scurried off; pulling their injured friend behind them. We never saw them again. The next day and a half brought more of the same. The sad and sometimes horrifying stories were endless. I left feeling like a drop of water on a searing desert. Our promised supplies never came. I had to ask myself, did our little mission make a difference? I know it would not be for me to judge. Awing and I spoke few words on the truck and plane ride back to Thailand. I know we were tired and hungry, but I know she and I both felt depressed that we could not do or provide more. The Thai people refer to Myanmar as "paan má-noh" or "bad heart" -- a term that certainly reflects a government that refused to allow aid to reach its people in dire need." Since Dr. Morris returned from Myanmar, he has spoken several times to his friend Awing, who plans to return to on another humanitarian trip. The situation in Myanmar is still precarious, as the country's military junta continues to refuse offers of outside support including the use of military helicopters to ferry aid to remote regions. Unfortunately, Dr. Morris says, many donated supplies never reach the people who need it – much of it taken by the military or black market agents who will sell it for a profit. With the monsoon season beginning, hundreds of thousands of cyclone survivors remain without shelter. "I had tremendous support from the College of Nursing and Dean Burns in supporting my decision to make this trip on short notice," Dr. Morris says, "and I owe special thanks to my colleagues Sandra Cadena, PhD, RN, and Fred Slone, MD, who covered for me while I was away." NL MORRIS COLLECTION 31 MAKING A DIFFERENCE IN THE COMMUNITY Story by Ashlea Hudak The College of Nursing is very active in the USF Health Service Corps. Nursing students are involved in at least two events each month including service events such as flu shot drives, health fairs, donation picnics, angel tree donations, as well as food and collection drives. "It's great because it's really appreciated, and when we raise money or do collection drives, we know those people can really use the items we are supplying so it makes you feel good," said Melissa Calton College of Nursing Representative for the USF Health Service Corps. "While it's rewarding, it is a lot of fun." The USF Health Service Corps sponsors all of the events in which the USF College of Nursing Student Council participates, and everyone in the College is invited. Large events may involve not only the College of Nursing, but also the Colleges of Medicine and Public Health. Students enjoy spending time with local patients and cancer victims while participating in The Hope Lodge Picnic, Love a Senior Day at the Weinberg Village, The St. Jude Children's Research Hospital Raffle, The American Heart Association Walk, Passionately Pink for the Susan G. Komen Foundation, and The American Cancer Society's Relay for Life. "They have all been pretty rewarding. Its great to take one day or two a month to take a break from school and devote it to helping the community, "said Melissa Calton. This year, the USF College of Nursing received the Top Team Fundraiser Award for USF's 2008 Relay for Life by raising $5,600. In addition, nursing student and the College's Relay for Life Team Captain, Tania Cruickshank was honored with the Top Fundraising Individual award. "Cancer has affected my family, but luckily my mom is healthy and is now nine years in remission. I hope that by raising money to promote more research and awareness, we can help prevent cancer happening to others," said College of Nursing Relay for Life Team Captain, Tania Cruickshank. "To to support a great cause was truly an amazing experience." NL GETTYIMAGES see all of us come together like that 32 LI FE A l u m n i HOME HEALTH BULL NURSE Story by Mandelyn Hutcherson In what profession might you find an employee willing to travel through a field of bull? Not figuratively speaking, but literally. As Stephanie Henchey, BSN '01, would explain, home care nurses are a bit of a different breed. She had one of her employees, a nurse with Horizon Homecare, actually call her from a backwoods, muddy country road that was inhabited with bulls along the way… and not USF Bulls, as in alumni or athletic fans, but real bulls! The nurse was on her way to see a patient and along the way encountered more bull than she'd been expecting! Stephanie's advice: honk the horn and make your way up to the home and get someone's attention. Henchey partnered with another nurse, Velvet Baxley, and founded Horizon Homecare in February 2005. The two women, who worked for competing home care agencies at the time, were both frustrated with how patients were being managed in the corporate business model. They wanted to return to a more patient-centered focus. "It was really all about the patients. We were both passionate about home care, and we said, we can do this, and we can do it better," said Henchey. Henchey and Baxley ventured out on their own, each one giving their notice about two weeks apart, and rented 500 square feet of space; their first year they planned, did their research and honed up on the regulations through the Agency for Health Care Administration. Just three years later, Horizon Homecare, the only nurse owned and GETTYIMAGES 33 operated home care agency in Hernando County, employs approximately 50 health care professionals and