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August 2009 Newsletter final by tqr19314


									        PREPARED BY

       INDEN Board
  Richard W. Redman, 2007-10
  Treasurer                          Volume 8, Number 2                                      September 2009
  Milisa Manojlovich, 2009-12

                                     President’s Greeting
  Patricia Davidson, 2007-10                                     Dear INDEN Mem-                                          bers:                      One of the major decisions by the Board at our
                                                                                            recent meeting was not to increase our annual
  At-Large Board members
                                                               Greetings to each of         dues. While we are
  Shiow-Li Hwang, 2006-09                                                                   always in need to addi-
                                                               you on behalf of your
                                                               elected Board mem-           tional funds to support
  Hester Klopper, 2006-09                                                                   current and new initia-
                                                               bers! I hope this edi-
                                                               tion of the INDEN            tives, the Board is
  Florence Myrick, 2009-12                                                                  sensitive to the current
                                                               Newsletter finds you                                                                    financial challenges
                                     well and experiencing success in your professional
  Marie Nolan, 2008-11                                                                      that we all face. Spe-
                                     endeavors.                                                                       cial initiatives will be
  Munikumar Ramasamy                 We held our biennial meetings in Durban, South         undertaken to expand
  Venkatasalu, 2007-10                                                                      our membership. Please do your part by encour-
                                     Africa in late June. By all accounts, these were                                                                     aging your colleagues and students to join IN-
                                     highly successful. Approximately 50 attendees
  John Xavier Rolley, 2009-12                                                                                DEN. By expanding our member-
                                     participated in two days of                                                                                        ship we will raise the additional
                                     paper presentations, group dis-
                                     cussions, and INDEN business                                            revenues that will permit continua-
   Newsletter Editors                                                                                        tion of current initiatives and im-
                                     meetings. Our keynote presen-
  Laurel Eisenhauer                                                                                          plementation of new programming.
                                     tations were outstanding. Sev-                                                                                  It is also extremely important that
                                     eral new activities were fea-
  Kristiina Hyrkäs                   tured at our meetings this year,                                        all of you renew your membership.                     including papers by members                                             Invoices for renewal were sent out
                                     and students and highlights by                                          in early August. If you haven’t
  Munikumar Ramasamy
  Venkatasalu                        our INDEN/Sigma Theta Tau                                               renewed as yet, please do so today.              International fellows of their
                                     fellowship experiences. And a                                           If you are interested in being in-
     INDEN Website                   grand reception for all was                                             volved in any INDEN initiatives, or             hosted by the School of Nurs-                                           have suggestions for additional
                                     ing Science, North-West University (South Af-          activities, please contact any of the Board mem-
Inside this issue:                   rica) and the Faculty of Nursing, University of        bers. In addition, elections for new officers and
                                                                    Alberta (Canada).       Board members will be held this Fall. We are
President’s Greeting            1                                   An engaging student     always looking for input and active involvement
INDEN COMMITTEE                                                     workshop was pre-       of our members and would welcome your engage-
UPDATES                                                             sented by Dr. Laeti-    ment. INDEN will only be a vital organization if
                                                                    tia King. All in all,   all members participate actively. Please begin to
INDEN BIENNIAL CON-             4                                                           plan today how you might become involved in
                                                                    we had productive
FERENCE                                                                                     INDEN activities!
                                                                    and enjoyable meet-
CONFERENCE REPORT               14                                  ings in Durban. You
FROM STUDENT                                                        will find highlights    Best regards to each of you!
                                                                    and photos in this
INDEN BOARD REPORT              16                                  edition of the news-    Richard W. Redman
                                                                    letter. Copies of the   President, INDEN
STUDENT EXPERIENCES 17                                                                      School of Nursing
                                     PowerPoint slides from all presentations are avail-
                                     able on the INDEN website. Begin planning now          University of Michigan
CONFERENCE PHOTOS               19
                                     to attend our next biennial meetings, tentatively      Ann Arbor, MI, USA
ANNOUNCEMENTS                   21   planned to be held in Malta in 2011.         
INDEN BULLETIN                  22

REMINDERS                       22
               Page 2                                                                                                    Newsletter

                                     INDEN COMMITTEE UPDATES

Letter from the Editorial Team
                                    Greetings for the August          encourage you to send your comments and contributions about
                                    issue of our INDEN newslet-       this newsletter by email to ''.
                                    ter. As one of the conference
                                    attendees I was pleased to        The theme for the next issue is
                                    see many of our INDEN             “Dissertations”. We welcome
                                    members and energetic doc-        your valuable contributions.
                                    toral students at Durban.         The deadline for submissions:
                                                                      October 17, 2009. For detailed
                                   This issue of our INDEN            criteria, please refer our an-
                                   Newsletter gives you the           nouncement section in this
                                   exclusive coverage of our          newsletter.
INDEN biennial conference. We included key note presenta-
tions, most of our conference papers, panel discussions, student
presentations and a conference report from our INDEN student          Speak to you in the next News-
member Ms Siedine Knobloch in this newsletter. We also in-            letter.
cluded photographs from our conference.
                                                                      On Behalf of INDEN Newsletter Editorial Team:
The INDEN website has uploaded the
PowerPoint presentations of the confer-                               - Munikumar Ramasamy V
ence. The board members` meeting min-
utes are complied and presented by Dr.
Milsa in this Edition.                                                INDEN Newsletter Editorial Team:

                         I presented a report about the Newslet-      Laurel Eisenhauer  
                         ter and obtained valuable suggestions        e‐mail:  
                         to promote our standard and quality of       School of Nursing, Boston College, USA 
                         Newsletter at the INDEN conference. I
                         thank everyone who contributed their         Kristiina Hyrkäs  
                         suggestions during the conference            e‐mail:  
                         discussion. We will be looking at how        Maine Medical Center, Portland, ME, USA 
                         we credential your contributions to our       
                         newsletter. At the board members
                                                                      Munikumar Ramasamy Venkatasalu  
                         discussion, we were given the green
                         signal for the editorial team to review
                         the future of our INDEN newsletter. In       School of Nursing, University of Nottingham, UK 
                         the forthcoming months, the editorial
team will be discussing and working with you all to produce
substantive changes in the name, format and quality of our IN-
DEN Newsletter.

Please feel free to forward this e-newsletter to all your School of
Nursing Staff and Doctoral students. We would also like to
Volume 8, Number 2                                                                                                            Page 3

                                     INDEN BIENNIAL CONFERENCE

 Keynote Presentation:
 Meeting the Challenges of Excellence and Multidisciplinary Translational Research
 Keynote speaker:
 Martha N. Hill, PhD, RN, FAAN
 Dean and Professor
 Johns Hopkins University School of Nursing, Baltimore, MD, USA
 In her address, Dr. Hill focused on excellence as the foundation of successful research and described how this approach requires
 the highest standards, committed champions, time to build skills and relationships, and resources. The presentation highlighted:

 A Definition of Terms:
 Multidisciplinary translational research features more than one discipline and more than one profession. Translational research in-
 cludes two phases. Phase I is to transfer of new understandings of disease mechanisms gained in the laboratory into the develop-
 ment of new methods for diagnosis, therapy, and prevention and their first testing in humans. Phase II is the translation of results
 from clinical studies into everyday clinical practice and health decision making. (Woolf, S.H. (2008). The Meaning of Translational
 Research and Why It Matters. JAMA, 299(2), 211-213.)

