A School-Based Nurse Practitioner Receives a Letter That Prompts Tears of Joy

Tammy Powell, CPNP, MSN, is a nurse practitioner in the Mount Sinai Health System school-based health centers program, which serves young people who might otherwise not get services.

In the school settings, young people can get physical and sexual health care, in addition to help with other problems and issues, including mental health care in a nonjudgmental, culturally sensitive environment.

A former student recently wrote to express how Ms. Powell changed her life.

“Hello Ms. Tammy! I’m not sure if you remember me, but I certainly remember you. I graduated in 2010 and learned so much from you during my senior year. I was so isolated and would have had no guidance if it weren’t for you. I am now a mom and a wife, and still to this day, I mention the impact that you have made in my life every chance I get. I am now a Nurse Manager, and I would like to credit my career to you, among other things in my personal life. You taught me about sexual health when nobody had ever taken the time to discuss it with me. I felt so misunderstood among my peers, but you always showed me compassion and never judged me. I felt so safe, and I take that with me in my nursing career now. I wish to make an impact in someone’s life the way you have an impact in mine!”

Tammy, who will mark 23 years at Mount Sinai this fall, is humbled to be remembered by a student from 16 years ago.

“She left me in her heart, for all of these years,” Tammy says. “Every time I read this letter, it brings tears to my eyes. I am just so happy I had an impact on her life.”

Nursing Plays a Central Role as Mount Sinai Tisch Cancer Center Achieves Top Designation

From left: Jennifer Pouliot, MSN, RN, OCN; Frances Cartwright, PhD, RN-BC, AOCN, FAAN; Rita Jakubowski, DNP; and Jane Weisser, NP, AOM, P-BC

When the Mount Sinai Tisch Cancer Center (TCC) received its Comprehensive Cancer Center designation from the National Cancer Institute, it completed a comprehensive, 10-year review process that placed TCC among the top one percent of cancer centers nationwide. These centers dedicate significant resources to develop research programs, faculty, and facilities that promote better and innovative approaches to cancer prevention, diagnosis, and treatment.

At Mount Sinai, nursing plays a significant role.

“After a decade of growth in research, clinical trials, and community outreach, Mount Sinai became eligible to apply for Comprehensive Cancer Center designation in 2024,” says Frances Cartwright, PhD, RN-BC, AOCN, FAAN, Vice President of Nursing, Mount Sinai Health System Oncology Services, the Center for Nursing Research and Innovation, and Associate Professor of Medicine, Icahn School of Medicine at Mount Sinai. “Nursing has been an integral part of that rigor—developing practice standards for clinical trials, delivering high-quality care, standardizing practices and education to enhance safety, innovating to offer seamless care to patients throughout their care experience, and it goes on.”

For example, in the case of multiple myeloma research, clinical trials, and survivorship, Mount Sinai’s nursing leadership extends globally.

In 2017, Mount Sinai administered the first chimeric antigen receptor (CAR) T-cell therapy in myeloma, a groundbreaking cellular therapy that uses the patient’s own immune system to fight cancer.

“We treated the first human ever to receive this therapy,” says Donna Catamero, NP, DNP-c, OCN, CCRC, Associate Director of Myeloma Research, The Mount Sinai Hospital. “These patients had a three-year survival rate, and today we’re talking about how we define ‘cure.’ This dramatic progress is directly due to the clinical trials we conducted at Mount Sinai, and the care and treatment approaches our nurses developed are now literally the standard of care worldwide.”

“The role of nursing is crucial,” Dr. Catamero says. “We’re very closely linked to the patients throughout, overseeing their care, collecting and evaluating blood samples, managing adverse events. In so many ways, nursing serves as the backbone of these clinical trials.”

While the protocols for clinical trials vary significantly from one to another, Mount Sinai has established its own set of required quality and safety-driven standards to be met by every trial within the Health System.

“Mount Sinai sets the bar high,” says Ruth Knecht, MSN, RN, Nurse Clinician, The Mount Sinai Hospital. “It boils down to numerous multidisciplinary teams determining: Can we do this in a manner that is safe, maintain the integrity of the study, include all the resources we’ll we need—staffing, education, equipment—and adhere to Mount Sinai’s exacting standards.”

“Standardized workflows are vital,” Ms. Knecht says. “They ensure the consistency, predictability, reliability, and ultimately safety, of our clinical trials. For example, we’ve developed a standard study procedure checklist that must be followed for every study patient, every day. The nurses know exactly what they have to do at every encounter.”

Donna Catamero, NP, DNP-c, OCN, CCRC, left, and Ruth Knecht, MSN, RN

A complementary set of robust Health System-wide policies now applies to each entity throughout the Health System, including those that have the potential to administer aspects of clinical trials in the future.

