Self Care for New and Student Nurses

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 Dorrie K. Fontaine, PhD, RN, FAAN
Tim Cunningham, DrPH, MSN, RN, FAAN
Natalie May, PhD
Copyright © 2021 by Sigma Theta Tau International Honor Society of Nursing

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ISBN: 9781948057813
EPUB ISBN: 9781948057820
PDF ISBN: 9781948057837
MOBI ISBN: 9781948057844

______________________________________________________________________________________________________________

Library of Congress Cataloging-in-Publication data

Names: Fontaine, Dorrie K., author. | Cunningham, Tim, 1978- author. | May,
Natalie, author. | Sigma Theta Tau International, issuing body.
Title: Self-care for new and student nurses / Dorrie K. Fontaine, Tim
Cunningham, Natalie May.
Description: Indianapolis, IN : Sigma, 2021. | Includes bibliographical
references and index. | Summary: “Self-Care for New and Student Nurses
presents self-care practices that must be learned and used consistently
and in multiple settings to prepare new nurses for the clinical
stressors to come. Filled with methods, tips, and exercises, this will
book will guide new and student nurses to prioritize their own health
needs in order to avoid burnout and premature exit from the nursing
profession”-- Provided by publisher.
Identifiers: LCCN 2021007677 (print) | LCCN 2021007678 (ebook) | ISBN
9781948057813 (paperback) | ISBN 9781948057820 (epub) | ISBN
9781948057837 (adobe pdf) | ISBN 9781948057844 (mobi)
Subjects: MESH: Nurses--psychology | Self Care | Burnout,
Professional--prevention & control
Classification: LCC RT86 (print) | LCC RT86 (ebook) | NLM WY 87 | DDC
610.73019--dc23
LC record available at https://lccn.loc.gov/2021007677
LC ebook record available at https://lccn.loc.gov/2021007678

______________________________________________________________________________________________________________

First Printing, 2021

Publisher: Dustin Sullivan Managing Editor: Carla Hall

Acquisitions Editor: Emily Hatch Publications Specialist: Todd Lothery
Development Editor: Meaghan O’Keeffe Project Editor: Meaghan O’Keeffe
Cover Designer: Rebecca Batchelor Copy Editor: Erin Geile
Interior Design/Page Layout: Rebecca Batchelor Proofreader: Gill Editorial Services
Indexer: Larry Sweazy
Dedication
We dedicate this book to nursing students and clinical nurses. We wish you the
grit, grace, and wisdom to care for yourselves as well as you care for others.

Acknowledgments
We thank our students, fellow nurse clinicians, healthcare providers, and academic
colleagues who inspired our collaboration, including Dorothe Bach, Danny Becker,
Christina Beverage, Shelley Boyce, Joanne Braxton, Eboni Bugg, Forrest Calland,
Marcia Day Childress, Joanne and Bill Conway, Zach Crowe, Joanne Davis, Gina
DeGennaro, Becca Dillingham, David Germano, Sam Green, Roshi Joan Halifax,
Rebecca Harmon, Amy Karr, Maria Tussi Kluge and the late John Kluge, Ramon
Lavandero, Esther Lozano, Kelly McCaskill, Betty Mooney, Peggy Plews-Ogan,
Cynda Rushton, Becky Ruegger, Hannah Schakat, John Schorling, Monica
Sharma, Anita Thompson-Heisterman, Cheryl Thorpe, Juliet Trail, Richard
Westphal, Diana Whitney, and the late Hannah Schakat. We also thank our
encouraging, patient, and creative team who, with shared belief in the power
of self-care, helped get this book across the finish line: Carla Hall, Emily Hatch,
Meaghan O’Keeffe, Karen Davis, and designer and compositor Rebecca Batchelor.
Free Book Resources
PDF versions of the instructor’s guide, student workbook, an extensive
bibliography of additional readings, and a sample chapter can be found
online from the Sigma Repository. Visit this book’s page by following the
link or the QR code below.
Print versions of both the instructor’s guide and student workbook are
available for purchase through online retailers.