 Essentials for Research Success includes institutional commitment to research and scholarship, rigor and innovation, competent
 faculty and mentors, qualified, motivated students, supportive infrastructure, effective partnerships and resources
 The Research Infrastructure requires access to electronic scientific literature, internet-based communication, and leaders in clini-
 cal settings, resources to support instrument development or access, data collection, and analysis, and a critical mass of researchers
 around topics and methods of mutual interest such as chronic illness management, health promotion, disparities, and information
 The Institutional Culture: needs to have universal values in research integrity and ethics; respect for the integrity of the human
 person and institutional commitment to knowledge to serve humanity; key ethical principles including: beneficence, equity, justice,
 and solidarity; and a generosity of spirit to fuel the interdisciplinary team science
 Keys to Doctoral Education and Preparation for Translational Research Careers include: curriculum and effective teaching
 methods; competency assessment; mentorship by doctorally prepared faculty with established programs of research, interdisciplinary
 research residencies, research seminars for critique and refinement of dissertation and other work, and career advisement.
 Challenges are: a nurse faculty shortage, heavy faculty workloads – little time and lack of faculty expertise in research, insufficient
 or no funds, lack of partnerships, and little time to build relationships and trust and workout different values and power differentials.
 Opportunity: Nurses can and will be influential if they are competent, credible, credentialed, committed, and communicators.
                 Page 4                                                                                                     Newsletter

                                  INDEN BIENNIAL CONFERENCE

Keynote Presentation:
Meeting the Challenges of Excellence...(continued)
Core proficiencies for the Education of Health Professionals include: delivering patient-centered care, working as part of inter-
disciplinary teams, practicing evidence-based medicine, focusing on quality improvement and using information technology. (Health
Professions Education: A Bridge to Quality. IOM, April 2003)
Topics for Phase II Multi-disciplinary Translational Research Collaborations: human capacity development, program design
and evaluation, curriculum development, evidence-based standards and care, clinical skills training, performance/quality improve-
ment, patient safety, policy and protocol, evaluation, enhanced quality of health care services across settings, improved health sys-
tems, removal of barriers to high quality care, reduction of health disparities, analysis of issues in health care from a global perspec-
tive, and what nurses do and what differences they make
Program approaches to getting started are: create an expectation of involvement; identify champions; create strategic partnerships
to increase co-mentors; align needed resources; look for those with strong leadership characteristics such as being self-aware, crea-
tive, opportunistic, assertive, persistent, flexible, skilled in negotiation, and visionary and passionate; identify researchers you ad-
mire and teams you want to join and learn about their work, join an active research team, and make an effort to show up, volunteer,
and produce.

Conference Presentation:
International Health Systems and Research Course with International Students
and Faculty
Presenting Author:                                                    Co-authors:
Marie T. Nolan1 PhD, RN                                               Sara A. Rosenthal1, Rachel K. Klimmek1, Yan Wang2, Carrie
Johns Hopkins University, Baltimore, USA                              Tudor1, Mirriam B. Kunene3, Sabina DeGeest4, and Eui
Email:                                            Geum Oh5

Leadership development in international research was the focus         She also presented criteria to
of this PhD course at Johns Hopkins University School of Nurs-         evaluate the quality of research-
ing. The course which was taught onsite, involved PhD students         focused doctoral programs in
in nursing from several countries, multidisciplinary faculty re-       nursing from the International
search presentations on international studies, and student inter-      Network for Doctoral Education
views with nurse researchers outside the U.S. The influence of         in Nursing (INDEN) (Kim,
cultural, political and economic forces on health care and nursing     McKenna, & Ketefian, 2006) and
needs of selected countries (Nepal, South Africa, Brazil, Peru,        the American Association of Col-
and South Korea) were examined. Concepts related to research           leges of Nursing (AACN)
ethics and the responsible conduct of research were reviewed           (AACN, 2001). Next, researchers
including ethical frameworks, informed consent, scientific free-       at Johns Hopkins University in
dom, collaboration, and authorship. Course objectives were:            nursing, medicine, and public health who had conducted a study in
                                                                       a country other than the United States (U.S.) presented their study
  1. Describe how cultural, political, and economic forces
                                                                       and findings to the class.
      influence the health care and nursing needs of a selected
      country or region.
                                                                       Students had three assignments. In the first assignment, the stu-
  2. Examine the status of nursing education, licensure, and
                                                                       dents provided the class with an overview of the common health
      practice in the country or region under study.
                                                                       problems, the health system, and the status of nursing practice and
  3. Identify culturally competent research strategies in this
                                                                       education in the country of one of the presenting faculty research-
                                                                       ers. In the second assignment, students interviewed a nurse re-
  4. Critically analyze the literature on health and nursing
                                                                       searcher from another country about a research article written by
      research in the area under study.
                                                                       the nurse researcher. Students asked the researcher about ethical
  5. Identify areas for future research in health care or nursing.
                                                                       challenges in conducting the research and about the status of nurs-
At the start of the class, the instructor provided an overview of      ing in the researcher’s country including education, licensure and
ethical frameworks to guide the evaluation of research ethics.         practice and how these factors and cultural factors might influence
Volume 8, Number 2                                                                                                                Page 5

                                 INDEN BIENNIAL CONFERENCE

 Conference Presentation:
 International Health Systems and Research...(continued)
 nursing leadership in multidisciplinary research and health care.
 Students then presented a summary of this interview to the class     References
 as well as the student’s critique of the researcher’s study design
 and report. For the third and final assignment, students pre-        American Association of Colleges of Nursing. (2001). Position
 pared a presentation or submitted a manuscript for publication       statement on indicators of quality in research-focused doctoral
 on a topic related to the course objectives. Academic credit for     education in nursing. Washington, DC.
 the course ranged from 1 to 3 credits based upon the final as-
 signment.                                                            Kim, M. J., McKenna, H. P., & Ketefian, S. (2006). Global
                                                                      quality criteria, standards, and indicators for doctoral programs in
 Students enrolled in the class were from the U.S., China, and        nursing: Literature review and guideline development.
 South Africa. Researchers interviewed by students were from          International Journal of Nursing Studies, 43, 477-489.
 South Korea, Thailand, Japan, South Africa, and Switzerland.
 The interviews with the nurse researchers in other countries         ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
 were conducted via e-mail or Internet mediated voice contact            1
                                                                         Johns Hopkins University School of Nursing, Baltimore, Maryland,
 using the program, Skype. Throughout the course, students            USA.
 compared data across several nations on mortality and morbid-           2
 ity, economic indicators, health systems, and the status of nurs-           Peking Union Medical College School of Nursing, Beijing China.
 ing. Common challenges in the conduct of research in nations             University of KwaZulu-Natal, School of Nursing, Faculty of Health
 other than the researchers’ were discussed including ethical         Sciences, Durban, South Africa.
 challenges of doing research in developing nations with vulner-         4
                                                                           University of Basel, Faculty of Medicine, Institute of Nursing Sci-
 able populations and the need for cultural competency in devel-      ence, Basel, Switzerland.
 oping health care interventions. The importance of partnering           5
                                                                             Yonsei University, Seoul, South Korea.
 with citizens of the country under study from the inception of a
 research project, and contributing to their capacity to conduct
 independent research was stressed.

