The Heart of Healthcare

The new College of Health and Wellness takes a holistic approach.

Following national trends in healthcare, Barry University’s new College of Health and Wellness takes a holistic approach.

By Celeste Landeros

In June 2016, Barry University nursing students were in clinical training at Orlando area hospitals when a mass shooting at Pulse nightclub killed 49 people and wounded 53 more. As emergency rooms overflowed, the students joined the effort to resuscitate survivors. 

“Our students were helping in any way they could: bringing patients up from the ER, triaging, helping transfuse blood,” recalls Dr. Rebecca Lee ’00, director of the nurse anesthesiology program.

Witnessing this much trauma can be traumatic for healthcare workers. So the Dean of what was then the College of Nursing and Health Sciences called on a colleague from the School of Social Work. Dr. Maria Teahan ‘78, ‘79 MSW, ‘16 PhD, a licensed clinical social worker who specializes in grief, loss, and critical incident response, helped the students process their feelings after the event.

The College of Nursing and Health Sciences often collaborated with the School of Social Work to prepare students for that type of interaction, and the schools have hosted a series of interprofessional simulations over the years. For example, students from social work, nursing, occupational therapy, athletic training, and other related fields would be divided into interdisciplinary groups and assigned a scenario to act out.

In one scenario, from 2016, a group of students pretended to be injured soccer players and were cared for on the field by athletic training students and in a simulated hospital setting by nursing students. Social work students met with the athletes’ imaginary families, while occupational therapy students provided follow-up care.

“We wanted our students to know each other’s roles,” Lee explains. “Some of the social work students
did not know that a nurse practitioner could intubate a patient. Some nursing students did not know they could call a social worker to talk with a mother grieving the loss of her child.”

This interdisciplinary cooperation at Barry is part of a larger, global trend to move away from isolated medical specialties toward a more integrated approach to health. In 2005, the World Health Organization established a commission to determine how “daily living conditions” and “the inequitable distribution of power, money, and resources” contribute to both acute medical conditions and overall quality of life.

The WHO’s emphasis on the social context of health has coincided with a more individualized movement promoting “wellness.” According to the non-profit Global Wellness Institute, the wellness movement encompasses physical, mental, emotional, spiritual, social, and environmental wellbeing and views health as a “continuum that extends from illness to a state of optimal wellbeing.”

Another large step in keeping pace with these global trends occurred in Fall 2022, when Barry merged the former College of Nursing and Health Sciences with the School of Social Work to create a new College of Health and Wellness. The Health in the title of the new school recognizes the social determinants of health in keeping with the WHO recommendations and with Barry University’s mission and core commitment to social justice. Wellness indicates the college’s holistic approach to health and the consideration of the many dimensions of wellbeing called for by the global wellness movement.

“Barry graduates always understood the multidimensional aspects of health,” observes Dr. John McFadden ’08, formerly the Dean of the College of Nursing and Health Sciences and now the Vice Provost of Health and Wellness. “Now we’re able to look across the whole continuum, from prevention and wellness until the end of life.”

The Vice Provost sees practical benefits in gathering the more than 30 Barry U programs across the continuum of care into a single school. Each program must meet specific standards to maintain professional accreditation. However, the College shares one search committee for faculty hires, one curriculum and policy committee, and one research committee. This has already led to collaborative grant writing and research projects. Faculty with special expertise give guest lectures in courses in other disciplines and closely related disciplines, and in the near future, the Vice Provost hopes the faculty will create interdisciplinary courses as well.

The new College includes a School of Nursing and a School of Social Work, each with its own dean. The allied health programs each have a director. This frees the Vice Provost from the day-to-day management of a school to focus on external relationships. He has negotiated global agreements with hospital systems for the clinical training of nurses, social workers, and allied health students where before each program had a separate agreement for student placement. He is working with employers to see how Barry programs might better meet workforce needs.

“No one school can meet the healthcare needs of the South Florida community,” Dr. McFadden points out. “We all bring something different to the table.” The Vice Provost believes the biggest impact will come as all healthcare providers in the College adopt a social work practice called “trauma-informed care.”

 

“Barry graduates always understood the multidimensional aspects of health,” observes Dr. John McFadden, formerly the Dean of the College of Nursing and Health Sciences and now the Vice Provost of Health and Wellness. “Now we’re able to look across the whole continuum, from prevention and wellness until the end of life.”

