DNP Students Defend Projects Virtually in 2020-21

DNP Students Defend Projects Virtually in 2020-21

DNP students take to virtual means to defend their scholarly projects this year.

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tonya carterTonya Carter MSN, NP-C

Title: Heart Failure Connect: A Disease Management Program

When: July 23 at 7:30 a.m.

Committee: Margaret Bowers (chair), Mirnela Byku, Matthew Baker, and Sarah Waters 

Implementation Site: UNC Cardiac Electrophysiology and Advanced Heart Failure Clinic-Fayetteville

 

lillee gelinasLillee Gelinas

Title: Reducing Polypharmacy and Medication Errors in Older Adults in the Ambulatory Setting: A Policy Analysis

When: July 21 at 3 p.m. Central/4 p.m. Eastern 

Committee: Barbara S. Turner, chair, Janet M. Lieto, Kate Taylor, Richard G. Stefanacci

Project Implementation Site: Project is a Policy Analysis

 

Pat Davis
 
Title: Use of an Asthma Screening Protocol to Improve Access to Biologic Therapy in an Ambulatory Setting 
 
When: July 20 at 2 p.m.   
 
Committee: Alison H. Edie, chair, Shari Rushton and Krystal Cleven

Implementation Site: Montefiore Medical Center, Bronx, NY 

 

kimberly woodKimberly Wood

Title: “Breastfeeding Education to Improve Breastfeeding Rates in the Intensive Care Nursery” 

When: July 19

Committee: Brigit Carter, chair, Debra Brandon and Pamela Edwards
 

Heather H. Barnard

Title: Implementing a Blood Pressure Bundle for Early Detection of Hypertension at a Soldier Readiness Center

When: July 15 at 7 p.m.

Committee: Margaret Bowers, chair, Katherine Pereira, co-chair, James A. Watts, Kristin Hill

Project Site: Fort Stewart Soldier Readiness Center

 

bobbi pino-y-torresBobbi L. Pino-y-Torres

Title: Evaluating the Rate and Timing of Reactions Among Patients with Hansen’s Disease

When: July 14 at 11 a.m. EDT

Committee: Deirdre K. Thornlow, chair, Amy Flynn, Mary Dudley

Consulting Associates: Jacqueline Lea, Lori Luu, Julie Thompson 

Project Site: National Hansen’s Disease Program; Baton Rouge, LA

 

Christine Mathews

Title: Evaluation of the Use of Telehealth Video Visits for Veterans with Chronic Pain

When: July 12 at 3 p.m. EST

Committee: Mitchell Knisely (chair), Sean Convoy, Leonie Heyworth

Implementation Site: Veterans Affairs Medical Center, San Diego

 

jennifer brulloJennifer Brullo 
 
Title: Using Root Cause Analysis to Inform a Falls Practice Change in the Home Care Setting

Date: July 12
 
Committee Members: Rose Madden-Baer, Timothy Peng, Anthony Dawson
 
Implementation Site: Visiting Nurse Service of New York

 

teresa woodTeresa H. Wood 

Project Title: Use of an electromagnetic guidance system (Cortrak™) for placement of post-pyloric enteral tubes to reduce feeding start times – A Quality Improvement

When: July 5 at 11 a.m. Eastern

Committee: Tracey Yap, chair, Valerie Sabol, Jill Engel, Deborah H. Allen

Project Site: Duke Medical Center

 

rachel coughlinRachel Coughlin 

Working Title of Project: Prevention of Central Line Associated Blood Stream Infections in Parenteral Nutrition Home Infusion Therapy Patients: Implementation of Passive Disinfection Caps – Quality Improvement Initiative

When: June 30 at 1 to 3 p.m. Eastern

Committee: Janice Humphreys, chair and professor, Charlene Compher, Valerianna Amorosa, Julie A. Thompson, consulting associate

Project Site: Penn Home Infusion Therapy

 

vivian Nwahiri-ChimezieVivian Nwahiri-Chimezie 

Working Title: A Quality Improvement (QI) Project in an Outpatient Orthopedic Clinic to Examine Telemedicine Use for Knee/Hip Arthroplasty Postoperative Follow-Up Visits

When: June 25 at 8 a.m. ET

Committee: Michael Zychowicz, project chair/advisor, Melody Queenan, Abdul Ahad Haleem