Jennifer Pouliot, MSN, RN, OCN, Senior Director, Oncology Quality and Safety, Mount Sinai Health System, helped make this complex task a reality. She and her colleagues had a poster about their work accepted for the Oncology Nursing Society’s Annual Congress.

“We worked with an interdisciplinary team from across Mount Sinai to ensure we had crystal clear clinical trial guidelines,” Ms. Pouliot says. “Likewise, if and when we conduct clinical research at any Health System entity, the necessary policies would already be in place and applicable: how Pharmacy prepares the drug being investigated, how we measure nurses’ competency for research trials, etc. It was our job to ensure everyone involved was on the same page and supported at every step.”

The impact of nursing extends beyond completion of a clinical trial. For example, cancer patients who undergo a bone marrow transplant (BMT) also receive chemotherapy and immunosuppressive therapy. While potentially lifesaving, these treatments can put patients at risk for other health problems post-transplant.

The nurse-led BMT Survivorship Clinic at Mount Sinai offers these patients ongoing health care that is specific to their initial diagnosis—looking for early signs of graft-versus-host disease, secondary cancer, bone thinning, cardiac issues, thyroid function, and others—to enable cancer survivors to live a healthy life.

“In addition to their routine doctor visits, the BMT clinic nurses see patients at key milestones: 3, 6, and 12 months and then annually,” says Rita Jakubowski, DNP, Clinical Program Director and Founder, BMT Survivorship Clinic, The Mount Sinai Hospital. “This creates a critical bridge between the transplant and primary care doctors and offers patients significant peace of mind. We’re educating survivors about this next phase in their journey and ensuring that everyone involved in their care—including the patient—keenly understands what tests are being done, when, and why, and what we need to be especially vigilant about to avoid complications as each BMT patient progresses.”

Dr. Jakubowski’s work has gained widespread attention, and she was invited to present at the national Advanced Practice Providers Oncology Summit, an annual conference designed to highlight the latest evidence-based strategies to optimize care and outcomes for patients with cancer.

In the case of breast cancer patients, medical oncologists provide care for many years, through completion of their antiestrogen treatment. At this four-year mark, patients enter a new phase of their cancer journey and are referred to the Breast Cancer Survivorship Clinic.

“Our clinic nurses are in the middle lane of wellness and ensuring full-circle service,” says Jane Weisser, NP, AOM, P-BC, Clinical Program Manager, Breast Cancer Survivorship Clinic, Dubin Breast Center. “We operate a robust clinical program that specializes in the breast cancer survivor’s specific needs,” Ms. Weisser says, “including offering survivors a consistent and specialized clinician as their health care lead.”

Ms. Weisser also co-chaired a systemwide survivorship committee that is a cross section of various specialties: medical oncology, surgery, social work, psychiatry, chaplaincy, nutrition, therapeutic massage, and other providers involved in oncology. Her work is spreading throughout the Health System as a high-risk clinic and breast cancer survivorship care will soon be offered at a second site.

The Comprehensive Cancer Center designation of the Mount Sinai Tisch Cancer Center  affirms a relentless dedication by so many—individuals and teams within multiple specialties and sites—to provide high-quality, safe, and innovative cancer care and treatment. And in the end, all of their time, care, attention to detail, and advocacy come together in every moment a patient receives care—always with a Mount Sinai nurse at their side.

Training the Next Generation of Change-Makers in Nursing

2025 TRAIN Program leadership, speakers, staff, and fellows, from left: Bevin Cohen, PhD, MS, MPH, RN, FAAN; Kavita Rampertaap, MSN, RN, CPON; Tiffany Goldwire, MA, CHES; Selamawit Gebrezghi, MSN, FNP-c; Keisha Burrell, MSN, FP-BC; Joseph E. Ravenell, MD; Nickisha Mortimer, DNP, PMHNP; Tanmaiyee Vaddepati, MSN, MPH; Kimberly Souffront, PhD, RN, FNP-BC, FAHA, FAAN; and Crystal Tucker, DNP, PMH-RN-BC.

Hypertension remains a significant public health challenge and a major contributor to cardiovascular morbidity and mortality. Although clinical trials have identified effective interventions to improve hypertension outcomes, translation of findings remains uneven.

In 2023, the Center for Nursing Research and Innovation (CNRI) at Mount Sinai launched a novel program to address this disconnect. The third cohort of Translational Research And Implementation Science for Nurses (TRAIN) Program fellows will join Mount Sinai in May.

“The TRAIN Program is the first of its kind in the United States,” says Kimberly Souffront, PhD, RN, FNP-BC, FAHA, FAAN, Associate Professor of Emergency Medicine and Health Equity Science at the Icahn School of Medicine at Mount Sinai and Associate Director of the CNRI. “TRAIN offers a fellowship opportunity to Doctor of Nursing Practice students from historically underrepresented and disadvantaged backgrounds to develop expertise in translating evidence into clinical practice.”

