Jessica Bacon Answers the Call … From the White House

May 17, 2023 By Frontier Nursing University

When the White House calls seeking your expertise, it is a pretty good indication that you are doing something right. That is exactly what happened to Jessica Bacon, CNM, APRN, MSN, and her colleagues at Wentworth-Douglas Hospital in Dover, New Hampshire.

Among her duties in the hospital’s Women and Children’s Unit, Bacon is part of Seacoast STRENGTH, the multidisciplinary care team for pregnant people with substance use disorder. She and her colleagues, Katie White, RN, and Lindsay Ginter, Case Manager, met with Federal officials via Zoom to answer their questions about their approach to caring for pregnant people who have substance use disorder.

“As they were getting ready to roll out their recommendations for programming, they reached out to different hospitals that have programs for substance use and pregnancy just to talk about the barriers and what has been working well,” Bacon said of the hour-long meeting with the White House representatives. “They were just trying to gather ideas from different people. We discussed where we currently are at with our program and what our hopes are going forward.”

Their goals are ambitious but attainable, much like Bacon’s were growing up in Ludlow, Massachusetts. By the time she was in high school, she already knew she wanted to work in women’s healthcare. She went to nursing school and worked as a nurse for 12 years before graduating from Frontier Nursing University as a nurse-midwife in 2012.

Like the rest of the country, substance use is prevalent in New Hampshire, Bacon says. A sad fact that led to the creation of the Substance Use Disorder Team.

“It’s an example of something that is being developed out of need, unfortunately,” Bacon said. “In New Hampshire, we have a high rate of opioid use disorder. It’s especially concentrated in the area that we live and work in. The New Hampshire Maternal Mortality Review Committee recently cited that 62 percent of our maternal mortality is related to a drug overdose. In our area, it’s not really the postpartum hemorrhages and untreated hypertension that’s killing people. It’s a drug overdose, particularly seven to 12 months postpartum.”

The overwhelming data demonstrated the need, and Bacon and her colleagues began to develop a plan. With the support of the hospital administration, Seacoast STRENGTH became reality. The learning curve was steep, however.

“From precepting different students, I think that there is now some integration of substance use disorder into the midwifery programs, but it wasn’t a thing when I was in school, and the same was true for most of the providers here,” Bacon said. “We just kind of jumped in and learned everything that we could about it because we were having people present to us in withdrawal. Unfortunately, even though we had local prescribers of buprenorphine, a lot of them wouldn’t prescribe to people that were pregnant because they were concerned about the effect on the pregnancy. There is, in recent years, lots of data establishing that both methadone and buprenorphine are appropriate medications for opioid use disorder in pregnancy.”

The care provided is free of judgment and infused with compassion and a simple desire to help someone who is ill. Treating the immediate threat and establishing a level of trust are essential first steps toward long-term positive outcomes.

“We try our best to normalize it like any other chronic condition – just like people with diabetes need extra care or extra medications,” Bacon said. “This is a chronic disease.”

All patients are screened verbally when they present for alcohol or opioid use. With consent, they may also be drug tested. Bacon says those tests almost always indicate that the street drugs are being laced with any number of other drugs, such as meth, cocaine, fentanyl, and heroin.

“When we get these test results, it reveals that the drugs are contaminated,” Bacon said. “That’s what is contributing to a lot of the overdoses because you don’t know what you’re getting. It’s no longer a single substance in most cases. So, we have to keep in mind the model of risk or harm reduction, where anything we can do for them is better than them getting opioids off the street and having these lethal overdoses.”

There are many hurdles to keeping these patients off the street, starting with getting them to ask for help in the first place. Transportation, insurance, finances, and lack of trust are imposing hurdles. Bacon said the Unit treats between 40 and 50 patients with opioid disorder per year, dating back to 2017.

“Pregnancy seems to be a pretty motivating time for people,” Bacon said. “It’s a time when people want to make changes in their life, but it’s really hard. So it’s not uncommon to make contact with people three or four times before they are even willing to attempt medications. We are in the process of developing a program where people can come to us, and we will support them with initiation for either buprenorphine or methadone. With help of the hospital’s Substance Use Response Team, we have done a lot of training with our providers and nurses for trauma-informed care, motivational interviewing, and all things substance abuse related. With time, the staff has gotten really comfortable with the process.”

As one process is perfected, the next looms on the horizon. Transportation and childcare remain the most significant hurdles for most patients. The thought of having to go to obstetric appointments, recovery services, and their buprenorphine prescriber can be overwhelming.