Consulting Associates: Christina Jah, Julie Thompson

Project Site: Kansas City (Missouri) VA Medical Center

 

lisa kellyLisa Kelly

Title: Reducing Recovery Times in Outpatient Liver Biopsies

When: June 23 from 5 to 6:30 p.m. Eastern

Committee Members: Mary L. Affronti (chair), Peter Simon, Angela Nash, Julie Thompson

 

Therese Bernstein

Project Title: Promoting Strategies to increase HPV vaccination in a Pediatric Primary Care setting

When: June 23 at 11 a.m. Eastern

Committee: Anne Derouin, chair, Marion Broome, Jennifer Milliman, Jessica Epstein

Project Site: Greenwich Pediatric Associates, Old Greenwich, CT

 

kylie westonkatelyn morrisalyssa davyAlyssa Davy, Katelyn Morris and Kylie Weston

Project Title: Identification of Risk Factors for Postoperative Pulmonary Complications in General Surgery Patients in KwaZulu-Natal, South Africa

When: June 22 at 9 a.m. ET; June 22 at 3 p.m. Durban, SA

Project Committee Members: Susan Silva (chair), Kathy Pereira, Victoria Goode, Petra Brysiewicz

South Africa Partners: John Bruce, Petra Brysiewicz, Damian Clarke

 

felicia hoganFelicia Hogan

Title: Three-Dimensionally printed simulated tracheas to improve cricothyrotomy skills in anesthesia providers

When: June 18 at 11 a.m. Eastern

Committee: Virginia C. Simmons Muckler (chair), Julie Pearson,  Joseph Parrish

Project Site: CarolinaEast Medical Center

 

katie brooks Katie Brooks

Title: Screening Before the Medicare Annual Wellness Visit May Help With Early Identification of Cognitive Decline: A Primary Care Quality Improvement Project.

When: June 16 at 9 a.m.

Committee: Tracey Yap, chair, Valerie K. Sabol, Thomas Batchelor,

Project Site: Atrium Health. Clinic is North Charlotte Medical Specialists – Huntersville

 

samantha sassoneSamantha Sassone

Title: Reusable Sanitary Napkins in Rural India: A Quality Improvement Project for Adolescent Girls.

When: June 15 at 9:30 a.m.

Committee: Irene Felsman, assistant professor and chair, Susan Silva, associate professor, Jed Metzger, Nevan Fisher

Project Site: Tamal Nadi, India

 

alaina duncanAlaina Duncan

Title: An educational intervention to increase psychotropic medication adherence in pregnant and postpartum women diagnosed with depressive and anxiety disorders.

When: June 1 at 2 p.m.

Committee: Sean Convoy, chair and assistant professor, Cheryl Dodds, Rachel Thommen

Project Site: Carolinas Psychiatry and Behavioral Wellness in Davidson NC

 

allyson michels Allyson Michels

Title: Virtual Pilot: Training of Trainers to Facilitate Implementation of a Postpartum Hemorrhage Protocol in Rural Tanzania

When: May 3 at 5 p.m. EST

Committee: Irene Felsman, assistant professor and chair, Jane Blood-Siegfried, professor, Gina Wilson, DNP'16 and consulting associate

Consultant: Julie Thompson, consulting associate, Regina Chacha and Hudson Mahare

Project Implementation Site: Teamwork City of Hope, Tanzania

 

Shorna Barrett-Loiseau

Title: Improving Diabetes Outcome in Patients by Providing Nutritional Education

When: April 28 at 1 p.m. Eastern

Committee: Kathryn Evans Kreider, chair and associate professor, Kellie Reed and Barbara Herman

Project Location: Wilson Internal Medicine, Rochester, NY

 

michael rawleyMichael Rawley

Title: Assessing Provider Adherence to a Lung Protective Ventilation Protocol in Patients Undergoing Thoracic Surgery Using One-Lung Ventilation

When: April 23 at 3 p.m.

Committee: Christian Falyar, chair and assistant professor, Erica Harris, of Duke Health, and Liliya Pospishil

Implementation Site: NYU Langone Health

 

jill collins Jill M. Collins

Title: The Implementation of Robotic Assistant Surgical Train

When: April 22 at 3:30 p.m. EST

Committee: Michael Zychowicz, professor, chair and advisor, Danielle Walsh, John Hudson, clinical associate, Shakira Henderson

Statistician: Julie Thompson, consulting associate

Project Implementation Site: Vidant Medical Center

 

jennifer smith headshotJennifer DeLozier Smith

Title: Implementation of Delirium Screening in a Community Based Pediatric Intensive Care Unit

When: April 19 at 3 p.m.