The 12-week, summer boot camp-style initiative is supported by a five-year grant from the National Heart, Lung, and Blood Institute (NHLBI) at the National Institutes of Health.

“The TRAIN program is built around two core components,” says Bevin Cohen, PhD, MS, MPH, RN, FAAN, Director of the CNRI. “TRAIN fellows are paired with researchers in the field to gain hands-on experience and personalized mentorship in the fields of health disparities, hypertension, and other topics central to the NHLBI mission. The approach helps to develop skills for working in translational research teams. Simultaneously, TRAIN fellows participate in a rich, structured curriculum designed around the principles and methods of translational research, implementation science, and interdisciplinary teamwork.”

TRAIN fellows travel to Mount Sinai from across the country to take part in the program, which features nationally renowned guest speakers who are clinician-scientists in the fields of nursing, medicine, social work, and psychology, along with DNP-prepared leaders who bring expertise in health care operations and quality. Meet the five fellows from the second cohort in 2025.

Keisha Burrell, MSN, FNP-BC

Keisha Burrell, MSN, FNP-BC, is an Air Force reservist and a family nurse practitioner at SUNY University of Buffalo, where her goal is to advance mental care for all communities. “The TRAIN program gave me a much better appreciation for how research and clinical practice go hand in hand,” she says. “In nursing school, I shied away from research. As my nursing practice matured, I wanted to strengthen that area to be better able to bring the latest nursing knowledge to the frontline.”

Throughout Ms. Burrell’s fellowship, she worked with Milla Arabadjian, PhD, FNP-BC, RN, Assistant Professor, Department of Foundations of Medicine at NYU Grossman Long Island School of Medicine, to​ conduct a series of one-on-one interviews with Black men at risk for hypertension and their partners to identify interpersonal factors that impacted cardiovascular health promotion. She deepened her research involvement by observing an institutional review board, sharing insights via a podcast, and presenting a poster abstract at the Eastern Nursing Research Society’s 38th Annual Scientific Sessions.

Crystal Tucker, DNP, PMH-RN-BC

Crystal Tucker, DNP, PMH-RN-BC, is a psychiatric-mental health nurse practitioner at Atrium Health Carolinas Medical Center in Charlote, North Carolina. Paired with mentor Billy A. Caceres, PhD, RN, FAHA, FAAN, FPCNA, Associate Professor at the Columbia School of Nursing,  Ms. Tucker focused on a systematic literature review examining non-pharmacological interventions for hypertension in people living with serious mental illness—a project that she continues to work on with Dr. Caceres post-fellowship. “TRAIN was truly life changing to me personally and professionally,” Ms. Tucker says. “I hadn’t met any PhD-prepared nurse scientists, let alone any of color, so that was very inspirational. It also helped me see I can improve the health of more than one person at a time. For example, it can be hard for patients living with schizophrenia to get the help they need because of their symptoms, and some are reluctant to take medications. As a DNP working with a nurse scientist, we are finding ways to build a bridge where there’s a gap like this to find alternative approaches to improve the health of this community.”

Tanmaiyee Vaddepati, MSN, MPH

Tanmaiyee Vaddepati, MSN, MPH, practices in a medical-surgical unit at UMass Memorial Health, in Worcester, Massachusetts. Her fellowship project involved equitable, primary care-integrated long COVID care for adults in New York City.

“Some research findings might not translate in an acute setting the same way they do in a community health setting,” Ms. Vaddepati says. “TRAIN helped us to focus on our role as DNPs to both identify available research and make it applicable within our own practice settings.”

“It was also really interesting to hear the different perspectives of fellows from across the country,” Ms. Vaddepati says. “Each of us had something unique to share that made for a rich collective learning experience. The other fellows have shared so much knowledge that I wouldn’t necessarily gain at the bedside or in a classroom.”

Nickisha Mortimer, DNP, PMHNP

Nickisha Mortimer, DNP, PMHNP, is a hospice clinical liaison for VNS Health. Her mentor was Ruth Masterson Creber, PhD, MSc, RN, FAAN, FAHA, the Mary Crawford Professor of Nursing and Director of the Center for Community-Engaged Health Informatics and Data Science at Columbia University’s School of Nursing. Ms. Mortimer had the opportunity to participate in Dr. Creber’s NHLBI-sponsored study “IMPROVE: Cardiac Care.”

“I didn’t come into the program seeing myself as a researcher at all,” Ms. Mortimer says. “So, this was an amazing opportunity, particularly as a student, to actively learn from the best of the best.”

She became involved in conducting reflexive interviews and analyzing how patient-reported outcomes inform clinical decision making. “I came to more deeply understand the importance of language, emotion, and environment in shaping how patients interpret health information,” she says. “The experience also revealed the symbiotic relationship between those doing the research and the DNP. I absolutely came away with more tools and knowledge that make me a far better provider.”

