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  • Student Spotlight: IHI StoryBoards

    Student Spotlight: IHI StoryBoards

    Student Spotlight: IHI Storyboards

    As the year of 2017 came to a close, 19 Frontier Nursing University (FNU) students were busy crafting documents called “storyboards.” Each student worked meticulously to identify an area of healthcare that could use quality improvement, test improvement methods, gather data, and share a clear study of their results compiled into a one-page storyboard.

    The Frontier students presented their storyboards to a group of interprofessional faculty in December at the 2017 The Institute for Healthcare Improvement (IHI) National Forum.

    Below are just a few of the impressive projects submitted by Frontier students.

     

    Student: Lana Bernat, CNM

    Project: Improving effective care through CenteringPregnancy model fidelity in a military setting

    Summary: Lana Bernat, CNM and her team sought to improve the CenteringPregnancy model in one military setting from meeting of the Essential Elements of the model 82% to 90%. They saw an increase to 95% model fidelity.

     

    Student: Tracy Hicks, NP

    Project: Effective Screening and Treatment of Depression in Adults living with HIV/AIDS at a Federally Qualified Health Center (FQHC)

    Summary: Tracy Hicks, NP and her team aimed to increase provider screening and treatment of depression at a special health resources facility in those living with HIV/AIDS from 59% to 100% in 90 days. The outcome was a 27% improvement in depression screening rate and a 29% increase in patients receiving appropriate care.

     

    Student: Crystal Gulotta, MSN, CNM

    Project: Increasing timely skin-to-skin care post cesarean to increase exclusive breastmilk feeding

    Summary: Crystal Gulotta, MSN, CNM along with her team, sought to increase timeliness of skin-to-skin care for the post-cesarean dyad to increase exclusive breastmilk feeding (EBF) at discharge to 30% over a period of eight weeks. They measured that EBF at discharge increased to 50% and the new mothers’ confidence increased to 100%.

     

    Student: Katherine Meine, CNM

    Project: Pregnancy Unshackled: Increasing equity through implementation of perinatal depression screen and treatment for incarcerated women

    Summary: Katherine Meine, CNM and her team aimed to screen 80% of pregnant and postpartum women that came into a county jail for Perinatal Depression. Their results saw 90% of women screened. Of those, 46% had positive screenings and 57% started treatment within the facility.

     

    Congratulations to all 19 students whose storyboards are on display in the national forum for the year of 2018!

    See all 2017 IHI Storyboards

  • Featured Preceptor: Jana Sund, CNM

    Featured Preceptor: Jana Sund, CNM

    Featured Preceptor: Jana Sund, CNM

    Frontier Nursing University (FNU) preceptor Jana Sund, CNM, from Kalispell Regional Health Care, Kalispell, MT, was honored as FNU’s “Featured Preceptor” for the winter term. Jana was nominated by recent nurse-midwifery graduate, Debbie Miller.

    With a genuine interest in molding new and future CNMs, Jana constantly gives of herself as a teacher, mother, and women’s care provider. In her position at FamilyBorn Maternity and Women’s Health, she takes a holistic, patient-centered approach to care for all of her patients, which include women from the start of menstruation through menopause.

    Jana serves as an National Health Service Corps (NHSC) provider as well as cares for women’s with health insurance coverage. She also started a nonprofit community postpartum depression/mood disorder support group. At its beginning, it served women from her clinic, and since has grown to serve women in the entire Flathead Valley and outlying counties. Jana recently precepted her nominator Debbie, who said she gained a tremendous amount of knowledge from Jana’s practice.

    Jana Sund, CNM
    Jana Sund, CNM, helps student nurse-midwife Debbie Miller, celebrate her 24th birth.

    “She has a giving heart and thrives on caring for others,” said Miller. “Each of her patients leave the office with a sense of security, having been heard and their concerns and fear validated.”