“Our goal this year is to integrate that recovery care with prenatal care as well,” Bacon said, noting that they have applied for grants to support this goal. “We have a small team of us that are going to provide continuity of care for the prenatal care. They will be able to get their prenatal care and recovery services all at the same time. They are going to come once a week for a two-hour session. An hour of that will be group work with a curriculum where we discuss safety planning, relapse prevention, emotional regulation, and other similar topics. They also will attend classes such as childbirth education and breastfeeding. Included an hour where they can meet individually with me for prenatal care or their case manager to work on the social determinants of health and get the resources that they need.”

These types of projects and planning come naturally to Bacon, who is also the nursing practice specialist at Wentworth Douglas. She is responsible for being up to date on current evidence-based practice and working with her team to implement policies, procedures and programs as needed to fill gaps in care. Because of those responsibilities, Bacon came back to Frontier and is currently enrolled in the DNP program (Class 48).

“In this role as the nursing practice specialist, I’m doing a lot of quality improvement work, and I want to do it right,” Bacon said of her decision to pursue her DNP.

The decision to return to Frontier was just as easy as her initial choice to attend Frontier to become a certified nurse-midwife.

“The initial draw (to Frontier) was the ability to do the courses in my own community,” she said. “I had young kids, and I had a job here. Picking up and moving and going to a brick-and-mortar school was not feasible for me because there are none in my area. Frontier has been doing distance learning for a very long time, and they’ve worked out a lot of the kinks. I think now you’re seeing more and more institutions offer that as an option; they’re still having to work through a lot of those issues, whereas Frontier had done that work long before I got there. My experience there was great.”

Learn more about advanced nursing degrees and specialties at Frontier Nursing University. Subscribe to our blog for the latest news and events at FNU and to get inspired with stories featuring our alumni, students, faculty and staff!

Student Spotlight: Advocacy is essential to nurse-midwifery for FNU student Chantel Haynes

March 2, 2023 By Frontier Nursing University

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 healthcare to underserved and rural populations.

For Frontier Nursing University (FNU) student Chantel Haynes, advocacy has always been a critical part of her journey and career in healthcare. A resident of Sedalia, Missouri, Haynes has been a staunch advocate for informed choice and autonomy among birthing people, Vaginal Birth After Cesarean (VBAC), and for acceptable working conditions among nurses and healthcare providers.

“I have found that advocacy is an essential part of birth work and nursing care,” she said.

Haynes is currently pursuing her Master of Science in Nursing in Nurse-Midwifery and is on track to graduate in 2024. She also works as a PRN nurse with a freestanding birth center in Kansas and a substance abuse clinic in Missouri. Throughout her career in nursing, Haynes has worked as a doula, LDRPN nurse and birth center nurse.

Advocating for Nurses and Better Care

Before becoming a PRN nurse, Haynes served as an acute bedside nurse in a hospital setting for 12 years. After she left this position in March 2022, she heightened her advocacy work for better acute care through safe staffing ratios, safe work environments, and adequate pay for hospital-based and long-term care nurses. She was one the speakers at the Missouri Chapter of the National Nurse March in May 2022. She also advocates through social media, letters to newspapers, and by engaging with government representatives.

“Short staffing has created a dangerous patient care environment,” she said. “This is leading to increased provider workload and stress, which is leading to a lack of access to healthcare, especially for the underserved.”

Haynes also expresses concern for dangerous practice environments for nurses and providers.

“Nurses are being subjected to high patient ratios, unsafe patient care environments, and increased abuse from patients and family members,” she said. “The number of assaults on hospital staff has risen drastically with the degrading environment. Currently, I advocate for change by using my voice and resources to call attention to these horrendous conditions and support others who don’t feel like they have a voice.”

Haynes said she has wanted to earn her MSN in Nurse-Midwifery since becoming a doula in 2001. She decided to pursue her dream through FNU after discussing the program with a co-worker who earned her MSN at FNU.

A Year of Challenges

Haynes’ path to earning her degree has not been without challenges. In August 2021, she experienced severe complications from COVID-19. She was hospitalized for four days and was on oxygen for a total of four weeks. In November of that year, she tore her ACL and gastrocnemius muscle due to decompensation from the virus. These complications set her back two terms from her initial Clinical Bound date.

Amid these struggles, Haynes said staff at FNU have helped her navigate these obstacles in her course work every step of the way.

“My RCF and advisors have been available when I need them, and we have been able to find solutions,” she said. “2021 was a year of frustration between being a bedside nurse caring for COVID patients to becoming one myself. I have found patience at Frontier.”

