Hongyu Yu is a UW School of Nursing PhD in Nursing Science student and one of the center’s 2025-2026 Healthy Aging Research Scholars. Her project is on “Understanding Facilitators, Barriers, Scalability and Sustainability of the Women’s Health Initiative Strong and Healthy Pragmatic Physical Activity Intervention for Cardiovascular Disease Prevention: A CFIR-Guided Inquiry.”  Her faculty mentors are Kerry Reding and Sarah Gimbel.

Why did you choose to go into nursing?

I think nursing and health-related subjects are fascinating. When I was little, I read detective stories, and I thought it was intriguing to find evidence and to try to solve problems. I feel like in this field it’s similar, to try to figure out what the symptoms and the lab experiments mean for the patient, what kind of disease they may have, and what kind of solution we can come up with for them to improve their health outcomes.

What made you interested in nursing research?

When I was in clinical practice it was good to build close connections to patients, but I felt like what I could do was limited, because it takes years to bring evidence into clinical practice. I want to make changes happen. Learning about nursing research will equip me with skills and thoughts on how to critique, design and conduct studies, and contribute to implementing findings into practice.

What interests you about healthy aging and working with older adults?

Healthy aging is a very complicated and comprehensive topic. I’m focusing on cardiometabolic health and cognitive health. I am interested in physical activity, diet, and sleep. These are the fundamental pillars of cardiometabolic health and cognitive health. Aging does not happen suddenly, or start one day, it is an accumulated process. I hope to figure out what may help best motivate individuals to make lifestyle improvements in the earlier stages, before their risk factors develop into diseases.

You mentioned cardiometabolic and cognitive health. Are you looking at those two aspects of health separately, or are you looking at how they’re connected?

The intersection between them, because the association of cardiometabolic health and cognitive health has already been established. There is strong evidence to say cardiometabolic conditions can impact cognitive function.

Could you briefly describe your project with the de Tornyay Center for Healthy Aging?

There is a huge cohort study called WHI, the Women’s Health Initiative, in the US. It’s a very famous and well-established cohort specifically for postmenopausal women.

There are a number of WHI investigators who designed the pragmatic randomized control trial for older women across the U.S. called WHISH. The full name is the Women’s Health Initiative, Strong and Healthy study. Through this study, they have tried to improve physical activity and reduce sedentary behaviors to prevent cardiovascular disease and cardiovascular disease-related deaths.

I was interviewing primary investigators, co-investigators, and post-doc fellows from the research team to understand what makes this huge program successful, and is there anything we learn from it? Is there anything we can do better?

I want to know what the facilitators and barriers might be to build evidence with a large-scale population.

What types of questions are you asking in your interview?

I used a brief survey to ask their role or training background related to this program, and developed an interview guide. I asked how this program was designed, delivered, adapted, delivered, and sustained. In each stage, was there a pivotal point, or any external factors, internal factors, or individual level factors that affected its successful implementation? Are there their takeaways or recommendations for other researchers who want to do this kind of pragmatic intervention for older people, especially older women?

Did you have past experience working with, older adults before you started your PhD program?

I live with older adults in my home, and I also met older adults in my clinical practice. Older adults and family are important for me as a Chinese person. That is an essential part of our tradition and values—something deeply rooted in our culture and spirit. We respect, honor, and care for older adults.

Zih-Ling Wang is a PhD in Nursing Science candidate and one of the center’s 2025-2026 Healthy Aging Scholars. Her scholarship project is on “Beyond the Plate: A Multi-Methods Investigation of Mealtime Experiences and Modeling Independence in Eating in Dementia Care.”  Her faculty mentor is Basia Belza.

What made you interested in nursing research?

In my fourth year of college, we had a class about research. I realized there was another way you could go in the nursing field, besides working in a clinical setting. After graduating, I did a clinical job for some years, then I went to be a dementia case manager to learn more about long-term care. There, I realized that there was a gap between policy and families’ needs.

That’s why I decided to pursue my master’s degree, to better understand health policy and law. During my master’s program, I realized that research gave me a way to address the questions I kept seeing in practice.

Do you have an example of where you saw a need that was different than the policy?

For example, for people with young onset dementia, some of them refuse to go into the daycare senior center because they feel like they are different than the older people. Also, they often still have the capability to work, but the employment environment in Taiwan doesn’t allow them to continue working.

Could you briefly talk about the project you’re doing with the de Tornyay Center scholarship?

My dissertation is about understanding people with dementia’s eating experiences and their level of independence in eating during mealtimes in long-term care communities. I’m trying to understand how environmental factors, personal factors, or other related factors will influence their eating experiences and performance.

What made you want to study this particular topic?

I think people sometimes focus on what people with dementia can no longer do, but many still have abilities that can be supported and maintained. Eating is not only about nutrition, it is also connected to dignity, autonomy, and social interaction. I wanted to better understand how we can help people maintain their independence for as long as possible. So that’s why I brought this topic to UW to continue working on. I want to understand more about what the eating experience is, what the eating environment is, and what those things mean to this population.

What do you hope the impact of your research might be?

I hope that this research will be a foundation.  I also hope this research helps caregivers, staff, and long-term care communities better understand the factors that influence eating independence for people with dementia. In the long term, I hope the findings can help guide interventions, environmental changes, or care strategies that support people in maintaining their abilities and enjoying a better mealtime experience.