    Jana is the secretary treasurer of the Montana ACNM affiliate group. She was also the recipient of the Varney award during her time at the University of Utah midwifery program.

    Jana 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, Jana!

    G0 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.

  • FNU to host 8th Annual Diversity Impact Student Conference

    2018 Diversity Impact Student ConferenceIf you want to make a difference in providing care to rural and underserved communities, consider this your personal invitation. On June 7-10, 2018, Frontier Nursing University (FNU) will hold the 8th annual Diversity Impact Student Conference, a one-of-a-kind experience designed to “Promote Recruitment and Retention to Increase Diversity in Nurse-Midwifery and Nurse Practitioner Education.”

    When: June 7-10, 2018

    Who: If you are currently a FNU student or FNU Alumnus, this event is FREE for you! Hosted by FNU’s Diversity PRIDE student organization, Diversity Impact 2018 will open the door for nurse-practitioners and midwifery students to engage in collaborative discussions, address health disparities, and find proactive solutions to improve minority health among underrepresented and marginalized groups. You will hear an inspiring lineup of speakers, and engage in a variety of ways with other students as well as FNU faculty and staff members.

    Where: The conference is hosted at Frontier’s campus, nestled in the scenic mountains in eastern Kentucky. With such beautiful surroundings, you can take time to engage with nature during your free time between conference sessions.

    2018 Diversity Impact Student ConferenceWhat: Throughout the four-day conference, you will:

    • Attend sessions hosted by nationally recognized nursing leaders
    • Engage in cross-cultural activities and intercultural workshops
    • Participate in team-building exercises, cultural competency awareness training, and open dialogues
    • Network with available FNU students, community leaders, faculty and staff
    • Learn nurse-leadership strategies to care for diverse patient populations

    How to Register: Click here to register for the 2018 Diversity Impact Student Conference. All attendees (students/alumni) will be responsible for arranging their mode of transportation to and from campus (i.e- flight, rental car, etc.). Seating reservations, campus room and board will be given on a first-come, first-serve basis until the conference has reached maximum capacity.

    Take me to the 2018 Diversity Impact Student Conference home page

    2018 Diversity Impact Student Conference

  • Frontier Continues Valuable Partnership with Drexel

    Frontier Continues Valuable Partnership with Drexel

    While earning a degree in the medical field is certainly beneficial to Frontier Nursing University Logoaspiring health professionals, Frontier Nursing University (FNU) takes the educational experience one step further. For the third consecutive year, FNU is partnering with Drexel University to bring midwifery students an Interprofessional Education Simulation Learning Experience.

    This groundbreaking program fosters collaboration among health providers, initiates interprofessional communication to improve patient care, and educates providers on the role of the nurse-midwife in providing comprehensive care.

    Frontier began sending nurse-midwifery students to Drexel for simulated learning experiences in 2015, and now takes up to six students three times throughout the year (January, April and November). Assistant Professor Dr. Sarah Smith, DNP, CNM, and Associate Professor Jane Houston, DNP, CNM, Clinical Director for CNEP and Women’s Health, head up the collaboration from the Frontier side. They work with dynamic husband and wife duo Drs. Owen Montgomery, MD, OBGYN, and Kym Montgomery, FNP, from Drexel to bring this partnership to life.

    The simulation is a live, day long experience at Drexel University, however other modes of teaching related to this are also integrated including a preconference and post conference case presentation. FNU nurse-midwifery students then travel to Drexel University’s Center for Interprofessional Clinical Simulation and Practice in Philadelphia, Pa., to enter the simulation.

    Students participating in the simulation are carefully assigned into “cohorts” by Dr. Kym Montgomery. Cohorts could include Drexel WHNPs, undergrad student nurses, physician assistant students, law students, nurse anesthetist students, medical students, and Ob/Gyn residents. Once participants are prepped and grouped, professional actors play the role of patients in scenarios designed to simulate standardized patient experiences, obstetrical complications and high fidelity situations.

