On Nursing: Institute Promoting Hopkins Nursing to the Rest of the World Mike Field ------------------- Staff Writer When Hopkins nurses Anita Pearce, Melissa Gerstenhaber and Joseph Capozzoli presented a poster at a national conference recently, they were unprepared for the response. Their presentation detailing the development of a day treatment program in child and adolescent psychiatry brought a wave of inquiries from other nursing staffs around the country. All three are full-time nurses, however, with active caseloads and busy schedules. They had no office, no staff and no secretarial resources from which to coordinate the distribution of materials and consulting duties that would likely arise. Yet they were able to successfully share their findings, thanks to the newly created Institute for Johns Hopkins Nursing, a joint development of the university and the hospital meant to share the expertise and educational programs of Hopkins Nursing with healthcare providers worldwide. Managed care and changes in medical insurance have meant that fewer overnight stays are covered, and more young patients needing psychiatric counseling are being treated on an outpatient basis. The daycare counseling program Pearce and Gerstenhaber helped develop in conjunction with nurse manager Capozzoli provides an intermediate step to full hospitalization and thus fills a need felt at many other institutions. "After our presentation we had a very favorable reaction from many psychiatric institutions nationwide, and they all wanted follow-up information," said Pearce, who is a senior clinical nurse for adolescent psychiatry at the hospital. "This program allows an institution to extend its hospitalization program without incurring the costs associated with overnight stays." By the end of the conference, Pearce, Gerstenhaber and Capozzoli had a list of a dozen institutions requesting information about their program. Back at Hopkins, the team soon found themselves with more demands for information than they could fill. They turned to the institute, which was able to step in with expert advice and assistance. Institute staff helped edit, collate, copyright and distribute their report to all the institutions that had expressed interest in their work. "We were able to rely on the institute to help complete the process," Pearce said. "There is no way we would have had the resources to get this done." "This is the only entity of its kind in nursing anywhere," said Kathleen Sabatier, who arrived Aug. 1 to serve as senior program administrator for the institute. "It's the collaboration that makes this effort so unique. Part of our focus will be to serve as a resource to all Hopkins nurses and to allow them to network within the institution." The institute is currently housed at the 2024 Building on the East Baltimore campus, but plans have been made to find a permanent place for it within the School of Nursing's new building, to be built on Wolfe Street, across from the main entrance to the hospital. "The idea behind the institute is to take the tremendous resources of Hopkins Nursing and market them outside the institution," Sabatier said. "We want to be a resource not only within the Hopkins community, but outside, to the rest of the world as well." Initially funded through a joint initiative by the School of Nursing and the hospital, the institute plans to achieve financial self-sufficiency within three years. Distance learning and continuing education programs will now fall within the institute's purview, as well as other efforts that will advance the achievements of Johns Hopkins Nursing. Eventually, these activities--including site visits, consultations, books, papers and educational computer programs--will not only promote Hopkins Nursing, but earn income as well. In a prepared statement at the unveiling of the new institute, Nursing Dean Sue Donaldson described a wide scope of programs to be explored. "[Our] goal is to share the innovations in practice, science and scholarship that have always been a hallmark of Johns Hopkins Nursing. We will provide leadership and consultation on contemporary practice issues, nursing programs, management systems, new technologies, nursing research and advanced nursing roles." "With the expansion of managed care and the increasing demands on nurses to deliver care more effectively, the need for a resource such as the institute is clear," said the hospital's vice president for nursing, Maryann Fralic, in the same statement. "Nurses and healthcare providers here at Hopkins, as well as from around the world, can take advantage of institute programs." Fralic and Donaldson will oversee operations at the institute, while Sabatier will be responsible for day-to-day management. Among its new duties, the institute will coordinate conference planning and help organize logistical resources for symposia and other meetings. Its first event will occur Nov. 13, when it sponsors the Doris Armstrong Leadership Forum, named for the former director of nursing services at the hospital from 1970 to 1976. This year's forum will feature a panel discussion with nurses elected to the Maryland Legislature. Sen. Paula Hollinger and delegates Marilyn Goldwater, Shirley Nathan-Pulliam and Mary Roe Walkup will discuss leadership options available to nurses in a session titled "Nurses as Leaders" to be held in Hurd Hall. Information about the forum, and the Institute for Johns Hopkins Nursing, can be obtained at (410) 614-3160.
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