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Nursing Without
Borders
Values • W i sd om • S u cc e s s M a r k e rs
All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or
otherwise, without written permission from the publisher.
Visit our Web site at www.nursingsociety.org and go to the “Publications” link for more information about
our books or other publications.
ISBN-10: 1-930538-70-7
ISBN-13: 978-1-930538-70-2
Nursing without borders : values, wisdom, success markers / [edited by] Sharon M. Weinstein, Ann Marie T.
Brooks.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-1-930538-70-2
ISBN-10: 1-930538-70-7
1. Transcultural nursing. 2. Nursing—International cooperation. I. Weinstein, Sharon. II. Brooks, Ann
Marie T., 1947- III. Sigma Theta Tau International.
[DNLM: 1. Transcultural Nursing. 2. International Cooperation. 3. Nursing Care. WY 107 N9745
2007]
RT86.54.N87 2007
362.17’3—dc22 2007039998
07 08 09 10 11 / 5 4 3 2 1
Photography
The exceptional photography of Barry Kinsella inspired the cover design for Nursing Without
Borders: Values, Wisdom, Success Stories. He documented Ms. Weinstein’s early trips to Russia
and beyond. His photographic artwork has documented the lives of people around the world.
Barry has been particularly drawn to Eastern European peoples—with a strong focus on the
independent states of the former Soviet Union. For his ongoing assignment on behalf of the
American International Health Alliance (AIHA) and Premier, Inc., he has created a photo-
graphic tribute to hospitals across the United States and their counterparts in countries that
were formerly communist. His most recent photographic journeys were to China and Mongo-
lia. Barry’s photographs can be viewed at www.kinsellaphoto.com.
vi Nursing Without Borders
Front Cover
Clockwise from top: (1) Sister Anna Mighulo of
Kenya; permission to use granted by Marquette
University. (2) Central Asian nurse with young pa-
tient; © Barry Kinsella (www.kinsellaphoto.com).
(3) Two Indian Qeqchi girls in their village in
Carchá, Guatemala; permission to use granted by
Heriberto Herrera, El Salvador (http://www.sxc.
hu/browse.phtml?f=view&id=782525). (4) Rauf
Khalid; photo by Michelle Lilly, Sigma Theta Tau
International. (5) Russian nurse with infant; © Barry
Kinsella (www.kinsellaphoto.com). (6) Background
image and first image on left on back cover: Russian
nurse with young patient; © Barry Kinsella (www.kinsellaphoto.com). (7) Masai men; per-
mission to use granted by Jonathan Hillis (http://www.sxc.hu/browse.phtml?f=view&id=863
582).
Back Cover
Left to right: (1) Russian nurse with young patient;
© Barry Kinsella (www.kinsellaphoto.com). (2) Ma-
sai men; permission to use granted by Jonathan Hillis
(http://www.sxc.hu/browse.
phtml?f=view&id=863582). (3) Two Indian
Qeqchi girls in their village in Carchá, Guate-
mala; permission to use granted by Heriberto Her-
rera, El Salvador (http://www.sxc.hu/browse.
phtml?f=view&id=782525). (4) Armenian student
nurses at Erebouni School of Nursing; © Barry Kinsella
(www.kinsellaphoto.com). (5) Rauf Khalid; photo
by Michelle Lilly, Sigma Theta Tau International. (6)
Sister Anna Mighulo of Kenya; permission to use
granted by Marquette University.
Dedication vii
Dedication
Nursing Without Borders: Values, Wisdom, Success Markers is dedicated to nurses worldwide who
have mastered the fine art of partnering through collaboration, practice, and education.
And, we acknowledge the support of our families and friends. International travel and
collaboration are challenging. While the demands of international work take time away from
home, the opportunity also enriches the lives of those we love.
