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Touchpoints Oct 1, 2003

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Array July 2003
UCJT1P0 I NTS
UBC
School of
Nursing
PUTTING    SCHOLARSHIP    INTO    PRACTICE
Contents
1 Building Our Future
2 Raising the Bar
Walking through open doors
3 Clinical Practice Innovation
Caring for children with diabetes
4 Graduate Profiles
Undergraduate—
Turning caring into action
Graduate—
Strength through adversity
Nursing Alumni Reunion Luncheon
6 Development
Helen Shore Endowment Fund
supports chronic illness research
New Faces in Research
Lynda Balneaves, RN, PhD
John Oliffe, RN, PhD(C)
7 Teaching Excellence
Clinical teaching institute aims to
educate educators
8 Donation Form
Building Our Future
These are busy times at the UBC School
of Nursing. Over recent months and years
we have been expanding our reach and
exploring new ways to accomplish our twofold mission of preparing outstanding
nurses who are committed to excellence and
innovation at the same time as we develop
and transmit knowledge regarding nursing
practice and the human experience of health,
illness and healing. Internationally, we have
been extending our activities into new
dimensions of partnership and development,
especially in the rural Punjab. Nationally,
we have engaged in significantly expanded
programs of research and scholarship,
linking our intellectual work with that of our
colleagues across the country. And locally,
we have been building the foundation upon
which will emerge new forms of clinical
nursing practice in primary health care in
this province.
Over the next several years, we will experience considerable faculty turnover as one
generation retires and the next generation
makes its own mark on the history of
the School. We will have challenges with
supporting a large cadre of early-career
teachers and researchers, and building the
kind of academic environment within which
they can all contribute, thrive, and achieve
excellence in the full range of activities
inherent in an academic nursing role. During
times like these, we will draw strongly on
our larger community to guide and support
us. Our many faculty affiliates, our clinical
and professional partners, our community of
retired faculty members, and our wider
circle of "Friends of the School of Nursing"
will all be especially important to us during
these changing times ahead.
Dr. Sally Thorne
Sally Thorne, Director of the School of Nursing,
with a group of recent retirees (L-R: Sally Thorne,
Tere Rostworowski, Janet Ericksen, Linda Leonard,
and Ray Thompson).
In times of rapid change, it is critically
important to reflect on those things that
have stayed constant and will remain
our "core business" Our recent Congregation
showcased this spring's contribution to a
very long line of graduates who have earned
degrees in nursing from UBC. The pomp
and ceremony that characterizes graduation
always bring to mind the remarkable
history of the School of Nursing. We are in
awe of the many brilliant nurses whose
careers began here, or who passed through
our halls in order to expand their repertoire
of skills and take on new professional
challenges. Although they represent very
large shoes to fill, we know that this
year's crop of graduates will do a very fine
job of filling them. And we know that
the same will be true a year from now. What
characterizes graduates of the UBC School
of Nursing is and always has been a passion
for nursing and a love of nursing knowledge.
It is abiding values such as these that
will nurture, protect and sustain us all during
these times of turmoil and transition. Raising the Bar
Walking through
open doors
Joan Anderson, PhD, one of this year's UBC
Peter Wall Institute Distinguished Scholars,
has a laugh that lights up her face and
rings with a slight accent remaining from her
years growing up in Jamaica. She enjoys
gardening and gets away from it all by hiking
in the North Shore mountains. To hear this,
one might think of her as a laid-back
person who compartmentalizes her work and
personal life—you couldn't be more wrong.
"I absolutely love what I do," says Joan
emphatically. "My work isn't work to me at
all. It is part of who I am and is with me
no matter where I am or what I am doing."
Joan pursues everything she undertakes
with passion, commitment and honesty —
all qualities which have helped make
her one of the leading thinkers of the day.
Joan has made significant contributions
to nursing and social sciences research
throughout her career. With a BN and
Master's in Nursing, Joan's interest in a
research career really began while
completing her PhD in Sociology at UBC.
"Roy Turner was my supervisor and he
really opened an intellectual door for me.
It was so exciting to bring the fields of
nursing and social sciences together, and
to have that door opened and walk
through it was quite amazing," reflects
Joan thoughtfully.
