Improving the use of the nursing process: the impact of charting methodology developed from King's conceptual framework on the use of the nursing process

The purpose of this study was to assess the effects of changing a nursing documentation system, developed from King's Conceptual Framework, on the use of the nursing process. The null hypothesis was that there would be no significant increase in the reflection of the use of the nursing process on the nursing care plan or nurses' notes, as a result of using a nursing documentation system developed using King's Conceptual Framework (1981). The design involved the development of a questionnaire that was used to review health records pre and post implementation of a documentation system developed based on King's Conceptual Framework and Theory of Goal Attainment (1981). A Record Completeness Score was obtained from some of the questions. The null hypothesis was rejected. The results of the study have implications for nursing administration and the evaluation of nursing practice. If the use of a documentation system developed from a conceptual framework increases the reflection of the nursing process on the patient's health record, nursing will have the means to measure patient outcomes/goal attainment. All health care organizations and levels of government are focusing on methods to monitor and control the health-care dollar. In order for nursing to clearly determine the costs associated with nursing care, measurement of patient outcomes/goal attainment will need to be possible. In order to measure patient outcomes/goals attainment nurses will need to be able to collect data on their practice. It will be critical that nursing have a documentation system in place which facilitates the reflection of the nursing process within a theoretical framework.

Factors influencing psychotropic prescription by non-psychiatrist physicians in a nursing home for the elderly in Brazil

CONTEXTO E OBJETIVO: Embora os psicotrópicos sejam uma das classes de medicações mais prescritas em abrigos para idosos, os estudos avaliando o seu padrão de prescrição são limitados em número e escopo. Este estudo visou investigar os fatores associados ao uso de psicofármacos em um abrigo para idosos no Brasil. TIPO DE ESTUDO E LOCAL: Estudo retrospectivo observacional realizado no Abrigo da Velhice de Rio Claro, Instituto de Biociências, Universidade Estadual Paulista. MÉTODOS: Dados sobre prescrições foram extraídos dos prontuários médicos dos 108 idosos moradores do abrigo. Sessenta e cinco sujeitos (idade média ± desvio padrão = 74,5 ± 9,4 anos), em uso regular de medicação, constituíram a amostra. Foram examinados os efeitos das variáveis sociodemográficas e clínicas sobre o padrão de prescrição de psicofármacos. RESULTADOS: As mulheres recebiam mais psicofármacos (p = 0.038); indivíduos em uso de medicações para doenças cardiovasculares recebiam menos psicofármacos (p = 0.001). Houve correlação negativa entre número de psicofármacos prescritos e, ambos, idade (p = 0.009) e número de medicações clínicas (p = 0.009). CONCLUSÃO: Embora preliminares, os resultados indicam as doenças cardiovasculares como a variável clínica que mais influenciou a prescrição de psicofármacos. Uma excessiva precaução por parte dos clínicos pode explicar parcialmente este resultado. Novas investigações, com amostras maiores e de diferentes regiões são desejáveis para confirmação destes dados.

Depression and Cognitive Decline: Factors Related to Demographics and Psycho Pharmacotherapy on Elderly in Nursing Homes

Objectives: To identify the prevalence of neuropsychiatric disorders, especially DP and CD, on a sample of nursing home residents, relating this prevalence with some aspects of the demographics and psycho pharmacotherapy. Methods: 48 elders from two different nursing homes were selected. The collection of demographic and pharmacological data was made utilizing medical records. The medication was classified according to the Anatomical Therapeutic Chemical Code (ATC) criteria. The Geriatric Depression Scale (GDS 30) and the Mini Mental State Examination (MMSE) tests were utilized to determine the prevalence of DP and CD. Results: It was observed in the sample a high incidence of DP and CD among the researched elders. More schooling individuals tend to present less CD. Individuals with less CD indicatives present less symptomatology for DP. Of all the researched elders, 54,2% are submitted to psycho pharmacotherapy. Of all the consumed medicine, 16,5% belonged to the class of neuropsychiatric medicine. The medicated elders present, in average, a larger symptomatology for DP (12 points/average/GDS) than the non-medicated elders (9,9 points/average/GDS). The inverse occurs in relation to the CD indicatives. The use of psychotropics, especially in association, can have negative effects related to depression and cognition. Discussion: The pharmacotherapy, characterized for the polymedication and chronicity, especially of neuropsychiatric medicines, deserves special attention among elders, because the data suggest a significant relation between the utilization of medicines, singly or in association, and the increase of CD and DP. In addition, the data suggest that DP is a risk factor for CD and DM.