Selamawit Gebrezghi, MSN, FNP-c,

Selamawit Gebrezghi, MSN, FNP-c, is an Emergency Nurse Practitioner with Kaiser Permanente in Santa Rosa, California. As a TRAIN fellow, she contributed to a study of follow-up services for sexual assault survivors led by Jessica Draughon Moret, PhD, RN, Associate Professor of Clinical Nursing, Betty Irene Moore School of Nursing at the University of California, Davis. She described her experience as one of the most transformative of her nursing career.

“I entered the fellowship wanting to understand how evidence becomes action,” Ms. Gebrezghi says. “While I engaged with research, I was never taught how to critically evaluate evidence, synthesize findings, or understand how implementation strategies can facilitate or hinder equitable outcomes. TRAIN provided me with that understanding and a completely new scientific framework that I would not have accessed without this opportunity. Translational research and implementation science are fields that have traditionally felt out of reach for clinicians from disadvantaged backgrounds like mine that have limited access to academic resources and professional networks.”

Ms. Gebrezghi echoed the sentiments of the other fellows, saying, “TRAIN didn’t just advance my career. It expanded my capacity to lead change locally and globally. It showed me that nurses are not only vital to health care, they are capable of transforming it.”

Mount Sinai Nurses: Inspiring the Next Generation Through Unique Learning Opportunities

2025 Student Nurse Intern graduates

With a laser focus on cultivating the next generation of nurses, the Mount Sinai Health System leads the way with two unique and popular programs for students. Both provide an invaluable, hands-on, hospital-based experience to those on a path to becoming a nurse. The Summer Student Nurse Internship is available to nursing students who have completed at least one year of nursing school, and the Nursing Pathway Program is open to high school students who may be interested in a nursing career.

Summer Student Nurse Internship

This year, Mount Sinai received 800 applications for its Summer Student Nurse Internship Program. Nearly 150 college students were accepted into the program, representing 40 nursing schools from throughout the United States. Each intern was paired with a registered nurse mentor who they shadowed throughout the 10-week summer program, working nearly full-time hours and on a paid basis.

“Because of the length of the internship, student nurses are able to gain a deeper understanding of how the nurses work, how the unit functions, and what their role will be like as a nurse on the units that goes far beyond what they get from a textbook or clinical rotation,” says Kathleen Schulz, MA, RN, Nurse Education Manager, Nursing Education and Professional Development.

From left: Sophia Cimino, student; David Reich, MD, Chief Clinical Officer of the Mount Sinai Health System; Beth Oliver, DNP, RN, FAAN; and Maria Vezina, EdD, RN, NEA-BC, FAAN. Sophia was honored for outstanding performance.

In the summer of 2023, Rhoda Rae Bonglo, RN, BSN, interned at The Mount Sinai Hospital on a postpartum mother-baby unit as a rising senior at the University of Alaska Anchorage. She described her internship experience as a bit of a shock in the beginning.

“Nursing school is much more theory-based, and while we have clinicals, that’s a once-a-week experience, usually following a different RN each time,” she says. “By contrast, the Mount Sinai internship helps you transition as a new grad by bringing the textbook and the classroom to life. I was able to work with the same clinical nurse for three months, three times a week. This gave me some continuity and an invaluable way to learn tips, insights, and how to organize my day as a full-time nurse.”

All aspects of the student nurse internship program are aimed at supporting these future nurses at a critical time in their career path. For example, a series of weekly Enrichment “Lunch and Learn” Sessions provided insights into interviewing, creating resumes, transitioning to practice, exploring advanced practice nursing, and other critical topics. There are also structured reflection opportunities for the interns to meet, hear about one another’s experiences, and build relationships. Mount Sinai continues to expand the practice settings available to the interns, this year adding positions in the OR, hospital-at-home program, behavioral health and ambulatory settings.

Following graduation, Ms. Bonglo applied for a position with the Health System and now works in the Heart Failure Unit at The Mount Sinai Hospital. “I knew without a doubt that’s where I wanted to work,” she says. “I knew the culture, I knew the systems, and I had a few connections with the staff. My internship made for a much smoother start to my nursing career.”

Nursing Pathway Program

Now in its third year, the Nursing Pathway Program is managed by Mount Sinai Nursing in partnership with the Mount Sinai Office for Health Data, Outcomes and Engagement Strategy (HDOES). Developed for local New York City high school students, this six-week summer internship program introduces sophomores, juniors, and seniors in high school to the field of nursing through immersive, hands-on experiences.

“At Mount Sinai, we recognize that the future of nursing begins long before a student enters nursing school,” says Beth Oliver, DNP, RN, FAAN, Chief Nurse Executive, Senior Vice President, Cardiac Services, Mount Sinai Health System. “The Nursing Pathway Program allows us to reach talented, compassionate high school students early—helping them see the incredible opportunities within our profession. By nurturing their curiosity and confidence, we are building a stronger, more diverse nursing workforce to serve our communities for generations to come.”