Her research has taken an interesting path
that has informed her thoughts on many
topics today. Beginning with chronic illness
and women who care for children with
chronic illness, Joan became aware of the
role of women in health care and the
cultural nuances of that role. She then did
additional research on women's health
and how they make health care decisions,
and the social/cultural meanings and
definitions of illness. Following that, the
work progressed naturally to a program of
research looking at the continuum of care.
In extending her research to gender issues,
Joan now includes men and women in her
studies and, with a team of colleagues from
the university and health care settings, is
looking at the discharge planning process,
and what happens to people when they
leave the hospital. She is deeply committed
to collaborative research with clinicians
and administrators in clinical practice, and
in translating research into practice.
Peter Wall Institute for Advanced Studies
Supported by a generous endowment by Vancouver businessman, Peter Wall, this Institute has
enabled the university to create a virtual interdisciplinary college of intellectual development,
innovation, and networking. Nominees from all disciplines are rigorously reviewed and selected
on the basis of demonstrated and recognized research excellence and scholarship. For the
duration of their one-year term, each is provided with an office in the University Centre (the
old "Faculty Club" building), office support, and a personal infrastructure budget. The 2003
holders of the Peter Wall Distinguished Scholars Award are Joan Anderson (Nursing), Kenneth
Craig (Psychology), Sherrill Grace (English) and David Ley (Geography).
Her recent work on postcolonial thought
has been very influential in academic circles.
Julianne Cheek, a researcher at the
University of Southern Australia, became
familiar with Joan's work on postcolonialism
and nursing before getting to know her
personally. One of the things that struck
Julianne is Joan's commitment to excellence
in scholarship, but not in an exclusive or
elitist way.
Julianne's respect for Joan runs deep. She
says, "Joan demonstrates interest in
developments in her field and often is at the
forefront of constructing them! I find her
a warm, thoughtful and excellent scholar.
She has had major influence in the field
of postcolonial thought especially in nursing
and health-related areas. She has modelled
good scholarship and has been a trail
blazer in her field."
Having walked through many intellectual
doors herself to achieve career satisfaction,
Joan is deeply committed to educating the
researchers of tomorrow and opening doors
for them. "I think it's so important to feel
deep joy in whatever you do," explains Joan.
"Having a sense of direction and commitment
to the path you have taken is imperative.
Helping students find their passion and direct
it in valuable pursuits is so rewarding."
This year as a Peter Wall Scholar has opened
another door for Joan. It is important to
Joan not to stay in one place intellectually.
"I haven't yet found my intellectual home.
I always feel that I am in the process of
becoming and right now I am on the threshold of the door that will take me to the
next place. There is such joy and challenge
in that, and I am enjoying the opportunity
here to explore many intellectual avenues." Clinical Practice Innovation
Caring for children
with diabetes
Doreen Hatton's career path as a
nurse was formed by the time
she was eighteen months old, when
her grandmother nicknamed her
Florence Nightingale for refusing
to leave her sick brother's side.
Doreen's grandmother would have been
proud many years later to see her caring
granddaughter retire from a distinguished
nursing career. Doreen was the driving
force behind the creation of the Diabetes
Day Care Program at B.C.'s Children's
and Women's Hospital, where staff have
dedicated the main teaching room in
the program's new facility in Doreen's honour. She also pioneered research into
juvenile diabetes—most notably, she conducted one of the first nursing studies
on diabetes in infants and toddlers while
completing her Master's degree at UBC.
That paper was recently quoted in research
conducted at Yale University, and Doreen
was invited to present her research findings
to Harvard University students and staff
at the Joslin Diabetes Institute in Boston,
Massachusetts. She has also travelled
internationally to teach about paediatric
diabetes care in countries such as
China and Mongolia.
She is best known in Vancouver, though, for
her work at B.C.'s Children's Hospital and
her unwavering commitment to the hundreds
of children and families she has supported
over the years. "I was convinced that giving
children newly diagnosed with diabetes
and their families the ability to come to the
hospital, as outpatients instead of inpatients,
would be so much better for them," says
Doreen, explaining what compelled her to
initiate research in this direction and then
develop the outpatient program.
In 1993 the medical staff at Children's
Hospital recognized Doreen with the B.C.'s
Children's Hospital's Medical Staff Award
for Excellence in Nursing Practice; she used
it to study outpatient diabetes day care
programs in the United States and England.