Analysis of the feasibility of early hospital discharge after autologous hematopoietic stem cell transplantation and the implications to nursing care

Autologous hematopoietic stem cell transplantation is a conduct used to treat some hematologic diseases and to consolidate the treatment of others. In the field of nursing, the few published scientific studies on nursing care and early hospital discharge of transplant patients are deficient. Knowledge about the diseases treated using hematopoietic stem cell transplantation, providing guidance to patients and caregivers and patient monitoring are important nursing activities in this process. Guidance may contribute to long-term goals through patients' short-term needs. To analyze the results of early hospital discharge on the treatment of patients submitted to autologous transplantation and the influence of nursing care on this conduct. A retrospective, quantitative, descriptive and transversal study was conducted. The hospital records of 112 consecutive patients submitted to autologous transplantation in the period from January to December 2009 were revisited. Of these, 12 patients, who remained in hospital for more than ten days after transplantation, were excluded from the study. The medical records of 100 patients with a median age of 48.5 years (19-69 years) were analyzed. All patients were mobilized and hematopoietic stem cells were collected by leukapheresis. The most common conditioning regimes were BU12Mel100 and BEAM 400. Toxicity during conditioning was easily managed in the outpatient clinic. Gastrointestinal toxicity, mostly Grades I and II, was seen in 69% of the patients, 62% of patients had diarrhea, 61% of the patients had nausea and vomiting and 58% had Grade I and II mucositis. Ten patients required hospitalization due to the conditioning regimen. Febrile neutropenia was seen in 58% of patients. Two patients died before Day +60 due to infections, one with aplasia. The median times to granulocyte and platelet engraftment were 12 days and 15 days, respectively, with median red blood cell and platelet transfusions until discharge of three and four units, respectively. Twenty-three patients required rehospitalization before being discharged from the outpatient clinic. The median time to granulocyte engraftment was 12 days and during the aplasia phase few patients were hospitalized or suffered infections. The toxicity of the conditioning was the leading cause of rehospitalization. The nursing staff participated by providing guidance to patients and during the mobilization, transplant and outpatient follow-up phases, thus helping to successfully manage toxicity.

Post-operative mediastinitis in a Heart Hospital of Recife: contributions for nursing care

The objective of this study was to determine the prevalence of post-operative mediastinitis with the purpose to contribute to nursing care knowledge. To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency Room of Recife-PE, in the period between June 2007 and June 2009. The following variables were considered: gender, age, type of surgery, personal history, length of stay, use of antibiotics, and culture of the surgical wound. A high death rate from mediastinitis was observed (33.3%). Several risk factors were identified, including: systemic arterial hypertension (80.9%); smoking (61.9%); diabetes mellitus (42.8%); and obesity (33.3%), most of which (76.2%) were identified in patients who underwent surgery for myocardial revascularization. It is concluded that mediastinitis is a serious infection that needs continuous nursing supervision and preventive measures to assure an early diagnosis and, thus, reduce mortality.