                    Faculty and students at the International Health Systems and Research Course
                Page 6                                                                                                      Newsletter

                                 INDEN BIENNIAL CONFERENCE

Conference Presentation Abstract:
Reaching In, Reaching Out: Mentorship in Doctoral Nursing Education
Professor Florence Myrick, RN, PhD
University of Alberta
Alberta, Canada

                                         The role of the doctoral        such as nursing, supervisors can shape the way students come to
                                         supervisor is a special one.    think about their profession, about their discipline, and ulti-
                                         Doctoral supervisors are        mately about the way in which they engage in their practice.
                                         afforded the ability to pur-
                                         sue and share knowledge         While not a new concept, mentorship is relatively new to the
                                         with students and in that       profession and discipline of nursing. In doctoral nursing educa-
                                         sharing, to be able to come     tion one could say that mentoring is integral to the development
                                         to an authentic understand-     and enhancement of future educators, researchers and leaders of
                                         ing not only of the profes-     the nursing profession. The context in which we teach, however,
                                         sion and the discipline of      is critical to how we teach. In turn the context in which we men-
                                         nursing but equally to          tor is critical to how we mentor. In this presentation, I will: a)
                                         come to an understanding        address the notion of mentoring within doctoral nursing educa-
of themselves and of the students with whom they engage in that          tion; b) explore the contextual dynamic that can come to influ-
supervisory process. Indeed, intrinsic to the supervisory role is a      ence, directly and/or indirectly, nursing education and how we
particular kind of influence that not only can transform the think-      engage in teaching/learning and the supervisory process; and c)
ing of students but can significantly affect the way in which they       critically examine how best we can create a culture in which a
come to view and contribute to the evolution of their world, in          mentoring mindset is fostered.
particular their nursing world. And in a professional discipline

Conference Presentation:
Model to retain and skill newly appointed nurses
Presenting Author:                                                      Co-author:
Eunice Seekoe, RN, PhD                                                  Goodman Chauke
Mindset Network                                                         Mindset Network
South Africa                                                            South Africa
The Mindset Health’s Professional Development program devel-            ment of leadership skills, attract and retain quality employees.
ops educational content for health care providers and health            The model further contributes towards professional develop-
workers. The content is being integrated into the pre-service edu-      ment as it can be developed into a stand-alone program and used
cation at nursing schools and is used for continuous professional       in all nursing environments.
development in health service
establishment and provision.                                                           The study’s objectives, among others, are to:
The project is part of a broader
                                                                                       • Determine and describe the mentoring needs
Mindset Health mandate to
                                                                                         of Newly Appointed Nurse Educators
deliver uplifting education on
                                                                                         (NANE) in Nursing Educational Iinstitu-
critical health issues on a mass
                                                                                         tions’s in South Africa.
scale funded by U.S. Agency
for International Development                                                          • Identify and conceptualize a framework to
(USAID), President's Emer-                                                               develop a model for mentoring of NANE in
gency Plan for AIDS Relief                                                               NEI’s in South Africa.
(PEPFAR), and Johns Hopkins                                                            • Describe a mentoring model for NANE in
University.                                                                              NEI’s in South Africa.
                                                                                       • Describe the guidelines for operationalizing
In relation to Mindset Health’s                                                          the model for mentoring NANE in NEI’s in
work, the Seekoe model is designed to assist Nursing Education                           South Africa
Institutions, Nursing Management and Practice with the develop-
Volume 8, Number 2                                                                                                       Page 7

                                 INDEN BIENNIAL CONFERENCE

 Conference Presentation:
 Model to retain and skill newly appointed nurses...(continued)
 The study concluded with the following findings and is illustrated on the structure below:

 • Mentoring takes place in a multi-dimensional context with three levels of the macro level (legislation, framework and ethical),
   meso level (governance, strategic, quality assurance and performance based) and micro level (process, competency, stakeholders).
 • The macro level is the legal professional framework, while the meso level is institutional and the micro level is more operational
   at the school/departmental level.
 • Mentoring takes place as a process of relationship building, engagement, development, self inquiry and reflection.
 • The most important role players are the mentor and the mentee.
 • They relate in an interactive and participative relationship.
 • The outcome of mentoring is empowerment and capacity building in order to develop competencies of the mentee which will
   ultimately increase competencies in higher education.
 • Motivation and commitment are the driving energy in mentoring.

                             Figure: A model for mentoring newly appointed nurse educators in
                                       nursing education institutions in South Africa.
                Page 8                                                                                                        Newsletter

                                INDEN BIENNIAL CONFERENCE

Conference Presentation:
Leadership Educational Model for a 21st Century Nursing Doctoral Education in
Contemporary Turkey
Presenting Author:                            Co-authors:
Füsun Terzioğlu, PhD, RN                      Shake Ketefian, EdD, RN, FAAN                  Richard W Redman, PhD, RN
Hacettepe University                          University of Michigan                         University of Michigan
Turkey                                        Ann Arbor, MI, USA                             Ann Arbor, MI, USA
Email:                 Email:                      Email:
This study draws on recent international      and dialogue with the co-authors, an           major research programs that focus on
literature to develop a leadership            educational model in leadership                priority nursing and health problems in their
educational model for a 21st century          education and practice for nursing             country. This in turn is only possible if such a
nursing doctoral education in                 doctoral students was proposed,                model generates substantiated bodies of
contemporary Turkey. It                                           specifically for           leadership knowledge which evolve to
is argued that only                                               consideration of its       enhance the quality of life for multiple
through the combination                                           possible usefulness        populations and improve the healthcare that
of the mastery of the                                             for 21st century           is provided to the public in general. In order
three competencies                                                Turkey.                    to accomplish these aims, nursing first has to
mentioned would                                                                              overcome a set of challenges. However, it has
nursing faculty be able                                            There is consensus in     been labeled the silent profession. Its
to acquire the essential                                           the nursing               socialization is associated with being a
elements of leadership                                             profession that the       female profession; the environments are
in doctoral education.                                             dramatic changes          entrenched in steep hierarchy, and other
This article also                                                  occurring in health       societal factors have contributed to the lack
contributes to the                                                 care, in view of an       of voice attributed to nurses in the decision-
development of doctoral                                            aging population,         making arena that drives the healthcare
education in nursing in                                            advances in               market. It is also for these reasons that
Turkey by helping                                                  biomedical research,      developing such a new model is so crucial in
Turkey meet the goals established by the      and other developments, require nurses to      the Turkish context.
International Network of Doctoral             develop increasingly more knowledge,
Education in Nursing (INDEN): INDEN           education, and skills (Bartels, 2005). It is   While large numbers of doctoral graduates in
aims to advance and promote high quality      also agreed that these changing                Turkey do enter academic positions after
doctoral education in nursing through         conditions of health care, the nursing         graduation, the supply and demand issues
national and international collaboration.     profession and nursing education create,       vary across disciplines. Internationally,
                                              in turn, a greater                                                      scholars note (Wood &
This model is developed by the first          demand for doctorate-                                                   Ross-Kerr, 2003) that
author while conducting a postdoctoral        level trained nurses                                                    the most important
fellowship at the University of Michigan      (Magyary, et al, 2006).                                                 resource for doctoral
School of Nursing. In developing this         For these reasons, many                                                 nursing education
model the first author had the opportunity    articles and reports                                                    programs is the
to observe the University of Michigan         emphasize the need to                                                   faculty. If the stated
School of Nursing doctoral program in         better prepare the health                                               purpose of doctoral
operation, examining the educational          care workforce for the                                                  education is for
methods and leadership practices in the       future (Brown, et al.,                                                  preparing scholars and
clinical area. Interviews were conducted      2006; Draye, et al.,                                                    scientists who will
with relevant individuals and with clinical   2006). These training                                                   develop disciplinary
nurse leaders. The interviews provided        demands mandate educational reform.            knowledge is to be fulfilled, there needs to be
information about the expectations of         Educators recognize, however, that             a body of scholars to educate them. As a
nurse leaders with respect to leadership      current advanced practice is inadequate to     consequence, Hacettepe University
education, the experiences of the clinic      prepare nurses to meet future healthcare       Department of Nursing (HUDN) which is the
nurse leader, the challenges and vision of    needs or improve the delivery of services.     leading nursing institution in Turkey plays an
the leaders, how they manage                                                                 even more pivotal role when it comes to
change, and the like. At the end                            In Turkey, for a model to        leadership training. It is for this reason that, it
of the interviews and                                       be successful, a critical        is at Hacettepe University, Department of
observations, in conjunction with                           mass of prepared doctoral        Nursing that the future leaders in nursing will
an intensive review of literature                           level nurses has to build        be trained. The models that are to be
Volume 8, Number 2                                                                                                             Page 9