Graduates from the 2025 High School Pathways Program

This year more than 100 high school students participated in the program, primarily identified through a long-standing collaboration with Grant Associates and NYC Public Schools. Among them were children of Mount Sinai 1199SEIU members, whose placements were made possible through support from Human Resources Labor Relations and an established partnership with the 1199SEIU Child Care Funds & Child Care Corporation—demonstrating a continued commitment to grow from within. Participants were selected based on their grade point average and an application essay. They were then paired with nurse managers and gained exposure by shadowing nurses and patient care associates, observing team meetings and safety huddles, engaging in select non-clinical patient care activities, and more.

“Some of the most gratifying feedback we get comes from parents who share that the experience totally changed their child’s perspective,” says Mackenzy Scott, MBA, RN, CPHQ, Associate Program Director, ​Quality and Safety, Cardiac Services. “They emerge really gung-ho about a career in nursing.”

Popular components of the program include a visit to the Mount Sinai Phillips School of Nursing, where the high school students gain a feel for a critical step in the pursuit of a nursing career. During weekly “Summer Wednesday” presentations, interns from throughout the Health System gather to learn directly from nurses about the various roles and specialties within the profession.

“The Summer Wednesday series was intentionally designed to expand the interns’ understanding of health equity and care delivery by exposing them to presenters from across the Health System, including nursing, medical illustration, data analytics, environmental health, communications, and more,” says Tiffany Keith, MSW, Assistant Director, Mount Sinai Office for Health Data, Outcomes and Engagement Strategy. The sessions typically included morning presentations facilitated by subject matter experts, followed by afternoon panel discussions and interactive intellectual exercises.

“Many of the students mentioned how reassuring it was to hear about the nurses’ varying career journeys,” says Olivia Boos, Pathways Coordinator and Administrative Assistant, Nursing Operations and Cardiac Services.

All involved agree the interns also bring a welcome burst of energy and enthusiasm to their assigned care settings. “It’s important to recognize that it’s not only them learning from us, but we are learning from them,” Mr. Scott says.

To promote this two-way learning, interns are asked to create a summer project—a proposed initiative or idea based on their summer experience—that they present at the program graduation. This year, interns shared their perspectives on artificial intelligence; supply tracking systems; mental health awareness; the importance of preventive care; advancing health equity; and extending mobile health to New York City neighborhoods.

The Mount Sinai Health System administrators of the High School Pathways Program

“It was incredibly fulfilling to watch students discover the many career paths in nursing,” Ms. Keith says. “Not only are they learning about their passions, but they are also drawing parallels between health equity and their own lives and thinking critically about ways to close health care gaps. It was an honor to experience this program through the eyes of the participants.”

“Mount Sinai nurses are leaders,” says Maria L. Vezina, EdD, RN, NEA-BC, FAAN, Vice President and Chief of Nursing Practice, Education, Advanced Practice Nursing Credentialing, and Labor Relations Partnerships for the Mount Sinai Health System. “They serve as exemplars of what it means to be a strong, skilled, and compassionate nurse. And it’s even more gratifying to see how they inspire young minds to shine.”

Six Nursing Studies and Their Global Reach

Elvira Solis, MSN, RN, CCRN

A clinical nurse at Mount Sinai Queens, Elvira Solis, MSN, RN, CCRN, is impacting care far beyond her hospital’s walls. What started as an idea to enhance pupillary assessment—checking the eyes— among critical care patients evolved into a quality improvement (QI) project that led to a formal presentation at Mount Sinai’s Nursing Research Day in 2024. Her findings spread throughout the Mount Sinai Health System, and she is now disseminating her team’s work through an abstract published in the peer-reviewed nursing journal Practical Implementation of Nursing Science (PINS).

“Innovation comes from the bedside,” Ms. Solis says. “As front-liners, nurses have an unmatched capacity and power to step up, change practice, and promote excellent care. It’s all about advancing the practice and improving patient outcomes.”

Ms. Solis led one of six nursing studies featured at Nursing Research Day 2024 that were written up as abstracts and published in PINS. Organized annually by the Center for Nursing Research and Innovation (CNRI) at Mount Sinai, Nursing Research Day is day-long symposium featuring discussions with nationally recognized nurse researchers and presentations by clinical nurses across the Mount Sinai Health System and the greater New York nursing community. The next Nursing Research Day will be held Friday, February 27, 2026, at The Mount Sinai Hospital’s Stern Auditorium, and will focus on the value of research and innovation projects conducted by nurses in clinical settings. PINS is an open-access, peer-reviewed journal for nurses engaged in clinical practice that was launched in partnership with the Icahn School of Medicine at Mount Sinai’s Levy Library Press in 2021.