Committee: Nancy Crego, chair and assistant professor, Jonathan D. Feldman and Adrienne McIntyre

Project Location: Kaiser Permanente, Santa Clara Hospital, Santa Clara

 

jodi matthewsJodi Matthews

Working Title: Improving adherence to an institutional diabetic ketoacidosis protocol to optimize patient outcomes: A quality improvement project.

When: April 19 from 3 to 4:30 p.m.

Committee: Kathryn Kreider, associate professor and chair, Ronda Decker, Tracy Setji, Denise Tola, assistant professor

Site of Implementation: Duke Raleigh Hospital

 

michelle kotteMichelle Kotte

Title: “Augmenting traditional psychiatric care with group based cognitive behaviorally informed intervention for adults diagnosed with depressive disorder.”

When: April 15 at 2:30 p.m. Eastern

Committee: Chair, Sean Convoy, chair and assistant professor, Susan G. Silva, associate professor, Marilyn Oermann, Thelma M. Ingles Professor of Nursing, Scott Yoho

Project Implementation Site: Emerald Psychiatry, Dublin, Ohio

 

al cruzAl Jerome Cruz

Title: Improving urgent care providers’ knowledge, comfortability, and willingness to prescribe oral PrEP

When: April 14 at 12:30 p.m. EST

Committee: Ragan Johnson, assistant professor, adviso and committee chair, Schenita Randolph, assistant professor, Trudy Noon

Statistician: Julie Thompson

Project Implementation Site: MultiCare Indigo Urgent Care Centers

 

jacqueline johnsonJacqueline Johnson

Working Project Title: Implementation of Health Literacy Training for Clinicians in a Federally Qualified Health Center

When: April 14 at 11:30 a.m.

Committee: Cristina Hendrix, chair of the Clinical Health Systems & Analytics Division and chair, Kathryn Doyle, Jose Gutierrez

Project Setting: East Valley Community Health Center, Los Angeles County

 

margaret murphy headshotMargaret Murphy 

Title: Implementing a Standardized Communication Tool in the CTICU

When: April 14 at 11 a.m. EST

Committee: Kathleen Turner, associate professor and chair, Jill Engel, Lynn McGugan and Rebecca McKenzie, of Duke Health

Project Site: Duke University Hospital, Cardiothoracic ICU

 

katie pooleKatie Poole

Title: The Implementation of Photoscreening to Improve the Preschool Vision Screening Process in the Pediatric Primary Care Setting

When: Tuesday, April 13, at 5:30 p.m.

Committee: Anne Derouin, chair and assistant dean, MSN Program, Tracey Yap, associate professor, Jill Roberson, Petina Sloan

Project Implementation Site: Premier Pediatrics, Southern Pines, NC

 

lauren kearney headshotLauren Kearney

Title: The Role of Patient and Parent Education in Pediatric Cast Complications 

When: April 13 at 3 p.m. 

Committee: Michael Zychowicz, chair and professor, Ryan Shaw, associate professor, Sean Keyes

Project Site: AdventHealth Medical Group Pediatric Orthopedic Surgery 

 

michelle freyMichelle A. Frey

Title: A Staff Harms Reduction Quality Improvement Project in a Pediatric Inpatient Unit

When: April 12 at 11 a.m.

Committee: Barbara Turner, interim assistant dean, DNP Program, and chair, Sara Emory, GeenaLynne Mooneyham, Julie Thompson, consulting associate, Pamela Edwards, consulting associate

Project Site: Duke University Hospital Children's Services

 

grace wagnerGrace Wagner

Title: Evaluating the Implementation of the online HUG Your Baby Course "Roadmap to Breastfeeding Success" for Nevada WIC professionals

When: April 5 at 5 p.m.

Committee: Anne Derouin, assistant dean, MSN Program, and chair, Eleanor Stevenson, chair of the Health of Women, Children & Families Division, Jan Tedder

Implementation Site: In partnership with Nevada WIC

 

jibran majeed headshotJibran Majeed

Title: Implementing a Clinical Decision Tool to Improve Oncologic VTE Management 

When: April 5 from 9 to 10:30 a.m.