                                 INDEN BIENNIAL CONFERENCE

 Conference Presentation:
 Leadership Educational Model...(continued)
 developed there will become the prominent models in Turkey in
 the future.                                                            Given Turkey’s needs, how can one design a leadership model in
                                                                        nursing at the doctoral level that meets these needs? This article
 Elements of the Leadership Educational Model for Turkey                argues that the professional leadership education at the doctoral
                                                                        level in nursing in Turkey ought to aim at preparing nursing
 The review of the literature has                                              students for leadership roles by contributing to their
 indicated that the leadership models                                          personal, professional and clinical competencies. As the
 developed until recently have                                                 literature argues, leadership is a skill that can be acquired
 focused more on management                                                    through education and pedagogy. According to Swansburg
 functions than leadership. The main                                           and Swansburg (1999) state Gardner believed ninety
 concern of these models was                                                   percent of leadership is teachable to others. Hence,
 developing the skills of either the                                           universities need to encourage students to recognize their
 managers working in organizations                                             own strengths and take risks, and they need to support
 or the nurses working at hospitals.                                           students in making this a reality.
 Yet pertinent literature could not be
 located that specifically focuses on what the content of the           When one turns to the practice of the nursing profession in
 doctorate level leadership education in nursing ought to be.           Turkey today, one observes that the university faculty often focus
                                                                        on their own research, and clinical education is therefore
 Nursing education and practice have become increasingly                undertaken by inexperienced graduate students. Yet, such
 complex as has the practice of leading nurses, since sophisticated     graduate students are in direct need of faculty mentors, faculty
 leadership requires a balanced constellation of characteristics,       who would be role models to them, who would guide them in
 skills, knowledge, and competencies. Given the complexity of the       their research and mentor them, and who would help them bridge
 skills to be acquired in the proposed model of leadership, the         clinical practice and nursing theory. Clinical leadership practice
 overall educational preparation should give careful attention to       immensely benefits doctoral students in acquiring a vision for the
 teaching approaches and methodologies. Class and seminars              future, developing solutions to the problems they encounter, and
 should involve students in dialogue, critical analysis of case         initiating and sustaining team work. For these reasons, one of the
 studies, simulations, and other strategies that promote active         main components of the doctoral leadership education model
 learning and critical thinking. In addition, a component of the        outlined here is to develop both the individual and the clinical
 students’ experiences needs to be a leadership practicum,              leadership skills of the doctoral students and to do so in the
 whereby the student has an opportunity to observe and engage in        context of their roles as professionals. Many recent articles have
 limited participation in the activities of an experienced nurse        attempted to improve leadership skills of nurses by: stressing the
 leader in an educational, practice, or health policy environment.      significance of developing these skills at all levels, suggesting the
 This leader would serve as a mentor and role model to the              development of educational models accordingly, and evaluating
 student, and would provide overall guidance to the student,            the efficacy of these models (Herrin, 2006; AONE, 2005;
 teaching by example as well as interpreting the                                                 Wolf, 2006; Carroll, 2005; Maag
 rationale for his/her actions. While it would be                                      , 2006; Sherman, 2007;
 challenging to locate such placements for all                                                   Dawson, 2005). Such studies which
 students, it is an essential element for                                                        contribute to the professionalization
 achieving the program goals. Opportunities for                                                  process of nursing also help shape the
 international placements can be sought to                                                       21st century conceptualization of nursing.
 augment placements within the country.
                                                                                                Main Components of the Model
 Recently, academic and practice forces have
 converged to address this challenge (Dzurec                                                     The professional, personal and clinical, 2006; Maag, 2006; Bartels, 2005).                                                competencies articulate three main
 Leadership competencies provide a framework                                                     components of this model. The first
 for leaders to build role descriptions and                                                      component, professional competency, is
 establish expectations for nurse executives.                                                    composed of seven requisite domains
 Nurse leaders have been searching for such a                                                    which are: i) organizational citizenship
 framework for several years. This unique and energizing                involving organizational values, professional values, and
 collaboration between practice and education has finally resulted      membership in professional organizations, ii) networking, iii)
 in an integrative, standardized approach that is starting to fulfill   professional knowledge/ skills and research, iv) shaping of health
 the expectations of doctoral education in nursing.                     policy, v) collaborative partnership, vi) mentoring, and vii)
               Page 10                                                                                                     Newsletter

                                 INDEN BIENNIAL CONFERENCE

Conference Presentation:
Leadership Educational Model...(continued)
creating and leading change.                                            level. The students, once equipped with these characteristics,
                                                                        would then spread these to the new sites they will then move
The second component, personal competency is comprised of               onto. For all doctoral graduates, leadership roles present a new
three domain threads which include i) intellectual skills (decision     challenge for the 21st century. This model can be adapted and
making, problem solving, strategic vision, creative thinking); ii)      applied to other contexts both within Turkey as well as to other
personal values (trustworthiness, ethics, integrity, loyalty and        countries throughout the world in the following manner:
openness); iii) personal characteristics (self esteem/self awareness,
assertiveness, humanism/positivism/                                                       (i) At the most basic level, the components of
humor, and, achievement/power)                                                            the model could be integrated into the
and, communication skills (written                                                        graduate level nursing curriculum of
and oral).                                                                                Hacettepe University Department of Nursing;

The third component, clinical                                                             (ii) This curricular reform could then be
competency, is composed of four                                                           diffused to the other graduate nursing
requisite domains which include; i)                                                       programs throughout Turkey;
delivery of health care (patient
outcome, quality improvement,                                                             (iii) The doctoral students who attain the
magnetism, evidence based practice,                                                       leadership skills developed by this model
and patient/staff safety), ii) creating and leading a change, iii)      could then employ these skills in other areas of expertise such as
delivery of health services (performance improvement, creating a        clinical and academic areas.
positive work environment, teamwork, utilizing technology,
communication, empowering, nursing informatics, advocacy and            The model is comprised of personal, clinical and professional
ethics); and iv) mentoring (role modeling, coaching, career             components; it is argued that only through the combination of
guidance).                                                              the mastery of these three competencies would the nursing
                                                                        faculty be able to inculcate the essential elements of leadership
Doctoral nursing graduates will be expected to assume leadership        in doctoral education. This educational model will serve as a
roles in their professional positions in accordance with the model      reference for doctoral programs in nursing leadership education
presented above. Cultivating leadership skills in professional,         and practice in Turkey.
clinical, and personal components of the program through the
processes of networking and mentoring, role modeling, coaching,         REFERENCES: Please contact the lead author
teaching, collaborative partnering, and international exchanges
will help solidify these desirable characteristics at the doctoral      for the list of references.

Conference Presentation:
Nursing Leadership Development through International Collaborative Predoctoral
Presenting Author:                                         Co- Authors:
Xiaokun Liang, RN, PhD                                     Marie T. Nolan, RN, PhD2; Zhuming Jiang, MD3; Huaping Liu, RN, PhD
Email:                            FAAN1; David Efron, MD4; Martha N. Hill, RN, PhD, FAAN2

                                The purpose of this paper is to describe the experience of a member of the first graduating class of stu-
                                dents to obtain a PhD in Nursing from a Chinese University. Nursing education in China is reviewed
                                followed by a brief description of a collaborative doctoral program in nursing, challenges to completing
                                this program, and strategies for success in nursing leadership development.