Publisher’s Note: 100% of the author royalties from sales of this book will benefit the Global
Education Development Institute (GEDI). For information about GEDI, visit the institute’s
Web site at http://www.gedinfp.com/.
viii Nursing Without Borders
ACKNOWLEDGMENTS
Global nursing impacts health-care delivery in every corner of the world and requires interven-
tions from all sectors of society. Nursing Without Borders: Values, Wisdom, Success Markers offers
a global perspective on education, process, and practice initiatives. It provides a forum for rec-
ognized nurse leaders and activists to share their stories and successes in defining nursing’s past,
present, and future. Success as a global leader requires a global mind-set, an appreciation of
humanities and culture, a sensitivity to diverse human capital, a sense of shared leadership, and
accountability.
The international nursing leaders contributing to this text are role models whose stories
must be shared. We recognize their accomplishments and goals; we acknowledge their develop-
ments and successes; and we thank them for challenging the process, inspiring a shared vision,
enabling others to act, and modeling the way for us to go. May they continue to build strategic
partnerships in nursing—relationships that will evolve, last a lifetime, and ensure the continued
growth of our profession.
With this book, here and now, we invite you to begin the journey to Nursing Without
Borders.
Ann Marie T. Brooks, RN, DNSc, MBA, FAAN, FACHE, FNAP, is a nurse execu-
tive with extensive leadership and consultation experience in the United States and abroad and
is the director of the Vanderbilt-Botswana Project. She is past president of both the American
Organization of Nurse Executives (AONE) and the American Psychiatric Nurses Association.
She is immediate past dean at The Catholic University of America’s School of Nursing. Dr.
Brooks is a team leader/mentor for the American Nurse Credentialing Center’s Magnet Rec-
ognition Program and secretary-treasurer of the Global Education Development Institute. She
holds a BSN, MSN, and DNSc from The Catholic University of America and an MBA from
Loyola College.
Nursing Without Borders
Contributing Authors
Mary Alexander
Mary Alexander, RN, CRNI, MA, CAE, is chief executive officer (CEO) of the Infusion Nurs-
es Society (INS) and the Infusion Nurses Certification Corporation (INCC). As CEO, she also
serves as the editor of the Journal of Infusion Nursing. She recently completed a term of office as
president of the American Board of Nursing Specialties. She is a director of the Global Educa-
tion Institute Board.
Jennifer Andrews
Jennifer Andrews, RN, ADON, is assistant director of nursing, Division of Surgery, at Prin-
cess Alexandra Hospital Health Service District in Brisbane, Queensland, Australia, which has
achieved Magnet recognition. Her clinical background and experience in leadership roles have
provided her with the platform to facilitate and guide clinical practice in the surgical units. She
is a frequent presenter at professional society meetings. A graduate of the Princess Alexandra
Hospital School of Nursing, she completed specialty training in midwifery and child health.
Claudia Bartz
Claudia Bartz, PhD, RN, FAAN, is coordinator of International Classification for Nursing
Practice and clinical associate professor at the University of Wisconsin-Milwaukee School of
Nursing. She retired as a colonel from the United States Army Nurse Corps in 1999 with 30
years of service, having served domestically and internationally.
Deva-Marie Beck
Deva-Marie Beck, PhD, RN, is international co-director of the Nightingale Initiative for Glob-
al Health. She is a nursing scholar, clinician, health educator, and world ambassador for human
health and well-being. She has networked for nursing and transdisciplinary health promotion
issues in the United States, Canada, Great Britain, Switzerland, Scandinavia, and Turkey. She
has practiced in a wide variety of home-care and critical-care clinical settings in many parts of
the world during her more than 30 years of clinical nursing experience.
Contributing Authors xi
Marjorie Beyers
Marjorie Beyers, EdD, RN, FAAN, is a nursing consultant with a wealth of nurse executive and
education experience. She has been actively involved with the Honor Society of Nursing, Sigma
Theta Tau International, helping to develop future scenarios, chairing the Finance Committee,
and drafting the ARISTA 1 report. She is the former executive director of the American Orga-
nization of Nurse Executives (AONE) and system chief nursing officer of Mercy Health Care.