The production of critical-reflexive narratives and their effect on nursing students' portfolios

The objective of this study is to analyze the process of producing reflexive narratives on nursing students' portfolios. This qualitative study performed an analysis of the portfolios of the class discipline Health Promotion in Primary Education, taught in the fourth semester of the Nursing Licensure Course. Results showed an initial predominance of descriptive records, with the incipient approach of theoretical aspects associated with the aspects regarding their experience. Further, in the group and experience discussions, there were narratives containing more critical and reflexive elements, with justifications for the described actions and the relationships with the theoretical-practical aspects studied in the class and in the course. In conclusion, there is a process of producing critical-reflexive narratives in portfolios that could include a summarized description, using common sense and idealization which allows for including the differences and the theoretical review.

An electronic record system in nursing education: evaluation and utilization

The main objective of the present work is to analyze the results of the utilization and evaluation of the LORETO Record System (LRS), providing improvement areas in the teaching-learning process and technology, in second year nursing students. A descriptive, prospective, cross sectional study using inferential statics has been carried out on all electronic records reported by 55 nursing students during clinical internships (April 1º-June 26º, 2013). Electronic record average rated 7.22 points (s=0.6; CV=0.083), with differences based on the clinical practice units (p<0,05). Three items assessed did not exceed the quality threshold set at 0.7 (p<0.05). Record Rate exceeds the quality threshold set at 80% for the overall sample, with differences based on the practice units. Only two clinical practice units rated above the minimum threshold (p <0.05). Record of care provision every 3 days did not reach the estimated quality threshold (p <0.05). There is a dichotomy between qualitative and quantitative results of LRS. Improvement areas in theoretical education have been identified. The LRS seems an appropriate learning and assessment tool, although the development of a new APP version and the application of principles of gamification should be explored.

Portrait of a woman (Nursing Faculty or Staff?)

Scene showing a group of men, women, and children. The men appear to be members of the Grand Army of the Republic, possibly the Gov. Crapo Post #145

School of Nursing Class of 1968

Top Row: C. Arft, B. Baker, J. Balmer, M. Bassett, C. Beach, C. Becker, L. Berli, K. Bishop, P. Brigham, L. Brooks, K. Bruce, T. Burkett, J. Calland, T. Calnicean, C. Carnevale

Row 2: M. Caspersen, B. Christman, G. Christman, A. Comins, C. Conklin, E. Conklin, C. Conlin, P. Conway, D. Cox, M. Crabtree

Row 3: M. Craig, B. Cutler, N. Cutter, J. Kaboyashi, S. Golden, L. Davis, D. Davis, D. Dayton

Row 4: K. Dekoker, C. Dick, J. Fenner, J. Feuerstein, S. FIllhart, F. Hartman, J. Goodad, M. Hutchinson, F. Crow, B. French, H. Geddes, E. Gerber, D. Goldstein, E. Graff

Row 5: M. Gray, C. Haack, A. Handlos, J. Harris, M. Heminger, M. Hickes, R. Hickes, B. Johnson, J. Kalbfleisch, K. Kern, C. Klutsenbeker, C. Krone, S. Larson, I. Leftwick, S. Lehr, C. Ligotti

Row 6: D. Loesel, S. Lorenz, M. McCrachen, S. Melber, M. Meulemans, S Meyers, L. Miller, B. Morley, J. Mulder, D. Older, M. O'Neil, D. Paldi, K. Palmer, M. Phebus, C. Phelps, C. Purdy

Row 7: P. Quick, K. Rathbun, B. Rochford, E. Rogos, B. Rose, P. Saxton, J. Schaible, S. Schodlatz, P. Schore, J. Selesky, L. Sloan, J. Smith, K. Smith, N. Stewart, J. Thomas, P. Thomas

Row 8: M. Tipmore, S. VanGorder, M. Wacht, K. Walker, E. Walker, D. Walters, R. Wellons, F. Werner, S. Weygandt, T. White, L. Williams, B. Winbun, S. Yahnke, J. Zander, C. Zylstra