Haynes is a wife of 30 years, mother of four adult children and has two grandchildren. Outside of her work, studies, and advocacy, she enjoys tending to her garden, taking care of her backyard flock of chickens and ducks, crafting, crocheting, participating in church activities and volunteering in her community.

Thank you, Chantel, for choosing FNU in your path toward earning your MSN in Nurse-Midwifery and for your devotion to healthcare advocacy.

FNU Featured Preceptor: Megan Ferguson Instills Love of Profession in Graduate Nursing Students

August 30, 2022 By Frontier Nursing University

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 healthcare to underserved and rural populations.

Frontier Nursing University is proud to announce FNU alumni, Megan Ferguson, CNM, as the 2022 Spring Term Featured Preceptor! Ferguson was nominated by FNU nurse-midwifery student Megan Webb for always going above and beyond.

Before becoming Webb’s preceptor in Wasilla, Alaska, Ferguson was Webb’s provider for Women’s Health at Alpenglow Women’s Health. Ferguson is the co-owner of Alpenglow Women’s Health, where she serves the women and families of her community, supporting them through their prenatal journey, women’s health issues, and deliveries at the community hospital.

“I was hoping that I would be able to have her as my preceptor,” Webb said. “And when I asked her at my appointment, she had zero hesitation.”

Ferguson had her own difficulties finding a preceptor in Alaska when she was going to school. She had to travel into Anchorage for clinical as there are only a few hospitals in Alaska.

During this time, Ferguson has given Webb exactly what she needed: to be consistently challenged and encouraged to step outside her comfort zone.

“She has instilled confidence, encouraged education, and nurtured growth in me as I transition from nurse to nurse-midwife,” Webb said.

“Watching students grow as they start to make the transition from an RN to an APRN. It’s like watching the synapses form as they link their knowledge, differentials, and decisions,” Ferguson said.

“We need to raise these next generations of practitioners to love and grow their practice so that we can continue to listen to women and provide the care all women deserve.”
– Megan Ferguson, CNM, FNU Preceptor

Ferguson, who precepts nurse-midwifery and family nurse practitioner (FNP) students, hopes to make students comfortable with the learning process and instill a deep love for this profession, which is what drives her.

Ferguson encourages other Advanced Practice Registered Nurses (APRNs) to precept students.

“If we do not help grow our own, who will be left when our bodies give out and it’s time to move on?” Ferguson said. “We need to raise these next generations of practitioners to love and grow their practice so that we can continue to listen to women and provide the care all women deserve.”

Thank you, Megan Ferguson, for your dedication to serving your community and helping educate the next generation of nurse-midwives and nurse practitioners.

Are you interested in becoming an FNU Preceptor? Fill out the form on this page to learn more!

Boston Midwife Prepares to Open Alabama’s First Birth Center

June 14, 2022 By Frontier Nursing University

To the casual observer, opening Birth Sanctuary Gainesville might not make a lot of sense. First, Gainesville is a rural town in Alabama with a population of less than 200. Second, because of state regulations that severely restrict the scope of care nurse-midwives can provide, there are no birth centers in the entire state. That is about to change because FNU alumni Dr. Stephanie Mitchell, DNP, CNM, CPM, plans to open Birth Sanctuary Gainesville later this year. While the uncertainties are many, Mitchell insists, “It will get done.”

Mitchell is the sort of person who finds ways to get things done. Barriers represent an opportunity rather than a permanent roadblock. Even her road to becoming a nurse-midwife was a circuitous one. Where others might have given up and changed course, Mitchell never wavered from her plan.

Growing up in urban Boston, Massachusetts, in the 1980s, Mitchell’s first thoughts of pursuing a medical career began by watching The Cosby Show.

“My very first exposure to childbirth was on television,” Mitchell said of The Cosby Show. “It was very shocking to me because the family would have mirrored my family, except that they were completely different echelons of human society. We were struggling along in the hood, the ghetto, dealing with all the things that 1980s Boston brought for a low-income black family. It was the opposite on TV. The father was an obstetrician, and the mother was a lawyer. That was my first exposure to pregnancy, and the healthy dynamic of that family really appealed to me and stuck with me.”

Her second exposure to pregnancy and her first to obstetrics came a few years later when she was 16 and pregnant. She had collaborative care with an obstetrician and a midwife.

“The way my body was honored during that process of pregnancy is really cemented into my mind,” she said. “I figured out that the word wasn’t ‘obstetrician’ or ‘obstetrics’ – it was ‘midwife’. I thought, ‘How do I do that?’”

