FREE FOR NURSES! February 2015
Volume 26, Number 2
Nursingmatters ■
www.nursingmattersonline.com
Playing a Strong Hand: CARDS engages community
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By Kathleen Corbett Freimuth A researcher came to the Community Advisors on Research Design and Strategy – CARDS – seeking answers. How could her questionnaire tool provoke an authentic response from research participants? The advisors, seeing the research tool for the first time, offered their unbiased perspective. “I am troubled by the question, ‘Are you often displeased about trivial things?’ It’s judgmental,” one advisor said. “If I am displeased, it’s not trivial to me. I could have a valid reason for being displeased. ‘What bothers or upsets you?’ might be a less-judgmental question.” The origin of such pointed discussions began five years ago when researchers at the University of Wisconsin–Madison School of Nursing sought a way to effectively engage people in research, especially those from under-represented communities. They created CARDS, a unique advisory group with a non-research perspective. The advisors constitute a core service of the Wisconsin Network for Research Support, a community-engagement center based at the School of Nursing. In 2010, Barbara Bowers, PhD, RN, FAAN, and associate dean for academic programs, received funding from the National Institute for Nursing Research and the National Center for Advancing Translational Sciences to develop a program to integrate community input with academic research. “We wanted to link researchers with community members who
Betty Kaiser (second from right) discusses research materials with Rasaki Emmanuel (second from left) and other CARDS advisors from the Goodman Community Center. TODD BROWN/UWSMPH MEDIA SOLUTIONS
could bring the perspective of non-researchers into the world of academia,” said Gay Thomas, MS, director of community engagement for the Wisconsin Network for Research Support. “The goal of CARDS is to help researchers create materials that are more accessible, understandable and engaging for the general public.” In developing the group, Thomas and colleague Betty Kaiser, PhD, RN, and director of community training for the network, partnered with Madison’s Goodman Community Center and the Lussier Community Education Center. Together, they established two groups of advisors, whose members come from diverse racial, socioeconomic and educational backgrounds. “These were the voices we wanted to hear on our advisory boards,” Thomas said. ”They represent the breadth and diversity of people who use community cen-
ter services – parenting and child programs, senior-meal programs, women’s support groups and the food pantry. ” At a 90-minute meeting with the guest researcher, facilitated by Thomas and Kaiser, the advisors receive a brief overview and are told the aim of the project or research. The advisors then review research-study plans and materials, and identify language or formatting that might pose concerns for potential study participants. In the post-meeting phase, Kaiser and Thomas provide a detailed followup report to the researcher that includes a complete revision of the researcher’s document reflecting suggestions from the advisors. The advisors are paid for each monthly meeting they attend. In preparing the advisors for their advisory role, Thomas and Kaiser emphasize the importance of continued on page 4
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Editor ......................................... Kaye Lillesand, MSN 608-222-4774 • kayelillesand@gmail.com Managing Editor .................................Julie Belschner 608-219-8316 • jbelschner@madison.com Advertising Representative ................. Teague Racine 608-252-6038 • tracine@madison.com Recruitment Sales Manager .................... Sheryl Barry 608-252-6379 • sbarry@madison.com Art Director ....................................... Wendy McClure 608-252-6267 • wmcclure@madison.com Publications Division Manager............... Matt Meyers 608-252-6235 • mmeyers@madison.com Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your comments are encouraged and appreciated. Email editorial submissions to klillesand@sbcglobal.net. Call 608-252-6264 for advertising rates. Every precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the correctness or accuracy of information herein or for any opinion expressed. The publisher will return material submitted when requested; however, we cannot guarantee the safety of artwork, photographs or manuscripts while in transit or while in our possession.
EDITORIAL BOARD Vivien DeBack, RN, Ph.D., Emeritus Nurse Consultant Empowering Change, Greenfield, WI Bonnie Allbaugh, RN, MSN Madison, WI Cathy Andrews, Ph.D., RN Associate Professor (Retired) Edgewood College, Madison, WI Kristin Baird, RN, BSN, MSH President Baird Consulting, Inc., Fort Atkinson, WI Joyce Berning, BSN Mineral Point, WI Mary Greeneway, BSN, RN-BC Clinical Education Coordinator Aurora Medical Center, Manitowoc County Mary LaBelle, RN Staff Nurse Froedtert Memorial Lutheran Hospital Milwaukee, WI Cynthia Wheeler Retired NURSINGmatters Advertising Executive, Madison, WI Deanna Blanchard, MSN Nursing Education Specialist at UW Health Oregon, WI Claire Meisenheimer, RN, Ph.D. Professor, UW-Oshkosh College of Nursing Oshkosh, WI Steve Ohly, ANP Community Health Program Manager St. Lukes Madison Street Outreach Clinic Milwaukee, WI Joyce Smith, RN, CFNP Family Nurse Practitioner Marshfield Clinic, Riverview Center Eau Claire, WI Karen Witt, RN, MSN Associate Professor UW-Eau Claire School of Nursing, Eau Claire, WI © 2015 Capital Newspapers
February • 2015
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Nursingmatters
Looking back to look forward By Kaye Lillesand, MSN
When searching for one of Signe Cooper’s “Reflections” articles I came across an editorial I wrote about the misKaye Lillesand sion and purpose of NURSINGmatters. That was 20 years ago. I thought it might be interesting to reflect on how we have done. We welcome your comments. NURSINGmatters 1995 – What’s it all about? To help our readers and authors understand the direction NURSINGmatters is taking I’d like to use this editorial to share with readers the mission, visions and objectives our Editorial Board has developed for 1995. Mission: NURSINGmatters is a communication tool. Its mission is to help create a dynamic, self-driven future for nurses and the profession of nursing in Wisconsin. Vision: The profession of nursing is an essential part of a healthy society. To be a dynamic force it must grow continually. Nurses are professional experts and, as such, they have a responsibility to define the future of the profession that will be beneficial to society. We believe there are several essential elements in molding the future of nursing: knowledge, the ability to make connections, a sense of value and vision. Therefore, the 1995
NM
the profession is to society spurs us to action. NURSINGmatters will provide articles that: • Demonstrate respect and support for one another, and • Demonstrate respect for the profession and its role in society. Vision: “Where there is no vision, the people perish” – Proverbs 29:18. Where there is vision, the profession flourishes. NURSINGmatters will provide articles that: • Reflect leadership and positive direction for the profession, • Identify creative or risk-taking ideas for reform, and • Identify ideas for making a vision become a reality. We will still be calling our readers for articles and we always welcome suggestions for particular topics and/or authors. In addition, we are designing new features to help us articulate our professional expertise – just exactly what we do and why – to the public. Our goal is when a reader finishes an issue the reader will have gleaned a new bit of information or a new bit of motivation to help take action. The ultimate goal is for each issue of NURSINGmatters is to help nurses create a dynamic future for themselves and the profession. When nursing moves forward, society benefits.