School of Nursing Class of 1975

Top Row: Kris Aasvved, Phyllis Askew, Stephanie Babboni, Carolyn Backus, Carol Bockeloo, Veronica Banks, Patte Barland, Sally Barling, Rowena Beebe, Ginger Behr, Bobbi Bergmooser, Clary Bestor, Terry A. Bilinski, Debbie Blauer, Kathleen Bly, Lois K. Boer, Aurelia boyer, Polly Bradley, Sue Brenkert, Sherry Brezina

Row 2: Andrea Brown, Phyllis Buchholz, Michele Bujak, Barbara Burcham, Carol Burg, Mary Ann Campbell, Nancy Cartwright, Sally Chin, Kathleen Christmas, Barbara Clark, Marlene Clarkson, Alma Cole, Judy Coltson, Donna Craig, Janet L. Davies, Catherine Davidson, Sandra Detrisac, Toni Doherty, Kathleen Dumas, Deretha Eddings

Row 3: Marcia Ferrand, Karen Finger, Carol Fischer, Susan Fischer, Suzanne M. Fleszar, Barbara Fritz, Lola Garland, Susan Goldstein, Pam Goltz, Diane Gorman, Debby Goudreau, Diane Greenfield, Debbie Gross, Joan Hamman, Cheryl Hauch, Michelle Hays, Betty Henderson, Christena Henson, Constance Hill, Linda Hill

Row 4: Pamela Hill, Marilyn Holland, Patricia Horvath, Lois Huissen, Nance J. Huston, Phyllis Isackson, Angela Janik, Kim Johnson, Marjorie Kelsey, Wanda Kent, Eugenie Kimura, Lesley Kinnard, Kathleen Klute, Peggy Koskela, Linda Ksiazkiewicaz, Barbara Lang, Karen C. Carson, Kathryn Linder, Kathleen Lipinski, Janie Locke

Row 5: Nancy Luth, Denise Lyons, Susan Malkewitz, Diane Mannino, Nancy Marsh, Denise M. McCann, Carol McVannel, Vicky Melancon, Darlene Mikolajczak, Jane Monroe, Pam Morris, Cari Mulholland, Sandra Muller, Jacqueline Murphy, Terri Murtland, Colleen Nash, Debbie Nichols, Nancy Nowacek, Denise D. O'Brien, Sue Olejniczak

Row 6: Susan Panozzo, Marty Parmelee, Nancy Parr, Alexandra Paul, Pam Pennington, Patricia Phelps, Helen Piggush, Jan Pinkham, Molly Power, Janet Primeau, Ilona Proskie, Gretel Quitmeyer, Vicki Jo Ray, Josephine Reed, Ruth Riley, Norine Rowe, Beata Rudnik, Pat Rutowski, Linda Sanders, Patricia Saran

Row 7: Judy Sayles, Janis Schlicker, Janice Schmidt, Janiece Selecky, Deborah Silverman, Susan K. Smith, Theresa Sobanski, Marcia Sosnowski, Joyce Stein, Cathie Stepien, Pam Stoeffler, Sharon Swann, Susan Truchan, Susan Turke, Susan Valentine, Delores Vander Wal, Mary Jane VanLoon, Pamela A. Van Riper, Jeanne M. Wade, Karen Warner

Row 8: Deborah White, Rebecca E. Wildgen, Karen Williams, Sharon Williams, Debra Wilson, KEn Wilson, Nancy Wiltz, Maribeth Wooldridge, Martha Zawacki, JoAnn Zlotnick

Row 9: Julie Sochalski, Norma Shumaker, Kristin Brawner, Susan Archambault, Lauralee Hess, Rita M. Gibes, Barbara Terrien, Laurie Cushman, Mary Markey

School of Nursing Class of 1976

Top Row: Peggy Alford, Anne Allen, Barbara Amann, Joann Baker, Elizabeth Bando, Sara Barnes, Mary Barz, Anne Bauer, Patricia Baxter, Gwendolyn Beaudette, Nancy Bidigare, Marian Bier, Susan Blaszczyk, Jacqueline bolin, Anne Bostwick, Heather Brendel, Theresa Brisker, Rosalyn Cage, Jeanne Calhoun