She did that by having her baby, finishing high school, attending community college, and going on to earn her BSN from Curry College. She knew she wanted to be a midwife and wanted to attend Frontier Nursing University. She also knew that she needed to gain experience, preferably in labor and delivery. She worked in pediatrics for about six years before getting into a labor and delivery unit, where she worked for six years before applying to Frontier. She continued working in labor and delivery while she earned her MSN and DNP from FNU, the latter in 2019.

“The hospital I worked at was a lovely place in the backdrop of my neighborhood in Boston. I learned so much and have deep respect for my colleagues there,” Mitchell said. “But it was shocking to me to get to the labor and delivery unit and realize that the medical staff was not reflective of the community. I had come from the Boston Children’s Hospital, and we had a very diverse staff. I got to the labor and delivery unit, and it was shocking to be one of three black nurses on a staff of 120 in that unit. That was difficult because there are so many stark cultural differences between the care providers and those that they are caring for.”

Mitchell had learned the importance of diversity at an early age when she was part of a busing program aimed at addressing segregation in the city. She attended school in a predominantly white school system.

“You learn to interact with people who are definitely not from your community,” she said. “To have experience with individuals that don’t look like you, don’t talk like you, don’t have the same cultural norms as you, provides exposure that’s valuable in life. Midwives and advanced nurse practitioners are not always going to be black or people of color or LGBTQ, but you have to have people in place who are truly antiracist and empathetic.”

Mitchell was also concerned about what she termed “the conveyor belt of care” that sometimes persists in hospitals with high volumes of patients. She wanted to practice in a different setting, where more time could be spent with the patients in a less frantic environment. She wanted to open a birth center and started looking into the prospects in Boston. She soon realized that funding would be a problem, as would the significant amount of competition. She shelved the idea temporarily until she and her husband Jamie moved to Gainesville, Alabama, where Jamie had family.

Jamie is a successful pitmaster who got into the catering business. When the catering business became overwhelming, the Mitchells realized that a restaurant would be the better option. Starting a restaurant in Boston would not only be expensive but also involve a great deal of competition.

“He wanted to get rid of the landlord and the competition, so we came down here to Gainesville and built a restaurant,” Mitchell said. The Alabama Rib Shack is open Friday through Sunday, with the capacity to cater as needed.

As they prepared to move, Mitchell began researching places where she might be able to work. She soon found that there are no birth centers in the state. Further, in Gainesville and the surrounding area, there is no access to family planning services, midwifery care, or obstetric care.

“If you’re pregnant, it’s a desert,” Mitchell said. The nearest options are approximately 45 miles away in Tuscaloosa or across the state line into Mississippi.

It didn’t take long for Mitchell to think about opening her own birth center in Alabama. Not only did she need it as a source of income, but the community needed it as well.

“I’ve always valued the low volume, slower-paced care that can be offered through midwifery,” Mitchell said. “I had a good amount of surface information to build on what it would mean to build a birth center in Alabama. It was important to me to work in the black and not be in a situation where I am over my head and sink myself before I get started. Kitty Ernst wisely once reminded me to follow the money. I followed the business model that my husband has followed for years – eliminate the competition and eliminate the landlord. There is no competition in Alabama, and people deserve to have options. To not have it as an option is unconscionable.”

While many would agree with that, few have been as determined as Mitchell to bring about the necessary changes. One of the primary barriers created by the state’s legislation and regulation of midwives is the prevention of independent practice. Mitchell sought out physicians with whom she could partner to provide collaborative care but found none.

Midwives who attended out-of-hospital births in Alabama were jailed until 2019 when the state began issuing midwifery licenses for Certified Professional Midwives (CPM) for the first time since 1976. Contrary to Certified Nurse-Midwives (CNM), who have nursing degrees, CPMs are not required to have a nursing degree. Despite being a CNM, Mitchell had to get a CPM license so she could practice in Alabama.

“I was annoyed that I had to be a CPM because it prevents me from offering those full range of comprehensive health services,” Mitchell said. “ I see the value in being a Certified Nurse-Midwife. I see the value of being able to provide that umbrella of comprehensive care. Why would anyone ever specifically go the path of CNM only to be boxed in a corner to be a CPM? Prescriptive authority, billing insurance, access medications, full-scope care – it’s all gone. Especially in a healthcare desert like Alabama, it doesn’t make any sense. I’m still fighting that battle. It will take a while. But it’s not, ‘we can’t do it,’ it’s ‘we haven’t done it yet.’”

