Nursing

Nursing student honored as ‘Hep B Hero’

Left to right (standing): 2022 Hep B Heroes honorees Horatio Jung, Gordon Mar, Jessica Ho, Molly Shannon and Dr. Rena Fox.
Lower: Hep B Free - San Francisco Bay Area Executive Director Richard So

San Francisco State University Nursing student Molly Shannon was honored by Hep B Free - San Francisco Bay Area at the 15th annual B-A-Hero Celebration and Fundraiser, held at the Intercontinental San Francisco on October 13. Each year, the the organization's Governance Council awards the B-A-Hero cape and trophy to individuals who have played an important part in the volunteer efforts in the previous year. 

Molly Shannon headshot

Shannon is working towards a Bachelor of Science in Nursing at SF State. She was elected to the school’s Nursing Student Association as a Hep B Ambassador, which gave her the opportunity to volunteer with SF Hep B Free for the last year. She has supported the organization at many events during the pandemic and worked to recruit other student nurses to volunteer when needed. Shannon is passionate about helping those in need, and it has been an honor for her to be able to give back to the community by spreading awareness about hepatitis B. She will be graduating this December and plans to continue to contribute to public health efforts here in the Bay Area throughout her career as a nurse. 

Project explores how gender, income of students impact college contraception information

SF State researchers created a new software tool for evaluating health content on universities’ health center websites

The pandemic — and the lockdowns and social distancing that came with it — made access to online health resources vitally important for students. But whether or not students could count on their colleges’ health center websites to provide information on reproductive health resources and contraception seems to vary depending on factors that have nothing to do with COVID-19. A recent study from San Francisco State University researchers indicates that demographic factors — including a campus’ gender breakdown and the percentage of low-income students — are associated with what information is available.

The project was led by a team composed of San Francisco State Associate Professors Anagha Kulkarni from Computer Science, Venoo Kakar and Sepideh Modrek from Economics, Anastasia Smirnova from Linguistics and Carrie Holschuh from Nursing, along with their students.

Modrek says that colleges formerly based their student health policies on the residential models of the 1950s and 1960s, which were predominantly for male students living on campus. Since then, campus demographics have changed dramatically, as have the health care and contraception landscapes. The researchers wanted to know if universities were keeping up with the changing times.

The answer: it depends. Focusing on public four-year universities in the United States, the team used a newly developed software tool to look for information about condoms, pap tests, long-acting reversible contraception (LARC) and injectables on universities’ health center websites. Of the 545 schools assessed, 66% had some information about contraception. Kakar added that these results can be visualized on an interactive map hosted on her website.

Further analysis revealed that schools with higher female student populations were more likely to have accessible contraception information, while schools with more low-income students (based on Pell grant recipients) were less likely. Information about LARCs/injectables was significantly more common at schools offering medical degrees.

“I think that the map was not surprising,” said Modrek. “It’s what you expected, but it’s a stark reminder that these disparities — beyond the [topics of gender and income discussed in the paper] — are [also] regional. The same places that now want to ban abortions offer limited information on contraception to students.”

These findings were published in Contraception Journal. A second paper by the team, published in JMIR Formative Research, describes the software tool they developed for the study, called Quantitative Measures of Online Health Information (QMOHI). The researchers’ goal is not that all schools should present the same information, Modrek explains, but to encourage schools to continuously evaluate and update websites to meet students’ needs.

“Talking about [these resources] is important because it will reduce the barriers that students have to access contraceptive care or reproductive health in general,” said Kakar.

Although the researchers are focusing on contraception, the team hopes that QMOHI can be applied more broadly.

“There isn’t anything like QMOHI out there — at least not in the open source, free-to-use public domain — where the public health researcher can simply give the software a list of universities that they want to study and the topic that they want to study at these universities,” said Kulkarni. Her lab spearheaded the development of QMOHI, which assesses online information based on eight quality metrics, including navigability, prevalence, coverage and readability.

The software is currently limited to assessing student health center websites. But Kulkarni would love to expand it to other health topics on other websites or see it used beyond health care for social topics like critical race theory.

However, Modrek notes that it’s no coincidence that this team chose to study contraceptive health. An interdisciplinary team of female faculty led the project.

“As you bring more female scholars into data science and computer science, you ask questions that are relevant to different populations,” explained Modrek.

Kakar agrees, noting that this project would not have been possible without each of these faculty and their expertise. “It makes me think that such projects exemplify the essence of SF State, the interdisciplinary nature of things and how we innovate more when we talk to each other and not live in our silos,” said Kakar.