Are there any other common eating challenges that you see with the people that you’re working with?

Most of the challenge is when people with dementia are getting worse, they need more cues to help them eat. That depends on the person’s ability stage.

For some staff, the challenge is recognizing a sign that people with dementia need help to eat. In the long-term care community, there are so many residents, you don’t have time to oversee everyone.

You mentioned people with dementia need more cues to eat. What kind of cues?

Some people with dementia doze off during mealtime and you need to wake them up. Or you need to put the spoon into their hand. If they have a family caregiver along with them during mealtime, the family caregiver will use cues like open your mouth, you need to chew, you need to swallow, and now you need to sip water. You need to break down step by step everything we think is easy for us, like chewing and swallowing.

And if they don’t want to eat, they just rest their hand on the spoon to stop it. If you keep trying, they won’t eat. That is another challenge when you’re using the cues, you need to observe the person with dementia and their facial expression to know if they are full or not.

Has there been anything that surprised you while working on the project?

Right now, I am also doing an observation study in different communities. I realized that the communities have two different groups: one is a more Asian group, one is a more western group, and I feel like what they need during the mealtime is also affected by the cultural context.

With a resident in the Asian community, we talked about what eating means to her, and she said that eating is just eating. It doesn’t mean anything, I come downstairs to eat everyday and it’s just my routine.

Another resident I met from the western community talked what eating means to her, and she said that she liked to eat as a family group. Every day she saw that she had her mealtime with the same people at the same time. She felt it was like family there.

That experience reminded me that mealtimes are not only about food. They can have very different meanings depending on a person’s culture, life experiences, and social relationships.

Hyunhae Lee is a UW School of Nursing PhD in Nursing Science student and one of the center’s 2025-2026 Healthy Aging Research Scholars. Her project is on “Lifestyle Features and Longevity beyond Blue Zones: A Mixed-Methods Study.” Her faculty mentor is Kerry Reding.

Why did you choose to go into nursing?

I have asthma. My first memory was in the hospital, and I was pretty familiar with doctors, nurses, and emergency units. I loved nurses, because they always helped me to feel better, and I was eager to be like them. That’s why I chose nursing.

Going from nursing practice, what made you want to do research and go into nursing research?

When I first started clinical work, honestly, I’d never thought about going to a master’s or PhD program. Clinical nursing was a good fit for me, and I really enjoyed life as a nurse. However, as the years went by, I gradually became interested in finding ways to improve the lives of a larger population, not only caring for patients directly in clinical settings. I thought research could be another way of helping patients, and that inspired me to pursue it.

Could you briefly describe your project with the de Tornyay Center?

My clinical background and dissertation research are primarily focused on cancer survivors and their cardiovascular diseases. However, the reason I started research for that population was the hope of helping them not only survive cancer but also live longer and better lives after treatment in their long lives. As I was thinking deeply about survivorship during the spring of my first year in the PhD program, my chair, Dr. Redding, introduced the concepts of Power 9 and Blue Zones.

I had never heard of these concepts before she mentioned them, but they are quite popular worldwide. The idea started when Dr. Pes drew a blue circle on a map around a region in Sardinia, Italy—an area known for its exceptionally high concentration of centenarians and remarkable longevity. This blue marking later inspired the term “Blue Zone”. After that, the journalist Dan Buettner and his team designated five regions worldwide known for longevity and a higher quality of life as Blue Zones and identified nine shared lifestyle features from those five regions, known as the Power 9.

However, the Blue Zones and Power 9 concepts have not been empirically tested with statistical analysis or big data.

So, we thought it would be meaningful to test if these 9 lifestyle features are related to longevity in the Women’s Health Initiative data, because the Women’s Health Initiative has collected more than 30 years of cohort data in the US.

We did an initial analysis, and actually, I thought that was the end of this project. However, after that, I had the opportunity to visit Sardinia with support from the School of Nursing Center for Global Health Nursing. It was an exceptional experience. There were so many centenarians. They are still living their routine, working, and even doing daily resistance exercise. Also, through conversations with them, I learned that several of the original Power 9 factors were no longer common in their daily lives. Interestingly, the factors they no longer had in their lives were the same ones that were not significantly associated with longevity in our analysis (especially, restricted diet).

Since it was just a simple conversation and could not serve as official data for analysis, I considered how to turn it into a research project. So I planned a mixed-methods study, interviewing older adults in Sardinia to collect what they are doing day to day, and then, using new variables from these interviews, testing them again with WHI data.

Why is this work important to do?

As times have changed, I felt that there was a need to re-examine the factors associated with longevity and identify new ones that may be relevant today.

The other reason is that, personally, I have noticed that many younger people seem less enthusiastic about longevity. In some ways, I was one of those people. However, the older adults I met in Sardinia were quite different. They were genuinely enjoying their daily lives, spoke about loving the life they were living, and expressed a desire to continue living that way for as long as possible. It made me wonder what contributed to such a fulfilling life, and I wanted to share those lessons with others.

Has there been anything that’s surprised you that you’ve learned or seen?

As I mentioned, I was impressed with how they live their daily lives in Sardinia. Even though they have some issues, they love their daily lives. They enjoy communicating. I want to try to find out how we can all become like them.