EDITORIAL objectives to accomplish this will include articles focusing on these areas. Knowledge: Knowledge renders nurses powerful. NURSINGmatters will provide articles that increase nurses’ knowledge through: • Helping nurses understand the business of healthcare, • Acknowledging the resources inherent in nurses and the profession, • Keeping nurses aware of what is going on in the state at the legislative level, the corporate level and the practice level, and • Keeping nurses appraised of pertinent actions at the national level. Connections: The ability to make connections leads to creative problem-solving. NURSINGmatters will provide articles that demonstrate the necessity and significance of making connections through: • Internal connections – relationships to one another, • External connections to consumers and other professions, • Political connections – relationships between policy and practice, and • The past – relationships between history and the future. Value: A sense of how valuable
EDUCATION MATTERS February 2015 Calendar Feb 5: Strengths-Based Care Management for Geriatric Mental Health Care UW- Madison Continuing Studies Madison 608-262-2451 or continuingstudies. wisc.edu/certificates/ mental healtholder-adult.html
Feb 19: Behavioral andPsychological Symptoms of Dememtia UW- Madison Continuing Studies Madison 608-262-2451 or continuingstudies. wisc.edu/certificates/ mental healtholder-adult.html
Mar 3: WNA Day at the Capitol Wisconsin Nurses Association Madison 800-362-3959 or info@wisconsinnurses.org
www.nursingmattersonline.com
February • 2015
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Nadine takes her exit By Karin Krause
It has been a while since I have told people what’s going on at Hope & A Future. We are living intergenerationally in our Adult Family Home now. Our live-in staff now includes a single mom and her daughters, myself, my husband and one of our adult daughters. Ages range from 6 to 90 years of age in this home. We are strengthening the generations by bringing them together. This family of friends recently lived through the death of one of our members. I am sharing part of the story around this woman’s life and death. Our residents publish a monthly gazette; this is a slightly abridged story from the gazette: We met Nadine when she was all dressed up in fancy Christmas clothes, with beauty-shop hair, make-up and jewelry. Her daughter and son-in-law had brought her to a Hope & A Future potluck and music party. She was all smiles and loved the music. Nadine seemed to love meeting new people, which she could do often because she had absolutely no short-term memory. She could meet us over and over again. And, in time, we became housemates at Hope & A Future. Every day for more than a year, Nadine would wake up early. She would often pack a bag or start moving her belongings toward the door in preparation to go home. She was often worried her family didn’t know where she was. Because of her strong faith, we could interest her in a devotion or hymn, which would temporarily help her feel at home. From there she would read and reread the newspaper, and drink coffee until there was kitchen work for her to do. She enjoyed setting beautiful tables, peeling vegetables and stirring soups. When the work was done, though, she would begin trying to find a ride home and would ask for information on how to go home, over and over. We would show her room to her. She would exclaim
in surprise at having one in this location. Sometimes this settled her for a few minutes and other times she concluded we had kidnapped her and her things. When we would explain that her children had helped move her here she would say, “Oh… my children did. What are their names?” When we would tell her, Nadine often squinted at us and said, “You are good, you are really good. I don’t know what is going on here but I need to get home.” After her new room was built on the main floor, she could walk to it on her own to look at her pictures and sit on her couch by the sunny window. Somehow during this time her new home began to be familiar. But as time went on the dementia and cancer progressed. She eventually lost the ability to set the table and to say beautiful prayers of thankfulness and worship before our meals. Some days forming an understandable word was impossible. It was hard for her to accept help; she wanted to be the helper. If she became disheartened or upset, her Bible was always comforting to her. Many times we thought of the verse “seek the Lord early while He can be found.” Nadine had come to know the Lord early, when she could easily learn new things. When her short-term memory no longer functioned, the Word dwelt in her long-term memory and remained a rich blessing to her. Her long-term memory was filled with the Word and worship. This was her ever-present help. In time she became increasingly weak; Agrace Hospice came to help. We worked to keep her comfortable and safe – by this time she knew she was in a safe home. Then a miracle began. The weaker her body became, the stronger her mind and spirit became. One day while being helped to bed she looked up at a caregiver, smiled and said, “You know, Jesus is coming soon, and he’s very playful!” The words were perfectly clear! If we reminded her of this later, she always remembered it. She would continued on page5
Karin Krause sits with Nadine. When Nadine’s body left the building, family, friends and the dog walked out behind her singing a hymn accompanied by violin. She was driven off into a beautiful sunset. Amazing.
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February • 2015
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CARDS continued from page 1
respectful, constructive feedback to the researcher. Two two-hour training sessions include case studies, dramatizations and role-playing, worksheets and exercises, and self-assessments. Concrete skillbuilding in several major areas includes recognizing common research terms and communicating effectively. “A skill-building component deconstructs language barriers – terminology such as IRB and protocols – in order to establish a common language,” Thomas said. “We also work closely with guest researchers to help them use plain, straightforward language – no scientific jargon – in their materials and during advisor meetings. It levels the playing field.” Above all, Kaiser and Thomas said they want to ensure an environment of mutual respect – the foundation of a strong communityacademic partnership. “During the training sessions, we
ask the CARDS a pivotal question,” Kaiser said. “‘How would you like people to give you feedback on something important to you?’ Their approach prompts discussion and builds a foundation of respect for guest researchers and the opinions shared by everyone at a CARDS meeting.” The advisor service centers on the belief that the most effective outcomes result from deep and respectful personal engagement. Accordingly, before the group’s meeting with the researcher, Thomas and Kaiser share with advisors what they’ve learned from the researcher about his or her inspiration for the research. Connecting in a personal, respectful way is key, advisor Rasaki Emmanuel said. “Someone with a great mind is trying to better society,” Emmanuel said. “They value my opinion. I can sit down with the researcher and discuss how to better explain their work to people in my situation. The researchers’ personal stories inspire me to help them.”