Dr. Beyers is a well-known author and international speaker.
Kathleen A. Bower
Kathleen A. Bower, DNSc, RN, FAAN, is principal and co-owner of The Center for Case
Management, Inc. She was a member of the team that created clinical paths and provider-based
case management at New England Medical Center in 1985. She holds a Bachelor of Science
in Nursing from Georgetown University, a Master of Science in Nursing from Boston College,
and a doctoral degree in nursing from Boston University.
Rita M. Carty
Rita M. Carty, PhD, RN, FAAN, is professor and dean emerita of George Mason University,
Fairfax, Virginia, USA. Dr. Carty is president emerita of the American Association of Colleges
of Nursing and holds the 2002 Sister Bernadette Armiger award. Dr. Carty served as head of
George Mason University’s College of Nursing and Health Science World Health Organization
Collaborating Centre from 1990 to 2006.
xii Nursing Without Borders
Amy Coenen
Amy Coenen, PhD, RN, FAAN, is an associate professor at the University of Wisconsin-
Milwaukee College of Nursing. Her research has focused on the nursing minimum data set and
terminology standards for the electronic health record. She serves as director of the Interna-
tional Classification for Nursing Practice Programme for the International Council of Nurses.
She also serves as a member of the Steering Committee for the International Standards Organi-
zation’s proposal for a reference terminology model for nursing.
Clarita D. Curato
Clarita D. Curato, RN, MAN, EdD, is dean and chief academic officer at De Los Santos – STI
College of Healthcare Professions in Quezon City, Philippines.
Leah Curtin
Leah Curtin, RN, MS, MA, FAAN, is a clinical professor of nursing at the University of Cin-
cinnati College of Nursing and Health and was editor-in-chief of Nursing Management for
20 years. She is director of Cross Country Education’s Nurse Manager Boot Camp. She was
awarded an honorary doctorate from State University of New York in 1990 for the impact she
has had on development of nursing and health care in the United States. In 2002, The Medical
College of Ohio awarded her a second honorary doctorate for humanitarian services. She is a
prolific writer and popular speaker on a diversity of nursing issues.
Anne J. Davis
Anne J. Davis, RN, PhD, DSc(hon), FAAN, is professor emerita of the University of Califor-
nia, San Francisco and Nagano College of Nursing, Japan. For 45 years, she has worked on
numerous international projects. She received the first American Nurses Association Human
Rights Award and has been bestowed lifetime honorary professorships at Beijing Medical Uni-
versity and Sun Yat-Sen University in China. She has published more than 200 articles and six
books, two of which are in Japanese. At 75 years of age, she remains professionally active by
writing and working on short-term international assignments.
Contributing Authors xiii
Rachel DiFazio
Rachel DiFazio, RN, MS, CPNP, is a pediatric nurse practitioner at Children’s Hospital, Bos-
ton. She has worked collaboratively with Russian nurses on multiple projects, articles, and
educational exchanges and has been the co-coordinator of the US-Russian Nursing Conference
Cruise since 2003.
Barbara M. Dossey
Barbara M. Dossey, PhD, RN, AHN-BC, FAAN, is director of Holistic Nursing Consultants
and international co-director of the Nightingale Initiative for Global Health. She is a frequent
contributor to the nursing literature. Her latest book, Florence Nightingale: Mystic, Visionary,
Healer, focuses on the philosophical and practical impact of Florence Nightingale’s life and
work on modern nursing and humankind.
Marie J. Driever
Marie J. Driever, PhD, RN, is director of professional practice and development, Group Health
Cooperative, in Seattle, Washington, USA. She is a clinical nurse researcher whose interest in
Russia began with participation in the first US-Russian Nursing Conference Cruise in 1997.
Since 2000, Dr. Driever has co-coordinated these conference cruises. The relationships devel-
oped from this work have led to her being a member of faculty teams offering conferences on
care of the elderly, health care ethics, and nursing research to Russian nurses.