Mitchell says that the Alabama Birth Center Coalition, Alabama Midwife’s Association, the Alabama Board of Midwifery, and the Alabama chapter of the American College of Nurse-Midwives are all lobbying for change. In the meantime, she is pressing forward with Birth Sanctuary Gainesville. For years on their visits to Alabama, Mitchell had admired an old two-story home in Gainesville. Built in 1835, it is a registered historic landmark. It sat empty for years until, shortly after they moved, Mitchell saw that it was for sale. The Mitchells bought it and began renovation and construction to convert it into a birth center.

The roof, soffits, plumbing, electrical, and HVAC all had to be replaced or updated, but the structure was good, and the price and location were right. An exam room and a bathroom have been added, and the work continues with hopes of opening later this year.

“My first goal is to get this birth center opened this year and have our first birth here this year,” Mitchell said.

Grassroots efforts have provided the majority of the funding for the construction of the birth center. One fundraiser is a legacy walkway campaign in which people can purchase bricks and inscribe their own messages. Another fundraiser included the creation of three $5,000 scholarships that will go to BIPOC (Black, Indigenous, and people of color) midwifery students.

“This grassroots effort is a constant return back into the systems we’re working in,” Mitchell said. “It’s been overwhelming. I’ve been filled with gratitude, and I remain so humble about this project, reminding myself that this isn’t a ‘me project.’ This is a project that will impact so many families just to be able to have that access to care.”

Mitchell hopes to continue to give back to the nurse-midwifery profession by precepting students. She knows drawing them to rural Alabama might be difficult so that the birth center will include a special space for students. Mitchell describes it as a calm room where students will be able to rest or sleep in their own private space.

Until the birth center is ready to open, Mitchell is operating as an LLC and providing home birth services as a CPM. She plans to continue to offer home births even after Birth Sanctuary Gainesville is fully operational. She is also working with the University of Alabama-Birmingham’s midwifery program, assisting with course development and serving as an adjunct professor.

“I have been delighted to take part in that program,” she said. “I believe that’s the solution. UAB is a stronghold for the state. They are highly influential, and what better investment into the future of maternal healthcare and pregnancy healthcare than having a school that is going to be educating the midwives? That will lay the groundwork for accessibility in ways that we haven’t even thought about in this state.”

Mitchell has successfully managed to fund the birth center to this point and continues to advocate for more access to nurse-midwifery care in the state. She has overcome many obstacles and knows many more loom ahead, not the least of which is the potential patient population.

“It doesn’t make any sense to build a birth center here,” she said. “The same thing about my husband having a restaurant here. It seems highly unlikely and improbable. But what he has learned is that people will travel for quality. They will do it in Alabama for barbecue in a minute. There is the same sort of model in terms of accessibility. We’re talking zero freestanding birth centers in the state. It becomes a question of, ‘Do you want to travel to get care?’”

Mitchell said that, in order to help with that, they are even considering providing space for families who make the journey with their loved ones. It’s true that travel is a potential hurdle, but true to her nature, Mitchell sees not only the barrier but also the potential solution. In the end, it all makes perfect sense.

Are you interested in learning more about Certified Nurse-Midwives? Learn about the care they provide.

Editor’s Note:
Dr. Mitchell wishes to acknowledge her husband, Jamie. “Making the journey into midwifery with a family could have been my insurmountable obstacle. He’s been my stronghold for the last 20-plus years.” She also expressed her gratitude for the support of her children, Jasmyn, Jaymie, Jayar, and Jesse, and wished to acknowledge former FNU Academic Advisor and current Clinical Advisor Carisa Lipp. “I loved so many of the faculty, but none so much as Carisa. She was the constant person of contact at FNU as I made my way through each term. I can’t say how much her guidance meant. Funny that it wasn’t a midwife who I’d describe as most impactful, but that just goes to show that one’s biggest support can come from unexpected places if you keep your eyes peeled and your heart open!”

FNU Students Earn Honor Society Scholarships

April 11, 2022 By Frontier Nursing University

Each fall, Frontier Nursing University’s (FNU) Chi Pi Chapter of the Sigma Theta Tau International Honor Society of Nursing (STTI) awards several students with financial scholarships. To qualify for STTI membership, students must have completed at least a quarter of their degree program, hold a 3.5 or higher grade point average and demonstrate academic excellence.

This year, three nurse practitioner students received the scholarship, including Jazmin Townes, Joanna Wilder, and Sarah Logan. Congratulations to FNU’s Fall 2021 Chi Pi scholarship recipients! The FNU community is proud of your dedication to hard work.