Chad Cheldelin is a BSN student and one of the center’s 2025-2026 Healthy Aging Undergraduate Research Scholars. His faculty mentor is Kendra Kamp, and his scholarship project is titled, “Influence of Delirium on Health Outcomes in the Postoperative Period Following Ostomy Surgery”.

Why did you choose nursing?

I’ve worked in healthcare for about 5 years prior to starting nursing school. I worked during the pandemic in a rural, underserved area. My goal is to finish my BSN, then go on to get a nurse practitioner degree and eventually go back home to serve an underserved population.

I felt like nursing was a good route for me to be able to give back, especially because there’s a large need for healthcare providers.

You mentioned you worked in healthcare before this. What was your past healthcare experience like?

I have about 3 years of healthcare experience in medical assisting. Two of the years were in an urgent care setting, where a lot of people using these services don’t have the best access to healthcare services.

One of the years, I did primary care medical assisting, and I helped with the transition to a larger healthcare corporation from a small family-owned business. It was a lot of work to update patients’ charts and ensure that they’re still getting seen and getting high-quality care. I had a passion for helping the people who were subject to the healthcare changes going on.

What interests you about healthy aging in general?

When I was working in the primary care setting, we saw a lot of routine colonoscopies. I saw that the recommendation was becoming earlier for colonoscopies, because the prevalence of colon cancer is going up among younger people. I’m interested in screening techniques to help reduce the incidence of colon cancer, which is primarily in the older population, but it’s becoming more common in the younger population.

What made you interested in doing a research project during your BSN?

I’m most interested in the research process and seeing the type of research that goes into establishing healthcare information, and I think it would help me in a nurse practitioner program to be able to sift through and learn from the literature.

Could you briefly describe what you’re doing for your de Tornyay Center research project?

Our research is looking at delirium in the postoperative period for patients undergoing ostomy construction surgery. Ostomy construction surgery is a gastrointestinal surgery where a section of the GI tract is diverted through the abdominal wall to an opening created to outside of the body called a stoma. Intestinal contents are collected in an ostomy pouch attached around the stoma.

We’re looking at how the prevalence of delirium in the postoperative period relates to anxiety, sleep disturbance, depression, pain and fatigue. We’re seeing how those are correlated to delirium in the postoperative period.

There’s a lot of postoperative delirium studies for other types of surgeries, but not as many for ostomy specifically.

What interested you about this project?

This research project will help me know how to treat patients after getting ostomy surgeries and know what kind of side effects to look out for that could affect patient outcomes.

Why is the research that you’re working on important to do?

I think this has the potential to help patients by showing me, or other people who see this research, what to look out for when someone gets ostomy surgery and to know what predisposes them to poor patient outcomes.

Since we found significant findings, it seems that delirium is connected to some side effects that could affect their care. After surgery is a crucial moment to make sure that we’re treating them so that they’re less likely to have delirium.

You mentioned that delirium may come with side effects to their care. Do you have any sort of examples of what that might look like?

We found that the patients who had delirium were more likely to have anxiety and depression, more sleep disturbances, and fatigue. We can’t say it’s causation, we just found that they tended to occur together.

Is there anything else that you want to share?

It was a really good experience to work with my mentor’s colleagues at the Mayo Clinic for this project. It helped us know more about the processes that are involved in conducting research and it was really cool to see the clinical component of research as well.

Delina Mesfin Berhe is a UW School of Nursing BSN student and one of the center’s 2025-2026 Healthy Aging Scholars. Her project is on “Exploring Factors Associated with the Use of Physical and Chemical Restraints in Hospitalized Older Adults with Alzheimer’s Disease and Related Dementias”. Her faculty mentor is Maya Elias.

Why did you choose nursing?

Back home in Eritrea, I grew up with my grandma. She would take care of us, and I would also help take care of her as she got older. When I turned 14, my siblings and I moved to Ethiopia and lived in a refugee camp for about a year. We didn’t have doctors there, so nurses were the ones taking care of most of the cases. I got the opportunity to shadow one of the nurses. I just asked if I could carry her things and walk around with her, and she said yes.

When we later moved to the U.S., nurses were also the ones helping us, especially with our language barriers. They helped us with our medical needs, like vaccines and checkups, before starting school. Seeing that made me realize that nursing is the same everywhere; it’s about caring for people, no matter where they are.

In high school, during my senior year, I joined a CNA program and fell in love with it. I started working in memory care, and every day kept me grounded. I felt really happy being able to take care of people and see them smile.

What did you like about working in memory care as a CNA?

I liked a lot about it. A lot of the patients that I had couldn’t remember anything, so every day is like a reset. I like seeing their pictures from when they were younger. I love hearing stories about their lives. It was really interesting, and I learned a lot. It was also fulfilling to see that they had lived full lives.

What interests you about healthy aging?

I can see myself working with the aging population. It’s rooted in my grandma. Every time I see an older person, it reminds me of her.

Also, I worked with children, specifically those with cancer and blood disorders, but I just couldn’t do it. With kids, it was hard for me because they’re just starting their lives and haven’t experienced everything the world has to offer. Working with older adults, I feel so happy hearing their stories; they’re laughing, and they’ve lived their lives, and many of them have kids and grandkids they’re proud of. It just feels really meaningful to me.