Ellen Fineout-Overholt
Ellen Fineout-Overholt, PhD, RN, FNAP, is associate professor of clinical nursing and direc-
tor of the Center for the Advancement of Evidence-Based Practice at Arizona State University,
Phoenix, Arizona, USA. She received her doctoral degree from the University of Rochester
School of Nursing; a master’s in nursing from the University of Alabama, Birmingham; and a
bachelor’s degree in nursing from the University of Texas Medical Branch, Galveston, Texas.
She is a frequent contributor to the nursing literature on evidence-based practice.
Anita Finkelman
Anita Finkelman, MSN, RN, is adjunct faculty at the University of Oklahoma School of Nurs-
ing. She is president and founder of Resources for Excellence, a consulting firm, and author of
several texts addressing leadership, management, and psychiatric nursing.
Joyce J. Fitzpatrick
Joyce J. Fitzpatrick, PhD, RN, FAAN, is Elizabeth Brooks Ford Professor of Nursing, Frances
Payne Bolton School of Nursing at Case Western Reserve University, Cleveland, Ohio, USA,
and is editor of Archives of Psychiatric Nursing. She received her BSN from Georgetown Univer-
sity, an MS in psychiatric-mental health nursing from Ohio State University, a PhD in nursing
education from New York University, and an MBA from Case Western Reserve University. She
is a renowned researcher, author, and speaker.
Jeanne M. Floyd
Jeanne M. Floyd, PhD, RN, CAE, FAAN, is executive director of the American Nurses Cre-
dentialing Center (ANCC). Before taking over this position at ANCC, Dr. Floyd served as
director of strategic development for the Honor Society of Nursing, Sigma Theta Tau Interna-
tional. Dr. Floyd earned her PhD from Pennsylvania State University, her MS from the Univer-
Contributing Authors xv
sity of Maryland School of Nursing, and her BSN from the College of Notre Dame School of
Nursing in Baltimore, Maryland, USA. She also holds a BA from the University of San Fran-
cisco Department of Sociology and Social Welfare and a diploma from the Truesdale Hospital
School of Nursing in Fall River, Massachusetts, USA.
Marianne E. Hess
Marianne E. Hess, BSN, RN, CCRN, is hospital education coordinator of critical care at
George Washington University Hospital in Washington, DC, USA. Her international nursing
experiences took her from Armenia to Russia. She is a director of the Global Education Devel-
opment Institute.
Maureen Kelley
Maureen Kelley, CNM, PhD, FACNM, is chair of the Family and Community Nursing De-
partment at Emory University’s Nell Hodgson Woodruff School of Nursing. She has become
increasingly interested in global health and works with the Lillian Carter Center for Interna-
tional Nursing at Emory to develop linkages and partnerships in the Caribbean. She is also a
member of the Emory/CDC (Centers for Disease Control) Collaborating Center in Perinatal
Health and has worked in perinatal health related to midwifery in Balashikha, Russia.
xvi Nursing Without Borders
Carole Kenner
Carole Kenner, DNS, RNC, FAAN, is dean and professor of the College of Nursing at the
University of Oklahoma. She is past president of the Neonatal Nurses Association and has
worked extensively with the World Health Organization on nursing and health-care issues. She
received her BSN from the University of Cincinnati, an MSN from Indiana University with a
specialty degree in perinatal clinical nurse specialist-CNS/neonatal nurse practitioner, and her
doctorate from Indiana University.
Shaké Ketefian
Shaké Ketefian, EdD, RN, FAAN, is professor of nursing and director of International Af-
fairs at the University of Michigan School of Nursing. Dr. Ketefian has been a leader in global
nursing and established the International Nursing Doctoral Education Network. She is a
well-known author and lecturer and is a member of the Expert Panel on Global Nursing and
Health.
Jo Ellen Koerner
Jo Ellen Koerner, PhD, RN, FAAN, is a consultant and founder of the Healing Web, a collab-
orative education-service model that facilitates service learning in the community. She works in
the private sector developing health programs for congregate living communities. She received
the Lifetime Achievement Award from American Organization of Nurse Executives in 2005.