Nursingmatters
Gay Thomas (second from left) discusses research materials with CARDS advisors from the Lussier Education Center. TODD BROWN/UWSMPH MEDIA SOLUTIONS
“It’s all about perspective,” said Karen Conner, another advisor. “The (program) allows me, in a small way, an opportunity to ‘pay it forward’ – to do something that could make a difference for someone in the future.” This past year, 30 researchers from various disciplines – including nursing, surgery and family medicine – participated in the
service. “It’s a powerful dynamic when you have a variety of people with experiences and perspectives both within and outside the world of academia sharing with one another,” Kaiser said. Contact Gay Thomas at grthomas@wisc.edu or Betty Kaiser at blkaiser@wisc.edu for more information.
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Nadine continued from page 3
smile and say, “That’s right!” Nadine gradually became more tired and began spending more time in bed. One time she woke up when I, Karin, came in to check on her. She looked at me and the equipment we now had in her room and asked, “Am I alright?” I answered, “Your time to go to heaven with Jesus is very near.” She closed her eyes and smiled slightly and said, “Yes; yes it is.” A few weeks later she woke up looking distressed. Another caregiver asked if she was okay and she said, “I am fear.” They spent some time looking at her devotion until Nadine looked more settled. Later she napped and woke up with a big smile on her face. She looked at this same caregiver and said, “I am peace now and they are very kind.” We imagined angels ministering to her in her sleep. This happened about three weeks before Nadine died. After making that statement of peace, she never again
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February • 2015 experienced the nearly daily anxiety she lived with in the absence of a short-term memory. We wondered if her dementia had left or if her spirit took over as her body diminished. It doesn’t matter; her peace was divine. In the weeks that followed, she slept more and more. We watched her carefully for signs of discomfort and two of us went in regularly to reposition and care for her. Once settled she would sometimes wake up to say something very specific to caregivers, or give a hug and a smile. When her daughter’s family would sing hymns at her bedside, she would sometimes join in singing or mouthing the words or smile with her eyes closed. Sometimes she waved at the ceiling and said “hi” to something or someone we could not see. Another time she said, “I have a Major on the hill, and he is beckoning me. Come on, come on, it is time to come home!” Yet another time she said, “Soon I will go to that great mercy, that great, great mercy.”
As Nadine became weaker, her daughter spent many nights sleeping in her mother’s room. One night we were helping Nadine when suddenly Nadine looked at her daughter and said, “I bless you, I bless you, I bless you!” We had tears of thankfulness for that moment. Nadine later looked at me and said, “She is some of my best work.” I agreed. The day she died, Nadine made a rather sudden exit. The Hospice nurse was with her while we ate lunch. Suddenly she came out and said “it will be soon.” She had Nadine’s son on the phone and as he said, “I love you Mom, good-bye,” Nadine breathed one of her last few breaths. Her daughter came into the room and wrapped her arms around her and cried and told her she would miss her and that she loved her. Nadine breathed a few more breaths as her daughter cried. Suddenly her daughter stood back and said, “What am I crying about? You are with Jesus now, you lucky duck!” A tear ran down Nadine’s nose
as a smile crossed her face and she breathed her last. Her daughter “preached herself happy,” reminding us all that the Bible tells us to die is gain. There were tears and smiles. What a beautiful exit, Nadine! We are all changed. I will add that Nadine’s daughter is a caregiver. She has told us many times that although her mother had faith, she believes the peace she found at the end of her life was in part because of the loving environment and people caring for her. A home shared by children and live-in staff provides an environment that exceeds anything I have experienced in my 35 years as a Geriatric Nurse in institutional settings. A new resident recently said, “People keep asking me what makes this place different and I finally told them. At meals, the director and all the staff sit down to eat at the same table and that is very different.” A life shared is very different than shift work and break rooms.
Be part of something REMARKABLE UW Health at The American Center is a unique new health and wellness facility taking shape on the east side of beautiful Madison, Wisconsin. Opening in August 2015, the three-story, 496,000-square foot structure will offer superb inpatient and outpatient care in a welcoming, patient- and family-centered environment. To support this exciting growth, we are seeking skilled nurses for the following areas/positions: • Emergency Department • Inpatient Med/Surg • Nurse Case Manager • Pre-/Post-PACU Please contact Melissa Holman, senior nurse recruiter, at mholman2@uwhealth.org or 800-443-6164, or visit uwhealth.org/careers under the UW Hospital and Clinics section. To watch our progress, visit uwhealth.org/americancenter BEST HOSPITAL
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Correctional Nursing Wisconsin Department of Corrections Passion, Commitment, Autonomy
Correctional Nursing, where caring and passion come together.