Could you briefly describe your scholarship project?

We’re going to explore the factors associated with the use of physical and chemical restraints in hospitalized older adults with Alzheimer’s disease and related dementias. When these patients are admitted to the hospital, they can sometimes seem really agitated, especially because of the new environment and unfamiliar people. Because of this, staff may give medications to help calm them down or use physical restraints.

Sometimes, if a family member is present, they can help calm the patient or help them listen. But many patients coming from memory care, or those with dementia, don’t have anyone in the hospital to advocate for them. People may not always listen to them, especially if they have Alzheimer’s disease, speak a different language, or are experiencing delirium, and may assume they don’t know what they’re saying. This can lead to increased use of chemical and physical restraints.

In our project, we’re trying to understand what factors are associated with the use of restraints and how patients differ in terms of how much they receive, such as medication doses or the number of hours spent in physical restraints.

Why is this work and this project important to do?

It’s really important to me, and it’s close to my heart. I’ve seen how people who speak other languages can be mistreated, and how their behavior can be seen as agitation when they’re actually just trying to communicate. My mentor even told me that when reviewing charts, it can be really emotional, and it’s okay to feel that. Seeing patients without someone to advocate for them is hard. I don’t want this to keep happening in the future, so I’m hoping this project can help, even in a small way.

Is there anything else you would like to share?

I am so grateful to God and St. Mary for allowing me to have this opportunity and for being with me every single step of the way. They have helped me become who I am today. I’m also grateful for my family for encouraging me to pursue higher education, and because of that, I feel like I’ve developed a heart to truly see and care for people.

I’ve become more grateful since I started nursing school. I’m glad that knowing English now has paid off, and I can see myself advocating more in the future. This project has given me a lot of joy, being able to help families in the future.

Being able to work with Dr. Maya is one of my biggest achievements. When I got matched, I didn’t know who I would get matched with. When I met her, she’s a sweetheart. She’s always listening. She will ask, “What did you notice in their chart?” I’m grateful to have someone like that.

Christina Tran is a BSN student and one of the de Tornyay Center 2025-2026 Healthy Aging Undergraduate Research Scholars. Her project is on, “Social Determinants of Health, Inflammation, and Sleep Disturbances in Older Subarachnoid Hemorrhage Survivors.”  Her faculty mentor is Dr. Eeeseung Byun.

Why did you choose to go into nursing?

Growing up, I had a strong relationship with my granddad. I visited him every weekend, where we would make homemade Vietnamese dishes, play games, and watch TV together.

Later on, he was diagnosed with lung cancer, and that changed the trajectory of how we did things every weekend. Most of his time was spent in bed, and he progressively became weaker to the extent where he couldn’t lift a spoon to eat or bathe himself. We built a little button system that he pressed if he needed help from me or my grandma.

Although we couldn’t do many things that we did before, the activities that we accomplished together made our relationship stronger. No matter how “small” a task appeared to be, whether it was helping him eat, brush his teeth, or walk, sharing these moments together made a significant difference in his confidence and happiness. His smile during each activity was always a joy to witness. I chose nursing because that’s the type of relationship I aim to have with my future patients – someone who remains present, empowers others, and brings light during some of the most challenging moments.

So it was that experience with your grandfather made you want to go into nursing?

Yes! I will always remember how difficult it was for my granddad to first accept the diagnosis and change. I realized how scary it can be for both patients and family. I was drawn to nursing because I hope to support patients and families, placing them at ease as they navigate through challenging situations. I want to remind them that they are not alone in this process.

What interests you about healthy aging?

Aging is a natural process. We’re all aging as we speak. The habits we practice now or build later on can influence how we age and the long-term outcomes.

We also grow differently as people, so learning what works best for each person while also being culturally appropriate is what excites me the most. There are a variety of ways to approach healthy aging and maximize our quality of life, and to me, that’s unique.

When you say culturally appropriate, what kinds of things are you thinking about?

To be culturally appropriate is to be an active listener and learn about the other person’s preferences, because not all of us share similar cultural diets or activities. It’s key to not pressure someone else to live a certain way simply because it’s what we’re accustomed to. Instead, we should find ways to integrate individual needs, values, and beliefs in a culturally competent manner.

Coming from a Vietnamese background, others may describe the diet as high-carb due to the rice content in traditional dishes. But when we’re attempting to promote healthy aging, the act of eliminating rice, a Vietnamese staple, wouldn’t be helpful. Instead, we should focus on teaching moderation and giving options, that way, people have a choice in deciding what they’re most comfortable with. The last thing we want to do is strip others from their cultural identity because this only fosters resistance to making a change.

What is the project you’re working on with the de Tornyay Center scholarship?

I am partnering with Dr. Eeeseung Byun and a peer from the BSN honors program to analyze Dr. Eeeseung’s 6-month longitudinal study of 43 subarachnoid hemorrhage survivors. My part of the project focuses on the 18 older adult survivors, whose data I am analyzing to determine if sleep disturbances, such as sleep quality, daytime sleepiness, and insomnia, are affected at different time points based on social determinants of health factors. This includes age, race, education level, and income status. I am also evaluating if inflammatory biomarkers play a role in influencing the relationship between the two.

What interested you about getting involved in this research project?

