November 10, 2020

The Ohio State University College of Nursing faculty members Associate Professor Todd Monroe, PhD, RN-BC, FNAP, FGSA, FAAN, Professor Karen Rose, PhD, RN, FGSA, FAAN, and Assistant Professor Kathy Wright, PhD, APRN-CNS, PMHCNS-BC, were honored with Distinguished Nurse Educator in Gerontological Nursing awards, presented by the National Hartford Center of Gerontological Nursing Excellence (NHCGNE). The NHCGNE Distinguished Nurse Educator Awards Ceremony took place virtually on Wednesday, October 28.

“Receiving this award affirms the important and unique knowledge that awardees have to teach all levels of students (undergraduate and graduate) regarding the complex needs of older adults,” said Rose, who is the director of the Center for Healthy Aging, Self-Management and Complex Care at the College of Nursing. “As older adults are a growing segment of the world’s population, recognizing nurse educators who have this unique skillset further amplifies the need to ensure that all students receive in-depth education in addressing the needs of older adults.”

The Distinguished Educator in Gerontological Nursing Program is an NHCGNE initiative that aims to recognize the leadership of nurse educators working with students, faculty, providers, and older people in diverse settings. “Given the rapidly growing older adult population and the urgent need to prepare the future nurse workforce to care for an aging population, it is imperative to have well-prepared nurse educators not only with knowledge and skills in care of older adults, but also with teaching competence so that they can foster positive attitudes toward older adults and actively engage learners at all level,” the program states on its website. Applicants for the award must show active engagement in gerontological/geriatric nursing education, coordination and professional development.

August 19, 2020

by Pat Ford-Roegner

In the 1960s, NASA launched the use of telehealth to monitor astronauts’ vital signs. Later, mental health counselors embraced the use of telehealth sessions.

Despite its strong historical track record, though, many policymakers have questioned telehealth’s widespread usefulness for years. They cite the public’s often-expressed reticence to share information via new technology and the need to devote limited funding resources to other diagnosis and treatment tools.

COVID-19 may now be bending the public perception curve toward telehealth. Patients with minor ailments or those wanting to know if their symptoms could be caused by the virus have been willing to forgo crowded waiting rooms, long waits for appointments with their primary care providers and fears of new devices to give virtual visits a try. The utilization rate has been impressive.

Teladoc Health – a U.S.-based multinational telemedicine and virtual healthcare company – reports running 2.8 million total virtual visits in the second quarter of 2020, tripling the number from 2019. A recent U.S. Department of Health and Human Services report of Medicare fee-for-service claims from January to June 2020 showed that the share of Medicare services accessed via telehealth jumped from 0.1 percent in February to almost 44 percent in April. The Centers for Medicare and Medicaid may well permanently expand telehealth coverage. Congress is considering bills to extend coverage and to fund studies measuring telehealth’s impact on the future of patient-centered care.

Foundations are calling for research to study the impact of telehealth models on federally qualified health centers, rural health centers and home health care. Funding streams can shape the future of telehealth by addressing underserved communities, veteran care, homebound populations, racial health disparities and mental health services. As the pandemic and our society’s reaction to it evolves, care is needed to bridge the gap between the haves and have-nots in using technology to deliver health care.

Telenursing is a key component of telehealth. The first documented telenursing event occurred in 1974 when Mary Quinn, RN, provided remote nursing care to patients at Boston’s Logan Airport. In 1997 the American Nurses Association (ANA) published a definition along with professional guidelines.

Nurses engaged in telenursing practice continue to assess, plan, intervene and evaluate the outcomes of nursing care using technologies such as the Internet, personal computers, telephones, digital assessment tools and telemonitoring equipment.

New resources could provide clinical and educational leaders in nursing with new opportunities. The Ohio State University is well ahead of the game and could emerge as a nationwide leader with a seat at the telehealth policy tables inside and outside of government. The Mary Wiedle Hamilton Advanced Health Assessment Simulation Lab at Ohio State’s College of Nursing includes a telehealth services portal for student practice. The college’s curricula incorporates telehealth across the spectrum of care delivery experiences based on “evidence that virtual delivery of care is correlated with improved access to care, positive health outcomes, cost savings and patient satisfaction.”

