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  A Legacy of Firsts
Bellamy receives Emory Medal



hose who know Verdelle Bellamy, 63MN, no doubt regard her as a quiet but determined pioneer whose influence continues to have far-reaching effects in the field of nursing. Bellamy, the first African American to graduate from Emory, was honored last fall with an Emory Medal, the university’s highest honor for alumni.

     “I’m so proud to be your twin tonight,” said Charles Haynes, 71C, 85PhD, a preeminent First Amendment scholar who received an Emory Medal along with Bellamy.
     As Bellamy accepted the honor, she used the occasion to reflect on the past. “I stand on the shoulders of Emory, and I’m also standing on the shoulders of Ada Fort, a pioneer firm in her convictions and beliefs.” Bellamy was referring to the nursing school dean who, together with Henry Bowden, chair of the university’s Board of Trustees, led the fight to admit African American students to Emory. It was Bowden who took the battle to the courts to change the law prohibiting private schools like Emory from admitting black students.
     Bellamy also paid homage to her mother and grandmother for imbuing her with self-confidence and strong Christian values. Bellamy developed a sense of quiet determination at a young age. She admired the public health nurse at her elementary school in Alabama and aspired to become a nurse herself, though her family wanted her to become a teacher. She graduated from Tuskegee Institute (now university) in 1958 and went on to receive a diploma degree in nursing from Grady Memorial Hospital. She was teaching there in 1962 when Fort somehow found her and Allie Saxon, a friend of Bellamy’s who brought high school vocational nursing students to Grady for clinical experience. Thanks to the efforts of Fort and other supporters, Bellamy and Saxon enrolled in the nursing school in 1963, thus becoming the first black students to study full time at Emory.

     After Bellamy graduated from Emory, her skin color made it difficult for her to find a job at the Veterans Affairs Medical Center (VAMC) in Atlanta, where she was told no positions were available, despite vacancies within the VA and her previous experience at the VA center in Tuskegee. Bellamy persisted and was eventually hired as coordinator of medical services and surgical services at the Atlanta VAMC. She rose to the rank of associate chief of nursing services, the first black employee to be appointed to an administrative position at the Atlanta center. She designed and implemented policies and procedures for the 120-bed long-term care unit that ultimately became a model for VA centers around the country. Other firsts for her included being the first black elected to the executive committee of the Georgia Nurses Association (1971), receiving a gubernatorial appointment to the Georgia Board of Nursing (1974), and being elected president of the Georgia Board of Nursing (1978).
     Bellamy also served as national president of Chi Eta Phi Sorority, a professional association for registered professional nurses and students, from 1973 to 1977 and was inducted as a fellow in the American Academy of Nursing in 1993.
     In 2001, she worked with School of Nursing Dean Marla Salmon to diversify the school’s student population. By 2004, one-third of the incoming class represented minority groups.
     Bellamy’s husband, Monroe, and her son, Michael, were with her the night she received the Emory Medal, as was Salmon, whom Bellamy described as “my second dean.”
     “My life has been blessed because of you,” Bellamy said from the podium. “How do I say thank you? There’s nothing I cherish more than the Emory Medal.”


       
       
 
 
More Research Momentum


r. Kenneth Hepburn recently joined the School of Nursing as associate dean for research. He held a similar position with the School of Nursing at the University of Minnesota, where his studies included caregivers for family members with dementia, geriatric team care, education and evaluation issues, and change of practice behavior.
“I came to Emory because it seemed an extraordinary opportunity to help a strong program advance its agenda of nursing science,” says Hepburn. The main task ahead: helping achieve the goals set forth in the faculty-authored plan “Becoming the Best in Research.”
“This means working with faculty and the school’s leadership to recruit more researchers to our faculty, strengthening support systems for faculty to conduct their research, and providing mentoring, especially to junior faculty,” says Hepburn, who is meeting his counterparts at Emory and other universities to strengthen research collaborations. He also serves as educational core director of the Emory Alzheimer’s Disease Center.
 