Meet Our Scholarship Recipients:

Jazmin Townes, from South Carolina

Jazmin Townes is in FNU’s Nurse-Midwifery program. In her scholarship essay, Townes detailed her goals for after graduation of opening a birth center on the island of St. Thomas, allowing women to have more choices regarding their birthing and overall health needs.

“I give all glory and honor to the Most High for allowing this blessing to fall upon myself and my family. As a new mother of a sweet baby boy, this scholarship will aid in the completion of my master’s degree as clinical rotations are on the horizon. Becoming a Certified Nurse-Midwife has been a dream of mine as I admired many women who were midwives and doctors growing up in the Caribbean. My grandmother was a midwife on the island of Anguilla. When she migrated to the United States Virgin Islands she gave up her passion to care for her 4 children by working in a jewelry store. Her story motivates me to excel in Frontier’s Midwifery program. With clinical rotations approaching I will be 192 miles away from my 5 month old baby boy. Not only is this heartbreaking but nerve-racking. I want to make my husband and son proud of this accomplishment and receiving this award is just the beginning of that. The funds from the scholarship will pay for the preparation of my Clinical Bound and travel expenses to my clinical site. I am humbled and honored to be a Chi Pi recipient. “ – Jazmin Townes

Joanna Wilder, from Tigard, Oregon

Joanna Wilder has been a nurse since 1990, working in a hospital setting and at a birth center, and is now working towards becoming a Certified Nurse-Midwife. After graduating, Wilder plans to continue her education and get her DNP, focusing on the role of pregnancy and birth in the healing of childhood trauma. She would ultimately like to teach future midwives the sacred work of holding healing spaces during pregnancy and birth.

“I want to express my heartfelt gratitude for the Chi Pi scholarship, which I have been awarded twice during my master’s program. I am a Certified Professional Midwife, and had to close my practice when I started the Frontier nurse-midwifery program. I worked as a nurse educator during the didactic terms, and then made the hard choice to stop working to give my full attention to clinicals. We have been carefully budgeting my husband’s disability/social security income. The scholarship money came exactly when the need was the highest. It was incredibly humbling; and reminded me that this journey is to be made with open hands. Holding a space of curiosity, I can wonder how our needs will be provided; rather than try to figure it out by the strength of my will. Watching our needs be met has led to deep conversations with my 3 teens at home, and with my adult kids who are intimidated by grad school costs. If I can graduate with my MSN at 55, and move into the Companion DNP, then they can too! Frontier truly embodies the culture of caring. So grateful for this community.” – Joanna Wilder

Sarah Logan

Sarah Logan is an FNU Certified Nurse-Midwife graduate and is currently pursuing her Doctor of Nursing Practice (DNP). Logan has been involved in nursing education for several years now and has taken on many leadership roles. With the help of a colleague, she is working towards opening an outpatient mobile clinic to serve the migrant population in her city with prenatal and well-visit care. With the scholarship, Logan plans to continue working on projects that make a lasting impact in her community.

To find out more about Chi Pi and apply for the 2022 scholarship, please visit our Honor Society Page. We encourage all students and prospective students to check out the various scholarships offered at FNU.

Alumni Spotlight: Ingrid Andersson, CNM, brings compassionate care to her community while advocating for reproductive justice

March 16, 2022 By Frontier Nursing University

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.

For Madison, Wisconsin-based Certified Nurse-Midwife (CNM) and Frontier Nursing University alumni Ingrid Andersson, the fundamental rights of pregnant people has always been at the forefront. Andersson believes that reproductive justice should be actively defended and that these rights, as defined by Loretta Ross of the Sister Song Reproductive Justice Collective, include the right to have children, the right to not have children and the right to parent children in safe and healthy environments.

“Throughout my career, I have worked to ensure pregnant people’s access to a full spectrum of pregnancy options, at the same time working for safe and healthy environments,” she said.

Andersson earned her post-graduate certificate (PGC) in Nurse-Midwifery from FNU in 2000. She has worked as a CNM through a private home birth practice for 21 years.

As a CNM in a private practice, Andersson said her model of care is not based on “provider/patient,” but on a healthcare partnership.

“I learn as much or more from my families as they do from me,” she said. “It is also very prevention-oriented, so much of our hour-long visits are spent in discussing things like work stress, relationships, nutrition and COVID management.”

Andersson said though many people are aware of the effect stress and anxiety can have on a pregnancy, these factors also can have an effect on breastfeeding. To address this, Andersson founded Mothers’ Milk Alliance, Inc. (MMA) in 2007. The organization is designed to provide mothers who cannot produce enough breast milk (in the short-term or long-term) access to breastmilk from donors. Today, MMA has five community freezers, and about 6,000 ounces of breast milk is moved in and out of their facilities each month. Those who donate breast milk to the organization are tested by volunteer midwives and the organization also receives support from local physicians and lactation consultants.