She is the author of 60 articles and the book Mother, Heal My Self, a memoir about her daugh-
ter’s near-death experience and connecting with a Native American healer.
Ramón Lavandero
Ramón Lavandero, RN, MA, MSN, FAAN, is director of development and strategic alliances
for the American Association of Critical-Care Nurses (AACN). He is also adjunct associate pro-
Contributing Authors xvii
fessor at Indiana University School of Nursing. He was a contributor on the expert panel that
developed the AACN Standards for Healthy Work Environments. As former director of the
International Leadership Institute at the Honor Society of Nursing, Sigma Theta Tau Inter-
national, he coordinated planning and the Americas meeting for the honor society’s Arista3
conferences. He also served as a faculty member for International Nursing Leadership Institute
workshops presented in Russia by the American International Health Alliance.
Linda Luna
Linda Luna, RN, PhD, is an international nurse consultant, educator, and executive with 25
years’ experience in international settings. She has a diploma, BSN, MSN, and PhD. She also
earned a master’s of arts in intercultural relations. She has worked internationally in Haiti, Leb-
anon, Saudi Arabia, and Singapore. She has served on editorial boards of international journals
and is a director of the Global Education Development Institute.
Beverly J. McElmurry
Beverly J. McElmurry, RN, EdD, FAAN, is assistant dean for global affairs and director and
professor of the World Health Organization Collaborating Center for International Develop-
ment of Primary Health Care at the University of Illinois College of Nursing.
Patricia C. McMullen
Patricia C. McMullen, PhD, JD, CNS, CRNP, FNAP, is associate dean for academic affairs at
The Catholic University of America School of Nursing. She has combined her interests in nurs-
ing and law by conducting research on legal issues in nursing, patient satisfaction with prenatal
care, and severe occupational injuries. She has authored a number of research and practice-
based articles and texts.
Lyn Middleton
Lyn Middleton, RN, PhD, is coordinator of decentralized mental health nursing programme
for the School of Nursing, University of KwaZulu-Natal in Durban, South Africa. She com-
pleted her undergraduate and postgraduate work and has been a leader in addressing the issues
facing patients with mental health problems.
Christine O. Newman
Christine O. Newman, MS, RNC, CNNP, is a certified neonatal nurse practitioner and certi-
fied regional instructor by the American Academy of Pediatrics and American Heart Associa-
tion’s Neonatal Resuscitation Program. She is a member of the clinical faculty of the neonatal
nurse practitioner program at Wayne State University, Detroit, Michigan, USA, and systems
administrator for the Henry Ford Hospital neonatal intensive care unit’s neonatal database sys-
tem. She has worked in L’viv, Ukraine, and in Tver, Russia.
Abel Paiva
Abel Paiva, MSN, PhD, RN, is medical-surgical specialist at Porto College of Nursing, Porto,
Portugal.
Mary Paterson
Mary Paterson, PhD, RN, is associate professor and assistant dean of undergraduate programs
at The Catholic University of America School of Nursing. She has contributed to the design
and implementation of primary health-care reform projects in post-conflict, transitional, and
developing countries, including Egypt, Jordan, Albania, Iraq, and Russia. Dr. Paterson has
a BSN from The Catholic University of America, a master’s in nursing administration from
Georgetown University, and a PhD in health services and policy analysis with a finance empha-
sis from the University of California, Berkeley, California, USA.
Daniel J. Pesut
Daniel J. Pesut, PhD, RN, CS, FAAN, is professor and chair of the Department of Environ-
ments for Health at Indiana University. He is past president of Sigma Theta Tau International
(2003-05), distinguished lecturer, and recipient of the Edith Moore Copeland Award for Ex-
cellence in Creativity in 1993. He is an American Nurses Foundation scholar, a fellow of the
American Academy of Nursing, and an honorary fellow of the Amy V. Cockcroft Leadership
Development Program.
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