     
 
       
       












  A New Century of Possibilities
Nursing school caps its centennial year



an you imagine a world without nurses?”
The question, posed by Woodruff Health Sciences Center CEO Dr. Michael Johns in a video about the School of Nursing, made for the perfect segue as Dean Marla Salmon addressed more than 200 guests attending the capstone event of the school’s Centennial Celebration.
     “Unfortunately, it’s no longer unimaginable to need care and not have a nurse available as our country and the world face the worst nursing shortage ever,” said Salmon.
    “We are the lucky ones,” she added, referring to the growing number of baby boomers who are retiring from nursing. “In many of the world’s poorer countries, large numbers of nurses are dying of infectious disease or are walking away, exhausted by what is asked of them. Many of these nurses come to fill the gaps here in our country. Who will be there to care for the patients that they leave behind?”
     Everyone in the room—students, faculty, staff, alumni, Emory administrators and trustees, and supporters from the corporate and Atlanta communities—knew the answer. All had come to pay homage to the past and look ahead to the future as the School of Nursing embarks on its second century.
     There was much to reflect upon. The school’s founding as the Wesley Memorial Hospital Training School for Nurses in 1905. The development of its undergraduate, master’s, and doctoral programs. Its commitment to gender, racial, and ethnic diversity. Strong collaborative partnerships to improve health and health care locally, nationally, and globally. Consistent rankings that place Emory among the top 10% of nursing schools nationally. And more.
     But what really matters, Salmon pointed out, “is that we live out our potential to truly improve nursing’s ability to care. We do aspire to be great, but we never forget that our real job is to do good.”
     The potential for good rests in the hands of Emory’s future nurses, whose numbers—400 undergraduate and graduate students—have nearly doubled since 1999.
     Nursing senior Donté Flanagan, who is intent on becoming a pediatric nurse, is among them. Like 95% of Emory nursing undergraduates, Flanagan relies on financial assistance to cover his tuition. Help came through the Adopt-a-Scholar Program, which paired him with nursing alumna and mentor Barbara Reed.
     “There are no words that can express what Mrs. Barbara and the Reed family mean to me and my loved ones,” said Flanagan.
     “It is only fitting in this blended world that we
provide compassionate nurses of varied backgrounds to help close the culture gaps in our profession.”
     That, he pointed out, would not be possible
without the Adopt-a-Scholar Program and the Centennial Scholarship Fund, established in honor of the nursing school’s 100th anniversary. Proceeds provided by guests and sponsors at the Centennial Celebration added some $80,000 to the $95,000 donated by nursing faculty, staff, students, and alumni and organizations such as the Emory University Women’s Club. The scholarship fund is now endowed, thanks to the more than $230,000 raised thus far. Opportunities for contributing to this fund remain so that it continues to grow.
     As the evening concluded, Salmon asked Flanagan and other students to stand for a toast
to them and their school.
     “I began my remarks by asking if you could imagine a world without nurses,” Salmon said. “I’d like to end by asking you to imagine what the world is going to be like with nurses like these. To the future!”

To learn more about the Centennial Scholarship Fund, contact Kim Julian at 404-727-6185, 877-676-0004 (toll free), or kjulian@emory.edu.

 
       
       
 
     
  A Family Affair


he spirit of Nell Hodgson Woodruff, for whom the School of Nursing is named, was ever present during a tea hosted by her niece, Nell Woodruff Hodgson Watt, pictured here behind the podium. Watt, known affectionately as “Little Nell,” was all smiles as her daughter-in-law, Julie Watt, modeled the nursing cape that Mrs. Woodruff wore as a longtime American Red Cross volunteer and which Little Nell donated to the school at the event. Edith Honeycutt, 39N, who is seated in the photo, co-hosted the tea, a nursing school tradition begun by Mrs. Woodruff during the 1940s. Honeycutt cared for four generations of the Woodruff family, whose generosity propelled Emory to the forefront of patient care, medical research, and university education.
 
