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elly Moynes, a sanguine 30-year-old who holds degrees in psychology and Japanese, has taught English in Japan, volunteered with Amnesty International, lived with Tibetan Buddhist nuns in exile in India, and traveled through Cambodia,
Vietnam, and Thailand.
     “I saw that health, clean water, and plentiful food are the only important things,” she recalls. “Something started to grow in me. I thought what a better gift I could give if I had basic health care skills.”
     But it was while working at the Outpatient Psychiatric Clinic at Grady Memorial Hospital, intending to pursue a PhD in psychology, that Moynes had an insight into what she really wanted to do for her life’s work.
     “A lot of nurses worked at the clinic, and I saw the love and true connection they had with patients,” she says. “Nurses are like the midwives of health.”
Compelled to serve

oynes is one of 12 fellows in the Fuld Fellowship Program, targeting second-career students with a strong desire to lead and a special interest in social responsibility and vulnerable populations. The program is funded with $5 million from The Helene Fuld Health Trust—the largest single gift in School of Nursing history.Fellowships provide three years of study for students, who earn both bachelor’s and master’s degrees in nursing. Fellows are enrolled in the Emory Nursing Segue Program, a combined degree option for non-nurses with degrees in other fields.
     Moynes, who completed her BSN in 2004, now works in the medical-surgical unit at Emory Crawford Long Hospital on weekends and pursues her MSN during the week. She plans to be a family nurse practitioner and midwife, and to devote her career to reducing the gap in infant mortality rates between white and black
newborns.
     Like Moynes, Emilé Crosa began the master’s portion of the program this past fall. All of the fellows—including seven seniors and three juniors—have bachelor’s degrees (and several, master’s degrees) in disciplines ranging from microbiology to religion, and many have had previous careers.
     “The expectation,” says Clinical Assistant Professor Ann Connor, the fellows’ faculty mentor, “is that they’re going to change the profession of nursing. They’re already changing the school. With the diversity of their backgrounds, they are coloring the water in some marvelous ways.”
     What the fellows have in common, adds Connor, is that “they’ve all come to the program with a sense of social justice, social change. They share an inner turmoil about issues of injustice and inequities surrounding health care.”


Outside one's comfort zone

or junior Amy Armstrong, the decision to return to nursing school came after she had earned a bachelor’s degree in religion and ethics from Smith College and a master’s degree in religion from Harvard.
     “I always thought I would be a professor of religion, and here I am in a school of nursing,” says Armstrong, who plans to become a family nurse midwife, possibly in rural Mississippi. “In my studies of religion, I explored religious rituals and texts and developed a deeper understanding of the complexities of human life. I was very much in my comfort zone. But I became passionate about wanting to step outside of that, to be on the practical side.”

