Faculty Updates

Faculty news

Since our last edition of The Nursing News, we’ve seen our name “up in lights” at the Buskirk-Chumley Theater as we celebrated World Aids Day; saluted major appointments/promotions for Dr. Marsha Hughes-Gay, Dr. Roxie Barnes, Dr. Kim Decker, and Dr. Greg Carter; received word of a new grant that will enable Dr. Angela Opsahl to host an important, nationwide virtual conference later this year; recognized Dr. Pei-Shiun Chang for her important work in the field of geriatric nursing; and tipped our hat to our Strategic Marketing & Communications Manager John Simmons on winning an APEX award.

World Aids Day - December 1, 2019

John Simmons
Group of people standing in a line facing the camera
movie marquee publicizing World Aids day movie

Strategic Marketing & Communications Manager John Simmons; Dr. Greg Carter with members of CAAG & IU Health's Positive Link; our name in lights above Buskirk-Chumley.

If you were in downtown Bloomington over the Thanksgiving holiday weekend, you saw the name “IU School of Nursing” proudly displayed on the marquee over the Buskirk-Chumley Theater. It was there that IUSON BL teamed up with the Community Aids Action Group (CAAG) and IU Health’s Positive Link to sponsor a free showing of the documentary 5B on World AIDS Day.

CAAG is a coalition of member agencies and individuals who network to address HIV/AIDS issues locally and globally. CAAG assists agencies in their support of individuals living with HIV/AIDS and distributes state-provided funds to assist HIV/AIDS-related organizations in providing needed services. Positive Link, a program offered by IU Health Community Health, is the preeminent provider of comprehensive prevention and holistic social services for those impacted by HIV in Indiana.

5B tells the extraordinary story of the courage and compassion of the nurses on San Francisco General’s Ward 5B who led the fight to destigmatize the treatment of AIDS patients at the onset of the AIDS epidemic in the 1980s. The Quarryland Men’s Chorus began the day’s events with a pre-film mini-concert. The day ended with the reading of the names of the many family members, best friends, lovers, and co-workers from the Bloomington community who have died from HIV/AIDS, with the names provided by members of the audience.

IUSON BL’s Assistant Professor Greg Carter organized this profoundly moving event, with an assist from Strategic Marketing & Communications Manager John Simmons.

A new assistant dean

Please join us in congratulating Dr. Marsha Hughes-Gay on her appointment to Assistant Dean for IUSON BL's Pre-Licensure Programs.

Marsha holds a PhD in Nursing, MSN in Community Health, MPH in Behavioral Health Science, and BSN degrees from IU. She has 9 years of faculty and leadership experience with IUSON, formerly at Columbus (where she held appointments as Coordinator for the traditional & accelerated BSN tracks, preceptor training, and BSN clinical rotations, and was Principal Investigator for a Clinical Homes Model Grant) and now Bloomington.

Her knowledge of our programs and courses, years in clinical research and staff nursing, and the respect with which she is held by her fellow faculty members make her ideally suited for this role. Congratulations, Marsha!

Two new appointments for Dr. Greg Carter: NIMHD & RCAP

Congratulations to IUSON BL Assistant Professor Dr. Greg Carter on becoming a member of the National Institute on Minority Health and Disparities (NIMHD). NIMHD’s mission is to lead scientific research that focuses on how improvements in such non-biological factors as socioeconomics, politics, culture, and environment can be used to reduce health disparities and improve healthcare in minority communities.

Greg’s appointment is due, in large part, to his exceptional body of work with underserved rural communities in Orange and Greene Counties; his work with African American men and women across Indiana that highlighted system-wide barriers to health care access; and his research exploring the relationship between socioeconomic factors, HIV prevention & the prevention of Hepatitis C.

Greg has also been appointed a Co-Director of the Rural Center for AIDS/STD Prevention (RCAP). Founded in 1994, RCAP promotes HIV/STD prevention in rural America. RCAP is headquartered at Indiana University in the Department of Applied Health Science, School of Public Health – Bloomington.

RCAP’s mission is to provide current prevention resources to professionals and the public; develop and evaluate educational materials and approaches to rural HIV/STD prevention; and share strategies that might work to overcome behavioral and social barriers related to rural HIV/STD prevention. Greg would like to thank Dr. William Yarber, the Senior Director of RCAP, for this appointment.