Barry School of Social Work Professor Jil Levenson, a leading authority on trauma-informed care, observes that “trauma is widespread in our society and sometimes shows up as symptoms such as addiction, crime, or self-harm.” Doctors, nurses, and allied health professionals might mistake a patient experiencing post-traumatic stress in a clinical setting for psychotic behavior or schizophrenia. When medical doctors and psychiatrists work with social workers, they might decide not to prescribe an anti-psychotic medication, but an anti-anxiety medication instead.

Dr. Levenson regularly trains medical doctors and nurses on trauma- informed care. With her colleagues
at Barry’s School of Social Work, she has created a virtual training series for behavioral health professionals and medical schools. “Interdisciplinary simulation labs can also help us conceptualize healthcare in a more holistic way.”

Dr. Levenson recalls a simulation that Barry social work students did with medical students from the University of Miami in 2015 focused on the ethics of end-of-life decisions. In that scenario, a family had to decide whether to take a loved one off life support. At the end of the simulation, Dr. Levenson says, the medical and social work students came away with a better understanding of each other’s roles and the realization that “removing life support is not just a medical decision, but an emotional dilemma.”

Dr. Tony Umadhay ’00, the new Dean of Barry’s School of Nursing, is committed to leading the faculty in shifting the School of Nursing’s focus from “just treating illness to the prevention of disease and the promotion of health. It’s not just the heart or the lungs, but the wellness of the whole human being.”

Dean Umadhay expects to see this health promotion approach integrated across the nursing curriculum. He anticipates more clinical placements outside hospitals and in community settings. “We nurses have a lot to learn from social work.”

"No one school can meet the healthcare needs of the South Florida community." Dr. McFadden points out. "We all bring something different to the table." The Vice Provost believes the biggest impact will come as all healthcare providers in the College adopt a social work practice called "trauma-informed care."

Barry Social Work Assistant Dr. Sheila McMahon believes social workers can also learn a great deal from nurses. McMahon envisions a collaboration between nursing and social work that goes beyond shared coursework and simulations to include large-scale, community-based projects. “We can work across nursing and social work with our community partners to address the social determinants of health in South Florida on issues such as HIV/AIDS, suicide, domestic violence, access to health and mental health services,” she proposes.

The Interim Dean of the School of Social Work, Teahan—the expert in crisis response—believes that the College of Health and Wellness reflects not only an opportunity for broad social change, but also a sea change in the way healthcare is delivered.

“The pandemic demanded a new and better way of responding to people’s needs,” she argues. The pandemic had a powerful impact on Barry social work students who were completing their required 1,000 hours of clinical rotation in local hospitals. A student in the MSW program had a placement in a hospital where a woman was admitted with COVID. While she was there, the woman also was diagnosed with pancreatic cancer that she had been unaware of. A mother, she had 10 or 12 loved ones who wanted to stay at her bedside, but because of the pandemic protocols, no one in the family was allowed to enter the hospital.

The Barry student found herself guiding the family. She contacted her clinical educator to make sure she was taking the right steps. She also called the director of the MSW program, who put her in contact with Dr. Teahan because of her experience in hospital and hospice settings. All three educators supported the student over the next week as the student guided the patient and her family through the dying process. In the process, the student remembered learning that the dying may not be able to communicate, but they can still hear, so she encouraged the family to send messages to their mother. At the family’s request, the Barry student stood by the bedside, holding a laptop so the loved ones at home could say goodbye. As the woman took her last breaths, the computer speaker played the sound of her family singing a hymn. The student found herself crying along with the family.

“When someone goes into a healthcare facility, they are more than a diagnosis,” says Teahan. “When you are treating a patient, you are treating a person, a family, and a community with all their experiences, their culture, their values.”

Regi Kassel Yanich created this mural titled “The Wall that Love Built” in 1968. When Regi passed away suddenly, Sister Mary Joseph, Dixie Groves, and students from the fine arts department completed the mural. The panels were dedicated in March 1970.

It is fitting that today, those murals of collaboration still stand at the entrance to Wiegand Center, now the home of the newly formed College of Health and Wellness, which was created to house a holistic approach to wellness taking under its umbrella disciplines like nursing, as well as social work.

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