                                Baccalaureate nursing education in China was re-established in 1983, and master’s nursing education
                                began in 1993. During the past fifteen years, higher nursing education in China has advanced signifi-
                                cantly. The education of master’s prepared Chinese nurses was greatly expanded between 1994 and
                                2001, when the Program on Higher Nursing Education Development (POHNED), with the financial
                                support of the China Medical Board, Inc. of New York (CMB) successfully collaborated with eight key
                                Chinese medical universities and Chiang Mai Medical University in Thailand. However, the demand for
Volume 8, Number 2                                                                                                          Page 11

                                    INDEN BIENNIAL CONFERENCE

 Conference Presentation:
 Nursing Leadership Development through International…(continued)
 nurses with advanced education to serve       ducted in China. In Year III, the students      5) Conducting patient surveys in both
 as faculty, senior administrators, and        completed their dissertation research, and      Chinese and English, involving inter-
 research scientists, requires that more       submitted a dissertation in Chinese per         viewing patients in a second language.
 nurses be educated not only at the mas-       PUMC requirements. The PhD degree
 ter’s level, but at the doctoral level as     was awarded by PUMC after a paper in            The strategies were used to cope with
 well (Berlin & Sechrist, 2002). There was     English based on dis-                                                        these chal-
 no doctoral training program in nursing in    sertation findings was                                                       lenges includ-
 China five years ago. In realizing this       published in an Interna-                                                     ing: integra-
 demand, Peking Union Medical College          tional Scientific Cita-                                                      tion of men-
 (PUMC) created the first doctoral pro-        tion Index (SCI) jour-                                                       torship from
 gram for Chinese nurses in collaboration      nal.                                                                         both the
 with Johns Hopkins University (JHU),                                                                                       PUMC Medi-
 and with the financial support of CMB in      Challenges in com-                                                           cal faculty
 2004. This program is a full time, 3-year     pleting an interdisci-                                                       member, who
 program. Since there were no qualified        plinary study in dif-                                                        is a respected
 advisors to guide doctoral students in        ferent countries                                                             professor and
 nursing at PUMC, advisors were sought                                                                                      clinician spe-
 from other disciplines in medicine and         I did a comparative                                                         cializing in
 public health. These advisors were ex-        study including Chi-                                                         nutrition re-
 perts in medi-                                           nese and US                                                       search in the
 cine, surgery,                                           patients, to                                                      PUMC and
 pediatrics,                                              compare the nutritional risk and     Hospital, and the JHU Nursing faculty,
 obstetrical-                                             nutritional support of patients in   who specializes in end-of-life research,
 gynecological                                            Beijing and Baltimore teaching       survey methods and nursing leadership
 (OB-GYN)                                                 hospitals. I enrolled 1,900          training. All mentors guided the project
 medicine, and                                            medical-surgical patients in 3       development, IRB approval, facilitation
 epidemiology.                                            teaching hospitals and 1 hospi-      of survey in their hospital wards and dis-
 Faculty from                                             tal in Baltimore.                    semination of findings as well as advising
 Johns Hop-                                               The challenges for me to con-        on communications with international
 kins Univer-                                             duct the dissertation research       experts to gain broad knowledge on nutri-
 sity, School of                                          were:                                tion research.
 Nursing, served as co-advisors.               1) Being part of the first cohort of nurs-
                                               ing doctoral candidates at PUMC-JHH             Dr. Zhuming Jiang guided the study de-
 The goals of this collaborative educa-        collaborative program since there was no        sign, helped to obtain IRB approval at
 tional program are:                           prior example of how to conduct a mul-          PUMCH, and revised drafted the manu-
 1. To train high-level nursing education      tidisciplinary study in different countries;    script. Dr. Marie T. Nolan helped with
 faculty, researchers and administrators       2) Conducting a multidisciplinary study         study design, obtaining IRB approval at
 2. To create an internationally recog-        on a clinical issue,                                        JHH, data collection at JHH
 nized, doctoral-level model for Chinese       which required the                                          and revising drafts of the
 nursing education and the Chinese health      close cooperation                                           manuscript. Dr. David Efron
 care system                                   of multidiscipli-                                           helped to obtain IRB approval
                                               nary experts;                                               and data collection at JHH.
 The students studied the first year at        3) Obtaining IRB                                            Dr. Jens Kondrup consulted
 PUMC during which the core nursing            approval from two                                           on the instrument used in the
 courses were taught by Hopkins nursing        institutions in two                                         study and data analysis. All of
 faculty. After successful completion of       countries, which                                            them contributed to the final
 the comprehensive examination at the end      required that the                                           manuscripts, which were pub-
 of the first year, the students spent July-   research proposal                                           lished in two SCI journals.
 December of Year II at Hopkins taking         meet the criteria of
 courses, and finalizing their dissertation    both IRBs;                                      Through the collaborative doctoral nurs-
 proposals. Students then returned to          4) Consulting with an expert from a third       ing education program I learned how to
 PUMC for approval and initiation of their     country on a nutritional screening              work within an international interdiscipli-
 dissertation research which they con-         method;                                         nary research team; achieved unique ex-
              Page 12                                                                                                    Newsletter

                                 INDEN BIENNIAL CONFERENCE

Conference Presentation:
Nursing Leadership Development through International…(continued)
perience in conducting clinical research in multiple country sites;
learned about human subjects protection, authorship, and how to        Acknowledgement
publish scientific paper.                                              We gratefully acknowledge funding for this program by China
                                                                       Medical Board, Inc. of New York (CMB).
After I finished the collaborative doctoral nursing program, I pub-
lished research papers in two peer-reviewed international journals;    References
presented the results at an international conference; expanded         Berlin LE, Sechrist KR. The Shortage of Doctorally Prepared
upon my dissertation research by developing a new project on           Nursing Faculty: A Dire Situation.
clinical nutrition with my multi-disciplinary team. I am currently     Nursing Outlook, 2002;50:50-56.
pursuing a nurse leadership opportunity at the National Institutes
of Health, involving the introduction of an NIH evidenced-based        ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
practice training course to nurses in China.                             School of Nursing, Peking Union Medical College
                                                                         School of Nursing, Johns Hopkins University
International collaboration between developing and developed             Department of Surgery, Peking Union Medical College Hospi-
countries is very important for doctoral nursing education. Nursing    tal
professionals working with other disciplines is an important part of     Department of Surgery, Johns Hopkins School of Medicine
leadership development. Nurses cannot isolate themselves from
other professionals. They should cooperate with physicians, phar-
marcologists, dietians, etc. to do research that will move nursing
and health care forward.

Conference Presentation:
INDEN/STTI Post-doctoral Scholarship Experience
CS Minnie, PhD, RN
North-West University
South Africa

I completed a post-doc at the University of Alberta in Edmonton, Canada. My mentor was Dr.
Greta Cummings who was selected based on our similar interests in systematic reviews and
promotion of evidence based practice.
On application in 2007 the objectives I wanted to achieve during the scholarship were not well
developed. After my arrival in Edmonton in November 2008, Dr Cummings and I revised the
objectives to include:

1. The development of my own research program for the next 5 years;
2. Developing scholarly writing skills by reviewing journal articles and grant applications with
   Dr. Cummings, preparing at least 2 articles from my PhD for submission to peer-reviewed
   journals and submitting an abstract for a presentation at an international conference;
3. Developing my research skills by doing a systematic review with Dr Cummings with the aim of publishing together, participating in
   discussions on secondary analysis of data-bases and the development of Best Practice Guidelines and gaining hands-on experience
   with qualitative data analysis using NVIVO, survey instrument development and SPSS for quantitative data analysis
4. Gaining additional knowledge and skills to promote post graduate education through participating in learning opportunities like
   shadowing Dr. Cummings to meetings e.g. PhD review, discussions on graduate curricula and the doctoral program; and engaging in
   discussions on how to engaging Masters and PhD students in a research program for mutual benefit.