In addition, Andersson was included on the founding steering committee of the Wisconsin Environmental Health Network (WEHN). A group of healthcare professionals who collaborate with local environmental advocates, WEHN works to inform healthcare professionals, the public, and policy makers about the effects of environmental toxins and climate change on public health. This year’s virtual conference, which began in February and will continue through March, focuses on various topics including the health and financial burdens of extreme heat and what health professionals should know about protecting vulnerable populations from environmental and occupational harm.

Andersson also is the co-founder of Pregnancy Options Wisconsin: Education, Resources & Support, Inc. (POWERS). The organization is made up of volunteer doctors, midwives, doulas, educators, and activists who are committed to pregnant people’s informed choice and access to all pregnancy options.

“I believe that a career of connecting dots and walking bridges between practitioner and activist, individual and community, health and environment, has helped build the strong relationships that my community enjoys between home and hospital,” she said.

Just as Andersson’s career influences her advocacy, it also influences another one of her passions: poetry. She recently released her first published book of poetry, entitled “Jordemoder: Poems of a Midwife.” Published by Holy Cow! Press, the book draws upon Andersson’s experience as a Certified Nurse-Midwife with an academic background in medical sciences, anthropology, and European literature and languages. “Jordemoder” is the Swedish and Danish word for “midwife.” “Jord” translates to “earth/ soil/land/world,” while “moder” translates to “mother.”

“The word, for me, captures midwifery as a metaphor for an ecology or a reciprocity of world relationships, as much as the literal processes of pregnancy, birth and early parenting,” Andersson said.

Since earning her certificate from FNU, Andersson has precepted several Frontier students and continues to enjoy meaningful relationships with them.

“I loved – still love – [FNU’s] legacy of turning around abysmal, shameful local health statistics and its benchmark history in serving families at home,” she said. “I continue to work with Frontier colleagues and students and love the ongoing connection and support as a preceptor.”

FNU is incredibly proud of Andersson’s work as a healthcare professional and passionate advocate. She is an exceptional example of FNU’s Culture of Caring.

To read more alumni stories, visit the FNU Alumni stories page.

FNU Celebrates Women’s History Month with FNU History Faculty Expert, Dr. Anne Cockerham

March 14, 2022 By Frontier Nursing University

March is Women’s History Month. During this time, we aim to celebrate and recognize women’s achievements in history, raise awareness against bias, and take action for equality.

Dr. Anne Cockerham

This month Frontier Nursing University (FNU) will highlight a few female leaders at FNU in Q&A style blogs. The first person we want to spotlight is Dr. Anne Cockerham, PhD, CNM, WHNP-BC, CNE, FACNM, FNU Professor and Course Coordinator, whose scholarly focus is on nursing history.

Jump to Q&A

Both midwifery and nursing are professions in which women have been at the forefront, including many women who are associated with the history of FNU.

FNU’s rich history begins with the Frontier Nursing Service (FNS) which resulted in remarkable outcomes as these nurse-midwives served the people of eastern Kentucky. This work drastically reduced maternal and infant mortality, included widespread implementation of extensive public health interventions such as sanitation and vaccinations, and the provision of primary and inpatient health care to thousands of people who previously had little access to care.

While we want to celebrate the achievements and perseverance of those who pioneered midwifery in the United States, we should also acknowledge and be aware of any wrongdoing and harmful thinking and actions by them.

“Now, I think the time is right for us to reexamine our history with a careful eye toward identifying any harms that have been done, inequities that have been perpetuated, privilege that has been afforded to some but not all, and opportunities that have been lost,” Dr. Cockerham said. “In other words, I’m glad that historians and those interested in history are moving beyond unquestioning celebration of accomplishments and toward a more nuanced examination of the past.”

Dr. Cockerham believes the most enduring legacy of the FNS is the school that began in 1939 and continues to be in operation today as FNU.

“The large number of well-prepared midwives who come from the FNU program, particularly since the beginning of the distance learning program in 1989, has dramatically increased the nurse-midwifery workforce in the United States,” Dr. Cockerham said. “I’m so proud to be a graduate of the program and now a long-time faculty member!”

To celebrate Women’s History Month, we asked Dr. Cockerham a series of questions in hopes of inspiring and empowering all people to continue to work towards equality and raising awareness of the bias women face or have faced.

Women’s History Month Q&A with Dr. Cockerham:

What advice would you give to women in your field (midwifery/nursing/healthcare)?

