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| CHOPR Celebrating 30 Years of Impact at AcademyHealth Party
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| The Center for Health Outcomes and Policy Research was launched in 1989 as one of the first comprehensive centers to scale up scientifically rigorous research on the impact of nursing on patient outcomes, to use evidence to inform policy for the improvement of care outcomes, and to produce the next generation of nursing outcomes and policy researchers in the U.S. and abroad. Join us to celebrate accomplishments in our field and to renew our collective commitment to have an even greater impact over the next 30 years of nursing outcomes research. Link to invitation.
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 | Former and current doctoral fellows gathered with (L.-R.): Dr. Jeffrey Silber, Dr. Eileen Lake, Dean Villarruel, and Dr. Herbert Smith (top row) to honor Dr. Aiken (center).
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| Dr. Linda Aiken receives
the Provost's Award for Distinguished PhD
Teaching and Mentoring
Current doctoral fellows and alumni teamed up with longtime Penn colleagues, Drs. Jeffrey Silber and Herbert Smith to celebrate Dr. Aiken's nomination. This is the first time anyone from Penn Nursing has received this award. At the reception to honor the 2019 Lindback awardees, Penn Provost Wendell Pritchett presented the award to Dr. Aiken and told attendees of the Center's many successes, "CHOPR is the longest continuously NIH-funded PhD program in nursing in the country. That's pretty impressive!"
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 | L.-R.: Penn PhD Nursing Student, Marta Simonetti; Paz Soto, Universidad Católica de Chile; Emilio Santelices, Chile Minister of Health; Drs. Linda Aiken and Jere Behrman from Penn; Dr. Consuelo Cerón, Universidad de los Andes; and, Dr. David Bravo, Universidad Católica de Chile.
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| RN4CAST-Chile Study Team Briefs the Minister of Health and Recommends Establishing a National Safe Staffing Ratio for Public Hospitals
Research partners from the University of Pennsylvania, Universidad Católica de Chile, and Universidad de los Andes presented findings from the largest nursing study in Latin America. The study examined the state of health care in Chile - a country that is trying to control its health care costs and determine whether nurse staffing, nurse education and the nurse work environment affects patient outcomes. The RN4CAST-Chile research team expects to set up a collaborative relationship with the Chilean Ministry of Health to promote nursing organizational changes.
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CHOPR Study Links Nurse Work Environments and Outcomes
A new meta-analysis from Dr. Eileen T. Lake et al. has synthesized 16 years of studies to show the association between the nurse work environment and four sets of outcomes: nurse job outcomes, nurse assessments of quality and safety, patient health outcomes, and patient satisfaction. An LDI research snapshot highlights the study findings. More
“Until now, no synthesis of this body of research has been made to clearly articulate the association between nurse work environments and health care quality, safety and patient and clinician well-being,” said Dr. Eileen T. Lake
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Nursing Work Environment Shapes Relationship Between the Electronic Health Record and Quality of Care
CHOPR investigators examined nurse satisfaction with electronic health record (EHR) systems and the concurrent effects of EHR adoption level and the hospital work environment on usability and quality outcomes. Dr. Ann Kutney Lee led the research team to study data from more than 12,000 nurses at 353 hospitals in four states. More
“Twenty-five percent of nurses reported dissatisfaction with their current record systems while similarly high percentages reported usability issues. Over half reported that EHRs interfered with patient care,” said Dr. Ann Kutney Lee
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 | Amanda received the Claire M. Fagin Award at Graduation.
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| CHOPR Fellow starts a UMICH postdoctoral TACTICAL, Training to Advance Care Through Implementation Science in Cardiac and Lung Illnesses, with a joint appoinment in the National Clinician Scholars Program
Amanda Bettencourt MSN, APRN, CCRN-K, ACCNS-P began her nursing career as a staff nurse in the Pediatric ICU, and then after earning her MSN at Johns Hopkins, worked as a clinical nurse specialist for burn and trauma patients at Regions Hospital in St. Paul, MN, the nurse manager for acute care services at the Shriners Burn Hospital in Boston, MA, and then as the system-wide Pediatric Clinical Nurse Specialist at University of Florida Health Shands Children’s Hospital in Gainesville, FL. Amanda has established herself as an expert in burn care and explored the topic in her dissertation. She was the only student ever to be an invited speaker at the National Academy of Medicine’s workshop Exploring Medical and Public Health Preparedness for a Nuclear Incident. Her work will focus on factors influencing the research-to-practice gap in pediatric critical care settings.
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 | Drs. Poghosyan (left) and Flynn (right) will work to influence Congress and educate the nation on the the impact of nursing science on U.S. healthcare.
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Drs. Lusine Poghosyan and Linda Flynn are Ambassadors to the Friends of the National Institute of Nursing Research (FNINR)
Both CHOPR Senior Fellows and alumni are the newest members to join the fourth cohort of this well-regarded group that dedicates itself to advocating for advances in nursing science. Ambassadors were selected from a pool of applicants based on their abilities to advance public, health professions, and policy-maker awareness of research linked to NINR.
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 | Dr. Allison P. Squires is an Associate Professor at the Rory Meyers School of Nursing, NYU and CHOPR Alumni.