Row 2: Karen Caputo, Carolyn Carpenter, Laura Lewellen, Catherine Pearson, Pamela Carr, Lisa Clark

Row 3: Sarah Cleland, Kathy Collar, Ann Connors, Marian Coppo, Martha Coppo, Debra Wirth, Kathleen Coughlin, Mayble Craig, Jennifer Crittenden, Linda Dean, Ann Dika

Row 4: Shira Doneson, Valerie Dray, Lee Duffey, Mary Dunn, Nancy Edwards, Mildred Jett, Patricia Johnson, Jan Walters, Karen Dimitroff, Debra Walton, Moira Stein, Madi Ehrenreich, Paula Elliott, Claudia Evans, Jolaync Farrell, Karen Fierke

Row 5: Debra Finch, Nadine Furlong, Susan Gamerman, Anita Gardocki, Marcia Gerpheide, Roberta Gies, Deborah Glotzhober, Marlene Golabeck, Janet Goldberg, Rene Green, Diana Greer, Susan Gross, Vivian Hall, Jill Hallead

Row 6: Sharon Hamlett, Tamara Hanson, Jane Harper, Jesusa Heilig, Steinunn Hermannsson, Susan Hicks, Karen Hillebrand, Jomatia Hoff, Michelle Howey, Holly Howieson, Sandra Hubar, Kathleen Hughes, Shirley Jvery, Laura Johnson, Susan Johnson, Shirley Jones, Judith Kellermier, Lynda Kitchen, Susan Kleinbeck

Row 7: Nanette Kotz, Kathleen Kroh, Judith Krohn, Catherine Lahti, Mary Lange, Patti Larson, Susan Leach, Rebecca Linn, Lacy Loomis, Francene Lundy, Sue Lymperis, Robyn Main, Patricia McCleary, Theresa McGowan, Elizabeth Messiter, Mary Miller, Nancy Moffatt, Catherine Munn, Karen Munson

Row 8: Virginia Newman, Laura Novak, Thomas O'Connell, Julie O'Connor, Kaathleen O'Hara, Kimberly O'Loughlin, Karen Olsen, Marcy Ouellette, Gail Park, Georgiana Parsell, Mary Patchak, Linda Pearsall, Kathleen Poage, Shelly Ponte, Thomas Parter, Marilyn Pratt, Karen Prince, Kathryn Procter, Rebecca Raymond

Row 9: Jill remter, Cheryl Ricca, Brenda Robinson, Karen Rollins, Lisa Root, Audrey Ross, Barbara Rutherford, Linda Rykwalder, Margaret Sampson, Sherril Santo, Jeanne Scheer, Kathy Schlichter, Nancy Schuman, Debra Sihtala, Michele Smit, Donna Smith, Bonnic Smrcka, Janine Speck, Elizabeth Stainsby

Row 10: Grace Steinaway, Jennifer Stinson, Sally Stone, Anne Sullivan, Barbara Tonak, Linda Towers, Cindy Tremblay, Gregory Trowbridge, Sandra Tucker, Debbie Ullrich, Lee Ann Van Houten, Pamela Waggener, Martha Walker, Michele Wenderski, Catherine West, Harriet Wilkinson, Diane Willis, Jan Winslow, Karen Wismer

School of Nursing Class of 1977

Top Row: Cathy Agree, Carol Bass, Nancy Bernadic, Barbara Bettman, Wendy Bittker, Judy Brown, Barbara Cassavoy, Nacy Cohen, Julie Coon, Mary Dawson, Susanne Dean, Barbara Diebolt, Joan Dzenowagis

Row 2: Donna Dziyba, Marla Erbin, Frederick Fiedler, Megan Forester, Lynn Babington, Keverne Popma, Barbara Cloutier, Catherine Doele, Barbara DeBenham, Alta Gaines, Susan Grant, Edward Greca, Pamela Griesbach