We believe that every individual person has intrinsic value and the right to health care. As professional nurses our responsibility is to the care, restoration health and treatment of patients. As nurses we deliver care within the framework of a security environment, and within the underpinnings of nursing practice. Consider the Wisconsin Department of Corrections for your next career. We are continuously recruiting: • Licensed Practical Nurse • Licensed Practical Nurse - LTE • Nurse Clinician 2 • Nurse Clinician 2 - LTE • Nurse Practitioner - LTE • Nurse Practitioner - Statewide Excellent Benefits include: vacation, holidays, sick leave, retirement & deferred compensation, Health, life, dental, short-term disability and long-term care are available For more information about these positions and application procedures, please see www.doc.wi.gov or contact Kris Dowse at 608-240-5506 or kristine.dowse@wisconsin.gov **We are always seeking qualified individuals for various other health care opportunities**
February • 2015
Nursingmatters
Take nursing into work By Nicole Meighen, RN, MSN
As a new nurse begins to consider which specialty he or she would like to begin a career in, public health is normally not considered. Why is this? When I first began my nursing career, I wanted to be “in the trenches” providing emergency care. I thought that fast-paced environment would be a place where I could help vulnerable patients through difficult times. However, after about a year of working in the emergency room, I discovered something life-changing for me. I asked myself, “Why is this emergent patient care needed so often?” The answer is simple. Preventive education is not being stressed enough to patients, resulting in adverse events like strokes and heart attacks. Because of this revelation, I sought a public-health position that would allow me to help patients prevent avoidable adverse events. After about a month of searching, I located an occupational-health position at Procter & Gamble. Upon walking into the plant, I knew I would be a public-health nurse for life. The environment is welcoming and preventative education is highly valued; each and every day I have the honor of helping employees set and work toward accomplishing their personal health goals. Currently, my passion is working to create a holistic healthcoaching program that helps employees learn how to improve their health by empowering them to be an active member in managing it. In addition, I have developed numerous lesson plans that work to improve the knowledge of site
emergency responders. During each lesson I begin with a knowledge check that tests the responders’ knowledge recall from the previous session. Next, I speak about common health conditions and how to appropriately respond to medical needs. After the content is given, I have members apply this learned knowledge. The responders do drills and practice the skills I teach them. Lastly, a post-knowledge check is given, promoting the internalization of important information. What have I seen? Not only has emergency-response care vastly improved, employee overall health management has also improved. Because employees are more aware of what causes adverse events, they coach peers about how to live healthier lives. There are many other roles that occupational-health nurses fulfill. For example, nurses play an active role in case management, ergonomics, health-surveillance programs, travel health, risk review, charity work and much more. To be an occupationalhealth nurse means to be a flexible and hardworking individual; no day is ever the same and this is why I love it. The employees always come first. I truly believe that if more healthcare professionals would have the “ah-ha” moment that I had, we as a community could prevent much of the devastation I witnessed as an emergency-room nurse. To learn more about occupational health nursing, attend the Midwest Regional Occupational Health Conference. It provides nurses with the opportunity to network with one another and to obtain continuous education credits. Visit www.wsaohn.com/ conference-program for more information.
www.nursingmattersonline.com
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February • 2015
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CELEBRATIONS Students accept hospital positions Two Doctor of Nursing Practice in Leadership students have accepted new positions at University of Wisconsin Hospitals and Clinics’ new east-side hospital, UW Health at The American Center, scheduled to open in 2015. Jessica Dern received her Master’s of Science degree in Nursing Administration from Edgewood College, and will be completing her Doctor of Nursing Practice in Leadership in May 2015. Dern is currently Jessica Dern a manager on an inpatient cardiology floor at UWHC. She has been promoted to director of Professional Services for UW Health at The American Center, and will be responsible for overseeing Lab, Pharmacy, Radiology, Food Services, Nutrition and Echo Vascu-
lar Labs. Kari Fisher, an Advanced Practice Nurse and current manager at the William S. Middleton Veterans Administration Hospital, is also scheduled to finish her Doctor of Nursing Practice in Leadership from Edgewood College in May 2015. She has accepted a position as director of Perioperative and Emergency Room Services for UW Health at The American Center. She will oversee the operation of the operating room – pre-operative, clinic, post-anesthesia care unit, Surgical Professional Services and 14 operating rooms – as well as Emergency Room services. They began their new roles in January. “We are thrilled that both Jes and Kari have accepted these new positions, and wish them the very best in opening a new hospital in 2015,” said Roberta Pawlak, associate dean for Graduate Nursing Programs at Edgewood College.
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“I’m not a threat” Kaci Hickox, the Ebola nurse who was forcibly held in an isolation tent in New Jersey for three days, says she will not obey instructions to remain at home for 21 days in Maine. The 33-year-old nurse for Doctors Without Borders was the first person pulled aside Jan. 23 at Newark Liberty International Airport under new state regulations, after her return from Sierra Leone where she was working with Ebola patients. After her public outcry, in which she complained of “inhumane” treatment, Hickox was allowed Jan. 19 to leave New Jersey, traveling by private car to her home in Maine. Hickox, who shows no symptoms of the deadly virus, says she believes the quarantine policy is “not scientifically or constitutionally just.” PHOTO CREDIT: ASSOCIATED PRESS
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February • 2015
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Nursingmatters
Several awards given last year By Becky Hovarter
Carrie Wartman, nominated by fellow public-health nurses Jean Tyndall and Sara Mackiewicz, was given the Lillian Wald Award in 2014. The award recognizes Carrie Wartman new publichealth nurses for their contributions to public-health nursing practices within their agencies and/or communities. Wartman has worked for two years as a public-health nurse at Ashland County Health and Human Services Department. Since beginning her employment in public health, Wartman has brought a passion and momentum for positive change. Her focus over the
past two years has been on maternal, infant and school-age health and wellness. One of the greatest achievements of Wartman’s career in public health so far has been her ability to connect with the various organizations and entities that provide family support in northern Wisconsin. With her former experience in city government – Wartman is a former city council member – she has an innate ability to work with others in a meaningful and productive way. Erica Sherman, publichealth nurse at Wood County Health Department, is the 2014 Erica Sherman recipient of
Assistant Professor of Nursing The Henry Predolin School of Nursing at Edgewood College announces the opening for two full-time tenure track faculty positions beginning with the academic year 2014-2015. Responsibilities include teaching at the undergraduate and graduate (MSN and DNP) levels. Graduate concentrations include Nursing Administration and Leadership. Qualifications: • Earned PhD in Nursing (preferred), or doctorate in related field with a Master’s degree in Nursing; DNP may be considered • Eligible for RN licensure in the State of Wisconsin • Evidence of teaching, scholarly and community services potential • Knowledge and skills in contemporary practice issues related to the AACN Essentials • Demonstrated commitment to promoting diversity, inclusion, and multicultural competence To Apply: Send a letter of application, resume, and references to: Edgewood College Human Resources – APN1 1000 Edgewood College Drive Madison, WI 53711 www.edgewood.edu E-mail: humanresources@edgewood.edu Equal Opportunity Employer