We would like to extend our own special thank you to Greg for his ongoing and essential work in addressing health care disparities in Indiana’s underserved communities!

Congratulations are also in order for Dr. Kim Decker on her promotion to IUSON BL Clinical Associate Professor. Kim is in the department of Community Health Systems. She received her BSN from The Ohio State University School of Nursing, her MSN and CNS degrees from the Indiana University School of Nursing (IUPUI) and a PhD in Education Psychology, Learning and Developmental Sciences from the Indiana University School of Education.

Kim has been teaching on the IUSON-BL campus since 2005, first as an adjunct lecturer, then as a visiting lecturer, and consequently was hired in a clinical track position in 2008.

Bravo, Roxie and Kim, on these hard-earned and well-deserved promotions!

A nationwide virtual conference on nurses and self-care

Hard-working Dr. Angela Opsahl has been awarded a Sigma Global Regional Council Grant to host a special Sigma Founder’s Day event that will bring together five national speakers to present educational content focused on building nurse resiliency in a time of COVID-19.

Topics will include infusing joy into practice; building a culture of well-being; addressing issues of nutrition and health in nursing; mentoring & co-creation in the nursing profession; and nursing self-care during challenging times. Presenters for this free virtual educational event on October 5th include: Dr. Richard Ricciardi, Dr. Bernadette Melnyck, Dr. Wanda Gibson-Scipio, Dr. Kimberly Lewis & Dr. Karen White Trevino. Planning team members include: Dr. Angela Opsahl, Dr. Shena Gazaway, Dr. Don Rose, Dr. D'Ann Somerall & Dr. Kim White.

Recordings of the event will be made available to all Sigma members for viewing and learning. Kudos to Angela for securing funding for this important national seminar!

A recognized expert

Congratulations to IUSON BL’s Dr. Pei-Shiun Chang, who is quickly becoming a nationally-recognized expert in the field of geriatric nursing!

As an example, Elsevier recently noted that, over the past three years, Pei’s article on the positive effects of Qigong exercise on older adults has been one of the articles cited most often nationally when it comes to research involving innovative health care treatments for older adults. 

Qigong (pronounced chee-gong) is an ancient Chinese exercise and healing technique that involves meditation, controlled breathing, and movement exercises. Pei’s research shows that a twice-weekly program of mild Qigong exercise reports a high degree of compliance among adults 70+, while improving their physical ability, functional health, balance, psychological health, and spiritual well-being.

As the U.S. population grows older, it becomes critically important for us to explore healthcare solutions that enable older adults to experience sustained or improved health and an improved quality of life as they age. We are very proud of the substantial contribution that Pei is making to this important avenue of research!

Award-winning work!

Congratulations to IUSON BL Strategic Marketing & Communications Manager John Simmons on winning an APEX award!

John is IUSON BL’s representative on the Monroe County Opioid Commission. In this role, John produced a 10-minute video about the Opioid epidemic in Monroe County that opened last Fall’s 2019 South Central Opioid Summit. John’s video is just another demonstration of IUSON’s community engagement and our commitment to making a significant contribution to the cities and counties we call home.

For the past 25 years, Communications Concepts (a media consulting firm in the Washington D.C. area) has sponsored the APEX awards. With over 1,200 entries this year, the award recognizes excellence in print, video, websites, social media, and more. We salute John and his work for the Opioid Commission, as recognized by this national award!

You can view John’s award-winning video here:

Description of the video:

The following presentation is made posssible by the generous support of the Bloomington Health Foundation and The Community Foundation of Bloomington and Monroie County/Regional Oppportunities Initiatives, Inc.

And we thank those individuals in this video who have the strength to share their stories...

Terry

[Terry] My story is different but it's the same as so many other people's.

[Moderator] One year ago, Terry took the stage at the South Central Opioid Summit to talk about substance use disorder and how it had claimed the life of her son, Brad. Of those in the audience, one person in particular felt her story personally -- her son, Jason, Brad's twin brother.

[Terry] He came up to the casket and I said I can never do this again. Please. I can never do this again...and he said, "I know, Mom. It's okay, you won't have to. You won't. I promise."

[Moderator] Her presentation over, Terry left the podium.

[Terry] He was just so incredibly proud and told me that, many, many times. And, then a month later, he's gone.

[Moderator] Despite Jason's promise to his mother, he, too, died of an overdose. Terry had now lost both of her sons.