http://hdl.handle.net/10755/21456
About the Authors
Dorrie K. Fontaine, PhD, RN, FAAN, is the Dean Emerita at the University of
Virginia (UVA) School of Nursing, where she served as dean for 11 years until
2019. A champion of creating healthy work environments in clinical and academ-
ic settings, she is a past president of the American Association of Critical-Care
Nurses (AACN). In 2009 she created the Compassionate Care Initiative at UVA,
which has grown to be a guiding force in transforming the culture of the school
with a focus on fostering human flourishing and resilience for students, faculty, and
staff. A noted author of critical-care texts, a leadership book, and multiple papers
and presentations on creating healthy work environments through compassionate
care, Fontaine credits a retreat at Upaya Zen Center, Santa Fe in Spring 2009 with
the Abbot Roshi Joan Halifax for setting her on the path of mindfulness, medita-
tion, and a renewed focus on self-care. She attended Villanova University and the
University of Maryland, and she received her PhD from The Catholic University
of America. Her four-decade career of teaching and academic leadership includes
the University of Maryland, Georgetown University, and the University of Califor-
nia, San Francisco (UCSF). Fontaine lives in Washington, D.C. and the Blue Ridge
Mountains of Virginia with her husband Barry.

Tim Cunningham, DrPH, MSN, RN, FAAN, began his professional career as a
performing artist and clown. As a clown, he worked for two organizations that
changed his life. The first, The Big Apple Circus, employed him to perform as a
clown doctor at Boston Children’s Hospital, Yale New Haven Children’s Hospital,
and Hasbro Children’s Hospital. Concurrently, he volunteered for Clowns Without
Borders (CWB) performing in various refugee camps, war zones, and other global
zones of crisis. He later served as Executive Director of CWB. It was in pediatric
hospitals and refugee camps where he witnessed and began to learn about the true
meaning of resilience and self-care. This performance work inspired him to pursue
a career in nursing, and he completed a second-degree nursing program at the Uni-
versity of Virginia. Cunningham became an emergency trauma nurse and worked
clinically in Charlottesville, Virginia, Washington, D.C., and New York City. It was
during his time in New York City that he completed his doctoral degree in public
health at the Mailman School of Public Health, Columbia University. Cunningham
viii Self-Care for New and Student Nurses

is the former Director of the Compassionate Care Initiative at the University of Vir-
ginia, where he had the opportunity to work closely with Drs. Fontaine and May
as this book came to fruition. He currently lives in Atlanta, Georgia, and serves as
the Vice President of Practice and Innovation at Emory Healthcare, where he also
holds a joint appointment as an Adjunct Assistant Professor at the Nell Hodgson
Woodruff School of Nursing at Emory University. Cunningham began his academ-
ic journey receiving his BA in English from the College of William and Mary in
2000. For self-care, he is an avid runner and wanna-be gardener. He also loves any
chance he can get to swim in the ocean or meditate as the sun rises.

Natalie May, PhD, recently transitioned to the University of Virginia (UVA) School
of Nursing after 30 years as Associate Professor of Research in the Division of
General Medicine in the UVA School of Medicine. She is a founding member of the
UVA Center for Appreciative Practice. Certified as an Appreciative Inquiry facili-
tator and lead author of Appreciative Inquiry in Healthcare, she enjoys developing
appreciative inquiry projects and teaching appreciative practice workshops at her
home institution and beyond. May is an experienced qualitative researcher, and
she has extensive grant writing, program and curriculum development, and pro-
gram evaluation experience. Her current research projects include the Mattering
in Medicine study and the Medical Subspecialties HOME Team Program for high
utilizer patients. She was also an investigator for the Wisdom in Medicine Proj-
ect: Mapping the Path Through Adversity to Wisdom, a study funded by the John
Templeton Foundation. She is coauthor of Choosing Wisdom: The Path Through
Adversity and coproducer of a PBS film, Choosing Wisdom. She has codeveloped
and implemented an innovative curriculum for medical students, The Phronesis
Project, designed to foster wisdom in young physicians, and has implemented a
similar program, Wisdom in Nursing, in the UVA School of Nursing. May earned
a BA in economics and urban studies from Wellesley College, an MA in creative
writing from Boston University, and her PhD in educational research from the
University of Virginia Curry School of Education. She lives in Richmond, Virgin-
ia, with her husband Jim. Her most consistent and effective self-care practices are
modern quilting and walking near water, especially the James River and the ocean
at the Outer Banks, North Carolina.
Contributing Authors
Kim Acquaviva, PhD, MSW, CSE, is the Betty Norman Norris Endowed Profes-
sor at the University of Virginia School of Nursing. Prior to that, she spent 15
years as a faculty member at the George Washington University (GW) School of
Nursing and the GW School of Medicine and Health Sciences. Her scholarly work
focuses on LGBTQ aging and end-of-life issues, and her clinical work has been
with patients and families facing life-limiting illnesses in both hospital and hospice
settings. Her book LGBTQ-Inclusive Hospice & Palliative Care: A Practical Guide
to Transforming Professional Practice was awarded first place in the AJN Book
of the Year Awards in the Palliative Care and Hospice Category. She’s the host of
em dash, a podcast that explores the lived experiences of patients and healthcare
professionals in the healthcare arena. Acquaviva has a PhD in human sexuality
education from the University of Pennsylvania Graduate School of Education, an
MSW from the University of Pennsylvania School of Social Policy and Practice, and
a BA in sociology from the University of Pennsylvania College of Arts and Sciences.
She is an AASECT-Certified Sexuality Educator.