Source: SF State News

SF State Magazine spotlights role of Nursing students at COVID-19 vaccination sites

San Francisco State University’s motto is “Experientia docet” — “Experience teaches.” But when it’s nurses-in-training getting the experience, it can do more than teach. It can help. That was the case this spring when San Francisco State Nursing students used their newfound skills to help the San Francisco Department of Public Health administered COVID-19 vaccinations and sites throughout the city.

The newly released Spring/Summer 2021 issue of SF State Magazine tells these students’ story — and much more. Other feature articles spotlight a faculty member’s new documentary about a heartbreaking crime and a professor’s efforts to support young female biologists. The online issue also features a story about a pair of can-do students who’ve won seats on local school boards and research that could make the skyscrapers of tomorrow even taller. And as usual the issue is packed with updates and insights from the University’s amazing alumni.

Read those stories and more on the SF State Magazine website; this specific edition is under "Past Editions" and is the Spring/Summer 2021 issue. You can also learn more about the awards the magazine was recently given by the Council for Advancement and Support of Education (CASE), including being named the Robert Sibley Magazine of the Year, CASE’s highest honor for an alumni magazine.

Have any SF State Magazine feedback or suggestions for future stories? Send an email to sfsumag@sfsu.edu.

SpringSummer2021 Magazine Cover

A Nurse’s Journey: For a Russian émigré, education opens doors

Larisa Revzina and students examine a training manikin

Larisa Revzina (left) and students at Gurnick Academy examine a training manikin. (Photos by Jim Block)

The restrooms at Anchorage International Airport were immaculate, with ample supplies of soap and paper towels. That was Larisa Revzina’s first impression of the United States on March 3, 1993, a day indelibly etched in her memory, when she changed planes in Alaska on her emigration journey from Russia to the Bay Area. Later that day, a blooming magnolia tree and glistening swimming pool greeted her at the Palo Alto apartment that relatives had rented for her family, a stark contrast to the frigid, gray Moscow March she’d left behind. Inside the unfurnished apartment, she found a mattress on the floor, a refrigerator full of food, and a dishwasher (a device she’d never seen before) stocked with detergent — provisions kindly donated by members of her aunt’s synagogue.

“I cried because I thought, gosh, it’s a very clean country, it’s beautiful surroundings and it’s excellent people,” she says, animated with the emotions of the day more than 20 years later. “This is absolutely my country.”

Revzina and her family — including daughter Julia, then 10, and husband Lev — were part of a wave of Russian-Jewish emigrants in the 1990s admitted to the United States as political refugees due to overt, institutionalized anti-Semitism in the former USSR. “Very dirty, very poor, no food, nothing,” is how Revzina sums up the Yeltsin-era Russia she left behind. In addition to empty store shelves, there were limited opportunities, in particular for Jews, who were kept out of more upscale professions like medicine by being excluded from those university training programs. Revzina, who felt called to the medical arena, studied civil engineering and worked as a researcher until her U.S. journey began.

“I cried because I thought, gosh, it’s a very clean country, it’s beautiful surroundings and it’s excellent people,” she says, animated with the emotions of the day more than 20 years later. “This is absolutely my country.”

Revzina embraced her American life, and a success story unfolded. She earned her M.S. in nursing science at SF State, and returned to school for her nurse practitioner certificate. After several years of clinical practice, and some teaching in SF State’s nursing program, she co-founded the Gurnick Academy of Medical Arts, a nationally accredited professional training school where she is currently the chief academic officer. Her resume suggests a straight line to success, but the reality was a meandering path of struggle, poverty and a particular penchant for turning failures into opportunities.

Navigating an educational maze

As a new arrival, Revzina had neither the language nor the money to attend medical school. So after a few months of English lessons arranged through the local Jewish center, she enrolled in Foothill College, having heard through the Russian-immigrant community that dental hygienists earned a good living (“$30 an hour — a million dollars!” she thought at the time). She slowly made her way through a maze of prerequisites and unclear outcomes, only to miss the cut for limited internship slots by just one place on the list. She was crushed. “You cannot imagine the amount of tears and screaming and crying,” she said of watching three years of struggle amount to “no job, nothing.”

But the effort would amount to something, after all. A friend from the dental program encouraged Revzina to look into nursing. She found SF State’s Generic Master’s Program in Nursing Science, which did not require applicants’ undergraduate degrees to be related to medicine. There were still prereq’s, but with her engineering degree and her health-related Foothill coursework, she easily qualified.