I work at a pain clinic, where patients are treated for acute or chronic pain when other interventions, like physical therapy, aren’t working. Whether their pain was from a sports injury or motor vehicle accident, patients have shared how their symptoms affected their quality of life. I joined the Honors programs because I wanted to explore how we could use research to improve symptom management and long-term health outcomes. This particular interest connected me with Dr. Eeeseung and her research on symptom management for stroke survivors, so I’m looking forward to finding ways to improve the recovery process for older adults and help them return to what they love doing the most.

What other past experiences do you have working with older adults?

Besides caring for my grandfather, I also work in the Medical Oncology ICU as a Nurse Technician. We see a wide range of patients with complex medical illnesses and a handful are older adults who often have a harder time recovering from their condition due to fatigue, decreased strength, and chronic conditions. I work with them to see how I can maximize their comfort, even if it’s just creating a little goodie basket and topping it off with a warm blanket.

Do you feel like those experiences affected your perspective on healthy aging?

Absolutely. When talking to older patients, they’ve changed my perspective on how they like to receive care and the goals that they have. Many describe that the weaker they become, they feel like they lose some independence. When promoting healthy aging, to me, it’s about giving them a sense of control back and promoting autonomy. This means giving them options and asking what they want to do first. That way, they can make their own choices on healthy aging in a manner that motivates them to take the lead.

Lydia Chen was one of the center’s de Tornyay Center’s 2024-2025 Healthy Aging Scholars and a DNP student. Her project was on ‘Using Artificial Intelligence in Improving Nursing Documentation in Skilled Nursing Facilities’ and her faculty mentor was Jamie Young.

What made you choose nursing?

My career started as an occupational therapist. I was working as an occupational therapist for over 12 years, mostly with the geriatric population, in skilled nursing facilities. Over the years, I noticed there’s a lot of biases in social determinants of health and health equity toward older adults.

When I was in Northern California, we didn’t even have a primary care provider in the facility, and we had to hire health care providers from L.A.  to visit the residents to provide care, sign orders, and complete paperwork.

I felt there was something else I could do to serve those older adults better. I was looking to see what career change paths I could do. I decided nurse practitioner sounded like the care model that matches what I want to do for the patients, so I decided to pursue a nurse practitioner degree.

What interests you about healthy aging and working with older adults?

A lot of it is personal preference. Healthy aging is important to me because my grandma had a stroke and my dad has Parkinson’s. I feel that society should pay more attention to older people and spend time with older people. It’s like traveling. You get to learn so much from them. You travel through their lifespan, and you learn from their life experiences, their knowledge, and their wisdom.

It’s our responsibility, right? We take care of babies. Culturally, I was always taught to take care of our older generation and to respect our elders. So that’s why I choose nursing, and that’s why I want to work with the geriatric population.

What made you want to do this project?

When I was picking my DNP project I made a point that I wanted to do something regarding aging or geriatrics and long-term care. I realized that a lot of research excludes older people and you cannot really find much research on skilled nursing facilities. So when I saw the topic using artificial intelligence in skilled nursing facilities, I’m like, oh, yeah, we have so much technology, why can’t we use that to help our older population? When I was talking to my agency mentor, they have been working with a software development team on AI to use on their EHR [Electronic Health Record] systems.

We decided to do a needs assessment to see the nurses’ perspective on the current EHR system and what they think the AI could help them with to save them time, so that they can go back to the bedside and spend time with the patients.

What does doing a needs assessment look like?

I am developing a survey to figure out nurses’ perspective on the current EHR system. When I was doing my literature search, I found there is a lot of EHR research on nursing documentation, accuracy, and consistency, but not focused on skilled nursing facilities. Most of the published research is in acute care, and [most] research in skilled nursing facilities is not done in the United States. So we don’t know how the nurses who work at skilled nursing facilities in America feel about their EHR systems: if it’s accurate, if it’s consistent, then how easy it is to navigate the EHR systems.

When I was working in long-term care as a nurse, I had trouble finding information that I needed to care for the patient, and I spent a lot of time just navigating their EHR system. Even when I found information, I didn’t really trust it, because sometimes it was outdated.

The purpose of the survey is to find their perspective, the barriers with the EHR systems, and what they want AI to be able to do for them.

Why is this project important?

Research shows that nurses spend probably at least a quarter to 50% of their time documenting instead of spending time with patients. I think, for older adults, one of the most important parts of care is companionship. Nurses already have sometimes 15, 20, 30 patients per shift at skilled nursing facilities, and the more time they spend on documenting, the less time they have for the physical presence with the patient. I think it’s really important for healthy aging just to be there for them. Companionship greatly enhances cognitive function and emotional well-being. Even just an extra two minutes talking to them, holding their hands, I think it made a great difference to older adults’ quality of life.

Is there anything interesting you found while doing your literature review?

It sounds like common sense, but nursing documentation really affects the patient outcomes, and the accuracy and consistency of the documentation can really change older adults’ quality of life and continuity of care.

Healthcare providers are often forced to prioritize immediate patient care over detailed charting, resulting in rushed, incomplete, or erroneous records. One research study recorded the patient-provider interactions and compared the clinical encounter notes with recorded patient-provider interactions, and they found nearly half of the notes included information that could not be verified from the recorded interactions. The finding suggests EHR system might have propagated errors or omitted crucial information in addition to the inaccurate data/information due to lack of staff and time.