[Terry] It's a club that we...that we join that we didn't ask to join, but we're all members of, and our dues are as high as anybody can possibly pay.

[Moderator] Jason, too, had struggled with substance use disorder and to his family, friends, and neighbors, he was winning. He had been clean for seven years, but when he found himself slipping away, something kept him from asking for help.

[Terry] Stigma. Don't make it...don't make it so difficult for someone to say, um, I've been clean for seven years and I need some help. I don't know how you do that.

[Moderator] That is why we are here [2019 South Central Opioid Summit] today -- to hear their stories, to discuss solutions, to look for answers.

[Greg May, Chair, Monroe County Opioid Advisory Commission] You know, Summit really is a convening of local experts to say, you know, these are the things that we're doing in this community. It's really this collaborative learning experience about, yeah, we don't know how to, you know, end this and, and we don't know how to fix it right now, but these are the things that we're doing to make this better as we go through this process.

[Terry] We have to change the mindset of those hard core folks who feel that substance use disorder is a choice.

[Arielle] I would just ask you if you think if... if you really think that people, you know, growing up say to themselves, you know, when I grow up, I want to get arrested and you know, I want to have my kids taken from me, or I want to steal from the people that I love, you know, that love me. I want to hurt everybody around me. I mean, I would ask if that's something that you think people make the choice to do, to be like that.

Embracing Recovery: Ricky's Story

[Ricky] Horrible is an understatement.

[Moderator] He called himself the benevolent dealer, a mask Ricky hid behind for years, justifying his own drug use by convincing himself that he could protect others from their pain by providing them with drugs. It was a deception that crashed at 3 a.m. one morning when U.S. Marshals came calling.

[Ricky] I answered the door and when they did, they stuck guns to my head and said, "We got a warrant for your arrest." At that point, alarm went off in my head. I said, "man, what are you doing?"

[Moderator] Ricky took a plea and awaited prison. Out on bond before his incarceration, he attended a group therapy session at the request of his girlfriend, Missy. At the session, Missy apologized to him for all the pain her own chaotic drug use had caused them both. Her honesty transformed him. Ricky became enthusiastic about recovery. Upon returning from prison, he noticed that Martinsville had almost no recovery services. His solution was an unorthodox one. He started his own not-for-profit.

[Ricky] I got motivated to, one, I carried a message to that the addicts still suffers.

[Moderator] But where Missy had helped save Ricky's life, he could not save hers.

[Ricky] What, she called me 24 hours before she overdosed and she said, "Ricky, how do you do it?" and I had to look, I had to tell her on the phone, I say, "Because I love who I am today."

[Moderator] Ricky's life began to improve steadily. He got married and had a family. Sadly, Ricky remains no stranger to heartbreak, for on the day before this interview was taped, Ricky lost his stepson to an overdose.

[Ricky] [deep sigh] I just pray one day that all the ministers in the world -- all the better people who think, you can just walk away from the disease of addiction, get a better understanding about what the disease is all about.

The Legal System.

[Moderator] Part of learning how to cope with the effects of substance use disorder is learning how to navigate the legal system designed to control it.

[Tammy] I was terrified. I was scared. I remember just feeling so alone and thinking "what am I going to do" -- like I have nobody to help me out of the system.

[Moderator] Tammy was no stranger to the legal system, taking prescription painkillers because she had been injured in an accident. She became hooked on them. Her chaotic drug use meant that she had find ways to finance her need. Tammy began stealing from friends and family and shoplifting from local stores.

[Tammy] And you think the whole time, like, I can fix this before they know and then before you know it, you've got 20 items that you've stole from them and there's replacing them, but you keep telling yourself that it's going to be okay. You convince yourself... your addicition convinces you that it's all going to be okay but in the end it's not.

[Moderator] Sitting in jail after she was arrested for running up thousands of dollars in stolen credit cards, Tammy, like Ricky before her, had her own wake-up call.

[Tammy] I went to course and my attorney told me, he said, "you're going to do your time. You're not going home." And, I said, no, I want to talk to the judge because I'm going to tell her. He was like, "It's not going to any good because she's sick of hearing what you have to say because it's just you tell her one thing. You don't do it." And I said, "if you're tired imagine how tired I am."

[Moderator] But Tammy caught a break when a sympathetic judge mixed the rules with compassion.