    As students move through the scenarios, they interact interprofessionally communicating, collaborating, and ultimately working to provide safe medical management to the patient in the scenario. Following the scenario, Drexel course faculty, including an APRN and a physician, debrief with the student participants. Another learning experience, students are paired with another student in a different specialty. For example, a WHNP student may be paired with an MD student or resident. Together, they conduct an outpatient office visit with a standardized patient. The students must assess the patient, develop a plan of care and discuss the plan of care to the patient utilizing appropriate teaching strategies. To finish the day, participants deliver Case Presentations in an Interprofessional Classroom Discussion to analyze the scenarios, thinking process, problem-solving methods, and more. This interprofessional forum is what leads to improved patient care.

    “One of the exciting outcomes of the simulation learning experience is that it helps students pursuing other healthcare professions understand the level of care that nurse-midwives provide and the value of working in a healthcare team that includes nurse-midwives,” says Smith.

    Frontier nurse-midwifery students in clinical or attending Clinical Bound are eligible for this groundbreaking program, receiving 12 hours of clinical time. This is a value-added experience that Frontier plans to replicate on its own campus in the near future.

    “Looking to the future, this pioneering model is something we’d love to see replicated at FNU, in the same way Mary Breckinridge, FNU’s founder, hoped to see her healthcare demonstration project replicated across the U.S.,” says Houston. “The simulation learning experience provides a way for students to understand the value of interprofessional communication and how that leads to improved patient care.”

    More on Drexel University’s Center for Interprofessional Clinical Simulation and Practice: http://drexel.edu/cnhp/about/CICSP/

    Related: It Takes a Village: Interprofessional Midwifery

  • Building a Legacy in Haiti: Spotlight on Alumna Nadene Brunk Eads

    blog spotlight - Nadene Brunk 2018A Frontier Nursing University (FNU) alumna and midwifery legacy celebrated her retirement with purpose this month. Nadene Brunk Eads, CNM, was honored on Saturday, January 20, with a party and special fundraiser for Midwives For Haiti, the organization she founded and has poured herself into for the last decade.

    When Nadene graduated from Frontier as a nurse-midwife, a mission trip to Haiti, the poorest nation in the Americas, changed the course of her life. She was struck by the statistics she witnessed firsthand: Haitian women die during childbirth at a rate 12 times that of women in the United States, and a severe lack of resources and skilled care for birthing mothers made Haiti one of the most dangerous countries for childbirth in the world.

    Moved by a desire to provide a long-term solution, Nadene rounded up a team of volunteers and began to train Haitian nurses to be skilled birth attendants. The nonprofit organization Midwives For Haiti was born in 2006, with Nadene at the helm as executive director. In 12 years, Nadene founded a school, saw hundreds of American medical professionals and nurse-midwives volunteer time and knowledge, and made it possible for dozens of Haitian nurses to receive invaluable instruction in order to help mothers from pregnancy through postpartum recovery.

    While Midwives For Haiti and the Nadene Brunk Eads School are continuing to grow, Nadene will be passing the torch to Jessica Jordan to enjoy retirement.

    To celebrate Nadene’s distinguished legacy, a dinner party and fundraiser was held by Midwives For Haiti. The guest count totaled over 100, including several FNU students and alumni. One very important alumna and Mary Breckinridge Chair, Kitty Ernst, was the keynote speaker for the evening and spoke on the importance of having vision.

    Dinner was followed by live entertainment, award presentations, photo slideshow, shared stories, toasts, cake and the unveiling of a very special Haitian painting given as a gift to Nadene. Guests were also able to write special memories and messages on cards for Nadene to cherish for years to come.

    With a legacy of improving maternal health and birth outcomes in Haiti for many years, Frontier is proud to call Nadene Brunk Eads one of our own!