Ryan Bannan, BSN, RN, CCRN, earned a BSN from Georgia Baptist College of
Nursing of Mercer University and a BS in psychology from Michigan State Uni-
versity. Bannan’s experiences caring for patients with COVID-19 have reinforced
his interests in staff and patient safety, resiliency, and healthy work environments.
He prioritizes self-care through exercise, meditation, nutrition, and relaxing with
friends and family.

Jonathan Bartels, BSN, RN, has been a practicing nurse since 1998. He has
worked in a variety of settings over the past 22 years, including emergency trauma,
medical/surgical, and palliative care, and currently is the Palliative Care Liaison
Nurse for the adult population at the University of Virginia Health System. Bartels
has pursued several academic degrees, including bachelor of arts in psychology
from Canisius College, Buffalo, New York (1990); comparative religion graduate
program at Western Michigan University in Kalamazoo, Michigan (1991–1993);
and bachelor of science in nursing from D’Youville College, Buffalo, New York
x Self-Care for New and Student Nurses

(1997). He has also been a member of the University of Virigina School of Nurs-
ing Compassionate Care Initiative since its inception in 2010. Since 2009, he has
been a retreat and meditation/compassion facilitator. He is currently the Liaison to
the Medical Center for the Compassionate Care Initiative. To support his role as
retreat facilitator, he has received training from John Kabat Zinn (MBSR) and was
an apprentice for the Being with Dying program at Upaya Institute and Zen Center
in 2010. In 2009, Bartels started a practice to honor a patient who died called The
Pause. The Pause is now practiced in hospitals around the United States and on
seven continents around the world. Bartels was one of seven people nominated na-
tionally for the Schwartz Center Compassionate care provider of the year in 2017.
In 2018, he won the American Association of Critical Care Nurses Pioneering
Spirit Award.

Susan Bauer-Wu, PhD, RN, FAAN, has held leadership, academic, and clinical
roles in healthcare and higher education, with a focus on mind-body science and
fostering resilience through mindfulness and other contemplative approaches. She
began her career as an oncology, psychiatric, and hospice nurse, followed by doc-
toral training in psychoneuroimmunology and post-doc in psycho-oncology. From
2013–2016, Bauer-Wu was the Director of the Compassionate Care Initiative and
Kluge Professor in Contemplative End-of-Life Care at the University of Virginia
School of Nursing. Previously she held faculty appointments at Emory University,
Dana-Farber Cancer Institute, Harvard Medical School, and the University of Mas-
sachusetts Medical School. She is a Fellow in the American Academy of Nursing,
was a Robert Wood Johnson Executive Nurse Fellow, and has authored more than
80 scholarly articles and chapters plus a book for the lay public, Leaves Falling
Gently: Living Fully With Serious & Life-Limiting Illness Through Mindfulness,
Compassion & Connectedness.

Robin C. Brown-Haithco, MDiv, has served as the Director of Spiritual Health and
Staff Support at Emory University Hospital for more than 14 years. An ordained
minister with the American Baptist Churches, USA, she served as the President for
the Association for Clinical Pastoral Education, Inc from 2012 to 2013. She is also
an ACPE Certified Educator. She graduated from Mary Washington College with a
BA in psychology and from Virginia Union University School of Theology with an
MDiv.
 Contributing Authors xi

Reynaldo “Ren” Capucao, Jr., MSN, RN, CNL, is a second-generation Filipino

American nurse and alumnus of the University of Virginia. He specializes in the
history of nursing and healthcare, Asian American studies, and digital humanities
to address larger questions about the nursing labor supply, transnational exchange
of people and knowledge, social history of nursing and immigration, and racial dis-
parities and inequities. His current research examines the racialization of Filipino
nurses across the Greater United States since the nascence of the twentieth century.
He is the curator of the traveling exhibition A Culture to Care: The History of
Filipino Nurses in Virginia and serves as a stakeholder for the Philippine Nurses
Association of Virginia, APIDA Committee at the Library of Virginia, and Filipino
Nursing Diaspora Network. Capucao is the 2020 Alice Fisher Society Fellow at
the University of Pennsylvania Barbara Bates Center for the Study of the History of
Nursing.