The six teams that presented their findings and were later published in PINS represent a growing number of bedside nurses who are turning to research, QI, and evidence-based practice projects to bring their skill, knowledge, insights, critical thinking, and experience to the next level. By generating evidence-based nursing knowledge and more broadly sharing their findings—with topics ranging from virtual nursing to cardiac arrest response—these nurses are dramatically expanding the reach and influence of their practice.

Loriel Lozano, BSN, RN, CSRN, CCRN-CMC

“Nurses are in a perfect position to make critical changes that extend beyond the bedside,” says Loriel Lozano, BSN, RN, CSRN, CCRN-CMC, a critical care nurse in the Intensive Care Unit at Mount Sinai Queens. “And because we’re at the bedside, we spend more time with the patient, see how everything works from point A to point B, and can observe what’s happening at the perfect time.”

Knowing that seconds matter in a cardiac arrest response, Mr. Lozano recognized an opportunity to shave valuable time off the cardiac arrest responses on the hospital’s Medical-Surgical (Med-Surg) unit. The approach focused on modifying simple steps to be done before the team arrives.  In his first time leading a QI project, Mr. Lozano sought input from the Education Department at Mount Sinai Queens and the CNRI to create a standard response protocol and the associated training for staff. “I can’t say enough about the support I received throughout the process,” he says. “Their guidance was invaluable, and the CNRI has a really robust website where I could access the information I needed at each step.”

Ksenia Gorbenko, PhD

Ksenia Gorbenko, PhD, Associate Professor, Population Health Science and Policy, Icahn School of Medicine, is a medical sociologist by training, whose collaborations focus on improving health care delivery through the qualitative evaluation of program implementation, including machine learning/artificial intelligence models, remote patient monitoring, and hospital-at-home. Working with Mount Sinai Nursing, her team’s PINS abstract examines aspects of virtual nursing, one of the hottest topics in the field, about which there is limited research available.

“The future is here,” Dr. Gorbenko says. “We’re witnessing a global nursing shortage and an expansion of telehealth. We need to meet this moment—thoughtfully—from the nursing perspective. While the hands-on components of nursing are essential to care giving, there are indirect care tasks—medication reconciliation, patient sitting, certain documentation—that can be separated out and taken off the clinical nurse’s plate. This gives bedside nurses more hands-on, high-quality time with their patients. We saw this work well in our Med-Surg pilot, and I think it can work well on other units.”

He adds, “Our research is about making these types of transitions purposefully and effectively. And by disseminating our findings more broadly, we’re able to help other organizations get a jumpstart and learn from our lead.”

Melinda Ramroop, MSN, RN-BC

Melinda Ramroop, MSN, RN-BC, is a unit-based educator at Mount Sinai South Nassau, who in 2024 embarked on her first-ever QI project. Her focus was on improving the transition for new graduate nurses by adding specific evidence-based skill sessions to their orientation process.

“Anecdotally, we found that after the classes they appeared more confident,” Ms. Ramroop says. “They had more knowledge on certain tasks, and overall, we saw an increase in staff satisfaction in both the preceptors and the new graduate nurses.”

Equally important, Ms. Ramroop and her team have disseminated their findings through the nursing education team, Nursing Research Day, PINS, and social media.

“This exposure to research and nursing has reframed my whole way of thinking,” Ms. Ramroop says. “I now see certain things on the unit, and my instant thought is: How can we make this a research project?  If one person has an idea, and we’re able to disseminate it, this may help other people or other institutions to better their practice. Ultimately, all of this benefits our main focus: promoting excellence in patient care, but on a broader level.”

Alyssa Ramkissoon, RN, BSN

Study ideas can be inspired by any number of observations and experiences and can lead to unexpected opportunities. Alyssa Ramkissoon, RN, BSN, a Med-Surg nurse at Mount Sinai West, recognized the importance of integrating palliative care into the plan of care when a close family member faced a life-threatening condition. At the time, she was a nursing student at the Mount Sinai Phillips School of Nursing.

Unlike hospice patients, palliative care patients continue to receive curative therapies,” she says. “Yet, there was a lot of uncertainty about what it meant to enter palliative care, and I saw a valuable opportunity to bridge that gap.”

Through a literature review, Ms. Ramkissoon found the COMFORT Communication Project, which was funded by the National Cancer Institute and Archstone Foundation, and seemed to address her needs. So—as a nursing student—she contacted the founder of the program and forged a high-powered alliance in the process. Elaine Wittenberg, PhD, is the author of more than 150 peer-reviewed articles on hospice and palliative care communication and coauthor of seven books pertaining to palliative care, family communication, and nursing. Ms. Ramkissoon also had critical support and guidance throughout her project from Aliza Ben-Zacharia, DNP, PhD, ANP-BC, an accomplished nurse practitioner in Mount Sinai Neurology.