During the period of the three months I worked intensely and was able to focus on reaching the objectives. I was able to reach all but
one of the objectives (the second article). An unexpected opportunity arose as I was invited to become a collaborator in an international
research project where both the North-West University and the University of Alberta are involved with.
Volume 8, Number 2                                                                                                        Page 13

                                  INDEN BIENNIAL CONFERENCE

 Conference Presentation:
 INDEN/STTI Post-doctoral Scholarship Experience (continued)
 I am proud of the research program I have developed for the next 5
 years. Each of the objectives of my program, CREAM                     Since my return I could help others to develop their research
 (Contextualizing research evidence to advance Midwifery) con-          programs through sharing my experience in formal and informal
 sists of various projects and includes my present re-                                      sessions. I also try to link all the research
 search interests:                                                                          projects I am involved with, to my research
 • To promote EBP in midwifery education                                                    I want to express my appreciation to the
 • To promote evidence based infant feeding options                                         persons and institutions for this life-
   for HIV positive mothers                                                                 changing and satisfying experience.
 • To promote evidence based support programmes for
   HIV affected persons
 • To develop a model / conceptual framework for
   contextualising best evidence

 Student Research Presentation:
 Barriers to HIV Prevention in the Black Church: A Systematic Review, 1984-2008

 Presenting Author:
 Jennifer Stewart, RN, MS, PhD Student
 University of Illinois at Chicago
 HIV infection is a major health concern in the United States today, and has claimed
 the lives of millions of individuals. It’s most devastating effects, however, have been
 on the lives of African-Americans who comprise 12% of the United States popula-
 tion but now represent a staggering 49% of all HIV/AIDS cases. A method for deliv-
 ering effective HIV prevention programs to this group of people is vital to slowing
 the spread of this disease. Historically, the Black Church has had an integral role in
 delivering health prevention, education, and promotion programs on a variety of
 topics to its parishioners and their surrounding communities. However, the Black
 Church has remained largely uninvolved in HIV prevention efforts.

 The purpose of this paper is to synthesize research on the barriers to the Black Church’s involvement within the context of Urie Bron-
 fenbrenner’s Ecological Systems Theory and test whether or not this theory will hold true at the group level of analysis.

 Systematic searches of 4 electronic databases (CINAHL, PsychINFO, MEDLINE, Sociological Abstracts), identified 14 relevant stud-
 ies published between the years 1984-2008. Inclusion criteria included studies on American churches and their involvement or lack of
 involvement with HIV prevention.

 A review of the articles revealed three major categories: stigma, resources, and clergy characteristics. Under each of these major cate-
 gories fell a series of more specific subcategories which included: stigma against homosexuality, promiscuity and drug use, doctrinal
 conflicts, lack of qualified church members, lack of financial resources, lack of community collaboration, social factors, clergy’s un-
 willingness to discuss sexuality, clergy’s underestimation of the prevalence of HIV in the African American community, and clergy’s
 feelings of inadequacy in teaching HIV prevention. Additionally the theme of supports was found with some examples of supporting
 factors to HIV prevention programming in the Black church being found.

 Information gathered will contribute to the gap in knowledge about barriers to the Black Church’s involvement in HIV prevention.
 Findings will assist future researchers in their understanding of the unique potential role the Black Church can have in HIV prevention
 and help nurses and health care professionals in supporting this potential forum in the fight against HIV.
            Page 14                                                                                                    Newsletter

                         CONFERENCE REPORT FROM STUDENT

INDEN Biennial Meeting: Reflections from a PhD student
Siedine Knobloch, M.Cur, RN, RM PhD Student
NorthWest University
South Africa

It is said that you always remember the firsts in your life, and
whether good or bad the memory of those firsts will always
influence every action and perception thereafter. The INDEN
Biennial meeting was really a time of firsts for me… first
time member of INDEN, first time to attend an INDEN meet-
ing, first time to present a poster and the first time to present
my PhD work to an international audience, and it will forever
be first time memories that I will cherish.

I was very excited to become a member of INDEN and attend
the biennial meeting for largely two reasons; my PhD thesis
is part of an international collaboration research project to
determine the quality of nursing doctoral education in six
countries and to develop strategies to improve the quality of
nursing doctoral education, and where better to gain a global
perspective of nursing doctoral education than at INDEN?
Also, the initiative for this multi-national collaborative re-          Members of INDEN and I, at my poster “Quality
search project of determining quality criteria, standards and
                                                                        of Nursing Doctoral Education in South Africa.”

                                                                    ers, who were keen to talk and share their experiences with me. I
                                                                    was also able to meet and network with fellow doctoral students,
                                                                    who although they lived thousands of kilometers away in different
                                                                    countries, with different languages and different cultures, and stud-
                                                                    ied in different doctoral programmes, ultimately shared similar
                                                                    struggles, hopes and dreams as me. I learnt of many different nurs-
                                                                    ing programmes, the most memorable of which was that of the
                                                                    Gulhane Military Medical Academy, School of Nursing, in Turkey
                                                                    where the entire faculty and student component has military ranks.
                                                                    I even learnt of different cultures, religions and facts about coun-
                                                                    tries, the most shocking claim being that Baklava and Feta Cheese

   Faculty from the Gulhane Military Medical
   Academy, School of Nursing.

indicators for nursing doctoral education was first started by
members of INDEN – Drs MJ Kim, HP McKenna and S
Ketefian – to mention a few, and I was just so excited to be
part of a network that was so visionary and proactive in their
aim of advancing the profession of nursing.

The meeting itself exceeded my expectations, in that I was
able to meet with so many different people and learn so many
                                                                          From Left to Right, Mrs R Pretorius, myself and
different things. I had the opportunity to meet and network
                                                                          Prof F Terzioglu, the source of the baklava and
with what in my eyes are famous nurse leaders and research-
                                                                          feta cheese revelation.
Volume 8, Number 2                                                                                                         Page 15

                          CONFERENCE REPORT FROM STUDENT

  INDEN Biennial Meeting: Reflections from a PhD student (continued)
  which most all of us believe to be from Greece, in fact origi-   realized, as Dr L Uys had pointed out in her keynote address, that
  nated from Turkey!                                               we really do work miracles with the limited resources we have. In
                                                                   fact, I consider it to be the most exceptional characteristic of any
  The presentations were thought-provoking, global-minded          South African and I will have to illustrate my point using a saying
  and informative, while allowing time for critical discussions    that we have in South Africa… “that our hearts are like a (South
  and debates, which truly allowed me to get a more global         African) mini bus taxi – there is always place for one more (thing)”.
  perspective on issues. The one issue that most struck me at      To give you a visual illustration of what I mean, I had to add these
  this meeting and especially within the theme of this meeting,    pictures, which is a common sight in our country.
  “International Doctoral Education: Are We Meeting the
  Global Leadership Challenge?” was the constant advocacy,         What this represents to me and is evidenced by the work of nurse
  consideration and support of young academics in academe,         leaders in our country like Drs L Uys, H Klopper and J Bruce, to