     
       
       

  The Role of Faith in Health
Nursing, theology offer new master’s program

s a yoga instructor Cheri Mullen, 05N, is well versed in teaching students to calm and strengthen their minds, bodies, and spirits. As a nurse, she finds it more difficult to help patients in need of spiritual comfort.
     “When questions about God or spirituality come up, we’re not sure exactly how to handle it,” says Mullen, a staff nurse in the neurology unit at Emory University Hospital.
      A new master’s-level program being offered by the School of Nursing and the Candler School of Theology should provide answers and insight for Mullen and other students in nursing, theology, and public health.
     Darla Ura, clinical associate professor in the nursing school, got the idea for the Faith and Health Program a few years ago after completing coursework in parish and faith-based nursing at the University of St. Louis. Armed with the initial concept, she approached Dr. Karen Scheib, associate professor of pastoral care and counseling at Candler, about establishing a joint certificate program. Open to students of all faiths, the program will teach them how to integrate faith traditions with health sciences. Students also will learn how to advocate for social justice in religious communities and society regarding issues of health and health care and to create lasting partnerships between faith-based communities and the health profession.
     “Nurses’ roles have traditionally focused on healing the body,” says Ura. “However, in the past several years, there has been a growing realization of the impact of spiritual and religious beliefs on healing and greater emphasis on the holistic person. The Faith and Health Program provides nurses the opportunity to expand their knowledge of faith practices and the impact that religion and spirituality have in the healing process of each patient.”
     Nursing and theology faculty will teach the program as students take required courses on faith and health and elective courses, two of which must be outside their own school. They will experience faith and health issues firsthand through field work with different congregations.
     “All religious traditions have healing practices,” notes Scheib. “Since religion is such an important fact of life in the United States, it is vital that both religious professionals and health professionals understand the way in which the faith of a person from any religious tradition can hinder or help healing.”
     To learn more about the Faith and Health Program, contact the Office of Admission at 404-727-7980, 877-676-0004 (toll free), or visit the “Admission” website.
       
       







  Human Resources for Health
Global forum to address workforce shortage


n times of shortage, what can a nation’s health leaders do to assure an adequate workforce to care for patients? Leaders from around the world will journey to Atlanta in search of answers during the next global forum hosted by the Lillian Carter Center for International Nursing (LCCIN) this fall.
     The need for answers is compelling, given that the ability of national health systems to provide safe, reasonable, high-quality care is linked to the adequacy of the health workforce. “Unfortunately, almost every country around the world is experiencing significant challenges associated with shortages of well-prepared health workers,” notes Dean Marla Salmon, director of the LCCIN. “Governments worldwide are struggling to address these shortages and are seeking strategies to assure adequate supply, distribution, mix, and quality of health workers in both the near and longer term.”
 
     
     
       The 2006 forum, co-chaired by Salmon and Dr. Jeffrey Koplan, Emory’s vice president for academic health affairs, will provide senior government health leaders with new knowledge and insight to face those challenges. It will build on the experiences of two previous forums in which noted experts such as former President Jimmy Carter and CDC director Dr. Julie Gerberding addressed the global nursing shortage and emerging biological threats.
     Like past forums, “The Breaking Point: Human Resources for Health” will bring government chief nursing officers (CNOs) and chief medical officers (CMOs) together to collaborate on developing solutions. This time, they will gain new insight on work conditions, trade policy, and health worker migration to other countries.
     Prior to the forum, CNOs and CMOs will participate in a one-day workshop focusing on public health response to health emergencies. The LCCIN also will host the Global Government Chief Nursing Officers Institute, led by Salmon and Dr. Anna Maslin of the Commonwealth Health Ministers Steering Committee for Nursing and Midwifery. For CNOs only, the institute provides a neutral and confidential setting for discussion of the challenges they face. Previous topics of interest have included delivery of health services in the face of workforce shortages, CNO roles, and media strategies.

The Global Government Chief Nursing Officers Institute, the Pre-Forum Workshop, and the Global Government Health Partners Forum 2006 will be held in Atlanta from October 29 to November 3. Participation is by invitation only. For information.
       
