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  • Faculty Spotlight: Dr. Ruth Elsasser, DNP, ARNP-C

    Faculty Spotlight: Dr. Ruth Elsasser, DNP, ARNP-C

    The community at Frontier NursingUniversity (FNU) believes it is our responsibility to serve the underserved in ways that change the lives and improve the overall health of community members. Frontier course faculty member Ruth Elsasser is at the heart of this movement, hosting impactful presentations to locals that invite them to consider how diet and lifestyle choices affect their health and wellness.

    Ruth, a 2015 graduate from Frontier’s Post-Master’s Doctor of Nursing Practice (PM-DNP) program, says her goal was always to teach.

    “I am constantly striving to improve my skills as a clinician and gain as much knowledge as possible to positively influence the lives of all those that I touch,” Elsasser says. “The DNP has provided me with more opportunities to do just that.”

    Elsasser chose FNU because the DNP program encourages students to develop and implement solutions to close the gap in health care. Since her graduation in 2015, Elsasser has been teaching Advanced Pharmacology at Frontier.

    Stemming from her experience as a student and faculty member at FNU, Elsasser has a message she is sharing with the community. Her target audience is new moms and chronic pain patients, and her theme is clear: diet and lifestyle choices directly affect personal and family health and wellness. Since beginning to share her presentation locally, Elsasser has seen positive developments.

    One couple followed a few recommendations they heard from the presentation and are now weaned off of eight different medications (as a couple). They reported to Elsasser that they are much more present in the lives of their kids and grandkids because of the changes.

    “They felt that their lives had become ‘theirs again’,” Elsasser says. “This has motivated me, as well, to continue learning and reaching out to as many as possible.”

    Thank you, Ruth, for representing Frontier Nursing University’s mission, both on and off campus!

    At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community who are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

     

  • Featured Preceptor: Kathryn Carr, CNM

    Featured Preceptor: Kathryn Carr, CNM

    Frontier Nursing University (FNU) preceptor Kathryn Carr, CNM, from St. Elizabeth’s Medical Center in Boston, Mass., was honored as FNU’s “Featured Preceptor” for the summer term. Kathryn was nominated by Clinical Director, Dr. Jane Houston.

    With over a decade of experience, Kathryn consistently takes several students each term in her Boston midwifery practice and provides a very high standard of care. She has precepted for FNU for over five years, and students find her positive, caring and an excellent role model.

    Most recently she precepted FNU students Nicole Mapes and Cecile Sampson. In addition to her clinical practice, she is very active with ACNM leadership. She was recently inducted as a 2016 Fellow of ACNM and the Region One representative for ACNM.

    “Kathryn has become a pivotal influence on my road to becoming a successful CNM,” said Mapes. “She has shown me what a joy and opportunity precepting can truly be, which has made me excited to teach future midwives. I am eternally grateful to have the opportunity to learn and grow from such a thoughtful, bright and selfless person.”

    Kathryn is also an accomplished linguist and is trained in French, Portuguese, Italian, Swahili and Mandarin Chinese.

    Kathryn will receive a Starbucks gift card as a small token of our appreciation for her being a great preceptor. Thanks for your investment in our FNU students, Kathryn!

    Go here to read more on previously recognized preceptors, or to nominate a preceptor.

    At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community that are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

  • Featured Preceptor: Kathryn Carr, CNM

    Featured Preceptor: Kathryn Carr, CNM

    Frontier Nursing University (FNU) preceptor Kathryn Carr, CNM, from St. Elizabeth’s Medical Center in Boston, Mass., was honored as FNU’s “Featured Preceptor” for the summer term.

    Kathryn Carr, CNM, (left) pictured with SNMs Nicole Mapes (center) and Cecile Sampson (right).

    With over a decade of experience, Kathryn consistently takes several students each term in her Boston midwifery practice and provides a very high standard of care. She has precepted for FNU for over five years, and students find her positive, caring and an excellent role model.

    Most recently she precepted FNU students Nicole Mapes and Cecile Sampson. In addition to her clinical practice, she is very active with ACNM leadership. She was recently inducted as a 2016 Fellow of ACNM and the Region One representative for ACNM.

    “Kathryn has become a pivotal influence on my road to becoming a successful CNM,” said Mapes. “She has shown me what a joy and opportunity precepting can truly be, which has made me excited to teach future midwives. I am eternally grateful to have the opportunity to learn and grow from such a thoughtful, bright and selfless person.”