What she learned was that the benefits to
patients and families were enormous. Long,
frightening hospital stays were reduced,
parent anxiety over having a child in the
hospital dissipated, and families were
provided some semblance of normalcy. The
disadvantages were for the health care
staff—longer hours, little professional backup and the need for doctors to be on-call
at all times. The biggest advantage for the
hospital, however, was that Doreen was
able to show that by creating an outpatient
program for children newly diagnosed with
diabetes, the hospital would save over one
million dollars a year.
Heather Mass, Chief of Nursing for Children's
and Women's Health Centre of B.C.
says, "Doreen's willingness to go the extra
mile with children and families as they
faced a diagnosis that is both challenging
and frightening was remarkable. This is
best exemplified in advocacy on their behalf,
and in her work to develop creative family
and child-centred programs designed to meet
the needs of these people as they faced
diabetes and learned how to manage it in
order to live completely healthy lives.
Her ability to understand issues and pose
good questions led her into a research
career, which she was able to fit into her
already very busy work life with seeming
ease. As a result of her research, the way
we understand how to manage diabetes
in kids and how we need to deliver services
to kids with a new diagnosis as well
as those who are living with diabetes has
changed dramatically."
By 1996, Doreen had convinced key decisionmakers at the hospital that the diabetes
outpatient program could work. Conveniently,
a new medical day care unit opened which
had space for the humble beginnings of a
diabetes day care program. The children and
their parents would come to the Diabetes
Day Care Program from all over B.C. for three
to five days a week. While there, they would
follow a well-paced program of diabetes care
and education that Doreen developed along
with her colleagues. This highly successful
program continues today.
Last May, as Doreen was retiring, she was
able to see the fruits of her labour realized
even further. "It was so exciting to see the
new Medical Day Care and Diabetes Unit
open its doors. We now see about 176 newly-
diagnosed children each year and needed
the dedicated space this new facility offers,"
enthuses Doreen. "I have felt so honoured
to be able to share so many wonderful
moments with children and their families over
the years. I will carry those memories with
me always."
During her career, Doreen was honoured
with many awards and recognition for
her research and dedication to her patients.
However, upon her retirement one of the
highest tributes came from a girl who Doreen
started working with at age two. That young
child is now ready for university and plans
to be a nurse specializing in juvenile diabetes
just like her hero Doreen.
Even in retirement, Doreen Hatton continues to
contribute to understanding juvenile diabetes
and to nursing. She lectures at the UBC School
of Nursing on a regular basis, is continuing the
research that launched her career in diabetes
nursing by following up with the children who
were toddlers when she first met them, and contributes time to the Juvenile Diabetes Foundation
and the Canadian Diabetes Association..
Doreen received both her BSN and MSN degrees
from the UBC School of Nursing. Graduate Profiles
The School of Nursing is extremely proud of all of its graduates. Each
year, the staff and faculty enjoy the privilege of seeing new degree recipients
leave their programs armed with new knowledge, confidence and skills to
tackle the challenges and opportunities ahead. On the next two pages, we'd
like to share the stories of two of our new grads with you.
Undergraduate—
Turning caring into action
"The hands that turn caring into action
The smiles that turn love into healing
The touch that turns compassion into comfort
This is the art of nursing" ~ Anonymous
For Dara Spears, a recent BSN graduate
and recipient of several scholarships and
awards, this poem from one of her graduation
cards embodies what she hopes to achieve
as a nurse. "I think that just sums it all
up for me," says Dara emphatically. "It really
speaks to what I hope I can do as a nurse
and how the profession really is about
making a difference in the lives of others,"
she explains.
Dara entered the UBC School of Nursing
right after graduating from Argyle Senior
Secondary in North Vancouver. "I always
knew that I wanted to work in health care,"
says Dara. "When I was in grade twelve,
I went to a health conference at Capilano
College as part of the Career and Personal
Planning program at my school. When I
saw the nursing presentation, I just fell in
love with it; I knew right then that I was
going to be a nurse." She was still planning
on starting in general sciences first and
then transferring though. However a timely
conversation with the mother of a schoolmate, who is an instructor at the School of
Nursing, convinced her to go right into the
nursing program.
Maintaining a high grade point average
was important for Dara. "Part of what
allowed me to focus on my studies was
the scholarships I earned," she says.
Dara received several scholarships after high
school as well as many from the university.