Ebru Çayir, MD, PhD, received her MD degree from the Istanbul University Cer-
rahpasa Medical Faculty in 2006. After graduation, she worked and was trained as
a resident physician in the Department of Public Health at the Hacettepe Univer-
sity Medical Faculty. In 2011, she received a Fulbright Scholarship to study in the
US, and in 2017, she earned her PhD from the Department of Health Promotion,
Education and Behavior at the Arnold School of Public Health, University of South
Carolina. Çayir is currently a postdoctoral research associate with the Compas-
sionate Care Initiative at UVA’s School of Nursing. Her research examines multi-
level factors that influence self-care, resilience, and psychosocial well-being among
caregiving professionals and how social identity categories such as race, ethnicity,
gender, and nationality intersect to shape healthcare providers’ work experiences
and sense of professional belongingness.

Elgin Cleckley, Assoc. AIA, NOMA, is a designer, educator, and principal of

_mpathic design, a Design Thinking initiative, pedagogy, and professional prac-
tice focusing on sociocultural interdisciplinary design projects. A graduate of the
University of Virginia’s School of Architecture and Princeton University, Elgin has
collaborated with DLR Group (Seattle), MRSA Architects (Chicago), and Baird
Sampson Neuert Architects (Toronto) on award-winning projects. Elgin current-
ly facilitates Design Thinking Workshops and project development with national
xii Self-Care for New and Student Nurses

clients through _mpathic design. Before joining UVA’s Design Thinking program in
2016, he was the 3D Group Leader and Design Coordinator at the Ontario Science
Centre (Toronto), Visitor Experience / Science Content and Design, and Agents
of Change Initiative, since 2001. This work produced award-winning exhibitions
and public art with international artists David Rokeby, Michael Awad, Steve
Mann, and Stacy Levy. Elgin teaches the university-wide Introduction to Design
and Thinking course for undergraduates, and Design Thinking seminars on dy-
namic topics ranging from James Monroe’s Highland to Dr. Carter G. Woodson’s
Birthplace in New Canton, Virginia. He also directs the School’s Design Thinking
program in Ghana, focused on community-supported innovations in the eastern
region of the country.

Hannah R. Crosby, BA, RYT, is the Assistant Director of the Compassionate Care
Initiative at the University of Virginia School of Nursing. A graduate of the College
of Wooster, her passion for promoting holistic well-being was sparked in 2011
when she was an original member of the UVA School of Nursing’s award-winning
Healthy Work Environment team.

Anna DeLong, MSW, CEAP, a Mindfulness Teacher with more than 27 years’
experience as a Licensed Clinical Social Worker, is a Certified Employee Assistance
Professional who has been sanctioned to teach Mindfulness-Based Stress Reduction
by the University of Massachusetts Medical School. Currently DeLong is employed
as a Consultant for the University of Virginia’s Faculty and Employee’s Assistance
program (FEAP), but she also has an Honorary Faculty Appointment in UVA
School of Nursing. Prior to accepting a position with FEAP, DeLong spent 14 years
working within UVA Medical Center, 8 of which were in leadership roles. She also
has more than 10 years’ experience in private practice.

Dallas Ducar, MSN, RN, PMHNP-BC, CNL, NREMT-B, NP, is the founding
Chief Executive Officer of Transhealth Northampton. Inspired by others, she
draws together psychology, philosophy, queer theory, and contemplative science
in her daily work. Clinically, she works with gender-expansive patients providing
holistic, gender-affirming, psychiatric care. Ducar’s main research interests in-
clude moral psychology, trauma, and resilience. She seeks to harness the power of
 Contributing Authors xiii

morality and prosociality, collaborating with vulnerable gender-expansive popula-

tions to direct community-based research. She continually works to create a more
celebratory and open-hearted queer-friendly healthcare environment. With a BA in
philosophy and cognitive science and an MSN in clinical nurse leadership, she is a
board-certified registered nurse and psychiatric-mental health nurse practitioner.