     

    From the Legacy Celebration Dinner:

    Midwives for Haiti Outcomes

    Legacy Celebration Photos

    Related Content:

    Blog story from March 2016 about Nadene Brunk

  • FNU Celebrates Recent Jonas Scholar Graduates

    FNU Celebrates Recent Jonas Scholar Graduates

    Spotlight on Jonas Scholar GraduatesFrontier Nursing University (FNU) is proud to announce four Post-Master’s DNP students as Jonas Scholars for the 2016-2018 Cohort. FNU first forged a partnership with the Jonas Center for Nursing and Veterans Healthcare in 2015, with the goal to identify and invest in high-potential doctoral nursing Scholars. The Scholars program supports educational development of new nursing faculty and stimulates models for joint faculty appointments between schools of nursing and clinical affiliates. The grants, made through institutional awards, also prepare doctoral candidates to address the needs of future patients—from dealing with co-morbidities and chronic illnesses to providing culturally competent care.

    Congratulations to the following Scholars who graduated in 2017:

    Jonas Scholars 2016-2018 Cohort  

    Cassie Belzer
    Cassie Belzer, DNP

    Cassie Belzer, DNP

    Class 24, graduated Dec. 2017 – Montana – Jonas Nurse Leader Scholar – $20,000

    The Jonas Foundation Nurse Leader Scholarship made it possible for Cassie Belzer to attend Frontier Nursing University for her DNP. For her Jonas project, she focused on a nonprofit in her community dedicated to women and families struggling with perinatal mood disorders. She changed the policies in her clinical setting to increase the rate of perinatal mood disorder screening, establish frequent follow-up plans for women and families that are struggling, and ensure referral systems were in place for those needing a higher level of mental health care. Dr. Belzer and her team increased the recognition of perinatal mood disorders from 8% to 26% and will continue working to make that number higher.

    “[I am] forever grateful for the foresight of Mr. and Mrs. Jonas that led them to promoting nurses, so the future of health care can be in the hands of practitioners that strive for the best for their patients.” Cassie Belzer, Jonas Scholar

     

    Ana Verzone
    Ana Verzone, DNP, FNP-BC, CNM

    Ana Verzone, DNP, FNP-BC, CNM

    Class 24 – Alaska – Jonas Nurse Leader Scholar – $20,000

    Ana Verzone participated as a Jonas Nurse Leader scholar and based her Jonas project out of the Kathmandu Valley of Nepal. Dr. Verzone helped to improve effectiveness of communication during emergency transports from rural outreach clinics to the emergency departments of tertiary care hospitals with a standardized hand-off communication protocol. Dr. Verzone’s doctoral project resulted in the establishment of a standardized hand-off communication protocol for emergency transports that included advanced notification with a modified SBAR report (which increased from less than 5% to almost 80%) and written documentation to accompany the patient (which increased from less than 15% to 87%). Use of the standardized hand-off protocol will continue, and will also be implemented in training for future ambulance staff and in association with Stanford University’s work with training EMTs for Nepal Ambulance Services.

    “I was inspired by the important changes that we – as a group of Jonas scholars – were making in the world, and it should not go without saying that I also felt immense pride in being a nurse. This experience has helped me envision future projects that will continue to have an important impact in my local community in Alaska as well as internationally.” – Ana Verzone, Jonas Scholar

     

    Erica Burkhart
    Erica Burkhart, DNP, APRN-FNP

    Erica Burkhart, DNP, APRN-FNP

    Class 23, graduated Sept. 2017- Maine – Jonas Nurse Leader Scholar – $20,000

    Erica Burkhart, a Jonas Nurse Leader Scholar, designed and implemented a quality improvement Jonas project at the University of New England’s Pett’s health center in Biddeford, Maine. Dr. Burkhart’s focus was improving care for students with depression using the screening, brief intervention and referral to treatment (SBIRT) model. Prior to the project, only about 7% of students were being screened for depression at the health center. After implementing the project, screening increased to 80%. The new model allows the health center to identify students struggling with mental health issues and to provide comprehensive treatment, preventing negative consequences of untreated depression including poor academic achievement, social isolation, drug and alcohol use, and suicide. Dr. Burkhart continues her work at a busy primary care clinic, incorporating depression screening into every visit.