Following their remarkable collaboration and the success of their QI project, the three are working on a manuscript they hope to publish in a peer-reviewed journal.

“These are nursing research giants, in my eyes,” Ms. Ramkissoon says. “The generosity of their knowledge, expertise, and experience cannot be overstated. Working with them on such an impactful project, that is so meaningful to me personally, has allowed me to find my own voice in health care.”

Christopher Reyes, BSN, RN

Christopher Reyes, BSN, RN, is the Director of Nursing Quality at Mount Sinai International, a small branch of Mount Sinai that provides international health care consulting. While working as a nurse manager of a Med-Surg unit at Mount Sinai West, he recognized an opportunity to enhance care for patients at risk of decline from sepsis.

“Sepsis is very complicated,” he says. “There are many opportunities for miscommunication that can lead to suboptimal care and poor outcomes. Nurses play a critical role in ensuring high-quality care for these patients, as they are often the first to recognize the subtle and acute changes that are early warning signs of sepsis. If we’re the ones who are going to identify all the gaps, we should also be involved in fixing them.”

Working with the physicians and the nursing staff on his unit, Mr. Reyes created multipronged training, onsite resources, and enhanced protocols to support practice. Chief among them was the introduction of a bedside huddle for patients with sepsis risk, with the goal of improving compliance with a life-saving sepsis protocol called SEP-1. Following the implementation of the huddle, compliance increased and potential barriers to components of the protocol were identified. Likewise, the enhanced approach gives the nurse managers a forum for further improving sepsis response.

“We need to test out these ideas for improvement,” Mr. Reyes says. “We need to look at the evidence and try to apply it and go about it scientifically. It’s the best way nurses can make big

If you have an idea for a nursing research, quality improvement, or evidence-based practice project, please contact the Center for Nursing Research and Innovation (CNRI) at Mount Sinai.

Celebrating Nurse Practitioners: A Critical Role in Health Care

Nurse Practitioners (NPs) play an increasingly important role in the fast-paced and high-reliability field of health care. Since the nation’s first NP program launched in 1965, there are now more than 431,000 licensed NPs throughout the United States, responsible for nearly 1 billion patient visits annually. These are clinically trained health professionals who have journeyed a rigorous professional development path, earning graduate-level degrees and completing exacting board certification requirements. Their shared goal: to provide better care for their patients and advance practice.

In recognition of National Nurse Practitioner Week, November 9-15, Nurse Practitioners from throughout the Mount Sinai Health System talked about their own experiences.

 

Genevieve McHugh, FNP-C, RN-BC, PCCN, works in an inpatient cardiology service within Mount Sinai Fuster Heart Hospital. There, 38 nurse practitioners are responsible for diagnosing, managing and treating, admitting, and discharging complex cardiac patients in collaboration with the physicians.

“When I started as a nurse, I didn’t know the tremendous role NPs play in health care,” Ms. McHugh says. “I worked on a Mount Sinai cardiac step-down unit with a talented and caring group of NPs. They were reviewing patient labs, data, and vitals, rounding with the attending, fellows, and residents, participating in interdisciplinary rounds, and discharging patients. And they absolutely influenced my decision to pursue advanced practice nursing.”

Yehwon Lee, DNP, MS, FNP-BC, specializes in thoracic medical oncology at The Blavatnik Family Chelsea Medical Center.

“Nurses and nurse practitioners play invaluable roles delivering patient care that requires continued learning and improving expertise,” Dr. Lee says. “The more I learned about oncology nursing, the more I wanted to expand my scope of practice and have a bigger influence on patients who are going through cancer diagnoses.” She now cares for patients along the spectrum of work-ups for diagnoses, receiving treatments, continuing surveillance, and survivorship.

Deborah Louis, PMHNP-BC, practices in the 36-bed Psychiatry Inpatient Unit at Mount Sinai South Nassau. Having spent 12 years as an RN Supervisor at a traumatic brain injury facility before becoming a psychiatric mental health NP, she had an opportunity to see a different side of mental health.

“Many of the patients struggled with depression, anger, and intense emotions because of their injuries, but too often, no one truly listened to them. Becoming a psychiatric mental health NP allowed me to take my advocacy for y patients even further, not only to listen but to help create meaningful change.”

Similarly, a focus on clinical expertise and advocacy defines the practice of Michael Olivier-De La Torre, DNP, FNP-BC, Mount Sinai West, Institute for Advanced Medicine-Samuels Clinic. He began his career in community health, supporting patients living with HIV and chronic illnesses. Dr. Olivier-De La Torre quickly realized how much trust, empathy, and advocacy matter in health care, particularly in giving voice and care to those who face stigma and barriers to health.