Row 3: Karen Haske, Janis Harris, Cherisse Hoffman, Wendy Jelinek, Judy Jenks, Barb Kakenmaster, Karen Kitchen, Kay Klass

Row 4: Kathryn Laing, Rachel Lapinski, Cheryl Marinett, Marta Monroe, Jackie Mrlik, Susan Mulkiten, Michele Olzack, Carol Osborn

Row 5: Deborah Parker, Linnae Pierskalla, Mary Prather, Terry Proctor, Karen Rech, Nancy reddaway, Nancy Reynolds, Mary Ridley

Row 6: Catherine Rhodes, Patricia Roggenbeck, Barbara Ruppal, Victoria Russum, Suzanne Sanders, Elizabeth Saviano, Diane Scarpace, Nola Schramm, Paula Schroeder, Carolyn Schroth, Barbara Scott

Row 7: Deborah Scullon, Denise Shough, Belvayuna Simpson, Joyce Smith, Barbara Stang, Elizabeth Sullivan, Molly thibault, Debbie Varney, Margaret Walters, Desiree White, Janice Winfree, Meg Williams, Nancy Zuelch

School of Nursing Class of 1979

Top Row: Jane Alcala, Katherine Atkin, sandra Shea Baer, Dee Baker, barbara Barnes, Rhonda Baruch, Adrien Beregsasy, Sally Bidol, Kathleen Birchmeier, Maureen Bishop, Julia Blanchard, Theresa Boyd, Janice Brown, Deborah Budde, Genevieve Burns, Mary Kaye Busch, Laurie Carroll

Row 2: Bonnie Cesak, Mary christensen, Julie Colegrove, Susan coleman, Cheryl coney, William cophenhaver, Wendy Culbertson, Angela Dade, Renee Damm, Lynn Darin, Michele DeMaria, Julie DeFouw, Martha Deming, Mary Dent, Michelle Diepenhorst, Janice Dietrich, Catherine Dilworth

Row 3: Barbara Dusseau, Fancine Eagle, Carolyn Eames, Janeen Ellis, Lisa Fandell, Melissa Fear, Michelle Revis, Barbara Ross, Thomas Bissonnette, Michele Henderson, Susan barnes, Catherine Foley, Marica Fosnaugh, Leana Fox, Carol Frens, Debra Furlette, Denise Garden

Row 4: Mary Lois Gardner, Jeanetter Giroux, Stephanie Glanton, Beverly Goodman, Debra Giffin, Laurie Guyton, Bobbie Hafford, Linda Haggerty, Cindy Hammelef, Kim Hand, Patricia Hartman, Susan Hepker

Row 5: Jayne Hetzner, Diana Hill, Sandra Hirsch, Margaret Howard, Carol Huebel, Beverly Jackson, Christine Jacobson, Dennis Johnson, SerVonia Jones, Kathleen Kadlec, Pamela Katz, Kim Kittle, Mary Jo Klepser, Cheryl Kole

Row 6: Julie Konkle, Mary Anne Kosek, Mary Kowalski, Kathryn Krawec, Cynthia Krc, Kathryn Leinberger, Linda Lewandowski, Deborah Lobert, Karen Lyon, Mary Beth McGowan, Deborah Mclnerney, Douglas McLellan, Mary McDonald, Donna Macksood

Row 7: Bruce macnee, Pamela Mandelkorn, Debra Mast, Constance Maynard, Carol Meach, Karen Meyer, Linda Moore, Robert Morgan, Lynn Murray, Cindy Nestell, Carol O'Dell, Christine Ostrowski, Jeanne Palmer, Frances Palms, Diane Parrish, Jennifer Patton, Cathy Plachetka