[Tammy] She said, "it's against my better judgement. You guys are going are going to think I'm crazy, but I'm going to her one more chance." And, I ran with that chance.

[Greg May] There are other communities, you know, who believe that they can arrest their way out of substance use issues. If we've done nothing to help address the issue that led them to have that law enforcement encounter that led them to that period of incarcertation, they're returning to this community. And they will go back to the same place that they were.

[Tammy] You can't change things overnight, especially whenever you've been digging yourself into a hole for many years. You have to have time to undig yourself.

Finding a Job.

[Moderator] Navigating the legal system is one thing. Finding a job is another. Growing up in Florida, Arielle, admits that connecting with others had always been difficult and that she found her escape from depression by using drugs. That escape led her to many encounters with the law. Each one more serious than the one before it until she faced a sentence of 15 years in prison, but that didn't happen and she began the long road to recovery. It was time to pick up the pieces but, how.

[Arielle] How do you move forward, um, when every step you take essentially, there's this big, you know, kind of elephant in the room.

[Moderator] Her job search had become an endless series of background checks, unreturned calls and discarded resumes, then she got a call from a city nearly a thousand miles away -- Bloomington, Indiana.

[Arielle] I just told them, like, I had made a lot of bad decisions. I've cleaned up my act and I've, I've done my time, essentially. I've completely changed my life. They were just like, you know, we appreciate you being open with us and we think that, you know, you're an honest person and you have integrity, and we need people like you to work here, and it was just like, [whew], wow, you know, like, no one had ever talked to me that way.

Turning the Tide.

[Tammy]  I think that our community is in a better place now. A lot of people are coming together and realizing like, let's work with people, let's try to help them get jobs, let's try to help them get homes, let's help build their lives.

[Greg May] The tide is turning so the number of overdoes deaths are decreasing. People appear to have more access to treatment or at least know what treatment options are available and folks with substance use disorders appear to be having an easier time gaining employment.

[Moderator] August 14th of this year, Jim Carroll, the head of the White House Office of National Drug Control Policy, visited Indiana to talk with state leaders about the opioid crisis. Carroll highlighted that Indiana saw a 12 percent decline in drug overdoes deaths. That's almost three times the national decline of 4.2 percent. Several factors can be attributed to the decline including access to naloxone and other medications designed to reverse opioid overdose, reduced number of prescriptions, better coordination with doctors, and, of course, more access to treatment.

[Greg May] I think that we've made great stride and we keep adding partners to coalitions, to advisory groups that really just help us advance the work that we do. Now, is it perfect every time and are we meeting the need of every person? Absolutely not. Do I think that we we will ever be able to do that? I hope so.

[Moderator] There is still much work to be done in ending the epidemic of substance use disorder and the life-threatening consequences that go with it. Work that will involve everyone in this room. There will be successes and there will be setbacks, but the epidemic will end because when a community works as one, there is always hope.

[Arielle] Without support and without resources, like, I would be in prison right now and, but I'm not, and I'm a functioning member of society.

[Terry] Love them. Help them. Let them know that they are worth saving and that no matter how many times they fall, if they get back up, you'll be there.

[Ricky] Let them know that I feel their pain, and what they're going through, and tehy're not alone.

[Tammy] I'm proof that you get chances, like, I wasn't anybody, you know what I'm saying -- a drug addict with a really bad record and a lot of shots of gwetting sober and wouldn't do it, but you know what, people gave me a chance, and I changed my life.

Let's Continue the Fight

 

 

Faculty research

Publications

Publications

Carter G, Caudill P. (2020). Integrating naloxone education into an undergraduate nursing course: Developing partnerships with a local department of health. Public Health Nurs. 37(3):439-445. doi: 10.1111/phn.12707. Epub 2020 Jan 13. PMID: 31943362.

Carter G, Woodward B. (2020). The relationship between perception of HIV susceptibility and willingness to discuss PrEP with a health care provider: A pilot study. Am J Mens Health. 4(3):1557988320919661. doi: 10.1177/1557988320919661. PMID: 32602784; PMCID: PMC7328224.

Hughes-Gay M, Opsahl A, Kirby K, & Degraff J. (2020). An educational collaboration for student nurse engagement on the essential skill of delegation.  Teaching and Learning in Nursing. In press.

Opsahl A, Nelson T, Madeira J, & Wonder AH. (2020). Evidence-based, ethical decision making: Using simulation to teach the application of evidence and ethics in practice. Worldviews on Evidence-Based Nursing. In press.