Sometimes we put a lot of personal assumptions into the documentation. I hope this project will help the consistency and accuracy of the documentation, and help other people who care for the same patients provide better care.

Is there anything else you want to share?

I just want to bring more awareness to our older adult population. They have contributed to society, and now it is time for the next generation to care for them.

Madison McKee was one of the de Tornyay Center for Healthy Aging’s 2024-2025 Undergraduate Research Scholars. Her research project was on “Examining the Impacts of Facilitated Garden Activities for Individuals Living with Dementia and their Caregivers”, and her faculty mentor was Basia Belza.

What made you choose nursing?

I’m in the accelerated Bachelors of Nursing group. So I feel like my journey into nursing is a bit more zigzaggy than others.

My background is actually in landscape architecture. I really love my work in landscape, especially the design process and the opportunity to shape meaningful spaces. While I was working that job, I was also finding other outlets to do community service work with my community, and I loved that face to face interaction. Then, combined with an injury of mine a few years ago and my own hospital and rehab experience, there were a lot of outlets pointing me in the direction of nursing and healthcare.

I came into nursing knowing that I want to do it pretty creatively. Maybe I want to work in the hospital, but I’m also really interested in seeing what other forms of nursing there are, and how healthcare can tie back to landscape architecture and art.

How do you feel like that background in landscape architecture comes together with nursing?

This project that I’m working on at the center is the synthesis of landscape architecture and nursing. I always knew that there was a tie, even before coming into healthcare. My firm designed landscape and therapeutic spaces for the local hospital. There’s a direct tie between nature and healing. I wanted to explore that both in my old job and now in nursing school.

What interests you about healthy aging?

It’s super important to work within healthy aging, because not only is it helpful for other people, but it’s also applicable to myself. We’re all going to go through this process of aging. Figuring out how to make people feel comfortable and happy is only going to benefit all of us as we all age.

Could you talk a little bit more about like what your project is?

There’s an existing garden, called Maude’s garden, at the Memory Hub. The Memory Hub is a place for collaboration and innovation and serves individuals living with memory loss. Genevieve [a staff member at the Memory Hub] helped to create a garden in the backyard space. She and others designed the garden back in 2020 based on focus groups within the memory loss community, so it could specifically meet the needs of The Memory Hub. There’s a lot of research that indicates that being in natural spaces and gardening spaces can improve anyone’s mental well-being, especially someone who’s living with memory loss.

My project is to create a garden experience for people living with memory loss and their caregivers to explore the five senses. The idea is to make this program so it’s repeatable and easy to do. Our vision is that we can create this easily replicated program, so that other gardens and hospitals or medical spaces could also do this program.

How do you plan to get feedback from participants?

It’s going to be more of a collaborative discussion. We don’t want it to feel sterile or daunting. We’ll ask people about their mood when they walk in, and then compare their mood after the group discussion. So it’ll be a check in, then the garden activity, and then a group discussion about what elements that they liked most, what they didn’t like, and what experiences stood out to them.

Has there been anything that surprised you while you’ve been working on the project?

Finding the project. It gives me hope that people are thinking about this, that there is research being conducted about this. There is this reputation that working with older adults is not very fun, or it can be a very sterile environment. But there’s a lot of people who know that it’s very fun and very variable, and it can be organic and creative. I knew that, but I’m pleasantly surprised that so many other people are also thinking about that.

Is there anything else you would like to share?

I’m really inspired by both of my mentors: Genevieve and Basia. I think they are both very special people, and their passion for working with older adults and healthy aging is just infectious. It’s palpable talking to them, and I feel really inspired. I feel lucky to be a part of it.

Ashley Gougouehi is a UW School of Nursing DNP student and one of the de Tornyay Center for Healthy Aging’s 2023-2024 Healthy Aging Doctoral Research Scholar. Gougouehi will present work from her project at the Washington State Alzheimer’s and Dementia Research Network March 14, 2025 meeting.

Why did you first choose nursing?

My dad had a back injury when I was younger, and I helped to take care of him. From this experience I realized that I really like taking care of people, so I volunteered at a hospital that was across the street from my high school. From this volunteer experience, I realized how nurses were the go-to people in hospitals to give care, and I love that. So that’s how I found myself in nursing. I just love caring for people.

What interests you about healthy aging in particular?

I think because I’m an only child, I’ve been terrified at the idea of my parents aging and me being the only one to take care of them. It took a while for me to realize that you can age healthy. You don’t have to get older and expect to develop health issues. I think that’s why I got really interested in caring for older adults: it’s an opportunity to support older adults age in a healthy way, while also emphasizing preventative care so that people can live long, happy and healthy lives and not dread aging.

Could you briefly describe the project that you’re doing for the scholarship?

I’m working with Washington Healthcare Authority and the Dementia Action Collaborative to do a needs assessment on age-friendly health systems in Washington. Essentially, we’re trying to get a sense of what health systems in Washington are recognized as being age-friendly, then get a sense of what kind of initiatives they have and what barriers they’re facing, so we can see how we can further support age-friendly health systems and hopefully expand these systems in the future.

What’s your role in the project?

My role is to identify age-friendly health systems, contact clinical leadership, and then do interviews with clinical leadership to see what initiatives they have in place, and what is needed to support the initiatives that they have.

