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UCLA School of NursingNursing reimagined. Nursing redefined.


As reported in the Spring 2010 issue of In The Know: News from the UCLA School of Nursing, research collaborations overseas have become a major priority for the school. In the year since Dean Courtney H. Lyder formalized the effort with the appoinment of Dr. Adey Nyamathi to the newly created position of associate dean for international research and scholarly activities - the first position of its kind on the  UCLA campus - there has already been a major payoff: most notably, a $1.75 million grant from the Hong Kong Sanitorium and Hospital (HKSH, pictured right).

Under the five-year collaborative agreement, the School of Nursing will work with the nursing administrators at the Hong Kong institution on ways to improve the quality of care and patient safety at HKSH. In particular, the school will collaborate with HKSH to enhance the quality of nursing care delivered at the bedside and in its ambulatory clinics; promote mentorship of the nurses in conducting clinical research; and enhance the evidence-based practices of HKSH nurses as well as nursing students.

"This is an exciting new relationship that will elevate the expertise of Hong Kong Sanitorium and Hospital nurses through evidence-based practice," says Nyamathi. "It will combine cutting-edge education and research while introducing new practice models to the HKSH. The collaborative relationship will enable HKSH to build upon its status as a top hospital in Asia and ultimately become a worldwide model for patient care and nursing education for the 21st century."

Nyamathi says that the relationship between the two institutions began to develop approximately two years ago, when Dr. Walton Li, HKSH's director, expressed an interest in tapping into the UCLA School of Nursing's expertise to advance nursing practice and improve nursing outcomes for patients seeking care at his facility. After several visits, both by the school's leadership team to Hong Kong and by the HKSH administration to UCLA, an agreement was reached.

Under the grant, faculty at the UCLA School of Nursing and nurses at HKSH will develop and expand ties, toward the goal of building infrastructure and advancing research that will guide and promote evidence-based practice. The collaboration will include visits to Hong Kong - Nyamathi anticipates a rotating monthly presence, in which groups of 2-3 faculty at a time visit HKSH - as well as meetings using advanced multimedia technologies. Nyamathi also hopes the relationship will enable student and faculty exchanges in both directions.

"We believe this will serve as a model for international relationships involving our school," adds Nyamathi. "Eventually, we would like to have sites in many parts of the world where our students and faculty can visit. We can share our expertise, but we also have a lot to learn from these institutions that can improve the practice of nursing here."

Sharing the Importance of Qualitative Research in China

On her recent trip to China, Dr. Sally Maliski arrived at the Hunan Provincial Tumor Hospital in Changsha.  When she got out of the car, she noticed a lot of important looking people waiting in front of the hospital.   She wondered who the visiting dignitary might be - and it turned out to be her!

As many of the UCLA School of Nursing faculty are finding out, China too is redefining and reimaging the role of nurses.  Dr. Maliski was busy on this most recent trip.  She started out giving a presentation at the 5th Hong Kong International Nursing Forum on her qualitative research focused on Latino men with prostate cancer.

She then went on to Changsha where she gave a day-long seminar on "Qualitative Research with a Focus on Grounded Theory" at South Central University School of Nursing.  She found the students and faculty very engaged in the subject of qualitative -- the why and the how -- results in research.  "Qualitative research is done in a natural setting - by performing interviews or observing the individuals to determine what guides behaviors," said Maliski.  'By understanding behaviors, we can start to develop interventions to improve health outcomes."

"I thought that seminar went very well - and the students really asked great questions showing they understood the concept of grounded theory."

The next day, Maliski visited Hunan Provincial Tumor Hospital.  The vice director of nursing is the first nurse in China to be placed on the executive board of the hospital.  The nurses and others with whom  Dr. Maliski visited with were also very interested in research, particularly in the area of oncology and prevention. 

"All along the way everyone was so warm and gracious," added Maliski.  "I look forward to returning and working with the hospitals and nursing schools who are really elevating the practice and profession of nursing."