    Kathryn is also an accomplished linguist and is trained in French, Portuguese, Italian, Swahili and Mandarin Chinese.

    Kathryn will receive a Starbucks gift card as a small token of our appreciation for her being a great preceptor. Thanks for your investment in our FNU students, Kathryn!

    Click here to read more on previously recognized preceptors, or to nominate a preceptor.

    At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community that are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

  • Featured Preceptor: Kathryn Carr, CNM

    Featured Preceptor: Kathryn Carr, CNM

    Kathryn Carr, CNM, (left) pictured with SNMs Nicole Mapes (center) and Cecile Sampson (right).

    Frontier Nursing University (FNU) preceptor Kathryn Carr, CNM, from St. Elizabeth’s Medical Center in Boston, Mass., was honored as FNU’s “Featured Preceptor” for the summer term. Kathryn was nominated by Clinical Director, Dr. Jane Houston.

    With over a decade of experience, Kathryn consistently takes several students each term in her Boston midwifery practice and provides a very high standard of care. She has precepted for FNU for over five years, and students find her positive, caring and an excellent role model.

    Most recently she precepted FNU students Nicole Mapes and Cecile Sampson. In addition to her clinical practice, she is very active with ACNM leadership. She was recently inducted as a 2016 Fellow of ACNM and the Region One representative for ACNM.

    “Kathryn has become a pivotal influence on my road to becoming a successful CNM,” said Mapes. “She has shown me what a joy and opportunity precepting can truly be, which has made me excited to teach future midwives. I am eternally grateful to have the opportunity to learn and grow from such a thoughtful, bright and selfless person.”

    Kathryn is also an accomplished linguist and is trained in French, Portuguese, Italian, Swahili and Mandarin Chinese.

    Kathryn will receive a Starbucks gift card as a small token of our appreciation for her being a great preceptor. Thanks for your investment in our FNU students, Kathryn!

    Go here to read more on previously recognized preceptors, or to nominate a preceptor.

    At the heart of Frontier Nursing University is a talented and diverse community of students, alumni, faculty, staff, Couriers and preceptors. Spotlight blogs feature members of our FNU community that are focused on the mission of educating nurse-midwives and nurse practitioners to deliver quality health care to underserved and rural populations.

     

  • Frontier Meets the Big Apple: National Midwifery Week

    Frontier Nursing University (FNU) is heading to the Big Apple! FNU students, alumni, faculty, staff and supporters will flood into New York City during during National Midwifery Week on October 1-7, 2017, for several events celebrating and supporting the important work of nurse-midwives. The United States has the highest rates of maternal death and injury, the lowest birth weights, and the widest disparities in the entire developed world. FNU hopes to raise awareness of how nurse-midwives are a part of the solution.

    What’s Happening:

    FNU Case Presentation Days

    First, Frontier students, alumni, faculty, preceptors and friends are invited to attend the FNU Case Presentation Day on Friday, Oct. 6. The Case Day presentation will be followed with light refreshments and fellowship.  Case Presentation Days are organized by FNU RCFS (Regional Clinical Faculty) to provide opportunities for networking in the region.  Students doing their clinical practicum will present cases to facilitate group discussion of management options and to promote the pathways of critical thinking.

    The Today Show

    FNU will be making an appearance on The Today Show on Friday, Oct. 6. Frontier graduate Dwynn Golden, RCF, and Angela Bailey, FNU Associate Director of Development, will represent the FNU community in the outside audience along with a growing number of FNU community members. Participants are encouraged to bring baby dolls from home to gain the attention of the Today Show crew. Free T-shirts will be distributed as Frontier is hopeful for a large crowd and a live TV interview!

    Miles for Midwives 5K

    The third event of the National Midwifery Week is the running (or walking!) of the Miles for Midwives 5K! The race, in its 15th year, will be run on Saturday, Oct. 7, through Prospect Park in Brooklyn. FNU supporters are encouraged to join the Frontier group at the race. Once again, Frontier aims to be a visible presence in the event, which raises funds for midwives in New York City.

    The whole weekend is designed to celebrate the work of nurse-midwives. The community at FNU is hoping the events help bring attention to our country’s high maternal death and injury rates, and the vital role that nurse-midwives play in filling this healthcare gap.