Committee: Barbara Turner, interim assistant dean, DNP Program, and chair, Gerald Soff, Chester Poon, and John Barrett

Project Implementation Site: Symptom Care Clinics at Memorial Sloan Kettering Cancer Center 

 

kesha rooksKesha L. Rooks

Title: "Leadership Training and Mentorship for Midlevel Managers"

When: April 1 from 2 to 3:30 p.m.

Committee: Michael Zychowicz, chair and professor, Regina Dickens, Kristen Dorsey

Project Implementation Site: Rural Health Group, Roanoke Rapids, NC

 

vicky locey headshotVicky Locey

Title: Violence is not part of the job: Empowering frontline acute care nurses to manage assaultive behavior via crisis prevention training 

When: March 30 from 1 to 2:30 p.m.

Committee: Dean Marion Broome (chair), Rebecca Taylor Ford, and Mary Kay Brooks

Project Implementation Site: Kaiser Permanente Santa Rosa 

 

kelly kester Kelly Kester

Title: Use of a Standardized Method to Support Proactive Registered Nurse Hiring 

When: March 29 from 1:30 to 3 p.m.

Committee: Bradi Granger, chair and professor, Sylvia Alston and Jill Engel, of DUHS, Mary Ann Fuchs, of DUHS and associate dean of Clinical Affairs 

Project Implementation Site: Duke University Health System

 

danielle triggDanielle Trigg

Title: Implementation of a Validated Sleep Questionnaire in the Evaluation and Management of Pediatric Attention-Deficit Disorders: A Quality Improvement Project

When: March 29 at 12:30 p.m.

Committee: Malinda S. Teague, assistant professor and chair, Anne Derouin, assistant dean, MSN Program, Melanie Pitts

Project Implementation Site: Kids First Pediatrics of Fayetteville/Raeford

 

joseph toomey headshotJoseph F. Toomey

Title: A Quality Improvement Project to Evaluate a Cognitive Behavioral Therapy Treatment Program for Medication-Treated Adults with ADHD

When: March 29 from 8 to 10 a.m.

Committee: Sean Convoy, chair and assistant professor, Dean Marion Broome, academic advisor, Scott Kollins, Duke Center for Autism

Implementation Site: Be Well Behavioral Health, LLC, Boston 

 

aimee samuels headshotAimee Samuels

Title: Improving Empathy and Communication Skills through Harm in Healthcare Response Training

When: March 25 at 10 a.m. EDT/7 a.m. PDT

Committee: Dean Marion E. Broome, chair, Timothy B. McDonald, Chii-Hui Peterson, Margaret Mikula, Erin Campaigniac, Jennifer Serfin

Project Implementation Site: Samaritan Health Services, Oregon

 

amber siegelAmber Siegel 

Title: A System Intervention to Foster a Gender Inclusive Environment of Care

When: March 24 at 9 a.m.

Committee: Barbara Turner, interim assistant dean, DNP Program, and chair, Romny Rejouis, Moti Ramgopal

Project Implementation Site: Midway Specialty Care Center, Orlando, Florida

 

megan carter headshotMegan Carter

Title: Nurse Manager Resilience in a Pandemic 

When: March 22 at 4 p.m.

Committee: Kathleen Turner, chair and associate professor, Karen Higdon and Melissa Thomas

Project Implementation Site: Baptist Health Louisville 

 

marina fisher headshot

Mariana Fisher

Title: Debunking Vaping Myths among Teens

When: March 19 at 3 p.m.

Committee: Brigit Carter, chair and associate dean for Diversity, Equity and Inclusion, Devon Noonan, associate professor, Lisa Lewis, assistant professor, and Amy Putnam 

 

kristen bakerKristen A. Baker

Title: Vaping Prevention in a Middle School Population using CATCH® My Breath

When: Friday, March 19 at 10 a.m.

Committee: Anne Derouin, assistant dean, MSN Program, and chair, Nancy Campbell, Devon Noonan, associate professor

Site Name: St. Leo’s Catholic School, Winston-Salem

 

valerie englehart headshotValerie Englehart

Title: Implementing the Condensed Memorial Symptom Assessment Scale (CMSAS) in an Oncology Unit

When: March 17 at 11 a.m.

