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2017 Founders Award Winner

Founders Award Winner

Barbara Bratton, MSN, PNP-BC

Hanmin Lee, Chief of the Division of Pediatric Surgery, UCSF Benioff Children’s Hospital nominated Barbara. Dr. Lee writes, “One of her most important roles is that she started and directs the Long-term Infant to adult Follow-up and Evaluation (LIFE) program at UCSF. This is a program that is dedicated to the long-term follow-up of complex pediatric surgery patients. I believe the LIFE clinic will be Barbara Bratton's legacy to UCSF, and the model of care for children with a chronic condition. Not enough can be said about the ability of a nurse who was able to start with an idea, develop a plan, implement it, critically evaluate and make changes in practice, and then finally succeed in providing families with a service which will help their child.”

“The impact of this contribution cannot be understated. She has set up LIFE clinics for congenital diaphragmatic hernia (CDH), sacrococcygeal teratoma (SCT), colorectal abnormalities, esophageal abnormalities, chest wall deformities, abdominal wall abnormalities, congenital lung lesions, and biliary abnormalities. This has been the particular focus of her efforts for the last ten years. It has truly been a remarkable effort that has had such a tremendous effect on the lives of these complex patients.”

Diana Farmer, President of the American Pediatric Surgical Association writes:

She is in many ways the quintessential pediatric surgical nurse---a clinical expert, researcher, author, mentor, teacher, and innovator. She is a compassionate and caring healthcare provider whose professionalism, sense of responsibility, great calm, and empathy have given us a immense insight into our own roles as surgeons, nurses, students, and staff in contributing to the advancement of care of pediatric surgical patients.

Jody Farrell, Administrative Director – The Fetal Center – UCSF writes:

Her outpatient advanced practice career began in the Division of Pediatric Surgery for which she was responsible for following both the inpatient surgical patients as well as the patients seen in clinic. She supported a service of up to six pediatric surgeons. This work has been narrowed as she now works most closely with Dr. Lan Vu, as they partner in the LIFE clinic. This collaboration is unique and impressive.

Dr. Vu writes:

Barb is the moral compass that guides the program and spearheaded the tremendous endeavor for the program to be designated as California Children’s Services special care center this past year, the only surgical outpatient program to receive that designation at our hospital.

Patients come to UCSF and, in one day, are seen by appropriate specialists in genetics, surgery, pediatrics, nutrition, pulmonary, and occupational therapy. Families obtain a comprehensive examination and plan of care. The importance to the child/family is well understood, but medically we are now able to critically examine our practice of the pediatric surgery population and reliably measure outcomes. The data obtained--both medical and psychosocial information--will have significant implications for and impact on the care of children with chronic conditions.

Recognizing inadequate teaching tools for parents caring for children with surgical needs, Ms. Bratton has sought ways to bridge this gap. Teaching videos on ostomy care and the development of I-books for specific birth defects, updating website materials are many examples of the unique projects Barbara has completed. Barbara understands the obstacles families face when they have a child with special needs. To assist families overcome barriers Barbara has taken the time to fundraise to provide gas cards and food vouchers for families to be able to come to their clinic appointments.

In addition to all of this is Barb has funding from 3 grants: two from the FDA to support a trial of a novel device to treat pectus excavatum in children, and one as the Principal Investigator from ConvaTec to develop education material for children with stomas.

Maura O’Day her office mate writes:

It is admirable that in addition to her demanding clinical and research role, Barbara also devotes time to program development, quality improvement projects, and her respected role on the APSNA board. As Barbara’s office mate, I have first-hand knowledge of the immense time and dedication that she devotes to each of these facets, particularly her duties as president-elect. I know that she will continue to strive for excellence as she transitions to the role of president in the near future.

Another letter of support says:

Barbara has a silent strength about her that I wish I could emulate. By that I mean that she sits, observes, and listens, whilst synthesizing and objectively analyzing the dialogue and information exchange. Then offers a simple one-sentence perspective or answer that is usually unquestionable.

She is sincere, intelligent, appreciative and an advocate for nursing and for the truth. She is a leader in every sense of the word. She is the kind of person that will always stand up for the truth and personifies integrity and substance.

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