    “[I am] grateful for the opportunity to pursue [my] doctorate thanks to the support of the Jonas Family.” – Erica Burkhart, Jonas Scholar

     

    Lana Bernat
    Lana Bernat, DNP, CNM, CPHQ

    Lana Bernat, DNP, CNM, CPHQ

    Class 22, graduated Sep. 2017 – Hawaii – DNP Jonas Veterans Scholar – $10,000

    Lana Bernat participated as a Jonas Veterans Scholar. For her Jonas project, Lana researched CenteringPregnancy group prenatal care, which brings women due at the same time out of exam rooms and into a comfortable group setting, in conjunction with military families. She also interviewed the founder of CenteringPregnancy about her extensive work with group prenatal care. Based on her extensive research, Dr. Bernat’s doctoral project improved model fidelity of a CenteringPregnancy program in a military facility. Dr. Bernat engaged both patients and the facility’s healthcare professionals, which in turn increased CenteringPregnancy program enrollment, increased group size, and improved teamwork perception.

    “Words of thanks seem very inadequate when you reflect on the incredible contributions from the Jonas family to our nursing profession,” Bernat says. “Think about the number of patients and communities touched by the Jonas family. I am one small person, but as members of this amazing Jonas community, we are making a difference everywhere. I am humbled, honored, and grateful to have a place in the family. I feel a sense of responsibility to carry on their commitment for excellence by continuing my work in quality and, in the future, nursing education.”

    Congratulations to our 2016-2018 cohort!

  • FNU Announces 2017 Faculty Innovation Award Winners

    FNU Announces 2017 Faculty Innovation Award Winners

    Faculty Innovation AwardsThanks to generous support from Dr. Alan Howard and family and the Denver Foundation, Frontier hosts the annual Faculty Innovation Awards to spotlight innovation in advanced practice nursing and midwifery education.  The purpose of the Faculty Innovation Award is to recognize faculty members who promote critical thinking and application of knowledge in innovative online learning experiences.

    Each application is evaluated with respect to:

    • Innovative use of evolving technology.
    • Promotion of critical thinking and application of knowledge.
    • Sound evaluation plan and strong, positive evaluation data.
    • Extent of potential effect on student learning effectiveness, future curriculum development, furthering the mission of FNU, or professional practice.

    The winner in each category will receive $2,250 per course.

     

    2017 Winner in Category 1 (Courses that have been through Innovation 101):

    NP702 Primary Care I
    Course Coordinator: Vicky Stone-Gale, DNP, FNP-C, ARNP, FAANP
    Course Faculty: DeLana Gardner, DNP, FNP, ARNP
    Title and brief description of innovative learning activity:
    Breaking Bad News Simulation Activity

    DeLana Gardner, DNP, FNP, ARNP
    DeLana Gardner, DNP, FNP, ARNP
    Vicky Stone-Gale, DNP, FNP-C, ARNP, FAANP
    Vicky Stone-Gale, DNP, FNP-C, ARNP, FAANP

    This online simulation activity allows students to practice giving news of a serious diagnosis to patients through a structured interaction with a standardized patient (SP) via a web conferencing platform, BigBlueButton. After a pre-briefing, each student meets individually with an SP and delivers the news of a recent biopsy result indicating malignant melanoma. The SP responds in an authentic manner and together the student and the SP work through the conversation and planning the next steps in the management process. After the simulation, the SP provides structured feedback about communication and then students gather as a small group for a faculty-facilitated debriefing. Debriefing topics include clinical management as well as role transition, scope of practice, clinician self-care, intra- and interprofessional communication, and continuity of care. After the online simulation and debriefing experiences, students completed an individual written reflection.