How will the nation’s clinical community adapt to the new challenges and opportunities for telehealth? With a portal into patients’ lives, nurses and other healthcare practitioners can assimilate what they are learning to improve the quality of care and make patient-centered care a reality. Stay connected on this evolution with Ohio State and your professional organizations!

Pat Ford-Roegner, RN, MSW, FAAN has previously served as Region IV director at the U.S. Department of Health and Human Services, chief executive officer at the American Academy of Nursing and health policy expert for Amplify Public Affairs.


Telehealth facts for the College of Nursing’s Total Health and Wellness at The Ohio State University Wexner Medical Center East Hospital, our nurse practitioner-led comprehensive care facility and a Federally Qualified Health Center:

  • Before COVID-19/telehealth, the no-show rate averaged around 28% for established patients and 45% for new patients. In June and July of 2020, the no show rate for established patients has averaged 9.5% and the new patient appointment no-show rate in May was 18%. It is speculated that transportation was the biggest barrier for patients and the primary reason for missing appointments.
     
  • “Patients are appreciative that they do not have to come into the office and put their health at risk. They genuinely feel cared for and safe. I look forward to the time that I will be able to really see them and share a hug, but for now this is an excellent way to provide primary care,” said Candy Rinehart, DNP, APRN-CNP, ADM-BC, FAANP, CEO and director of Total Health and Wellness.
     
  • Total Health and Wellness did not provide telehealth before the pandemic because it was not reimbursable. However, with the present payment structure, especially with Medicare and Medicaid, they are being reimbursed at nearly the same fee for service as before. With the decreased no-show rate and fuller provider schedules, Total Health and Wellness is able to continue its services and maintain staff and providers.

Read about the emergence and future potential impact of telehealth in Health AffairsTelehealth Should Be Expanded—If It Can Address Today’s Health Care Challenges


 

August 05, 2020

The need for human touch is universal among critical care patients and is an important component of the nurse–patient relationship. However, multiple barriers to human touch exist in the critical care environment. With little research to guide practice, we argue for the importance of human touch in the provision of holistic nursing care.

April 23, 2020

Health and well-being hub represents an innovative first step towards addressing burnout and associated mental health issues among nurses nationwide

Trusted Health, the career platform for the modern nurse, and The Ohio State University College of Nursing today announced a new initiative to promote mental health and well-being among nurses on the front lines of the COVID-19 pandemic. The program will be piloted with nurses in New York and Michigan -- two of the states hit hardest by the pandemic -- and rolled out nationwide in the coming weeks. 

Even before the current crisis hit, burnout among nurses has been at an all-time high, with some studies estimating that up to 63 percent of nurses exhibit symptoms such as job-induced stress, anxiety and depression. In addition, nurses are at increased risk of suicide. More than half report being in suboptimal mental or physical health, which research shows can lead to more errors in caring for patients. The COVID-19 pandemic has only exacerbated this issue, as frontline nurses find themselves delivering care for a high volume of acutely ill patients, often in situations with limited crisis response training or supplies of personal protective equipment (PPE). 

Trusted and The Ohio State University have come together to help address this issue through a partnership that will provide access to wellness support and evidence-based strategies from nursing faculty and advanced practice nursing (APN) students from The Ohio State University College of Nursing. Nurses employed by Trusted who are working in facilities with COVID-19 patients will be able to access an emotional support line staffed by seasoned nurse practitioner faculty, including mental health experts, and supervised students. Those faculty and students will review stressors with callers and offer coping strategies and stress-reduction techniques.

Nurses who call the emotional support line may then opt to participate in a wellness support partnership program supported by the College of Nursing for a period of four or eight weeks. This will include cognitive-behavioral skills building, motivational interviewing, mindfulness and therapeutic communication aimed at finding sustainable solutions to enhance the nurses’ health and well-being, both during the pandemic and for life.

“Our healthcare professionals on the front lines of this pandemic deserve not only our highest regards for their selfless service, but also our support to handle what they are feeling and experiencing because of this crisis,” said Bernadette Mazurek Melnyk, PhD, APRN-CNP, EBP-C, FAANP, FNAP, FAAN, vice president for health promotion, university chief wellness officer and dean of the College of Nursing at Ohio State. “Our college’s faculty, staff and students participating in this effort are well-versed in evidence-based interventions that will not only help these nurses survive, but thrive and build the resilience needed to continue to provide high-quality care and save lives.”