    Did you know that black mothers are three to four times more likely than white mothers to die from pregnancy and childbirth? These racial disparities affect black mothers whether they live in urban centers or in rural areas and whether they are affluent or poor—and in some parts of the U.S., the gap is widening. FNU is committed to raising awareness of the issue and educating the healthcare providers that can make a difference.

    How YOU can participate:

    To RSVP for the FNU Case Day Presentation, please contact Dwynn Golden at dwynn.golden@frontier.edu or (607) 547-6190

    To RSVP for participation in the Today Show and Miles for Midwives 5K, please contact Angela Bailey at angela.bailey@frontier.edu or 859-899-2533.

    You can join the conversation about these events on the FNU New York Facebook event page!

  • Spring Term 2017 Circle of Caring Award Winners

    Spring Term 2017 Circle of Caring Award Winners

    Frontier Nursing University (FNU) is pleased to announce Susan Morgan and Jackie Brooks as the Spring Term Circle of Caring Award winners! The Circle of Caring Award is a new recognition for faculty and staff who go above and beyond their job duties and strive to uphold FNU’s mission and Culture of Caring everyday. One faculty and staff member will be recognized each term.

    FNU faculty and staff were invited to nominate someone anonymously. Nominations were then voted upon by a committee based on the following Culture of Caring characteristics: professionalism, mutual support, respect, positive communication and inclusivity.

    Susan Morgan is the FNU Academic Resource Coordinator. Susan’s nominations included the following statements:

    “While Susan is always helpful, respectful, and courteous to students, faculty, and staff, her behavior far exceeded those attributes during the most recent Bridge Bound….Susan’s heart for our students, mission of Frontier, Circle of Caring were displayed that evening through her Inclusivity, Mutual Support, Positive Communication, Respect, and Professionalism. We are truly fortunate to have Susan as an FNU employee!”

    Jackie Brooks, DNP, CNM, WHNP is the Director of the ADN Bridge Option here at FNU and is also a Course Coordinator.  The following are excerpts from her anonymous nomination:

    “After arriving on campus for Bridge Bound, a student received word that her {child} had been involved in a very serious accident.  Jackie and {staff} worked endlessly with this student to help arrange flights, a ride to the Lexington airport…”

    Both Susan and Jackie will receive a framed certificate, a $50 gift card and will be featured in various FNU communications.

    We are so grateful to have Susan and Jackie as a part of the FNU Community!

    Do you know a FNU staff or faculty member that goes above and beyond? Nominate them now for the Circle of Caring Award!

  • FNU Hosts Diversity Impact Student Conference

    FNU Hosts Diversity Impact Student Conference

    By: Wilvena McDowell-Bernard, Program Coordinator, Diversity Initiative PRIDE

    Moving Forward at the 7th Annual DI Event
    Frontier Nursing University hostedits 7th annual Diversity Impact student conference, June 1-4, 2017 on the historic FNU campus in Hyden KY. This year’s theme focused on “Moving Forward: Uniting through Diversity” where students, alumni, faculty, staff and guests united for team building tasks, cross-cultural activities and collaborative discussions to address health disparities and ways to improve minority health among underrepresented and marginalized groups.

    FNU Diversity Impact 2017
    The conference started off with an impactful welcome address by FNU President Dr. Stone, as she inspired attendees on ways nurses can use their leadership skills to impact and affect health disparities among underserved and underrepresented patient populations. Attendees then rolled up their sleeves to engage in an arts and craft session that explored their creative intuitions to highlight cross-cultural communication and its’ unique role in the nursing profession.

    The arts and craft activity offered attendees insights into understanding what cultural language barriers may feel like from a patient and provider perspective in healthcare. FNU PRIDE student, LaTonya Rice, reflects on what she learned from the activity, “Learning to listen to patients more…will help me to be a better communicator when I’m providing care to my clients.”

    FNU Explores Rural Health on a Field Trip!
    Students enjoyed a field trip to Hurricane Creek Miner’s Memorial in the appalachian mountains, and toured the site commemorating the 1970 Finley Mine explosion, which claimed the lives of thirty-eight coal miners with only one survivor.  One aspect of the memorial shed light on various health conditions many coal miners endured on a daily basis. Attendees traced historical events to further explore rural health in Appalachia.