I also added another component, which is to contact a health system that’s not recognized as being age-friendly to get a sense of what they know about age-friendly health systems, and what barriers they can identify to age-friendly care. I added this component to get more data on what barriers there are to age-friendly health initiatives.

Why is this project important to do?

I think it’s important to identify what age-friendly health systems are out there and recognize the systems that have made an effort to be age-friendly. It is also important to get a sense of what initiatives are out there that support our older adults, and see how we can support these health systems, because we need more of them. Not every person is going to Google which health system is recognized as age friendly. They’re just going to go to whatever system is closest to them. So, it’s really important for us to see what is needed to expand the age-friendly health systems and initiatives.

Is there anything surprising or interesting that you found while working on this project?

I think one thing that was surprising is that it’s hard to get in contact with clinical leadership. Which has been a little surprising but has made me even more appreciative of the time clinical leaders take to help me with this project. I’ve had one interview so far, and learning how some health systems have been able to incorporate age-friendly initiatives into their electronic medical system has been really, really cool and inspiring.

How did they incorporate age-friendly aspects into an electronic health system?

So for this health system that I talked to, in EPIC they created a smart phrase/template, which helps guide clinicians to do comprehensive geriatric assessments by asking geriatric centered questions like about medications, fall risk, nutrition, and things related to the 4Ms of age-friendly care (what matters most, mentation, mobility, medication). So it’s essentially a smart phrase that prompts clinicians on how to assess an older adult and identify crucial needs for older adults. That was pretty cool to learn about.

What previous experience before this do you have working with older adults?

I have been a nurse for almost six years. I worked in acute care, and in acute care you work with a lot of older adults who are coming in for exacerbated chronic diseases. That’s where I interacted with more older adults and realized there’s a huge need to support older adults and manage chronic diseases and encourage preventative care and promote healthy aging.

Have you done primary care before, or is this program your switch into primary care?

This is the switch. My only experience with primary care has just been with my clinical rotation. I had one clinical rotation last quarter in primary care, and I absolutely loved it!

What are you looking forward to with primary care?

I think the continuity of care is what I’m really looking forward to, and then also promoting preventative care. I’m hoping to specialize in the care of older adult, specifically chronic disease management and preventative care.

Eriska Fajriyati is a UW School of Nursing BSN student and one of the de Tornyay center for Healthy Aging’s 2024-2025 Healthy Aging Undergraduate Research Scholars. Her project is on “Exploring Perceptions of Aging and Menopause in Somali and Indonesian Older Adults: A Qualitative Study” and her faculty mentor is Eeeseung Byun. Sarah McKiddy, a PhD in Nursing Science Candidate and former de Tornyay Center scholar is also serving as Fajriyati’s mentor.

Why did you choose nursing?

I’ve always been drawn to healthcare because I truly want to make a difference in people’s lives. When I was younger, I was part of a club called “Little Healthcare Helper,” and that’s when I first started thinking about healthcare as my path. At the time, I wasn’t sure exactly where I’d end up, but I knew I wanted to help people. Eventually, I became a CNA and worked with residents, many of whom had Alzheimer’s and other types of dementia, and that’s when I really discovered my love for nursing. I enjoy hands-on work, being able to interact with people, earn their trust, and offer them comfort. Nursing also gives me so many opportunities to grow and take on new challenges, which is exciting. It’s just such a rewarding field to be in, and it feels like the perfect fit for me. Nursing also offers incredible opportunities for growth, whether it’s exploring other specializations or advancing to a nurse practitioner. The diversity of options is really exciting!

What made you want to do a research project?

A big part of why I decided to do this research project is because of my mom and her friends. They’re at the age of either starting or experiencing menopause and started asking me a lot of questions about it. I realized that I didn’t know enough to give them the answers they were looking for, and that really sparked my curiosity. As a nursing student, I felt like it was the perfect opportunity to dive deeper into understanding menopause—not just for my mom and her friends, but also to raise awareness in my community. My goal is to help people understand menopause better, particularly within the Indonesian community, and ensure they have access to the right resources. Through this research, I hope to improve how menopause is discussed and managed, both in my community and in healthcare overall.

Could you share a little more about your research project?

My project is focused on exploring the perception of aging and menopause in both Somali and Indonesian communities. I’m working closely with my mentors Professor Eeeseung Byun and Sarah McKiddy, as well as my co-partner, Sumaya. Together, Sumaya and I are interviewing people from our respective communities to understand their experiences with menopause. We want to learn about the symptoms, beliefs, and cultural factors that influence how they manage this stage of life. For our interviews, we’ve created questions in English, then translated them into Bahasa Indonesia and Somali to make sure we’re truly capturing authentic perspectives. I’m excited because this project is not just about learning for myself, but also about providing valuable insights that can lead to more culturally sensitive healthcare in the future.

Has there been anything that surprised you so far while working on the project?

I’ve discovered something quite interesting about the people I’m interviewing within my Indonesian community. I initially thought menopause would be a more taboo or stigmatized topic in my community, but it turns out it’s not as hidden as I expected. People are open to discussing it, but they tend to do so only within their close circles or when the topic arises naturally in conversation. What’s also surprising is that many individuals rely on traditional remedies—such as drinking a traditional Indonesian drink called Jamu or practicing meditation/praying—to manage their symptoms. Another common piece of advice I frequently hear is to maintain a positive outlook and not to dwell too much on the discomforts associated with menopause. This perspective differs from what I anticipated based on the literature I reviewed, and it has been fascinating to see how cultural beliefs influence the experience and management of menopause.