“As a nurses-first company, Trusted was founded on a simple idea: Nurses are the backbone of our healthcare system, and we must do more to support them,” said Dan Weberg, PhD, RN, head of clinical innovation at Trusted. “The COVID-19 crisis has pushed this issue into the national consciousness, and we are committed to using this moment to advocate for and identify new ways to support the mental well-being of nurses not just on the front lines, but everywhere.” 

Since the onset of COVID-19, Trusted has been focused on meeting the unprecedented demand for healthcare workers by matching nurses who have raised their hands to help with hospitals battling the pandemic. As a nurses-first company, Trusted was among the first to offer guaranteed quarantine pay for all of their nurses, and has made their Nurse Advocate team -- former bedside nurses who offer guidance throughout the job search process -- available 24/7 to support the needs of Trusted nurses working on the front lines. Over the last several weeks, nearly 40,000 nurses have signed up via Trusted to work on the front lines of the crisis. 

About Trusted Health

Trusted is where modern nurses go to build their careers. Nurses are the backbone of our healthcare system and yet their options for finding new roles are cumbersome and outdated. Trusted is on a mission to change this by matching the nurses on our platform with a range of flexible jobs that meet their preferences and career goals. With support from a dedicated Nurse Advocate and unmatched insight into compensation and contract details, Trusted makes it easy for nurses to navigate the job search process and manage their careers with confidence. 

Trusted supports hiring in all 50 states and has connected the nurses on its platform with thousands of opportunities. Based in San Francisco, CA, Trusted has raised $25 million in funding from Craft Ventures, Felicis Ventures, and Founder Collective, as well as healthcare innovators like Texas Medical Center and Healthbox. For more information, visit trustedhealth.com.

About The Ohio State University College of Nursing

The Ohio State University College of Nursing exists to transform health and improve lives through top-tier teaching, research and innovation, grounded in evidence-based practice and a powerful culture and support system to foster optimal personal well-being.

The college’s nationally-ranked academic programs taught by world-class faculty offer top-notch programs for future and current nurses and healthcare leaders. U.S. News & World Report highly ranks our university-wide online bachelor’s including RN to BSN (#1), online master’s (#4), traditional master’s (#6) and online Doctor of Nursing Practice (#8). Majors include both nursing and programs in healthcare and wellness innovation, along with certificates that range from school nurse and primary care to nurse education and nurse/health coaching.

The college’s two research centers – the Martha S. Pitzer Center for Women, Children and Youth and the Center for Healthy Aging, Self-Management and Complex Care – seek innovative solutions to real-world healthcare issues. The college received approximately $10.7 million in research awards in FY2019, including $4.3 million in NIH funding – #6 among public institutions and #13 overall. Its Helene Fuld Health Trust National Institute for Evidence-based Practice (EBP) in Nursing and Healthcare promotes EBP worldwide and offers the first globally-recognized certificate of added qualification in EBP.

April 07, 2020

College of Nursing sets May 1 date for applications due to COVID-19 situation

The Ohio State University College of Nursing extended its application deadline for its nationally renowned online post-master’s Doctor of Nursing Practice (DNP) program to May 1.

Leadership at the college pushed back the deadline by a month because of the hardships brought by the COVID-19 pandemic.

“We are seeing acts of heroism in real time from healthcare professionals across the country in response to the coronavirus outbreak around the world,” said Kristine Browning, PhD, APRN-CNP, FAANP, assistant dean for graduate clinical programs and associate professor of clinical nursing. “We want to make sure that those professionals who want to pursue our top-tier DNP degree have the time and space they need to complete their applications.”

Many classes in the online DNP program are offered synchronously, meaning they meet at a designated time where students are required to log in and participate in class. Last month, U.S. News & World Report released rankings that place the College of Nursing’s DNP degree program at #8 in the nation. Several DNP specialty tracks also earned high marks, including administration/management (#7) and leadership (#7 and #1 among public institutions).

February 13, 2020

Proposal asks policymakers, healthcare leaders to support needs for culture change, resources

A new evidence-based policy brief released today addresses an alarming level of healthcare clinician burnout – and its consequential impact on patient care – and asks state policymakers and healthcare leaders to take urgent action to ensure safe and high-quality care.