manages 120-150 patients at any given time. Their business boasts three offices, one each in Citrus, Hernando and Pasco counties, and was recently honored by being named one of the top 500 home health agencies in the nation by Home Care Elite. "As a nurse, you really can make a difference. We brought back that little bit of loving care and are staying patient centered. Three years ago I was frustrated and unhappy with the management of patients. Today, where we are, we've accomplished what we set out to do, and we haven't lost touch with the patient. Patient satisfaction means a lot to us, and it makes everything we do, all worth it. Our patients have been genuinely touched by our nurses, and we think it makes a difference to feed and filter our profits back into patient care." Henchey said. Henchey shared the story of Kathleen Mellen who recently had knee surgery. She was discharged from the hospital but had difficulty finding an agency that would take her insurance, and she had already tried several. Initially she was unable to ambulate her knee, then she encountered difficulty with her pain management. So on top of trouble walking and moving around after surgery, she had nausea from her pain medicine. The nurses assessed her situation, took control of her wound and pain management, and then worked collaboratively with physical therapists to get her mobile again. By the end of her home care treatment, Kathleen was one of their agency's favorite success stories. "The fact that registered nurses got together to get this service up and running is important to me. Yes, the doctors and the hospital dealt with the surgery, but you dealt with the person, me!" said Kathleen in a thank you note. (See scanned in thank you note – Henchey has permission to use note and patient's name.) "We're able to tend to the basic needs of our patients, but we also educate and teach them to be their own advocate. Patients are very appreciative of time well spent, and they get that kind of one-onone experience with our home care," said Henchey. Henchey has spent her entire career as she puts it, as a nurturer, "I like to take care of everyone else." At the age of thirteen she volunteered at a nursing home and fell in love with geriatrics. She said she knew even then that she'd become a nurse. Henchey earned her LPN degree in 1991 from the St. Petersburg Campus of Pinellas Technical Education Centers while she worked as a home health aide in a nursing home. She worked her way through school over the next 10 years to earn her RN degree at St. Petersburg College, and "My experience at the USF College of Nursing helped me to realize that I truly love the science of nursing. As a whole, that's what has inspired me to want to teach. The professors we had were so passionate about wanting to teach us and help us to give back to our profession. I wouldn't be where I am today without the education I received. I'll be back for more training, because I would like to share all I've experienced with our future nurses one day!" said Henchey. NL then she received her BSN from the USF College of Nursing in 2001. "I felt somewhat limited early on in my career as to what kind of difference I was able to make, and with the more education I garnered, the more I was able to accomplish," she said. "The beauty of the nursing profession is that your hands are never tied to stop. There is always more to learn. There's always a way to make a bigger difference. You can always learn more." Stephanie Henchey, BS '01, partnered with another nurse and founded Horizon Homecare which was recently named one of the top 500 home health agencies in the nation by Home Care Elite. 34 LI FE A l u m n i PASSION FOR NURSING Story by Ashlea Hudak LUIS BATTISTINI 35 Patricia Quigley, PhD, MPH, ARNP, CRRN, FAAN, graduated in University of South Florida College of Nursing's charter class in 1975 as the first graduating nursing baccalaureate class in the Tampa Bay area. All of Dr. Quigley's nursing program graduations were from charter nursing classes. Quigley was also a member of USF College of Nursing's first graduating class of master's students in 1982, completing all 3 tracks: Nurse Practitioner, Clinical Nurse Specialist, and Nurse Educator. Quigley received a PhD in nursing from the University of Florida in 1992, the first doctoral program for nursing in Florida. Today, The University of South Florida College of Nursing has both Doctorate of Philosophy (PhD) and Doctorate of Nursing Practice (DNP) doctoral degrees. with Disabilities", funded by an office in the Veterans Affairs system. Quigley's practice influences healthcare policy and standards at local, regional, and national levels. She says that she is grateful for each day to live her dream and is never limited by the demands of a day. "I always knew what I wanted to be – to be a nurse," said Quigley. "Realizing this dream, a gift in and of itself, I have committed my life to intimately knowing the history of this great profession, to share today and tomorrow. I'm driven towards that dream and I continue to aspire – fortunately, I have practiced in environments of excellence and innovation – where nurses can aspire within the profession. Nursing has never just been a job for me, rather a way of life of great "Nursing gets to touch every part of someone's life… the whole person… to influence one's life. If you believe in and love what