These included the Beth McCann Memorial
Scholarship and the Flora Musgrave
Scholarship awarded by the nursing faculty
for excellent academic standing.
"Many of the faculty at UBC were so encouraging and supportive; they really made
it an enjoyable experience," says Dara. Some
of those on her list of favourites are
Marion Clauson, Elsie Tan, Marg Osborne
and Barbara Paterson.
Right after graduation in May, Dara started
full-time work on the acute medical ward
at UBC Hospital, where she puts into practice all she learned during school. "The
medical terminology, pathophysiology, and
pharmacology courses I took in particular
really rounded out my education. After
taking those, I felt totally prepared for other
courses and for working in the hospital,"
she says.
Throughout her studies, Dara made some
lasting friendships and learned many
valuable lessons. "I don't think I went into
this expecting to meet some of my closest
friends or learn so much other than the
curriculum," she says reflectively. Dara and
several classmates, who all work in different
places and different nursing specialties,
meet regularly to share the challenges of
being new nurses and to stay in touch.
Some of the key things that Dara would recommend for students entering the nursing
program are to: develop good time management skills, leave time for yourself no matter
what else is going on (Dara makes time to
play the piano, paint, and spend time with
family and friends), develop a strong support
network and use it, and devote as much
time as you can to learning all you can about
nursing. "There is so much to learn that
you need to take advantage of as many of
the opportunities that come your way as
possible," states Dara. "You can't ever let
a lack of confidence hold you back."
Dara doesn't plan to let anything hold her
back. She is keen to learn as much as she
can about medical nursing over the next
few years before obtaining a master's
degree. Ultimately, she plans to become a
university professor where she can really
turn caring into action. 'MW9W   Ir&J
Graduate—Strength
through adversity
One only has to listen to Catherine Kamau-Ali
tell the story of her journey to Canada from
Kenya in 1989, leaving a husband and two
young children behind for almost two years,
to understand her commitment to education
and to nursing. "I am passionate about education. In fact, that was behind our reason
for coming to Canada—for both our children
and us," she explains emphatically.
It was a long road to Vancouver, via the
United States and Alberta, but Catherine and
her family were reunited when she started
working in the operating rooms at Vancouver
General Hospital. While there and when
she was in Alberta, she saw first-hand the
effects of health care restructuring
and became interested in learning about
its impacts on nurses.
As a result, her master's paper focused
on conducting a literature review of research
looking at the ways in which health care
restructuring affects nurses. "I learned many
things through this work and discovered
that I have many more questions that still
need answers," explains Catherine.
Some of the key findings from her master's
project involved the disempowering effect
health care restructuring has on nurses. With
increasing lack of autonomy due to increased
overtime expectations, little input into
Catherine Kamau-Ali has a passion for
improving the conditions for nursing practice.
js-ifvm
decisions which directly affect them, and
decreasing resources for staff, nurses
feel an incredible amount of stress in a
restructuring environment. Not only that, but
the fragmentation of nursing functions (by
creating or expanding other roles such
as LPNs and scrub technologists in the
operating room) can dilute the care that
patients receive.
"This isn't to say that health care restructuring is bad," explains Catherine. "What
it does say, though, is that any changes to
nursing roles and the operational aspects
that affect nurses must be planned carefully
and with nursing involvement. The end goal
of my work was to look at questions
such as 'Are we providing the best care we
really can?', 'How are decisions being
made?' and 'Are they the best choices for
our patients and staff?'".
Helping Catherine formulate her thoughts
while completing her program were several
inspirational faculty members. "There were
so many people that helped me along the
way," says Catherine. "I think Pam Ratner,
Sally Thorne, Lynne Esson and Ann Hilton
really made the most difference for me." She
is also grateful for the support her family
provided throughout her education, and for
the support from the nursing community
through both making time available for education and the provision of scholarships.
Part of any educational program is the learning that occurs outside the curriculum —
the meta-knowledge that forms such an
integral part of the educational experience.
For Catherine, that included learning that
despite challenges (she and her husband
have faced many since moving to Canada), it
is possible to make it all work—as a wife,
mother, student and employee, Catherine
had a lot to juggle to complete her education. She also loved being exposed to different perspectives and viewpoints.
"I always think of education as a spider web.