the Florence Nightingale Award, which recognizes public-health nursing’s leadership in achieving one or more objectives of Healthiest Wisconsin 2020 Health Priorities at either a community or systems level within the awardee’s jurisdiction. Sherman was nominated by Leah Meidl, one of her peers. Sherman’s notable accomplishments include coordinating education and resources, promoting physical activity, establishing sustainable gardens with child-care providers, developing a car-seat program in Wood County that has grown to six technicians, a car-seat recycle program, a carseat diversion program for drivers cited for improper use of a car seat, and as the lead for a prenatal-care coordination program. Sherman has seen growth of the programs when many agencies are seeing declines. Peggy Stalheim, publichealth nurse at Marathon County Health Department for Peggy Stalheim the past 17 years, is the 2014 recipient of the Cornelia Van kooy Award for Distinguished Service in Public Health Nursing. This award recognizes a public-health nurse’s contributions to public-health nursing practice within his or her agency, community, region, state, nation or globally, by providing leadership in professional organizations, demonstrating outstanding public-healthnursing performance or other accomplishments relating to public-health nursing. Stalheim was nominated by Tiffany Pietrowski, a peer at the health department. It is estimated that during her 17 years Stalheim has provided direct family services to more than 1,200 families. Stalheim has accom-
plished a great deal with advocacy at the heart of her actions, whether it was connecting a family with Shriner’s Hospital or arranging for an Amish family with an infant with Phenylketonuria to get the needed formula to properly grow and develop. Stalheim’s relationship with the plain community is one of her most notable achievements, including promotion of immunizations, new-baby visits and emergency preparedness activities. Stalheim is also a founding member of the Wisconsin Breastfeeding Coalition-Heart of Wisconsin Chapter. Marathon County Health Department was one of the first breastfeeding-friendly health departments in Wisconsin. Though Stalheim retired last fall, the groundwork she laid at the Marathon County Health Department will endure for years to come. Two additional public-health nurses were recognized for contributions to public-health nursing. Starrlene Grossman and Teresa Boxrucker, both from Sheboygan County Division of Public Health, received the Carol Graham Scholarship. They also received free 2014 Wisconsin Public Health Association membership and paid registration to 2014 Public Health Nursing. Graham was a public-health-nurse leader in Wisconsin for more than 36 years. She inspired and encouraged new public-health-nursing leadership; her family and friends established a memorial fund in her name to advance this effort. The Wisconsin Public Health Association, Public Health Nursing Section, awards up to five Carol Graham Scholarships annually. The purpose of the award is to recognize the contribution public-health nursing is making in Wisconsin communities, foster Wisconsin Public Health Association participation among public-health nurses who entered the field within the past 10 years and assist in the development of new public-health-nursing leaders.
www.nursingmattersonline.com
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February • 2015
Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters
Reflections of our Heritage Signe Skott Cooper’s legacy Jeanette M. Hays, 1888-1960
Remember those who paved the way States, Hays served one year as Editor’s note: This column a charge nurse in the out-patient was written by Signe Cooper and department at Fordham Hospital originally published in 1994. in New York City. From 1922 to Jeanette Hays was born in 1926 she lived in Columbia, South Alderly, Dodge County, WisconCarolina, where she was an advisin, to a well-known pioneer famsory nurse in the ily. Her paternal Bureau of Child grandfather came Hygiene and to Wisconsin in Public Health 1849; the family Nursing, South was prominent in Carolina Board of early state politics. Health. Hays graduIn 1927 ated in 1910 from Hays returned the Wisconsin to Milwaukee as Training School executive secrefor Nurses in Miltary and registrar waukee. Estabof the Milwaukee lished in 1888, District Nurses this was the first Association. She school of nursing was executive in the state, and secretary of the was unique in the Milwaukee Disfact that students trict Nurses Assohad their clinical ciation for 25 experiences in sevJeanette M. Hays years. As registrar, eral different hosshe arranged for pitals. Hays began placement of private-duty nurses her career as a private-duty nurse. as requested by the various MilAfter a period of staff nursing in waukee hospitals. She was greatly tuberculosis, she was an appointed respected for the assistance and field supervisor of the tuberculosis guidance she gave to many nurses division of the Milwaukee Health in her role as registrar. Department. Hays served as president of the During World War 1, Hays was Wisconsin State Nurses Association sent to France with the Children’s from 1930 to 1933. In her presidenBureau of the American Red Cross. tial address at the 1933 Wisconsin She directed three dispensaries State Nurses Association Convendesigned for the care of children, tion in Green Bay, she said, “There particularly children suffering from is a need for a new philosophy of malnutrition – a result of war-time work and perhaps it will be based food shortages. on the needs of human beings – Upon her return to the United
present and anticipated… It seems likely that our present situation (the Great Depression) will result in increased respect for the rights of human beings.” A modest, unassuming woman with a keen sense of humor, Hays was also a philosopher and a scholar. An article about her in the Bulletin of the Wisconsin State Nurses Association described her as, “one
of those nurses who has never ceased to study and one whose interests are as broad as the profession itself.” Hays died May 26, 1960, at the St. Joan Antida Home in Milwaukee. She is buried in Mapleton. Signe Cooper is a retired nurse and emeritus professor for the School of Nursing at the University of Wisconsin-Madison.
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February • 2015
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Nursingmatters
New certification process nears A new board certification through portfolio for rheumatology nursing will be launching this year. The American Nurses Credentialing Center’s new certification through portfolio is an alternative assessment method for credentialing registered nurses in their specialty areas. Nurses document skills, knowledge, abilities and career accomplishments as part of the application-assessment process. Certification through portfolio requires equivalent rigor as examinations to meet accrediting bodies’ criteria to determine proficiency through a peer-review process informed by nurse experts. “Certification through portfolio is an excellent method for credentialing and will greatly serve the nursing profession as nurses’ knowledge grows ever more specialized,” said Linda C. Lewis, executive vice-president and chief officer, MSA, RN, NEA-BC, FACHE. “We look forward to a
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productive collaboration with the Rheumatology Nurses Society and its members, as (the center) aims to develop the first-ever certification in rheumatology nursing.” Nurses certified through the portfolio assessment method are regarded as experts in their specialties and are considered to be among the highest-qualified nurses in the world. These credentials foster both professional growth and job satisfaction while demonstrating a nurse’s commitment to providing excellent care. “We are delighted and excited to endorse (the center’s) development of a board certification to recog-
nize the passion, commitment and quality that rheumatology nurses bring to their practices and the care of their patients every day,” said Sheree C. Carter, PhD, RN, and president of the Rheumatology Nurses Society. “As leaders in healthcare, rheumatology nurses continue to reach for excellence in professional development and nursing practice. (The center’s) board certification will provide a credible means for Rheumatology Nurses Society members and all rheumatology nurses to validate their knowledge, engage in lifelong learning and be recognized for their experience.”