Row 8: Dawn Rhoades, Carolyn Riegling, Jill Rodammer, Michael Romej, Ann Rondi, Cindy Salesin, Cynthia Sapsford, Russsell Savage, Angela Schaefer, Lee Anne Schaefer, Debra Schafer, Paula Schelp, Sandra Schlump, Cindy Schneider, Brenda Schroeder, Laurie Schultz, Wanda Scott

Row 9: Michael sseator, Kimberley Sherman, Vicki Singer, Ingrid Smith, Mary Alice Smith, Kathy Snyder, Karen Staudt, Kathy Steinke, Sue Stevens, Kimberly Stone, Sheri Sutherland, Ann Marie Swiderski, Jane Sydlowski, Debra Thelen, Deborah Thompson, Phyllis Toney, Jill Triick

Row 10: Tara Trinrud, Kay Tupala, Rosemary Turckes, Richard Urbanski, Lynn VanDenBerg, Brenda VanDervoort, Catherine VanWagnen, Ellen Victor, Mary Anne Vitalis, Celia Wald, Anne Weber, Jurlean White, Martha White, Judith Wilcewski, Lynda Wood, Susan Wroblewski, Victoria Zielinski

School of Nursing Class of 1980

Top Row: Debbi Anderson, Cherie Armstrong, Diane Arney, Grace Ball, Marie Bazil, Suzanne Bihan, Nancy Black, Ellen Bochenck, Lisa Bramble, Ann Marie Brissette, Mary Brock, Gale Brown, Nancy Buhl, Judith Burek, Dana Leigh Burn, Mari Byce

Row 2: Dianne Byrd, Diane Cary, Julie Rosanne Cherno, Susan Copland, Lisa Corso, Sharon Corzine, Elsa Cowan, Linda Crawley, Constance D Anna, Mary Daly, Julie De May, Janet Dean, Lwah Ann Dennis, Leslie Jean De Noon, Barbara Deur, Marilynn Dowdy

Row 3: Laurie B. Dreisbach, Patricia Dvorak, Mary Earle, Judith Eason, Charlene Eickholt, Kathryn Elden, Susan Bourget, B.M. Rutkowski, J.Sebring-Mammel, Joan Kessler, Gregory Hazle, Rosa Ohno, Miriam Elgent, Micky Erickson, Kathleen Evans, Cathleen Fasse, Martha Finkelstein, Edie Firshman

Row 4: Susan Fitzpatrick, Lynn foley, Barbara Fredal, Lisa Ghormley, Susan Green, Carol Grishaw, Jennifer Hayden, Susan Hewens, Brenda J. Hooker, M. Karen Harning, Jean Huneke, Rose Hunter

Row 5: Joyce Jackson, Janet James, Mary Jesse, Christy Jones, Kathy Joy, Debra kadlec, Therese Keating, Ann Marie Kelly, Carol Key, Karen Dickstein, Jill Knechtel, Robin Kruger

Row 6: Mary Beth Kyko, Catherine Lawrence, Joni Lawrence, Eun Lee, Amy Long, Kathey F. Lord, Johanna Lund, Elizabeth Mac Kinnon, Marilyn Mackovjak, Lisa Mann, rose Marentette, Carmen McDowell

Row 7: Molly Mitchell, Mary Molewyk, Sandra Musci, Susan Nevins, Janet Newman, Marcy L. Ortquist, Jeanmarie Otto, Marci Peterhans, Marquite Pierce, Janet Pierson, Rachel Plumley, Frances Potasnik, Cynthia pressprich, Susan J. Robertson, Gilbert RodriqueZ, Deborah Romano, Deborah Ross, Patricia Rouen

Row 8: Abby Scholnick, Nancy Schuster, Cynthia Schwartz, Mary Ellen Sitek, Marqaret Smith, Ann Marie Smith, Cindy Smith, Julie Smrcka, Susan St. Onge, Michelle Stafford, Brenda Stallings, Nancy Steffler, Louise Sullivan, Laure Szatkowski, Bonnie R. Temple, Patricia A. Tevlin