Lerner L. Edison, MSN, MA, RN, CNL, is a proud United States Veteran with
more than a decade of healthcare experience, holding both clinical and administra-
tive positions. He continues to promote healthy environments through mentorship
and non-profit organizations. His passion to serve humanity led to a career change
as a graduate student at the University of Virginia School of Nursing Direct-Entry
Clinical Nurse Leadership Program from 2017–2019. He joined Carilion Roanoke
Memorial Hospital Cardiovascular Institute as a Cardiac Surgery Intensive Care
Unit Registered Nurse in 2020 and recently became a member of the Cultural
Competency Committee. The goal of this committee is to foster the core values of
the organization through workshops, courses, and discussion forums to promote
inclusivity. In 2020, Edison was the recipient of a DAISY Award as a Critical Care
Registered Nurse for HCA Healthcare. He desires to be a change agent in health-
care with a focus on culture to elevate the nursing profession. In his free time, he
enjoys reading, hiking, traveling, and socializing with close friends and family.

Danielle (Dani) Giaritelli, BSN, RN, has been a nurse for four years and currently
works in the Acute Respiratory ICU at Emory University Hospital, Emory Health-
care. She graduated from the University of South Florida. She is currently complet-
ing a masters degree in Transformational Leadership and Nursing Administration.
She aspires to bring positive influences to our nursing profession while helping to
create a stronger and more resilient workforce.

Linda Grabbe, PhD, FNP-BC, PMHNP-BC, FAAN, is a board-certified Family

Nurse Practitioner and Psychiatric/Mental Health Nurse Practitioner. As a Clinical
Assistant Professor, she teaches psychiatric and population health nursing at Emory
University’s Nell Hodgson Woodruff School of Nursing and Community Advanced
Practice Nurses, Inc. Her clinical expertise is in primary care and mental healthcare
for homeless or incarcerated women and youth, providing Community Resiliency
Model (CRM)® and Dialectical Behavior Therapy (DBT) skills trainings in group
xiv Self-Care for New and Student Nurses

settings. Grabbe’s current research includes measuring the impact of a brief Commu-
nity Resiliency Model (CRM)® training on well-being of women in substance abuse
treatment, as well as on well-being, resiliency, burnout, and effects of secondary
traumatic stress in nurses, first responders, emergency department staff, and nursing
students. She received her nurse training at the University of Hawaii and completed
a master’s degree in nursing education from Emory University. Her PhD was in fam-
ily and community nursing from Georgia State University, and she has since trained
as a Family Nurse Practitioner (Emory University) and Psychiatric/Mental Health
Nurse Practitioner (Augusta University). Prior to becoming a nurse, Grabbe received
a degree in Japanese language and civilization from the University of Paris.

Valérie Gruhn, BSN, RN, MPH, is an emergency trauma nurse, author, and hu-
manitarian aid worker. Her public health work has taken her to the Philippines
and Gaziantep, Turkey, where she worked on the Syrian Refugee Crisis. She has
worked with Médecins Sans Frontières since 2016, assisting in Kenya, Chad, and
Iraq. Gruhn recently worked on the Ebola epidemic in the Democratic Republic of
Congo. Her piece “Ebola Patients Are Human Beings Not Biosecurity Threats” in
Reuter’s Foundation challenges the response of improving community engagement
in Ebola care.

Julie Haizlip, MD, MAPP, is Clinical Professor at the University of Virginia School
of Nursing and Faculty in the University of Virginia (UVA) Department of Pedi-
atrics. She is board certified in pediatrics and pediatric critical care, having com-
pleted medical school and residency at the University of North Carolina and doing
her pediatric critical care training at the University of Utah. Haizlip also earned a
master’s degree in applied positive psychology. She has published and presented
internationally on using applications of positive psychology to create culture change
in academic healthcare. Her article titled “The Negativity Bias, Medical Education,
and the Culture of Academic Medicine: Why Culture Change Is Hard” earned her
and her coauthors the ABIM Foundation Professionalism Article Prize. She has been
a faculty member of the UVA Center for Appreciative Practice since its inception
and became Director in 2016.

Susan Hassmiller, PhD, RN, FAAN, is the Robert Wood Johnson Foundation Senior
Adviser for Nursing. She directs The Future of Nursing: Campaign for Action, a
 Contributing Authors xv

nationwide initiative led by RWJF and AARP that seeks to implement the recommen-
dations of the Institute of Medicine report, The Future of Nursing: Leading Change,
Advancing Health, and build a Culture of Health. Hassmiller has worked in pub-
lic health and taught community health nursing at the University of Nebraska and
George Mason University. A member of the National Academy of Sciences and a fel-
low in the American Academy of Nursing, she sits on several boards and committees.