UCLA School of Nursing Creates International Collaborations to Reduce Tobacco Usage

On August 18, 2010, the University of California, Los Angeles, School of Nursing, on behalf of the International Society of Nurses in Cancer Care (ISNCC) and in partnership with the University of Hong Kong School of Nursing, held a workshop titled "Building nurses' tobacco research capacity through international collaboration". The one-day workshop took place prior to the 2010 World Cancer Congress in Shenzhen, China. Additional support for the workshop was provided by the Tobacco Control Office, Department of Health, The Government of Hong Kong Special Administrative Region and was held in the Peoples Republic of China. The PRC has over 300 million smokers, including 60% of physicians. Very few nurses smoke and have the potential for major contributions in public health and reducing cancer risk by reducing tobacco use.

Drs Linda Sarna, Stella Bialous, and Sophia Chan, ISNCC Tobacco Task Force members helped to coordinate the conference and were assisted by staff from the UCLA, Dr. Marjorie Wells and Lisa Chang. Dr. Sophia Chan facilitated with translation of all of the presentation slides so that both English and Chinese language materials were available. Ingrid Plueckhahn, another ISNCC Task Force Member and Dr. Sanchia Aranda, ISNCC Past President, also participated in the conference.

The approximately 80 participants, mostly nurses from China PRC and Hong Kong had an opportunity to learn from each other and hear ISNCC Tobacco Control Task Force members discuss state of the art research and practice in nursing and tobacco control, with a focus on building international collaboration and strategies for increasing nursing involvement in tobacco control in Asia. All participants received a package of educational materials and resources and several colleagues from China had an opportunity to share the work they are doing in tobacco control in their workplace, from assessment on nurses' KAB regarding smoking cessation, to smoking cessation clinics staffed by nurses, as well as educational programs in nursing schools. Participants also heard from Prof. Xiao Nong Zou of the National Office for Cancer Prevention and Control, National Central Cancer Registry about opportunities for nurses to become involved in tobacco control in China.

At the end, participants provided feedback and the vast majority found the workshop extremely useful and informative and are looking forward to additional educational and networking opportunities from ISNCC. The ISNCC Tobacco Control Task Force will continue to seek funding for other international initiatives to enhance the nurse's role in addressing this leading cause cancer worldwide.

Following this workshop, the International Society of Nurses in Cancer Care has received two grants to support international smoking cessation efforts.  Both initiatives will be led by by Dr. Linda Sarna, Professor, University of California Los Angeles School of Nursing, and Dr. Stella Bialous, Tobacco Policy International. 

Pfizer Foundation: 'Adapting a Smoking Cessation Intervention Distance Learning Program to Educate Nurses in China.

China has the largest population of smokers in the world. In support of the tenets of the World Health Organization Framework Convention on Tobacco Control, major tobacco control efforts by healthcare professionals are underway but there has been limited attention to enhancing the role that the 1.65 million nurses in China can play in curbing the tobacco-related epidemic. The goal of this project is to adapt a Web-based educational program to increase nurses' knowledge and skills in conducting tobacco cessation intervention. This innovative intervention will use  information technology and will be tested by 1000 practicing nurses in Beijing. Dr. Xiao Nong Zou, Chief, Office for Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, and Professor Sophia Chan, Head, School of Nursing, University of Hong Kong, will serve as key consultants. A special page on the Tobacco Free Nurses website will include nurse-tailored translated materials and a twenty minute video Web-cast based on the Rx for Change curriculum© to educate nurses on tobacco cessation interventions. The project will be launched in April, 2011.

Read more about the importance of this initiative and the School of Nursing Program in Bloomberg News.


Dr. Adey Nyamathi and Dr. Linda Sarna Appointed Visiting Professors in China

Dr. Adey Nyamathi and Dr. Linda Sarna have been appointed as Visiting Professors by the Anhui Medical University in China.  As visiting professors, they will be giving lectures at the university, supporting research projects and provide guidance and mentorship for faculty visiting UCLA from Anhui Medical University.

Pictured to the left is Dr. Nyamathi and Dean Weili Wang from Anhui University in Hefei, China.

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