    The regular loaded mini bus                  The overloaded mini bus taxi             A view from inside a mini bus taxi…
    taxi in South Africa…                        in South Africa…

  and although this is a much discussed and published about        mention a few, is the fact that limited resources are never seen as a
  topic, I found INDEN and the members of INDEN to be              setback, as we have the innate ability to see an opportunity in every
  different in a very significant way, in that they not only       situation and use resources to the umpteenth power and then some,
  talked about the problem, but they are truly enacting strate-    with an openness to share resources, time and energy with those less
  gies and sharing success stories, which I think is visionary     fortunate in our country and in Africa at large. We always have the
  and serves justice to INDEN’s purpose of “advancing and          mindset of a minibus taxi – in that there is no one we can’t help, and
  promoting high quality doctoral education in nursing             there is nothing we can’t or won’t do in order to advance the profes-
  through national/international collaboration and coopera-        sion of nursing and this makes me so proud to be a South African
  tion”.                                                           academic, as I think we have such an amazing legacy with so much
                                                                   to offer the world of academe.
  But most of all, I must admit that I sat at the meeting, as a
  proud South African academic, because as different inter-        In closing, I would like to thank the leadership and members of IN-
  national colleagues were presenting these amazing new            DEN for their involvement in making this meeting such a success
  opportunities, programmes, developments and resources, I         and memorable moment.
           Page 16                                                                                                    Newsletter

                                    REPORT FROM INDEN BOARD

Board Members’ Meeting at INDEN Biennial Conference-2009, South Africa
Recorded by:                                                     Complied by:
Dr. Richard Redman, President, INDEN                             Milisa Manojlovich, PhD, RN, CCRN; Treasurer, INDEN
                                                                 University of Michigan
                                                                 Ann Arbor, MI, USA

The Board Members engaged in a total of three meetings           Michigan, and the arrangement is presenting a number of chal-
during the recent INDEN conference in Durban. The top            lenges. The Board members decided to:
priority for the Board meetings was strategic planning, so key
decisions were made in that regard.                              1. Reimburse Professor Ketefian’s office budget for services pro-
Potential Collaboration or Alliance with Other Organiza-         2. Pursue the notion of INDEN having its own URL (e.g., in-
                                                                 3. Investigate the WHO Collaborating Cen-
The Board Members discussed                                         ter as a model to provide infrastructure
ways to collaborate or align with                                   support.
other organizations that have a
global or regional focus and                                     Aims and Procedures:
similar missions and goals. The
relationship with Sigma Theta                                    The current Aims and Procedures were re-
Tau International is an example                                  viewed. The Board members decided to:
of a very successful joint ven-
ture and might serve as a model                                  1. Revise the Aims and Procedures docu-
for other initiatives.                                              ment in terms of vision, mission, core
                                                                    values, and objectives.
The Board members decided to:                                    2. Revise the Board of Directors section to incorporate a proposed
                                                                    role of vice president.
    Investigate several potential organizations; each            3. Invite another doctoral student to join the Board to fill a current
    Board Member will attempt to get information on an              vacancy.
    organization that they were assigned to, in the next 6       4. Elect a vice-president (internally by Board members) after the
    months.                                                         Fall election.
Strategies to Increase Membership                                Upcoming Election:
A major challenge is to ensure that membership increases         The election this Fall will aim to fill the following positions: 1
rather than decreases. The Board members decided to:             president-elect, 1 secretary-elect, 2 board members. In addition, the
                                                                 ballot will include proposed revisions in the Aims and Procedures
1. Develop a fact sheet listing the advantages of INDEN          language for the Board of Directors section.
2. Investigate the mechanics and costs                                         Board Roles and Responsibilities:
   associated with developing a
   “member’s only” section on the                                              As part of the strategic planning discussion it was
   INDEN website                                                               agreed that distributing some of the major functions
3. Conduct an analysis of membership                                           to various members of the Board will help to ensure
   renewal patterns in recent years                                            completion of important tasks and distribute respon-
4. Refine membership recruitment                                               sibilities more equitably.
5. Not consider an increase in dues                                            Future Board Meetings:
   until the value and benefits of mem-
   bership can be strengthened.                                                All agreed that the current method of conducting
6. Explore possible course offerings, for credit or for con-     board meetings by email is inefficient and inconvenient.
   tinuing education, that might be sponsored and offered by     The Board members decided that:
   INDEN to serve as a revenue generator.                        1. All board members will get a Skype account if they do not have
                                                                    one currently.
Infrastructure and Organizational Support:                       2. Investigate software packages that can facilitate threaded discus-
                                                                    sions for board meetings.
INDEN has been subsidized extensively by the University of
Volume 8, Number 2                                                                                                       Page 17

                                            STUDENT EXPERIENCES

   International Doctoral Students experiences at UPenn 2008-2009
   Submitted by:
   Lorraine J. Tulman, DNSc, RN, FAAN
   Associate Professor of Nursing; Chair, Graduate Group in Nursing
   University of Pennsylvania

   The University of Pennsylvania, School of Nursing has a long tradition of educating doctoral students from around the world. Our
   international alumni hold leadership positions in education, research, administration, and policy around the globe. Our School wel-
   comes applications from baccalaureate and masters prepared nurses. Please visit the doctoral program web page at\nursing for more information.
   Below are brief comments from 7 of our doctoral students that three (3) completed 1st year of study in June 2009, and three (3) that
   have finished two years of study and one (1) that has finished 3 years of study.

   Eeeseung Byun                                 sion to pursue a Ph.D in nursing abroad       nursing science to reduce stress in the
                                                 even though nursing is an unpopular ca-       critically ill, and to promote their health
   I came from Korea                             reer in China; I was admitted to Penn. I      and wellbeing.
   to study in Penn’s                            still remember how excited I was the mo-
   Nursing Adult                                 ment I got the official admission letter      I am challenged and inspired by my peers
   Acute Care NP                                 from Penn. I really realized that “Yes, I     & the amazing faculty here to search,
   Program, from                                 can, and I did it!”                           learn, and give back to nursing, inspire
   which I received a                                                                          others, reach out to patients, and to the
   Master’s degree in 2006. I returned Sep-      I am so proud that I made the right deci-     community of Philadelphia.
   tember 2008 to study for a PhD in Nurs-       sion to accept the offer from Penn. I have
   ing Science.                                  benefited so much in my academic study        Sarah I. Sawah
                                                 in the past year. The knowledge I learned
   I will build a foundation to accomplish       from classes broadens my views not only       I came to Penn
   my career goal of becoming a nursing          on nursing but the whole world. The rigor-    with a BSN and
   researcher and leader who can contribute      ous research attitude and advanced re-        MSB degree from
   to improve nursing science generally, and     search methods will benefit me in my          American Univer-
   to further health promotion in society. My    future study. Academically, my short-term     sity of Beirut
   dissertation will be related to factors af-   goal is to complete my Ph.D study suc-        Lebanon. My
   fecting outcomes of family caregiving of      cessfully; the long-term goal is to become    MSB focused on
   elders who have had a stroke. It will offer   a researcher and educator in health care.     chemically induced ulcerative colitis
   insight into this population and will po-     But I know that academic study is not my      model in rats. Clinically, I am a medical/
   tentially lead to improved quality of care    whole life. So the third goal is to explore   surgical nurse with specialization in renal
   of the stroke patients and their caregivers   new things in a different culture and have    transplant. I attained my clinical trans-
                                                 a enjoyable off-campus life.                  plant training at the Department of Sur-
   Chenjuan Ma                                                                                 gery, Division of Organ Transplantation,
                                                 Lit Soo Ng                                    University of Massachusetts Medical
   I was born in a                                                                             Center, Worcester, MA. I was Nurse
   farmer’s family in                            I came from Singa-                            Coordinator/Administrator of the Divi-
   China. Growing up                             pore to study nursing                         sion of Urology and Renal Transplanta-
   in the countryside                            at the University of                          tion at the American University of Beirut
   gave me a golden                              Pennsylvania School                           Medical Center, Beirut, Lebanon from
   childhood. More                               of Nursing . I earned                         2004 till 2007.
   important, it offered                         a MSN degree
   me better chances to experience and un-       (ACNP?CNS) in                                 I have finished 2 years of doctoral study
   derstand the Chinese healthcare system        2007 from Penn and                            at Penn Nursing. The School of Nursing
   and its problems. In 2000, I was admitted     returned for my PhD study last Septem-        has provided me with, Scholarship, Net-
   to Xi’an Jiaotong University in China         ber.                                          working, Financial Support and Recogni-
   where I got my BSN (2005) and MSN                                                           tion. I am interested in Type 1 diabetes
   (2008). Those years were the most impor-      My research interest is the association of    and its relation to vitamin D deficiency in
   tant period in my life so far: I became       stress and the outcomes of critically ill     children. I hope that my research will be
   mature psychologically; I made the deci-      patients. I look forward to building new      evidence-based, add to science, further
              Page 18                                                                                                 Newsletter