Nick J, Roberts L, Adrien FM, & Wonder AH. (2020). Establishing a global EBP tool to measure evidence-based practice knowledge: Translating and testing the French version of EKAN. Journal of Nursing Measurement.

Other Professional Reports

Indiana University Bloomington Campus Task Force on SARs-CoV-2 Academic Restart. (2020, May):  Morrone A. et al. [Davis-Ajami ML]. Indiana University Bloomington special class delivery recommendations for SARs-CoV-2 Restart. Invited by Provost Robel.

Indiana University Bloomington Campus Task Force on SARs-CoV-2 Research Restart. (2020, May):  Zaleski J et. al. [Davis-Ajami ML]. Indiana University Bloomington research restart taskforce subgroup: General public health and remote research activities. Invited by Provost Robel.

Grants

Carter, G. (PI), Woodward, B. (Co-I), Whitney, N. (Co-I), Kinsey Institute (community partner), HealthNet (community partner). Exploring HIV Prevention, Treatment, and Testing Misinformation Among Minorities in Indiana. Indiana Minority Health Coalition.

Carter, G. (PI), Woodward, B. (Co-I), Whitney, N. (Co-I), Kinsey Institute (community partner), HealthNet (community partner). Discomfort Accessing HIV Services Among People of Color in Indiana.  Indiana Minority Health Coalition. 

Davis-Ajami, M.L. (Co-PI, 10% effort), Jayawardene, W. (Co-PI), Arce, B. (Co-I), Miller N.G. (Co-I), Olcott, C. (Co-I), Dickinson, S. (Co-I and statistician). IU Center for Rural Engagement. Feasibility of a theory driven, rurally-tailored, family-based, telehealth intervention for childhood obesity: A cluster randomized controlled trial. 2020 - 2021.

Sen, C.K. (PI), Embi, P. (Co-PI), Huang, K. (Co-PI), Chen, L., (Co-I), Davis-Ajami, M.L. (Co-I, 5% effort), Gordillo, G. (Co-I), Grannis, S. (Co-I), Roy, S. (Co-I), Timsina, L. (Co-I). Addressing chronic wound Trajectories through social genomics research. Mixed methods clinical trial to determine the significance of socio-economic, behavioral, environmental (SBE) factors in modifying chronic wound tissue genomics in a way that affects wound healing trajectory in patients with diabetes. Davis-Ajami to work with Dr. Embi and the Regenstrief Institute (database) to investigate the impact of socioeconomic factors on wound care outcomes. R-01 NIH-NINR PA-17-492. June 2020. Decision pending.

Opsahl, A. Educational Forum to Support Nursing Well-Being in a Time of Pandemic​. Sigma Global Regional Council. Educational Grant 2020-2021. July 2020.

Reising, D.L. (Co-PI/Mentor).Understanding of Interprofessional Communication to Impact Patient Safety in the Operating Room. Sigma Theta Tau International – Alpha Chapter. 2020 - 2021.

Presentations

Davis-Ajami, M.L., Wu, J., Wing, C., Simon, K. Comparison of hospital readmissions, mortality, and chronic conditions in dementia patients discharged from hospital to a skilled medical facility vs. home care:  A Nationwide Readmission Database study. 2020. Poster. https://academyhealth.org/events/2020-07/2020-annual-research-meeting


Wu, J., Lu, Z.K., Davis-Ajami, M.L.The role of health care provider’s advice in prediabetes management in the US: NHANES 2013-14, 2015-16. ISPOR 2020, for the 25th Annual International Meeting, Orlando, FL. May 2020. Poster. https://www.ispor.org/conferences-education/conferences/upcoming-conferences/ispor-2020/program/program

Charles, M., Decker, K. A., Felsman, I., Hoffman, J., Martins, D., & Spiess, J. The Impact of COVID 19 on Community/Public Health Nursing Education: Innovation in Didactic and Clinical Courses in Response to a Global Pandemic. June 2020. Association of Community Health Nursing Educators Annual Institute, Louisville, KY. Plenary Podium.

Decker, K. A., Garletts, D. M. & Ball, S. L.  Addressing the Opioid Epidemic: Creation and Evaluation of an Innovative Interprofessional Population Health Project. June 2020. Association of Community Health Nursing Educators Annual Institute, Louisville, KY. Poster.