You see each strand of the web as it is
spun, but don't necessarily know where it is
going. It can take us in so many directions,"
reflects Catherine. "Education is so precious
to me. My father used to say that your
education is the one thing that no one can
take away from you."
Nursing Alumni Reunion Luncheon
Alumni & Friends Welcome
Saturday, September 20, 2003 @ 12:30
UBC Botanical Garden
Speaker: Nora Whyte BSN'73 MSN'88
International Health Care Consultant
More information visit www.nursing.ubc.ca
then click on alumni
(http://www.nursing.ubc.ca/alumni).
Cost $15 for Members/$20 General
Includes Lunch, Speaker, Door Prizes, free
afternoon in the Gardens
Need help with organizing year reunions or
any questions contact:
Jane Merling
604.822-8918, 1.800.883.3088 or
email merling@alumni.ubc.ca
or
Cathy Ebbehoj, Alumni president
604.822-7468 or ebbehoj@nursing.ubc.ca Development
Helen Shore Endowment
Fund supports chronic
illness research
Helen Shore is continuing the longstanding
tradition of putting scholarship into practice.
In Canada, chronic illness is one of the
leading reasons for reduced quality of life,
long absences from work, and costly
acute care. Health care organizations and all
levels of government are now recognizing
the significant impact that chronic illness
has on society as a whole, and are beginning
to devote attention and resources towards
greater understanding of it. Now, thanks to
an endowment from retired School of
Nursing faculty member Helen Shore, nurse
researchers at UBC will have the
opportunity to develop new programs of
research in this field and contribute to
that growing body of knowledge.
"I have a chronic illness myself, as do many
people of my age, and I know professional
nurses as members of the health team, along
with the medical specialists, are most
well-prepared to help," says Helen while
explaining why she established the endowment. "I hope that these funds will help
encourage more nursing research into chronic illness especially the identification of
nursing strategies that will make a real difference to people living with chronic illness."
Helen worked in community health both
before and after she joined the faculty of the
School of Nursing, where she served from
1964 to 1990. It became apparent to
her quite early in her career that one family
member with a chronic condition had
an impact on the whole family. "I also saw
that the role of nurses could make a
difference in the whole dynamics of the
situation, not only helping one person
to manage better, but to help the functioning
of the whole family," says Helen.
The first recipient of the Helen Shore Endowment Fund is Margaret Cunningham. "The
focus of my research is on understanding the
issues of people who live with fibromyalgia,"
says Margaret. "There is much that we need
to know in order to help them cope with
this difficult disease. This award will go a
long way towards covering many of the
costs of my research. I am very thankful for
this funding."
"I'm so happy to see both faculty and
student interest in chronic illness," enthuses
Helen. "It really feels good to be able to
contribute to that."
New Faces in Research
Lynda Balneaves,
RN,PhD
As a recent doctoral graduate from UBC,
Lynda's dissertation focused on breast cancer treatment decision-making, particularly
related to complementary and alternative
medicine. Drawing upon the Health Belief
Model, Lynda conducted an extensive
survey to assess the alternative treatment
choices that women make while dealing
with cancer. Her ongoing research in this
field contributes to the growing body
of knowledge related to what alternative
therapies Canadians are actually using,
and how they make decisions about the
use of such therapies when faced with
a health challenge such as cancer.
Having spent the last seven years in B.C.,
Lynda is happy to call it home now. "I was
attracted to the UBC because of its
commitment to research, not just in Nursing
but throughout the institution," explains
Lynda. "Also, this province is really the most
open to alternative and complementary
therapy, which is my field of interest. There
is so much potential here." She is currently
the president of the B.C. Oncology Nurses
Group, conducts research with the Nursing
and Health Behaviour Research Unit, and
teaches research methods to undergraduate
nursing students. Teaching Excellence
Clinical teaching
institute aims to educate
educators
Think about how exciting it is when you get
to do what you love, and then think how
exciting and motivating it would be to spend
two days with 40 other people who share
your passion. That's what the second annual
UBC School of Nursing Institute was like
for Kathy O'Flynn-Magee last September.
As coordinator for this event, Kathy represents the upcoming generation of enthusiastic and creative nurse educators. Working
with a collaborative and eager group of faculty
members to bring the scholarship of nursing
education to their clinical counterparts,
she found it wonderful "to have a place
where people can come and talk about what
we love, and to learn from each other."