                                        STUDENT EXPERIENCES

International Doctoral Students experiences…(continued)
translate into healthcare practice, and contribute to commu-     Canhua Xiao
nity well being.
                                                                 In PR China I was an oncology nurse. I came in September 2007 to
Elaine Siow                                                      study for a PhD in nursing at Penn.

I came from Singapore to study in                                I have finished my qualifying examination, and the first two years
Penn’s Acute Care Nurse Practitioner                             course work. I got a scholarship to attend summer school at Uni-
Program (MSN 2006), and returned to                              versity of Basel, Switzerland in 2008. My abstract for one paper
Penn in September 2007 to begin                                  was presented in 21th ENRS conference. I hope I can finish my
study in the PhD Nursing program.                                candidacy examination by end of 2009. I also hope that I could
What I have accomplished since un-                               finish my PhD study on time.
dertaking doctoral studies includes
completing the following papers:                                 Allison Squires, Post Doctoral Fellow

• Richmond, T. S., Ackerson, T., Robinson, K., & Siow, E.        There was a 1st year doctoral student and post-doctoral fellow pre-
  Differential responses to physical injury: Importance of       senting at the ICN Conference in Durban in July 2009. Kelly De-
  mental health status. (Working paper, University of Penn-      laney, a 1st year doctoral student presented a paper titled “Engaging
  sylvania).                                                     the Nursing Profession in the Treatment of Acute Malnutrition.”
• Siow, E. & Curley, M. A. Q. Surviving the intensive care
  unit: Evaluating long-term nurse-sensitive outcomes in         As a first time attendee at the ICN congress, Squires found the
  survivors of intensive care. (Working paper, University of     Congress provided many fantastic opportunities for networking
  Pennsylvania).                                                 with nurses around the globe, and for exchanging ideas for collabo-
• Siow, E. (2008). Enteral versus parenteral nutrition for       ration and research. "I liked seeing so many African nurses attend
  acute pancreatitis. Critical Care Nurse. 28 (4), 19-31.        a large international conference for the first time, " said Squires. "
• Factors that influence decision to discharge patients out of   When speaking with many of them, they told me being at the con-
  the intensive care unit: A state of the science. Presented     ference was empowering because they realized, maybe for the first
  poster on March 20, 2009 at the Eastern Nursing Research       time, that many other nurses share in their day to day struggles
  Society conference.                                            caring for patients."

I hope to accomplish the following while at the School of        Dr. Squires presented her own research in poster format at the
Nursing:                                                         meeting. Based upon two secondary analyses of qualitative data
                                                                 from her dissertation research about the professionalization of
• develop necessary skills of a nurse researcher to conduct      Mexican nursing, the posters focused on areas of interest to an
  scientifically sound and reliable research                     international audience: the work environment of nurses in a middle
• network with prominent nurse researchers in my field of        income country, and professional autonomy. The poster sessions
  research                                                       received a lot of traffic, something she had not experienced to the
• develop a program of research that will enable me to con-      same extent at other conferences. Based on the volume of attendees
  tribute knowledge to the healthcare community and im-          at the poster sessions, she strongly encourages doctoral students to
  prove patient care.                                            submit abstracts for an ICN congress, especially if they are inter-
                                                                 ested in international collaborations. The next ICN congress will
                                                                 take place in Malta in 2011 with abstract submission beginning in
                                                                 mid 2010.
Volume 8, Number 2                                                                            Page 19


  INDEN Biennial Conference Key-
                                       President Redman talks about
    note speaker Dr. Martha Hill
                                         the INDEN organization          INDEN president, Dr. Richard
                                                                          Redman, at the conference

                 Attendees at a conference
                                                      Doctoral students at the INDEN Conference

                          Group photo of INDEN Biennial Conference delegates
Page 20                                                                               Newsletter


                       Conference delegates during a break

      Participants at the
                                             Student poster exhibition at the INDEN
                                                      Biennial Conference
Volume 8, Number 2                                                                                                   Page 21


                                  Grey Literature
                  The School of Nursing, Midwifery and Social Care in
                  Edinburgh Napier University is looking for examples of
                  evaluative work and grey literature relating to the grad-
                  ing practice of assessment. We are currently undertaking
                  a systematic literature review on this topic and are keen
                                         to pick up other information or tools that may not be identi-
                                         fied via healthcare databases. If you have any information or
                                         knowledge that may be relevant, we would be most grateful
                                         if you could forward this onto us.

                                        Contact: Prof. Morag A. Gray

                                     Call for Articles for next Issue of INDEN Newsletter
                               Themes for Future Issues

                               November 2009: Dissertations.

                               The INDEN Editors are calling for papers and comments regarding: various approaches
                               to dissertation other than the traditional five chapter dissertation (e.g.. collaborative or
                               companion dissertations); strategies for translating dissertation research into publications;
                               issues in dissertation research using another person’s research data/project; mentoring and
                               dissertation advisement; dissertation committees and dissertation defense. For an overview
                               of the dissertation in various countries, see the following link:

                               The deadline for submissions: October 17, 2009.

                               March 2010. Alternative approaches to traditional
                               doctoral education in Nursing

                                 The Editors are calling for papers regarding: alternative
                                 approaches to traditional doctoral education in
                                 nursing including: distance education, e-learning ap-
        online doctorates, split sites, collaborations, consortia, summer only programs, overlapping/combined programs
        (e.g.BS-PHD, MS-PHD).

        The deadline for submissions: February 15, 2010.
Page 22                                                                                     Newsletter

                                 INDEN BULLETIN

                  INDEN Membership Update
          Hello INDEN members!

          Please Welcome New Persons to Our Organization:
          During the period of April 1st -September 23rd, 2009, 5 new
          members have jointed INDEN.

          INDEN Membership Renewal Reminder: Yearly mem-
          bership invoices have already been sent out via email. If you
          still have not renewed your membership, please do so at your
          earliest convenience. Don’t let your membership expire!

                Payment methods --
                Online payment is still not available at this time and we
                cannot predict when it will be available. Renewals can only be
                made via fax, phone or postal service.

                            For information on how to renew your existing
                            membership (or to apply for a new membership),
                            go to the INDEN website:


            If you have questions, please contact Janie McMillen, INDEN Administrator, at


                    Contribute to the Next Newsletter!

                  The next edition of INDEN will be published in Au-
                  gust 2009 The deadline for submissions is October
                  17th, 2009.

                  Please submit your articles to:
Volume 8, Number 2                                                   Page 23

                     FINAL ANNOUNCEMENTS/OTHER

                          If you would like additional information on the
                          International Network for Doctoral Education in
                          Nursing, please contact:
                          Office of International Affairs
                          University of Michigan
                          School of Nursing
                          400 N. Ingalls, Room 3216
                          Ann Arbor, MI 48109-0482
                          Fax: 734/615-3798

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