The center incorporates the latest nursing practice standards, ensuring that nurses are credentialed using the most current criteria, Lewis said. The center’s experience with in-house test development using psychometric practices provides a foundation for the development of the rheumatology certification through portfolio. The ability to operationalize and administer individual credentialing programs is one of the center’s core competencies, she said, with the center the only nurse-credentialing organization to achieve ISO 9001:2008 certification in the design, development and delivery of globalcredentialing services and support products for nurses and healthcare organizations. Visit nursecredentialing.org or RNSnurse.org for more information.
Nurses most honest and ethical Association launches Year of Ethics
SILVER SPRING, MARYLAND – The American Nurses Association is embarking on a yearlong campaign to highlight the importance of nursing ethics and their impact on patients and healthcare quality. Meanwhile the annual Gallup survey on trust in professions shows the public continues to rate nursing as the most honest and ethical. For the past 13 years, the public
has voted nurses as the most honest and ethical profession in America in the Gallup poll. This past year, 80 percent of Americans rated nurse honesty and ethical standards as “very high” or “high,” 15 percentage points above any other profession. “All nurses share the critical
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responsibility to adhere to the highest ethical standards in their practice to ensure they provide superior healthcare to patients and society,” said Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, and association president. “(The association) is calling 2015 the Year of Ethics to highlight ethics as an essential component of everyday nursing practice and reinforce the trust patients have that nurses will
protect their health and safety, and advocate on their behalf.” The Year of Ethics will include educational activities supporting the code and a three-day experts’ symposium. As more Americans gain access to healthcare under the Affordable Care Act, consumers increasingly are finding they can rely upon nurses to provide their preventive, wellness and primary-care services. Additionally, the association has completed a revision of its Code of Ethics for Nurses, a cornerstone document of the nursing profession that upholds the best interests of patients, families and communities. The new code reflects many changes and evolutions in healthcare and considers the most current ethical challenges nurses face in practice. The revision involved a four-year process in which a committee received and evaluated comments on ethical issues from thousands of nurses.
www.nursingmattersonline.com
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February • 2015
Lessen fatigue to promote safety SILVER SPRING, MARYLAND – The American Nurses Association is calling for stronger collaboration between registered nurses and their employers to reduce the risks of nurse fatigue for patients and nurses. Nurse fatigue is associated with shift work and long hours. The new position statement emphasizes strengthening a culture of safety in the work environment. The association contends that evidence-based strategies must be implemented to proactively address nurse fatigue and sleepiness. Such strategies are needed to promote the health, safety and wellness of nurses and ensure optimal patient outcomes. “Research shows that prolonged work hours can hinder a nurse’s performance and have negative impacts on patients’ safety and outcomes,” said association President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “We’re concerned not only with the greater likelihood for errors, diminished problemsolving, slower reaction time and other performance deficits related to fatigue, but also with dangers posed to nurses’ own health.” Research links shift work and long
working hours to sleep disturbances, injuries, musculoskeletal disorders, gastrointestinal problems, mood disorders, obesity, diabetes mellitus, metabolic syndrome, cardiovascular disease, cancer and adverse reproductive outcomes. The association offers numerous evidence-based recommendations for nurses and employers to enhance performance, safety and patient outcomes. • Involve nurses in the design of work schedules and use a regular and predictable schedule so nurses can plan for work and personal responsibilities. • Limit work weeks to 40 hours within seven days and work shifts to 12 hours. • Eliminate the use of mandatory overtime as a “staffing solution.” • Promote frequent, uninterrupted rest breaks during work shifts. • Enact official policy that confers nurses the right to accept or reject a work assignment based on preventing risks from fatigue. The policy should include conditions that a rejected assignment does not constitute patient abandonment, and that nurses should not suffer
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February • 2015
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ANA appreciates Tavenner SILVER SPRING, MARYLAND – American Nurses Association officials have expressed their sincere appreciation for the work of Marilyn Tavenner, MHA, BSN, RN, administrator of the Centers for Medicare and Medicaid Marilyn Tavenner Services. “As the first permanent administrator of the Centers for Medicare and Medicaid Services since 2006, Marilyn Tavenner took the helm of (the Centers) during a time of enormous change in our country’s healthcare system,� said association President Pamela F. Cipriano, PhD, RN, NEABC, FAAN. “Tavenner is a superb, collaborative leader, attributes that allowed her to foster an innovative, patient-centered approach to improving the quality of care. “Her nursing expertise, along with her public- and private-sector experience, enabled her to guide the opening of the Health Insurance Marketplace. Under Tavenner’s lead-
ership, and despite initial challenges, the marketplace is now thriving and millions of Americans who were previously uninsured now have access to high-quality healthcare. For that, she deserves the highest levels of respect and gratitude.� Tavenner, a former Intensive Care Unit nurse, served as chief executive officer of the Hospital Corporation of America and was Virginia’s secretary of Health and Human Resources under former Governor Tim Kaine before being confirmed as the Centers administrator in 2013. The American Nurses Association is the only full-service professional organization representing the interests of the nation’s 3.1 million registered nurses through its constituent and state nurses associations and its organizational affiliates. The association advances the nursing profession by fostering high standards of nursing practice, promoting the rights of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on healthcare issues affecting nurses and the public. Visit www.nursingworld.org for more information.
Nursingmatters
Nurses on boards given funding push SILVER SPRING, MARYLAND – The Rita and Alex Hillman Foundation has contributed $150,000 to fund the American Nurses Foundation’s work to increase the number of nurses serving on national boards of directors. The foundation is the philanthropic arm of the American Nurses Association; its work is part of a coalition of national nursing organizations working together to increase nursing presence on corporate and nonprofit health-related boards of directors throughout the country. Marla J. Weston, PhD, RN, FAAN, chief executive officer of the association and the foundation, co-chairs the national coalition. Kate Judge, executive director of the foundation, will co-chair one of the coalition’s work groups focused on board appointments. “This grant aligns with the Hillman Foundation’s commitment to improving lives through nursing,� said Ahrin Mishan, Hillman Foundation’s executive director. “We believe that patients and families will be the ultimate beneficiaries of this
Fatigue continued from page 11 Stritch remains at the forefront of changes in the industry as training and education demands increase for healthcare workers. We remain a leading provider of creative, exible programs that integrate theory and practice to meet emerging education needs of clients and communities.