A partnership of the Health Policy Institute of Ohio (HPIO) and the Helene Fuld Health Trust National Institute for Evidence-based Practice (EBP) in Nursing and Healthcare at The Ohio State University College of Nursing crafted the policy brief. It points to research that finds high rates of depression, anxiety, addiction and suicide among healthcare clinicians, which in turn can lead to dangerous medical errors and costly turnover:

  • Medical errors were the third-leading cause of death in the United States, resulting in more than 250,000 deaths per year, according to a 2016 analysis. While clinician burnout is not the only factor contributing to medical errors, it does pose a significant threat to patient outcomes.
  • Burnout is estimated to be responsible for approximately $4.6 billion in costs related to physician turnover and reduced clinical hours.
  • Total estimated costs associated with nurse turnover for an average hospital were between $4.4 million and $6.9 million in 2018.

“This important partnership between our Fuld National Institute for Evidence-based Practice and HPIO spotlights the critical issue of clinician burnout and how we can improve population health, patient outcomes and healthcare quality across our state,” said Bernadette Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, vice president for health promotion, university chief wellness officer and dean of the College of Nursing at The Ohio State University. “Healthcare professionals of all disciplines cannot take great care of their patients and families if they do not prioritize taking great care of themselves. However, healthcare organizations also must be proactive in supporting clinicians and addressing burnout and depression from a holistic perspective, including shift length, providing resources and building a culture that promotes well-being.”

“Our analysis of the research literature found that clinicians and health professional students face serious problems related to their health and well-being,” said Reem Aly, vice president of HPIO and co-author of the report. “Understanding the relationship between clinician well-being and patient care and safety enables state policymakers and healthcare leaders to implement evidence-informed policies and programs that improve outcomes for clinicians and their patients.”

The brief outlines several evidence-informed action steps that legislators, state agencies, health professional licensing boards and other leaders can champion to stem the tide of clinician burnout, including:

  • Advancing an organizational culture that supports wellness
  • Promoting wellness programming that reduces burnout and fosters resiliency in health professional clinicians and students
  • Providing confidential mental health screening, referral and treatment services for clinicians and students
  • Supporting policies that reduce stigma, including confidential monitoring and treatment programs as alternatives to discipline programs
  • Monitoring and tracking data on health professional clinician and student wellness

The full report and resource page can be accessed at www.hpio.net/a-call-to-action.

November 08, 2019

The Ohio State University College of Nursing’s Innovation Studio will be awarded the 2019 BizTech Nonprofit of the Year Award from Columbus Business First, the business news and information authority in Central Ohio.

Columbus Business First began the annual BizTech Awards five years ago in order to recognize promising startups, entrepreneurs and innovations in the city. The Innovation Studio is among 18 other businesses and individual entrepreneurs to win an award in one of eight different categories. This is the second year in a row that the Innovation Studio has received a BizTech award.

“The Innovation Studio is about people. People are our most valuable technology at Ohio State, and the Innovation Studio affords a new avenue for our students, faculty and staff to converge in solving the big problems that impact our community,” said Tim Raderstorf, chief innovation officer of the College of Nursing. “Receiving the BizTech Nonprofit of the Year Award provides the Innovation Studio with a broad platform to connect and collaborate with the community and showcase our philosophy that every technology begins and ends with people.”

An award ceremony to celebrate the winner’s accomplishments will be held on Wednesday, December 4 at Vue Columbus in the Brewery District.

Watch our short video to learn more about the Innovation Studio.

July 31, 2019

Many of the 20 million new students starting college this fall will have to manage their health and well-being on their own for the first time. As families review materials related to classes, meals and housing, The Ohio State University Chief Wellness Officer and The Ohio State University Wexner Medical Center have created a wellness checklist to help students develop a plan to maintain their well-being.

July 31, 2019

The National Academy of Medicine (NAM) has spotlighted The Ohio State University's efforts to reduce the growing concern of burnout among practicing clinicians and medical, nursing, and health sciences students and trainees.

Ohio State became the first university to be featured by NAM as a role model in wellness and prevention, per College of Nursing spokesperson Phil Saken.

July 31, 2019

The National Academy of Medicine’s (NAM) Action Collaborative on Clinician Well-Being and Resilience released a comprehensive and groundbreaking case study today about how The Ohio State University is working to stem the growing epidemic of clinician burnout in healthcare settings.