What interests you about healthy aging in general? What is your experience like working with older adults?

Healthy aging is something I’m really passionate about because it’s such a crucial part of everyone’s life. We’re all going to grow older, and it’s not just about taking care of our bodies—it’s also about looking after our emotional and mental well-being. For me, understanding how culture influences aging is really important, and how we can best support people in that process. I’ve seen firsthand how cultural beliefs shape health practices, like how in my community, people drink Jamu to manage menopausal symptoms. These experiences really made me see how vital cultural competence is in healthcare.

I’ve been working with older adults for over four years now, mostly in senior living and Alzheimer’s dementia units. Working with them has been such a rewarding experience. It’s shown me that aging is about so much more than just physical health—it’s about emotional, mental, and social well-being too. One of the most fulfilling parts of my job is helping create spaces where older adults feel supported and connected. It’s inspired me to focus on improving their quality of life and making sure they can age with dignity, joy, and comfort.

Is there anything else you would like to share?

I’m really grateful for the opportunity to be doing this research, especially with the support of the scholarship. It allows me to focus more on my studies and my interests. It’s exciting to learn not only for my own understanding but also for the benefit of my community. Through this research, I hope to raise awareness about menopause in both the Somali and Indonesian communities and improve how healthcare providers approach it.

Antonia Cai is a UW School of Nursing BSN student and one of the de Tornyay Center for Healthy Aging’s 2024-2025 Healthy Aging Undergraduate Research Scholars. Her research project is on “The influence of physical activity and diet quality on the symptom experience of older adults with HIV”, and her faculty mentor is Vitor Oliveira.

What made you choose nursing?

I chose nursing because I always wanted to pursue a career in healthcare. I appreciate how nursing offers a wide range of opportunities, flexibility, and room for professional growth within a single career. Beyond bedside nursing, I can become a nurse practitioner and provide advanced care, engage in research to expand the field, work in clinical settings serving diverse populations, or even pursue a career in nursing education.

Moving to the U.S. as a teenager, I witnessed firsthand how healthcare operates and saw my parents struggle at times to navigate the system. That experience inspired me to become someone who understands the system and can provide support in meaningful ways.

What interests you about healthy aging?

My grandmother, who played a significant role in my upbringing, has been living alone since I moved to the U.S. with my parents. I spent a lot of time with her during my childhood, and not being able to be physically present as she experiences aging has weighed on my mind. This personal connection fuels my interest in healthy aging—I want to help not only her but also others who are aging alone. She is just one of many facing similar challenges, and I want to contribute to improving their quality of life.

Have you had past experience working with older adults?

Yes, my first job as a Certified Nursing Assistant (CNA) was at Evergreen Hospital on the orthopedic floor, where I cared for many elderly patients. I saw how quickly their health status could change in the hospital setting, and I realized how aging and chronic illnesses significantly impact their recovery. While younger patients might heal quickly from a fracture, the same injury could be far more debilitating for an older adult.

I also noticed that many elderly patients had limited resources for recovery and, at times, did not seek help due to mental health struggles or a lack of support. One of the most important things I learned from working with older adults is how deeply mental and physical health are interconnected.

Could you briefly talk about the project that you’re doing for the de Tornyay Center scholarship?

My project examines how physical activity and diet quality impact symptom management in older adults living with HIV. This research is connected to the ongoing projects at the Webel Lab, where I work under my mentor, Dr. Oliveira. While the lab has been studying this topic for years, I am conducting a more focused analysis on how diet and exercise influence the experiences of individuals with this chronic condition.

How did you first get involved with this research?

Before pursuing nursing, I earned my first degree in nutrition, where I gained extensive training in how the food system—from production to consumption—affects public health.

When I had the opportunity to apply for the BSN honors program and receive support for research, I expressed my interest in the connection between nutrition and aging. This led me to Dr. Oliveira and the Webel Lab, where their research aligned closely with my interests in nutrition and exercise. That’s how I became involved in this project.

How do you feel like your background in nutrition influences your work as a nurse?

I firmly believe that we are what we eat—nutrition and lifestyle choices play a crucial role in overall health. My background in public health and nutrition helped me develop a systematic way of thinking about how different factors—biological, social, and environmental—interact to shape health outcomes.

In nursing, I see how many illnesses stem from a complex web of influences, including socioeconomic factors and social determinants of health. Many chronic conditions are passed down through generations due to these systemic influences. That’s why I believe in taking a holistic approach to patient care, considering multiple perspectives beyond just medical treatment. My nutrition background has strengthened my ability to assess patients’ health through a broader lens.

With the project that you’re working on, has there been anything that’s surprised you that you’ve learned or seen?

The level of rigor required at every step! From the initial proposal stage to data collection, everything must follow strict protocols. Even minor deviations from the approved methodology require resubmission and reevaluation before moving forward.

This experience has reinforced the importance of precision and attention to detail—not just in research but also in clinical practice. I’ve learned to approach every step with intention, knowing that careful execution is critical in both research and patient care.