Row 9: Linda L. Travis, Margaret Turner, Heidi Unger, Grace M.J. Valmassoi, Sally Van fleeren, Anne VanLoon, Jan Veseth, Anne MArie Villeneuve, Cynthia vrable, Lori E. Weyland, Theresa Wish, Anne Witham, Laura Wollum, Marla Young

School of Nursing Class of 1981

Top Row: Mary Jo Ambrozy, Carolyn, Ashley, Gail Marie Barbaza, Jeanne Barr, Susan Bauer, Lynn Eva Becker, Christine Bibilikow, Kathy Biehl, Lisa Bloomfield, Bail M. Borowiak, Susan, M. Browning, Diane Louise Burgoon, Camille Carlson, Cindy marie Chaltry, Kathleen Anne Clegg, Ann cline

Row 2: Wendy Cogan, Annette Robin Cole, Barbara Compton, Elizabeth Connors, Norma K. Marshall, Michele Betts, Donna Jean Holihan, Pamela S. Harden, Kathleen McLaughlin, Mary M. Walker, Mary Lohr, Julia Cooney, Carol Crapo, Deborah D. Davis, Mary Dreisig

Row 3: Athena Eary, Eleanor Eckrich, Patti M. Eidenberger, Catherine Elmlinger, Annette Englund, Cynthis Fellencer, Karen Fischer, Carolyn B. Forbes, Nancy Ellen Freedman, Susan P. George, Annette Gervaix, Beverly Glogowski

Row 4: Jayne Goodrich, June A. R. Grimm, Marie Guerrini, Douglas Leon Hankins, Yvonne M. Harwoor, Linda Hecimovich, Catherine M. Herbel, Kelly Hocker, Brenda Lee Horness, Theresa A. Hosey, Karin E. Hunt, Beth Jackson

Row 5: Karen Sue Jaffe, Roland Jemerson, Tamera Johnson, Susan Kaczmarek, Laura S. Keverian, Julie A. Kimbrough, Eva Marie Kline, Nancy L. Kuehn, Margaret J. Labadie, Lori K. Lane, Elizabeth Lang, Linda Lawton, Judy Linden, Peggy Little, Sharon Lois Longe, Claire Lonstein

Row 6: Deloris Macon, Karen Marie Macsay, Susan E. Mapley, Maria Y. Maquera, Ann McCullough, Michael Meade, Barbara Messink, Mary Elizabeth Mick, Susie E. Mikolajewski, Marilyn Millman, Debra A. Mills, Lu Ann Minore, Jean M. Mischel, Terri Ann Mitchell, Catherine Jean Moore, Michelle A. Mourad

Row 7: Mary Lynn Musial, Kathleen Myles, Denise Oliphint, Patrice M. Orlowski, Susan Orne, Carolyn Pernell, Holly Perry, Paula L. Petkoff, Arlene Ann Popovich, Barbara A. Quinn, Carol Reid, Sandra J. Remington, Gisselle Rodriguez, Susan Roelant, Laura S. Rogers, Nancy Rudd

Row 8: Karen Beth Salem, Barbara Santavy, Linda Schairer, Marie B. Schneider, Julie Schoettley, Julie Rose Schuster, Mary V. Seibert, Tracy Shafer, Claire E. Sharda, Susan D. Shortino, Judith Simon, Phillis Simpson, Donna Sledz, Cynthia Smith, Diane L. Smith, Mary Kay Smith

Row 9: Susan R. Smith, Sharon stansberry, Linda Suchocki, Susan Swoiskin, Leslie Ann Urban, Mary B. Van Wingen, Gretchen M. Vermeulen, Verland Z. Walker, Jayne Walworth, Elaine Devorah Webber, Julie Ann Webster, Sora Weller, Julie L. Weyburne, Malorie Whitefield, Frances Wiecha, Anne C. Wise