    Diversity Impact Takes the Challenge
    The enthusiastic Mannequin Challenge activity brought everyone together to create awareness of the Diversity Impact event and to showcase how participants are impacting health care within their communities. The Mannequin Challenge illustrates that everyone has a role at the frontlines of healthcare to combat health disparities.

    Afterwards attendees also enjoyed a cookout and nature tour of hidden trails around the Wendover House used by Mary Breckinridge during the early years of what was then called Frontier Nursing Service (FNS).

    Sessions Address Social Issues of Today
    A range of diversity topics were led by nationally recognized guest speakers, faculty, staff, and students. Attendees learned the importance of cultural linguistics with Premier Speaker Capt. James l. Dickens from the US Dept. Health & Human Services, Office of Minority Health (OMH). Capt. Dickens discussed the linguistic relationship between language, culture, and how language barriers and lack of cultural awareness can dramatically impact patient/provider healthcare services.

    Vaishu Jawahar, a 2016 Courier Intern, offers helpful advice from what she learned during the sessions, “As healthcare providers…you have to be able to take care of everyone or at least make them feel comfortable enough to seek out your care.”

    Attendees learned hidden facts about the role Appalachia played in Rural & Immigrant Health, the Civil Rights movement, and the economic development of Eastern Kentucky, taught by Shane Barton from the University of Kentucky.
    Keynote speaker and 12th President of the National Black Nurses Association, Dr. Eric Williams addressed the importance of cultural competency among nursing students, and discussed ways nurses can foster their leadership skills and mentorship to improve minority health among underrepresented and marginalized groups.  Attendees were encouraged to get active within their communities, school, and local professional nursing chapters.

    Session speaker, Dr. Vernellia Randall, national author of “Dying While Black” (2006), walked through the historic timeline of health disparities linked to care administered to minorities, along with various racial barriers that limit and sometimes restrict access to care. She also explored the lack of minority health professionals along with cultural bias and racial micro-aggressions that impact care provided to culturally diverse patients.

    Attendees enjoyed a surprise guest appearance by nationally recognized author, Dr. Scharmaine Baker of the NOLA the Nurse children’s book series. Dr. Baker was recently featured on NBC Universal TV for the “Harry” Show.
    During the conference, attendees were provided with helpful  resources on Gender-Identity, Sexual Orientation and Trans-appropriate Patient/Provider Care from FNU Faculty Member Dr. Trish Voss, on nursing practices for LGBTQ patients and communities.

    Attendees took a journey through the relationship of global midwifery from a Mayan midwifery perspective. Student speaker Essence Williams of class 140, addressed maternal-child and reproductive health amongst vulnerable populations in Guatemala, including traditional Mayan practices, and cultural rituals of indigenous cultures.

    Afterwards, attendees learned how to infuse mindful, relaxation practices to achieve optimal performance in all areas of their lives with student speaker Heidi Carter of class 129.

    Attendees Feel Renewed & Inspired
    By the end of the conference, students, faculty & staff left feeling more empowered and focused on making a positive change in their communities. Laura Willis, an FNU PRIDE Alumni and family nurse practitioner in Ohio, expresses her appreciation and reasons why she continues to return to campus as an alum, “There’s a connection to this pace, to the history that’s here. And there is something so very important about all of the unique perspectives…that re-energizes and reinforces why I do what I do.”

    Click Here for WYMT news report on Diversity Impact

  • Cesarean. Once an Issue, Still an Issue.

    Cesarean. Once an Issue, Still an Issue.

    By: Nicole Lassiter, CNM, MSN, WHNP (DNP class 28)

    Sweat trickled down my skin like rain on a window pane, forming puddles underneath my thick blue nursing scrubs. In the little birth rooms in the free-standing birth center, the labors and births seemed to create more heat than the Texas sun, even in the middle of the night.  Hour after hour, the women stretched and strained, moved and made noise, opened and gave forth life.  For a year as an Americorps volunteer on the border of Mexico, hour after hour I learned how to provide support and to monitor and trust the normal physiologic processes of labor and birth.  The vast majority of the women delivered vaginally, and we transferred those few who needed cesarean sections to the local hospital.