       
  Science and Women’s Health
Studies look at diet, vitamin supplements


re the latest results from the Women’s Health Initiative (WHI) surprising? Nursing professor Dr. Ora Strickland says yes and no.
     Primary findings from the Dietary Modification Trial (DMT) of the WHI, the largest U.S. study ever undertaken to improve the health of older women, were published recently in the Journal of the American Medical Association (February 8, 2006). Contrary to well-established evidence that a reduced-fat diet helps prevent disease, the DMT showed that a diet low in fat did not reduce the risk of colorectal cancer or significantly reduce the risk of heart disease, stroke, or breast cancer.
     The DMT promoted dietary change by reducing daily fat intake to 20% and increasing vegetable and fruit consumption to at least five servings and grains to at least six servings. The study, comprising 48,835 postmenopausal women ages 50 to 79, found the following:
     • Reducing fat did not reduce the risk of colorectal cancer in postmenopausal women during 8.1 years of follow-up. However, questions remain about whether greater adherence, longer intervention, or dietary change at an earlier age would influence risks.
     • The intervention did not significantly reduce the risk of coronary heart disease, stroke, or cardiovascular disease (CVD) in postmenopausal women. Only modest effects were achieved on CVD risk factors, suggesting that more focused diet and lifestyle interventions may be needed.
     • During the same follow-up period, a low-fat diet did not significantly reduce invasive breast cancer risk in postmenopausal women. Breast cancer incidence was 9% lower for women in the dietary intervention group, compared with those in the control group.
     Strickland, who is a co-principal investigator for the WHI site at Emory, says the results of the diet trial were not as expected.
     “We set a diet goal, in terms of the percent of fat that should be in their diet, but as a group the women never got down as low as 20%,” she explains. “The results are based on an average fat intake that was higher than what we recommended.”
      Why was the goal so hard to reach? “A diet very low in fat is harder to follow because it’s not as tasty,” Strickland continues. “The dieticians taught the women how to prepare food in a manner so it would be more tasty, but can you really replace the good taste of fat in some foods? Of course we wanted them to use more unsaturated fat in their diets. And some of the women did lose weight. But reaching a fat goal as low as 20% is difficult for a lot of people.”
     The results of the DMT should not be a signal for women to increase their fat intake and eat anything they want, Strickland cautions. “Women still need to be very concerned about the amount of fat in their diets as well as the type of fat they consume. They need to have fat from vegetable sources [such as olive oil] rather than animal sources.”
     Results of another WHI study, the Calcium and Vitamin D trial (CaD), were released in the New England Journal of Medicine (February 16, 2006). This trial tested whether supplementing diets with CaD would reduce the incidence of bone fractures in postmenopausal women. Researchers also tested whether supplementation would reduce the incidence of colorectal cancer. After following 36,282 women, ages 50 to 79, for seven to 10 years, the trial found the following:
     • A small improvement in hip bone density was shown in healthy postmenopausal women, measuring 1.06% higher than the placebo group. However, the supplementation did not significantly reduce hip fracture, and it also increased the risk of kidney stones.
     • Researchers also concluded that daily CaD supplementation had no effect on the incidence of invasive colorectal cancer among postmenopausal women.
     Strickland cites two significant factors regarding the CaD trial. Since this study began in the early 1990s, researchers have learned that calcium, vitamin D, and magnesium supplementation work better together than calcium and vitamin D, the standard therapy at the time for preventing bone fractures in older women. And, over time, the difference in the number of hip fractures reduced may widen. “We haven’t studied the women long enough yet,” Strickland notes.
     Launched by the National Institutes of Health in 1991, the WHI involved women at 40 U.S. sites, including approximately 4,000 at Emory. The 15-year study looked at ways to prevent coronary heart disease, breast and colorectal cancer, and fractures from osteoporosis. Follow-up and spin-off studies related to the WHI continue.
       
       
   
   
   
   
   
   
   
 
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