Ashley R. Hurst, JD, MDiv, MA, is an Assistant Professor at the University of Vir-
ginia School of Nursing and affiliate faculty of the Center for Health Humanities and
Ethics UVA School of Medicine. She is a member of the UVA Health System Ethics
Committee and a consultant for its Ethics and Moral Distress Consultation Services.
A licensed attorney, Hurst was previously a partner with the law firm Rogers &
Hardin in Atlanta, Georgia, specializing in employment discrimination litigation. She
writes and researches clinician moral distress, burnout, and preventive ethics. She has
a JD from the University of Florida Levin College of Law, an MDiv from Yale Divin-
ity School, and an MA in religious studies (with an ethics concentration) from the
University of Virginia.

Nicole Jefferson, BSN, RN, began her professional caregiver career as a certified
nursing assistant (CNA) while in high school but then went on to receive her BSN
from the University of Virginia. While in college, she worked in the float pool at UVA
Hospital as a patient companion and a patient care technician (PCT). As a patient
companion and PCT, she floated to all floors of the hospital, where she was able to
learn various skills. After graduating from college, she started her first nursing posi-
tion as a Nurse Resident on a general medicine floor at Emory University Hospital.
She worked on the general medicine unit for a year and a half before transferring to
labor and delivery. She currently works as a labor and delivery nurse at Emory Deca-
tur Hospital in Atlanta, Georgia.

Master Hiromi Hangai Johnson is the Founder and Director of Charlottesville T’ai
Chi Center, an award-winning non-profit whose mission includes spreading the health
benefits of T’ai Chi and related internal martial arts in the wider community. She is an
International Cheng Ming Instructor certified in T’ai Chi, Ch’i Kung (Qigong), Hsing
I, and Ba Gua. Her teacher, Grandmaster Wang Fu Lai, is the lineage holder of the
International Cheng Ming Association in Taiwan.
xvi Self-Care for New and Student Nurses

Mick Krasner, MD, FACP, is a Professor of Clinical Medicine, University of

Rochester School of Medicine and Dentistry, and practices full-time primary care
internal medicine in Rochester, New York. Krasner has been teaching mindfulness-
based programs to patients, medical students, and health professionals for more
than 20 years and was the project director of Mindful Communication: Bringing
Intention, Attention, and Reflection to Clinical Practice. This program led to the
establishment of Mindful Practice Programs, which he codirects, at the University
of Rochester. Krasner is engaged in a variety of research projects, including the
effects of mindfulness practices on the immune system in the elderly, on chronic
psoriasis, and on caregivers of Alzheimer’s patients. A graduate of the University
of California, Berkeley, in 1983, he received the doctor of medicine degree from
the University of California, San Diego School of Medicine in 1987, completing
residency in both internal medicine and pediatrics at the University of Rochester
School of Medicine and Dentistry, where he is currently a full-time faculty member
engaged in direct patient care, medical student and residency education, post-
graduate medical education, and research in the University’s Center for Mind-Body
Research.

Irène P. Mathieu, MD, is an academic pediatrician, writer, and public health re-
searcher. She holds a BA in international relations from the College of William &
Mary and an MD from Vanderbilt University. Mathieu completed her residency in
pediatrics at the Children’s Hospital of Philadelphia, where she was selected as a
Global Health Track resident. She has received fellowships from the Fulbright Pro-
gram, Callaloo Creative Writing Workshop, and Virginia Center for the Creative
Arts and is the author of three poetry collections: Grand Marronage (Switchback
Books, 2019), orogeny (Trembling Pillow Press, 2017), and the galaxy of origins
(dancing girl press, 2014). Currently a candidate for a master’s degree in public
health at the Johns Hopkins Bloomberg School of Public Health, Mathieu is an
Assistant Professor of Pediatrics at the University of Virginia. There she serves as
Director of Equity & Inclusion for the Department of Pediatrics and affiliate facul-
ty of the UVA Center for Health Humanities & Ethics.

Michelle Maust, MD, FAPA, is a Clinical Psychiatrist at MindPath Care Centers

in Raleigh, North Carolina, where she practices a holistic approach to psychiat-
ric care. She earned her medical degree from the University of Virginia School of