UMH’s New Chief Nursing Officer Looks Forward to Creating Healthcare Systems for the Future
JoAnn Trybulski, Ph.D., ANP-BC, DPNAP, who as associate dean at the University of Miami’s School of Nursing and Health Studies advanced the Doctor of Nursing Practice program from an idea to a national model, has joined University of Miami Hospital’s leadership team as Chief Nursing Officer. An expert in primary care who co-edited an award-winning textbook on the subject, Trybulski assumes her new role from David Zambrana, D.N.P., M.B.A., R.N., who until now served as both Chief Operating and Chief Nursing Officer.
“JoAnn brings a wealth of expertise to UMH and we are thrilled to have her on board,” Zambrana said. “Her experience in clinical and advance practice nursing will help us continue to integrate University of Miami Hospital with the School of Nursing and Health Studies. Additionally, her keen focus on advance practice nursing and the use of nurse practitioners will allow us to fully utilize the role of the APN in support of our strategy of creating a more robust primary care network.”
After spending 16 years of her 36-year nursing career in academia and the classroom – where Zambrana and a number of other UMH leaders were among her students – Trybulski is happy to return to the field and have a more direct opportunity to build innovative critical infrastructure, systems and collaborative teams that improve care for patients and their families.
“I worked with many fine students in the DNP program on their creative ideas for streamlining and delivering better quality care for their capstone projects, and it made me realize how much I missed it,” Trybulski said. “I think nursing will be the answer to helping us create the healthcare systems of the future and, quite frankly, I wanted to be part of that.”
Among her goals at UMH will be helping the University’s flagship hospital earn designation as a nursing magnet from the American Nurses Credentialing Center (ANCC). The ultimate credential for high-quality nursing, the ANCC’s Magnet Recognition Program recognizes quality patient care, nursing excellence and innovations in professional nursing practice, and helps attract and retain top talent, improve patient care, safety and satisfaction, foster a collaborative culture, advance nursing standards and practice, and grow business and financial success.
Over her career, Trybulski has accomplished that, and more. After earning a biology degree from Fordham University, she set out to combine her scientific interest with her interest in caring for people and pursued her Associate of Applied Science in Nursing from the University of the State of New York. Soon after, she landed her first nursing job in the emergency department of a small community hospital in Massachusetts, where she helped create award-winning care and communication protocols for EMTs in the field.
Upon earning her Master of Science in Nursing and certification as an Adult Primary Care Nurse Practitioner from Simmons College in 1982, she created and rolled out Salem Hospital’s nurse practitioner managed employee health clinic, which served as a model for the institution’s worksite health initiative.
After a decade as a nurse practitioner and assistant chief of nursing at the Harvard Community Health Plan, one of the largest HMOs in New England, Trybulski joined the faculty of the MGH Institute of Health Professions, the graduate school founded by Harvard-affiliated Massachusetts General Hospital. While there, she earned her Ph.D. in nursing on a fellowship from Boston College and, with three co-editors, created the first primary care textbook written by both physicians and nurse practitioners. Now in its fourth edition, “Primary Care: A Collaborative Practice” has sold more than 15,000 copies and won two Book of the Year awards from the American Journal of Nursing. The latest edition, Trybulski notes, includes contributions from physician and nurse practitioner ophthalmology teams at Bascom Palmer Eye Institute and cardiac teams at University of Miami Hospital.
Leaving Massachusetts to follow her daughter, who graduated from UM, to Miami, Trybulski joined the Nursing & Health Studies faculty in 2002, where, as an assistant professor, she revised the Adult Nurse Practitioner curriculum and instituted case-based teaching. Later, as Associate Dean of the MSN and DNP Programs, she inspired the faculty to create a dynamic Master’s curriculum that in 2007 tripled applications and doubled enrollment. In 2009 she created the DNP Program, which serves as a model for the nation and already boasts more than 100 graduates.
In 2008, between her two major accomplishments as associate dean, she was awarded the Distinguished Practitioner of the National Academy of Practice.
“I was privileged to be part of the understanding that developed in the late 1990s that primary care has to be a collaboration among disciplines. That was new thinking,” she said. “Now I am privileged to have the opportunity to join many of the talented students I’ve come to know over the years in making UMH a magnet for nursing excellence and innovations in professional nursing practice.”