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| Dr. Allison Squires is the National Academy of Medicine Distinguished Nurse Scholar-in-Residence
The review committee selected Squires for her strong policy background, as well as her stated focus to examine and address sustainability of the workforce. During her tenure, Squires will concentrate on the Future of Nursing 2020-2030 Study, a consensus study from the National Academy of Medicine (NAM). “I am honored to be selected for this opportunity to serve," said Dr. Squires. “This is an excellent chance for me to utilize my international focus to advance NAM’s research on health equity."
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 | "The nursing profession is more attractive in the U.S. ...we gave nurses more autonomy in their practice, and more involvement in hospital decision making," said Dr. Aiken.
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| Dr. Linda H. Aiken put forward a case for reducing the hours that U.K. student nurses have to spend on clinical placements during Bridging the Nursing Gap, an event hosted by The Health Foundation. In a related interview for the leading think tank, Aiken explains how the U.S. tackled its nursing shortage, letting nurses provide high quality care while delivering better nurse satisfaction and retention. Watch now
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 | THRIVE Workgroup from L-R.: Dr. Heather Brom, PPMC Nurse Scholar, Taylor Hedgeland; and Dr. Margo Brooks Carthon; Penn Senior Biostatistician, Jesse Chittams is not shown.
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| Dr. Margo Brooks Carthon is the Co-PI of an LDI-supported workgroup that studies the care needs of hospitalized patients with high social needs at Penn Presbyterian Medical Center (PPMC). The Penn funding led to the development of "THRIVE: A Clinical Pathway Providing Personalized Care for Socially-At Risk Patients," and was recognized with a "Best of Health System Research" award during Penn Medicine’s Health Equity Week. The team gathered insights from patients, clinicians, and hospital executives using one-on-one interviews, focus groups and observations. Link to poster.
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Senior Fellows News Digest
Dr. Deena Kelly Costa to deliver a keynote at the Intensive Care Society State of the Art International Convention in the United Kingdom. The conference is widely recognized as the biggest national meeting in Europe... Dr. Gianluca Catania discusses the various challenges a woman faces as a breast cancer survivor and how creative communication can bring meaning and comfort in " What a picture can tell you about surviving breast cancer," for The Lancet Oncology... Dr. Regina Cunningham has been appointed to the committee on the Future of Nursing 2020-2030. This ad hoc committee will examine the lessons learned from the Future of Nursing Campaign for Action and the current state of science and technology... Dr. Christopher Friese evaluated whether a web-based educational intervention improved personal protective equipment use among oncology nurses in " Randomized Controlled Trial of an Intervention to Improve Nurses’ Hazardous Drug Handling" for the Oncology Nursing Forum.... Dr. Eileen Lake has received the 2019 Distinguished Contributions to Nursing Science Award from her alma mater, Duke University School of Nursing. It is the highest award given to a school alumnus... Dr. Karen Lasater to receive the New Investigator Award from AcademyHealth Interdisciplinary Research Group on Nursing Issues (IRGNI)... Dr. Matthew McHugh is one of this year's Penn Fellows - an elite group of outstanding faculty members selected for this honor, from a pool of many excellent candidates nominated by Penn’s deans, department chairs, and Faculty Senate leaders... Dr. Lusine Poghosyan is the recipient of the 2019 IRGNI Mentorship Award from AcademyHealth and has also received an appointment as the Stone Foundation and Elise D. Fish Professor of Nursing at Columbia School of Nursing... Dr. Danielle Altares Sarik, Nurse Research Scientist at Nicklaus Children's Hospital and CHOPR alumni has been named the "Nurse Researcher of the Year for South Florida."... Dr. Amy Witkoski Stimpfel found new nurses work overtime, long shifts, and sometimes a second job in " A comparison of scheduling, work hours, overtime and work preferences across four cohorts of newly licensed registered nurses" from Journal of Advanced Nursing.
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|  | CHOPR T32 Alumni are now employed in 44 different institutions across 24 states. Above photo, faculty and fellows come together at the AcademyHealth Annual Research meeting, 2010.
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Advanced Training in Nursing Outcomes Research funded for Years 21 through 25
This a continuation of Penn Nursing’s NINR R01 T32NR007104 pre- and post-doctoral training program in nursing outcomes research. The three-year program addresses the call to produce PhD-prepared nurse researchers in fewer years to make sustained contributions to nursing science, improve clinical care, and educate the next generation of nurses. Principal Investigators include: Drs. Linda H. Aiken, Eileen T. Lake, and Matthew D. McHugh.
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NINR-Funded Advanced Training in Nursing Outcomes Research (T32NR007104) Postdoctoral Position
Perfect for a highly motivated individual to work on cutting-edge national and international research projects. This individual will have access to unique datasets spanning fifteen years of health services and policy research, working with leaders in the field for mentorship to develop lines of independent scholarship, and plan a career trajectory in research. The program places a high priority on having diversity in background. More
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| Message to Senior Fellows
Share your news with other CHOPR Senior Fellows.
Email ajb@nursing.upenn.edu to be included in the next issue.
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