you do, it's transforming," said Quigley. Quigley enjoys being highly involved with various nursing organizations in order to shape, give back, and influence the field of nursing today and in the future. She believes that nursing is a team effort. The nursing profession today is more globally involved and engaged, according to Quigley. She believes that this influences each nurse's place of work. As a nurse researcher, Quigley still provides direct patient care. "Nursing is interdisciplinary, and today there's so much more science and knowledge in the curriculum," said Quigley. "Every experience has meaning and you know " Nursing gets to touch every part of someone's life… the whole person… to influence one's life. If you believe in and love what you do, it's transforming importance. I'm not afraid to take risks, but rather learn from them. I stay positive and remain constantly appreciative of the privilege to be a nurse and serve others. No one can take the joy out of my day, my life, of nursing. I give thanks everyday for these gifts." Quigley's specialty is rehabilitation. Through her work, Quigley helps those with disease and traumas regain their maximum potential and "keep on, keeping on – to be the best they can be with the abilities one has." She feels that nurses have a special opportunity to help others during vulnerable times in their lives: to teach, support, and encourage. Quigley helps rehabilitation patients "feel special and feel whole – that someone is no less of a person just because of disabling disease or trauma" not only through physical care, but also by touching their heart and soul. you're opening yourself to the joy and lessons of each experience." Quigley observes that nursing students today grasp how knowledge is transient. She believes this is a result of their learning environments and today's "innovation society" fostering a spirit of inquiry. She mentions that today's nursing students have a greater ability to matriculate academic degrees and sees that they have a better grasp on what it is to be life-long-learners. "More than just a job, nursing becomes your life. It's a way of life," said Quigley. "Nursing is all I've ever wanted to do, so nursing is my life. I hope to practice until I'm 100 – or at least be part of this great profession; I could not imagine my life without nursing; I thank the University of South Florida, College of Nursing, for helping me to make my dreams come true." NL "USF sets the stage for advancing nursing in the community, with organizational partners providing healthcare," said Quigley. Quigley's dream was always to be a nurse, and secondly to shape the profession and serve as a leader in the field. At Bayfront Medical Center in St. Petersburg, Florida, she launched her professional nursing career and practiced for almost a decade in clinical and administrative roles. Following graduate education and clinicals at the James A. Haley VA, in Tampa, Dr. Quigley joined the VA as a Rehabilitation Clinical Nurse Specialist and has remained at the James A. Haley Veterans Hospital for over 25 years. Today, Dr. Quigley practices as a nurse practitioner, nurse researcher, and Assistant Director in the Veterans Integrated Services Network 8 Patient Safety Center of Inquiry: "Safe Mobility for Frail Elderly and Persons " 36 LI FE ALUMNI CLASS NOTES Tabitha Ann Oravetz, works in Intensive Surgical Care at the Halifax Hospital. She currently resides in Ormond Beach, FL with her husband, Casey, and their two children. and the Cardiac Cath Lab. She is married to Alan and they are expecting their first child in March of 2008. A l u m n i Erin Jones (Fernandes), '77, is an RN at St. Luke's Hospital in Denver, CO. John Toye, '96, received his MSN in Health Care Systems Administrations (OutcomesMan- Dena Gay, '85, is a registered nurse specialist for the state of Florida. Lisa Anne Weld White, '77, is currently working at the Andrew Rader U.S. Army Health Clinic as Perfomance Improvement Coordinator, Infection Control Officer, Nurse Case Manager, and Nursing Supervisor. She is married to LTC (CH) Barry White (US Army) and they have two sons, Matthew and Mark, who reside in the Tampa Bay area. agement/Informatics) from UNC/Chapel Hill and is currently the Director of Quality Programs at Duke University. He also is a volunteer for Habitat for Humanity. Ronald Elwood Dubree, '94, retired in 2006 from his work in primary care at James A. Haley Veterans Hospital in Tampa, FL. Misha Rae Caldwell, '02, is currently working in the PICU at All Children's Hospital. She also started back to the USF College of Nursing in the summer of 2007 and is studying for a Master's degree to be a Pediatric Nurse Practitioner. She is married to Dylan, who serves active duty in the U.S. Coast Guard and they have one son, Ethan, who is 4 years old. Guadalupe Chavez Lamas, '95, is a parish nurse at St. Joseph's Hospital in Tampa, FL. Susan Craven Thrower, MN (FNP), '90, works at the Epworth Children's Home in Columbia, South Carolina. She is married to Charles and they have two children, Caleb and Matthew. Susy Maria Astuto, '97, is a nurse at Regional Medical Center Bayonet Point in Hudson, Florida. She is married to Jim and they have two sons, Charles (6) and James (4). Tesia Altman, BSN, '07, Cari Lynn Caraway, MSN, '96, is an ARNP for a local Cardiologist in the Tampa Bay area. She has enjoyed travel nursing for