    The vaginal birth to cesarean ratio represented in that small nurse-midwife practice is considered normal and safe for the general population as well.  According to the World Health Organization (2015), since 1985 both national and international healthcare standards have identified an ideal target cesarean rate of 10-15% as safe and reasonable, yet the rate is exceedingly higher in many countries, including the United States (U.S).  The rate of cesarean sections in the U.S. has largely been increasing since 1996, reaching 32% in 2015 according to the most recent governmental statistical data reports (Martin, J.A., Hamilton, B.E., Osterman, M., Driscoll, A.K., & Mathews, T.J., 2017). In other words, about one in three women gives birth by caesarean section.

    Make no mistake, caesarean sections have saved many lives — both for mothers and babies, and when medically necessary, they are an essential surgical procedure.  However, the mistake is that they are performed too often, and often unnecessarily.  If a woman or an infant does not require a caesarean, this surgery will not benefit her and her infant, and will instead expose both to short and long-term risks, some of which are quite serious. Not to mention, many risks extend beyond the current pregnancy, to future pregnancies. This is not a good set up for women and babies, many of whom do not have ready access to obstetrical care (World Health Organization, 2015).

    All right then, you may ask, what do we do? The answer lies both in the individual, and in the larger healthcare system.  Key contributors to both the problem and the solution include: Individual providers and medical staff, professional organizations, administrators, governmental agencies, community advocacy groups, and the patients and families themselves. For example, the professional organizations representing the majority of obstetrical providers in this country, The American College of Nurse Midwives (ACNM) and The American Congress of Obstetricians (ACOG) must continue to address this issue, educate their memberships, and provide resources and tools for change in their practice areas. Hospital administrators must support both providers and patients to give and receive safe, evidence-based care, and one of the most profound examples is the essential role of the nurse-midwife and nurse-midwifery education.

    Nurse-midwifery education and practice is designed to offer care that inherently provides solutions to those issues associated with high caesarean section rates. Maternity care in the U.S. relies heavily on procedures, many of which are harmful, unnecessary, and not evidence-based, yet they are practiced routinely. Patients often lack the information to make informed decisions, or the power to chose when they are educated about their options (Declercq,E.R., Sakala,C., Corry,M.P., Applebaum,S., & Herrlich, A., 2013).

    The basic hallmarks, core values and competencies of midwifery care identify labor and birth as normal physiologic processes and advocate for refraining from medical procedures unless medically necessary. Informed and shared decision-making with patients and families are also essential components of midwifery care (ACNM, 2012). The evidence base as well as ACOG (2016) recognize that certain supportive measures such as continuous support during labor are necessary because they reduce complications and cesarean sections. These practices that support normal physiologic birth and reduce cesarean sections and are traditionally practiced by midwives.

    While there are numerous risk factors associated with cesarean section, the most common reason for primary cesarean is labor dystocia, when labor does not progress quickly enough or when progress is deemed inadequate.  Yet current evidence shows that women and normal physiologic labor progress at a rate much slower than once believed. For decades, many labors and women were considered abnormal and too slow.  As a result, cesareans were often performed, and unnecessarily.  Today, new definitions of normal labor progress will help decrease these unnecessary cesareans, and these new definitions — which are based on normal physiologic processes — are again, those promoted by midwifery care.

    I am reminded of the women and their unmedicated labors and births at the Texas birth center. I have often thought back to my time there as one of profound education and experience of what women can do when cared for by those who know and honor the physiologic birth process. The women had continuous support during their labors, along with patience and good care and management from the midwives and the nurses.  These basic tenets of care are the very skills that will help reduce our exorbitant cesarean section rate.  The good news is that we know the vast majority of healthy women have a very good chance of having a normal vaginal delivery. Their physiology remains capable.  The challenging news is that our system still needs the education and structure to support this.  We must continue to learn how to support this basic normal physiologic process, and have systems that support it as well. Nurse-midwifery education and care is a significant and essential part of the solution.

     

    References

    ACNM Core Competencies for Basic Midwifery Practice. (December 2012).

    American College of Obstetricians and Gynecologists (Reaffirmed 2016). Safe prevention of the primary cesarean delivery. Obstetrics & Gynecology,123, 693–711.

    Declercq,E.R., Sakala,C., Corry,M.P., Applebaum,S., & Herrlich, A. (May 2013).

    Martin, J.A., Hamilton, B.E., Osterman,M., Driscoll, A.K., & Mathews,T.J. (Jan 5, 2017). Births: Final data for 2015. National Vital Statistics Reports, 66(1).

    WHO Statement on Caesarean Section (2015). Executive summary.

     

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