     

    2017 Winner in Category 2 (Courses that have not been through Innovation 101):

    NP706 Primary Care III

    Course Coordinator: Jana Esden, DNP, APNP, FNP-BC
    Course Faculty: Debra Hunt, PhD, FNP-BC, GNP-BC

    Title and brief description of innovative learning activity:  Proctored Case Study Assignments

     Debra Hunt, PhD, FNP-BC, GNP-BC
    Debra Hunt, PhD, FNP-BC, GNP-BC
    Jana Esden, DNP, APNP, FNP-BC
    Jana Esden, DNP, APNP, FNP-BC

    Proctored case study assignments in NP706 use graded low-fidelity simulations to assess student knowledge of the content and require a high level of critical thinking from students. Students are given a complex patient situation that they must work through from start to finish using their clinical sources, nursing knowledge, and critical thinking skills. Throughout the assignments, students are required to prioritize differentials or clinical actions in multiple option items. There is also a focus on documentation, and students are required to, for example, place pieces of provided patient information into the proper SOAP note sections using the matching feature. The assignments are open book/note/internet and are administered through Canvas, making use of alternative assessment options that Canvas has to offer. Items are matching, multiple drop down, multiple choice, ranking, and true/false.  

  • Courier Spotlight: Joan Todd

    Joan Todd decided to become a Courier in 1953 through the influence Blog spotlight - Joan Toddof two women well-connected with Frontier Nursing Service (FNS). Joan’s grandmother had befriended Mary Breckinridge in college, and her mother had served as a Courier in her younger years. Although she was hesitant, Joan traveled to Wendover in 1953 to take part in the program.

    Joan served in many roles as a Courier, such as organizing medications, removing the expired medications and stocking new shipments. She also traveled with the FNS nurse-midwives, assisting with deliveries. Joan would occupy the other children in the home during a delivery, and even spent the night with the children during long, overnight deliveries.

    According to Joan, she was incredibly impressed with the knowledge and skills of the nurse-midwives, who delivered the infants into fresh newspapers because they were the most sanitary surface.

    “They were able to deal with whatever came up, all the difficulties of birth,” said Joan.

    One of the tasks Joan took on as a Courier involved her worst fear: riding horses. After an earlier debacle of letting a horse loose to avoid riding it, Joan was asked to travel a large distance from the Hyden hospital to the Red Bird Clinic. She was given a nice, calm horse to ride on the journey. Though her fear of horses started to dissipate, she got turned around and eventually lost near the Kentucky River. Finally, as night was falling, she came upon a farmer who showed her exactly how to get to her destination. Joan considered that experience the most unique one of them all.

    Joan also had the opportunity to interact with Mary Breckinridge during tea time. Breckinridge had the reputation of being stern with many, but she was very sweet to Joan.

    While at Wendover, Joan became especially appreciative of the Eastern Kentucky scenery surrounding her.

    “We don’t realize what a true treasure we have in this state with the Kentucky mountains,” said Joan. “I still think about them and want to go back!”

    The people of the mountains left a lasting impression on Joan as well. Though they did not easily accept outsiders, according to Joan, they warmly welcomed the Couriers, who were recognizable in their white shirts with the FNS emblem.

    In her time as a Courier, Joan not only learned about health care and Appalachian culture, but also discovered a lot about herself. Being a Courier greatly influenced her later decision to study nursing. She attended nursing school for two years before meeting her former husband and getting married.

    Her time as a Courier “was the most enriching experience of my life,” said Joan.

    In 1928, Mary Breckinridge, founder of Frontier Nursing University established the Courier Program, recruiting young people to work in the Kentucky Mountains and learn about service to humanity. Couriers escorted guests safely through remote terrain, delivered medical supplies to remote outpost clinics, and helped nurse-midwives during home visits and births. Frontier has benefited tremendously from the 1,600 Couriers who have served since 1928.

    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 healthcare to underserved and rural populations.

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