Committee: Devon Noonan, associate professor and chair, Jennifer Bonamer, Susan Schneider, of Duke Cancer Institute, Brittany Chabalowski 

Project Implementation Site: Sarasota Memorial Hospital 

 

judith wafe headshotJudith Wafe

Title: Interprofessional Collaboration to Streamline Ordering of 21-gene Assay for Estrogen Receptor Positive, Human Epidermal Growth Factor 2 Negative, Early Stage Breast Cancer Patients

When: March 11 at 3 p.m.

Committee: Elaine Kauschinger, chair and assistant professor, Tara Albrecht, assistant professor, and Heather Wright, of Memorial Healthcare System

Project Site: Memorial Healthcare System, Broward, FL

 

anna tomlinson headshotAnna Tomlinson 

Title: Increasing sodium glucose cotransporter 2 inhibitor prescription rates for patients with heart failure 

When: March 8, 10 a.m.

Committee: Midge Bowers, associate professor and chair, Allison Dimsdale, of Duke Health, Megan M. Kelly 

 

barbara drake headshotBarbara Drake

Title: Reducing all cause 30-day hospital readmissions in adult cardiac surgery

When: February 26 at 1 p.m.

Committee: Midge Bowers, associate professor and chair, Linda McCormack-Miller, and Kelly Cenname 

Project Implementation Site: St. Elizabeth Medical Center, Utica, NY

 

kathryn giamarino headshotKathryn Giamarino

Title: Exploring the Clinical Significance of the Relationship between Objective Pupillometry Metrics and Midline Shift

When: February 2, 2:30 to 4 p.m.

Committee: Staci Reynolds, chair and assistant professor, and Robert Blessing and Christopher Boelter with Duke University Hospital

 

jennifer stoyell Jennifer M. Stoyell

Working Title: Evaluation of a Quality Improvement Intervention to Improve Pediatric Palliative Care Consultation Processes

When: December 4 at 1 p.m. 

Committee: Sharron Docherty, assistant dean, PhD in Nursing Program, and committee chair, Anne Derouin, assistant dean, MSN Program, Megan Jordan, Duke School of Medicine

 

patera foye-fullerPatera Foye-Fuller 

Working Project Title: An Emergency Action Plan in Youth Sports

When: November 24 at 8 p.m.

Committee: Anne Derouin, assistant dean of MSN Program and chair, Kate Bogue, Scott Buck

Project Implementation Site: Wake FC, main site at Ting Park in Holly Springs

 

gina willafordGina Taylor Willaford

Working Title: Implementing a Scheduled, Cost-Effective, Non-Opioid Analgesic Regimen for Post-Cesarean Patients to Reduce Opioid Requirements

When: November 21 at 9 a.m. Eastern

Committee: Virginia C. Muckler, chair and associate professor, Chadwick Leo, Andi Stamper, consulting associate

Site name: Cape Coral Hospital, The Women’s Care Birthing Suites

 

lisa mcdowell Lisa M. McDowell

Title: Text Messaging to Improve Self-care in Adult Patients with Type 2 Diabetes

When: November 20 at 11:30 a.m.

Committee Members: Blanca Iris Padilla, assistant professor and chair, Eleanor L. Stevenson, chair of the Health of Women, Children and Families Division, Frank Dolan

Project implementation site name: Piedmont Access to Health Services, Inc. (PATHS)

 

julie bakerJulie Baker

Title: Implementation of an Evidence-Based Clinical Guideline for Chest Pain Evaluation in Urgent Care.

When: November 17 from 7:30 to 9 a.m.

Committee: Margaret Bowers, associate professor and chair, Jennifer Swanson, Brian Walker 

 

susan cathingsSusan Catchings

Title: The Treatment of Obesity in the Multi-disciplinary Setting

When: November 13 at 10 a.m.

Committee: Valerie Sabol, committee chair and chair of Healthcare in Adult Populations Division, Dori Steinberg, associate professor, Joanne Fruth 

 

 

sarah tallentSarah Tallent

Title: Virtual Rounding: Extending the Radius of Family-Centered Care in the PCICU

When: November 11 at 6 p.m.