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adverse consequences in retaliation for such a decision. • Encourage nurses to manage their health and rest, including sleeping seven to nine hours per day; developing effective stress-management, nutrition and exercise habits; and using naps in accordance with policy. The position statement was developed by a Professional Issues Panel, established by the association’s Board of Directors. The panel was comprised of 15 member nurses with expertise on the issue, with
important initiative led by the American Nurses Foundation. The Ahrin Mishan Hillman Foundation seeks to positively impact lives by spearheading programs to support the next generation of nursing leaders and funding nurse-driven approaches to transforming the cost and delivery of care.� Placing nurses on boards is in alignment with the Institute of Medicine report, “The Future of Nursing: Leading Change, Advancing Health (2011),� which recommends nurses play more pivotal roles on boards and commissions in improving the health of all Americans. The foundation, the association and the American Academy of Nursing are all founding members of the Nurses on Boards Coalition. Visit www.givetonursing.org for more information.
additional input from an advisory committee of about 350 members who expressed interest in participating. The statement was distributed broadly for public comment to nursing organizations, federal agencies, employers, individual registered nurses, safety- and risk-assessment experts and others. The suggestions were evaluated by the panel for incorporation in the statement. The new position statement replaces two 2006 position statements – one for employers and one for nurses. The statement clearly articulates that healthcare employers and nurses are jointly responsible for addressing the risks of nurse fatigue.
www.nursingmattersonline.com
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February • 2015
Leadership Academy participants chosen INDIANAPOLIS — The Honor Society of Nursing, Sigma Theta Tau International, has announced the participants and faculty in the inaugural cohort of the Experienced Nurse Faculty Leadership Academy. Sigma Theta Tau International/Chamberlain College of Nursing Center for Excellence in Nursing Education administers the academy-mentoring program thanks to a grant from the Chamberlain College of Nursing. The Experienced Nurse Faculty Leadership Academy is a highly selective 12-month mentored leadership academy designed to: • Further academic career development and success, • Promote personal and professional leadership development, • Develop and begin to implement a personal leadership-progression plan, • Expand the influence of the Leadership Scholar within his or her sponsoring academic institution, the community and the profession in the context of teaching, scholarship or service, • Advance nursing education through leadership-development projects implemented by Leadership Scholars during the program, and • Promote experienced nurse-faculty retention in academe. The Experienced Nurse Faculty Leadership Academy pairs experienced full-time faculty leaders, called scholars, with mentors, who are then supported by Experienced Nurse Faculty Leadership Academy faculty members. The academy curriculum includes a variety of educational strategies for developing leadership knowledge, competence and outcomes. Visit www.nursingsociety.org for more information.
2014-2015 Experienced Nurse Faculty Leadership Academy Participants Experienced Nurse Faculty Leadership Academy Scholars
Terry Delpier, DNP, RN, CPNP, Northern Michigan University Karen Gorton, PhD, MS, RN, ATC, University of Colorado Deborah Greenawald, PhD, RN, CNE, Alvernia University Shelley Hawkins, PhD, FNA-BC, GNP, FAANP, University of San Diego Rebecca Lee, PhD, RN, PHCNS-BC, CTN-A, University of Cincinnati Greta Marek, DNP, RN, CNE, East Tennessee State University JoAnn Oliver, PhD, ANP-BC, CNE, University of Alabama Pennie Sessler Branden, PhD, MSN, RN, CNM, Sacred Heart University Kathryn Trotter, DNP, CNM, FNP-BC, Duke University
Scholarships offer nursing help United Cooperative, based in Beaver Dam with locations throughout Wisconsin, will offer 30, $1,000 scholarships to graduating high-school seniors pursuing nursing or pre-med careers, along with other majors. At least seven of the scholarships will be awarded to students majoring in an agricultural field, and at least three will be awarded to students attending a short course or technical school. The remainder are available to all majors – in nursing, accounting, pre-medicine, etc. The application deadline is March 3.
To be eligible, the student or the parent must be an active patron member of United Cooperative; the student must attend an accredited college, university, or technical school; and the student must maintain a grade-point average of 2.0 or above on a 4.0 scale. The scholarships will be paid upon receipt of transcript showing completion of the first semester and proof of registration for the second semester. Visit www.unitedcooperative.com to download the scholarship application or call 800-924-2991.
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Karen Morin, DSN, RN, ANEF, FAAN, University of Wisconsin-Milwaukee Angela McNelis, PhD, RN, ANEF, CNE, Indiana University Zane Wolf, PhD, RN, FAAN, La Salle University Debra Lyon, PhD, RN, FAAN, University of Florida Gwen Sherwood, PhD, RN, FAAN, University of North Carolina at Chapel Hill Mary Hays, DSN, RN, COI, University of Alabama at Huntsville Sandra Millon-Underwood, PhD, RN, FAAN, University of Wisconsin-Milwaukee Jane Kirschling, PhD, RN, FAAN, University of Maryland, Baltimore Anne Moore, DNP, APN, FAANP, Vanderbilt University
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Karen Carlson, PhD, RN, University of New Mexico Cindy Clark, PhD, RN, ANEF, FAAN, Boise State University Carol Huston, MSN, MPA, DPA, FAAN, California State University, Chico Pam Jeffries, PhD, RN, FAAN, ANEF, Johns Hopkins University Donna M. Nickitas PhD, RN, NEA-BC, CNE, FNAP, FAAN, Hunter College Suzanne Prevost, PhD, RN, University of Alabama Alyce Schultz, PhD, RN, FAAN, EBP Concepts Clarann Weinert, SC, PhD, RN, FAAN, Montana State University
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February • 2015
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Nursingmatters
New Careers in Nursing program helps students Twelve higher-education institutions have received grants to share and build upon the lessons learned through an innovative and highly successful scholarship program for second-career nurses, called New Careers in Nursing. The program was created eight years ago by the Robert Wood Johnson Foundation and the American Association of Colleges of Nursing to increase the diversity of the nursing workforce by providing scholarships to people from groups under-represented in nursing. The program will help those students to earn accelerated baccalaureate or master’s degrees in nursing. Schools of nursing that received program grants to provide these scholarships report great success in recruiting and retaining minority and male nursing students and making their institutions more diverse and inclusive. “We are so proud of all that (the program) has accomplished over the past seven years,” said Eileen T. Breslin, PhD, RN, FAAN and association president. “Our grantees have dramatically increased their recruitment, retention and graduation of students from groups
Parish Nurse Day of Enrichment “Therapeutic Approaches to Holistic Well-being”
• Healing properties of essential oils • Reverie harp: Healing at the bedside • Breath & movement for well-being • Healing Service • Networking & Exhibits
When: Friday, March 20, 2015 Where: Viterbo University Fine Arts Center La Crosse, WI Cost: $55.00 per participant Register by March 10, 2015 For more information or to register for this event call (608)796-3670 or email parishnursing@viterbo.edu Sponsored by: Viterbo University Parish Nurse Ministry
THE PROJECTS AND GRANTEES ARE: New Careers in Nursing Alumni Toolkit under-represented in nursing. They have truly changed the culture of their institutions, which are now more diverse and inclusive. There is much to learn from them.” The two new grant programs, Innovations in Accelerated Nursing Education and the Legacy Program, will fund teams of nursing schools that have received program grants. “It’s our great hope that by gathering the ideas and stories of our grantees, we can sustain and encourage replication of (the program’s) successful efforts and expand them to more institutions,” said David Krol, MD, MPH, FAAP, and senior program officer. “These grants are intended to provide information that will help schools of nursing continue to do the important work of increasing the diversity of the nursing workforce, including nurse faculty, and increasing the number of nurses holding bachelor’s of nursing degrees or higher.” Four teams of schools received Innovations in Accelerated Nursing Education grants of $10,000 each to develop and enhance educational projects. They will work to implement innovative approaches to accelerated nursing education that can be taken to scale and replicated in a variety of educational settings.