A group of faculty members from the School
of Nursing started offering this two-day
program for clinical and nurse educators in
2001. "We really wanted to do something
for our community partners," explains Kathy.
Focusing on "evidence- based best practice"
in teaching and learning nursing, they
created a workshop format that would allow
small groups of faculty members to work
together and share their knowledge and
expertise with participants on a range of
topics. "We do it on a small budget, and
keep the cost of it to participants low — it's
not meant to be a profitable venture for us,"
she says. For the first offering, the response
was so great that they had to turn people
away. Naturally, those left on the waiting
list were the first to be invited to last
year's Institute.
Participants in the Institute came from all
over the Lower Mainland and Vancouver
Island, and worked in a variety of environments. The common denominator was that
all were educators, either in hospitals or
other institutions, or in the community.
Everyone participated in four three-hour
sessions over two days. The topics for
these sessions included Evidence-based
Teaching Practice, Assessment and
Evaluation, Meeting Diverse Learning Needs,
and Creative Teaching. "The information
presented at the workshop was extremely
valuable and pertinent. The sessions were
engaging and interactive, and provided
me with effective teaching techniques and
strategies to use in my practice," says
institute participant Sandy Alexander.
"We varied the structure of each session, but
there was generally a presentation of some
sort coupled with application and interaction.
We're not necessarily the only experts just
because we work in the School of Nursing.
The whole group has a valuable body of
knowledge so it's very important that there
was ample opportunity for people to interact
and learn from one another," explains Kathy.
That included such activities as working
in groups to develop a teaching plan using
some unusual teaching aids during the
creative teaching session.
Plans are underway to develop another
two-day Institute for this fall. Details will
be available on the School's website
(www.school.nursing.ubc.ca). For Kathy and
other faculty at the School of Nursing,
this institute is a way of giving back to the
nursing community that so steadfastly
supports our students and nurtures our
new graduates. We look for new and
exciting ways to extend the "Scholarship of
Education" to our community.
Kathy O'Flynn-Magee (left) believes strongly in
lifelong learning.
Teaching Institute Faculty
Marion Clauson
Anne Dewar
Cathy Ebbehoj
Clarissa Green
Wendy Hall
Cathryn Jackson
Carol Jillings
Kathy O'Flynn-Magee
Margaret Osborne
Barbara Paterson
Elsie Tan
John Oliffe, RN, PhD(C)
A transplanted Australian, John spent twenty
years as a clinician and ten as a nurse
educator before pursuing further education.
His main research focus is on men's health,
particularly related to prostate cancer.
Current avenues of research for John include
smoking and prostate cancer, health promotion and prostate cancer support groups, and
cancer care communication. He is in the
final stages of finishing his dissertation,
an ethnography that investigates the
interconnections of Anglo-Australian
masculinities and prostate cancer.
Before moving to Vancouver, John had
visited a few times and targeted UBC as the
ideal place for his own scholarship to
thrive. He says that "UBC is what Australians
call a "sandstone" university; that is,
an established university with the ability and
commitment to support staff and students
with their career aspirations and development." Eventually, John plans to extend his
research from the cancer focus into other
critically important aspects of men's health. Donation Form
UBC
School of
Nursing
I would like to support the UBC School of Nursing through the following funds:
□ Endowment Fund for Student Support (E682)   □ School of Nursing "Putting Scholarship into Practice" Fund (P249)
□ Guru Nanak Partnership Fund (0724)
Name Phone Number E-mail	
Address	
□ I wish my name to remain anonymous □ I am an alumnus of UBC
□ My cheque is enclosed (please make cheques payable to the University of British Columbia and send to the attention of the:
Development Officer—School of Nursing, Faculty of Applied Science, 2006-2324 Main Mall, Vancouver B.C.  V6T 1Z4)
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□ Please debit credit card
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Thank you!
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Publications Mail Postt-publication
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TouchpoI NTS
Touchpoints is published by the School
of Nursing, Faculty of Applied Science,
The University of British Columbia.
Editor: Sally Thorne
Associate Editor/Writer: Sue Bugos
Design/Production: Tandem Design Associates Ltd
Printing: Rhino Print Solutions
The School of Nursing
T201-2211 Wesbrook Mall
Vancouver, B.C.   V6T 2B5
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