many years and has worked all over the country in many different areas including the ER, pedi ER, Pedi ICU, Pedi Burn Unit, SICU & MICU (Adult), CCU, works in the ICU at Tampa General Hospital. She is married to Michael and they have one daughter. She has plans to continue her education at the USF College of Nursing by returning to get her acute care nurse practitioner license. Jeffrey Richard McDermott, '06, is an RN at Oak Hill Hospital in Brooksville, FL. Katie Lenning, '08, is a RN at Moffitt Cancer Center in Tampa, FL. 37 COLLEGE OF NURSING February 2009 11th | Dr. Marita Titler Translating research into practice: Senior Assistant Director at the University of Iowa Hospitals and Clinics; Director of Research, Quality, and Outcomes Management in the Department of Nursing Services and Patient Care at UIHC; Clinical Professor at the University of Iowa College of Nursing 27th | Dr. Nalo Hamilton Breast cancer in African Americans: Assistant Professor of Nursing at Loma Linda University; emphasis in women's, adult health and breast cancer DISTINGUISHED LECTURE SERIES Schedule at a Glance: 2008-2009 September 2008 5th | CAPT. Dr. Roberta Lavin Disaster case management: Captain, United States Public Health Service; Director of Emergency Preparedness, Administration on Children and Families October 2008 10th | Dr. Brenda Hosley Nursing and vulnerable populations: Psychiatric and community health nurse with expertise in complementary medicine, cultural diversity, and Appalachian studies 24th | Dr. Jan Dorman Genomics in nursing research: Associate Dean for Scientific School of Nursing & International Affairs, Professor of Health Promotion & Development, Professor of Epidemiology; University of Pittsburgh March 2009 13th | Dr. David Williams Interventional cardiologist: Professor of Medicine, Division of Biological and Medical Sciences Brown University School of Medicine; Adjunct Assistant Professor, Biomedical Engineering, University of Rhode Island 27th | Dr. Carol Taylor Integrity and everyday ethical decision making": Director, Center for Clinical Bioethics; Senior Research Scholar, Kennedy Institute of Ethics; Associate Professor of Nursing and Director, Values-Based Health Care Education, School of Nursing; Georgetown University November 2008 14th | Dr. Duck Hee Kang Psychoneuroimmunology: Senior ScientistUAB Center for Free Radical Biology and UAB Center for Aging, Professor, University of Alabama-Birmingham, Adjunct Professor, Yonsei University College of Nursing, Seoul, Korea 20th | Dr. Peter Buerhaus Nursing workforce studies: Valere Potter Distinguished Professor of Nursing and Director of the Center for Interdisciplinary Health Workforce Studies; the Institute for Medicine and Public Health at Vanderbilt University Medical Center April 2009 17th | Dr. Jean Giddens Concept mapping: Professor and Interim Senior Associate Dean for Academic Affairs at the College of Nursing, Health Sciences Center, University of New Mexico in Albuquerque. 21st | Dr. Bruce McEwen Allostatic load: Alfred E. Mirsky Professor and Head of the Harold and Margaret Milliken Hatch Laboratory of Neuroendocrinology at The Rockefeller University May 2009 December 2008 4th | Dr. Barbara Parker Women's health: Director, PhD Program and Professor, University of Virginia School of Nursing, Charlottesville, VA 29th| Dr. Ken Phillips Emotions and immune function: Professor and Associate Dean for Research and Evaluation, College of Nursing, University of Tennessee, Knoxville, TN January 2009 16th | Dr. Barbara Riegel Evolution of a theory of heart failure selfcare: Professor, School of Nursing; Senior Fellow, Leonard Davis Institute, University of Pennsylvania, Philadelphia, PA June 2009 26th | Dr. Barbara Hansen Chronomics of obesity, diabetes and aging: Professor, Internal Medicine and Pediatrics and Director, Obesity, Diabetes, and Aging Research Center, University of South Florida College of Medicine Signature Interdisciplinary Program in Allergy, Immunology and Infectious Disease JOSEPH GAMBLE For more information about the Nursing Distinguished Lecture Series visit http://health.usf.edu/nocms/nursing/ResearchCenters/DistLect.pdf " What's really fulfilling for me is to watch my students become passionate about nursing, just like I did. " For more information or to apply visit: http://usfweb2.usf.edu/HR/ University of South Florida College of Nursing 12901 Bruce B. Downs Boulevard, MDC 22 Tampa, FL 33612 P. (813) 974-2191 health.usf.edu Non-Profit Org. US Postage PAID Permit No. 1632


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The Jupiter Class Dreadnought (Version 2)
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Join Date: Jun 2012
Posts: 2,173
# 399
After all of the clamoring for the Ambassador this thread no longer surprises me. To be honest, I would rather see the Typhoon class made playable. The Jupiter is without a doubt the ugliest ship in the entire game, it looks like a cumbersome sloppy kitbash, pieces just thrown together with little detail and no though at all to esthetics. If they ever do make it playable I hope its just a minor addition included along with new designs and not passed off as some special class of ship, If that thing fell out of a drop box or wound up in the C-store my faith in the game will have been lost as that will be taking a gigantic step backwards.

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