Day One at SF State set a lasting tone. Patricia Hess, a now-retired professor, did a role-playing exercise, assigning students to don doctor, nurse and patient roles. With her choppy English and the social chasm between her and the other students — well into her 30s by now, she was the only older student — Revzina tried to hide. But Hess wouldn’t allow it. “She said to me, ‘You’re going to be a doctor,’” and made Revzina stand her ground in the exercise. It was a pivotal moment; Hess’ refusal to let her disappear forced Revzina to own her education and imagine a promising future.

Years later, when Revzina earned her doctorate in education from the University of San Francisco, one of the first calls she made was to her former mentor. “Dr. Hess? This is Dr. Revzina!” she belly-laughs, recounting the moment.

Karen Johnson-Brennan, now an emeritus professor of nursing, is also in Revzina’s pantheon of influential SF State teachers — for the dubious distinction of issuing the struggling Russian student her first D, on a medicine-surgery test. Revzina marched into Johnson-Brennan’s office to seek sympathy for her special challenges of language, work and money. “Who do you want to be in life?” she recalls Johnson-Brennan asking her, not buying into Revzina’s so-called predicament. “Do you want to be a poor Russian immigrant, or do you want to be an American nurse?” She sent Revzina back home to study.

“She gave to me the outstanding lesson in life,” Revzina says of Johnson-Brennan, one she took to heart. Revzina studied harder, did well on her next test, and established a foundational no-excuses attitude that still persists today. She says her SF State teachers gave her everything. “Not a lot. Everything!” she reiterates.

“We talked many a time about strategies for improvement, which she diligently worked on,” Johnson-Brennan says of the Russian student who had trouble with exams. “She always had a positive, ‘Let's do this’ attitude.” Both Hess and Johnson-Brennan became professional collaborators, first at SF State’s School of Nursing, where Rezvina was an adjunct faculty member for a time, and later at Gurnick, doing curriculum development and part-time teaching. “She never fails to treat me as a friend and mentor rather than an employee of the Academy,” Johnson-Brennan says of their ongoing relationship. “She is one of the most dynamic, entrepreneurial women I have ever met.”

A passion for nursing

Gurnick’s humble birth story is a product of that entrepreneurialism. When Revzina’s nursing job changed to part-time, once again she needed money. Drumming up opportunity, she set up an informational interview at a very small medical training school. Her interviewer didn’t have a job for her, but he had some ideas on expanding on the medical-education model, and paid her a small consulting fee, which led to a business partnership. Their big break came a year later, when a change in the law required phlebotomists — the technicians who draw blood — to be licensed at an official school. She designed the curriculum and filed the paperwork. Five campuses, twelve nursing and imaging programs, and thousands of alumni later, Revzina says her partner enjoys joking that the $1,200 consulting fee was the best investment he made.

Thinking back to her confusing community college experience, Revzina says Gurnick’s aim was clarity. “It’s very straightforward: These are the courses you have to take; this is the certification or licensing you earn,” she says. From phlebotomy they branched out to train vocational nurses and medical assistants, imaging technicians, physical therapy assistants, and — coming full circle — dental assistants. Last year they reached a new milestone, graduating their first baccalaureate class in nursing.

As she marvels at her opportunities — and those of her daughter, who studied at two top universities and is now a senior manager at PayPal — Revzina wonders if people who were born here don’t understand how lucky they are. Back at Foothill, she cleaned houses to pay tuition. “I hated cleaning toilets. Awful. Horrible,” she says. Yet she still keeps a list of chores a client once left her, revealing both a humility and a boundless appreciation for having fulfilled that early calling to medicine. “I don’t have hobbies. Work is my hobby,” she says.

She also uses nursing to stay connected to her home country, with a weekly clinical day at a private practice that serves San Jose’s Russian-speaking community. It’s work that keeps Revzina grounded. After all, at its core, her life is an American immigration story — from the beginning, all she ever wanted was a decent job in the profession of her choosing.

Revzina recalled an event back in Iron Curtain–era Moscow, when a delegation of French girls visited her special French-Russian school. The cultural interaction changed her forever. “They had the freedom to talk about anything, to be anything,” she says. As she looks at what she values most about her American life, it boils down to that teenage insight. “I’m not smarter, I’m not younger. I’m not more talented, I’m not different,” she says with characteristic humility. “This country gave me opportunity to achieve whatever I wanted to.”