     One of the strengths of the Fuld Program is its blending of academics and leadership training with hands-on provision of health
care to the poor and disenfranchised, from inner-city residents to rural migrant workers.
      Many of the fellows volunteer at Café 458, a restaurant for the homeless, who can order meals like vegetable lasagna and curried chicken from menus and are served by volunteer waiters and waitresses at tables adorned with fresh flowers. The innovative café, which provides both delicious food and a sense of dignity to its patrons, was founded in 1988 by Connor’s husband, A.B. Short (Connor served as chair of the board). The café took root in a renovated liquor store by the King Center in downtown Atlanta.      “Being a mentor to the Fuld Fellows is a good fit for me,” says Connor, “since I have spent most of my nursing career working with those at themargins of society.”
     Fellows are also involved with community outreach activities, such as MedShare International, which collects and recycles surplus medical supplies and equipment for distribution to other countries; Joe’s Place, which offers a foot care clinic for the homeless; Project Open Hand, which provides meals and nutrition services to people with symptomatic HIV/AIDS, homebound seniors, and others with critical illnesses or disabilities; and the International Rescue Committee (IRC), a refugee resettlement agency.
     “Through the IRC, I was introduced to a newly arrived family from Kabul, Afghanistan, and have developed a strong relationship with the parents and their children,” says Jordan Bell, a senior who intends to work in international health. “I witnessed the birth of their fifth child at DeKalb Medical Center and felt thankful to share that precious moment with them.”
     Service learning activities like these are coordinated through the school’s Office of Service Learning, and Fuld Fellows gain a global nursing perspective through involvement with the Lillian Carter Center for International Nursing. They also have traveled to Cuba, Mexico, the Bahamas, and Jamaica to study health care systems abroad, and in 2003, Moynes and Crosa went to Seoul, South Korea, on an Emory/Yonsei University exchange for three weeks of cross-cultural study.
     “We toured hospitals and community health centers, and made a few home visits,” says Crosa. “Family involvement is very important in Korean health care. Hospitals don’t even supply meals—the patients’ families are expected to do that. And they use a lot of Western and Eastern medical treatments together, such as antibiotics and acupuncture.”
     Closer to home, fellows have been involved with the Farm Worker Family Health Program, which provides services to migrant families in South Georgia for two weeks each summer. Students who take part in the program gain firsthand experience in conducting physical assessments on school children and counseling and treating adults for a variety of health concerns.
     “We saw a lot of dental problems, a lot of musculoskeletal problems, and back pain from being bent over all day,” says senior Colleen Burke, who plans to promote health in communities as a nurse practitioner. One day, Burke and other fellows picked tomatoes to share the experience of physical labor in the scorching sun.
Faith in the Future

hese master’s-prepared students will re-enter their careers with a deep working knowledge of health issues for vulnerable people in the United States and internationally,” Dean Marla Salmon wrote in a report to The Helene Fuld Health Trust, “coupled with a strong sense of direction and mission for addressing these problems realistically.”
     Fuld trustee Stephen Boies is an enthusiastic fan of the fellows and their work. “You all restore our faith in the future,” he told the fellows after hearing their presentation during a recent visit to Emory. “You are creating a network that you can draw from throughout your careers. That’s the way the world works.”
     Earlier, when the fellows gathered to rehearse their presentation, the sense of camaraderie and mutual support among them was palpable. As the students chatted, Susan Thomas, a former Peace Corps volunteer who has a degree in English literature from Purdue and is expecting her first child, excitedly passed around her sonogram images, while Burke, whose previous degree is in exercise physiology and nutrition from the University of Connecticut, handed out pamph-
lets for a 5K charity run.
     As the students rehearsed, they ran through their PowerPoint slides and read personal statements about why they decided to pursue nursing, what the most meaningful experiences in the Fuld program have been, and how they envision nurses becoming powerful players in the public policy arena.
     “My mom was a nurse, and she actively discouraged me from becoming a nurse. She thought I should do something more productive or more esteemed,” says Mandy Dierking, who is fluent in Spanish and hopes to work with Latino communities in health promotion. “But I made a measured, conscious decision to
become a nurse. I believe that higher education and nurse scholars are the keys to nursing’s evolution and refinement.”
     A nurse traditionally has been viewed as a woman in white at a patient’s bedside—a glorified version of one’s mother, says Crosa. “We have to dare to carve out a new vision,” she says, “and to become political advocates as well as patient advocates.”
     Carmen Alvarez, a daughter of Belizean immigrants, hopes to “challenge the norms of inequity” that pervade health care systems here and abroad. She flashed a slide on a screen behind her that read: “Nurses can make bigger beds.”
     Just as the fellows are growing restless by the end of the meeting, so they are eager to get out into the world to pursue their visions.
     “They are all going in wonderful directions,” says Connor. “I’m not leading them. I’m kind of a sheepdog, guiding and nudging them, and giving support from the sidelines. I’m tremendously excited about these amazingly talented people coming into nursing.”


Mary Loftus, former Knight Jornalism Fellow at the CDC and reporter for The New York Times, is associate editor of Emory Magazine.

       

   
   
   
   
   
   
   
 
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