New York University SUNY Downstate Medical Center College of Nursing Stony Brook University
Replicating an Innovative Educational Pedagogy for Physical Examination and Problem-Setting Skills Mount St. Mary’s College Yale University
Gaming the System Quinnipiac University Southern Connecticut State University
Strengthening Cultural Competence in Prenatal Care with a Virtual Community: Building Capacity through Collaboration Ashland University College of Nursing and Health Sciences Duquesne University School of Nursing Another team of schools received a $2,500 Legacy grant to report on how those institutions were affected by participating in the program, and what has changed as a result of that participation. That project will focus on new alliances and partnerships.
THOSE GRANTEES ARE: Creighton University Nebraska Methodist College University of Nebraska Medical Center The 2010 Institute of Medicine report, “The Future of Nursing: Leading Change, Advancing Health,” recommends increasing the proportion of nurses with a baccalaureate degree or higher, and increasing the diversity of students to create a nursing workforce prepared to meet the healthcare demands of diverse populations across the lifespan. New Careers in Nursing is helping to advance those recommendations by enabling schools to expand student capacity and by encouraging more diversity. Since 2008, the New Careers in Nursing program has distributed 3,517 scholarships to students at 130 unique schools of nursing. Visit www.NewCareersInNursing.org for more information.
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February • 2015
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Nursingmatters Expo!
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FREE FOR NURSES & NURSING STUDENTS!
THURSDAY, FEB. 19 • 8:30 a.m.-3:30 p.m. EXHIBITION HALL AT THE
ALLIANT ENERGY CENTER
MADISON, WI
BREAKOUT SESSIONS - 2:15 p.m.
SPECIAL SCREENING “The American Nurse” 10 a.m.
Judith Hansen, MS, BSN, RN
Executive Director Wisconsin Center for Nursing The Wisconsin Workforce: Pathway, Progress, and Potential This presentation will provide participants with results from the 2014 Wisconsin RN Survey, updates on implementing the IOM Future of Nursing Report in our state, and plans for the future.
We are fortunate to be able to screen this important documentary which gives voice to nurses on the front lines of some of the biggest issues facing America. The film has received nationwide accolades, from the White House to the American Journal of Nursing, and raves in the national media. When you watch the film you are eligible for continuing education credits.
Karen Klemp, MA, BSN, RN
NICU nurse Hope 2 Others Learn what drove Karen to the other side of the world, bringing Hope 2 Others, mothers desperate for their babies’ lives.
12:15 p.m. Complimentary Luncheon
Guest speaker, Carolyn Jones, author and filmmaker of The American Nurse. Known internationally for her socially proactive photography, Carolyn is also an award winning filmmaker. She personally interviewed and photographed dozens of nurses for The American Nurse Project. PHOTO: LEO SOREL
Although the luncheon is free, you must register at
Complimentary luncheon sponsored by
www.nursingmattersonline.com. Luncheon sponsored by UW Health.
Margaret Schmelzer, MS, RN
Chair, Prescription Drug Abuse Task Force Wisconsin Nurses Association
Louis Oppor, Section Chief
Substance Abuse Services Section Bureau of Prevention Treatment and Recovery Division of Mental Health and Substance Abuse Services Department of Health Services Addressing the Problem of Prescription Drug Abuse
While at Expo, be sure to visit the Exhibit Hall!
Employers – Shopping – Holistic Health – Education – Uniforms – Books – Chair Massage
EXHIBITORS
Arbonne Attic Angel Community Bellin College Blue River Chiropractic Brightstart Care Cardinal Stritch University Coalition of Wisconsin Aging Groups / Wis. SMP (Senior Medicare Patrol) College of St. Scholastica Dale Medical Products Easter Seals of Wisconsin East-West Healing Arts Institute
Edgewood College Froedert Health Gorge Williams College - Aurora Gideon’s International Gilda’s Club of Madison Grand Canyon University Group Health Cooperative of South Central WI Health & Wellness Options Heartland Home Health Care & Hospice Herzing University Home Health United Hope 2 Others
Kaplan Health L’BRI Pure ‘n Natural Long Term Care Insurance Solutions LLC Marian University Milwaukee School of Engineering National Registered Nurse Case Manager Training Center Rainbow Hospice Care Select Specialty Hospital Madison Stoughton Hospital Uniforms Direct LLC UW Health UW-Madison School of Nursing
UW-Milwaukee College of Nursing Viterbo University Center Adult Learning Walden University Waukesha County Technical College Wildtree William S. Middleton Memorial Veterans Hospital Wisconsin Center for Nursing Wisconsin Department of Corrections Wisconsin Nurses Association WPS Young Living Essential Oils And MORE . . .
For information about exhibit space, contact Teague Racine, 608-252-6038, tracine@madison.com
Endorsed by