“I pursued advanced practice nursing because I wanted to expand my ability to advocate for patients and deliver comprehensive, evidence-based care,” he says. “Becoming an NP, and then earning my Doctor of Nursing Practice the following year, allowed me to step into the role of a primary care provider who could manage acute conditions, chronic disease, and preventive care all at once. And it allows me to advance not just individual care, but community health.”

Some Mount Sinai NPs started out on a less conventional path. In her mid-twenties, Randi Adelman, PMHNP-BC planned to be a sportswriter. After reading about nursing in a book about career choices, something clicked. She earned a second-degree Bachelor of Science in Nursing and later studied to become an NP in psychiatric mental health. She currently works as a team leader in the Comprehensive Adolescent Rehabilitation and Education Service (CARES), a partnership between the Mount Sinai Department of Psychiatry, the Addiction Institute of Mount Sinai, and the New York Department of Education that provides critical mental health and substance treatments to New York City’s most vulnerable teens.

“I chose to become an NP because I wanted more responsibility, more autonomy, and specialized knowledge in my field,” says Ms. Adelman. She is now responsible for providing psychiatric and medication management services to about half of the CARES patients, in addition to leading group therapy sessions and providing individual and milieu therapy. “It’s exciting to be in a position where I can make a real impact in the lives of my patients and at such a critical time in their lives.”

Stephane Geneus, MSN, AGPCNP-BC, an NP working with gynecologic medical oncology patients at The Blavatnik Family Chelsea Medical Center, echoes these sentiments.

“As an NP, I have the ability to make a meaningful impact on individuals and communities as part of an interdisciplinary team of oncologists, radiologists, social workers, dieticians, and many others,” she says. “Our goal is not only to treat illness but to empower patients through education and support, so they feel more in control of their health.”

Erica Valenski, MSN, RN, AGPCNP-BC, GERO-BC, WCC, a nurse practitioner specializing in geriatrics at Mount Sinai South Nassau, also demonstrates the NP’s ability to extend their influence beyond the point of care. “I’m building my nursing career on Long Island—where I was born, raised, and now care for the neighbors and older adults who shaped my community,” she says.

Passionate about expanding age-friendly initiatives, Ms. Valenski has collaborated across disciplines in efforts to educate staff, enhance end-of-life care, and lead various hospital improvement initiatives to ensure age-friendly, person-centered care is woven into daily practice. She recently led a research project on falls, ageism, and high-risk medications in the Emergency Department that her team is writing up for publication.

 

Because NPs have an opportunity to build stronger relationships with patients over time, they are ideally positioned to promote personalized care for their own patients and more broadly. “In my current role in general and bariatric surgery,” says Etella Veyg, ANP-BC, Clinical Program Manager, Surgery, Mount Sinai Brooklyn.

“I’m able use my experiences and knowledge to guide patients through the challenges and rewards of weight loss and help them achieve both physical and emotional well-being. As a clinical program manager, I can combine my leadership and clinical expertise to oversee projects and programs on a larger scale, to have a more strategic impact beyond direct patient care.”

Minna Park, DNP, FNP-C, ACHPN, works at Mount Sinai Queens in the Department of Geriatrics and Palliative Medicine. Early in her career, an opportunity to be a wound care champion deepened her clinical knowledge, strengthened her sense of autonomy, and inspired her to pursue advanced practice nursing. She became a family nurse practitioner and then completed an adult palliative and end-of-life care fellowship during her doctoral program. Today she cares for people facing serious illness.

“We help manage severe symptoms,” Dr. Park says, “but my role also involves listening to patients’ concerns, validating their struggles, exploring available resources, advocating for their needs, and creating care plans together that reflect their values and goals. My goal is to support patients, caregivers, and the medical team throughout the course of an illness. Although I may be involved with a patient for only a short time, I know the care I provide can significantly influence the last chapter of their life. Through palliative care, I help empower people to plan their lives and have greater control even in the face of uncertainty.”

Helping patients feel more confident and knowledgeable about their health is especially important in the management of diabetes.

Abigail Tamru, DNP, NP-C, works at The Mount Sinai Hospital in the Department of Endocrinology as part of the inpatient diabetes management consulting service. She also sees patients in the hospital’s outpatient High A1C Clinic once a week.

“I’m especially passionate about reducing readmissions and supporting patient self-management through education and follow-up,” Dr. Tamru says. “I was drawn to nursing because it combines science, problem-solving, and the ability to make a meaningful difference in people’s lives. Becoming an NP allowed me to deepen my knowledge and expand my impact on patient care.”

In virtually every specialty area and in all environments of care throughout the Health System, Nurse Practitioners play a vital role in health care delivery and direction. Every day and with every encounter they make a difference in the lives of patients who are often at their most vulnerable. They are health care superstars. To learn more about advanced practice nursing at Mount Sinai, click here.