Project Implementation Site: Duke University Hospital Pediatric Cardiac Intensive Care Unit

Committee: Rémi Hueckel, chair and associate professor, Jennifer Turi and  Veerajalandhar Allaredy, with Duke Department of Pediatrics, School of Medicine

 

 

vina sanaikoneVina Sananikone

Title: The Impact of a Handoff Tool for Post-Operative Cardiac Patients Between Operating Room Staff and Intensive Care Unit Staff

When: November 11 from 12:30 to 2 p.m.

Committee members: Margaret Bowers, chair and associate professor, Ashley Moore-Gibbs, Lindsay Munn

Project Implementation Site: Atrium Health Pineville

 

 

denise marshallDenise Marshall

Working Title: "The Cradel Top Project" A Shared Medical Appointment Model Revised Care of the Mother-Infant Dyad during the COVID-19 Pandemic. The Four-week virtual visit.

When: November 11 at 12:30 p.m. Eastern

Committee: Brigit Carter, associate dean in Diversity and Inclusion, and chair, Deaina Berry, Cathy A. Taylor

 

Shane Bridgman

Title: Implementation of an Education Intervention and Algorithm to Improve Inpatient Sleep Apnea Screening, Identification and Outpatient Referral

When: November 11 at 11 a.m.

Committee: Valerie K. Sabol, chair of the healthcare in adult populations division and committee chair, Virginia (Chris) Muckler, associate professor, Felipe Ortiz, Jose Diaz 

 

isabel alencarIsabel Alencar

Working Title: Nurse Practitioner-Led Patient-Centered Diabetes Education for Adults with Type 2 Diabetes

When: October 30 at 6:15 p.m. Central Time

Committee Members: Blanca Iris Padilla, assistant professor and chair, John Michael DiMaio and Rachel Jung

 

ashley harmonAshley L. Harmon

Scholarly Project Final Defense: Balancing High-Quality Patient Care and Return on Investment: An Educational Opportunity for Health Care Professionals

When: October 28 from 3 to 5 p.m.

Committee: Valerie Howard, vice dean for Academic Affairs, Tom Kester, Andriea Schotter

 

bosede adedireBosede Adedire

Working Title: Medication Adherence Program for Patients with Hypertension in a Primary Care Clinic

When: October 27 at 5 p.m.

Chair: Margaret (Midge) T. Bowers, associate professor

 

kendra maneval Kendra Maneval 

Working Title: Preventing Postpartum Hemorrhage Through an Evidence-Based Operating Instruction

When: October 27 at 4 p.m.

Committee: Janice Humphreys, chair and professor, Jacquelyn McMillian-Bohler, assistant professor, Kari Stone

 

melissa cheeks Melissa Cheeks

Duty-Free Break: A Fatigue Risk Mitigation Strategy Pilot Project

When: October 15

Committee: Barbara Turner, interim assistant dean, DNP Program, and chair and Elizabeth P. Hanes Professor of Nursing, DeAnna Hawkins, Lori Puthoff

Project Site: Cincinnati Children's Hospital Medical Center

 

Teisha St. Rose

DNP Final Oral Defense: Improving the Identification and Treatment of Pediatric Emergence Delirium In the Post Anesthesia Care Unit

When: October 1

Committee: Michael V. Relf, committee chair and associate dean for Global and Community Health Affairs, Stacy Carr, Angela Phillips, Nicholas Reeder

 

beckett perkinsBeckett Perkins

Title: "Development a Late Onset Sepsis Assessment Tool and Code Sepsis Checklist to Reduce Time to Administration of Antibiotics in the Neonatal Intensive Care Unit"

When: September 30 at 4 p.m.

Committee: Debra Brandon, chair and associate professor, Doron Kahn, Tamara Bledsoe, Cheryl Alley 

 

Marie-Laure Germaine Vetterli

Title: "From Cultural Competence to Cultural Humility: A Swiss Perspective on the Care of Asylum Seekers"

When: September 28 at 10 a.m.

Committee: Susan Silva, chair and associate professor, Irene Felsman, assistant professor, Javier Sanchis-Sozaya

 

laura schandertLaura Schandert

Working Title: "Use of Music to Make Bone Marrow Procedures More Tolerable in Adult Oncology Patients."

When: September 16 at 10:30 a.m.

Committee: Susan M. Schneider, associate professor, Mary Lou Affronti, professor, and Mariah Prince, DNP '18 and Duke Health NP 

 

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