Midwifery and nursing are dominated by women so I think it’s particularly important to seek out, respect, and celebrate differences. Diversity of all kinds enriches us and can make midwifery and nursing even stronger.

Tell us about a woman you look up to and why.

There are so many folks who are so inspiring that it’s difficult to choose just one. But one woman who comes immediately to mind is Angela Smith, the Executive Director of the Accreditation Commission for Midwifery Education (ACME). I serve as the ACME chairperson, so I have the great privilege of watching Angela’s work up close. She started in the ACME Executive Director role in the early days of the COVID-19 pandemic, and she has gracefully and skillfully navigated the many challenges ACME has faced (along with the rest of the world). Angela is the epitome of equanimity. She is unfailingly professional and utterly unflappable. She is kind, caring, and optimistic, yet realistic. She builds collegial relationships and always keeps her eye on the long-term plan. I learn from her every day and I’m so grateful to work with her.

Do you have a favorite quote about female empowerment or from a female influencer?

In my role as a teacher, I find Dr. Cate Denial’s work to be powerful. Although I have always gravitated toward a certain approach to teaching, Dr. Denial’s description of the Pedagogy of Kindness has helped me put words to what is in my heart as a teacher. Here’s a quote from Dr. Denial:

Kindness as pedagogical practice is not about sacrificing myself, or about taking on more emotional labor. It has simplified my teaching, not complicated it…I’ve found that kindness as pedagogical practice distills down to two simple things: believing people, and believing in people…A pedagogy of kindness asks us to apply compassion in every situation we can, and not to default to suspicion or anger. When suspicion or anger is our first response, a pedagogy of kindness asks us to step back and do the reflective work of asking why we’re reacting in that manner.

Is there anything else you would like to share to empower women or encourage people to create change that positively impacts women?

In our work as midwives, WHNPs, and educators, I think one of our most important goals should be to work to make pregnancy, birth, and the postpartum period safe for ALL birthing people. This work includes being humble and listening to members of communities that have been historically marginalized. It includes welcoming folks into the profession who represent the communities they serve, and then humbly asking how we can support their success. It includes acknowledging and mitigating the harms that we have perpetuated on individuals and communities. It includes learning and learning some more, until all birthing folks are safe and satisfied with their care.

We thank Dr. Cockerham for her work in midwifery, education and nursing history. Dr. Cockerham is an FNU alumni (CNEP class 27, graduated in 2001) and has been a faculty member since 2009. She has cared for patients in private midwifery and midwifery and physician practices, a military hospital, Planned Parenthood, and a Free Clinic.

Dr. Cockerham is the author of two award-winning books that celebrate the history of the Frontier Nursing Service: Rooted in the Mountains, Reaching to the World: Stories of Nursing and Midwifery at Kentucky’s Frontier School, 1939-1989, published in 2012, and Unbridled Service: Growing Up and Giving Back as a Frontier Nursing Service Courier, 1928-2010, published in 2014.

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FNU All-Access Podcast Episode 6: What’s So Special About Birth Centers?

February 25, 2022 By Frontier Nursing University

Episode 6 of the Frontier Nursing University (FNU) All-Access Podcast features an in-depth look at birth centers and their place in the healthcare system. Frontier faculty Drs. Jill Alliman, DNP, CNM, and Diana Jolles, Ph.D., CNM, are joined by Kate Bauer, MBA, from the American Association of Birth Centers (AABC) in a discussion about a research project in which they were all involved. They share the findings of the project and what the data reveals about birth centers, including overall health outcomes and disparities, and the need for more midwives of color leading birth centers.

The conversation also includes an explanation of the differences between hospital-based birth experiences and birth center-based birth experiences. Additionally, the differences between midwifery-based maternity care and physician/hospital-based maternity care are discussed.

The trio also talks about the deep connection between FNU and the AABC, the role of the AABC, and their own roles and experiences at FNU and AABC, respectively.

What You’ll Learn From This Episode:

The difference between maternity care in birth centers and hospitals
The study that Kate Bauer and Drs. Jill Alliman and Diana Jolles participated in, its purpose and findings
What the data reveals about the impact of birth centers in overall health outcomes
The need for more birth centers led by midwives of color
The role of the American Association of Birth Centers and how to join the organization

Listen to the Full Episode:

Full Episode Transcript

Enjoy the show?
Be sure to follow the Frontier Nursing University All-Access Podcast on Google Play, Apple Podcast, Spotify, or wherever you find your podcasts. Visit the FNU All-Access Podcast page here.